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HomeMy WebLinkAbout20160616 Ver 1_401 Application_201606161 0� WATFq c ? 0 1 6 Q 6 1 g Office use Only Corps actio ID 1 DWQ pro' o Form Versi 1 4 jannuQ 9nn4 Pre -Construction Notification (PCN) Form A. Applicant Information I. Processing 1a Type(s) of approval sought from the Corps I ❑x Section 404 Permit 1 b Specify Nationwide Permit (NWP) number. NWP20 1c. Has the NWP or GP number been verified by the Corps? or General Permit (GP) number: 1 d. Type(s) of approval sought from the DWQ (check all that apply) Q 401 Water Quality Certification — Regular ❑ 401 Water Quality Certification — Express ❑ Section 10 Permit ❑x Yes ❑ No ❑ Non -404 Jurisdictional General Permit ❑ Riparian Buffer Authorization 1 e. Is this notification solely for the record For the record only for DWQ because written approval is not required? 401 Certif►cation• ❑ Yes ❑X 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. ',g. Is the project located in any of NC's twenty coastal counties If yes, answer 1h below 1 h Is the project located within a NC DCM Area of Environmental Concern (AEC)? 2. Project Information 2a. Name of project- LIT Jones 2b. County Wilson 2c. Nearest municipality / town, Wilson 2d Subdivision name- Brentwood 2e. NCDOT only, T I P. or state project no: 3. Owner Information 3a Name(s) on Recorde=27T2. T & Llewellyn W Jones 3b. Deed Book and Pag2, page 62 3c Responsible Party (f applicable) 3d Street addresstwood Drive3e City, state, zip•C 278933f Telephone no595 i 3g Fax no 3h Email address Ilewellynjones@earthl►nk net For the record only for Corps Permit ❑ Yes ❑X No ❑ Yes ❑X No ❑ YesX❑ No ❑ Yes No JUN Page 1 of 10 PCN Form — Version 1 4 January 2009 I 4. Applicant Information (if different from owner) 4a Applicant is ❑ Agent ❑ Other, specify. (' 4b Name 4c Business name (if applicable) 4d Street address 4e. City, state, zip 4f. Telephone no 4g Fax no, 4h. Email address - 5. Agent/Consultant Information (if applicable) 5a. Name - 5b. Business name (if applicable): 5c. Street address 5d. City, state, zip: 5e. Telephone no.: 5f. Fax no: 5g Email address Page 2 of 10 B. Project Information and Prior Project History "ll. Property Identification 1a Property identification no (tax PIN or parcel ID) 1 b Site coordinates (in decimal degrees) Latitude 35 75178 Longitude -77 92579 1 C. Property size. 05 2. Surface Waters acres 2a Name of nearest body of water to proposed project Toisnot Swamp 2b. Water quality Classification of nearest receiving water- WS-III,NSW,CA 2c River basin. Neuse 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: Residential lot in a residential neighborhood 3b List the total estimated acreage of all existing wetlands on the property 0 3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property 100 3d. Explain the purpose of the proposed project' Prevent flooding caused by stormwater runoff. I • �Describe used overall project detail, lnitype of to be used: be to place ulverts in the creek, connecting oCity of equipment 42" pipe at he back of the lot -_ _��•�+��a� ucaermmations 4a. Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / 0 Yes ❑ No ❑Unknown ro'ect (includingall rior hasps in the ast? Comments: 4b If the Corps made the jurisdictional determination, what type of determination was made? ❑x Preliminary ❑x Final 4c If yes, who delineated the jurisdictional areas Name (if knowny Eric Alsmeyer, Corps Agency/Consultant Company Corps 4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and March 16, 2016 attach documentation 5. Project History 5a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past? ElYes 21No 5b If yes, explain in detail according to "help file" instructions El Unknown 6. Future Project Plans 6a. Is this a phased project? 6b If yes, explain ❑ Yes ❑X No Page 3 of 10 PCN Form — Version 1 4 January 2009 C. Proposed Impacts Inventory �I Impacts Summary la Which sections were completed below for your project (check all that apply) ❑ Wetlands ❑ Streams — tributaries ❑X Buffers ❑ Open Waters ❑Pond Construction 2. Wetland Impacts impacts (including sites impacted temporary impacts) proposed on the site, then com plet e this 3a 3b Stream impact number If there are wetland impacts proposed on the site, then complete this question for 3g Permanent (P) or 2a. 2b. Average stream 2c Temporary (T) each wetland area impacted width Wetland impact number S1 P Type of impact PER Type of wetland 2d Forested 2e Type of jurisdictiona f Permanent (P) or 4 5 100 S3 Choose one Corps (404,10) oract of F Tem ora T Choose one S5 DWq (401, other)es) W1 Choose one Choose one Choose one Yes/No 31 Comments 3h Total stream and tributary impacts Choose one W3 Choose one Prevent Choose one Yes/No W4 Choose one Yes/No _ Choose one Yes/No W5 Choose one Choose one Yes/No W6 - Choose one Choose one Ye /N s o 2h. Comments. 2g Total Wetland Impacts: 0 ` 3. Stream Impacts k if there are perennial or intermittent stream question for all stream impacts (including sites impacted temporary impacts) proposed on the site, then com plet e this 3a 3b Stream impact number 3c. Type of impact Stream me na 3d Perennial (PER) or 3e Type of 3f 3g Permanent (P) or yP intermittent (INT)? jurisdiction Average stream Impact length Temporary (T) width (linear S1 P Culvert(feet) UT Jones PER feet) S2 Choose one Corps 4 5 100 S3 Choose one S4 Choose one S5 Choose one S6 Choose one 31 Comments 3h Total stream and tributary impacts 100 Page 4 of 10 PCN Form — Version 1 4 January 2009 �4. Open Water Impacts r If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of ,the U S then indiv ually list all open water impacts below 4a 4b 4c 4d Open water Name of waterbody 4e impact number (if applicable) Type of impact Waterbody Area of impact (acres) Permanent (P) or Tem ora T type 01 Choose one Choose 02 Choose one Choose 03 Choose one Choose 04 Choose one Choose 4g. Comments: 4f Total open water impacts S. Pond or Lake Construction If pond or lake construction Proposed, the complete the chart below 5a. 5b. 5c 5d Pond ID number Proposed use or Wetland Im acts acres 5e P ( ) Stream Impacts (feet) Upland purpose of pond Flooded Filled Excavated Flooded Filled Excavated (acres) P1 Choose one P2 Choose one 5f. Total: 6g. Comments: 5h Is a dam high hazard permit required? Yes E] No If yes, permit ID no: 5i Expected pond surface area (acres): 5j Size of pond watershed (acres) Sk Method of construction 6. Buffer Impacts (for DWQ) If project will impact a protected riparian buffer, then complete the chart below If yes, then below If any impacts require mitigation, then individually list all buffer impacts you MUST fill out Section D of this form 6a. Project is in which protected basin? QX Neuse E] Tar -Pamlico [] Catawba [:] Randleman ❑ Other 6bET 6c 6d Buffer Reason for impact P Stream name 6e 6f 6g num Buffer Zone 1 Zone 2 Permane mitigation impact impact Tem o required? (square (square B1 p pipe UT to Toisnot Swamp No feet feet B2 3,821 1,540 E33 Yes/No 64 - Yes/No B5 - Yes/No B6 Yes/No 61 Comments Page 5 of 10 Yes/No 6h Total Buffer Impacts: 3,821 1,540 k Li. impact: austitication and Mitigation 1. Avoidance and Minimization la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. Continued flooding issues and stream evaluation no viable alternatives 1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques Use of erosion control measures and work to be done during low flow periods 2. Com ensato Mitl ation for Im acts 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 States ❑Yes X❑ No 2b. If yes, mitigation is required by (check all that apply); ❑ DWQ El Corps 2c. If yes, which mitigation option will be used for this ❑ Mitigation bank protect? LfO Payment to In -lieu fee program Permittee Responsible Mitigation 3. Complete if Using a Mitl ation Bank 3a Name of Mitigation Bank: Type- Choose one 3b Credits Purchased (attach Quantity: receipt and letter) Type Choose one Quantity JQuantity Type Choose one 3c. Comments - 4. Complete if Making a Pa ment to In-Ileu Fee Pro ram 4a. Approval letter from in -lieu fee program is attached ❑ Yes 4b Stream mitigation requested. 4c If using stream mitigation, stream temperature Choose one linear feet 4d Buffer mitigation requested (DWQ only): 4e Riparian wetland mitigation requested, square feet 4f. Non -riparian wetland mitigation requested acres 4g Coastal (tidal) wetland mitigation requested acres 4h Comments acres S. Complete if Using a Permittee Responsible Mitigation Plan 5a If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan Page 6 of 10 PCN Form — Version 1 4 January 2009 `j. 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 ❑x 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. 6c. 6d. 6e. Zone Reason for impact Total impact Multiplier Required mitigation (square feet) (square feet) Zone 1 3 (2 for Catawba) Zone 2 1 5 —L— 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 7 of 10 i= E. Stormwater Management and Diffuse Flow Plan (required by DWQ) 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 1 b If yes, then is a diffuse flow plan included? If no, explain why ❑ Yes 2. Stormwater Management Plan 2a What Is the overall percent imperviousness of this project? 2b Does this project require a Stormwater Management Plan? ❑ Yes 2c. If this project DOES NOT require a Stormwater Management Plan, explain why N/A ❑X No ❑ No 0 No 2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan 2e. Who will be responsible for the review of the Stormwater Management Plan? 3. Certified Local Government Stormwater Review ` —�3a In which local government's junsdictlon is this oroiect? 3b Which of the following locally -implemented stormwater management programs apply (check all that apply) - 3c. Has the approved Stormwater Management Plan with proof of approval been attached? 4. DWQ Stormwater Pro gram Review 4a. Which of the following state -implemented stormwater management programs apply (check all that apply): 4b Has the approved Stormwater Management Plan with proof of approval been attached? 5. DWQ 401 Unit Stormwater Review 5a Does the Stormwater Management Plan meet the appropriate requirements? 5b Have all of the 401 Unit submittal requirements been met? f City of Wilson ❑ Phase II ❑ NSW ❑ USMP ❑ Water Supply Watershed X❑ Other nia ❑ Yes ❑X No ❑Coastal counties ❑HQW ❑ORW ❑Session Law 2006-246 []Other ❑ Yes ❑ No [—]Yes No ❑ Yes ❑ No Page 8 of 10 PCN Form — Version 1 4 January 2009 I� N F. Supplementary Information 1. Environmental Documentation (DWQ Requirement) la Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) 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 ❑ 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, 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, E] Yes OX 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 additional development, which could impact nearby downstream water quality? F[E]]Yes XQ No 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 4. Sewage Disposal (DWQ Requirement) 4a Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from n/a the proposed project, or available capacity of the subject facility Page 9 of 10 PCN Form — Version 1 4 January 2009 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 ❑X No 5b Have you checked with the USFWS concerning Endangered Species Act impacts ❑Yes ❑x No 5c If yes, Indicate the USFWS Field Office you have contacted. Raleigh 5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? Field survey and testing 6. Essential Fish Habitat (Corps Requirement) 6a Will this project occur in or near an area designated as essential fish habitat ❑ Yes ❑X No 6b What data sources did you use to determine whether your site would Impact Essential Fish Habitat? Field survey and testing 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 (e g , National Historic Trust designation or properties significant in ❑ Yes ❑X No North Carolina history and archaeology) l 7b. What data sources did you use to determine whether your site would impact historic or archeological resources? NC Cultural Resources Website 8. Flood Zone Designation (Corps Requirement) 8a Will this project occur in a FEMA -designated 100 -year floodplain? 8b If yes, explain how project meets FEMA requirements• 8c What source(s) did you use to make the floodplain determination? City. County and state flood maps Llewellyn W Jones Applicant/Agent's Printed Name wt�M� n, Applicant/ gent's Signat (Agent's signature is valid only if an aS letter from the applicant is orov c Page 10 of 10 ❑ Yes ❑X No ation 6/8/2016 Date Water Resources FNVIRONMFNTAI. QUALITY March 16, 2016 Llewellyn Jones 403 Brentwood Drive Wilson, NC 27897 PAT IvICCRORY 6oi error DONALD R. VAN DER VAART ,SecretNy S. JAY ZIMMERMAN Director Subject: Buffer Determination Letter NBRRO #16-056 Wilson County Determination Type: Buffer Intermittent/Perennial ® Neuse (15A NCAC 2B.0233) Start@ ❑ Tar -Pamlico (15A NCAC 2B 0259) ❑ Intermittent/Perennial Determination (where local buffer USGS To o ordinances apply) ElJordan (15A NCAC 2B .0267) (governmental and/or interjurisdictional Entire Properties projects) Project Name: 403 Brentwood Drive, Wilson NC 27897 Address/Location: 403/405 Brentwood Drive Wilson NC 27897 Stream(s): A — (Unnamed Tributary to Toisnot Swamp) Determination Date: March 9, 2016 Staff: Jason Robinson, Cherri Smith Stream E/UP* Not Subject Subject Start@ Stop@ Soil Survey USGS To o A P X Entire Properties X ciur = rpnemerauintermittentIPerenniat Explanation: The stream(s) listed above has been located on the most recent published NRCS Soil Survey of Wilson County, North Carolina and/or the most recent copy of the USGS Topographic map at a 1:24,000 scale. Each stream that is checked "Not Subject" has been determined to not be at least intermittent or is not present. Streams that are checked "Subject' have been located on the property and possess characteristics that qualify it to be at least an intermittent stream. There may be other streams located on the property that do not show up on the maps referenced above but may be considered junsdictional according to the US Army Corps of Engineers This on-site determination shall expire five (5) years from the date of this letter. Landowners or affected parties that dispute a determination made by the DWR may request a determination by the Director. An appeal request must be made within sixty (60) days of date of this letter. A request for a determination by the Director shall be referred to the Director in writing. If sending via US Posta/ Service: c/o Karen Higgins; D IVR — 401 Bc Buffer Permitting Unit; 1617 Mail Service Center; Raleigh, NC 27699-1617. If sending via [)IN bion of IV,10.•r Rcsourre,, Rolelgh Re um.il Office, \Vater OW11rV 01)0,lilono SCLtlon http , portal iicdcnr or! %kch 162S \l,ul Senlc.cCenter, Ralcigll, I\C 27699-1628 Phone (ill')) 791-420 1 oc.ttlon 351)11 R mctt Drive. Raleigh. NC 2709 Fix (l)lt)) 7,0-7159 ACME Mapper 2.1 - 3.4 km N of Wilson NC Page 1 of 1 http://mapper.acme.com/ 3/1/2016 ,w¢ ` t•t,_y. ..1�:;-_ ." .,i.r ir,..:;it a •J • r ... .. ;,, i � 1 � Aye, �: 1 iq% ytk'' lk.... JI. i�-�,• ' ,. jry .;,�. .•'y',.• ':'.R"•1' rl t' ,�. w'� 1tri:`•�'7t1 i'�+l r.�,'i ,i..:..--`. •• Vl'"=:� �(•. ,;?5:•� of .i'' 4'��i)=�J: � .r ,.�„—s ,r �., f ��•�i, �, l_.;.{r '�;',.5: �•;�^�''� �'�,�:- ..:'i.�, .{:r,,•;�1:�., �•;�- •'1 r`;ai. � i � t � a I .. - f, s l3; .•� ;� r 7Ji� \I r;,r.' � > �. � 1 � ,r , i {if{., rtri ,j r°.I• F.�1y, 7+`:r ��Lh�iu1'�, -�yr*i�1•.F.l�f1R��\I Ilray's` i '� 1� I ,' !� �! � � � S,%''••. �.,}f;• ,, tit r \ > tr 5 i. 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