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20181148 Ver 1_401 Application_20180814
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:* Be rtie 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: 46 - Discharge in Ditches 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?* C Yes O No 1g. Is the project located within a NC DCM Area of Environmental Concern (AEC)?* t' Yes r No t: Unknown 1h. Is the project located in a designated trout watershed?* f Yes C No Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-ProgranVAgency-Coordination/Trout.aspx B. Applicant Information 1a. Who is the Primary Contact?* Stuart Barwick 1b. Primary Contact Email:* sbar\Mck@riversandassociates.com 1c. Primary Contact Phone:* (XXX)XXX-XXXX (252)752-4135 1d. Who is applying for the permit? r Owner r- Applicant (other than owner) V Agent/Consultant (Check all that appy) 2. Owner Information 2a. Name(s) on recorded deed: Price Solar, LLC 2b. Deed book and page no.: 946/104 2c. Responsible party: (for Corporations) Kenny Habul 2d. Address Street Address 192 Raceway Drive Address Line 2 City Mooresville Pbstal / Zip Code 28117 2e. Telephone Number: (xxx)xxx-xxxx (704)667-0375 2f. Fax Number: (866)765-2760 (XXX)XXX-XXXX Email Address:* info@sunenergy1.com State / Province / Region NC Country USA 4. Agent/Consultant (if applicable) 4a. Name: Stuart Barwick 4b. Business Name: (if applicable) River's & Associates, INC 4c. Address Street Address 107 E Second Street Address Line 2 Qty State / Rovince / Region Greenville NC Wstal / Zip Code Country 27858 USA 4d. Telephone Number: (252)752-4135 (XXX)XXX-)D= 4e. Fax Number: (252)752-3974 (xxx)xxx-xxxx 4f. Email Address:* sbarWck@riversandassociates.com Agent Authorization Letter* please provide the Agent Authorization Letter if you are subn tting this docunent. PCN application sign 05292018.pdf 557.1 KB RLE TYPE M -IST BE RDF C. Project Information and Prior Project History 1. Project Information 1a. Name of project:* Kelford Solar Power Project 1b. Subdivision name: (if appropriate) 1c. Nearest municipality/ town: Kelford 1d. Driving directions* ff it is a new project and can not easily be found in a GPS rrepping system Rease provide directions. South of Kelford west side of Hwy 308 behind West Bertie Elementry. 2. Project Identification 2a. Property Identification Number: (tax RN or parcel ID) 582804, 582702 2b. Property size: (in acres) 292 2c. Project Address Street Address Address Line 2 Qty State / F }ovine / Fbgion Festal / Zip Code Country 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:* 36.155281 -77.208935 ex: 34.208504 -77.796371 3. Surface Waters 3a. Name of the nearest body of water to proposed project:* Cashie River 3b. Water Resources Classification of nearest receiving water:* C; SW Surface Water Lookup 3c. What river basin(s) is your project located in?* Roanoke 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:* It is currently developed & operating solar farm, the project is surrounded by agriculture, light industry & low density residential. 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 NC_Kelford_USGS Topo.pdf 13.23MB 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) Click the upload button or drag and drop files here to attach docurrent kel Soil Map.pdf 1.73MB File type mut be pdt 4d. List the total estimated acreage of all existing wetlands on the property: 66.7 4e. List the total estimated linear feet of all existing streams on the property: (intermittent and perennial) 0 4f. Explain the purpose of the proposed project:* To provide clean renewable electricity into the electrical grid. 4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:* Originally the project consist of land clearing, minor grading, driving of steel post, and hand assembly of the solar panel system. 4h. Please upload project drawings for the proposed project. Qick the upload button or drag and drop files here to attach docurrent Kelford Ditch Relocation signed.pdf 2.85MB File type rust be pdt 5. Jurisdictional Determinations 5a. Have the wetlands or streams been delineated on the property or proposed impact areas?* r Yes r No r Unknown Comments: Requested 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: Example: 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. 5d7. Jurisdictional determination upload dick the upload button or drag and drop files here to attach docurrent File type rust be FDF 6. Project History 6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?* r• Yes r No r Unknown 6b. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW -0000-00000). Project History Upload Click the upload button or drag and drop files here to attach docurrent File type rust be FDF 7. Future Project Plans 7a. Is this a phased project?* r Yes F 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 Ia. Where are the impacts associated with your project? (check all that apply): F Wetlands IJ Streams -tributaries ❑ Buffers F- 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 Ifei type * Type * Jurisdiction * width * length * S1 hydraulic T Relocation ditch Intermittent Corps 2 636 1 connectivity F2rnanent(F)or Perennial (F9P)or Average (linear feet) Ivbp label (e.g. Road Grossing Tenporary (T) intermittent (INT) (feet) 2 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: 0 3i. Total temporarystream impacts: 636 3i. Total stream and tributary impacts: 636 3j. Comments: E. Impact Justification and Mitigation `111111IRT'VeYs.F OUT- rsIAAfl'1P i1FRif•Ti1 1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:* The ditch must be relocated to continue hydraulic connectivity. 1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:* Use the most direct route possible. 2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State 2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State? f Yes r No 2b. If this project DOES NOT require Compensatory Mitigation, explain why: 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 For a list of options to meet the diffuse flow requirements, click here If no, explain why: 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)?* r Yes f No To look up low density requirement click here 15A NCAC 02H.1 003(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): 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. 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? f Yes r No 5b. Have you checked with the USFWS concerning Endangered Species Act impacts?* r Yes r No 5c. If yes, indicate the USFWS Field Office you have contacted. Raleigh 5d. Is another Federal agency involved?* f Yes f 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.? t' Yes r No 5g. Does this project involve bridge maintenance or removal? t' 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)?' t' 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? Comments from the USFWS through the state clearing house. 6. Essential Fish Habitat (Corps Requirement) 6a. Will this project occur in or near an area designated as an Essential Fish Habitat?* r Yes r No 6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?* Comments from the USFWS through the state clearing house. 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?* State historical and/or Archaeological agencies through the state clearinghouse. 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?* r Yes r No 8c. What source(s) did you use to make the floodplain determination?* https://msc.fema.gov/portal/search Miscellaneous Miscellaneous attachments not previously requested. Click the upload button or drag and drop files here to attach docurrent File mut be FDF or KNE Signature 11J 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:* Stuart Barrick Signature Dw Date Submitted: 8/14/2018 Initial Review Is this project a public transportation project?* (? r Yes 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 * 20181148 Version#* Reviewing Office* Washington Regional Office - (252) 946-6481 Select Project Reviewer* Robert Tankard: eads\rbtankard Is a payment required for this project?* f No payment required f Fee received r Fee needed - send electronic notification What amout is owed?* * $240.00 r $570.00 ep LY NoB N�$ s R �- GoA NOB NoA Ba BOB BoB G n NOA � � A U Nog �A GOA— NOB=z,.:Ly NoA� � � �� Ca° GoA "No$ NoA / ar' No GoA� NoA NoA Re Coq s_ a Ra L NoA G° N Ra <v -_ Lf GoA NoA wj GoA 7oA GoA LY '...o G n NOA � � A U Nog �A GOA— NOB=z,.:Ly NoA� � � �� Ca° GoA "No$ NoA / xs&ssY P si 2Fee t6 i$$ k%$I#ie�i �i $�a$9%:SEs$$$zdSkz@,8i3>a:ae "wind 4, 8 &2 tBt,�,aide�s ea gac r,esg ap s ae,,;d §'€➢ �����i§%4i�gg$�$�$8���� s �� � gig._fa ,+�t . 3�(gg���a$F u,�a-... 0 044 141111 0000000 VARIES VARIES i UND EX. GROUND_i-�- ---- EXJGRO--_ --- TIE TO EX. GROUND PROJECT LOCATION TYP. DITCH SECTION NTS ass•s�aa.;�sa dasd'&&�SP�ek�3'axk�4�ass2➢o-as ..IDlasae�nx� .�sda SY9is&affssA9�d�&ii.i '. NOTE: UPON COMPLETION OF THE DITCH LINE WITH STRAW NET LINER. + i / / O NEW DITCH- 001, 0 �/ \ ACCESS CROSSING _.... PIPE (TYP) .__... CO I ��• �� rv� 1� N � Vl N N � M O W ; ' lD M DIM�X — IL ------------ 2+00 ` l A _111T11 111-111TITITTITF 111 NEW DITCH +co I o F cc nA NEW DITCH z ill IT=111 111 I-R�ULO ---' -- / _1111111111111 111FE1 111 Ill 1111111111 M0 iII I I I I I I I 1TpTrTT_._ PLAN SCALE: 1 " = 30' 90 89 88 87 86 85 84 83 82 81 80 ........ . \ / -0.10% 0+00 0+50 1+00 1+50 2+00 2+50 3+00 3+50 4+00 OTFqFILE SCALE.• 4+50 5+5U b+UU b+SU 90 89 88 87 86 85 84 83 82 81 80 7+00 30' 0 15' 30' SCALE 1 inch= 30 ft REVISIONS: --- January 11, 2018 SURVEY - I DRAFT LC DESIGN ES CHECK ISJ PROJECT No. 2017158 DRAWING No. w-3764 SCALE: AS SHOWN LlSHEET No. OF 1 A] Imagery................................................NAIP, January 2010Roads..............................................©2006-2010 Tele AtlasNames...............................................................GNIS, 2010Hydrography.................National Hydrography Dataset, 2010Contours............................National Elevation Dataset, 2010 ―│―│ ―│―│ ―│ 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BURGESS RD RAILROAD LN BEN LEWIS RD JOE PHELPS RD BUCK BRANCH RDFLOYD HALL RDA C SMITH RDGRIFFINS QUARTER RDE CHURCH STHA R RE L LS SID ING RD 72 SIDING RDHORACE VICK RDTYLER SCHOOL RDHARRELLS S I D I N G R DMILL BRANCH CHURCH RDFAR M R DW CHURCH STKELFORD FARMS RDSHOULARS RD WILBER HOWARD RD HORTONS CHURCH RD CASTELLOE LN BUR G E S S R D PEE L E L N C H E R R Y F A R M R D PIN E Y W O O D S R D MO O R E R D PIERCE STAIRPORT L N JOE PHELPS RDS MAIN ST GOVERNORS RD GOVERNORS RD GOVERNORS RDS MAI N STW CHURCH ST E C H U R C H ST N MAIN ST N MAIN STGOVERNORS RD GOV E R N O R S R DNORTHAMPTON COHERTFORD CONORTHAMPTON C O BERTIE COHERTFORD COHERTFORD COBERTIE COBERTIE CONORTHAMPTON CO BER T I E C O HALIFAX COSandy Run Wahtom SwampMill BrCa s hi e Ri verAhoskie Cr Flag Run GutFlag Run GutC a s h i e River Waht om SwampR oanoke River C a s h i e R i v e r Roxobel-Kelford Cem HoggardCem BardenCem Lewiston Woodville Rhodes Kelford LewistonWoodville Roxobel Rhodes WahtomPocosin15' 30" 40 03 0840 3 3 E 40 40 07' 30" 30" 40 4010 FEET TF 3 00 013 3 3 06 1136°36°12' 40 40 404012 E 00 UF 02 3 3 10' 02 400912'910 4030" N UE FEET 10' 40 000m 2 2 99 301 12'02 3 2 77° 36° 01 40 40 77° 77° 01 40 0740 98 2 UF 3 06 3 3 000 07' 07'400812FEET 36°07' 13 000 02 04 09 98 520 12' 03 3 3 08 000m 30" 40 40 40 10' 05 104040 000m UF 40 870 000m 05 06 30"15' 000 TF 30"04 04 05 10' 06 07 08 550 04 40 07000 40 11N 15' 2 30"03 3 3 07 FEET 77° 00 40 03 13 15' NORTHCAROLINA QUADRANGLE LOCATION KELFORD QUADRANGLENORTH CAROLINA7.5-MINUTE SERIES KELFORD, NC 2016 Expressway Local Connector ROAD CLASSIFICATION Ramp 4WD Secondary Hwy Local Road Interstate Route State RouteUS RouteWX./H KELFORD, NC 2016 ROAD CLASSIFICATION Check with local Forest Service unitfor current travel conditions and restrictions. FS Primary Route FS High Clearance RouteFS PassengerRouteª«▬Interstate Route State RouteUS RouteWX./H Expressway Local Connector Ramp 4WD Secondary Hwy Local Road U.S. DEPARTMENT OF THE INTERIOR U.S. GEOLOGICAL SURVEY 1 Rich Square 8 Republican 2 Woodland3 Union4 Norfleet5 Aulander6 Palmyra7 Lewiston Woodville ADJOINING QUADRANGLES 1 2 3 4 5 6 7 8 This map was produced to conform with the National Geospatial Program US Topo Product Standard, 2011.A metadata file associated with this product is draft version 0.6.19 CONTOUR INTERVAL 5 FEETNORTH AMERICAN VERTICAL DATUM OF 1988 SCALE 1:24 000 1000 500 0 METERS 1000 2000 21KILOMETERS00.51 1 0.5 0 MILES 1 1000 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000 FEET Imagery.............................................NAIP, October 2014Roads................................ U.S. Census Bureau, 2015 - 2016Names..........................................................GNIS, 2016Hydrography....................National Hydrography Dataset, 2014Contours............................National Elevation Dataset, 2015Boundaries............Multiple sources; see metadata file 1972 - 2016 Wetlands.........FWS National Wetlands Inventory 1977 - 2014 North American Datum of 1983 (NAD83)World Geodetic System of 1984 (WGS84). Projection and1 000-meter grid: Universal Transverse Mercator, Zone 18S Produced by the United States Geological Survey 10 000-foot ticks: North Carolina Coordinate System of 1983 This map is not a legal document. Boundaries may begeneralized for this map scale. Private lands within governmentreservations may not be shown. Obtain permission beforeentering private lands. North American Datum of 1983 (NAD83)World Geodetic System of 1984 (WGS84). Projection and1 000-meter grid: Universal Transverse Mercator, Zone 18S Produced by the United States Geological Survey 10 000-foot ticks: North Carolina Coordinate System of 1983 This map is not a legal document. Boundaries may begeneralized for this map scale. Private lands within governmentreservations may not be shown. Obtain permission beforeentering private lands. Imagery<IMG_LEADER><IMG_CITATION>Roads<TRANS_LEADER> U.S. Census Bureau, 2015 - 2016Roads within US Forest Service Lands.............FSTopo Data with limited Forest Service updates, 2012 - 2016Names...............................................................GNIS, 2016Hydrography<HYDRO_LEADER>National Hydrography Dataset, <HYDRO_DATE>Contours<HYPSO_LEADER><HYPSO_CITATION>Boundaries............Multiple sources; see metadata file 1972 - 2016<OPTIONAL_CITATIONS>Wetlands.........FWS National Wetlands Inventory 1977 - 2014 U.S. National Grid 100,000-m Square ID Grid Zone Designation TF UF UE 40 00 3 00 18S ^ ØMN GN UTM GRID AND 2016 MAGNETIC NORTHDECLINATION AT CENTER OF SHEET 1° 17´23 MILS 10° 9´181 MILS *7643016378882*NSN.7643016378882NGA REF NO.USGSX24K23167 Scanned with CamScanner