20210224 Ver 1_PCN Form Updated 1-19-2022_20220119

Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
June 1, 2021 Ver 4.1
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right-click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs.deq.nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30.pdf
County (or Countie s) where the proje ct is locate d:*
Is this a NCDM S Proje ct *
Is this project a public transportation project?*
1a. Type (s) of approv al sought from the Corps:*
Has this PCN pre v iously be e n submitte d?*
1b. What type (s) of pe rmit(s) do you wish to se e k authorization?*
1c. Has the NWP or GP numbe r be e n v e rifie d by the Corps?*
Nationwide Pe rmit (NWP) Numbe r:
NWP Numbe rs (for multiple NWPS):
1d. Type (s) of approv al sought from the DWR:*
Pre-Filing Meeting Information
A. Processing Information
Durham
Yes No
Click Yes, only if NCDMS is the applicant or co-applicant.
Yes No
This is any publicly funded by municipal,state or federal funds road, rail, airport transportation project.
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Yes
No
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
Yes No
29 - Residential Developments
List all NW numbers you are applying for not on the drop dow n list.
check all that apply
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual 401 Water Quality Certification
Before submitting this form please ensure you have submitted the Pre-Filing Meeting Request Form as we will not be able to accept your application without this important first step. The Pre-Filing
Meeting Request Form is used in accordance with 40 C.F.R. Section 121.4(a) “At least 30 days prior to submitting a certification request, the project proponent shall request a pre-filing meeting with the
certifying agency” and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5) all certification requests shall include documentation that a pre-filing meeting request was submitted to the certifying
authority at least 30 days prior to submitting the certification request. Click he re to read more information on when this form is needed prior to application submission or he re to view the form.
Is this a courte sy copy notification?*
ID#Ve rsion
Pre -fling M e e ting or Re que st Date *
Yes No
20210224 1
1e . Is this notification sole ly for the re cord be cause writte n approv al is not re quire d?
*
For the re cord only for DWR 401 Ce rtification:
For the re cord only for Corps Pe rmit:
1f. Is this an afte r-the -fact pe rmit application?*
1g. Is payme nt into a mitigation bank or in-lie u fe e program propose d for mitigation of impacts?
Acce ptance Le tte r Attachme nt
1h. Is the proje ct locate d in any of NC's twe nty coastal countie s?*
1j. Is the proje ct locate d in a de signate d trout wate rshe d?*
Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
1a. Who is the Primary Contact?*
1b. Primary Contact Email:*
1c. Primary Contact Phone :*
1d. Who is applying for the pe rmit?*
1e . Is the re an Age nt/Consultant for this proje ct?*
2. Owner Information
Attach docume ntation of Pre -Filing M e e ting Re que st he re :*
2/1/2021
Click the upload button or drag and drop files here to attach document
DWR Pre-Filing Meeting Request Form.pdf 51.06KB
File type must be PDF
Yes No
Yes No
Yes No
If so, attach the acceptance letter from mitigation bank or in-lieu fee program.
Yes No
Click the upload button or drag and drop files here to attach document
FILE TYPE MUST BE PDF
Yes No
Yes No
B. Applicant Information
Camden Brunick
[e-mail]
(xxx)xxx-xxxx
[phone]
Owner Applicant (other than owner)
(Check all that apply)
Yes No
2a. Name (s) on re corde d de e d:*
2b. De e d book and page no.:
2c. Contact Pe rson:
2d. Addre ss *
2e . Te le phone Numbe r:*
2f. Fax Numbe r:
2g. Email Addre ss:*
Faith Community Church International Inc
DB: 005976 DP: 000241
(for Corporations)
City
Durham
State / Province / Region
NC
Postal / Zip Code
27704
Country
USA
Street Address
4903 N. Roxboro St.
Address Line 2
(xxx)xxx-xxxx
[phone]
(xxx)xxx-xxxx
[e-mail]
3. Applicant Information (if different from owner)
4. Agent/Consultant (if applicable)
2a. Name (s) on re corde d de e d:*
2b. De e d book and page no.:
2c. Contact Pe rson:
2d. Addre ss *
2e . Te le phone Numbe r:*
2f. Fax Numbe r:
2g. Email Addre ss:*
Point Ridge Park, LLC
DB:009162 DP: 000732 & DB:009082 DP: 000998
(for Corporations)
Keith Brown
City
Chapel Hill
State / Province / Region
NC
Postal / Zip Code
27516
Country
USA
Street Address
388 Old Piedmont Circle
Address Line 2
(xxx)xxx-xxxx
[phone]
(xxx)xxx-xxxx
[e-mail]
3a. Name :*
3b. Business Name :
3c. Addre ss *
3d. Te le phone Numbe r:*
3e . Fax Numbe r:
3f. Email Addre ss:*
Jonathan Holtvedt
(if applicable)
Terramor Homes
City
Raleigh
State / Province / Region
NC
Postal / Zip Code
27615
Country
USA
Street Address
7208 Falls of Neuse Road
Address Line 2
[phone]
(xxx)xxx-xxxx (xxx)xxx-xxxx
[e-mail]
4a. Name :*
4b. Business Name :
4c. Addre ss *
4d. Te le phone Numbe r:*4e . Fax Numbe r:
Camden Brunick
(if applicable)
Soil & Environmental Consultants, PA
City
Raleigh
State / Province / Region
NC
Postal / Zip Code
27615
Country
USA
Street Address
8412 Falls of Neuse Road, Suite 104
Address Line 2
[phone]
(xxx)xxx-xxxx
[phone]
(xxx)xxx-xxxx
1a. Name of proje ct:*
1b. Subdivision name :
1c. Ne are st municipality / town:*
2a. Prope rty Identification Numbe r:
2b. Prope rty size :
2c. Proje ct Addre ss
2d. Site coordinate s in de cimal de gre e s
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey-grade GPS device) after the decimal place as appropriate, based on how the location was
determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude :*Longitude :*
3. Surface Waters
3a. Name of the ne are st body of wate r to propose d proje ct:*
3b. Wate r Re source s Classification of ne are st re ce iv ing wate r:*
Surface Water Lookup
3c. What riv e r basin(s) is your proje ct locate d in?*
3d. Ple ase prov ide the 12-digit HUC in which the proje ct is locate d.*
River Basin Lookup
4. Project Description and History
4a. De scribe the e xisting conditions on the site and the ge ne ral land use in the v icinity of the proje ct at the time of this application:*
4b. Hav e Corps pe rmits or DWR ce rtifications be e n obtained for this project (including all prior phase s) in the past?*
4f. List the total e stimate d acre age of all e xisting we tlands on the prope rty:
4f. Email Addre ss:*
[e-mail]
C. Project I nformation and Prior Project History
1. Project Information
Westpoint
(if appropriate)
Durham
2. Project Identification
(tax PIN or parcel ID)
0824-04-72-6918, 0824-42-93-2948, 0824-
18-41-0604, 0824-62-66-1033 & 0824-04-72-
4752
(in acres)
+/- 64.39
City
Durham
State / Province / Region
NC
Postal / Zip Code
27704
Country
USA
Street Address
5001 N. Roxboro Street
Address Line 2
36.065080
ex: 34.208504
-78.910180
-77.796371
Jumping Run and UT to Eno River
WS-IV;NSW and WS-IV,B;NSW
Neuse
030202010304
Existing conditions onsite consists primarily of forested land with some structures located adjacent to North Roxboro Street. There are also two existing 30' sewer easements located on
the far eastern and western property respectively. Specifically, there are three (3) perennial streams (SA, SE, & SF), two (2) wetland features (W1 & W3), and two (2) linear wetlands
(LWI and LW01) located on the property. 'SE' bounds the property on the far west. 'SF' is located in the southern portion of the property near the stubbed road on Stadium Drive and
features adjacent wetland 'W3'. 'SA' is located on the far eastern portion of the property and features adjacent wetlands 'W1, LWI & LW01'. General land use in the vicinity of the project
is primarily forested land with some residential neighborhoods to the south.
Yes No Unknown
Approximately 0.34 acres
4g. List the total e stimate d line ar fe e t of all e xisting stre ams on the prope rty:
4h. Explain the purpose of the propose d proje ct:*
4i. De scribe the ov e rall proje ct in de tail, including indirect impacts and the type of e quipme nt to be use d:*
5. Jurisdictional Determinations
5a. Hav e the we tlands or streams be e n de line ate d on the prope rty or propose d impact are as?*
Comme nts:
5b. If the Corps made a jurisdictional de te rmination, what type of de te rmination was made ?*
Corps AID Numbe r:
5c. If 5a is ye s, who de line ate d the jurisdictional are as?
Name (if known):
Age ncy/Consultant Company:
Othe r:
5d. List the date s of the Corp jurisdiction de te rmination or State de te rmination if a de te rmination was made by the Corps or DWR.
6. Future Project Plans
6a. Is this a phase d proje ct?*
6b. If ye s, e xplain.
Are any othe r NWP(s), re gional ge ne ral pe rmit(s), or indiv idual pe rmits(s) use d, or intende d to be use d, to authorize any part of the propose d project or re lated activ ity? This
include s othe r se parate and distant crossing for line ar proje cts that re quire De partme nt of the Army authorization but don’t re quire pre -construction notification.
1. Impacts Summary
1a. Whe re are the impacts associate d with your proje ct? (che ck all that apply):
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
"W." will be use d in the table be low to re pre se nt the word "wetland".
2a. Site #*(?)2a1 Reason *(?)2b. Impact type *(?)2c. Type of W.*2d. W. name *2e . Fore ste d *2f. Type of
Jurisdicition *(?)
2g. Impact
are a *
(intermittent and perennial)
Approximately 1,984 LF
The purpose of this project is to construct a mixed use single-family and multi-family residential development and its necessary infrastructure.
The overall project consists of the construction of a mixed use single-family and multi-family residential development inlcuding but not limited to; roadway infrastructure, residential lots,
greenway, utilities, SCM's, and clubhouse/amenities. Specifically, there is one (1) road crossing that impacts streams, wetlands, and riparian buffers and two (2) utility crossings that
impact wetlands and buffers. Equipment typically used for construction and earthwork such as backhoes, bulldozers, excavators, graders, pavers etc. will be utilized for this project.
Yes No Unknown
Preliminary Approved Not Verified Unknown N/A
Example: SAW-2017-99999
SAW-2006-40196
Steven Ball
Soil & Environmental Consultants, PA
USACE: Site visit and field determination made by Ross Sullivan and April Norton on May 1, 2019.
NCDWR: Site visit and field determination made by Cheng Zhang on May 20, 2019 (NBRRO #19-141).
***Note that "Preliminary JD" not issued to date, preliminary was checked at C5b to provide this data box for project details.***
Yes No
The project will be phased internally as shown on attached overall map.
It is my understanding that there are no intended future phases beyond the property boundaries shown. Therefore, no additional NWP, Regional General Permits, or IP are anticipated.
D. Proposed Impacts Inventory
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
Impact A1 Road Crossing-Fill P Bottomland Hardwood Forest Linear Wetland I Yes Both 0.007
(acres)
Impact A1 Road Crossing-Fill P Bottomland Hardwood Forest Linear Wetland L Yes Both 0.006
(acres)
Impact A1 Road Crossing-Fill P Bottomland Hardwood Forest W1 Yes Both 0.074
(acres)
2g. Total Te mporary We tland Impact
2g. Total Pe rmane nt We tland Impact
2g. Total We tland Impact
2i. Comme nts:
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.
"S." will be used in the table below to represent the word "stream".
3a. Reason for impact *(?)3b.Impact type *3c. Type of impact *3d. S. name *3e . Stre am Type *
(?)
3f. Type of
Jurisdiction *
3g. S. width *3h. Impact
le ngth *
S1
S2
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square fe e t:
3i. Total pe rmane nt stre am impacts:
3i. Total te mporary stre am impacts:
3i. Total stre am and ditch impacts:
3j. Comme nts:
6. Buffer Impacts (for DWR)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts below.
6a. Proje ct is in which prote ct basin(s)?*
6b. Impact Type *(?)6c. Pe r or Te mp *(?)6d. Stre am name *6e . Buffer mitigation re quire d?*6f. Zone 1 impact *6g. Zone 2 impact *
6h. Total buffer impacts:
Zone 1 Zone 2
Impact A2 Utility Crossing
(Permanent-no
permanent loss)
P Bottomland Hardwood Forest W1 Yes Both 0.016
(acres)
Impact A2 Utility Crossing
(Permanent-no
permanent loss)
P Bottomland Hardwood Forest Linear Wetland L Yes Both 0.003
(acres)
0.000
0.106
0.106
Total Permanent Wetland Loss impact = 0.087 ac; Total Permanent-No Permanent Loss impact = 0.019 ac.
Impact A1-Road Crossing-
Culvert
Permanent Culvert Stream A Perennial Both 6
Average (feet)
115
(linear feet)
Impact A1-Rip Rap Dissipator
Pad (Permanent-No
Permanent loss)
Permanent Other Stream A Perennial Both 14
Average (feet)
34
(linear feet)
0
149
0
149
Permanent loss stream impacts = 0.16 acres (694 SF); Permanent-no Permanent loss stream impacts = 0.01 acres (485 SF)
Check all that apply.
Neuse Tar-Pamlico
Catawba Randleman
Goose Creek Jordan Lake
Other
Impact A1-Road Crossing P Stream A No 9,598
(square feet)
2,296
(square feet)
Impact A2-Utility Crossing/Sewer Replacement P Stream A Yes 39
(square feet)
907
(square feet)
Impact B1-Utility Crossing P Stream F No 460
(square feet)
1,388
(square feet)
Total Te mporary impacts:
Zone 1 Zone 2
Total Pe rmane nt impacts:
Zone 1 Zone 2
Total combine d buffe r impacts:
6i. Comme nts:
1. Avoidance and Minimization
1a. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts in de signing the proje ct:*
1b. Spe cifically de scribe me asure s take n to av oid or minimize the propose d impacts through construction te chnique s:*
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Doe s the proje ct re quire Compe nsatory M itigation for impacts to Wate rs of the U.S. or Wate rs of the State ?
2c. If ye s, mitigation is re quire d by (che ck all that apply):
2d. If ye s, which mitigation option(s) will be use d for this proje ct?
3. Complete if Using a Mitigation Bank
3a. Name of M itigation Bank:
3b. Cre dits Purchase d/Requeste d (attach re ce ipt and le tte r)
Type :Quantity:
3c. Comme nts
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website.
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the proje ct re sult in an impact within a prote cte d riparian buffe r that re quire s buffe r mitigation? If ye s, you must fill out this e ntire form - ple ase contact DWR for more
information.
0.00 0.00
10,097.00 4,591.00
10,097.00 4,591.00
Impact A2-Buffer Mitigation for Zone 1 only may be required. It should be noted that Impact area B2 (stormwater outlet pipe) on the impact maps have
been determined "deemed allowable" per the Neuse River Buffer rules (15A NCAC 02B .0714) item (9(b)(viii)) and item (9(b)(ii)).
E. Impact Justification and Mitigation
S&EC completed a wetland and stream delineation as well as a Neuse River Buffer evaluation for the entire property in order to identify natural
resources so that impacts could be avoided and minimized to the maximum extent practicable. Impact area A1 is proposed permanent buffer, stream,
and wetland impacts for a road crossing. Retaining walls have been utilized to minimize stream impacts. A riprap dissipator that will be utilized to
reduce flow velocities and minimize stream degradation. This road crossing is necessary to provide access to the entire property from North Roxboro
Street. Compensatory mitigation at a 2:1 ratio is proposed to offset permanent stream and wetland losses. Impact area A2 is proposed permanent
buffer and permanent-no permanent loss wetland impacts for a sewer replacement. These impacts are necessary to replace the existing sewer that
has some leaks from the age and material of the pipe. It should be noted the existing pipe is vitrified clay that is notorious for inflow and infiltration and
will be replaced with a ductile iron pipe to reduce effects. The city also believes that the road construction will compromise the pipe and would prefer to
replace the line ahead of installing road fill. Compensatory mitigation at a 1:1 ratio for permanent-no permanent wetland impacts and at a 3:1 ratio for
Zone 1 buffer impacts have been proposed. Impact area B1 is proposed riparian buffer impacts for a utility crossing. This impact is necessary to
connect to the existing sewer line and cannot be made within the existing street due to the angle of the existing sewer main. Impact area B2 is
proposed Zone 2 buffer impacts for a stormwater pipe outlet. Per the Neuse River Buffer rules (15A NCAC 02B .0714) item (9(b)(viii)) and item (9(b)
(ii)) this impact is considered "deemed allowable".
For the proposed road crossing (connection to Roxboro Rd), the proposed grade of the road is proposed to be as low as reasonably possible given
the required storm drain culvert size, extending a public water line over the culvert, and maintaining cover over the water line. By keeping the road as
low as possible, the amount of disturbance is limited by keeping the fill slopes as short as possible. During construction of the road through the stream
and wetlands, cofferdams and a pump around will be used so that the work occurs in dry conditions and the mitigate against sediment laden runoff
entering the stream. Additionally, diversion ditches will be installed uphill of the crossing to limit the amount of runoff that enters the work area. These
ditches will drain to sediment basins. In addition silt fence will be installed both upstream of these areas as well as around the work area in the stream
and wetland. Lastly, the intent would be for this work to occur during a dry period.
Yes No
DWR Corps
Mitigation bank Payment to in-lieu fee
program
Permittee Responsible
Mitigation
Falling Creek Stream and Wetland Umbrella Mitigation Bank
Riparian wetland 0.19 acres
Permanent loss wetland impacts have been proposed at 2:1 ratio, 3,784 SF x 2 = 7,568SF/43,560 = 0.174 ac; Permanent-no permanent loss wetland
impacts have been proposed at a 1:1 ratio, 831 SF x 1 = 831SF/43,560 = 0.019 ac. Total = 0.174 ac + 0.019 ac = 0.19 ac.
Yes No
6b. If ye s, the n ide ntify the square fe e t of impact to e ach zone of the riparian buffe r that re quire s mitigation calculate the amount of mitigation require d in the table be low.
6c. Re ason for impact 6d. Total impact
(square fe e t)
M ultiplie r 6e . Re quire d mitigation
(square fe e t)
Zone 1
Zone 2
6f. Total buffe r mitigation re quire d
6g. If buffe r mitigation is re quire d, is payme nt to a mitigation bank or NC Div ision of M itigation Se rv ice s propose d?
6j. Comme nts:
*** Recent changes to the stormwater rules have required updates to this section .***
1. Diffuse Flow Plan
1a. Doe s the proje ct include or is it adjace nt to prote cte d riparian buffers ide ntifie d within one of the NC Riparian Buffe r Prote ction Rule s?
1b. All buffer impacts and high ground impacts re quire diffuse flow or othe r form of stormwate r treatme nt. If the proje ct is subje ct to a state imple me nte d riparian buffe r prote ction
program, include a plan that fully docume nts how diffuse flow will be maintaine d.
All Stormwate r Control M e asure s (SCM )s must be de signe d in accordance with the NC Stormwate r De sign M anual. Associate d supple me nt forms and othe r docume ntation shall be
prov ide d.
What type of SCM are you prov iding?
For a list of options to meet the diffuse flow requirements, click here.
2. Stormw ater Management Plan
2a. Is this a NCDOT proje ct subje ct to compliance with NCDOT’s Indiv idual NPDES pe rmit NCS000250?*
2b. Doe s this proje ct me e t the re quire me nts for low de nsity proje cts as de fine d in 15A NCAC 02H .1003(2)?*
To look up low density requirement click here 15A NCAC 02H .1003(2).
2c. Doe s this proje ct hav e a stormwate r manage me nt plan (SM P) re v ie we d and approv e d unde r a state stormwate r program or state-approv e d local gov e rnme nt stormwate r
program?*
2d. Which of the following stormwate r manage me nt program(s) apply (che ck all that apply):*
Local Gov e rnme nt Stormwate r Programs *
Ple ase ide ntify which local gov e rnme nt stormwate r program you are using.*
Comme nts:
Non-perpendicular Utility Crossing 39 3 117
117
Yes No
At Impact A2, 39 SF of Zone 1 non-perpendicular riparian buffer impacts are required. This 39 SF is outside of the existing 30' wide sanitary sewer
easement where this sewer line is being replaced. It is not within a ROW or it is not within 10 ft of the Top of Bank (jj)(i), it is less than 2,500 SF and it
is not necessarily tying into an existing line but it is a line being replaced (ll)(ii) . We included a compensatory mitigation SOA for buffers in case the
NCDWR determines that buffer mitigation is required for this 39 SF.
F. Stormwater M anagement and Diffuse Flow Plan (required by DWR)
Yes No
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30% nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
(check all that apply)
Yes No
Yes No
Yes No
N/A - project disturbs < 1 acre
Hint: projects that have vested rights, exemptions, or grandfathering from state or locally implemented stormw ater programs or projects that satisfy state or locally-implemented stormw ater programs through use of community in-lieu programs should answ er no
to this question.
Local Government State
If you have a local government approval please include the SMP on their overall impact map.
Phase II NSW
USMP Water Supply
City of Durham
1. Environmental Documentation
1a. Doe s the proje ct inv olv e an e xpe nditure of public (fe de ral/state /local) funds or the use of public (fe de ral/state ) land?*
2. Violations (DWR Requirement)
2a. Is the site in v iolation of DWR Wate r Quality Ce rtification Rule s (15A NCAC 2H .0500), Isolate d We tland Rule s (15A NCAC 2H .1300), or DWR Surface Wate r or We tland Standards or
Riparian Buffe r Rule s (15A NCAC 2B .0200)?*
3. Cumulative Impacts (DWR Requirement)
3a. Will this proje ct (base d on past and re asonably anticipate d future impacts) re sult in additional de v e lopme nt, which could impact ne arby downstre am wate r quality?*
3b. If you answe re d “no,” prov ide a short narrativ e de scription.
4. Sewage Disposal (DWR Requirement)
4a. Is se wage disposal re quire d by DWR for this proje ct?*
4b. De scribe , in de tail, the tre atme nt me thods and dispositions (non-discharge or discharge ) of waste wate r ge ne rate d from the propose d proje ct. If the waste wate r will be treate d
at a tre atment plant, list the capacity av ailable at that plant.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this proje ct occur in or ne ar an are a with fe de rally prote cte d spe cie s or habitat?*
5b. Hav e you che cke d with the USFWS conce rning Endange re d Spe cie s Act impacts?*
5c. If ye s, indicate the USFWS Fie ld Office you hav e contacte d.
5d. Is anothe r Fe de ral age ncy inv olv e d?*
5e . Is this a DOT proje ct locate d within Div ision's 1-8?*
5f. Will you cut any tre e s in orde r to conduct the work in wate rs of the U.S.?*
5g. Doe s this proje ct inv olv e bridge mainte nance or re mov al?*
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Doe s this proje ct inv olv e the construction/installation of a wind turbine (s)?**
5i. Doe s this proje ct inv olv e (1) blasting, and/or (2) othe r pe rcussiv e activitie s that will be conducte d by machine s, such as jackhamme rs, me chanize d pile driv e rs, e tc.?*
5j. What data source s did you use to de te rmine whe the r your site would impact Endange re d Spe cie s or De signate d Critical Habitat?*
G. Supplementary Information
Yes No
Yes No
Yes No
We have reviewed the “Draft Internal Policy, Cumulative impacts and the 401 Water Quality Certification and Isolated Wetlands Programs” document
prepared by the NC Division of Water Quality on April 10, 2004, version 2.1. The draft states that many private developments are unlikely to cause
cumulative impacts, including projects such as urban in-fill, most residential subdivisions and small commercial developments as well as agricultural
and silvicultural operations. The Westpoint project is a residential development. Additionally, the project is located within the City of Durham ETJ,
therefore the adjacent properties that have potential for development will have the following regulations to protect downstream waters: 1) the Neuse
River Basin Riparian Buffer Protection regulations, these regulations require limited development within the riparian buffer area, in addition Best
Management Practices may be required that control nitrogen if diffuse flow cannot be achieved; 2) the Water Supply, Watershed Protection Program
which limits development densities as well as requires protective riparian buffers; 3) the Phase II NPDES Stormwater Permit Program, this program
includes permitting requirements for Municipal Separate Storm Sewer Systems (MS4s) in addition to post-construction stormwater management
requirements. We anticipate that the DWR will advise us if any additional information is needed.
Yes No N/A
Non-discharge wastewater will be generated and treated at the North Durham Water Reclamation Facility which has a capacity of 20 MGD.
Yes No
Yes No
Raleigh
Yes No Unknown
Yes No
Yes No
Yes No
Yes No
Yes No
6. Essential Fish Habitat (Corps Requirement)
6a. Will this proje ct occur in or ne ar an are a de signate d as an Esse ntial Fish Habitat?*
6b. What data source s did you use to de te rmine whe the r your site would impact an Esse ntial Fish Habitat?*
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
7a. Will this proje ct occur in or ne ar an are a that the state , fe de ral or tribal gov e rnme nts hav e de signate d as hav ing historic or cultural pre se rv ation status (e .g., National Historic
Trust de signation or prope rtie s significant in North Carolina history and archae ology)?*
7b. What data source s did you use to de te rmine whe the r your site would impact historic or arche ological re source s?*
8. Flood Zone Designation (Corps Requirement)
Link to the FEM A Floodplain M aps: https://msc.fema.gov/portal/search
8a. Will this proje ct occur in a FEM A-designate d 100-ye ar floodplain?*
8b. If ye s, e xplain how proje ct me e ts FEM A require me nts:
8c. What source (s) did you use to make the floodplain de te rmination?*
Comme nts
Ple ase use the space be low to attach all require d docume ntation or any additional information you fe e l is he lpful for application re v ie w. Documents should be combine d into one
file whe n possible , with a Cov e r Le tte r, Table of Conte nts, and a Cov e r She e t for e ach Se ction pre fe rre d.
*
· 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 :*
Signature *
S&EC completed a Threatened & Endangered Species Report, to include a Self-Certification letter through the US Fish & Wildlife Service (USFWS), a
query through the NC Natural Heritage Program database, and an official Species List through the iPac. A formal request was sent to the USFWS on
April 13, 2020 with updates sent on May 15, 2020. S&EC received response from USFWS on May 15, 2020 that they concurred with the
determinations made by S&EC that the proposed actions is not likely to adversely affect any federally-listed endangered or threatened species, their
formally designated critical habitat, or species currently proposed for listing under the Endangered Species Act (ESA). Additionally, S&EC updated this
Threatened & Endangered Species report and sent to USFWS on June 30, 2021. Please see attached S&EC Threatened & Endangered Species
report and correspondence from USFWS.
Yes No
The NOAA Habitat Conservation/Habitat Protection: National Marine Fish Service; Essential Fish Habitat Mapper website was referenced. No Essential
Fish Habitat was identified near the project.
Yes No
The NC State Historic Preservation Office HPOWEB GIS Service interactive map was referenced on May 12, 2021, no historic listings or study list
entries or determined eligible listings were identified within the property boundaries. It should be noted prior to the date mentioned, an environment
review request was submitted on behalf of S&EC on March 11, 2020. S&EC received concurrence from the State Historic Preservation Office that
there are no historic resources which would be affected by the project. Please see attached ER letter and SHPO Environmental Review Request
packet.
Yes No
The only disturbance within the floodplain is the connection to an existing sanitary sewer outfall (no impacts or negative effects to the floodplain) and
the installation of a drainage conveyance from one of the primary SCM's located on the western side of the property. These disturbances to not
impacts wetlands/waters.
NC Flood Risk Information System Floodplain Mapping Program and confirmation from the project engineer.
M iscellaneous
Click the upload button or drag and drop files here to attach document
PCN Attachments_Westpoint.pdf 27.6MB
File must be PDF or KMZ
Signature
By checking the box and signing below, I certify that:
Camden Brunick
Date
9/16/2021