20220344 Ver 1_ePCN Application_20220303

DWR
Division of Water Resources
Initial Review
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
December 6, 2021 Ver 4.2
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#*
20220344 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Mooresville Regional Office - [phone]
Information for Initial Review
What amout is owed? *
$240.00
$570.00
Select Project Reviewer*
Doug Perez:eads\djperez
la. Name of project:
Trivium East Corporate Center Sewers
la. Who is the Primary Contact?*
Shawn Pennell, Public Utilities Director
1 b. Primary Contact Email:* lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
3/3/2022
Nearest Body of Water
Clark Creek
Basin
Catawba
Water Classification
Class C
Site Coordinates
Latitude:
35.6877
A. Processing Information
Longitude:
-81.2687
County (or Counties) where the project is located:
Catawba
Is this a NCDMS Project
Yes No
Is this project a public transportation project? *
Yes No
la. 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)
lc. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 12 - Utility Lines
NWP Numbers (for multiple NWPS):
Id. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
1f. Is this an after -the -fact permit application?*
Yes No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
lg. 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
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No
B. Applicant Information
ld. 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:
Trivium Corporate Center, Inc
2b. Deed book and page no.:
2c. Contact Person:
Mick Berry, President
2d. Address
Street Address
25 Government Drive
Address Line 2
City
Newton
Postal / Zip Code
28658
State / Province / Region
NC
Country
USA
2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address: *
[e-mail]

4. Agent/Consultant (if applicable)
4a. Name:
Shad W Walters, PE
4b. Business Name:
Civil & Environmental Consultants, Inc
4c. Address
Street Address
3701 Arco Corporate Drive
Address Line 2
City
Charlotte
Postal / Zip Code
28273
4d. Telephone Number:
[phone]
4f. Email Address: *
[e-mail]
C. Project Information and Prior Project History
State / Province / Region
NC
Country
USA
4e. Fax Number:
1. Project Information
1 b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Hickory
2. Project Identification
2a. Property Identification Number:
372119612638
2b. Property size:
108
2c. Project Address
Street Address
Startown RoadNalley View Drive
Address Line 2
City State / Province / Region
Hickory NC
Postal / Zip Code Country
28602 usa
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Clark Creek
3b. Water Resources Classification of nearest receiving water: *
Class C
3c. What river basin(s) is your project located in?*
Catawba
3d. Please provide the 12-digit HUC in which the project is located.
030501020302
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 108 acre Trivium Corporate Center East property is currently vacant consisting of pasture and wooded areas. Surrounding land uses to the west consist of industrial development,
residential development to the north and immediately to the west.
This project has two stream crossings associated with the proposed sewer line extension. The first stream crossing is required for general replacement of the sewers across Clark Creek
as maintenance. The contractor will not be allowed to cross the creek with equipment or install a temporary crossing. The second crossing will across a tributary to Clark Creek in an
existing sewer right-of-way. A temporary creek crossing will be utilized for equipment/material access and removed after construction is complete. Both crossings will be restored with
native vegetation.
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: *
The proposed project will consist of the construction of approximately 2600 linear feet of 8 and 12-inch diameter gravity sewers to serve industrial and residential development in the
vicinity.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The City of Hickory plans to construct approximately 2600 linear feet of 8 and 12-inch diameter gravity sewers to serve industrial and residential development in the vicinity. The project will
begin at the existing 12-inch diameter gravity sewers along the tributary to Clark Creek and extend westward. It is anticipated that two track hoes, and a rubber tired loader will be utilized
during construction.
At this time no other direct and indirect impacts to environmental resources are anticipated at this time.
Erosion control measures will include temporary creek crossing with rock backfill (to be removed after construction), temporary silt fence, silt fence outlets and permanent seeding.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
Comments:
Delineation completed by Civil & Environmental Consultants, Inc
No Unknown
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
SAW-2022-00436
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?*
Kevin Thomas, LSS & PWS
Civil & Environmental Consultants, Inc
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
la. Where are the impacts associated with your project? (check all that apply):
Wetlands
Open Waters
3. Stream Impacts
Streams -tributaries
Pond Construction
Buffers
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width*
3h. Impact
length*
S1
Utility Installation
Temporary
Other
Clark Creek - Line A
Perennial
Both
15
Average (feet)
20
(linear feet)
S2
Utility Installation
Temporary
Other
Tributary - Line B
Perennial
Both
5
Average (feet)
30
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
0
3i. Total stream and ditch impacts:
50
3i. Total temporary stream impacts:
50
3j. Comments:
These are temporary impacts to install the gravity sewers across the jurisdictional features.

E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The impact widths are reduced to the minimum required to install the proposed sewers.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Routing of proposed sewer line generally follows the tributary to Clark Creek - a minimum of 30' undisturbed buffer will be maintained parallel to the
water features. Widths of the Temporary Impacts will be minimized as much as possible. The new crossing will be installed within an existing City of
Hickory force main easement to limit the overall width of disturbance.
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:
Project does not require mitigation due to temporary impacts
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. 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:
No changes in the stormwater flow patterns are proposed in the installation of the gravity sewers.
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 is not part of a development - utility installation only with no proposed impervious areas as part of the project.
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) 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: *
Funding provided by the City of Hickory only
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.
This will be a single and complete project for the sewer line installation.
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
5e. Is this a DOT project located within Division's 1-8?
Yes No
No Unknown
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
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?
IPAC, NC NHD and communications with USFWS
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? *
See attached T&E Report
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?*
See attached NCSHPO Database figure and SHPO information
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:
All sewer manholes located within the 100 year floodplain will be watertight or above that elevation.
8c. What source(s) did you use to make the floodplain determination?*
FEMA floodplain mapping
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
Preliminary Ecological Investigation - Trivium Corporate Center East.pdf 5.15MB
315-976 Trivium East Sewers-Updated.pdf 13.16MB
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:
Shad W Walters, PE
Signature
Jg tv re.ff
Date
3/3/2022