20220249 Ver 1_ePCN Application_20220125

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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*
20220249
Is a payment required for this project?
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
John Perry:eads\jmperry2
Information for Initial Review
1a. Name of project:
03275 - Soles
1a. Who is the Primary Contact?*
Jonathan Jackson
1 b. Primary Contact Email:
[e-mail]
Date Submitted
1 /25/2022
Nearest Body of Water
Long Branch River
Basin
Lumber
Water Classification
Perennial Stream
Site Coordinates
Latitude:
34.276970
A. Processing Information
County (or Counties) where the project is located:
Columbus
Is this a NCDMS Project
Yes No
Longitude:
-78.937202
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)
Version# *
1
Reviewing Office*
Wilmington Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
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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
Are you a federal applicant?*
Yes No
If yes, please provide a statement concerning compliance with the Coastal Zone Management Act.*
We are only doing minimal disturbance to the surrounding area. It is already clear we would only dig down approx. 9 inches to lay the culverts and install a gravel/rock bridge on top of it
with two large culverts to ensure the waterflow is undisturbed.
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
Regional General Permit (RGP) Number:
RGP Numbers (for multiple RGPS):
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
11. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
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:
Polly Soles
2b. Deed book and page no.:

2c. Contact Person:
2d.Address
Street Address
3180 Cherry Grove Road
Address Line 2
City
Cerro Gordo
Postal / Zip Code
28430
2e. Telephone Number:
[phone]
2g. Email Address:*
pollyand [e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Jonathan Jackson
3b. Business Name:
CRSC, LLC.
3c.Address
Street Address
106 Park Place Drive Ste 300.
Address Line 2
City
Covington
Postal / Zip Code
70433
3d. Telephone Number:
[phone]
3f. Email Address:
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Cerro Gordo
2. Project Identification
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
Is
Country
USA
3e. Fax Number:
2a. Property Identification Number:
2b. Property size:
30273
2c. Project Address
Street Address
3180 Cherry Grove Road
Address Line 2
City
State / Province / Region
Cerro Gordo
NC
Postal / Zip Code
Country
28430
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Long Branch River
3b. Water Resources Classification of nearest receiving water:*
Perennial Stream
3c. What river basin(s) is your project located in?*

Lumber
3d. Please provide the 12-digit HUC in which the project is located.
0304020314
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 land already has a demoed house on the property and we already constructed the footings for the new home. There is currently no means of access to the house until we construct
the bridge. She had her original driveway dug up by the landowner even though it was there for 30+ years prior. She was forced to file a 911 address change to use a logging road to
access the bak of the property in order to get to her house. We will need to construct a bridge over a stream with large enough culverts to allow adequate waterflow.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
Yes No Unknown
4b(2). Is Any Portion of the Work Already Complete?*
Yes No
If yes, describe the completed work
4c. List of Other Certificates or Approvals/Denials received from other Federal, State, or Local Agencies for Work Described in This Application. not related to the 404 or 401.
Inspections were halted at this address due to there being no right of way at the time for the homeowner. We work with NCORR on the rebuild North Carolina program in order to help
homeowners who were flooded repair and/or construct new homes. They halted the inspections until we could get a new right of way, which we have and now we need to get a bridge built
in order to resume work.
4f. List the total estimated acreage of all existing wetlands on the property:
0
4g. List the total estimated linear feet of all existing streams on the property:
120
4h. Explain the purpose of the proposed project:
We are proposing to build a bridge in order to give the homeowner access to her property. The bridge would run over the Long branch river and be approximately 20x40 by 5' with large
enough culverts in order to allow proper waterflow and avoid backfill upstream. j The home owner is currently landlocked and has no access to her property.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:"
We will using a backhoe in order to dig out the stream and lay the culverts down and add rocks and gravel in order to build a bridge to give the homeowner access to her property. It will
have minimal impact on the surround area. There are no trees to remove or much ground to be disturbed. The culvert sizes and the fact that we would use two would allow proper flow of
the river.
4k. Will this activity involve dredging in wetlands or waters?
Yes No
If yes, Describe the type of dredging, the composition of the dredged material and the location of disposal area
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?
7. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (if more than can be entered here, please attach a supplemental list)
8. Scheduling of Activity:

D. Proposed Impacts Inventory
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1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
2h.Type(s) of Material Being Discharged and the Amount of Each Type in Cubic Yards:
3. Stream Impacts
11
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
3d. S. name*
ff3.. Stream Type*
3f.Typeof
Jurisdiction*
3gSwidth*
3h. Impact
length*
S7
Building a bridge
Permanent
Culvert :]Fgnch
River
Perennial
Both
h;;;J�:]
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
40
3i. Total stream and ditch impacts:
40
31. Total cubic yard stream impacts:*
179
3j. Comments:
4g. Total cubic yard open water impacts:*
0
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
0
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
There is nothing to remove from the area besides digging down and laying the culvert 9 inches into the river bed and then laying gravel on top of it.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
We will be sure to avoid removing anything unnecessary during the construction process. The area Is already clear due to the homeowner building a
bridge at her own cost, which is now removed due to her not having approved plans or a permit.
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:
We are constructing a 40' by 20' bridge with two 48" culverts to allow un interrupted water flow.
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:
I used the National Wetlands Inventory mapping system and it did not indicate any riparian buffers near the home.
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
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Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federallstatellocal) funds or the use of public (federallstate) land?*
Yes No
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 (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
Yes No
Comments: *
We are using state funding with Rebuild North Carolina but I do not believe it requires prep pursuant to NEPA/SEPA.
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.
We are only laying culverts and constructing a gravel bridge. We don't anticipate any impacts down river to the water quality.
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 Unknown
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
51. 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?
Environmental Conservation Online System
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?
Fisheries.noaa.gov
U
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?*
hftp://gis.nedcr.gov/hpoweb/
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplairl
Yes No
8c. What source(s) did you use to make the floodplain determination?*
https://mse.fema.gov/portal/search
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
CRSCLLC_Bridge Proposal.pdf 4.1 MB
File must be PDF or KMZ
Comments
We initially had a right of way on the home with a driveway that crossed another person's property. This had been her driveway for more than 35 years.
One day though, we came to the property to find that the owner of the land had dug up the driveway thereby removing access to the property.
This leads us to find another means of access. We turned our attention to an old logging road behind the property which led us to another issue with the landowner
The homeowner had her 911 address officially changed to reflect going down this logging road.
The homeowner then took out a personal loan to build a bridge between the logging road and her property. The bridge is approximately 20x40x8 feet.
A few months after doing this, we received a call from the NC department of natural resources who stated that property owners up the creek from her had complained that if they had
severe rain the culverts that were installed under her bridge would cause the water to back up onto their property causing them to flood.
Soon after that, she was forced to remove the bridge currently there due to the culvert size. Once again the homeowner is landlocked.
Please see the attached PDF below showing the 9-1-1 address change and the letter from her lawyer as well as the drawing for the bridge
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:
Jonathan Jackson
Signature
JV"#A4I)AI4TX
Date
1 /25/2022