20190729 Ver 1_401 Application_20190604

Staff Review
Does this application have all the attachments needed to accept it into the review process?
r Yes r No
ID#*
20190729
Version* 1
Is this project a public transportation project?* r Yes
r No
Reviewer List:*
Select Reviewing Office:*
Submittal Type:*
401 Application
Zan Price:eads\gaprice
Asheville Regional Office - [phone]
Does this project require a request for payment to be sent?*
r
Yes
r
No
How much is r $240.00
*
owed? r $570.00

Project Submittal Form
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: r New Project
r Pre -Application Submittal
r More Information Response
r Other Agency Comments
r For the Record Only (Courtesy Copy)
New Project - Please check the new project type if you are trying to submit a new project that needs an official approval
decision.
Pre -Application Submittal - Please check the pre -application submittal if you just want feedback on your submittal and
do not have the expectation that your submittal will be considered a complete application requiring a formal decision.
More Information Response - Please check this type if you are responding to a request for information from staff and
you have and ID# and version for this response.
Other Agency Comments - Please check this if you are submitting comments on an existing project.
Project Contact Information
..........................................................................................................................................................................................................................................................................................................................................................................................
Name: Daniel Reese
Who is subrritting the information?
Email Address: [e-mail]
Project Information
...................................................................................................................................................
Project Name: Rollins River
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
County (ies)
Buncombe
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach docurrent
05142019091058-D00051419 (1).pdf 3.51 MB
Only pdf or lqm files are accepted.
Describe the attachments:
pcn
V By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this 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 online form."
Signature:
Submittal Date: Is filled in automatically.

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2409
Pro -Construction Notification (PCN) Poral
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the Corps: Section 404 Permit [] Section 10 Permit
1b. Specify Nationwide Permit (NWP) number. 13 or General Permit {GP) number:
1c. Has the NWP or GP number been verified by the Corps? ® Yes No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 441 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
because written approval is not required?
For the record only for DWQ
401 Certification:
[ Yes No
For the record only for Corps Permit:
Yes i 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
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
Yes es No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
® Yes Q No
2. project information
2a. Name of project:
(( h r r e ,
2b. County:,��'
a 15 C3 s r Z �
2c. Nearest municipality 1 town:
��`i � 4.1, lax, , n tr�
2d. Subdivision name.
2e. NCDOT only, T.I.P. or state project no:
LV_1l t ` C - Z Jll
13. Owner Information
3a. Name(s)on Recorded Deed:
n .i o si L-k_r
3b. Deed Book and Page No.
a 15 C3 s r Z �
3c. Responsible Party (for LLC if
applicable):
dress:
e, zip:
LV_1l t ` C - Z Jll
MTelephone
e no.:ress:
I>1rCif liYlClCcrJ C i1 �� , CUr�
Mage 1 of 10
PCN Form -- Version 1.4 January 2009

4. Applicant Information (if different from owner) 5,ZM �, CL Z5 Dwyni— hi3yryam :k_'J JV-e ;
4a. Applicant is:
❑ Agent Other, specify: Ljl,,) q e(
4b. Name:�
i� rl.ta -plot ,�"�S • �c.�� VZ a rvs
4c. Business name
(if applicable):
4d. Street address:
( (} (") 7,011
4e. City, state, zip:
r1 1 V1, 1d f\.,f C_
4f. Telephone no.:�
4g. Fax no.:
4h. Email address:
j i`r? dj,-r/; it i rly-, i C� ,r,%
5. AgentlConsultant Information (if applicable) Z
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
vg. Email address:
Wage 2 of 10

S. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):(�
[ •- - d T30 - 00 C}C0
1 b. Site coordinates (in decimal degrees):
F Latitude: 35.604065 Longitude: -82.32428
1 c. Property size: Cr
acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Swannanoa River
2b. Water Quality Classification of nearest receiving water:
2c. River basin;
t=rench Broad
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:
CVee- ( �� ��- � LV �-`t'sV7� C}� �Q1'1 �� �L+�I {.4t I T1'11 r-1 � ` � -"5'--j' G� � it E$I,1i �'C— .
3b. List the total estimated acreage of all existing wetlands on the property: 0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d. Explain the purpose of the proposed project: ���� f ���� jZ j �,� -1-0 oili n o, . 15`k,fe-,
3e. Describe the overall project in detail, including the type of equipment to be used:
4. Jurisdictional Determinations
4a. Have jurisdictional wetlandor stream determinations by the
Corps or State been requested or obtained for this property /
project (includingall riot phases)in the past?
Yes ❑ No ❑ {unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
0 Preliminary ❑ Final
4c. If yes, who delineated the ju risdictional areas?
Name (if known): I
Agency/Consultant Company:
Other:
4d. If yes, Ilst the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Amanda Jones with USACE visited the site on 08/06/18
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes Q No © Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Pians
ea. Is this a phased project? ❑ Yes ❑ No
eb. If yes, explain.
Page 3 of 10
PCN Form - Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands Q 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.
Wetiand impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d.
f=orested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 -
Choose one
Choose one
Yes/No
-
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
-
W4 _
Choose one
Choose one
Yes/No
-
W6 -
Choose one
Choose one
Yes1No
-
W6 -
Choose one
Choose one
YeslNo
-
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.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
u
3d.
Perennial (PFR) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g•
Impact
length
(linear
feet)
S1 P
Stabilization
.Fle!@roek
PER
Corps
14S: -
82 -
S2
Choose one
-
-
S3 -
Choose one
-
-
S4 -
Choose one
-
-
S5 -
Choose one
-
-
S6 -
Choose one
-
-
3h. Total stream and tributary Impacts
r
3i. Comments:` +- n ; a
bank rebuilding/stabilization �O� ax Mon 0 WvP,.. tarW, voLk.. 444-eY" 0 UA ict � ^
"�Vfo YcboAru-4 9O f"J- JWO+UwOw-of off' Wt`d.GS� `eoia`l+' a;^of "WJL
'fix S �lJ UAO S iy JL" -41- AMA Clow nsh/'A h-&1 t >4-4k'L .
Page 4 of 10
PCN Form — Version 1.4 January 2009

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
Area of impact (acres)
Permanent (P) or
type
Temporary T
01 _
Choose one
Choose
O2
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water Impacts
4g. Comments:
S. pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
5b,
5c. 5a. 5e.
Pond ID number
Proposed use or
Wetland Impacts (acres) Stream Impacts (feet) Upland
purpose of pond
(acres)
Flooded
Filled
Excavated Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g, Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
51. 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 any impacts re ulre mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico [] Catawba ❑ Randleman ❑ Other:
6b.
6c.
6d.
6e.
6f.
69.
Buffer Impact
Reason for impact
Stream name
Buffer
Zone 1
Zone 2
number --
mitigation
impact
impact
Permanent (P) or
required?
(square
(square
Temporary
feet
feet
B1 -
Yes/No
B2 -
Yes/No
B3 -
Yes/No
B4 -
Yes/No
B5
Yes/No
B6 -
Yes/No
6h. Total Buffer impacts:
61. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. 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
project?
❑ Mitigation batik
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete If Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
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:
Choose one
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 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) —required by ®WQ
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 none of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.6
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 7 of 10

E.
Stormwater.Manegement and Diffuse Flow Plan (required by DWQ)
1.
Diffuse f=low 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 Q No
1b. If yes, then is a diffuse flow plan included? if no, explain why.
❑ Yes ❑ No
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
2b,
Does thisro'ect require a Stormwater Mana ement: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:
2e.
Who will be responsible for the review of the Stormwater Management Plan?
3.
Certified Local Government Stormwater Review
3a. In which local overnment's jurisdiction is thisproject?
3b.
Which of the following locally-implemented stormwater management programs
apply (check all that apply):
❑ Phase II
❑ NSW
USMP
H Watery Supply Watershed
0 Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
attached?
[]Yes ❑ No
4. DWQ Stormwater Program Review
4a.
Which of the following state-implemented stormwater management programs applyBSession
(check all that apply).
[]Coastal counties
❑HQW
ORW
Law 2006-246
[]Other:
4b,
Has the approved Stormwater Management Pian 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 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federalfstate/focal) funds or the
Yes
® No
use of public (federallstate) land?
1b.
If you answered "yes" to the above, does the project require preparation of an
[]Yes
environmental document pursuant to the requirements of the National or State
No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
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
O 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 28.0206)1
2b.
Is this an after -the -fact permit application?
❑Yes
O 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 9 of 10
PCN f=orm — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
D Yes No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
® Yes 0 No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
USACE information
fi. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
El Yes Q No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
USAGE information
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
® 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?
USAGE information
8. Flood zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
CkYes No
8b. If yes, explain how project meets FEMA requirements:
W %k t n e.2d g�-4- 6 .a.r "Q-� - Fri-c•� u.,� c c. Guu.,►�A
p aal 1.
8c. What source(s) did you use to make the floodplain determination?
�j•fl/''1. ��llt�
�� � �`
��►VIl i
ApplicanVAgent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant isprovided.)
Page 10 of 10

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