20150301 Ver 1_W-5512PCNRev_20150331

PAT MCCRORY
GOVERNOR
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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
March 20, 2015
Revised March 31, 2015
U.S. Army Corps of Engineers
Wilmington Regulatory Field Office
P.O. Box 1890
Wilmington, North Carolina 28402-1890
ATTN
Dear Madam:
Subject:
Ms. Elizabeth Hair
NCDOT Coordinator
Notification for Nationwide Permit 14 (Minor Road Crossing)
NCDENR 401 WQC 3886
Safety Improvement Project- SR 2220 Cumberland County
State Project Number: 50079.1.1/ W-5512
ANTHONY 7. TATA
SECRLT'�RY
The North Carolina Department of Transportation (NCDOT) has scheduled to widen and
improve SR 2220 (Tom Starling Rd) in Cumberland County. Total project length is 4.43mi.
This project will require the replacement of five (5) wet cross line as shown below:
Crossin Roadwa Station Existin Culvert Pro osed Culvert
Permit Site #1 Sta. 37+10 50 LF 48" RCP 2(60 LF 54" RCP)
(0.001 ac Bank Stab.)
New Surface Water Impacts = 0.004 acres
Crossin Roadwa Station Existin Culvert Pro osed Culvert
Permit Site #2 Sta. 127+23 60 LF 42" CMP 80 LF 60" RCP
10 LF Bank Stabilization
Permit Site #3 Sta. 136+13 2(62 LF 36" CMP) 93 LF (95"x 67") CSAP
w/ Headwalls
10 LF Bank Stabilization
Permit Site #4 Sta. 164+14 2(48 LF 36" RCP) 60 LF (103"x 71") CSAP
w/Headwalls
10 LF Bank Stabilization
Permit Site #5 Sta. 214+22 65 LF 18" RCP 65 LF 36" RCP
P. O. Box 1] 50, Fayetteville, NC 28302-1150 - Telephone (9I0) 437-0207- Fax [phone]

10 LF Bank Stabilization
Netiv Strearn Impacts = 63 litzeur feet
Construction of this project will require impacts to the waters of the United States in the Cape
Fear River Basin. The project is located within the 03030004 Hydrologic Unit, sub basin 03-06-
15. All Permit Sites #1-5 are unnamed tributaries of Rockfish Creek (C).
This site is located in Southern Cumberland County and is an often used `cut tluough' road
between Business US 301 and NC 87 by all motorist types. Tractor trailers frequent Tom
Starling Rd. as the Cumberland County industrial park is located toward the beginning and
middle of SR 2220. There is presently two tight radial curves, which in addition to speed
contribute to run off road crashes. A re-design of both reverse curves to accommodate increased
speed in addition to 2ft widening has been deemed the most appropriate action.
Permit Site #1 is located at Station 37+10. Currently a 50 LF 48" CMP conveys water
underneath the roadbed. Within the confines of this project the stream portion has had great
human influence. A natural, spring feed, intermittent system begins roughly 100ft downstream
of this project. This makes the portion within the work zone a contributing surface water of
Rockfish Creek and as such will incur 0.004acres of surface water impacts from the proposed
installation of 2(60 LF 54" RCP}. One pipe will be inline with the channel for normal flows,
while the second pipe will be set offline to act as a floodplain pipe. A headwall will be located
upstream, while 10 LF of Class I stone will be installed on the banks downstream to protect
against erosive velocities. Dewatering operations shall result in 0.003acres of temporary
impacts.
Permit Site #2 located at Station 127+23 has an existing 60 LP 42" CMP, which will be
replaced with an 80 LF 60" RCP with Headwall upstream. There is an 18" RCP driveway pipe
that comes into join the tributary upstream. Class I rip rap will be placed on the banks within this
junction area to protect the banks from scouring. 10 LF of Class I rip rap will be placed on banks
downstream due to grade changes from the roadway to natural ground to protect banks from
erosion. As this intermittent stream is an unnamed tributary of Rockfish Creek it will incur 20
LF of permanent stream impacts and 20 LF of temporary impacts due to dewatering measures.
Permit Site #3 cun•ently contains 2(62 LF 36" RCP) at Station 136+13. These pipes will be
replaced with a single line 93 LF (95" x 67") CSAP with Headwalls. This perennial stream will
thus incur 31 LF of permanent impacts and 20 LF of temporary impacts from dewatering
operations. All BMP's shall be followed during construction and upon completion 10 LF of
Class I rip rap will be placed on banks of the outlet for bank stabilization.
Permit Site #4 conveys water underneath SR 2220 through existing 2(48 LF 36" RCP) at
Station 164+14. NCDOT proposes to replace these double lines with a single 60 LF (103" x 71")
CSAP with Headwalls. There is a small, dammed pond upstream on private property; proposed
grades reflect 1 ft burial below existing stream bed. 10 LF of Class I rip rap will be placed on

banks on the outlet end to assist in erosion protection. This intermittent stream channel will incur
12 LF of permanent impacts and 20 LF of temporary impacts due to dewatering.
Permit Site #5 is located at Station 214+22 and currently has an 65 LF 18" RCP. This pipe is
dramatically undersized and shall be upgraded to an 65 LF 36" RCP. This intermittent unnamed
tributary of Rockfish Creek rated a 21.75 utilizing the Stream Assessment form. No permanent
stream impacts shall be incurred as the pipe is being replaced with the same length and set at the
same elevations. 20 LF of temporary impacts from dewatering will result.
RESOURCE STATUS
In general, there will be minor impacts proposed as a result of the replacement of the culvet�t and
wetland fill along SR 2220, Tom Starling Rd in Cumberland County. A Nationwide Permit #14
/ NCDENR 401 WQC 3886 is required for the project.
Endangered Species: Plants and animals with Federal classification of Endangered (E} or
Threatened (T) are protected under provisions of Section 7 and Section 9 of the Endangered
Species Act of 1973, as amended. As of December 26, 2012, the U.S. Fish and Wildlife Service
lists seven (7) federally protected species for Cumberland County.
Federall Protected S ecies for Cumberland Counf
SCIENTIFIC NAME COMMON NAME STATUS
Alligator mississippiensis
Picoides bor-ealis
American alligator
Red-cockaded woodpecker
T (S/A)
E
Neonympha mitchellii francisci � St. Francis satyr butterfly � E
Schwalbea czmericana
Rhus michaarxii
Lyimachia aspe�-ulaefolia
Lindera melissifolia
American chaffseed E
Michaux's sumac E
Rough-leaved loosestrife E
Pondberry E
"E" denotes Endangered (a species that is in danger of extinction throughout
all or a significant portion of its range).
T(S/A)- Tlu-eatened due to similarity of appearance, a species that is threatened
Due to similarity of appearance with other rare species and is listed for its
Protection. These species are not biologically endangered or threatened and
Are not subject to Section 7 consultation.
A biological conclusion of "No Effect" was reached for all species during the July 22, 2014
survey for protected species. Protected species were not identified, nor, was the general habitat
for each species identified.

REGULATORY APPROVALS
Application is hereby made for a Department of the Army Nationwide Permit 14 / NCDENR 401
WQC 3886 as required by the above-described activities.
The National Register was reviewed in addition to conducting a field view of the project for
significant historic features.
The project impacts are minor in nature and should not remove or degrade existing water quality
uses. Pipe size proposed are the minimum necessary to create a safe highway while
accommodating the 25-year design storm. By utilizing the erosion control measures,
downstream water quality standards will be protected. All appropriate BMP's will be utilized
during construction.
Attached is a Preconstruction Notification Form, plan sheets, marked county road map, quad
location map and photographs.
If you should have any questions, or need additional information please contact James J. Rerko,
PWS at [phone].
S�incerely,
� ;�� �w5 ,�/��/�,r
James J. Rerko, PWS
� Division 6 Environmental Officer
i
ATTACHiVIENTS
Ce: Amy Chapman, Division of Water Quality (Electronic copy)
Mason Herndon, Division of Water Quality (Electronic copy)
Greg Burns, P.E., Division Engineer

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. A licant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps: � Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number: 3886
1c. Has the NWP or GP number been verified by the Corps? � Yes ❑ No
1 d. 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
1 e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
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.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ❑ Yes � No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: Tom Starling Rd (SR 2220)
2b. County: Cumberland County
2c. Nearest municipaliry / town: Fayetteville
2d. Subdivision name: NA
2e. NCDOT only, T.I.P. or state W_ 5512
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: NA
3b. Deed Book and Page No. NA
3c. Responsible Party (for LLC if NA
applicable):
3d. Street address: NA
3e. City, state, zip: NA
3f. Telephone no.: NA
3g. Fax no.: NA
3h. Email address: NA
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: � Agent ❑ Other, specify:
4b. Name: Greg Burns, P.E./NCDOT/Div 6/Division Engineer
4c. Business name NCDOT
(if applicable):
4d. Street address: PO Box 1150
4e. City, state, zip: Fayetteville, NC 28302
4f. Telephone no.: [phone]
4g. Fax no.: [phone]
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: James J. Rerko, PWS
5b. Business name NCDOT/Div 6/Division Environmental Officer
(if applicable):
5c. Street address: PO Box 1150
5d. City, state, zip: Fayetteville, NC 28302
5e. Telephone no.: [phone]
5f. Fax no.: [phone]
5g. Email address: [e-mail]
Page 2 of 12
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): NA
Latitude: Longitude: -
PS#1: 34.9604 'N -78.9090 'W
PS#2: 34.9479 'N -78.8845 'W
1 b. Site coordinates (in decimal degrees): PS#3: 34.9473 'N -78.8824 'W
PS#4: 34.9468 'N -78.8720 'W
PS#5: 34.9497 'N -78.8505 'W
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 32 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Rockfish Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C(both)
2c. River basin: Cape Fear
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:
This road is located in South Western Fayetteville and is a'cut-through' road between Bus US 301 and NC 87.
Cumberland County industrial park is located at the projects beginning, while residential neighborhoods are located
towards the end.
3b. List the total estimated acreage of all existing wetlands on the property:
0. acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
63 linear feet, 0.004 acres surface water
3d. Explain the purpose of the proposed project:
This is a safety project to eliminate the two reverse curves in the middle of Tom Starling Rd. These curves, coupled with
the narrow width throughout the entire road contribute to a high crash volume.
3e. Describe the overall project in detail, including the type of equipment to be used:
The two reverse curves will be eliminated. The radius will be increased to flatten both curves into a more fluid motion for
motorists. Culverts will be replaced and extended to accommodate improvements. The entire road will experience 2ft
widening and resurfacing. Impacts will be minimized as much as possible. The culverts will be replaced utilizing a track-
hoe excavator. While front end loaders will place fill material. Eventually a motor grader will finish grade the project prior
to paving.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ❑ Yes � No ❑ Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made? � Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: NA
Name (if known): NCDOT Other: NA
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, explain.
Page 4 of 12
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands � Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
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PCN Form — Version 1.3 December 10, 2008 Version

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 ofjurisdiction
number — Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ — non-404, other) (acres)
Tem orar T
W 1 ❑ P❑ T NA ❑ Yes ❑ Corps
❑ No ❑ DWQ
W2 � P� T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W5 ❑ P 0 T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland impacts
2h. Comments:
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.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ — non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
20 LF
UT of Rockfish ❑ PER � Corps (20LF
S2 � P� T Culvert 3 ft Temp)
Creek � INT ❑ DWQ
10 LF
BankStab
31 LF
UT of Rockfish � PER � Corps (20LF
S3 � P� T Culvert Creek 6 ft Temp)
❑ INT ❑ �WQ 10 LF
BankStab
12 LF
UT of Rockfish � PER � Corps (20LF
S4 � P� T Culvert Creek 5 ft Temp)
❑ INT ❑ �WQ 10 LF
BankStab
20 LF
S5 ❑ P� T Culvert UT of Rockfish ❑ PER � Corps 3 ft Temp
Creek � INT ❑ DWQ 10 LF
BankStab
S6 ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total stream and tributary impacts 63 LF
3i. Comments: 10LF both up and downstream will be incurred for dewatering at each site for a total of 80 LF. 10 LF Bank
Page 6 of 12
PCN Form — Version 1.3 December 10, 2008 Version

Stabilization at each site.
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 waterbody
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Tem orar T
Unnamed Tributary Intermittent 0.004acres
01 � P� T Rockfish Creek Culvert/Bank Stablization Tributary (0.003acres Temp)
0.001 ac BankStab
02 ❑ P❑T
03 ❑P�T
04 ❑POT
4f. Total open water impacts 0.004 acres
4g. Comments: 10 LF up and downstream will result from dewatering equaling 0.003acres of temporary impacts. 0.001 ac of
Bank Stabilization.
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1 NA
P2
Sf. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes � No if yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
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PCN Form — Version 1.3 December 10, 2008 Version

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
below. If an impacts require miti ation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number— Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Tem orar T impact required?
61 ❑P❑T ❑Yes
❑ No
B2 ❑P�T ❑Yes
❑ No
B3 ❑P❑T ❑Yes
❑ No
6h. Total buffer impacts
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Both reverse curves where re-aligned so that all culvert sites could be replaced in their existing location.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The roadway shall be closed for the replacement of sites #2 &#3 so that pipes are placed back within the channel area and
no boring will be necessary. Rip rap protection will be installed on banks and not within the stream channel. Double line
culverts are being replaced with single line barrels where possible. Permit Site#1 shall have a main barrel inline with the
channel while the other is set offline for a floodplain pipe.
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
project? ❑ Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type NA Quantity NA
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PCN Form — Version 1.3 December 10, 2008 Version

3c. Comments:
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: linear feet
4c. If using stream mitigation, stream temperature: ❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
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.
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.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
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).
6h. Comments: NA
Page 9 of 12
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified � Yes � No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 33 %
2b. Does this project require a Stormwater Management Plan? � Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Please see attached Management plan
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ 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
3a. In which local governmenYs jurisdiction is this project? NA
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stormwater Pro ram Review
❑ Coastal counties
❑ HQW
4a. Which of the following state-implemented stormwater management programs apply � ORW
(check all that apply): ❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? � Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met? � Yes ❑ No
Page 10 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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?
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 ❑ Yes � No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ❑ Yes ❑ No
Comments:
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
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
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. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
Due to the minimal transportation impact resulting from this Spot Safety project, this project will neither influence nearby
land uses nor stimulate growth. Therefore, a detailed indirect or cumulative effects study will not be necessary.
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.
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PCN Form — Version 1.3 December 10, 2008 Version

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?
USFWS Endangered Species website (list by county), Preliminary Ground Survey, Natural Hertiage GIS layer
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ❑ Yes � No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
USFWS website- http://www.fws.gov/nc-es/fish/fish.html
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?
NCDOT Cultural Resources office preformed an internal review through the Programmatic Agreement between State
Historic Preventation Office and NCDOT.
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: NA
8c. What source(s) did you use to make the floodplain determination? NC Floodplain Mapping website (Tiles #0424, 0433,
0434, 0443)
Greg Burns, P.E. , 1 ��3�0`� Mar 20 ,2015
G-�/
ApplicanUAgenYs Printed Name Applicant/AgenYs Signature /Zz✓. Date
(AgenYs signature is valid only if an authorization letter from the applicant
is provided.
Page 12 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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