20210663 Ver 2_ePCN Application_20221110.pdf

DWR
mrlslnn of Wmr Resources
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:
5/19/2022
BIMS # Assigned*
20210663
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:
U-6018
1a. Who is the Primary Contact?*
Jerry Parker
1 b. Primary Contact Email:
[e-mail]
Date Submitted
11 /10/2022
Nearest Body of Water
Muddy Creek
Basin
Cape Fear
Water Classification
WS-Iv
Site Coordinates
Latitude:
35.91942
A. Processing Information
County (or Counties) where the project is located:
Guilford
Randolph
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
Longitude:
79.93302
Version# *
2
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-6018
WBS # (?)
47163.1.1
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: 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
Non-404 Jurisdictional General Permit
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:
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:
see attached
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
see attached
Address Line 2
City
Postal / Zip Code
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Jeff Harbour
4b. Business Name:
Terracon
4c.Address
Street Address
2401 Brentwood Rd
Address Line 2
Suite 107
City
Raleigh
Postal / Zip Code
27604
4d. Telephone 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:
Archdale
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
City
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Muddy Creek
3b. Water Resources Classification of nearest receiving water:
WS-IV
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.
030300030106 and 030300030103
4. Project Description and History
State / Province / Region
Country
2f. Fax Number:
State / Province / Region
NC
Country
us
4e. Fax Number:
2b. Property size:
State / Province / Region
Country

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:*
Existing conditions in the project area include residential, commercial and agricultural land uses. The 2019 NRTR defined the following terrestrial communities: Agricultural Land (45 ac);
Headwater Forest (1.8 ac); Maintained/Disturbed Land (130 ac); Mixed Hardwood Forest (8 ac); Mixed Pine/Hardwood Forest (36 ac); Non -Tidal FW Marsh (0.1 ac); Successional Land
(25 ac)' and Open Water (2.7 ac). There is existing transportation infrastructure that requires modernization to current standards. Significant areas of cleared land exist, primarily from past
agriculture. Wetlands and streams also occur in the study area, and these have been previously delineated and reviewed/approved by the US Army Corps of Engineers.
Land use in the vicinity of the project is primarily residential and agricultural.
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
4g. List the total estimated linear feet of all existing streams on the property:
4,300
4h. Explain the purpose of the proposed project:
To improve existing transportation infrastructure at this interchange and modernize the intersections and widen the roads to meet current traffic demands.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
Widening of NC 62 (Liberty Rd) from east of NC 610 (E. Fairfield Rd) to east of SR 4066 (Medlin Grove Rd) and the realignment of SR 1154 (Kersey Valley Rd) and SR 1162 (Weant Rd).
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-2018-00773
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: ESI/Terracon
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
USACE onsite 8-8-2019 (David Bailey)
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?
No
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
2. Wetland Impacts
Reason (?)
fill slope for road
temp hand clearing
2b. Impact type* (?)
P
T
2c. Type of W.
Headwater Forest
Headwater Forest
2d. W. name
t
WP
2e. Forested*
Yes
Yes
2f. Type of Jurisdicition*
Both
Both
2g. Impact
area
0,020
(acres)
0.040
(acres)
�fill
for culvert
P
Headwater Forest
WS
Yes
Both
0.051
(acres)

excavation
temp hand clearing
P
T
Headwater Forest
Headwater Forest
WS
WS
Yes
Yes
Both -]
Both
0.006
(acres)
0.001
(acres)
E7A
hand clearing
T
Headwater Forest
WJ
Yes
Both
0.010
(acres)
2g. Total Temporary Wetland Impact
0.051
2g. Total Wetland Impact
0.128
2i. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.077
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
(?)
urisdiction"
length
St
Site 1 road crossing
Permanent
Culvert
SE
Intermittent
Both
34
Average (feet)
(linear feet)
S2
Site 1 road crossing
Temporary
Workpad/Causeway
SE
Intermittent
Both
10
Average (feet)
(linear feet)
S3
Site 4 road crossingPermanent
Culvert
SO
Intermittent
Both
4
10
Average (feet)
(linear feet)
S4
Site 4 road crossing
Temporary
Culvert
SO
Intermittent
Both
27
Average (feet)
(linear feet)
S5
Site 5 road crossing
Permanent
Culvert
SO
Intermittent
Both
152
Average (feet)
(linear feet)
S6
Site 5 road crossing
Temporary
Workpad/Causeway J
SO
Intermittent
Both
37
Average (feet)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
196
3i. Total stream and ditch impacts:
270
3j. Comments:
4. Open Water Impacts
3i. Total temporary stream impacts:
74
4a. Site #
4a1. Impact Reason
4b. Impact type
4c. Name of waterbody
4d. Activity type :114e.
Waterbody type
4f. Impact area
Site 3
base ditch
P
PB
Fill
Pond
0.01
Site 6
base ditch
T
PD
Other
Pond
0.01
4g. Total temporary open water Impacts:
0.01
4g. Total open water impacts:
0.02
4h. Comments:
Site 3 actual impact is 0.005ac; ePCN rounded to 0.01
Site 6 actual impact is 0.001; ePCN rounded to 0.01
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
Neuse
Catawba
Goose Creek
Other
4g. Total permanent open water impacts:
0.01
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
Allowable (Site 1)
P
UT to Mile Branch
No
2,238
1,693
Allowable (Site 2)
P
UT to Muddy Creek
No
28
1,507
Allowable with mitigation (Site 3)
P
UT to Muddy Creek
Yes
6,425 11
10,529
Allowable (Site 4)
P
UT to Mile Branch
No
4,478
1,121
Allowable (Site 5)
P
UT to Richland Creek
No
1,835
560
Allowable (Site 6)
P
UT to Muddy Creek
No
1,865
1,142
Allowable with mitigation (Site 7)
P
UT to Muddy Creek
Yes
10,918
6,850
Allowable (Site 8)
P
UT to Muddy Creek
No
1,819
925
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 29,606.00 24,327.00
Zone 1
Total combined buffer impacts: 29,606.00
Zone 2
24,327.00
61. Comments:
Site 3 and Site 7 impacts require buffer mitigation. Site 3 required buffer mitigation totals 35,069 sf of buffer credit. Site 7 required buffer mitigation totals
43,029 sf of buffer credit. TOTAL BUFFER MITIGATION REQUIRED: 78,068 SF assuming 3:1 for Zone 1 and 1:5: for Zone 2.
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 project has been designed to minimize wetland and stream impacts as much as practicable. the largest crossing associated with Site 3 has been
redesigned twice to minimize the original impact amount. The wetland impacts originally associated with Site 3 have been eliminated.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The redesign efforts to minimize and avoid impacts included a realignment for Site 3. Hand clearing will be utilized in sensitive areas. Standard NCDOT
construction practices will be used to protect sensitive areas and all neccessary BMP's will be employed for the duration of the construction process.
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:
01 car.ee,
4d. Buffer mitigation requested (DWR only):
(sUuar, ^e )
4f. Non -riparian wetland mitigation requested:
(acres)
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
4e. Riparian wetland mitigation requested:
(e')
4g. Coastal (tidal) wetland mitigation requested:
,-es(
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR

6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more information.
Yes No
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 NCS00i
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
1b. 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:"
Project does not meet nor exceed the thresholds that require a NEPA/SEPA document.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (t5A NCAC 2H .0500), Isolated Wetland Rules (t5A 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 is intended to improve intersections and widen roadway to meet current traffic demands in this area. It is not intended to be a driver for any
other development.
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?
Terracon biologists completed detailed habitat assessments and performed surveys for Schweinitz's sunflower and American chaffseed. No protected
species were identified. A USFWS Self -Certification was prepared and submitted to USFWS on June 6, 2019. NCNHP. An additional survey was
performed for Schweinitz's Sunflower on 10-27-22 ( see attached documentation).
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
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?*
Research on the SHPO GIS site did not identify any protected cultural resources in the study area
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?*
NC Onemap
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-6018 No Historic Properties.pdf
6.96MB
U-6018_No Archeological SurveyReq.pdf
4.28MB
U-6018 Wetland and SW Summary Sheet.pdf
111.24KB
U-6018 Stormwater Plan.pdf
138.4KB
U-6018 Tribal Concurence Letter.pdf
180.12KB
U-6018 USFWS No Effects Determination.pdf
1.44MB
U-6018 Permit Drawings_WETLAND.pdf
8.51MB
U-6018 Buffer Permit Drawings and Summary.pdf
9.76MB
U-6018 NRTR.pdf
18.22MB
U-6018 Pre -filing Notification. pdf
55.17KB
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
�iNlSr'tSl�e %.�
Date
11/10/2022