20081248 Ver 3_PCN Revised_20210505

South Bridge Revised 5-5-21
DWR
Olrision of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
October 26, 2020 Ver 3.3
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs.deq.nc.gov/WaterResources/0/edoc/624704/PCN % 20Help % 20File % 202018-1-30.pdf
A. Processing Information
County (or Counties) where the project is located:*
Onslow
Is this a NCDMS Project*
CYes r No
aick Yes, only t ICONS is the applicant or co -applicant.
Is this project a public transportation project?*
CYes 0' No
This is any publicly funded by nvnicipal,state or federal funds road, rail, airport transportation project.
la. Type(s) of approval sought from the Corps:*
17 Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
C Yes
F No
1 b. What type(s) of permit(s) do you wish to seek authorization? *
17 Nationwide Permit (NWP)
I— Regional General Permit (RGP)
I— Standard (IP)
This form may be used to initiate the standard/individual permit process with the Corps. Please contact your Corps representative concerning submittals for standard permits. All required items that
are not provided in the E-PCN can be added to the miscellaneous upload area located at the bottom of this form.
lc. Has the NWP or GP number been verified by the Corps?*
C Yes r No
Nationwide Permit (NWP) Number: 29 - Residential Developments
NWP Numbers (for multiple NWPS):
List all !WV nunbers you are applying for not on the drop down list.
Id. Type(s) of approval sought from the DWR:*
check all that apply
i7 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
I— Individual Permit
Pre -Filing Meeting Information
✓ 401 Water Quality Certification - Express
✓ Riparian Buffer Authorization
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not be able to accept your application without this important first step. The Pre -Filing
Meeting Request Form is used in accordance with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project proponent shall request a pre -filing meeting with the
certifying agency" and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5) all certification requests shall include documentation that a pre -filing meeting request was submitted to the certifying
authority at least 30 days prior to submitting the certification request. Click here to read more information on when this form is needed prior to application submission or here to view the form.
ID#
20081248
Version
3
Pre -fling Meeting or Request Date *

South Bridge Revised 5-5-21
1/20/2021
Attach documentation of Pre -Filing Meeting Request here:*
DWR Pre -Filing Meeting Request Form.pdf 52.14KB
le. Is this notification solely for the record because written approval is not required?
*
For the record only for DWR 401 Certification: f Yes t: No
For the record only for Corps Permit: r Yes r No
If. Is this an after -the -fact permit application?*
✓ yes r No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
f so, attach the acceptance letter from mitigation bank or in -lieu fee program
✓ Yes r No
Acceptance Letter Attachment
Click the upload button or drag and drop files here to attach docurrent
FlLEWYFEIVUST BE FCF
1 h. Is the project located in any of NC's twenty coastal counties? *
r Yes f No
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)? *
6 Yes
r No
1j. Is the project located in a designated trout watershed?*
6Yesr No
O Unknown
Link to trout information: http://wuwo.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
la. Who is the Primary Contact?*
Dana A. Lutheran
lb. Primary Contact Email:*
[e-mail]
Id. Who is applying for the permit?*
Pr Owner
(Check all that apply)
le. Is there an Agent/Consultant for this project?*
✓ Yes r No
2. Owner Information
2a. Name(s) on recorded deed:*
Trask, Raiford G. Jr. Trustee
2b. Deed book and page no.:
2784 70
2c. Responsible party:
(for Corporations)
Mr. Raiford Trask (Ms. Tammy Spivey)
2d.Address*
Street Address
6336 OLEANDER DR
Address Line 2
STE 1
Obi
Wilmington
Postal / Zip Code
28403
2e. Telephone Number:*
(sn)xxx-xrsn
[phone]
lc. Primary Contact Phone:*
(xxx)xxx-xxxx
[phone]
r Applicant (other than owner)
State / Bovine / Region
NC
Country
US
2f. Fax Number:
(xxx)xxx-xxxx

2g. Email Address:*
[e-mail]
South Bridge Revised 5-5-21
4. Agent/Consultant (if applicable)
4a. Name:*
Dana A. Lutheran
4b. Business Name:
(if applicable)
Southern Environmental Group, Inc. (SEGi)
4c. Address*
Street Address
5315 South College Road
Address Line 2
Suite E
ab' State / Bovine / legion
Wilmington NC
Postal / Zip Code Country
28412 US
4d. Telephone Number:*
[phone] 4e. Fax Number:
( )xxx-xxxx (xxx)xxx-xxra
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Rease provide the Agent Authorization Letter if you are submitting this document.
SB Agent Authorization SIGNED 9.2.20.pdf
RLE TYFEMST BET
24.4KB
C. Project Information and Prior Project History
1. Project Information
la. Name of project:*
Southbridge S.D. Phase II
1b. Subdivision name:
(if appropriate)
Southbridge
lc. Nearest municipality / town:*
Sneads Ferry
2. Project Identification
l^J
2a. Property Identification Number:
(tax RN or parcel ID)
427902993643 (PIN)
2c. Project Address
Street Address
Off Highway 172 (Terminus of Citadel Drive)
Address Line 2
ary
Sneads Ferry
Fbstal / Zip Code
28460
2b. Property size:
(in acres)
215.15
State / Bovine / legion
NC
Country
US
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey -grade GPS device) after the decimal place as appropriate, based on how the location was
determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude:* Longitude:*
34.561711 -77.413995
ex: 34.208504-77.796371
3. Surface Waters

South Bridge Revised 5-5-21
3a. Name of the nearest body of water to proposed project:*
Everett Creek
3b. Water Resources Classification of nearest receiving water:*
SA; MO
Surface Water Lookup
3c. What river basin(s) is your project located in?*
White Oak
3d. Please provide the 12-digit HUC in which the project is located.*
030203020210
River Basin Lookup
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: *
The project site located in a rural area of Onslow County that is experiencing a high demand for housing, due to its close proximity to Camp Lejeune and Surf City, a family beach
community. This is the second phase of South Bridge Subdivision and is mostly wooded, except for some existing soil roads. The project site abuts an unnamed tributary to Everett
Creek and has two drainage features draining to it, from within the interior of the project site (see attached wetland sketch for details). The main land use, in the vicinity of the project is
residential.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes 1 No r Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Click the upload button or drag and drop files here to attach docurrent
Southbridge Topo Map 083120.pdf 3.66MB
Southbridge LiDAR Map 083120.pdf 4.27MB
Rle type nest be pdf
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Click the upload button or drag and drop files here to attach docurrent
Southbridge Soils Map 083120.pdf 1.99MB
Rle type nest be pdf
4f. List the total estimated acreage of all existing wetlands on the property:
30 AC
4g. List the total estimated linear feet of all existing streams on the property:
(intermittent and perennial)
5300
4h. Explain the purpose of the proposed project:*
The purpose of this project is to construct a single road crossing, through Section 404 wetlands, which will service the future residence of the subdivision that will provide 194 single
family lots, which are necessary to meet local demand.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project entails removing woody and herbaceous vegetation from the impact area, installing a 124' x 24" RCP, then filling the area and the pipe with clean earthen soil, which will be
graded out level on top, with 3:1 slopes. The road bed will be finished off with crush and run and asphalt. An energy dissipator is not proposed, as this is just a connector pipe and
stormwater will be collected, therefore reducing the amount of water going through the system. Large machinery, such as a backhoe, front-end loader and dump trucks, will be used to
complete the work. The slopes will seeded and covered with hay, to stabilize.
4j. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files here to attach docurrent
20210426 Wetland Impact Exhibit.pdf
Rle type mist be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
F Yes
Comments:
2.54MB
r No r Unknown
Two JD's have been issued for this project, in the past (i.e. 2008 and 2015 see attached). A PJD
Request was submitted to the USAGE on or about 9/02/20. A copy of the packet is attached to this
application. To date, SEGi has not received a response to the JD request.
5b. If the Corps made a jurisdictional determination, what type of determination was made? *
r Preliminary r Approved Cr Not Verified r Unknown r N/A
Corps AID Number:
ExarfAe: SAW2017-99999
SAW-2006-41477
5c. If 5a is yes, who delineated the jurisdictional areas?

South Bridge Revised 5-5-21
Name (if known):
Agency/Consultant Company:
Other:
David Scibetta
SEGi
5d1. Jurisdictional determination upload
Click the upload button or drag and drop files here to attach docurrent
Southbridge signed 012015.pdf
SouthBridgeJD Wetlands 7-10-2008.pdf
JD Request Package Southbridge 090220.pdf
He type rust be FIT
6. Future Project Plans
6a. Is this a phased project? *
✓ Yes
6 No
3.07MB
1.33MB
14.12MB
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity? This
includes other separate and distant crossing for linear projects that require Department of the Army authorization but don't require pre -construction notification.
Sewer and water lines have been installed, in the area, therefore, there is no need to impact waters of the US for that purpose. The project is not anticipated to require any future
permits, to make it a viable project.
D. Proposed Impacts Inventory
1. Impacts Summary Impact Area 1 - Road Crossing Permanent Headwater Forest
Total Permanent Wetland Impact 0.29 AC
la. Where are the impacts associated with your project? (check all that apply):
rc.Wetlands r Streams -tributaries
r Open Waters r Pond Construction
E. Impact Justification and Mitigation
Forested USACE & DWR Jurs. 0.29 AC
❑ Buffers
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
The Applicant designed the project to avoid wetland impacts for houses. Additionally, only a single road crossing was needed, with this design.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Prior to land disturbing activities, silt fence vdll be installed along the limit of disturbance, and sediment and erosion control measures installed to
ensure runoff is treated before discharging into downstream receiving waters and wetlands. The measures will be inspected every 7 days and after
every rain event that produces more than 1" of rain in a 24 hour period. Lastly the slopes of the crossing will be stabilized immediately after work has
been completed.
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 r No
2c. If yes, mitigation is required by (check all that apply):
▪ DWR rJ Corps
2d. If yes, which mitigation option(s) will be used for this project?
Pr Mitigation bank r Payment to in -lieu fee r Permittee Responsible
program Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Batchelor's Delight
3b. Credits Purchased/Requested (attach receipt and letter)
Type:
Riparian wetland
Attach Receipt and/or letter
Click the upload button or drag and drop files here to attach document
BLEIYFEM16T BEFEF
3c. Comments
Quantity:
0.6
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)

***Recent changes to the stormwater rules have required updates to this section .***
South Bridge Revised 5-5-21
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?
CYes (r No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
The project site is not located within one of NC's Riparian Buffer River Basins.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
r- Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)? *
r- Yes r No
To look up low density requirement click here 15A NCAC 02H .1003(2).
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?*
✓ Yes r No
✓ N/A- project disturbs < 1 acre
Hnt: projects that have vested rights, exerrptions, or gandfatherirg from state or locally irrplerrented stornwater programs or projects that satisfy state cr locally-inplenented stormwater programs through use of corrrunity in -lieu programs should answer no
to this question.
3. Stormwater Requirements
3a. Select whether a completed stormwater management plan (SMP) is included for review and approval or if calculations are provided to document the project will not cause
degradation of downstream surface waters. *
✓ Stormwater Management r Antidegradation
Plan Calculations
3b. Stormwater Management Plan: If submitting a SMP for review and approval, it shall comply with the high -density development requirements set forth in 15A NCAC 02H .1003.
Include all appropriate stormwater control measure supplemental forms and associated items.
Click the upload button or drag and drop files here to attach document
FILETYFEMST BE H]F
3c. Antidegradation Calculations: If submitting calculations to document the project will not cause degradation of downstream surface waters, the documentation shall include a
detailed analysis of the hydrological impacts from stormwater runoff when considering the volume and velocity of stormwater runoff from the project built upon area and the size
and existing condition of the receiving waterbody(ies).
Click the upload button or drag and drop files here to attach docurrent
FILEWYFEMST BEFEF
Comments:
The Applicant's engineer will be seeking a High Density State Stormwater Permit, concurrently with this application.
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land? *
r- Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
C Yes ( No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality? *
✓ Yes r No
3b. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project? *

South Bridge Revised 5-5-21
rYes r Nor N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated
at a treatment plant, list the capacity available at that plant.
Municipal sewer (ONWASA) is available.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat? *
✓ Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
✓ Yes r No
5d. Is another Federal agency involved?*
✓ Yes
5e. Is this a DOT project located within Division's 1-8?*
✓ Yes r No
r No r Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?*
✓ Yes rNo
5g. Does this project involve bridge maintenance or removal?*
✓ Yes rNo
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/130-17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?**
OYesF. No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.? *
rYes F. No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? *
USFWS IPaC (see attached)
Consultation Documentation Upload
Click the upload button or drag and drop files here to attach docurrent
Species List_ Raleigh Ecological Services Field Office.pdf
He type nust be FCF
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
✓ Yes ( No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
The proposed work will not take place in an area that would support EFH.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
170.14KB
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
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 status (e.g., National Historic
Trust designation or properties significant in North Carolina history and archaeology)?*
✓ Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NC State Historic Preservation Offices HPOWEB 2.0 Website (see attached)
7c. Historic or Prehistoric Information Upload
aick the upload button or drag and drop files here to attach docurrent
South Bridge SHPO Map.pdf
Ble must be FDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
✓ Yes rNo
8c. What source(s) did you use to make the floodplain determination?*
OnslowCounty GIS Flood Map (see attached).
1.21MB

Miscellaneous
South Bridge Revised 5-5-21
Comments
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docurrent
South Bridge Flood Map.pdf
Rle rust be Fl)F or ME
1.2MB
Signature O
® By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:*
Dana A. Lutheran
Signature *
Date
5/3/2021