20180817 Ver 1_401 Application_20180615

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/15/2018 10:10:36 AM (Start Event)
Accept by Montalvo, Sheri A 6/15/2018 10:42:58 AM (Non DOT Initial Review)
The task was assigned to Montalvo, Sheri A. The due date is: June 20, 2018 5:00 PM
6/15/2018 10:11 AM

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://edocs.deq.nc.govMaterResources/0/edocl6247041PCN%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
This is any publicly funded by nunicipal,state or federal funds road, rail, airport transportation project.
1a. Type (s) of approval sought from the Corps:*
V Section 404 Permit (wetlands, streams and waters, Clean Water Act)
F Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
IJ Nationwide Permit (NWP)
r Regional General Permit (RGP)
r 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.
Nationwide Permit (NWP) Number: 13 - Bank Stabilization
NWP Number Other:
List all IWV nurrbers you are applying for not on the drop down list.
1c. Type(s) of approval sought from the DWR:*
check all that apply
IJ 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
F Non -404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual Permit
*
1d. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
O Yes O No
For the record only for Corps Permit: O Yes O 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
f Yes C No
1f. Is the project located in anyof NC's twentycoastal counties?*
r Yes C No
1h. Is the project located in a designated trout watershed?*
f Yes f• No
Link to trout information: http://vmw.saw.usace.army.mil/Missions/Regulatory-Permit-ProgranVAgency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Billy Lee
1b. Primary Contact Email:*
Billy. [e-mail]
1c. Primary Contact Phone:*
(XXX)XXX-XXXX
[phone]
1d. Who is applying for the permit?
❑ Owner V Applicant (other than owner) r Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
Michael S. & Wendy J. Rooney (Work area within TOC sewer easement)
2b. Deed book and page no.:
06751/0649
2c. Responsible party:
(for Corporations)
2d. Address
Street Address
217 Strathburgh Ln
Address Line 2
City
Cary
Postal / Zip Code
27518-9036
2e. Telephone Number:
(XXX)XXX-XXXX
[phone]
2f. Fax Number:
(XXX)XXX-)O=
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Thomas & Vicki Schuster (Work area within TOC sewer easement)
2b. Deed book and page no.:
06654/0164
State/ Province/ Region
NC
Country
USA

2c. Responsible party:
(for Corporations)
2d. Address
Street Address
215 Strathburgh Ln.
Address Line 2
aty
Cary
Postal / Zip Code
27518-9036
2e. Telephone Number:
(XXX)XXX-)O=
2f. Fax Number:
(XXX)XXX-)O=
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
State / Province / Fegion
NC
Country
USA
3a. Applicant is:
f Agent
r Other Town of Cary (work to be done in TOC sanitary sewer easement).
If other please specify.
3b. Name:
Town of Cary
3c. Business Name:
(if applicable)
3d. Address
Street Address
P.O. Box 8005
Address Line 2
aty
Cary
Pbstal / Zip Code
27512-8005
3e. Telephone Number:
(xxx)xxx-xxxx
3f. Fax Number:
(xxx)xxx-xxxx
3g. Email Address:*
billy.lee@to\fvnofcary.org
State / Province / Region
NC
Country
USA
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Speight Branch Sewer Repair/Streambank Stabilization
1b. Subdivision name:

(if appropriate)
Strathmoor Subdivision
1c. Nearest municipality/ town:*
Cary
1d. Driving directions*
f it is a new project and can riot easily be found in a GPS rrapping system Reese provide directions.
From the intersection of Kildaire Farm Rd and SE Cary Pkwy, travel SE on Cary Pkwy to Lochmere Dr. Turn right (south) on Lochmere Dr
and take first left onto Scotia PI, and take first right onto Strathburgh Ln. Lots are on the right. Work area is behind 215 and 217 Strathburgh
Ln.
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
0208829 (215 Strathburgh) & 0208830 (217 Strathburgh)
2b. Property size:
(in acres)
Work area approx. 0.6 ac.
2c. Project Address
Street Address
215 and 217 Strathburgh Lane
Address Line 2
aty State / Province / legion
Cary NC
R)stal / Zip Code Country
27518 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:*
35.7363 -78.7532
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Speight Branch
3b. Water Resources Classification of nearest receiving water:*
WS -III; NSW
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:*

The project site is located in a residential neighborhood consisting of single-family homes. The work area is within
a Town of Cary sanitary sewer easement. Access will be gained between the two private residential lots..
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 document
Figure 2 - USGS topo.pdf 152.12KB
File type mist be pdf
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 document
Figure 3 - Soils Map.pdf 204.78KB
File type mist 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)
300
4f. Explain the purpose of the proposed project:*
The project involves moving the stream back to its original flow path, away from the manhole and sanitary sewer
line at two locations.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Speight Branch has been eroding significantly in the past year and is threatening to wash out a manhole and
expose the sanitary sewer line at two locations within the work area. The project entails placing fill and excavating
accumulated sediment to return the stream to a more stable flow path away from the utility infrastructure. The
restored banks will be armored with riprap to prevent the erosion from threatening the infrastructure in the future.
This is an emergency repair project as the manhole is in danger of being washed out and PVC sewer lines
exposed.
4h. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files here to attach docurrent
Speight Branch Sewer Repair Stream Impact Map_8May2018.pdf 742.56KB
File type mist be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
r Yes C 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:
Exarrple: 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

Click the upload button or drag and drop files here to attach docurrent
File type nest 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 f 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 W Streams -tributaries rJ 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. Reason for impact*3b.lmpact
3c. Type of impact*3d. Stream name*
3e. Stream
3f. Type of
3g. Stream 3h. Impact
sgfe
type *
Type *
Jurisdiction*
width *
length*
S1 Channel Relocation
P Bank Speight Branch
Perennial
Both
14
95
1
and Stabilization
Permanent (P) or Stabilization
Perennial (Fff� or
Average
(linear feet)
K/hp label (e.g. Fbad Crossing
Temporary (T)
intermittent (INT)
(feet)
3
�)
3
0
S2 Relocation and
P Bank Speight Branch
Perennial
Both
14
47
6
Stabilization
Fermanent (P) or Stabilization
Perennial (Fff� or
Average
(linear feet)
5
Nhp label (e.g. Fbad Crossing
Temporary (T)
intermittent (INT)
(feet)
8
1)
** All Perennial or Intermittent streams must be verified by DWR or delegated local government
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
142
3i. Total temporary stream impacts:
0
3i. Total stream and tributary impacts:
142
3j. Comments:
Impacts are associated with excavation and the placement of fill and riprap to move the stream back to a more
stable flow path, away from the sanitary sewer line.
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
❑ Goose Creek ❑ Jordan Lake
❑ Other
6b. Impact Type *
6c. Per or 6d. Stream name
Temp*
Allowable P Speight Branch
Location and Exenpt, Allowable, allowable w/ R:rrmnerd (P/ or
radon Temporary (T)
Allowable P Speight Branch
Location and Exempt, Allowable, allowable w/ Fern -anent (Pf or
mitigation Terrporary (T)
6h. Total buffer impacts:
Zone 1 Zone 2
Temporary impacts: 0.00 0.00
Zone 1
Zone 2
Permanent impacts: 2,355.00
0.00
Zone 1
Zone 2
Total buffer impacts: 2,355.00
0.00
6e. Buffer mitigation
required?*
No
No
6i. Comments:
The purpose for the project is streambank stabilization and protection of eAsting infrastructure. Access through
buffer will be achieved along eAsting sanitary sewer easement. Impacts associated with the proposed project will
include placement of fill to move stream channel back to its original configuration. The permanent buffer impact is
fill and riprap in the old channel locations, creating new streambanks with 2:1 slope. Riprap will be used to armor
the banks to prevent future erosion. Several trees at the edge of the streambank to be stabilized will be cut to
facilitate laying the bank back.
Supporting Documentation - i.e. Impact Maps, Plan Sheet, etc.
(lick the upload button or drag and drop files here to attach document
Speight Branch Sewer Repair Stream Impact Map_8May2018.pdf 742.56KB
File must be RDF
E. Impact Justification and Mitigation
1. Avoidance and Minimization
6f. Zone 1 6g. Zone 2
impact* impact*
2,147 0
(square feet) (square feet)
208 0
(square feet) (square feet)
1a. Specificallydescribe measures taken to avoid or minimize the proposed impacts in designing the project:*
Work is limited to two areas where the stream is in close propmity to the sanitary sewer line. Access to the work
area is via etasting sanitary sewer easements. The project will be completed during a relatively low -flow period.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Disturbance will be limited to the two work areas in order to return the stream to its original flow path. Any ground
disturbance due to access will be graded to original contours, strawed and seeded. A pump -around will be
employed and work will be done "in the dry".
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:
Streambank stabilization
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 r No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
No impervious surface being added beyond the bank armoring.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
f Yes C No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?*
f Yes
r No
To look up low density requirement click here 15A NCAC 02H.1003(2).
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -
approved local government stormwater program?*
f Yes
r No
Hnt projects that have vested rights, exemptions, or grandfathering from state or locally irrplerrented stomwater programs or projects that satisfy state or locally-irrplerrented storrrwater programs
through use of comunity in -lieu prograrrs should answer no to this question.
3. Stormwater Requirements
3a. Select whether a completed stormwater management plan (SMP) is included for review and approval or if calculations are provided
to document the project will not cause degradation of downstream surface waters.
r Stormwater Management r Antidegradation
Plan Calculations
3b. Stormwater Management Plan: If submitting a SMP for review and approval, it shall complywith the high-density development
requirements set forth in 15A NCAC 02H .1003. Include all appropriate stormwater control measure supplemental forms and associated
items.
(lick the upload button or drag and drop files here to attach document
FlLE TYPE M.ST BE FDF
3c. Antidegradation Calculations: If submitting calculations to document the project will not cause degradation of downstream surface
waters, the documentation shall include a detailed analysis of the hydrological impacts from stormwater runoff when considering the
volume and velocity of stormwater runoff from the project built upon area and the size and existing condition of the receiving
waterbody(ies).
(lick the upload button or drag and drop files here to attach docurrent
Stormwater.pdf 6.7KB
FILE TYPE MJST BE PDF
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
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)?*
f Yes r No
Comments: *
Local funds only.
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?*
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?*
f Yes r No
3b. If you answered "no," provide a short narrative description.
Project involves protecting existing infrastructure. The area around the work site is completely built out with
residential subdivisions.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this 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?*
f Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
f 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 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
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)?*
f 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?
NCNHP website (5/4/18) and USFWS iPac website (5/4/18).
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?*
Site is not within one of the 20 coastal counties
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/hpov,eb/
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?*
NC Historic Protection Office HPOWEB Service (accessed 5/4/18). No elements on or near the project site.
7c. Historic or Prehistoric Information Upload
Click the upload button or drag and drop files here to attach docurrent
File rust 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?*
Map No. 3720076400K Firm Panel: 0764. date: 5/2/06.
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docurent
Figure 1 - Aerial Photo.pdf 241.94KB
File mist be FDF or KNE
Signature
rJ 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:*
Billy E. Lee
Signature
,&�, S oew
Date Submitted:
6/15/2018
Initial Review
............................................................... .
Is this project a public transportation project?* M
f Yes (-) No
Change ony if needed.
Has this project met the requirements for acceptance in to the review process?
r Yes
f No
BIMS # Assigned*
20180817
Version#*
Reviewing Office*
Central Office - [phone]
Select Project Reviewer*
Paul Wojoski:EADS\pawojoski
Is a payment required for this project?*
f No payment required
f Fee received
G Fee needed - send electronic notification
What amout is owed?*
r $240.00
f $570.00