20190684 Ver 1_PCN Form Submission_20190528

DWR
MOM— of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
21nitial 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
Oange only if needed.
BIMS # Assigned
20190684
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office*
Central Office - [phone]
Information for Initial Review
1a. Name of project:
Stobhill Lane Extension
1a. Who is the Primary Contact?*
Bob Zarzecki (S&EC)
1b. Primary Contact Email:*
[e-mail]
Date Submitted
5/28/2019
Nearest Body of Water
Basal Creek (DWR Stream Index No. 27-43-15-3)
Basin
Neuse
Water Classification
B;NSW
Site Coordinates
Version# *
1
What amout is owed?*
r $240.00
* $570.00
Select Project Reviewer*
Rob Ridings:eads\rgridings
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
35.613667-78.816413
FA. Processing Information U
County (or Counties) where the project is located:
Wake
Is this project a public transportation project?*
r Yes r No
Is this a NCDOT Project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
* Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?

W Nationwde Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified bythe Corps?
r Yes r- No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
14 - Linear transportation
le. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
r 401 Water Quality Certification - Express
P Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
f 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
Neu -Con SOA- Howell Woods - Stobhill Lane Extension.pdf
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?
r- Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r Owner W Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
r- Yes r- No
2. Owner Information
2a. Name(s) on recorded deed:
SDG FQV, LLC
2b. Deed book and page no.:
B17219/P2037
2c. Responsible party:
Brian Wise
2d.Address
Street Address
305 Blandwood Avenue
Address Line 2
City
Greensboro
P stal / Zip Code
27401-6029
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
State / Prwince / Pagim
NC
Country
USA
2f. Fax Number:
145.4KB
r Yes r No
r Yes r No

3. Applicant Information (if different from owner)
3a. Name:
Town of Fuquay-Varina (Attn: Adam G. Mitchell & Tech Contact: Tracy Stephenson)
3b. Business Name:
n/a
3c.Address
Street Address
401 Old Honeycutt Rd.
Address Lim 2
City
Fuquay-Varina
Postal / Zip Code
27562
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality / town:
Fuquay-Varina
2. Project Identification
2a. Property Identification Number:
portion of 0657576829
2c. Project Address
Street Address
Stobhill Lane
Address Line 2
City
Fuquay-Varina
Postal / Zip Cade
27562
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Basal Creek (DWR Stream Index No. 27-43-15-3)
3b. Water Resources Classification of nearest receiving water:*
B;NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202010901
4. Project Description and History
State / Rovinoe / f�egion
NC
Country
USA
3e. Fax Number:
2b. Property size:
+/- 2 acres in R/W
State / Rovinoe / fiagion
NC
Country
USA
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:*
The site is currently vacant land. The upland areas of the site are fallowcropland and the wooded areas. The jurisdictional waters include an old farm pond, stream and wetlands. The
project will extend the eAsting dead end of Stobhill Lane east and northeast to NC55/N. Broad Street. Stobhill Lane is currently constructed to a dead end within the Springhill
Subdivision to the west. The Powell Square Apartment community has been approved for the vacant land to the south. A commercial/retail shopping center is proposed for the land to
the east.
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 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Stobhill Lane_USGS (printed).pdf 372.54K6

4e. 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)
Stobhill Lane Soil Survey (printed).pdf 651.16KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.5
4g. List the total estimated linear feet of all existing streams on the property:
100
4h. Explain the purpose of the proposed project:*
The purpose of the project is to construct a public street extension from an existing dead end to NC55.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project includes the extension of Stobhill Lane from the existing dead end east and northeast to NC55/N. Broad Street. The street will be built as a 2-lane public street with similar
cross sections to the existing street. No indirect impacts are anticipated. Heavy equipment such as excavators and bull dozers typically used for such civil construction projects will be
used.
4j. Please upload project drawings for the proposed project.
Stobhill Lane_lmpact Maps.pdf 1.25MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No O Unknown
Comments:
The Town street right of way will traverse a portion of the AJD.
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
SAW-2013-01753
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): James Lastinger / Steven Ball
Agency/Consultant Company: USACE/S&EC
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
SAW-2013-01753, December 2, 2013
NBRRO#13-253, September 17, 2013 (Feature A and the pond are within the R/W, are subject to the buffers and not contested. Features B and C on the determination is located
outside of the RAN.)
SM. Jurisdictional determination upload
Stobhill Lane_JD.pdf 1.68MB
Stobhill Lane_DWQ Buffer Letter.pdf 2.18MB
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?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
V Wetlands fJ Streams -tributaries W Buffers
R Open Waters r Pond Construction
2. Wetland Impacts
Reason M 2b. Impact type * (?) 2c. Type of W. 2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition*(?) area* J:=� _
W1
Roadway Fill
P
Headwater Forest
Wetland Al & A2
Yes
Both
0.147
(acres)
ff
Temporary Construction
T ]H=est
Wetland Al & A2
Yes
Both
0.011
(acres)

2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.011 0.147
2g. Total Wetland Impact
0.158
2h. Comments:
The wetland type is identifed as a headwater forest, but does contain small areas non -tidal freshwater marsh along the pond as well. Temporary
wetland impacts Will be returned to grade and planted with a wetland seed mix.
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
(?) I Jurisdiction* length*
S1
Roadway Fill
Permanent
Culvert
LIT to Basal Creek
Intermittent
Both
3
Average (feet)
51
(linearfeet)
S2
Temporary Construction
Temporary
Workpad/Causeway
LT to Basal Creek
Intermittent
Both
3
Average (feet)
16
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
51
3i. Total stream and ditch impacts:
67
3j. Comments:
Temporary impacts will be returned to original channel dimensions and stabilized.
4.Open Water Impacts
3i. Total temporary stream impacts:
16Roady
4a. Site # 4a1. Impact Reason 4b. Impact type 4c. Name of waterbody 4d. Activity type 4e. Waterbody type 4f. Impact area
Sheet 2
D ssipa�terFill &Energy
P
Ur to Basal Creek
Fill
Pond
0.16
4g. Total temporary open water Impacts:
0.00
4g. Total open water impacts:
0.16
4h. Comments:
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Chock all that apply.
rf7 Neuse
r- Catawba
r- Goose Creek
r- Other
4g. Total permanent open water impacts:
0.16
r Tar -Pamlico
r Randleman
r Jordan Lake
6b. Impact Type
6c. Per or Temp 6d. Stream name 6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Roadway Fill
P
t!T to Basal Creek
No
7,343
2,841
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1
Zone 2
Total Permanent impacts: 7,343.00
2,841.00
Zone 1
Zone 2
Total combined buffer impacts: 7,343.00
2,841.00

61. Comments:
Supporting Documentation
Stobhill Lane Impact Maps.pdf
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1.25MB
u
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The roadway alignment was dictated by the eAsting dead end section within the Springhill subvision to the west. As such impacts to WoTUS could not
be avoided. The road shoulders were designed to be as steep as possible, while still maintaining a stable slope. Headwalls were included in the design
at the pipe inlet and outlet ends to minimize impacts.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The pond will be lowered prior to construction and work will be performed as dry conditions as possible. A sediment and erosion control plan will be
approved for the project along with a construction stormwater permit to protect downstream water quality.
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
2c. If yes, mitigation is required by (check all that apply):
r DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
V Mitigation bank r Payment to in -lieu fee r Permittee Responsible
program Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Neu -Con Wetland & Stream Umbrella Bank Howell Woods Site
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Riparian wetland 0.3
Attach Receipt and/or letter
Neu -Con SOA - Howell Woods - Stobhill Lane EMension.pdf
3c. Comments
145.4KB
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. 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
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
P Other SCM that removes minimum 30 % nitrogen
r Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
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
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?

r Yes r No
2d. Which of the following stormwater management program(s) apply:
R Local Government I— State
Local Government Stormwater Programs
W Phase II W NSW r USMP r- Water Supply
Please identify which local government stormwater program you are using.
Fuquay-Varina
Comments:
A stormwater management plan will be approved by the Town for this project. The majority of the roadway will be treated in stormwater ponds located on the Powell Square development
site to the south. A small portion of the roadway will drain to the cross pipes and not through the buffers. The project however will comply with the Neuse Stornmter rule.
G. Supplementary Information
1. Environmental Documentation
la. 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 (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
r 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.
The project involves the extension of an wasting road way from a dead end road to a State highway and is not aniticipated to result in additional
development which could impact nearby water quality. The adjacent developments will obtain a SMP approval from the Town of Fuquay-Varina to
protect downstream water quality.
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)
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 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
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.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NC NHP Data Explorer website. There are no known elemental occurences within 1 mile of the site and is not anticipated to likely have a negative
effect on NLEB.
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?*
f Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA EFH website. The project is located in the piedmont of NC far from any EFH areas.
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?*
NC SHPO HPO-WEB.
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 r No
8c. What source(s) did you use to make the floodplain determination?*
NC FLOODMAPS & DFIRM
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
*
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:
Bob Zarzecki (S&EC, PA)
Signature
���fLf�P.LiLG'
Date
5/28/2019