20201082 Ver 1_401 Application_20200825

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 * Version#*
20201082 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
r $570.00
Reviewing Office *
Select Project Reviewer*
Asheville Regional Office - [phone]
Kaylie Yankura:eads\kyankura
Information for Initial Review
1a. Name of project:
Shutze Residence
1a. Who is the Primary Contact?*
Chris Shutze
1b. Primary Contact Email:*
[e-mail]
Date Submitted
8/25/2020
Nearest Body of Water
LIT Big Creek
Basin
Little Tennessee
Water Classification
WS:IIERHQW
Site Coordinates
Latitude:
35.08436 N
A. Processing Information
County (or Counties) where the project is located:
Macon
Is this a NCDMS Project
r Yes r No
Longitude:
83.20840 W
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)
1c. Primary Contact Phone:*
[phone]
U
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
03 - Maintenance
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 - E)press
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes f 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?
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:
Chris Shutze
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
1359 Flat Mountain Road
Address tine 2
City
Highlands
Postal / Zip Code
28741
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
State / Rwince / Ifgion
NC
Country
USA
2f. Fax Number:
r- Yes r No
r Yes r No
C. Project Information and Prior Project History U

1. Project Information
1b. Subdivision name:
it appropriate)
1c. Nearest municipality/ town:
Highlands
2 Project Identification
2a. Property Identification Number:
7514-02-9118
2c. Project Address
Street Address
1359 Flat Mountain Road
Address tine 2
City
Highlands
Postal / Zip Cade
28741
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
UT Big Creek
3b. Water Resources Classification of nearest receiving water:*
WS:IIERHQW
3c. What river basin(s) is your project located in?*
Little Tennessee
3d. Please provide the 12-digit HUC in which the project is located.
06010202
4. Project Description and History
2b. Property size:
State / Province / I?gion
NC
Country
USA
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
Rebuilt dam and remove silt
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)
Flat Mountain Farm SURVEY.pdf 605.77KB
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)
4f. List the total estimated acreage of all existing wetlands on the property:
Project area has .04 acres of open water and UT Big Creek in project area is 400 LF
4g. List the total estimated linear feet of all existing streams on the property:
400 LF
4h. Explain the purpose of the proposed project,*
Rebuild dam and remove silt
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Notch the dam, drain .04 acres of open water, remove silt, and repair with clay. The dam will be in the same footprint as before.
4j. Please upload project drawings for the proposed project.
Pond Plan - Flat Mountain Road.pdf 238.07KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No C 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:
SAW-2020-01382

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
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
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
F Wetlands r Streams -tributaries ❑ Buffers
W Open Waters r Pond Construction
4.Open Water Impacts
4a. Site # 4a1. Impact Reason 4b. Impact type 4c. Name of waterbody 4d. Activity type 4e. Wate rbody type =4f. Impact area
_11
OW1
Dredging and Dam
P
Pond
Dredging
Pond
0.04
4g. Total temporary open water Impacts:
0.00
4g. Total open water impacts:
0.04
4h. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
4g. Total permanent open water impacts:
0.04
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Silt curtain, Stream Waddles
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Silt curtain, Stream Waddles
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:
Minimal impact and impact to open water are less than 1/10 of acre
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 f• No
If no, explain why:
2. Stormwater Management Plan
u
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
2b Provide an explanation of the violation(s):
Repairs were made without a permit
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.
No future projects anticipated.
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
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?
CORPS of engineers data
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*

CORPS of engineers data
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?*
CORPS of engineers data
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-yearfloodplain?*
r' Yes r No
8c. What source(s) did you use to make the floodplain determination?*
CORPS of engineers data
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
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:
Chris Shutze
Signature
Date
8/24/2020

I. STEPHEN S. FOSTER, PROFESSIONAL LAND SURVEYOR NO. L-48i6 CERTIFY TO ONE OR
MORE OF THE FOLLOWING AS INDICATED THUS: " X "
❑ A: THAT THIS PLAT IS OF A SURVEY OF A SUBDIVISION OF LAND WITHIN THE AREA OF
THE COUNTY THAT HAS AN ORDINANCE THAT REGULATES PARCELS OF LAND.
❑ B: THAT THIS PLAT IS OF A SURVEY THAT IS LOCATED IN SUCH PORTION OF A COUNTY
OR MUNICIPALITY THAT IS UNREGULATED AS TO AN ORDINANCE THAT REGULATES
PARCELS OF LAND.
❑ C: THAT THE SURVEY IS OF AN EXISTING PARCEL OR PARCELS OF LAND AND DOES NOT
CREATE A NEW STREET (ROAD) OR CHANGE AN EXISTING STREET (ROAD).
❑ D: THAT THIS PLAT IS OF A SURVEY OF ANOTHER CATEGORY. SUCH AS THE RECOMBINATION
OF EXISTING PARCELS. A COURT ORDERED SURVEY OR OTHER EXCEPTIONS TO THE
DEFINITION OF SUBDIVISION.
❑ E: THAT THE INFORMATION AVAILABLE TO THIS SURVEYOR IS SUCH THAT I AM
UNABLE TO MAKE A DETERMINATION TO THE BEST OF MY PROFESSIONAL
EIP
i" O.D.
PIPE
ABILITY AS TO PROVISIONS CONTAINED IN A: THROUGH 0: ABOVE \ (V
NORTH CAROLINA
JACKSON COUNTY
0
ANDREA L. CHALKER ~ ti
D.B. J-22 / PG. 160 .45 `v
PARCEL # 7531929810 ?�4
0
I, STEPHEN S. FOSTER, CERTIFY THAT THIS PLAT WAS DRAWN BY ME FROM AN ACTUAL
SURVEY MADE BY ME DEED RECORDED IN BOOK C-39 PAGE 1980
THAT THE BOUNDARIES NOT SURVEYED ARE CLEARLY INDICATED AS DRAWN FROM
BOOKS REFERENCED, THAT THE RATIO OF PRECISION AS CALCULATED IS 1 7,500
THAT THIS PLAT IS PREPARED IN ACCORDANCE WITH G.S. 47-30 AS AMENDED. WITNESS
MY ORIGINAL SIGNATURE, REGISTRATION NO. AND SEAL THIS 15th OAY OF
NOVEMBER A.O. 2019.
LAND SURVEYOR NO. L-4816
S.
A4Q OFESS jay
SEAL co 4Q SEAL 9 9
r
L-4816
q� ��Q
TH CA'�
REVIEW OFFICER:
STATE OF NORTH CAROLINA
COUNTY OF
I. REVIEW OFFICER OF COUNTY
CERTIFY THAT THE MAP OR PLAT TO WHICH THIS CERTIFICATION IS AFFIXED MEETS
ALL STATUTORY REQUIREMENTS FOR RECORDING.
DATE REVIEW OFFICER
REGISTER OF DEEDS:
NORTH CAROLINA
COUNTY
THIS INSTRUMENT WAS PRESENTED FOR REGISTRATION AND RECORDED IN PLAT
CABINET SLIDE PAGE OR CARD*_
THIS 20 AT M.
REGISTER OF DEEDS
WATERSHED CERTIFICATE OF APPROVAL
I, certify that the plat shown, hereon complies with the watershed
protection ordinance and is approved by the watershed administrator
and has been approved for recording in the Register of Deeds Office.
Date... Watershed Administrator
Notice: This property is located within a public water
supply watershed. Development restrictions may apply.
/
/ LOUIS R. BATSON, III
D.B. F-12 / PG. 96
PARCEL # 7541023977
EIP
3/4" O.D.
PIPE @
116.71'
EIP
3/4" O.D.
PIPE
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N60 o S)Z
TOMOTHY D. WARE
D.B. U-33 / PG. 2244
PARCEL # 7541020449
S64 °05' 19"E
362.11'
EIP
3/4" 0.D.
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hP .
FLAT MOUNTAIN 1739, LLC
D.B. 0-37 / PG. 615
PARCEL # 7541020187 =
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EIP
( TIE LINE
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939'14'02"W 494.45' 543.78'
EIP
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CONDUIT
OVERTON CHAMBERS, II
O.B. J-20 / PG. 40
PARCEL # 7541028911
S71 *44' 40"E
121.35 '
CONDUIT
�04 2 06 „ 0i
32' F CONDUIT
PARCEL # 7541029118
D.B. C-39 / PG. 1980
28.46 ACRES
CABIN
POND
EIP
1/2"
REBAR
ANNE CHASTAIN
D.B. Z-30 / PG. 1625 3
PARCEL # 7541013749
. LO
Lo
N
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Z UI
EIP
3/4" 0.0.
PIPE @
35.50,
FLAT MOUNTAIN ROAD
( 60' PUBLIC R/W )
S.R. # 1544 L17
VICINITY SKETCH BUCK
CREEK
ROAD US 64
* SITE SPMYRTLE
EEO ROAD TO CASHIERS
CHENEY
LANE
BILLY FLAT MOUNTAIN
CABIN ROAD
ROAD
HICKS US 64
ROAD TO HIGHLANDS
NOT TO SCALE "
** NOTES **
NO NORTH CAROLINA CONTROL MONUMENT LOCATED WITHIN 2.000 FEET
MERIDIAN --REFERENCE D.B. C-39 / PG. 1980
THE PROPERTY SHOWN HEREON IS NOT LOCATED WITHIN ANY DESIGNATED
FLOOD HAZARD AREA
THIS PROPERTY IS SUBJECT TO ALL RIGHT OF WAY EASEMENTS AND RESTRICTIONS
OF RECORD
DWELLING-w-N
UG
PROPANE
TANK
WELL
0
TIMOTHY G.
CHAMBERS
D.B. S-19
/ PG. 380
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PARCEL # 7541111547
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EI, D.B. S-19 / PG. 380
REBAR PARCEL # 7541123942
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LEGEND
EIP--DENOTES EXISTING IRON PIN
NIP --DENOTES NEW IRON PIN SET
CON. MON.--DENOTES CONCRETE MONUMENT
UB--DENOTES UTILITY BOX
WM--DENOTES WATER METER
UP --DENOTES UTILITY POLE
R/W--DENOTES RIGHT OF WAY
SSMH--DENOTES SANITARY SEWER MANHOLE
SOMH--DENOTES STORM DRAIN MANHOLE
CB --DENOTES CATCH BASIN
CO --DENOTES SEWER CLEAN OUT
CMP--DENOTES CORRUGATED METAL PIPE
7 eie J. ROSSE BUILDING, LLC
REBAR D . B . D-39 / PG. 239
PARCEL # 7541220536
S23 °57' 05"W
EIP 127.52'
1" 0.0.
PIPE
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POND S23 "56 ' 58 " W
116.46'
CONDUIT
STUART R. OGLETREE
D.B. B-39 / PG. 82
PARCEL # 7541127214
3
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ue P STUART R. OGLETREE
D.B. B-39 / PG. 82
PARCEL # 7541125081
TABLE OF METES
AND BOUNDS
1 1/4" 0.0. WITH CENTERLINE OF
PIPE @ MYRTLE SPEED ROAD
471.06' ( 30' PRIVATE R/W )
i
" ALLEN B. EDWARDS
D.B. L-36 / PG. 417
a PARCEL # 7541114762
_L11
*UP
MYRTLE
SPEED ROAD
( 30' PRIVATE R/W )
LINE
BEARING
DISTANCE
Li
S73'52'32"W
9.11,
L2
S66'25'46"W
16.24'
L3
S58'33'25"W
19.23'
L4
S43'36'ii"W
25.99'
L5
S37'44'26"W
47.64'
L6
S32'51'44"W
31.03'
L7
S19'14'24"W
20.71'
LB
S00'27'58"E
16.70'
L9
S21'37'55"E
20.36'
L10
S44'39'50"E
20.77'
Liij
S52-50'04"E
11.74'
V
523°54' 0'270.5
EIP GRAY TEMPLE
3/4" 0.0. D.B. Y-25 / PG. 1579
ioi@' PARCEL # 7541112534
L12 EIP
1 1/4" 0.06 EIP
TABLE OF METES AND BOUNDS PIPE UP 1" STEEL
BAR
WITH CENTERLINE OF (T
FLAT MOUNTAIN ROAD (TIE LINE )
( 60' PUBLIC R/W ) S639.69'
LINE
BEARING
DISTANCE
L12
N59°27'13"W
15.84'
L13
N57°43'02"W
44.47'
L14
N61°13'38"W
32.53'
L15
N69°05'41"W
32.63'
L161
N79°17'58"W
1 21.76'
L171
N86°54'21"W
8.88'
GRAPHIC SCALE ( 1" = 150' )
i50 0 150 300 450
NO TITLE REPORT WAS PROVIDED FOR THIS SURVEY, EASEMENTS OR
OTHER MATTERS AFFECTING THE USE OF THIS PROPERTY NOT SHOWN
HEREON, MAY EXIST IN THE PUBLIC RECORDS OF THIS COUNTY, THIS
SURVEY PLAT REFLECTS ONLY WHAT WAS OBSERVED ON THE GROUND,
AND DOES NOT DEPICT UNUSED EASEMENTS, UNDERGROUND UTILITIES,
OR OTHER SUBSURFACE INSTALLATIONS WHICH MAY EXIST.
SURVEY FOR:
Christopher Edward Shutze and
Margaret Elizabeth Shutze
CURRENT OWNER:
WALTER SPENCER CHAMBERS

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