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HomeMy WebLinkAbout20140375 Ver 1_401 Application_20140414Page 1 of 10 PCN Form — Version 1 3 December 10, 2008 Version Pre - Construction Notification (PCN) Form A. Applicant Information 1 Processing la Type(s) of approval sought from the Corps Fx, Section 404 Permit ❑Section 10 Permit 1b Specify Nationwide Permit (NWP) number 0711 or General Permit (GP) number 1 c Has the NWP or GP number been verified by the Corps? ❑ Yes X No id Type(s) of approval sought from the DWQ (check all that apply) X 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit ❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization 1 e Is this notification solely for the record because written approval is not required? For the record only for DWQ 401 Certification ❑ Yes X No For the record only ❑ Yes for Corps Permit X No if Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu fee program ❑ Yes X No 1g Is the project located in any of NC's twenty coastal counties If yes, answer 1 h below ❑ Yes X No 1 h Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes X No 2 Project Information 2a Name of project Shepherds Way Farm - Piney Branch Stream Restoration 2b County Ashe 2c Nearest municipality / town Laurel Springs 2d Subdivision name NA 2e NCDOT only, T I P or state project no N/A — — 3 Owner Information D 3a Name(s) on Recorded Deed Shepherds Way Farm, LLC IM F 3b Deed Book and Page No 417/370 APR 1 5 3c Responsible Party (for LLC if applicable) Jarvis Dickens 6114ft - WA R MALITY I 3d Street address 540 George Shepherd Road 3e City, state, zip Laurel Springs, NC 28644 3f Telephone no 704- 437 -4554 3g Fax no N/A 3h Email address N/A Page 1 of 10 PCN Form — Version 1 3 December 10, 2008 Version 4. Applicant Information (if different from owner) 4a Applicant is X Agent ❑ Other, specify 4b Name 4c Business name (if applicable) 4d Street address 4e City, state, zip 4f Telephone no 4g Fax no 4h Email address 5 Agent/Consultant Information (if applicable) 5a Name Derek Goddard 5b Business name (if applicable) Blue Ridge Environmental Consultants, P A 5c Street address 1305 S Collegiate Drive 5d City, state, zip Wilkesboro, NC 28697 5e Telephone no 336 - 844 -4088 5f Fax no N/A 5g Email address derek@brec biz Page 2 of 10 B Project Information and Prior Project History 1 Property Identification is Property identification no (tax PIN or parcel ID) 14421 -085 1 b Site coordinates (in decimal degrees) Latitude 36 440213 Longitude - 81 287006 (DD DDDDDD) ( -DD DDDDDD) 1 c Property size 67 acres 2 Surface Waters 2a Name of nearest body of water (stream, river, etc ) to proposed project Piney Branch 2b Water Quality Classification of nearest receiving water 2c River basin New 3 Project Description 3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application Agricultural and Forrest 3b List the total estimated acreage of all existing wetlands on the property 0 3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property 4800' Perennial 3d Explain the purpose of the proposed project To restore stream function and prevent erosion of Piney Branch 3e Describe the overall project in detail, including the type of equipment to be used The project will The project will utilize a track loader 4. Jurisdictional Determinations 4a Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / project (including all prior phases) in the past9 Comments ❑ Yes X No ❑ Unknown 4b If the Corps made the jurisdictional determination, what type of determination was made? ❑ Preliminary Final 4c If yes, who delineated the jurisdictional areas? Name (if known) Unknown Agency /Consultant Company Other 4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation 5 Project History 5a Have permits or certifications been requested or obtained for this project (including all prior phases) in the past? ❑ Yes X No ❑ Unknown 5b If yes, explain in detail according to "help file" instructions 6 Future Project Plans 6a Is this a phased projects ❑ Yes X No 6b If yes, explain Page 3 of 10 PCN Form — Version 1 3 December 10, 2008 Version C. Proposed Impacts Inventory 1 Impacts Summary 1 a Which sections were completed below for your project (check all that apply) Wetlands X Streams - tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction 2 Wetland Impacts If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted 2a 2b 2c 2d 2e 2f Wetland impact Type of jurisdiction number — Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact Permanent (P) or (if known) DWQ — non -404, other) (acres) Tem orar T ❑ Yes Corps W1 P T No ❑ DWQ W2 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W3 ❑ P FIT ❑ Yes ❑ Corps ❑ No ❑ DWQ W4 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W5 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W6 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ 2g Total wetland impacts 2h Comments 3. Stream Impacts If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites impacted 3a 3b 3c 3d 3e 3f 3g Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact number - (PER) or (Corps - 404, 10 stream length Permanent (P) or intermittent DWQ — non -404, width (linear Temporary (T) (INT)? other) (feet) feet) Si X P ❑ T Restoration Piney Branch X INT X DWQs 8 1,868 S2 P FIT PER ❑ INT Corps DWQ S3 ❑ P ❑ T ❑ PER ❑ INT ❑ Corps ❑ DWQ S4 ❑ P ❑ T ❑ PER ❑ INT ❑ Corps ❑ DWQ ❑ PER ❑ Corps S5 ❑ P ❑ T ❑ INT ❑ DWQ ❑ PER ❑ Corps S6 ❑ P ❑ T ❑ INT ❑ DWQ 3h Total stream and tributary impacts 1,868 31 Comments Page 4 of 10 PCN Form — Version 1 3 December 10, 2008 Version 4. Open Water Impacts If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of the U S then individually list all open water impacts below 4a 4b 4c 4d 4e Open water Name of waterbody impact number — (if applicable) Type of impact Waterbody type Area of impact (acres) Permanent (P) or Temporary T 01 ❑P ❑T 02 ❑P ❑T 03 ❑P ❑T 04 ❑P ❑T 4f. Total open water impacts 4g Comments 5 Pond or Lake Construction If pond or lake construction proposed, the complete the chart below 5a 5b 5c 5d 5e Wetland Impacts (acres) Stream Impacts (feet) Upland Pond ID Proposed use or purpose (acres) Flooded Filled Excavated Flooded Filled Excavated Flooded number of pond P1 P2 5f Total 5g Comments 5h Is a dam high hazard permit required ❑ Yes ❑ No If yes, permit ID no 51 Expected pond surface area (acres) 51 Size of pond watershed (acres) 5k Method of construction 6 Buffer Impacts (for DWQ) If project will impact a protected riparian buffer, then complete the chart below If yes, then individually list all buffer impacts below If any impacts require mitigation, then you MUST fill out Section D of this form 6a ❑ Neuse ❑Tar- Pamlico El Other Project is in which protected basin? NA ❑ Catawba ❑ Randleman 6b 6c 6d 6e 6f 6g Buffer impact number — Reason Buffer Zone 1 impact Zone 2 impact Permanent (P) or for Stream name mitigation (square feet) (square feet) Temporary T impact —required El Yes B1 ❑P ❑ No El Yes B2 ❑P ❑ No ❑ Yes B3 ❑ P ❑ T ❑ No 6h Total buffer impacts 61 Comments Page 5 of 10 D. Impact Justification and Mitigation 1 Avoidance and Minimization 1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project The only practical alternative to preventing erosion and restoring stream function is a holistic restoration 1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques Stringent erosion control standards for sensitive water sheds will be adhered too All disturbances will be stabilized at the end of each days work 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 X No 2b If yes, mitigation is required by (check all that apply) ❑ DWQ ❑ Corps 2c If yes, which mitigation option will be used for this project? ❑ Mitigation bank El Payment to in -lieu fee program ❑ Permittee Responsible Mitigation 3 Complete if Using a Mitigation Bank 3a Name of Mitigation Bank 3b Credits Purchased (attach receipt and letter) Type Quantity 3c Comments 4. Complete if Making a Payment to In -lieu Fee Program 4a Approval letter from in -lieu fee program is attached ❑ Yes 4b Stream mitigation requested linear feet 4c If using stream mitigation, stream temperature ❑ warm ❑ cool ❑cold 4d Buffer mitigation requested (DWQ only) square feet 4e Riparian wetland mitigation requested acres 4f Non - riparian wetland mitigation requested acres 4g Coastal (tidal) wetland mitigation requested acres 4h Comments 5 Complete if Using a Permittee Responsible Mitigation Plan 5a If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan Page 6 of 10 PCN Form — Version 1 3 December 10, 2008 Version 6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWO 6a Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? ❑ Yes X No 6b If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the amount of mitigation required Zone 6c Reason for impact 6d Total impact (square feet) Multiplier 6e Required mitigation (square feet) Zone 1 3 (2 for Catawba) Zone 2 1 5 6f Total buffer mitigation required. 6g If buffer mitigation is required, discuss what type of mitigation is proposed (e g , payment to private mitigation bank, permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund) 6h Comments Page 7 of 10 E. Stormwater Management and Diffuse Flow Plan (required by DWQ) 1 Diffuse Flow Plan 1 a Does the project include or is it adjacent to protected riparian buffers identified ❑ Yes X No within one of the NC Riparian Buffer Protection Rules? 1 b If yes, then is a diffuse flow plan included? If no, explain why ❑ Yes ❑ No Comments 2 Stormwater Management Plan 2a What is the overall percent imperviousness of this project? 0 % 2b Does this project require a Stormwater Management Plan? ❑ Yes X No 2c If this project DOES NOT require a Stormwater Management Plan, explain why Project is in forested, rural setting All stormwater is diffuse flow over vegetated surfaces 2d If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan ❑ Certified Local Government 2e Who will be responsible for the review of the Stormwater Management Plan? ❑ DWQ Stormwater Program ❑ DWQ 401 Unit 3 Certified Local Government Stormwater Review 3a In which local government's jurisdiction is this project? ❑ Phase II ❑ NSW 3b Which of the following locally - implemented stormwater management programs ❑ USMP apply (check all that apply) ❑ Water Supply Watershed ❑ Other 3c Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No attached? 4 DWQ Stormwater Program Review ❑ Coastal counties ❑ HQW 4a Which of the following state - implemented stormwater management programs apply ❑ ORW (check all that apply) ❑ Session Law 2006 -246 ❑ Other 4b Has the approved Stormwater Management Plan with proof of approval been ❑ Yes El No attached? 5. DWQ 401 Unit Stormwater Review 5a Does the Stormwater Management Plan meet the appropriate requirements? ❑ Yes ❑ No 5b Have all of the 401 Unit submittal requirements been met? ❑ Yes ❑ No Page 8 of 10 PCN Form — Version 1 3 December 10, 2008 Version F Supplementary Information 1. Environmental Documentation (DWQ Requirement) la Does the project involve an expenditure of public (federal /state /local) funds or the ❑ Yes ® No use of public (federal /state) land? lb 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 ❑ Yes ® No (North Carolina) Environmental Policy Act (NEPA /SEPA)? 1 c If you answered "yes" to the above, has the document review been finalized by the State Clearing Houses (If so, attach a copy of the NEPA or SEPA final approval ❑ Yes ® No letter ) Comments 2 Violations (DWQ Requirement) 2a Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards, ❑ Yes ® No or Riparian Buffer Rules (15A NCAC 2B 0200)9 2b Is this an after- the -fact permit application? ❑ Yes ® No 2c If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s) 3. Cumulative Impacts (DWQ Requirement) 3a Will this project (based on past and reasonably anticipated future impacts) result in ❑ Yes ® No additional development, which could impact nearby downstream water quality? 3b If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the most recent DWQ policy If you answered "no," provide a short narrative description 4 Sewage Disposal (DWQ Requirement) 4a Clearly detail the ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility N/A Page 9 of 10 PCN Form — Version 1 3 December 10, 2008 Version 5 Endangered Species and Designated Critical Habitat (Corps Requirement) 5a Will this project occur in or near an area with federally protected species or ❑ Yes ® No habitat? 5b Have you checked with the USFWS concerning Endangered Species Act ® Yes ❑ No impacts? E] Raleigh 5c If yes, Indicate the USFWS Field Office you have contacted ® Asheville 5d What data sources did you use to determine whether your site would Impact Endangered Species or Designated Critical Habitat? http / /www ncnhp org - http //www saw usace army mil/WETLAND /esa - http //www fws gov /nc- es /es /es html 6 Essential Fish Habitat (Corps Requirement) 6a Will this project occur in or near an area designated as essential fish habitat? ❑ Yes ® No 6b What data sources did you use to determine whether your site would impact Essential Fish Habitat? http //ocean flondamarine org /efh_ coral /ims /viewer htm 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 ❑ Yes ® No status (e g , National Historic Trust designation or properties significant in North Carolina history and archaeology)? 7b What data sources did you use to determine whether your site would impact historic or archeological resources? http / /www hpo ncdcr gov 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 No rise to the flood way will occur 8c What source(s) did you use to make the floodplain determination? http / /www ncfloodmaps com Derek Goddard 4/11/14 Applicant /Agent's Printed Name Applicant /Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided Page 10 of 10 AGENT AUTHORIZATION FORM PROPERTY LEGAL DESCRIPTION Book 417 Page 0370 & 0372 PIN: 3928 -77- 0358 -81 and 3928 -76- 1201 -50 Ashe County, NC STREET ADDRESS: 540 George Shepherd Road, Laurel Springs, NC 28644 Property Owner: Shepherds Way Farm LLC —Jarvis Dickens The undersigned, registered property owners of the above noted property, do hereby authorize Derek Goddard of BREC PA (Agent) (Name of consulting firm) to act on my behalf and take all actions necessary for the processing , issuance and acceptance of this permit or certification and all standard and special conditions attached Property Owner's Address (if different than property above): Shepherds Way Farm, LLC Jarvis Dickens 540 George Shepherd Road Laurel Springs, NC 28644 We hereby certify the above information submitted to this application is true and accurate to the best of our knowledge i Authorized Signature Date. Shepherds Way Farm, LLC — Jarvis Dickens NA � i, `e f1 j ) INJ K \ M,.£S 91 ,18 c aQ O O J U- rU) O m zM .i,Q c LL O Q U� CD Q � d CC W to = �a w ) M.bb LT o18 2 � A OOEE£06 ooZEEOb OOTEEOb OOOEEOb 006ZEOb OOBZEoO OOLZEOP 009ZEO6 z z � .VS1f. M ,.ES 91 o18 N O U) 47 (D 00 Of m a a a a I trS v a M a a N Z 3 U) an O a 2 (D U) > N O N 8 n a o a L 1. O -+ to z g a SLi CD x Q €a vi m m ug c o' o Z a o to d � a z -Iiiiiic c Z V M.00ZT To O Soil Map —Ashe County, North Carolina Map Unit Legend SHEPHERDS WAY FARM SOIL MAP Ashe County, North Carolina (NC009) Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI EvE Evard loam, 15 to 25 percent 10.1 6.3% slopes FnD Fannin loam, 8 to 15 percent 6.1 3.9% slopes Fannin loam, 15 to 25 percent 3.9 2.4% FnE slopes Tusquitee loam, 8 to 15 percent 15.4 9.7% TsD slopes WaD Watauga loam, 8 to 15 percent 20.5 12.9% slopes Watauga loam, 15 to 25 percent 8.6% WaE 13.7 slopes 56.2% WaF Watauga loam, 25 to 45 percent 89.5 slopes 100.0 °A. 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