20200508 Ver 1_PCN Form Submission_20200414

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
April 11, 2020 Ver 3.1
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
C Yes r No
Change only if needed.
BIMS # Assigned * Version#*
20200508 1
Is a payment required for this project?*
r No payment required What amout is owed?*
r Fee received r $240.00
r Fee needed - send electronic notification IT $570.00
Reviewing Office * Select Project Reviewer*
Mooresville Regional Office - [phone] Alan Johnson:eads\adjohnson1
Information for Initial Review
1a. Name of project:
Cornelius Woods
1a. Who is the Primary Contact?*
Wyatt A. Clark
1b. Primary Contact Email:*
v,[e-mail]
Date Submitted
4/14/2020
Nearest Body of Water
South Prong West Branch Rocky River
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude:
35.474599
A. Processing Information
County (or Counties) where the project is located
Mecklenburg
Is this a NCDMS Project
r Yes r No
Longitude:
-80.851543
Is this project a public transportation project?*
r Yes r 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:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
39 - Commercial/Institutional Developments
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:
F- 401 Water Quality Certification - E)press
r Riparian Buffer Authorization
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:
NC Homes Associates, LLC
2b. Deed book and page no.:
34109 - 619
2c. Responsible party:
2d.Address
Street Address
17801 Sedona Way
Address Line 2
City
Cornelius
Postal / Zip Code
28031
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
State / Rovince / legion
NC
Country
USA
2f. Fax Number:
r Yes r No
r Yes r No
4. Agent/Consultant (if applicable)

4a. Name:
Donald L. Curry, PE
4b. Business Name:
Curry Engineering
4c.Address
Street Address
205 S. Fuquay Ave.
Address Line 2
City
Fuquay-Varina
Postal / Zip Code
27526
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Agent Auth Form - signed.pdf
State / Province / Flegion
NC
Country
USA
4e. Fax Number:
18.91 KB
C. Project Information and Prior Project History C^U
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Cornelius
2 Pro Project Identification
2a. Property Identification Number:
00710123A
2c. Project Address
Street Address
19328 Zion Ave
Address Line 2
city
Cornelius
Postal / Zip Code
28031
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
South Prong West Branch Rocky River
3b. Water Resources Classification of nearest receiving water:*
C
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.
030401050102
4. Project Description and History
2b. Property size:
9.72
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:*
Wooded, vacant lot.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r 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)
Cornelius USGS Map.pdf 3.22MB
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)

Cornelius Soils Map.pdf
1.35MB
4f. List the total estimated acreage of all existing wetlands on the property:
0.17
4g. List the total estimated linear feet of all existing streams on the property:
1521
4h. Explain the purpose of the proposed project:*
A master planned mixed -use development with single family and multi family residential housing and a senior ministry center.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Heavy equipment for grading and building erection.
4j. Please upload project drawings for the proposed project.
2020-04-13 Cornelius Woods CD's.pdf 72.63MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
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 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
JD_ request_ MlZion_revised. pdf
6. Future Project Plans
Jeff Harbour, PWS
Environmental Services, Inc.
3.34MB
C Unknown
6a. Is this a phased project?*
C 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 projector related activity?
No
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries F Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2a1 Reason (?) 2b. Impact type * M 2c. Type of W.* �2d. W. name * 2e. Forested * 2f. Type of Impact
Jurisdicition*(?)]2g.
area*
W3
Building/Ret. Wall
t
Unknown
W3
Yes
Both
0.014
(acres)
W4
Roadway
P
Unknown
W4
Yes
Both
0.040
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.054
2g. Total Wetland Impact
0.054
2h. Comments:

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*
Roadway
Permanent Fill S3 Intermittent Corps 2 E(,71 y P
3i. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
167
31. Total stream and ditch impacts:
167
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
31. Total temporary stream impacts:
0
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Site is designed to minimize impacts, via use of retaining walls.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Grading contractor is advised to stay clear of all non -impacted areas during construction. Extra care will be taken to avoid all sensitive areas outside
the proposed impacts.
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
2c. If yes, mitigation is required by (check all that apply):
W DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank W Payment to in -lieu fee r Permittee Responsible
program Mitigation
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
r Yes r No
4b. Stream mitigation requested:
(linear feet)
17
4d. Buffer mitigation requested (DWR only):
(square feet)
34
4f. Non -riparian wetland mitigation requested:
(acres)
0
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
cool
4e. Riparian wetland mitigation requested:
(acres)
0
4g. Coastal (tidal) wetland mitigation requested:
(acres)
0
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more
information.
C Yes r No
�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:
No buffer requirements in Yadkin Pee -Dee basin.
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 15ANCAC 02H .1003(2)?
r Yes r No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?
r Yes r No
r N/A - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
R Local Government r State
Local Government Stormwater Programs
V Phase II r NSW r USMP r Water Supply
Please identify which local government stormwater program you are using.
Mecklenburg County
Comments:
Reviewed by LUESA/Mecklenburg County on behalf of the Town of Cornelius
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)?*
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 project will be constructed in a single phase and once construction is completed, the site will be stable with no additional impact potential.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor WA
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.
Asheville
5d. Is another Federal agency involved?*
r Yes r No C Unknown
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut any trees 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
Si. 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 - Asheville Office ArcGIS mapping
Consultation Documentation Upload
ArcGIS - Cornelius Map 1.pdf 357.15KB
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?*
USFWS - Asheville Office ArcGIS mapping
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?*
NCHPO Online Mapping
7c. Historic or Prehistoric Information Upload
NCHPO Map.pdf
8. Flood Zone Designation (Corps Requirement)
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?*
Review of FEMA floodplain maps.
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
*
W By checking the box and signing below, I certify that:
259.77KB
• 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:
Donald L. Curry
Signature
D)1,60 L. Curry
Date
4/14/2020
U

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
PLAN NO. PARCEL ID: 0 0 71012 3 A
STREET ADDRESS: 19328 Zion Ave., Cornelius, NC 28031
Please print:
Property Owner: NC Homes Associates, LLC
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Donald L. Curry, PE pf Curry Engineering, PLLC
(Contractor J Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
17801 Sedona Way, Cornelius, NC 28031 _
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date:

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