20210786 Ver 1_ePCN Application_20210517

DWR
Division of Water Resources
Initial Review
Pre -Construction Notification (PCN) Form
April 4, 2021 Ver 4
Has this project met the requirements for acceptance in to the review process?*
6 Yes
✓ No
Is this project a public transportation project?*
C Yes ( No
Change only 1 needed.
BIMS # Assigned*
20210786
Is a payment required for this project?*
✓ No payment required
✓ Fee received
6 Fee needed - send electronic notification
Reviewing Office *
Mooresville Regional Office - [phone]
Information for Initial Review
la. Name of project:
Rock Haven
la. Who is the Primary Contact?*
Glen Sullivan
Version#*
What amout is owed?*
r $240.00
6 $570.00
Select Project Reviewer*
Alan .ohnson:eads\adjohnsonl
lb. Primary Contact Email:* lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
5/17/2021
Nearest Body of Water
Lyle Creek
Basin
Catawba
Water Classification
WS-IV
Site Coordinates
Latitude: Longitude:
35.7450 -81.1589
LA. Processing Information
County (or Counties) where the project is located:
Catawba
Is this a NCDMS Project
✓ Yes G No
Is this project a public transportation project?*
✓ Yes G No
Pre -Filing Meeting Information
Is this a courtesy copy notification?*
✓ Yes f• No

ID#
20210786
Version
1
Pre -fling Meeting or Request Date
5/19/2021
Attach documentation of Pre -Filing Meeting Request here:
Click the upload button or drag and drop files here to attach document
DWR Pre -Filing Meeting Request Form (3).pdf
Fie type mast be FCF
la. Type(s) of approval sought from the Corps:
fJ Section 404 Permit (wetlands, streams and waters, Clean Water Act)
I— Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
✓ Yes
6 No
1b. What type(s) of permit(s) do you wish to seek authorization?
I7 Nationwide Permit (NWP)
I- Regional General Permit (RGP)
I— Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
✓ Yes(-No
Nationwide Permit (NWP) Number: 29 - Residential Developments
NWP Numbers (for multiple NWPS):
Id. Type(s) of approval sought from the DWR:
17 401 Water Quality Certification - Regular
I— Non-404 Jurisdictional General Permit
I— 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:
If. Is this an after -the -fact permit application?*
✓ Yes 0' No
50.57KB
I— 401 Water Quality Certification - Express
I— Riparian Buffer Authorization
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
✓ Yes ( No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
✓ Yes r: No
1j. Is the project located in a designated trout watershed?
✓ Yes r No
✓ Yes 6 No
✓ Yes 6 No
B. Applicant Information
Id. Who is applying for the permit?
fJ Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
6 Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
IMRIELLC
2b. Deed book and page no.:
3529/8

2c. Contact Person:
Cody Sipe
2d.Address
Street Address
400 N CHURCH ST UNIT 706
Address Line 2
C7ty State / Province / Region
Charlotte NC
Postal / Lp Code Country
28202-2241 US
2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address:*
codysipe [e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Glen Sullivan
4b. Business Name:
Foggy Mountain Nursery
4c.Address
Street Address
2251 Ed Little Road
Address Line 2
aly
Creston
Postal / Zip Code
28615
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
State / Province / Region
NC
Country
US
4e. Fax Number:
Agent Authorization Letter*
agent authorization.pdf 183.01 KB
C. Project Information and Prior Project History
C^U
1. Project Information
1b. Subdivision name:
(it appropriate)
lc. Nearest municipality/ town:
Claremont
2. Project Identification
2a. Property Identification Number:
375304934193
2c. Project Address
Street Address
Intersection of Shook Road and Rock Barn Road
Address Line 2
2b. Property size:
24.26
Criy State / Province / Region
Claremont NC
Postal / Lp Code Country
28610 US
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Lyle Creek
3b. Water Resources Classification of nearest receiving water:*
WS-Iv

3c. What river basin(s) is your project located in?*
Catawba
3d. Please provide the 12-digit HUC in which the project is located.
030501011102
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 site is wooded with heavy underbrush. Surrounding land use is primarily residential with some
agricultural use.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
✓ Yes a 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)
USGS Newton Quad.pdf 7.92MB
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)
20200520_10141410657_1 _Hydrologic _Soil _Group. pdf 570.62 KB
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:
1543 If of Mill creek on the west and 663 UN trib
4h. Explain the purpose of the proposed project:*
The purpose of the project is to build a subdivision road to serve residential lots. The proposed road will cross an UN tributary twice. Two culverts will need to be placed in said UN
tributary.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project consists of a residential subdivision to meet the growing demand for affordable housing. The interior road will loop through the development requiring two (2) crossings of
the unnamed tributary to Mill Creek. Trees along the piped stream will be fallen in order to install the pipes. Storm water runoff from the roads will be collected and conveyed to the
unnamed tributary.
4j. Please upload project drawings for the proposed project.
19-210-13A-8x11 Creek 7+07.pdf
19-210-13A-8X11 Creek 25+55.pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
✓ Yes
Comments:
281.1KB
278.67KB
a No r Unknown
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
✓ Preliminary r Approved r Not Verified r Unknown (' N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
✓ Yes a 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 U
1. Impacts Summary

la. Where are the impacts associated with your project? (check all that apply):
r Wetlands 17 Streams -tributaries
r Open Waters r Pond Construction
3. Stream Impacts
r Buffers
3a. Reason for impact (?)
3b.Impact type*
3c. Type of impact*
3d. S. name *
3e. Stream Type *
(?)
3f. Type of
Jurisdiction*
3g. S. width *
3h. Impact
length*
S1
Road Crossing @ 7+07
Permanent
Culvert
UN Tributary
Perennial
Both
5
Average (feet)
109
(linear feet)
S2
Road Crossing @ 25+55
Permanent
Culvert
UN Tributary
Perennial
Both
5
Average (feet)
120
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
229
3i. Total stream and ditch impacts:
229
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
0
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The road will be in fill at the creek crossings. During the design phase, the road widths and fill depths were kept to a minimum, which in turn reduced
the length of impacted stream reach. The pipes were designed to be set 1 ft. below the stream bottom to provide a soft, natural stream bed
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
During construction erosion control measures such as clean water diversion ditches, silt fencing, and wattles will be used to control erosion and
sedimentation. Diversion ditches will minimize the amount of stormwater runoff that flows across disturbed areas. The pipes will be laid in the dry using
a by-pass pumping system. The pipes will be laid 1 ft. below the stream bottom to provide a soft, natural stream bed.
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 0'
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
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:
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
✓ Yes rNo
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
6 Yes r 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?*

C 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)?*
✓ Yes ( No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
✓ Yes 6' No
3b. If you answered "no," provide a short narrative description.
There will be no further development.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
✓ Yes r No 6 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 f No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
✓ Yes f No
5d. Is another Federal agency involved?*
✓ Yes
5e. Is this a DOT project located within Division's 1-8?
✓ Yes G No
G No r Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
6 Yes r No
5g. Does this project involve bridge maintenance or removal?
✓ Yes G No
5h. Does this project involve the construction/installation of a wind turbine(s)?"
✓ Yes G 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 G No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
www.fws.goy/nc-es/es/countyfr.html
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?*
✓ Yes a. No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
ocean.floridamarine.org/efh_coral/ims/yiewer.htm
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 6 No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
www.hpo.ncdcr.gov/nrlist.htm
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
✓ Yes (7 No

Sc. What source(s) did you use to make the floodplain determination?*
https://gis.catawbacountync.gov/parcel/
Miscellaneous L)
Comments
Miscellaneous attachments not previously requested.
pics.pdf 305.1KB
Signature v
*
17 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:
Glen Sullivan
Signature
C��G ¢5ll�lbc?+L
Date
5/17/2021

lCody Sipe designate Glen Sullivan of Foggy
Nursery to act as my duly authorized agent concerning all US Army Corps of
Engineers and NC DENR permitting regarding the streambank restoration project
on my property inCatawbaCounty, NC.
Cody Sipe
Name
1338 Balls Creek Road; Claremont, NC 28610
Address
[phone]
Phone number
[e-mail]
Fax number
E-mail address
s -I -ao� I
Signature
Date

DWR Pre -Filing Meeting Request Form
Contact Name*
Contact Email Address*
Project Owner*
Project Name*
Project County*
Owner Address:*
Glen Sullivan
[e-mail]
IMRIELLC,
Rock Haven Project
Catawba
Street Address
400 N CHURCH ST UNIT 706
Address Line 2
City State / Rovince / Region
Charlotte NC
Fbstal / Zip Code Country
28202-2241 US
Is this a transportation project?* C Yes No
Type(s) of approval sought from the DWR:
rJ 401 Water Quality Certification - I— 401 Water Quality Certification -
Reg ula r Express
I— Individual Permit I— Modification
I— Shoreline Stabilization
Does this project have an existing project ID#?*
(' Yes c: No
Do you know the name of the staff member you would like to request a meeting with?
Allen Johnson
Please give a brief project description below and include location information.*
This is a request to place two culverts on a UN trib in Catawba
County. The property is located at the intersection of Shook Road
and Rock Barn Road. This stream is an UN trib to Mill Creek. These
culverts will be approximately110 If in length and will be placed in
accordance to DWR and U.S. Army Corps of Engineers Regulations.
Please give a couple of dates you are available for a meeting.
4/19/2021
4/29/2021
Please attach the documentation you would like to have the meeting about.

USGS Newton Quad.pdf 7.92MB
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
• This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
• I understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
• !also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature *
Submittal Date 4/16/2021

PARTMENT OF THE IN
maIwUSGS U.S. DE U.S. GEOLOGICAL SURy YERIOR
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��. US Topo
NEWTON QUADRANGLE
NORTH CAROLINA - CATAWBA COUNTY
7.5-MINUTE SERIES
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NEWTON, NC
2019
11u11111111u11111.1111111111.1111111l11l1111

35° 44' 47" N
35° 44' 26" N
m
Hydrologic Soil Group —Catawba County, North Carolina
(Sipe Subdivision)
I I I I
485300 485400 485500 485600
Map Scale: 1:4,560 if printed on A landscape (11" x 8.5") sheet.
N 0 y0 100 200
Meters
330
Feet
0 200 400 800 1200
Mapprojedion: Web Mercator Canerwordinates: WGS84 Edge tics: UTM Zone 17N WGS84
I 1 1 1 I
485700 485800 485900 486000 486100
°
35° 44' 47" N
35° 44' 26" N
USDA Natural Resources
Conservation Service
Web Soil Survey
National Cooperative Soil Survey
5/20/2020
Page 1 of 4

Hydrologic Soil Group —Catawba County, North Carolina
(Sipe Subdivision)
MAP LEGEND MAP INFORMATION
Area of Interest (AOI) ❑ C
n Area of Interest (AOI) ▪ C/D
Soils D
Soil Rating Polygons
0 A ▪ Not rated or not available
0 ND Water Features
Streams and Canals
Q B
Transportation
Q B/D Rails
Q
Interstate Highways
The soil surveys that comprise your AOI were mapped at
1:15,800.
Warning: Soil Map may not be valid at this scale.
Enlargement of maps beyond the scale of mapping can cause
misunderstanding of the detail of mapping and accuracy of soil
line placement. The maps do not show the small areas of
contrasting soils that could have been shown at a more detailed
scale.
Please rely on the bar scale on each map sheet for map
measurements.
0 C/D US Routes Source of Map: Natural Resources Conservation Service
El
D Web Soil Survey URL:
Major Roads Coordinate System: Web Mercator (EPSG:3857)
Q Not rated or not available Local Roads
Maps from the Web Soil Survey are based on the Web Mercator
Soil Rating Lines projection, which preserves direction and shape but distorts
• A distance and area. A projection that preserves area, such as the
Albers equal-area conic projection, should be used if more
accurate calculations of distance or area are required.
This product is generated from the USDA-NRCS certified data as
of the version date(s) listed below.
Soil Survey Area: Catawba County, North Carolina
Survey Area Data: Version 19, Sep 16, 2019
Soil map units are labeled (as space allows) for map scales
• • D 1:50,000 or larger.
• • Not rated or not available Date(s) aerial images were photographed: Apr 8, 2015—Nov 28,
2017
r • ND
B
r B/D
• C
r • C/D
Soil Rating Points
O A The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
O ND imagery displayed on these maps. As a result, some minor
O B shifting of map unit boundaries may be evident.
O B/D
Background
Oha Aerial Photography
uson Natural Resources
woo Conservation Service
Web Soil Survey
National Cooperative Soil Survey
5/20/2020
Page 2 of 4

Hydrologic Soil Group —Catawba County, North Carolina
Sipe Subdivision
Hydrologic Soil Group
Map unit symbol
Map unit name
Rating
Acres in AOI
Percent of AOI
CsA
Codorus loam, 0 to 2
percent slopes,
frequently flooded
B/D
0.7
0.9%
DaA
Dan River loam, 0 to 2
percent slopes,
frequently flooded
C
17.6
21.5%
FaE3
Fairview clay loam, 10
to 25 percent slopes,
severely eroded
B
10.1
12.4%
FdE2
Fairview soils, 10 to 25
percent slopes,
moderately eroded
B
3.6
4.4%
TmB
Tomlin loam, 2 to 6
percent slopes
B
3.9
4.8%
TmC
Tomlin loam, 6 to 10
percent slopes
B
5.0
6.1 %
TmD
Tomlin loam, 10 to 15
percent slopes
B
1.1
1.3%
TmE
Tomlin loam, 15 to 25
percent slopes
B
2.6
3.2%
ToC2
Tomlin clay loam, 6 to
10 percent slopes,
moderately eroded
B
29.7
36.3%
WoD2
Woolwine-Fairview
complex, 10 to 25
percent slopes,
moderately eroded
C
7.0
8.6%
WwF
Woolwine-Fairview-
Westfield complex, 25
to 45 percent slopes,
stony
C
0.4
0.5%
Totals for Area of Interest
81.9
100.0%
USDA Natural Resources Web Soil Survey 5/20/2020
Conservation Service National Cooperative Soil Survey Page 3 of 4

Hydrologic Soil Group —Catawba County, North Carolina Sipe Subdivision
Description
Hydrologic soil groups are based on estimates of runoff potential. Soils are
assigned to one of four groups according to the rate of water infiltration when the
soils are not protected by vegetation, are thoroughly wet, and receive
precipitation from long -duration storms.
The soils in the United States are assigned to four groups (A, B, C, and D) and
three dual classes (A/D, B/D, and C/D). The groups are defined as follows:
Group A. Soils having a high infiltration rate (low runoff potential) when
thoroughly wet. These consist mainly of deep, well drained to excessively
drained sands or gravelly sands. These soils have a high rate of water
transmission.
Group B. Soils having a moderate infiltration rate when thoroughly wet. These
consist chiefly of moderately deep or deep, moderately well drained or well
drained soils that have moderately fine texture to moderately coarse texture.
These soils have a moderate rate of water transmission.
Group C. Soils having a slow infiltration rate when thoroughly wet. These consist
chiefly of soils having a layer that impedes the downward movement of water or
soils of moderately fine texture or fine texture. These soils have a slow rate of
water transmission.
Group D. Soils having a very slow infiltration rate (high runoff potential) when
thoroughly wet. These consist chiefly of clays that have a high shrink -swell
potential, soils that have a high water table, soils that have a claypan or clay
layer at or near the surface, and soils that are shallow over nearly impervious
material. These soils have a very slow rate of water transmission.
If a soil is assigned to a dual hydrologic group (A/D, B/D, or C/D), the first letter is
for drained areas and the second is for undrained areas. Only the soils that in
their natural condition are in group D are assigned to dual classes.
Rating Options
Aggregation Method: Dominant Condition
Component Percent Cutoff: None Specified
Tie -break Rule: Higher
USDA Natural Resources Web Soil Survey 5/20/2020
Conservation Service National Cooperative Soil Survey Page 4 of 4

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UNNAMED CREEK STA 7+07
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PROPOSED ROAD
S-12-
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62LF OF 60"
INV
/
EXISTING GRADE
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SCALE:
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ID
LOD
SF
LEGEND
LIMITS OF DISTURBANCE
SILT FENCE
TEMPORARY DIVERSION DITCH
INLET PROTECTION
SHABELDEEN
ENGINEERING
Ethics • Integrity • Engineering
CIVIL 3145 TATE BLVD. SE
ENVIRONMENTAL HICKORY, NC 28602
CONSTRUCTION ADMIN [phone]
PLAN 8c PROFILE
UNNAMED CREEK STA 7+07
PROJECT NO.
19-210
SIPE SU3DIVISIO\
DATE
5/11/21
BULLETIN DWG
C:\ Users \ shabe \ Documents \_Projects \ 19-210 Sipe Rockhaven Subdivision \CADD 19-210-13A.dwg, 5/10/2021 1:07:58 PM, DWG To PDF.pc3

r:g
UNNAMED CREEK STA 25+55
-0+35 0+00 STATION 1+00
0+00
850
826
1+60
1+26
850
PROPOSED ROAD _
INV
842.43
EXISTING GRADE 830
-r
-0+35
0+00
0+00
STATION
1+00
1+26
826
1+60
SCALE:
VERT: 1"=10'
HORIZ: 1" =40'
ID
LOD
SF
LEGEND
LIMITS OF DISTURBANCE
SILT FENCE
TEMPORARY DIVERSION DITCH
INLET PROTECTION
SHABELDEEN
ENGINEERING
Ethics • Integrity • Engineering
CIVIL 3145 TATE BLVD. SE
ENVIRONMENTAL HICKORY, NC 28602
CONSTRUCTION ADMIN [phone]
PLAN & PROFILE
UNNAMED CREEK STA 25+55
PROJECT NO.
19-210
SIPE SU3DIVISIO\
DATE
5/11/21
BULLETIN DWG
C:\ Users \shabe \ Documents \_Projects \ 19-210 Sipe Rockhaven Subdivision \CADD 19-210-13A.dwg, 5/10/2021 1:08:48 PM, DWG To PDF.pc3

Station 7+07

StationJ5+55

Station 7+07