20190591 Ver 1_PCN Form Submission_20190507

DWR
IDIOM n of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
21nitial 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
Change only if needed.
BIMS # Assigned
20190591
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Rob Ridings:eads\rgridings
Information for Initial Review
1a. Name of project:
1-95 / NC 4 Br 630203 Interchange Improvement
1a. Who is the Primary Contact?*
Chad Coggins
1b. Primary Contact Email:*
[e-mail]
Date Submitted
5/7/2019
Nearest Body of Water
Swift Creek
Basin
Tar -Pamlico
Water Classification
QNSW
Version# *
1
Reviewing Office*
Central Office - [phone]
1c. Primary Contact Phone:*
[phone]
Site Coordinates
Latitude: Longitude:
36.06256-77.81955
FA. Processing Information U
County (or Counties) where the project is located:
Flash
Is this project a public transportation project?*
r Yes r' No
Is this a NCDOT Project?*
r Yes r No
(NCDOT only) T.I.P. or state project number:
TIP B-5980 / Federal Funded Project
WBS # (?)
47617.1.1
1a. Type(s) of approval sought from the Corps:

W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What types) of permit(s) do you wish to seek authorization?
r Nationwide Permit (NWP)
rJ Regional General Permit (RGP)
r' Standard (IP)
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:
fJ 401 Water Quality Certification - Regular
F Non-404 Jurisdictional General Permit
F Individual Permit
198200031 - NCDOT Bridges, Widening Projects 2015
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
F 401 Water Quality Certification - Express
W Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
C 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?
C Yes r No
Acceptance Letter Attachment
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?
C Yes r No
F. Applicant Information
1d. Who is applying for the permit?
r- Owner rJ Applicant (other than owner)
le. 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
city
Wilson
Postal / Zip Oide
27828
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Frwinee / R�gion
NC
0�untry
USA
2f. Fax Number:
*
C Yes r No
C Yes r 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
City
Wilson
Postal / Zip Cade
27828
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/town:
Gold Rock
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
city
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Swift Creek
3b. Water Resources Classification of nearest receiving water:*
QNSW
3c. What river basin(s) is your project located in?*
Tar -Pamlico
3d. Please provide the 12-digit HUC in which the project is located.
030201010801 030201010803
4. Project Description and History
State / Ftovince / fbgion
NC
Country
USA
3e. Fax Number:
2b. Property size:
State / Frovince / 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:*
The project study area is generally commercial in nature with Wake Stone Corporation, McLane Carolina, The Cheesecake Factory Bakery, Draka Elevator Products, Original Log
Cabin Homes and LS Tractor USA located in the project area. Immediately adjacent to EAt 145 interchange are several chain motels, fast food restaurants and gas station convenience
stores along with NCDOT rights -of -ways and impervious surfaces. Residential and agricultural areas are on the outside fringe of the commercial properties within the project study area.
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 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Nash 203 Topo map.pdf
4.52MB
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)

Nash 203 Soils map.pdf 147.84KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.43 acre
4g. List the total estimated linear feet of all existing streams on the property:
200 linear feet of jurisdictional stream channel
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to improve traffic operations at the 1-95 and NC 4 interchange (exit 145) and better accommodate truck traffic through the interchange by
correcting geometric deficiencies. 1-95 is a major regional freight corridor with about 17 percent heavy vehicles. Roadways in the project study area serve high volumes of trucks exiting
1-95 to access commercial and industrial development, as well as services such as gas, food, and lodging, near the interchange.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The proposed project would replace the existing trumpet interchange at 1-95 and NC 4 with a new diamond interchange. The diamond interchange would include roundabouts at the
ramp terminals on NC 4. In addition, Halifax Road would be realigned to tie into the new interchange from the west, and the existing Halifax Road bridge over 1-95 would be removed. No
improvements would be made to the existing 1-95 through lanes. Traffic would be maintained on existing facilities for the duration of the construction. Nighttime lane closures on 1-95
would be used to construct the new NC 4 bridge over 1-95. Heavy road and bridge building equipment would be used.
4j. Please upload project drawings for the proposed project.
B5980 Buffer Permit Drawings20190404.pdf 2.15MB
B5980 Stream and Wetland Permit Drawings_20190222.pdf 2.84MB
B5980_HYD_SMPv2.08_20190222.pdf 26.71 KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:
Tom Steffens made an onsite jurisdiction call on the drainageway located in the northwest quadrant
of the wasting interchange on July 05, 2018.
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r Approved r Not Verified r Unknown r WA
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Chad Coggins
Agency/Consultant Company: NCDOT Div 4
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
Tom Steffens made an onsite jurisdiction call on the drainageway located in the northwest quadrant of the existing interchange on July 05, 2018.
5d1. Jurisdictional determination upload
usace call.pdf 54.05KB
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?
LD. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries W Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
!a. Site #* (?) 2a1 Reason(?) 2b. Impact type * (?) 2c. Type of W. 2d. W. name * 2e. Forested* 2f. Type of 2g. Impact
Jurisdicition*(?) area*
_11
t
2 pavement removal T Headwater Forest UT Swift Creek Yes Both 0.000
(acres)

2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.000
2g. Total Wetland Impact
0.000
2h. Comments:
Site 2 includes 0.01 acre of hand clearing in wetlands associated with pavement removal of existing Halifax Road.
3. Stream Impacts
❑ 3a. 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*
30"WSP Permanent Culvert UT
S1
Swift Creek
Perennial
Both
2
Aver.ge(fee[)
23
(linear feet)
S2
dewatering ::Tt::]
Dewatering
UT Swift Creek
Perennial
Both
2
Average (feet)
10
(linearfeet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
3i. Total temporary stream impacts:
23
10
3i. Total stream and ditch impacts:
33
3j. Comments:
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
r Neuse
fJ Tar -Pamlico
r Catawba
r Randleman
r Goose Creek
r Jordan Lake
r Other
6b. Impact Type
6c. Per or Temp
6d. Stream name 6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Allowable road construction impact
P
In Swift Creek
No
1,539
1,258
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 1,539.00 1,258.00
Zone 1 Zone 2
Total combined buffer impacts: 1,539.00 1,258.00
61. Comments:
Supporting Documentation
B5980 Buffer Permit Drawings_20190404.pdf 2.15MB
B5980 Stream and Wetland Permit Drawings_20190222.pdf 2.84M6
B5980_HYD_SMPv2.08_20190222.pdf 26.71 KB
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 preferred alternative was selected because it best fulfills the purpose and need for the project by providing improved traffic operations at the
interchange, corrects geometric deficiencies, and avoids impacts to Swift Creek located north of the existing interchange. The project includes only
one bridge over 1-95 with no improvements to the through lanes of 1-95.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
All construction equipment will be staged and operated from upland areas. NCDOT will also install silt fencing to protect streams and wetlands
adjacent to the project using design standards for Sensitive Watersheds (15ANCAC 04B.124). Safety fencing will be used to delineate jurisdictional
and environmentally sensitive areas from encroachment.
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?
f Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Project has no permeant jurisdictional wetland impacts. Also, culvert construction (30" WSP) in southeast quadrant of project is limited to 23 linear feet of permeant impacts to a
jurisdictional stream channels which falls below Regional conditions threshold of stream impacts / requirement for compensatory mitigation.
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
What type of SCM are you providing?
r- Level Spreader
rJ Vegetated Conveyance (lower SHWT)
r- Wetland Swale (higher SHWT)
r- Other SCM that removes minimum 30 % nitrogen
r- Proposed project will not create concentrated Stormwater flow through the buffer
Diffuse Flow Documentation
B5980_HYD_SMPv2.08_20190222.pdf 26.71 KB
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
Comments:
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes (' 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:
CE 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 (15ANCAC 2B .0200)? *
r Yes r No
3. 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.
Replacing existing 1-95 interchange with a new interchange to meet current existing traffic demands. No upgrade to the existing V95 through lanes.
4. Sewage Disposal (DWR Requirement)

4a. Is sewage disposal required by DWR forth is project?*
r Yes r No r 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 r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes r No r Unknown
What Federal Agency is involved?
FI-WA / Federal Project No. NHP-1522(005)
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Red -cockaded Woodpecker (RCW) (Endangered) is listed as "Historic" for Nash County and therefore detail surveys are note required for this species
due to its historic status within Nash County. However, NCNHP records review indicates location (Burton 1979) of a cavity tree (nesting habitat) located
one mile south of the project study area. No actively nesting RCW habitat was documented by NCNHP. Habitat surveys conducted on July 23, 2018,
showed no nesting habitat in the project area and only potential marginal foraging habitat located in the northern end of the project study just outside
of the project study area. (No Affect). / Tar River Spinymussel (Endangered), Yellow Lance (Threatened), and Atlantic Pigteo (Proposed Threatened)
is included in the IPaC TE listed for project area dated April 10, 2019. Swift Creek which is located outside of the project area, but adjacent to the
project area has an "element occurrence " determination for these species by NCNHP data base for this area. US FWS consultation letter dated April
19, 2019, concurs with a finding of may affect, but not likely to adversely affect for these listed species associated with the new bridge not crossing
over the Swift Creek jurisdictional waters and NCDOT agreement for the project using design standards for Sensitive Watersheds (15ANCAC
04B.124). (MANLAA) // 1 Sumac (Endangered) is included in the IPaC TE list for the project area dated April 10, 2019. A presence/absence
survey was conducted on July 23, 2018, for this species. No Mici Sumac was found within the project study area during this field survey. A review
of NCNHP date base records indicates no known element occurrence for this species within 1.0 mile of the project study area. (No Affect)
Programmatic BO of MALTAA for Ni
Consultation Documentation Upload
GJordan 20190419_letter _Service to NCDOT_B-5980.pdf
295.151
FWS IPaC TE List updated 4 10 2019.pdf
230.04KB
Nash Co. TE List.pdf
182.77KB
NCNHP element occurrence letter.pdf
3.21 MB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
GIS / NOAA Atlantic Sturgeon proposed rule dated 06/03/2016
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?*
r 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
18-08-0001NoSurvey.pdf
AR18-08-0001 NoSitesPresent.pdf
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8c. What sources) did you use to make the floodplain determination?*
FRIS
F-
Miscellaneous
4.26MB
8.89MB
Comments

Miscellaneous attachments not previously requested.
Signature
m 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:
Chad Coggins
Signature
Date
5/7/2019