20181192 Ver 1_PCN Form Submission_20180828

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 8/28/2018 12:39:17 PM (Start Event)
Accept by Carpenter,Kristi 8/28/2018 3:15:17 PM (DOT Initial Review)
. The task was assigned to Carpenter,Kristi. The due date is: August 31, 2018 5:00 PM
8/28/2018 12:40 PM

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�ivislan af Water Resour�es
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 beloware required. You will not be able to submit the form until all mandatory questions are ans�red.
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:*
Wake
Is this project a public transportation project?*
C Yes l' No
lhis is any publicly funded by rrunicipal,state or federal funds road, rail, airport transportation project.
Is this a NCDOT Project?*
f• Yes r No
(NCDOT only) T.I.P. or state project number:
R-2721
WBS #
373673.1.TA2
(for �ICDOT use only)
1a. Type(s) of approval sought from the Corps:*
fJ 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?*
fJ 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: 12 - Utility Lines
NWP Number Other:
List all MNnurrbers you are applying for not on the drop down list.
1c. Type(s) of approval sought from the DWR:*

check all that apply
r% 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
r Non-404 Jurisdictional General Permit �rJ Riparian Buffer Authorization
r Individual Permit
*
1d. Is this notification solelyfor the record because written approval is not required?
For the record onlyfor DWR 401 Certification: f Yes C' No
For the record onlyfor Corps Permit: C' Yes f' 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 a- in-lieu fee program
C Yes l" No
Acceptance Letter Attachment
C7ick the upload button or drag and drop files here to attach docurrent
R-2721 B UTILITY DMS Letter.pdf 101.17KB
F1LE lYFE MJST BE FDF
1f. Is the project located in any of NC's twenty coastal counties?'�
f Yes �' No
1h. Is the project located in a designated trout watershed?*
f Yes r No
Link to trout information: http://wvwv.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact? *
NCDOT
1b. PrimaryContact Email:*
[e-mail]
1c. PrimaryContact Phone:�
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
fJ Owner r Applicant (other than owner) r Agent/Consultant
(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
Address Line 2
��
Fbstal / Zip Code
2e. Telephone Number:
State / Rovince / FZegion
Caurdry

(xxx)xxx-xxxx
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Southern Wake Freeway from West of NC55 to East of US401-Central
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:*
Raleigh
1d. Driving directions*
IF it is a new project and can not easily be found in a GPS rrapping system Rease provide directions.
Project is near intersection of Donny Brook Road and US 401 (Fayetteville Road) close to Wake Technical Community College in Raleigh.
2. Project Identification
2a. Propertyldentification Number:
(tax RN or parcel ID)
2b. Propertysize:
(in acres)
2c. Project Address
Street Address
Address Line 2
Qty
Fbstal / Zip Code
State / FYovince / F�gion
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.)
Latitude: *
35.6567
ex:34.208504
3. Surface Waters
Longitude:*
-78.7021
-77.796371
3a. Name of the nearest bodyof water to proposed project:*
UT Mills Branch
3b. Water Resources Classification of nearest receiving water:*
C: 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:*
Site conditions show both forested and clear cut areas. Land use is both residential and commercial.
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)
qick the upload button or drag and drop files here to attach docurrent
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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 docurrem
Fle type rrust be pdF
4d. List the total estimated acreage of all existing wetlands on the property:
1.17
4e. List the total estimated linear feet of all existing streams on the property:
(interrrittent and perennial)
890
4f. Explain the purpose of the proposed project:*
Installation of a gas pipeline
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
A 16" steel gas transmission line will be constructed within a PUE outside of NCDOT's right of way to avoid conflicts
with the proposed highway project. The line will be routed around the interchange of R-2721 and US 401 and tie
back in to the exsting pipeline east of this interchange. The pipeline will be installed by open trench construction.
The trench side walls will be sloped back at a 1.5 to 1 ratio for accessibility and safety of the workers in the trench.
The clearing and grubbing associated with the construction allows for regular scheduled patrolling and surveys by
vehicle or by air and prolongs the life of the protective coating on the pipeline and decreases the chance of a gas
release by reducing root damage and corrosion to the pipe. Standard construction equipment will be used.
4h. Please upload project drawings for the proposed project.
aick the upload button or drag and drop files here to attach docurrent
R-2721 Colonial Pipeline Plans 8-18.pdf 2.75MB
Fle type rrust be pdF
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
G' Yes r No C' Unknown
Comme nts:
Delineated for Colonial Pipeline
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
G' Preliminary C' Approved C' Unknown C' f�UA
Corps AID Number:
6carrple: SAV�2017-99999
SAW-2009-02240
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Shanna Cahill
Agency/Consultant Company: Corblu Ecology Group

Othe r:
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
June 11, 2018 and August 2, 2018
5d7. Jurisdictional determination upload
C7ick the upload button or drag and drop files here to attach docurrent
18-08-07_PJD_Colonial Pipeline_E�anded Area 5_Complete 540.pdf 120.4K6
Fle type rrust be F�F
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? *
C•' Yes C' No
7b. If yes, explain.
An Individual Permit application will be submitted for the proposed impacts associated with the remainder of entire
Complete 540 project.
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 activit�/? This includes other separate and distant crossing for linear projects that require Department of the
Army authorization but don't require pre-construction notification.
Yes. An Individual Permit application will be submitted for the proposed
impacts associated with the remainder of entire Complete 540 project.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
�J Wetlands r% Streams-tributaries �7 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 impact* 2b. Impact type * 2c. Type of wetland *
1a- Mechanized Clearing
N�p label (e.g. fZ�ad C7ossing 1- CUlvert,
dewatering, etc)
1b- Mechanized Clearing
fv�p label (e.g. Fd�ad Qossing 1- Qilvert,
dewatering, etc)
2- Excavation
fv�p label (e.g. F3�ad Qossing 1- Qalvert,
dewatering, etc)
2- Mechanized Clearing
N�p label (e.g. F3�ad Qossing 1- Qalvert,
dewatering, etc)
P
F2rrranent (� or
Terrporary (�
P
F2rrranent (� or
Terrporary (�
P
F2rrranent (F�) or
Terrporary (�
P
F2rmanent (F) or
Terrporary (�
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.063
Headwater Forest
Headwater Forest
2d. Wetland name *2e. 2f. Type of 2g. Impact
Forested* Jurisdicition* area*
WBX (or Colonial No
Area 5)
WBX (or Colonial No
Area 5)
Bottomland Hardwood WBZ (or Colonial Yes
Forest Area 5)
Bottomland Hardwood WBZ (or Colonial Yes
Forest Area 5)
Both 0.001
(404, 10) or D✓VR(401, (acres)
other)
Both 0.002
(404, 10) or C�R(401, (acres)
other)
Both 0.030
(404, 10) or [7✓�ft(401, (acres)
other)
Both 0.030
(404, 10) or D✓VR(401, (acres)
other)

2g. Total Wetland Impact
0.063
2h. Comments:
Wetland names assigned are both NCDOT for R-2721 and Colonial's for Area 5. Wetland WBX (or Colonial Area
5) has been clearcut. Site 1(a & b) is approximately 121 square feet (0.003 ac) of wetland being cleared and
grubbed as part of a utility construction easement. The pipeline will be installed by open trench due to the clearing
and grubbing that is necessary. Clearing and grubbing of trees and roots associated with the construction allows
for regular scheduled patrolling and surveys by vehicle or by air and prolongs the life of the protective coating on
the pipeline and decreases the chance of a gas release by reducing root damage and corrosion to the pipe.
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. Reason for impact*3b.lmpact 3c. Type of impact*3d. Stream name * 3e. Stream 3f. Type of 3g. Stream 3h. Impact sqfe�
type * Type * Jurisdiction * width * length *
S1 2- Excavation T Excavation SBJ (or Colonial Perennial Both 2 65 7
N�p label (e.g. f3�ad Qossing F2rrranent (P� or Area 5) F�rennial (� or Average (linear feet) 3
1) Terrporary (� interrrittent (IIVT) (feet) 0
*" 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:
0
3i. Total temporary stream impacts:
65
3i. Total stream and tributary impacts:
65
3j. Comments:
Stream names assigned are both NCDOT for R-2721 and Colonial's for Area 5. Excavation will involve open cut,
back filling and pump around method.
6. Buffer Impacts (for DWR)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts below.
6a. Project is in which protect basin(s)? *
Checkall that apply.
� Neuse r Tar-Pamlico
r Catawba r Randleman
r Goose Creek r Jordan Lake
r Other
6b. Impact Type * 6c. Per or 6d. Stream name * 6e. Buffer mitigation 6f. Zone 1 6g. Zone 2
Temp* required?* impact* impact*
Stie 2 P SBJ (or Colonial Area 5) Yes 4,333 0
Location and 6cerrpt, Allowable, allowable w/ F2rrranent (Pj or (square feet) (square feet)
rritigation Terrporary (�
Site 2 P SBJ (or Colonial Area 5) No 0 70,323
Location and 6cerrpt, Allowable, allowable w/ F2rrranem (Fj or (square feet) (square feet)
rritigation Terrporary (�
6h. Total buffer impacts:

Zone 1 Zone 2
Temporary impacts: 0.00 0.00
Permanent impacts:
Total buffer impacts:
Zone 1
4,333.00
Zone 1
4,333.00
Zone 2
10,323.00
Zone 2
10,323.00
6i. Comments:
There are 2,590 sq. ft. buffers in wetlands in Zone 1. Mitigation = 4,333-2,590 = 1,743 sq. ft.
Supporting Documentation - i.e. Impact Maps, Plan Sheet, etc.
aick the upload button or drag and drop files here to attach docurrem
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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:*
Pipeline was designed and placed where minimal impacts wnuld occur in jurisdictional areas.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Construction limits were pulled in adjacent to environmentally sensitive areas to avoid additional 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?
G Yes �' No
2c. If yes, mitigation is required by (check all that apply):
�7 DWR r% Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank fJ Payment to in-lieu fee program
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, what is the stream temperature:
4d. Buffer mitigation requested (DWR only):
(square feet)
1, 743
4e. Riparian wetland mitigation requested:
(acres)
0.07
4f. Non-riparian wetland mitigation requested:
(acres)
r Permittee Responsible Mitigation

4g. Coastal (tidal) wetland mitigation requested:
(acres)
4h. Comments
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire
form - please contact DWR for more information.
G' Yes C' 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 in the table below.
Zone 1
Zone 2
6c. Reason for impact
Relocation of gas pipeline
6d. Total impact Multiplier
(square feet)
4,333 3
0
6e. Required
mitigation (square
feet)
12,999
0
6f. Total buffer mitigation required
12999
6g. If buffer mitigation is required, is payment to a mitigation bank or NC Division of Mitigation Services proposed?
C•' Yes f" No
6h. Attach the acceptance letter from the mitigation bank or NC Division of Mitigation Services.
(FDF only)
6j. Comments:
There are 2,590 sq. ft. buffers in wetlands in Zone 1. Mitigation = 4,333-2,590 = 1,743 sq. ft.
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?
C Yes l" No
1b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the project is subject to a
state implemented riparian buffer protection program, include a plan that fully documents how diffuse flow will be maintained.
All Stormwater Control Measures (SCM)s must be designed in accordance with the NC Stormwater Design Manual. Associated
supplement forms and other documentation shall be provided.
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SMNT)
r Other SCM that removes minimum 30% nitrogen
(check all that apply)
For a list of options to meet the diffuse flow requirements, click here.

Diffus Flow Documentation
Qick the upload button or drag and drop files here to attach docurcent
Fle type rrust be FDF
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
G' Yes C' No
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? *
C 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 (NEPAISEPA)?*
f• Yes l" No
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
NEPAor SEPAfinal approval letter.)*
l•' Yes f" No
NEPA or SEPA Final Approval Letter
Gick the upload button or drag and drop files here to attach docurrent
RLE NFE M 1ST BE FOF
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 (75A NCAC 2B .0200)?*
f Yes �' No
2b. Is this an after-the-fact permit application?*
C' Yes C•' No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonablyanticipated future impacts) result in additional development, which could impact
nearby downstream water quality?*
f Yes �' No
3b. If you answered "no," provide a short narrative description.
Due to the minimal impact resulting from this pipeline relocation, this project will neither influence nearby land uses
nor stimulate growth. Therefore, a detailed indirect or cumulative effects study will not be necessary.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
l' Yes r No f•' N/A
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? *
f• Yes �' No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
G' Yes C' No

5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
f Yes C No
5e. Is this a DOT project located within Division's 1-8?*
f• Yes C' No
r Unknown
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS county list and NCNHP database were reviewed along with onsite field surveys. Surveys were done in July
2018 for Michau�s sumac and red-cockaded wroodpecker by Corblu Ecology Group. Habitat found for Michau�s
sumac not for RCW. Neither species found during field visit. Biological Conclusion is No Effect. Cape fear shiner,
Dwarf wedgemussel and Tar River spinymussel is out not in range basin and has a Biological Conclusion of No
Effect. The Biological Conclusion for the Northern Long Eared Bat is May Affect, Not Likely to Adversly Affect.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
l" Yes l•' No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat? *
NMFS County Index
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
reservation status e. National Historic Trust desi nation or ro erties si nificant in North Carolina histor and archaeolo *
p ( 5•, 9 p p 9 Y 9Y)�
l' Yes C•' No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources? *
NEPA Documentation
7c. Historic or Prehistoric Information Upload
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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 r No
8c. What source(s) did you use to make the floodplain determination?*
FEMA FRIS Maps
Miscellaneous
Miscellaneous attachments not previously requested.
aick the upload button or drag and drop files here to attach docurrent
Fle rrust be FDF or VWQ
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 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:*
Mack Christopher Rivenbark, III
Signature
h�c�k �. ����k. lll
Date Submitted:
8/28/2018
Initial Review
Is this project a public transportation project?* (�)
C•' Yes f No
Change only 'rf needed.
Has this project met the requirements for acceptance in to the review process? *
C•' Yes
C' No
BIMS # Assigned *
20181192
Version#*
Reviewing Office *
Central Office - [phone]
Select Project Reviewer*
Rob Ridings:eads\rgridings
Is a payment required for this project?*
f No payment required
f• Fee received
f Fee needed - send electronic notification

�
N
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N
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See Sheet � B For Conventi onal Symbols
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THIS PROJECT IS WITHll�l THE MU11tICIPAL BOU11lDARIES OF TOW11t OF CARY, TOW11t OF APEX, TOLV11l OF HOLLY SPRI11lGS, A111D TOLV11t OF FUQUAY VARI11tA.
THIS IS A C011tTROLLED ACCESS PROJECT WITH ACCESS BEI11lG LIMITED TO I11lTERCHA11lGES.
CLEARI11lG A11ID GR UBBI11lG 0111 THIS PROJECT WILL BE METHOD III.
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END CONSTRUCTION
—L— STA. 500 + 63.80
-� T 0 1-40 �
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NORFOLK SOUTHERN
RAI LROAD
��T���1[lC�]I�]EE�]E ]�][.���T�
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DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
Prepared In the Offlce of: HYDRAULICS E111GI11tEER
GRAPHIC SCAL�S DESIG11l DATA PROJECT LEI�GTH
L O C H N E R �' I NC FIRM LICENSE No: F-1148
i�j 1151 SE Cary Parkway
ADT 2 Ol 8— 2 8 2 00 H. W. LOCHNER, INC. ��l;IECOLOGICAL Suite 101
2840 PLAZA PLACE, SUITE 202
50� ��/ 0 �O' � 00' ' �9 9�5 H, N� 27612 Nu ber P�0159 uENGINEERING [phone] �0� p
ADT 2040 = 66,400 LE11lGTH ROADWAY TIP PROJECT R-2721 = 9.529 Miles �� SUNGATE DESIGN GROUP, P.A. �� �� ��`��
' e K — �� /0 �j� � 0.178 Miles � 905 JONES FRANKLIN ROAO G�� 0
P IJIN S D— 65 O/O LE11lGTH STR UCT Ul\LiS •\��i i f � RALEIGH, NORTH CAROLINA 27606 � ��
TEL [phone] NC FIRM LICENSE NO. C-890
P.E.
T = � � % * TOTAL LE11lGTH TIP PROJECT R-2721 = 9.351 Miles 2018 STANDARD SPECIFICATIONS SIGNATURE: � �
50' 25' 0 50' 100' Brian K. Eason, PE a �
V= 75 MPH RIGHT OF WAY DATE: PROJECT ENGINEER ROADWAY DESIG11l �°�, a
PROFILE (HORIZONTAL) *�ST = 7% DUAL 4% February 18, 2020 E111GI11lEER ���� ooQ�Q
Christina L. Yokeley, EI o� ��p��Q
� O� S� O � O� 2 �' F U N C C L/-iS S = PROJECT DESIGN ENGINEER
INTERSTATE LETTI11tG DATE:
PROFILE (VERTICAL) February 18, 2020 NCDOT CONTACT P.E.
SIGNATURE:

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WETLAND AND
SURFACE WATER IMPACTS PERMIT
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UTILITY CONSTRUCTION
DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
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APPROVED BY:
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WETLAND PERMIT IMPACT SUMMARY
WETLAND IMPACTS SURFACE WATER IMPACTS
Hand Existing Existing
Permanent Temp. Excavation Mechanized Clearing Permanent Temp. Channel Channel Natural
Site Station Structure Fillln Fillln in Clearing in SW SW Impacts Impacts Stream
No. (From/To) Size/Type Wetlands Wetlands Wetlands inWetlands Wetlands impacts impacts Permanent Temp. Design
(ac) (ac) (ac) (ac) (ac) (ac) (ac) (ft) (ft) (ft)
1a '-Y13RPA- Sta 27+17.31 Utili Relocation <0.01
1 b -Y13RPA- Sta 27+00.08 to Utili Relocation <0.01
-Y13RPA- Sta 26+16.00 Utili Relocation
2 -Y13RPA- Sta 23+93.60 to Utili Relocation 0.03 0.03 65
-Y13RPA- Sta 23+11.97
TOTALS': 0.03 0.04 0 65 0
*Rounded totals are sum of actual impacts
NOTES:
Site 1 is approximately 121 square feet (0.003 ac) of wetland being cleared and grubbed as part of a utility construction easement
20131024

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LOCATI01�1: COMPLETE S'40 - FROM WEST OF 1�C�5 T� EAST
OF HWY 401
TYPE OF WORI�: GRADII�G, DRAII�AGE, PA VI1�G, A1�D STR UCTURES
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BEGIN TIP PROJECT R-2721
BEGIN CONSTRUCTION
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THIS PROJECT IS WITHll�l THE MU11tICIPAL BOU11lDARIES OF TOW11t OF CARY, TOW11t OF APEX, TOLV11l OF HOLLY SPRI11lGS, A111D TOLV11t OF FUQUAY VARI11tA.
THIS IS A C011tTROLLED ACCESS PROJECT WITH ACCESS BEI11lG LIMITED TO I11lTERCHA11lGES.
CLEARI11lG A11ID GR UBBI11lG 0111 THIS PROJECT WILL BE METHOD III.
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END TIP PROJECT R-2721
END CONSTRUCTION
—L— STA. 500 + 63.80
-� T 0 1-40 �
—Y15—
NORFOLK SOUTHERN
RAI LROAD
��T���1[lC�]I�]EE�]E ]�][.���T�
ID�� N�gD'll' iT�]E ]F�lf� �i % Rf fi��C�Q�T][�][�'][�{DN
DOCUMENT NOT CONSIDERED FINAL
UNLESS ALL SIGNATURES COMPLETED
Prepared In the Offlce of: HYDRAULICS E111GI11tEER
GRAPHIC SCAL�S DESIG11l DATA PROJECT LEI�GTH
L O C H N E R �' I NC FIRM LICENSE No: F-1148
i�j 1151 SE Cary Parkway
ADT 2 Ol 8— 2 8 2 00 H. W. LOCHNER, INC. ��l;IECOLOGICAL Suite 101
2840 PLAZA PLACE, SUITE 202
50� ��/ 0 �O' � 00' ' �9 9�5 H, N� 27612 Nu ber P�0159 uENGINEERING [phone] �0� p
ADT 2040 = 66,400 LE11lGTH ROADWAY TIP PROJECT R-2721 = 9.529 Miles �� SUNGATE DESIGN GROUP, P.A. �� �� ��`��
' e K — �� /0 �j� � 0.178 Miles � 905 JONES FRANKLIN ROAO G�� 0
P IJIN S D— 65 O/O LE11lGTH STR UCT Ul\LiS •\��i i f � RALEIGH, NORTH CAROLINA 27606 � ��
TEL [phone] NC FIRM LICENSE NO. C-890
P.E.
T = � � % * TOTAL LE11lGTH TIP PROJECT R-2721 = 9.351 Miles 2018 STANDARD SPECIFICATIONS SIGNATURE: � �
50' 25' 0 50' 100' Brian K. Eason, PE a �
V= 75 MPH RIGHT OF WAY DATE: PROJECT ENGINEER ROADWAY DESIG11l �°�, a
PROFILE (HORIZONTAL) *�ST = 7% DUAL 4% February 18, 2020 E111GI11lEER ���� ooQ�Q
Christina L. Yokeley, EI o� ��p��Q
� O� S� O � O� 2 �' F U N C C L/-iS S = PROJECT DESIGN ENGINEER
INTERSTATE LETTI11tG DATE:
PROFILE (VERTICAL) February 18, 2020 NCDOT CONTACT P.E.
SIGNATURE:

B U F F E R I M PACTS P E RM I T DESIGNED Bv:
DRAWN BY:
CHECKED Br:
iN

-
■. .
.,
. � .. .. - �
• • -• • :: •' ����������
� ' - . . . . - � � -_0_�_�_---
-- - : - . � -_-_____---
-- -_-_____---
-- -_-_____---
-- -_-_____---
-- -_-_____---
-- -_-_____---
-- -_-_____---
-- -_-_____---
-- -_-_____---
-- -_-_____---
-- -_-_____---
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-- -_-_____---
-- -_-_____---
-- -_-_____---
-- -_-_____---
-- -_-_____---
-- -_-_____---
�- -_�_�----
There are no buffer impacts at Site 1(Permit Plans)
'All impacts are considered non-perpendicular crossings.
"This pipeline crossing is proposed to cross the stream at approximately 64 degrees.
Rev. May 2006

En vironmental
Quality
August 23, 2018
Mr. Philip S. Harris, P.E., CPM
Environmental Analysis Unit
North Carolina Department of Transportation
1598 Mail Service Center
Raleigh, North Carolina 27699-1598
Dear Mr. Harris:
Subject: DMS Mitigation Acceptance Letter:
R�Y COOPER
Covernor
R-2721B UTILITY, NC 540 from East of SR 1389 (Pierce-Olive Road) to East of US
401, Wake County
The purpose of this letter is to notify you that the Division of Mitigation Services (DMS) will provide
the wetland and buffer mitigation for the subject project. This acceptance letter is for the separate utility permit
needed for this project. Based on the information supplied by you on August 22, 2018, the impacts are located in
CU 03020201 of the Neuse River basin in the Central Piedmont (CP) Eco-Region, and are as follows:
Stream and River CU Eco- Stream Wetlands
Wetlands Basin Location Region Cold Cool Warm Ri arian Non- Coastal
p Ri arian Marsh
Impacts Neuse 03020201 CP 0 0 0 0.07 0 0
*Some of the impacts may be proposed to be mitigated at a 1:1 mit�gat�on ratio. See permit application tor details.
All buffer mitigation requests and approvals are administrated through the Riparian Restoration Buffer
Fund. The NCDOT will be responsible to ensure that appropriate compensation for the buffer mitigation will be
provided in the agreed upon method of fund transfer. Upon receipt of the NCDWR's Buffer Authorization
Certification, DMS will transfer funds from the NCDOT 2984 Fund into the Riparian Restoration Buffer Fund.
Upon completion of transfer payment, NCDOT will have completed its riparian buffer mitigation responsibility
for TIP Number R-2721 B UTILTTY. Subsequently, DMS will conduct a review of current NCDOT ILF
Program mitigation projects in the river basin to determine if available buffer mitigation credits exist. If there
are buffer mitigation credits available, then the Riparian Restoration Buffer Fund will purchase the appropriate
amount of buffer mitigation credits from NCDOT II.F Program.
�Nothing Compares�
State of North Caro(ina I Environmental Quality
2l7 West Jones Street I 1501 Mail Service Center I Raleigh. North Carolina 27699-1601
919 707 8600

Mr. Harris
August 23, 2018
Page Two
NCDOT TII' R-2721B UTILITY
Eco- Buffer Impacts
Buffer River Basin CU Region
Zone 1 Zone 2 TOTAL
Impacts Neuse 03020201 CP 1,743.0 0 1,743.0
DMS commits to implementing sufficient compensatory xnitigation credits to offset the impacts
associated with this project as determined by the regulatory agencies in accordance with the In-Lieu Fee
Instrument dated July 28, 2010. If the above referenced impact amounts are revised, then this mitigation
acceptance letter will no longer be valid and a new mitigation acceptance letter will be required from DMS
8420.
If you have any questions or need additional information, please contact Ms. Beth Harmon at 919-707-
Sincerelv,
James St nf'�ll
DMS Asse Management Supervisor
Cc: Mr. Eric Alsmeyer, USACE — Raleigh Regulatory Field Office
Mr. Rob Ridings, NC Division of Water Resources
File: R-2721B iTTILITY
�Nothing Compares�_
State of North Carolina I Environmental Quality
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919 707 8600

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2009-02240 County: Wake Countv U.S.G.S. Quad: Ralei�h East
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Requestor: Colonial Piueline Companv
John Wvatt
Address: 5251 Hwv 153,Suite C#365
Hixson, TN, 37343
Telephone Number: 770.819.3557
Size (acres) 12.2 Nearest Town Hollv Surings
Nearest Waterway Rockv Branch River Basin Caue Fear
USGS HUC 03030004
Location description: NCDOT TIP R-2721; Complete 540 Phase 1; Colonial Pipeline expanded Lavdown Area 5, north of
Old McCullers Road, and west of Gullev Lane, northeast of Fuquav-Varina.. This PJD replaces the previous PJD dated
6/11/2018.
Coordinates: Latitude: 35.6561; Longitude: -78.7021.
Indicate Which of the Following Applv:
A. Preliminary Determination
X There are waters, including wetlands, on the above described project area, that may be subject to Section 404 of the Clean
Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). The
waters, including wetlands, have been delineated, and the delineation has been verified by the Corps to be sufficiently accurate
and reliable. Therefore this preliminary jurisdiction determination may be used in the permit evaluation process, including
determining compensatory mitigarion. For purposes of computation of impacts, compensatory mirigation requirements, and other
resource protection measures, a permit decision made on the basis of a preliminary JD will treat all waters and wetlands that
would be affected in any way by the permitted acrivity on the site as if they are jurisdictional waters of the U.S. This preliminary
determination is not an appealable action under the Regulatary Program Administrarive Appeal Process (Reference 33 CFR Part
331). However, you may request an approved JD, which is an appealable action, by contacting the Corps district for further
instruction.
B. Approved Determination
_ There are waters of the U.S., including wetlands, on the above described project area subject to the permit requirements of
Section 404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations,
this detertnination may be relied upon for a period not to exceed five years from the date of this notification.
We recommend you have the waters of the U.S. on your project area delineated. As the Corps may not be able to accomplish
this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that can be verified by
the Corps.
The waters of the U.S., including wetlands, on your project area have been delineated and the delineation has been verified
by the Corps. We strongly suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and
verified by the Corps. Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on
your property which, provided there is no change in the law or our published regulations, may be relied upon for a period not to
exceed five years.
The waters of the U.S., including wetlands, have been delineated and surveyed and are accurately depicted on the plat signed
by the Corps Regulatory Official identified below on . Unless there is a change in the law or our published
regulations, this determination may be relied upon far a period not to exceed five years from the date of this notification.
_ There are no waters of the U.S., to include wetlands, present on the above described project area which are subject to the permit
requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
Page 1 of 2

SAW-2009-02240
Placement of dredged or fill material within waters of the US, including wetlands, without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). Placement of dredged or fill material, construction or
placement of structures, or work within navigable waters of the United States without a Department of the Army permit may
constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act (33 USC § 401 and/or 403). If you have any questions
regarding this determination and/or the Corps regulatory program, please contact Eric Alsmever at [phone] X 23 or
Eric. C.AIs mever(�a,u sace. armv. mil.
C. Ba5is For Determination: N/A. An Approved JD has not been completed.
D. Remarks: PJD site visit 8/2/2018. This PJD replaces the previous PJD dated 6/11/2018.
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination may not be valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.
F. Appeals Information for Approved Jurisdiction Determinations (as inclicated in section s. above)
If you object to this determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed
you will find a Notification of Appeal Process (NAP) fact sheet and Request for Appeal (RFA) form. If you request to appeal this
determination you must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlanric Division
Attn: Jason Steele, Review Officer
60 Forsyth Street SW, Room 1OM15
Atlanta, Georgia 30303-8801
In arder for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by
It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this
correspondence.
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Corps Regulatory Official: °ate'z°,8.°$.°"°:Z°^9-°''°°
Date: August 7, 2018 Expiration Date: N/A
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete our Customer Satisfaction Survey, located online at
htt�//corpsmapu.usace.army.mil/cm_apex/f?p=136:4:0.
Copy Furnished (by email):
Corblu Ecologv Grouu
Shanna Cahill
3225 South Cherokee Lane, bld� 800
Woodstock, GA, 30188

SAW-2009-02240
NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: John Wyatt; Colonial Pipeline Company File Number: SAW-2009-02240 Date: Au�ust 7, 2018
Attached is: See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission) A
PROFFERED PERMIT Standard Permit or Letter of ermission B
PERMIT DENIAL C
APPROVED JURISDICTIONAL DETERMINATION D
PRELIMINARY JURISDICTIONAL DETERMINATION E
SECTION I- The following identifies your rights and options regarding an administrarive appeal of the above decision.
Addirional informarion may be found at http://www.usace.army.mil/Missions/CivilWorks/RegulatoryProgramandPermits.aspx or
Co s re ulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your wark is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• OB7ECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the
permit be modified accordingly. You must complete Section II of this form and return the form to the district engineer. Your
objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right to appeal
the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify the
permit to address all of your concerns, (b) modify the permit to address some of your objections, ar(c) not modify the permit
having determined that the permit should be issued as previously written. After evaluating your objections, the district engineer
will send you a proffered permit for your reconsideration, as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its tertns and condirions, and approved jurisdicrional determinations associated with the permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form
and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of
this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the division engineer. This form
must be received by the division engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of
this notice means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received by
the division engineer within 60 days of the date of this notice.
E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps
regarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved
JD (which may be appealed), by contacting the Corps district for further instruction. Also you may provide new
information for further consideration by the Corps to reevaluate the JD.

SAW-2009-02240
SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons far appealing the decision ar your
objections to an initial proffered permit in clear concise statements. You may attach additional information to
this form to clarify where your reasons or objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps
memorandum for the record of the appeal conference or meeting, and any supplemental information that the
review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps
may add new information or analyses to the record. However, you may provide additional information to clarify
the location of information that is alread in the administrative record.
PO1NT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the If you only have questions regarding the appeal process you may
appeal process you may contact: also contact:
District Engineer, Wilmington Regulatory Division, Mr. Jason Steele, Administrative Appeal Review Officer
Attn: Eric Alsmeyer CESAD-PDO
Raleigh Regulatory Field Office U.S. Army Corps of Engineers, South Atlantic Division
3331 Heritage Trade Drive, Suite 105 60 Forsyth Street, Room 1OM15
Wake Forest, NC 27587 Atlanta, Georgia 30303-8801
Phone: [phone]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day
notice of an site investi ation, and will have the o ortunit to artici ate in all site investi ations.
Date: Telephone number:
Si nature of a ellant or a ent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: Eric Alsmeyer, 69 Darlington Avenue, Wilmington, North
Carolina 28403