20190293 Ver 1_PCN Form Submission_20190301

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Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance into the review process?*
r, Yes
C No
Is this project a public transportation project?*
O Yes O No
Charge only if needed.
BIMS # Assigned*
Version#*
20190293
1
Is a payment required for this project?
C No payment required
What amout is owed?*
C Fee received
C $240.00
6 Fee needed - send electronic notification
C $570.00
Reviewing Office* Select Project Reviewer*
Asheville Regional Office - [phone] Zan Price:eads\gaprice
Information for Initial Review
1a. Name of project:
Robert Lake Park
1a. Who is the Primary Contact?*
Gary D. Davis, P.E.
1 b. Primary Contact Email:*
[e-mail]
Date Submitted
311/2019
Nearest Body of Water
Flat Creek
Basin
French Broad
Water Classification
C
Site Coordinates
Latitude:
35.6456
Longitude:
-82.3006
tc. Primary Contact Phone:*
[phone]
A. Processing Information W
County (or Counties) where the project is located:
Buncombe
Is this project a public transportation project?*
O Yes G No
1a. Type(s) of approval sought from the Corps:
V Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r- Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1 b. What type(s) of permit(s) do you wish to seek authorization?
P Nationwide Permit (MNP)
r- Regional General Permit (RGP)
r- Standard (IP)

1c. Has the NWP or GP number been verified by the Corps?
r Yes f No
Nationwide Permit (NWP) Number:
03 - Maintenance
Nationwide Permit (NWP) Number:
13 - Bank Stabilization
Nationwide Permit (NWP) Number:
33 - Temporary Construction
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
fJ 401 Water Quality Certification - Regular r 401 Water Quality Certification - E)press
I— 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 onlyfor DWR 401 Certification: C Yes O No
For the record onlyfor Corps Permit: C Yes O No
1f. Is this an after -the -fact permit application?*
C Yes 0 No
tg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
d Yes M No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
C Yes C No
Acceptance Letter Attachment
1h. lathe project located in any of NC's twenty coastal counties?
C Yes M. No
1j. Is the project located in a designated trout watershed?
C Yes C No
B. Applicant Information C^)
1d. Who is applying for the permit?
❑ Owner CJ Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
C Yes 6 No
2. Owner Information
2a. Name(s) on recorded deed:
Mountain Retreat Association
2b. Deed book and page no.:
1285/648
2c. Responsible party:
2d.Address
Street Address
407 Kentucky Road
Address Line 2
City
Montreat
Postal / Zip Code
28757
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
Slate / FYwince / I3gim
NC
Country
United States
2f. Fax Number:

3a. Name:
Gary D. Davis, P.E.
3b. Business Name:
Davis CivilSolutions, P.A.
3c.Address
Street Address
135-A Charlotte Highway
Address Lire 2
Qty
Asheville
F stal / Zip Code
28803
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
State / Fravince / legion
NC
United States
3e. Fax Number:
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Montreat, NC
2. Project Identification
2a. Property Identification Number:
0710-96-8414
2c. Project Address
Street Address
327 Texas Road
Address Line 2
Qty
Montreat
Postal / Zip Code
28757
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Flat Creek
3b. Water Resources Classification of nearest receiving water:*
C
3c. What river basin(s) is your project located in?*
French Broad
3d. Please provide the 12 -digit HUC in which the project is located.
060101050602
4. Project Description and History
2b. Property size:
26.92
Sate i Frovin / l3:giw
NC
Country
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:*
Land use is recreational serving as a public access playground. Existing conditions include eroded stream banks and displaced stone and sediment in the stream channel. Footbridges
collapsed or removed by flooding.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
t7 Yes O No rF Unknown
4d. Attach an 81/2 X11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Robert Lake Park USGS.pdf 3.76MB
4e. Attach an 81/2 X 11 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:

0
4g. List the total estimated linear feet of all existing streams on the property:
5,208
4h. Explain the purpose of the proposed project:*
Restore and stabilize stream edge and channel locations to previous conditions.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Relocate on-site stone and sediments to restore flood damaged stream banks. Replace undermined footbridge abutments. Equipment to be used will have rubber tires and includes
backhoe, skid steer, walk -behind motorized equipment, and hand tools.
4j. Please upload project drawings for the proposed project.
Robert Lake Park Plan Set.pdf 10.73MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?
O Yes 6 No O Unknown
Comments:
Delineation was not made for the restoration project. Delianeation may have been made at parks
initial construction.
5b. If the Corps made a jurisdictional determination, what type of determination was made?
O Preliminary d Approved O Not Verified O Unknown d WA
Corps AID Number
5c. If 5a is ves. who delineated the iurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
O Yes 4 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 projector related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
❑ Wetlands ® Streams -tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
3. Stream Impacts
❑ 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*
��Restoration Permanent Bank Stabilization :E�
S1
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts: 31. Total temporary stream impacts:
336 0
31
k
Perennial
Both
14
Average (feet)
213
(ir�rfeet)
g2
Restoration
Permanent
Bank Stabilization
Puncheon Branch
Perennial
Both
10
Average (feet)
123
(ir�rfeet)
. Total stream and ditch impacts:
336
3j. Comments:

E. Impact Justification and Mitigation CA)
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Utilizg epsting stone and sediment found on site adjacent to restoration areas. Disturbed areas are targeted and well defined on the plans. Not define
excavation in stream channel shall be no deeper than found in the eAsting stream bed within fifteen feet of the proposed excavation sites.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Construction equipment Wil have rubber tires within reason. Any tracked equipment will use surface protection along the vehicle's path.
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?
C Yes F No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
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?
O Yes M No
If no, explain why:
No stormwater BMP is required for the project. The project is not vdthin a protected riparian buffer.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
GYes M,No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
C Yes r No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state approved local government stormwater
program?
(' Yes f No
3. Stormwater Requirements
3a. Select whether a completed stormwater management plan (SMP) is included for review and approval or if calculations are provided to document the project will not cause
degradation of downstream surface waters.*
C Stormwater Management (•7 Antidegradation
Plan Calculations
3b. Stormwater Management Plan
3c. Antidegradation Calculations:
Robert Lake Park Antidegradation Calculations.pdf
277.99KB
Comments:
No change will occur in the amount of impervious surface or built upon area. There will be no change in stormomter runoff quantity or quality.
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?*
a Yes O No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 21-1.0500), Isolated Wetland Rules (15A NCAC 21-1.1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B.0200)?*
O Yes r No
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.
No change will occur in the amount of impervious surface or built upon area. There will be no change in stormwater runoff quantity or quality.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor NIA
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 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 O Unknown
5e. Is this a DOT project located within Division's 1-8?
G Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
M Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
51. 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?
Critical Habitat for Threatened & Endangered Species - Critical Habitat Mapper - USFWS
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?*
NOAA- Essential Fish Habitat Mapper
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?*
North Carolina Historic Preservation Office - HPOWEB GIS Service
7c. Historic or Prehistoric Information Upload
NC State Historic Preservation HPOWEB GIS Map.pdf 1.05MB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
No new structures or impervious surfaces will be constructed. All earthen material will be relocated within the flood zone from which is originated.
8c. What source(s) did you use to make the floodplain determination?*
NC Flood Risk Information System
Miscellaneous
Comments

Miscellaneous attachments not previously requested.
Signature
m 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:
Gary D. Davis, P.E.
Signature
6 A A-1 t3,a s
Date
311/2019

4 MOUNTAIN
RETREAT
iASSOCIATION -
D/B/A Montreat, Conference Center
February 28, 2019
NC Dept. of Water Quality
PO Box 969
Montreat, NC 28757
P: 828.669.2911
F: 828.669.1178
montreat.org
The Mountain Retreat Association d/b/a Montreat Conference Center hereby designates Gary D. Davis,
P.E. of Davis CivilSolutions, P.A. as the Authorized Agent for the Robert lake Park Restoration Project.
Sincerely,
MOUNTAIN RETREAT ASSOCIATION
Richard Sills, CFO
Encountering God through A Conference Center serving
relationships, renewal, recreation, and rest. the Presbyterian Church (U. S. A.)T

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Site/Infrastructure • Engineering/Planning
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Date: March 1, 2019
Proiect No.: 18172
Description: Antidegradation Calculations
Prepared by: David Newton
Sheet No.: 1 of 1
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Pre-Constuction
SF
AC %
Project Area
49566
1.138 100.0%
Existing Impervious
2596
0.060 5.2%
Existing Pervious
46970
1.078 94.8%
Coefficient {C}
0.1
25 yr. Precipitation intensity
{i} 8.08
Area (Al (ac.)
1.138
Rate of Runoff {Q} (cfs)
0.9194061
12298DEA
i9'py�'yGl NEgP;'S`"�
Post-Constuction
SF
AC %
Project Area
49566
1.138 100.0%
Existing Impervious
2596
0.060 5.2%
Existing Pervious
46970
1.078 94.8%
Coefficient {C}
0.1
25 yr. Precipitation Intensi
{i} 8.08
Area {A} (ac.)
1.138
Rate of Runoff {Q} (cfs)
0.9194061
12298DEA
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