20211341 Ver 1_ePCN Application_20210908

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
20211341
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Robert Tankard:eads\rbtankard
'Information for Initial Review
la. Name of project:
COURTESY COPY 10022 S. Old Oregon Inlet Road
1a. Who is the Primary Contact?*
Troy Murphy
1b. Primary Contact Email:*
[e-mail]
Date Submitted
9/8/2021
Nearest Body of Water
Atlantic Ocean
Basin
Pasquotank
Water Classification
SB
Site Coordinates
Latitude: Longitude:
35.858397-75.571336
A. Processing Information
County (or Counties) where the project is located:
Dare
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#*
1
Reviewing Office*
Washington Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]
Is this a courtesy copy notification?*
r Yes r No

ID# Version
Pre -fling Meeting or Request Date
Attach documentation of Pre -Filing Meeting Request here:
dick the upload button or drag and drop files here to attach document
File type rust 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
r No
1b. What type(s) of permit(s) do you wish to seek authorization?
fJ Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number: 18 - Minor Discharges
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
r Non-404 Jurisdictional General Permit r Riparian Buffer Authorization
r Individual 401 Water Quality Certification
le. Is this notification solelyfor the record because written approval is not required?
For the record onlyfor DWR401 Certification: r Yes r No
For the record onlyfor Corps Permit: r Yes r No
1f. Is this an after -the -fact permit application?*
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
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
11. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
W Owner r 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:
Joanne and Richard Diorio
2b. Deed book and page no.:
DB 2178, PG 588
2c.Contact Person:

2d.Address
Street Address
3 Diorio Court
Address Line 2
city
State /Province/Region
Wayne
NJ
Postal / Zip Code
Country
07470
USA
2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Troy Murphy
4b. Business Name:
Quible & Associates P.C.
4c.Address
Street Address
PO Box 870
Address Line 2
City
State / Province / legion
Kitty Hawk
NC
Postal / Zip Code
Country
27949
USA
4d. Telephone Number: 4e. Fax Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Nags Head
2. Project Identification
2a. Property Identification Number:
2b. Property size:
071815547869
0.65
2c. Project Address
Street Address
10022 S. Old Oregon Inlet Road
Address Une 2
(Sty
State / Province / Region
Nags Head
NC
Postal / Zip Code
Country
27959
USA
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
U
3c. What river basin(s) is your project located in?*
Pasquotank

3d. Please provide the 12-digit HUC in which the project is located.
0301020515
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:*
Undeveloped wetlands and uplands. Adjacent parcels consists of single family residences, and undeveloped uplands and wetlands.
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:
0.07 acres
4g. List the total estimated linear feet of all existing streams on the property:
0
4h. Explain the purpose of the proposed project:*
Construction of a single family residence and associated septic system.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Construction of a single family residence and associated septic system. Dump trucks and skid steer Will be utilized for the filing of wetlands.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
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:
SAW-2019-00128
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: Quible & Associates P.C.
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR
USACE, Josh Pelletier, 01/23/2018, SAW-2019-00128
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
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
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands F Streams -tributaries
r Open Waters r Pond Construction
2. Wetland Impacts
r Buffers
!a. Site #* (?) 2a1 Reason (?) 2b. Impact type * (?) �2c. Type of W. 2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition*(?) area*
Single Family Estuarine Woody Wetland Wetland Yes Corps 0.010
t
Residence (acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.010
2g. Total Wetland Impact
0.010

21. 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:
The proposed fill area has been minimized to achieve the desired single family residential development on this lot. 6dsting uplands are being utilized.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Silt fencing, and seeding will be utilized to contain all fill material.
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?
f Yes r 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
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
If no, explain why:
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
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
t' 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)?*
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.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r 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
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NC Natural Heritage Program Database.
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?*
No surface waters Will be impacted.
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?*
National Register of Historical Places
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes f No
8b. If yes, explain how project meets FEMA requirements:
The project is an AE flood zone. Development of this nature is allowed in AE zones as long as the first floor elevation exceeds base flood.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Maps and nconemaps.com
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.
Cick the upload button a drag and drop files here to attach docurrent
USGS_OREGON INLET.pdf
881.13KB
Soil_Map.pdf
673.38KB
Lewis Noelle PJD.pdf
219.74KB
P13116-base-2021-09-01.pdf
521.15KB
File crust be FOF a K,&
Comments
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:
Troy Murphy
Signature
Date

9/8/2021