20110561 Ver 1_More Info Received_20110627

NORTH C A R O L I N A
Hlyh Performance Llvlny
CITY OF CONCORD
ENGINEERING DEPARTMENT
850 WARREN C. COLEMAN BLVD.
P. O. BOX 308
CONCORD, NC 28026-0308
TO NCDENR
DIVISION OF WATER QUALITY
4011WETLANDS UNIT
1650 MAIL SERVICE CENTER
RALEIGH, NC 27699-1650
TRANSMITTAL 06.27.11
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RE. GLEN LAUREL TO ZION CHURCH RD SEWER UPSIZING
Please accept the attached revised page 1 of the PCN Form for the above-referenced project, for which we
recently submitted an application for proposed stream impacts. I will forward a copy of this transmittal to
Mr. Alan Johnson in the Mooresville Regional Office.
I am also forwarding a copy of the original application package with the corrected page to Mr. Steve
Kichefski of the Asheville Regulatory Field Office of the US Army Corps of Engineers.
Should you have any questions, please contact our office at any time.
CITY OF CONCORD
JA'E CHURCHWELL, El
PROJECT ENGINEER
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PC Form
A. Applicant 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: 12 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
Id. 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
le. 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. El Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. if yes, answer 1 h
below. ? Yes ® No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ®No
2. Project Information
2a. Name of project: GLEN LAUREL TO ZION CHURCH RD SEWER UPSIZING
2b. County: CABARRUS
2c. Nearest municipality /town: CONCORD
2d. Subdivision name: GLEN LAUREL OUTFALL
2e. NCDOT only, T.LP. or state
project no: N/A
3. Owner Information
3a. Name(s) on Recorded Deed: CITY OF CONCORD UTILITY R/W
3b. Deed Book and Page No. SEE ATTACHED, EXISTING RANs IN PLACE, PROPOSED R/Ws IN ACQUISITION
3c. Responsible Party (for LLC If
applicable): CITY OF CONCORD
3d. Street address: 26 UNION ST, P 0 BOX 308
3e. City, state, zip: CONCORD, NC 28026-0308
3f. Telephone no.: 704.920.5425
3g. Fax no.: 704.786.4521
3h. Email address: -ettarehvvettj . mo. dncgov-- CLt V- C0YA CDra n C . D V
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66, Page 1 of 11
PCN Form -- Version 1.3 December 10, 2008 Version