20191302 Ver 1_PCN Form Submission_20190930

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 * Version#*
20191302 1
Is a payment required for this project?*
r No payment required
r Fee received
Reviewing Office*
r Fee needed - send electronic notification
Central Office - [phone]
Select Project Reviewer*
Rob Ridings:eads\rgridings
Information for Initial Review
1a. Name of project:
SR 2224 (Mitchell Mill Road) pipe replacement
1a. Who is the Primary Contact?*
Heather W. Montague
1b. Primary Contact Email:*
1c. Primary Contact Phone:*
[e-mail]
[phone]
Date Submitted
9/30/2019
Nearest Body of Water
Uf to Fowlers Mill Creek
Basin
Neuse
Water Classification
27-57-4; WS-ll; HOW; NSW
Site Coordinates
Latitude: Longitude:
35.90096-78.40649
FA. Processing 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:
WBS # (?)
513.209211
1a. 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:
rJ 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:
F 401 Water Quality Certification - Express
W 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?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
V 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:
NCDOT
2b. Deed book and page no.:
2c. Responsible party:
J.R. Hopkins, P.E.
2d.Address
Street Address
2612 N Duke Street
Address Line 2
City
Durham
Fbstal / Zip Code
27704
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Aovime / Region
NC
Country
us
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:
Rolesville
2. Project Identification
2a. Property Identification Number:
Parcel 1: 1778615632, Parcel 2: 1778548291
2c. Project Address
Street Address
7801 Mitchell Mill Road
Address Line 2
CKY
Zebulon
Fbstal / Zip Code
27597
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
UT to Fowlers Mill Creek
3b. Water Resources Classification of nearest receiving water:*
27-57-4; WS-II; HQW; NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
0302020101501
4. Project Description and History
2b. Property size:
0.18
State / Province / fbgion
NC
Q:untry
US
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:*
June 8, 2019 storm event washed out this crossing causing the roadway to fail. The general land use in the vicinity of the project is grassy shoulders/slopes, wooded and residential
land.
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)
SR 2224 Mitchell Mill Road Topo PDF.pdf 2.83MB
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)
SR 2224 Mitchell Mill Road Soils PDF.pdf 1.33MB
4f. List the total estimated acreage of all existing wetlands on the property:
0.10 ac
4g. List the total estimated linear feet of all existing streams on the property:
115ft
4h. Explain the purpose of the proposed project:*
Washed out pipe needs replacing so that the roadway can be repaired.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The wasting structure is a 128"x83" corrugated metal pipe arch that is 35' long with headwalls. The proposed structure is a 12'11" x 7'6" corrugated aluminum structural plate pipe arch
that is 50' 2" ft long with headwalls. Rip will be installed underlined with geotextile along the stream banks at the tie in points for long term stability. In order to maintain a dry work area
temporary dewatering and pump around will be necessary. Note the new structure is 16ft longer which will allowfor a skew on the pipe to better align with the stream so that the stream
doesn't make a right turn at the roadway fill. Equipment to be used includes an excavator, backhoe, grader, crane, etc.
4j. Please upload project drawings for the proposed project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
R Yes r No O Unknown

Comments:
Wetland impacts are calculated out to the proposed right -of -entry; however it is anticipated that the
mechanized clearing area will provide temporary access only for dewatering measures and will be
minimized during the site work. Therefore no mitigation is proposed.
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r Approved r Not Verified r Unknown r NIA
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: Carolina Ecosystems, Inc.
Other:
5d1. Jurisdictional determination upload
pre-JD.pdf 34.53KB
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?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries
r Open Waters r Pond Construction
2. Wetland Impacts
W Buffers
2al Reason (?) 2b. Impact type * (?) 2c. Type of W.* 2d. W. name * 2e. Forested* �Jurlscllcltlon*(?)
f. Type of 2g. Impact
Jarea*
1 culvert P Headwater Forest W1 No Both 0.100
(ace)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.100
2g. Total Wetland Impact
0.100
2h. Comments:
Wetland impacts are calculated out to the proposed right -of -entry; however it is anticipated that the mechanized clearing area Will provide temporary
access only for dewatering measures and will be minimized during the site work. Therefore no mitigation is proposed.
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
road crossingPermanent
Fill
UT to Fowlers Mill Creek
Perennial
Both
10
16
Average (feet)
(linear feet)
3P
road crossing
Temporary
Dewatering �Fo
Fowlers Mill Creek
Perennial
Both
10
65
Average (feet)
(lir�earfeet)
S3
road crossingPermanent
Bank Stabilization
UT to Fowlers Mill Creek
Perennial
Both
10
40
Average (feet)
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
56
31. Total temporary stream impacts:
65

31. Total stream and ditch impacts:
121
3j. Comments:
Mote the new structure is 16ft longer which will allowfor a skewon the pipe to better align with the stream so that the stream doesn't make a right turn
at the roadway fill and comprise the fill slope.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
W Neuse r Tar -Pamlico
r Catawba r Randleman
r Goose Creek r Jordan Lake
r Other
6b. Impact Type 6c. Per or Temp 6d. Stream name 6e. Buffer mitigation required? 6f. Zone 1 impact 6g. Zone 2 impact
roadway crossing - allowable P UT Fowlers Creek No 4,078 3,403
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 4,078.00 3,403.00
Zone 1 Zone 2
Total combined buffer impacts: 4,078.00 3,403.00
6i. Comments:
This is a pipe replacement project not a road improvement project. The existing pipe will be 16ft longer only to provide a better skew for the stream so
that the creek doesn't have to make a 90 degree turn into the pipe which eats away at the fill slope. Minimal tree removal right at the pipe is proposed
for installation, the remaining buffer impacts are within maintained power line R/W and is for access only for devmtering measures. Therefore no buffer
mitigation is proposed.
Supporting Documentation
Mitchell Mill complete permit drawings set.pdf
431.43KB
E. Impact Justification and Mitigation U
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Stream impacts will be minimized onsite including rip rap bank stabilization where possible. Rip rap armoring along the stream will be limited to only
amount necessary to ensure long term stability.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Sediment and erosion control Best Management Practices for protection of surface waters will be enforced during project construction.
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:
This is a pipe replacement project not a road improvement project. The existing pipe will be 16ft longer only to provide a better skew for the stream so that the creek doesn't have to
make a 90 degree turn into the pipe which eats away at the fill slope. Mitigation is typically not required for maintenance work to replace an existing structure.
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
What type of SCM are you providing?

r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
r Other SCM that removes minimum 30 % nitrogen
W Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
Wake SR 2224_HYD_SMPv2.08_(20190429) (Apr 2018).pdf
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
f- Yes r No
Comments:
SWMP attached
G. Supplementary Information
1. Environmental Documentation
102.52KB
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
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?*
r Yes r No
Comments:*
This project meets the criteria for MCDC which doesn't require review by 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 (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
C 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.
Replacing existing structure along existing facility.
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
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?
iPac, Natural Heritage Program, and Revised USFWS Programmatic Biological Opinion for Culvert Replacements and Extensions in Eastern North
Carolina, NCDOT Divisions 1-8 (September 11, 2019).
Consultation Documentation Upload

SR 2224 Wake T_E summary.pdf 47KB
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?*
available mapping
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?*
available mapping
7c. Historic or Prehistoric Information Upload
SR 2224 Wake Cultural Resources.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?*
FEMA mapping
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
247.42KB
v
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:
Heather W. Montague
Signature
HE.47WT� W k&h1--.4"
Date
9/30/2019