20050844 Ver 2_401 Application_20100630

Green
Solutions
us- Dg44 UD
June 26, 2010
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
2321 Crabtree Blvd, Suite 250, Raleigh, NC 27604
Regarding: Lipsey Facility
Hwy 64 East, Franklin, Macon County, North Carolina
PA K-4- 1F n

Dear Cyndi Karoly,
Please find attached PCN for the Lipsey Facility project located in Franklin, NC. Green
Solutions, PLLC is requesting 250 feet of stream impact associated with a Nationwide 39
permit. Please do not hesitate to call with any questions or concerns.
Sincerely,
*???yaP.ls?t?t?ear
,L-h'? 1 • r X90
Ronnie Dilbeck, PG
Environmental Geologist
Green Solutions Engineering and Environmental, PLLC
[phone]
Enclosed: Five (5) copies of PCN
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JUN 3 J 20f0
?ENR - WATER•QU/pLfly
WEIRAWSAND &TGRNMATFR SWO
Green Solutions Engineering and Environmental, PLLC -132 Blueberry Lane - FRANKLIN, NC - 28734
[phone], [e-mail]
1) S - 1) S 4-4 uaL,
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PC 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: NWP 39 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
1 d. 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
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: Lipsey Water Facility
2b. County: Macon
2c. Nearest municipality/ town: Franklin
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: N/A
3. Owner Information
3a. Name(s) on Recorded Deed: Richard A. Lipsey
3b. Deed Book and Page No. N-26/1035
3c. Responsible Party (for LLC if
applicable):
3d. Street address: 6823 Exchequer Drive
3e. City, state, zip: Baton Rouge, LA 70809
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page I of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ® Other, specify: Manager
4b. Name: John Jacobs
4c. Business name
(if applicable):
4d. Street address: 543 Depot Street
4e. City, state, zip: Franklin, NC 28734
4f. Telephone no.: 828-342-4395
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: Ronnie Dllbeck, PG
5b. Business name
(if applicable): Green Solutions Environmental, PLLC
5c. Street address: 132 Blueberry Lane
5d. City, state, zip: Franklin, NC 28734
5e. Telephone no.: 770-540-3611
5f. Fax no.:
5g. Email address: [e-mail]
Page 2 of 11
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): 0430349, 0400556, 0400420
Site coordinates (in decimal degrees):
1 b Latitude: 35.14558 Longitude: - 83.27980
. (DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 22.55 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Cullasaja River
proposed project:
2b. Water Quality Classification of nearest receiving water: B, 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 Project site is presently utilized as a water production well site for Lipsey Mnt. Spring Water. The majoity of the site
is broadleaf deciduous forest land consisitng of poplar, maple and oak. Additionally, three well heads, a water distribution
box, gravel roads and gravel turn-around are present. One residential structure exists on site near the intersection of
Hwy 64.
3b. List the total estimated acreage of all existing wetlands on the property:
0.1
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
960 linear feet
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct a drinking water bottle facility.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project site will undergo a generous amount of grading to facilitate the desired building size. A d7 bulldozer and a
large track hoe will be utilized for the majority of the site grading. The cut and fill will be adjusted as shown in the site
plan.
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:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
6. 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.
A stream impact permit was issued for the site in 2008, The permit was for a 149 FT culverted stream. The permit was
obtained by Otto Engineering Inc.
Page 3 of 11
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 4 of 11
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
I a. 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
W1 ? P ? T ? Yes
? No ? Corps
? DWQ
W2 ? P ? T ? Yes
? No ? Corps
? 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
2h. Comments:
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 Culvert UT to Cullasaja ® PER ® Corps 2
5 250
River ? INT ? DWQ .
S2 ? P ? T ? PER ? Corps
? 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 250
3i. Comments:
Page 5 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, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary
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. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. 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:
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 an 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 impact required?
61 ?P?T ?Yes
? No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments:
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The desired facility size is 50,000 FT2. Original impacts to facilitate the building was 350 Feet, Green Solutions worked with
the client and site design to reduce the impact to 250 feet. The topography of the site is very restrictive. The cut slopes had
desingned to a 1:1.5. Anything steeper would result in slope destabilization. The footprint choosen for the site results in the
least amount of impact to streams while satisfying the owners need. Additionally, retaining walls, single road access and a
turn around loop were proposed to reduce any further impacts.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The site will be constructed prior to trout spawning and intense erosion control standards will be recognized throughout the
project. Additionally, clearing of the stream prior to impact will be completed by hand to reduce excessive eroision and
sedimentation.
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
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.
Onsite mitigation will be perused within the project site. 450 linear feet of stream, from the outfall of the proposed culvert
to Hwy 64, is a great candidate for mitigation. The existing stream is currently a type G4. The stream is incised and
exhibits poor morphology. Green Solutions Environmental, PLLC is proposing 450 linear feet of priority 3 restoration as
mitigation for the 250 feet of impact. In this process the floodplain will be widened within the existing channel, allowing for
proper sediment distribution. Additionally, H-vanes will be will be constructed throughout the duration of the stream for
grade control and encouragement of scour pools. Finally, native vegetation will be utilized to implement a 25-foot buffer.
Following restoration, the remaining streams throughout the property will be placed under a restrictive coveance. A five-
year monitoring period will be performed on the restored reach to evaluate biological and geomorphic success.
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
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 8 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
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: Diffuse flow mechanism will be included in the storm water plan.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 23.4%
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: The Site will not have greater than 24%
Impervious Surface. Exhibit SWP 1 has been included which delineates the proposed Impervious Coverage. All
stormwater will be transported via vegetated conveyances in accordance with the most recent version of the NCDENR
BMP Manual to the greatest extent possible. Roof drains and parking lot storm sewer will daylight to vegetative
conveyances as soon as site constraints allow. All runoff from proposed impervious coverage will be routed through the
vegetated conveyances to dual Bioretention basins at the entrance to the site. An appropriately sized level spreader will
be provided at that location to diffuse flow from proposed impervious surfaces.
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
3a. In which local govemmenYs jurisdiction is this project? Macon County
? 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

4a. Which of the following state-implemented stormwater management programs apply ? HQW
? ORW
(check all that apply): ? 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
Page 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. 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)?
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.) ? 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), 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.
An on site septic system with conventional drain fields will be utilized on site. The system will capacity 1000 gallons per
day. The system will be a 25% reduction pre-treatment system.
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. 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, indicate 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?
USFWS was contacted in Asheville, NC. Bryan Tompkins researhed the project site and determined the site to have no
affect on protected species. Additionally, NC Wildlife Resource Commision, NC Natural Heritage Program and Little
Tennessee Watershed Association were utilized in determination.
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?
NOAA Fisheries and South Atlantic Fisheries Council
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?
Macon County Historical Society, NC Department of Cultural Resources and Eastern Band of Cherokee Indians
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? FEMA and Macon County GIS

John Jacobs ?y
Applicant/Agent's Printed Name Applican s Signature Date
(Agent' s' ature is valid only if authorization letter from the applicant
rovided.
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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Soil Map-Macon County, North Carolina
Map Unit Legend
Lipsey Facility
Macon County, North Carolina (NC113)
BeA Biltmore sandy loam, 0 to 3 percent slopes, 0.0
frequently flooded
EvD Evard-Cowee complex, 15 to 30 percent 3.4
slopes
FaD Fannin fine sandy loam, 16 to 30 percent 0.7
slopes
?FaE Faslopesnnin sandy loam, 30 to 50 percent 2 2
[RsA tRosman fine sandy loam, 0 to 2 percent 0.2
slopes, frequently flooded
SbC Saunook gravelly loam, 8 to 15 percent slopes, 1.81
stony
SbD TSaunook gravelly loam, 15 to 30 percent 3.91
slopes, stony
ScB Saunook loam, 2 to 8 percent slopes 0.1
W Water 0.1
Totals for Area of Interest 12.4
0.0%
27.1%
6.0%
17.8%
1.3%
14.6%
31.8%
0.9%
0.7%
100.0%
USDA Natural Resources Web Soil Survey 6/20/2010
?? Conservation Service National Cooperative Soil Survey Page 3 of 3
North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Date: Project. Latitude:, ,
Evaluator. :Site: Longitude: zt' ('?
Total Points: Other JV -?
Stream is at least intermittent C3 County:
if ? 19 or perennial if >_ 30 e.g. Quad Name:
A. Geomor holo Subtotal 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 3
6. Depositional bars or benches 0 1 2 3
7. Braided channel 0 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 _ 0.5 1 1.5_
13_ Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
No = 0
Yes = 3
Man-made ditches are not rated; see discussions in manual
R LJvrlrnlnnv 1CI IKtntni = ` 1 ' I
14. Groundwater flow/discharge 0 1 2 3
15. Water in channel and > 48 hrs since rain, or
Water in channel -- d or growing season
0 1
1
` 2
3
16. Leaflitter 1.5 1 0.5 0
17. Sediment on plants or debris 0 0.5 1 . ' 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: Rinloav (Suhtotal = 1
20 . Fibrous roots in channel 3 2) 1 0
21 . Rooted plants in channel 3 1 0
22. Crayfish 0 0.5-,) 1 1.5
23. Bivalves -- 0 1,% 2 3
24. h 0 0.5 1 1.5
I
25. Amphibians 0 0.5 1/ 1:5
I
26. Macrobenthos (note diversity and abundance) 0 0.5 1 1.5
2Filamentous 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 20 and 21 focus 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.)
cell
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