20201257 Ver 1_ePCN Application_20201117

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Pre -Construction Notification (PCN) Form
October 26, 2020 Ver 3.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes • No
Change only if needed.
BIMS # Assigned*
Version#*
20201257
1
Is a payment required for this project?
No payment required
Fee received
Reviewing Office*
Fee needed - send electronic notification
Central Office - [phone]
Select Project Reviewer*
Bev Strickland:eads\bjstrickland
Information for Initial Review
1a. Name of project:
Grasshopper Road System Enhancement
1a. Who is the Primary Contact?*
Joey Lawler, PWS
1 b. Primary Contact Email: * 1c. Primary Contact Phone:
[e-mail] [phone]
Date Submitted
11/17/2020
Nearest Body of Water
UT to Neuse River
Basin
Neuse
Water Classification
QNSW
Site Coordinates
Latitude:
Longitude:
35.747483'
-78.491641°
Pre -Filing Meeting Information
ID# Version
20201257 1
Pre -fling Meeting or Request Date*
9/22/2020
Attach documentation of Pre -Filing Meeting Request here:*
DWR Pre -Filing Meeting Request Form.pdf 50.98KB
A. Processing Information u
County (or Counties) where the project is located:
Wake

Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
1a. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?
Yes
No
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 12 - Utility Lines
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual Permit
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
1f. Is this an after -the -fact permit application?*
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
Acceptance Letter Attachment
1 h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
NCDOT
2b. Deed book and page no.:
N/A
2c. Responsible party:
Dominion Energy North Carolina
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No

2d.Address
Street Address
220 Operations Way MC221
Address Line 2
city
State / Province / Region
Cayce
SC
Postal / Zip Code
Country
29033
USA
2e. Telephone Number:
2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Robert Schwartz, PE
3b. Business Name:
Dominion Energy North Carolina
3c.Address
Street Address
220 Operations Way MC221
Address Line 2
City
State / Province / Region
Cayce
SC
Postal / Zip Code
Country
29033
USA
3d. Telephone Number:
3e. Fax Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Joey Lawler, PWS
4b. Business Name:
S&ME, Inc.
4c.Address
Street Address
2016 Ayrsley Town Blve, Suite 2A
Address Line 2
City
State / Province / Region
Charlotte
NC
Postal / Zip Code
Country
28273
USA
4d. Telephone Number:
4e. Fax Number:
[phone]
M. Email Address:
[e-mail]
Agent Authorization Letter*
Agent Authorization Form.pdf
191.05KB
C. Project Information and Prior Project History
1. Project Information
1 b. Subdivision name:
(if appropriate)
N/A
1c. Nearest municipality / town
Raleigh
u

2. Project Identification
2a. Property Identification Number:
2b. Property size:
N/A
—1.4 in LOD
2c. Project Address
Street Address
East side of Grasshopper Road
Address Line 2
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27610
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
UT to Neuse River
3b. Water Resources Classification of nearest receiving water:*
C;NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202011103
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: *
The pipeline is proposed for construction within an existing, maintained easement owned by the NCDOT. The new line will begin at the terminus of the existing line near the junction of
Poole Road and Grasshopper Road (35.752094°N,-78.495127°W) and extend southeast for approximately 4,200 feet and ending at a proposed regulator station near Knightdale-Auburn
Road (35.743296°N,-78.486123°W). In most areas, the disturbed width within the NCDOT easement will be approximately 10 feet.
The vicinity consists of open fields, wooded areas and residential development.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
Yes No Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Fig 2 - USGS Exhibit.pdf 798.67KB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Fig 3 - Soils Exhibit.pdf 264.42KB
4f. List the total estimated acreage of all existing wetlands on the property:
0
4g. List the total estimated linear feet of all existing streams on the property:
20
4h. Explain the purpose of the proposed project:
The purpose of the project is to install approximately 4,200 linear feet of 8-inch diameter plastic natural gas pipeline along the north side of Grasshopper Road to improve natural gas
service in that portion of the service area.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The pipeline is proposed for construction within an existing ROW owned by the NCDOT, and in most areas, the disturbed width will be approximately 10 feet. The project includes a
proposed conventional crossing of an unnamed tributary (Stream 1). At this location, sufficient cover may not be available above the existing culvert and headwall to install the pipe within
the road shoulder.
Construction of the new pipeline will first involve demarcation of disturbance limits, jurisdictional boundaries of the stream and other associated workspaces, etc. Appropriate erosion and
sedimentation control (E&SC) measures will be installed as construction proceeds to prevent off -site sedimentation.
Following preparation of the work area and installation of necessary E&SC measures in upland areas, industry -standard equipment will be used to excavate a trench along the
"nonworking" side of the easement. Lengths of the new pipe will be trucked to the site, strung along the road shoulder and placed on skids (wooden pedestals). The pipe segments will be
heat -welded together, inspected, and then lowered into the trench. Affected areas will then be "cleaned up by backfilling the trench, applying permanent seeding and mulch, and restoring
the affected area as closely as possible to pre -disturbance contours and conditions. All work at the stream crossing will be conducted in accordance with the applicable permit conditions.
4j. Please upload project drawings for the proposed project.
Stream Crossing Details.pdf 3.41MB
P69956 Grasshopper Rd Drawing.pdf 276.49KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown

Comments:
Project route contains one stream but no wetlands
5b. If the Corps made a jurisdictional determination, what type of determination was made?
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
So. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Joey Lawler, PWS
Agency/Consultant Company: S&ME, Inc.
Other:
5d1. Jurisdictional determination upload
DWR Form - S1.pdf
6. Future Project Plans
120.41<13
6a. Is this a phased project?*
Yes No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
N/A
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact* ]3�name*
��3e.
Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width*
3h. Impact
length*
S1
Utility Line Installation
tY
Tem ora
P rY
Excavation
o Neuse River
FUT
Perennial
Both
10
Average (feet)
20
Qinear feet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts: 3i. Total temporary stream impacts:
0 20
31. Total stream and ditch impacts:
20
3j. Comments:
Temporary impacts will result from establishment of coffer dams for clean -water bypass and pipe installation. Note that the project is exempt from
riparian buffer requirements because the new pipe will be installed within an existing, maintained easement and will not result in a change in its on -going
use.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The proposed pipeline was routed to minimize stream impacts by utilizing an area that has been previously developed (the NCDOT easement)
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
At the S1 crossing, Dominion Energy plans to conduct all work within the existing NCDOT easement. At this crossing, a dam -and -pump system will be
used to divert clean water flow around the work area until the crossing is completed. Once work affecting the stream is initiated, it will be carried to
completion in an expeditious manner to minimize the period of disturbance. Typical details for a temporary coffer dam and pump methodology for
isolation of the trench excavation are included in the information submitted with this E-PCN.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
Yes No

2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Project does not involve the loss of waters of the US.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30 % nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes No
Comments:
N/A
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
Yes No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
Yes No
3b. If you answered "no," provide a short narrative description.
The project will not affect additional jurisdictional areas beyond that described herein.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
Yes No
Unknown
5e. Is this a DOT project located within Division's 1-8?
Yes No

5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbines)?*
Yes No
51. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
S&ME consulted the North Carolina Natural Heritage Program (NCNHP) database and the U.S. Fish and Wildlife Service (USFWS) Information for
Planning and Consultation (IPaC) service for lists of federally -protected species that may be affected by the project. S&ME personnel then conducted a
pedestrian field review of the site locate potential habitat for the species that were identified through the records review.
The NCNHP identified no records of federally -protected species within one mile of the site, and based on a September 10, 2020 pedestrian assessment
conducted by S&ME, it was determined that the project corridor does not contain suitable habitat for any of the aquatic species listed by the IPaC report.
The subject stream channel is too small, does not contain suitable substrate and exhibited a large sediment load.
Of the terrestrial species listed, the project corridor only contains potentially -suitable habitat for Michaux's sumac. However, an intensive survey of the
project corridor no identified no individuals of Michaux's sumac. Accordingly, it is not anticipated that this project will affect populations of this species.
Consultation Documentation Upload
iPac.pdf 217.83KB
NCNHP.pdf 905.49KB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?
https://www.fisheries. noaa.gov/resource/map/essential-fish-habitat-mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
S&ME reviewed the NC State Historic Preservation Office (SHPO) GIB web mapping service, which identified several sites within one mile of the project
area. However, because the new pipe will be installed within existing NCDOT easement, and no temporary workspace will be necessary in areas
proximate to these sites, the project should have no effect on historic resources.
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8b. If yes, explain how project meets FEMA requirements:
Project will comply with local floodplain ordinances.
8c. What source(s) did you use to make the floodplain determination?*
https://flood.nc.gov/ncflood/
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Fig 1 - Vicinity Exhibit.pdf 568.86KB
Fig 4 - Aerial Exhibit.pdf 1.16MB
Site Photos.pdf 412.17KB
Signature
By checking the box and signing below, I certify that:
U
U
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;

• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Joey Lawler
Signature
ju-y LA.L,�-
Date
11/17/2020