HomeMy WebLinkAbout20201860 Ver 1_ePCN Application_20210107DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
October 26, 2020 Ver 3.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned * Version#*
20201860 1
Is a payment required for this project?*
r No payment required
What amout is owed?*
r Fee received
r $240.00
r Fee needed - send electronic notification
IT $570.00
Reviewing Office *
Winston-Salem Regional Office - (336) 776-
Select Project Reviewer*
9800
Sue Homewood:eads\slhomewood
Information for Initial Review
1a. Name of project:
Kerwin Circle Substation
1a. Who is the Primary Contact?*
Patrick Meier
1b. Primary Contact Email:*
pkmeler@burnsn)cd.com
Date Submitted
1 /712021
Nearest Body of Water
Belews Creek-Belews Lake
Basin
Roanoke
Water Classification
WS-IV; CA
Site Coordinates
Latitude:
36.139308
Pre -Filing Meeting Information
ID#
20201860
Pre -fling Meeting or Request Date*
12/2/2020
Longitude:
-80.115577
Attach documentation of Pre -Filing Meeting Request here:*
DWR Pre -Filing Meeting Request Form.pdf
A. Processing Information
1c. Primary Contact Phone:*
(804)223-1470
Version
1
56.35KB
County (or Counties) where the project is located:
Forsyth
Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
P Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
r Yes
r No
1b. What type(s) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number: 12 - Utility Lines
NWP Numbers (for multiple NWPS):
Ild. Type(s) of approval sought from the DWR:
r 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
Ile. Is this notification solelyfor the record because written approval is not required?
For the record onlyfor DWR 401 Certification:
For the record onlyfor Corps Permit:
R 401 Water Quality Certification - Express
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
t^ Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
W Owner W Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
Duke Energy Carolinas, LLC
2b. Deed book and page no.:
2c. Responsible party:
Tax Dept - PB05B
2d.Address
r Yes r No
r Yes r No
Street Address
PO Box1007
Address tine 2
CIty
Charlotte
Postal / Zip Code
28201-1007
2e. Telephone Number:
(704)382-4021
2g. Email Address:*
Mike. Robinson@Duke-Energy.com
3. Applicant Information (if different from owner)
3a. Name:
Mike Robinson
3b. Business Name:
Duke Energy Carolinas, LLC
3c.Address
Street Address
526 South Church Street
Address Une 2
ECO8Q
City
Charlotte
Postal / Zip Code
28202
3d. Telephone Number:
(980)373-4228
3f. Email Address:*
Mike. Robinson@Duke-Energy.com
4. Agent/Consultant (if applicable)
4a. Name:
Patrick Meier
4b. Business Name:
Burns & McDonnell
4c.Address
Street Address
7201 Glen Forest Drive
Address Une 2
Suite 100
City
Richmond
Postal / Zip Code
23226
4d. Telephone Number:
(804)223-1470
0. Email Address:*
pkmeier@burnsmcd.com
Agent Authorization Letter*
KERW IN_CIRCLE_AG ENr_AUTHO RIZAT ION_F O RM. pdf
State / Province / Ragion
North Carolina
Country
United States
2f. Fax Number:
State / Province / legion
North Carolina
Country
United States
3e. Fax Number:
State / Province / legion
Virginia
Country
United States
4e. Fax Number
85.25KB
C. Project Information and Prior Project History l^�
1. Project Information
1b. Subdivision name:
(d appropriate)
1 c. Nearest municipality / town:
Kernersville, North Carolina
2. Project Identification
2a. Property Identification Number:
6877-01-5228
2c. Project Address
Street Address
1902 West Mountain Street
Address Line 2
City
Kernersville
Fbstal / Zip Code
27284
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Belews Creek-Belews Lake
3b. Water Resources Classification of nearest receiving water:*
WS-IV, CA
3c. What river basin(s) is your project located in?*
Roanoke
3d. Please provide the 12-digit HUC in which the project is located.
030101030303
4. Project Description and History
2b. Property size:
13.27
State / Rovince / Pagion
North Carolina
Country
United States
4a. 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 area currently consists of forested land with multiple drainage features flowing to the west and north and an open water feature near the northwest corner of the property.
Land use within the vicinity of the Project consists of residential and commercial/industrial developments.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Ke rwi n CircleTopo. pdf
3.1 MB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
KerWnCircleSoils.pdf 2.34MB
4f. List the total estimated acreage of all existing wetlands on the property:
0.73
4g. List the total estimated linear feet of all existing streams on the property:
1045
4h. Explain the purpose of the proposed project:*
The purpose of the Kerwin Circle Substation Project will be to conduct civil operations to develop and prepare a permanent access road and building pad for the proposed Kenton Circle
Electrical Substation infrastructure on a 13.27 acre parcel near in Kernersville, North Carolina.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Construction activities associated with the Kenton Circle Substation Project will consist of demolition of abandoned structures currently on -site, clearing, grubbing, filling, grading,
installation and maintenance of erosion and sediment controls, installation of stormwater drains with riprap outlet protection, installation of a culvert pipe stream crossing with riprap inlet
and outlet protection, slope stabilization, and construction of electrical substation infrastructure. Construction will involve the use of typical heavy construction equipment (e.g.,
excavators, dozers, scrapers, crane trucks, etc.) and will be executed in compliance with all required permits and regulatory conditions.
4j. Please upload project drawings for the proposed project.
121951_Kerwin IFC.pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
r Yes r No
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
57.07MB
r Unknown
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: Dewberry Engineers Inc.
Other:
Sd1. Jurisdictional determination upload
2020.4.2 Kerwin Circle Station NRA.pdf 12.35MB
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands W Streams -tributaries
r Open Waters F Pond Construction
3. Stream Impacts
F Buffers
❑
S1
3a. Reason for impact (?)
Riprap outlet protection
3b.lmpact type *
Permanent
3c. Type of impact*
Rip Rap Fill
3d. S. name *
SB
3e. Stream Type *
(?)
Intermittent
3f. Type of
Jurisdiction*
Corps
3g. S. width *
6
Average (feet)
3h. Impact
length*
13
(linearfeet)
S2
Culvert and riprap inlet/outlet
protection for gravel access
crossing
Permanent
Culvert
SC
Perennial
::]
Corps
5
Average (feet)
201
(li ar feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
214
3i. Total stream and ditch impacts:
214
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
0
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Project design avoids majority of wetlands and streams identified from wetland delineation. Impacts are minimized by crossing perpendicular to
channel and narrowing access corridor at impact location to accommodate minimum width of required access. Culvert installation designed to maintain
proper flow after installation.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Contractor will maintain a minimum 30-foot vegetative buffer between construction activities and delineated wetlands within the property limits. In
addition, contractor will install and maintain perimeter erosion and sediment controls.
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?
r Yes r No
2c. If yes, mitigation is required by (check all that apply):
r DWR W Corps
v
2d. If yes, which mitigation option(s) will be used for this project?
F Mitigation bank r Payment to in -lieu fee r Permittee Responsible
program Mitigation
F. Stormwater Management and Diffuse Flow Plan (required by DWR) U
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?
r Yes r No
If no, explain why:
Project and associated drainages are located outside of any protected buffer areas.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes r No
Comments:
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
Activities associated with this project will be confined to the proposed Project Area for development and construction of the Kerwin Circle Electrical
Substation and will not result in future development.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r NIA
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?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d. Is another Federal agency involved?*
r Yes r No
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
r Unknown
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPaC; Awaiting consultation from USFWS. Will provide correspondence upon receipt.
Consultation Documentation Upload
Kerwin Circle_USFWS_HabitatAssessment_12092020.pdf 2.44MB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Essential Fish Habitat Mapper
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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
North Carolina HPOWEB; Awaiting consultation from NCSHPO. Will provide correspondence upon receipt.
7c. Historic or Prehistoric Information Upload
Kerwin Circle_SHPO_20201217.pdf 2.21 MB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
FEMA National Flood Hazard Layer Map.
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
KerWnCirclelmpacts.pdf 1.93MB
Signature
*
B By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief; and
• 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 have given true, accurate, and complete information on this form;
• I agree that submission of this PCN 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');
• I 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 PCN form.
Full Name:
Patrick K. Meier
Signature
Date
1 /712021
SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID:
STREET ADDRESS: 1902 West Mountain Street, Kernersville, North Carolina 27284
Please print:
Property Owner: Duke Energy Carolinas, LLC
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Patrick Meier , of Burns & McDonnell
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
526 South Church Street, EC080. Charlotte, North Carolina 28202
Telephone:
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
/W,/-Y <k,.
Authorized Signature Authorized Signature
Date: Date: 12/17/2020
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NO TH NWI, NHD, and
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PUB 0 375 750 �M�RDONNE�L Kerwin Circle Substation
Riverine Duke Energy
n
Scale in Feet Forsyth County, NC
ce: Esri, NCOne Map, FWS NWI, USGS NHD, Duke Energy, Burns & McDonnell
Source: Esri, NRCS SSURGO, NCOne Map, Duke Energy, Burns & McDonnell
GENERAL NOTES:
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SCALE IN FEET
1. SEE 2710093SDV SHEET 2 FOR LEGEND, ABBREVIATIONS, AND GENERAL NOTES.
2. ALL PIPE SIZES ARE IN INCHES UNLESS INDICATED OTHERWISE.
3. THE MINIMUM DEPTH OF COVER FOR ALL UTILITY PIPING SHALL BE 36 INCHES
UNLESS INDICATED OTHERWISE.
4. ANY CHANGES TO PROPOSED UTILITY DESIGN SHALL BE APPROVED BY THE
ENGINEER AND THE OWNER.
5. TOP ELEVATION OF ALL UTILITY STRUCTURES SHALL BE ADJUSTED ACCORDINGLY
TO FINISH GRADE ELEVATION.
6. REINFORCED CONCRETE PIPE SHALL BE CLASS III.
7. SEE SHEET 2710093SDR SHEET 4 FOR UTILITY PROFILES.
8. SEE SHEET 2710093SDR SHEET 5 FOR TYPICAL UTILITY TRENCH DETAIL.
9. PROVIDE 4" 0 KNOCKOUT FOR FUTURE UNDERDRAIN CONNECTION. UNDERDRAIN
SHALL BE INSTALLED UNDER SEPARATE PACKAGE.
10. ALL DROP INLETS SHALL BE INSTALLED FLUSH WITH TOP OF COMPACTED
SUBGRADE. MANHOLES SHALL BE INSTALLED FLUSH WITH TOP OF FUTURE #57
STONE FILL.
11. DUCTILE IRON PIPE SPECIFICATIONS
11.1. USE DUCTILE IRON PIPE THAT CONFORMS TO ASTM A746 OR ANSI/AWWA
C151/A21.51.
11.2. USE DUCTILE IRON PIPE FITTINGS AND SPECIALS CONFORMING TO
ANSI AWWA C110 A21.10 FOR STANDARD SIZE FITTINGS OR ANSI AWWA
C153/A21.53 FOR COMPACT FITTINGS.
11.3. USE PIPE AND FITTINGS WITH PUSH ON JOINTS CONFORMING TO ANSI/ AWWA
C111/ A21.11.
KEY NOTE;:
0
(J
0
0
DROP INLET
PRECAST STORM MANHOLE 2
SDR05
FLARED END SECTION 3
SDR05
OIL WATER SEPARATOR: 40,000 GALLON HIGHLAND TANK
HEADWALL
STORM STRUCTURE TABLE
NAME
NORTHING
EASTING
RIM
DESCRIPTION
INVERT
A-1
871660.13
1670409.00
925.71
FES
INV(E)=923.37
(24"
HDPE)
INV(SE)=923.72
(24"
HDPE)
A-2
871665.59
1670457.83
927.50
DI
INV(W)=923.62
(24"
HDPE)
INV(NW)=923.92
(24" HDPE)
A-3
871641.37
1670489.60
930.90
MH
INV(S)=924.02
(24"
HDPE)
INV(N)=924.41
(24"
HDPE)
A-4
871558.06
1670495.93
930.63
MH
INV(S)=924.51
(24"
DIP)
INV(E)=924.79
(24"
HDPE)
A-5
871503.19
1670500.99
930.78
MH
INV(N)=924.69
(24"
DIP)
INV(S)=925.55
(18"
HDPE)
INV(N)=925.55
(18"
HDPE)
A-6
871506.68
1670553.22
930.26
MH
INV(W)=925.05
(24"
HDPE)
INV(E)=926.68
(4" PVC)
INV(E)=925.85
(18"
HDPE)
A-6.1
871546.62
1670550.29
929.50
DI
INV(S)=925.75
(18"
HDPE)
INV(E)=926.40
(15"
HDPE)
A-6.2
871550.98
1670612.37
929.50
DI
INV(W)=926.15
(18"
HDPE)
A-6.3
871554.92
1670668.30
929.61
DI
INV(W)=926.67
(15"
HDPE)
INV(E)=925.93
(15"
HDPE)
A-7
871479.10
1670555.24
929.50
DI
INV(N)=925.68
(18"
HDPE)
INV(E)=926.33
(15"
HDPE)
A-8
871483.62
1670617.11
929.50
DI
INV(W)=926.23
(15"
HDPE)
A-9
871487.63
1670672.58
929.58
DI
INV(W)=926.60
(15"
HDPE)
B-1
871316.00
1670631.52
914.10
FES
INV(NE)=912.57
(15"
HDPE)
B-2
871363.90
1670652.07
921.77
DI
INV(SW)=918.31
(15" HDPE)
C-1
871214.23
1670672.17
902.77
HW
INV(E)=899.02
(24"
HDPE)
C-2
871178.15
1670810.75
909.99
HW
INV(W)=906.24
(24"
HDPE)
D-1
870526.57
1670661.15
932.47
FES
INV(E)=930.68
(18"
HDPE)
INV(E)=931.22
(15"
HDPE)
D-2
870510.97
1670719.31
935.00
DI
INV(W)=930.97
(18"
HDPE)
D-3
870511.22
1 1670759.48
934.52
DI
INV(W)=931.41
(15"
HDPE)
SEE GENERAL
NOTE 9
U
w
ISSUED FOR
CONSTRUCTION
1
L —
IL I
— --------- --------
-------------
- — 1
--- 94d
\ \ \ \ \ \ \ �19 g \ \ 4 / / /' /' / coVON
QLLI
W I \ \ \ \ \ \ \ ` \ — — — — — — — / / / / / // / I W
=1 \ \ \ — — / / / / LY
Two
IN
ri
\ \ \ j -- / \ —�" — /
LLI\ _ _—ter r -� \ / /� / / / /
\ / i - / 1Z
FI \
j •\ is / / / /
10,
------------
----------------
1
I I
1
I I
1
I I
1
I I
1
I I
1
I I
1
1 1
I I
1
GENERAL NOTES:
1. SEE 2710093SDV SHEET 2 FOR LEGEND, ABBREVIATIONS, AND
GENERAL NOTES.
2. ALL PIPE SIZES ARE IN INCHES UNLESS INDICATED OTHERWISE.
3. THE MINIMUM DEPTH OF COVER FOR ALL UTILITY PIPING SHALL
BE 36 INCHES UNLESS INDICATED OTHERWISE.
4. ANY CHANGES TO PROPOSED UTILITY DESIGN SHALL BE
APPROVED BY THE ENGINEER AND THE OWNER.
5. TOP ELEVATION OF ALL UTILITY STRUCTURES SHALL BE ADJUSTED
ACCORDINGLY TO FINISH GRADE ELEVATION.
6. REINFORCED CONCRETE PIPE SHALL BE CLASS III.
7. SEE SHEET 2710093SDR SHEET 1 FOR STORM STRUCTURES
TABLE.
8. SEE SHEET 2710093SDR SHEET 4 FOR UTILITY PROFILES.
9. SEE SHEET 2710093SDR SHEET 5 FOR UTILITY TRENCH DETAILS.
ArIlwmalollabo i
O FLARED END SECTION 3
SDR05
0DROP INLET 1
SDR05
0 30' 60'
SCALE IN FEET
U
w
ry
ISSUED FOR
CONSTRUCTION
\ \ \ GENERAL NOTES:
\ 1. SEE 2710093SDV SHEET 2 FOR LEGEND, ABBREVIATIONS, AND
\ \ GENERAL NOTES.
\\ \ \\ \ \ n
-IE TO EXISTING 1 \ \
,RAVEL\ DRIVE 1\ \ \ \
r
1 \
D
2. ANY CHANGES TO PROPOSED UTILITY DESIGN SHALL BE
APPROVED BY THE ENGINEER AND THE OWNER.
0 30' 60'
SCALE IN FEET
ISSUED FOR
CONSTRUCTION
945
•�1
935
930
925
920
915
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z.
z
GRADE
z.
z
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z
z
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60.0
° i...
@ 0.5 /0 15 HDPE
.. ....
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-
:.
.:.
52.3' @ 0.5% 24" HDPE .
83.6'
@ 0.5% 24" HDPE
.
.
=
/
f . .. .. ..
/
53.6'
@.0.5% 15" HDPE;
LJ
OIL/WATER
�.
. .
. . . . . .
. . . . .
. . . . . .
/ . . . . . . . .
. . . . . .:. . .
.
. .
.
. SEPARATOR
.
. . . . . . . . .
. . . . . . . . .
2C.7'
p :5%. 1.8"
HpPI=..
. . ... . . .
. . . . . . . . .
.
. 40.0'
•@ 0.5% 24"
HDP.E...........
. . . . . .: . . . .
. . . . .
. .@
.......................
. ..... .. ..
. .. .. ... ..
.
. ... ..
. .
.. .....
.. .. ...
..
.
24 DIP 0.5%.
. ... . . .
. *A=*6.
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.
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STA 12+9917
.1.
......................:....
. . . . . .. . . . . .
,49.1'.@.0:% 24"
HDPE
24"
DIP.@ 0.5%
. . . . . . . . . .
. .
.IN:V IN. =.
9Z5;55•
(18" :SD
.S)
.. .
•.
•.
•. •
IN•V IN =.
925.55
(18" •SD
. . . . . .•. . . . .
. . . . . . .•. . .
.
. .•. .
. . . . .
. . . .•. .
. . .
.
. . .
. . . . . . . . .
. . .
. . .
IN.V IN -.
926.68
(4;, S D
•N) . .' . . .
E
. . .
. . .
....
.......
..............
...
...............
...
IN•V OUT
= 925.05 (24" SD W)
...............
....
......
...
R I' = 0. 6
'
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...
f`
N
d
ti
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00
O
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c
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6
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co
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co
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-00 11+00 12+00 13+00 14+00 14-
•�1
935
930
925
920
915
910
STORM PROFILE "A" 1
DRO
:. .1
o0 o
�� U)
�� z
m
M 11
:.
�. . :.
LO
11. Ln
II ��
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GRADE
PROPOSED•
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. . .:.
/ :.. :.. .. . .
.
.
:. . .
. . . .EXISTING. GRADE.
�. .
. .. ... . . . . .
-52:4'
@-1'1:0% 15" HDPE ...
d
ti
M
-
U-)
M
N
(fl
N
a
6)
W
6)
F75 30+00
31 +00 311
•� 1
935
930
925
920
915
910
930
925
920
915
910
905
•11
:•1
945
950
950
U) Z L
U
N
M'O w
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940
945
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935
940
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930
935
:EXISTING GRADE
: . . . .:. . .
935
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.
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925
930
:...
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.
930
.. ......
............
60.2' @ 0.5% 18"
HDPE
920
925
.... ...
....
.................
54 1'
......@...................
0 5% 15" HDPE
.
PROPOSED• GRADE
925
40.0' @ 0.5% '18'` HOPS . .:.
.:.
.
915
920
920
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22+00
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F75 40+00 41+00 41-1
STORM PROFILE "B" 1 STORM PROFILE "C" rl-,�
DRO DRO
930
925
920
915
910
905
•11
:•1
955
950
945
935
930
925
STORM PROFILE "A-5" 1
DRO
1
•^ N
O.O. .
. . .n. J�w
, Lq
o. p
p
pNM
. . . . .
+� . . . . . .
00M
.+.0
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N7
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00 .
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11 ........
11
�:
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>
0
0
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z..:
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• PROPOSED* GRADE
:............
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EXISTING* GRADE .
:. .:.
.:.
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59.2' @ 0.5% 18" HDPE
.................
3R.2'•@ 4 5%.1:5' HQP�
.
'. . .
. . . .' . . . . . .
O
N
Cfl
d
O
LO
r-
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M
Lf)
aJ
M
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O c
ti
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m
T c
M
M
M
M
M
co
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co
a)
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m
6'
6)
m
O c
-75 50+00 51+00 511
STORM PROFILE "D" 1
�RO
955
950
945
•�1
935
930
925
U
w
HORIZONTAL SCALE: VERTICAL SCALE:
0 30' 60' 0
FOR
SCALE IN FEET SCA FG�ftTRUCTION
is
I
Y
PLAN
WITH GRATE & FRAME REMOVED
SECTION X-X
TRAILING
WEEP HOLES
J
T ^OPING(INCIDENTAL)
IP ELEVATION
840.16 FRAME -
3ATE
6"
(SEE NOTE)
GENERAL NOTES:
USE CLASS "B° CONCRETE THROUGHOUT.
PROVIDE ALL DROP INLETS OVER 3'-6" IN DEPTH WITH STEPS 12"
ON CENTER. USE STEPS WHICH COMPLY WITH STD. DRAWING 840.66.
OPTIONAL CONSTRUCTION - MONOLITHIC POUR 2" KEYWAY OR #4 BAR DOWELS AT
12" CENTERS AS DIRECTED BY THE ENGINEER.
USE FORMS FOR THE CONSTRUCTION OF THE BOTTOM SLAB.
IF REINFORCED CONCRETE PIPE IS SET IN BOTTOM SLAB OF BOX, ADD TO SLAB
AS SHOWN ON STD. NO. 840.00.
CONSTRUCT WITH PIPE CROWNS MATCHING.
SEE STANDARD DRAWING 840.25 FOR ATTACHMENT OF FRAMES AND GRATES NOT SHOWN.
INSTALL 2" WEEPHOLES AS DIRECTED BY THE ENGINEER.
INSTALL STONE DRAINS, OF A MINIMUM OF 1 CUBIC FOOT OF NO. 78M STONE IN A
POROUS FABRIC BAG OR WRAP, AT EACH WEEP HOLE OR AS DIRECTED BY THE ENGINEER.
CHAMFER ALL EXPOSED CORNERS 1"
DRAWING NOT TO SCALE.
#4 BAR
B 6" _
N
0 I "6-
I
DOWEL
MAX. PIPE THIS SIDE
SECTION Y-Y
DIMENSIONS AND QUANTITIES FOR DROP INLET(BASED ON MIN. HEIGHT, H)
DIMENSIONS OF BOX & PIPE
CUBIC YARDS
CONC. IN BOX
DEDUCTIONS FOR
ONE PIPE
PIPE
SPAN
WIDTH
MIN. HEIGHT
D
A
B
H
BOTTOM
SLAB
WALL PER
FT. HT.
cTOTAL E
FOR MINIMUM
HEIGHT, H
C.M.
R.C.
12"
3'-0"
2'-0"
2'-0°
0.222
0.222
0.592
0.015
0.026
15"
2'-3"
0.648
0.023
0.036
18"
2'-6"
0.703
0.033
0.049
24"
3'-0"
0.814
0.059
0.085
30"
3'-0"
2'-0"
3'-6"
0.222
0.222
1 0.925
0.092
0.127
NOTES:
1. GRATE
SHALL BE
HEAVY DUTY NEENAH
FOUNDRY MODEL R-4808 TYPE Q AND
ANGLE
FRAME OR
APPROVED EQUAL.
DROP
INLET
1
SDR01
SDR02
VARIABLE
DRIVEWAY WIDTH
6°1 OR FLATTER
DRIVEWAY PIPE
DRIVEWAY PIPE TYPICAL SECTION
REINFORCED EDGE
FULL LENGTH OF END
SECTION AND TOE PLATE
4"
6" MAX.
6' 6 -
1� D
TOE PLATE �
L
SIDE VIEW
.1 OR FLATTER SLOPE _
6
PIPE
W D
PIPE
L
PLAN VIEW
APPROACH
END TREATMENT DIMENSIONS
D
L
W
THICK. GAGE
15"
2'-6"
1'-9"
16 MIN.
18"
4'-0"
2'-0"
16 MIN.
24"
7'-0"
2'-6"
16 MIN.
PIPE FITTING REQUIREDTO
SECURELY HOLD SECTION
ISOMETRIC VIEW
4"
PIPE
6" MAX.
D
6" TOE PLATE
STEEL END SECTION
FLARED END
SECTION r3
SDR01
SDR02
Z
O co
H >_
Q Q
FzI � CD .
LLJaFIz
O O Cn =
wQQw=
Q0cc0CD
H
(nHLLOJ
O O C/)
z H C>=
1 h~
0 C]
O
LL W
c� J
FZI Z w
Q N H
IL
p a
p C0
� Q
Q
0
Q
W =
� � H
cn W
CV
T
Z
p O
O c„i
840.14
z
oCl)
H �
Q Q
"=CC
LL_jE"I ,
O O Cn =
wazw=
Q�Cr0 CD
C/) LL O J
0 Cnn a
z
b 0- F>I
w 0
0
w
IL
IL
It
CV
Z
= O 0
LL
LL
V Lo
F�LU /�
H v/ CC:
< o LL
O
p Z Z
W
p h-I
Q LU H-
p p, 0
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J w
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J
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a0
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co
LL
w
Cr
CL
;HEET 1 OF 1
310.04
GENERAL NOTES
USE 4000 PSI MINIMUM COMPRESSIVE STRENGTH CONCRETE.
USE ASTM A615 GRADE 60 REINFORCING STEEL. USE ASTM A1064
WELDED WIRE FABRIC (WWF).
FABRICATE, ASSEMBLE AND DESIGN PRECAST MANHOLE COMPONENTS
ACCORDANCE WITH AASHTO M199.
ASSEMBLE RISER AND GRADE RINGS WITH THE STEPS SPACED 12"
FROM THE TOP TO THE BOTTOM OF THE MANHOLE.
WHERE THE MANHOLE IS EXPOSED TO ROAD TRAFFIC, CONSTRUCT
THE TOP OF THE MANHOLE FLUSH WITH THE GROUND AND A MINIMUM
OF 9" ABOVE THE GROUND AT OTHER LOCATIONS.
LIMIT DEPTH OF FILL TO 30'-0" FROM FINISH GRADE TO TOP OF
BOTTOM SLAB.
THE MIN. SLAB THICKNESS 'T' IS THE DIMENSION OF THE
THINNEST PORTION OF THE TOP/BOTTOM SLAB.
* TOP MAT OF REINFORCEMENT MAY BE NEGLECTED IF TOP SLAB HAS
A DISTINGUISHABLE TOP AND BOTTOM.
FRAME AND GRATES
STD. NO.
TRAFFIC BEARING
840.37
NONTRAFFIC BEARING:
840.22
840.24
840.20
840.29
840.33
ALTERNATE CONE SECTION
D W T
INTERNAL MIN. MIN.
DIAMETER WALL TOP/BOTTOM
(FT.) THICKNESS SLAB THICKNESS
(IN.) (IN.)
4 4 6
5 5 8
6 6 8
As
MIN. CIRCUMFERENTIAL
AREA OF STEEL
PER VERTICAL FT.
(SQ. IN.)
0.12
0.15
0.18
GRADE RING
c MIN. AREA OF STEEL
p IS 0.07 in.2
ECCENTRIC CONE
Fit -...-_.,-
LOCATE WALL REINFORCEMENT
'D' + 2 'W' IN MIDDLE THIRD OF WALL
1" MIN. ADDITIONAL
CLR. #4 REBAR
,_, 1" MIN. USE MIN. AREA OF STEEL IN TOP
CLR. SLAB OF #4'S @ 8" CTS.
EACHWAY/EACH FACE *.
FLAT TOP SLAB r�
ADDITIONAL #4 EACH ADDITIONAL #4 EACH
SIDE OF OPENING SIDE OF OPENING (1" RISER
CLEAR OF BOTTOM FACE
E PLACE BARS DIAGONAL CLEAR OF BOTTOM FACE)
TO CORNERS (TYP.)
JL
II� = JL _ �I
JL
JL
GRATED INLET OPTION
v
vM
�_l v
I4 Z
70000
r0TI-1Cn
I4Z--I=D
=0Zym
=Cnoo
z14
0
nDy>
Cno
Z i
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APPROVED EQUAL.
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NOTES
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STORM MANHOLE 2
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DOUBLE PIPE
LOC.
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750
900
1050
1200
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DIMENSIONS AND CONCRETE QUANTITIES
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BACKFILL COMPACTION (STANDARD PROCTOR)
A. SUBSTATION PAD AREA: 98% OF MAX WITHIN 1' OF FINISHED
GRADE, 95% OF MAX MORE THAN 1' BELOW FINISHED GRADE
B. NON -SUBSTATION AREA: 95% OF MAX FOR ALL LIFTS
FINAL BACKFILL
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i
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BC/3
NOTES:
1. TRENCH TERMINOLOGY:
BEDDING: SUPPORTIVE, COMPACTED MATERIAL TO PROVIDE EVEN SUPPORT FOR THE PIPE.
BOTTOM OF TRENCH AND BEDDING MATERIAL SHALL PROVIDE UNIFORM LONGITUDINAL
SUPPORT FOR BOTTOM SECTION OF PIPE.
HAUNCHING: EXTENDS FROM THE BOTTOM OF THE PIPE TO THE
CENTERLINE OF THE PIPE TO PROVIDE THE MOST RESISTANCE TO PIPE DEFLECTION.
MATERIAL SHALL BE FREE OF ROCKS AND BE PLACED BY HAND.
INITIAL BACKFILL: EXTENDS FROM THE SPRINGLINE TO A POINT ABOVE THE TOP OF THE PIPE
TO PROVIDE SOME PIPE SUPPORT AND HELPS TO PREVENT DAMAGE TO THE PIPE DURING
PLACEMENT OF THE FINAL BACKFILL. THE COVER EXTENDS FROM THE TOP OF THE PIPE TO
THE TOP OF THE INITIAL BACKFILL.
FINAL BACKFILL: THIS ZONE EXTENDS FROM THE TOP OF THE INITIAL BACKFILL TO THE TOP
OF THE TRENCH. FINAL BACKFILL UNDER PAVEMENTS MAY BE SUBJECT TO ADDITIONAL
COMPACTION REQUIREMENTS AND TESTING.
2. TRACER WIRE TO BE 12 AWG SOLID COPPER RATED FOR DIRECT BURY WITH MINIMUM 30 MIL
POLYETHYLENE INSULATION.
3. ALL SPLICES AND CONNECTIONS SHALL BE PROTECTED WITH DIRECT BURY CONNECTORS
EQUAL TO 3M DBR/Y-6 SPLICE KITS.
4. TRACER WIRE TO CONTINUE UNINTERRUPTED AROUND MANHOLES.
PIPE TRENCH 5
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GENERAL NOTES:
1. SEE 2710093SDV SHEET 2 FOR LEGEND, ABBREVIATIONS, AND
GENERAL NOTES.
BUILT -UPON AREA NOTES:
PROPERTY AREA FOR SITE DEVELOPMENT: 13.27 AC
BUILT —UPON AREA: 0.77 AC
% OF BUILT —UPON AREA: 5.83%
NOTE: A 1.6—AC AREA OF SUBSTATION PAD IS SURFACED WITH 6"
THICK #57 STONE AND IS NOT REQUIRED TO BE INCLUDED IN
THE "BUILT —UPON AREA" PER NCDEQ RULE N.C.G.S.
143-214.7(b2).
HATCH LEGEND:
:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•:•: PROPOSED SUBSTATION PAD
BUILT —UPON AREA
PERMANENT SEEDING NOTES:
1. REMOVE LOOSE ROCKS, ROOTS, CONSTRUCTION DEBRIS, GRAVEL,
AND OTHER OBSTRUCTIONS FROM THE SURFACE PRIOR TO
PLACEMENT OF TOPSOIL.
2. AREAS TO BE SEEDED SHALL BE RIPPED AND SPREAD WITH
TOPSOIL 3" DEEP. TOTAL SEEDBED PREPARED DEPTH SHALL BE
5" TO 6" DEEP.
3. TOPSOIL SHOULD BE NATURAL, FERTILE, AGRICULTURAL SOIL
CAPABLE OF SUSTAINING PLANT GROWTH. TOPSOIL SHALL BE
UNIFOR COMPOSITION THROUGHOUT, WITH ADMIXTURE OF SUBSOIL.
4. TOPSOIL SHALL BE FREE OF ROCK, CLUMPS, LIVE PLANTS,
ROOTS, AND OTHER DEBRIS. TOPSOIL SHALL NOT BE USED WHILE
FROZEN OR MUDDY.
5. TOPSOIL SHALL ADHERE TO MIX REQUIREMENTS IN TOPSOIL
COMPOSITION TABLE.
6. CONTRACTOR MAY PERFORM SOIL TESTS AND FOLLOW THE RESULT
RECOMMENDATIONS OR APPLY 2,000 LB/ACRE GROUND
AGRICULTURAL LIMESTONE AND 750 LB/ACRE 10-10-10
FERTILIZER.
7. IF TOP SOIL TEST IS PERFORMED, PROVIDE LIME AND FERTILIZER
ACCORDING TO REQUIREMENTS OF SOIL TEST REPORT.
8. REFERTILIZE IF GROWTH IS NOT FULLY ADEQUATE. RESEED,
REFERTILIZE, AND MULCH IMMEDIATELY FOLLOWING EROSION OR
OTHER DAMAGE.
9. LIME AND FERTILIZER SHALL BE APPLIED UNIFORMLY AND MIXED
WITH THE SOIL DURING SEEDBED PREPARATION.
10. SOW TALL FESCUE SEED ON FRESHLY PREPARED SOIL USING
ROTARY OR DROP —TYPE SPREADER. AREAS LARGER THAN 100 SF
SHALL BE SEEDED WITH A MINIMUM OF TWO PASSES. FOR AREAS
GREATER THAN 15 FT IN WIDTH, APPLY HALF THE SEED IN ONE
DIRECTION AND HALF AT A DIRECTION PERPENDICULAR TO THE
FIRST.
11. LIGHTLY COVER SEED BY HAND RAKING OR DRAGGING WITH MAT.
12. MULCH GRASS SEED WITH WEED —FREE SMALL GRAIN STRAW OR
HAY APPLIED AT RATE OF 2 TONS/ACRE. STABILIZE SMALL AREAS
OF MULCH BY ROLLING, WATERING, OR TACKING. MULCH TO BE
TACKED OR MECHANICALLY TIED DOWN WITHIN 2 DAYS AFTER
MULCH IS SPREAD.
TOP SOIL COMPOSITION:
COMPONENT
MIN. TOPSOIL COMPOSITION
MAX. TOPSOIL COMPOSITION
ACIDITY (pH)
5.5
7
CLAY
10%
35%
COMPOST / ORGANIC
5%
10%
SILT
30%
50%
COARSE SAND
30%
45%
0 100' 200'
Wn
SCALE IN FEET
ISSUED FOR
CONSTRUCTION
BURNS �Mc-DONNELL
December 17, 2020
Renee Gledhill -Earley
North Carolina State Historic Preservation Office
4617 Mail Service Center
Raleigh, NC 27699-4617
*Submitted via Email at Environmental.Review@ncdcr.gov
Re: Request for Review under Section 106
Duke Energy, Carolinas — Kerwin Circle Substation
Forsyth County, North Carolina
Dear Ms. Gledhill -Earley:
Burns & McDonnell was retained by Duke Energy, Carolinas (Duke) to provide environmental
permitting support for the Kerwin Circle Substation Project (Project) located in Forsyth County,
North Carolina (NC). The Project, which will result in impacts to waters of the U.S., will require
a Nationwide Permit No. 12 from the U.S. Army Corps of Engineers (USACE), Wilmington
District. The following information is being provided to the North Carolina State Historic
Preservation Office for review under the requirements of Section 106 of the National Historic
Preservation Act and the North Carolina General Statute 121-12(a). A Project location map and a
U.S. Geological Survey topographical map is included with this submittal as Appendix A.
Duke proposes to develop an approximately 3.25-acre area (Project Area) for the construction of
a new electrical substation and gravel access road near Kernersville, North Carolina. The Project
is located northwest of Kernersville, north of West Mountain Street, east of Old Hollow Road,
and is accessible from West Mountain Street.
The new access road will start at West Mountain Street and proceed approximately 1,378 feet to
the north where the proposed substation will be located. The Project Area consists of mainly
forested land in between commercial lands. Photographs of the Project are included in this
submittal in Appendix B. Review of the Project Area on SHPO's online GIS Mapping
Application (gis.ncdcr.gov/hpoweb/) showed that there were no known historic resources within
the project area.
As part of the Nationwide Permit No. 12 permit application process, we request your review of
historic and cultural resources within the Project Area.
If you have any questions regarding the proposed Project or the contents of this report, please
contact me at 804-223-1470 or by e-mail at pkmeier@burnsmcd.com at your convenience.
burnsmcd.com
BURNS �Mc-DONNELL
Ms. Renee Gledhill -Earley
State Historic Preservation Office
December 17, 2020
Page 2
Sincerely,
Patrick Meier
Wetland Specialist
Attachments:
Appendix A — Figures
Appendix B — Photograph Log
cc: Kevin Mason Duke Energy, Carolinas
Mengstab Gebremicael Burns & McDonnell
APPENDIX A - FIGURES
le
k
I NC 661
�,Q' Weather_Rit1]eRpaa %
Shaddd
G - -- o
e n
Clies.Une
Omnisource
9 Southeast
0
p
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i Elementary °y a Oiy'mpie
u - School °� LL Family
o� Rcaa�estaurant NC 66
�d\
c C74
_ •� T.alleys�rr.e^noil-- ave
Crossing
= East Forsyt0 L ,ornari Middle School ' € r _ a
LL N
NC 74o �°
Oakmont-
C Ic'. r't`s%S z o� -ASutte'�'d - �tGo�gtg
u ���9`� O %a oakmo - Timber Trails
CO,
fv1
u N
_ ' `nd o� 0117 -
'C'unberwood_�Tr/ 0 -
�IDI
m �j Qhard Road .
9 o
Iv
NC 74
k
Mill C 1
'_ ~ Re<JPnts.P_arrkl-Road
3 \\ — L
� e
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Y VA
?p 53A B Wellington P
�►o I Way' o a TN
<, 0� \ NC
BluffScho0 oaa
a I -` Q, GA SC
n Figure A-1
v NO TH General Vicinity Map
NBURMS
y Project LODMSQQNNE1_1. Kerwin Circle Substation
0 750 1,500 Duke Energy
Forsyth County, NC
Scale in Feet
ce: Esri, NCOne Map, Duke Energy, Burns & McDonnell
ri
1 I� -
* r o
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r �
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s � ` ■ ■ i
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i2 NC 66 = Project LOD NWI Wetland Type Figure A-2
NO TH NWI, NHD, and
2 — NHD stream Pss NBURNS Topographic Map
+ PFO '�RMSDONNEU-- Kerwin Circle Substation
PUB 0 375 750
Riverine Duke Energy
n
Scale in Feet Forsyth County, NC
ce: Esri, NCOne Map, FWS NWI, USGS NHD, Duke Energy, Burns & McDonnell
APPENDIX B - PHOTOGRAPH LOG
Photograph C-1: Open water feature in northwest portion of property; Structure shown
in background is recreational from a private landowner located offsite; Facing north.
Photograph C-2: Stream channel and adjacent forested upland along western side of
property; Facing south.
Duke Energy Carolinas, LLC I ♦ BURNS I February 2020
Kerwin Circle Substation `ME-DONNELL Forsyth County, North Carolina
Photograph C-3: Bottom land wetland in western portion of property; Facing east.
'ice
� -tea,' IM__�:i.�•��hS�_.
Photograph CA Stream channel and adjacent forested upland near center of property;
Facing northeast.
Duke Energy Carolinas, LLC I ♦ BURNS I February 2020
Kerwin Circle Substation `ME-DONNELL Forsyth County, North Carolina
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PERMANENT IMPACT:
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a 2 `MSDONNELL" Duke Energy
Q Permanent Impact 0 100 200
r .W U) Delineated Stream Forsyth County, NC
a- U) = Scale in Feet
Source: Esri, NCOne Map, Duke Energy, Burns & McDonnell
ID#* 20201860
Version* 1
Regional Office * Winston-Salem Regional Office - (336) 776-9800
Reviewer List* Sue Homewood
Pre -Filing Meeting Request submitted 12/2/2020
Contact Name* Patrick Meier
Contact Email Address* pkmeier@burnsmcd.com
Project Name* Kerwin Circle Substation
Project Owner* Duke Energy Carolinas, LLC
Project County* Forsyth
Owner Address: Street Address
526 South Church Street
Address Line 2
EC08Q
aty State / Province / Region
Charlotte North Carolina
Postal / Zip axle Country
28202 United States
Is this a transportation project?* r Yes r No
Type(s) of approval sought from the DWR:
F 401 Water Quality Certification - W 401 Water Quality Certification -
Regular Express
F- Individual Permit F- Modification
F Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes (-- 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.*
The Kerwin Circle Substation Project will involve civil site preparation
for the construction of a new substation and earthen -gravel access
road. Activities will include clearing, filling, grading, storm drain
installation, and installation of a culvert crossing for the access road.
Please give a couple of dates you are available for a meeting.
12/14/2020
12/15/2020
12/16/2020
1 /4/2021
1 /5/2021
Please attach the documentation you would like to have the meeting about.
KerwinCircle_FigureSet_20201130.pdf 6.78MB
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
1 understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
1 also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature
Submittal Date 12/2/2020