20160672 Ver 1_Application_20160707

Carpenter,Kristi
From: Thomson, Nicole J
Sent: Wednesday, July 06, 2016 5:55 PM
To: [e-mail]; Wrenn, Brian L; [e-mail]; Wilson, Travis
W.
Cc: Carpenter,Kristi; Parker, Jerry A; Powers, Tim
Subject: Bridge 126 on SR 1526 (Gray Rd) over Lick Creek, Orange Co. WBS No. 17BP.7.R.69
Attachments: Cover letter PCN signed.pdf; USGS.pdf; Soils.pdf
Follow Up Flag:
Flag Status:
Good afternoon!
Follow up
Completed
Please find the attached permit application for the above proposed bridge-to-culvert replacement with supplemental
information. Dave B. —your hard copy is in the mail.
Due to file sizes, I'll have to split this up into multiple emails (I'm sorry).
Please don't hesitate to call me with any questions or concerns!
Thanks!
Nikki
Nicole J. Thomson
Division Environmental Supervisor Assistant
Division Environmental Office
919-754-7806 Mobile
� v� ii iv� i i�ui i`L' °L`t�,ilCGv'..yvV
PO Box 14996
Greensboro, NC 27415-4996
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Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
�mail correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third partie::.

7ransportation
July 6, 2016
US Army Corps of Engineers
Raleigh Regulatory Field Office
Attn: IvL�. David Bailey
3331 Heritage Trade Dr., Ste. 105
Wake Forest, NC 27587
PAT McCRORY
Governor
NICHOLAS J. TENNYSON
Seaetary
NC Division of Water Resources
Winston-Salem Regional Office
Attn: Mr. Brian Wrenn
450 W. Hanes Mill Rd., Ste. 103
Winston-Salem, NC 27105
Subject: Nationwide 14 Permi[ Application for the Replacement of Bridge No. 126 on SR 1526 (Gray
Road) over Lick Creek, Orange County, North Carolina, WBS Element No. 17BP.7.R.69
Dear Mr. Bailey and Mr. Wrenn:
The North Carolina Department of Transportation (NCDOT) is proposing to replace the subject bridge.
The purpose of the project is to replace a functionally obsolete 77' L x 30' W, triple span timber deck
bridge on 1-beams with a new, 34' W x 10'H , four-sided, aluminum box culvert. An off-site detour will be
used to convey traffic dwing conshuction. The project will also include some minor approach work on the
existing roadway.
The North Carolina Natural Aeritage Database was cl�ecked for records of threatened and endangered
species. A survey for Michaux's sumac and Smooth coneflower species and habitat was conducted in May
2016 and while there is habitat within the project boundaries, no species of either plant were found on site.
Therefore the biological conclusion is "No Effect with HabitaY'. A dwarf wedgemussel survey was also
conducted on January 21, 2016 and no specimens were observed, therefore, the biological conclusion is
"No Effect." The attached coucturence letter from the USFWS supports these findings. Bald eagle is
protected in every county in North Carolina under the Bald and Golden Eagle Protection Act. No suitable
feeding/water source is located within one mile of the project study area to support Bald eagle habitat.
Further, Mr. Gary Jordan (USFWS) recently released the Programmatic Conference Opinion (PCO) for the
recently listed Northern Long Eared Bat (NLEB). This opinion, states in part, that "... it is tive Service's
confer•ence opinron that NCDOT activrties in eastern Narth Car�olii�a (Dirisions I-8), as pi^oposed, ar•e not
likely to jeopm•dize the can[i�nred existence ofthe NLEB. "
This project was reviewed by NCDOT's Human Environment Unit in 2013 for potential affects to
historical architecture and in 2014 for historic archaeology. It was determined there would be no eligible
architectural or archaeological resources present within the project study area.
The project study area is comprised mostly of hardwood forest. An existing overhead utility line is located
adjacent to the project site on the south side; it is outside NCDOT R-O-W and therefore, does not need to
be moved. There are no wetlands or other jurisdictional features within the project boundaries, other than
Lick Creek.
NCDOT best management practices (BMPs) will be used to minimize and control sedimentation and
erosion. The construction foreman will review the BMPs daily to ensure erosion and sed'unentation is
being effectively controlled. If the foreman determines the devices are not functioning as intended, they
will be replaced iirunediately with better devices.
�Nothing Compares���_
S�aleofNonhCamlina � DepamnentofTrnnsportation � DivisionofHiglnvaYs,Division70ffice
I584 Yanceyvilie SVee[, Greensboro, NC 27405� P. O. Box 14996, Greensboro, NC 274I5-4996
33G-487-0000

;�:
�.:a
Transportation
Impacts to Waters of tl�e United States
PAT McCAORY
Governor
NICHOLASJ.TENNYSON
Secretary
Lick Creek (DWR Class: WS-III; NSW) is shown on the USGS topographic map as a perennial stream.
The channel is well defined with a substrate prLnarity composed of sand, silt, and gravel and is
approximately 12-I S feet in width. From the project site, Lick Creek flows north to its confluence with the
South Flat River whicl� then continues south and east to its confluence with the Flat River where it flows
into Falls lake before continuing to the Neuse River. The Neuse River meets the definition of a Traditional
Navigable Water. For these reasons, we be]ieve Lick Creek is a Relatively Permanent Water and is under
the jurisdiction of the U.S. Army Corps of Engineers. In order to wnstruct the project, it will be necessary
to impact waters of the United States in the Neuse River Basin (HLJC 03020201). Specifically, NCDOT is
requesting to replace Bridge No. 126 with a new, four-sided, aluminum box culvert. The impacts are listed
in the table below:
Perm. SW Temp. Perm. Temp. Temp. Fill Hand Clearing
Structure Size/Type Impacts SW Existing �xisting �n Wetlands in Wetlands
Impacts Channel Channel
(ac) ac Im acts 1 Im acts 1 (ac) (ac)
34'WX10'L 0.05 0 105 0 0 0
aluminum box culvert
Bank Stabilization 0.02 <0.01 58 22 0 0
Impacts to Riparian Buffers
The proposed project will also necessitate impacts to the protected riparian area of Lick Creek. Lick Creek
drains to Flat River which drains to Falls Lake and ultimately, the Neuse River. Therefore, Neuse River
Buffer Rules are in effect for this project. The impacts are listed in the table below:
Zone 1(sq. ft.) � Zone 2(sq. ft.) � Wetlands in Zone 1
8,482 1,065 N/A
�Nothing Compares��`
StateofNorthCarolina � DcpartmentofTransporta�ion � DivisionofRigLways,Division70�ce
1584 Yanceyville Shee�, Greensbom, NC 27405� P. O. Hox 14996, G`eensboro, NC 27415-4996
33G-487-0000
ds in Zone 2
N/A

7YansporCarion
Permits Requested
PAT McCRORY
Governor
NICHOLASJ.TENNYSON
SeaeCary
NCDOT is hereby requesting a revised authorization under Section 404 of the Clean Water Act to proceed
with the const�uction project outlined above. We are also requesting a revised authorization under Section
401 of the Clean Water Act from the North Carolina Department of Environment and Natural Resources
(DENR), Division of Water Resources (DWR).
If you have any questions or need additional information, please contact Jerry Parker at [phone] or
j arker ncdot.gov. Your review and consideration are greatly appreciated.
Sincerely,
I U ) � ��� �
. . Mills, PE
Division Engineer, Division 7
Enclosures
cc: Travis Wilson, Wildlife Resources Commision (electronic copy)
Gary Jordan, US Fish & Wildlife Seivice (electronic copy)
Tim Powers, NCDOT (elechonic copy)
Bairy Hanington, Roadside Environmental Field Operations Engineer
Jeremy Warren, NCDOT
Chuck Edwards, District 1, District Engineer
File Copy
�Nothing Compares�„
StafeofNorthCarolina � DepartmentofTra��sponation � DivisionofHigUways,Division7Office
1584 Yanceyville S�ree�, Greensboro, NC 27405� P. O. 6ox 14996, Greensbom, NC 27415-4996
336-487-0000

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre-Construction Notification (PCN) Form
A. Applicant Information
1, Processing
1a. 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 For the record only for Corps Permit:
because written approval is not required? 401 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: Replace Bridge No. 126 on SR 1526 over Lick Creek
2b. County: Orange
2c. Nearest municipality / town: Timberlake
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state 176P.7.R.69
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: North Carolina Department of Transportation
3b. Deed Book and Page No. N/A
3c. Responsible Party (for LLC if Division Engineer NC DOT Division 7, Mr. Mike Mills, PE
applicable):
3d. Street address: PO Box 14996
3e. City, state, zip: Greensboro, NC 27415
3f. Telephone no.: [phone]
3g. Fax no.: [phone]
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: NC DOT Highway Division 7
4b. Name: Division Engineer NC DOT Division 7, Mr. Mike Mills, PE
4c. Business name NC DOT
(if applicable):
4d. Street address: PO Box 14996
4e. City, state, zip: Greensboro, NC 27415
4f. Telephone no.: [phone]
4g. Fax no.: (336) 3343637
4h. Emalladdl'ess: [e-mail]'note:pleasealsocopyMr.JerryParker,HighwayDivision7Environmental
Supervisor on all correspondence - jparker@/�cdoKgov
5. AgenUConsultant Information (if applicable)
5a. Name: Mr. Jerry Parker
5b. Business name NC DOT Highway Division 7, Division Environmental Supervisor
(if applicable):
5c. Street address: PO Box 14996
5d. City, state, zip: Greensboro, NC 27415
5e. Telephone no.: [phone]
5f. Fax no.: [phone]
5g. Email address: [e-mail]
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: 36.238824 Longitude: - 79.016152
1c. Property size: N/A acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Lick Creek (27-3-33)
2b. Water Quality Classification of nearest receiving water: WS-III; NSW; 03-04-01
2c. River basin: Neuse River (HUC 03020201)
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:
The project study area is comprised of mostly hardwood forest. An existing overhead utility line is adjacent to the project
area on the south side; it is outside the DOT R-O-W and therefore, does not need to be relocated. There are no
additional jurisdictional features associated with Bridge 126 other than Lick Creek.
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: � 115 LF of stream
within the project boundaries
3d. Explain the purpose of the proposed project:
To replace a structurally deficient and functionally obsolete timber bridge.
3e. Describe the overall project in detail, including the type of equipment to be used:
Traffic will be detoured off-site. Erosion and sedimentation control measures will be installed. Water will be diverted around
the construction area. The old three-span, timber deck on I-beam bridge will be removed; the bent in the creek will be
removed if possible (otherwise it will be sawed off a foot below the stream bed). The proposed structure will be replaced with a
minor skew to better align the stream channel. The new culvert structure will be a single barrel, 34'W X 10' H aluminum box culvert.
Sills are proposed at both ends in addition to a baffle at the midpoint of the structure. Water will be pumped around the work area
during construction by installed impervious dikes upstream and downstream of the existing bridge, Equipment to be used includes a
track hoe, dump truck, paving equipment, pumps and various hand tools.
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 !
project (including all prior phases) in the past? 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? Agency/Consultant Company:
Name (if known): N/A Other;
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
N/A
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.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, explain.
Page 3 ot 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check ail 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 Forested Corps (404, 10) or Area of impact
Permanent (P) or wetiand DWQ (401, other) (acres)
Tem orar T if known
W1 Choose one Choose One Choose one Yes/No -
2g. Total wetland impacts 0
2h. Comments: There are no wetlands within the project boundaries.
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. 3 b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial (PER) Type of Average stream Impact
number orintermittent jurisdiction width length
Permanent (P) or (INT)? (feet) (linear
Temporary (T) feet)
S1 P Culvert Lick Creek PER Corps 12-15 163
S1 T Construction/ Lick Creek PER Corps 12-15 22
Dewatering
3h. Total stream and tributary impacts 163'
3i. Comments: Of the 185 LF of stream impacts, only 105 LF are associated with permanent impacts to the stream due to the
installation of a 34'W X 10'H aluminum box culvert. The other 58 LF of permanent stream impact is associated with the
establishment of a floodplain bench and streambank protection (i.e. the rip rap is restricted to the banks of the channel and will
not encroach within the thalweg). The 22 LF of temporary impacts are associated with the impervious dikes that will be used
upstream and downstream of the proposed crossing. The dewatering of the stream will run concurrently with the construction
activities (i.e. the temporary impacts associated with dewatering are within the permanent stream impact footprint location).
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
impact number— waterbody Type of impact Waterbody type Area of impact (acres)
Permanent (P) or (if applicable)
Tem orar T
01 Chaose one Choose One Choose
4f. Total open water impacts
4g. Comments: No open water imapcts
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below,
Page 4 of 10

5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
PondlD Proposed use or (acres)
number purpose of pond Excavat
Flooded Filled ed Flooded Filled Excavated Flooded
P1 Choose One
P2 Choose One
5f. Total
5g. Comments: There are no ponds created for this project
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surtace 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? � Neuse ❑ Tar-Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b. 6c. 6d. 6e. 6f. 6g.
Bufferimpact
number— Reason Buffer mitigation Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name required? (square feet) (square feet)
Tem ora T im act
Road
B1 P Fill & Lick Creek No 8,482 1,065
clearing
6h. Total buffer impacts 8,482 1,065
6i. Comments: The impacts associated with the roadway crossing and culvert installation fall under the "potentially ailowable"
category per the Neuse River Buffer Rules Table of Uses {15A NCAC 02B .0233 (9)}
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.
The proposed project is to remove and replace a structurally deficient bridge and replace it with an aluminum box culvert.
Roadway approach work is minimized as much as is practical to reduce the overall project footprint. Impacts to the
associated protected riparian buffers have also been reduced by promoting sheet flow as well as providing grass
shoulders to promote infiltration. An off-site detour will be employed to avoid the need for a temporary parallel structure.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Erosion and sedimentation BMPs will be installed prior to construction. Water will he diverted around the work area to
prevent sedimentation of downstream aquatic resources. Impacts will be minimized by strict enforcement of Best
Management Practices for the protection of surface waters, restrictions against the staging of equipment in or adjacent to
waters of the US and coordination (including a pre-construction meeting) with the Division Environmental Supervisor.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does ihe 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 � payment to in-lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation 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. 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: 105 linear feet at a 2:1 ratio
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: Even though permanent stream impacts as proposed total 163 LF, NCDOT does not believe that
compensatory mitigation should be required for the 58 LF of streambank stabilization/floodplain bench creation as the rip rap
will be restricted to the stream banks and will not encroach upon the thalweg of the channel. Therefore, NCDOT is proposing
to mitigate only for the 105 LF of stream loss (at a 2:1 ratio) associated with the culvert installation.
5. Complete if Using a Permittee Responsible Mitigation Plan
Page 6 of 10

5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
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 7 of 10

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?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: The proposed structure will be a 34W X 10'H aluminum box culvert. ❑ Yes � No
There is a slight increase in impervious surtace but treatment is not required.
2. Stormwater Mana ement 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:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Plan is attached
2e. Who will be responsible for the review of the Stormwater Management Plan? �WQ
3. Certified Local Government Stormwater Review
3a. In which local governmenYs jurisdiction is this project?
❑ Phase IP`
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
apply (check aII 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
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 8 of 10
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 (federallstate/local) funds or the � yes ❑ No
use of public (federaUstate) 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
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 Surtace Water or Wetland Standards, ❑ Yes � No
or Riparian Buffer Rules (15A NCAC 26 .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.
Per the NC DWQ April 10, 2004 Version 2.1 Cumulative Impacts policy, small scale public transportation projects — such
as widening projects, bridge replacements and intersection improvements — have a"low potential for cumulative impact
since little (if any) new impervious surface is added and the projects are usually in already developed locales." This
proposed project is within a somewhat developed landscape (i.e. existing residential homes in the vicinity), this is not a
road on a new location (i.e. there is an existing road and bridge structure and thus, the area already contains impervious
surfaces) and the project drains to Lick Creek which is Class WS-III; Nutrient Sensitive Waters (NSW) (i.e, not ORW,
HQW, or 303(d) listed waters). We anticipate the NC DWR will advise us if a qualitative or quantitative analysis is
needed.
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.
It is not anticipated that this project will generate any wastewater as it is a roadway project.
Page 9 of 10
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
habitat? ❑ Yes � No
5b. Have you checked with the USFWS concerning Endangered Species Act � Yes ❑ No
impacts7
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?
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?
NES surveyed the project for Michaux's sumac and Smooth coneflower on May 17, 2016. Habitat exists in the utility
corridor on the southwest and southeast quadrants of the project for both plans and along the roadsides for Michaux's sumac;
no plants were found of either species. Biological conclusion for Michaux's sumac and Smooth coneflower: No Effect with
Habitat
NES Bios survey unit surveyed the project reach for Dwarf wedgemussel on January 21, 2016. Appropriate habitat for the
Dwart wedgemussel exists in the project reach but no specimens were found. Biological Conclusion for the Dwart
Wedgemussel: May Affect Not Likely To Adversely Affect. Concurrence from USFWS is attached.
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?
This project was submitted to the North Carolina Department of Transportation's Human Environment Unit for review in
2013. It was determined that no survey was required for historical architecture, and a field survey on February 27, 2014
supported that no archaeological resources will be affected by this project.
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: FEMA Limited Detailed Study (MOA)
Sc. What source(s) did you use to make the floodplain determination? NC Floodplain Mapping Program
Mr. Mike Mills, PE �'� . �}.� � , /�/1 _ � y��,� 7l �Ol ��J
� v ���cxlJ �i
ApplicanUAgenYs Printed Name v ApplicanUAgenPs Signature Date
(AgenPs signature is valid only if an authorization IeQer from the applicant
is rovided.
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