20200897 Ver 1_401 Application_20200709

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
20200897
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office *
Wilmington Regional Office - [phone]
Information for Initial Review
1a. Name of project:
Fill of wetland on 111 Sandy Landing Rd
1a. Who is the Primary Contact?*
Anna and Martin Wahl
1b. Primary Contact Email:*
[e-mail]
Date Submitted
7/9/2020
Nearest Body of Water
Pamlico Sound
Basin
Neuse
Water Classification
SA, HQW, NSW
Site Coordinates
Latitude:
35.0179
A. Processing Information
County (or Counties) where the project is located:
Carteret
Is this a NCDMS Project
r Yes IT No
Longitude:
-76.3189
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#*
1
What amout is owed?*
IT $240.00
r $570.00
Select Project Reviewer*
Holley Snider:eads\hasnider
1c. Primary Contact Phone:*
[phone]
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:
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?*
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 r No
2. Owner Information
2a. Name(s) on recorded deed:
Anna and Martin Wahl
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
Street Address
2020 Gardenbrook Dr
Address Line 2
CRY
Raleigh
Postal / Zip Code
27606
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
C Unknown
State / Rovince / Region
NC
Country
USA
2f. Fax Number:
r- Yes r No
r Yes r No
u

C. Project Information and Prior Project History C")
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Cedar Island, NC
2. ProjectctIdentification
2a. Property Identification Number:
2b. Property size:
840703215909000
0.915
2c. Project Address
Street Address
111 Sandy Landing Rd
Address Line 2
(Sty
State / Province / Region
Cedar Island
NC
Fbstal / Zip Code
Country
28520
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Pamlico Sound
3b. Water Resources Classification of nearest receiving water:*
SA, HOW, NSW
3c. What river basins) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202040902
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:*
The site is an undeveloped residential lot in a residential neighborhood. Lot has a septic system installed already.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
C Yes r No C 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)
USGS Topo Map - Cedar Island NC.pdf 679.84KB
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 Map - Cedar Island NC.pdf 478.86KB
4f. List the total estimated acreage of all existing wetlands on the property:
4g. List the total estimated linear feet of all existing streams on the property:
4h. Explain the purpose of the proposed project:*
Seeking NWP-18 permit to fill in less than 1/10 of an acre into the wetland on the lot adjacent to the upland for the purpose of erecting a single family residential house on piles.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Fill of less than 1/10 of an acre of the wetland adjacent to the upland for the purpose of erecting a stick built single family residential house on piles. Locating the house structure on the
lot is currently compromised due to setbacks from drainage field and septic tank.
The wetland will be filled with sand after removal of trees/shrubs. Some of the house piles will be located in the filled wetland area.
House location is approximate on attached "Proposed plan" document.
4j. Please upload project drawings for the proposed project.
Lot 11 Survey_Wetland Permit -111 Sandy Landing Rd Cedar Island NC.pdf 254.86KB
Proposed plan - 111 Sandy Landing Rd Cedar Island.pdf 725.33KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No C Unknown

Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified f Unknown r N/A
Corps AID Number:
SAW-2020-00814
5c. If 5a is yes, who delineated the jurisdictional areas?
.................
Name (if known): Tom Charles
Agency/Consultant Company: USACE, Wilmington
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR
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 project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
W Wetlands f Streams -tributaries
r Open Waters r Pond Construction
2. Wetland Impacts
F Buffers
2a1 Reason (?)
2b. Impact type * (?)
2c. Type of W.
2d. W. name *
2e. Forested *
2f. Type of
Jurisdicition*(?)]2g.
Impact
area*
hftps://vmw.goo
fill of wetland
P
Unknown
unknown
Yes
Both
0.099
gle.com/maps/pl
(acres)
ace/1 11 +Sandy
+Landing+Rd,+
Cedar+Island,+
NC+28520/@35
.0170294,-
76.3198344,18z
/data=! 4m5! 3m
4!1sOx89a6044
d685be17b:Oxc
0338c5f107617
37! 8m2! 3d35.0
173304!4d-
76.319019
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.099
2h. Comments:
4324.5 sq.ft. of wetland impact.
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 fill area is limited to less than 1/10 of an acre.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:

Will use sand to fill the wetland. Erosion control will be implemented.
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:
Due to minimal impact to the wetland of less than 1110 of an acre.
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:
It is a residential lot in Cedar Island and is not near or within protected riparian 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 15ANCAC 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)
U
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
I 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 is a single residential lot which needs some fill of wetland, so house can be located.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r NIA
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 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
5i. 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?
Looked online at USFWS and contacted USACE Regulatory Specialist Tom Charles who verified that it would not impact endangered species.
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?*
Contacted USACE Regulatory Specialist Tom Charles.
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?*
Contacted USACE Regulatory Specialist Tom Charles.
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
8b. If yes, explain how project meets FEMA requirements:
Project in flood zone AE with base flood elevation 7 ft. Project area will be filled/elevated and structure will be on piles and constructed in accordance
with building code.
8c. What source(s) did you use to make the floodplain determination?*
FEMA floodplain map (used link above).
Miscellaneous C^U
Comments
Miscellaneous attachments not previously requested.
Signature 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:
Anna Wahl
Signature
w
Date
7/9/2020

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1. ALL AREAS CALCULATED BY COORDINATE GEOMETRY.
ALL DISTANCES ARE HORIZONTAL GROUND DISTANCES.
2. THIS IS A SURVEY OF AN EXISTING PARCEL OF LAND.
NOT FOR RECORDATION.
3. THIS LOT IS UNZONED AND DESIGNATED FOR SINGLE
FAMILY RESIDENTIAL WITH CURRENT SETBACK: 25' FRONT,
10' SIDE, AND 30' REAR.
4. THIS PROPERTY; PER MAP #3720840700J, IS LOCATED IN
FLOOD ZONE AE WITH A BASE FLOOD ELEVATION OF 7' PER
THE NORTH CAROLINA FLOOD RISK INFORMATION SYSTEMS.
5. 404 WETLAND DELINEATION WAS PERFORMED BY TOM CHARLES
FROM THE ARMY CORPS. OF ENGINEERS ON 5/26/2020.
SURVEYOR'S CERTIFICATION
I, JEREMY T. MCCOMBI RTIFY THAT THIS MAP WAS
COMPLETED UNDER MY DIRECTION AND RESPONSIBLE CHARGE
FROM A SURVEY PERFORMED BY ME; THAT THE BOUNDARIES
NOT SURVEYED ARE CLEARLY INDICATED AS DRAWN FROM
INFORMATION FOUND IN MAP BOOK 31 PAGE 870;
THAT THIS MAP MEETS THE REQUIREMENTS OF THE
"STANDARDS OF PRACTICE FOR LAND SURVEYING
IN NORTH CAROLINA" (21 NCAC 56.1600).
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FILL OF WETLAND
AREA 4,324.5 SQ FT
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8.71'
N68�06'59'E
62.95'
N28A00'31 "E
38.83'
N44A3513"E
43.91'
N61 "30'37"E
80.20'
S88A44'43"E
37.03'
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WITNESS MY ORIGINAL SIGNATURE AND SEAL THIS �
THE 5TH DAY OF JUKE, 2020. THOMAS PERA�TO —� p
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PROFESSIONAL LAND SURVEYOR No. L-5355
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GRAPM SCALE 1' • W
LEGEND: �•,
EIP= EXISTING IRON PIPE
NIS= NEW IRON SET
R/W= RIGHT-OF-WAY
DB= DEED BOOK
PG= PAGE
BOUNDARY LINE
ADJOINER LINE
RIGHT-OF-WAY LINE
MINIMUM BUILDING LINE
404 WETLANDS
TAX PARCEL 840703215909000 DB 1673 BC 83
BOUNDARY SURVEY OF
_OT 11 SANDY SANDING
REFERENCE: MAP BOOK 31 PAGE 870
CEDAR ISLAND, CARTERET COUNTY, NORTH CAROLINA
CLIENT: MARTIN & ANNA WAHL SURVEYED:
2020 GARDENBROOK DRIVE 05/27/20
ADDRESS: RALEIGH, NC 27606 DRAWN:
JTM
PHONE: [phone] APPROVED:
g STROUD ENGINEERING, P.A. JTM
� 3302-C BRIDGES STREET DATE:
MOREHEAD CITY, N.C. 28557 06/2/20
[phone] LICENSE NO.C-0647 SCALE:

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NOTES:
1. ALL AREAS CALCULATED BY COORDINATE GEOMETRY. \
ALL DISTANCES ARE HORIZONTAL GROUND DISTANCES.
2. THIS IS A SURVEY OF AN EXISTING PARCEL OF LAND. \
NOT FOR RECORDATION.
3, THIS LOT IS UNZONED AND DESIGNATED FOR SINGLE
FAMILY RESIDENTIAL WITH CURRENT SETBACK: 25' FRONT,
10' SIDE, AND 30' REAR.
4. THIS PROPERTY; PER MAP #3720840700J, IS LOCATED IN
FLOOD ZONE AE WITH A BASE FLOOD ELEVATION OF 7' PER
THE NORTH CAROLINA FLOOD RISK INFORMATION SYSTEMS.
5. 404 WETLAND DELINEATION WAS PERFORMED BY TOM CHARLES
FROM THE ARMY CORPS. OF ENGINEERS ON 5/26/2020.
SURVEYOR'S CERTIFICATION
I, JEREMY T. MCCOMB�-;FRTIFY THAT THIS MAP WAS
COMPLETED UNDER MY DIRECTION AND RESPONSIBLE CHARGE
FROM A SURVEY PERFORMED BY ME; THAT THE BOUNDARIES
NOT SURVEYED ARE CLEARLY INDICATED AS DRAWN FROM
INFORMATION FOUND IN MAP BOOK 31 PAGE 870;
THAT THIS MAP MEETS THE REQUIREMENTS OF THE
"STANDARDS OF PRACTICE FOR LAND SURVEYING
IN NORTH CAROLINA" (21 NCAC 56.1600).
WITNESS MY ORIGINAL SIGNATURE AND SEAL THIS
THE 5TH DAY OF JUNE, 2020.
SIGNED
PROFESSIONAL LAND SURVEYOR No. L-5355
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AREA 4,324.5 SQ FT
WETLAND TABLE:
L1
8.71'
N68�06'59"E
L2
62.95'
N28�00'31 "E
L3
38.83'
N44"35'1YE
L4
43.91'
N61 "30'37"E
L5
80.20'
S88"44'43"E
L6
37,03'
S28�53'56"E
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NIS= NEW IRON SET
R/W= RIGHT—OF—WAY
DB= DEED BOOK
PG= PAGE
BOUNDARY LINE
ADJOINER LINE —
RIGHT—OF—WAY LINE
MINIMUM BUILDING LINE -- —
404 WETLANDS
TAX PARCEL 840703215909000 DB 1673 PG 83