20201186 Ver 1_401 Application_20200911

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
September 1, 2020 Ver 3.2
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
20201186
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Stephanie Goss:eads\szgoss
Information for Initial Review
1a. Name of project:
COURTESY COPY - Front Yard Pond
1a. Who is the Primary Contact?*
Nicholas Borisow
1b. Primary Contact Email:*
[e-mail]
Date Submitted
9/11 /2020
Nearest Body of Water
Black Creek
Basin
Neuse
Water Classification
Stream
Site Coordinates
Latitude:
Longitude:
35.7941397
-78.7792094
A. Processing Information
County (or Counties) where the project is located:
Wake
Is this a NCDMS Project
r Yes r No
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*
Raleigh Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
V
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:
r 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
W Individual Permit
18 - Minor Discharges
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:
R 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 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:
Nicholas & Mary Ann Borisow
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
121 E Johnson St.
Address Line 2
city
Cary
Postal / Zip Code
27513
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
State / Rwince / Ifgion
NC
Country
us
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:
Town of Cary
2. Pro Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
121 E Johnson St
Address Line 2
City
Cary
Postal / Zip Code
27513
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Black Creek
3b. Water Resources Classification of nearest receiving water:*
Stream
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202010801
4. Project Description and History
2b. Property size:
State / Province / legion
NC
Country
US
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 area receives untreated storm water runoff from E. Johnson St., and flows across the property through a culvert and underground pipe to adjacent properties to the Black Creek. It
is primarily storm water and residential land runoff water.
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)
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:
0
4g. List the total estimated linear feet of all existing streams on the property:
175 ft
4h. Explain the purpose of the proposed project:*
The area at the discharge side of the pipe is prone to severe soil erosion and loss of embankment during rain events. The project will stabilize the bottom and sides of the "pond" area
and provide a means to maintain soil on the property.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
We will be removing invasive species from the area, and widening the spillway by approximately 2 ft on either side of the pond.
We will be adding Class B rip rap (or equivalent) to the area surrounding the discharge pipe to stabilize the soil. We will be adding rip rap to the floor of the pond and stream to reduce
velocity and improve soil stabilization. We will be adding approximately 4000 Ibs of finger boulders to the sides of the pond to reduce soil erosion. We will be using a Bobcat and hand
tools to remove invasive species, reshaping the embankment, and placing boulders.
4j. Please upload project drawings for the proposed project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No G Unknown
Comments:
James Lastinger conducted a preliminary review of the site, but not sure if it has been delineated
5b. If the Corps made a jurisdictional determination, what type of determination was made?*

r Preliminary r Approved r Not Verified r Unknown f 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?
D. Proposed Impacts Inventory
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* �3�name* 3e. Stream Type * 3f. Type of 3g. S. width * �3h. Impact
(�) Jurisdiction* length*
Improve soil stabilization Permanent Bank Stabilization]B�
eek Intermittent DWRpAverage (feet) (linearfeet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
25 0
31. Total stream and ditch impacts:
25
3j. Comments:
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:
Finger boulders are being used to reduce the potential of losing hardscape during high flow rain events. Spillway stone will be used to diffuse water at
the discharge of the pipe to reduce flow, and reduce loss of soil below pipe. Embankment will be widened to reduce velocity. Native plants and trees
will be installed to improve stabilization.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Soil screens will be put in place below work area. Work will be conducted while stream is not flowing. Silt screens will be used where embankments are
being removed.
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:
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 is not a newstream so project does not include changes to buffers, but vegetation Will be installed around stream to improve buffer quality and promote further soil stabilization.
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
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.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor NA
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
Se. 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?
Internet research https://eGos.fm.gov/eep/report/table/critical-habitat.html
Visit by DWR representative

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?*
NOAAwebsite: https://vmw.fisheries.noaa.gov/national/habitat-conservation/essential-fish-habitat
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?*
hftps://www.ncdcr.gov/resources/mapping
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?*
hftps://flood.nc.gov/ncflood/
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:
Nicholas Borisow
Signature
fi�—)4j
Date
9/11 /2020