20160251 Ver 1_Application_20160310

Carpenter,Kristi
From:
Sent:
To:
Subject:
Attachments:
Coggins, Tony C
Thursday, March 10, 2016 4:32 PM
Tom Steffens ([e-mail]); Ridings, Rob; Carpenter,Kristi
W5204c permit application
W5204C permit app.pdf; W5204C drawing .pdf
Permit app for W5204C WBS# 45334.1.3. Need anything else please advise.
Chad Coggins
Environmental Officer
Division 4, NC Department of Transportation
252 296-3532 office
252 717-8699 mobile
tcco��ins@ncdot.�ov
509 Ward Blvd.
PO Box 3165
Wilson, NC 27895
a; ��
�;,
�
, � i 1k � .� �
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.
1

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
PAT MCCRORY
GOVERNOR
March 10, 2016
Mr. Thomas Steffens
U.S. Army Corps of Engineers
Washington Regulatory Field Office
2407 W 5`h St.
Washington, NC 27889
Mr. Robert Ridings
DWQ-Transportation Permitting Unit
1650 Mail Service Center
Raleigh, NC 27609
N1CK TENNYSON
SECRETARY
SUBJECT: W-5204C Improve superelevations and regrade shoulders on NC 42
from Bullard Ct. to Tart's Mill Road. WBS: 45334.1.3
Dear Sirs:
The North Carolina Department of Transportation (NCDOT) proposes to improve
superelevations through curves, overlay with open graded friction course, grade and
stabilize shoulders to provide proper drainage on NC 42 from Bullard Ct to Tart's Mill
Road. There have been 31 crashes along this stretch of highway within the past 10 years.
This proposed activity would permanently impact a total of 52 linear feet of stream as well
as have Neuse buffer impacts totaling 8070sf in BZl and 5960sf in BZ2. NCDOT
anticipates that this safety improvement project will be authorized under Nationwide
Permit 14 and NCDWQ GC # 3886.
If you have any questions or need any additional information, please contact Chad
Coggins, Division Environmental Officer at [phone]. Your time and effort are
appreciated.
Respectfully submitted,
� � �� '� ��- � ��..
Chad Coggins
Division 4 DEO
[phone] x 3532 [e-mail]
Post Office Box 3165, Wilson, North Carolina 27895-3165

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps: � Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ❑ Yes � No
1d. Type(s) of approval sought from the DWQ (check all that apply):
� 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express � Riparian Buffer Authorization
1e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certification:
❑ Yes � No ❑ Yes � No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation � Yes � No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ❑ Yes � No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: NC 42 safety improvement project
2b. County: Wilson
2c. Nearest municipality / town: Sharpsburg
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state W_5204C
project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: � Agent ❑ Other, specify:
4b. Name: Tim Little PE Division Engineer
4c. Business name NCDOT Div. of Highways
(if applicable):
4d. Street address: PO Box 3165
4e. City, state, zip: Wilson, NC 27895-3165
4f. Telephone no.: 252-237-6164x3501
4g. Fax no.: 252-234-6174
4h. Email address: tmlittle .ncdot.gov
5. Agent/Consultant Information (if applicable)
5a. Name: Chad Coggins
5b. Business name NCDOT Div. 4 Environmental Officer
(if applicable):
5c. Street address: same
5d. City, state, zip: same
5e. Telephone no.: 252-296-3532
5f. Fax no.: 252-234 6174
5g. Email address: ccoggins ncdot.gov
Page 2 of 12

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1b. Site coordinates (in decimal degrees): Latitude: 35.7315 Longitude: - 77.8567
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to guck Branch
proposed project:
2b. Water Quality Classification of nearest receiving water: C, Sw, 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 the time of this
application:
Forestry and Agriculture are the predominant land uses in the vicinity of this project.
3b. List the total estimated acreage of all existing wetlands on the property:
.003 ac.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
200 LF
3d. Explain the purpose of the proposed project:
The purpose of this project is to improve safety of NC 42 from Bullard Ct to Tart's Mill Road.
There have been 31 crashes along this stretch of highway within the past 10 years.
3e. Describe the overall project in detail, including the type of equipment to be used:
Improve superelevations through curves, overlay with open graded fiction course, grade and stabilize
shoulders to provide proper drainage on NC 42 from Bullard Ct and Tart's Mill Road. Typical heavy
construction roadway will be used.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ❑ Yes � No ❑ Unknown
Comments: stream shown on topo map wetlands delineated
by DEO
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): 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 � No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, explain.
Page 4 of 12

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
� 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.
Wetland impact Type of jurisdiction
number — Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ — non-404, other) (acres)
Tem ora T
W1 � P❑ T MC � Yes � Corps .003
❑ No ❑ DWQ
W2 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W5 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P❑ T ❑ Yes ❑ Corps
❑ No ❑ DWQ
2g. Total wetland impacts .003
2h. Comments:
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. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ — non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 � P❑ T pipe UT to Buck ❑ PER � Corps 3 18
Branch � INT ❑ DWQ
S1 � P❑ T Bank Stabilization UT to Buck ❑ PER � Corps 3 10
Branch � INT ❑ DWQ
S1 ❑ P� T dewatering UT to Buck ❑ PER � Corps 3 10
Branch � INT ❑ DWQ
S3 � P❑ T pipe UT to Buck ❑ PER � Corps 3 24
Branch � INT ❑ DWQ
S3 ❑ P� T dewatering UT to Buck ❑ PER � Corps 3 30
Branch � INT ❑ DWQ
xx ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
xx ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
xx ❑ P❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h. Total stream and tributary impacts Perm 42
Page 5 of 12

3i. Comments: Perm 42' fill 10' Bank stabilization Temp 40' dewatering
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 individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Tempora T
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If ond or lake construction pro osed, then com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
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:
Page 6 of 12

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.
❑ Neuse � Tar-Pamlico ❑ Other:
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number— Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for impact Stream name mitigation (square feet) (square feet)
Tem ora T re uired?
B1 � P❑ T Widening UT to Buck Branch � Nos 2184 1877
fill section
B2 � P❑ T Widening UT to Buck Branch � NoS 3469 2609
fill section
63 � P❑ T Widening UT to Buck Branch � Yes 2417 1474
fill section ❑ No
B4❑P❑T ❑Yes
❑ No
6h. Total buffer impacts 8070 5960
6i. Comments:
Page 7 of 12

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Keeping same alignment just upgrading facility.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
All construction equipment will be staged and operated from the existing roadway and associated uplands. DOT will also
install appropriate EC to protect the stream and wetlands adjacent to this project, and safety fencing to delineate those
environmentally sensitive areas. The NCDOT BMP manual will be strictly adhered to and followed..
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ❑ 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): ❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
project? ❑ Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
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: ❑ warm ❑ cool ❑cold
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 8 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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 ❑ 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 9 of 12

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified � Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
� Yes ❑ No
Comments: all stormwater will be allowed to flow over grass shoulders and ditches
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? N/A
2b. Does this project require a Stormwater Management Plan? ❑ Yes � No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: all stormwater will be allowed to flow
over grass shoulders and ditches. nochange to impervious area in jurisdiction locations..
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ❑ DWQ Stormwater Program
� DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? N/A
❑ 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 Program 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
attached? ❑ Yes ❑ No
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 10 of 12
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project 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 � 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 ❑ Yes � No PCE on
letter.) file
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 � 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.
Page 11 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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 � No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act � Yes � No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
GIS search and habitat assessment made onsite
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ❑ Yes � No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
GIS search
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?
Clearance from NC SHPO
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ❑ Yes � No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FRIS
Chad Coggins -� f•� 3/10/2016
� �l� � �. � ��-
Applicant/Agent's Printed Name Applicant/Agent's ure Date
(AgenYs signature is valid only if an ation letter from the
applicant is provided.
Page 12 of 12

See Sheet i-A Fo� Index of Sheets
T�
,O
� ,yU,s3p f
0
����1L� � i ll' .��' % ����I Y����l����d d�
�� �Y ������ �� ���l�JJ1Jl V'V' �1���
WILS01�1 CO U1�TY
LOCATI0111: 1VC-42 FROM SR-I500 (BULLARD CT.)
TO SR-1502 (TARTT'S MILL ROAD)
TYPE OF WORK GRADI11tG, DRAl11lAGE, A111D PAVI11lG.
PERMIT DRA WI1�G
—YI— POT 11 +
U�'
Z
�
�
1 ��
�
S LINE -�
NC_42
THIS PROJECT IS 1VOT WITHIIV ANY MUNICIPAL BOUIVDARIES
CLEARIIVG ON THIS PROJECT SHALL BE PERFORMED TO THE LIMITS ESTABLISHED BY METHOD 777.
SI
�
2
SITE 3
��
—L— POT 63 + 50.00
END PROJECT W-5204—C
:
TO PINETOPS
I'RELIMINARY PLANS
DO NOT USE FOR CONSTRUCTION

BUFFER IMPACTS SUMMARY
I M PACT BUFFER WETLANDS IN
TYPE ALLOWABLE MITIGABLE REPLACEMENT BUFFERS
SITE STRUCTURE SIZE / STATION
NO. TYPE (FROM/TO) ROAD PARALLEL ZONE 1 ZONE 2 TOTAL ZONE 1 ZONE 2 TOTAL ZONE 1 ZONE 2 ZONE 1 ZONE 2
CROSSING BRIDGE IMPACT
(ftz) (ftz) (ft2) (ftz) (ftz) (ft2) (ft2) (ftz) (ftz) (ftz)
1 Proposed 68' of 30" RCP 26+71 X 2184 1877 4061 0 0 0 0 0
2 Existing pipe 40+08 X 3469 2609 6078 0 0 0 43 0
3 Existing 36" Box Culvert 56+75 X 2417 1474 3891 0 0 0 0 0
Extended with 48" CSP
TOTAL: 8070 5960 14030 0 0 0 43 0
N.C. DEPT. OF TRANSPORTATION
DIVISION OF HIGHWAYS
WILSON COUNTY
PROJECT: W-5204C

WETLAND PERMIT IMPACT SUMMARY
WETLAND IMPACTS SURFACE WATER IMPACTS
EXISTING
CHANNEL
EXISTING EXISTING
PERMANENT EXCAVATION MECHANIZED HAND IMPACTS
TEMP. FILL IN PERMANENT TEMP. SW CHANNEL CHANNEL
SITE STRUCTURE SIZE / STATION FILL IN IN CLEARING IN CLEARING IN PERMANENT
WETLANDS SW IMPACTS IMPACTS IMPACTS IMPACTS
NO. TYPE (FROM/TO) WETLANDS WETLANDS WETLANDS WETLANDS BANK
(AC) �AC� (AC) (AC) (AC) (AC) (AC) PERMANENT STABILIZATIO TEMP.
(FT) N (FT)
(FT)
1 Proposed 68' of 30" RCP 26+71 0 0 0 0 0 0 0 18 10 10
2 Existing pipe 40+08 0 0 0 0.003 0 0 0 0 0 0
3 Existing 36" Box Culvert 56+75 0 0 0 0 0 0 0 24 0 30
Extended with 48" CSP
TOTALS: 0.003 42 10 40
N.C. DEPT. OF TRANSPORTATION
DIVISION OF HIGHWAYS
WILSON COUNTY
PROJECT: W-5204C