20240571 Ver 1_ePCN Application_20240417

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# *
20240571 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Ryan Conchilla:ryan.conchilla
Information for Initial Review
la. Name of project:
HE-0013A Project Leap Frog
la. Who is the Primary Contact?*
Art C. King
1b. Primary Contact Email: *
[e-mail]
Date Submitted
4/17/2024
Nearest Body of Water
UT to Leith Creek
Basin
Lumber
Water Classification
C:Sw
Site Coordinates
Latitude:
34.800978
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Scotland
Is this a NCDMS Project
Yes No
Longitude:
-79.458186
Reviewing Office*
Central 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:
HE-0013
WBS # (1)
50700.1.1
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: 14 - Linear transportation
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:
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:
NCDOT
2b. Deed book and page no.:
2c. Contact Person:
Art C. King
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No

2d. Address
Street Address
121 DOT Drive
Address Line 2
city
Carthage
Postal / Zip Code
28327
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Art C King
3b. Business Name:
NCDOT Highway Division 8
3c. Address
Street Address
121 DOT Drive
Address Line 2
city
Carthage
Postal / Zip Code
28327
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Terry Burhans
4b. Business Name:
Michael Baker Engineering
4c.Address
Street Address
8000 Regency Parkway, Suite 600
Address Line 2
city
Cary
Postal / Zip Code
27518
4d. Telephone Number:
[phone]
0. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Laurinburg, NC
2. Project Identification
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:
O

2a. Property Identification Number:
02030501076
2b. Property size:
2c. Project Address
Street Address
17341 Aberdeen Rd
Address Line 2
city
Laurinburg
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
UT to Leith Creek
3b. Water Resources Classification of nearest receiving water:"
C;Sw
3c. What river basin(s) is your project located in?"
Lumber
3d. Please provide the 12-digit HUC in which the project is located.
030402040201
4. Project Description and History
State / Province / Region
NC
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: *
This project description includes a summary of discussions provided by the hydraulic engineers regarding the proposed realignment of the drainage system under US 15-501 (Aberdeen
Rd). A full discussion is included as an attachment to this application.
This PCN focuses on the Drainage Improvements to US 15-501 (Aberdeen Rd). Impacts from the drainage improvements to US 15-501 (Aberdeen Rd) are included in the attached HE-
0013 Wetland and Surface Water Impacts Permit Drawings at Permit Sites 1 - 3. A separate PCN will be submitted for Impact Sites 3 - 6 that are associated with the Laurinburg/Scotland
Industrial Site.
Current Site Conditions:
The site area for the proposed roadway improvements to US 15-501 (Aberdeen Rd) extend from from the Laurinburg and Southern Railroad crossing south of SR 1301 (Plant Rd) north to
a construction access road adjacent to the Nic's Pic Kwik located on US 15-501 (Aberdeen Rd). Currently land use is mainly light industrial and agricultural. The topography is generally
flat with little relief. Immediately adjacent to the east of US 15-501 (Aberdeen Rd) is a convenience store (Nic's Pic Kwik) and a home surrounded by forested area. SR 1301 (Plant Rd) on
the west side of US 15-501 (Aberdeen Rd) provides access to numerous businesses in the area.
Current Drainage Conditions:
The existing drainage system that consists of Stream SB, flows along the north side of an access road toward US 15-501 (Aberdeen Rd), before turning south and flowing into an existing
18" culvert under the road, where it daylights for a short period and the flows into another 18" culvert that continues to flow south, under the convenience store driveway entrances, under
the railroad, where it again daylights, converges with another stream and flows south and ponds before flowing, west, under US 15-501 (Aberdeen Rd), and then north again, back under
the railroad and west out of the study area.
Proposed Drainage Improvements:
Proposed drainage improvements consist of the stabilization of Stream SB as it flows toward US 15-501 (Aberdeen Rd) to facilitate flow through new proposed 2@83"x57" CMP Arch
culverts that will flow west under US 15-501 north of Nic's Pic Kwik and access road. The proposed culverts will flow out into a stabilized 5' base ditch with riprap proposed only on the
banks, that will direct flow south, under SR 1301 (Plant Rd) through two proposed 48" RCP culverts that will replace an existing 18" RCP culvert that conveys flow under SR 1301 (Plant
Rd). Drainage will then flow from the 2@48" RCP through a riprap-lined stable outlet channel and eventually back into existing stream SB on the west side of US 15-501 (Aberdeen Rd).
These improvements were also preferred by Division in order to avoid impacts to the railroad Right -of -Way.
Drainage Component Justification Discussions:
48" RCP culverts are proposed for use under SR 1301 (Plant Rd) as they are the largest pipe size that can fit underneath SR 1301 (Plant Rd) without requiring a grade raise. Additionally
the proximity of the proposed 2@48" RCPs and the intersection between SR 1301 (Plant Rd) and US 15-501 (Aberdeen Rd) also prevents a grade raise at this crossing. Additional pipes
could be added underneath SR 1301 (Plant Rd) but avoiding the increase in proposed channel width was preferred.
A review of the proposed hydrologic model revealed that the effective flow area of a 2@48" RCP buried 1.0 foot is 20.2 square feet. The effective flow area of 2@83"x57" CMP Arch is 40.8
square feet. The proposed 2@48" RCPs under SR 1301 (Plant Rd) overtops at flow rates greater than 107 CFS, which is less than the 2-year storm event. The 2@83"x57" CMP Arch
overtops at flow rate greater than 121 CFS. Therefore, impoundment is not anticipated to be a threat due to overtopping.
A riprap-lined stable outlet channel was chosen to facilitate flow from the 2@48" RCP under SR 1301 (Plant Rd) to the receiving stream. The intent was to attenuate flow that would not
properly diffuse with an energy dissipater pad based on the 160 CFS design flow. The proposed NCDOT-approved riprap lined outlet channel should provide long-term stability and avoid
flow concentration and eventual channel erosion that would likely occur with an energy dissipater.
Site constraints at the inlet of the proposed 2@83"x57" RCPs, where the channel is proposed to be realigned, required steepening the slope at the channel upstream. The inlet channel
was aligned to provide a better transition to the outlet channel.
These improvements will ultimately drain to the same stream outfall as the existing drainage systems but create significantly less right-of-way impacts to the convenience store and
completely avoids impacts to the railroad. Approximately 66 acres still drain to the existing 48" RCP underneath US 15-501 (Aberdeen Rd) on the south side of the railroad. At this location,
there will be a reduction in hydrology but will not result in a loss of waters.
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:
9.17
4g. List the total estimated linear feet of all existing streams on the property:
4,561

4h. Explain the purpose of the proposed project:*
The proposed roadway improvements would provide access to the Laurinburg/Scotland Industrial Site, while maintaining mobility in this area along US-15/501 (Aberdeen Rd). In addition
to benefits for the proposed Laurinburg/Scotland Industrial Site, NCDOT is proposing this project as a solution to known flooding in the immediate area. There is a history of flooding issues
at Nic's Pic Kwik, an existing convenience store, that has been noted by the NCDOT Division Project Engineer. Analysis of the existing drainage (24" pipe) indicates the existing roadway
would be impaired by storm events much less than the 2-year storm. The proposed drainage improvements dramatically increase the level of service when compared to existing drainage.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The project includes improvements to US-15/501 (Aberdeen Rd) that will widen and add a turn -lane to an access point to the proposed Laurinburg/Scotland Industrial Site. This access
point will be the entrance and exit of a new road that will be installed on new location east of US-15/501 (Aberdeen Rd). The new access road will tie into US-15/501 (Aberdeen Rd), cross
a Jurisdictional stream, turn north and run parallel to US-15/501 to provide incoming and outgoing traffic to the proposed Laurinburg/Scotland Industrial Site.
This PCN focuses on drainage improvements that will be carried out along US-15/501 and an existing construction access road on near a gas station (Nic Kwik Pick). The Drainage
improvements will involve the installation of a new culvert beneath US-151501 that will carry a jurisdictional stream (Stream SB) from the west side of US-15/501 to the east side of US-
15/501. From this point stream flow will be carried through a new stabilized flow path south along the east side of US-15/501, through a new proposed culvert beneath SR-3101 / Plant
Road where the new channel will eventually flow back into an unnamed tributary to Leith Creek. Details of the proposed drainage improvements are provided in Section 3j. Typical
equipment will be used for new roadway construction as part of the project.
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:
SAW-2023-00519
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Terry Burhans, PWS
Agency/Consultant Company: Michael Baker Engineering
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
April 19, 2023 Corps Verification Issued a Notification of Jurisdictional Determination (Action Id. SAW-2023-00519).
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?
D. Proposed Impacts Inventory O
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
2a1 Reason(?)
7�
2b. Impact type*(?)
2c. Type of W.* 2d. W. name
2e. Forested*
2f. Type of Jurisdicition*
2g. Impact
area
Rap Fill from Tail
P
Bottomland Hardwood Forest WC
Yes
Both
0.00
DRip itch
5)
Excavation from Tail
P
Hardwood Forest WC
Yes
Both
0.020
Ditch Installation
ffrnland
(acres)
Mechanized Clearing for
P
Bottomland Hardwood Forest WC
Yes
Both
0.070
access to install tail ditch
(acres)
Hand Clearing to
T
mland Hardwood Forest
WC
Yes
Both
0.005
stabalize channel
ff
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.005 0.095

2g. Total Wetland Impact
0.100
2i. Comments:
Permanent and temporary impacts to wetlands will result from project activities. These activities are associated with the proposed drainage
improvements to upgrade construction access road to the Laurinburg/Scotland Industrial Site and improve US 15/501 (Aberdeen Road) from the
Laurinburg and Southern Railroad crossing south of SR 1301 (Plant Rd).
The activities that will impact wetlands involve the installation of a tail ditch (see Detail 4-6 on Sheets 2 & 3 of Permit Drawings) that will be excavated
through Wetland WC to help facilitate flow from the outfalls of 2@48" RCP pipe culverts that are proposed to replace an existing undersized 18-inch
RCP culvert beneath SR 1301 (Plant Rd) on the West Side of US 15-501 (Aberdeen Road) at the southern extent of the proposed project. The wetland
impacts associated with this culvert replacement are shown at Permit Site 1.
Permanent Impacts are assumed to consist of "Permanent Fill in Wetlands', Excavation in Wetlands", and "Mechanized Clearing In Wetlands'.
Temporary Impacts are assumed to consist of "Temporary Fill in Wetlands" and "Hand Clearing In Wetlands"
Permit Site 1. There will be approximately 0.100 acres of permanent impact to riparian Wetland WC. This impact will result from 0.070 acres of
mechanized clearing, 0.020 acres of excavation, and 0.005 acres of permanent fill required for the installation of the proposed tail ditch. An additional
0.005 acres of temporary impacts to Wetland WC that consist of hand clearing will be required for bank stabilization associated with the installation of
the tail ditch.
Utility relocations for the project will be included at the location of the proposed tail ditch. Utilities that are proposed to be relocated include Underground
Communications Conduit, Underground Gas Line, and Underground Waterline. The location of the proposed relocated utilities at Permit Site 1 is
included on Sheets 2, 3, & 4 of the permit drawings.
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type
3c. Type of impact*
3d. S. name*
3e. Stream Type*
3f. Type of
3g. S. width
3h. Impact
❑
(?)
Jurisdiction*
length*
S1
Channel Stabilization
Temporary
Stabilization
SB-6
Perennial
Both
56
Averege (feet)
(linear feet)
S2
Roadway Fill
Permanent
Fill
SB-3
Perennial
Both
51
Averege (feet)
(linear feet)
S3
Channel Change
Permanent
Relocation
SB-2
Perennial
Both
10
152
Averege (feet)
(linear feet)
g4
Channel Change
Temporary
Stabilization
SB-2
Intermittent
Both
10
10
Average (feet)
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
3i. Total permanent stream impacts:
203
3i. Total stream and ditch impacts:
269
3j. Comments:
3i. Total temporary stream impacts:
66
Permanent and temporary impacts to streams will result from project activities. These activities are associated with the proposed drainage improvements
to upgrade construction access road to the Laurinburg/Scotland Industrial Site and improve US 15/501 (Aberdeen Road) from the Laurinburg and
Southern Railroad crossing south of SR 1301 (Plant Rd).
The Stream impacts associated with this project are shown at Permit Sites 1 — 3. Each permit site is described in detail below.
Permit Site 1. (Station 11+04 to 12+05-L-LT) There will be approximately 56 feet of temporary impact (S1) to Stream SB-6. This temporary impact will
result from stabilization to the channel required to install a tail ditch that will facilitate flow from the outfall from proposed 2@48" RCP pipe culverts.
These pipes will replace an existing undersized 18-inch RCP culvert beneath SR 1301 (Plant Rd) on the West Side of US 15-501 (Aberdeen Rd) at the
southern extent of the proposed project.
Permit Site 2. (Station 14+94 to 15+44-L-RT) There will be approximately 51 feet of permanent impact (S2) to Stream SB-3. This permanent impact will
result from roadway fill required widen the access to a paved drive and to install a Special 2' Base Ditch (see Detail 4-1 on Sheets 2 & 3 of Permit
Drawings).
Permit Site 3. (Station 10+47 to 12+10-DR1-LT) There will be approximately 152 feet of permanent impact (S3) and 10 feet of temporary impact (S4) to
Stream SB-2. These impacts will result from a channel change and stabilization required to install a Special 5' Base Ditch (see Detail 4-2 on Sheets 2 &
3 of Permit Drawings). The proposed Special 5' Base Ditch will be installed to facilitate stream flow into proposed 2@83"x57" CMP Arch culverts that will
flow from east to west beneath US 15-501.
Utility relocations for the project will be included at the location of the proposed realigned SB-2. Utilities that are proposed to be relocated include
Underground Telephone Cables. The location of the proposed relocated utilities at Permit Site 3 is included on Sheets 2, 3, & 5 of the permit drawings.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
a

1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
A Natural Resources Technical Report (NRTR) was developed to identify sensitive environmental areas in the vicinity of the project. Streams and
Wetlands were delineated on site to provide location to aid in avoidance and minimization of impacts during the design process. Regulatory agencies
were notified early on in the project development process.
NCDOT sent hybrid start-of-study/scoping letters to local officials from the City of Laurinburg and Scotland County, local emergency responders, Lumber
River Rural Planning Organization, U.S. Corps of Engineers (USAGE), North Carolina Wildlife Resources Commission, North Carolina Department of
Environmental Quality (NC DEQ) Division of Water Resources (DWR), U.S. Fish and Wildlife Service, U.S. Environmental Protection Agency. Recipients
were invited to review and comment on the proposed project. Comments received were incorporated into the final design to the greatest extent possible.
A site visit with regulatory officials to confirm the extent of waters onsite and to discuss components of the proposed project was carried out in May of
2023. During the site visit, opportunities were given to agency representatives to express concern about various aspects of the project.
Existing drainage patterns are being maintained to the maximum extent practical throughout the project. 3:1 fill slopes will be used to reduce impacts to
adjacent parcels and jurisdictional streams, reducing the overall footprint of the project.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
An erosion and sediment control plan will be approved by NCDEQ prior to commencement of construction activities.
General Best Management Practices and Spill Prevention and Control measures will be utilized during construction activities: Proper housekeeping,
maintenance of equipment, and containment of fuels and other potentially hazardous materials would be implemented. Spill control kits would be
provided at the work site to facilitate spill response.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
Yes
No
2c. If yes, mitigation is required by (check all that apply):
DWR
Corps
2d. If yes, which mitigation option(s) will be used for this project?
Mitigation bank Payment to in -lieu fee program Permittee Responsible Mitigation
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
Yes No
4b. Stream mitigation requested:
(1,near feet)
203
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non -riparian wetland mitigation requested:
(acres)
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(acres)
0.095
4g. Coastal (tidal) wetland mitigation requested:
(acres)
NCDOT has coordinated with the North Carolina Department of Environmental Quality — Division
of Mitigation Services (NCDEQ-DMS) to secure wetland and stream mitigation for the project. A letter is included in the attachments that indicates that
NCDEQ-DMS will secure credits for 203.00 feet of warmwater stream impacts and 0.095 acres of Riparian Wetland impacts located in the CU 03040204
of the Lumber River basin in the Southern Inner Coastal Plain (SICP) Eco-Region. NCDEQ-DMS will commit to implement sufficient compensatory
mitigation credits to offset the impacts associated with
this project as determined by the regulatory agencies in accordance with the In -Lieu Fee Instrument dated July 28, 2010.
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
If no, explain why:
The project is not located within a watershed that is subject to NC Riparian Buffer Protection Rules.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
Comments:
HE-0013 is a NCDOT roadway widening and new location project in Scotland County that involves the continuation of a three -lane undivided highway and the addition of a fourth right turn -
only lane to the entrances of -SR1- and -SR2- along NC HWY15/US HWY 105 (Aberdeen Rd). Existing drainage patterns are being maintained to the maximum extent practical throughout
the project. 3:1 fill slopes will be used to reduce impacts to adjacent parcels and jurisdictional streams, reducing the overall footprint of the project.
L

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
Comments:'
Supporting Environmental documentation in the form of a Minimum Criteria Determination Checklist (MCDC) was completed and Signed on June 7,
2023.
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
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
5d. Is another Federal agency involved?*
Yes No
5e. Is this a DOT project located within Division's 1-8?
Yes No
Unknown
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
https://ipac.ecosphere.fws.gov/
During the planning and design phase of the project, a NCDOT Natural Resources Technical Report (NRTR) was developed as environmental
documentation. During the development of the NRTR, site visits were carried out to complete stream and wetland delineations as well as surveys for
Federally Threatened and Endangered Species and their habitat. When potential habitat was noted on site during initial field surveys, follow-up surveys
were conducted in -season as needed. The NRTR is included attached to this application.
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?
https://www.habitat.noaa.gov/apps/efhmapper/
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? *
During the planning and design phase of the project, a NCDOT Minimum Criteria Determination Checklist (MCDC) was developed as environmental
documentation. The MCDC was completed and signed in June of 2023. The MCDC included coordination with NCDOT Architectural Historians for a
review of Historic Architecture and Landscapes. The review found that no additional surveys were required. The MCDC also included coordination with
NCDOT Archaeologists for a review of Cultural Resources. The Cultural Resources review found that no additional archaeology surveys were required.
Documentation of these findings as well as additional Tribal Coordination is included in the attached MCDC.
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?
FEMA Map Service Center, PANEL 3710836800K. Effective 7/7/2014
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
HE-0013A_Attachments.pdf 12.74MB
File must be PDF or KMZ
Comments
Please find, accompanying the application the following attachments to assist in the permit application review process.
Enclosures
Attachment A: Pre -Filing Meeting Notification Documentation
Attachment B: HE-0013A Wetland and Surface Water Impacts Permit Drawings
Attachment C: In -Lieu Fee Program Compensatory Mitigation Approval Letter
Attachment D: SAW-2023-00519 Preliminary Jurisdictional Determination
Attachment E: HE-0013 MCDC
Attachment F: HE-0013 NRTR
Attachment G: Hydraulics and Drainage Discussion
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:
Art C. King
Signature
6 Vie&
Date
4/17/2024
a