20191164 Ver 1_PCN Form Submission (2)_20190903

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 * Version#*
20191164 1
Is a payment required for this project?*
r No payment required
r Fee received Reviewing Office*
r Fee needed - send electronic notification Wilmington Regional Office - [phone]
Select Project Reviewer*
Joanne Steenhuis:eads\jhsteenhuis
Information for Initial Review
1a. Name of project:
Sampson County SR 1116 Pearson Road Maintenance Excavation
la. Who is the Primary Contact?*
Sean Farrell
1b. Primary Contact Email:*
[e-mail]
Date Submitted
9/3/2019
Nearest Body of Water
Crane Creek
Basin
Cape Fear
Water Classification
Q Sw
Site Coordinates
Latitude:
34.94699
Longitude:
-78.301345
1c. Primary Contact Phone:*
[phone]
FA. Processing Information U
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 # (?)
3B.208211
la. Type(s) of approval sought from the Corps:

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 Tranportation
2b. Deed book and page no.:
2c. Responsible party:
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:
Clinton
2. Project Identification
2a. Property Identification Number: 2b. Property size:
2c. Project Address
Street Address
SR 1116 Pearson Road - 0.1 mi E of SR 1150 Carter Town Road
Address Line 2
C8y
State / Province / fagion
Clinton
NC
Postal / Zip Oide
(Duntry
28328
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Crane Creek
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.
030300060508
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 existing conditions onsite include an existing 54" x 60' CMP which conveys water of an Unnamed Tributary (UT) to Crane Creek beneath SR 1116 Pearson Road. The surrounding
land use is primarily agricultural with some interspersed residential.
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)
TOPOMAP.pdf
304.84KB
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 501.1 KB
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:
-120' in project area
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to restore the conveyance of stream waters beneath SR 1116 Pearson Road through the existing 54" x 60' CMP which is currently obstructing by
sediment. The pipe has been overwhelmed and the road partially washed out by multiple storm events, the most recent of which occurred on August 17, 2019 ( See Attached Pearson
Road Photos). Inspections by NCDOT Maintenance staff indicate no damage to the existing crossline but that it is not conveying due to obstruction from sediment buildup.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The proposed project would involve the excavation of sediment that has built up in the stream channel upstream and downstream of the existing 54" x 60' CMP which conveys water
beneath Pearson Road. The attached document titled " Aerial Imagery Timeline" includes Google Earth imagery from 1993, 2013, and 2018. It appears that upstream of the existing
crossline pipe was excavated sometime around 2013 but the stream has since filled back in with sediment, indicating that there is a chronically accelerate rate of sediment accretion a
this location. The sediment accretion is likely attributable to surrounding agricultural runoff.
4j. Please upload project drawings for the proposed project.
SR 1116PearsonRoad_pipeprofile.pdf 36.98KB
SR1116PearsonRoad_PlanView.pdf 37.48KB

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): Sean Farrell
Agency/Consultant Company: NCDOT
Other:
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?
None
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
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
(?) 1 Jurisdiction* length*
Maintenance Excavat:71ff:]
Excavation 2to Crane Creek ::Iff::]
Both 1 10er�e(feet) L(OI—f--)—A
v
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
60 0
3i. Total stream and ditch impacts:
60
3j. Comments
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:
Project will not excavate to the extent that the upstream appeared to have been excavated to in 2013. The proposal is to excavate upstream and
downstream only enough so that we are creating a gradual slope and restoring conveyance through the currently obstructed crossline pipe. Crossline
will remain buried the required 1 foot.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Temporary sheetpile will be installed upstream and downstream of excavation area. Site will be dewatered via pump around and silt bag will be utilized
to treat water from construction zone prior to it's entry back into the system. Project will strictly adhere to applicable permit conditions and
implementation of sediment and erosion control BMPs in accordance with NCDOT BMP manual.
v

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 impacts fall within permittable thresholds under NW 3.
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 is 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 Built Upon Area (BUA) will be added and project will improve stormwater conveyance through the existing crossline pipe.
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federallstate/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 (15ANCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
r- Yes r No
I 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 no be influence. A detailed 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 Nor WA
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
t- 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?
Natural 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?*
Natural Heritage Program/NOAA 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
HPOMAP.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.
Lidar.pdf
PearsonRoad_photos.pdf
NHP_ProjectRepo rt. pdf
Wetland Impact Summary Sheet_20190826.pdf
Signature
*
W By checking the box and signing below, I certify that:
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2.26MB
1MB
3.14MB
75.67KB
• 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
9/3/2019