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HomeMy WebLinkAbout20160211 Ver 1 _Revised PCN _20160404 Strickland, Bev From:Becky Ward <bward@wce-corp.com> Sent:Monday, April 04, 2016 8:57 AM To:Smith, Cherri L Cc:'Alexander, Tasha L SAW'; 'Rachael Cooper' Subject:Revised PCN Turnipseed Nature Preserve Cherri: Please find attached the revised PCN with adjustments to NWP numbers based on conversations with Tasha Alexander, removal of wetland pile impacts, and buffer impacts split out to identify impacts at Bridge A and B separately. Also attached is a revised page 3 from our supplemental word document describing the buffer impacts and revised impact maps. I have not received the letter yet regarding the stream identification confirmation from the field visit with NCDENR staff. That letter may have gone to the owner. Please let me know if you require any additional information or if you need anything else. Thanks, _________________________________________ Becky L. Ward, P.E. Ward Consulting Engineers, P.C. 4805 Green Road, Suite 100 Raleigh, NC 27616-2848 Ph: 919-870-0526 email: bward@wce-corp.com 1 Several picnic areas will be located adjacent to each parking area. The trail system will consist of a 6 - foot wide screened trail with 2 -foot grassed shoulders and will be constructed on grade where possible. Standard 10' boardwalks 15 -inch RCP pipe crossings are proposed to be used for crossing small streams and tributaries along the trail. Two bridges are proposed to cross streams and wetlands along the trail corridor. Bridge A is a 10 -foot wide, 30 feet long bridge proposed to cross an unnamed stream downstream of the existing dam. Bridge B is a 10 feet wide 120 feet long bridge to span the floodway and the wetlands of Gin Branch with boardwalk joining to each abutment to connect the trail back to natural grade. A construction road will be cleared for equipment access to Gin Brach to construct the bridge and boardwalk. The contractor will be starting on the interior of the park and working out as they construct the trails. The contractor will cross UT to Gin Branch with temporary bridge mats and will construct the bridge and boardwalk from both sides of Gin Branch within the limits of disturbance as shown on the plans. It is anticipated that earth moving equipment will be used for the project including but not limited to excavators, loaders, and dump trucks. A crane will most likely be required to set the bridge over Gin Branch. C. Proposed Impacts Inventory 6i Buffer Impacts Comments: B1 temporary impacts include area within the buffer that will be required to be used for temporary access to construct the proposed improvements at UT to Gin Branch for Pedestrian Bridge A. B2 temporary impacts include the area within the buffer that will be required to be used for temporary access to construct the proposed improvements at Gin Branch for Pedestrian Bridge B. B3 permanent impacts include the area of the proposed trail, bridge, and concrete footing that will be installed in the buffer of the tributary to Gin branch downstream of the existing pond for Pedestrian Bridge A that will be constructed within the buffers. B4 permanent impacts include the area for the bridge, bridge abutments, and boardwalk for Bridge B across Gin Branch that will be constructed within the buffers. E. Stormwater Management and Diffuse Flow Plan (Required by DWQ) 3c. Stormwater Management Plan: A copy of the stormwater impact analysis has been submitted to DWQ along with the PCN. The plan has been submitted to Wake County and an approval letter will be submitted to DWQ upon receipt. 3 Ward Consulting Engineers, PC (Page 3, Rev 3-30-16) Turnipseed Nature Preserve WW / p go IN A00/ IOD AT ON RAHLx1 / I til l Ly / I ✓ �� l DaNK� YY 8 STREAM CROSSING EF6 BRIDGE MATS _ U !` 6 AM i SEE SIRUCTUAL PLAN SXEETS i �T i / I i ♦ i I / � 266 204 SETS 200 T(ZTYP) SILT ♦ 1~ 1 W EC -J EPOWAIL LE WE walLESS TdEN 1 v y s: MAX SLUE TN THE tr• , .L ON V / I I j ♦1V I / 4 ^} I ♦ // CLAN MEW I'mm PRRWOSED wPDE IFSs THEx ' B SMLLLWE MV vsM1Y99.a] h OX.=74.9 (HELL) CLASS a RIPRAP o -s AT PIPE INLET 1511 IN LENGTH -. TO ELEVATION 202 PT TOP CF BANK 1 206 —t I as 202 TIM 196 CONCRETE ABUTMENT 198 z� (TYP.-2) �wu 94 VE 194 994100 49120 49a40 tr9aW 49490 WaW Wa}0 Wa19 SOa60 WaBO 51+00 51+40 51110 PROFILE NEW 1"=20HOHIZONTN e 0 u eo W L NAD 2 ti zm z 4 'W W N $ is y BIB AQ 'z _ KW �a e= j M e m iME rL^ 7 IOc _a IC. (1) QJ E f� d Q1 J✓ � Ln N � � ^^p 0)U (J m 1, DR I. 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A F d Iv/II ' I %\ F F F F �,� F F F F f F /F K\F F F F F f` F F F F F F EIIF F FF, -I A -I I\ I ' IAD LOD LODT \ B F F II F I 1 8.T J \ � F f ��, F F F fF FF FF F N,F F\ F F\\ F �III\F F FF F F F s FF F F F F F • \ II\ I I j 07 � I` I �\ F fF F IF F F F 1 B 4 COO\ II I �� F�.�/ \ �F f • F F F F F F F f F\ FI F ` F F - F T I I''�- F /F < c}, I I CGt� OO\ C II \\, I\ ,/�/ F F F FF / F F, F F F F F F FF FF F _F F F K IIII F F F f` F\F F f tf F F F '1 i F1 F F . Q I •� ` II I II I \� O I \ F F Fu• �F f J yw k F�Jf F f I F I V `F F F F F \f f F R F \ \ - �f—F FFF 1F+' --F —F—� F �� f F FFO IIFF F S <Op I \ I\ I LF _p-� F F F F F F F F F F/ IF / F F FI F F I F F F F II FFv./F I F F F �\ 1 I I I F F I� — 1nlF�/ F F PROPOSED BOARDWALK C ` I LO \ \� FF F F F F F,; r B� FF F F f IF F F F F FF I F f F IF F FI f F F F F IF F 'F /F F F F FF F F\ FF F °O/� I O ll ° O� , J 1IVL I f —I o OP O, DO, SEE STRUCTURAL PLANS I- _ F F F _' ,� F �* F F IIF F F F SII F f I F F F 1 19.1 > \, LOD L �_— F fI f F f ' FI fI F F F F f/ F - 10 FT. CLEAR I 1 I DD �� EDD d_— y _F— F F F I F l F F p r I F F f F f F` `/ F FI I F F I F F F f R�� F /f I F F f F F Fy /f f F F O B 2 p L _ �V F F F F I \ 1 I �/F^ F F ,p I I \\ \ PROPOSED \B.. RD ��90- SEE STRUCTURAL,, CONTRACTOR TO USE MUD MATS FT. CLEAR IN WETLAND AREAS TO INSTALL F F ABUTMENTSAND PIERS ` �/�� �F •TFF FF fF f F F,FF F F F F FF F F FF F F /F f FF Fi�F FF F F FF �FEf F FF FF /, `lO❑ II I OOCONTRACTOR TO WORK FROM D( ` \ \ 40P , \\ SILT FENCE SIDE TO MINIMIZE IMPACTS 2 TO BRANDED CHANNEL TO THE ! - ���..t.. r.. �`�*.�...�..`� .�..��;.� F F WEST PROPOSED BACKWATER F F F F f F F F F F F F F F F F F (TYP.) EC -5 o F F F f F F F EASEMENT(0.04 AC.) O\� /,F f F F F f f F �/f F f F F F F F F F F f f,/F F F F F F F F f`\�\,\ f F F F F F F F ` F F F F �Fqq F A F f F. \\\ , F Ff F F Fc F f F f F F F F Ff�\\.�OUTCROP .,• c F PLAN VIEW CONCRETE BRIDGE 1 "=20' ABUTMENT ON WOOD 204 202 200 198 196 194 204 202 200 198 196 194 ^U Q Y✓ 00I Go co W0 0) , 4 .-1 W 00 O w co M O q .01 U � ra m rl z b r- aCQ z pU w 0z U to •(D U a 0 NOTES: 1. NO CONSTRUCTION EQUIPMENT WILL BE PERMITTED TO CROSS THE EXISTING CHANNEL OF GIN BRANCH. WORK IS TO BE COMPLETED FROM NORTH OR SOUTH BANKS. 2. SPOT ELEVATIONS SHOWN ON BRIDGE AND BOARDWALK ARE TOP OF DECK ELEVATIONS. SEE STRUCTURAL DRAWINGS. PCN EXHIBIT MAP 184 48+00 48+20 48+40 48+60 48+80 49+00 49+20 49+40 49+60 49+80 50+00 50+20 50+40 50+60 50+80 51+00 PROFILE VIEW 1--=2U- HUFUUN I AL 1"=2' VERTICAL 184 51+20 B1 BUFFER IMPACT W1 WETLAND IMPACT 20 10 0 20 40 SCALE 1"=20' V o J J � O N BRIDGE LEGEND TF'� v, cu V a, +� CONCRETE ABUTMENT 18, WAKE COUNTY GIS CONTOURS 4- L_ V�z� ro R� uo (T P.-2) 18` SURVEYED CONTOURS 192 192 PROPOSED 'WOOD, PILINGS - - PROPERTY BOUNDARY BOARDWALK C ■"""""'"' ■ USGS STREAM CENTERLINE 100 -YEAR FEMA FLOODPLAIN 500 -YEAR FEMA FLOODPLAIN 190 ` 190 -Mimi 185 R=50' STREAM BUFFER PROPOSED CONTOURS EXISTING FLOOD PRONE SOILS GRADE F f F F F _ R F f EXISTING WETLANDS LOD LIMITS OF DISTURBANCE 188 SF SILT FENCE I EFFECTIVE 100 YEAR SURVEYED TREELINE Z188 w 11 LOODPLAIN ELEVAT ON=190.6 FT. I TEMPORARY STAGING AREA U V ■ • • • • • • • • • • • • • • ■ PROPOSED BACKWATER EASEMENT 186 -ri 1 186 TREE PROTECTION 184 48+00 48+20 48+40 48+60 48+80 49+00 49+20 49+40 49+60 49+80 50+00 50+20 50+40 50+60 50+80 51+00 PROFILE VIEW 1--=2U- HUFUUN I AL 1"=2' VERTICAL 184 51+20 B1 BUFFER IMPACT W1 WETLAND IMPACT 20 10 0 20 40 SCALE 1"=20' REVISIONS 1 1 3/30/16 Date: 2-26-2016 C-3 V o J J � O N U z� TF'� v, cu V a, +� c) v' 4- L_ V�z� ro R� uo REVISIONS 1 1 3/30/16 Date: 2-26-2016 C-3 E3 0� VJA �<G o -r Office Use Only: Corps action ID no. DWQ project no. Form Version 1.4 January 2009 Page 1 of 10 PCN 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: 42,33 or General Permit (GP) number: 1c. Has the NWP or GP number been verified by the Corps? ❑ Yes ❑X 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 ❑X Riparian Buffer Authorization 1 e. Is this notification solely for the record because written approval is not required? For the record only for DWQ 401 Certification: ❑ Yes ❑X No For the record only for Corps Permit: ❑ Yes ❑X 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 or in -lieu fee program. ❑ Yes ❑X No 1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h below. ❑ Yes ❑X No 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: Turnipseed Nature Preserve 2b. County: Wake County 2c. Nearest municipality / town: Wendell, NC 2d. Subdivision name: N/A 2e. NCDOT only, T.I.P. or state project no: N/A 3. Owner Information 3a. Name(s) on Recorded Deed: Wake County 3b. Deed Book and Page No. See attached list in supplemental data word document 3c. Responsible Party (for LLC if applicable): Contact Mark Forestieri Wake County Facilities Design & Construction Director 3d. Street address: Wake County Office Building 336 Fayetteville Street 3e. City, state, zip: Raleigh, North Carolina 27601 3f. Telephone no.: 919-856-6356 3g. Fax no.: 919-856-6355 3h. Email address: mforestieri@wakegov.com 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: Becky L. Ward, P.E. 5b. Business name (if applicable): Ward Consulting Engineers, P.C. 5c. Street address: 4805 Green Road, Suite 100 5d. City, state, zip: Raleigh, North Carolina 27616-2848 5e. Telephone no.: 919-870-0526 5f. Fax no.: 919-870-5359 5g. Email address: bward@wce-corp.com Page 2 of 10 B. Project Information and Prior Project History 1. Property Identification 1a. Property identification no. (tax PIN or parcel ID): See attached supplemental information 1 b. Site coordinates (in decimal degrees): Latitude: 35.7454 Longitude: -78.4034 1 c. Property size: 279 acres 2. Surface Waters 2a. Name of nearest body of water to proposed project: Gin Branch (FEMA Basin 14, Stream 2) & Marks Creek 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 the time of this application: Please see supplemental information attached to this form for description. 3b. List the total estimated acreage of all existing wetlands on the property: 0.35 3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 10,800 3d. Explain the purpose of the proposed project: Please see supplemental information attached to this form for the explanation. 3e. Describe the overall project in detail, including the type of equipment to be used: Please see supplemental information attached to this form for the explanation. 4. Jurisdictional Determinations 4a. Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / project (includingall prior phases in the past? ❑ Yes ❑ No ❑X Unknown Comments: 4b. If the Corps made the jurisdictional determination, what type of determination was made? ❑ Preliminary ❑ Final 4c. If yes, who delineated the jurisdictional areas? Name (if known): Agency/Consultant Company: Other: 4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. See email in the Wetland Determination section of the Appendix. 5. Project History 5a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past? ❑ Yes ❑ No ❑X Unknown 5b. If yes, explain in detail according to "help file" instructions. 6. Future Project Plans 6a. Is this a phased project? ❑X Yes ❑ No 6b. If yes, explain. The initial project will include the trails, access, and parking included on the attached plans. It is possible in the future that additional trails will be added in the park as need arises. Page 3 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 ❑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) Temporary T W1 T Access with bridge mats Bottomland Hardwood Forest Yes Corps 0.083 W2 - Yes/No W3 - Choose one Choose one Yes/No W4 - Choose one Choose one Yes/No W5 - Choose one Choose one Yes/No W6 - Choose one Choose one Yes/No 2g. Total Wetland Impacts: 0.083 2h. Comments: W1 impacts will include temporary construction access for construction equipment to set bridge/boardwalk pilings and to construct set the prefabricated bridge Band wooden boardwalk. Bridge matts will be placed on all wetland areas for construction equipment to work from as called for on the plans. 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 (PER) or Type of Average Impact number intermittent (INT)? jurisdiction stream length Permanent (P) or width (linear Temporary (T) (feet) feet) S1 S2 Choose one S3 - Choose one - S4 - Choose one - - S5 - Choose one - S6 - Choose one - 3h. Total stream and tributary impacts 3i. Comments: NA - A bridge mat will be installed over UT to Gin Branch downstream of the existing pond to provide access for construction equipment. This bridge access mat will be installed to span from top of bank to top of bank. No construction equipment will be allowed to cross the tributary other than at this location. The construction for the bridge over Gin Branch will be accessed from either side of the stream no construction equipment will be permitted to cross the stream. Therefore no stream impacts are anticipated for this project that would impair stream function. 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 indivi ually list all open water impacts below. 4a. Open water impact number Permanent (P) or Temporary T 4b. Name of waterbody (if applicable) 4c. Type of impact 4d. Waterbody type 4e. Area of impact (acres) 01 Choose one Choose 02 - Choose one Choose 03 - Choose one Choose O4 - Choose one Choose 4f. Total open water impacts 4g. Comments: N/A 5. Pond or Lake Construction If pond or lake construction proposed, the complete the chart below. 5a. Pond ID number 5b. Proposed use or purpose of pond 5c. Wetland Impacts (acres) 5d. Stream Impacts (feet) 5e. Upland (acres) Flooded Filled Excavated Flooded Filled Excavated P1 Choose one P2 Choose one 5f. Total: 5g. Comments: N/A 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 any impacts require mitigation, then you MUST fill out Section D of this form. 6a. Project is in which protected basin? X❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other: 6b. Buffer Impact number — Permanent (P) or Temporary T 6c. Reason for impact 6d. Stream name 6e. Buffer mitigation required? 6f. Zone 1 impact (square feet) 6g. Zone 2 impact (square feet B1 T Temporary Access UT to Gin Branch No 2,376 1,180 B2 T Temporary Access Gin Branch No 2,392 2,340 B3 P Trail, Bridge, abutments UT to Gin Branch No 388 246 B4 P Trail, Bridge, abutments Gin Branch No 3,003 735 B5 - Yes/No B6 - Yes/No 6h. Total Buffer Impacts: 8,159 4,501 6i. Comments: See attached supplemental data word document for buffer impacts descriptions. 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. Trails and parking lots were designed to remain outside of buffers and wetlands. The streams have been crossed with elevated bridges and boardwalks to avoid channel impacts. 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. Equipment will not cross at Gin Branch. Construction equipment will not be allowed to cross the stream only at locations with temporary bridge mats. All work in wetland areas will be performed from bridge mats. 2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State 2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State? ❑ Yes ❑X No 2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps 2c. If yes, which mitigation option will be used for this project? ❑ Mitigation bank El 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: Choose one Type: Choose one Type: Choose one Quantity: Quantity: 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: 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 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 ❑X Yes ❑ 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. See attached Stormwater Report ❑X Yes ❑ No 2. Stormwater Management Plan 2a. What is the overall percent imperviousness of this project? 2 2b. Does this project require a Stormwater Management 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 Plan, then provide a brief, narrative description of the plan: A stormwater impact analysis was completed for the project and has been submitted to Wake County for review and approval. Both peak flow and nitrogen export were investigated in the report. Detention was required by Wake County at both proposed parking lots. The nutrient export with the proposed improvements is within the allowable amounts for the Neuse River Basin and therefore a BMP for nutrient removal was not required. One copy of the stormwater impact analysis document has been been provided as a separate document to DWQ. The approval letter will be will be made available to DWR upon approval. 2e. Who will be responsible for the review of the Stormwater Management Plan? Wake County 3. Certified Local Government Stormwater Review 3a. In which localgovernment's jurisdiction is thisproject? Wake County ❑X Phase II ❑X NSW 3b. Which of the following locally -implemented stormwater management programs ❑ USMP apply (check all that apply): ❑ Water Supply Watershed ❑ Other: 3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes X❑ 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): ❑X 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 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 ❑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 ❑ Yes ❑ No letter.) 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, F] Yes ❑X No or Riparian Buffer Rules (15A NCAC 2B .0200)? 2b. Is this an after-the-fact permit application? F1 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. There will be no rest room facilitates on the site or wastewater generated from he proposed project. 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 ❑ 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? Axiom Environmental, Inc prepared a letter addressing federally protected species assessment and results in a letter included in the appendix. 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? This project will not have open water impacts. NOAA EFH Mapper was used to determine that the project is not near areas designated as essential fish habitat. 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? The NC SHPO website was used to determine that the project would occur in or near an area that state, federal or tribal governments have designated as having historic or cultural preservation status. A cemetery and building on the site have been preserved not currently identified on any register. 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: Gin Branch (FEMA Basin 14, Stream 2)is a FEMA regulated Stream, the Bridge crossing Gin Branch spans the floodway width and published water surface elevation. A Flood study analysis and report was submitted to Wake County for approval by Ward Consulting Engineers. 8c. What source(s) did you use to make the floodplain determination? NC Floodmaps site (www.ncfloodmaps.com) was searched for FEMA floodplain limits. Gin Branch HEC -RAS models were obtained from the NC Geospacial Data office in Raleigh to complete the floodstudy. Mark Forestieri Applicant/Agent's Printed Name Date Applicant/Agent's Signature (Agent's signature is valid only if an authorization letter from the applicant is provided. Page 10 of 10