20181296 Ver 1_PCN Form Submission_20180924

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/24/2018 4:34:36 PM (Start Event)
Accept by Montalvo, Sheri A 9/25/2018 12:00:59 PM (Non DOT Initial Review)
The task was assigned to Montalvo, Sheri A. The due date is: September 27, 2018 5:00 PM
9/24/2018 4:36 PM

DWR
Dfutston of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
January 31, 2018 Ver 2.3
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E -PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs. deq. nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30. pdf
A. Processing Information
County (or Counties) where the project is located:*
Wake
Is this project a public transportation project?*
r Yes G No
This is any publicly funded by rrunicipal,state or federal funds road, rail, airport transportation project.
1a. Type(s) of approval sought from the Corps:*
PF Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
r% Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
This form may be Corps to initiate the standard/individual permit process. Please contact your Corps representative for submittal of standard permits.
All required items that are not provided in the E -PCN and be added to the miscellaneous upload located at the bottom of this form.
Nationwide Permit (NWP) Number: 39 - Commercial/Institutional Developments
NWP Number Other:
List all WV nun-bers you are applying for not on the drop dow n list.
1c. Type(s) of approval sought from the DWR:*
check all that apply
401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
r Non -404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual Permit
*
1d. Is this notification solelyfor the record because written approval is not required?

For the record only for DWR 401 Certification:
For the record only for Corps Permit:
b Yes b No
O Yes a No
1e. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
V so, attach the acceptance letter from mitigation bank or in -lieu fee program
r Yes r No
1f. Is the project located in anyof NC's twenty coastal counties?*
r Yes r No
1h. Is the project located in a designated trout watershed?*
r Yes r No
Link to trout information: http://wuwv.saw.usace.army.miI/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Joseph Puckett
1b. Primary Contact Email:*
jpuckett@stev,artinc.com
1c. Primary Contact Phone:*
(XXX)XXX-XXXX
1d. Who is applying for the permit?
r- Owner V Applicant (other than owner) r Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
North Carolina Department of Agriculture and Consumer Sciences
2b. Deed book and page no.:
17183, pg 2086
2c. Responsible party:
(for Corporations)
Dave Bartone
2d. Address
Street Address
2 W. Edenton Street
Address Line 2
City
Raleigh
Postal / Zip Code
27601
2e. Telephone Number:
(XXX)XXX-XXXX
2f. Fax Number:
[phone]
(XXX)XXX-XXXX
State / Rovince / Pagion
NC
Country
USA

2g. Email Address:*
Dave. [e-mail]
3. Applicant Information (if different from owner)
3a. Applicant is:
r Agent
r Other Engineer
If other please specify.
3b. Name:
Joseph Puckett
3c. Business Name:
(if applicable)
Stewart
3d. Address
Street Address
223 S. West Street
Address Line 2
City
Raleigh
Postal / Zip Code
27603
3e. Telephone Number:
[phone]
(XXX)XXX-XXXX
Fax Number:
[phone]
(XXX)XXX-XXXX
Email Address:*
[e-mail]
State/ Province/ Fbgion
NC
Country
USA
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
North Carolina Agricultural Sciences Center
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 crapping system Pease provide directions.
Northeast quadrant of intersection of Reedy Creek Road and Edwards Mill Road. Proposed stream crossing is east of location where stream
crossing under Edwards Mill Road.
2. Project Identification

2a. Property Identification Number:
(tax PN or parcel ID)
0785316741
2b. Property size:
(in acres)
1074.81
2c. Project Address
Street Address
4600 Reedy Creek Road
Address Line 2
city
Raleigh
Postal / Zip Code
27607
2d. Site coordinates in decimal degrees
State / Province / Region
NC
Country
USA
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:* Longitude:*
35.819189 -78.720417
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Richland Creek
3b. Water Resources Classification of nearest receiving water:*
C; NSW
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Neuse
River Basin Lookup
4. Project Description
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
Currently the site consists of 1,074 acres which contain forest, pasture lands, and developed area. The property is
located UNC Rex Hospital and Prairie Ridge Ecostation.
4b. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for
DWR)
Click the upload button or drag and drop files here to attach docurent
NC_Raleigh_West_USGSette.pdf 1.19MB
File type rust be pdf
4c. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.
(for DWR)

Click the upload button or drag and drop files here to attach docurent
Hydrologic_Soil_Group.pdf 825.91 KB
File type crust be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0
4e. List the total estimated linear feet of all existing streams on the property:
(internittent and perennial)
15800
4f. Explain the purpose of the proposed project:*
The project was funded by a bond through the State of North Carolina to provide new facilities for multiple
agricultural sciences departments.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The proposed improvements associated with this project include a 220,000 SF science building which will include
labs and offices for five State agencies within the Department of Agriculture. Heavy machinery will be used.
4h. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files here to attach docurent
C16123 - Ag Sci Site Plan. pdf 7.78MB
File type rust be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas? *
r Yes C No r Unknown
Comments:
top of bank was surveyed
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r Approved t: Unknown r N/A
Corps AID Number:
Exarple: SAW -2017-99999
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5dl. Jurisdictional determination upload
Click the upload button or drag and drop files here to attach docurent
File type crust be FDF
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
7. Future Project Plans
7a. Is this a phased project?*

r Yes G No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the
proposed project or related activity? This includes other separate and distant crossing for linear projects that require Department of the
Army authorization but don't require pre -construction notification.
DEQ is currently reviewing a stormwater permit, submitted on 09.21.2018
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
F Wetlands r Streams -tributaries V Buffers
r- Open Waters r- Pond Construction
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)?*
Check all that apply.
V Neuse r Tar -Pamlico
F Catawba r Randleman
r Goose Creek r Jordan Lake
r Other
6b. Impact Type*
Allowable
Location and Ecerrpt, Allowable, allowable w/
rritigation
allowable
Location and Ecerrpt, Allowable, allowable w/
mtigation
6c. Per or
6d. Stream name *
6e. Buffer mitigation
6f. Zone 1
6g. Zone 2
Temp*
Total buffer impacts: 3,400.00
required?*
impact*
impact*
P
Unnamed tributary of
No
1,987
971
Fbrrranent(P)or
Richland Creek
(square feet)
(square feet)
Terrporary (T)
T
Unnamed tributary of
No
1,413
1,243
Fbrrrenent (F) or
Richland Creek
(square feet)
(square feet)
Tenporary (T)
6h. Total buffer impacts:
Zone 1 Zone 2
Temporary impacts: 1,413.00 1,243.00
Zone 1
Zone 2
Permanent impacts: 1,987.00
971.00
Zone 1
Zone 2
Total buffer impacts: 3,400.00
2,214.00
6i. Comments:
all permanent impacts are also temporary impacts. Permanent area is excluded from temporary area above to not
double count the same area. See supporting maps for clarification.
Supporting Documentation - i.e. Impact Maps, Plan Sheet, etc.
Click the upload button or drag and drop files here to attach docurrent
Ag_Sci_PCN.pdf 969.81 KB
File rrust be PDF

E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
The sewer was designed to cross perpendicular to the stream bank to minimize buffer impacts. The support posts
for the aerial crossing were placed to avoid impacts to the stream by both the posts, excavation, and rip rap
protecting the support posts.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
The sewer line will be installed as an aerial crossing to avoid stream impacts. Selective tree clearing will be
completed with manual labor to provide a clear sanitary sewer easement. Erosion control measures including
surface stabilization will be in place before and after construction. Excavation required to construct pier
foundations was accounted for and piers were located to avoid stream impacts.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
All impacts are allowable.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
......... ......... ......... ......... ......... ......... ......... ......... ........ ...... ......... ..... ...... ..... ...................
*** Recent changes to the stormwater rules have required updates to this section .***
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection
Rules?
r Yes r No
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 SHWT)
W Other SCM that removes minimum 30% nitrogen
(check all that apply)
For a list of options to meet the diffuse flow requirements, click here.
Diff us Flow Documentation
Click the upload button or drag and drop files here to attach docurrent
C16123 - Stormwater Impact Analysis.pdf 21.29MB
File type rust be FDF
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes G No

2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes
r No
To look up low density requirement click here 15A NCAC 02H .1003(2).
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?*
r Yes r 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 Policy Act (NEPA/SEPA)?*
r Yes r No
Comments:
no requirements known
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or
DWR Surface Water or Wetland Standards or Riparian Buffer Rules (15A NCAC 2B .0200)? *
r Yes r No
2b. Is this an after -the -fact permit application?*
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact
nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
This is a stand alone project that does not expect future expansion or development.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the
proposed project. If the wastewater will be treated at a treatment plant, list the capacity available at that plant.
The project proposes to tie into an existing gravity main just beyond the stream buffer. The sewage will be directed
to the North Cary Water Reclamation Facility, which has the capacity to treat 12 million gallons per day
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat? *
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No

5d. Is another Federal agency involved?*
f Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?*
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers,
mechanized pile drivers, etc.?
r Yes r No
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this activity on the
property.
Click the upload button or drag and drop files here to attach docurrent
File rrust be FDF
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Fish and Wildlife Service's Critical Habitat Portal - https://fws.maps.arcgis.com/home/webmap/viewer.html?
webmap=9d8de5e265ad4fe09893cf75b8dbfb77
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Essential Fish Habitat Mapper - https://www.habitat.noaa.gov/protection/efh/efhmapper/
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural
preservation status (e.g., National Historic Trust designation or properties significant in North Carolina history and archaeology)?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
National Register of Historic Places in North Carolina
7c. Historic or Prehistoric Information Upload
Click the upload button or drag and drop files here to attach docurrent
File rrust be FDF
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?*

f Yes f• No
8c. What source(s) did you use to make the floodplain determination?*
FEMA Map #3720078500J, dated May 2, 2006
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docunent
File rrust be FDF or INR
Signature
m By checking the box and signing below, I certify that:
■ I have given true, accurate, and complete information on this form;
■ I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions Act');
■ I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions Act');
■ I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
■ I intend to electronically sign and submit the PCN form.
Full Name:*
Joseph Walter Puckett
Signature
Date Submitted:
9/24/2018
Initial Review
Is this project a public transportation project?*(?)
C Yes r No
Change only if needed.
Has this project met the requirements for acceptance in to the review process?*
M Yes
r No
BIMS # Assigned
20181296
Version#*
1
Reviewing Office
Raleigh Regional Office - [phone]
Select Project Reviewer*
Stephanie Goss:eads\szgoss
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification

What amout is owed?
* $240.00
F $570.00