20201331 Ver 1_ePCN Application_20210812

DWR
Dlrlslon 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
20201331
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:
Hamlets Chapel Road Property
la. Who is the Primary Contact?*
Sean Clark
1b. Primary Contact Email:*
[e-mail]
Date Submitted
8/12/2021
Nearest Body of Water
Wilkinson Creek
Basin
Cape Fear
Water Classification
WS-IV;NSW
Site Coordinates
Latitude: Longitude:
35.8055-79.1422
A. Processing Information
County (or Counties) where the project is located:
Chatham
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#
20201331
Pre -fling Meeting or Request Date
9/29/2020
Attach documentation of Pre -Filing Meeting Request here:
pick the upload button or drag and drop files here to attach docunent
DWR Pre -Filing Meeting Request Form (7).pdf
File type rtust be FCF
1a. Type(s) of approval sought from the Corps:
W 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
IT No
1b. What type(s) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
F- 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
F Non-404 Jurisdictional General Permit
F- Individual 401 Water Quality Certification
Version
1
29 - Residential 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:
52.4KB
F 401 Water Quality Certification - Egress
F Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes IT 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 IT 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:
Coffey Grounds of Chapel Hill, Inc. - Mr. John Coffey (61669/68866); Harris, Dan F. & Walter F.
(1795)
2b. Deed book and page no.:
Deed book - 2094, Page - 0963 (Coffey); Deed book - 1166, Page 0974 (Harris)
2c.Contact Person:
r Yes r No
r Yes r No

John Coffey
2d.Address
Street Address
1127 Arya Lane
Address tine 2
CKY
Chapel Hill
Postal / Zip Code
27516
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Ian McMillan
4b. Business Name:
4c.Address
Street Address
3707 Swift Drive
Address tine 2
city
Raleigh
Postal / Zip Code
27609
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
State / Province / legion
NC
Country
USA
2f. Fax Number:
Slate / Rovince / Region
NC
Cbuntry
USA
4e. Fax Number:
C. Project Information and Prior Project History C^U
1. Project Information
1b. Subdivision name:
(if appropriate)
Hamlets Ridge
1c. Nearest municipality/ town:
Bynum
2. Project Identification
2a. Property Identification Number:
61669/68866/1795
2c. Project Address
Street Address
1590 Hamlets Chapel Road
Address Line 2
City
Pittsboro
Postal / Zip Code
27312
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Wilkinson Creek
3b. Water Resources Classification of nearest receiving water:*
W S-IV; NSW
2b. Property size:
+/-76.2
Slate / Rovince / Region
NC
Country
USA
3c. What river basin(s) is your project located in?*

Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
030300020701
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 Site is comprised of three adjacent parcels of undeveloped, forested land. Hardwoods and pines are present throughout the Site. Evidence of past logging (roadbeds, cut stumps,
etc.) was observed over the entire Site. Land use in the vicinity include rural residential, agricultural and pastureland, undeveloped/forest land, and land in timber management.
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:
5.058
4g. List the total estimated linear feet of all existing streams on the property:
2950
4h. Explain the purpose of the proposed project:*
The purpose of the Project is to construct a residential subdivision to meet the demand for housing in the area.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project involves the construction of a residential subdivision. Connection to the subdivision will be provided by a connection to Hamlet's Chapel Road. Impacts to onsite streams and
riparian buffers have been minimized to the greatest extent practicable. Lots are proposed closest to Hamlet's Chapel Road, and the remaining portions of the Site are not proposed for
development. No secondary and indirect impacts are foreseen. Heavy construction equipment, including bulldozers, front-end loaders, track hoes, and dump trucks, will likely be utilized
in the construction.
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:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
6. Future Project Plans
David Gainey
Sage Ecological Services, Inc.
6a. Is this a phased project?*
r Yes f• 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
1a. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries W Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
!a. Site #* (?) 2at Reason (?) 2b. Impact type * (?) 2c. Type of W.* 2d. W. name * 2e. Forested* 2f. Type of 2g. Impact
Jurisdicition*(?) area*
f
7ltt:
P Non -Tidal Freshwater Marsh WA-3 Yes Both 0.017
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.017

2g. Total Wetland Impact
0.017
21. Comments:
Proposed permanent wetland impacts total 0.017 acre for construction of a road crossing. No temporary weltand impacts are proposed.
3. Stream Impacts
❑
S1
3a. Reason for impact (?)
Site 1 - Per endicular Road
P
Crossing
3b.lmpact type *
Permanent
3c. Type of impact *
Culvert
J
3d. S. name *
Stream A
3e. Stream Type *
(?)
Perennial
3f. Type of ]3g.S.width*
Jurisdiction*
Both
I
3
Average (feet)
3h. Impact
length*
135
(linearfeet)
$2
Site 1 -Perpendicular Road
Crossing
Temporary
Dewatering
Stream A
Perennial
Both
3
Average (feet)
12
(linearfeet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
135
31. Total stream and ditch impacts:
147
3i. Total temporary stream impacts:
12
3j. Comments:
Proposed permanent stream impacts as a result of a perpendicular road crossing equal 135 LF. Proposed temporary impacts due to dewatering equal
12 LF.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
r Neuse r Tar -Pamlico
r Catawba r Randleman
r Goose Creek rJ Jordan Lake
r Other
6b. Impact Type
Site 1 - Perpendicular Road Crossing - ��p
Allowable
6c. Per or Temp
6d. Stream name
Stream A
6e. Buffer mitigation required?
No
6f. Zone 1 impact
8,953
6g. Zone 2 impact
4,958
Site 1 - Perpendicular Road Crossing -
Allowable
T
ream A
f
No
187
t
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 187.00 0.00
Zone 1
Zone 2
Total Permanent impacts: 8,953.00
4,958.00
Zone 1
Zone 2
Total combined buffer impacts: 9,140.00
4,958.00
6i. Comments:
Proposed permanent Zone 1 buffer impacts from the road crossing equal 8,953 sf and permanent Zone 2 buffer impacts equal 4,958 sf. Proposed
temporary Zone 1 buffer impacts for the road crossing equal 187 sf. No temporary Zone 2 impacts are proposed. Total proposed riparian buffer
impacts equal 0.323 acre.
E. Impact Justification and Mitigation u
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Roads and lots were positioned to reduce impacts to streams, wetlands, and riparian buffers on the Site. There are 5.058 acres of jurisdictional onsite
wetlands, of which only 0.017 acres are proposed to be impacted. There are 2,950 LF of jurisdictional onsite streams, of which only 147 LF are
proposed to be impacted.

1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Construction fencing will be used to define the construction corridor and prevent accidental impacts, while silt fencing will be installed to provide
additional protection from runoff. Ground cover will be established immediately after ground disturbance during construction.
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:
Wetland, stream, and riparian buffer impacts are below mitigable thresholds.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) C^U
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
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SMNT)
W Other SCM that removes minimum 30 % nitrogen
r Proposed project will not create concentrated stormwater flow through the buffer
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 r No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?
r Yes r No
r N/A - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
W Local Government r' State
Local Government Stormwater Programs
W Phase II r NSW r USMP W Water Supply
Please identify which local government stormwater program you are using.
Chatham County
Comments:
If it is determined that the project will require an SMP, we request that the 401 Water Quality Certification be conditioned such that the SMP must be approved before the proposed
impacts are constructed.
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.
This is a stand alone project and unlikely to be a catalyst for future development. Water services will connect to eAsting water lines adjacent to the
Site, and wastewater services will be provided by onsite individual septic systems.

4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR forth is project?*
r Yes r Nor WA
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated
at a treatment plant, list the capacity available at that plant.
Wastewater services will be provided by onsite individual septic systems.
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 f• 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 anytrees 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 NCNHP Report dated February 23, 2021, lists no federally listed T&E species on or within 1.0-mile of the Site.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r 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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NC State Historic Preservation Office (NCSHPO) HPOWEB GIS Service
No historic structures or historic districts are identified as being present on the Site itself or immediately adjacent to the Site. Five historic properties
are listed vdthin 1.0 mile of the Site based on a query of the GIS files from NCSHPO. All five properties are designated "Surveyed Only (SO)".
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
The Site contains a FEMA-regulated floodplain; however, no development is proposed for this area.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Floodplain Panel No. 3710975400K, 11/17/2017
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.
nick the upload button or drag and drop files here to attach docurred
Hamlet Chapel - 2020.005 PCN Combined Attachments.pdf 59.9MB
Rle crust be FOF or IM2
Comments

Attached are the following:
PCN Cover Letter
Agent Authorization Form
Figure 1-USGS Site Vicinity Map
Figure 2-Soil Survey Site Vicinity Map
Figure 3-PJD Wetland Sketch Map
Figure 4-NCSHPO Map
NCNHP Database Report
Hamlet's Ridge Riparian Buffer Determination Letter - Chatham County
Preliminary Jurisdictional Determination Request
Impact Maps
USACE ORM Spreadsheet
Signature
® 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:
Ian McMillan
Signature
1W141 1
Date
8/12/2021
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ID#* 20201331
Version* 1
Regional Office * Raleigh Regional Office - [phone]
Reviewer List* Stephanie Goss
Pre -Filing Meeting Request submitted 9/29/2020
Contact Name*
Contact Email Address*
Project Name*
Project Owner*
Project County*
Owner Address:
Kim Hamlin
[e-mail]
Hamlets Chapel Road Property
Coffey Grounds, Inc.
Chatham
Street Address
127 Araya Lane
Address Line 2
aty
Chapel Hill
Postal / Zip axle
27516
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
State / Province / Pegion
NC
Country
USA
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below.*
The Site is located appro)amately 1.6 miles west of US-15/US-501 on
Hamlets Chapel Road in Bynum,
Chatham County, NC. The proposed project is the construction of a
residential subdivision.
Please give a couple of dates you are available for a meeting.

10/14/2020
10/15/2020
Please attach the documentation you would like to have the meeting about.
Figure 1 - USGS Hamlets Chapel.pdf 784.24KB
Figure 2 - Soils Hamlets Chapel.pdf 2.33MB
Figure 3 - Hamlets Chapel Road with addition
780.87KB
Stream and Wetland Sketch 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.
1 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
aolft
Submittal Date 9/29/2020