20190883 Ver 2_ePCN Application_20220819

DWR
Division of Water Resources
Initial Review
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
Pre -Filing Meeting Date Request was submitted on:
6/11/2019
BIMS # Assigned* Version#*
20190883 2
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
Information for Initial Review
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
Sue Homewood:eads\slhomewood
la. Name of project:
Eden Remediation Program Phases 11/12: Bridge Street Basin Sewer Replacement and Rehabilitation Version 2
la. Who is the Primary Contact?*
Jon Mendenhall
1 b. Primary Contact Email:* lc. Primary Contact Phone: *
[e-mail] [phone]
Date Submitted
8/19/2022
Nearest Body of Water
UT to Dan River
Basin
Roanoke
Water Classification
C, WS-IV
Site Coordinates
Latitude:
36.481769
A. Processing Information
Longitude:
-79.768956
County (or Counties) where the project is located:
Rockingham
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No

la. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
Yes
No
Please provide the date of the previous submission.*
6/11 /2019
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 58 - Utility Line Activities for Water and Other Substances (frequently used)
NWP Numbers (for multiple NWPS):
ld. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
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?*
Yes No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1 h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
Id. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
See attached property owner information
2b. Deed book and page no.:
2c. Contact Person:
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No

2d. Address
Street Address
See attached property owner information
Address Line 2
City State / Province / Region
See attached property owner information See attached property owner information
Postal / Zip Code Country
See attached property owner information See attached property owner information
2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address: *
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Jon Mendenhall
3b. Business Name:
City of Eden, NC
3c. Address
Street Address
308 E. Stadium Drive
Address Line 2
City
Eden
Postal / Zip Code
27288
3d. Telephone Number:
[phone]
3f. Email Address: *
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Daniel Zurlo
4b. Business Name:
WK Dickson
4c. Address
Street Address
1213 W Morehead St
Address Line 2
Ste 300
City
Charlotte
Postal / Zip Code
28208
4d. Telephone Number:
[phone]
4f. Email Address: *
[e-mail]
C. Project Information and Prior Project History
State / Province / Region
NC
Country
USA
3e. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:
1. Project Information
1b. Subdivision name:
(if appropriate)
lc. Nearest municipality / town:
Eden
2. Project Identification

2a. Property Identification Number: 2b. Property size:
See attached property owner info
2c. Project Address
Street Address
Address Line 2
City
Postal /Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
UT to Dan River
3b. Water Resources Classification of nearest receiving water:*
C, WS-Iv
3c. What river basin(s) is your project located in?*
Roanoke
3d. Please provide the 12-digit HUC in which the project is located.
030101030505
4. Project Description and History
State / Province / Region
Country
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 Bridge Street Basin Replacement and Rehabilitation project is located within the City of Eden, either in the City limits or the City's extra -territorial zoning jurisdiction (ETJ). The project
area includes the Bridge Street Outfall and the Dan River Outfall. The basin encompasses Matrimony Creek near Robin Road to the Dan River and a number of smaller gravity flow lines
to the Matrimony Creek and Dan River Outfalls and the outfall along the Dan River to Highway 87 bridge across the river. Portions of the project higher in the watershed are beneath street
and do not directly affect waters. Most of the project lies near residential homes or small commercial properties. Along Matrimony Creek and the Dan river the project is low density semi -
rural community with small farms, single family residential properties, and undeveloped land along the stream corridor.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past? *
Yes No Unknown
If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
This project was authorized in September 2019 under NWP 12 prior to its expiration. The Corps ID is SAW-2019-01086 and the DWR Certification number is 20190883. We are seeking
re -approval under NWP 58 and NC WQC 4276 as construction has not yet started. No changes in design or impacts to WoTUS are proposed. Project impacts are below NWP 58
notification thresholds. Jon Ellis of the USFWS concurs with the threatened and endangered species conclusions made in the previous authorization (Attached correspondence).
4f. List the total estimated acreage of all existing wetlands on the property:
4g. List the total estimated linear feet of all existing streams on the property:
4h. Explain the purpose of the proposed project: *
This project was authorized in September 2019 under NWP 12 prior to its expiration. The Corps ID is SAW-2019-01086 and the DWR Certification number is 20190883. We are seeking
re -approval under NWP 58 and NC WQC 4276 as construction has not yet started. No changes in design or impacts to WoTUS are proposed. Project impacts are below NWP 58
notification thresholds. Jon Ellis of the USFWS concurs with the threatened and endangered species conclusions made in the previous authorization (Attached correspondence).
The City of Eden is in the process of implementing a Collection System Remediation Program which includes rehabilitation, replacement, and/or relocation of pump stations, manholes,
and gravity sewer mains in various sewer basins. The program includes a series of projects aimed to reduce sanitary sewer overflows (SSOs) and excessive inflow and infiltration (I&I) in
the wastewater collection system. The Remediation Program is a requirement of the City's Administrative Order by Consent (AOC) with the United States Environmental Protection Agency
(EPA). The program is funded by the State of North Carolina through grants and loans (State Project No. E-SRP-W-17-0026).
Much of the existing wastewater collection system is physically degraded with numerous defects. Inflow/outflow issues exist with ongoing maintenance -repairs limiting services and
creating potential environmental problems. These aging sewers are physically degraded containing Pipeline Assessment and Certification Program (PACP) Grade 3, 4, and 5 defects. This
project addresses improvements located in the Bridge Street sewer basin.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
It is anticipated this project work will include replacement utilizing open trench construction (approximately 13,000 LF), relocation (approximately 3,000 LF), and rehabilitation by cured in
place pipe (CIPP) lining (approximately 11,000 LF). The improvements are needed to address a combination of problems including joint infiltration, sags, corrosion, non -conforming sewer
taps, and manhole defects. This project is expected to limit future failures and repairs while reducing the environmental impacts of the current defective system. An increase in current
capacity is not expected.
The project involves the replacement and relocation of sewer mains and manholes using open -trench methods where sewer lines have structural issues. Excavation will be accomplished
using track hoes to remove material. Smaller track equipment will be utilized to stabilize and prepare the exposed surface for planting. It also includes trenchless sewer main and manhole
rehabilitation which will be less impactful the project areas. Lining trucks, CCTV rigs, and other light to medium equipment will be used during rehabilitation activities.
All disturbed stream banks restored to preconstruction contour and grade or a stable grade and will be planted in native herbaceous seed mixes. Permanent impacts are anticipated to be
less than one tenth of an acre, and therefore, is expected to be below the threshold for mitigation.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
No Unknown
Comments:

5b. If the Corps made a jurisdictional determination, what type of determination was made? *
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
SAW-2019-01086
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
USACE preliminary JD made on 9/18/19.
6. Future Project Plans
6a. Is this a phased project?*
Yes No
6b. If yes, explain.
The City of Eden is in the process of implementing a Collection System Remediation Program which includes rehabilitation, replacement, and/or relocation of pump stations, manholes,
and gravity sewer mains in various sewer basins. The program includes a series of projects aimed to reduce sanitary sewer overflows (SSOs) and excessive inflow and infiltration (I&I) in
the wastewater collection system. The Remediation Program is a requirement of the City's Administrative Order by Consent (AOC) with the United States Environmental Protection Agency
(EPA). The program is funded by the State of North Carolina through grants and loans (State Project No. E-SRP-W-17-0026). This application is requesting re -authorization of the Phases
11 and 12 of this work which had been previously authorized under NWP 12 and associated NC WQC.
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):
Wetlands
Open Waters
2. Wetland Impacts
Streams -tributaries
Pond Construction
Buffers
2a. Site #* (?)
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W.*
2d. W. name
2e. Forested*
2f. Type of Jurisdicition*
(,)
2g. Impact
area*
W1
Excavation
T
Bottomland Hardwood Forest
W1
No
Corps
0.010
(acres)
W2
Excavation
T
Bottomland Hardwood Forest
W2
Yes
Corps
0.200
(acres)
W3
Excavation
T
Bottomland Hardwood Forest
W3
No
Corps
0.020
(acres)
W4
Excavation
T
Bottomland Hardwood Forest
W4
No
Corps
0.020
(acres)
W5
Excavation
T
Bottomland Hardwood Forest
W5
Yes
Corps
0.020
(acres)
W6
Excavation
T
Bottomland Hardwood Forest
W6
No
Corps
0.010
(acres)
W7
Excavation
T
Bottomland Hardwood Forest
W7
No
Corps
0.010
(acres)
W8
Excavation
T
Bottomland Hardwood Forest
W8
No
Corps
0.004
(acres)
W9
Excavation
T
Bottomland Hardwood Forest
W9
No
Corps
0.002
(acres)
2g. Total Temporary Wetland Impact
0.296
2g. Total Wetland Impact
0.296
2i. Comments:
2g. Total Permanent Wetland Impact
0.000

3. Stream Impacts
3a. Reason for impact (?)
3b.Impact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width
3h. Impact
length*
st
Aerial sewer crossing
Temporary
Excavation
Matrimony Creek
Perennial
Corps
15
Average (feet)
36
(linear feet)
S2
Excavation
Temporary
Excavation
UT2 to Dan River
Perennial
Corps
10
Average (feet)
60
(linear feet)
S3
Excavation
Temporary
Excavation
UT4 to Matrimony Creek
Perennial
Corps
10
Average (feet)
102
(linear feet)
S4
Excavation
Temporary
Excavation
UT4 to Matrimony Creek
Perennial
Corps
10
Average (feet)
57
(linear feet)
S5
Excavation
Temporary
Excavation
UT1 to Dan River
Perennial
Corps
5
Average (feet)
37
(linear feet)
S6
Excavation
Temporary
Excavation
UT3 to Dan River
Perennial
Corps
5
Average (feet)
35
(linear feet)
S7
Excavation
Temporary
Excavation
UT6 to Matrimony Creek
Perennial
Corps
5
Average (feet)
73
(linear feet)
S8
Excavation
Temporary
Excavation
UT5 to Dan River
Perennial
Corps
5
Average (feet)
49
(linear feet)
S9
Excavation
Temporary
Excavation
UT7 to Matrimony
Perennial
Corps
5
Average (feet)
35
(linear feet)
Si
Excavation
Temporary
Excavation
UT2 to Dan River
Perennial
Corps
10
Average (feet)
36
(linear feet)
Sil
Excavation
Temporary
Excavation
UT3 to Matrimony Creek
Perennial
Corps
4
Average (feet)
85
(linear feet)
S12
Excavation
Temporary
Excavation
UT1 to Dan River
Perennial
Corps
5
Average (feet)
42
(linear feet)
S13
Excavation
Temporary
Excavation
UT1 to Dan River
Perennial
Corps
5
Average (feet)
24
(linear feet)
S14
Excavation
Temporary
Excavation
UT1 to Dan River
Perennial
Corps
5
Average (feet)
34
(linear feet)
S15
Excavation
Permanent
Excavation
UT2 to Dan River
Perennial
Corps
5
Average (feet)
34
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
34
3i. Total stream and ditch impacts:
739
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
705
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
During the planning and design phase of the project, efforts were made to avoid impacts to the greatest extent possible. Because of the existing nature
of the project, certain unavoidable impacts are necessary to fulfill the applicant's purpose and need. To minimize impacts to surface water resources
during the project construction and maintenance, an approved erosion and sedimentation control plan will be included in the project's design plans.

1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Stream and wetland impacts have been reduced by minimizing the size of the project area and with construction techniques. Installations of rip -rap and
grade control structures below the ordinary high water mark (OHWM) are limited in placement and size to the minimum necessary to ensure channel
stability. Also, to avoid permanent impacts to jurisdictional waters, existing channel substrates will be restored following construction.
All stream work will be done in the dry using a pump around during construction. Pump arounds will minimize land disturbance and utilize culverts when
applicable to reduce traffic disturbances. Anti -seep collars shall be placed at the downstream wetland boundary and every 150 up the gradient until the
sewer line exits the wetland, as specified under the GC 4276 Specific Conditions requirements. Impacted wetland will be restored to their original
contour and planted in native herbaceous vegetation. All disturbed stream banks will be graded to previous elevations or to a stable slope and stabilized
with coir matting installation and minimal rip -rap as need to protect stream banks. If additional stream bed stabilization is required, stone will be placed
one foot below the natural channel bottom and backfilled with natural channel material. All disturbed wetlands and stream banks will be planted with
native seed mixes. All erosion control measures will be placed in accordance with the Erosion Control Regulations. Local storm water and erosion
control regulations will be followed on the project site. Ongoing on -site construction inspections will ensure that construction contractors are following all
DEQ-approved plans.
Areas where replacement is necessary, the channel bed, channel banks, the floodplain, and wetlands will be restored to preconstruction contour and
grade.
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:
Project impacts do not meet mitigation thresholds.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
If no, explain why:
Project proposes no new impervious surface.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes No
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
lc. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?*
Yes No
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.
Project proposes upgrades outdated wastewater infrastructure. No additional future development is planned.

4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No 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?*
Yes No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved? *
Yes
5e. Is this a DOT project located within Division's 1-8?
Yes No
No Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes 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)?*
Yes No
51. 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.?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Please see the attached aquatic survey report conducted on the Dan River and its tributaries to determine the presence of potentially occurring federally
protected species.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat? *
NOAA essential fish habitat mapper
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?*
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Based upon a search of the North Carolina State Historic Preservation Office HPOWEB GIS Service, the construction of this project will not have an
adverse effect on these resources. The project is mostly limited to existing maintained easements and paved roadways. The project does intersect the
Central Leaksville Historic District (HPO Site ID: RK0299) and is close to the Bullard -Ray House (HPO Site ID: RK0010). This project is not expected to
adversely affect this Historic District or any historic structures.
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:
Project proposes no change to floodplain elevations.
8c. What source(s) did you use to make the floodplain determination?*
available ESRI FEMA floodplain data
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
USFWS correspondence.pdf
Fish and Mussel Survey.pdf
2019 404 Authorization and PJD.pdf
20190883 401 Letter of Approval.pdf
Impact Figures.pdf
Plan Sheetsred.pdf
Re -planting notes.pdf
Wetland and Stream Impacts Table.pdf
Contract 3 401 Property Owners.pdf
File must be PDF or KMZ
Comments
Signature
By checking the box and signing below, I certify that:
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• 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:
Daniel Zurlo
Signature
Oda
Date
8/19/2022