20160089 Ver 1_401 Application_20160126

Carpenter,Kristi
From:
Sent:
To:
Cc:
Subject:
Attachments:
Follow Up Flag:
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Willis, Thomas C
Friday, January 22, 2016 3:06 PM
[e-mail]; Ward, Garcy
Carpenter,Kristi
NW 14 Permit Request for wetland impacts - Intersection improvement - Camden
County
Permit_Application_NW14.pdf; Permit_drawings.pdf
Follow up
Flagged
Tracey and Garcy,
Hope ya'll are enjoying this nice weather. Attached is an application for a NW 14 permit for intersection improvements
on US 17/17 Business in Camden county. This intersection has experienced some traffic movement issues and safety
concerns. The improvements involve filling a small portion of a roadside wetland swale for a turn lane.
I included the PCN, location map, aerial image and permit drawings. Let me know if you all have any questions or need
clarification on the application.
Thanks,
Clay
NCDOT— Division One
Environmental Supervisor
Office — 252-482-1876
Cell — 252-312-3692
tcwi I I is@ ncdot.gov
Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties.
1

Transportation
January 21, 2016
U.S. Army Cor•ps of Engineers
Washington, NC 27889-1000
ATTN: Tracey Wheeler
NCDOT Coordinator
N.C. Division of Water Resources
Washingtoil Regional Office
9453 Washington Square Mall
Washington, NC 27889
ATTN: Garcy Ward
NCDOT Coor•dinator
PAT McCRORY
Govet-nor
N[CHOLAS J. TENNYSON
Sea-etary
Subject: Request for a NW 14 Permit and 401 certification for wetland impacts
associated with a turn lane safety project on US 17 in Camden
County. Project # W-5601BL , WBS Element: 50138.1.65
The North Carolina Department of Transportation (NCDOT) requests a NW 14 per•mit
and corresponding 401 certification for authorization to permanently impact 0.009 acres
of 404 wetlands and temporarily impact 0.004 acres of wetlands. These impacts are
associated with a safety improvement project at the intersection of US 17 and US 17
Business near South Mills in Cainden County. The project proposes to add a north bound
right turn line onto US 17 business, make median changes to eliminate the south bound
left turns and U-turn rnovernents. Wetland impacts have been avoided and minimized
during the planning process, resulting ii7 the cunent design, which will permanently
impact 0.009 acres of a roadside swale wetland. The wetland consist primarily of cattails
and undergoes periodic mowing associated with inaintenance along US highway 17. The
right turn lane addition, requires road shoulder widening and a 16 ft. pipe extension, both
encroach into the roadside wetland swale. The installation of the pipe extension will
require some excavation and undercutting in the area of the existing pipe. This process
could result in a temporary impact of 0.004 acres of wetlands, which will be allowed to
revert back to wetlands, following project coinpletion. The proposed wetland impact is
shown on the included permit drawings and wetland impact summary sheet. I have also
included a location map and aerial photograph of the project location.
�Nothing Compares��_.
State of Noith Carolina � Department of Transportation � Division 1
I 13 Aiipo�t Drive � Suite 100 � Fdenton, NC 27932
252-482-1850

If you should have any questions regarding this request, please contact Clay Willis at
[phone] or tc���illis;c�;ncdoi.�o_v.
Sincerely,
Jerry Jennings, P.E., Division Engineer
NCDOT Division 1
� ����
Cla Wi11is�Environmental Su ervisor
y � p
NCDOT Division 1

US 17 Business Intersection Improvements - Turn land widening
South Mills - Camden County
Quad Name - South Mills
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A. Applicant Information
1. Processing
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre-Construction Notification (PCN) Form
1 a. Type(s) of approval sought from the Corps:
X Section 404 Permit
1b. Specify Nationwide Permit (NWP) number: NW 14 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps?
1 d. Type(s) of approval sought from the DWQ (check all that apply):
X 401 Water Quality Certification — Regular
401 Water Quality Certification — Express
1 e. Is this notification solely for the record
because written approval is not required?
X Yes
Section 10 Permit
�►C
Non-404 Jurisdictional General Permit
Riparian Buffer Authorization
For the record only for DWQ
401 Certification:
For the record only for Corps Permit:
Yes X No Yes
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 or in-lieu X Yes
fee program.
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h X Yes
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes
2. Project Information
2a. Name of project: US 17 / US 17 Business Intersection Improvements — South Mills
2b. County: Camden
2c. Nearest municipality / town: South Mills
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state project no: 50138.1.65
3. Owner Information
3a. Name(s) on Recorded Deed: NCDOT R-O-W
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if NCDOT
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
13 Airport Drive , Suite 100
denton, N.C. 27932
52-482-1876 / 252-312-3692
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009
X No
No
No
X No

Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1 b. Site coordinates (in decimal degrees): Latitude: 36.4357
1 c. Property size:
2. Surface Waters
2a. Name of nearest body of water to proposed project:
2b. Water Quality Classification of nearest receiving water:
2c. River basin:
3. Project Description
CDOT ROW — US 17
Longitude: -76.3382
1 acres
I Swamp Canal
SW
�squotank
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: Land use within the project vicinity consist of forested woodland, rural residential, commercial use
and NCDOT ROW for US highway 17.
3b. List the total estimated acreage of all existing wetlands on the property: 1.0 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: None
3d. Explain the purpOse of the prOpOsed prOjeCt: The purpose of this project is to improve safety by modifying traffic movements at the
intersection of US 17 and US 17 business in Camden County.
3e. Describe the overail project in detail, including the type of equipment to be used:
NCDOT proposes to improve traffic patterns at the intersection of US 17 and US 17bus. in Camden county. The improvements include placing a
north bound right turn lane on to US 17 business, eliminating the US 17 south bound left turn lane and prohibiting U-turns through the median.
The north bound right turn lane will require additional road shoulder fill and 16 feet of pipe extension. This work will be done through contract
with a private construction company. Equipment used will likely be an excavator, bulldozer, milling machine, paving equipment and dump trucks.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including ail prior phases) in the past?
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
X Yes
Comments:
X Preliminary
No Unknown
Final
4c. If yes, who delineated the jurisdictional areas7 I Agency/Consultant Company:
Name (if known): Clay Willis Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for Yes X No Unknown
this project (including all prior phases) in the past?
Page 3 of 10
PCN Form — Version 1.4 January 2009

Page 4 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
X Wetlands Streams — tributaries Buffers Open Waters Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f. Area
Wetland impact Type of impact Type of wetland Forested Type of jurisdiction of
number Corps (404,10) or impact
Permanent (P) or DWQ (401, other) (acres)
Tem orar T
Site 1& 2 Fill 04 — roadside swale cattails 04, 401 .009
Permanent
Permanent
(hand clearing)
Site 1 Temporary excavation 04- roadside swale cattails 04, 401 .004
(pipe extension area)
W4
W5
W6
2g. Total Wetland Impacts: 0.013
2h. Comments:
Temporary excavation work area will be allowed to revert back to vegetated wetland.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 39�
Stream impact Type of impact Stream name Perennial (PER) or Type of Average Impact
number intermittent (INT)? jurisdiction stream length
Permanent (P) or width (linear
Temporary (T) (feet) feet)
S1
S2
S3
S4
S5
S6
3h. Total stream and tributary impacts
3i. Comments: None
Page 5 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 open water impacts 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
Temporar (T)
01
02
03
04
4f. Total open water impacts
4g. Comments: None
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Pond ID number Proposed use or Wetland Impacts (acres) Stream Impacts (feet) Upland
purpose of pond (acres)
Flooded Filled Excavated Flooded Filled Excavated
P1
P2
5f. Total:
5g. Comments:None
5h. Is a dam high hazard permit required? Yes No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. 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 impacts require miti ation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin? Neuse X 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
Temporar (T) feet feet)
B1
B2
B3
B4
B5
B6
6h. Total Buffer impacts:
6i. Comments: None
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
NCDOT minimized the roadway width for a turn lane, following design standards of a US route.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Erosion and Sediment Control measures will be placed along the entire project area to reduce soil runoff from traveling beyond the project limits.
2. Compensatory Miti ation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for Yes X No
impacts to 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
project?
Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Type: Quantity:
3b. Credits Purchased (attach receipt and letter) Type: Quantity:
Type: Quantity:
3c. Comments: N/A
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature:
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
5a. 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. Will 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 Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
Yes X No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? %
2b. Does this ro'ect re uire a Stormwater Mana ement Plan? X Yes No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Pian, then provide a brief, narrative description of the plan:
NCDOT will follow BMP's to control storm water and erosion/sedimentation in compliance with NCDOT's NPDES permit. There
has been an approved erosion and sedimentation control plan designed for this intersection improvement by a Level III Erosion
Control Designer.
2e. Who will be responsible for the review of the Stormwater Management Plan? NCDWR
3. Certified Local Government Stormwater Review N/A
3a. In which local governmenYsjurisdiction is this project? N/A
Phase II
3b. Which of the following locally-implemented stormwater management programs NSW
apply (check all that apply): N/A USMP
Water Suppiy Watershed
Other:
3c. Has the approved Stormwater Management Plan with proof of approval been Yes No
attached? N/A
4. DWQ Stormwater Program Review
X Coastai counties
hqw
4a. Which of the foliowing state-implemented storm water 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 X No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? N/A Yes No
5b. Have all of the 401 Unit submittal requirements been met? N/A 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 pubiic (federal/state/local) funds or the X Yes No
use of public (federal/state) land?
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)?
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 final 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 X No
or Riparian Buffer Rules (15A NCAC 2B .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. None

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 X No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act Yes X No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat? Listed species for Camden County. No Habitat Present on the project site for listed species.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? Yes X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NMFS — Data Set for North Carolina
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 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?
NC State Historic Preservation Office
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: Design wiil not increase flood plain elevations of the surrounding
area.
8c. What source(s) did you use to make the floodplain determination? USGS Flood plain maps and hydraulic engineer review
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Applicant/Agent's Printed Name Applicant/Agent's Signature (agent�s Date
signature is valid only if an authorization letter
from the applicant is provided.)
Page 10 of 10

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See Sheet 1-A For Index of Sheets
�"1' �"l l�: (�I�� \(�I'�'I`H �� �I�(�l.l. �.�
II�I � �l�l(�\ (�)I�� I-�I�;�I-I\V�.�>>"�
CAMDE1�l COUI�TY
LOCATI0IV: I11tTERSECTION OF U.S.17 AND U.S.17 BUSINESS (MAIN STREET)
NEAR SOUTH MILLS
TYPE OF WORK WIDE1VI11tG, GRADIIVG, PAVIIVG, DRAI11rAGE, SIG11lI1VG,
PA VEME11lT MARKIIVG, A1VD UTILITIES
WETLAND AND SURFACE WATER IMPACTS PERMIT
BEGIN TlP PROJECT W -560/BL
Tp � \
O,QG,�
�FR �
;..�SITE 2
� •. � END CONSTRUCTION
THIS PROJECT IS NOT WITHIN MUNICIPAL BOUNDARIES.
CLEARING ON THIS PROJECT SHALL BE PERFORMED TO THE LIMITS ESTABLISHED BY METHOD
PERMIT DRAWING
SHEET 1 OF 3
NAD 83 /2011
-�
-SBL- STA.27+60.00
TO HORSESHOE ROAD
INCOMFLETE PLANS
DO NOT USE FOR R/ W ACQUISITION
DOCUMENT NOT CONSIDERED FINAL
UNLE55 ALL SIGNATURES COMPLETED
Prepored !n 1he O�flce o�: H1'DRAULICS ENGINEER
GRAPHIC SCALES DESIGN DATA PROJECT LENGTH
�� � I�� 1616 E. MILLBROOK ROAD, SUITE #370
US� J RALEIGH, NORTH CAROLINA 27609
50 25 0 50 700 LENGTH ROADWAY T.I.P. PROJECT W-5601BL = 0.304 MILES (9l9) 876-6888 NcssEs #F-o3z6 �����
ADT 2015 = 17,000 � � �' �
TOTAL LENGTH T.I.P. PROJECT W-56016L = 0.304 MILES zolz sraNnann sPEcrFrcarroxs ��� `���
PLANS US17 BUS � %
CLINT MORGAN, P.E. P� � a
50 25 0 50 t00 ADT 2015 = 3,800 RIGHT OF WAY DATE: +'Ro�ecr ExcrNEen srcxaruns: � �
WA ROADWAY DESIGN
IAN BERDEAU, E.I. ENGINEER
PROFILE (HORIZONTAL) rao7ecr Dssrcx a,vcrxEEa ���'�. ����
�0 YW&���
LETTIIVG DATE:
l0 5 0 l0 20 BARRY HOBBS, P.E.
NCDOT CONT9CT
PROFILE (VERTICAL) P�
S7GNAT[IR :

WETLAND PERMIT IMPACT SUMMARY
WETLAND IMPACTS SURFACE WATER IMPACTS
Hand Existing Existing
Permanent Temp. Excavation Mechanized Clearing Permanent Temp. Channel Channel Natural
Site Station Structure Fillln Fillln in Clearing in SW SW Impacts Impacts Stream
No. (From/To) Size / Type Wetlands Wetlands Wetlands in Wetlands Wetlands impacts impacts Permanent Temp. Design
(SF) (SF) (SF) (SF) (SF) (SF) (SF) (FT) (FT) (FT)
1 (Y2) 10+54 / 11+29 Fill in Wetland 213.39 0.00 0.00 0.00 0.00 0.00 0.00 0 0 0
2 (Y1) 11+49 / 12+21 Fill / Clearing 20720 0.00 0.00 201.52 0.00 0.00 0.00 0 0 0
TOTALS: 420.59 0.00 0.00 201.52 0.00 0.00 0.00 0.00 0.00 0.00
Revised 3/31/OS