20210406 Ver 1_ePCN Application_20210323

DWR
Division of Water Resources
Initial Review
Pre -Construction Notification (PCN) Form
October 26, 2020 Ver 3.3
Has this project met the requirements for acceptance in to the review process?*
6 Yes
✓ No
Is this project a public transportation project?*
CYes r No
Change cnly 1 needed.
BIMS # Assigned* Version#*
20210406 1
Is a payment required for this project?*
6 No payment required
✓ Fee received
✓ Fee needed - send electronic notification
Select Project Reviewer*
Alan Johnson:eads\adjohnsonl
Information for Initial Review
la. Name of project:
COURTESY COPY Macon Family Farms
la. Who is the Primary Contact?*
Michael Macon
Reviewing Office *
Mooresville Regional Office - [phone]
1b. Primary Contact Email:* lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
3/23/2021
Nearest Body of Water
Lower Rocky River
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude: Longitude:
35.127787 -80.573004
Pre -Filing Meeting Information
ID#
20210406
Pre -fling Meeting or Request Date*
2/19/2021
Attach documentation of Pre -Filing Meeting Request here:*
DWR Pre -Filing Meeting Request Form (1).pdf
Version
1
55.9KB
A. Processing Information
County (or Counties) where the project is located:
Union

Is this a NCDMS Project
C- Yes f No
Is this project a public transportation project?*
C- Yes f No
la. Type(s) of approval sought from the Corps:
I7 Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
C- Yes
G No
1b. What type(s) of permit(s) do you wish to seek authorization?
fJ Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
✓ Yes F No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
Id. Type(s) of approval sought from the DWR:
r 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
fJ Individual Permit
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
If. Is this an after -the -fact permit application?*
C- Yes f No
✓ 401 Water Quality Certification - Express
✓ Riparian Buffer Authorization
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
CYes 6'No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
C- Yes r No
Acceptance Letter Attachment
lh. Is the project located in any of NC's twenty coastal counties?
CYes 6'No
1j. Is the project located in a designated trout watershed?
C- Yes C' No
B. Applicant Information
Id. Who is applying for the permit?
I7 Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
C- Yes f No
2. Owner Information
2a. Name(s) on recorded deed:
Michael Macon and Louise-Andree Boucher
2b. Deed book and page no.:
0823/0489
2c. Responsible party:
2d. Address
r Yes 6' No
Cr Yes C- No

Street Address
6317 Springs Mill Road
Address Line 2
aty State / Province / legion
Charlotte NC
Postal / Zip Code Country
28277 Mecklenburg
2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(rf appropriate)
lc. Nearest municipality/ town:
Fairview
2. Project Identification
2a. Property Identification Number:
08258002
2b. Property size:
48.616
2c. Project Address
Street Address
6802 West Duncan Road
Address Line 2
(Sty State / Province / legion
Indian Trail NC
Postal / Zip Oode Country
28079 Union
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Lower Rocky River
3b. Water Resources Classification of nearest receiving water:*
C
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401050701
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:*
The subject property is locate at 6802 W. Duncan Road, Indian Trail NC. The property has a right of way along the left side of the property that has been sold to individuals that have
built homes along W Duncan Road, Indian Trail, NC. The property is currently unused and has trees. Along the right side of the property is farm land.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r 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)
USGC Topographic Map.pdf 393.19KB
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)
NRCS County Soil Survey.pdf 266.43KB
4f. List the total estimated acreage of all existing wetlands on the property:
0
4g. List the total estimated linear feet of all existing streams on the property:
1669.6
4h. Explain the purpose of the proposed project:*
The propose of the proposed project is to cross the creek. The majority of the property is inaccessible without allowing access across the creek.

4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project entails, laying culvert in the creek. The project as proposed would have only bottom impact limited to the placement of the culverts. The temporary impacts would include
noise and turbidity (which is already the conditions of the creek) resulting from the placement of the culverts.
4j. Please upload project drawings for the proposed project.
Project Drawing Present to ACOE.pdf 162.36KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
(7 Yes
Comments:
C No C Unknown
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
C Preliminary 6' Approved C Not Verified C Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Bryan Roden -Reynolds, PWS
U.S. Army Corps of Engineers Wilmington District
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
On 26 February 2021, ACOE stated the following: " the construction of a farm road and stream crossing(s) is considered exempt and does not require permit authorization from the
Corps."
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
C Yes ( No
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?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
r Wetlands 17 Streams -tributaries
r Open Waters r Pond Construction
3. Stream Impacts
r Buffers
S1
3a. Reason for impact (?)
Driveway
3b.Impact type*
Temporary
3c. Type of impact*
Culvert
3d. S. name*
Goose Creek
3e. Stream Type*
(?)
Intermittent
3f. Type of
Jurisdiction *
Both
3g. S. width*
12
Average (feet)
3h. lmpact
length*
40
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
0
3i. Total stream and ditch impacts:
40
3j. Comments:
E. Impact Justification and Mitigation
3i. Total temporary stream impacts:
40
1. Avoidance and Minimization

la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
culvert will not impede waterflow, thus avoiding impact.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Culvert will be laid on solid ground to reduce impact.
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?
✓ Yes ( No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The stream nor the aquatic resources will require offsetting to avoid adverse impacts.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
✓ Yes (No
If no, explain why:
no impact to diffuse flow
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
✓ Yes f No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
6 Yes r No
Comments:
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
✓ Yes ( No
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 (15A NCAC 2B .0200)?*
✓ Yes ( No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
✓ Yes f No
3b. If you answered "no," provide a short narrative description.
There will be no downstream water quality impact. Placement of the culverts will not impact the water quality.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
✓ Yes 6 No r 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?*
✓ Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
6 Yes rNo
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*

✓ Yes
F No r Unknown
5e. Is this a DOT project located within Division's 1-8?
✓ Yes f: No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
✓ Yes r No
5g. Does this project involve bridge maintenance or removal?
✓ Yes (No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
✓ Yes 6 No
5i. 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.?
✓ Yes f: No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
US Fish and Wildlife Services
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
✓ Yes GNo
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
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?*
✓ Yes (No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NPS
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-yearfloodplain?*
✓ Yes (No
8c. What source(s) did you use to make the floodplain determination?*
FEMA Maps
Miscellaneous L)
Comments
The Army Corps of Engineers stated the follovAng: " the construction of a farm road and stream crossing(s) is considered exempt and does not require permit authorization from the
Corps."
Miscellaneous attachments not previously requested.
Signature
*
IV By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief; and
• 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 have given true, accurate, and complete information on 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:
Michael Macon
Signature

Date
3/23/2021

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DWR Pre-Fil ing Meeting Req u est Form
ID#*Ve rsion *
Re gional Office *
Re v ie we r List *
Contact Name *
Contact Email Addre ss *
Proje ct Name *
Proje ct Owne r *
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.
20210406 1
Mooresville Regional Office - [phone]
Alan Johnson
Pre-Filing Me eting Reque st submitte d 2/19/2021
Michael Macon
[e-mail]
Macon Farm
Michael Macon and Louise-Andree Boucher
Union
City
Charlotte NC
State / Province / Region
NC
Postal / Zip Code
28277
Country
Mecklenburg
Street Address
6317 Springs Mill Road
Address Line 2
Yes No
401 Water Quality Certification -
Regular
401 Water Quality Certification -
Express
Individual Permit Modification
Shoreline Stabilization
Yes No
Allen Johnson
The Goose Creek crosses property on W Duncan Road, Indian Trail
NC at the entrance. The property is unable without crossing the
Goose Creek. Will put a drive way across the creek to make the land
accessible and usable.
Ple ase attach the docume ntation you would like to hav e the me e ting about.
Signature
Submittal Date
2/22/2021
GIS Map with blue lines stream.pdf 91.79KB
Plat of Property with stream.pdf 98.07KB
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.
2/19/2021