HomeMy WebLinkAbout20141240 Ver 1_More Info Received_20141215aoi�>�z�o
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Office Use Only
Corps action ID no
DWQ project no
Form Version 14 January 2009
Pre - Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a Type(s) of approval sought from the Corps
Section 404 Permit
Section 10 Permit
198200030 or General Permit (GP) number
�1G,� the,�ywP t Rh n5b b)I;th C3i� ?YES
Yes
No
1 d Type(s) of approval sought from the DWQ (check all that apply)
401 Water Quality Certification — Regular Non -404 Jurisdictional General Permit
401 Water Quality Certification — Express Riparian Buffer Authorization
le Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification
Yes No
For the record only for Corps Permit
Yes 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
No
1g. Is the project located in any of NC's twenty coastal counties If yes, answer 1 h
below
Yes
No
1h Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes
No
2. s ®Ct
.,ILA...
Moss Lake Surface Dredging — Richard Berkowitz
Cleveland
REC E ivF c
Shelby
a
Fairmont
Licu 15 Cliff
2e NCDOT only, T I P or state project no
GEl \R -LANID ni il;l i
* �
STORMWU, ER PERM1 i Ti
Richard Berkowitz and Danielle Berkowitz
pil °
1255 Page 0358
NA
223 Fairmont Drive
Shelby, NC 28150
(704) 692 -7924
3
NA
h "shijil�addess
rich @ncchiroplus.com
Page 1 of 10
PCN Form —Version 14 January 2009
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Page 2 of 10
PAC ;�Owner
PAM Tly
Richard Berkowitz
NA
223 Fairmont Drive
It Y&WIN11"CUM 10#
Shelby, NC 28150
404611610M'
-AWTL
(704) 692-7924
WIAM
NA
Fht-l'jffMTSff6.1�
rich@ncchiroplus.com
P wrolomf FbANSINWHop"M
-1par "NERITAR
Dennis C. Terry
Dennis Terry Design, Inc. PA
160 Wesleyan Drive
McAdenville, NC 28101
704-202-8160
NA
619WIIIW
den niste rrydesign@&MA lcom
Page 2 of 10
. . . . . . . . . . . . . . . . . . . . . . . ....
�2930
M)I SAINEWWr
LatiQ D35 308361 01IM81.472398
0 84 acres
Im
Moss Lake
Moss Lake
Broad
lb l�,,hng site is a + / -2 0 acre cove at the northwest corner of Moss Lake Portions of this cove has been encumbered by
edmenh�d deposits from upstream development and farming A small euifato Creek tributary stream enters Moss LaKe at this cove
and is responsible for sedimentation deposits in the cove The creek now enters the lake approximately 400 L F from its original entry
point Alluvial fans, topset beds and stream bars formed by the creek have displaced 50% - 75% of the original water volume in this
cove
41t'qxi� ip' ' t xj@J—f party¢; 0 Acres
- y 700 L.F
IN M-WIRRIPY0591"OPI, il"i The property owners voth real estate adjoining this cove are proposing to remove
'a—ccumulation
a portion of the &dirn_e'nte`r'y in order to provide lake access to their properties from the main body of Moss Lake This
construction work will completed during a rare lowering of the Moss Lake take level by the City of Kings Mountain during the Writer and
Spring of 2015
Dredging will be conducted when the lake level is
LI
encroachment into lake or creek waters Some
sediment introduction into the lake and creek is anticipated Silt Fence, Silt Fence Rock Outlets, and Diversion Ditches will be used to minimize
sediment contamination Excavators, Skid Steers, Bull Dozers, Frontend Loaders and Dump Trucks to be used
a a teT wrigb I'$J
W" 1 N"I
fogifij All work within the Moss Lake lake bed
X- WIN11-01111-01 -
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C. Proposed Impacts Inventory
1. Impacts Summary
rs Pond
fOOMMM 1040r, IPME W,
21 a
wl
ot
MIN lor
Sl
31 Comments
Page 4nf1U
PCN Form —Version 1 4 January 2009
7 A
c
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VA
IT Zteerlmi�.Jct§ tog W;',
RD
2W
0 &A p
T'T --p
pr
01
02
03
04
WN#A4F1*,"130
Acres
5. Pond or Lake Construction
pond or lake construction proposed, then complete the chart below
-If
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
Pi
P2
5f Total:
5g Comments
5h Is a dam high hazard permit required?
Yes No If yes, permit I D no
51 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
W 1P11,Dnt
Be. ro e 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
Be
Buffer
mitigation
required9
6f
Zone 1
impact
(square
feet)
6g
Zone 2
impact
(square
feet)
B1
B2
B3
B4
B5
B6
6h Total Buffer Impacts:
61 Comments
Page 5 of 10
Page 6 of 10
PCN Form —Version 1 4 January 2009
1 t �tP aft`
p'Cli ply' trt sta to ; ii�irt mia4 $ropos p Gt rr esign' ri p� j¢ Proposed impacts of this
protect are minimized through design primarily by designing the protect around scheduled maintenance of the lake by the City of Kings Mountain
Lowering the lake level by +l -14' will drastically reduce impacts to the lake and creek Other design measures to be implemented include a
combination of Silt Fence, Silt Fence Rock Outlets, Temp Sediment Traps and Diversion Ditches will be
used to minimize sediment contamination
bg i - T c res° aken td avoid:o sedum ud t uge
Proposed measures to minimize impacts will be a combination of devices and measures Silt Fence, Silt Fence Rock Outlets, Temp Sdeiment Traps
and Diversion Ditches will be used to minimize sediment contamination When the lake level is lowered and the weather conditions are optimal
Construction methods also to include utilizing existing haul roads and vacant upland property for spoils areas
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 yes, mitigation is required by (check all that apply)
DWQ Corps
2c If yes, which mitigation option will be used for this
project's
Mitigation bank
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
Type
Type
Quantity
Quantity
Quantity
3c Comments
4. Complete if Making a Payment to In -lieu Pee 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
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
5. 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 protect result in an impact within a protected riparian buffer that requires
buffer mitigation?
Yes No
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
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(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 Dtffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules?
Yes No
lb
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?
2b
Does this project require a Stormwater Management Plan?
Yes No
2c
If this project DOES NOT require a Stormwater Management Plan, explain why
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 project?
3b
Which of the following locally - implemented stormwater management programs
apply (check all that apply)
Phase II
NSW
USMP
Water Supply Watershed
Other
3c
Has the approved Stormwater Management Plan with proof of approval been
attached?
Yes No
4. DWQ Stormwater Program Review
4a
Which of the following state - implemented stormwater management programs apply
(check all that apply)
Coastal counties
HQW
ORW
Session Law 2006 -246
Other
4b
Has the approved Stormwater Management Plan with proof of approval been
attached?
Yes No
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 9 of 10
PCN Form -- Version 14 January 2009
F. Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1a
Does the project involve an expenditure of public (federal /state/local) funds or the
Yes
No
use of public (federal/state) land?
1b
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
No
(North Carolina) Environmental Policy Act (NEPA /SEPA)?
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), DWQ Surface Water or Wetland Standards,
Yes
No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b. h�sn pry : Pte`P
as
001
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 Yes
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
Page 9 of 10
PC Form —Version 14 January 2009
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this protect occur in or near an area with federally protected species or
habitat?
Yes No
% e yif, 0 e 4r:n, ing,Et nge ¢!5' e s ;Act
pac(s" -- -
ON Lk
5c If yes, indicate the USFWS Field Office you have contacted
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
Yes No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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V�,t�tsoutces��d��fs��i�tleter � s Id�imp� _ls_`r3c'or�a�cheolbg_ical resou�'
National Historic Trust designation
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City of Kings Mountain Property Data
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Page 10 of 10