20221259 Ver 1_ePCN Application_20220908

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:
6/1/2022
BIMS # Assigned* Version#*
20221259 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Mooresville Regional Office - [phone]
Information for Initial Review
la. Name of project:
Union 762 PZ Water Main
la. Who is the Primary Contact?*
Union County, Thomas Mann - CIP Program Manager
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
Doug Perez:eads\djperez
lb. Primary Contact Email:* lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
9/8/2022
Nearest Body of Water
Richardson Creek
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude:
35.026053
A. Processing Information
County (or Counties) where the project is located:
Union
Is this a NCDMS Project
Yes No
Is this project a public transportation project? *
Yes No
Longitude:
-80.417022

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
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:
1f. 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
ld. 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:
Union County
2b. Deed book and page no.:
NA
2c. Contact Person:
Thomas Mann - CIP Program Manager
2d. Address
Street Address
500 North Main Street. Suite #600
Address Line 2
City
Monroe
Postal /Zip Code
28212
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
NC
Country
USA
Yes No
Yes No

2e. Telephone Number:
[phone]
2f. Fax Number:
2g. Email Address: *
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Brandon Phillips
4b. Business Name:
Habitat Assessment and Restoration Professionals (HARP)
4c. Address
Street Address
301 McCullough Dr., Suite #400
Address Line 2
City State / Province / Region
Charlotte NC
Postal / Zip Code Country
28262 USA
4d. Telephone Number: 4e. Fax Number:
[phone] [phone]
4f. Email Address: *
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
NA
lc. Nearest municipality / town:
Wingate
2. Project Identification
2a. Property Identification Number:
NA
2b. Property size:
NA
2c. Project Address
Street Address
Water Line easement from the Yadkin River WTP to US-74
Address Line 2
City State / Province / Region
Wingate NC
Postal / Zip Code Country
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Richardson Creek
3b. Water Resources Classification of nearest receiving water: *
c
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401050506
4. Project Description and History
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 proposed Union 762 Pressure Zone Yadkin River Water Treatment Plant Water Line corridor starts in the north at the Yadkin River Water Treatment Plant and extends southwest to E.
Lawyers Road where it turns to the south and turns east to stay on E. Lawyers Road. The corridor follows E. Lawyers Road to Mills Harris Road where it turns south and follows Mills
Harris Road to Austin Grove Road. The corridor turns to the east and follows Austin Grove Road to Forest Hills School Road N. where it turns south and follows Forest Hills School Road
N to end just south of US-74. The corridor is approximately 41,000 feet (7.8 miles) in length. Land within the corridor includes agricultural, commercial, and residential properties.

4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past? *
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0.158
4g. List the total estimated linear feet of all existing streams on the property:
241
4h. Explain the purpose of the proposed project: *
The 762 Zone Water Main Project is one of numerous projects to meet the needs of Union County in general and specifically to support the implementation of the new Yadkin River Water
Treatment Plant (YRWTP). One of these projects, identified as YAD-M-03, the 762 Zone YRWTP Transmission Main, consists of three components. The first component is approximately
41,000 linear feet (LF) of 24-inch transmission main to connect the 762 Zone High Service Pump Station at the new Yadkin River Water Plant (YRWTP) to an existing 16-inch transmission
main along Highway US-74 near Marshville. Secondly, a dedicated Finished Water Pump Station and associated finished water site piping is proposed within the boundaries of the
YRWTP site to supply the transmission main. The inclusion of a dedicated on -site surge tank may also be required on the YRWTP site. The third component of the project addresses
achieving an interim source of supply to the 762 Pressure Zone until the YRWTP is constructed and operational.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The Union 762 Pressure Zone Water Line project plans consists of three components. The first component is approximately 41,000 linear feet (LF) of 24-inch transmission main to connect
the 762 Zone High Service Pump Station at the new Yadkin River Water Plant (YRWTP) to an existing 16-inch transmission main along Highway US-74 near Marshville. Secondly, a
dedicated Finished Water Pump Station and associated finished water site piping is proposed within the boundaries of the YRWTP site to supply the transmission main. The inclusion of a
dedicated on -site surge tank may also be required on the YRWTP site. The third component of the project addresses achieving an interim source of supply to the 762 Pressure Zone until
the YRWTP is constructed and operational. The construction of the project will require heavy equipment such as back hoes, bulldozers, directional drilling and earth moving equipment.
See attached permit plans for details.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No
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:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
6. Future Project Plans
6a. Is this a phased project?*
Brandon Phillips
Habitat Assessment and Restoration Program
Yes No
Unknown
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
Water Line Installation
P
Headwater Forest
Wetland A
Yes
Both
0.030
(acres)
W2
Water Line Installation
P
Headwater Forest
Wetland A
Yes
Both
0.074
(acres)
W3
Water Line Installation
P
Headwater Forest
Wetland A
Yes
Both
0.024
(acres)
W4
Water Line Installation
P
Small -Basin Wetland
Wetland B
Yes
Both
0.010
(acres)

W5
Water Line Installation
P
Small -Basin Wetland
Wetland C
Yes
Both
0.020
(agree)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.158
2i. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.158
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*
Si
Water Line Installation
Temporary
Dewatering
Stream C
Perennial
Both
4
Average (feet)
10
(linear feet)
S2
Water Line Installation
Temporary
Dewatering
Stream A
Perennial
Both
4
Average (feet)
40
(linear feet)
S3
Water Line Installation
Temporary
Dewatering
Stream D
Perennial
Both
4
Average (feet)
53
(linear feet)
S4
Water Line Installation
Temporary
Dewatering
Bull Branch
Perennial
Both
12
Average (feet)
51
(linear feet)
S5
Water Line Installation
Temporary
Dewatering
Austin Branch
Perennial
Both
20
Average (feet)
51
(linear feet)
S6
Water Line Installation
Temporary
Dewatering
Stream E
Perennial
Both
6
Average (feet)
36
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
0
3i. Total stream and ditch impacts:
241
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
241
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The planned water line alignment was revised to reduce the number of stream crossings and wetlands impacts.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Impacts to Richardson Creek and agricultural ponds in the alignment are avoided using trenchless micro -tunneling.
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
2c. If yes, mitigation is required by (check all that apply):
DWR Corps
2d. If yes, which mitigation option(s) will be used for this project?
Mitigation bank Payment to in -lieu fee program Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Upper Rocky Umbrella Mitigation Bank
3b. Credits Purchased/Requested (attach receipt and letter)
Type:
Riparian wetland
Quantity:
0.158

3c. Comments
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more information.
Yes No
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 is located in the Yadkin -Pee Dee basin and has no buffer protections.
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:
Linear Water Line project that does not require a Stormwater Management Plan.
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
Comments: *
This is a Union County funded project that does not need to follow NEPA/SEPA requirements.
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.
Linear Water Line project that will not directly result in additional development.
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
5d. Is another Federal agency involved?*
Yes No Unknown

5e. Is this a DOT project located within Division's 1-8?
Yes No
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
5i. 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?
NCNHP and USFWS IPaC data. See attached Threatened and Endangered Species Report by Habitat Assessment and Restoration Professionals
(HARP)
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 EFH 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?*
NC SHPO concurrence attached.
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:
Linear Water Line project with no development
8c. What source(s) did you use to make the floodplain determination?*
FEMA FIRM mapping
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
ER-21-2008 SHPO concurrence.pdf
762 Zone YRWTP Transmission Main Project Threatened and Endangered Species Report.pdf
156094-762PZ_HARP_N W P_Submittal.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:
Thomas Mann

Signature
Date
9/8/2022