20190196 Ver 1_PCN Form Submission_20190213

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 * Version#"
20190196 1
Is a payment required for this project?*
f No paymentrequired
� Fee received Reviewing Office *
f Fee needed - send electronic notification Central Office -[phone]
Select Project Reviewer"
Rob Ridings:eads\rgridings
Information for Initial Review
1a. Name of project:
Realign Intersection of SR 2519 (Braswell Road) & SR 2525 (Ormond Road) at SR 2523 (Bakers Chapel Road)
1a. Who is the PrimaryContact?*
Chad Coggins
1b. PrimaryContact Email:* 1c. PrimaryContact Phone:*
[e-mail] [phone]
Date Submitted
2/13/2019
Nearest Body of Water
Quicosin Swamp
Basin
Neuse
Water Classification
C;NSW
Site Coordinates
Latitude: Longitude:
35.44211 -7821845
A. Processing Information
County (or Counties) where the project is located:
Johnston
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:
80073 (Stated Funded Project)
WBS # (�)
80073
1a. Type(s) of approval sought from the Corps:
::

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:
14 - Linear transportation
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
1e. Is this notification solelyfor the record because written approval is not required?
Forthe record onlyfor DWR401 Certification:
For the record onlyfor Corps Permit:
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?
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?
� Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r Owner fJ Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
f Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
State of North Carolina (NCDOT)
2b. Deed book and page no.:
2c. Responsible party:
NCDOT Div 4
2d. Address
Street Address
P.O. Box 3165
Address Line 2
�Y
Wilson
Fbstal / Zip Code
27548
2e. Telephone Number:
[phone]
2g. Email Address:*
r 401 Water Quality Certification - E�ress
rJ Riparian Buffer Authorization
State / Aovince I F�gion
NC
Country
USA
2f. Fax Number:
x
C' Yes R No
C' Yes G No

[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Chad Coggins
3b. Business Name:
NCDOT Div 4
3c.Address
Street Address
P.O. Box 3165
Address Line 2
ary
Wilson
Postal / Zip Code
27828
3d. Telephone Number:
[phone]
3f. Email Address:"
[e-mail]
S[ate / Awince I Region
NC
Country
USA
3e. Fax Number:
C. Project Information and Prior Project History �
1. Project Information �
1b. Subdivision name:
(rf appropriate)
1 c. Nearest municipality l town:
Princeton
2. Project Identification
2a. Propertyldentification Number:
2c. Project Address
Street Address
Address Line 2
ary
Postal / Zip Code
3. SurFace Waters
3a. Name of the nearest body of water to proposed project:"
Quicosin Swamp
3b. Water Resources Classification of nearest receiving water:*
C;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.
030202011701
4. Project Description and History
2b. Property size:
S[ate I Rovince I Region
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:*
Forestry and Agriculture are the predominant land uses with some rural single-family residential housing in the vicinity of this project.
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)
SR 2523 80073 Topo map.pdf 2.45MB
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)
SR 2523 80073 Soils map.pdf 1.11 MB

4f. List the total estimated acreage of all existing wetlands on the property:
0.05
4g. List the total estimated linear feet of all existing streams on the property:
100
4h. Explain the purpose of the proposed project:"
Realign intersection which has a blind curve that has cause an unsafe interchange between Bakers Chapel Road and Bras�ll Rd. / Ormond Rd.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Realign intersection wfiich has a blind curve that has cause an unsafe interchange between Bakers Chapel Road and Bras�ll Rd. / Ormond Rd. by relocating Braswell Rd. and
Ormond Rd. from their existing alignment with Bakers Chapel Road. Heavy road building equipment will be used for this project.
4j. Please upload project drawings for the proposed project.
80073 PERMIT DRAWINGS 02-12-2019 (002).pdf 1.51 MB
5. Jurisdictional Determinations
Sa. Have the wetlands or streams been delineated on the property or proposed impact areas?"
� Yes r No
Comments:
Chad Coggins, NCDOT Div 4 DEO conducted onsite jurisdictional delineation.
Sb. If the Corps made a jurisdictional determination, what type of determination was made?"
� Preliminary r Approved � Not Verified � Unknown r WA
Corps AID Number:
Sc. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
Chad Coggins
NCDOT Div 4 DEO
r Unknown
6a. Is this a phased project?*
f 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 activiq/?
No, single and complete linear transportation project with independent utility.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
�J Wetlands �J Streams-tributaries
r Open Waters r Pond Construction
2. Wetland Impacts
�J Buffers
2a. Site #* (�) 2a1 Reason (�) 2b. Impact type *(�) 2c. Type of W. * 2d. W. name * 2e. Forested *�f. Type of 2g. Impact
Jurisdicition*(') area*
Site 1 road culvert excavation P Bottomland Hardwood Forest Quicosin Swamp No Both 0.005
and fill (acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.005
2h. Comments:
2g. Total Permanent Wetland Impact
0.005
3. Stream Impacts

Reason for impact ('')
j culvert fill
j culvert fill
j culvert fill dewatering
3b.lmpact type * 3c. Type of impact* 3d. S. name * 3e. Stream Type * 3f. Type of 3g. S. width* 3h. Impact
(') Jurisdiction* length*
Stabilization
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
76
3i. Total stream and ditch impacts:
86
3j. Comments:
Existing road culvert removed and resulting stream channel opened (i.e. day-lighted).
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
fJ Neuse
r Catawba
r Goose Creek
r Other
Impact Type I 6c. Per or Temp
1 allowable road culvert construction IP
�
Quicosin Swamp Perennial
Quicosin Swamp Perennial
Quicosin Swamp Perennial
3i. Total temporary stream impacts:
10
r Tar-Pamlico
� Randleman
r Jordan Lake
Average (feet) (linear feet)
�10
Average (feet) (linear feet)
�10
Average (feet) (linear feel)
Stream name Il6e. Buffer mitigation required? Il6f. Zone 1 impact Il6g. Zone 2 impact
:osin Swamp No 6,228 3,256
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 6,228.00 3,286.00
Zone 1 Zone 2
Total combined buffer impacts: 6,228.00 3,286.00
6i. Comments:
Supporting Documentation
80073 PERMIT DRAWINGS 02-12-2019 (002).pdf 1.51 MB
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:
Located road realignment away from jurisdictional wetland features as much as practicable.
1b. Specificallydescribe measures taken to avoid or minimize the proposed impacts through construction techniques:
All construction equipment will be staged and operated from upland areas. DOT will also install silt fencing to protect the streams and wetlands
adjacent to the projecL Safety fencing will be used to delineate jurisdictional and environmentally sensitive areas.
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:
Jurisdictional waters and wetlands impacts fall belowthresholds of significant impacts / requirement for compensatory mitigation.
n�

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
rJ Vegetated Conveyance (lower SHWT)
� Wetland Swale (higher SM/VT)
r Other SCM that removes minimum 30 % nitrogen
r Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
80073 PERMIT DRAWINGS 02-12-2019 (002).pdf
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
� Yes r No
Comments:
G. Supplementary Information
1. Environmental Documentation
1.51 MB
1a. Does the project involve an expenditure of public (federallstate/local) funds or the use of public (federallstate) land?*
� 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:
x
MCDC available on request.
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)?*
C' Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?'�
f Yes r No
3b. If you answered "no," provide a short narrative description.
Realignment of existing intersection associated with safety concems for intersection. No other upgrades or improvements.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
C' Yes r No r WA
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? *
G Yes �' No
Sb. Have you checked with the USFWS concerning Endangered Species Act impacts?*
F Yes r No
Sc. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
Sd. Is another Federal agency involved?*
f Yes 6 No
�' Unknown

Se. Is this a DOT project located within Division's 1-8?
r Yes r No
S. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Red-cockaded woodpecker foraging or nesting habitat is not found adjacent to the project area. NCNHP database records no element occurrence
within a mile of the project area. (No Affect) / Michau�(s sumac is listed as Historic for Johnston Co. NCNHP database records no element occurrence
within a mile of the project area. (No Affect) // Programmatic BO of MALTAA for NLEB. /// Tar River Spinymussel is listed as a TE species Ihat may
occur in the proposed project area. NCNHP database records no element occurrence of this mussel within a mile of the project area. Therefore, this
project meets the Section 7 Mussel Programmatic protocols of a Programmatic BO of MA-NLAA for the Tar River Spinymussel. Atlantic Pigtoe was
proposed "Threaten° on October, 2018, with anticipated listing on October, 2019. Consultation with Gary Jordan, FWS Raleigh, confirmed the FWS is
processing the Atlantic Pigtoe listing to coincide with being included in the protocols of the existing Section 7 Mussel Programmatic Process
Programmatic BO for North Carolina. NCNHP database records no element occurrence of Atlantic Pigtoe within a mile of the project area. Therefore
based on this consultation with FWS, it is anticipated that Atlantic Pigtoe would comply with PBO protocols of MA-NLAA for this project.
Consultation Documentation Upload
FWS IPaC TE IisLpdf
NCNHP element occurence letter.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? *
GIS / NOAA AUantic Sturgeon proposed rule dated 96/03/2016.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
219.8KB
3.18MB
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?"
HEU Clearance
7c. Historic or Prehistoric Information Upload
18-09-0026NoSurvey.pdf 2.7SMB
SR 2519-SR 2525 Johnston No Archaeological Survey Required Form.pdf 1.09MB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMMdesignated 100-year floodplain?*
� Yes r No
8c. What source(s) did you use to make the floodplain determination?*
FRIS
Miscellaneous
Comments
Miscellaneous attachments not previouslyrequested.
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:
Chad Coggins
Signature
C�R.I�� Af/�CA!cI
Date
2/13/2019