20240456 Ver 1_ePCN Application_20240320

i DWR
Division 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# *
20240456 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Mooresville Regional Office - [phone]
Information for Initial Review
la. Name of project:
M-071 Kannapolis - Concord High -Pressure Expansion Project
1a. Who is the Primary Contact?*
Andrew Moore
1b. Primary Contact Email: *
[e-mail]
Date Submitted
3/20/2024
Nearest Body of Water
Irish Buffalo Creek
Basin
Yadkin-PeeDee
Water Classification
WS-III; CA
Site Coordinates
Latitude:
35.516502
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Cabarrus
Rowan
Is this a NCDMS Project
Yes No
Longitude:
-80.670233
What amount is owed?*
$240.00
$323.00
Select Project Reviewer*
Andrew Pitner:andrew.pitner
1c. Primary Contact Phone:*
[phone]
$570.00
$767.00
Q
`I

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: 12 - Utility Lines
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
401 Water Quality Certification - Express
Riparian Buffer Authorization
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?
Yes No
1g. 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)
le. Is there an Agent/Consultant for this project?
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
Dominion Energy North Carolina
2b. Deed book and page no.:
2c. Contact Person:

2d. Address
Street Address
800 Gaston Road
Address Line 2
Building A
city
Gastonia
Postal / Zip Code
28056
2e. Telephone Number:
[phone]
2g. Email Address:"
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Joey Lawler/Rebeckah Sims
4b. Business Name:
S&ME, Inc.
4c.Address
Street Address
2016 Ayrsley Town Boulevard
Address Line 2
Suite 2-A
city
Charlotte
Postal / Zip Code
28273
4d. Telephone Number:
[phone]
4f. Email Address:
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Enochville, Landis, China Grove, Kannapolis, Concord
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
Address Line 2
city
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project: "
Irish Buffalo Creek
3b. Water Resources Classification of nearest receiving water:
WS-III; CA
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
State / Province / Region
North Carolina
Country
USA
2f. Fax Number:
State / Province / Region
North Carolina
Country
USA
4e. Fax Number:
2b. Property size:
State / Province / Region
Country

3d. Please provide the 12-digit HUC in which the project is located.
030401050104,030401050101,030401050202,030401050203,030401050201,030401050303
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: "
Please see the accompanying PCN cover letter package.
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:
6.473
4g. List the total estimated linear feet of all existing streams on the property:
6452
4h. Explain the purpose of the proposed project:"
Please see the accompanying PCN cover letter package.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: "
Please see the accompanying PCN cover letter package.
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:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Joey Lawler, Rebeckah Sims, Kylie Wallace
Agency/Consultant Company: S&ME, Inc.
Other:
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?
No, no other permits will be needed to authorize any project -related work other than the permits being applied for in this pre -construction notification.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries O Buffers
Open Waters Pond Construction
2. Wetland Impacts
Q
2a1 Reason (?)
2b. Impact type (?)
2c. Type of W."
2d. W. name
2e. Forested"
2f. Type of Jurisdicition
(?)
2g. Impact
area
W5
Sidecasting of material
T
Headwater Forest
W5
Yes
—_—]
Both
0.042
(acres)
WS
Conversion due to
P
Headwater Forest
W5
Yes
Both
0.037
clearing
(acres)
W11
Conversion due to
P
mland Hardwood Forest
ff
W11
Yes
Both
0.004
clearing
(acres)
W19
Sidecasting of material
T
Unknown
W19
No
Both
0.004
(acres)

W22
Sidecasting of material
T
Headwater Forest
W22
Yes
--]
Both
0.630
(acres)
W22
Conversion due to
P
Headwater Forest
W22
Yes
Both
0.040
clearing
(acres)
W25
Conversion due to
P
mland Hardwood Forest
ff
W25
Yes
Both
0.002
clearing
(acres)
W26
Sidecasting of material
T
Unknown
W26
No
Both
0.005
(acres)
2g. Total Temporary Wetland Impact
0.681
2g. Total Wetland Impact
0.764
21. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.083
F
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
3f. Type of
3g. S. width
3h. Impact
Jurisdiction *
length
S1
Sidecasting of material
Temporary
Excavation
SS
Perennial
Both
15
52
Average (reel)
(linear feet)
g2
Sidecasting of material
Temporary
Excavation
S7
Perennial
Both
56
Averege (feet)
(linear feet)
S3
Sidecasting of material
Temporary
Excavation
S9
Perennial
Both
8
165
Average (feet)
(linear feet)
S4
Sidecasting of material
Temporary
Excavation
S10
Intermittent
Both
31
Averege (feet)
(linear feet)
S5
Sidecasting of material
Temporary
Excavation
S12
Perennial
Both
15
54
Average (feet)
(linear feet)
S6
Sidecasting of material
Temporary
Excavation
S17
Intermittent
Both
38
Averege (feet)
(linear feet)
g7
Sidecasting of material
Temporary
Excavation
S18
Perennial
Both
52
51
Averege (feet)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
0
3i. Total stream and ditch impacts:
447
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
447
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Please see the accompanying PCN cover letter package.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Please see the accompanying PCN cover letter package.
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
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Because the project will not result in permanent stream impacts and affected streams will be restored upon completion of the work, compensatory stream mitigation should not be required.
Although the project will not result in a loss of Waters of the U.S., the project will result in conversion of 0.083 acre of forested wetlands to herbaceous wetlands. Because the conversion
impact will not exceed 0.10 acre, mitigation is not required.
rO
V
F. Stormwater Management and Diffuse Flow Plan (required by DWR) O

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
If no, explain why:
This project is not located in an area subject to the NC Riparian Buffer Protection Rules.
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
Comments:
G. Supplementary Information
1. Environmental Documentation
la. 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 project entails the installation of a utility line within an area that is primarily developed/developing. It is not anticipated that this project will result in
additional development at this time.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
Yes No N/A
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
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
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?
USFWS IPaC and NCNHP databases

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 EFH 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?
NCSHPO HPOWEB 2.0 GIS database
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:
This project entails the installation of a utility line that may cross several FEMA-designated 100-year floodplains. Because the project will result in
temporary impacts within floodplains and the disturbances will be restored to pre -disturbance conditions, it is unlikely that base flood elevations will be
impacted by the project.
8c. What source(s) did you use to make the floodplain determination?"
FEMA Flood Map Service Center
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 drag and drop files here to attach document
2024.0319M-071 PCN.pdf 72.41MB
File must be PDF or KMZ
Comments
Please see the accompanying PCN cover letter package.
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:
Rebeckah Sims
Signature
Date
3/20/2024
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