Loading...
HomeMy WebLinkAbout20190838 Ver 1_PCN Form Submission_20190621DWR MOM— 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 Oange only if needed. BIMS # Assigned 20190838 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: REPAIR AND MAINTENANCE TO BAUM ST. OUTFALL #8 1a. Who is the Primary Contact?* Paul Williams 1b. Primary Contact Email:* pcWlliams2@ncdot.gov Date Submitted 6/21 /2019 Nearest Body of Water Atlantic Ocean Basin Pasquotank Water Classification SB Site Coordinates Version# * 1 Reviewing Office* Washington Regional Office - (252) 946-6481 1c. Primary Contact Phone:* (252)482-1861 Latitude: Longitude: 36.011388 36.011388 AProcessing Information U County (or Counties) where the project is located: Dare 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 # (?) 1 SP.1028.5 la. Type(s) of approval sought from the Corps: r 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? f Yes r No Nationwide Permit (NWP) Number: NWP Numbers (for multiple NWPS): 1d. Type(s) of approval sought from the DWR: rJ 401 Water Quality Certification - Regular r' Non-404 Jurisdictional General Permit r' Individual Permit 7 - Outfall Structures/ Intake 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 t No Acceptance Letter Attachment 1h. Is the project located in any of NC's twenty coastal counties? r Yes r No 1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)? r Yes r No r Unknown 1j. Is the project located in a designated trout watershed? C Yes r No B. Applicant Information 1d. Who is applying for the permit? r Owner W 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: TOWN OF KILL DEVIL HILLS 2b. Deed book and page no.: 2c. Responsible party: 2d. Address Street Address P O BOX 1719 Address Line 2 City State / Rovince / fagion KILL DEVIL HILLS NC Postal / Zip Code Country 27948 USA * r Yes r No r Yes r No 2e. Telephone Number: 2f. Fax Number: (252)480-4080 2g. Email Address:* pcWlliams2@ncdot.gov 3. Applicant Information (if different from owner) 3a. Name: Paul Williams 3b. Business Name: NC Department of Transportation 3c.Address Street Address 113 Airport Dr. Address Line 2 City State / Province / legion Edenton NC Postal / Zip CDde 0�untry 27932 USA 3d. Telephone Number: 3e. Fax Number: (252)482-1861 (252)482-8722 3f. Email Address:* pcWlliams2@ncdot.gov C. Project Information and Prior Project History U 1. Project Information 1b. Subdivision name: (if apprgxiate) 1c. Nearest municipality/ town: Kill Devil Hills r 2. Project Identification 2a. Property Identification Number: 2c. Project Address Street Address Address Line 2 City Kill Devil Hills Postal / Zip Cade 27948 3. Surface Waters 3a. Name of the nearest body of water to proposed project:* Atlantic Ocean 3b. Water Resources Classification of nearest receiving water:* SB 3c. What river basin(s) is your project located in?* Pasquotank 3d. Please provide the 12-digit HUC in which the project is located. 030102051704 4. Project Description and History 2b. Property size: 1 State / Province / legion NC Country USA 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: Project area consists of Ocean Outfall # 8. The adjacent property use consists of vacation homes. 4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?* r Yes r No F 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) Topo.pdf 1.68MB 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) Soil_Map.pdf 1.01 MB 4f. List the total estimated acreage of all existing wetlands on the property: 0 4g. List the total estimated linear feet of all existing streams on the property: 0 4h. Explain the purpose of the proposed project:* Repair damaged section of ocean outfall to maintain drainage from NC 12. 4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:* The outlet of Ocean Ouffall # 8 at Baum Street is in need of repair, and NCDOT proposes to replace the last 36 feet of existing 27" RCP with 36 feet of 27" RCP. An excavator, loader, trailers, and light trucks will be used. 4j. Please upload project drawings for the proposed project. BAUM ST OUTFALL PERMIT(5-17-2019).pdf 5. Jurisdictional Determinations 5a. Have the wetlands or streams been delineated on the property or proposed impact areas?* r Yes r No 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): Agency/Consultant Company: Other: 5d1. Jurisdictional determination upload 6. Future Project Plans 6a. Is this a phased project?* r Yes r No 188.46KB O Unknown 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 projector related activity? D. Proposed Impacts Inventory 1. Impacts Summary la. Where are the impacts associated with your project? (check all that apply): [ Wetlands r Streams -tributaries [ Open Waters r Pond Construction 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: Outfall repairs and pipe replacement will stay on the existing alignment and maintain existing dimensions. r Buffers 1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques: Work will be performed during daylight hours and during lowtides. Work area will be limited to 100 feet on either side of the ocean outfall. Due to work occurring during turtle nesting season, turtle crawl surveys will be conducted every morning before work begins. U u 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 impacts. 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 If no, explain why: Pasquotank River basin. 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 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:* Activity and impacts covered by Minimum Criteria Checklist. 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 replaces epsting pipes with pipes of the same dimensions. 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) Sa. 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 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? USFWS Raleigh Office Consultation Documentation Upload 20190530_letter_Service to NCDOT_KillDevilHillsOceanOutfalls #5 and #8.pdf 44.02KB Beach Access. pdf 1.32MB USFWS Letter.pdf 155.53KB 6. Essential Fish Habitat (Corps Requirement) 6a. Will this project occur in or near an area designated as an Essential Fish Habitat?* r Yes t^ No Are there submerged aquatic vegetation (SAV) around the project vicinity?* r Yes r No r Unknown 6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?* National Marine Fisheries 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?* State Historic Preservation Office Historic Properties Map Website 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: N/A 8c. What source(s) did you use to make the floodplain determination?* NCFloodmaps.com, Zone VE Miscellaneous Comments Coordination with Kill Devil Hills is attached. Miscellaneous attachments not previously requested. KDH Letter.pdf 248.73KB 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: Paul Collins Williams, Jr. Signature Date 6121 /2019