20200775 Ver 2_401 Application_20240621

DWR
Dlvislon of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
October 2, 2023 Ver 4.3
Initial Review
Has this project met the requirements for acceptance in to the review process?
Yes No
Does this project involve maintenance dredging funded by the Shallow Draft Navigation Channel Dredging and Aquatic Weed Fund or involve the distribution or transmission of energy or
fuel, including natural gas, diesel, petroleum, or electricity?*
Yes No
Is this project a public transportation project?*
Yes No
Change only if needed.
BIMS # Assigned *
Version# *
20200775
2
Is a payment required for this project?*
No payment required
Fee received
Reviewing Office*
Fee needed - send electronic notification
Central Office - [phone]
Select Project Reviewer*
Maria Polizzi:Maria.Polizzi
Information for Initial Review
la. Name of project:
Middendorf Springs Mitigation Site
1a. Who is the Primary Contact?*
Ian Jewell
1b. Primary Contact Email:* 1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
6/21 /2024
Nearest Body of Water
South Fork Jones Creek
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude: Longitude:
34.854514-80.105156
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Anson
Is this a NCDMS Project
Yes No
Q
i�
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 permits) 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
If yes, please provide a statement concerning compliance with the Coastal Zone Management Act.
Nationwide Permit (NWP) Number: 27 - Restoration
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
fig. 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. Nani on recorded deed:
RTB Associates, LLC and DEB, LLC
2b. Deed book and page no.:
2c. Contact Person:
Aaron Burleson
2d.Address
Street Address
28838 Kendall Church Rd
Address Line 2
City
Richfield
Postal / Zip Code
28137
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
NC
Country
us
Yes No
Yes No

2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Kelly Phillips
3b. Business Name:
NC DEC, Division of Mitigation Services
3c.Address
Street Address
610 East Center Ave
Address Line 2
Suite 301
city
Mooresville
Postal / Zip Code
28115
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Jason Steele
4b. Business Name:
Freese and Nichols, Inc.
4c.Address
Street Address
531 N Liberty St
Address Line 2
city
Winston-Salem
Postal / Zip Code
27101
4d. Telephone Number:
[phone]
4f. Email Address:
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Wadesboro
2. Project Identification
2f. Fax Number:
State / Province / Region
NC
Country
us
3e. Fax Number:
State / Province / Region
NC
Country
us
4e. Fax Number:
2a. Property Identification Number: 2b. Property size:
646000760123
O

2c. Project Address
Street Address
Gulledge Road
Address Line 2
city
Wadesboro
Postal / Zip Code
28317
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
South Fork Jones Creek
3b. Water Resources Classification of nearest receiving water::
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.
030402010202
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: *
The Site consists of eight unnamed tributaries that flow north to south which drain to South Fork Jones Creek and approximately 20 acres of drained and row -cropped hydric soils in the
floodplain of South Fork Jones Creek. The drainage areas for each tributary are provided in the site mitigation plan in Appendix A. Primary land use within the tributary drainage areas
consists of row crop and cattle pasture. The cattle pastures are located on adjacent parcels upstream of Tributary 1 and are fenced to prevent access to the Site. The project site and
parent tract are entirely in row crop with some areas of woods. Wooded areas within the site are located along the riparian areas of South Fork Jones Creek, Tributary 1 (Upper) and along
Tributaries 1 B and 1C. Impervious surface accounts for less than one percent of the drainage area. Historic and current land use included timber production and row -cropping. There are
no signs of impending land use changes or development pressure that would impact the project throughout the watershed.
Historic aerial imagery indicates that the Site was used extensively for timber production, with conversion to row crop agriculture occurring in approximately 2016. Current agricultural
activities have degraded the riparian areas and contributed to the degradation of the stream channels. The site has not been used for cattle pasture historically, and no livestock are
currently present. The Site will be composed of a single easement area with eight tributaries that drain to South Fork Jones Creek.
The site supports 23 jurisdictional wetland features, all of which are classified as riparian non-riverine wetlands. The wetlands occur on side slopes and floodplains that drain to on -site
stream channels. Surface saturation and surface water were the dominant wetland hydrology indicator, and soils exhibited low chroma matrix and redoximorphic hydric soil indicators.
Hydrophytic vegetation was observed in some areas; however, due to the manipulation of the Site for agricultural purposes, the vegetation is considered significantly disturbed.
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:
3.64
4g. List the total estimated linear feet of all existing streams on the property:
5239
4h. Explain the purpose of the proposed project:*
The Middendorf Springs Mitigation Site (Site) is located approximately 10 miles south of Wadesboro in the town of Morven, Anson County, North Carolina. The site can be accessed from
Gulledge road, centroid coordinates 34.855,-80.1075. The site lies within the Yadkin River Basin, United States Geological Survey (USGS) hydrologic unit code (HUC) 03040201, and 12-
digit HUC 030402010202. This project proposes to restore 12,962.583 linear feet (LF) and enhance 500.119 LF of intermittent and perennial streams to provide 13,295.996 stream
mitigation units (SMU). Additionally, 5.73 acres of wetlands will be rehabilitated and re-established for 5.570 riparian wetland mitigation units (WMU). The site will be protected in perpetuity
by a 74.36-acre easement. All proposed activities conform to the general conditions of Nationwide Permit (NWP) 27 (Aquatic Habitat Restoration, Enhancement, and Establishment
Activities). A Site preliminary jurisdictional determination (Action ID SAW-2021-01973) was issued on July 27, 2022.

4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
STREAM ACTIVITY
The Site includes Priority I and Enhancement Level I restoration. For Tributary 1 B, which is relatively short and steep, Enhancement Level I will be used to establish grade control and
create pools. A bankfull bench will be constructed to provide stable dimension based upon sediment transport requirements. Small in -stream structures, such as log sills, will be installed to
provide grade control, establish pools and increase bedform diversity. Streambanks will be graded to provide stable slope and a 50-foot riparian buffer will be planted with native woody
and herbaceous species.
The remaining reaches (1A-lower, 1C, 2, 3, 4, 5, and 6) at the site will undergo Priority I restoration, which includes establishing a new, sinuous channel based on stable reference reach
condition. The channel bed elevation will be raised to reconnect streambanks to floodplain, and natural bedform with riffle -pool sequence and deep pool habitat will be established to
provide diversity of aquatic habitat. A 50-foot riparian buffer will be planted with native woody and herbaceous species. In -channel structures will be installed where necessary to maintain
grade and establish bedform. Bed material will be added to all riffles to construct constructed riffles, while in steeper riffle locations (>2.5 % slopes), log "roller" structures will be installed to
provide more resistance to increased shear stress.
The existing impaired tributaries will be backfilled with excavated materials. Portions of this channel will be filled up to a depth such that "vernal pools will be created with a depth no
greater than 14" in areas where these features will not compromise the integrity of the new stream channels. These vernal pools will provide additional variety of habitat to the riparian
areas and increase ecosystem services, particularly for nutrient cycling and wildlife habitat.
WETLAND ACTIVITY
The Site will provide 5.570 riparian WMUs through a combination of wetland reestablishment and rehabilitation. Planting of woody vegetation will occur in areas where existing riparian
wetlands are present. The hydrologic restoration of these areas will be directly related to stream restoration activities and removal of the drainage tile system. Removal of the drainage tiles
will raise local groundwater elevations and allow for more frequent groundwater interaction. These reestablished wetland areas will be planted with bare root hardwood trees and shrubs,
and rough graded to increase runoff retention in small shallow areas. This rehabilitation effort aims to re-establish the Riverine Swamp Forest community that historically existed in the
watershed.
SOIL ACTIVITY
Soil grading will occur during stream restoration activities. Topsoil will be stockpiled during construction and spread on the soil surface once a subgrade has been established. Areas of soil
compaction from row crop agriculture will be deep ripped to break up the soil surface prior to planting. Surface roughening will create microtopography and shallow depressional areas
within floodplain, re-establishing more natural conditions and establishing habitat diversity. No depressional areas will be created deeper than 6" within the wetland cells. Coarse woody
debris from site clearing will be added to wetland areas to provide wildlife habitat, increase surface roughness, and absorb water energy during overbank events.
EQUIPMENT
Site construction activities will utilize equipment commonly seen in grading operations, including hydraulic excavators, skidsteers, backhoes, bulldozers, articulated haulers, compactors
and/or trenchers. Equipment will utilize standard practices to reduces soil impacts, including use of timber mats, during saturated soil conditions.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
Comments:
No
5b. If the Corps made a jurisdictional determination, what type of determination was made? *
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
SAW-2021-01973
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: Freese and Nichols, Inc. and Acer Environmental, LLC
Other:
O Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
USACE PJD and AJD Determinations by David Bailey on July 27, 2022
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?
No other permits are intended for the project.
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
2. Wetland Impacts
0

2a1 Reason (?)
2b. Impact type" (?)
2c. Type of W.
2d. W. name*
2e. Forested"
2f. Type of Jurisdicition"
29• Impact
area
1-01
StreamGradi9Channel
P
Headwater Forest
Wetland B
No
Both
0(0
f0 )
T-01
Construction Access IT
Headwater Forest
Wetland B
No
Both
0.060
(acres)
T-02
Construction Access IT
Headwater Forest
Wetland B
No
Both
0.090
(acres)
1-02
Stream Channel
t
Headwater Forest
Wetland A
No
Both
0.020
Grading
(acres)
T-03
Construction Access
T
Headwater Forest
Wetland A
No
Both
0.130
(acres)
T-04
Construction Access
T
Headwater Forest
Wetland A
No
Both
0.300
(acres)
T-O5
Construction Access
T
Headwater Forest
Wetland C
No
Both
0.010
(acres)
T-06
Construction Access
T
Headwater Forest
Wetland D
No
Both
0.010
(acres)
1-04
Stream Channel
P
Headwater Forest
Wetland C
No
Both
0.013
Grading
(acres)
T-07
Construction Access
T
Headwater Forest
Wetland C
No
Both
0.020
(acres)
1-OS
Stream Channel
P
fverine Swamp Forest
Wetland E
No
Both
0.060
Grading
(acres)
T-08
Construction Access
T
Riverine Swamp Forest
Wetland E
No
Both
0.280
(acres)
T-09
Construction Access
T
f7verine Swamp Forest
Wetland E
No
Both
0.230
(acres)
T-10
Construction Access
T
f7verine Swamp Forest
Wetland E
No
Both
0.040
(acres)
T-11
Construction Access
T
f7verine Swamp Forest
Wetland E
No
Both
0.080
(acres)
T-12
Construction Access
T
f7verine Swamp Forest
Wetland E
No
Both
0.004
(acres)
T-13
Construction Access
T
f7verine Swamp Forest
Wetland E
No
Both
0.002
(acres)
1-06
Stream Channel
P
fverine Swamp Forest
Wetland E
No
Both
0.003
Grading
(acres)
1-07
Stream Channel
P
Riverine Swamp Forest
Wetland E
No
Both
0(Oc10
radi9Channel
Grading
)
1-08
Stream Channel
P
fverine Swamp Forest
Wetland E
No
Both
0.004
Grading
(acres)
2-01
Stream Channel
P
fverine Swamp Forest
Wetland M
No
Both
0.020
Grading
(acres)
T-14
Construction Access
T
Riverine Swamp Forest
Wetland M
No
Both
0.030
(acres)
T-15
Construction Access
T
f7verine Swamp Forest
Wetland M
No
Both
0.050
(acres)
3-01
Stream Channel
P
fverine Swamp Forest
Wetland K
No
Both
0.000
Grading
(acres)
T-16
Construction Access
T
Riverine Swamp Forest
Wetland K
No
Both
0.001
(acres)
3-02
Stream Channel
P
fverine Swamp Forest
Wetland W
No
Both
0.004
Grading
(acres)
T-17
Construction Access
T
Riverine Swamp Forest
Wetland W
No
Both
0.017
(acres)
3-03
Stream Channel
P
fverine Swamp Forest
Wetland I
No
Both
0.019
Grading
(acres)
T-18
Construction Access
T
Riverine Swamp Forest
Wetland I
No
Both
0.084
(acres)

T-19
Construction Access
T
Riverine Swamp Forest
Wetland I
No
Both
0.111__]
(acres)
(ac
4-01
Stream Channel
P
Riverine Swamp Forest
Wetland S
No
Both
0.002
Grading
(acres)
T-20
Construction Access
T
Riverine Swamp Forest
Wetland S
No
Both
0.013
(acres)
5-01
Stream Construction
P
Riverine Swamp Forest
Wetland G
No
Both
0.001
Grading
(acres)
T-21
Construction Access
T
Riverine Swamp Forest
Wetland G
No
Both
0.005
(acres)
6-01
Stream Channel
P
Riverine Swamp Forest
Wetland H
No
Both
0.040
Grading
(acres)
6-02
Stream Channel
P
Riverine Swamp Forest
Wetland H
No
Both
0.020
Grading
(acres)
T-22
Construction Access
T
Riverine Swamp Forest
Wetland H
No
Both
0.320
(acres)
T-23
Construction Access
T
Riverine Swamp Forest
Wetland H
No
Both
0.440
(acres)
T-24
Construction Access
T
Riverine Swamp Forest
Wetland H
No
Both
0.110
(acres)
6-03
Stream Channel
P
Riverine Swamp Forest
Wetland U
No
Both
0(OOe1s)
Gradi
T-25
Construction Access
T
Riverine Swamp Forest
Wetland U
No
Both
0.011
(acres)
6-04
Stream Channel
P
Riverine Swamp Forest
Wetland T
No
Both
0(000
Grading
)
T-26
Construction Access
T
Riverine Swamp Forest
Wetland T
No
Both
0.018
(acres)
T-27
Construction Access
T
Riverine Swamp Forest
Wetland J
No
Both
0.075
(acres)
2g. Total Temporary Wetland Impact
2 541
2g. Total Wetland Impact
2.768
2i. Comments:
2g. Total Permanent Wetland Impact
0.227
There will be 0.22 acres of permanent impacts to existing wetlands onsite due to channel realignment, as well as 2.54 acres of temporary impacts
resulting from access and grading during project construction. The latter impacts are considered temporary in nature since the areas will be returned to
pre -construction contours and planted to allow for afforestation. Permanent impacts will be mitigated on -site through the expansion of Wetland A re-
establishment area by 0.22 acres
3. Stream Impacts
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
g1
Impact Area 1-03: Culvert
Temporary
Excavation
UT-6
Perennial
Both
4
28
removal, stream channel
Average (feet)
(linear feet)
grading
g2
Impact Area 4-02: Culvert
Permanent
Culvert
UT-4
Perennial
Both
36
installation
Average (feet)
(linear feet)
S3
Impact Area T-28: Culvert
Temporary
Culvert
UT-4
Perennial
Both
30
Installation
Average (feet)
(linear feet)
S4
Impact Area 6-05: Culvert
Permanent
Culvert
UT-6
Perennial
Both
43
Installation
Average (feet)
(linear feet)
S5
Impact Area T-29: Culvert
Temporary
Culvert
UT-6
Perennial
Both
�;;JJ
]�Installation
3i. Total jurisdictional ditch impact in square feet:
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
79 88

3i. Total stream and ditch impacts:
167
3j. Comments:
The project proposes to restore 12,962.583 linear feet (LF) and enhance 500.119 LF of intermittent and perennial streams. In order to accomplish the
proposed stream restoration, the project will require the permanent filling of 79.83 linear feet (325.75 square feet) of perennial stream and 88.11 linear
feet (355.93 square feet) of temporary impacts from construction of the culvert installation and removal, as detailed on Sheet C-25 and C-28.
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:
In accordance with Section 404(b)(1) guidelines, alternatives were considered to avoid and minimize WOTUS impacts. Due to the nature of the project
avoidance measures centered around appropriate re -alignment of the tributaries and management of site soils to reduce impacts from construction of
the new stream channels. The construction access plan has minimized impacts to site soils to the extent practicable. An Erosion and Sedimentation Plan
has been developed to minimize impacts to water quality during construction. The proposed project will increase the stability of Site streams and will
result in a net improvement and functional uplift of the stream and re-establishment of a riparian corridor with riparian and wetland systems. Temporary
impacts to riparian wetlands will be restored to pre -construction contours, with the areas undergoing additional supplemental woody plantings to restore
the areas to forested wetlands. No credit is being sought for these areas.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The construction phasing and access plans minimize impacts to WOTUS to the extent practicable. Due to the narrow nature of many of the stream
valleys, impacts to adjacent wetlands were unavoidable, however, log mats and other construction methods to decrease soil compaction will be used to
reduce permanent impacts to these areas. Overall, the project will result in a net improvement and functional uplift of the streams and re-establishment
of riparian corridors with forested riparian wetlands.
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 project is a ecological restoration project and any mitigatable impacts (e.g., 0.22 acres of wetland) have been mitigated within the site design.
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
If no, explain why:
The Yadkin basin does not have NC riparian buffer protection rules.
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
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
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?
Yes No
Comments: *
Funding for the project is provided by FHWA. A Categorical Exclusion document, along with the acceptance letter with signatures, is included in the
accepted Mitigation Plan (in RIBITs and Laserfiche)
0
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 project is for the establishment of a compensatory mitigation site for impacts associated with completed projects by the State of North Carolina. The
proposed project will provide a net increase in downstream water quality.
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.
Asheville
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?
USFWS IPaC, NC NHP. Correspondence from USFWS is included in the Categorical Exclusion documentation (in RIBITs and Laserfiche).
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 EFH 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?
Correspondence with NC SHPO is included in the Categorical Exclusion documentation included in the accepted Mitigation plan (in RIBITs and
Laserfiche)
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 Floodplain mapper. Documentation of floodplain compliance is included in the accepted Mitigation Plan (in RIBITs and Laserfiche).
Miscellaneous
O

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
Middendorf PCN Package.pdf
11.25MB
Middendorf_IMPACTS_24 0619.pdf
3.03MB
MiddendorfSpring40l COffice. pdf
234.79KB
MiddendorfSpring401FeeMemo.pdf
241.8KB
MiddendorfSprings_100151_MP_2023.pdf
113.28MB
File must be PDF or KMZ
Comments
The attached document includes narrative of the proposed nationwide permit activity, existing conditions, WOTUS activities, Nationwide permit compliance, impact narrative, and
applicable avoidance and minimization measures employed on the project.
The accepted Middendorf Springs Mitigation Plan (with acceptance letter and FHWA Categorical Exclusion documentation), construction plan set, impact map, and no -rise documentation
has been uploaded into RIBITs and the Laserfiche system.
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:
Jason Steele
Signature
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Full Name (DMS Signature)
Lin Xu
DSM Signature
Date
6/21 /2024
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