Loading...
HomeMy WebLinkAbout20171517 Ver 1_PCN Form Submission_20171128Action History (UTC-05:00) Eastern Time (US & Canada) �brrrit by Anonymous User 11/28/2017 1:47:38 PM (Start Event) Accept by Carpenter,Kristi 11/28/2017 3:42:07 PM (DOT Initial Review) • The task was assigned to Carpenter,Kristi . The due date is: December 1, 2017 5:00 PM 11 /28/2017 1:48 PM �� � 6fvlslaa of Water Resources Pre-Construction Notification (PCN) Form For Nationwide Permits and Regional General Permits (along with corresponding Water Quality Certifications) November 25, 2017 Ver 2.1 * Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are ans�red. Below is a link to the online help file. http://edocs.deq.nc.gov/WaterResources/0/doc/603610/Page1.aspx A. Processing Information County(or Counties) where the project is located:* Lenoir Is this project a public transportation project? (?) r Yes C' No Is this a NCDOT Project? C� Yes C' No (NCDOT only) T.I.P. or state project number: WBS # 32276 (for NCDOT use only) 7a. Type(s) of approval sought from the Corps: ri 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? rJ 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. 14 - Linear transportation 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 For the record only for Corps Permit: * C' Yes C•' No C' Yes r 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 C' Yes C•' No 1f. Is the project located in anyof NC's twentycoastal counties?* �' Yes [" No 1g. Is the project located within a NC DCM Area of Environmental Concern (AEC)?* C' Yes C•' No C' Unknown 1h. Is the project located in a designated trout watershed?* r No C' Yes Link to trout information: http://v�uwv.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx B. Applicant Information 1a. Who is the Primary Contact?* Jay Johnson 1b. Primary Contact Email:* jbjohnson@ncdot.gov 1c. PrimaryContact Phone:* (xxx)xxx-xxxx (252)439-2821 1d. Who is applying for the permit? r Owner rJ 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.: f�UA 2c. Responsible party: (for Corporations) wa 2d.Address Street Address 1037 W.H. Smith Blvd Address Line 2 Qty Greenville Fbstal / Zip Code 27835 State / Rovince / F�gion NC Country USA 2e. Telephone Number: (xxx)xxx-x�cx (252)439-2821 2f. Fax Number: (xxx)x�c-�ocx 2g. Email Address:* jbjohnson@ncdot.gov 3. Applicant Information (if different from owner) 3a. Applicant is: C' Agent G Other If other please specify. 3b. Name: Jay Johnson 3c. Business Name: (if applicable) 3d.Address Street Address P.O. Box 1587 Address Line 2 �� Greenville Fbstal / Zip Code 27835 3e. Telephone Number: (252)439-2821 (xxx)xxx-xxxx 3f. Fax Number: (xxx)xxx-xxxx 3g. Email Address:* jbjohnson@ncdot.gov State / Rovince / F�gion NC Country USA C. Project Information and Prior Project History 1. Project Information 1a. Name of project:* GTP Transload Facility NE Drive 1b. Subdivision name: (if appropriate) 1c. Nearest municipality/town:* Kinston 1d. Driving directions* If it is a new project and can not easily be found in a GPS rrapping system Rease provide directions. Go south on NC 58 south towards Kinston from Snow Hill. Take a right onto NC 148. Then take the next right onto SR 2024, Aerosystems Blvd., then take the second left onto SR 1581, John Mewborne Rd., and project site will be on your left. 2. Project Identification 2a. Property Identification Number: (tax RNor parcel ID) wa 2b. Propertysize: (in acres) wa 2c. Project Address Street Address SR 1581 John Mewborne Rd Address Line 2 aty Kinston Fbstal / Zip Code 28504 2d. Site coordinates in decimal degrees State / Rovince / Region NC Country USA I 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:* 35.331964 ex:34208504 3. SurFace Waters Longitude:* -77.601732 -77.796371 3a. Name of the nearest body of water to proposed project:* Stonyton Creek 3b. Water Resources Classification of nearest receiving water:* C; Sw, NSW Surface Water Lookup 3c. What river basin(s) is your project located in?* Neuse 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:* SR 1581 is a paved secondary road at the Global Transpark. 4b. Attach an 8 1/2 X 17 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 KinstonTopoQuad.pdf 247.47KB 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 LenoirCoSoilsSht10.pdf 306.86KB Fle type rrust be pdf 4d. List the total estimated acreage of all existing wetlands on the property: � N/A 4e. List the total estimated linear feet of all existing streams on the property: (interrrittent and perennial) � wa 4f. Explain the purpose of the proposed project: This facility will allow chemicals, wood products, etc., to be loaded onto the railroad. 4g. Describe the overall project in detail, including the type of equipment to be used: Need to install 2 driveways with rock/gravel driving surface as shown on the attached. The two driveways will provide ingress and egress for a transload facility used by the rail division. 4h. Please upload project drawings for the proposed project. Gick the upload button or drag and drop files here to attach docurrent GTP-Rail Temp Access_MOST_psh_rev.pdf 1.77M6 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 f" Unknown Comments: 5b. If the Corps made a jurisdictional determination, what type of determination was made? * C' Preliminary C' Approved C•' Unknown C' fWA Corps AID Number: 6carrple: SAVw2017-99999 5c. If 5a is yes, who delineated the jurisdictional areas? Name (if known): Agency/Consultant Company: Othe r: Unknown 5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. Unknown 5d1. Jurisdictional determination upload C7ick 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?* r Yes r No r Unknown 6b. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000). Unknown Project History Upload aick the upload button or drag and drop files here to attach docurrent Fle type rrust be FDF 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. No D. Proposed I m pacts I nventory 1. Impacts Summary 1a. Where are the impacts associated with your project? (check all that apply): rJ Wetlands r Streams-tributaries r Buffers r 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 2b. Impact type * 2c. Type of wetland * 2d. Wetland name * 2e. 2f. 2g. Impact impact� Forested* Jurisdiction area* type * 1 P Unknown Unknown No Both 0.040 N�p label (e.g. Finad Qossing 1) F�rrraner� (P� or Terrporary (404, 10) or D�NR (acres) (� (401, other) 2g. Total Temporary Wetland Impact 0.000 2g. Total Permanent Wetland Impact 0.040 2g. Total Wetland Impact 0.040 2h. Comments: 50' x 36' was used for impact area. 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. 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:* Rock/gravel used instead of asphalt. 1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:* Use of existing roadway to operate construction equipment. 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: Not required by USACE 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: i f�UA 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 �' No If no, explain why: � �llA 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?* �' 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 �' No Comments:* wa 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 �' 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 I nearby downstream water quality?* C' Yes �' No 3b. If you answered "no," provide a short narrative description. I Project is not anticipated to affect downstream water quality. 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. f�UA 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 C•' No 5b. Have you checked with the USFWS concerning Endangered Species Act impacts?* C' Yes �' No 5d. Is another Federal agency involved?* C' Yes C•' No 5e. Is this a DOT project located within Division's 1-8?* C' Yes C' No C' Unknown 5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?* Aerial imagery and onsite field visit. 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?* Aerial imagery and onsite field visit. 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 historyand archaeology)?* C' Yes �' No 7b. What data sources did you use to determine whether your site would impact historic or archeological resources?* HPOWEB 7c. Historic or Prehistoric Information Upload Gick the upload button w drag and drop files here to attach docurrent Fle rrust be FDF 8. Flood Zone Designation (Corps Requirement) Link to the FEMAFIoodplain Maps: https://msc.fema.gov/portal/search 8a. Will this project occur in a FEMA-designated 100-year floodplain?* C' Yes C•' No 8b. If yes, explain how project meets FEMA requirements: 8c. What source(s) did you use to make the floodplain determination?* I FEMA FIRM Maps Miscellaneous attachments not previously requested. Gick the upload button or drag and drop files here to attach docurrent Fle rrust be FDF Signature * fJ 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. I Full Name:* Jay B Johnson Signature ,�a� � ,����so� i Date: current_date Initial Review Is this project a public transportation project? *(') �' Yes C' No Change only if needed. Has this project met the requirements for acceptance in to the review process?* C� Yes C' No i BIMS#Assigned* 20171517 Version#* Reviewing Office * Washington Regional Office - (252) 946-6481 Select Project Reviewer* Garcy Ward:eads\gpward