20190060 Ver 1_PCN Form Submission_20190114

D1�VR
�irlslan af Water Resources
Initial Review
Pre-Construction Notification (PCN) Form
September 29, 2018 Ver 3
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 *
20190060
Is a payment required for this project?*
f No paymentrequired
� Fee received
F Fee needed - send electronic notification
Reviewing Office *
Cenhal Office - [phone]
Information for Initial Review
1a. Name of project:
Vandora Springs Road Improvements
1a. Who is the PrimaryContact?*
Tony Chalk P.E., Town Engineer
1b. PrimaryContact Email:*
[e-mail]
Date Submitted
1/14/2019
Nearest Body of Water
Buck Branch
Basin
Neuse
Water Classification
WS-III; NSW
Site Coordinates
Latitude:
35.692593
A. Processing Information
County (or Counties) where the project is located:
Wake
Is this project a public transportation project?*
r Yes r No
Is this a NCDOT Project?*
C' Yes r No
1a. Type(s) of approval sought from the Corps:
,r! Section 404 Permit (w�etlands, 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?
Longitude:
-78.639338
Ve rsion# *
1
What amout is owed?*
r• $zao.00
C' $570.00
Select Project Reviewer"
Rob Ridings:eads\rgridings
1c. PrimaryContact Phone:*
[phone]
::

�J 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:
14 - Linear transportation
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
r 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
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?"
f Yes r No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
C' 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
1h. Is the project located in any of NC's twenty coastal counties?
C' Yes r No
1j. Is the project located in a designated trout watershed?
l' Yes r No
B. Applicant Information
1d. Who is applying for the permit?
rJ Owner � 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:
Multiple deeds
2b. Deed book and page no.:
Multiple parcels
2c. Responsible party:
2d. Address
Street Address
Town of Garner
Address Line 2
914 7th Avenue
�Y
Garner
Fbstal / Zip Code
27529
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
r 401 Water Quality Certification - 6cpress
17 Riparian Buffer Authorization
State / Rovince / f�gim
NC
Country
USA
2f. Fax Number:
*
C' Yes r No
r Yes C' No

C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(rf appropriate)
1c. Nearest municipality I town:
Garner
2. Project Identification
2a. Propertyldentification Number:
2c. Project Address
SVeet Address
Address Line 2
ary
Postal / Zip Code
3. SurFace Waters
3a. Name of the nearest body of water to proposed project:*
Buck Branch
3b. Water Resources Classification of nearest receiving water:*
WS-III; NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202011002
4. Project Description and History
2b. Property size:
S[ate I Rovince I f�gion
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 site is currently a roadway through a single-family residential area. Land use in the surrounding vicinity is primarily residential, partially-wooded lots. A school and fire station, as
well as a wooded riparian corridor along Buck Branch are also in the project vicinity.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
� Yes r No � Unknown
4d. Attach an 8 7/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Fig 1 Vandora Springs Rd Vicinity Map.pdf 254.63KB
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)
Fig 2 Vandora Springs Rd Soils Map NCDWR Reviewed.pdf 218.38KB
4f. List the total estimated acreage of all existing wetlands on the property:
0
4g. List the total estimated linear feet of all existing streams on the property:
75
4h. Explain the purpose of the proposed project:*
The project is a road crossing improvement. The culvert under Vandora Springs Rd. is currently under-sized, and the road overtops during storm events. Additional drainage, induding
an auxliary 36" pipe undemeath Vandora Springs Rd. is proposed to alleviate this problem.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Type of work will include grading, paving, curb and gutter, and installation of drainage and placement of pipes. It is anticipated that equipment typical of earth moving, excavation, and
roadway repair and construction will be utilized.
4j. Please upload project drawings for the proposed project.
16266-Vandora Springs 1-8-19.pdf 477MB
5. Jurisdictional Determinations
Sa. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes � No r Unknown
Comments:
�,
�
Sb. If the Corps made a jurisdictional determination, what type of determination was made?*

C' Preliminary r Approved C' Not Verified � Unknown r WA
Corps AID Number:
Pre-JD request was submitted to USACE, resources verified omsite by T. Alexander, but not yet
processed.
Sc. If Sa is yes, who delineated the jurisdictional areas?
Name (if known): Heather Smith
Agency/Consultant Company: VHB (Ecological Engineering)
Other:
5d1. Jurisdictional determination upload
Combined Vandora Springs Rd. Pre-JD Submitted 2017-06-02.pdf
6. Future Project Plans
2.8MB
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?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands � Streams-tributaries
r Open Waters I� Pond Construction
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
rJ Neuse
r Catawba
� Goose Creek
r Other
6h. Total buffer impacts:
Zone 1
Total Temporary impacts: 0.00
Total Permanent impacts:
Total combined buffer impacts:
Zone 1
1, 899.00
Zone 1
1,899.00
r Tar-Pamlico
� Randleman
� Jordan Lake
Zone 2
0.00
Zone 2
1, 799.00
Zone 2
1.799.00
fJ Buffers
6i. Comments:
Buffer impacts are the result of installation of a double 36" RCP and additional roadway drainage to alleviate flooding at the crossing of Buck Branch
on Vandora Springs Road.
Supporting Documentation
Vandora Springs Road Permit Drawings Rev_01_09_2019.pdf 1.36MB
=,
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:
Stream impacts have been avoided. Project design was modified to pull back riprap pads at pipe outlets away from the top of bank of the stream
channel.
1b. Specificallydescribe measures taken to avoid or minimize the proposed impacts through construction techniques:
Work will take place along existing Vandora Springs road. Equipment will enter and leave along the roadway. Clearing is restricted to only those areas
necessary for proposed improvements.
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
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
No impacts to Waters of the U.S. or waters of the state are proposed. Buffer impacts for road crossings that impact between 40 and 150 LF and less than 1/3 acre are allowable.
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
What type of SCM are you providing?
r Level Spreader
� Vegetated Conveyance (lower SMNT)
� Wetland Swale (higher SMNT)
r Other SCM that removes minimum 30 % nitrogen
,r! Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
� Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
F Yes r No
Comments:
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)
Environmental PolicyAct (NEPA/SEPA)?*
C' Yes r No
Comme nts: *
Locally funded project, not subject to NEPA/SEPA.
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)? *
f Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
C' Yes r No
3b. If you answered "no," provide a short narrative description.

Alleviation of road flooding is not expected to result in additional development which may affect downstream water quality. The surrounding area is
already developed.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
f Yes r No � fWA
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?*
� Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
� Yes r No
Sc. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
Sd. Is another Federal agency involved?*
r Yes r No
What Federal /�ency is involved?
FEMA
Se. Is this a DOT project located within Division's 1-8?
f Yes r No
Sf. Will you cut anytrees in order to conduct the work in waters of the U.S.?
r Yes r No
Sg. Does this project involve bridge maintenance or removal?
� Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
C' Yes r No
C' Unknown
Si. 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.?
� Yes r No
S. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
On-site habitat evaluation by Heather Smith of VHB (Ecological Engineering), submittal of self-certification letter to Raleigh USFWS field office, and
subsequent coordination (phone and e-mail) with John Ellis to verify agreement with findings.
Consultation Documentation Upload
John Ellis Email 20151219.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?'�
NOAA Fisheries EFH mapper.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
171.84KB
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?*
NC State Historic Preservation Office Online Mapping for historic resources. A house (WA6326) is located near the project area. The house was
deemed ineligible for the national register in 2014, and its HPO designation is "surveyed only". The project footprint is within a residential, developed
area. Soil in the project area has been disturbed in the past.
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
Sa. Will this project occur in a FEMMdesignated 100-year floodplain?*
� Yes r No
Sb. If yes, explain how project meets FEMA requirements:
A CLOMR was submitted in October 2018 and comments received. Comments are being addressed and the final CLOMR �mll be submitted in January
2019.
Sc. What source(s) did you use to make the floodplain determination?"

NC Floodplain Mapping Program. FIRM panel 3720170000J.
Miscellaneous
Comments
Miscellaneous attachments not previouslyrequested.
Approved NCDWR Vandora Springs Rd. Improvements.pdf
3.46MB
Signature
rJ 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:
David G. Cooper
Signature
Sign
Date
1/11/2019