20240512 Ver 1_ePCN Application_20240404

DW R
DHlsloo 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# *
20240512 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Garcy Ward:garcy.ward
Information for Initial Review
la. Name of project:
BR-0004 (Geotechnical Borings)
la. Who is the Primary Contact?*
Chris Rivenbark
1b. Primary Contact Email: *
[e-mail]
Date Submitted
4/4/2024
Nearest Body of Water
Pungo River
Basin
Tar -Pamlico
Water Classification
SC; NSW (upstream) SB; NSW (downstream)
Site Coordinates
Latitude:
35.571665
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Beaufort
Hyde
Is this a NCDMS Project
Yes No
Longitude:
-76.501264
Reviewing Office*
Washington Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]

Is this project a public transportation project?*
Yes No
Is this a NCDOT Project?*
Yes No
(NCDOT only) T.I.P. or state project number:
BR-0004
WBS # (1)
67004.1.1
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: 6 - Survey Activities
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
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
401 Water Quality Certification - Express
Riparian Buffer Authorization
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
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
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:
NCDOT
2b. Deed book and page no.:
Yes No
Yes No

2c. Contact Person:
2d.Address
Street Address
2815 Rouse Road Extension
Address Line 2
city
Kinston
Postal / Zip Code
28504
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Chris Rivenbark
3b. Business Name:
RK&K
3c.Address
Street Address
8601 Six Forks Rd.
Address Line 2
Forum 1 - Suite 700
city
Raleigh
Postal / Zip Code
27615
3d. Telephone Number:
[phone]
3f. Email Address:"
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Chris Rivenbark
4b. Business Name:
4c.Address
Street Address
8601 Six Forks Rd.
Address Line 2
Forum 1 - Suite 700
city
Raleigh
Postal / Zip Code
27615
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
3e. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:
a
1c. Nearest municipality / town:
Belhaven

2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
city
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:"
Pungo River
3b. Water Resources Classification of nearest receiving water:'
SC; NSW (upstream) SB; NSW (downstream)
3c. What river basin(s) is your project located in?*
Tar -Pamlico
3d. Please provide the 12-digit HUC in which the project is located.
030201040404
4. Project Description and History
2b. Property size:
State / Province / Region
Country
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: "
2-lane rural transportation facility crossing the Pungo River. Land use consists of sparse residential, agricultural, and silvicultural uses.
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:
18.37
4g. List the total estimated linear feet of all existing streams on the property:
607
4h. Explain the purpose of the proposed project:"
Subsurface investigation is required for the bridge replacement project on US 264 over the Pungo River.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
There are total of nine borings proposed, four on land and five in the water. A track -mounted drill rig will be mobilized to the site for the roadway and bridge end bent borings located on the
west and east of the proposed alignment. On water, the remaining five borings for the proposed interior bents will require the use of a floating aluminum barge that will be spudded into the
mudline during drilling. A drill rig will be placed on the barge.
See included boring plan for additional details.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No O Unknown
Comments:
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):
Agency/Consultant Company:
Other:
6. Future Project Plans
Jessica Tisdale and Eanas Alia
HDR
Ga. 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?
An application for the actual bridge replacement will be submitted after design is completed.

D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
2. Wetland Impacts
0
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W.
2d. W. name
2e. Forested"
2f. Type of Jurisdicition'�
2g. Impact
area
West
hand clearing
T
Estuarine Woody Wetland
WE
Yes
Both
0.012
(acres)
West
drill jacks/boring
T
Estuarine Woody Wetland
WE
Yes
Both
0.000
(acres)
East
hand clearing
T
SalUBrackish Marsh
WB
No
Both
0.002
(acres)
ff:71Fr1ll
jacks/boring
T
ralt/BrackishMarsh
WB JNo=�Both
0.000
____]
acres)
2g. Total Temporary Wetland Impact
0.014
2g. Total Wetland Impact
0.014
2i. Comments:
4 drill jacks at 4 locations = 4.0 sq ft
1 bore casing at 4 locations =0.4 sgft
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.000
❑
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
drill jacks/boring
Temporary:]
Fill
Pungo River
Perennial
Both
560
Average (feet)
30
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
3L Total permanent stream impacts:
0
31. Total stream and ditch impacts:
30
3j. Comments:
4 spuds at 5 locations =2.0 sgft
1 bore casing at 5 locations =0.5 sgft
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
Neuse
Catawba
Goose Creek
Other
31. Total temporary stream impacts:
30
Tar -Pamlico
Randleman
Jordan Lake
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
West -Hand clearing
T
Pungo River
No
20
137
East -Hand clearing
T
Pungo River
No
47
185
6h. Total buffer impacts:
Zone 1 Zone 2

Total Temporary impacts: 67.00 322.00
Zone 1 Zone 2
Total Permanent impacts: 0.00 0.00
Zone 1 Zone 2
Total combined buffer impacts: 67.00 322.00
6i. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The land borings access alignment utilizes upland areas where possible.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Hand clearing will be used and only individual trees blocking access will be cut. The track -mounted drill rig applies low pressure with minimal
disturbance.
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
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The proposed impacts are temporary.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30 % nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
Yes No
1b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
Yes No
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?
Yes No
Comments:*
The CE being prepared is a Type II, which will not require submittal to the State Clearing House.
8
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.
The borings are only needed for bridge design.
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
Sc. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
Yes No Unknown
What Federal Agency is involved?
NOAA Fisheries
5e. Is this a DOT project located within Division's 1-8?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS Information for Planning and Consultation (IPaC), NC Natural Heritage Program Dataset, and field surveys, Informal Concurrence.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
Yes No
Are there submerged aquatic vegetation (SAV) around the project vicinity?*
Yes No Unknown
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?
NOAA EFH Mapper and coordination with NMFS
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?
Historic Architecture and Landscapes- No Survey Required Form
Archaeological- No Survey Required Form
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
Yes No
8b. If yes, explain how project meets FEMA requirements:
The proposed borings will not result in permanent fill being placed within the floodplain.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Floodplain Maps
Miscellaneous

Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
BR-0004_NWP6_Attachments.pdf 2.74MB
File must be PDF or KMZ
Comments
Signature
By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Mack Christopher Rivenbark, III
Signature
e" loin
Date
4/4/2024
R