20090778 Ver 1_401 Application_20090709

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Gunn=LL
' engineering & surveying, p.c.

To: NC DWQ, 401Metlands Unit
Golds Gym parking expansion
Address: 1650 Mail Service Center, Raleigh, NC 27699-1650 Date: 07/09/09
Phone: (-1 I i, 7 3 3 - 7O ( 5- Fwc
Re:
19810-A West Catawba Avenue
jD * Cornelius, NC 28031
704.6
704.655.7290 704.655.7291 (fax)
From: Jamie Carpenter, PE
Project No.: 080503
Please find enclosed:
Messages
Cover letter
Five copies Pre-Construction Notification (PCN) Form.
Submittal Fee of $240.00.
JUL 1 4. 2000
DENR. WATER QUALITY
WETLkN3S A-40 STC?:?AV?;?TE? W'C"
If you have any questions or need additional information, please contact me at 704-655-7290 ext. 12.
Thanks,
ramieCarnpenter, PE
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F-MI engineering & surveying, p.c.
www.meadegunnell.com
July 13, 2009 • Land Planning • Mining Engineering
• Civil Engineering • Energy Resources
• Land Surveying • Enviromental Engineering
NC Division of Water Quality • Geographic Information Systems
401 /Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Re: Pre Construction Notification
Gold's Gym Parking Lot Expansion
To Whom It May Concern:
Please find enclosed our PCN form and application review fee in the amount of
$240.00 for the above referenced project. We have submitted concept plans to the
Town of Mooresville and their planning staff has requested that we clear the design
through NC DWQ and the US Army Corps of Engineers prior to our proceeding with
their concept plan approval. The current businesses that use the existing
entrance/exit off of NC Highway 150 have found that single driveway to be
inadequate for their customers. Gold's Gym has developed a parking area on the
rear side of their building and NCDOT has given their concurrence that a right-in-
right-out driveway could be added onto NC Highway 150 at that location. Gold's
Gym also wants to utilize the space along the new drive for additional parking. We
intend on meeting the Town of Mooresville stormwater design regulations and will
most likely have a combination of below ground stormwater detention and a
raingarden for this increase in impervious area to minimize the impacts to the
stream. We propose to impact 139 linear feet of the stream with a junction box, box
culvert and riprap apron energy dissipater to extend the existing box culvert that
passes under NC Highway 150. The overall site impervious area will remain less
than 24%.
Sincerely,
M=DEED= GUNN=LL
engineering & surveying, PC
Jamie Carpenter, PE
Attached: PCN Form & $240.00 Application Review Fee
19810-A West Catawba Avenue, Cornelius, NC 28031 704-655-7290
126 Trivette Drive S-1 02B, PO Box 552, Pikeville, KY 41502 606-432-0659
0 9 0 7 7 8
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. A Beant Information
1. Processing
1 a . Type(s) of approval sought from the
Corps:
® T Section 404 Permit ? Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 39 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ®Yes ? No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

? Yes ® No
1f. 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. ® Yes ® No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ® No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ®No
2. Project Information
2a. Name of project: Golds Gym Parking Expansion y
.
2b. County: Iredell
?5 a ,
2c. Nearest municipality / town: Mooresville I
2d. Subdivision name: n/a
2e. NCDOT only, T.I.P. or state
project no: D NR • WATER QUALITY
n/a WETLANDS AND STOZ"{WATER BNVICN
3. Owner Information
3a. Name(s) on Recorded Deed: BEK Properties, LLC
3b. Deed Book and Page No. db 01474 pg 2280
3c. Responsible Party (for LLC if
applicable):
Dr. Kevin Craft
3d. Street address: 191-A West Plaza Drive
3e. City, state, zip: Morresville, NC 28117
3f. Telephone no.: 704-864-4000
3g. Fax no.: 704-664-1451
3h. Email address: [e-mail]
Page 1 of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify: same as owner
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: James M. Carpenter, PE
5b. Business name
(if applicable):
Meade Gunnell engineering & surveying, p.c.
5c. Street address: 19810-A West Catawba Avenue
5d. City, state, zip: Cornelius, NC, 28031
5e. Telephone no.: 704-655-7290 x12
5f. Fax no.: 704-655-7291
5g. Email address: [e-mail]
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify: same as owner
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 4657148498
1 b. Site coordinates (in decimal degrees): Latitude: 35.5899 Longitude: - 80.8433
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
3.75 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
proposed project: UT to Reeds Crk, Lake Norman
2b. Water Quality Classification of nearest receiving water: WS-IV, B
2c. River basin: Catawba
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Combination of 1.02.03.99 Other Business and Professional Services and 44 Mixed Deciduous-Coniferous Forest Land
(441 Oak-Pine). Portion of property to be developed has been previousl
raded and h
i
i
y g
as ex
st
ng parking lot and utilities.
Remaining property is wooded with pines and hardwoods.
3b. List the total estimated acreage of all existing wetlands on the property:
No wetlands indicated within the proposed project development area. NWI maps indicate wetlands somewhere toward
the south of the property (see attached map).
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
+/-1100 If. (esimated from GIS measure tool)
3d. Explain the purpose of the proposed project:
Addition of a new drive to alleviate congestion and address safety concerns at existing drive on Hwy 150. Also, additional
parking will be added to serve a future building on the parcel.
3e. Describe the overall project in detail, including the type of equipment to be used:
Convey stream flows in pipe, fill / cover for parking and entrance. Heavy grading equipment to be utilized, ie. bulldozers,
excavators, pans, etc.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ? Yes ? No Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ? Preliminary ? Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? ? Yes ? No ® Unknown
5b. If yes, explain in detail according to "help file" instructions.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form - Version 1.3 December 10, 2008 Version
?. rwNc»CU impacts inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
? Wetlands ® Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this questio n for each wetland area impacted.
2a. 2b. 2c.
Wetland impact 2d. 2e. 2f.

number - Type of impact Type of wetland
Permanent (P) or
Forested Type of jurisdiction
(Corps - 404, 10 Area of impact
(if known)
Temporary T DWQ - non-404, other) (acres)
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ?
ps

? No
?
DWWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ?DWQ
2g. Total wetland impacts
2h. Comments: no known wetland impacts
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.
Stream impact
number - 3b.
Type of impact 3c.
Stream name 3d.
Perennial 3e.
Type of jurisdiction 3f.
Average 3g.
Impact

Permanent (Por (PER) or
intermittent (Corps - 404, 10 stream length

Temporary O
(INT)? DWQ - non-404, width (linear
other) (feet) feet)
S1 ®P ? T pipe / fill UT to Reed Creek ? PER ® Corps
® INT ? DWQ 4 139
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T [:1 PER ? Corps
? INT E] DWQ
S6 [] P ? T ? PER ? Corps
]
? INT ] D?/?/(Q
E
3h. Total stream and tributary impacts

3i. Comments: 139
Page 5 of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, the n complete the chart below.
5a. 5b. 5c. 5d. 5e.

Pond ID
Proposed use or purpose Wetland Impacts (acres) Stream Impacts (feet) Upland

number
f (acres)
o
pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a,
? Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b.
Buffer impact 6c. 6d. 6e. 6f. 6g.
number -
Permanent (P) or Reason
for
Stream name Buffer
mitigation Zone 1 impact
(square feet) Zone 2 impact
(square feet)
Temporary T impact required?
B1 ? P ? T ? Yes
? No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments:
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
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? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this ? Mitigation bank
? Payment to in-lieu fee ro ram
® Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) ?:? Type? Qu`anntityy
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form ® Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ® Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.

Zone 6c.
Reason for impact 6d.
Dotal impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules? ? Yes No
1 b. If yes, then is a diffuse flow plan included? If no
explain why
,
.
Comments:
El Yes No

?
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? <24 %
2b. Does this project require a Stormwater Management Plan? ® Yes ? No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Provide post construction stormwater BMP's to meet Mooresville requirements. Mooresville staff has requested that we
provide Army Corps and DWQ permits prior to local approvals.

2e. Who will be responsible for the review of the Stormwater Management Plan? ® Certified Local Government
? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? Mooresville
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
apply (check all that apply): ? USMP
® Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ® No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
4a. Which of the following state-implemented stormwater management programs apply [__1 HQW
? ORW
(check all that apply): ? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached?
? Yes ? No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met?
? Yes ? No
Page 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the
use of public (federal/state) land? ? Yes No
1 b. 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 ? Yes ? No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ? Yes ? No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
additional development, which could impact nearby downstream water quality? ? Yes No
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
Current development will provide stormwater BMP's which meet Mooresville requirements. Any potential future
development will also provide BMP's to meet watersupply watershed re
uireme
t
f
d
q
n
s en
orce
by the Town of Mooresville.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility,
The proposed drive/parking lot will not generate wastewater. Potential future development could utilize the existing 8"
gravity sewer main that runs across the site.
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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? ? Yes ® No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts? ? Yes ® No
5c. If yes, indicate the USFWS Field Office you have contacted. ® Raleigh
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC NHP Virtual Workroom. (Feb. 26, 2009). Raleigh, NC. Web site did not indicate the presence of federal protected
species within 2 miles of the project.
6. Essential Fish Habitat (Corps Requirement)

6a. Will this project occur in or near an area designated as essential fish habitat?
-T
? Yes ® No
-
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
no data sources utilized. project does not occur within a trout or coastal county.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
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
El Yes No
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
no data sources utilzed. No existing structures to be impacted.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? NC Floodplain Mapping Information System (online)
Omar

Applicant/Agent's Printed Name Applica Agent's Signat Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version
TerraSelver Image Courtesy of the USGS
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Soil Map-Iredell County, North Carolina
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35° 35'40'
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