20191056 Ver 1_PCN Form Submission_20190807

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
20191056
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office*
Central Office - [phone]
Information for Initial Review
1a. Name of project:
Utley Creek Greenway
1a. Who is the Primary Contact?*
Dirk Siebenbrodt
1b. Primary Contact Email:*
[e-mail]
Date Submitted
8/7/2019
Nearest Body of Water
May Creek
Basin
Cape Fear
Water Classification
Q NSW
Site Coordinates
Latitude:
35.6479
FA. Processina Information
County (or Counties) where the project is located:
Wake
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:
C-5604JA
WBS # (?)
43714.1.6
1a. Type(s) of approval sought from the Corps:
Longitude:
-78.8454
Version# *
1
What amout is owed?*
r $240.00
r $570.00
Select Project Reviewer*
Rob Ridings:eads\rgridings
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?
t' Yes r No
Nationwide Permit (NWP) Number: 14 - Linear transportation
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?*
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 t 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?
[J Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
r Yes C No
2. Owner Information
2a. Name(s) on recorded deed:
Multiple owners - see plan sheets
2b. Deed book and page no.:
2c. Responsible party:
Town of Folly Springs
2d.Address
Street Address
128 S Main St
Address Line 2
city
Folly Springs
Fbstal / Zip Code
27540
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Frovinre / R�gion
NC
Q�untry
USA
2f. Fax Number:
*
C Yes r No
r Yes C No

[e-mail]
C. Project Information and Prior Project History U
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Holly Springs
2. Project Identification
2a. Property Identification Number:
Multiple - see plans
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:*
Utley Creek
3b. Water Resources Classification of nearest receiving water:*
C, NSW
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.
030300040102
4. Project Description and History
2b. Property size:
State / Frovince / 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 site is located along Utley Creek in Holly Springs, near NC-55. The surrounding vicinity consists primarily of residential and commercial areas with forested land along streams and
other areas.
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)
UtleyCreekGreenway_USGS.pdf 526.59KB
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)
UtleyCreekGreenwey_NRCS.pdf 2.19MB
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:
158
4h. Explain the purpose of the proposed project:*
Greenway wdension along Utley Creek connecting existing sections of greenway from the Morgan Park subdivision to Ballentine Street.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The proposed project would connect three currently existing portions of greenway along Utley Creek Between the Morgan Park subdivision and Ballentine Street. Piles will be driven at
the proposed bridge crossing of Utley Creek. Typical equipment will be utilized in the construction of the project.
4j. Please upload project drawings for the proposed project.
utley_Permit Drawings_07182019.pdf 3.7MB
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:
Project corridor reviewed by Carolina Ecosystems - no wetlands present

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): Phil May
Agency/Consultant Company: Carolina Ecosystems
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
7b. If yes, explain.
There are future plans to continue the greenway trail southward along Utley Creek towards the Holly Glen subdivision.
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):
F Wetlands W Streams -tributaries r Buffers
r' 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
(?) 11
Jurisdiction*
length*
S1
Bridge Crossing
Temporary
Stabilization
Utley Creek
Perennial
Both
6
30
AveraC7e (feet)
(linear feet)
Sp
Equipment Access
Temporary
Other
Utley Creek
Perennial
Both
6
46
Average (feet)
(linearfeet)
S3
Stream Crossing
g
Permanent
Culvert
UT to Utley Creek
Y
Perennial
Both
6
57
Average (feet)
(linear feet)
S4
Stream CrossingTem
ora
p rY
Culvert
UT to Utley Creek
Y
Perennial
Both
6
15
Average (feet)
(linear feet)
H
Rip Rap
Temporary
Stabilization
Utley Creek
Perennial
Both
6
10
Average (feet)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
57
3i. Total stream and ditch impacts:
158
3i. Total temporary stream impacts:
101
3j. Comments:
Bank stabilization shown categorized as temporary impact as bed of stream will not be impaired or blocked.
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:
This project will minimally impact streams by using perpendicular bridge crossings at two locations. A culvert is required at the east side of the eAsting
pedestrian culvert under NC-55 to cross a stream immediately adjacent to that location.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:

Sediment and erosion control measures will be implemented according to NC requirements, and approved by NCDEQ prior to implementation.
Jurisdictional areas that are not permitted to be impacted and are adjacent to construction areas will be clearly marked with protection fencing or other
similar method to avoid encroachment. Copies of the issued permit and impact areas will be provided to the prime contractor and all subcontractors
working in or near jurisdictional areas.
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?
C' Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Only 57 feet of permanent stream loss is anticipated as a result of the project.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) h
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:
This project is located within the Cape Fear River basin, outside of the Jordan Lake Watershed.
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:
NCDOT will review and approve plans.
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 t^ 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:*
A CE has been prepared for the project and is attached. CE's are not required to be circulated through the State Clearing House.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15ANCAC 21-1.1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
f 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.
The area is already developed and this connection will provide existing residents access to the local area across NC 55.
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 t^ 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?
FHWA
Se. 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 Field Office Website. https:/Iwww.%*&.gov/raleigh/
On -site evaluation of habitats
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?*
NOAA Fisheries EFH Mapper. https://www.habitat.noaa.gov/application/efhmapper/indexhtml
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?*
SHPO Historic Properties Map (http://gis.ncdenr.gov/hpoweb/)
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
C Yes r No
8c. What source(s) did you use to make the floodplain determination?*
FEMA Floodplain Maps (https://msc.fema.gov/portal/search)
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
C-5604JA-U leyCreekGreenwayConnection-CategoricalExclusion.pdf 10.97MB
Signature
*
R 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:
Jonathan Hefner
Signature
,%O.J.47if/M! ffFFrJE�
Date
8/7/2019