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HomeMy WebLinkAbout20131035 Ver 1_401 Application_20130913September 11, 2013 U.S. Army Corps of Engineers Regulatory Field Office Post Office Box 1000 Washington, N.C. 27889 -1000 Attention: William Wescott SEP 18 2013 ��1A(,�Y. "YJP.RC Subject: Request for a NW 18 Permit and,DWQ 401 certification for the placement of 0.086 acres of permanent fill in wetlands associated with improvements to Chester Lynn's Lot "B" on SR 1324 (Back Rd) in Ocracoke, Hyde County. This application request the issuance of a NW 18 permit and utilization of the corresponding DWQ 401 certification for the placement of 0.086 acres of permanent fill in 404 wetlands. The proposed fill is the minimal amount needed to address suitability for a small residential home. The existing small lot size of 0.216 acres provides limited area for home site placement and the proposed wetland fill impact of 0.086 acres (within the 0.216 acres) will alleviate the restrictive buildable space. The provided survey plat illustrates the lot size and wetland configuration. The current lot is being utilized as maintained lawn area with a few mature trees. Lot improvements will include the removal of some trees and associated grubbing to remove the root systems. Erosion control measures will be placed along the perimeter of the disturbed/fill areas to prevent the loss of any loose soil onto adjacent properties. Fill material brought on -site will consist of suitable clean soil and only be placed within the defined impact area shown on the survey plat. The fill material will be graded, seeded and stabilized to level the lot elevation and prevent soil erosion. There is a man-made drainage ditch that is located at the back of the lot, which appears to be functioning in a limited capacity. The ditch has silted in to a depth of 1 -2 foot. It is connected downstream to a feature that eventually drains to a canal system connected with the Pamlico Sound, approximately 1 mile from the Lot `B" site. The man-made ditch located on the Lot `B" site will not be impacted by the proposed fill impacts. There are no coastal wetlands located on Lot `B ". Included with this letter are the location maps, permit drawings, survey plat, and PCN. If you have any questions or need additional information regarding this permit request, please call me at (252) 312 -3692. Sincer�"V,WA l ?, Willis Cc: Anthony Scarborough, NCDWQ Y Karen Higgons, NCDWQ Chester Lynn - Lot B Back Road - SR 1324 Quadname Ocracoke Point Sort IL dL (. v,,f': . i:.. . •W ,.. _ ! Z "l'. :� .tip •. f ,e. ,[„ • — `,iii.. .,�. 1# ��.-. !• #'� *'.•• _�:� ,� .,�_ :�— `r ,/,�+ f• s '�5 1"4 Chester Lynn - Lot 43 Back Rd. (SR4 4 '�" :t r* � Lat. 35.11344 " Lon .-75.978 7 .1 ., M A 'i�,j� : ' •��E� ft � "� r- �; "b�� �, . � � ,;tom Y � ti ,. g OIL juax W 3 qLp . -7 0 0.25 0.5 1 Mile: I i I i I i I I b +�► r �' x wo — 5, 40- ir I a \ \\ z 1� • i i 1 r a , �- rot • - t r 4V ; 00 IA ms'µ' sf•'` ^-411.� ? .0 f ` y� tail .4 . P i6 / i•► ],,. ' ,fit It oo ice( Soil Map —Hyde County, North Carolina Map Unit Legend Chester Lynn - Lot B Hyde County, North Carolina (NC095) Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI CbA Carteret sand, high, 0 to 1 3.2 7.6% percent slopes, very frequently flooded CrB Corolla sand, 0 to 6 percent 5.6 13.2% slopes, rarely flooded DuA Duckston sand, 0 to 2 percent 29.2 69.2% slopes, rarely flooded NcC Newhan- Corolla complex, 0 to 0.6 1.5% 15 percent slopes, rarely flooded Ud Udorthents, sandy, rarely 2.4 5.7% flooded W Water 1.2 2.8% Totals for Area of Interest 42.2 100.0% Usk Natural Resources Web Soil Survey 9/10/2013 Conservation Service National Cooperative Soil Survey Page 3 of 3 Vvy X.! *�, 1 Vvy X.! *�, SITE �, VICINITY MAP ° D V LENGTH rn y L I11 22.06 C ~°c�I I�I 63.51 c oD ] N L3 22.58 LO � CO L4 I o L C p a •- » 0 4 0 p L5 I r .3 0. 0 L6 I I D m L7 i I �•N L8 8.33 CC h CL C L9 23.51 U 0 G C LID 15.00 VI'm 0 v 0 3 L11 13.40 �o 12EI r f «U 0 °aouoc L13 9.53 0 3 ir L14 20.73 V► 0 0 C W o3yC L15 11 Z 0 o c m L16 22.63 CL $cuEo L17 16.73 " LIS 13.78 ar eh�... L OD LI9 1 .. ° U.Zm 01 J d L20 16.17 gy 00� Ly V C2 4) L21 27.20 rn'dy4$ 0 L22 I I "2L UmC p u 0c m IIII Slnm�- 2 0 0 N TS LINE TABLE 1 � LINE LENGTH BEARING L1 22.06 S72^1 2'44 "E L2 63.51 S82'56'55" L3 22.58 S29'15'41 "E L4 29.15 S35'53'14` L5 7.26 50'42' 6 "W L6 8.39 S '49' 1 "W L7 22.25 N47'3 '29 "W L8 8.33 S25'51'11` L9 23.51 S64'29'09 "W LID 15.00 S46' 4' 5'E L11 13.40 1.42'0 "W L12 5.56 N34'59'34 "W L13 9.53 N35'49'45 "E L14 20.73 S53'33'12 "E L15 16.47 S37'08'35 "W L16 22.63 N53'51'49 "W L17 16.73 N43' '3 " LIS 13.78 S35'48'40 "E LI9 9.31 N56'25'03 "W L20 16.17 N32- 13'14" L21 27.20 OS 8 "E L22 32.35 N73'37'05 "W LEGEND 0 - EX 13'4° PINCH PIPE 0 - EX. 3/4" REBAR 0 - REBAR SET 8 - EX CONC. MON, ❑ - CONC MON SET A - EX. MAG NAIL & WASHER Q - P/K NAIL SET - CALCULATED POINT ® - WATER METER PHONE PEDESTAL C.A.LV - UTILITY POLE -{ GUY WIRE - FIRE HYDRANT ®- ELECT. TRANS AG - ABOVE GRADE BG - BELOW GRADE e - EX. 1r4" AXLE 12' AG NORTH STREET' (30' UNIMPROVED R /W) S 45'04'00" E-95.72- NOTES: THIS SURVEY IS SUBJECT TO ANY FACTS THAT MAY BE DISCLOSED BY A FULL AND ACCURATE TITLE SEARCH. 2 AREA BY COORDINATE COMPUTATION - 9,437 S.F. 3. F.I.R.M. ZONE: "AE' (8.F.E. 6.0') (PER f.I.R.M.) + i 0' FREEBOARD 4, PIN NO.: 9500 - -39 -4986 5 RECORDED REFERENCE' DB 114. PG 200, PCC, SL. 122D 6 MINIMUM BUILDING UNES (MBL), IF SHOWN HEREON, ARE PER THE CURRENT LOCAL ZONING REGULATIONS. OTHER SETBACKS AND /Oft RESTRICTIONS MAY APPLY AND MUST BE VERIFIED PRIOR TO CONSTRUCTION 7 ELEVATIONS (NAVD 1988): N/A / Z O J J u-j Z � Q m I � m O 1 UI I GH f-S < "�J UPLANDS AREA- 104 S.F \- C E4 Eqi `IA 0.4' AC2 �L10 Z5 - UPLANDS °f UPLANDS I U op2 I AREA 359 SY AREA 99 Sf L72 - A r I E2� 06 E3 Ft N WETLANDS AL O I AREA! 5,221 S.F R �3 l A°z`+ T I W 85.1,4 84 0 UPLANDS �n�� \� 4�AREA. 435 S.F. 63 LOT B N ;n 1 B2A ,FO d T �1 I Sn d R L7 /` UPLANDS (A3 AREA: 3,065 S F I U U 0 A4 FLUSH W o ir, �LO V) d It z W O d cD 40 d d Z 01' BG O CP) 3- J N It W Lu J In V) Z Q U m U I n- Q F- 0 J N 45'04'00" W 87.58 N/F LOT A - CHESTER LYNN SUBD. (PC C, SL 122D) oI m rn in I In zI _ N/F o CHESTER LYNN �DB 226, PG 642 DB 248, PG 663 FLUSH 1ACK ROAI S.R. 1324 lfli6. � N 0.33 0,73' "� 0.23 AG UPLANDS AREA 156 SF F3 F2` UPLANDS DETAIL AREA 156 SF. 1 � ' {{{ {{IIt11IIA1 �''•. N .•`�(� CAR J Al 3 ,�, QOY'f7,' 7 I r ' SEAL in L -2592 a N -7iJ +,��'� `� RAY t�` o•'��', CCU taitt /tl { {{ {{{ FLUSH 7sq �i V) All 6eU ~9 "�✓J s��Fw' Z� r- 4 z� <Z�24 I f< I I W i 9 s 8$a ^N ry J Ij I1 I I! {yy� IVI NQ I( 1p 1/; g,(j I I z CCU r- 4 z� <Z�24 rI 4, ur �L) CFO �Z 0.2' BG V 0f-Qym y4,I �v I I w�2�o�aaZa 7ffo6p a�FZ =0s4^ o•bar< � I I O W W W W W W I W (A 0. �N z<(3 I In" GIn S> W <W<?{ZVI 1, -? _ :p a. 55 N cD It N/F ALFRED D. HAMPTON I (DB 91, PG 765) I I FLUSH .. C N i ,SAM I WETLANDS SURVEY FOR CHESTER LYNN LOT B - CHESTER LYNN SUBDIVISION - OCRAC.OKE 0 CRA COKE TOWNSHIP - HYDE COUNTY NORTH CAROLINA 40 20 0 4o SEABOARD SURVEYING &' PLANNING, INC. C -1536 1 inch = 40 ft 103E W. WOOD HILL DR., P.O. BOX 58, NAGS HEAD, NC 27959 REV•1 /10/13: WETLANDS CERT. OFFICE: (252) 480 -9998 FAX: (252) 480 -0571 LE: 1206023 SURVEYED: 11/29/12 MH PLATTED:11 30/12 JSS q5, � 2, , 0 f 1p� 0 1 L 3 19 0. 0& AMES .� Lf LO Ly�jQ WFTLAOr) �, Z3 � e � b y u O .# Sol, , O ,t Q ° �gg��9`.°��. +� ^f,. �,;: �• A .� �"" r ,Y'+w ¢ .. x..ypt .y ..S ., � _ ` r ,, .. y. .. '., � -. � - N 1 .._... $° to ca t /O Q i si� � fi� of w "TEA Office Use Only: Corps action ID no. DWQ project no. Form Version 1.4 January 2009 Pre - Construction Notification (PCN) Form A. Applicant Information 1. Processing 1 a. Type(s) of approval sought from the Corps: X Section 404 Permit Section 10 Permit 1b. Specify Nationwide Permit (NWP) number: NW 18 or General Permit (GP) number: 1 c. Has the NWP or GP number been verified by the Corps? X Yes No 1 d. Type(s) of approval sought from the DWQ (check all that apply): 401 Water Quality Certification — Regular X Non -404 Jurisdictional General Permit 401 Water Quality Certification — Express Riparian Buffer Authorization le. Is this notification solely for the record because written approval is not required? For the record only for DWQ 401 Certification: X Yes No For the record only for Corps Permit: Yes X 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 X No 1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h below. X Yes No 1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes X No 2. Project Information 2a. Name of project: Chester Lynn — Lot B 2b. County: Hyde 2c. Nearest municipality I town: Ocracoke 2d. Subdivision name: Not Applicable 2e. NCDOT only, T.I.P. or state project no: INot Applicable 3. Owner Information 3a. Name(s) on Recorded Deed: Chester Lynn 3b. Deed Book and Page No. Deed Book # 114, page 200 3c. Responsible Party (for LLC if applicable): full 324 Back Road 3d. Street address: 3e. City, state, zip: Ocracoke, NC, 27960 3f. Telephone no.: 52- 928 -4541 3g. Fax no.: 3h. Email address: Page 1 of 10 PCN Form — Version 1.4 January 2009 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: Clay Willis 5b. Business name (if applicable): 5c. Street address: 208 Olde Colony Drive 5d. City, state, zip: Edenton, NC 27932 5e. Telephone no.: 252 - 312 -3692 5f. Fax no.: 5g. Email address: wsalmoncreek @gmail.com Page 2 of 10 B. Project Information and Prior Project History 1. Property Identification 1a. Property identification no. (tax PIN or parcel ID): 500 -39 -3892 1b. Site coordinates (in decimal degrees): I Latitude: 35.113447 Longitude: - 75.978271 1c. Property size: 0.216 acres 2. Surface Waters 2a. Name of nearest body of water to proposed project: Pamlico Sound (approximately /mile downstream) 2b. Water Quality Classification of nearest receiving water: SA HQW 2c. River basin: Tar-Pamlico River Basin 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: The project site is located within an existing residential / business area along Back Road in Ocracoke. This property abuts three developed lots and one undeveloped lot. Currently the project site is maintained as a mowed lot dominated by St. Augustine grass with a few Red Cedar and Live Oak trees. There is a man -made drainage ditch located at the back of the property, which appears to be currently functioning. 3b. List the total estimated acreage of all existing wetlands on the property: 0.119 acres (5221 sq. feet) is listed on the survey plat, which includes the surface water area of the adjacent ditch (confirmed with Ray Meekins — surveyor on 9/10/2013 per phone conversation) 3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 95 feet of open water man -made ditch along the back of the property. 3d. Explain the purpose of the proposed project: To provide adequate fill /grade on the maintained lot, making it suitable for the placement of a small residential home site. 3e. Describe the overall project in detail, including the type of equipment to be used: The project intends to haul suitable fill material on to the project site to provide leveling of low areas and adequate grade for a home site. This will be accomplished by a dump truck hauling fill material on to the lot and grading fill with a backhoe or skid steer type of equipment. The area to be filled will not exceed 0.086 acres within the delineated wetland area. 4. Jurisdictional Determinations 4a. Have jurisdictional wetland or stream determinations by the X Yes No Unknown Corps or State been requested or obtained for this property / Comments: project (including all prior phases) in the past? 4b. If the Corps made the jurisdictional determination, what type Preliminary X Final of determination was made? 4c. If yes, who delineated the jurisdictional areas? Agency /Consultant Company: Name (if known): USACOE — William Wescott 4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. Plat is attached — dated 1/15/2013 5. Project History 5a. Have permits or certifications been requested or obtained for Yes X No Unknown this project (including all prior phases) in the past? 5b. If yes, explain in detail according to "help file" instructions. 6. Future Project Plans 6a. Is this a phased project? Yes X No Page 3 of 10 PCN Form — Version 1.4 January 2009 6b. If yes, explain. Page 4 of 10 PCN Form — Version 1.4 January 2009 C. Proposed Impacts Inventory 1. Impacts Summary 1 a. Which sections were completed below for your project (check all that apply): X 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. Wetland impact number Permanent (P) or Temporary 2b. Type of impact 2c. Type of wetland 2d. Forested 2e. Type of jurisdiction Corps (404,10) or DWO (401, other) 2f. Area of impact (acres) W1 Permanent Fill Maintained lawn /fringe area No Corps 404 0.086 W2 W3 W4 W5 W6 2g. Total Wetland Impacts: 0.086 2h. Comments: Fill will not be placed in the man -made ditch, which accounts for approximately 1442 sq. feet of the listed wetlands (5221 sq. feet) on the surrey plat. This ditch area square footage was confirmed with Ray Meekins, the lot surveyor or 09/10/13, via a phone conversation between Clay Willis and Ray Meekins. 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. NONE PROPOSED 3a. Stream impact number Permanent (P) or Temporary (T) 3b. Type of impact 3c. Stream name 3d. Perennial (PER) or intermittent (INT)? 3e. Type of jurisdiction 3f. Average stream width (feet) 39• Impact length (linear feet) S1 S2 S3 S4 S5 S6 3h. Total stream and tributary Impacts 3i. Comments: Page 5 of 10 PCN Form — Version 1.4 January 2009 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 indivi ually list all open water impacts below. NONE PROPOSED 4a. Open water impact number Permanent (P) or Temporary 4b. Name of waterbody (if applicable 4c. Type of impact 4d. Waterbody type 4e. Area of impact (acres) 01 02 03 04 4f. Total open water impacts 4g. Comments: 6. Pond or Lake Construction If pond or lake construction proposed, the complete the chart below. NONE PROPOSED 5a. Pond ID number 5b. Proposed use or purpose of pond 5c. Wetland Impacts (acres) 5d. Stream Impacts (feet) 5e. Upland (acres) Flooded Filled Excavated Flooded Filled Excavated P1 P2 5f. Total: 5g. Comments: 5h. Is a dam high hazard permit required? Yes No If yes, permit ID no: 5i. Expected pond surface area (acres): 5j. Size of pond watershed (acres): 5k. Method of construction: 6. Buffer Impacts (for DWO) Project site is not subject to the Tar - Pamlico Buffer Rules 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. Project is in which protected basin? Neuse Tar - Pamlico Catawba Randleman Other: 6b. Buffer Impact number — Permanent (P) or Temporary 6c. Reason for impact 6d. Stream name 6e. Buffer mitigation required? 6f. Zone 1 impact (square feet ) 6g. Zone 2 impact (square feet B1 B2 B3 B4 B5 B6 6h. Total Buffer Impacts: 6i. Comments: Page 5 of 10 D. Impact Justification and Mitigation 1. Avoidance and Minimization 1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. The proposed fill area has been reviewed for adequate need to construct a small residential home on the lot size. The current lot grade is low in a few areas, making the small lot problematic for the proposed home. The low wetland areas are currently part of the maintained lawn and will be filled as part of the foot print area for a proposed small home site. The proposed fill will even the lot grade and make the site suitable for the placement of a home. Fill will not be placed in the man -made drainage ditch located at the back of the lot. The ditch area accounts for 1442 sq. ft. (0.026 acres) of the 5,221 sq. ft. (0.119 acres) of wetlands shown on the survey plat. 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. Vegetation disturbance will be kept to a minimum amount necessary for the lot improvements. The project will install erosion control measures during the fill activity to eliminate any off -site sedimentation. Adjacent wetlands can be clearly marked to avoid any potential unintended disturbance. 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 X 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 NOT APPLICABLE 3a. Name of Mitigation Bank: 3b. Credits Purchased (attach receipt and letter) Type: Type: Type: Quantity: Quantity: Quantity: 3c. Comments: 4. Complete if Making a Payment to In -lieu Fee Program NOT APPLICABLE 4a. Approval letter from in -lieu fee program is attached. 4b. Stream mitigation requested: linear feet 4c. If using stream mitigation, stream temperature: 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 NOT APPLICABLE 5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan. Page 6 of 10 PCN Form —Version 1.4 January 2009 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 X 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 7 of 10 E. Stormwater Management and Diffuse Flow Plan (required by DWQ) 1. Diffuse Flow Plan 1 a. Does the project include or is it adjacent to protected riparian buffers identified Yes X 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 2. Stormwater Management Plan 2a. What is the overall percent imperviousness of this project? Will not exceed 38% of lot 2b. Does this project require a Stormwater Management Plan? Yes X No 2c. If this project DOES NOT require a Stormwater Management Plan, explain why: The proposed development will account for no more than approximately 0. 183 acres of disturbance. This will be below the threshold of land disturbance requiring a Sediment and Erosion Control Plan. Proposed project will not require a CAMA major permit. 2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan: Not Applicable 2e Who will be responsible for the review of the Stormwater Management Plan? 3. Certified Local Government Stormwater Review 3a. In which local ovemment's'urisdiction is this project? Hyde 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 X No attached? 4. DWQ Stormwater Program Review Coastal counties HOW 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 Yes No attached? S. 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 8 of 10 PCN Form —Version 1.4 January 2009 F. Supplementary Information 1. Environmental Documentation (DWQ Requirement) 1 a. Does the project involve an expenditure of public (federal /state /local) funds or the Yes X No use of public (federal /state) land? 1b. 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)? 1 c. 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 Yes No letter.) 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 X No or Riparian Buffer Rules (15A NCAC 2B .0200)? 2b. Is this an after - the -fact permit application? Yes X 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 X 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. No wastewater will result from the proposed fill activities associated with this permit application. The residential lot has a Hyde County sewer permit issued for this site, which will apply to the constructed home. Page 9 of 10 PCN Form — Version 1.4 January 2009 S. Endangered Species and Designated Critical Habitat (Corps Requirement) 5a. Will this project occur in or near an area with federally protected species or Yes X No habitat? 5b. Have you checked with the USFWS concerning Endangered Species Act Yes X No impacts? 5c. If yes, indicate the USFWS Field Office you have contacted. 5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? Review the project area habitat for listed species in Hyde County and the NC Natural Heritage Database. 6. Essential Fish Habitat (Corps Requirement) 6a. Will this project occur in or near an area designated as essential fish habitat?T Yes X No 6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat? NMFS Essential Fish Habitat resource list 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 X 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? NC State Historic Preservation Maps — The project area is outside the Listed Historic District. 8. Flood Zone Designation (Corps Requirement) 8a. Will this project occur in a FEMA- designated 100 -year floodplain? X Yes No 8b. If yes, explain how project meets FEMA requirements: The proposed 0.086 acres of fill will not impact the FEMA floodplain designation. The residential home site will follow local building codes as defined by the building permits and Flood zone requirements. i 8c. What source(s) did you use to make the floodplain determination? NC Flood plain mapping program Ap i nt/AgenYs Printed Name Applicant/Age ignature (Agents Date signature is valid only if an authorization letter from the applicant is provided.) Page 10 of 10