HomeMy WebLinkAbout20100454 Ver 1_More Info Received_20100617?o- o4S 14
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DWQ project no. - i
Firm Version 1.3 Dec 1012008 !
Pre-Construction Notification (PCN) Form
A Applicant Information
- ------ - ----
1. Processing
&IPA
- -----v ._-.--..- ..... _. - -- --
1a. Type(s) of approval sought from the } Section 404 Permit Section 10 Permit ~w?"
Carps:
1b. Specify Nationwide Permit (NWP) number: 20 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:
F-i 401 Water Quality Certification -- Regular ? Non-404 Jurisdictional General Permit
E,,'401 Water Quality Certification - Express Riparian Buffer Authorization
1 e. Is this notification safely for time record For the record only for DWG 401 For the record only for Corps Permit.
because written approval is not required? Certification
Yes F, No 0 Yes No
1f Is payment into a mitigation bank or in-lieu fee program proposed for mitigation Yes No
'-T
of impacts? If so. attach the acceptance letter from mitigation bank or in-lieu
fee program
1g. is the project located in any of NC's twenty coastal counties if ves, answer Its Yes No
below.
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes No
2. Project information
2a- Name of project Carr Driveway
2b, County' Durham cn
2c Nearest municipality f town: Durham
2d. Subdivision name -
2e. NCDOT only, T.I.P, or state DENR-W4TERQUALITY
project no WETLANDtAND STGRgYWER BRANCH
3. Owner information
3a. Name{s) on Recorded Deed: ` Thomas E & Karen S. Carr
3b. Deed Book and Page No 14552 pg 46
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3c_ ------------
Responsible Party (for LLC if
__----?- _
applicable):
3d. Street address 2600 Ferrand Dnve
3e. City, state, zip: Durham. NC 27705
3f Telephone no 919-422-5509
3g. Fax no.: -
3h. Email address: 4tomcarr@gmass com
Page 1 of 11
PCN Forrn -- Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is'. [? Agent ? Other specil
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'
5b. Business name
(if applicable):
5c. Street address:
5d City. state. zip
5e. Telephone no.
5f Fax no. -
5g- Email address
?aoe ' of 11 Deceit, ?y
PC", Form - Version 1.3 ber 1 V. 2001 ,Teri, Iv,
S. Project Information and Prior Project History
1. Property identification
1a. Property identification no. (tax PIN or parcel ID) 210542
- t atitude- Longitude: -
1b Site coordinates (in decimal degrees) O DOMM, -DRODaO[rca
1 c. Property size 98 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river. etc.) to Eno Diver
proposed project:
2b. Water Quality Classification of nearest receiving water
2c. River basin, Meuse
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:
Recently subdivided exisiting residential structure, maintainded lawn exists where new driveway is proposed
3b_ List the total estimated acreage of all existing wetlands on the property
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property-
250
3d- Explain the purpose of the proposed project
Create a driveway access to the only public R.O.W. contiguous to the lot
3e- Describe the overall project in detail, including the type of equipment to be used,
Remove a old EDPM pipe from the streambed, grade back the displaced soil. seed and straw. Place a 40' EDPM
driveway pipe in the existing stream bed Cover pipe with compactable fill, to a depth to allow for a gradual transition to
the existing driving surface, Install a gravel driving surface. Cover non- driving areas with topsoil, then reseed and
stabilize with lawn to match previous ground cover.
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? Yes 0 No ED Unknown
Comments: The Regional Corps officer in Raleigh
determined the project did not require any permit from him
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-
Name (if known) 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 Yes No Unknown?
this project (including all prior phases) in the past?
5b. If yes. explain in detail according to `help flee instructions.
Page ? of 11
PrN Form -Version , 3 December 10. 2008 Version
6. Future Project Plans
6a. Is this a phased project? Yes d Na
8b. If yes, explain.
Page 4 of 11
PCN Form - Version 1.3 December 10. 2008 Version
____-. __ ..---
C- Proposed Impacts Inventory
I Impacts Summary
I a. Which sections were completed below for your project {check all that appl y}:
LJ Wetlands Q Streams - tributaries ?D Buffers
Open Waters ri Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site. then complete this question for each wetland area impacted
2a - - c 2 - -- 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)
Tern T }
Pora4
; Yes
--
? i Corps
tf?11 P [I T 17 No DWQ
- j Yes F? Corps
W2 P T
Na
1
DWQ
Q Yes Corps
W3 P] T No ® DWQ
Yes ? Carps
JU40P T Na D WO
[ Yes - Corps
W5 P= 7 ! No DWQ
Yes Corps
V6 P T
L! E
5-1 No
DWQ
f?. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then com plete 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
INT
? DWQ - non-404, width (linear
` feet)
Temporary (T) )
( other) (feet)
S1 P L T Piped crossing PER
INT Corps
DWQ 1
40
D PER [ t Corps
S2 P i7 T IJ INT DWQ
PER Corps
S3 + P 7 INT DWQ
F-i PER C Corps
S4 P T iJ INT DWQ
_ ? PER ® Corps
S5 P T
10 F
INT
DWQ
S6 1-1 P EJ T r PER
DINT ;Corps
O DWQ
?.h. Total stream and tributan impacts
3i. Comments
Page S of 11
PCN Form -Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries. tributaries.
the U.S. then individually list all open water impacts below
4a. 4b. 4c
Open water Name of waterbody
impact number - (if applicable) Type of impact
Permanent (P)
or Temporary (T;
01 QPQT
02 ?P] T 4
03 El P [-IT
04 ?PE] T
4f. Total open water impacts
4g_ Comments:
5. Pond or Lake Construction
lend or lake construction proposed, then complete the chart below
5a. 5b 5c-
sounds, the Atlantic Ocean, or any other open water of
4d. 4e.
Waterbody type Area of impact (acres)
5d.
i 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
'
€ number
of pond -___ _ . - -- ------ - --- -
Flooded Filled Excavated -- _ _? .., --- --- +-_- --- ___
Flooded l Filled Excavated Flooded
--------------
P1
P2
5L Total
5g. Comments:
-- - --
5h. Is a dam high hazard permit required* ? Yes l No I f yes, permit ID no
5i Expected pond surface area (acres,
5j. Size of pond watershed (acres):
5k. Method of construction
f 6. Buffer Impacts (for DWQ)
If project will impact a protected riparian bu ffer, 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' Q Neuse Tar-Pamlico Other.
Project is in which protected basin's Catawba E] Randleman
- - - - -- --- -
6b. 6c 6d _ -- - -t - - - -
6e ----- --- 9
6f 6
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) for Stream name mitigation (square feet) (square feet)
or Temporary (T) impact r wired?
B? Q P f-I T Drsvewasr ? ?t Yes 1800
Crossrn No
- ? Yes
B2 FJPFIT 11 No
-
- J Yes
B3 E] P F
1 T
No
6h. Total huffer impacts 1800
6i. Comments: The buffer was previously a maintained lawn, and will return to the same excepting the 150 LF driving surface
Page 6 of 11
PCN Form - Version 1 3 December 10. 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
r 13- Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Maintained a average residential driveway width
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
installed silt fences and reseed ed the disturbed areas prior to rainfall, then reseed as needed until lawn is established
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'
- 21b. If %es. mitigation is required hN tclieck all ttiat appl% €' Q DWO El Corps
j 17 Mitigation bank
2c. If yes. which mitigation option will be used for this project' i F-1 Payment to in-lieu fee program
0 Perrnittee 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
l 4b. Stream mitigation requested- linear feet
4c. If using stream mitigation, stream temperature. warm cool scold
4d. Buffer mitigation requested (DWCI only) square feet
i 4e. Riparian wetland mitigation requested acres
4f. Non-riparian wetland mitigation requested acres
4g. Coastal (tidal) wetland mitigation requested: acres
i - - --- -- -- . - _-_ _ - - ----- ----
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 7 of 11
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 Fl Yes a No
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.
6c. 6d
7c?ne Reason for impact Total impact Multiplier Required mitigation
(square feed (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 h of 11
PCN Form - Version 1.3 December 10. 2008 Version
E. Stormwater 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 Yes No
within one of the NC Riparian Buffer Protection Rules?
lb . if yes, then is a diffuse flow plan included? If no. explain wry i
i Yes 0 No
Comments
2. Stormwater Management Plan
2a_ What is the overall percent imperviousness of this project? 12%
2b Does this project require a Stormwater Management Plan? Yes 'L__J 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'
Certified Local Government
2e Who will be responsible for the review of the Stormwater Management Plan? El DWQ Stormwater Program
El DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? Durham
Phase It
3b . Which of the following locally-implemented stormwater management programs L,] NSW
USMF
apply (check all that apply, Water Supply Watershed
Ottaer
3c. Has the approved Stormwater Management Plan with proof of approval been Yes No
attached?
4. DWQ Stormwater Program Review
1 Coastal counties
HOW
4a . Which of the following state-implemented stormwater management programs apply ORW
check all that apply)_ E] Session Law 2006-246
Other
4b . Has the approved Stormwater Management Plan with proof of approval been
li
E? ? 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? i 3 Yes 71 No
Page 9 of 11
PCN Form - Version 1.3 December 10. 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federallstatetlocal) 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 Q Yes L-1 No
(North Carolina) Environmental Policy Act (NEPAISEPA)?
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
letter) Yes No
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): DWI} Surface Water or Wetland Standards, Yes :1 No
i 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): Crossing the
intermittant stream for the driveway was the only way to create access to a public street for the lot created by a recent
subdivision. Since I was removing one pipe upstream, and replacing it with a larger one 50 LF, and i was not working on a
City or State ROW, the only permit I envisioned getting was the City of Durham Driveway permit for working in the ROW I
have owned, improved, and maintained the property since 1991
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 discharges of wastewater generated from
the proposed project, or available capacity of the subject facility
use the exisiting City sewer
Page 10 of 11
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 Q Yes N0
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act Q Yes No
impacts?
Raleigh
5c. If yes. indicate the USFWS Field Office you have contacted-
0 Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a- Will this protect occur in or near an area designated as essential fish habitat? Q Yes fQ No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
it's an intermittant stream
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 + ? Yes No
North Carolina history and archaeology)'
7b, What data sources did you use to determine whether your site would impact historic or archeological resources?
S. Flood Zone Designation (Corps Requirement)
_..--_._ ._ _._.
8a- Will this project occur in a FEMA-designated 1 06-year floodplain? Q Yes No
8b. If yes. explain how protect meets FEMA requirements.
8c. What source(s) did you use to make the fioodplain determination'?
f
5121/2010
Thomas E. Carr
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature rs valid only if an authorization letter from the applicant
is provided.)
Page J i of 11
PCN Form - Version 1.3 December 10. 2008 Version