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HomeMy WebLinkAbout20150137 Ver 1_401 Application_20150215o�oF��wa rF9o� 2 0 1 5 0 1 3 7 office use'only Corps action ID no DWQ project no Form Version 14 January 2009 Page 1 of 10 PCN Form — Version 14 January 2009 r� 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 1b Specify Nationwide Permit (NWP) number 29 or General Permit (GP) number 1c Has the NWP or GP number been verified by the Corps? ® Yes ❑ No 1d 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 1 e 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 10 No If 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 m No 1 g Is the project located in any of NC's twenty coastal counties If yes, answer 1 h below ❑ Yes ® No 1h Is the protect located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes m No 2. Project Information 2a Name of project Mt Pleasant Road Property 2b County Johnston 2c Nearest municipality / town Gamer 2d Subdivision name Mt Pleasant Road Tract 2e NCDOT only, T I P or state project no 3. Owner Information r' in 3a Name(s) on Recorded Deed IOM Developers I I n 3b Deed Book and Page No Deed 04474 Page 0278 3c Responsible Party (for LLC if applicable) Freddie Stancd 3d Street address ENR . wi cia iww 3t! 446 Stancd Road aot r� 3e City, state, zip Angier, NC 27501 3f Telephone no 919- 639 -2073 3g Fax no 3h Email address Page 1 of 10 PCN Form — Version 14 January 2009 r� 4. Applicant Information (if different from owner) ' 4a Applicant is ❑ Agent ❑ Other, specify 4b Name 4c Business name (if applicable) 4d Street address 4e City, state, zip 0 Telephone no 4g Fax no 4h Email address 5. Agent/Consultant Information (if applicable) 5a Name Wyatt Brown 5b Business name (if applicable) Brown's Environmental Group, Inc 5c Street address 242 Batten Farm Road 5d City, state, zip Selma, NC 27576 5e Telephone no 919 - 524 -5956 5f Fax no 5g Email address brownenvgrp @gmad corn Page 2 of 10 B. Project Information and Prior Project History 1. Property Identification 1a Property identification no (tax PIN or parcel ID) 161500 -36 -5613 1b Site coordinates (in decimal degrees) Latitude 35,351,677 Longitude -78 043588 1 c Property size 22 acres 2. Surface Waters 2a Name of nearest body of water to proposed project UT to Bullock Branch 2b Water Quality Classification of nearest receiving water C,NSWI 2c River basin Neuse 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 Yellow Pine Forest 3b List the total estimated acreage of all existing wetlands on the property 4 3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property 550 3d Explain the purpose of the proposed project Tract is to be developed as single family residence lots 3e Describe the overall project in detail, including the type of equipment to be used One crossing will be installed for access to property across the wetland, culvert will be installed in the crossing by trackhoe 4. Jurisdictional Determinations 4a Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / project (including all prior phases) in the past? Yes ❑ No ❑ Unknown Comments 4b If the Corps made the jurisdictional determination, what type of determination was made? ❑ Preliminary ® Final 4c If yes, who delineated the jurisdictional areas? Name (if known) Agency /Consultant Company Other 4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation Wetlands - David Schaffer, COE 1 -22 -15 Stream Buffer Determination - Carlos Bagley, Johnston County 12 -31 -14 5 Project History 5a Have permits or certifications been requested or obtained for this project (including all prior phases) in the past? El Yes 0 No ❑ Unknown 5b If yes, explain in detail according to "help file" instructions 6. Future Project Plans 6a Is this a phased project? ❑ Yes ® No 6b If yes, explain Page 3 of 10 PCN Form — Version 14 January 2009 C. Proposed Impacts Inventory 1 Impacts Summary la Which sections were completed below for your project (check all that apply) Z Wetlands ❑ Streams — tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction 2 Wetland Impacts If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted 2a Wetland impact number Permanent (P) or Temporary T 2b Type of impact 2c Type of wetland 2d Forested 2e Type of jurisdiction Corps (404,10) or DWQ (401, other) 2f Area of impact (acres) W1 P install 56 If of 30 in culv Choose one Yes Corps 0082 W2 U3 Choose one Choose one Yes /No - W3 Choose one Choose one Yes /No - W4 - . Choose one W Choose one Yes/No - W5 - Choose one Choose one Yes /No - W6 - Choose one � Choose one Yes /No a - S 2g Total Wetland Impacts: 0082 2h Comments 3. Stream Impacts If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites impacted 3a Stream impact number Permanent (P) or Temporary (T) 3b Type of impact 3c Stream name 3d Perennial (PER) or intermittent (INT)? 3e Type of jurisdiction 3f Average stream width (feet) 3g Impact length (linear feet) S1 S2 S3 S4 S5 Choose one - r - S6 I Choose one B - Ell 3h Total stream and tributary impacts 31 Comments Page 4 of 10 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 indiv ually list all open water impacts below 4a 4b 4c 4d 4e Open water Name of waterbody impact number (if applicable) Type of impact Waterbody Area of impact (acres) Permanent (P) or type Temporary T 01 Choose one BChoose 02 Choose one Choose 03 - Choose one Choose L di 04 - Choose one EIIChoose B 4f Total open water impacts 4g Comments 5 Pond or Lake Construction If pond or lake construction proposed, the complete the chart below 5a 5b 5c 5d 5e Pond ID number Proposed use or Wetland Impacts (acres) Stream Impacts (feet) Upland purpose of pond (acres) Flooded Filled Excavated Flooded Filled Excavated P1 Choose one El P2 Choose one El I 5f Total: 5g Comments 5h Is a dam high hazard permit required? ❑ Yes ❑ No If yes, permit ID no 51 Expected pond surface area (acres) 51 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 If any impacts require mitigation, then you MUST fill out Section D of this form 6a Protect is in which protected basin? 0 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 impact Permanent (P) or required? (square (square Temporary T feet ) feet 131 - Yes /No B2 - Yes /No B3 - Ell Yes /No B4 - E] Yes/No B5 - Yes/No El B6 - Yes /No 3 6h. Total Buffer Impacts: 61 Comments Determined not subject by Carlos Bagley, Johnston County Government Page 5 of 10 D. Impact Justification and Mitigation 1. Avoidance and Minimization 1a Specifically describe measures taken to avoid or minimize the proposed Impacts in designing protect We are crossing the wetland at the most narrow section to minimize impact lb Specifically describe measures taken to avoid or minimize the proposed Impacts through construction techniques Care will be taken to install culvert during dry weather conditions as possible, care taken to avoid trees 2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State 2a Does the protect require Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State? ❑ Yes [0 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 protects ❑ 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 Choose one Type Choose one Type Choose one Quantity Quantity Quantity 3c Comments 4. Complete if Making a Payment to In -lieu Fee 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 Choose one 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 14 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? C] 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 15 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 Diffuse Flow Plan (required by DWQ) 1 Diffuse Flow Plan la Does the protect 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 protect DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan Stormwater Management Plan is under Johnston County jurisdiction 2e Who will be responsible for the review of the Stormwater Management Plan? Certified local government 3 Certified Local Government Stormwater Review 3a In which local government's jurisdiction is this project? Johnston County 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 8 of 10 PCN Form — Version 14 January 2009 F. Supplementary Information 1. Environmental Documentation (DWQ Requirement) la Does the project involve an expenditure of public (federal /state /local) funds or the ❑ Yes ® No use of public (federal /state) land lb 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 ❑ Yes ❑ No letter ) 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 Is this an after - the -fact permit application? ❑Yes ® No 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 E] Yes 0 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 PCN Form — Version 14 January 2009 S. Endangered Species and Designated Critical Habitat (Corps Requirement) 5a WIII this project occur in or near an area with federally protected species or ❑ Yes No habitat 5b Have you checked with the USFWS concerning Endangered Species Act Yes ❑ No impacts 5c If yes, Indicate the USFWS Field Office you have contacted Raleigh 5d What data sources did you use to determine whether your site would Impact Endangered Species or Designated Critical Habitat') Emily Jernigan, Natural Heritage Data Explorer 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 http /www habitat noaa gov /protection /efh /habitatmapper html 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 ❑ Yes S No status (e g , National Historic Trust designation or properties significant in North Carolina history and archaeology)? 7b What data sources did you use to determine whether your site would impact historic or archeological resources? Dept Cultural Resources 8 Flood Zone Designation (Corps Requirement) 8a WIII this project occur in a FEMA - designated 100 -year floodplain? ❑ Yes ® No 8b If yes, explain how project meets FEMA requirements 8c What source(s) did you use to make the floodplain determination? NC FEMA Maps Signature Date Appflcant/Agent's Printed Name ppllcant/Agent's (Agent's signature is valid only if an authorization letter from the applicant is provided Page 10 of 10 1 i / `WETLANDS 11APACT AREA�'� �� /�; /�� '; / %;lP' /t• •'7 ?• '-- 0082 ACRES � %� / ' � �!; �� • `F • •� • .i �• i r _ jr I i --------- - Ada -5: _______ ,\` _ - _ - -_ -_ , J� , , , i i J / . Dalton Engineering and Associates, P. A.