20180313 Ver 1_401 Application_20180318

DWR
Dfutslon of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
January 31, 2018 Ver 2.3
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E -PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs. deq. nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30. pdf
A. Processing Information
County (or Counties) where the project is located:*
Harnett
Is this project a public transportation project?
r Yes G No
1a. Type(s) of approval sought from the Corps:*
rJ Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
rJ Nationwide Permit (NWP)
r Regional General Permit (RGP)
Nationwide Permit (NWP) Number: 39 - Commercial/Institutional Developments
NWP Number Other:
List all NNnurrbers you are applying for not on the drop down list.
1c. Type(s) of approval sought from the DWR:*
check all that apply
rJ 401 Water Quality Certification - Regular r- 401 Water Quality Certification - Express
F_ Non -404 Jurisdictional General Permit r Riparian Buffer Authorization
*
1d. 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:
r Yes f No
r Yes r No
1e. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
If so, attach the acceptance letter from rritigation bank or in -lieu fee program
r Yes r No

1f. Is the project located in any of NC's twenty coastal counties?*
f Yes r No
1h. Is the project located in a designated trout watershed?*
r Yes r No
Link to trout information: http://wm.saw.usace.army.miI/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Hal Owen
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
W Owner r Applicant (other than owner) V Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
JPF Properties LLC
2b. Deed book and page no.:
2018 : 0878
2c. Responsible party:
(for Corporations)
Paul J. Faircloth
2d. Address
Street Address
PO Box 1207
Address Line 2
aty
Dunn
Fbstal / Zip Code
28335
2e. Telephone Number:
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Hal Owen
State / Rovince / Fbgion
NC
Country
us

4b. Business Name:
(if applicable)
Hal Owen & Associates, Inc.
4c. Address
Street Address
PO Box 400
Address Line 2
city
Lillington
Fbstal / Zip Code
27546
4d. Telephone Number:
[phone]
4e. Fax Number:
[phone]
(xxx)xxx-xxxx
4f. Email Address:*
[e-mail]
State/ Province / Region
NC
Country
us
Agent Authorization Letter*
Rease provide the Agent Authorization Letter if you are subrritting this docunent.
(2) Agent Authorization.pdf 182.79KB
RLEIYFE M -ST BE RDF
C. Project Information and Prior Project History
1. Project Information
......................................................................................................................................
1a. Name of project:*
PJ's Truck Bodies
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:*
Dunn
1d. Driving directions*
V it is a new project and can not easily be found in a GPS crapping system Rease provide directions.
From Hodges Chapel Road, on eastern side of 1-95, turn south on George Perry Lee Road. Site is about 1/4 mile on left, at address 1560
George Perry Lee Road.
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
1537-17-7973
2b. Property size:
(in acres)
13.33
2c. Project Address

Street Address
1560 George Perry Lee Road
Address Line 2
City
State / Province / Legion
Dunn
NC
Rostal / Zip Code
Country
28334
US
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey -grade GPS device) after the decimal place as
appropriate, based on howthe location was determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to
map coordinates to 5 or 6 digits after the decimal place.)
.................................. ..
Latitude:* Longitude:*
35.336140 -78.558872
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Mingo Swamp
3b. Water Resources Classification of nearest receiving water:*
C; Sw
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Cape Fear
River Basin Lookup
4. Project Description
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 has an existing commercial business on the northern half of the tract. The southern half is undeveloped.
Land use in the vicinity is residential and commercial.
4b. 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)
Click the upload button or drag and drop files here to attach docurrent
(9) USGS Topo Quad.pdf 323.79KB
File type crust be pdf
4c. 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)
Click the upload button or drag and drop files here to attach docurrent
(10) NRCS Soil Map.pdf 793.11 KB
File type rrust be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
1
4e. List the total estimated linear feet of all existing streams on the property:
(intermittent and perennial)
0
4f. Explain the purpose of the proposed project:*

The existing septic system is undersized for the current commercial operation, and a new septic system has been
designed to replace it.
4g. Describe the overall project in detail, including indirect imapacts and the type of equipment to be used:*
The proposed wetland impact is to install a septic supply line from the existing building north of the wetland to a
nitrification field located south of the wetland. A 10 foot wide utility corridor will be mechanically cleared, a 3 inch
sch 40 PVC pipe will be installed about 2ft below surface, and the trench will be back-filled to original grade.
4h. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files here to attach docurrent
PJ's Truck Bodies Septic Design.pdf 690.58KB
Wetland Impact.pdf 322.76KB
File type rrust be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:
The wetland boundary was delineated by consultant and survey located.
There is no stream.
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r Approved r Unknown r N/A
Corps AID Number:
Exarrple: SAW -2017-99999
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other
Hal Owen
Hal Owen &Associates Inc.
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5d1. Jurisdictional determination upload
Click the upload button or drag and drop files hereto attach docurrent
File type rrust be FDF
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
7. Future Project Plans
7a. Is this a phased project?*
r Yes r 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? This includes other separate and distant crossing for linear projects that require Department of the
Army authorization but don't require pre -construction notification.
D. Proposed Impacts Inventory

1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
P Wetlands r Streams -tributaries r Buffers
r— Open Waters r Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. Site # - Reason for impact* 2b. Impact type * 2c. Type of wetland * 2d. Wetland name *2e. 2f. Type of 2g. Impact
Forested* Jurisdicition* area*
Utility Corridor P
K/bp label (e.g. Fbad Crossing 1 - Qalven, Flrrnanent () or
dewatering, etc) Terrporary (l)
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.030
2g. Total Wetland Impact
0.030
2h. Comments:
Headwater Forest wetlands Yes Corps 0.030
(404, 10) or DWR(401, (acres)
other)
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:*
The utility corridor was sited at the narrowest width of the wetland drain.
The utility corridor is 10ft wide
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
construction will occur during a dry period to minimize compaction.
Utility corridor will be clearly marked through 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?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The impact is minimal and less than 1 /10 acre. Permanent impact will be that the corridor is converted from forested to herbaceous wetland.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
*** Recent changes to the stormwater rules have required updates to this section .***
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?
f Yes r No

For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
site is in Cape Fear basin and not subject to NC Riparian Buffer Protection
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes
r No
To look up low density requirement click here 15A NCAC 02H .1003(2).
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?*
r 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)?*
f Yes r No
2b. Is this an after -the -fact permit application?*
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact
nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
no new development is occurring.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
r Yes r Nor NiA
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the
proposed project. If the wastewater will be treated at a treatment plant, list the capacity available at that plant.
on site subsurface sewage waste disposal and treatment system will be installed with a capacity of 400 gallons
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?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*

r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes r No
5e. Is this a DOT project located within Division's 1-8?*
r Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?*
r Yes r No
5g. Does this project involve bridge maintenance or removal?*
r Yes r No
r Unknown
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?**
r Yes r 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.?*
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
USFWS IPaC indicates potential for Red -cockaded woodpecker (Picoides borealis), Cape Fear Shiner (Notropis
mekistocholas), and Rough -leaved loosestrife (Lysmachia asperulaefolia). No habitat present for RCW or Cape
Fear Shiner. NC Natural Heritage (ncnhde.natureserve. org) Data Explorer shows no occurrence of federally
protected species within 2 miles of site.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Habitat Conservation National Marine Fisheries Service EFH mapper
(https://\mAw.habitat.noaa.gov/protection/efh/efhmapper/)
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
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 (e.g., National Historic Trust designation or properties significant in North Carolina history and archaeology)?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NC State Historic Preservation Office GIS Web Service (http://gis.ncdcr.gov/hpoweb/)
7c. Historic or Prehistoric Information Upload
nick the upload button or drag and drop files here to attach docurrent
NC SHPO map.pdf 403.1 KB
File rust be FDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search

8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
NC Flood Risk Information system (http://fris.nc.gov/fris/Home.aspx?ST=NC)
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docurrent
Species List_ Raleigh Ecological Services Field Office.pdf 183.65KB
File crust be FDF
Signature
W By checking the box and signing below, I certify that:
■ 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:*
Hal Owen
Signature
W
Initial Review
Is this project a public transportation project?*(?)
r Yes r No
Change only if needed.
Has this project met the requirements for acceptance in to the review process?*
G Yes
C No
BIMS # Assigned *
20180313
Version#*
1
Reviewing Office
Fayetteville Regional Office - [phone]
Select Project Reviewer*
Chad Turlington:eads\ccturlington
Is a payment required for this project?*

r No payment required
r Fee received
r Fee needed - send electronic notification