20141294 Ver 2_PCN Form Submission_20180822

Action History (UTC-05:00) Eastern Time (US & Canada)
�brrrit by Anonymous User 8/22/2018 12:46:09 PM (Start Event)
Accept by Carpenter,Kristi 8/22/2018 1:40:13 PM (DOT Initial Review)
. The task was assigned to Carpenter,Kristi. The due date is: August 27, 2018 5:00 PM
8/22/2018 12:46 PM

i i �� �
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�ivislan af Water Resour�es
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 beloware required. You will not be able to submit the form until all mandatory questions are ans�red.
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.gov/WaterResources/0/edoc/624704/PCN%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?*
C Yes l' No
lhis is any publicly funded by rrunicipal,state or federal funds road, rail, airport transportation project.
Is this a NCDOT Project?*
f Yes f• No
1a. Type(s) of approval sought from the Corps:*
r% Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
fJ 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: 14 - Linear transportation
NWP Number Other:
List all MN nurrbers you are applying for not on the drop down list.
1c. Type(s) of approval sought from the DWR:*
check all that apply
�7 401 Water Quality Certification - Regular r 401 Water Quality Certification - E�ress
r Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual Permit
*
1d. Is this notification solelyfor the record because written approval is not required?

For the record onlyfor DWR 401 Certification:
For the record onlyfor Corps Permit:
r Yes r No
C' Yes r No
1e. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
IF so, attach the acceptance letter from rritigation bank or in-lieu fee program
G Yes �' No
Acceptance Letter Attachment
Qick the upload button or drag and drop files here to attach docurrent
2015-04-21 _Mit_Resp_Transfer_Form_F INAL. pdf
RLE lYFE M.6T BE FDF
1f. Is the project located in anyof NC's twentycoastal counties?*
f Yes �' No
1h. Is the project located in a designated trout watershed?*
l' Yes C No
138.47KB
Link to trout information: http://�wtiw.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Erin Shanaberger
1b. PrimaryContact Email:*
[e-mail]
1c. PrimaryContact Phone:*
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
r Owner �J Applicant (other than owner) r Agent/Consultant
(Check all that apply)
2. Owner I nformation
2a. Name(s) on recorded deed:
See Table 1
2b. Deed book and page no.:
See Table 1
2c. Responsible party:
(for Corporations)
City of Charlotte; Len Chapman
2d. Address
Street Address
600 E. 4th St
Address Line 2
aty
Charlotte
Fbstal / Zip Code
28202
2e. Telephone Number:
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
State / FYovince / Region
North Carolina
Cauntry
US

(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Applicant is:
l" Agent
C•' Other ,�������������y����y
IF other please spec'rfy.
3b. Name:
Len Chapman
3c. Business Name:
(if applicable)
City of Charlotte
3d. Address
Street Address
600 E. 4th St
Address Line 2
aty
Charlotte
Fbstal / Zip Code
28202
3e. Telephone Number:
[phone]
(xxx)xxx-�axx
3f. Fax Number:
(xxx)xxx-xxxx
3g. Email Address:*
[e-mail]
State / Rovince / F�gion
North Carolina
Cauntry
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Orr Road Extension
1b. Subdivision name:
(if appropriate)
Hidden Valley
1c. Nearest municipality/town:*
Charlotte
1d. Driving directions*
IF it is a new project and can not easily be found in a GPS rrapping system Rease provide directions.
The project is located at the intersection of Orr Rd and N Tryon St in Northeast Charlotte, NC. Orr Road will be extended from its intersection
with North Tryon St, west to Dawn Circle, and then further to Austin Drive near the intersection of Austin Drive and Elgy�wod Lane.
2. Project Identification
2a. Propertyldentification Number:

(tax RN or parcel ID)
multiple, see attached Table 1.
2b. Propertysize:
(in acres)
2.0 (total project area)
2c. Project Address
Street Address
5905 N Tryon Street
Address Line 2
a�y
Charlotte
Fbstal / Zip Code
28213
2d. Site coordinates in decimal degrees
State / Fhovince / F�gion
North Carolina
Country
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: *
-80.771
ex:34.208504
3. Surface Waters
Longitude:*
35.267
-77.796371
3a. Name of the nearest body of water to proposed project:*
Little Sugar Creek
3b. Water Resources Classification of nearest receiving water:*
Class C
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Catawba
RiverBasin 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:*
Project Site consists of wooded areas and single family residences with maintained lawns. Typical on-site
vegetation includes red maple, sweetgum, southern magnolia, loblolly pine, willowoak, chinese privet, japanese
honeysuckle, english ivy, and sawtooth blackberry. There is also commercial/retail development and a new light
rail system along N. Tryon Street near the project area.
4b. Attach an 8 7/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for
DWR)
C7ick the upload button or drag and drop files here to attach docurrent
USGS map.pdf 1.72MB
Fle type rrust 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 docurrent
soil survey map.pdf 305.92KB
Fle type rrust be pdF

4d. List the total estimated acreage of all existing wetlands on the property:
0.89
4e. List the total estimated linear feet of all existing streams on the property:
(interrrittent and perennial)
657= 226 If perennial, 431 If intermittent
4f. Explain the purpose of the proposed project:*
This project is necessary to provide a direct connection from the Hidden Valley neighborhood to N. Tryon St.
There is a large residential community that is in need of additional signalized intersections with surrounding major
streets to promote the safety of drivers and pedestrians. This will help alleviate traffic congestion at Arrowhead
Drive, and provide a left turn from the neighborhood onto a now highly trafficked N. Tryon Street, which is split by
the light rail.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project proposes to install a 7' by 4' box culvert, buried 0.75 foot, with a 5' wide baffle. The proposed impacts
to WOTUS include 282 linear feet of stream channel. The impacts include 119 If of pipe (impacting 126 If of
stream), 80 If of constructed riffle at the culvert outlet, and 70 If of constructed riffle upstream. Banks are to be
stabilized with matting and permanent riparian seed mix. Approximately 8 If of rip rap bank stabilization will be
constructed at the culvert inlet and outlet to provide headwall scour protection. In order to construct the road, 0.36
acres of wetland AA will be filled, resulting in a permanent impact. During construction, there will be temporary
impacts to 0.04 acres of wetland AA at the edge of the fill slope for the road. This are will be restored to pre-
construction conditions upon project completion. Areas of channel grading will not result in a loss of stream and
will be stabilized with native vegetation.
4h. Please upload project drawings for the proposed project.
aick the upload button or drag and drop files here to attach docurrent
Orr Road Extension Final Plans.pdf
Fle type rrust be pdf
5. Jurisdictional Determinations
14.46MB
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
f• Yes C' No �' Unknown
Comme nts:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
f•' Preliminary �' Approved C' Unknown f' f�UA
Corps AID Number:
6carrple: SAV�2017-99999
SAW-2014-00280; approved on 2/10/2014 by Amanda Fuemmeler
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Othe r:
Gregg Antemann, KellyThames, and Thomas
Blackwell
Carolina Wetland Services
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
2/10/2014
5d7. Jurisdictional determination upload
Qick the upload button or drag and drop files here to attach docurrent
2014-02-10_approved_preJD.pdf 125.22KB
Fle type rrust 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).
SAW-2014-00280
DWR-14-1294
Project History Upload
Qick the upload button or drag and drop files here to attach docurrem
2015-01-22_NCDWR_approval.pdf 990.91 KB
2015-02-03_USACE_approval.pdf 1.3MB
Fle type rrust be FOF
7. Future Project Plans
7a. Is this a phased project?*
C' Yes C•' 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
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r% Wetlands r% 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 �tland area impacted.
2a. Site #- Reason for impact* 2b. Impact type * 2c. Type of wetland*
W1 P
Nbp label (e.g. Fd�ad Qossing 1- CLlvert, F2rrranent (Fj or
dewatering, etc) Terrporary (�
W2 T
N�p label (e.g. R�ad CYossing 1- Qilvert, F2rrranent (P) or
dewatering, etc) Terrporary (�
2g. Total Temporary Wetland Impact
0.040
2g. Total Permanent Wetland Impact
0.360
2g. Total Wetland Impact
0.400
2h. Comments:
Headwater Forest
Headwater Forest
2d. Wetland name *2e. 2f. Type of
Forested* Jurisdicition*
AA Yes Both
(404, 10) or CMR (401
other)
AA Yes Both
(404, 10) or D✓VR(401
other)
2g.lmpact
area*
0.360
(acres)
0.040
(acres)
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 sqfe�
type * Type * Jurisdiction * width * length *

g� Road Crossing P Stabilization
N�p label (e.g. Fd�ad Qossing F2rrranent (Fj or
1) Terrporary (lj
g2 Road Crossing P Fill
fvbp label (e.g. Finad CYossing F2rrranem (Fj or
1) Terrporary (�
S3 Road Crossing P Fill
N�p label (e.g. f3�ad Qossing F2rrranem (�j or
1) Terrporary (�
S4 Road Crossing P Stabilization
N�p label (e.g. Finad Qossing F2rrranent (� or
1) Terrporary (�
Stream A
Stream A
Stream A
Stream A
Intermittent Both
F2rennial (� or
interrri[tent (If�
Intermittent Both
F�rennial (Fff2) or
imerrrittent (IfVn
Perennial Both
F�rennial (FH� or
interrrittent (IfVn
Perennial Both
F2rennial (� or
interrri[tent (If�
S5 Road Crossing P Bank Stream A Intermittent Both
fv�p label (e.g. Fd�ad Qossing F�rrranent (Fj or Stabilization F2rennial (FffZ) or
1) Terrporary (� interrrittent (IfVn
S6 Road Crossing P Bank Stream A Perennial Both
N�p label (e.g. f3�ad CYossing F2rrranent (Fj or Stabilizatlon F2rennial (� or
1) Terrporary (� ir�terrcittent (IfVn
�" 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:
292
3i. Total temporary stream impacts:
0
3i. Total stream and tributary impacts:
292
3j. Comments:
Areas of stabilization (S1 & S4) include channel/bank grading, constructed riffle installation, and native plantings.
Impact areas S2 & S3 are contiguous and represent channel fill as a result of culvert installation.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
2
Average
(feet)
2
Average
(feet)
2
Average
(feet)
2
Average
(feet)
2
Average
(feet)
2
Average
(feet)
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
The selected alignment for the road extension is the most direct and efficient route from N. Tryon St to Elgywood
Lane. In order to align the road with the existing Orr Road and Elgywood Lane and to avoid the home at 229
Austin Drive, this was the only alignment that makes sense. To minimize impacts, the road fill slopes have been
increased to the mabmum allowable slope and the standard planting strip between the road curb and sidewalk has
been removed to minimize intrusion into wetlands.The road has also been aligned to avoid a small finger of the
wetland that projects up a small valley towards Dawn Circle. Additionally, the culvert most closely follows the
existing stream alignment and stream does not have to be relocated at either inlet or outlet to accommodate
culvert placement. Baffles within culvert narrowthe opening for base flowto 2' wide from 7' wide, which mimics the
exsting stream width. Proposed culvert is only buried 0.75 feet. The project was originally designed and approved
as a 6' wide box buried 1' with no baffles. However, the addition of the baffles for maintaining lowfloweffectively
decreases the capacity of the box. In order to meet City design standards, formulated out of a need to maintain
public safety, the size of the box had to be wider to accommodate the same flow capacity as the previous design. If
the box was buried the full 1 foot, the box would have to be wider than the proposed 7 feet. The burial of 0.75 feet
was a compromise to attempt to most closely meet all permit conditions.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Proper sediment and erosion control measures will be used at all times throughout the course of construction.
Work will be conducted in the dry. All disturbed areas will be stabilized with temporary and permanent seeding as
soon as possible upon completion of work.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
70 1
(linearfeet) 4
0
61 7
Qinearfeet) 2
2
65 7
(linearfeet) 3
0
80 1
(linearfeet) 6
0
8 7
Qinearfeet) 6
8 1
(linearfeet) 6

2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
G Yes �' No
2c. If yes, mitigation is required by (check all that apply):
r DWR �J Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank r! Payment to in-lieu fee program r Permittee Responsible Mitigation
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached.
r7 Yes
4b. Stream mitigation requested:
(linear feet)
0
4c. If using stream mitigation, what is the stream temperature:
4d. Buffer mitigation requested (DWR only):
(square feet)
0
4e. Riparian wetland mitigation requested:
(acres)
0.75
4f. Non-riparian wetland mitigation requested:
(acres)
0
4g. Coastal (tidal) wetland mitigation requested:
(acres)
0
4h. Comments
Fees for wetland impacts were paid to NCDMS as a result of the original project authorization in 2015.
Documentation has been attached.
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?
C' Yes C•' No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
not adjacent to protected buffer.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
l" Yes C No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?*

C 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?*
G Yes �' 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 PolicyAct (NEPAISEPA)?*
f Yes �' No
Comme nts: *
not applicable.
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 (75A NCAC 2B .0200)?*
f Yes �' No
2b. Is this an after-the-fact permit application?*
l' Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonablyanticipated future impacts) result in additional development, which could impact
nearby downstream water quality?*
f Yes l•' No
3b. If you answered "no," provide a short narrative description.
This project is providing a connection between areas that are largely built out, with little room for additional
development. It is meant to alleviate ebsting traffic congestion and provide safer pedestrian connections.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
f Yes C No C' 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 !•' No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
f Yes r No
5d. Is another Federal agency involved?*
C' Yes C No
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
C' Unknown

5g. Does this project involve bridge maintenance or removal?
l' Yes C 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)?*
f 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.?
C' Yes C•' No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
On November 17, 2014, Carolina Wetland Services forwarded a letter to the NCNHP on behalf of the City of
Charlotte to determine the presence of any federally-listed, candidate endangered, threatened species or critical
habitat within the project area. A review of the NCNHP element occurrence GIS layer was also performed. There
are no element occurrences within 1 mile of the project area.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
C' Yes �' No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat? *
NOAA Fisheries web 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)?*
C' Yes C•' No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?'�
On November 17, 2014 a letter was forwarded to the NC SHPO by Carolina Wetland Services on behalf of the City
of Charlotte to determine the presence of any areas of archaeological, historical or architectural significance that
may be affected by the project. The SHPO online GIS service and Charlotte-Mecklenburg Historic Landmarks
Commission was also consulted. No sites of significance were found within 1 mile of the project area.
7c. Historic or Prehistoric Information Upload
Qick the upload button or drag and drop files here to attach docurrent
other resources info.pdf 740.53KB
Fle rrust 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?*
C' Yes C•' No
8c. What source(s) did you use to make the floodplain determination?*
FEMA FIRM No. 3710457500K
Miscellaneous
Miscellaneous attachments not previously requested.

aick the upload button or drag and drop files here to attach docurrent
2015-04-21 _Mit_Resp_Transfer_Form_F INAL. pdf 138.47KB
Fle rrust be FDF or VWQ
Signature
r% 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 AcY');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic
Transactions AcY');
■ 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:*
Erin Shanaberger
Signature
��r'.0 1�6r�jr�
Date Submitted:
8/22/2018
Initial Review
Is this project a public transportation project?* (?)
f• Yes r No
Change only rf needed.
Has this project met the requirements for acceptance in to the review process? *
f• Yes
f No
BIMS # Assigned *
20141294
Version#*
2
Reviewing Office *
Mooresville Regional Office - [phone]
Select Project Reviewer*
Donna Hood:eads\drhood
Is a payment required for this project?*
C' No payment required
C' Fee received
G' Fee needed - send electronic notification
What amout is owed?*
f $240.00
C $570.00