20151069 Ver 1_20151069 Ver 1_PCN rev 11-18-15 pp1 and 7 only_20151118_20151118

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
1a. Type(s) of approval sought from the
Section 404 Permit Section 10 Permit
Corps:
1b. Specify Nationwide Permit (NWP) number: 18 or General Permit (GP) number:

Yes No
1c. Has the NWP or GP number been verified by the Corps?
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
For the record only for Corps Permit:
1e. Is this notification solely for the record For the record only for DWQ 401
because written approval is not required? Certification:

Yes No

Yes No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation

Yes No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu

fee program.

Yes No
1g.
below.

1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes No
2. Project Information
2a. Name of project: Rock Barn Solar Farm Project
2b. County: Catawba
2c. Nearest municipality / town: Claremont
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state

project no:
3. Owner Information
3a. Name(s) on Recorded Deed: Rock Barn Properties, Inc.,
3b. Deed Book and Page No. 2017/1853
3c. Responsible Party (for LLC if William L. Parrish, Jr. Executive Vice President, Rock Barn Properties, Inc., RB Solar,
applicable): LLC
3d. Street address: 3763 Golf Dr. NE
3e. City, state, zip: Conover, NC 28613-9455
3f. Telephone no.: [phone]
3g. Fax no.:
3h. Email address: [e-mail]
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PCN Form Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for 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.
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)
Yes Corps
W1 P T FILL Seep 0.04
No DWQ
Yes Corps
W2 P T
No DWQ
Yes Corps
W3 P T
No DWQ
Yes Corps
W4 P T
No DWQ
Yes Corps
W5 P T
No DWQ
Yes Corps
W6 P T
No DWQ
. Total wetland impacts
2g0.04
2h. Comments: 0.04-acres of permanent impacts to Wetland Unit BW due to fill for solar farm.

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.
3g.
3a. 3b. 3c. 3d. 3e. 3f.
Impact
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average
length
number -(PER) or stream
(Corps - 404, 10
(linear
Permanent (P) or intermittent width
DWQ non-404,
feet)
Temporary (T) (INT)?
(feet)
other)
PER Corps

S1 P T Pipe UT-1 Lyle Creek 494
INT DWQ
PER Corps

S2 P T
INT DWQ
PER Corps

S3 P T
INT DWQ
PER Corps
S4 P T
INT DWQ
PER Corps
S5 P T
INT DWQ
PER Corps
S6 P T
INT DWQ
Total stream and tributary impacts
3h.
94
3i. Comments: 94 linear feet of permanent impacts to UT-1 Lyle Creek due to new 84 x 60 HDPE and 10 riprap apron.
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