20171250 Ver 1_PCN Form Submission_20171003

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 10/3/2017 8:26:25 AM (Start Event)
Accept by Carpenter,Kristi 10/4/2017 4:23:03 PM (DOT Initial Review)
• The task was assigned to Carpenter,Kristi . The due date is: October 6, 2017 5:00 PM
10/3/2017 8:28 AM

�� �
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:*
Union
Is this a NCDOT Project?*
C� Yes �' No
(NCDOT only) T.I.P. or state project number:
i P-5704
WBS #
(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?*
�J Nationwide Permit (NWP)
r Regional General Permit (RGP)
Nationwide Permit (NWP) Number:
Nationwide Permit (NWP) Number:
Nationwide Permit (NWP) Number
NWP Number Other:
List all MNnurrbers you are applying for not on the drop down list.
14 - Linear transportation
23 - Categorical Exclusions
33 - Temporary Construction
1c. Type(s) of approval sought from the DWR:*
check all that apply
r% 401 Water Quality Certification - Regular
r 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:
*
C' Yes C•' No
For the record only for Corps Permit: C' Yes C�' No

1e. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
If so, attach the acceptance letter from rritigation bank or in-lieu fee program
r Yes c' No
Acceptance Letter Attachment
C7ick the upload button or drag and drop files here to attach docurrent
I P-5704 - RW - YD 105.pdf 62.79KB
FlLE TYFE MJST BE FDF
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?*
I Mr. James Bridges, Jr., PE, CPM
1b. Primary Contact Email:*
[e-mail]
1c. PrimaryContact Phone:*
(xxx)xxx-xxxx
[phone]
7d. 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:
2b. Deed book and page no.:
2c. Responsible party:
(for Corporations)
2d.Address
Street Address
1556 Mail Service Center
Address Line 2
��
Raleigh
Fbstal / Zip Code
27699-1556
2e. Telephone Number:
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
State / Rovince / Region
NC
Country
C. Project Information and Prior Project History

1. Project Information
� 1a. Name of project:*
Stouts Siding E�hension
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/town:*
Indian Trail
1d. Driving directions*
If it is a new project and can not easily be found in a C� rrapping system Rease provide directions.
https://wuwv.google.com/maps/place/Edward+�ones/@35.0770612,-
80.6683284,18.5z/data=! 4m13! 1 m7! 3m6! 1 sOx885425172b21 fd49:Ox746b0871 fd403a54! 2slnd ian+TraiI,+NC! 3b 1! 8m2! 3d35.0768141 ! 4d-
80.6692352!3m4!1sOx0:0�C3d2b7c0a7fccd304!8m2!3d35.0774365!4d-80.6680309
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
2b. Propertysize:
(in acres)
93.6
2c. Project Address
Street Address
Address Line 2
��
Fbstal / Zip Code
State / R-ovince / Region
Country
2d. Site coordinates in decimal degrees
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.)
i Latitude:*
35.063535
ex:34208504
3. Surface Waters
Longitude:*
-80.649826
-77.796371
3a. Name of the nearest body of water to proposed project:*
South Fork Crooked Creek
3b. Water Resources Classification of nearest receiving water:*
C
Surface Water Lookup
3c. What river basin(s) is your project located in?*
I Yadkin-PeeDee
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:*
The project study area is comprised of mostly maintained roadway with hardwood forest along the stream banks
and nearby agricultural fields, residences, and businesses. There are six perennial streams within the project
study area and sixjurisdictional wetlands. There is also one pond.
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)
Gick the upload button or drag and drop files here to attach docurrent
P-5704_Stouts_Siding_fig2. pdf
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1.54M6
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)
Gick the upload button or drag and drop files here to attach docurrent
P-5704_Stouts_Siding_Soils. pdf
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4d. List the total estimated acreage of all existing wetlands on the property:
0.5
4e. List the total estimated linear feet of all existing streams on the property:
(interrrittent and perennial)
1548
1.46MB
4f. Explain the purpose of the proposed project:
To extend an existing rail siding along the CSX SF-line from west of the SR 1008 (Indian Trial Road) crossing to
east of the SR 1378 (Hayes Road) crossing in the Town of Indian Trial
4g. Describe the overall project in detail, including the type of equipment to be used:
Train traffic will remain open during construction. Work adjacent to the track will be protected by current CSX
Safety and Roadway Worker Protection rules. A brief closure of Wesley Chapel-Stouts Road is anticipated, and a
roadway detour will be coordinated with NCDOT Division 10 staff during the design phase of the project. Erosion
and sedimentation control measures will be installed. Water will be diverted around the construction area. Water
will gravity flowthrough a 24" pipe around the work area during construction by installed impervious dikes
upstream and downstream of the existing bridge. Special stilling basins will be utilized on an as needed basis to
pump water trapped between the impervious dikes if a storm event over tops the dikes. Equipment to be used
includes a track hoe, dump truck, paving equipment, pumps, and various hand tools, possibly a crane to move
construction material such as reinforced bars of steel, and concrete buckets to place concrete.
4h. Please upload project drawins for the proposed project.
aick the upload button or drag and drop files here to attach docurrent
P5704_Permit Drawings_2017.09.01.pdf 24.08MB
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5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
�' Yes C' No f Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made? *
G Preliminary C' Approved C' Unknown
Corps AID Number:
Exarrple: SAV�2017-99999
SAW-2016-00248

Sc. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Othe r:
Chris Sheats, PWS
Three Oaks Engineering
Sd. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
April 25, 2017
5d1. Jurisdictional determination upload
Gick the upload button or drag and drop files here to attach docurrent
2017 4 25 SAW-2016-00248 P5704 JD .pdf
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6. Project History
2.2MB
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
7. Future Project Plans
7a. Is this a phased project?*
C' Yes C•' 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.
� f�UA
D. Proposed I m pacts I nventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
N7 Wetlands N7 Streams-tributaries r Buffers
� 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.
2a. Site # - Reason for
impact
Site 1
N�p label (e.g. f�ad Qossing 1)
Site 2
N�p label (e.g. Fd�ad Q-ossing 1)
Site 3
N�p label (e.g. Id�ad Qossing 1)
2b. Impact type * 2c. Type of wetland
P Non-Tidal Freshwater
F�rrranent (P� or Terrporary M arsh
��
P Bottomland Hardwood
F�rrranent (Pj or Terrporary Forest
��
P Headwater Forest
F2rrrenent (P� or Terrporary
��
2g. Temporary Wetland Impact
0.000
2g. Permanent Wetland Impact
2d. Wetland name 2e. Forested 2f. 2g. Impact
Jurisdiction area
type
WG No Corps 0.090
(404, 10) or C7�NR (acres)
(401, other)
WD Yes Corps 0.070
(404, 10) or d�NR (acres)
(401, other)
WE & WF Yes Corps 0.030
(404, 10) or CMR (acres)
(401, other)

G�E!II]
2g. Total Wetland Impact
0.190
2h. Comments:
i Impacts to wetlands are due to fill slope and accessing fill slope. There will be 0.19 acre of permanent fill in
wetlands, of which 0.03 acre will be due to mechanized clearing for accessing of construction equipment.
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.
Row 1
Row 2
Row 3
Row 4
3a. Site #- 3b.lmpact 3c. Type of 3d. Stream 3e. Stream 3f. 3g. Stream 3h. Impact
Reason for type impact name Type Jurisdiction width length
impact type
Site 2 P Culvert South Fork Perennial Both Average 95
N�p label (e.g. F�rrranent (� or Crooked F2rennial (�) or 5 (linear feet)
Finad Q'ossing 1) Terrporary (� Creek & UT interrrittent (IN� (feet)
(SC)
Site 2 T Dewatering South Fork Perennial Both Average 10
N�p label (e.g. F2rrrenent (F'� or CrOoke d F2rennial (�) or s (linear feet)
F�ad C7assing 1) Terrporary (� Creek interrrittent (IN� (feet)
Site 4 P
N�p label (e.g. F2rrranent (Pj or
F�ad Qossing 1) Terrporary (�
Site 4 T
N�p label (e.g. F�rrranent (Pj or
f3�ad Qossing 1) Terrporary (�
Culvert SA
Dewatering SA
Perennial Both
F2rennial (FB� or
interrrittent (If�
Perennial Both
F2rennial (Fff� or
interrrittent (IfV�
"" All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
117
3i. Total temporarystream impacts:
20
3i. Total stream and tributary impacts:
137
Average
2
(feet)
Average
2
(feet)
3j. Comments:
Of the 137 LF of stream impacts, 117 LF are associated with permanent impacts to streams for the purpose of
culvert extensions. The 20 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).
22
(linear feet)
10
(linear feet)
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.
5. Pond or Lake Construction
If pond or lake construction is proposed, then complete the chart below.

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:*
The purpose of the proposed project is to extend a rail siding track along an existing rail line. As a result of this
extension, several culverts will be extended. Roadway approach v�rork is minimized as much as is practical to
reduce the overall project impacts.
1b. 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 be 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 the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
C� Yes �' No
2c. If yes, mitigation is required by (check all that apply):
I r DWR rJ Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank rJ Payment to in-lieu fee program r Permittee Responsible Mitigation
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached.
r Yes
4b. Stream mitigation requested:
(linear feet)
4c. If using stream mitigation, stream temperature:
4d. Buffer mitigation requested (DWR only):
(square feet)
4e. Riparian wetland mitigation requested:
(acres)
0.38
4f. Non-riparian wetland mitigation requested:
(acres)
4g. Coastal (tidal) wetland mitigation requested:
(acres)
4h. Comments

F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1a. Does this project require a Stormwater Management Plan?
C� Yes �' No
1b. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
1c. What is the overall percent imperviousness of this project?
14
%
1d. Who will be responsible for the review of the Stormwater Management Plan?*
� Certified Local Government r DEMLR Stormwater Review
N7 DWR 401 & Buffer Permitting Branch r DWR Transportation Permitting Branch
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
If no, explain why:
The proposed extension of culverts results in a minor increase in impervious surfaces, so treatment is not required.
5. DWR 401 Stormwater Review
5a. Is the Stormwater Management Plan (including BMP Supplemental Forms and Operation and Maintenance Agreements) attached?
C' Yes C' No
Stormwater Management Plan Upload
Qick the upload button or drag and drop files here to attach docurrent
I P5704_HYD_SMPv2.07_(20170914) (Oct 2016).pdf 254.74KB
file type rrust be pdf
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?*
r Yes l" 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 N/A
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 C•' No
3b. 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 roadways,
businesses, and residential homes in the vicinity), this is not a rail line on a new location (i.e. there is an existing
rail line road and bridge structure and thus, the area already contains impervious surfaces) and the project drains
to South Fork Crooked Creek which is Class C(i.e. not ORW, HQW, NSW, or 303(d) listed waters). We anticipate
the NC DWR will advise us if a qualitative or quantitative analysis is needed.
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.
It is not anticipated that this project will generate any wastewater as it is a rail siding track extension project.
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
Sb. 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.
Raleigh
Sd. Is this a DOT project located within Division's 1-8?*
C' Yes
C� No
5e. Will you cut anytrees in order to conduct the work in waters of the U.S.?*
C� Yes C' No
5f. Does this project involve bridge maintenance or removal?*
C' Yes C' No
5f(1). If yes, have you inspected the bridge for signs of bat use such as staining, guano, bats, etc.? Representative photos of signs of bat
use can be found in the NLEB SLOPES, Appendix F, pages 3-7.
C' Yes C•' No
I Link to the NLEB SLOPES document: http://sav�reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
If you answered "Yes" to 5f(1), did you discover anysigns of bat use?*
C' Yes G No l' Unknown
If yes, please show the location of the bridge on the permit drawings/project plans.
C7ick the upload button or drag and drop files here to attach docurrent
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5g. Does this project involve the construction/installation of a wind turbine(s)?**

C' Yes r No
If yes, please show the location of the wind turbine(s) on the permit drawings/project plans.
Gick the upload button or drag and drop files here to attach docurrent
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Sh. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as
jackhammers, mechanized pile drivers, etc.?*
C' Yes C' No
If yes to either, please provide details to include type of percussive activity, purpose, duration, and specific location of this activity on
the property.
aick the upload button or drag and drop files here to attach docurrent
P-5704 NWP 14 Percussive Activity .pdf
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21.93KB
Si. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
North Carolina Natural Heritage Database and onsite investigation.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
C' Yes �' No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
This railroad project takes place in Union County which is not near any coastal or tidal habitat that would support
i EFH (i.e. salt marshes, oyster reefs, etc.).
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
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 history and archaeology)? *
C' Yes �' No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources? *
See State Minimum Criteria Checklist. Historical architecture and archaeological resources were determined to not
be affected by this project.
7c. Historic or Prehistoric Information Upload
C7ick the upload button or drag and drop files here to attach docurrent
i ER 16-0210.pdf 105.94KB
Stouts-Siding_NC_AH-Survey_Update_3-28-2016.pdf 3.15M6
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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:
See State Minimum Criteria Checklist and Project Commitments
8c. What source(s) did you use to make the floodplain determination?*
North Carolina Floodplain Mapping Program

Miscellaneous attachments not previously requested.
C7ick the upload button or drag and drop files here to attach docurrent
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Signature
*
r7 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:*
James F. Bridges
Signature
�7 fl�XEY� �� ci'J�tC��`r�
Date
10/3/2017
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?*
C� Yes
C' No
BIMS # Assigned*
20171250
Version#*
1
Reviewing Office *
Mooresville Regional Office - [phone]
Select Project Reviewer*
I Donna Hood:eads\drhood