20201735 Ver 1_401 Application_20210222

Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: * r For the Record Only (Courtesy Copy)
r New Project
r Modification/New Project with E)asting ID
r More Information Response
r Other Agency Comments
r Pre -Application Submittal
r Re-Issuance\Renewal Request
r Stream or Buffer Appeal
Pre -Filing Meeting Information
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not
be able to accept your application without this important first step. The Pre -Filing Meeting Request Form is used in
accordance with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project
proponent shall request a pre -filing meeting with the certifying agency" and in accordance with 40 C.F.R. Section
121.5(b)(7), and (c)(5) all certification requests shall include documentation that a pre -filing meeting request was
submitted to the certifying authority at least 30 days prior to submitting the certification request. Click here to read
more information on when this form is needed prior to application submission or here to view the form.
Attach documentation of Pre -Filing Meeting Request here:* DWR Pre -
Filing
Meeting 50.6K..
Request
Form.pdf
Date for Meeting Request* 11/11/2020
ID# 20201735 Version 1
Project Contact Information
Name: Jon Swaim, McGill Associates
Vft is subnitting the infornation?
Email Address:* [e-mail]
Project Information
Existing ID #:* Existing Version:*
20201735 1
20170001(no dashes) 1

Project Name:* Boiling Spring Lakes Dam Construction/Reconstruction
Is this a public transportation project?*
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
r Yes r No r Unknown
County (ies) *
Brunswick
Please upload all files that need to be submited.
aick the upload button or drag and drop files here to attach docurrent
Only pdf or Iv17 files are accepted.
Describe the attachments or add comments:
Resubmittal of PCN and PJD request.
* V By checking the box and signing box below, I certify that:
■ I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to
the best of my knowledge and belief.
■ I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
■ I agree that submission of this online form is a "transaction" subject to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act');
■ I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act');
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a
written signature; AND
■ I intend to electronically sign and submit the online form.
Signature.*
Submittal Date: Is filled in autorratically once subnitted.

DWR
Division of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Perrnits
(along with corresponding Water Quality Certifications)
September 1, 2020 Ver 3.2
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs. deq. nc. govANaterResources/O/edoc/624704/PCN % 20 Hel p % 2OFile % 202018-1-30. pdf
A. Processing Information V
County (or Counties) where the project is located:*
Brunswick
Is this a NCDMS Project*
r Yes F No
Jick Yes, ody if NCLNS is the applicant a co -applicant.
Is this project a public transportation project?*
Q Yes IT No
This is any publicly funded by rrunicipalstate or federal funds road, rail, airport transportation project.
1a. Type of approval sought from the Corps:*
Id Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1 b. What types) of permits) do you wish to seek authorization?*
V Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
This form may be used to initiate the standard/individual permit process with the Corps. Please contact your Corps representative concerning submittals for standard permits. All required items that
are not provided in the E-PCN can be added to the miscellaneous upload area located at the bottom of this form.
1 c. Has the NWP or GP number been verified by the Corps?
a Yes a No
Nationwide Permit (NWP) Number: 03- Maintenance
NWP Numbers (for multiple NWPS):
List all NN numbers you are apdying for not on the drop dow n list.
1 d. Type(s) of approval sought from the DWR:*
check Al that sully
V 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
1e. Is this notification solelyfor the record because written approval is not required?
For the record onlyfor DWR 401 Certification:
For the record only for Corps Permit:
1f. Is this an after -the -fact permit application?*
r Yes t= No
r 401 Water Quality Certification - Express
r Riparian Buffer Authorization
*
6 Yes 6 No
6 Yes 6 No
1 g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
If so, attach the acceptance letter from mtigation bank or in -lieu fee program
r- Yes f• No
Acceptance Letter Attachment

aickthe upload button or drag and drop files hereto attach document
RLETYFE"TBEPDF
1 h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
11. Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
f• Yes r No r Unknown
1j. Is the project located in a designated trout watershed?*
O Yes O No
Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information U
1a. Who is the Primary Contact?*
Jon Swaim
1c. Primary Contact Phone:*
1 b. Primary Contact Email: *
(xxx)xxx-xxxx
[e-mail]
[phone]
1 d. Who is applying for the permit?
rJ Owner
❑ Applicant (other than owner)
(Check all that aptly)
1e. Is there an AgenflConsultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:*
City of Boiling Spring Lakes
2b. Deed book and page no.:
468/436, 1426/1415, 3562/962, 1511/107, 1169/1009, 4422/1255
2c. Responsible party:
(for Corporations)
Jeff Repp, City Manager
2d. Address*
Street Address
9 East Boiling Springs Road
Address Line 2
aty
State / Province / FBgion
Boiling Spring Lakes
North Carolina
Pbstal / Zip Code
Ocuntry
28461
United States
2e. Telephone Number:*
(xxx)xxx xxxx
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:*
Jon Swaim
4b. Business Name:
(d apdicade)
McGill Associates
4c. Address*

Street Address
1240 19th STREET LANE PNv
Address Line 2
Oty
State / Province / Region
Hickory
North Carolina
Festal / Zip Code
Country
28601
United States
4d. Telephone Number:*
[phone]
4e. Fax Number:
(xxx)xxx-xxxx
(xxx)xxx-xxxx
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Rease provide the Agent Authorization Letter if you are submitting this docurni
Signed Agent Authorization Form.pdf
RLET'FE MATT BE FDF
113.22KB
C. Project Information and Prior Project History C^�
1. Project Information U
1a. Name of project:*
City of Boiling Spring Lakes Dams Construction/Reconstruction Project
1b. Subdivision name:
if appropriate)
1 c. Nearest municipality / town:
City of Boiling Spring Lakes
2. Project Identification Lj
2a. Property Identification Number:
(tax RN or parcel ID)
2b. Property size:
157HJ01401,142 PA032,156EA058,17200002
(in acres)
15,1720000208,142JG002,142JG003
34.79
2c. Project Address
Street Address
r4A— Existing Dams (Sanford, Pine Lake, Upper, and North Lake Dam)
Address Line 2
Oty
State / Province / legion
Boiling Spring Lakes
North Carolina
Postal / Zip Code
Country
28461
United States
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey -grade GPS device) after the decimal place as appropriate, based on how the location was
determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude:*
34.0216, 34.0462,34.042545,34.033572
ex: 34.208504
I Surface Waters
Longitude:*
-78.0693,- 78.0373,-78.052333,-78.063545
-77.796371
3a. Name of the nearest body of water to proposed project:*
Allen Creek
3b. Water Resources Classification of nearest receiving water:*
B/Sw
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.*
030300050701
River Basin Lookup

4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
During Hurricane Florence (September 2018), Sanford Dam suffered major failure due to overtopping and substantial embankment erosion that caused sudden release and loss of the
Boiling Spring Lake impoundment. Cascading failures occurred at smaller upstream dams serving the Boiling Spring Lake system: Sanford Dam, Pine Lake Dam, North Lake Dam, and
Upper Lake Dam.
All the dams were earthen embankments with risers and/or conduits constructed circa 1962. Middle Lake Dam is privately owned. All other dams are owned and maintained by the City
of Boiling Spring Lakes. The dams maintained varied water levels for aesthetics and recreational use throughout the City's lake system.
The Sanford and Upper Dams traverse Allen Creek while the Pine Lake and North Lake Danis cross tributaries north of Allen Creek. The primary study areas were approximately 50 feet
upstream and downstream from the center of these dams. The study area encompassing the Sanford Dam also includes downstream wetland and floodplain areas affected by the dam
failure. Selected areas of the historic lake shoreline were also observed during site visits. The Pine Lake and North Lake sites can be accessed from Boiling Springs Road, east of
Highway 87. The Sanford Dam can be accessed from Alton Lennon Drive off of Boiling Spring Road. The Upper Lake Dam is partially closed to traffic and can be accessed from Dam
Road which is west of Highway 87. The project sites occupy the southern tip of the Cape Fear River Basin in Brunswick County, which is a coastal county subject to the rules of policies
of the Coastal Resources Commission.
The Pine Lake and North Lake Dams have been temporarily repaired and culverts installed by the NC Department of Transportation allowing for Boiling Springs Road to be open to
traffic in both locations. The Upper and Sanford Dams have unrepaired breaches, and roads crossing the dams are closed to traffic. General land use in the vicinity of the property
consists of residential, small commercial, and open undeveloped properties.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
f Yes f No r Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Oick the upload button or drag and drop files here to attach document
USGS Map. pdf
He type crust be pdf
2.63MB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
dick the upload button or drag and drop files here to attach document
Soils Map.pdf 1.13MB
Fie type must be pdf
4f. List the total estimated acreage of all existing wetlands on the property:
4g. List the total estimated linear feet of all existing streams on the property:
(intermittent and perennial)
223
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to re-establish the impounded lakes upstream of the City -owned dams breached by Hurricane Florence. Benefits for the local community and
City if lakes are restored.
1. Increased tax base/Restore lakefront properties — At present there are 288 residential properties adjacent to the former Lake waterfront. Restoring the waterfront would increase the
tax value of these properties and provide a more substantial tax base for the City.
2. Business growth — Many businesses adjacent to or near the Lake would benefit directly or indirectly from restoring the Lake. Recreational opportunities provided by the Lake draws
tourists to the area which patronize local motels, restaurants, and other businesses.
3. Restoration of lacustrine fringe wetlands — It is estimated there are a total of approximately 10 acres of lacustrine wetlands that existed along the fringe of the Lake system prior to
draining. The project would restore these wetlands which provide habitat for a variety of wetland and aquatic species.
4. Recreation opportunities— The restored Lake could provide a number of recreation opportunities to both residents and visitors of the City including boating, waterskiing, wildlife and
bird watching, and fishing.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:

Proposed project consists of repairs of the City -owned dams to include restoration of the earthen embankments and installation of spillways and seepage control elements that meet
current codes and standards. The design storm approved by NC Dam Safety program is the % PMP (Probable Maximum Precipitation) for the Sanford Dam and % PMP for the other
dams in the system. The following are the major elements included in the design:
• At Sanford Dam, install a cutoff wall for the entire length of the dam, upgraded riser structure and cast -in -place (CIP) concrete box culvert to replace the existing undersized spillway
and rebuild the embankment at the location of the breach and partially scoured area, and install mix -in -place (MIP) panels along the upstream and downstream toes of the embankment
to mitigate the potential for cyclic liquefaction.
• At North Lake Dam and Pine Lake Dam, remove the existing bottom metal culverts because they are not compliant with current codes and standards and install riser structures and
CIP box culverts with seepage controls.
• At Upper Lake Dam, replace the existing undersized spillway with a riser structure and CIP box culverts with seepage controls and rebuild the embankment at the breach.
Hydrologic and Hydraulic (H&H) models were developed to simulate the lake system aiming to assess hydraulic performance for various alternatives of all spillways. The H&H evaluation
provided adequate spillway sizing to ensure overtopping protection up to the design storm for each lake. In addition, a combined breach of all dams upstream of Sanford Dam was
simulated to ensure that the breach of the upstream dams does not cause overtopping and risk of failure at Sanford Dam.
A geotechnical exploration was conducted at all sites with added emphasis on the underlying limestone formation, which had been associated with sinkholes formation around Sanford
Dam. A cutoff wall was recommended for the entire length of Sanford Dam to minimize the rate of groundwater flow in the limestone underneath the dam.
See attached BSL Design Report - PCN for detailed project background information, Construction Sequencing and Scheduling, Hydrologic and Hydraulic Analyses, Geotechnical
Analyses, Structural Analyses, and Environmental Considerations.
Proposed impacts to the lake system and Allen Creek are as follows:
Sanford Dam —
Permanent Impacts = 0.49-Acres Open Water associated with fill for restored earthen embankment and new spillway structure, 60LF Allen Creek (Impact S1) associated with rip rap
dissipater pad.
Temporary Impacts = 0.87-Acres Open Water and 30LF Allen Creek (Impact S2) associated with equipment access and maneuvering, and lay down areas.
North Lake Dam —
Permanent Impacts = 0.13-Acres Open Water associated with fill for restored earthen embankment and newspillway structure
Temporary Impacts = 0.34-Acres Open Water associated with equipment access and maneuvering, and lay down areas.
Pine Lake Dam —
Permanent Impacts = 0.11-Acres Open Water associated with fill for restored earthen embankment and newspillway structure
Temporary Impacts = 0.25-Acres Open Water associated with equipment access and maneuvering, and lay down areas.
Upper Lake Dam —
Permanent Impacts = 0.09-Acres Open Water associated with fill for restored earthen embankment and new spillway structure.
Temporary Impacts = 0.29-Acres Open Water associated with equipment access and maneuvering, and lay down areas.
All temporarily disturbed lake bed and shoreline areas will be returned to original contours and elevations. Temporarily disturbed shoreline areas will be stabilized
4j. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files hereto attach cl current
Design Drawings_ Boiling Spring Lakes Dams BRUNS-001-002-003-012.pdf 108.17MB
BSL- Impacts Maps 012921.pdf 2.65MB
BSL Design Report- PCN.pdf 56.55MB
Fie type must be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r• Yes
Comments:
r' No
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved 0 Not Verified 0 Unknown r N/A
Corps AID Number:
Earrple: SAW-2017-99999
5c. If Sa is yes, who delineated the jurisdictional areas?
Name (if known):
Jon Swaim, Jonathan Herman
Agency/Consultant Company:
McGill Associates, P.A.
Other:
Site Visit: 7-30-2019
5d1. Jurisdictional determination upload
Click the upload button a drag and drop files hereto attach
docurrent
Boiling Spring Lakes - PJD 012921.pdf
Fie type crust be FDF
6. Future Project Plans
6a. Is this a phased project?*
r Yes
f No
15.06MB
0 Unknown
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity? This
includes other separate and distant crossing for linear projects that require Department of the Army authorization but don't require pre -construction notification.
Stand alone project intended to repair existing dams to pre -hurricane Florence disaster conditions.

D. Proposed Impacts Inventory
v
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
F Wetlands ro Streams -tributaries F_ Buffers
P Open Waters r- Pond Construction
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.
"S." will be used in the table below to represent the word "stream".
3a. Reason for impact* (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name * 3e. Stream Type * 3f. Type of 3g. S. width * 3h. Impact
?) Jurisdiction* length*
S1
Rip Rap Energy
Dissipator/Spillway
Permanent
Rip Rap Fill
Allen Creek
Perennial
Corps
15
Average (feet)
90
pinearfeet)
Sp
Access/Lay Down Area
Temporary
Other
Allen Creek
Perennial
Corps
15
Average (feet)
30
(linearfeet)
"All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
90
3i. Total temporary stream impacts:
30
31. Total stream and ditch impacts:
120
3j. Comments:
Impacts to Allen Creek downstream of Sanford dam associated with rip rap energy dissipator/spillway (permanent) and equipment access/laydown
area/flow diversion (temporary).
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.
4at. Impact Reason
4b. Impact type * (?)
4c. Name of waterbody(?)
4d. Activitytype *
4e. Waterbodytype *
4f. Impact
area
OW1
Fill material/spillway
P
Boiling Springs Lake
Fill
Lake
0.50
structure
(acres)
OW2
Access/Lay Down Area
T
Boiling Springs Lake
Causeway
Lake
2.50
(acres)
OW3
Rip Rap Apron/Spillway
P7
Boiling Springs Lake
Fill
Lake
0.07
Structure
(acres)
OW4
Access/Lay Down Area
T
Boiling Springs Lake
Causeway
Lake
1.30
(acres)
OW5
Rip Rap Apron
P
Boiling Springs Lake
Fill
Lake
0.09
(acres)
OW6
Access/Lay Down Area
T
Boiling Springs Lake
Causeway
Lake
1.40
(acres)
OW7
Spillway
P
Boiling Springs Lake
Fill
Lake
0.08
(acres)
f::::tCcess/Lay
Down Area
T
Boiling Springs Lake
Causeway
Lake
0.70
(acres)
4g. Total temporary open water Impacts:
5.90
4g. Total permanent open water impacts:
0.74
4g. Total open water impacts:
6.64

4h. Comments:
Temporary impacts associated with equipment access, laydown areas, and flow diversion measures.
Permanent impacts associated with rip rap dissipator pads, spillway structures, and earthen dam fill material.
E. Impact Justification and Mitigation O
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project,*
Project design intended to replace existing failed dams and bring them up to current NC Dam Safety and FEMA standards. Disturbed areas caused by
equipment access will be kept to a
minimum. Materials will be stored in upland areas as much as practical. Improvements are limited to those required to bring the existing dam into
compliance with state and federal regulations.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Temporary pond bed impacts limited to diversion, access, and lay down areas. Impervious diversion dikes will be used to direct flow through gates and
pump water as needed to maintain a dry construction area. Erosion control measures shall be used during construction to minimize impacts to
the stream. Silt fence will be installed during construction to limit erosion. A floating turbidity curtain will be used to deter silt suspension and movement
of silt particles during construction.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r Yes 6 No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
No compensatory mitigation will be required for the proposed project. Permanent impacts are limited to open water and approx 60LF of stream
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) u
*** Recent changes to the stornnmater rules have required updates to this section .***
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
rr Yes (-- No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
The Cape Fear River does not contain NC Riparian Buffer Protection Rules.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes G No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?*
C Yes C No
To look up low density requirement click here 15A NCAC 02H .1003(2).
Comments:
G. Supplementary Information U
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federallstatellocal) funds or the use of public (federal/state) land?*
r• Yes (- No
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 (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
f Yes (- No
1 c. If you answered "yes" to the above, has the document review been finalized bythe State Clearing House? (If so, attach a copy of the NEPAor SEPAfinal approval letter.) *
r Yes <-- No
Comments:*
USDA and FEMA EHP environmental documents are currently being prepared.

2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15ANCAC 2B.0200)?*
f Yes c No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality?*
r Yes t= No
3b. If you answered "no," provide a short narrative description.
The proposed project would involve work necessary to repair ebsting dams to "pre -Hurricane Florence" conditions. No additional development
anticipated as a result of the proposed project.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
f Yes r Nor N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
r Yes C No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes c No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
f Yes No
5e. Is this a DOT project located within Division's 1-8?
f Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?*
f Yes r No
5g. Does this project involve bridge maintenance or removal?*
f Yes r No
Link to the NLEB SLOPES document: http://saw-reg.usace.amiy.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?**
f Yes r No
C Unknown
51. Does this project involve (1) blasting, and/or(2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?*
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
https://ecos.fws.gov/ipac/
https://www.ncnhp.org/
A survey of potential impacts to five Federally listed threatened and endangered species that
may occur within the proposed project limits was conducted by McGill Associates, P.A. on July
30-31, 2019. Official Section 7 consultation was completed with USFWS, see attached concurrence letter (USFWS Response-20191118).
Consultation Documentation Upload
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App D-NCNHP Letter.pdf 3.16MB
App E-Species List_ Raleigh Ecological Services Field Office.pdf 275.63KB
USFWS Response - 20191118.pdf 90.58KB
Fie type must be F DF
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
f Yes a No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
https://vmw.habitat.noaa.gov/application/efhmapper/index.htmi
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.nGdor.gov/hpovveb/

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 status (e.g., National Historic
Trust designation or properties significant in North Carolina history and archaeology)?*
r' Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
https://nc.maps. arcg is.com/home/item.html?id=79ea671 ebdcc45639f0860257d5f5ed7
Section 106 consultation was initiated and comments received from NCSHPO October 28, 2019.
See attached response letter (NCSHPO - Response Letter - ER 19-2947).
7c. Historic or Prehistoric Information Upload
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NCSHPO - Response Letter- ER 19-2947.pdf 97.09KB
NCHPO Map.pdf 414.68KB
Re must be PDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
f• Yes r No
8b. If yes, explain how project meets FEMA requirements:
Due to proposed work in the floodplain and floodway, the base flood elevations will be changed from prior conditions. A Conditional Letter of Map
Revision (CLOMR) has been prepared for the Local Floodplain Administrators of the City of Boiling Spring Lakes and Brunswick County as well as
NCFMP. A Letter of Map Revision will also be required within 6 months of completion of construction which generally requires 4 to 6 months for review.
A Floodplain Development Permit from the City of Boiling Spring Lakes is required following approval of the CLOMR.
8c. What source(s) did you use to make the floodplain determination?*
https://fris.nc.gov/fris/Home.aspx
Miscellaneous O
Comments
Please find attached proposed project timeline and construction sequencing. Also find attached
Miscellaneous attachments not previously requested.
Click the upload button a drag and drop files here to attach document
FRIS Map 2.pdf
Fie rust be PDF or KNL
379.83KB
Signature O
By checking the box and signing below, I certify that:
. I have given true, accurate, and complete information an this form,
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:*
Jon Swaim
Signature
�G4Y Q,�it,L?
Date
1/29/2021

DWR Pre-Fil ing Meeting Req u est Form
Contact Name *
Contact Email Addre ss *
Proje ct Owne r *
Proje ct Name *
Proje ct County *
Owne r Addre ss:*
Is this a transportation proje ct?*
Type (s) of approv al sought from the DWR:
Doe s this proje ct hav e an e xisting proje ct ID#?*
Do you know the name of the staff me mbe r you would like to re que st a me e ting with?
Ple ase giv e a brie f proje ct de scription be low.*
Please give a couple of dates you are available for a meeting.
Jon Swaim
[e-mail]
City of Boiling Spring Lakes
Boiling Spring Lakes Dam Construction/Reconstruction
Brunswick
City
Boone
State / Province / Region
NC
Postal / Zip Code
28607
Country
United States
Street Address
1013 State Farm Road
Address Line 2
Yes No
401 Water Quality Certification -
Regular
401 Water Quality Certification -
Express
Individual Permit Modification
Shoreline Stabilization
Yes No
Robb Mairs
The City of Boiling Spring Lakes is in the early stages of repairing four
dams within the Boiling Springs Lake system. The lake system consists of
four existing dam sites – Sanford Dam, Pine Lake Dam, Upper Dam, and
North Lake Dam (see attached Map). The four dams were breached and/or
outlet structures were damaged during Hurricane Florence in September of
2018. Proposed plans will involve repair and/or replacement of earthen
dams, concrete risers, and other infrastructure.
11/16/2020
11/23/2020
Ple ase attach the docume ntation you would like to hav e the me e ting about.
Signature *
Submittal Date
11/30/2020
Project Map.pdf 625.04KB
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:

· This form completes the requirement of the Pre-Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
· I understand by signing this form that I cannot submit my application until 30 calendar days after this pre-filing
meeting request.
· I also understand that DWR is not required to respond or grant the meeting request.

Your project’s thirty-day clock started upon receipt of this application.  You will receive notification regarding meeting location
and time if a meeting is necessary.  You will receive notification when the thirty-day clock has expired, and you can submit an
application.
11/11/2020