HomeMy WebLinkAbout20201182 Ver 1_401 Application_202007277/27/2020
Resume Submission
M
DWR
Dirlslon of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 11, 2020 Ver 3.1
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
httpsa/edocs.deq.nc.govNVaterResources/O/edocl624704/PCN%20Help°/`20File%202018-1-30,pdf (https:/Iedocs.deq.nc.govMaterResources/O/dorJ603610/Pagel.aspx)
A. Processing Information
County (or Counties) where the project is located:
Pitt v
Add additional county
Is this a NCDMS Project
O Yes U No
Click Yes, only if NCDMS is the apprirant or co -applicant.
Is this project a public transportation project?*
OYes *No
this is any publicly funded by municipal.stale or federal funds road, rail, airport transportation project.
1a. Type(s) of approval sought from the Corps: *
12 Section 404 Permit (wetlands, streams and waters, Clean Water Act)
❑ Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1 b. What type(s) of permit(s) do you wish to seek authorization?
❑ Nationwide Permit (NWP)
❑ Regional General Permit (RGP)
0 Standard (IP)
This form may be used to initiate the standardlindividual permit process with the Corps. Please contact your Corps representative concerting submittals for standard permits. All
required items that are not provided in lhie E-PCN can be added to the miscellaneous upload area located at the bottom of this form.
1c. Has the NWP or GP number been verified by the Corps?
O Yes OO No
1 d. Type(s) of approval sought from the DWR:
check all that apply
❑ 401 Water Quality Certification - Regular
(D Non 404 Jurisdictional General Permit
❑ Individual Permit
le. Is this notification solely for the record because written approval is not required?
C) 401 Water Quality Certification - Express
C2 Riparian Buffer Authorization
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For the record only for DWR 401 Certification: Q Yes QQ No
For the record only for Corps Permit: p Yes QQ No
1f. Is this an after -the -fact permit application? *
Q Yes J No
19. Is payment into a mitigation bank or In -lieu fee program proposed for mitigation of impacts?
ti so. attach the acceptance letter from mitigation bank or in -lieu fee program.
O Yes U No
Acceptance Letter Attachment
Click the upload button or drag and drop files here to attach document
Upload
FILE TYPE MUST BE PDF
1h. Is the project located In any of NC's twenty coastal countles?
Q Yes V No
1 j. Is the project located in a designated trout watershed?
QYes *No
Link to trout information: http:lhvww.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx (http:/lwww.saw.usace.army.millMissionslRegulatory-
Permit-Program/Agency-Coordinationff rout.aspx)
B. Applicant Information
1a. Who is the Primary Contact?*
Lowell A 5 ei ht
1c. Primary Contact Phone:
ib. Primary Contact Email: (xxx)xxx-xxxx
nspeight@suddenlink.nek 252)752-5511
1 d. Who is applying for the permit?*
U Owner ❑ Applicant (other than owner)
(Check all that apply)
1e. Is there an AgontlConsultant for this project?
O Yes * No
2. Owner Information
2a. Name(s) on recorded deed:
Lowell A Speight
2b. Deed book and page no.:
2c. Responsible party:
(for Corporations}
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2d. Address*
Street Address
1937 Cherry Stone Lane
Address Una 2
City Slala/ Province/Region
Greenville INC
Postal I Zip Code Country
27858
2e. Telephone Number.*
1(252)752-5511
2f. Fax Number.
(xxx}xxx-xxxx
2g. Email Address:*
nspeight@suddenlink.net
Add another owner
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
ISpeight Bulkhead
1b. Subdivision name:
(if oppropdalo)
FB-randy Creek
1c. Nearest municipality 1 town:*
Greenville
2. Project Identification
2a. Property Identification Number:
(tax PIN or parcel to)
5606146658
2c. Project Address
SUCCIAddrass
1937 Cherry Stone Lane
Address Lino 2
Cily
Greenville
Postal IZip Coda
27858
24. Site coordinates In decimal dog reas
2b. Property size:
(n acres)
0.81
State 1 Province ! Region
NC
Country
Pitt
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Please collect site coordinates in decimal degrees. Use between 4.6 digits (unless you are using a survey -grade GPS device) after the decimal place as appropriate, based on how
the location was determined. (For example, most mobile phones with GPS provide localtonal precision In decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude:*
35.56642
ex: 34.200504
3. Surface Waters
Longitude:*
77.31047
-77.796371
3a. Name of the nearest body of water to proposed project:
UT to Hardee Creek
3b. Water Resources Classification of nearest receiving water. #
C. NSW
Surface Water Lookup (hltps:llncdonr.maps.arcgis.comlappslwebappviewerrindex.h(ml7id=6ol25ad7628f494694e259c8Ddd64265)
3c. What river basin(s) is your project located in7
tar -Pamlico v
Add another river basin
3d. Please provide the 12-digit HUC in which the project is located.*
030201030605
River Basin Lookup lhttp://ncdenrmaps.arcgis.tom/apps/Pubficinformalionfindex.himl7appld=ad3aB5aOc6d644aob97cd069db236ar3)
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: *
Private Home
from small stream.
4b. Have Corps permits or DWR certifications been obtained for thls project (including all prior phases) In the past?
O Yes O No O Unknown
4d. Attach an a 112 X 11 excerpt from the most recent version of the USGS topographic map Indicating the location of the project site. (for dWR)
Click the upload buttan or drag and drop files hore to attach document
U load
Flo typo must bo pdf
4o. Attach an 8 112X 11 excerpt from the most recent version of tho published County MRCS Sell Survey map depleting the project site. (for DWR)
pick the upload butlon or drag and drop files hero to attach document
U load
Fide typo must bo pdf
4f. List the total estimated acreage of all existing wetlands on the property:
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4g. List the total estimated linear feet of all existing streams on the property:
(InldrmilteM and perannrat)
110
4h. Explain the purpose of the proposed project;*
correct and control erosion.
41. Describe the overall project In dotall, including Indirect Impacts and the typo of equipment to be used: *
See attached.
41. Please upload project drawings for the proposed project.
Click tho upload button or drag and drop riles hero to attach document
Upload
Filo typo must bo pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
O Yes
0 No
Comments:
5b. If the Corps made a Jurisdictional determination, what typo of determination was made?
O Preliminary O Approved O Not Verified O Unknown O NIA
Corps AID Number.
Example: SAW-2017-99999
50. If 5a Is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other
O Unknown
hltps://edomdeq.nc.gov/Forms/form/resume/216/67902 5/10
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5dl. Jurisdictional determination upload
Click the upload button or drag and drop riles hero to acach dowment
Upload
File We must be PDF
6. Future Project Plans
62. Is this a phased project? *
Q Yes Qo No
Are any other NWP(s), regional general permit(s), or Individual parmits(s) used, or intonded to he used, to authorize any part of the proposed projector related activity?
This includes other separate and distant crossing for linear projects that require Department of the Army authorization but don't require pro construction notification.
D. Proposed Impacts Inventory
1. Impacts Summary
1 a. Where are the Impacts associated with your project? (check all that apply):
❑ Wetlands ❑ Streams -tributaries ❑ Buffers
❑ Open Waters Q Pond Construction
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed Impacts in designing the project: *
Value is required.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques: *
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?
O Yes 00 No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS(htlpsJ/dbits.usace.army.miViibits_apexlt?
p=107:27:2734709611497::NO:RP:P27 BUTTON_KEY:O) website.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
hitpsJ/edoes.deq.no.gov/Forms/form/resume/216/67902 6/10
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— Recent changes to the stormwater rules have required updates to this section . '"
9. Diffuse Flow Plan
la. Does the project Include or is it adjacent to protected riparian buffers Identifiod within ono of the NC Riparian Suffer Protection Rules?
op Yes O No
1 b. All buffer Impacts and high ground impacts require diffuse flow or other form of stormwator treatment. If the project Is subject to a state lmplemantod riparian buffer
protection program, include a plan that fully documents how diffuse (low will be maintained.
All Stormwator Control Measures (SCM)s must bo designed In accordance with the NC Stormwator Design Manual(https:f/deq.nc.goviabouUdlvlsTonstenergymineral.
land•resourcesfonergy-mineral•land•permit-guidancefstormwater-bmp-manual). Associated supplement forms and other documentation shall be provided.
What type of SCM are you providing?
O Level Spreader
0 Vegetated Conveyance (lowerSHWT)
0 Welland Swale (higher SHWT)
0 Other SCM that removes minimum 30% nitrogen
O Proposed project will not create concentrated stormwater flow through the buffer
(chock all Mat apply)
For a list of options to meet the diffuse flow requirements, click here
(htfps:!lfiles.nc.gov/ncdeq/Water°/a200ual itylSurface%2OWater%20Proteciian/4ol iBuffer%20CIadreation°/a2OMemos/Options°/,20for%2OMectina`/*200iffuse%2OFlow%2GProvislons%20(
Diffuse Flow Documentation
Olck the upload button or drag and drop riles here to atlach document
U laad
File We must be PUF
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's individual NPDES permit NCS0002507
0Yes ONO
Comments:
G. Supplementary information
1. Environmental Documentation
1 a. Does the project involve an expenditure of public (federallstatellocal) funds or the use of public (federallstate) land?
0Yes o@No
2. Violations (DWR Requirement)
2a. Is the site In violation of DWR Water quality Certification Rules (15A NCAC 2H .0500), Isolated Welland Rules (15A NCAC 21-11.1300), or DWR Surface Water or Wetland
Standards or Riparian Buffer Rules (15A NCAC 26.0200)?
O Yes OO No
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3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality?*
OYes UNo
3b. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWR Requirement)
Aa. Is sewage disposal required by DWR for this project?*
O Yes * No O 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?
O Yes (•) No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
OYes (0)No
5d. Is another Federal agency involved? *
O Yes (a) No Q Unknown
50. Is this a DOT project located within Division's 1-87*
O Yes �vl; No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
O Yes re) No
5g. Does this project involve bridge maintenance or removal?
O Yes Cm) No
Link to the NLEB SLOPES document: http:!lsaw-rog.usace.army.m!IINLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf (http:l/saw-reg.usace.army.m!IINLEB/1-30-17-signed_NLEB-
SLOPES&apps.pdf)
Sh. Does this project involve the construction/installation of a wind turbines)?**
O Yes O 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.?*
O Yes V No
5j. What data sources did you use to determine whether ,your site would impact Endangered Species or Designated Critical Habitat? *
Consultation Documentation Upload
Click the upload button ar drag and drop files here to attach document
U load
File type must be PDF
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur In or near an area designated as an Essential Fish Habitat?*
O Yes *) No
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6b. What data sources did you use to determine whether your site would Impact an Essential Fish Habitat? *
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Oftice Historic Properties Map (does not include archaeological data: bllag aj, cdcr.g0r {bgg;ggls.ncdcr•gpyibR2w .
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 (e.g., National
Historic Trust designation or properties significant in North Carolina history and archaeology)?
O Yes O No
7b. What data sources did you use to determine whether your site would Impact historic or archootonical resources?
7c. Historic or Prehistoric information Upload
Clkk the upload button or drag and drop filos hereto attach document
[Upload
He must be Pei=
8. Flood Zone? Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: hftpsJlmsc.fema.govlportaVsearch(hltpsalrnsc.fama.gov/portaYsearrh)
82. Will this project occur In a FEMA-designated 100-yoar floodpialn?
O Yes O No
8c. What source(s) did you use to make the floodplain determination? *
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Ckk the upload button or drag and drop rdea hero to attach document
U load
Fife must bo POF or KMZ
Signature
hltps:lledoas.deq.ne-gov/Forms/form/resume/216/67902 9110
7/24/2020 Resume Submission
61 By checking the boot 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: *
Lowell A Spei hc_ t f
Signature"
v
Date
Submit I Save as Draft
httpsJledoes.deq.nc.gov/Forms/formtresume/216167902 10110
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43 foot bulkhead
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House (1937 Cherry Stone Lane)
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Scope:
1) Bulkhead begins 42'inside property line with a 2' wing wall.
2) Bulkhead terminated 39'inside property line with a 2' wing wall.
3) Bulkhead is 43'long.
4) Remove vegetation.
5) Drive 8" x 8" x 16' posts into earth and tie into dead man post 10' into yard with %" steel rod.
6) Drive 4" x 2' x 16' corrugated seawall panels into earth.
7) Backfill with fill dirt and grade.