20210015 Ver 1_ePCN Application_20210506

DWR
Division of Water Resources
Initial Review
Pre -Construction Notification (PCN) Form
April 4, 2021 Ver 4
Has this project met the requirements for acceptance in to the review process?*
6 Yes
✓ No
Is this project a public transportation project?*
CYesr No
Change only if needed.
BIMS # Assigned*
20210015
Is a payment required for this project?*
✓ No payment required
✓ Fee received
6 Fee needed - send electronic notification
Reviewing Office *
Winston-Salem Regional Office - (336) 776-
9800
Version#*
1
What amout is owed?*
F $240.00
r $570.00
Select Project Reviewer*
Sue Homewood:eads\slhomewood
Information for Initial Review
la. Name of project:
Boyd Stream Restoration
la. Who is the Primary Contact? *
Danny Layell
1b. Primary Contact Email:*
[e-mail]
Date Submitted
5/6/2021
Nearest Body of Water
Yadkin River
Basin
Yadkin-PeeDee
Water Classification
C;TR
Site Coordinates
Latitude:
36.1617445
Longitude:
-80.3462205
lc. Primary Contact Phone:*
[phone]
A. Processing Information
County (or Counties) where the project is located:
Forsyth
Is this a NCDMS Project
✓ Yes r' No
Is this project a public transportation project?*
✓ Yes r' No
Pre -Filing Meeting Information
Is this a courtesy copy notification?*
✓ Yes f No

ID# Version
20210015
Pre -fling Meeting or Request Date
1/4/2021
Attach documentation of Pre -Filing Meeting Request here:
Click the upbad button or drag and drop files here to attach document
Aerial View.pdf 121.42KB
Boyd Stream Project 2.pdf 42.52KB
Boyd Stream Project 3.pdf 44.99KB
Boyd Stream Project 4.pdf 41KB
Boyd Stream Project 5.pdf 36.89KB
Boyd Stream Project 6.pdf 42.38KB
Boyd Stream Project 7.pdf 24.01KB
Boyd Stream Project.pdf 44.36KB
Proposed Drawing.pdf 80.89KB
Rle type must be R F
la. Type(s) of approval sought from the Corps:
17 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?*
✓ Yes
6 No
1b. What type(s) of permit(s) do you wish to seek authorization?
7 Nationwide Permit (NWP)
r Regional General Permit (RGP)
I— Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
✓ Yes G No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
401 Regular
ld. Type(s) of approval sought from the DWR:
17 401 Water Quality Certification - Regular
✓ Non-404 Jurisdictional General Permit
r Individual 401 Water Quality Certification
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?*
✓ Yes ( No
r 401 Water Quality Certification - Express
r Riparian Buffer Authorization
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
✓ Yes 6' No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
✓ Yes f• No
1j. Is the project located in a designated trout watershed?
4Yes l No
B. Applicant Information
Id. Who is applying for the permit?
✓ Owner 17 Applicant (other than owner)
*
F Yes r No
O. Yes r No
le. Is there an Agent/Consultant for this project?*

C Yes a No
2. Owner Information
2a. Name(s) on recorded deed:
Stephen B Boyd
2b. Deed book and page no.:
002314/04565
2c. Contact Person:
2d.Address
Street Address
4719 Leinbach Dr
Address Line 2
atY
Winston-Salem
Postal / Zip Code
27106
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Danny Layell
3b. Business Name:
Ace Grading & Environmental, LLC
3c. Address
Street Address
603 E Main Street
Address Line 2
aty
Boonville
Fbstal / Zip Cede
27011
3d. Telephone Number:
[phone]
3f. Email Address:*
a ceg ra d i n g 2017 @g ma i l. co m
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
3e. Fax Number:
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(rf apprcpriate)
lc. Nearest municipality/ town:
Winston-Salem
2. Project Identification
2a. Property Identification Number:
6808205435000
2c. Project Address
Street Address
4719 Leinbach Drive
Address Line 2
2b. Property size:
0.62
Dty State / Province / legion
Winston-Salem NC
Fbstal / Zip Cede Country
27106 USA
3. Surface Waters

3a. Name of the nearest body of water to proposed project:*
Yadkin River
3b. Water Resources Classification of nearest receiving water:*
C;TR
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.
030401011302
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:*
Stream banks have eroded due to heavy rainfall. Land use is residential.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
✓ Yes r No 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)
Aerial View.pdf 121.42KB
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)
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:
4h. Explain the purpose of the proposed project:*
to stop erosion and to repair stream banks
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Repair sloped back stream banks and repair washout areas with toe wood. Seed and mat stream banks with core fiber material. Small excavator and compact track loader will be used.
4j. Please upload project drawings for the proposed project.
Proposed Drawng.pdf 80.89KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
C- Yes
Comments:
r No O Unknown
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
C- Preliminary C- Approved C- Not Verified c Unknown C- N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
C- Yes 6 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?
No
D. Proposed Impacts Inventory
1. Impacts Summary

la. Where are the impacts associated with your project? (check all that apply):
r Wetlands rJ Streams -tributaries
r Open Waters r Pond Construction
3. Stream Impacts
r Buffers
SI
3a. Reason for impact (?)
Bank Erosion
3b.Impact type*
Permanent
3c. Type of impact*
Bank Stabilization
3d. S. name*
Unknown
3e. Stream Type*
(?)
Intermittent
3f. Type of
Jurisdiction*
DWR
3g. S. width*
2
Average (feet)
3h. Impact
length*
80
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
80
3i. Total stream and ditch impacts:
80
3j. Comments:
E. Impact Justification and Mitigation
3i. Total temporary stream impacts:
0
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Water in stream will be dewatered by pumping around stream while working.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
When possible, all work will be done from banks.
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?
C Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Owner covering cost
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?
r Yes C No
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
r Other SCM that removes minimum 30% nitrogen
I7 Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes C 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 6 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 C.' No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
✓ Yes ( No
3b. If you answered "no," provide a short narrative description.
This is minor stream bank repair due to erosion
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
✓ Yes C- 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 ( No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
✓ Yes ( No
5d. Is another Federal agency involved?*
✓ Yes
5e. Is this a DOT project located within Division's 1-8?
✓ Yes ('No
6' No r Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
✓ Yes f No
5g. Does this project involve bridge maintenance or removal?
✓ Yes 6' No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
✓ Yes f 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?
NC Wildlife
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 ( No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Essential Fish Habitat Mapper
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? *
SHPO Map
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)

8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
FEMA Map
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
*
17 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:
Danny Layell
Signature
Date
5/6/2021

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