20230095 Ver 1_ePCN Application_20230116

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:
12/20/2022
BIMS # Assigned* Version#"
20230095 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Sue Homewood:eads\slhomewood:[e-mail]
Information for Initial Review
la. Name of project:
COURTESY COPY Sherwood West
la. Who is the Primary Contact?*
Dennis Palmer
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
1 b. Primary Contact Email:* lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
1/16/2023
Nearest Body of Water
Petree Creek
Basin
Yadkin-PeeDee
Water Classification
Class C
Site Coordinates
Latitude: Longitude:
36.125458 -80.321519
A. Processing Information
County (or Counties) where the project is located:
Forsyth
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):
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:
Sherwood West Association, Inc. c/o Cedar Management Group
2b. Deed book and page no.:
Forsyth County Deed Book 1268 Page 1446
2c. Contact Person:
Dennis Palmer
401 Water Quality Certification - Express
Riparian Buffer Authorization
2d. Address
Street Address
Cedar Management Group
Address Line 2
10610 Metromont Parkway Suite 204
City State / Province / Region
Charlotte NC
Postal / Zip Code Country
28269 United States
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:
Sherwood West Association, Inc.
3b. Business Name:
c/o Cedar Management Group Attn: Dennis Palmer
3c. Address
Street Address
10610 Metromont Parkway
Address Line 2
Suite 204
City
Charlotte
Postal / Zip Code
28269
3d. Telephone Number:
[phone]
3f. Email Address: *
antiguaman@bellsouth. net
4. Agent/Consultant (if applicable)
4a. Name:
A. Barry Nelson, PG
4b. Business Name:
Northwest Geoscience, P.C.
4c. Address
Street Address
P.O. Box 6418
Address Line 2
City
High Point
Postal / Zip Code
27262
4d. Telephone Number:
[phone]
4f. Email Address: *
[e-mail]
C. Project Information and Prior Project History
State / Province / Region
NC
Country
United Staes
3e. Fax Number:
State / Province / Region
NC
Country
United States
4e. Fax Number:
1. Project Information
1 b. Subdivision name:
(if appropriate)
Sherwood West
lc. Nearest municipality / town:
Winston-Salem
2. Project Identification
2a. Property Identification Number:
6806-97-7287
2b. Property size:
6.61

2c. Project Address
Street Address
3995 A Valley Court
Address Line 2
City
Winston Salem
Postal / Zip Code
27106
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Petree Creek
3b. Water Resources Classification of nearest receiving water: *
Class C
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
0304010113
4. Project Description and History
State / Province / Region
NC
Country
United States
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 of proposed stream restoration is situated along Petree Creek within the Sherwood Hills Townhome community. The project site is in a common area that occupies Forsyth
County Tax Parcel 6806-97-7287 within the residential development. Due to the migration of Petree Creek, a portion of the streambank has been eroded to within 5-10 feet of an existing
three-story townhouse at 3995A Valley Court. The lateral movement of the creek and resulting erosion is threatening to undermine the structure.
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:
0.0
4g. List the total estimated linear feet of all existing streams on the property:
Perennial - 95 feet
4h. Explain the purpose of the proposed project: *
Due to the migration of Petree Creek outside its original stream course, the streambank has been eroded to within 5-10 feet of a three-story townhouse at 3995A Valley Court. The lateral
migration of the creek is threatening to undermine the structure. The proposed project will restore Petree Creek to its original stream course. A poured -in -place concrete retaining wall will
be constructed between the creek and the vertical bank adjacent to the townhome. Engineered fill will be placed between the wall and the stream bank.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The project will involve the restoration of Petree Creek to a new trapezoidal channel within its original course along. A poured -in -place concrete retaining wall will then be constructed on
the eastern stream bank. The area behind the wall will be backfilled and all disturbed areas revegetated. To complete this work, the following sequence will be followed:
• Remove flagged trees along the eastern streambank within the project boundary. All materials shall be mulched on -site.
• Install all fall protection and security fencing.
• Install the wall protection blankets.
• Construct the temporary access corridor.
• Install erosion control elements.
• Excavate the new trapezoidal channel. Place the excavated material in the existing stream channel.
• Excavate the wall fin and footing. Place the excavated material in the existing stream channel and between the footing
excavation and the eastern stream bank. Any excess water encountered during excavation shall be pumped to a point in the natural channel below the limits of the footing excavation.
• A separate contractor will remove the existing sewer manhole and replace with a new manhole and piping.
• Install concrete forms in the fin and footing.
• Install rebar in the fin and footing.
Pour the concrete for the fin and footing. The concrete will be poured using a concrete truck and boom in the parking lot.
• Construct the retaining wall forms.
Install the water control measures behind the wall forms.
• Install the wall rebar in the forms.
• Pour the concrete for the retaining walls.
• Remove the wall forms.
• Excavate, haul and place engineered fill between the retaining wall and the existing embankment.
Seed and mulch the fill.
• Remove all erosion control measures, fencing, and wall protection blankets.
Restore any area of the grounds and yards that were damaged during construction.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas? *
Yes
Comments:
Petree Creek is a perennial stream.
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:
n/a
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
A. Barry Nelson, PG
Northwest Geoscience, P.C.
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
n/a
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?
No.
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
Stream Restoration
Permanent
Relocation
Petree Creek
Perennial
Both
35
Average (feet)
95
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
95
3i. Total stream and ditch impacts:
95
3j. Comments:
Stream relocation/restoration results in no net loss of stream channel.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
0
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The propose projects involve the relocation of Petree Creek to allow for the construction of a concrete retaining wall. When relocated, Petree Creek will
be restored to its original course.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
As described in the construction sequence, a new trapezoidal channel will be excavated for Petree Creek at the location of its original course. Erosion
control measures will be installed to limit impacts.
The material excavated will be placed in the existing stream channel. During excavation for the wall fin and footing, any excess water encountered
during excavation shall be pumped to a point in the natural channel below the limits of the footing excavation to limit erosion and sedimentation.
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:
The stream channel of Petree Creek is being relocated. All planned impacts to the existing stream course will offset 1:1 when the stream course is restored in its original location.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
�t;

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:
The Yadkin-PeeDee Basin is not a protected basin and there are no buffer rules that apply. Therefore potential buffer impacts are not considered in this Nationwide Permit application.
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:
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 project is designed solely to ensure the stability of existing residential structures and will result in no additional buildable areas.
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
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?
Completed a self-determination using the USFWS Information for Planning and Consultation (iPAC) method. According to information provided by the
USFWS, there are no critical habitats at this location.

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?*
Limited, if any, aquatic habitat areas on site. The construction site is located in the Piedmont of North Carolina. As confirmed with USFWS personnel,
Essential Fish Habitats are not consideration in this portion of the state. All Essential Fish Habitats are located in theCostal Plain.
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?*
North Carolina Historic State Preservation Web Service. There are no structures within the work zone.
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 zone is not in the channel, not on the floodplain.
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
22-147 SHERWOOD WEST RETAINING WALL AND STREAM RELOCATION (FINAL).pdf 12.04MB
File must be PDF or KMZ
Comments
Engineering plans are attached.
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:
A. Barry Nelson, PG
Signature
Date
1/16/2023

Z
O
F— CV �.
Q N
V O a
V
ON
J
FM LU LU
LU
LUT O
W Q > IL
N O
W U _ _
JN
O �N` - z z Ww s N�
z U ~ W N z W p w 0
Q� c� Q y W - O W N•••".
Z p � O W �z w Z_
J
UI g y' a fn F � U
2 3 O u �X�� W W Doti
U W Z 0 a _$! �=
m wmo� w w =<. z;
OCI) Cl) r*ft � K c O F H O M s •.;p w' 2'
' a z
O o � a
z , (\` V
�
Z N
OaN z
Q z Q
OC Fm J Q
o L(D
Wa) Cl)w z
z
_ Q Cl)0E--
Z F- LL
Cl) V Z
�11 0 ° °
V LU
W oof U w
Z LL
�w�w��
_ O �z ��co
Z
Qz=moLL0
aU Z Z Z U Cl)
J2000J w
Q co
LLLLJ i wFDYQUULU UzJ
W UZLL1LL1cl)pQ
Cl) =CDQOcncncn���
z �zm�cococoLow
WQ LJJHJQ(n(n(n()
No
J co Q U O O O z o 0
�i � W z
0 H Li�of of of O UUUJQ�
N CO V LO (O 1— 00
X W W W W W W W W
LiJ W W W W W W W W
S = _ 7-7-7-7- _
z (n Cl) Cl) Cl) Cl) Cl) Cl) Cl)

0
T o
v V)
o
N O
L w M z
� d r,4 - E
IIIIIIIIIIII -
PROJECT BOUNDARY
IIIIIIIIIN1111",
�
O
O
^
O
p
O
y
� Ill
� Rl
o
m
l8 06Lo
vt
o+
0
- - - - - - - - - - -
- - —T m---\.—`—
�—------Z906Lo
+
o
�o
wp
0
m
'-
O
r j M
Q ok\ mo
'-
�\
^
0616Lo-
w
n
3Jm
N \
W r
^
--�
�
m
m
❑ W
a
r 08 96Lo
o o❑
\ rl
o+
of
=
Z9 96Lo
+
O
J 2:
Y J
I
� QL7
O
O z
% ,
^
Zb 86Lo
+
o
— A
a5
u a ~�
n
I I � M
^
z
— — — — — — — — — — — — — — — — — —
_
— — — —
i^
— — —
ro
m
e�
❑
ww
Wmx
pJ M W
11�m it
F-
i+�
4 / j
Z6 66Lo
+o
z
`m
n
w W
------------- /—----'o-
/.—mac
m
i
----
o
O�
z
e A
^
m i m
j
Z8 66Lo
o
+
o
m q��
i
j
a
o
M
m
m N
�N
mm
rr
ZLC66Lo
o
o
a
3
w
N
�
c+l
a
z
z
0
O
9L 66Lo
O
o+
�
N
�
H
W
o
a
b8 66Lo
+
O
O
0
ZO66)
ca �
w pa
z
w
N
oc
0
Q O
U1
O
l
w
2 L0
U) (3)
M
AM[Nnoa 133f oad
H7 86L
0
o
Ji3VM3ClIS o
ry
t7,116 L
o
1332Jis �O 3JC13
0+
}
Y
O_ Q W L,J q
~ W z
13_' ED Y Z
i J (/1 x l3_� Q J W
W LJ Q q r
o
Q
J W W H H
W ED W WL� U
ED C3 W ED W W
H H W ED N_
O Z LJ d 0-ED ED
J EDL�
Zlm
?av
L'-J
a_ ED g O IY
u H N_
g"
W o AE
0 U W H 11
Q x a

O
O
N Lr)
O
N rn
I?
O ON
- E
Sa. ywl�3
a
Yea
'40�Q.,-
u
0
�Q
o
�Y U
au
+
o x
0 (6
^
w o
1e 06ZO
in
F
o U
— — — — — — — — — — — — — — —
— m
� li n
CU
— — — — — — — — — — — ----T
m i' r
-- IL—i— — —
— — — —
n
O
m
EI-06Z.
m
cu O
u cu
G
rn
o+
w
O O
J N
k m o
�'\m
~ o
i\ n p \.J
\
ry \
In
LiO
— — — — — — — -- — — — —
— mT--—i—�—-- ---
o\\—
+
O
0
m m
O
i l
0
M nasrvo
�+
¢ J
LLJ
cu
wse4
+
D w
�
I I
1
O
WOZ HUp
LL
j
—
I 64e
+—
o
-
wA �Z
A� � J
I
W ro Y J
— — — — — — — — — — — — — — —
— — — — L — — —1— iJ' —
i / m /
— —
�
U �
+
Q Ql7
J G
1
=ate
z Ln
U
z
z1f4/
e
IX
o
chi
LLJ
�
d—
o+
OZ�
O
d
o
w z
U
— — — — — — — — — — — — — —
CO + a
N
ry
o
G
o
a
w >
^
��
11
a
0
¢
IQ
3
3
'^ (3)
c+�
V)
Q o+
s1
0
m
Q
o
w
C
Q
+
o
z
C7
o
Qce
66ZO+
N
U
o
oa
z
+
-
w
o
�
m
weedLU
Fa
q 3
ONI3N33 kilan33S
o
0
0
0
O
wPl
f
q
A?JdQNf10H 133fOJd NIVAAMIS
133HiS JO 3003
Qa
a
w^ w (/ ^
¢J�wa y�w
w u
Tw
z . z 6 Y Q
w z
6 J 2 0 2
Z
zs�'�
w `;
�—U,
o oowaow
wow»w
O@ $3s`e
�,E�
J w o a o KwQ
�au3
�31.
w w�
ain .
I
I
4 x
i
i i
I
I
I
i i i i

U
E
9
E
-
3
A
a
3
a
�
c lu
a
O O
c J
cu
a
L�
("' c 0
13 13—H3 03SOdOMd
�:
��(1)//
LL
0)CU
' A«
E
Y v
W
•E_
—A ONINIV13a 313-03 33VId NI 03MNOd
I�1
��R
v �1,� `v
�� o
;' zl � N
c ^/
V
=e
lu N A u
\
0
0 CU
f
d
O
U
\
a
w
�
Q
U
Z
a
M
U
Z
w N
w
"a
U)
M
Z
LU
c:
Q O
N
a
�
_
C
a
q31 uoi}ona 13
U
W
N
"a
0
LE
i
J
V J
LL
O
M
Z
a O
U
E
U
O
A
U
E�
T
v
10 13NN-3 03SOd—
cc O
N �o
w
O
C N O
Y a
rq
O w 0rt) 0
d N
IIVA ONINIVAd 313-03 33VId NI 03MNOd
1 J =
_ , A a
O v
,„111111ilIIII �,
=
\
O
Ys 1 m
N N
```y\�P,y
\
{
-
Q
III N ...�
"I'lul ``
w
A
I1111/111111\\\
3
Ez
a
L' o W z
O �av
Wo-
�
s
1}31 uol}una�3
P]
�w
�

lltlA 9NINItl13d 313d3NQ3 33tl1d Ni Q3anGd
1
e s x s M r x s x R a a s B c a
I}3) uai}and 13
a a a a
3
E
O
C J u
C� >cu o
� > N
0
CU
U � cu
m C)
0 CU
O
U

�
E
.@
j
/ k
7
CU2
¢
CU
_
'2 E
-o
±
��/
�^
k
0 CU
�
\
/
m
g
W \
:
§
9
� \
................
§
p —
<
\
\
\
L \
W
<
:
}
� /
!
o
—
§
\
.
/
.
§
o
!
°
\
_
& /
\
cc/
_
U&
�3
�c.!
^g
\ƒ\2
.
.
,@ �!
�
/ /- (
;J) uc*c ,

Y
U
Iz
W
Z 0
O o Z
a ¢ OOO _j
00C=) LU <
C)-i
O
a q 0 cu U) cn
"a
oQ �O ZZ�
O 02 LU
LLJ
H Q 0
w (�
W
JN �
b Z
J O
LL
U' Q
3 �03 JO
a w z Z
a
V= O
z _
o
0 U)
U)
a
a �
0
U)
z
LU
LLj z
N �//�� t ZZ VJ E
Q O W N
S N
a U U D (n
3 v) T O
W Q O
I w
Z (/J
ci � J C_
a Q O � � 0
u LL \ U
y
(}3) U014 a13 H \ z f
o O w >
o H
co
ov 0
460
§0
od
z°�
LLw ID
oc O
N W
C: CID
•'"1' w w W CS
l!1
3 3 3� } `,111111111I11��„''
1
�r
1 E E
_ a
," 0

G
U)
l^ O
LU
0 U
n w w
I I
O U)
u�a
vim%
2a�
U
z
C/) E
>W °'
o
€m O
L
LO
_r^^
V.
3 O
O O
cr
fV
W-.00c �.os m. m r. o m oao e= emus a r•
O
N
f —
— m
w.
'N -
-_ o%2=
s r° zc
r
o� comma. m ww.
a
a= am.mm � .E.w m=Eaam
_w www« � dxamEa
wwo.o_ m
E
- _
mm`W a
a 0
—•ma e� z
HMO —
PE
z
- M.
- - - - - - - -
m�m ..... . .... ......... ao