20051497 Ver 5_PCN Form Submission_9/18/2018 12:13 PM

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/18/2018 12:13:56 PM (Start Event)
Accept by Montalvo, Sheri A 9/21/2018 2:25:20 PM (Non DOT Initial Review)
The task was assigned to Montalvo, Sheri A. The due date is: September 21, 2018 5:00 PM
9/18/2018 12:15 PM

DWR
Division of water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
January 31, 2018 Ver 2.3
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E -PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs.deq.nc.govMaterResources/0/edocl6247041PCN%20Help%20File%202018-1-30.pdf
A. Processing Information
County (or Counties) where the project is located:*
Mecklenburg
Is this project a public transportation project?*
f Yes f• No
This is any publicly funded by nunicipal,state or federal funds road, rail, airport transportation project.
1a. Type (s) of approval sought from the Corps:*
V Section 404 Permit (wetlands, streams and waters, Clean Water Act)
F Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
IJ Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
This form may be Corps to initiate the standard/individual permit process. Please contact your Corps representative for submittal of standard permits.
All required items that are not provided in the E -PCN and be added to the miscellaneous upload located at the bottom of this form.
Nationwide Permit (NWP) Number: 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 r 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?*
Erin Shanaberger
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
(XXX)XXX-XXXX
[phone]
1d. Who is applying for the permit?
❑ Owner V Applicant (other than owner) r- Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
See Table 1.
2b. Deed book and page no.:
2c. Responsible party:
(for Corporations)
2d. Address
Street Address
Address Line 2
City
Fbstal / Zip Code
2e. Telephone Number:
(xxx)xxx-xxxx
2f. Fax Number:
(XXX)XXX-XXXX
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Applicant is:
f Agent
r Other Local Government
If other please specify.
3b. Name:
State / Province / Fbgion
Country

Erin Shanaberger
3c. Business Name:
(if applicable)
City of Charlotte Storm Water Services
3d. Address
Street Address
600 E. 4th Street
Address Line 2
Cty
Charlotte
Postal / Zip Code
28202
3e. Telephone Number:
[phone]
(XXX)XXX-XXXX
3f. Fax Number:
(xxx)xxx-xxxx
3g. Email Address:*
[e-mail]
..................
State / Province / Pagion
NC
Country
US
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
McAlpine Creek Stream Restoration repairs
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:*
Charlotte
1d. Driving directions*
ff it is a new project and can not easily be found in a GPS rrapping system Rease provide directions.
Leaving uptown Charlotte, take Randolph Rd south to the intersection with Sardis Rd. Turn left on Sardis Rd; turn right to stay on Sardis Rd
Just after crossing the bridge over McAlpine Creek, turn right onto Wilby drive and stay right as it turns into Mountainview Drive; there is a
gravel entrance near 700 Mountainview Drive.
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
See table 1.
2b. Property size:
(in acres)
2c. Project Address

Street Address
700 Mountainview Drive
Address Line 2
City
State/ Rovince / (Region
Charlotte
NC
Rbstal / Zip Code
Country
28270
US
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:*
35.129550 -80.772373
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
McAlpine 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
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:*
This project is a compensatory mitigation project for the City of Charlotte Umbrella Stream and Wetland Mitigation
Bank. The project was originally completed in 2012, with repairs occurring in 2014 and 2017 to different areas.
There are 3 streams within the project area and a protected buffer. There are single family and multi -family
residences and multiple utility easements in the vicinity.
4b. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for
DWR)
nick the upload button or drag and drop files here to attach document
2018-03-29 McAlpine topo map.pdf 582.31 KB
File type mist 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)
nick the upload button or drag and drop files here to attach document
2018-03-29 McAlpine Soils map.pdf 1.6MB
File type must be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0
4e. List the total estimated linear feet of all existing streams on the property:
(interrrittent and perennial)
2900
4f. Explain the purpose of the proposed project:*

The purpose of the proposed project is to repair approxmately 700 linear feet of stream restoration between 2
different tributaries. Failing structures will be replaced or repaired such that they function as originally intended.
The intent is to perform repairs with minimal disturbance to buffer vegetation; however, vegetation of appropriate
size will be re-established after repairs are completed.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
Small equipment such as a mini excavator and hand work will be used to complete the repairs. Repairs will involve
removing and resetting boulders and logs for in -stream structures and adding or repairing constructed riffles.
Work will be conducted in the dry through the use of coffer dams and a pump around operation.
4h. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files here to attach document
SR -2 Repairs -Plans 20180917.pdf 14.49MB
File type nest be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
r Yes r No r Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Unknown f N/A
Corps AID Number:
Bcample: SAWt-2017-99999
SAW- 2009-01376
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 docurrent
2009-08-21 McAlpine Original permit approval.pdf 82.51 KB
File type must 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 f No r Unknown
6b. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW -0000-00000).
SAW- 2009-01376
DWR-05-1797 (multiple versions)
Project History Upload
Click the upload button or drag and drop files here to attach document
McAlpine Permit Package_PCN.pdf 4.81 MB
2014-11-04_McAlpine SR3 Repair_ PCN_Final.pdf 2.79MB
File type must be PDF
7. Future Project Plans
7a. Is this a phased project?*

f 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.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
F Wetlands fJ Streams -tributaries F Buffers
r 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
type *
S1 Restoration T Other SR2
lvt3p label (e.g. Poad Crossing Fernenent (F' or
1) Temporary (T)
3e. Stream 3f. Type of 3g. Stream 3h. Impact sgfei
Type* Jurisdiction* width* length*
Perennial Both 5 850 4
Perennial (F1EP� or Average (linear feet)
intermttent (INT) (feet)
S2 Restoration T Other SR3 Perennial Both
lvbp label (e.g. Finad Crossing Permanent (P) or Perennial (FBP� or
1) Tenporary (T) intermittent (INT)
S3 Restoration T Other SR2 Perennial Both
lvep label (e.g. Fbad Crossing Ferrrarent (F' or Perennial (M$ or
1) Terrporary (T) internittent (INT)
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:
0
3i. Total temporarystream impacts:
940
3i. Total stream and tributary impacts:
940
3j. Comments:
Impacts will be interspersed throughout the total length, the entire length of stream will not be re -built, but focus on
individual structures. 2 temporary stream crossings may be needed on SR2 in order to access repair areas with
least amount of disturbance to buffer vegetation.
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:*
Instead of re -building an entire length of stream on SR2, specific structures that were not functioning as designed
were evaluated and re -designed. This will allow minimal disturbance to the stream channel and buffer vegetation.
Vegetation to be replanted will be of a size representative of the remainder of the restoration site.
4
60
Average
(linear feet)
(feet)
5
30
Average
(linear feet)
(feet)

1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Work will be conducted in the dry. Only spot repairs will be constructed at individual structures to minimally disturb
the buffer vegetation. Construction access will use existing utility easements.
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:
This project consists of repairs to an existing compensatory mitigation project and will produce no net loss of stream.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
*** Recent changes to the stormwater rules have required updates to this section .***
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection
Rules?
r Yes r No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
No protected buffer.
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.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
1b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the
requirements of the National or State (North Carolina) Environmental Policy Act (NEPA/SEPA)?*
f Yes r No
Comments: *
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 (15A NCAC 2B.0200)?*
t' Yes r No
2b. Is this an after -the -fact permit application?*

f Yes r No
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.
Compensatory mitigation projects include conservation easements that prohibit adjacent development and
improve water quality.
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?*
f Yes r No
5d. Is another Federal agency involved?*
f Yes r No r Unknown
5e. 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
5g. Does this project involve bridge maintenance or removal?
r Yes r No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers,
mechanized pile drivers, etc.?
f Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NCNHP GIS data.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
f Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Essential Fish Habitat Mapper (online)
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?*
NCSHPO GIS data.
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?*
FEMA FIRM No. 37119CO228E/ 37119CO248E
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docurent
File rust be FDF or ME
Signature
V 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:*
Erin Shanaberger
Signature
fes. J�ta6c,�rrJt.
Date Submitted:
9/18/2018
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
f No

BIMS # Assigned*
20051497
Version#*
Reviewing Office*
Mooresville Regional Office - [phone]
Select Project Reviewer*
Alan Johnson:eads\adjohnson1
Is a payment required for this project?*
f No payment required
f Fee received
r Fee needed - send electronic notification
What amout is owed?*
f $240.00
r $570.00