20200530 Ver 1_PCN Form Submission_20200420

DWR
Division 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 IT No
Change only if needed.
BIMS # Assigned * Version#*
20200530 1
Is a payment required for this project?*
r No payment required
What amout is owed?*
r Fee received
r $240.00
r Fee needed - send electronic notification
r $570.00
Reviewing Office *
Select Project Reviewer*
Wilmington Regional Office - [phone]
Robb Mairs:eads\rlmairs2
Information for Initial Review
1a. Name of project:
Neil Taft Residential Lot
1a. Who is the Primary Contact?*
Neil Taft
1b. Primary Contact Email:*
[e-mail]
Date Submitted
4/20/2020
Nearest Body of Water
Sturgeon Creek
Basin
Cape Fear
Water Classification
C, Sw
Site Coordinates
Latitude:
34.245215
A. Processing Information
County (or Counties) where the project is located:
Brunswick
Is this a NCDMS Project
r Yes IT No
Longitude:
-78.029298
Is this project a public transportation project?*
r Yes r No
1a. 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)
1c. Primary Contact Phone:*
[phone]
L.1
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 C No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
r 401 Water Quality Certification - Regular
W 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 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?*
C 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?
C Yes C 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)?
C 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?
fJ Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes C No
2. Owner Information
2a. Name(s) on recorded deed:
Neil Taft
2b. Deed book and page no.:
Book 3728 Page 1294
2c. Responsible party:
NA
2d.Address
Street Address
9786 Wayne Street
Address Line 2
CRY
Leland
Postal / Zip Code
28451
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
C Unknown
State / Province / Region
North Carolina
Country
USA
2f. Fax Number:
r- Yes r No
r Yes r No
u

4. Agent/Consultant (if applicable)
4a. Name:
Cheryl Moody
4b. Business Name:
Atlantic Shores Environmental Services, Ltd.
4c.Address
Street Address
175-1 Venture Drive
Address Une 2
city
Belville
Postal / Zip Code
28451
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Authorization.pdf
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1a. Nearest municipality/town:
Leland
2. Project Identification
2a. Property Identification Number:
029KCO2231
2c. Project Address
Street Address
9786 Wayne Street
Address Line 2
city
Leland
Postal / Zip Code
28451
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Sturgeon Creek
3b. Water Resources Classification of nearest receiving water:*
C, Sw
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.
030300050502
4. Project Description and History
State / Province / Pagion
North Carolina
Country
USA
4e. Fax Number:
2b. Property size:
1.093
State / Province / Region
North Carolina
Country
USA
10.33MB
4a. Describe the existing conditions on the site and the general land use in the vicinityof the project at the time of this application:*
The current condition of the site is undeveloped wooded land. The surrounding land uses in the vicinity of the projects is residential development.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes f 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)
Figure 1.pdf 1.27MB

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)
Soil Survey.pdf 484.53KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.863
4g. List the total estimated linear feet of all existing streams on the property:
0
4h. Explain the purpose of the proposed project:*
Residential construction of a single-family home.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
This is a residential construction. Site work will be conducted using a small trackhoe.
4j. Please upload project drawings for the proposed project.
site plan.pdf 433.59KB
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 f N/A
Corps AID Number:
SAW-2019-02281
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Gary Beecher
US Army Corps of Engineers
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
March 31, 2020
5d1. Jurisdictional determination upload
SAW-2019-02281.pdf 2.38MB
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 project or related activity?
NA
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands F Streams -tributaries E Buffers
F Open Waters F Pond Construction
2. Wetland Impacts
a. Site #* (') 2a1 Reason(?) 2b. Impact type * (?) fc. Type of W. * 2d. W. name* 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition*(?) area*
V1 Fill P Riverine Swamp Forest Wetland Yes Corps 0.095
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.095
2h. Comments:
2g. Total Permanent Wetland Impact
0.095

E. Impact Justification and Mitigation u
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The setbacks on this residential lot preclude the construction of a residence unless the impacts occur. For the residence to be constructed, the
impacts are unavoidable.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Silt fencing will be erected along the construction line to minimize impacts to the adjoining wetland.
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:
F. Stormwater Management and Diffuse Flow Plan (required by DWR) U
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
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
r Other SCM that removes minimum 30 % nitrogen
9 Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
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:
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.
4. Sewage Disposal (DWR Requirement)

4a. Is sewage disposal required by DWR forth is project?*
r- Yes 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
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 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
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?
USFWS Information for Planning and Consultation (IPac)
Consultation Documentation Upload
IPAC.pdf 507.83KB
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, Essential Fish Habitat Mapper
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 Historic Preservation Offices's HPOWEB 2.0
7c. Historic or Prehistoric Information Upload
NCHPO.pdf 122.14KB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes f No
8b. If yes, explain how project meets FEMA requirements:
Site elevation ranges from 10-5 feet north to south. The majority of the project area is located between the 100 year and 500 year flood plain.
However, the southwestern most side of the project may be in a portion of the 100 year flood plain. Fill will be brought onto the site to raise the
elevation of the first floor above the flood elevation.
8c. What source(s) did you use to make the floodplain determination?*
The project area included in FIRM panel 3720219800K, dated August 28, 2018.
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature

R 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:
Brandon Dobbs
Signature
Date
4/20/2020