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Home My WebLink About20120256 Ver 1_401 Application_20120312ENVIRONMENTAL PROFESSIONALS, INC Planning for a Better Environment P O Box 3368 Kill Devil HMIs NC 27948 Telephone 252 441 0239 Fax 252 441 0721 Email obxwood @yahoo com TO North Carolina Division of Water Quality 401 Wetlands Unit Attn Ms Karen Higgins 1650 Mad Service Center Raleigh NC 27699 1650 X ATTACHED j\ U 1 Y R A V SNUI TH 0.-, 20120256 DATE March 9 2012 JOB NO 011 009 PT RE Bryan & Susie Perry 46176 Flowers Ridge Road - Buxton -North Carolina COPIES DATE DESCRIPTION OF DOCUMENTS 5 8 / x 14 Wetland Survey 5 3 7 12 Signed/Dated Pre Construction Notification Form 1 3912 $240 00 Application Fee - EPI Check No 10906 THE5E ARE SUBMITTED AS CHECKED BELOW ❑ For your approval < ❑ For your use ❑ ❑ As requested REMARKS COPY TO Project File Review & Comment Signature/Notarization e�k''E r= ME OP ;OARP ) 2012 DER ��tN it I'f }t - - SIGNED // - // A,/AJ orge H Wood PWS Environmental Professionals Inc 7F 20120256 OF WATFq \tea OG Office Use Only Corps action ID no ti DWQ project no Form Version 13 Dec 10 2008 Page 1 of 10 PCN Form — Version 1 3 December 10 2008 Version Pre - Construction Notification PCN Forip A Applicant Information 1 Processing �_ la Type(s) of approval sought from the Corps ®Section 404 Permit ❑ Section 10 Permit 1 b Specify Nationwide Permit (NWP) number 14 or General Permit (GP) number 1c Has the NWP or GP number been verified by the Corpse ❑'es ® No 1d 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 Authonzabon 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 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 1g Is the project located in any of NC s twenty coastal counties If yes answer 1 h below ® Yes ❑ No 1h Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes ® No 2 Project Information 2a Name of project Bryan & Susie Perry 2b County Dare 2c Nearest municipality / town Buxton 2d Subdivision name None 2e NCDOT only T I P or state project no N/A 3 Owner Information V" 3a Name(s) on Recorded Deed Bryan L & Susie E Perry 3b Deed Book and Page No 1637/344 3c Responsible Party (for LLC if applicable) R Q� 317T N/A nw '-I Y 3d Street address 46176 Flowers Ridge Road 3e City state zip Buxton NC 27920 3f Telephone no 252 995 -6255 3g Fax no N/A 3h Email address bryanlperry@embargmail com Page 1 of 10 PCN Form — Version 1 3 December 10 2008 Version 4 Applicant Information (if different from owner) 4a Applicant is ❑ Agent ❑ Other specify 4b Name N/A 4c Business name (if applicable) 4d Street address 4e City state zip 0 Telephone no 4g Fax no 4h Email address 5 Agent/Consultant Information (if applicable) 5a Name George H Wood CEP PWS 5b Business name (if applicable) Environmental Professionals Inc 5c Street address 1404 S Virginia Dare Trail (P O Box 3368) 5d City state zip Kill Devil Hills NC 27948 5e Telephone no 252 -441 0239 (office) 252 -423 1234 (cell) 5f Fax no 252 -441 0721 5g Email address obxwood@yahoo com Page 2 of 10 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) 02 0536 07 58 7284 Latitude 35 262622 Longitude lb Site coordinates (in decimal degrees) Longitude 75 528119 (DD DDDDDD) ( DD DDDDDD) 1c Property size 1147 acres 2 Surface Waters 2a Name of nearest body of water (stream river etc ) to proposed project Atlantic Ocean 2b Water Quality Classification of nearest receiving water SC 2c River basin Tar /Pamlico 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 This residential lot is in Buxton Woods and supports a single family residence and garage The surrounding lots are residential 3b List the total estimated acreage of all existing wetlands on the property +/ 5 acres 3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property None 3d Explain the purpose of the proposed project The driveway is to access the highground ridge to the north of the house for construction of facilities to house the owner's pets (including horses) 3e Describe the overall project in detail including the type of equipment to be used The wetland area will be cleared of trees using a bulldozer Silt fence will be nnstalled along the alignment and a 12 culvert installed The roadway will be filled with clean sand and graveled (all materials from a oommerml supplier) 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 pasty ®Yes El No El Unknown 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 Environmental Name (if known) George H Wood CEP PWS Professionals Inc Other 4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation 3712 Documentation Pending 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 N/A 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 N/A 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 — Permanent (P) or Type of impact Type of wetland (if known) Forested (Corps 404 10 DWQ Area of impact Temporary — non -404 other) (acres) W1 ®P ❑ T Fill Hardwood Bottom ® Yes ❑ No ® Corps ❑ DWQ 04 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 04 2h Comments 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 Permanent (P) or (PER) or intermittent (Corps 404 10 DWQ — non404 stream width length (linear Temporary (T) (INT)? other) (feet) feet) S1 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S2 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S3 ❑ P [IT ❑ PER ❑ Corps ❑ INT ❑ DWQ S4 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ S5 ❑ P ❑ T ❑ PER ❑ Corps --T- ❑ INT E:1 DWQ S6 ❑ P ❑ T ❑ PER ❑ Corps ❑ INT ❑ DWQ 3h Total stream and tributary impacts 0 31 Comments Page 5 of 11 PCN Form — Version 13 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 [--1 POT 04 ❑P ❑T 4f Total open water impacts 0 4g Comments 5 Pond or Lake Construction If pond or lake construction proposed then complete the chart below 5a I 5b I 5c 5d 5e Pond ID I Proposed use or purpose number of pond Wetland Impacts (acres) I Stream Impacts (feet) I Upland Flooded I Filled I Excavated I Flooded I Filled I Excavated I Flooded P1 P2 5f Total 5g Comments 5h Is a dam high hazard permit required ❑ Yes ❑ No If yes permit ID no 51 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 im acts 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 61 ❑P ❑T B2 ❑P ❑T B3 ❑P ❑T 61 Comments ❑ Neuse ❑ Tar Pamlico ❑ Other ❑ Catawba ❑ Randleman 6e I 6f 6a Buffer Zone 1 impact Zone 2 impact Stream name mitigation (square feet) (square feet) required? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 6h Total buffer impacts 0 0 Page 6 of 11 PCN Form — Version 1 3 December 10 2008 Version D Impact Justification and Mitigation 1 Avoidance and Minimization la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project The narrowest area between the highground ridges chosen for the crossing and the top width is only 15 feet wide 1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques Silt fence will be installed along the alignment before fill is placed in the alignment The side slopes are proposed at 21 to minimize fill 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 project7 El bank ® Payment to in lieu fee program ❑ Permittee Responsible Mitigation 3 Complete if Using a Mitigation Bank 3a Name of Mitigation Bank NC Ecosystem Enhancement Program 3b Credits Purchased (attach receipt and letter) Type Wetland Quantity 25 Acres 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 25 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 13 December 10 2008 Version 6 Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ 6a Will the project result in an impact wdhin a protected riparian buffer that requires ❑ Yes ® No buffer mitigation? 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 6c 6d 6e Zone Reason for impact Total impact Multiplier Required mitigation (square feet) (square feet) Zone 1 3 (2 for Catawba) Zone 2 15' 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 la Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules'? Yes No 1b 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? 3 2b Does this project require a Stormwater Management Plan? ❑ Yes ® No 2c If this project DOES NOT require a Stormwater Management Plan explain why Less than 30% coverage 2d If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan N/A ❑ 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? Dare County ❑ 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) 1a Does the project involve an expenditure of public (federal /state /local) funds or the El Yes No use of public (federal /state) land lb 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)? 1c 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 None Page 10 of 11 PCN Form — Version 1 3 December 10 2008 Version a • 5 Endangered Species and Designated Critical Habitat (Corps Requirement) 5a Will this project occur in or near an area with federally protected species or habitats ❑ Yes ®No 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 line 6 Essential Fish Habitat (Corps Requirement) 6a Will this project occur in or near an area designated as essential fish habitats ❑ Yes ® No 6b What data sources did you use to determine whether your site would impact Essential Fish Habitat? No open water impacts 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? on line 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 No habitable structures proposed 8c What source(s) did you use to make the floodplain determination? Survey g►eYax- pc•"i Applicant/Agent s Printed Name Ap ent s S nature Date (Agents signature is vale niy if an ation letter from the applicant is provided Page 11 of 11 PCN Form — Version 13 December 10 2008 Version BUXTON BACK RD RIDGE TRAIL SITE To FLOWERS RID BUXTON N C VICINITY MAP NTS / t r , 2012 GE ER QUALITY I - nmwvla*Wf Branrh 75 22 11 i I le N- -010 75 -1 WETLAND CROSSING SECTION 1 s 10 t CULVERT t i i t� r z 1`n t i i KENNVb g6 HOUSE CONC DRIVEWAY ' NOTE WETLAND BOUNDARY HOUSE & KENNEL LOCATION AND VICINITY MAP TAKEN FROM WETLAND PLAT BY FREDDY D RANKIN FILE# 4611 -WSX DATED 3117/11 PERMIT APPLICATION FOR BRYAN L PERRY 46176 FLOWERS RIDGE RD BUXTON N C 27920 SCALE. RENSION 1 s 30 DATES MAL PROJECT Na DATE CADO FltE 11_1309 Planning for a Better Environment 11 -009 2/26/12 CURRENT REVISION 1404 N Virginia Dare Trap or SHEET 1 P 0 BOX 3388 - KILL DEVIL HILLS„ NC 27948 /lfAaWdW4 4M FAXdW4&1tW