20230802 Ver 1_ePCN Application_20230605

DWR
Division of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Initial Review
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:
5/4/2023
BIMS # Assigned
20230802
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Asheville Regional Office - [phone]
Information for Initial Review
la. Name of project:
Linville Stream Crossing
1a. Who is the Primary Contact?*
Rebekah Wood
1b. Primary Contact Email: *
[e-mail]
Date Submitted
6/5/2023
Nearest Body of Water
Unnamed Tributary to Linville River
Basin
Catawba
Water Classification
C;Tr
Site Coordinates
Latitude:
Longitude:
36.108388
-81.842346
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Avery
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
Version#*
1
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
Joey Winston:[e-mail]
1c. Primary Contact Phone: *
[phone]
8

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
1b. What type(s) of permits) 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: 18 - Minor Discharges
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
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: Yes No
For the record only for Corps Permit: Yes No
1f. Is this an after -the -fact permit application? *
Yes No
fig. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1h. 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
2a. Nani on recorded deed:
Grandfather Golf & Country Club
2b. Deed book and page no.:
283/294
2c. Contact Person:
Rebekah Wood
2d. Address
Street Address
PO Box 368
Address Line 2
City State / Province / Region
Linville NC
Postal / Zip Code Country
28646 USA

2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Sarah Kilby
4b. Business Name:
Interface Environmental Consulting, LLC
4c. Address
Street Address
476 Hidden Pond Rd
Address Line 2
City
Boone
Postal / Zip Code
28607
4d. Telephone Number:
[phone]
4f. Email Address:"`
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Linville, INC
2. Project Identification
2f. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:
2a. Property Identification Number: 2b. Property size:
186700004108
2c. Project Address
Street Address
225 Chestnut Road
Address Line 2
city State / Province / Region
Linville NC
Postal / Zip Code Country
28646
3. Surface Waters
3a. Name of the nearest body of water to proposed project: "
Unnamed Tributary to Linville River
3b. Water Resources Classification of nearest receiving water:
QTr
3c. What river basin(s) is your project located in?*
Catawba
3d. Please provide the 12-digit HUC in which the project is located.
030501010301
4. Project Description and History
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 site is located in the northeast portion of Grandfather Golf & Country Club, off Chestnut Rd and comprised of one parcel, PIN 186700004108. Three (3) features exist on -site
draining northeast to southwest; one ephemeral channel, one intermittent channel, and one seep. The project site is forested and mountainous with an old woods road. The surrounding
area is comprised of private residences.
a

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:
0.017
4g. List the total estimated linear feet of all existing streams on the property:
226
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to add a stream crossing over the intermittent channel (unnamed tributary to Linville River) for a proposed driveway via a 20ftx36" arch culvert
equivalent.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
The proposed project to cross an unnamed tributary to Linville River using a 20ftx36" arch culvert equivalent. Types of equipment used may include heavy machinery such as a track -hoe.
Impacts to the unnamed tributary to Linville River include 20ft of permanent impacts for the proposed culvert, and 40ft of temporary impacts (20ft culvert, plus 10ft both sides) for
dewatering during culvert installation.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No O Unknown
Comments:
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
Sarah Kilby and Carrie Caviness
Interface Environmental Consulting, LLC
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
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
3. Stream Impacts
F 1
S1
3a. Reason for impact ()
Culvert
3b.lmpact type*
Permanent
3c. Type of impact*
Culvert
3d. S. name*
Unnamed Tributary to Linville
River
3e. Stream Type*
?)
Intermittent
3f. Type of
Jurisdiction*
Both
3g. S. width
Average (feel)
3h. Impact
length*
20
(linear feet)
S2
Culvert Installation
Temporary
--]
Culvert
Unnamed Tributary to Linville
River
Intermittent
Both
Average (feet)
40
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
20
3i. Total stream and ditch impacts:
60
3j. Comments:
3i. Total temporary stream impacts:
40

E. Impact Justification and Mitigation
0
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The proposed driveway crossing was designed to completely bypass the wetland on -site and to cross the intermittent stream with the least possible
impacts to aquatic resources.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Work will take place from the streambank to reduce sedimentation. All disturbed areas of the streambank will be seeded and matted at the close of the
work day.
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:
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. 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:
This project it not adjacent to a protected riparian buffer listed under one of the NC Riparian Buffer Protection Rules.
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
1a. 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.
No future development is anticipated at this time. If a homesite were to be built on the lot in the future, it will be done so in a way to not negatively
impacts downstream water quality.
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
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
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?
USFWS IPaC Regulatory Review
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?
NCSHPO HPO Web Mapper
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?
FEMA Floodmaps - Firmette
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
PCN Combined Package.pdf 48.52MB
File must be PDF or KMZ
Comments
Attached:
-Agent Authorization Form
-Current Plat
-Site Plan
-USGS Topographic Map
-NC DEQ Stream ID Form(s)
-Biological Assessment for USFWS IPaC
-NC SHPO Map (HPO Web Mapper)
-FEMA Firmette
Signature
a
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:
Sarah Kilby
Signature
IAw "
Date
6/5/2023