HomeMy WebLinkAbout20110994 Ver 1_401 Application_20111109 o�oF WArFRpG Office Use Only
� � � r 2 O 1 Corps action ID no
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Form Version 1 3 Dec 10 2008
Pre-Construchon Noti�ication PC Form
A A licant Information
1 Processing
1a 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
1c Has the NWP or GP number been venfied 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 � Ripanan Buffer Authonzation
1 e Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit
because written approval is not required� Certification
�Yes ❑ No ❑Yes ❑ No
1f Is payment into a mitigation bank or in lieu fee program proposed for mitigation �Yes � No
of impacts� If so attach the acceptance letter from mitigation bank or m lieu
fee program
1 g Is the pro�ect located in any of NC s twenty coastal counties If yes answer 1 h ❑Yes � No
below
1 h Is the pro�ect located within a NC DCM Area of Environmental Concern(AEC)? ❑Yes � No
2 Pro�ect Information
2a Name of pro�ect Bolin Creek Greenway Stairs at Franklin Street
2b County Orange
2c Nearest murncipality/town Chapel Hdl
2d Subdivision name
2e NCDOT only T I P or state
pro�ect no
3 Owner Information
3a Name(s)on Recorded Deed David Allen LLC
3b Deed Book and Page No 4633/316
3c Responsible Party(for LLC if David Allen
applicable)
3d Street address 1305 East Franklm Street
3e City state zip Chapel Hdl NC 27514 3308
3f Telephone no 919 933 1324
3g Fax no �
3h Emad address
Page 1 of 10
PCN Form—Version 1 3 December 10 2008 Version
4 Appllcant Information (if different from owner)
4a Applicant is ❑Agent � Other specify Town of Chapel Hill
4b Name Bdl Webster
4c Business name Town of Chapel Hill
(if applicable)
4d Street address 405 Martm Luther King Jr Blvd
4e City state zip Chapel Hdl NC 27514
4f Telephone no 919 968 2743
4g Fax no 919 967 8406
4h Emad address bwebster@townofchapelhdl org
5 Agent/Consultant Informatlon (if applicable)
5a Name Michael Craig
5b Business name WSP SELLS
(if applicable)
5c Street address 15401 Weston Parkway
5d City state zip Cary NC 27513
5e Telephone no 919 678 0035
5f Fax no 919 678 0206
5g Emad address michael craig@wspsells com
Page 2 of 10
PCN Form—Version 1 3 December 10 2008 Version
B Pro�ect Information and Prior Pro�ect History
1 Property Identification
1a Property identification no (tax PIN or parcel ID) 9789923488
1 b Site coordmates(in decimal degrees) Latitude 35 9275 Longitude 79 3333
(DD DDDDDD) (DD DDDDDD)
1 c Property size 39 acres
2 Surface Waters
2a Name of nearest body of water(stream river etc)to golin Creek
proposed pro�ect
2b Water Quality Classification of nearest receiving water WSIV NSW
2c River basin Cape Fear
3 Pro�ect Descrlptfon
3a Describe the existing conditions on the site and the general land use in the vicirnty of the pro�ect at the time of this
application
Commercial restaurant on site Sunrise Biscuit tGtchen Pro�ect is on slope protection along the side of the bridge and
along existing greenway
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 perenrnal)on the property
N/A
3d Explain the purpose of the proposed pro�ect
Connect Franklin Street to existmg Bolin Creek Greenway and maintenance of existing greenway
3e Descnbe the overall pro�ect in detail including the type of equipment to be used
Reinforced concrete stairs 10 feet wide small back hoe
4 Jurisdictional Determinations
4a Have�urisdictional wetland or stream determmations by the
Corps or State been requested or obtamed for this property/ �Yes ❑ No � Unknown
pro�ect(including all prior phases)in the past�
Comments
4b If the Corps made the�urisdictional determination what type � Preliminary ❑ Final
of determination was made�
4c If yes who delineated the�urisdictional areas� Agency/Consultant Company
Name(if known) Other
4d if yes list the dates of the Corps�urisdictional determinations or State determinations and attach documentation
5 ProJect History
5a Have permits or certifications been requested or obtamed for �Yes ❑ No � Unknown
this pro�ect(including all prior phases)in the past�
5b If yes explain in detail accordmg to help file instructions
6 Future Project Plans
6a Is this a phased pro�ect� ❑Yes � No
6b If yes explain
Page 3 of 10
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 pro�ect(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�urisdiction
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
W1 ❑ P 0 T N/A ❑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 0
2h Comments
3 Stream Impacts
If there are perenrnal or intermittent stream impacts(mcluding 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 Perenrnal Type of�unsdiction Average Impact
number (PER)or (Corps 404 10 stream length
Permanent(P)or intermittent DWQ—non 404 width (linear
Temporary(T) (IN"�? other) (feet) feet)
S1 ❑ P❑T N/A ❑ PER ❑Corps
❑ INT ❑ DWQ
S2 ❑ P 0 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 4 of 10
PCN Form—Version 1 3 December 10 2008 Version
4 Open Water Impacts
If there are proposed impacts to lakes ponds estuaries tnbutaries 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
01 ❑ P❑T N/A
02 ❑ P�T
03 ❑ P❑T
04 ❑ P❑T
4f Total open water impacts
4g Comments
5 Pond or Lake Constructlon
If ond 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 N/A
P2
5f Total
5g Comments
5h Is a dam high hazard permit reqwred�
❑Yes ❑ No If yes permit ID no
5i Expected pond surface area(acres)
5� Size of pond watershed (acres)
5k Method of construction
Page 5 of 10
PCN Form—Version 1 3 December 10 2008 Version
6 Buffer Impacts (for DWQ)
If pro�ect wdl impact a protected ripanan buffer then complete the chart below If yes then individually list all buffer impacts
below If an im acts re wre miti ation then ou MUST fill out Section D of this form
6a
❑ Neuse ❑Tar Pamlico � Other
Pro�ect is in which protected basm� ❑ 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�
Stairs ❑Yes
61 � P ❑T in Bolin Creek � No 400
Buffer
B2 ❑ P ❑T ❑Yes
❑ No
B3 ❑ P ❑T ❑Yes
� ❑ No
6h Total buffer impacts 400
6i Comments
D Impact Justification and Mitigation
1 Avoidance and Minimization
1a Specifically descnbe measures taken to avoid or mirnmize the proposed impacts in designing pro�ect
Mirnmized stair width
1 b Specifically descnbe measures taken to avoid or mmimize the proposed impacts through construction techniques
Installation of dirt bags to collect sdt from stormwater
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the pro�ect require Compensatory Mitigation for ❑Yes � No
impacts to Waters of the U S or Waters of the State�
2b If yes mrtigation�s requ�red by(check all that apply) ❑ DWQ ❑ Corps
❑ Mitigation bank
2c If yes which mitigation option wdl be used for this � payment to in lieu fee program
pro�ect�
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank N/A
3b Credits Purchased (attach receipt and letter) Type Quantity
Page 6 of 10
PCN Form—Version 1 3 December 10 2008 Version
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 usmg stream mitigation stream temperature ❑warm ❑ cool ❑cold
4d Buffer mitigation requested (DWQ only) square feet
4e Ripanan wetland mitigation requested acres
4f Non ripanan wetland mitigation requested acres
4g Coastal (tidal)wetland mitigation requested acres
4h Comments
5 Complete if Using a Permittee Responsible Mltigation Plan
5a If using a permittee responsible mitigation plan provide a descnption of the proposed mitigation plan
6 Buffer Mitigation (State Regulated Riparian Buffer Rules)—required by DWQ
6a Wdl the pro�ect result m an impact within a protected riparian buffer that requires ❑Yes � No
buffer mitigation�
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
6c 6d 6e
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (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 pnvate mitigation bank
permittee responsible npanan buffer restoration payment mto an approved in lieu fee fund)
6h Comments
Page 7 of 10
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 pro�ect include or is it ad�acent to protected ripanan buffers identified �Yes ❑ No
within one of the NC Ripanan Buffer Protection Rules�
1 b If yes then is a diffuse flow plan included� If no explain why
Comments Pro�ect is to add stairs and perform maintenance on existing greenway ❑Yes � No
No new impervious area or dramage pipe is proposed
2 Stormwater Mana ement Plan
2a What is the overall percent imperwousness of this pro�ect� 0%
2b Does this pro�ect require a Stormwater Management Plan? ❑Yes � No
2c If this pro�ect DOES NOT require a Stormwater Management Plan explain why The pro�ect wdl result in no new
impervious area
2d if this pro�ect DOES require a Stormwater Management Plan then provide a bnef narrative descnption of the plan
N/A
❑ Certified Local Government
2e Who wdl be responsible for the review of the Stormwater Management Plan� ❑ DWQ Stormwater Program
❑ DWQ 401 Urnt
3 Certified Local Government Stormwater Review
3a In which local government s�urisdiction is this pro�ect� Town of Chapel Hdl
❑ Phase II
3b Which of the foilowing locally implemented stormwater management programs � NSW
apply(check all that apply) ❑ USMP
�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
❑ HQW
4a Which of the following state implemented stormwater management programs apply � 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 Urnt submittal requirements been met� ❑Yes ❑ No
Page 8 of 10
PCN Form—Version 1 3 December 10 2008 Version
F Supplementary Information
1 Environmental Documentation(DWQ R quirement)
1a Does the pro�ect mvolve 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 pro�ect require preparation of an
environmental document pursuant to the requirements of the National or State ❑Yes � No
(North Carolina)Environmental Policy Act(NEPA/SEPA)?
1c If you answered yes to the above has the document review been finalized by the
State Cleanng House� (If so attach a copy of the NEPA or SEPA final approval
letter) ❑Yes ❑ No
Comments
2 Violations(DWQ Requtrement)
2a Is the site in violation of DWQ Wetland Rules(15A NCAC 2H 0500) Isolated
Wetland Rules(15A NCAC 2H 1300) DWQ Surtace 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 Wdl this pro�ect(based on past and reasonably anticipated future impacts) result m �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 Reqwrement)
4a Clearly detail the ultimate treatment methods and disposition (non discharge or discharge)of wastewater generated from
the proposed pro�ect or avadable capacity of the sub�ect facility
N/A
Page 9 of 10
PCN Form—Version 1 3 December 10 2008 Version
5 Endangered Species and Deslgnated Critical Habftat(Corps Requirement)
5a Wdl this pro�ect 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 USFVIIS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Cntical
Habitat�
A field visit of the small area did not give an indication that there are endangered species present
6 Essential Fish Hab�tat(Corps Requtrement)
6a Will this pro�ect 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 Wdl this pro�ect 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 Deslgnation (Corps Requlrement)
Sa Wdl this pro�ect occur in a FEMA designated 100 year floodplain� �Yes ❑ No
8b If yes explam how pro�ect meets FEMA requirements There is no proposed fill in the floodplam
8c What source(s)did you use to make the floodplam determination�NCfloodmaps com
Applicant/Agents Printed Name Applicant/Agents Signature Date
(Agent s signature is valid only if an authonzation letter from the applicant
is rovided
Page 10 of 10
PCN Form—Version 1 3 December 10 2008 Version
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