20211480 Ver 1_ePCN Application_20211011

DWR
Division 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
20211480
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
Information for Initial Review
1a. Name of project:
Buffalo Creek Dairy - EWP Streambank Stabilization
1a. Who is the Primary Contact?*
Zan Price
1b. Primary Contact Email:*
zan@jenningsenv.00m
Date Submitted
10/11 /2021
Nearest Body of Water
Buffalo Creek
Basin
Roanoke
Water Classification
C
Site Coordinates
Version#*
1
What amout is owed?*
r $240.00
IT $570.00
Select Project Reviewer*
Sue Homewood:eads\slhomewood
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
36.255281-80.237820
A. Processing Information u
County (or Counties) where the project is located:
Forsyth
Is this a NCDMS Project
r Yes IT No
Is this project a public transportation project?*
r Yes r No
Pre -Filing Meeting Information
Is this a courtesy copy notification?*

r Yes r No
ID#
Version
Pre -fling Meeting or Request Date
9/9/2021
Attach documentation of Pre -Filing Meeting Request here:
Gick the upload button or drag and drop files here to attach document
DWR Pre -Filing Meeting Request Form (1).pdf
File type rrust 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
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: 13 - Bank Stabilization
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual 401 Water Quality Certification
le. Is this notification solelyfor the record because written approval is not required?
For the record onlyfor DWR 401 Certification:
For the record onlyfor Corps Permit:
49.33KB
r 401 Water Quality Certification - Express
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?
C Yes C 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:
Blakley, Johnny Howard;Blakley, Robin D
2b. Deed book and page no.:
001753/01300
2c. Contact Person:
r Yes r No
r Yes r No

2d.Address
Street Address
3241 Buffalo Creek Farm RD
Address Line 2
City
Germanton
Postal / Zip Code
27019
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Zan Price
4b. Business Name:
Jennings Environmental
4c.Address
Street Address
56 Central Ave
Address tine 2
Suite 102
city
Asheville
Postal / Zip Code
28801
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
State / Rovinoe / Fagion
NC
Country
USA
2f. Fax Number:
State / Rovinoe / Region
NC
Country
USA
4e. Fax Number:
C. Project Information and Prior Project History u
1. Project Information
1b. Subdivision name:
(t appropriate)
1c. Nearest municipality/ town:
Germanton
2. Project Identification
2a. Property Identification Number:
6931-53-8929.000
2c. Project Address
Street Address
3241 Buffalo Creek Farm RD
Address tine 2
city
Germanton
Postal / Zip Code
27019
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Buffalo Creek
3b. Water Resources Classification of nearest receiving water:*
C
2b. Property size:
33
Slate / Rovinoe / Regim
NC
Country
USA
3c. What river basin(s) is your project located in?*

Roanoke
3d. Please provide the 12-digit HUC in which the project is located.
030101030202
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 current land use in the vicinity of the project is primarily agricultural, forest, and rural residential.
6dsting stream conditions at the proposed project site are steep and eroding streambanks. Additionally, there are some large woody debris blockages in the channel. Hurricanes
Florence and Michael resulted in significant bank erosion. This site qualified for emergency bank repair funding under the Emergency Watershed Protection (EWP) program with the
NRCS.
The drainage area at the project site is approximately 13.8 square miles.
See attached existing condition photographs uploaded as supplemental information
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:
NA
4g. List the total estimated linear feet of all existing streams on the property:
1200
4h. Explain the purpose of the proposed project:*
The proposed bank stabilization project is located on Buffalo Creek in Forsyth County, NC. The project will stabilize and re -vegetate a total of approximately 325 LF of the left
streambank in three locations. Ongoing bank erosion is causing land loss and sediment is being exported to downstream surface waters and degrading water quality and aquatic
habitats.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The objectives of the project are to grade the left bank in three locations and stabilize it with boulder toe revetments, soil geo lifts, and native riparian vegetation to prevent additional
soil loss.
Biodegradable erosion control coir matting will be installed on all graded slopes. A permanent native woody buffer will be planted in the riparian area to promote long-term stability and
water quality benefits.
Additionally, some areas of woody debris channel blockages will be removed to prevent flood waters from eroding the adjacent streambanks.
Work will be completed using tracked excavators and dump trucks by a qualified stream restoration contractor. Equipment will be well maintained, cleaned prior to mobilization, and
checked daily for leaks of petroleum products. Fueling operations shall be performed in an area away from all surface waters.
See attached plan sheets for additional information and details.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No 6 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?
no
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 ❑ 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 *
3h. Impact
F
(?) 11.1uriscliction*
length*
S1
Stabilization
Permanent
Bank Stabilization
Buffalo Creek
Perennial
Both
30
78
Average (feet)
(lir�rfeel)
S2
Stabilization
Permanent
Bank Stabilization
Buffalo Creek
Perennial
Both
30
105
Average (feet)
(lir�rfeel)
fl
Stabilization
Permanent
Bank Stabilization
Buffalo Creek
Perennial
Both
30
139
Average (feet)
(lir�rfeel)
31. Total jurisdictional ditch impact in square feet:
31. Total permanent stream impacts:
322
31. Total stream and ditch impacts:
322
3j. Comments:
S1: Station 1+22 to 2+00
S2: Station 3+62 to 4+67
S3: Station 5+84 to 7+23
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Streambank stabilization is needed to achieve ecological objectives and enhance water quality within the project reach and areas downstream.
Impacts will be minimized by maintaining as much as possible the existing stream channel and natural riparian buffer.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Construction impacts will be minimized by limiting in -channel work to low -flow conditions and working from the streambanks when feasible. Graded
streambanks will be stabilized by using grass seed, straw mulch, and biodegradable erosion control ooir matting. Due to the size of the watershed, it is
not feasible to pump around the baseflowon this project. Construction crews will divert the majority of baseflowaround the work areas by constructing
a temporary gravel/cobble diversion. The stream channel will not be used as a construction access route. See plans for additional details.
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:
Bank stabilization project
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
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:
No NC Riparian Buffer program in this area
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
Comments:
% new impervious surface will be installed as part of this project
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
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 (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
r Yes r No
Comments:*
Below project thresholds for requiring an environmental document
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.
Stabilization project is not a)pected to result in a change in current land use nor additional development.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes 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 r 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
What Federal Agency is involved?
NRCS
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
r 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?
https://ecos.fws.gov/ipac/location/index
Please submit PCN to USFWS for ESA, Section 7 Concurrence.
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 EFH 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?*
HPO Web 2.0
Also sent map to SHPO
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:
Submitting a floodplain permit to the County
8c. What source(s) did you use to make the floodplain determination?*
NC FRIS
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.
Click the upload button a drag and drop files here to attach docurrent
Blakely Agent Authorization Form.pdf
407.05KB
Buff Creek Dairy Existing Condition Photographs.pdf
653.56KB
StreamStats Buffalo 13.8 sgmi.pdf
432.1 KB
4331_FORSYTH_CO_EWP_BLAKLEY_PERMIT_DRAWING.pdf
3.28MB
Re mul be FOF a IM
Comments
Agent Authorization Forms
Existing Condition Photographs
Stream Stats Report
Project Plan Sheets
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:
Zan Price
Signature
Date
10/11/2021