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HomeMy WebLinkAbout20180311 Ver 1_401 Application_20180318DWR 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:* Wake 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?* f 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:* greg@jenningsenv.com 1c. Primary Contact Phone:* (919)600-4790 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: Town of Morrisville 2b. Deed book and page no.: 005551; PG 00470 2c. Responsible party: (for Corporations) Joshua Baird, Stormwater Manager, Town of Morrisville 2d. Address Street Address 260-B Town Hall Drive Address Line 2 City MORRISVILLE Postal / Zip Code 27560 2e. Telephone Number: (xxx)xxx-xxxx 2f. Fax Number: (XXX)XXX-XXXX 2g. Email Address:* jbaird@townofmorrisville.org State/ Province/ Region NC Country USA C. Project Information and Prior Project History 1. Project Information 1a. Name of project:* Morrisville Aquatic & Fitness Center Stream Enhancement 1b. Subdivision name: (if appropriate) N/A 1c. Nearest municipality / town: * Morrisville 1d. Driving directions* If it is a new project and can not easily be found in a GFS napping system Please provide directions. Turn into Morrisville Aquatic & Fitness Center from Morrisville Parkway. Stream is located to the right side of driveway. 2. Project Identification 2a. Property Identification Number: (tax PIN or parcel ID) 0744791896 2b. Property size: (in acres) 4.91 2c. Project Address Street Address 1301 MORRISVILLE PKWY Address Line 2 City State / Province / Fbgion MORRISVILLE NC Rbstal / Zip Code Country 27560 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:* 35.810389 -78.841934 ex: 34.208504 -77.796371 3. Surface Waters 3a. Name of the nearest body of water to proposed project:* UT Crabtree Creek 3b. Water Resources Classification of nearest receiving water:* QNSW Surface Water Lookup 3c. What river basin(s) is your project located in?* Neuse 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:* Stream is incised with headcuts and actively eroding streambanks. Land use is residential on left side and institutional on right bank, consisting of the building and parking lots for the Morrisville Aquatic and Fitness Center. 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 document MAFC_USGS.pdf 2.52MB Rle type rrust 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 MAFC_NRCS.pdf 781.04KB File type rrust be pdf 4d. List the total estimated acreage of all existing wetlands on the property: 0 4e. List the total estimated linear feet of all existing streams on the property: (intermittent and perennial) 600 4f. Explain the purpose of the proposed project:* Restore the natural stream geomorphic equilibrium and ecological functions by re -grading a natural meandering channel with functional vegetated floodplain. Reduce erosion to improve water quality and infrastructure protection. 4g. Describe the overall project in detail, including indirect imapacts and the type of equipment to be used:* Grade a new section of channel and floodplain with appropriate dimensions, pattern, and profile in addition to adding in -stream rock and log structures to support grade control, bank protection, and bedform diversity. Plant native riparian buffer to replace invasive plants. Equipment will include trackhoe excavator, track loader, and pump -around for working in dry. 4h. Please upload project drawings for the proposed project. aick the upload button or drag and drop files here to attach docurrent MAFC_03042018. pdf 3.15MB 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 f• 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: Fxarrple: 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. 5dl. Jurisdictional determination upload aick the upload button or drag and drop files here to attach document File type rrust 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 r No r Unknown 7. Future Project Plans 7a. Is this a phased project?* r 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): F Wetlands V Streams -tributaries I1 Buffers r- Open Waters r 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 sqfe impact* type* Type* Jurisdiction* width* length* Restoration of P Bank Stabilization UT Crabtree Creek Perennial Both 10 350 degraded stream F2rrrenent()or Perennial (FER)or Average (feet) (linear feet) Map label (e.g. Fbad Crossing 1) Temporary (T) intermittent (INT) *" All Perennial or Intermittent streams must be verified by DWR or delegated local government. 31. Total jurisdictional ditch impact in square feet: 0 3i. Total permanent stream impacts: 350 3i. Total temporarystream impacts: 0 3i. Total stream and tributary impacts: 350 3j. Comments: Impacts are associated with restoring natural equilibrium conditions for channel and floodplain. 6. Buffer Impacts (for DWR) If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts below. 6a. Project is in which protect basin(s)?* Check all that apply. V Neuse ❑ Tar -Pamlico F Catawba ❑ Randleman r- Goose Creek r Jordan Lake F Other 6b. Impact Type * 6c. Per or 6d. Stream name * 6e. Buffer mitigation 6f. Zone 1 6g. Zone 2 Temp* required?* impact* impact* Replace invasive plants with P UT Crabtree Creek No 1,050 700 native forest buffer after grading Permanent (F' or (square feet) (square feet) channel and floodplain Terrporary(1) Location and B(errpt, Allowable, allowable w/ rritigation 6h. Total buffer impacts: Zone 1 Zone 2 Temporary impacts: 0.00 0.00 Zone 1 Zone 2 Permanent impacts: 1,050.00 700.00 Zone 1 Zone 2 Total buffer impacts: 1,050.00 700.00 6i. Comments: Buffer impacts are necessary to achieve stream restoration objectives including native riparian buffer. Supporting Documentation - i.e. Impact Maps, Plan Sheet, etc. aick the upload button or drag and drop files here to attach document MAFC_03042018. pdf 3.15MB File crust be FDF 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:* Only the stream area requiring restoration will be subject to impacts during restoration construction. 1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:* Stream restoration construction will affect only the stream and buffer area requiring restoration. Pump -around will be used to avoid working in flowing stream. 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 r No 2b. If this project DOES NOT require Compensatory Mitigation, explain why: The stream restoration project will replace a highly -disturbed incised and eroding stream with a natural equilibrium stream channel, floodplain, and native riparian bufffer. 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? r Yes r No 1b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the project is subject to a state implemented riparian buffer protection program, include a plan that fully documents how diffuse flow will be maintained. All Stormwater Control Measures (SCM)s must be designed in accordance with the NC Stormwater Design Manual. Associated supplement forms and other documentation shall be provided. What type of SCM are you providing? r- Level Spreader r- Vegetated Conveyance (lower SHWT) r- Wetland Swale (higher SHWT) V Other SCM that removes minimum 30% nitrogen (check all that apply) For a list of options to meet the diffuse flow requirements, click here. Diff us Flow Documentation Cick the upload button or drag and drop files here to attach document MAFC_03042018.pdf 3.15MB File type crust be FDF 2. Stormwater Management Plan 2a. Is this a NCDOT project subject to compliance with NC DOT's Individual NPDES permit NCS000250? f Yes r No 2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?* r 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 f No 1b. 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 (North Carolina) Environmental Policy Act (NEPA/SEPA)?* r Yes r No Comments: * Project applies Town funding on Town property for environmental improvements. 2. Violations (DWR Requirement) 2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .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 r No 2b. Is this an after -the -fact permit application?* f Yes r 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?* r Yes r No 3b. If you answered "no," provide a short narrative description. This stream restoration project is on Town property and will not result in any other development. 4. Sewage Disposal (DWR Requirement) 4a. Is sewage disposal required by DWR forth is project?* f 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?* r Yes r No 5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?* r Yes f No 5g. Does this project involve bridge maintenance or removal?* f 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?* t' Yes r No 6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat? https://wwvv.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.ncder.gov/hpovveb/ 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://www.hpo.ncdcr.gov/ 7c. Historic or Prehistoric Information Upload nick 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://msc.fema.gov/portal/search 8a. Will this project occur in a FEMA -designated 100 -year floodplain?* f Yes r No 8c. What source(s) did you use to make the floodplain determination?* hftps://msc.fema.gov/portal/search#searchresultsanchor Miscellaneous Miscellaneous attachments not previously requested. Click the upload button or drag and drop files here to attach docun ent MAFC_STREET..pdf 1.26MB File crust be FDF Signature IJ 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 fllll1w-�111 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 20180311 Version#* 1 Reviewing Office* Raleigh Regional Office - (919) 791-4200 Select Project Reviewer* Stephanie Goss:eads\szgoss Is a payment required for this project?* f No payment required f Fee received r Fee needed - send electronic notification What amout is owed?* f $240.00 r $570.00