20140972 Ver 2_401 Application_20151015

F,
BEE50111 9CRRTER, PR.
CIVIL ENGINEERS LAND SURVEYORS
LAND PLANNING
503 High Street, Winston- Salem, NC 27101
Phone [phone] Fax [phone]
www.beesonengineering.com
TRANSMITTAL
OoILMq7� bd_
TO: NCDENR - DWQ
WBSCP UNIT �: i�.. ;f tip,; `' T
jf,
OCT 42015
DS..
RE: PCN Modification SAW- 2014 -01724 and DWR 2014 - 0972``x— -.:�'_; =�'�?
We are sending you: Attached
COPIES DATE
5 10/9/2015
5 10/9/2015
5 10/9/2015
DESCRIPTION
Cover Letter
Modified Pcn
Revised Plan Sheet C -3
ACTION
For your use
For Approval
For your use
Remarks:
Please find enclosed modified PCN for previously permitting project SAW- 2014 -01724 and DWR
2014 -0972 to modify impacts based on installed conditions.
CC T0:
USACOE - Mr. John Thomas
Signed:
Alex T. Carter, PE

BEESOR 8 CARTER, PR.
CIVIL ENGINEERS LAND SURVEYORS
LAND PLANNING
October 9, 2015
Mr. John Thomas
Raleigh Regulatory Field Office
US Army Corps of Engineers
3331 Heritage Trade Drive - Suite 105
Wake Forest, NC 27587
OCT g 4 2015
RE: PCN To Modify Impacts submitted under SAW - 2014 -01724 and DWR 2014 -0972
Mr. Thomas —
The PCN submitted September 11, 2014 and 404 Certification issued September 19, 2014 is
requested for modification. The previous PCN requested two culvert crossing with stabilization.
The larger of those culvert will not be installed due to costs involved. There has been a utility
(sewer) connection installed along with bank stabilization and a headwall repair just upstream on
an existing culvert. As part of that repair, stabilization was installed prior to requesting the
modification. I have attached pictures of the stabilization installed.
The net impact of the requested modifications is:
• NO permanent culvert crossing and stabilization installed - Noted as S2 on prior PCN;
I OLF crossing, 50LF stabilization
• ADD Installation of stabilization at a location 200' upstream for an existing culvert
(Noted as S5 this modification request PCN; 25LF)
• MODIFY Installation of stabilization along bank for utility crossing —Noted as S2 on
prior PCN; 15LF stabilization left side only looking downstream
• NET impact is 20LF less permanent impact
I have met with Sue Homewood on site September 24, 2015 to review the impacts based on a
neighbor's complaint. I would further note a concern regarding the level of the stone
stabilization installed at the existing culvert. The stream bed had scoured down several feet in
this area and the stone placed returned the bed to the invert of the culvert. The water flow has
been below the level of the recently installed rock stabilization. The significant rainfall over the
past 7 -10 days (end of September) has begun to fill the voids and re- establish the bed closer to
the pipe invert and water is now visible in the newly stabilized area.
Thank you and Best Regards,
'44 zz��
Alex Carter, PE
503 High Street
Winston Salem
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336- 748 -0071

BEE50R & CRRTER, PH.
CIVIL ENGINEERS LAND SURVEYORS
LAND PLANNING
CC: DWR — Sue Homewood via mail
503 High Street Winston Salem, NC 27101 336- 748 -0071

. I
of NArE9
•
OfficC Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the Corps: I ❑X Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: #29 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? I ❑ Yes No
1d. Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record For the record only for DWQ For the record only for Corps Permit:
because written approval is not required? 401 Certification:
❑ Yes ❑X No ❑ Yes ❑X No
1f. 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 ❑ Yes ❑X No
or in -lieu fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ❑ Yes ❑X No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? I ❑ Yes ❑X No
2. Project Information
2a. Name of project: 3989 Huddington Court Stream Crossings
2b. County: Forsyth
2c. Nearest municipality / town: Winston Salem, NC
2d. Subdivision name: Warwickshire Estates PB 27, PG 87 Forsyth County Register of Deeds
2e. NCDOT only, T.I.P. or state project no: I N/A
3. Owner Information
3a.
Name(s) on Recorded Deed:
3b.
Deed Book and Page No.
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
3e.
City, state, zip:
3f.
Telephone no.:
3g. Fax no.:
3h. Email address
Jose A and Flora Isasi; Andrew A Surasky Declaration of Trust
Bk1183, Pg1432; Bk 3051, Pg 3779; Bk3049, Pg 526
Jose A and Flora Isasi; Andrew A Surasky and Gloria Ysasi -Diaz
3989 Huddington Court
Winston Salem, NC 27106
336.399.8478; 708.641.6123
N/A
joseisasi @quepasamedia.com; suraskysasi @ameritech.net
Page 1 of 10
PCN Form —Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
1I
❑X Agent ❑ Other, specify:
4b. Name:
11
Alex T. Carter, PE 1
4c. Business name
Beeson & Carter, P.A. 1
(if applicable):
1
4d. Street address:
503 High Street
4e. City, state, zip:
1I
Winston Salem, NC 27101
4f. Telephone no.:
11
336- 748 -0071 1
4g. Fax no.:
336- 748 -0470
4h. Email address:
acarter @beesonengineering.com
5. Agent/Consultant Information
1�
(if applicable)
5a. Name:
11
1
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10
I

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1 b. Site coordinates (in decimal degrees): I Latitude: 36.11402
1 c. Property size:
2. Surface Waters
2a. Name of nearest body of water to proposed project:
2b. Water Quality Classification of nearest receiving water:
2c. River basin:
1 6806.63.0230.00, 6806.52.7967.00, 6806.63.1526.00
Longitude: - 80.33442
4.45 acres
UT to Milhaven Creek and Milhaven Creek
C
Yadkin -Pee Dee
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Sites are residential home lots with the UT to Milhaven Creek and Milhaven creek on or near the property lines. All sites are a mix of grassed lawns
and mature trees.
3b. List the total estimated acreage of all existing wetlands on the property: 0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 820
3d. Explain the purpose of the proposed project:
The project is to place 10 -12' of culvert in two locations to allow for foot traffic to cross the streams between lots * * ** THIS PCN TO MODIFY * **
3e. Describe the overall project in detail, including the type of equipment to be used:
Crossing "S1" will place 12' of 48" RCP culvert with poured headwalls in the existing stream bed with minimal disturbance A medium size excavator w
D
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the ❑ Yes X❑ No ❑ Unknown
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? Comments:
4b. If the Corps made the jurisdictional determination, what type
❑ Preliminary Final
of determination was made? ❑
4c. If yes, who delineated the jurisdictional areas? Agency /Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for I 9 Yes ❑ No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
SAW- 2014 -01724 submitted 9 -11 -2014 and issued 9 -17 -2014 for 404 certification under NWP #29; DWR #14 -0972 submitted 9 -11 -2014 and issued 1
r
6. Future Project Plans
6a. Is this a phased project? I ❑X Yes ❑ No
6b. If yes, explain.
This PCN is to modify the impacts requested in the prior PCN. The impacts will remove a culvert and stabilization (S3 and S4 prior PCN) and add
stabilization 200' upstream at an existing culvert as well as bank stabilization for a utility crossing (S4 and S5).
Page 3 of 10
PCN Form —Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ❑X 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.
2a.
2b. 2c.
2d.
2e.
2f.
Wetland impact
Type of impact
Type of wetland
Forested
Type of jurisdiction
Area of
number
3a. 3b.
Corps (404,10) or
impact
Permanent (P) or
3e.
3f.
3g.
DWQ (401, other)
(acres)
Temporary (T)
Perennial (PER) or
Type of
Average
Impact
number
W1
Choose one
Choose one
Yes /No
-
length
W2
Choose one
Choose one
Yes'No
width
W3
Choose one
Choose one
Yes /No
W4
Choose one
Choose one
Yes /No
UT to Milhaven Creek
INT
W5
Choose one
Choose one
Yes /No
Not Installed
Milhaven Creek
W6
Choose one
Choose one
Yes /No
S3 P
Stabilization
2g. Total Wetland Impacts:
2h. 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.
3a. 3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial (PER) or
Type of
Average
Impact
number
intermittent (INT)?
jurisdiction
stream
length
Permanent (P) or
width
(linear
Temporary (T)
(feet)
feet)
S1 P
Culvert
UT to Milhaven Creek
INT
Corps
4
12
S2 P
Not Installed
Milhaven Creek
PER
Corps
0
0
S3 P
Stabilization
UT to Milhaven Creek
INT
Corps
4
16
S4 P
Stabilization
Milhaven Creek
PER
Corps
10
15
S5 T
Relocation
Milhaven Creek
PER
Corps
10
10
S6 P
Stabilization
Milhaven Creek
PER
Corps
10
25
3h. Total stream and tributary impacts
78
3i. Comments:
See plans for modifications S2 not to be installed, S4 modified to stabilize left side bank only (looking downstream), S6 addded at existing culvert and
headwall repair area.
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b.
4c.
4d. 4e.
Open water Name of waterbody
Wetland Impacts (acres) Stream Impacts (feet)
Upland
impact number (if applicable)
Type of impact
Waterbody Area of impact (acres)
Permanent (P) or
Flooded Filled
type
Temporary (T)
P1 Choose one
01 -
Choose one
Choose 1
02 -
Choose one
Choose 1
03 -
Choose one
Choose 1
04 -
Choose one
Choose 1I
❑ Yes ❑ No If yes, permit ID no:
4f. Total open
water impacts 1
4g. Comments:
1
1
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below
5a. 5b.
5c. 5d.
5e.
Pond ID number Proposed use or
Wetland Impacts (acres) Stream Impacts (feet)
Upland
purpose of pond
(acres)
Flooded Filled
( Excavated Flooded Filled Excavated
1
P1 Choose one
P2 Choose one
I
5f. Total:
I
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
1
11
5i. Expected pond surface area (acres):
1
5j. Size of pond watershed (acres):
5k. Method of construction:
j1
I
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer
impacts
below. If any impacts require mitigation, tl
en you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar - Pamlico ❑ Catawba .❑ Randleman ❑ Other:
t
6b. 6c.
6d. 6e. 6f.
6g.
Buffer Impact Reason for impact
Stream name Buffer Zone 1
Zone 2
number —
mitigation impact
impact
Permanent (P) or
required? (square
(square
Temporary (T)
feet)
feet)
B1
Yes /No
B2
Yes /No
B3
Yes /No
B4
Yes /No
B5
Yes /No
B6
Yes /No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Crossing width is minimized for foot traffic (8 -10') with headwalls to further reduce fill section width over pipe and aid in flow post- construction.
Streams will be temporary diverted with a dike and pump operation during excavation and placement operations.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Culvert "S1" will use small excavator due to access and width of existing channel. Medium size loader or excavator equipment will be used for culvert
placement. All areas adjacent to crossing to be immediately re- vegetated /grassed after operations.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ❑ Yes ❑X No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this ❑ Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: N/A
Type: Choose one Quantity:
3b. Credits Purchased (attach receipt and letter) Type: Choose one Quantity:
Type: Choose one Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached. ❑ Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: Choose one
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non - riparian wetland mitigation requested: I acres
4g. Coastal (tidal) wetland mitigation requested: I acres
4h. Comments: N/A
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
N/A
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires Yes Q No
buffer mitigation?
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.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 N/A 3 (2 for Catawba)
Zone 2 N/A 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
N/A
N/A
6h. Comments:
Page 7 of 10
I

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
2b. Does this project require a Stormwater Management Plan?
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
Less than 1 ac disturbed. Existing residential lots
❑ Yes ❑X No
❑ Yes ❑ No
10%
❑ Yes ❑X No
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
N/A
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
3b. Which of the following locally - implemented stormwater management programs
apply (check all that apply):
3c. Has the approved Stormwater Management Plan with proof of approval been
attached?
4. DWQ Stormwater Program Review
4a. Which of the following state - implemented stormwater management programs apply
(check all that apply):
4b. Has the approved Stormwater Management Plan with proof of approval been
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
5b. Have all of the 401 Unit submittal requirements been met?
N/A
Winston Salem 1
❑X Phase II
❑ NSW
❑ USMP
❑ Water Supply Watershed
❑ Other: WS Ordinance
❑Yes ❑X No N/A
❑Coastal counties
❑HQW
❑ORW
❑X Session Law 2006 -246
❑X Other: WS Ordinance
❑ Yes ❑X No N/A
❑ Yes ❑ No
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal /state /local) funds or the ❑ Yes ❑X No
use of public (federal /state) land?
1b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA /SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ❑ Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, E] Yes ❑X No
or Riparian Buffer Rules (15A NCAC 2B.0200)?
2b. Is this an after - the -fact permit application? F1 Yes ❑X No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
N/A
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in I E] Yes ❑ No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
The sites involved are existing residential subdivision lots whereby no additional development can occur without further review and approvals
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non- discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Watewater will be conveyed via public sanitary sewer system to City of WS/ Forsyth County wastewater utility / facility
Page 9 of 10
PCN Form — Version 1.4 January 2009

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?
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Yes ❑X No
❑ Yes ❑X No
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
http: / /crithab fws.gov /crithab/
http: / /ecos.fws.gov /tess —publ i c/cou ntySea rch!speciesByCountyReport.action ?fi ps =37067
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? I ❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http: / /www.habitat.noaa gov/ protection /efh /efhmapper/index.html
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 ❑ Yes ❑X No
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?
hftp://gis.ncdcr.gov/hpoweb/
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
❑x Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
Culvert S1 is not in FEMA flood plain Stabilization in Milhaven Creek is in a FEMA floodway and designed to reduce scour occurring below an
existing culvert.
8c. What source(s) did you use to make the floodplain determination?
FEMA digital maps, NCfloodmaps com
Alex T. Carter, PE 10 -9 -2015
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization
letter from the applicant is provided.)
Page 10 of 10

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E
E
HORIZONTAL and
_ _.._ , . ,_ .. __, .._ _ .._ , ___ _
4
iii.
washed stone over culvert
Existing-Stream Bed---- _. _ , . __ ... ____ . ..__..-___,___..,_,____._.,_.
EG REVISIONS:
1092015Guve and _. / ! Culvert n Stabilization not installed
Fill sides of culvert box in area of excavation with hand �
__ -_ compacted 57 washed stone up to existing ground. 10/9/2015 Stabilization zat,
On at SS crossing instaled
Hand compact select soils over stone to finish grade,
1 10/9/2015 Stabilization below EX headwall installed
compact Fill sides of culvert box in area of excavation
with hand compacted #57 washed stone up to
existing ground. Hand
grade. over stone to finish
E
E
HORIZONTAL and
_ _.._ , . ,_ .. __, .._ _ .._ , ___ _
4
iii.
washed stone over culvert
Existing-Stream Bed---- _. _ , . __ ... ____ . ..__..-___,___..,_,____._.,_.
EG REVISIONS:
1092015Guve and _. / ! Culvert n Stabilization not installed
Fill sides of culvert box in area of excavation with hand �
__ -_ compacted 57 washed stone up to existing ground. 10/9/2015 Stabilization zat,
On at SS crossing instaled
Hand compact select soils over stone to finish grade,
1 10/9/2015 Stabilization below EX headwall installed