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Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the Corps: X❑ Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
1c. Has the NWP or GP number been verifed by the Corps? ❑X Yes ❑ No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1e. Is this notifcation solely for the record For the record only for DWQ For the record only for Corps Permit:
because written approval is not required? 401 Certification:
❑X Yes ❑ No �X Yes ❑ No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank � Yes ❑X No
or in-lieu fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h Q Yes ❑ No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes X❑ No
2. Project Information
2a. Name of project: NCDOT Burgaw Multi-Unit Offce
2b. County: Pender
2c. Nearest municipality / town: Town of Burgaw
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state project no: 15-12499-01A
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. DB 211 Pg. 279
3c. Responsible Party (for LLC if priscilla Tyree Wlliams, PE; Director, NCDOT Facilities Management Division
applicable):
3d. Street address: Physical: 1 South Wilmington Street; Mailing: 1525 Mail Service Center
3e. City, state, zip: Raleigh, NC 27699-1525
3f. Telephone no.: 919-707�550— �}Cjs}O
3g. Fax no.: 919-715-0399
3h. Email address: [e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. AgentlConsultant Information (if applicable)
Sa. Name: Richie Brown
5b. Business name Stroud Engineering, PA
(if applicable):
5a Street address: 107B Commerce Street
5d. City, state, zip: Greenville, NC 27858
Se. Telephone no.: 252-756-9352
Sf. Fax no.: 252-756-2345
Sg. Email address: [e-mail]
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identifcation no. (tax PIN or parcel ID): 3229-04-1665
1b. Site coordinates (in decimal degrees): Latitude: 34.55 Longitude: �� 93
1c. Property size: 6 acres
2. Surtace Waters
2a. Name of nearest body of water to proposed project: Burgaw Creek
2b. Water Quality Classification of nearest receiving water: C;SW
2c. River basin: Cape Fear
3. Project Description
3a. 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 site is an existing gravel mad that conneds the NCDOT to the Pender County Correc[ions Center.
3b. List the total estimated acreage of all existing wetlands on the property: 0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 650
3d. Explain the purpose of the proposed project:
The existing culvert has to be replaced as a wndition of the "no rise" study conducted by the NCDOT Hydraulics Unit.
3e. Describe the overall project in detail, including the type of equipment to be used:
This project includes the removal of an ex. 54" CMP and replacing with a 78" RCP with all erosion control and bank stabilization measures required.
The contractor will need an excavator and a dump truck to pertorm the required work.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the 0 Yes ❑ No ❑ Unknown
Corps or State been requested or obtained for this property / Comments:
ro ect includin all rior hases in the ast?
4b. If the Corps made the jurisdictional determination, what type
of determination was made7 ❑ Preliminary ❑x Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Brad Shaver Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Odober 2015
5. Project History
5a. Have permits or certifications been requested or obtained for �Yes ❑ No ❑X Unknown
this project (including all prior phases) in the past?
Sb. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project7 ❑ Yes ❑X No
6b. If yes, explain.
N/A
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your projecl (check all that apply):
❑ Wetlands ❑X Streams—hibutaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If ihere are wetland impacts proposed on the site, then complete this queslion for each weUand area Impacted.
2a. 26. 2c. 2d. 2e. 2f.
Wetland impact Type of impact Type of wetland Forested Type of jurisdiction Area of
number Corps (404,10) or impact
Permanent (P) or DWQ (401, olher) (acres)
Tem ora T
W 1 - Choose one Choase one YeslNo
W2 - Choose one Choose one Yes/No
W3 - Choose one Choose one YeslNo -
�/�/4 - Choose one Choose one YeslNo -
W5 - Chaose one Choose one Yes/No -
W6 - Choose one Choose one Yes/No -
2g. Total Wetland Impacts:
2h. Comments:
3. Stream Impacts
If there are perennial or inlermittent stream impacts (including temporary impacts) proposed on the si[e, then complete this
question for all stream sites impacted.
3 a. 3 b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial (PER) or Type of Average Impact
number intermittent (INT)? jurisdiction stream leng[h
Permanent (P) or width (linear
Temporary (T) (feet) feet)
S1 P �Culved � UTtoBurgawCreek PER �Corps � 10 3
S2 P � Channel restoration � UT lo Burgaw Creek PER � Corps � 10 180
S3 P � Stabilization � UT to Burgaw Creek PER � Corps � 10 16
S4 T � Uewatenng � UT [o Burgaw Creek PER � Coms � 10 30
SS - Choose one - -
S6 - Choose one - -
3h. Total stream and tributary impacts 229
3i. Comments:
This impact length includes the pipe replacement, as well as the installation of np rap and backflling with native material from ihe site to restore the
siream to its previous conditions. The 180 linear feet of channel restoration on the outlet end also indudes 261f of stabilization. Temprary impacts are
for impervious dikesldewatering/bypass pumping.
/u,D�"i / - �5 -/!o
rSGT�e�i�'
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individuall list all o en water im acts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number (if applicable) Type of impact Waterbody Area of impact (acres)
Permanent (P) or type
Tem ora T
01 - Choose one Choose
pz - Choose one Choose
03 - Choose one Choose
04 - Choose one Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
Sa. Sb. Sc. Sd. Se.
Pond ID number Proposed use or Wetland Impacts (acres) Stream Impacts (feet) Upland
purpose of pond (acres)
Flooded Filled Excavated Flooded Filled Excavated
p1 Choose one
p2 Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required? ❑ Yes ❑ No If yes, permit ID no:
Si. Expected pond surface area (acres):
Sj. Size of pond watershed (acres):
Sk. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an im acts re uire miti ation, then ou MUST fll out Section D of this form.
6a. Project is in which protected basin? ❑ Neuse ❑ Tar-Pamlico � Catawba � Randleman ❑ Other:
6b. 6c. 6d. 6e. 6f. 6g.
Buffer Impact Reason for impact Stream name Buffer Zone 1 Zone 2
number— mitigation impact impact
Permanent (P) or required? (square (square
Tem ora T feet feet
B� - Yes/No
gz - Yes/No
g3 - Yes/No
g4 - Yes/No
gs - Yes/No
gg - Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
In order to minimize and the proteQ the outlet side of the culvert, rip rap will be placed in the scour hole and flled with nalive materials to that will leave
the stream in better condition than it was prior to the culvert replacement.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Large enough equipment will be used such that the disturbance to the stream will be minimized during construction and the equipment will be able to
stay away from the stream to maximum e�ctenl practicable. With the exception of burying the inverts on the pipes, no major excavation is proposed
within the stream. Appropriate Erosion and Sedimentation control measures will be installed to prevent sedimentation within the stream.
2. Com ensato Miti ation for Im acts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ❑ Yes ❑X No
impacts [o Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this ❑ payment to in-lieu fee program
project7
❑ Permittee Responsible Mitigation
3. Com lete if Usin a Miti ation Bank
3a. Name of Mitigation Bank:
Type: Choose one Quantity:
3b. Credits Purchased (attach receipt and letter) Type: Choose one Quantity:
Type: Choose one Quantity:
3c. Comments:
4. Com lete if Makin a Pa ment to In-lieu Fee Pro rem
4a. Approval letter from in-lieu fee progrem is attached. ❑ Yes
4b. S[ream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: Choose one
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
Sa. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. WII the project result in an impact within a protected riparian buffer that requires � Yes ❑X No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3(2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified � Yes ❑X No
within one of the NC Ri arian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project7 43 %
2b. Does this ro'ect re uire a Stormwater Mana ement Plan? ❑ Yes ❑X No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
This is a redevelopment project which will consist of less impervious area than previously ezisted. Also, no additional discharge points will be created.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which local overnmenYs'urisdiction is this ro ect?
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check all that apply): ❑ USMP
� Water Supply Watershed
� Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No
attached?
4. DWQ Stormwater Pro ram Review
�Coastal counties
❑HQW
4a. Which of the following state-implemented stormwater management programs apply �ORW
(check all that apply): ❑Session Law 2006-246
❑Other:
4b. Has the approved Stormwater Management Plan with proof of approval been � Yes ❑ No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements7 � Yes � No
5b. Have all of the 401 Unit submittal requirements been met? ❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the 0 Yes ❑ No
use of public (federal/state) land7
1 b. 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 ❑Yes ❑x No
(North Carolina) Environmental Policy Act (NEPA/SEPA)7
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA fnal approval
letter.) ❑ Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ❑Yes 0 No
or Riparian Buffer Rules (15A NCAC 28 .0200)?
2b. Is this an after-the-fact permit application? ❑Yes ❑X No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in �Yes ❑X No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement�
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
This parcel has a gravity sewer service which conveys the wastewater to the Town of Burgaw's Sewer system.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or � Yes OX No
habitat?
Sb. Have you checked with the USFWS concerning Endangered Species Act � Yes ❑ No
impacts?
Sc. If yes, indicate the USFWS Field Offce you have contacted. Raleigh
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Deanna Riffey, Environmental Program Consultant with NCDOT
6. Essential Fish Habitat (Corps Requirement)
6a. W II this project occur in or near an area designated as essential f sh habitat? ❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Deanna Riffey, Environmental Program Consultant with NCDOT
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. WII this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation � yes ❑X No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
North Carolina State Historic Preservation Office website. HPOWEB GIS Service.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ❑X Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
NCDOT conducted a"no rise" study for the project to ensure no impacts to surrounding areas, the FFE of the proposed building is set at 2' above the
100 Year flood elevation.
8c. What source(s) did you use to make the floodplain determination?
Flood Insurance Rate Map
Prescilla Williams (/'�r/ UV���/'{��'� 11-19-2015
I �
ApplicanUAgenYs Printed Name ApplicanUAgent's Signature Date
(AgenYs signature is valid only if an authorization
letter from the a licant is rovided.
Page 10 of 10

a rrAc�r��rur a
PRELIN'II�JARY JURrSDICTIC]NAL DETERMINATIt]N FQRM
BACKGROUfVQ iN�'4RMATI+QI�
A. REPORT CQMRLET�ON DATE FQR PR�L[IVIINARY JU�tIS�ICTiC31VAL
DETERMINATiC}P� 4Jp}; ����4rza��
B, NAME AN❑ AaDRE�S �F PE�tSON REQUESTING PREL[MINA#�Y JD:
S[anewafl lNathis - hICD�77 -[3iv. 3IREQ 55�1 Barbadas Blvd. Castle Hayne, MC 28429
C. Dla`i'R1Cfi (3FF�CE, FILE NAME, AND NUM6EF�:
USACE WiEmington Oistri�t
[�. PRC}JECT L�CAT1QiN�S} AND B�ACKCRdUNQ Ii�F�RMAT�f3N;
Pender Ca. - B�argaw - hlew �lCDdT Bldg. Pipe lacation ap�rox. 750 feet NW of the Enfersectiprn of 5R 1406 & SR i344
{LiSE THE ATTA�HEO TABLE TQ DQCUMENT MULTiPI.� WA�'�REi01JIES AT �IFFEREN�'
SITES}
State: NC Courttylparishlbor[7ugh: Pender �It]I: Burgaw
Ce�ter �ac�rdinat�� of site �latllong in degree d+�cimal format}:
�..c�t. 34.555757 _ _ °�; LOiI�. 7T.934959 °�.
Ui�IVG�Sr�� Tr�I�SVBrS� IYI�CGc��O�. �e'—�°�h Ameri�an 1983_NAD 1383_5€a[ePlane_North_Carol6na_FIPS_3200_Fe�l
N�me af �tearest uvaterbody: uT tfl a����� c���k sio� �a-�a-�s
Identify (estimate} �moun� af waters in t�e review area:
Non-wetland waters:
�12aa linear feef. -5 width �ft} �ndlor a�res.
(1C}WaCC�l11 ��c`1$S: �i�erir�� Lawer Per�nnial Unconsolidated BottorrE 5�nd
`�affEafll F�f]W: �erennial
Wetlands: � acres.
Cow�rdin Class:
Narr�e af any water b�dies an the siie that have been identifi�d as Secti�r� 1�
w�ters:
Ti�al: ��
Nan-Tidal: NA
1

E. REV�EW PERFC3RMED FO�i SfTE EVALUATIUd� �CHECK ALL THAT
AF'PLY}:
� Office (I3esk} Dete�mir�at�on. Date:
� FI��C� Q�t�ECTT1 f C1a�iDEl, Q�fE�S�: ��ne known by agencies. Stoney Mathis �fCD6T ansite review on 7134195.
SIJPPDRTIMG DATA. Data revie►rved far preliminary J[�
(check all tha# apply - checked i#ems shauld b�e incEuded in case tile and,
where checked and requested, apprvpriateiy re#erenc� sourc�s befow}:
� Maps, plans, pfc�ts or plat suk�mi#ted k�y or on behalf r�f th�
applicanticonsuftant: ����T
❑❑at� sheets preparedfsubmitt�d by or on �ehalf of �he
appiic nticonsultar�t.
C3ffice cos�curs wi#h data sheetsfdelineation report.
C7ffice does not concur with data s#�eetsld�lin��tion repart.
❑ Data sheets prepar�d by the Corps:
❑ Car�s navigable wat�rs° stuely:
� U.S. G�e�fQgica� 5urvey Hydrviogic Atlas:
❑ USGS NHD data
� LJSGS fi and 1� di�it HL1C maps
��.�. �E:[]��C�fCc�� �UI"V�]I 1'1'lc�p{S�. {rl�� SG��� c�c CjUaCi' I'��CT'1�: eurgaw {scale as shawn)
� USDA Natur�l Resources Canser�atian Servic� St�il �urvey.
Gitation:
0 National wefland� inv�ntacy �map(s}. Ci#e name:
❑ StatelLocal wetlan� inventary m�p(s):
❑ F'�MA1FI RM ma�s:
❑ 1 D�-year Floodplain Elevation is;
�Natianaf Geadec#ic V�rki�al Datum af � 92�)
� Photo�rapFas: ►�❑ Aerial {Name & Date): ar��is zooe �r
Q {]ther (Name & ❑ate}: ar��is u���
� Previa�s dete�-�rtinatir�n(s}. Fif� n�. and date of respanse lettcr:
� Q��`1G!' C11fQl'11'l�t1011 �j]���5� Sp�Gl�y}: P�rmit �rawings and Permit Application
2

1. T�e Cor�s af Engineers belieues �ha# ther� may be jurisdic#ionaf wat�rs af the
United States �n the sub�ect site, and fhe pe�mit applicant or �ther afiFected p�rty
who r�qu�st�d this preliminary JD is her�by ac4Wised �f his or her opti�n tc�
req�e�t and obtain an approved jurtsdic#�anaf determinatian ��lQ) far that site.
Nevertheles�, ihe permif ap#�licant ar c�ther pers�n who requested this
preliminary J� has decline�i to exercise �he c�ption �a abtain an approved JD ir�
this irtstance and at this time.
2. in any cir�urnstar��e where a permi# applican� abtains an i�ndividuai p�rmit, or
a�Jatianwide General Permit (NWP) c�r other general permit r�erific�ti�n requiring
"pre-c�nstructiora natification" {PCN}, ar r�quests verificatior� far a r�on-report�ng
NWP or atf�er general perrnit, �nd the permit applicant has nat reque�ted �n
a�pr�ved JD €�r #he activity, the permit a��licant i� hereby made av+rare c�f the
follawi�g: (1) th� �ermit �pplicant has elected to seek a perrnit authc�rization
E��se� orr a preliminary JD, which c�caes not make an r�ffici�l d�#ermin�tion of
jurisdictional waters; {2} that the a�pli�ant has the c��#iart ta request a� appr�ved
JD b�fore acc�pti�rg the terms and condific�ns of the perrnit au�horization, �r�d
that basing a p�rmi� authori�atian on an appraved J[] cauld pas�i�ly result �n less
c�m�ensator}+� mitigatian being requi�ed or differer�i special �onditians; (3} #hat
the a�p�ic�nt has the right to r�quesl an individual �ermit rather #han �ccepting
�he t�rms and c�nditi�ns of the NWP or c�#her general permit authorization; (4}
fhat t�e applican� car� accept a permit a�tharizatian and ther�by agree tv c�mply
vuith al� the terms and c,c�nditians r�f #h�t p�rmit, includir�g wha€e�e�' mitiga�ion
requiremen�s the Ccrrps h�s deterrnined #�a be necessary; (5} that undertaking
any aciivity ir� reiianc� u�an �h�e subject pe�mif autharization without requesting
an appraWed J�7 constitutes the applicant's a�ceptance e�f the use af the
pre�iminary JD, but that eit�er form €�f JC7 will be prc�c�ss�;d �,s sc�c�n as i�
�aracticable; (�} accepting a permit auth�rizati�an �e.g., sig�nrng a proffered
individual permitj ar und�rtaking any activ�ty in r�liance on any form �af �c�rps
�aerm�i auihc�rizatian �as�d ot� a p�'el[rninary JD canstitut+e� agreement that all
we�lands and c�ther wa�er bodies an the site a�fected in any way �y that activity
are jurisdictional waters o� the U'nited States, and precludes any challenge tn
such jurisdictian in any ��iminisirative ar �udicial compliance or enforc�ment
action, ar in any adm�nistrative �ppeaf or in ar�y Federal co�rt; and �7} whether
the �pplicant efeets to use ei#her an apprt�v�d JD �r a preEimanary JD, �hafi Ja
will kae processed as soon as is practicable. Fu�ther, a�r approv�d JD, a prD#�ered
indiv�dual �errnit {and all #erms a�d conditi�ns �ont�ined fherein), or inciividual
�aerrra�t deni�l can be administratively appe�led pursua�t to 33 C,�.R. Par� 33fi,
and �hat in any a�Irt�inistr�ti�e a�peal, jurisdic#ir�na! issues can b� raised �s�� 33
�.F.�. 331.�(a}�2}}. ffi, durip�g tha# administra#iv�e appeal, it becomes n�cessary
tv rnak� an a�ficial determirta#Pa� whether G1NA juris�iictian exists caver a site, or
to �rovide ar� �ffici�l delineatior� �f juri�dictinr�al w�t�rs on �he site, the C�rps will
�rovide an appro��d JD �o ac�omplish that resuft, as svon as is prac�icable.
3

T'his preliminary JD finds that there "may i��'°wate�s of the 'Ur�ited S�at�s o� the
subject �rc�jeci site, and id�ntifies all aquatic features on ti�e site that could be
affi�cted by th�: ,�rapased actir���y, b�sed r�n the foll�wing inform�tior�:
IMP�RT�41�i N�TE: The informatian recorded on this #orm has nvi
n�cessari[y been ►rerified bv the Cvrps and shou�d not be reli�c� upan #ar
later jurisd�ctian�l de#erminativns.
� ougitally signed by SHAVER.BRAD.E1 2 76601 756
�� DN:r-US,o=US.Government,ou=DoD,ou=PKl,
=USA, rn=SHAVER.BRAD.E.1276601756
Date: 2016.01.12 11:02:54 -OS'00'
Signature and date �f
Regulatary Project Manager
(REQUIREk�)
4
1'��l ���'�
Si�nature and date c�f
persan requ�sting preliminary JD
�REQIJIREQ, uniess abtainirrg
the signature i� impracticable)

Estimated
amount of
aquatic Class of
Cowardin resource in Aquatic
Site Latitude Longitude Class review area Resource
Riverine Lower Non-section 10 -
Perennial non-wetland
Burgaw New Unconsolidated (Perennial
NCDOT Building 34.555757 N 77.934959 W Bottom Sand �1200 feet Stream)

Burgaw New NCDOT Building
Burgaw Pender County
.. 9 .. .3 �� � p. _ �.
ti "-`�' , �r �' ,
� h i:" 'r , �'
�J � r ::. . � r:. :v . � ` �
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� .,r a� ` ' `', '� � �„ _ , _ p p P
' � ` � = R'�z332 .� , � ' ' �- � �� 34.564896degN 77.929342degW
c �3 '.� �...,-- _
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' 3 avy � , a �,�, .,:- � ` �M _ ` y� �'� F�n9xO� � �;
Wg,./ ._ �`' "r� _'r SR 1400 �� ; r ��- -�
a �•� d9eg� �. . _ +"_.-. ��,p ;'� ��, �, � N a..:.
1 .. ��%
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3 �G5 �. + , � � ��ee`�b :r ��,� � N � , �"' .. ;� ' � v' . %� _ , � � .
5 � L �r• `EL`'� , ,� ; co'i�'� G � �� o J�r,Y' _ �.: rr � �
7 � � .t�fl � "�"^A ;, �.S?�; �. �� � �; � � i O,� ,. � ' �,lxd� ��e` �*� � � '�.
��� � � � 4� Y,.�' �� � �(� rt y r�crn Z 'w��-�"• r �co �`�r� �i��u i � �1 ;••
• ��t� � . �� fi !��ti� � �- �.�,, '�.:.'' � � �°':?' � ayes - `� �',.e,.'��.: '�!.� ,_ .
�;d � �t � � • �,�p+r � 1� r
"�'�'�,i'�`yL�,����Qrt-'''�i _ ,� _ �t=a ',�+ _ . . .:k� n.'` - _ ':"..�:: . .�. _ .. . . ... _ -
0 375 750 1,500 2,250 3,000
Feet

Burgaw New NCDOT Building
Burgaw Pender County
, 4 � . ,.-�. , c ,, ''
� s s- � t�; � � „�;. - a
'' �� ����� �
� } � � �- -�. �� :. -
t' '�iy 1346 Ed Cowan Rd r' �
:tR� ; f
- �� �... . ::� � - _ �j'+'�/ �� � �_ _ _.r�1�� lY•
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��. ;.y � � �' (y f ti � ` I
„_ _ .,.,, :..� - 1� Burgaw Creek
>„�� "'� 3' �� � `` � � ac�-, _ � � Cos
- .�� 3�r "' �� rOh Rd
��:.Y �� �i �� .� ��
Y _ � � 3.' � G�� .� � ��
_ � �. � ' . Q � � i.w
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, . - � d
� F UT to Burgaw Creek �����`� `
End Stream Scope Area ��. " -
� �,� '
_ - ��•, - � es� � �
,� >' sT e St �jaA\a� �d �^,�
`.•''+ r _ SR 1344 ��n 3c�4 � c��;�
��, , �_ - ��� .
-� - . �.
r ° t r , _ \ ``�- ,
��� • _ � = `, �;� .e� ` ti - . _ '. . _ •
c� SR�, 3 , � Proposed Pipe Replacement
3 2 � � � 34.564896degN 77.929342degW �
733? �� � _. . . �
SR#13q3 A�,n �'��i . � . - �
734 aer�e � � �151� • �
3 al�a ",:. � ��.\Ur�n9tO� S �II ,; {
Wg,.. . . SR 1400 �
a ,dgeS St �; �. _ N
� K, �
� } Begin Stream Scope Area N -� o� _::
N (?�ti� �,� . 'S� . Q. • � f � 9�7 � �.
IT
N � P • ��` � �':
� CJ� ` �G �� � s r� .
�i � t�(� O �'� ' G '� '
�, �•\� r9=�� tig� � -P�. = c�
C7 `N, a N � Fr tc�or �s` , �.
y N . .
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6� S -�
NG_y3,_ � CeembrtSt � � � at�r� 'c' �,Nayes i ., ,
53 - ' ! ,_ � F � tP n � N N � _ Fn„ ,
��5 i co. G C� n 2 � ��.. a�;_
1 � d � �' � o � - � ' �� �d''
� � .� � � � � •�t
y � F . __
�� . �, ,y�' ' '" N t� 5 St N ' ,ryj�' a
�'�" � Naye �.,�� -"+� .
�5'
0 375 750 1,500 2,250 3,000
Feet

Burgaw New NCDOT Building
Burgaw Pender County
375 750 1,500 2,250 3,000
Feet

ADDITIONAL INFORMATION AND COMPUTATIONS
THIS PROJECT IS LOCATED IN ZONE AE OF FIRM MAP NUMBER 3720322900J AND WAS STUDIED BY
DETAILED METHODS. NCDOT PROPOSESTO CONSTRUCTA NEW OFFICE BUILDING ALONG
BURGAW CREEK. THIS PROJECT WILLADD FILLAND A STRUCTURE IN THE 100YR FLOODWAY AT
RS 63254.0 TO RS 63148.3 AND REPLACING AN EXISTING 54"CMP AT RS 62617.3 WITH A SINGLE 78"RCP.
-------------------------------------------------------------------------------------------------------------------------
THE EXISTING 54"CMP IS A NON-INVENTORY STRUCTURE UNDER A ONE LANE DIRT ROAD THAT PROVIDES
_ _ _ _ _"_' _ _""""""""""_ _ _ _ _ _ _ _ " _ """"""""""' _""""""""""""""""""""""""""""'
ACCE55 BETWEEN THE NCDOT MAINTENANCE FAQLITY AND THE PENDER COUNTY CORRECTIONAL CENTER.
--------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------
SITE DATA
Drainage Area --------1_7 SQUARE_MIIES--------- Source .--------------_ QUAD /STREAM_ STATS----------------
River Basin -_---------CAPE FEAR--------------- Character ---_----URBAN AND RURAL FARMLAND
Stream Classification (Such as Trout, High Qualiiy Water, etc.) _______ C, SW
-------------------------------------
Data on Existing Structure .__________NON INVENTORY STRUCTURE:1 @ 54" CMP
Total Waterway Opening____ 15 9_____ s.f. Waterway Opening Below 100yr. WS EL.______15•9 ___s.f.
Debris Potential: Low � Moderate ❑ High ❑
Data on Structures Up and Down Stream .__ UP STREAM:1 @ 54" RCP,2 @ 36" RCP ON SR 1334
------------ - ------ ------- --------------------------
DOWN STREAM: 3@ 48" CMP UNDER DIRT ROAD
- --------- - ----- - ----- - --- ----- - ------------------------------------- --- --- ----------------------------
Gage Station No---------------------------_- Period of Records .-----------------------------------------yrs.
Max. Discharge ---------------�-------- c.f.s Date.--------------------------- Prequency -------------------
Historical Flood Information:
Period of
Date Elev._________f1.Est. Preq.._______yr. Source ___________________ Knowledge_______yrs.
Period of
Daie Elev._________f1.Est. Freq. _______yr. Source __________ Knowledge_______yrs.
Allowable HW Elev----------------NLA-------------------------_fF. NormalWaterSurface Elev. -------3Z_3----_ft.
Manning's n: Left O.B. 0:02-0.2 _ Channel.__0.03 �9ht O.B. a_02-0_2 Obtained From HE�RAS /fIELD VISIT
Flood Study/Status DETAILED_ STUDY_PANEL 3229.EFF DATE_?/162007__ Floodway Established&___ YES____
Flood Study 100 yr. Discharge ___1310 __ c.f.s.; WS Elev.: Floodw 48.7 W�ihout 47 �
°�' ----- ------ft. Floodway ----- ------ft.
@Published River Station 63748
DESIGN DATA
Hydrological Method______ FEMA HYDROLOGIC FLOWS UTILIZED ____
Hydraulic Design Method _____ _____ HEC RAS 4.7.0
Design Tailwater � Qio ---6'8---- ft-% Qis ---------ft'% Qso-------- ft'%Qioo --------- ft-% Qeoo --------------ft.
Inlet Control OuNeT ConTrol
Q Remarks
Size 8 TYpe (c.f.s.) K e FIWjD �ftW. d� dc 2 D ho H �a ({� �.
1@78" RCP 619 0.9 1.3 8.6 4.8 5.7 6.S 2.4 0.4 8.8 Q10 W.S.=44.8'
BURIED 1'
BED INLET INV=36.0' BED OUTLET INVERT=35.6' W.S. @RIVER STATION 62669.2 APPROX 32' UPSTREAM
Is a Floodway Revision Required? _.MOA,2A ___ _ TotalProposed Waterway Opening______39___.___s.f.
OutletVelociiy (V��j ----------$_9-------------f.p.s. Natuml Channel Velocity (V�� -----------3_5---_------f.p.s.
Required Outlet Protection ____________SEE PLAN AND PROFILE THIS REPORT
- - - ---------------------------------------------------------------
o;
�' CULVERT SURVEY & HYDRAULIC DESIGN REPORT `
V�
�' N. C. DEPARTMENT OF TRANSPORTATION
�, DIVISION OF HIGHWAYS
m; HYDRAULICS UNIT
�; RALEIGH, N. C.
LLi
O;
�; I.D. No._______WA______. ProjecFNo. __________.W03043___________ proj. Station ______STA.10+00_-L________
w�
w;
?; Couniy ____.___ PENDER________ Streom__________________@URGAW__CREEK__________________ Stru. No._ZO 0000_
�� PENDER CORRECTIONAL
w; On Highwoy ________ __WA __________. Belween _______CENTER_______ and _____ _____ __SR 1400___
------ ---
w� Recommended Strudure 1�a78"_RCP_BURRIED-1'---_----_-----------------------------_----_---------------
o; ----
w�
�� --------------'-------------------------- ---------------------------------------------'---"-"--------------'---------
o;
o; Recommended Width ofRoadway________________�TCH_EXISTING _________.___. Skew ___________�9�__________
o;
�; Recommended Location is (Up, At, Down) Stream from Existing Crossing. ___________AT____________________
d
LL Statewide Tier ❑ Regional Tier ❑ Su�Regional Tier ❑
a Bench Mark is � _ IS_ #6. GPS ROD_ & CAP_ _ _ _. _ _ _ _ _ N_ _ 294946,977 _E_ 2321095,818_
"' ------------------------------------------------------------ Elev. --- 46.89�----ft. Datum: _ NAVD_ 88-------
o;
o; Temporary Crossing ---wA--------------------------------------------------------------------------------------
3;
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� Designed by: ________ CRAIG_ A, FREEMAN__JR, P_E.________.
�; Assisied by: -----------AAATTHEW _ 1, YORK ------------.
°0� ProjecF Engineer : __ G_ A, FREEMAN_ JR P.E.
--- - `
----
� Reviewed by: -� --- - '-- --------------------
�
�
Date _ q�23�%� 5
1