20210977 Ver 1_ePCN Application_20210527

I I DWR
Division of Water Resources
Pre-Construction Notification (PCN) Form
April 4,2021 Ver 4
Initial Review
Has this project met the requirements for acceptance in to the review process?*
6 Yes
✓ No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS#Assigned* Version#*
20210977 1
Is a payment required for this project?*
6 No payment required
✓ Fee received Reviewing Office*
✓ Fee needed-send electronic notification Washington Regional Office-[phone]
Select Project Reviewer*
Garcy Ward:eads\gpward
Information for Initial Review
1a.Name of project:
Ocean Outfall No.4 Conch Street Repair/Maintenance
1a.Who is the Primary Contact?*
Steve Trowel)
lb.Primary Contact Email:* 1c.Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
5/27/2021
Nearest Body of Water
Atlantic Ocean
Basin
Pasquotank
Water Classification
SB
Site Coordinates
Latitude: Longitude:
35.965467 -75.626976
A. Processing Information U
County(or Counties)where the project is located:
Dare
Is this a NCDMS Project
✓ Yes G No
Is this project a public transportation project?*
6 Yes r No
Is this a NCDOT Project?*
6. Yes r No
(NCDOT only)T.I.P.or state project number:

WBS#(9)
1SP.10281.5
Pre-Filing Meeting Information
Is this a courtesy copy notification?*
✓ Yes G No
ID# Version
Pre-fling Meeting or Request Date
5/26/2021
Attach documentation of Pre-Filing Meeting Request here:
Click the upload button or drag and drop files here to attach Occurrent
May 26 2021.pdf 41.82KB
Pie type must be FCF
1a.Type(s)of approval sought from the Corps:
n Section 404 Permit(wetlands,streams and waters,Clean Water Act)
fJ Section 10 Permit(navigable waters,tidal waters,Rivers and Harbors Act)
lb.What type(s)of permit(s)do you wish to seek authorization?
(7 Nationwide Permit(NWP)
n Regional General Permit(RGP)
n Standard(IP)
1c.Has the NWP or GP number been verified by the Corps?
c Yes r No
Nationwide Permit(NWP)Number: 7-Outfall Structures/Intake
NWP Numbers(for multiple NWPS):
Id.Type(s)of approval sought from the DWR:
fJ 401 Water Quality Certification-Regular n 401 Water Quality Certification-Express
n Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
n Individual 401 Water Quality Certification
le.Is this notification solely for the record because written approval is not required? *
For the record only for DWR 401 Certification: F Yes r No
For the record only for Corps Permit: r Yes 6 No
lf.Is this an after-the-fact permit application?*
✓ Yes f•No
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
1g.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
I h.Is the project located in any of NC's twenty coastal counties?
✓ Yes r No
li.Is the project located within a NC DCM Area of Environmental Concern(AEC)?
6 Yes r No r Unknown
1j.Is the project located in a designated trout watershed?
✓ Yes P' No
B. Applicant Information
Id.Who is applying for the permit?
n Owner fJ Applicant(other than owner)
le.Is there an Agent/Consultant for this project?*
✓ Yes (7 No

2.Owner Information
2a.Name(s)on recorded deed:
Town of Nags Head
2b.Deed book and page no.:
2c.Contact Person:
2d.Address
Street Address
2200 Lark Avenue
Address Line 2
CRY State/Province/legion
Nags Head NC
Postal/Zip Code Country
27959 USA
2e.Telephone Number: 2f.Fax Number:
[phone]
2g.Email Address:*
[e-mail]
3.Applicant Information(if different from owner)
3a.Name:
Steve Trowell
3b.Business Name:
3c.Address
Street Address
113 Airport Drive Suite 100
Address Line 2
City State/Ftovince/legion
Edenton NC
Fbstal/ZZp Code Country
27932 USA
3d.Telephone Number: 3e.Fax Number:
[phone] [phone]
3f.Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
lb.Subdivision name:
(if appropriate)
1c.Nearest municipality/town:
Town of Nags Head
2. Project Identification
2a.Property Identification Number: 2b.Property size:
2c.Project Address
Street Address
Address Line 2
ally State/Province/legion
Fbstal/Zip Code Country
3.Surface Waters
3a.Name of the nearest body of water to proposed project:*
Atlantic Ocean

3b.Water Resources Classification of nearest receiving water:*
SB
3c. What river basin(s)is your project located in?*
Pasquotank
3d.Please provide the 12-digit HUC in which the project is located.
030102051404
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 site is on an ocean beach with high pedestrian traffic resulting from the adjacent public beach access,residential and vacation homes
4b.Have Corps permits or DWR certifications been obtained for this project(including all prior phases)in the past?*
✓ Yes r No 6. 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)
Topo Ocean Outfall No.4 Conch Street.pdf 1.07MB
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)
20210526_14022102554_18_Soil_Map.pdf 521.57KB
4f.List the total estimated acreage of all existing wetlands on the property:
N/A
4g.List the total estimated linear feet of all existing streams on the property:
N/A
4h.Explain the purpose of the proposed project:*
Repair damaged pipe collars,reset pipes and secure collars around pipe to maintain drainage between the HWY 158 bypass and NC 12.
4i.Describe the overall project in detail,including indirect impacts and the type of equipment to be used:*
The last 36'to 40'of the outfall pipe exposed on the beach face in the swash zone has been damaged.The stainless bolts that secure the concrete pipe collar around the pipe at a pipe
joint have sheared off.The pipe collars are shifting causing the pipes to separate.Failure of the outfall is eminent and the Town of Nags Head is concerned with maintaining optimal
drainage with the approaching tropical season.An excavator will dig down beside the collar to expose the bottom of the collar so that the damaged bolt can be removed.The pipe joint
will be reset and secured with the existing collar and a new bolt.This work should be completed within 2 working days.Excavation work will be timed around low tide.No equipment or
materials will be left on the beach overnight.The Conch Street beach access will be used for access to the beach by heavy equipment and for overnight storage.
4j.Please upload project drawings for the proposed project.
CONCH ST OUTFALL#4(5-19-2019).pdf 212.71KB
5.Jurisdictional Determinations
5a.Have the wetlands or streams been delineated on the property or proposed impact areas?*
✓ Yes r No C Unknown
Comments:
5b.If the Corps made a jurisdictional determination,what type of determination was made?*
✓ Preliminary r Approved r Not Verified r Unknown a' N/A
Corps AID Number:
5c.If 5a is yes,who delineated the jurisdictional areas?
Name(if known):
Agency/Consultant Company:
Other:
5d1.Jurisdictional determination upload
6. Future Project Plans
6a.Is this a phased project?*
✓ Yes GNo
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?
D. Proposed Impacts Inventory
1. Impacts Summary

1a.Where are the impacts associated with your project?(check all that apply):
r Wetlands r Streams-tributaries r Buffers
r Open Waters r Pond Construction
E. Impact Justification and Mitigation
1.Avoidance and Minimization
1a.Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
All work will be undertaken within the existing footprint and will not require driving of pilings nor installation of a coffer dam with metal sheet piling.
lb.Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
All work will occur during daylight hours during periods of low tide.There will be no enlargement of the outfall structure and work will occur within the
existing footprint.
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 this project DOES NOT require Compensatory Mitigation,explain why:
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
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
If no,explain why:
Pasquotank River Basin does not have a DWR Riparian Buffer Protection Rule
2.Stormwater Management Plan
2a.Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
6' Yes r No
Comments:
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?*
✓ Yes r No
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(North Carolina)
Environmental Policy Act(NEPA/SEPA)?*
✓ Yes (' No
Comments:*
Activity and impacts covered by Minimum Criteria Checklist
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)?*
✓ Yes (c No
3. Cumulative Impacts(DWR Requirement)
3a.Will this project result in additional development,which could impact nearby downstream water quality?*
✓ Yes (c No
3b.If you answered"no,"provide a short narrative description.
Project is maintenance of an existing drainage feature that has been in existence for decades.
4.Sewage Disposal(DWR Requirement)

4a.Is sewage disposal required by DWR for this project?*
✓ Yes rNor N/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 habitat?*
( Yes r No
5b.Have you checked with the USFWS concerning Endangered Species Act impacts?*
( Yes r No
5c.If yes,indicate the USFWS Field Office you have contacted.
Raleigh
5d.Is another Federal agency involved?*
✓ Yes r No r Unknown
5e.Is this a DOT project located within Division's 1-8?
✓ Yes r No
5j.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS Raleigh Office
Consultation Documentation Upload
20210524_Itr_USFWS_NCDOT_NagsHeadOceanOutfalls.pdf 177.68KB
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as an Essential Fish Habitat?*
( Yes r No
Are there submerged aquatic vegetation(SAV)around the project vicinity?*
✓ Yes r No r Unknown
6b.What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NMFS EFH Mapping Website
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 status?*
✓ Yes ( No
7b.What data sources did you use to determine whether your site would impact historic or archeological resources?*
State Historic Preservation Office Historic Properties Map Website
7c.Historic or Prehistoric Information Upload
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain?*
( Yes r No
8b.If yes,explain how project meets FEMArequirements:
N/A
8c.What source(s)did you use to make the floodplain determination?*
NC Floodmaps.com,Zone VE
Miscellaneous
Comments
All work will be coordinated with the Town of Nags Head.
Miscellaneous attachments not previously requested.
Signature
*
17 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:
Steve John Trowell
Signature
Date
5/27/2021