20052253 Ver 3_401 Application_20110502

oS -aaS 3 U3
P.O. Box 244 Bunnlevel, NC 28323 [phone]
April 12, 2011
David Bailey
US Army Corps of Engineers RD AL I'm
69 Darlington Avenue
Wilmington, NC 28403
Re: NW3 Maintenance Permit for Emerson Park Section II in Williamsburg Plantation
Jacksonville, Onslow County
David Bailey,
Wetland delineation was conducted for the sides of existing road on the above referenced
property off Western BLVD in Williamsburg, NC. All wetland determinations were made in
accordance with the 1987 US Army Corps of Engineers Wetland Delineation Manual and the Atlantic
and Gulf Coastal Plain Regional Supplement. Also a NW3 maintenance permit for the existing road
crossing is attached. Enclosed are copies of maps Rapanos forms, and pertinent site information for
your use in preparation for the permit.
The following is pertinent site information:
Owner: Prestige Homes
Applicant: John Koenig
Address: 6432 Yadkin Road
Fayetteville, NC28303
Parcel ID Numbers: See Attachment
Property Location: Onslow County, Jacksonville, Williamsburg
Nearest Named Water body: New River
Lat/Long of Site: N 34.795675 W 77.44857
Maps: See attachment
USGS Quad Name: Jacksonville North NC quadrangle
Tract Size: 89.0
Approximate Wetland Size: 8 ac< >
MAY 0 2 2011
DENR - NEATER QUALITY'
KTLANOS ANO STORMWATER BRANCH
Please contact me if there is any additional information you need regarding site conditions.
Thank you.
Sincerely,
Adam Carter
Wetland Solutions
April 12, 2011
Owner Information
Name:
Mailing Address:
City, State, Zip:
Telephone
Property Description
Project Name:
Address: See Attachment
PIN #: See Attachment
County: Cumberland
as owner/agent of the above referenced
property, authorize the US Ariny Corps of Engineers and the NC Division of Water Quality to
enter the subject property for the purpose of a jurisdictional determination.
I also authorize Mr. Adam Carter of Wetland Solutions, LLC to act in my behalf as my
agent in processing applications for wetland certification and/or permits.
Si e itle Date
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U.S. ARMY CORPS OF ENGINEERS
WILNIINGTON DISTRICT
Action ID. 200600272 County: Onstow USGS Quad: Jacksonville North
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner: Joho Hoenig
Address: 6432 Yadkin Road
Fayettevill% NC 28303
Agent: Hal Owen and Associates Inc.
attn• Hal Owen
P.O. Box 400
Lillington, NC 27546
Size and location of property (water body, road name/number, town, etc.): The 22.44 acre tract is Section II of
Kensington Park subdivision located near the intersection of Gum Branch Road and the future Western Blvd
Extension just ner (k of JacksgnXft Onslow County.
Description of projects area and activity: This verification covers the imagact to 049 acres of riparian wetlands
0.0083 acres of non-riparian wetlands and 86 feet of perennial stream for the infrastructure of Kensington Park
Section II.
Applicable Law: ?X Section 404 (Clem Water Act, 33 USC 1344)
? Section 10 (Rivers and Rarbors Act, 33 USC 403)
Authorization: Regional General Permit Number.
Nationwide Permit Number. NW:29
SEE ATTACfiED NATIONWIDE AND SPECIAL CONDITIONS
Your work IS Mathorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted application dated 6121n007, revised PCN sheets &10 of 13 received on July 30, 2007, wetland
crossing 91 plan revised July 26, 2007, wetland crossing #2 plan prepared May 4, 2007, and general stormwater erosion
control plan last revised on 7/1712007 by Crystal Coast Engineering. Any violation of the attached conditions or deviation
from your submitted plans may subject the permittee to a stop work order, a restoration order and/or appropriate legal
action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified,
suspended or revolaxL If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or
modified, this veriEicatioa will remain valid until the expiration date identified below, provided it complies with all requirements of
the modified nationwide pamnit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the
activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are
under construction) or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the
activity is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case-by-case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact theWC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA.),
prior to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Brad Shaver at 910-25I4611.
CorprRegulatary Official _I Date: 8/1012007
Expiration Date of Verification: 8/10/2009
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to do so,
please complete the attacked customer Satisfaction Surveyor visit :IM }v saw usace awry MiY- Bn ANDS/index htm to
complete the survey online.
Page 1013
Determination of Jurisdiction:
? Based on preliminary information, there appear to be waters of the US including wetlands within the above described project area.
Tkis preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
(Reference 33 C)±RPart 331).
? There are Navigable Waters ofthe United states within the above described project area subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
© There are waters of the US and/or wetlands within the above described project area subject to the permit requirements of Section
404 of Lke Clean Water Act (C WA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
? The jurisdictional areas within the above described project area have been identified under a previous action. Please reference
jurisdictional determination issued . Action ID
Basis oE:Jurisdicdonal Determination: The subject area exhibits wetland criteria as described in the 1987 Corps Delineation
Manual. The wetlands were abuttine an unnamed relat yey permanent water body whicb is a tributary of the New River
OnsioMCounty,
Appeals Information (This information applies only to approved jurisdictional determinations.)
This correspondence constitutes an approved jurisdictional determination for the above described site, ffyou object to this
determination, yon may request an administrative appeal under Corps regulations at 33 CFR part 331. Enclosed you will find a
Notification ofAppeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this determination you
must submit a completed RFA form to the following address:
District Engineer, Wilmington Regulatory Division
Attn:Brad Shaver, Project Manager,
Wilmington Regulatory Field Office
P.O. Box 1890
Wilmington, North Carolina 28402-1890
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CPR part; 331.5, and that it has been received by the District Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by 10/19Q407
,
**It is not necessary to submit an RFA form to the District Office if you do not object to the determination in this correspondence.**
Corps Regulatory Of3iciah
Data MO/200 7 Expiration Date 8/10/2009
Copy Furnished:
NCDINR-DWQ attn: Joanne Steenhuis 127 Cardinal Drive Wilmington, NC 28405
NCDENR DWQ attu: Cyndi Ramly 2321 Crabtree Blvd Raleigh, NC 27604-2260
)Page 2 of3
Kensington Park Phase U
Onslow County
A.ID# 200600272
Special Conditions:
1) The permittee shall execute and cause to be recorded in the Onslow County Register of Deeds restrictive
covenants acceptable to the Corps of Engineers for the purpose of maintaining the conservation areas
(URimpacted wetlands), as drown on the reviewed plat (entitled Wetland Delineation Map prepared for
Jok n Romig dated March 19, 2007) in their natural state in perpetuity, prior to the sale or conveyance of
any lots or other property within the subdivision. The permittee shall enforce the terms of the restrictive
coveuuunts and, prior to conveyance of the property, shall take no action on the property described in the
covenants inconsistent with the terms thereof. The permittee shall provide a copy of the recorded
restrictive covenants to the Corps of Engineers within 15 days of recording
2) In order to compensate for impacts to 0.0983 acres of wetlands and 86 linear feet of stream channel, the
permitter sW make payment to the North Carolina Ecosystem Enhancement Programs (NC EEP) in the
amount determined by the NC EEP, sufficient to perform the restoration of 0.0983 acres of non riparian
wetlands and 86 linear feet of stream channel in the White Oak River Basin, Cataloging Unit 03030001.
Construction within jurisdictional areas on the property shall begin only after the permitter has made full
payment to the NC EEP and provided a copy of the payment documentation to the Corps, and the NC EEP
has provided written confirmation to the Corps that it agrees to accept responsibility for the mitigation
work required, in compliance with the MOU between the North Carolina Department of Environment and
Natural Resources and the United'States Army Corps of Engineers, Wilmington District, dated November
4,199&
Corp Regulatory Official t f
Page 3 of3
Date August 10, 2007

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 200600272 County: Onslow USGS Quad: Jacksonville North
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner. John Koenig
Address: 6432 Yadkin Road
Fayetteville, NC 28303
Agent: Crystal Coast Engineering, PA
attn• David Newsom
3817-3 Freedom Way
Hubert, NC 28539
Telephone No.: 910-864-1978 910-325-0006
Size and location o£property (water body, road name/number, town, etc.): The 10.15 acre tract (Kensington Park) is
located directly ad I acent to Western Blvd. Extension at the intersection of Gum Branch and Western Blvd within
the Williamsburg Plantation Subdivision adiacent to an unnamed tributary of the New River Onslow County,
Description ofprgJmU area and activity: This permit authorizes impact to 0.02 acres of iurisdictional wetlands for
the purpose of a stormvrater pipe crossing along the north side of the tract
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
? Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number:
Nationwide Permit Number: NW-18
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted application dated 11/26/2005, plans S-1,2,3 dated November 25, 2005 and S4,5 dated January
3, 3006. No part of the stormwater wet detention pond is authorized within the wetland boundary including the outfall
structure and its stabilization. Any violation of the attached conditions or deviation from your submitted plans may subject
the perm ittee to a stop ivork order, a restoration order and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified,
suspended or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or
modified, This verification will remain valid until the expiration date identified below, provided it complies with all requirements of
le modified nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the
activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are
under construcTion) or are ander contract to commence in reliance upon the nationwide permit, will remain authorized provided the
activity is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case-by-case basis to modify, suspend or revoke the authorization.
Activities subj cct to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NCDivision of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities oec=dng within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management.
This Depar reseal o F the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvallpeimits.
If There are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Brad Shaver at 910-251-4611.
Corps Regulatory Official __ ? l? Date: January 17, 2006
Expiration Date of Verification: March 18, 2007
Page 1 of 2
Determination of Jurisdiction:
? Based on preliminary information, there appear to be waters of the US including wetlands within the above described project area.
This preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
( Reference 33 CFR. Part 331).
? There are Navigable Waters of the United States within the above described project area subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
? There are waters of the US and/or wetlands within the above described project area subject to the permit requirements of Section
404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
® The jurisdictional areas within the above described project area have been identified under a previous action. Please reference
jurisdictional determination issued 12/14/2005. Action ID 200600272
Basis of Jurisdictional Determination: The subject area exhibits wetland criteria as described in the 1987 Corps Wetland
Delineation Manual and is adiacent to an unnamed tributary of the New .River, a navigable water of the US.
Corps Regulatory Official:
Date January 17. 2006
Page 2 of 2
o5 - aas3 v3
O'? WATF'9
O?
??.?1 O T
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PC Form
A. Applicant Information
1. Processing
I a. Type(s) of approval sought from the
Corps:
®Section 404 Permit ? Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: NWP 3 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
® Yes ? No For the record only for Corps Permit:

® Yes ? No
If. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: Emerson Crossing / Williamsburg Plantation EMS
2b. County: Onslow
2c. Nearest municipality / town: Jacksonville
2d. Subdivision name: Emerson Crossing 0 nn
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: WE s n- ALITY
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable): Prestige Homes, LLC
3d. Street address: 6432 Yadkin Road
3e. City, state, zip: Fayetteville, NC 28303
3f. Telephone no.: [phone]
3g. Fax no.:
3h. Email address:
Page 1 of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: Adam Carter
5b. Business name
(if applicable): Wetland Solutions, LLC
5c. Street address: PO Box 244
5d. City, state, zip: Bunnlevel, NC 28323
5e. Telephone no.: [phone]
5f. Fax no.:
5g. Email address: [e-mail]
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
Latitude: 34.795675°N Longitude: -
1 b. Site coordinates (in decimal degrees): 77.44857°W
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to UT to New River (Index#19-1)
proposed project:
2b. Water Quality Classification of nearest receiving water: Class C; NSW
2c. River basin: White Oak
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Existing site conditions consist of both wooded and cleared areas. Land use in the vicinity is residential and undeveloped
3b. List the total estimated acreage of all existing wetlands on the property:
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d. Explain the purpose of the proposed project:
The project involves the maintenance of an existing dirt road crossing.
3e. Describe the overall project in detail, including the type of equipment to be used:
The existing collapsed pipe will be replaced and the road stabilized. Equipment used will be backhoe and smaller
equipment..
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / ® Yes El No El Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
? Preliminary ®Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: Wetland Solutions, LLC
Name (if known): Adam Carter Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
14 Dec 2005
5. Project History
5a. Have permits or certifications been requested or obtained for ® Yes ? No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
USACE Action ID 200600272; NWP29 and NWP18 - Issued August 10, 2007. DWQ Project 05 2253 ver 2 issued August
23, 2007
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ? Streams - tributaries ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non404, other) (acres)
Temporary
W1 ® P ? T Fill Non-Riparian ? Yes ® Corps 0.020
Seep ® No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 0.020
2h. Comments: " impacts permitted under NWP 29 dated August 10, 2007 (Kensington Park II)
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ? P ? T ? PER ? Corps
? INT ? DWQ
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts
3i. Comments: " impacts permitted under NWP 29 dated August 10, 2007 (Kensington Park II)
Page 5 of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed,
5a. 5b.
Pond ID
number
then complete the chart below.
5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Proposed use or purpose (acres)
of pond Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
Project is in which protected basin?
6b. 6c. 6d.
Buffer impact
number - Reason
Permanent (P) or for
Temporary (T) impact
61 ?P?T
? Neuse ? Tar-Pamlico ? Other:
? Catawba ? Randleman
6e. 6f. 6g.
Buffer
Stream name mitigation
required?
? Yes
? No
? Yes
? No
? Yes
? No
6h. Total buffer impacts
Zone 1 impact Zone 2 impact
(square feet) (square feet)
B2 ?P?T
B3 ?P?T
6i. Comments:
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Silt fencing will be installed and maintained along the perimeter of the construction area to prevent offsite sedimentation of the
wetlands.
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? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this
project? ? Mitigation bank
? Payment to in-lieu fee program

? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ? Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified ? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
? Yes ? No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 24%
2b. Does this project require a Stormwater Management Plan? ® Yes ? No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Storm Water Permit SW80801115MOD
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ® DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? Onslow County
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ® Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
? HQW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply):
? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ® Yes ? No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ® Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ® Yes ? No
Page 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the ? Yes ® No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ? No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
? Yes ? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Public Sewer provided by the City of Jacksonville.
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ? Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ? Yes ® No
impacts?

5c. If yes, indicate the USFWS Field Office you have contacted. ®
Raleigh
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC DENR, Div. of Parks and Recreation, Natura, 20100101, Natural Heritage Element Occurrences: NC DENR, Div. of
Parks and Recreation, Natural Heritage Program, Raleigh, North Carolina.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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 ? Yes ? No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? NC Department of Transportation website
http://www. ncdot.org/it/gis/DataDistribution/FEMAFloodData/engArcview. html

in `J

Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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