20140277 Ver 2_03_U-4726DD_Rogers_Rd_PCNv1_4_170804_20170807

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:
1 c. 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 For the record only for DWQ For the record only for Corps Permit:
because written approval is not required? 401 Certification:
❑ Yes ❑X No ❑X Yes ❑ 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.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h � Yes ❑X No
below.
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: Rogers Road Sidewalk Project
2b. County: Orange
2c. Nearest municipality / town: Carrboro
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state project no: U-4726DD
3. Owner Information
3a. Name(s) on Recorded Deed: NCDOT
3b. Deed Book and Page No. Existing and proposed NCDOT right-of-way
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
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PCN Form — Version 1.4 January 2009

4. Applicant Information (if difFerent from owner)
4a. Applicant is: ❑ Agent ❑X Other, specify: Town of Carrboro
4b. Name: Nate Broman-Fulks, Assistant to Town Manager
4c. Business name Town of Carrboro
(if applicable):
4d. Street address: 301 West Main Street
4e. City, state, zip: Carrboro, NC 27510
4f. Telephone no.: 919-918-7314
4g. Fax no.: 919-918-4456
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: Sandy Smith, Scott Davis
5b. Business name qXiom Environmental, Inc.
(if applicable):
5c. Street address: 218 Snow Avenue
5d. City, state, zip: Raleigh, NC
5e. Telephone no.: 919-270-9316 (SS), 919-696-3045 (SD)
5f. Fax no.: --
5g. Email address: [e-mail], [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):
1 b. Site coordinates (in decimal degrees): Latitude: 35.958637 Longitude: -79.083575
1 c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Bolin Creek
2b. Water Quality Classification of nearest receiving water: C; NSW
2c. River basin: Cape Fear
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 site generally consists of maintained roadside shoulders, utility lines, residential lawns, and scattered forest edges. Land use consists of low-
density residential development along Rogers Road, interspersed with fragmented forested areas.
3b. List the total estimated acreage of all existing wetlands on the property:
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d. Explain the purpose of the proposed project:
Please see attached cover letter.
3e. Describe the overall project in detail, including the type of equipment to be used:
Please see attached cover letter.
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:
4b. If the Corps made the jurisdictional determination, what type 0 Preliminary ❑ Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: �iom Environmental, inc.
Name (if known): s. smith, s. �avis Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for �Yes ❑ No 0 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 OX No
6b. If yes, explain.
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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 ❑X 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)
Tem ora T
W1 P Fill Headwater Wetland No Corps 0.001
�/2 P Fill Headwater Wetland No Corps 0.001
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: 0.002
2h. Comments:
Less than 0.01 acre of impacts will occur within the maintained right-of-way of Rogers Road.
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 P Culvert UT to Bolin Creek (S1) PER Corps 4 9
S2 T Gulvert UT to Bolin Creek (S1) PER Corps 4 13
S3 P Culvert UT to Bolin Creek (S2) PER Corps 4 9
S4 T Culvert UT to Bolin Creek (S2) PER Corps 4 11
S5 - Choose one - -
S6 - Choose one - -
3h. Total stream and tributary impacts 42
3i. Comments:
Total Impacts include 18 linear feet of permanent impacts and 24 linear feet of temporary impacts at two impact sites.
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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
02 - Choose one Choose
03 - Choose one Choose
04 - Choose one Choose
4f. Total open water impacts
4g. Comments:
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:
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 ❑X Othe�:Jordan
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� P Grading for sidewalk UT to Bolin Creek (Stream S1) No 1,270 811
g2 P Grading for sidewalk UT to Bolin Creek (Stream S2) No 977 567
63 - Yes/No
B4 - Yes/No
65 - Yes/No
66 - Yes/No
6h. Total Buffer Impacts: 2,247 �,3�8
6i. Comments: Complete Zone 1 and Zone 2 buffer impacts total 3625 square feet of Allowable Impacts.
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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.
The distance between the sidewalk and the existing road has been minimized as much as practicable. Throughout the majority of the project, 2:1 fill
slopes will be utilized to minimize jurisdictional stream, wetland, and buffer impacts.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
All equipment will be kept within the designated Proposed Drainage Easement (PDE) during construction of this project. Jurisdictional areas will be
accessed only from the existing road.
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 � Yes ❑X No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
project? ❑ Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Usin a Miti ation Bank
3a. Name of Mitigation Bank: n/a
Type: Choose one Quantity: --
3b. Credits Purchased (attach receipt and letter) Type: Choose one Quantity: --
Type: Choose one Quantity: --
na
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: 0 linear feet
4c. If using stream mitigation, stream temperature: Choose one
4d. Buffer mitigation requested (DWQ only): 0 square feet
4e. Riparian wetland mitigation requested: 0 acres
4f. Non-riparian wetland mitigation requested: 0 acres
4g. Coastal (tidal) wetland mitigation requested: 0 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.
n/a
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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 -- 0 3(2 for Catawba) o
Zone 2 -- 0 1.5 0
6f. Total buffer mitigation required: o
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).
n/a
6h. Comments: All impacts are listed as "Allowable."
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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 0 Yes ❑ 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.
❑X Yes � No
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? 20 0�0
2b. Does this ro'ect re uire a Stormwater Mana ement 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:
Roadway runoff will be collected in catch basins and directed away from wetland areas within the project boundaries. Impervious surtaces have been
kept to a minimum. The sidewalk is to be constructed with grassed swales between the road and the sidewalk throughout the majority of the project.
2:1 fill slopes were utilized in order to minimize jurisdictional stream and wetland impacts. Please see the attached Stormwater Management 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? Orange County
❑X 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 ❑X 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
❑X Other: NCDOT
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
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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 ❑x 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.) ❑X Yes ❑ No
Comments: Please see attached Categorical Exclusion Action Classification Form.
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):
n/a
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.
Construction of the proposed sidewalk does not make previously inaccessible areas accessible, nor is it anticipated to encourage additional
development in the area.
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.
No wastewater is anticipated to be generated by the proposed project.
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PCN Form — Version 1.4 January 2009

5. End�ngered Species and �esignated Critical Hahitat {Corps Requir�ement)
5a. Will this project accur in or near an area with federalfyr protecEed species or � Yes 0 No
habitat?
5h_ Have yau chedced with tha U5FW5 coneeming Endangereci Species Act � Y�� ��Va
irnpacts?
5c. If yes, indicate the U5FW5 Field Office you have ccantacted, -
5d. What data svurces did yau use to determine whether your site would impact Endangered Species or Designated Crittcal
Habitat?
U,S. Fish and Wildlife 5ervice Caunty Listings and �VC3JHP virtual workroam {online}. Field surveys for listed spe�cies were canducked during the
appropr�ate survey windarvs. hla individuals were identiFied and this praject will hays No Effect on iisted specSes.
B. Essentiai F#sh Hak�itai (Corps F�equirement)
6a. Will this project nccur in ar near an area designated as essential fsh fiabitat? ❑ Yes 0 No
6b. What data sources did you use #o deterrnine whether your site wauld impact Essentia[ Fish H�bitat?
N4AA Fisheries Essen6al Fish Ha�itat Mapper v3.0 (onliney
7. Fiistoric car Prehistaric Cultural Resources (Corps Requirement}
7a, Wiil this project accur in or near an area that the state, federal or triba)
gavernments have designated as ha�ing histaric or cufturaf preservation � Yes �X Na
status {e.g., l�ativnal Historic Trust designak�vn ar properties signiftcanf in
North Carolina history and archaealogy)?
7b. What dafa sources did you use to determine whether your sife would impact hisfo�ic or archeoiogical resour�es?
SHPO concurrence (deled Febrvary 12, 2613) with NEPA da[�mentatian.
8. Fload Z+one Designat€an (Carps Requirement)
8a. Will this project accur in a FEMA�esignated 1Q0-yearfloodplain? ❑'Yes � Na
8b. If yes, explain how project meets FEMA requir�ments:
nla
8c. What source(s) did you use ia make the floodplain deEerminati�an?
NCFlaadmaps.�am dig�tal GI5 data.
�ai[� �o�an-r lk� ' � �'/�y���
ApplicantfAgent's Printed rilame �pp��� gent's Signature []ate
(AgenYs signah�re is vaiid only i! an authorization
letter irnm the a licarrt is rovided.
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