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Home My WebLink About20120643 Ver 1_401 Application_20120612ENVIRONMENTAL PROFESSIONALS, INC Planning for a Better Environment P O Box 3368 Kill Devil Hills, NC 27948 Telephone 252 441 0239 Fax 252 441 0721 Email obxwood @yahoo com TO NCDENR Division of Water Quality /401 Wetlands Unit Attn Mr tan McMillian 1650 Mail Service Center Raleigh NC 27699 1650 ATTACHED 20126643 LETTER OF TRANSN nTAL DATE June 21 2012 JOB NO 011 -028 RE Lee Goldman & Jennifer Salavac Goldman Lot 18 Section A Watersedge Subdivision Colington NC 4� a COPIES DATE DESCRIPTION OF DOCUMENTS 5 Rev 6 5 12 11 x 17 Plat Section 404 & 401 Permit Application 5 67 12 Pre Construction Notification PC Form 5 5 18 12 Authorization to Act as Agent Form 5 626 12 Commitment Letter from the North Carolina Ecosystem Enhancement Program 1 626 12 Permit Application Fee EPI Check No 10970 in the Amount of $240 00 THESE ARE SUBMITTED AS CHECKED BELOW 11 For your approval ❑ ❑ For your use ❑ ❑ As requested REMARKS Review & Comment Signature/Notarization COPY TO U S Army Corps of Engmeers/Attn Mr Josh Pelletier 2407 West Fifth Street Washington NC 27889 Mr & Mrs Lee Goldman 2121 Central Drive South East Meadow NY 11554 Protect File toe Jov 98 SIGNED J, k1tri-I orge H Wood CEP PWS Environmental Professionals Inc 0� W A r�19 0� E2 Y > r O 'C 2012®043 Office Use Only Corps action ID no DWQ project no Form Version 13 Dec 10 2008 Page 1 of 11 PCN Form — Version 1 3 December 10 2008 Version Pre - Construction Notification PC Form A Applicant Information PT 1 Processing la Type(s) of approval sought from the Corps ®Section 404 Permit F1 Section 10 Permit 1 b Specify Nationwide Permit (NWP) number 18 or General Permit (GP) number 1 c 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) ® 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 ❑ Yes for Corps Permit ® 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 Goldman 2b County Dare 2c Nearest municipality / town Kill Devil Hills O/V 2d Subdivision name Watersedge dye Fiy 2� 2e NCDOT only T 1 P or state project no N4 q N/A 19 3 Owner Information 3a Name(s) on Recorded Deed Lee Goldman Jennifer Salavac Goldman 3b Deed Book and Page No 1631/0478 3c Responsible Party (for LLC if applicable) N/A 3d Street address 2121 Central Drive South 3e City state zip East Meadow NY 11554 3f Telephone no 516 662 1943 3g Fax no 3h Email address nbfd674 @aol com Page 1 of 11 PCN Form — Version 1 3 December 10 2008 Version a� 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 George H Wood 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 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) 030677000 987308881260 Latitude 36 008247N Longitude 1b Site coordinates (in decimal degrees) Longitude 75 692161W (DD DDDDDD) (DD DDDDDD) 1c Property size 42 acres 2 Surface Waters 2a Name of nearest body of water (stream river etc ) to Colington Creek proposed project 2b Water Quality Classification of nearest receiving water SC 2c River basin Pasquotank 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 undeveloped lot is half cleared and lies south of a developed lot (single family) and north of an undeveloped residential lot 3b List the total estimated acreage of all existing wetlands on the property 19 Acres 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 Fill a portion of the wetlands to provide adequate setback for sewage disposal and placement of a 4 bedroom house 3e Describe the overall project in detail including the type of equipment to be used The area will be cleared with a backhoe and a retaining wall constructed to retain the fill Home construction will then begin 4 Jurisdictional Determinations 4a Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / ® Yes ❑ No ❑ 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 Environme tl Professionals Inc Name (if known) Other 4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation February 9 2012 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 la 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 W1 ® P [--IT Fill Hardwood Bottom ® Yes ❑ No ® Corps ® DWQ 047 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 047 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 (PER) or (Corps 404 10 stream length Permanent (P) or intermittent DWQ — non 404 width (linear Temporary (T) (INT)? other) (feet) feet) S1 ❑ P [IT ❑ 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 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 ❑ PEI T 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 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 5f Total 5g Comments N/A 5h Is a dam high hazard permit required ❑ Yes ❑ No If yes permit ID no 51 Expected pond surface area (acres) 51 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 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) or for Stream name mitigation (square feet) (square feet) Temporary T impact required B1 ❑P ❑T El Yes ❑ No B2 ❑ P ❑ T ❑ Yes ❑ No B3 ❑P ❑T El Yes ❑ No 6h Total buffer impacts 0 0 61 Comments Page 6 of 11 PCN Form — Version 1 3 December 10 2008 Version D Impact Justification and Mitigation 1 Avoidance and Minimization 1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project A small 4 bedroom house is proposed to be placed on the fill area that is minimized by construction of a retaining wall 1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques Retaining Wall Small House (4 Bedroom) 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 Great Dismal Swamp Restoration Bank 3b Credits Purchased (attach receipt and letter) Type Riparian Quantity 094 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 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 8of11 PCN Form — Version 13 December 10 2008 Version E Stormwater Management and Diffuse Flow Plan (required by DWQ) 1 Diffuse Flow Plan 1a 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? 22% 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 stormwater will be managed by infiltration 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 ❑ 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 6 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 (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 Stormwater Infiltration Sewage Disposal Ground Absorption System Page 10 of 11 PCN Form — Version 1 3 December 10 2008 Version f 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 impacts9 El Raleigh 5c If yes indicate the USFWS Field Office you have contacted ❑ Asheville 5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat Web Page 6 Essential Fish Habitat (Corps Requirement) 6a Will this project occur in or near an area designated as essential fish habitat's ❑ Yes ® No 6b What data sources did you use to determine whether your site would impact Essential Fish Habitat No 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 Existing Subdivision 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 Structure will be elevated 8c What source(s) did you use to make the floodplain determination? Web Page George H Wood / June 7 2012 Applicant/Age s Signature Applicant/Agent s Printed Name Date (Agents signs re is valid only if an a honzation letter from the applicant is provided Page 11 of 11 PCN Form — Version 1 3 December 10 2008 Version AUTHORIZATION TO ACT AS REPRESENTATIVE FORM Landowner of record authorizes Environmental Professionals Inc to I enter the property to gather environmental and site information including delineation of environmental regulatory jurisdictions 2 enter the site with the regulatory agencies (► e U S Army Corps of Engineers North Carolina Division of Coastal Management North Carolina Division of Water Quality etc ) as needed to review regulatory alignment(s) and/or to identify additional regulatory jurisdictions submit plats and other information to acquire regulatory agency confirmations approvals and/or determinations (U S Army Corps of Engineers North Carolina Division of Coastal Management North Carolina Division of Water Quality etc ) and act as agent for the purposes of obtaining environmental permits authorizations and/or determinations %- IIGIII r/ ate Date r �'go em PROGRAM June 26 2012 Lee Goldman 2121 Central Drive S East Meadow NY 11554 Expiration of Acceptance December 26 2012 Protect Lee Goldman Property County Dare The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to accept payment for compensatory mitigation for impacts associated with the above referenced protect as indicated in the table below Please note that this decision does not assure that participation in the NCEEP will be approved by the permit issuing agencies as mitigation for protect impacts It is the responsibility of the applicant to contact these agencies to determine if payment to the NCEEP will be approved You must also comply with all other state federal or local government permits regulations or authorizations associated with the proposed activity including SL 2009 337 An Act to Promote the Use of Compensatory Mitigation Banks as amended by S L 2011 343 This acceptance is valid for six months from the date of this letter and is not transferable If we have not received a copy of the issued 404 Perndt1401 Cerbrication/CAMA permit within this time frame this acceptance will expire It is the applicant s responsibility to send copies of the permits to NCEEP Once NCEEP receives a copy of the permit(s) an invoice will be issued based on the required mitigation in that permit and payment must be made prior to conducting the authorized work The amount of the In Lieu Fee to be paid to NCEEP by an applicant is calculated based upon the Fee Schedule and policies listed at www nceep net Based on the information supplied by you in your request to use the NCEEP the impacts that may require compensatory mitigation are summarized in the following table The amount of mitigation required for this impact is determined by permitting agencies Impact River Basin CU Location Stream (feet) Wetlands (acres) Buffer I (Sq Ft ) Buffer II (Sq Ft ) Cold Cool Warm Ri arian Non Ri arian Coastal Marsh Pasquotank 03010205 0 0 0 0 047 0 1 0 0 0 Upon receipt of payment EEP will take responsibility for providing the compensatory mitigation The mitigation will be performed in accordance with the N C Department of Environment and Natural Resources Ecosystem Enhancement Program In Lieu Fee Instrument dated July 28 2010 Thank you for your interest in the NCEEP If you have any questions or need additional information please contact Kelly Williams at (919) 716 -1921 Sincerely Suz a Klimek Acting Director cc Karen Higgins NCDWQ Wedands/401 Unit Josh Pelletier USACE - Washington Doug Huggett, NCDCM Morehead City George Wood agent File RPiStDYGK� PYO� OGGY StG{.tPi IRUMR North Carolina Ecosystem Enhancement Program 1652 Mad Service Center Raleigh NC 27699 1652 / 919 715 0476 / www nceep net V am-1 * (w "Mr 6CM6ft (M MYI M 1 -40 133HS 8 *6LZ ON 'SIIIH IIA30 MIA — 89££ X08 0 d IiDal aJDd DLUi6J� S t0t L Nolsln3a 1N3aan0 Z L /5/g 8Z0— l l 00 }UGWUOJIAU3 Ja} }2 D J01 6UIUUDId 8Z0-ll 3lLi V0 31b0 ON 103f'02Id 8 ONl `S7V'NO /SS.9mfOYd 7d1N.9lNN0YMN- Llizl�zL OIStA o£ =N l A3b NOISI�3M 31V0S O N `WiONMO `NOISIAicionS iiomsS i vm ``d N011O3S '9L iO� :DHAH�`dS ?J3JINN3f �8 NVWM00 331 KJ N011dORddb 3 Oz 17.ZtS NOV813S Ot lIW r I Jed Mt �8 t0t NOIlOIS 0091 M OZ LZ.ZtN (M/a 31Vnlad 09) 3AiNa 30U3S2131.MM N J J W C N 0 N I N IL4 Ln N I W (L-WH4V) 00 9L M OZ LZ Z l N —� 009/- 3 Oz 17.ZtS NOV813S Ot r I �.9 p Oti ® S3NIl 9 0131ANI` 80 Z m I 3AIlOd v 0 W w 00 ` — — — N z nI + Ul m OS ® S3NIl N 01313NI` 80 w g� l 8I`dd3N cn < £ y d S 969 6 V3aV L SGNVIdn l �N/ i v /t L - 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