20230966 Ver 2_Harrisburg Park Pre-Construction Notification (PCN) Form_Resubmittal_20230906

DWR
IDIOM— 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
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.govfVVaterResources/0/edoc/624704/PCN / 20Help/ 20File/ 202018-1-30.pdf
A. Processing Information O
Pre -Filing Meeting Date Request was submitted on:
2/7/2023
If this is a courtesy copy, please fill in this with the submission date.
Is this project connected with ARPA funding?"
Q Yes No
County (or Counties) where the project is located:"
Cabarrus
Is this a NCDMS Project"
Q Yes QQ No
Click Yes, only if NCD MS is the applicant or co -applicant.
DO NOT CHECK YES, UNLESS YOU ARE DMS OR CO -APPLICANT
Is this project a public transportation project?"
Q Yes QQ No
This is any publicly funded by municipal,state or federal funds road, rail, airport transportation project.
la. Type(s) of approval sought from the Corps:"
0 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?"
Q Yes
QQ No
1 b. What type(s) of permit(s) do you wish to seek authorization?"
Q 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):
List all NVV numbers you are applying for not on the drop down list.
1 d. Type(s) of approval sought from the DWR:
check all that apply
❑ 401 Water Quality Certification - Regular
❑ Non-404 Jurisdictional General Permit
Q Individual 401 Water Quality Certification
39 - Commercial/Institutional Developments
le. Is this notification solely for the record because written approval is not required?
❑ 401 Water Quality Certification - Express
❑ Riparian Buffer Authorization
For the record only for DWR 401 Certification: 0 Yes OO No

For the record only for Corps Permit: OYes OQ No
1f. Is this an after -the -fact permit application?*
O Yes OQ No
1g. 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.
O Yes OQ No
Acceptance Letter Attachment
Click the upload button or drag and drop files hereto attach document
FILE TYPE MUST BE PDF
1 h. Is the project located in any of NC's twenty coastal counties?*
O Yes No
1j. Is the project located in a designated trout watershed?*
O Yes OO No
Linkto trout information: http://www.saw.usace.army.miI/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
la. Who is the Primary Contact?*
Jamie Morgan
1c. Primary Contact Phone:*
1 b. Primary Contact Email:* (xxx)xxx-xxxx
[e-mail] [phone]
1d. Who is applying forthe permit?*
(] Owner Q Applicant (other than owner)
(Check all that apply)
1 e. Is there an AgentlConsultant for this project?*
OQ Yes O No
2. Owner Information
2a. Name(s) on recorded deed:*
Town of Harrisburg
2b. Deed book and page no.:
2c. Contact Person:
(for Corporations)
Rob Donham, Town Manager
2d.Address*
Street Address
4100 Main Street
Address Line 2
Suite 101
City
State / Province / Region
Harrisburg
NC
Postal /Zip Code
Country
28075
USA
2e. Telephone Number:*
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
2g. Email Address: *
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:*
Jamie Morgan, President & CEO
3b. Business Name:
(if applicable)
Rowan-Cabarrus YMCA

3c. Address"
Street Address
215 G uffy Street
Address Line 2
City
Salisbury
Postal /Zip Code
28147
3d. Telephone Number:"
[phone]
3f. Email Address:"
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:"
Jesse Degnan, PWS
4b. Business Name:
(if applicable)
ECS Southeast
4c. Address"
Street Address
1812 Center Park Drive
Address Line 2
Suite D
City
Charlotte
Postal /Zip Code
28217
4d. Telephone Number:"
[phone]
4f. Email Address:"
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:"
Harrisburg YMCA
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/town:"
Harrisburg
2. Project Identification
State / Province / Region
NC
Country
USA
3e. Fax Number:
(xxx)xxx-xxxx
State / Province / Region
NC
Country
USA
4e. Fax Number:
(xxx)xxx-xxxx
2a. Property Identification Number:
(tax PIN or parcel ID)
2b. Property size:
5507346087000, 5507443477000,
(in acres)
550754621600
74
2c. Project Address
Street Address
Address Line 2
City
State / Province / Region
Harrisburg
NC
Postal /Zip Code
Country
USA
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.)
U
lJ
l^J

Latitude:" Longitude:"
35.316917-80.662069
ex: 34.208504-77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:"
Back Creek
3b. Water Resources Classification of nearest receiving water:"
C
Surface Water Lookup
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."
030401050301
River Basin Lookup
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 subject property is approximately 74 acres and consists of an existing park, roadways, and undeveloped woodlands. Surrounding properties consist of undeveloped woodlands and
commercial properties.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?"
O Yes OO No O Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0.96
4g. List the total estimated linear feet of all existing streams on the property:
(intermittent and perennial)
1,521
4h. Explain the purpose of the proposed project:"
The purpose of the project is to construct a new YMCA facility to serve the residents of the Town of Harrisburg and surrounding areas. The facility will host numerous community programs,
summer camps, sport tournaments, after school care, etc. The proposed development is located adjacent to the newly constructed Harrisburg Park, which was an important factor during
the siting process, as the YMCA facility will best serve the community being close to a community center like Harrisburg Park.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:"
Stream 1 divides the site and separates access from Harrisburg Park to the proposed YMCA facility. The proposed emergency access connecting to the northern -adjacent industrial
property is through private property and is not permitted to be used as the main entry point to the site. There are no other viable access locations from public rights -of -way to the proposed
YMCA site. Therefore, the only feasible way of providing access from Harrisburg Park to the proposed YMCA facility is via construction of a road crossing over Stream 1. The construction
access to the site will be routed through the industrial property until the proposed crossing is complete. No temporary stream crossings will be necessary.
A bottomless crossing or bridge is not feasible due to cost constraints. Proposed stream and wetland impacts have been minimized to the greatest extent practicable considering the
budget constraints of the proposed non-profit development.
The development will be constructed via standard construction procedures. Proper erosion and sediment control measures will be utilized and maintained throughout the project. Typical
materials and machinery will be used on -site during the construction process.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?"
C4 Yes No O Unknown
Comments:
PJD Issued (SAW-2018-01653)
5b. If the Corps made a jurisdictional determination, what type of determination was made?"
O� Preliminary O Approved O Not Verified O Unknown N/A
Corps AID Number:
Example: SAW-2017-99999
SAW-2018-01653
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: ECS Southeast
Other:

5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR.
10/17/2018
6. Future Project Plans
6a. Is this a phased project?"
Q 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? This includes other
separate and distant crossing for linear projects that require Department of the Army authorization but don't require pre -construction notification.
This is a single and complete project.
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 O Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
"W." will be used in the table below to represent the word "wetland".
v
Wetland 1
2a1 Reason"(?)
Grading
2b. Impact type*(?)
P
2c. Type of W.*
Headwater Forest
2d. W. name"
Wetland 1
2e. Forested"
Yes
2f. Type of Jurisdicition"
(?)
Both
29 Impact
area
0.003
(acres)
Wetland 1
Clearing ��T
Headwater Forest
Wetland 1
Yes
Both
0.004
(acres)
2g. Total Temporary Wetland Impact
0.004
2g. Total Permanent Wetland Impact
0.003
2g. Total Wetland Impact
0.007
2i. Comments:
Proposed temporary wetland impacts are unavoidable and necessary to provide room at the toe of slope for the fill slope to be worked on.
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.
"S." will be used in the table below to represent the word "stream".
3a. Reason for im pact" (?)
3b.lmpact type"
3c. Type of impact"
3d. S. name"
3e. Stream Type"
3f. Type of
3g. S. width"
3h. Impact
(?)
Jurisdiction"
length"
S1
Road Crossing 1
Permanent
Culvert
Stream 1
Perennial
Both
8
97
Average (feet)
(linear feet)
S2
Road Crossing 1
9
Permanent
Rip Rap Fill
p p
Stream 1
Perennial
Both
8
53
Average (feet)
Qinear feet)
S3
Road Crossing 1
Temporary
Other
Stream 1
Perennial
Both
8
22
Average (feet)
Qinear feet)
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
150
3i. Total temporary stream impacts:
22
3i. Total stream and ditch impacts:
172

3j. Comments:
Temporary stream impacts are proposed to provide construction dewatering and clean water bypass measures. All impacts have been minimized while
also providing sufficient space for appropriate erosion and sediment control measures. 0.009 acre of permanent stream impact is proposed for the
placement of rip rap. All rip rap will be keyed into the stream and, therefore, was not calculated as mitigatable impact.
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 proposed project has been planned and engineered to avoid wetland and waterbody impacts to the greatest extent practicable. Where avoidance
was not feasible, proposed impacts were minimized during the siting, planning, and engineering phases of the project. The road crossing will be
constructed at as close to a 90 degree angle as possible.
The original stream crossing design proposed a culvert length exceeding 120 LF. The roadway longitudinal slope was increased, the roadway cross
section was reduced, embankment fill slopes were steepened, and taller headwalls will be designed in order to reduce the permanent culvert length to
less than 100 LF. Permanent stream impacts were reduced from 160 LF to approximately 150 LF. Permanent wetland impacts were reduced from —700
SF to —126 SF.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:"
The development will be constructed via standard construction procedures. Appropriate construction techniques will be used, and erosion control
measures will be implemented accordingly to minimize potential sedimentation and other potential project -related impacts. Efforts will be made
throughout all construction phases to minimize the extent and duration of project -related disturbances to water resources. Temporary stream impacts will
be minimized using industry standard techniques such as temporary dam and bypass pump, limited excavation, and backfilling with native material.
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:
Proposed permanent impacts associated with the road crossing include 0.026 acre (150LF) of permanent stream impact for culvertand rip rap installation and 0.003 acre of permanent
wetland impact. 0.009 acre (22LF) of the proposed permanent stream impact total (0.026 acre) is for the placement of rip rap. All rip rap will be keyed into the stream and, therefore, was
not calculated as mitigatable impact.
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
*** 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?
O Yes No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
NC Riparian Buffer Protection Rules have not been established for the Yadkin Pee Dee River Basin.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?"
n Yes re) No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?"
Q Yes ,_, No
To look up low density requirement click here 15A NCAC 02H .1003(2).
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater program?"
Yes
Q No
u
U
N/A - project disturbs < 1 acre
Hint: projects that have vested rights, exemptions, or grandfathenng from state or locally implemented storm —ter programs or projects that satisfy state or locally -implemented stonnwater programs through use of community in -lieu programs should answer
no to this question.
2d. Which of the following stormwater management program(s) apply (check all that apply):"
0 Local Government ❑ State
If you have a local government approval please include the SMP on their overall impact map.
Local Government Stormwater Programs"
Phase II ❑ NSW
USMP ❑ Water Supply
Please identify which local government stormwater program you are using."
Town of Harrisburg

Comments:
Runoff from the proposed development will be treated by a proposed wet pond on -site. Overtreatment and over -detention in the proposed wet pond and the existing wet pond on the
Harrisburg Park site will result in no adverse impact on the receiving streams. The wet ponds will provide water quality treatment as well as runoff quantity control to reduce downstream
erosive potential of the development's runoff.
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)?"
C Yes No
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?"
_ Yes OO No
3b. If you answered "no," provide a short narrative description.
This is a single and complete project. This project is not part of a larger planned development. The proposed infrastructure and associated stream
impacts will be constructed in a single phase. Individual buildings may be constructed in phases or all at once. No further impacts are anticipated beyond
what is included in this initial phase.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?"
*Yes O No O N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated at a
treatment plant, list the capacity available at that plant.
Waste water will be handled by the Town of Harrisburg.
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?"
OO Yes O 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?"
O Yes OO No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?"
OO Yes O No
5g. Does this project involve bridge maintenance or removal?"
O Yes OO No
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)?*"
O Yes OO 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.?"
O Yes OQ No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?"
IPaC and consultation with the USFWS and NC NHP. Responses from the USFWS and NC NHP are attached.
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
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/
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)?"
Yes QQ No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?"
NC HPO database and consultation with the SHPO. Response letter from the SHPO is attached.
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https:Hmsc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-yearfloodplain?"
Yes No
8c. What source(s) did you use to make the floodplain determination?"
FEMA Floodplain Mapper
Miscellaneous
Comments
u
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
1. Prefile.pdf
69.94KB
PJD Harrisburg Park.pdf
542.24KB
Ex h ibits. pdf
4.45M B
Property Cards. pdf
440.75KB
USF WS. pdf
183.44KB
N H P. pdf
900.61 KB
SH PO. pdf
152.44KB
File must be PDF or KMZ
Signature
0 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.
• have given true, accurate, and complete information on this form;
• 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:"
Jesse Degnan
Signature"
.7TS50 PFWWA*l
Date
7/5/2023