20010016 Ver 3_401 Application_20140808

Montalvo, Sheri A
From: Higgins, Karen
Sent: Friday, August 08, 2014 12 20 PM
To: Smith, Chern L, Strickland, Bev
Cc: Montalvo, Sheri A
Subject: FW RIVERWOOD ATHLETIC CLUB - PHASE 8_S&EC PCN_08-08-2014 (S&EC 3616 W5)
Attachments: RIVERWOOD ATHLETIC CLUB - PH 8_S&EC PCN_08-08-14 pdf
Chem — FYI. Haven't received the hardcopy yet so not in BIMS, but will be 01-0016 v3.
Bev — I put this in Laserfiche
Thanks -
Karen
Karen Higgins
401 & Buffer Permitting Unit Supervisor
NC DENR - Division of Water Resources
1617 Mail Service Center, Raleigh, NC 27699-1617 *Note new Mail Service Center Number*
Phone [phone]
Email karen higgins@ncdenr gov
Website http //portal ncdenr org/web/wq/401bufferpermitting
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: Kevin Martin [mailto:[e-mail]]
Sent: Friday, August 08, 2014 11:50 AM
To: Shaeffer, David L SAW ([e-mail])
Cc: Higgins, Karen
Subject: RIVERWOOD ATHLETIC CLUB - PHASE 8_S&EC PCN_08-08-2014 (S&EC 3616.W5)
David and Karen wanted to give you a heads up that the attached PCN will be delivered to your offices today, it is a very
small wetland impact for a utility line for one of the last phases of a very old project that dates back to the late 1990's
but has had very few impacts (only one previous NWP approved that I am are of details are in the PCN), this is a
courtesy notification to DWR Let me know if you have questions or need anything else Thanks
Kevin C Martin
President
Soil & Environmental Consultants, PA
We've moved to:
North Quarter Office Park
8412 Falls of Neuse Road, Suite 104
Raleigh, NC 27615
[phone] Office Phone
[phone] Fax
[phone] Mobile
kmartiN( sandec com

Visit us at SandEC coml
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August, 8th, 2014
S&EC Project # 3616.W5
To: US Army Corps of Engineers NC DWR, 401 & Buffer Permitting Unit
Raleigh Regulatory Field Office Attn: Karen Higgins
th
Attn: David Schaeffer Archdale Building – 9 Floor
3331 Heritage Trade Drive, Suite 105 512 North Salisbury Street
Wake Forest, NC 27587 Raleigh, NC 27604
From: Kevin C. Martin
Soil & Environmental Consultants, PA
Riverwood Athletic Club-Phase 8
Re:
Clayton, Johnston County, NC
On behalf of the applicant, FSC IV (Attn: Fred Smith, Jr.) please find attached a complete application and
supplemental information requesting written concurrence from the U.S. Army Corps of Engineers) that the
activities proposed below may proceed under Nationwide Permit 12 and a courtesy notification to the
N.C. Division of Water Resources (NCDWR . Please contact me at [phone] if you have any
questions or require additional information.
PROJECT SUMMARY
Project Name Riverwood Athletic Club-Phase 8
Project Type Residential Development
Owner / Applicant FSC IV
County Johnston
Nearest Town Clayton
Waterbody Name Neuse River
Basin Neuse
Index Number 27-(36)
Class WS V; NSW
IMPACT SUMMARY
Stream Impact (acres): 0.0
Wetland Impact (acres): 0.02594
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0.02594
Total Stream Impact (linear feet): 0
Attachments:
Pre-construction Notification (PCN) Application Form Impact Exhibit
Agent Authorization Owner Certification Form
USGS Topographic Map & NRCS Soil Survey Map DWR ONLY:
Overall Development Site Plan
Preliminary JD Request Form
Wetland Data form
Upland data form

Office Use Only:
Corps action ID no. _____________
DWQ project no. _______________
Form Version 1.4January 2009
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the Corps: Section 404 Permit Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? Yes No
1d. Type(s) of approval sought from the DWQ (check all that apply):
401 Water Quality Certification – Regular Non-404 Jurisdictional General Permit
401 Water Quality Certification – Express Riparian Buffer Authorization
For the record only for Corps Permit:
1e. Is this notification solely for the record For the record only for DWQ
because written approval is not required? 401 Certification:
Yes No
Yes 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 Yes No
or in-lieu fee program.
1g. Is the project located in any of NC’s twenty coastal counties. If yes, answer 1h
Yes No
below.
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes No
2. Project Information
RiverwoodAthleticClubPhase8A
2a. Name of project:
Johnston
2b. County:
Clayton
2c. Nearest municipality / town:
RiverwoodAthleticClub
2d. Subdivision name:
2e.NCDOT only, T.I.P. or state project no:
3. Owner Information
FSCIV
3a. Name(s) on Recorded Deed:
176000-83-9975(PIN)
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
FredJ.Smith,Jr.
applicable):
400RiverwoodDr.
3d. Street address:
Clayton,NC27527
3e. City, state, zip:
919-422-4092
3f. Telephone no.:
3g. Fax no.:
[e-mail]
3h. Email address:
Page 1 of 10
PCN Form – Version 1.4January 2009

4. Applicant Information (if different from owner)
4a. Applicant is: 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)
KevinC.Martin
5a. Name:
5b. Business name
Soil&EnvironmentalConsultants,PA
(if applicable):
8412FallsofNeuseRd.,Unit104
5c. Street address:
Raleigh,NC27615
5d. City, state, zip:
919-270-7941
5e. Telephone no.:
919-846-9467
5f. Fax no.:
[e-mail]
5g. Email address:
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
176000-83-9975
1a. Property identification no. (tax PIN or parcel ID):
-78.436132
35.684036
1b. Site coordinates (in decimal degrees): Latitude: Longitude:

9.8
1c. Property size: acres
2. Surface Waters
NeuseRiver
2a. Name of nearest body of water to proposed project:
WSV,NSW
2b. Water Quality Classification of nearest receiving water:
Neuse
2c. River basin:
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:
Undevelopedparcelwithinanexistingsubdivision,mostlywooded,Surroundingareaisundevelopedorresidentialsubdivision
0.5
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:
3d. Explain the purpose of the proposed project:
providesewerforPhase8A
3e. Describe the overall project in detail, including the type of equipment to be used:
Typicalconstructionequipmentforsewerinstallation,
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Yes No Unknown
Corps or State been requested or obtained for this property /
Comments:
preliminaryJDrequestedwiththisapplication
project (including all prior phases) in the past?
4b. If the Corps made the jurisdictional determination, what type
Preliminary Final
of determination was made?
S&EC,PA
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
StevenBall
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Nostreamsshowuponsoilsorusgsforthisphasesothereisnoneedforastatedetermination
5. Project History
5a. Have permits or certifications been requested or obtained for
Yes No Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to “help file” instructions.
In2001NWP39andNW12for0.045acresofpermanentwetlandimpactand76'ofperennialstreamimpact(AID#199821098)(DWQ#010016)
6. Future Project Plans
6a. Is this a phased project? Yes No
6b. If yes, explain.
Remainingundevelopedportionsofthesubdivisionareshownontheattachedplans,atthistimenodevelopmentplanshavebeencompletedfor
theseareas.
Page 3 of 10
PCN Form – Version 1.4January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
Wetlands Streams – tributariesBuffersOpen 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 impact Type of wetland ForestedType of jurisdiction Area of
numberCorps (404,10) or impact
Permanent (P) or DWQ (401, other) (acres)
Temporary (T)
P
BottomlandHardwoodForestYesCorps0.00861
W1
Excavation
TLandClearingBottomlandHardwoodForest
YesCorps0.01733
W2
-ChooseoneChooseone
W3 Yes/No-
Chooseone
-Chooseone
W4 Yes/No-
-
W5 Yes/No-
ChooseoneChooseone
-ChooseoneChooseone
Yes/No-
W6
0.02594
Total Wetland Impacts:
2g.
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.
3g.
3a.3b.3c.3d.3e.3f.
Impact
Stream impact Type of impact Stream name Perennial (PER) or Type of Average
length
numberintermittent (INT)? jurisdictionstream
(linear
Permanent (P) or width
feet)
Temporary (T)
(feet)
-
S1 Chooseone--
S2
-Chooseone--
Chooseone
S3---
S4-Chooseone--
-Chooseone-
-
S5
-Chooseone--
S6
Total stream and tributary impacts
3h.
3i. Comments:
Page 4 of 10
PCN Form – Version 1.4January 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.4b.4c.4d.4e.
Open water Name of waterbody
)
impact number (if applicable Type of impact WaterbodyArea of impact (acres)
Permanent (P) or type
Temporary (T)
-
O1 ChooseoneChoose
Choose
-Chooseone
O2
-ChooseoneChoose
O3
Chooseone
-Choose
O4
Total open water impacts
4f.
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.5b.5c.5d.5e.
Pond ID number Proposed use or Wetland Impacts (acres) Stream Impacts (feet) Upland
purpose of pond
(acres)
FloodedFilledExcavated FloodedFilledExcavated
Chooseone
P1
Chooseone
P2
Total:
5f.
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
MUST
below. If any impacts require mitigation, then you fill out Section D of this form.
.
Neuse Tar-Pamlico Catawba Randleman Other:
6aProject is in which protected basin?
6b.6c.6d.6e.6f.6g.
Buffer Impact Reason for impact Stream name BufferZone 1 Zone 2
number – mitigationimpactimpact
Permanent (P) or required?(square(square
Temporary (T) feet)feet)
-
B1 Yes/No
-Yes/No
B2
Yes/No
B3
-
-Yes/No
B4
-Yes/No
B5
-Yes/No
B6
Total Buffer Impacts:
6h.
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.
PermanentwetlandimpactsinRaven’sRidgePhase8Aareduetoaproposedgravityseweroutalllineatsouthwestportionothetract.Thegravity
ff
sewermustbelocatedasshowninordertotieintotheexistingmanholeatthesouthwestcorneroftheproperty.Sewertie-insatothermanholesto
thenorthwouldimpactmorewetlands;andtherearenootherexistingmanholestothesouththatareontheproperty.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
ThemaintenancecorridoristhenarrowestallowedbytheTownolayton.clearinglimitsareasnarrowaspossibletoallowconstructionothesewer
fCf
line.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for Yes No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): DWQ Corps
Mitigation bank
2c. If yes, which mitigation option will be used for this
Payment to in-lieu fee program
project?
Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Chooseone
Type:Quantity:
Chooseone
3b. Credits Purchased (attach receipt and letter) Type:
Quantity:
Chooseone
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
Chooseone
4c. If using stream mitigation, stream temperature:
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 1.4January 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
Yes No
buffer mitigation?
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.
6c.6d.6e.
Reason for impact Total impactMultiplierRequired mitigation
Zone
(square feet) (square feet)
Zone 1 3 (2 for Catawba)
1.5
Zone 2
Total buffer mitigation required:
6f.
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
1a. Does the projectinclude or is it adjacent to protected riparian buffers identified
Yes No
within one of the NC Riparian Buffer Protection Rules?
1b. 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?
%
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:
ThestormwaterplanhasbeenapprovedbythedelegatedlocalmunicipalityJohnstonountyonlayton'sbehal
(CCf)

JohnstonCounty
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
Clayton
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 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 1.4January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the
Yes No
use of public (federal/state) land?
1b. 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)?
1c. 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, Yes No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
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.
WehavereviewedtheDratInternalPolicy,umulativeimpactsandthe401WaterualityertiicationandIsolatedWetlandsPrograms”document
“fCQCf
preparedbytheNCDivisionofWaterQualityonApril10,2004,version2.1.Thedraftstatesthatmanyprivatedevelopmentsareunlikelytocause
cumulativeimpacts,includingprojectssuchasurbanin-fill,mostresidentialsubdivisionsandsmallcommercialdevelopmentsaswellasagricultural
andsilviculturaloperations.RiverwoodAthleticClubPhase8isaresidentialdevelopment.
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.
onnectiontomunicipalsewerasshownonattachedplans
C
Page 9 of 10
PCN Form – Version 1.4January 2009

Project Area
02,0004,0001,000
Project No.
USGS Vicinity Map
3616.W2
Feet
Project Mgr.:
Riverwood Phase 8
KCM
Johnston Co., NC
Scale:
1" = 1,000'
2013 Clayton USGS Quadrangle
2014-06-23

Project Area
02,0004,0001,000
Project No.
Soil Survey Map
3616.W2
Feet
Project Mgr.:
Riverwood Phase 8
KCM
Johnston Co., NC
Scale:
1" = 1,000'
1994 Printed Johnston Co.
Soil Survey, Map Sheet 1
2014-06-23

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IMPACT=375SQ.FT.
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