20220521 Ver 1_ePCN Application_20220401

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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*
20220521
Is a payment required for this project?
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
Information for Initial Review
1a. Name of project:
Ridgemont Subdivision
1a. Who is the Primary Contact?*
Lanny Hedrick of Davidson Development, LLC
1 b. Primary Contact Email:*
[e-mail]
Date Submitted
4/1/2022
Nearest Body of Water
Elisha Creek
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude:
35.905326
A. Processing Information
County (or Counties) where the project is located:
Davie
Is this a NCDMS Project
Yes No
Longitude:
-80.517006
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
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
Sue Homewood:eads\slhomewood
1c. Primary Contact Phone:*
[phone]

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):
Nationwide Permit 58
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
58 - Utility Line Activities for Water and Other Substances (frequently used)
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
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:
Town of Mocksville / Davidson Land Development
2b. Deed book and page no.:
BK 00093 PG 0252 / BK 01191 PG 0984 /
2c. Contact Person:
Kenneth Gamble, Town Manager
2d.Address
Street Address
171 S. Clement Street
Address Line 2
City
Mocksville
Postal / Zip Code
27028
2e. Telephone Number:
[phone]
2g. Email Address:
[e-mail]
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
NC
Country
Davie
2f. Fax Number:
Yes No
Yes No
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3. Applicant Information (if different from owner)
3a. Name:
Davidson Development, LLC
3b. Business Name:
Davidson Development, LLC
3c.Address
Street Address
5930 East Old US Highway 64
Address Line 2
City
Lexington
Postal / Zip Code
27292
3d. Telephone Number:
[phone]
3f. Email Address:"
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Alan Barry Nelson, PG
4b. Business Name:
Northwest Geoscience, P.C.
4c.Address
Street Address
P.O. Box 6418
Address Line 2
City
High Point
Postal / Zip Code
27262
4d. Telephone Number:
[phone]
4f. Email Address:"
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
Ridgemont Subdivision
1c. Nearest municipality / town:
Mocksville
2. Project Identification
2a. Property Identification Number:
15050A0014,15050B0026,15050Boo43,
16080A0012, Ridgemont Lots 50, 51, 54, 55,
56, 58, 59, 76, 77
2c. Project Address
Street Address
601 Whitney Road
Address Line 2
City
Mocksville
Postal / Zip Code
27028
State / Province / Region
NC
Country
Davidson
3e. Fax Number
State / Province / Region
NC
Country
Guilford
4e. Fax Number:
[phone]
2b. Property size:
4.34, 9.76, 3.51, 23.68, 9.0 (9 lots)
State / Province / Region
NC
Country
Davie
3. Surface Waters

3a. Name of the nearest body of water to proposed project:'
Elisha Creek
3b. Water Resources Classification of nearest receiving water:*
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401011404
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 Ridgemont Subdivision is located at the terminus of Whitney Road within the Town of Mocksville, INC at the eastern edge of the incorporated limits. The area of the Ridgemont
Subdivision is on a forested plateau above the floodplain of Elisha Creek. Site topography grades east towards Elisha Creek and is dissected by the stream courses for unnamed first
order perennial and second order intermittent tributary streams. These tributaries become incised downstream. The meandering riverine system is located in a deciduous forest with dense
undergrowth. Forested wetland areas are present adjacent to the tributary streams and on the floodplain to Elisha Creek. Land use in the area of the Ridgemont Subdivision is residential
to the west and rural -agricultural to the north, east, and south. The Right of Way for a primary public sewer line parallels Elisha Creek from north to south along the west bank of the creek.
Outfall II and Outfall III from the Ridgemont Subdivision will tie in to this primary sewer line at existing manholes. A sewer collector line parallels an unnamed tributary stream to Elisha
Creek from east to west. Outfall I will tie into this secondary sewer line at an existing manhole.
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:
4.2 AC
4g. List the total estimated linear feet of all existing streams on the property:
4,444 ft.
4h. Explain the purpose of the proposed project: *
Sanitary sewer lines for the Ridgemont Subdivision residential development are to be installed in utility easements on properties owned by Davidson Development, LLC and the Town of
Mocksville. Three (3) sewer lines will tie into existing main sewer outfalls and collector lines for the Town of Mocksville. Outfall I will require a temporary stream crossing of a perennial
unnamed tributary stream to Elisha Creek. No wetlands are mapped in the area of Outfall I. Outfall II and Outfall III will require a temporary stream crossing of an intermittent unnamed
tributary stream to Elisha Creek. The permanent conversion of exiting forested wetlands to emergent wetlands will occur within each utility corridor for Outfall II and Outfall II.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
Three (3) sewer outfalls will be installed to carry waste water from the Ridgemont Subdivision to existing municipal sewer lines. Outfall locations are shown on Drawing C-105 of the
attached development plans. Details for construction measures including stream crossings and vegetative stabilization are included on Drawing C-708.
A separate twenty (20) foot wide right-of-way (ROW) is planned for each sewer outfall. Trees and undergrowth will be removed within the ROW using a hydro axe. A small excavator (1.5
to 2 ton) will be used to dig a trench for each sewer line in the ROW and for grading at all stream crossings.
Impervious dikes and a bypass pump will divert water during trenching at each stream crossing. Sewer outfall pipes are to be installed below the existing stream bed. Stream banks will be
restored and stabilized using Type 2 geotextile fabric, 6 in. of #57 washed stone, and topped with 2 ft. of Class B rip rap, as specified.
Outfall I will tie in to an existing sewer collector line after crossing an unnamed perennial tributary to Elisha Creek. The sewer collector line parallels this tributary stream which drains from
west to east along the northern boundary of the subdivision. The installation of Outfall I as shown on the plans will not impact any wetlands.
Outfall II and Outfall III connect to a main sewer line that parallels Elisha Creek from north to south along its west bank. To connect to this existing sewer line, the 2 outfalls from Ridgemont
will cross an intermittent tributary stream to Elisha Creek at separate locations. Outfall II and Outfall III will traverse the floodplain for Elisha Creek and cross areas of mapped wetlands on
the west bank. A separate trench will be excavated for each sewer outfall within the 20 foot ROW to install sewer pipes to the depth specified on the plans. The trenches will be backfilled
with stockpiled soils following line installation. All surfaces within the ROW within the jurisdictional limits on the streambank will be stabilized afterwards using NC Piedmont Riparian Mix
and maintained as emergent wetlands.
5. Jurisdictional Determinations
Sa. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
No
Comments:
The JDR with a Preliminary Delineation map was submitted to the USACE on 11/12/21 (see
attached). A field review was conducted by Jean Gibby of the Raleigh Field office on 2/8/22. An
updated Final Delineation of all wetlands and streams is attached.
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-2022-00627
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Matthew D. Scheidt
Agency/Consultant Company: Northwest Geoscience, P.C.
Unknown
Other:

5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
February 8, 2022 - Field determination by Jean Gibby of the Raleigh Field Office
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?
No additional phases of development will be carried out for the Ridgemont Subdivision as all remaining areas owned by Davidson Land Development are not buildable or are located within
the 100 year floodplain. The subdivision is bound by existing development to the west, Elisha Creek to the east, an unnamed tributary stream to the north, and a railroad to the south.
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
2. Wetland Impacts
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Outfall II
2a1 Reason (?)
Sewer Outfall
2b. Impact type* (?)
P
2c. Type of W.
Bottomland Hardwood Forest
2d. W. name*
Outfall II
2e. Forested*
Yes
2f. Type of Jurisdicition*
Both
2g• Impact
area
0.100
(acres)
Outfall III
Sewer Outfall
P
Bottomland Hardwood Forest
_]
Outfall III
Yes
Both
E�]
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.150
2g. Total Wetland Impact
0.150
21. Comments:
Wetland areas in Outfall II and Outfall III will be converted from forested wetlands to emergent wetlands.
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
��3e.
Stream Type*
3f. Type of
3g. S. width*
31h. I11 mpact
�ff.name*
?)
Jurisdiction*
length*
S7
Sewer Outfall
Temporary
Bank Stabilization
F.—Ill
Perennial
Both
20
20
Average (feet)
(linear feet)
S2
Sewer Outfall
Tem ora
P rY
Bank Stabilization
Outfall II
Intermittent
Both
10
20
Average (feet)
Qinear feet)
S3
Sewer Outfall
Temporary
Bank Stabilization
Outfall III
Intermittent
Both
10
20
Average (feet)
Qinear feet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts: 31. Total temporary stream impacts:
0 60
31. Total stream and ditch impacts:
60
3j. Comments:
All steam impacts will be temporary to install sewer outfalls. Stream banks will be stabilized and adjacent areas will be restored following utility
installation.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
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1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Outfall I crosses the main unnamed perennial tributary to Elisha Creek. Ouffall I was laid out so as to purposely avoid an intermittent first order tributary
stream that merges with the perennial stream north of the subdivision. Outfall II and Outfall II will cross an intermittent tributary stream to Elisha Creek at
2 locations on the floodplain. The planned locations of Outfall 11 and Outfall III are necessary to allow the wastewater discharge from the Ridgemont
Subdivision to enter a main sewer line that parallels Elisha Creek from north to south under gravity feed. However, these outfalls were located so as to
minimize impacts to adjacent wetland areas as much as possible.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The planned sewer outfalls were designed to allow the most direct connection to existing municipal sewer lines and cause the least amount of
disturbance to creeks and wetlands as possible. These outfalls were also designed to intercept the existing sanitary sewer outfalls at a 90 degree angle
or greater which allows for proper flow into the receiving sewer line. The installation contractor will only disturb areas within the permanent 20 ft. wide
easement for the proposed sanitary sewer ouffalls. All areas will be stabilized with a riparian seed mix and mulched immediately after the proposed line
is installed. After the sewer lines are installed and accepted by the Town of Mocksville, the Town will maintain the areas within the easements along the
floodplain for the ease of access to the sanitary sewer lines. The areas will remain as emergent wetlands.
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
2c. If yes, mitigation is required by (check all that apply):
DWR Corps
2d. If yes, which mitigation option(s) will be used for this project?
Mitigation bank Payment to in -lieu fee program Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Brushy Mountain Mitigation Bank
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Non -riparian wetland 3.08 AC
3c. Comments
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more information.
Yes No
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:
According to Lon Snider, representative with the DWR at the WSRO of NCDEQ, the Yadkin-PeeDee Basin is not a protected basin and there are no buffer rules that apply. Therefore,
potential buffer impacts are not considered in this Nationwide Permit application.
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:
The total area of the proposed development is 32.0 AC. The combined built upon are for roads and structures is
6.28 AC. This is a density of 0.19
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land? *
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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.
No additional phases of development will be carried out for the Ridgemont Subdivision as all remaining areas owned by Davidson Land Development
are not buildable or are located within the 100 year floodplain for Elisha Creek. Properties to the west were previously developed and the current phase
of development is bound by Elisha Creek to the east, an unnamed tributary stream to the north, and a railroad to the south.
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
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
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?
Corresponded with the Asheville Field Office of the USFWS and completed a self determination using the USFWS Information for Planning and
Consultation (iPAC) method. Any impacts at the site of the meet the criteria for 4(d) rule exemption.
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?
The construction site is located in the Piedmont of North Carolina. As confirmed with USFWS personnel at the Asheville Regional Office, Essential Fish
Habitats are not a consideration in this portion of the state. All Essential Fish Habitats are located in the Costal Plain.
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?*
North Carolina Historic State Preservation Web Service
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 work conducted in the FEMA-designated 100-year floodplain is for subsurface utility line installation.
The work does not involve above ground structures that could be impacted by flood events. All areas will be restored to pre -construction conditions and
not inhibit current drainage patterns.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Map 3710575800J
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
Ridgemont - All Files for SAW-2022-00627.pdf 27.82MB
File must be PDF or KMZ
Comments
The following files are attached:
Ridgemont - Mitigation Bank Credit Availability
Ridgemont- Engineering Plans (2022-03-21)
Ridgemont - Site Location Map (USGS)
Ridgemont - Preliminary Determination
Ridgemont- Final Determination
Ridgemont - Critical Species List (USFWS !PAC)
Ridgemont - Physical Setting and Project Description (USFWS - iPAC)
Ridgemont - Site Photos
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:
Alan Barry Nelon
Signature
Date
4/1/2022
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