20090837 Ver 1_Application_20090803

a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE ! EUGENE A. CONTI, JR.
GOVERNOR

July 29, 2009 I SECRETARY

IIINNN
U.S. Army Corps of Engineers
0 o
AUG 3 2009
37
{9
Regulatory Field Office ?
DENR - WATER QUALITY
Post Office Box 1000 WETLANDS AND STORMWATER BRANCH
Washington, N.C. 27889-1000
Attention: Bill Biddlecome
Subject: Request for a NW 14 permit and DWQ 401 Certification to construct?a proposed roundabout on
SR 1336 (Harvey Point Rd) in Perquimans County.
i
The North Carolina Department of Transportation is requesting a NW 14 permit for impacts to 404
jurisdictional wetlands resulting from construction of a proposed roundabout on SR 1336 (Harvey Point
Rd) in Perquimans County. There will be 0.226 acres of wetland impacts for mechanized clearing of a sight
distance and 0.0295 acres of wetland impacts for additional roadway fill. NCDOT is requesting EEP
provide mitigation for 0.2555 acres.
Included with this letter are the PCN form, vicinity map, permit drawings, and aerial photos. If
you need any additional information or have any questions concerning this project please call me at 252-
482-7977.
Sincerely.
Jerry Jenning''s, P.E.
Division One Engineer ;
Clay Willis I
Division One Environmental Officer
Cc: Garcy Ward, DWQ
Sonia Gregory, DWQ
113 Airport Drive, Suite 100, Edenton, NC 27932, Phone [phone], Fax [phone]
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.0 November 2008
Pre-Construction Notification (PCN) Form

A. i
Applicant Information
1. Processing
la. Type(s) of approval sought from the

Corps:
®Section 404 Permit ? Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
tc. Has the NWP or GP number been verified by the Corps? ? Yes ® No
1d. Type(s) of approval sought from the DWQ (check all that apply): I
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional,General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

? Yes ®No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
®Yes
El No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below. ® Yes
1 ? No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: SR 1336 Harvey Point Rd Roundabout
2b. County: Perquimans
2c. Nearest municipality / town: Hertford
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: 42354
3. Owner Information
3a. Name on Recorded Deed:
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable): i
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.,
3h. Email address:
Page 1 of 11
PCN Form - Version 1.0 November 2008 Version
Section A. Applicant Information, continued
4. Applicant Information (if different from owner)
4a. Applicant is: ® Agent ? Other, specify:
4b. Name: Clay Willis, Division Environmental Officer
4c. Business name
(if applicable):
NCDOT
4d. Street address: 113 Airport Dr, Suite 100
4e. City, state, zip: Edenton, NC 27932
41'. Telephone no.: 252-482-7977
4g. Fax no.: 252-482-8722
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable): ;
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.: 1
5g. Email address:
Page 2 of 11
PCN Form - November 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1 b. Site coordinates (in decimal degrees): 36.10589'N - 76.35843'W
1 c. Property size: 2 acres j
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Minzies Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: SC f
2c. River basin: Pasquotank j
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinityiof the project at the time of this
application:
Existing conditions are 20' paved road with general land use in the vicinity being wooded and agricultural.
3b. List the total estimated acreage of all existing wetlands on the property:
0.3 acres
i
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
There are no intermittent or perennial streams on the property. j
3d. Explain the purpose of the proposed project:
To construct a roundabout at the interseciton of SR 1336 (Harvey Pt Rd) & SR 1433 (Goose Nest Ln) in order to facilitate
large trucks turning around.
3e. Describe the overall project in detail, including the type of equipment to be used:
To construct a 150' diameter roundabout at the intersecion of SR 1336 & SR 1433. Additional mechanized clearing will
take place for sight distances and a portion of the road. A shallow ditch will be constructed through a portion of the
impacted wetlands on the west side of the project. The ditch will be no deeper than 1' through the wetland areas. Heavy
equipment that will be used will be an excavator, backhoe, and dump trucks.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / ® Yes ?'INo ? Unknown
project (including all prior phases) in the past?
41b. If the Corps made the jurisdictional determination, what type
® Preliminary?Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: ACOE
Name (if known): Bill Biddlecome Other: i
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
1/26/09
5. Project History I
5a. Have permits or certifications been requested or obtained for ? Yes ®;No ? Unknown
this project (including all prior phases) in the past?
51b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans j
6a. Is this a phased project? ? Yes ®'No
6b. If yes, explain.
Page 3 of 11
PCN Form - Version 1.0 November 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
la. Which sections were completed below for your project (check all that apply):
® Wetlands ? Streams - tributaries ? Buffers

? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 21b. 2c. 2d. 2e. it 2f.
Wetland impact Type of jurisdiction
number - Type of Type of wetland Forested (Corps - 404, 10 Area of impact (acres)
Permanent (P) or impact (if known) DWQ - non-404, other)
Temporary T
W1 ®P ? T fill pine flat ® Yes ? No ® Corps
? DWQ 0.0295
W2 ®P ? T clear &
grub pine flat ® Yes ? No ® Corps
? DWQ 0.226
W3 ?P?T ?Yes ?No ?Corps
? DWQ
W4 ? P ? T ? Yes ? No ? Corps
? DWQ
W5 ? P ? T ? Yes ? No ? Corps
? DWQ
W6 ? P ? T El Yes ? No El Corps
? DWQ 1
2g. Total wetland impacts 0.2555
2h. Comments: W1 will be impacted for additional fill and W2 will be cleared and grubbed and kept as a mainted sight
distance.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted. I
3a. 3b. 3c. 3d. 3e. 1 3f.
Stream impact Type of Stream name Perennial (PER) or Average stream width (feet) Impact
number - impact intermittent (INT)? length
Permanent (P) or 1 (linear feet)
Temporary (T)
S1 ?P?T ?PER ?INT
S2 ?P?T ?PER ?INT
S3 ?P?T ?PER ?INT j
S4 ?P?T ?PER ?INT
S5 ?P?T ?PER ?INT j
S6 ? P ? T ? PER ? INT
3g. Total stream and tributary impacts 0
31h. Comments: There will be no stream impacts associated with this project. I
Page 4 of 11
PCN Form - Version 1.0 November 2008 Version
C. Proposed Impacts Inventory, continued
I
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individual) list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of
impact number waterbody Type of impact waterbody type Area of impact (acres)
- Permanent (if
(P) or applicable) I
Temporary T
01 ?P?T j
02 ?P?T
03 ?P?T
04 ?P?T
M. Total open water, impacts
4g. Comments: There will no open water impacts associated with this project.
Page 5 of 11
PCN Form - November 2008 Version
C. Proposed Impacts Inventory, continued
5. Pond or Lake Construction
If and or lake construction pro osed, then complete the chart below.
5a. 51o. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or (acres)
number purpose of pond
Flooded
Filled
Excavated
Flooded
j Filled
Excavated
Flooded
P1 )
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres): I
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then ou MUST fill out Section D of this form.
6a.
? Neuse ?Tor-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact (square Zone 2 impact
Permanent (P) for impact Stream name mitigation feet)I (square feet)
or Temporary required?
T
B1 ?P?T ?Yes ?No
B2 ?P?T ?Yes ?No
B3 ?P?T ?Yes ?No
6h. Total buffer impacts
6i. Comments:

Page 6 of 11
PCN Form - November 2008 Version
D. Impact Justification and Mitigation j
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Clearing limits were minimized to the least possible based on the minimum sight distance needed. The turning radius for
the roundabout was also minimized based on the minimum amount needed for tractor trailer traffic.
tb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Methods of construction will be concurrent with NCDOT Best Management Practices for soil and erosion control . Limits
of permitted impacted areas will be clearly marked prior to clearing and grubbing.
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 ? No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ® Corps

2c.
If yes, which mitigation option will be used for this
project? ? Mitigation bank

® Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type ; Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program i
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: 0 :linear feet
4c. If using stream mitigation, stream temperature: :warm, cool, cold
4d. Buffer mitigation requested (DWQ only): 0 square feet
4e. Riparian wetland mitigation requested: 0.2555 i acres
4f. Non-riparian wetland mitigation requested: 0 acres
4g. Coastal (tidal) wetland mitigation requested: 0 acres
4h. . Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form - Version 1.0 November 2008 Version
D. Impact Justification and Mitigation, continued
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWO:
6a. Will the project result in an impact within a protected riparian buffer that requires :? Yes ® No
buffer mitigation?
i
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required. I
Zone Reason for impact Total impact
(square feet) Multiplier Required mitigation
i (square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
Total buffer mitigation required:
6c. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
l
6d. Comments:
Page 8 of 11
PCN Form - November 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified ? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? j ? Yes ? No
2. Determination if the Project Requires a Stormwater Management Plan i
2a. Does the project require a Non-404 Jurisdictional General Permit?
i ? Yes ® No
2b. Is the project subject to General Certification 3704 or 3705? ? Yes ®No
3. Determination of Stormwater Review Jurisdiction
3a. Is this project subject to any of the following state-implemented stormwater I ? Coastal counties
management programs (check all that apply)? ? HQW
? ORW
If so, attach one copy of the approval letter from the DWQ and one copy of the ? Session Law 2006-246
approved stormwater management plan. 1 ? Other:
31b. In which local government's jurisdiction is this project?
i
3c. Is this local government certified to implement a state stormwater program? i I ? Yes ®No
If so, attach one copy of the approval letter from the local government and one copy
of the approved stormwater management plan (or one copy of the approved I
Stormwater management plan stamped as approved).
{
4. Information Required for DWQ 401 Unit Stormwater Review
4a. What is the overall percent imperviousness according to the most current site plan? Impervious area will increase by
0.290 acres.
41b. Does this project contain any areas that meet the criteria for "high density" per I ? Yes ®No
General Certifications 3704 and 3705?
4c. If the site is over 24% impervious and/or contains high density areas, then provide;a brief narrative description of the
stormwater management plan.
t
4d. Has a completed BMP Supplement Form with all required items been submitted ? Yes ? No
for each stormwater BMP?
Page 9 of 11
PCN Form - Version 1.0 November 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la . Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
1 b . 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 ? Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
Stale Clearing House? (If so, attach a copy of the NEPA or SEPA final approval I
? Yes
? No
letter.)
Comments: j
2. Violations (DWQ Requirement)
2a . Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ®No
or Riparian Buffer Rules (15A NCAC 2B.0200)?
2b. Is this an after-the-fact permit application? ? Yes ®No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):

3. I
Cumulative Impacts (DWQ Requirement)

3a. i
Will this project (based on past and reasonably anticipated future impacts) result in
? Yes
®No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
t

4. t
Sewage Disposal (DWQ Requirement)
4a . Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
i
i
S'
5
Page 10 of 11
PCN Form - Version 1.0 November 2008 Version
F. Supplementary Information, continued
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ? Yes ® No
habitat?
5b. Have you checked with the t1SFWS concerning Endangered Species Act ? Yes ®No
impacts?
? Raleigh
5c. If yes, indicate the LISFW S Field Office you have contacted.
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
North Carolina Natural Heritage Program
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Marine Fisheries Essential Habitat List
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 ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
71b . What data sources did you use to determine whether your site would impact historic or archeological resources?
SHPO review
6. Flood Zone Designation (Corps Requirement)
8a . Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ®No
81b . If yes, explain how project meets FEMA requirements:
c
8c. What source(s) did you use to make the floodplain determination? North Carolina Floodplain Mapping Information System
Clay Willis 14
Applicant/Agent's Printed Name Applio-r tlAgent's Signature
(Agent's signature is vat" only if an authorization letter from the applicant Date
is provided.)
Page 11 of 11
PCN Form - November 2008 Version

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