20160110 Ver 1_Application_20160204

Carpenter,Kristi
From: Murray, Christopher A
Sent: Thursday, February 04, 2016 9:36 AM
To: Alsmeyer, Eric C SAW; Ridings, Rob
Cc: Carpenter,Kristi
Subject: NCDOT Division 5 permit application for widening of Rogers Road (SR 2052) and
replacement of Bridge No. 910132 over Smith Creek in Wake Forest, Wake County;
TIP/W BS: 17 B P.S. R.47
Attachments: Rogers Road (SR 2052) and replacement of Bridge 910132 scanned permit application
letter.pdf; Rogers Road (SR 2052) widening and replacement of Bridge 910132
scanned PCN form.pdf; Rogers Road (SR 2052) EEP in-lieu mitigation approval
letter.pdf; Rogers Road (SR 2052) widening and replacement of Bridge 910132 FINAL
Stream Permit Drawings.pdf; Rogers Road (SR 2052) widening and replacement of
Bridge 910132 FINAL Buffer Permit Drawings.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
Eric and Rob,
NCDOT Division 5 proposes to widen Rogers Road (SR 2052) and replace Bridge No. 910132 over Smith Creek in Wake
Forest, Wake County . The following information is attached as part of this permit application:
-Signed and scanned copy of PCN form
-In-lieu fee mitigation acceptance letter
-FINAL Stream Permit Drawing Package
-FINAL Riparian Buffer Permit Drawing Package
Please contact me if you need additional information.
Thanks,
Chris Murray
Christopher A. Murray, PWS
Division Environmental Supervisor
Division 5
[phone] office
[e-mail]
NCDOT-Division 5
2612 N. Duke Street
Courier: 17-27-03
Durham, NC 27704

; ,� r M � �
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties.

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' � 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
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? ❑ Yes ❑X No
1d. Type(s) of approval sought from the DWQ (check all that apply):
OX 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express �X Riparian Buffer Authorization
1 e. Is this notification 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:
❑ Yes �X No ❑ Yes OX 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 �X Yes � 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 � Yes �X No
below.
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes ❑X No
2. Project Information
2a. Name of project: Rogers Rd. (SR 2052) widening and replacement of Bridge 910132 over Smith Creek
2b. County: Wake County
2c. Nearest municipality / town: Wake Forest
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state project no: WBS Number: 17BP.5.R.47
3. Owner Information
3a. Name(s) on Recorded Deed: NCDOT
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if Mr. J.R. Hopkins, P.E.
applicable):
3d. Street address: 2612 N. Duke Street
3e. City, state, zip: Durham, NC 27704
3f. Telephone no.: [phone]
3g. Fax no.: [phone]
3h. Email address: Email questions or comments to: Chris Murray at: [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. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): N/A
1 b. Site coordinates (in decimal degrees): Latitude: 35.949353 Longitude: 78.508448
1 c. Property size: 6.9 acres
2. Surtace Waters
2a. Name of nearest body of water to proposed project: Smith Creek (Site 1) and UT to Smith Creek (Site 2)
2b. Water Quality Classification of nearest receiving water: C; NSW
2c. River basin: Neuse
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at ihe time of this
application:
Land use in the vicinity is generally mixed comprised of woods, residential houses, apartment complexes, businesses, etc. The project is an existing
iwo lane road with shoulder sections.
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: 400
3d. Explain the purpose of the proposed project:
Replace 2 lane bridge and roadway w/ 5 lane bridge and roadway. This will improve capacity and safety and remove bottlenecks during rush hours.
3e. Describe the overall project in detail, including the type of equipment to be used:
Equipment includes crane, backhoe, dump truck, bobcat, etc. Roadway widening project added to bridge project to reduce road closure time and $$.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the � Yes ❑ No ❑ Unknown
Corps or State been requested or obtained for this property /
ro'ect includin all rior hases in the ast? Comments:
4b. If the Corps made the jurisdictional determination, what type � preliminary �X Final
of determination was made?
4c. If yes, who delineated thejurisdictional areas? Agency/Consultant Company:
Name (if known): A. Efird (Atkins, 4/12) and J. Dilday (NCDOT, 12i13) Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
On-site JD on 716/12 with USACE and NCDENR-DWR; follow up with additional area and info w/ Jason Dilday in December 2013.
5. Project History
5a. Have permits or certifications been requested or obtained for � Yes �X No
this project (including all prior phases) in the past? ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes �X No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
'ta. Which sections were completed below for your project (check all that apply):
❑ Wetlands ❑X Streams — tributaries �X 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.
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, other) (acres)
Tem ora
W1 - Choose one Choose one Yes/No -
� - Choose one Choose one Yes/No -
�/3 - Choose one Choose one Yes/No -
�/�/q - Choose one Choose one Yes/No -
W5 - Choose 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 intermittent stream impacts (induding temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
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 P and T Rip rap stab. & dewater Smith Creek PER Corps 15 196
S2 P and T Fill, rip rap & Dewater UT to Smith Ck (2 sites) INT Corps 123
S3 - Choose one _ _
S4 - Choose one - _
S5 - Choose one _ -
S6 - Choose one - _
3h. Total stream and tributary impacts 319
3i. Comments:
Note: Stream impact S1 (Bridge Replacement) includes 191 ft permanent rip rap streambank stabilization and 5 ft temporary dewatering. Stream
impact S2 includes Culvert Replacement and Bank Stabilization (at exist 36" pipe structure). Note the following impacts: CULVERT REPLACEMENT:
11 feet permanent fill (stream length enclosed in longer culvert), 47 ft permanent rip rap streambank stabilization and 47 ft temporary dewatering.
BANK STABILIZATION AT EXISTING 36 INCH PIPE STRUCTURE: 14 ft permanent rip rap streambank stabilization and 4 ft temporary dewatering.
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
01 - Choose one Choose
02 - Choose one Choose
03 - Choose one Choose
04 - Choose one Choose
4f. Total open water impacts
4g. Comments: ese pon impac s are is e as ermi i e .
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete 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 Choose one
p2 Choose one
5f. Total:
5g. Comments:
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 im acts re uire miti ation, then ou MUST fill out Section D of this form.
6a. Project is in which protected basin? OX 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 feet feet
B1 P Bridge Smith Creek No 10,300.1 4,987.6
B2 P Culvert UT to Smith Creek No 6,563.7 806.9
B3 P Roadway UT to Smith Creek Yes 854.4 2,260.3
B4 - Yes/No
B5 - Yes/No
66 - Yes/No
6h. Total Buffer Impacts ��,7�s.2 s,054.8
6i. COmmentS: NOTE info in chart for Site B3 is actually parallel roadway impact at Buffer Site 2.
Nage5ot10

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.
Project impacts have been avoided and minimized throughout the design process. Rip rap impacts at Stream Site 1 are required due to the close
proximity of the pedestrian trail to the existing rip rap-lined streambank. The culvert is being extended to allow for construct a five-lane roadway
structure at the site. The minimum amount of rip rap has been designed at the outlet and inlet of culvert to provide long-stability. Rip rap bank
stabilization at the outlet of the existing 36 inch pipe structure is necessary to provide Iong-term stability.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Side slopes have been reduced to 2:1 to reduce stream impacts. The contractor will review the site prior to and after pipe/roadway fill and will only use
the minimum amount of rip rap necessary to stabilize disturbed stream banks.
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 ❑X Yes � No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): �X DWQ ❑X Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this OX payment to in-lieu fee program
project?
❑ 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 ram
4a. Approval letter from in-lieu fee program is attached. ❑X Yes
4b. Stream mitigation requested: 11 linear feet
4c. If using stream mitigation, stream temperature: warm
4d. Buffer mitigation requested (DWQ only): 3,114 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. Wili the project result in an impact within a protected riparian buffer that requires
buffer mitigation? 0 Yes ❑ No
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 Paratlel 854 3(2 fof Catawba) 2,562
Zone 2 Parallel 2,260 1.5 3,390
6f. Total buffer mitigation required: s,952
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).
Payment into in-fieu fee fund. See attached letter.
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 ❑ 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.
❑X Yes � No
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? 20 o�o
2b. Does this ro'ect re uire a Stormwater Mana ement Plan? 0 Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
See stormwater management plan attached as part of permit drawing package.
2e. Who will be responsible for the review of the Stormwater Management Plan? NCDENR-DWR
3. Certified Local Government Stormwater Review
3a. In which local overnment's '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
Q Other: NCDOT delegated
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 ofthe 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 requirements? � 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 projed involve an expenditure of public (federal/state/local) funds or the � 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 ❑X Yes ❑ 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 0 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 2B .0200)?
2b. Is this an after-the-fact permit application? ❑ Yes � 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 � 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.
The project will not generate wastewater.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Wili this project occur in or near an area with federally protected species or X Yes
habitat? _ ❑ ❑ No
5b. Have you checked with the USFWS concerning Endangered Species Act � Yes ❑ No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted. Raleigh
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The USFWS has concurred with a Biological Conclusion of May Affect; Not Likely to Adversely Affect for the Northern long-eared bat. All other
species (dwarfwedgemussel, Michaux's sumac and bald eagle, red-cockaded woodpecker) have a biological conclusion of No Effect.
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?
NMFWS Databaase
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 ❑ 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?
N.C. Historic Preservation Office GIS Services
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? OX Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
The project meets the conditions of the NCDOT/NCFMP MOA; Type 2A
8c. What source(s) did you use to make the floodplain determination?
NFIP FIRM Panel 1749J (Effective 5/2/2006), FEMA Flood Insurance Study (37183CV000, Effective/Revised 4/16/2013)
Christopher Murray � 02-04-2016
Applicant/AgenYs Printed Name Applicant/AgenYs Sign u Date
(AgenYs signature is valid only if an a ho ization
letter from the a licant is rovided.
Page 10 of 10