HomeMy WebLinkAbout20181036 Ver 1_401 Application_20180725Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 7/25/2018 1:42:42 PM (Start Event)
Accept by Montalvo, Sheri A 7/27/2018 9:55:10 AM (Non DOT Initial Review)
• The task was assigned to Montalvo, Sheri A. The due date is: July 30, 2018 5:00 PM
7/25/2018 1:44 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:*
Mecklenburg
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
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
2018-04-26—Druid—Hills—CRL mitigation credit letter.pdf 108.15KB
FILETYPEM.67BEPDF
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?*
Mike Higgins
1b. Primary Contact Email:*
m.higgins@cros.k12.nc.us
1c. Primary Contact Phone:*
(xxx)xxx-xxxx
(704)201-3406
1d. Who is applying for the permit?
rJ Owner r- Applicant (other than owner) rJ Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
Charlotte -Mecklenburg Schools
2b. Deed book and page no.:
2c. Responsible party:
(for Corporations)
Mike Higgins
2d. Address
Street Address
3301 Stafford Drive
Address Line 2
City
Charlotte
Fbstal / Zip Code
28206
2e. Telephone Number:
(xxx)xxx-xxxx
(704)201-3406
2f. Fax Number:
(XXX)XXX-)O=
2g. Email Address:*
m.higgins@cros.k12.nc.us
State / Province / legion
NC
Country
USA
4. Agent/Consultant (if applicable)
4a. Name:
Brandon Phillips, CHMM
4b. Business Name:
(if applicable)
STV Engineers, Inc.
4c. Address
Street Address
900 West Trade Street, Suite 715
Address Line 2
City
State / Rovince / Fbgion
Charlotte
NC
Postal / Zip Code
Country
28202-1144
USA
4d. Telephone Number:
(704)372-1885
(XXX)XXX-)D=
4e. Fax Number:
(xxx)xxx-xxxx
4f. Email Address:*
brandon.phillips@stvinc.com
Agent Authorization Letter*
Rease provide the Agent Authorization Letter if you are submitting this document.
Agent Authorization signed.pdf 40.91 KB
RLE TYPE M.15T BE RDF
. .... .. .. ........
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Druid Hills Elementary School After -the -Fact Permit
1b. Subdivision name:
(if appropriate)
N/A
1c. Nearest municipality / town:
*
Charlotte
1d. Driving directions*
If it is a new project and can not easily be found in a GPS mapping system Rease provide directions.
From Charlotte take Graham Street north to Norris Avenue. Take left onto Norris Avenue and the first right into the Druid Hills Elementary
School.
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
07709101
2b. Property size:
(in acres)
20
2c. Project Address
Street Address
2801 Lucena Street
Address Line 2
aty
Charlotte
Postal / Zip Code
28206
2d. Site coordinates in decimal degrees
State / Province/ Plagion
NC
Country
USA
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:*
35.257261 -80.825203
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Irwin Creek
3b. Water Resources Classification of nearest receiving water:*
C
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Catawba
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:*
Existing Conditions include the Druid Hills Elementary School, with residential, commercial, undeveloped forest and
disturbed/maintained right-of-way in the vicinity.
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
DH_Figure2_USGSMap.pdf 1.46MB
File type mast 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 document
DH_Figure3_SoilsMap.pdf 2.07MB
File type crust be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0.042
4e. List the total estimated linear feet of all existing streams on the property:
(intermttent and perennial)
811
4f. Explain the purpose of the proposed project:*
After -the -fact permit required for the previous construction (circa 2000-2001) at the Druid Hills Elementary School.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
School construction using heavy construction equipment; See Supplemental Information 4g. for project detail and
timeline narrative.
4h. Please upload project drawings for the proposed project.
nick the upload button or drag and drop files here to attach docurrent
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 r No r Unknown
Comments:
First delineation in 2000 by LAW. Recent delineation conducted in 2016 by
STV.
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
f Preliminary f Approved r Unknown f N/A
Corps AID Number:
5(arrple: SAW -2017-99999
SAW -2000-30969
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Brandon Phillips, CHMM
SN Engineers, Inc.
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Most recent Jurisdictional Determination Request made in November 2016 and is attached. USACE performed a field review on March 9,
2017. (SAW 2016-02466)
5dl. Jurisdictional determination upload
Click the upload button or drag and drop files here to attach document
SAW -2000-30969 1920107 - Compressed.pdf 2.71 MB
Druid Hills ES JD Request package.pdf 2.43MB
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?
r Yes r No r Unknown
6b. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW -0000-00000).
SAW -2000-30969
Project History Upload
Qickthe upload button or drag and drop files here to attach document
SAW -2000-30969 1920107 - Compressed.pdf 2.71 MB
File type mist be RDF
7. Future Project Plans
7a. Is this a phased project?*
r Yes G 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):
IJ Wetlands rJ Streams -tributaries r 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*
Grading P Headwater Forest Wetland A Yes Both 0.004
Ivbp label (e.g. Road Grossing 1 - Qalvert, Ferrrenent (P) or (404, 10) or DhR(401, (acres)
dewatering, etc) Terrporary (T) other)
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.004
2g. Total Wetland Impact
0.004
2h. Comments:
Refer to response to 4g. and Exhibit #2 in Supplemental Information; 0.005 acre of impacts authorized in 2000;
0.004 acre of unauthorized impacts; total wetland impacts are 0.009 acre.
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 Grading P Fill UT to Irwin Creek Perennial Both 3 180 5
Ivt3p label (e.g. Road Grossing Permanent (F� or Perennial (FSS or Average (linear feet) 4
1) Tenporary (T) intermittent (INT) (feet) e
** 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:
180
3i. Total temporary stream impacts:
0
3i. Total stream and tributary impacts:
180
3j. Comments:
Refer to response to 4g. and Exhibit #2 in Supplemental Information; 80 If of impacts authorized in 2000; 180 If of
unauthorized impacts; total stream impacts are 240 If.
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:*
Refer to response to 4g. in Supplemental Information.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Refer to response to 4g. in Supplemental Information.
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):
F DWR r,7 Corps
2d. If yes, which mitigation option(s) will be used for this project?
V Mitigation bank r] Payment to in -lieu fee program r- Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Charlotte -Mecklenburg Umbrella Stream and Wetland Mitigation Bank
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Stream 180
Attach Receipt and/or letter
Click the upload button or drag and drop files here to attach docurrent
2018-04-26_Druid_Hills_CRL mitigation credit letter.pdf 108.15KB
FILE TYPE M.157 BE PDF
3c. 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?
r Yes r No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
Project is not located on the main stem of the Catawba and is not subject to NC Riparian Buffer Protection Rules. Permanent Stormwater
Management BMP basin constructed in 2000 as part of the elementary school.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
r Yes C No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?*
r 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?*
F Yes
r No
Fant: projects that have vested rights, exemptions, or grandfathering from state or locally implemented storrrwater programs or projects that satisfy state or locally-inplerrented 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):*
rJ Local Government
F State
Local Government Stormwater Programs*
rJ Phase II
r- NSW
r- USMP
r- Water Supply
Please identify which local government stormwater program you are using.*
Charlotte -Mecklenburg Storm Water Services
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
f• Yes r No
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:*
School development project that falls below SEPA impact thresholds and does not require an environmental
document.
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 C 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):
It was determined by the USACE that permit impacts authorized by SAW -2000-30969 were exceeded and an after -
the -fact permit was required.
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.
Current CMS expansion plans will occur in upland areas of the school site and are not anticipated to cause
cumulative impacts to water resources.
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?
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?*
f Yes r No f Unknown
5e. Is this a DOT project located within Division's 1-8?*
f Yes r No
5f. Will you cut any trees 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?
f 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.?
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 and NCNHP on-line data and site specific field reviews; refer to Supplemental Information Section
G.S.
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?
NOAA EFH mapper
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)?*
t' Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Refer to Supplemental Information 7b.
7c. Historic or Prehistoric Information Upload
Click the upload button or drag and drop files here to attach docurrent
File mast be FDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https:Hmsc.fema.gov/portal/search
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes C No
8c. What source(s) did you use to make the floodplain determination?*
FEMA FIRM
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docurrent
T&E Supplemental info for Druid Hills PCN Form.pdf 115.42KB
2000plansoverESRl.pdf 4.15MB
Druid Hills_ImpactSplitScreen.pdf 4.72MB
File rrust be FDF or KNE
Signature
m 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:*
Brandon Phillips, CHMM
Signature
Date Submitted:
7/25/2018
Initial Review
Is this project a public transportation project?*(?)
ryes r No
Change only if needed.
Has this project met the requirements for acceptance in to the review process?
r• Yes
r No
BIMS # Assigned*
20181036
Version#*
Reviewing Office*
Mooresville Regional Office - (704) 663-1699
Select Project Reviewer*
Alan Johnson:eads\adjohnson1
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
G $570.00