20211398 Ver 1_ePCN Application_20210920

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
20211398
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office*
Asheville Regional Office - [phone]
Information for Initial Review
la. Name of project:
Mayland Early College Stream Piping
la. Who is the Primary Contact?*
David W. Poore, PE, CPESC
1b. Primary Contact Email:*
[e-mail]
Date Submitted
9/20/2021
Nearest Body of Water
U/T to Holley Branch
Basin
French Broad
Water Classification
TR (SI #7-2-33)
Site Coordinates
Latitude: Longitude:
35.934583-82.017866
A. Processing Information
County (or Counties) where the project is located:
Avery
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?*
r $240.00
IT $570.00
Select Project Reviewer*
Mitchell Anderson:eads\mlanderson
1c. Primary Contact Phone:*
[phone]
Is this a courtesy copy notification?*
r Yes r No

ID#
Version
Pre -fling Meeting or Request Date
8/19/2021
Attach documentation of Pre -Filing Meeting Request here:
nick the upload button or drag and drop files here to attach document
PRE FILING MEETING E-MAIL.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: 42 - Recreation Facility
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
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR401 Certification:
For the record only for Corps Permit:
15.68KB
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:
Mayland Early College
2b. Deed book and page no.:
84/486
2c.Contact Person:
Stacie Burleson
r Yes r No
r Yes r No

2d.Address
Street Address
264 Mayland Drive
Address Une 2
City
Spruce Pine
Postal / Zip Code
28777
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
David W. Poore, PE, CPESC
4b. Business Name:
West Consultants, PLLC
4c.Address
Street Address
405 South Sterling Street
Address tine 2
City
Morganton
Postal / Zip (bide
28655
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
NIA
1c. Nearest municipality/ town:
Spruce Pine, NC
2. Project Identification
2a. Property Identification Number:
180000686887
2c. Project Address
Street Address
264 Mayland Drive
Address tine 2
City
Spruce Pine
Postal / Zip Code
28777
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
U/T to Holley Branch
3b. Water Resources Classification of nearest receiving water:*
TR (SI #7-2-33)
3c. What river basin(s) is your project located in?*
French Broad
Slate / Province / Pagion
NC
Country
US
2f. Fax Number:
State / Province / Rion
NC
Country
US
4e. Fax Number:
2b. Property size:
38.63
State / Province / legion
NC
Country
US

3d. Please provide the 12-digit HUC in which the project is located.
060101080103
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:*
An open stream runs through an area very close to the school. The school wishes to pipe approximately 160 LF of stream to mitigate a dangerous condition that exists in an area the
school needs to use for physical education activities. The steep stream banks and the large open pipe presents a danger to the students.
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:
0
4g. List the total estimated linear feet of all existing streams on the property:
1,900
4h. Explain the purpose of the proposed project:*
The purpose of this project is to place a stream in a pipe to create a level area that can be used for physical education activities and to remove the danger of a student falling into the
stream or having access to the large open pipe.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The existing pipe will be extended and the stream placed in the pipe in order to create an area for school activities. As it exists now, the large open pipe and steep stream banks present
a safety concern for the students.
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
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?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
r Wetlands W Streams -tributaries
r Buffers
r- Open Waters r Pond Construction
3. Stream Impacts
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name* 3e. Stream Type * �3f. Type of 3g. S. width * �31h. Impact
(?) Jurisdiction* length*
Pipe installation Permanent Culvert U(T to Holle Branch Perennial Corps ]�;;]
11 P Y P (lines feet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts: 31. Total temporary stream impacts:
160 0

31. Total stream and ditch impacts:
160
3j. 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:
Work will be done in the dry, as much as possible.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Work will be done in the dry, as much as possible
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
V
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Project is within allowable piping limits as per USACoE
F. Stormwater Management and Diffuse Flow Plan (required by DWR) U
1. Diffuse Flow Plan
la. 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:
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
Comments:
G. Supplementary Information
1. Environmental Documentation
la. 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 (15ANCAC 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.
No additional development is planned.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
rYes r Nor N/A

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 f• 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 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
C Unknown
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?
website
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?*
website
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?*
website
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?*
FIRM map
F-
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
FIRM MAP.pdf
263.29KB
LOCATION MAP.pdf
136.02KB
PROPOSED STREAM PIPING.pdf
125.31<6
TAX MAP.pdf
584.08KB
USGS MAP.pdf
220.87KB
File mist be FDF a KW2
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:
David W. Poore, PE, CPESC
Signature
Date
9/20/2021

David Poore
From: [e-mail]
Sent: Sunday, September 19, 2021 12:01 AM
To: David Poore
Subject: Pre -Filing Time Clock has been reached for Mayland Early College Stream Piping - Ver
Attachments: DWR Pre -Filing Meeting Request Form.pdf
The North Carolina Division of Water Resources has received the Pre -Filing Meeting Request Form for Mayland Early
College Stream Piping that you submitted on 8/19/2021.
Your Pre -Filing Meeting Request has now reached the 30 calendar days' requirement and your application can now be
accepted.
When you submit your application please upload a copy of the attached document in this email.
This email was automatically generated by Laserfiche workflow. Please do not respond to this email address, as
responses are not monitored
Internal Use only: Non Transportation

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NORTH CAROLINA FLOODPLAIN MAPPING PROGRAM
NATIONAL FLOOD INSURANCE PROGRAM
FLOOD INSURANCE RATE MAP
NORTH CAROLINA
PANEL 1800
Panel Contains:
COMMUNITY
AVERY COUNTY
MCDOWELL COUNTY
MITCHELL COUNTY
FEM.A
CID PANEL SUFFIX
370010 1800 K
370148 1800 K
370161 1800 K
MAP NUMBER
37101S000OK
MAP REVISED
6/2/2009

FLOOD HAZARD INFORMATION
SEE FIS REPORT FOR ZONE DESCRIPTIONS AND INDEX MAP
THE INFORMATION DEPICTED ON THIS MAP AND SUPPORTING
DOCUMENTATION ARE ALSO AVAILABLE IN DIGITAL FORMAT AT
HTTP://FRIS.NC.GOV/FRIS
Without Base Flood Elevation (BFE)
Zone A,V, A9�
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SPECIAL FLOOD Regulatory Floodway
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FLOOD HAZARD
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AREAS
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-------------
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Accredited or Provisionally Accredited
GENERAL
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STRUCTURES
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North Carolina Geodetic Survey bench mark
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