20072085 Ver 1_401 Application_20071207

NORTH C A R O L I N A
High Performance Living
CITY OF CONCORD
ENGINEERING DEPARTMENT
850 WARREN C. COLEMAN BLVD.
P. O. BOX 308
CONCORD, NC 28026-0308
TRANSMITTAL 12.10.07
07-2.05
TO NCDENR
DIVISION OF WATER QUALITY
401/WETLANDS UNIT
1650 MAIL SERVICE CENTER
RALEIGH, NC 27699-1650
PLEASE FIND ENCLOSED FOR YOUR REVIEW-
1 ORIGINAL CHECK FOR $200.00
7 COPIES PCN APPLICATION FORM, MAPS, AND SUPPORTING ATTACHMENTS
7 SETS PLANS FOR HOLLAND/CAT SEWER OUTFACE PROJECT #2007-020
IF YOU HAVE ANY COMMENTS OR QUESTIONS ABOUT THE ENCLOSED, PLEASE KEEL
TO CALL.
(J`._.___-.--
J A E CHURCHWELL, EI
OJECT ENGINEER
S a ~
9 #~,: k ~ ~P`~y~S~ a r '~ :~
~'~~ ~ - C ~ ~ 2007
L ~-
sN~i1A~'au~ •,~ ~~".y1r?'~",~~;ry~~:a ~R,APIGH

APPLICATION FORM BEGINS ON PAGE 5. PLEASE DO NOT SUBMIT PAGES 1- 4.
Page 5 of 14

07-2085
Office Use Only: Form Version March OS
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
^ Section 404 Permit ^ Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
[] 401 Water Quality Certification ^ Express 401 Water Quality Certification
2. Nationwide, "Regional or General Permit Number(s) Requested: Nationwide 12
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here:
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ^
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern see the to of a e 2 for further details check here: ^ ~ ~-~`„
~~ ~~ ~~ ,~,:~.~ :~:, ~tfs~
II. Applicant Information ;~~
1. Owner/Applicant Information ,~
5 4
Name: City of Concord t,~f.!t ~ ~ "~ ~ ~ ~~~~: ~~~Gn.
-~i sc„Tr+r a3~
Mailing Address: P.O. Box 308 '!'~"""'''`~~ ~`~`"
Concord, NC 28026
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: hyydes(a~ci.concord.nc.us
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Brian Hiatt
Company Affiliation: City of Concord -City Manager
Mailing Address: P. O. Box 308
Concord, NC 28026
Telephone Number: [phone] Fax Number:_(704) -786-7068
E-mail Address: hiattb ,ci.concord.nc.us
Page 6 of 14

III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1.Name of project: Holland CAT Sewer Outfall
2.T.I.P. Project Number or State Project Number (NCDOT Only):
3.Property Identification Number (Tax PIN): See attached information
4.Location
County: Cabarrus Nearest Town: Concord
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): Take I-85 S to exit 52
(Poplar Tent Rd). Take a right at the end of the exit ramp to go west on Poplar Tent Rd. Turn
left at the signal at Derita Rd and Poplar Tent Rd. Continue approximately 0.10 mile. Project
is on right on the Holland Property. See attached drawings for project limits.
S.Site coordinates (For linear projects, such as a road or utility line, attach a sheet that separately
lists the coordinates for each crossing of a distinct waterbody.) See attached sheet.
Decimal Degrees (6 digits minimum): 35° 24.115 °N 080° 43.191 °W
6.Property size (acres): Outfall and easement is located on the Holland property (92 acres2
See the attached.
7.Name of nearest receiving body of water: Rocky River
8.River Basin:
Yadkin
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9.Describe the existing conditions on the site and general land use in the vicinity of the project at
the time of this application: The project starts at the WSACC Rocky River interceptor
Page 7 of 14

And runs parallel with a creek across the Holland property, which is zoned in Cabarrus
Countv as GI-SU (General Industrial -Special Usel.
10. Describe the overall project in detail, including the type of equipment to be used:
This project is for the construction of a new sewer outfall to serve properties in the nearbX
vicinity. The City is currently in the process of obtaining`permanent and to ~orary
construction easements. Construction is open trench. Equipment to be typical of that used in
open trench construction (track hoe, front loader, bore machine, etc.l
11. Explain the purpose of the proposed work: To provide sanitary sewer service to
properties in the vicinity that are not currently served with sewer.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. N/A
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 8 of 14

1. Provide a written description of the proposed impacts: crossing existing intermittent
stream. = 90-1f of 8-inch DIP sanitary sewer
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For
dams, se aratel list im acts due to both structure and floodin .
Wetland
Impact
Site Number
(indicate on
ma

Type of Impact
Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located
within
100-year
Floodplain
es/no Distance
to Nearest
Stream
(linear
feet Area o

Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: none known
4. Individually list all intermittent and perennial stream impacts. Be sure to identify
temporary impacts. Stream impacts include, but are not limited to placement of fill or
culverts, dam construction, flooding, relocation, stabilization activities (e.g., cement
walls, rip-rap, crib walls, gabions, etc.), excavation, ditching/straightening, etc. If stream
relocation is proposed, plans and profiles showing the linear footprint for both the
original and relocated streams must be included. To calculate acreage, multiply length X
width, then divide by 43,560.
Stream Impact

Number
(indicate on
map)

tream Name

Type of
Impact

Perennial or
Intermittent? Average
Stream

Width
Before
Im act Impact

Length
(linear
feet) Area

of
Impact
(acres)
1 N/A Excavation Intermittent[USGS] 34 30 0.0312
2 N/A Excavation Intermittent [MRCS] 10 30 0.007
3 N/A Excavation Intermittent [MRCS] 20 30 0.0138
4 N/A Excavation Intermittent [MRCS] 10 30 0.007

Total Stream I mpact (by length and acreage) 120 .059
Individually list all open water impacts (including lakes, ponds, estuaries, sounds,
Atlantic Ocean and any other water of the U.S.). Open water impacts include, but are not
limited to fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Page 9 of 14

Open Water
Area
Impact Name of Waterbody Type of Waterbody of
Site Number
(if applicable) Type of Impact (lake, pond, estuary, sound
~
Impact
(indicate on bay, ocean, etc.) (acres)
ma

Total Open Water Impact (acres)
6. List the cumulative im act to all Waters of the U.S. resultin from the ro'ect:
Stream Im act (acres): .0312
Wetland Im act (acres):
O en Water Im act acres
Total Im act to Waters of the U.S. (acres)
Total Stream Im act (linear feet): 40
7. Isolated Waters
Do any isolated waters exist on the property? ^ Yes ®No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
Page 10 of 14

The project is to establish a rg avit~ystem to serve the subbasin with municipal sewer..
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o. enr.state.nc.us/ncwetlands/strmgide. html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
Page 11 of 14

website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount ofNon-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
• Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federaUstate/local) funds or the use of
public (federaUstate) land? Yes ® No ^
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ^ No
If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ^ No ^
IX. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ^ No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* Impact Multiplier Required
s uare feet Miti ation
1 3 (2 for
2 1.5
Page 12 of 14

Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additiona120 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
X. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level.
A
XI. Sewage Disposal (required by DWQ)
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.
N/A
• Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Is this an after-the-fact permit application? Yes ^ No
XII. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
The City of Concord will construct a rg avi , sanitary sewer system to be able to serve the sewer
subbasin. Current City zoning; and ordinances will allow properties within the subbasin to be
developed. At such time of development, if there are impacts, the development will be required
to submit the proper applications and plans to be in accordance with DWQ. The property located
At the southeast quadrant of Poplar Tent & Derita Road will be developed for CATerPillar, and
this sewer will serve that site.
Page 13 of 14

XIII. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Page 14 of 14
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

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Utility Map
Legend
• Manholes
'""'~ Concord Gravity Mains
-• Sewer Aerial
WSACC Lines
~~° Abandoned Lines
~ Pressurized Mains
~ Stormwater Structures
Stormwater Pipes
Planning Area
Parcels
o Fire Hydrant
Buildings
-Water Main
Bridges
P5 Sewer Pump Station
Lakes and Ponds
Cabarrus Co.
,__.
j City of Concord
r___I City of Kannapolis
I ~ Town of Harrisburg
'~' Streams
j _i Town of Mt Pleasant
Paved Streets
;Town of Midland
-Roadway Centerline
COC.Year_100_Floodplain
-IB_OF_Topo.dwg Polyline
- Export_Output
• WSACC MH-CSA
1 inch equals 521 feet
NOTE: INFORMATION FOR
WATER MAINS AND STORM
STRUCTURES IN GIS
SYSTEM MAY NOT
BE COMPLETE AT
THIS TIME.

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REVISED 1 1.26.07 DATE. SOURCE: FIGURE NO.
USGS TOPO MAP
07.01.1996 2