20211269 Ver 1_ePCN Application_20210823

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
20211269
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Colleen Cohn:eads\cmcohn
'Information for Initial Review
1a. Name of project:
Henderson Riprap to prevent erosion
1a. Who is the Primary Contact?*
William Henderson
1b. Primary Contact Email:*
[e-mail]
Date Submitted
8/23/2021
Nearest Body of Water
Lochmere Lake
Basin
Neuse
Water Classification
WS-III;NSW
Site Coordinates
Latitude: Longitude:
35.7702-78.773
A. Processing Information
County (or Counties) where the project is located:
Wake
Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?*
r Yes r No
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)
Version#*
1
Reviewing Office*
Raleigh Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
Has this PCN previously been submitted?*

r Yes
r No
1b. What type(s) of permit(s) do you wish to seek authorization?
r Nationwide Permit (NWP)
r Regional General Permit (RGP)
W Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Are you a federal applicant?*
r Yes r No
If yes, please provide a statement concerning compliance with the Coastal Zone Management Act.*
ANSWERED NO
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
r 401 Water Quality Certification - Regular r 401 Water Quality Certification - E)iress
r Non-404 Jurisdictional General Permit V Riparian Buffer Authorization
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 DWR401 Certification: r Yes r No
For the record onlyfor Corps Permit: r Yes r No
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:
William Henderson
2b. Deed book and page no.:
2c.Contact Person:
2d.Address
Street Address
508 Greenwood dr
Address tine 2
aty
Cary
Postal / Zip Cate
27511
State / Frminoe / Region
NC
Country
Usa
V

2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
Greenwood forest
1c. Nearest municipality/ town:
Cary
7-
2. Project Identification
2a. Property Identification Number:
0763752490
2c. Project Address
Street Address
Address tine 2
City
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Lochmere Lake
3b. Water Resources Classification of nearest receiving water:*
WS-III;NSW
3c. What river basin(s) is your project located in?*
Neuse
2f. Fax Number:
2b. Property size:
.55
Slate / Province / legion
Country
3d. Please provide the 12-digit HUC in which the project is located.
030202011001
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinityof the project at the time of this application:*
Residential neighborhood, Roughly 100' of bank along stream in back half of lot is eroding significantly. Grading and fill of some sort with addition of rip rap along bank recommended to
prevent further erosion.
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
4b(2). Is Any Portion of the Work Already Complete?*
r Yes r No
If yes, describe the completed work.
Started clearing brush along stream to have clear area for rip rap, mulch fill placed in deeper erosion areas
4c. List of Other Certificates or Approvals/Denials received from other Federal, State, or Local Agencies for Work Described in This Application. not related to the 404 or 401.
4f. List the total estimated acreage of all existing wetlands on the property:
.01
4g. List the total estimated linear feet of all existing streams on the property:
200'
4h. Explain the purpose of the proposed project:*
To prevent further significant erosion, work upstream somewhere has created more water flow in the past year resulting in more aggressive water erosion along bank.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
Grade banks with a gradual 4/12 grade 4' using hand tools shovels, rake, wheelbarrow to move fill and riprap
4k. Will this activity involve dredging in wetlands or waters?*
r Yes r No
If yes, Describe the type of dredging, the composition of the dredged material and the location of disposal area.

5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes f No r Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved f Not Verified r Unknown F 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
6a. Is this a phased project?*
F 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?
7. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (if more than can be entered here, please attach a supplemental list)
8. Scheduling of Activity:
ASAP hurricane season has already started and significant erosion damage occurred last fall
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands r Streams -tributaries P Buffers
r Open Waters r Pond Construction
2h.Type(s) of Material Being Discharged and the Amount of Each Type in Cubic Yards:
3i. Total cubic yard stream impacts:*
0
4g. Total cubic yard open water impacts:*
0
6. Buffer Impacts (for DWR)
6a. Project is in which protect basirl
Check all that apply.
R Neuse r Tar -Pamlico
r Catawba r Randleman
r Goose Creek f Jordan Lake
r Other
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Allowable
P
Lynn Branch
Yes
30
15
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 30.00 15.00

Zone 1 Zone 2
Total combined buffer impacts: 30.00 15.00
61. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
If nothing is done the erosion will continue, resulting in further loss of natural land along bank bank is already actively being impacted and
compromised.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Hand tools used
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:
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
What type of SCM are you providing?
V Level Spreader
P Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
r 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 15ANCAC 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 WA - project disturbs < 1 acre
3. Stormwater Requirements
r No
3a. Select whether a completed stormwater management plan (SMP) is included for review and approval or if calculations are provided to document the project will not cause
degradation of downstream surface waters.*
r- Stormwater Management r Antidegradation
Plan Calculations
Comments
G. Supplementary Information U
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
2b Provide an explanation of the violation(s):
Cant not use mulch as fill along banks.
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.
no more development possible
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes r No (- 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
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
r Unknown
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.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
WATER MAPS
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?*
WATER MAPS
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?*
WATER MAPS
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 Flood map Online tool
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 document
File rust be FCF or I M
Comments
Something must be done to shore up the bank prevent erosion alone existing fence line. Portions of the ground along bank are unstable to walk on will only get worse if something is not
done to solidify them.
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:
William Henderson
Signature
Date
8/23/2021