20160052 Ver 3_PCN Form Submission_20170918

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 9/18/2017 12:52:47 PM (Start Event)
Accept by Carpenter,Kristi 9/19/2017 11:13:44 AM (DOT Initial Review)
• The task was assigned to Carpenter,Kristi . The due date is: September 21, 2017 5:00 PM
9/18/2017 12:53 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:*
Carte ret
Is this a NCDOT Project?*
C� Yes �' No
(NCDOT only) T.I.P. or state project number:
WBS #
2.101611
(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.
13 - Bank Stabilization
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
r 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 l" No
1g. Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
C� Yes �' No C' Unknown
B. Applicant Information
1a. Who is the Primary Contact?*
Bill Brame Jr
1b. Primary Contact Email:*
[e-mail]
1c. PrimaryContact Phone:*
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
fJ Owner �J Applicant (other than owner) r Agent/Consultant
(Check all that apply)
� 2. Owner I nformation
2a. Name(s) on recorded deed:
North Carolina Department of Transportation
2b. Deed book and page no.:
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2c. Responsible party:
(for Corporations)
� wa
2d.Address
Street Address
105 Pactolus Highway
Address Line 2
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Greenville
Fbstal / Zip Code
27835
2e. Telephone Number:
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
[phone]
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Applicant is:
State / Rovince / F�gion
NC
Country
USA

C' Agent
C� Other
If other please specify.
3b. Name:
Bill Brame Jr
3c. Business Name:
(if applicable)
3d.Address
Street Address
P.O. Box 1587
Address Line 2
��
Greenville
Fbstal / Zip Code
27835
3e. Telephone Number:
[phone]
(xxx)xxx-xxxx
3f. Fax Number:
(xxx)xxx-xxxx
3g. Email Address:*
[e-mail]
State / FYovince / F�gion
NC
Country
USA
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
US 70 Shoulder Reconstruction
1b. Subdivision name:
(if appropriate)
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1c. Nearest municipality/town:*
i Davis
1d. Driving directions*
If it is a new project and can not easily be found in a C� rrapping system Rease provide directions.
From Beaufort, proceed east on US 70 towards the community of Davis. Sites are before and after the community on US 70.
2. Project Identification
2a. Property Identification Number:
(tax RNor parcel ID)
US 70 Shoulder Reconstruction
2b. Propertysize:
(in acres)
wa
2c. Project Address

Street Address
Address Line 2
��
Fbstal / Zip Code
2d. Site coordinates in decimal degrees
State / R-ovince / F�gion
Country
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 e�mple, most mobile phones with GPS provide locational precision in decimal degrees to
map coordinates to 5 or 6 digits after the decimal place.)
I Latitude:* Longitude:�
34.798842 -76.497823
ex:34208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Core Sound
3b. Water Resources Classification of nearest receiving water:*
SA; ORW
Surface Water Lookup
3c. What river basin(s) is your project located in?*
White Oak
RiverBasin 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:*
US 70 is a paved primary highway. Coastal marsh and residences dominate the landscape.
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)
C7ick the upload button or drag and drop files here to attach docurrent
I US 70 Site 2 G-L quad.pdf 4.06MB
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)
aick the upload button or drag and drop files here to attach docurrent
US 70 Site 2 G-L soils.pdf 257.07KB
Fle type rrust be pdF
4d. List the total estimated acreage of all existing wetlands on the property:
0.03
4e. List the total estimated linear feet of all existing streams on the property:
(interrrittent and perennial)
890
4f. Explain the purpose of the proposed project:
The e�asting roadside shoulder has been compromised and is collapsing. The shoulder reconstruction will keep
the roadway from collapsing.
4g. Describe the overall project in detail, including the type of equipment to be used:

The existing roadside shoulder will be reconstructed with granite riprap.
4h. Please upload project drawins for the proposed project.
aick the upload button or drag and drop files here to attach docurrent
I US 70 Sites G_L_psh.pdf 996.56KB
Fle type rrust be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
�' Yes C' No f Unknown
Comments:
Coastal wetlands on site
5b. If the Corps made a jurisdictional determination, what type of determination was made? *
C' Preliminary C' Approved r Unknown
Corps AID Number:
Exarrple: SAVw2017-99999
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Othe r:
Sd. 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
Fle type rrust be FDF
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 C' Unknown
6b. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
DWR 20160052
SAW-2016-00085
Project History Upload
C7ick the upload button or drag and drop files here to attach docurrent
20160052-01192016182853.pdf 6.57M6
� US 70 Stabilization-Repairs NWP 13.pdf 164.81 KB
Fle type rrust be FDF
7. Future Project Plans
7a. Is this a phased project?*
C' Yes �' No
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 activity? 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 r Buffers
I7 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
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 4c. Name of waterbody
, impact type
G-L P (if applicable)
N�p label (e.g. Id�ad Q'ossing 1) F2rrrenent (� or
Terrporary (�
4g. Total temporary open water Impacts:
0.00
4g. Total permanent open water impacts:
0.00
4g. Total open water impacts:
0.00
4h. Comments:
There are 315 cubic yards of impacts for 6 sites.
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
Stabilization Other (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.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
Only repairing areas that are eroding/slumping.

1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Rip rap under NWL is less than 1 cubic foot per linear foot.
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?
C' Yes �' No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1a. Does this project require a Stormwater Management Plan?
C' Yes �' No
1e. If this project DOES NOT require a Stormwater Management Plan, explain why:
Permit for maintenance to ebsting transportation facility.
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 G No
If no, explain why:
Permit for maintenance to e�asting transportation facility.
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 �' 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
Comments:*
I f�UA
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)? *
C' Yes C•' No
2b. Is this an after-the-fact permit application?*
C' Yes C•' 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.
I �llA
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.
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 impacts?*
C' Yes �' No
Sc. 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?*
Onsite review
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
�' Yes C' No
Are there submerged aquatic vegetation (SA� around the project vicinity?*
C' Yes C' No C•' Unknown
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
Onsite review
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?*
Onsite review
7c. Historic or Prehistoric Information Upload
qick the upload button or drag and drop files here to attach docurrent
Fle rrust be FDF
8. Flood Zone Designation (Corps Requirement)

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 �' No
8b. If yes, explain how project meets FEMA requirements:
Maintenance of existing transportation facility.
8c. What source(s) did you use to make the floodplain determination?*
FEMA FIRM Maps
Miscellaneous attachments not previously requested.
C7ick the upload button or drag and drop files here to attach docurrent
Fle rrust be FDF
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:*
William C Brame Jr
Signature
i Date
9/18/2017
Initial Review
Is this project a public transportation project?
C� 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?*
r Yes
C' No
BIMS # Assigned*
20160052
Version#*
3
Reviewing Office *
Washington Regional Office - [phone]
Select Project Reviewer*

Garcy Ward:eads\gpward