Loading...
HomeMy WebLinkAbout20121107 Ver 1_02_P5206BCDF_PCNv1_4_130318_20130318Page 1 of 10 PCN Form – Version 1.4January 2009 Office Use Only: Corps action ID no. _____________ DWQ project no. _______________ Form Version 1.4January 2009 Pre-Construction Notification (PCN) Form A. Applicant Information 1. Processing 1a. Type(s) of approval sought from the Corps: Section 404 Permit Section 10 Permit 1b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number: 1c. Has the NWP or GP number been verified by the Corps? Yes No 1d. Type(s) of approval sought from the DWQ (check all that apply): 401 Water Quality Certification – Regular Non-404 Jurisdictional General Permit 401 Water Quality Certification – Express Riparian Buffer Authorization 1e. Is this notification solely for the record because written approval is not required? For the record only for DWQ 401 Certification: Yes No For the record only for Corps Permit: Yes No 1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu fee program. Yes No 1g. Is the project located in any of NC’s twenty coastal counties. If yes, answer 1h below. Yes No 1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes No 2. Project Information 2a. Name of project: 2b. County: 2c. Nearest municipality / town: 2d. Subdivision name: 2e.NCDOT only, T.I.P. or state project no: 3. Owner Information 3a. Name(s) on Recorded Deed: 3b. Deed Book and Page No. 3c. Responsible Party (for LLC if applicable): 3d. Street address: 3e. City, state, zip: 3f. Telephone no.: 3g. Fax no.: 3h. Email address: ReidtoNorthKannapolisRailroadSafetyImprovements Rowan Salisbury,ChinaGrove -- P-5206B,C,D,F NorthCarolinaRailroadCompany(NCRR) NCRRexistingright-of-way 2809HighwoodsBoulevard,Suite100 Raleigh,NC27604-1000 919-954-7601 919-954-7099 14,33 Page 2 of 10 4. Applicant Information (if different from owner) 4a. Applicant is: Agent Other, specify: 4b. Name: 4c. Business name (if applicable): 4d. Street address: 4e. City, state, zip: 4f. Telephone no.: 4g. Fax no.: 4h. Email address: 5.Agent/Consultant Information (if applicable) 5a. Name: 5b. Business name (if applicable): 5c. Street address: 5d. City, state, zip: 5e. Telephone no.: 5f. Fax no.: 5g. Email address: MarcHamel NorthCarolinaDepartmentofTransportation,RailDivision 1SouthWilmingtonSt.,Room555(delivery)or1553MailServiceCenter(mail) Raleigh,NC27699-1553 919-707-4705 919-715-6580 mhamel@ncdot.gov Page 3 of 10 PCN Form – Version 1.4January 2009 B. Project Information and Prior Project History 1. Property Identification 1a. Property identification no. (tax PIN or parcel ID): 1b. Site coordinates (in decimal degrees): Latitude: Longitude: 1c. Property size: acres 2. Surface Waters 2a. Name of nearest body of water to proposed project: 2b. Water Quality Classification of nearest receiving water: 2c. River basin: 3. Project Description 3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: 3b. List the total estimated acreage of all existing wetlands on the property: 3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 3d. Explain the purpose of the proposed project: 3e. Describe the overall project in detail, including the type of equipment to be used: 4. Jurisdictional Determinations 4a. Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / project (including all prior phases) in the past? Yes No Unknown Comments: 4b. If the Corps made the jurisdictional determination, what type of determination was made? Preliminary Final 4c. If yes, who delineated the jurisdictional areas? Name (if known): Agency/Consultant Company: Other: 4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. 5. Project History 5a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past? Yes No Unknown 5b. If yes, explain in detail according to “help file” instructions. 6. Future Project Plans 6a. Is this a phased project? Yes No 6b. If yes, explain. -80.563918 959.2 GrantsCreek,ColdWaterCreek C,WS-IV,CA Yadkin TheP-5206B,C,andDprojectsectionsconsistsofclearingandgradingforasecondtrack,theextensionandgrade-separatedrailcrossingof KimballRoadinLandis,andtheclosureofmultipleprivateandpublicat-graderoadcrossings.P-5206Finvolvesinstallationofthesecondtrack. Pleaseseeattachedletterforadetaileddescriptionofprojectsections. 7.48 Thepurposeofthisprojectistoimprovetrainspeed,reliability,efficiency,andsafety.Pleaseseeattachedletter. Pleaseseeattachedletter. Axiom Environmental,Inc. TheprojectwasvisitedandjurisdictionalareaswereapprovedbyJohnThomasoftheUSACEandAmyEulissoftheNCDWQonSeptember30,2010 andAugust28,2012. AuthorizationforNationwidePermits14and33hasbeenprovidedforjurisdictionalareaimpactsassociatedwithP-5206A,(thegrade-separationofPe Pleaseseeattachedletteranddesignplans. 35.576732 5,463 SandySmith,ScottDavis Page 4 of 10 PCN Form – Version 1.4January 2009 C. Proposed Impacts Inventory 1. Impacts Summary 1a. Which sections were completed below for your project (check all that apply): Wetlands Streams – tributariesBuffersOpen Waters Pond Construction 2. Wetland Impacts If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted. 2a. Wetland impact number Permanent (P) or Temporary (T) 2b. Type of impact 2c. Type of wetland 2d. Forested 2e. Type of jurisdiction Corps (404,10) or DWQ (401, other) 2f. Area of impact (acres) W1 W2 W3 W4 W5 W6 2g.Total Wetland Impacts: 2h. Comments: 3. Stream Impacts If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites impacted. 3a. Stream impact number Permanent (P) or Temporary (T) 3b. Type of impact 3c. Stream name 3d. Perennial (PER) or intermittent (INT)? 3e. Type of jurisdiction 3f. Average stream width (feet) 3g. Impact length (linear feet) S1 S2 S3 S4 S5 S6 3h. Total stream and tributary impacts 3i. Comments: Fill Small-BasinWetland No DWQ 0.04 No DWQ 0.05 No DWQ 0.04 No DWQ 0.02 No Corps 0.05 Yes/No - 0.2 WetlandW1throughW4havebeendeterminedtobeisolated.WetlandW5hasbeendeterminedtobejurisdictional. CulvertreplacementUTtoGrantsCreek INTCorps342 UTtoColdWaterCreek 311 UTtoColdWaterCreek 3217 UTtoColdWaterCreek 680 UTtoColdWaterCreek 455 405 Table3notespermanentimpactstojurisdictionalstreams.Anadditional19feetoftemporaryimpactsareanticipated.Pleaseseetheattachedletter, PermitDrawings,andWetlandPermitImpactSummariesforcompletepermanentandtemporaryimpacts. P P P P P - Fill Fill Excavation Fill Chooseone Small-BasinWetland Small-BasinWetland Small-BasinWetland HeadwaterWetland Chooseone P P P P P - Fill Culvertreplacement Culvertextension Culvertextension Chooseone INT INT PER INT - Corps Corps Corps Corps - Page 5 of 10 4. Open Water Impacts If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of the U.S. then individually list all open water impacts below. 4a. Open water impact number Permanent (P) or Temporary (T) 4b. Name of waterbody (if applicable 4c. Type of impact 4d. Waterbody type 4e. Area of impact (acres) O1 O2 O3 O4 4f. Total open water impacts 4g. Comments: 5. Pond or Lake Construction If pond or lake construction proposed, then complete the chart below. 5c. Wetland Impacts (acres) 5d. Stream Impacts (feet) 5e. Upland (acres) 5a. Pond ID number 5b. Proposed use or purpose of pond FloodedFilledExcavated FloodedFilledExcavated P1 P2 5f.Total: 5g. Comments: 5h. Is a dam high hazard permit required? Yes No If yes, permit ID no: 5i. Expected pond surface area (acres): 5j. Size of pond watershed (acres): 5k. Method of construction: 6. Buffer Impacts (for DWQ) If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form. 6a.Project is in which protected basin? Neuse Tar-Pamlico Catawba Randleman Other: 6b. Buffer Impact number – Permanent (P) or Temporary (T) 6c. Reason for impact 6d. Stream name 6e. Buffer mitigation required? 6f. Zone 1 impact (square feet) 6g. Zone 2 impact (square feet) B1 B2 B3 B4 B5 B6 6h.Total Buffer Impacts: 6i. Comments: ChooseoneChoose Noopenwaterimpactsareanticipated. Chooseone Nopondconstructionisproposed. Yes/No Theprojectdoesnotliewithinawatershedwithadesignatedriparianbuffer. - - - - Chooseone Chooseone Chooseone Choose Choose Choose Chooseone - - - - - - Yes/No Yes/No Yes/No Yes/No Yes/No ) Page 6 of 10 PCN Form – Version 1.4January 2009 D. Impact Justification and Mitigation 1. Avoidance and Minimization 1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. 1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. 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 yes, mitigation is required by (check all that apply): DWQ Corps 2c. If yes, which mitigation option will be used for this project? Mitigation bank Payment to in-lieu fee program Permittee Responsible Mitigation 3. Complete if Using a Mitigation Bank 3a. Name of Mitigation Bank: 3b. Credits Purchased (attach receipt and letter) Type: Type: Type: Quantity: Quantity: Quantity: 3c. Comments: 4. Complete if Making a Payment to In-lieu Fee Program 4a. Approval letter from in-lieu fee program is attached. Yes 4b. Stream mitigation requested: linear feet 4c. If using stream mitigation, stream temperature: 4d. Buffer mitigation requested (DWQ only): square feet 4e. Riparian wetland mitigation requested: acres 4f. Non-riparian wetland mitigation requested: acres 4g. Coastal (tidal) wetland mitigation requested: acres 4h. Comments: 5. Complete if Using a Permittee Responsible Mitigation Plan 5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan. Pleaseseeattachedletter. Pleaseseeattachedletter. 485 warm 0.1 Chooseone Chooseone Chooseone Page 7 of 10 6. Buffer Mitigation (State Regulated Riparian Buffer Rules) – required by DWQ 6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? Yes No 6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the amount of mitigation required. Zone 6c. Reason for impact 6d. Total impact (square feet) Multiplier 6e. Required mitigation (square feet) Zone 1 3 (2 for Catawba) Zone 2 1.5 6f.Total buffer mitigation required: 6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank, permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund). 6h. Comments: n/a Page 8 of 10 PCN Form – Version 1.4January 2009 E. Stormwater Management and Diffuse Flow Plan (required by DWQ) 1. Diffuse Flow Plan 1a. Does the projectinclude or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules? Yes No 1b. If yes, then is a diffuse flow plan included? If no, explain why. Yes No 2. Stormwater Management Plan 2a. What is the overall percent imperviousness of this project? % 2b. Does this project require a Stormwater Management Plan? Yes No 2c. If this project DOES NOT require a Stormwater Management Plan, explain why: 2d.If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan: 2e. Who will be responsible for the review of the Stormwater Management Plan? 3. Certified Local Government Stormwater Review 3a. In which local government’s jurisdiction is this project? 3b. Which of the following locally-implemented stormwater management programs apply (check all that apply): Phase II NSW USMP Water Supply Watershed Other: 3c. Has the approved Stormwater Management Plan with proof of approval been attached? Yes No 4. DWQ Stormwater Program Review 4a. Which of the following state-implemented stormwater management programs apply (check all that apply): Coastal counties HQW ORW Session Law 2006-246 Other: 4b. Has the approved Stormwater Management Plan with proof of approval been attached? Yes No 5. DWQ 401 Unit Stormwater Review 5a. Does the Stormwater Management Plan meet the appropriate requirements? Yes No 5b. Have all of the 401 Unit submittal requirements been met? Yes No Grassshoulders,slopes,andswaleswillbeusedtotreatstormwaterdischargepriortoenteringsurfacewaters.Pleaseseeattached Stormwater ManagementPlan. RowanCo.,Salis.,Ch.Grv.,Landis,Kann. Page 9 of 10 PCN Form – Version 1.4January 2009 F. Supplementary Information 1. Environmental Documentation (DWQ Requirement) 1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land? Yes No 1b. If you answered “yes” to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State (North Carolina) Environmental Policy Act (NEPA/SEPA)? Yes No 1c. If you answered “yes” to the above, has the document review been finalized by the State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.) Comments: Yes No 2. Violations (DWQ Requirement) 2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, or Riparian Buffer Rules (15A NCAC 2B .0200)? Yes No 2b. Is this an after-the-fact permit application? Yes No 2c.If you answered “yes” to one or both of the above questions, provide an explanation of the violation(s): 3. Cumulative Impacts (DWQ Requirement) 3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality? Yes No 3b. If you answered “yes” to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the most recent DWQ policy. If you answered “no,” provide a short narrative description. 4. Sewage Disposal (DWQ Requirement) 4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. Theproposedprojectisdesignedtoimprovesafetyalongthisstretchof railbyremoving13at-gradecrossingsandreplacingthemwith2grade- separatedcrossing(oneinassociationwiththispermitapplicationandonewhichhasbeenpermittedundertheP-5206Aproject).Thegrade- separatedcrossingisintendedtoeliminatetrain-automobileinteractionsandmaintaincurrenttrafficflow.Nonewpublicfacilitiesoraccessto developedordevelopableareasareproposed;therefore,theseupgradedcrossingsarenotanticipatedtoencourageanynearbydevelopment. Nosewagedischargeisanticipatedasaresultof theproposedproject. 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? NI Yes D No 5b, Have you checked with the USFWS concerning Endangered Species Act impacts? 0 Yes Ell No 5c. If yes, indicate the USFWS Field Office you have contacted. Asheville 5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? USFWS- NC Ecological Services County Listings, and NCNHP Virtual Workroom data (online), Field surveys were conducted for listed species during the appropriate survey windows. No individuals were identified and the project will have No Effect on listed species, 6 Essential Fish Habitat (Corps Requirement) 6a. Will this project occur in or near an area designated as essential fish habitat? Yes DI No 6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat? NOAA Fisheries Essential Fish Habitat Mapper v2 0 (online) 7. Historic or Prehistoric Cultural Resources (Corps Requirement) 7a. Wilt this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status (e.g., National Historic Trust designation or properties significant in North Carolina history and archaeology)? Yes 0 No 7b. What data sources did you use to determine whether your site would impact historic or archeological resources? Consultation with the State Historic Protection Office and NEPA documentation. No impacts will occur in association with jurisdictional areas; however, the railroad project will impact a property eligible for the National Register of Historic Places, A signed MOA is available, 8. Flood Zone Designation (Corps Requirement) 8a. Will this project occur in a FEMA-designated 100-year floodplain? El Yes El No 8b. If Yes, explain how project meets FEMA requirements: NCDOT Hydraulics. Unit coordination with FEMA. 8c. What source(s) did you use to make the floodplain determination? NCFloodmaps.com digital GIS data, grC,_ Applicant/Agent's Printed Name Applicant/Agent's Signature (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 10 of 10 ao Date