20201104 Ver 1_401 Application_20200816

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
20201104
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office *
Raleigh Regional Office - [phone]
Information for Initial Review
1a. Name of project:
Lake Investment Group NC2 Shoreline Stabilization
1a. Who is the Primary Contact?*
Tom Moss
1b. Primary Contact Email:*
[e-mail]
Date Submitted
8/27/2020
Nearest Body of Water
Lake Gaston
Basin
Roanoke
Water Classification
WS-V,B
Site Coordinates
Latitude:
35.528
A. Processing Information
County (or Counties) where the project is located:
Warren
Is this a NCDMS Project
r Yes r No
Longitude:
-77.976
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
What amout is owed?*
IT $240.00
r $570.00
Select Project Reviewer*
Stephanie Goss:eads\szgoss
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
13 - Bank Stabilization
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 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:
Lake Investment Group NC2 LLC
2b. Deed book and page no.:
Deed Book 963 page no. 449
2c. Responsible party:
Lake Investment Group NC2 LLC
2d.Address
Street Address
2012 Wide River Dr.
Address Line 2
city
Raleigh
Postal / Zip Code
27614
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
3. Applicant Information (if different from owner)

3a. Name:
Tom Moss
3b. Business Name:
Shoreline Specialists Inc.
3c.Address
Street Address
23500 NC Huy 48
Address Line 2
City
Enfield
Postal / Zip Code
27823
3d. Telephone Number:
[phone]
3f. Email Address:*
tb mo s s 2 @e mb a rq ma i I. co m
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Littleton, NC
2. P2. j Project Identification
2a. Property Identification Number:
3001120309
2c. Project Address
Street Address
Fernwood Dr.
Address Line 2
City
Littleton
Postal / Zip Code
27850
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Lake Gaston
3b. Water Resources Classification of nearest receiving water:*
WS-V,B
3c. What river basin(s) is your project located in?*
Roanoke
3d. Please provide the 12-digit HUC in which the project is located.
030101060305
4. Project Description and History
State / Province / F bgion
NC
Country
USA
3e. Fax Number:
2b. Property size:
80.89
State / Province / legion
NC
Country
USA
4a. Describe the existing conditions on the site and the general land use in the vicinityof the project at the time of this application:*
The shoreline of this property is currently being eroded by wave action. The vertical, eroding shoreline varies in height from 4' to 12'. The land behind the shoreline is a mature oak
forest with cropland further inland.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
t^ 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)
Lake Investment Group topo 8.16.20.pdf 229.12KB
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)
Lake Investment Group soil survey 8.16.20.pdf 983.97KB
4f. List the total estimated acreage of all existing wetlands on the property

zero
4g. List the total estimated linear feet of all existing streams on the property:
zero
4h. Explain the purpose of the proposed project:*
The purpose of this project is to stop the current erosion and prevent any further erosion and loss of land along the shoreline.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
We will prep the shoreline (removing any fallen or undermined trees in the work area, install non -woven erosion control cloth to the bank and install Class B rip rap at a rate of .8 to 1
ton per linear foot. The outward slope of the rock structure will be a 2:1 slope and the stone will be tamped in place. There will be no impact to the area behind the shoreline because all
the prep work and stone delivery will be conducted by barge. We will be using a mini -excavator, skid steer, and barge to complete the work.
4j. Please upload project drawings for the proposed project.
LakelnvestmentGroupNC2 8.21.20.pdf 7.89KB
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):
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?
no
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
r Wetlands r Streams -tributaries F Buffers
W Open Waters r Pond Construction
4.Open Water Impacts
$a. Site # 4af. Impact Reason 4b. Impact type 4c. Name of wat,rbody 4d. Activity type 4e. Wate rbody type 4f. Impact area
Fll stop erosion P Lake Gaston Stabilization11
Lake 0.33
4g. Total temporary open water Impacts: 4g. Total permanent open water impacts:
0.00 0.33
4g. Total open water impacts:
0.33
4h. Comments:
On average, there will be 8-10 cubic feet of stone per linear ft. of stabilization under the normal water level. This is based on a structure that will be .8-
1 ton per linear ff. of Class B Rip rap in water of 1' average depth.
E. Impact Justification and Mitigation
1. Avoidance and Minimization

1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
We plan to use just enough rip rap to stop the erosion and soil loss. The amount of stone will be minimized instead of using enough to cover the entire
taller scars.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
By conducting all the work from the waterside, we will minimize the impact to the land directly behind the project area.
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 project involves just shoreline stabilization work.
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:
The project area in on the shoreline of a lake.
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)?
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.
The owners have no current plans to develop the property.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor WA
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.
Raleigh

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
5i. 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?
The US Fish and Wildlife Service
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?*
www.fisheries.noaa.gov
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?*
GIS map from the NC Historic Preservation website
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?*
FEMA website
wvwv.msc.fema.gov
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:
Thomas B Moss II
Signature
U
Ltd �iaTd/l

Date
8/16/2020

MAP LEGEND
Area of Interest (AOI)
0 Area of Interest (AOI)
Soils
Soil Survey Areas
0
Soil Map Unit Polygons
Soil Map Unit Lines
Soil Map Unit Points
Special
Point Features
Blowout
Borrow Pit
Clay Spot
}
Closed Depression
Gravel Pit
Gravelly Spot
Landfill
Lava Flow
Marsh or swamp
t
Mine or Quarry
*.
Miscellaneous Water
Perennial Water
g
Rock Outcrop
Saline Spot
Sandy Spot
g
Severely Eroded Spot
Sinkhole
Slide or Slip
Soil Map —Warren County, North Carolina
MAP INFORMATION
oo
Sodic Spot
The soil surveys that comprise your AOI were mapped at
1:24,000.
Spoil Area
Stony Spot
Warning: Soil Map may not be valid at this scale.
Very Stony Spot
Enlargement of maps beyond the scale of mapping can cause
misunderstanding of the detail of mapping and accuracy of soil
Wet Spot
line placement. The maps do not show the small areas of
Other
contrasting soils that could have been shown at a more detailed
scale.
.�
Special Line Features
Please rely on the bar scale on each map sheet for map
Water Features
measurements.
Streams and Canals
Source of Map: Natural Resources Conservation Service
0
8-Digit Hydrologic Units
Web Soil Survey URL:
Transportation
Coordinate System: Web Mercator (EPSG:3857)
+-1-4
Rails
Maps from the Web Soil Survey are based on the Web Mercator
. 0
Interstate Highways
projection, which preserves direction and shape but distorts
distance and area. A projection that preserves area, such as the
US Routes
Albers equal-area conic projection, should be used if more
accurate calculations of distance or area are required.
Major Roads
This product is generated from the USDA-NRCS certified data as
Local Roads
of the version date(s) listed below.
Background
Soil Survey Area: Warren County, North Carolina
Aerial Photography
Survey Area Data: Version 17, Jun 3, 2020
Soil map units are labeled (as space allows) for map scales
1:50,000 or larger.
Date(s) aerial images were photographed: Mar 15, 2016—Oct
26, 2017
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
shifting of map unit boundaries may be evident.
USDA Natural Resources Web Soil Survey 8/16/2020
Conservation Service National Cooperative Soil Survey Page 2 of 3

Soil Map —Warren County, North Carolina
Map Unit Legend
Map Unit Symbol
Map Unit Name
Acres in AOI
Percent of AOI
CfB2
Cecil sandy clay loam, 2 to 8
percent slopes, moderately
eroded
59.5
29.4%
PhC
Pacolet sandy loam, 8 to 15
percent slopes
33.6
16.6%
PpC2
Pacolet sandy clay loam, 8 to
15 percent slopes,
moderately eroded
43.9
21.7%
W
Water
65.3
32.3%
Totals for Area of Interest
202.3
100.0%
USDA Natural Resources Web Soil Survey 8/16/2020
Conservation Service National Cooperative Soil Survey Page 3 of 3

� OEM

III01WYA�
Shore
2.1 slope
Proposed Stabilization
(r6' scar
5'
LEro io co trol cloth between stone
anc� s�iorel�ine
Class B Rip Rap
Lake Gaston
MNWL
I
5'
Erosion co trot cloth between stone
and sniorel�ine
Class B Rip Rap
Section
A
Section
B
Section
C
Section
D
Erosion
scar Ht.
6-8'
Erosion
scar
Ht.
121+
Erosion
scar Ht.
121+
Erosion
scar
Ht.
6-8'
Scale
1 "---30'