HomeMy WebLinkAbout20190677 Ver 1_PCN Form Submission_20190524DWR
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
20190677
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Garcy Ward:eads\gpward
Information for Initial Review
1a. Name of project:
B-5612 NC 222 Pitt County-Geotechnical borings -Tar River (Central)
1a. Who is the Primary Contact?*
NC Department of Transportation
1b. Primary Contact Email:*
ajames10@ncdot.gov
Date Submitted
5/24/2019
Nearest Body of Water
Tar River
Basin
Tar -Pamlico
Water Classification
WS-IV; NSW
Site Coordinates
Latitude:
35.696261
Longitude:
-77.489590
Version# *
1
Reviewing Office*
Washington Regional Office - (252) 946-6481
1c. Primary Contact Phone:*
(919)707-6129
FA. Processing Information U
County (or Counties) where the project is located:
Pitt
Is this project a public transportation project?*
r Yes r No
Is this a NCDOT Project?*
r Yes (' No
(NCDOT only) T.I.P. or state project number:
B-5612
WBS # (?)
45567.1.1
1a. Type(s) of approval sought from the Corps:
W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
W Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What types) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r' Regional General Permit (RGP)
r' Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number: 6 - Survey Activities
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
rJ 401 Water Quality Certification - Regular
F Non-404 Jurisdictional General Permit
F Individual Permit
le. 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:
r 401 Water Quality Certification - Express
r Riparian Buffer Authorization
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
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
V Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
N/A
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
1000 Birch Ridge Dr.
Address Line 2
City
Raleigh
Postal / Zip Corse
27610
2e. Telephone Number:
(919)707-6123
2g. Email Address:*
State / Province / Region
NC
Country
USA
2f. Fax Number:
*
r Yes r No
r Yes r No
pharris@ncdot.gov
C. Project Information and Prior Project History U
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Falkland
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address line 2
Oty
Fbstal / Zip 03de
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Tar River
3b. Water Resources Classification of nearest receiving water:*
WS-IV; NSW
3c. What river basin(s) is your project located irl
Tar -Pamlico
3d. Please provide the 12-digit HUC in which the project is located.
030201030204
4. Project Description and History
2b. Property size:
State / rtovince / Fbgion
O�untry
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 east side of the crossing is largely forested, while the west side is a mix of forest, agricultural and low density residential uses (including the Falkland boat ramp). The general land
use in the vicinity of the bridge is a similar mix of uses, with the addition of a nearby industrial operation (mining).
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)
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)
4f. List the total estimated acreage of all existing wetlands on the property:
5.3
4g. List the total estimated linear feet of all existing streams on the property:
740
4h. Explain the purpose of the proposed project:*
Geotechnical soil borings will be advanced in the streambed of the Tar River (bridge no. 24) to determine what bent type to use in the replacement structure. Impacts associated with
replacing the bridge are not authorized or included in this permit application.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Borings will be advanced from the bridge deck in the appropmate locations shown on the attached drawing (proposed bent locations), for a total of 3 borings in the Tar River channel
and 5 borings in delineated wetlands (east side of bridge only). Borings Will be advanced using the mud rotary method; this method involves setting a piece of 4" to 6" diameter casing
between the drill rig and the river bed to contain the drilling fluid and cutting returns. All soil samples, drilling fluid, and cutting returns are disposed of off -site.
4j. Please upload project drawings for the proposed project.
B5612_GEO_BOREPLAN (2).pdf 215.19KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
F Yes r No O 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 N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Beth Reed
Agency/Consultant Company: Kimley-Horn and Associates
Other:
5d1. Jurisdictional determination upload
_TIP _B5612_PreliminaryJD_Request_28JUL2016.pdf 14.21 MB
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?
A nationwide permit is also anticipated for actual bridge replacement to let in May 2020.
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands r Streams -tributaries r Buffers
W Open Waters r Pond Construction
2. Wetland Impacts
a. Site #* (?) 2a1 Reason (?) 2b. Impact type * (?) �2�e of W. * 2d. W. name * 2e. Forested* 2f. Type of 2g. Impact
Jurisdicition*(?) area*
Soil borings JT Bottomland Hardwood Forest WB E_foth 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:
Borings will be under eAsting bridge, so while the rest of the wetland is forested, the impacted area is not. Actual impact is 0.45 sq. ft. or 0.00001 acre
assuming each boring has a diameter of 4 inches (5 borings).
4. Open Water Impacts
a. Site # 4a1. Impact Reason 4b. Impact type 4c. Name of waterbody 4d. Activity type :114e. Waterbody type 4f. Impact area
Soil borings T Tar River Other Other 0.00
4g. Total temporary open water Impacts: 4g. Total permanent open water impacts:
0.00 0.00
4g. Total open water impacts:
0.00
4h. Comments:
Actual impact is 0.27 sq. ft. or 0.000006 acre assuming each boring has a diameter of 4 inches (3 borings).
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The drill will be encased and all soil, drill fluid, and cutting returns will be disposed of off -site.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
N/A
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:
No permanent impacts to jurisdictional resources are anticipated for activities authorized by this permit.
CStormwater 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
r- Vegetated Conveyance (lower SHWT)
r- Wetland Swale (higher SFNVT)
* Other SCM that removes minimum 30 % nitrogen
* 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?*
f 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
la. 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
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?*
r Yes r No
NEPAor SEPAFinal Approval Letter
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)?*
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.
This application is for geotechnical borings only.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
ryes 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 r No
5d. Is another Federal agency involved?*
r Yes r No r Unknown
What Federal Agency is involved?
NOAA National Marine Fisheries Service
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?
NC Natural Heritage Program data; terrestrial surveys completed in June and September 2016; aquatic surveys completed in October 2017; rule in
federal register (50 CFR 226) promulgating Atlantic sturgeon critical habitat, published on 9/18/2017.
Consultation Documentation Upload
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?*
NMFS EFH viewer
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?*
Environmental documentation (Minimum Criteria Determination Checklist) completed April 2019.
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:
NCDOT Hydraulics Unit coordination with FEMA. The activities authorized by this permit will take place in open water and/or will not effect base flood
elevations.
8c. What source(s) did you use to make the floodplain determination?*
FEMA mapping (Map number 3720474000J panel 370372, effective 1 /2/2004).
Miscellaneous U
Comments
The Tar River at this location is designated as a primary nursery area, and as such carries an in -water work moratorium between February 15 and September 30. Per the Wildlife
Resources Commission, the activities authorized by this permit are allowed to be conducted during the in -water work moratorium (see attached email response).
Miscellaneous attachments not previously requested.
B-5612 NW 6 WRC response. pdf 226.81KB
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:
Mack Christopher Rivenbark III
Signature
W C Afawoh� 111
Date
5/24/2019