20131006 Ver 1_401 Application_20130913

W'�WK
WDICKSON
community Infrastructure consultants
September 16, 2013
Karen Higgins
NC Division of Water Resources
Archdale Building — 9"' Floor
512 N. Salisbury St.
Raleigh, North Carolina 27604
Dear Karen Higgins,
20 13 100 6
WK Dickson is pleased to submit a Nationwide Permit 12 Pre - Construction Notification (PCN) for the Tanyard
Branch Sanitary Sewer Improvements project. The PCN is being submitted on behalf of the City of Eden. The
proposed project has no impacts to wetlands and temporary stream impacts are less than 500 LF. Therefore,
this PCN is submitted as a courtesy, since formal notification is not required. The project is being undertaken
to replace and repair an existing sewer line adjacent to Tanyard Branch, Cherry Creek and an unnamed
tributary to improve safety and accessibility. Based on an evaluation of the existing sewer line, replacement
and upgrading was recommended to prevent failure. This sewer line is a high priority main and is a
maintenance concern. It also is potentially a significant source of exposure to spills and overflows due to its
age, inaccessibility, and location along the streams.
The attached PCN package includes PCN Form, Supporting Figures, and design plans. Stream impacts
resulting from the Tanyard Branch Sanitary Sewer Improvements project total 250 linear feet of impacts. The
impacts are temporary excavation and temporary stream crossings for construction access. The streams will be
restored to pre - construction contours and stabilized. The project meets all conditions of the NWP 12 and GC
3699.
Thank you for your prompt attention to this important project and please let me know if you have any
questions or require any additional information.
Sincerely,
W.K. Dickson & Co., Inc.
Daniel Ingram LWd �Project Scientist cc: David Shaeffer, United States Army Corp of Engineers Mark Fisher, PE, WK Dickson Project Manager i;j WA v�11 y
720 Corporate Center Drive
Raleigh, NC 27607
Tel [phone]
Fax [phone]
www wkdickson com Transportation 9 Water Resources • Urban Development • Geomatics

Clot WALe90
g
O <
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the Corps:
Q Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps?
❑ Yes Q No
1d. 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
1e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑X 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 Q 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:
Tanyard Branch Sanitary Sewer Improvements
2b. County:
Rockingham
2c. Nearest municipality / town:
City of Eden
2d. Subdivision name:
N/A
2e. NCDOT only, T.I.P. or state project no:
N/A
3. Owner Information
3a. Name(s) on Recorded Deed:
See Attachment D�5
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
SEP r 20)13
3d. Street address:
p
3e. City, state, zip:
an ° ALIT
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009

.1
4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent Q Other, specify: Municipality
4b. Name:
Brad Corcoran
4c. Business name
(if applicable):
City of Eden
4d. Street address:
308 East Stadium Drive
4e. City, state, zip:
Eden, NC 27288
41'. Telephone no.:
336 -623 -2110
4g. Fax no.:
336 - 623 -4041
4h. Email address:
5. Agent/Consultant Information (tf applicable)
5a. Name:
Daniel Ingram
5b. Business name
(if applicable):
W. K. Dickson & Co., Inc.
5c. Street address:
720 Corporate Center Dr.
5d. City, state, zip:
Raleigh
5e. Telephone no.:
919 - 782 -0945
5f. Fax no.:
919- 782 -9672
5g. Email address:
dingram @wkdickson.com
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
See Attachment
1b. Site coordinates (in decimal degrees):
I Latitude: Longitude:
1c. Property size:
acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Dan River
2b. Water Quality Classification of nearest receiving water:
WS IV; CA
2c. River basin:
Roanoke (0301010305)
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:
See attached Narrative
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:
3d. Explain the purpose of the proposed project:
See attached Narrative.
3e. Describe the overall project in detail, including the type of equipment to be used:
See attached Narrative.
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): George Lankford
Agency /Consultant Company: WK Dickson
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
No wetlands were identified within the proposed project area during the delineation. Several stream channels were delineated.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
[]Yes ®No ❑ 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
1a. Which sections were completed below for your project (check all that apply):
❑ Wetlands © 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
TemDorary
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
YestNo
-
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:
0
2h. Comments:
There are no wetlands areas within the proposed limits of disturbance.
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 -
Choose one
S2 -
Choose one
S3 -
Choose one
S4 -
Choose one
S5 -
Choose one
S6 -
Choose one
3h. Total stream and tributary impacts
250
3i. Comments:
See attached Narrative.
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:
6. 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
61 -
Yes/No
B2 -
Yes/No
B3 -
Yes/No
B4 -
Yes/No
B5 -
Yes/No
66 -
Ye&Wo
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.
See attached Narrative.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
See attached Narrative.
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 Q 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 ram
y men 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
❑ Yes ® No
buffer mitigation?
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.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(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
1a. 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 Management Plan
2a. What is the overall percent imperviousness of this project?
0%
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
A storm water management plan is not required. No increase to impervious surfaces is proposed. Most of the project corridor is forested or
herbaceous cover.
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?
❑ Phase II
3b. Which of the following locally- implemented stormwater management programs
❑ NSW
apply (check all that apply):
USMP
H
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?
S. 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)
1a. 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 ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after - the -fact permit application?
❑Yes Q 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.
This is a sewer line rehabilitation that involves replacement of existing sewer line that is deteriorating and use of cured in place liners to limit impacts
No increase in capacity is designed.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non- discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
®Yes E] No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑Yes ®No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
See attached Narrative.
6. Essential Fish Habitat (Corps Requirement)
6a. 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?
No Essential Fish Habitat (EFH) will be impacted at the proposed project site based on the following viebsite. httpl /ocean.floridamarine.orglefti comLI
ims/viewerAlm
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
❑ 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 historic or archeological resources?
S. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes C§ No
8b. If yes, explain how project meets FEMA requirements:
l ,4, #m ev-41 G-s d� k (zw5)-
8c. What source(s) did you use to make the floodplain determination?
'3m� ���o� aIJ
VIA?
G1 UUnn
��(I MetriQQG%(
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization
letter from the applicant is ed.
Page 10 of 10

Supplemental Information for Pre- Construction Notification (PCN) Form
Tanyard Branch Sanitary Sewer Improvements Project
A. Applicant Information
3. Owner Information
Name(s) on Recorded
PIN
Deed Book &
Responsible Party
Address
Deed
Page No.
810 Manley St
Hylton, Ruth
707014323800
388Q381
Eden, NC 27288
428 Crosswick Rd
Deem, Shirley M
707018413972
863(a),2129
Clemmons, NC 27012 -%74
308 Greenwood St
Graves, Levon Sr
707018414816
743(a),191
Eden, NC 27288 -5642
713 N Bridge St
Haizlip And Holland LLC
707018414841
1264 40
Eden, NC 272884909
314 Greenwood St
Carter, Viola Bullins
707018414785
Eden, NC 27288 -5642
318 Greenwood St
Purdy, Lois M L/E
707018415637
1031 683
Eden, NC 27288
C/O Benjamin & Ruth
1002 S Main St
Bullins Family Homes LLC
707018415599
1264 1117
Bullins
Reidsville, NC 27320 -5312 '
PO Box 26405
Eden Housing Assoc
797907688691
ACCT CHANGE
Greensboro, NC 27404 -6405
625 W Ocean View Ave
Hearrell, Richard M
797907685247
1263A421
Norfolk, VA 23503 -1417
532 Briarwood Dr
Fleming, Jack Thomason
797907770956
701 36
Eden, NC 27288
806 Manley St
English, Robert S
707014323960
1422(a),838
Eden, NC 272884710
PO Box 70
City Of Eden
707014324825
1373(a)213
Eden, NC 27289 -0070
780 Webb Loop
Tilley, James
707014324775
1402(a).810
Madison, NC 27025 -7971
139 Greenwood St
Lopez, Y 3/4
707014325645
1421(&,2199
Eden, NC 27288 -4750
731 Oak St
Minter, John Irvin
707018329448
745(&930
Eden, NC 27288 -4741
807 Washington St
LYL LLC
707018420465
1414(&, 1129
C/O Jesse G Meeks
Eden, NC 27288 -6030
511 Dumaine St
Graves, Barry L
707018421440
1034 246
Eden, NC 272884924
807 Washington St
Floyd Hill Of Eden LLC
707018425333
1402(&,414
Eden, NC 27288 -6030
Austin, Beatrice Martin
702 Chafin Rd
Estate
707018421382
BY ESTATE
C/O Robert Austin
Goldsboro, NC 27534 -1814
110 Michelle Ln
Hopper, Edward Ray Jr
707018422264
1245(a)2261
Eden, NC 27288 -7769
1302 Robin Rd
Travis, Jack
707018424240
Eden, NC 27288
307 Cherry St
Hall, Roger Dean Jr
707018424192
1022 1694
Eden, NC 27288 -5637
1302 Robin Rd
Travis Jack C
707018423076
1281(d,1757
Eden, NC 27288
419 Glovenia St
Priddy, George W
707019511220
Eden, NC 27288 -4834
134 Taft St
Gora a Enterprises Inc
707019511162
1348 1129
Eden, NC 27288 -5225
134 Taft St
Ali Gore a Ghulam
707019512025
1200(a,) 133
Eden, NC 27288 -5225
643 Eden Rd
Edwards, Anthony Curtis
707019503919
911 742
Stoneville NC 27048 -7534
Page 1 of 6

Supplemental Information for Pre- Construction Notification (PCN) Form
Tanyard Branch Sanitary Sewer Improvements Project
3. Owner Information
Name(s) on Recorded
Ply
Deed Book &
Responsible Party
Address
Deed
Page No.
132 Circle Loop
Murray, Ethel A L/E
707019501888
1007(&,357
Eden, NC 27288 -7532
Daves, Construction
PO Box 2215
Service Inc
707019504768
990(&,733
Eden, NC 27289 -2215
214 Devonway St
Hall, Jonathan D
707019508213
1068@116
Eden, NC 27288 -5207
N/A
Cemetery
797907598814
ACCT CHANGE
Wentworth, NC 27375
1112 Pine Grove Dr
Cohen, Aubiere Hawkins
797906493968
1368(&228
Alpharetta, GA 30009 -2369
PO Box 672
Dyer, Richard B
797906495806
1414(&,286
Eden, NC 27289 -0672
351 Maplewood Dr
Evans, Wendell Lewis
797906496831
1416(&,68
Eden, NC 27288 -5244
PO Box 28
Hoerter, John C
797907692729
915P,1867
Eden, NC 27289 -0028
436 Patrick St
Futrell, Robert G Jr
797906397733
843 1280
Eden, NC 27288 -5632
371 NC 65 Suite 207
Rockingham County
797907599787
ACCT CHANGE
Wentworth, NC 27375
6653 NC Highway 770
Steele, Kenneth L
797906398758
883A964
Stoneville, NC 27048 -7616
1324 Clayton Rd
Gonzalez, Ramon
797906496721
1344(&,2595
San Jose, CA 95127 -4306
4020 Settle Bridge Rd
Webb, Daniel Ray
797907691740
1189(&,1839
Stoneville, NC 27048 -8270
401 Chestnut St
Richardson, Russell B
797906391678
815 1173
Eden, NC 27288
714 Cedar Ln
Boaz, Larry J
797906394607
1362 550
Reidsville, NC 27320 -8362
408 S Hamilton St
Ore, Janet
797906392623
1408 1548
Eden, NC 27288 -5610
530 Boone Rd
Francis, Bonita T
797907691661
735A306
Eden, NC 27288
PO Box 605
Osbome, William E
797906395528
1339(&,255
Eden, NC 27289 -0605
511 Harrington Hwy
Rockingham County School
797907699296
ACCT CHANGE
Eden, NC 27288
212 Starlight Rd
Leaksville Pentecostal
707014325586
ACCT CHANGE
Stoneville, NC 27048
142 Greenwood St
Fisher Johnny S
707014327583
867(a),2147
Eden, NC 27288
220 Heritage Rd
Hill, Joey
707018327423
1327 1437
Eden, NC 27288 -8141
838 Morgan Rd
Gilliam, Phillip T
707018325488
876 173
Eden, NC 27288 -2442
220 Heritage Rd
Hill, Joey
707018328410
1327@1437
Eden, NC 27288 -8141
PO Box 4634
Unitv B tist Church
707018416484
1038 23
Eden, NC 27289 -4634
309 Wilson St
Smith, Calvin E L/E
707018417348
1364 1495
Eden, NC 27288 -5234
209 Cedar St
Dillard, Hilda Smalls
707018417392
1419 172
Eden, NC 27288 -5501
412 Greenwood St
Clark, Jennifer G
707018418254
1251@749-52
Eden, NC 27288
Page 2 of 6

Supplemental Information for Pre- Construction Notification (PCN) Form
Tanyard Branch Sanitary Sewer Improvements Project
3. Owner Information
Name(s) on Recorded
PIN
Deed Book &
Responsible Party
Address
Deed
Page No.
95 Balsam Dr
Phil ott, John D
707018418198
1242@700
Union Hall, VA 24176 -3814
Ramirez- Medina, Heather
NAME
420 Greenwood St
Marie
707018419150
CHANGE
Eden, NC 27288 -5644
2065 Price Rd
Pratt, Larry Alan
707019510004
1025(a),527
Eden, NC 27288 -7614
C/O Mike Widerman Sr
113 James Cir
Woodall, Kathy M V Estate
707019500958
BY ESTATE
Executor
Eden, NC 27288 -8143
PO Box 1157
Adams, Jacqueline Moyer
707019501902
1148(a)2005
Fieldale, VA 24089 -1157
603 Hampton St
Jeffries, Randy Lynn
707019505693
07E(& 461
Eden, NC 27288 -5929
214 Devonway St
Hall, Jonathan D
707019506555
1068(&, 116
Eden, NC 27288 -5207
25 Forest St # 12 -2
Schenkel, Betsy
707019506301
1270 694
Stamford, CT 06901 -1850
509 College St
Koehler Mark P
707019604125
1301 1457
Eden, NC 272884917
513 College St
Valentine, Dorothy M
707019604022
1324 842
Eden, NC 27288
PO Box 1081
Mabe Properties LLC
797906491955
1408(&,355
Eden, NC 27289 -1081
518 Boone Rd
Romer, Michael C
797907692927
Eden, NC 272884906
533 Greenwood St
First Baptist Church Eden
797907596607
583P,518
Eden, NC 27288 -6112
Danville And Western
No Address
Railroad
797907596585
1 1
Eden, NC 27288
PO Box 2323
Everette, Rome Gaston
797906498711
1179(&,1546
Reidsville NC 27323 -2323
533 Greenwood St
First Baptist Church Eden
797907598638
ACCT CHANGE
Eden, NC 27288 -6112
522 Monroe St
Mullins, Robert L
797906496666
1042@1787
Eden, NC 27288
PO Box 2323
Everett, Rome Gaston
797906498693
1175(&,500
Reidsville, NC 27323
PO Box 1375
Eden Oil Co
797907594536
721 55
Reidsville, NC 27323 -1375
530 Boone Rd
Francis, Bonita T
797907690581
735(&,306
Eden, NC 27288
511 Harrington Hwy
Rockingham County School
797907693313
ACCT CHANGE
Eden, NC 27288
511 Harrington Hwy
Rockingham County School
797907696013
ACCT CHANGE
Eden, NC 27288
PO Box 38
Martin, Reginald R
797907683766
1243(&,1567
Eden, NC 27289 -0038
718 N Bridge St
Case, Andrew Truman
797907683449
1141(&,964
Eden, NC 27288 -4910
538 N Bridge St
Wilson Properties
797907591682
1408(a),1073
Eden, NC 27288 -6115
Josh Smith Auto Repair
1
1
536 N Bridge St
LLC
797907591609
1416P,1943
Eden, NC 27288 -6115
Page 3 of 6

Supplemental Information for Pre- Construction Notification (PCN) Form
Tanyard Branch Sanitary Sewer Improvements Project
C. Proposed Impacts Inventory
B. Project Information and Prior Project History
3. Project Description
]a Property identification no. tax PIN or parcel JD):
See attached above table -Owner Information
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 project is located within the city limits of Eden and most of the site is developed. Residential and commercial
business dominates the land use. The project site is located mostly within maintained easements and beneath
roadways. The project is a mix of residential and commercial landscapes. Areas of forested are limited and
fragmented. The existing sewer easement follows streams and low areas. These streams flow beneath streets
multiple times. Immediately adjacent to the channels are residential yards and paved parking lots. The project site is
often located along property boundaries.
The proposed Tanyard Branch Subsystem Sewer Rehabilitation project is located in an existing network of sewer
easements adjacent to Tanyard Branch, Cherry Creek, and, one smaller unnamed tributary. The existing sewer
easement parallels the streams where not beneath roads and parking lots. The topography consists of moderately
steep valleys to gentle slopes to gently sloping floodplain along the alignment. The geology of the area has fractured
fine grain metamorphic bedrock. In the project vicinity, land use includes forested pasture, commercial, and
residential property. Within the project vicinity, is a mix of managed herbaceous cover and mixed upland
hardwoods. The forested areas are a mix of mature and immature alluvial hardwood forests. Residential properties
are typically urban residential communities. Commercial uses are limited near the project area. Agricultural use is
limited to scattered small home gardens.
3d. Explain the purpose of the proposed project:
The Tanyard Branch Outfall is a major interceptor sewer in the Bridge Street Sewershed and has been identified as a
problematic sewer contributing excessive inflow and infiltration. The outfall has been a source of repetitive and
numerous overflows including over 27 overflows caused by excessive inflow and infiltration and or structural issues
with the pipe resulting in 17 Notices of Violation and an EPA Administrative Order.
The outfall traverses directly adjacent to Tanyard Branch, a tributary of the Dan River. As noted above, the outfall
has been the source of 27 or more overflows in the last five years resulting in raw sewage spills to the adjacent
stream and Dan River. The Dan River is an impaired waterway and the overflows have contributed to elevated fecal
coliform counts. The downstream portion of the outfall is directly in Tanyard Branch and is classified as a high
priority sewer. Its location makes it vulnerable to failure, heavy infiltration and exfiltration making if difficult, if not
impossible, to repair.
Rehabilitation and relocation, in particular where the sewers are classified as high priority, is the first critical
component of stream restoration for these reaches. A water -tight, non - vulnerable and sustainable sewer void of
conflict with these tributaries will eliminate overflows and sewer leakage via exfiltration and improve the quality of
the stream. The project will also improve the areas of highly eroded sections and stabilize them to reduce turbidity
and sedimentation in surface waters.
Page 4 of 6

Supplemental Information for Pre- Construction Notification (PCN) Form
Tanyard Branch Sanitary Sewer Improvements Project
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream Impact
Type of
Stream
Perennial
Type of
Average
Impact
Number -
Stream
Impact
Name
(PER) or
Jurisdiction
Stream
Length
Permanent (P)
Crossing and
Intermittent
(Corps - 404,
Width
(linear
or Temporary
Sheet Set #
(INT)?
10
(feet)
feet)
M
DWQ — non-
404, other)
S1 [:]PET
CR1, EC1
Sewer Line
Replacement
Tanyard
® PER
❑ Corps
22
20
(Excavation)
Branch
INT
® DWQ
S2 ❑ P ®T
CR2, EC 1
Sewer Line
Replacement
Tanyard
® PER
❑ Corps
45
20
(Excavation)
Branch
❑ INT
®DW Q
S3 ❑ P ®T
CR3, EC2
Sewer Line
Replacement
Tanyard
®
El Corps
40
20
(Excavation)
Branch
❑ INT
®DW Q
S4 ❑ P ®T
CR4, EC2
Temporary
Construction
Tanyard
® PER
[:1 Corps
8
20
Crossing
Branch
❑INT
®DWQ
S5 ❑ P ® T
CR5, EC3
Sewer Line
Replacement
Tanyard
® PER
❑ Corps
12
30
(Excavation)
Branch
Branch
❑INT
ED DWQ
Replace
S6 ❑ P ®T
CR6, EC3
Residential
UT
❑ PER
❑ Corps
7
10
Service Line
® INT
® DWQ
(Excavation)
S7 [:I POT
CR7, EC3
Sewer Line
Replacement
Tanyard
® PER
❑ Corps
16
30
(Excavation)
Branch
❑ INT
®DWQ
S8 [:]PET
CR8, EC3
Sewer Line
Replacement
Tanyard
® PER
❑ Corps
16
20
(Excavation)
Branch
❑ INT
®DW Q
S9 ❑ P ®T
CR9, EC4
Sewer Line
Replacement
Tanyard
® PER
❑ Corps
28
30
(Excavation)
Branch
El INT
ED DWQ
Replace
S10 ❑ P ® T
CR10, EC4
Residential
Tanyard
® PER
❑ Corps
25
10
Service Line
Branch
❑ INT
® DWQ
(Excavation)
S11 ❑ P ® T
CRI 1, EC5
Sewer Line
Replacement
Cherry
®PER
1:1 Corps
8
30
(Excavation)
Branch
El INT
®DWQ
Replace
S12 ❑ P ®T
CR12, ECS
Residential
Cherry
® PER
[:1 Co s
16
10
Service Line
Branch
❑ INT
® DWQ
(Excavation)
3h. Total stream and tributary impacts
250
Page 5 of 6

Supplemental Information for Pre- Construction Notification (PCN) Form
Tanyard Branch Sanitary Sewer Improvements Project
N. Comments: (Stream Impacts)
Construction for Tanyard Branch sewer rehabilitation project occurs near or along the narrow floodplain of local
streams. In addition to Tanyard Branch, the sewer rehabilitation will occur along the floodplain of Cherry Branch
and an unnamed tributary to Tanyard Branch.
Due to the existing location of the sewer within the stream channel in multiple locations, unavoidable stream
impacts will occur. A survey of existing conditions and design decisions will likely reduce the estimated impacts to
streams. No wetlands were observed within or near the construction corridor. Where possible, existing sewer
crossings are being relocated outside of the channel or designed to cross closer to perpendicular where currently
crossing at an acute angle. Existing sewer line within the channel will be removed when crossing is aerial and when
buried below the channel bed the line will be plugged at both ends and abandoned.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Due to the nature of this project, complete avoidance is not possible. Both stream and wetland impacts were
considered when designing the sewer rehabilitation. Most impacts will occur within an existing maintained
easement. Where lines are relocated outside the stream channel, some clearing of buffer may be necessary at the
new location. All impacts will be temporary except where crossings will be relocated. The long -term impact of
relocation will minimized by abandoning the existing sewer line currently within the channel. All channel impacts
will require the channel to be restored to the original profile and dimension.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques.
Impacts are minimized using a staged construction approach. This approach allows minimization of the impact of
each stage during the project construction. All work in streams will be conducted during dry conditions and/or with
mats to protect soil structure. Jute matting and native plantings will be used to stabilize the disturbed stream banks.
The stream will be restored to preconstruction elevations and stabilized with an appropriate riparian or wetland seed
mix. Anti -seep collars will be used where necessary.
F. Supplementary Information
S. Endangered Species and Designated Critical Habitat (Corps Requirement)
Sd. What data sources did you use to determine whether your site would impact Endangered Species or
Designated Critical Habitat?
The North Carolina Natural Heritage Program data source was used to evaluate the project site for protected
species. Under evaluation, one federally endangered species was found to be located approximately 1 mile from the
proposed project in the Dan River. The endangered species is Roanoke Logperch (Percina rex). Due to the nature of
this project, complete avoidance is not possible. Suitable habitat for protected species does not exist within the
proposed project. The proposed project is within an existing sewer line easement therefore, land use and habitat
will not change. Stream impacts were considered when designing the sewer rehabilitation. Most impacts will occur
within an existing maintained easement. Where lines are relocated, the relocation is outside the stream channel
where possible or the crossing is designed to cross near perpendicular to minimize impacts. Some clearing of buffer
may be necessary at the new locations. All impacts will be temporary except where crossings will be relocated and
where the existing lateral service lines are replaced and the stream bank will be stabilized. Stabilization of the
lateral line replacement will be minimized and not exceed 10 linear feet of stream channel. The long -term impact of
relocation will minimized by abandoning the existing sewer line currently within the channel. All channel impacts
will require the channel to be restored to the original profile and dimension.
Page 6 of 6

6
Q
Legend
A.h* Loop ii,
Streams
Figure 1
Vicinity Map
Tanyard Branch Sanitary Sewer Improvements
0 2,000 4,000 8,000
Feet
1 inch = 4,000 feet
SNIP
Scala NTS
R• CKINGHAM COUNTY
o
'bo
71
116
1%
Tanyard Branch
tst
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Eden
SW
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Legend
A.h* Loop ii,
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Figure 1
Vicinity Map
Tanyard Branch Sanitary Sewer Improvements
0 2,000 4,000 8,000
Feet
1 inch = 4,000 feet
SNIP
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R• CKINGHAM COUNTY

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Figure 2
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Tanyard Branch Sanitary Sewer Improvements
0 2,000 4,000
SOURCE: Feet
NW Eden USGS Map 1 inch = 2,000 feet
me
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i
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reek Baptist Church
c`
Central Leaksville
Historic District
Dempsey-Reynolds-
__ - Taylor House
Hampton Build
Washington
First Baptist =
Church (Eden) Early
Bullard -Ray(
House
7
National Register of Historic Places Sites
�No Action
-Sewer Replacements
�CIPP
Flood Zone
® AEFW
® AE
Streams
Water Bodies
_ Approx location of Percina rex (Endangered - F)
- Public Lands
Figure 5
Environmental Features Map
Tanyard Branch Sanitary Sewer Improvements
0 1,000 2,000 4,000
Feet
1 inch = 2,000 feet
N 1
Blue Cry
>pray Industrial
Historic District
Central Filter Meadov+
Plant Pumphouse
Central Filter
Plant
Leaksville Township
Municipal Building
Stadium
Price - Lewis - Hawkins
House
Carolina Home
Boone Road
Historic District
w
c
Leaksville -Spray Kings
Institute (Gone)
-ti
Doctor Franklin
King House
Leaksville Commercial
Historic District
0
Scale NTS
r
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