20170968 Ver 1_PCN Form Submission_20170804

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 8/4/2017 2:43:17 PM (Start Event)
Accept by Carpenter,Kristi 8/4/2017 4:52:56 PM (DOT Initial Review)
• The task was assigned to Carpenter,Kristi . The due date is: August 9, 2017 5:00 PM
8/4/2017 2:44 PM

�� �
6fvlslaa of Water Resources
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
June 28, 2017 Ver 1.8
*
Please note: fields marked with a red asterisk below are required. You will not be ab/e to submit the form until all mandatory questions are ans�red.
Below is a link to the DRAFT online help file. http://edocs.deq.nc.gov/WaterResources/0/doc/549884/Page1.aspx
A. Processing Information
County (or Counties) where the project is located:*
Durham
Is this a NCDOT Project?*
C� Yes �' No
(NCDOT only) T.I.P. or state project number:
WBS #
15005.1032011
(for NCDOT use only)
� 1a. Type(s) of approval sought from the Corps:*
rJ Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
fJ Nationwide Permit (NWP)
r Regional General Permit (RGP)
Nationwide Permit (NWP) Number:
NWP Number Other:
List all MN nurrbers you are applying for not on the drop dow n list.
03 - Maintenance
1c. Type(s) of approval sought from the DWR:*
check all that apply
� 401 Water Quality Certification - Regular
� Non-404 Jurisdictional General Permit
r 401 Water Quality Certification - Express
�7 Riparian Buffer Authorization
1d. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification:
I For the record only for Corps Permit:
1e. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
*
l" Yes C•' No
C•' Yes C' No

If so, attach the acceptance letter from rritigation bank or in-lieu fee program
C' Yes C•' No
1f. Is the project located in any of NC's twenty coastal counties?*
C' Yes �' No
B. Applicant Information
1a. Who is the Primary Contact?*
Chris Murray
1b. Primary Contact Email:*
[e-mail]
1c. PrimaryContact Phone:*
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
r% Owner r Applicant (other than owner) r AgenUConsultant
(Check all that apply)
2. Owner I nformation
2a. Name(s) on recorded deed:
NCDOT
2b. Deed book and page no.:
Not available
2c. Responsible party:
(for Corporations)
2d.Address
Street Address
Address Line 2
(3ty State / Rovince / F�gion
R�stal/Zip Code Country
2e. Telephone Number:
(xxx)xxx-xxxx
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
United States of America
2b. Deed book and page no.:
2c. Responsible party:
(for Corporations)
Attn: USACE
2d.Address

Street Address
Address Line 2
11405 Falls of the Neuse Road
a�
Raleigh
Fbstal / Zip Code
2e. Telephone Number:
(xxx)xxx-xxxx
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
State / R-ovince / I�gion
NC
Country
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Removal of damaged roadway and pipe structure on SR 1637 (Redv�rood
Road) in Durham County
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/town:*
Durham
1d. Driving directions*
IIf it is a new project and can not easily be found in a C�5 rrapping system Rease provide directions.
1. Travel on I-85 northbound, 2. Take Redwood Road e�at and 3. Travel to site.
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
171478, 211011, 171480, 170207 and 170217
2b. Propertysize:
(in acres)
1.0 acre
2c. Project Address
Street Address
near 4609 Redvuood Road
Address Line 2
Qty
Durham
Fbstal / Zip Code
27704
2d. Site coordinates in decimal degrees
State / Rovince / F�gion
NC
Country
Durham
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey-grade GPS device) after the decimal place as
appropriate, based on howthe location was determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to
map coordinates to 5 or 6 digits after the decimal place.)

� Latitude:* Longitude:*
36.052 -78.775
ex:34208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Falls Lake
3b. Water Resources Classification of nearest receiving water:*
WS-IV; B; NSW; CA
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Neuse
River Basin Lookup
4. Project Description
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
i Existing site is failed roadbed with sinkhole at pipe crossing under road. Surrounding land includes wooded land,
open water and boat ramp.
4b. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for
DWR)
qick the upload button or drag and drop files here to attach docurrent
Redwood Road site map formatted.pdf 1.46MB
Fle type rrust be pdf
4c. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.
(for DWR)
Qick the upload button or drag and drop files here to attach docurrent
Redwood Road Durham soil survey.pdf
Fle type rrust be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0.0
4e. List the total estimated linear feet of all existing streams on the property:
(interrrittent and perennial)
190 linear feet of open water
847KB
4f. Explain the purpose of the proposed project:
Storm event during Hurricane Matthew (October 2016) resulted damage to 2@ 10 feet wide pipe structures that
are 119 feet long. The storm event resulted in failed pipe structures, contributing to a sink hole in the road above
the structures. The purpose of this project is to removed a portion of the road bed and failed pipe structures and
then construction of a Class II rip rap open channel.
4g. Describe the overall project in detail, including the type of equipment to be used:
Contractor will conduct the following: 1. Removal of "dry" roadbed above open water; 2. Removal of "wet or
I submerged" roadbed below water surtace, 3. Remove damaged pipe structures and 4. Construct Class II rip rap
lined open channel. Equipment MAY include: excavator, long-arm stick excavator, dredge bucket, vacuum system,
etc.
4h. Please upload project drawins for the proposed project.

C7ick the upload button or drag and drop files here to attach docurrent
REDWOOD ROAD FINAL PLANS for permit application.pdf 3.09MB
Fle type rrust be pdF
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
C� Yes C' No C' Unknown
Comments:
Delineated by jason Dilday (NCDOT); no wetlands in project limits.
5b. If the Corps made a jurisdictional determination, what type of determination was made? *
C' Preliminary �' Approved C' Unknown
Corps AID Number:
6carrple: SAV�2017-99999
SAW-2017-00908
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Othe r:
Jason Dilday
NCDOT
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5d1. Jurisdictional determination upload
Gick the upload button or drag and drop files here to attach docurrent
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6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
C' Yes C•' No f Unknown
7. Future Project Plans
7a. Is this a phased project?*
C� Yes C' No
7b. If yes, explain.
This PCN form covers the following: 1. Removal of "dry" roadbed above open water; 2. Removal of "wet or
submerged" roadbed belowwater surface, 3. Remove damaged pipe structures and 4. Construct Class II rip rap
lined open channel. The NCDOT will install a crossing structure (likely a one-span bridge) in 2018. The
Department has not determined at this time if there will be additional stream, wetland, buffer or open water impacts
associated with the crossing structure.
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the
proposed project or related activit�/? This includes other separate and distant crossing for linear projects that require Department of the
Army authorization but don't require pre-construction notification.
D. Proposed I m pacts I nventory
1. Impacts Summary

1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands r Streams-tributaries rJ Buffers
fJ Open Waters r Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
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
I impacted.
'" All Perennial or Intermittent streams must be verified by DWR or delegated local government.
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. Site #- Reason for 4b. Impact
i impact type
Road crossing P
N�p label (e.g. F�ad Qossing 1) F2rrranent (F) or
Terrporary (�
4g. Total temporary open water Impacts:
0.00
4g. Total permanent open water impacts:
0.20
4g. Total open water impacts:
0.20
4h. Comments:
4c. Name of waterbody
Falls Lake
(if applicable)
5. Pond or Lake Construction
If pond or lake construction is proposed, then complete the chart below.
4d. Activity 4e. Waterbody4f. Impact area
type type
Excavation Lake 0.20
(acres)
6. Buffer Impacts (for DWR)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts below.
6a. Project is in which protect basin(s)?*
Check all that apply.
fJ Neuse
r Catawba
r Goose Creek
r Other
r Tar-Pamlico
r Randleman
r Jordan Lake

6b. Impact Type
6c. Per or 6d. Stream name
Te mp
Allowable P Falls Lake
Location and Exerrpt, Allowable, allowable w/ rritigation F�rrranent (F) or
Terrporary (�
6h. Total buffer impacts:
Temporary impacts
Permanent impacts:
Total buffer impacts:
6i. Comments:
Zone 1
0.00
Zone 1
22,850.00
Zone 1
22,850.00
Supporting Documentation - i.e. Impact Maps, Plan Sheet, etc.
C7ick the upload button or drag and drop files here to attach docurrent
Redw�ood Road open water permit drawing.pdf
Redw�ood Road buffer impact permit drawing.pdf
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6e. Buffer
mitigation
required?
No
Zone 2
0.00
Zone 2
4,780.00
Zone 2
4,780.00
E. Impact Justification and Mitigation
1. Avoidance and Minimization
531.06KB
406.79KB
6f. Zone 1 6g. Zone 2
impact impact
22,850 4,780
(square feet) (square feet)
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
The Department will remove by excavation only the minimum amount necessary of fill material to construct the
Class II rip rap lined open channel. Removal of material will be restricted to within 20 feet of the toe of existing
slope or 10 feet from the pipe structure, whichever is less. The contractor may temporarily store excavated
material on-site, but will eventually be required to remove the material from the project site.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
The Department has had several conversations ond meetings with the regulatory agencies regarding this project
since October 2016. The regulatory agences requested that the Department evaluate all options to remove both
"dry" and "wet or submerged " portions of the fill slope and the damaged pipe structures. On June 13, 2017
NCDOT Dlvision 5 staff and Dewberry staff inet with the USACE, NCDENR-DWR and NCWRC to evaluate all
possible construction options. See the attached Redwood Road Study Final Report. After presentation of the
study alternatives and analysis, the consensus of opinion among those present and participating by phone was
that the wet excavation method (Alternate III) detailed in this report is the recommended alternative for
development of the pipe replacement project for construction and permitting. The primary environmental issue of
concern e�ressed by the permitting agencies present is control of additional turbidity potentially generated by
construction activities. The method of control during construction is to be turbidity curtains and turbidity
monitoring.
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?
f Yes
C•' No
i 2b. If this project DOES NOT require Compensatory Mitigation, explain why:

The nature of the project and use of NWPs and WQCs indicate that mitigation is not required for this activity.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1a. Does this project require a Stormwater Management Plan?
C' Yes C•' No
1e. If this project DOES NOT require a Stormwater Management Plan, explain why:
The project does not result in any changes to the current stormwater runoff at the site. The Department will
reconstruct grasses shoulders to convey runoff from the roadway.
2. Diffuse Flow Plan
2a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection
Rules?
C� Yes C' No
2b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. Include a plan that fully
documents how diffuse flow will be maintained.
If, due to site constraints, a BMP other than a level spreader is proposed, please provide a plan for stormwater treatment as outlined
in Chapter 8 of the NC Stormwater BMP Manual and attach a BMP Supplement Form
What documentation are you providing?
r Level Spreader
r Other BMP
(check all that apply)
Diffused Flow Documentation
Qick the upload button or drag and drop files here to attach docurrent
Fle type rrust be f�F
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
C� Yes C' No
1b. 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 (North Carolina) Environmental PolicyAct (NEPA/SEPA)?*
C' Yes C' No
1c. 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
NEPAor SEPAfinal approval letter.)*
f Yes C•' No
Comments:*
The document will not be sent to the clearing house.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or
DWR Surface Water or Wetland Standards or Riparian Buffer Rules (15A NCAC 2B .0200)? *
f Yes C•' No
2b. Is this an after-the-fact permit application?*
C' 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 (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact
nearby downstream water quality?*
C' Yes �' No
3b. If you answered "no," provide a short narrative description.
The project replaces the damaged roadway and structure.
4. Sewage Disposal (DWR Requirement)
4a. Describe, in detail, the treatment methods and dispositions (non-discharge or discharge) of wastewater generated from the
proposed project. If the wastewater will be treated at a treatment plant, list the capacity available at that plant.
The project will not generate sewage.
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?*
C� Yes �' No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
C' Yes C•' No
5c. If yes, indicate the USFWS Field Office you have contacted.
5d. Is this a DOT project located within Division's 1-8?*
�' Yes
C' No
5i. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
The Department will adhere to the programmatic agreement made for the NLEB in Division 5.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
C' Yes C•' No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
Mapping
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
I Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
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 status (e.g., National Historic Trust designation or properties significant in North Carolina historyand archaeology)?*
C' Yes C•' No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Consulation with NCDOT staff.
7c. Historic or Prehistoric Information Upload
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8. Flood Zone Designation (Corps Requirement)
I Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
C� Yes l" No
8b. If yes, explain how project meets FEMA requirements:
Project has been designed by NCDOT hydro unit
8c. What source(s) did you use to make the floodplain determination?*
Mapping.
Miscellaneous attachments not previously requested.
aick the upload button or drag and drop files here to attach docurrent
REDWOOD ROAD STUDY FINAL REPORT.pdf 5.15MB
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Signature
*
rJ By checking the box and signing below, I certify that:
■ I have given true, accurate, and complete information on this form;
■ I agree that submission of this PCN form is a"transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions AcY');
■ I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions AcY');
■ I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
. I intend to electronically sign and submit the PCN form.
Full Name:*
Christopher A. Murray
Signature
�'�1��' �L►r'r'�c�
d
Date
8/4/2017
Initial Review
Is this project a public transportation project?
�' Yes C' No
Only change this if the project has been reassigned.
Has this project met the requirements for acceptance in to the review process?*
�' Yes
C' No
BIMS # Assigned*
20170968
Version#*
1
Reviewing Office *

Central Office - [phone]
Select Project Reviewer*
i Rob Ridings:eads\rgridings