20230973 Ver 1_ePCN Application_20230706

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:
5/19/2023
SIMS # Assigned
20230973
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
Information for Initial Review
la. Name of project:
Ryan Creek Streambank Stabilization
la. Who is the Primary Contact?*
Cindy Lancaster
1b. Primary Contact Email: *
[e-mail]
Date Submitted
7/6/2023
Nearest Body of Water
Ryan Creek
Basin
Cape Fear
Water Classification
WS-V; NSW
Site Coordinates
Latitude:
36.03035
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Guilford
Is this a NCDMS Project
Yes No
Longitude:
-79.80019
Version#*
1
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
Seren Homer:[e-mail]
7c. Primary Contact Phone:
[phone]
O

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
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: 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
401 Water Quality Certification - Express
Riparian Buffer Authorization
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification: Yes No
For the record only for Corps Permit: Yes No
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:
John S Humble
2b. Deed book and page no.:
2c. Contact Person:
Blake Strumbel (project w/in City easement on this property)

2d. Address
Street Address
PO Box 3136
Address Line 2
city
Greensboro
Postal / Zip Code
27402
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Blake Strumbel
3b. Business Name:
City of Greensboro
3c.Address
Street Address
PO Box 3136
Address Line 2
city
Greensboro
Postal / Zip Code
27402
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Cindy Lancaster
4b. Business Name:
LJB Engineering PC
4c.Address
Street Address
311 S Main St
Address Line 2
Suite A
City
Kernersville
Postal / Zip Code
27254
4d. Telephone Number:
[phone]
4f. Email Address:
[e-mail]
C. Proiect Information and Prior Proiect History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town
Greensboro
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
3e. Fax Number:
State / Province / Region
NC
Country
US
4e. Fax Number:
2. Project Identification

2a. Property Identification Number:
7863315040
2b. Property size:
3.08
2c. Project Address
Street Address
318 Creek Ridge Road
Address Line 2
city
Greensboro
Postal / Zip Code
27406
3. Surface Waters
3a. Name of the nearest body of water to proposed project:"
Ryan Creek
3b. Water Resources Classification of nearest receiving water:'
WS-V: NSW
3c. What river basin(s) is your project located it *
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
030300020104
4. Project Description and History
State / Province / Region
NC
Country
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: *
Concrete channel within industrial/commercial area. Concrete has failed on one side of the channel and slabs are dislocated such that runoff is eroding soils beneath the slabs. The other
side and the channel bottom also have areas with cracks.
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:
0
4g. List the total estimated linear feet of all existing streams on the property:
492
4h. Explain the purpose of the proposed project:*
Purpose of the project is to repair failed areas of concrete channel.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
Project will involve demolition of failed concrete slabs on left bank (left based on looking in downstream direction) and installing and keying -in new slabs at bottom and top of bank. Prior to
pouring new slabs, unsuitable soils behind existing concrete will be removed and replaced with suitable and adequately compacted fill. Right bank repairs will be relatively minor and
limited to repairing cracks in existing slabs. Flow in stream is to be maintained by installing concrete median barrier covered with impervious material such as polypropylene or a geotextile
and only working on one side on the stream at a time.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No
Comments:
Since all of the project work is within a concrete channel with no floodplain access, no jurisdictional
determinations were done.
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
[j 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?
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
❑
3a. Reason for impact (?)
3b.lmpact type "
3c. Type of impact'" �3�name*
��3e.
Stream Type *
(?)
3f. Type of
Jurisdiction*
3g. S. width
3h. Impact
length*
S1
Bank Stabilization
Temporary
Bank Stabilization
Ryan Creek
Perennial
Both
30
Averege (feet)
202
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
3i. Total temporary stream impacts:
0
202
3i. Total stream and ditch impacts:
202
3j. Comments:
Impacts are temporary and for purposes of repairing the concrete channel.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
Neuse
Tar -Pamlico
Catawba
Randleman
Goose Creek
Jordan Lake
Other
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Site access/grading
T
Ryan Creek
No
13,291
2,381
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 13,291.00 2,381.00
Zone 1
Zone 2
Total Permanent impacts: 0.00
0.00
Zone 1
Zone 2
Total combined buffer impacts: 13,291.00
2,381.00
6i. Comments:
The temporary buffer impacts on the North side of the stream are as follows: a gravel construction entrance in Zone 1 and Zone 2, a staging and
laydown area in Zone 1, a geotextile dewatering dirt bag in zone 1, and a silt fence in Zone 1. All of these temporary impacts are for erosion and
sediment control and will be removed after the project is complete.
The temporary buffer impacts on the South side of the stream are as follows: a staging and laydown area in Zone 1 and Zone 2, a drivable area for
construction vehicles in Zone 1 and Zone 2, and a silt fence in Zone 1. All of these temporary impacts are for erosion and sediment control and will be
removed after the project is complete.
The Jordan Lake Water Supply Watershed Buffer Rules Table of Uses states that streambank or shoreline stabilization is allowable in buffer zones. Final
grading for the project will return the area to the buffer topography prior to erosion and failure of the stream bank, with the intent of re-establishing diffuse
flow through the buffer zone. All areas will be seeded and monitored until turf is adequately established.
E. Impact Justification and Mitigation
I

1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Alternatives to repair using ecologically preferable materials were thwarted by site limitations and the FEMA for no increases to Base Flood Elevations in
an area where structures are at risk of flooding in a 1 % annual chance storm. All impacts are temporary.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Work will be staged such that low flow in channel can be maintained throughout the project without requirement for a pump -around.
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:
No permanent impacts or change to channel condition. Project is for repair only.
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:
No SWP required for the channel repair.
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
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.
Channel repair will not trigger additional development.
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
What Federal Agency is involved?
FEMA
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
Unknown
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?
iPac website: https:Hipac.ecosphere.fws.gov/
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?
https://www.f sheries. noaa.gov/resource/map/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?"
http://gis.ncdcr.gov/hpoweb/
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:
No Rise Certification has been submitted to City of Greensboro.
8c. What source(s) did you use to make the floodplain determination?"
FRIS website: https://fris.nc.gov/fris/Home.aspx?ST=NC
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
North —Buffalo _Creek _&_ Ryan _Creek _Streambank_Stabilization_Plan_Set.pdf
14.81 MB
Ryans Creek Species List_ Raleigh Ecological Services Field Office.pdf
530.48KB
Ryan Creek Agent Authorization. pdf
20.27KB
USGS_RC.pdf
1.02MB
Soils_RC.pdf
1.53MB
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:
Cynthia C. Lancaster
Signature
& t. abia"A b
Date
7/6/2023