20030885 Ver 2_401 Application_20140624

Strickland, Bev
From: Homewood, Sue
Sent: Wednesday, June 25, 2014 3:42 PM
To: Higgins, Karen; Burdette, Jennifer a; Strickland, Bev
Subject: FW: PCN for Duke Energy Site
Attachments: PCN SIGNED BY NSE.pdf, SoilsMap.pdf, Floodplain Permit - East.pdf; W -S East Topo
Scan.pdf, DUKE TOWER WSSU STAMPED PLANS.pdf
E -mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Doug Jewell [mailto:djewell jewellengr.com]
Sent: Tuesday, June 24, 2014 4:31 PM
To: Homewood, Sue
Cc: Cindy Lancaster
Subject: FW: PCN for Duke Energy Site
Sue,
Here is a digital copy of the PCN submittal that was sent today to the Corps and NC DWR.
Thanks,
Doug
EWELL
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Doug Jewell, PE
JEWELL Engineering Consultants, PC
PO Box 2294
Kernersville, NC 27285
Office: (336) 996 -9974 ext 101
Cell: (336) 972 -9931
www.iewellengineering.pro
NOTICE: This electronic mail message including attachments, if any, is intended for the use of the individual or entity to whom it is addressed. It may contain
information that is privileged, proprietary, confidential, and /or exempt from disclosure. If you are not the intended recipient, you are hereby notified that any
dissemination, distribution or copying of this communication is strictly prohibited. If you have received this message in error, please notify the sender via reply e-
mail and delete this message from your computer immediately.
From: Doug Jewell
Sent: Tuesday, June 24, 2014 1:50 PM
To: John Thomas - US Army Corps of Engineers (john.T. Thomas .3R(a)saw02.usace.army.mil)
Subject: FW: PCN for Duke Energy Site

John,
I thought I did, but may not have sent it to this address. So here it is, please confirm you received it.
Thanks
EWELL
' Oiyq 4F V SL,?�w9,,w d,""' 4 "'j.,V0"N' "1'�;,V�rl;,.
Doug Jewell, PE
JEWELL Engineering Consultants, PC
PO Box 2294
Kernersville, NC 27285
Office: (336) 996 -9974 ext 101
Cell: (336) 972 -9931
www.iewellengineering.pro
NOTICE: This electronic mail message including attachments, if any, is intended for the use of the individual or entity to whom it is addressed. It may contain
information that is privileged, proprietary, confidential, and /or exempt from disclosure. If you are not the intended recipient, you are hereby notified that any
dissemination, distribution or copying of this communication is strictly prohibited. If you have received this message in error, please notify the sender via reply e-
mail and delete this message from your computer immediately.
From: Doug Jewell
Sent: Tuesday, June 24, 2014 10:48 AM
To: 'J ohn.T.Thomas.JR @usace.army.mil'
Cc: Cindy Lancaster
Subject: PCN for Duke Energy Site
Good morning John,
Here is the PCN application Cindy and I have spoken with you about. Attached to this email:
1. PCN application
2. Soils Map
3. USGS Topo Map
4. Floodplain Development Permit
5. Sealed Construction Plans
We are concurrently submitting the 401 application to NC DENR.
Please call if you have any questions.
Thanks,
Doug
EWELL
' Oiyq 4F V Se?�w9,,w d,""' 4 "'j., V 0"N'1'�;,V�rl;,.
Doug Jewell, PE
JEWELL Engineering Consultants, PC
PO Box 2294
Kernersville, NC 27285
Office: (336) 996 -9974 ext 101
Cell: (336) 972 -9931
www.iewellengineering.pro
NOTICE: This electronic mail message including attachments, if any, is intended for the use of the individual or entity to whom it is addressed. It may contain
information that is privileged, proprietary, confidential, and /or exempt from disclosure. If you are not the intended recipient, you are hereby notified that any
dissemination, distribution or copying of this communication is strictly prohibited. If you have received this message in error, please notify the sender via reply e-
mail and delete this message from your computer immediately.

O� WA T §9
o c
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form —Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a. Type(s) of approval sought from the Corps:
❑X Section 404 Permit ❑ Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 33, 27 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑X Yes ❑ No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
NX 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 for Corps Permit:
❑ Yes ❑X No
1f.
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.
N Yes NX No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes NX 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:
WSSU Tower #13 Stream Enhancements
2b.
County:
Forsyth
2c.
Nearest municipality / town:
Winston -Salem
2d.
Subdivision name:
(near Winston -Salem State University)
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
City of Winston -Salem
3b.
Deed Book and Page No.
Book 618 Page 339
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
Civitan Park, Vargrave Street
3e.
City, state, zip:
Winston - Salem, NC 27102
3f.
Telephone no.:
336- 747 -6962
3g.
Fax no.:
336- 748 -3173
3h.
Email address:
Keith Huff <keithh1 @cityofws.org>
Page 1 of 10
PCN Form —Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
❑X Agent ❑ Other, specify:
4b. Name:
Michael Anderson, Project Manager
4c. Business name
(if applicable):
North State Environmental
4d. Street address:
2889 Lowery Street
4e. City, state, zip:
Winston - Salem, NC 27101
4f. Telephone no.:
336- 245 -1253
4g. Fax no.:
336- 725 -2405
4h. Email address:
m.anderson @nsenv.com
5. Agent/Consultant Information (if applicable)
5a. Name:
Cynthia C. Lancaster, P.E.
5b. Business name
(if applicable):
JEWELL Engineering Consultants, PC
5c. Street address:
311 S. Main St
5d. City, state, zip:
Kernersville, NC 27285
5e. Telephone no.:
336- 996 -9974
5f. Fax no.:
336- 996 -9976
5g. Email address:
clancaster @jewellengr.com
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
6835 -71- 8927.00
1 b. Site coordinates (in decimal degrees):
I Latitude: 36.0862 Longitude: - 80.2275
1c. Property size:
23.8 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Salem Creek (Middle Fork Muddy Creek)
2b. Water Quality Classification of nearest receiving water:
C
2c. River basin:
Yadkin
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:
Project is in the area of Civitan Park where a restoration /extension of Stadium Branch was done several years ago. Over time some of the banks on
the new stream alignment have eroded and Duke Energy wanted to have stabilization work done to protect their tower.
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: 0
3d. Explain the purpose of the proposed project:
Purpose is to stabilize eroding stream banks.
3e. Describe the overall project in detail, including the type of equipment to be used:
The proposed work is being done in conjunction with the NCDOT Connector Road project, which required that Duke Energy relocate two of their towers
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 past?
❑ Yes ❑ No ❑X Unknown
Comments:
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):
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.
Permits have not been previously requested for this specific work. NCDOT has a permit/certification for the Connector Road project. A previous permit
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ❑X No
6b. If yes, explain.
Page 3 of 10
PCN Form —Version 1.4 January 2009

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.
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1
Choose one
Choose one
Yes /No
-
W2
Choose one
Choose one
Yes /No
W3
Choose one
Choose one
Yes /No
-
W4
Choose one
Choose one
Yes /No
-
W5 -
Choose one
Choose one
Yes /No
-
W6
Choose one
Choose one
Yes /No
-
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.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Stabilization
Stadium Branch
PER
Corps
32
96
S2 T
Fill
Stadium Branch
PER
Corps
32
20
S3
Choose one
-
S4
Choose one
-
-
S5 -
Choose one
-
S6
Choose one
-
3h. Total stream and tributary impacts
3i. Comments:
Permanent impact is the stream enhancement/bank stabilization, which includes log /boulder step pools. Temporary impact is for a stream crossing to
facilitate the Duke Energy Tower replacement and the bank work. The temporary impact is within the area of proposed stabilization.
Page 4 of 10
PCN Form — Version 1.4 January 2009

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.
Open water
impact number
Permanent (P) or
Temporary T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01
Excavation
Pond
O2
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. 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. Project is in which protected basin?
❑ Neuse ❑Tar- Pamlico ❑Catawba ❑Randleman ❑ Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet )
6g,
Zone 2
impact
(square
feet
B1
Yes /No
B2
Yes /No
B3
Yes /No
B4
Yes /No
B5 -
Yes /No
B6
Yes /No
6h. Total Buffer Impacts:
6i. 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.
Project components only involvement replacement of existing structures and restoration /maintenance activities to improve the stream and open water
areas. Impacted buffer areas will be restored to equal or better vegetative conditions.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
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: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
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:
Choose one
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 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
Yes 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
within one of the NC Riparian Buffer Protection Rules?
❑ Yes ❑X No
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
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 No
2c.
If this project DOES. NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e.
Who will be responsible for the review of the Stormwater Management Plan?
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
City of Winston -Salem
3b.
Which of the following locally - implemented stormwater management programs
apply (check all that apply):
0 Phase II
❑ NSW
❑ USMP
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑Yes ❑ No
4.
DWQ Stormwater Program Review
4a.
Which of the following state - implemented stormwater management programs apply
(check all that apply):
❑Coastal counties
❑HQW
❑ORW
❑Session Law 2006 -246
[-]Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
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 8of10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1a.
Does the project involve an expenditure of public (federal /state /local) funds or the
0 Yes
❑ No
use of public (federal /state) land?
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
❑ Yes
❑X 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 House? (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,
F1 Yes
❑X No
or Riparian Buffer Rules (15A NCAC 2B.0200)?
2b.
Is this an after - the -fact permit application?
❑Yes
❑X 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
E] Yes
❑X 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 pro ect, or available capacity of the subject facility.
with
no wastewater
is associated this project
Page 9 of 10
PCN Form —Version 1.4 January 2009

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 ❑X No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ❑X No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
review of information on USFWS Raleigh Ecological Field Services website
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
reviewed NOAA information re: EFH
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 ❑X 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?
This site is within a city park, where a project was previously permitted by the Corps. Thus, historic /archeological resources would have been checked
for the previous project.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
❑X Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
No -Rise certification was provided to the City of Winston -Salem by JEWELL Engineering Consultants. Applicant has a floodplain development permit
issued by the City of Winston- Salem.
8c. What source(s) did you use to make the floodplain determination?
FIRM available online at NCFMP /FRIS website
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

City of Winston -Salem
FLOODPLAIN DEVELOPMENT PERMIT
Permit Number WINS- 010 -2014 Issuance Date May 8, 2014 PIN 6835 -72- 7077.00
In accordance with the City of Winston -Salem Floodway and Floodway Fringe Regulations, a Floodplain Development
Permit is hereby granted to: Duke Energy as a result of review and approval of the submitted No -Rise Certification for
Proposed Bank Stabilization on Stadium Branch & Duke Tower Replacement In Floodplain and Floodway of Salem Creek
Upstream of Vargrave Street letter submitted by ynthia C. Lancaster, P.E. of Jewell Engineering Consultants P.C.
to conduct development activities within the area of special flood hazard along the stream channel at the rear of the property
located at: Block/Lot 1429/00113 , Registry of Forsyth County.
This Permit is issued to the aforementioned individual, firm, partnership, municipality etc. for the purpose noted above and in
accordance with the City of Winston -Salem Floodway and Floodway Fringe Regulations, Floodplain Development Permit
No. WINS- 010 -2014 and attachments thereto; and is subject to the following modifications and/or performance reservations:
Permit issued for the following development only.
Excavation: X Fill: X Grading: X Utility Construction: X
Road Construction: Residential Construction: Nonresidential Construction: X
Addition: Renovation: Other (specify): Utility tower replacement/relocation &
streambank stabilization east of Vargrave St.
Floodplain/Floodway Approval Conditions for Development include: a) The construction limits of the project as
provided in the APPROVED PLANS should be flagged prior to work to ensure no work occurs beyond the approved
limits; b) all conditions as set forth in Chapter C, Article II of the UDO of Winston- Salem/Forsyth County, NC, shall be
met.
2. Proper Erosion and Sediment control measures shall be installed and maintained in accordance with North Carolina
State Standards and approved erosion control plan during all construction operations.
If any obstacle prevents the construction of this project as approved here, notification, revised plans, and engineering
analysis may be required for submittal, review and approval prior to any permanent changes on the construction site.
Failure to comply with the City of Winston -Salem Floodway and Floodway Fringe Regulations including any modifications
and/or performance reservations could result in assessment of civil penalties or initiation of civil or criminal court actions.
Issued this 8`h day of May , 2014.
Matthew Osborne
Floodplain Administrator for City of Winston- Salem/Forsyth
County

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