20220523 Ver 1_ePCN Application_20220401

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*
20220523
Is a payment required for this project?
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Colleen Cohn:eads\cmcohn
Information for Initial Review
1a. Name of project:
COURTESY COPY Carrboro YMCA
la. Who is the Primary Contact?*
Ashley Bentz
1 b. Primary Contact Email:
[e-mail]
Date Submitted
4/1/2022
Nearest Body of Water
UT - Cole Springs Branch
Basin
Cape Fear
Water Classification
WS-V; NSW
Site Coordinates
Latitude:
35.93393
A. Processing Information
County (or Counties) where the project is located:
Orange
Is this a NCDMS Project
Yes No
Longitude:
-79.05425
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*
Raleigh Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
u

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: 18 - Minor Discharges
NWP Numbers (for multiple NWPS):
1d. 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
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:
YMCA of the Triangle, Inc.
2b. Deed book and page no.:
2c. Contact Person:
Tim Carr
2d.Address
Street Address
801 Corporate Center Drive, Suite 200
Address Line 2
City
Raleigh
Postal / Zip Code
27607
2e. Telephone Number:
[phone]
2g. Email Address:
[e-mail]
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
NC
Country
us
2f. Fax Number:
Yes No
Yes No
U

4. Agent/Consultant (if applicable)
4a. Name:
Ashley Bentz
4b. Business Name:
S&ME, Inc.
4c.Address
Street Address
3201 Spring Forest Road
Address Line 2
City
Raleigh
Postal / Zip Code
27616
4d. Telephone Number:
[phone]
4f. Email Address:"
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1 b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Chapel Hill
2. Project Identification
2a. Property Identification Number:
9789440825
2c. Project Address
Street Address
980 Martin Luther King, Jr. Boulevard
Address Line 2
City
Chapel Hill
Postal / Zip Code
27514
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
UT - Cole Springs Branch
3b. Water Resources Classification of nearest receiving water:*
WS-V; NSW
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
030300020603
4. Project Description and History
State / Province / Region
NC
Country
US
4e. Fax Number:
2b. Property size:
7.1
State / Province / Region
NC
Country
US
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 site is the location of an existing YMCA facility consisting of the YMCA building, a parking lot, landscaping, and utilities. An expansion of the YMCA was authorized in 2000. This plan
included a detention pond in the lowest area of the site. A pond was constructed as a temporary sediment basin and never converted to the permanent stormwater pond. The area has
now naturalized into a jurisdictional wetland and stream. The Town of Chapel Hill is now requiring that the site be brought into compliance with all of their current stormwater regulations as
the previously approved SCM was never constructed and the YMCA has added some gravel that has increased the impervious surface to an amount that is more than what was previously
approved. Project engineers have explored several "upland" options for stormwater control measures to meet this requirement, but none have been viable to meet all of the Town's
requirements.
General land use in the area is a mix of undeveloped, residential, and institutional land use with some commercial development. The Horace Williams Airport is located northwest of the
site and a methodist church is located directly north of the site.
u

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:
0.078 ac
4g. List the total estimated linear feet of all existing streams on the property:
54
4h. Explain the purpose of the proposed project:'
The purpose of the project is to bring the YMCA facility into compliance with the stormwater requirements of the Town of Chapel Hill. The temporary stormwater control measure (SCM)
utilized during construction as part of the approved sediment and erosion control plan was not converted to a permanent SCM after construction was completed. The site is no longer in
compliance with Town of Chapel Hill stormwater requirements and therefore, the YMCA intends to convert the original temporary SCM into a permanent SCM to become compliant with
local requirements.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The project will involve the conversion of the former sediment and erosion control device to a permanent stormwater control measure. Standard construction equipment will be used.
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:
SAW-2021-02346
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Walter Cole
Agency/Consultant Company: S&ME, Inc.
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
On December 7, 2021, the Corps met at 980 Martin Luther King Jr. Boulevard, in Chapel Hill, North Carolina to review the boundaries of the aquatic resources delineation you submitted
on October 29, 2021. The USACE reviewed the information provided by S&ME concerning the aquatic resources, and by copy of this e-mail, are confirming that the aquatic resources
delineation has been verified by the Corps to be a sufficiently accurate and reliable representation of the location and extent of aquatic resources within the identified review area. The
location and extent of these aquatic resources are shown on the delineation map entitled, "Feature Exhibit' and dated October 22, 2021.
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
2. Wetland Impacts
2a1 Reason (?)
2b. Impact type*(?)
2c. Type of W.*
2d. W. name*
2e. Forested*
r.)1Typeof Jurisdiciti29.
Impact
area
W1
fill
L
Headwater Forest
W1
Yes
Corps
0.078
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.078
2g. Total Permanent Wetland Impact
0.078

21. Comments:
Conversion of the former sediment basin to the permanent SCM will permanently impact 0.078 acres of wetlands that have formed in the former
sediment basin.
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
3d. S. name* �3e.StreamType*
?)
[3f.Typeof
urisdiction*
3gSwidth*
3h. Impact
length*
S1
Stormwater Basin
Permanent
Fill
S1
Perennial
Cor s
P
3
Average (feet)
54
Qinear feet)
31. Total jurisdictional ditch impact in square feet
0
31. Total permanent stream impacts: 3i. Total temporary stream impacts:
54 0
31. Total stream and ditch impacts:
54
3j. Comments:
Conversion of the former sediment basin to the permanent SCM will permanently impact 54 linear feet of streams (162 square feet or 0.004 acres) that
have formed in the former sediment basin.
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:
During the design of the proposed SCM, alternative locations were explored that would not impact the stream or wetland that had formed in the former
sediment basin, but these alternative locations were not viable to meet the Town's requirements.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
During construction, specific attention will be paid to ensure grading is only performed to the extent needed for the proposed project and all grading not
required will be avoided.
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:
Impacts are below thresholds commonly requiring mitigation.
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
What type of SCM are you providing?
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
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
2c. Does this project have a Stormwater management plan (SMP) reviewed and approved under a state Stormwater program or state -approved local government stormwater program?
Yes No
N/A - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
Local Government State

Local Government Stormwater Programs
Phasell NSW USMP Water Supply
Please identify which local government stormwater program you are using.
Town of Chapel Hill
Comments:
This project is intended to satisfy local stormwater management regulations at the site. The proposed SCM is undergoing approval via the Town of Chapel Hill.
G. Supplementary Information
1. Environmental Documentation
1a. 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.
Project is intended to treat stormwater of existing facility.
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?
The NC Natural Heritage Program online data explorer (https://www.ncnhp.org/data) and US Fish and Wildlife Service Information for Planning and
Consultation (IPaC) report. No critical habitat was identified within the site and no element occurrences of federally -protected species have been
observed within the site or within one mile of the site.
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 USFWS IPaC report and the National Marine Fisheries Service Essential Fish Habitat Mapper
(https://www.habitat.noaa.gov/protection/efh/efhmapper/)

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?*
The site has already been utilized as a temporary stormwater management device and therefore has already been disturbed. The North Carolina State
Historic Preservation Office web mapping tool HPOWEB(https://www.ncdcr.gov/about/history/division-historical-resources/gis-maps-and-data) confirmed
that no known historical resources have been identified on site.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8c. What source(s) did you use to make the floodplain determination?*
FEMA firm map number 3710978900J, effective on 02/02/2007 and the project engineer.
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
C100 Existing Conditions.pdf
570.67KB
FIRMETTE_88f494ed-372f-4cbb-b637-335a663d723c.pdf
727.56KB
IPaC report.pdf
195.47KB
NCNHP Report.pdf
1.22MB
Wetland Impact Plan.pdf
773.73KB
Feature.pdf
1.59MB
USACE Confirmation Email.pdf
143.44KB
agent authorization.pdf
108.11 KB
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:
Ashley Bentz
Signature
Date
4/1/2022