20110267 Ver 1_401 Application_20110311

'ISAACS`s
CIVIL ENGINEERING DESIGN & LAND SURVEYING C
8720 RED OAK BOULEVARD, STF. 420
CHARLOTTE, N.C. 28217
PHONE [phone] FAX [phone]
TO NCDENR-DWQ
512 N. Salisbury Street
Raleigh, NC 27604
Archdale Bldg, 6th and 9th floor
WE ARE SENDING YOU ? Attached
? Shop drawings ? Prints
? copy of letter ? Disk
2()110267
LETTER OF TRANSMITTAL
DATE: 3/22/2011 JOB NUMBER:
ATTENTION: Ian McMillan
RE: Thompson Road Force Main
Mint Hill, North Carolina
? Under Separate cover via
? Plans
COPIES DATE NO. DESCRIPTION
5 PCN applications with supporting drawings/documents
(one original signature, 4 copies)
THESE ARE TRANSMITTED as checked below:
For approval ? Approved and submitted ? Resubmit
? For your use ? Approved as noted ? Submit
? As requested ? Returned for corrections ? Return
? For review and comment ?
copies for approval
copies for distribution
corrected prints
REMARKS
Ian, Per the direction of Alan Johnson in Mooresville, the enclosed PCN packages have been submitted to
your attention for review and approval. This PCN is for the permission to relocate a previously approved force
main to the opposite side of the road and in doing so, impact the buffer that was not present during the original
force main design. I have had much corresp. with Alan and Rob Krebs in Mooresville regarding this matter and
they have directed me to proceed with this submission. Please feel free to contact them or myself should you
have any questions. Thank you.
L9
MAR 2 ,3 2011
? Applications
the following items:
? Specifications
COPY TO SIGNED Brent Cowan
of WATF9
\O,, qG Office Use Only:
Corps action ID no.
o < 20 1 10 26 T 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:
El Section 404 Permit ? Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number:
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
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: Siena Subdivision - Thompson Road Force Main
2b. County: Mecklenburg
2c. Nearest municipality / town: Mint Hill
2d. Subdivision name: Siena

2e.
NCDOT only, T.I.P. or state
project no:
N/A NZ/ L__J L4 W
3. Owner Information (1/?AR
3a. Name(s) on Recorded Deed: Moritz Properties, LLC
meulb
3b. Deed Book and Page No. 25615-982 w olown & ftwww pmn
3c. Responsible Party (for LLC if

applicable):
Mr. Keith Paris
3d. Street address: 1111 Metropolitan Ave., Ste. 775
3e. City, state, zip: Charlotte, NC 28204
3f. Telephone no.: 704-373-9996
3g. Fax no.: 704-373-1117
3h. Email address: [e-mail]
Page 1 of 11
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: Anthony Brent Cowan, P.E.
5b. Business name
(if applicable): The Isaacs Group, P.C.
5c. Street address: 8720 Red Oak Blvd., Ste. 420
5d. City, state, zip: Charlotte, NC 28217
5e. Telephone no.: 704-227-9402
5f. Fax no.: 704-227-9403 or 704-527-8335
5g. Email address: [e-mail]
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 195-09-115
1 b. Site coordinates (in decimal degrees): Latitude: 35.09136 Longitude: - 80.38418
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 59.74 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Stevens Creek Tributary (Index 13-17-18-1)
proposed project:
2b. Water Quality Classification of nearest receiving water: C
2c. River basin: Yadkin
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:
Existing SF residential development with partially constructed force main. Project is to complete force main down
Thompson Road. This road is maintained by Mint Hill and is rural with ditched strees and widely spaced residences.
3b. List the total estimated acreage of all existing wetlands on the property:
N/A
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
+/- 60 I.f. at the Thompson Road - Stevens Creek Tributary crossing. This crossing is via exist. 84"/96" culverts.
3d. Explain the purpose of the proposed project:
To complete a 3" sanitary sewer force main from Oxer Road to Bexley Place
3e. Describe the overall project in detail, including the type of equipment to be used:
The Siena Development is an existing 49 lot single family residential subdivision located off Lawyers Road in Mint Hill, North
Carolina. The development was designed and permitted by Fred Gore with Civiltek Associates, and all roadways and
infrastructure has been completed with the exception of the completion of a 3" sanitary sewer force main.
Sewer permit WQ0031604 was issued by NCDENR-DWQ on April 16, 2007 for the construction of gravity sewer, a pump
station and a force main to serve 49 single family lots. Before the project stalled due to the economy, approximately
1,750 l.f. of 3" force main was constructed and then left incomplete.
The proposed 3" force main to be constructed will be installed via convential trenching using a Cat 305.5 Mini Excavator
for the portion to be trenched. No impact to Stevens Creek Tributary is proposed.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property
/

? Yes ? No ® Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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.
404 / 401 Permit issued 01 /22/2006.
Sewer Permit WO0031604 issued on 04/16/2007
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Construction of force main completion will be done at one time and will not be phased.
Page 4 of 11
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)
Temporary T
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 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ? P ? T ? 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
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
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWO)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ? Tar-Pamlico ® Other: Yadkin
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?
131 ®P ? T utility
install Stevens Creek Tributary ® Nos 2,007
B2 ®P ? T utility
install Stevens Creek Tributary ® Nos 2,019
B3 ? P ? T ? Yes
? No
6h. Total buffer impacts 4,026
6i. Comments:
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The force main creek crossing will remain in road sholder above existing culvert, therefore no creek impact.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The 10' wide area cleared will be the minimal that will allow installation. Little disturbance will occur as the depth of the force
main is 3 feet and the trench width will be small (+/-18" wide). Stockpiled dirt will be contained in silt fence and the trenches
will be filled in, seeded and covered with straw at the end of each work day.
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 DWO
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 DWO)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified ? Yes ? No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
? Yes ? No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 0%
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: no imperviousness proposed
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 government's jurisdiction is this project? Charlotte-Mecklenburg
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
® Other: Goose Creek
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWO Stormwater Program Review
? Coastal counties

4a.
Which of the following state-implemented stormwater management programs apply ? HQW
? ORW
(check all that apply):
? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
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.
The proposed sewer force main will discharge into a gravity sewer manhole located in Bexley Place. The effluent from
the force main will be treated by an existing waste water treatment plant known as the "Oxford Glen WWTP" (NC0063584).
This WWTP is owned and operated by Aqua North Carolina.
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
habitat? Y
? es No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts? ? Yes ? No
5c. If yes, indicate the USFWS Field Office you have contacted. ? Raleigh
? 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
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
? Yes ? No
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 100-year floodplain? ® Yes ? No
8b. If yes, explain how project meets FEMA requirements: No fill is proposed w/in FEMA regulated floodplain
8c. What source(s) did you use to make the floodplain determination? FEMA Flood Maps
Keith Paris
Applicant/Agent's Printed Name Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided.) Date
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version
THOMPSON ROAD PUMP STATION
USGS MAP
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THOMPSON ROAD PUMP STATION
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