20230053 Ver 1_ePCN Application_20230109

DWR
Division of Water Resources
Initial Review
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
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.
Pre -Filing Meeting Date Request was submitted on:
6/6/2022
BIMS # Assigned* Version#*
20230053 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
What amout is owed?*
$240.00
$570.00
Reviewing Office* Select Project Reviewer*
Fayetteville Regional Office - [phone] Chad Turlington:eads\ccturlington:[e-mail]
Information for Initial Review
la. Name of project:
Hwy74 Rockingham Sewer Extension
la. Who is the Primary Contact?*
Adam Carter
1 b. Primary Contact Email:* lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
1/9/2023
Nearest Body of Water
Murphys Pond and Lees Pond
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude:
34.914293
A. Processing Information
County (or Counties) where the project is located:
Richmond
Is this a NCDMS Project
Yes No
Is this project a public transportation project? *
Yes No
Longitude:
-79.732297

la. 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)
lc. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 58 - Utility Line Activities for Water and Other Substances (frequently used)
NWP Numbers (for multiple NWPS):
ld. 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
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 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
ld. 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:
RAMKRISHNA SWAMY LLC
2b. Deed book and page no.:
01837 0117 2/27/2020
2c. Contact Person:
Lee Humphrey
2d. Address
Street Address
514 Rockingham Rd
Address Line 2
City
Rockingham
Postal /Zip Code
28379
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
NC
Country
USA
Yes No
Yes No

2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address: *
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
City of Rockingham
3b. Business Name:
City of Rockingham
3c. Address
Street Address
514 Rockingham Rd
Address Line 2
City
Rockingham
Postal / Zip Code
28379
3d. Telephone Number:
[phone]
3f. Email Address: *
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
[e-mail]
4b. Business Name:
Wetland Solutions, LLC
4c. Address
Street Address
P.O. Box 244
Address Line 2
City
Bunnlevel
Postal / Zip Code
28323
4d. Telephone Number:
[phone]
4f. Email Address: *
[e-mail]
C. Project Information and Prior Project History
State / Province / Region
NC
Country
USA
3e. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:
1. Project Information
1b. Subdivision name:
(if appropriate)
lc. Nearest municipality / town:
Rockingham
2. Project Identification
2a. Property Identification Number:
748203045318 & 748203047920
2b. Property size:
2

2c. Project Address
Street Address
E US 74 Hwy
Address Line 2
City State / Province / Region
Rockingham NC
Postal / Zip Code Country
28379 USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Murphys Pond and Lees Pond
3b. Water Resources Classification of nearest receiving water: *
C
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030402010103
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 project area consist of a large disturbed Power line easement. The project abuts the HWY74 DOT ROW. The surrounding area out side of project area is commercial base.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
.26ac
4g. List the total estimated linear feet of all existing streams on the property:
118ft
4h. Explain the purpose of the proposed project: *
The purpose of this project is to install sewer line extension to the commercial base on side of HWY74
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The project will consist of PMBs first. Installing silt fence around project areas. A excavator will be utilized to temporary open cut wetlands and stream to install sewer utility line. All wetland
and stream impacts will be set back to grade. All impacted areas will be stabilized with celcer matting and seeded with a maintenance regiment after every rain event.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No
Comments:
Wetland and stream component has been degradated by power line easement
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?*
Adam Carter
Wetland Solutions, LLC
Yes No
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 project or related activity?
NO
D. Proposed Impacts Inventory
1. Impacts Summary

la. Where are the impacts associated with your project? (check all that apply):
Wetlands
Open Waters
2. Wetland Impacts
Streams -tributaries
Pond Construction
Buffers
2a. Site #* (?)
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W.*
2d. W. name
2e. Forested*
2f. Type of Jurisdicition*
(?)
2g. Impact
area*
W1
Sewer Line
T
Headwater Forest
W1
No
Corps
0.060
(acres)
2g. Total Temporary Wetland Impact
0.060
2g. Total Wetland Impact
0.060
2g. Total Permanent Wetland Impact
0.000
2i. Comments:
Impact falls below mitigatable thresholds temporary impact to and already degradated major power line
easement.
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width
3h. Impact
length*
S1
Sewer line
Temporary
Excavation
S1 Murphys Pond and Lees
Pond
Perennial
Both
3
Average (feet)
20
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
0
3i. Total stream and ditch impacts:
20
3j. Comments:
E. Impact Justification and Mitigation
3i. Total temporary stream impacts:
20
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The easement picked for impact was at its narrowest point on the headwater wetland. The width of the proposed impacts was also minimized to 20ft
rather than 30.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
We are planning to install during drought period in order to reduce sedimentation transport. Working fast this impact will not take but a few hours before
impacted area will be stabilized.
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:
The impact is less than .10ac and less than a150ft of stream impact. No future impacts proposed. Notification as of curtesy copy.
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:
Temporary impact. No permanent features installed to jurisdictional area.
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
1 b. 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)?*
Yes No
Comments: *
No this was a locally funded project.
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.
This is a sewer line with no additional impacts expected.
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
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
Yes
5e. Is this a DOT project located within Division's 1-8?
Yes No
No Unknown
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?
USFWS Website IPAC. Letter attached
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?*
NOAA's Essential Fish Habitat Mapper
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?*
SHPO web mapping application
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8c. What source(s) did you use to make the floodplain determination?*
NC Flood Risk 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
Hamlet Avenue Fig 1 - Location.pdf
Hamlet Avenue Fig 2 - Wetlands.pdf
Hamlet Avenue Fig 3 - Topo.pdf
Hamlet Avenue Fig 4 - Soil.pdf
Hamlet Avenue Fig 5 - NWI.pdf
Hamlet Avenue Fig 6 - Flood.pdf
Hamlet Avenue PJD_2023_1_9.pdf
Hamlet Avenue Soil Report.pdf
Hamlet Avenue_Agent Authorization Letter_Signed.pdf
Hamlet Avenue_IPAC report.pdf
Hamlet Avenue_Parcel 1 details.pdf
Hamlet Avenue_Parcel 2 details.pdf
Hamlet Avenue_SHPO map.pdf
Hamlet Form_JD Request.pdf
Hamlet_U pland_Datasheets_Atlantic_and_Gulf_Coastal_Plain_Fillable. pdf
Hamlet_Wetland_Datasheets_Atlantic_and_Gulf_Coastal_Plain_Fillable. pdf
Hwy74 Rockingham Sewer 8-11-22.pdf
File must be PDF or KMZ
Comments
Thank you all for your time.
Signature
By checking the box and signing below, I certify that:
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• 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:
Samuel Adam Carter
Signature
y.grz nvenda re &at[ist
Date
1/9/2023