20181035 Ver 1_401 Application_20180725

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 MN 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 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:
f Yes r No
For the record only for Corps Permit: 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
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:
SW, LLC
2b. Deed book and page no.:
011912/01029
2c. Responsible party:
(for Corporations)
Billy Lee, TOC (work being conducted in TOC easement)
2d. Address
Street Address
2730 Wellsprings Dr.
Address Line 2
aty
Pfafftown
Fbstal / Zip Code
27040-9415
2e. Telephone Number:
(XXX)XXX-XXXX
2f. Fax Number:
(XXX)XXX-)O=
2g. Email Address:*
Billy. [e-mail]
3. Applicant Information (if different from owner)
3a. Applicant is:
State/ Province/ Fbgion
NC
Country

O Agent
f• Other Town of Cary (sanitary sewer easement holder)
If other please specify.
3b. Name:
Billy Lee
3c. Business Name:
(if applicable)
Town of Cary
3d. Address
Street Address
PO Box 8005
Address Line 2
CKY
Cary
Postal / Zip Code
27512-6005
3e. Telephone Number:
[phone]
(xxx)xxx-xxxx
Fax Number:
(xxx)xxx-xxxx
3g. Email Address:*
Billy. [e-mail]
State / Province / Fbgion
NC
Country
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Blanche Drive Interceptor Streambank Stabilization
1b. Subdivision name:
(if appropriate)
Beside Hayesbury Towns
1c. Nearest municipality/ town:*
Cary
1d. Driving directions*
If it is a new project and can not easily be found in a CPS rrapping system Please provide directions.
From the intersection of N. Academy St and Chapel Hill Road, travel east to Trinity Road and turn left. Immediate right onto Vera Drive. Left
onto Old Trinity Circle, and then right onto Blanche Drive. The project area is accessible from the east end of Blanch Drive, south along the
sanitary sewer easement.
2. Project Identification
2a. Property Identification Number:
(tax PIN or parcel ID)
0161033
2b. Property size:
(in acres)
5.33 Acres
2c. Project Address

Street Address
7300 Chapel Hill Road
Address Line 2
City
State/ Province/ Region
Cary
NC
Postal / Zip Code
Country
27607-5477
Wake
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:*
35.794420 -78.745799
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
UT to Richland Creek
3b. Water Resources Classification of nearest receiving water:*
C; 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:*
Site is partially undeveloped (townhome community currently under construction) located at the NW corner of the
Chapel Hill Road/1-40 interchange. Richland Creek extends roughly NE to SE through the property, and a 20 -wide
sanitary sewer easement runs along the west side of the creek. This easement contains an eight -inch PVC gravity
sewer main, a portion of which (approx. 40 feet) has been exposed due to streambank erosion. Most of the
exposed sewer line is encased in concrete. the surrounding area consists of 1-40 to the east, Chapel Hill Road to
the south, existing residential and commercial properties to the west, and a newtownhome community to the north.
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
Figure 1 - USGS topo.pdf 183.7KB
File type rrust be pdt
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)
(lick the upload button or drag and drop files here to attach document
Figure 2 - NRCS Soils.pdf 193.52KB
File type rrust be pdt
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)
700 LF

4f. Explain the purpose of the proposed project:*
The purpose of the project is to cover a sanitary sewer line that has been exposed in the left streambank, and
stabilize the streambank.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
The project will involve rebuilding approximately 40 LF of streambank to cover the exposed sewer line, and
stabilize the restored bank with riprap. Impacts will include placement of fill and riprap to reshape and protect the
streambank from future erosion,
4h. Please upload project drawings for the proposed project.
Qick the upload button or drag and drop files here to attach docurrent
Proposed Impact Area Map.pdf 236.83KB
File type mist be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
f 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 IT NIA
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.
5dl. Jurisdictional determination upload
Qick the upload button or drag and drop files here to attach docurrent
File type mast be FDF
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.
In a way, it is a phased project. Eventually, a new segment of sewer line will be added landward, to move the
existing segment of line further from the stream. This second phase is not scheduled or funded. In the
short/midterm, the stabilized bank will be periodically monitored to ensure no further exposure. This second phase
has not been designed, and it will likely be 4-5 years before this additional work will be done. Any impacts
associated with this phase will be limited to riparian buffer impacts only; no wetlands or stream channels will be
affected. The existing length of sewer line will be abandoned in place.
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):
r- Wetlands IJ Streams -tributaries V 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 s fe
type* Type* Jurisdiction* width* length*
S1 Streambank P Stabilization UT to Richland Perennial Both 7 40 2
stabilization Ferrranent (F) or Creek Perennial (FEP� or Average (linear feet) 8
Nbp label (e.g. Road Grossing Temporary (T) intermttent (INT) (feet) 0
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:
40
3i. Total temporary stream impacts:
0
3i. Total stream and tributary impacts:
40
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.
P7 Neuse ❑ Tar -Pamlico
F Catawba r Randleman
r- Goose Creek r Jordan Lake
❑ Other
6b. Impact Type *
6c. Per or
Temp*
Allowable
P
Location and Exenpt, Allowable, allowable w/ Ferrmnent (F� or
mitigation
Temporary (T)
6h. Total buffer impacts:
Zone 1
Temporary impacts:
0.00
6d. Stream name * 6e. Buffer mitigation 6f. Zone 1
required?* impact*
UT to Richland Creek No 400
(square feet)
Zone 2
0.00
6g. Zone 2
impact*
0
(square feet)

Zone 1 Zone 2
Permanent impacts: 400.00 0.00
Zone 1 Zone 2
Total buffer impacts: 400.00 0.00
6i. Comments:
Streambank will be filled over and behind exposed sewer line, and stabilized with riprap from the OHWM to tie into
the existing contour of the sewer line easement.
Supporting Documentation - i.e. Impact Maps, Plan Sheet, etc.
Click the upload button or drag and drop files here to attach docurrent
Proposed Impact Area Map.pdf 236.83KB
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:*
Impacts occurring have been minimized to the area with the exposed sewer line. No other alternative is available to
cover the sewer line and stabilize the bank
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
All work will be performed from the stream bank/high ground.
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:
Stream stabilization projects do not require mitigation.
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
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.

Diff us Flow Documentation
Click the upload button or drag and drop files here to attach docunent
Stormwater.pdf 6.97KB
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?
f Yes r 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
Hint: projects that have vested rights, exemptions, or grandfathering from state or locally inplerrented stormwater programs or projects that satisfy state or locally-implerrented stormwater programs
through use of corrrrunity in -lieu program; 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 15ANCAC 02H .1003. Include all appropriate stormwater control measure supplemental forms and associated
items.
Click the upload button or drag and drop files here to attach docurrent
Stormwater.pdf 6.97KB
RLE IYFE IVWT 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).
Click the upload button or drag and drop files here to attach docurrent
RLE IYFE MBT BE FDF
G. Supplementary Information
1. Environmental Documentation
la. 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: *
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)? *

f Yes r No
2b. Is this an after -the -fact permit application?*
r Yes r No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
The exposed sewer line was discovered during the week of 7/9, and it is the Town's intention to cover the line as
quickly as possible to prevent a rupture and release of sewage.
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.
Project involves protecting existing infrastructure. The area around the work site is in the process of being built out
with residential subdivisions and businesses..
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
f Yes C 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?*
f Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?
f 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)?*
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?
NCNHP website (7/12/18) and USFWS iPac website (7/12/18). See Attachment G5.5d.
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? *

The site is not located within one of the 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/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 IT 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 7/12/18). 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 docurent
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?*
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
PCN Attachment Sec G.5.5d - T&E Species.pdf
Figure 3 - Aerial Photo.pdf
Property Map TOC Easement.pdf
Photos.pdf
File mist be FDF or KNE
Signature
rJ By checking the box and signing below, I certify that:
73.78KB
204.64KB
953.7KB
658.31 KB
■ 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 Lee
Signature
04 aelir
Date Submitted:
7/25/2018

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
r No
BIMS # Assigned*
20181035
Version#*
Reviewing Office*
Raleigh Regional Office - [phone]
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?*
r $240.00
r $570.00

Blanche Drive Interceptor Streambank Stabilization
ATTACHMENT G.5.5d.

5d. What data source did you use to determine whether your site would
impact Endangered Species or Designated Critical Habitat?

A NC Natural Heritage Program (NHP) database search was conducted for the USGS
Raleigh West Quadrangle (www.ncnhp.org/web/nhp/database-search) on 7/12/18, and
an IPac Trust Resources Report and an official threatened and endangered species list
was requested from the USFWS Environmental Conservation Online System (ECOS)
(http://ecos.fws.gov/ipac). Four species were identified.

The Bald Eagle (Haliaeetus leucocephalus) was identified has having current
occurrences within the Raleigh West quadrangle. The bald eagle is not listed as a
federally endangered or threatened species; however, it is protected under the Bald and
Golden Eagle Protection Act (BGPA).

Bald eagles live near rivers, large lakes and marshes where they can find fish and other
prey animals. Bald eagles require a good food base, perching areas, and nesting sites.
Although several small ponds/lakes are located within the vicinity of the project site, no
large water bodies are located within one mile of the project site. Based upon this
information, the project is anticipated to have No Effect on this species.

Michaux's sumac (Rhus michauxii) is listed by the NHP as having documented
occurrences in Wake County. Michaux’s sumac is a woody shrub found in open woods
in rocky or sandy soils. The project area consists of a maintained sanitary sewer
easement, mostly under canopy cover, in a developed area. No specimens of
Michaux’s sumac were observed. Based upon this information, the project is
anticipated to have No Effect on this species.

The Rusty-Patched Bumblebee (Bombus affinis) is listed as Endangered. While listed
as having been seen in Wake County, this is a midwestern species that typically is
found in grasslands and tallgrass praries. No suitable habitat was observed for this
species in the project area. Based upon this information, the project is anticipated
to have No Effect on this species.

The Northern Long-Eared Bat (Myotis septentrionalis) is a Threatened species.
According to the USFWS Endangered Species Fact Sheet on the northern long-eared
bat, this species spends winter hibernating in caves and mines, called hibernacula.
They typically use large caves or mines with large passages and entrances; constant
temperatures; and high humidity with no air currents. No caves or mines are located in
the vicinity of the project site.

During the summer northern long-eared bats roost singly or in colonies underneath
bark, in cavities, or in crevices of both live and dead trees. Males and non-reproductive
females may also roost in cooler places, like caves and mines. This bat seems
opportunistic in selecting roosts, using tree species based on suitability to retain bark or
provide cavities or crevices. It has also been found, rarely, roosting in structures like
barns and sheds. Project work is restricted to the stream bed and banks. Tree cutting
will be limited to trees on the banks that are in danger of falling, and small trees
(saplings) along the temporary access corridor. T he project is short duration (work will
be completed over several days). Based upon this information, the project is
anticipated to have No Effect on this species.

Stormwater Issues

This project involves restoring cover over an exposed sanitary sewer line and stabilizing the
streambank. No concentrated stormwater flow will result from this project. Original contours
will be restored and seeded upon completion of the work.
No impervious surface will be added beyond the riprap used to stabilize the stream banks.

FIGURE 1
2016 USGS TOPOGRAPHIC MAP
Blanch Drive Interceptor
Stream Stabilization
Cary, NC

FIGURE 2
1970 NRCS SOILS MAP
Blanch Drive Interceptor
Stream Stabilization
Cary, NC

FIGURE 3
2017 AERIAL PHOTOGRAPH
Blanch Drive Interceptor
Stream Stabilization
Cary, NC

PROPOSED IMPACT AREA MAP

Blanche Drive
Interceptor Streambank
Stabilization
Cary, NC

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View of upstream end of concrete casing. Stream flow is eroding behind and under the casing

View further downstream of concrete casing