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HomeMy WebLinkAbout20210212 Ver 1_More Info Received_20210709 Pre-Construction Notification (PCN) Form For Nationwide Permits and Regional General Permits (along with corresponding Water Quality Certifications) October 26, 2020 Ver 3.3 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.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30.pdf County (or Countie s) where the proje ct is locate d:* Is this a NCDM S Proje ct * Is this project a public transportation project?* 1a. Type (s) of approv al sought from the Corps:* Has this PCN pre v iously be e n submitte d?* 1b. What type (s) of pe rmit(s) do you wish to se e k authorization?* 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. 1c. Has the NWP or GP numbe r be e n v e rifie d by the Corps?* Nationwide Pe rmit (NWP) Numbe r: Nationwide Pe rmit (NWP) Numbe r: NWP Numbe rs (for multiple NWPS): 1d. Type (s) of approv al sought from the DWR:* Pre-Filing Meeting Information A. Processing Information Wake Yes No Click Yes, only if NCDMS is the applicant or co-applicant. Yes No This is any publicly funded by municipal,state or federal funds road, rail, airport transportation project. Section 404 Permit (wetlands, streams and waters, Clean Water Act) Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act) Yes No Nationwide Permit (NWP) Regional General Permit (RGP) Standard (IP) Yes No 29 - Residential Developments 18 - Minor Discharges NWP 58 - Utility Line activities for Water and Other (Impact A1-Permanent-No Permanent Loss) List all NW numbers you are applying for not on the drop dow n list. check all that apply 401 Water Quality Certification - Regular 401 Water Quality Certification - Express Non-404 Jurisdictional General Permit Riparian Buffer Authorization Individual Permit 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 he re to read more information on when this form is needed prior to application submission or he re to view the form. 1e . Is this notification sole ly for the re cord be cause writte n approv al is not re quire d? * For the re cord only for DWR 401 Ce rtification: For the re cord only for Corps Pe rmit: 1f. Is this an afte r-the -fact pe rmit application?* 1g. Is payme nt into a mitigation bank or in-lie u fe e program propose d for mitigation of impacts? Acce ptance Le tte r Attachme nt 1h. Is the proje ct locate d in any of NC's twe nty coastal countie s?* 1j. Is the proje ct locate d in a de signate d trout wate rshe d?* Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx 1a. Who is the Primary Contact?* 1b. Primary Contact Email:* 1c. Primary Contact Phone :* 1d. Who is applying for the pe rmit?* 1e . Is the re an Age nt/Consultant for this proje ct?* 2. Owner Information ID#Ve rsion Pre -fling M e e ting or Re que st Date * Attach docume ntation of Pre -Filing M e e ting Re que st he re :* 20210212 Version 1 1/28/2021 DWR Pre-Filing Meeting Request Form.pdf 51.26KB Yes No Yes No Yes No If so, attach the acceptance letter from mitigation bank or in-lieu fee program. Yes No Click the upload button or drag and drop files here to attach document Kennebec Crossing DMS Acceptance.pdf 436.34KB FILE TYPE MUST BE PDF Yes No Yes No B. Applicant Information Deborah Shirley dshirley@sandec.com (xxx)xxx-xxxx (919)846-5900 Owner Applicant (other than owner) (Check all that apply) Yes No 2a. Name (s) on re corde d de e d:* 2b. De e d book and page no.: 2c. Re sponsible party: 2d. Addre ss * 2e . Te le phone Numbe r:* 2f. Fax Numbe r: Ruth D. Petrea DB: 013020 DP: 00154 (for Corporations) City Durham State / Province / Region NC Postal / Zip Code 27705-3203 Country USA Street Address 1209 Carolina Ave Address Line 2 (xxx)xxx-xxxx (919)418-7954 3. Applicant Information (if different from owner) 4. Agent/Consultant (if applicable) 1a. Name of proje ct:* 1b. Subdivision name : 1c. Ne are st municipality / town:* 2g. Email Addre ss:* (xxx)xxx-xxxx jcebina@robuckhomes.com 3a. Name :* 3b. Business Name : 3c. Addre ss * 3d. Te le phone Numbe r:* 3e . Fax Numbe r: 3f. Email Addre ss:* Joe Cebina (if applicable) TBM Partners, LLC City Raleigh State / Province / Region NC Postal / Zip Code 27609 Country USA Street Address 6131 Falls of Neuse Road, Suite 300 Address Line 2 (919)247-1932 (xxx)xxx-xxxx (xxx)xxx-xxxx jcebina@robuckhomes.com 4a. Name :* 4b. Business Name : 4c. Addre ss * 4d. Te le phone Numbe r:*4e . Fax Numbe r: 4f. Email Addre ss:* Age nt Authorization Le tter * Deborah Shirley (if applicable) Soil & Environmental Consultants, PA City Raleigh State / Province / Region NC Postal / Zip Code 27615 Country USA Street Address 8412 Falls of Neuse Road, Suite 104 Address Line 2 (919)846-5900 (xxx)xxx-xxxx (919)846-9467 (xxx)xxx-xxxx dshirley@sandec.com Please provide the Agent Authorization Letter if you are submitting this document. SEC Agent Authorization Kennebec.pdf 473.12KB FILE TYPE MUST BE PDF C. Project I nformation and Prior Project History 1. Project Information Kennebec Crossing Subdivision (if appropriate) Angier 2. Project Identification 2a. Prope rty Identification Numbe r:2b. Prope rty size : 2c. Proje ct Addre ss 2d. Site coordinate s in de cimal de gre e s 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 :*Longitude :* 3. Surface Waters 3a. Name of the ne are st body of wate r to propose d proje ct:* 3b. Wate r Re source s Classification of ne are st re ce iv ing wate r:* Surface Water Lookup 3c. What riv e r basin(s) is your proje ct locate d in?* 3d. Ple ase prov ide the 12-digit HUC in which the proje ct is locate d.* River Basin Lookup 4. Project Description and History 4a. De scribe the e xisting conditions on the site and the ge ne ral land use in the v icinity of the proje ct at the time of this application:* 4b. Hav e Corps pe rmits or DWR ce rtifications be e n obtained for this project (including all prior phase s) in the past?* 4d. Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the USGS topographic map indicating the location of the proje ct site . (for DWR) 4e . Attach an 8 1/2 X 11 e xce rpt from the most re ce nt v e rsion of the publishe d County NRCS Soil Surv e y map de picting the proje ct site . (for DWR) 4f. List the total e stimate d acre age of all e xisting we tlands on the prope rty: 4g. List the total e stimate d line ar fe e t of all e xisting stre ams on the prope rty: 4h. Explain the purpose of the propose d proje ct:* 4i. De scribe the ov e rall proje ct in de tail, including indirect impacts and the type of e quipme nt to be use d:* (tax PIN or parcel ID) 0675302448, 0674391027 (in acres) +/- 28.2 City Angier State / Province / Region NC Postal / Zip Code 27501 Country USA Street Address 9725 & 9907 Kennebec Church Road Address Line 2 35.366083 ex: 34.208504 -78.753716 -77.796371 Neills Creek WS-IV Cape Fear 030300040501 Existing conditions onsite consists primarily of wooded and agricultural land with a residential structure located adjacent to Kennebec Church Road. Kennebec Church Road bisects the property north to south. Specifically, there are nine (9) wetlands (W1-W9), one (1) perennial stream (SB) and three (3) intermittent streams (SA, SC and SD) located on the property. 'W1' is located in the far southeastern corner of the property. 'SA' starts within feature 'W2' on the west side of the property before it converges with perennial feature 'SB' in the northern portion of the property. 'SA' also features adjacent wetlands 'W4' and 'W5'. 'SC' is located in the northeastern corner of the property and features adjacent wetlands 'W6-W9' before its confluence with 'SB'. 'W3' has been determined non jurisdictional. Please see attached wetland sketch map of exact locations of features. General land use in the vicinity of the consists of wooded land along with residential developments. Yes No Unknown Click the upload button or drag and drop files here to attach document USGS.pdf 7.95MB File type must be pdf Click the upload button or drag and drop files here to attach document SS.pdf 3.85MB File type must be pdf Approximately 2.47 ac (intermittent and perennial) Approximately 2,569 LF The purpose of this project is to construct a single-family and multi-family residential development and its necessary infrastructure. The overall project consists of the construction of a single-family and multi-family residential development including but not limited to, residential lots, roadway infrastructure, utilities and SCMs. Specifically, there are three (3) wetland impact areas associated with lot fill/grading, two (2) wetland impacts for road crossings, two (2) wetland impacts for retaining walls, one (1) wetland impact area associated with storm drainage construction, and one (1) wetland impact associated with an SCM. Equipment typically used for construction and earthwork such as backhoes, bulldozers, excavators, graders, pavers etc. will be utilized for this project. 4j. Ple ase upload proje ct drawings for the propose d proje ct. 5. Jurisdictional Determinations 5a. Hav e the we tlands or streams be e n de line ate d on the prope rty or propose d impact are as?* Comme nts: 5b. If the Corps made a jurisdictional de te rmination, what type of de te rmination was made ?* Corps AID Numbe r: 5c. If 5a is ye s, who de line ate d the jurisdictional are as? Name (if known): Age ncy/Consultant Company: Othe r: 5d. List the date s of the Corp jurisdiction de te rmination or State de te rmination if a de te rmination was made by the Corps or DWR. 5d1. Jurisdictional de te rmination upload 6. Future Project Plans 6a. Is this a phase d proje ct?* Are any othe r NWP(s), re gional ge ne ral pe rmit(s), or indiv idual pe rmits(s) use d, or intende d to be use d, to authorize any part of the propose d project or re lated activ ity? This include s othe r se parate and distant crossing for line ar proje cts that re quire De partme nt of the Army authorization but don’t re quire pre -construction notification. 1. Impacts Summary 1a. Whe re are the impacts associate d with your proje ct? (che ck all that apply): 2. Wetland Impacts If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted. "W." will be use d in the table be low to re pre se nt the word "wetland". 2a. Site #*(?)2a1 Reason *(?)2b. Impact type *(?)2c. Type of W.*2d. W. name *2e . Fore ste d *2f. Type of Jurisdicition *(?) 2g. Impact are a * Click the upload button or drag and drop files here to attach document 2021.03.30 KENNEBEC CROSSING WETLAND IMPACT EXHIBITS - Rev.pdf 3.34MB File type must be pdf Yes No Unknown Preliminary Approved Not Verified Unknown N/A Example: SAW-2017-99999 SAW-2020-00889 Steven Ball Soil & Environmental Consultants, PA USACE: Site visit and field determination made on July 30, 2020 by Lyle Phillips with written concurrence received on February 12, 2021. Click the upload button or drag and drop files here to attach document 9725 Kennebec Church Road_Fuquay Varina_Wake_SAW20200089.pdf 98.12KB Wetland Sketch Map.pdf 2.41MB File type must be PDF Yes No It is my understanding that there are no intended future phases beyond the property boundaries shown. Therefore, no additional NWP, Regional General Permits, or IP are anticipated. D. Proposed Impacts Inventory Wetlands Streams-tributaries Buffers Open Waters Pond Construction Impact A1 Lot Fill P Bottomland Hardwood Forest W2 Yes Both 0.166 (acres) Impact A2 Road Crossing-Fill P Bottomland Hardwood Forest W2 Yes Both 0.008 (acres) Impact A1 Stormwater Drainage Construction & Easement (Permanent- No permanent loss-NWP 58) P Bottomland Hardwood Forest W2 Yes Both 0.059 (acres) Impact B Lot fill/Grading P Bottomland Hardwood Forest W2 Yes Both 0.012 (acres) Impact C1 Road Crossing-Fill P Bottomland Hardwood Forest W2 Yes Both 0.002 (acres) 2g. Total Te mporary We tland Impact 2g. Total Pe rmane nt We tland Impact 2g. Total We tland Impact 2h. Comme nts: 1. Avoidance and Minimization 1a. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts in de signing the proje ct:* 1b. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts through construction te chnique s:* 2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State 2a. Doe s the proje ct re quire Compe nsatory M itigation for impacts to Wate rs of the U.S. or Wate rs of the State ? 2c. If ye s, mitigation is re quire d by (che ck all that apply): 2d. If ye s, which mitigation option(s) will be use d for this proje ct? 4. Complete if Making a Payment to In-lieu Fee Program Impact C2 Retaining Wall Construction Access T Bottomland Hardwood Forest W2 Yes Both 0.010 (acres) Impact E1 Lot Fill/Grading P Bottomland Hardwood Forest W1 Yes Both 0.011 (acres) Impact E1 Retaining Wall Construction Access T Bottomland Hardwood Forest W1 Yes Both 0.012 (acres) Impact E2 Stormwater Control Measure & Riprap Apron (NWP 18) P Bottomland Hardwood Forest W1 Yes Both 0.094 (acres) 0.022 0.352 0.374 Total permanent loss wetlands = 0.293 ac (12,773 SF), Total permanent-no permanent loss wetlands = 0.059 ac (2,573SF), Total temporary wetlands = 0.022 ac (947 SF). E. Impact Justification and Mitigation S&EC completed a wetland and stream delineation for the entire property to identify natural resources so that proposed impacts could be avoided & minimized to the maximum extent practicable. Impact A1 is proposed permanent wetland impacts for lot fill. This impact is necessary due to the placement of proposed residential lots and minimum 6,000 SF lot size requirements dictated by Town of Angier R-6 zoning classification, the existing terrain, and the necessary road infrastructure to serve the development. Proposed impacts have been minimized to the greatest extent practical by utilizing a stem-wall type construction at the rear of the building pads, which reduces the limits and amount of required fill and has been incorporated into the grading design. Impact A1 (Permanent-no Permanent loss) impacts are proposed wetland impacts for a piped stormwater drainage system on the backs of proposed residential lots. This impact is necessary due to the topographic limitations on conveyance of piped stormwater drainage system to the proposed stormwater management facility. This area will be excavated, the stormwater drainage piping installed, and the wetland area will be brought back to pre-construction contours, allowed to re-vegetate and will need to be mowed and maintained to avoid root growth which could damage underground pipe/infrastructure. A NWP 58 is being requested for this impact. Impact A2 is proposed permanent wetland impacts for a road crossing. This road crossing is necessary to provide access to the northern portion of the development and to provide access to residential lots. Impact B (lot #36) is proposed permanent wetland impact for lot fill and grading. This impact is necessary to allow for the minimum 6,000 SF lot size requirements dictated by Town of Angier R-6 zoning classification. Additional stream and wetland impacts have been avoided in this area by the utilization of stem-wall type construction at the rear of the building pads, together with the addition of a retaining wall around the rear of lot #37 abutting the wetland area. Impact C1 is a proposed road crossing with permanent wetland impacts. This road crossing is necessary to access the lots on the western side of Dupree Meadow Drive. Proposed impacts have been minimized by adding a retaining wall. Impact C2 is a proposed temporary wetland impact necessary for the construction of the retaining wall designed to avoid permanent wetland impacts at lot #43 and minimize wetland impacts associated with the Dupree Meadow Drive road crossing. Additionally, this retaining wall extends on the SW side of wetland W2 to further avoid wetland impacts in this area. Previously identified Impact D (sheet 6 of 7) has been designed to avoid stream impacts, this sanitary sewer crossing will be aerial and will not require any stream impacts during construction. Impact E1 is a proposed permanent wetland impact for lot fill, grading and proposed temporary wetland impacts for retaining wall construction. Permanent loss wetland impacts have been minimized by utilizing a retaining wall. Impact E2 is proposed permanent wetland impact for construction and grading of the required Stormwater Control Measure (SCM) and riprap apron. The Town of Angier Code of Ordinance Part II-Chapter 17- Article VII- Section 17-200 requires stormwater management facilities for detention/peak flows for new development. The proposed development south of Kennebec Church Road has a grade change of approximately 15 feet from Kennebec Church Road down to the wetland. It is necessary to design the SCM at the lower elevations so that any new stormwater can flow to the SCM and discharge properly. The rip rap apron at the piped outfall from the SCM is sized as required for dissipation and reduction of erosive velocity for flows before discharging to the existing wetland there. To minimize the proposed impacts to this wetland area, an additional 0.55 acres of land was purchased after initial site design to reposition and provide more area for the necessary SCM and outfall. A Nationwide Permit 18 is being requested for this impact area. All temporary wetland impacts will be brought back to pre-construction contours and allowed to re-vegetate with adjacent wetland seed source. Compensatory mitigation is being proposed for all permanent loss and permanent-no permanent loss wetland impacts to offset wetland losses. Construction measures and techniques used: aerial utility crossing, retaining walls and stem walls to limit grading, protection measures such as silt fencing, high hazard silt fencing, diversion ditches, rock check dams, and temporary sediment basins are proposed to minimize erosion and sedimentation. Yes No DWR Corps Mitigation bank Payment to in-lieu fee program Permittee Responsible Mitigation 4a. Approv al le tte r from in-lie u fe e program is attache d. 4b. Stre am mitigation re que ste d: 4c. If using stre am mitigation, what is the stre am te mpe rature : NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website. 4d. Buffe r mitigation re que ste d (DWR only):4e . Riparian we tland mitigation re que ste d: 4f. Non-riparian we tland mitigation re que ste d:4g. Coastal (tidal) we tland mitigation re que ste d: 4h. Comme nts 6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR 6a. Will the proje ct re sult in an impact within a prote cte d riparian buffe r that re quire s buffe r mitigation? If ye s, you must fill out this e ntire form - ple ase contact DWR for more information. *** Recent changes to the stormwater rules have required updates to this section .*** 1. Diffuse Flow Plan 1a. Doe s the proje ct include or is it adjace nt to prote cte d riparian buffers ide ntifie d within one of the NC Riparian Buffe r Prote ction Rule s? For a list of options to meet the diffuse flow requirements, click here. If no, e xplain why: 2. Stormw ater Management Plan 2a. Is this a NCDOT proje ct subje ct to compliance with NCDOT’s Indiv idual NPDES pe rmit NCS000250?* 2b. Doe s this proje ct me e t the re quire me nts for low de nsity proje cts as de fine d in 15A NCAC 02H .1003(2)?* To look up low density requirement click here 15A NCAC 02H .1003(2). 2c. Doe s this proje ct hav e a stormwate r manage me nt plan (SM P) re v ie we d and approv e d unde r a state stormwate r program or state-approv e d local gov e rnme nt stormwate r program?* 2d. Which of the following stormwate r manage me nt program(s) apply (che ck all that apply):* Local Gov e rnme nt Stormwate r Programs * Ple ase ide ntify which local gov e rnme nt stormwate r program you are using.* Comme nts: 1. Environmental Documentation Yes No (linear feet) 0 (square feet) 0 (acres) 0.65 (acres) 0 (acres) 0 S&EC reviewed the NCDWR Approved Mitigation Banks in NC list, there were two (2) banks listed within the 03030004 HUC that had riparian wetland credits available. Both were contacted, however did not have any credits available. Attached is a acceptance letter from NCDMS. Permanent Wetland loss impact = 12,773 SF (0.293 acres; 0.293 @ 2:1 mitigation ratio = 0.586 acres), Permanent-No Permanent Wetland Loss = 2,573 SF (0.059 acres; 0.059 @ 1:1 mitigation ratio = 0.059 acres) Yes No F. Stormwater M anagement and Diffuse Flow Plan (required by DWR) Yes No This project is located within the Cape Fear River basin where there are no NC Riparian Buffer Protection Rules. Yes No Yes No Yes No N/A - project disturbs < 1 acre Hint: projects that have vested rights, exemptions, or grandfathering from state or locally implemented stormw ater programs or projects that satisfy state or locally-implemented stormw ater programs through use of community in-lieu programs should answ er no to this question. Local Government State If you have a local government approval please include the SMP on their overall impact map. Phase II NSW USMP Water Supply Town of Angier G. Supplementary Information 1a. Doe s the proje ct inv olv e an e xpe nditure of public (fe de ral/state /local) funds or the use of public (fe de ral/state ) land?* 2. Violations (DWR Requirement) 2a. Is the site in v iolation of DWR Wate r Quality Ce rtification Rule s (15A NCAC 2H .0500), Isolate d We tland Rule s (15A NCAC 2H .1300), or DWR Surface Wate r or We tland Standards or Riparian Buffe r Rule s (15A NCAC 2B .0200)?* 3. Cumulative Impacts (DWR Requirement) 3a. Will this proje ct (base d on past and re asonably anticipate d future impacts) re sult in additional de v e lopme nt, which could impact ne arby downstre am wate r quality?* 3b. If you answe re d “no,” prov ide a short narrativ e de scription. 4. Sewage Disposal (DWR Requirement) 4a. Is se wage disposal re quire d by DWR for this proje ct?* 4b. De scribe , in de tail, the tre atme nt me thods and dispositions (non-discharge or discharge ) of waste wate r ge ne rate d from the propose d proje ct. If the waste wate r will be treate d at a tre atment plant, list the capacity av ailable at that plant. 5. Endangered Species and Designated Critical Habitat (Corps Requirement) 5a. Will this proje ct occur in or ne ar an are a with fe de rally prote cte d spe cie s or habitat?* 5b. Hav e you che cke d with the USFWS conce rning Endange re d Spe cie s Act impacts?* 5c. If ye s, indicate the USFWS Fie ld Office you hav e contacte d. 5d. Is anothe r Fe de ral age ncy inv olv e d?* 5e . Is this a DOT proje ct locate d within Div ision's 1-8?* 5f. Will you cut any tre e s in orde r to conduct the work in wate rs of the U.S.?* 5g. Doe s this proje ct inv olv e bridge mainte nance or re mov al?* Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf 5h. Doe s this proje ct inv olv e the construction/installation of a wind turbine (s)?** 5i. Doe s this proje ct inv olv e (1) blasting, and/or (2) othe r pe rcussiv e activitie s that will be conducte d by machine s, such as jackhamme rs, me chanize d pile driv e rs, e tc.?* 5j. What data source s did you use to de te rmine whe the r your site would impact Endange re d Spe cie s or De signate d Critical Habitat?* Consultation Docume ntation Upload Yes No Yes No Yes No We have reviewed the “Draft Internal Policy, Cumulative impacts and the 401 Water Quality Certification and Isolated Wetlands Programs” document prepared by the NC Division of Water Quality on April 10, 2004, version 2.1. The draft states that many private developments are unlikely to cause cumulative impacts, including projects such as urban in-fill, most residential subdivisions and small commercial developments as well as agricultural and silvicultural operations. The Kennebec Crossing Subdivision project is a residential development. Additionally, the project is located within the Town of Angier ETJ, therefore the adjacent properties that have potential for development will have the following regulations to protect downstream waters: 1) the Water Supply, Watershed Protection Program which limits development densities as well as requires protective riparian buffers; and 2) the Phase II NPDES Stormwater Permit Program, this program includes permitting requirements for Municipal Separate Storm Sewer Systems (MS4s) in addition to post-construction stormwater management requirements. We anticipate that the DWR will advise us if any additional information is needed. Yes No N/A Non-discharge wastewater will be collected in the existing sanitary sewer system which will tie to an existing sanitary sewer manhole system to the north. The wastewater will then be treated at the North Harnett WWTP which has a capacity of 7.5 MGD. Yes No Yes No Raleigh Yes No Unknown Yes No Yes No Yes No Yes No Yes No S&EC completed a Threatened & Endangered Species Report, to include a Self-Certification letter through the US Fish & Wildlife Service (USFWS), a query through the NC Natural Heritage Program database, and an official Species List through the iPac. A formal request was sent to the USFWS on March 18, 2021. S&EC received response from USFWS on March 18, 2021 that they concurred with the determinations made by S&EC that the proposed actions is not likely to adversely affect a portion of the federally-listed endangered or threatened species, their formally designated critical habitat, or species currently proposed for listing under the Endangered Species Act (ESA). Due to the surveys for Michaux's Sumac being conducted outside of the survey window, the USFWS recommends that surveys for Michaux's sumac be conducted during the appropriate survey window. Please see attached S&EC Threatened & Endangered Species report and correspondence from USFWS. 6. Essential Fish Habitat (Corps Requirement) 6a. Will this proje ct occur in or ne ar an are a de signate d as an Esse ntial Fish Habitat?* 6b. What data source s did you use to de te rmine whe the r your site would impact an Esse ntial Fish Habitat?* 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.ncdcr.gov/hpoweb/ 7a. Will this proje ct occur in or ne ar an are a that the state , fe de ral or tribal gov e rnme nts hav e de signate d as hav ing historic or cultural pre se rv ation status (e .g., National Historic Trust de signation or prope rtie s significant in North Carolina history and archae ology)?* 7b. What data source s did you use to de te rmine whe the r your site would impact historic or arche ological re source s?* 7c. Historic or Pre historic Information Upload 8. Flood Zone Designation (Corps Requirement) Link to the FEM A Floodplain M aps: https://msc.fema.gov/portal/search 8a. Will this proje ct occur in a FEM A-designate d 100-ye ar floodplain?* 8c. What source (s) did you use to make the floodplain de te rmination?* Comme nts M isce llane ous attachme nts not pre v iously re que ste d. * · 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 :* Signature * Date Click the upload button or drag and drop files here to attach document USFWS concurrence.pdf 224.85KB S&EC Kennebec Church Rd T&E Report Signed.pdf 7.88MB File type must be PDF Yes No The NOAA Habitat Conservation/Habitat Protection: National Marine Fish Service; Essential Fish Habitat Mapper website was referenced. No Essential Fish Habitat was identified near the project. Yes No The NC State Historic Preservation Office HPOWEB GIS Service interactive map was referenced on February 2, 2021, no historic listings or study list entries or determined eligible listings were identified within the property boundaries. Click the upload button or drag and drop files here to attach document File must be PDF Yes No NC Flood Risk Information System Floodplain Mapping Program and confirmation from the project engineer. M iscellaneous Click the upload button or drag and drop files here to attach document File must be PDF or KMZ Signature By checking the box and signing below, I certify that: Deborah E. Shirley 4/8/2021