20200500 Ver 1_PCN Form Submission_20200412

DWR
Olrlslon of Water Resources
Pre -Construction Notification (PCN) Form
April 11, 2020 Ver 3.1
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?*
C Yes r No
Change only if needed.
BIMS # Assigned *
Version#*
20200500
1
Is a payment required for this project?*
r No payment required
r Fee received
Reviewing Office*
r Fee needed - send electronic notification
Wilmington Regional Office - [phone]
Select Project Reviewer*
Robb Mairs:eads\rlmairs2
Information for Initial Review
la. Name of project:
COURTESY COPY - 6682 FARMS HWY 172 TRACT
1a. Who is the Primary Contact?*
HAYWOOD PITTMAN
1b. Primary Contact Email:*
1c. Primary Contact Phone:*
[e-mail]
[phone]
Date Submitted
4/12/2020
Nearest Body of Water
UT TO MILL CREEK
Basin
White Oak
Water Classification
HOW
Site Coordinates
Latitude: Longitude:
34.551453 77.452221
A. Processing Information
County (or Counties) where the project is located:
Onslow
Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?*
r Yes r No
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?

W 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
40 - Agricultural activities
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:
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
1j. Is the project located in a designated trout watershed?
C Yes r No
F. Applicant Information
1d. Who is applying for the permit?
r Owner W 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:
6682 farms LLC
2b. Deed book and page no.:
5125-55
2c. Responsible party:
JAMES JOHNSON
2d.Address
Street Address
120 CHANNEL BEND
Address Line 2
city
SURF CITY
Postal / Zip Code
28445
2e. Telephone Number:
[phone]
2g. Email Address:*
JO HNS O N H I N D S2 @G MAI L. C O M
r Unknown
State / Rovince / Region
NC
Country
US
2f. Fax Number:
r Yes r No
r Yes r No
u

3. Applicant Information (if different from owner)
3a. Name:
JAMES JOHNSON
3b. Business Name:
6682 farms LLC
3c.Address
Street Address
120 CHANNEL BEND
Address Line 2
City
SURF CITY
Postal / Zip Code
28445
3d. Telephone Number:
[phone]
3f. Email Address:*
JO HNSONHINDS2 @G MAIL. CO M
4. Agent/Consultar t (if applicable)
4a. Name:
HAYWOOD PITTMAN
4b. Business Name:
PITTMAN SOIL CONSULTING
4c.Address
Street Address
1003 GREGORY FORK ROAD
Address Line 2
city
RICHLANDS
Postal / Zip Code
28574
4d. Telephone Number:
[phone]
4f. Email Address:*
PITT MANSOI L@YAHOO. COM
Agent Authorization Letter*
PERMISSION FORM 6682 FARMS.pdf
State / Province / Fbgim
NC
Country
US
3e. Fax Number:
State / Province / legion
NC
Country
US
4e. Fax Number:
656.13KB
C. Project Information and Prior Project History l^J
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town
SNEADS FERRY
2. Project Identification
2a. Property Identification Number:
765-35.13
2c. Project Address
Street Address
1765 HWY 172
Address Line 2
City
SNEADS FERRY
Postal / Zip Code
28564
2b. Property size:
18.13/ 3.22 AREA BEING PERMITTED
State / Province / Region
NC
Country
US
3. Surface Waters

3a. Name of the nearest body of water to proposed project:*
UT TO MILL CREEK
3b. Water Resources Classification of nearest receiving water:*
HQ W
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.
030203020209
4. Project Description and History
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:*
SEMI WOODED LAND SERVICED BY 60' EASEMENT ON PROPERTY LINE. COUNTY PARK ON RIGHT OF PROPERTY, GAMELANDS TO NORTH OF PROPERTY, VACANT WOOD
LAND ON WEST OF PROPERTY
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)
6682 FARMS TOPO MAP.pdf 98.34KB
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)
6682 SOIL MAP.pdf 350.69KB
4f. List the total estimated acreage of all existing wetlands on the property:
.75
4g. List the total estimated linear feet of all existing streams on the property:
60
4h. Explain the purpose of the proposed project:*
ACCESS ROAD TO PROPERTY FOR ORGANIC CHICKEN FARM. PROPERTY IS LANDLOCKED WITH A 60' DEEDED ACCESS
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
ACCESS ROAD CONSTRUCTION TO INCLUDE FILL MATERIAL IN WETLANDS 12' WIDE. SILT FENCE WILL BE PLACED ALONG BOTH SIDES OF THE WETLANDS IN ALL FILL
LOCATIONS. A WOODEN BRIDGE WILL BE CONSTRUCTED WITH LIGHT POLES(OR SIMILAR WOOD PLANKS)ACROSS THE STREAM SO NO IMPACTS TO STREAM. THE FILL
MATERIAL WILL BE PLACED WITH A SKID STEER AND EXCAVATOR.
4j. Please upload project drawings for the proposed project.
WOTUS MAP.pdf
419.46KB
OVERALL IMPACT MAP.pdf
523.11 KB
OVERALL IMPACT MAP.pdf
523.11K13
IMPACT 1 AND 2.pdf
254.07KB
IMPACT 3.pdf
261.73KB
IMPACT 4 AND 5.pdf
162.84KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r 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:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*

t'S Yes
G No
Are anyother 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?
NO
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
W Wetlands r Streams -tributaries F Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2a1 Reason (?)
2b. Impact type * (?)
2c. Type of W.*
2d. W. name *
2e. Forested *
2f. Type of
Jurisdicition*(?)
2g. Impact
area
ROAD
P
ff-rine Swamp Forest
IMPACT 1
Corps —]
0.004
(acres)
ROAD
P
Everine Swamp Forest
IMPACT 2
Corps
0.040
(acres)
3
ROAD
P
E-0sin
IMPACT 3
No
Corps
0.050
(acres)
4
ROAD
1
P
ffc. sin
IMPACT 4
No
Corps
0.002
(acres)
5
ROAD
P
Pocosin
IMPACT 5
No
Corps
0.003
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.099
2h. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
2g. Total Permanent Wetland Impact
0.099
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
MINIMUM ROAD WIDTH OF 12', STREAM CROSSING WILL UTILIZE WOOD BRIDGE
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
SILT FENCE ALONG SIDES OF FILL MATERIAL. ROAD SEEDED TO STABILIZE
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?
f Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
LESS THAN 0.1 ACRES IMPACT
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?
f Yes r No
If no, explain why:
NO BUFFERS
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes IT No
2b. Does this project meet the requirements for low density projects as defined in 15ANCAC 02H .1003(2)?
u

r Yes r- No
Comments:
G. Supplementary Information
1. Environmental Documentation
la. 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 f• No
3b. If you answered "no," provide a short narrative description.
NO FUTURE IMPACTS PLANNED AT THIS TIME
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
rYes r- Nor N/A
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
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r- Yes r No
5e. Is this a DOT project located within Division's 1-8?
r- 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?
r- Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?'
r- Yes r No
r- Unknown
51. 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?
US FISH AND WILDLIFE WEB SITE
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?*
ATLANTIC COAST WEB SITE
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?*
NC NATURAL HERITAGE VIEWER
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?*
NC FLOOD PLAIN MAPPING
Miscellaneous U
Comments
Miscellaneous attachments not previously requested.
Signature C^U
*
W 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:
RONALD HAYWOOD PITTMAN II
Signature
rr c�+�s+xaam su.� rir�
Date
4/1/2020

jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION°
L the undersigned, a duly authorized owner of record of the property/properties identified herein,
do audwrize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on -site investigations
and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction
under Section 404 of the Cleary Water Act and/or Section 10 of the Rivers and Harbors Act of
1899.
operty O men (please print) Date
Property wrier Signature
E. SDICTIONAL DETERMINATION TYPE
Select One:
I am requesting that the Corps provide a orelimi cry ID for the property identified herein.
This request don include a delineation
I am requesting that the Corps provide a prehounary JD for the property identified herein.
This request does NOT include a delici altion
I am requesting that the Corps investigate the property/pmject area for the presence or
absence ofWoUS' and provide an aomoved JD for the property identified lr r This
request does NOT include a request for a verified delineation
I am requesting that the Corps debrteate the boundaries of all WoUS on a property/pmjea
area and provide an approved JD (this may or may not include a survey plat).
I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property/project areas and provide an approved ID (may or may not
include a survey plat).
For NCOOT requests follau ing the current NCDOT/USHCE protocols, skip to Part E.
' Waters ofthe United States
Version: December 2013 Page 4

PITTMAN SOIL CONSULTING
PO BOX 1387
RICHLANDS, NC 28574
910-330-2784
[e-mail]
Owner: 6682 FARMS LLC .
Address: 1765 HWY 172 .
Location: SNEADS FERRY, ONSLOW CO. .
.
.
APPROX SCALE 1"=500'
PITTMAN SOIL CONSULTING
PO BOX 1387
RICHLANDS, NC 28574
910-330-2784
[e-mail]
Owner: 6682 FARMS LLC .
Address: 1765 HWY 172 .
Location: SNEADS FERRY, ONSLOW CO. .
.
.
APPROX SCALE NONE
STREAM
PITTMAN SOIL CONSULTING
PO BOX 1387
RICHLANDS, NC 28574
910-330-2784
[e-mail]
Owner: 6682 FARMS LLC .
Address: 1765 HWY 172 .
Location: SNEADS FERRY, ONSLOW CO. .
.
.
APPROX SCALE 1"=300'
IMPACT 1
.005
ACRES
IMPACT 2
.04 ACRES
IMPACT 3
.05 ACRES
IMPACT 4
.002 ACRES
IMPACT 5
.004 ACRES
WOODEN BRIDGE
STREAM
PROPOSED
12' WIDE ROAD
PITTMAN SOIL CONSULTING
PO BOX 1387
RICHLANDS, NC 28574
910-330-2784
[e-mail]
Owner: 6682 FARMS LLC .
Address: 1765 HWY 172 .
Location: SNEADS FERRY, ONSLOW CO. .
.
.
APPROX SCALE 1"=300'
IMPACT 1
.005
ACRES
IMPACT 2
.04 ACRES
IMPACT 3
.05 ACRES
IMPACT 4
.002 ACRES
IMPACT 5
.004 ACRES
WOODEN BRIDGE
STREAM
PROPOSED
12' WIDE ROAD
PITTMAN SOIL CONSULTING
PO BOX 1387
RICHLANDS, NC 28574
910-330-2784
[e-mail]
Owner: 6682 FARMS LLC .
Address: 1765 HWY 172 .
Location: SNEADS FERRY, ONSLOW CO. .
.
.
APPROX SCALE 1"=300'
IMPACT 1
.005
ACRES
IMPACT 2
.04 ACRES
WOODEN BRIDGE
STREAM
PROPOSED
12' WIDE ROAD
PITTMAN SOIL CONSULTING
PO BOX 1387
RICHLANDS, NC 28574
910-330-2784
[e-mail]
Owner: 6682 FARMS LLC .
Address: 1765 HWY 172 .
Location: SNEADS FERRY, ONSLOW CO. .
.
.
APPROX SCALE 1"=60'
IMPACT 3
.05 ACRES
PITTMAN SOIL CONSULTING
PO BOX 1387
RICHLANDS, NC 28574
910-330-2784
[e-mail]
Owner: 6682 FARMS LLC .
Address: 1765 HWY 172 .
Location: SNEADS FERRY, ONSLOW CO. .
.
.
APPROX SCALE 1"=60'
IMPACT 4
.002 ACRES
IMPACT 5
.004 ACRES
PITTMAN SOIL CONSULTING
PO BOX 1387
RICHLANDS, NC 28574
910-330-2784
[e-mail]
Owner: 6682 FARMS LLC .
Address: 1765 HWY 172 .
Location: SNEADS FERRY, ONSLOW CO. .
.
.
APPROX SCALE 1"=60'