20140903 Ver 1_401 Application_20140814

® North Carolina Wildlife Resources Commission
Gordon Myers, Executive Director
August 14, 2014
NC DWR, 401 & Buffer Permitting Unit
512 North Salisbury Street
Raleigh, NC 27604
RE: 401 Certification Application, NCWRC Burch Station Project, Surry County
Dear Sir or Madam:
The North Carolina Wildlife Resources Commission, in partnership with Surry County, is
applying for 401 Certification for construction of a new small boat lunch & fishing access area: Burch
Station Floating Fishing Access. This project will require a Army Corps of Engineers NWP 18.
Enclosed are 5 copies site plans, PCN applications, and additional location data maps. A
proof of electronic transfer fee of $240 is also enclosed.
If you need additional information to complete your review, please contact me at
sara.sherman(aD-ncwildlife.org or 919- 707 -0164.
SS
Enclosures
Sincerely,
Sara Sherman, Project Engineer
Division of Engineering Services
DIVISION OF ENGINEERING & LANDS MANAGEMENT
Mailing Address: 1720 Mail Service Center • Raleigh, NC 27699 -1720
Office Location: 1751 Varsity Drive • Raleigh, NC -Telephone: [phone] • Fax: [phone]

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OOP AP DOCUMENT PAYMENT GENERAL INFORMATION
No
NEXT FUNCTION:
ACTION:
HISTORY: 06/12/2014 13:19:01
BROWSE:
PAY ENTITY
17PT
VEND/EMP NBR: 566000372
40
VEND/EMP SHORT NAME i--DENAP
DOCUMENT NBR: r BURCH060914
DOCUMENT DATE
: 06/09/2014
PAYMENT NBR: 001
PRTL PYMT NBR: 000
IND AMOUNT
SALES TAX/VAT
VAT INCLUSIVE
N
SALES TAX 2
EXPENSE IND
SALES TAX 3
GL EFFECTIVE DATE:
06/16/2014
FREIGHT
EXTRACT DATE
ADDITIONAL COST
ACCRUAL CANC DATE,.
GROSS INVOICE
240.00_) CURRENCY CODE
PAYMENT AMOUNT
240.00, DISCOUNT TYPE
NOT TAKEN
AMOUNT PAID
240.00 DISCOUNT TAKEN
.00
PAYMENT STATUS
PAID
PAYMENT TERMS
NET PAY IMMEDIATELY
PAYMENT REF NBR
00000704,91
PAYMENT DATE
06/16/2014
PAYMENT TYPE
ELECTRONIC
PAYMENT ROUTE CD
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FACTOR NUMBER
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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: 18 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
❑X Yes ❑ No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
❑Q 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.
❑ Yes ❑X No
1 g.
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:
Burch Station FFA
2b.
County:
Surry
2c.
Nearest municipality / town:
Elkin
2d.
Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state project no:
N/A
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Patricia & Clyde Colwell
3b.
Deed Book and Page No.
1255 -567
3c.
Responsible Party (for LLC if
applicable):
Surry County (leaseholder) w_
3d.
Street address:
118 Hamby Road, Suite 144
3e.
City, state, zip:
Dobson, NC 27017 IR - �� QUACITy
336- 401 -8235
3f.
Telephone no.:
3g.
Fax no.:
336- 401 -8236
3h.
Email address:
whiteda @co.surry.nc.us
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:
Sara Sherman
4c.
Business name
(if applicable):
NC Wildlife Resources Commission
4d.
Street address:
1720 Mail Service Center
4e.
City, state, zip:
Raleigh, NC 27699
4f.
Telephone no.:
919 - 707 -0164
4g.
Fax no.:
919- 707 -0162
4h.
Email address:
sara.sherman @ncwildlife.org
5.
Agent/Consultant Information (if applicable)
5a.
Name:
see above
5b.
Business name
(if applicable):
5c.
Street address:
5d.
City, state, zip:
5e.
Telephone no.:
5f.
Fax no.:
5g.
Email address:
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
497200839605
1 b.
Site coordinates (in decimal degrees):
Latitude: 36.2755 Longitude: -80.7686
1 c.
Property size:
9 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Mitchell River (@ confluence w/ Yadkin River)
2b.
Water Quality Classification of nearest receiving water:
C
2c.
River basin:
Yadkin -Pee Dee
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:
This is a rural area about 5 miles east of Elkin. Sparse development nearby includes residential, business, and agricultural. A majority of the
surrounding area is undeveloped. The project area property is majority wooded and adjacent to railroad tracks.
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:
New construction of, an NCWRC Floating Fishing Access which will serve as a small boat launch for kayaks and canoes for fishing /boating access.
3e. Describe the, overall project in detail, including the type of equipment to be used:
See attached
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.
N/A
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 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 ❑ Streams — tributaries ❑ Buffers ❑X 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)
2.
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 -
Choose one
-
S2
Choose one
-
S3 -
Choose one
-
-
S4
Choose one
-
S5
Choose one
-
-
S6 -
Choose one
-
3h. Total stream and tributary impacts
3i. Comments:
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
Tern ora T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 P
Mitchell River
Fill-
Other
0.0034
O2
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts
0.0034
4g. Comments: Grading and till will a necessary to construct a small oa aunt a area impacted is sq Ti. I ne linear s ore ine impac a is
18 feet
5. Pond or Lake Construction
If pond or lake construction proposed, then 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 vou 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
131 -
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
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Development will take place in an area of the property already cleared. The shoreline location chosen is lower than other areas of the property so that
minimizes the amount of grading and fill in the shoreline area.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Only the minimal area necessary will be cleared and disturbed during construction.
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
[I 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:
6. 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
Yes ❑X 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.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(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
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
13.8%
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:
Located in an area without a Stormwater program. Project will disturb less than 1 acre
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 roject?
Surry County
❑ 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 1.4 January 2009

F. Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal /state /local) funds or the
❑X 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
❑Q 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
E] 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,
El Yes
❑X No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after - the -fact permit application?
El 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
El 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 project, or available capacity of the subject facility.
N/A
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
X❑ Yes ❑ No
impacts?
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?
Site Plan submitted to USFWS 6/9/2014
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
7 ❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA website
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?
Site Plan submitted to SHPO 6/9/2014
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:
County will be contacted and any required flood plain permit for this type of development will be obtained prior to construction.
8c. What source(s) did you use to make the floodplain determination?
ncfloodmaps.com
Sara Sherman /NCWRC
Applicant/Agent's Printed Name
Date
pplicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant is provided.)
Page 10 of 10

PCN Question 3e
This Fishing Access area will allow for the launching and recovering of kayaks and canoes. The boat
launch will be a series of terraces and steps built into the riverbank. The upland development will
include a gravel parking lot with 13 delineated parking spaces and a 60'- diameter turnaround area that
will allow users to load and unload their small boats close to the launch facility.
The project area will be accessed by a 20' -wide gravel driveway to be constructed on the property. The
area is currently accessed by a narrow single -lane gravel road within the railroad ROW. An agreement
has been made with the railroad to install guardrail and construct the new entrance drive.
Construction equipment will include excavator, bulldozer, and dump truck. The terraces for launching
the small boats will be constructed of 8x8 lumbers and packed gravel. The steps will be made of wood
and composite decking.

118 Hamby Road, Suite 144, Dobson, NC 27017
Phone: [phone]Fax: [phone]
Federal Tax ID: 56 -60003 41
Dear North Carolina Wildlife Commission:
Surry County Parks and Recreation would like to provide permission to apply for the permits
necessary to build the Burch Station Canoe Access on our behalf. On June 16th the Surry County
Board of Commissars approved the power to move forward with the access. So we are happy to
be partnering with Wildlife Commission to complete this project. Please contact us with any
assistance necessary to complete this project. Attached you find the email notifying it is ok to
proceed with this project.
Thank You
John Daniel White II

BURCH STATION FFA
Greenwood Circle
Elkin, NC 28621
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Sheet Index - -ALL SHEETS
1.0 - Existing Site Conditions
2.0 - Proposed Site Plan
2.1 - Launch Area Details
BURCH STATION FFA
Construction Project
Greenwood Circle
North Carolina Wildlife Resources Commission Elkin, NC 28621
Division of Engineering & Lands Management Mitchell River @ confluence with Yadkin River
1720 Mail Service Center
Raleigh, NC 27699 Permit Drawings 6/9/2014
PH: 919- 707 -0150
FAX: [phone]
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6/9/2014
File Nome:
BurchSt.dwg
Surveyed: MRL
Designed: SJS
Drawn: SJS
Approved:
heet No.
2.0

CONCRETE LANDING AT TOP OF LAUNCH
60' DIAMETER TURNAROUND AREA
NO PARKING - LOADING /UNLOADING ONLY
SMALL BOAT LAUNCH
8' -wide terraces + 5' wide stairs
CONSTRUCTION OF STEPS WILL RESULT
L� �T 5 CUBIC YARDS OF FILL BELOW OHW
NORMAL WATER LEVEL
IMPACT'#01:
150 FTZ IMP, TED AREA
18' LINEAR FE OF SHORELINE IMPACTED
o 0 0 0
GRAVEL PARKING LOT, 13 SPACES
20 0 20 40
Scale 1" = 20'
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6/9/2014
Name:
BurchSt.dwg
reyed: MRL
gned: SJS
vn: SJS
roved:
et No.
2.1