20200802 Ver 1_401 Application_20200617

DWR
mrlslon 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
20200802
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Holley Snider:eads\hasnider
Information for Initial Review
la. Name of project:
COURTESY COPY - CROSS CREEK LOT 107
1a. Who is the Primary Contact?*
HAYWOOD PITTMAN
1b. Primary Contact Email:*
PITT MANSOIL@YAHOO. COM
Date Submitted
6/17/2020
Nearest Body of Water
UT TO HARRISON CREEK
Basin
Cape Fear
Water Classification
C,SW
Site Coordinates
Latitude:
34.3904
A. Processing Information
County (or Counties) where the project is located:
Pender
Is this a NCDMS Project
r Yes r No
Longitude:
77.7826
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)
Version#*
1
Reviewing Office*
Wilmington Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
U
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):
18
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 - 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:
CRAIG LOSITO CONSTRUCTION INC
2b. Deed book and page no.:
4694 2074
2c. Responsible party:
CRAIG LOSITO
2d.Address
Street Address
213 BATES RETREAT
Address Line 2
city
HAMPSTEAD
Postal / Zip Code
28443
2e. Telephone Number:
[phone]
2g. Email Address:*
CLOSITOINC@YAHOO. COM
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:
CRAIG LOSITO
3b. Business Name:
CRAIG LOSITO CONSTRUCTION INC
3c.Address
Street Address
213 BATES RETREAT
Address tine 2
City
HAMPSTEAD
Postal / Zip Code
28443
3d. Telephone Number:
[phone]
3f. Email Address:*
CLOS f rOINC@YAHOO. CO M
4. Agent/Consultant (if applicable)
4a. Name:
HAYWOOD PITTMAN
4b. Business Name:
PITTMAN SOIL CONSULTING
4c.Address
Street Address
PO BOX1387
Address Line 2
city
RICHLANDS
Postal / Zip Code
28574
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
2020-06-17_091658.pdf
State / Province / Fbgim
INC
Country
US
3e. Fax Number:
State / F rwnce / Fegion
NC
Country
US
4e. Fax Number:
112.35KB
C. Project Information and Prior Project History l^J
1. Project Information
1b. Subdivision name:
ff appropriate)
CROSS CREEK
1c. Nearest municipality/town:
HAMPSTEAD
2. Project Identification
2a. Property Identification Number:
2b. Property size:
3263-75-5265-0000
1.13
2c. Project Address
Street Address
KNOLLWOOD DRIVE
Address Line 2
City
State / Rovince / Rion
HAMPSTEAD
INC
Postal / Zip Code
Country
28443
US

3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
UT TO HARRISON 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.
03030004
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:*
RESIDENTIAL LOT SURROUNDED BY HOMES. SOUTHWESTERN PORTION WOODED AND WET
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)
CROSS CREEK TOPO.pdf 317.03KB
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)
CROSS CREEK SOIL MAP.pdf 842.76KB
4f. List the total estimated acreage of all existing wetlands on the property:
.7
4g. List the total estimated linear feet of all existing streams on the property:
120
4h. Explain the purpose of the proposed project:*
RESIDENTIAL HOUSE
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
CONSTRUCTION OF RESIDENTIAL SINGLE FAMILY HOUSE USING SOME HEAVY EQUIPMENT TO FILL .079 ACRES.
4j. Please upload project drawings for the proposed project.
CROSS CREEK PERMIT APP.pdf 697.73KB
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): EMILY GREER
Agency/Consultant Company: USACE
Other: PITTMAN SOIL
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
FEBRUARY2020
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

D. Proposed Impacts Inventory
u
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
W Wetlands r Streams -tributaries
r Open Waters r Pond Construction
2. Wetland Impacts
r Buffers
a. Site #* (?) 2a1 Reason(?) 2b. Impact type * (') 2c. Type of W.* 2d. W. name * 2e. Forested * 2f. Type of 29. Impact
Jurisdicition*(?) area*
CONSTRUCTION P Riverine Swamp Forest 1 Yes Corps 0.079
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.079
2h. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
2g. Total Permanent Wetland Impact
0.079
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
SUITABLE SOILS FOR SEPTIC INSTALLATION WERE LOCATED AS SHOWN ON THE ATTACHED PLOT. THE LOCATION WAS MINIMIZED BY A 25
REDUCTION SEPTIC SYSTEM, BUT STILL LEFT LITTLE ROOM FOR HOUSE.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
AREA OF IMPACTS SHOWN ARE MINIMAL TO ALLOW FOR CONSTRUCTION OF HOME. AS IS THE LOT DOES NOT HAVE ENOUGH SUITABLE
AREA WITH HOUSE AND SEPTIC.
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:
LESS THAN 1/10 ACRE 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?
r 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 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
u
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 (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 f• 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.
NO FUTURE DEVELOPMENT PROPOSED
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.
ON -SITE SEPTIC
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?
USFWS
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
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 CULTURAL HERITAGE WEB SITE
7c. Historic or Prehistoric Information Upload

8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year flood plain?*
G Yes r No
8b. If yes, explain how project meets FEMA requirements:
HOUSE WILL BE CONSTRUCTED ABOVE BASE ELEVATION ON PILES OR FILL
8c. What source(s) did you use to make the floodplain determination?*
NC FLOOD MAPS WEBSITE
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:
RONALD HAYWOOD PITTMAN II
Signature
?eAmb bih4oA) D pX'17F'Y6,IT-C
Date
6/17/2020

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. l 0 7 PLAN NO. PARCEL ID:
STREET ADDRESS:+ L �✓ (�(�r ��
Please print:
Property Owner: C
Property Owner: C O.f`C LL
The undersigned, registered property owners of the above noted property, do hereby authorize
?`�`r�t��.
(Contra r / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone:y ��
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
: : A rized Signature
Date: 2-'26 fL`' . -
Authorized Signature
Date:

PITTMAN SOIL CONSULTING
Owner:
CRAIG LOSITO CONSTRUCTION INC .
Address:
CROSS CREEK LOT 107
Location:
KNOLLWOOD DRIVE
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Owner:
Address:
Location:
PITTMAN SOIL CONSULTING
CRAIG LOSITO CONSTRUCTION INC .
CROSS CREEK LOT 107
KNOLLWOOD DRIVE
J R�
OF
APPROX SCALE 1"=60'

PROPOSED WETLAND FILL SKETCH
PITTMAN SOIL CONSULTING
PO BOX 1387
Owner: CROSS CREEK
Address: LOT 107 SECT 4
Location: KNOLLWOOD DRIVE
^� PROPOSED FILL AREA
v LINE FLAGGED BY EMILY GREER USACE
THIS IS NOT A SURVEY. MAP TAKEN FROM
PENDER COUNTY GIS. THIS IS NOT SURVEY
RICHLANDS, NC 28574
910-330-2784
pittmansoil c(riyahooxom
APPROX SCALE I"=60'
QUALITY.