20150479 Ver 1_401 Application_20150515

L'i z'
May 1, 2015
Ms. Karen Higgins
Wetlands and Buffer Permitting Unit
NC Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699 -1617
URS Corporation — North Carolina
1600 Perimeter Park Drive, Suite 400
Morrisville, North Carolina 27560
Tel: [phone]
Fax: [phone]
Subject: City of Raleigh Public Utilities Department
Carolina Pines Sanitary Sewer Easement Improvements
Project No. 2015 -2
Dear Ms. Higgins:
Enclosed are five copies of a Pre - Construction Notification (PCN) Permit Application Package
for the City of Raleigh Carolina Pines Sanitary Sewer Easement Improvements project. For your
review we have enclosed five copies of the PCN Application Form and Attachment A (site maps
and construction details). The planned improvements result in a buffer impact only. No fee is
submitted with this application.
The project will entail installation of a 24" culvert across a maintained sanitary sewer easement.
The activity results in approximately 647 square feet of Zone 1 and approximately 1,168 linear
feet of Zone 2 buffer impacts within a maintained sanitary sewer easement.
Please contact me with any questions regarding this permit application.
Sincerely,
URS Corporation — North Carolina
7Z�,
Mary T. Brice, P.E. LEED AP
Senior Environmental Engineer
Enclosures
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A. Applicant 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: 3 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps?
❑ Yes ❑X 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 ❑X Riparian Buffer Authorization
1e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑X Yes ❑ No
For the record only for Corps Permit:
X❑ Yes ❑ No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes ❑X No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes ❑X No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑X No
2. Project Information
2a. Name of project:
Carolina Pines Sanitary Sewer Easement Improvements
2b. County:
Wake
2c. Nearest municipality / town:
Raleigh
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state project no:
N/A
3. Owner Information
3a. Name(s) on Recorded Deed: D) L9 W n W NP,
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
City of Raleigh Public Utility Department MAY 1 2 2015
3d. Street address:
222 W. Hargett St. p NR --
3e. City, state, zip:
Raleigh, NC. 27504 4018 BUFFEZ_ . ITT�;4c
919 - 996 -4540
3f. Telephone no.:
3g. Fax no.:
919 - 996 -1866
3h. Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ❑ Other, specify:
4b.
Name:
4c.
Business name
(if applicable):
4d.
Street address:
4e.
City, state, zip:
4f.
Telephone no.:
4g.
Fax no.:
4h.
Email address:
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Mary T. Brice
5b. Business name
(if applicable):
URS Corporation - North Carolina
5c.
Street address:
1600 Perimeter Park Dr. Suite 400
5d.
City, state, zip:
Morrisville, NC
5e. Telephone no.:
919 - 461 -1358
5f.
Fax no.:
919 - 461 -1415
5g.
Email address:
mary.brice @urs.com
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
1 b.
Site coordinates (in decimal degreesy7
Latitude: 35.7451 Longitude: - 78.6553
1c.
Property size:
acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
unnamed tributary of Walnut Creek
2b.
Water Quality Classification of nearest receiving water:
C; NSW
2c.
River basin:
Neuse River Basin
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 site is located within an existing sanitary sewer easement. The general land use in the vicinity of the project is residential.
3b.
List the total estimated acreage of all existing wetlands on the property:
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d. Explain the purpose of the proposed project:
Installation of a 24" culvert pipe in a drainage swale within the buffer and sanitary sewer easement to facilitate access to the sanitary sewer system.
3e. Describe the overall project in detail, including the type of equipment to be used:
See Attachment A.
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 ❑X Unknown
Comments:
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
El Preliminary El Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known):
Agency /Consultant Company:
Other:
4d.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5.
Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ❑ No ❑X Unknown
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ❑X No
6b.
If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ❑ Streams — tributaries X❑ 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.
Wetland impact
number
Permanent (P) or
Temporary
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1
Choose one
Choose one
Yes /No
-
W2
Choose one
Choose one
Yes /No
W3
Choose one
Choose one
Yes /No
W4
Choose one
Choose one
Yes /No
W5
Choose one
Choose one
Yes /No
W6 -
Choose one
Choose one
Yes /No
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.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (I NT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Stabilization
S2
Choose one
S3
Choose one
S4
Choose one
S5
Choose one
_
S6
Choose one
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

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.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01
Choose one
Choose
02
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
I Filled
Excavated
P1
Choose one
P2
Choose one
5f. 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:
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 any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑X Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet )
6g.
Zone 2
impact
(square
feet
B1 T
site access
UT to Walnut Creek
No
0
728
B2 P
culvert installation
UT to Walnut Creek
No
647
440
B3
Yes /No
B4
Yes /No
B5
Yes /No
B6
Yes /No
6h. Total Buffer Impacts:
sal
1,168
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Buffer disturbance will be the minimum necessary to install the culvert and provide stable access to the sanitary sewer easement.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Work areas will be confined to the minimum extent necessary to perform the work. Disturbed areas will be perpendicular to the buffer to the extent
possible. Erosion control devices and measure will be installed prior to construction.
2. Compensatory- Miti ation 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 ❑X No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑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: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
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:
Choose one
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.
Page 6 of 10
PCN Form — Version 1.4 January 2009

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
buffer mitigation?
Yes No
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.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(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:
Page 7 of 10

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
Z 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.
Project is easement maintenance and will not result in a point - source stormwater discharge.
❑ Yes ❑X No
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
0
2b.
Does this project require a Stormwater Management Plan?
❑ Yes No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
Project will not result in a point discharge or creation of measureable impervious surface.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e.
Who will be responsible for the review of the Stormwater Management Plan?
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
City of Raleigh
❑ Phase II
3b.
Which of the following locally- implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
Q Other: Not Required
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4. DWQ Stormwater Program Review
E]Coastal counties
❑HQW
4a.
Which of the following state - implemented stormwater management programs apply
❑ORW
(check all that apply):
E3 Session Law 2006 -246
❑X Other: Not Required
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
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 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal /state /local) funds or the
❑x Yes
El 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
❑X 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
❑X 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
❑X 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.
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.
Project will generate no wastewater.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
El Yes ❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑Yes E:1 No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
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?
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?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes ❑X No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
FEMA Flood Map # 3720170200J (Dated 05/02/06)
Ruffm L. Hall
City Manager wf Pi l
City of Raleigh
Post Office Box 590
Raleigh, North Carolina 27602
Applicant/Agent's Printed Name Applica Agent's Signature Date
(Agent's signature is valid only if an authorization
letter from the applicant is provided.)
Page 10 of 10

Attachment A
Work will entail installation of a 24" culvert per the attached sketches and detail. Erosion control
measures will be installed prior to the work per the attached standard details by others (provided by
applicant). The buffer will be reseeded and mulched when work is complete. It is expected that a tire or
track - mounted back -hoe and excavator and a dump truck will be used to execute the work.

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CAROLINA PINES SANITARY SEWER EASEMENT IMPROVEMENTS
LEGEND
ZONE 1 RIPARIAN BUFFER
— ZONE 2 RIPARIAN BUFFER
EXISTING SANITARY SEWER
�\ �\ BUFFER IMPACT
STREAM LOCATION
-%%and data provklwd by ownw /awated by othw
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( taps). URS assumes no Iloblity for any carom omlwdans or InomxrocW
in thw Information provklod.
0 50 100 200 Feet
1 inch = 100 feet
Disclaimer
Maps makes every effort to produce and publish
the most current and accurate information possible.
However, the maps are produced for information purposes,
and are NOT surveys. No warranties, expressed or implied
,are provided for the data therein, its use, or its interpretation.

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SEEDING SCHEDULE IN PIEDMONT AREAS
1. LIME, SEED AND FERTILIZER SHALL BE APPLIED WITH NECESSARY EQUIPMENT TO GIVE UNIFORM DISTRIBUTION OF THESE MATERIALS. THE KINDS
OF MATERIALS TO BE APPLIED PER ACRE:
.TEMPO. RSA iSEEDING
FERTILIZER
DATE TYPE PLANTING 10 -10 -10 BLEND LIMESTONE STRAW MULCH
JAN. 1 - MAY 1 RYE (GRAIN) 120 LBS /ACRE 750 LBS. /ACRE 2000 LBS. /ACRE 4000 LBS. /ACRE
KOBE LESPEDEZA 50 LBS. ACRE
MAY
1 - AUG. 15
GERMAN MILLET **
40 LBS. /ACRE
750 LBS. /ACRE
2000 LBS. /ACRE
4000
LBS. /ACRE
AUG.
15 - DEC. 30
RYE (GRAIN)
120 LBS. /ACRE
1000 LBS. /ACRE
2000 LBS. /ACRE
4000
LBS. /ACRE
PERMANENT SEEDING
FERTILIZER * **
DATE TYPE PLANTING RATE 10 -10 -10 BLEND LIMESTONE * ** STEM MULCH
AUG. 20 - OCT. 25 BLEND OF 50% KY -31 250 LBS. /ACRE 1000 LBS. /ACRE 4000 LOS./ACRE 4000 LBS. /ACRE
FEB. 1 - MAR. 31 TALL FESCUE AND 50%
MIXTURE OF TOW OR
MORE TURF -TYPE
TALL FESCUE
* OMIT KOBE LESPEDEZA WHEN DURATION OF TEMPORARY COVER IS NOT TO EXTEND BEYOND JUNE.
** A SMALL - STEMMED SUDANGRASS MAY BE SUBSTITUTED AT A RATE OF 50 LBS /ACRE.
* ** QUANITIY OF FERTILIZER AND LIME STONE SHALL BE CONFIRMED BY SOILS TEST.
2. SEEDED AREA SHALL BE CULTIPACKED TO FIRM SEEDBED AND COVER SEED. AREA TO BE MOISTENED BEFORE PLANTING IF SOIL IS DRY.
3. GRAIN STRAW SHALL BE APPLIED OVER SEEDED AREAS AS A MULCH WITHIN 24 HOURS OF THE INITIAL SEEDING OPERATION. NO BARE GROUND
SHALL BE VISIBLE WHEN RIDING BY A MULCHED AREA IF PROPER APPLICATION IS ACHIEVED. THICK CLUMPS OF STRAW ARE NOT PERMISSIBLE AS
A UNIFORM COVERAGE IS EXPECTED.
4. MULCHED AREA SHALL BE TACKED WITH LIQUID ASPHALT AT A RATE OF 0.10 GALLON PER SQUARE YARD (10 GAL /1000 SO. FT.). HYDRAULIC
TACKING MATERIAL SHALL BE USED IN HIGH QUALITY WATER ZONES AND CRITICAL HABITAT AREAS.
5. DITCH TREATMENT SHALL BE USED IN AREAS WHERE STEEP GRADES COULD CAUSE DITCH EROSION. USE OF EXCELSIOR MATTING OR
FIBERGLASS /SYNTHETIC ROVING IS ACCEPTABLE. DITCH TREATMENT SHALL BE INSTALLED BEFORE MULCHING OPERATION.
6. VEGETATION SHALL BE ESTABLISHED ON ALL DISTURBED AREA WITHIN 14 DAYS OF COMPLETION OF ANY PHASE OF GRADING ACTIVITIES OR WHERE
CONSTRUCTION WILL TEMPORARILY CEASE FOR MORE 21 CALENDAR DAYS.
7. MAINTAIN AND ESTABLISH VEGETATION BY WATERING, FERTILIZING, REPLANTING AND PERFORMING OTHER OPERATIONS AS REQUIRED TO ESTABLISH
HEALTHY GROWTH. SCHEDULE WATERING TO PREVENT WILTING, PUDDLING, EROSION AND DISPLACEMENT OF SEED OR MULCH. WATER WITH A FINE
SPRAY AT A MINIMUM OF 1 INCH PER WEEK UNLESS RAINFALL PRECIPITATION IS ADEQUATE.