20140084 Ver 1_401 Application_20140114

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: Corps action ID no.
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Form Version 1.3 Dec 10 2008
Pre - Construction Notification PCN Form
A. Applicant Information
—
1. Processing
1 a. Type(s) of approval sought from the
Corps:
FzSection 404 Permit ❑Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 18 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only
❑ Yes
for Corps Permit:
® 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
® No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 In
below.
❑ Yes
® No
1h. Is the project located within a NC DCM A. ea of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Lot # 105 Irish Creek Subd.
2b. County:
Pitt
2c. Nearest municipality / town:
Winterville
2d. Subdivision name:
Irish Creek Subd.
2e. NCDOT only, T.I.P. or state
project no:
N/A
3. Owner Information
3a. Name(s) on Recorded Deed:
Aldridge & Sutherland Builders INC.
3b. Deed Book and Page No.
DB 3165 Fig 136
3c. Responsible Party (for LLC if
applicable):
PO Box 123
lia in
3d. Street address:
3e. City, state, zip:
Greenville, NC 27835 UU
3f. Telephone no.:
2527563500
3g. Fax no.:
3h. Email address:
'1!�uW , 'l
> 1Ty
nch
Page I of 10
PCN Form — version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ® Other, specify consultant
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
Jay B Johnson
5b
Business name
(if applicable)
Bluewater Environmental Services
5c
Street address
1473 Boyd Galloway Rd
5d
City, state, zip
Gnmesland, NC 27837
5e
Telephone no
252 - 341 -9802
5f
Fax no
5g
Email address
jbird49@hotmad com
Page 2 of 10
PCN Form — Version 1 3 December 10, 2008 Version

S. Project Information and Prior Project History
1 Property Identification
1 a Property identification no (tax PIN or parcel ID)
71647
1 b Site coordinates (in decimal degrees)
Latitude 35 54529 Longitude - 77 37471
(DD DDDDDD) ( -DD DDDDDD)
1 c Property size
1 acres
2. Surface Waters
2a Name of nearest body of water (stream, river, etc ) to
Fork Swamp
proposed project
2b Water Quality Classification of nearest receiving water
C,Sw, NSW
2c River basin
Tar Pam
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
residential subdivision
3b List the total estimated acreage of all existing wetlands on the property
30449 sq ft or 7 acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
none
3d Explain the purpose of the proposed project
To create a buildable lot and to eliminate ponding of water at the woodsline from the existing stormwater drainage
easment and to provide a more functional way to sheet stormwater into wetlands for treatment
3e Describe the overall project in detail, including the type of equipment to be used
excavator, dump truck
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes F-1 No F1 Unknown
project (including all prior phases) in the past?
Comments Onsite field determination 6/13/2013
4b If the Corps made the jurisdictional determination, what type
Preliminary ® Final
of determination was made?
4c If yes, who delineated the jurisdictional areas?
Agency /Consultant Company Bluewater Environmental
Seances
Name (if known) Jay Johnson
Other
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
6/13/2013
5 Project History
5a Have permits or certifications been requested or obtained for
❑ Yes ® 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 ® No
6b If yes, explain
Page 3 of 10
PCN Form — Version 1 3 December 10, 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
1 a Which sections were completed below for your project (check all that apply)
® 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
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ® P ❑ T
excavation /fill
® Yes
❑ No
® Corps
® DWQ
095
❑ Yes
❑ Corps
W2 ❑ P ❑ T
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
2g. 'Total wetland impacts
095
2h Comments
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
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
3h Total stream and tributary impacts
31 Comments
Page 4 of 10
PCN Form — Version 1 3 December 10, 2008 Version

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 individually list all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4ff. Total open water impacts
4g Comments
i
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
number
of pond
P1
P2
5ff. Total
5g Comments
5h Is a dam high hazard permit regwred9
❑ Yes ❑ No If yes, permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
6. Buffer Impacts (for DWQ)
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
❑ Neuse ®Tar- Pamlico ❑Other None
Project is in which protected basing
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
re uired9
❑Yes
B1 ❑P ❑T
❑ No
❑ Yes
B2 ❑ P ❑ T
❑ No
❑Yes
B3 ❑P ❑T
❑ No
611 Total buffer impacts
61 Comments
Page 5 of 10
PCN Form — Version 1 3 December 10, 2008 Version

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
Wetland Impacts have been minimized with impacts occurring only where necessary to accommodate a buildable lot and to
eliminate ponding of water at the woodsline from the existing stormwater drainage easment and to provide a more functional
way to deliver sheet stormwater into wetlands for treatment
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
excavator will avoid additional wetland impacts by keeping inside the permitted area boundary only
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 State9
❑ Yes ® No
2b If yes mitigation is required by (check all that apph)
❑ DWQ ❑ Corps
2c If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
El Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
3c Comments
4. Complete if Making a Payment to In -lieu Fee Program
4a Approval letter from in -lieu fee program is attached
❑ Yes
4b Stream mitigation requested
linear feet
4c If using stream mitigation, stream temperature
❑ warm ❑ cool ❑cold
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 Pemmittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
Page 6 of 10
PCN Form — Version 1 3 December 10, 2008 Version

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
❑ Yes ® No
buffer mitigation?
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
6c
6d
6e
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required:
None
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)
N/A
6h Comments
Page 7 of 10
PCN Form — Version 1 3 December 10, 2008 Version

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
la
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® 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
Comments No impacts to stream or buffers
2.
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
0%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan, explain why No impervious sufaces existing or
proposed
2d
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a
In which local government's jurisdiction is this project?
N/A
❑ Phase 11
❑ NSW
3b
Which of the following locally - implemented stormwater management programs
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other N/A
3c
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
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?
5.
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 3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes
® No
use of public (federal /state) land?
1 b
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
® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after - the -fact permit application?
❑ Yes
® 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
® 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
N/A
Page 9 of 10
PCN Form — Version 1 3 December 10, 2008 Version

5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c If yes, Indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would Impact Endangered Species or Designated Critical
Habitat?
On -Site Habitat Investigation of T &E species by Jay Johnson, No Effect determination due to no habitat present
6. Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
No stream on Lot 5
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 ® 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?
Existing subdivision was cleared prior to development
8. Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA- designated 100 -year floodplain?
® Yes ❑ No
8b If yes, explain how project meets FEMA requirements Existing flood water levels will not be increased from this project
8c What source(s) did you use to make the floodplain determination? FEMA FIRM Maps
Jay B Johnson
Ja 20 � 13,
Applicant/Agent's Printed Name
Date
l ant/ gent's Signature
Pp
(Agent's signature i l only an authorization letter from the applicant
s provided
Page 10 of 10
PCN Form — Version 1 3 December 10, 2008 Version

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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id SAW 2013 -02033 County Pitt U S G S Quad Greenville SE �L (UP
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner: Aldridge and Sutherland, LLC Agent: Blue Water Environmental Services
attn: Jeffrey Aldridge — attn: Jay Johnson
Address. 226 Commerce St. Address 1473 Boyd Galloway Rd.
Greenville, NC 27858 Grimesland, NC 27837
252 - 756 -3500 252- 341 -9802
Property description Two lots in a residential subdivision. Surrounding lots are developed.
Size (acres) 1.98 Nearest Town Winterville
Nearest Waterway Fork Swamp River Basin Neuse
USGS HUC 03020202 Coordinates 35.545142 N - 77.374574 W
Location description Lots 104 and 105 are located on La an Circle in Irish Creek Subdivision, Winterville, Pitt
County North Carolina There are 1.44 acres of Section 404 wetlands on these lots.
Indicate Which of the Following Apply:
A. Preliminary Determination
_ Based on preliminary information, there may be wetlands on the above described property We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction To be considered final, a
_jurisdictional determination must be verified by the Corps This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 331) If you wish, you may
request an approved JD (which may be appealed), by contacting the Corps district for further instruction Also, you may
provide new information for further consideration by the Corps to reevaluate the JD
B. Approved Determination
There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act Unless there is a change m the law or
our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification
X There are wetlands on the above described property subject to the permit requirements of Section 404 of the Clean Water
Act (CWA)(33 USC § 1344) Unless there is a change in the law or our published regulations, this determination may be
relied upon for a period not to exceed five years from the date of this notification
_ We strongly suggest you have the wetlands on your property delineated Due to the size of your property and/or our
present workload, the Corps may not be able to accomphsh this wetland delineation in a timely manner For a more timely
delineation, you may wish to obtain a consultant To be considered final, any delineation must be verified by the Corps
_ The waters of the U S including wetlands on your project area have been delineated and the delineation has been
verified by the Corps We strongly suggest you have this delineation surveyed Upon completion, this survey should be
reviewed and verified by the Corps Once verified, this survey will provide an accurate depiction of all areas subject to
CWA.jurisdiction on your property which, provided there is no change in the law or our published regulations, may be
relied upon for a period not to exceed five years
X The waters of the U S including wetlandshave been delineated and surveyed and are accurately depicted on the plat
signed by the Corps Regulatory Official identified below on — Unless there is a change in the law or our published
regulations, this determination may be relied upon for a penod not to exceed five years from the date of this notification
_ There are no waters of the U S , to include wetlands, present on the above described project area which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344) Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification
Page 1 of 2

The property is,lt5Ned in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(CAMAfi' Yo(1�shoUld contact the Division of Coastal Management in Morehead City, NC, at (252) 808 -2808 to
det rmine their r q' ements
"'Pr cement',4f dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
coAstitute a violation of Section 301 of the Clean Water Act (33 USC § 1311) If you have any questions regarding this
determination and/or the Corps regulatory program, please contact William Wescott at910- 251 -4629.
C. Basis For Determination The area exhibits the three parameters specified in the Regional Supplement to the
1987 USACE Wetland Delineation Manual and is adjacent to Fork Swamp.
D. Remarks
E. Attention USDA Program Participants
This delmeation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the
particular site identified in this request The delineation/determination may not be valid for the wetland conservation
provisions of the Food Security Act of 1985 If you or your tenant are USDA Program participants, or anticipate participation
in USDA programs, you should request a certified wetland determination from the local office of the Natural Resources
Conservation Service, prior to starting work
F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in
B. above)
This correspondence constitutes an approved jurisdictional determination for the above described site If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331 Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form If you request to appeal this
determination you must submit a completed RFA form to the following address
US Army Corps of Engineers
South Atlantic Division
Attn Jason Steele, Review Officer
60 Forsyth Street SW, Room 10M15
Atlanta, Georgia 30303 -8801
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for
appeal under 33 CFR part 3315, and that it has been received by the Division Office within 60 days of the date of the NAP
Should you decide to submit an RFA form, it must be received at the above address by 12/14/2013
* *It is not necessary to submit PFA form to the Division Office if you do not object to the determination in this
correspondence **
Corps Regulatory Official
Date 10/15/2013 Expiration Date. 10/15/2018
The Wilmington District is committed to providing the highest level of support to the public To help us ensure we continue to
do so, please complete the attached customer Satisfaction Survey or visit http / /per2 nwp usace army mil/survey html to
complete the survey online
Copy furnished