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HomeMy WebLinkAbout20040529 Ver 1_COMPLETE FILE_20040405oF wArFgQ? ? r Q Y Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan Klimek, P.E., Director Division of Water Quality Coleen H. Sullins, Deputy Director Division of Water Quality April 14, 2004 DWQ # 04-0529 Mecklenburg County CERTIFIED MAIL - RETURN RECEIPT REQUESTED Mr. Ali Bahmanyar 2015 Springdale Avenue Charlotte, NC 28203 Dear Mr. Bahmanyar: On April 5, 2004 the Division of Water Quality (DWQ) was notified by receipt of your application regarding your plan to fill wetlands or waters for the purpose of redevelopment of single-family apartments in Mecklenburg County. Approval from DWQ is required to disturb these areas. Please provide 7 copies of the following information and refer to the DWQ # listed above in your reply. Please show these on maps of suitable scale (for instance 1" = 100 feet) so we can begin to determine your projects' compliance with 15A NCAC 2H .0500. Please provide details for the stormwater management practices as required by this Certification. We believe that a bio retention area maybe most appropriate for this site. Please telephone John Dorney at 919-733-9646 if you have any questions or would require copies of our rules or procedural materials. This project will remain on hold as incomplete in accordance with 15A NCAC 2H.0505(c). The processing time for this application will begin when this information is received. If we do not hear from you by writing or by fax at (919) 733-6893 within three (3) weeks we will assume you no longer want to pursue the project and will consider it withdrawn. JRD/bs cc: Mooresville DWQ Regional Office Asheville Corps of Engineers Central Files File Copy j_Z? n R. Dorney Water Quality C rtification Program 4% N. C. Division of Water Quality, 401 Wetlands Certification Unit, 1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address) 2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location) (919) 733-1786 (phone), 919-733-6893 (fax), (h1W://h2o.enr.state.nc.us/ncwetlands) Customer Service #: 1-877-623-6748 I Environmental Design & Consulting January 19, 2004 Mr. John Domey 2321 Crabtree Blvd. Suite 250 Raleigh, NC 27604 Subject: PCN & Request for 404/401 for a parcel redevelopment with culvert installation, Bahmanyar Property, Charlotte, Mecklenburg County, North Carolina Dear Mr. Chapin, I have enclosed a PCN Form along with Stream forms, plans, maps and photos. This site is a simple 0.39 acre single family lot. Most detail is readily apparent from the GIS aerial. It has no wetlands and the channel is perrenial. The property owner is redeveloping this property that requires a new building with a larger footprint. Please see the attached exhibits. have sent seven copies via certified mail for your use. You may send me an e-mail to Chris EstesDesign.com or contact me at (704) 841- 1779 to set up a site visit. Sincerely, EChristopher J. Estes, RLA, ASLA Landscape Architect, N. C. & S.C. Enclosure; Cc. FILE W FT1'dNOS140a G80,,, '' A Pp (? T_ )004 WqR QUq?lTySE C770N P.O. Box 79133 Charlotte NC. 28271 / Phone 704-841-1779 , ?O'1? 0 OF W ATF9 QG 77 r War ' `C Pre-Construction Notification (PCN) Application Form For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401 General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE) Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's (DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401 Water Quality Certification. The USACE Individual Permit application form is available online at http://www.saw.usace. armymiI/wetlands/Perm app.htm. The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide, Regional or General permits, and to determine which permit applies to your project, please go to the USACE website at littp://www.saw.usace.anny.mil/wetlands/regtour.litin, or contact one of the field offices listed at the end of this application. The website also lists the responsible project manager for each county in North Carolina and provides additional information regarding the identification and regulation of wetlands and waters of the U.S. The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant which 401 Certification will apply until the 404 Permit type has been determined by the USACE. Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at 11 ttp://h2 o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The applicant is also advised to read the full text of the General Certification (GC) matching the specific 404 Permit requested. In some cases, written approval for some General Certifications is not required, provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should contact DWQ's Central Office in Raleigh at (919) 733-1786. Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC regional coordinator (listed by county on the last page of this application). Page 1 of 12 CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on the last page of this application) the applicant should also contact the North Carolina Division of Coastal Management (DCM) at (919) 733-2293. DCM will determine whether or not the project involves a designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate the 404/401 Permits. USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms, photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this application). Upon receipt of an application, the USACE will determine if the application is complete as soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant to address information needs for all USACE Nationwide, Regional or General permits, as well as information required for State authorizations, certifications, and coordination. Fully providing the information requested on this form will result in a complete application for any of the USACE Nationwide, Regional or General permits. To review the minimum amount of information that must be provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893 (March 9, 2000), available at http://www saw.usace.army.iniI/wetlands/nw_pfinaIFedReg_pdf. Processing times vary by permit and begin once the application has been determined to be complete. Please contact the appropriate regulatory field office for specific answers to permit processing periods. 401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE Permit materials to the Division of Water Quality, 401 /Wetlands Unit, 1650 Mail Service Center, Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401 Certification, then a non-refundable application fee is required. In brief, if project impacts include less than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is required. A check made out to the North Carolina Division of Water Quality, with the specific name of the project or applicant identified, should be stapled to the front of the application package. For more information, see the DWQ website at http://h2o.elinr.state.nc.us/ncwetlands/fees.html. The fee must be attached with the application unless the applicant is a federal agency in which case the check may be issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules, the application fee does not apply, and the applicant should clearly state (in a cover letter) that only Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional requested information, or denial. Page 2 of 12 Office Use Only: Form Version April 2001 USACE Action ID No. DWQ No. If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than leaving the space blank. 1. Processing 1. Check all of the approval(s) requested for this project: ® Section 404 Permit ? Section 10 Permit N 401 Water Quality Certification ? Riparian or Watershed Buffer Rules 2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39 If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (see section VIII Mitigation), check here: ? II. Applicant Information 1. Owner/Applicant Information Name: Mr. Ali Bahmanyar Mailing Address: 2015 Springdale Ave. Charlotte NC 28203 Telephone Number: Fax Number: '7 V* V7 11 E-mail Address: N/A Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: Christopher J. Estes Company Affiliation: Estes Design Inc. Mailing Address: P.O. Box 79133 Charlotte, NC 28271 Telephone Number: (704) 841-1779 Fax Number: Same E-mail Address: chrisAEstesDesign.com Page 3 of 12 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than I l by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: 2015 Springdale Culvert 2. T.I.P. Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 12109201 4. Location County: Mecklenburg Nearest Town: Charlotte Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): See attached location map. 5. Site coordinates, if available (UTM or Lat/Long): 35-12197N, 80-12'19"W (Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) 6. Describe the existing land use or condition of the site at the time of this application: Sin le Family Residence 7. Property size (acres): .39 ac. 8. Nearest body of water (stream/river/sound/ocean/lake): Dairy Branch 9. River Basin: Catawba (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at http://li2o.enr.state.nc.us/admin/maps/.) Page 4 of 12 10. Describe the purpose of the proposed work: Private property culvert installation for property redevelopment from single-family to apartments 11. List the type of equipment to be used to construct the project: bulldozer trackhoe & road grader 12. Describe the land use in the vicinity of this project: Single-family IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. V. Future Project Plans Are any additional permit requests anticipated for this project in the future? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application: NA VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. The applicant must also provide justification for these impacts in Section VII below. All proposed impacts, permanent and temporary, must be listed herein, and must be clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream Page 5 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Wetland Impacts Wetland Impact Site Number indicate on ma Type of Impact* Area of Impact acres Located within 100-year Floodplain** es/no Distance to Nearest Stream linear feet Type of Wetland*** N/A * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. ** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online at http://www.fcma.gov. *** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) List the total acreage (estimated) of existing wetlands on the property: Total area of wetland impact proposed: 2. Stream Impacts, including all intermittent and perennial streams Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? lease specify) I Fill (culvert) 70' Unnamed tributary 5.5 perennial * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included. ** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at www.usks.gov. Several internet sites also allow direct download and printing of USGS maps (c.g., www.topozone.com. www.mapguest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 95' Page 6 of 12 Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any other Water of the U.S. Open Water Impact Site Number indicate on ma Type of Impact* Area of Impact acres Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc. N/A * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging, flooding, drainage, bulkheads, etc. 4. Pond Creation If construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ? uplands ? stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. Property owner is converting their building & property from single family unit to apartments. Design consists of Eliptical pipe to be installed at existing grade of channel bottom. End walls and pipe equal 70 if of impact. Page 7 of 12 VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at http://h2o.enr.state.nc.us/ncwetlands/stnngide.htin1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. The pipe will be an extension of existing storm water system. Pool will be excavated at outlet end for energy dissipation and habitat. Soil bio-engineering will be used at outlet stream Page 8 of 12 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that you would like to pay into the NCWRP. Please note that payment into the NCWRP must be reviewed and approved before it can be used to satisfy mitigation requirements. Applicants will be notified early in the review process by the 401/Wetlands Unit if payment into the NCWRP is available as an option. For additional information regarding the application process for the NCWRP, check the NCWRP website at http://1,20.enr.state.nc.us/wM/index.htin. If use of the NCWRP is proposed, please check the appropriate box on page three and provide the following information: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Amount of Coastal wetland mitigation requested (acres): IX. Environmental Documentation (DWQ Only) Does the project involve an expenditure of public funds or the use of public (federal/state/local) land? Yes ? No ? If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No ? If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No ? X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. Page 9 of 12 Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No ? If you answered "yes", provide the following information: Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. Zone* Impact (square feet Multiplier Required Miti ation 1 3 2 1.5 Total * Zone I extends out 30 feet perpendicular from near bank of channel: Zone 2 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. XI. Stormwater (DWQ Only) Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. XII. Sewage Disposal (DWQ Only) 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. XIII. Violations (DWQ Only) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules? Yes ? No Page 10 of 12 Is this an after-the-fact permit application? Yes ? No XIV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). (ic-l Applicant/Agent's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union US Army Corps of Engineers Avery Clay Jackson Polk Watauga 151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey Room 208 Burke Gaston Macon Rutherford Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley Telephone: (828) 271-4854 Caldwell Haywood McDowell Swain Fax: (828) 271-4858 Catawba Henderson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin 6508 Falls of the Neuse Road Ashe Franklin Nash Surry Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Granville Orange Wake Telephone: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Office Beaufort Currituck Jones Pitt US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell Post Office Box 1000 Camden Gates Martin Washington Washington, NC 27889-1000 Carteret* Green Pamlico Wayne Telephone: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 Craven Hyde Perquimans *Croatan National Forest Only Wilmington Regulatory Field Office Anson Duplin Onslow US Army Corps Of Engineer; Bladen Harnett Pender Page 11 of 12 Post Office Box 1890 Brunswick Hoke Richmond Wilmington,NC 28402-1890 Carteret Montgomery Robeson Telephone: (910) 251-4511 Columbus Moore Sampson Fax: (910) 251-4025 Cumberland New Hanover Scotland US Fish and Wildlife Service / National Marine Fisheries Service US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service Raleigh Field Office Asheville Field Office Habitat Conservation Division Post Office Box 33726 160 Zillicoa Street Pivcrs Island Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516 Telephone: (919) 856-4520 Telephone: (828) 665-1195 Telephone: (252) 728-5090 North Carolina State Agencies Division of Water Quality 401 Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Telephone: (919) 733-1786 Fax: (919) 733-9959 Division of Water Quality Wetlands Restoration Program 1619 Mail Service Center Raleigh, NC 27699-1619 Telephone: (919) 733-5208 Fax: (919) 733-5321 State Historic Preservation Office Department Of Cultural Resources 4617 Mail Service Center Raleigh, NC 27699-4617 Telephone: (919) 733-4763 Fax: (919) 715-2671 CAMA and NC Coastal Counties Division of Coastal Management Beaufort Chowan Hertford Pasquotank 1638 Mail Service Center Bertie Craven Hyde Pender Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans Telephone: (919) 733-2293 Camden Dare Onslow Tyrrell Fax: (919) 733-1495 Carteret Gates Pamlico Washington NCWRC and NC Trout Counties Western Piedmont Region Coordinator Alleghany Caldwell Watauga 3855 Idlewild Road Ashe Mitchell Wilkes Kemersville, NC 27284-9180 Avery Stokes Telephone: (336) 769-9453 Burke Surry Mountain Region Coordinator Buncombe Henderson Polk 20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford Waynesville, NC 28786 Clay Macon Swain Telephone: (828) 452-2546 Graham Madison Transylvania Fax: (828) 506-1754 Haywood McDowell Yancey Page 12 of 12 an%& Q2dW 'S*W NCDWQ Stream Classification Form Environmental Design & Consulting P.O. Box 79133 Charlotte, N.C. 28271 Stream # I Project Name: Springdale Ave. River Basin: Lower Catawba County: Mecklenburg EN-111-r- CIF DWQ Project Number: Nearest Named Stream: NA Latitude: 35.12.19 N Signature: 4 ?tl Date: 2/11/04 USGS QUAD: Charlotte Longitude: 80.51.17 W Location/linecuons. UlMonn vie%%s ut & Springdale 'PLEASE NOTE: If evaluator and landowner agree that the feature is a man-made ditch, then use of this form is not necessary. Also, if in the best professional judgement of the evaluator, the feature is a man-made ditch and not a modified natural stream-this rating system should not be used* Primary Field Indicators: (Circle One Number Per Line) I Geomor0oloey Absent Weak Moderate Strone 1) Is There A Riffle-Pool Sequence'? 0 I 3 2) Is The USDA Texture In Streambed Different From Surrounding Terrain? 0 1 ' 3 _ 3) Are Natural Levees Present'?_ 3 4) Is The Channel Sinuous'? 0 1 2 3 5) Is There An Active (Or Relic) 9) Is A Continuous Bed & Bank Present? 0 I 2 igg And WITHOUT Siftuosity Then Scot e_ 0') - - -- - (*NOTE: /Bed &14 ank Causes! 13y Ditch 10) Is A 2"d Order Or Greater Channel (As Indicated On Tono Man And/Or In Field) Present'? _ W3 No-0 PRIMARY GEOMORPHOLOGYINDICA TOR POINTS: 12 II Hydrolozy Absent Weak Moderate Strony. 1) Is There A Groundwater Flow/Discharge Present? 0 1 2 PRIMARY HYDROLOGYINDICA TOR POINTS:-3- 4) Are Bivaly PRIMARY BIOLOGY INDICATOR POINTS: 7 Secondary Field Indicators: (Circle One Number Per Line) 3) Does Topography Indicate A Natural Drainage Way? 0 .5 SECONDARY GEOMORPHOLOGYINDICA TOR POINTS. -4 II Hydrology Absent Weak Moderate Strong 1) Is This Year's (Or Last's) Leaflitter i) Are Wrack Lines Present'? 0 .5 ] 1.5 4) Is Water In Channel And >48 l Irs. Since 0 .5 1 N Last Known Rain? ('NOTE IfDitch Indicated In #9 Above Skip This Step And #5 Below') 5) Is There Water In Channel Dnring Dry 0 15 1 Conditions Or In Growing Season)? 6) Are l lvdric Soils Present In Sides Of Channel (Or In I teadcnt)? -1.5 No-0 SECONDARYHYDROLOGYINDICA TOR POINTS: 6.5 TOTAL POINTS (Primary + Secondary)=38. S ( Greater Than Or Equal To 19 Points The Stream Is At Leact Intermittent) 8) Are Wetland Plants In Streambed? SAV Mostly OBL Mostly FACW Mostly FAC Mostly FACU Mostly UPL (' NOTE. If Total Absence Of All Plants In Streambed 2 1 .75 .5 0 0 As Noted Above Skip This Step UNLESS SAV PresenP) SECONDARYBIOLOGYINDICA TOR POINTS: 6.0 Location Fam" 02" Im Springdale Ave. Project Z%-W. I City of Charlotte Environmental Design & Consulting P.O. Box 79133 Charlotte, NC 28271 Mecklenburg County, N.C. Estm Q2MM bic Environmental Design & Consulting P.O. Box 79133 Charlotte, NC 28271 ngdale Ave. Project Site ?Mm of Charlotte rg County, N.C. MN'11'I p S 1 MlE r ??p00 ?EEt 0 ty IOpO p?TERS Pm W 8om TOPO! 0=1 HdimW Owgapik Habhr (www.topo.com) ?I _ 121692W "POO 12109331 ` Y Ilyf .?. d kae_ f.. ?'t y?g { GIS Aerial Environmental Design & Consulting 41 P.O. Box 79133 Charlotte, NC 28271 7?e dale Ave. Proj ect Site Charlotte S nburg County, N.C. Mecklenburg County, NC Polaris Page 1 of 1 Mecklenburg County, North Carolina POLARIS Parcel Ownership and GIS Summary Date and Time: 1211612003 9:45.10 PM Parcel ID #. 12109201 GIS ID #: 12109201 Building Photography Owner Name: ALIS PROPERTIES LLC PHOTO #1 ti 2015 SPRINGDALE AV L Mailing Address: 2015 SPRINGDALE AV CHARLOTTE, NC 28203 oca on: r' Propert y Characteristics '?. „. Legal Desc.: L17 & 18 P16 B69 M332-214 Land Area: 2 LT Fire District: 00-CITY OF CHARLOTTE Special District: N/A Y Account Type: NC CORP Municipality: 1-CHARLOTTE Property Use: SINGLE-FAM Deed Reference(s) and Sales Price 16421-481 (11/11/2003) $0.00 16416-358 (11/10/2003) $320,000.00 03235-431 (12/18/1970) $0.00 Information contained within this photo may be used as a visual aid and to generally locate, identify, and inventory parcels in Mecklenburg County, North Carolina. There are inherent errors and limitations associated with this type of electronic medium. Mecklenburg County cannot warrant or guarantee the information contained herein including but not limited to its accuracy or completeness. Situs Addresses Tied to This Parcel 2015 SPRINGDALE AV Powered by Site Location Information C me meetiwA p Zoning Boundaries: Contact Appropriate Planning Department or See Map. i County ETJ Area: CHARLOTTE GIs 6/30/03 Charlotte Annexation: NO Charlotte Historic Districts: YES r ril?nrjrhirlnlivmarnrr .?'tnr,rwr Census Tract #: 34 v Parcel Falls Inside SWIM Buffer?: NO FEMA Flood Information FEMA Panel #: 3701590013B FEMA Flood Zone: OUT FEMA Panel Date: 03/02/93 Regulated Watershed Information Watershed Name: UPPER LITTLE SUGAR Watershed Class: he information provided by this program is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded eeds, plats, tax maps, surveys, and other public records and data. Users of this map data are hereby notified that the aforementioned public rimary information sources should be consulted for verification of the information. Mecklenburg County and its mapping contractors assume no al responsibility for the information contained herein. http://maps2.co.mecklenburg.nc.uslwebsitelrealestatelParcelDetailsPhotoReport.asp 12/16/2003 1 ww" NOT t0 S LE Ov2?? ?6?? 0 "fPoPE elf / '- M ---' ?9 ?OV q• ? JJ\ '6. 00 / alt / /.. \ %C) GAS c i T % HEAD WA! \ '. Bim. Pg+E \ \? ` f I I \ ? ` i$? I Proposed i / 70 If of \ Pipe y ? \ r fi ti13 tC p0 619' ?4 99 i.• PPE s iTREBAR 1 ?. \ X00 \ % \ i ?6 \ 1'1? N/f' NAPA ONA'6911N17 t TIIDRNWN !R DB 2I63-63 G? /6r NEW #" mm Pr PW /am u PLAT MKOW AKA C M N 1 N: E . \ NICM 4r O DO, YIdILM COM RICdOID. a UAP YN BOOK ifY PACE HI \ NOTES r. sw.trr mACrPAACn rtroYYO+ GRAPHIC SCALE 7 MS nr0°tRn'YAr K sw.(Cr m ARY t4swwS OP NOVr-d-m s O Is 30 60 I hO vW Y?RA(Rr r tm wmN YCW' A AAYA CUYMrNF6 BY CO T"AR AN AND. ZV"r MAor 9 NOr LOCARO N A p[HAt n000 MW AS PIR SCALE IN FEET Irw nO» nun J7&9#60J 6 DARO jAtl/TOYJ R RAT XWWr a W AN E= P44M Or lAW AM VMS NOr O AIF A MW SMUr 61 014W AND MAW SWU r I. A(1 SVSIANCtS WOOM ARF hU Z0Wft YFAXONNNM PREPARED MR. ALI BAHMANYAR A SURVEY Or 1 , . Wy 1Ml Ya M« .w d ? w my w wAMSn ban Nn 2015 SPRlNGDALE AVE. Plat with proposed development and pipe EatmNSWIm Springdale Ave. Project Site M??Pp City of Charlotte Environmental Design 8 Consulting Mecklenburg County, N.C. P.O. Box 79133 Charlotte, NC 28271 Eat" REM In& Environmental Design & Consulting January 19, 2004 Mr. John Domey 2321 Crabtree Blvd. Suite 250 Raleigh, NC 27604 WE71ANDS/401 GROUP APR 0 5 2004 WATER QUALITY SECTION Subject: PCN & Request for 404/401 for a parcel redevelopment with culvert installation, Bahmanyar Property, Charlotte, Mecklenburg County, North Carolina Dear Mr. Chapin, I have enclosed a PCN Form along with Stream forms, plans, maps and photos. This site is a simple 0.39 acre single family lot. Most detail is readily apparent from the GIS aerial. It has no wetlands and the channel is perrenial. The property owner is redeveloping this properly that requires a new building with a larger footprint. Please see the attached exhibits. have sent seven copies via certified mail for your use. You may send me an e-mail to Chris a-)EstesDesign.com or contact me at (704) 841- 1779 to set up a site visit. Sincerely, (IL. ll? if, Christopher J. Estes, RLA, ASLA Landscape Architect, N. C. & S.C. Enclosure; Cc. FILE P.O. Box 79133 Charlotte NC. 28271 / Phone 704-841-1779 t M? OF WATER QG y r Pre-Construction Notification (PCN) Application Form For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401 General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE) Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's (DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401 Water Quality Certification. The USACE Individual Permit application form is available online at http://www.saw.usace.arrny.mil/wetlands/Perm app.htm. The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide, Regional or General permits, and to determine which permit applies to your project, please go to the USACE website at http://www.saw.usace.army.mil/wetiands/regtour.htm, or contact one of the field offices listed at the end of this application. The website also lists the responsible project manager for each county in North Carolina and provides additional information regarding the identification and regulation of wetlands and waters of the U.S. The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant which 401 Certification will apply until the 404 Permit type has been determined by the USACE. Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at http//h2 o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The applicant is also advised to read the full text of the General Certification (GC) matching the specific 404 Permit requested. In some cases, written approval for some General Certifications is not required, provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should contact DWQ's Central Office in Raleigh at (919) 733-1786. Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC regional coordinator (listed by county on the last page of this application). Page 1 of 12 CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on the last page of this application) the applicant should also contact the North Carolina Division of Coastal Management (DCM) at (919) 733-2293. DCM will determine whether or not the project involves a designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate the 404/401 Permits. USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms, photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this application). Upon receipt of an application, the USACE will determine if the application is complete as soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant to address information needs for all USACE Nationwide, Regional or General permits, as well as information required for State authorizations, certifications, and coordination. Fully providing the information requested on this form will result in a complete application for any of the USACE Nationwide, Regional or General permits. To review the minimum amount of information that must be provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893 f. (March 9, 2000), available at http://www.saw.usace.army.mil/wetlands/nwpfinalFedRe.g.Rd Processing times vary by permit and begin once the application has been determined to be complete. Please contact the appropriate regulatory field office for specific answers to permit processing periods. 401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center, Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401 Certification, then a non-refundable application fee is required. In brief, if project impacts include less than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is required. A check made out to the North Carolina Division of Water Quality, with the specific name of the project or applicant identified, should be stapled to the front of the application package. For more information, see the DWQ website at http://h2o.ehnr.state.nc.us/ncwetlands/fees.html. The fee must be attached with the application unless the applicant is a federal agency in which case the check may be issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules, the application fee does not apply, and the applicant should clearly state (in a cover letter) that only Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional requested information, or denial. Page 2 of 12 Office Use Only: Form Version April 2001 USACE Action ID No. DWQ No. If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than leaving the space blank. 1. Processing 1. Check all of the approval(s) requested for this project: N Section 404 Permit ? Section 10 Permit N 401 Water Quality Certification ? Riparian or Watershed Buffer Rules 2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: N 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (see section VIII Mitigation), check here: ? II. Applicant Information 1. Owner/Applicant Information Name: Mr. Ali Bahmanyar Mailing Address: 2015 Springdale Ave Charlotte NC 28203 Telephone Number: Fax Number: CY `l 2 I E-mail Address: N/A 2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: Christopher J Estes Company Affiliation: Estes Design Inc Mailing Address: P.O. Box 79133 Charlotte NC 28271 Telephone Number: (704) 841-1779 Fax Number: Same E-mail Address: chris EstesDesign com Page 3 of 12 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: 2015 Springdale Culvert 2. T.I.P. Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 12109201 4. Location County: Mecklenburg Nearest Town: Charlotte Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): See attached location map. 5. Site coordinates, if available (UTM or Lat/Long): 35-12'19"N, 80-12'19"W (Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) 6. Describe the existing land use or condition of the site at the time of this application: Single Family Residence 7. Property size (acres): .39 ac. 8. Nearest body of water (stream/river/sound/ocean/lake): Dairy Branch 9. River Basin: Catawba (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at littp://112o.enr.state.nc.us/admin/maps/.) Page 4 of 12 10. Describe the purpose of the proposed work: Private property culvert installation for property redevelopment from single-family to apartments 11. List the type of equipment to be used to construct the project: bulldozer trackhoe & road grader 12. Describe the land use in the vicinity of this project: Single-family IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. NA V. Future Project Plans Are any additional permit requests anticipated for this project in the future? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application: NA VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. The applicant must also provide justification for these impacts in Section VII below. All proposed impacts, permanent and temporary, must be listed herein, and must be clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream Page 5 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Wetland Impacts Wetland Impact Site Number indicate on ma Type of Impact* Area of Impact acres Located within 100-year Floodplain** es/no Distance to Nearest Stream linear feet Type of Wetland*** N/A * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. ** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online at http://www.1ema.gov. *** List a wetland type that best describes wetland to he impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) List the total acreage (estimated) of existing wetlands on the property: Total area of wetland impact proposed: 2. Stream Impacts, including all intermittent and perennial streams Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) 1 Fill (culvert) 70' Unnamed tributary 5.5 perennial * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included ** Stream names can be found on USGS topographic maps. If a stream has no time, list as UT (unnamed tributary) to the nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at www.us9s.9ov. Several internet sites also allow direct download and printing of USGS maps (e.g.. www.topozone.eom. www.inapaucst.com. etc.). Cumulative impacts (linear distance in feet) to all streams on site: 95' Page 6 of 12 Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any other Water of the U.S. Open Water Impact Site Number indicate on ma Type of Impact* Area of Impact acres (if Name applicable) Wat) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc. N/A * List each impact separately and identify temporary impacts. Impacts mctuae, out are not iumieu to. li,,, excavau0111, w r-r , flooding, drainage, bulkheads, etc. 4. Pond Creation If construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ? uplands ? stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. Property owner is converting their building _& property from single family unit to apartments. Design consists of Eliptical pipe to be installed at existing grade of channel bottom. End walls and pipe equal 701f of impact Page 7 of 12 VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at littp://h2o.enr.state.nc.us/ncwetlands/stnngide.html. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. The pipe will be an extension of existing storm water system. Pool will be excavated at outlet end for energy dissipation and habitat. Soil bio-engineering, will be used at outlet stream banks. Page 8 of 12 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that you would like to pay into the NCWRP. Please note that payment into the NCWRP must be reviewed and approved before it can be used to satisfy mitigation requirements. Applicants will be notified early in the review process by the 401/Wetlands Unit if payment into the NCWRP is available as an option. For additional information regarding the application process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCWRP is proposed, please check the appropriate box on page three and provide the following information: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Amount of Coastal wetland mitigation requested (acres): IX. Environmental Documentation (DWQ Only) Does the project involve an expenditure of public funds or the use of public (federal/state/local) land? Yes ? No ? If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No ? If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No ? X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. Page 9 of 12 Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No ? If you answered "yes", provide the following information: Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. * Zone Impact (square feet Multiplier Required Mitigation 1 3 2 1.5 Total • Zone I extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. XI. Stormwater (DWQ Only) Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. XII. Sewage Disposal (DWQ Only) 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. XIII. Violations (DWQ Only) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules? Yes ? No Page 10 of 12 Is this an after-the-fact permit application? Yes ? No XIV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). (ic- Applicant/Agett's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union US Army Corps of Engineers Avery Clay Jackson Polk Watauga 151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey Room 208 Burke Gaston Macon Rutherford Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley Telephone: (828) 271-4854 Caldwell Haywood McDowell Swain Fax: (828) 271-4858 Catawba Henderson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin 6508 Falls of the Neuse Road Ashe Franklin Nash Sung Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Granville Orange Wake Telephone: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Office Beaufort Currituck Jones Pitt US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell Post Office Box 1000 Camden Gates Martin Washington Washington,NC 27889-1000 Carteret* Green Pamlico Wayne Telephone: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 Craven Hyde Perquimans *Croatan Nati onal Forest Only Wilmington Regulatory Field Office Anson Duplin Onslow US Army Corps Of Engineers Bladen Harnett Pender Page 11 of 12 Post Office Box 1890 Brunswick Hoke Richmond Wilmington, NC 28402-1890 Carteret Montgomery Robeson Telephone: (910) 251-4511 Columbus Moore Sampson Fax: (910) 251-4025 Cumberland New Hanover Scotland US Fis US Fish and Wildlife Service Raleigh Field Office Post Office Box 33726 Raleigh, NC 27636-3726 Telephone: (919) 856-4520 h and Wildlife Service / National M US Fish and Wildlife Service Asheville Field Office 160 Zillicoa Street Asheville, NC 28801 Telephone: (828) 665-1195 arine Fisheries Service National Marine Fisheries Service Habitat Conservation Division Pivers Island Beaufort, NC 28516 Telephone: (252) 728-5090 North Carolina State Agencies Division of Water Quality 401 Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Telephone: (919) 733-1786 Fax: (919) 733-9959 Division of Water Quality Wetlands Restoration Program 1619 Mail Service Center Raleigh, NC 27699-1619 Telephone: (919) 733-5208 Fax: (919) 733-5321 CAM[A and NC Coastal Counties State Historic Preservation Office Department Of Cultural Resources 4617 Mail Service Center Raleigh, NC 27699-4617 Telephone: (919) 733-4763 Fax: (919) 715-2671 Division of Coastal Management Beaufort Chowan Hertford Pasquotank 1638 Mail Service Center Bertie Craven Hyde Pender Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans Telephone: (919) 733-2293 Camden Dare Onslow Tyrrell Fax: (919) 733-1495 Carteret Gates Pamlico Washington NCWRC and NC Trout Counties Western Piedmont Region Coordinator Alleghany Caldwell Watauga 3855 Idlewild Road Ashe Mitchell Wilkes Kemersville, NC 27284-9180 Avery Stokes Telephone: (336) 769-9453 Burke Surry Mountain Region Coordinator Buncombe Henderson Polk 20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford Waynesville, NC 28786 Clay Macon Swain Telephone: (828) 452-2546 Graham Madison Transylvania Fax: (828) 506-1754 Haywood McDowell Yancey Page 12 of 12 ?ltM DI" "Mallllp NCDWQ Stream Classification Form Environmental Design & Consulting P.O. Box 79133 Charlotte, N.C. 28271 Stream # 1 Project Name: Springdale Ave. River Basin: Lower Catawba County: Mecklenburg rsiaiiia?nr rig DWQ Project Number: Nearest Named Stream: NA Latitude: 35.12.19 N Signature: i " Date: 2/11/04 USGS QUAD: Charlotte Longitude: 80.51.17 W Location/1GUecu01IS: Dimonh :views Ct & Springdale *PLEASE NOTE: If evaluator and landowner agree that the feature is a man-made ditch, then use of this form is not necessary. Also, if in the best professional judgement of the evaluator, the feature is a man-made ditch and not a modified natural stream-this rating system should not be used* Primary Field Indicators: (Circle One Number Per Line) I Geomoruhologv Absent Weak Moderate Strong 1) Is There A Riffle Pool Sequence? 0 1 ! 3 2) Is The USDA Texture In Streambed 5) Is There An Active (Or Relic) 9) Is A Continuous Bed & Bank Present? 0 1 l ¦ ("NOTE IfBed & Bank Caused By Ditching And WITHOUT Sinuosity Then Score=O") 10) Is A 2nd Order Or Greater Channel (As Indicated On Tono Man An In Field) Present's 0=3 No=Q PRIMARY GEOMORPHOLOGYINDICA TOR POINTS: 12 II Hydrology Absent Weak Moderate Strong 1) Is There A Groundwater Flow/Discharge Present'' 0 1 2 PRIMARY HYDROLOGYINDICA TOR POINTS.- 3-Secondary Field Indicators: (Circle One Number Per Line) 3) Does Topography Indicate A Natural Drainage Way'? 0 5 SECONDARY GEOMORPHOLOGYINDICA TOR POINTS: _4 PRIMARY BIOLOGY INDICATOR POINTS: 7 II Hvdroloey Absent Weak Moderate Strong 1) Is This Year's (Or Last's) Leaflitter 4) is Water In Channel And >49 1lrs. Since 0 .5 1 Last Known Rain? (*NOTE: IfDitch Indicated In #9 Above Skip This Step And #5 Below*Z 5) is,rhere Water In Channel During Dry 0 15 1 Conditions Or In Growing Season)? 6) Are rlvdric Soils Present In Sides Of Channel (Or In lleadcut)? M=1.5 No-0 SECONDAR Y HYDROLOGY INDICA TOR POINTS.-6.5 TOTAL POINTS (Primary + Secondary)=38.5 ( Greater Than Or Equal To 19 Points The Stream Is At Least Intermittent) 8) Are Wetland Plants In Streambed? SAV Mostly OBL Mostly FACW Mostly FAC Mostly FACU Mostly UPL (* NOTE: If Total Absence Of All Plants In Streambed 2 1 .75 .5 0 0 As Noted Alcove Skip This Step UNLESS SA V Present*). SECONDARYBIOLOGYINDICA TOR POINTS.-6.0 Location Fam" 02" Im Springdale Ave. Project Z%-W. I City of Charlotte Environmental Design & Consulting P.O. Box 79133 Charlotte, NC 28271 Mecklenburg County, N.C. Springdale Ave. Project Site Environmental Design & Consulting City of Charlotte Mecklenburg County, N.C. P.O. Box 79133 Charlotte, NC 28271 Mecklenburg County, NC Polaris Mecklenburg Parcel Ownei Date and Tim Parcel ID 0: 121 092 01 GIS ID #. 12109201 Owner Name: ALTS PROPERTIES LLC Mailing Address: 201 5 SPRINGDALE AV CHA RLOTTE, NC 28203 )unty, North Carolina RAR/S iip and GIS Summary 1211612003 9:45:10 PM Legal Desc.: L17 18 P16 B69 M332-214 Land Area: 2 LT' Fire District: 00- TY OF CHARLOTTE Special District: N/A Account Type: NC CORP ty Use: SINGLE-FAM Deed Reference(s) and Sales Price 16421-481 (11/11/2003) $0.00 16416-358 (11/10*03) $320,000.00 03235-431 (12/118/1970) $0.00 Situs Addresses Tied to This Parcel 2015 SPRINGDALE AV Site Location Information Zoning Boundaries: Contact Appropriate Planning Department or See Map. ETJ Area: CHARLOTTE 6/30/03 Charlotte Annexation: NO Charlotte Historic Distdcts:'YES Census Tract #: 34 Parcel Falls Inside SWIM Buffer?: NO FEMA Flood Information FEMA Panel #: 3701500013B FEMA Flood Zone: OUT FEMA Panel Date: 03/02/93 Regulated Watershed Information Watershed Name: UPPER LITTLE SUGAR Watershed Class: Page 1 of 1 Information contained within this photo may be used as a visual aid and to generally locate, ide ntify, and inventory parcels in M ecklenburg County, North Carolina. T here are inherent errors and limi tations associated with this type o f electronic medium. Mecklenbu rg County cannot warrant or guarant ee the information contained her ein including but not limited to its accura cy or completeness. irmation provided by this program is prepared for the inventory of real property within Mecklenburg County and is compiled from recorde plats, tax maps, surveys, and other public records and data. Users of this map data are hereby notified that the aforementioned public information sources should be *onsulted for verification of the information. Mecklenburg County and its mapping contractors assume no http://maps2.co.mecklenburg.?c.uslwebsitelrealestatelParcelDetailsPhotoReport.asp 12/16/2003 I ? / ?oo S/ 40?? It SOS'' ?p44? ? ? / PrvE wry NOT To LE 5a io 1W JWo.? GAS W 'P i ? `?? p0 { 16 WAD WAi 'A 'PC \ \ i s ? ?LrretoGO 'Cs.\ \ Proposed ,' 3?, •?, \ \?? Building <^ ? Envelope ,'AfMR Proposed ? ? 70 If of Pipe y ? ? f• ti0 mac. \ ?? ,? O 4- \ ??' 6? .p y? uroorow \ N/1' lfAYA ONJlA'Al&S-3 TfrDFNf17N DR JR ea 24&S-83 G? %r AfAN WA \ ww??ov wv??iouio .pprpp ?? Oa?oeM Mft \ eq OF N ft WM vwao RCpOW. 0 BO cnwrr. r.e \ YN /get W JJt Mt PAd[ n SII r oa"r mor vAdion ?n r GRAPHIC SCALE Z SAS MWVrr AMr/r NANr tAWW03 Af AWr-or-LAIrS o Is JO to S AD UM M71MOVr roZM WN0V OW, a AWA LunVAO NY C" "A It dgmw. I XAP"r NW? n Nor LoeAAO r A AgUAL nogg 1W AV POW SCALE IN FEET nYA now MNt, JJ010 .1 & A4XV ~"J A SAS sWWr d of AN MAW PAOM Or LAID AND Mn Aor OWALr A NfW SnKrr ON 0440W AAD RM" Sow A AU LYrrAAM 3kOW A AF AVAMM/ WAXAYUMM PAPAMM FW..• AU BAHMANYAR A SURVEY of 2015 SPRINGDALE AVE. Plat with proposed development and pipe In& Springdale Ave. Project Site City of Charlotte Environmental Design & Consulting Mecklenburg County, N.C. P.O. Box 79133 Charlotte, NC 28271 i Eafte 01da Im Environmental Design & Consulting January 19, 2004 Mr. John Domey 2321 Crabtree Blvd. Suite 250 Raleigh, NC 27604 U 4jWENNUS1401 GROUP APR 0 5 2004 WATER QUAUn, SECT/ ON Subject: PCN & Request for 404/401 for a parcel redevelopment with culvert installation, Bahmanyar Property, Charlotte, Mecklenburg County, North Carolina Dear Mr. Chapin, I have enclosed a PCN Form along with Stream forms, plans, maps and photos. This site is a simple 0.39 acre single family lot. Most detail is readily apparent from the GIS aerial. It has no wetlands and the channel is perrenial. The property owner is redeveloping this property that requires a new building with a larger footprint. Please see the attached exhibits. I have sent seven copies via certified mail for your use. You may send me an e-mail to Chris(a-)EstesDesian.com or contact me at (704) 841- 1779 to set up a site visit. Sincerely, iA, Christopher J. Estes, RLA, ASLA Landscape Architect, N. C. & S.C. Enclosure; Cc. FILE P.O. Box 79133 Charlotte NC. 28271 / Phone 704-841-1779 t of Q WATF9 QG T_ 000 Pre-Construction Notification (PCN) Application Form For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401 General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE) Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's (DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401 Water Quality Certification. The USACE Individual Permit application form is available online at littp://www.saw.usace.amiy.iiiiI/wetlands/Peri-n app.htm. The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide, Regional or General permits, and to determine which permit applies to your project, please go to the USACE website at littp://www.s.aw.usace.army.mil/wetlands/rejytour.htm, or contact one of the field offices listed at the end of this application. The website also lists the responsible project manager for each county in North Carolina and provides additional information regarding the identification and regulation of wetlands and waters of the U.S. The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant which 401 Certification will apply until the 404 Permit type has been determined by the USACE. Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at http•//h2 o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The applicant is also advised to read the full text of the General Certification (GC) matching the specific 404 Permit requested. In some cases, written approval for some General Certifications is not required, provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should contact DWQ's Central Office in Raleigh at (919) 733-1786. Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC regional coordinator (listed by county on the last page of this application). Page 1 of 12 4 CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on the last page of this application) the applicant should also contact the North Carolina Division of Coastal Management (DCM) at (919) 733-2293. DCM will determine whether or not the project involves a designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate the 404/401 Permits. USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms, photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this application). Upon receipt of an application, the USACE will determine if the application is complete as soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant to address information needs for all USACE Nationwide, Regional or General permits, as well as information required for State authorizations, certifications, and coordination. Fully providing the information requested on this form will result in a complete application for any of the USACE Nationwide, Regional or General permits. To review the minimum amount of information that must be provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893 f. (March 9, 2000), available at littp://www.saw.usace.ariiiy.i-nil/wetlands/nwpfinalFedReg.pd Processing times vary by permit and begin once the application has been determined to be complete. Please contact the appropriate regulatory field office for specific answers to permit processing periods. 401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center, Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401 Certification, then a non-refundable application fee is required. In brief, if project impacts include less than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is required. A check made out to the North Carolina Division of Water Quality, with the specific name of the project or applicant identified, should be stapled to the front of the application package. For more information, see the DWQ website at http://h2o.ehnr.state.nc.us/ncwetlands/fees.htmi. The fee must be attached with the application unless the applicant is a federal agency in which case the check may be issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules, the application fee does not apply, and the applicant should clearly state (in a cover letter) that only Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional requested information, or denial. Page 2 of 12 Office Use Only' Form Version April 2001 USACE Action ID No. DWQ No. If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than leaving the space blank. 1. Processing 1. Check all of the approval(s) requested for this project: ® Section 404 Permit ? Section 10 Permit ® 401 Water Quality Certification ? Riparian or Watershed Buffer Rules 2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (see section Vill Mitigation), check here: ? II. Applicant Information 1. Owner/Applicant Information Name: Mr. Ali Bahmanyar Mailing Address: 2015 Springdale Ave Charlotte NC 28203 Telephone Number: Fax Number: V'f- ?k Ul q `7 2 I I E-mail Address: N/A Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: Christopher J Estes Company Affiliation: Estes Design Inc Mailing Address: P.O. Box 79133 Charlotte NC 28271 Telephone Number: (704) 841-1779 Fax Number: Same E-mail Address: chris(a-Este sDesign com Page 3 of 12 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: 2015 Springdale Culvert 2. T.I.P. Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 12109201 4. Location County: Mecklenburg Nearest Town: Charlotte Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): See attached location map. 5. Site coordinates, if available (UTM or Lat/Long): 35-12'19"N, 80-12'19"W (Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) 6. Describe the existing land use or condition of the site at the time of this application: Single Family Residence 7. Property size (acres): .39 ac. 8. Nearest body of water (stream/river/sound/ocean/lake): Dairy Branch 9. River Basin: Catawba (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at littp://112o.enr.state.nc.us/admin/maps/.) Page 4 of 12 10. Describe the purpose of the proposed work: Private property culvert installation for property redevelopment from single-family to apartments 11. List the type of equipment to be used to construct the project: bulldozer trackhoe & road grader 12. Describe the land use in the vicinity of this project: Single-family IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. V. Future Project Plans Are any additional permit requests anticipated for this project in the future? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application: NA VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. The applicant must also provide justification for these impacts in Section VII below. All proposed impacts, permanent and temporary, must be listed herein, and must be clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream Page 5 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Wetland Impacts Wetland Impact Site Number indicate on ma Type of Impact* Area of Impact acres Located within 100-year Floodplain** es/no Distance to Nearest Stream linear feet Type of Wetland*** N/A * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, till, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. ** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online at hnp:i/www.fcma.gov. *** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) List the total acreage (estimated) of existing wetlands on the property: Total area of wetland impact proposed: 2. Stream Impacts, including all intermittent and perennial streams Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) L Fill (culvert) 70' Unnamed tributary 5.5 perennial * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included. ** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at ww'w.usgs.goV. Several internet sites also allow direct download and printing of USGS maps (e.g., www.toriozone.com. www.trapguest.com. etc.). Cumulative impacts (linear distance in feet) to all streams on site: 95' Page 6 of 12 Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any other Water of the U.S. Open Water Impact Site Number indicate on ma Type of Impact* Zipact Of s Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc. N/A * List each impact separately and identify temporary impacts. impacts mciuae, our are not ,,,wteu to. „11, .. a?a?,..,, ... ?...?, flooding, drainage, bulkheads, etc. 4. Pond Creation If construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ? uplands ? stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. Property owner is converting their building & property from single family unit to apartments. Design consists of Eliptical pipe to be installed at existing grade of channel bottom. End walls and pipe equal 701f of impact Page 7 of 12 VIII. Mitigation DWQ - In accordance with 15A NCAC 2II .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at http://l12o.enr.state.nc.us/ncwetiands/strml;ide.htin1. 1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. The pipe will be an extension of existing storm water system. Pool will be excavated at outlet end for energy dissipation and habitat. Soil bio-engineering will be used at outlet stream banks. Page 8 of 12 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that you would like to pay into the NCWRP. Please note that payment into the NCWRP must be reviewed and approved before it can be used to satisfy mitigation requirements. Applicants will be notified early in the review process by the 401/Wetlands Unit if payment into the NCWRP is available as an option. For additional information regarding the application process for the NCWRP, check the NCWRP website at http•//li2o.eiir.state.nc us/wrp/iildex.litm. If use of the NCWRP is proposed, please check the appropriate box on page three and provide the following information: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Amount of Coastal wetland mitigation requested (acres): IX. Environmental Documentation (DWQ Only) Does the project involve an expenditure of public funds or the use of public (federal/state/local) land? Yes ? No ? If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No ? If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No ? X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. Page 9 of 12 Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No ? If you answered "yes", provide the following information: Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. Zone* Impact (square feet Multiplier Required Miti ation 1 3 2 1.5 Total ' Zone 1 extends out 3U teet perpendicular trom near oanx or cnannei; f-one a extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. XI. Stormwater (DWQ Only) Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. XII. Sewage Disposal (DWQ Only) 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. XIII. Violations (DWQ Only) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules? Yes ? No Page 10 of 12 Is this an after-the-fact permit application? Yes ? No XIV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). (IL., 9, il, Janua 19, 200 Applicant/Age 's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union US Army Corps of Engineers Avery Clay Jackson Polk Watauga 151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey Room 208 Burke Gaston Macon Rutherford Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley Telephone: (828) 271-4854 Caldwell Haywood McDowell Swain Fax: (828) 271-4858 Catawba Henderson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin 6508 Falls of the Neuse Road Ashe Franklin Nash Sur Ty Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Granville Orange Wake Telephone: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Office Beaufort Currituck Jones Pitt US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell Post Office Box 1000 Camden Gates Martin Washington Washington,NC 27889-1000 Carteret* Green Pamlico Wayne Telephone: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 Craven Hyde Perquimans *Croatan National Forest Only Wilmington Regulatory Field Office Anson Duplin Onslow US Army Corps Of Engineers Bladen Harnett Pender Page 11 of 12 Post Office Box 1890 Brunswick Hoke Richmond Wilmington, NC 28402-1890 Carteret Montgomery Robeson Telephone: (910) 251-4511 Columbus Moore Sampson Fax: (910) 251-4025 Cumberland New Hanover Scotland US Fis US Fish and Wildlife Service Raleigh Field Office Post Office Box 33726 Raleigh, NC 27636-3726 Telephone: (919) 856-4520 h and Wildlife Service / National M US Fish and Wildlife Service Asheville Field Office 160 Zillicoa Street Asheville, NC 28801 Telephone: (828) 665-1195 arine Fisheries Service National Marine Fisheries Service Habitat Conservation Division Pivers Island Beaufort, NC 28516 Telephone: (252) 728-5090 North Carolina State Agencies Division of Water Quality 401 Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Telephone: (919) 733-1786 Fax: (919) 733-9959 Division of Water Quality Wetlands Restoration Program 1619 Mail Service Center Raleigh, NC 27699-1619 Telephone: (919) 733-5208 Fax: (919) 733-5321 CAMA and NC Coastal Counties State Historic Preservation Office Department Of Cultural Resources 4617 Mail Service Center Raleigh, NC 27699-4617 Telephone: (919) 733-4763 Fax: (919) 715-2671 Division of Coastal Management Beaufort Chowan Hertford Pasquotank 1638 Mail Service Center Bertie Craven Hyde Pender Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans Telephone: (919) 733-2293 Camden Dare Onslow Tyrrell Fax: (919) 733-1495 Carteret Gates Pamlico Washington NCWRC and NC Trout Counties Western Piedmont Region Coordinator Alleghany Caldwell Watauga 3855 Idlewild Road Ashe Mitchell Wilkes Kemersville, NC 27284-9180 Avery Stokes Telephone: (336) 769-9453 Burke Surry Mountain Region Coordinator Buncombe Henderson Polk 20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford Waynesville, NC 28786 Clay Macon Swain Telephone: (828) 452-2546 Graham Madison Transylvania Fax: (828) 506-1754 Haywood McDowell Yancey Page 12 of 12 alftaa2dw NCDWQ Stream Classification Form Environmental Design & Consulting P.O. Box 79133 Charlotte, N.C. 28271 Stream # 1 Project Name: Springdale Ave. River Basin: Lower Catawba County: Mecklenburg Evahia-r' DWQ Project Number: Nearest Named Stream: NA Latitude: 35.12.19N Signature: D Date: 2/11/04 USGS QUAD: Charlotte Longitude: 80.51.17 W Location/Lnrecuuus: uuwunn :views c & Springdale *PLEASE NOTE: If evaluator and landowner agree that the feature is a man-made ditch, then use of this form is not necessary. Also, if in the best professional judgement of the evaluator, the feature is a man-made ditch and not a modified natural stream-this rating system should not be used* Primary Field Indicators: (Circle One Number Per Line) 5) is There An Active (Or Relic) II Hydroloey Absent Weak Moderate Strone 1) Is There A Groundwater Flow/Disc,harae Present's 0 I 2 PRIMARYHYDROLOGYINDICA TOR POINTS:- 3-Secondary Field Indicators: (Circle One Number Per Line) 3) Does Topography Indicate A Natural Drainage Way's 0 5 SECONDARY GEOMORPHOLOGYINDICA TOR POINTS:_4 "NOTE: / IJed Bank Caused By Dilchin And WITHOUT Sinuosity Then Scare=ll" -- 10) Is A 2"d Order Or Greater Channel (As Indicated On Tono Man And/Or In Field) Present's E=3 No-0 PRIMAR Y GEOMORPHOLOGY INDICA TOR POINTS:_12_ PRIMARY BIOLOGY INDICATOR POINTS:- 7 I Geomoruholoey Absent Weak Moderate Strone 1) Is "There A Riffle -Pool Seauenee' 0 I 3 1\ T. T6P I TOMA Tpvhtre Tn Ch-earnhed II Hydroloey Absent Weak Moderate Strone 1) Is This Year's (Or Last's) Leaflitter _ 4) Is Water In Channel And >48 1Irs. Since 0 5 t Last Known Rain`/ ONOTE ILDitrh Indicated In #9 Above Skip This Step And #5 Below*) 5) Is There Water In Channel During Dry 0 15 I Conditions Or In Growing Season)? 6) Are I lvdric Soils Present In Sides Of Channel (Or In Ileadcut)? -1.5 No-O SECONDARY HYDROLOGY INDICA TOR POINTS.-6.5 TOTAL POINTS (Primary + Secondary)=38. S (Greater Than Or Equal To 19 Points The Stream Is At Least Intermittent) 8) Are Wetland Plants In Streambed? SAV Mostly OBL Mostly FACW Mostly FAC Mostly FACU Mostly UPL (' NOTE: If Tatal Absence Of All Plants In Streambed 2 1 .75 .5 0 0 As Noted Above Skip This Step UNLESS SAV Present*) - SECONDARY BIOLOGY INDICATOR POINTS:-6.0 ?4. OR= M pQ-L-m, Inn; OR= K-4.1b. T-h-W- 12mwdmlm Environmental Design & Consulting 40:?Z. P.O. Box 79133 Charlotte, NC 28271 rs Springdale Ave. Project Site City of Charlotte Mecklenburg County, N.C. Location Maps z J Z O O N lA M lA ?e I z i t • ? t ? 7 Golf ?aurul BO^'N Urr''lu° W cur";L'00" W WGS8480°50'00" W a s wu T 4?Ip011Ei o rao t1A>O METERS PAdW floes TOPOI 0=1 NdmW O.ognphic HokhW (www.topo.w* W's Mom Im Springdale Ave. Project Site City of Charlotte Environmental Design & C;onsl,lting Mecklenburg County, N.C. P.O. Box 79133 Charlotte, NC 28271 j? i I A Environmental Design & ConSL P.O. Box 79133 Charlotte, NC GIS Aerial dale Ave. Project Site Charlotte nburg County, N.C.. Mecklenburg County, NC Polaris Page 1 of l Mecklenburg County, North Carolina POLARIS Parcel Ownership and GIS Summary Date and Time: 1211612003 9:45:10 PM Parcel ID #: 12109201 GIS /D #. 12109201 Building Photography Owner Name: ALIS PROPERTIES LLC PHOTO #1 2015 SPRINGDALE AV L ti Mailing Address: 2015 SPRINGDALE AV CHARLOTTE, NC 28203 oca on: ` . ' _4 Propert y Characteristics v Legal Desc.: L17 & 18 P16 B69 M332-214 Land Area: 2 LT Fire District: 00-CITY OF CHARLOTTE Special District: N/A «"? _ Account Type: NC CORP Municipality: 1-CHARLOTTE Property Use: SINGLE-FAM Deed Reference(s) and Sales Price Information contained within this photo may be used as a visual aid and inventory parcels in Mecklenburg identif enerall locate and to 16421-481 (11/11/2003) $0.00 16416-358 (11 /10/2003) $320,000.00 03235-431 (12/18/1970) $0.00 y, y , g County, North Carolina. There are inherent errors and limitations associated with this type of electronic medium. Mecklenburg County cannot warrant or guarantee the information contained herein including but not limited to its accuracy or completeness. Situs Addresses Tied to This Parcel 2015 SPRINGDALE AV Powered by ' Site Location Information r ` , M?oM1?eb?rll Zoning Boundaries: Contact Appropriate Planning Department or See Map. ' ETJ Area: CHARLOTTE 6/30/03 Charlotte Annexation: NO Charlotte Historic Districts: YES ° rco.?,rfwr?rn/a.r.rr?,n.+y.v? :r Census Tract #: 34 ' Parcel Falls Inside SWIM Buffer?: NO FEMA Flood Information FEMA Panel #: 3701590013B FEMA Flood Zone: OUT FEMA Panel Date: 03/02/93 Regulated Watershed Information Watershed Name: UPPER LITTLE SUGAR Watershed Class: he information provided by this program is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded eeds, plats, tax maps, surveys. and other public records and data. Users of this map data are hereby notified that the aforementioned public rimary information sources should be consulted for verification of the information. Mecklenburg County and its mapping contractors assume no e gal responsibility for the information contained herein. http://maps2.co.mecklenburg.ne.uslwebsitelrealestatelParcelDetailsPhotoReport.asp 12/16/2003 WCNTY S/ HEAD IPf I PoPF \ Proposed 70 If of Pipe ttcm Wfild ?r r nw naw w a p O??l µ 0 [ ? nM1p PU0 of Q U l0a NO . 000119M LA AUN EOIMfY, A.G \ N[COAOID. Of A1AP NIKOMI MCC-LOOA' JJl MOC 111 \ NOTES GRAPHIC SCALE J. SWXCT rMACr PARM tlrolt t to 30 00 I on pfflo"rr M r w JI.M'Cr to ANY tAmwmn av A'Orr-or-mrs 0 t t.O um wNrAA7rr rotm Mthw loop' A ARG COWUND M' OOMaNAN AtRAap. SCALE IN rEE7 S X"Vr Mor IS AOr IWA No N A V-90 W n00p tOW As PAR RAG n000 PAAtn JMISNCMJ 8 041M JIt11"'t Q. RN SIMMr 7 d AN LAYS" PAWn 0" JAW AM VOCE AOr MAN A M W 3W9f 01 014W AAD FA V AW SMUr ). AtJ MtrAN= POW Mt hVW W/A( A ,43L#W CA'R a P?? 0 S LE LA G9 6Y /4 59 ti 'A t 'l?00 b ?I tw PIPE Z?9 G y J tFa. ??t i. \ .p. r \ \ I Irv &DG 41 4 I / ogy?q? ?y ? ?t00 00 •_ ??• R/P£ REBIA \&S•. \:. I I r I? AwM1 / „Q „y rarD2aaw \ N/P HAMA OURMINO i MDR~ M OS 2483-03 MEOW PREPARED AOW ALI BAHMANYAR A SWtVEY Or -tRr 1 t MM AIM ..A ar..NAOM my fupwAmlm ft A M 2015 SPRINGDALE AVE. Plat with proposed development and pipe Fa*" 02" IV& Springdale Ave. Project Site City of Charlotte Environmental Design & Consulting 49:?Z- Mecklenburg County, N.C. P.O. Box 79133 Charlotte, NC 28271 lEniiiiiiI&? Environmental Design & Consulting January 19, 2004 Mr. John Domey 2321 Crabtree Blvd. Suite 250 Raleigh, NC 27604 WETLANDS/ 401 GROUP APP 0 6 2004 WATER QUALITY SECTION Subject: PCN & Request for 404/401 for a parcel redevelopment with culvert installation, Bahmanyar Property, Charlotte, Mecklenburg County, North Carolina Dear Mr. Chapin, I have enclosed a PCN Form along with Stream forms, plans, maps and photos. This site is a simple 0.39 acre single family lot. Most detail is readily apparent from the GIS aerial. It has no wetlands and the channel is perrenial. The property owner is redeveloping this property that requires a new building with a larger footprint. Please see the attached exhibits. have sent seven copies via certified mail for your use. You may send me an e-mail to Chris(a)EstesDesign.com or contact me at (704) 841- 1779 to set up a site visit. Sincerely, EChristopher J. Estes, RLA, ASLA Landscape Architect, N_ C. & S.C. Enclosure; Cc. FILE P.O. Box 79133 Charlotte NC. 28271 / Phone 704-841-1779 of O CII& W A rF? QG r Pre-Construction Notification (PCN) Application Form For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401 General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE) Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's (DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401 Water Quality Certification. The USACE Individual Permit application form is available online at littp://www.saw.usace.amiy.mil/wettands/Perin app.htm. The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide, Regional or General permits, and to determine which permit applies to your project, please go to the USACE website at littp://www..saw.usace.army.mil/wetlands/rej,,,tour.htm, or contact one of the field offices listed at the end of this application. The website also lists the responsible project manager for each county in North Carolina and provides additional information regarding the identification and regulation of wetlands and waters of the U.S. The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant which 401 Certification will apply until the 404 Permit type has been determined by the USACE. Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at http//l12o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The applicant is also advised to read the full text of the General Certification (GC) matching the specific 404 Permit requested. In some cases, written approval for some General Certifications is not required, provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should contact DWQ's Central Office in Raleigh at (919) 733-1786. Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC regional coordinator (listed by county on the last page of this application). Page 1 of 12 CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on the last page of this application) the applicant should also contact the North Carolina Division of Coastal Management (DCM) at (919) 733-2293. DCM will determine whether or not the project involves a designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate the 404/401 Permits. USAGE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms, photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this application). Upon receipt of an application, the USACE will determine if the application is complete as soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant to address information needs for all USACE Nationwide, Regional or General permits, as well as information required for State authorizations, certifications, and coordination. Fully providing the information requested on this form will result in a complete application for any of the USACE Nationwide, Regional or General permits. To review the minimum amount of information that must be provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893 (March 9, 2000), available at http•//www saw usace army mil/wetlands/nwpfnaIFedReLy.pdf. Processing times vary by permit and begin once the application has been determined to be complete. Please contact the appropriate regulatory field office for specific answers to permit processing periods. 401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE Permit materials to the Division of Water Quality, 401 /Wetlands Unit, 1650 Mail Service Center, Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401 Certification, then a non-refundable application fee is required. In brief, if project impacts include less than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is required. A check made out to the North Carolina Division of Water Quality, with the specific name of the project or applicant identified, should be stapled to the front of the application package. For more information, see the DWQ website at http•//h2o.clinr.state.nc.us/ncwetiands/fees.htmi. The fee must be attached with the application unless the applicant is a federal agency in which case the check may be issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules, the application fee does not apply, and the applicant should clearly state (in a cover letter) that only Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional requested information, or denial. Page 2 of 12 Office Use Only: Form Version April 2001 USACE Action ID No. DWQ No. If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than leaving the space blank. I. Processing 1. Check all of the approval(s) requested for this project: ® Section 404 Permit ? Section 10 Permit ® 401 Water Quality Certification ? Riparian or Watershed Buffer Rules 2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (see section Vill Mitigation), check here: ? II. Applicant Information 1. Owner/Applicant Information Name: Mr. Ali Bahmanyar Mailing Address: 2015 Springdale Ave Charlotte NC 28203 Telephone Number: Fax Number: 'J t' G- 7 c/ `j Z l E-mail Address: N/A 2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: Christopher J Estes - Company Affiliation: Estes Design Inc Mailing Address: P.O. Box 79133 Charlotte NC 28271 Telephone Number: (704) 841-1779 Fax Number: Same E-mail Address: chris(a)EstesDesign com Page 3 of 12 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: 2015 Springdale Culvert 2. T.I.P. Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 12109201 4. Location County: Mecklenburg Nearest Town: Charlotte Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): See attached location map. 5. Site coordinates, if available (UTM or Lat/Long): 35-12'19"N, 80-12'19"W (Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) 6. Describe the existing land use or condition of the site at the time of this application: Single Family Residence 7. Property size (acres): .39 ac. 8. Nearest body of water (stream/river/sound/ocean/lakc): Dairy Branch 9. River Basin: Catawba (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at littp://li2o.enr.stite.iic.us/adinin/maps/.) Page 4 of 12 10. Describe the purpose of the proposed work: Private property culvert installation for property redevelopment from single-family to apartments 11. List the type of equipment to be used to construct the project: bulldozer trackhoe & road grader 12. Describe the land use in the vicinity of this project: Single-family IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. V. Future Project Plans Are any additional permit requests anticipated for this project in the future? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application: NA VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. The applicant must also provide justification for these impacts in Section VII below. All proposed impacts, permanent and temporary, must be listed herein, and must be clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream Page 5 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Wetland Impacts Wetland Impact Site Number indicate on ma Type of Impact* Area of Impact acres Located within 100-year Floodplain** es/no Distance to Nearest Stream linear feet Type of Wetland*** N/A * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. ** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online at http://www.1eina.s'ov. *** List a wetland type that best describes wetland to he impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) List the total acreage (estimated) of existing wetlands on the property: Total area of wetland impact proposed: 2. Stream Impacts, including all intermittent and perennial streams Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) I Fill (culvert) 70' Unnamed tributary 5.5 perennial * List each impact separately and identity temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included. ** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at www.uses.gov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.lopozone.com. www.mapgUCSl.COm. CIC.). Cumulative impacts (linear distance in feet) to all streams on site: 95' Page 6 of 12 Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any other Water of the U.S. Open Water Impact Site Number indicate on ma Type of Impact* Area of Impact acres (if Name applicable) Wat) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc. N/A * List each impact separately and identity temporary impacts. impacts mciuae, out are nut 1111111671 1,,. 1,11, flooding, drainage, bulkheads, etc. 4. Pond Creation if construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ? uplands ? stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. Property owner is converting their building & property from single family unit to apartments. Design consists of Eliptical pipe to be installed at existing grade of channel bottom. End walls and pipe equa170 If of impact Page 7 of 12 VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at littp://li2o.enr.state.nc.us/ncwetlaiids/strmgide.hti-n1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. The pipe will be an extension of existing storm water system. Pool will be excavated at outlet end for energy dissipation and habitat. Soil bio-engineering, will be used at outlet stream Page 8 of 12 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that you would like to pay into the NCWRP. Please note that payment into the NCWRP must be reviewed and approved before it can be used to satisfy mitigation requirements. Applicants will be notified early in the review. process by the 401/Wetlands Unit if payment into the NCWRP is available as an option. For additional information regarding the application process for the NCWRP, check the NCWRP website at 11ttn://h2o.enr.state.nc.tis/wip/index.litin. If use of the NCWRP is proposed, please check the appropriate box on page three and provide the following information: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Amount of Coastal wetland mitigation requested (acres): IX. Environmental Documentation (DWQ Only) Does the project involve an expenditure of public funds or the use of public (federal/state/local) land? Yes ? No ? If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No ? If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No ? X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. Page 9 of 12 Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No ? If you answered "yes", provide the following information: Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. Zone* Impact (square feet Multiplier Required Miti ation 1 3 2 1.5 Total Zone I extends out 3U teet perpendicular from near ttanx of cnannei; Lone a extenas an additional 20 feet Bum the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. XI. Stormwater (DWQ Only) Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. XII. Sewage Disposal (DWQ Only) 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. XIII. Violations (DWQ Only) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules? Yes ? No Page 10 of 12 Is this an after-the-fact permit application? Yes ? No XIV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). ?t, ij, Janua 19, 2004 • Applicant/Age 's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union US Army Corps of Engineers Avery Clay Jackson Polk Watauga 151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey Room 208 Burke Gaston Macon Rutherford Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley Telephone: (828) 271-4854 Caldwell Haywood McDowell Swain Fax: (828) 271-4858 Catawba Henderson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin 6508 Falls of the Neuse Road Ashe Franklin Nash Surry Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Granville Orange Wake Telephone: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Office Beaufort Currituck Jones Pitt US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell Post Office Box 1000 Camden Gates Martin Washington Washington, NC 27889-1000 Carteret* Green Pamlico Wayne Telephone: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 Craven Hyde Perquimans *Croatan National Forest Only Wilmington Regulatory Field Office Anson Duplin Onslow US Army Corps Of Engineers Bladen Harnett Pender Page 11 of 12 Post Office Box 1890 Brunswick Hoke Richmond Wilmington,NC 28402-1890 Carteret Montgomery Robeson Telephone: (910) 251-4511 Columbus Moore Sampson Fax: (910) 251-4025 Cumberland New Hanover Scotland US Fis US Fish and Wildlife Service Raleigh Field Office Post Office Box 33726 Raleigh, NC 27636-3726 Telephone: (919) 856-4520 h and Wildlife Service / National N1 US Fish and Wildlife Service Asheville Field Office 160 Zillicoa Street Asheville, NC 28801 Telephone: (828) 665-1195 arine Fisheries Service National Marine Fisheries Service Habitat Conservation Division Pivers Island Beaufort, NC 28516 Telephone: (252) 728-5090 North Carolina State Agencies Division of Water Quality 401 Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Telephone: (919) 733-1786 Fax: (919) 733-9959 Division of Water Quality Wetlands Restoration Program 1619 Mail Service Center Raleigh, NC 27699-1619 Telephone: (919) 733-5208 Fax: (919) 733-5321 CAMA and NC Coastal Counties State Historic Preservation Office Department Of Cultural Resources 4617 Mail Service Center Raleigh, NC 27699-4617 Telephone: (919) 733-4763 Fax: (919) 715-2671 Division of Coastal Management Beaufort Chowan Hertford Pasquotank 1638 Mail Service Center Bertie Craven Hyde Pender Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans Telephone: (919) 733-2293 Camden Dare Onslow Tyrrell Fax: (919) 733-1495 Carteret Gates Pamlico Washington NCWRC and NC Trout Counties Western Piedmont Region Coordinator Alleghany Caldwell Watauga 3855 Idlewild Road Ashe Mitchell Wilkes Kernersville, NC 27284-9180 Avery Stokes Telephone: (336) 769-9453 Burke Surry Mountain Region Coordinator Buncombe Henderson Polk 20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford Waynesville, NC 28786 Clay Macon Swain Telephone: (828) 452-2546 Graham Madison Transylvania Fax: (828) 506-1754 Haywood McDowell Yancey Page 12 of 12 NCDWQ Stream Classification Form Environmental Design & Consulting P.O. Box 79133 Charlotte, N.C. 28271 Stream # 1 Project Name: Springdale Ave. River Basin: Lower Catawba County: Mecklenburg L-.11im nr• CIF DWQ Project Number: Nearest Named Stream: NA Latitude: 35.12.19N Signature: '. Date: 2/11/04 USGS QUAD: Charlotte Longitude: 80.51.17 W Location/bi ecuons: wi%Nonu .vlcw, c, & Spring(lnic *PLEASE NOTE: If evaluator and landowner agree that the feature is a man-made ditch, then use of this form is not necessary. Also, if in the best professional judgement ofthe evaluator, the feature is a man-made ditch and not a modified natural stream-thin rating system should not be used* Primary Field Indicators: (Circle One Number Per Line) I Geomoruholotsy Absent Weak Moderate Strong 1) is There A Riffle -Pool Sequence? 0 1 3 2) Is The USDA Texture In Streambed 3) Are Natural Levees Present'? 2 3 4) Is The Channel Sinuous'? 0 2 3 - 5) is There An Active (Or Relic) II Hydrology Absent Weak Moderate Strone 1) Is There A Groundwater Flow/Dischalae Present? 0 1 2 1 PRIMAR Y HYDROLOG Y INDICA TOR POINTS:- 3-Secondary Field Indicators: (Circle One Number Per Line) 3) Does Topography Indicate A Natural Drainaie Way'? O 5 i SECONDARY GEOMORPHOLOGYINDICA TOR POINTS: _4 If And WITHOUT Sinunvr'tx-Then Scnre=0') __ -- - -- ('NOTE Bed ,Y Bank Caused By Ditching 10) Is A 2"`I Order Or Greater Channel (As Indicated On Tono Man And/Or In Field) Present'? EL3 No-O PRIMARY GEOMORPHOLOGY INDICATOR POINTS: _12_ PRIMAR Y BIOLOGY INDICA TOR POINTS :_7 II Hydrology Absent Weak Moderate Strong 1) Is This Year's (Or Last's) Leaflitter i., c,....,....w.,a.) m 1 5 0 3 Are Wrack Lines Present? 0 5 I .D 4) Is Water In Channel And >48 1lrs. Since 0 .5 1 Last Known Rain? (*NOTF• IjDitch Indicated In #9 Above Skip This Step And #5 Below*) 5) Is There Water In Channel During Dry 0 15 1 Conditions Or In Growing Se son 6) Are I Ivdric Soils Present In Sides QfChannel Or In 1leadcut ? =L5 No-0 SECONDAR Y HYDROLOGY INDICA TOR POINTS.-6.5 TOTAL POINTS (Primary + Secondarv)=38 S ( Greater Than Or Equal To 19 Points The Stream I.c At Least Intermittent) 8) Are Wetland Plants In Streambed? SAV Mostly OBL Mostly FACW Mostly FAC Mostly FACU Mostly UPL (* NOTE. If Total Absence Of All Plants In Streambed 2 1 .75 .5 0 0 As Noted Above Skip This Step UNLESS SAV PresenP) SECONDAR Y BIOLOGY INDICA TOR POINTS:-&0 yy TM S 02007 MApgwawn% Ina; QR= XMwlbn T-ftmbpM lawl" 020M IM Environmental Design & Consulting 40:?Z. P.O. Box 79133 Charlotte, NC 28271 Springdale Ave. Project Site City of Charlotte Mecklenburg County, N.C. Location Maps Environmental Design & Consulting 4 P.O. Box 79133 Charlotte, NC 28271 GIS Aerial Springdale Ave. Project Site City of Charlotte Mecklenburg County, N.C. E%tnQWWIn& Springdale Ave. Project Site City of Charlotte Environmental Design & Consulting Mecklenburg County, N.C. P.O. Box 79133 Charlotte, NC 28271 Pmd*d fi= TOPOI 0=1 Nomad a.oWhw Halo (www.topo.co* Mecklenburg County, NC Polaris Page 1 of 1 Mecklenburg County, North Carolina POLARIS Parcel Ownership and GIS Summary Date and Time: 1211612003 9:45:10 PM Parcel ID #. 12109201 GIS ID #: 12109201 Building Photography Owner Name: ALIS PROPERTIES LLC PHOTO #1 Location: 2015 SPRINGDALE AV Mailing Address: 2015 SPRINGDALE AV CHARLOTTE, NC 28203 : Propert y Characteristics Legal Desc.: L17 & 18 P16 B69 M332-214 Land Area: 2 LT Fire District: 00-CITY OF CHARLOTTE Special District: N/A Account Type: NC CORP Municipality: 1-CHARLOTTE Property Use: SINGLE-FAM Deed Reference(s) and Sales Price Information contained within this photo may be used as a visual aid and inventory parcels in Mecklenburg identify enerall locate and to 16421-481 (11/11/2003) $0.00 $320,000.00 16416-358 (11/10/2003) 03235-431 (12/18/1970) $0.00 , y , g County, North Carolina. There are inherent errors and limitations associated with this type of electronic medium. Mecklenburg County cannot warrant or guarantee the information contained herein including but not limited to its accuracy or completeness. Situs Addresses Tied to This Parcel d b 2015 SPRINGDALE AV Powere y ` Site Location Information M?elU?adrtY Zoning Boundaries: Contact Appropriate Planning Department or See Map. ] County ' ETJ Area: CHARLOTTE 6/30/03 Charlotte Annexation: NO f Charlotte Historic Districts: YES r: ?rM ar..Wr?urs rrr Census Tract #: 34 Parcel Falls Inside SWIM Buffer?: NO FEMA Flood Information FEMA Panel #: 37015900136 FEMA Flood Zone: OUT FEMA Panel Date: 03/02/93 Regulated Watershed Information Watershed Name: UPPER LITTLE SUGAR Watershed Class: he information provided by this program is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded Beds, plats, tax maps, surveys, and other public records and data. Users of this map data are hereby notified that the aforementioned public rimary information sources should be consulted for verification of the information. Mecklenburg County and its mapping contractors assume no e gal responsibility for the information contained herein. http://maps2.co.mecklenburg.ne.us/website/realestate/ParcelDetailsPhotoReport.asp 12/16/2003 i L ,y`oQ2?y J?M? ti-1,01,11 Al eP gP' VIC"TY NOT TO S LE ? 4 ?# ?ti9 JD 'G,??r? f?0 / '? f - %0 GAS HEAD WAIL f ? \ r ? , '? f ` IPF \ f J//' PIPE AINMDG? RA.y N I's L 'N "/ /I RE01R ?/ Proposed 70 If of '- a fif Pipe ti , -00 0 r 1 ?b 7r0'O? ?''6?. r7 ? ? NO \ ? NIP NAPA ONSW6?lU T//ORNfON JR p OB Pt83Q,- Q3 d,?f1 /QF MEOW A,YAA \ \ car LAIN AW ldANQ NUng lM<lk DINO AMA WCA NIMM.BM. O KKO ISM o CeINfY. N.C. \ LOCAISD 0* \ NFC010SD. lM UAN BOOR 31F »S PAN SIA NOTES . t sus"r MACY PARM InO*JM GRAPHIC SCALE 7. Net FR(MYY MAYBE JUW(Cr ID ANY FASEMINIJ LLI MOYr-Or-NAYS o IQ Jo do 1 ND OSOS UoNWVr rww WNw raw' 0100 1 a AWA CO1M AVO RV COOMWAR WNW. SCALE IN EEE7 S SNABOr NGOr M Nor LwA in W A WEa^ ROW MW AS ASR ,TMA nOW PAAV JM9JW*WJ B OALCO JAW,4M e. Rao SLMMr 7 of AN FNBMYO PARCH ar LAND AND OfWS NOr OKAAr A AWW SNKFr 09 06146t AND SAI M SMSFr 7 ALL MPMAUS WOW ARF hOWMIAL h1AX#WWWY1 PREPARED rW' ALI BAHMANYAR A suRVEr OF I , ..sNY Vwl see MM ... a..a NM. mr wpwAren ^^ 2015 SPRINGDALE AVE. Plat with proposed development and pipe Springdale Ave. Project Site City of Charlotte Environmental Design & Consulting 49:?Zp. Mecklenburg County, N.C. P.O. Box 79133 Charlotte, NC 28271 Estes fton INM n Environmental Design & Consulting M?Mpp. ?454?9 January 19, 2004 Mr. John Domey 2321 Crabtree Blvd. Suite 250 Raleigh, NC 27604 WETLANDS/ 401 GROUP APR 0 5 2004 WATER QUALITY SECT101l0 Subject: PCN & Request for 404/401 for a parcel redevelopment with culvert installation, Bahmanyar Property, Charlotte, Mecklenburg County, North Carolina Dear Mr. Chapin, I have enclosed a PCN Form along with Stream forms, plans, maps and photos. This site is a simple 0.39 acre single family lot. Most detail is readily apparent from the GIS aerial. It has no wetlands and the channel is perrenial. The property owner is redeveloping this property that requires a new building with a larger footprint. Please see the attached exhibits. have sent seven copies via certified mail for your use. You may send me an e-mail to Chris(a)EstesDesign.com or contact me at (704) 841- 1779 to set up a site visit. Sincerely, Z_ gi, Christopher J. Estes, RLA, ASLA Landscape Architect, N. C. & S.C. Enclosure; Cc. FILE P.O. Box 79133 Charlotte NC. 28271 / Phone 704-841-1779 ?Ot 7 P OF W ATFR Q? v r Pre-Construction Notification (PCN) Application Form For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401 General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USAGE) Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's (DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401 Water Quality Certification. The USACE Individual Permit application form is available online at littp://www.saw.usace.army.iii.i.1/wetlands/Perm apn.lrtm. The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide, Regional or General permits, and to determine which permit applies to your project, please go to the USACE website at littp://www.saw.usace.an-ny.mil/wetlands/regtour.liti-n, or contact one of the field offices listed at the end of this application. The website also lists the responsible project manager for each county in North Carolina and provides additional information regarding the identification and regulation of wetlands and waters of the U.S. The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant which 401 Certification will apply until the 404 Permit type has been determined by the USACE. Applicants are encouraged to visit DWQ's 401 /Wetlands Unit website at http•//h2o enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The applicant is also advised to read the full text of the General Certification (GC) matching the specific 404 Permit requested. In some cases, written approval for some General Certifications is not required, provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should contact DWQ's Central Office in Raleigh at (919) 733-1786. Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC regional coordinator (listed by county on the last page of this application). Page 1 of 12 CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on the last page of this application) the applicant should also contact the North Carolina Division of Coastal Management (DCM) at (919) 733-2293. DCM will determine whether or not the project involves a designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate the 404/401 Permits. USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms, photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this application). Upon receipt of an application, the USACE will determine if the application is complete as soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant to address information needs for all USACE Nationwide, Regional or General permits, as well as information required for State authorizations, certifications, and coordination. Fully providing the information requested on this form will result in a complete application for any of the USACE Nationwide, Regional or General permits. To review the minimum amount of information that must be provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893 (March 9, 2000), available at http://www.saw.usace.arm .ice nil/wetlands/nwpfinalFedRe?,,.pdf: Processing times vary by permit and begin once the application has been determined to be complete. Please contact the appropriate regulatory field office for specific answers to permit processing periods. 401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE Permit materials to the Division of Water Quality, 401 /Wetlands Unit, 1650 Mail Service Center, Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401 Certification, then a non-refundable application fee is required. In brief, if project impacts include less than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is required. A check made out to the North Carolina Division of Water Quality, with the specific name of the project or applicant identified, should be stapled to the front of the application package. For more information, see the DWQ website at littR//h2o.elinr.state.nc.us/ncwetlands/fees.litmi. The fee must be attached with the application unless the applicant is a federal agency in which case the check may be issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules, the application fee does not apply, and the applicant should clearly state (in a cover letter) that only Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional requested information, or denial. Page 2 of 12 Office Use Only: Form Version April 2001 USACE Action ID No. DWQ No. If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than leaving the space blank. I. Processing 1. Check all of the approval(s) requested for this project: ® Section 404 Permit ? Section 10 Permit ® 401 Water Quality Certification ? Riparian or Watershed Buffer Rules 2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (see section Vlll Mitigation), check here: ? II. Applicant Information 1. Owner/Applicant Information Name: Mr. Ali BahmaWar Mailing Address: 2015 Springdale Ave Charlotte NC 28203 Telephone Number: Fax Number: `7 cl- 6r7 ci `l Z- I E-mail Address: N/A 2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: Christopher J Estes Company Affiliation: Estes Design Inc Mailing Address: P.O. Box 79133 Charlotte. NC 28271 Telephone Number: (704) 841-1779 Fax Number: Same E-mail Address: chrisOEstesDesign com Page 3 of 12 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: 2015 Springdale Culvert 2. T.I.P. Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 12109201 4. Location County: Mecklenburg Nearest Town: Charlotte Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): See attached location map. 5. Site coordinates, if available (UTM or Lat/Long): 35-12'19"N, 80-12'19"W (Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) 6. Describe the existing land use or condition of the site at the time of this application: Single Family Residence 7. Property size (acres): .39 ac. 8. Nearest body of water (stream/river/sound/ocean/lake): Dairy Branch 9. River Basin: Catawba (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at 11ttp://112o.enr.state.nc.us/admin/maps/.) Page 4 of 12 10. Describe the purpose of the proposed work: Private property culvert installation for propeM redevelopment from single-family to apartments 11. List the type of equipment to be used to construct the project: bulldozer trackhoc & road grader 12. Describe the land use in the vicinity of this project: Single-family IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. NA V. Future Project Plans Are any additional permit requests anticipated for this project in the future? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application: NA VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. The applicant must also provide justification for these impacts in Section VII below. All proposed impacts, permanent and temporary, must be listed herein, and must be clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream Page 5 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Wetland Impacts Wetland Impact Site Number indicate on ma Type of Impact* Area of Impact acres Located within 100-year Floodplain** es/no Distance to Nearest Stream linear feet Type of Wetland*** N/A * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. ** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online at http://www.f'cma.gov. **' List a wetland type that best describes wetland to he impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) List the total acreage (estimated) of existing wetlands on the property: Total area of wetland impact proposed: 2. Stream Impacts, including all intermittent and perennial streams Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) I Fill (culvert) 70' Unnamed tributary 5.5 perennial * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included ** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at , www.usgs.aov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.coin www.nlapquest.com, etc.). Cumulative impacts (linear distance in feet) to all streams on site: 95' Page 6 of 12 Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any other Water of the U.S. Open Water Impact Site Number indicate on ma Type of Impact* Area of Impact acres Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay. ocean, etc. N/A * List each impact separately and identify temporary impacts. impacts mctuae, nut are not umnen to. Jill, eXCavaLlon, flooding, drainage, bulkheads, etc. Pond Creation if construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ? uplands ? stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. Property owner is converting their building & property from single family unit to apartments. Design consists of Eliptical pipe to be installed at existing, Mde of channel bottom. End walls and pipe equal 701f of impact Page 7 of 12 VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at 11ttp://112o.enr.state.nc.us/ncwetiands/stn-ni;ide.liti-n1. 1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. The pipe will be an extension of existing storm water system. Pool will be excavated at outlet end for energy dissipation and habitat. Soil bio-engineering will be used at outlet stream banks. Page 8 of 12 Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that you would like to pay into the NCWRP. Please note that payment into the NCWRP must be reviewed and approved before it can be used to satisfy mitigation requirements. Applicants will be notified early in the review process by the 401/Wetlands Unit if payment into the NCWRP is available as an option. For additional information regarding the application process for the NCWRP, check the NCWRP website at hue//h2o.enr.state.nc.us/wrp/index.htm. If use of the NCWRP is proposed, please check the appropriate box on page three and provide the following information: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Amount of Coastal wetland mitigation requested (acres): IX. Environmental Documentation (DWQ Only) Does the project involve an expenditure of public funds or the use of public (federal/state/local) land? Yes ? No ? If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No ? If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No ? X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. Page 9 of 12 Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No ? If you answered "yes", provide the following information: Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. Zone* Impact (square feet Multiplier Mii ton tg 1 3 2 1.5 Total • Zone 1 extends out 30 feet perpendicular trom near bank of channel; [.one 2 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. XI. Stormwater (DWQ Only) Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. XII. Sewage Disposal (DWQ Only) 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. XIII. Violations (DWQ Only) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules? Yes ? No Page 10 of 12 Is this an after-the-fact permit application? Yes ? No XIV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). Cc,-` Applicant/Age 's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union US Army Corps of Engineers Avery Clay Jackson Polk Watauga 151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey Room 208 Burke Gaston Macon Rutherford Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley Telephone: (828) 271-4854 Caldwell Haywood McDowell Swain Fax: (828) 271-4858 Catawba Henderson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin 6508 Falls of the Neuse Road Ashe Franklin Nash Surry Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Granville Orange Wake Telephone: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Office Beaufort Currituck Jones Pitt US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell Post Office Box 1000 Camden Gates Martin Washington Washington, NC 27889-1000 Carteret* Green Pamlico Wayne Telephone: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 Craven Hyde Perquimans *Croatan National Forest Only Wilmington Regulatory Field Office Anson Duplin Onslow US Army Corps Of Engineers Bladen Harnett Pender Page 11 of 12 Post Office Box 1890 Brunswick Hoke Richmond Wilmington, NC 28402-1890 Carteret Montgomery Robeson Telephone: (910) 251-4511 Columbus Moore Sampson Fax: (910) 251-4025 Cumberland New Hanover Scotland US Fish and Wildlife Service / National Marine Fisheries Service US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service Raleigh Field Office Asheville Field Office Habitat Conservation Division Post Office Box 33726 160 Zillicoa Street Pivers Island Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516 Telephone: (919) 856-4520 Telephone: (828) 665-1195 Telephone: (252) 728-5090 North Carolina State Agencies Division of Water Quality 401 Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Telephone: (919) 733-1786 Fax: (919) 733-9959 Division of Water Quality Wetlands Restoration Program 1619 Mail Service Center Raleigh, NC 27699-1619 Telephone: (919) 733-5208 Fax: (919) 733-5321 State Historic Preservation Office Department Of Cultural Resources 4617 Mail Service Center Raleigh, NC 27699-4617 Telephone: (919) 733-4763 Fax: (919) 715-2671 CAMA and NC Coastal Counties Division of Coastal Management Beaufort Chowan Hertford Pasquotank 1638 Mail Service Center Bertie Craven Hyde Pender Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans Telephone: (919) 733-2293 Camden Dare Onslow Tyrrell Fax: (919) 733-1495 Carteret Gates Pamlico Washington NCWRC and NC Trout Counties Western Piedmont Region Coordinator Alleghany Caldwell Watauga 3855 Idlewild Road Ashe Mitchell Wilkes Kemersville, NC 27284-9180 Avery Stokes Telephone: (336) 769-9453 Burke Surry Mountain Region Coordinator Buncombe Henderson Polk 20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford Waynesville, NC 28786 Clay Macon Swain Telephone: (828) 452-2546 Graham Madison Transylvania Fax: (828) 506-1754 Haywood McDowell Yancey Page 12 of 12 F NCDWQ Stream Classification Form Environmental Design & Consulting P.O. Box 79133 Charlotte, N.C. 28271 Stream # 1 Project Name: Springdale Ave. River Basin: Lower Catawba County: Mecklenburg E +i1 -r• C IF D DWQ Project Number: Nearest Named Stream: NA Latitude: 35.12.19N Signature: ef, L Date: 2/11/04 USGS QUAD: Charlotte Longitude: 80.51.17 W Location/bnecuons: un++-onh met %s C & Springdale *PLEASE NOTE: Ifevaluator and landowner agree that the feature is a man-made ditch, then use of this form is not necessary. Also, if in the best professional judgement of the evaluator, the feature is a man-made ditch and not a modified natural stream-this rating system should not be used* Primary Field Indicators: (Cirrie One Number Per Line) 51 1, There An Active (Or Relic) II Hydrology Absent Weak Moderate Strode 1) Is There A Groundwater Flow/Discharge Present" 0 1 2 PRIMARY HYDROLOGY INDICA TOR POINTS:- 3-Secondary Field Indicators: (Circle One Number Per Line) 3) Does Topography Indicate A Natural Drainage Way'' 0 5 SECONDARY GEOMORPHOLOGYINDICA TOR POINTS.--4 (*NOTE- IjBed & auk Cau.+ed 8y Ditching And WITHOUT Sinuosity Then Srore _ (!"?__ 10) Is A 2"d Order Or Greater Channel (As Indicated On Tono Man And/Or In Field) Present'' ML3 No-0 PRIMAR Y GEOMORPHOLOGY INDICA TOR POINTS:_12_ PRIMARYBIOLOGYINDICATOR POINTS:_7 1. Geomorpholoav Absent Weak Moderate Stron 1) Is There A Riffle -Pool Sequence'' 0 1 3 7) Tc ThP ITCTIA Texture In Streambed II Hvdroloev Absent Weak Moderate Strone 1) Is This Year's (Or Last's) Leaflitter 4) Is Water In Channel And >48 I Irs. Since 0 .5 I• Last Known Rain? (*NOTE- If Ditch Indicated In #9 Above Skip This Step And #5 Below*) I 5) Is There Water In Channel During Dry 0 15 Conditions Or in Growing Season)? 6) Are I lvdric Soils Present In Sides Of Channel (Or In I leadcut)? W1.5 No-0 SECONDARY HYDROLOGY INDICATOR POINTS.-6.5 TOTAL POINTS (Primary + Secondary)-38. S (Greater Than Or Equal To 19 Points The Stream Is At Least Inteindttent) 8) Are Wetland Plants In Streambed? SAV Mostly OBL Mostly FACW Mostly FAC Mostly FACU Mostly UPL (* NOTE. If Total Absence OjAllPlants In Streambed 2 1 .75 .5 0 0 As Noted Alcove Skip This Step UNLESS SAV Present) - SECONDAR Y BIOLOGY INDICA TOR POINTS:_6.0 VY6od OabTrl ,• Wlmaa Or W T/alhaf„4 Q9, x 9 Location Maps j ' . `P ' - Q, a.a O¢00? hbpQwstaom, Ina; OQW? Narpalbn TwhwbgM , Faafts Rkdw IM Environmental Design & Consulting P.O. Box 79133 Charlotte, NC 28271 Springdale Ave. Project Site City of Charlotte Mecklenburg County, N.C. Etta 020a WO& Springdale Ave. Project Site City of Charlotte Environmental Design & Consulting M?Z- Mecklenburg County, N.C. P.O. Box 79133 Charlotte, NC 28271 r Y m.....-, -.... I Pdmd floor TOP0I MI Hawmal Gwp aphm Holes (www.topo.con) Eatm Q2MW Im Environmental Design & Consulting P.O. Box 79133 Charlotte, NC 28271 GIS Aerial Springdale Ave. Project Site City of Charlotte Mecklenburg County, N.C. Mecklenburg County, NC Polaris Page 1 of 1 Mecklenburg County, North Carollna POLARIS Parcel Ownership and GIS Summary Date and Time: 1211612003 9:45:10 PM Parcel ID #: 12109201 GIS /D #: 12109201 Building Photography Owner Name: ALIS PROPERTIES LLC PHOTO #1 2015 SPRINGDALE AV ti L Mailing Address: 2015 SPRINGDALE AV CHARLOTTE, NC 28203 oca on: . 4; Propert y Characteristics Legal Desc.: L17 & 18 P16 B69 M332-214 Land Area: 2 LT Fire District: 00-CITY OF CHARLOTTE Special District: N/A _ Account Type: NC CORP ". Municipality: 1-CHARLOTTE Property Use: SINGLE-FAM Deed Reference(s) and Sales Price Information contained within this photo may be used as a visual aid arcels in Mecklenburg and inventor identif r ll locate d t 16421-481 (11/11/2003) $0.00 $320,000.00 16416-358 (11/10/2003) 03235-431 (12/18/1970) $0.00 y p y , y, an o gene a County, North Carolina. There are inherent errors and limitations associated with this type of electronic medium. Mecklenburg County cannot warrant or guarantee the information contained herein including but not limited to its accuracy or completeness. Situs Addresses Tied to This Parcel 2015 SPRINGDALE AV Powered by Site Location Information Me?Nleebrr11 Zoning Boundaries: Contact Appropriate Planning Department or See Map. ?euety ETJ Area: CHARLOTTE Gl s 6/30/03 Charlotte Annexation: NO d Charlotte Historic Districts: YES Census Tract #: 34 Parcel Falls Inside SWIM Buffer?: NO FEMA Flood Information FEMA Panel #: 3701590013B FEMA Flood Zone: OUT FEMA Panel Date: 03/02/93 Regulated Watershed Information Watershed Name: UPPER LITTLE SUGAR Watershed Class: he information provided by this program is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded eeds, plats, tax maps, surveys, and other public records and data. Users of this map data are hereby notified that the aforementioned public rimary information sources should be consulted for verification of the information. Mecklenburg County and its mapping contractors assume no e gal responsibility for the information contained herein. http://maps2.co.mecklenburg.nc.uslwebsitelrealestatelParcelDetailsPhotoReport.asp 12/16/2003 VICINITY HEAD \ , IPf \ I P(Pf \ Proposed 70 If of Pipe % alfp0 p0 %A' PJPE s RFBIR m. ? Awry \ N/1" llAl/A BN '?'9LUKr fr r710FN11DN !R DB 8183-05 ??1 F NEW fAQ OW \ dY IAOV PW f01A10 Ml1111MC1 DU* M ArOOA C he LWA . \ LOCAIm . UAF , WIM KOKLKIM11:UlMl1: M. A[CBO1D. D0 1 NAI Not 311 M0 111 \ was , GRAPHIC SCALE r. "irr mwcr PAgm 111o1101 ID 70 OD 7 P1S PM -Mrr NA r K suaxcr m ANr mmwNn ov A+r.Nr-ar-NA /S D 1 No V001 11pMat" rot" MMW 1000! A AWAC0MMN10BYCXWWAIfWOW. SCALE IN FEET J AS ? MAC' 1! Mgr LWAXV N A APECAL nCCD MW Al PER l1N4 nOW At/V JMIM"J 1 04110 M-4903 1 0A5 SL"Wr 1S 0 AN EARS" PAfta Or ~ AN0 001 M0r 0WAAr A M M SM11T 01 0,A4 1r AAD "" "i S0111r 1. All 011rAM11 POO AA[ N011M W Ai(A}ANWNT1 PREPARED FM ALI BAHMANYAR A SURVEY of k , .r11Y V q 1f /1A1 ..A arw.. wre. my wPrAM 1,- 2015 SPRINGDALE AVE. Plat with proposed development and pipe Springdale Ave. Project Site City of Charlotte Environmental Design & Consulting Mecklenburg County, N.C. P.O. Box 79133 Charlotte, NC 28271 f0 5 LE I,p G9 b?4 01 4 10 GAS ! t / \ // ??nr BLDG 10 4 1Pf' i PlPE 10, I ° .P tt; 5Q' %?0 dd ,a _ao Qi 0 ?It la:tts M Environmental Design & Consulting M:-Z. January 19, 2004 f P WETLANDS/ 401 GROUP APP 0 6 2004 Mr. John Domey 2321 Crabtree Blvd. Suite 250 Raleigh, NC 27604 WATER QUALITY SECTION Subject: PCN & Request for 404/401 for a parcel redevelopment with culvert installation, Bahmanyar Property, Charlotte, Mecklenburg County, North Carolina Dear Mr. Chapin, I have enclosed a PCN Form along with Stream forms, plans, maps and photos. This site is a simple 0.39 acre single family lot. Most detail is readily apparent from the GIS aerial. It has no wetlands and the channel is perrenial. The property owner is redeveloping this property that requires a new building with a larger footprint. Please see the attached exhibits. I have sent seven copies via certified mail for your use. You may send me an e-mail to Chris EstesDesian.com or contact me at (704) 841- 1779 to set up a site visit. Sincerely, Christopher J. Estes, RLA, ASLA Landscape Architect, N- C. & S.C. Enclosure; Cc. FILE P.O. Box 79133 Charlotte NC. 28271 / Phone 704-841-1779 ?C? O OF WATER QG - -r Pre-Construction Notification (PCN) Application Form For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401 General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USAGE) Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's (DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401 Water Quality Certification. The USACE Individual Permit application form is available online at littp://www.saw.usace.amiy.mil/wetlands/Peri-n app.htm. The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide, Regional or General permits, and to determine which permit applies to your project, please go to the USACE website at http•//www saw usace.anny.miI/wetlands/regtour.htin, or contact one of the field offices listed at the end of this application. The website also lists the responsible project manager for each county in North Carolina and provides additional information regarding the identification and regulation of wetlands and waters of the U.S. The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant which 401 Certification will apply until the 404 Permit type has been determined by the USACE. Applicants are encouraged to visit DWQ's 401 /Wetlands Unit website at Imp: M12o enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The applicant is also advised to read the full text of the General Certification (GC) matching the specific 404 Permit requested. In some cases, written approval for some General Certifications is not required, provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should contact DWQ's Central Office in Raleigh at (919) 733-1786. Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC regional coordinator (listed by county on the last page of this application). Page 1 of 12 CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on the last page of this application) the applicant should also contact the North Carolina Division of Coastal Management (DCM) at (919) 733-2293. DCM will determine whether or not the project involves a designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate the 404/401 Permits. USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms, photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this application). Upon receipt of an application, the USACE will determine if the application is complete as soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant to address information needs for all USACE Nationwide, Regional or General permits, as well as information required for State authorizations, certifications, and coordination. Fully providing the information requested on this form will result in a complete application for any of the USACE Nationwide, Regional or General permits. To review the minimum amount of information that must be provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893 (March 9, 2000), available at http//www saw usace army.mil/wetlands/nwpfna1FgdReL.pdf, Processing times vary by permit and begin once the application has been determined to be complete. Please contact the appropriate regulatory field office for specific answers to permit processing periods. 401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center, Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401 Certification, then a non-refundable application fee is required. In brief, if project impacts include less than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is required. A check made out to the North Carolina Division of Water Quality, with the specific name of the project or applicant identified, should be stapled to the front of the application package. For more information, see the DWQ website at http://h2o.elinr.state.nc.us/ncwetlands/fees.litm1. The fee must be attached with the application unless the applicant is a federal agency in which case the check may be issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules, the application fee does not apply, and the applicant should clearly state (in a cover letter) that only Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional requested information, or denial. Page 2 of 12 Office Use Only: Form Version April 2001 USACE Action ID No. _ DWQ No If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than leaving the space blank. 1. Processing 1. Check all of the approval(s) requested for this project: ® Section 404 Permit ? Section 10 Permit ® 401 Water Quality Certification ? Riparian or Watershed Buffer Rules 2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (see section VIII Mitigation), check here: ? II. Applicant Information 1. Owner/Applicant Information Name: Mr. Ali Bahmanyar Mailing Address: 2015 Springdale Ave Charlotte NC 28203 Telephone Number: Fax Number: '? VI- '5 &1 c/ 2- / ? E-mail Address: N/A Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name:_ Christopher J Estes Company Affiliation: Estes Design Inc Mailing Address: P.O. Box 79133 Charlotte NC 28271 Telephone Number: (704) 841-1779 Fax Number: Same E-mail Address: chris(a-)EstesDesign com Page 3 of 12 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than l l by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: 2015 Springdale Culvert 2. T.I.P. Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 12109201 4. Location County: Mecklenburg Nearest Town: Charlotte Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): See attached location map. 5. Site coordinates, if available (UTM or Lat/Long): 35-12'19'N, 80-12'19"W (Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) 6. Describe the existing land use or condition of the site at the time of this application: Single Family Residence 7. Property size (acres): .39 ac. 8. Nearest body of water (stream/river/sound/ocean/lake): Dairy Branch 9. River Basin: Catawba (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at littp://112o.enr.state.nc.us/adinin/maps/.) Page 4 of 12 10. Describe the purpose of the proposed work: Private property culvert installation for propery redevelopment from single-family to apartments 11. List the type of equipment to be used to construct the project: bulldozer trackhoc & road grader 12. Describe the land use in the vicinity of this project: Single-family IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. V. Future Project Plans Are any additional permit requests anticipated for this project in the future? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application: NA VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. The applicant must also provide justification for these impacts in Section VII below. All proposed impacts, permanent and temporary, must be listed herein, and must be clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream Page 5 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Wetland Impacts Wetland Impact Site Number indicate on ma Type of Impact* Area of Impact acres Located within 100-year Floodplain** es/no Distance to Nearest Stream linear feet Type of Wetland*** N/A * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. ** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online at http://www.1eina.gov. *** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) List the total acreage (estimated) of existing wetlands on the property: Total area of wetland impact proposed: 2. Stream Impacts, including all intermittent and perennial streams Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) I Fill (culvert) 70' Unnamed tributary 5.5 perennial * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included. ** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at www.usgs.eov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com, www.mapqucst.com. etc.). Cumulative impacts (linear distance in feet) to all streams on site: 95' Page 6 of 12 Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any other Water of the U.S. Open Water Impact Site Number indicate on ma Type of Impact* Area of Impact acres Name of Waterbody (if applicable) Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc. N/A * List each impact separately and identify temporary impacts. Impacts include, out are not ttmueu w: Lilt, encuvnu,m, -r'-r" flooding, drainage, bulkheads, etc. Pond Creation If construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ? uplands ? stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. Properly owner is converting their building & property from single family unit to apartments. Design consists of Eliptical pipe to be installed at existing grade of channel bottom. End walls and pipe equal 701f of impact --- Page 7 of 12 VIII. Mitigation DWQ - In accordance with 15A NCAC 211 .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. USACE - In accordance with the Final. Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at littp://112o.eiir.state.nc.us/iicwetiands/stnntyide.litiii1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. The pipe will be an extension of existing storm water system. Pool will be excavated at outlet end for energy dissipation and habitat. Soil bio-engineering will be used at outlet stream banks. Page 8 of 12 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that you would like to pay into the NCWRP. Please note that payment into the NCWRP must be reviewed and approved before it can be used to satisfy mitigation requirements. Applicants will be notified early in the review process by the 401/Wetlands Unit if payment into the NCWRP is available as an option. For additional information regarding the application process for the NCWRP, check the NCWRP website at littp•//li2o etir.state.nc us/wr1)/iiidex.litm. If use of the NCWRP is proposed, please check the appropriate box on page three and provide the following information: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Amount of Coastal wetland mitigation requested (acres): IX. Environmental Documentation (DWQ Only) Does the project involve an expenditure of public funds or the use of public (federaVstate/local) land? Yes ? No ? If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No ? If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No ? X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. Page 9 of 12 Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No ? If you answered "yes", provide the following information: Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. Zone* Impact (square feet Multiplier Required Miti ation 1 3 2 1.5 Total * Zone 1 extends out 30 feet perpendicular from near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. XI. Stormwater (DWQ Only) Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. XII. Sewage Disposal (DWQ Only) 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. XIII. Violations (DWQ Only) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules? Yes ? No Page 10 of 12 Is this an after-the-fact permit application? Yes ? No XIV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). V.- U - 6,L, Janua 19, 2004 Applicant/Age 's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union US Army Corps of Engineers Avery Clay Jackson Polk Watauga 151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey Room 208 Burke Gaston Macon Rutherford Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley Telephone: (828) 271-4854 Caldwell Haywood McDowell Swain Fax: (828) 271-4858 Catawba Henderson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin 6508 Falls of the Neuse Road Ashe Franklin Nash Surry Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Granville Orange Wake Telephone: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Office Beaufort Currituck Jones Pitt US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell Post Office Box 1000 Camden Gates Martin Washington Washington, NC 27889-1000 Carteret* Green Pamlico Wayne Telephone: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 Craven Hyde Perquimans *Croatan National Forest Only Wilmington Regulatory Field Office Anson Duplin Onslow US Army Corps Of Engineer; Bladen Harnett Pender Page 1l of 12 Post Office Box 1890 Brunswick Hoke Richmond Wilmington, NC 28402-1890 Carteret Montgomery Robeson Telephone: (910) 251-4511 Columbus Moore Sampson Fax: (910) 251-4025 Cumberland New Hanover Scotland US Fis US Fish and Wildlife Service Raleigh Field Office Post Office Box 33726 Raleigh, NC 27636-3726 Telephone: (919) 856-4520 h and Wildlife Service / National M US Fish and Wildlife Service Asheville Field Office 160 Zillicoa Street Asheville, NC 28801 Telephone: (828) 665-1195 arine Fisheries Service National Marine Fisheries Service Habitat Conservation Division Pivers Island Beaufort, NC 28516 Telephone: (252) 728-5090 North Carolina State Agencies Division of Water Quality 401 Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Telephone: (919) 733-1786 Fax: (919) 733-9959 Division of Water Quality Wetlands Restoration Program 1619 Mail Service Center Raleigh, NC 27699-1619 Telephone: (919) 733-5208 Fax: (919)733-5321 CAMA and NC Coastal Counties State Historic Preservation Office Department Of Cultural Resources 4617 Mail Service Center Raleigh, NC 27699-4617 Telephone: (919) 733-4763 Fax: (919) 715-2671 Division of Coastal Management Beaufort Chowan Hertford Pasquotank 1638 Mail Service Center Bertie Craven Hyde Pender Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans Telephone: (919) 733-2293 Camden Dare Onslow Tyrrell Fax: (919) 733-1495 Carteret Gates Pamlico Washington NCWRC and NC Trout Counties Western Piedmont Region Coordinator Alleghany Caldwell Watauga 3855 Idlewild Road Ashe Mitchell Wilkes Kemersville, NC 27284-9180 Avery Stokes Telephone: (336) 769-9453 Burke Surry Mountain Region Coordinator Buncombe Henderson Polk 20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford Waynesville, NC 28786 Clay Macon Swain Telephone: (828) 452-2546 Graham Madison Transylvania Fax: (828) 5064754 Haywood McDowell Yancey Page 12 of 12 ild" Did" W, NCDWQ Stream Classification Form Environmental Design & Consulting P.O. Box 79133 Charlotte, N.C. 28271 Stream # 1 Project Name: Springdale Ave. River Basin: Lower Catawba County: Mecklenburg Evnlnmlnr• C iF DWQ Project Number: Nearest Named Stream: NA Latitude: 35.12.19N Signature: Date: 2/11/04 USGS QUAD: Charlotte Longitude: 80.51.17 W Location/Lnrecnons: L)iworin vice ut & Springdulc *PLEASE NOTE: /f evaluator and landowner agree that the feature is a man-made ditch, then use of this form is not necessary. Aeo, if in the best professional judgement of the evaluator, the feature is a man-made ditch and not a modified natural stream-this rating. vstem should not be used* Primary Field Indicators: (Circle One Number Perlin) I Geomorphology Absent Weak Moderate Strong 1) Is There A Riffle Pool Sequence'' 0 1 3 2) Is The USDA Texture In Streambed Different From Surrounding t'errain'' 0 1 3 3) Are Natural Levees Present? 1 2 4) Is The Channel Sinuous? 0 2 3- 5) Is There An Active (Or Relic) 9) Is A Continuous Bed & Bank Present? 0 1 L --- ("N(1TE.,_tLBed & Bank-Caused By Ditching And WITHOUT Sinuosity_ Then Score-0 10) Is A 2"d Order Or Greater Channel (As Indicated On Tono Man An 110r In Field) Present'' W3 No-0 PRIMARY GEOMORPHOLOGYINDICA TOR POINTS: 12 II Hydrology Absent Weak Moderate Strong 1) Is There A Groundwater Flow/Discharge Present'' 0 1 2 PRIMARY HYDROLOGY INDICATOR POINTS: _3 Secondary Field Indicators: (Circle One Number Per Line) 3) Does Topography Indicate A Natural Drainage Way'' 0 5 SECONDARY GEOMORPHOLOGY INDICA TOR POINTS:_4 PRIMAR.YBIOLOGYINDICATOR POINTS. 7 III Hydrolot=_v Absent Weak Moderate Strong 1) Is This Year's (Or Last's) Leaflitter - 1) Are Wrack Lines Present? U Ill i..) 4) Is Water In Channel And >48 11rs. Since 0 .5 1 Last Known Rain? (*NOTE IfDitch Indicated In #9 Above Skip This Step And #S Below*) 5) Is "there Water In Channel During Dry 0 15 1 _ Conditions Or In Growing Season)? 6) Are Ilvdric Soils Present In Sides Of Channel (Or In Ileadcut)" =1 5 No-O SECONDAR Y HYDROLOGY INDICA TOR POINTS.-6.5 TOTAL POINTS (Primary + Secondary)=38. 5 ( Greater Than Or Equal To 19 Poina The Stream Is At Leact Intermittent) 8) Are Wetland Plants In Streambed7 SAV Mostly OBL Mostly FACW Mostly FAC Mostly FACU Mostly UPL (* NOTE. If Total Absence Of All Plants In Streambed Z 1 .75 .5 0 0 As Noted Above Skip This Step UNLESS SAV PresenN) SECONDARY BIOLOGY INDICATOR POINTS:-6.0 NI?IW[ST?. `Y4(, d Oab'Td(j . 'WMnaro Dr. WTn 4 Ate, 00009 K%pgwsLmm. Inn; OR= NwOwibn Tn hMbQbs FMISUS Springdale Ave. Project Site City of Charlotte Environmental Design & Consulting Mecklenburg County, N.C. P.O. Box 79133 Charlotte, NC 28271 Location Maps Environmental Design & Consulting d P.O. Box 79133 Charlotte, NC 28271 Springdale Ave. Project Site City of Charlotte Mecklenburg County, N.C. I P?l?d Bees TOPOI 0=1 R*haW 09ogmpIx HokIW (www.lopo.cow) II Environmental Design & Consulting 4 P.O. Box 79133 Charlotte, NC 28271 GIS Aerial Springdale Ave. Project Site City of Charlotte Mecklenburg County, N.C. Mecklenburg County, NC Polaris Page 1 of 1 Mecklenburg County, North Carolina POLARIS Parcel Ownership and GIS Summary Date and Time: 1211612003 9:45:10 PM Parcel ID A 12109201 GIS ID #. 12109201 Building Photography Owner Name: ALIS PROPERTIES LLC PHOTO #1 Location: 2015 SPRINGDALE AV Mailing Address: 2015 SPRINGDALE AV CHARLOTTE, NC 28203 Property Characteristics Legal Desc.: L17 & 18 P16 669 M332-214 Land Area: 2 LT Fire District: 00-CITY OF CHARLOTTE Special District: N/A Account Type: NC CORP Municipality: 1-CHARLOTTE Property Use: SINGLE-FAM Deed Reference(s) and Sales Price 16421-481 (11/11/2003) $0.00 16416-358 (11/10/2003) $320,000.00 03235-431 (12/18/1970) $0.00 Situs Addresses Tied to This Parcel 2015 SPRINGDALE AV Site Location Information Zoning Boundaries: Contact Appropriate Planning Department or See Map. ETJ Area: CHARLOTTE 6/30/03 Charlotte Annexation: NO Charlotte Historic Districts: YES Census Tract #: 34 Parcel Falls Inside SWIM Buffer?: NO FEMA Flood Information FEMA Panel #: 3701590013B FEMA Flood Zone: OUT FEMA Panel Date: 03/02/93 II Reaulated Watershed Information II II Watershed Name: (UPPER LITTLE SUGAR Watershed Class: Information contained within this photo may be used as a visual aid and to generally locate, identify, and inventory parcels in Mecklenburg County, North Carolina. There are inherent errors and limitations associated with this type of electronic medium. Mecklenburg County cannot warrant or guarantee the information contained herein including but not limited to its accuracy or completeness. Powered by , M?cNle®b?0 ?' ? ? 4?IIQty ? a .' t:ror?trfrMtr lrtJurwrulwr 5p.?tnr?r information provided by this program is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded is, plats, tax maps, surveys. and other public records and data. Users of this map data are hereby notified that the aforementioned public ary information sources should be consulted for verification of the information. Mecklenburg County and its mapping contractors assume no I responsibility for the information contained herein. http://maps2.co.mecklenburg.nc.uslwebsitelrealestatelParcelDetailsPhotoReport.asp 12/16/2003 l_. VIOLA l y HEAD S! ?? I NQr ito S E10 CS evY 9 04 '11 ell Pf \ I PIP£, \ Proposed 70 If of Pipe v O ? ? i ?p9 G IPfPlPE , h ? t ye? s °' ' d-0; _'11 Q?? ?" 9 ? JJ o r ILA. doe / NO GAS I I IV OcOC. \ W ?n?el`bp'e / 1 / x, ?°44? v6 1 ??E09 p9 %A' PO'E s r ?1 REMR rn. 0 ? `? 1 N/F //ANA ONA.'69IJN0 t T//ORNiiDN JR G E OB YfQy-OJ RECA19 C w li l tAY 14 0Y PN f19M0 \\\ \ niLU PLAT (f' VA.n0914 AA[A COCAA[D Of AI NAP M IOOK .ill NO Y 12 PAN N ODlM1Y. x.G \ K[CMO(U Ctl 111 \ \ NO- IES - 1 ""r AACr PAMM )p?o# m GRAPHIC SCALE 7. PAS PROYRrY NAr O[ saurCr m ANY [AS[Y[NIf X9 //(JI/-o'-MrS 0 15 )<I 00 J NO t4a MOK &Vvr re" WNW 1X91 . ANA CC1WUND BYC04MNAW x[rNm. SCALE IN FEE7 J SVO"r /RAOr /f Nor LOCARO H A AMCAI nO9 MK AS M FFMA 8000 ~ Jr0IM"J 0 0AnV JA19l700J 4 "AS U"Wr rJ Of AN EMS" M4[[( 0r IAA0 AID 0C1rf NOr CAVAN A MW SWAr 09 OMftT AAA LOSAVO Sllllfr Ali NJ/ANM J/104M AA( NXdAMr& A 43LOWBOMM PREPARED n W.' ALI BAHMANYAR A SURVEY or l M .oWy 191 OAA MN wA bwn wNr my AuPArA~ ham An 2015 SPRlNGDALf AVE. Plat with proposed development and pipe Eafte 0220 km Springdale Ave. Project Site City of Charlotte Environmental Design & Consulting 49:?;- Mecklenburg County, N.C. P.O. Box 79133 Charlotte, NC 28271 qgM nl?. Environmental Design & Consulting January 19, 2004 WETLANDS / 401 GROUP Mr. John Domey APR ft 6 2004 2321 Crabtree Blvd. Suite 250 Raleigh, NC 27604 VVA`FER Ui1AUIY , Subject: PCN & Request for 404/401 for a parcel redevelopment with culvert installation, Bahmanyar Property, Charlotte, Mecklenburg County, North Carolina Dear Mr. Chapin, I have enclosed a PCN Form along with Stream forms, plans, maps and photos. This site is a simple 0.39 acre single family lot. Most detail is readily apparent from the GIS aerial. It has no wetlands and the channel is perrenial. The property owner is redeveloping this property that requires a new building with a larger footprint. Please see the attached exhibits. have sent seven copies via certified mail for your use. You may send me an e-mail to Chris(a)-EstesDesian.com or contact me at (704) 841- 1779 to set up a site visit. Sincerely, C;.." Lil' Christopher J. Estes, RLA, ASLA Landscape Architect, K C. & S.C. Enclosure; Cc. FILE P.O. Box 79133 Charlotte NC. 28271 / Phone 704-841-1779 ?0 Q OF W ATF9 QG Q r - Pre-Construction Notification (PCN) Application Form For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401 General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USAGE) Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's (DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401 Water Quality Certification. The USACE Individual Permit application form is available online at http://www.saw.usace.anny mil/wetlands/Perm app.htm. The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide, Regional or General permits, and to determine which permit applies to your project, please go to the USACE website at littp://www.saw.usace.army.inil/wetiands/reL,,tour.htm, or contact one of the field offices listed at the end of this application. The website also lists the responsible project manager for each county in North Carolina and provides additional information regarding the identification and regulation of wetlands and waters of the U.S. The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant which 401 Certification will apply until the 404 Permit type has been determined by the USACE. Applicants are encouraged to visit DWQ's 401/Wetiands Unit website at ilttp//h2o enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The applicant is also advised to read the full text of the General Certification (GC) matching the specific 404 Permit requested. In some cases, written approval for some General Certifications is not required, provided that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should contact DWQ's Central Office in Raleigh at (919) 733-1786. Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources Commission (NCWRC) is also required for projects occurring in any of North Carolina's twenty-five counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC regional coordinator (listed by county on the last page of this application). Page 1 of 12 CAMA Coordination - If the project occurs in any of North Carolina's twenty coastal counties (listed on the last page of this application) the applicant should also contact the North Carolina Division of Coastal Management (DCM) at (919) 733-2293. DCM will determine whether or not the project involves a designated Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such cases, DCM will require a Coastal Area Management Act (CAMA) Permit and will coordinate the 404/401 Permits. USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms, photos, etc. to the applicable USACE Regulatory Field Office (addresses are listed at the end of this application). Upon receipt of an application, the USACE will determine if the application is complete as soon as possible, not to exceed 30 days. This PCN form is designed for the convenience of the applicant to address information needs for all USACE Nationwide, Regional or General permits, as well as information required for State authorizations, certifications, and coordination. Fully providing the information requested on this form will result in a complete application for any of the USACE Nationwide, Regional or General permits. To review the minimum amount of information that must be provided for a complete PCN for each USACE Nationwide permit, see Condition 13, 65 Fed.Reg. 12893 (March 9, 2000), available at http://www.saw.Llsace.ari-ny.miI/wetlands/iiwpfinalFedReg.pdf. Processing times vary by permit and begin once the application has been determined to be complete. Please contact the appropriate regulatory field office for specific answers to permit processing periods. 401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center, Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401 Certification, then a non-refundable application fee is required. In brief, if project impacts include less than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is required. A check made out to the North Carolina Division of Water Quality, with the specific name of the project or applicant identified, should be stapled to the front of the application package. For more information, see the DWQ website at http•//l12o.elinr.state.nc.us/ncwetlands/fees.htmi. The fee must be attached with the application unless the applicant is a federal agency in which case the check may be issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules, the application fee does not apply, and the applicant should clearly state (in a cover letter) that only Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional requested information, or denial. Page 2 of 12 Office Use Only: Form Version April 2001 USACE Action ID No. DWQ No. If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than leaving the space blank. I. Processing 1. Check all of the approval(s) requested for this project: ® Section 404 Permit ? Section 10 Permit ® 401 Water Quality Certification ? Riparian or Watershed Buffer Rules 2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39 3. If this notification is solely a courtesy copy because written approval for the 401 Certification is not required, check here: 4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for mitigation of impacts (see section Vlll Mitigation), check here: ? II. Applicant Information 1. Owner/Applicant Information Name: Mr. Ali Bahmanyar Mailing Address: 2015 Springdale Ave Charlotte NC 28203 Telephone Number: Fax Number: 2-- 7 E-mail Address: N/A 2. Agent Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: Christopher J Estes Company Affiliation: Estes Design Inc Mailing Address: P.O. Box 79133 Charlotte NC 28271 Telephone Number: (704) 841-1779 Fax Number: Same E-mail Address: chrisAEstesDesig_n corn Page 3 of 12 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than I1 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawings rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: 2015 Springdale Culvert 2. T.I.P. Project Number (NCDOT Only): 3. Property Identification Number (Tax PIN): 12109201 4. Location County: Mecklenburg Nearest Town: Charlotte Subdivision name (include phase/lot number): N/A Directions to site (include road numbers, landmarks, etc.): See attached location map. 5. Site coordinates, if available (UTM or Lat/Long): 35-12'19"N, 80-12'19"W (Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) 6. Describe the existing land use or condition of the site at the time of this application: Single Family Residence 7. Property size (acres): .39 ac. 8. Nearest body of water (stream/river/sound/ocean/lake): Dairy Branch 9. River Basin: Catawba (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at http://Ii2o.enr.state.nc.us/admin/maps/.) Page 4 of 12 10. Describe the purpose of the proposed work: Private property culvert installation for property redevelopment from single-family to apartments 11. List the type of equipment to be used to construct the project: bulldozer .trackhoc & road grader 12. Describe the land use in the vicinity of this project: Single-family IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued permits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. V. Future Project Plans Are any additional permit requests anticipated for this project in the future? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application: NA VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. The applicant must also provide justification for these impacts in Section VII below. All proposed impacts, permanent and temporary, must be listed herein, and must be clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream Page 5 of 12 mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Wetland Impacts Wetland Impact Site Number indicate on ma Type of Impact* Area of Impact acres Located within 100-year Floodplain** es/no Distance to Nearest Stream linear feet Type of Wetland*** N/A * List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, rill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. ** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps (FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or online at http://www.lbma.gov. *** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond, Carolina Bay, bog, etc.) List the total acreage (estimated) of existing wetlands on the property: Total area of wetland impact proposed: 2. Stream Impacts, including all intermittent and perennial streams Stream Impact Site Number indicate on ma Type of Impact* Length of Impact linear feet Stream Name** Average Width of Stream Before Impact Perennial or Intermittent? leasespecify) I Fill (culvert) 70' Unnamed tributary 5.5 perennial List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap, dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain), stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included. '• Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at www.usts.t',ov. Several internet sites also allow direct download and printing of USGS maps (e.g.. www.tonozone.coin. www.manuucst.cotn. etc.). Cumulative impacts (linear distance in feet) to all streams on site: 95' Page 6 of 12 3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any other Water of the U.S. Open Water Impact Site Number indicate on ma Type of Impact* Area of Impact acres (if Name applicable) Wplicabblele) at) Type of Waterbody (take, pond, estuary, sound, bay, ocean, etc. N/A * List each impact separately and identify temporary impacts. impacts mciaae, but are not mmotea to: nn, excava?,un, cu?ug,ng, flooding, drainage, bulkheads, etc. 4. Pond Creation if construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ? uplands ? stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. Property owner is converting their building & property from single family unit to apartments Design consists of Eliptical pipe to be installed at existing grade of channel bottom. End walls and pipe equal 70 If of impact. Page 7 of 12 VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on March 9, 2000, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached in order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at littp://h2o.enr.state.nc.us/ncwetlands/strmgyide.hti-n1. 1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. The pipe will be an extension of existing storm water system. Pool will be excavated at outlet end for energy dissipation and habitat Soil bio-engineering will be used at outlet stream banks. Page 8 of 12 2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that you would like to pay into the NCWRP. Please note that payment into the NCWRP must be reviewed and approved before it can be used to satisfy mitigation requirements. Applicants will be notified early in the review process by the 401/Wetlands Unit if payment into the NCWRP is available as an option. For additional information regarding the application process for the NCWRP, check the NCWRP website at http://h2o enr.state.nc.us/wrp/index.litm. if use of the NCWRP is proposed, please check the appropriate box on page three and provide the following information: Amount of stream mitigation requested (linear feet): Amount of buffer mitigation requested (square feet): Amount of Riparian wetland mitigation requested (acres): Amount of Non-riparian wetland mitigation requested (acres): Amount of Coastal wetland mitigation requested (acres): IX. Environmental Documentation (DWQ Only) Does the project involve an expenditure of public funds or the use of public (federaVstate/local) land? Yes ? No ? If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No ? If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No ? X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. Page 9 of 12 Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No ? If you answered "yes", provide the following information: Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. Zone* (square mpa t feet) Multiplier Mitig ion 1 3 2 1.5 Total * Zone 1 extends out 30 feet perpendicular trom near hams of Manuel; Gone 6 extends an additional 20 feet from the edge of Zone 1. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B .0242 or .0260. XI. Stormwater (DWQ Only) Describe impervious acreage (both existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. XII. Sewage Disposal (DWQ Only) 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. XIII. Violations (DWQ Only) Is this site in violation of DWQ Wetland Rules (I 5A NCAC 2H .0500) or any Buffer Rules? Yes ? No Page 10 of 12 Is this an after-the-fact permit application? Yes ? No XIV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). Cc.' ??, it, Janua 19, 2004 Applicant/Age 's Signature Date (Agent's signature is valid only if an authorization letter from the applicant is provided.) US Army Corps Of Engineers Field Offices and County Coverage Asheville Regulatory Field Office Alexander Cherokee Iredell Mitchell Union US Army Corps of Engineers Avery Clay Jackson Polk Watauga 151 Patton Avenue Buncombe Cleveland Lincoln Rowan Yancey Room 208 Burke Gaston Macon Rutherford Asheville, NC 28801-5006 Cabarrus Graham Madison Stanley Telephone: (828) 271-4854 Caldwell Haywood McDowell Swain Fax: (828) 271-4858 Catawba Henderson Mecklenburg Transylvania Raleigh Regulatory Field Office Alamance Durham Johnston Rockingham Wilson US Army Corps Of Engineers Alleghany Edgecombe Lee Stokes Yadkin 6508 Falls of the Neuse Road Ashe Franklin Nash Surry Suite 120 Caswell Forsyth Northampton Vance Raleigh, NC 27615 Chatham Granville Orange Wake Telephone: (919) 876-8441 Davidson Guilford Person Warren Fax: (919) 876-5283 Davie Halifax Randolph Wilkes Washington Regulatory Field Office Beaufort Currituck Jones Pitt US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell Post Office Box 1000 Camden Gates Martin Washington Washington,NC 27889-1000 Carteret* Green Pamlico Wayne Telephone: (252) 975-1616 Chowan Hertford Pasquotank Fax: (252) 975-1399 Craven Hyde Perquimans *Croatan National Forest Only Wilmington Regulatory Field Office Anson Duplin Onslow US Army Corps Of Engineer; Bladen Harnett Pender Page 11 of 12 Post Office Box 1890 Brunswick Hoke Richmond Wilmington, NC 28402-1890 Carteret Montgomery Robeson Telephone: (910) 251-4511 Columbus Moore Sampson Fax: (910) 251-4025 Cumberland New Hanover Scotland US Fis US Fish and Wildlife Service Raleigh Field Office Post Office Box 33726 Raleigh, NC 27636-3726 Telephone: (919) 856-4520 h and Wildlife Service / National N US Fish and Wildlife Service Asheville Field Office 160 Zillicoa Street Asheville, NC 28801 Telephone: (828) 665-1195 arine Fisheries Service National Marine Fisheries Service Habitat Conservation Division Pivers Island Beaufort, NC 28516 Telephone: (252) 728-5090 North Carolina State Agencies Division of Water Quality 401 Wetlands Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Telephone: (919) 733-1786 Fax: (919) 733-9959 Division of Water Quality Wetlands Restoration Program 1619 Mail Service Center Raleigh, NC 27699-1619 Telephone: (919) 733-5208 Fax: (919) 733-5321 CAMA and NC Coastal Counties State Historic Preservation Office Department Of Cultural Resources 4617 Mail Service Center Raleigh, NC 27699-4617 Telephone: (919) 733-4763 Fax: (919) 715-2671 Division of Coastal Management Beaufort Chowan Hertford Pasquotank 1638 Mail Service Center Bertie Craven Hyde Pender Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquimans Telephone: (919) 733-2293 Camden Dare Onslow Tyrrell Fax: (919) 733-1495 Carteret Gates Pamlico Washington NCWRC and NC Trout Counties Western Piedmont Region Coordinator Alleghany Caldwell Watauga 3855 Idlewild Road Ashe Mitchell Wilkes Kemersville, NC 27284-9180 Avery Stokes Telephone: (336) 769-9453 Burke Surry Mountain Region Coordinator Buncombe Henderson Polk 20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford Waynesville, NC 28786 Clay Macon Swain Telephone: (828) 452-2546 Graham Madison Transylvania Fax: (828) 506-1754 Haywood McDowell Yancey Page 12 of 12 NCDWQ Stream Classification Form Environmental Design & Consulting P.O. Box 79133 Charlotte, N.C. 28271 Stream # 1 Project Name: Springdale Ave. River Basin: Lower Catawba County: Mecklenburg Evain,11nr• C IF i DWQ Project Number: Nearest Named Stream: NA Latitude: 35.12.19N Signature: Date: 2/11/04 USGS QUAD: Charlotte Longitude: 80.51.17 W Location/Directions: umsonu .me%%s ut & Sl,ring(l: is *PLEASE NOTE: If evaluator and landowner agree that the feature is a man-made ditch, then use of this form is not necessary. Also, if in the best professional judgement of the evaluator, the feature is a man-made ditch and not a modified natural stream-this rating system should not be used* Primary Field Indicators: (Circle One Number Per Line) 5) Is There An Active (Or Relic) II Hydroloi y Absent Weak Moderate Strone 1) Is There A Groundwater Flow/Discharge Present'' 0 1 2 PRIMARY HYDROLOGY INDICATOR POINTS., 3 Secondary Field Indicators: (Circle One Number Per Line) 3) Does Topography Indicate A Natural Drainage Way? 0 5 SECONDARY GEOMORPHOLOGYINDICA TOR POINTS-_4 1. Geomomholozy Absent Weak Moderate tron 1) Is There A Riffle Pool Sequence'' 0 1 3 21 Is The I1RDA Texture In Streambed 9) Is A Continuous Bed & Bank Present? 0 1 1 (*NOTE: /?IJed & hank Caused By DilchinAnd WITHOUT Sinuosity Then Score=ll* -- 10) Is A 2"`? Order Or Greater Channel (As Indicated Qn 1'ono Man Atrd/Or In Field) Present'' ?3 Nn-O PRIMARY GEOMORPHOLOGY INDICATOR POINTS: _12 PRIMARYBIOLOGYINDICATOR POINTS.-7 II Hydrology Absent Weak Moderate Strong 1) Is This Year's (Or Last's) Leaflitter 3) Are Wrack Lines Present? u > a I..) 4) Is Water In Channel And >49 l Irs. Since 0 .5 1 Last Known Rain? (*NOTE IfDitch Indicated In #9 Above Skin This Step And #5 Below*) 5) Is There Water In Channel During Dry 0 15 1 Conditions Or In Growing Season)? 6) Are I lvdric Soils Present In Sides Of Channel (Or In Ileadcut)?-1 S Ne-0 SECONDARY HYDROLOGY INVICA TOR POINTS.--6.5 TOTAL POINTS (Primary + Secondary4=38. S (Greater Than Or Equal To 19 Points The Stream Is At Leact Intermittent) 8) Are Wetland Plants In Streambed? SAV Mostly OBL Mostly FACW Mostly FAC Mostly FACU Mostly UPL (* NOTE. If Total Absence Of All Plants In Streambed 2 1 .75 .5 0 0 As Noted Above Skin This Step UNLESS SAV Present') -- SECONDARYBIOLOGYINDICATOR POINTS:_6.0 W T N 0000 AUyQuwlmn4 Ina; 02007 X?vIp?W n T?oMpbgM Springdale Ave. Project Site City of Charlotte Environmental Design & Consulting 49?z- 1 Mecklenburg County, N.C. P.O. Box 79133 Charlotte, NC 28271 Location Maps n .,� lip i y k wjs a� � r5 ��^�� a� ti a!•�� � moi. M i r� w 71 i7l,� lit n .,� lip i y k wjs a� � r5 ��^�� a� ti a!•�� � moi. I eor>•'? Environmental Design $ Consulting 4 P.O. Box 79133 Charlotte, NC 28271 GIS Aerial Springdale Ave. Project Site City of Charlotte IM Mecklenburg County, N.C. I I j I f Mecklenburg County, NC Polaris Page 1 of 1 14 Mecklenburg County, North Carollna POLARIS Parcel Ownership and GIS Summary Date and Time: 1211612003 9:45:10 PM Parcel ID #: 12109201 GIS ID #: 12109201 Building Photography Owner Name: ALIS PROPERTIES LLC PHOTO #1 Mailing Address: 2015 SPRINGDALE AV CHARLOTTE, NC 28203 Property Characteristics Legal Desc.: L17 & 18 P16 B69 M332-214 Land Area. 2 LT Fire District: 00-CITY OF CHARLOTTE Special District: N/A Account Type: NC CORP Municipality: 1-CHARLOTTE Property Use: SINGLE-FAM Deed Reference(s) and Sales Price 16421-481 (11/11/2003) $0.00 16416-358 (11/10/2003) $320,000.00 03235-431 (12/18/1970) $0.00 Situs Addresses Tied to This Parcel 2015 SPRINGDALE AV Site Location Information Zoning Boundaries: Contact Appropriate Planning Department or See Map. ETJ Area: CHARLOTTE 6/30/03 Charlotte Annexation: NO Charlotte Historic Districts: YES Census Tract #: 34 Parcel Falls Inside SWIM Buffer?: NO FEMA Flood Information FEMA Panel #: 37015900136 FEMA Flood Zone: OUT FEMA Panel Date: 03/02/93 Regulated Watershed Information Watershed Name: UPPER LITTLE SUGAR Watershed Class: Information contained within this photo may be used as a visual aid and to generally locate, identify, and inventory parcels in Mecklenburg County, North Carolina. There are inherent errors and limitations associated with this type of electronic medium. Mecklenburg County cannot warrant or guarantee the information contained herein including but not limited to its accuracy or completeness. Powered by IMeeNleeb? . ? ? Gately ,. (iMAT?llilf IM,/Y/NiWIB?Ar .S???hMiY information provided by this program is prepared for the inventory of real property within Mecklenburg County and is compiled from recorde is, plats, tax maps, surveys, and other public records and data. Users of this map data are hereby notified that the aforementioned public ary information sources should be consulted for verification of the information. Mecklenburg County and its mapping contractors assume no I responsibility for the information contained herein. http://maps2.co.mecklenburg.nc.us/website/rcalestate/ParcelDetailsPhotoReport.asp 12/16/2003 Location: 2015 SPRINGDALE AV T VICINITY HEAD i/ i IO S LE ? LA id 4 54 ?, r 60 6 b0 \ / ?Q0 t hj r+l IPf PIPE al / l7 .. s J ?. TINJ\ alt g' 00 ?p i ? GAS ! 1Ot "'&Y DtOG C 1< ? , _ 1 A 4 V, / ?r f R?+nd yl. eg„? Pf \, 1 PIPE \ Proposed 70 If of Pipe V4 op4 ?6 ai19110 o0 %1' PIPE 1P /J /s REMR N/!" 1/AMA aN 'A69 Jr T/R)RNT17N JR DR PI83BJ- OS REOM tic" W IR \ Ar' IALN WV AdA1O RVOIOlGE OM K OASGMIN AMA a LWARO u LOCA . Cf 11 11[ k .\ ME EVIMn; N A[Cd10lO. 00 m 9 IW IAA QOOf !Jt PAN MQ 111 \ NOTES ; 1. S10.ACr RMACr PAACU 1IMO20I GRAPHIC SCALE 7 MS PRO^EIrrY NA Y 6f S"Cr M ANr EASIMNR W AMIr-OI-MAYS O f5 N) 00 A NO NOS OONCAMOVr nxwv WINW low! A AAG CO MNO MY CMVWA IF YE MW SCALE IN rEET S Sb0.ECr /MAOr IS A»r LWAI[O N A WVCM nOW MW AS MN 'EMA n 000 MAYI JMIft"J / A4?M ~nl S. AAS sWWr a or AN CAm" PAACri Of LAW AND OOrf AOr MAW A A W SAKE? OR 01AN4Y AAO MAW SAR[r 1. All WSFAN 11 ViOM ANr NOAL'UNrA/ N019LAMCMRs rREPARED EDIP.• ALI BAHMANYAR A SURVEY or M. F- IMMA -1Oy NAI Oft y1N - d- wqM my "wAMS- ft- .n 2015 SPRINGDALE AVE. Plat with proposed development and pipe &Us WME In& Springdale Ave. Project Site City of Charlotte Environmental Design Consulting Mecklenburg County, N.C. P.O. Box 79133 Charlotte, NC 28271 91 72 DWQ# ")q- 6 Plan Detail Incomplete Date Ale v_ Who Reviewed: ? Please provide a location map for the project. ? Please show all stream impacts including all fill slopes, dissipaters, and bank stabilization on the site plan. ? Please show all wetland impacts including fill slopes on the site plan. ? Please indicate all buffer impacts on the site plan. ? Please indicate proposed lot layout as overlays on the site plan. ? Please indicate the location of the protected buffers as overlays on the site plan. ? Please locate all isolated or non-isolated wetlands, streams and other waters of the State as overlays on the site plan. ? Please provide cross section details showing the provisions for aquatic life passage. ? Please locate any planned sewer lines on the site plan. ? Please provide the location of any proposed stormwater management practices as required by GC COQ * Please provide detail for the stormwater management practices as required by EKi_ . b?, I `• ? Please specify the percent of project imperviousness area based on the estimated built-out conditions. ? Please indicate all stormwater outfalls on the site plan. ? Please indicate the diffuse flow provision measures on the site plan. ? Please indicate whether or not the proposed impacts already been conducted. Avoidance and/or Minimization Not Provided r_5 ? The labeled as on the plans does not appear to be necessary. Please eliminate the or provide additional information as to why it is necessary for this project. ? This Office believes that the labeled on the plans as can be moved or reconfigured to avoid the impacts to the . Please revise the plans to avoid the impacts. ? This Office believes that the labeled on the plans as can be moved or reconfigured to minimize the impacts to the Please revise the plans to minimize the impacts. ? The stormwater discharges at the location on the plans labeled will not provide diffuse flow through the buffer because . Please revise the plans and provide calculations to show that diffuse flow will be achieved through the entire buffer. If it is not possible to achieve diffuse flow through the entire buffer then it may be necessary to provide stormwater management practices that remove nutrients before the stormwater can be discharged through the buffer. Other ? The application fee was insufficient because over 150 feet of stream and/or over 1 acre of wetland impacts were requested. Please provide $ . This additional fee must be received before your application can be reviewed. ? Please complete Section(s) on the application. ? Please provide a signed copy of the application. ? Please provide Mitigation copies of the application, copies of the site plans and other supporting information. ? of compensatory mitigation is required for this project. Please provide a compensatory mitigation plan. The plan must conform to the requirements in 15 A NCAC 2H.0500 and must be appropriate to the type of impacts proposed. ? Please indicate which 404 Permit the USACE would use to authorize this project.