20200758 Ver 2_ePCN Application_20220922

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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:
5/2/2022
BIMS#Assigned* Version#*
20200758 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*
Ryan Conchilla:eads\rjconchilla
Information for Initial Review
1a.Name of project:
Intersection Improvements at US 70(South Church Street)and SR 1311(University Drive),including widening South Church Street from West of University Dr.to Westbrook Ave(SR
1309)
1a.Who is the Primary Contact?*
Wright R.Archer,III,PE
1 b.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
9/22/2022
Nearest Body of Water
Ingle Branch
Basin
Cape Fear
Water Classification
WS-V;NSW
Site Coordinates
Latitude: Longitude:
36.079731 -79.527536
A. Processing Information
County(or Counties)where the project is located:
Alamance
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:
U-6010
WBS#(?)
47145.1.1
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."`
6/10/2020
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
Regional General Permit(RGP)Number: 201902350-Work associated with bridge construction,widening,replacement,and
interchanges
RGP Numbers(for multiple RGPS):
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 h.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:
North Carolina Department of Transportation
2b.Deed book and page no.:
2c.Contact Person:

2d.Address
Street Address
PO Box 14996,1584 Yanceyville Street
Address Line 2
City State/Province/Region
Greensboro NC
Postal/Zip Code Country
27415-4996 USA
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
4.Agent/Consultant(if applicable)
4a.Name:
Nancy Oberle
4b.Business Name:
Three Oaks Engineering
4c.Address
Street Address
324 Blackwell Street,Suite 1200
Address Line 2
City State I Province/Region
Durham NC
Postal/Zip Code Country
27701 USA
4d.Telephone Number: 4e.Fax Number:
[phone]
4f.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1.Project Information
1b.Subdivision name:
(if appropriate)
1c.Nearest municipality/town:
Burlington
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:
Ingle Branch
3b.Water Resources Classification of nearest receiving water:
WS-V;NSW
3c. What river basin(s)is your project located in?*
Cape Fear
3d.Please provide the 12-digit HUC in which the project is located.
030300020305
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 proposed project is the improvement of the US 70(South Church Street)intersection at SR 1311(University Drive)and widening of South Church Street to a multi-lane roadway from
east of University Drive to west of SR 1309(Westbrook Ave).The project includes the installation of multi-use paths and sidewalks throughout a majority of the project corridor,as well as
signal improvements with pedestrian signals and high-visibility crosswalks.
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).
DWR:20200758
SAW-2018-01083(expired 3/18/2022)
4f.List the total estimated acreage of all existing wetlands on the property:
0.10
4g.List the total estimated linear feet of all existing streams on the property:
734
4h.Explain the purpose of the proposed project:
The purpose of the proposed project is to improve traffic operations by providing additional capacity and improve pedestrian and bicycle access.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
The first existing culvert,a 2@7'x7'(7'x8'Downstream)Reinforced Concrete Box Culvert beneath US 70 requires extensions both upstream and downstream.As part of this culvert
extension,an additional 1@8'x7'RCBC will be constructed parallel to the existing 2@7'x7'RCBC.The proposed 8'x7'RCBC replaces an existing 72"Reinforced Concrete Pipe.The
extensions and culvert addition will require channel improvements both upstream and downstream.The channel improvements will smoothly tie the existing channel to the box culvert
extensions and addition.The second existing culvert,a 2@8'x6'Reinforced Concrete Box Culvert beneath SR 1311 requires extensions downstream.The northern most barrel has a 2'
concrete sill and is backfilled with native material to allow for animal passage and flow conveyance during storm events.A 2'sill will be constructed in the northern barrel extension.CL II
Riprap will be used downstream as bank stabilization.All major structures have been designed to have as little environmental and surface water impacts as possible.The proposed project
is not expected to result in indirect or cumulative adverse impacts to the environment.Typical road construction equipment,such as trucks,dozers,cranes,and asphalt equipment,will be
used for this project.
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:
SAW-2018-01083
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known): Nathan Howell,PWS,MS
Agency/Consultant Company: Three Oaks Engineering
Other:
5d.List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
USACE-7/31/2020(with permit)
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 Buffers
Open Waters Pond Construction
2.Wetland Impacts
2a1 Reason(?) 2b.Impact type*(?) 2c.Type of W.* 2d.W.name 2e.Forested* 2f.Type of Jurisdicition*2g.Impact
area

-]
Culvert Inlet P Floodplain Pool WB No Both 0.002
(acres)
Culvert Outlet P Floodplain Pool 1WB No [Both 0.001
(acres)
Culvert Inlet P Headwater Forest WA Yes Both 0.004
(acres)
Mechanized Clearing P Headwater Forest WA Yes Both 0.013
(acres)
Roadway Fill P Headwater Forest WD Yes Both 0.013
(acres)
Roadway Fill P Headwater Forest WE Yes Both 0.011
(acres)
Mechanized Clearing JL
Headwater Forest WE Yes Both 0.003
(acres)
2g.Total Temporary Wetland Impact 2g.Total Permanent Wetland Impact
0.000 0.047
2g.Total Wetland Impact
0.047
2i.Comments:
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 Site 1 Culvert Inlet Permanent Fill Ingle Branch Perennial Both 32 23
Average(feet) (linear feet)
S2 Site 1 Culvert Inlet Temporary Dewatering Ingle Branch Perennial Both 32 20
Average(feet) (linear feet)
S3 Site 1 Culvert Inlet Permanent Stabilization Ingle Branch Perennial Both 32 43
Average(feet) pinear feet)
S4 Site 1 Culvert Outlet Permanent Fill Ingle Branch Perennial Both 32 36
Average(feet) pinear feet)
S5 Site 1 Culvert Outlet Temporary Dewatering Ingle Branch Perennial Both 32 9
Average(feet) (linear feet)
S6 Site 1 Culvert Outlet Permanent Stabilization Ingle Branch Perennial Both 32 34
� Average(feet) (linear feet)
S7 Site 2 Culvert Inlet Permanent Fill SA Perennial Both 8 11
Average(feet) (linear feet)
gg Site 2 Culvert Inlet Permanent Stabilization SA Perennial Both 45
Average(feet) (linear feet)
S9 Site 2 Culvert Outlet Temporary Dewatering SA Perennial Both 12
Average(feet) (linear feet)
S10 Site 2 Culvert Outlet Permanent Stabilization SA Perennial Both 38
Average(feet) pinear feet)
S11 Site 3 Roadway Fill Permanent Fill SD Intermittent Both 3 32
Average(feet) (linear feet)
S12
Site 3 Culvert Outlet Permanent Fill SD Intermittent Both 3 42
Average(feet) pinear feet)
31.Total jurisdictional ditch impact in square feet:
0
3i.Total permanent stream impacts: 31.Total temporary stream impacts:
304 41
3i.Total stream and ditch impacts:
345
3j.Comments:
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
Allowable P Ingle Branch Yes 9,301 4,523
Allowable P SA Yes 7,378 3,421
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 16,679.00 7,944.00
Zone 1 Zone 2
Total combined buffer impacts: 16,679.00 7,944.00
61.Comments:
There are wetlands in buffers at Site 1(Ingle Branch),33 sq ft in BZ1,and 62 sq ft in BZ2.
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:
The proposed project requires the extension of existing culverts under US 70 and SR 1311,and the replacement of a concrete pipe with a box culvert
under US 70.Roadway approach work is minimized as much as is practical to reduce the overall project footprint.The extensions and culvert addition
will require channel improvements both upstream and downstream.The Channel improvements will smoothly tie the existing channel to the box culvert
extensions and addition.At Site 2,a 2'sill will be constructed in the northern barrel extension.CL II Riprap will be used downstream as bank
stabilization.All major structures have been designed to have as little environmental and surface water impacts as possible.Impacts to the associated
protected riparian buffers have also been reduced by promoting sheet flow.The project proposes new pavement,which will contribute to the existing
drainage area and the ditch velocities.Bank stabilization will be minimized to those areas where deemed necessary.
1 b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Erosion and sedimentation BMPs will be installed prior to construction.Construction has been sequenced and designed to avoid/minimize impacts by
locating temporary diversion channels away from features.Water will be diverted around the work area to prevent sedimentation of downstream
aquatic resources.Impacts will be minimized by strict enforcement of Best Management Practices for the protection of surface waters,restrictions
against the staging of equipment in or adjacent to waters of the US and coordination with appropriate environmental staff.
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
2c.If yes,mitigation is required by(check all that apply):
DWR Corps
2d.If yes,which mitigation option(s)will be used for this project?
Mitigation bank Payment to in-lieu fee program Permittee Responsible Mitigation
4. Complete if Making a Payment to In-lieu Fee Program
4a.Approval letter from in-lieu fee program is attached.
Yes No
4b.Stream mitigation requested:
(linear feet) 4c.If using stream mitigation,what is the stream temperature:
144 warm
4d.Buffer mitigation requested(DWR only): 4e.Riparian wetland mitigation requested:
(square feet) (acres)
0 0.047

4f.Non-riparian wetland mitigation requested: 4g.Coastal(tidal)wetland mitigation requested:
(acres) (acres)
0 0
4h.Comments
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
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
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
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
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.
Per the attached Minimum Criteria Determination Checklist,a cumulative impact analysis is not required for the proposed project.
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
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?*
NOAA Essential Fish Habitat Mapper
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?*
State Historic Preservation Office's HPOWEB site
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:
This project involves construction activities on or adjacent to a FEMA-regulated streams Therefore,the Division will submit sealed as-built construction
plans to the NCDOT Hydraulics Unit upon completion of project construction,certifying the drainage structure(s)and roadway embankment located
within the 100-year floodplain were built as shown in the construction plans,both horizontally and vertically.
8c.What source(s)did you use to make the floodplain determination?*
NC Floodmaps
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-6010 Mitigation Acceptance Letter.pdf 587.08KB
U-6010 NWP 14 Tearsheet.pdf 4.5MB
U-6010 No Archaeological Survey.pdf 559.15KB
U-6010 No Architecture Survey.pdf 425.13KB
U-6010 Pre-Filing Meeting Request.pdf 147.49KB
U-6010 Project Submittal Interim Form.pdf 134.29KB
U6010_Permit Package Buffer_20200505.pdf 1.18MB
U6010_Permit Package Wetland_20200505.pdf 4.35MB
U-6010_PJD_Package_06102020_Signed_REDUCED.pdf 14.48MB
U-6010_Tribal Coordination Letter_Catawba Indian Nation.pdf 1.7MB
U-6010_Tribal Coordination Letter_Monacan.pdf 1.58MB
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:
W.R.Archer III,PE

Signature
SOU�p 0�'—OW,67W
Date
9/22/2022