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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