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HomeMy WebLinkAbout20151229 Ver 1_Individual_20151130-AAOPTI PIEDMONT TRIAD AIRPORT AUTHORITY November 24, 2015 U.S. Army Corps of Engineers Wilmington District Raleigh Regulatory Field Office 3331 Heritage Trade Dr., Suite 105 Wake Forest, NC 27587 Attention: Mr. David Bailey NC Deparhnent of Environmental Quality Division of Water Resources 401 & Buffer Permitting Unit 512 N. Salisbury St., 9`h Floor Raleigh, NC 27604 Ms. Daren Higgins Subject: Application for Section 404 Individual Permit, Section 401 Water Quality Certification, and Jordan Buffer Allowance for HAECO Facility Improvements at Piedmont Triad International Airport, Guilford County The Piedmont Triad Airport Authority (PTAH) hereby applies for Individual Permit and Water Quality Certification under Sections 404 and 401 of the Clean Water Act and 15A NCAC 2H .0500 and Jordan Buffer Allowance under 15A NCAC 213 .0267 for unavoidable impacts to jurisdictional 'Waters of the United States for improvements to the Timeo Aviation Services dha Haeco Airframe Services (HAECO) tenant facility at the Piedmont Triad International Airport (PTIA). This project was addressed in a short form I?nvironmental Assessment (EA) pending a Finding of No Significant Impact (FONSI) by the Federal Aviation Administration (FAA), consistent with the National Environmental Policy Act (NEPA). Jurisdictional resources within the project area have been verified (SAW -2015-00920) by the United States Army Corps of Engineers (USAGE) and the North Carolina Department of Environmental Quality (NCDEQ) Division of Water Resources (DWR). The existing HAECO facility is a purpose-built facility complex for aircraft base maintenance, located on approximately 112 acres Southeast of PTIA Runway 5Rf23L, between the Cessna Citation Service Center (to the Southwest) and the Honda Aircraft Company World Headquarters (to the Northeast). The complex includes three wide-body hangars (Hangars I -III) as well as a fourth (Hangar IV) for narrow body aircraft, The hangars are complemented with 60 acres of ramp parking space to accommodate HAECO's commercial, government, military, and other private aircraft owners and operators. The facility complex also includes corporate and customer offices; an on-site training center; shipping and receiving; and IIAECO's engineering design, integration, and manufacturing division. 1000A Tt�d Johnson Parkwny • Greensboro, North C,nrnlhl i 271100 • Pliono: 3313.665.56200 • Fvm 336,+665.11125 Mr. David Bailey and Ms. Karen Higgins November 24, 2015 Page 2 of 7 Proposed Project The proposed HAECO Facility Improvements include site preparation of approximately 16 acres of Airport land to be added to the existing HAECO facility for aviation -related development, including clearing, grading, fill, and excavation for: 1. Expansion of the existing concrete apron by approximately 204,600 sq. ft., with engine run-up pad and 21,200 sq. ft. connector throat to an existing Taxiway M connector (the connector throat will also link the two sides of the HAECO complex); 2. Construction of an approximately 177,400 sq. ft. two -bay wide-body aircraft maintenance hangar; 3. Construction of an approximately 33,810 sq. ft. support annex; 4. Construction of a new fire/water provision and expansion of the existing hazardous materials (HazMat) facility; 5. Addition of vehicle and pedestrian access and fire lanes. Extension of utilities to the new structures including communications, electrical, natural gas, water, and sanitary sewer (land disturbance for utility extensions are anticipated to be within the proposed project grading limits and will not impact additional special resources). Stormwater management and off-site mitigation for unavoidable wetland and stream impacts are also anticipated. Project Purpose and Need The proposed improvements would address the need to service two wide-bodied aircraft simultaneously by providing movement and hangar space. HAECO requires the capacity to service wide-bodied aircraft to meet current demand and to integrate its US operations with its international business of maintaining wide-bodied aircraft. These improvements will also provide a needed connection between the two sides of the existing HAECO complex to allow for movement of vehicles, supplies and equipment from one side to the other without having to cross airport taxiways or to depart and reenter secured areas for travel along public roads. The project would increase operational capabilities and improve efficiency at HAECO's PTIA facility. Affected Environment The proposed project is located entirely within the existing airport property. The HAECO facility is bounded by the PTIA Air Operations Area (AOA) to the Northwest, by Radar Road to the Southeast and by additional jurisdictional resources (wetlands and streams) then adjacent PTIA tenants to the Southwest and Northeast. The location is predominantly developed (aprons, taxiways, parking, hangars, buildings, and other structures) with maintained in -field lawns and stormwater/fire management ponds. The project area is located between the HAECO Hangars I - III complex to the Southwest and the Hangar IV complex to the Northeast. This approximately 16 -acre site includes nearly 11 forested acres with 1,601 linear feet unnamed perennial stream tributaries to Horsepen Creek and 0.81 acres abutting riparian wetlands. Alternatives to the Project During early project planning, consideration was given to locating the proposed new hangar adjacent to HAECO Maintenance Hangar I, at the southwest end of the HAECO facility, but this alternative would have required removal and replacement of the fire suppression system for existing Hangars I -III and would have reduced employee parking for those hangars. This Mr. David Bailey and Ms. Karen Higgins November 24, 2015 Page 3 of 7 alternative involved significant relocation of utilities and complicated employee access. This alternative does not satisfy the purpose and need for the project and was not carried forward. There are no reasonable actions, other than the preferred alternative, that feasibly substitute for the proposed project. The project, requiring specific dimensions and orientation of components, must be located at the existing HAECO facility, at the area available between existing Hangars III and IV. Locating the project on the northeast side of Hangar IV would eliminate some of the essential facility parking and fail to connect the Hangar IV facility with the rest of the HAECO complex. Locating the project on a site that is not contiguous with the existing HAECO facility would also fail to provide the necessary internal connection between the HAECO hangars and result in duplication of utilities, storm water management controls and other support facilities that are capable of serving an integrated facility. For a "No -Action / No -Permit" alternative, HAECO would have to continue routing aircraft and vehicular traffic on airport taxiways or through security and along public roads in order to traverse from one side of its existing complex to the other. HAECO would be required to explore other sites, other airports, and/or construct entirely new facilities in order to address its operational need to service wide-bodied aircraft. The preferred alternative is the only reasonable alternative that meets the project purpose and need. Due to the limited available space and location of streams and wetlands on both sides of and in the middle of the HAECO property, there is no project alternative which does not impact jurisdictional resources. Minimization of project impacts by decreasing the size of the proposed hanger is not possible because it is sized for the wide-bodied aircraft specified by the project need and purpose, and the size of the aircraft ramp cannot be reduced without sacrificing maneuvering space that is required by aircraft entering and exiting from the hangar or without eliminating the connector throat to Hangar IV. Retaining walls to minimize the side slopes would not reduce stream and wetlands impacts since it is the hangar structure itself, and the ramp pavement, that overlap the stream and wetland sites rather than the side slopes. Minimization of Impacts Based on the limited space at the HAECO facility, constraints of the site (jurisdictional resources on both sides and in the middle of the facility), and lack of practicable alternatives; it is anticipated that 1,601 linear feet perennial channel and 0.81 acres abutting wetlands will be impacted by the proposed project. PTAA will minimize potential unavoidable adverse effects of the Project consistent with FAA requirements and Section 404(b)(1) guidelines to the extent possible as follows: • Construction of stream culverts will minimize smothering of organisms by utilizing "pump -around"; minimize construction time; control turbidity through adherence to the Erosion and Sedimentation Control (E&SC) Plan; avoid unnecessary discharge; prevent creation of standing water; and prevent drainage of wet areas. • During construction, physiochemical conditions will be maintained and potency and availability of pollutants will be reduced; material to be discharged will be limited; treatment substances may be added if necessary; chemical flocculants may be utilized to enhance the deposition of suspended particulates in appropriate disposal areas. • The effects of dredged or fill material may be controlled by selecting discharge methods and disposal sites where the potential for erosion, slumping or leaching of materials into Mr. David Bailey and Ms. Karen Higgins November 24, 2015 Page 4 of 7 the surrounding aquatic ecosystem will be reduced. These methods include using containment levees, sediment basins, and cover crops to reduce erosion. Discharge effects will also be controlled by containing discharged material properly to prevent point and nonpoint sources of pollution; and timing the discharge to minimize impact, for instance during periods of unusual high water flows. The effects of a discharge will be minimized by the manner in which it is dispersed, such as, where environmentally desirable, orienting dredged/fill material to minimize undesirable obstruction to the surface water or natural flow, and utilizing natural contours to minimize the size of the fill; using silt screens or other appropriate methods to confine suspended particulates/turbidity to a small area where settling or removal can occur; selecting sites or managing discharges to confine and minimize the release of suspended particulates to give decreased turbidity levels and to maintain light penetration for organisms; and setting limitations on the amount of material to be discharged per unit of time or volume of receiving water. Discharge technology will be adapted to the needs of the site. The applicant will consider using appropriate equipment or machinery, including protective devices, and the use of such equipment in activities related to the discharge of dredged or fill material; employing appropriate maintenance and operation on equipment or machinery, including adequate training, staffing, and working procedures; using machinery and techniques that are especially designed to reduce damage to streams; designing access roads and channel spanning structures using culverts, open channels, and diversions that will pass both low and high water flows, accommodate fluctuating water levels, and maintain circulation and faunal movement; employing appropriate machinery and methods of transport of the material for discharge. Minimization of adverse effects on populations of plants and animals will be achieved by minimizing changes in water flow patterns which would interfere with the movement of animals; managing discharges to avoid creating habitat conducive to the development of undesirable airport wildlife hazards; avoiding sites having unique habitat or other value, including habitat of threatened or endangered species; using planning and construction practices to institute habitat development and restoration to produce a new or modified environmental state of higher ecological value by displacement of some or all of the existing environmental characteristics; timing discharge to avoid spawning or migration seasons and other biologically critical time periods; and avoiding the destruction of remnant natural sites within areas already affected by development. Compensatory Mitigation As of November 1, 2015, there are no available USACE or NCDEQ approved mitigation bank stream (SMU) or wetland (WMU) credits available for the Cape Fear 02 Hydrologic Unit (HUC 03030002) httDs:Hribits.usace.annv.mil/, htti)://Dortal.ncdenr.orp-/c/document library/. Compensation for unavoidable impacts to perennial stream channels and riparian wetlands will be provided off-site by the North Carolina Division of Mitigation Services (NCDMS). An In -Lieu Fee Request Form is being submitted to NCDMS and payment is pending approval by USACE and D WR. Mr. David Bailey and Ms. Karen Higgins November 24, 2015 Page 5 of 7 Cumulative Impacts No cumulative project environmental effects are anticipated: Past projects have included the nearby Honda MRO and Connector Road and the extension of Taxiway M. Only the Connector Road project involved quantifiable impacts (Nationwide 404/401 Permit and minor buffer variance for stream crossing). Future projects are the Cross -Field Taxiway and Northwest Development Site on the opposite side of the Airport in the Brush Creek rather than Horsepen Creek Sub -basin, and North Carolina Department of Transportation (NCDOT) roadway improvement projects in the project vicinity (I 73 Connector, US 220/NC 68 Connector, 1840, widening US 220, and widening Market Street). No significant environmental impacts have been determined for these projects. Cumulatively, the HAECO Facility Improvements would not add significant impacts, rather, the roadway improvements anticipate such development at PTIA. Fish and Wildlife As of March 25, 2015 the US Fish & Wildlife Service (USFWS) lists Small Whorled Pogonia (endangered) as the only protected species for Guilford County. The project is anticipated to have No Effect on this species - suitable habitat is not present at the project site and review of Natural Heritage Program (NCNHP) records indicated no known occurrences within 1 mile. No water body large enough and sufficiently open to be considered a potential feeding source for Bald Eagle (Bald & Golden Eagle Protection Act) is located within 1.13 miles of the project and there are no known occurrences of this species within 1 mile of the project. No Federal Candidate species are listed for Guilford County and there are no State -listed endangered or threatened species known to occur within 1 mile of the project. Approximately 4.95 acres of Piedmont bottomland forest and 5.77 acres mixed pine/hardwood forest would potentially be directly impacted by the project. An approximately 0.75 -acre non - jurisdictional fire -suppression pond will also be impacted. Wildlife potentially displaced include limited terrestrial and aquatic species typical of the area. Loss of this isolated potential habitat area will be mitigated in conjunction with the mitigation of wetland and stream impacts and will not result in fragmentation or impacts to off-site habitat. Historic, Cultural, Scenic, and Recreational Values No resources eligible for listing on the National Register of Historic Places (NRHP) will be impacted by the project according to the HPOWEB map. The North Carolina Department of Cultural Resources (NCDCR) State Historic Preservation Office (SHPO) had no comment in response to scoping or to the draft EA for the proposed project. Stormwater Stormwater control measures (SCMs) needed to develop the HAECO facility improvements in compliance with NCDEQ regulatory requirements for new airport development are described in the attached SCM Report. A 0.8 -acre high flow rate bioretention pond will infiltrate runoff generated from the 1St inch of rainfall at a relatively high rate to satisfy the water quality requirements outlined in Session Law 2012-200. In addition to providing treatment for the proposed new impervious areas associated with the HAECO facility improvements, the SCM will replace the treatment being provided by the existing wet pond located on the northeastern side of the site. The proposed project may cause increases to peak flows downstream but will not flood Mr. David Bailey and Ms. Karen Higgins November 24, 2015 Page 6 of 7 insurable structures, roads, or cause damage to existing property or the existing Harris Teeter detention pond. Prior to the commencement of construction, an E&SC plan for the project will be submitted to NCDEQ and PTAA will obtain the applicable E&SC approval and National Pollutant Discharge Elimination System (NPDES) construction permit. Potential temporary impacts to surface water quality as a result of the Build Alternative construction activities will be effectively mitigated through adherence to the approved E&SC plan and permit requirements, as well as through compliance with FAA AC 150/5370-1 OB. Other Federal, State, or Local Requirements Through the NEPA process, FAA has explored practicable project alternatives and impact minimization prior to addressing compensatory mitigation (sequencing). FAA has also explored the cumulative impacts of the proposed project. These potential cumulative impacts are detailed in the EA/FONSI. A lack of practical alternatives has been demonstrated pursuant to 15A NCAC 02H .0506(f). After consideration of size and configuration of the proposed activity, and all alternative designs, the basic project purpose cannot be practically accomplished in a manner which would avoid or result in less adverse impact to surface waters or wetlands. Minimization of impacts has been demonstrated pursuant to 15A NCAC 02H .0506(g) because the surface waters are able to continue to support the existing uses after project completion, and the impacts are required due to the spatial and dimensional requirements of the project; the location of existing structural and natural features that dictate the placement and configuration of the proposed project; and the purpose of the project and how the purpose relates to placement and configuration. The project: (1) has no practical alternative; (2) will minimize adverse impacts to surface waters based on consideration of existing topography, vegetation, fish and wildlife resources, and hydrological conditions; (3) will. not result in the degradation of groundwater or surface waters; (4) will not result in cumulative impacts, based upon past or reasonably anticipated future impacts, that cause or will cause a violation of downstream water quality standards; (5) provides for protection of downstream water quality standards through on-site stormwater treatment; and (6) provides for replacement of existing uses through mitigation. Additional regulatory requirements are addressed in the EA/FONSI. Mr. David Bailey and Ms. Karen Higgins November 24, 2015 Page 7 of 7 We appreciate your consideration of this request. Please feel free to contact me (rossera(a.esoair.ora, 336.665.5620) or Richard Darling (rdarlinaambakerintl.com, 919.481.5740) with questions or comments. One (1) complete and collated original application and supporting documentation are being provided to USACE with four (4) complete and collated copies to NCDEQ along with the application fee. Sincerely, P DMONT RIAD AIRPORT AUTHORITY J. lex Rosser, P.E. Deputy Executive Director Enclosures Completed Eng. Form 4345 (3 pages, PTAA signed) Permit Drawings (13 sheets, full size and 11"x 17") Stormwater Control Measures Report (31 pages) In -Lieu Fee Request to NCDMS PTAA Check for $570 as NCDEQ Application Fee cc: Sue Homewood, DWR-WSRO Richard Darling, Michael Baker Engineering, Inc. U.S. ARMY CORPS OF ENGINEERS 003 APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT OMB APPROVAL N0. EXPIRES: 28 FEBRUARYRY 20 20133 33 CFR 325. The proponent agency is CECW-CO-R. Public reporting for this collection of information is estimated to average 11 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of the collection of information, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters, Executive Services and Communications Directorate, Information Management Division and to the Office of Management and Budget, Paperwork Reduction Project (0710-0003). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT RETURN your form to either of those addresses. Completed applications must be submitted to the District Engineer having jurisdiction over the location of the proposed activity. PRIVACY ACT STATEMENT Authorities: Rivers and Harbors Act, Section 10, 33 USC 403; Clean Water Act, Section 404, 33 USC 1344; Marine Protection, Research, and Sanctuaries Act, Section 103, 33 USC 1413; Regulatory Programs of the Corps of Engineers; Final Rule 33 CFR 320-332. Principal Purpose: Information provided on this form will be used in evaluating the application for a permit. Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local government agencies, and the public and may be made available as part of a public notice as required by Federal law. Submission of requested information is voluntary, however, if information is not provided the permit application cannot be evaluated nor can a permit be issued. One set of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this application (see sample drawings and/or instructions) and be submitted to the District Engineer having jurisdiction over the location of the proposed activity. An application that is not completed in full will be returned. 1. APPLICATION NO. 5. APPLICANT'S NAME First - J. (ITEMS 1 THRU 4 TO BE FILLED BY THE CORPS) 2. FIELD OFFICE CODE 3. DATE RECEIVED 4. DATE APPLICATION COMPLETE (ITEMS BELOW TO BE FILLED BYAPPLICANT) 8. AUTHORIZED AGENT'S NAME AND TITLE (agent is not required) Middle -Alex Last - Rosser Company - Piedmont Triad Airport Authority E-mail Address-rossera@gsoair.org 6. APPLICANT'S ADDRESS: First - Richard Middle -B. Last - Darling Company - Michael Baker Engineering, Inc. E-mail Address-rdarling@mbakerintl.com 9. AGENT'S ADDRESS: Address- 1000A Ted Johnson Parkway Address- 8000 Regency Parkway, Suite 600 City - Greensboro State - NC Zip -27409 Country -USA City - Cary State - NC Zip -27518 Country -USA 7. APPLICANT'S PHONE NOs. WAREA CODE 10. AGENTS PHONE NOs. w/AREA CODE a. Residence b. Business c. Fax a. Residence 336.665.5600 336.665.5694 STATEMENT OF AUTHORIZATION b. Business c. Fax 919.481.5740 919.463.5490 11. [hereby authorize, Richard B. Darling to act in my behalf as my agent in the processing of this application and to furnish, upon request, supplemental information in support of this permit app' tions Jj CIA,, I I ��cl�15 C 1 1JATURE OF APPLICANT ATE NAME, LOCATION, AND DESCRIPTION OF PROJECT OR ACTIVITY 12. PROJECT NAME OR TITLE (see instructions) HAECO Facility Improvements 13. NAME OF WATERBODY, IF KNOWN (if applicable) 14. PROJECT STREET ADDRESS (if applicable) Unnamed tributaries to Horsepen Creek Address 623 Radar Road 15. LOCATION OF PROJECT Latitude: -N 36.096914 Longitude: oW 79.931388 City - Greensboro State- NC 16. OTHER LOCATION DESCRIPTIONS, IF KNOWN (see instructions) State Tax Parcel ID Municipality Section - Township - Range - Zip- 27410 ENG FORM 4345, OCT 2012 PREVIOUS EDITIONS ARE OBSOLETE. Page 1 of 3. 17. DIRECTIONS TO THE SITE from I-40 take exit 212B, take ramp right for I-73 N / Future I-840 toward Bryan Blvd.; At exit 2, take ramp right and follow signs for W Friendly Ave.; Turn left onto W Friendly Ave.; Turn right onto Old Friendly Rd.; Turn right onto Radar Rd.; Arrive at 623 Radar Rd. - turn left into HAECO secure facility and announce arrival in intercom - follow directions from security personnel. 18. Nature of Activity (Description of project, include all features) Site preparation of approximately 16 acres of Airport land to be added to the existing HAECO facility for aviation -related development, including clearing, grading, fill, and excavation for: Expansion of the existing concrete apron by approximately 204,600 sq. ft., with engine run-up pad and 21,200 sq. ft, connector throat to an existing Taxiway M connector (the connector throat will also link the two sides of the HAECO complex); Construction of an approximately 177,400 sq. ft. two -bay wide-body aircraft maintenance hangar; Construction of an approximately 33,810 sq. ft, support annex; Construction of a new fire/water provision and expansion of the existing hazardous materials (HazMat) facility; Addition of vehicle and pedestrian access and fire lanes. Extension of utilities to the new structures including communications, electrical, natural gas, water, and sanitary sewer (land disturbance for utility extensions are anticipated to be within the proposed project grading limits and will not impact additional special resources). Stormwater management and off-site mitigation for unavoidable wetland and stream impacts are also anticipated. 19. Project Purpose (Describe the reason or purpose of the project, see instructions) The proposed improvements would address the need to service two wide-bodied aircraft simultaneously by providing movement and hangar space. HAECO requires the capacity to service wide-bodied aircraft to meet current demand and to integrate its US operations with its international business of maintaining wide-bodied aircraft. These improvements will also provide a needed connection between the two sides of the existing HAECO complex to allow for movement of vehicles, supplies and equipment from one side to the other without having to cross airport taxiways or to depart and reenter secured areas for travel along public roads. The project would increase operational capabilities and improve efficiency at HAECO's PTIA facility. USE BLOCKS 20-23 IF DREDGED AND/OR FILL MATERIAL IS TO BE DISCHARGED 20. Reason(s) for Discharge Wetlands and streams must be filled in order to bring the site up to match existing taxiway and apron elevations. The proposed project is located entirely within the existing airport property. The HAECO facility is bounded by the PTIA Air Operations Area (AOA) to the Northwest, by Radar Road to the Southeast and by additional jurisdictional resources (wetlands and streams) then adjacent PTIA tenants to the Southwest and Northeast. The location is predominantly developed (aprons, taxiways, parking, hangars, buildings, and other structures) with maintained in -field lawns and stormwater/fire management ponds. The project area is located between the HAECO Hangars I -III complex to the Southwest and the Hangar IV complex to the Northeast. There are no reasonable actions, other than the preferred alternative, that feasibly substitute for the proposed project. The project, requiring specific dimensions and orientation of components, must be located at the existing HAECO facility, at the area available between existing Hangars III and IV. 21. Type(s) of Material Being Discharged and the Amount of Each Type in Cubic Yards: Type Type Type Amount in Cubic Yards Amount in Cubic Yards Amount in Cubic Yards cy clean fill 22. Surface Area in Acres of Wetlands or Other Waters Filled (see instructions) Acres 0.81 ac. wetlands, and or Linear Feet 1,60111 perennial stream channel 23. Description of Avoidance, Minimization, and Compensation (see instructions) Based on the limited space at the HAECO facility, constraints of the site (jurisdictional resources on both sides and in the middle of the facility), and lack of practicable alternatives; impacts to streams and wetlands cannot be avoided. PTAA will minimize potential unavoidable adverse effects of the Project consistent with FAA requirements and Section 404(b)(1) guidelines to the extent possible. Compensation for unavoidable impacts to jurisdictional stream channel and riparian wetlands will be provided by the North Carolina Division of Mitigation Services (NCDMS). ENG FORM 4345, OCT 2012 Page 2 of 3 24. Is Any Portion of the Work Already Complete? Yes QNo IF YES, DESCRIBE THE COMPLETED WORK 25. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (if more than can be entered here, please attach a supplemental list). a. Address- Timco Aviation Services dba HAECO Airframe Services; 623 Radar Road City - Greensboro State - NC b. Address- Honda Aircraft Company Inc.; 6430 Ballinger Road City - Greensboro State - NC Zip - 27410 Zip - 27410 c. Address- Textron Aviation - Cessna Citation Service Center; 615 Service Center Road City - Greensboro State - NC d. Address- North Carolina Department of Transportation; 1020 Birch Ridge Drive Zip - 27410 City - Raleigh State - NC Zip - 27610 e. Address - City - State - Zip - 26. List of Other Certificates or Approvals/Denials received from other Federal, State, or Local Agencies for Work Described in This Application. AGENCY TYPE APPROVAL* IDENTIFICATION NUMBER FAA EA *Would include but is not restricted to zoning, building, and flood plain permits DATE APPLIED DATE APPROVED DATE DENIED 8/31/2015 27. Application is hereby made for permit or permits to -authorize the work described in this application. I certify that this information in this application is complete and accurate. I rther certify that I possess the authority to undertake the work described herein or am acting as the duly authorized agent of the applicant GNATURE OF APPLICANT "DATE SI4Gt OFA DATE The Application must be signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly authorized agent if the statement in block 11 has been filled out and signed. 18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both. ENG FORM 4345, OCT 2012 Page 3 of 3