20201800 Ver 1_ePCN Application_20210716

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
June 1, 2021 Ver4.1
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
r Yes r No
Change only if needed.
BIMS # Assigned
20201800
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office*
Raleigh Regional Office - [phone]
Information for Initial Review
la. Name of project:
Ro)boro Stor-N-Lock
la. Who is the Primary Contact?*
Deborah Shirley
1b. Primary Contact Email:*
[e-mail]
Date Submitted
7/16/2021
Nearest Body of Water
UT to Marlowe Creek
Basin
Roanoke
Water Classification
C
Site Coordinates
Latitude: Longitude:
36.413028-78.983770
A. Processing Information
County (or Counties) where the project is located:
Person
Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?*
r Yes r No
Pre -Filing Meeting Information
Version#*
1
What amout is owed?*
IT $240.00
r $570.00
Select Project Reviewer*
Stephanie Goss:eads\szgoss
1c. Primary Contact Phone:*
[phone]
Is this a courtesy copy notification?*
r Yes r No

ID#
20201800
Pre -fling Meeting or Request Date
11 /23/2020
Attach documentation of Pre -Filing Meeting Request here:
nick the upload button or drag and drop files here to attach document
DWR Pre -Filing Meeting Request Form.pdf
File type mast be FCF
1a. Type(s) of approval sought from the Corps:
V 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?*
r Yes
r No
1b. What type(s) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
fJ 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual 401 Water Quality Certification
Version
Version 1
39 - Commercial/Institutional Developments
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:
52.16KB
r 401 Water Quality Certification - E>q)ress
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
W Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
Ro>h>oro Stor-N-Lock, Inc.
2b. Deed book and page no.:
Book: 1010 Page: 701
2c.Contact Person:
Stephen L. Wilson
r Yes r No
r Yes r No

2d.Address
Street Address
333 S. Lamar St.
Address tine 2
City
Roxboro
Postal / Zip Code
27573
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Deborah Shirley
4b. Business Name:
Soil & Environmental Consultants, PA
4c.Address
Street Address
8412 Falls of Neuse Road, Suite 104
Address tine 2
city
Raleigh
Postal / Zip 0,&
27615
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
State / Province / Pagion
NC
Country
USA
2f. Fax Number:
State / Province / fkgion
NC
Country
USA
4e. Fax Number:
[phone]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Roxboro
2. Project Identification
2a. Property Identification Number: 2b. Property size:
0906-06-49-7295.000 +/- 11.46
2c. Project Address
Street Address
On Carver Drive, just north of the intersection of Carver Drive and Ridge Road
Address Line 2
(Sty
State / Province / ftion
Roxboro
NC
Fbstal / Zip Ode
Country
27573
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
UT to Marlowe Creek
3b. Water Resources Classification of nearest receiving water:*
C
3c. What river basin(s) is your project located in?*
Roanoke
3d. Please provide the 12-digit HUC in which the project is located.

030101040602
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:*
Existing conditions onsite consists of wooded land. There area total of six (6) wetlands (W1-W6), one (1) linear wetland feature (LW1), and two (2) intermittent streams located on the
property. 'SB' starts in the middle of the property and features adjacent wetlands W1, W2 and W6 before its convergence with feature'SA'. 'SA' is located on the western side of the
property and features adjacent wetland'W3' as well as'LW1' to the south of the stream start, which connects to'W4 & W5'. Please see attached wetland sketch map for exact locations
of each feature. The general land use in the vicinity of the project is mainly commercial development and wooded land. Carver Drive bounds the property to the West.
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
4f. List the total estimated acreage of all existing wetlands on the property:
ApproAmately 0.28 acres
4g. List the total estimated linear feet of all existing streams on the property:
ApproAmately 897 LF
4h. Explain the purpose of the proposed project:*
The purpose of this project is to construct a commercial development and its necessary infrastructure.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The overall project consists of the construction of a storage space facility including but not limited to; roadway infrastructure and storage lots. Specifically, there is one (1) wetland
impact associated with a road crossing and one (1) area of lot fill that impacts streams and wetlands. Equipment typically used for construction and earthwork such as backhoes,
bulldozers, excavators, graders, pavers etc. will be utilized for this project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No O Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
SAW-2020-00519
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Steven Ball
Agency/Consultant Company: Soil & Environmental Consultants, PA
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR
USACE: Site visit and field determination made by Chris Hopper on October 7, 2020.
***Note that preliminary was checked at C.5b so that this data box at C.5d would be available for site visit details.
6. Future Project Plans
6a. Is this a phased project?*
r Yes r 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?
It is my understanding that there are no intended future phases beyond the limits of disturbance shown. Therefore, no additional NWP, Regional General Permits, or IP are anticipated.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries r- Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2a1 Reason (?) 2b. Impact type * (?) 2c. Type of W.* 2d. W. name * 2e. Forested * 2f. Type of Impact
Jurisdicition*(?)J2g.
area*
Impact A Road Crossing P Headwater Forest
Impact B P
LW1 & W4
Yes
Both
0.016
(acres)

2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.050
2g. Total Wetland Impact
0.050
2i. Comments:
3. Stream Impacts
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name * 3e. Stream Type * �[3f. Type of 3gSwidth * 3h. Impact(?) urisdiction* length*
Impact B-Lot Fill Permanent Fill Stream B Intermittent Both ]�;J�]
P
3i. Total jurisdictional ditch impact in square feet
0
3i. Total permanent stream impacts:
146
3i. Total stream and ditch impacts:
146
3j. Comments:
Total permanent stream impacts = 146 LF (438 SF)
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
0
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
S&EC completed a wetland delineation for the entire property to identify natural resources so that impacts could be avoided & minimized to the
maximum extent practicable. Impact A is a proposed driveway crossing necessary to access the property. Proposed impacts include permanent
wetland impacts for a culvert and riprap dissipator pad. A riprap dissipator pad will assist in minimizing velocities and wetland scour. Previous site plan
approval by Person County included the driveway crossing at the north of the property which would have resulted in permanent stream and potentially
permanent wetland impacts. The existing culvert location could not be utilized for safety concerns, per the NCDOT it doesn't allow adequate site
distance to the south. Impact area B is proposed fill necessary to construct the building pad and storage buildings. Proposed impacts include
permanent wetland and stream impacts. Per the project engineer, The design criteria drove the building orientation from to E-W. The buildings
themselves work best if installed on flat or slightly sloping terrain. There is an approximate 45' grade change throughout the site and an approximate
29' grade change within the limit of disturbance. There would be too many steps required in the buildings to follow the existing topography to make
construction feasible and the layout practical if the buildings were oriented N-S. If a reasonable number of steps were installed on N-S buildings, the
earthwork costs and potential rock excavation (significant cut on the south side of the site and significant fill on the north side of the site) would make
construction impractical.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Standard erosion control measures will be installed in the channels downstream of the toe of slope to prevent sediment deposition downstream in
these areas. Cofferdams and a pump around will be utilized during the culvert installation.
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 r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The proposed permanent wetland impacts are less than 0.10 of an acre and the proposed permanent stream impacts are less than 0.02 of an acre. Impacts have been avoided to the
maximum extent practicable. Therefore compensatory mitigation in the form of mitigation payment has not been proposed.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
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?
r Yes r No
If no, explain why:
The project is not located within and area with one of the 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 r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
v

r Yes r No
Local Government Stormwater Programs
W Phase II r NSW r USMP f Water Supply
Please identify which local government stormwater program you are using.
Person County
Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r 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)?*
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
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 Roxboro Stor-N-Lock project is a commercial development. Additionally, the project is located within the Town of
Roxboro ETJ, therefore the adjacent properties that have potential for development will have the following regulations to protect downstream waters:
1) 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.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor WA
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 r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?'
r Yes r No
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?
The NC Natural Heritage Programs Data Explorer Map was used to search for elemental occurrences of federally protected species listed within and
within 1-mile of the project boundaries. It was determined based on the search that there are no elemental occurrences that are listed as federally
Threatened/Endangered within or within 1-mile of the project boundaries. References: NC Natural Heritage Program. 2021. Geographic Information
System (GIS) data. NCDNCR, Raleigh, NC. Available at http://www.ncnhp.org/. (Accessed: May 4, 2021).

6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes f• No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
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.
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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
The NC State Historic Preservation Office HPOWEB GIS Service interactive map was referenced on November 11, 2020, no historic listings or study
list entries or determined eligible listings were identified within the property boundaries. Additionally, no structures exist within the property boundaries.
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?*
NC Flood Risk Information System Floodplain Mapping Program and confirmation from the project engineer.
'Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one
file when possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
dick the upload button or drag and drop files here to attach docurrent
Roxboro PCN attachments.pdf 5.76MB
File rrust be FOF a ME
Comments
Signature
*
W 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:
Deborah E. Shirley
Signature
Date
7/16/2021

Submittal Information
ID# 20201800
Project Name: Roxboro Stor-N-Lock
Is this a transportation project?
Non -DOT
App Received Date: 7/16/2021
Contact Emails
[e-mail]
County (or Counties)
Person
Version: 1
Application Type:
Application Attachments
Web Access URL: https://edocs.deq.nc.gov/Laserfiche/indexaspx?
db=WaterResources#id=1381439;view=browse
Public URL: https://edocs.deq.nc.gov/WaterResources/Browse.aspx?dbid=0&startid=1381439
Payment Information
Fee Received* r Yes
f No - Application withdrawn by Applicant
r No - On hold for more than 30 days - application returned
Date Fee 7/16/2021
Received:*
Select Reviewer:* Stephanie Goss: eads\szgoss
Select Reviewing Office:*
Raleigh Regional Office - [phone]

Environmental Consultants,
8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27615 • Phone: [phone] • Fax: [phone]
sandcc.com
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description:
Date:
Roxboro Stor-N-Lock
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn:
Chris Hopper Field Office: Raleigh Regulatory Field Office
S&EC Project 4 14141
I, the undersigned, a duly authorized owner of record of the property/properties identified
herein, do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers
(Corps) and Soil & Environmental Consultants, PA (S&EC) staff, as my agent, to enter upon the
property herein described for the purpose of conducting on -site investigations and issuing a
determination associated with Waters of the U.S. subject to Federal jurisdiction under Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. This
document also authorizes S&EC, as my agent, to act on my behalf and take all actions
necessary for the processing, issuance and acceptance of a permit or certification and any and
all associated standard and special conditions.This notification supersedes any previous
correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for
government officials to enter the property when accompanied by S&EC staff. You should call
S&EC to arrange a site meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index-Number(s) (PIN):
Site Address:
City, County, State:
0906-06-49-7295.00 0
Roxboro, Person County, NC
PROPERTY OWNER INFORMATION:
Name: Roxboro Stor-n-lock Inc.
Mailing Address: 333 S. Lamar St. Roxboro NC 27573
Telephone Number: 336-599-0244
Stephen L. Wilson, Agent 3/6/2020
Property Owner (please print)
Property Owner Signature
Date
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.

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ID#* 20201800
Version* 1
Regional Office * Raleigh Regional Office - [phone]
Reviewer List* Stephanie Goss
Pre -Filing Meeting Request submitted 11/23/2020
Contact Name* Deborah Shirley
Contact Email Address* [e-mail]
Project Name* Roxboro Stor-n-lock
Project Owner* Stephen L. Wilson
Project County* Person
Owner Address: Street Address
333 S. Lamar St.
Address Line 2
aty
State / Province / Pegion
Roxboro
NC
Postal / Zip axle
Country
27573
USA
Is this a transportation project?* r Yes r No
Type(s) of approval sought from the DWR:
* 401 Water Quality Certification - F 401 Water Quality Certification
Regular Express
* Individual Permit F Modification
F Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes (-- No
Do you know the name of the staff member you would like to request a meeting with?
Stephanie Goss
Please give a brief project description below.*
The purpose of this project is to construct a commercial development and
its necessary infrastructure. Specifically, this project is a storage unit space
development. The project is located on Carver Drive, north of the
intersection of Carver Drive and Ridge Road in Roxboro, NC. The project is
approximately 11.46 acres. There are currently proposed impacts to
wetlands and streams.

Please give a couple of dates you are available for a meeting.
11 /24/2020
11 /25/2020
12/1 /2020
12/2/2020
12/3/2020
Please attach the documentation you would like to have the meeting about.
Roxboro Stor-n-Lok Environmental Impact
284.75KB
Map.pdf
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.
1 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.
Signature
Submittal Date 11/23/2020