HomeMy WebLinkAbout20090069 Ver 1_401 Application_20090109
DEVELOPMENT ENG!NffR~NGD ~NCo
LETTER OF TRANSMITTAL
P. O. Box 17705
244 W Mil/brook Rd.
Phone: 919-847-8300
Raleigh, NC 27619-7705
Raleigh, NC 27609
Fax: 919-847-2130
DATE: 01-21-09 JOB NO.: 08-197
ATTENTION: Division of Water Quality
TO:
Division of Water Quality
Attn: 401/Wetlands Unit
2321 Crabtree Boulevard, Site 250
Raleigh, NC 27604-2260
1702 Virgil Road
RE-SUBMITTAL WITH NEW FORM
09-0069
,JAN 2 I 2n09 "
RE:
OFNR . \NAir-f, L't IAlI i 'f
WETLANDS AND STORMWATER BRANCH
WE ARE SENDING YOU 0 Attached
o Under separate cover via DELIVERY the following items:
o Shop Drawings
o Copy of Letter
o Prints
o Change Order
18I Plans
[8J See Below
o Samples
o Specifications
COPIES DATE NO. DESCRIPTION
5 ea, Pre-Construction Notification Application Form & Agent Authorization Ltr,
1 1/5/09 Check # 6064 in the amount of $240.00 (application fee)
1 11/17/08 Stormater Services Site Plan Checklist & Nitrogen Loading Calculation Worksheet
Sets of Plans: Sh 1- Existing Conditions, Sh 2-Site Development Plan,
Sh 3-Drainage Area Plan, Sh 4- Pre vs, Post Drainage Plan
THESE ARE TRANSMITTED as checked below:
18I For approval
o For your use
o As requested
o For review and comment
o FOR BIDS DUE_
o Approved as submitted
o Approved as noted
o Returned for corrections
o Resubmit _ copies for approval
o Submit _ copies for distribution
o Return _ corrected prints
0_
o PRINTS RETURNED AFTER LOAN TO US
REMARKS
THE PACKAGE WAS RETURNED TO THE OWNER - NEW PRE-CONSTRUCITON NOTIFICATION FORM NOW
INCLUDED WITH THE PACKAGE
f)Y TO:
file
SIGNED: Tom Harrell
<< enclosures are not as noted, kindly notify us at once.
i '?~o~~~~~!'1o{~~T g~~C?! ~~~ ~~n~~P'~ ~~so
January 9, 2009
NC Division of Water Quality
Attn: 401/Wetlands Unit
2321 Crabtree Boulevard, Site 250
Raleigh, NC 27604-2260
SUBJECT: AGENT AUTHORIZATION
To Whom It May Concern:
I James L Ashton, Sr., give Development Engineering, Inc. (Tom Harrell) authorization
to act as my agent for the processing of required permits and applications needed to
obtain approval for the construction of a new residential driveway to the rear of my
property located at 1702 Virgil Road, Durham, NC.
Sincerely,
~tttd~ J%
James L Ashton, Sr.
244 W Millbrook Road, Raleigh, NC 27609
P. 0. Box 17705, Raleigh, NC 27619
Phone: 919-847-8300
FAX- 919-847-2130
i '?~o~~ ~?~~o~~T g~~e<?~ ~~~ ~~n~~D} ~C?so
SUBJECT: AGENT AUTHOIRZATION INFORMATION
Property Legal Description:
1702 Virgil Road
Durham, NC 27703
Pin Number:
0779-01-17-7177
Map Reference:
PB 50, PG 0128
Property Owner:
James L. Ashton, Sr.
Property Owner's Address:
8306 Eagleview Dr.
Durham, NC 27713
Property Owner's Phone #:
(919) 452-5132
We hereby certify the above information submitted in this application is true and
accurate to the best of our knowledge.
Tom Harrell
Authorized Agent
7~~
Authorized Signature
/- ~/-t/I
Date
244 W Mlllbrook Rood, Raleigh, NC 27609
P. O. Box 17705, Raleigh, NC 27619
Phone: 919-847-8300
FAX- 919-847-2130
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Office Use Only:
Corps action 10 no.
DWQ project no,
Form Version 1,3 Dee 10 2008
Pre-Construction Notification (PCN) Form llra. -~
( ., .. "- -. lEV
A. Applicant Information ~
1. Processing
1a, Type(s) of approval sought from the D Section 404 Permit D Section 10 Permit
Corps:
1 b, Specify Nationwide Permit (NWP) number: or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? DYes 181 No
1d, Type(s) of approval sought from the DWQ (check all that apply):
D 401 Water Quality Certification - Regular D Non-404 Jurisdictional General Permit
D 401 Water Quality Certification - Express ~ Riparian Buffer Authorization
1e, Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certification:
NO DYes [2g No DYes 1&1 No
1f, Is payment into a mitigation bank or in-lieu fee program proposed for mitigation DYes rgj No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program,
1 g, Is the project located in any of NC's twenty coastal counties, If yes, answer 1 h DYes 1&1 No
below.
1 h, Is the project located within a NC DCM Area of Environmental Concern (AEC)? DYes ~No
2. Project Information
2a, Name of project: 1702 Virgil Road
2b, County: Durham
2c, Nearest municipality / town: Durham
2d. Subdivision name: N/A
2e, NCDOT only, T.I.P, or state N/A
project no:
3. Owner Information
3a, Name(s) on Recorded Deed: James L Ashton, Sr,
3b, Deed Book and Page No, PB 50, PG, 0128
3c. Responsible Party (for LLC if N/A
applicable):
3d, Street address: 1702 Virgil Road
3e, City, state, zip: Durham, NC 27713
3f, Telephone no,: (919) 454-5132
3g, Fax no,:
3h. Email address: Jia1@nc,rr,com
Page 1 of 11
peN Form - Version 1,3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a, Applicant is: IX! Agent D Other, specify:
4b. Name: Tom Harrell
4c, Business name Development Engineering, Inc,
(if applicable):
4d, Street address: 244 W. Millbrook Road
4e. City, state, zip: Raleigh NC 27609
4f, Telephone no,: (919) 847-8300
4g, Fax no,: (919) 847-2130
4h, Email address: tom@d-e-inc,com
5. Agent/Consultant Information (if applicable)
Sa, Name: Tom Harrell
5b, Business name Development Engineering, Inc,
(if applicable):
5c, Street address: 244 W, Millbrook Road
5d. City, state, zip: Raleigh, NC 27609
5e. Telephone no,: (919) 847-8300
Sf, Fax no,: (919) 847-2130
5g, Email address: tom@d-e-inc,com
Page 2 of 11
B. Project Information and Prior Project History
1, Property Identification
1a. Property identification no, (tax PIN or parceIID): 0779-01-17-77177
Latitude: - 350 56' 23,35" N
1 b, Site coordinates (in decimal degrees): Longitude: - 780 45' 24.46 W
(00,000000) (-00,000000)
1 c, Property size: 2,64 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc,) to Lick Creek
proposed project:
2b, Water Quality Classification of nearest receiving water: WS-IV; NSW
2c, River basin: Neuse River
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:
There is an existing house at the front of the site and the rear of the site is wooded. The surrounding land use is
residential and/or vacant.
3b, List the total estimated acreage of all existing wetlands on the property:
Zero - no wetlands on property
3c, List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
388 If (stream 1 -166 If and stream 2 - 222 If)
3d, Explain the purpose of the proposed project:
Existing homeowner would like to build a new residential driveway to the rear of the property. Two (2) stream crossings
are required.
3e. Describe the overall project in detail, including the type of equipment to be used:
Build a residential driveway to the rear of the property, crossing two streams using a bulldozer and a front end loader.
4. Jurisdictional Determinations
4a, Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / ~Yes DNo D Unknown
project (including all prior phases) in the past?
Comments:
4b, If the Corps made the jurisdictional determination, what type D Preliminary ~ Final
of determination was made?
4c, If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): DWQ Other:
4d, If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation,
July 3, 1008
5. Project History
Sa, Have permits or certifications been requested or obtained for DYes ~No D Unknown
this project (including all prior phases) in the past?
5b, If yes, explain in detail according to "help file" instructions,
6, Future Project Plans
6a. Is this a phased project? DYes 1&1 No
6b. If yes, explain,
Page 3 of 11
PCN Form - Version 1,3 December 10, 2008 Version
B. Project Information and Prior Project History
Page 4 of 11
C. Proposed Impacts Inventory
1. Impacts Summary
1 a, Which sections were completed below for your project (check all that apply):
D Wetlands rgJ Streams - tributaries D Buffers
D Open Waters D 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 jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
TemDorarv (T)
W1 DpDT DYes D Corps
DNa DDWQ
W2 DpDT DYes D Corps
DNa DDWQ
W3 DpDT DYes D Corps
DNa DDWQ
W4 D pDT DYes D Corps
DNa DDWQ
W5 D pDT DYes D Corps
DNa DDWQ
W6 DpDT DYes D Corps
DNa DDWQ
2g, Total wetland impacts
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 Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ~ pDT Grading Un-named DPER D Corps 10' 60'
IXIINT ~DWQ
S2 Ii{] pDT Grading Un-named DPER D Corps 12' 20'
I&]INT 1&1 DWQ
S3 D pDT DPER D Corps
DINT DDWQ
S4 DpDT DPER D Corps
DINT DDWQ
S5 DpDT DPER D Corps
DINT DDWQ
S6 DpDT DPER D Corps
DINT DDWQ
3h. Total stream and tributary impacts
3i. Comments:
Page 5 of 11
PCN Form - Version 1,3 December 10,2008 Version
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, 4b, 4c. 4d, 4e,
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporarv (T)
01 D pDT
02 D pDT
03 D pDT
04 D P DT
4f. Total open water impacts
4g. Comments:
5, Pond or Lake Construction
If oond or lake construction proposed, then comolete the chart below,
5a, 5b, 5c, 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond 10 Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f, Total
5g. Comments:
5h. Is a dam high hazard permit required? DYes DNo If yes, permit 10 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 vou MUST fill out Section 0 of this form,
6a. IX! Neuse D Tar-Pamlico D Other:
Project is in which protected basin? D Catawba D Randleman
6b, 6c, 6d. 6e, 6f, 6g.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temoorarv (T) impact required?
B1 IXIpDT Pipe Unnamed DYes 1,750 0
Install ~No
B2 I&IpDT Pipe Unnamed DYes 2,632 0
Install ~No
B3 DpDT DYes
DNo
6h, Total buffer impacts 4,382 0
6i. Comments:
Page 6 of 11
D. Impact Justification and Mitigation
1, Avoidance and Minimization
1a, Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The proposed driveway will follow the existing topo as much as possible, Note in some areas the existing slope is
3: 1. The driveway in those areas is a maximum of 5: 1 slope,
1b, Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques,
The proposed driveway will follow the existing topo as much as possible, Note in some areas the existing slope is 8:1,
The driveway in these areas is a maximum 5:1 slope.
2, Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a, Does the project require Compensatory Mitigation for DYes 00 No
impacts to Waters of the U,S, or Waters of the State?
2b, If yes, mitigation is required by (check all that apply): D DWQ D Corps
D Mitigation bank
2c. If yes, which mitigation option will be used for this D Payment to in-lieu fee program
project?
D Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type I Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a, Approval letter from in-lieu fee program is attached, DYes
4b, Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: D warm Dcool Dcold
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
Sa. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form - Version 1.3 December 10,2008 Version
6, Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by CWQ
6a, Will the project result in an impact within a protected riparian buffer that requires DYes DNo
buffer mitigation?
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 Driveway Crossing 3 (2 for Catawba)
Zone 2 Driveway Crossing
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),
N/A - Residential Driveway only,
6h, Comments:
Page 8 of 11
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 DYes DNo
within one of the NC Riparian Buffer Protection Rules?
1 b, If yes, then is a diffuse flow plan included? If no, explain why, DYes DNo
Comments:
2, Stormwater Management Plan
2a, What is the overall percent imperviousness of this project? 9,8%
2b, Does this project require a Stormwater Management Plan? DYes r&l No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
D Certified Local Government
2e, Who will be responsible for the review of the Stormwater Management Plan? D DWQ Stormwater Program
D DWQ 401 Unit
3, Certified Local Government Stormwater Review
3a, In which local government's jurisdiction is this project?
D Phase II
3b, Which of the following locally-implemented stormwater management programs DNSW
D USMP
apply (check all that apply): D Water Supply Watershed
D Other:
3c. Has the approved Stormwater Management Plan with proof of approval been DYes DNo
attached?
4. DWQ Stormwater Proaram Review
D Coastal counties
D HQW
4a, Which of the following state-implemented stormwater management programs apply D ORW
(check all that apply): D Session Law 2006-246
D Other:
4b, Has the approved Stormwater Management Plan with proof of approval been DYes DNo
attached?
5, DWQ 401 Unit Stormwater Review
Sa. Does the Stormwater Management Plan meet the appropriate requirements? DYes DNo
5b, Have all of the 401 Unit submittal requirements been met? DYes DNo
Page 9 of 11
PCN Form - Version 1,3 December 10,2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a, Does the project involve an expenditure of public (federal/state/local) funds or the DYes [gJ No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an DNo
environmental document pursuant to the requirements of the National or State DYes
(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 DYes DNo
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, DYes [gJ No
or Riparian Buffer Rules (15A NCAC 2B ,0200)?
2b. Is this an after-the-fact permit application? DYes [gJ 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 DYes [gJ 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,
Page 10 of 11
PCN Form - Version 1,3 December 10, 2008 Version
, .
5, Endangered Species and Designated Critical Habitat (Corps Requirement)
Sa, Will this project occur in or near an area with federally protected species or DYes DNo
habitat?
5b, Have you checked with the USFWS concerning Endangered Species Act DYes DNo
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted, D Raleigh
D Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? DYes DNo
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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 DYes DNo
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?
8, Flood Zone Designation (Corps Requirement)
8a, Will this project occur in a FEMA-designated 1 DO-year floodplain? DYes DNo
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
Tom Harrell /_- //~ 'l"~ /--/Cf,a1
f ,
Applicant/Agent's Printed Name r Ap~if:ant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is orovided,)
Page 11 of 11