20210558 Ver 1_401 Application_20221206

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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:
3/11/2021
BIMS # Assigned"
20210558
Is a payment required for this project?
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Ryan Conchilla:eads\rjconchilla
Information for Initial Review
1a. Name of project:
STIP U-5850 SR 1007 (Randleman Road) Widening
1a. Who is the Primary Contact?*
Jerry Parker
1 b. Primary Contact Email:
[e-mail]
Date Submitted
12/6/2022
Nearest Body of Water
Ryan Creek
Basin
Cape Fear
Water Classification
WS-V;NSW
Site Coordinates
Latitude:
Longitude:
36.005655
79.806055
A. Processing Information
County (or Counties) where the project is located:
Guilford
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
Version#*
1
Reviewing Office*
Central Office - [phone]
1c. Primary Contact Phone:*
[phone]
Is this a NCDOT Project?*
Yes No

(NCDOT only) T.I.P. or state project number:
U-5850
WBS # r)
50239.1.1
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
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (N W P)
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:
RGP Numbers (for multiple RGPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
201902350 - Work associated with bridge construction, widening, replacement, and
interchanges
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:
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:
NCDOT Division 7
2b. Deed book and page no.:
2c. Contact Person:
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No

2d.Address
Street Address
1584 Yanceyville St.
Address Line 2
PO Box14996
City
Greensboro
Postal / Zip Code
27415-4996
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Joshua Kotheimer
4b. Business Name:
STV Incorporated
4c.Address
Street Address
900 West Trade Street Suite 715
Address Line 2
City
Charlotte
Postal / Zip Code
28202-1144
4d. Telephone Number:
[phone]
4f. Email Address:
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1 b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Greensboro
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
SR 1007 Randleman Road in vicinity of Shoffner Court intersection
Address Line 2
City
Greensoboro
Postal / Zip Code
27406
3. Surface Waters
3a. Name of the nearest body of water to proposed project:"
Ryan Creek
3b. Water Resources Classification of nearest receiving water:"
WS-V;NSW
3c. What river basin(s) is your project located in?*
Cape Fear
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:
2b. Property size:
10 Acres
State / Province / Region
NC
Country
USA

3d. Please provide the 12-digit HUC in which the project is located.
030300020104
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: *
SR 1007 (Randleman Road) is currently a three -lane roadway with two 12-foot through lanes and a 12-foot center turn lane between Glendale Drive and West Elmsley Drive. North of
Glendale Drive, SR 1007 (Randleman Road) is five lanes with four 11-foot wide through lanes and an 11-foot wide center turn lane. SR 1007 (Randleman Road) is functionally classified as
a minor arterial and had a 2020 Average Daily Traffic (ADT) of 15,600 vehicles -per -day (vpd). Existing sidewalks extend approximately 500 feet north of the W. Elmsley Drive intersection
and approximately 300 feet south of the Glendale Drive intersection on the east side of SR 1007 (Randleman Road). The posted speed limit along SR 1007 (Randleman Road) varies
between 35 miles per hour (mph) and 45 mph within the Project Study Area (PSA). Existing right-of-way width in the project corridor varies between approximately 60 feet to 70 feet. The
surrounding area consists of commercial development and forested land; please see figures in Attachment A, including vicinity map, USGS and soils maps, and map of USACE and DWR
field -verified delineated stream and wetland boundaries.
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:
0.47
4g. List the total estimated linear feet of all existing streams on the property:
506
4h. Explain the purpose of the proposed project:
The purpose of project is to relieve traffic congestion, improve safety and provide improved pedestrian access through the area.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The project proposes to widen SR 1007 (Randleman Road) to two 11-foot wide travel lanes in each direction and a continuous 11-foot wide center turn lane with curb and gutter. Pending a
municipal agreement with the City of Greensboro, the project proposes the construction of contiguous 5-foot to 6-foot wide sidewalks on both sides of the roadway. The project includes the
construction of an approximately 200-foot long retaining wall along the frontage of New Goshen United Methodist Church on the west side of SR 1007 (Randleman Road). The project also
requires tie-ins at the intersections of Glendale Avenue, Shoffner Court, and Nestleway Drive/W. Elmsley Drive. The tie-in at Nestleway Drive/W. Elmsley Drive will extend approximately
250 feet west of the intersection on Nestleway Drive and will extend approximately 475 feet east of the intersection on W. Elmsley Drive. Additional improvements include tie-ins to eight
existing driveways along the project corridor; further coordination may be required with property owners to ensure property access during the construction phase. The project will
temporarily impact 53 linear feet and permanently impact 29 linear feet of Stream B for drainage improvements associated with the road widening. There will be 0.03 acre of temporary
impacts to Wetland A for hand clearing and 0.13 acre of temporary impacts to Wetland B for hand clearing within an overhead utility easement. There will be 0.08 acre of permanent fill
impacts to Wetland B for roadway widening. There will be an additional 0.03 acre temporary impacts and less than 0.01 acre of permanent fill impacts to Wetland B for drainage
improvements associated with the roadway widening. There are 6,991 sq. ft. of mitigable riparian buffer impacts (including 6,339 sq. ft. in Zone 1 and 652 sq. ft. in Zone 2). There is 584
sq. ft. of wetland fill impacts which overlap with mitigable Zone 2 impacts which will be subtracted from mitigation totals. Heavy equipment will work from upland areas to complete work.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
No
Comments:
A site visit with a representative from both the USACE (David Bailey) and NCDWR (April Norton) was
conducted February 26, 2019.
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): Josh Kotheimer, PWS
Agency/Consultant Company: STV Engineers, Inc.
Other:
6. Future Project Plans
Unknown
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?
No
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 Jurisdicitilarea*
(?)
2g• Impact
Hand Clearing
T
Headwater Forest
Wetland A
Yes
Both
0.030
Fill
P
Headwater Forest
Wetland B
Yes
Both
(acres)
0.082
Hand Clearing
T
Headwater Forest
Wetland B
Yes
Both
(acres)
0.130
(acres)
Fill
P
Headwater Forest
Wetland B
Yes
Both
0.003
(acres)
Hand Clearing
T
Headwater Forest
Wetland B
Yes
Both
0.032
(acres)
2g. Total Temporary Wetland Impact
0.192
2g. Total Wetland Impact
0.277
21. Comments:
Permit drawings are included in Attachment E.
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.085
E
S7
3a. Reason for impact (?)
Site 3 (Road Widening)
3b.lmpact type*
Permanent
3c. Type of impact*
Culvert
3d. S. name*
Stream B
3e. Stream Type*
(?)
Intermittent
3f. Type of
Jurisdiction*
Both
3g. S. width
Average (feet)
3h. Impact
length*
29
(linear feet)
S2
Site 3 (Road Widening)
Temporary::]
Dewatering
Stream B
Intermittent
Both
h;;;J�J
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
29
3i. Total stream and ditch impacts:
82
3j. Comments:
Permit drawings are included in Attachment E.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
Neuse
Catawba
Goose Creek
Other
31. Total temporary stream impacts:
53
Tar -Pamlico
Randleman
Jordan Lake
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Site 1 - Allowable With Mitigation
P
Stream A
Yes
5,304
0
Site 2 - Allowable
P
Stream A
No
0
4,030
Site 2 - Allowable With Mitigation
P
Stream A
Yes
1,035
652
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 6,339.00 4,682.00

Zone 1
Total combined buffer impacts: 6,339.00
Zone 2
4,682.00
6i. Comments:
There is 584 sq. ft. of wetland fill impacts which overlap with mitigable Zone 2 impacts which will be subtracted from mitigation totals. Numbers reported
in section 6b. above have not been reduced by the overlapping area.
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:
Fill slopes for the road widening have been designed at 2:1 slopes.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
NCDOT Best Management Practices for Construction and Maintenance Activities will be employed. Wetlands will be hand cleared instead of cleared
with mechanized equipment.
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 options) 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)
29
4d. Buffer mitigation requested (DWR only):
(square feet)
19119
4f. Non -riparian wetland mitigation requested
0
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(acres)
0.09
4g. Coastal (tidal) wetland mitigation requested:
(acres)
0
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:
Please see Stormwater Management Plan - Attachment E
G. Supplementary Information
U
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
Comments: *
A Minimum Criteria Determination Checklist was completed for the project; please see attached signed MCDC and Project Commitments - Attachment C
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.
The project is already located in a highly developed area. Widening of the road will add better pedestrian access and help alleviate congestion.
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
5e. Is this a DOT project located within Division's 1-8?
Yes No
Unknown
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPaC and NCNHP data and site -specific surveys; supplemental information regarding findings of literature and field reviews is included in
AttachmentG.
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 EFH 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?*
See Attachment F - "No Archaeological Survey Required Form" and "Historic Architecture and Landscapes Assessment of Effects Form"
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?*
FEMA FIRM mapping - see exhibit included in Attachment D.

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-5850_Supplemental_Info_With _ Cover _Letter (2).pdf 43.74MB
U-5850 Summary Sheets.pdf 271.32KB
U-5850 Plant Surveys.pdf 1.97MB
U-5850 SWP No Effect Email.pdf 55.99KB
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
-�V_-I !3/o6mr>
Date
12/6/2022