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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: 13 or General Permit (GP) number:
1 c. 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 DWO 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: Fieldstream Bank Stabilization Project
2b. County: Wilson
2c. Nearest municipality /town: Wilson
2d. Subdivision name: Fieldstream
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
~
3a. Name(s) on Recorded Deed: ~~ '"
D~ ~-- ~~
3b. Deed Book and Page No. ~'°~°°°•-~ -----~ ~---~- -..:.__
3c. Responsible Party (for LLC if
applicable): ti/ ~,, .~,
f;~ ~ I„ ~` :' ,:. i~ t 1 '
3d. Street address: ~°-°--°w--~
3e. City, state, zip: °~°- ~n '-~_,y,;;r'~~~ec~ fir~rtctr
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
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: City of Wilson
4b. Name: Mr. Bryan Spell
4c. Business name
(if applicable): City of Wilson Stormwater Division
4d. Street address: 1800 Herring Ave.
4e. City, state, zip: Wilson, NC 27893
4f. Telephone no.: 252-205-4589
4g. Fax no.: 252-399-2453
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 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): 3713-85-6675.000 & 3713-85-7751.000
1 b. Site coordinates (in decimal degrees): Latitude: -77.926 Longitude: - 35.767
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: .65 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to UT to Toisnot Swamp
proposed project:
2b. Water Quality Classification of nearest receiving water: NSW WSIII-P
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:
Single Family residential, stream in back of yard. Manicured lawns up to stream. Fences and garage located in back yard
parallel to creek.Houses built in 1980's, Yards are manicured up to top of bank., One garage is appox. Eft from top of
bank and the other garage is approximately 20 linear feet from top of bank.
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:
approximately 200 linear feet
3d. Explain the purpose of the proposed project:
protecting existing structures by taking eroded banks that are currently at 1:1 and slope back from existing top of
bankfull bench and acheive a 3:1 slope.
3e. Describe the overall project in detail, including the type of equipment to be used:
the City of Wilson will use a small mini ex and gradeall to slope bank from the top of bankfull bench 9 to 12 feet back
landward to achieve a 3:1 slope where the existing banks are eroded to a 1:1.After the grading has been completed the
area will be fertilized and seeded with grasses and wetland seed mix and then matted with a straw and coconut fiber
matting.There is an existing ditch that ties into the subject stream and a rip rap scour hole will be placed just before the
main stream to help with the settling of any sediment coming into the stream and to help reduce the erosion at the end of
this existing ditch.
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: Stream is perennial
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.
N/A
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.
Page 3 of 11
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.
Page 4 of 11
PCN Form -Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1a. 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
W 1 ^ 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: No wetlands will be impacted for there are no adjacent wetlands within proposed construction limit
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
sW
(I
Permanent (P) or interm ttent
DWQ -non-404, dth near
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: No work to be done in the stream.
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.
Open water
impact number
- Permanent
(P) or
Tem ora T 4b.
Name of waterbody
(if applicable) 4c.

Type of impact 4d.

Waterbody type 4e.

Area of impact (acres)
01 ^P^T
02 ^P^T
03 ^P^T
04 ^P^T
4f. Total open water impacts
4g. Comments: N/A
5. Pond or Lake Construction
If and or lake construction ro osed, then com lete the chart below.
5a.

Pond ID 5b.

Proposed use or purpose of 5c.
Wetland Impacts (acres) 5d.
Stream Impacts (feet) 5e.
Upland
(acres)
number pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
Sf. Total
5g. Comments: N/A
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 6 of 11
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 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 for Buffer Zone 1 impact Zone 2 impact
Permanent (P) impact Stream name mitigation (square feet) (square feet)
or Temporary required?
T
bank
stabilization
B1 ^ P ®T and
protection UT to Toisonot Swamp ^Yes
®No 2160
of existing
structures.
B2 ^P^T ^Yes
^ No
B3 ^P^T ^Yes
^ No
6h. Total buffer impacts 2160
6i. Comments: The 2160 sq. ft. is an estimated temporary impact. This is worst case scenario.More than likely it will not be
that much.
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.
Not taking the entire bank back, just from the top of the bankfull bench back. There is a difference of Oft. from orginal ground
elevation to the top of the bankfull bench currently.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
even though we will not be working in the stream we will be pumping around and using erosion control burp's while doing the
work, just to prevent any turbidity or other temporary impacts to the waters of the state..
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 project? ^ 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
Page 7 of 11
PCN Form -Version 1.3 December 10, 2008 Version

3c. Comments: n/a
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: n/a
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: n/a
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
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.
Comments: There is no direct discharge proposed to enter into the riparian buffer it ^Yes ®No
will continue to be diffuse flow as it is now. Except for the existing ditch entering the
stream.
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? N/A
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 impervious is being added nor does
any of the work increase over the limits requiring a stormwater management plan.
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? City of Wilson
^ 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? ARC Gis for the City of Wilson Layers
~~3/~ ~
Applicant/Agent's Printed Name Applicant/ ent's Signature
` Date
(Agent's sig re is valid only i
authorization letter from the applicant
is rovided.)
Page 11 of 11
PCN Form -Version 1.3 December 10, 2008 Version

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4~ i ; M
. @~ th