20221640 Ver 2_ePCN Application_20221117

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:
8/1/2022
BIMS # Assigned* Version#*
20221640 2
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Raleigh Regional Office - [phone]
Information for Initial Review
la. Name of project:
Wellington Park Dredging West
la. Who is the Primary Contact?*
Connor Brown
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
Zachary Thomas:eadstztthomas
1 b. Primary Contact Email:* lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
11/17/2022
Nearest Body of Water
Wellington Lake A
Basin
Neuse
Water Classification
WS-III; NSW
Site Coordinates
Latitude: Longitude:
35.749739 -78.761829
A. Processing Information
County (or Counties) where the project is located:
Wake
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: 03 - Maintenance
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:
Wellington Park Homeowner's Association
2b. Deed book and page no.:
004003/00852
2c. Contact Person:
Scott Drebitko
401 Water Quality Certification - Express
Riparian Buffer Authorization
2d. Address
Street Address
1000 Forest Park Way
Address Line 2
City State / Province / Region
Cary NC
Postal /Zip Code Country
27518 USA
Yes No
Yes No

2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address: *
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Connor Brown
3b. Business Name:
Kris Bass Engineering
3c. Address
Street Address
219 E Chatham St.
Address Line 2
City
Cary
Postal / Zip Code
27511
3d. Telephone Number:
[phone]
3f. Email Address: *
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Kris Bass
4b. Business Name:
Kris Bass Engineering
4c. Address
Street Address
219 E Chatham St.
Address Line 2
City
Cary
Postal / Zip Code
27511
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)
Wellington Park
lc. Nearest municipality / town:
Cary
2. Project Identification
2a. Property Identification Number:
0772073104
2b. Property size:
3.82

2c. Project Address
Street Address
0 Forest Park Way
Address Line 2
City
Cary
Postal / Zip Code
27518
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Wellington Lake A
3b. Water Resources Classification of nearest receiving water: *
WS-III; NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202011001
4. Project Description and History
State / Province / Region
NC
Country
USA
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 area to be dredged is at the inlet side of the western pond located in the residential neighborhood of Wellington Park in Cary, NC. There is a road (Forest Park Way) and sidewalk at
the top of a slight hill that slopes down to the pond edge, which is cleared in this location with mainly turf grass surrounding. Three 96-inch corrugated metal pipes enter the pond here.
There is an inlet channel that is approximately 65 feet long and 20 feet wide that opens up into the pond. Here, sediment buildup has formed an island where trees are beginning to grow.
One large concrete outlet structure is located at the far south-western end of the pond. Swimming and fishing are not allowed. Residential houses back up to this pond on both sides.
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:
0
4h. Explain the purpose of the proposed project: *
The purpose of the proposed project is to improve the pond aesthetics and to restore the total storage capacity of the pond by dredging a portion of the lake. The dredging will be
completed to remove accumulated sediment along the bottom of the pond on the inlet side of the pond.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
This project involves the construction of an access path, the installation of tree protection, construction and erosion control fencing, the removal of approximately 4,180 cubic yards of
sediment from the pond, and the refreshing of NCDOT Class 1 stone at the inlet. To accomplish the dredging objectives listed above the water level of the pond will be lowered to expose
the sediment in the areas to be excavated. The pond will be lowered by opening the 18-inch valve within the outlet structure. Upon reaching the desired level, the valve will be partially
closed to maintain this level during the project. The lowered water level shall be maintained for approximately one month prior to excavation to allow the sediment to dewater. Lowering
shall be done at a rate of no more than one foot per 24-hour period. The access path and tree protection fencing will ensure safe access of construction equipment to the project area and
the protection of underground utilities. During dredging, sediment shall be excavated and temporarily stockpiled in a stable area prior to loading onto trucks for hauling and off -site disposal
at an appropriately permitted facility or location. Stockpile and project areas will be secured with erosion control fencing. The site is located in the Wellington Park community in Cary, Wake
County, North Carolina. The work will involve conventional dredging, erosion control, stabilization and establishment of grass. This project will be completed using an excavator, skid steer,
and dump trucks.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
Comments:
No Unknown
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?*
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?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
Wetlands
Open Waters
4. Open Water Impacts
Streams -tributaries
Pond Construction
Buffers
4a. Site #
4a1. Impact Reason
4b. Impact type
4c. Name of waterbody
4d. Activity type
4e. Waterbody type
4f. Impact area
West Pond
Dredging
T
Wellington Pond A
Dredging
Pond
0.94
4g. Total temporary open water Impacts:
0.94
4g. Total open water impacts:
0.94
4h. Comments:
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
Neuse
Catawba
Goose Creek
Other
4g. Total permanent open water impacts:
0.00
Tar -Pamlico
Randleman
Jordan Lake
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Allowable
T
Wellington Park Pond A
No
4,190
1,063
6h. Total buffer impacts:
Total Temporary impacts:
Total Permanent impacts:
Total combined buffer impacts:
Zone 1
4,190.00
Zone 1
0.00
Zone 2
1,063.00
Zone 2
0.00
Zone 1 Zone 2
4,190.00 1,063.00
6i. Comments:
Zone 1 buffer to be disturbed is not undisturbed forested vegetation, instead it is mowed turf grass and some landscaped vegetation. Buffer impacts are
allowable under item (u) from the Table of Uses described in 15A NCAC 02B .0714.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
This project has been designed to limit the open water and buffer impacts as much as possible. Several plan iterations have been considered to prevent
the impact to surrounding trees and established vegetation. Due to the concentration of sediment within the pond a small access road was designed
within the buffer and through the pond to limit impact. Dredging material will be dewatered within the dredging area to avoid additional buffer impacts.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
There will be a clearly defined tree protection zone during construction, that will not be moved or infringed upon until after construction is complete. Any
disturbed areas will be stabilized with seed and matting. All dredged materials will be dewatered within the dredge area of the pond until completely
dried. Dredge material will be hauled off -site for disposal at an appropriately permitted facility.

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:
Compensatory Mitigation is not required because the impacts to waters are temporary and limited to the removal of accumulated sediment and bank stabilization. The goal of the project is
to improve water quality.
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
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30% nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
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:
This project does not include the development of any permanent structures.
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
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.
This is not a phased project and no other projects are planned for this area at this time. The dredging is taking place in a pond within an already
established residential neighborhood. It is not anticipated that this project would 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
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?
Fish and Wildlife Service Critical Habitat for Threatened & Endangered Species mapper
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 Fisheries 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?*
NC Historic Preservation Office HPOWEB Map
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:
The proposed dredging involved excavation below normal water levels and will not involve any fill above existing grade. Kris Bass Engineering will
coordinate all requirements for floodplain approvals prior to construction.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Map Service Center
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
West_PCN_Documents.pdf 9.68MB
File must be PDF or KMZ
Comments
The dredging design plans, maps and agent authorization forms are attached below.
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:
Connor Brown
Signature

Date
11/17/2022

WELLINGTON PARK DREDGING WEST - DOCUMENTATION FOR PCN
TABLE OF CONTENTS
PAGE 1: USGS TOPOGRAPHIC MAP
PAGE 2: NRCS SOIL MAP
PAGE 3-9: DREDGING PLAN SET
PAGE 10: AGENT AUTHORIZATION FORM

Wellington Park (West Pond) Quad Topography
Legend
Project Boundary
Apex 2019 Quadrangle Topography (1:24000)
Kris Bass Engineering
www.kbeng.org
919.960.1552
Wellington Park Pond Dredging
Forest Park Way, Cary, NC 27518
KRIS BASS
ENGINEERING

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AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
DEED BOOK 004003 DEED PAGE 00852 PARCEL ID: 0772073104
STREET ADDRESS: 0 Forest Park Way
Cary NC 27518
Please print:
Property Owner: Wellington Park Homeowners Association
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kris Bass, PE
of Kris Bass Engineering, PLLC
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take al! actions necessary for the processing, issuance and acceptance of
this permit or certification and any and ail standard and special conditions attached.
Property Owner's Address (if different than property above):
1000 Forest Park Way Cary, NC 27518
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
VJP Pr'esicte4t4-
Authorized Signature
Authorized Signature
Date: /0//5/ -d Date: