20241337 Ver 1_ePCN Application_20240927

DW R
DHlsloo of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
October 2, 2023 Ver 4.3
Initial Review
Has this project met the requirements for acceptance in to the review process?
Yes No
Is this project a public transportation project?*
Yes No
Change only If needed.
Does this project involve maintenance dredging funded by the Shallow Draft Navigation Channel Dredging and Aquatic Weed Fund, electric generation projects located at an existing or
former electric generating facility, or involve the distribution or transmission of energy or fuel, including natural gas, diesel, petroleum, or electricity?
Yes No
BIMS # Assigned
Version# *
20241337
1
Is a payment required for this project?*
No payment required
What amount is owed?*
Fee received
$240.00 $570.00
Fee needed - send electronic notification
$323.00 $767.00
Reviewing Office*
Select Project Reviewer*
Wilmington Regional Office - [phone]
Tyler Benson:Tyler.Benson
Information for Initial Review
la. Name of project:
Lot 23
la. Who is the Primary Contact?*
Dana Lutheran
1b. Primary Contact Email: * 1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
9/27/2024
Nearest Body of Water
Stump Sound
Basin
White Oak
Water Classification
SA
Site Coordinates
Latitude: Longitude:
34.402907-77.582916
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Pender
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No

1a. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
Yes
No
1b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 18 - Minor Discharges
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
401 Water Quality Certification - Express
Riparian Buffer Authorization
1f. Is this an after -the -fact permit application? *
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1h. Is the project located in any of NC's twenty coastal counties?
Yes No
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. Who is applying for the permit?
Owner Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
New Life Building
2b. Deed book and page no.:
2c. Contact Person:
Ross Trifoli
2d.Address
Street Address
2463 Hoover Rd
Address Line 2
City
State / Province / Region
Hampstead
NC
Postal / Zip Code
Country
28443
USA
Yes No
Yes No

2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Dana Lutheran
4b. Business Name:
Southern Environmental Group, Inc. (SEGi)
4c.Address
Street Address
5315 South College Rd
Address Line 2
Suite E
city
Wilmington
Postal / Zip Code
28412
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
ACCOLADE
1c. Nearest municipality / town:
Surf City
2. Project Identification
2a. Property Identification Number:
4224-70-4647-0000
2c. Project Address
Street Address
Lot 23 Accolade Dr
Address Line 2
city
Surf City
Postal / Zip Code
28445
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Stump Sound
3b. Water Resources Classification of nearest receiving water:
SA
3c. What river basin(s) is your project located in?
White Oak
3d. Please provide the 12-digit HUC in which the project is located.
030203020403
4. Project Description and History
2f. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:
2b. Property size:
0.15
State / Province / Region
NC
Country
USA

4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
The site is located within the Accolade SD, in Surf City, NC, which is a barrier island. Roads and infrastructure to support the ACCOLADE SD were installed without impacts to wetlands.
The subdivision abuts a man made channel that allows tidal waters to encroach into the interior of some of the platted lots, but not within the project site, and normal high water is more
than 125 linear feet away from the proposed development (see attached ACCOLADE Land Plan). Before construction on the roads and infrastructure and where needed, the site was
bushhogged. Only mature trees remain within the uplands and typical herbaceous vegetation is found within the Section 404 (i.e., non -tidal fresh water marsh) and coastal marsh
wetlands. Approximately 997 SF of Section 404 wetlands encroach into the back left portion of the project site (see attached Site Plan and Wetland Impact Map). The surrounding area is
densely developed with single family being the primary land use.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past? *
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0.02
4g. List the total estimated linear feet of all existing streams on the property:
0
4h. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct a single family dwelling.
4L Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The project will entail removing woody debris and unsuitable soils from the proposed wetland impact area and backfilling with clean earthen soil. A retaining wall will be installed to contain
the fill to within the proposed impact limits, which consists of approximately 0.016 AC (700 SF). A T temporary construction buffer has been incorporated into the plan to give the workers
some
room, if necessary, while installing the retaining wall. The construction buffer will be returned to its original grade and contour and allowed to re -vegetate naturally, once construction has
been completed.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
SAW-2016-00332
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: CZR
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
See attached.
6. Future Project Plans
6a. Is this a phased project?*
Yes No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
There are no other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries O Buffers
Open Waters Pond Construction
2. Wetland Impacts
v
2a1 Reason (?)
Fill
2b. Impact type* (?)
P
2c. Type of W.*
Non -Tidal Freshwater Marsh
2d. W. name
A
2e. Forested*
No
2f. Type of Jurisdicition *
?)
Both
2g• Impact
area *
0.016
(acres)
Const. Buffer
T
Non -Tidal Freshwater Marsh
A
No
Both
0.002
(acres)

2g. Total Temporary Wetland Impact
0.002
2g. Total Permanent Wetland Impact
0.016
2g. Total Wetland Impact
0.018
2i. Comments:
If disturbed, the construction buffer area will be returned to its original grade and contour and allowed to re -vegetate naturally.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The Applicant had the site delineated for waters of the US, prior to starting the project. This allowed for avoidance and minimization efforts to be taken,
from the beginning. Additionally, the application placed the home as close to the front setback as possible and is only including a 10' maintenance
corridor off the back of the structure, and a retaining wall has been incorporated into the plan, to ensure sediment does not discharge into the adjacent
wetlands, after construction has been completed.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Prior to undertaking land disturbing activities, the Applicant will have sediment and erosion and stormwater best management practices in place. The
measures will be inspected regularly and repaired/replaced as needed.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
Yes No
2c. If yes, mitigation is required by (check all that apply):
D W R Corps
2d. If yes, which mitigation option(s) will be used for this project?
Mitigation bank Payment to in -lieu fee program Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Batchelor's Delight Wetland & Stream Mitigation Bank
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Riparian wetland 0.10
3c. Comments
The Applicant is proposing to make payment to the aforementioned bank at a 4:1 mitigation to impact ratio. SEGi is requesting the USACE approve the
use of the bank prior to their securing a credit reservation letter.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
If no, explain why:
This project is not located within NC's Riparian Buffer River Basins.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?'�
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater program?
Yes No
N/A - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
Local Government State
State Stormwater Programs
Phase II Coastal Counties
HWQ or ORW Other
0
O

Comments:
The project site is covered under the ACCOLADE SO stormwater permit, which allows no more than 40 % BUA per lot.
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
Yes No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?
Yes No
3b. If you answered "no," provide a short narrative description.
The stormwater runoff, generated by the proposed development, will be collected and treated before discharging into downstream receiving waters.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
Yes No N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated at a
treatment plant, list the capacity available at that plant.
Surf City (see attached Septic and Soils Map).
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?
Yes No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?
Yes No Unknown
5e. Is this a DOT project located within Division's 1-8?
Yes No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
SEGi relied upon the USFWS IPaC and NC NHP for lists of ES and DCH (See attachments 6 & 7). The project site does not exhibit habitat sufficient to
support any of the listed species.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat? *
SEGi utilized the EFH Mapper to determine whether the site would impact an essential fish habitat (See attachment 8).
7. Historic or Prehistoric Cultural Resources (Corps Requirement)

7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status? *
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources? *
The NC SHPO HPOWEB2.0 map revealed the US Army Camp Davis was located on the island, before it was abandoned and sold to private entities.
The map indicates the camp is "Gone". The project site is not located within an area designated as a National Historic Place (See attachment 9).
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
Yes No
8b. If yes, explain how project meets FEMA requirements:
See attached Floodplain Development approval, from the town of Surf City.
8c. What source(s) did you use to make the floodplain determination?
Pender County GIS Floodplain (See attachment 10).
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
PCN Attachments ACCOLADE Lot 23 9-27-24.pdf 6.81MB
File must be PDF or KMZ
Comments
Signature
By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Dana A. Lutheran
Signature
Date
9/27/2024
U