20201944 Ver 2_ePCN Application_20210708

DWR
Dlrlslon of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
June 1, 2021 Ver4.1
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
r Yes r No
Change only if needed.
BIMS # Assigned
20201944
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Stephanie Goss:eads\szgoss
Information for Initial Review
la. Name of project:
Milroy Waterfront
1a. Who is the Primary Contact?*
Shaun Liggett
1b. Primary Contact Email:*
[e-mail]
Date Submitted
7/8/2021
Nearest Body of Water
Lake Royale
Basin
Tar -Pamlico
Water Classification
cypress creek lake royale
Site Coordinates
Latitude: Longitude:
35.971147-78.201989
A. Processing Information
County (or Counties) where the project is located:
Franklin
Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?*
r Yes r No
Pre -Filing Meeting Information
Version#*
2
Reviewing Office*
Raleigh Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
Is this a courtesy copy notification?*
r Yes r No

ID#
20201944
Pre -fling Meeting or Request Date
12/12/2020
Attach documentation of Pre -Filing Meeting Request here:
pick the upload button or drag and drop files here to attach document
20201211_Pre File meeting.PDF
File type mist be FCF
1a. Type(s) of approval sought from the Corps:
W 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?*
r Yes
IT No
1b. What type(s) of permit(s) do you wish to seek authorization?
r Nationwide Permit (NWP)
W Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Regional General Permit (RGP) Number:
RGP Numbers (for multiple RGPS):
197800056-docks
1d. Type(s) of approval sought from the DWR:
fJ 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual 401 Water Quality Certification
Version
1
197800080 - Bulkheads and Riprap
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR401 Certification:
For the record only for Corps Permit:
6.94MB
r 401 Water Quality Certification - Egress
V Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes IT No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes IT No
B. Applicant Information
1d. Who is applying for the permit?
r Owner W Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
Dr. Jeffrey and Stephanie Milroy
2b. Deed book and page no.:
book 785 page 470
2c. Contact Person:
Jeffrey Milroy
r Yes r No
r Yes r No

2d.Address
Street Address
4106 Red Wine Drive
Address tine 2
City
Greensboro
Postal / Zip Code
27410
2e. Telephone Number:
[phone]
2g. Email Address:*
j [e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Shaun Liggett
3b. Business Name:
Concept Contracting and Design LLC
3c.Address
Street Address
301 East Nash Street
Address tine 2
Cty
Louisburg
Postal / Zip Code
27549
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Shaun Liggett
4b. Business Name:
Concept Contracting and Design LLC
4c.Address
Street Address
301 E. Nash Street
Address tine 2
City
Louisburg
Postal / Zip (ode
27549
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
Lake Royale
1c. Nearest municipality/ town:
Bunn
2. Project Identification
Slate / Province / Fbgion
NC
Country
us
2f. Fax Number:
State / Province / Rion
NC
Country
us
3e. Fax Number:
Slate / Rovince / Fagion
NC
Country
us
4e. Fax Number:

2a. Property Identification Number:
033285
2b. Property size:
.392
2c. Project Address
Street Address
1529 Sagamore Drive
Address Line 2
CKY
Louisburg
Postal / Zip Code
27549
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Lake Royale
3b. Water Resources Classification of nearest receiving water:*
cypress creek lake royale
3c. What river basin(s) is your project located in?*
Tar -Pamlico
3d. Please provide the 12-digit HUC in which the project is located.
030201010601
4. Project Description and History
State / Province / Region
NC
oxrky
Us
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:*
partially wooded lot with small vegetation
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0
4g. List the total estimated linear feet of all existing streams on the property:
0
4h. Explain the purpose of the proposed project:*
install a mapmum of 10 feet x 30 feet wood dock over water
install rip rap shoreline stabilization along waterfront
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
small skidsteer to move rip rap to shoreline and install rip rap on filter fabric along shoreline'
mini excavator to install dock from land and mninimal temp impacts
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
r Unknown
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 Open Waters r Pond Construction
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
r Neuse P Tar -Pamlico
r Catawba r Randleman
r Goose Creek r Jordan Lake
C Other
rJ Buffers
6b. Impact Type
6c. Per or Temp
6d. Stream name 6e. Buffer mitigation required?
6f. Zone 1 impact 6g. Zone 2 impact
allowable
P
cypress creek
No
1,070
0
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1
Zone 2
Total Permanent impacts: 1,070.00
0.00
Zone 1
Zone 2
Total combined buffer impacts: 1,070.00
0.00
6i. Comments:
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:
minimal rip rap along shoreline above and below normal pool
use of small skidsteer and mostly hand placement of rip rap to avoid impacts
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
hand placement of rip rap to minimize impacts of equipment and soil disturbed
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?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
closed body of water
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes r No
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (lower SMNT)
r Wetland Swale (higher SMNT)
r Other SCM that removes minimum 30 % nitrogen
W Proposed project will not create concentrated stormwater flow through the buffer

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
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?*
r Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15ANCAC 21-1.0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
no impacts after rip rap is installed
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor WA
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?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r 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.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
fws.gov
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
noaa

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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
ncdoa
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
flood cart performed by licensed surveyor
8c. What source(s) did you use to make the floodplain determination?*
licensed surveyor
-Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one
file when possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach docurrent
20210708_plot plan waterfront.PDF 9.89MB
20210708_waterfront plan and section.PDF 1.38MB
File rmst be F I F or IM2
Comments
Signature U
*
W 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:
Shaun Patrick Liggett
Signature
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Date
7/8/2021

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ID#* 20201944
Version* 1
Regional Office*
Raleigh Regional Office - [phone]
Reviewer List*
Stephanie Goss
Pre -Filing Meeting Request submitted 12/11/2020
Contact Name *
Shaun Liggett
Contact Email Address *
[e-mail]
Project Name*
Milroy Project
Project Owner*
Dr. Jeffrey J. Milroy and wife Stefanie Milroy
Project County*
Franklin
Owner Address:
Street Address
4106 Redwine Drive
Address Line 2
Cty State 1 Ravine ! Edon
greensboro NC
Fbstal ; Zip Code Country
27410 us
Is this a transportation project?* t' Yes C No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - I— 401 Water Quality Certification -
Regular Express
f- Individual Permit I-" Modification
W Shoreline Stabilization
Does this project have an existing project ID#?
r- Yes (= No
Do you know the name of the staff member you would like to request a meeting with?
stephanie goss
Please give a brief project description below.*
place rip rap and stabilize shoreline
install dock over water approximately 10'x15'
dig boat slip and rip rap
Please give a couple of dates you are available for a meeting.