20211571 Ver 1_ePCN Application_20220909

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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:
10/28/2021
BIMS#Assigned" Version#*
20211571 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*
Rob Ridings:eads\rgridings
Information for Initial Review
1a.Name of project:
Knightdale Town-wide Closed Loop Traffic Signal System(U-6026-Central)
1a.Who is the Primary Contact?*
Chris Rivenbark
1 b.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
9/9/2022
Nearest Body of Water
Poplar Creek and UTs to Poplar Creek and UTs to Neuse River
Basin
Neuse
Water Classification
C;NSW
Site Coordinates
Latitude: Longitude:
35.798655 -78.476904
A. Processing Information
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: 57-Electric Utility Line and Telecommunications Activities—(frequently used)
NWP Numbers(for multiple NWPS):
1d.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
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
1 It.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:
n/a
2b.Deed book and page no.:
2c.Contact Person:
2d.Address
Street Address
n/a
Address Line 2
City State/Province/Region
n/a n/a
Postal/Zip Code Country
n/a n/a

2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:
[e-mail]
3.Applicant Information(if different from owner)
3a.Name:
NCDOT
3b.Business Name:
3c.Address
Street Address
1598 Mail Service Center
Address Line 2
City State I Province/Region
Raleigh NC
Postal/Zip Code Country
27699-1598 US
3d.Telephone Number: 3e.Fax Number:
[phone]
3f.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1.Project Information
1b.Subdivision name:
(if appropriate)
1c.Nearest municipality/town:
Knightdale
2.Project Identification
2a.Property Identification Number: 2b.Property size:
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:
Poplar Creek and UTS to Poplar Creek and UTS 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.
030202010705,030202011103
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:*
All work will be conducted within NCDOT right-of-way and existing utility corridors,which consists of predominately roadside shoulders and periodically maintained areas.
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?
Yes No Unknown
4f.List the total estimated acreage of all existing wetlands on the property:
2.0

4g.List the total estimated linear feet of all existing streams on the property:
3,000
4h.Explain the purpose of the proposed project:
The purpose of the project is to install conduit and aerial lines within existing DOT right-of-way and existing utility corridors to facilitate the Knightdale town-wide,closed loop,computerized
traffic signal system.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:
The conduit and aerial lines will be installed as well as anchor guys and bore pits.Anticipated equipment to be used includes trenchers,backhoes,and boring equipment.
5. Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
Comments:
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): Ben Cogdell
Agency/Consultant Company: Atkins
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
1a.Where are the impacts associated with your project?(check all that apply):
Wetlands Streams-tributaries v Buffers
Open Waters Pond Construction
2.Wetland Impacts
2a1 Reason M 2b.Impact type*M 2c.Type of W. 2d.W.name 2e.Forested* �12f.Type of Jurisdicition*2g•Impact
Marea
SCP-13 Anchor Guy-Fill P Bottomland Hardwood Forest WB Yes Both 0.000
(acres)
SCP-13 Anchor Guy T Bottomland Hardwood Forest WB Yes Both 0.009
(acres)
SCP-50 Anchor Guy P Bottomland Hardwood Forest WD No Both 0.000
(acres)
ff:]
Anchor Guy JL
Bottomland Hardwood Forest �WD No Both 0.006
acres)
2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact
0.015 0.000
2g.Total Wetland Impact
0.015
21.Comments:
SCP-13 permanent wetland impact=0.000092
SCP-50 permanent wetland impact=0.000092
6. Buffer Impacts (for DWR)

6a.Project is in which protect basin(s)?
Check all that apply.
Nauss Tar-Pamlico
Catawba Randleman
Goose Creek Jordan Lake
Other
6b.Impact Type 6c.Per or Temp 6d.Stream name 6e.Buffer mitigation required? 6f.Zone 1 impact 6g.Zone 2 impact
SCP-17 Guy Anchor-Allowable P SD No 0 79
SCP-23 Guy Anchor-Allowable P SS No 396 4
SCP-50 Fiber Optic Bore-Allowable P SI No 50 230
SCP-50 Guy Anchor-Allowable 7�111P IS,
No 294 310
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 740.00 623.00
Zone 1 Zone 2
Total combined buffer impacts: 740.00 623.00
61.Comments:
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:
There will be no impact to jurisdictional streams.Impacts to wetlands or riparian buffers will occur only for the installation of guy anchors or bore pits for
directional drilling.When possible,lines will use the existing facilities.Impact sites occur within existing public utility easements,so any vegetation
clearing would be to herbaceous vegetation and/or small woody saplings,and that no tree clearing(larger than 2-inches diameter at breast height)
clearing of woody vegetation is proposed anywhere within the project limits.
1 b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
In areas of conflicts with jurisdictional features,the lines will be directionally bored.Installation of lines will be done without equipment crossing
(impacting)jurisdictional streams.To the extent practicable,tree cutting will be kept at a minimum.
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:
There are no impacts to jurisdictional streams.Impacts to jurisdictional wetlands is minimal(<0.001 ac.).
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 INC 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
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:
G. Supplementary Information
1. Environmental Documentation
1a.Does the project involve an expenditure of public(federal/state/local)funds or the use of public(federal/state)land?*
Yes No
1 b.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:*
Type I Categorical Exclusions do not require submittal to 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 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.
This project will neither influence nearby land uses nor stimulate growth.
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?
N.C.Natural Heritage Program database;USFWS-IPaC website list of species with potential within the study area;biological surveys for protected
species,which include Neuse River waterdog,Carolina madtom,dwarf wedgemussel,Atlantic pigtoe and Michaux's sumac.Due to having no impact on
jurisdictional streams,aquatic species received a biological opinion of No Effect.Due to a known population of Michaux's sumac in close proximity to the
project site,informal concurrence was requested from USFWS.Concurrence was received from the USFWS on September 6,2022.
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?
NMFS county index

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?*
NEPA documentation
8. Flood Zone Designation (Corps Requirement)
Sa.Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8b.If yes,explain how project meets FEMA requirements:
8c.What source(s)did you use to make the floodplain determination?*
FEMA flood map
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
U-6026 Nationwide Wake September 9 2022.pdf 31.38MB
File must be PDF or KMZ
Comments
Signature U
*
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:
Mack Christopher Rivenbark,III
Signature
Date
9/9/2022