20180852 Ver 1_401 Application_20180619

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/19/2018 1:52:28 PM (Start Event)
Accept by Montalvo, Sheri A 6/20/2018 10:46:18 AM (Non DOT Initial Review)
The task was assigned to Montalvo, Sheri A. The due date is: June 22, 2018 5:00 PM
6/19/2018 1:53 PM

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:*
Guilford
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: 29 - Residential Developments
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
r Yes r No
Acceptance Letter Attachment
Click the upload button or drag and drop files here to attach docurrent
DMS Acceptance Letter.pdf 77.81 KB
RLE TYPE MJST BE FDF
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://v wv.saw.usace.army.mil/Missions/Regulatory-Permit-ProgranVAgency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Michael Brame
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
(xxx)xxx-xxxx
[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:
McKnight Mill Homes 7, LLC
2b. Deed book and page no.:
008045-01260
2c. Responsible party:
(for Corporations)
Herb Parks
2d. Address
Street Address
7 Corporate Center Court
Address Line 2
aty
Greensboro
Pbstal / Zip Code
27408
2e. Telephone Number:
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(XXX)XXX-XXXX
2g. Email Address:*
[e-mail]
State / Province / Region
NC
Country
U.S.

C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
McKnight Mill Estates
1b. Subdivision name:
(if appropriate)
McKnight Mill Estates
1c. Nearest municipality/ town:*
Greensboro
1d. Driving directions*
If it is a new project and can not easily be found in a CFS rrapping system Rease provide directions.
From U.S. Highway 29 North - Drive east on Hicone Road. Turn right on McKnight Mill Road. Turn left into site.
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
7887832893
2b. Property size:
(in acres)
64.33
2c. Project Address
Street Address
4622 McKnight Mill Road
Address Line 2
City
State / Rovince / Pegion
Greensboro
NC
Postal / Zip Code
Country
27405
U.S.
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:*
36.148837° -79.717041*
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
North Buffalo Creek
3b. Water Resources Classification of nearest receiving water:*
WS -V; NSW
Surface Water Lookup
3c. What river basin(s) is your project located in?*

Cape Fear
River Basin Lookup
4. Project Description
4a. Describe the existing conditions on the site and the general land use in the vicinityof the project at the time of this application:*
An abandoned, dilapidated single family residence is located on the northern portion of the site. The remainder of
the site contains wooded land and fields. A sanitary sewer line crosses the eastern portion of the site.
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
USGS.pdf 1.86MB
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 documant
USDA Published Soil Survey.pdf 1.86MB
File type mist be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0.703
4e. List the total estimated linear feet of all existing streams on the property:
(intermittent and perennial)
4,750
4f. Explain the purpose of the proposed project:*
The purpose of the proposed project is to develop the site with a single family residential subdivision.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The overall project consists of developing the site with a 4 phase residential subdivision. The Master Plan that has
been presented to the City of Greensboro is attached.
Phase I of the site consists of developing the site with 54 single family residential lots, two stormwater ponds and
associated roads. In order to provide access to the central portion of the sub -division, it is necessary to construct
an access road that will impact wetlands. A portion of the wetland will also be impacted by lot fill from 5 residential
lots. To facilitate the construction of the access road and development of the site, clearing and grading the site is
necessary. Graders, haulers, excavators and other heavy equipment will be used during grading and construction
of the site.
Phases 2 and 3 of the proposed residential subdivision will consist of 147 single family residential lots, associated
roads and a stormwater pond. Stream and wetland impacts are not proposed or anticipated during Phases 2 and
3.
After Phases 1, 2 and 3 of the subdivision are built out (timeframe unknown - dictated by market conditions),
Phase 4 of the proposed residential subdivision will consist of 40 residential lots, associated roads and two
stormwater ponds. Two proposed stream crossings are necessary in order to construct Phase 4. For planning
purposes, the roads have been designed to cross the streams in areas with few meanders and at an angle as
near perpendicular as possible. At this time, the developer does not know if or when Phase 4 will be constructed.
Therefore, this permit application is for the proposed impacts associated with Phase I only. The Applicant
understands that additional impacts associated with Phase 4 of the proposed subdivision will be cumulative and is
planning accordingly.
4h. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files here to attach documant
MCKNIGHT MILL IMPACT MAPS-Revised.pdf 1.47MB
File type mist be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
C Yes r No r Unknown

Comments:
Pilot Environmental delineated the site on February 17, 2017.
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved f Unknown r N/A
Corps AID Number:
Exarrple: SAW -2017-99999
SAW -2017-00625. Field Visit March 22. 2017
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Michael Brame & Brad Luckey
Pilot Environmental, Inc.
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
January 11, 2018
5d1l. Jurisdictional determination upload
Click the upload button or drag and drop files here to attach docurrent
McKnight Mill Road USACE JD_ 1.11.18_ Pilot 2547.pdf 419.88KB
File type mist be RDF
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?'�
f Yes r No r Unknown
7. Future Project Plans
7a. Is this a phased project?*
r Yes r No
7b. If yes, explain.
This is Phase I of McKnight Mill Estates, a residential subdivision. Based on the master plan, there may be
additional impacts to streams and potentially wetlands during Phase 4 of the subdivision, if Phase 4 of the
subdivision moves forward with development activities. However, there are 200 plus lots that will be developed
before additional impacts will be necessary and future development of additional phases will be based upon
market conditions. The applicant is aware that impacts are cumulative for permitting and mitigation thresholds for
potential future impacts to WoUS. However, the applicant is not ready to proceed with later phases of the
subdivision or permit the potential impacts at this time. Although they are a part of the master plan that is being
presented to the City of Greensboro, they may or may not occur and establishing a timeline will be dictated by
market conditions to be permitted in accordance with applicable USACE/DWR regulations at that time. The
applicant is aware that the current and future development must occur in a manner in order to avoid and minimize
stream and wetland impacts on the site.
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.
Additional permits will be required for Phase 4 of the proposed
development, if Phase 4 of the subdivision moves forward with development
activities. The applicant is aware that impacts and mitigation requirements
are cumulative. The stream crossings have been designed in areas with few
stream meanders and as close as possible to perpendicular.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):

rJ Wetlands rJ Streams -tributaries ❑ Buffers
❑ Open Waters r- Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
... ..... ........
2a. Site # - Reason for impact* 2b. Impact type * 2c. Type of wetland* 2d. Wetland name *2e. 2f. Type of 2g. Impact
Forested* Jurisdicition* area*
Road Crossing & Lot Fill P Headwater Forest Unnamed Yes Both 0.209
Ivbp label (e.g. Road Grossing 1 - Calvert, Permanent (P) or (404, 10) or DAR (401, (acres)
dewatering, etc) Temporary (T) other)
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.209
2g. Total Wetland Impact
0.209
2h. Comments:
In order to access the central portion of the site, a road must be constructed. Road slopes and lot fill are proposed
to impact 0.209 acres of wetland.
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 s fe
type* Type* Jurisdiction* width* length*
S1 Sewer Crossing T Other Unnamed Perennial Both 6 28 1
Nbp label (e.g. Fvad Grossing Permanent (P) or Fbrennial (F8P� or Average (linear feet) 6
1) Tenporary (T) internittent (INT) (feet) A
** 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:
0
3i. Total temporary stream impacts:
28
3i. Total stream and tributary impacts:
28
3j. Comments:
In order to provide sewer services to Phases 1, 2 and 3, it is necessary to connect to an existing sewer line that is
located on the site. It is necessary to cross a perennial stream in order to make the connection. A coffer dam and
associated pump around will be used to deweter the sewer line installation area. The coffer dam will impact 8 linear
feet of stream channel. Installation of the sewer line will impact 20 linear feet of stream channel. After the pipe is
installed, the excavation will be back-filled with rip rap that will be placed below the existing stream bed elevation.
Additional rip rap protection will be keyed into the stream banks. The coffer dam will be removed and flow will
return to the stream reach.
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:*
The crossing location was selected because it is in an epsting farm road crossing. The area has already been
impacted by a culvert and unimproved road. The design has avoided impacts to other undisturbed jurisdictional
areas within the drainage swale.
Areas located down -gradient of the proposed crossing contain a perennial stream. The crossing has been
designed to avoid impacts to the perennial stream. An end wall has been designed at the down -gradient end of
the proposed culvert to avoid impacts to the perennial stream.
A sewer line must be installed that will cross a perennial stream. The sewer line is being installed in a relatively
straight reach of stream. Additionally, the crossing was designed within the footprint of a proposed road crossing
that may occur during development of phase 4 of the proposed project in an effort to avoid additional impacts.
Phases I, 2 and 3 have been designed to avoid the remainder of the wetlands and streams on the site. In order to
construct Phase 4 of the proposed development, it will be necessary to construct two stream crossings. While this
is not being permitted at this time and final designs have not been completed detailing the impacts, the crossings
have been designed to be located in relatively straight stream reaches, as perpendicular to the streams as
possible and in a way to avoid impacts to additional streams or wetlands.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
The clearing limits will be staked and silt fence will be used. Stormwater ponds will prevent sediment from being
discharged into down -gradient streams or wetlands.
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
2c. If yes, mitigation is required by (check all that apply):
r- DWR V Corps
2d. If yes, which mitigation option(s) will be used for this project?
r- Mitigation bank V Payment to in -lieu fee program r" Permittee Responsible Mitigation
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
V Yes
4b. Stream mitigation requested:
(linear feet)
4c. If using stream mitigation, what is the stream temperature:
4d. Buffer mitigation requested (DWR only):
(square feet)
4e. Riparian wetland mitigation requested:
(acres)
0.21
4f. Non -riparian wetland mitigation requested:
(acres)
4g. Coastal (tidal) wetland mitigation requested:
(acres)
4h. Comments
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
la. 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
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)
r- Other SCM that removes minimum 30% nitrogen
(check all that apply)
For a list of options to meet the diffuse flow requirements, click here.
Diffus Flow Documentation
Click the upload button or drag and drop files here to attach docurrent
Exempt.pdf
File type rrust be FDF
2. Stormwater Management Plan
351.88KB
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)?*
C Yes
F 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?*
t'• Yes
f No
Hnt: projects that have vested rights, exenptions, or grandfathering from state or locally irrplenented storrrwater prograns or projects that satisfy state or locally-inlAerrented stormwater prograns
through use of comrunity in -lieu prograrrs should answer no to this question.
2d. Which of the following stormwater management program(s) apply (check all that apply):*
rJ Local Government
F State
Local Government Stormwater Programs*
rJ Phase II
r- NSW
r- USMP
r- Water Supply
Please identifywhich local government stormwater program you are using.*
Greensboro
G. Supplementary Information
1. Environmental Documentation

Ia. 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)? *
C Yes r No
2b. Is this an after -the -fact permit application?*
C 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?*
C Yes r No
3b. If you answered "no," provide a short narrative description.
To the best of our knowledge, the residential subdivision being constructed on the site will not result in additional
development outside of the four proposed phases, which could impact nearby downstream quality.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes f• 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?*
C Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
C Yes r No
5d. Is another Federal agency involved?*
0 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 r No
5g. Does this project involve bridge maintenance or removal?
C 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)?*
C5 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?

Pilot consulted the USFWS List of Protected Species for Guilford County. The USFWS identifies the following
protected species in Guilford County: bald eagle and small whorled pogonia. Based on our site observations, large
water bodies capable of supporting the bald eagle are not present on the site. Therefore the proposed project is
not likely to disturb the bald eagle. Based on our observations, suitable habitat is not present on the site for small
whorled pogonia. Therefore, we have made the determination that the proposed project will have no effect on this
species.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes C No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
Based on our knowledge of the site, the site is not located in or near an area designated as essential fish habitat.
Best management practices and the use of erosion control devices will prevent sediment from entering down -
gradient waterbodies which may contain fish.
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?*
According to the NC SHPO Historic Properties website (attached), GF 1823 - Wyrick Log House (A Survey Only
Property) is located on the northern portion of the site. The identified property is located in the vicinity of a
dilapidated structure observed during our site visit. Only portions of the abandoned, dilapidated structure remain
on the site. Based on our observations, it is unlikely that the remnants of the residence will be determined eligible
by the NCSHPO.
7c. Historic or Prehistoric Information Upload
Click the upload button or drag and drop files here to attach docurent
NCSHPO HPO.pdf 185.99KB
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?*
ryes C No
8c. What source(s) did you use to make the floodplain determination?*
FEMA FIRM Panel 3710788700J, Effective 06.18.2007
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docurent
FEMA FIRM.pdf 1.85MB
Agent Authorization. pdf 401.47KB
GIS Info.pdf 159.04KB
File mist be FDF or ME
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:*
Michael T. Brame
Signature
Date Submitted:
6/19/2018
Initial Review
....................................... .............................................................................................................................................
Is this project a public transportation project?* M
O Yes C No
Change only if needed.
Has this project met the requirements for acceptance in to the review process?*
f• Yes
f No
BIMS # Assigned *
20180852
Version#*
Reviewing Office*
Winston-Salem Regional Office - [phone]
Select Project Reviewer*
Sue Homewood:eads\slhomemod
Is a payment required for this project?*
f No payment required
f Fee received
r Fee needed - send electronic notification
What amout is owed?*
r $240.00
f $570.00