20231365 Ver 2_02_Beaverdam Creek Cover Letter_20231201

Axiom Environmental, Inc.
218 Snow Avenue, Raleigh, North Carolina 27603 919-696-3045
Axiom Environmental, Inc.
December 1, 2023
Matthew Martin
U.S. Army Corp of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
NC Department of Environmental Quality
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
RE: Nationwide Permitting Application, NWP 33, Temporary Construction, Access, and Dewatering and
associated General Water Quality Certification; Princeton Beaverdam Creek, Princeton, NC.
USACE Action ID of SAW-2023-01202
On behalf of the Town of Princeton, Axiom is happy to provide the U.S. Army Corps of Engineers (USACE)
and the NC Division of Water Resources (NCDWR) with the attached USACE Nationwide Permit (NWP)
and NCDWR General Certification (GC) notification/application. A Preliminary Jurisdictional
Determination (PJD) package was submitted on July 12, 2023, and was assigned a USACE Action ID of
SAW-2023-01202. Approval of the PJD was received via email on July 20, 2023.
The project is centered on Beaverdam Creek from Railroad Avenue in downtown Princeton generally
southeast to the crossing of Luby Smith Road (Figure 1). This project is designed to help decrease
flooding on public and private properties due to storm damage from Hurricane Matthew. Proposed
project activities involve:
The removal of accumulated sediment within approximately 1582 linear feet of Beaverdam
Creek (adjacent and immediately upstream and downstream of the wastewater plant). Project
details are shown on the attached Princeton Beaver Dam Creek Rehabilitation — Division 2
(sheet 4.0).
o Dewatering of Beaverdam Creek using temporary cofferdams and rip rap outlet pads.
o Excavated sediment will be temporarily stored within two laydown area surrounded
with silt fence within Town property and right of ways. Once adequately dried, material
will be loaded and hauled to a permitted landfill facility.
o Activities are anticipated to be authorized under NWP 33, Temporary Construction,
Access, and Dewatering and the associated 401 Water Quality Certification.

2. Bank repair activities along 150 feet of Beaverdam Creek to stabilize severely eroded banks
adjacent to the Princeton wastewater treatment plant. Project details are shown on the
attached Princeton Beaver Dam Creek Rehabilitation — Division 2 (sheets C3.0 - C3.2).
o Eroding bank slopes will be stabilized, and riprap will be keyed into place on the right
(southwest) bank.
o All proposed activities have been reduced to the minimum necessary and will occur
entirely outside or above the OHWM; therefore, no permitting requirements are
anticipated.
3. The removal of accumulated vegetation and debris within and along approximately 10,300
linear feet of Beaverdam Creek and approximately 1,150 linear feet of an unnamed tributary to
Beaverdam Creek (for a total of 11,450 linear feet). Project details are shown on the attached
Princeton Beaver Dam Creek Rehabilitation — Division 1 (sheet C3.0).
o Vegetative and other debris removal is anticipated along the entire reach of Beaverdam
Creek between Railroad Avenue and Luby Road.
o All debris will be removed by hand, using chainsaws and winches to remove large debris
from the channel.
o All activities are non -regulated and no permit requirements are anticipated.
Again, Axiom and the Town of Princeton would like to request authorization for Section 404 and 401
impacts to potential jurisdictional areas under Nationwide Permit 33, Temporary Construction, Access,
and Dewatering and the associated NCDWR Water Quality Certification. The Town of Princeton would
also like to provide a courtesy notification for activities 2 and 3 above. Please let us know if you have
questions about any of the information within this package. We are happy to discuss any aspects of the
project by phone, email, or in person. We look forward to working with you further on this project.
Sincerely,
Scott Davis
Axiom Environmental, Senior Scientist/Project Manager
919-696-3045
[e-mail]

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. Various
PLAN NO.
PARCEL ID: Various
STREET ADDRESS: Beaverdam Creek, from the culvert under the railroad at
E Edwards Street and Pearce Street to Luby Smith Road.
Please print:
Property Owner: Town of Princeton, NC
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Scott Davis
(Contractor / Agent)
of Axiom Environmental, Inc
(Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
503 Dr. Donnie H. Jones, Blvd West, Princeton, NC 27569
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
j L
AuthorizedSignatureAuthorized Signature
Date: 3 l Z 9 ( �� Date:

From: 401 PreFile <401 [e-mail]>
Sent: Friday, February 24, 2023 1:40 PM
To: Scott Davis
Subject: Automatic reply: [External] Princeton Beaverdam Creek Stabilization Project
This email confirms receipt of your pre -filing meeting request. Please retain this email for your records and
submit this documentation as part of your 401 application (PCN Application) as required by federal law. DWR
will not be able to accept your application without this federally required documentation. 401 applications
received without documentation that a pre -filing meeting request was submitted at least 30 days prior will be
returned as incomplete.
Responses to this email are not monitored.
If you need to contact 401/Buffer Permitting Staff, please use the following link(s) to access of staff contact
list(s).
For Non -Transportation Central Staff:
https://deg.nc.gov/about/divisions/water-resources/water-quality-permitting/401-buffer-permitting/401-
buffer-permitting-contacts
For Non -Transportation Regional
Staff: https://edocs.deg.nc.gov/WaterResources/DocView.aspx?dbid=0&id=2162034&cr=1
For all Transportation Projects Including NCDOT Projects:
https://deg.nc.gov/about/divisions/water-resources/water-resources-permits/transportation-
pe r m itt i ng/sta ff-co nta cts

From: Martin, Matthew K CIV CESAW
To: Scott Davis
Subject: SAW-2023-01202 (Beaverdam Creek Rehabilitation / Princeton NC / Johnston County): Delineation Concurrence
Date: Thursday, July 20, 2023 7:35:57 AM
Attachments: SAW-2023-01202 Fioures.odf
Dear Mr. Davis,
Reference is made to ORM ID SAW-2023-01202, please reference this number on any
correspondence regarding this action.
We have reviewed the information provided by you concerning the aquatic resources, and by copy
of this e-mail, are confirming that the aquatic resources delineation has been verified by the Corps
to be a sufficiently accurate and reliable representation of the location and extent of aquatic
resources within the identified review area. The location and extent of these aquatic resources are
shown on the delineation map, labeled 'POTENTIAL JURISDICTIONAL FEATURES', and dated April,
2023.
Regulatory Guidance Letter (RGL) 16-01
https://usace.contentdm.ocic.org/utils/getfile/collection/pl602lcoll9/id/l256 provides guidance for
Jurisdictional Determinations (JD) and states "The Corps generally does not issue a JD of any type
where no JD has been requested". At this time we are only verifying the delineation. This
delineation may be relied upon for use in the permit evaluation process, including determining
compensatory mitigation. "This verification does not address nor include any consideration for
geographic jurisdiction on aquatic resources and shall not be interpreted as such.
This delineation verification is not an Approved Jurisdictional Determination (AJD) and is not an
appealable action under the Regulatory Program Administrative Appeal Process (33 CFR Part 331).
Matthew K. Martin, PWS
Regulatory Specialist
U.S. Army Corps of Engineers
CE-SAW-RG-R
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
Mobile: [phone]
Email: matthew.k.martinna usace.army.mil
We would appreciate your feedback on how we are performing our duties. Our automated
Customer Service Survey can be accessed by copying and pasting the following link into your web
browser: https://reQulator;Lps.usace.armv.mil/customer-service-survey/. Thank you for taking the
time to visit this site and complete the survey.

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'tee auvnv��t"k
NORTH CAROLINA
Environmental Quality
Water Resources
Office Use Only
Corps Action I D no. [Click to enter.] Date received: [Click to enter.]
DWR project no. lick enter.] Date received: [Click to enter.]
Site Coordinates:
Latitude (DD.DDDDDD): 35.460972
Longitude (DD.DDDDDD):-78.153938
Form Version 4.3, April 20, 2022
Pre -Construction Notification (PCN) Form
(Ver. 4.2, January 31, 2022))
For Nationwide Permits and Regional General Permits and corresponding Water Quality Certifications
Please note: fields marked with a red asterisk are required. The form is not considered complete until all
mandatory questions are answered.
The PCN help document may be found at this link:
https://edocs.deg.nc.gov/WaterResources/DocView.aspx?dbid=0&id=2196924&cr=1
Please ensure you have submitted a pre -filing meeting request at least 30 days prior to submitting this
form, as DWR will not be able to accept your application without documentation of this important first step.
The Division has developed a Pre -filing Meeting Request email address 401 PreFileCa)-ncdenr.gov to accept
the federally required pre -filing meeting request and provide confirmation receipt of submittal . This receipt
or similar documentation will satisfy 40 C.F.R. Section 121.4(a) which states "At least 30 days prior to
submitting a certification request, the project proponent shall request a pre -filing meeting with the certifying
agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all certification requests must
include documentation that a pre -filing meeting request was submitted to the certifying authority at least 30
days prior to submitting the certification request.
Attach documentation of Pre -Filing Meeting Request to this Application.
Date of Pre -filing Meeting Request (MM/DD/YYYY) : 2/24/2023
Page 1 of 21 PCN Form Version 4.3- April 20, 2022

A. Processing Information
County (counties) where project is located:
Johnston Additional (if needed).
Is this a NCDMS project?
(Click yes only if NCDMS is the applicant or co-
❑ Yes ❑x No
applicant)
Is this a public transportation project?
(Publicly funded municipal, state, or federal road, rail,
❑ Yes ❑x No
or airport project)
Is this a NCDOT project?
❑ Yes ❑x No
If yes, NCDOT TIP or state project number:
N/A
If yes, NCDOT WBS number:
N/A
❑x Section 404 Permit (wetlands, streams, waters,
Clean Water Act)
la. Type(s) of approval sought from the Corps:
❑ Section 10 Permit (navigable waters, tidal
waters, Rivers and Harbors Act)
Has this PCN previously been submitted?
❑ Yes ❑x No
Please provide the date of the previous submission.
N/A
❑x Nationwide Permit (NWP)
1 b. What type(s) of permit(s) do you wish to seek
❑ Regional General Permit (RGP)
authorization?
❑ Standard (IP)
This form may be used to initiate the standard/ individual permit
process with the USACE. Please contact your Corps
representative concerning submittals for standard permits. All required items can be included as attachments and
submitted with this form.
1 c. Has the NWP or GP number been verified by the Corps?
® Yes ❑ No
NWP number(s) (list all numbers ):
33
RGP number(s) (list all numbers ):
Click to enter.
Are you a federal applicant?
❑ Yes ❑x No
If yes, please provide a statement concerning compliance with the Coastal Zone Management Act
N/A
1d. Type(s) of approval sought from DWR (check all that apply):
❑ 401 Water Quality Certification — Regular
❑ 401 Water Quality Certification— Express
❑ Non-404 Jurisdictional General Permit
❑ Riparian Buffer Authorization
❑x Individual 401 Water Quality Certification
Is this a courtesy copy notification
❑ Yes ❑x No
1e. Is this notification solely for the record because written approval is not required? *
For the record only for DWR 401 Certification:
❑ Yes ❑x No
For the record only for Corps Permit:
❑ Yes ❑x No
1f. Is this an after -the -fact permit/certification application?
❑ Yes ❑x No
Page 2 of 21 PCN Form Version 4.3- April 20, 2022

1g.
Is payment into a mitigation bank or in -lieu fee program proposed for
❑ Yes
❑x No
mitigation of impacts?
If yes, attach the acceptance letter from mitigation bank or in -lieu fee program.
1 h.
Is the project located in any of NC's twenty coastal counties? *
❑ Yes
❑x No
1 i.
Is the project located within an NC DCM Area of Environmental
❑ Yes
❑x No ❑ Unknown
Concern (AEC)? *
1j.
Is the project located in a designated trout watershed? *
❑ Yes
❑x No
If yes, you must attach a copy of the approval letter from the appropriate Wildlife Resource Commission Office.
Trout information may be found at this link: http://www.saw.usace.army.miI/Missions/Regulatory-Permit-
Program/Agency-Coordination/Trout.aspx
Page 3 of 21 PCN Form Version 4.3- April 20, 2022

B. Applicant Information
1 a.
Who is the primary contact?
Scott Davis
1b.
Primary Contact Email:
[e-mail]
1 c.
Primary Contact Phone: (###)###-####
919-696-3045
1 d.
Who is applying for the permit/certification? (check
all that apply)
❑ Owner 0 Applicant (other than owner)
1 e.
Is there an agent/consultant for this project?
® Yes ❑ No
2.
Landowner Information
2a.
Name(s) on Recorded Deed:
Town of Princeton
2b.
Deed Book and Page No.:
N/A, multiple
2c.
Contact Person (for corporations):
Michael King, Town Administrator
2d.
Address
Street Address:
503 Doctor Donnie H. Jones Jr. Blvd. West
Address line 2:
Click to enter.
City:
Princeton
State/ Province/ Region:
NC
Postal/ Zip Code:
27569
Country:
Click to enter.
2e.
Telephone Number: (###)###-####
919-936-8171
2f.
Fax Number: (###)###-####
919-936-2842
2g.
Email Address:
m.king @myprincetonnc.ccm
3.
Applicant Information (if different from owner)
3a.
Name:
Scott Davis
3b.
Business Name (if applicable):
Axiom Environmental
3c.
Address:
Street Address:
218 Snow avenue
Address line 2:
Click to ent6
City:
Raleigh
State/ Province/ Region:
NC
Postal/ Zip Code:
27603
Country
USA
3d.
Telephone Number: (###)###-####
919-696-3045
3e
Fax Number: (###)###-####
Click to entr
3f.
Email Address:
[e-mail]
Page 4 of 21 PCN Form Version 4.3- April 20, 2022

4.
Agent/ Consultant (if applicable)
4a.
Name:
Scott Davis
4b.
Business Name:
Axiom Environmental
4c.
Address:
Street Address:
218 Snow Ave
Address line 2:
Click to enter.
City:
Raleigh
State/ Province/ Region:
NC
Postal/ Zip Code:
27603
Country:
USA
4d.
Telephone Number: (###)###-####
919-696-3045
4e
Fax Number: (###)###-####
Click to enter.
4f.
Email Address:
[e-mail]
Agent Authorization Letter:
Attach a completed/signed agent authorization form or letter. A sample form may be found at this link:
https://www.saw.usace.army. mil/Missions/Reg ulatory-Permit-Program/Permits/2017-Nationwide-Permits/Pre-
construction-Notification/
Page 5 of 21 PCN Form Version 4.3- April 20, 2022

C. Project Information and Prior Project History
1. Project Information
1a. Name of project: *
Princeton Streamflow Rehabilitation Project
1 b. Subdivision name (if appropriate):
Click to ente
1c. Nearest municipality/town: *
Town of Princeton
2.
Project Identification
2a.
Property identification number (tax PIN or parcel ID):
N/A Multiple
2b.
Property size (in acres):
—4.7 acres
2c.
Project Address:
Street Address:
N/A, Multiple
Address line 2:
Click to U1I«J .
City:
Princeton
State/ Province/ Region:
NC
Postal/ Zip Code:
27569
Country:
USA
2d.
Site coordinates in decimal degrees (using 4-6 digits
after the decimal point):
Latitude (DD.DDDDDD): 35.460972
Longitude (-DD.DDDDDD):--78.153938
3. Surface Waters
3a. Name of nearest body of water to proposed project:
Beaverdam Creek
3b. Water Resources Classification of nearest receiving
WS-IV; NSW
water:
The Surface Water Classification map may be found at this link:
https://ncdenr.maps.arcgis.com/apes/webappviewer/index.html?id=6el25ad7628f494694e259c8Odd64265
Neuse
3c. In what river basin(s) is your project located?`
noose additional (if needed)
3d. Please provide the 12-digit HUC in which the project is
030202011704
located:
The Find Your HUC map may be found at this link:
https://ncdenr.maps.arcqis.com/apps/PubIicInformation/index.html?appid=ad3a85aOc6d644aOb97cdO69db238ac3
Page 6 of 21 PCN Form Version 4.3- April 20, 2022

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 located in central Princeton, NC and involves the removal of accumulated sediment adjacent
to and near the wastewater treatment plant.
4b. Have Corps permits or DWR certifications been obtained for this
® Yes ❑ No ❑ Unknown
project (including all prior phases) in the past?
If yes, please give the DWR Certification number and/or Corps
[Click to enter.]
Action ID (ex. SAW-0000-00000):
Allison Keith
Attach any pertinent project history documentation
4b2. Is any portion of the work already complete?
❑ Yes ❑x No
If yes, describe the completed work.
N/A
4c. List of other certifications or approvals/denials received from other federal, state or local agencies for work
described in this application not related to the 404 or 401.
N/A
4d. Attach an 8'Y2 x 11" excerpt from the most recent version of the USGS topographic map indicating the location of
the project site.
4e. Attach an 8'Y2 x 11" excerpt from the most recent version of the published County NRCS Soil Survey map
depicting the project site.
4f. List the total estimated acreage of all existing wetlands on the
0.238 acres
property:
4g. List the total estimated linear feet of all existing streams (intermittent
1927 linear feet
and perennial) on the property:
4g1. List the total estimated acreage of all existing open waters on the
0 acres
property:
4h. Explain the purpose of the proposed project:
Sediment has accumulated throughout this reach of Beaverdam Creek, above and below the wastewater
treatment facilities, causing increasingly repetitive and severe flooding.
4i. Describe the overall project in detail, including the type of equipment to be used:
The purpose of the project is to repair bank failures and remove accumulated sediment from the stream channel
adjacent to the Prineton Wastewater Treatment Plant. Bank repairs will be performed above the Ordinary High
Water Mark to protect facilities and reduce sediment introduction to the channel. Standard construction
equipment including bucket excavators and dump trucks sized for residential yards and narrow location access
will be used for all parts of the project. Historic aerial photography from 1960 indicates that this reach of stream
was historically ditched and straightened, and all excavation will be limited to the removal of accumulated
sediment and will not undermine any portion of existing streambank fill.
4j. Attach project drawings/site diagrams/depictions of impact areas for the proposed project.
4k. Will this activity involve dredging in wetlands or waters?
® Yes ❑ No
If yes, describe the type of dredging, the composition of the dredged material, and the locations of disposal area.
Accumulated sediment is composed primarily of coarse sand mixed with some finer silt materials and embedded
vegetative and trash debris. All sediment will be placed in temporary drying areas adjacent to the site and then
transported to a certified landfill facility for disposal.
Page 7 of 21 PCN Form Version 4.3- April 20, 2022

5.
Jurisdictional Determinations
5a.
Have the wetlands or streams been delineated on the property or in
® Yes ❑ No ❑ Unknown
proposed impact areas?
Comments:
Wetlands and streams were delineated in December 2021.
5b.
If the Corps made a jurisdictional determination,
❑x Preliminary ❑ Approved ❑ Emailed concurrence
what type of determination was made?
❑ Not Verified ❑ Unknown ❑ n/a
Corps AID number (ex. SAW-0000-00000):
SAW-2023-1365
Name (if known): S.Davis, M.Adams
5c.
If 5a is yes, who delineated the jurisdictional
Agency/Consultant Company: Axiom Environmental, Inc.
areas?
Other: Click to enter
5d.
List the dates of the Corps jurisdictional determination or State determination if a determination was made by
either agency.
7/20/2023
5d1.
Attach jurisdictional determinations.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ❑x No
6b. If yes, explain.
N/A
Are any other NWP(s), regional general permit(s), or individual permit(s) used, or intended to be used, to
authorize any part of the proposed project or related activity? This includes other separate and distant crossings
for linear projects that require Department of the Army authorization but don't require pre -construction
notification.
No
7. Addresses of adjoining property owners, lessees, etc. whose property adjoins the waterbody (if more than can be
entered here, please attach a supplemental list)
J&N Developers LLC, 501 S Pearl Street, Princeton, NC 27569
William J Ormond Jr., Parcel 265213-23-3637, Address unavailable.
Please see attached permit drawings for locations.
8. Scheduling of activity:
Project activities will be bid and constructed as soon as feasible after project authorizations.
Page 8 of 21 PCN Form Version 4.3- April 20, 2022

D. Proposed Impacts Inventory
Impacts Summary
❑ Wetlands ❑x Streams - tributaries
1 a. Where are the impacts associated with your project ❑ Buffers ❑ Open Waters
(check all that apply):
❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, complete this table for each wetland area impacted.
2a.
Site #
2a1.
Impact
Reason/Type
2b.
Impact
Duration
2c.
Wetland Type
2d.
Wetland Name
2e.
Forested
?
2f.
Jurisdiction
Type
2g.
Impact Area
(ac)
W1
Choose one
emp/ Perm
Choose onE
,lick to enter
Y/I\
;hoose one
Click to enter
W2
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W3
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W4
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W5
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W6
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W7
Choose one
-emp/ Perm
Choose onE
Click to enter
Y/N
choose one
Click to enter
W8
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W9
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W10
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W11
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W12
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W13
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W14
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W15
Choose one
Temp/ Perm
Choose one
Click to enter
'/N
Choose one
Click to enter
2g1. Total temporary wetland impacts
0 ac
2g2. Total permanent wetland impacts
0 ac
2g3. Total wetland impacts
0 ac
2h. Type(s) of material being discharged and the amount of each type in cubic yards:
n/a
2i. Comments:
No wetlands are to be impacted during this project.
Page 9 of 21 PCN Form Version 4.3- April 20, 2022

3. Stream Impacts
If there are perennial or intermittent stream/ tributary impacts (including temporary impacts) proposed on the site,
complete this table for all stream/ tributary sites impacted.
** All Perennial or Intermittent streams must be verified by DWR or delegated local government
Site #
3a
Impact
Reason
3b.
Impact
Duration
3c.
Impact Type
3d.
Stream Name
3e.
Stream
Type
3f.
Jurisdiction
Type
3g.
Stream Width
(avg ft)
3h.
Impact length
(linear ft)
S1
Fill for
dewatering
(cofferdams
and outlet pad)
Temporary
Fill (Incl.
Riprap)
Beaverdam
Creek
Perennial
Both
7
80
S2
Dewatering
Temporary
Dewatering
Beaverdam
Creek
Perennial
DWR
7
1582
S3
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S4
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S5
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S6
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S7
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S8
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S9
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S10
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S11
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S12
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S13
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S14
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S15
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S16
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S17
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S18
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S19
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S20
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
3i1. Total jurisdictional ditch
impact:
0 linear ft
3i2. Total permanent stream
impacts:
0 linear ft
M. Total temporary stream
impacts:
1593 linear ft
34. Total stream and ditch
impacts:
1593 linear ft
Page 10 of 21 PCN Form Version 4.3- April 20, 2022

3j. Comments:
Total fill is represented by temporary cofferdams and a rip rap outlet pad to allow for dewatering each daily work area.
The total for each set of cofferdams and rip rap outlet pads is 165 square feet per setup. The maximum number of work
areas required is anticipated to be 5; therefore, maximum potential temporary impacts due to fill are 825 square feet
(0.019 acre), of which, 730 square feet falls within the footprint of the total 1582 linear feet of dewatering. A maximum of
95 square feet of fill from temporary cofferdams (3 linear feet each) and a rip rap outlet pad (5 linear feet) falls outside
and adjacent to the dewatering and sediment removal area for a total length of 1593 linear feet of temporary impacts (one
cofferdam outside and adjacent upstream and one cofferam and the rip rap pad outside and adjacent downstream). No
permanent impacts are anticipated.
Page 11 of 21 PCN Form Version 4.3- April 20, 2022

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., individually list all open water impacts in the table below.
4a.
Site #*
4a1.
Impact Reason
4b.
Impact
Duration*
4c.
Waterbody Name*
4d.
Activity Type*
4e.
Waterbody
Type*
4f.
Impact area
(ac)*
01
Click to enter.
Temp/ Perm
Click to enter.
Choose one
:hoose one
Click to enter.
02
Click to enter.
Temp/ Perm
Click to enter
Choose one
-hoose one
Click to enter.
03
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
04
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
05
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
4g.
Total temporary open water impacts
0 ac
4g.
Total permanent open water impacts
0 ac
4g.
Total open water impacts
0 ac
4h.
Comments:
No open water impacts will occur.
5.
Pond or Lake Construction
If pond or lake construction is proposed, complete the table
below. (*This
does NOT include offline stormwater
management ponds.)
5a.
5b.
5c.
5d.
5e.
Pond ID
Proposed use or
Wetland Impacts (ac)
Stream
Impacts
(ft)
Upland
#
purpose of pond
Impacts (ac)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
Click to
Click to
Click to
Click to
Click tc
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
entF
P2
Choose one
Click to
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
entF
P3
Choose one
Click to
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
enter.
5f.
Total
Click to
Click to
Click to
Click to
Click to
Click to
Click
enter.
enter.
enter.
enter.
enter.
enter.
ente
5g.
Comments:
No pond/lake construction will occur
5h.
Is a dam high hazard permit required?
❑ Yes
❑x No
If yes, permit ID no.:
n/a
5i.
Expected pond surface area (acres):
n/a
5j.
Size of pond watershed (acres):
n/a
5k.
Method of construction:
n/a
Page 12 of 21 PCN Form Version 4.3- April 20, 2022

6. Buffer Impacts (DWR requirement)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts.
6a. Project is in which protected basin(s)?
(Check all that apply.)
❑x Neuse ❑ Tar -Pamlico ❑ Catawba
❑ Jordan ❑ Goose Creek ❑ Randleman
❑ Other: Click to ente
Site #*
6b.
Impact Type*
6c.
Impact Duration*
6d.
Stream Name*
6e.
Buffer
Mitigation
Required?*
6f.
Zone 1 Impact*
(sq ft)
6g.
Zone 2 Impact*
(sq ft)
131
Choose one
Temp/ Perm
Click to enter.
No
Click to enter.
Click to enter
B2
Choose one
Temp/ Perm
Click to enter.
No
Click to enter.
Click to enter
B3
Choose one
Temp/ Perm
Click to enter.
Y/iv
Click to enter.
Click to enter
B4
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter
B5
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B6
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B7
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B8
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B9
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B10
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
1311
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B12
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B13
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B14
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B15
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B16
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B17
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B18
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B19
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B20
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
6h. Total temporary impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
6h. Total permanent impacts:
Zone 1: Click to enter sq ft
Zone 2: Click to enter. sq ft
6h. Total combined buffer impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
6i. Comments:
All Riparian Buffer impacts have been previously authorized under Authorization 2023-1365. Temporary impacts
are limited to site access, material staging, and machinery movement. All areas of permanent and temporary
impacts will be revegetated upon completion. No trees will be removed.
Please attach supporting documentation (impact maps, plan sheets, etc.) for the proposed project.
Page 13 of 21 PCN Form Version 4.3- April 20, 2022

E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts through project design:
The proposed activity is limited to accumulated sediment removal areas directly adjacent to the Town of
Princeton Wastewater Treatment Plant. The area proposed for bank stabilization has been minimized to
minimum amount necessary and will occur entirely above the Ordinary High Water Mark. Dewatering is
proposed to separate all work from flowing water.
1 b. Specifically describe measures taken to avoid or minimize proposed impacts through construction techniques:
Details and depictions of specific materials and methods used for project activities are provided on Sheets C5.0 and
include erosion control details including the placement of erosion control fencing and dewatering of the channel during
construction. Depictions of anticipated impacts to potential jurisdictional areas are provided in the attached Impact
Drawings.
2. Compensatory Mitigation for Impacts to Waters of the U.S., Waters of the State, or Riparian Buffers
2a. If compensatory mitigation is required, by whom is it required? ❑ DWR ❑ Corps
(check all that apply)
2b. If yes, which mitigation option(s) will be used for this ❑ Mitigation Bank
project? (check all that apply) ❑ In Lieu Fee Program
❑ Permittee Responsible Mitigation
3. Complete if using a Mitigation Bank
(Must satisfy NC General Statute143-214.11 (d1).)
3a. Name of mitigation bank:
l JUK tU e111e1.
3b. Credits purchased/requested:
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Attach receipt and/or approval letter.
3c. Comments:
Click to enter.
4.
Complete if Using an In Lieu Fee Program
4a.
Attach approval letter from in lieu fee program.
4b.
Stream mitigation requested:
0 linear feet
4c.
If using stream mitigation, what is the stream temperature:
Choose one
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington
District's RIBITS website: (Please use the filter and select Wilmington district)
https://ribits.usace.army.miI/ribits apex/f?p=107:27:2734709611497::NO:RP:P27 BUTTON KEY:O
4d.
Buffer mitigation requested (DWR only):
0 square feet
4e.
Riparian wetland mitigation requested:
0 acres
4f.
Non -riparian wetland mitigation requested:
0 acres
Page 14 of 21 PCN Form Version 4.3- April 20, 2022

4g. Coastal (tidal) wetland mitigation requested: 0 acres
4h. Comments:
Impacts authorized under NWP 3, Maintenance do not require mitigation.
5. Complete if Providing a Permittee Responsible Mitigation Plan
5a. If proposing a permittee responsible mitigation plan, provide a description of the proposed mitigation plan,
including mitigation credits generated.
n/a
5b. Attach mitigation plan/documentation.
6.
Buffer Mitigation (State Regulated Riparian Buffer Rules) — DWR requirement
6a.
Will the project result in an impact within a protected riparian buffer
❑ Yes ❑x No
that requires buffer mitigation?
If yes, please complete this entire section — please contact DWR for more information.
6b.
If yes, identify the square feet of impact to each zone of the riparian buffer that requires
mitigation. Calculate the
amount of mitigation required in the table below.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
Click to enter.
Click to enter.
Choose one
Dlick to enter.
Zone 2
Click to enter.
Click to enter.
Choose one
Click to enter.
6f. Total buffer mitigation required
lick to enter.
6g.
If buffer mitigation is required, is payment to a mitigation bank or
❑ Yes ❑ No
NC Division of Mitigation Services proposed?
6h.
If yes, attach the acceptance letter from the mitigation bank or NC Division of Mitigation Services.
6i.
Comments:
No buffer mitigation is anticipated
Page 15 of 21 PCN Form Version 4.3- April 20, 2022

F. Stormwater Management and Diffuse Flow Plan (DWR requirement)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers
® Yes ❑ No
identified within one of the NC Riparian Buffer Protection Rules?
1 b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the
project is subject to a state implemented riparian buffer protection program, include a plan that fully documents
how diffuse/dispersed flow will be maintained.
All Stormwater Control Measures (SCM) must be designed in accordance with the NC Stormwater Design
Manual (https://deg.nc..qov/about/divisions/energv-mineral-land-resources/energv-mineral-land-permit-
guidance/stormwater-bmp-manual).
Associated supplement forms and other documentation must be provided.
❑ Level Spreader
What Type of SCM are you
❑ Vegetated Conveyance (lower seasonal high water table- SHWT)
providing?
❑ Wetland Swale (higher SHWT)
(Check all that apply)
❑ Other SCM that removes minimum 30% nitrogen
0 Proposed project will not create concentrated stormwater flow through the
buffer
For a list of options to meet the diffuse flow requirements, click here.
Attach diffuse flow documentation.
2.
Stormwater Management Plan
2a.
Is this an NCDOT project subject to compliance with NCDOT's
Individual NPDES permit NCS000250? *
El Yes 0 No
2b.
Does this project meet the requirements for low density projects as
defined in 15A NCAC 02H .1003(2)? *
0 Yes ❑ No
To look up low density requirements, click here:
http://reports.oah. state. nc.us/ncac/title%2015a%20-%20environmental%20guality/chapter%2002%20-
%20environmental%20management/subchapter%20h/15a%20ncac%2002h%20.1003.pdf
2c.
Does this project have a stormwater management plan (SMP)
ElYes ElNo
reviewed and approved under a state stormwater program or state -
approved local government stormwater program? *
0 n/a — project disturbs < 1 acre
Note: Projects that have vested rights, exemptions, or grandfathering from state or locally implemented
stormwater programs or projects that satisfy state or locally -implemented stormwater programs through use of
community in -lieu programs should answer "no" to this question.
2d.
Which of the following stormwater management program(s) apply?
0 Local Government
(Check all that apply.)*
❑ State
If you have local government approval, please include the SMP on their overall impact map.
Local Government Stormwater Programs *
❑ Phase II ❑ USMP
0 NSW ❑ Water Supply
Page 16 of 21 PCN Form Version 4.3- April 20, 2022

Please identify which local government stormwater program you are using.
Click to enter.
State Stormwater Programs * ❑ Phase II ❑ HQW or ORW
❑ Coastal Counties ❑ Other
Comments:
Click to enter.
Page 17 of 21 PCN Form Version 4.3- April 20, 2022

G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local)
® Yes ❑ No
funds or the 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 (North Carolina) Environmental
❑ Yes ❑x No
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
❑ Yes ❑ No
NEPA or SEPA final approval letter.)
Comments:
Funding is being provided by Johnston County; however, the project falls below the 10-acre threshold requiring
SEPA documentation.
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),
Federally Non -Jurisdictional Wetlands /Classified Surface Waters
❑ Yes ❑x No
(15A NCAC 2H. 1400) DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. If you answered "yes" to the above question, provide an explanation of the violation(s):
Click to enter.
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future
impacts) result in additional development, which could impact nearby
❑ Yes ❑x No
downstream water quality?
3b. If you answered "no", provide a short narrative description:
The proposed project is limited to repairs to existing streambanks and removal of accumulated sediment
introduced to this reach of stream through failing streambanks and upstream development.
3c. If yes, provide a qualitative or quantitative cumulative impact analysis in accordance with the most recent DWR
policy. (Attach .pdf)
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project? ❑ Yes ❑x No ❑ N/A
Page 18 of 21 PCN Form Version 4.3- April 20, 2022

4b. If yes, describe in detail the treatment methods and dispositions (non -discharge or discharge) of wastewater
generated from the proposed project. If the wastewater will be treated at a treatment plant, list the capacity
available at that plant.
Click to enter.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected
® Yes ❑ No
species or habitat? (IPAC weblink: https://www.fws.gov/ipac/ ffws.govl)
5b. Have you checked with the USFWS concerning Endangered Species
❑ Yes ❑x No
Act impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another federal agency involved?
❑ Yes ❑x No ❑ Unknown
If yes, which federal agency?
Click io enter.
5e. Is this a DOT project located within Divisions 1-8?
❑ Yes ❑x No
5f. Will you cut any trees in order to conduct the work in waters of the
U.S.?
❑ Yes ❑x No
5g. Does this project involve bridge maintenance or removal?
❑ Yes ❑x No
5g1. If yes, have you inspected the bridge for signs of bat use such as
staining, guano, bats, etc.? Representative photos of signs of bat use
❑ Yes ❑ No
can be found in the NLEB SLOPES, Appendix F, pages 3-7.
Representative photos of signs of bat use can be found in the NLEB SLOPES, Appendix F, pages 3-7. Link to
NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed NLEB-SLOPES&apps.pdf
If you answered yes to 5g1, did you discover any signs of bat use? *
❑ Yes ❑ No ❑ Unknown
If yes, please show the location of the bridge on the permit drawings/ project plans
5h. Does this project involve the construction/ installation of a wind
turbine(s)?
❑ Yes ❑x No
If yes, please show the location of the wind turbine(s) on the permit drawings/ project plans (attach .pdf)
5i. Does this project involve blasting and /or other percussive activities
that will be conducted by machines, such as jackhammers,
ElYes ❑x No
mechanized pile drivers, etc.?
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this
activity on the property (attach .pdf)
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated
Critical Habitat?
U.S. Fish & Wildlife Service Information for Planning and Consultation (IPaC) website and NC Natural Heritage
(NCNHP) website. Project reports for both are attached. The proposed project area contains low -quality habitat
for federally protected aquatic species and is anticipated to improve habitat quality. A review by the USFWS
Raleigh field office has been requested but a response has not been received.
Attach consultation documentation.
Page 19 of 21 PCN Form Version 4.3- April 20, 2022

6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as
an Essential Fish Habitat?
p Yes ❑x No
Is there submerged aquatic vegetation (SAV) around
the project vicinity?
El Yes ❑x No El Unknown
Will this project affect submerged aquatic vegetation?
❑ Yes ❑x No ❑ Unknown
Explain: Click to entr
6b. What data source(s) did you use to determine whether your site would impact Essential Fish Habitat?
NOAA Fisheries Essential Fish Habitat Mapper v2.0 (online).
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data):
http://gis.ncdcr.gov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural
❑ Yes ❑x No
preservation status (e.g., National Historic Trust designation or
properties significant in North Carolina history and archaeology)?
7b. What data source(s) did you use to determine whether your site would impact historic or archeological
resources?
The North Carolina State Historic Preservation Office GIS website v2.0 (online)
7c. Attach historic or prehistoric documentation.
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.,qov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain? *
® Yes ❑ No
8b. If yes, explain how the project meets FEMA requirements.
No changes to structures or constriction of channels is proposed. All work is anticipated to reduce flooding due
to accumulated sediment accumulation.
8c. What source(s) did you use to make the floodplain determination?
FEMA Flood Insurance Rate Map (map number 3720265200K).
H. Miscellaneous
Comments:
UICK to enter.
Attach pertinent documentation or attachments not previously requested
Page 20 of 21 PCN Form Version 4.3- April 20, 2022

I. Signature *
❑x By checking the box and signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete, to
the best of my knowledge and belief;
• 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;
• The project proponent hereby agrees 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");
• The project proponent hereby agrees to conduct this transaction by electronic means pursuant to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• The project proponent hereby understands that an electronic signature has the same legal effect and can be
enforced in the same way as a written signature; AND
• As the project proponent, I intend to electronically sign and submit the PCN/online form.
Full Name: Scott G. Davis
Signature: Scott G. Davis
Date: 12/1 /2023
Page 21 of 21 PCN Form Version 4.3- April 20, 2022