20140568 Ver 1_401 Application_20140604

Ridings, Rob
From: Glisson, Michael H NFG NG NCARNG (US) [[e-mail]]
Sent: Wednesday, June 04, 2014 11:40 AM
To: Ridings, Rob
Subject: FW: DENR Invoice (UNCLASSIFIED)
2 0 i 4 0 5 6 8
Classification: UNCLASSIFIED
Caveats: NONE
Rob,
This is the response I got to my inquiry about the check. I know you and I should not have to
mess with the money part of this.
-----Original Message-----
From: Currie, Belinda M CTR NG NCARNG (US)
Sent: Wednesday, ]une 04, 2014 11:29 AM
To: Glisson, Michael H NFG NG NCARNG (US)
Subject: RE: DENR Invoice (UNCLASSIFIED)
Classification: UNCLASSIFIED
Caveats: NONE
Mike,
The check is cut electro�ically (state to state agency).
They can call Mr. Steve Mitchell � DPS. His number is 919-716-3375. They will have to give
ck#69528 $240.00- cut on 4/23/14.
Mr. Mitchell does not understand why they can't find it because we do this all the time for
NCDENR.
-----Original Message-----
From: Glisson, Michael H NFG NG NCARNG (US)
Sent: Wednesday, )une 04, 2014 11:21 AM
To: Currie, Belinda M CTR NG NCARNG (US)
Subject: DENR Invoice (UNCLASSIFIED)
Classification: UNCLASSIFIED
Caveats: NONE
Belinda,
Is it possible to find out if this check was mailed to the people on the invoice? They can't
find it. Could we get a copy of the cancelled check?
Thanks.
Michael Glisson
Natural/Cultural Resources Manager
North Carolina National Guard
JFHQ FMO-DEM
1636 Gold Star Drive
1

Raleigh, NC 27607
919 664 6268
Classification: UNCLASSIFIED
Caveats: NONE
� ' .
Classification: UNCLASSIFIED
Caveats: NONE
Classification: UNCLASSIFIED
Caveats: NONE

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�`r � �4Cry Corpa ection ID no.
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Fortn Version 1.4 January 2009
Pre-Construction Notiflcatlon (PCN) Form
A. Applicant Informatlon
1. P►oceasing
1a.. Type(s) oi approval sought ftom the Corps: � Section 404 Permit ❑ Section 70 Permit
1 b. Specify Nationwide Permit (MNP) number: 3 or General PermN (GP) number: 3883
1c. Has the NWP or GP number been verified by the Corys7 � Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check aq that apply):
❑ 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express � Riparian Buffer Authorizatlon
1e. Is this nol'�ficatian soley for the record For the record only for DWQ For the record only for Corps Pertnit:
because written approval is not required? 401 CeAification:
❑ Yes ❑ No � Yes ❑ No
1f. Is peyment Into a mitiga8on bank or In-Iieu fee program proposed for
mttigatlon of Impacts? If so, attach the acceptence letler from mftigaUon bank ❑ Yes � No
ar In-Ileu fee program.
1g. Is the project located in any of NC's lwenty coaslal coundes. If yes, answer 1h � Yes � No
below.
1 h. Is the proJect located within a NC DCM Area of Environmental Concem (AEC)? ❑ Yes � No
2. ProJect Informadon
2a. Name of project: Camp Butner roed improvement
2b. County: Granville
2c. Nearest municipality / town: Butner
2d. Subdivision name: NA
2e. NCDOT only, T.I.P. or state proJect na:
3. Owner Infortna8on
3a. Name(s) on Recorded Deed: NC National Guard
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applMable):
3d. Street address: 539 Roberts Chapel Road
3e. Ciry, stete, zip: Stem, NC
3f. 7elephone no.: 919 664 6268
3g. Fax no.:
3h. Email addreas: michael.h.glissonQnfg.mail.mil
Page 1 of 10
PCN Fortn — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent ❑ Other, specify:
4b. Name: �
4c. Business name
(if applicable):
4d. Street address: .
4e. City, state, zip: ,
4f. Telephone no.: •
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicableJ •
5a. Name: �
5b. Business name
(if applicable):
5c. Streef address: �
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1b. Site coordinates (in decimal degrees): Latitude: 36.19176 Longitude: 78•77793
1c. Property size: 4,800 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Holt Lake
2b. Water Quality Classification of nearest receiving wafer: HCW (CA)
2c. River basin: Neuse
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: • ,
Forested Milftary Training Area
3b. List the total esiimated acreage of all existing wetlands on the property: 160
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 221,760
3d. Explain the purpose of the proposed project:
Improvements to existing forest road
3e. Describe the overall project in. detail, including the type of equipment to be used:
Grading of approximately 900 meters of existing unimproved forest road. Two new 24 inch culverts will be insta(led to correct eros(on problems, the ro�
. C�
4. Jurisdictional Determinations
4a. Have jurisdictional wefland or stream determinations by the 0 Yes ❑ No ❑ Unknown
Corps or State been requested or obtained for this property /
ro'ect includin all rior hases in the ast? Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ❑ Preliminary [�X Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: usAcoE
Name (if known): Eric aismeyer Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
11 Feb 2014 (see attached)
5. Project History
5a. Have permits or certifications been requested or obtained for � Yes OX No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes �X No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1.' Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
OX Wetlands ❑X Streams — tributaries �X Buffers ❑ Open Waters ❑ Pond Construction
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 impact Type of wetland Forested Type of jurisdiction Area of
number Corps (404,10) or impact
Permanent (P) or DWQ (401, other) (acres)
Tem ora
W� P Culvert Bottomland Hardwood Forest Yes Corps 0.1
�/�/2 - Choose one Choose one Yes/No -
W3 - Choose one • Choose one Yes/No -
W,� - Choose one Choase one • Yes/No -
1/�/b - Chaose one Choose one Yes/No -
N/g - Choose one Choose one Yes/No -
2g. Total Wetland Impacts: 0.1
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. 39•
Stream impact Type of impact Stream name Perennial (PER) or Type of Average Impact
number intermittent (INT)? jurisdiction stream length
Permanent (P) or width (linear
Temporary (T) (feet) feet)
ST P � Culvert Un-named PER Corps 3 30
S2 P Culvert Un-named INT Corps 2 30
S3 - Choose one � - -
S4 - Choose one - -
S5 - Choose one - -
S6 - Chaose one - -
3h. Total stream and tributary impacts so
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

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 individuall list all o en water im acts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number (if applicable) Type of impact Waterbody Area of impact (acres)
Permanent (P) or • type
Tem ora
p� - Choose one Choose
O2 - ' Choose one Chaose
03 - Choose one Choose
04 - Choose one _ Choose
4f. Total open water impacts
4g. Comments:
5. Pond or,Lake Construction �
If ond or lake construction ro osed, then com lete the chart below.
5a. 5b. 5c. 5d. 5e.
Pond ID number Proposed use or Wetland Impacts (acres) Stream Impacts (feet) Upland
purpose of pond (acres)
Flooded Filled Excavated Flooded Filled Excavated
P1 Choose one
P2 Choose one
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: �
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 im acts re uire miti ation, then ou MUST fill out Section D of this form.
6a. Project is in which protecied basin? ❑ Neuse [] Tar-Pamlico [] Catawba � Randleman ❑ Other:
6b. 6c. 6d. 6e. 6f. 6g.
Buffer Impact Reason for impact Stream name Buffer Zone 1 Zone 2
number — mitigation impact impact
Permanent (P) or required? (square (square
Tem ora feet feet
g� T Bankstabilization Un-named No 50 0 �
g2 T Bank stabilization Un-named No 50 0
B3 _ Yes/No
B4 _ Yes/No
B5 - ' Yes/No
gs _ Yes/No
' 6h. Total Buffer Impacts: 100
6i. Comments:
Page 5 of 10

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 existing road bed was huilt by the US Army during WvV2. The National Guard is reducing environmental impact by minimizing soil disiurbance.
Installation of gravel is expected to reduce current erosion and siltatfon Issues.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Silt fence will be erected at all stream crossings.
2. Com ensato Miti ation for Im acts to Waters of the U.S. or Waters of the State �
2a. Does the project require Compensatory Mitigation for ❑ Yes []X 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
project? ❑ Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: � '
Type: Choose one Quantity:
3b. Credits Purchased (attach receipt and letfer) Type: Choose one . Quantity:
Type: Choose one Quantity:
3c. Comments:
4. Com lete if Makin a Pa ment to In-lieu Fee Pro ram �
4a. Approval letter from in-lieu fee program is attached. ❑ Yes
4b. Stream mitigation requested; linear feet
4c. If using stream mitigation, stream temperature: Choose one
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 PermitEee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan. �
Page 6 of 10
PCN Form — Version 1.4 January 2009

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 � Yes �X No
buffer mitigation?
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.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier • Required mitigation
(square feei) (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 7 of 10

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 � Yes ❑ No
within one of the NC Ri arian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
This is a linear transportation improvement project to an existing roadway. It is not expected to have an
affect on diffuse flow. ❑ Yes []X NO
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? , p o�o
2b. Does this ro'ect re uire a Stormwater Mana ement Plan? �❑ Yes ❑x No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
This is a I(near transportation project. The Instaliation of gravel and culverts should improve stormwater runoff issues.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. CertiFed Local Government Stormwater Review �
3a. In which local overnmenYs 'urisdiction is this ro'ect?
• ❑ Phase II
36. Which of the following locally-implemented stormwater management programs ❑ NSW
appiy (check all that apply): [] USMP
� Water Supply Watershed
' � Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑Yes ❑ No
attached?
4. DWQ Stormwater Pro ram Review
�Coastal counties
❑HQW
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 5tormwater Management Plan with proof of approval been � Yes ❑ No
attached?
5. DWQ 407 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements7 ❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements.been met? ❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. 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 DYes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)7
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
letter.) Not required ❑ Yes QX No
Comments:
2. Violaiions (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 ❑X No
or Riparian Buffer Rules (15A NCAC 2B .0200)? �
2b. Is this an after-tfie-fact permit application? ❑Yes []X No
2c. If you answered "yes" to one or boih 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 �X 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.
NA �
Page9of10
PCN Form — Version 1.4 January 2009

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 ❑X No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act � Yes ❑ No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted. Raleigh
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habifat?
http://www.fws.gov/raleigh/species/cntylisUnc counties.htmi
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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 [jX 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?
NC State Histori� Preservatlon office
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? , ❑ Yes OX No
8b. If yes, explain how project meets FEMA requirements: �
8c. What source(s) did you use to make the floodplain determination?
USACOE site visit
Michael Glisson � � 05-13-2014
��,�� -i�°.������.
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(AgenPs signature is valid only lf an authorization
letter from the a licant is rovided.
Page10of10

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US Army Corps
of Engineers
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STREAM CROSSING NO. 1
To Holt Lake
� Intermittent Un-named stream
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Q
a
CAMP BUTNER TRAINING CENTER
539 Roberts Chapel Road
Granville County
Stem, NC

N F--
STREAM CROSSING NO. 2
�
To Holt Lake �
\_ Wetland only
\
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D
i
CAMP BUT(VER TRAINING CENTER
539 Roberts Chapel Road
Granville County
Stem, NC

STREAM CROSSING NO. 3
N
To Holt Lake �
�
rip rap� �
Jerry:Thomas Road
rip rap
18' X 24" HDPE Pipe
Gravel to be added
��
Intermittent un-named stream �
0
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,) CAMP BUTNER TRAINING CENTER
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539 Roberts Chapel Road
Granville County
Stem, NC