20220548 Ver 1_ePCN Application_20220408

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?*
OO Yes
O No
Is this project a public transportation project?*
0 Yes 0 No
Change only if needed.
BIMS # Assigned* Version#*
20220548 1
Is a payment required for this project?*
No payment required
Fee received
O Fee needed - send electronic notification
Select Project Reviewer*
Holley Snider:eads\hasnider
Information for Initial Review
Reviewing Office*
Wilmington Regional Office - [phone]
la. Name of project:
COURTESY COPY Maintenance of Wellington Ave & Medical Center Dr. Outfall
la. Who is the Primary Contact?*
Aaron Beckner
lb. Primary Contact Email:*
[e-mail]
Date Submitted
4/8/2022
Nearest Body of Water
Greenfield Lake
Basin
Cape Fear
Water Classification
C; Sw
Site Coordinates
Latitude:
34.1954
A. Processing Information
Longitude:
77.9354
lc. Primary Contact Phone:*
[phone]
County (or Counties) where the project is located:
New Hanover
Is this a NCDMS Project
0)Yes @No
Is this project a public transportation project?*
Yes t% No
1a. Type(s) of approval sought from the Corps:
I Section 404 Permit (wetlands, streams and waters, Clean Water Act)
0 Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)

Has this PCN previously been submitted?*
O Yes
O No
Please provide the date of the previous submission.*
6/29/2016
lb. What type(s) of permit(s) do you wish to seek authorization?
O Nationwide Permit (NWP)
O Regional General Permit (RGP)
O Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
OYes 0No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
Id. Type(s) of approval sought from the DWR:
O 401 Water Quality Certification - Regular
O Non-404 Jurisdictional General Permit
O Individual 401 Water Quality Certification
03 - Maintenance
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:
If. Is this an after -the -fact permit application?*
O Yes G No
0 401 Water Quality Certification - Express
0 Riparian Buffer Authorization
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
O Yes O No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
O Yes O No
1h. Is the project located in any of NC's twenty coastal counties?
O Yes O No
11. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
O Yes O No
1j. Is the project located in a designated trout watershed?
0Yes 11No
B. Applicant Information
0 Unknown
OO Yes No
OYes 0No
Id. Who is applying for the permit?
Cam] Owner 0 Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
0Yes CNo
2. Owner Information
2a. Name(s) on recorded deed:
City of Wilmington
2b. Deed book and page no.:
2667-225
2c. Contact Person:
Aaron Beckner
2d. Address
Street Address
PO Box 1810
Address Line 2
City State / Province / Region
Wilmington NC
Postal / Zip Code Country
28402 USA

2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
lb. Subdivision name:
Of appropriate)
lc. Nearest municipality / town:
Wilmington
2. Project Identification
2a. Property Identification Number:
R06018-003-055-000
2b. Property size:
1.54
2c. Project Address
Street Address
Address Line 2
City State / Province / Region
Postal / Zip Code Country
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Greenfield Lake
3b. Water Resources Classification of nearest receiving water: *
C; Sw
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.
030300050503
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 unnamed tributary to Greenfield Lake passes through a double 60" corrugated metal pipe culvert under Medical Center Drive. At the location where maintenance is to be performed,
adjacent to the stream's west side is a gas station with convenience store and a Bojangles restaurant. On the stream's east side is a Medical Office and an undeveloped, wooded lot.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
O Yes 0 No 0 Unknown
If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
SAW-2016-01043
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:
200
4h. Explain the purpose of the proposed project:*
The proposed project is to perform maintenance on an unnamed tributary to Greenfield Lake. Maintenance to be performed includes removal of sediment and vegetation within the stream
channel to restore the channel to original cross section. Work will be performed within existing drainage easements owned by the City if Wilmington.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The total length of stream to be impacted is 200 linear feet. 125 feet is on the north side of Medical Center Drive. 75 feet is on the south side of Medical Center Drive. There are 2 — 60"
corrugated metal pipe culverts that run under Medical Center Drive and connect the two segments of stream. The average width of the channel to be impacted is approximately 20 feet for
a total area of disturbance of approximately 4,000 Square Feet. The depth of sediment over the project area to be removed is on average 1.5 feet. It is estimated that the volume of
sediment to be removed is approximately 240 CY. Work will be completed via excavator from the top of bank, and hand tools. The removed sediment and debris will be disposed of at the
City of Wilmington's operations & maintenance facility located on River Road.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes • No
0 Unknown
Comments:

5b. If the Corps made a jurisdictional determination, what type of determination was made? *
0 Preliminary 0 Approved 0 Not Verified C Unknown O 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?*
0Yes )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):
=i Wetlands
Open Waters
3. Stream Impacts
Streams -tributaries
O Pond Construction
0 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*
St
Maintenance
Permanent
Excavation
Unknown Trib.
Perennial
Corps
20
Average (feet)
200
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
200
3i. Total stream and ditch impacts:
200
3j. Comments:
E. Impact Justification and Mitigation
3i. Total temporary stream impacts:
0
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
This is a maintenance project to remove accumulated sediment from the stream. Removal of the sediment will allow better drainage and flow and reduce
the amount of sediment carried downstream to Greenfield Lake.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
No equipment will operate in the stream. Equipment will operate from the stream banks.
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 O 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?*
0 Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
OYes 0• 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
Comments:
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:*
City Operating funds 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.
The project is for maintenance on an existing stream. No new impervious surface is being constructed.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
0 Yes ® No 0 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?*
O Yes • No
5d. Is another Federal agency involved?*
0 Yes
5e. Is this a DOT project located within Division's 1-8?
OYes 0No
No • Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S
0 Yes C, 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)?*
0 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.?
0 Yes ® No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Correspondence with USACE. Endangered species include the Painted Bunting Big Eared Bat, Rafinesque's Big Eared Bat, and the Northern Long
Eared Bat.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
0 Yes r!, No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
Correspondence with USACE
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? *
O Yes O No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Correspondence with USACE
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
O Yes • No
8c. What source(s) did you use to make the floodplain determination?*
NCFRIS website
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
Project map - Wellington-Mecial Center Outfall Maint..pdf 3.25MB
File must be PDF or KMZ
Comments
Signature
ICI 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:
Aaron Beckner
Signature
Date
4/8/2022