20170723 Ver 1_PCN_2017-05-04_20170607

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
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:
1c. Has the NWP or GP number been verified by the Corps? ❑X Yes ❑ 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 ❑ 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 ❑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 � Yes ❑X No
or in-lieu fee program.
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h 0 Yes ❑ No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑X Yes ❑ No
2. Project Information
2a. Name of project: Bonner Bridge Transmission Cable Relocation
2b. County: Dare
2c. Nearest municipality / town: Nags Head
2d. Subdivision name: NA
2e. NCDOT only, T.I.P. or state project no: In conjunction with NCDOT TIP Project B-2500 (Phase I)
3. Owner Information
3a. Name(s) on Recorded Deed: US Government -DOI Cape Hatteras Natl Seashore & Pea Island Natl Wildlife Refuge
3b. Deed Book and Page No. NPS: Deed Book 79, Page 548 FWS: Deed Book 19, Page 451
3c. Responsible Party (for LLC if
applicable):
3d. Street address: NPS: 1401 National Park Dr., Manteo, NC 27954 c/o Steve Thompson
3e. City, state, zip: FWS: P.O. Box 1969, Manteo, NC 27954 c/o Art Beyer
3f. Telephone no.: NPS: 252-475-9036 (Steve Thompson) FWS: 252-473-1132 x235 (Art Beyer)
3g. Fax no.: NPS: 252-473-2595 FWS: 252-473-1668
3h. Email address: steve d [e-mail] Arthur [e-mail]
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PCN Form — Version 1.4 January 2009

4. Applicant Information (if difFerent from owner)
4a. Applicant is: ❑X Agent ❑X Other, specify: Cape Hatteras Electric Cooperative
4b. Name: George Price
4c. Business name Cape Hatteras Electric Cooperative (CHEC) - Right-of-Way Grant Owner
(if applicable):
4d. Street address: 47109 Light Plant Road
4e. City, state, zip: Buxton, NC 27920
4f. Telephone no.: [phone] x236
4g. Fax no.: [phone]
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: Liz Ward
5b. Business name Booth & Associates, LLC
(if applicable):
5c. Street address: 5811 Glenwood Avenue
5d. City, state, zip: Raleigh, NC 27612
5e. Telephone no.: 919-851-8770 x121
5f. Fax no.: 919-859-5918
5g. Email address: [e-mail]
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B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): see attached
1 b. Site coordinates (in decimal degrees): Latitude: Longitude:
1 c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Oregon Inlet Motts Creek Roanoke Sound
2b. Water Quality Classification of nearest receiving water: SA;HQW SC SA;HQW
2c. River basin: Pasquotank
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:
see attached Land Use: Parks/Bare Land - Outdoor Cultural, Public Assembly, and Recreation
Site conditions at FWS are disturbed for ongoing NC DOT construction. Shoreline erosion and nourishment ongoing.
Site conditions at NPS are disturbed for ongoing NC DOT construction. Wetlands are maintained by mowing.
3b. List the total estimated acreage of all existing wetlands on the property: 1,363
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 0
3d. Explain the purpose of the proposed project:
To provide uninterrupted electrical service to CHEC customers during and after the construction of the NC DOT TIP B-2500 Bonner Bridge project.
3e. Describe the overall project in detail, including the type of equipment to be used:
See attached Special Use Permit Applications and Drawings submitted to NPS and FWS
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the 0 Yes ❑ No ❑ Unknown
Corps or State been requested or obtained for this property /
pro'ect includin all prior phases in the past? Comments: see attached
4b. If the Corps made the jurisdictional determination, what type � Preliminary ❑X Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: Arcadis & CZR
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
see attached
5. Project History
5a. Have permits or certifications been requested or obtained for DYes ❑ No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
see attached for list of TIP B-2500 permit approvals
6. Future Project Plans
6a. Is this a phased project? ❑X Yes ❑ No
6b. If yes, explain.
Phase 1= NPS: construction access, maintenance to existing substation, bore under road and wetlands to substation, duct bank installation to vault
Phase 2= FWS: installation of new riser pole structure, removal of existing poles, cable pulling from vault to end of Bonner Bridge
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PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑X Wetlands ❑ Streams — tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
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 T
W1 P Fill Man-dominated No Corps 0.15
�/2 - Choose one Choose one Yes/No -
W3 - Choose one Choose one Yes/No -
W4 - Choose one Choose one Yes/No -
W5 - Choose one Choose one Yes/No -
Wg - Choose one Choose one Yes/No -
2g. Total Wetland Impacts: 0.15
2h. Comments:
W1 occurs near existing substation on NPS land in area of existing easement to expand substation fence and install construction access which will be
converted to future gravel drive access up to and surrounding southeast corner of substation for adequate turn radius. Area will require 0.027 acres of
temporary hand clearing in Maritime Shrub Thicket.
See attached FWS drawing showing temporary hand clearing in 0.06 acres of Maritime Shrub/Grassland.
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 - Choose one - -
$2 - Choose one - -
S3 - Choose one - -
S4 - Choose one - -
S5 - Choose one - -
S6 - Choose one - -
3h. Total stream and tributary impacts
3i. Comments:
NA
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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 T
01 - Choose one Choose
O2 - Choose one Choose
03 - Choose one Choose
04 - Choose one Choose
4f. Total open water impacts
4g. COmments: Cable will be pulled through conduit installed on the bridge structure (approved by US Coast Guard) without additional impacts.
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: NA
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? ❑ 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 T feet feet
B� - Yes/No
g2 - Yes/No
B3 - Yes/No
B4 - Yes/No
B5 - Yes/No
gg - Yes/No
6h. Total Buffer Impacts:
6i. Comments:
NA
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D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
see attached project narrative
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
see attached project narrative
2. Compensato Miti ation for Impacts 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): ❑ DWQ ❑X Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
project? ❑ Payment to in-lieu fee program
❑x Permittee Responsible Mitigation
3. Complete 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. Complete if Makin a Pa ment to In-lieu Fee Pro ram
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.
See attached letter of verification for the mitigation of wetland impacts from CHEC construction to be performed by NCDOT at the Bodie Island
Lighthouse Pond SNHA (Site Id #1134) as described in the Final Wetland Mitigation Plan NC 12 Replacement of Herbert C. Bonner Bridge (Bridge No.
11) over Oregon Inlet.
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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:
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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 ❑X 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.
❑ Yes � No
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? 18.5 %
2b. Does this ro'ect re uire a Stormwater Mana ement Plan? ❑ Yes ❑X No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
Please contact Samir Dumpor (252-948-3859 or [e-mail]) in the Washington Regional Office for questions regarding compliance.
Coastal State SW Permitting Program has jurisdiction. With less than 24% BUA we will submit the NOI for the SWG 04 - Linear Utility Projects permit.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which local overnmenYs 'urisdiction is this ro'ect? DWG Regional Office
❑ 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 ❑X No
attached?
4. DWQ Stormwater Pro ram Review
OCoastal counties
❑ HQW
4a. Which of the following state-implemented stormwater management programs apply �ORW
(check all that apply):
❑Session Law 2006-246
❑X Othe�: Linear Utility Line
4b. Has the approved Stormwater Management Plan with proof of approval been � Yes ❑X No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ❑ 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 0 Yes ❑ No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ❑ Yes ❑X No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) Court ROD concluded the EIS covered the replacement of the Bonner Bridge which ❑ Yes ❑ No
Comments: included areas of utility relocation. CE applications submitted to NPS and FWS.
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ SurFace Water or Wetland Standards, ❑Yes ❑X No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ❑Yes ❑X No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in �Yes ❑X No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
NA
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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 0 Yes ❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act 0 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?
FWS Agency Consultation & website: http://ecos.iws.gov/ipac, NCDOT TIP B-2500 FEIS/ROD, Letter received April 2017 indicating requirements for
section 7(a)(2) of the ESA have been satisfied for this project.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ❑X Yes ❑ No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Mid-Atlantic Fishery Management Council & National Marine Fisheries Service Mid-Atlantic Region Habitat Conservation Division GIS Shapefile
EFH & HAPC: Summer Flounder EFH: Scup, Black Sea Bass
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 0 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?
Existing NC DOT TIP B-2500 Phase I Programmatic Agreement signed by FHWA, SHPO, ACHP and NCDOT will be followed. http://gis.ncdcr.gov
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:
Zone AE- The Dare flood ordinance does not address electrical substations above ground or below, the regulations do not apply to public utilities.
Existing substation, boring cable underground and encasing cable in underground concrete duct bank, elevated pole structures.
8c. What source(s) did you use to make the floodplain determination?
http://fris.nc.gov/FRIS/ DFIRM NC 3730072600J & DFIRM_NC_3730073500 J
Contacted Dare County Planning Director
L i z W a rd Digi�ally signetl by Liz Wartl
oN: ��_��= Wab, o_aoom � Ass��a�aa, o�. 05/05/2017
Liz Ward email=[e-mail],c=US
Date: 2017.05.08 11:45:53 -04'00'
Applicant/Agent's Printed Name ApplicanUAgenYs Signature Date
(AgenYs signature is valid only if an authorization
letter from the a licant is rovided.
Page 10 of 10