HomeMy WebLinkAbout20190353 Ver 1_401 Application_20190318Office Use Only:
U �\\ Corps action ID no. -------------
�, DW Q project no ----------------
Form
---------------Form Version 1.3 Dec 10 2008 PA IJ)
Pre -Construction Notification (PCN) Form
1 `9 0
A. Applicant Information
1. Processing
la. Type(s) of approval sought from the
®Section 404 Permit El 10 Permit
Corps:
1b. Specify Nationwide Permit (NWP) number: 3 or General Permit (G P) number: n/a
1c. Has the NW or GP number been verified by the Corps? ® Yes ❑ No
id. Type(s) of approval sought from the DW Q (check ail that apply):
21401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le. Is this notification solely for the record
For the record only for DW Q 401
For the record only for Corps Permit:
because written approval is not required?
Certification:
❑ Yes No
❑ Yes ®No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
❑ Yes ® No
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
1g. Is the project located in any of NC's twenty coastal counties" If yes, answer 1 h
❑ Yes ® No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ® No
2. Project Information
2a. Name of project: Snowhill Falls POA Pond Dredging
2b. County: Macon
2c. Nearest municipality /town: Cowee Community
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
Snowhill Falls Property Owners Association
3b. Deed Book and Page No.
Book V-10 / Page 217
3c. Responsible Party (for LLC if
applicable):
'
Site Address: Melling Address:
3d. Street address:
East of intersection Snowhill Falls Rd.
& Snowhill Falls Circle
3e. City, state, zip:
Franklin, NC Franklin, NC
3f. Telephone no.:
403 +ii2 (David Peacock)
3g. Fax no.:
3h. Email address:
david892peacock@gmail.com : it
Page 1 of 12
PCN Form — Version 1.3 December it, 2008 Version
53
4. Applicant Information (if different from owner)
4a. Applicant is:
C] Agent El Other, specify: Af
4b. Name:
4c. Business name
(if applicable) -
4d. Street address:
4e. City, state, zip:
r
4f. Telephone no.:
4g. Fax no.:
-7 �,
4h. Email address:
S. Agent/Consultant Information (if applicable)
Sa. 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 12
B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
6588-79-5644
1b.
Site coordinates (in decimal degrees): - if you can't get
Latitude: 35.28960 Longitude: -83.39966
these, just include a very good vicinity map
(DD.DDDDDD) (-DD.DDDDDD)
1c.
Property size:
3.1 acres
2.
Surface Waters
2a.
Name of nearest body of water (stream, river, etc.) to
UT Wests Branch 8 Wests Branch
proposed project:
2b.
Water Quality Classification of nearest receiving water:
C
2c.
River basin: map is available at
Upper Little Tennessee (06010202)
http Y/h 2o. en r. stat e. nc. u sla dm i Nm a p s/
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:
The site is rural residential property. The general land use in the vicinity of the property is developed rural
residential, undeveloped forested land, and agricultural land.
3b.
List the total estimated acreage of all existing wetlands on the property:
Unknown wetland acreage; Approx. 1 ac. open water impoundment
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Approximately 1175 If UT Wests Branch & Wests Branch
3d.
Explain the purpose of the proposed project: i w r l' - �'� `^ ✓�
3e.
Describe the overall project in detail, including the type of equipment to be used:
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version
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?
Comments:
❑ Yes ® No ❑ Unknown
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
' ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
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.
6.
Future Project Plans
6a.
is this a phased project?
❑ Yes m No
6b. tf yes, explain.
Page 4 of 12
C. Proposed Impacts Inventory
1. Impacts Summary
la. 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 question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
number —
Type of impact
Type of wetland
Forested
Type of jurisdiction
(Corps - 404,10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
❑Yes
❑Corps
W1 J -]P ❑ T
F1 No
❑DWQ
❑ Yes
❑ Corps
W 2 ❑ P ❑ T
El No
❑DWQ
❑ Yes
❑ Corps
W3 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W4 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
[3 Corps
W 5 ❑ P ❑ T
El No
❑DWQ
❑ Yes
❑ Corps
W6 ❑ P ❑ T
0 N
❑DWQ
2g. Total wetland impacts
2h. Comments:
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. 3b. 3c. 3d. 3e. 3f• 3g•
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
length
number - (PER) or (Corps - 404,10 stream
Permanent (P) or intermittent DWQ — non -404, width (linear
Temporary (T) (INT)? other) (feet) feet)
❑ PER
(:1 Corps
S1 ❑ P ❑ T
❑ INT
❑ DWQ
Li PER
171 Corps
S2 El P ❑ T
❑ INT
❑ DWQ
[I PER
❑ Corps
S3 ❑ P ❑ T
❑ INT
❑ DWQ
❑ PER
❑ Corps
S4 ❑ P ❑ T
❑ INT
❑ DWQ
❑ PER
[:3 Corps
S5 f -1P ❑ T
❑ INT
❑ DWQ
❑ PER
❑ Corps
S6 ❑ P ❑ T
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
3i. Comments:
Page 5 of 12
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 indiv" ually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
impact number —
Name of waterbody
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑ P ® T
Snowhill Falls
POA Pond
Temporary work access
Pond
a, f
02 ® P ❑ T
I Snowhill Falls
POA Pond
Dredged Area
Pond
03 ❑ P ❑ T
I Snowhill Falls
POA Pond
Permanent Sediment Forebay
Pond
04 ❑ P ❑ T
�a»' R
�• fit, Xplo
( i
4f. Totai open water impacts
4g. Comments: Pond dredging will double handle dredge spoils within the pond footprint; a temporary equipment
access pad will be built into the pond & will be removed once dredging activities are complete; a permanent
sediment forebay will be constructed within the pond where stream waters flow into pond.
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
Flooded
Filled Excavated
Flooded �
Filled Excavated
Flooded
number
of pond
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑Yes No If yes, permit ID no:
i
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
Page 6 of 12
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
lot
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
❑ Yes No
impacts to Waters of the U.S. or Waters of the State?
f
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
❑Payment to in lieu fee program
projects
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
Page 8 of 12
PCN Form — Version 1.3 December 10, 2008 Version
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 any impacts re uire 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.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required?
El Yes
B1 ❑P❑T
❑ No
❑Yes
B2 ❑P❑T
❑ No
❑Yes
' B3 ❑P❑T
❑ No
6h. Total buffer impacts
6i. Comments:
Page 7 of 12
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a ditse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
%
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:
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a_ In which local government's jurisdiction is this project?
❑ Phase It
❑ NSW
3b. Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ 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
❑ HQW
4a. Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
El Yes ❑ No
attached?
5. DWQ 401 Unit Stormwater Review
Sa. 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 10 of 12
PCN Form — Version 1.3 December 10, 2008 Version
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.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by D WQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? If yes you will have to fill out this entire form — please
contact the State for more information.
❑ Yes (g 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.
6c. 6d.
Zone Reason for impact Total impact Multiplier
(square feet)
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 9 of 12
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
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
❑ Yes ❑ No
letter.)
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
❑ Yes No
additional development, which could impact nearby downstream water quality.
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.
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.
Page 11 of 12
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
® Yes ❑ No
habitat?
i
5b. Have you checked with the USFWS concerning Endangered Species Act
❑Yes No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
El Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat? Latest Corps updated Heritage database. USFWS map for northern long-eared bat (NLEB) consultation
areas. Property is within consultation areas for NLEB & within NLEB known range. The project will require
informal consultation by the Corps with USFWS.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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 f ❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Latest Corps updated Heritage database.
B. 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? Latest on-line FIRM/FEMA North Carolina, Panel
7523, Map No. 3700658800J, May 4, 2009
aJ
ApplicaM/Agent's Printed Name
0 ate
Applicant/Agent's "at
(Agenrs s9neture is arfd ail o izon teener from the applicant
Is vided.
Page 12 of 12
Western NC Waters
r
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Macon County Boundary
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Content may riot reflect National Geographic's current map policy. Sources: National Geographic, Esri,
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Western North Carolina Corridors
in Macon County.
Work within these
Western North Carolina Waters
and Corridors Requires PCN.
blue= creek
0006mmlli
red= haul road
m
Black= dredge
area
Blue= west
branch creek
green=silt fence