20131000 Ver 1_401 Application_20131013

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THE WOOTEN COMPANY
ENGINEERING PLANNING ARCHITECTURE
350 Noith Cox Street Suite 26 Asheboro NC 7720'
33F. 6?E 5 ,, ?? fa. 336 526 5772
3 - i 000
LETTER OF
TRANSMITTAL
TO: Karen Higgins —Supervisor DATE: JOB NO.:
DENR — WEBSCAPE 10/07/13 3170 -D
1650 Mail Service Center
Raleigh NC 27699 -1650 RE: Town of Wingate
Phase 2 Water System Improvement
WE ARE SENDING: ® Attached ❑ Under separate cover via the following items:
❑ Shop Drawings F1 Prints F1 Plans ❑ Samples ❑Specifcations
❑ Copy of Letter ❑ Change Order ❑ Other:
COPIES
DATE
NO.
DESCRIPTION
1
10/01/13
17249
Check for $240.00
THESE ARE TRANSMITTED as checked below:
❑ For Signature ❑ Reviewed ❑ Revise and resubmit
❑ For your use ❑ Rejected ❑ Submit copies for distribution
® As Requested ❑ Corrected ❑ Return corrected print
❑ For Review and comment ❑
❑ FOR BIDS DUE [ ] ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS Thanks,
SIGNED:
COPY TO: TWC Asheboro Files
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20 1 3 1 0 0 0
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THE WOOTEN COMPANY
ENGINEERING PLANNING ARCHITECTURE
26 Asheboro NC 27203
36 f,2E 53% 336.626 5722
TO: Mike Parker
610 East Center Avenue, Suite 301
Mooresville NC 28115
WE ARE SENDING:
❑ Shop Drawings
❑ Copy of Letter
LETTER OF
TRANSMITTAL
,--l—b -, (��e&Js
DATE: JOB NO.:
8/23/13 3170 -D
RE: Town of Wingate
Culvert Pines Removal — Meadow Branch
® Attached ❑ Under separate cover via the following items:
❑ Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Change Order ❑ Other:
DESCRIPTION
COPIES
5
DATE
NO.
Pre - Construction Notification (PCN) Form
0
THESE ARE TRANSMITTED as checked below: ,��vVetlb yXat,
❑ For Approval ❑ Reviewed ❑ Revise and resubmit ,
• For your use ❑ Rejected ❑ Submit copies for distribution
• As Requested ❑ Corrected ❑ Return corrected print
❑ For Bids due ❑
M PRINTS RETURNED AFTER LOAN TO US
Co n ;
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SIGNED:��
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THE August 23. 2013
WOOT N
COMPANY
Mr. Steven Kichefski
E N G I N E E R I N G USACOE — Asheville Regulatory Field Office
151 Patton Avenue, Room 208
P L A N N I N G Asheville NC 28801 -5006
A R C H I T E C T U RE Re: Preconstruction Notification
Town of Wingate
Culvert Pipe Removal — Meadow Branch
TWC No.: 3170 -D
Dear Mr. Kichefski:
On behalf of the Town of Wingate, we are submitting a Preconstruction Notification for
the Culvert Pipe Removal — Meadow Branch project. Enclosed is one copy of the
following items:
■ PCN Form
■ 11" x 17" Project Drawings Sheets 1 and 2 of 2 — Culvert Pipe Removal
Please review the submittal and contact us with your approval, or if you have questions,
comments or require additional information.
Sincerely,
THE WOOTEN COMPANY
John C. Grey, PE
Project Manager
/aik
Enclosures
cc w /enclosures (5): Mike Parker, The Wetlands /401 Water Quality Certification Unit
cc: Patrick Niland, Town of Wingate
350 North Cox Street Suite 26
Asheboro NC 27203
336.626.5322
fax [phone]

o0 F v A rF90
2 0 1 3 1 0 0 0
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
a
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version
Pre - Construction Notification (PCN) Form
A. Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1b.
Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
® Yes
❑ 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
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ 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
® No
1 g.
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:
Culvert Pipes Removal — Meadow Branch
2b.
County:
Union
2c.
Nearest municipality / town:
Wingate
2d.
Subdivision name:
NA
2e.
NCDOT only, T.I.P. or state
project no:
NA
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Town of Wingate
3b.
Deed Book and Page No.
Db. 417, Pg. 540
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
3918 Highway 74 East
3e.
City, state, zip:
Wingate , NC, 28174
3f.
Telephone no.:
704- 233 -4411
3g.
Fax no.:
704- 233 -4412
3h.
Email address:
admin @wingatenc.com
a
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ❑ Other, specify
4b
Name
4c
Business name
(if applicable)
4d
Street address
4e
City, state, zip
4f
Telephone no
4g
Fax no
4h
Email address
5
Agent/Consultant Information (if applicable)
5a
Name
John C Grey, P E
5b
Business name
(if applicable)
The Wooten Company
5c
Street address
350 N Cox Street, Suite 26
5d
City, state, zip
Asheboro, NC, 27203
5e
Telephone no
336 - 626 -5322
5f
Fax no
336 -626 -5722
5g
Email address
jgrey@thewootencompany com
Page 2 of 11
PCN Form — Version 1 3 December 10, 2008 Version

B. Project Information and Prior Project History
1 Property Identification
1a Property identification no (tax PIN or parcel ID)
09012006
1 b Site coordinates (in decimal degrees)
Latitude 35 0048 Longitude - 80 2646
(DD DDDDDD) ( -DD DDDDDD)
1c Property size
15 00 acres
2 Surface Waters
2a Name of nearest body of water (stream, river, etc ) to
Meadow Branch
proposed project
2b Water Quality Classification of nearest receiving water
C
2c River basin
Yadkin - Pee Dee
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
This project site is the existing culvert crossing along Meadow Branch near the Town of Wingate's Abandoned WWTP
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
30 linear feet
3d Explain the purpose of the proposed project
To remove existing culvert crossing of Meadow Branch and install a ford crossing to eliminate ponding upstream caused
by beaver dams at the culvert Town will still need sporadic access across creek
3e Describe the overall project in detail, including the type of equipment to be used
This project will remove four 42" CMP's from the existing crossing of Meadow Branch and install a permanent ford
crossing in location Track mounted excavators will be utilized to remove the culverts, debris and install materials
necessary for the ford crossing Erosion control devices will be implemented to keep sedimentation onsite
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
El Yes ❑ No Unknown
project (including all prior phases) in the pasty
Comments
4b If the Corps made the jurisdictional determination, what type
❑ Preliminary ❑ Final
of determination was made?
4c If yes, who delineated the jurisdictional areas?
Agency /Consultant Company
Name (if known)
Other
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5 Project History
5a Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown,
this project (including all prior phases) in the past?
5b If yes, explain in detail according to "help file" instructions
Page 3 of 11
PCN Form — Version 1 3 December 10, 2008 Version

6 Future Project Plans
6a Is this a phased project? ❑ Yes ® No
6b If yes, explain
Page 4 of 11
PCN Form — Version 1 3 December 10, 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la 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
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
2h Comments
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
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ P ®T
Excavation
Meadow Branch
® PER
❑ INT
® Corps
® DWQ
32
35
S2 ®P ❑ T
Ford Crossing
Meadow Branch
® PER
❑ INT
® Corps
® DWQ
32
10
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
45
31 Comments Temporary impact is in the same location as the permanent impact
Page 5 of 11
PCN Form — Version 1 3 December 10, 2008 Version

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 4b 4c 4d 4e
Open water Name of waterbody
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑ PEI T
4f. Total open water impacts 0
4g Comments
5 Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below
5a I 5b I 5c 5d 5e
Pond ID I Proposed use or purpose
mber
nu of pond
Wetland Impacts (acres) I Stream Impacts (feet)
Flooded I Filled I Excavated I Flooded I Filled I Excavated
Upland
(acres)
Flooded
P1
P2
5f. Total 0
5g Comments
5h Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no
51 Expected pond surface area (acres)
51 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?
6b 6c 6d
Buffer impact
number — Reason
Permanent(P)or for
Temporary T im act
61 ❑P ❑T
B2 ❑P ❑T
B3 ❑P ❑T
61 Comments
❑ Neuse ❑ Tar - Pamlico ❑ Other
❑ Catawba ❑ Randleman
6e I 6f I 6g
Buffer Zone 1 impact Zone 2 impact
Stream name mitigation (square feet) (square feet)
required'?
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
6h Total buffer impacts 0
Page 6 of 11
PCN Form — Version 1 3 December 10, 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Limited width of travel lane of ford crossing to minimize stream disturbance
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Disturbance will be kept to a minimum Temporary stone dams and pumps will be utilized to keep sedimentation onsite
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 ® 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
projects
❑ Mitigation bank
El Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
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
❑ warm ❑ cool ❑cold
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 7 of 11
PCN Form — Version 1 3 December 10, 2008 Version

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a
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
Comments This procect is not adjacent to a protected riparian buffer
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 This
project does not require a
Stormwater management Plan because it qualifies as a Low Densiy project It meets all requiements for low density
projects
2d
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a
In which local government's jurisdiction is this project?
❑ Phase ii
❑ NSW
3b
Which of the following locally - implemented stormwater management programs
❑ USMP
apply (check all that apply)
❑ 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)
❑ Session Law 2006 -246
❑ Other
4b
Has the approved Stormwater Management Plan with proof of approval been
El ® No
attached?
5.
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 9 of 11
PCN Form — Version 1 3 December 10, 2008 Version

F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federal /state /local) funds or the
® Yes
❑ No
use of public (federal /state) land?
1 b
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)?
1 c
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
❑ Yes
❑ No
letter )
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
® 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
The proposed improvements do not affect the development potential of the area
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 10 of 11
PCN Form — Version 1 3 December 10, 2008 Version

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 ® No
habitat?
5b
Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
E:1 Raleigh
5c
If yes, indicate the USFWS Field Office you have contacted
❑ Asheville
5d
What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
USFWS website was used to identify threatened and endangered species in Union County, North Carolina
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?
http / /www habitat noaa gov /protection /efh /newlnv /index html
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?
NCDCR historic preservation website, google earth, Union County GIS
8
Flood Zone Designation (Corps Requirement)
8a
Will this project occur in a FEMA - designated 100 -year floodplain?
® Yes ❑ No
8b
If yes, explain how project meets FEMA requirements The project will install a ford crossing in place of existing culverts
Crossing will be installed at existing stream bed height so no flooding will be realized because of crossing
8c What source(s) did you use to make the floodplain determination? NCB Flood Maps
Patnck Niland
Applicant/Agent's Signature
Applicant/Agent's Printed Name
(Agent's signature is valid only if an authorization letter from the applicant
is provided )
Date
Page 11 of 11
PCN Form —Version 1 3 December 10, 2008 Version

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TEMP STONE DAM
12" #57 WASHED
STONE --1
NOTES
1 STONE FOR DAM AND
CROSSING TO BE CLASS B
RIPRAP UNLESS OTHERWISE
NOTED ON PLANS
2 CULVERT SIZE AND NUMBER
AS SHOWN ON PLANS
3 WHEN TEMPORARY CROSSING
FILTER
I FABRIC
�
�
I
TEMP 24"
RD,
Q
C
STREAM BANKS
PS
Ww¢
/ mw�3
O
N
097 ¢Z
a0
w
1 ILL
DEWATERING BASIN
o
(STONE FILTER BASIN)
- TEMP 24" T4 42" CMP
I
PIPELINE CROSSING STREAM
PLAN
TEMP RIPRAP
APRON _
CONSTRUCTION EASEMENT I
TEMP STONE DAM
12" #57 WASHED
STONE --1
NOTES
1 STONE FOR DAM AND
CROSSING TO BE CLASS B
RIPRAP UNLESS OTHERWISE
NOTED ON PLANS
2 CULVERT SIZE AND NUMBER
AS SHOWN ON PLANS
3 WHEN TEMPORARY CROSSING
FILTER
I FABRIC
�
�
I
TEMP 24"
IS NO LONGER NEEEDED,
REMOVE TEMP CMP, DAM, AND
SANDBAGS AND RIPRAP ALL
SANDBAGS
DISTURBED AREAS WITHIN
Q
TO 42"
STREAM BANKS
E
CD _
DEWATERING BASIN
Z
W - -!
(STONE FILTER BASIN)
W/ 2 1 SIDE SLOPES
C) m l
TEMP STONE
w W
DAM
TEMP RIPRAP
W
APRON
- TEMP 24" T4 42" CMP
I
PIPELINE CROSSING STREAM
PLAN
TEMP RIPRAP
APRON _
CONSTRUCTION EASEMENT I
TEMP STONE DAM
12" #57 WASHED
STONE --1
NOTES
1 STONE FOR DAM AND
CROSSING TO BE CLASS B
RIPRAP UNLESS OTHERWISE
NOTED ON PLANS
2 CULVERT SIZE AND NUMBER
AS SHOWN ON PLANS
3 WHEN TEMPORARY CROSSING
FILTER
I FABRIC
�
�
I
TEMP 24"
IS NO LONGER NEEEDED,
REMOVE TEMP CMP, DAM, AND
SANDBAGS AND RIPRAP ALL
SANDBAGS
DISTURBED AREAS WITHIN
PIPELINE CROSSING STREAM
TO 42"
STREAM BANKS
SECTION CMP
TEMPORARY STREAM CROSSING
NTS
O 3
= U
a
3 >
c O
o
u w
cc
G W
> a
o c a
oZ
o
w >
J
U 0
�- U
3
Y U
nFYl+ Ei
RSF
'.HECK[D fit
JC
nano NO
91700
N�[
AUGUST201
C4[
AS NOTE
'I(T 2 0r 2
2