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HomeMy WebLinkAbout20201324 Ver 1_401 Application_20201030Staff Review Does this application have all the attachments needed to accept it into the review process?* r Yes r No ID#* 20201324 Version* 1 Is this project a public transportation project?* r Yes r No Reviewer List:* Kaylie Yankura:eads\kyankura Select Reviewing Office:* Asheville Regional Office - (828) 296-4500 Does this project require a request for payment to be sent?* r Yes r No How much is r $240.00 owed? * r $570.00 Project Submittal Form Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered. Project Type: * r For the Record Only (Courtesy Copy) r New Project r Modification/New Project with Existing ID r More Information Response r Other Agency Comments r Pre -Application Submittal r Re-Issuance\Renewal Request r Stream or Buffer Appeal Pre -Filing Meeting Information Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not be able to accept your application without this important first step. The Pre -Filing Meeting Request Form is used in accordance with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project proponent shall request a pre -filing meeting with the certifying agency" and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5) all certification requests shall include documentation that a pre -filing meeting request was submitted to the certifying authority at least 30 days prior to submitting the certification request. Click here to read more information on when this form is needed prior to application submission or here to view the form. Attach documentation of Pre -Filing Meeting Request here: DWR Pre - Filing Meeting 51.31.. Request Form.pdf Date for Meeting Request 9/29/2020 ID# 20201324 Version 1 Project Contact Information Name: David Brame Who is subnitting the inforrration? Email Address: hlagamba@pilotenviro.com Project Information Existing ID #: Existing Version: 20201324 1 20170001(no dashes) 1 Project Name: Highland Fire Department Is this a public transportation project? r Yes r No Is the project located within a NC DCM Area of Environmental Concern (AEC)? r Yes r No r Unknown County (ies) Macon Please upload all files that need to be submited. Oick the upload button or drag and drop files here to attach document 6112.1_Franklin Road_PCN Request_10.5.20.pdf 2MB Only pdt or Iv17 files are accepted. Describe the attachments or comments: PCN for 401 WQC. Sign and Submit V By checking the box and signing box below, I certify that: ■ I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief. ■ I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time. ■ I agree that submission of this online 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'); ■ 1 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 online form. Signature: ��AW-4 :10.1��IIIWIOI Submittal Date: Is filled in autorratically. Page 1 of 12 PCN Form –Version 1.3 December 10, 2008 Version 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 1a.Type(s) of approval sought from the Corps:Section 404 Permit Section 10 Permit 1b. Specify Nationwide Permit (NWP) number:NWP 39 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 1e.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 1g.Is the project located in any of NC’s twenty coastal counties. If yes, answer 1h below. Yes No 1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?Yes No 2.Project Information 2a.Name of project:Highlands Fire Department 2b.County:Macon 2c.Nearest municipality / town:Highlands 2d.Subdivision name: 2e.NCDOT only, T.I.P. or state project no: 3.Owner Information 3a.Name(s) on Recorded Deed:Town of Highlands 3b. Deed Book and Page No.Y-39/545 3c.Responsible Party (for LLC if applicable): 3d.Street address:PO Box 460 3e.City, state, zip:Highlands, NC, 28741 3f.Telephone no.:828-526-2118 3g.Fax no.: 3h.Email address:Josh.ward@highlandsnc.org Page 2 of 12 PCN Form –Version 1.3 December 10, 2008 Version 4.Applicant Information (if different from owner) 4a.Applicant is:Agent Other, specify: 4b.Name: 4c.Business name (if applicable): 4d.Street address: 4e.City, state, zip: 4f.Telephone no.: 4g.Fax no.: 4h.Email address: 5.Agent/Consultant Information (if applicable) 5a.Name:David S. Brame 5b.Business name (if applicable):Pilot Environmental,Inc. 5c.Street address:PO Box 128 5d.City, state, zip:Kernersville, NC 27285 5e.Telephone no.:336.708.4617 5f.Fax no.: 5g.Email address:dbrame@pilotenviro.com Page 3 of 12 PCN Form –Version 1.3 December 10, 2008 Version B. Project Information and Prior Project History 1.Property Identification 1a.Property identification no. (tax PIN or parcel ID):7540214736/7540222080 1b.Site coordinates (in decimal degrees):Latitude:35.05553 Longitude:-83.20343 (DD.DDDDDD)(-DD.DDDDDD) 1c.Property size:2.5 acres 2.Surface Waters 2a.Name of nearest body of water (stream, river, etc.) to proposed project:Mill Creek 2b.Water Quality Classification of nearest receiving water:WS-III;Tr 2c.River basin:Little Tennessee 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 site contains an undeveloped lot. Commercial development is located on adjacent properties and in the vicinity of the site. 3b.List the total estimated acreage of all existing wetlands on the property: Wetland=0.111 Ac 3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: Streams=0 LF 3d.Explain the purpose of the proposed project: The purpose of the proposed project is to construct a fire department station and associated parking lots and driveways. 3e.Describe the overall project in detail, including the type of equipment to be used: The proposed project includes the construction of a fire station building with multiple fire engine bays and offices , associated access driveways, parking spaces and landscaped areas.A wetland impact is necessary to provide safe egress and ingress of fire engines and emergency vehicles from the fire station to Franklin Road, connection to existing utility infrastructure and to allow for long term maintenance and operations of the facility.To facilitate the construction of the access road and development of the site, clearing and grading the site is necessary. Graders, haulers, excavators, and other heavy equipment will be used during grading and construction of the site. 4.Jurisdictional Determinations 4a.Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / project (including all prior phases) in the past? Comments:site visit is scheduled for November 5, 2020 Yes No Unknown 4b. If the Corps made the jurisdictional determination, what type of determination was made?Preliminary Final 4c. If yes, who delineated the jurisdictional areas? Name (if known):Michael Brame/David Brame Agency/Consultant Company:Pilot Enviromental, Inc. Other: 4d.If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. 5.Project History 5a.Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?Yes No Unknown 5b.If yes, explain in detail according to “help file” instructions. Page 4 of 12 PCN Form –Version 1.3 December 10, 2008 Version 6.Future Project Plans 6a.Is this a phased project?Yes No 6b.If yes, explain. Page 5 of 12 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. Wetland impact number – Permanent (P) or Temporary (T) 2b. Type of impact 2c. Type of wetland (if known) 2d. Forested 2e. Type of jurisdiction (Corps -404, 10 DWQ –non-404, other) 2f. Area of impact (acres) W1 P T Fill emergent Yes No Corps DWQ 0.098 W2 P T Yes No Corps DWQ W3 P T Yes No Corps DWQ W4 P T Yes No Corps DWQ W5 P T Yes No Corps DWQ W6 P T Yes No Corps DWQ 2g. Total wetland impacts 0.098 2h. Comments:In order to develop the site and provide safe access,it is necessary to permanently impact 0.098 acres of emergent wetland. 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. Stream impact number - Permanent (P) or Temporary (T) 3b. Type of impact 3c. Stream name 3d. Perennial (PER) or intermittent (INT)? 3e. Type of jurisdiction (Corps -404, 10 DWQ –non-404, other) 3f. Average stream width (feet) 3g. Impact length (linear feet) S1 P T PER INT Corps DWQ S2 P T PER INT Corps DWQ S3 P T PER INT Corps DWQ S4 P T PER INT Corps DWQ S5 P T PER INT Corps DWQ S6 P T PER INT Corps DWQ 3h.Total stream and tributary impacts 3i. Comments:No stream impacts are proposed. Page 6 of 12 PCN Form –Version 1.3 December 10, 2008 Version 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) O1 P T O2 P T O3 P T O4 P T 4f. Total open water impacts 4g. Comments:Open water impacts are not proposed. 5.Pond or Lake Construction If pond or lake construction proposed, then complete the chart below. 5a. Pond ID number 5b. Proposed use or purpose of pond 5c. Wetland Impacts (acres) 5d. Stream Impacts (feet) 5e. Upland (acres) Flooded Filled Excavated Flooded Filled Excavated Flooded P1 P2 5f. Total 5g. Comments:Pond or lake construction is not proposed. 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: 6. Buffer Impacts (for DWQ) If project will impact a protected riparian buffer, then complete the chart below.If yes, then individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form. 6a. Project is in which protected basin? Neuse Tar-Pamlico Other: Catawba Randleman 6b. Buffer impact number – Permanent (P) or Temporary (T) 6c. Reason for impact 6d. Stream name 6e. Buffer mitigation required? 6f. Zone 1 impact (square feet) 6g. Zone 2 impact (square feet) B1 P T Yes No B2 P T Yes No B3 P T Yes No 6h.Total buffer impacts 6i. Comments:The project is located within the Little Tennessee River basin. Page 7 of 12 PCN Form –Version 1.3 December 10, 2008 Version D. Impact Justification and Mitigation 1.Avoidance and Minimization 1a.Specifically describe measures taken to avoid or minimize the proposed impacts in de signing project. The applicant has designed the proposed development to avoid additional impacts to approximately 0.013 acres of wetlands with use of a retaining wall.In order for the applicant to develop the site for its intended use as a fire department and provide safe access for fire engines and emergency vehicles and utility connection, wetlands will be filled to allow for construction of the driveway. 1b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. The clearing limits will be staked and silt and clearing limit fencing will be used.A culvert will be installed to maintain connection from the remaining wetland to downgradient waters. Disturbed areas wil l be seeded and mulched to limit sediment from entering downgradient waters. 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? Yes No 2b.If yes, mitigation is required by (check all that apply):DWQ Corps 2c.If yes, which mitigation option will be used for this project? Mitigation bank Payment to in-lieu fee program Permittee Responsible Mitigation 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. Page 8 of 12 PCN Form –Version 1.3 December 10, 2008 Version 6.Buffer Mitigation (State Regulated Riparian Buffer Rules)–required by DWQ 6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? Yes No 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: Page 9 of 12 PCN Form –Version 1.3 December 10, 2008 Version E. Stormw ater Management and Diffuse Flow Plan (required by DWQ) 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?Yes No 1b.If yes, then is a diffuse flow plan included? If no, explain why. Comments:Little Tennessee River Basin Yes No 2.Stormwater Management Plan 2a.What is the overall percent imperviousness of this project?56 % 2b. Does this project require a Stormwater Management Plan?Yes No 2c. If this project DOES NOT require a Stormwater Management Plan, explain why: 2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan: The SWMP has been prepared in accordance with local and NCDEQ guidelines and is being submitted concurrently for separate review and approval. 2e. Who will be responsible for the review of the Stormwater Management Plan? Certified Local Government DWQ Stormwater Program DWQ 401 Unit 3.Certified Local Government Stormwater Review 3a. In which local government’s jurisdiction is this project?Town of Highlands 3b.Which of the following locally-implemented stormwater management programs apply (check all that apply): Phase II NSW USMP Water Supply Watershed Other:WS-III 3c. Has the approved Stormwater Management Plan with proof of approval been attached? Yes No 4. DWQ Stormwater Program Review 4a. Which of the following state-implemented stormwater management programs apply (check all that apply): Coastal counties HQW ORW Session Law 2006-246 Other: 4b. Has the approved Stormwater Management Plan with proof of approval been attached?Yes No 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 Page 10 of 12 PCN Form –Version 1.3 December 10, 2008 Version F. Supplementary Information 1.Environmental Documentation (DWQ Requirement) 1a.Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?Yes No 1b.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 (North Carolina) Environmental Policy Act (NEPA/SEPA)? Yes No 1c.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 letter.) Comments:A NEPA or SEPA is not required. Yes No 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, or Riparian Buffer Rules (15A NCAC 2B .0200)? Yes No 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 violat ion(s): 3.Cumulative Impacts (DWQ Requirement) 3a.Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality?Yes No 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. We are not aware of additional development that will result which will impact nearby downstream water quality. 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. Wastewater generated will be gravity fed to the existing sewer infrastructure that is located on the site.The sewer and water lines will be placed within the proposed wetland fill areas and have been accounted for in proposed impacts.Additional impacts for sewer infrastruture will not be required. Page 11 of 12 PCN Form –Version 1.3 December 10, 2008 Version 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?Yes No 5b.Have you checked with the USFWS concerning Endangered Species Act impacts?Yes No 5c.If yes, indicate the USFWS Field Office you have contacted.Raleigh Asheville 5d.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? The bald eagle, bog turtle, gray bat, Indiana bat, northern long -eared bat, spotfin chub, Appalachian elktoe, little-wing pearlymussel, rusty-patched bumble bee, mountain sweet pitcherplant, small whorled pogonia, swamp pink, Virginia spiraea and rock gnome lichen are identified federally protected species in Macon County. The site does not contain suitable habitat for the bald eagle, gray bat, Indiana bat, northern long -eared bat, spotfin chub, Appalachian elktoe, little - wing pearlymussel, rusty-patched bumble bee, small whorled pogonia, Virginia spiraea and rock gnome lichen. While the wetland contains low quality suitable habitat for the bog turtle, mountain sweet pitcher plant and swamp pink, the bog turtle in this area is listed due to similarity of appearance and mountain sweet pitcherplant and swamp pink were not observed during our site visit. Therefore, we have determined the proposed project will not adversely affect federally protected species. 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? According to the NOAA -Essential Fish Habitat Mapper the project will not 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 status (e.g., National Historic Trust designation or properties significant in North Carolina history and archaeology)? Yes No 7b.What data sources did you use to determine whether your site would impact historic or archeological resources? We reviewed the SHPO Map (http://gis.ncdcr.gov/hpoweb/)to identify historic and/or archaeological resources of the site. The map identifies Franklin Road and properties along Franklin Road within a Study List area.The map does not identify properties that are listed or are eligible for listing on the National Register at the site or on nearby properties.A copy of the map is included as an attachment.Additionally, there are no structures on site that could potentially be eligible. 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: 8c. What source(s) did you use to make the floodplain determination?National Flood Hazard Layer from FEMA 3700754000J David S. Brame,PWS _______________________________ 9.29.20 Date Page 12 of 12 PCN Form –Version 1.3 December 10, 2008 Version Applicant/Agent's Printed Name Applicant/Agent's Signature (Agent's signature is valid only if an authorization letter from the applicant is provided.) Environmental Services Proposal Pilot Proposal 6112 September 16, 2020 AGENT AUTHORIZATION This form authorizes Pilot to act as our agent in stream/wetland matters including U,S. Army Corps of Engineers and North Carolina Division of Water Resources field verification and permitting. Property Address: 14.1 � P- N V-L IS Lof' j] d,m+tt,ft(vQs, n1U 2f74-I Owner Information; () N &J d I G--? f-m 7`C Nt> Add ress: Rb R C __PJh -r(_ttNT;)S )b Telephone Number: Q C2�71& r Z 11 Fax lumber: 9) yU Z(e ~- ',�5_1r E-mail Address: JOS44- kyftF-Q(� P I(I q IW 'NV ( AJC • OF -el JURISDICTIONAL DETERMINATION REQUEST D. PROPERTY ACCESS CERTIFICATION By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon the property herein described for the purpose of conducting on - site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the undersigned, am either a duly authorized owner of record of the property identified herein, or acting as the duly authorized agent of the owner of record of the property. Print Name Capacity: ✓Owner —Authorized Agent I Date UP UPUP nCONTRACTOR TO VERIFY ALL DIMENSIONS.THIS DRAWING IS THE PROPERTY OF THE ARCHITECTS AND CAN NOT BE USED FOR CONSTRUCTION PURPOSES OR REPRODUCED WITHOUT WRITTEN CONSENT OF THE ARCHITECT.#DATEREFERENCEREVISION SCHEDULEP I N N A C L E A R C H I T E C T U R E M A T T H E W S, N O R T H C A R O L I N A 2 8 1 0 6 P H : ( 7 0 4 ) 8 4 7 - 9 8 5 1 F : ( 7 0 4 ) 8 4 7 - 9 8 5 3 P R O F E S S I O N A L A S S O C I A T I O N P. O. B O X 1 8 7, 6 3 0 T E A M R O A D, S U I T E 2 0 0 HIGHLANDS FIRE DEPARTMENT NEW FACILITY HIGHLANDS, NC ISSUE DATE: DRAWN BY: CHECKED BY: PROJECT: chambers engineering, pa 129 North First Street Albemarle, NC 28001 704.984.6427 ph www.ce-pa.comNC FIRM C-16601WETLAND OVERVIEW MAP PRELIMINARYSCALE 1" = 20' NCHPO HPOWEB Source: Esri, Maxar, GeoEye, Earthstar Geographics, CNES/Airbus DS, USDA, USGS, AeroGRID, IGN, and the GIS User Community Local districts & boundaries Local individual resources & centerpoints Local Landmark Local Landmark, Gone Local HD Center Point Surveyed Only individual resources & centerpoints Surveyed Only Surveyed in NRHD Surveyed Only, Gone Surveyed in NRHD, Gone Blockface- Multiple properties Blockface in NRHD Surveyed Area, No designation Surveyed Area in NHRD DOE districts & boundaries Determined Eligible Boundary Both DOE and Study List Boundary DOE individual resources & centerpoints Determined Eligible DOE, Gone SL and DOE SL and DOE, Gone DOEHD Center Point SLDOEHD Center Point SL districts & boundaries Study List Boundary Both SL and Determined Eligible Boundary 9/29/2020, 5:56:58 PM 0 0.08 0.160.04 mi 0 0.1 0.20.05 km 1:4,514 North Carolina State Historic Preservation Office