20231561 Ver 1_More Info Received_20240202

Homer, Seren M
From: Brad Luckey <[e-mail]>
Sent: Friday, February 2, 2024 5:37 PM
To: Homer, Seren M; Meyer, Laura J CIV USARMY CESAW (USA)
Cc: [e-mail]
Subject: [External] RE: Request for Additional Information - DWR#20231561 (SAW-2020-01186)
- Pisgah Church Rd - Guilford County
Attachments: 5914.4 _Pisgah Chu rch_PCN_2.2.24.pdf
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
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Good Afternoon Seren and Laura,
Please find attachments and below responses, let me know if you need anything additional to process. Thanks.
USACE 1) It appears that the discharge of fill material within WB, at Wetland Impact Area W2 (62 sf), are for the
construction of the Proposed Wet Detention Pond, as shown on the North Church Street Development Overall Wetland
Impact Map, Sheet 3 (attached). NWP 29 Regional Conditions C(a) states that "discharges in streams and wetlands for
stormwater management facilities are prohibited under this NWP." As such, I offer the following comments for you and
the applicant to consider:
a. In order to move the permitting process forward, please advise as to how you would like the Corps to
proceed. Either 1) redesign the project to avoid impacts at Wetland Impact Area W2 for the purposes of
the proposed wet detention pond, or 2) the Corps could authorize the discharge under NWP 18 (Minor
Discharges) for the purposed activity at Impact Area W2.
Applicant Response: See attached, the applicant proposes use of NWP 18 for Impact Area W2 and use of NWP 29 for
the remaining impacts to waters.
2) The project proposes to discharge fill material within 0.064 ac of potential wetland waters for fill. The need for
residential dwellings in Guilford County is not disputed, however, it is unclear if the project has demonstrated
avoidance and minimization to the maximum extent practicable as required by NWP General Conditions 23(a)
and (b). For example, it appears that the discharge of fill material at Wetland Impact Area W1 could be
minimized or avoided. Based on information included in the PCN and the proposed plans, it is unclear why the
upland area west of Wetland Impact Area W1 could not be utilized to construct the proposed roadway.
Applicant Response: See attached updated overall drawing. The applicant cannot move the road farther up -gradient
into the site without compromising a proposed office building. The applicant is proposing to utilizing approximately 14'
tall headwalls at this location that is avoiding and minimizing the impact to wetlands significantly in this
location. Further avoidance of impacts to streams and wetlands is not reasonable nor practical.
NCDWR 1) DWR has the same concerns as the Corps. Please copy me on your response to the Corps' request.
Applicant Response: The applicant acknowledges
NCDWR 2) In addition to the avoidance and minimization of impacts as described in the Corps' request, please either
revise plans to avoid impacts to Wetland WG (Wetland Impact Area 3) or provide detailed documentation and

justification for why the road crossing cannot be redesigned to avoid impacts to the wetland (e.g., cross the stream
slightly to the south to avoid the wetland impacts).
Applicant Response: The applicant evaluated shifting the road farther to the south to avoid the wetland
impacts. However, if the road was shifted farther to the south, then it would require significant impact to stream buffer
from stream SD as a non -perpendicular road impact. Furthermore, the crossing location can not be moved farther to
the south of the stream than currently proposed due to existing topographic grades, depth to bedrock and to provide
appropriate emergency/fire and vehicular safety requirements for curve radius and line of site of the proposed
road. The applicant is proposing the use of approximately 22 foot tall head and end walls at this location and is under
USACE and NCDWR mitigation thresholds for streams and wetlands. Further avoidance of net loss of streams or
wetlands is not practical or reasonable.
The applicant also evaluated not utilizing rip -rap dissipater to avoid the wetland impact. However, any culvert installed
in this jurisdiction (or anywhere else in the state) requires the stream's flow to be at or below non -erosive velocities
when it reaches the end of the rip -rap dissipater. Reduction or removal of the rip -rap dissipater would directly result in
the increased potential for erosion and sedimentation of down -gradient waters and increased potential for culvert and
retaining wall failure.
NCDWR 3) Section E.1a (or Section F.1 of PCN Form Version 4.3), you indicated that the project does not include or is
adjacent to protected riparian buffers. However, the project is located within the Jordan Lake Buffer Area and requires
diffuse flow and/or other forms of stormwater treatment for the proposed buffer impacts. Please clarify this discrepancy
and provide information verifying that you are seeking or have already received written approval from the local
authority for buffer impacts and any applicable diffuse flow/SWM requirements.
Applicant Response: see attached. The applicant will obtain riparian buffer impacts and approval of stormwater
management plan from delegated local municipality prior to impacts occurring.
NCDWR 4) The Stream Impact section of the PCN form indicates that the stream width is 5 feet, but the proposed
culvert pipe is shown as 36" (3 feet). Please provide information verifying that culvert sizing is appropriate and will not
alter the stream profile and allow for aquatic life movement during low flows, or, if necessary, revise site plans to ensure
that these requirements will be met.
Applicant Response: See attached. The applicant has redesigned the crossing to utilize a 42" culvert, which better aligns
with the existing stream widths where the stream would be entering and exiting the proposed culvert.
Sincerely,
Bradley S. Luckey, PWS
336.708.4997 (c)
336.310.4527 (o)
PO Box 128
Kernersville, NC 27285
www.pilotenviro.com
[e-mail]
From: Homer, Seren M <[e-mail]>
Sent: Friday, January 19, 2024 11:39 AM
To: Brad Luckey <[e-mail]>
Cc: Meyer, Laura J CIV USARMY CESAW (USA) <[e-mail]>; [e-mail]
Subject: RE: Request for Additional Information - DWR#20231561 (SAW-2020-01186) - Pisgah Church Rd - Guilford
County
Good morning,

We have reviewed the above -referenced project and require additional information to complete our review. Please
provide a complete response within 30 days of receipt of this email. Please note that your project will be considered
"on -hold" until a complete response is received.
1. DWR has the same concerns as the Corps. Please copy me on your response to the Corps' request.
2. In addition to the avoidance and minimization of impacts as described in the Corps' request, please either revise
plans to avoid impacts to Wetland WG (Wetland Impact Area 3) or provide detailed documentation and
justification for why the road crossing cannot be redesigned to avoid impacts to the wetland (e.g., cross the
stream slightly to the south to avoid the wetland impacts).
3. Section E.1a (or Section F.1 of PCN Form Version 4.3), you indicated that the project does not include or is
adjacent to protected riparian buffers. However, the project is located within the Jordan Lake Buffer Area and
requires diffuse flow and/or other forms of stormwater treatment for the proposed buffer impacts. Please
clarify this discrepancy and provide information verifying that you are seeking or have already received written
approval from the local authority for buffer impacts and any applicable diffuse flow/SWM requirements.
4. The Stream Impact section of the PCN form indicates that the stream width is 5 feet, but the proposed culvert
pipe is shown as 36" (3 feet). Please provide information verifying that culvert sizing is appropriate and will not
alter the stream profile and allow for aquatic life movement during low flows, or, if necessary, revise site plans
to ensure that these requirements will be met.
Thank you,
Seren Homer (she/her)
Environmental Specialist, Division of Water Resources
North Carolina Department of Environmental Quality
Office: [phone] 1 Cell: [phone]
[e-mail]
NORTH CAROLINAD E Q H
Department of Environmental puali!�
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
From: Meyer, Laura J CIV USARMY CESAW (USA) <[e-mail]>
Sent: Monday, November 13, 2023 11:55 AM
To: [e-mail]; [e-mail]
Cc: Homer, Seren M <[e-mail]>
Subject: [External] SAW-2020-01186 Pisgah Church Road / Greensboro / Guilford County - Request for Additional
Information
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
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ALCON,
Thank you for your Pre -construction notification (PNC) application for the proposed Pisgah Church Road Project (SAW-
2020-01186), received on October 27, 2023.
The following information is required to complete our evaluation, confirm compliance with one or more General or
Regional Conditions, and/or complete consultation with another federal/state agency to verify the use of the
Nationwide Permit (NWP) 29:

1) It appears that the discharge of fill material within WB, at Wetland Impact Area W2 (62 sf), are for the
construction of the Proposed Wet Detention Pond, as shown on the North Church Street Development Overall
Wetland Impact Map, Sheet 3 (attached). NWP 29 Regional Conditions C(a) states that "discharges in streams
and wetlands for stormwater management facilities are prohibited under this NWP." As such, I offer the
following comments for you and the applicant to consider:
a. In order to move the permitting process forward, please advise as to how you would like the Corps to
proceed. Either 1) redesign the project to avoid impacts at Wetland Impact Area W2 for the purposes of
the proposed wet detention pond, or 2) the Corps could authorize the discharge under NWP 18 (Minor
Discharges) for the purposed activity at Impact Area W2.
2) The project proposes to discharge fill material within 0.064 ac of potential wetland waters for fill. The need for
residential dwellings in Guilford County is not disputed, however, it is unclear if the project has demonstrated
avoidance and minimization to the maximum extent practicable as required by NWP General Conditions 23(a)
and (b). For example, it appears that the discharge of fill material at Wetland Impact Area W1 could be
minimized or avoided. Based on information included in the PCN and the proposed plans, it is unclear why the
upland area west of Wetland Impact Area W1 could not be utilized to construct the proposed roadway.
Please provide the requested information within 30 days, or your application will be administratively withdrawn. To
clarify, if the requested information is submitted after the 30-day timeframe, you will not be required to re -submit an
entirely new PCN (unless otherwise specified). We will continue to review and/or process your permit application upon
receipt of the requested information.
Please contact me with any questions or concerns.
Regards
Laura
Laura J. Meyer, PWS
Regulatory Specialist
U.S. Army Corps of Engineers
CE-SAW-RG-R
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
Phone: [phone]
Email: [e-mail]
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.

wA
r
o
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre -Construction Notification (PCN) Form
A. Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: NWP 18/29 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
❑Yes
® No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
® 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
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® 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 or in -lieu
fee program.
❑ Yes
® No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Pisgah Church Road
2b.
County:
Guilford
2c.
Nearest municipality / town:
Greesboro
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
RAK LLC
3b.
Deed Book and Page No.
multiple, see attached pacel cards in JD Request package
3c.
Responsible Party (for LLC if
applicable):
Mr. Phil Kleinman
3d.
Street address:
1801 Carlisle Street
3e.
City, state, zip:
Greensboro, NC 27408
3f.
Telephone no.:
336-580-6401
3g.
Fax no.:
3h.
Email address:
[e-mail]
Page 1 of 13
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ❑ Other, specify:
4b.
Name:
4c.
Business name
(if applicable):
4d.
Street address:
4e.
City, state, zip:
4f.
Telephone no.:
4g.
Fax no.:
4h.
Email address:
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Bradley Luckey
5b.
Business name
(if applicable):
Pilot Environmental, Inc.
5c.
Street address:
PO Box 128
5d.
City, state, zip:
Kernersville, NC 27285
5e.
Telephone no.:
336.708.4997
5f.
Fax no.:
5g.
Email address:
[e-mail]
Page 2 of 13
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
7866690508, 7866691720, 7866693634, 7866695656,
1a. Property identification no. (tax PIN or parcel ID):
7866686730, 7866691367, 7866693483, 7866695486,
7866694209, 7866696301, 7866685917, 7866681947,
7866589877, 7866681737, and 7866589526
1 b. Site coordinates (in decimal degrees):
Latitude: 36.13571 Longitude: - 79.79171
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
25 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Lake Jeanette/Richland Lake
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS-III, NSW
2c. River basin:
Cape Fear
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:
The southwestern portion of the site is currently developed with a school. A gasoline station is located on the
southeastern portion of the site. Residences are located on the eastern portion of the site. The remainder of the site
contains fields and wooded land. The site is located in a commercial/residential portion of Greensboro, Guilford County,
North Carolina.
3b. List the total estimated acreage of all existing wetlands on the property:
Wetland=0.658 Ac
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Stream=1,330
3d. Explain the purpose of the proposed project:
The purpose of the project is to develop the site with an apartment complex and commercial outparcel.
3e. Describe the overall project in detail, including the type of equipment to be used:
The purpose of the project is to develop the site with apartments and commercial outparcel as a storage unit facility. In
order to provide access and develop the site with an apartment complex, it is necessary to impact wetlands. Clearing and
grading the site is necessary. Graders, haulers, excavators and other heavy equipment will be used during site
construction.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes ❑ No El Unknown
project (including all prior phases) in the past?
Comments: SAW-2020-01186
4b. If the Corps made the jurisdictional determination, what type
El Preliminary El Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Pilot Enviromental, Inc.
Name (if known): David Brame/Michael Brame
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
JD pending
Page 3 of 13
PCN Form — Version 1.3 December 10, 2008 Version

5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ® No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ® No
6b. If yes, explain.
Impacts to streams/wetlands, outside of those proposed in this application, are not anticipated as a result of the proposed
project.
Page 4 of 13
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
Page 5 of 13
PCN Form — Version 1.3 December 10, 2008 Version

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 jurisdiction
number—
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non-404, other)
(acres)
Temporary T
W1 ®P ❑ T
Fill
Bottomland
® Yes
® Corps
0.038
Hardwoods
❑ No
❑ DWQ
W2 ®P ❑ T
Fill
Bottomland
® Yes
® Corps
0.001
Hardwoods
❑ No
❑ DWQ
W3 ®P ❑ T
Fill
Bottomland
® Yes
® Corps
0.011
Hardwoods
❑ No
❑ DWQ
W4 ®P ❑ T
Fill
Bottomland
® Yes
® Corps
0.014
Hardwoods
[:1 No
El DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.064
2h. Comments: Wetland Impact 1 will permanently impact 0.038 acres (1,670 SF) of wetlands with fill.
Wetland Impact 2 will permanently impact 0.001 acres (62SF) of wetlands with fill.
Wetland Impact 3 will permanently impact 0.011 acres (498 SF) of wetlands with fill.
Wetland Impact 4 will permanently impact 0.014 acres (621 SF) of wetlands with fill.
Temporary impacts to wetlands are not proposed. Mitigation for unavoidable net loss of wetlands is not proposed.
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
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non-404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ®T
Road Fill/Rip-
Rap/Dewatering
Unnamed
® PER
❑ INT
® Corps
❑ DWQ
5
61/18/10
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
61/18/10
3i. Comments: Stream Impact 1 will permanently impact 61 linear feet (305 SF) of stream from culvert/wall fill, permanently
impact 18 linear feet (90 SF) of stream from keyed in rip -rap fill and temporarily impact 10 linear feet (50 SF) of stream from
dewatering. Temporary impacts will be restored to similar pre -construction grade and stabilized with natural biodegradable
matting and herbaceous seed mix. Mitigation is not proposed for the net loss of stream from culvert or sideslope fill.
Page 6 of 13
PCN Form — Version 1.3 December 10, 2008 Version

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
impact number-
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P)
or Temporary T
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts
4g. Comments: Open water impacts are not proposed.
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
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, then you MUST fill out Section D of this form.
6a.
❑ Neuse El Tar -Pamlico ®Other: Jordan
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number -
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P)
for
Stream name
mitigation
(square feet)
(square feet)
or Temporary T
impact
required?
B1 ❑P❑T
El Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑ No
B3 ❑P❑T
El Yes
❑ No
6h. Total buffer impacts
6i. Comments: City of GSO will issued buffer authorization certification prior to impacts occuring.
Page 7 of 13
PCN Form - Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The site has been designed to avoid impacts to streams and wetlands. The proposed stream impact was selected in a
location that the stream is relatively straight with few meanders and does not contain significant amounts of wetlands. Stream
Crossing 1 has been designed to utilize rip -rap that will be keyed into existing stream grade, thus not resulting in a net loss of
aquatic function to the stream. The applicant has designed utilities to be located within the proposed road crossing footprint,
thus reducing temporary impacts to streams.
The remaining 1,241 linear feet of stream channel and 0.594 acres of wetlands are being avoided.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and silt fence or other BMPs will be used. A temporary coffer dam will be installed. During
construction, water will be pumped around the construction footprint. Appropriate stream bank protection will be provided in
the channel during construction and all excess excavated material will be immediately removed from the crossing area and
stockpiled in upland locations. Upon completion of the culvert installation, the temporary sand bag coffer dams will be
removed and flow will be diverted through the culvert. Following installation of the culvert, areas of temporary stream impact
will be restored to similar pre -construction grade. The stream banks will be matted with biodegradable materials and
seeded/live staked with native species.
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 ® 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:
3b. Credits Purchased (attach receipt and letter)
Type
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:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
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.
Page 8 of 13
PCN Form — Version 1.3 December 10, 2008 Version

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
buffer mitigation?
❑ 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.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
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).
6h. Comments:
Page 9 of 13
PCN Form — Version 1.3 December 10, 2008 Version

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
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments:
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
38.4 %
2b.
Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
® Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
Greensboro
® Phase II
3b.
Which of the following locally -implemented stormwater management programs
® NSW
❑ USMP
apply (check all that apply):
® Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 10 of 13
PCN Form — Version 1.3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
1 b.
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)?
1 c.
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
❑ Yes ® No
letter.)
Comments: A NEPA or SEPA is not required as part of this project.
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,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
❑ Yes ® No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ 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.
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.
Impacts from wastewater generation are not proposed.
Page 1 1 of 13
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The IPaC report for the site identifies Schweinitz's sunflower and small whorled pogonia as federally protected species
that could be proximate to the project area.
The project area contains a mature hardwood/pine forest estimated to be at least 40 years in age. Mid and understory
vegetation is densely vegetated. Suitable habitat for Schweinitz's sunflower or small whorled pogonia are not located
within the proposed project area. Therefore, we have made a determination of no effect for these species.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Based on our knowledge of the site, the site is not located in or near an area designated as essential fish habitat. Best
management practices will prevent sediment from entering down -gradient waterbodies which may contain fish.
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 ® 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?
We reviewed the SHPO Map (http://gis.ncdcr.gov/hpoweb/) to identify historic and/or archaeological resources of the site.
The map does not identify eligible for listing or listed properties on or near the project area. A copy of the map is included
as an attachment.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA NHFL (Drawing 4, Verification Package)
Bradley S. Luckey, PWS
2.2.24
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
isprovided.)
Page 12 of 13
PCN Form — Version 1.3 December 10, 2008 Version

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CIVIL ENGINEER:
CPT ENGINEERING & SURVEYING, INC.
4400 TYNING STREET
HIGH POINT, NC 27265
CONTACT: CHUCK TRUBY, P.E. P.L.S.
PHONE: [phone] EXT. 304
FAX: [phone]
EMAIL: [e-mail]
OWNER/DEVELOPER:
RAK Pisgah Church, LLC
2302 W. MEADOWVIEW ROAD, SUITE 116
7609 BUSINESS PARK DR
GREENSBORO, NC 27409
CONTACT: PHIL KLEINMAN
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100 0 50 100 200 400 I DA7E: 2/2/24
( IN FEET )
1 inch = 100 fL
PROJECT: 1.74a-22
DRAWN BY: JAB
SHEET 2

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WETLANDS IMPACT AREA
30 0 15 30
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SCALE:"=20'
DATE: 2/2/24
PROJECT:446-09
DRAWN BY: JB
SHEET 3

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SCALE: I"=20'
DATE: 2/2/24
PROJECT: q4(�-Oq
DRAWN BY: JB
SHEET 4

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— —750 — — EXISTING CONTOURS o IO' INTERVALS
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— T013— TOB— TOP OF STREAM BANK
EXISTING WETLANDS
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30 0 15 30
1 inch 30 ft.
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SEAL
n 14984NIS
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WALE: I"=20'
DATE: 2/2/24
PROJECT:g46-0-1
DR w,N BY: JB
SHEET 4.2

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T015— TOB— TOP OF STREAM BANK
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REVISIONS
SCALE: I"=20'
DATE: 2/2/24
PRD.JECT: g4b—Dq
DRAWN BY: j5
SHEET 5

CYs action
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ENERAL NO
I. PRESERVE NORMAL BASE STREAM
FLOW.
2. IMPACT LENGTHS SHALL NOT EXCEED
39 LF (STREAM LENGTH) AT THIS
LOCATION AS MANDATED BY THE
PERMIT.
3. 8" SANITARY SEWER SHALL BE
PLACED AS SHOWN. PROVIDE DUCTILE
PIPE WHERE INDICATED.
Exisang Y. P'Lfiw-v
a.r SOO bNM1k fflnncking wrmlp ,'rrR
Top uF r1prap SLIM
0-'C�n�j
43raawA bed m Wmque
tabrk.Abr
C4�►E�3W�j_
I. CONSTRUCT TEMPORARY CONSTRUCTION ENTRANCE.
2. STOCKPILE GRAVEL (IF PRESENT) FOR U5E As STREAM
BOTTOM RESTORATION MATERIAL.
3. CONSTRUCT TEMPORARY COFFER DAM(s).
4. PROVIDE ADEQUATE PUMPS) TO DEY4ATER WORK AREA.
DO NOT REDUCE OR HALT STREAM BASE FLOW. DISCHARGE
PUMP EFFLUENT INTO SILT BAG. DISCHARGE SILT BAG BEHIND
SILT FENCE AT SILT FENCE OUTLET.
5. INSTALL STORM DRAINAGE PIPE. SEE PLAN AND PROFILE
DRAWING FOR PIPE SIZING, TYPE, BEDDING, AND SLOPE
REQUIREMENTS.
7. PROVIDE SELECT BAGKFILL AND COMPACT IN SHORT WELL
COMPACTED LIFTS.
8. SEED UPLAND AREAS As SOON AS CONSTRUCTION ALLOWS.
9. REPAIR AND STABILIZE STREAM BANKS AFTER PIPE
INSTALLATION IS COMPLETE. SEE RIP -RAP REINFORCEMENT
FOR STREAM BANKS CONSTRUCTION DETAIL THIS SHEET.
INSTALL THE PERMANENT STORM PIPE:
The storm pipe is to be installed in the dry within o 2 to 5 day
window of storm events. Gore will be token to keep clearing and
excavation of the stream banks and bed to o minimum. Stoblilize all
disturbed areas subject to flowing water with rip rap below the
stream bed. Upon completion of pipe installation, fill, compact, and
stabilize the stream bank slopes properly. Remove any in stream
sediment control measures only after areas are stoblized and
permission if granted from the Gity of Greensboro Erosion Gontrol
Inspector.
IF NOT ABLE TO INSTALL GROSSI N6 IN THE DRY:
Then they must be installed with the use of Goffer/Sand bog Dams.
The dams will be installed above and below the pipe installation.
Pumps will be used to install pipe in the dry and divert stream
through and away from the crossing installation. Silt fencing will
be used parallel to the crossing to prevent down stream impacts
from siltation. The installation of pipe shall not proceed until the
flow has been diverted.
Upon completion of the pipe installation, remove the temporary
coffer dams and pumps) and stabilize any part of the stream that is
unstable appropriately. The temporary coffer dams shall remain
intact and functioning until thethe stream bank stobilizotion has been
completed. Gheck and reinstall any silt fencing than needs to be
repaired on o regular basis during construction. Mat the slopes
above the top of bank with erosion control matting as soon as
permanent grade hoe, been established. Pipe installation should be
completed within two weeks. Any material that need to be
stockpiled near the stream banks will be protected by silt fencing.
Temporary sand bog coffer dome, will be removed within 2 days
after the culvert has been stobi I ized.
O � O EC A 0 O`/2
2: Q� ��< ''. 7
SEAL
n 14984 -
'9 FNG I N EEC •'�,
P
/u1 �11111N�
IO/17/23
15CALE: NTS 1
DATE: IOA'1123
PROJECT: 946-09
DRAWN BY: ,s
SHEET 6