20100307 Ver 1_Stormwater Info_20100427

US Infrastructure of Carolina, Inc.
Consulting Engineers
1043 E. Morehead Street, Suite 203
Charlotte, NC 28204
[phone]
[phone] Fax
TO: Cyndi Karoly
Wetlands & Stormwater Branch Chief
NC Division of Water Quality
Archdale Building - 9th Floor
1617 Mail Service Center
Raleigh, NC 27699-1617
[phone]
RE: West Craighead Road Storm Drainage Improvements
PROJECT: Craighead Road
USI PROJECT #: 050213
Enclosed please find:
For Approval For Your Information
For your Use X For Your Signature
As Requested For Review/ Comment
ITEM DESCRIPTION
1 Section 404/401 Permit Application
Remarks:
TRANSMITTAL
DATE: Apri123, 2010
FROM: Steve Sands, PE
Signed: Steve Sands, PE
West Craighead Road
Storm Drainage Improvements
City Project # 671-09-002
Section 404/401 Permit Application
Prepared by:
Chw1off"ecktenburg
STORM
WATER
Services ?
Storm Water Services
City of Charlotte
600 East Fourth Street
Charlotte, NC 28202
and
USI
R @ ?0ULq
APR 2 7 2010
US Infrastructure of Carolina, Inc.
1043 E. Morehead Street
Suite 203
Charlotte, NC 28204
April 2010
Charlotte-Mecklenburg
STORM 600 E. Fourth Street
WATER Charlotte, NC 28202
Fax [phone]
. _ _. Services
April 21, 2010
Steve Chapin
Asheville Regulatory Field Office
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
Re: Pre-Construction Notice Pursuant to Nationwide Permit Number 3
Craighead Road Storm Drainage Improvement Project
Charlotte, North Carolina
Dear Sirs:
The Craighead Road Storm Drainage Improvement Project is a project located in Charlotte, North
Carolina and extends parallel to West Craighead Road in the northwestern quadrant of the city.
The primary purpose of the project is to replace an existing pipe system that is structurally failing
and is undersized. Adjacent buildings and roadways experience frequent flooding. The project
includes the replacement of over 2,500 linear feet of existing storm drainage pipe with a box
culvert. Proposed impacts to an intermittent stream include the installation of a riprap plunge
• pool at the pipe system outlet and the replacement of a 40-section of stream channel with pipe.
Our submittal is organized as follows:
• USACE Submittal Cover Sheet
• USACE Stream Quality Assessment Worksheets
• NCDWQ Stream Identification Forms
• USACE Jurisdictional Determination Form
• USACE Pre-Construction Notification Form
• Stream Photographs
• USGS topographic map
• Project Location, Jurisdictional Determination. and Historic Property Map
• Soils Map
• Construction Plans
Please contact me at [phone] should you need additional information to process the
application.
Sincerely: 14
4L---
Isaac Hinson
cc: Cyndi Karoly, Division of Water Quality
Steven Frey, City of Charlotte Storm Water Services
Stephen Sands, USlnfrastructure of Carolina, Inc.
To report pollution or drainage problems, call: 311
http://stormwater.charmeck.org
CHARIATTI:. .
Corps Submittal Cover Sheet
• Please provide the following info:
1. Project Name: Craighead Road Storm Drainage Improvements
2. Name of Property Owner/Applicant: Isaac Hinson / City of Charlotte Stormwater Services
3. Name of Consultant/Agent: Stephen Sands / US Infrastructure of Carolina, Inc.
*Agent authorization needs to be attached
4. Related/Previous Action ID Numbers: N/A
5. Site Address: 850 -1326 West Craighead Road
6. Subdivision Name: N/A
7. City: Charlotte
8. County: Mecklenbur
9. Lat: 35.26648 Long: 80.80813 (Decimal Degrees Please)
10. Quadrangle Name: Derita
11. Waterway: Unnamed tributary to Derita Branch of Little Sugar Creek
12. Watershed: Little Suear Creek
13. Requested Action:
X Nationwide Permit # 3
• General Permit # _
X Jurisdictional Determination Request
Pre-Application Request
The following information will be completed by Corps office:
AID:
Prepare File Folder
Authorization:
Assign Number in ORM
Section 10 Section 404
Project Description / Nature of Activity / Project Purpose:
Begin Date
Site / Waters Name:
Keywords:
0
USACE AID# DWQ # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: City of Charlotte 2. Evaluator's name: Sands / Hinson
3. Date of evaluation: 3/22/10
5. Name of stream: Unnamed Tributary
7. Approximate drainage area: 100 acres
9. Length of reach evaluated: 150 feet
11. Site coordinates (if known): prefer in decimal degrees.
4. Time of evaluation: 3:00 pm
6. River basin: Catawba
8. Stream order: First
10. County: Mecklenburg
12. Subdivision name (if any)
N/A
Latitude (ex. 34.872312): 35.26648 Longitude (ex. -77.556611): 80.80813
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other NC One Map
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
See attached location man
14. Proposed channel work (if any): Riprap plunge pool, enclosure of a short channel length with pipe
15. Recent weather conditions: Rain
16. Site conditions at time of visit: Cloudy / Rain
17. Identify any special waterway classifications known: -Section 10 -Tidal Waters -Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters _ Nutrient Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES ©O 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: _% Residential _251/o Commercial 7% Industrial _% Agricultural
_% Forested _% Cleared / Logged _% Other ( )
22. Bankfull width: Fi fPPt 23. Bank height (from bed to top of bank): 2 feet
24. Channel slope down center of stream: -Flat (0 to 2%) Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>10%)
25. Channel sinuosity: Straight X Occasional bends -Frequent meander -Very sinuous -Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 34-39 Comments:
Evaluator's Signature Date 3/22/10
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
SEGMENT 1
STREAM QUALITY ASSESSMENT WORKSHEET
•
18
These characteristics are not assessed in coastal streams.
4 , CHARACTERISTICS 1 w4..r 9O.
C:a alstal AR. r $ 31a 1.
ont T.l
Pied [tea
iin ?
'Mount 7?.i.1:d E"i
?
i. m . ..-_--
1 Presence of flow i persistent pools in streairc' 0 ? l "1 l 5 ? 3
(no flow or saturation = 0. Strom, # of , max points)

a Evidence of pat hu?man. alterat on
t_G
0-5
0- 5
3
(extensve alteration f; no alteration - -max points)
------------- ------ - --
Riparian zone
(no tantfer' O Caiittguous wide buffer flit ax j?lints)
4
Evidence of nutrient or chemical discharges ? 5 0 ? 0 . ? 1
(extc nsivedischames 0; no discharges ' max points) - i -- _-

5 Cxroundevaic r tli4ek ar€ e r
0-3
0-4
0-4
0
(no dt charge - 0. sprin;qs steps. wetlands etc ma points)
- I
b Presence of adJacent floodplain - 0--4 0--4 0-2
3
(no f!o_odplain_- 0 extensive_ f6 o4 plain m points)
{
7 Entrenchment,' floodplain ;access
0-5
0_'4 ?
0--2 3
? (deepiv entrenched -- (l; frequent flooding - max pc7ii,its)
- Presence ofadjaeentwetlands 0-6 0-4 0-2
2
I (no wetlands 0; large adjacent -wetlands - max points)
- Channel sinuosity 0 5 0-4 0 -3 3
(extensive channelizatiOn 0: natural meander inax paints)

j 0 - Sediment input
0-- 5
0--4
0--4
2
(extensive deposition= 0; little or no sediment _max points)
Size & diversity of channel= tried substrate NA* 0--4 0 -5 2
(fine, lion iog, eni?us _ 0 lard diverse size r- max points)
-
l2 -
Evidence of channel incision or widening
0-5

4
0-

0 5

1
incised 0.. stable beef & banks- mac points)
(dee ly

13
major bank failures
Presence of

0 5

0-5

0 -5

1
E (severe erosion _0. no c osion stlble banks max ts)
14 Root depth and density on banks
(i
0-4
0 -5
1
(no visible roots U_ dense roots throuPhoat max points)
4

ls Impact by agriculture, livestock, or unifier production
? ? 5 0-4 0` --5
4
(substantial impact .0; no evidence max points)
f
16 -F Presence of riffle-pool/ripple- pool complexes
0 3
0 5
0-6
3
i (110 rit41L's`r Pies aiols' well cfeticiaed md1)arlltS)
-?
17 Habitat complexity
0. 6
? 0 6
0--6
1
mak points)
(little or no habitat O ttt(jL1C1't, varied habitats

18 _
Canopy coverage over streamhed
i
)'
0-5 1
0-5
0-5
1
nts
(na shading vea,,etatieiit 0 continuous c inop max po _

1 g Substrate embeddeduess
NA*
0 4
0--4

0
(deeply embedded ? 0; loose structure max)
T.
.
_

?(l Presence ofstrearn invertebrates (see age 4)
p
4
0
0 5
0. 5
0

,
l (no evidence 0; common, niimeroias tops maxnts)
_
l 1 Presence of amphibians ? 0 4 0-4 0 -4
0
ttumerai7s types max paints}
fruit
evidence 0; common
, _
?
?
?2
1-1 Presence of fish Q 4
? 0--4 0-4 0
-.0 max points)
(no evidence 0 ct mnion, numerous types
_
23 Evidence of N ddlife Ilse ?
(no evidence - 0 abundant evidence - max points)

? 100
Total Points Possible i 00 ? l 00

?
T'ClI'Al, SCO (also enter on first rage) 34
North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
•
•
•
Date: 3/22/10 Project: Craighead CIP Latitude: 35.26648
Evaluator: Sands / Hinson Site: Segment 1 Longitude: 80.80813
Total Points: Other
Stream is at least intermittent 26.5 county: Mecklenburg
if>_ 19 or perennial if? 30 e.g. Quad Name: Derlta
A. Geomorpholo (Subtotal= 5 ) Absent Weak Moderate Strong
1a. Continuous bed and bank 0 1 2 3
2. Sinuosity 0 1 2 3
3. In-channel structure: riffle-pool sequence 0 1 2 3
4. Soil texture or stream substrate sorting 0 1 2 3
5. Active/relic floodplain 0 1 2 3
6. Depositional bars or benches 0 1 2 3
7. Braided channel 0 2 3
8. Recent alluvial deposits 0 1 2 3
9a Natural levees 0 1 2 3
10. Headcuts 0 1 2 3
11. Grade controls 0 0.5 1 1.5
12. Natural valley or drainageway 0.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
No = OO
Yes = 3
Man-made ditches are not rated; see discussions in manual
B. Hvdroloav (Subtotal = 7.5 )
14. Groundwater flow/discharge 0 2 3
15. Water in channel and > 48 hrs since rain, or
Water in channel -- d or growing season 0 1 2Q 3
16. Leaflitter 1.5 0.5 0
17. Sediment on plants or debris 0 0.5 1.5
18. Organic debris lines or piles (Wrack lines) 0 0.5 1 1.5
19. Hydric soils (redoximorphic features) present? No = 0 Yes =(1-5)
C. Bioloav (Subtotal = 4 )
20b. Fibrous roots in channel 3 2 1 0
21 b. Rooted plants in channel 3 © 1 0
22. Crayfish @ 0.5 1 1.5
23. Bivalves QO 1 2 3
24. Fish 0 0.5 1 1.5
25. Amphibians 0 0.5 1 1.5
26. Macrobenthos (note diversity and abundance) OQ 0.5 1 1.5
27. Filamentous algae, periphyton 0 1 2 3
28. Iron oxidizing bacteria/fungus. 0 0.5 1 1.5
29 b. Wetland plants in streambed FAC = 0.5; FACW = 0.75; OBL = 1.5 SAV = 2.0; Other = 0
- items 2U and 21 Locus on the presence of upland plants, item 29 focuses on the presence of aquatic or wetland plants.
Sketch:
Notes: (use back side of this form for additional notes.)
North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
•
0 14. Groundwater flow/discharge 0 2 3
Date: 3/22/10 Project: Craighead CIP Latitude: 35.26648
Evaluator: Sands / Hinson Site: Segment 2 Longitude: 80.80813
Total Points: Other
Stream is at least intermittent 24 county: Mecklenburg e.g. Quad Name: Derlta
if ? 19 or perennial if ? 30
A. Geomorphology (Subtotal= 15 ) Absent Weak Moderate Strong
la. Continuous bed and bank 0 1 2 3
2. Sinuosity 0 1 2 3
3. In-channel structure: riffle-pool sequence 0 1 2 3
4. Soil texture or stream substrate sorting 0 1 2 3
5. Active/relic floodplain 0 1 2 3
6. Depositional bars or benches 0 1 2 3
7. Braided channel 0 1 2 3
8. Recent alluvial deposits 0 1 2 3
9 a Natural levees 0 1 2 3
10. Headcuts 0 1 2 3
11. Grade controls 0 0.5 1 1.5
12. Natural valley or drainageway 0.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
No = 0o
Yes = 3
Man-made ditches are not rated; see discussions in manual
B. Hydrologv (Subtotal = 7 )

15. Water in channel and > 48 hrs since rain, or
Water in channel -- d or growing season 0 1 2Q 3
16. Leaflitter 105 1 0.5 0
17. Sediment on plants or debris 0 .5 1 1.5
18. Organic debris lines or piles (Wrack lines) 0 1 1.5
19. Hydric soils (redoximorphic features) present? No = 0 Yes = 1.5
C. Bioloav (Subtotal= 2 )
20b. Fibrous roots in channel 3 2 1 0
21b. Rooted plants in channel 3 2 0
22. Crayfish @ 0.5 1 1.5
23. Bivalves 0 1 2 3
24. Fish 0 0.5 1 1.5
25. Amphibians 0 0.5 1 1.5
26. Macrobenthos (note diversity and abundance) OQ 0.5 1 1.5
27. Filamentous algae; periphyton 0 1 2 3
28. Iron oxidizing bacteria/fungus. 0 0.5 1 1.5
29 b. Wetland plants in streambed FAC = 0.5; FACW = 0.75; OBL = 1.5 SAV = 2.0; Other
- Items 20 and 21 focus on the presence of upland plants, Item 29 focuses on the presence of aquatic or wetland plants.
Notes: (use back side of this form for additional notes.)
Sketch:
0
APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook.
SECTION 1: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD): March 22, 2010
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:
C. PROJECT LOCATION AND BACKGROUND INFORMATION:
State: North Carolina County/parish/borough: Mecklenburg City: Charlotte
Center coordinates of site (lat/long in degree decimal format): Lat. 35.26648° N, Long. 80.80813° W.
Universal Transverse Mercator:
Name of nearest waterbody: Catawba River
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows: Catawba River
Name of watershed or Hydrologic Unit Code (HUC):
® Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon request.
? Check if other sites (e.g., offsite mitigation sites, disposal sites, etc...) are associated with this action and are recorded on a
different JD form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
? Office (Desk) Determination. Date:
? Field Determination. Date(s):
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There Are no "navigable waters of the U.S." within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review area. [Required]
? Waters subject to the ebb and flow of the tide.
• ? Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain:
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There Are "waters of the U.S." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply):
? TNWs, including territorial seas
? Wetlands adjacent to TNWs
® Relatively permanent waters (RPWs) that flow directly or indirectly into TNWs
? Non-RPWs that flow directly or indirectly into TNWs
? Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
? Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
? Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
? Impoundments ofjurisdictional waters
? Isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non-wetland waters: 100 linear feet: 6 width (ft) and/or acres.
Wetlands: acres.
c. Limits (boundaries) of jurisdiction based on: Established by OHWM.
Elevation of established OHWM (if known):
2. Non-regulated waters/wetlands (check if applicable):3
? Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain:
Boxes checked below shall be supported by completing the appropriate sections in Section III below.
z For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year-round or has continuous flow at least "seasonally"
(e.g., typically 3 months).
' Supporting documentation is presented in Section III.F.
SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete
Section III.A.1 and Section III.D.I. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and 2
and Section III.D.1.; otherwise, see Section III.B below.
1. TNW
Identify TNW:
Summarize rationale supporting determination:
2. Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent":
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non-navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e. tributaries that typically flow year-round or have continuous flow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year-round
(perennial) flow, skip to Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section IILD.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody° is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section IILC below.
1. Characteristics of non-TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size: 100 acres
Drainage area: 100 acres
Average annual rainfall: 43 inches
Average annual snowfall: inches
(ii) Physical Characteristics:
(a) Relationship with TNW:
? Tributary flows directly into TNW.
? Tributary flows through 3 tributaries before entering TNW.
•
(straight) miles from RPW.
Project waters cross or serve as state boundaries. Explain:
Project waters are 5-10 river miles from TNW
Project waters RPW.
are 1 (or less) river miles from
Project waters are 2-5 aerial (straight) miles from TNW.
Project waters are 1 (or less) aerial Identify flow route to TNW5: Tributary to Derita Branch of Little Sugar Creek to Catwaba River.
Tributary stream order, if known: First.
a Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the and
West.
5 Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW.
(b) General Tributary Characteristics (check all that apply
Tributary is: ? Natural
? Artificial (man-made). Explain:
® Manipulated (man-altered). Explain: Pipe system outlet.
Tributary properties with respect to top of bank (estimate):
Average width: 6 feet
Average depth: 2 feet
Average side slopes: 2:1.
Primary tributary substrate composition (check all that apply):
? Silts ® Sands ? Concrete
® Cobbles ® Gravel ? Muck
? Bedrock ? Vegetation. Type/%cover:
? Other. Explain:
Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain:
Presence ofrun/riffle/pool complexes. Explain: Yes.
Tributary geometry: Relatively straight
Tributary gradient (approximate average slope): 2.5 %
(c) Flow:
Tributary provides for: Intermittent but not seasonal flow
Estimate average number of flow events in review area/year: 20 (or greater)
Describe flow regime:
Other information on duration and volume:
Surface flow is: Confined. Characteristics:
Subsurface flow: Pick List. Explain findings:
? Dye (or other) test performed:
Tributary has (check all that apply):
® Bed and banks
® OHWM6 (check all indicators that apply):
® clear, natural line impressed on the bank ? the presence of litter and debris
® changes in the character of soil ? destruction of terrestrial vegetation
? shelving ® the presence of wrack line
® vegetation matted down, bent, or absent ® sediment sorting
® leaf litter disturbed or washed away ? scour
® sediment deposition ? multiple observed or predicted flow events
® water staining ® abrupt change in plant community
? other (list):
F1 Discontinuous OHWM.' Explain:
If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply):
? High Tide Line indicated by: ? Mean High Water Mark indicated by:
? oil or scum line along shore objects ? survey to available datum,
? fine shell or debris deposits (foreshore) ? physical markings;
? physical markings/characteristics ? vegetation lines/changes in vegetation types.
? tidal gauges
? other (list):
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.).
Explain:
Identify specific pollutants, if known:
• `A natural or man-made discontinuity in the OHWM does not necessarily sever jurisdiction (e.g., where the stream temporarily flows underground, or where
the OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is unrelated to the waterbody's flow
regime (e.g., flow over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break.
'Ibid.
(iv) Biological Characteristics. Channel supports (check all that apply):
? Riparian corridor. Characteristics (type, average width):
? Wetland fringe. Characteristics:
• ? Habitat for:
? Federally Listed species. Explain findings:
? Fish/spawn areas. Explain findings:
? Other environmentally-sensitive species. Explain findings:
? Aquatic/wildlife diversity. Explain findings:
2. Characteristics of wetlands adjacent to non-TNW that flow directly or indirectly into TNW
(i) Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size: acres
Wetland type. Explain:
Wetland quality. Explain:
Project wetlands cross or serve as state boundaries. Explain:
(b) General Flow Relationship with Non-TNW:
Flow is: Pick List. Explain:
Surface flow is: Pick List
Characteristics:
Subsurface flow: Pick List. Explain findings:
? Dye (or other) test performed:
(c) Wetland Adjacency Determination with Non-TNW:
? Directly abutting
? Not directly abutting
? Discrete wetland hydrologic connection. Explain:
? Ecological connection. Explain:
? Separated by berm/barrier. Explain:
(d) Proximity (Relationship) to TNW
Project wetlands are Pick List river miles from TNW.
Project waters are Pick List aerial (straight) miles from TNW.
Flow is from: Pick List.
Estimate approximate location of wetland as within the Pick List floodplain.
(ii) Chemical Characteristics:
Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed
characteristics; etc.). Explain:
Identify specific pollutants, if known:
(iii) Biological Characteristics. Wetland supports (check all that apply):
? Riparian buffer. Characteristics (type, average width):
? Vegetation type/percent cover. Explain:
? Habitat for:
? Federally Listed species. Explain findings:
? Fish/spawn areas. Explain findings:
? Other environmentally-sensitive species. Explain findings:
? Aquatic/wildlife diversity. Explain findings:
3. Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis: Pick List
Approximately ( ) acres in total are being considered in the cumulative analysis.
?J
For each wetland, specify the following:
Directly abuts? (Y/N) Size (in acres) Directly abuts? (Y/N) Size (in acres)
•
Summarize overall biological, chemical and physical functions being performed:
C. SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW. For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands. It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TN Ws, or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW?
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below:
1. Significant nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III.D:
2. Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section III.D:
3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of
presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to
Section 11I.D:
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):
TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
? TNWs: linear feet width (ft), Or, acres.
? Wetlands adjacent to TNWs: acres.
2. RPWs that flow directly or indirectly into TNWs.
? Tributaries of TNWs where tributaries typically flow year-round are jurisdictional. Provide data and rationale indicating that
tributary is perennial:
® Tributaries of TNW where tributaries have continuous flow "seasonally" (e.g., typically three months each year) are
• jurisdictional. Data supporting this conclusion is provided at Section I11.13. Provide rationale indicating that tributary flows
seasonally:
Provide estimates for jurisdictional waters in the review area (check all that apply):
® Tributary waters: linear feet width (ft).
? Other non-wetland waters: acres.
Identify type(s) of waters:
3. Non-RPWs8 that flow directly or indirectly into TNWs.
? Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW is jurisdictional. Data supporting this conclusion is provided at Section III.C.
Provide estimates for jurisdictional waters within the review area (check all that apply):
? Tributary waters: linear feet width (ft).
? Other non-wetland waters: acres.
Identify type(s) of waters:
4. Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
? Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands.
? Wetlands directly abutting an RPW where tributaries typically flow year-round. Provide data and rationale
indicating that tributary is perennial in Section III.D.2, above. Provide rationale indicating that wetland is
directly abutting an RPW:
? Wetlands directly abutting an RPW where tributaries typically flow "seasonally." Provide data indicating that tributary is
seasonal in Section 111.13 and rationale in Section IILD.2, above. Provide rationale indicating that wetland is directly
abutting an RPW:
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
5. Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
? Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TN W are jurisidictional. Data supporting this
conclusion is provided at Section III.C.
0 Provide acreage estimates for jurisdictional wetlands in the review area: acres.
6. Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs.
? Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional. Data supporting this
conclusion is provided at Section IILC.
Provide estimates for jurisdictional wetlands in the review area: acres.
7. Impoundments of jurisdictional waters.9
As a general rule, the impoundment of a jurisdictional tributary remains jurisdictional.
? Demonstrate that impoundment was created from "waters of the U.S.," or
? Demonstrate that water meets the criteria for one of the categories presented above (1-6), or
? Demonstrate that water is isolated with a nexus to commerce (see E below).
E. ISOLATED ]INTERSTATE OR INTRA-STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY):ro
? which are or could be used by interstate or foreign travelers for recreational or other purposes.
? from which fish or shellfish are or could be taken and sold in interstate or foreign commerce.
? which are or could be used for industrial purposes by industries in interstate commerce.
? Interstate isolated waters. Explain:
? Other factors. Explain:
Identify water body and summarize rationale supporting determination:
RSee Footnote # 3.
To complete the analysis refer to the key in Section III.D.6 of the Instructional Guidebook.
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos.
Provide estimates for jurisdictional waters in the review area (check all that apply):
F-1 "Tributary waters: linear feet width (ft).
El Other non-wetland waters: acres.
F. NON-JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
? If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements.
? Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
? Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR).
? Waters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain:
? Other: (explain, if not covered above):
Identify type(s) of waters:
? Wetlands: acres.
Provide acreage estimates for non jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
judgment (check all that apply):
? Non-wetland waters (i.e., rivers, streams): linear feet width (ft).
? Lakes/ponds: acres.
? Other non-wetland waters: acres. List type of aquatic resource:
? Wetlands: acres.
Provide acreage estimates for non jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a finding is required for jurisdiction (check all that apply):
? Non-wetland waters (i.e., rivers, streams): linear feet, width (ft).
? Lakes/ponds: acres.
? Other non-wetland waters: acres. List type of aquatic resource:
? Wetlands: acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropriately reference sources below):
® Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant:
® Data sheets prepared/submitted by or on behalf of the applicant/consultant.
? Office concurs with data sheets/delineation report.
? Office does not concur with data sheets/delineation report.
? Data sheets prepared by the Corps:
? Corps navigable waters' study:
? U.S. Geological Survey Hydrologic Atlas:
? USGS NHD data.
? USGS 8 and 12 digit HUC maps.
® U.S. Geological Survey map(s). Cite scale & quad name:1 2000', Charlotte West.
? USDA Natural Resources Conservation Service Soil Survey. Citation:
? National wetlands inventory map(s). Cite name:
? State/Local wetland inventory map(s):
? FEMA/FIRM maps:
? 100-year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
® Photographs: ® Aerial (Name & Date):Aerial photographs included in Appendix.
or ® Other (Name & Date):Stream segement photographs included in Appendix.
? Previous determination(s). File no. and date of response letter:
? Applicable/supporting case law:
? Applicable/supporting scientific literature:
? Other information (please specify):
0 B. ADDITIONAL COMMENTS TO SUPPORT JD:
20100307
W AT
1 1 >
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the

Corps:
®Section 404 Permit El Section 10 Permit

,
1 b. Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

? Yes ® No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ® No
11h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: Craighead Road Storm Drainage Improvements
2b. County: Mecklenburg
2c. Nearest municipality / town: City of Charlotte
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: N/A D
3. Owner Information 2 7 2010
3a. Name(s) on Recorded Deed: Linear Project
3b. Deed Book and Page No. N/A
VOLVO ANDSIMMIll1ERWW=
3c. Responsible Party (for LLC if
applicable): N/A
3d. Street address: N/A
3e. City, state, zip: N/A
3f. Telephone no.: N/A
3g. Fax no.: N/A
3h. Email address: N/A

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PCN Form - Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ® Other, specify: City of Charlotte representative
4b. Name: Mr. Isaac Hinson
4c. Business name
(if applicable): City of Charlotte Storm Water Services
4d. Street address: 600 E. 4th Street
4e. City, state, zip: Charlotte, NC 28202
4f. Telephone no.: 704-336-4495
4g. Fax no.: 704-336-6586
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: Stephen Sands
5b. Business name
(if applicable): US Infrastructure of Carolina, Inc.
5c. Street address: 1043 E. Morehead Street, Suite 203
5d. City, state, zip: Charlotte, NC 28204
5e. Telephone no.: 704-342-3007
5f. Fax no.. 704-342-1666
5g. Email address: [e-mail]
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PCN Form - Version 1.3 December 10, 2008 Version
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B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): Linear project
Latitude:
1 b. Site coordinates (in decimal degrees): 35.26648 Longitude: - 80.80813
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: Linear Project acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Derita Branch of Little Sugar Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C - Little Sugar Creek
2c. River basin: Catawba
3. Project Description
3a. 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 project is along an unnamed tributary of the Derita Branch of Little Sugar Creek. The unnamed tributary and project
limits run parallel to Craighead Road. The contributing watershed is developed with intense commercial and industrial
land uses. The majority of the tributary is contained within a closed pipe system with the exception of a 40 lineal foot
segment near the mid-point of the sytem and a 300 lineal foot segment at the pipe system outfall. The existing pipe
system to be replaced is located beneath asphalt and/or concrete parking/loading areas in a heavy industrial and
urbanized area. The confluence of the tributary with Derita Branch is approximately 300 lineal feet downstream of the
project limits.
3b. List the total estimated acreage of all existing wetlands on the property:
N/A
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
The total project length is 3,265 lineal feet of which 340 lineal feet is intermittent stream. The remainder of the project
length is closed pipe system.
3d. Explain the purpose of the proposed project:
This is the maintenance and replacement of an existing CMP/RCP pipe system that is showing signs of structural failure
and is undersized so that adjacent buildings and roadways are flooded frequently.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project is upgrading an existing 48-inch pipe system that is structurally failing and does not correctly convey the
design storm event. Adjacent roadways and building experience frequent flooding because the pipe system is
undersized. The 48-inch pipe is proposed to be upgraded with a series of box culverts ranging in size from 6 feet by 4
feet to 10 feet by 4 feet. Installation of the box culvert will require the use of large excavator equipment such as a track
hoe. A crane system maybe needed to place the new box culvert sections. The box culvert installation will begin at the
downstream end and proceed upstream. Sections of the existing system will be removed as the new box culvert system
is installed. Storm water flow will be diverted from the existing pipe system into the new box culvert by a pump or
temporary channel protected from erosion.
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PCN Form - Version 1.3 December 10, 2008 Version

4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / ? Yes ® No ? Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type ? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: City of Charlotte
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
We are submitting a jurisdictional request concurrently with this application.
5. Project History
5a. Have permits or certifications been requested or obtained for ? Yes ® No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
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PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ?P?T ?Yes ?Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
?No ?DWQ

W6 ?P?T ? Yes ? Corps
?No ?DWQ
2g. Total wetland impacts
W h. Comments:
2
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)

S1 ® P ? T
Plunge pool UT1 to Derita
Branch of Little ? PER
® INT ® Corps
® DWQ
4
20
Sugar Creek

S2 ®P ? T Pipe system UT1 to Derita
Branch of Little ? PER ® Corps
4
40
placement Sugar Creek ® INT ® DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 60
3i. Comments: There are two areas of proposed impacts for the project. The first area includes the installation of a riprap lined
plunge pool in Stream Segment 1 to reduce pipe system outlet velocities and associated downstream channel instability. The
second area is Stream Segment 2 where a section of box culvert is proposed to be placed in a 40 foot open channel section in
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PCN Form - Version 1.3 December 10, 2008 Version
middle of the pipe system. Stream Segment 2 is an open channel section in an area of high pedestrian and vehicle traffic and
creates an unsafe condition due to the steep channel side slopes. Constructing a channel system large enough to convey the
flood water would significantly impact the adjacent businesses.
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number -
Permanent (P) or
Temporary T 4b.
Name of waterbody
(if applicable) 4c.

Type of impact 4d.

Waterbody type 4e.

Area of impact (acres)
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a.

Pond ID 5b.

Proposed use or purpose 5c.
Wetland Impacts (acres) 5d.
Stream Impacts (feet) 5e.
Upland
(acres)
number of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
K Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes No if yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
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PCN Form - Version 1.3 December 10, 2008 Version
6. Buffer Impacts (for DWQ)

below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a. ? Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary T impact required?
131 ?P?T ?Yes
? No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
There are structural and joint failures in the existing CMP culvert, so replacement of the culvert will reduce sediment load to
the stream from backfill erosion. In addition, some minor infiltation from some sanitary sewer cross-connections may be
reduced.
he receiving stream segment (Stream Segment 1) is showing some signs of instability. Placement of a riprap lined plunge
pool will reduce the pipe system outlet velocities and associated downstream instability.
During design, consideration was given to the 40 foot open channel section at Sta 18+70 (Stream Segment 2). The open
channel section is in an area of high pedestrian and vehicle traffic and creates an unsafe condition due to the steep channel
side slopes. Constructing a channel system large enough to convey the flood water would significantly impact the adjacent
businesses. The larger culvert size that is proposed upstream and downstream from the channel segment would steepen
these channel side slopes which could result in additional instability. In addition, an aerial sanitary sewer traverses the open
channel and it was felt that the potential for cross connections, or sanitary sewer failure from erosion could be reduced by
eliminating the open channel. The evaluation resulted in a recommendation to close the short open channel section and
propose a continuous piped system.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
A Sediment and Erosion Control Plan approved by North Carolina Department of Natural Resources is in place. The main
method by which impacts are minimized is through a detailed construction sequencing plan. The length of the existing pipe
system that is removed is limited to the length of the new box culvert that is installed within 24 hours. Flows from the existing
pipe system are diverted into the new box culvert with a pump or temporary channel. The approved Erosion and Sediment
Control Plan is included in the attached set of construction plans.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ? Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps
? Mitigation bank
2c. If yes, which mitigation option will be used for this ?
Payment to in-lieu fee program
project?
? Permittee Responsible Mitigation
4 If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
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4 6a. Will the project result in an impact within a protected riparian buffer that requires ? Yes ® No
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
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PCN Form - Version 1.3 December 10, 2008 Version

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E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified ? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
? Yes ? No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? %
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: There is no increase in impervious area
associated with the project.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
a. In which local government's jurisdiction is this project? Charlotte Stormwater Services
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
? HQW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): ? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
? Yes ® No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ® Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ® Yes ? No
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F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
? Yes ? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
The project will not generate wastewater
•
Page 10 of 12
PCN Form - Version 1.3 December 10, 2008 Version
U
•
•
8. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ? Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ? Yes ® No
impacts?
El Raleigh
5c. If yes, ind icate the USFWS Field Office you have contacted.
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The project area is not located in a Designated Critical Habitat. Review of element occurances on the North Carolina
Heritage Program GIS Virtual Workroom found no record of federally-listed species within a two-mile radius of the project
area.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact 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 ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Mecklenburg County GIS data for historical properties was reviewed. The Center Grove AME Zion Church Cemetery is
located adjacent to the project site. A map illustrating the property relative to the project site is included in the Appendix
of this document. No construction actitives will occur on the Center Grove AME Zion Church Cemetery property.
Additionally, a copy of this PCN will be forwarded to the State Historical Preservation Office.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ? No
8b. If yes, explain how project meets FEMA requirements: The riprap plunge pool is proposed to be constructed within the
FEMA flood fringe. The proposed activity does not after the floodplain conveyance and is considered an activity that can
be permitted under a general permit from the local floodplain adminstrator. The general permit application has been filed
and approved.
8c. What source(s) did you use to make the floodplain determination? NFIP Map number 37119C0167
Isaac Hinson f a-L, /Lt /IV
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 12
PCN Form -Version 1.3 December 10, 2008 Version
•
APPENDIX
0
E
•

•

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Photo 1 - Stream Segment One

Photo 2 - Stream Segment One
•
0 Photo 3 - Stream Segment One
U
Photo 4 - Stream Segment One
•
•

Photo 5 - Stream Segment One
Photo 6 - Stream Segment One
•
•
•
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Photo 7 - Stream Segment Two
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