20191125 Ver 1_PCN Form Submission (2)_20190822

DWR
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
Qiange only if needed.
BIMS # Assigned * Version#*
20191125 1
Is a payment required for this project?*
* No payment required What amout is owed?*
* Fee received r $240.00
r Fee needed - send electronic notification r $570.00
Reviewing Office* Select Project Reviewer*
Mooresville Regional Office - [phone] Donna Fbod:eads\drhood
Information for Initial Review
1a. Name of project:
Intersection Improvements at NC16 (Providence Road) and New Town Road
1a. Who is the Primary Contact?*
William W. Rayburn, IV
1b. Primary Contact Email:*
Thomas.Cov,[e-mail]
Date Submitted
8/22/2019
Nearest Body of Water
West Fork — Twelve Mile Creek
Basin
Catawba
Water Classification
C
Site Coordinates
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
34.989084-80.772582
FA. Processing Information U
County (or Counties) where the project is located:
Union
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
* Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?
rJ 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:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
14 - Linear transportation
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
Intersection Improvements at NC16 (Providence Road) and New Town Road.pdf
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
FB. 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:
NCDOT — Right -of -Entry Agreement
2b. Deed book and page no.:
N/A
2c. Responsible party:
2d.Address
Street Address
WA
Address Line 2
CKY
WA
Fbstal / Zip Cede
WA
2e. Telephone Number:
[phone]
2g. Email Address:*
T h o ma s. Cowe n@ p u b l ix co m
3. Applicant Information (if different from owner)
3a. Name:
William W. Rayburn, IV
State / Rovince / Region
N/A
Country
N/A
2f. Fax Number:
89.85KB
r Yes r No
r Yes r No

3b. Business Name:
Publix North Carolina, LP
3c.Address
Street Address
3300 Publix Corporate Parkway
Address Line 2
CKY
Lakeland
Postal / Zip Code
33811
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
V appropriate)
1c. Nearest municipality / town:
Village of Marvin
2. Project Identification
2a. Property Identification Number:
N/A
2c. Project Address
Street Address
Address Line 2
CKY
Postal / Zip lode
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
West Fork — Twelve Mile Creek
3b. Water Resources Classification of nearest receiving water:*
C
3c. What river basin(s) is your project located in?*
Catawba
3d. Please provide the 12-digit HUC in which the project is located.
03050103
4. Project Description and History
State / Ffwir ce / Flegion
FL
Country
USA
3e. Fax Number:
2b. Property size:
6.57
State / FYwinoe / fbgion
Country
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 project area is located within the right of way for Providence Road South (NC 16) and New Town Road. EAsting land use in the vicinity of the project includes residential
neighborhoods, commercial development, and undeveloped forested/maintained properties.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes B 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)
Marvin Roadway_Fig2_USGS.pdf 2.27MB
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)
Marvin Roadway_Fig3_SSURGO.pdf 1.42MB
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:
239
4h. Explain the purpose of the proposed project:*

The purpose of the project is to provide intersection improvements at Providence Road South (NC16) and New Town Road to enhance traffic flow and traffic safety caused by a rapid
increase in the population of residents in the Weddington/Waxhaw/Marvin area in recent years. The project is funded by a private entity; however, the improvements are required by the
Village of Marvin, in coordination with NCDOT, under anticipation of NCDOT's forthcoming NC16 widening project and incorporates improvements anticipated by the widening project.
The recent increases in traffic and congestion in the area have caused intersection improvements at NC16 and New Town Road to be expedited. To improve driver safety and add
capacity to enhance the flowof thoroughfare traffic, the project will widen the existing roadway for additional turn lanes, lengthen turn lanes, reconfigure lane striping, and adjust signal
timing.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project seeks to improve the Providence Road South (NC 16) and New Town Road to accommodate for the increase of traffic flow near the intersection.
The overall project includes the improvement of the existing roads, New Town Road and NC16, within the project boundary. To facilitate the road improvements and associated
shoulders, the existing piped stream crossings at Streams A, B, and C must be extended. The existing 66 linear feet of 30-inch RCP at Stream A will be extended to 92 linear feet of 30-
inch RCP, resulting in 26 linear feet of permanent impacts to potential non -wetland waters of the US. The existing 45 linear feet of 24-inch RCP at Stream B will e)dended to 73 linear
feet of 24-inch RCP, resulting in 28 linear feet of permanent impacts to potential non -wetland waters of the US. The existing 40 linear feet of 48-inch RCP at Stream C will be extended
to 74 linear feet of 48-inch RCP with a rip -rap apron added to the ouffall (south of New Town Road), resulting in 44 linear feet of permanent impacts to potential non -wetland waters of
the US.
General construction equipment, such as; bulldozers, back hoes, front-end loaders, etc. will be used for constructions purposes.
4j. Please upload project drawings for the proposed project.
05_ Marvin —Gardens _Roadway _Plans _11 x17. pdf 7.44MB
05_Marvin_Gardens_Figures_Complete.pdf 10.09MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes
r No
Comments:
The JD information is included in the attached PCN document, uploaded below.
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): Addie Lasitter, WRIT
Agency/Consultant Company: Kimley-Horn& Associates, Inc.
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
r 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
U
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
[ Wetlands W Streams -tributaries
r Buffers
r Open Waters r- Pond Construction
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
Culvert extension
Permanent
Culvert
UT to West Fork- Twelve Mile
Intermittent
Both
5
26
Creek
Average (feet)
(lir>earfeet)
S2
Impervious Dike and Pumped
Temporary
Other
UT to West Fork- Twelve Mile
Intermittent
Both
5
15
Diversion
Creek
Average (feet)
(linear feet)
S3
Culvert extension
Permanent
Culvert
UT to West Fork- Twelve Mile
Intermittent
Both
5
28
Creek
Average (feet)
(lirH'ar feet)
CImpervious
Dike and Pumped
Temporary
Other
UT to West Fork- Twelve Mile
Intermittent
Both
15
Diversion
Creek
Average (feet)
(linearfeet)

S5
Culvert extensions and rip -
rap apron
Permanent
Culvert
Ur to West Fork- Twelve Mile
Creek
Perennial
Both
5
Average (feet)
44
(linearfeet)
S6
Impervious Dike and Pumped
Diversion
Temporary
Other
Ui to West Fork- Twelve Mile
Creek
Perennial
Both
5
Average (feet)
15
(linearfeet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
98
31. Total stream and ditch impacts:
143
3i. Total temporary stream impacts:
45
3j. Comments:
The proposed development Will result in permanent impacts to 98 linear feet due to culvert extensions and a rip -rap apron. 45 linear feet of temporary
stream impacts are necessary to perform work in dry conditions.
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:
Culvert extensions have been reduced to the maximum extent practicable by implementing taller headwalls and maximizing side slopes in order to
minimize stream impacts and will be installed in such a manner that the original stream profiles will not be altered. Culverts will be installed below the
elevation of the stream bed by 20 % of the culvert diameter to allow lowflow passage of water and aquatic life. Rip -rap outlet dissipation will be placed
in a manner that the finished top elevation of the riprap will not exceed that of the original stream bed in order to prevent de -stabilization of the stream
bed or banks downstream of the impact area and to allow for aquatic life passage.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Temporary impacts have been minimized to the greatest extent practicable in order to meet the needs of the project and do not pose adverse
alterations to the exsting channel bed. Erosion control measures implemented during construction of the culvert extensions will be removed
immediately following the activity and any disturbance Will be returned to preconstruction conditions.
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
2c. If yes, mitigation is required by (check all that apply):
f— DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
F Mitigation bank W Payment to in -lieu fee F 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:
(linwr feet)
98
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non -riparian wetland mitigation requested:
(acres)
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(acres)
4g. Coastal (tidal) wetland mitigation requested:
(acres)
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 6 No
If no, explain why:
Does not include and is not adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rule
2. Stormwater Management Plan

2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r 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
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?
r^ Yes r No
3. Stormwater Requirements
3a. Select whether a completed stormwater management plan (SMP) is included for review and approval or if calculations are provided to document the project will not cause
degradation of downstream surface waters.*
r Stormwater Management r Antidegradation
Plan Calculations
3b. Stormwater Management Plan
3c. Antidegradation Calculations:
2019-04-11—Storm _Report.pdf 20.43MB
Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r^ Yes r No
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 project seeks to conduct intersection improvements to improve driver safety and add capacity to enhance the flow of thoroughfare traffic caused
by already developed areas. The project does not anticipate generating additional development.
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
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
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
Sh. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No

51. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
C Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
A reviewof the North Carolina Natural Heritage Program (NCNHP) database on March 8, 2019 did not indicate known occurrences of threatened or
endangered species within the project boundary.
Consultation Documentation Upload
10_MarvinRoadway_NCNHP.pdf 944.14KB
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?*
NCNHP element occurrence database did not indicate the presence of EFH within the project boundary.
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?*
A reviewof the North Carolina State Historic Preservation Office (SHPO) HPOWEB GIS Service database on March 8, 2019 did not indicate any
cultural or historic resources within the project boundary. (See attached NCNHP Report)
7c. Historic or Prehistoric Information Upload
Marvin Roadway SHPO.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?*
FIRM Panels 4465 and 4475
Miscellaneous
Comments
A pdf of the compiled PCIWPJD is attached for your reference.
Miscellaneous attachments not previously requested.
00_Marvin_Roadway_Co mplete_PC N_NoPI ans-. pdf
Signature
*
W By checking the box and signing below, I certify that:
269.62KB
33.47MB
• 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:
Chris Tinklenberg
Signature
Date
8/5/2019