20181416 Ver 1_PCN Form Submission_10/16/2018 5:55 PM

D1�VR
�irlslan af Water Resources
Pre-Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
F Yes
C' No
Is this project a public transportation project?"
� Yes r No
Change only rf needed.
BIMS # Assigned *
20181416
Is a payment required for this project?*
f No paymentrequired
� Fee received
f Fee needed - send electronic notification
Select Project Reviewer"
Donna Hood:eads\drhood
Information for Initial Review
1a. Name of project:
R-2530B, B-4974, R-2527: NC 24/27 Widening from Albemarle to the Troy Bypass
1a. Who is the PrimaryContact?*
Jeff Hemphill
1b. PrimaryContact Email:*
[e-mail]
Date Submitted
10/16/2018
Nearest Body of Water
Pee Dee River/Lake Tillery
Basin
Yadkin-PeeDee
Water Classification
WS-IV,B;CA
Site Coordinates
Latitude: Longitude:
35.30960 -80.07704
A. Processing Information
County (or Counties) where the project is located:
Stanly
Montgomery
Is this project a public transportation project?*
r Yes r No
Is this a NCDOT Project?*
r Yes r No
(NCDOT only) T.I.P. or state project number:
R-2530B,B-4974, R-2527
WBS # (�)
WBS # 34446.1.5
Ve rsion# *
1
Reviewing Office *
Mooresville Regional Office - [phone]
1c. PrimaryContact Phone:*
[phone]

1a. Type(s) of approval sought from the Corps:
�J Section 404 Permit (�tlands, 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)
CJ Regional General Permit (RGP)
� Standard (IP)
1c. Has the NWP or GP number been verified bythe Corps?
F Yes r No
Regional General Permit (RGP) Number:
RGP Numbers (for multiple RGPS):
1d. Type(s) of approval sought from the DWR:
,r! 401 Water Quality Certification - Regular
� Non-404 Jurisdictional General Permit
� Individual Permit
198200031 - NCDOT Bridges, Widening Projects 2015
1e. 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:
r 401 Water Quality Certification - Er,�ress
r Riparian Buffer Authorization
1f. Is this an after-the-fact permit application?*
� Yes r No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
G Yes �' No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
� Yes r No
Acceptance LetterAttachment
1h. Is the project located in any of NC's twenty coastal counties?
C' Yes f� No
1j. Is the project located in a designated trout watershed?
� Yes r No
B. Applicant Information
1d. Who is applying for the permit?
fJ Owner r Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
C' Yes �' No
2. Owner Information
2a. Name(s) on recorded deed:
NCDOT
2b. Deed book and page no.:
2c. Responsible party:
2d. Address
Street Address
1020 Birch Ridge Drive
Address Line 2
�Y
Raleigh
Fbstal / Zip CDde
27610
2e. Telephone Number:
[phone]
State / Rovince I F�gion
NC
Country
US
2f. Fax Number:
*
C' Yes r No
C' Yes r No

2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History =�
�
1. Project Information
1b. Subdivision name:
(rf appropriate)
1c. Nearest municipality I town:
Albemarle, Troy
2. Project Identification
2a. Propertyldentification Number:
2c. Project Address
SVeet Address
Address Line 2
�Y
Postal / Zip Code
3. SurFace Waters
3a. Name of the nearest body of water to proposed project:*
Pee Dee River/Lake Tillery
3b. Water Resources Classification of nearest receiving water:*
WS-IV,B;CA
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
2b. Property size:
S[ate I Rovince I Region
Country
3d. Please provide the 12-digit HUC in which the project is located.
030401050401,030401040201,030401040203,030401040202,030401040204,030401040305
4. Project Description and History
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:*
Urban development, businesses (Albemarle) to rural,residential, recreation (Pee Dee River), cultivated land, USFS land.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
C' Yes r No C' Unknown
4d. 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)
4e. 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)
4f. List the total estimated acreage of all existing wetlands on the property:
6.8
4g. List the total estimated linear feet of all existing streams on the property:
Appro�mately 15,500
4h. Explain the purpose of the proposed project:*
The purpose of these projects is to improve traffic flow and level of service (LOS) on the section of NC 24-27 between NC 740 in Albemarle to the proposed Troy Bypass, west of Troy,
and to maintain a bridge across the Pee Dee River that addresses the needs of highway users.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The proposed projects involve widening NC 24-27 from NC 740 in Albemarle located in Stanly County to the Proposed Troy Bypass (R-623), �nest of Troy in Montgomery County. TIP
project R-2530B involves widening ewsting NC 24-27 from wEst of NC 740 to the Pee Dee River in Stanly County from a t�no to three-lane facility to a four-lane divided facility. R-2530B
will include a 23-foot raised median from NC 740 to SR 1731 (Sweet Home Church Road) and transition to a 46-foot depressed median from east of SR 1731 to the Pee Dee River in
Stanly County. Project R-2530B will also involve a superstreet design in the areas where curb and gutter is proposed and also in the open shoulder segment at STA 153+00. TIP project
B-4974 involves rehabilitating existing Bridge No. 51 over the Pee Dee River on the Stanly / Montgomery County line. TIP project R-2527 involves widening existing NC 24-27 from a
two-lane facility to a four-lane divided facility with a 46-foot depressed median from the Pee Dee River to the proposed Troy Bypass, wast of Troy in Montgomery County. The total
length of the proposed projects is appro�mately 14.6 miles Iong.Cranes, bulldozers, barges will be utilized for the construction activities.
4j. Please upload project drawings for the proposed project.

R2530B, 4974 Roadway Plansheets.pdf
R-2530B, B-4974 U[ility Narrative.pdf
R-2530B, B-4974 U[ilities Drawings.pdf
R2527_Hyd_Preliminary_Permit_Drawings_20181008. pdf
R-2530B,B-4974 Permit Drawings.pdf
5. Jurisdictional Determinations
63.O5MB
812 KB
2.15MB
9.13MB
31.32 MB
Sa. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No C' Unknown
Comments
Sb. If the Corps made a jurisdictional determination, what type of determination was made?*
C' Preliminary r Approved C' Not Verified � Unknown C' WA
Corps AID Number:
Sc. If Sa is yes, who delineated the jurisdictional areas?
Name (if known): NCDOT Personnel
Agency/Consultant Company:
Other:
Sd. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
. The projects were initially verified betv�en 2006 and 2008. Ronnie Smith from ACOE and David Wainwright of DWR field reverified Ihe v�Uands and surface waters in 2012 through
2014 - more information was requested by the Corp (rapanos forms) which were submitted in 2014 along �nnth additional wetland forms but a tearsheet was not issued (to my
knowiedge).
Sd1. Jurisdictional determination upload
R-2530B, B-4974, R-2527 Final JD request.pdf
6. Future Project Plans
6a. Is this a phased project?*
� Yes r No
2.59MB
7b. If yes, explain.
R-2530B, B-4974, & R-2527 were originally separate but because of logical terminii issues all three projects were combined under one NEPA document. R-2530B/B-4974 are at final
design with wnstruction Let currently March 19, 2019. R-2527 is at preliminary design and currently is slated to Let in 2021.
Are any other NWP(s), regional generel permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands r Streams-tributaries r Buffers
r Open Waters I� Pond Construction
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:
See attached Stormwater Management Plan contained in the Permit Drawings and the attached cover letter
1b. Specificallydescribe measures taken to avoid or minimize the proposed impacts through construction techniques:
See attached Stormwater Management Plan contained in the Permit Drawings and the attached cover letter
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?
� Yes r No
2c. If yes, mitigation is required by (check all that apply):
,rJ DWR fJ Corps
2d. If yes, which mitigation option(s) will be used for this project?

r Mitigation bank rJ Payment to in-lieu fee r Permittee Responsible
program Mitigation
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached.
f Yes r No
4b. Stream mitigation requested:
Qlnear feet)
13,048
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non-riparian wetland mitigation requested:
(acres)
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(acres)
2.05
4g. Coastal (tidal) wetland mitigation requested:
�acres)
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.
� Yes r No
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
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 r No
If no, explain why:
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
Comments:
�
I G. Supplementary Information " I
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federallstate/local) funds or the use of public (federallstate) 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 PolicyAct (NEPA/SEPA)?"
� Yes r No
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?"
� Yes r No
NEPAor SEPAFinal Approval Letter
F ONSI_F INAL_R2530 B_B4974_R2527_42017. pdf
2. Violations (DWR Requirement)
143.77MB
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)? *
f Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No

3c. Upload a qualitative or quantitative cumulative impact analysis.
R-2530B, B-4974, R-2527 ICE Summary.pdf 7.46KB
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
� Yes r No � fWA
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
Sa. 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?*
G Yes �' No
Sc. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
Sd. Is another Federal agency involved?*
G Yes r No
What Federal Agency is involved?
USFS
Se. Is this a DOT project located within Division's 1-8?
� Yes r No
r Unknown
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat7
The BA for this project is attached - the Biological Opinion from USFWS will be forwarded upon receipt.
Consultation Documentation Upload
R-2530B_BA_092818.pdf
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
C' Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NMF
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7.49MB
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?*
� Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Archaeology: The undertaking, as designed, is expected to adversely affect NRHP eligible sites 31 Mg1806, 31 MG1629, 31 MG321, and the
archaeological district composed of sites 31 St195, 31 St196, and 31 St204/204". FFNVA is currently in consultation with the SHPO, the Catawba Nation
and the USFS for the development of an MOA and subsequent data recovery plans to mitigate these effects.
7c. Historic or Prehistoric Information Upload
R-2530B, B-4974, R-2527, Historical Architecture.pdf
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
G Yes �' No
Sb. If yes, explain how project meets FEMA requirements:
See attached permit drawings
Sc. What source(s) did you use to make the floodplain determination?*
FEMA Floodplain Maps
Miscellaneous
680.34KB
Comments
Please see attached R-2530B, B-4974, R-2527 Permit Application Cover Letter for permanent and temporary impacts for this project (See Table 1 for Wetland Impacts and Table 3 for
Stream Impacts).
Miscellaneous attachments not previouslyrequested.

2016-10-19 R2530B 4B Merger Meeting Minutes.pdf
2018-05-16 R2530B 4C Merger Meeting Minutes.pdf
R-2527 DMS.pdf
R-2530B DMS.pdf
R-2530B B-4974 R-2527 Permit Application Cover Letter.pdf
Signature
*
�J By checking the box and signing below, I certify that:
55.18KB
138.02KB
69.49KB
67.13KB
220.11 KB
. 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 hansaction 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:
Carla Dagnino
Signature
Sign
Date
10/ 16/2018