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HomeMy WebLinkAbout20150705 Ver 2_More Info Received_20151209Homewood, Sue From: Brad Luckey <bluckey@pilotenviro.com> Sent: Wednesday, December 09, 2015 8:24 AM To: Bailey, David E SAW; Homewood, Sue Subject: RE: Request for Additional Information: Minnie Solar access road; Graham, Alamance Co., NC; SAW -2014-00650 (UNCLASSIFIED) Attachments: 401-404 Permitting p3 111715.pdf, 09 -03 -03 -Corrected PCN_minnie_revised 12.9.15.pdf, 401-404 Permitting p2 111715.pdf Please find attached PCN and Drawings that address the below concerns. Sincerely, Bradley S. Luckey 336.708.4997 (c) 336.310.4527 (o) PO Box 128 Kernersville, NC 27285 www.pilotenviro.com bluckey@pilotenviro.com -----Original Message ----- From: Bailey, David E SAW[mailto:David.E.Bailey2@usace.army.mil] Sent: Tuesday, November 17, 2015 8:08 AM To: Brad Luckey <bluckey@pilotenviro.com>; KDraffen@mckimcreed.com Cc: Homewood, Sue <sue.homewood@ncdenr.gov>; Steve Crivelli <s.criveIli @conergy.com> Subject: RE: Request for Additional Information: Minnie Solar access road; Graham, Alamance Co., NC; SAW -2014-00650 (UNCLASSIFIED) Classification: UNCLASSIFIED Caveats: NONE Brad and Kenny, Thanks for the updated information. A few corrections are needed on the plans, itemized below: 1) Please clearly show the limits of the proposed temporary impact on the plans. Also, the temporary impact amount listed on the plansheet is larger than the total proposed culvert/rip rap impact; please revise the temporary impact amount, ensuring that the proposed temporary impacts do not double count proposed permanent impacts. 2) Please clearly show the footprint of the existing culvert pipe on the plans. 3) Once plansheet corrections are made, please update the PCN per items 1 and 4 of my 10/29/2015 email request for additional information. Please let me know if you have any questions. Sincerely, SILT BAG OR DEWATERING DEVICE WATTLE OR OTHER — BARRIER TO BE REPLACED AT THE END OF EACH WORK DAY (TYP) MAXIMUM DISTURBANCE . iH STREAM DELINEATION �. \ L� POIL PIL 24" RCP LIMITS OF DISTURBANCE SUMP PUMP. OUTLET TO DISCHARGE IN SILT BAG OR STRAW -BALE DEWATERNG DEVICE. ACCESS DRIVE SILT FENCE STAKED HAY BALE (TYP) WORK AREA SUMP PUMP. OUTLET TO DISCHARGE IN SILT BAG OR STRAW -BALE DEWATERNG DEVICE. SILT FENCE SHALL BE PLACED ALONG TOP OF BANK AFTER INSTALLATION OF PIPELINE AND DURING NON -CONSTRUCTION WORK HOURS. TEMPORARY PUMP AROUND STREAM CROSSING DURING CONSTRUCTION NOT TO SCALE • o Know what's below. Call before you dig. CONSTRUCTION SEQUENCE 1. INSTALL PUMP AROUND TO LIMIT EROSION 2. EXCAVATE THE STREAM BED IN ORDER TO PLACE STORM DRAIN 3. PLACE STORM PIPE WITH POSITIVE SLOPE TO ENSURE PROPER DRAINAGE. 4. PLACE SILT FENCE AND OTHER MEASURES TO PREVENT CONTAMINATION OF THE PIPE DURING THE BACKFILL. 5. BACK FILL PIPE AND COMPACT PER NCDENR REQUIREMENTS. 6. INSTALL ACCESS DRIVE OVER THE CULVERT. 7. STABILIZE THE STREAM BANKS AS SHOWN. v v,NNKM&CRIMD 8020 Tower Point Drive Charlotte, North Carolina 28227 Phone: (704)841-2588, Fax: (704)841-2567 F-1222 www.mckimcreed.com TOE OF BANK TOP OF BANK W OJ O7 I I ACCESS DRIVE \� \� EASEMENT \ FES 525 I I I I FES 30.95 LF OF 24" RCP PLAN VIEW NOT • SCALE 520 51" 510 0-+ Y Y Z Z a a m m p 004 0 ou) o�II � II p19' PROP ACCESS DRIVE EX. GROUND (PER GIS) (SEE NOTES) EX. 24" RCP (SEE NOTES) 00 0+50 1+00 1+3 525 520 515 510 VERT. SCALE 1"= 4' NOTES: ERGY PROJECTS, Inc. DESIGNED 3947947 LENNANE DRIVE, SUITE 275 CHECKED SACRAMENTO, -9 PHONE: (916) 6922 7548548 %WO WWW.CONERGY.US 4 8 -EXISTING SURFACE SHOWN HEREIN IS BASED OFF GIS DATA AND MAY conERG!:i, NOT • SCALE 520 51" 510 0-+ Y Y Z Z a a m m p 004 0 ou) o�II � II p19' PROP ACCESS DRIVE EX. GROUND (PER GIS) (SEE NOTES) EX. 24" RCP (SEE NOTES) 00 0+50 1+00 1+3 525 520 515 510 JURISDICTIONAL WATERS OF THE U.S. IMPACT PLAN & PROFILE MINNIE SOLAR FARM � ALAMANCE COUNTY � � NORTH CAROLINA J DATE: JUNE 2015 VERT. SCALE 1"= 4' NOTES: TAK DESIGNED -ALL STREAM/WETLAND LOCATIONS SHOWN ON THIS MAP ARE CHECKED DKD APPROXIMATE. THEY HAVE BEEN DELINEATED BY ECS. 0 2 4 8 -EXISTING SURFACE SHOWN HEREIN IS BASED OFF GIS DATA AND MAY 30F3 REQUIRE FIELD ADJUSTMENTS AS NEEDED. HORIZ. SCALE 1"= 40' -THE SOLE PURPOSE OF THIS MAP IS TO SHOW JURISDICTIONAL BOUNDARIES AS DELINEATED BY ECS -BASIS OF BEARING IS NORTH CAROLINA STATE PLANE COORDINATE SYSTEM (NAD 83/NSRS2011) 0 20 40 80 JURISDICTIONAL WATERS OF THE U.S. IMPACT PLAN & PROFILE MINNIE SOLAR FARM � ALAMANCE COUNTY � � NORTH CAROLINA J DATE: JUNE 2015 MCE PROJ. # 06831-0006 DRAWN TAK DESIGNED TAK CHECKED DKD PROJ. MGR. DKD STATUS: PRELIMINARY DESIGN REVISION FOR PERMITTING - M&C nUE NUMBER SCALE CE -103 HORIZONTAL: DRAWNG NUMBER 1"=40' VERTICAL: 3 1"-4 30F3 STATUS: PRELIMINARY DESIGN REVISION FOR PERMITTING - + + + + + + + + + + JURISDICTIONAL STREAM + F + +-, + + + + / + + + + + / + + + + + + + + + + + ZONE 1 (30' BUFFER) + + + + + + + + + + + R + + + + + + ZONE 2 (30'-50' BUFFER) + + + + + + + + + + + RIPRAP APRON + + + + + + + + + + + PROP ED 20' GRAVEL ROAD TO + +/+ + + + + + + + + + +k + BE C NSTRUCTED PRIMARILY AT + + + + + + + + + + + + EXIS NG GRADE WITH A SLIGHT _ _ + / + + +I + + + .. + + + + + / + CRO TO ALLOW STORMWATER + + + + + + €X. 2+4" STORMTO BE EXTENDEfIPE+ TO HSHOULDERS RESULTING FLOW OVER EN + + + +� + + + / + NEtESSARY TO ENSURE -t�OSITIVEAS DIFFUSE FLOW + + + + + {H -bRAINAGE UNDER PR POSED ACCESS + + + + + + + DRIVE + + + + + + + + + + + + + + + + + + + + + + + + + + + I+ + + + + + + + + /+ + / 7 — + ++ + + + + + + + + + + + +\}- + + + + + + + + + + + + + + + +� + + / + ± —+ + + + + + + + / + + 0+00�+ + + + + + �+ + + + + + / SEE PROFILE (SHEET 3) —+ +�++++ �� + +++ice F+ + { +++++ + +/i + �l+ + + +_+ -1- — +�+ �+ \+ + + + + + + + + JURISDICTIONAL +TR, + + + + + + + + / + + /+ + +o + + + F /+ + + + + + +/ + Know what's below. ZONE 1 (30' BUFFER) + +/+ + + + + + + + + + + + + Call before you dig. + + 3 + + + + ZONE 2 (30'-50' BUFFER) + + + + + + + + + + + + ++++++++++++/+ + + + + + + + + + + + + + + + + + + + +o + +p + + + + + + ... + + + + + + + +DTSTUR�ANCE OEAt STREAM + + + + + + + + + + + + -�- /+ + + +' + + +++++ /+++ ++EX. -P 5-TO6M+� + + + + + + \ + + + + + + +N&+ED} GF OF CCESS ADAD +/ . j + + + + + + + \ + + + + EX+ 5011+A ESSfDRIVE + + _++++ +- ♦ + + + + + �' + + + + + + +++ / + \+++ ++ +++++ NMBgFFER ARES -ACE + + + + + �\r+ + ,mak + / +++—��++++++�+ + + + �Q \+r+ +++ ++ '_1 + + / + + + + + + + + �+ + 4� + \ \ / + + + + + + + • + + 4� \+ \ \ + + / \ \ + + + + +� \, + + + +� \ TR+++ + ++++++ \3, TR +++ + ++++++ \\\ +++ + +/ �z + + + z JURISDICTION POND 3 I + + + + w \ + / + \ V JIlRISDICTIONA OND -A- / \ PERMANENT IMPACTS STREAM IMPACTS: AREA OF STREAMS IN LEASED AREA: 0.006 AC (275 SF) NOTES: AREA OF BUFFERS IN LEASED AREA: 0.124 AC (5,404 SF) - ALL STREAM/WETLAND LOCATIONS SHOWN ON THIS MAP ARE APPROXIMATE. THEY HAVE BEEN DELINEATED BY ECS. IMPACTED BUFFER ZONE 1: 2,760 SF - EXISTING SURFACE SHOWN HEREIN IS BASED OFF GIS DATA AND MAY REQUIRE FIELD ADJUSTMENTS AS NEEDED. IMPACTED BUFFER ZONE 2: 2,664 SF - THE SOLE PURPOSE OF THIS MAP IS TO SHOW JURISDICTIONAL BOUNDARIES AS DELINEATED BY ECS LENGTH OF EXISTING 24" PIPE: 16.10 LF - BASIS OF BEARING IS NORTH CAROLINA STATE PLANE COORDINATE SYSTEM (NAD 83/NSRS2011) LENGTH OF ADDITIONAL NEW PIPE: 14.85 LF LENGTH OF RIPRAP APRON: 10.00 LF PERMANENT STREAM IMPACT: 40.95 LF TEMPORARY STREAM IMPACT: 30.5 LF e N Q M&CREED 8020 Tower Point Drive Charlotte, North Carolina 28227 Phone: (704)841-2588, Fax: (704)841-2567 F-1222 www.mckimcreed.com JURISDICTIONAL WATERS OF THE U.S. IMPACT PLAN AND PROFILE +++ + +�+ + \ TEMPORARY IMPACTS \ MINNIE SOLAR FARM � ALAMANCE COUNTY � � NORTH CAROLINA J SCALE 1"= 20' 0 10 20 40 DATE: JUNE 2015 ON 06831-0006 DRAWN ERGY PROJECTS, Inc. DESIGNED 3947947 LENNANE DRIVE, SUITE 275 CHECKED SACRAMENTO, 9 PHONE: (916) 6922 - 7548548 WWW.CONERGY.US VERTICAL: conERG!:i, JURISDICTIONAL WATERS OF THE U.S. IMPACT PLAN AND PROFILE +++ + +�+ + \ TEMPORARY IMPACTS \ MINNIE SOLAR FARM � ALAMANCE COUNTY � � NORTH CAROLINA J SCALE 1"= 20' 0 10 20 40 DATE: JUNE 2015 MCE PROJ. # 06831-0006 DRAWN TAK DESIGNED TAK CHECKED DKD PROJ. MGR. DKD VERTICAL: f777—PRELIMINARY DESIGN REVISION FOR PERMITTING M&C nUE NUMBER SCALE CE -102 HORIZONTAL: DRAWNG NUMBER 1"=40' VERTICAL: 2 NA 2OF3 f777—PRELIMINARY DESIGN REVISION FOR PERMITTING 4,34F W ATR¢G 7 r aNii� -'Z Office Use Only: Corps action ID no. DWQ project no. Form Version 1.3 Dec 10 2008 Page 1 of 11 PCN Form — Version 1.3 December 10, 2008 Version Pre -Construction Notification (PCN) Form A. Applicant Information 1. Processing 1 a. Type(s) of approval sought from the Corps: ®Section 404 Permit ❑Section 10 Permit 1 b. Specify Nationwide Permit (NWP) number: NWP 39 or General Permit (GP) number: 1 c. Has the NWP or GP number been verified by the Corps? N 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 1h 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: Minnie Solar Farm 2b. County: Alamance 2c. Nearest municipality / town: 2d. Subdivision name: 2e. NCDOT only, T.I.P. or state project no: 3. Owner Information 3a. Name(s) on Recorded Deed: Issacs Revocable Living Trust 3b. Deed Book and Page No. Book=unknown, Pages=272 and 269 3c. Responsible Party (for LLC if applicable): Mr. Graydon Issacs 3d. Street address: 5287 Lindley Mill Road 3e. City, state, zip: Graham, NC 27253 3f. Telephone no.: 336.376.6530 3g. Fax no.: 3h. Email address: gfi48@hotmail.com Page 1 of 11 PCN Form — Version 1.3 December 10, 2008 Version 4. Applicant Information (if different from owner) 4a. Applicant is: ❑ Agent ® Other, specify: Developer 4b. Name: Mr. Steve Crivelli. 4c. Business name (if applicable): Conergy Projects, Inc. 4d. Street address: 3947 Lennane Drive 4e. City, state, zip: Sacramento CA 95834 4f. Telephone no.: 916.838.3514 4g. Fax no.: 866.436.6114 4h. Email address: s.crivelli@conergy.com 5. Agent/Consultant Information (if applicable) 5a. Name: Bradley S. 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: bluckey@pilotenviro.com Page 2 of 11 PCN Form — Version 1.3 December 10, 2008 Version B. Project Information and Prior Project History 1. Property Identification 1a. Property identification no. (tax PIN or parcel ID): 150816 & 150815 1 b. Site coordinates (in decimal degrees): Latitude: 35.94947 Longitude: - 79.36181 (DD.DDDDDD) (-DD.DDDDDD) 1 c. Property size: 30 acres 2. Surface Waters 2a. Name of nearest body of water (stream, river, etc.) to Haw River proposed project: 2b. Water Quality Classification of nearest receiving water: WS-V, 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 site contains undeveloped wooded land and agricultural fields. Structures are not located on the site. The site is located in a residential/rural area of Graham. 3b. List the total estimated acreage of all existing wetlands on the property: 2.75 acres 3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: streams=2,400', open waters (pond) =1.25 acres 3d. Explain the purpose of the proposed project: The purpose of the proposed project is to provide access during development and long term maintenance of the site as a solar farm. 3e. Describe the overall project in detail, including the type of equipment to be used: The overall project consists of development of the site with a proposed solar farm. In order to provide safe access to the site, an access road and stream crossing that includes the replacement of an existing culvert are necessary. To faciltate development of the site and replacement of the existing stream crossing culvert, 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 ❑ Unknown project (including all prior phases) in the past. Comments: USACE/DWR site visit 3/6/14 4b. If the Corps made the jurisdictional determination, what type ®Preliminary E] Final of determination was made? 4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: Name (if known): Bradley Luckey/Michael Brame Other: 4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. USACE JD=4/9/15. DWR=3/11/14 Page 3 of 11 PCN Form — Version 1.3 December 10, 2008 Version 5. Project History 5a. Have permits or certifications been requested or obtained for ® Yes ❑ No ❑ Unknown this project (including all prior phases) in the past? 5b. If yes, explain in detail according to "help file" instructions. A previous NWP 14 was requested on July 16, 2015. The previous NWP 14 was rescinded in August 14, 2015 due to changes in project specifics including relocation of the proposed access road to the site to comply with Alamance County requirements for setbacks from a water supply well and a septic system. Additionally, in efforts to avoid greater impacts from installation of a new culvert it was determined that access to the proposed solar farm could utilize replacement of an existing culvert, thus, resulting in less overall impact to the stream. 6. Future Project Plans 6a. Is this a phased project? ❑ Yes ® No 6b. If yes, explain. The project is not part of a phased project. Impacts to streams/wetlands, outside of those proposed in this application, are not anticipated as a result of the proposed project. Page 4 of 11 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 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 ❑ Yes ❑ Corps ❑ No ❑ DWQ W2 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W3 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W4 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W5 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W6 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ 2g. Total wetland impacts 2h. Comments: Wetland impacts are 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 Culvert/Pump Around Unnamed ® PER ❑ INT ® Corps ❑ DWQ 4 25/31 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 25/31 3i. Comments: The proposed culvert replacement will permanently impact 25 linear feet of stream channel (15' culvert/10' rip rap) and temporarily impact 31 linear feet of stream channel with the associated pump around. Areas of temporary impact will be restored to similar pre -construction conditions. Page 5 of 11 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 ❑ PEI T 4f. Total open water impacts 4g. Comments: Open water impacts are not being proposed. 5. Pond or Lake Construction If pond or lake construction proposed, the 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: Construction of ponds/lakes are not being proposed. 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: Lake 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) or for Stream name mitigation (square feet) (square feet) Temporary T impact re uired? B1 ®P ❑ T Road Unnamed ® Nos 2,760 2,664 B2 ❑P❑T F-1 Yes ❑ No B3 ❑P❑T F-1 Yes ❑ No 6h. Total buffer impacts 2,760 2,664 6i. Comments: The proposed culvert replacement and subsequent access road will permanently impact 2,760 SF of Zone 1 Page 6 of 11 PCN Form - Version 1.3 December 10, 2008 Version and 2,664 SF of Zone 2 riparian buffer in accordance with 15A NCAC 02B .0267 as an allowable activity. D. Impact Justification and Mitigation 1. Avoidance and Minimization 1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. Due to the development and use of the site as a solar farm, a road must be constructed to provide access to the site during construction and long term maintenance of the site as a solar farm. Several road designs were evaluated. One such design included installation of a new culvert up -gradient of an existing culvert. This design resulted in greater impact to the stream than what is proposed in this application. The proposed replacement of an existing culvert reduces the impact footprint of the stream fro the previous design. The width of the access road has been minimized to the extent possible to safely accommodate heavy equipment and tractor trailer crossing. The road alignment has been designed to cross as near to perpendicular given constraints with truck/equipment turning radii and existing conditions including a residence and existing topography. The stream crossing culvert has been designed to be buried at least six inches below the existing stream bed, thus, allowing for aquatic passage. The road crossing has been designed in an area of the stream that is routinely maintained/landscaped and has no natural riparian buffers, stream canopy cover and is currently being used for residential/agricultural access. The solar array and necessary infrastructure (overhead/underground voltage lines, inverters, etc.) have been designed to avoid impacts to jurisdictional streams, wetlands and ponds. There are approximately 2.75 acres of wetlands, 2,400 linear feet of stream channel and a 1.25 acre jurisdictional pond located on the site. The wetlands, pond and remaining 2,375 linear feet of stream channel are being avoided. 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. The disturbance limits will be staked and silt fence will be used. A temporary coffer dam will be installed upgradient of the existing culvert. During construction, water will be pumped around the construction footprint. The existing culvert will be removed. Excavated soils within the construction footprint will be stockpiled in uplands areas and removed from the site and/or used to restore areas of temporary impact. Once the existing culvert has been removed, the proposed culvert will be installed. Upon completion of the culvert installation, the temporary sand bag coffer dams will be removed and flow will be diverted through the culvert. Following construction, disturbed banks in the area of the temporary impacts will be restored to similar pre -construction conditions, matted and seeded/live staked. 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 El 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 Page 7 of 11 PCN Form — Version 1.3 December 10, 2008 Version 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. 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 8 of 11 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? 1b. If yes, then is a diffuse flow plan included? If no, explain why. Comments: The access road is gravel and will not concentrate stormwater into the ❑ Yes ® No riparian buffer 2. Stormwater Management Plan 2a. What is the overall percent imperviousness of this project? <8 % 2b. Does this project require a Stormwater Management Plan? ❑ Yes ® No 2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Based on the % impervious, a stormwater management plan is not requried or proposed. 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? ❑ 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 9 of 11 PCN Form — Version 1.3 December 10, 2008 Version F. Supplementary Information 1. Environmental Documentation (DWQ Requirement) 1a. 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 letter.) ❑ Yes ® No 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. We are not aware of additional development that will impact nearby downstream water quality. 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. Wastewater will not be generated by the proposed project. Page 10 of 11 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? E] 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? USFWS List of Endandered and Threatened Species for Alamance County does not identify federally listed species in Alamance County. 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 and the use of temporary sediment and erosion control devices 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? SHPO reviewed the proposed project as part of a state clearinghouse review of the project. SHPO Letter dated 8/24/12 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 FIRM 371088900J Digitally signed by Bradley S. Luckey DN: cn=Bradley S. Luckey, o=Pilot Bradley S. Luckey Environmental, Inc., ou, email=bluckey@pilotenviro.com, c=US 12/9/15 Date: 2015.12.09 08:22:12 -05'00' Applicant/Agent's Printed Name Date Applicant/Agent's Signature (Agent's signature is valid only if an authorization letter from the applicant is provided.) Page 11 of 11 PCN Form — Version 1.3 December 10, 2008 Version