20110723 Ver 1_401 Application_20110811

20110723
Quible
Quible & Associates, P.C.
ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SURVEYING
SINCE 1959
Roberto Scheller
NC Division of Water Quality
943 Washington Square Mall
Washington, NC 27889
July 28, 2011
RE: Ocracoke Sanitary District
Pamlico Point Waterline Extension
Ocracoke, Hyde County, North Carolina
Nationwide 12 and 401 Certification
Mr. Scheller,
*PA11M
DENR . TER P.O. Drawer 870
AUG 2JU
Kitty Hawk, NC 27949
Phone: [phone]
Fax: [phone]
Web: quible.com
PRINCIPALS
Brian D. Rubino, P.G.
Warren D. Eadus, P.G.
ASSOCIATES
David A. Deel, P.E.
Katherine C. Marchello, P.L.S.
Michael W. Strader. Jr., P.E.
Enclosed is a Nationwide 12 and 401 Water Quality Certification submission for temporary
Section 404 wetland impacts associated with a waterline extension project to serve residential
lots in Pamlico Point. Before the water plant expansion that has occurred, property owners in
this area had to rely on cisterns or shallow private wells. The project will include 369 If of 6"
water line and 246 If of 4" water line to be installed through Section 404 wetlands. The area of
disturbance will be limited to a loft strip along this 615 If alignment (0.14 ac.). No permanent
loss of waters or wetlands is proposed or anticipated. All wetland areas will be returned to pre-
construction contours and elevations upon completetion of the project.
Enclosed are five copies of the following:
• Site Plan
• PCN Application
• USGS Vicinity Map
• Check and Copy of the $240 Processing Fee Check to NCDENR
• Copy of the approved Section 404 wetland delineation plat
• Agent Authorization statement from OSD
Please review and process this permit request. If you have any questions or require additional
information, please contact me at [phone].
Sincerely,
Quiblle^& Associates, P.C.
ui` `2?
Brian Rubino
CC: Josh Pelletier, USACE
Quible
Quible & Associates, P.C.
ENGINEERING • ENVIRONMENTAL SCIENCES • PLANNING • SURVEYING
SINCE 1959
Josh Pelletier
US Army Corps of Engineers
P.O. Box 1000
Washington, NC 27889
July 28, 2011
RE: Ocracoke Sanitary District
Pamlico Point Waterline Extension
Ocracoke, Hyde County, North Carolina
Nationwide 12 and 401 Certification
Mr. Pelletier,
P.O. Drawer 870
Kitty Hawk, INC 27949
Phone: [phone]
Fax: [phone]
Web: quible.com
PRINCIPALS
Brian D. Rubino, P.G.
Warren D. Eadus, P.G.
ASSOCIATES
David A. Deel, P.E.
Katherine C. Marchello, P.L.S.
Michael W. Strader, Jr., P.E.
Enclosed is a Nationwide 12 and 401 Water Quality Certification submission for temporary
Section 404 wetland impacts associated with a waterline extension project to serve residential
lots in Pamlico Point. Before the water plant expansion that has occurred, property owners in
this area had to rely on cisterns or shallow private wells. The project will include 369 If of 6"
water line and 246 If of 4" water line to be installed through Section 404 wetlands. The area of
disturbance will be limited to a 10 ft strip along this 615 If alignment (0.14 ac.). No permanent
loss of waters or wetlands is proposed or anticipated. All wetland areas will be returned to pre-
construction contours and elevations upon completetion of the project.
Enclosed is the following:
• Site Plan
• PCN Application
• USGS Vicinity Map
• Copy of the $240 Processing Fee Check to NCDENR
• Copy of the approved Section 404 wetland delineation plat
• Agent Authorization statement from OSD
Please review and process this permit request. If you have any questions or require additional
information, please contact me at [phone].
Sincerely,
Quible & Associates, P.C.
'-,V `
Brian Rubino
CC: Roberto Scheller, DWQ
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FROM :OCRACOKE SANITARY DISTRICT FAX NO. :2529286651 Jul. 26 2011 10:35AM P1
OCRACOKE SANITARY DISTRICT
®0
P. O. BOX 567.
4159 WATER PLANT ROAD
OCRACOKE, NC 27960
[e-mail]
To Whom It May Concern`
OFFICE 252928-5791
PLANT/FAX [phone]
The purpose of this document is for the Ocracoke Sanitary District (OSD) to authorize
Quible & Associates PC (Quible) to act as their authorized agent in the preparation and
execution of permit applications and documentation necessary to obtain approvals
required to construct water line extensions to serve public and private property owners.
within the jurisdictional boundaries of the OSD.
Signature: V4-1? _ -
_
David G. Tolson, Plant & Systems Manager
Date: w ?? t
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20110723
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information LM,
1. Processing -
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
1d. Type(s) of approval sought from the DWQ (check all that apply):
N 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
1 e. 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 N No
1f. 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: Ocracoke Sanitary District - Pamlico Point Waterline Extension
2b. County: Hyde
2c. Nearest municipality / town: NA p
2d. Subdivision name: Pamlico Point
2e. NCDOT only, T.I.P. or state
project no: NC 12 q(JG
$ 2011
3. Owner Information ?ENR _
3a. Name(s) on Recorded Deed: JK's Development, LLC
3b. Deed Book and Page No. Book 223, Page 245
3c. Responsible Party (for LLC if
applicable):
Joseph S. Lassiter
3d. Street address: 111 St. Clair Rd.
3e. City, state, zip: Kill Devil Hills, NC 27948
3f. Telephone no.: 252.202.3800
3g. Fax no.: NA
3h. Email address: [e-mail]
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: Ocracoke Sanitary District
4b. Name: Atten: Mr. David Tolson
4c. Business name
(if applicable): Ocracoke Sanitary District
4d. Street address: 159 Water Plant Rd. (PO Box 567)
4e. City, state, zip: Ocracoke, NC 27960
4f. Telephone no.: 252.928.5791
4g. Fax no.: NA
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: Mike Strader, PE
5b. Business name
(if applicable): Quible & Associates, PC
5c. Street address: PO Drawer 870
5d. City, state, zip: Kitty Hawk, NC 27949
5e. Telephone no.: 252.261.3300
5f. Fax no.: 252.261.1260
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):
1 b. Site coordinates (in decimal degrees): Latitude: 35.10693 Longitude: - 75.969903
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 4.27 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Atlantic Ocean
proposed project:
2b. Water Quality Classification of nearest receiving water: SIB
2c. River basin: na
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:
Undevelopment single family lots with one constructed model home, Howards Pub on NC 12, Served by Central Drive
3b. List the total estimated acreage of all existing wetlands on the property:
2.90
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
0
3d. Explain the purpose of the proposed project:
Installation of a 6" water main and 4" service line within the prescribed utility easements by Ocracoke Sanitary District
3e. Describe the overall project in detail, including the type of equipment to be used:
Project includes installation of 775 linear feet on 6" water line and 707 linear feet of 4" water line. Construction method will
be trenching and temporary side cast of material utilizing a backhoe, trencher and manual labor. Well pointing may be
required in certain areas. The area of disturbance will be returned to pre-construction elevations and contours. The
project will include 369 If of 6" water line and 246 If of 4" water line to be installed in Section 404 wetlands. No permanent
loss of waters or wetlands is proposed or anticipated.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
®Yes ? No ? Unknown
Comments: 404 wetlands delineated and confirmed
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: Quible & Associates, PC
Name (if known): TA Steffens Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
3/20/07 (Confirmed Plat is provided with this notification)
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.
NA
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.
Additional water line extensions by Ocracoke Sanitary District will occur on other parcels of land on Ocracoke but the
work proposed in this notification is sufficient to serve the subject property (Pamlico Point) with potable water supply.
Page 4 of 11
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1a. 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 - non-404, other) (acres)
Temporary T

W1 ? P ®T Trenching/stockpile
material
404/ non-coastal ? Yes
® No ® Corps
® DWQ 615 If x 10'
impacts = 6,150
sq. ft. = .14 ac.
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 .14 ac.
2h. Comments: Trenching and side casting of materials to install the water lines will temporarily impact an area of Section 404
wetlands that is 615'x 10' in area. Area will be returned to pre-construction contours and elevations.
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:
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 T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
41. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
51% 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.
? Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary T impact - required?
B1 ?P?T -
?Yes
? No
B2 ? P ? T ? Yes
? No
B3 ? P ? T ? Yes
? No
6h. Total buffer impacts
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.
The length of the waterline extension has been kept as short as possible within existing utility easements. All narural wetland
grades will be re-established.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
silt fencing and seeding
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 7T Quarntity
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.
Comments: ? Yes ? No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 0%
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: No impervious cover; underground utility
installation only
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? 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?
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
apply (check all that apply): ? USMP
? 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

4a. Which of the following state-implemented stormwater management programs apply ? HQW
? 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
letter.) ? Yes ? No
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.
Single family wastewater permits have been issued by Hyde County for the 16 buildable lots in the Pamlico Point
subdivision
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?
On-site observation
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?
On-site observation; no surface water present in project area
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
t
t
? Yes ®No
s
a
us (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?
Review of historic site data base
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: Project will be designed and installed by OSD to meet
requirements within the 100 year flood plain
8c. What source(s) did you use to make the floodplain determination? FEMA Maps. Input from Ocracoke Sanitary District
D

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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3. THPS PR LOTS 52-61 AND 63-SO" DATED 9-12-~1, ~ ~5.ar ~ 21°~95a" ' OPERTY IS SWBJEGT TO ANY EASEMENTS THAT A MDRE X11 ~ 'z1°)*~52" NI L`T%F 10;62' t4:54°40'Ob° 1'i b3'DI ~?3tl E L'f5 1l0' N 05°4110" `
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