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HomeMy WebLinkAbout20111037 Ver 1_401 Application_20111129 � � 1 1 1 0 3 7 � ,�l GI,EN V�ALI�ER P � � �,) � 323 25� AVENUE NW ` HICKORY N C 28601 CNIL ENGINEERING STRUCTURAL ENGINEERING PHONE 828 381 4486 SITE PLANNING FAX 828 327 3188 CONSTRUCTION CONSULTANT gew1024@embarqma►1 com � ���ad� D ��,�4,�� NOV 2 9 Z011 DENR WATER pUALITY NC DWQ 401/WETLANDS UMT ���5��STORMWqTER gF��H ,�` , 1650 MAIL SERVICE CENTER �.��� GaR �� RALEIGH N C 27699 1650 � G��S`JC 9 ��'i RE RIVER BANK RESTRATION @ = � S��`� ` LINVILLE RIVER � d �'� � � � � � GRANDFATHER COUN1`RY CLUB � F �� E � � LINVILLE N C 28646 '��� �� � �� �,�``. ATTN PLAN REVIEWER TO WHOM IT MAY CONCERN ENCLOSED ARE FIVE COPIES OF MY PCN FORM AND PLANS FOR YOUR APPROVAL OF OUR REQUEST TO RESTORE THE BANKS OK THE RIVER AT THE SHOWN LOCATIONS IF YOU SHOULD HAVE ANY QUESTIONS PLEASE GIVE ME A CALL THANK YOU GLEN WALKER,P E 2 0 ? 1 1 0 3 7 O��F W ATF9OG Office Use Only t e > � Corps acqon ID no � e,e p ° '� DWQ pro�ect no Form Version 1 4 January 2009 Pre-Construct�on Not�ficat�on (PCN) Form A Applicant Information 1 Process�ng 1 a Type(sj of approval sought trom the Corps � Section 404 Permit ❑ Sec�on 10 PeRnd 1 b Specify NaUonvinde Permit(NWP)number � or General Perm►t(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(chedc all that apply) L7 401 Water Quality Certificafion-Regular ❑ Non-404 Junsdichonat General Permd ❑ 401 Water Quality CertficaUon-Express ❑ Ripanan Buffer Authonzafion 1 e Is this notfication soiely for the record For the record onix for DWQ For the record only for Corps Permd because wrrtten approvai�s not required? 40i Cerhfica�on ❑Yes �o ❑Yes �o 1f is payment into a mfigabon bank or m-lieu fee program proposed for mfigaUon of impacts� If so attach the acceptance letter from m�ga�on bank ❑ Yes No or m lieu fee program 1 g is the pro�ect located�n any of NC s twenty coastai counhes If yes answer 1 h � Yes lo below 1 h Is the pro�ect located uvithm a NC DCM Area of Environmental Concem(AEC)� ❑Yes o 2 Pro�ect Informat�on 2a Name of pro�ed. L, ���� L �/,�+ �j�,�.9 S 2b County �� 2c Nearest municipality/town �� �/j�`�s 2d Subdroision name �2P�� �"' �OL-R � � �.v 2e NCDOT only T i P or state proJect no I�.� 3 Owner Infortnat�on 3a Name(s)on Recorded Deed �, 3b Deed Book and Page No ~ � 3c Responsible Party(for LLC if D applicable) ��« �t-�1'�� 3d Street address �j 2 /,��p�6�y /1��i,CO 3e Crty state zip Z�(� 3f Telephone no �Z.�S � �� - ,_r-?�� TERgRqNCH 3g Fa�c no �Z,�'S � �f�� -► 'J'�� 3h Emad address Z �a"�-Q N � tro �1 iJG p Page 1 of 10 PCN Form-Version 1 4 January 2009 4 Applicant Intormabon(�f drfferent firom owner) 4a Applicant is ❑ Agent � Other speGfy 1JSv C.j��1T 4b Name ��,�� K �� 4c Business name (d apphcable) (�4.Q� ��t,lG�(� � 4d Street address ?jZ eys � �/� /V � 4e Cdy state z�p � L p � L Z„�(o� i 4f Telephone no 2 _ I _ � 4g Fax no Z,�_ _, � g� ' I 4h Emad address � �p2 t�- �e C o ' 5 AgenUConsultant informat�on(if appiicable) 5a Name (�C,�jJ �t..�C?�j� 5b Business name /� �+ (�f applicabie) tt t...�.� (�t��-OG�Q � � 5c Street address Z�j 2.5 �. 5d C�r state zip �..�-���p � � 'L�(�p 5e Telephone no �Z� _ � L�-�� 5f Fax no �� .. Z ^, � 5g Emad address �,,� O 2¢ ��v�'►b Ma� G a M , Page 2 of 10 B Pro�ect Informat�on and Pnor Pro�ect Hlstory 1 Property Ident�ficabon 1a Property identificaUon no (tax PIN or parcel ID) itirlGt.a5F0 MDcpS 1b Srte coordmates(�n cieamal degrees) Lat�tude � b� Longitude �! g s� � 1 c Property size Z acres 2 Surface Waters 2a Name of nearest body of water to proposed pro�ect �-1 tJ 1�1 L�•� �t V+%� 2b Water Quality Ctassificat�on of nearest receivmg water 2c River basin L,� � LL� �/� 3 Pro�ect Descnpt�on 3a Descnbe the exist�ng condifions on the site and the general land use in the viarnty of the pro�ect at the timg of this applicabon �2oM. �P S'T�.Lew�. L�w►tT D�►�0�iLe�✓6dt ING. �1 cwN S►'�.�+a�1 'TI�#+= t���1}T 5�8�. 8a��. ls �o.��.iNC. 1 NsT�. �A�NR� +'�occ, �ac.�i Prt.o�'rtcr yq,RD �i '�ea,ar�ST2aAw� oa c.@ar 4�+� 'C.�,�'i�C� tw�sTl�a� z s�N►vtr� �/'�►�a�s �c L.4aosc,odp�at ov�r+ T R ✓ Stc.T uS�� aoPtT�.ANM�- r'0� 3b List the totat es�mated acreage of all ex�sUng wetlands on the property �p�£ 3c L�st the totai esUmated linear feet of all exist�ng streams(nterm�ttent and perenrnal)on the property �'jOo'C 3d Explam the purpose of the proposed pro�ect �a Q1�'f�.GT oN DoMiNw�►S O C'oo�R �� Q� 't� �R.B�✓�.�r!• �Ite+s�od Fl(Lar�. �Tt�t•r/sC- �7-IQ• �f7t.iA� lar��0 �.oti�Git• 3e Descnbe the overall pro�ect in detad includin th type of equipment to be used $Vi�•n ��,�t�R Ot� R.ti41}T Zor�1.eNr+L �i c.p ��1 n�s� v�� a�1 LLF�� Ta g1��cs. JS 7a ��.c�.a�'�B� "�'b P2oT1�T- C.e.F'T' $�aC �so• �n,o✓�. S�c..r U�� do` �1s 4 Junsd�ct�onal Determinations 4a Have�unsdict�onal wetland or stream determmaUons by the �Yes [a'�fo ❑ Unknown Corps or State been requested or obtained for this property i Comments ro ect includin all nor hases in the ast� 4b If the Corps made the�unsdictional determinat�on what type � p���minary ❑ Final of detennmafion was made? 4c If yes who delmeated the�unsdicdonai areas� Agency/Consultant Company Name(if known) Other 4d if yes list the dates of the Corps�unsdictional detertninations or State determ�nations and attach documentation 5 Pro�ect H�story 5a Have permits or certficat�ons been r+equested or obtained for this pro�ect(mduding all pnor phases)in the past� ❑Yes o ❑Unknown 5b If yes explain m detad accordmg to help file mstruc6ons 6 Future Pro�ect Plans 6a Is this a phased pro�ect� ❑ Yes No 6b If yes expiain ►Z�Nv►nV�c.-- � Sti��' � (,A��2 l��.8� �r � cs�� Page 3 of 10 PCN Fortn-Version 1 4 January 2009 C Proposed Impacts Inventory 1 Impacts Summary 1 a Which sections were compieted below for your pro�ect(chedc all that apply) ❑Wetlands [j�Streams—tnbut�anes ❑ Buffers ['�]Open Waters ❑ Pond Construc6on 2 Wetland impacts If there are wedand impacts proposed on the site then complete this question for each we8and area impacted 2a 2b 2c 2d 2e 2f Wetiand impact Type of impact Type ofwetiand Forested Type of�unsdicUon Area of number Corps(40410)or impact Permanent(P)or DWQ(401 other) (acres) Tem ora W1 Choase one Choose one YeslNo WZ Choose one Choose one YeslNo W3 Choose one Choase one YesMo W4 Choose one Choose one YesMo W5 Choose or�e Choose one YesJNo W6 Choase one Choase one YesMo 2g Total Wetland Impacts 2h Comments 3 Stream Impacfs If there are perenn�ai or intermittent stream impacts(including temporary�mpads)proposed on the sde then complete this quesbon for all stream s�tes impacted 3a 3b 3c 3d 3e 3f 3g Stream impact Type of impact Str�eam name Perennial(PER)or Type of Average Impact number intermittent(INI�� �unsd�ction stream length Permanent(P)or width (linear Temporary(� (feet) feet) S7 Chooseon �� (���/�(,� �� �yf� �+ �p� s2 'T"' ��ii �oN � �✓rc.� P�v A�r� 4t�! p` st s3 --r' c �t Sa� ✓�trc,� � 6�rC o► �� S4 Choose one S5 Choose one S6 Choose one I � 3h Total stream and tr�butary�mpacts '� 3i Comments I I Page 4 of 10 PCN Forrn—Vers�on 1 4 January 2009 I I 4 Open Water Impacts If there are proposed impacts to lakes ponds estuanes tnbutanes sounds the Atlanbc Ocean or any other open water of the U S then indiwduall list all o en water im acts below 4a 4b 4c 4d 4e Open water Name of waterbody impact number (�f applicable) Type of impact Waterbody Area of�mpact(acres) Permanent(P)or type Tem ra o, C� � �,�la cn�j.l�yt o6S� 02 Choose one Choose 03 Choose one Choose 04 Choose one Choose 4f Total open water�mpacfs 4g Comment m0✓l4. �� C,.T �M �� �+'R� �S ����t9��5T 5 Pond or Lake Construcbon If ond or lake construcUon ro sed then com lete the chart below 5a Sb 5c 5d 5e Pond ID number Proposed use or Wetiand Impacts(acres) Stream Impacts(feet) Upland purpose of pond (acres) Flooded Fdled Excavated Flooded Fdled Excavated P1 Choose one P2 Choose one 5f Total 5g Comments 5h Is a dam high hazar+d permd reqwred� ❑ Yes ❑ No If yes permd ID no 5i Expeded pond surface area(acres) 5� Size of pond watershed(acres) 5k Method of construc6on 6 Buffer Impacts(for DWQ) If pro�ect wdl impact a protected npanan buffer then complete the chart below If yes then indiwdually list all buffer impacts below If an im acts re wre mifi afion then ou MUST flll out Sechon D of this form 6a Pro�ect is m which protected basm? ❑Neuse ❑Tar Pamlico ❑Catawba � Randieman ❑Other 6b 6c 6d 6e 6f 6g Buifer Impact Reason for impact Stream name Buffer Zone 1 Zone 2 number— mitigation impact impact Permanent(P)or required� (square (square Tem ora feet feet 61 Yes/No B2 Yes/No B3 YesMo B4 YeslNo B5 Yes/No B6 YesMo 6h Total Buffer Impacts 6i Comments Page 5 of 10 D Impact Justificat�on and Mrtigat�on 1 Avoidance and Mm�m�zation 1a Speafically descnbe measures taken to avo�d or mirnm¢e the proposed impacts in desigrnng pro�ect 1 b Speafically descnbe measures taken to avoid or mirnm�ze the proposed impacts through construdion techrnques 2 Com ensato M�fi ation for Im acts to Waters of the U S or Wabers of the State 2a Does the pro�ect reqwre Compensatory M�bgation for ❑ Yes No impacts to Waters of the U S or Waters of the State� 2b If yes mfigaUon is requ�red by(chedc all that apply) ❑ DWQ ❑Corps ❑ M�gation bank 2c if yes wh�ch mfigation opfion wdl be used for this pro�ect? ❑ Payment to in lieu fee program ❑Perm�ttee Responsible M�tiga�on 3 Com lebe if Usin a M� a6on Bank 3a Name of M�gation Bank Type Choose one Quantdy 3b Credrts Purchased(attach receipt and letter) Type Choose one Quantdyr Type Choose one Quant�ty 3c Comments 4 Com lete if Makin a Pa ment to In-I�eu Fee Pro ram 4a Approval letter from in lieu fee program is attached ❑ Yes 4b Stream mitigation requested linear feet 4c If using stream mfigat�on stream temperature Choose one 4d Buffer mi�gabon requested(DWQ only) square feet 4e Ripanan wetland miUgaUon requested acxes 4f Non-npanan wetland mr�gabon requested acxes 4g Coastal(fidal)wetland mibgation requested acres 4h Comments 5 Complete�f Using a Pertrottee Respons�ble Mibgabon Plan 5a If using a permittee responsible mdigaUon pian provide a descnption of the proposed mitigation plan Page 6 of 10 PCN Form—Version 1 4 January 2009 6 Buffer Mrtigabon(State Regulatsd Ripanan Buffer Rules)—reqwred by DWQ 6a Vlfill the pro�ect result m an impact vinth�n a protected npanan buffer that reqwres Yes � buffer mitigabon? � 6b if yes then identdy the square feet of impact to each zone of the npanan buffer that reqwres mitiga�on Calculate the amount of mitrgabon required 6c 6d 6e Zone Reason for impad Total impact Multipher Reqwred m�figat�on (square feet) (square feet) Zone 1 3(2 for Catawba) Zone 2 1 5 6f Total buffer mit�gabon required 6g If buffer mfigation is reqwred discuss what type of m�gafion�s proposed(e g payment to pmrate mfigafion bank permittee respons�ble npanan buffer restoraUon payment into an approved in-lieu fee fund) 6h Comments ` Page 7 of 10 E Stormwater Management and Diffuse Flow Pian(required by DWQ) 1 D�Huse Flow Plan 1 a Does the pro�ect inGude or is it ad�acent to pratected npanan buffers�dent�ed �Yes Vo wdhm one of the NC Ri anan Buffer Protec�ion Rules� 1 b If yes then is a diffuse flow plan induded�If no explain why �Yes � No 2 Stormwater Mana ement Plan 2a What is the overall percerrt imperviousness of this pro�ect� o� 2b Does this ro ect r uire a Stormwater Mana ement Plan? ❑Yes No 2c If this pro�ect DOES NOT reqwre a Stormwater Management Plan explain why 2d if this pro�ect DOES requ�ne a Stormwater Managemerrt Plan then prowde a bnef narrative descnpfion of the plan 2e Who vinll be respons�bie for the review of the Stormwater Management Plan� 3 Cerdfied Local Govemmerrt Stortnwater Rewew 3a In wh�ch local ovemmerrt s unsdicdon is this ro ed'� ❑Phase II 3b Which of the followmg locally�mplemented 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 P ram Rev�ew �Coastal counUes ❑HQW 4a Wh�ch of the follrnnnng state-implemented stormwater management programs apply �ORW (chedc ail that apply) ❑Session Law 2006-246 ❑Other 4b Has the approved Stormwater Managemerrt Plan with proof of approval been �y� �No attached� 5 DWQ 401 Umt Stormwater Rewew 5a Does the Stormwater Management Plan meet the appropnate requiremerrts� �Yes �No Sb Have all of the 401 Un�t submittal reqwrements been met? �Yes �No Page 8 of 10 PCN Form—Version 1 4 January 2009 ) F Supplementary Information 1 Env�ronmentai Documentat�on(DWQ Reqwrement) 1 a Does the pro�ecf involve an expenditure of pubtic(federaUstate/tocal)funds or the �Yes o use of public(federal/state)land� 1 b If you answered"yes to the above does the pro�ect reqwre pr�eparabon of an environmerrtal documeM pursuant to the requirements of the Nafional or State ❑Yes ❑No (North Carolina)Env�ronmentai Policy Ad(NEPA/SEPA)� 1 c If you answered"yes to the above has the document rewew been finalized by the State Cleanng House? (if so attach a copy of the NEPA or SEPA finai approval ietter j ❑Yes ❑No Comments 2 Violations(DWQ Reqwrement) 2a Is the sde m wolafion of DWQ Wetiand Rules(15A NCAC 2H 0500) Isolated /� WeHand Rules(15A NCAC 2H 1300) DWQ Sufiace Water or WeUand Standards ❑Yes [�'Fo or Ripanan BufFer Rules(15A NCAC 2B 0200)� 2b Is this an after the-fad perm�t applicabon? ❑Yes No 2c If you answered yes to one or both of the above quesbons prov�de an explana�on of the wolabon(s) 3 Cumulat�ve fmpacfs(DWQ Requrrement) 3a Will this proJect(based on past and reasonably ant�c�pated future impacts)result in �Y� o addibonat development wh�ch couid impact nearby downstream water quality� 3b If you answered yes to the above subm�t a qualdahve or quantita�ve cumulative impact analysis in accordance with the most recent DWQ policy If you answered no prov�de a short narrat�ve descnpfion 4 Sewage Disposal(DWQ Requ�rement) 4a Clearly detad the ulbmate treatment methods and disposit�on(non-discharge or discharge)of wastewater generated from the proposed pro�ect or avadable capaaty of the sub�ect faality �V N� Page 9 of 10 PCN Form—Version 1 4 January 2009 5 Endangered Species and D��gnatsd Cnticai Habrtat(Corps Reqwrement) 5a Wil!thtis pro�ect occur m or near an area with federaily protected speGes or �Yes []No hab�tat� 5b Have you chedced w�th the USFWS conceming Endangered Speaes Act Yes No �mpacts� � 5c If yes �ndicate the USFWS Fietd Oifice you have contacted 5d What data sources did you use to determine whether your site would impact Endangered SpeGes or Designated CnUpl HabitaY� 6 Essential Fish Habitat(Corps Requirement) 6a Vlfill th�s pro�ect occur m or near an area des�gnated as essential fish hab�tat� ❑Yes No 6b What data saurces dsd you use to determ�ne whether your sde would impact Essential Fish Habitat� 7 Histonc or Preh�storic Cuitural Resources(Corps Requirement) 7a Will this pro}ect oocur�n or near an area that the state federal or fibai govemments have designated as hav�ng histonc or cultural preservat�on � Y� �,(,o status(e g Nat�onai Histonc Trust designation or properties sigrnficant in Lr��v North Carol�na history and a�chaeotogy)? 7b What data sources did you use to determine whether your sde would impact histonc or archeological resources? 8 Flood Zone Designabon(Corps Requ�rement) 8a Wiil this pro�ect occur m a FEMA-designated 100-year floodplam� es ❑No 8b If yes explain how pro�ect meets FEMA requirements (T- �LO�� ��. ���' +n F�S �1oR.g. ��' � !��'�1 ��... Aa�n �I,ocN� �Tb E�� ✓� 'lA� G�Pc� &-S;R�G�:tl�— '�L.ot..� 8c What source(s)did you use to make the floodplain determ�nation� �QA � N��(L. �-e�ar,J�" �.�'r2�3�, C?� �F�P �o�� ��..� c��;��. �� � � l Applicant/Agent s Pnnted Name App�icantlAgent s Signature Date (AgenYs signature is val�d onry�f an authonzabon letter from Uie 4carrt�s rovided Page 1 Q of 10 � � oo ___ ___ N .-+ � � � � b0 "~ � W ,_.., a e-- N '� � �i � o CC z � w rn W � oNo � °' Y z � U � � Q > Z Z � v� � ; - a � � COJ � G � �'�'' °°° �(� 3 N O N L = d ��(n otS a�o v co `�' O � � � �Z W m = O i °oV� � � r� U w c°� a�o �� � � � _ � J V ��� � Q � m �7 a ��'O ° om° M � � °� � .; o ; L � �`� �, •- cu- � ° a � � � c� �r ii �, c� c d o a� � o � W � o � s o � t a G� C+,'O = °° `a° � � '� � a O W c � ' Z Q'(� ~ J Nti °N � J Q i' Q U ao U Y m � a1 V V) LL c0 Z O ��,, W 3 � � � Q- Q i m y 0 � � W O l0 � 10 � m � .0 t �r� ea� W � z � o Jmoa > > � � w �n � _�r ? ) W 'D m C c FmQO� � �" ZOOQ m J O Q ��-- . �`� .,�. :. ,`� -� - _ 3"�C �„ . ��� r,�,� =. s.rr. � ��rtc `� � 't [ s� ..W� �F � � .- , � � . ` a "� � n � � �� � s �.. �. x'� � ti� t _...h � 4�� ` � �"�,l �„1 � �� y�° { ��, Q :t '- � Y��.an�y��'��` �} � � a'�•9E f'� #3f �L �'':. �, ''�� „� �'d� ��i^ : ~��,` ��� ,� X �• tU ~ 1��y Q .. � F..�.�iC�� � � _ r , �it 'N'�� ?�� �1� � �ay t'• � i ��1�.s �.� � �)`d ,i. �4� '-C +�+ Za. 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