20140111 Ver 1_Application_20140103

���W �T��'�
a � Office Use Only:
1 t � � Corps action fa no.
� r �' � ° '` DWQ project no.
Form Versipn 9.0 November 2008
Pre-Canstruction Noiification tPCN) Farm
A. Applicant tnformation
1. Processing
'f a. Type{s) of approval sought frorn the
Carps: ❑ S�ction 404 Permit � Section 10 Rermit
1 b. Specify Na#ionwEde Permit (I�WP} number: or General Permit (GP) number.
1 c, Has the NWP or GP r�umber been aerified by the Corps? � Yes
1d. Type(s} of approva! soug�t from the DWQ (check aEP that apply}:
� 401 Wa�er Quality Certification — R�gular ❑ Non-404 Jur�sdictional General Permit
Q 401 Water Quality Cer#ification —�xpress ❑ Riparian Buff�r Authorization
i e_ !s this notification soi�ly for tha record For �he record only for DWQ 409
becau�e wriften appro�al is no# required? �ertificatian:
� Yes � No
1f. !s paymen# into a mitigation bank or irt-li�u fee program prapased for mitigation
of impac#s? If so, attach the accep#ance ietter fram rriitigation bank or in-lieu
fee �rogram.
1g. Is the project loca#ed in any of NC's twenty coastal counti�s. If yes, answer 1h
beEow.
❑ No
For the record only for Corps Permit:
❑ Yes ❑ No
❑ Yes � No
� Yes
1 h. Is the projeet loca#ed within a NC aCM Area of Enviroramental Concern (AEC)? � Yes
2. Project Information
2a. I�arne of project: Maintenance Dredgir�g Hatt�ras-Ocracoke State Ferry Channel
2b. Cou�ty: ryy��
2c. Neares# municipaiity / town: Oeracake
2d. S�bdivision name: N/A
2e. NCDOT only, T.l.P. or state �� 71�4�
projeet no:
3. Owner Infcsrmation
3a. Name on RecorcE�d �eed: NCDOT F�rry Division
3b. Deed B�ofc and Page IVo. N1A
3c, Resp4nsible Party (for LLC if
.,,,,,�„�„H�„�. Lance Winsfow
3d. Street address: 8550 Shipyard Road
3e. City, s#ate, zip: Manns Harbor, NC 27953
3f. Telephone no.: 252-473-3461
3g, Fax no.: 252-473-1�94
3h. �mail address: [e-mail]
❑ Na
❑ No
Page 1 of 12
PCEV Form — Versian 1.0 Navember 20fl8 Version

Secti�or� A. Applicant Information, cont'[nuec!
4. Applicant Informati�n (�f ciif#erent from owner}
4a. Appl�cant is: � Agent ❑ Other, specify:
4b. fVame: Lance Winslow
4c. Business �na�ne N!A
(if applicable):
4d. Street acldress: 8550 Shipyard Road
4e. Gity, state, zip. Manns Harbor, NC 27953
4f. 7elepf�pne no.: 252-473-3461
4g. Fax no.: 252-473-1490
4h. Emaii address: Iwins�[e-mail]
5. AgentlConsuftant Ir�fc�rmatian (if appiicab#e)
5a. Nam�: NIA
5b. Business name
{if appticabE�):
5c. Street address:
5d. Ci#y, s#ate, zip:
5e. Tefephone no.:
5f. Fax no.;
5g. Email address:
Page 2 of 12
PCN Form — Nover�ber 2QQ8 Version

B, Pr€aject Ir�formation and Pr�or Project Mistory
1. Prqperty �dentification
1a. Property identifcatisan no. (tax PIN or pareel i[l):
1b. Site coprdinates (irr decimal degrees):
1 c. Praperty size:
2. Surtace 1Naters
2a. Name of nearest body of water (stream, riuer, etc_) to
prqposec� project:
2b. Water Quaiity Classification af nearest receiving water:
2c_ Riv�r basin:
NIA
35.191796'N - 75.78Q978`W
40.a acres
Pa►nlico Sbund
Pamfico Sound
3. Prnjeet Description
3a. �escribe the existing canditions on the site and tite general land �se in the vicinity of the project at fh� time o# this
application:
Th'rs properiy is used by the N.C. Ferry piaision to transfer automobiles and passengers frnm Hatteras to Ocracake
Island,
3b. List the total estimated acr�age of all existing wetiands on the property:
1.0 acres
3c. List the total estimated linear feet of all existing streams (int�rmittent arrd p�renniaf) on the praperty:
a
3tl. Explain the purpose of the proposed project:
To perfiorm maintenance dredging in the state maintained chann�ls and Ferry Basins at the Hatteras-0cracoke Ferry
Operations. Spoil wifl b� pumped into the approved spoil sites as shown on attached drawings.
3e. Describ� ihe overaP� project in detaii, including the type of equipmen# to be used:
Ferry Division brecfge Caralina will pertorm maintenance dredging to a!!ow the safe passag� of ferrries from Hatt�ras to
Ocracoke. There is approximately 7�,0{30 cubic yards to be r�moved. Sam� mater�al will be placed on the beach to
protect the hairpin tum on Qcracoke as previously completet! and as required in fhe fVational F'ark Service (NPS) Special
Use Permit. �he spoiR si#e on Ocracoke will hofd this materiaf. A dr�dge, excavator, barges, tug boat, and bulldozer wiii
be used for si#e preparation and to perForm the dr�cfging aetivities.
4. Jurisdictional Determina#ions
4a. Have jurisdi�tional wetland or stream determinations by the
Corps or State been requ�sted or obtained for this property 1
praject (incluclir�g all prior phases) in the past?
4b. lf #he Corps made the jurisdictional determination, wha# type
of determination uvas made?
❑ Y�� i� �o ❑ Unknown
❑ Preliminary ❑ Fir�af
4c. If yes, wha deiineated the jurisdickional areas? AgeneylConsultant Company:
Nama �if known): Other:
4d. !f yes, fist the da#es of the Gorps jurisdictiana� deterrrainations or State deierminaticans and attach dc�cumentatian.
5. F'ro�ect Histary
5a. HaWe permits or certifications been requested c�r obtained for
tl�is project (including all �rior phases) in the past? ��'es
5b. Ef yes, ex�alain in detail accordir�g #t� "help file" instructions.
CAMA major permit 561 Ex. 4-3Q-2p1� COE Ger�era! Permit 291
6. Future Project Plans
6a. Is this a phased project?
6b. !f yes, explain.
❑ `res
❑ No
�1 .
❑ Unknown
Page 3 of 12
PCN Form — Uersion 'I.0 Novemb�r 2[}08 Version

B. Praject InformatEOn and Arior Project Mistory
�age 4 of 12
PCN Farm — November 2008 Version

C. Propfls�d Impacts Inventory
1. lmpacts Summary
1 a. Wfaich sections were completed belflw for your project (check all #hat appPy);
[] Wetlands ❑ 5#reams - tribuiaries [] Bui#ers
� Open Waters ❑ Pond Cdnstruction
2. Wetland Impacts
If there are wetland impacts propased on the site, th�n complete this question for each wetland area impacted.
2a. 2b_ 2c. 2d. 2e. 2f.
Vlietland impact Type af jurisdic#ian
numb�r — Type of Type af wetfand Forested �Carps - 4d4, 1Q Area of impact (acres)
F�rmanent (P} or ir�pact (if kr�own} DWQ — non-404, ather)
Tem ora T
W'f ❑ P[] T ❑ Yes ❑ No � Corps
� QWQ
W2 ❑ P�] T ❑ Yes ❑ Na � Carps
❑ DWC2
W3 � P❑ T ❑ Yes ❑ No � C�rps
❑ DWQ
W4 [] P� T ❑ Yes � No � pWQ
W5 ❑ P❑ T ❑ Yes [] No 0 Corps
❑ DWfli
W6 ❑ P[] T [� Yes ❑ I�o � Corps
Q DWQ
2g. Total wetland imp�cts
2h. Cornments:
3. Stream lmpacts
If there are perenniai or interrnitten# stream impacts {including temporar�r impacts) proposed an the site, then comp�ete this
question for al! stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f.
Stream impact Type of Stream name Perennial (PER) or Average stream width (feet) �mPaGf
nurnber- impact intertnittent (fNT)? length
Permanent (P) or (lir�ear feet)
Ter�porary {T)
�� ,❑ P [� � [] PER ❑ INi
S2 ❑ P,❑ T ❑ PER ❑ INT
53 ❑P[]T []PER ❑INT
54 � P � T [� PER ❑ INT
S5 ❑ P�] T [] PER ❑ INT
S6 ❑ P 0 T ❑ P�R ❑ W�'
3g. Total stream �nd tributary impacts
3h. Comments:
Page 5 af 12
PGN Farm — Version 1.0 Nowember 2�p8 Version

C. �Froposed Irnpacts Inventory, cantine�ed
Page 6 of 12
PCN Form — FVovember 2�08 Version

C. �ropased Er�pacts Inventary, continued
5, Pond or Lake Construction
If ond o� lak� construction ro ased, then com Ie#e the c#�art below.
5a. 5b. 5c, �d. 5e.
Wetland Imp�cts {acres) Stream Impacts (feet) Upland
Pond !a Propc�sed t�se or (aCras)
nurnber purpose of pond
Flooded Fi]!�d �xca�ated Flooded Fillet! Excavate�l Fiooded
P1
F'2
5f. Total
5g- Comrr�ents:
5h. Is a dam high hazard perm�t required?
❑ Y�s ❑ f�a If yes, permit !D no:
5i. Expected pond surface area (acres}:
5j. Size of pond watershed (acres):
5k. Method o# construction:
6. Buffer Impacts {for DWQ}
If praject will impact a proteeied riparian buffer, then complet� the chart belovv, lf yes, then indi�idu�lly list ali buffer impacts
below. If an irn acts re uire miti ation, then ou MUST fill out Section p o# this form.
6a.
❑ N�use ❑ Tar Pamlieo ❑ Other:
Proj�ct �s in which protec#ed basin? 0 Catawba ❑ Ftandleman
�b. 6c. 6t�. 6e. 6f. gg,
BufFer impact
n�amber — Reason Buffer Zone 1 impact (square Zone 2 irnpact
F'ermanent (P) for frrrpact Stream name mitiga#ion #eet) (square feet}
ar Tem�orary �equired?
B1 ❑P[]T ❑Yes [�No
B2 ❑P�T QYes ❑No
B3 ❑P❑T []Yes ❑No
6h. To#al bu�Fer smpacts
Bi. Comments:
Page 7 of 12
PCN Farm — November 2008 Version

D. lmpact Justification and Mitigation
1, Avoidanee and Minimizatian
1 a. Specifically describe measures taken to a�Qid or mini�nize th� proposed impacts in designing pro�ect.
� b. SpecificalPy describe measUres taken to a�oid or minimize the proposed impacts through construction techniques.
2. Compensaiory Mitigat�on for Impacts ta VYa#ers of the U.S. or Wat�rs of the State
2a. Does �he project requir� Compensa#ory Mitigation for ❑ Yes � No
i�-r�pacts to Waters of the l�.S. or Wa#ers of the State?
2b. If yes, rni�igation is required by (check aN that apply): [] !]WQ j] Corps
❑ Mitigation banlc
2c. If yes, wuhieh rrkitigatian optiorr wiff be used for this
praject? ❑ Paymer�t to in-li�u tee program
❑ Permitt�e Respor�sible MitigatEOn
3. Cot'npleie if EJsing a Mitigation Bank
3a. Name afi Mitigation �ank: NIA
3b. Cre�f#s Pur�hased (attach receipt and letter) Type Quantity
3c. Comments:
4. C�ornplete ii Making a Payment to In-iieu Fee Program
4a. Approva� letter from in-lieu �ee program is attached. ❑ Yes
4b. Stream ra�itigation requested: finear feet
4c. If using stream mitigation, strea� temperature: warrn, cool, eold
4d. Bufi�er mitigatior� requesied {ClWQ oraly): square feet
4e. �tiparian we#land mitigatian rec�uested: acres
4f_ �ton-riparian wetland mitigatiora reques#ed: acres
��. Coasta! (tidal) we#land mitigatior� requested: acres
4h.. Camments;
5. Gomplete if Using a Permittee Responsible Mitigation Plan
5a. If using a perrr�ittee r�sponsible mitigatian plan, provide a descrip#ian of ihe proposed mitigatian p[an.
NIA
Page 8 of 12
PCN Form — Version 1.0 Novemb�r 2008 Versifln

D. Impact Justi#ication and Mrtiga#ior�, con#inued
6. Buffer Miti�ation (State Regulated Riparian Buffer Rules) — req�ired by DWQ
6a� Will #F�e proj�e# result in an impact within a proiected riparian bufFer that requires I�] Yes � f�o
buffer mitigation?
6b. if yes, then identify the square feet of impaci to each zone of the riparian bufFer that requires mitigatican, Galcu�at� the
amount of mftiga#FOn required.
Zone Fteason for impact Total impact Muftiplier Required mitigatior�
(square feet) (square feet)
Zone i 3(2 for Catawba)
Zor�e 2 1.5
Totai buffer r�itigation required:
6c. If bufiFer mitigation is required, discuss whai type of mitigatian is proposed (e.g., paym�nt ta pri�ate mitigation bank,
pere�iitee respQnsible riparian bufFer restoration, payment into ara appro�ed in-fieu fee fund).
6d. Comm�nts.
Page 9 of �2
PCN Form — No�ember 2008 Version -

E. Stormuvater FVlanag�ment and Diffuse �low Plan (required by DWQ)
f. niffuse Flow Plan
1 a_ Does the proteci include or �s it adjacenf to protected riparian buffers identified
within one of the NC Ripa�ia� BufFer Proteetion Ru1es? � Yes ❑ No
1 b. Ifi yes, t#�en is a diffuse flow plan included? ❑ Yes ❑ No
2. Determination if the Pro"ect Re uires a S#ormwater Mana emen# Rlan
2a. Does the project require a Nan-404 Jurisdictional General �ermit? ❑ Yes � No
2b, Is the project subject to Generaf Certification 3704 or 37�5? � y�s � N�
3. De#errnination of Stormwater RgvFew Jurisdi�tion
3a. ls this praject subject to any of the following state-implemenied stormwater ❑ Coasta! counties
man�gement programs (check all that apply}? ❑ F1QW
[] ORW
If sa, attach one copy o� the approva� letter frc�m the pWQ and one copy of the ,� Sessian Law �005-246
apprc,ved stnrmwater manageme�t pfan. � D���r:
3b. Ir� which local go�ernment's jurisdiction is this �roject?
3c. Is #his iacal govemment certified to implerr�ent a state stormwater program? [j Yes ❑ No
I� so, attach one capy of the approval fetter from the Iocal gcsvernment and qne eopy
of the approved stormwater management pEan (or or�e capy of the approved
Stormwater ertanagement plan starr�ped as app�oveci).
4. �nformation Re �ired fc�r DW�Q 4U1 Unit Stormwater Review
�4a. W'hat is the o�erall ercent im erviousness accordin #a the most curre�t sit� lan? NIA
4b. Does this project contain any areas that meet the �riteria far "high density" per 0 Yes � No
Ger�eral Certificatiarts 3704 ancf 3705?
4c. lf the sit� is o�er 24% imperv�ous and/or cor�tains high den�ity areas, then pro�ide a brief narratiVe description of the
storrnwater managemenk plan.
NIA
4d. H'a5 a campleted BMP SuppRement Form with a!I required iterns beer� suEamitted
for each starmwa#er BN1P? ❑�`es � f�o
Page 1 Q a� 12
PCN Form — Version 1.D No�ember 20Q8 Version

�. Supplementary InfQrma#ion
7. �nvironmental Documen#ation (DWQ Requirerr�en#)
3a. �oes th� proJect inWOive an expendit�re of public (federallstatellocal) funds or the � yes ❑ No
use of public (federallstate) lar�d?
1 b. If you answer�d °yes" to the above, does th� proaect require preparatian of an
er�vironmenta8 dncument p�rsuant to th� requirements of the �Vatior�al or State ❑ Yes � No
(North Carolina} Enwironmer�taR Policy Act {NEI',AISEPA)?
1 e. If you answered "yes" ta the abo�e, has the document review been finalized by th�
State Clearing House? (If so, attach a copy of the I�EPA dr SEPA f na9 appro�al
letter.} ❑ Y�s ❑ No
Gomments:
2. Violations (DWQ R�c�u�irement}
2a. Is the site in uialation of DVI+Q Wetland Rules (15A �ICAC 2H .05Qa), Isoiated
Wet�and Rules (15A NGAC 2H .131�0), DWQ SurFace Water or Wetland S#andards, ❑ Yes � No
or Riparia� BufFer Rules (15A NCAC 2B .0200}?
2b, �s this an after-t�e-fact p�ra�it application? 0 Yes � No
2c. If you answered "yes° to one or both of the above queations, pro�ide an exp�anation of the violation(s): NIA
3, Cumuiativ� Impacts (DWQ Requirement�
3a. Will this project {based an past and reasonably anticipated future impacts} result in Q Yes � Na
additional develapment, which could �mpact nearby downstream wat�r quafity?
3b. kf yau answered "y�es" i4 the abave, submit a qualitative or quantitative cumulatiue im�act analysis in accordance with the
ra�ost recent DWQ policy. If you answered "na," prowide a shork narrative descript�on.
�JIA
d, Sewage Dispasal (DWQ Requirementj
4a� Clearly detail the ultimate treatrnent methads and dispQSition (non-discharge or discharge} of wast�watee generated fram
the propased projec#, or available capacity flf the subject facility.
lVIA
Page 11 of 12
PCN �orrn — Versian 1.Q N+�vember 20D8 Version

F. Supplementary fnformation, continued
5. Endangered Species and Designated Critical HabitaE (Corps Requirement)
5a. Will this project accur in or near an area with federally protec#ed species or ��Q
habitat? � Yes
5b. Have yau checked wikh the USFWS concerrring Endangered Species Aci
impacts? ❑ Yes � No
❑ Raleigh
5c. If yes, incPicat� #he USFVIIS Field Office you haue contacted.
❑ Asheville
5d. What data sourCes did you use to determtne whether your si�e would impact Endangereci Species or desfgnate�d Critical
Ffabitat'�
As the past C4� permit, and the curren# CAMA permit, the spoil site is manikored by the NPS for E�d�nger�d shore
birds. Also, there are S�a turtles presen# in the area frorn time to time.
6. Essential Fish Habitat (Ccsrps R�quirernen#}
6a. Will ihis project acc�r in or near an area designated as essen#iaf fish habitat? ❑ Yes � Np
6b. What data sources did you use to determine whether your site wt�uld impact Essential Fish Ffabitat?
7. Historic ar Prehistoric Gulturai Resources {Corps Requirement)
7a. Will this project occur in or near an area that the state, federal ar triba�
go�ernments have designaked as having historic or c�lkural preservation [] yes � No
status (e.g., National Historic Trus# designation or prop�rties significant ir7
IVorth Carolina histQry and archaealagy)?
7b. What data sources dicf you use to determine whether your site wcruld impac# historic or archeologica! resources?
8. Flooci Zor�e l]es�gnation {Carps Requirem�nt)
8a. Wil! t�is project oecu� in a FEAAA-desfg�nated 100-year filoodplain? � Yes � No
Sb. If yes, explain ho►nr project m�ets FEMA re+�uirements:
8c. What sour�e(s) did you u�e to make the flot�dplain determination?
Lance Winslow (,� , f _
f ��/ 213f 14
Applican�`Agen#'s Prir�ted Name Appficant/Agent's 5igr�ature
{Ag�nfs signature is valid only if an authorization letter from the applicant Date
is rovided.
Page 12 of � 2
PCN Form — No�ember 20Q81/ersion

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