HomeMy WebLinkAbout20180970 Ver 1_401 Application_20180712Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/12/2018 4:55:40 PM (Start Event)
Accept by Montalvo, Sheri A 7/13/2018 2:37:26 PM (Email Submitter)
• The task was assigned to Montalvo, Sheri A. The due date is: July 17, 2018 5:00 PM
7/12/2018 5:04 PM
'Non DOT Initial RevievJ assigned to Montalvo, Sheri A
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:*
Chatham
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: 39 - Commercial/Institutional 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
F- 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
r Non -404 Jurisdictional General Permit IJ 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 Ltr - Seaforth Road High School.pdf 76.83KB
RES CF02 SOA Seaforth High School 070918.pdf 110.83KB
FILE TYPE K UST 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://wuwv.saw.usace.army.mil/Missions/Regulatory-Permit-ProgranVAgency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Elias Ruhl
1b. Primary Contact Email:*
eruhl@fandr.com
1c. Primary Contact Phone:*
(xxx)xxx-xxxx
(919)828-3441
1d. Who is applying for the permit?
r Owner r Applicant (other than owner) rJ Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
Chatham County Board Of Education
2b. Deed book and page no.:
1900/1150
2c. Responsible party:
(for Corporations)
Randy Drumheller
2d. Address
Street Address
PO Box 128
Address Line 2
369 West Street
City
Pittsboro
Postal / Zip Code
27312
2e. Telephone Number:
(xxx)xxx-xxxx
(919)542-3626
2f. Fax Number:
(XXX)XXX-)D=
State / Province/ Region
North Carolina
Country
USA
2g. Email Address:*
randyd@chatham.k12.nc.us
2a. Name(s) on recorded deed:
2b. Deed book and page no.:
2c. Responsible party:
(for Corporations)
Michael Hammersley (Corley Redfoot Architects
2d. Address
Street Address
222 Cloister Court
Address Line 2
City
State / Province / legion
Chapel Hill
North Carolina
Postal / Zip Code
Country
27514
United States
2e. Telephone Number:
(XXX)xxx-xxxx
(919)401-8586
2f. Fax Number:
(XXX)XXX-XXXX
2g. Email Address:*
mhammer@cra-ae.com
4. Agent/Consultant (if applicable)
4a. Name:
Elias Ruhl
4b. Business Name:
(if applicable)
Froehling & Robertson
4c. Address
Street Address
310 Hubert St
Address Line 2
City
State / Province / Region
Raleigh
NC
Postal / Zip Code
Country
27603
USA
4d. Telephone Number:
(919)828-3441
(xxx)xxx-xxxx
4e. Fax Number:
(919)828-5751
(XXX)XXX-XXXX
0. Email Address:*
eruhl@fandr.com
Agent Authorization Letter*
Please provide the Agent Authorization Letter if you are submtting this document.
Seaforth Road - USACE AA Letter.pdf
RLE lYFE MJST BE RDF
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Seaforth High School
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:*
Pittsboro
1d. Driving directions*
If it is a new project and can not easily be found in a GPS napping system Please provide directions.
The Seaforth High School site is located on the west side of Seaforth Road, approximately 0.3 miles south of US 64 (approximately 7 miles
east of Pittsboro).
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
63027
2b. Property size:
(in acres)
53.4
2c. Project Address
Street Address
444 Seaforth Road
Address Line 2
aty
State / Province / Fbegion
Pittsboro
North Carolina
Rbstal / Zip Code
Country
27312
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:*
35.7329 -79.0628
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Windfall Branch
3b. Water Resources Classification of nearest receiving water:*
NSW, WS -I, WS -IV NSWC
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 vicinity of the project at the time of this application:*
The site consists of wooded land. The land use in the vicinity of the project consists of wooded land and scattered
residential development.
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)
Qick the upload button or drag and drop files here to attach docurrent
66U-0137- Figures—Wetlands TOPO.pdf 298.88KB
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)
Qick the upload button or drag and drop files here to attach docurrent
Seaforth HS County Soils Map.pdf 218.62KB
File type mist be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0.05
4e. List the total estimated linear feet of all existing streams on the property:
(intermttent and perennial)
1,997
4f. Explain the purpose of the proposed project:*
Development of a High School and associated School Grounds.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
Clearing and grading for construction of school and associated parking, facilities, and access roads, utilizing
typical construction equipment and BMPs.
4h. Please upload project drawings for the proposed project.
nick the upload button or drag and drop files here to attach docurrent
2018_07_05 - Seaforth High - Project Drawings_red.pdf 3.12MB
File type mist be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
r 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:
Bcanple: SAW -2017-99999
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Elias Ruhl
Agency/Consultant Company: Froehling & Robertson
Other:
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Corps Rep (Andrew Williams) conducted site visit 8/24/17, and gave verbal concurrence. State provided Buffer Determination Letter 9/5/17
5d1. Jurisdictional determination upload
(lick the upload button or drag and drop files here to attach docurrent
17-289 Seaforth Rd School Site Buffer Determination. pdf 1.66MB
File type mut 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.
No
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
V Wetlands V Streams -tributaries fJ Buffers
r- 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*
Impact #3 P
Ivbp label (e.g. Finad Qossing 1 - Culvert, Perrranent (F) or
dewatering, etc) Temporary (T)
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.020
2g. Total Wetland Impact
0.020
2h. Comments:
Less than 0.1 acres of wetland impacted.
Headwater Forest W10,000 Yes Corps 0.020
(404, 10) or DAR (acres)
other)
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 Impact #1 P Excavation S-1,000 Intermittent Corps 2 296 5
Ivtap label (e.g. Road Crossing Permanent (F7 or Perennial (Ff3� or Average (linear feet) 9
1) Temporary (T) intermittent (INT) (feet) 7
" Al 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:
296
3i. Total temporary stream impacts:
0
3i. Total stream and tributary impacts:
296
3j. Comments:
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.
r Neuse F Tar -Pamlico
r Catawba Randleman
r Goose Creek W 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*
Allowable P 1,000 No 0 0
Location and Exempt, Allowable, allowable w/ Permanent (P/ or (square feet) (square feet)
nitigation Temporary (T)
6h. Total buffer impacts:
Zone 1 Zone 2
Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Permanent impacts: 0.00 0.00
Zone 1 Zone 2
Total buffer impacts: 0.00 0.00
6i. Comments:
No DWR Buffer Impacts. However, impact maps identify Chatham County 100 foot buffer impacts (identified on
maps as Impact #2).
Supporting Documentation - i.e. Impact Maps, Plan Sheet, etc.
Qick the upload button or drag and drop files here to attach document
2018_07_12 - Seaforth High - ACE Permit Plans.pdf 12.17MB
File must be PDF
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:*
Please See Attached Document: Seaforth High School Wetland and Stream Impact Purpose and Need Statement
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Please See Attached Document: Seaforth High School Wetland and Stream Impact Purpose and Need Statement
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
2c. If yes, mitigation is required by (check all that apply):
F DWR rJ Corps
2d. If yes, which mitigation option(s) will be used for this project?
Pr Mitigation bank rJ Payment to in -lieu fee program r Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
RES Cape Fear 02 Umbrella Mitigation Bank (Dairyland Site)
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Stream 20.30
Attach Receipt and/or letter
dick the upload button or drag and drop files here to attach document
RES CF02 SOA Seaforth High School 070918.pdf 110.83KB
RLE TYPE M-67 BE FDF
3c. Comments
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)
572
4c. If using stream mitigation, what is the stream temperature:
warm
4d. Buffer mitigation requested (DWR only):
(square feet)
NA
4e. Riparian wetland mitigation requested:
(acres)
NA
4f. Non -riparian wetland mitigation requested:
(acres)
NA
4g. Coastal (tidal) wetland mitigation requested:
(acres)
NA
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
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
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
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
C3.0.pdf
4.69MB
C3.4.pdf
1.6MB
C3.9 7 12 18.pdf
1.04MB
Stormwater Calcs_C3.9.pdf
3.6MB
File type must be FDF
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
C 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?*
r Yes
r No
Hnt: projects that have vested rights, exemptions, or grandfathering from state or locally inplerrented stormwater programs or projects that satisfy state or locally-irrplerrented stormwater programs
through use of comrunity in -lieu programs should answer no to this question.
2d. Which of the following stormwater management program(s) apply (check all that apply):*
r- Local Government
r,7 State
State Stormwater Programs*
V Phase II
F Coastal Counties
r- HWQ or ORW
r- Other
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)?*
r Yes r No
Comments: *
Based on the project information, a NEPA screening is not required.
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 project is a planned school development and associated grounds, expansion and/or additional phases are
not planned at this time.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes f 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.
Sewage will be treated by an onsite septic system, which was designed to meet onsite facility demands. (Please
see attached site plans) The system was designed for a max flow of 10,000 GPD, with 6.1 acres available for
Spray Area, for a total of 287 Emitters.
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
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
r 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)?*
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.?
f Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPaC resource list, NC NHP database
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?
https://w\Aw.habitat.noaa.gov/protection/efh/efhmapper/
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?
NCSHPO HPOWEB GIS Service
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?*
f Yes r No
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Map Service Center web app
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docurrent
Purpose and Need Statement_Seaforth Rd_ENR.pdf 71.21 KB
File mist be FDF or IME
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:*
Paul M Hughes
Signature
Date Submitted:
7/12/2018
Initial Review
Is this project a public transportation project? * (?
f Yes f• No
Change only if needed.
Has this project met the requirements for acceptance in to the review process?*
r Yes
O No
BIMS # Assigned*
20180970
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
C $570.00