20240487 Ver 1_ePCN Application_20240327

DW R
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.
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# *
20240487 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
Information for Initial Review
la. Name of project:
Transco Main A MP 1345 Replacement Project
la. Who is the Primary Contact?*
Joey Lawler
1b. Primary Contact Email:
[e-mail]
Date Submitted
3/27/2024
Nearest Body of Water
Abbots Creek
Basin
Yadkin-PeeDee
Water Classification
WS-III
Site Coordinates
Latitude:
36.073515
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Forsyth
Is this a NCDMS Project
Yes No
Longitude:
-80.077679
What amount is owed?*
$240.00
$323.00
Select Project Reviewer*
Rebecca Chandler:rebecca.chandler
1c. Primary Contact Phone:*
[phone]
$570.00
$767.00
a

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: 12 - Utility Lines
NWP Numbers (for multiple NWPS):
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:
Transcontinental Gas Pipe Line Company, LLC
2b. Deed book and page no.:
NA - Existing easement only
2c. Contact Person:
Laura Rudolf

2d. Address
Street Address
2800 Post Oka Blvd., Level 11
Address Line 2
City
Houston
Postal / Zip Code
77056
2e. Telephone Number:
[phone]
2g. Email Address:*
Laura. [e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Laura Rudolf
3b. Business Name:
Transcontinental Gas Pipe Line Company, LLC
3c.Address
Street Address
2800 Post Oak Blvd, Level 11
Address Line 2
city
Houston
Postal / Zip Code
77056
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Joey Lawler
4b. Business Name:
S&ME, Inc.
4c.Address
Street Address
2016 Ayrsley Town Blvd, Suite 2A
Address Line 2
city
Charlotte
Postal / Zip Code
28204
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 / town:
Kernersville
2. Project Identification
State / Province / Region
TX
Country
USA
2f. Fax Number:
State / Province / Region
TX
Country
USA
3e. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:
O

2a. Property Identification Number:
6884-28-0223.000, 6884-17-1875.000 and
2b. Property size:
6884-16-7301.000,
—7.0 Acres
2c. Project Address
Street Address
South of Old Salem Rd, east of Welden Ridge Rd and west of Ellis Forest Rd
Address Line 2
city
State / Province / Region
Kernersville
NC
Postal / Zip Code
Country
27284
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Abbots Creek
3b. Water Resources Classification of nearest receiving water:"
WS-III
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401030202
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 consists primarily of an existing natural gas pipeline ROW. The current ROW is 150-foot wide and maintained in an herbaceous state. Land use in the vicinity of the
project area consists mainly of residential development, wooded areas, and cleared/open fields.
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:
0.167
4g. List the total estimated linear feet of all existing streams on the property:
96
4h. Explain the purpose of the proposed project:
The purpose and need of the project is to replace a portion of the Transco A Pipeline such that it is compatible with natural gas pipeline requirements specified by USDOT.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
Construction associated with replacement of the pipeline will first involve demarcation of the limits of disturbance (LOD),
jurisdictional boundaries, and other associated workspaces, etc. Once the LOD have been demarcated, clearing of herbaceous vegetation within the maintained easement will commence.
The temporary equipment crossing will be installed across Stream S1 and along one side of the ROW to facilitate equipment passage and prevent excessive rutting and ground
disturbance in the wetland. Where necessary, low areas and environmental resources will be protected by use of temporary measures such as
staked waddles, compost filter socks, or other less -invasive siltation barriers that can temporarily be installed during this phase of the project. Installation of silt fence, silt fence outlets, and
other measures requiring ground disturbance will proceed prior to grading operations.
Grubbing and below -ground vegetation removal will be minimized within the wetland and along the streambanks, where it will be limited to that necessary to remove the old pipe and install
the new one. Select portions of the ROW may require light grading to facilitate safe passage of equipment and to prepare a suitably -level work surface. Within the wetland area where
extensive rutting or soil disturbance could occur, timber or composite mats are planned for use to provide work and travel space for equipment.
Following preparation of the work area and installation of necessary E&SC measures, the process of removing the old pipe and installing the new one will occur along the "non -working"
side of the ROW. Subsurface disturbance will only be conducted within the trench line at the wetland and stream crossing. In the wetland, efforts will be made to segregate topsoil from the
subsoil. If necessary, trench breakers (temporary barriers generally constructed of sandbags or similarly suitable material) will be installed
within the trench to slow the flow of subsurface water.
In general, lengths of the new pipe will be trucked to the site from the temporary storage yard, strung along the ROW, and placed on skids (wooden pedestals). Specialized machines will
be used to bend individual segments of pipe to fit the contours of the trench where necessary. The pipe segments will be welded together, x-rayed, the structural integrity and surface
coating inspected, and then lowered into the trench.
Portions of the trench may require dewatering or "padding" to prevent large rocks or other debris from coming in contact with the pipe. Permanent trench breakers will then be installed
where necessary and the trench backfilled. In areas where segregation of the subsoil and topsoil is required, the topsoil will be replaced last. Affected areas will then be "cleaned up" by
rough -grading and conducting temporary seeding, if necessary, followed by final grading, permanent seeding, and mulching to restore the ROW as
closely as possible to pre -disturbance contours and conditions.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
Comments:
No
G Unknown

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): Rebeckah Sims, PWS and Kylie Wallace. WPIT
Agency/Consultant Company: S&ME, Inc.
Other:
6. Future Project Plans
6a. Is this a phased project?*
Yes No
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?
The project will require Erosion & Sedimentation Control Plan approved by NCDEQ-DEMLR.
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
2. Wetland Impacts
01
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W. *
2d. W. name
2e. Forested *
2f. Type of Jurisdicition *
?)
�2g. Impact
area
WA
Pipe replacement
L
Fad-ter Forest
WA
No
Both 1�1
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.167 0.000
2g. Total Wetland Impact
0.167
2i. Comments:
Temporary impacts to WA will not involve a loss of Waters of the U.S., nor will they result in conversion of forested wetland to herbaceous wetlands.
3. Stream Impacts
❑
3a. Reason for impact (?)
3b.lmpact type *
3c. Type of impact*
3d. S. name *
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width
3h. Impact
length*
gt
Pipe replacement
Temporary
Other
S1
Perennial
�_]
Both
Average (feet)
96
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
0 96
3i. Total stream and ditch impacts:
96
3j. Comments:
Temporarily affected stream banks will be restored upon completion of pipe replacement.
E. Impact Justification and Mitigation O
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Pipe will be replaced within the existing easement and workspace will be reduced to 50 feet at the stream/wetland locations.

1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Construction equipment operating near the stream and wetland will be limited to that necessary for pipe removal, pipe installation and restoration
activities. Following the construction, the temporarily -affected streambanks and wetlands will be restored in accordance with the project construction
documents. Temporarily disturbed streambanks and wetland areas will be restored to their original contours and conditions to the degree practicable
upon project completion. Unless otherwise authorized by the appropriate permits, no fills or spoils of any kind will be permanently placed within wetlands
or along streambanks. Further, disturbed streambanks will be permanently stabilized using coir matting (with no plastic or nylon) and native vegetative
cover.
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
F. Stormwater Management and Diffuse Flow Plan (required by DWR) O
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
If no, explain why:
Project is not located within a river basin subject to riparian buffer rules administered by NCDWR.
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:
Project will not result in an increase in impervious surface.
G. Supplementary Information
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
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.
Project is not considered growth -inducing.
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.
Asheville

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?
FWS IPaC and NCNHP databases. See attached FWS CATX
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?
NOAA Essential Fish Habitat Mapper
https://www.fisheries. noaa. gov/resource/map/essenti a I -fish -habitat -map per
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?"
HPO Web 2.0 viewer. See attached NC SHPO CATX
8. Flood Zone Designation (Corps Requirement)
Be. Will this project occur in a FEMA-designated 100-year floodplain?"
Yes No
8c. What source(s) did you use to make the floodplain determination?"
NC Flood Mapper
https://flood.nc.gov/ncflood/index.html
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
File must be PDF or KMZ
Comments
The project as proposed requires written authorization from the USACE because a proposed work corridor wider than 40 feet at the wetland/stream crossing is required to safely replace
the pipe. Similarly, pre -construction written authorization by the NCDWR is required because the replacement pipe cannot be installed beneath the stream at a near- perpendicular angle.
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:
Joey Lawler
Signature
,%E✓ LAW
O

Date
3/27/2024