20240592 Ver 1_ePCN Application_20240418

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# *
20240592 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Seren Homer:Seren.Homer
Information for Initial Review
la. Name of project:
COURTESY COPY The Glens at Brightwood Landing
1a. Who is the Primary Contact?*
James Covington
1b. Primary Contact Email: *
[e-mail]
Date Submitted
4/18/2024
Nearest Body of Water
North Buffalo Creek
Basin
Cape Fear
Water Classification
WS-V;NSW
Site Coordinates
Latitude:
-79.752464
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Guilford
Is this a NCDMS Project
Yes No
Longitude:
36.147424
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
1c. Primary Contact Phone:*
[phone]
O
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:
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
58 - Utility Line Activities for Water and Other Substances (frequently used)
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
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
fig. 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
401 Water Quality Certification - Express
Riparian Buffer Authorization
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:
Brightwood Partners, LLC
2b. Deed book and page no.:
D.B. 07095, PG. 0432
2c. Contact Person:
Councial Glen
2d. Address
Street Address
411 Parkway Unit G
Address Line 2
City State / Province / Region
Greensboro NC
Postal/Zip Code Country
27401 USA
Yes No
Yes No

2e. Telephone Number:
[phone]
2g. Email Address:'
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
The Glens at Brightwood Landing Subdivision
1c. Nearest municipality / town:
Monroe Township, City of Greensboro, Guilford County NC
2. Project Identification
2a. Property Identification Number:
7877-82-7721
2c. Project Address
Street Address
1920 Brightwood School Rd.
Address Line 2
City
Greensboro
Postal / Zip Code
27405
3. Surface Waters
3a. Name of the nearest body of water to proposed project: "
North Buffalo Creek
3b. Water Resources Classification of nearest receiving water:
WS-V;NSW
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
030300020105
4. Project Description and History
2f. Fax Number:
2b. Property size:
8.76
State / Province / Region
NC
Country
USA
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:
The existing condition at the site is vacant. The general land use is residential (R-5).
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:
2.1
4g. List the total estimated linear feet of all existing streams on the property:
468
4h. Explain the purpose of the proposed project:'
To develop 8.76 acres of vacant property into a 26 lot single family residential subdivision.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:"
The existing vacant 8.76 acres of land owned by Brightwood Partners is being developed into a 26 lot single family subdivision, located at 1920 Brightwood School Rd. Greensboro, NC
2705.
The Work includes, equipment required for clearing, grading, and construction of utilities and roadway for a 26 lot single family subdivision.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?"
Yes No O Unknown
Comments:
A Wetland Delineation was conducted by Pilot Environmental, Inc.
5b. If the Corps made a jurisdictional determination, what type of determination was made?"
Preliminary Approved Not Verified Unknown N/A
O

Corps AID Number:
unknown
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Pilot Environmental, Inc
Agency/Consultant Company: Pilot Environmental, 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?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
2. Wetland Impacts
O
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W. *
2d. W. name
11
2e. Forested"
2f. Type of Jurisdicition *
?)
2g• Impact
area
W crossing
8" DIP Installation
P
Unknown
North Buffalo
No
Both
0.020
(acres)
W crossing
8" DIP Installation
T
Unknown
North Buffalo
No
Both
0.045
(acres)
W disturbance
To grade lots 20 & 21
P
Unknown
North Buffalo
No
Both
0.007
to grade lots 20
(acres)
&21
W disturbance
To install posal pick up
P
Unknown
North Buffalo
No
Both
0.027
to install Postal
area
(acres)
Pick up area
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.045 0.054
2g. Total Wetland Impact
0.099
2i. Comments:
The area of impact is less than 1/10 of an Acre for combined Total Temporary and Permanent impact to Wetland Area.
3. Stream Impacts
❑
gt
3a. Reason for impact (?)
Perennial S crossing
3b.lmpact type*
Permanent
3c. Type of impact*
Other
3d. S. name* ��3e.
unknown
Stream Type*
(?)
Perennial
3f. Type of
Jurisdiction*
Both
3g. S. width
10
Average (feet)
3h. Impact
length*
10
(linear feet)
S2
Perennial S crossing
Temporary J
Other
unknown
Perennial
Both
10
Average (tees)
30
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
10
3i. Total stream and ditch impacts:
40
3j. Comments:
The Temporary impact area is inclusive of the Permanent impact area.
3i. Total temporary stream impacts:
30

6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
Neuse
Catawba
Goose Creek
Other Cape Fear
Tar -Pamlico
Randleman
Jordan Lake
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
8" DIP Installation
P
unnamed
No
605
408
8" DIP Installation
T
unnamed
No
1,160
809
Grading (Lots 20 & 21)
P
unnamed
No
0
298
Rip -Rap Pad Installation
T
unnamed
No
0
102
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 1,160.00 911.00
Zone 1 Zone 2
Total Permanent impacts: 605.00 706.00
Zone 1 Zone 2
Total combined buffer impacts: 1,765.00 1,617.00
6i. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The project site is designed for soil, erosion and sediment control, grading, and diversions, that is approved by City of Greensboro Plan and Review TRC
Storm Water, Soil Erosion & Sediment Control Approval.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The disturbance will be confined to the indicated easements and a preconstruction meeting will be held to assure that the contractor understands that no
disturbance is to take place outside of the indicated easements.
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:
The impact to the Perennial Streams will be conducted as required by the Corps and DWR.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30 % nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
2. Stormwater Management Plan
O
n

2a. Is this a NC DOT 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:
The impact is primarily a sanitary sewer crossing and does not comply with 15A NCAC 02H.1003(2).
G. Supplementary Information
1. Environmental Documentation
1a. 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.
The proposed development is a 26 unit development plan that has met the approval of City of Greensboro Planning Department (TRC Approval) &
Water resources. No future development or phases are planned for this site location.
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
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
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?
https://www.fws. gov/office/eastern-north-caro T i n a/project-planning-and-co nsu Ratio n
https://ipac.ecosphere.fws.gov/
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?
https://www.fws. gov/office/eastern-north-caro T i n a/project-planning-and-co nsu ltatio n
https://ipac.ecosphere.fws.gov/
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?
The City of Greensboro LDO, Listings in the National Register of Historic Places
US Army Corps of Engineers, https://ipac.ecosphere.fws.gov/ , http://gis.ncdcr.gov/hpoweb/
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? *
Yes No
8c. What source(s) did you use to make the floodplain determination?
Referenced firm panel: 3710787700J last revised March 18, 2007
Soils: ApB, CcB, HhB, VaB ; Hydrologic Group B
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
0.1-ePCN-CovLet&TOCSiteNPLAWDM.pdf 3.68MB
File must be PDF or KMZ
Comments
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:
James L. Covington, PE
Signature
O&WIV-eraKVl*W
Date
4/18/2024
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