HomeMy WebLinkAbout20041684 Ver 2_Complete File_20050228\o?OF W AT Fy
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Mr. Benton G. Payne, P.E.
NCDOT Division 10
716 West Main Street
Albemarle, NC 28001
Michael F. Easley, Governor
William G. Ross Jr„ Secretary
North Carolina Department of Envimnmcni and Natural Resources
Alen W. Klimek. P.E. Director
Division of Water Quality
MAR 4 2005
??D ?pStE?p?FBRA?H
February 28, 2005
DWQ# 04-1684
Union County
APPROVAUMODIFICATION of 401 Water Quality Certification with Additional Conditions
Dear Mr. Payne:
You have our approval, in accordance with the attached conditions and those listed below, to permanently
impact an additional 40 linear feet (If) of an unnamed tributary' to Crooked Creek to replace a failing
corrugated metal pipe with an arched corrugated metal pipe as described in your permit modification request
received by the Division of Water Quality (DWQ) on February 18, 2005. This modification is being issued in
addition to the original water quality certification dated November 10, 2004 and does not supersede the original
certification. The location of the project is NC 218 in Union County. After reviewing your application, we have
determined that this project is covered by Water Quality General Certification Number 3404. Please note that
you should get any other federal, state or local permits before proceeding with your project, including those
required by (but not limited to) Sediment and Erosion Control, Non-Discharge, and Water Supply Watershed
regulations.
This approval is valid solely for the purpose and design that you described in your application (unless modified
below). Should your project change, you must notify the DWQ in writing and you may be required to submit a
new application. If the property is sold, the new owner must be given a copy of this Certification and approval
letter and is thereby responsible for complying with all conditions. If total wetland fills for this project (now or in
the future) exceed one acre, or if total impacts to streams (now or in the future) exceed 150 linear feet,
compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h)(6) and (7). For this approval
to remain valid, you must adhere to the conditions listed in the attached certification and those listed below:
1. Placement of culverts and other structures in waters, streams and wetlands must be below the elevation of
the streambed by one (1) foot for all culverts with a diameter greater than 48 inches, and 20 percent of the
culvert diameter for culverts having a diameter less than 48 inches, to allow for low flow passage of water and
aquatic life, as well as prevent headcutting of the streams. Design and placement of culverts and other
structures including temporary erosion control measures shall be installed in such a manner that the original
stream profiles are not altered (i.e., the depth of the channel must not be reduced by a widening of the
streambed). Existing stream dimensions (including pattern and profile) are to be maintained above and
below locations of each culvert. The applicant may be required to provide evidence that the equilibrium has
been maintained, if requested in writing by the DWQ. ,
2. Riprap must not interfere with thalweg performance and aquatic life passage during low flow conditions.
'No stream determination performed.
North Carolina Division of Water Quality 610 East Center Avenue, Suite 301
Internet h2o.ennstale.nc.us Mooresville, NC 28115
Phone (704) 663-1699
Fax (704) 663-6040
N) ?thCarolina
VWul"ally
An Equal Opportunity/Afrumative Action Employer- 50% Recyded110% Post Consumer Paper
Page 2
3. Erosion and sediment control practices must utilize Best Management Practices (BMP) and be in full
compliance with all specifications governing the proper design, installation, and operation and maintenance of
such BMP in order to protect surface water standards:
a. The design, installation, operation, and maintenance of the sediment and erosion control measures
must be such that they equal, or exceed, the requirements specified in the most recent version of
the North Carolina Sediment and Erosion Control Manual. The devices shall be maintained on all
construction sites, borrow pit sites, and waste pile (spoil) projects, including contractor-owned or
leased borrow pits associated with the project.
b. For borrow pit sites, the erosion and sediment control measures must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina Surface
Mining Manual.
c. The reclamation measures and implementation of these measures must be in accordance with the
requirements of the Sedimentation Pollution Control Act.
4. Heavy.equipment must be operated from the banks rather than in the stream channel, when possible, in
order to minimize sedimentation and reduce the likelihood of introducing other pollutants into the stream.
5. Temporary dewatering sites must be restored to pre-existing conditions unless more natural geomorphic
conditions can be provided.
6. No live or fresh concrete shall come into contact with waters of the state until the concrete has hardened.
7. The dimension, pattern and profile of the stream above and below the crossing should not be modified.
Disturbed floodplains and streams should be restored to natural geomorphic conditions.
8. All mechanized equipment operated near surface waters must be regularly inspected and maintained to
. prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic materials.
9. All work shall be performed during low or normal flow conditions.
10. Discharging hydroseed mixtures and washing out hydroseeders and other equipment in or adjacent to
surface waters is prohibited.
11. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control devices in wetlands and waters is unavoidable,
they shall be removed and the natural grade restored within 30 days after the Division of Land Resources has
released the project.
12. The North Carolina Department of Transportation (NCDOT) and its contractors and/or agents shall not
excavate, fill or perform mechanized land clearing at any time in the construction or maintenance of this
project within waters and/or wetlands, except as authorized by this Certification, or any modification to this
Certification (e.g., no work shall occur outside of the footprint of the plans provided). In addition, there shall
be no excavation from or waste disposal into jurisdictional wetlands or waters associated with this
Certification without appropriate modification. If this occurs, compensatory mitigation may be required since it
is a direct impact from road construction activities.
13. Upon completion of the project, the applicant shall complete and return the enclosed "Certificate of
Completion" form to notify DWQ when all work included in the 401 Certification has been completed. Please
include photographs upstream and downstream of the structure to document correct installation.
Page 3
is
y
14, Continuing Compliance. NCDOT shall conduct its activities in a manner consistent with state water quality
standards [including any requirements for compliance with section 303(d) of the Clean Water Act] and any
other appropriate requirements of state and federal law. If DWQ determines that such standards or laws are
not being met (including the failure to sustain a designated or achieved use) or that state or federal law is
being violated, or that further conditions are necessary to assure compliance, DWQ may reevaluate and
modify this certification to include conditions appropriate to assure compliance with such standards and
requirements in accordance with 15 A NCAC 2H.0507(d). Before codifying the certification, DWQ shall notify
NCDOT and the USACE, provide public notice in accordance with 15A NCAC 21-1.0503, and provide
opportunity for public hearing in accordance with 15A NCAC 2H.0504. Any new or revised conditions shall
be provided to NCDOT in writing, shall be provided to the USACE for reference in any permit issued pursuant
to Section 404 of the Clean Water Act, and shall also become conditions of the 404 Permit for the project.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must
act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition that
conforms to Chapter 1508 of the North Carolina General Statutes to the Office of Administrative Hearings, 6714
Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless
you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If
you have any questions, please telephone Polly Lespinasse in the Mooresville Regional Office at 704-663-
1699.
Sincerely,
for Alan W. Klimek, P. E.
Attachments
cc: Steve Lund, USACE Asheville Field Office
Rob Ridings, DWQ Wetlands Unit
Central Files
File Copy
i
4
and surface waters will be applied during all phases of project construction in addition to
implementing erosion control design standards for sensitive watersheds within the Goose
Creek watershed.
Representatives from the NCDOT have met with Dan Robinson, PE of Kimley-Hom and
Associates, Inc. to discuss adding stormwater treatment devices in the north and
southwest quadrants of the intersection of US 601 and NC 218, outside of the one
hundred foot buffer on the unnamed tributary to Goose Creek. Plans for these devices are
expected to be completed by May 2009.
Summary
The purpose of this letter is to request authorization to construct the proposed project
under a Section 404 Nationwide 14 permit. Application is also made to the North
Carolina Division of Water Quality (NCDWQ) for Section 401 Water Quality Certificate
(WQC) No. GC3704 that is required for this project.
If you have any questions or need any additional information concerning this project,
please feel free to contact Mr. Larry Thompson, Division Environmental Supervisor, at
(704) 982-0101.
Sincerely,
'26 't
Barry S. Moose, PE
Division Engineer
BSM/LBT
cc: Polly Lespinasse, NDWQ
Troy Wilson, USFWS
Marla Chambers, NCWRC
Randy Bowers, DDC
Area Field Operations Unit
File
1
0/20E V4Arf;5,
0 lii? -
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. Applicant Information
1. Processing
la. Type(s) of approval sought from the
Corps:
I
Section 404 Permit E] Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:
® 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 or in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below. ? Yes ® No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes N No
2. Project Information
2a. Name of project: NC 218
2b. County: Mecklenburg, Union and Anson Counties
2c. Nearest municipality / town: Mint Hill (closest to project beginning)
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: R-5514
3. Owner Information
3a. Name(s) on Recorded Deed:
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page 1 of 12
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ® Other, specify: Division Engineer
4b. Name: Barry S. Moose, PE
4c. Business name
(if applicable): NC Department of Transportation
4d. Street address: 716 W. Main Street
4e. City, state, zip: Albemarle, NC 28001
4f. Telephone no.: 704-982-0101
4g. Fax no.: 704-982-3146
4h. Email address: bsmoose@ncdot.gov
5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 12
PCN Form -Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
Latitude: 35.175215 Longitude: -
1b. Site coordinates (in decimal degrees): 80.627530
(DD.DDDDDD) (-DD.DDDDDD)
Project length is 30 miiles long. All work will take place
1c. Property size: within existing ROW which varies in width throughout the
project. Total ROW area, assuming that we have a 50-
foot ROW width, is 182 acres
2. Surface Waters
Various - Project crosses Duck, Goose, Crooked, Grassy,
2a. Name of nearest body of water (stream, river, etc.) to Richardson, Cribs and Lanes Creeks in addition to
proposed project: Ledbetter Branch (no impacts are planned at these
crossings).
21b. Water Quality Classification of nearest receiving water: C with the exception of Richardson Creek (WS IV) and
Lanes Creek (WS V).
2c. River basin: Yadkin
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:
NC 218 is an existing two lane North Carolina primary route that runs from Mint Hill (Mecklenburg County) to Polkton
(Anson County). The majority of the adjacent land uses are rural residential with mixed agricultural applications.
31b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
32 linear feet of permanent impacts to four different stream channels are proposed for this project ( Pipe 3A at Sta. 42+52
is an unnamed tributary to Duck Creek, Pipe 16 at Sta. 117+82 is an unnamed tributary to Richardson Creek, Pipe 16A at
Sta. 131+65 is an unnamed tributary to Richardson Creek and Pipe 18 at Sta. 483+33 is an unnamed tributary to Rocky
Branch).
3d. Explain the purpose of the proposed project:
The purpose of the project is to improve the safety and service level of the current roadway (pavement rehabilitation
project).
3e. Describe the overall project in detail, including the type of equipment to be used:
The existing paved road averages 22-feet in width. NCDOT proposes to rehabilitate the existing roadway by patching
and overlaying with new asphalt (no widening). There are plans to add turn lanes at the interesections of US 601 (turn
lanes on US 601) and NC 205 (turn lanes on NC 218). There are four jurisdictional crossings that will require pipe
extensions as part of this project. While these jurisdictional features are not designated critical habitat for the Carolina
heelsplitter, pipe 3A does carry an unnamed tributary to Duck Creek (Duck Creek is located approximately 1800 feet
downstream from this crossing in the Old Sycamore Golf Plantation. The unnamed tributary drains to a pond on the golf
course prior to its confluence with Duck Creek). The road improvements will be staged by installing erosion control
devices prior to beginning any road should stabilization activities (designed standards for sensitive watersheds within the
Goose Creek watershed). Typical road construction equipment will be used: Trackhoe, dump trucks, vibratory roller and
paving equipment.
Page 3 of 12
PCN Form - Version 1.3 December 10, 2008 Version
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / ®Yes ? No ? Unknown
project (including all prior phases) in the past?
Comments:
41b. If the Corps made the jurisdictional determination, what type ? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: NCDWQ
Name (if known): Polly Lespinasse Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
February 27, 2009
5. Project History
5a. Have permits or certifications been requested or obtained for ®Yes El No El Unknown
this project (including all prior phases) in the past?
51b. If yes, explain in detail according to "help file" instructions.
In 2004 the NCDOT requested permission from the NCDWQ to widen NC 218 from US 601 to NC 205. DWQ# 04-1684
was isssued on November 10, 2004 and modified for additional impacts on February 28, 2005. This project was pursued
under the NC Moving Ahead Program but was not built due to lack of funding.
6. Future Project Plans
6a. Is this a phased project? ® Yes ? No
6b. If yes, explain.
This project will be constructed in three separate sections (Section A, B and C). Section A will run from Mecklenburg
County to NC 205 in Union County. Section B will run from NC 205 to US 601 and Section C will run from US 601 to US
74 in Polkton (Anson County).
Page 4 of 12
PCN Form -Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory 1a. Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
Page 5 of 12
PCN Form - Version 1.3 December 10, 2008 Version
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 jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Tem ora T
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 0
2h. Comments:
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 Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent(P)or intermittent DWQ-non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
Extend 30-inch
RCP by 12-feet UT to Duck Creek
? PER
M Corps
S1 M P ? T
Pipe 3A -80.606603
M INT
M DWQ 24-inches 22
Sta. 42+52 6
Extend 24-inch UT to Richardson
S2 M P ? T RCP by 4-feet Creek ? PER M Corps 18-inches 4
Pipe 16 -80.337426 M INT M DWQ
Sta. 117+82 35.111961
Replace (2) 48-
inch x 48-foot long
pipe with (1) 87- UT to Richardson
S3 M P ? T inch x 63-inch x Creek M PER M Corps 36-inches 12
60-foot long -80.335234 ? INT M DWQ
CMPA 35.108628
Pipe 16A
Sta. 131+65
Extend 30-inch UT to Rocky
S4 M P ? T RCP by 4-feet Branch ? PER M Corps 24-inches 4
Pipe 18 -80.260009 M INT M DWQ
Sta. 483+33 35.041107
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 42
Page 6 of 12
PCN Form - Version 1.3 December 10, 2008 Version
3i. Comments:
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.
Open water
impact number -
Permanent (P) or
Temporary T 4b.
Name of waterbody
(if applicable) 4c.
Type of impact 4d.
Waterbody type 4e.
Area of impact (acres)
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts 0
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a.
Pond ID 5b.
Proposed use or purpose 5c.
Wetland Impacts (acres) 5d.
Stream Impacts (feet) 5e.
Upland
(acres)
number of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
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:
Page 7 of 12
PCN Form - Version 1.3 December 10, 2008 Version
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 impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ?Tor-Pamlico ®Other: Goose Creek
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary T impact required?
grassy
swale
needed
B1 ®P ? T to UT to Goose Creek s 55-feet
remove Sta. 296+25 ® No
water
from
roadway
B2 ?P?T ?Yes
? No
63 ?P?T ?Yes
? No
6h. Total buffer impacts 0 0
6i. Comments: Buffer impact is for a grass swale within the 100-foot buffer for an unnamed tributary to Goose Creek. The
grass swale will terminate just before an existing driveway pipe approximately 45-feet upslope of the unnamed tributary. All
newly disturbed ground will be seeded and matted immediately upon completion due to its proximity to a jurisdictional stream
crossing. Existing conveyance from the driveway pipe to the tributary (approximately 45-feet) will remain undisturbed.
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 proposed impacts for this project have been limited to just those necessary in order to establish a safe and stable
shoulder for vehicle recovery. Pipe 16A (Sta. 131+65) is failing and should be replaced in a controlled environment versus an
emergency repair. Measures will be taken to prevent any additional impacts to the streams by identifying the crossing as an
"Environmentally Sensitive Area" on the construction plan sheets and delineating the stream with orange barrier fencing.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
As previously mentioned, the stream will be delineated with orange barrier fencing on both sides of the stream bank prior to
any construction taking place. Pipe extensions will be completed prior to beginnng pavement patching and overlay and will
require a preconstruction conference with the contractor, resident engineer and division environmental staff. Details of the
project will be discussed along with construction methods and BMP's to reduce the likelihood of any additional impacts from
occurring. Erosion control design standards for sensitive watersheds will be implemented within the Goose Creek watershed.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ? Yes ® 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
El Payment to in-lieu fee program
project?
? Permittee Responsible Mitigation
Page 8 of 12
PCN Form - Version 1.3 December 10, 2008 Version
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: 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.
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
buffer mitigation? ? Yes ®No
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.
Zo
ne 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
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).
6h. Comments:
Page 9 of 12
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a . Does the project include or is it adjacent to protected riparian buffers identified N Yes ? No
within one of the NC Riparian Buffer Protection Rules?
1 b . If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Existing drainage will remain the same with the exception of the grass ? Yes N No
swale addition located at Sta. 296+25. There is existing conveyance at this location
and the grass swale will end 45-feet upslope of the jurisdictional stream.
2. Stormwater Management Plan
Increase in impervious area due to
turn lane additions
2a . What is the overall percent imperviousness of this project? (calculations based upon new
pavement area and fill area
divided by existing pavement
area) = 19 %
2b . Does this project require a Stormwater Management Plan? ? Yes N No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Project meets all three criteria specified
in Section E2b. 1) of the Pre-Construction Notification Form Instructions. When consi dering just the intersection
improvements at US 601 and NC 205, the project has less than a 24% increase in impervious area.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e . Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? N/A
N Phase II
? NSW
3b . Which of the following locally-implemented stormwater management programs ? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ® No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
? HOW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): ? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? No
5. DWQ 401 Unit Stormwater Review
Page 10 of 12
PCN Form - Version 1.3 December 10, 2008 Version
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
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/state/local) funds or the ® 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 ? Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. 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
? Yes ? No
letter.)
Comments:
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 ® No
or Riparian Buffer Rules (15A NCAC 2B.0200)?
2b. Is this an after-the-fact permit application? ? 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 (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ® 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.
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.
N/A
Page 11 of 12
PCN Form -Version 1.3 December 10. 2008 Version
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ® Yes ? No
habitat?
51b. Have you checked with the USFWS concerning Endangered Species Act ® Yes ? No
impacts?
? Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
® A
h
ill
ev
e
s
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Federal Register 50 CFR Part 17, RIN 1018-AH 31, Natural Heritage Program GIS database and field review for suitable
habitat. Project occurs near designated critical habitat for the Carolina heelsplitter.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ®No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
South Atlantic Fishery Management Counci
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
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 ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b . What data sources did you use to determine whether your site would impact historic or archeological resources?
NCDOT GIS database/NCDOT Historic Architecture Group and National Register of Historic Places
8. Flood Zone Designation (Corps Requirement)
8a . Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ? No
8b . If yes, explain how project meets FEMA requirements: Some of the roadway crossings occur in a FEMA-designated 100-
year floodplain but crossings will not be modified and are exempt.
8c . What source(s) did you use to make the floodplain determination? NCDOT GIS FEMA Data
Barry S. Moose, PE March 23, 2009
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 12 of 12
PCN Form - Version 1.3 December 10, 2008 Version
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