20231361 Ver 1_ePCN Application_20230929

i DWR
Division of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
October 2, 2023 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:
6/15/2023
Does this project involve maintenance dredging funded by the Shallow Draft Navigation Channel Dredging and Aquatic Weed Fund or involve the distribution or transmission of energy or
fuel, including natural gas, diesel, petroleum, or electricity?
Yes No
BIMS # Assigned *
Version# *
20231361
1
Is a payment required for this project?*
No payment required
What amount is owed?*
Fee received
$240.00 $570.00
Fee needed - send electronic notification
$323.00 $767.00
Reviewing Office*
Select Project Reviewer*
Raleigh Regional Office - [phone]
Zachary Thomas:zachary.thomas
Information for Initial Review
la. Name of project:
1-85 Sewer System Improvements
1a. Who is the Primary Contact?*
Scott Schroyer
1b. Primary Contact Email: *
[e-mail]
Date Submitted
9/29/2023
Nearest Body of Water
Ledge Creek - NC Stream Index: 27-10-(1.8)
Basin
Neuse
Water Classification
WS-IV;NSW
Site Coordinates
Latitude: Longitude:
36.128683-78.442868
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Granville
1c. Primary Contact Phone: *
[phone]
O
Is this a NCDMS Project
Yes No

Is this project a public transportation project?*
Yes No
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
1b. 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
Nationwide Permit (NWP) Number: 58 - Utility Line Activities for Water and Other Substances (frequently used)
NWP Numbers (for multiple NWPS):
58
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
401 Water Quality Certification - Express
Riparian Buffer Authorization
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
1h. 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:
SGWASA
2b. Deed book and page no.:
2c. Contact Person:
Scott Schreyer

2d. Address
Street Address
415 Central Avenue
Address Line 2
Suite B
city
Butner
Postal / Zip Code
27509
2e. Telephone Number:
[phone]
2g. Email Address:"
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Jason Hales
4b. Business Name:
CDM Smith
4c.Address
Street Address
5400 Glenwood Avenue
Address Line 2
city
Raleigh
Postal / Zip Code
27612
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 I town:
Town of Butner and City of Creedmoor
2. Project Identification
2a. Property Identification Number:
088603009324
2c. Project Address
Street Address
1230 E. Middleton Drive
Address Line 2
city
Creedmoor
Postal / Zip Code
27522
3. Surface Waters
3a. Name of the nearest body of water to proposed project:"
Ledge Creek - NC Stream Index: 27-10-(1.8)
3b. Water Resources Classification of nearest receiving water:
WS-IV;NSW
3c. What river basin(s) is your project located in?"
Neuse
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:
2b. Property size:
30
State / Province / Region
NC
Country
USA
a

3d. Please provide the 12-digit HUC in which the project is located.
030202010402
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 project area is approximately 191.5 acres and consists of existing sewer lines and maintained easements, paved roadways, railways, electric utility lines, gas lines, industrial and
commercial areas, residences, wooded areas, wetlands, and streams.
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:
12.44
4g. List the total estimated linear feet of all existing streams on the property:
37418
4h. Explain the purpose of the proposed project:*
SGWASA serves the southern portions of Granville County, including the municipalities of Creedmoor, Butner, and Stem. Continued growth in the region had presented SGWASA with
challenges to upgrade their wastewater system. SGWASAs wastewater collection system dates from the 1940s and portions of the system are becoming structurally deficient and in need
of repairs or upgrades. Currently, portions of the existing wastewater collection system are at maximum capacity to reliably convey flow to the SGWASA Wastewater Treatment Plant
(WWTP). The purpose of the project is to improve the infrastructure to manage additional flows and continue to provide safe wastewater treatment for residents in SGWASAs service area.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
Figure 1-1 from the Preliminary Engineering Report shows the proposed recommendations to improve the sewer infrastructure. The 1-85 Sanitary Sewer System Improvements project
includes the following components:
Three new wastewater lift stations (LSs):
• New 6.4-million-gallon-per-day (mgd) Joe Peed LS
• New 5.2-mgd East Middleton LS
New 1.7-mgd North 1-85 LS
Approximately 29,700 feet of new 8-inch to 20-inch diameter force main
Approximately 30,700 feet of new 8-inch to 36-inch diameter gravity sewer
Abandonment of six LSs and abandonment of approximately 42,600 feet of 3-inch to 8-inch diameter force main
Approximately 1,700 feet of new 8-inch water main to serve the three new LSs.
Temporary facilities (including bypass pumping and temporary water) as required to maintain service during construction and connection to the new facilities.
Grading, paving, erosion control, site cleanup, seeding, and testing of all installed sewer infrastructure.
There are approximately 50 acres of ground disturbance planned. Construction for the infrastructure improvements will include work along new sewer right-of-way, and existing sewer right-
of-way and NCDOT right-of-way. More details regarding the proposed work are shown on the impact plan sheets.
The construction period is estimated to be approximately 29 months, with temporary wetland, stream and buffer impacts in place for less than 90 days each. Each individual temporary
impact would be limited to a very short time, just enough to install the infrastructure. Standard construction and pipe installation equipment such as cranes, excavators, dump trucks, and
similar vehicles would be used for the project. Proper erosion and sedimentation control measures would be employed throughout the project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
Comments:
PJD request attached
No
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): Jason Hales
Agency/Consultant Company: CDM Smith
Other:
6. Future Project Plans
6a. Is this a phased project?*
Yes No
Unknown
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
2al Reason M
2b. Impact type*(?)
2c. Type of W.
2d. W. name
2e. Forested"`
2f. Type of Jurisdicition*
2g. Impact
area
W1
Construction access,
T
Bottomland Hardwood Forest
WA
Yes
Corps
0.036
land clearing, gravity
(acres)
sewer installation
W2
Land clearing,
P
Hardwood Flat
WI
Yes
Corps
0.054
conversion, gravity
(acres)
sewer installation
W3
Construction access, IT
Hardwood Flat
WI
Yes
Corps
0.009
land clearing
(acres)
W4
Construction access,
P
Hardwood Flat
WJ
Yes
Corps
0.136
land clearing
(acres)
WS
Construction access,
T
Hardwood Flat
WJ
Yes
Corps
0.061
land clearing
(acres)
W6
Land clearing,
P
Hardwood Flat
WM
Yes
Corps
0.144
conversion, gravity
(acres)
sewer installation
W7
Construction access,
T
Hardwood Flat
WM
Yes
Corps
0.585
land clearing
(acres)
W8
Land clearing,
P
Bottomland Hardwood Forest
WN
Yes
Corps
0.140
conversion, gravity
(acres)
sewer installation
W9
Construction access, IT
Bottomland Hardwood Forest
WN
Yes
Corps
0.149
land clearing
(acres)
W10
Land clearing,
P
Bottomland Hardwood Forest
WO
Yes
Corps
0.024
conversion
acres)
W11
Construction access,
T
Bottomland Hardwood Forest
WO
Yes
Corps
0.019
land clearing
(acres)
W12
Land clearing,
P
Bottomland Hardwood Forest
WII
Yes
Corps
0.988
conversion, gravity
(acres)
sewer installation
W13
Construction access, IF
ottomland Hardwood Forest
f
WII
Yes
Corps
0.300
land clearing
(acres)
W14
Construction access,
T
Hardwood Flat
WHH
Yes
Corps
0.004
land clearing
(acres)
W15
Land clearing,
P
Bottomland Hardwood Forest
WA
Yes
Corps
0.240
conversion, gravity
(acres)
sewer installation
W17
Land clearing,
P
Bottomland Hardwood Forest
WR
Yes
Corps
0.023
conversion, force main
(acres)
installation
W18
Construction access,
T
Bottomland Hardwood Forest
fR
Yes
Corps
0.043
land clearing
(acres)
W19
Construction access
T
ffNCWAM TYPES
WS
No
Corps
0.015
(acres)
W20
Fill
P
Bottomland Hardwood Forest
WEE
Yes
Corps
0.176
(acres)
W21
Construction access,
T
Bottomland Hardwood Forest
WDD
Yes
Corps
0.948
land clearing, gravity
(acres)
sewer installation
W22
Construction access,
T
Bottomland Hardwood Forest
WCC
Yes
Corps
0.137
land clearing, gravity
(acres)
sewer installation
W23
Construction access,
T
NON-NCWAM TYPES
WZ
No
Corps
0.015
force main installation
(acres)

W24
Land clearing,
P
Bottomland Hardwood Forest
WZ
Yes
Corps
0.048
conversion, force main
(acres)
installation
W25
Fill, access road, culvert
P
fft-mland Hardwood Forest
fz
Yes
Corps �F066.)cre
W26
Construction access
T
ffNCWAM TYPES
WU
No
Corps
0.001
(acres)
W27
Corce nstruction
T
NCWAM TYPES
ff
WW
No
Corps
0(04
main installs,
S)
W28
Construction access,
T
NON-NCWAM TYPES
WY
No
Corps
0.019
force main installation
(acres)
W16
Construction access,
T
Fmland Hardwood Forest
WJJ
Yes
Corps
0.237
land clearing
(acres)
2g. Total Temporary Wetland Impact
2.625
2g. Total Wetland Impact
4.664
2g. Total Permanent Wetland Impact
2.039
2i. Comments:
There are 0.242 acres of proposed permanent wetlands impacts for fill associated with the planned replacement of the Middleton LS and construction of
the North 1-85 LS (Impacts plan sheets C-405 and C-502, Impact numbers W20 and W25).
There are 1.797 acres of proposed permanent wetlands impacts for land clearing, conversion and sewer line installation along the sewer alignments
(Impacts plan sheets C-212 C-214, C-215, C-216, C-306, C-307, C-308, C-309, C-310, C-311. and C-502; Impact numbers W2, W4, W6, W8, W10,
W12, W15, W17, and W24). These areas will be cleared of vegetation, used for the installation of the sewer lines, and maintained for future access.
There are a total of 2.039 acres of proposed permanent wetland impacts.
There are 2.625 acres of proposed temporary wetlands impacts for construction access, land clearing, and sewer line installation along the sewer
alignments (Impacts plan sheets C-101, C-212 C-214, C-215, C-216, C-306, C-307, C-308, C-309, C-310, C-311, C-312, C-321, C-406, C-407, C408,
C-502, C-506, C-507, and C-508; Impact numbers W1, W3, W5, W7, W9, W11, W13, W14, W16, W18, W19, W21, W22, W23, W26, W27 and W28).
Portions of these impacts are in currently maintained easements and portions are in forested areas. Currently maintained areas will continue to be
maintained for future access and forested areas will be allowed to revegetate with woody species.
There are a total of 2.625 acres of proposed temporary wetland impacts.
In wetland areas used for the sewer line installation the material from the trench will be used to back fill and will be returned to the trench after the sewer
line installation. Temporarily impacted wetland areas within the permanent maintenance corridors will be seeded with native wetland herbaceous species
and then be maintained as herbaceous wetlands for future access. Temporarily impacted wetland areas outside of the permanent maintenance corridors
will be seeded with native wetland seed mix and allowed to revegetate naturally with woody species.
There are a total of 4.664 acres of proposed wetland impacts (permanent and temporary).
3. Stream Impacts
F
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
Construction access,
Temporary
Dewatering
SB
Intermittent
Both
15
dewatering
Ave age (seep
(linear feet)
S2
Rip rap, culvert
Permanent
Fill
SD
Perennial
Both
20
Averege (feet)
(linear feet)
S3
Construction access,
Temporary
Dewatering
SE
Perennial
Both
dewatering
Average (feet)
(linear feet)
S4
Construction access,
Temporary
Dewatering
SH
Intermittent
Both
23
dewatering
Average (feet)
(linear feet)
S5
Construction access,
Temporary
Dewatering
Si
Perennial
Both
25
dewatering
Averege (feet)
(linear feet)
S6
Construction access,
Temporary
Dewatering
Sv
Perennial
Both
55
75
dewatering, sewer line
Average (feet)
(linear feet)
installation
g7
Construction access,
Temporary
Dewatering
SW
Intermittent
Both
4
186
dewatering, sewer line
Average (reeq
(iinearfeet)
installation
gg
Construction access,
Temporary
Dewatering
SX
Intermittent
Both
2
100
dewatering, sewer line
Average (reef)
(iinearfeet)
installation
S9
Construction access,
Temporary
Dewatering
SL
Intermittent
Both
3
363
dewatering
Average (feet)
(linear feet)

S10
Construction access,
Temporary
Dewatering
SN
Perennial
Both
9
35
dewatering, sewer line
Average (feet)
(linear feet)
installation
S11
Construction access,
Temporary
Dewatering
SU
Perennial
Both
dewatering
Average (feet)
(linear feet)
S12
Culvert
Permanent
Culvert
SQ
Perennial
Both
80
Aveage (feet)
(linear feet)
S13
Construction access,
Temporary
Dewatering
SQ
Perennial
Both
4
55
dewatering, sewer line
Average (feet)
(linear feet)
installation
S14
Construction access,
Temporary
Dewatering
SN
Perennial
Both
5
27
dewatering, sewer line
Average (feet)
(linear feet)
installation
S15
Construction access,
Temporary
Dewatering
SO
Perennial
Both
4
22
dewatering, sewer line
Average (feet)
(linear feet)
installation
31. Total jurisdictional ditch impact in square feet:
31. Total permanent stream impacts:
100
3i. Total stream and ditch impacts:
1040
31. Total temporary stream impacts:
940
3j. Comments:
There are 100-linear feet of proposed permanent stream impacts for culvert replacement on 28th Street and culvert installation at the North 1-85 LS
installation (Impacts plan sheets C-103 and C-502; Impact numbers S2 and S12). The culvert replacement on 28th Street is to meet grade elevations for
the gravity sewer line and the culvert installation at the North 1-85 LS installation for site access.
There are a total of 100-linear feet of proposed permanent stream impacts.
There are 940-linear feet of proposed temporary stream impacts for construction access, dewatering, and sewer line installation along the sewer
alignments (Impacts plan sheets C-101, C-103, C-104, C-201, C-207, C-306, C-307, C-308, C-312, C-314, C-321, C-408, C-502, C-507, and C-508;
Impact numbers S1, S3, S4, S5, S6, S7, S8, S9, S10, 511, S13, S14 and S15).
There are a total of 940-linear feet of proposed temporary stream impacts.
The stream bed in areas of proposed temporary stream impacts will be restored to pre -project elevations and widths using natural stream bed material.
Temporarily impacted stream banks in the maintained easements will be restored through regrading, seeding, and woven coir fiber mat and then be
maintained for future maintenance access. Temporarily impacted stream banks outside of the maintained easement will be restored through regrading,
seeding, woven coir fiber mat, and live staking of deep-rooted native species (typical details shown on sheet CID-1 0).
All work in or adjacent to streams will be conducted so that the flowing stream does not come in contact with the disturbed area (typical detail shown on
sheet CD-11).
There are a total of 1,040-linear feet of proposed permanent and temporary stream impacts
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
Neuse Tar -Pamlico
Catawba Randleman
Goose Creek Jordan Lake
Other
6b. Impact Type
Construction access, land clearing, sewer line
installation
6c. Per or Temp
T
6d. Stream name
SA
6e. Buffer mitigation required?
No
6f. Zone 1 impact
686
6g. Zone 2 impact
0
Construction access, land clearing
T
SA
No
0
900
Construction access
T
SD
No
1,073
0
Construction access
T
SD
No
0
566
Rip rap, culvert
P
SD
Yes
131
0
Construction access
T
SE
No
1,422
0
Construction access
T
SE
No
0
855
Construction access
T
SV
No
1,089
0
Construction access
T
SV
No
0
707

Land clearing, conversion, sewer line
installation
Land clearing, conversion, sewer line
installation
t
P
SV
SV
No
No
2,094
0
0
1,429
Construction access
T
SW
No
4,589
0
Construction access
Land clearing, conversion, sewer line
installation
Land clearing, conversion, sewer line
installation
T
P
P
SW
SW
SW
No
No
No
0
6,824
0
1,299
0
1,881
Construction access, land clearing
T
SX
No
3,014
0
Construction access, land clearing
Land clearing, conversion, sewer line
installation
Land clearing, conversion, sewer line
installation
T
P
P
SX
f
Tx
No
F
F
0
3,492
0
840
0
4,592
Construction access, land clearing
T
SL
No
6,927
0
Construction access, land clearing
Construction access, land clearing, sewer line
installation
Construction access, land clearing, sewer line
installation
T
T
T
SL
SIN
SN
No
No
No
0
26,945
0
4,998
0
35,552
Middleton LS installation
P
SN
Yes
400
0
Middleton LS installation
P
SIN
Yes
0
2,543
Construction access, sewer line installation
T
ST 11
No
0
405
Construction access, sewer line installation
T
SLI
No
1,957
0
Construction access, sewer line installation
T
LI
No
0
1,196
Land clearing, conversion, Joe Peed LS
P
LI
No
0
540
Construction access, sewer line installation
T
SQ
No
814
0
Construction access, sewer line installation
T
SQ
No
0
1,560
Access road 1-85 LS
P
SQ
Yes
912
0
Access road 1-85 LS
Land clearing, conversion, access road, sewer
line installation
Land clearing, conversion, access road, sewer
line installation
P
P
P
SQ
SQ
Q
F
Yes
No
No
0
6,400
0
1,281
0
4,734
Construction access, sewer line installation
T
SM
No
1,858
0
Construction access, sewer line installation
T
SM
No
0
1,569
Construction access, sewer line installation
T
SIN
No
2,430
0
Construction access, sewer line installation
T
SIN
No
0
1,569
Construction access, sewer line installation
T
SO
No
2,349
0
Construction access, sewer line installation
T
SO
No
0
1,651
Middleton LS installation
P
SS
Yes
238
0
Middleton LS installation
P
SS
Yes
0
568
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 55,153.00 53,667.00
Zone 1 Zone 2
Total Permanent impacts: 20,491.00 17,568.00

Zone 1 Zone 2
Total combined buffer impacts: 75,644.00 71,235.00
6i. Comments:
There are 131-square feet of the proposed permanent buffer impacts to Zone 1 for rip rap culvert protection for culvert replacement at 28th Street
(Impact plan sheet C-103, Impact number B5).
There are 638-square feet of proposed permanent buffer impacts to Zone 1 and 3,111-square feet of proposed permanent buffer impacts to Zone 2 for
installation of the Middleton LS (Impact plan sheet C-401, Impact numbers B24, B25, B42, and B43).
There are 912-square feet of proposed permanent buffer impacts to Zone 1 and 1,281-square feet of proposed permanent buffer impacts to Zone 2 for
access roadway installation at the North 1-85 LS (Impact plan sheet C-502, Impact numbers B32 and B33).
There are 18,810-square feet of proposed permanent buffer impacts to Zone 1 and 13,176-square feet of proposed permanent buffer impacts to Zone 2
for land clearing, conversion, and sewer line installation within future maintenance corridors along the sewer alignments and at the lift stations (Impacts
plan sheets C-306, C-307, C-308, C-321, and C-502, Impact numbers B10, B11, B14, B15, B18, B19, B29, B34, and 1335). Following installation of the
sewer lines and lift stations permanently impacted buffer areas for conversion will be regraded, seeded, and maintained as herbaceous ground cover for
future access.
There are a total of 6,073-square feet of proposed permanent buffer loss impacts.
There are a total of 31,986-square feet of proposed permanent buffer conversion impacts.
There are a total of 38,059-square feet of proposed permanent buffer impacts.
There are 55,153-square feet of proposed temporary buffer impacts to Zone 1 and 53,667-square feet of proposed temporary buffer impacts to Zone 2
for construction access, land clearing, and sewer line installation along the sewer alignments (Impacts plan sheets C-101, C-103, C-104, C-306, C-307,
C-308, C-312, C-314, C-317, C-321, C401, C-405, C-502, C-507, and C-508, Impact numbers 131, B2, B3, B4, B6, B7, B8, B9, B12, B13, B16, B17,
B20, B21, B22, B23, B26, B27, B28, B30, B31, B36, B37, B38, B39, B40, and 1341). Following installation of the sewer lines temporarily impacted buffer
areas outside of maintained easements will be regraded, seeded, and allowed to revegetate naturally with woody species.
There are a total of 108,820-square feet of proposed temporary buffer impacts.
There are a total of 146,879-square feet of proposed permanent and temporary permanent impacts.
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 wetland, stream and buffer impacts have been kept to the minimum possible to allow the sewer infrastructure installation. The planned
limits of disturbance for construction were reduced following the wetland delineation to reduce potential impacts. The planned permanent maintenance
corridors were reduced following the wetland delineation and kept to a maximum of 30 feet wide with areas 20 feet wide across the features. The
proposed impact amounts would be a maximum of potential impacts to the features. The actual construction efforts to replace and install the
infrastructure will likely require less than the proposed totals.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The actual construction efforts to replace and install the infrastructure will likely require less than the proposed totals. Actual land clearing will be the
minimum necessary to install the infrastructure. In wetlands, across stream channels and in riparian buffers, stumps will be grubbed only as needed to
install the infrastructure, and remaining stumps will be cut off at grade level. The general stripping of topsoil within wetlands along the construction
corridor will be avoided. Heavy equipment working in wetlands will be placed on mats to minimize soil disturbance and compaction. Work in wetlands will
be limited to only what is necessary to install the infrastructure.
Temporarily wetland areas within the permanent maintenance corridors will be seeded with native wetland herbaceous species and then be maintained
as herbaceous wetlands for future access.
Temporarily wetland areas outside of the planned permanent maintenance corridors will be seeded with native wetland seed mix and allowed to
revegetate naturally with woody species. All work in or adjacent to streams will be conducted so that the flowing stream does not come in contact with
the disturbed area. The stream bed in areas of proposed temporary stream impacts will be restored to pre -project elevations and widths using natural
stream bed material. Temporarily impacted stream areas within the permanent maintenance corridors will have the banks restored through regrading,
seeding, and woven coir fiber mat and then be maintained for future maintenance access. Temporarily impacted stream banks outside of the permanent
maintenance corridors will be restored through regrading, seeding, woven coir fiber mat, and live staking of deep-rooted native species. Temporarily
impacted riparian buffer areas outside of the permanent maintenance corridors will be allowed to revegetate naturally with woody species.
There will be no change in pre -construction contours of waters of the United States in temporarily impacted areas. Erosion control matting that
incorporates plastic mesh and/or plastic twine will not be used along streambanks or within wetlands. All mechanized equipment operated near surface
waters shall be inspected and maintained regularly to prevent contamination of surface waters from fuels, lubricants, hydraulic fluids, or other toxic
materials. Construction shall be staged in order to minimize the exposure of equipment to surface waters to the maximum extent practicable.
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):
D W R 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
a

3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Falling Creek Umbrella Mitigation Bank
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Riparian wetland 1.01
3c. Comments
Mitigation of 0.484 wetland credits is proposed for 0.242 acres of wetland fill associated with the planned replacement of the Middleton LS and
construction of the North 1-85 LS.
Mitigation of 1.797 wetland credits is proposed for 1.797 acres of wetland conversion associated with the planned sewer line installation and future
maintenance easements.
A total of 2.281 wetland mitigation credits would be purchased from a private bank in the Upper Neuse 03020201 River Basin or from the North Carolina
Division of Mitigation Services (NCDMS). Statements of availability (SOA) for 1.01 wetland credits from Wildlands Holding and for 0.14 wetland credits
from Resource Environmental Solutions are attached. The remainder of the credits or potentially all of the credits would be purchased from NCDMS.
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
6b. If yes, then identify the square feet of impact.
6c. Reason for impact
6d. Total impact (square
Multiplier
6e. Required mitigation
feet)
(square feet)
Zone 1
loss
1,681
1,681
Zone 2 loss 4,392 4,392
6f. Total buffer mitigation required
6073
6g. If buffer mitigation is required, is payment to a mitigation bank or NC Division of Mitigation Services proposed?
Yes No
6j. Comments:
Mitigation of 6,073 riparian buffer credits is proposed for 6,073-square feet of buffer loss associated with the planned replacement of the Middleton LS
and construction of the North 1-85 LS. A SOA for 6,000 riparian buffer credits from ECO TERRA is attached.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. 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
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes No
Comments:
G. Supplementary Information
r�
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
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?
Yes No
Comments:*
EA is still in process
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.
Sewer improvement project to maintain service.
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
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
A biological assessment for potential effects to endangered or threatened species was submitted to the US Fish and Wildlife Service (USFWS) Raleigh
office for review on January 18th, 2023. The biological assessment included a field survey for potential threatened and endangered species and habitats
conducted in the project area September 1st through 3rd, September 26th through 29th, and October 11th through 14th, 2022. A response from USFWS
was received on August 11th, 2023 (attached), concurring with the species determinations except for tricolored bat, for which USFWS recommended a
determination of "not likely to jeopardize the existing of the species" with specific recommendations to minimize impacts (prohibit tree cutting and
humane exclusion during pup season May 15-July 31; and cold winter months Dec. 1 - Mar. 31). These restrictions have been added to the project
design plans.
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?
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?"
The NC State Historic Preservation Office (NCSHPO) HPOWEB 2.0 mapper http://gis.ncdcr.gov/hpoweb/ was to identify known areas of archaeological
or historical value that are within the project area (Figure 7). One surveyed site — the Camp Butner Buildings (GV0534dup), is located in the project area
near East A Street and Central Avenue. There are two surveyed sites within 0.5 mile of the East Middleton LS site — the Hester -Green House (GV0489)
and New Hope Methodist Church (GV0488). A review request for the project was submitted to NCSHPO on February 6th, 2023. NCSHPO staff provided
a response on March 7th, 2023 (attached), noting they are aware of no historic resources that would be affected by the project.
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:
A No -Rise Certification has been completed and concluded that the sewer infrastructure replacement
and installation will not cause an adverse impact to special flood hazard areas.
8c. What source(s) did you use to make the floodplain determination?"
FEMA Floodplain Maps
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
01 SGWASA PCN_PJD request letter _9_29_2023.pdf
4.08MB
02 SGWASA PCN figures.pdf
11.01 MB
03 SGWASA Stream and Buffer Impact Maps.pdf
15.49MB
03 SGWASA Wetland Impact Maps.pdf
14.26MB
04401 Pre -Filing Notification _6_15_2023.pdf
607.57KB
05 USFWS response_8_11_2023.pdf
139.29KB
06 SHPO_response_3_7_2023.pdf
149.96KB
07 SGWASA data forms print.pdf
6.09MB
08 SGWASA JD request form _9_29_2023.pdf
2.22MB
09 SGWASA _PJD_Form _9_29_2023.pdf
180.56KB
10 SGWASA agent authorization form _9_25_2023.pdf
358.47KB
11 Wetland and Buffer mitigation SOAs.pdf
1.06MB
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:
Jason Hales
Signature
0194A, r Q/4lets
Date
9/29/2023
O