20220202 Ver 1_ePCN Application_20220126

fr.,f DW R
mrlsloa of ware. Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
December 6, 2021 Ver 4.2
Initial Review
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
BIMS # Assigned*
Version#*
20220202
1
Is a payment required for this project?
No payment required
What amout is owed?*
Fee received
$240.00
Fee needed - send electronic notification
$570.00
Reviewing Office*
Select Project Reviewer*
Asheville Regional Office - [phone]
Mitchell Anderson:eads\mlanderson
Information for Initial Review
1a. Name of project:
Rumbling Bald Boat Ramp Repair (Main Launch Ramp)
la. Who is the Primary Contact?*
Jeff Geisler
1 b. Primary Contact Email: * 1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
1 /26/2022
Nearest Body of Water
LAKE LURE
Basin
Broad
Water Classification
B; Tr
Site Coordinates
Latitude:
Longitude:
35.459929
-82.189746
A. Processing Information u
County (or Counties) where the project is located:
Rutherford
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
1a. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)

Has this PCN previously been submitted?"
Yes
No
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
Regional General Permit (RGP) Number:
RGP Numbers (for multiple RGPS):
RGP30
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
401 Water Quality Certification - Express
Riparian Buffer Authorization
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification: Yes No
For the record only for Corps Permit: Yes No
1f. Is this an after -the -fact permit application?"
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1 h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?"
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
FAIRFIELD MOUNTAINS PROP OWNERS
2b. Deed book and page no.:
607/757
2c. Contact Person:
SCOTT MARTIN

2d.Address
Street Address
112 MOUNTAIN BLVD.
Address Line 2
City
LAKE LURE
Postal / Zip Code
28746
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
DAVID ODOM
4b. Business Name:
ODOM ENGINEERING, PLLC
4c.Address
Street Address
169 OAK ST
Address Line 2
City
FOREST CITY
Postal / Zip Code
28043
4d. Telephone Number:
(828)2474495
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
CHIMNEY ROCK
2. Project Identification
2a. Property Identification Number:
0643-89-7353
2c. Project Address
Street Address
153 MOUNTAINS BLVD.
Address Line 2
City
LAKE LURE
Postal / Zip Code
28746
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
LAKE LURE
3b. Water Resources Classification of nearest receiving water:*
B: Tr
3c. What river basin(s) is your project located in?*
Broad
State / Province / Region
NC
Country
RUTHERFORD
2f. Fax Number:
State / Province / Region
NC
Country
RUTHERFORD
4e. Fax Number
2b. Property size:
124.81
State / Province / Region
NC
Country
RUTHERFORD

3d. Please provide the 12-digit HUC in which the project is located.
030501050303
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:'
The project is located within the existing gated community of Rumbling Bald.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
4g. List the total estimated linear feet of all existing streams on the property:
4h. Explain the purpose of the proposed project:"
This is to repair the main boat launch ramp at Rumbling Bald that had partially sunk into the lake bed.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
All work will be performed from the land. Construction activities will be limited to daylight hours only. Contractor to limit the area of disturbance to a minimum.
Outside of the current ramp, we only need to place rock along the sides of the ramp, 3 or 4 feet on each side for 40', so about 320' square. This is to ensure that prop wash does not
undermine the ramp song the sides.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
6. Future Project Plans
6a. Is this a phased project?*
Yes No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
4. Open Water Impacts
4a. Site #
4a1. Impact Reason
4b. Impact type
4c. Name of waterbody
4d. Activity type :114e.
Waterbody type
4f. Impact area
Boat Ramp
Repair
P
Lake Lure
Other
Lake
0.02
4g. Total temporary open water Impacts: 4g. Total permanent open water impacts:
0.00 0.02
4g. Total open water impacts:
0.02
4h. Comments:

E. Impact Justification and Mitigation
u
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The proposed project is to repair the existing main launch boat ramp. All work will be performed from the land and during the lake draw -down.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Construction activities will be limited to daylight hours only. Contractor to limit the area of disturbance to a minimum. Necessary erosion control
measures shall be provided as required.
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 this project DOES NOT require Compensatory Mitigation, explain why:
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
If no, explain why:
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes No
Comments:
This project will not create additional Built -Upon Area.
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federallstatellocal) funds or the use of public (federal/state) land?
Yes No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?"
Yes No
3b. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
Yes No

5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5d. Is another Federal agency involved?*
Yes No
5e. Is this a DOT project located within Division's 1-8?
Yes No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
Unknown
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
Yes No
5j. 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 an Essential Fish Habitat?
Yes No
Are there submerged aquatic vegetation (SAV) around the project vicinity?*
Yes No Unknown
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?
The receiving stream is classified as Tr according to NC Surface Water Classifications.
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?*
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
hftps://nps.gov/subjects/nationalregister/database-research.htm
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:
A Town of Lake Lure Floodplain Development Permit has been filed with the Town of Lake Lure Floodplain Administrator.
8c. What source(s) did you use to make the floodplain determination?*
NC FLOOD MAPS
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
SIGNED Agent Authorization RUMBLING BALD.pdf 1.43MB
File must be PDF or KMZ
Comments
Signature
By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.

Full Name:
David Odom
Signature
RMa " fl 'a'
Date
1 /26/2022

Odom
Engineeru nw
PROPERTY LEGAL DESCRIPTION:
DEED BOOK/PAGE: 6071757
169 Oak Street • Forest City, NC 28043
office 828.247.4495 • fax [phone]
AGENT AUTHORIZATION FORM
PARCEL ID: 0643-89-7353
STREET ADDRESS: 153 MOUNTAINS BLVD., LAKE LURE, NC, 28746
Please print:
PropertyOwner: FAIRFIELD MOUNTAINS PROP OWNERS
SCOTT MARTIN
The undersigned, registered property owners of the above noted property, do hereby authorize
DAVID ODOM of ODOM ENGINEERING, PLLC
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance ofthis permit or
certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
112 MOUNTAIN BLVD., LAKE LURE, NC 28746
Telephone: [phone]
I hereby certify the above information submitted in this application is true and accurate to thebest of our
knowledge.
l
Author -zed Signature
Date: Y