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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre -Construction Notification (PCN)
Form
A.
Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the Corps:
❑X Section 404 Permit
❑ Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 39 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑ Yes ❑X No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
❑ 401 Water Quality Certification — Regular ❑ Non404
❑ 401 Water Quality Certification — Express ❑ Riparian
Jurisdictional General Permit
Buffer Authorization
le.
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 ❑X No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigafion of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑X Yes ❑X 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 ❑X No
2.
Project Information
2a.
Name of project:
One Harbor Church - Swansboro
2b.
County:
Onslow
2c.
Nearest municipality / town:
Swansboro
2d.
Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
One Harbor Church, Inc.
3b.
Deed Book and Page No.
Deed Book 5018 Page 243
3c.
Responsible Party (for LLC if
applicable):
N/A
3d.
Street address:
PO Box 1977
3e.
City, state, zip:
Morehead City, NC 28557
3f.
Telephone no.:
252422-2899
3g.
Fax no.:
3h.
Email address:
[e-mail]
Page 1 of 10
PCN Fortn —Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ❑ Other, specify:
4b.
Name:
4c.
Business name
(if applicable):
4d.
Street address:
4e.
City, state, zip:
4f.
Telephone no.:
4g.
Fax no.:
4h.
Email address:
5.
Agent/Consultant
Information (if applicable)
5a.
Name:
Jonathan L. McDaniel, PE
5b.
Business name
(if applicable):
Bell and Phillips
5c.
Street address:
604E Cedar Point Blvd,
5d.
City, state, zip:
Cedar Point, NC 28584
5e.
Telephone no.:
252-393-6101
5f.
Fax no.:
252-393-3522
5g.
Email address:
jmcdaniel@parker acksonville.com
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
la.
Property identification no. (tax PIN or parcel ID):
536405294527
1 b.
Site coordinates (in decimal degrees):
Latitude: 34.696354 Longitude: -77.129169
1c.
Property size:
2,79 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Halls Creek
2b,
Water Quality Classification of nearest receiving water:
SA; HQW
2c.
River basin:
White Oak
3.
Project Description
3a.
The
Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
existing property is wooded and zoned for residential use, and is similar to most of the adjoining parcels. There is also a public park to the west.
3b.
List the total estimated acreage of all existing wetlands on the property: 0.102
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 0
3d.
The
Explain the purpose of the proposed project:
purpose of the project is for a church to serve the surrounding community of Swansboro.
3e.
The
Describe the overall project in detail, including the type of equipment to be used:
project consists of basic infrastructure for a church development including the building, paved parking, and utility connections.
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
ro'ect(including all priorphases) in thepast?
❑ Yes ❑X No ❑ Unknown
Comments: Requested with impact
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
prelimina ❑ ry ❑ Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: Pittman Soil Consulting
Other:
4d.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑X Yes ❑ No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
Pittman Soil Consulting delineated a 0.102 acre wetland on site in Feb.2019. This PCN is a proposed impact for fill.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ❑X No
6b.
The
If yes, explain.
church construction project isn't phased, but there is space set aside in case they need to expand in the future (see impact map)
Page 3 of 10
PCN Form —Version 1.4 January 2009

C. Proposed Impacts
Inventory
1. Impacts Summary
1a. Which sections were
Q Wetlands
completed below for your
❑ Streams —tributaries
project (check all that apply):
❑ 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.
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 P
Fill
Unknown
Yes
Corps
0.102
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
-
W4 -
Choose one
Choose one
Yes/No
-
W5 -
Choose one
Choose one
Yes/No
-
W6 -
Choose one
Choose one
Yes/No
-
2g. Total
Wetland Impacts:
0,102
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts
question for all stream sites impacted.
(including temporary impacts)
proposed on
the site, then complete this
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b,
Type of impact
3c.
Stream name
3d,
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 -
Choose one
S2 -
Choose one
S3 -
Choose one
S4
Choose one
S5 -
Choose one
S6 -
Choose one
3h. Total stream and
tributary impacts
3i. Comments:
Page 4 of 10
PCN Form —Version 1.4 January 2009

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.
Open water
impact number
Permanent (P) or
Temporary T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proDosed, the com fete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g, Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
51. Size of pond watershed (acres):
5k. Method of construction:
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 any impacts require mitigation, then you MUST fill out Section D of this form.
Ba. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number—
Permanent P or
Tem ora T
6c.
Reason for impact
6d,
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
B1
Yes/No
B2
Yes/No
B3
Yes/No
B4
Yes/No
B5
Yes/No
B6
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
We were unable to avoid the proposed impacts due to project layout constraints with the wetland being located in the middle of the property. However,
the size of the wetland is neatly insignificant at 0.102 acres.
1b.
The
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
project will be replacing the existing wetland with a constructed wetland of a larger area.
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?
❑X Yes ❑ No
2b.
If yes, mitigation is required by (check all that apply):
❑ DWQ ❑X Corps
2c.
If yes, which mitigation option will be used for this
project?
0 Mitigation bank
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3.
Complete if Using a Mitigation Bank
3a.
Name of Mitigation Bank: Bachelors Delight Mitigation Bank
3b.
Credits Purchased (attach receipt and letter)
Type: Non -riparian wetland
Type: Choose one
Type: Choose one
Quantity: 0.1
Quantity:
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:
linear feet
4c.
If using stream mitigation, stream temperature:
Choose one
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
41h.
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.
Page 6 of 10
PCN Form —Version 1.4 January 2009

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
❑Yes ❑X No
buffer mitigation?
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.
6c.
6d.
6e,
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(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 7 of 10

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
❑X 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.
❑ Yes
❑ No
2,
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
46 %
2b.
Does this project require a Stormwater Management Plan?
❑X Yes
❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description
of the plan:
Stormwater treated by means of a constructed wetland near the front of the property which discharges into
the roadside ditch along Main Street
Extension
2e.
Who will be responsible for the review of the Stormwater Management Plan?
NCDE4
3.
Certified Local Government Stormwater Review
3a.
In which localgovernment's jurisdiction is thisproject?
❑ Phase II
3b.
Which of the following locally -implemented stormwater management programs
❑ NSW
apply (check all that apply):
❑ USMP
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑Yes
❑ No
attached?
4.
DWQ Stormwater Program Review
ZCoastal counties
❑HQW
4a.
Which of the following state -implemented Stormwater management programs apply
❑ORW
(check all that apply):
❑Session Law 2006-246
❑Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes
0 No
attached?
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes
❑ No
51b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes
❑ No
Page 8 of 10
PCN Form —Version 1.4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
la.
Does the project involve an expenditure of public (federal/state/local) funds or the
El Yes ❑X
use of public (federal/state) land?
No
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)3 DWQ Surface Water or Wetland Standards,
El Yes ❑x No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
El Yes ❑x 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
El Yes ❑X 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
Sewage
the proposed protect, or available capacity of the subject facility.
be by to the
will conveyed gravity sewer nearby sewer main running along Main Street Extension.
Page 9 of 10
PCN Form —Version 1.4 January 2009

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 (]x
No
5b.
Have you checked with the USFWS concerning Endangered Species Act
impacts?
❑ Yes ❑X
No
5c.
If yes, indicate the USFWS Field Office you have contacted.
_
5d.
What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NO
Natural Heritage Program's online GIS Database Viewer
6,
Essential Fish Habitat (Corps Requirement) -
6a.
Will this project occur in or near an area designated as essential fish habitat?
Yes
X� No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
South Atlantic Fishery Management Coucil's ArcGIS viewer for Essential
Fish Habitat
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 (e.g., National Historic Trust designation or properties significant in
❑ Yes
QX No
-
North Carolina history and archaeology)?
7b.
NO
What data sources did you use to determine whether your site would impact historic or archeological resources?
State Historic Preservation Office web GIS
service
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:
8c.
What source(s) did you use to make the floodplain determination?
Effective and preliminary FEMA floodplain mapping
Tom Tapping
4(Agentsignaturignature
!/,
Applicant/Agent's Printed Name
Date
if an a zation
letter from thea lican Tsroviided.
Page 10 of 10