20120628 Ver 1_401 Application_20120612

CONSULTING, PA
7332 Cotesworth Dnve
Wilmington NC 28405
J,B-S [phone]
PLANNING ENGINEERING PROJECT MANAGEMENT
June 21 2012
NC DWQ 401 /Wetland Unit
1650 Mail Service Center
Raleigh NC 27699 -1650
RE 401 Certification Application
Goldsboro Boat Access Area
ADA Access & Floating Dock
Wayne County NC
Dear Sirs
JUN 2 HOU4Lrry
DENR ��+1 ER
b1iarwn a c.._—_
I am respectfully submitting the above mentioned project for 401 certification On
May 22 20121 met with representatives with DWQ (Roberto Scheller) and USACOE
(William Wescott) to discuss this project and the related permitting requirements
Based on this meeting I am offering the following
a Project Narrative - attached
b 5 - Set of plans for the project- (C 1 C2 & C3) (11 x 17 )
c 5 set of the PCN for the project
d An agent authorization form
e Payment was initially made by electronic /transfer A copy of this paperwork is
attached My understanding is that there is not a charge for this review (Based on
two previous project /recently submitted) Please contact Mr Mark Hamlett at the
NCWRC (mark hamlett@ncwildlife ora) if there are any questions
I trust that the attached information is sufficient for DWQ to review and issue a
permit on this project Should you have any questions please do not hesitate to call
Sincerely yours
T�) )
Bradford Sedgwick PE
President

CONSULTING, PA
7332 Cotesworth Dnve
Wilmington NC 28405
J''B-"�s [phone]
PLANNING ENGINEERING PROJECT MANAGEMENT
June 21 2012
Goldsboro Boating Access Area
ADA Access
North Carolina Wildlife Resources Commission owns a 5 12 acre tract of land located
at 12091 US HWY 117S in Goldsboro NC (Wayne County) The property currently
supports a single 14 wide boat ramp and a gravel parking area The purpose of this
project is to provide a handicap accessible parking spot along with ADA compliant
access to a concrete dock abutment and floating dock The existing ramp is in
good shape and will require no maintenance at this time
The sequence of construction shall be as follows
1 Mobilize to the site
2 Install prescribed sedimentation & erosion control devices
3 Grade area for installation of access sidewalk
6After grading the abutment the ADA sidewalk and ADA parking spot will be
formed and poured to the grade elevations
7 After the proper cure time of the abutment the floating dock sections will be
brought onto the site and anchored into place (The dock sections are produced
elsewhere in the state)
8 After the above activity all disturbed area will be seeded and mulched
All work on this project will occur as near to the existing footprint as possible

JUN 2
2 1012
DENR WATa ^-
SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION
LOT NO PLAN NO PARCEL ID Goldsboro Boating Access Area
STREET ADDRESS 2091 US HWY 117 S Goldsboro NC 27530
Please print
Property Owner North Carolina Wildlife Resources Commission
Property Owner
The undersigned registered property owners of the above noted property do hereby authorize
Brad Sedgwnck PE
of JBS Consulting PA
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing Issuance and acceptance of
this permit or certification and any and all standard and special conditions attached
Property Owner s Address (If different than property above)
Telephone [phone]
We hereby certify the above Information submitted in this application is true and accurate to the
best of our knowledge
:i&�-
Authorized Signature
Date May 2a 2012
Authorized Signature
Date

o�op w a rF9PG
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 11
PCN Form - Version 13 December 10 2008 Version
Pre - Construction Notification PCN Foram
A Applicant Information
1
Processing
la
Type(s) of approval sought from the
Corps
El Section 404 Permit ® Section 10 Permit
1 b Specify Nationwide Permit (NWP) number or General Permit (GP) number
1 c
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
Id
Type(s) of approval sought from the DWQ (check all that apply)
❑ 401 Water Quality Certification - Regular ❑ Non-404 Junsdictional 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 ❑ No
1f
Is payment into a mitigation bank or rn -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
Goldsboro Boating Access Area
2b
County
Wayne
2c
Nearest municipality / town
Goldsboro
2d
Subdivision name
N/A
2e
NCDOT only T I P or state
project no
N/A
-
L
3
Owner Information
JUN
9 2 1 0 12
3a
Name(s) on Recorded Deed
State of North Carolina
ff__
i
3b
Deed Book and Page No
DB 575 Page 494
Wetlands &
jjwatee a arch
3c
Responsible Party (for LLC if
applicable)
Mark Hamlett PE
3d
Street address
1720 Mail Service Center
3e
City state zip
Raleigh NC 27699 -1720
3f
Telephone no
919- 733 -3155
3g
Fax no
919 -707 1720
3h
Email address
mark hamlett@ncwildlife org
Page 1 of 11
PCN Form - Version 13 December 10 2008 Version

4
Applicant Informabon (d ddferent 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
Brad Sedgwick PE
5b
Business name
(if applicable)
JBS Consulting PA
5c
Street address
7332 Cotesworth Drive
5d
City state zip
Wilmington NC 28405
5e
Telephone no
910 - 619 -9990
5f
Fax no
N/A
5g
Email address
bradsedgwick @hotmad com
Page 2 of 11

B Project Information and Prior Project History
1 Property Identification
1 a Property identification no (tax PIN or parcel ID)
2598133184
Latitude 35 348333 Longitude
1 b Site coordinates (in decimal degrees)
78 023611
(DD DDDDDD) ( DD DDDDDD)
1 c Property size
512 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
proposed project
Nuese River
2b Water Quality Classification of nearest receiving water
WS4V NSW
2c River basin
Nuese River
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
Site is an existing boat access area with a single boat ramp and associated gravel parking area Surrounding area is
generally wooded tracts and farm lands
3b List the total estimated acreage of all existing wetlands on the property
N/A
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
+1260 LF
3d Explain the purpose of the proposed project
Provide handicap access by addition of parking spot sidewalk dock abutment and floating dock to the site
3e Describe the overall project in detail including the type of equipment to be used
A trackhoe will be used to excavate sidewalk footprint After excavation of footprint timber forms will be erected to form the
sidewalk to proper grade After concrete sidewalks cure forms will be removed All debris from this activity will be
removed from the site and deposed of in a licensed landfill Final fine grading will occur and all slopes will be treated to
prevent erosion All area distrubed by the above activity well be seeded and mulched All equipment well be stored on high
ground well away from the AEC
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
protect (including all prior phases) in the past?
❑ Yes ❑ No ® 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
Name (if known)
Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5 Project History
5a Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
Yes No Unknown
5b If yes explain in detail according to help file instructions
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
D!`AI Fnrm — % lore nn 1 Z flonomho in innn Wore nn

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
(d known)
DWQ — non -404 other)
(acres)
Temporary
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ 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
2h Comments No wetland impacts from this project All work is upland of the river
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
0
31 Comments No new stream impacts
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
Open water
impact number —
Permanent (P)
or Temporary
4b
Name of waterbody
(if applicable)
4c
Type of impact
4d
Waterbody type
4e
Area of impact (acres)
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
41' Total open water impacts
0
4g Comments
5 Pond or Lake Constnicbon
If pond or lake construction proposed the complete the chart below
5a
Pond ID
number
5b
Proposed use or purpose of
pond
5c
Wetland Impacts (acres)
5d
Stream Impacts (feet)
5e
Upland
(acres)
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
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
Page 6 of 11
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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 any 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)
for
Stream name
mitigation
(square feet)
(square feet)
or Temporary
impact
required?
B1 ®P ❑ T
Boat
Ramp
Neuse
Yes
® No
836
298
(existing)
B2 ❑ P ❑ T
Sidewalk
Approach
Neuse
❑ Yes
❑ No
92
(New)
B3 ❑P ❑T
El Yes
❑ No
6h Total buffer unpacts
836
390
61 Comments Summary of Impacts on Sheet C1 of the plans
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
Project improvements were sled as close to possible in the existing footprint
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
No work to be preformed in 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
❑ Yes ® No
impacts to Waters of the U S or Waters of the State?
2b If yes mingahon is requu-ed by (check all that apply)
❑ DWQ ❑ Corps
❑ Mitigation bank
2c If yes which mitigation option will be used for this project?
❑ 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
Page 7 of 11
PCN Form — Version 13 December 10 2008 Version

3c Comments
4 Complete d 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 - npanan wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments
5 Complete d Using a Perfmttee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
N/A
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
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
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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
lb
If yes then is a diffuse flow plan included? If no explain why
Comments Water access project very low impact enhancement to existing facility
❑ Yes No
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
10%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan explain why Low density proposed less than 24% of
tract
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 governments jurisdiction is this project?
City of Goldsboro
❑ 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
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)
la
Does the project involve an expenditure of public (federal/state/local) funds or the
® Yes
No
use of public (federaUstate) 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)?
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 213 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 violabon(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 descnpbon
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
No sanitary facdites provided at this site
Page 10 of 11
r%^ 0...- -- -- 71'1.........

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
El Raleigh
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
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?
No work in the river
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?
FE Yes ❑ No
8b If yes explain how project meets FEMA requirements Water access project
8c What source(s) did you use to make the floodplain determination? FIRM Maps
Bradford Sedgwtck, PE
Jtureis�validlconly
- �Z
Applicant/Agent s Printed Name
Date
p anUAg s Signature
(AgeNsmigan if an authorization letter from the applicant
is orovide d
Page 11 of 11
PCN Form — Version 1 3 December 10 2008 Version

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