Historical Impacts Assessment Report

Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right-click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs.deq.nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30.pdf
Pre-Filing Meeting Date Request was submitted on:*
If this is a courtesy copy, please fill in this with the submission date.
County (or Counties) where the project is located:*
Is this a NCDMS Project *
Is this project a public transportation project?*
1a. Type(s) of approval sought from the Corps:*
Has this PCN previously been submitted?*
1b. What type(s) of permit(s) do you wish to seek authorization?*
1c. Has the NWP or GP number been verified by the Corps?*
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:*
1e. 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:
A. Processing Information
11/9/2022
Haywood
Yes No
Click Yes, only if NCDMS is the applicant or co-applicant.
Yes No
This is any publicly funded by municipal,state or federal funds road, rail, airport transportation project.
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Yes
No
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
Yes No
42 - Recreation Facility
N/A
List all NW numbers you are applying for not on the drop down list.
check all that apply
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual 401 Water Quality Certification
Yes No
Yes No
1f. Is this an after-the-fact permit application?*
1g. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?*
1j. Is the project located in a designated trout watershed?*
You must submit a copy of the appropriate Wildlife Resource Commission Office.
Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
1a. Who is the Primary Contact?*
1b. Primary Contact Email:*
1c. Primary Contact Phone:*
1d. Who is applying for the permit?*
1e. Is there an Agent/Consultant for this project?*
2. Owner Information
3.Applicant Information (if different from owner)
Yes No
If so, attach the acceptance letter from mitigation bank or in-lieu fee program.
Yes No
Click the upload button or drag and drop files here to attach document
FILE TYPE MUST BE PDF
Yes No
Yes No
B. Applicant Information
Preston R. Gregg
[e-mail]
(xxx)xxx-xxxx
[phone]
Owner Applicant (other than owner)
(Check all that apply)
Yes No
2a. Name(s) on recorded deed:*
2b. Deed book and page no.:
2c. Contact Person:
2d. Address *
2e. Telephone Number:*
2f. Fax Number:
2g. Email Address:*
West Springdale LLC A SC LLC
1018/572
(for Corporations)
N/A
City
Hartsville
State / Province / Region
South Carolina
Postal / Zip Code
29550
Country
United States
Street Address
910 Prestwood Drive
Address Line 2
(xxx)xxx-xxxx
[phone]
(xxx)xxx-xxxx
[e-mail]
3a. Name:*
3b. Business Name:
Preston R. Gregg
(if applicable)
PR Engineering, PLLC
1a. Name of project:*
1b. Subdivision name:
1c. Nearest municipality / town:*
2a. Property Identification Number:2b. Property size:
2c. Project Address
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey-grade GPS device) after the decimal place as appropriate, based on how the location was
determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude:*Longitude:*
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
3b. Water Resources Classification of nearest receiving water:*
Surface Water Lookup
3c. What river basin(s) is your project located in?*
3d. Please provide the 12-digit HUC in which the project is located.*
River Basin Lookup
4. Project Description and History
3c. Address *
3d. Telephone Number:*
3e. Fax Number:
3f. Email Address:*
City
Canton
State / Province / Region
North Carolina
Postal / Zip Code
28716
Country
United States
Street Address
83 Shermans Run
Address Line 2
[phone]
(xxx)xxx-xxxx (xxx)xxx-xxxx
[e-mail]
C. Project Information and Prior Project History
1. Project Information
Springdale Golf Course Driving Range Expansion
(if appropriate)
N/A
Canton
2. Project Identification
(tax PIN or parcel ID)
8663-59-2373
(in acres)
161.008
City
Canton
State / Province / Region
North Carolina
Postal / Zip Code
28716
Country
United States
Street Address
200 Golfwatch Road
Address Line 2
35.445830
ex: 34.208504
-82.810750
-77.796371
Long Branch and 2 other un-named branches run across the property mentioned herein.
WS-III; Tr
French Broad
060101060103
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:*
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
4f. List the total estimated acreage of all existing wetlands on the property:
4g. List the total estimated linear feet of all existing streams on the property:
4h. Explain the purpose of the proposed project:*
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
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?*
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? This includes other
separate and distant crossing for linear projects that require Department of the Army authorization but don’t require pre-construction notification.
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
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.
Springdale Golf Course is the location of the project site. The Springdale Golf Course property is a commercial property used primarily for recreation. The property described herein has
two small ponds and three branches, two of which are intermittent and unnamed and one perennial known as Long Branch.
Yes No Unknown
0 acres
(intermittent and perennial)
6000 linear feet
West Springdale, LLC intends on expanding the driving range at Springdale Golf Course. The expansion of the driving range includes the proposed construction of a new range tee, future
building, and 98 new parking spaces following the removal of existing paving, gravel, and building per the plans. Within this project is it proposed to pipe underground 480 linear feet of
Long Branch and 290 linear feet of an unnamed, intermittent branch that flows into Long Branch.
Initially, a construction entrance, silt fence, and temporary sediment traps are installed on site per the project plans. 90 linear feet of 15-inch high-density polyethylene (HDPE) pipe with a
rip rap inlet and outlet shall be fit to the ditch line and buried under the project site construction entrance off Country Club Drive. After the measures above have been completed, the
existing pavement, gravel, and building shall be removed, and ground cover reestablished as shown on the proposed plans.
A turf reinforced mat (TRM) channel utilizing a series of compost sock ditch checks shall follow the south side of Country Club Drive to control storm water and erosion. It is proposed to
pipe in 480 linear feet of a branch known as, Long Branch, using 36-inch HDPE pipe. The 480 linear feet of 36-inch HDPE and the TRM channel shall feed into a catch basin on the south
side of Country Club Drive. Serving as the catch basin outlet, 80 linear feet of 36-inch HDPE pipe shall replace the existing 24-inch corrugated polyethylene plastic (CPP) pipe that runs
under the road to the north side of Country Club Drive.
Similarly, it is proposed to pipe underground 290 linear feet of an unnamed, intermittent branch using 24-inch HDPE pipe. A catch basin placed along the 290 linear feet run of HDPE pipe
will also serve 48 linear feet of 8-inch PVC connected to a spring box where an existing pond will be removed per the project plans. Downhill from the proposed work on the unnamed
branch, compost sock ditch checks will be placed in an existing watercourse to manage storm water runoff before flowing into Long Branch.
The portion of channel left exposed on both Long Branch and the unnamed branch shall be enhanced using turf reinforced matting. Sections of both branches that are to be piped
underground shall include head walls with inlet protection, catch basins with grates, head walls with rip rap aprons, and check dams for outlet protection.
Following the construction listed above, site grading and slope stabilization shall occur per the plans. Slopes steeper than three to one shall have erosion control matting and seeding
mixture applied. Site grading includes shaping slopes, preparing the new range tee location, future building site, and parking lot location. Once grading is complete, construction of the new
range tee, future building, and parking lot will commence.
Equipment such as bulldozers, track-hoes, excavators, skid-steers, and dump trucks will be utilized to complete the proposed work.
Yes No Unknown
N/A
Preliminary Approved Not Verified Unknown N/A
Example: SAW-2017-99999
N/A
N/A
N/A
N/A
Yes No
There will not be any other nation wide permits, regional general permits, or individual permits used, or intended to be used, regarding the proposed project.
D. Proposed Impacts Inventory
Wetlands Streams-tributaries Buffers
Open Waters Pond Construction
"S." will be used in the table below to represent the word "stream".
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
S2
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
3i. Total permanent stream impacts:
3i. Total temporary stream impacts:
3i. Total stream and ditch impacts:
3j. Comments:
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
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?
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website.
*** Recent changes to the stormwater rules have required updates to this section .***
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?
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT’s Individual NPDES permit NCS000250?*
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?*
To look up low density requirement click here 15A NCAC 02H .1003(2).
Pipe an existing branch
underground.
Permanent Culvert Long Branch Perennial Both 1
Average (feet)
480
(linear feet)
Pipe an existing branch
underground.
Permanent Culvert Unnamed Intermittent Both 1/2
Average (feet)
290
(linear feet)
0
770
0
770
The unnamed, intermittent branch listed above flows into Long Branch, both being streams impacted by the proposed project.
E. Impact Justification and Mitigation
Proposed impacts shall be avoided or minimized by using proper erosion control, grading, slope stabilization, and ground cover seeding techniques.
Enhancing storm water ditches and branch channels with turf reinforced matting per the plans will subsequently minimize impacts. All measures
ultimately are used to direct a perennial branch, an intermittent branch, and storm water that flows across the property.
Erosion control measures such as using silt fence, temporary sediment traps, erosion control matting, and seeding techniques will be utilized where
necessary per plans. A temporary gravel construction entrance will also aid in minimizing the impacts caused by the construction. Ditches with turf
reinforced matting will include a series of compost sock ditch checks to catch sediment and reduce impacts caused by storm water runoff. Rip rap inlets
and outlets shall protect culverts and storm drainage systems by preventing sediment from entering and accumulating.
Yes No
The US Army Corps of Engineers has not requested compensatory mitigation for this project.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
Yes No
The project site location does not include or is not adjacent to protected riparian buffers identified within on of the NC Riparian Buffer Protection Rules.
Yes No
Yes No
Comments:
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
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)?*
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality?*
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
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?*
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
5d. Is another Federal agency involved?*
5e. Is this a DOT project located within Division's 1-8?*
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?*
5g. Does this project involve bridge maintenance or removal?*
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?**
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.?*
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
The project is in compliance with the requirements provided in 15A NCAC 02H.1003(2).
G. Supplementary Information
Yes No
Yes No
Yes No
Yes No N/A
Yes No
Yes No
Yes No Unknown
Yes No
Yes No
Yes No
Yes No
Yes No
The "Protected Wildlife Species of North Carolina" manual from ncwildlife.org, as well as the US Fish and Wildlife Service's Environmental Conservation
Online System.
Yes No
National Oceanic and Atmospheric Association: Essential Fish Habitat Mapper
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 (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?*
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
8c. What source(s) did you use to make the floodplain determination?*
Comments
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.
*
· 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:*
Signature *
Date
Yes No
NC Historic Preservation Office's HPOWEV 2.0 - General Audience map
Yes No
Flood Risk Management System and Haywood County GIS
Miscellaneous
Click the upload button or drag and drop files here to attach document
SPRINGDALE GOLF COURSE DRIVING RANGE EXPANSION PERMITTING REV 1.pdf 4.41MB
File must be PDF or KMZ
Signature
By checking the box and signing below, I certify that:
Preston R. Gregg
11/9/2022

PCN Stream Impact Table

Reason for
impact
Impact
type
Type of
impact
Stream
name
Stream
type
Type of
jurisdiction
Stream
width
(inches)
Impact
length
(feet)

Stream
1

Pipe Section
of stream
underground

Permanent

Culvert

UT1

Perennial

Both

20

295

Stream
2

Stream
restoration of
UT2

Permanent

Restoration/
Enhancement

UT2

Perennial

Both

16

360

Stream
3

UT1 pump
around
diversion

Temporary

Temporary
stream
diversion

UT1
Pump
Around

Perennial

Both

20

10

Stream
4

UT2 pump
around
diversion

Temporary

Temporary
stream
diversion

UT2
Pump
Around

Perennial

Both

16

20

Open
Water
1

Remove Old
Impoundment
(Non-JD per
ACOE)

Permanent

Culvert

N/A

N/A
(Non-JD
Per
ACOE)

Non-JD

Non-JD

Non-JD

PROJECT
IMPACT FEATURE TYPE YEAR PERMIT NO.NON-NOTIFYING
A
CULVERT -
Ø18" CORRUGATED METAL PIPE
≈ 20' LONG
STREAM - UNNAMED TRIBUTARY 1966-1968 N/A N/A
B
D
C
H
G
E
F
M
N
I
J
L
K
P
O
CULVERT -
Ø15" CORRUGATED METAL PIPE
≈ 30' LONG
UNNAMED TRIBUTARY 1966-1968 N/A N/A
BRIDGE/CULVERT -
Ø36" CORRUGATED METAL PIPE
≈ 20' LONG
STREAM - LONG BRANCH 1966-1968 N/A N/A
CULVERT - POND OUTLET
Ø15" CORRUGATED METAL PIPE
≈ 20' LONG
IMPOUNDMENT TO UNNAMED
TRIBUTARY 1966-1968 N/A N/A
CULVERT -
Ø12" HDPE
≈ 20' LONG
UNNAMED TRIBUTARY POST 1970s N/A N/A
CULVERT - POND OUTLET
Ø18" HDPE
≈ 110' LONG
IMPOUNDMENT TO UNNAMED
TRIBUTARY POST 1970s N/A N/A
CULVERT -
Ø12" CORRUGATED METAL PIPE
≈ 10' LONG
GROUNDWATER / STORM WATER 1966-1968 N/A N/A
CULVERT - POND INLETS
(2)Ø18" HDPE
≈ 275' LONG
UNNAMED TRIBUTARY TO
IMPOUNDMENT POST 1970s N/A N/A
CULVERT -
Ø12" HDPE
≈ 10' LONG
UNNAMED TRIBUTARY POST 1970s N/A N/A
CULVERT -
Ø24" CORRUGATED METAL PIPE
≈ 30' LONG
UNNAMED TRIBUTARY 1966-1968 N/A N/A
CULVERT -
Ø24" CORRUGATED METAL PIPE
≈ 150' LONG
UNNAMED TRIBUTARY 1966-1968 N/A N/A
CULVERT -
Ø15" CORRUGATED METAL PIPE
≈ 70' LONG
IMPOUNDMENT TO UNNAMED
TRIBUTARY 1966-1968 N/A N/A
CULVERT -
Ø15" CORRUGATED METAL PIPE
≈ 20' LONG
UNNAMED TRIBUTARY 1966-1968 N/A N/A
CULVERT -
Ø12" HDPE
≈ 220' LONG
IMPOUNDMENT TO UNNAMED
TRIBUTARY
POST 1970s N/A N/A
CULVERT -
Ø15" HDPE
≈ 30' LONG
UNNAMED TRIBUTARY POST 1970s N/A N/A
CULVERT -
Ø48" HDPE
≈ 30' LONG
UNNAMED TRIBUTARY
TROPICAL STORM
FRED
REPLACEMENT
N/A N/A
HDPE - HIGH-DENSITY POLYETHYLENE PIPE
* (BEGAN TO REPLACE METAL AND CONCRETE IN THE 1980s)
BY INSPECTION, ALL HDPE MENTIONED HEREIN WAS INSTALLED POST 1970s AS A REPLACEMENT FOR
EXISTING CORRUGATED METAL PIPE (CMP) THAT WAS INSTALLED AROUND THE COURSE PROPERTY
DURING ITS CONSTRUCTION IN 1966-1968. CAUSES FOR EXISTING CMP TO BE REPLACED WITH HDPE
RANGE FROM REGULAR REPAIR/MAINTENANCE, STORM REPAIR POST FLOODS OF 2004, AND POST
FLOODS OF 2021 (TROPICAL STORM FRED).
CB
A
E
D
N
L
F
G H I
J K
P
M
O
IMPACT CHART MAP
PROJECT
IMPACT CHART
REFERENCE IMAGES
A B C D
E F G H
I J K L
M N O P
PROJECT