20220888 Ver 1_ePCN Application_20220629

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?*
OO Yes
O No
Is this project a public transportation project?*
OYes 0No
Change only if needed.
Pre -Filing Meeting Date Request was submitted on:
5/5/2022
BIMS # Assigned* Version#*
20220888 1
Is a payment required for this project?*
® No payment required
0 Fee received
O Fee needed - send electronic notification
Select Project Reviewer*
Colleen Cohn:eads\cmcohn
Information for Initial Review
Reviewing Office*
Raleigh Regional Office - [phone]
la. Name of project:
COURTESY COPY JoCo 2022 AC Water Main Replacements
la. Who is the Primary Contact?*
Kim Rineer, PE
lb. Primary Contact Email:*
[e-mail]
Date Submitted
6/29/2022
Nearest Body of Water
Mill Creek
Basin
Neuse
Water Classification
WS-IV;NSW
Site Coordinates
Latitude:
35.526025
A. Processing Information
Longitude:
-78.300673
lc. Primary Contact Phone:*
[phone]
County (or Counties) where the project is located:
Johnston
Is this a NCDMS Project
0Yes ONo
Is this project a public transportation project?*
0 Yes ® No

la. Type(s) of approval sought from the Corps:
EI Section 404 Permit (wetlands, streams and waters, Clean Water Act)
O Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
0 Yes
O No
1b. What type(s) of permit(s) do you wish to seek authorization?
O Nationwide Permit (NWP)
0 Regional General Permit (RGP)
0 Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
0Yes ®No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
EO 401 Water Quality Certification - Regular
0 Non-404 Jurisdictional General Permit
0 Individual 401 Water Quality Certification
58 - Utility Line Activities for Water and Other Substances (frequently used)
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:
If. Is this an after -the -fact permit application?*
O Yes O No
O 401 Water Quality Certification - Express
0 Riparian Buffer Authorization
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
O Yes O No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
O Yes O No
lh. Is the project located in any of NC's twenty coastal counties?
O Yes O No
1j. Is the project located in a designated trout watershed?
OYes 0No
B. Applicant Information
OYes 0No
OYes 0No
Id. Who is applying for the permit?
0 Owner EO Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
0 Yes 0 No
2. Owner Information
2a. Name(s) on recorded deed:
Various
2b. Deed book and page no.:
2c. Contact Person:
n/a
2d. Address
Street Address
Right of Way
Address Line 2
n/a
City
n/a
Postal / Zip Code
n/a
State / Province / Region
NC
Country
USA

2e. Telephone Number:
[phone]
2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Johnston County Utilities
3b. Business Name:
3c. Address
Street Address
309 E Market St
Address Line 2
City
smithfield
Postal / Zip Code
27577
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Eli Ruhl
4b. Business Name:
F&R
4c. Address
Street Address
301 Hubert St
Address Line 2
City
Raleigh
Postal / Zip Code
27603
4d. Telephone Number:
[phone]
4f. Email Address: *
[e-mail]
C. Project Information and Prior Project History
State / Province / Region
NC
Country
US
3e. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:
1. Project Information
lb. Subdivision name:
(if appropriate)
lc. Nearest municipality / town:
Selma and Kenly
2. Project Identification
2a. Property Identification Number:
n/a
2b. Property size:
apprx 10 acres

2c. Project Address
Street Address
n/a
Address Line 2
n/a
City
Selma
Postal / Zip Code
27542
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Mill Creek
3b. Water Resources Classification of nearest receiving water: *
WS-IV;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.
030202011105
4. Project Description and History
State / Province / Region
NC
Country
USA
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 project is replacement of existing water lines along Business 70 and US 301 within existing ROW. The ROW is mowed and maintained with commercial development and some
residential adjacent.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
0 Yes O No 0 Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0.014
4g. List the total estimated linear feet of all existing streams on the property:
36
4h. Explain the purpose of the proposed project:*
The purpose of the project is to improve potable water supply to businesses and residents in the area. Existing pipe requires replacement for capacity.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
All impacts are temporary for pipe installation and do not require mitigation under NWP 58.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas? *
OYes 0 No
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made? *
O Preliminary 0 Approved O Not Verified 0 Unknown 0 N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
6. Future Project Plans
Alex Aycrigg, PWS
F&R
6a. Is this a phased project?*
O Yes O No
0 Unknown
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 IZ Streams -tributaries
❑ Open Waters O Pond Construction
2. Wetland Impacts
O Buffers
2a. Site #* (?)
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W.*
2d. W. name
2e. Forested*
2f. Type of Jurisdicition*
(?)
2g. Impact
area*
W3
pipe install
T
Non -Tidal Freshwater Marsh
W3
No
Both
0.014
(acres)
2g. Total Temporary Wetland Impact
0.014
2g. Total Wetland Impact
0.014
2i. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.000
3a. Reason for impact (?)
3b.Impact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width
3h. Impact
length*
S1
pipe install
Temporary
Excavation
Site 1
Intermittent
Both
18
Average (feet)
18
(linear feet)
S2
pipe install
Temporary
Excavation
Site 2
Intermittent
Both
18
Average (feet)
18
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
0
3i. Total stream and ditch impacts:
36
3j. Comments:
E. Impact Justification and Mitigation
3i. Total temporary stream impacts:
36
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
See included.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
See included.
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?
0 Yes 4 No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Impacts are exempt per NWP.
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?
0 Yes.:• No
If no, explain why:
No additional impervious.
2. Stormwater Management Plan

2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
UYes JNo
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
0 Yes • No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater program?
Yes No
• N/A - project disturbs < 1 acre
Comments:
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.
See included.
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
5d. Is another Federal agency involved?*
Yes
5e. Is this a DOT project located within Division's 1-8?
Yes • No
• No Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S
0Yes ®No
5g. Does this project involve bridge maintenance or removal?
0 Yes 0 No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes • No
5i. 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.?
0Yes ®No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NHP and iPaC
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?*
NHP and iPaC

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?*
0 Yes • No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NHP
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes O No
8c. What source(s) did you use to make the floodplain determination?*
FEMA maps and construction plan.
Miscellaneous V
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
File must be PDF or KMZ
Comments
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:
Elias Ruhl
Signature
Se,w,i9e,fe
Date
6/29/2022