20180455 Ver 1_More Info Received_20180914

Strickland, Bev
From: Justin Rogers <[e-mail]>
Sent: Friday, September 14, 2018 2:44 PM
To: Fuemmeler, Amanda J CIV (US); Homewood, Sue
Subject: [External] Wetland restoration
Attachments: 09141800.PDF
Amanda,
Attatched is the Revised Pre -Construction notification with just one update. We are changing the removal of 71 feet of
culvert to 170 feet of culvert to align with the design of plans from Michael Alberto, PE dated July 25, 2018. This is
noted on page 5 section 4G under Heading "Crossing Two". After talking with Sue Homewood, she indicated that would
be acceptable for the Department of Environment and Natural Resources.
We will continue with the restoration as discussed. Also if you need anything further to expedite the permit please
contact me at 828 964-0968 or Email to [e-mail].
Thanks again for your and Sue's help in this matter.
Sincerely
Justin Rogers
Rogers Mechanical, Inc.

r[�Jj� DWR
Division of water Resource
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 411 not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wash 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,
hltps:fledocs.deq.nc.govNVaterResourmsloledOC16247041PCM/o2OPelp % 2OFile0l.2020l8-1-30.pdf
A. Processing Information
County (or Counties) where the project is located:*
Watauga
Is this project a public transportation project? * ('i
r Yes f• No
1a. Type(s) of approval sought from the Corps:"
W Section 404 Permit (wetlands, streams and waters, Clean'Waler Act)
r Section 10 Permt (navigable waters, tidal waters, Rivers and Harbors Act)
1b. Whet types) of permit(s) do you wish to seek authorization?
17 Nationwide Pemrt (NWP)
r Regional General Permit (RGP)
Nationwide Permit (NWP) Number:
NWP Number Other:
Lal al NNrur6a5 Yul aro appyvg fa rpt ai the crop rbwn tat
39 - Commercial/Institutional Developments
1c. Type(s) of approval sought from the DWR:
clerk al tical zi oy
17 401 Water Quality Certification - Regular r 401 Water Quality Certification - Eyress
r Non -404 Jurisdictional General Permit r Riparian Buffer Authorization
1d. Is this notification solely for the record because written approval is not required?
For the record onlyfor DWR 401 Certification:
For the record only for Corps Permit:
r Yes IT No
r- Yes C No
le. Is payment into a mitigation bank or in -lieu tee program proposed for mitigation of impacts?
t W. alt rc:h Ne acceptance letter fronrreeMien bm* a ir}pai fee pr.g,i
r Yes r- No

If. Is the project located in any of NC's twenty coastal counties?*
t Yes r•' Np
1h. Is the project located in a designated trout watershed?"
r-' Yes r No
Link to trout information: http!//w ,saw.usace.arrny.mil/Missions/Regulatory-Permit-PrograryVAgency-CoordinationfTrout.aspx
B. Applicant Information
Ia. Who is the Primary Contact?'
Sean Martin
Ila. Primary Contact Email:'
sean@c -nc net
1c. Primary Contact Phone:*
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
R Owner r Applicant (other than owner) j7 Agent/Consultant
(ueck:,ll tivit aFxiy)
2. Owner Information
2a. Name(s) on recorded deed:
Bingham Holdings, LLC
2b. Deed book and page no.:
786/902
2c. Responsible party:
(to-corpr atius)
John Seldomridge (applicant)
2d. Address
&W Adness
539 Versailles Dr
Ateress Line 2
cry
Maitland
Postel / Zip Oxis
32751
20. Telephone Number:
(xd)xxx-xxxx
[phone]
2f. Fax Number:
(Mx)xxx-xxxx
2g. Email Address:
[e-mail]
2a. Name(s) on recorded deed:
Rogers, Justin L (applicant)
2b. Deed book and page no.:
1790/829
Sole I Rwkx:o! Region
FL
a uty
USA

2c. Responsible party:
(Tar (brry"o*
2d. Address
Brest Address
PO Box 2403
Address Lne 2
aY
Sue 1 Ro,kce 1 pagion
Boone
NC
Poslel /zip lib
Cnnffiy
28607
USA
2e. Telephone Number:
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Emil Address:*
rogersmechanica I,justin @gmai I, com
4. Agent/Consultant (if applicable)
4a. Name:
Sean Martin (consultant, not applicant)
4b. Business Name:
Of anpcaix,)
CWS, Inc
4c. Address
-%w Address
550 E. Westinghouse Blvd
A(kketis lire 1
OH 819e / Rwrre / Regirxi
Charlotte NC
Fbsta/21p(?xle Ons"
28273 LISA
4d. Telephone Number:
[phone]
(xxx)xxx-xxxx
4e. Fax Number:
fxxx)xpi-xxxx
4f. Email Address:*
sean@c-;nc.net
Agent Authorization Letter*
Plaseprovidetre Aged ANlx,,e LetterR vweresulxrrtsng Ihsdm-wW
signed Agent FOfms.PDF
247.231(6
FLENFEMSTBERF
C. Project Information and Prior Project History
1. Project Information

1a. Name of project:
Rogers Mechanical Site
1b. Subdivision name:
lir apfrolroe)
1c- Nearest municipality l town:
Boone
1d. Driving directions"
F A's a naw prgcct and can M r Oy M found ina CYS rr'MNsys:crn Rtraso P'rn'de drectl
From Boone head east on US FMy 421, turn left onto Old US Ftwy 421, drive 314 mile, tum right onto Archie Carroll Rd., drive 1/2 mile to I.J.
Bingham PI. Project is located west of the intersertion between Bingham Place and Archie Carroll Road,
2. Project Identification
2a. Property Identification Number
(tar PN a bared Ci
2921710741000 & 292171 D4 36000
2b. Property size:
(in acres)
1.56 & 1.89 (total 3.45)
2c. Project Address
Street Adi
76 I.J. Bingham Place
Acklress Lre
chy
Boone
R WZii
28607
STNBf)404N /r1rya,
NC
C xritry
USA
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:
36.227138
-81.620703
PA 34 prtyoi
17 7% 371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Brown Branch
3b. Water Resources Classification of nearest receiving water:"
C. Tr
Surface Water Lookup
3c. What river basin(s) is your project located in?
New

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 project site is a mostly undeveloped property. Recent clearing, grading, and filling activities in preparation of
site development occurred during the winter of 2017-2018. One perennial stream, Brown Branch, Bows west
through the project site. An unnamed intermittent tributary to Broom Branch, In -Brown Branch, flows from off-site
and north through the project site. Three wetlands are located within the project site, Wetlands AA, BB, and CC. A
temporary 20 If HDPE is placed in Brown Branch and a 220 N HDPE is placed wthin lR-Brown Branch beneath an
approximate 1 -acre area of fill.
4b. Attach an 8 112 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for
DWR)
hick the ui0laatl bu ton a drag ata drop nes Isere to aeach da xran
Fig 2 USGS.pdf
File type mat be ntlf
325.51 KB
4c. Attach an 8112 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.
(for DWR)
Dick Ile u{rk'ad "Coor drag and drop files here Wallach tlacrxreu
Figure5_1-11storicsoll(reduced).pi f 289 9KB
Rle type oust be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0.84
4e. List the total estimated linear feet of all existing streams on the property:
onlorriltaN aria p fedi
340
4f. Explain the purpose of the proposed project:*
There are two purposes of the project. The first is to prepare the site for future commercial development. The
applicant is in the process of working on an approved site plan. The second purpose of the project is to restore
wetlands previously impacted by earlier site development activities, as well as, remove previously placed culverts
in waters of the U.S. The goal is to bring the project into compliance with rules under the Clean Water Act of 1972.
49. Describe the overall project in detail, including indirect imapacts and the type of equipment to be used:
The project proposes direct impacts to jurisdictional waters of the U.S. under %tionwde Permit (NWP) No. 39.
Previous site development activities resulted in non -authorized temporary and permanent impacts to waters of the
U.S. The applicant is not aware of any Section 404/401 permits for project related activities. Therefore, this permit
application Will cover After -the -Fact impacts to waters of the US. One previously installed HDPE culvert will result
in permanent stream impacts for site access and development. Other stream and Wetland impacts from site
development are temporary and Wilt he mitigated by permittee responsible restoration outlined in the attached
Corrective Action Plan (CAP).
Crossing One
Stream Impact S1 - Stream A, Brown Branch
An existing 20 -toot 36 -inch high density polyethylene (HDPE) culvert is temporarily placed within Brow Branch.
The culvert was used by heavy equipment to cross Brown Branch during site clearing. The culvert Will be reproved
and the daylighted channel will be restored as outlined In the CAP. Additional temporary stream impacts will occur
during the pipe removal and stream restoration activity resulting in 6 -linear feet of temporary BII (St) for the pump
around operation, so that work can be completed in the dry. Equipment operation for the culvert removal will be
completed from the stream banks. Following culvert removal, stream bank restoration will include reshaping the
banks to original contour and slope, matching upstream and downstream patterns. Stream banks Will be matted
and seeded.
Crossing Two
Stream Impacts S2 and S3 - Stream B, UT -Brown Branch
An existing 220 -foot 18 -inch HDPE culvert Will be utilized for a permanent road crossing and site development
during grading for a new construction pad. To avoid mitigation, the applicant. as outlined in the CAP, will remove
/?,.linear feet of existing pipe (temporary fill) and restore the daylighted stream reach (S2). Culvert removal will
occur outside of the trout moratorium. Additional temporary stream impacts cull occur during the pipe removal and
stream restoration activity resulting In 6 -linear feet of temporary fill (S2) for the pump around operation, so that

work can be compfere—TInthe dry. tquipnfem operation for theculv8ffremoval WlMd compfefed"6amlh,--magnv—"
banks. Following culvert removal, stream bank restoration will include reshaping the banks to original contour and
slope, matching upstream and downstream patterns. Stream banks will be matted and seeded.
By completing the proposed culvert removal and stream restoration, the remaining culvert Well result in 149 -linear
feet of permanent fill in Ur -Brown Branch (S3). The wasting HPE culvert Is currently countersunk at least 3.6.
inches belowstream channel bed meeting the 20% embedded requirement. New stacked rock headWells WAI be
constructed on the inlet/outlet ends of the culvert to control grade from surrounding fill. No riprap outfall protection
Is proposed due to the very lowgradlenl of the stream system and presence of grade control in the stream
channel. The culvert matches the stream channel width and therefore will maintain a hydrologic connection
between upstream and downstream waters during low flow events,
Trout Buffer Clearing
Broom Branch
Approximately 200 -linear feet of trout buffers were cleared during previous site development activities. The CAP
Proposes to install live stakes directly in the banks of Brown Branch In addition to installing bare root trees and
shrubs within the adjoining portions of Wetlands AA and BB (restoration activities for wetland Impacts W1 -W5),
Live stakes Will be spaced at 4 -feet on center; bare root shrubs and trees w}II be spaced at 10 -feet on center.
Approximately 100 live stake plants well be installed within cleared stream banks; approametely 250 bare root trees
and shrubs will be installed in the cleared portion of the trout buffer. Bare root and live stake installations will occur
within the 2018 seasonal dormant period. Permanent riparian/wetland seed nixes well be broadcast within cleared
buffer and wetland areas. These buffer and wetland restoration activities Wit ensure that the vegetated community
is re-established and the trout buffer clearing activity is appropriately mitigated.
Wetland Clearing
Wetland Impacts Wt – W5, Wetlands AA and BB
The removal of forested vegetation and disturbance of herbaceous vegetation occurred within the boundaries of
Wetlands AA and BB by the project owners as part of site development during the winter of 2017-2018. These
actions temporarily impacted 0.78 -acre of jurisdictional wellands (Impacts W1 -W5). Welland Impacts Wt -W4
represent clearing/grubbing impacts to forested and herbaceous Wetland areas, whereas wetland impact W5
represents both forested clearing impacts in addition to filling (0.03 -ac rill). An approximate 0.78 -acre area within
Wetlands AA and BB, disturbed by previous land development activities, was composed of a 0.62 -acre forested
wetland area and a 0.16 -acre herbaceous Welland area.
The CAP proposes to install bare root trees and shrubs within previously disturbed forested areas matching
surrounding Wetland vegetation communities used for reference species and spacing considerations.
Wetland/riparian seed mixes will be applied to disturbed forested and herbaceous areas according to designer
approved techniques. Approximately 250 bare root plants will be installed. Bare root installations will occur within
the 2018 seasonal dormant period.
Welland Filling
Wetland Impact W5, Wetland BB
The property owners began preparation of the project site by adding fill material for increasing site grade and to
establish a construction pad for future commercial development. This work was performed prior to having a
wetland delineation completed. CWS completed a stream and wetland delineation on March 5. 2016 that included
flagging wetland boundaries. Approximately 0.03 acre of fill material is estimated to have been placed within the
Wedand BB boundary, within a previous forested wetland community (intact W5). Remedial actions will include
removing fill material, re-establishing pre-existing wetland contour, and replanting the forested wetland. Fill Well be
mechanically removed and matched to surrounding wetland ground elevations in unfilled areas. Wetland flagging
will guide the operator to the extent of fill needing to be removed. Depth of fill removal will be gauged by color
changes of soils. The natural wetland soils are very dark In contrast to the fill material which can be discerned by
its bright red to yellowish color. Following fill removal, adjoining upland areas Will be graded to a stable gradient
outside of the wetland boundary. Long-term site development will Include use of a retaining wall to maintain site
grade In areas adjoining the restored Wetland boundary. Wetland areas Where fill material has been removed will
be replanted and seeded according to actions described in the Welland clearing restoration for Impacts W1 W5.
4h. Please upload project drawings for the proposed project.
Or., the uWcadt>,mm or drew, anddrptiles here toa,,e docurra,
Corrective Action Plan.pdf 3.38MB
Fie type misl he ptlf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed Impact areas? *
Yes r ,% r Unknovm

Comments:
5b. If the Corps made a Jurisdictional determination, what type of determination was made?'
r Preliminary r Approved r Unknown r WA
Corps AID Number:
rxanple: SAW2017-099W
SAW -2018-00383
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Sean Martin
CWS, Inc.
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
February 21, 2018 - site visit by tuts. Amanda Jones from the Asheville Regulatory Field Office. An attached PJD verification package is
being provided; no mitten verification has been issued. All stream and wetland datasheets are included with the attached PJD request
document.
5d1. Jurisdictional determination upload
GO a,a (40'd butzn or drag and drop ties Ixae to Mach d,,,,enl
2018-0075_PJDRequest_RogersMechanicaiStorageBuildingProject_032318.pdf 3.55MB
:fie type mut t, FEF
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 Nb P unknown
7. Future Project Plans
7a. Is this a phased project?"
F yes r No
7b. If yes, explain.
Current phase of the project is bringing previously completed work into compliance with rules of the Clean Water
AIX, Future phases will include commercial site development. Site planning is being completed by an engineer and
will be in accordance with county, state and federal rules, ordinances, and regulations. If future phases propose
impacts to waters of the US., all impacts will be counted cumulatively. There is not a completed site plan to date.
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.
Unknown
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
A Wetlands W Streams -tributaries r Buffers
r Open Waters r Pond Construction
2. Wetland Impacts

If there are velland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. Site If - Reason for impact's
2b. Impact type'
2c. Type of wetland'
2d. Weiland name
e2e.
2f. Type of
2g. Impact
Perennial
Corps
Branch
pearrial(FER)a
Forested'
Juriseicition�
area*
W1 - Clearing
T
Headwater Forest
BB
Yes
Corps
0.410
MP labs (Po. Food acssing 1 - Civat
f§nSra t p a
Culvert Stream B - UT Brown
Intermittent
(404,10) a OAR (401,
(acnes;
dewatairg. etc)Tatpo-ey
(1)
Irtlemite (Nf)
ter)
W2 -Clearing
T
Non -Tidal Freshwater
BB
No
Corps
0.070
Mip labd(eq. Faxd Grassil-Civet
erR(a
panaF)
Marsh
101 « OAR(401.
(;Inas)
dewsaing, at.)
Termaay m
ahaj
other
W3 -Clearing
T
Headwater Forest
AA
Yes
Corps
0.180
dew(e.g. Rad am" 1 - alvat
aer ac)
Ranari«rt (p) «
Tarporary
(414, 10) a OAfi(401,
(acres)ng.
(t1
«h«I
W4 -Clearing
T
Non -Tidal Freshwater
AA
No
Corps
0.090
Moe label(eg� Brad dossing l - CNet
dewalenrg, ac)
F6maaa(PJa
Marsh
(404, 10)a DAR (401,
(a;res)
TavaM
gy
Wa)
WS - Filling
T
Headwater Forest
BB
Yes
Corps
0.030
M741 Ia (e9. Rid aasing 1 - CAvat
FSrrrata4 (pi or
dLwalavg, etc)
(404
(404, 10) « DAR (401.
(acres)
oUa)
2g. Total Temporary Wetland Impact
0.780
2g. Total Permanent Wetland Impact
0.000
2g. Total Wetland Impact
0.780
2h. Comments:
All temporary wetland impacts will be mitigated through owner responsible restoration per the attached Corrective
Action Plan.
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
type
S1 Access T
MV Iahel le 9, R1ed aossi g 1) Firnrula t (H or
Tam«ary m
S2 Acess - site T
development 'emarientna
NW, Iati (e.g. Rxd acesirg 1) T-p-ary m
S3 Access - site P
development %mineriFor
Mi;, 4 (e g. Find (]rasing 11 T->ora4' (T)
3c. Type of impact *3d. Stream name >t
3e. Stream
3f. Type of
Type*
Jurisdiction
Culvert Stream A - Brown
Perennial
Corps
Branch
pearrial(FER)a
.temittan (Mr)
Culvert Stream S - UT Brown
Intermittent
Corps
Branch
Faennd(Fd3j
interate n tNrl
Culvert Stream B - UT Brown
Intermittent
Corps
Branch
%a viI(rEa«
Irtlemite (Nf)
" All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch Impact in square feet:
0
31. Total permanent stream impacts:
149
3i. Total temporary stream impacts
39. Stream 3h. Impact
width length
8 26
Averge(fmt) (hose rad)
3 77
Average (feet) Ilulear tett)
3 149
Aveageffea) (kxarfeei)

103
3i. Total stream and tributary Impacts
252
3j. Comments:
Two culverts have been installed on the project site during previous site development activities. One culvert will be
completely removed and the stream channel within its footprint will be restored according to the attached CAP.
The second culvert will be shortened and a portion of the culvert will be left in place to accommodate future
development. Stream channel will be restored within portions of the removed culvert sections according to the
CAP
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 applicant will follow actions presented in the attached CAP to bring previous site development activities into
compliance with rules under the Clean Water Act. An existing culvert proposed to be left on the project site is
currently countersunk 20% of the pipe diameter below stream bed elevation, thus supporting aquatic life
movement. The same proposed remaining culvert already matches the stream channel wdth; therefore the culvert
will maintain low flows and a hydrological connection to downstream waters during low flowing time periods.
1b. Specifically describe measures taken to avoid or minimize the proposed Impacts through construction techniques:*
Previous site development activities that resulted in temporary wetland and stream Impacts will be mitigated by
owner responsible restoration activities per the attached CAP. Site stabilization of upland areas will be completed
according to the CAP that will prevent potential water quality violations. Proper sediment and erosion control
measures will be used to minimize disturbances to downstream waters. Construction activities and impacts to
waters of the U.S. will comply with all conditions of Nationwide Permit No. 39 and Water Quality Certification No.
4139.
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
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Total permanent stream and wetland impacts are below compensatory mitigation thresholds.
NC Stream Temperature Classification Maps can be, found under the Mitiga!ion Co:�cepts tab on the Wilmington District's RIBITS website
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
" Recent changes to the slormvater rules have required updates to this section .-
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection
Rules?
f Yes f• Nb
Fora list of oplions to meet the diffuse Flow requirements, click here
If no, explain why:
The project site is not located within one of the NC Riparian Buffer Protection Watersheds. The project is being developed as a low density
project meeting all stormwater requisites of 15A NCAC 02H.1003(2).
2. Stormwater Management Plan

2a. Is this a NCDOT project subject to compliance with NCOOT's Individual NPDES permit NCS000250? *
C' Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)? *
IT Yes
I- No
To look up lowdensdy requirement click here 15A NCAC 02H.1003(2)
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/stale) 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 28.0200)?'
r Yes r No
2b. Is this an after -the -fact permit application?*
IT Yes r tb
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
Unauthorized fill within steams and wetlands, as well as. mechanical clearing of wetlands occurred during the
winter of 2017-2018. A letter of Unauthorized Activity/Permit Noncompliance was issued by the USACE on
February 26, 2018 (attached), A Corrective Action Plan is being provided, and the owner will be completing
restoration activities according to the CAP to offset mitigation requirements.
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.
Past impacts to avatars of the U.S. are being addressed through this PCN application for a MNP No, 39, as well as,
restoration activities per the attached CAP, Future development activities are being planned by the owner in
cooperation with an engineer. The engineer will be using the wetiand delineation to minimize potential impacts to
waters of the U.S. during the site planning process. It Is not known whether future impacts to waters of the U.S. will
be unavoidable. If necessary, future impacts to waters of the U.S. veil be Permitted through the 4041401 program
and will be counted cumulatively.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
r Yes r fdo r 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 %
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r. Nu

5d. Is another Federal agency involved?*
r Yes r No
r Unknown
Se. Is this a DOT project located within Division's 1-8?*
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?'
r Yes r No
59. Does this project involve bridge maintenance or removal?*
r Yes r• No
Link to the NILES SLOPES document: http://sa rog.usweamry.mil/ILEB/1-30-17signed_NLEB-SLOPESBapps. prff
5h. Does this project involve the construction/installation of a wind turbine(s)?-
r Yes r No
Si. 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? `
https.//www,fvs.gov/raleigh/speOes/cntylist/w tauga.h"
USFWS Endangered Species, Threatened Species,Federal Species of Concern, and Candidate Species,
Watauga County, North Carolina updated 3-22-18
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?
hltps ,'/www.fisheries.noaa.gov/resource/maptessential-fish-habitat-mapper
NOAA Essential Fish Habitat Mapper - Habitat Conservation I Habitat Preservation
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/hpow b/
7a. Nil 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 archaeolol
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
http://g is. ncdcr.g ovlhpomb/
NC State Historic Preservation Office - HPOWES Online GIS Service
7c. Historic or Prehistoric Information Upload
tack the LOtueon adrag and trop NK here to atiarh d,n
NC SHPO.pdf 367.65KB
Pte mut to P.F
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search

8a. WII this project occur in a FEMA -designated 100 -year floodplain?*
r yes (- Ni,,
So. What source(s) did you use to make the floodplain determination?*
http://fris,nc.gov/fris/Inciex.asp)OFIPS=189&ST=NC&user=General / 20Put>lic
NC Flood Risk Information System
Miscellaneous
Miscellaneous attachments not previously requested.
as Bre uplxd txItw U &N aW drop fiies Fere to altarh dncunWit
Signed letter from USACE.pdf 251.2KB
NC SAM�Stream B.pdf 176.76KB
Preliminary ORM Data Entry Fields for New Actions.pdf 68.42KB
Fle mat lv PEF nr FP,t_
Signature
W 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:
Sean Martin
Signature //��jj
G�QK ?walwi;r
Date
3:26/2018