20181089 Ver 1_401 Application_20180806

 
L E W T E R S H O P R D
NC Center for Geographic Information & Analysis
Project Number:
BZ
Project Manager:
1" = 150'Scale:
8/2/2018Date:
Map Title:
Source:
Figure 3 - Sketch Map
1708 Lewter Shop Road
Chatham County, NC
NC One Map
Chatham County GIS
¯0150300
Feet
13526.W1

Project Number:
BZ
Project Manager:
1" = 750'Scale:
8/2/2018Date:
Map Title:
Source:
Figure 2 - Soil Survey Map
1708 Lewter Shop Road
Chatham County, NC
Chatham County
Green Level Soil Survey Sheet
¯0 750 1,500
Feet
13526.W1

Project Number:
BZ
Project Manager:
1" = 750'Scale:
8/2/2018Date:
Map Title:
Source:
Figure 1 - USGS Map
1708 Lewter Shop Road
Chatham County, NC
NC USGS
2016 Green Level Quad
¯0 750 1,500
Feet
13526.W1
age _ _ — - - _ _ _
lift 796,11c 105S9S/W
0a Q
WIT -' -_-
r /
I 119 II j
I -
Ii _____ I _____
Ir_
1 1I 4--: _ ___, ____ 1..L __.
I_ I I I I II II ` I I p
I_ _TL N
l I'
ll I O O O III O I!' O O SPACE I I l i li Z fD
rpQ
181 ill I 4 7 1III
I i\ III Illi IIII Ij li it II O iII O III ® h6 N O!
1 •.
i / ,
Z`i l
I'. - j
L`d6L __ - -
I
IL -__ J
1 i i i Z O
I I
I
I III
III I
l III
1 1, 1 i ' - - - -- '
I
bdrvE -' i• L---- G W =
W Z 2. 14-SB -024 L_
r _ _ -_- -_ -_ _ -__ __ -_. - _ -_ -_ .. H7E #:15-0391 o
l , . -, it i _ - _\ .,, I Approved by the Town of Cary Z V 4
i ,'r l - - __
1 ____
1 r -- - --- _ -
Development Review Committee W Z ,mapIINInc1.
I
i T- Planner: Date: Y W F e W0
0 y co in
Z do
9 i
Pt'------------ i + I \\ I ` \ ` ®
1\ \,\ ,
iN \ ` y. O fI
ii - I '` I gg I I '-_--- - - --JII 11 _,, /,
i • "'----- ----
Y1- \ js' - \
I \ \
t EX POND ^ a Z
i + l __________ -__ ' r--------- ---- _ - - - -- \ \\ ` \\ , A,{. 72 t ` \\ '1` —... Z y a 050JORDANLAKE
RIPARIAN BUFFER alll~ QtI
y0
A A - =_ cDAlAUxm \ 1 mot-. -., ppg
NrT
ppNN c
i1._________
I __- __- ._ - -
J -- iKllwa \..' = \ \\ 18 - ,H.PAERTR NSIT ION L m W W
CL
OF ARY N V
i'i- -- - - -- -- - - - - -i
SPACE =
sa
y\
Fi F \
r__S
VETPON 3 i ! I - - -i III \ ® ® O ' /OQ pG 1
I
m /
CE e `•,\ \` \ ,! -\ .`i G
g _fT, `\ 1 '• --r, --r, '
I, , I
x\ ,'
67 \ /
16 _
j____ .., 3a_e'LPJIee- _- Y_r Q r __ w w w74 \ , \ i !% t9 'i i ,ii •.\` '---- --T i i I QPEN r r f f f
ter•._._. i i
v .
SPACE' r1 ° ° 0 w
17 /r l l ,
i i '1
A \
i U U v z o
NOTES: / O _ l i l I. , ~a
1. ALL SIGNS HALL USE PRISMATIC SHEETING THAT MEETS MINIMUM RETIIOREFLECTWITY I < / / / / '\ I ' r /
ui u i u i
STANDARDS FOUND IN WE LATEST EDITION OF WE MUTCD. ' /
3. ALL STREET NAME SIGNS SHALL ADHERE TO THE 3008 MUTCD REQUIREMENTS BELATED TO COLOR, ' I ® \ ' ® ' -` `SPACE ``\ ' .Z / H
LETTER CASE AND LETTER HEIGHTS. STREET NAME SIGN DESIGNS MUST BE SUBMITTED TO AND O O O D
APPROVED BY TOWN STAFF IN THE TRANSPORTATION AND FACILITIES DEPT PRIOR TO 1' i / \ / ` \'' ' ' '•C/ -,,\ - _\ C,` , / -.,I V ,' , f f f
INSTALLATION. APPROVAL OF STREET NAME SIGN DESIGNS WALL BE REQUIRED PRIOR TO ' \ / © 7 I \ - ',• _ "`` i
v / /
O % i 50 JORDIiN LAKEACCEPTANCEOFSTREETORFIRSTCO. RIPAR AN BUFFER
o' , `\ `;
TRAFFIC CONTROL NOTES I________- 61 i,,i .\ \` / / / , \ \ 1 5 TOWWf OF ccARY - Z
I._________J rI /i '• /® / /// )' \ `lt ` RA TANSITIONAL
SIGHT DISTANCE CALCULATIONS `ice -1 - - - - - - -- I \
i i /i'i i ' ` t u Fa 'm1. ALL SITE SIGNAGE SHALL BE ACCORDANCE WITH THE MANUAL IXJ II I-- - - - - - -- ® \ / ® l' . / ® r l l '' ` \, p• wUNIFORMTRAFFICCONTROLDEVICES (MUTCD) AND NCDOT STANDARDS. 11 I I / ,' / C / ! / / ' \ 2M Z Z
O
MUTCD sTD. 52E d = i.a7YT 1i i - - - - -- - ® ' \ ® _ ,ii i ; ® I '' WE'D ND
IW
r _
A STOP RI -I 30" f i ® I__, , ' , ' j i i i /, l IW ° SPEED LIMIT (25 MPH) R2 -1 24 "x30" where: d =si ht distance ft 11 I I /' `\.` / iii / ' i `y/ , ' i l'
1 ` \' ' \
1 W J zI
Q PEDESTRIAN CROSSWALK SIGN W11 -2 30" a/ PLACARD
g ( ) -
6.S 7.5 Sec h---- r- --- '- - - -- - ® ` ® / iii i, / / I _ •1 '
I ` ` `'``
J
FLUORESCENT YELLOW = GREEN) k W76 -7P 24'x12' t =gap time G - rl ,--- ______
I ' • \ / - / i i / •T -: '
l ` ,• h l Qv =dell seed (mph) a
2. ALL SIGNS SHALL BE MOUNTED WITH 7 -FT MIN. VERTICAL CLEARANCE Ii i I - - - - -- - - - - - // 44 ,i` /j/ i i r. - ! , \ ` 1 \ „ a ILTOTHEBOTTOMOFTHESIGNON3LBGALVANIZEDSTEELU- CHANNEL I - - - - -- `'``
iF / % / / ^ - / "' '
ryry LUPOSTSETIN3FTDEEPz121NDIA. CONCRETE FOOTING. Internal Streets: V= 25 mph (Posted 25 mph) I i ® ' r O ® ' /' ' / j iJ jj A ° °o
Ri htTum (Looking Left:1.4725 6.5 -237 I r_ ® ® /, //
O /
C ® ) /r-'r ^
J/ ON3. ALL STREET NAME SIGNS SHALL ADHERE TO THE SIGH MUTCD EWIREMENTS • - -.y ' r , II
RELATED TO COLOR, LETTER CASE AND LETTER HEIGHTS. SIGN DESIGNS FOR Left Turn (Looking Right): 1.47(25)(7.5) =276 ! I[_ I I / ' // % " N' -
STREET NAMES MUST BE SUBMITTED AND APPROVED BY THE TRANSPORTATION I I - ---- - - - - -' ! _ ' i/ ' ' - \ // / _
4 /
7 11 p
AND FACILITIES DEPARTMENT PRIOR TO INSTALLATION. -- J _ / w
LewterShop Road: v =50mph (Posted 45 mph) i i ® i I _ O___, i I__ i ® -i ,/ O i • / i'
O`
er
i• i m
4. ALL SIGNS SHALL USE PRISMATIC SHEETING THAT MEETS MINIMUM RightTum (Looking Left): 1.47(50)(6.5) =478
r RETROREFLECTIWTY STANDARDS FOUND IN THE LATEST EDITION Left Turn (Looking Right): 1.47(50)(7.5) =551
L-- ---- -- -- - - --
o OF THE MUTCD. it - - -- --- -- - - - - -- '
I___________i_I5. ALL PAVEMENT MARKINGS SHALL BE IN ACCORDANCE WITH THE MUTCD ------ --- --- -- - - -- \ Q / u AND NCDOT STANDARDS AND THE PROJECT SPECIFICATIONS. 1 i - '- - - - - -- \ \\
4B /"
r - - - -, -_
i ---------
STM
ARNDAORD CROSSWALK NCDOT205.
07T0.
I$ D COLOR ®
I1 ® > I / /
O ------ / 1
J / //
i' O / \ \ / /' ,/. ' /ti {
r .:
1i 'I' 711 -r t // 40 /
4 /
nJ /
of/4ry{/ '/
STOP BAR 1205.01 STD. WHITE
1 ' i) i `\`'\`\ -
EDGE LINES 1205.01 41N WHITE
EDGE LINES 1205.01 4IN YELLOW - - \ ` \ - a "- -- •
i \` \`` /
4'-
HI -VIZ CROSSWALK 1205.07 STD. WHITE ; r \
1 ; / _
h. _ l _ _
1 `\ ®
v /
pe
r 6. ALL PAVEMENT MARKINGS SHALL BE THERMOPLASTIC TYPE EXCEPT
1 ® `) '\ ` /
i'i h.Ill li iii I'I ® \`'•\ / ..N I b '11 r
p ? Z
FOR PARKING SPACE WHICH MAY BE THERMOPLASTIC OR ALKYD -RESIN V ii lil ® I iO'C` ' i 1i i \ I URBAN TRAN9I710NAL J ¢ O_
TYPE PAINT. I ` i ' / I'll' © ® IIII III `\ ` ® ., I iY) ' y r
i / ARIAN BUFFER
gyp' ` BUFFER a F
L_____J L ----- J L
I \1 S' JORDAN LAKE x Q
3
1
r ----- - - - - --
s
I l I i _
E2-A-,--, ,11 \\.\
m \\ `,"•ate \ `
ri___ - ________ _____r
PH
1 • ` `\\ `\ \ \\ 7 % I°A
1'1•'1 iW `` \ VVETPOND \ `-tj, -F-a— ` 1 w
mr \
CC
Z
I
1- -
QUI l ROCK - -- / i /
4 +.
i
OPEN -
i --
1'' \
na
111 1 1, 1 i ,.l' !•! .. u HOV
1 / i• SPACE '',I
t
3 H
o fA
yb, - ,1
111'.1 `ecne?,de- 1 1 I I \ ;, ' e pu ' !, _ - - - - - -T Cam' `` "` ``' .--- _ )1', - -` I I \ .C<N"C /1R'' "•. U1
WETPOND ` <'
tts \ g 1,
II
11 i AA'A I 'R
O 9 /'
kRY LL
ll
1 ® % ,•
Il 11 ®
3 1' \•
u I 1 I DO NOE, of RyEI\x_.TRl1CT I ON W
I- r i i HUYVF -' `
O
Vi
ALL CONSTRUCTION SHALL BE IN ACCORDANCE '' _ _ _ _ - - - - --
l' ---- - - - - -- \ ' - ----- _ -_ -- _ _ 1 -_ " "' I 4 r -
L _ _ -------- . -____ ________.i_________ -_- -
IIII;I
g,
WITH TOWN OF CARY STANDARDS AND DETAILS \ 0 cc
O
e 2013 BASS, NIXON & KENNEDY, INC. EXPRESSLY RESERVES ITS COMMON LAW COPYRIGHT AND OTHER PROPERTY RIGHTS IN THESE PLANS- THESE PLANS ARE NOT TO BE REPRODUCED, CHANGED OR COPIED IN ANY FORM OR MANNER WHATSOEVER, NOR ARE THEY TO BE ASSIGNED TO ANY THIRD PARTY WITHOUT FIRST OBTAINING THE EXVRESSED WRITTEN PERMISSION AND CONSENT OF BASS, NIXON & KENNEDY, INC.
0 50 100 I... -.ii.
Z
Soil & Environmental Consultants, PA
8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27615 • Phoua [phone] - Fax: [phone]
saudec.com
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description: LEWTER SHOP ROAD S&EC Project #13526
Date: 2018
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn: Andy Williams Field Office: USACE Raleigh Regulatory Field Office
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do
authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) and Soil &
Environmental Consultants, PA (S&EC) staff (as my agent) to enter upon the property herein described
for the purpose of conducting on-site investigations and issuing a determination associated with Waters
of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of
the Rivers and Harbors Act of 1899. This document also authorizes S&EC (as my agent) to act on my
behalf and take all actions necessary for the processing, issuance and acceptance of a permit or
certification and any and all associated standard and special conditions. This notification supersedes any
previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S&EC staff. You should call S&EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index Number(s) (PIN): 0714-00-83-9613 (12.31 acres) & 0714-00-83-5748 (6.42 acres)
Parcel ID No.: 0019957 & 0089402
Site Address: 1708 Lewter Shop Road, Chatham County, NC
Deed Year/Book/Page: 2012/1489/1196
Watershed: Rocky Ford Branch, 16-41-6-4-(1), "WS-IV;NSW", Cape Fear 03030002
PROPERTY OWNER INFORMATION:
Name: Daniel J. Kugler
Address: 1708 Lewter Shop Road, Apex, NC 27523
Phone No.: ( ) Mobile No.: (eilq Baa -0,513
Email: tkugler5@)aol.com
Daniel J. Kugler 2 � I1g
Property Owner (please print) ' Date
Property Owner
We hereby rtilif d above information submitted in this application is true and accurate to
the best of ducJdfowledae.

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: 27 - Restoration
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
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?*
Bob Zarzecki
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
❑ Owner r Applicant (other than owner) rJ Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
Daniel J. Kugler
2b. Deed book and page no.:
1489/1196
2c. Responsible party:
(for Corporations)
2d. Address
Street Address
1708 Lewter Shop Road
Address Line 2
Cny
Apex
Fbstal / Zip Code
27523
2e. Telephone Number:
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(XXX)XXX-)O=
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Bob Zarzecki
State/ Province/ Fbgion
NC
Country
United States

4b. Business Name:
(if applicable)
Soil and Environmental Consultants, PA
4c. Address
Street Address
8412 Falls of Neuse Road
Address Line 2
Suite 104
City
State/ Province/ Pegion
Raleigh
NC
Postal / Zip (ode
Country
27615
United States
4d. Telephone Number:
[phone]
(xxx)xxx-xxxx
4e. Fax Number:
(XXX)XXX-XXXX
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Pease provide the Agent Authorization Letter if you are submitting this document.
1708 Lewter Shop Rd - Agent Authorization. pdf 39.33KB
FILETYP M.6TBEPJF
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
1708 Lewter Shop Road - Stream & Wetland Restoration Project (S&EC
13526.W2)
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Cary, NC
1d. Driving directions*
If it is a new project and can not easily be found in a CPS mapping system Pease provide directions.
From Barrett Drive, Raleigh, NC travel the outer Beltline west to 40 West to 540 southwest to Green Level West Road west to White Oak
Church Road north to Morrisville Parkway west which turns into Lewter Shop Road. The property will be on your left approximately 0.6 miles
west of White Oak Church Road.
2. Project Identification
2a. Property Identification Number:
(tax PN or parcel ID)
PIN: 0714-00-83-9613
2b. Property size:
(in acres)
12.31
2c. Project Address

Street Address
1708 Lewter Shop Road
Address Line 2
City State/ Province/ legion
Apex NC
Pastal / Zip Code Country
27523 United States
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:*
35.792222 -78.936450
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Rocky Ford Branch (Stream Index No. 16-41-6-4-(1))
3b. Water Resources Classification of nearest receiving water:*
WS-IV;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 vicinity of the project at the time of this application:*
The property is a single family residence on approximately 12 acres with landscaped lawn and woodlands. A pond
existed on the property prior to its development as a single family residence. The pond was later drained by the
landowner. Fill material was deposited on property and within the pond bottom before the landowner was made
aware that this required a permit from the USACE and DWR. The landowner has worked with the County, DWR
and USACE to resolve the issue, and is proposing here to restore the stream and wetlands. A new single family
subdivision exists to the west and south of the property. Other rural residential properties exist to the north and
east.
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)
nick the upload button or drag and drop files here to attach docurrent
USGS.pdf
File type mast be pdf
6.9MB
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)
nick the upload button or drag and drop files here to attach document
Soil Survey.pdf 471.17KB
File type mast be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0.321 acres of wetlands & 0.508 acres of open water
4e. List the total estimated linear feet of all existing streams on the property:

(intermttent and perennial)
0 (a stream is presumed to have eAsted within the drainage prior to the
construction of the pond)
4f. Explain the purpose of the proposed project:*
To restore a stream, wetlands and riparian buffers.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The overall project entails the restoration of a stream, wetlands and riparian buffers within a previously drained
pond. See attached "Construction Drawings for the 1708 Lewter Shop Road Stream Restoration Plan". (Note:
Buffer impacts and restoration associated with this project will be coordinated with Chatham County who is
responsible for the implementation of the Jordan Lake riparian buffer rules.)
4h. Please upload project drawings for the proposed project.
click the upload button or drag and drop files here to attach docurent
1708 Lewter Shop Road SR&S Plan CDs - 08-03-2018 Reduced Size.pdf 7.84MB
File type mist be pdr
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:
The non -permitted fill was placed within the drained pond bottom prior to a
delineation being performed and verified by the USACE. S&EC estimated
the jurisdictional wetlands and open water that e:asted within the drained
pond bottom using available aerial photos, and the adjacent delineation
verified on the Woodhall Subdivision property both above and below the
drained pond.
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Unknown r N/A
Corps AID Number:
Bcarple: SAWW-2017-99999
No JD was performed on the site. The adjacent Woodhall S/D JD number is
SAW -2006-20036 verified in 2014.
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
click the upload button or drag and drop files here to attach docurent
Woodhall SD Map (SAW200620036).pdf 1.51 MB
File type rust be Fi7F
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?*
f 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. The owner only intends to restore the stream, wetlands and riparian
buffers and has no other plans to impact other jurisdictional areas on the
property. This is not a "development" project. No phasing is proposed.
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 r Buffers
rJ 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*
Wetland Restoration Area 1 T Headwater Forest
Ivbp label (e.g. Egad Crossing 1 - CLlvert, Fermenent (F' or
dewatering, etc) Temporary (T)
2g. Total Temporary Wetland Impact
0.321
2g. Total Permanent Wetland Impact
0.000
2g. Total Wetland Impact
0.321
2d. Wetland name *2e. 2f. Type of 2g. Impact
Forested* Jurisdicition* area*
Wetland No Both 0.321
Restoration Area (404, 10) orDAR (401, (acres)
other)
2h. Comments:
We estimate that 0.321 acres of wetlands potentially epsted within the drained pond bottom. The project proposes
to restore 0.455 acres of wetlands.
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
type* Type* Jurisdiction* width* length*
S1 Stream Restoration T Other UT to Rocky Ford Intermittent Both 5 0
Area 1 Pernenent(P)or Branch Perennial (FEF�or Average (linear feet)
Nhp label (e.g. Road Crossing Tenporary (T) intermittent (INT) (feet)
1)
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
0
31. Total temporary stream impacts:
0
3i. Total stream and tributary impacts:

3j. Comments:
A stream epsts above and below the pond as shown on the attached Woodhall S/D map. A stream was presumed
to have ebsted within the drainage prior to the construction of the pond many years ago. A stream was not
discernible on the aerial photos and the owner had a perimeter ditch cut around the fill area. As such, we were
unable to identify a stream on the epsting conditions map. However, the stream restoration project proposed to
restore 520 linear feet of stream channel through the previously drained pond bottom.
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of the U.S. then individually list
all open water impacts below.
4a. Site # - Reason for
impact*
Open Water 1 w/n Drained
Pond
Ivbp label (e.g. Finad Grossing 1)
4b. Impact type * 4c. Name of waterbody* 4d. Activity type * 4e. Waterbody type *4f. Impact
area
' UT to Rocky Ford Branch Other Pond 0.31
Permanent (P) or (if applicable) (acres)
Tenporary (T)
4g. Total temporary open water Impacts:
0.00
4g. Total permanent open water impacts:
0.31
4g. Total open water impacts:
0.31
4h. Comments:
The project proposes to restore a stream and wetland within the drained pond bottom. The 0.508 acres of pre-
eAsting open water and 0.321 acres of wetlands for a total jurisdictional area of 0.829 acres. The project proposes
to restore 0.455 acres of wetlands and 0.059 acres of stream channel for a total of 0.514 acres of jurisdictional
waters. As such, it could be stated that the project will result in a loss of 0.315 acres of open water.
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 project proposes to restore a stream and wetland within a drained pond. As such impacts to the drained pond
area could not be avoided to accomplish this goal. Efforts where made to restore a greater amount of wetlands
and free flowing stream then epsted within the drain pond to restore it to as close to the "pre -pond", natural
conditions as possible.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
An erosion and sediment control plan was obtained for the project from Chatham County to protect downstream
waters during construction of the restoration project.
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
C No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The project involves the restoration of a wetlands and stream channel within a pond area. The only loss of waters include 0.315 acres of
open water with a gain of 520 If of free flowing stream and restoration of 0.455 acres of wetlands. Mitigation is typically not required for open
water impacts.
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 C No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
The project is located within the Jordan Lake riparian buffers. However, it involves the restoration of wetlands, stream and riparian buffers
and no additional impervious surfaces or stormwater conveyances.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes f• No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?*
r Yes
r No
To look up low density requirement click here 15A NCAC 02H.1003(2)
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
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)?*
r 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):
NOV-2018-SS-0016. See attached response package previously provided to the USACE, DWR and Chatham
County.
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.
The project involves the restoration of wetlands, stream and riparian buffers within a drained pond bottom. No
development is proposed in association with this project. No cumulative impacts are anticipated in association with
this project.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r 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?
f 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 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.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NHP and FWS Databases
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?
Essential Fish Habitat 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)?
f Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
SHPO HPO Website
7c. Historic or Prehistoric Information Upload
dick the upload button or drag and drop files here to attach docurrent
File must 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?*

f Yes r No
8c. What source(s) did you use to make the floodplain determination?*
FEMA Floodplain Maps & NC Flood Mapper
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docurrent
1708 Lewter Shop Road - 6-15-2018 NOV Response Letter to DWR 04-26-2018
4.94M6
(signed).pdf
Sketch.pdf 3.94MB
File mast be FDF or KINE
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:*
Bob Zarzecki, S&EC, PA
Signature
d!��
Date Submitted:
8/6/2018
Initial Review
Is this project a public transportation project?* (?
r Yes G No
Change only if needed.
Has this project met the requirements for acceptance in to the review process?*
F Yes
f No
BIMS # Assigned *
20181089
Version#*
1
Reviewing Office*
Raleigh Regional Office - [phone]
Select Project Reviewer*
Stephanie Goss:eads\szgoss
Is a payment required for this project?*

f No payment required
r Fee received
r Fee needed - send electronic notification
What amout is owed?*
r $240.00
r $570.00