20150212 Ver 1_401 Application_20150215

Lief Erickson
215 Whitehall Way
Cary, NC 27511
February 18, 2015
Karen Higgins
NCDWR — 401 & Buffer permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 -1617
Dear Karen Higgins-
Please review and permit the creek bank stabilization for the property described in the
enclosed documents If you find required modifications, please let me know
Included are 4 copies of the PNC and 4 copies of the work description and a map of the
location of the work request.
I am awaiting your permitting letter
Sincerely,
Lief Erickson
Home Owner

of WArg9
0 o� Office Use Only
o< 2 5 0 2 1 2 Corps action ID no
DWQ proie�c�o
Form Versiod ec�O 2008
Page 1 of 11
PCN Form — Version 1 3 December 10, 2008 Version
Pre - Construction Notification (PCN) Form
A
Applicant Information
1
Processing
la
Type(s) of approval sought from the
Corps TED
Section 404 Permit El Section 10 Permit
1b Specify Nationwide Permit (NWP) number 3 or General Permit (GP) number SAW- 2014 -02122
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
[:1401 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)?
El Yes No
2.
Project Information
2a
Name of project
215 Whitehall Way Scour hole fill
2b
County
Wake
2c
Nearest municipality / town
Town Of Cary
2d
Subdivision name
Walnut Ridge
2e
NCDOT only, T I P or state
project no
3.
Owner Information
3a
Name(s) on Recorded Deed
Lief Erickson -
3b
Deed Book and Page No
Book 009170 page 00816
n/a UU
FEB 2
3c
Responsible Party (for LLC if
applicable)
3d
Street address
215 Whitehall Way
3e
City, state, zip
Cary, NC 27511 401 & gIWATER RESOURCES
3f
Telephone no
919 - 463 -9822
3g
Fax no
N/A
3h
Email address
leenckso @yahoo com
Page 1 of 11
PCN Form — Version 1 3 December 10, 2008 Version

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
4f Telephone no
4g Fax no
4h Email address
5 Agent/Consultant Information (if applicable)
5a Name
5b Business name
(if applicable)
5c Street address
5d City, state, zip
5e Telephone no
5f Fax no
5g Email address
Page 2 of 11

B
Project Information and Prior Project History
1.
Property Identification
1a
Property identification no (tax PIN or parcel ID)
Pin 0773458226 000
1 b
Site coordinates (in decimal degrees)
Latitude Longitude -
(35 7700) (-787479)
1c
Property size
1 /3rd acres
2
Surface Waters
2a
Name of nearest body of water (stream, river, etc ) to
Nuse
proposed project
2b
Water Quality Classification of nearest receiving water
2c
River basin map is available at
http //h2o enr state nc us /adman /maps/
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
The Area to be stabilized is the stream bank adjacent to the scour hole from the water exiting the culvert under Whitehall
Way and focused by the cement trough to the scour hole This stabilization would protect the existing concrete
channel, dissipate energy from fast moving water exiting the channel, and stabilize the stream at the outlet
of the concrete channel
3b
List the total estimated acreage of all existing wetlands on the property
0 0091 acres 400 sq feet
3c
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
40 feet
3d
Explain the purpose of the proposed project
To rebuild the stream bank and to help guide the natural flow of water downstream, protect the existing concrete
channel, dissipate energy from fast moving water exiting the channel, and stabilize the stream at the outlet
of the concrete channel
3e
Describe the overall project in detail, including the type of equipment to be used
The hole is 12ftx40feet and about 7feet high This area is not included in the creek bed but does stabilize the creek bank
The goal is to replace the stream bank with rip rap
2 or more (20 -35 cu yds) Loads of class 2 rip rap will be placed to build a creek bank and would protect the existing
concrete channel, dissipate energy from fast moving water exiting the channel, and stabilize the stream at
the outlet of the concrete channel This will be up to 4 feet high maintaining a 3 1 bank ratio Extreme care will be
taken to fortify this creek bank to ensure reduced future destruction
The area is small and will be built by hand, the finishing may be done with a farm tractor (7740) with a frontend loader and
rake
Page 3 of 11
PCN Form — Version 1 3 December 10, 2008 Version

4
Jurisdictional Determinations
4a
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
El Yes F1 No El Unknown
project (including all prior phases) in the pasty
Comments
4b
If the Corps made the jurisdictional determination, what type
❑ Preliminary ❑ Final
of determination was made?
4c
If yes, who delineated the jurisdictional areas?
Agency /Consultant Company NCDENR
Name (if known) Martin Richmond
Other
4d
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5
Project History
5a
Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
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 4 of 11

C. Proposed Impacts Inventory
1. Impacts Summary
la Which sections were completed below for your project (check all that apply)
❑ 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
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P FIT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g Total wetland impacts
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
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ P ® T
fill
nuse
® PER
❑ INT
® Corps
❑ DWQ
g
40
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
31 Comments No Impacts
Page 5 of 11

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 type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f Total open water impacts
4g Comments No Impacts
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g Comments No Pond or lake Construction
5h is a dam high hazard permit required
❑ Yes ❑ No If yes, permit ID 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 If any impacts require mitigation, then you MUST fill out Section D of this form
6a
❑ Neuse ❑ Tar - Pamlico ❑ Other
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required?
61 [:1 PDT
El Yes
❑ No
B2 ❑P ❑T
El Yes
❑ No
B3 ❑ P ❑ T
❑ Yes
❑ No
6h Total buffer impacts
61 Comments No Buffer Impacts
Page 6 of 11

D.
Impact Justification and Mitigation
1
Avoidance and Minimization
1a
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
This is a simple scour hole fill project, nothing is impacted
b
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
The fill will be hand placed, to ensure no inpacts
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
projects
❑ Mitigation bank
[:1 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
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
❑ warm ❑ cool ❑cold
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
Page 7 of 11
PCN Form —Version 1 3 December 10, 2008 Version

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
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigations If yes, you will have to fill out this entire form — please
contact the State for more information
❑ 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 8 of 11

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b
If yes, then is a diffuse flow plan included? If no, explain why
❑ Yes El No
Comments
2.
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
0%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan, explain why Simple fill scoured hole
2d
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government's jurisdiction is this project?
Town of Cary
❑ Phase II
3b
Which of the following locally - implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
® Other None
3c
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a
Which of the following state - implemented stormwater management programs apply
❑ ORW
(check all that apply)
❑ Session Law 2006 -246
® Other none
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 11
PCN Form — Version 1 3 December 10, 2008 Version

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?
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
❑ 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
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
❑ 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
None
Page 10 of 11
PCN Form — Version 1 3 December 10, 2008 Version

S. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will 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?
E] Raleigh
5c If yes, indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Review of the small 12feetx40foot area, no animals live there
6. Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitats
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Review of construction site
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 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?
Review of construction site, only replacing missing soil of scour hole
8. Flood Zone Designation JCorps Requirement)
8a Will this project occur in a FEMA - designated 100 -year floodplaiM
❑ Yes ® No
8b If yes, explain4iow project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination? NCDENR review of area
Lief Erickson
Jan 4, 2015
Applicant/Agent's Printed Name
Date
Applicant/Agents Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided
Page 11 of 11

Location
Sheet 1 of 3 1/4/2015

:
WFiit l _on n or, i
he creek-line
3 o 1 banaiio o n � .
Pill -
area Creek barYk 40 -long and a 12'x4' -
right triangle. F •�,
Ak
-a-w, - .. `' _ .:. ,✓•• -� _ -!''- s=in`.' f -�.i^� • • �'�• ' ,
�'•' 7ij .r ... 'op tea sly.. `�'-•:T- - -�r. \si -, < =�" • , '�

Side View A
Stream side
12 feet
Side view A
Bank side
Stream side
Bank side
4 feet
6O
4'
illed with Class 1 and 2 riprap
Sheet 3 of 3
Tree location
1/4/2015