20180684 Ver 1_401 Application_20180517

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 5/17/2018 8:50:59 PM (Start Event)
Accept by Montalvo, Sheri A 5/21/2018 9:53:40 AM (Non DOT Initial Review)
The task was assigned to Montalvo, Sheri A. The due date is: May 22, 2018 5:00 PM
5/17/2018 8:51 PM

DWR
Dfutston 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://edocs. deq. nc.gov/WaterResources/0/edoc/624704/PCN%2OHelp%2OFile%202018-1-30. pdf
A. Processing Information
County (or Counties) where the project is located:*
Durham
Is this project a public transportation project?*
r Yes r No
This is any publicly funded by rrunicipal,state or federal funds road, rail, airport transportation project.
1a. Type(s) of approval sought from the Corps:*
PF 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)
W Standard (IP)
This form may be Corps to initiate the standard/individual permit process. Please contact your Corps representative for submittal of standard permits.
All required items that are not provided in the E -PCN and be added to the miscellaneous upload located at the bottom of this form.
1c. Type(s) of approval sought from the DWR:*
check all that apply
r 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
r Non -404 Jurisdictional General Permit fJ Riparian Buffer Authorization
r Individual Permit
*
1d. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
r Yes f No
r Yes r No
1e. 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
r Yes r No

1f. Is the project located in any of NC's twenty coastal counties?*
f Yes r No
1h. Is the project located in a designated trout watershed?*
r Yes r No
Link to trout information: http://wm.saw.usace.army.miI/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Lisa King
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
Pr Owner r Applicant (other than owner) r Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
King Property Holdings, LLC
2b. Deed book and page no.:
008395/000489 (2 parcels: 195204 and 195206)
2c. Responsible party:
(for Corporations)
Lisa King
2d. Address
Street Address
8520 Valley Brook Dr
Address Line 2
City
Raleigh
Fbstal / Zip Code
27613
2e. Telephone Number:
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
State / Rovince / Fbgion
NC
Country
USA
C. Project Information and Prior Project History
1. Project Information

Ia. Name of project:*
King wedding venue
1b. Subdivision name:
(if appropriate)
n/a
1c. Nearest municipality/ town:
Durham
1d. Driving directions*
r it is a new project and can not easily be found in a GPS mapping system Pease provide directions.
Hwy 98 (Wake Forest Hwy). Approx 2 miles west of the Durham and Wake county lines. Closest intersection is Coley Rd/Mvy 98 in Durham.
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
195204,195206
2b. Property size:
(in acres)
55
2c. Project Address
Street Address
7621 and 7701 Wake Forest Hwy
Address Line 2
aty
Durham
Postal / Zip Code
27613
State/ Province/ Rion
NC
Country
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 howthe 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:*
35.982 -78.729
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Falls Lake
3b. Water Resources Classification of nearest receiving water:*
WS -IV, B; NSW, CA
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:*
Rural with one homesite and two garages. The property and the surrounding area is mostly undeveloped.
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)
Click the upload button or drag and drop files here to attach docurrent
topographical map.pdf
File type rust be pdf
501.44KB
4c. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.
(for DWR)
Click the upload button or drag and drop files here to attach docurrent
govt soils map.pdf 569.9KB
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:
(interrittent and perennial)
1100
4f. Explain the purpose of the proposed project:*
I plan to build a wedding venue on the property and am required by the city of Durham to be in compliance with
riparian buffer ordinances as I plan the site build. The stream that we are concerned with is the one that runs
closest to the middle of these two parcels. I need to know if it is considered an intermittent stream (most of the
southern aspect of the stream is usually dry) and how many feet I need to stay away from it to be in compliance
with the buffer ordinances.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
The only point at which the stream may be too close to the building site is the southern -most point of that
particular branch that is located closest to the center of the two parcels. That portion of the stream may cause us
to have to direct traffic to the venue in a slightly different manner than we originally planned. The building of the
venue itself should have no bearing on the stream as that site is quite far from the stream.
4h. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files here to attach docurrent
buffer map.pdf 380.58KB
File type rrust be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
t: Yes r No t^ Unknown
Comments:
the stream is clearly marked on the gis interactive map website. It is believed
to be an intermittent stream and we need clarification to know how much
buffer to allow.
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved G Unknown r N/A
Corps AID Number:
Exarple: SAW2017-99999
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
Click the upload button or drag and drop files here to attach docurrent
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 r No r Unknown
7. Future Project Plans
7a. Is this a phased project?*
r Yes r No
7b. If yes, explain.
I need to obtain zoning changes and acquire a Minor special use permit, as well as submit a site plan and
environmental review before the project can commence.
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.
not sure at this point
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
F Wetlands r Streams -tributaries V Buffers
r- Open Waters r Pond Construction
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.
W Neuse
r- Tar -Pamlico
F Catawba
r Randleman
r- Goose Creek
r- Jordan Lake
r- Other
6b. Impact Type *
6c. Per or
6d. Stream name * 6e. Buffer mitigation
6f. Zone 1
6g. Zone 2
Temp*
required?*
impact*
impact*
allowable
P
no name Yes
50
10
Location and Exerrpt, Allowable, allowable w/
F2rrranent (F) or
(square feet)
(square feet)
mitigation
Temporary (T)
6h. Total buffer impacts:

Zone 1 Zone 2
Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Permanent impacts: 50.00 10.00
Zone 1 Zone 2
Total buffer impacts: 50.00 10.00
6i. Comments:
Supporting Documentation - i.e. Impact Maps, Plan Sheet, etc.
pick the upload button or drag and drop files here to attach docurrent
File rrust 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:*
Our goal is to keep the venue surroundings as rustic as possible with minimal interruption to the existing
vegetation. Chemical fertilizers will never be used. If fertilization is necessary, it will be done with well -aged horse
manure compost. Care will be taken to disrupt as little permeable surface as possible. Parking areas and
roadways will be kept to a minimum, and paving will be avoided at all costs. Clearing of trees at the venue site is
inevitable, but care will be taken to down as little trees as possible.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
We plan to keep the footprint of the venue small to avoid adding to impermeable surface. Instead, we will aim to
construct a multi-level venue that can handle the event attendees comfortably but reduce the footprint of the
building.
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?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The lake water will not be affected by the venue
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
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:

The project should be far enough away from the stream that the buffer area will not be compromised. I need an assessment to tell me if the
stream is intermittent so I know how far away to stay from it.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes
r 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?*
f Yes r No
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)? *
r Yes r No
2b. Is this an after -the -fact permit application?*
r 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.
The wedding/event venue will be a freestanding business with no need for ancillary businesses nearby.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
r Yes r Nor N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the
proposed project. If the wastewater will be treated at a treatment plant, list the capacity available at that plant.
The venue will use a septic system. The venue site has been evaluated by Dan Bliley (soil scientist) who estimates
an area that can support two 4 -bedroom homes with a conventional system. I am in the process of speaking with a
wastewater engineer, will arrange an on-site meeting with that person and Dan Bliley to discuss the maximum flow
rate and subsequent occupant limit of the venue. Once that is determined, then I will meet with and obtain the
proper permitting from the Durham County Environmental specialist, Justin Milstein.
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
5e. Is this a DOT project located within Division's 1-8?*
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
f Unknown
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.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
https://wm/v.fvvs.gov/raleigh/
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
noaa
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)?
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
the GIS map using the layer "zoning" and "historic districts."
7c. Historic or Prehistoric Information Upload
Click the upload button or drag and drop files here to attach docurrent
File rrust 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?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*

The property is in zone x, per FEMA
Miscellaneous
Miscellaneous attachments not previously requested.
pick the upload button or drag and drop files here to attach docunent
File crust be FDF or IM
Signature
Pr 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:*
Lisa Kelly King
Signature
Date Submitted:
5/17/2018
Initial Review
Is this project a public transportation project?*(?
r Yes r No
Change only ff needed.
Has this project met the requirements for acceptance in to the review process?
r Yes
r No
BIMS # Assigned*
20180684
Version#*
1
Reviewing Office*
Raleigh Regional Office - [phone]
Select Project Reviewer*
Stephanie Goss:eads\szgoss
Is a payment required for this project?*
r No payment required
r Fee received
f Fee needed - send electronic notification