20141090 Ver 1_Application_20141015

Office Use Only:

Corps action ID no. _____________

DWQ project no. _______________

Form Version 1.3 Dec 10 2008

Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the
Section 404 Permit Section 10 Permit
Corps: non-reporting
1b. Specify Nationwide Permit (NWP) number: NWP 3 and NWP 13 (or NWP 14) or General Permit (GP) number:

Yes No
1c. Has the NWP or GP number been verified by the Corps?
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
For the record only for Corps Permit:
1e. Is this notification solely for the record For the record only for DWQ 401
because written approval is not required? Certification:

Yes No

Yes No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation

Yes No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu

fee program.

Yes No
1g.
below.

1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes No
2. Project Information
2a. Name of project: Capital Blvd slope failure
2b. County: Wake
2c. Nearest municipality / town: Raleigh
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state

project no:
3. Owner Information
3a. Name(s) on Recorded Deed: NCDOT Division 5
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if

applicable):
3d. Street address: 2612 N. Duke Street
3e. City, state, zip: Durham, NC 27704
3f. Telephone no.: [phone]
3g. Fax no.: [phone]
3h. Email address: [e-mail]
4. Applicant Information (if different from owner)
N/A
5. Agent/Consultant Information (if applicable)
N/A
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B. Project Information and Prior Project History
1.Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1b. Coordinates (in decimal degrees):

Site 1:
Latitude: 35.79949Longitude: -78.6355

(DD.DDDDDD) (-DD.DDDDDD)

1c. Property size: < 0.09 acres

2.Surface Waters

2a. Name of nearest body of water (stream, river, etc.) to
Pigeon House
proposed project:
2b. Water Quality Classification of nearest receiving water: C NSW
2c. River basin: Neuse
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:The proximity of an adjacent stream running parallel to Capital Blvd has resulted in a segment of slope
failure. Site is surrounded by commercial and urban lands. Repeat scour of this area if left unattended would eventually

result in failure of the roadway.
3b. List the total estimated acreage of all existing wetlands on the property:
N/A
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
130ft
3d. Explain the purpose of the proposed project: Repair fill slope and shoulder section to minimize risk of roadway failure.
3e. Describe the overall project in detail, including the type of equipment to be used:
Dewater, drain work site, excavate for channel change and stabilize far slope of channel change with coir fiber matting
and/or rip rap as necessary, repair failure by 130ft of hard armoring (rip rap and/or sheet piling) and backfilling area to
rebuild slope and shoulder section. Equipment may include a backhoe, excavator, and trucks.
4.Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
Yes No Unknown
project (including all prior phases) in the past?
Comments: N/A
4b. If the Corps made the jurisdictional determination, what type
Preliminary Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: N/A
Name (if known): N/A Other: N/A
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
N/A
5.Project History
5a. Have permits or certifications been requested or obtained for
Yes No Unknown
this project (including all prior phases) in the past?
5b.
N/A
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6.Future Project Plans
6a. Is this a phased project? Yes No
6b. If yes, explain.
N/A
C. Proposed Impacts Inventory

1.Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
Wetlands Streams - tributaries Buffers
Open 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. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ non-404, other) (acres)
Temporary (T)
Yes Corps
W1 P T N/A N/A N/A
No DWQ

Total Wetland Impacts:
2g.NONE
2h. Comments: Note that wetlands across stream will not be impacted by the proposed activity.

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.
3g.
3a. 3b. 3c. 3d. 3e. 3f.
Impact
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average
length
number -(PER) or stream
(Corps - 404, 10
(linear
Permanent (P) or intermittent width
DWQ non-404,
feet)
Temporary (T) (INT)?
(feet)
other)
Site 1 P T PER Corps
Pigeon House
fill 6 N/A
Creek
Stream 1 INT DWQ
Hard armoring
Site 1 P T PER Corps
Pigeon House
130
6
using rip rap and/or
Creek
Stream 1 INT T DWQ

sheet piling
130
Site 1 P T PER Corps
Pigeon House
dewatering 6
concurrent
Creek
Stream 1 INT DWQ

Total stream and tributary impacts
3h.130
3i. Comments: Restoring existing toe of slope by hard armoring, no surface water loss proposed. Only reestablishing original
location of the stream through channel change as necessary to reclaim fill slope, then stabilizing both banks.
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. 4b. 4c. 4d. 4e.
Open water Name of
impact number waterbody Type of impact Waterbody type Area of impact (acres)
Permanent (P) or (if applicable)
Temporary (T)
O1 P T N/A N/A N/A N/A

Total open water impacts
4f.
NONE
4g. Comments: N/A

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5.Pond or Lake Construction

If pond or lake construction proposed, then complete the chart below.
5b.
5a.
5c. 5d. 5e.

Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID
Proposed use or purpose of
(acres)
number
pond
Flooded Filled Excavated Flooded Filled Excavated Flooded

P1 N/A N/A N/A N/A N/A N/A N/A N/A
P2

Total
5f.
NONE NONE NONE NONE NONE NONE NONE
5g. Comments: N/A
5h. Is a dam high hazard permit required?
Yes No If yes, permit ID no: N/A

5i.Expected pond surface area (acres): N/A
5j.Size of pond watershed (acres): N/A
5k. Method of construction: N/A
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
MUST
below. If any impacts require mitigation, then you fill out Section D of this form.
.
6a
Neuse Tar-Pamlico Other: Jordan Lake
Catawba Randleman
Project is in which protected basin?
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number Reason for Buffer Zone 1 impact Zone 2 impact
Permanent (P) or impact Stream name mitigation (square feet) (square feet)
Temporary (T) required?
Site P T Yes
N/A N/A N/A N/A
Buffer Impact 1 No

Total buffer impacts
6h.N/A N/A
6i. Comments: No new impacts within the buffers beyond the existing transportation facility (toe of slope) are proposed.
Access from far bank is through inner stream bank with vegetation removal. Riparian buffers in this area are parking lots and
buildings on one side of the stream and roadway on the other side of the stream.

D. Impact Justification and Mitigation
1.Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The impacts to the stream are necessary to repair fill slope and shoulder. BMPs will be followed to maintain a dry work area.
This slope failure repair cannot be performed without stream impacts.
1b. 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, riparian buffers, and wetlands will
be enforced during project construction.
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2.Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for Yes No
impacts to Waters of the U.S. or Waters of the State?

2b. If yes, mitigation is required by (check all that apply): DWQ Corps
Mitigation bank
2c. If yes, which mitigation option will be used for this
Payment to in-lieu fee program
project?
Permittee Responsible Mitigation
3.Complete if Using a Mitigation Bank

3a. Name of Mitigation Bank: N/A
3b. Credits Purchased (attach receipt and letter) Type N/A Quantity N/A
3c. Comments: N/A
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: N/A linear feet
4c. If using stream mitigation, stream temperature: warm cool cold
4d. Buffer mitigation requested (DWQ only): N/A square feet
4e. Riparian wetland mitigation requested: N/A acres
4f.Non-riparian wetland mitigation requested: N/A acres
4g. Coastal (tidal) wetland mitigation requested: N/A acres
4h. Comments: N/A
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.
N/A
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 Yes No
buffer mitigation?

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.
6c. 6d. 6e.
Reason for impact Total impact Multiplier Required mitigation
Zone
(square feet) (square feet)
Zone 1 N/A N/A 3 (2 for Catawba) N/A
Zone 2 N/A N/A 1.5 N/A
Total buffer mitigation required:
6f.
NONE
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). N/A
6h. Comments: N/A
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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
Yes No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Yes No
Comments: these pipe extensions will not alter storm water runoff at this site
2.Stormwater Management Plan

2a. What is the overall percent imperviousness of this project?20 %

2b. Does this project require a Stormwater Management Plan? Yes No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Impacts only to stabilize fill slope.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan: N/A
Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? DWQ Stormwater Program
DWQ 401 Unit
3.Certified Local Government Stormwater Review

Phase II
NSW
3b. Which of the following locally-implemented stormwater management programs
USMP
apply (check all that apply):
Water Supply Watershed
Other:
3c. Has the approved Stormwater Management Plan with proof of approval been Yes No
attached? N/A
4. DWQ Stormwater Program Review
Coastal counties
HQW
4a. Which of the following state-implemented stormwater management programs apply
ORW
(check all that apply): N/A
Session Law 2006-246
Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
Yes No
attached? N/A
5. DWQ 401 Unit Stormwater Review

5a. Does the Stormwater Management Plan meet the appropriate requirements? N/A
Yes No
5b. Have all of the 401 Unit submittal requirements been met? N/A
Yes No
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F. Supplementary Information
1.Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the
Yes No

use of public (federal/state) land?
1b. of an
environmental document pursuant to the requirements of the National or State Yes No

(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
Yes No

letter.)
Comments: N/A
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, Yes No

or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? Yes No

N/A
3.Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
Yes No

additional development, which could impact nearby downstream water quality?
3b. e impact analysis in accordance with the

N/A
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.

N/A
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5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
Yes No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
Yes No
impacts?
Raleigh
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?

http://www.fws.gov/nc-es/es/countyfr.html and NC Natural Heritage Program Database, Element Occurrences
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish

Yes No

habitat?

6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http://ocean.floridamarine.org/efh_coral/ims/viewer.htm
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
Yes No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
historic layer using GIS ArcView database and http://gis.ncdcr.gov/hpoweb/
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: N/A

8c. What source(s) did you use to make the floodplain determination? http://www.ncfloodmaps.com/

J. R. Hopkins, P.E.
10/09/14
for

Date
Applicant/Agent's Printed Name

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