20240572 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# *
20240572 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-0013B 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
Leith Creek
Basin
Lumber
Water Classification
C:Sw
Site Coordinates
Latitude:
34.80546
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:
-79.457774
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):
13
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:
SCOTLAND COUNTY ECONOMIC DEVELOPMENT CORPORATION
2b. Deed book and page no.:
1561, 41.000000
2c. Contact Person:
Mark Ward
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No

2d. Address
Street Address
PO BOX 489
Address Line 2
City
Laurinburg
Postal / Zip Code
28353-0489
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
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
Moore
3e. Fax Number:
[phone]
State / Province / Region
NC
Country
USA
4e. Fax Number:
O

2a. Property Identification Number:
020305010360
2b. Property size:
73.05
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:
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
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 PCN focuses on the impacts associated with the installation of the access road to the future Laurinburg/Scotland Industrial Site and its continuity with US 15-501 (Aberdeen Rd).
Impacts from these activities are included in the attached HE-0013 Wetland and Surface Water Impacts Permit Drawings at Permit Sites 4 - 6. A separate PCN will be submitted for Impact
Sites 1-3 (HE-0013A) that are associated with Drainage Improvements to US 15-501 (Aberdeen Rd) around SR 1301 (Plant Rd).
The site area for the proposed roadway improvements to US 15-501 (Aberdeen Rd) extend from the Laurinburg and Southern Railroad crossing south of SR 1301 (Plant Rd) north to a
point north of the proposed Laurinburg North Fire Station. Also included is an area east of US 15-501 (Aberdeen Rd) within the above stated limits, that will be the location of the proposed
access road to the future Laurinburg/Scotland Industrial Site. 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 gas station and a home surrounded by forested area. Further east, a large agricultural field exists that is the planned location of the
proposed access road that will provide two entrances to the proposed Laurinburg/Scotland Industrial Site. Further north along the East side of US 15-501 (Aberdeen Rd) is the location of
the proposed Laurinburg North Fire Station (currently under construction at the time of this application).
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).The
Laurinburg/Scotland Industrial Site in Scotland County will house up to two industrial operations. Trucks carrying supplies and products will access and egress from the site via US 15/501
(Aberdeen Rd). Cars carrying employees will also need to access and egress the new industrial park. Traffic volumes are estimated to be more than 40 trucks and 400 cars entering and
leaving the site on a daily basis and are expected to increase over time. Turn lanes along US 15/501 (Aberdeen Rd) and separate entrances for cars, trucks, and maintenance vehicles are
needed to maintain traffic flow along US 15/501 (Aberdeen Rd) and prevent conflicts.
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 turn -lanes to two access points to the proposed Laurinburg/Scotland Industrial Site. These access
points will be the beginning and end of a new road 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 before tying back into US-15/501 (Aberdeen Rd). Typical equipment will be used for new roadway construction as part of the
project.
This PCN focuses on impacts that will result from the construction and installation of the road that will tie into US-15/501 (Aberdeen Rd), cross a Jurisdictional stream, turn north, and run
parallel to and rejoining US-151501 to provide incoming and outgoing traffic to the proposed Laurinburg/Scotland Industrial Site. The new road will cross an existing jurisdictional stream at
two locations. New culverted crossings will be installed for the road at Permit Site Locations 4 & 5. Additional impacts will occur at an existing culverted crossing of Stream SB under US-
15/501. These impacts will result from the installation of new drainage ditches and stabilization that is needed to facilitate flow. These impacts are depicted at Permit Site 6.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
Comments:
No
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
O Unknown
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
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
3. Stream Impacts
0
3a. Reason for impact (?)
3b.lmpact type"
3c. Type of impact*
3d. S. name*
3e. Stream Type*
3f. Type of
width
3h. Impact
P)
Jurisdiction*
length*
g1
1 at 66" RCP Culvert
Permanent
Culvert
SB-2
Perennial
Both
81
Averege (feet)
(linear feet)
gp
Inlet Channel
Temporary
Stabilization
SB-2
Perennial
Both
Average (feet)
(linear feet)
S3
Inlet Bank Stabilization
Permanent
Bank Stabilization J
SB-2
Perennial
Both
15
Average (feet)
(linear feet)
S4
Outlet Channel
Temporary
Stabilization
SB-2
Perennial
Both
16
Averege (feet)
(linear feet)
S5
Outlet Bank Stabilization
Permanent
Bank Stabilization J
SB-2
Perennial
Both
20
Average (feet)
(linear feet)
S6
1 at 60RCP
"
Permanent
Culvert
SB-2
Perennial
Both
6
71
Averege (feet)
(linear feet)
37
Inlet Channel
Temporary
Stabilization
SB-2
Perennial
Both
Average (feet)
(linear feet)
Sg
Inlet Bank Stabilization
Permanent
Bank Stabilization
SB-2
Perennial
Both
15
Averege(feeq
(iinearfeet)
gg
Outlet Channel
Temporary
Stabilization
SB-2
Perennial
Both
Averege (feet)
(linear feet)
S10
Outlet Bank Stabilization
Permanent
Bank Stabilization
SB-2
Perennial
Both
16
Average (feet)
(linear feet)
S11
Inlet Channel
Permanent
—]
Bank Stabilization J
SB-1
Perennial
Both
18
Average (feet)
(linear feet)
�2�lnlet
Channel
Temporary
Stabilization
SBA
Perennial
Both
10
Averege (feet)
(linear feet)
�3]�OutletP
Channel
Permanent
Rip Rap Fill
P
SB-2
Perennial
Both
6
15
Average (feet)
(linear feet)
H
Outlet Channel
Temporary
Stabilization :t-2
Perennial::]
Both
�
10
Averege (feet)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
251
3i. Total stream and ditch impacts:
304
3i. Total temporary stream impacts:
53

3j. Comments:
Permanent and temporary impacts to Streams will result from project activities. These activities are associated with the proposed drainage, paving, and
grading activities required to construct a new access road and 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 Road) to a point north of the proposed
Laurinburg North Fire Station.
The Stream impacts associated with this project are shown at Permit Sites 4 — 6. Each permit site is described in detail below.
Permit Site 4. (Station 13+19 to 13+58-SR1-) There will be approximately 81 feet of permanent impact (S1) to Stream SB-2 resulting from the installation
of a 66" RCP pipe culvert with an additional 15 feet of permanent stabilization impact (S3) and 8 feet of temporary impact (S2) resulting from inlet
channel and inlet bank stabilization. Additionally, there will be approximately 20 feet of permanent impact (S5) and 16 feet of temporary impact (S4). The
inlet and outlet channel permanent impacts (S2 & S4) are required to facilitate stream flow in and out of the new proposed culvert and will consist of the
installation of Class -I rip rap. Pipe Inlet Bank Stabilization details are shown on the permit drawings, see Detail 4-3 on Sheets 2 & 3 of Permit Drawings.
Also Pipe outlet channel stabilization details are shown on the permit drawings, see Detail 4-7 on Sheets 2 & 3 of Permit Drawings.
Permit Site 5. (Station 13+95 to 14+03-SR2-) There will be approximately 71 feet of permanent impact (S6) to Stream SB-2 resulting from the installation
of a 60" RCP pipe culvert with an additional 15 feet of permanent stabilization impact (S8) and 4 feet of temporary impact (S7) resulting from inlet
channel and inlet bank stabilization. Additionally, there will be approximately 16 feet of permanent impact (S10) and 5 feet of temporary impact (S9). The
inlet and outlet channel permanent impacts (S7 & S9) are required to facilitate stream flow in and out of the new proposed culvert and will consist of the
installation of Class -I rip rap. Pipe Inlet Bank Stabilization details are shown on the permit drawings, see Detail 5-3 on Sheets 11 & 12 of Permit
Drawings. Also Pipe outlet channel stabilization details are shown on the permit drawings, see Detail 5-6 on Sheets 11 & 12 of Permit Drawings.
Permit Site 6 (Station 34+10 to 34+35-L-) There will be approximately 18 feet of permanent impact (S11) and 10 feet of temporary Impact (S12) to
Stream SB-1 that will result from the installation of a Special 2' Base Ditch (See Detail 5-7 on Sheets 11 & 12 of the Permit Drawings that will be installed
on the West side of US 15-501 (Aberdeen Rd). There will also be approximately 15 feet of permanent impact (S13) and 10 feet of temporary impact
(S14) that will result from improvements to an existing pipe culvert outlet and bank stabilization needed to accommodate the roadway widening on US
15-501 (Aberdeen Rd). See Details 5-5 on Sheets 11 & 12 of the Permit Drawings.
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:
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 (USACE), 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.
The project team considered several alternatives for the new road connecting the Scotland/Laurinburg Industrial Site to US 15/501. All alternatives met
the purpose and need of the project and provided two entrances to the site.
Alternative 1 — The northern entrance to this loop road concept entered the Scotland/Laurinburg Industrial Site between the southern Piedmont Natural
Gas easement and the jurisdictional stream, formed a four-way intersection with driveways to the proposed industrial operation and the fire station, and
turned south to cross the jurisdictional stream three times before intersecting US 15/501 north of the residential property. Due to its impacts to the
jurisdictional stream, this alternative was eliminated from further consideration.
Alternative 2 — This alternative altered the Alternative 1 design by shifting the northern entrance for the loop road north of the natural gas easement and
adding curves to the north/south portion of the loop to create three near -perpendicular crossings of the jurisdictional stream. Due to its impacts to the
jurisdictional stream, this alternative was eliminated from further consideration.
Preferred Alternative — This alternative proposes to enter the site north of the natural gas easement and shifts the north/south portion of the loop road to
the east, minimizing impacts to the jurisdictional stream.
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):
D W R 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
O

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:
(linear feet)
167
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non -riparian wetland mitigation requested
(acres)
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(acres)
4g. Coastal (tidal) wetland mitigation requested:
(acres)
4h. Comments
There are no wetland impacts associated with the permit sites included in this PCN. Total permanent stream impacts a permit sites 4 - 6 amount to 251
feet. This includes 167 feet of fill resulting from new culvert crossings plus 84 feet of bank stabilization. There will also be 53 feet of temporary impacts
bringing the permanent and temporary impact total to 304 feet of warmwater impacts. NCDOT is proposing compensatory mitigation for 167 feet of
impacts resulting from fill associated with new culvert installation.
NCDOT has coordinated with the North Carolina Department of Environmental Quality — Division
of Mitigation Services (NCDEQ-DMS) to secure stream mitigation for the project. A letter is included in the attachments that indicates that NCDEQ-DMS
will secure credits for 167.00 feet of warmwater stream 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.
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
Q
8
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.
Raleigh
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)
8a. 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
l"J
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
1-HE-0013 - NCDOT-Divsion Letterhead JD Submittal - FEB272023_.pdf 161.86KB
HE-0013B_Attachments.pdf 13.73MB
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-0013B Wetland and Surface Water Impacts Permit Drawings
Attachment C: In -Lieu Fee Program Compensatory Mitigation Approval Letter (Sites 4-6)
Attachment D: SAW-2023-00519 Preliminary Jurisdictional Determination
Attachment E: HE-0013 MCDC
Attachment F: HE-0013 NRTR
Signature

O 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-ho G �K9
Date
4/17/2024