20091113 Ver 1_401 Application_20091009

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Residential Cornmercial
252-728-5441 phone
252-728-2501 fax
NC Ucens 35688
[e-mail]:)rr,
October 16, 2009
US Army Corps of Engineers
Attention: Mickey Sugg
69 Darlington Avenue
Wilmington, NC 28403
Attention: Mickey Sugg
508 Dancer Court.
Beaufort, NC 28516

f: URTES Y
Clop (
Please find enclosed the Pre-Construction Notification (PCN) form for 113 Sandy Huss Drive in
Beaufort, NC. Also enclosed are the survey and the authorization letter from the owner,
Gerald Holt. This packet is also being sent to the Division of Water Quality.
Please contact me if you have any questions; I can be reached at the above office number or
on my cell phone at [phone].
Thank you,
amij? -
Archie Davis
Cc: Ian McMillan
NCDWQ
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. Applicant Information
1. Processing o

1 a.
Type(s) of approval sought from the
Corps:
® Section 404 Permit ? Section 10 Permit COPY
1 b. Specify Nationwide Permit (NWP) number: NWP18 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? ®Yes ? No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
® Yes ? No For the record only for Corps Permit:

? Yes ® No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ® Yes ? No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: Holt Residence
2b. County: Carteret
2c. Nearest municipality / town: Beaufort
2d. Subdivision name: Hidden Harbor
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
rER
Gerald and Patricia Holt WETLANDS ANDSTO
R
3b. Deed Book and Page No. Book 938 page 584
3c. Responsible Party (for LLC if
applicable): N/A
3d. Street address: 113 Sandy Huss Drive
3e. City, state, zip: Beaufort, North Carolina 28516
3f. Telephone no.: 301-855-0157
3g. Fax no.: n/a
3h. Email address: na
Page 1 of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ® Agent ? Other, specify:
4b. Name: Archie Davis
4c. Business name
(if applicable): Archie Davis Construction
4d. Street address: 608 Dancer Court
4e. City, state, zip: Beaufort NC 28516
4f. Telephone no.: 252-728-5441 or 252-241-1199
4g. Fax no.: 252-728-2601
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 649402978590000
1 b. Site coordinates (in decimal degrees): Latitude: 34.574200 Longitude: - 76.39856
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: .596 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Sandy Huss Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: SA HQW NWS
2c. River basin: Nuese
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site is located in the residential subdivision of Hidden Harbor. The adjacent lots have homes built upon them. The
lot for which the permit is being applied for has trees and some undergowth. A portion of the lot currently has standing
water due to the fact that the developed adjacent properties drain onto this property. The water frequently stands on this
lot because of a sandy ridge at the edge of the creek does not allow heavy rains to drain off.
3b. List the total estimated acreage of all existing wetlands on the property:
.28
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
97' of coastal marsh on the shoreline
3d. Explain the purpose of the proposed project:
Single family residence
3e. Describe the overall project in detail, including the type of equipment to be used:
Build a single family home. Equipment used will be dozer and excavator for clearing and installation of the building pad.
A crane will be used to install piles and roof trusses. Install a well and septic system. Install 2900 sf of driveway.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes ? No ? Unknown
project (including all prior phases) in the past?
Comments: 2005
4b. If the Corps made the jurisdictional determination, what type
? Preliminary ® Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: N/A
Name (if known): Corp of Engineers Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
2005
5. Project History
5a. Have permits or certifications been requested or obtained for ? Yes ®No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ? Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T
W1 ®P ? T fill estrine fringe ? Yes
® No ® Corps
® DWQ 09
W2 ? P ? T N/A N/A ? Yes
? No ? Corps
? DWQ N/A
W3 ? PEI T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts .09
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - or
(PER)
(Corps - 404, 10
stream
length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ? P ? T N/A N/A ? PER
? INT ? Corps
? DWQ N/A N/A
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts
3i. Comments:
Page 5 of 11
PCN Form -Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ? P ? T N/A N/A N/A N/A
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1 N/A
P2 N/A
K Total
5g. Comments: N/A
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres): N/A
5j. Size of pond watershed (acres): N/A
5k. Method of construction: N/A
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
® Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary T impact required?
131 ? P ? T N/A N/A F1 Nos N/A N/A
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments: Impact outside of buffer
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The proposed home is as far away from Sandy Huss Creek as possible in consideration of the septic requirements. The
majority of the uplands are being used for the septic system and the required repair area for the septic system. The septic
system and the repair area require 8,396 sf. Because of the septic system and the required subdivision set backs there is
only 1789 sf of uplands on which to build the home and driveways. We are requesting a minimum amount of fill so that the
home can be built in compliance with the N. C. Building code requirements with regards to flood plain regulations and
drainage regulations. Those regulations require us to build the home above the 100 year flood plain and have positive
drainage for at least 10' beyond of the perimter of the home.
The wetlands that we are requesting to build on have only been created recently. Please see the attached survey that
indicates the previous locations of the wetlands per the recorded map and the location of the existing wetlands. We will have
no impact on the wetlands that are on the recorded map.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this
project? ? Mitigation bank

? Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: N/A
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: N/A linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
N/A
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ? Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified ® Yes ? No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Any run off from sugnificant storm events would be sheet run off. ? Yes ? No
Normal rain events will have the run directed to existing ditches that are part of the
storm water plan for the subdivision.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 19%
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: The lot will be devolped in compliance
with the DWQ Stomwater permit that has been issued for the entire subdivision.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? N/A
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
® Coastal counties

4a.
Which of the following state-implemented stormwater management programs apply ®
HQW
? ORW
(check all that apply):
? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the ? Yes ® No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ? No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ? Yes ? No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
There will be a septic system installed per Carteret County Environmental Health Department design.
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ? Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ? Yes ® No
impacts?
El Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Corp of Engineers
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Corp of Engineers
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Corp of Engineers
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? -0 yes ? No
8b. If yes, explain how project meets FEMA requirements: The living level of the home will be above the 100 year flood
elevation.
8c. What source(s) did you use to make the floodplain determination? Registered surveyor
Archie D. Davis Jr a
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Applicant/Agent's Printed Name Applicant/Agent's 09ig Date
(Agent's signature is valid only if an authorization letter from the applicant
is rovided.)
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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COUTRUCTION
SURVEY TYPE:PROPOSED SITE PLAN
STREET ADDRESS:113 SANDY HUSS DRIVE
LOT,BLK,SUBD:LOT 9,HIDDEN HARBOR
TOWN OF:MERRIMON
SCALE 1"=50'
TWP:MERRIMON COUNTY:CARTERET NORTH CAROLINA
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MAP REF:28-505
TAX PID:6494.02.97.8590
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FIELD SURVEY: 10-09-2009 DATE OF MAPPING: 10-09-2009
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Applicant Name la.. ?7 -
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This certification is valid thru (date) 12-3 ? -09
Signature
400 Commerce Avenue, Morehead City, North Carolina 28557
Phone: [phone] FAX: [phone] Internet: www.nccoastalmanagement.net
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