20171408 Ver 2_PCN Form Submission_20190603

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?*
C Yes r No
Change only if needed.
BIMS # Assigned
20190716
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:
Replacement of Bridge 340090 over Norris Creek on SR 1719 (Brannon Road)
1a. Who is the Primary Contact?*
Heather Montague
1b. Primary Contact Email:*
[e-mail]
Date Submitted
6/3/2019
Nearest Body of Water
Norris Creek
Basin
Tar -Pamlico
Water Classification
28-30-3 C: NSW
Site Coordinates
Latitude: Longitude:
35.92506-78.27497
FA. Processina Information
County (or Counties) where the project is located:
Franklin
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:
WBS # (?)
38522.1.2
1a. Type(s) of approval sought from the Corps:
Version# *
1
Reviewing Office*
Central Office - [phone]
1c. Primary Contact Phone:*
[phone]

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?
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: 14 - Linear transportation
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
rJ 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
F Non-404 Jurisdictional General Permit W Riparian Buffer Authorization
F Individual Permit
*
le. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification: r Yes r No
For the record only for Corps Permit: r Yes r No
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
SR 1719 - Bridge 340090 (B-4750) Revised - Division 5 - STR - RW - Buffer - TP 01.pdf 115.59KB
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?
W Owner F 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:
NCDOT
2b. Deed book and page no.:
N/A
2c. Responsible party:
2d.Address
Street Address
2612 N Duke Street
Address Line 2
city
Sate / Province / Region
Durham
NC
Postal / Zip Code
Country
27704
USA
2e. Telephone Number: 2f. Fax Number:
[phone]

2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(i appropriate)
1c. Nearest municipality/town:
Zebulon, NC
2. Project Identification
2a. Property Identification Number:
006860, 030439, 023985, 001724, and
2b. Property size:
002219.
1.7
2c. Project Address
Street Address
near 291 Brannon Road
Address Line 2
city
State / Ftovince/ Pagion
Zebulon
NC
Postal / Zip (ode
Country
27597
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Norris Creek
3b. Water Resources Classification of nearest receiving water:*
28-30-3 C: NSW
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.
030201010403
4. Project Description and History
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:
Epsting conditions are comprised of wooded land and some limited private residence with maintained yard.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
F Yes r No C- Unknown
4c. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
NCDWR Project No. 20171408 (signed 11/14/17 by Rob Ridings)
USACE: SAW-2016-00815 (signed 11/20/17 by Monte Matthews)
Project History Upload
17-11-16_NCDOT_B-4750_BR 90_SR 1719_Brannon Rd_Franklin_MNP14_.pdf 152.47KB
NCDWR Bridge 90 on SR 1719.pdf 1011.94KB
B4750 Buffer Impacts Permit Package REVISED.PDF 1.41 MB
B4750 Wetland Impacts Permit Package.pdf 3.06MB
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)
B-4750 usgs topo BUNN WEST.pdf
4.59MB
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)
B-4750 Franklin soil survey.pdf 2.31 MB
4f. List the total estimated acreage of all existing wetlands on the property:
0.23
4g. List the total estimated linear feet of all existing streams on the property:
119 linear feet perennial (Norris Creek) and 150 linear feet intermittent (UT to Morris Creek)
4h. Explain the purpose of the proposed project:*
Replacement of substandard bridge and slight realignment of roadway and bridge to south to provide for safer travel.

4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Replacement of substandard bridge and slight realignment of roadway and bridge to south to provide for safer travel. Equipment incudes excavator, crane, bull dozer, back hoe, etc.
4j. Please upload project drawings for the proposed project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
r Yes r No
Comments:
Delineated by Heather Smith of Ecological Engineering on 2/1/16
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r Approved r Not Verified r Unknown r NIA
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Heather Smith
Agency/Consultant Company: Ecological Engineering
Other:
C Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
USACE conducted site visit on 4/21/16. Pre -JD package sent via email on 2/11/16.
5d1. Jurisdictional determination upload
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?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries
F Open Waters F Pond Construction
2. Wetland Impacts
m Buffers
U
2a1 Reason M
2b. Impact type * M
2c. Type of W. *
2d. W. name *
2e. Forested*
2f. Type of
Jurisdicition*M
2g. Impact
area*
Road Crossing
P
fol plain Pool
fill and mech clearing
Yes
Both
0.050
(acres)
Road Crossing
P
Floodplain Pool
fill and mech clearing
Yes
Both
0.070
(acres)
Road Crossing
P
Isolated Wetlands
fill and mech clearing
Yes
Both
0.060
(acres)
Road Crossing JL
Headwater Forest
fill and mech clearing
�
Both
0.060
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.240
2h. Comments:
Wetland at Site 3 is considered isolated per information from USACE.
2g. Total Permanent Wetland Impact
0.240
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*
S1
road crossingPermanent Fill Fofft�t]Both
rris Creek 2 42
Average (feet) (linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
3i. Total temporary stream impacts:
42
0
31. Total stream and ditch impacts:
42
3j. Comments:
7 linear feet originally permitted back in 2017 plus 35 linear feet of additional impact proposed in 2019.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
r- Neuse
W 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
Site 1 allowable
P
Norris Creek
No
802
0
Site 1 mitigable
P
Norris Creek
No
1,606
6,651
Site 2 allowable
P
Norris Creek
No
1,931
514
Site 2 mitigable
P
Norris Creek
Yes
401
1,427
Site 3 allowable
P 11
Ur Norris Creek
No
5
0
Site 3 mitigable
P
IT to Norris Creek
Yes
2,439
796
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 7,184.00 9,388.00
Zone 1 Zone 2
Total combined buffer impacts: 7,184.00 9,388.00
6i. Comments:
Supporting Documentation
B-4750 revised permit drawings.pdf 1.4MB
=EImpact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Project has been designed to use 2:1 slopes throughout most of the project to reduce wetland and stream impacts. Slopes further reduced to 1.5:1
from 17-50 to 1900 LT to further reduce wetland and stream impacts.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Project will be inspected by NCDOT and CEI firms to ensure that project is constructed following permit drawings and plan sheets. Further minimization
not a)pected during construction.
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 C- No
2c. If yes, mitigation is required by (check all that apply):
,P DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
j— Mitigation bank 7 Payment to in -lieu fee r Permittee Responsible
program Mitigation
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
r Yes r No
4b. Stream mitigation requested:
(linear feet)
42
4d. Buffer mitigation requested (DWR only):
(square feet)
4,446 in BZ 1 abd 8,874 in BZ 2
4f. Non -riparian wetland mitigation requested:
(acres)
4h. Comments
Mitigation not proposed or provided for Isolated Wetland at Site 3.
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(acres)
0.17
4g. Coastal (tidal) wetland mitigation requested:
(acres)
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more
information.
r Yes r No
6b. If yes, then identify the square feet of impact.
6c. Reason for impact
6d. Total impact
(square feet)
Multiplier
6e. Required mitigation
(square feet)
Zone 1
roadway fill and mechanized clearing
4,446
3
t3,338
Zone 2 roadway fill and mechanized clearing 8,874 1.5 13,311
6f. Total buffer mitigation required
26649
6g. If buffer mitigation is required, is payment to a mitigation bank or NC Division of Mitigation Services proposed?
r Yes r No
61. If no, then discuss what type of mitigation is proposed.
Payment to in lieu fee program.
6j. Comments:
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. 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
W Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
r Other SCM that removes minimum 30 % nitrogen
W 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?*

O Yes r No
Comments:
Stormwater ouffall is proposed in a wetland and outside of Buffer Zone 2. Rip rap pad used to dissipate energy. No deck drains allowed over wetland or stream.
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
Comments:*
CE will be completed for this project.
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.
Project discharges stormvrater runoff into wetland and in rip rap pad outside of Buffer Zone 2.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes 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
Sc. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes r No
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
r Unknown
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Informal consultation with USFWS. MALTAA for NLEB; MANLTAA for Dwarf Wedgemussel, Tar River spinymussel, and Yellow Lance. No Effect for
Miachaux's sumac.
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 database
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?*
Coordination with State HPO.
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 C- No
8b. If yes, explain how project meets FEMA requirements:
Project designed with Limited Detail methods.
8c. What source(s) did you use to make the floodplain determination?*
NCDOT Hydraulics Unit
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature u
*
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:
Heather W. Montague
Signature
He a7W-r� tt! kfO+lra"
Date
6/3/2019