20240223 Ver 1_ePCN Application_20240202

DW R
DHlsloo of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
October 2, 2023 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.
Does this project involve maintenance dredging funded by the Shallow Draft Navigation Channel Dredging and Aquatic Weed Fund or involve the distribution or transmission of energy or
fuel, including natural gas, diesel, petroleum, or electricity?
Yes No
BIMS # Assigned Version# *
20240223 1
Is a payment required for this project?*
No payment required
What amount is owed?*
Fee received
$240.00 $570.00
Fee needed - send electronic notification
$323.00 $767.00
Reviewing Office*
Select Project Reviewer*
Mooresville Regional Office - [phone]
Andrew Pitner:andrew.pitner
Information for Initial Review
1a. Name of project:
Wakefield
1a. Who is the Primary Contact?*
Tommy Leppert
1b. Primary Contact Email:* 1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
2/2/2024
Nearest Body of Water
Duck Creek
Basin
Yadkin-PeeDee
Water Classification
Class C
Site Coordinates
Latitude: Longitude:
35.72911-80.88735
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Iredell
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
1b. 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:
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
29 - Residential Developments
58 - Utility Line Activities for Water and Other Substances (frequently used)
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
fig. 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)
1e. Is there an Agent/Consultant for this project?
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
BARIUM SPRINGS HOME FOR CHILDREN
2b. Deed book and page no.:
401 / 510
2c. Contact Person:
2d. Address
Street Address
138 Barium Springs Drive
Address Line 2
City
Troutman
Postal / Zip Code
28166
401 Water Quality Certification - Express
Riparian Buffer Authorization
Stale / Province / Region
North Carolina
Country
USA
Yes No
Yes No

2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
BARIUM SPRINGS HOME FOR CHILDREN INC
2b. Deed book and page no.:
1863 / 1638; 1863 / 1600
2c. Contact Person:
2d. Address
Street Address
210 and 208 Duck Creek Road
Address Line 2
city
Troutman
Postal / Zip Code
28166
2e. Telephone Number:
[phone]
2g. Email Address:*
tom [e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Tommy Leppert
3b. Business Name:
Prestige Corporate Development
3c.Address
Street Address
7224 Jameson Way
Address Line 2
city
Stanley
Postal / Zip Code
28164
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Jennifer Robertson
4b. Business Name:
Atlas Environmental Inc.
4c.Address
Street Address
338 S. Sharon Amity Road #441
Address Line 2
city
Charlotte
Postal / Zip Code
28211
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
2f. Fax Number:
State / Province / Region
North Carolina
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
3e. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:

C. Project Information and Prior Project History
0
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Troutman
2. Project Identification
2a. Property Identification Number:
4742269955.000, 4742266650.000,
2b. Property size:
4732959334.000
455
2c. Project Address
Street Address
107 Grannis Lane
Address Line 2
City
State / Province / Region
Troutman
North Carolina
Postal / Zip Code
Country
28166
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:"
Duck Creek
3b. Water Resources Classification of nearest receiving water:
Class C
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.
030401020303
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 current land use of the review area is mostly logged with the drainage area being forested. A complex of buildings is located along State Hwy 115. There are also a few buildings along
Duck Creek Road. There is an old aboveground septic field located centrally within the review area.
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).
SAW-2022-01312
4f. List the total estimated acreage of all existing wetlands on the property:
6.082
4g. List the total estimated linear feet of all existing streams on the property:
0.038
4h. Explain the purpose of the proposed project:
The project's purpose is for the construction of a residential development with a mixed -use area near Shelton Avenue.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:"
The project will require land clearing and grading using heavy equipment for the preparation and construction of the buildings. The development will require eight permanent wetland
impacts and two permanent stream impacts. The two permanent stream impacts are needed for road crossings and grading. A small amount of the impacts will go to lot fill and greenway
construction. The four temporary stream impacts are needed for sewer line/greenway crossings. All temporary impacts will be restored to existing conditions. The majority of the
permanent wetland impacts are needed for grading and greenway construction. The largest permanent wetland impact (W1) is needed for road construction and grading. Four temporary
wetlands are needed for sewer line crossings. Three temporary wetlands crossings are in forested wetlands with one occurring in an herbaceous wetland.
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:
SAW-2022-01312
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Atlas Environmental Staff
Agency/Consultant Company: Atlas Environmental Inc.
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
PJD was issued on August 08, 2022
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?
a sewer line is currently being delineated
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries a Buffers
Open Waters Pond Construction
2. Wetland Impacts
0
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W. *
2d. W. name
2e. Forested *
2f. Type of Jurisdicition *
2g. Impact
(?)
area *
WL 1
road and grading
P
Ftt-mland Hardwood Forest
WL E 1100
Yes
Both
0.309
(acres)
WL 2
sewer and greenway
T
Ftt-mland Hardwood Forest
WL D 1000
Yes
Both
0.006
(acres)
WL 3
sewer line
T
Ftt-mland Hardwood Forest
WL D 1000
Yes
Both
0.020
(acres)
WL 4
grading
P
Fttomland Hardwood Forest
WL G 1800
Yes
Both
0.001
(acres)
WL 5
grading and greenway
P
Fttomland Hardwood Forest
WL G 1500
Yes
Both
0.132
(acres)
WL 6
grading and greenway
P
Bottomland Hardwood Forest
WL G 1500
Yes
Both
0.003
(acres)
WL 7
sewer line
T
Fttomland Hardwood Forest
WL H 1100
Yes
Both
0.011
(acres)
WL 8
greenway
P �Fttomland
Hardwood Forest
WL H 1000
Yes
Both
0.001
(acres)
WL 9
grading and greenway
P
Fttomland Hardwood Forest
WL A 1200
Yes
Both
0.012
(acres)
WL 10
grading and greenway
P
Fttomland Hardwood Forest
WL A 1200
Yes
Both
0.006
(acres)
WL 11
grading from road and
P
mland Hardwood Forest
ff
WL H 1300
Yes
Both
0.001
greenway trail and lot fill
(acres)
WL 12
sseweer lii a and
F
Seep
WL A 1600
Yes
Both
0(036
gre
)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.073 0,465
2g. Total Wetland Impact
0.538
2i. Comments:
Impact WL2, WL 3, WL 7, and WL12 are all sewer line impacts and will be permitted under an NWP 58

3. Stream Impacts
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
(?)
Jurisdiction*
length*
g1
sewer line
Temporary
Other
CH D
Perennial
Both
108
Aveage (feet)
(linear feet)
S2
sewer line
Temporary
Other
CH G
Perennial
Both
108
Average (feet)
(linear feet)
S3
sewer line
Temporary
Other
CH H
Perennial A
Both
58
Average (feet)
(linear feet)
S4
grading from road and sewer
Permanent
Fill
CH H
Perennial
Both
125
line and lot fill
Ave age (feet)
(linear feet)
�1199
rading from road and
Permanent
Fill
CH A
Perennial
Bothreenway
trail and lot fill
Ave age (reef)
(linear feet)
S6
sewer and greenway, grading
Temporary
Other
CH A
Perennial
Both
116
Average (feet)
(linear feet)
S7
Greenway and sewer
Temporary
Other
CH A and I
Perennial
Both
11
94
Average (feel)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
236
31. Total stream and ditch impacts:
720
3j. Comments:
S1, S2, S3, S6, and S7 are all permitted under a NWP 29
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
484
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The site has been designed and engineered to avoid and minimize impacts to the greatest extent possible. Additional impacts are being avoided by site
design and the construction of retaining walls.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Two existing culverts are being used for the construction of the walking trails on site. Buffers have also been added to all the stream on site and all
stream buffer impacts have been noted within the impact exhibit.
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):
D W R 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
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
Yes No
4b. Stream mitigation requested:
(linear feet)
236
4d. Buffer mitigation requested (DWR only):
(square feet)
0
4f. Non -riparian wetland mitigation requested:
(acres)
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(acres)
0.503
4g. Coastal (tidal) wetland mitigation requested:
(acres)
0
Q
V

4h. Comments
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
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:
Not adjacent to state protected riparian buffers
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
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
2d. Which of the following stormwater management program(s) apply:
Local Government State
Local Government Stormwater Programs
Phase II NSW USMP Water Supply
Please identify which local government stormwater program you are using.
Mooresville
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.
This is not a phased project
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.
project will connect to city sewer
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?
IPAC and NHP and consultation
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?"
NC HPO Buffer Map (see attached letter)
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 NFHL
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 dreg and drop files here to attach document
Wakefield ePCN documents compressed.pdf 26.63MB
File must be PDF or KMZ
Comments
Signature O
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:
Allyson Sinclair
Signature
Gf ,IAW,a
Date
2/2/2024