20130627 Ver 1_401 Application_20130613

Of- war4
a -c
2013062T
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre - Construction Notification (PCN) For
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the Corps:
® Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number. 39 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps?
❑ Yes Q No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification - Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes © No
For the record only for Corps Permit:
❑ Yes ® No
1f. is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes © No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes. ® No
2. Project Information
2a. Name of project:
McDowell Middle School Parking Lot
2b. County:
McDowell
2c. Nearest municipality / town:
Marion
2d. Subdivision name:
NA
2e. NCDOT only, T.I.P. or state project no:
NA
3. Owner Information
3a. Name(s) on Recorded Deed:
McDowell County Schools
3b. Deed Book and Page No.
DB 606 Pg 889
3c. Responsible Party (for LLC if
applicable):
v
3d. Street address:
334 S Main Street
3e. City, state, zip:
Marion, NC 28752
JUN 1 7
3f. Telephone no.:
828 - 652 -4535
3g. Fax no.:
828 -659 -2238
Branch
3h. Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
John Tucker, PE
5b. Business name
(if applicable):
NC Department of Public Instruction
5c. Street address:
301 North Wilmington Street
5d. City, state, zip:
Raleigh, NC 27526
5e. Telephone no.:
919 - 807 -3564
5f. Fax no.:
919 - 807 -3545
5g. Email address:
[e-mail]
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
0792 -73 -7040
1 b. Site coordinates (in decimal degrees):
I Latitude: 35.699347 Longitude: -82.041646
1c. Property size:
100.51 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
UT to Catawba River
2b. Water Quality Classification of nearest receiving water:
Class C
2c. River basin:
Catawba
3. Project Description
3a. 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 site Is a former pond, originally built circa 1970. Upstream is undeveloped.
3b. List the total estimated acreage of all existing wetlands on the property: 0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 640
3d. Explain the purpose of the proposed project:
Provide additional parking for the middle school and athletic fields.
3e. Describe the overall project in detail, including the type of equipment to be used:
A portion of the existing stream will be piped and fill material brought in to construct the parking lot.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
❑ Yes ❑ No © Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
Preliminary ❑ Final
4c. if yes, who delineated the jurisdictional areas?
Name (if known): William Elliott
Agency /Consultant Company: USAGE
Other.
4d. if yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
May 9, 2013
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ❑ No ❑X Unknown
5b. If yes, explain in detail according to "help file' instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes © No
6b. If yes, explain.
Page 3 of 10
PCN Form —Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands Q Streams,- tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts _
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 -
Choose one
Choose one
Yes/No
-
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
-
W4 -
Choose one
Choose one
Yes/No
-
W5 -
Choose one
Choose one
Yes/No
-
W6 -
Choose one
Choose one
Yes/No
-
2g. Total Wetland Impacts:
2h. Comments:
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.
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Culvert
UT 1
PER
Corps
2
148
S2 -
Choose one
-
S3
Choose one
_
_
S4 -
Choose one
-
S5 -
Choose one
S6 -
Choose one
-
3h. Total stream and tributary impacts
148
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

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.
4a.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water Impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
S. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet )
6g.
Zone 2
impact
(square
feet
B1 -
Yes/No
B2 -
Yes/No
B3 -
Yes/No
B4 -
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Parking lot has been oriented parallel to the access road to minimize stream impacts
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
M erosion and sedimentation control plan will be prepared and submitted to the State of NC Land Quality Section for permit approval.
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 yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non - riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete If Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form —Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment Into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project?
2
2b. Does this project require a Stormwater Management Plan?
❑ Yes 0 No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
Impervious area of the watershed is less than 2%
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
McDowell County
❑ Phase II
3b. Which of the following locally- implemented stormwater management programs
❑ NSW
USMP
apply (check all that apply):
8 Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
[]Yes ❑ No
attached?
4. DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a. Which of the following state - implemented stormwater management programs apply
ORW
(check all that apply):
HSession Law 2006 -246
[]Other
4b. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form —Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal /state/local) funds or the
® Yes
❑ No
use of public (federal/state) land?
1b. 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
❑Yes
® No
(North Carolina) Environmental Policy-Act (NEPA/SEPA)?
1c. if you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes
❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
[]Yes
Q No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fad permit application?
❑Yes
❑X No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
®No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from
the proposed pproject, or available capacity of the subject facility.
Project is a parking toi, no sanitary sewer is required.
Page 9 of 10
PCN Form — Version 1.4 January 2009

S. Endangered 8pecles and Designated Critical Habitat (Corps Requirement)
6s. Will this project oc w in or near an area wish federally protected species or
13 Yes ® No
habitat?
6b. HH 7 with the USFWS concerning Endangered Species Act
Byes 0 No
checked
5c. If yes, Indicate the USFWS Field Office you have contacted.
Bryan Tompkkw
6d. Whet data sources did you use to determine whether your site would impact Endangered Spades or Designated Critical
Habitat?
Aahavlite oMoe of the u8FM
L Essential Fish Habitat (Corps Requirement)
6s. Will this project occur in or near an area designated as essential fish habitat?
❑ yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
water quality cd milloeMm Date Bese at NC Dwn
T. Historic or prehistoric Cultural Resources (Corps Requirement)
7e. Will this project occur rr in or near an area that the state, federal or tribal
governments have designated as having historic or cuftuml preservation
13 yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact hWWc or archeological resources?
Cultural Rewwm 018 Mapping
L Flood Zone Designation (Corps Requirement)
Be. M this project occur In a FEMA- do4nated 100 -year floodplaln?
❑ yes ® No
8b. If yes, w0ain how project meets FEMA requirements:
NC Flood Mapping
Be. Whet souroe(e) did you use to make the floodplain determination? `
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Applicant/Agenfa Printed Name
ApplicanU Ignature
Date
(Agenft signature is va oMy K an euthairatlon
letter from the a 9oeM le rovlded
Page 10 of 10

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CAR McDOWELL MIDDLE SCHOOL PARYdNG LOT
DATE SCALE. DRAWN BY:
JUN 2013 1"= NY JAKT JAKT
McDOWELL CO. HIGH SCHOOL
MARION, NORTH CAROLINA
N.C. DEPT. OF PUBLIC INSTRUCTION, PLANT OPERATION SECTION
301 N. WILMINGTON STREET, RALEIGH, N.C. 27601-2825

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IMPACT SUMMARY
STREAM 148 FT
WETLANDS 0 SF
BUFFER 0 SF
GRAPHIC SCALE 1" = 30'
0 30
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IMPACT SUMMARY
STREAM 148 FT
WETLANDS 0 SF
BUFFER 0 SF
GRAPHIC SCALE 1" = 30'
0 30