20200963 Ver 1_401 Application_20200726

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
April 11, 2020 Ver 3.1
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
C Yes r No
Change only if needed.
BIMS # Assigned
20200963
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Alan Johnson:eads\adjohnson1
Information for Initial Review
1a. Name of project:
COURTESY COPY - Fleming Shore Stabilization
1a. Who is the Primary Contact?*
James T. Fleming Jr.
1b. Primary Contact Email:*
[e-mail]
Date Submitted
7/26/2020
Nearest Body of Water
Tillery
Basin
Yadkin-PeeDee
Water Classification
Yadkin Pee Dee
Site Coordinates
Latitude:
N.46-36-40-E
A. Processing Information
County (or Counties) where the project is located:
Stanly
Is this a NCDMS Project
r Yes r No
Longitude:
5.43-19-30-E
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Version#*
1
Reviewing Office*
Mooresville Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
U
1b. What type(s) of permit(s) do you wish to seek authorization?

r Nationwide Permit (NWP)
r Regional General Permit (RGP)
W Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
r Non-404 Jurisdictional General Permit r' Riparian Buffer Authorization
r Individual Permit
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR401 Certification: r Yes r No
For the record onlyfor Corps Permit: r Yes r No
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?
C Yes r No
B. Applicant Information
1d. Who is applying for the permit?
W Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
James T. Fleming Jr.
2b. Deed book and page no.:
BK. 2 Pg. 183
2c. Responsible party:
2d.Address
Street Address
698 Lake Head Rd.
Address Line 2
city
Norwood
Postal / Zip Code
28128
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Traci W. Fleming
2b. Deed book and page no.:
BK. 2 Pg. 183
2c. Responsible party
State / Province / Region
NC
Country
Stanly
2f. Fax Number:
u
2d.Address

Street Address
698 Lake Head Rd.
Address tine 2
city
Norwood
Postal / Zip Code
28128
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
State / Rovince / Rion
NC
Country
Stanly
2f. Fax Number:
C. Project Information and Prior Project History U
1, Project Information
1b. Subdivision name:
(B appropriate)
Tillery Beach
1c. Nearest municipality/ town:
Norwood
F-
2. Project Identification
2a. Property Identification Number:
2b. Property size:
656404934134
.3
2c. Project Address
Street Address
698 Lake Head Rd
Address tine 2
City
State / Province / legion
Norwood
NC
Postal / Zip (ode
Country
28128
Stanly
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Tillery
3b. Water Resources Classification of nearest receiving water:*
Yadkin Pee Dee
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401040203
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:*
Residential lake front property has two trees in line with neighbors eAsting bulkhead . Our desire is to stop erosion by adding a seawall. The two trees are in line with the desired wall.
Two other trees are leaning heavily or sick/damaged and need to be removed. We want to dredge the front part of the water to our dock.
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)
698 Lake Head Rd. Topical Pictures.pdf 798.5KB
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 340.03KB
698 Lake Head Survey.pdf 133.2KB
4f. List the total estimated acreage of all existing wetlands on the property:
.3
4g. List the total estimated linear feet of all existing streams on the property:
na
4h. Explain the purpose of the proposed project:*

Our goal is to stop the shore erosion near the boat dock.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
We will remove two trees and dredge the area so that a safe sea wall can be installed to buffer the water and the soil.
4j. Please upload project drawings for the proposed project.
698 Lake Head Survey.pdf 133.2KB
Drawing of Project.pdf 142.64KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
r Unknown
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?
i D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands r Streams -tributaries
r Buffers
[ Open Waters r Pond Construction
F. 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:
We have been advised and are working with a licensed contractor.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Licensed operators of a bucket truck, skid steer, and excavator will work to remove trees at 10' increments, build a sea wall, and dredge around our
dock.
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:
NA
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:
Our project will not obstructing the flow of drain water or the water in the cove.
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)?
(- Yes r No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?
r Yes r No
r N/A - project disturbs < 1 acre
Comments:
G. Supplementary Information
1. Environmental Documentation
la. 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 will only affect the preservation of the prior describe property. We want to prevent soil erosion.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor NIA
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 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?
Everyone on our cove has a bulkhead to prevent erosion. Our house is a new build. We are seeking to preserve the 50' land between our home and
the lake.
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 f• No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
Our neighbors... again, we are only attempting to prevent erosion.
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?*
f Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
We live in an established neighborhood.
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
I used the FEMA Floodplain map. https:Hmsc.fema.gov/portal/search#searchresultsanchor
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
*
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:
James T. Fleming Jr.
Signature
Date
7/26/2020
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