20191423 Ver 1_PCN Form Submission_20191015

DWR
IDIOM n of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
21nitial Review
Has this project met the requirements for acceptance
in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned *
Version#*
20191423
1
Is a payment required for this project?*
* No payment required
What amout is owed?*
* Fee received
r $240.00
r Fee needed - send electronic notification
r $570.00
Reviewing Office*
Select Project Reviewer*
Wilmington Regional Office - [phone]
Chad Coburn:eads\cccoburn
Information for Initial Review
1a. Name of project:
902 East Pelican Drive
1a. Who is the Primary Contact?*
Dana A. Lutheran
1b. Primary Contact Email:*
1c. Primary Contact Phone:*
[e-mail]
[phone]
Date Submitted
10/15/2019
Nearest Body of Water
Unnamed saltwater tributary
Basin
Cape Fear
Water Classification
SA;HOW
Site Coordinates
Latitude: Longitude:
33.915519-78.152865
FA. Processing Information U
County (or Counties) where the project is located:
Brunswick
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
* Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?
rJ Nationwide Permit (NWP)
r- Regional General Permit (RGP)
r Standard (IP)

1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
18 - Minor Discharges
le. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
r 401 Water Quality Certification - Express
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r- Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r- No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r- Yes r- No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r- No
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r- Yes r No r- Unknown
1j. Is the project located in a designated trout watershed?
C Yes r No
F. Applicant Information
1d. Who is applying forthe permit?
R Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
r Yes r- No
2. Owner Information
2a. Name(s) on recorded deed:
Jon and Mary Bonelli
2b. Deed book and page no.:
4026/596
2c. Responsible party:
2d. Address
Street Address
327 9th Street NW
Address Line 2
Cfty
State / Frovinee / R�gicn
Hickory
NC
Fbstal / Zip Code
Q�untry
28601
Us
2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
r- Yes r No
r- Yes r No
u

1. Project Information
1b. Subdivision name:
If appropriate)
1c. Nearest municipality/town:
Oak Island
2. Project Identification
2a. Property Identification Number:
235PA00410
2c. Project Address
Street Address
902 East Pelican Drive
Address Line 2
City
Oak Island
Fbstal / Zip Code
28461
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Unnamed saltwater tributary
3b. Water Resources Classification of nearest receiving water:*
SA;HOW
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
030300050802
4. Project Description and History
2b. Property size:
0.26
State / Rovinoe / %gion
NC
Country
US
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 property is currently undeveloped and wooded. General land use in the vicinity is residential. The site abuts a unnamed tidal tributary, which has a coastal wetland fringe, that
transitions into Riverine Swamp Forest.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
4f. List the total estimated acreage of all existing wetlands on the property:
3500 SF / 0.08 AC
49. List the total estimated linear feet of all existing streams on the property:
NA
4h. Explain the purpose of the proposed project:*
The purpose of the project is to construct +/- 2040 SF, two story, single-family dwelling, with attached decks, off the front and back of the structure, associated driveway, stormwater
treatment measures, a 13' x 27' swimming pool, with varying width, concrete apron, and minimal maintenance apron, around the structure and pool (see Appendix D).
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project will consists of removing vegetation, within the limits of disturbance, and backfilling 812 SF (0.02 AC) of the riparian wetlands, with clean earthen soil, in preparation of the
construction of the dwelling and installation of the pool apron. Heavy machinery, such as bulldozers, dump trucks and excavators will be used to perform the work.
4j. Please upload project drawings for the proposed project.
902 E. Pelican Wetland Impact Plan 6-11-19.pdf 355.49KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
F Yes r No C Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary G Approved r Not Verified r Unknown r WA

Corps AID Number:
SAW-2018-00336
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Paul Farley
Agency/Consultant Company: LMG
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
5d1. Jurisdictional determination upload
SAW-2018-00336.pdf 666.79KB
6. Future Project Plans
6a. Is this a phased project?*
r Yes c 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?
This project is not part of a phased development and is viable, without future impacts. Utilities are already provided.
D. Proposed Impacts Inventory U
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands r Streams -tributaries r Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
!a. Site #* (?) 2a1 Reason M 2b. Impact type * (?) 2c. Type of W. 2d. W. name * 2e. Forested* 2f. Type of 29. Impact
Jurisdicition*(?) area*
Building footprint P Riverine Swamp Forest na Yes Corps 0.020
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.020
2g. Total Wetland Impact
0.020
2h. Comments:
Temporary impacts are not associated with this project. Please see Site Plan for the proposed limits of fill.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
While the Applicant could position the structure beyond the 75' AEC line, but less than 30 linear feet of normal high water, the Applicant situated the
house and pool much further back, thereby avoiding approArnately 2700 SF of wetland impact. Also, the Applicant is only impacting wetlands where
necessary, to construct the dwelling and pool apron and provide for a minimal maintenance corridor.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Silt fence will be installed prior to any significant land disturbing activities. This should ensure that the sediment does not discharge into the remaining
wetlands, located within or outside the project limits.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r Yes r No
2c. If yes, mitigation is required by (check all that apply):
R DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
R Mitigation bank r Payment to in -lieu fee r Permittee Responsible
program Mitigation

3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Stone Farm UMB
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Riparian wetland 0.10
Attach Receipt and/or letter
3c. Comments
Mitigation is not being proposed as part of this project.
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more
information.
O Yes r No
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r- Yes r No
If no, explain why:
This project is not located within one of the State Regulated Riparian Buffer River Basins.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r- Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes r- No
Comments:
The Applicant Will seek a stormwater permit from the Town of Oak Island.
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?*
r Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r- Yes r No
3b. If you answered "no," provide a short narrative description.
The proposed project will not provide access to currently inaccessible land, and, with the incorporation of stormwater management measures,
storrrmater runoff will be treated prior to discharging into downstream receiving waters.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r- No r- 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.

Sewer will be furnished by the Town of Oak Island
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r Yes r No
Se. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
r Unknown
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
SEGi evaluated the location of the proposed work, which is within a highly developed area, and determined that the project is not likely to adversely
affect ES ro DCH.
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
While this project is located adjacent to a tidal saltwater, which would provide Essential Fish Habitat, work within tidal waters is not proposed.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
There are no eAsting structures within the project limits and is not located within an area, where known historical or archaeological resources
occurrences have been identified.
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
The structure and pool will be constructed to meet FEMA AE floodplain requirements. The Applicant will secure a building permit for the work, which
will require documentation that the proposed work is in compliance with floodplain development rules.
8c. What source(s) did you use to make the floodplain determination?*
Brunswick County GIS Flood Zone Map
Miscellaneous
Comments
This site is adjacent to an SA Water. However, the proposed work is not within the DCM's 75' Estuarine Shoreline AEC (see attached map).
Miscellaneous attachments not previously requested.
902 E Pelican 75' AEC Radius Map.pdf 216.25KB
Signature
*

m By checking the box and signing below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
. I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
. I intend to electronically sign and submit the PCN form.
Full Name:
Dana A. Lutheran
Signature
Date
10/15/2019

5EC-3i
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION: Lot 15 BU 51 S-3 PL 2.5/264 West Long Beach
LOT NO. PLAN NO. PARCEL I.D. 235PA00410
STREET ADDRESS: 902 East Pelican Drive
Applicant (please print): Jon and Mary Bonelli
The undersigned, registered property owner of the above noted property, does hereby authorize
Southern Environmental Group, Inc. (SEGi)to act on my behalf in matters regarding areas of
environmental concern.
Applicant's Address (if different than property above):
327 9th St NW
Hickory, NC 28601
Telephone & Email:
704-668-4444; [e-mail]
We hereby certify the above information submitted in this application is true and accurate to the best of
our knowl dge.
Proper Owner Authorized Signature SEGi Authorized Signature
Jon Bonelli
Print Name
7-10-19
Date
Dana A. Lutheran
Print Name
7/10/19
Date

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