20200958 Ver 1_401 Application_20200724

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#*
20200958 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 *
Winston-Salem Regional Office - (336) 776- Select Project Reviewer*
9800 Sue Homewood:eads\slhomewood
Information for Initial Review
1a. Name of project:
South Fork New River Restoration Project
1a. Who is the Primary Contact?*
Josselyn Lucas
1b. Primary Contact Email:*
[e-mail]
Date Submitted
7/24/2020
Nearest Body of Water
South Fork New River
Basin
New
Water Classification
C+
Site Coordinates
Latitude: Longitude:
36.221042-81.640125
A. Processing Information
County (or Counties) where the project is located:
Watauga
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)
1c. Primary Contact Phone:*
[phone]
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
27 - Restoration
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 - Express
F- 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:
Town of Boone
2b. Deed book and page no.:
DB 1898 Pg 144
2c. Responsible party:
2d.Address
Street Address
567 W King Street
Address Line 2
PO Box192
city
Boone
Postal / Zip Code
28607
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
State / F rovince / Fbgion
North Carolina
Country
USA
2f. Fax Number:
r Yes r No
r Yes r No
2a. Name(s) on recorded deed

Watauga County
2b. Deed book and page no.:
DB 729 Pg 445; and DB P011 log 124
2c. Responsible party:
2d.Address
Street Address
814 W King Street
Address Line 2
Suite 205
City
Boone
Postal / Zip Code
28607
2e. Telephone Number:
[phone]
2g. Email Address:*
Joe. [e-mail]
2a. Name(s) on recorded deed:
Powers, Lynn and Betty
2b. Deed book and page no.:
DB 152 log 441
2c. Responsible party:
2d.Address
Street Address
2079 US Fighway 421 S
Address Line 2
City
Boone
Postal / Zip Code
28607
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
North Carolina Department of Transportation
2b. Deed book and page no.:
2c. Responsible party:
Kevin Hining, Division 11 Environmental Officer
2d.Address
Street Address
1501 Mail Service Center, Raleigh NC
Address Line 2
City
Raleigh
Postal / Zip Cate
27699-1501
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Josselyn Lucas
3b. Business Name:
Brushy Fork Environmental Consulting
State / Province / Region
North Carolina
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
North Carolina
Country
USA
2f. Fax Number:

3c.Address
Street Address
10565 Highway 421 South
Address tine 2
City
Trade
Postal / Zip Code
37691
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Adam Williams
4b. Business Name:
Brushy Fork Environmental Consulting, Inc.
4c.Address
Street Address
10565 Highway 421 South
Address tine 2
City
Trade
Postal / Zip Code
37691
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
AA NCDOT signed.pdf
TOB.pdf
Watauga County.pdf
Powers.pdf
State / Province / legion
TN
Country
USA
3e. Fax Number:
State / Province / legion
TN
Country
USA
4e. Fax Number:
153.6KB
1.33MB
217.52KB
30.98KB
C. Project Information and Prior Project History C^)
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Boone, NC
F-
2. Project Identification
2a. Property Identification Number:
Town of Boone 2921103970000; Watauga
County 292100667600 and 2921100136000;
2b. Property size:
Powers 2920099655000
65.66 cumulative acres
2c. Project Address
Street Address
250 Brookshire Road
Address tine 2
City
State / Rwince / legion
Boone
NC
Postal / Zip Code
Country
28607
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
South Fork New River

3b. Water Resources Classification of nearest receiving water:*
C+
3c. What river basin(s) is your project located in?*
New
3d. Please provide the 12-digit HUC in which the project is located.
050500010202
4. Project Description and History
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:*
The site is at the eastern edge of Boone and it bordered by a public park (Brookshire Park) which includes a greenway trail and recreational fields (west), agricultural land (east),
Highway 421 (south), and Ted Mackeroll Soccer Fields (north). A previous restoration project was done immediately downstream of the project site near the Ted Mackeroll Soccer fields.
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)
Topo_print.pdf
411.18KB
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 N1ap_Revised3.25.20.pdf 1.37MB
4f. List the total estimated acreage of all existing wetlands on the property:
±1.23 acres
4g. List the total estimated linear feet of all existing streams on the property:
± 3129
4h. Explain the purpose of the proposed project:*
The purpose of this project is to stabilize the eroded stream banks on both sides of the South Fork New River. Stream bank sloping and benching will occur throughout the reach to
restore floodplain connectivity and decrease the erosive incision of the channel. The riparian buffer will be restored and planted along the reach.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project will provide bank stabilization and grade control using natural channel design practices including J-hooks,cross vanes, rock sills, and toe wood. The banks will be sloped
back and stabilized using coir matting, live stakes, and a riparian buffer of native tree and shrub species. Equipment to be used for this proposed construction includes track -hoes, skid -
steers and dump trucks.
4j. Please upload project drawings for the proposed project.
6.17.20_Teddy _2_90%_with _WETLANDS.pdf 11.24MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r 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 5a is yes, who delineated the jurisdictional areas?
Name (if known): Josselyn Lucas, Sarah Kilby
Agency/Consultant Company: Brushy Fork Environmental Consulting, Inc.
Other:
5d1. Jurisdictional determination upload
Wetland Package.pdf 7.09MB
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?
D. Proposed Impacts Inventory u

1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands W Streams -tributaries r Buffers
r Open Waters r Pond Construction
3. Stream Impacts
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact * 3d. S. name * 3e. Stream Type* 3f. Type ofwidth * 3h. Impact :1
(?) Jurisdiction* length*
Restoration Permanent Bank Stabilization South Fork New River Perennial Both 66 1,950
S1 Average (feet) (lir�rfeel)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
1,950
31. Total stream and ditch impacts:
1
3j. Comments:
31. Total temporary stream impacts:
0
E. Impact Justification and Mitigation U
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The proposed work and associated impacts are intended to stabilize appropmately 1,950 linear feet of stream bank along the stream reach while
minimizing impacts to aquatic resources. Design measures which minimize impacts include installation of cross vanes, .-hooks and toe wood. Al
disturbed buffer areas will be immediately seeded, matted, and stabilized at the close of each construction day.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
All stream bank disturbances will be stabilized same day, covered with erosion control matting and live staked to reduce sedimentation during
construction. Only well maintained equipment will be used; no leaks will be tolerated. Equipment will work from stream banks of South Fork New River's
channel whenever possible.
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:
This is a stream bank restoration project which will not have impacts requiring mitigation on Waters of the U.S. or Waters of the State.
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:
This project is not within a NC Riparian Buffer Protection Area
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
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.
A stream bank stabilization of the South Fork New River WII not result in additional development in the area.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor 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.
Asheville
5d. Is another Federal agency involved?*
r Yes r No r 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
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
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPaC Consultation and Impact Analysis: https://ecos.fws.gov/ipac/location/index
Consultation Documentation Upload
Phase II_Species List_ Asheville Ecological Services Field Office.pdf 699.31 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 Habitat Conservation: 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 SHPO Web Mapping Program
7c. Historic or Prehistoric Information Upload
NCHPO.pdf 1.5MB

8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year flood plain?*
G Yes r No
8b. If yes, explain how project meets FEMA requirements:
The proposed project in anticipated to cause no increase in flood elevation. A No -Rise Certification will be submitted by BFEC, Inc. to the Watauga
County floodplain administrator.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Map Service Center panels 3710292100J and 3710292000J
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
FIRMETTE.pdf
Landowner Map.pdf
PJD_7.24.20.pdf
544.62KB
1.28MB
137.99KB
Signature U
W 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:
Josselyn Lucas
Signature
]MIA, fvw
Date
7/24/2020

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. N/A PLAN NO. N/A PARCEL ID: 2931213998000
STREET ADDRESS: N/A : ROW for Brookshire Road
Property Owner:
NC DOT Representative: Kevin Hining, Division 11 Environmental Officer
The undersigned, registered property owners of the above noted property, do hereby authorize
Adam Williams , of Brushy Fork Environmental Consulting, Inc.
(Contractor/Agent) (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): Same as street
Telephone: [phone] (Office)
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.
Authorized Signature:
Date: 4-30-20

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. N/A PLAN NO. N/A PARCEL ID: 2921103970000
STREET ADDRESS: 567 West King Street
Property Owner:
Town of Boone
The undersigned, registered property owners of the above noted property, do hereby authorize
Adam Williams , of Brushv Fork Environmental Consulting, Inc.
(Contractor/Agent) (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):
567 West King Street Boone NC 28607 PO Box 192
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:

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. N/A PLAN NO. N/A PARCEL ID: 2920099655000
STREET ADDRESS: 2079 U.S. Hwy 421 South, Boone, NC 28607
Property Owner:
Powers, Lynn and Betty
The undersigned, registered property owners of the above noted property, do hereby authorize
Adam Williams , of Brushy Fork Environmental Consulting, Inc.
(Contractor/Agent) (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): Same as street
address
Telephone: Lay- ` d b � � � q
We hereby certify the above infor ubmitted in this application is true and accurate to
the best of our knowledge.
Signature:
Date:/`/.1��, �� �_-�2-4

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. N/A PLAN NO. _N/A PARCEL ID: 2921006676000,
2921100136000 and 2911925136000
STREET ADDRESS: 574 Brookshire Rd. Boone. NC
Property Owner:
Watauga Count
The undersigned, registered property owners of the above noted property, do hereby authorize
Adam Williams of Brushy Fork Environmental Consulting, Inc.
(Contractor/Agent) (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): 814 West King Street, Suite 205
Boone, NC 28607
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: Z ? .- Z v

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South Fork New River Restoration
Ted Mackorell Soccer Fields Phase II Soil Map
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CdE-Chandler fine sandy loam, 30 to 50% slopes
CdE RoA-Rosman fine sandy loam, 0 to 3 % slopes, occasionally flooded
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CdE WaD - SnB-Saunook loam, central mountains, 2 to 8% slopes
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- SnC-Saunook loam, central mountains, 8-15% slopes
W LL - TxA-Toxaway loam, 0 to 2% slopes, frequently flooded
Ur- Urban land
CdE
W--Water
ROA" +I TI _ WaD-Watauga loam, 15 to 30% slopes
Project Parcels N 40suo
0 125250 500 750 � �0�
Roads Feet p
Map is not to be construed as surveyed data.
South Fork New River All boundaries are approximate data taken from public sources. Cp to°
BFEC 2020 bsultin?"

South Fork New River Restoration
Ted Mackorell Soccer Fields Phase II NCHPO Map
NC Historic Preservation Office Occurrences
Status, Local Status, HD Status
Study List individual entry
DOE Historic District center point
Surveyed Only
Project Parcels 0 200 400 800 1,200 N
South Fork New River Feet
Map is not to be construed as surveyed data.
All boundaries are approximate data taken from public sources.
BFEC 2019

National Flood Hazard Layer FIRMette
O FEMA Legend
36° 13'30.26"N
0 250 500 1,000 1,500 2,000
SEE FIS REPORT FOR DETAILED LEGEND AND INDEX MAP FOR FIRM PANEL LAYOUT
Without Base Flood Elevation (BFE)
Zone A. V. A99
SPECIAL FLOOD With BFE or Depth zone AE, AD, AH, VE, AR
HAZARD AREAS Regulatory Floodway
0.2%Annual Chance Flood Hazard, Areas
of 1%annual chance flood with average
depth less than one foot or with drainage
areas of less than one square mile zone x
wI Future Conditions 1%Annual
Chance Flood Hazard zone x
pr Area with Reduced Flood Risk due to
ITHER AREAS OF Levee. See Notes. zone x
FLOOD HAZARD FA d' Area with Flood Risk due to Leveezono D
NO SCREEN Area of Minimal Flood Hazard zone x
Q Effective LOMRs
OTHER AREAS Area of Undetermined Flood Hazard zone D
GENERAL ---- Channel, Culvert, or Storm Sewer
STRUCTURES IIIIIIII Levee, Dike, or Floodwall
e xo.s Cross Sections with 1%Annual Chance
17•5 Water Surface Elevation
o- — — Coastal Transect
—513— Base Flood Elevation Line (BFE)
Limit of Study
Jurisdiction Boundary
-- --- Coastal Transect Baseline
OTHER _ Profile Baseline
FEATURES Hydrographic Feature
Digital Data Available N
No Digital Data Available
MAP PANELS ® Unmapped
9 The pin displayed on the map is an approximate
point selected by the user and does not represent
an authoritative property location.
This map complies with FEMA's standards for the use of
digital flood maps if it is not void as described below.
The basemap shown complies with FEMA's basemap
accuracy standards
The flood hazard information is derived directly from the
authoritative NFHL web services provided by FEMA. This map
was exported on 4/22/2020 at 10:52:13 AM and does not
reflect changes or amendments subsequent to this date and
time. The NFHL and effective information may change or
become superseded by new data over time.
This map image is void if the one or more of the following map
elements do not appear: basemap imagery, flood zone labels,
legend, scale bar, map creation date, community identifiers,
FIRM panel number, and FIRM effective date. Map images for
unmapped and unmodernized areas cannot be used for
regulatory purposes.

South Fork New River Restoration
Ted Mackorell Soccer Fields Phase II Landowner Map
Project Parcels N 401 En
0 125250 500 750
Roads Feet p
Map is not to be construed as surveyed data.
South Fork New River All boundaries are approximate data taken from public sources. Con Soo'
BFEC 2019 salting+