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Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the Corps:
Q Section 404 Permit ❑ Section 10 Permit
1b.
Specify Nationwide Permit (NWP) number: NWP 18 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):
Q 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.
❑X Yes ❑ No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes Q No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes Q No
2.
Project Information
2a.
Name of project:
Duke Energy Carolinas, LLC - Dan River Steam Station - 48 -inch Inlet Area Clean -Up
2b.
County:
Rockingham
2c.
Nearest municipality / town:
Eden
2d.
Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Duke Energy Carolinas, LLC
3b.
Deed Book and Page No.
Deed Book: 1411; Page Number 2100
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
900 S. Edgewood Road
3e.
City, state, zip:
Eden, NC 27288
3f.
Telephone no.:
[phone]
3g.
Fax no.:
[phone]
3h.
Email address:
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent Other, specify: Duke Energy Employee
4b.
Name:
Steve Cahoon
4c.
Business name
(if applicable):
Duke Energy
4d.
Street address:
410 S. Wilmington Street
4e.
City, state, zip:
Raleigh, NC 27601
4f.
Telephone no.:
[phone]
4g.
Fax no.:
(919)-546-4409
4h.
Email address:
[e-mail]
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Joshua Bell, PE (Senior Water Resources Engineer)
5b.
Business name
(if applicable):
AMEC Foster Wheeler - Environment & Infrastructure
5c.
Street address:
2801 Yorkmont Road, Suite 100
5d.
City, state, zip:
Charlotte, NC 28208
5e.
Telephone no.:
(704)-517-2618
5f.
Fax no.:
(704)-357-8638
5g.
Email address:
[e-mail]
Page 2of10

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
PIN 897908886870
1 b. Site coordinates (in decimal degrees):
Latitude: 36.489697 Longitude: -79.7176
1 c.
Property size:
3.09 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Dan River
2b.
Water Quality Classification of nearest receiving water:
Dan River = C
2c.
River basin:
Roanoke River Basin / HUC 03010103
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:
The project site includes two emergent and scrub/shrub wetlands, each contain an intermittent stream channel. General land use in the project site
includes: power generation facilities (buildings, parking lots, etc.), ash ponds and ash fill areas, a rail service line, maintained grassed areas, and
shrub and brushland.
3b.
List the total estimated acreage of all existing wetlands on the property: 0.47
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 448
3d.
The
Explain the purpose of the proposed project:
purpose of this project is to provide for the clean-up of ash pond and the temporary impoundment of stormwater at the grouted 48 -inch CMP.
3e. Describe the overall project in detail, including the type of equipment to be used:
See attachment A and the Plan View drawing for project details. See the Stormwater Diversion drawing for equipment details (pump and piping).
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (includingall prior phases)in the past?
❑ Yes ❑X No ❑ Unknown
Comments:
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
❑ preliminary ❑ Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: Amec Foster Wheeler
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
A field review of the wetland delineation with the USACE was conducted on June 9, 2015.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
El Yes X❑ No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
Note: The USACE issued NWP SAW -2014-01477 (9/29/14) for the Steam Station "36 -inch Culvert Plug" project which included impacts to WOUS.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ❑X No
6b.
If yes, explain.
Page 3of10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑X Wetlands ❑X Streams —tributaries ❑ 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 P
Flooding
Seep
No
Corps
0.285
W2 P
Flooding
Seep
No
Corps
0.122
W3 P (W1)
Fill
Seep
No
Corps
0.003
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:
0.41
2h. Comments:
The NC Wetland Assessment Method (NCWAM) forms are attached. Wetland impacts will be permanent due to stormwater impoundment.
Impounded water will be removed within 72 hours via pumping. Pumped flows will be discharged to the Service Water Settling Pond by way of
existing piping to a proposed new stormwater outfall. A permanent fill impact of 0.003 -ac is proposed to Wetland 1 to facilitate diversion of stormwater.
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
Flooding
UT Dan River
INT
Corps
2
219
S2 P
Flooding
UT Dan River
INT
Corps
2
97
S3 P
Flooding
UT Dan River
INT
Corps
2
132
S4
Choose one
S5
Choose one
S6
Choose one
3h. Total stream and tributary impacts
448
3i. Comments:
Duke Energy is requesting a waiver of the 300 feet of stream impact limit for the proposed impacts to these low quality stream channels. The NC
Stream Assessment Method (NCSAM) forms are attached. Stream impacts will be permanent due to stormwater impoundment. Impounded water will
be removed within 72 hours via pumping. Pumped flows will be discharged to the Service Water Settling Pond and via proposed stormwater outfall.
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 individually 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
O2
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:
5i. Expected pond surface area (acres):
5j. 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 you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
B1
Yes/No
B2
Yes/No
B3
Yes/No
B4
Yes/No
B5
Yes/No
B6
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5of10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The project has been designed to avoid significant permanent dredge or fill impacts to wetlands and streams. Impounded water will be removed
within 72 hours via pumping to a settling pond. The proposed action at this location will primarily include minor permanent impacts to intermittent
stream channels and herbaceous/shrubby wetlands.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Impacts to wetlands and streams will be minimized during pumping activities. Access will be through uplands, via adjacent roadways. Best
Management Practices will be used during pumping activities.
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?
❑X Yes ❑ No
2b. If yes, mitigation is required by (check all that apply):X❑
DWQ ❑X Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑X 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.X❑
Yes
4b. Stream mitigation requested:
448 linear feet
4c. If using stream mitigation, stream temperature:
warm
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
0.41 acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments: Duke Energy is requesting 1:1 stream mitigation since the proposed stream impacts will be to low quality, intermittent channels.
5. 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 6of10
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?
YesX❑ 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
❑ Yes ❑X No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑X No
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
1
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ❑X No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
The project site meets the low density criteria as specified under DWR Water Quality Certification (WQC) No. 3890; i.e. the project built upon area is
less than 1 %. BMPs have been designed to meet the WQC No. 3890 requirements for low density development.
The proposed action will not add
imperious
surfaces to the project. As specified by WQC No. 3890, two copies of the DWR Low Density Supplemental Form are attached to this PCN.
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 thisproject?
❑ Phase II
❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑X No
attached?
4.
DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ORW
(check all that apply):
❑Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑X No
attached?
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?
❑X Yes ❑ No
Page 8of10
PCN Form — Version 1.4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ❑X No
use of public (federal/state) land?
1 b.
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
❑ Yes ❑ No
letter.)
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 ❑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
E] 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.
4.
Sewage Disposal (DWQ Requirement)
4a.
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.
This
project will not generate wastewater.
Page 9of10
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
❑X Yes ❑ 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?
USFWS Information, Planning, and Conservation System (IPaC) interactive website and the NC Natural Heritage Program (NCNHP) Natural Heritage
Database Search interactive website. Amec Foster Wheeler did not identify any federally listed species during the site evaluations in April 2015.
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?
NOAA National Marine Fisheries Service - online interactive software "Essential Fish Habitat Mapper v3.0".
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 Dept of Cultural Resources, State Historic Preservation Office (SHPO) interactive website (HPOWEB).
8. Flood Zone Designation (Corps Requirement)
8a. Will 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?
A graphic exhibit of the 100 -year floodplain for the project vicinity is attached. Source: FEMA/FIRM map numbers 3710798900J, 3710799900J, and
3710709000J, dated July 3, 2007.
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant is provided.
Page 10 of 10