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HomeMy WebLinkAboutPCN Extracted.pdfDW R mrlsloa of Water Resources 1a. Name of project: Briar Creek Stream Enhancement 1a. Who is the Primary Contact? Jarrod Karl 1b. Primary Contact Email: jkarl@hazenandsawyer.com Site Coordinates Latitude: 35.161253 A. Processing Information Pre -Filing Meeting Date Request was submitted on: 2/15/2023 Is this project connected with ARPA funding?* Yes No County (or Counties) where the project is located: Mecklenburg Nearest Body of Water Pre -Construction Notification (PCN) Form For Nationwide Permits and Regional General Permits (along with corresponding Water Quality Certifications) April 13, 2022 Ver 4.3 Longitude: -80.844732 1c. Primary Contact Phone: (704)521-1020 Is this a NCDMS Project* Yes No Is this project a public transportation project? Yes No 1a. 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 Please provide the date of the previous submission."` 5/10/2020 1 b. What type(s) of permit(s) do you wish to seek authorization? Nationwide Permit (NWP) Regional General Permit (RGP) Standard (IP) 1c. Has the NWP or GP number been verified by the Corps? Yes No Nationwide Permit (NWP) Number: NWP Numbers (for multiple NWPS): 27 - Restoration 1d. 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 1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts? Yes No 1 It. 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 1d. 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 401 Water Quality Certification - Express Riparian Buffer Authorization 2a. Name(s) on recorded deed: Mecklenburg County 2b. Deed book and page no.: DB 4951, PG 0038; DB 12023, PG 054 2c. Contact Person: Leslie Johnson 2d.Address Street Address 600 East 4th Street Address Line 2 City State / Province / Region Charlotte NC Postal / Zip Code Country 28202 USA 2e. Telephone Number: 2f. Fax Number: (980)314-2900 2g. Email Address: Leslie.Johnson@MeckNC.gov 2a. Name(s) on recorded deed: Jenkins Bissell Ravenel and D. Gwynne Wilson Ravenel 2b. Deed book and page no.: DB 4704, PG 0721 2c. Contact Person: 2d.Address Street Address 405 Moncure Drive Address Line 2 City State / Province / Region Charlotte NC Postal / Zip Code Country 28209 USA Yes No Yes No 2e. Telephone Number: 2f. Fax Number: (000)000-0000 2g. Email Address:* xxx@xxx.xxx 2a. Name(s) on recorded deed: Lee Dillard Richardson, Jr. and Laurel McGuire Richardson 2b. Deed book and page no.: DB 8574, PG 189 2c. Contact Person: 2d.Address Street Address 417 Moncure Drive Address Line 2 City Charlotte Postal / Zip Code 28209 2e. Telephone Number: (000)000-0000 2g. Email Address:* xxx@xxx. xxx 2a. Name(s) on recorded deed: Terrance B. Wayne and Julie A. Wayne 2b. Deed book and page no.: DB 9182, PG 971 2c. Contact Person: 2d.Address Street Address 423 Moncure Drive Address Line 2 City Charlotte Postal / Zip Code 28209 2e. Telephone Number: (000)000-0000 2g. Email Address:* xxx@xxx.xxx 2a. Name(s) on recorded deed: James Oliver Warren III and Kristi Beppler Warren 2b. Deed book and page no.: DB 28038, PG 753 2c. Contact Person: 2d.Address Street Address 5335 Lila Wood Circle Address Line 2 City Charlotte Postal / Zip Code 28209 2e. Telephone Number: (000)000-0000 2g. Email Address: xxx@xxx.xxx 2a. Name(s) on recorded deed: Selwyn Grove Homeowners Association 2b. Deed book and page no.: DB 12980, PG 729 State / Province / Region NC Country USA 2f. Fax Number: State / Province / Region NC Country USA 2f. Fax Number: State / Province / Region NC Country USA 2f. Fax Number: 2c. Contact Person: 2d.Address Street Address 5334 Lila Wood Circle Address Line 2 City Charlotte Postal / Zip Code 28209 2e. Telephone Number: (000)000-0000 2g. Email Address: xxx@xxx.xxx 2a. Name(s) on recorded deed: Susan L. Anderson 2b. Deed book and page no.: DB 5368, PG 0715 2c. Contact Person: 2d.Address Street Address 3911 Selwyn Avenue Address Line 2 City Charlotte Postal / Zip Code 28209 2e. Telephone Number: (000)000-0000 2g. Email Address:* xxx@xxx.xxx 3. Applicant Information (if different from owner) 3a. Name: Leslie Johnson 3b. Business Name: Mecklenburg County 3c. Address Street Address 600 East 4th Street Address Line 2 City Charlotte Postal / Zip Code 28202 3d. Telephone Number: (980)314-2900 3f. Email Address: Leslie.Johnson@MeckNC.gov 4. Agent/Consultant (if applicable) 4a. Name: Jarrod Karl 4b. Business Name: Hazen and Sawyer State / Province / Region NC Country USA 2f. Fax Number: State / Province / Region NC Country USA 2f. Fax Number: State / Province / Region NC Country USA 3e. Fax Number: 4c. Address Street Address 9101 Southern Pine Blvd. Address Line 2 Suite 250 City Charlotte Postal / Zip Code 28273 4d. Telephone Number: (704)521-1020 4f. Email Address:* jkarl@hazenandsawyer.com C. Project Information and Prior Project History 1. Project Information 1b. Subdivision name: (if appropriate) 1c. Nearest municipality / town: Charlotte 2. Project Identification 2a. Property Identification Number: 2c. Project Address Street Address Address Line 2 City Postal / Zip Code 3. Surface Waters 3a. Name of the nearest body of water to proposed project: Briar Creek 3b. Water Resources Classification of nearest receiving water: Class C 3d. Please provide the 12-digit HUC in which the project is located. 030501030102 3c. What river basin(s) is your project located in? * Catawba 4. Project Description and History State / Province / Region NC Country USA 4e. Fax Number: 2b. Property size: State / Province / Region Country 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 project area consists of Briar Creek, adjacent riparian areas and access areas. Land use within the project area is primarily residential and includes one large, partially wooded homeowners association parcel and two large, partially -wooded Mecklenburg County parcels. Maintained sanitary sewer easements are present on both sides of Briar Creek, and the sewer line crosses Briar Creek in the Reach 2 project area. With the exception of access areas, the entire project area is within the FEMA regulatory Floodplain. 4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past? Yes No Unknown If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000). Action ID. SAW-2020-00860, DWR# 20-0626 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: 800 4h. Explain the purpose of the proposed project:* The purpose of the proposed project is to stabilize eroding stream banks and improve ecological functions in Briar Creek and adjacent riparian areas. 4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: Introduction The Briar Creek Stream Enhancement project is located in Charlotte, North Carolina. Mecklenburg County Storm Water Services proposes to enhance two sections of Briar Creek to stabilize eroding stream banks and enhance in -stream and riparian habitat for water quality improvement. The area of improvement includes 651 linear feet of the bed and banks of Briar Creek, which runs behind partially -wooded residential parcels along Moncure Drive, Lila Wood Circle and Selwyn Avenue. Briar Creek flows parallel to these three streets before crossing under Park Road. The project area and surrounding areas are shown the appended USGS Topographic Map and USDA Soil Survey excerpts and Figure 1 (appended). Site drainage generally consists of partially wooded slopes that convey stormwater to Briar Creek. The majority of stream banks have been previously stabilized with rip rap. Maintained sanitary sewer easements are present on both sides of the stream. Minor existing storm drainage systems that collect stormwater from Moncure Drive and Lila Wood Circle traverse the site via pipes or channels and drain into Briar Creek. The project area was subjected to a sanitary sewer improvement project in 2008 and a stream enhancement project completed in the late 1990's. Several of the previously installed stream enhancement structures have washed out or become non-functional. The proposed stream enhancement design includes removal of non-functioning stream enhancement structures, modifications to the stream cross section and profile, installation of new rock habitat enhancement structures and revegetation with native plants. Description of Waters Hazen and Sawyer performed a field evaluation of streams and wetlands within the projected limits of disturbance using US Army Corps of Engineers and INC Division of Water Resources methodologies. Briar Creek is the only aquatic resource present. Briar Creek is a perennial stream with a drainage area of approximately 21 square miles, an average riffle bankfull width of 40 feet and an average ordinary high water width of 34 feet. A stream identification form is not included in this submittal due to the clear perennial nature of the stream. A second, minor tributary to Briar Creek is located on Mecklenburg County property near Park Road. However, this stream is currently piped within the project limits and no disturbance to the tributary is proposed. Stream Assessments A qualitative field walk was conducted for Briar Creek adjacent floodplain areas. Existing stream features include a constructed riffle installed in 2008-09 during a sanitary sewer improvement project and riprap-lined banks, cross -channel weirs, bendway weirs and a deteriorated log structure that were installed during the previous stream enhancement project. Stream erosion was evident in various locations along the project reach. Vegetation on stream banks is sparse due to riprap lining and the presence of invasive species. Extensive sand deposition is present throughout the project reach. Photographs taken during the quantitative assessment are appended. A quantitative stream assessment was conducted to document existing conditions, departure from reference conditions and provide a basis for design. Two cross sections (one riffle, one pool) were measured in the vicinity of the project reach to determine stable, reference values. Riffle measurements and dimensionless ratios for both the riffle and pool measurements generally lined up with regional curve data from the North Carolina rural Piedmont regional curve. However, channel dimensions are highly variable in the project reach due to previous anthropogenic modifications to the stream and sediment dynamics in the large, highly -urbanized contributing watershed. A full topographic survey (including stream bed elevations) was completed for Reach 1 and bed elevations of the stream centerline were surveyed for Reach 2. Two particle counts were conducted to determine approximate bed material size distribution. Results show a median diameter (d50) particle size of 43 mm and a bimodal distribution of gravel and sand. Data and analyses from the quantitative assessments are appended. Project Improvements The stream design includes approximately 651 linear feet of stream enhancements using natural channel design methodologies. The project is broken into two reaches. Reach 1 is approximately 482 linear feet and adjacent to homes along Lila Wood Circle and Moncure Drive. Reach 2 is approximately 169 linear feet in the vicinity of the existing constructed riffle over the sanitary sewer. A Priority 3 natural channel design was developed for both reaches using field measurements of existing conditions and dimensionless ratios derived from regional curve and reference reach data. The form -based approach was validated using HEC-RAS hydraulic modeling and other analytical methods to ensure a stable, final design. The Priority 3 natural channel design approach was chosen due to the large physical size of the stream, its location within the FEMA-regulated floodplain and the proximity of existing residences which disallow stream pattern adjustments. The approach includes adjustments to the stream dimensions and profile. Proposed improvements will result in increased bank stability, pollutant and nutrient removal, improved aquatic and riparian habitat. No changes in stream length are proposed. The existing stream profile will be corrected by removing previously installed weirs and creating natural riffle -run -pool -glide sequences that align with the existing stream pattern. The existing riffle structure at the sanitary sewer crossing in Reach 2 will be moved slightly downstream to align the riffle with the natural pattern of Briar Creek. New riffles will be constructed in straight stream sections to provide hyporheic flow areas for pollutant and nutrient processing. Profile improvements will result in improved aquatic habitat by creating variance in velocity and shear vectors, water depths and channel slopes for fish and macroinvertebrate survival and reproduction. Previously installed bank protection structures (e.g., bendway weirs, log structure) will be removed and channel cross sections will be improved. Banks will be graded to a stable dimension that align with regional curve and dimensionless ratio data analyzed during the assessment phase. Floodplain benches at the inner berm and bankfull elevations will be constructed to relieve velocities and shear stresses at these critical elevations. Riprap bank protection adjacent to the sanitary sewer manhole will be replaced with vegetated soil lifts. The completed installation will result in improved riparian habitat and increased protection of the sanitary sewer manhole. Bamboo and other invasive species will be removed during construction and disturbed stream banks and floodplain areas will be revegetated using temporary coir matting, a native seed mix, and native trees and shrubs. The restoration includes a combination threshold and mobile bed design. The threshold constructed riffle and rock j-hook stone is sized so it does not move in the 100-year storm event. The mobile stream bed stone is sized to move during a bankfull event. The basis for the mobile bed design was the particle count collected at the existing constructed riffle. The combination threshold -mobile bed design is intended to establish permanent grade controls for channel stability and hyporheic flow exchange and a mobile bed with smaller rock sizes for macroinvertebrate and fish habitat. In addition, changes to the constructed riffle in Reach 2 will result in a slightly steeper overall water surface profile which may help transportthe excessive amount of sand present in and between the two project reaches. With the exception of access areas, the entire project area is in the FEMA regulatory floodplain. The existing FEMA HEC-RAS models were updated based on proposed project modifications to generate velocity and shear stress values for typical storm events (i.e., 2-, 10- and 100-year storms). Model values were used to select stone sizes for in -stream rock structures and erosion control matting type to ensure they could withstand expected shear stresses and velocities. The project will be constructed by a contractor with oversight by the County and County's representatives. Construction equipment to be used for the project will be determined by the contractor. Construction equipment anticipated to be used includes wheeled backhoes and loaders, tracked excavators, dump trucks, compaction equipment, skid steer loaders, dewatering pumps, power tools, hand tools and similar equipment used to construct stream improvements. Erosion and Sediment Control An erosion and sediment control permit application was submitted to North Carolina Department of Environmental Quality for approval. Construction of profile adjustments and in -stream rock structures (constructed riffles and j-hook vanes) that span the full width of the channel is proposed to be done in wet stream conditions. The drainage area for Briar Creek at the project site location is approximately 21 square miles and highly urbanized. Traditional dewatering measures such as a bypass pumping or gravity diversion are not possible due to the expected frequency and intensity of flood events. The stream bed is dominated by gravel with smaller components of sand, rip rap cobble and silt; therefore, fine sediment suspension should not be significant. A rock ditch check (check dam) shall be installed at the downstream limit of disturbance to slow the flow of water and settle suspended sediment. Construction of bank stabilization measures shall be done in dry stream conditions. Temporary coffers, diversions, or similar measures shall be used to isolate stream bank areas during a,„„a, ,,.,,.., a,,,.I... ..,„a, a,,,.­y­­...,, a ..Y,—IN.. U,.a,,,..�,a„.,�..�..a,�,�,.,�,,,. filter media. Details for coffer dam and erosion control dewatering are included on the Construction Drawings. 5. Jurisdictional Determinations 5a. Have the wetlands or streams been delineated on the property or proposed impact areas? Yes No O Unknown Comments: No adjacent wetlands or tributaries were identified in the project area. 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? No. D. Proposed Impacts Inventory 1. Impacts Summary 1a. Where are the impacts associated with your project? (check all that apply): Wetlands Streams -tributaries Buffers Open Waters Pond Construction 3. Stream Impacts 11 3a. Reason for impact* (?) 3b.lmpact type* 3c. Type of impact* 3d. S. name* ��3e. Stream Type* 3f. Type of 3g. S. width" 3h. Impact (?) Jurisdiction* length* S1 Constructed Riffles Permanent Stabilization Briar Creek Both 34 100 Average (feet) (linear feet) S2 Rock Vanes Permanent Bank Stabilization Briar Creek Perennial Both 34 140 Average (feet) (linear feet) S3 Rock Toe for Soil Lift Permanent Bank Stabilization Briar Creek Perennial Both 34 45 Average (feet) (linear feet) S4 Channel Reshaping Permanent Bank Stabilization Briar Creek Perennial Both 34 342 Average (feet) (linear feet) SS Check Dams Temporary Rip Rap Fill Briar Creek Perennial Both 34 24 Average (feet) Qinear feet) 3i. Total jurisdictional ditch impact in square feet: 0 3i. Total permanent stream impacts: 3i. Total temporary stream impacts: 627 24 31. Total stream and ditch impacts: 0 3j. Comments: The total length of stream enhancement is 651 linear feet. Portions of the profile improvements overlap bank stabilization improvements and temporary impacts related to erosion control. Column 3h only counts linear feet of permanent and temporary impacts once and therefore does not include overlapping impacts. Adjustments to the existing riffle in Reach 2 are not included because the riffle length and extent of existing rock bank protection is proposed to be reduced; therefore, no new impacts to the stream bed are proposed. 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: The only way to avoid impacts is through a no -build alternative. Several measures were taken to minimize impacts. The project length was reduced to only those areas necessary to stabilize banks and align stream bed features with the existing stream pattern. The existing riffle in Reach 2 is proposed to be reduced in length and the portions of the existing rock bank protection is proposed to be removed. Tree clearing and the limits of disturbance were limited to only those areas necessary for equipment maneuvering and material stockpile. Biodegradable coir matting is proposed for stabilization of disturbed areas. Native seed, shrubs and trees will be used to revegetate riparian areas. 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques: Construction within the stream channel completed using the tracked equipment which reduces ground pressures on soils and reduces compaction compared to rubber tire equipment. Bank stabilization areas will be dewatered to ensure proper installation of coir matting and boulder features. Tree removal will be reduced during construction where possible. Erosion and sediment control measures will be in compliance with NCDEQ permit requirements. 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 proposed stream enhancement project includes stabilization of eroding stream banks using native riparian vegetation and improvements to aquatic riffle and pool habitats. Invasive vegetation within the limits of disturbance will be replaced with native trees, shrubs, grasses, forbs, and sedges. These improvements will result in an overall positive benefit to stream aquatic and riparian habitats and water quality. Due to the overall positive benefits of the proposed project, no mitigation is proposed. 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 If no, explain why: The project is along a tributary to the Catawba River. NC Riparian Buffer Protection Rules do not apply to the project area. 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 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 (North Carolina) Environmental Policy Act (NEPA/SEPA)? * Yes No Comments:* This project is not federally funded and does not meet the requirements for SEPA documentation. 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 I 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. The proposed stream enhancement will improve water quality in a stream corridor bordered by older, existing neighborhoods in Charlotte. No new development is expected to result from the stream enhancement. 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 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 Unknown 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? * North Carolina Natural Heritage GIS element occurrence data and field observations during multiple field visits over the past three years. Areas within the proposed limits of disturbance are within a geomorphic floodplain and periodically flooded. The site is in an older, urbanized section of Charlotte, and stream banks have been rip rapped throughout the project area. Heavy invasive species cover is present throughout the project area; dominant species include bamboo, kudzu, privet, mimosa, and Japanese hops. Outside of the stream banks, most areas are wooded; remaining areas are maintained as residential lawns, gardens, etc. As a result, there is no suitable habitat for federally threatened or endangered plant species, including Helianthus schweintzii, Rhus michauxii, or Echinacea laevigata. Due to the heavily urbanized watershed and sediment load, there is no suitable habitat for threatened and endangered bivalves. Furthermore, no records of federally threatened or endangered species exist within 4 miles of the project site and no records exist within the Briar Creek watershed. 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 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? State Historic Preservation Office HPOWEB 2.0 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: A Floodplain Development Permit for work within the floodway and floodplain of Briar Creek will be obtained from Charlotte -Mecklenburg Storm Water Services prior to the start of construction. 8c. What source(s) did you use to make the floodplain determination? Flood Insurance Rate Map #3710454100K, revised February 14, 2014 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 BriarCreek_Additional I nformation.pdf File must be PDF or KMZ Comments Signature By checking the box and signing below, I certify that: 19.85MB • 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:* Jarrod Karl Signature Tarrad �'a� Date 3/3/2023