20200681 Ver 1_401 Application_20200522

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?*
G Yes r No
Change only if needed.
BIMS # Assigned * Version#*
20200681 1
Is a payment required for this project?*
r No payment required What amout is owed?*
r Fee received IT $240.00
r Fee needed - send electronic notification r $570.00
Reviewing Office *
Winston-Salem Regional Office - (336) 776- Select Project Reviewer*
9800 Stephanie Goss:eads\szgoss
Information for Initial Review
1a. Name of project:
BC-159 EAST PINE HALL ROAD FUTURE STORMWATER REROUTE
1a. Who is the Primary Contact?
Elizabeth Glenn
1b. Primary Contact Email:*
[e-mail]
Date Submitted
5/22/2020
Nearest Body of Water
Belews Lake
Basin
Roanoke
Water Classification
WS-IV
Site Coordinates
1c. Primary Contact Phone:*
[phone]
Latitude:
Longitude:
36.230958
-80.076325
A. Processing Information
County (or Counties) where the project is located:
Stokes
Is this a NCDMS Project
r Yes IT No
Is this project a public transportation 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)
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
7 - Outfall Structures/ Intake
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:
r 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 W 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:
Duke Energy Corporation
2b. Deed book and page no.:
000535 00965
2c. Responsible party:
Medi Maibodi
2d.Address
Street Address
0 Steam Station Road
Address tine 2
atY
Belews Creek
Postal / Zip 0,&
27009
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
State / Rwince / Rion
NC
Country
USA
2f. Fax Number:
r Yes r No
r Yes r No
3. Applicant Information (if different from owner)

3a. Name:
Elizabeth Glenn
3b. Business Name:
3c.Address
Street Address
526 South Church Street
Address Line 2
ECK-113
City
Charlotte
Postal / Zip Code
28202
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Belem Creek
2. Project Identification
2a. Property Identification Number:
6982-64-2715
2c. Project Address
Street Address
3195 Pine Hall Road
Address Line 2
city
Belews Creek
Postal / Zip Code
27009
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Belews Lake
3b. Water Resources Classification of nearest receiving water:*
WS-IV
3c. What river basin(s) is your project located in?*
Roanoke
3d. Please provide the 12-digit HUC in which the project is located.
0301010303
4. Project Description and History
Slate / Rovince / tiegion
NC
Country
USA
3e. Fax Number:
2b. Property size:
6,099.61
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:*
This area, east of Pine Hall Road, currently drains to an existing 48-inch RCP that carries flows beneath Pine Hall Road and discharges into the ash basin. The project area includes
existing asphalt, stone, open grassed, and wooded ground cover.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes G 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)
Site Location Map.pdf
120.65KB
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 589.13KB

4f. List the total estimated acreage of all existing wetlands on the property:
4.64
4g. List the total estimated linear feet of all existing streams on the property:
14,316
4h. Explain the purpose of the proposed project:*
Duke Energy is planning to construct a system to reroute epsting industrial stormwater flows in an
area east of Pine Hall Road (PHR) to prevent future piped discharge into the BCSS Ash Basin. The
project includes rerouting runoff from an estimated 19.4 acres portion of an epsting overall 33.5
acres watershed to an isolated nearby water body referred to as Charlie's Pond. Rerouting of piped
stormwater to an ash basin shall be discontinued due to the federal CCR rule.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
See attachment (Erosion and Sediment Control Plan).
4j. Please upload project drawings for the proposed project.
BC-159_ESC Report _FINAL _4-14-2020_Rev1_corrected FRO (002).pdf
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: Wood (Formerly AMEC Foster Wheeler)
Other:
10.16MB
r Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR
Two days in late -October 2017 and one day in early -December 2017.
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
Are anyother 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?
Modification of the station industrial stormwater permit to add an outfall. Submitted to NCDEQ - DWR on 1129/20.
[D- Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands f Streams -tributaries F Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2b. Impact type * (') 2c. Type of W. 2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition * M area*
W1 Fill P ffRiverine Swamp Forest �NA Yes Corps 0.030
(acres)
W2
Within LOD
T
p ForeNA
t=m�7]
Yes
Corps
]
0.200
(acres)
2g. Total Temporary Wetland Impact
0.200
2g. Total Permanent Wetland Impact
0.030
2g. Total Wetland Impact

0.230
2h. Comments:
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:
A hydrologic and hydraulic analysis of the pre -construction conditions and the post -construction conditions was complete for the proposed BC-159
design. This was done to provide a design that has sufficient capacity and stability to safely convey the design storm. Stringent erosion and sediment
controls will be incorporated and maintained to be protective of water quality. This project primarily consists of trenching and pipeline installation, and
all final grades are planned to match existing (except the discharge channel), thus no significant alterations to existing overland flows are anticipated.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Begin construction of the proposed discharge channel from the downstream end. Polyacrylamide (PAM) treatment in conjunction with wattles, filter
socks, or silt fences are to be installed and moved upstream of the completed portions of the proposed discharge channel in order to minimize
sediment discharged downstream into the stabilized channel.
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
F. Stormwater Management and Diffuse Flow Plan (required by DWR) u
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:
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
Comments:
Install turbidity curtain, silt fence, silt bags, concrete washout pit, construction fencing, and construction entrances prior to any earth disturbance activities and ensure all required
permits have been obtained for all work within Charlie's Pond. Delineate and flag all environmentally sensitive areas (ESAS). No grubbing is to occur within a 50 foot buffer for streams
and wetlands until grading is actively pursued in the immediate area. Disturbance should be limited as much as possible in all ESAS.
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.
This project is not intended to support future development. The purpose of this project is solely to support existing facilities. Because of this, no
impacts to the downstream water quality are expected.

4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR forth is 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
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 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
r 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.?
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 and NC Natural Heritage Program databases.
Consultation Documentation Upload
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 Fisheries, 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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NC State Historical Preservation Office HPOWEB database.
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-yearfloodplain?*
r Yes r No
8b. If yes, explain how project meets FEMArequirements:
The project is located on FEMA Flood Insurance Rate Map 3710698200K. Portions of the project are located in the effective 100-year flood plain.
Once design is complete a Floodplain Development Permit Application will be submitted to Stokes County for review and approval prior to
construction. The project is not located in a floodway or nonencroachment area, so a no -rise hydraulic analysis is not needed.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Insurance Rate Map 3710698200K
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
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:
Jean Elizabeth Glenn
Signature
fGtb�
Date
5/22/2020

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