20221282 Ver 1_ePCN Application_20220916

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:
7/8/2022
BIMS # Assigned* Version#*
20221282 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:
YMCA of Catawba Valley Stream Restoration
la. Who is the Primary Contact?*
Cindy M. Safrit
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
9/16/2022
Nearest Body of Water
Cripple Creek
Basin
Catawba
Water Classification
W S-I V
Site Coordinates
Latitude: Longitude:
35.74186 -81.33887
A. Processing Information
County (or Counties) where the project is located:
Catawba
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
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: 27 - Restoration
NWP Numbers (for multiple NWPS):
13- Bank Stabilization
Id. 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:
Young Mens Christian Assn of Catawba Valley, Inc
2b. Deed book and page no.:
2009 0834
2c. Contact Person:
Robert "Nat" Auten
2d. Address
Street Address
701 1st St. NW
Address Line 2
City
Hickory
Postal /Zip Code
28601
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
NC
Country
US
Yes No
Yes No

2e. Telephone Number:
[phone]
2f. Fax Number:
2g. Email Address: *
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Cindy M. Safrit, PE
3b. Business Name:
NC Department of Ag and Consumer Services
3c. Address
Street Address
P.O. Box 845
Address Line 2
City
Mocksville
Postal / Zip Code
27028
3d. Telephone Number:
[phone]
3f. Email Address: *
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Cindy M. Safrit, PE
4b. Business Name:
NC Department of Ag and Consumer Services
4c. Address
Street Address
P.O. Box 845
Address Line 2
City
Mocksville
Postal / Zip Code
27028
4d. Telephone Number:
[phone]
4f. Email Address: *
[e-mail]
C. Project Information and Prior Project History
State / Province / Region
NC
Country
US
3e. Fax Number:
State / Province / Region
NC
Country
US
4e. Fax Number:
1. Project Information
1b. Subdivision name:
(if appropriate)
N/A
lc. Nearest municipality / town:
Hickory
2. Project Identification
2a. Property Identification Number:
370315524925
2b. Property size:
19.85

2c. Project Address
Street Address
701 1st St. NW
Address Line 2
City State / Province / Region
Hickory NC
Postal / Zip Code Country
28601 US
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Cripple Creek
3b. Water Resources Classification of nearest receiving water: *
WS-IV
3c. What river basin(s) is your project located in?*
Catawba
3d. Please provide the 12-digit HUC in which the project is located.
030501010804
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:*
Stream restoration and Stabilization are planned for the stream running through the YMCA of Catawba property.
Buildings were built in 2005, 2008 and 2009. All area on the property is developed.
Project property is surrounded by 1/4 acre developed home lots.
Stream runs between two buildings with approximately 40 ft in most places between road access on one side and side walk on other side.
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
4g. List the total estimated linear feet of all existing streams on the property:
1770 ft
4h. Explain the purpose of the proposed project: *
The project purposed is to stabilize eroding banks and provide a stable channel pattern, profile and dimensions.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The 280ft upstream of the culvert crossing of 1st St. NW will be comprised of a bankfull bench, coir matting, seeding with native vegetation and planting a 25ft buffer on right side of the
channel (facing downstream). Spot areas of bank erosion caused by overland concentrated flows from the parking area, will be stabilized with toe rock and rock stabilization.
The 680 ft below the culvert will be graded to a stable pattern, profile and dimension. Two J-Hooks will be installed.
I anticipate an excavator with a hydraulic thumb (possibly two), a bob cat and a dump truck will be used to construct the project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No
Comments:
Blue line stream, no need for delineation
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
Stream runs through site, determination not needed
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
6. Future Project Plans
Unknown
6a. Is this a phased project?*
Yes No

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?
No.
Strictly stream restoration/stabilization of an already built -out area.
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
Wetlands
Open Waters
3. Stream Impacts
Streams -tributaries
Pond Construction
Buffers
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*
S1
Bank Stabilization
Temporary
Bank Stabilization
trib to Cripple Creek
Perennial
Both
9
Average (feet)
282
(linear feet)
S2
Stream Restoration
Permanent
Stabilization
Trib to Cripple Creek
Perennial
Both
9
Average (feet)
475
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
475
3i. Total stream and ditch impacts:
757
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
282
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The existing conditions of the bed and bank material were taken into consideration during the planning and design of this project. Areas where the
channel was fundamentally stable only a bankfull bench installation has been planned.
In areas where the channel has eroding banks and profile aggregation, a restoration has been planned to implement correct pattern, profile and
dimensions.
All areas worked on will have a minimum 10 ft buffer on each side planted with native vegetation.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Project will only disturb what can be stabilized daily.
Upper section should only take 1 to 3 days to construct and stabilize.
Lower section (restoration) should be completed in 7 to 10 working days. Anticipated weather will be monitored daily.
Design engineer or designated technical staff will be onsite daily to ensure areas are stabilized at the end of each day.
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 is a stream restoration/stabilization to fix existing erosion problems from and unstable stream.
Project is not seeking mitigation credits nor does the site consist of development.
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:
Area is not within a NC protected Buffer Area. Catawba Riparian Buffer Area is to protect existing buffers along the Catawba River mainstem below Lake James and along mainstem lakes
from and including Lake James to the NC/SC border.
NC Riparian Buffer Area Map was checked also.
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:
No development, no additional impervious area added.
Project is only stream restoration and bank stabilization.
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: *
Funds are through the NC Community Conservation Cost Share program and Grant funds. Funds are a reimbursement of a percentage, of the total cost
to the landowner, after installation is complete and approved. Such projects do not go through the State Clearing House
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.
Site is completely developed.
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.
Asheville
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
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?
IPaC Species list has been included in the attachment. No Critical Habitat was noted.

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? *
NC DWR Wadeable Streams Fish Community Assessment Maps.
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?*
APE Analysis WebTool
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8c. What source(s) did you use to make the floodplain determination?*
Work will stop before FEMA flood study area begins
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 dreg and drop files here to attach document
File must be PDF or KMZ
Comments
Signature
By checking the box and signing below, I certify that:
• 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:
Cindy Morris Safrit, PE
Signature
CiblO/,y}. 5A r'r 16a-
Date
9/16/2022