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HomeMy WebLinkAboutPre-Construction Notification (PCN) Form_Carpenter Falls RFAI Update.pdf DWR mrlsloa 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.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30.pdf A. Processing Information Pre-Filing Meeting Date Request was submitted on: 8/31/2022 If this is a courtesy copy,please fill in this with the submission date. Is this project connected with ARPA funding?* Yes No County(or Counties)where the project is located: Durham Is this a NCDMS Project* Yes No Click Yes,only if NCDMS is the applicant or co-applicant. DO NOT CHECK YES,UNLESS YOU ARE DMS OR CO-APPLICANT. Is this project a public transportation project?* Yes 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:* 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 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: 29-Residential Developments NWP Numbers(for multiple NWPS): List all NW numbers you are applying for not on the drop down list. 1d.Type(s)of approval sought from the DWR: 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 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 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 m-lieu fee program. Yes No Acceptance Letter Attachment Click the upload button or drag and drop files here to attach document FILE TYPE MUST BE PDF 1 h.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 Link to trout information:http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx B. Applicant Information 1a.Who is the Primary Contact?* Deborah Shirley 1c.Primary Contact Phone: 1b.Primary Contact Email: pax)xxx-xxxx dshirley@sandec.com (919)846-5900 1d.Who is applying for the permit?* Owner Applicant(other than owner) (Check all that apply) le.Is there an Agent/Consultant for this project?* Yes No 2.Owner Information 2a.Name(s)on recorded deed:* SHUPING GRACE J ESTATE 2b.Deed book and page no.: DB:1999-E;DP:000046 2c.Contact Person: (for Corporations) ATTN LAWRENCE B SHUPING JR 2d.Address"' Street Address 2441 W LAKE DR Address Line 2 City State/Province/Region Raleigh NC Postal/Zip Code Country 27609 USA 2e.Telephone Number:* (919)448-6308 2f.Fax Number: (xxx)xxx-xxxx 2g.Email Address: robert.rudloff@pultegroup.com 3.Applicant Information(if different from owner) 3a.Name:* Chris Raughley 3b.Business Name: (if applicable) Pulte Home Company,LLC 3c.Address Street Address 1225 Crescent Green Drive,Ste.250 Address Line 2 City State/Province/Region Cary NC Postal/Zip Code Country 27518 USA 3d.Telephone Number:" (919)448-6308 3e.Fax Number: (xxx)xxx-xxxx (xxxbxx-xxxx 3f.Email Address: robert.rudloff@pultegroup.com 4.Agent/Consultant(if applicable) 4a.Name:' Deborah Shirley 4b.Business Name: (if applicable) Soil&Environmental Consultants,PA 4c.Address Street Address 8412 Falls of Neuse Road,Ste.104 Address Line 2 City State/Province/Region Raleigh NC Postal/Zip Code Country 27615 USA 4d.Telephone Number:* 4e.Fax Number: (919)846-5900 (919)846-9467 (xxx)xxx-xxxx (xxxpxx-xxxx 4f.Email Address: dshirley@sandec.com C. Project Information and Prior Project History u 1.Project Information L^J 1a.Name of project:" Carpenter Falls 1b.Subdivision name: (if appropriate) 1c.Nearest municipality I town: Durham 2.Project Identification L^J 2a.Property Identification Number: 2b.Property size: (tax PIN or parcel ID) (in acres) 0852-49-41-4518 129.84 2c.Project Address Street Address 2621 Burton Road Address Line 2 City State/Province/Region Durham NC Postal/Zip Code Country 27704 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.) Latitude: Longitude:* 36.0279 -78.8159 ex:34.208504 -77.796371 3. Surface Waters 3a.Name of the nearest body of water to proposed project:' UT to Panther Creek 3b.Water Resources Classification of nearest receiving water: WS-IV;NSW Surface Water Lookup 3c. What river basin(s)is your project located in?* Neuse 3d.Please provide the 12-digit HUC in which the project is located. 030202010404 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: Existing conditions consist of wooded land that is bisected by streams and wetlands.The property is bound by a railroad to the north,Burton Road to the east,Carpenter Road to the west. General land use in the vicinity consist of residential and wooded land. 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: Approximately 7.34 acres 4g.List the total estimated linear feet of all existing streams on the property: (intermittent and perennial) Approximately 8,657 LF 4h.Explain the purpose of the proposed project:* The purpose of the proposed project is to construct a residential development and it's necessary infrastructure. 41.Describe the overall project in detail,including indirect impacts and the type of equipment to be used: The overall project consists of a conservation subdivision consisting of 231 single-family lots and the construction of roadway infrastructure,utilities,single-family lots,amenity center and Stormwater Control Measures(SCM's).Specifically,there are stream,riparian buffer and riparian buffer impacts associated with utility connection.Equipment typically used for construction and earthwork such as backhoes,bulldozers,excavators,graders,pavers etc.will be utilized for this project. 5. Jurisdictional Determinations 5a.Have the wetlands or streams been delineated on the property or proposed impact areas? Yes No 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: Example:SAW-2017-99999 SAW-2021-00582 5c.If 5a is yes,who delineated the jurisdictional areas? Name(if known): Lisa Long Agency/Consultant Company: Spangler Environmental Other: 5d.List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR. USACE:Email concurrence from April Norton 05/03/2021 NCDWR:Buffer Determination by Erin Deck&Brion Byers 5/12/2021(DWR RRO#21-081) "preliminary box checked so that this data box is activated,PJD/AJD not verified- 6. Future Project Plans 6a.Is this a phased project?* Yes 0 No 6b.If yes,explain. There will be three phases for construction,all proposed impacts are within the proposed property boundaries. 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. It is my understanding that there are no intended future phases beyond the property boundaries shown.Therefore,no additional NWP,Regional General Permits,or IP are anticipated. 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 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". 2a1 Reason*(?) 2b.Impact type*(?) 2c.Type of W. 2d.W.name* 2e.Forested* r11f) Type of Jurisdicition*2g.impact area* Road Crossing-Fill P Bottomland Hardwood Forest W16 Yes Both 0.155 (acres) F771Road Crossing-Fill P Headwater Forest W23 Yes Both 0.030 (acres) 2g.Total Temporary Wetland Impact 0.000 2g.Total Permanent Wetland Impact 0.185 2g.Total Wetland Impact 0.185 21.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. "S."will be used in the table below to represent the word"stream". 3a.Reason for impact*(?) 3b.lmpact type* 3c.Type of impact* 3d.S.name* 3e.Stream Type* [3f.Type of 39 S width* 3h.Impact (?) urisdiction* length* S1 Impact 1-Road Crossing- Permanent Culvert Stream E Intermittent Both 101 Culvert Average(feet) pinear feet) S2 Impact 1-Road Crossing- Temporary Other Stream E Intermittent Both 5 42 Temporary Construction Average(feet) (linear feet) Access S3 Impact 1-Road Crossing- Permanent Other Stream E Intermittent Both 9 18 Permanent No Permanent Average(feet) (linear feet) Loss-Dissipator Pad S4 Impact 2-Road Crossing- Permanent Culvert Stream F Intermittent Both 80 Culvert Average(feet) pinear feet) S5 Impact 2-Road Crossing- Temporary Other Stream F Intermittent Both 5 11 Temporary Construction Average(feet) linear feet) Access S6 Impact 2-Road Crossing- Permanent Other Stream F Intermittent Both 8 18 Permanent No Permanent Average(feet) (linear feet) Loss-Dissipator Pad g7 Impact 3-Road Crossing- Permanent Culvert Stream H Intermittent Both 6 105 Culvert Average(feet) (linear feeQ gg Impact 3-Road Crossing- Temporary Other Stream H Intermittent Both 6 8 Temporary Construction Average(feet) (linear feet) Access S9 Impact 3-Road Crossing- Permanent Other Stream H Intermittent Both 7 18 Permanent No Permanent Average(feet) (linear feet) Loss-Dissipator Pad "All Perennial or Intermittent streams must be verified by DWR or delegated local government. 31.Total jurisdictional ditch impact in square feet: 0 31.Total permanent stream impacts: 340 31.Total temporary stream impacts: 61 31.Total stream and ditch impacts: 401 3j.Comments: Total permanent loss stream=286 LF(.036 acres);Total permanent-no permanent loss stream=54 LF(0.009 acres);Total temporary stream=61 LF (0.007 acres);Temporary stream impacts will be brought back to pre-construction stream bed elevations and the stream banks will be stabilized. 6. Buffer Impacts (for DWR) If project will impact a protected riparian buffer,then complete the chart below.Individually list all buffer impacts below. 6a.Project is in which protect basin(s)?* Check all that apply. Neuse Tar-Pamlico Catawba Randleman Goose Creek Jordan Lake Other 6b.Impact Type*(?) 6c.Per or Temp*(?) ,Stream name* 6e.Buffer mitigation required?" 6f.Zone 1 impact" 6g.Zone 2 impact" Impact 1:Road Crossing P Stream E No 8,889 5,464 (square feet) (square feet) Impact 2:Road Crossing P Stream F No 6,094 3,658 (square feet) (square feet) 3,742 Impact 3:Road Crossing P Stream H No 7,435 (square feet) (square feet) Impact 4:Sanitary Sewer Connection(deemed P Stream B No 409 601 allowable) (square feet) (square feet) Impact 6-Road Grading P Stream H Yes 1,756 3,431 (square feet) (square feet) 6h. Total buffer impacts: Zone 1 Zone 2 Total Temporary impacts: 0.00 0.00 Zone 1 Zone 2 Total Permanent impacts: 24,583.00 16,896.00 Zone 1 Zone 2 Total combined buffer impacts: 24,583.00 16,896.00 6i.Comments: 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:* A wetland and stream delineation and Neuse River Buffer evaluation for the entire property was completed in order to identify natural resources so that impacts could be avoided&minimized to the maximum extent practicable.Impact 1 is a proposed road crossing.Proposed impacts include permanent (i.e.culvert),permanent-no permanent loss(i.e.riprap dissipator),temporary(i.e.construction access)stream impacts,permanent wetland and associated riparian buffer impacts.This road crossing is necessary to provide access to the property from Burton Road.Stream,wetland and riparian buffer impacts have been minimized by utilizing retaining walls on both sides of the crossing,and by designing the crossing at a near perpendicular angle.Stream and wetland mitigation is proposed at a 2:1 ratio to compensate for the permanent stream and wetland loss.Impact 2 is a proposed road crossing.Proposed impacts include permanent(i.e.culvert),permanent-no permanent loss(i.e.riprap dissipator),temporary(i.e.construction access) stream impacts,and associated riparian buffer impacts.This road crossing is necessary to provide access to the property from Burton Road.Stream and riparian buffer impacts have been minimized by utilizing retaining walls on both sides of the crossing,and by designing the crossing at a near perpendicular angle.Stream mitigation is proposed at a 2:1 ratio to compensate for the permanent stream loss.Impact 3 is a proposed road crossing. Proposed impacts include permanent(i.e.culvert),permanent-no permanent loss(i.e.riprap dissipator),temporary(i.e.construction access)stream impacts,and associated riparian buffer impacts.This road crossing is necessary to provide access to the property from Carpenter Road.Stream and riparian buffer impacts have been minimized by utilizing retaining walls on both sides of the crossing,and by designing the crossing at a near perpendicular angle.Stream mitigation is proposed at a 2:1 ratio to compensate for the permanent stream loss.Impact 4 is a proposed Sanitary Sewer connection to an existing sanitary sewer outfall.Proposed impacts include Zone 1&Zone 2 riparian buffer impacts.The permanent easement width is 30 foot wide and therefore these impacts are considered deemed allowable per NCAC 02b.0714(11)(kk)(i).Impact 5 is a proposed road crossing. Proposed impacts include permanent wetland impacts.This road crossing is necessary to provide secondary access to the southeastern portion of the property.Impacts have been minimized by avoiding the stream and riparian buffers to the north(i.e.Feature F)and avoiding the wetlands to the south (i.e.W18).Wetland mitigation is proposed at a 2:1 ratio to compensate for the permanent wetland loss.Impact 6 is proposed road grading.Proposed impacts include permanent riparian buffer impacts.This road grading is necessary to provide access to the property from Carpenter Road.This parcel connection to Carpenter Road is narrow and to keep all proposed activity and impacts within the property boundaries,proposed grading into Zones 1&2 of the riparian buffer is necessary.Stream impacts have been avoided.Riparian buffer mitigation is proposed for these non-perpendicular buffer impacts. 1 b.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:* Per the project engineer:The contractor will provide coffer dams and utilize pump arounds with silt fencing and silt bags,in addition to other standard E&S measures during construction activities. 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 2c.If yes,mitigation is required by(check all that apply): DWR Corps 2d.If yes,which mitigation option(s)will be used for this project? Mitigation bank Payment to in-lieu fee program Permittee Responsible Mitigation 3. Complete if Using a Mitigation Bank 3a.Name of Mitigation Bank: EBX-Neuse sponsored Neu-Con Wetland&Stream Umbrella Mitigation Banks 3b.Credits Purchased/Requested(attach receipt and letter) Type: Quantity: Stream 572 Riparian wetland 0.37 Riparian buffer 10,415 3c.Comments S&EC reviewed the NCDWR Approved Mitigation Banks in NC list,there were four(4)banks listed within the 03020201 HUC that had either stream, riparian wetland and/or riparian buffer credits available.All four(4)were contacted.Attached are three Statement of Availability letters from Resource Environmental Solutions for stream,riparian wetlands and riparian buffer mitigation credits. INC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website. 6. Buffer mitigation (State Regulated Riparian Buffer Rules) -required by DWR 6a.Will the project result in an impact within a protected riparian buffer that requires buffer mitigation?If yes,you must fill out this entire form-please contact DWR 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 in the table below. 6c.Reason for impact 6d.Total impact(square Multiplier 6e.Required mitigation feet) (square feet) Zone 1 Impact 6:Road Grading/non-Perpendicular 1,756 3 5,268 Zone 2 Impact 6:Road Grading/non-Perpendicular 3,431 1.5 5,147 6f.Total buffer mitigation required 10,415 6g.If buffer mitigation is required,is payment to a mitigation bank or NC Division of Mitigation Services proposed? Yes No 6j.Comments: See attached SOA 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 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 1 b.All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the project is subject to a state implemented riparian buffer protection program, include a plan that fully documents how diffuse flow will be maintained. All Stormwater Control Measures(SCM)s must be designed in accordance with the NC Stormwater Design Manual. Associated supplement forms and other documentation shall be provided. What type of SCM are you providing? Level Spreader Vegetated Conveyance(lower SHWT) Wetland Swale(higher SHWT) Other SCM that removes minimum 30%nitrogen Proposed project will not create concentrated stormwater flow through the buffer (check all that apply) For a list of options to meet the diffuse flow requirements,click here. 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 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 No N/A-project disturbs<1 acre Hint:projects that have vested rights,exemptions,or grandfathering from state or locally implemented stormwater programs or projects that satisfy state or locally-implemented stormwater 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):" 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 LISMP Water Supply Please identify which local government Stormwater program you are using. City of Durham Comments: 5 Wet Detention Basins sized for 90%TSS Removal 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(based on past and reasonably anticipated future impacts)result in additional development,which could impact nearby downstream water quality?* Yes No 3b.If you answered"no,"provide a short narrative description. We have reviewed the"Draft Internal Policy,Cumulative impacts and the 401 Water Quality Certification and Isolated Wetlands Programs"document prepared by the NC Division of Water Quality on April 10,2004,version 2.1.The draft states that many private developments are unlikely to cause cumulative impacts,including projects such as urban in-fill,most residential subdivisions and small commercial developments as well as agricultural and silvicultural operations.The Carpenter Falls project is a residential development.Additionally,the project is located within the City of Durham jurisdiction, therefore the adjacent properties that have potential for development will have the following regulations to protect downstream waters:1)the Neuse River Basin Riparian Buffer Protection regulations,these regulations require limited development within the riparian buffer area,in addition Best Management Practices may be required that control nitrogen if diffuse flow cannot be achieved;2)the Phase II NPDES Stormwater Permit Program,this program includes permitting requirements for Municipal Separate Storm Sewer Systems(MS4s)in addition to post-construction stormwater management requirements;and 3)the Water Supply,Watershed Protection Program which limits development densities as well as requires protective riparian buffers.We anticipate that the NCDWR will advise us if any additional information is needed. 4. Sewage Disposal (DWR Requirement) 4a.Is sewage disposal required by DWR for this project?* Yes No 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. The wastewater will travel to a sewage treatment facility through the existing gravity sewer system.Non-Discharge 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 Unknown 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 Link to the NLEB SLOPES document: hftp://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf 5h.Does this project involve the constructionlinstallation of a wind turbine(s)?* Yes No 51.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? The previous consultants reviewed NCNHP for elemental occurrences in or within one mile of the subject property.No elemental occurrences were found.S&EC is currently in the process of completing a Threatened&Endangered Species report and will submit a concurrence request to USFWS when completed. 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? National Marine Fish Service;Essential Fish Habitat Mapper website was referenced.No Essential Fish Habitat was identified near the project. 7. Historic or Prehistoric Cultural Resources(Corps Requirement) Link to the State Historic Preservation Office Historic Properties Map(does not include archaeological data: hftp_//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 No 7b.What data sources did you use to determine whether your site would impact historic or archeological resources? The NC State Historic Preservation Office HPOWEB GIS Service interactive map was referenced on September 1,2022,no historic listings or study list entries or determined eligible listings were identified within the property boundaries.Additionally,no structures exist within the property boundaries. 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? Yes No 8b.If yes,explain how project meets FEMA requirements: Yes,one sanitary sewer outfall connection and two storm pipes will be installed to carry the flow from the ponds directly to the stream channel.These areas do not impact jurisdictional wetlands/streams.A floodplain development permit has been filed with the City of Durham. 8c.What source(s)did you use to make the floodplain determination?* NC Flood Risk Information System Floodplain Mapping Program and confirmation from the project engineer. Miscellaneous 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. Click the upload button or drag and drop files here to attach document PCN Attachments_Carpenter Falls.pdf 15.34MB File must be PDF or KMZ Signature * 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:* Deborah Shirley Signature* Date 6/5/2023