20060638 Ver 7_Additional Info HF Lee PCN Comments_20170607

Strickland, Bev
From: Witherspoon, Josh <[e-mail]>
Sent: Wednesday, June 07, 2017 9:32 PM
To: Scarbraugh, Anthony
Cc: Dailey, Samantha J CIV USARMY CESAW (US); Cahoon, Steve; Harmon, Richard G
Subject: HF Lee PCN Comments
Attachments: NCDWR RAI Letter and Revised PCN_6-7-17.pdf
Anthony — Attached are the rest of the items mentioned in the previous email. The original email contained only the
revised impact drawing.
Josh Witherspoon, LSS, PWS
Senior 2 Ecologist, Environment and Infrastructure Americas, Amec Foster Wheeler
4021 Stirrup Creek Drive, Suite 100, Durham, NC 27703
T (919)-381-9900 D (919)-381-1402 M (919)-219-9549 VOIP #748-1402
[e-mail] amecfw.com
Amec
foster
Wheeler
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r
amec
foster
wheeler
June 6, 2017
Mr. Anthony Scarbraugh
Environmental Senior Specialist
N.C. Division of Water Resources
Water Quality Regional Operations
943 Washington Square Mall
Washington, NC 27889
RE: Response to Agency Comments
HF Lee Energy Complex, Wayne County, NC
HF Lee Seep Collection and Conveyance System
Pre -Construction Notification — Nationwide Permit 7
Dear Mr. Scarbraugh:
Duke Energy in consultation with Amec Foster Wheeler Environment & Infrastructure, Inc.,
recently submitted a Pre -Construction Notification (PCN) to your office for issuance of U.S. Army
Corps of Engineers (USACE) Nationwide Permit (NWP) 7 for the above -referenced project. You
responded in a May 23, 2017 email correspondence to Mr. Steve Cahoon, Duke Energy, stating
that you had reviewed the information in the PCN and attached plans, but additional
information/revision would need to be provided to the N.C. Division of Water Resources for the
application to be considered complete. These comments are provided below and are
accompanied by a response.
Comment No. 1
Upon review of the application for the proposed seep collection and conveyance system, this
Office has concerns of potential drainage of the existing wetlands from the construction of the
diversion channel through the wetlands. This would constitute a violation of wetland standards
under 15A NCAC 0213 .0231.
Response
The attached revised Drawing 4, dated June 2, 2017, depicts only the proposed diversion berm
through wetlands. The diversion channel previously proposed has been removed from the project
plans. The only impacts to wetlands associated with this project will result from fill to be placed in
the wetland areas for construction of the diversion berm. The permanent fill resulting from the
berm construction will impact 0.13 acre of wetlands. The permanent fill from the berm construction
increased from 0.09 acre to 0.13 acre due to the replacement of proposed diversion channels with
extensions of the diversion berm.
Amec Foster Wheeler Environment & Infrastructure, Inc. Tel — [phone]
4021 Stirrup Creek Drive, Suite 100 Fax — [phone]
Durham, NC 27703 www.amecfw.com

HF Lee Seep Collection and Conveyance System
Wayne County, North Carolina
Nationwide Permit 7 Response to Agency Comments
amec
foster
wheeler
Comment No. 2
In addition, please explain the temporary fill associated with matting for equipment access.
Response
The proposed temporary fill associated with matting for equipment access will include temporary
mats placed through wetland areas to allow for equipment travel through wetland in areas adjacent
to the proposed earthwork. The proposed temporary impacts associated with the matting will
provide an additional 15 -foot width to the north of the proposed berm. Proposed temporary
impacts to wetlands are 0.14 acre. The temporary matting will be removed upon construction
completion.
Please do not hesitate to contact me if you have any questions regarding the above responses to
your request for additional information.
Sincerely,
Amec Foster Wheeler Environment and Infrastructure, Inc.
g'�'J �V"'r'A
Richard G. Harmon, PWS
Associate Scientist
Enclosures
Cc: Samantha Dailey, USACE — Raleigh Regulatory Field Office
Amec Foster Wheeler Environment & Infrastructure, Inc.
4021 Stirrup Creek Drive, Suite 100
Durham, NC 27703 www.amecfw.com
Tel — [phone]
Fax — [phone]
Page 2 of 2

7
4 1 3 1 2
1
1 VEGETATED DIVERSION BERM
TV 3 (ELEVATION 77) _ \
NORTH
OH+E ZSh�€ pH -E OH-
-E E OH -E OH -E OH -E OH -E E OH -E
`` \
G 3 -HO 3 -HO -HO -HO 3 -Hp � p 3 -HO — ` 3 -HO 3 -HO 3 -HO 3 -HOS 3 -HO 3 -HO 3 -HO \ O -E OH -E \
/�- OH -E-, OH -E OH -E OH -E OH -E OH- OH -E OH -E -B
-: 77.0-75—� 76
_
—???
------------- ------ -- J ------ ----' —� X
_ ------ - -- --- -_ _------- —75� - __ — — �'-_— - --- �_� ------ 76 2
---- ----- - L _ _ _ _76
--_ -- --L _ = --- ---- ---- _ -- -_- ------ ---- ----- - — — — — -_ 77.0 �/ - - --- --- 76
WETLAND IMPACT WETLAND IMPACT �- _-------------- --- - --------- -
- 0.04 ACRES (1,582 S.F.) ___--_ 0.04 ACRES (1,613 S.F.)-------- ---- --- L
-75 WETLAND IMPACT7 ---------
.:-------------------------------------- WETLAND IMPACT - ---------
-75 ---- 0.02 ACRES (795 S.F.) 0.01 ACRES (630 S.F.)-- WETLAND IMPACT _75_
----------
------------------------------------ -� ----- 0.02 ACRES (1,005 S.F.) --- -
_- -------------- - --
--- ------ S 27
-------------_ — — — ——
——————————————
-------------------------
------------------------------------------------------------------------------------
---------------------------------------------------
---
-------
--------------------------------------------------------'85------------
---------------------------------------- -=ASH BASIN - ___—__--__---_____---_ -_-___---
-----------------------------------------------
_ _ __ __ _
----------- ---------------------------------------------------
-------------
--------------------------- LIMIT ------------------------------------------- --
__________ __________ ______--_______________ -- - 85_------__ _-_------_--
E
E
------ ---------------------------
---------- ----- ---- _
—� —� _- —p --�------------------------
-------------------------- ----- _-- f o--
-� _fl ------ G G G G G
— — — — — — — — — — — — — — — — — — — -
- — �- d 4 G 4 G
—-------------------------------------------- _----------------------o--
---------------____�_____= _ __--_-- ---- -----_— _------------- ------------------------------------ l-� �� - _ i� -
-------------------- — -- ----------------- - - /
EXISTING
, U W W W I, V ­ - - W Q I, ­ - W
+ + + + + + + + + + + + + + + + + + +
0+00 1+20 2+40 3+60 4+80 6+00 7+20 7+71
SECTIONA-A
SCALE H:1"=30'; V:1"=30'
90 EXISTING WETLAND
PROPOSED
i_l BERM
-APPROXIMATE EXISTING APPROXIMATE EXISTINGAPPROXIMATE EXISTING
EXISTING
GROUND SURFACE GROUND SURFACE EXISTING APPROXIMATE EXISTING
WETLAND GROUND SURFACE GROUND SURFACE
90 90 PROPOSED 90 90 WETLAND 90 90
BERM I PRO OSEDh I
80 1 180
70 ' 70
FILL
60 60
i o 0 i
+ +
0+00 0+66
SECTIONB-B
SCALE H:1"=30'; V:1"=30'
0
NOTES
1. TOTAL WETLAND IMPACTS SHOWN ON THIS DRAWING ARE
i 0.13 ACRES (5,625 SQUARE FEET).
0
y 2. TOTAL WETLAND IMPACTS ACCOUNT FOR AN ADDITIONAL
15 -FT WIDTH TO THE NORTH OF THE PROPOSED BERM
TO ALLOW FOR EQUIPMENT TRAVEL THROUGH WETLANDS
N IN AREAS ADJACENT TO PROPOSED EARTHWORK.
h
REFERENCE
1. EXISTING CONTOURS DERIVED FROM THE NC ONEMAP
GEOSPATIAL PORTAL. CONTOURS ARE BASED ON 20 FOOT
DEM GRID CELL GENERATED FROM LIDAR.
2. EXISTING AERIAL TOPOGRAPHY SURVEY PREPARED BY WSP,
DATED JUNE 1, 2015.
3. STREAMS DEPICTED ON THIS DRAWING ARE FROM FIGURE
5 OF THE 401 APPLICATION, WHICH WAS PREPARED BY
GEOSYNTEC, AND DATED JUNE 2015.
4. WETLANDS DEPICTED ON THIS DRAWING ARE FROM GPS
COORDINATES RECORDED BY WETLAND EXPERTS ON APRIL
18, 2017.
80 I 80
70 ' 70
ILL
60 F 60
0
M
+
0+00 0+56
SECTIONC-C
SCALE H:1"=30'; V:1"=30'
80 80
70 1 70
FILL
60 60
i a i
+
0+00 0+59
SECTIOND-D
SCALE H:1"=30'; V:1"=30'
LEGEND
80
70
EXISTING
WETLAND
90
�- PROPOSED
BERM
80
FILL 70
60 60
M
+
0+00 0+59
SECTIONE-E
SCALE H:1 "=30'; V:1 "=30'
EXISTING PROPERTY LINE SCALE IN FEET
EXISTING ASH BASIN LIMITS (ESTIMATED;
-8 EXISTING INDEX CONTOURS 0 30' 60'
LIMITS OF DISTURBANCE (SEE NOTE 1)
DRAFT
iL� DUKE
C ENERGY..
A A
M 1A
Civil & Environmental Consultants, Inc.
333 Baldwin Road • Pittsburgh, PA 15205
Ph: 412.429.2324 • 800.365.2324 • Fax: [phone]
www.cecinc.com
DUKE ENERGY
H.F. LEE SITE
WAYNE COUNTY
GOLDSBORO, NORTH CAROLINA
J M B I CHECKED BY: DRAFT I APPROVED BY: DRAFT
6/02/2017 1 DWG SCALE: 1" = 30'1 PROJECT NO: 164-198.0002
DRAWING NO.:
WETLAND IMPACTS 4.
SHEET OF
it]
191
F
E
0
C
-----7c`
EXISTING INTERMEDIATE CONTOURS
EXISTING TREELINE
EXISTING PIPING
OH—E
EXISTING OVERHEAD WIRES
EXISTING ACCESS BENCH
EXISTING DRAINAGE DITCH
—
EXISTING STREAM
—
EXISTING INTERMITTENT STREAM
— —
EXISTING PERENNIAL STREAM
NEUSE RIVER 50 -FT RIPARIAN BUFFER
(SEE REFERENCE 3)
EXISTING RIPRAP
EXISTING WETLANDS
OS -04
EXISTING IDENTIFIED SEEP
E
PROPOSED ELECTRICAL CONDUIT
FM
PROPOSED FORCEMAIN
PROPOSED SUMP PUMP WITH ANTI -SEEP COLLAR
DRAWN BY
DATE:
D
PROPOSED TEMPORARY GENERATOR
LIMITS OF DISTURBANCE (SEE NOTE 1)
DRAFT
iL� DUKE
C ENERGY..
A A
M 1A
Civil & Environmental Consultants, Inc.
333 Baldwin Road • Pittsburgh, PA 15205
Ph: 412.429.2324 • 800.365.2324 • Fax: [phone]
www.cecinc.com
DUKE ENERGY
H.F. LEE SITE
WAYNE COUNTY
GOLDSBORO, NORTH CAROLINA
J M B I CHECKED BY: DRAFT I APPROVED BY: DRAFT
6/02/2017 1 DWG SCALE: 1" = 30'1 PROJECT NO: 164-198.0002
DRAWING NO.:
WETLAND IMPACTS 4.
SHEET OF
it]
191
F
E
0
C

0� \NA71
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Office Use Only:
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: 7 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑ Yes X❑ 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.
❑ Yes 0 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:
HF Lee Seep Collection and Conveyance System
2b.
County:
Wayne
2c.
Nearest municipality / town:
Goldsboro
2d.
Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state project no:
N/A
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Duke Energy Progress, LLC
3b.
Deed Book and Page No.
Book 1453 Page 229
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
1677 Old Smithfield Road
3e.
City, state, zip:
Goldsboro, NC 27530
3f.
Telephone no.:
919-546-7457
3g.
Fax no.:
919-546-3669
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. Fayetteville Street
4e.
City, state, zip:
Raleigh, NC 27601
4f.
Telephone no.:
919-546-7457
4g.
Fax no.:
919-546-3669
4h.
Email address:
[e-mail]
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 2of10

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
2579623548
1 b. Site coordinates (in decimal degrees):
Latitude: 35.38516998 Longitude: 78.07801819
1 c.
Property size:
2119 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Neuse River
2b.
Water Quality Classification of nearest receiving water:
WS -IV, NSW
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:
The site contains gas/oil fired turbine units and associated facilties and an ash basin. The site has undergone decommissioning of the former coal
fired generation plant and associated facilities. The area surrounding hte plant is predominantly agricultural, undeveloped forests, and residential.
3b.
List the total estimated acreage of all existing wetlands on the property: 370
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 47674
3d. Explain the purpose of the proposed project:
Construction of a seepage collection and conveyance system to return seep water to the ash basin as well as a diversion channel.
3e. Describe the overall project in detail, including the type of equipment to be used:
See attached construction drawings & proposed project details. Typical constuction equimpment incuding excavators, dump trucks, etc. may be used.
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?
❑X Yes ❑ 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): Amec Foster Wheeler
Agency/Consultant Company: Amec Foster Wheeler
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Field reviews by USACE personnel for jurisdictional determination were conducted on 4/1/15, 4/21/15, 3/22/17, 7/20/17, and 9/20/17.
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.
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):
❑ Wetlands ❑ 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.
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 P
Excavation
Headwater Wetland
No
Corps
0.13
W2 T
Fill
Headwater Wetland
Yes/No
Corps
0.14
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:
0.270
2h. Comments:
The diversion channel and berm construction will result in 0.09 acre of permanent impacts to wetlands for construction of the diversion channel and
0.14 acre of temporary impacts for construction of an access path.
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.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Fill
INT
Corps
3
30
S2
Choose one
S3
Choose one
S4
Choose one
S5
Choose one
S6
Choose one
3h. Total stream and tributary impacts
30
3i. Comments:
The proposed placment of the concrete sump box within the stream channel will result in 30 linear feet of permanent stream impact.
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
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:
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 limits of disturbance (LOD) for the proposed seepage collection and conveyance system will be limited to the areas necessary for the placment of
the seepage collection box and will have no additional stream impact. Impacts to jurisdictional streams will be kept to the smallest footprint
practicable. Impacts to jurisdictional wetlands resulting from construction of the diversion channel will be kept to the smallest footprint practicable.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Compost filter socks will be utilized to prevent sediment from entering jurisdictional features during project construction as well as preventing
sediment from leaving the LOD. Accumulated sediment will be removed when it reaches 1/2 the above ground height of the filter sock barrier. Areas
of temporary construction impacts will be restored to pre -construction conditions. Matting will be utilized for the temporary access path.
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
El 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:
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?
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 will be no impervious surfaces associated with this project.
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 ❑ 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 ❑ 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?
❑ 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

d. rn0angere13 apecles an13 Deslgnazell Crldcal R813aat (Corps Requirement)
5a. vvill As project occur In or near an area wiut ietleraliy protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑rte' ®AD
Impacm-r
5c. IT yes, inalcaie the uzFW5 Flel'a Mce you Have contacte0.
5a. vvRat data sources ala you use to 13etermine wlleuier your site would impa4t Endangered Species or Designated Critical
Habitat?
O5FW5 Into..-atlon, Planrtln-W„ ana Con..err..tlon 51..tom end 1Mw R.C. RatuMI FlAtaae Program (RCRRt.) Raturai nerltage
DotadaaC 5w.mfi Intra -live ne�si'l—
B. Essential MR RaBitat jUarps requirement)
5a. vvill tRls project occur In or near an area designated as essential tush habitat?
❑ Yes No
8b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Rttp�1www. Raahat. noaa.bovrproaeattiot4eia ua laaluaLmap,er.Rtm_
r. RistoRc or PrenlstoMe Cultural Resources CCorps Requirement)
r a. vvill As project occur in or near an area tnat the state, tetleral or u ilial
governments have designated as having historic or cultural preservation
❑ Yes ® No
atatzi. Rouonal Riatoriv i rout daulanation or propwMi aianium t V.
MOM Carolina Rlstory anO archaeology) r
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
R.C. Gept. or iuLM Resources, attie nistoM Preservauon Unice (VTO) mterat uve wemke (RPUVVr-o).
8. Flovll Luna Da4ig17.,Lty,-. [Carps R-.,uire... U. -A)
aa. vviii As project occur In a FEMIH=aesignateO -i 00 -year nolmplain r
® res ❑ Mo
50. h yes, explain Row project meet:; FI!M t requirement,:
i ne seepage collection Mx will Be Insimlea aeiow grouna. Current FEIOIR noo0 elevatlons mll not Ile Impaclea.
8c. vvRat sourcets)1310 you use to mage tRe noo'opiain Oetermination r
RC Flwa Mq--. %mAtFIRM no.�.tior 37202588011], aaleid O.mba, 2, 2005.
Applicant/AgenL' s Printed Name
t%pplicantimgeni s 5lgnature
Date
(Agenr3 signature Is va1ld only ft ar oUUfdf cation
letter from the applicant Isprovided.)
Page i 0 of l v