20200801 Ver 1_401 Application_20200617

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#*
20200801 1
Is a payment required for this project?*
r No payment required What amout is owed?*
r Fee received IT $240.00
r Fee needed - send electronic notification r $570.00
Reviewing Office * Select Project Reviewer*
Wilmington Regional Office - [phone] Holley Snider:eads\hasnider
Information for Initial Review
1a. Name of project:
Pate Residence
1a. Who is the Primary Contact?*
Dana A. Lutheran
1b. Primary Contact Email:*
[e-mail]
Date Submitted
6/17/2020
Nearest Body of Water
ICWW Bogue Sound
Basin
White Oak
Water Classification
SA;HQW
Site Coordinates
Latitude:
34.72486
A. Processing Information
County (or Counties) where the project is located:
Carteret
Is this a NCDMS Project
r Yes IT No
Longitude:
-76.76552
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 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 DWR 401 Certification:
For the record only for Corps Permit:
F- 401 Water Quality Certification - Express
F- 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?
fJ 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:
Green Channel Marker, LLC
2b. Deed book and page no.:
1622 / 422
2c. Responsible party:
Mr. Timothy Pate
2d.Address
Street Address
1417 Alexander Lane
Address Line 2
city
Trent Woods
Postal / Zip Code
28562
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
r Unknown
State / Rovince / Region
NC
Country
US
2f. Fax Number:
r Yes r No
r Yes r No
u

4. Agent/Consultant (if applicable)
4a. Name:
Dana A. Lutheran
4b. Business Name:
Southern Environmental Group, Inc. (SEGi)
4c.Address
Street Address
5315 South College Road
Address tine 2
Suite E
aty
State / Rovince / legion
Wilmington
NC
Fbstal / Zip Code
Country
28412
us
4d. Telephone Number: 4e. Fax Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Signed Authorization for SEGI.pdf 576.46KB
C. Project Information and Prior Project History U
1. Project Information
1b. Subdivision name:
(if appropriate)
NA
1c. Nearest municipality/town:
Morehead City
2. Project Identification
2a. Property Identification Number:
637617122221000
2c. Project Address
Street Address
4021 Arendell Drive
Address tine 2
atY
Morehead City
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
ICWW Bogue Sound
3b. Water Resources Classification of nearest receiving water:*
SA;HOW
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.
030203010702
4. Project Description and History
2b. Property size:
4.54
State / Rmince / legion
NC
Country
us
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 property sits on a high bluff that overlooks the ICWW. A large, deep ditch runs between the subject property and the eastern properties (see aerial and on -site photographs).
Normal high water encroaches into the lower reaches of the ditch, where the ditch flattens out and discharges into the ICWW. The limits of NHW has been verified by the NC Division of
Coastal Management. Residential development borders the property, to the east, while commercial development borders the property to the west. Arendell Street borders the property,
on its northern side, and the ICWW borders the property, on its southern side. The site has recently been cleared of underbrush, however the ditch and it's banks have remained
untouched. Large walnut trees are the only woody vegetation that remains within buildable area of the site.

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)
4021 Arendell St. LiDAR Map 052020.pdf 861.1 KB
4021 Arendell St. Topo Map 052020.pdf 1.36MB
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)
4021 Arendell St. Soils Map 052020.pdf 2.92MB
4f. List the total estimated acreage of all existing wetlands on the property:
0.5
4g. List the total estimated linear feet of all existing streams on the property:
0
4h. Explain the purpose of the proposed project:*
The purpose of this project is to construct a driveway and install a sewer line, which will serve a single family dwelling.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project will consist of installing a 104' x 60" RCP, with 30' x 17' 18", Class B rip -rap, energy dissipator, on the downstream on of the pipe. The pipe will be set at existing grade and
the rip -rap will be keyed into the ditch bed. Clean earthen fill will be used to cover the pipe and will serve as the roadbed for the 11' wide driveway. The fill will be graded to provide 3:1
side slopes and Will be stabilized With sod.
4j. Please upload project drawings for the proposed project.
Pate Wetland Impact Map 6-15-2020.pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
A PJD request was submitted to the Wilm. District Office on 6/16 using the
[e-mail] email address, for new projects
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): David Scibetta
Agency/Consultant Company: SEGi
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
435.23KB
t7 Unknown
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 projector related activity?
To SEGi's knowledge, no USACE or DEQ permits have been issued for this site. This project is a single and complete project, where no additional impacts are necessary to make it
viable.
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
r Wetlands W Streams -tributaries
r Open Waters F Pond Construction
3. Stream Impacts
r- Buffers
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name* 3e. Stream Type * 3f. Type of 3g. S. width* 3h. Impact
(?) Jurisdiction* i length*

and Utility Crossing Permanent Fill ditch Jurisdictional Ditch Corps 7 150
Average (feet) i (li"rfeet)
31. Total jurisdictional ditch impact in square feet:
1,050
3i. Total permanent stream impacts:
150
3i. Total stream and ditch impacts:
150
3j. Comments:
3i. Total temporary stream impacts:
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 Applicant explored using the existing access drive, off Arendell Street, but due to the level of traffic on this road, found it ingress/egress would be
safer through the Oak Street. Thus, impacts were not avoidable.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The Applicant adequately sized the pipe to ensure it would handle the amount of runoff coming down the feature. Additionally, S&EC measures will be
installed prior to undertaking land disturbing activities and work, within the ditch, will take place during a dry period.
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 f• No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Impacts to waters of the US is limited to a RPW / ditch, which only conveys water and does not require mitigation.
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
If no, explain why:
This site is not within one of NC's Riparian Buffer River Basins.
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
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?
r Yes r No
r NIA - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
W Local Government r State
Local Government Stormwater Programs
W Phase II r NSW r USMP r Water Supply
Please identify which local government stormwater program you are using.
Morehead City
Comments:
Stormwater will be treated as per NC DEMLR Phase II requirements. The Applicant is applying for the stormwater permit concurrently with this authorization.
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.
This project will not provide access to currently landlocked property. Additionally, stormwater and S&EC measures will be installed and maintained
during and after the project has been completed.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r WA
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.
Municipal sewer is available off Oak Street.
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 r Unknown
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
Si. 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?
SEGi took into consideration that the site has been cleared of most woody vegetation and, while performing their wetland delineation, evaluated the
site for T&E and DCH.
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?*
This project does not include impacts to a waterbody that would support EFH. Sources used consisted of the NC DWR Water Classification Interactive
Mapping site and NC DMF PNA Maps.
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?*
State Historic Preservation Office HPOWeb site (see attached)
7c. Historic or Prehistoric Information Upload
PCN Attachments - SHPO.pdf 137.58KB

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 Mapping
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
PCN Attachments - Carteret Co. Parcel Aerial.pdf
PCN Attachments - Flood.pdf
Signature
*
W By checking the box and signing below, I certify that:
U
184.22KB
89.56KB
v
• 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:
Dana A. Lutheran
Signature
Data �. Crr�fcAalt.
Date
6/17/2020

SE.G1
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION: L1 19 B1 L21 40 B3 MOREHEAD CITY
LOT NO. PLAN NO. PARCEL I.D. 637617122221000
STREET ADDRESS: 4021 Arendell St.
Property Owner (please print): Green Channel Marker LLC c/o Timothy G. Pate
The undersigned, registered property owner of the above noted property, does hereby authorize
Southern Environmental Group. Inc. (SEGi) to act on their behalf in matters regarding areas of
environmental concern.
Property Owner's Address (if different than property above):
1417 Alexander Lane
Trent Woods, NC 28562
Telephone:
;. 5 2, -3V I- 134mro
We hereby certify the above information submitted in this application is true and accurate to the best of
our knowledge.
i
erty Owner Authorized Signature SEGi Authorized Signature
�Fte,C.v C;f4-Jx/C-� JPfAff-KER L LC
�3 't s Timothy G. Pate. "A "AexE AW, David Scibetta
Print Name Print Name
r" ..3.ZCo
Date
5/22/2020
Date

A 1
N H W 1
A 1 6 S t o p
N H W 7 S t o p
Are nd e ll St
Oak St
4LiDAR Map
4021 Arendell Street
Morehead City, Carteret Co., N.C.
5/20/2020 019-014.01
1 inch = 80 feet
0 40 80 120 16020
Feet
Property Line
Approx. 404 Wetlands
Approx. Normal High Water
Approx. Stream
Approx. Ditch
Map Source: 2014 QL2 LiDAR DEM
4USGS Topo Map
4021 Arendell Street
Morehead City, Carteret Co., N.C.
5/20/2020 019-014.01
1 inch = 200 feet
0 100 200 300 40050
Feet
Property Line
Map Source: USGS TopoView Service,
2019 Mansfield panel, 7.5' quad, 1:24k scale
A 1
N H W 1
A 1 6 S t o p
N H W 7 S t o p
WaB
W
Are nd e ll St
Oak St
4Soils Map
4021 Arendell Street
Morehead City, Carteret Co., N.C.
5/20/2020 019-014.01
1 inch = 80 feet
0 40 80 120 16020
Feet
Property Line
Approx. 404 Wetlands
Approx. Normal High Water
Approx. Stream
Approx. Ditch
Map Source: 2016 NCOneMaps Orthoimagery
NORMAL WATER LEVEL
RPW/DITCH
/ RPW
PROPOSED RPW/DITCH
IMPACT 1045 SF / 0.024 AC
4021 ARENDELL STREET
15 JUNE 2020
Pate Residence PCN Attachment SEGi
NC Historic Preservation Map

Pate Residence PCN Attachment SEGi

Carteret County GIS Tax Map

Pate Residence PCN Attachment SEGi
FEMA Flood Map