20191705 Ver 1_PCN Form Submission_20191212

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial 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 *
20191705
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Robb Mairs:eads\rlmairs2
Information for Initial Review
la. Name of project:
COURTESY COPY - 3680 Wingfoot Drive
1a. Who is the Primary Contact?*
Kim Williams - Land Management Group
1b. Primary Contact Email:*
[e-mail]
Date Submitted
12/12/2019
Nearest Body of Water
Polly Gully Creek
Basin
Cape Fear
Water Classification
SC, Sw, HOW
Site Coordinates
Latitude:
33.945560
A. Processing Information
County (or Counties) where the project is located:
Brunswick
Is this project a public transportation project?*
r Yes r No
Longitude:
-78.127472
la. Type(s) of approval sought from the Corps:
W 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?
* Nationwide Permit (NWP)
* Regional General Permit (RGP)
7 Standard (IP)
Version#*
1
Reviewing Office*
Wilmington Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
U

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 solely for the record because written approval is not required?
For the record only for DWR401 Certification:
For the record only for Corps Permit:
F 401 Water Quality Certification - E)press
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?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
W 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:
Joseph and Patricia Pius
2b. Deed book and page no.:
2c. Responsible party:
Joseph Pius
2d.Address
Street Address
1103 Jeff Ryan Drive
Address Line 2
city
Herndon
Rstal / Zip Code
20170
2e. Telephone Number:
[phone]
2g. Email Address:*
pattynjoe1 @verizon.net
State Rmince/ Fbggion
VA
Country
USA
2f. Fax Number:
r Yes r No
r Yes r No
4. Agent/Consultant (if applicable)

4a. Name:
Kim Williams
4b. Business Name:
Land Management Group
4c.Address
Street Address
3805 Wrightsville Avenue; Suite 15
Address Line 2
aty
Wilmington
Postal / Zip Code
28403
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Agent Authorization Form for 3680 Wingfoot Drive.pdf
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
St. James Plantation
1c. Nearest municipality I town:
Southport
r
2. Project Identification
2a. Property Identification Number:
219FA015
2c. Project Address
Street Address
3680 Wingfoot Drive
Address Line 2
City
Southport
Postal / Zip Code
28461
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Polly Gully Creek
3b. Water Resources Classification of nearest receiving water:*
SC; Sw, HQW
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
State / province / legion
NC
Country
USA
4e. Fax Number:
[phone]
2b. Property size:
0.4
State / province / legion
NC
Country
USA
252.54KB
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 currently undeveloped and partially forested. A small portion of a stormwater pond is located in the southwest corner of the site. Apprommately 0.03 acre of wetlands is
located in the eastern portion of the lot. Adjacent land use is residential.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
f 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)
Fig.2-Topo.pdf 790.72KB
V

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)
Fig.4-Soils.pdf 914.65KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.03
4g. List the total estimated linear feet of all existing streams on the property:
N/A
4h. Explain the purpose of the proposed project:*
The purpose of the project is to construct a single family house and driveway within the lot. Impacts are needed to construct the house and side slope.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project includes the construction of a single family home, front and back porches, deck, and driveway. The house and driveway footprint will be cleared of vegetation and fill
material will be brought into the site to level the area of disturbance. The home will then be constructed. Track hoe, loader, dump truck, bob cat, and other standard construction
equipment will be used.
4j. Please upload project drawings for the proposed project.
3680 Wingfoot site plan.pdf 172.33KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No O Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
Paul Farley with _MG delineated the site on November 20, 2019. Attached are data forms. Since the
applicant is proposing to fill the entire wetland pocket, a formal JD is not needed.
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Paul Farley
Agency/Consultant Company: Land Management Group
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r' Yes r 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 projector related activity?
No
[Proposed Impacts Inventory
1. Impacts Summary
1a. 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 (?) 2b. Impact type * (?) �2c. Type of W. �2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition*(') area*
Fill P Pine Flat �IVA Yes Both 0.030
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.030
2h. Comments:
2g. Total Permanent Wetland Impact
0.030

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:
The wetland is in the middle of the site and cannot be avoided. The house footprint is similar in size to other houses in the neighborhood. Additionally,
it lines up with the adjacent house, which is needed to maintain proper line of sight, provide visibility to the pond behind the lot, and reduce noises
from the street. Note that the adjacent lots to the east previously obtained permits to fill wetlands and the remaining wetland is a small hole with little
habitat value. We are showing the entire 0.03-acre pocket to be impacted since the wetlands on the adjacent lot has been filled and any sliver
remaining in the side setback would be too small to be viable.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Because of the location of the wetlands and the location of the adjacent home, no minimization efforts were available.
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
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Impacts are less than 0.1 acre
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. 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:
Site is located within the Cape Fear River Basin
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 15ANCAC 02H .1003(2)?
r Yes r No
Comments:
The lot is part of St. James Plantation and falls within its existing stormwater plan.
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 %
2. Violations (DWR Requirement)
u
u
2a. lathe site in violation of DWR Water Quality Certification Rules (15ANCAC 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
I 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.
Project will not provide utilities or access to adjacent properties.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor 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.

Lot will tie into municipal wastewater treatment system.
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
5e. Is this a DOT project located within Division's 1-8?
(- Yes r No
5f. Will you cut any trees 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?
(- 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?
The NC Natural Heritage Program website was reviewed to determine the known presence of federally listed species. No federally protected species
are known to occur within this site. The red -cockaded woodpecker and American alligator are known to occur within a one mile radius of the lot.
According to NHP data, starter holes were observed in 2005 in an area one mile southwest and 0.75 mile west of the site. The lot does contain some
loblolly pine trees, but it is fairly sparse and the lot is surrounded by residential development. Additionally, RCWs have not been observed at St.
James in many years. Since portions of the lot contain trees, if may support appropriate roosting habitat for the northern long-eared bat. Since no
hibernacula or roosting trees are known to occur in close proximity to the site, any effect to the species from tree clearing would be exempt per the
4(d) rule.
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?*
NOAA EFH Mapper was reviewed
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?*
The SHPO HPOWEB GIS website was reviewed. No historic or cultural resources were identified on or adjacent to the site.
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
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Map Service Center website
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Fig.1-Vicinity.pdf
3.2MB
Fig.3-LiDAR.pdf
304.83KB
Fig.5-Infrared.pdf
876.41 KB
Fig.6-Aerial.pdf
1.04MB
Fig7-PrelimWetlandMap.pdf
278.67KB

Signature
u
P 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:
Kimberlee C Williams
Signature
c�ro 0/� , C`'W c
Date
12/12/2019

AGENT AUTHORIZATION FORM
TO WHOM IT MAY CONCERN:
I/we, the undersigned, hereby authorize Land Management Group to act as our agent in the
preparation and representation of information related to the Section 404/401 permit application
for the 3680 Wingfoot Drive; St. James Plantation; Brunswick County NC project. All questions
in regard to this project should be directed to Land Management Group.
Applicant
jb:pe?�\ �l utp
Print Name
Dec. l2, ZOIR
Date

B E A C H
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3680 Wingfoot Dr.Brunswick County, NC
October 2019LMG # 19.388 3805 Wrightsville AvenueWilmington, NC 28403(910) 452-0001
Figure 1Vicinity Map
0 1 20.5 Miles¯L:\WETLANDS\2019 WETLANDS FILES\LMG19.388 ---3680 Wingfoot Drive, Joe Pius\MapsBoundaries are approximate and not meant to be absolute.Map Source: 2008 Delorne Atlas & Gazetteer, pg. 87
Site
W I N G F O O T
E
L
L
I
NGT
ONWEST MEDINAHPI
NE FORESTMOSS HAMMOCK
M
O
R
N
I
N
G
D
A
L
E
MEMBERS CLUBLOCKVIEW3680 Wingfoot Dr.Brunswick County, NC
October 2019LMG # 19.388 3805 Wrightsville AvenueWilmington, NC 28403(910) 452-0001
Figure 2Topographic Map
0 300 600150Feet¯L:\WETLANDS\2019 WETLANDS FILES\LMG19.388 ---3680 Wingfoot Drive, Joe Pius\MapsBoundaries are approximate and not meant to be absolute.Map Source: USGS Brunswick County Mosaic
Site
W INGFOOTE
L
L
I
NGT
ON3680 Wingfoot Dr.Brunswick County, NC
October 2019LMG # 19.388 3805 Wrightsville AvenueWilmington, NC 28403(910) 452-0001
Figure 3LiDAR Map
0 50 10025Feet¯L:\WETLANDS\2019 WETLANDS FILES\LMG19.388 ---3680 Wingfoot Drive, Joe Pius\MapsBoundaries are approximate and not meant to be absolute.Map Source: NCDOT LiDAR
Site
Legend
elevation
Value High : 60
Low : 55
Lo
Mu
Lo
W INGFOOTE
L
L
I
NGT
ON3680 Wingfoot Dr.Brunswick County, NC
October 2019LMG # 19.388 3805 Wrightsville AvenueWilmington, NC 28403(910) 452-0001
Figure 4Soils Map
0 50 10025Feet¯L:\WETLANDS\2019 WETLANDS FILES\LMG19.388 ---3680 Wingfoot Drive, Joe Pius\MapsBoundaries are approximate and not meant to be absolute.Map Source: GIS Soils Data
Site
Legend
Mu: Murville mucky fine sandLo: Leon fine sand
W I N G F O O T
E
L
L
I
NGT
ONW E S T M E D IN A H
3680 Wingfoot Dr.Brunswick County, NC
October 2019LMG # 19.388 3805 Wrightsville AvenueWilmington, NC 28403(910) 452-0001
Figure 51998 Infrared
0 150 30075Feet¯L:\WETLANDS\2019 WETLANDS FILES\LMG19.388 ---3680 Wingfoot Drive, Joe Pius\MapsBoundaries are approximate and not meant to be absolute.Map Source: NAPP 1998 Infrared
Site
W INGFOOTE
L
L
I
NGT
ON3680 Wingfoot Dr.Brunswick County, NC
October 2019LMG # 19.388 3805 Wrightsville AvenueWilmington, NC 28403(910) 452-0001
Figure 62016 Aerial
0 50 10025Feet¯L:\WETLANDS\2019 WETLANDS FILES\LMG19.388 ---3680 Wingfoot Drive, Joe Pius\MapsBoundaries are approximate and not meant to be absolute.Map Source: 2016 NC One Map
Site
W INGFOOTE
L
L
I
NGT
ONEsri, HERE, Garmin, (c) OpenStreetMap contributors
3680 Wingfoot Dr.Brunswick County, NC
November 2019LMG # 19.388 3805 Wrightsville AvenueWilmington, NC 28403(910) 452-0001
Figure 7Preliminary Wetland Map
0 50 10025Feet¯L:\WETLANDS\2019 WETLANDS FILES\LMG19.388 ---3680 Wingfoot Drive, Joe Pius\MapsBoundaries are approximate and not meant to be absolute.Map Source: 2016 NC One Map
NOTE: This is not a survey. All boundaries and distances are consideredapproximate. This represents a preliminary sketch prepared from field notes.A survey of delineated areas and review and approval by the U.S. ArmyCorps of Engineers is recommended prior to specific site planning.
Site
Legend
Boundary ~ 0.4 ac
Uplands ~ 0.36 ac (89%)
Wetlands ~ 0.03 ac (8%)
Non-Jurisdictional Pond ~ 0.01 ac (3%)
5
1
Figure 6.
Site PlanNSCALE 1 inch = 30 feet
3680 Wingfoot Drive
Brunswick County, NC
December 2019
LMG19.388
www.lmgroup.net
3805 Wrightsville Avenue; Suite 15
Wilmington, NC 28403
Phone: [phone] Fax: [phone]
L:\WETLANDS\2019 WETLANDS FILES\LMG19.388 --- 3680 Wingfoot Drive\MAPS
*Boundaries are approximate and are not meant to be absolute.
Map Source: Cruse Construction Inc.; Wetland line data provided by LMG
Wetland Impact:
0.03 ac