20230376 Ver 1_ePCN ApplicationNW14_20230310

DWR
Division of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
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.
Pre -Filing Meeting Date Request was submitted on:
8/31/2022
BIMS # Assigned
20230376
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Central Office - [phone]
Information for Initial Review
la. Name of project:
Glenbrock Drive / Dacian Road Stormwater Improvements
1a. Who is the Primary Contact?*
Gilles Bellot
1b. Primary Contact Email: *
Gilles. [e-mail]
Date Submitted
3/10/2023
Nearest Body of Water
Walnut Creek
Basin
Neuse
Water Classification
C;NSW
Site Coordinates
Latitude:
35.768542
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Wake
Is this a NCDMS Project
Yes No
Longitude:
-78.602485
Version#*
1
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
Rob Ridings:[e-mail]
1c. Primary Contact Phone: *
[phone]
8
Is this project a public transportation project?*
Yes No

Is this a NCDOT 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
1b. 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:
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
14 - Linear transportation
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
1h. 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:
Dacian Glen LLC
2b. Deed book and page no.:
DB 12557 PG 1945
2c. Contact Person:
Phyllis Evans
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No

2d.Address
Street Address
610 Glenbrook Drive
Address Line 2
City
Raleigh
Postal / Zip Code
27610
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
City of Raleigh
2b. Deed book and page no.:
DB 18985 PG 1739
2c. Contact Person:
Gilles Bellot
2d.Address
Street Address
600 Glenbrook Drive
Address Line 2
City
Raleigh
Postal / Zip Code
27610
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Dacian Glen LLC
2b. Deed book and page no.:
DB 12557 PG 1945
2c. Contact Person:
Thomas Burt
2d.Address
Street Address
413 Dacian Road
Address Line 2
City
Raleigh
Postal / Zip Code
27610
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
.............................. .
2a. Name(s) on recorded deed:
Ivy Homes LLC
2b. Deed book and page no.:
DB 14346 PG 1556
2c. Contact Person:
Marcus Kennedy
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
Wake
2f. Fax Number:
State / Province / Region
NC
Country
USA
2f. Fax Number:

2d. Address
Street Address
452 Dacian Rd
Address Line 2
City
Raleigh
Postal / Zip Code
27610
2e. Telephone Number:
[phone]
2g. Email Address:*
gilles. [e-mail]
2a. Narri on recorded deed:
Dacian Glen LLC
2b. Deed book and page no.:
DB 12557 PG 1945
2c. Contact Person:
Phyllis Evans
2d.Address
Street Address
610 Glenbrook Dr
Address Line 2
City
Raleigh
Postal / Zip Code
27610
2e. Telephone Number:
[phone]
2g. Email Address:*
gilles. [e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Gilles Bellot
3b. Business Name:
Engineering Services Department Stormwater Management, City of Raleigh
3c.Address
Street Address
127 West Hargett Street
Address Line 2
2nd Floor
city
Raleigh
Postal / Zip Code
27601
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Jonathan Becker
4b. Business Name:
WSP USA
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
3e. Fax Number:

4c. Address
Street Address
434 Fayetteville Street #1500
Address Line 2
City
Raleigh
Postal / Zip Code
27601
4d. Telephone Number:
[phone]
4f. Email Address:"
[e-mail]
C. Project Information and Prior Project History
1. Proiect Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality I town:
Raleigh
2. Project Identification
2a. Property Identification Number:
1713-74-4962
2c. Project Address
Street Address
407 Dacian Road
Address Line 2
city
Raleigh
Postal / Zip Code
27610
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Walnut Creek
3b. Water Resources Classification of nearest receiving water:"
C;NSW
3c. What river basins) is your project located in?"
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202011101
4. Project Description and History
State / Province / Region
NC
Country
USA
4e. Fax Number:
2b. Property size:
0.81
State / Province / Region
NC
Country
USA

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 Glenbrook / Dacian Stormwater Improvements project is located at the intersection of Glenbrook Drive and Dacian Road in Raleigh, INC. The project area includes two existing culvert
crossings, consisting of a 54" CMP crossing under Glenbrook Drive and a parallel 42" RCP and 54" RCP under Dacian Road. These crossings are connected by an open channel
(approximately 145') located on private property and convey an unnamed tributary to Walnut Creek in Wake County. The contributing drainage area to the most downstream proposed
crossing is approximately 0.3 square miles and is almost completely developed. The online USGS stream stats application classifies 93 % of the drainage area as urban, with 12 % of the
total area being impervious. The primary land use within the direct vicinity of the project is residential. The majority of the contributing drainage area is zoned residential. Walnut Creek is
classified by NCDEQ as a class C, nutrient sensitive stream within the Neuse River basin. As such, Walnut Creek and its jurisdictional tributaries are subject to the Neuse River buffer
rules.
Under Glenbrook Drive, the existing 54" CMP is undersized, and the downstream end is partially buried (refer to Figure 1 and Figure 2 in the appendix). Sediment has accumulated
downstream of the crossing, impeding flow from the culvert as well as the arterial drainage network flowing to a 36" RCP outlet to the east of the Glenbrook culvert. The constriction on the
downstream end, in conjunction with the culvert crossing being inadequately sized, has resulted in frequent (multiple times per year) roadway overtopping and yard flooding of adjacent
properties. The 1-story dwellings east of the crossing (600 and 514 Glenbrook) have been purchased by the City of Raleigh but have previously experienced first -floor flooding during large
storm events. The channel upstream of the Glenbrook culvert crossing was determined to be Medium (M-MLH) as part of the NC Stream Assessment Method (SAM) Stream Rating. The
SAM forms and relevant images can be found in the appendix. Additionally, the channel upstream of the Glenbrook culvert crossing can be seen in Figure 3 of the appendix.
The outlet of the 54" CMP is at elevation 216.49'. The downstream culvert crossing under Dacian Road has inlet elevations of 217.66' and 217.98'. Therefore, the downstream culvert inlet
is higher in elevation than the upstream culvert outlet indicating the intermediate channel is not sloped appropriately to allow water to convey downstream (Figure 4). The channel between
the two culverts has sediment accumulation. Immediately downstream of the Glenbrook Culvert (invert 216.49') the channel bed elevation sits at an approximate elevation of 220'. As a
result, sediment has buried the invert of the upstream culvert crossing and inhibits flow from conveying downstream and contributes to roadway overtopping (Figure 2). The intermediate
channel was determined to be Low (L-LLM) as part of the INC SAM Stream Rating.
Similar to the upstream crossing at Glenbrook, the existing 42" and 54" RCPs under Dacian Road are also undersized and hydraulically insufficient. While the downstream end of the
Dacian crossings are free of debris, the outfall is perched as seen in Figure 5 of the appendix. The crossings outlet to a concrete pad that has formed a scour pool downstream, as seen in
Figure 5 and Figure 6. The channel downstream of the Dacian Road culvert crossing was determined to be Low (L-LLL) within the INC SAM Stream Rating.
In the surrounding area of the culvert crossings, there are a variety of subsurface utilities, including but not limited to water, sewer, gas, and telecommunication. These utilities are a
consideration in the design process moving forward.
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:
4g. List the total estimated linear feet of all existing streams on the property:
376 LF in project area
4h. Explain the purpose of the proposed project:
The Glenbrook / Dacian Stormwater Improvements project aims to mitigate flooding within the intersection and surrounding residential properties. The city receives frequent complaints of
roadway, yard, and structural flooding from residents near the intersection. This project will protect the existing transportation facilities (Glenbrook Drive & Dacian Road) ensuring long-term
stability of the upstream and downstream roadside embankments while mitigating negative impacts to the natural environment. There is evidence of scour underneath the Dacian Road
sidewalk (refer to Figure 5 in the appendix) adjacent to the Dacian headwall. If the proposed repairs are not performed, there is risk of increased erosion, scour, and roadway safety
concerns, regardless of the flooding. The proposed project is focused on replacing the undersized culverts under Glenbrook Drive and Dacian Road as well as bringing the roadway
drainage network up to city design standard. Although various site constraints exist, the channel impacts are limited to what is necessary to install the culverts along a stable bed profile.
The steep existing slope and perched outfall condition of the Dacian Road culvert crossing have been addressed with a revised bed profile to move the steeper segments to a location
upstream of the Glenbrook Drive culvert crossing. This approach manages the potential for scour and erosion. Additionally, principles of natural channel design have been incorporated
where feasible including benches to alleviate shear stress.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:"
The project involves upsizing the two roadway crossing culverts under Glenbrook Drive and Dacian Road. The previous crossings were undersized and not performing efficiently, leading
to roadway and yard flooding.
Major constraints of the project site, in addition to subsurface utility crossings and location of residential structures, are the existing roadway and existing channel profiles. In order to
adequately size the culvert crossings to convey the City of Raleigh design storm, the culvert invert elevations were lowered from existing to provide adequate cover under the roadway.
Lowering the culverts also allows for the removal of the perched condition downstream of Dacian Road and moves the steeper channel slopes to the upstream end of the project area. As
mentioned in previous sections, the existing channel between the two culvert crossings is not sloped appropriately to convey flow downstream. And it was determined to be of Low (L-LLM)
rating within the SAM assessments. The proposed improvements would create a stable, sustainable slope to mitigate flooding without straying from the principles of natural channel
design. As stated in the Nationwide Permit 14, Section C Regional Conditions Applicable to NWP 14 Subsection a, "permittees shall employ natural channel design... to the maximum
extent practicable for stream relocations." In addition to more favorable slopes, the channel was shifted west as compared to existing conditions. The intention was to provide a more
sustainable stream alignment by realigning the culverts to a more hydraulically favorable position. Also, the shift in channel location provides opportunity to incorporate elements of natural
channel design to limit shear stresses and mitigate potential bank erosion that could potentially impact the adjacent residential structures.
Starting upstream of the Glenbrook Drive culvert crossing, the proposed design limits the length of stream impacts while tying into the proposed culvert invert. A series of five in -stream
grade control structures, are proposed to help slope the channel down to the proposed culvert while controlling erosive hydraulic forces and providing opportunities for natural channel
processes to occur. These control structures consist of fabricated steps as detailed in the design plan sheet CA05 (structural detail). It is proposed to bury the step walls in the channel,
leaving 6-9" of drop to allow for hydraulic energy dissipation while still providing opportunity for aquatic organism passage. A notch weir is proposed for the center of the step walls to allow
for low flow within the channel at all times. The steps are proposed to be backfilled on the downstream side with a mix of riffle material and boulders to allow for natural pools to form
between the steps, while managing the potential for scour (refer to design plan sheet C.6 Proposed Culvert Alignment profile for more detail). Additional boulders are proposed along the
stream bank to resist channel shear stress and promote a stable cross section. The Glenbrook Drive culvert crossing is proposed to be a 9' wide by 6' high reinforced concrete box culvert
embedded one foot and filled with native bed material. Two sills are proposed along the culvert with low -flow weirs.
Downstream of the Glenbrook Drive crossing, the endwall is proposed to outlet to a pool before conveying to the intermediate channel. The intermediate channel, located between the two
roadway crossings, is proposed to have a series of pools and incorporate boulders on the left bank to prevent erosion along the bend in close proximity to a residential building. Similar to
the Glenbrook Drive crossing, the Dacian Road crossing is proposed to be replaced with a 9' wide by 6' high reinforced concrete box culvert, embedded 1-foot with native bed material. A
pool is proposed downstream of the culvert crossing to dissipate hydraulic forces and provide aquatic habitat.
A large component of the proposed project includes utility relocation. The existing sewer along Glenbrook Drive and traversing Dacian Road is proposed to be relocated to allow for
adequate space surrounding the proposed culverts. In order to mitigate environmental impacts, the sewer is proposed to parallel the proposed channel with sufficient cover. However, a
single crossing of the stream by the sewer is unavoidable. The current design locates that crossing within the Dacian Road culvert, rather than an aerial or underground crossing of the
open stream channel.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
Comments:
No
G Unknown
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?*
Yes 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?
N/A
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
3. Stream Impacts
O
F
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
Channel Grading
Permanent
Stabilization
Unnamed Tributary
Perennial
Both
15
277
Average (feet)
(linear feet)
S2
Channel Grading
Temporary
Stabilization
Unnamed Tributary
Perennial
Both
10
66
Average (feet)
(linear feet)
S3
Stream Loss
Permanent
Culvert
Unnamed Tributary
Perennial
Both
19
30
Aveage (feet)
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
307
3i. Total stream and ditch impacts:
373
3j. Comments:
6. Buffer Impacts (for DWR)
6a. Project is in which protect basirl
Check all that apply.
Neuse
Catawba
Goose Creek
Other
3i. Total temporary stream impacts:
66
Tar -Pamlico
Randleman
Jordan Lake
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Glenbrook Crossing
P
Unnamed Tributary
No
6,076
51
Glenbrook Crossing
T
Unnamed Tributary
No
4,900
2,643
Dacian Crossing
P
Unnamed Tributary
No
4,980
93
Dacian Crossing
T
Unnamed Tributary
No
2,193
716
6h. Total buffer impacts:
Zone 1 Zone 2

Total Temporary impacts: 7,093.00 3,359.00
Zone 1 Zone 2
Total Permanent impacts: 11,056.00 144.00
Zone 1 Zone 2
Total combined buffer impacts: 18,149.00 3,503.00
6i. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Measures and considerations were incorporated into the design to meet the goals of the project considering the site constraints while in effort to
minimize environmental impacts as much as possible. In addressing the Dacian Road crossing perched outfall, the stream bed elevation difference had
to be dispersed throughout stream corridor. Stream grade control structures were included within the stream design upstream of the Glenbrook Drive
crossing to account for most of the elevation change while limiting the impact to the stream and providing measures to manage potential scour and
erosion. Headwalls and endwalls are proposed to minimize the length of the proposed culverts to the extent necessary for the purpose of the project.
Principles of natural channel design have been incorporated into the design where feasible.
The construction access routes were selected to have minimal impacts to the existing vegetation within riparian buffers. The construction staging area
was selected thoughtfully to impose the least amount of environmental impact as possible. Additionally, the limits of disturbance was defined in a manner
that protects natural areas where possible while still providing sufficient area for construction practices. Most of the work is intended to occur along the
roadway to limit impact to natural surfaces. The energy dissipation provided by the concrete grade control structures upstream of the Glenbrook Drive
culvert crossing will reduce velocities and mitigate the potential for scour at the headwall. The boulders and other armoring mechanisms along the
channels are proposed to minimize erosion on the stream banks.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Construction techniques to minimize impacts include a detailed erosion control plan featuring gravel construction entrance, silt fencing and outlet, inlet
protection, rock pipe inlet protection, tree protection fencing, and special stilling basins downstream of discharges. The limit of disturbance was
delineated to allow space for construction activities while minimizing the environmental impacts of construction equipment. Additionally, the route
selected for construction access as well as the traffic control plan minimizes the amount of impact to natural areas and positions the work to occur within
the roadway. This effort is to keep construction equipment and activities out of the stream channel and buffers as much as possible. Stream bypass
pumping is to be utilized as well to facilitate construction in the least impactful way as the constraints of the project allows.
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:
It is assumed that the project will not require compensatory mitigation based on the nature, purpose and intent of the project as described in sections 4h and 4i. A significant portion of the
stream bed in the impact areas are covered by riprap in the existing condition. The limits of stream bed loss as indicated in NWP 14 is 0.02 acres. The proposed stream impacts are
approximately 0.01 acres; therefore mitigation is not required.
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?
Yes No
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30 % nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
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:
This project will not add any significant impervious areas or create additional ouffalls. As such, a Stormwater Management Plan has not been prepared. The "Low Density" project
classification is not significant because there is no significant increase in impervious areas as the culvert outalls are proposed to be modified and not extended.
01
L

G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
Yes 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)?*
Yes No
Comments:'
The project does not involve a "significant" use of public funds (>$10 million) or public lands (>10 acres). As such, the SEPA process is not required.
There are no federal funds or federal lands associated with the project, and therefore the NEPA requirements do not apply either.
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.
The purpose of this project is to protect an existing roadway by replacing the existing undersized culverts. These improvements will not result in roadway
widening or result in a significant increase in impervious area. Therefore, the existing culverts are not being analyzed for additional capacity. The
adjacent properties are to be minimally impacted and the project will not require any residents to relocate, and thus will not result in additional residential
development. The structures and driveways on 600 Glenbrook Drive and 514 Glenbrook Drive are to be removed prior to project construction. However,
it is unknown if the parcels are to be redeveloped in the future.
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?
The IPaC website (hftps:Hipac.ecosphere.fws.gov/location/index) was used to confirm that the project site is in or near an area with endangered species.
Additionally, the IPaC website states that the project site is not located within a designated critical habitat area and therefore is unlikely to impact critical
habitat. The relatively small size of this stream (-2-3 feet wide), combined with frequent high flow rates and turbidity levels from an urban watershed,
make the presence of suitable habitat for the several critical aquatic species listed within this region very likely.
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?
The NOAA Fisheries Essential fish mapper
(hftps://www.habitat.noaa.gov/apps/efhmapper/)
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 Department of Natural and Cultural Resources HPOWEB 2.0
(https://nc.maps.arcgis.com/apps/webappviewer/index. html?id=79ea671 ebdcc45639f0860257d5f5ed7)
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?
FEMA Flood Map Service Center
(https://msc.fema.gov/portal/search#searchresultsanchor)
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
Appendix.pdf 81.27MB
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:
Jonathan Becker
Signature
C %anNnr 10646
Date
3/10/2023
O