20180310 Ver 1_401 Application_20180318

DWR
Division of water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
January 31, 2018 Ver 2.3
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E -PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https:lledocs.deq.nc.govMaterResources101edocl6247041PCN%20Help%20File%202018-1-30.pdf
A. Processing Information
County (or Counties) where the project is located:*
Transylvania
Is this project a public transportation project?*(?)
f Yes f• No
1a. Type(s) of approval sought from the Corps:*
V Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
r% Nationwide Permit (NWP)
r Regional General Permit (RGP)
Nationwide Permit (NWP) Number: 27 - Restoration
NWP Number Other:
List all NW numbers you are applying for not on the drop dow n list.
1c. Type(s) of approval sought from the DWR:*
check all that apply
W 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
F Non -404 Jurisdictional General Permit r Riparian Buffer Authorization
*
1d. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
C Yes O No
O Yes O No
1e. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
V so, attach the acceptance letter from rr tigation bank or in -lieu fee program
r Yes F No
1f. Is the project located in any of NC's twenty coastal counties?*
r Yes r No

1h. Is the project located in a designated trout watershed?*
G Yes r No
Link to trout information: http://v wv.saw.usace.army.mil/Missions/Regulatory-Permit-Prograni/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Greg Jennings, PE
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
[phone]
1d. Who is applying for the permit?
V Owner r Applicant (other than owner) r Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
Parker J. Platt
2b. Deed book and page no.:
DOC 719; PG 87-89
2c. Responsible party:
(for Corporations)
2d. Address
Street Address
397 Bent River Farm Road
Address Line 2
City
Pisgah Forest
Rbstal / Zip Code
28768
2e. Telephone Number:
(xxx)xxx-xxxx
2f. Fax Number:
2g. Email Address:*
[e-mail]
State/ Province/ Region
NC
Country
USA
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
PLATT FRENCH BROAD RIVER BANK STABILIZATION
1b. Subdivision name:
(if appropriate)
Bent River Farm Road

1c. Nearest municipality/ town:
Pisgah Forest
1d. Driving directions*
V it is a new project and can not easily be found in a GPS rrapping system Rease provide directions.
Turn North from Everett Road and travel 0.5 miles to end of Bent River Farm Road
2. Project Identification
2a. Property Identification Number:
(tax PIN or parcel ID)
9517004126000
2b. Property size:
(in acres)
10
2c. Project Address
Street Address
397 Bent River Farm Road
Address Line 2
aty
State / Province / Region
Pisgah Forest
NC
Pbstal / Zip Code
Country
28768
USA
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey -grade GPS device) after the decimal place as
appropriate, based on how the location was determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to
map coordinates to 5 or 6 digits after the decimal place.)
Latitude:* Longitude:*
35.261652 -82.651325
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
French Broad River
3b. Water Resources Classification of nearest receiving water:*
B
Surface Water Lookup
3c. What river basin(s) is your project located in?*
French Broad
River Basin Lookup
4. Project Description
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
Right descending streambank is severely eroding due to very high bank erodibility and high near bank shear
stress. Land use is agricultural and low-density residential.
4b. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for
DWR)

aick the upload button or drag and drop files here to attach docunent
Platt USGS Map.pdf 269.46KB
File type nest be pdf
4c. Attach an 8 112X1 I excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.
(for DWR)
aick the upload button or drag and drop files here to attach docurrent
Platt Soil Survey.pdf 213.9KB
File type rrust be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0.5
4e. List the total estimated linear feet of all existing streams on the property:
(internittent and perennial)
8,000
4f. Explain the purpose of the proposed project:*
Stabilize the eroding streambank to improve water quality, aquatic habitats, and land protection.
4g. Describe the overall project in detail, including indirect imapacts and the type of equipment to be used:
The right streambank will be stabilized using boulder and wood toe revetments in combination with a boulder vane
to reduce near -bank shear stress. The bank will be graded to a stable slope and planted with dense native trees
and shrubs to support a native riparian buffer.
4h. Please upload project drawings for the proposed project.
nick the upload button or drag and drop files here to attach docunent
PLATT_FBR_02052018.pdf 2.92MB
File type rrust be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
f Yes r No r Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Unknown f• N/A
Corps AID Number:
6canple: SAW -2017-99999
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5d1. Jurisdictional determination upload
aick the upload button or drag and drop files here to attach docurent
File type rust be FDF
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
r Yes G No r Unknown

7. Future Project Plans
7a. Is this a phased project?*
f Yes r No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the
proposed project or related activity? This includes other separate and distant crossing for linear projects that require Department of the
Army authorization but don't require pre -construction notification.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
❑ Wetlands V Streams -tributaries ❑ Buffers
F' Open Waters F Pond Construction
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. Site # - Reason for 3b.lmpact 3c. Type of impact* 3d. Stream name * 3e. Stream 3f. Type of 3g. Stream 3h. Impact
impact* type* Type* Jurisdiction* width* length*
Streambank P Bank Stabilization French Broad River Perennial Both
stabilization Permanent (F� or Perennial (P9:� or
Nep label (e.g. Fbad Qossing 1) Temporary (-0 intermittent (IIVr)
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
300
3i. Total temporary stream impacts:
0
3i. Total stream and tributary impacts:
300
3j. Comments:
Impacts are necessary to establish stable streambank conditions.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
Impacts are unavoidable to achieve stable streambank objective.
80 300 2
Average (feet) (linear feet) 4
0
0
0
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Construction work will take place only in the area of stabilization. During vane construction, baseflow water will be
diverted away from excavation using a low cobble berm.
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?
f Yes C No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Project will result in enhanced river conditions.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
— Recent changes to the stormwater rules have required updates to this section .-
1. 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?
f Yes C No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
Currently, the land use is agricultural and does not have adequate riparian buffer. The project will replace grassy buffer area with native
woody vegetation.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
f Yes f• No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?*
F Yes
f No
To look up low density requirement click here 15A NCAC 02H.1003(2)
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 21-1.0500), Isolated Wetland Rules (15A NCAC 2H .1300), or
DWR Surface Water or Wetland Standards or Riparian Buffer Rules (15A NCAC 2B.0200)?*
f Yes C No
2b. Is this an after -the -fact permit application?*
f Yes C No
3. Cumulative Impacts (DWR 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 Yes C No
3b. If you answered "no," provide a short narrative description.
No other development will result from this bank stabilization project.

4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor N/A
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?
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
f Yes r No
5d. Is another Federal agency involved?*
r Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?*
f Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?*
f Yes r No
5g. Does this project involve bridge maintenance or removal?*
r Yes r No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?'
r Yes r No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers,
mechanized pile drivers, etc.?*
f Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
https://ecos.fvvs.gov/ecp/
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
f Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?
https://vmwv.habitat.noaa.gov/protection/efh/efhmapper/index.html
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
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 North Carolina history and archaeology)?
f Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
http://vmw.hpo.ncdcr.gov/
7c. Historic or Prehistoric Information Upload
Click the upload button or drag and drop files here to attach docunent
File crust be FDF
8. Flood Zone Designation (Corps Requirement)

Link to the FEMA Floodplain Maps: https:Hmsc.fema.gov/portal/search
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
No change will be made in channel/floodplain cross-section to cause a map revision.
8c. What source(s) did you use to make the floodplain determination?*
https://msc.fema.gov/portal/search#searchresultsanchor
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docurrent
pisgah_forest_IMAGERY.pdf 1.03MB
File rrust be FDF
Signature
V By checking the box and signing below, I certify that:
■ I have given true, accurate, and complete information on this form;
■ I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions Act');
■ I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions Act');
■ I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
■ I intend to electronically sign and submit the PCN form.
Full Name:*
Greg Jennings
Signature
#411ft"
Initial Review
Is this project a public transportation project?* (?
f Yes r No
Change only ff needed.
Has this project met the requirements for acceptance in to the review process?*
r Yes
f No
BIMS # Assigned*
20180310
Version#*
1
Reviewing Office*
Asheville Regional Office - [phone]
Select Project Reviewer*
Kevin Mitchell: eads\rkmitchelI
Is a payment required for this project?*

r No payment required
r Fee received
r Fee needed - send electronic notification
What amout is owed?*
f $240.00
r $570.00