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HomeMy WebLinkAbout20141043 Ver 1_401 Application_20140914of wArFq o� oG Office Use Only: 2 0 1 4 1 0 4 3 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: or General Permit (GP) number: GP 30 1 c. 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): ❑X 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 NX 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 NX 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: Alan Ritchie construction Project 2b. County: Rowan 2c. Nearest municipality / town: Salisbury 2d. Subdivision name: Unnamed 2e. NCDOT only, T.I.P. or state project no: 3. Owner Information 3a. Name(s) on Recorded Deed: Alan L. Ritchie �9 2014 3b_ Deed Book and Page No. pE 3c. Responsible Party (for LLC if applicable): & QUFF pct o l?, �ES 3d. Street address: 570 Scout Road 3e. City, state, zip: Salisbury, NC 28146 3f. Telephone no.: 704 798 -2198 3g. Fax no.: 3h. Email address: reneehtchie @bellsouth.net Page 1 of 10 PCN Form — Version 1.4 January 2009 4. Applicant, Infonnation (if different from owner)_ 4a Appliaant'is``- - ❑ Agent ❑ Other, speafy 4b Name- _ s r• N/A ` 4c Busies na'm`e - - (if applicable) - - - - - - -- 4d Street address 4e City, `state,,zip: 4f Telephone -no 4g Faxno - - - - - - - _ rte_ w•� 4h Email address: ? ` -i t 5. Agent/Consultant lRonnation (if applicable)„ 5a Name - - - N/A - .5b. Business, name, (if applicable), 5c Street,address 5d City, state, zip, t • 5e Telephone no.-: 5f Fax no.. 5g Email address . � - _ a :, •i . ' ' ` • ,, + . ',><`�` a �J �. .' .I -� 1 f. I _ 4 , t. . :JC'r. ,Page'2 of 10 B'. Project Information and Prior Project History 1. Property Identification -- - - _ - 1-a, Property identification no (tax PIN or parcel) D) N/A' :' ,, lb Site coordinates (in decimal degrees) _ Latitude Longitude -1c Property size - -acres I Surface Waters '2a Name of nearest body of watef to proposed project. ' -High' Rock Lake - 26 Water Quality Classification of nearest receiving water a' 2c , River basin , ,r. Yadkin River r - _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 o _. -Residential property needing boabng'access•to adjacent lake 3b List the total estimated acreage of,all existing wetlands on the property 2 3c List the total estimated linear feet,of,all existing streams•(intermdtent and perennial) on the, property 3d Explain the,purpose of ;the proposed project Residential property needing boating 'access to'adjacent lake - - _ _ _. _ _ _ _ Y. _ 3e Describe the overall project in detail, including the type of equipment to be used Excavate lake bottom, moving spoil to high ground Bank stabilization of normal pool shoreline 4. Jurisdictional Determinations ,4a. Havetlunsdictional.wetland.or stream determinations by'the - []'Yes ., • ❑ No } ®`'Unknown Corps or State been requested or °obtained for this property / ' 'ast? Comments Normal basm,of lake ro ect mcludm all nor hales m the - 71 . , pool 4b If the Corps made the lunsdictional determination, wFiaYtype ❑ Preliminary ❑ Final of determinat on Was made? 4c . If yes,,who delineated 'the,qunsdictional'areas? - -' - - Agency /Consultant Company ' R. Name (if known) _ Other. - -- -- - 4d If-yes, list the.dates,of the Corps lurisdictional,determmations or State.determmations and attach documentation 5. Project History 5a Have permits or certifications been•requested or obtained +for - + Yes ®No ❑,Unknown -- this project (including' all prior,phases) in the pasty -_- _ 5b If yes, explain in detail accoi=dmg'to °help file° instructions. - 6. Future Project Plans - - - - -` 6a Is this a,phased,prolect? J ❑ Yes '® No 6b If yes, explain Page 3 of 10 `PCN'Form'-Version 1 4,January 2009 C. Proposed Impacts Inventory t_ 1. Impacts Summary _ 1a. _Which•sections were completed.below for your project (check all -that apply) _ _❑ Wetlands Streams - tnbutanes Buffers ' ❑ _O en Wters + f -❑ •PoMnd ' Con` s tr` u 'c6on -- -2: Wetland Impacts If there are wetland impacts proposed.on the site, then complete,this,question•for eacKwetland area,impacted' 2a 2b. '2c.' ,•+ . _2d. :2e:- F, 2f -> Welland impad Type ofimpact r - Type of wetland <, ,, „, Forested Type_of ?lunsdiction ;,Area of, ' --- number — _ _ ___ ___ __ , _ _ � . _ _, . _ _ .._ _ � _ - Corps•(404 j 0) -or r impact Permanent (P) or = ='} _� DWQ (401, other)` ' ,(acres){ _ Tem'�ora _ _ _ - W1- ' -' = Choose one _ - Choose;one - - -- Yes/No W2 - Choose one Choose one Yes/No W3 - Choose one Choose one fYes/No I W4 - Choose one Choose one Yes/No - W5 - Choose one - wChoose`one' - ; ;,i c1 ; s } ­,,t Yes/No .. - a'• = " " +I.. T ' •Choose,one , L.: 5 i,. i� • ,r. Choose one,,,, <. ,Yes/No.�` 2g, Total Wetland - Impacts:, > ff 2h Comments I. 3. Stream Impacts 'If there are perennial or intermittentstream impacts (including4brT pofary im`pacts') proposed :on,the site, then,complete this - question -for all stream sites•impacted - -- - -- - - - - - - - - - - -- ,3a y;< +36, ,,,, ' 3c. Z! .., 3d - -' 1 • _ r• ' 3e ,, , "�, _•_ '�s, 3f. _ 3g -•, Stream impact Typelahmpact ,t j ' Stream name Perennial (PER) or i , (,,,Type of: - , ;Average-, + :., Impact -- number °' -` :liriteimittent (INT)?' -,,;jurisdiction- i stream -; length Permanent P ions O a i i ti ' , , "'! i " , ' '; - - ,width' � , ,( linear' --Temporary-(T) - - - - - -- - - - - - - - - (feet) feet), S1 - Choose one • • F , s� ,• ...,': �_' ,. , ,, , , �. = r S2. _ .— - Choose -one — - -- - - - - _ - - - a n e, < e - �: Y r, ,,. tc -,} ^S. SY - ri1 S3 - Choose one S4 - - - - - Choose one -- - - - S_5 -S6 Choose one s - - - , Choose one,, r .r ._ ^1t ,r • s r. : ° i ' i _ _ . . t -, , ,1 3h Total's and tributary impacts 31. Comments - Page 4 of 1b 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 irr acts below 4a _ 4b - - 4c - 4d - 4e " Open water Name�ofLwaterbodv " impact number (if applicable) Type of impact Waterbody Area of impact (acres) Permanent (P) or type Temporary T 01, T XX Excavation- Lake- -0 02 ` 'Choose one" Choose 03 - Choose one Choose 04 - Choose one Choose - ,4f Total• open.water impacts f. 44" Comments _ 5. Pond or Lake Construction - - - - - If and or1ake=nstruction ro osed; then complete the-,chart below -5a - - 5b - Sc 5d - - 5e - Pond ID number Proposed use or Wetlandilmpacts (acres) Stream Impacts (feet), Upland purpose of pond : , •, - �4(ac�esp L ii" . Flooded Filled Excavated _Flooded Filled Excavated P1_ ` Choose one - - P2 Choose one ,. 5f- Total: 5g-Comments 5h Is a dam high'hazard permit required O' Yes ° ❑ No i 'if-yes', j*rmit ID no - 51 _Expected pond)surface areaa (acres) 5j Size of pond watershed (acres) 5k Method of construction - -6: Buffer Impacts (for DWO)' - - -- - If project,willPimpact a protected riparian buffer, then- complete the' chart, below, lftiyes; then {individuallydlist'all,buffer impacts below If any impacts require mitigation, then you MUST fill out Section ;D, of this form. :1- 6a. Proiect;is in which protected basins' -- ;' ❑ Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑Other 6b 6c 6d _' :" - 6e - '6f 6g'_' _ Buffer Impact Reason for impact.-, Stream,name Buffer Zone, 1, Zone 2. number =• - -- - mitigation } ' impact i impacts Permanent (P) or required ?' (square (square'__, Temporary { 9 _ feet),; - feet _ B1 - Yes/No. 62 - - _ Yes/No - B3 - - - Yes/No - B4 - - Yes/No - - B5 - B6 - Yes/No 6h Total Buffer Impacts: �6i Comments Page 5 of 10 D. Impact Justification and Mitigation A�, 1. Avoidance and Minimization la. Specifically,describe, measures taken to avoid or minimize the proposed imOa&tsidAbsignihg project 'V, iii 6im—ae'ffie proposed impact 2a Does the project require Compensatory Mitigation-for E] Yes No impacts to Waters of the U-S or Waters of-the State?, ,2b_ If yes, mitigation srequiredby_(chikr�.all th4tapply), ;,..,i,.'E]rDWQ- []Corps'-, Mitigation �bank- 2q.-'If yes, which mitigation option willbe used for this _0 Payment to in-Ii6u`fee'pr-o'gr'am' 2_ El Permiftee.Responsible Mitigation-, 3. Complete if Using a Mitigation Bank 3a. Name of Mitigation Biink: Type Choose one Quantity Type Choose one Quantity - 3c -Comments 4. Complete if Making, a- Payment toln-lieu Fee Program,%- 4b Stream mitigation re te ,4c -if,u-sing,stream,mi�g�tion,-stream temperature: Choose one 4b -Bu#er mibgatior�requiested'(DWQ only) square feet 4f, Non-rip@ _qgr�,Wqtland mitig#bqn requested. acres',_ 5. Complete ifUsing �-Permittee. Responsible Mitigatlon Plan. Page G`nt1CL ' ' 'PCN Form - Version 14 January 2OOS 6. Buffer Mitigation (State Regulated Riparian Buffer Rules) -required by DWQ 6a. Will the,project result imari*impa6t within,a'Orotdctddnpanan bUftfihaflre Uirbs Y e s ' Puffer mitidobqn? -No. 6b If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the amount' 6fiiWitigaton�(eq6i-r-ed 6c 6d 6e Zone Reason*f6r impact Total impact Multiplier- q'R6ctj. Required Vnitigaboh- (square feet) (sqUafe-f66Q)'1­­'),5 zah6 1 (2 for Catawba) Zone 2 6f Total buffer mitigation required: 6g If buffer mitigation qk - - ffe mciation i - - - - _ - qutmd,_discuss.what_type_9f mitigation is proposed (e g ,payment.to private, mitigation bank, permittee responsible jp payment moan appirove61n-Aieu,fee fund)y ,,,,, ,apan,bufferEetstoration, 6h Comments ;.-,f 11,!! '.1vi v: a ;N, U31z % T. 5, Page 7 of 10 E. Stormwater Management and Diffuse Flow Plan (required by DWQ) 1. Diffuse Flow Plan 'la Does the, project include or is, it adjacent,,tq, prote4ed riparian ;Ouffers,ndentified, ❑Sydg No's &t '<i, within one of the, NC Ripinan, Buffer'6roiection Rules? "I b- If yes,Ih6irf is,a,diW66 flow 0166:661uded?.Ilf hb-, 6xpl&ifi Whg,. ".[],.Y.es,­ 1,i[D>No 2. {C^ 40 .1" StormwatiirsManagement,Plan 2a What,is•the,overA percent'imperviousnessofthis project?-, 2b Does" this project require a Stormwater Management Plan?: ❑ Yes ❑,No 2c Ifthis project DOES'NOT require4a'Storrnwater-Managemen't'Plan; explain Why 0 AL-, _43 2d. If this project DOES requi e' 6 VaniageFnefit Plaini en-jrdvi6� �A'641 r' ai�f rm4k�f� 'fh" si`6ii�f rrative desdhotionthh76 plan 2e Who will be responsible for the review of the StormwaterNanagement Plan? 3. Certified Local Government Stormwater Review 3a In which local government's jurisdiction is this project? ❑ Phase II ❑NSW 3b Which of the following locally-implemented stormwater management programs apply (check all that apply) ❑ USMP ❑ Water Supply Watershed ❑ Other. 3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑ No attached?, 4. DWO Stormwater Program Review ❑Coastal counties ❑HQw 4a. Which of the following state-implemented stormwater management programs apply ORW (check all that apply) HSession Law 2006-246 ❑Other 4b Has the approved Stormwater Management Plan with proof of approval been ❑ Yes ❑,No attached? S. DWO 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 -1 10 - ••PCN Form - Version 14 January 2009 T. -Supplementary- Information - 1. Environmental Documentation (DWQ'Requirement) la Does,the,,prolect;involve,an expenditure of public'(fe'deraUstafe/local) funds�or'the Yes Q No use of public (federal /state) Iand? lb -if you answered "yes" to the above, does the pro�ect,regw�e'preparation'of an environmental'document pursuant to the fequirements of theNational or' State ❑ Yes - El No- - (North -'Carolinaj. Envdoninerital'Poliey Act (NEPA/SEPAj? 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 - letter) ,� Yes No . ,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), D,WQ,Surface Water-'or Wetland Standards, _ -QYes ❑ No _ or Riparian Buffer Rules (15A NCAC 2B 0200)? - - , 2b Is this an after - the -fact permit applications , r ❑Yes, , ; ONO" , 2c If you answered "yes" to one or 'both of the above.quesbons, provide an explanation of theAyiolatron(s) 3. Cumulative Impacts (DWQ Requirement) 3a Will•this,project (based on past,and.reasonably anticipated;future impacts ),result in Yes "©FNo additional'development „whi66 could impact'nearby downstream water quality? _ 3b If you answered "yes” to the above, submita qualitative or quant6tive. cumulative impact analysis in accordance with,the mostsecent 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. - nla 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, anlarea with,federally, protected species or- Ye "s " ❑X ' No habitat? 5b. Have you _checked with the USFWS conceming,Endangered,Species,Act •:, _ ' - -' �iYes� ' ®'No= r , impacts? 5c If yes, indicate the USFWS Field Office you have contacted f i .. • j i it s -. , _ ,r : �'. ,t _t(r - :, j � +r`.' r e- ,� 's: • j, ttr :" i 5d. What data sources did you use to determine whether your site, Wouid,impact.Endangered•Spectes or Designated -Critical - Habitats - -- - - - - -- - - - - - - - -- �t. _, '9• _.,.i - t. - �' l• � � r ` -• 'S ,rte .. 6. Essential' Fish Habitat (Corps Requirement) -` .6a Will this project occur, in.or near -an area designate6as essential fish habitat? - Yes - ® No 6b What data sources didyouu.use to determine whether-your site.would impact- Essential,Fish- Habitat? - - — ' 1K'�-,..- .4 »I r• rt. ti' t.•'' r ',*S l "Air " :'�'� 'r .•tC f "- ,r: /i' T h ` . : ,. ,— 1R •i L 7. Historic or Prehistoric Cultural Resources (Corps Requirement) 7a Will this project occur in br- `nearfan area that the state, federal or tribal '' ' - r ` ' e' govemmerit's have desigrated'as having historic of cultural`preservation - - ' (] Yes, status (e.g., National Historic Tnist'designation or propeities`sigrnficant in " North Carolina history and archaeology)? 7b What data sources did you use to determine whether your site would impact historic or archeological resources? 8. Flood Zone,Designation (Corps Requirement) n."'• rv. '' • _3 8a Will this, project occup ri a-FEMA- desigriated'1001year floodplain? -" ' 4 -` -y-es ! f X❑ No " z" i, t - „r . t, O• 1if_t., r}r” ,.P — 1 'Iv 81i If ye "s, explain how project meets FEMA re`quiremerits Y ,�• r r• , „J. . r ivy. wf vii4z ,,{ 1 �1•'f a ..a . ''J - .. < _ _''. ,. , t + Z _ f, .i, -. .its 8c. What source(s) did you use to make the floodplain determination? Alan L Ritchie ���°� 1 /lj � - Sept - 25';2014 ' Applicant/Agent's Printed Name Date Applicant/Agent's Signature (Agent's signature is valid only if'an authorization letter from the applicant is provided _� �� Page 10 of 10 Page 1 of 1 Print Date: Thursday, September 25, 2014 2:51 PM From: Homewood, Sue <sue.homewood @ncdenr.gov> To: britchie99856 @roadrunner.com <britchie99856@ roadrunner. com> Subject: FW: application information Sue Homewood NC DENR Winston -Salem Regional Office Division of Water Resources — Water Quality Programs 585 Waughtown Street Winston- Salem, NC 27107 Voice: (336) 771 -4964 FAX: (336) 771 -4630 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: Homewood, Sue Sent: Monday, September 22, 2014 1:44 PM To: 'britchie @roadrunner.com' Subject: application information Please send 2 copies of the form and here: NC DWQ, WBSCP Unit 1650 Mail Service Center Raleigh, NC 27699 -1650 The following is important information to include with your application: • A check made out to NCDWR for $240 • Some type of site map so that someone unfamiliar with the area can locate your project. A county map or USGS topographic map indicating the project location is usually sufficient. • A site plan showing the location of the shoreline. location of the impacts to the shoreline and/or lake bottom and the location and any vegetated areas that will be impacted. o In most cases the site plans do not have to be professionally prepared. However, if you intend to conduct hydraulic dredging, professionally prepared drawings will likely be required for the spoil structures. Sue Homewood NC DENR Winston -Salem Regional Office Division of Water Resources — Water Quality Programs 585 Waughtown Street Winston- Salem, NC 27107 Voice: (336) 771 -4964 FAX: (336) 771 -4630 E -mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. o Jkr0 Fp2 Ate- k� NFL P http' // webmail .roadrtumer.com /do /mail/message /preview ?msgId= fNBOXDELIM44214 9/25/2014 T O c� a m ! c s SQ x �S A I I f l �I La A /i r An-i I R 2 Y/9 w Fl Z � I e b I O g g s t ` � e J I E o E a g a• N y ry N z V i$ M p i (Nrc I I YO¢ d N Z N s r Y S 3� o 0 E9 � • �O yy 0o p m m Y • p O � pcp €Y • x6jE z _ LL t Y aFE v�vi �n°9a O c S ; a � 4 n > C y spy■ 6 V v a 0 f dp a O N N � U M' yy i r c 1 6464X)6a NIl i jo j osud ONI AlMd AIIWV� N308VJ AM1Nno0 3INVW A3AVdXV1 ; - STUOlu)(d - Sd.L39 oZ OwOOIOM O Q% a cu 0 U V:o Z z3 0 i I 1 f i i� f� P ilsi -1 1 l f i 1i � � d G � O z QQ x �8 b Y n p, o n'a C� m N 2 T CC r aa= VDZ N L v r�ry t � u E �s lLOJJ N N Ea o 4 N = N 2 a v ' i N C a � N a O 9 O tZ Q o 0 u � y pO H a+ S a od om o >' 0 ry n c� o c E Yoh ZO 0 s4E "g �zs Ada O 6 x a v' a D > O E >dS s, 8 on W) Z Z 8 L-A is