20100663 Ver 1_401 Application_20100810

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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
Applicant Information
Processing
Type(s) of approval sought from the Corps: ® Section 404 Permit ? Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: NWP-13 or General Permit (GP) number: n/a
«
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
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
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
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h below. ? Yes ® No
Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
Project Information
2a. Name of project: Lougheed Cabin Bank Stabilization Repair
2b. County: Jackson tI , ,
Nearest municipality / town: Webster .
Subdivision name: 21002 RIVER RANCH VILLAGE
NCDOT only, T.I.P. or state project no:
Owner Information OEM .1

3a. Name(s) on Recorded Deed:
Ronald A and Karen Sue Lougheed per
fpm ` QUO,U)y
3b. Deed Book and Page No. Book 1613 Page 437 " 9R
3c. Responsible Party (for LLC if
applicable):
3d. Street address: Property: 327 Bugle Boy Lane Mail to 17608 Deer Isle Circle
3e. City, state, zip: Cullowhee, NC 28723 Winter Garden. Florida 34787
3f. Telephone no.: 407-654-1212
3g. Fax no.:
3h. Email address: [e-mail]
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ® Other, specify: Owner permanent address
4b. Name:
4c. Business name
(if applicable):
4d. Street address: 17608 Deer Isle Circle
4e. City, state, zip: Winter Garden, FL 34787
4f. Telephone no.: 407-654-1212
4g. Fax no.:
4h. Email address: AIIan(a)LRGConstruction.com
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:
Page 1 of 7
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
Property Identification
Property identification no. (tax PIN or parcel ID): 7568-63-2544
Site coordinates (in decimal degrees): - if you can't get these, just include a Latitude: Longitude: -
very good vicinity map 35°16' 58.72318" N 83°08'07.05232 " W
Property size: 0.46 acres
Surface Waters
Name of nearest body of water (stream, river, etc.) to proposed project: Tuckasegee River
Water Quality Classification of nearest receiving water: WS-III,B;Tr
River basin: map is available at http://h2o.enr.state.nc.us/admin/maps/ Little Tennessee 2-79-(24)
Project Description
The Property was developed as a medium density single family residential at some time in the past it has been cleared to the river bank and grass
has been planted. The bank at this time has been undermined and has collapsed in several locations. The collapsing and undermining is causing
large amounts of soil to be dumped into the river. The bank undermining if it continues will affect the structural stability of the residence.
List the total estimated acreage of all existing wetlands on the property:
None
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
147 feet
Explain the purpose of the proposed project:
. The project is to add riparian protection to the bank to prevent the undermining.
Describe the overall project in detail, including the type of equipment to be used:
Project consists of placement of filter fabric and boulders to provide a riparian barrier to prevent erosion. The work will be performed using a 150
track hoe with a 20 foot reach and hydraulic thumb. Use of the track hoe with a large reach will decrease the damage to the bank from additional
collapse. The track will scrape the bottom of the bank to allow for a rock base to be installed. This will be performed earlier in the morning before
water is released by Duke Power raising the water level. This will minimize the impact to the river quality. Then the boulders will be added building
up the bank. On the top of the bank swales will be added to reduce any water runoff down the bank. The existing grass damaged during the work will
be seeded and a fabric installed to prevent erosion while the grass takes root. In addition two trees will be planted in the swale areas adjacent to the
bank to provide future shade and protection. A stair made out boulders will be added to provide access to the river for fishing and pleasure without
potential damage to the bank protection.
Jurisdictional Determinations
Have jurisdictional wetland or stream determinations by the Corps or State
been requested or obtained for this property / project (including all prior ? Yes ®No ? Unknown
phases) in the past?
Comments:
If the Corps made the jurisdictional determination, what type of determination
E] Preliminary El Final
was made?
If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Project History
Have permits or certifications been requested or obtained for this project ? Yes ? No ® Unknown
(including all prior phases) in the past?
If yes, explain in detail according to "help file" instructions.
Future Project Plans
Is this a phased project? ? Yes ® No
If yes, explain.
Page 2 of 7
PCN Form - Version 1.3 December 10, 2008 Version
Proposed Impacts Inventory
Impacts Summary
Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ? Buffers ? Open Waters ? Pond Construction
Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. Wetland impact 2b. 2c. 2d. 2e. Type of jurisdiction 2f.
number - Permanent Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
(P) or Temporary (T) (if known) DWQ - non-404, other) (acres)
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 ? PEI T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts
2h. Comments:
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 -Permanent (PER) or (Corps - 404, 10 stream length
(P) or Temporary (T) intermittent DWQ - non-404, other) width (linear feet)
(INT)? (feet)
S1 ? P ®T Stabilization Tuckaseegee 0 PER
® DWQ
20 feet
147
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? PEI T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? PEI T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 147
3i. Comments: The installation of riparian buffer will stop the soil being washed into the stream
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 impact Name of waterbody
number- (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary (T)
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
Page 3 of 7
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose of pond (acres)
number 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:
Expected pond surface area (acres):
Size of pond watershed (acres):
Method of construction:
6. Buffer Impacts (for DWQ)
oject 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. ? 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 (square Zone 2 impact
Permanent (P) or for Stream name mitigation feet) (square feet)
Temporary (T) impact required?
B1 ?P?T ?Yes
? No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments:
Page 4 of 7
D. Impact Justification and Mitigation
Avoidance and Minimization
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The river runs along side of the property line and undermining and erosion are throughout the length of the river bank. Severe erosion of the soil into
the river has resulted in large build-up of soil on the river bed. Resulting in an impact on the river water quality. This erosion if not stopped will impact
the structural integrity of the existing residence. The reasonable way to stop the soil erosion is to add riparian barriers along the river bank. This will
stop the erosion and provide protection of the residence foundations. Filter fabrics will be placed along with a riparian barrier to prevent further
erosion. A swale will be placed at the top of the bank to minimize water shed effect down the bank. Two trees will also be added to provide future
shading and protection.
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The initial work will be performed early in the morning before Duke Power release the water upstream and the water height rises. Early in the work
the filter fabric will be installed to the stabilize the bank and prevent erosion while the boulder are placed. After the construction of the riparian barrier
the top of the bank will be contoured to provide swales to reduce water washing down the banks. The disturbed area will be seeded.
Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
Does the project require Compensatory Mitigation for impacts to Waters
of the U.S. or Waters of the State? ? Yes ® No
If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

If yes, which mitigation option will be used for this project? ? Mitigation bank
? Payment to in-lieu fee program
? Permittee Responsible Mitigation
Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
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
If using stream mitigation, stream temperature: ? warm ? cool ?cold
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:
Complete if Using a Permittee Responsible Mitigation Plan
If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If
yes, you will have to fill out this entire form - please contact the State for more information. ? Yes ® No
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:
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).
Comments:
Page 5 of 7
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required b DWQ
Diffuse Flow Plan
Does the project include or is it adjacent to protected riparian buffers identified within one of the NC es ® No
Riparian Buffer Protection Rules?
If yes, then is a diffuse flow plan included? If no, explain why. es ? No
Comments:
Stormwater Management Plan
What is the overall percent imperviousness of this project? %
Does this project require a Stormwater Management Plan? es ® No
If this project DOES NOT require a Stormwater Management Plan, explain why: Existing developed property just repairing damage to river bank. I
have met with the local government official and reviewed work scope.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
ertified Local Government
Who will be responsible for the review of the Stormwater Management Plan? WQ Stormwater Program
WQ 401 Unit
Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? Jackson Count
hase II
Which of the following locally-implemented stormwater management programs apply (check all that SW
USMP
?
apply): ? Water Supply Watershed
? Other:
? Yes ? No
Has the approved Stormwater Management Plan with proof of approval been attached?
WQ Stormwater Program Review
Coastal counties
HQW
Which of the following state-implemented stormwater management programs apply (check all that apply): ORW
Session Law 2006-246
Other:
Has the approved Stormwater Management Plan with roof of approval been attached? es ? No
WQ 401 Unit Stormwater Review
Does the Stormwater Management Plan meet the appropriate requirements? es ? No
Have all of the 401 Unit submittal requirements been met? es ? No
Page 6 of 7
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
Environmental Documentation (DWQ Requirement)
Does the project involve an expenditure of public (federal/state/local) funds or the use of public Yes
? No
(federal/state) land?
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 ? Yes ? No
(NEPA/SEPA)?
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:
Violations (DWQ Requirement)
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 ? Yes ® No
.0200)?
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):
Cumulative Impacts (DWQ Requirement)
Will this project (based on past and reasonably anticipated future impacts) result in additional ? Yes ® No
development, which could impact nearby downstream water quality?
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.
Sewage Disposal (DWQ Requirement)
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.
Endangered Species and Designated Critical Habitat (Corps Requirement)
Will this project occur in or near an area with federally protected species or habitat? ? Yes ® No
Have you checked with the USFWS concerning Endangered Species Act impacts? ? Yes ® No
If yes, indicate the USFWS Field Office you have contacted. ? Raleigh
? Asheville
What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
http://www.fws.gov/nc-es/es/countvfr.html Endangered Species, Threatened Species, Federal Species of Concern, and Candidate Species list for
Jackson County
Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http://ocean.floddamadne.org/efh_coral/ims/viewer.htm
Historic or Prehistoric Cultural Resources (Corps Requirement)
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 ? Yes ® No
designation or properties significant in North Carolina history and archaeology)?
What data sources did you use to determine whether your site would impact historic or archeological resources?
http://www.hpo.ncdcr.gov/facts/Jackson.htm
NORTH CAROLINA STATE HISTORIC PRESERVATION OFFICE ASSISTANCE TO JACKSON COUNTY
lood Zone Designation (Corps Requirement)
Will this project occur in a FEMA-designated 100-year floodplain? Fes ®No
If yes, explain how project meets FEMA requirements:
What source(s) did you use to make the floodplain determination? http://floodmaps.nc.gov/fmis/MainMap.aspx
R. Allan Lougheed
[phone]

[phone] 8/12/10
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 7 of 7
PCN Form - Version 1.3 December 10, 2008 Version
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