20200095 Ver 2_401 Application_20200707

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?*
G Yes r No
Change only if needed.
BIMS # Assigned
20200095
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
1a. Name of project:
COURTESY COPY - Dante Martin Vet Clinic
1a. Who is the Primary Contact?*
Kim Williams - Land Management Group
1b. Primary Contact Email:*
[e-mail]
Date Submitted
7/7/2020
Nearest Body of Water
UT to Mill Creek
Basin
White Oak
Water Classification
SA; HOW
Site Coordinates
Latitude: Longitude:
34.368801-77.709099
A. Processing Information
County (or Counties) where the project is located:
Pender
Is this a NCDMS Project
r Yes r No
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)
Version#*
2
Reviewing Office*
Wilmington Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
V
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
39 - Commercial/Institutional Developments
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?
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:
LFM Holdings, LLC
2b. Deed book and page no.:
2c. Responsible party:
Dante Martin DVM
2d.Address
Street Address
785 Chadwick Shores Drive
Address Line 2
CRY
Sneads Ferry
Postal / Zip Code
28460
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
r Unknown
State / Rovince / Region
NC
Country
USA
2f. Fax Number:
r Yes r No
r Yes r No
u

4. Agent/Consultant (if applicable)
4a. Name:
Kim Williams
4b. Business Name:
Land Management Group
4c.Address
Street Address
3805 Wrightsville Avenue; Suite 15
Address Line 2
City
Wilmington
Pbstal / Zip Code
28403
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
State / Province / Fbgion
NC
Country
USA
4e. Fax Number:
[phone]
Agent Authorization Letter*
signed agent auth form.pdf 1.76MB
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/town:
Hampstead
2. Proiect Identification
2a. Property Identification Number:
3282-97-5465-0000
2c. Project Address
Street Address
14810 US Hwy 17
Address tine 2
city
Hampstead
Postal / Zip Code
28443
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:*
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.
030203020403
4. Project Description and History
2b. Property size:
0.94
State / Province / Ifgion
NC
Country
USA
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 tract is undeveloped and mostly mowed. The majority of the site lacks a tree canopy and has a sparse shrub layer of wax myrtle. Trees are present along the northeastern,
eastern, and southeastern project boundaries. Some wetlands and a shallow swale are located in the eastern part of the tract. Another swale runs along the southeastern property line.
Adjacent land use is commercial to the north, a church to the east, undeveloped and mowed land to the south, and Highway 17 to the west.
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

4c. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
Action ID# 2019-02091 & DWR Project # 2020-0095. The work authorized in these permits has not been performed. The applicant has revised the site plan to reduce wetland impacts.
Project History Upload
Martin Vet Clinic 401 WQC_03-31-2020.pdf
eSAW-2019-02091 Dante Martin Vet Clinic NWP.pdf
465.61 KB
1.6MB
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)
Fig 2 Topo.pdf
232.46KB
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)
Fig 4 Soils.pdf 258.27KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.25
4g. List the total estimated linear feet of all existing streams on the property:
WA
4h. Explain the purpose of the proposed project:*
The purpose of the project is to construct a veterinary clinic to serve the needs of the community. Wetland impacts are needed to construct part of the parking lot and access way to an
adjacent tract.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
The project includes the construction of a 66.5' x 67.5' veterinary clinic, a 24-ft wide driveway, and 21 parking spaces behind the building. Note that parking cannot be located in front of
the building because of an eAsting billboard in this area. Additionally, the project will treat stormwater via infiltration in the front of the site and in uplands in the southeast, which frees up
space for a larger larking lot behind the building that vehicles can circle through. This has a smaller footprint than the previously permitted cul-de-sac configuration. They are also
proposing a 20-ft wide access road to the tract south of the site (Baptist Church), which was strongly encouraged by Fender County to provide interconnectivity between tracts.
The building, parking, and access area will be cleared of vegetation and fill material will be brought into the site to level the area of disturbance. The structure, road, and parking area
will then be constructed. Track hoe, loader, dump truck, bob cat, and other standard construction equipment will be used.
4j. Please upload project drawings for the proposed project.
VET CLINIC SITE PLAN 04-01-2020.pdf 1 AMB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
6 Yes r No r Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
F Preliminary r Approved r- Not Verified r Unknown r WA
Corps AID Number:
SAW-2019-02091
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Nick Howell
Agency/Consultant Company: LMG
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
Emily Greer of the USACE approved the wetland line when she issued the NWP for the project on 3/30/2020.
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r Yes f 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?
No
[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
2a. Site #* (?) 2a1 Reason (?) 2b. Impact type * (?) 2c. Type of W. 2d. W. name * 2e. Forested* 2f. Type of 2g. Impact
Jurisdicition*(?) area*
Fill for parking lot and P Non-Riverine Swamp Forest t
ff
Both 14L]
driveway ��:::A
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:
The previous site plan that was authorized by the USACE and DWR proposed impacts to 0.2 acre of wetlands for an emergency turn -around area.
Since that time, the project engineer was able to revise the plan to treat stormwater via infiltration in the front of the site and in uplands in the
southeast, which frees up space for a larger parking lot behind the building that vehicles can circle through. This has a smaller footprint than the
previously permitted configuration and has reduced impacts to less than 0.1 acre. The 20-ft wide road that provides access to the tract south of the
site (Baptist Church) is strongly encouraged by Fender County to provide interconnectivity between tracts.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
A stormwater plan and erosion control plan will be implemented to minimize secondary impacts from run off and erosion.
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:
Impacts have been reduced to less than 0.1 acre
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. 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:
Site is within the White Oak River Basin
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 N/A - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
i— Local Government ,P State
State Stormwater Programs
r Phase II V Coastal Counties
r MNQ or ORW r Other
Comments:
Engineer is currently in the process of obtaining a stormwater permit.
v
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.
Project will not provide access or utilities to adjacent properties. No additional wetland impacts are anticipated on the site.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor NA
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.
Project will tie into municipal wastewater treatment system.
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?
The NC Natural Heritage Program website was reviewed to determine the known presence of federally listed species. No federally protected species
are known to occur on or within a one -mile radius of this site. Since the lot is mostly cleared, it would not provide suitable habitat for the red -cockaded
woodpecker. A few trees exist on the perimeter of the site, which may support appropriate roosting habitat for the northern long-eared bat. Since no
hibernacula or roosting trees are known to occur in close proximity to the site, any effect to the species from tree clearing would be exempt per the
4(d) rule.
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?*
NOAA EFH 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?*

f Yes
F No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
The SHPO HPOWEB GIS website was reviewed. No historic or cultural resources were identified on or adjacent to the site. Two surveyed structures
were noted just north of the site. These structures were listed as ineligible for listing.
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
F Yes IT No
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Map Service Center website
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Fig 1 Vicinity Map.pdf 223.79KB
Fig 7 Wetland Map.pdf 314.88KB
v
Signature
*
9 By checking the box and signing below, I certify that:
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:
Kimberlee C Williams
Signature
r�IW, ,e&ns C`'W. 0.?,ord
Date
7/7/2020

LMG
LAND MANAGEMENT GROUP
a OA W#- company
AGENT AUTHORIZATION FORM
TO WHOM IT MAY CONCERN:
Uwe, the undersigned, hereby authorize Land Management Group to act as our agent in the determination
of jurisdictional wetland boundaries on the subject property, Crestwood Tract By way of this form, Uwe
additionally authorize access to the site by representatives of the US Army Corps of Engineers and/or the
NC Division of Coastal Management for the purpose of reviewing the flagged wetland boundary and
providing a final jurisdictional determination. Any questions regarding the jurisdictional wetland
determination should be directed to Land Management Group — A Davey Company.
Please provide the following information:
Property Address and Parcel ID Number: 1481OUS Highway 17• Hampstead, NC; 3282-97-5465-0000
Current Property Owner Name: LFM Holdings LLC c/o Dante Martin, DVM
Owner Address, Phone Number, & Email Address: 785 Chadwick Shores Drive; Snead Ferry,
NC 28460• f910}526-3480• dante.martin.dvm(a-),hotmail.com
Notice: This authorization, for liability & professional courtesy reasons, is valid only for government officials to enter th e
property when accompanied by Land Management Group staff Please call LMG to arrange a site meeting prior to
visiting the site.
_DKVJ C !A NI�Tl tv
Print Owner's Name
Owner's Signature
1012z��,
Date T
www.Imsroup.net • Phone: [phone] • Fax: [phone]
3805 Wrightsville Avenue, Suite 15, Wilmington, NC 28403

Esri, HERE, Garmin, (c) OpenStreetMap contributors, Sources: Esri, HERE,Garmin, USGS, Intermap, INCREMENT P, NRCan, Esri Japan, METI, EsriChina (Hong Kong), Esri Korea, Esri (Thailand), NGCC, © OpenStreetMapcontributors, and the GIS User Community
Crestwood Development TractPender County, NC
Map Date: October 2019LMG19.263 3805 Wrightsville AvenueWilmington, NC 28403(910) 452-0001
Figure 1. Vicinity Map
0 1 20.5 Miles¯
L:\WETLANDS\2019 WETLANDS FILES\LMG19.263 --- Crestwood\Maps
Boundaries are approximate and not meant to be absolute.Map Source: World Street Map
PROJECT AREA
Esri, HERE, Garmin, (c) OpenStreetMap contributors
Crestwood Development TractPender County, NC
Map Date: October 2019LMG19.263 3805 Wrightsville AvenueWilmington, NC 28403(910) 452-0001
Figure 2. Topographic Map
0 300 600150Feet¯
L:\WETLANDS\2019 WETLANDS FILES\LMG19.263 --- Crestwood\Maps
Boundaries are approximate and not meant to be absolute.Map Source: Hampstead USGS Topographic Quadrangle
PROJECT AREA
AnB
Fo
Mu
On
Mu
LnA
Mu
FoNCCGIA, Esri, HERE, Garmin, (c) OpenStreetMap contributors
Crestwood Development TractPender County, NC
Map Date: October 2019LMG19.263 3805 Wrightsville AvenueWilmington, NC 28403(910) 452-0001
Figure 4. Soils Map
0 300 600150Feet¯
L:\WETLANDS\2019 WETLANDS FILES\LMG19.263 --- Crestwood\Maps
Boundaries are approximate and not meant to be absolute.Map Source: Pender County Soil GIS Data
PROJECT AREA
NCCGIA, Esri, HERE, Garmin, (c) OpenStreetMap contributors
Crestwood Development TractPender County, NC
Map Date: October 2019LMG19.263 3805 Wrightsville AvenueWilmington, NC 28403(910) 452-0001
Figure 7. Preliminary Wetlands Map
0 100 20050Feet¯
L:\WETLANDS\2019 WETLANDS FILES\LMG19.263 --- Crestwood\Maps
Boundaries are approximate and not meant to be absolute.Map Source: NC OneMap 2016 Aerial Photograph
NOTE: This is not a survey. All boundaries and distances are consideredapproximate. This represents a preliminary sketch prepared from field notes.A survey of delineated areas and review and approval by the U.S. ArmyCorps of Engineers is recommended prior to specific site planning.PROJECT AREA
Legend
Project Boundary (~ 0.94 acre)!
Wetlands (~ 0.25 acre)!
Waters of the U.S. (~ 300 LF)
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EX. WETLAND %
DEED BOOK 4626 PG 1488
MAP BOOK 59 PAGE 85
FIGURE 5
70,
17
N/F 34 \ , 07
LEA, PROPERTIES, INC. pp o•,
DEED BOOK 629 PG 128 ..'
�9 71 ,11 ,
WETLANDS
�GJ Gj� ,�' ; �'\`�� • .�� 4300SF PROPOSED
�CJ ,' i • ° .� TO BE FILLED4-41
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•� DEED BOOK 4660 PG 340
PL MAP BOOK 20 PAGE 72
PROJECT NO.: PW-1440
DRAWING NO.: W: /MASTER/PW-1440/VET CLINIC SITE PLAN. DGN
40' 20' 0 40' 80'
GRAPHIC SCALE: 1 " = 40'
SITE DATA
PIN NUMBER """""""""3282-97-5465-0000
ADDRESS """"""""""""""'14810 US HWY 17
DEEK BOOK/PAGE """"""""""""' 4660/1990
PLAT BOOK/PAGE...................................... N/A
ZONING........................................................ GB
PROPERTY AREA """"""41,092 SF /.94 AC
DISTUBANCE LIMITS """"""""""' 0.94 AC.
PROPOSED USE """"""""""""""'COMMERCIAL
PROPOSED BUILDINGS 1
MAX BUILDING HEIGHT--XX'-PER ORDINANCE
SETBACKS
FRONT.......................................................... 2 5
SIDE........................................................... 10,
REAR............................................................ 10,
TOTAL BUILDING AREA""""""""" 4,490 SF
LAND USE CODE ........................• COMMERCIAL
BUA
BUILDING 4,490 SF
SIDEWALK .......................................... 539 SF
PARKING & DRIVEWAY """""""' 14,790 SF
TOTAL .......................................... 19, 819 SF
OF PROPERTY (BUILDINGS)""""""'10.90
OF PROPERTY ( TOTAL BUA)............. 4 8.2 0
PARKING
TOTAL MINIMUM REQUIRED SPACES = 18
TOTAL SPACES SHOWN / PROVIDED = 18
TOTAL HANDICAP PROVIDED = 1
LEGEND
IRON REBAR SET
O EX. IRON PIPE
■ CONTROL MONUMENT SET
o CONTROL PK NAIL SET
R E V I S 1 0 N S
W:\Master\PW-1440\DGN\VET CLINIC SITE PLAN N07.dgn
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