20191595 Ver 1_PCN Form Submission_20191120

DWR
Division of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
6 Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned * Version#*
20191595 1
Is a payment required for this project?*
r No payment required
What amout is owed?*
r Fee received
r $240.00
6 Fee needed - send electronic notification
r $570.00
Reviewing Office *
Select Project Reviewer*
Central Office - [phone]
April Norton:eads\arnorton
Information for Initial Review
1a. Name of project:
Lakeview Drive Bridge
1a. Who is the Primary Contact?*
Jonathan Herman
1b. Primary Contact Email:*
[e-mail]
Date Submitted
11/20/2019
Nearest Body of Water
Thaggard's Lake
Basin
Cape Fear
Water Classification
WS-III,B;HOW
Site Coordinates
Latitude:
35.268371
A. Processing Information
County (or Counties) where the project is located:
Moore
Longitude:
-79.371892
Is this project a public transportation project?*
IT Yes r No
Is this a NCDOT Project?*
r Yes IT No
1a. Type(s) of approval sought from the Corps:
W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1c. Primary Contact Phone:*
[phone]
U
1b. What type(s) of permit(s) do you wish to seek authorization?

W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number: 14 - Linear transportation
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular F- 401 Water Quality Certification - E)press
r Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual Permit
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification: r Yes r No
For the record onlyfor Corps Permit: r Yes r No
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
R Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
Village of Whispering Pines
2b. Deed book and page no.:
4529/107,505/365
2c. Responsible party:
2d.Address
Street Address
10 Pine Ridge Drive
Address tine 2
city
Whispering Pines
Postal / Zip Code
28327
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
State / Province / Rion
North Carolina
Country
United States
2f. Fax Number:
4. Agent/Consultant (if applicable)

4a. Name:
Jonathan Herman
4b. Business Name:
McGill Associates, P.A.
4c.Address
Street Address
1013 State Farm Road
Address Line 2
(Sty
State / Province / Rion
Boone
NC
Postal / Zip Code
Country
28607
United States
4d. Telephone Number: 4e. Fax Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Agent Author Form-Signed.pdf
� C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Whispering Pines
2. Project Identification
2a. Property Identification Number:
2b. Property size:
858500828940,858500813301
1.68,207.39
2c. Project Address
Street Address
Address tine 2
Criy
State / Province / lRLgion
Postal / Zip Code
Country
I Surface Waters
3a. Name of the nearest body of water to proposed project:*
Thaggard's Lake
3b. Water Resources Classification of nearest receiving water:*
WS-III,B;HQW
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
030300040302
4. Project Description and History
21.29KB
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:*
Two existing 36 inch RCP pipes under Lakeview Drive transmit water from McLean Branch and roadside ditches to Thaggard's Lake. In recent years the surrounding residential
properties have experienced flooding during heavy rain events due to poor flow conditions associated with the existing pipes.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No 6 Unknown
4d. 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)
USGS Map.pdf 758.13KB
4e. 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)
Soil Map.pdf 335.61KB
C^U
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:
67
4h. Explain the purpose of the proposed project,*
The purpose of the project is to provide adequate drainage to prevent future flooding of nearby residential properties.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project involves removal of the existing 36 inch RCP pipes and installing a new, free span bridge along the ebsting road alignment. The project will require 0.04 acres of permanent
open water impacts due to grading in open water ditches and Thaggard's Lake, 20 linear feet of permanent stream impacts due to excavation in McLean Branch, 0.06 acres of
temporary open water impacts for construction access, and 20 linear feet of temporary stream impacts due to construction access (see attached Impacts Map). Please note that areas
will be excavated only to the elevations shown on the plans and no riprap is proposed that would require additional excavation. The proposed grading should maintain natural flow
conditions. Areas around the perimeter of the project will be temporarily impacted for construction access. Temporarily impacted stream and open water bank slopes will be restored,
covered with biodegradable coir matting, and seeded with a native seed mix. Temporary construction impacts might also include dust, noise, road closure, and soil erosion. A temporary
pump around diversion will be installed so work will be performed in the dry to minimize soil erosion into adjacent waters. No operational impacts are anticipated once the project is
complete. Equipment needed to perform the work might include excavators, backhoes, dump trucks, asphalt pavers, rollers, soil compactors, and skid steer loaders.
4j. Please upload project drawings for the proposed project.
Lakeview Dr. Bridge.pdf 1.54MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No 6 Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c. If Sa is yes, who delineated the jurisdictional areas?
Name (if known): Jonathan Herman
Agency/Consultant Company: McGill Associates, P.A.
Other:
5d1. Jurisdictional determination upload
JD Package.pdf 1.93MB
6. Future Project Plans
6a. 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?
No
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
r Wetlands W Streams -tributaries F Buffers
W Open Waters f Pond Construction
3. Stream Impacts
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* �3�name* ffe; Stream Type * 3f. Type of 3gSwidth * 3h. Impact Jurisdiction* length*
S1
S1
Permanent
Excavation
McLean Branch
Perennial
Both
10
Average (feet)
25
(linearfeet)
S2
S2
Temporary
Workpad/Causeway J
McLean Branch
Perennial
Both
1Average(fee)
20earfeet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts: 31. Total temporary stream impacts:
25 20

3i. Total stream and ditch impacts:
45
3j. Comments:
See attached Impacts Map in Miscellaneous section.
4.Open Water Impacts
4a. Site #
4a1. Impact Reason
4b. Impact type
4c. Name of waterbody
4d. Activity type 4e. Waterbody type 4f. Impact area
OW1
grading
P
Open Water Ditch A
Drainage Ditch
0.02
OW2
construction access
T
Open Water Ditch A
Drainage Ditch
0.02
OW3
construction access
T
Thagard's Lake
Drainage
Lake
0.02
OW4
grading
P
Thagard's Lake
Drainage
Lake
0.01
OW5
grading
P
Open Water Ditch B
Drainage
Ditch
0.01
OW6
construction access
T
Open Water Ditch B
Drainage
Ditch
0.02
4g. Total temporary open water Impacts:
0.06
4g.Total open water impacts:
0.10
4g. Total permanent open water impacts:
0.04
4h. Comments:
See attached Impacts Map in Miscellaneous section.
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 bridge structure is proposed above the 100-year FEMA flood elevation to avoid impacts to floodplains. The bridge will be constructed within the
epsting road embankment which will minimize permanent impacts to adjacent aquatic resources.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Silt fence, turbidity curtains, and a pump -around diversion to dewater the work area will be installed to prevent sediment from washing into
jurisdictional waters.
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:
There are 0.04 acres of permanent open water impacts and 25 linear feet of permanent stream impacts.These are below the threshold for mitigation required by Nationwide Permit 14.
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?
r Yes r No
If no, explain why:
The project is in the Cape Fear basin which has no Riparian Buffer Protection Rules.
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
Comments:
G. Supplementary Information
u
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
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)? *
r Yes r No
Comments:*
The project is being funded by the local government.
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)? *
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project 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.
The purpose of the project is to improve drainage under an existing road. Additional development is not anticipated as a result of this project.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r 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?*
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
5h. Does this project involve the construction/installation of a wind turbine(s)?'
r Yes r No
r Unknown
51. 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
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this activity on the property.
Percussive Activities.pdf 91.67KB
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPaC (https://ecos.fws.gov/ipac/) & North Carolina Natural Heritage Program Data E)plorer (http://ncnhde.natureserve.org/content/map)
Consultation Documentation Upload
Species List_ Raleigh Ecological Services Field Office.pdf 189.46KB
NCNHP Report.pdf 910.51 KB
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 Essential Fish Habitat Mapper (https://www.habitat.noaa.gov/application/efhmapper/indexhtml)

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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
North Carolina State Historic Preservation Office GIS Web Service
7c. Historic or Prehistoric Information Upload
Historic Resources Map.pdf 2.51MB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-yearflood plain?
*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
The proposed bridge structure will be above the 100-year FEMA flood elevation. The project also proposes to raise the road elevation adjacent to the
bridge.
8c. What source(s) did you use to make the floodplain determination?*
Flood Risk Information System (https://fris.nc.gov/fris/Horm.aspx)
Miscellaneous U
Comments
Miscellaneous attachments not previously requested.
Flood Map.pdf 378.76KB
Impacts Map 11-5-19.pdf 324.46KB
NWI Wetlands Map.pdf 1.43MB
Signature U
*
17 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:
Jonathan Herman
Signature
Date
11 /20/2019