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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