HomeMy WebLinkAbout20111037 Ver 1_401 Application_20111129 � � 1 1 1 0 3 7
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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
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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
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