20181621 Ver 1_PCN Form Submission_20181126

DWR
MOM— of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
tial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned
20181621
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Amy Annino:eads\amannino
Information for Initial Review
1a. Name of project:
SUGAR HILL ROAD
1a. Who is the Primary Contact?*
ALLEN GURLEY
1b. Primary Contact Email:*
[e-mail]
Date Submitted
11/26/2018
Nearest Body of Water
MUDDY CREEK
Basin
Catawba
Water Classification
SPRING WATER
Site Coordinates
Latitude:
n/a
A. Processina Information
County (or Counties) where the project is located:
McDowell
Is this project a public transportation project?*
r Yes r No
Longitude:
n/a
1a. Type(s) of approval sought from the Corps:
* 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?
F Nationwide Permit (NWP)
F- Regional General Permit (RGP)
W Standard (IP)
Version# *
1
Reviewing Office*
Asheville Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]

1c. Has the NWP or GP number been verified by the Corps?
r Yes IT No
1d. Type(s) of approval sought from the DWR:
rJ 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
rJ Non -404 Jurisdictional General Permit r Riparian Buffer Authorization
F Individual Permit
*
1e. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification: r Yes r No
For the record only for Corps Permit: r Yes r No
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
C Yes IT No
B. Applicant Information
1d. Who is applying for the permit?
V Owner r Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
GURLEY PROPERTIES LLC
2b. Deed book and page no.:
PIN 1700-07-2038
2c. Responsible party:
2d. Address
Street Address
SUGAR HILL ROAD
Address Line 2
city
MARION
Postal / Zip Code
28752
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/town:
MARION
2. Project Identification
State / Frovince / R�gim
NC
Q�untry
MCDOWELL
2f. Fax Number:
[phone]

2a. Property Identification Number:
PIN 1700-07-2038
2c. Project Address
Street Address
SUGAR HILL ROAD
Address Line 2
CRY
MARION
Fbstal / Zip Code
28752
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
MUDDY CREEK
3b. Water Resources Classification of nearest receiving water:*
SPRING WATER
3c. What river basin(s) is your project located in?*
Catawba
3d. Please provide the 12 -digit HUC in which the project is located.
n/a
4. Project Description and History
2b. Property size:
ONE
State / Frovince / Region
NC
Country
MCDOWELL
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:*
RESIDENTICAL PROPERTY WITH A RUN OFF FOR HIGH WATER
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
4d. Attach an 8 1/2X11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
4e. Attach an 8 1/2X11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
4f. List the total estimated acreage of all existing wetlands on the property:
NONE
4g. List the total estimated linear feet of all existing streams on the property:
150 FEET
4h. Explain the purpose of the proposed project:*
TO DEVELOP THE LAND FOR COMMERICAL
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
TO PUT PIPE TO HANDLE THE WATER FLOW UNDER THE HIGHWAY 150 FEET. INSTALL BY TRACKHOE
4j. Please upload project drawings for the proposed project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r WA
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
r Unknown

6. Future Project Plans
6a. Is this a phased project?*
r Yes r 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?
Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands W Streams -tributaries
F Open Waters r Pond Construction
3. Stream Impacts
❑ Buffers
3a. Reason for impact(?) 3b.lmpact type * 3c. Type of impact* 3d. S. name * 3e. Stream Type * 3f. Type of 3g. S. width * 3h. Impact
(?) Jurisdiction* length*
F
S1
n/a
Tem ora
P rY
Culvert Jn/a
::Tttt]
Both
150
Average (fee[)
150
(linear feet)
31. Total jurisdictional ditch impact in square feet:
22,500
31. Total permanent stream impacts
0
31. Total stream and ditch impacts:
150
3j. Comments:
ASKING FOR 150 FEET
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
150
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
n/a
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
n/a
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:
UNKNOWN
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
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
If no, explain why:
UNNAMES STREAM
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes r No
Comments:
v

G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15ANCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B.0200)?*
r Yes r No
2b Provide an explanation of the violation(s):
3. Cumulative Impacts (DWR Requirement)
3a. Will this project 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.
ALL THE WORK WILL BE DONE ON THIS PROPERTY
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
Sa. Will this project occur in or near an area with federally protected species or habitat?
r^ Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r 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 anytrees 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
Sh. 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.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
n/a
Consultation Documentation Upload
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?*
n/a
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?*
r Yes r No

7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
n/a
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes c No
8c. What source(s) did you use to make the floodplain determination?*
n/a
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature u
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:
ALLEN GURLEY
Signature
Sign
Date
11/26/2018