20160774 Ver 1_401 Application_20160816

FARRIS AND FARRIS, P.A.
ATTORNEYS AND COUNSELLORS AT LAW
P. O. BOX 2727 108 E. NASH STREET
ROBERT A. FARRIS. JR. bob@thefarrlshrmcom WILSON. NORTH CAROLINA 27894
CHARLES PATRICK FARRIS. JR. chadle@lhefarrlsflrmcom
WILLIAM M. J. FARRIS [e-mail] (252) 291 0
BRIAN PAXTON brian@thefamsflrmcom FAX [phone]
RHYAN A. BREEN rhyan@thefarrnsfirmcom WEBSITE:
SARAH B. FARRIS sarah@thefamsfirmcom www.farrisandfarrislaw.com
20 1 60 ??4
ROBERT A. FARRIS (1920-1980)
THOMAS J. FARRIS (1949-2000)
JOSEPH N. QUINN. JR. (1909-2000)
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Corps action ID no
DWQ project no
Form Version 1 4 January 2009
Page 1 of 10
PCN Form — Version 14 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information i
Ig t44Qt S
1.
Processing
1a. Type(s) of approval sought from the Corps
❑X Section 404 Permit ❑ Section 10 Permit
1 b Specify Nationwide Permit (NWP) number: NWP20 or General Permit (GP) number
1c
Has the NWP or GP number been verified by the Corps?
❑X Yes ❑ No
1d
Type(s) of approval sought from the DWQ (check all that apply)
❑X 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 ❑X No
For the record only for Corps Permit
❑ 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.
❑ Yes ❑X No
Ig
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑Yes ❑X No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑X No
2.
Project Information
2a Name of project:
2b. County
UT Farris
Wilson
2c
Nearest municipality / town:
Wilson
2d
Subdivision name-
Brentwood
2e
NCDOT only, T I P. or state project no
D AER RESOUR ES
3.
Owner Information
3a
Name(s) on Recorded Deed-
@@@ 14rIN _ .8
@@@ -
3b.
Deed Book and Page No.
3c.
Responsible Party (for LLC if
applicable)
3d
Street address:
405 Brentwood Drive
3e. City, state, zip:
Wilson, NC 27893
3f
Telephone no
252-291-5720
3g
Fax no.
3h.
Email address:
@@@
Page 1 of 10
PCN Form — Version 14 January 2009

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
1.
Property Identification
1a
Property identification no (tax PIN or parcel ID):
-70. 00 0
1b
Site coordinates (in decimal degrees)
Latitude. 35 75178 Longitude: -77 92579
1 c.
Property size.
05 acres
2.
Surface Waters
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
3e Describe the overall project in detail, including the type of equipment to be used
Backhoe will be used to place culverts in the creek, connecting to the City of Wilson 42" pipe at the back of the lot
4.
Jurisdictional Determinations
4a
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project(including all priorphases) in thepast?
❑X Yes ❑ No ❑ Unknown
Comments
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
0 Preliminary ❑X Final
4c
If yes, who delineated the jurisdictional areas?
Name (if known) Eric Alsmeyer, Corps
Agency/Consultant Company Corps
Other.
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
March 16, 2016
5.
Project History
5a
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑Yes ❑X No ❑ Unknown
5b
If yes, explain in detail according to "help file" instructions
6.
Future Project Plans
6a
Is this a phased project?
❑ Yes ❑X No
6b
If yes, explain
Page 3 of 10
PCN Form — Version 1 4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed befow fora Gu'6prolect (check all that apply) -
E] Wetlands ❑ Streams —tributaries ❑X 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 Impact
Type of wetland
Forested
Type of jurisdiction
Area of
number
Corps (404,10) or
impact
Permanent (P) or
DWQ (401, other)
(acres)
Temporary T
W1
Choose one
Choose one
Yes/No
-
W2 Choose one Yes/No -
Prevent
W3 - Choose one Choose one Yes/No -
W4 - Choose one Choose one Yes/No -
W5 - Choose one Choose one Yes/No -
W6 - Choose one Choose one Yes/No -
2g Total Wetland Impacts: 0
2h. Comments:
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 (PER) or
Type of
Average
Impact
number
Intermittent (INT)?
jurisdiction
stream
length
Permanent (P) or
width
(linear
Temporary (T) .
(feet)
feet)
S1 P
Culvert
UT Jones
PER
Corps
45
100
S2 -
Choose one
S3 -
Choose one
S4 -
Choose one
S5 -
Choose one
-
S6 -
Choose one
3h. Total stream and tributary impacts
100
3i Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

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 indivii ually list all open water impacts below
4a
Open water
impact number
Permanent (P) or
Temporary T
4b
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01
Choose one
Choose
02
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f Total open water impacts
4g Comments
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below
5a
Pond ID number
5b.
Proposed use or
purpose of pond
5c
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f Total:
5g. Comments
5h Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no
51 Expected pond surface area (acres)
51 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 vou MUST fill out Section D of this form
6a. Project is in which protected basin?
❑X Neuse [] Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other
6b.
Buffer Impact
number —
Permanent(P)or
TemporaryT
6c
Reason for impact
6d
Stream name
6e
Buffer
mitigation
required?
6f
Zone 1
impact
(square
feet)
6g
Zone 2
impact
(square
feet
B1 P
pipe
UT to Toisnot Swamp
No
l
B2
Yes/No
B3
Yes/No
B4
Yes/No
B5
Yes/No
B6
Yes/No
6h Total Buffer Impacts:
6i Comments
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Continued flooding issues and stream evaluation no viable alternatives
i
1b 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. 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 ❑X No
2b If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑ Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a Name of Mitigation Bank.
3b Credits Purchased (attach receipt and letter)
Type- Choose one
Type: Choose one
Type. Choose one
Quantity:
Quantity
Quantity-
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.
Choose one
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.
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

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 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
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 7 of 10

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
within one of the NC Riparian Buffer Protection Rules?
❑ Yes ❑X No
lb
If yes, then is a diffuse flow plan included? If no, explain why
❑ Yes ❑ No
2.
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
2b
Does this project require a Stormwater Management Plan?
❑ Yes No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why
N/A
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 localgovernment's jurisdiction is this project?
City of Wilson
3b
Which of the following locally -implemented stormwater management programs
apply (check all that apply)-
❑ Phase II
❑ NSW
❑ USMP
❑ Water Supply Watershed
❑X Other n/a
3c.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑X No
4.
DWQ Stormwater Program Review
4a
Which of the following state -implemented stormwater management programs apply
(check all that apply)
❑Coastal counties
❑HOW
❑ORW
❑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 8 of 10
PCN Form — Version 14 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes
❑X No
use of public (federal/state) land?
lb
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)?
1c
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,
❑Yes
❑X No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b
Is this an after-the-fact permit application?
❑Yes
X❑ 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
❑X 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
F
4.
Sewage Disposal (DWQ Requirement)
4w
Clearly detail the ultimate treatment methods and disposition (non-discharge or dischargey'of'wasfewater generated from
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
❑ Yes X❑ No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ❑X No
impacts?
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
❑ Yes ❑X 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?
NC Cultural Resources Website
8. Flood Zone Designation (Corps Requirement)
8a WIII this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ❑X No
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
�o$faftT vim. �Q.Q\S
S � a.O� �•
Applicant/Agent's Printed Name
Date
pllcant/ ent's Sig t e
(Agent's ignatur s valid only if an orization
etter from thea DI,is provided
Page 10 of 10

Water Resources
FNVIRONMFNTAL QUALITY
March 16, 2016
Llewellyn Jones
403 Brentwood Drive
Wilson, NC 27897
PAT MCCRORY
Gos e } nor
DONALD R. VAN DER VAART
Secretory
S. JAY ZIMMERMAN
Director
Subject: Buffer Determination Letter
NBRRO #16-056
Wilson County
Determination Type:
Buffer
Intermittent/Perennial
® Neuse (15A NCAC 213.0233)
Start@
❑ Tar -Pamlico (15A NCAC 213.0259)
❑ Intermittent/Perennial Determination (where local buffer
USGS
To o
ordinances apply)
❑ Jordan (15A NCAC 213 .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 = CpnemeraliintermittentIPcrennia!
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 jurisdictional 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 Postal Service: c/o Karen Higgins;
DIVR —X101 & Buffer Permitting Unit, 1617 Mail Service Center; Raleigh, NC 27699-1617. If sending via
Di%ivtm of %V,a,:r Resource, Ralel h Rc Ional Officc, W,Iier Oualily Opo,ttllmc Scciiun Nip / poltal nccicnr tq,:%{ch ktq app
1625 Vl.ul ScrviceCentc•r, Raleigh, NC 27,099-1028 Phone (ON) 791-=13U1)
I ocahon 3S00 E;an•ett nrn c, Ralclgh, NC 270119
Fax [phone]

,ACME Mapper 2.1 - 3.4 km N of Wilson NC
Page 1 of 1
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