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HomeMy WebLinkAbout20131304 Ver 1_401 Application_20131213O�0��.t4 A T f,9 6�JUI��L' p � � L9@90WU p D DEC 1 R 2013 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: ❑ Section 404 Permit ❑ Section 10 Permit 1 b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number: 1 c. Has the NWP or GP number been verified by the Corps? 7_11 Yes ❑ No 1 d. 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 N 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 Q 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: 2b. County: U.)G Ve- 2c. Nearest municipality/ town: 2d. Subdivision name: vSQn G/l'e' Ai 2e. NCDOT only, T.I.P. or state project no: 3. Owner Information 3a. Name(s) on Recorded Deed: o�Tncrs 3b. Deed Book and Page No. I �q ) ) 79 3c. Responsible Parry (for LLC if applicable): �/- Jv�inA C.. 3d. Street address: 5-12 S. 4un >6 5y. 3e. City, state, zip: /YG 27(003 3f. Telephone no.: 94 _ 9,0 - 600 3g. Fax no.: 3h. Email address: Page 1 of 10 PCN Form — Version 1.4 January 2009 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 S ri S Ale, %S 0 4f Telephone no —341 /2 Z7 4g Fax no 4h Email address J ti San S rC /'4 5 Agent/Consultant Information (if applicable) 5a Name 5b Business name (if applicable) 5c Street address 5d City, state, zip 5e Telephone no 5f Fax no 5g Email address Page 2 of 10 B. I Project information and Prior Project History 1 Property Identification 5-13 &Ee e.14ew �, yG 74.0 3 1a Property identification no (tax PIN or parcel ID) j 703 Ye ,'Z. 7 -7 0 1b Site coordinates (in decimal degrees) Latitude S 7 (p Longitude — 78 6 yes 1c Property size 0( G,rS Q (� acres 2 Surface Waters 2a Name of nearest body of water to proposed project T .),o o /'4 ,iG 2b Water Quality Classification of nearest receiving water �S S f✓ .$L�% 2c River basin Reuse ,fir DSi n 3. Project Description 3a Describe the a istmg conditions on the sit and t e eneral land yse i the vicinity of the project at the time f this applicati n greet i4 'A � -A1% � 6.4 1Sn+ '74 44� fo7�, e.reA f®r. /k. 19 /'i. �� �'S 4 $r«,,�� .� -k �,. Rte- v'ee- 4(-14 AA "Aw A y �•�.sf���•�0 ho 1`- 64 /e'44 741 s 'r i's ;,i 2oi►G ba1Wler o- `ethos 6-Q 00.07 an On 1�l I'ok1lQ /o� 3b List the to al estimated acreage of all existing wetlands on the property 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 /J 6ws4ris C / 43'-.e S It -�G.f► . A� ES i��r�L 8 3e Describe the overall project in detail, including the type of equipment to be used a e, �0 6 a � l � 4 �o�! G (/ 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 nor phases) in the past? ❑ Yes ❑ No RfJnknown 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) Agency /Consultant Company I 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 this project (including all prior phases) in the past? ❑ Yes ❑ No lnknown 5b If yes, explain in detail according to "help file" instructions 6. Future Project Plans �.G s .M!� Y 4S.1,26'eic e, 6a Is this a phased project? ❑ Yes RLNo 6b If yes, explain Page 3 of 10 PCN Form — Version 14 January 2009 C Proposed Impacts Inventory 1 Impacts Summary la Which sections were completed below for your project (check all that apply) ❑ Wetlands ❑ Streams — tributaries � Buffers [:1 Open Waters El 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 Temporary T 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 Yes/No 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 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 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 31 Comments Page 4 of 10 PCN Form — Version 14 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 indivi ually list all open water impacts below 4a Open water impact number Permanent (P) or Temporary T 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 51 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 Protect is in which protected basin? 6tNeuse ❑ 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 B1 Qty - 4.--we. Y N /70 B2 O►lX�4'a J 0494 k S B3 T �4 , P/(% B4 - Yes/No B5 - Yes/No B6 - Yes/No 6h Total Buffer Impacts 3 /P 61 Comments s'AX0Q& AA/ 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 `rk3 �ne4(y propvsoa� j,.�n� �: /l s. -�'.� � A�w�y - Ore.r, 5 �.•� � tome '// lb Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques ,0 W#// A" ;T- 41Ver ;*f cA 4_,% d riegs Gee are re if o q 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 project? ❑ 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 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 - npanan wetland mitigation requested acres 4g Coastal (tidal) wetland mitigation requested acres 4h Comments 5 Complete if Using a Permrttee 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 G40 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 15 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 la Does the project include or is it adjacent to protected riparian buffers identified Yes ❑ No within one of the NC Riparian Buffer Protection Rules? lb If es, then is a diffuse flow plan included ??/1 If no, explain why ()C-ck hers Aal �L 114.) "'140 �� Yes No d YO ❑ ❑ 2 Stormwater Management Plan 2a What is the overall percent imperviousness of this project? 2b Does this project require a Stormwater Management Plan? ❑ Yes ❑ No 2c If this project DOES NOT require a Stormwater Management Plan, explain why 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 ❑ NSW 3b Which of the following locally - implemented stormwater management programs USMP apply (check all that apply) B 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) RSession Law 2006 -246 ❑Other 4b Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ 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 S of 10 PCN Form — Version 14 January 2009 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 &<O or Riparian Buffer Rules (15A NCAC 2B 0200)? 2b Is this an after - the -fact permit application? ❑Yes E3<o 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 protect (based on past and reasonably anticipated future impacts) result in El Yes o 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 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 14 January 2009 5 Endangered Species and Designated Cntical Habitat (Corps Requirement) 5a Will this project occur in or near an area with federally protected species or habitat? Ye; []No i 5b Have you checked with the USFWS concerning Endangered Species Act impacts? ❑ Yes ❑ No 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? 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? 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 (e g , National Histonc Trust designation or properties significant in North Carolina history and archaeology)? ❑ Yes ❑ No 7b What data sources did you use to determine whether your site would impact historic or archeological resources? 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 8c What source(s) did you use to make the floodplain determination? 44Sor7 Zfow0--., Applicant/Agent's Printed Name 1 Z lG f3 i� Date Applicant/Agent's Signature gents signature is valid only if an authorization letter from the applicant is provided Page 10 of 10 W. CABARRUS ST. NOTES LEGEND AREA BY COORDINATES. EIP — EXISTING IRON PIPE THIS LOT IS NOT LOCATED IN A FEMA R/W — RIGHT OF WAY _ MAPPED FLOOD HAZARD AREA. FEMA MAP # ISS — IRON STAKE SET STAKE 3720170300J; ZONE X; EFF. DATE EIS — EXISTING IRON 04 SITE j 5/2/2006. D.B. — DEED BOOK a B.M. — BOOK OF MAPS oy ALA S.F. — SQUARE FEET Ln a ;INITY MAP (no scalel 50' NEUSE RIVER m VARIANCE GRANTED j' RIPARIAN BUFFER BUILDING SETBACKS i FRONT PORCH — 10' / SIDE — 5' NEUSE RIVER BUFFER # 1 REAR — 20' CORNER SIDE — 10' �'� NEUSE RIVER BUFFER # 2 /. / co 4 El % / �JV o \� S PROPOSED PLAN FOR STARCWT BUILDERS, INC. 513 ROSENGARTEN ALLEY, RALEIGH, NC LOT 16 ALEX ROSENGARTEN PROP. BOOK OF MAPS 1918 PAGE 50 DEED BK. 14635 PG. 829 i PIN # 1703462770 CITY OF RALEIGH — WAKE COUNTY =NORTH CAROLINA SCALE : 1 = 30 — DECEMBER 12, 2013 rl=q== 0 15 30 60 BENTON DEWAR & ASSOCIATES PROFESSIONAL LAND SURVEYOR 5920 HONEYCUTT ROAD HOLLY SPRINGS, NC 27540 �zt� / -9�1QJy �4i o / \ > \�'0 ` (919) -552 -9813 6 J0 \F o�eeiilB /� o. // L, r : � �� ssioN .'I'.y�o.� O� /EIS / JAMES L. DAUTREMONT 3 1 J .0• D.B. 14635 �i O C/1 SFA4 �tC 1 - 0i3 op�/ PG 829 / JOHN CHAPPELL et S O 6 3 iJ� / D.B. 13725 PG. s N �� •-,-r / �o 45 9' O [` . B • v,0 SUa. �� V NR - WATER UALITY I / Ah� �U� ,s94�22�F cb� ` �% V / �Ai��NT()td•W •O``� nC1aa, rw Sre7lch � . • �� PROs . r HOE ISS I, BENTON W. DEWAR CERTIFY THAT THIS PLAT WAS DRAWN UNDER 7p001 8 ?J EIS MY SUPERVlS10N FROM AN ACTUAL SURVEY MADE UNDER MY PROPOSED H 6. 10.1' S 21'23'S5'YII 1 i SUP{7:V75i0N; ?HA. TH°_ PATIO OF P.Cl414k IS ?.� EN CONC. RIVE 2Q `��.. PORCH 1 6 '— 18.95' 7 THAT THE BOUNDARIES NOT SURVEYED ARE SHOWN AS BRRO/KK "Es r 3.1 �� C_ JOHN CHAPPELL et di / PLOTTED FROM INFORMOON FOUND IN BOOK 2, 3 $„ (! .571 TH4T TT+!S °tAT D4E5 NOT HFfT SIZE PFOUIREMFNiS ISS N D.B. 14696 PG. 2149 FOR RECORDING IN THE OF DEPs. PER G.S. 47 -30 AS AM MENDED. -� 8 20� EIP IN 85 °40 20'W = uccicc Njme— — :I, .- _L�'- A� of _.__ a0.1 DR�, 83.55' - -• PROFESSIOWLL. uuu0 I.RVEYOR L- THIS PLAT S OF A BOUNDARY SURVEY OF AN EXISTING .3_3075 PARCEL OF LAND THAT IS REGULATED &f A COUNTY OR MUNICIPALITY OP.DINANCE THAT REGULATES PARCELS OF IAND. ROSENG \12 \600