Before Completing This Form, Please Read the Step-By-Step Instructions and Section F Application Completeness Checklist Provided with This Joint Permit Package
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3150-PM-BWEW0036A Rev. 8/2016 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION and DEPARTMENT OF ARMY CORPS OF ENGINEERS (Baltimore, Philadelphia, and Pittsburgh Districts) JOINT APPLICATION FOR PENNSYLVANIA CHAPTER 105 WATER OBSTRUCTION AND ENCROACHMENT PERMIT AND U.S. ARMY CORPS OF ENGINEERS SECTION 404 PERMIT Before completing this form, please read the step-by-step instructions and Section F Application Completeness Checklist provided with this Joint Permit package. AGENCY USE ONLY Application ID# (Assigned by DEP) RECEIVED DATE CHECK NO. Program Application No. REQUIRED APP. FEE AMOUNT $ SECTION A. APPLICATION TYPE STANDARD SMALL PROJECTS SECTION B. APPLICANT IDENTIFIER Applicant Name Employer ID# (EIN) Sunoco Pipeline L.P. 23-3102656 Consulting Firm Employer ID# (EIN) Tetra Tech, Inc. 95-4148514 SECTION C. PROJECT LOCATION DATA AND STATUS Name of stream and/or body of water and Chapter 93 designation. Refer to Tables in Attachment 11 Corps District where project will occur. Pittsburgh (Ohio River Basin) Baltimore (Susquehanna River Basin) Philadelphia (Delaware River Basin) Name of the U.S.G.S. 7 1/2 Minute Quadrangle Map where project is located: Elverson, Wagontown, Downingtown, Malvern, West Chester Indicate location of project: Latitude County Enter: 40.1558/ County Exit: 39.9503 ; Longitude County Enter: -75.8429/ County Exit: -75.5107 Project type, purpose and need: Installation of two parallel natural gas liquid pipelines within an approximately 306.8-mile, 50- foot-wide right-of-way (ROW) from Houston, Washington County, Pennsylvania to Sunoco Pipeline L.P.'s (SPLP’s) Marcus Hook facility in Delaware County, Pennsylvania with the purpose of interconnecting with existing SPLP Mariner East pipelines. A 20-inch diameter pipeline would be installed within the ROW from Houston to Marcus Hook (306.8 miles) and a second, 16-inch diameter pipeline, would also be installed in the same ROW from SPLP's Delmont Station in Westmoreland County to the Marcus Hook facility (for approximately 255.8 miles). Please refer to Attachment 9 for a more detailed Project Description. HAS ANY PORTION OF PROPOSED PROJECT BEEN AUTHORIZED? yes no date authorized If yes, attach description of those portions of the project that have been authorized and identify dates of authorization. SECTION D. AQUATIC RESOURCE IMPACT TABLE HAS ALL INFORMATION INCLUDED ON THE IMPACT TABLE BEEN PROVIDED? yes no If NO, indicate the information not included and the reason. Also attach a completed Aquatic Resource Impact Table - 1 - 3150-PM-BWEW0036A Rev. 8/2016 (3150-PM-BWEW0557) worksheet or equivalent. - Project Information: Aquatic Resource Impact Table equivalents are provided in Attachment 11 - Corps / 404: Corps/404 Impacts provided in Attachment 11 - DEP / 105: DEP/105 Impacts provided in Attachment 11 - 2 - 3150-PM-BWEW0036A Rev. 8/2016 SECTION E. COMPLIANCE REVIEW Yes No Is the applicant (owner and/or operator) currently in violation of any permits issued by the Department? If yes, please provide: 1. Permit Number: 2. Nature of the violation (if any): 3. Status of violation (i.e., schedule for compliance, etc.): SECTION F. APPLICATION COMPLETENESS CHECKLIST Applicant must place an entry - Y = Yes, N = No, N/A = Not Applicable - in each left side column space. See Section 105.13 for additional details. If you are applying under the Small Projects Application format, place an entry in only those comments prefixed by an asterisk (*). REQUIREMENT Applicant Entry DEP Use Only a. GIF and permit application properly signed, sealed and witnessed *Y - Attachment 1 b. Application Fee & Worksheet enclosed (see Section G.) *Y - Attachment 2 c. Copies and proof of receipt - Act 14 notification - Acts 67/68/127 *Y - Attachment 3 d. Cultural Resource Notice (Notice, return receipt and PHMC review letter, as *Y - Attachment 4 appropriate) e. PASPGP-5 Reporting Criteria Checklist *Y - Attachment 5 f. Bog Turtle Habitat Screening (copy of “No Effect” determination from the Army *Y - Attachment Corps of Engineers OR copy of documented clearance from the US Fish and 6A Wildlife Service) g. Pennsylvania Natural Diversity Inventory (signed PNDI Receipt showing *Y - Attachments Avoidance Measures or Potential Impacts and proof of delivery to the appropriate 6B and 6C jurisdictional agency(ies) where further coordination is required, as appropriate) h. Plans (site plan including cross sections and profiles for Subsections 151, 191, *Y - Attachment 7 231, 261) i. Location map Y - Attachment 8 j. Project description narrative including PNDI avoidance measures (if applicable) *Y - Attachment 9 AND Aquatic Resource Impact Table *Y - Attachment 11 k. Color photographs with map showing location taken *Y - Attachment 10 l. Environmental Assessment form *Y - Attachment 11 m. Erosion and Sediment Control Plan and approval letter Y - Attachment 12 (Under Separate Cover) n. Hydrologic and hydraulic analysis Y- Attachment 13 o. Stormwater Management Analysis with consistency letter Y - Attachment 14 p. Floodplain Management Analysis with consistency letter Y - Attachment 14 q. Risk Assessment Y - Attachment 15 r. Professional engineer’s seal and certification Y - Attachment 16 s. Alternative analysis Y - Attachment 11: Enclosure E, - 3 - 3150-PM-BWEW0036A Rev. 8/2016 Part 3 t. Mitigation plan Y - Attachment 11: Enclosure E, Part 4; and Attachment 11, Enclosure F - 4 - Pennsylvania Pipeline Project - Chester County Joint Application Form Supplemental Information Section C. Project Location Data USGS 7 ½ Minute Quadrangle Map Names Elverson Wagontown Downingtown Malvern West Chester Section H. Adjoining Property Owners Property Owner Address Borough of Elverson 101 S. Chestnut Street Elverson, PA, 19520 Cynthia Helen Dwyer 300 Morris Road Exton, PA, 19341 James J. Halsema and Alice C. Halsema 48 Walnut Bank Road Glenmoore, PA, 19343 James L. Balch and Mariely Wynn 1406 Ship Road West Chester, PA, 19380-1310 1594 West Chester Realty, LP, a Pennsylvania limited 8815 Brickyard Road partnership Potomac, MD, 20854-1755 390 Eagleview Boulevard, LLC 5 Hanover Square, 25th Floor New York, NY, 10004 460 EV Boulevard Partnership, L.P. 220 West 5th Avenue Trappe, PA, 19426 50 West Conestoga Road, LP P.O. Box 49 Elverson, PA, 19520 730 Stockton Drive Associates L.P., a Pennsylvania 707 Eagleview Boulevard Suite 200 limited partnership Exton, PA, 19341 730 Stockton Drive Associates, L.P. 707 Eagleview Boulevard Suite 400 Exton, PA, 19341 Abdelkhalek Elkhouly 48 Meadow Creek LA Glenmoore, PA, 19343 Adam G. Bidegary and Kelly M. Bidegary 1601 Williams Way West Chester, PA, 19380 Adam Varrenti III 1059 Boot Road West Chester, PA, 19380 Advent Lutheran Church, a Pennsylvania Corporation 1601 Green Lane West Chester, PA, 19382 Albert A. Kennedy, Sr., and Ann G. Kennedy 126 Kennedy Hollow Lane Hopwood, PA, 15445 Albert A. Medoro and Antoinette D. Medoro 901 South Chester Road West Chester, PA, 19382 Alex K. Varkey and Lilly K. Alex 1320 Boot Road West Chester, PA, 19380 Pennsylvania Pipeline Project - Chester County Joint Application Form Supplemental Information Property Owner Address Amanda C. Hiett and Lloyd E. Hiett 1460 Little Conestoga Road Glenmoore, PA, 19343 Amberto F. Mattioni, Jr. and Theresa Mattioni 107 Shoen Road Exton, PA, 19341 Andrew D. Verbovszky 331 Biddle Drive Exton, PA, 19341 Andrew Fox and Margaret Anne Fox 536 Beaumont Circle West Chester, PA, 19380 Andrew J. Roberts 120 Lovell Lane Glenmoore, PA, 19343 Andrew McDonald and Frances T. McDonald 912 S. Chester Road West Chester, PA, 19382 Angela C. Muchnick and Robert D. Muchnick 122 Crump Road Exton, PA, 19341 Ann Marie Roscoe 111 Lori Circle Exton, PA, 19341 Annette L. Houseworth 206 Crump Road Exton, PA, 19341 Anthony A. Perretta and Dawn Perretta 1601 Bane Way West Chester, PA, 19380 Anthony J. DiFlavis, Jr. and Donna M. DiFlavis 1501 East Grand Oak Lane West Chester, PA, 19380 Anthony Janiec and Carol Janiec 1518 Meadowbrook Lane West Chester, PA, 19380 Anthony Mastroianni and Diane F. Mastroianni 209 Allen Drive Exton, PA, 19341 Anthony R. Monterosso, Jr. and Joan A. Monterosso 607 S. Speakman Lane West Chester, PA, 19380 Archbishop Krol of Philadelphia 1325 Boot Road West Chester, PA, 19380 ARHC WHWCHPA01, LLC 1361 East Boot Road West Chester, PA, 19380 Arnold W. Rhodes, Jr. and Laura T. Rhodes 101 Edgefield Drive Downingtown, PA, 19335 Arthur G. Miller, Jr. and Dolores P. Miller 1416 Ship Road West Chester, PA, 19380-1310 Arthur Giove and Julie Giove 300 N. Chester Road West Chester, PA, 19380 Arti Bajpai and Glenn Coenen 475 Little Conestoga Road Downingtown, PA, 19335 Atef M. El-Hendawy 906 S. Chester Road West Chester, PA, 19382 Axalta Coating Systems , LTD., a Bermuda Exempted 500 Eagleview Boulevard Company Exton, PA, 19341 Barbara A. Kiah 1424 Ship Road West Chester, PA, 19380 Barbara J. Robinson 128 Crump Road Exton, PA, 19341 Pennsylvania Pipeline Project - Chester County Joint Application Form Supplemental Information Property Owner Address Bassam T Khalil 46 Meadow Creek LA Glenmoore, PA, 19343 Benjamin P. Eckert and Julianne O. Eckert 170 Valley View Drive Exton, PA, 19341 Benjamin Stoddard and Caryn Stoddard 1446 Ship Road West Chester, PA, 19380 Bentley Systems, Incorporated 690 Pennsylvania Drive Exton, PA, 19341 Bentley Systems, Incorporated, a Delaware 685 Stockton Drive corporation Exton, PA, 19341 Bernard W. Ebersole, III, and Jennifer J. Matlack 208 N. Chester Road West Chester, PA, 19380 Brendan G. Stover and Diane T. Stover 485 Little Conestoga Rd Downingtown, PA, 19335 Brian A. Correll and Christine C. Correll 1407 Boot Road West Chester, PA, 19380 Brian and Sarah Mears 590 S. Chester Road West Chester, PA, 19382 Brian K & Melanie L Gogarty 40 Meadow Creek LA Glenmoore, PA, 19343 Brian Kerslake 103 Shoen Road Exton, PA, 19341 Broadstone WI East, LLC, a New York Limited Liability 153 E Swedesford Road Co Exton, PA, 19341 Brooke Dolan 63 Walnut Bank Road Glenmoore, PA, 19343 Bryan A. Bunt 1073 Boot Road West Chester, PA, 19380 C. Walter Kinsey, Jr. and Joanne L. Kinsey 313 Colonial Drive Exton, PA, 19341 Carl Scheifele 1650 Little Conestoga Road Glenmoore, PA, 19343 Carl Weiland and Phyllis R.