20110149 Ver 1_401 Application_20110211

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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
A. A licant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
^ Section 404 Permit ^ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 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
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ^ Yes ®No
2. Project Information
2a. Name of project: Footbridge '~--•-_.
2b. County: Wake ~' '~~----
2c. Nearest municipality /town: Fuquay-Varina °''~-~-a- _.,~~
2d. Subdivision name: FE~~
2e. NCDOT only, T.I.P. or state
project no:
~NR _
3. Owner Information a '~
3a. Name(s) on Recorded Deed: Ashworth, Stephanie S, Trustee
3b. Deed Book and Page No. 10699 0085
3c. Responsible Party (for LLC if
applicable): Stephanie S Ashworth
3d. Street address: 6421 Johnson Pond Rd.
3e. City, state, zip: Fuquay-Varina, NC 27526
3f. Telephone no.: 919) 244-6216
3g. Fax no.: 919) 577-0165
3h. Email address: [e-mail]
Page 1 of 11
PCN Form -Version 1.3 December 10, 2008 Version
-~S

4. Applicant Information (if different from owner)
4a. Applicant is: ^ Agent ®Other, specify: Builder
4b. Name: James B. Spinelli
4c. Business name
(if applicable): Woodwright Design and Build
4d. Street address: 809 Durango Ct.
4e. City, state, zip: Fuquay-Varina, NC 27526
4f. Telephone no.: 919) 427-3617
4g. Fax no.:
4h. Email address: [e-mail]
5. Agent/Consultantlnformation (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 2 of 11
PCN Form -Version 1.3 December 10, 2008 Version
-1$5

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 0677268536
Latitude: 35.363290 Longitude: -
1 b. Site coordinates (in decimal degrees): 78.451524
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 4.15 acres
2. Surt'ace Waters
2a. Name of nearest body of water (stream, river, etc.) to U
T
to Terrible Creek
proposed project: .
.
2b. Water Quality Classification of nearest receiving water: C NSW
2c. River basin: Neuse
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 creek is flowing through a spillway at the outlet of a one acre pond. The pond is formed by a levee. The levee and
southern shore of the pond is wooded with maintained grass and mulched pathways. The far shoreline is wooded and
returning to a natural state.
3b. List the total estimated acreage of all existing wetlands on the property:
Less than one acre.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
900 ft.
3d. Explain the purpose of the proposed project:
To provide access
3e. Describe the overall project in detail, including the type of equipment to be used:
A 12' long x 6' wide footbridge will be constructed using typical deck construction materials, techniques and tools.
Excavation for the footings and all grading will be done by hand.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ®Yes ^ No ^ Unknown
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: DWQ
Name (if known): Martin Richmond Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
DWQ January 25, 2011
5. Project History
5a. Have permits or certifications been requested or obtained for ^Yes ®No ^ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file° instructions.
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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.
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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
^ 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)
Tem ora T
^ Yes ^ Corps
W1 ^ P ^ T ^ No ^DWQ
W2 ^ P ^ T ^ Yes ^ Corps
^ No ^DWQ
^ Yes ^ Corps
W3 ^ P ^ T ^ No ^DWQ
^ Yes ^ Corps
W4 ^ P ^ T ^ No ^DWQ
W5 ^ P ^ T ^ Yes ^ Corps
^ No ^DWQ
W6 ^ P ^ T ^ Yes ^ Corps
^ No ^ DWO
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 ^ 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
3i. Comments:
Page 5 of 11
PCN Form -Version 1.3 December 10, 2008 Version
~S

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
Tem ora T
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 ro osed, then com lete 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
Sf. 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 im acts re uire miti ation, then ou 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)
Tem ora T im act re uired?
B1 ®P ^ T Bridge U.~. 1io Terrible Creek ^Yes 0 1500
® No
B2 ^P^T ^Yes
^ No
B3 ^P^T ^Yes
^ No
6h. Total buffer impacts 0 1500
6i. Comments: Buffer on one side of bridge is a levee covered with non woody vegetation maintained by mowing.
Page 6 of 11
PCN Form -Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Bridge is small, 12'x 6'. Bridge location requires disturbing the buffer on only one side of the bridge.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Bridge and foot trail will be built using hand tools or hand operated power tools only.
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? ^ Yes ®No
2b. If yes, mitigation is required by (check all that apply): ^DWQ ^ Corps

2c. If yes, which mitigation option will be used for this
project? ^ Mitigation bank

^ Payment to in-lieu fee program
^ 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.
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
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: Small scale of project.
2. Stormwater Mana ement 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: The project will generate virtually no
storm water run-off.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, na rrative 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 government's jurisdiction is this project?
^ 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 Pro ram 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
5b. Have all of the 401 Unit submittal requirements been met? ^Yes ^ No
Page 9 of 11
PCN Form -Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (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
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.
Page 10 of 11
PCN Form -Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ^ Yes ^ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ^ Yes ^ No
impacts?
^ 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?
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?
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?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in aFEMA-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?
'~~ Februa
7
James Spinelli ~
~.--~ ry
,
2011
Applicant/Agent's Printed Name pplicant/Agent's Signature
' Date
(Agent
s ure is valid only if an authorization letter from the applicant
is rovided.
Page 11 of 11
PCN Form -Version 1.3 December 10, 2008 Version

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vocation of tootbridge and trail through buffer
0 70 140 280 Feet
Field Value
PIN 067726n536
Real Estate ID 0071700
Map Name 067701
Owner ASHWORTH,
STEPHANIE S
TRUSTEE
Mailing Address 1 6421 JOHNSON
POND RD
Mailing Address 2 FUQUAY VARINA
NC 27526-8446
Mailing Address 3
Deed Book 10699
Deed Page 0085
Deed Date 03/05/2004
Deeded Acreage 4.15
Assessed Building
Value $0.00
Assessed Land Value $157,700.00
Total Assessed Value $157,700.00
Billing Class INDIVIDUAL
Property Description PROP OF THOMAS
E TURNER
Heated Area
Site Address 0 JOHNSON POND
RD
Ciry
Township MIDDLE CREEK
Year Buift 0
Total Sale Price $22,000.00
Sale Date 3/22/1983 12:00:00
AM
Type and Use
Design Style
Land Class VACANT
Old Parcel Number 822-00000-0030
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