20181440 Ver 1_PCN Form Submission_10/25/2018 2:05 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 *
20181440
Is a payment required for this project?*
f No paymentrequired
� Fee received
f Fee needed - send electronic notification
Select Project Reviewer"
Joanne Steenhuis:eads\jhsteenhuis
Information for Initial Review
1a. Name of project:
W-5602 NC V2 Widening
1a. Who is the PrimaryContact?*
Anneliese Westphal
1b. PrimaryContact Email:*
[e-mail]
Date Submitted
10/25/2018
Nearest Body of Water
Everett Creek / Fannie Creek / New River
Basin
White Oak
Water Classification
SA; HQW
Site Coordinates
Latitude:
34.5553
A. Processing Information
County (or Counties) where the project is located:
Onslow
Is this project a public transportation project?*
r Yes r No
Is this a NCDOT Project?*
G Yes r No
(NCDOT only) T.I.P. or state project number:
W-5602
WBS # (�)
50139.1.FR1
1a. Type(s) of approval sought from the Corps:
Longitude:
-77.4093
Ve rsion# *
1
Reviewing Office *
Wilmington Regional Office - [phone]
1c. PrimaryContact Phone:*
[phone]

rJ 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)
1c. Has the NWP or GP number been verified bythe Corps?
C' Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
fJ 401 Water Quality Certification - Regular
r' Non-404 Jurisdictional General Permit
r Individual Permit
14 - Linear transportation
1e. Is this notification solelyfor the record because written approval is not required?
Forthe record onlyfor DWR401 Certification:
For the record onlyfor Corps Permit:
r 401 Water Quality Certification - E�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?
F Yes r No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
� Yes r No
Acceptance LetterAttachment
W-5602 - NC 172 - Division 3- STR - RW - NRW - WO 01.pdf
1h. Is the project located in any of NC's twenty coastal counties?
G Yes r No
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
� Yes r No r Unknown
1j. Is the project located in a designated trout watershed?
C' Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r Owner rJ Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
� Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
NCDOT
2b. Deed book and page no.:
2c. Responsible party:
Karen Collette, P.E.
2d. Address
Street Address
5501 Barbados Blvd.
Address Line 2
�Y
Castle Hayne
Postal / Zip Code
28429
State / Rovince / f�gion
NC
Country
USA
66.36KB
x
C' Yes R No
C' Yes G No
�

2e. Telephone Number:
[phone]
2g. Email Address:*
keco I lette@ n cd ot. gov
3. Applicant Information (if different from owner)
3a. Name:
Anneliese Westphal
3b. Business Name:
NCDOT Division 3
3c.Address
Street Address
5501 Barbados Blvd.
Address Line 2
�Y
Castle Hayne
Fbstal / Zip Code
28429
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(rf appropriate)
WA
1c. Nearest municipalityl town:
Sneads Ferry
2. Project Identification
2a. Property Identification Number:
N/A
2c. Project Address
Street Address
Address Line 2
ary
Fbstal I Zip Code
3. SurFace Waters
3a. Name of the nearest body of water to proposed project:*
Everett Creek / Fannie Creek / New River
3b. Water Resources Classification of nearest receiving water:*
SA; HQW
3c. What river basin(s) is your project located in?*
White Oak
3d. Please provide the 12-digit HUC in which the project is located.
03020302021Q 030203020301,and 030203020302.
4. Project Description and History
2f. Fax Number:
[phone]
State / Rovince I F�gion
NC
Country
USA
3e. Fax Number:
[phone]
2b. Property size:
N/A
5[ate I Rovince I Region
Country
4a. Describe the existing conditions on the site and the generel land use in the vicinity of the project at the time of this application:*
The e�sting conditions on the site consist of a primary road facility (NC 172) within a 100-foot right-of way. The facility is mainly a two-lane facility with grassed shoulders and ditch
sections. One existing section has three lanes. The general land use in the vicinity consists of commercially and residentially developed properties as v>�II as parcels which are
undeveloped. The undeveloped area consists of both cleared and forested parcels.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
f Yes �' No r Unknown
n

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)
W-5602 Topo Map.pdf 534.65KB
4e. Attach an 8 7/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Soil_Map.pdf 12MB
4f. List the total estimated acreage of all existing wetlands on the property:
2.11
4g. List the total estimated linear feet of all existing streams on the property:
323
4h. Explain the purpose of the proposed project:"
The purpose of this project is to address a pattern of rear end crashes, frontal impact crashes, and lane departure crashes along this segment of NC 172. Between 2008 and 2013
there were 169 total crashes including 2 fatal crashes in this section of NC 172. A three-lane facility will reduce the amount of rear-end crashes by shifting turning vehides out of the
through lane and into the center turn lane. This will reduce queuing of traffic in Ihe through lane.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
This project is on NC 172 from NC 210 to the Camp Lejeune Gate in Onslow County. Specifically, this project proposes widening of travel lanes, the addition of a center turn lane,
drainage, curb and gutter, a right turn lane at SR 1557 (Wheeler Creek Road), and resurfacing from east of NC 210 to approximately 600 feet north of SR 1678 (Old Ferry Road). This
project also includes resurfacing only on NC 172 from appropmately 600 feet north of SR 1678 (Old Ferry Road) to the Camp Lejeune gate (not induding the bridge deck).
Typical road building and construction equipment will be used including excavators, dump trucks, motor graders, and milling and paving equipment.
4j. Please upload project drawings for the proposed project.
W-5602_Permit Drawings_2015-10-19.pdf 5.17MB
5. Jurisdictional Determinations
Sa. Have the wetlands or streams been delineated on the property or proposed impact areas?*
F Yes r No
Comments:
Field Verification date: September 23, 2015
Sb. If the Corps made a jurisdictional determination, what type of determination was made?*
F Preliminary (' Approved r Not Verified r Unknown f' WA
Corps AID Number:
SAW-2015-02055
Sc. If Sa is yes, who delineated the jurisdictional areas?
Name (if known): Christopher Dustin
Agency/Consultant Company: SEPI (at the time of the delineation)
Other:
r Unknown
Sd. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
January 13, 2017 (Corps)
5d1. Jurisdictional determination upload
final signed PJD tearsheet.pdf 39.82KB
6. Future Project Plans
6a. Is this a phased project?*
C' Yes r 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?
No.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
fJ Wetlands IIJ Streams-tributaries
,r! Open Waters I� Pond Construction
2. Wetland Impacts
r Buffers
Site #" (') ��2a1 Reason p) ��2b. Impact type"(') ��2a Type of W." ��2d. W. name" ��2e. Forested" ���f. Type of
2g.lmpact
*(�) area*
�,

Site 1 Fill P Headwater Forest WA Yes Both 0.006
(acres)
Site 1 Mech. clearing P Headwater Forest WA Yes Both 0.004
(acres)
Site 3 Fill P Hardv,nod Flat WI Yes Both 0.133
(acres)
Site 3 Excavation P Hardv,nod Flat WI Yes Both 0.073
(acres)
Site 5 Fill P Pocosin WG Yes Both 0.006
(acres)
Site 5 Excavation P Pocosin WG Yes Both 0.004
(acres)
Site 6 Fill P Headwater Forest WC Yes Both 0.010
(acres)
Site 6 Mech. clearing P Headwater Forest WC Yes Both 0.005
(acres)
Site 6 Hand Clearing T Headwater Forest WC Yes Both 0.005
(acres)
2g. Total Temporary Wetland Impact
0.005
2g. Total Wetland Impact
0.246
2h. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.241
Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name * 3e. Stream Type * 3f. Type of 3g. S. width* 3h. Impact
(?) Jurisdiction* length*
idway Drainage Permanent Culvert SA Perennial Both 4 15
Average(feet) (linearfeet)
idway Drainage Temporary Dewatering SA Perennial Both 4 14
Average(feet) (linearfeet)
idway Drainage Permanent Bank Stabili�ation SA Perennial Both 4 10
Average(Feet) (linearfeet)
idway Drainage Permanent Culvert SB-1 Intermittent Both ��
Average(feet) Qinearfeet)
idway Drainage Temporary Dewatering SB-1 Intermittent Both � 10
Average(feet) Qinearfeet)
idway Drainage Permanent Bank Stabilization SB-1 Intermittent Both � 11
Average(feet) (linearfeet)
idway Drainage Permanent Culvert SC Perennial Both � 30
Average(feet) Qinearfeet)
idway Drainage Temporary Dewatering SC Perennial Both 4 19
Average (feet) (linear feet)
idway Drainage Permanent Bank Stabilization SC Perennial Both 4 13
Average (feet) (linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
82
3i. Total stream and ditch impacts:
125
3j. Comments:
S1, S2, and S3 are associated with Site#1 on permit drawings.
S4, S5, and S6 are associated with Site #2 on permit drawings.
S7, SS., and S9 are associated with Site#6 on permit drawings.
4. Open Water Impacts
3i. Total temporary stream impacts:
43
I4a. Site # 4a1. Impact Reason 4b. Impact type 4c. Name of waterbody 4d. Activitytype 4e. Waterbody type 4f. Impact area

ISite 4 Roadway Drainage P Trib SD Stabilization Tributary 0.01
Site 4 Roadway Drainage T Trib SD Dewatering Tributary 0.01
4g. Total temporary open water Impacts:
0.01
4g. Total open water impacts:
0.02
4g. Total permanent open water impacts:
0.01
4h. Comments:
The "stabilization" impacts shown above are for bank stabilization and are also shown in the impact summary table as 3 linear feet.
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:
1. Riprap was minimized at jurisdictional pipe outlets. 2. In several locations, 2:1 slopes were used where possible to minimize impacts to wetlands. 3.
The proposed ditch (from 90+00 to 103+04 RT) was designed on a minimum slope to minimize excavation in wetlands.
1b. Specificallydescribe measures taken to avoid or minimize the proposed impacts through construction techniques:
The project will be constructed utilizing approved Best Management Practices for Construction and Maintenance Activities. All permit plans and
conditions will be enforced so that the amount of impacts is limited to what is enumerated in this application.
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):
fJ DWR fJ Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank �J Payment to in-lieu fee I� 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.
C' Yes r No
4b. Stream mitigation requested:
(linear feet)
98
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non-riparian wetland mitigation requested:
(acres)
0.432
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(acres)
0.05
4g. Coastal (tidal) wetland mitigation requested:
(acres)
4h. Comments
The "mitigation requested" numbers shown above are 2 times the amounts shown for impacts on attached Mitigation Acceptance Letter from the
NCDEQ Division of Mitigation Services.
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.
f 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?
� Yes r No
If no, explain why:
There are no protected riparian buffers in the White Oak River Basin.
2. Stormwater Management Plan
�

2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
F Yes r No
Comments:
The Stormwater Management Plan is within the pdf package titled "W-5602_Permit Drawings_2018-10-19.pdF' under 4j.
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federallstate/local) funds or the use of public (federallstate) land? *
F 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)
Environme ntal Policy Act (NEPAISEPA)? *
C' Yes r No
Comments:
*
This project is considered a Category 26 Type 1A Categorical Exdusion.
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 26 .0200)? *
� Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water qualit�/?*
C' Yes r No
3b. If you answered "no," provide a short narrative description.
This project qualifies as an action "26" categorical exclusion under 23 CFR 771.117. The project is in a category of projects that add either no or a
minor amount of new impervious surface directly. indirectly. or cumulatively. Consequently, the project will not result in cumulative impacts that cause
or will cause a violation of downstream water quality standards.
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? *
G Yes r No
Sb. Have you checked with the USFWS concerning Endangered Species Act impacts?*
C' Yes r No
Sd. Is another Federal agency involved?*
G Yes f No
What Federal Agency is involved?
FWHA (federal funding)
Se. Is this a DOT project located within Division's 1-8?
� Yes r No
�' Unknown
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
US Fish and Wildlife Service website and field surveys within the study area.
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat? *
G Yes r No
Are there submerged aquatic vegetation (SA� around the project vicinity?*
C' Yes �' No C' Unknown
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*

Although the National Marine Fisheries Service has identified Everett Creek as an Essential Fish Habitat, Everett Creek is outside of the study area.
The proposed project will not directly impact Everett Creek. An email correspondence from the Division of Coastal Management's Fisheries Resource
Specialist states that there are no issues w�th this project. A pdf of this correspondence is attached under "miscellaneous attachments" below.
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 status?*
f• Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?"
NCDOT's cultural resources specialists were consulted. Please see the attached "No Adverse EffecY' and "No Eligible Sites" forms.
7c. Historic or Prehistoric Information Upload
OnslowNC 172NoAdvEffect. pdf
AR 15-11-0002noelig iblesites. pdf
8. Flood Zone Designation (Corps Requirement)
Sa. Will this project occur in a FEMA-designated 100-year floodplain?*
� Yes r No
8c. What source(s) did you use to make the floodplain determination?*
FEMA Rood Insurance Risk Maps (FIRMs)
Miscellaneous
6.16MB
3.84MB
Comments
The North Carolina Department of Transportation understands that $240.00 application fee will be debited to the provided WBS element number for the Division of Water Resource's
general certification.
Miscellaneous attachments not previouslyrequested.
DCM Fisheries Correspondence.pdf
Signature
*
,r! By checking the box and signing below, I certify that:
120.88K6
. 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 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:
Anneliese Westphal
Signature
Sign
Date
10/25/2018
�