20190021 Ver 1_PCN Form Submission_20190102

DWR
MOM— of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
tial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Oiange only if needed.
BIMS # Assigned
20190021
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office*
Washington Regional Office - [phone]
Information for Initial Review
1a. Name of project:
NCDOT 11 5k OH Temporary Relocation and Permanent Replacement
1a. Who is the Primary Contact?*
Mark Rhyne
1b. Primary Contact Email:*
[e-mail]
Date Submitted
1/2/2019
Nearest Body of Water
Pamlico Sound
Basin
Pasquotank
Water Classification
SC (Tidal Salt Water)
Site Coordinates
Latitude: Longitude:
35.63557 -75.47321
FA. Processing Information
County (or Counties) where the project is located:
Dare
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
* 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)
* Regional General Permit (RGP)
F Standard (IP)
Version# *
1
What amout is owed?*
r• $240.00
* $570.00
Select Project Reviewer*
Robert Tankard:eads\rbtankard
1c. Primary Contact Phone:*
[phone]

1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Regional General Permit (RGP) Number:
RGP Numbers (for multiple RGPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
F Non -404 Jurisdictional General Permit
F Individual Permit
198000291 - CAMA (NC Coastal Area Management Act)
r 401 Water Quality Certification - Express
r Riparian Buffer Authorization
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:
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No
1j. Is the project located in a designated trout watershed?
C Yes r No
FB. Applicant Information
1d. Who is applying for the permit?
r- Owner V Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
US Government, Dept. of the Interior, Fish and Wildlife Service
2b. Deed book and page no.:
DB 19 PG 451
2c. Responsible party:
Cape Hatteras Electric Cooperative
2d. Address
Street Address
47109 Lightplant Rd
Address Line 2
cfty
Buxton
Fbstal / Zip Code
27920
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
r Unknown
State / Frovince / R�gicn
NC
0�untry
USA
2f. Fax Number
r Yes r No
r Yes r No

3a. Name:
Cape Hatteras Electric Cooperative
3b. Business Name:
Cape Hatteras Electric Cooperative
3c. Address
Street Address
47109 Lightplant Rd
Address Line 2
City
Buxton
Flostal / Zip Code
27920
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/town:
Rodanthe
2. Project Identification
2a. Property Identification Number:
074200340875
2c. Project Address
Street Address
Address Line 2
City
Fbstal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Pamlico Sound
3b. Water Resources Classification of nearest receiving water:*
SC (Tidal Salt Water)
3c. What river basin(s) is your project located iri
Pasquotank
3d. Please provide the 12 -digit HUC in which the project is located.
030102051505
4. Project Description and History
State / Rovinoe / Fiegicn
NC
Country
USA
3e. Fax Number:
2b. Property size:
State / Rovinoe / Fbgion
Country
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:*
The existing site is part of the Pea Island National Wildlife Refuge. All work will be confined to the permanent and temporary transmission easements.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r^ Yes r No r^ Unknown
4d. Attach an 8 1/2X11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
4e. Attach an 8 1/2X11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Soil Survey Map.pdf 596.15KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.64 ac
4g. List the total estimated linear feet of all existing streams on the property:
0

4h. Explain the purpose of the proposed project:*
A new temporary overhead transmission circuit is required to be installed to provide uninterrupted electrical service to CHEC customers during construction of the new NCDOT
Rodanthe Bridge. CHEC proposes to replace 10 existing poles while the temporary circuit is in use. The proposed work detailed below avoids environmental impact as much as is
practical by replacing the poles in the same CHEC right-of-way. The temporary overhead transmission reroute to the east side of NC -12 is necessary for the construction of the new
NCDOT Rodanthe bridge.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Proposed land disturbance will occur in the right-of-way of NC -12, in the existing CHEC easements, and in the areas that separate the two. Soil disturbing activities will include: installing
erosion and sediment controls, obstruction hand clearing, pole installation, and any necessary seeding and stabilization. Timber matting and hand -clearing will be used to ensure
wetland protection. Silt fencing and coir wattles will be used to prevent sediment from flowing to nearby drainage ditches, riparian buffers, wetlands, and waterways. The use of
temporary timber matting will mitigate impacts to the land surrounding each project area. Ten to twelve foot wide temporary roads made of removable matting will be used as needed,
depending on the distance of the poles from NC -12. The use of matting shall minimize the effects of land disturbance by allowing access for large utility vehicles and construction
equipment.
4j. Please upload project drawings for the proposed project.
188888ESCP.pdf 14.8MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No b Unknown
Comments
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r NIA
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Amanda Johnson
Agency/Consultant Company: CZR, Inc.
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r 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?
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
F- Open Waters r Pond Construction
2. Wetland Impacts
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.640 0.002
2a1 Reason M
2b. Impact type * (?)
2c. Type of W.
2d. W. name *
2e. Forested*
2f. Type of
Jurisdicition*(?)
2g. Impact
area*
A
Access to transmission
T
Unknown
A -Temp
No
Both
0.230
pole
(acres)
Al
Transmission pole
P
Unknown
A -Perm
No
Both
0.001
replacement
(acres)
B
Access to transmission
T
Unknown
B -Temp
No
Both
0.410
pole
(acres)
B1
Transmission poleJP
Unknown
B -Perm
No
Both
0.001
replacement
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.640 0.002

2g. Total Wetland Impact
0.642
2h. Comments:
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 limit of disturbance is restricted to the transmission easement where possible. Transmission pole structures will be replaced in the same location
to avoid new permanent impacts.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Timber matting will be utilized for the movement of equipment within the transmission easement and construction entrances will be used at any point
where the transmission easement will be accessed from NC -12. Wire -backed silt fence will be installed around the perimeter of the limit of disturbance.
In wetland areas, the silt fence will be replaced with compost sock to minimize disturbance during installation. Any clearing within the wetlands will be
done by hand.
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:
The work within the wetland areas is just replacement of wasting structures. There is no new development or fill proposed.
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?
r Yes r No
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes r No
Comments:
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:
The land is owned by USFWS
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 (15ANCAC 2B.0200)? *
r Yes r No
I Cumulative Impacts (DWR Requirement)
3a. Will this project 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.

A section of transmission line will be temporarily rerouted to allow for NCDOT bridge construction. Permanent replacement of existing structures will
take place after the bridge is finished.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
f Yes r Nor 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?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes C No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes r No
What Federal Agency is involved?
USFWS
5e. Is this a DOT project located within Division's 1-8?
f Yes r No
5f. Will you cut anytrees 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
5h. Does this project involve the construction/installation of a wind turbine(s)?*
C Yes r No
r Unknown
51. 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.?
C Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Coordination with Raleigh Ecological Services Field Office and the North Carolina Department of Natural and Cultural Resources
Consultation Documentation Upload
Endangered Species and Critical Habitat Consultation. pdf 1.39MB
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?*
Coordination With Raleigh Ecological Services Field Office
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?*
C Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
North Carolina State Historic Preservation Office GIS Service
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes r- No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?*
FEMA National Flood Hazard Layer
Miscellaneous

Comments
Miscellaneous attachments not previously requested.
Signature
W 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:
Ryan D. Brick
Signature
Sign
Date
1/2/2019