20160717 Ver 2_ePCN Application_20240422

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# *
20160717 2
Is a payment required for this project?*
No payment required What amount is owed?*
Fee received $240.00 $570.00
Fee needed - send electronic notification $323.00 $767.00
Reviewing Office* Select Project Reviewer*
Mooresville Regional Office - [phone] Andrew Pitner:andrew.pitner
Information for Initial Review
la. Name of project:
Salisbury National Cemetery Annex Expansion
1a. Who is the Primary Contact?*
Michael Borgman
1b. Primary Contact Email: *
[e-mail]
Date Submitted
4/22/2024
Nearest Body of Water
Grants Creek
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude:
35.6830
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Rowan
Is this a NCDMS Project
Yes No
Longitude:
-80.4983
1c. Primary Contact Phone:*
[phone]
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
39 - Commercial/Institutional Developments
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
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
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:
United States Department of Veterans Affairs
2b. Deed book and page no.:
1342/205
2c. Contact Person:
Michael Borgman
2d.Address
Street Address
810 Vermont Ave. NW
Address Line 2
city State / Province / Region
Washington DC
Postal / Zip Code Country
20571 us
Yes No
Yes No

2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Joseph Sullivan
4b. Business Name:
KCI Associates of NC
4c. Address
Street Address
4505 Falls of Neuse Road, Suite 400
Address Line 2
City
Raleigh
Postal / Zip Code
27609
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:
Salisbury
2. Project Identification
2a. Property Identification Number:
37159-335-121
2c. Project Address
Street Address
501 Statesville Blvd
Address Line 2
city
Salisbury
Postal / Zip Code
28144
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Grants Creek
3b. Water Resources Classification of nearest receiving water:
C
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401030102
4. Project Description and History
2f. Fax Number:
State / Province / Region
NC
Country
us
4e. Fax Number:
2b. Property size:
35
State / Province / Region
NC
Country
us
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 project site is mostly forested with the only cleared areas being existing utility easements. Land use in the surrounding project vicinity consists primarily of residential and commercial
development. The Salisbury Cemetery is located to the east.
a

4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past? *
Yes No Unknown
If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
SAW-2015-02539
4f. List the total estimated acreage of all existing wetlands on the property:
0.81
4g. List the total estimated linear feet of all existing streams on the property:
3,030
4h. Explain the purpose of the proposed project:
The original Salisbury National Cemetery has reached its capacity for burials. The VA established the 40-acre Salisbury National Cemetery Annex (SNCA) on land adjacent to the WG
Hefner VA Medical Center in 1999. The VA estimates adequate space remains for burials at the SNCA for the next 10 to 15 years; however, additional land would be needed in the future.
The VA is planning an expansion of the SNCA. The VA has acquired approximately 30 acres of land adjacent to the SNCA, via donation from the Rowan County YMCA in 2018.
The purpose of the project is to provide a national cemetery of sufficient size and capacity to serve the projected needs of veterans in the Salisbury, North Carolina area. A larger,
expanded SNCA is needed to continue to serve the needs of veterans and their families in North Carolina. The SNCA is the only national cemetery in North Carolina that is open for new
interments. The project would provide the VA additional capacity needed to meet its burial objectives for eligible veterans in North Carolina.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:'
The forested property will be developed for future use as a cemetery. This will involve grading the site in preparation for future internment including installation of precast concrete crypts
and a columbarium. The project will also involve the construction of 3 buildings including a restroom facility, vehicle and material storage building, and committal shelter pavilion. A road will
also be constructed on the property. It will involve crossing of a stream and the installation of a 48' long 17' x 6' 8" arch box culvert. Standard building equipment will be used for
construction such as pans, roller compactors, paving equipment, excavators, dump trucks, bulldozers, and cranes.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?
Yes No G Unknown
Comments:
Delineation Concurrence obtained 5/9/2023
5b. If the Corps made a jurisdictional determination, what type of determination was made?
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
SAW-2015-02539
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Joseph Sullivan
Agency/Consultant Company: KCI Associates of NC
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
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
3. Stream Impacts
V
F
S1
3a. Reason for impact (?)
Stream Crossing
3b.lmpact type*
Permanent
3c. Type of impact*
Culvert
3d. S. name*
SB
3e. Stream Type*
?)
Perennial
3f. Type of
Jurisdiction*
Corps
3g. S. width
15
Average (feet)
3h. Impact
length*
48
(linear feet)
gy
Bank Grading
Temporary
Stabilization
SB
Perennial
Corps
15
Average (feet)
32
(linear feet)

S� Bank Grading Temporary Stabilization SB Perennial Corps 15 L.—
Average(feet) eet)
�-]
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
48 64
3i. Total stream and ditch impacts:
112
3j. Comments:
The project will result in 48 LF (0.019 so) of permanent impacts to the streambed. The stream banks at the upstream and downstream ends of the
culvert will be graded and stabilized resulting in 64 LF of temporary impacts to the stream banks. The stabilization of the stream banks will not result in
any impacts to the streambed.
E. Impact Justification and Mitigation O
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The design has avoided all wetland impacts and will not impact the Grants Creek 100-year floodplain. Stream impacts were limited to one necessary
crossing.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
BMP's for construction as well as North Carolina standard erosion control measures will be strictly enforced throughout project construction. The
construction sequence (see attached plans) has been designed to construct the project in the dry, with implementation of BMP's including temporary
channel diversions, pump-arounds and impervious dikes.
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:
There are no impacts to wetlands. The project will result in the permanent loss of 48 LF (0.019 acres) of stream bed. This is under the compensatory mitigation threshold.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
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:
Project is not located within a protected riparian buffer watershed.
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 (federallstate) land?
Yes No
1b. 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 (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
Yes No
1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House?
Yes No
8
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 project involves the expansion of the Salisbury National Cemetery Annex. The expansion of a cemetery is not anticipated to result in additional
development.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?"
Yes No N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated at a
treatment plant, list the capacity available at that plant.
The constructed restroom facility will connect to existing city/county municipal sewer on site. It will be treated at the Grant's Creek WWTP: Average Daily
Flow = 4.5 MGD (million gallons per day); Max Permitted Capacity = 7.5 MGD
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.
Asheville
5d. Is another Federal agency involved?*
Yes No
What Federal Agency is involved?
Department of Veterans Affairs
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
Unknown
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?
Coordination occurred during the development of the project Environmental Assessment (Attached).
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?
EFH Mapper Website: hftps://www.habitat.noaa.gov/apps/efhmapper/?page=page_8
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?"
Coordination occurred during the development of the project Environmental Assessment (Attached).
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?"
FIRM Map Number 3710575000J, dated June 16, 2009. The project has been designed to completely avoid the Grants Creek 100-year floodplain.
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
SalisburyVACemeteryAnnex_PCN _Attachments.pdf 137.38MB
File must be PDF or KMZ
Comments
The VA is currently preparing a supplemental EA document that will be forwarded upon completion.
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:
Joseph Sullivan
Signature
Date
4/22/2024
a