20180797 Ver 1_401 Application_20180608

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/8/2018 10:11:10 AM (Start Event)
Accept by Montalvo, Sheri A 6/12/2018 11:44:42 AM (Non DOT Initial Review)
The task was assigned to Montalvo, Sheri A. The due date is: June 13, 2018 5:00 PM
6/8/2018 10:12 AM

DWR
Dfutston of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
January 31, 2018 Ver 2.3
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 answered.
Also, if at any point you wish to print a copy of the E -PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs. deq. nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30. pdf
A. Processing Information
County (or Counties) where the project is located:*
Wilson
Is this project a public transportation project?*
r Yes G No
This is any publicly funded by rrunicipal,state or federal funds road, rail, airport transportation project.
1a. Type(s) of approval sought from the Corps:*
PF 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?*
r% Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
This form may be Corps to initiate the standard/individual permit process. Please contact your Corps representative for submittal of standard permits.
All required items that are not provided in the E -PCN and be added to the miscellaneous upload located at the bottom of this form.
Nationwide Permit (NWP) Number: 39 - Commercial/Institutional Developments
NWP Number Other:
List all WV nun-bers you are applying for not on the drop dow n list.
1c. Type(s) of approval sought from the DWR:*
check all that apply
401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
r Non -404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual Permit
*
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:
G Yes r No
O Yes a No
1e. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
V so, attach the acceptance letter from mitigation bank or in -lieu fee program
r Yes r No
1f. Is the project located in anyof NC's twenty coastal counties?*
r Yes r No
1h. Is the project located in a designated trout watershed?*
r Yes r No
Link to trout information: http://wuwv.saw.usace.army.miI/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Anthony Barrett
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
(XXX)XXX-XXXX
1d. Who is applying for the permit?
r- Owner r- Applicant (other than owner) V Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
Fresenius Kabi USA, LLC
2b. Deed book and page no.:
DB: 2650 PG: 744
2c. Responsible party:
(for Corporations)
Anthony Barrett, Manager, Project Engineering
2d. Address
Street Address
5200 Corporate Parkway
Address Line 2
City
Wilson
Postal / Zip Code
27893
2e. Telephone Number:
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
State / Province / Pegion
North Carolina
Country
United States

Anthony. [e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Walter Cole
4b. Business Name:
(if applicable)
S&ME
4c. Address
Street Address
3201 Spring Forest Road
Address Line 2
aty
Raleigh
Rbstal / Zip Code
27616
4d. Telephone Number:
[phone]
(xxx)xxx-xxxx
Fax Number:
(xxx)xxx-xxxx
Email Address:*
[e-mail]
State / Fravince / Plegion
North Carolina
Country
United States
Agent Authorization Letter*
Rease provide the Agent Authorization Letter if you are subnitting this docurrent.
Agent Authorization. pdf 88.31<13
FlLETYPE MIST BE RDF
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Fresenius Kabi Plant Expansion
1b. Subdivision name:
(if appropriate)
WA
1c. Nearest municipality/ town:*
Wilson
1d. Driving directions*
r it is a new project and can not easily be found in a GPS rrapping system Rease provide directions.
Us Hwy 64 to US Hwy 264 toward Wilson - Greenville. Take US Hwy 264A exit toward Wilson. Take a right on Lamm Road, cross under
Interstate 95, take a left on Corporate Parkway and site will be on the left.
2. Project Identification
2a. Property Identification Number:

(tax PN or parcel ID)
2792-67-0415.000
2b. Property size:
(in acres)
59.39
2c. Project Address
Street Address
5200 Corporate Parkway
Address Line 2
City
Wilson
Rbstal / Zip Code
27893
2d. Site coordinates in decimal degrees
State / Province / Region
North Carolina
Country
United States
Please collect site coordinates in decimal degrees. Use betvveen 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:*
35.74476 -78.00256
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Shepard Branch
3b. Water Resources Classification of nearest receiving water:*
WS4V; NSW
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 vicinityof the project at the time of this application:*
The site consists of an existing biopharmaceutical plant, associated driveways, parking, etc. and undeveloped
wooded areas.
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)
Click the upload button or drag and drop files here to attach docurent
USGS.pdf 722.01 KB
File type rust 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)
pick the upload button or drag and drop files here to attach document
SOIL.pdf 1.29MB
File type rrust be pdf

4d. List the total estimated acreage of all existing wetlands on the property:
0.01
4e. List the total estimated linear feet of all existing streams on the property:
(intermttent and perennial)
0
4f. Explain the purpose of the proposed project:*
The purpose of the proposed project is to allow for the expansion of the existing biopharmaceutical plant in order
to meet product demand.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
The project involves the expansion of the biopharmaceutical production plant component (U.S. Standard Solutions
PU Wilson) of Fresenius Kabi. The expansion will consist of additional production facilites, driveway and parking
areas as well as a perimeter earthern berm that will contain asecurity fencing. Construction will be performed by
standard commercial construction equipment. No specialized equipment not regularly seen on commercial projects
is anticipated.
4h. Please upload project drawings for the proposed project.
pick the upload button or drag and drop files here to attach docurrent
6318A -WETLAND IMPACT MAP W-1 05-29-18.pdf 308.5KB
6318A -WETLAND IMPACT MAP W-2 05-29-18.pdf 64.9KB
File type rrust be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Unknown r WA
Corps AID Number:
Exarrple: SAM2017-99999
SAW -2017-02310
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Walter Cole, LSS
S&M E
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
S&ME conducted a site meeting with USACE Regulatory Project Manager, Ms. Samantha Dailey on 11/1/17 to verify the jurisdictional field
delineation. A Jurisdictional Determination was not issued however due to the fact that impacts were anticipated. The USACE will issue the
JD and NWP concurrently.
5d1. Jurisdictional determination upload
pick the upload button or drag and drop files here to attach docurrent
USACE Email.pdf 92.8KB
File 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
7. Future Project Plans
7a. Is this a phased project?*
r Yes r 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 Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r- Wetlands ❑ Streams -tributaries r- Buffers
W Open Waters ❑ Pond Construction
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 type *
4c. Name of waterbody*
4d. Activity type * 4e. Waterbody type *4f. Impact
impact *
area
Impact A
P
N/A
Culverts Ditch 0.01
lvbp label (e.g. Fbad Crossing 1)
F2rrranent (F) or
(if applicable)
(acres)
Terrporary (T)
Impact B
P
N/A
Fill Ditch 0.01
Nip label (e.g. Road Crossing 1)
Permanent (P) or
(if applicable)
(acres)
Terrporary (T)
4g. Total temporary open water Impacts:
0.00
4g. Total permanent open water impacts:
0.02
4g. Total open water impacts:
0.02
4h. Comments:
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 expansion was designed to limit the impact to Tributary B to a single road crossing and there is minimal impact
to Tributary A as a result of the proposed berm that will be constructed around the perimeter of the site and
associated security fencing.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Appropriate sediment and erosion control practices equaling those outlined in the most recent version of the
"North Carolina Sediment and Erosion Control Planning and Design Manual" will be used to minimize impacts to
other jurisdictional areas not proposed for impacts.

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?
r Yes F No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The proposed impacts of 0.02 acres of open water is below the mitigation threshold.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
......... ......... ......... ........... ...... ..... ...... .......... ...... ..... ...... ..... ..... .......
*** Recent changes to the stormwater rules have required updates to this section .***
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection
Rules?
r Yes r No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
There are no buffered features within the project area.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?*
r Yes
r No
To look up low density requirement click here 15A NCAC 02H .1003(2).
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -
approved local government stormwater program?*
t: Yes
r No
Fint: projects that have vested rights, exemptions, or grandfathering from state or locally irrplerrented stormwater prograrrs or projects that satisfy state or locally-inlAemented storrrwater programs
through use of comrunity in -lieu programs should answer no to this question.
2d. Which of the following stormwater management program(s) apply (check all that apply):*
V Local Government
F State
Local Government Stormwater Programs*
r- Phase II
PF NSW
F USMP
F Water Supply
Please identifywhich local government stormwater program you are using.*
City of Wilson - Neuse Rlver Basin Stormwater Requirements
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?*
f Yes r No
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)? *
r Yes r No
2b. Is this an after -the -fact permit application?*
r Yes r No
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?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
The are no additional plant expansion activities anticipated at this time.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
r Yes r Nor N/A
4b. 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.
Municipal (City of Wilson) sewer system.The wastewater treatment permitted capacity is 14 million gallons per day
for City of Wilson.
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?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?*
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEBSLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
5i. 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.?

r Yes F No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
An official species list for any species which is listed or proposed to be listed which may be present in the area of
the proposed action was requested from the USFWS via their Information for Planning and Consultation (IPaC)
system. This species list did not identify any protected species which might be present within the area of the
proposed action. A search of the NC Natural Heritage Program (NCNHP) elemental occurrence database did not
identify any state or federally protected species within one mile of the project area. See attached IPaC Report.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
The USFWS website www.fws.gov/Raleigh including IPaC, NC Natural Heritage Program's online database, and the
Essential Fish Habitat Mapper on the NOAA Habitat Conservation website.
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)? *
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Review of the historic properties on the North Carolina State Historic Preservation Office Geographic Information
Systems (GIS) Virtual Workroom (http://gis.ncdcr.gov/hpoweb/) did not reveal any historic properties within the
project area or its immediate vicinity.
7c. Historic or Prehistoric Information Upload
Click the upload button or drag and drop files here to attach docurrent
NCNHP Report.pdf 667.47KB
File rrust be PDF
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?*
r Yes t: No
8c. What source(s) did you use to make the floodplain determination?*
FEMA map number 3720279200K, effective 4/16/2013 and the project engineer.
Miscellaneous
Miscellaneous attachments not previously requested.
dick the upload button or drag and drop files here to attach docurrent
FK Site PJD Request.pdf 8.27MB
GIS Ownership Report.pdf 171.95KB
IPaC Report.pdf 208.16KB
File rrust be FDF or KNE
Signature

W 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 Act');
■ I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions Act');
■ 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:*
Willard Walter Cole III
Signature
flail 1VO ", Golgi ///
Date Submitted:
6/8/2018
Initial Review
Is this project a public transportation project? * (?
O Yes F No
Change only ff needed.
Has this project met the requirements for acceptance in to the review process?*
C Yes
C No
BIMS # Assigned *
20180797
Version#*
Reviewing Office *
Central Office - [phone]
Select Project Reviewer*
Paul Wojoski:EADS\pawojoski
Is a payment required for this project?*
r No payment required
f Fee received
r Fee needed - send electronic notification