HomeMy WebLinkAbout20071512 Ver 2_AWH19000_ShepPk_PCN Form REVISED 7-2-2020_20200702
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 11, 2020 Ver 3.1
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
County (or Countie s) where the proje ct is locate d:*
Is this a NCDM S Proje ct *
Is this project a public transportation project?*
1a. Type (s) of approv al sought from the Corps:*
1b. What type (s) of pe rmit(s) do you wish to se e k authorization?*
This form may be used to initiate the standard/individual permit process with the Corps. Please contact your Corps representative concerning submittals for standard permits. All required items that
are not provided in the E-PCN can be added to the miscellaneous upload area located at the bottom of this form.
1c. Has the NWP or GP numbe r be e n v e rifie d by the Corps?*
Nationwide Pe rmit (NWP) Numbe r:
NWP Numbe rs (for multiple NWPS):
1d. Type (s) of approv al sought from the DWR:*
1e . Is this notification sole ly for the re cord be cause writte n approv al is not re quire d?
*
For the re cord only for DWR 401 Ce rtification:
For the re cord only for Corps Pe rmit:
1f. Is this an afte r-the -fact pe rmit application?*
1g. Is payme nt into a mitigation bank or in-lie u fe e program propose d for mitigation of impacts?
Acce ptance Le tte r Attachme nt
A. Processing Information
Wake
Yes No
Click Yes, only if NCDMS is the applicant or co-applicant.
Yes No
This is any publicly funded by municipal,state or federal funds road, rail, airport transportation project.
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
Yes No
29 - Residential Developments
List all NW numbers you are applying for not on the drop dow n list.
check all that apply
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual Permit
Yes No
Yes No
Yes No
If so, attach the acceptance letter from mitigation bank or in-lieu fee program.
Yes No
1h. Is the proje ct locate d in any of NC's twe nty coastal countie s?*
1j. Is the proje ct locate d in a de signate d trout wate rshe d?*
Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
1a. Who is the Primary Contact?*
1b. Primary Contact Email:*
1c. Primary Contact Phone :*
1d. Who is applying for the pe rmit?*
1e . Is the re an Age nt/Consultant for this proje ct?*
2. Owner Information
3. Applicant Information (if different from owner)
Click the upload button or drag and drop files here to attach document
00_AWH19000_ShepPk_DMS Acceptance Letter.pdf 350.96KB
FILE TYPE MUST BE PDF
Yes No
Yes No
B. Applicant Information
Kelly Roth
roth@mcadamsco.com
(xxx)xxx-xxxx
(919)361-5000
Owner Applicant (other than owner)
(Check all that apply)
Yes No
2a. Name (s) on re corde d de e d:*
2b. De e d book and page no.:
2c. Re sponsible party:
2d. Addre ss *
2e . Te le phone Numbe r:*
2f. Fax Numbe r:
2g. Email Addre ss:*
BOEX, LLC
Book 15435, page 765
(for Corporations)
Brent Shearer
City
Cumming
State / Province / Region
Georgia
Postal / Zip Code
30028-6501
Country
USA
Street Address
PO Box 2249
Address Line 2
(xxx)xxx-xxxx
(727)448-3330
(xxx)xxx-xxxx
bshearer@blakeip.com
3a. Name :*
3b. Business Name :
3c. Addre ss *
Bob Mishler
(if applicable)
Starlight Homes
City
Raleigh
State / Province / Region
NC
Postal / Zip Code
27609
Country
USA
Street Address
5711 Six Forks Road
Address Line 2
Suite 300
4. Agent/Consultant (if applicable)
1a. Name of proje ct:*
1b. Subdivision name :
1c. Ne are st municipality / town:*
2a. Prope rty Identification Numbe r:2b. Prope rty size :
2c. Proje ct Addre ss
2d. Site coordinate s in de cimal de gre e s
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 how the 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 :*
3d. Te le phone Numbe r:*
3e . Fax Numbe r:
3f. Email Addre ss:*
(919)422-7663
(xxx)xxx-xxxx (xxx)xxx-xxxx
bob.mishler@ashtonwoods.com
4a. Name :*
4b. Business Name :
4c. Addre ss *
4d. Te le phone Numbe r:*
4e . Fax Numbe r:
4f. Email Addre ss:*
Age nt Authorization Le tter *
Kelly Roth
(if applicable)
McAdams Company
City
Durham
State / Province / Region
NC
Postal / Zip Code
27713
Country
USA
Street Address
2905 Meridian Parkway
Address Line 2
(919)361-5000
(xxx)xxx-xxxx (xxx)xxx-xxxx
roth@mcadamsco.com
Please provide the Agent Authorization Letter if you are submitting this document.
01_AWH19000_AgentAuth_BOEX-signed.pdf 357.49KB
01_AWH19000_ShepPk_AgentAuth_Starlight.pdf 67.32KB
FILE TYPE MUST BE PDF
C. Project I nformation and Prior Project History
1. Project Information
Shepard's Park II
(if appropriate)
Shepard's Park
Zebulon
2. Project Identification
(tax PIN or parcel ID)
2706532055
(in acres)
79.61
City
Zebulon
State / Province / Region
NC
Postal / Zip Code
27597
Country
USA
Street Address
0 Old Bunn Road
Address Line 2
3. Surface Waters
3a. Name of the ne are st body of wate r to propose d proje ct:*
3b. Wate r Re source s Classification of ne are st re ce iv ing wate r:*
Surface Water Lookup
3c. What riv e r basin(s) is your proje ct locate d in?*
3d. Ple ase prov ide the 12-digit HUC in which the proje ct is locate d.*
River Basin Lookup
4. Project Description and History
4a. De scribe the e xisting conditions on the site and the ge ne ral land use in the v icinity of the proje ct at the time of this application:*
4b. Hav e Corps pe rmits or DWR ce rtifications be e n obtained for this project (including all prior phase s) in the past?*
4d. Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the USGS topographic map indicating the location of the proje ct site . (for DWR)
4e . Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the publishe d County NRCS Soil Surv e y map de picting the proje ct site . (for DWR)
4f. List the total e stimate d acre age of all e xisting we tlands on the prope rty:
4g. List the total e stimate d line ar fe e t of all e xisting stre ams on the prope rty:
4h. Explain the purpose of the propose d proje ct:*
4i. De scribe the ov e rall proje ct in de tail, including indirect impacts and the type of e quipme nt to be use d:*
4j. Ple ase upload proje ct drawings for the propose d proje ct.
5. Jurisdictional Determinations
5a. Hav e the we tlands or streams be e n de line ate d on the prope rty or propose d impact are as?*
35.842826
ex: 34.208504
-78.309843
-77.796371
Beaverdam Creek
C; NSW
Neuse
030202030101
Most of the property is forested with a mix of hardwoods and pines. The Beaverdam Creek floodplain runs along the northern property boundary. Six acres in the northeast portion of
the property are currently cropland and about 17 acres on the west side was under agricultural production until about 10 years ago and now consists of scrub-shrub vegetation.
Additionally, there is a sanitary sewer easement that runs east-west just south of the Beaverdam Creek floodplain. Other land use in the vicinity includes residential, agricultural and
forested land.
Phase 1 of the Shepard's Park residential development lies immediately southwest of the Phase 2 project area. No USACE permits or DWR certifications were issued for Phase 1.
However, one jurisdictional pond (Pond P2) was filled in Phase 1. In this application, we are requesting after-the-fact certification of this impact. This impact is depicted on page 8 of the
impact figure set.
A 401 Water Quality Certification application was submitted to DWR for Phase 2 on September 5, 2007 (DWR# 07-1512). DWR requested additional information on September 7, 2007.
DWR withdrew the application on December 22, 2008 because the additional information was not provided. These documents are attached.
Yes No Unknown
Click the upload button or drag and drop files here to attach document
02_AWH19000_Fig 1 USGS.pdf 1.78MB
File type must be pdf
Click the upload button or drag and drop files here to attach document
03_AWH19000_Fig 2A Web Soil Survey.pdf 2.28MB
04_AWH19000_Fig 2B Soil Survey.pdf 1.87MB
File type must be pdf
4.21
(intermittent and perennial)
4492
The purpose of the project is to develop the property with the necessary infrastructure to provide suitable building areas for high density, single-family residential construction to serve
the current and future residents of Zebulon.
The proposed project is phase 2 of a phased residential development. The second phase is located northeast of the first phase, which is currently under construction. The proposed
Phase 2 development includes approximately 178 single family units and associated driveways, parking areas, stormwater management facilities, amenity areas and utilities. The
proposed project includes three road crossings, one greenway trail crossing, and one proposed sanitary sewer line that will result in impacts to jurisdictional stream and wetlands and
Neuse buffers. The attached Overall Impact Exhibit depicts the overall Phase 2 project plan view, and Insets 1-5 show details of the proposed impact areas. Additionally, this application
includes one after-the-fact impact in Phase 1. A jurisdictional pond was filled, but was not permitted as part of Phase 1. The completed impact to Pond 2 in Phase 1 is shown on page 8
of the Impact Exhibits attachment. We are requesting after-the-fact authorization for this impact. Heavy equipment typical for road construction, utility installation and grading will be used
to construct the proposed project such as track hoes, bulldozers, dump trucks and graders.
Click the upload button or drag and drop files here to attach document
05_AWH19000_Fig 3 Aerial.pdf 4.71MB
06_AWH19000_ShepPk_C2.01 Overall Site Plan.pdf 1.45MB
File type must be pdf
Yes No Unknown
Comme nts:
5b. If the Corps made a jurisdictional de te rmination, what type of de te rmination was made ?*
Corps AID Numbe r:
5c. If 5a is ye s, who de line ate d the jurisdictional are as?
Name (if known):
Age ncy/Consultant Company:
Othe r:
5d. List the date s of the Corp jurisdiction de te rmination or State de te rmination if a de te rmination was made by the Corps or DWR.
5d1. Jurisdictional de te rmination upload
6. Future Project Plans
6a. Is this a phase d proje ct?*
7b. If ye s, e xplain.
Are any othe r NWP(s), re gional ge ne ral pe rmit(s), or indiv idual pe rmits(s) use d, or intende d to be use d, to authorize any part of the propose d project or re lated activ ity? This
include s othe r se parate and distant crossing for line ar proje cts that re quire De partme nt of the Army authorization but don’t re quire pre -construction notification.
1. Impacts Summary
1a. Whe re are the impacts associate d with your proje ct? (che ck all that apply):
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
"W." will be use d in the table be low to re pre se nt the word "wetland".
2a. Site #*(?)2a1 Reason *(?)2b. Impact type *(?)2c. Type of W.*2d. W. name *2e . Fore ste d *2f. Type of
Jurisdicition *(?)
2g. Impact
are a *
2g. Total Te mporary We tland Impact
2g. Total Pe rmane nt We tland Impact
Preliminary Approved Not Verified Unknown N/A
Example: SAW-2017-99999
SAW-2005-21067
Kelly Roth
McAdams Company
An Approved JD was issued by the USACE for the entire site (Phases 1 and 2) on March 3, 2006 (USACE Action ID: 200521067; expired 3/6/11).
James Lastinger of the USACE conducted a site visit to verify the re-delineation of Phase 2 on October 3, 2019.
Erin Deck of the DWR conducted a site visit on October 10, 2019 and DWR issued a buffer determination on October 15, 2019 (NBRRO #19-320).
The results of the verification and buffer determination are reflected in Figure 4 (PJD and Buffer Map).
Click the upload button or drag and drop files here to attach document
07_AWH19000_Fig 4 PJD and buffer Map_v4.pdf 248.89KB
08_AWH19000_ShepPk_rcvd DWR buffer determination_10-15-2019.pdf 4.24MB
09_AWH19000_Shepards_ApprovedDelineation_2005.pdf 954.14KB
File type must be PDF
Yes No
The proposed Shepard's Park subdivision consists of two phases. Phase 1 construction began in 2008 and was put on hold later that year. Construction of Phase 1 resumed in 2017
and continues to the present. Phase 2 will be constructed to the northeast of Phase 1.
No.
D. Proposed Impacts Inventory
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
W1 Road crossing P Headwater Forest W6 Yes Both 0.141
(acres)
W2 Road crossing P Headwater Forest W9 Yes Both 0.032
(acres)
W3 Road crossing T Headwater Forest W10 Yes Both 0.002
(acres)
W4 Greenway crossing P Bottomland Hardwood Forest W1 Yes Both 0.002
(acres)
W5 Greenway crossing P Headwater Forest W4 Yes Both 0.001
(acres)
0.002
2g. Total We tland Impact
2h. Comme nts:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites impacted.
"S." will be used in the table below to represent the word "stream".
3a. Reason for impact *(?)3b.Impact type *3c. Type of impact *3d. S. name *3e . Stre am Type *
(?)
3f. Type of
Jurisdiction *
3g. S. width *3h. Impact
le ngth *
S1
S2
S3
S4
S5
S6
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square fe e t:
3i. Total pe rmane nt stre am impacts:
3i. Total te mporary stre am impacts:
3i. Total stre am and ditch impacts:
3j. Comme nts:
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of the U.S. then individually list all open water
impacts below.
4a. Site #*(?)4a1. Impact Re ason 4b. Impact type *(?)4c. Name of wate rbody (?)4d. Activ ity type *4e . Wate rbody type *4f. Impact
are a *
4g. Total te mporary ope n wate r Impacts:
4g. Total pe rmane nt ope n wate r impacts:
4g. Total ope n wate r impacts:
4h. Comme nts:
6. Buffer Impacts (for DWR)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts below.
6a. Proje ct is in which prote ct basin(s)?*
0.176
0.178
Road crossing - raprap
dissipator
Permanent Rip Rap Fill S2B Intermittent Both 6
Average (feet)
60
(linear feet)
Road crossing - culvert Permanent Culvert S2B Intermittent Both 5
Average (feet)
60
(linear feet)
Road crossing Temporary Other S2B Intermittent Both 4
Average (feet)
42
(linear feet)
Road crossing - raprap
dissipator
Permanent Rip Rap Fill S2A Intermittent Both 3
Average (feet)
36
(linear feet)
Road crossing - culvert Permanent Culvert S2A Intermittent Both 3
Average (feet)
62
(linear feet)
Road crossing Temporary Other S2A Intermittent Both 4
Average (feet)
27
(linear feet)
0
218
69
287
O1 Fill P P2 Fill Pond 0.24
(acres)
0.00
0.24
0.24
6b. Impact Type *(?)6c. Pe r or Te mp *(?)6d. Stre am name *6e . Buffer mitigation re quire d?*6f. Zone 1 impact *6g. Zone 2 impact *
6h. Total buffer impacts:
Zone 1 Zone 2
Total Te mporary impacts:
Zone 1 Zone 2
Total Pe rmane nt impacts:
Zone 1 Zone 2
Total combine d buffe r impacts:
6i. Comme nts:
Supporting Docume ntation - i.e . Impact M aps, Plan She e t, e tc.
1. Avoidance and Minimization
1a. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts in de signing the proje ct:*
1b. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts through construction te chnique s:*
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Doe s the proje ct re quire Compe nsatory M itigation for impacts to Wate rs of the U.S. or Wate rs of the State ?
2c. If ye s, mitigation is re quire d by (che ck all that apply):
Check all that apply.
Neuse Tar-Pamlico
Catawba Randleman
Goose Creek Jordan Lake
Other
B1 - Allowable (Road crossing impacting less
than 150 LF of buffer)
P S2B No
(square feet)
4,576
(square feet)
B2 - Allowable (Road crossing impacting less
than 150 LF of buffer)
P S2A No 6,532
(square feet)
4,019
(square feet)
B3 - Allowable with Mitigation (Road impacts
other than crossings)
P S2A Yes 1,044
(square feet)
1,438
(square feet)
B4 - Allowable (Non-electric utility line impacts
other than perpendicular crossings in Zone 2)
T S2B No 0
(square feet)
683
(square feet)
0.00 683.00
15,241.00 10,033.00
15,241.00 10,716.00
Click the upload button or drag and drop files here to attach document
10_AWH19000_ShpPk_Impact Maps.pdf 10.25MB
File must be PDF
E. Impact Justification and Mitigation
Impacts to stream, wetlands and Neuse buffers were minimized to the maximum extent practicable. Retaining walls were used in several places to avoid impacts to jurisdictional streams, wetlands and Neuse
buffers. Two boardwalk crossings on the proposed greenway trail have be utilized to avoid impacts to stream features S3, S2B, associated Neuse buffers and wetland feature W2. The greenway will result
in two small wetland impacts (W4 & W5; see Impact Areas 4 & 5). These impacts were minimized by routing the greenway between wetland features W1 and W4, thus only impacting minimal amounts of the
edges of each wetland, rather than passing the trail through a wetland, which would have cause a greater impact and divided one of wetlands. Three culvert road crossings of streams, buffers and wet-
lands were unavoidable in order to provide access to all portions of the site (Impact Areas 1, 2 & 3). These impacts were minimized by installing headwalls at both ends of all three culverts, which allowed
the grading necessary for installation to be reduced. The culvert shown in Impact Area 1 will be installed flush with the existing grade in order to maintain the hydrologic connection between the un-impacted
portions of wetland W6. The culverts shown in Impact Areas 2 and 3 will be buried 1 foot below the existing stream grade in order to provide for aquatic life passage. Additionally, the riprap dissipator pads
at the downstream ends of these culverts will be installed flush with the existing grade. The cross sections provided for Impact Areas 2 and 3 show how the culverts will be installed to provide for aquatic life
passage. The length of the Neuse buffer impacts for the road crossings in Impact Areas 2 and 3 are each less than 150 feet long, and thus do not require mitigation. Buffer impact area B3 (Impact Area 3)
is due to grading for installation of Moonlit Place (a road impact other than a crossing) and requires buffer mitigation. A temporary Zone 2 buffer impact for a sanitary sewer installation (Impact Area 5) does
not require mitigation. This revised PCN includes larger culvert head walls in order to reduce the length of culvert stream impact required. Total culvert impacts have been reduced from 187 lf to 122 lf, thus
stream mitigation is no longer required.
In addition to the impacts for Phase 2, this application includes one open water impact from Phase 1. The impact to pond P2 depicted on page 8 of the
impact map sheet set was completed during construction of Phase 1, but was not permitted. We are requesting after-the-fact approval for this impact.
A Sediment and Erosion Control Plan for the project will be developed and approved by the Town of Morrisville, and the project will comply with the
supplementary NPDES Construction Stormwater Permit (NCG010000).
Yes No
DWR Corps
2d. If ye s, which mitigation option(s) will be use d for this proje ct?
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approv al le tte r from in-lie u fe e program is attache d.
4b. Stre am mitigation re que ste d:
4c. If using stre am mitigation, what is the stre am te mpe rature :
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website.
4d. Buffe r mitigation re que ste d (DWR only):4e . Riparian we tland mitigation re que ste d:
4f. Non-riparian we tland mitigation re que ste d:4g. Coastal (tidal) we tland mitigation re que ste d:
4h. Comme nts
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the proje ct re sult in an impact within a prote cte d riparian buffe r that re quire s buffe r mitigation? If ye s, you must fill out this e ntire form - ple ase contact DWR for more
information.
6b. If ye s, the n ide ntify the square fe e t of impact to e ach zone of the riparian buffe r that re quire s mitigation calculate the amount of mitigation require d in the table be low.
6c. Re ason for impact 6d. Total impact
(square fe e t)
M ultiplie r 6e . Re quire d mitigation
(square fe e t)
Zone 1
Zone 2
6f. Total buffe r mitigation re quire d
6g. If buffe r mitigation is re quire d, is payme nt to a mitigation bank or NC Div ision of M itigation Se rv ice s propose d?
6h. Attach the acce ptance le tte r from the mitigation bank or NC Div ision of M itigation Se rv ice s.
6j. Comme nts:
*** Recent changes to the stormwater rules have required updates to this section .***
1. Diffuse Flow Plan
1a. Doe s the proje ct include or is it adjace nt to prote cte d riparian buffers ide ntifie d within one of the NC Riparian Buffe r Prote ction Rule s?
1b. All buffer impacts and high ground impacts re quire diffuse flow or othe r form of stormwate r treatme nt. If the proje ct is subje ct to a state imple me nte d riparian buffe r prote ction
program, include a plan that fully docume nts how diffuse flow will be maintaine d.
All Stormwate r Control M e asure s (SCM )s must be de signe d in accordance with the NC Stormwate r De sign M anual. Associate d supple me nt forms and othe r docume ntation shall be
prov ide d.
What type of SCM are you prov iding?
Mitigation bank Payment to in-lieu fee
program
Permittee Responsible
Mitigation
Yes No
(linear feet)
190 warm
(square feet)
64,218
(acres)
0.370
(acres)(acres)
Yes No
Road impacts other than crossings 1,006 3 3,018
Road impacts other than crossings 1,438 1.5 2,157
5175
Yes No
00_AWH19000_ShepPk_DMS Acceptance Letter.pdf 350.96KB
(PDF only)
F. Stormwater M anagement and Diffuse Flow Plan (required by DWR)
Yes No
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30% nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
(check all that apply)
For a list of options to meet the diffuse flow requirements, click here.
Diffuse Flow Docume ntation
2. Stormw ater Management Plan
2a. Is this a NCDOT proje ct subje ct to compliance with NCDOT’s Indiv idual NPDES pe rmit NCS000250?*
2b. Doe s this proje ct me e t the re quire me nts for low de nsity proje cts as de fine d in 15A NCAC 02H .1003(2)?*
To look up low density requirement click here 15A NCAC 02H .1003(2).
2c. Doe s this proje ct hav e a stormwate r manage me nt plan (SM P) re v ie we d and approv e d unde r a state stormwate r program or state-approv e d local gov e rnme nt stormwate r
program?*
2d. Which of the following stormwate r manage me nt program(s) apply (che ck all that apply):*
Local Gov e rnme nt Stormwate r Programs *
Ple ase ide ntify which local gov e rnme nt stormwate r program you are using.*
Comme nts:
1. Environmental Documentation
1a. Doe s the proje ct inv olv e an e xpe nditure of public (fe de ral/state /local) funds or the use of public (fe de ral/state ) land?*
2. Violations (DWR Requirement)
2a. Is the site in v iolation of DWR Wate r Quality Ce rtification Rule s (15A NCAC 2H .0500), Isolate d We tland Rule s (15A NCAC 2H .1300), or DWR Surface Wate r or We tland Standards or
Riparian Buffe r Rule s (15A NCAC 2B .0200)?*
2b. If you answe re d “ye s” to the abov e que stion, prov ide an e xplanation of the v iolation(s):
3. Cumulative Impacts (DWR Requirement)
3a. Will this proje ct (base d on past and re asonably anticipate d future impacts) re sult in additional de v e lopme nt, which could impact ne arby downstre am wate r quality?*
3b. If you answe re d “no,” prov ide a short narrativ e de scription.
4. Sewage Disposal (DWR Requirement)
4a. Is se wage disposal re quire d by DWR for this proje ct?*
4b. De scribe , in de tail, the tre atme nt me thods and dispositions (non-discharge or discharge ) of waste wate r ge ne rate d from the propose d proje ct. If the waste wate r will be treate d
at a tre atment plant, list the capacity av ailable at that plant.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this proje ct occur in or ne ar an are a with fe de rally prote cte d spe cie s or habitat?*
Click the upload button or drag and drop files here to attach document
11_AWH19000_ShepPk_SIA 2020-01-28.pdf 7.56MB
File type must be PDF
Yes No
Yes No
Yes No
N/A - project disturbs < 1 acre
Hint: projects that have vested rights, exemptions, or grandfathering from state or locally implemented stormw ater programs or projects that satisfy state or locally-implemented stormw ater programs through use of community in-lieu programs should answ er no
to this question.
Local Government State
If you have a local government approval please include the SMP on their overall impact map.
Phase II NSW
USMP Water Supply
Zebulon
The SMP is currently under review by the Town of Zebulon.
G. Supplementary Information
Yes No
Yes No
Pond P2 was filled without a permit during the construction of Phase 1. We are requesting after-the-fact authorization for this impact.
Yes No
The proposed project is a residential development. It is not anticipated that this project will result in additional development that would impact
downstream water quality.
Yes No N/A
Wastewater generated by the development will be sent to the Town of Zebulon sanitary sewer system. The Town will review the project to ensure
sufficient treatment capacity is available.
5b. Hav e you che cke d with the USFWS conce rning Endange re d Spe cie s Act impacts?*
5c. If ye s, indicate the USFWS Fie ld Office you hav e contacte d.
5d. Is anothe r Fe de ral age ncy inv olv e d?*
5e . Is this a DOT proje ct locate d within Div ision's 1-8?*
5f. Will you cut any tre e s in orde r to conduct the work in wate rs of the U.S.?*
5g. Doe s this proje ct inv olv e bridge mainte nance or re mov al?*
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Doe s this proje ct inv olv e the construction/installation of a wind turbine (s)?**
5i. Doe s this proje ct inv olv e (1) blasting, and/or (2) othe r pe rcussiv e activitie s that will be conducte d by machine s, such as jackhamme rs, me chanize d pile driv e rs, e tc.?*
5j. What data source s did you use to de te rmine whe the r your site would impact Endange re d Spe cie s or De signate d Critical Habitat?*
Consultation Docume ntation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this proje ct occur in or ne ar an are a de signate d as an Esse ntial Fish Habitat?*
6b. What data source s did you use to de te rmine whe the r your site would impact an Esse ntial Fish Habitat?*
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 proje ct occur in or ne ar an are a that the state , fe de ral or tribal gov e rnme nts hav e de signate d as hav ing historic or cultural pre se rv ation status (e .g., National Historic
Trust de signation or prope rtie s significant in North Carolina history and archae ology)?*
7b. What data source s did you use to de te rmine whe the r your site would impact historic or arche ological re source s?*
7c. Historic or Pre historic Information Upload
8. Flood Zone Designation (Corps Requirement)
Link to the FEM A Floodplain M aps: https://msc.fema.gov/portal/search
8a. Will this proje ct occur in a FEM A-designate d 100-ye ar floodplain?*
8b. If ye s, e xplain how proje ct me e ts FEM A require me nts:
8c. What source (s) did you use to make the floodplain de te rmination?*
Yes No
Yes No
Raleigh
Yes No Unknown
Yes No
Yes No
Yes No
Yes No
Yes No
USFWS IPaC Web tool (https://ecos.fws.gov/ipac/), accessed 7/1/2019
NC NHP Data Explorer (http://ncnhde.natureserve.org/content/map), accessed 7/10/2019
Click the upload button or drag and drop files here to attach document
12_AWH19000_ShpPk_T&E Review Pkg.pdf 4MB
File type must be PDF
Yes No
NOAA Essential Fish Habitat (EFH) Mapper (http://www.habitat.noaa.gov/protection/efh/efhmapper/), accessed 5/20/2020
Yes No
State Historic Preservation Office Historic Properties online buffer tool (https://nc.maps.arcgis.com/apps/webappviewer/index.html?
id=773b7da94dc0478390cb0c3186b7a498), accessed 7/25/2019 & 5/20/2020 (note: does not include archaeological data)
Click the upload button or drag and drop files here to attach document
13_AWH19000_ShepPk_SHPO Response ER 19-2392.pdf 96.07KB
File must be PDF
Yes No
This project will be designed to meet FEMA requirements and will be reviewed by the local delegated Floodplain Manager within Wake County.
FEMA FIRM map number 3720270600J (effective 5/2/2006)
M iscellaneous
Comme nts
M isce llane ous attachme nts not pre v iously re que ste d.
*
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 :*
Signature *
Date
Click the upload button or drag and drop files here to attach document
14_20071512 Ver 1_401 Application_20070907.pdf 7.49MB
15_20071512 Ver 1_Notice of Withdrawal_20081222.pdf 78.53KB
File must be PDF or KMZ
Signature
By checking the box and signing below, I certify that:
Kelly Roth
5/22/2020