20190785 Ver 1_PCN Form Submission_20190613

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
20190785
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Joanne Steenhuis:eads\jhsteenhuis
Information for Initial Review
1a. Name of project:
Sampson County SR 1779 Eldon Thornton Road Lateral Ditch/Stream Maintenance Excavation
la. Who is the Primary Contact?*
Sean Farrell
1b. Primary Contact Email:*
[e-mail]
Date Submitted
6/13/2019
Nearest Body of Water
Panther Branch
Basin
Cape Fear
Water Classification
Q Sw
Site Coordinates
Latitude: Longitude:
35.1284-78.1770
FA. Processina Information
County (or Counties) where the project is located:
Sampson
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 # (?)
3CR.PE
la. Type(s) of approval sought from the Corps:
Version# *
1
Reviewing Office*
Wilmington Regional 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: 03 - Maintenance
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
fJ 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?
C Yes r No
FB. Applicant Information
1d. Who is applying for the permit?
[J 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:
NC Department of Transportation
2b. Deed book and page no.:
2c. Responsible party:
Karen Collette
2d.Address
Street Address
5501 Barbados Blvd.
Address Line 2
city
Castle Hayne
Fbstal / Zip Code
28429
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Frovinee / R�gion
NC
0�untry
USA
2f. Fax Number:
*
r Yes r No
r Yes r No

[e-mail]
C. Project Information and Prior Project History U
1. Project Information
1b. Subdivision name:
(i appropriate)
1c. Nearest municipality/ town:
Faison
2. Project Identification
2a. Property Identification Number: 2b. Property size:
2c. Project Address
Street Address
SR 1779 Eldon Thornton Road
Address Line 2
city
State / Province / %gion
Faison
NC
Fbstal / Zip Oxde
(Duntry
28341
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Panther Branch
3b. Water Resources Classification of nearest receiving water:*
C; Sw
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
030300070101
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:*
The wasting conditions onsite include an wasting 30" in diameter x 68' in length RCP which conveys waters of an Unnamed Tributary (UT) to Panther Branch beneath SR 1779 Eldon
Thornton Road. The waters of subject stream are routed through an epsting maintained lateral roadside ditch for appropmately 260 feet until connection back to the natural system.
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)
HPO_TOPOMAP.pdf
1.66MB
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)
WebSoilSurvey_SoilMap.pdf 679.73KB
4f. List the total estimated acreage of all existing wetlands on the property:
N/A
4g. List the total estimated linear feet of all existing streams on the property:
+300' in Project Area
4h. Explain the purpose of the proposed project:*
The purposed of the project is to restore the conveyance of stream waters beneath SR 1779 Eldon Thornton Road and through the jurisdictional lateral roadside ditch to its original
capacity.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project includes the proposal to replace the deteriorated 30" in diameter x 68' in length RCP With a new 66" in diameter x 68' in length CMP and excavate the existing lateral
roadside ditch which has accreted sediment, vegetation, and debris which is backing up water exiting the outlet of the epsting crossline pipe. Sheetpile will be installed accross the
stream channel and ditch and bypass pumping Will be utilized for site dewatering. Water from within the construction zone will be pumped into a silt bad for treatment prior to discharge
back into the system. See attached profile view for existing and proposed ditch grade.
4j. Please upload project drawings for the proposed project.
SR1779 PlanViewpdf
SR1779 Stream Profile 20180619.pdf
1.86MB
33.73KB
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
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): Christopher Dustin
Agency/Consultant Company: Scenic Consulting Group
Other:
Sd1. 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?
The proposed project is part of a larger resurfacing project for SR 1779 Eldon Thornton Road for which 5 other crossline pipes are proposed for replacement which will utilize the non -
notifying USACE NW 3 and DWR GC 4132.
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
r Wetlands 9 Streams -tributaries ❑ Buffers
F Open Waters r Pond Construction
3. Stream Impacts
F
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*
_11
81
Site Dewatering
Temporary
Dewatering
UT to Panther Branch
Intermittent
Both
5
Average (feet)
10
(linear feet)
S2
Excavation of Ditch Stream
( )
Permanent
Excavation
UT to Panther Branch
Intermittent
Both
4
Average (feet)
180
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
180 10
3i. Total stream and ditch impacts:
190
3j. Comments:
Proposed dewatering impacts are necessary for the replacement of the existing crossline. Excavation of the lateral roadside ditch will promote better
conveyance and prevent future flooding of the existing road and erosion and scour around the existing structure.
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:
Project will dewater the minimum necessary for installation of the replacement crossline. Proposed excavation of the stream will be limited to a portion
that is within the existing maintained roadside ditch and will be beneficial by restoring normal flows, connectivity, and aquatic passage.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Strict adherence to applicable permit conditions and implementation of sediment and erosion control BMPs in accordance with NCDOT BMP manual.
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:
Proposed impact fall within permittable thresholds under NW 3. Project proposed only temporary impacts to a natural stream channel and maintenance of an existing maintained
jurisdictional lateral roadside ditch.
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
If no, explain why:
Project site not located within one of the NC Riparian Buffer Protection areas.
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:
No BUA (Built Upon Area) will be added and project will improve stormwater conveyance through the existing jurisdictional ditch. Gentle and vegetated shoulder and ditch slopes will be
implemented to encourage sheet0ow and provide stormwater treatment.
G. Supplementary Information
QJ-
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
Comments:*
Project falls within Minimum Criteria Determination thresholds under 19A NCAC 02F .0102, therefore not requiring an environmental document.
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.
Due to the minimal impact resulting from this roadway maintenance project, nearby land uses will not be influenced. A detailed indirect of cumulative
effects study will not be necessary.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this 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
5d. Is another Federal agency involved?*
r Yes r No
r' Unknown
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?
National Heritage Program GIS
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?*
NC Natural Heritage ProgramMOAA EFH GIS data.
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?*
State Historic Preservation office Web GIS.
7c. Historic or Prehistoric Information Upload
HPO_TOPOMAP. 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 source(s) did you use to make the floodplain determination?*
Flood Risk Information System (FRIS)
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
NHPproject_report _sr_1779. pdf
SR1779LiDAR.pdf
SR 1779_Wetland Impact Summary Sheet.pdf
Signature
*
W By checking the box and signing below, I certify that:
1.66 MB
2.33MB
2.05MB
76.19KB
u
• 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:
Sean Farrell
Signature
Date
6/13/2019