20170763 Ver 2_ePCN Application_20220607

DWR
Division of Water Resources
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13,2022 Ver 4.3
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.
Pre-Filing Meeting Date Request was submitted on:
3/8/2021
BIMS#Assigned* Version#*
20170763 2
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*
Rob Ridings:eads\rgridings
Information for Initial Review
la.Name of project:
NCDOT;SR 1409(Conway Elliot Road)secondary road construction
1a.Who is the Primary Contact?*
Heather W.Montague
lb.Primary Contact Email:* lc.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
6/7/2022
Nearest Body of Water
UT to Little Johnson Creek
Basin
Roanoke
Water Classification
C
Site Coordinates
Latitude: Longitude:
36.47789 -78.69010
A. Processing Information
County(or Counties)where the project is located:
Granville
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
Is this a NCDOT Project?*
Yes No

(NCDOT only)T.I.P.or state project number:
WBS#(7)
5C.039062
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
Please provide the date of the previous submission.*
6/20/2017
lb.What type(s)of permit(s)do you wish to seek authorization?
Nationwide Permit(NWP)
Regional General Permit(RGP)
Standard(IP)
lc.Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit(NWP)Number: 14-Linear transportation
NWP Numbers(for multiple NWPS):
N/A
ld.Type(s)of approval sought from the DWR:
401 Water Quality Certification-Regular 401 Water Quality Certification-Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual 401 Water Quality Certification
le.Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification: Yes No
For the record only for Corps Permit: Yes No
If.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
lh.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
Id.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 DIV 5
2b.Deed book and page no.:
2c.Contact Person:
Brandon H.Jones,P.E.

2d.Address
Street Address
2612 N Duke St
Address Line 2
City State/Province/Region
Durham NC
Postal/Zip Code Country
27704 Durham
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1.Project Information
1b.Subdivision name:
(if appropriate)
1c.Nearest municipality I town:
Oxford
2.Project Identification
2a.Property Identification Number: 2b.Property size:
16ac(2.2mi long project with 60ft ROW)
2c.Project Address
Street Address
Address Line 2
City State/Province/Region
Postal/Zip Code Country
3. Surface Waters
3a.Name of the nearest body of water to proposed project:*
UT to Little Johnson Creek
3b.Water Resources Classification of nearest receiving water:*
C
3c. What river basin(s)is your project located in?*
Roanoke
3d.Please provide the 12-digit HUC in which the project is located.
030101020803
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 existing cross line pipes need to be replaced to support road improvements.Sites are surrounded by wooded and agricultural land.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
Yes No Unknown
If yes,please give the DWR Certification number or the Corps Action ID(exp.SAW-0000-00000).
NCDWR Project No.20170763
SAW-2017-01328
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:
420 LF(60LF per 7 stream crossings)
4h.Explain the purpose of the proposed project:*
The cross line pipe replacements will facilitate road improvements.Project includes grade,drainage,and paving.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
To support the road improvements,shorter pipes at each crossing will be lengthened.Rip rap will be installed underlined with geotextile for long term stability surrounding the new pipe
ends.The work zone will be dewatered during construction,concurrent with bank stabilization lengths.Equipment may include an excavator,backhoe,bulldozer,scraper pan,motor
grader,and paving machines.

5. Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
Comments:
No wetlands exist within the project footprint.The proposed project will have stream impacts only.
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Heather Montague and Mitchell Wimberley
Agency/Consultant Company: NCDOT DIV 5 Environmental Office
Other:
6.Future Project Plans
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?
D. Proposed Impacts Inventory `"'
1. Impacts Summary
la.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* 3d.S.name* 3e.Stream Type* 3f.Type of 3g.S.width 3h.Impact
(?) Jurisdiction* length*
S1 road crossing Site 1 Permanent Culvert UT to Little Johnson Creek Intermittent Both 1 4
Average(feet) (linear feet)
I
S2 road crossing Site 1 Permanent Bank Stabilization UT to Little Johnson Creek Intermittent Both 1 14
Average(feet) (linear feet)
S3 road crossing Site 2 Permanent Culvert UT to Little Johnson Creek Perennial Both 2 5
Average(feet) (linear feet)
S4 road crossing Site 2 Permanent Bank Stabilization UT to Little Johnson Creek Perennial Both 2 30
Average(feet) (linear feet)
S5 road crossing Site 3 Permanent Culvert UT to Little Johnson Creek Perennial Both 4 12
Average(feet) (linear feet)
S6 road crossing Site 3 Permanent Bank Stabilization UT to Little Johnson Creek Perennial Both 4 30
Average(feet) (linear feet)
S7 road crossing Site 4 Permanent Culvert UT to Little Johnson Creek Perennial Both 4 0
Average(feet) (linear feet)
S6 road crossing Site 4 Permanent Bank Stabilization UT to Little Johnson Creek Perennial Both 4 30
Average(feet) (linear feet)
S9 road crossing Site 5 Permanent Culvert UT to Little Johnson Creek Perennial Both 3 2
Average(feet) (linear feet)
S10 road crossing Site 5 Permanent Bank Stabilization UT to Little Johnson Creek Perennial Both 3 30
Average(feet) (linear feet)
S11 road crossing Site 6 Permanent Culvert UT to Little Johnson Creek Intermittent Both 2 1
Average(feet) (linear feet)
S12 road crossing Site 6 Permanent Bank Stabilization UT to Little Johnson Creek Intermittent Both 2 10
Average(feet) (linear feet)
S13 road crossing Site 7 Permanent Culvert UT to Little Johnson Creek Perennial Both 6 4
Average(feet) (linear feet)

S14 road crossing Site 7 Permanent Bank Stabilization UT to Little Johnson Creek Perennial Both 6 27
Average(feet) (linear feet)
3i.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 3i.Total temporary stream impacts:
199 0
3i.Total stream and ditch impacts:
209
3j.Comments:
Extra pipe lengths will provide room for current design standards regarding safe shoulder widths and fill slopes.Rip rap armoring will be limited to
amount necessary to armor pipe ends and temporary dewatering will enable a dry work area.Temporary stream impacts associated with dewatering will
be concurrent with permanent stream impacts.
E. Impact Justification and Mitigation
1.Avoidance and Minimization
la.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Clearing and use of rip rap will be limited only to the amount necessary to ensure long term stability.
1 b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Sediment and erosion control Best Management Practices for protection of surface waters will be enforced during project construction.
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:
Stream impact totals do not trigger mitigation requirements.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la.Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
If no,explain why:
The project location is within the Roanoke River Basin.
2. Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
Yes No
Comments:
EC plans designed for and approved by NCDOT will be followed during construction.
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
lb.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?*
Yes No
Comments:*
This project does not require review by the State Clearing House.
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 28.0200)?*
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.
No planned development is associated with this project.A lessening of general maintenance needs and water quality benefits should result from
converting this roadway to pavement rather than current conditions of gravel and dirt which are susceptible to continual erosion.
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
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
IPaC review,natural resources field investigation,and plant survey for and biological conclusion of No Effect for smooth coneflower,and PBOs for
Atlantic Pigtoe and NLEB.The US Fish and Wildlife Service has revised the previous programmatic biological opinion(PBO)in conjunction with the
Federal Highway Administration(FHWA),the US Army Corps of Engineers(USACE),and NCDOT for the northern long-eared bat(NLEB)(Myotis
septentrionalis)in eastern North Carolina.The PBO covers the entire NCDOT program in Divisions 1-8,including all NCDOT projects and activities.
Although this programmatic covers Divisions 1-8,NLEBs are currently only known in 19 counties,but may potentially occur in 11 additional counties
within Divisions 1-8.NCDOT,FHWA,and USACE have agreed to two conservation measures which will avoid/minimize mortality of NLEBs.These
conservation measures only apply to the 30 current known/potential counties shown on Figure 2 of the PBO at this time.The programmatic
determination for NLEB for the NCDOT program is May Affect,Likely to Adversely Affect.The PBO will ensure compliance with Section 7 of the
Endangered Species Act for ten years(effective through December 31,2030)for all NCDOT projects with a federal nexus in Divisions 1-8,which
includes the county where this project is located.
Atlantic pigtoe biological conclusion was rendered following the revised Programmatic Biological/Conference Opinion-Bridge and Culvert
Replacements/Repairs/Rehabilitations in Eastern North Carolina,NCDOT Divisions 1-8(September 11,2019)with addendum to Revised Programmatic
Biological/Conference Opinion-Bridge and Culvert Replacements/Repairs/Rehabilitations in Eastern North Carolina,NCDOT Divisions 1-8(June 1,
2021).
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.habitatnoaa.gov/apps/efhmapper/
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?*
NCDOT Human Environment review groups and their reports along with NCSHPO HPOWEB 2.0 review.
8. Flood Zone Designation (Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8c.What source(s)did you use to make the floodplain determination?*
https://msc.fema.gov/portal/search

Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review.Documents should be combined into one file when
possible,with a Cover Letter,Table of Contents,and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
DrainagePlans_HYD_Conway_Elliott.pdf 11.89MB
File must be PDF or KMZ
Comments
Note that this project was originally permitted in 2017 for impacts at 4 permit sites.However,the project construction was placed on hold due to budget and priority considerations.
Preparations for construction are now underway again and additional permit sites have been added to the project scope so that all cross line pipes carrying streams will be upgraded to
support the proposed roadway design.This project now involves stream impacts at 7 permit sites.
Signature
By checking the box and signing below,I certify that:
• 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:
Heather W.Montague
Signature
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Date
6/7/2022