HomeMy WebLinkAbout20201537 Ver 1_401 Application_20201112ALT-.EN NGIN RING, PC
To •
TERRY E. ALLEN PE MSE
CONSULTING ENGINEER
Post Office Box 103
Rosman, North Carolina 28772
Phone (828) 877-4883 Email: tealleneng@comporium.net Mobile (828) 553-3004 Firm # C-1997
November 12, 2020
SUBJECT: Engineering Services for 401 /404 Permitting for new Boathouse Foundation
at John L & Susan P Kimmey Residence, 814 North East Shore Drive
(B A L29-R East Shore Dr), Lake Toxaway, Transylvania County, NC PIN: 8522-14-
9815-000
NC DWQ, 401/Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Dear DWQ:
Water Quality Regional Operations
Asheville Regienai Office
Enclosed, please find five (5) copies of the 401 /404 application (PCN form). A
check for the application review fee is also enclosed. This PCN to address the
construction of a new Boathouse Foundation at the Kimmey Residence, 814 North East
Shore Drive, Lake Toxaway, Transylvania County, North Carolina. The work shall be in
accordance with attached Sheets C-1 through C-6. Lake Toxaway has a water quality
classification of B; Tr.
All disturbed areas not to be filled or flooded will be vegetated pursuant to the
seeding schedule in the Erosion and Sediment Control Planning and Design Manual. If
you have any questions or require any additional information, please do not hesitate to
contact me at (828) 877-4883 or email tealleneng@comporium.net.
Sincerely,
Te . Allen, PE, MSE
Consulting Engineer
Enclosures 5 copies of 401 /404 PCN Application Form
Check for application review fee
Copy Furnish w/ attachment:
•01 PERMITTING
Kaylie Yankura
NCDEQ — Division of Water Resources
2090 U.S. Hwy. 70
S wannano a, N_ C 28711
828 296 4685 office
828 2319634 mobile
kaylie.yankura@ncdenr.gov
NC FISH & WILDLIFE PERMITTING
Andrea Leslie
Mountain Habitat Conservation Coordinator
NC Wildlife Resources Commission
645 Fish Hatchery Rd., Bldg B
Marion, NC 28752
828-400-4223
andrea.leslie@ncwildlife.org
USACE 404 PERMITTING
Mr. David Brown, PG
Asheville Regulatory Field Office
US Army Corps of Engineers
151 Patton Ave, Room 208
Asheville, NC 28801-5006
828-271-7980 x4232
david.w.brown@usace.army.mil
lD# * 20201537
Regional Office
Reviewer List *
Version * 1
,1 Asheville Regional Office - (828) 296-4500
Kaylie Yankura
Pre -Filing Meeting Request submitted 10/2012020
.................. ............ ............................................................. ..................................... ........ I ................................ ... ..................................................................................
Contact Name Terry E. Allen
Contact Email Address
tealleneng@comporium.net
Project Name *
NEW BOATHOUSE FOUNDATION
Project Owner *
John L Kimmey III & Susan P Kimmey
Project County *
Transylvania
Owner Address:
Staxit Address
814 North East Shore Drive
Addre,ss Line 2
a
Stefe/ Rov i rg,,,E,a/ R r, n
Lake Toxaway
NC
Fostad / ZIP CcAe
Country
2877228747
United States
Is this a transportation project?*
C Yes M: No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - 17 401 Water Quality Certification -
Regular Express
17 Individual Permit 171 Modification
r7 Shoreline Stabilization
Does this project have an existing project ID#?
Yes r. No
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below. *
Construction new 20'x3O' Boathouse Foundation
PIN, 8522-14-9815-000
S A L29- R East Shore Dr
Date: 07/2019 Book: 00886 Page: 0498
Plat Boob: F 19 Page: 194
Kinirney John L ill && Kirnmey Susan P
4087 Beechwood Dr
Atlanta; GA 30327
Please give couple f dates you re available for meeting.
.
...................... .........................................
10/28/2020
Please attach the documentation you would like to have the meeting about.
pdf o y
By digitally signing below, I certify that I have read and understood that per the Federal Clem Water ,act Section
401 Certification Rule the following statements,
to This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
0 i understand by signing this form that i cannot submit my application until 30 calendar days after this pre -filing
meeting request.
0 i also understand that DWR is not required to respond or grant the meeting request.
Your project', thirty -day clod started upon receipt of this application. You will receive notification regarding meeting location
and time it a meeting is necessary. You will receive notification when the thirty -day clod has expired, and you can submit an
application.
Signature
..
Submittal Date 1€ /20/2020
pA
I slim,
!'Z1
f,
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:
Z Section 404 Permit ❑Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 18 -New Boathouse Foundation or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
Z Yes
❑ No
1 d, Type(s) of approval sought from the DWQ (check all that apply):
Z 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:
Z Yes ❑ No
For the record only for Corps Permit:
El 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.
El Yes
Z No
1 g.
Is the project located in any of NCs twenty coastal counties. If yes, answer 1 h
below.
❑Yes
Z No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
[:1 es
Z No
2.
Project Information
2a.
Name of project:
NEW BOATHOUSE FOUNDATION at KIMMEY RESIDENCE
2b. County:
Transylvania
2c.
Nearest municipality /town:
Brevard
2d.
Subdivision name:
Lake Toxaway
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
John L Kimmey III & Susan P Kimmey
3b.
Deed Book and Page No.
Date: 07/2019 Book: 00886 Page: 0495
Plat Book: F19 Page: 194
3c.
Responsible Party (for LLC if
applicable):
3d. Street address:
814 North East Shore Drive (B A L29-R East Shore Dr)
3e. City, state, zip:
Lake Toxaway, NC 28747
3f.
Telephone no.:
(404) 932-9091
3g.
Fax no.:
3h.
Email address:
Page 1 of 13
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:
Terry Allen, PE
5b.
Business name
(if applicable):
T.E. ALLEN ENGINEERING, PC
5c.
Street address:
P.O. Box 103
5d.
City, state, zip:
Rosman, NC 28772
5e. Telephone no.:
828-877-4883
5f.
Fax no.:
5g.
Email address:
tealleneng@comporium.net
Page 2 of 13
PCN Form — Version 1.3 December 10, 2008 Version
B.
Project Information and Prior Project History
1.
Property Identification
1 a.
Property identification no. (tax PIN or parcel ID):
8522-14-9815-000
1 b.
Site coordinates ( in decimal degrees):
Latitude: 35.128 Longitude: - 82.941
(DD.DDDDDD) (-DD.DDDDDD)
1 c.
Property size:
0.714 (from Transylvania County GIS) acres
2.
Surface Waters
2a.
Name of nearest body of water (stream, river, etc.) to
proposed project:
Lake Toxaway
2b. Water Quality Classification of nearest receiving water:
B, Trout
2c.
River basin:
Savannah
Page 3 of 13
PCN Form — Version 1.3 December 10, 2008 Version
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:
This home site located in Toxaway Estates, a private residential development in western Transylvania County, NC. The
lot borders Lake Toxaway which has a classification of B: Trout. The general land use is residential. There is an existing
seawall (Bulkhead) along the shoreline. A portion of the existing seawall will be removed as necessary to install the new
boathouse foundation.
3b. List the total estimated acreage of all existing wetlands on the property:
none
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
none
3d. Explain the purpose of the proposed project:
Construct new 26"x32' Boathouse Foundation meeting side yard setback rules. New work to be in accordance with
Sheets C1 through C6.
The boathouse foundation work will be performed "IN THE DRY" using a coffer dam to create a dry work area, or during
the Lake Draw Down Period.
Where the work is performed during the upcoming Lake draw -down, temporary Silt Fence and Stone Check Dams shall
be used for erosion control around the work area. All temporary Erosion Control Measures shall be in accordance with
the latest edition of the NC EROSION and SEDIMENT CONTROL PLANNING and DESIGN MANUAL. A minimum of
three (3) rows of temporary Silt Fence shall be provided to separate the work area from the dry Lake Bed. All temporary
Erosion Control Measures shall be removed prior to impoudment refill or at the conclusion of Boathouse Foundation work.
All Trout Buffer disturbance shall be repaired in accordance with the NCDEQ-DLR Trout Buffer and Riparian Area
planting requirements.
See attached Sheet C3 for location of work.
Page 4 of 13
PCN Form — Version 1.3 December 10, 2008 Version
3e.
Describe the overall project in detail, including the type of equipment to be, used:
New Boathouse Foundation (84 LF of permanent impacts).
BOATHOUSE FOUNDATION. The Boathouse Foundation work shall be performed "IN THE DRY" using a coffer dam to
create a dry work area. Three (3) rows of Turbitidy Curtains shall be used in addition to the Coffer Dam. To comply with
Water Quality requirements, the work will be performed in the dry. Where a coffer dam is used, the work area will be
dewatered by pumping. All dewatering discharge shall have a turbidity of not more than 10 NTUs above background or
as otherwise specified in DWQ's Turbidity Standards (15A NCAC 02B.0211(3.)(k.)). To satisfy the required turbidity limit,
the dewatering pump discharge shall be filtered through a Bag Filtration Unit equal to Model BF-400 from Rain -for -Rent
with a 100 to 1 micron nominal rating (P.O.C. at Rain -for -Rent is Jeremy at 704-393-3345). The turbidity level of all
discharge shall be monitored with calibrated turbidity meters and the filtration equipment shall be adjusted as necessary
to insure compliance with Water Quality Standards. The water around the dredging areas shall likewise be monitored
with calibrated turbidity meters and the turbidity curtains shall be adjusted as necessary to insure compliance with Water
Quality Standards.
Where the work is performed during the upcoming Lake draw -down, temporary Silt Fence and Stone Check Dams shall
be used for erosion control around the work area. All temporary Erosion Control Measures shall be in accordance with
the latest edition of the NC EROSION and SEDIMENT CONTROL PLANNING and DESIGN MANUAL.
Uncured concrete shall not be allowed to come into direct contact with surface waters. This will be accomplished by
establishing a "dry work area" as described above. "High Early" cementious material shall be in the stone work to
minimize curing time.
Water Quality around the work areas shall be monitored with calibrated turbidity meters. The coffer dams and turbidity
curtains shall be adjusted as necessary to insure compliance with Water Quality Standards. Furnish and install multiple
layers of turbidity curtains as necessary to insure regulatory compliance.
Permanent Fill (i.e., Boathouse Foundation) shall not exceed 25 cubic yards meeting the following requirements;
(a) The quantity of discharged material and the volume of area excavated do not exceed 25 cubic yards below the plane
of the ordinary high water mark or the high tide line;
(b) The discharge will not cause the loss of more than 1/10-acre of waters of the United States; and
(c) The discharge is not placed for the purpose of a stream diversion.
No disturbance within existing Vegetated Trout Buffer. Provide Turbidity Curtains around work area to maintian water
quality.
See attached Sheet C3 for location of work.
Water Quality around the work areas shall be monitored with calibrated turbidity meters. The coffer dams and turbidity
curtains shall be adjusted as necessary to insure compliance with Water Quality Standards.
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 priorphases) in thepast?
Comments:
4b.
If the Corps made the jurisdictional determination, what type
❑Preliminary ❑Final
m de?
of determination was a
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.
Page 5 of 13
PCN Form — Version 1.3 December 10, 2008 Version
S.
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.
6.
Future Project Plans
6a.
Is this a phased project?
® Yes ❑ No
6b.
If yes, explain.
TROUT BUFFER. All disturbance within the Trout Buffer shall be restored in accordance with the NCDEQ-DLR Trout
Buffer and Riparian Area planting requirements.
Page 6 of 13
PCN Form — Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ❑Streams -tributaries ❑Buffers
E 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 F-1 T
El Yes
❑ No
❑Corps
❑ DWQ
W2 ❑ P ❑ T
El Yes
❑ No
El Corps
❑ DWQ
W3 ❑ P F� T
❑Yes
❑ No
❑Corps
❑ DWQ
W4 ❑ P F-] T
F71 Yes
❑ No
❑Corps
❑ DWQ
W5 ❑ P ❑ T
El Yes
❑ No
❑Corps
❑ DWQ
W6 ❑ P [:1 T
El Yes
❑ No
❑Corps
❑ 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.
39•
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
❑PER
❑Corps
❑ INT
❑ DWQ
S2 ❑ P F� T
❑PER
❑ INT
❑Corps
❑ DWQ
S3 ❑ P ❑ T
❑PER
❑ INT
El Corps
❑ DWQ
S4 ❑ P ❑ T
❑PER
❑ INT
❑Corps
❑ DWQ
S5 ❑ P R T
❑PER
❑ INT
El Corps
❑ DWQ
S6 ❑ P ❑ T
❑PER
❑ INT
❑Corps
❑ DWQ
3h. Total stream and tributary impacts
3i. Comments:
Page 7 of 13
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 T
Temporary Coffer Dam for
01 ❑ P ® T
Lake Toxaway
Boathouse Foundation 75 Linear
Lake
0.04 Acres
Ft (+/-)
02 ❑ P ® T
Lake Toxaway
Temporary Turbidity Curtain to
Repair Seawall, 75 Linear Ft
Lake
0.04 Acres
Permanent Boathouse
03 ®P ❑ T
Lake Toxaway
Foundation (84 Linear Ft x 3 Ft
Lake
0.02 Acres
horizontal projection)
04 ❑P❑T
4L Total open water impacts
0.10 Acres
4g. Comments: The work will be performed while the lake is at normal pool elevation, or during the upcoming Lake Draw -
down.
1.0 NEW BOATHOUSE FOUNDATION new presast concrete block foundation to support new boathouse structure.
2.0 Boathouse foundation work will be accomplished "in the dry" by installing a temporary Coffer Dam around the proposed
work area. Three (3) rows of Turbidity Curtains shall be installed in addition to the Coffer Dam. The dewatering discharge will
be filtered to DWQ Water Quality Standards prior to release. Turbidity Curtains to remain in place untll work is complete and
the turbidity in the work area is less than 10 NTUs above background.
3.0 Where the work is performed during the upcoming Lake draw -down, temporary Silt Fence and Stone Check Dams shall
be used for erosion control around the work area. All temporary Erosion Control Measures shall be in accordance with the
latest edition of the NC EROSION and SEDIMENT CONTROL PLANNING and DESIGN MANUAL.
5. Pond or Lake Construction
If pond 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
5L 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:
Page 8 of 13
PCN Form — Version 1.3 December 10, 2008 Version
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.
❑ 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 r
B1 ®P❑T
❑ Yes
❑No
B2 ❑P❑ T
❑Yes
[:1 No
B3 ❑ P ❑ T
El Yes
❑ No
6h. Total buffer impacts
6i. Comments:
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 work will be performed while the lake is at normal pool elevation using a Coffer Dam to create a Dry Work Area, or the
work may be performed buring the planned Lake Draw Down period.
1.0 Boathouse foundation work will be accomplished "in the dry" by installing a temporary Coffer Dam around the proposed
work area. Three (3) rows of Turbidity Curtains shall be installed in addition to the Coffer Dam. The dewatering discharge will
be filtered to DWQ Water Quality Standards prior to release. Turbidity Curtains to remain in place untll work is complete and
the turbidity in the work area is less than 10 NTUs above background.
3.0 Where the work is performed during the upcoming Lake draw -down, temporary Silt Fence and Stone Check Dams shall
be used for erosion control around the work area. All temporary Erosion Control Measures shall be in accordance with the
latest edition of the NC EROSION and SEDIMENT CONTROL PLANNING and DESIGN MANUAL.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
To. minimize disturbance during construction, the work will be accomplished with the smallest mechanical equipment
practicable.
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
Page 9 of 13
PCN Form —Version 1.3 December 10, 2008 Version
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
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: Should project exceed 10% or 100' in 10001, a trout buffer waiver will be sought from NCDENR - Div of Land
Resources
Page 10 of 13
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?
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:
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 governments jurisdiction is this project?
❑ Phase II
❑NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ 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
R 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?
El Yes ❑ No
Page 11 of 13
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 (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
El 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.
N.A.
Page 12 of 13
PCN Form — Version 1.3 December 10, 2008 Version
:5. Endangered Species and Critical Habitat (Corps. Requirement)
P I
.. . . .............. M. . . . . .. . . . ...................... .
Via. Will this project occur in or near an area. with federally protected species or I 0 Ye
No
habitat? I 's
.5 b. Have you checked with the USFWS concerning Endangered Spell Act Yes
N
impacts?
o-
Raleigh
5c, If yes, indicate the USFWS Field Office you have contacted. Asheville
5d. What datasources did you use to determine 'whether your site would impact Endangered Species or Designated
Critical
Habitat?
.6. 8ss-ential Fish. Habitat. (C rptRequirement) 0
.6a, Will this project occur in ornear 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 Habitatr:
U
7. Historic or Pre* h"Is-tortlic Cultural: Resources (Cqrps�:Re-q 1remen.)
'a. WI this ill 0rqject occur in o'r* hear an area that the state* federal or tribal
governs ents:have -designated as h,aving historic r-cultural: preserWition
0: in Yes
No
ficant
its" nt I
status Nationja[Historic Trust designation. or properti
North Carolina: history and ardhae'ology)?
. . ...............
7b.. What data sources did you use to determine whether your -site would impact historic. or archeological resources?
8,: Flood Zone. Designation (Corps Requirement)
.8a. Will this project -occur in a: FEMA-designated 1 00-year floodplain?
E Yes
No
8b,. If yes,. explain: how.project meets FEMA, requiremont
8c. What source(s) did you use to make the floodplain determiriation?
...... - ------- - - ------J
John..L Kimtiiev 111
IS-al Kinui4i ey-
'bft Signature
Apolicant/Aw
RDate
ApplicanUAgent's Printed Name
(Agent'si, SignatLife is valid only if an authorization letter from the appliCant
is: provided,%
Page 1.2 of 13
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T.E. ALLEN ENGINEERING, PC
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John L III & Susan P Kimmey
C/O Appalachian Construction
ARM # C-1997
I
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814 North East Shore Drive
PO BOX 103
ROSMAN, NORTH CAROLINA 28772
P.O. Box 1087
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(B A L29-R East Shore Dr )
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(828) 877-4883
MOBILE (828) 553-3004
828-553-1702 cell
jonathan.dodson76(a,ginail.com
PIN. 85 22-14-9815-���
eallenen ®com orium.net
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NEW BOATHOUSE FOUNDATION
John L & Susan P Kimmey Residence
T.E. ALLEN ENGINEERING, PC
Prepared for:
John L III & Susan P Kimmey
C/O Appalachian Construction
ARM # C-1997
N 1
N
814 North East Shore Drive
PO BOX 103
NORTH CAROLINA 28772
P.O. Box 1087
NC 28772
o N
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(B A L29 R East Shore
Rosman,
Lake Toxaway, Transylvania County, NC
877-4883
MOBILE C8 8) 553-3004
828-553-1702 cell
j onathan.dodson76(a)gmail.com
PIN: 8522-14-9815-000
email : tealleneng®comporium.net
a alachianconstructionof f mail.com
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T.E. ALLEN ENGINEERING, PC
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C/O Appalachian Construction
ARM # C-1997
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(828) 877-4883
MOBILE (828) 553-3004
828-553-1702 cell
i onathan.dodson76(&gmail.com
PIN: 8522-14-9815-000
email : tealleneng®comporium.net
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John L & Susan P Kimmey Residence
T.E. ALLEN ENGINEERING, PC
Prepared for:
John L III & Susan P Kimmey
C/O Appalachian Construction
FIRM # C-1997
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814 North East Shore Drive
Po Box 103
ROSMAN, NORTH CAROUNA 28772
P.O. Box 1087
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Rosman, NC 2s772
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Lake Toxaway, Transylvania County, NC
877-4883
MOBILE (828) 553-3004
828-553-1702 cell
onathan.dodson76(agmail.com
PIN: 8522-14-9815-000
email : tealleneng®comporium.net
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NEW BOATHOUSE FOUNDATION
John L & Susan P Kimmey Residence
T.E. ALLEN ENGINEERING, PC
Prepared for:
John L III & Susan P Kimmey
C/O Appalachian Construction
ARM # C-1997
I
814 North East Shore Drive
PO BOX 103
ROSMAN NORTH CAROLINA 28772
P.O. Box 1087
o
N '
(B A L29-R East Shore Dr)
Rosman, NC 28772
Lake Toxaway, Transylvania County, NC
(828) 877-4883
MOBILE (828) 553-3004
828-553-1702 cell
jonathan.dodson76(@,gmail.com
PIN: 8522-14-9815-000
email : tea lleneng®compodum.net
appalachianconstructionofpfpgmail.com