19970175 Ver 5_ePCN Application_20220222

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Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
December 6, 2021 Ver 4.2
Initial Review
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
BIMS # Assigned*
Version#*
19970175
5
Is a payment required for this project?
No payment required
What amout is owed?*
Fee received
$240.00
Fee needed - send electronic notification
$570.00
Reviewing Office*
Select Project Reviewer*
Asheville Regional Office - [phone]
Mitchell Anderson:eads\mlanderson
Information for Initial Review
1a. Name of project:
Cliffside Steam Station - Intake Sediment Removal
la. Who is the Primary Contact?*
J. Elizabeth Glenn
1 b. Primary Contact Email: * 1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
2/22/2022
Nearest Body of Water
Broad River
Basin
Broad
Water Classification
WS-Iv
Site Coordinates
Latitude: Longitude:
35.2222-81.7597
A. Processing Information
County (or Counties) where the project is located:
Cleveland
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
1a. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)

Has this PCN previously been submitted?*
Yes
No
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 03 - Maintenance
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
1f. Is this an after -the -fact permit application?*
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1 h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
Duke Energy Carolinas, LLC
2b. Deed book and page no.:
Book 17T Page 681
2c. Contact Person:
2d.Address
Street Address
400 South Tryon Street
Address Line 2
ST06K
City
Charlotte
Postal / Zip Code
28202
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
NC
Country
USA
2f. Fax Number:
Yes No
Yes No
U

3. Applicant Information (if different from owner)
3a. Name:
J. Elizabeth Glenn
3b. Business Name:
3c. Address
Street Address
526 S. Church Street
Address Line 2
ECI-13K
City
State / Province / Region
Charlotte
NC
Postal / Zip Code
Country
28202
USA
3d. Telephone Number:
3e. Fax Number:
[phone]
3f. Email Address:"
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1 b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Mooresboro
2. Project Identification
2a. Property Identification Number:
1617219
2c. Project Address
Street Address
573 Duke Power Road
Address Line 2
City
Mooresboro
Postal / Zip Code
28114
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Broad River
3b. Water Resources Classification of nearest receiving water:"
WS-Iv
2b. Property size:
155.6
State / Province / Region
NC
Country
3c. What river basin(s) is your project located in?*
Broad
3d. Please provide the 12-digit HUC in which the project is located.
030501050506
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:*
This project entails removing sediment deposition in the cove immediately adjacent to the station cooling water intake structure. This permit was applied for in 2012 and in 2018.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
Yes No Unknown
If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
SAW-2012-01767, see attached

4f. List the total estimated acreage of all existing wetlands on the property:
5.1
4g. List the total estimated linear feet of all existing streams on the property:
30906
4h. Explain the purpose of the proposed project: *
Maintenance sediment removal from the water intake area for the station. This is needed to ensure pathway for water so the station can operate as needed.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
A long reach excavator will be used to scoop out sediment from the intake area of the station.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
6. Future Project Plans
6a. Is this a phased project?*
Unknown
Yes No
6b. If yes, explain.
Duke Energy requests the permit be written to allow for sediment to be removed as needed for the longest duration allowed by the US Army Corps of Engineers. This activity will be
needed for the life of the station.
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
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
4. Open Water Impacts
4a. Site #
4a1. Impact Reason
4b. Impact type
4c. Name of waterbody
4d. Activity type :114e.
Waterbod y type
4f. Impact area
S1
Sediment Removal
T
Broad River
Excavation
Other
0.50
4g. Total temporary open water Impacts:
0.50
4g. Total open water impacts:
0.50
4h. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
4g. Total permanent open water impacts:
0.00
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
There should be no impacts to waters of the US due to the sediment excavation activities. The area proposed for sediment removal is in close proximity
to the station intake area. The removed sediment will be placed upland, allowed to de -water through silt screens and then taken to a site stock pile area.

I b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The area proposed for sediment removal is in close proximity to the station intake area. The removed sediment will be placed upland, allowed to de -
water through silt screens and then taken to a site stock pile area.
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?
Yes No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Not required from past project work.
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?
Yes No
If no, explain why:
Part of Broad River and the buffer rules do not apply.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes 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?*
Yes 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)? *
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
Yes No
3b. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No 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?*
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5d. Is another Federal agency involved?*
Yes No
Unknown
5e. Is this a DOT project located within Division's 1-8?
Yes No

5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
5i. 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.?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
No aquatic species listed as threatened or endangered are in the area of the sediment removal site based on known facility natural resources
assessment data, review of the USFWS IPaC system for the site, and review of the USFWS Cleveland County endangered and threatened species list
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat? *
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?
N/A
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?*
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NC State Historic Preservation Office web site, http:www.hpo.dcr.state.nc.us
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8b. If yes, explain how project meets FEMA requirements:
Sediment will be removed from the river to bring the river bottom at the area adjacent to the intake relatively close to the normal bottom level.
8c. What source(s) did you use to make the floodplain determination?*
NC Floodplain Mapping Information System
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
Permit 2018 SAW-2012-01767.pdf 756.38KB
File must be PDF or KMZ
Comments
Signature
By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• 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:
Jean Elizabeth Glenn
Signature
0i1&�-cl-ly <
Date
2/22/2022
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