20220057 Ver 1_ePCN Application_20220110

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Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
December 6, 2021 Ver 4.2
Initial Review
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
BIMS # Assigned*
20220057
Is a payment required for this project?
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Holley Snider:eads\hasnider
Information for Initial Review
1a. Name of project:
COURTESY COPY Residence at Canopy Pointe
la. Who is the Primary Contact?*
Dana Lutheran
1 b. Primary Contact Email:
[e-mail]
Date Submitted
1/10/2022
Nearest Body of Water
Howe Creek
Basin
White Oak
Water Classification
SA;HQW
Site Coordinates
Latitude: Longitude:
34.27050-77.81546
A. Processing Information
County (or Counties) where the project is located:
New Hanover
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
1a. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Version# *
1
Reviewing Office*
Wilmington Regional Office - [phone]
1c. Primary Contact Phone:*
[phone]

Has this PCN previously been submitted? *
Yes
No
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 18 - Minor Discharges
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular 401 Water Quality Certification - Express
Non-404 Jurisdictional General Permit Riparian Buffer Authorization
Individual 401 Water Quality Certification
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification: Yes No
For the record only for Corps Permit: Yes No
1f. Is this an after -the -fact permit application?*
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1 It. Is the project located in any of NC's twenty coastal counties?
Yes No
1 i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
BHC PROPERTIES LLC
2b. Deed book and page no.:
BK 004954 PG 002329
2c. Contact Person:
Harold Chappell
2d.Address
Street Address
PO Box 431
Address Line 2
City
Wrightsville Beach
Postal / Zip Code
28480
State / Province / Region
NC
Country
US
2e. Telephone Number:
[phone]
2f. Fax Number:

2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Sam Weldon
3b. Business Name:
Blue Ridge Atlantic, Inc.
3c.Address
Street Address
2018 Eastwood Road
Address Line 2
City
State / Province / Region
Wilmington
NC
Postal / Zip Code
Country
28403
us
3d. Telephone Number:
3e. Fax Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Dana Lutheran
4b. Business Name:
Southern Environmental Group, Inc. (SEGi)
4c.Address
Street Address
5315 South College Road
Address Line 2
Suite E
City
State / Province / Region
Wilmington
NC
Postal / Zip Code
Country
28412
us
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)
NA
1c. Nearest municipality / town:
Wilmington
2. Project Identification
2a. Property Identification Number:
R04410-001-007-000, R04410-001-008-000, 2b. Property size:
R04410-001-009-000, R04410-001-010-000 4.77

2c. Project Address
Street Address
205, 209, 213, 217 Middle Sound Loop
Address Line 2
City State / Province / Region
Wilmington NO
Postal / Zip Code Country
US
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Howe Creek
3b. Water Resources Classification of nearest receiving water:"
SA;HQW
3c. What river basin(s) is your project located in?*
White Oak
3d. Please provide the 12-digit HUC in which the project is located.
030203020502
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:"`
The project site is comprised of four contiguous parcels, (Tract 1 - R04410-001-007-000; Tract 2 - R04410-001-009-000; Tract 3 - R04410-001-010-000; and Tract 4 - R04410-001-008-
000) that encompass approximately 4.77 acres (see attached New Hanover County GIS Tract Map).
The site is relatively flat and densely wooded, with shrubs and woody vines making up the understory, while pines and Red Maple are the dominant tree species. Numerous trees have
been blown over during recent hurricanes (i.e., Florence and Isaias). A man-made ditch extends into Tract 3, from north to south. The ditch is approximately 8 feet deep, does not hold
water and is devoid of vegetation, due to shading. The parcels have been conditionally zoned multi -Family, medium density, and the county's Future Land Use Plan designates the
property as residential. The project site is not located within a flood zone (see attached FEMA FIRMette).
A review of historical aerial photos revealed two residential structures existed on the front of the property, between 1958 and 1969. By 2009, both structures were demolished, and the
rubble removed from the property.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0.13 (RPW Ditches)
4g. List the total estimated linear feet of all existing streams on the property:
0
4h. Explain the purpose of the proposed project:
The purpose of this project is to construct a senior living facility, in an area where demand is high.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The project will entail filling approximately 2780 SF/ 0.064 AC / 400 LF of the man made ditch (i.e., RPW), with clean earthen fill. Large machinery, such as dump trucks and front end
loaders, will be used to transport material to the site and perform the grading work.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
SAW-2021-02208
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): David Scibetta
Agency/Consultant Company: SEGi
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
PJD issued 10/29/21
6. Future Project Plans

6a. Is this a phased project?*
Yes 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?
NO
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
4. Open Water Impacts
4a. Site #
4a1. Impact Reason
4b. Impact type
4c. Name of waterbody
4d. Activity type
4e. Waterbody type
4f. Impact area
Fill
P
A
Fill
Ditch
0.06
4g. Total temporary open water Impacts: 4g. Total permanent open water impacts:
0.00 0.06
4g. Total open water impacts:
0.06
4h. 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 Applicant is only filling that part of the ditch that extends into the buildable area of the property.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Prior to land disturbing activities taking place, silt fence will be installed, to ensure that sediment does not discharge into downstream receiving waters.
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 No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Ditches do not require mitigation
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?
Yes No
If no, explain why:
This project is not within one of NC's Riparian Buffer River Basins.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater program?
Yes No
N/A - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
Local Government State
Local Government Stormwater Programs
Phasell NSW USMP Water Supply

Please identify which local government stormwater program you are using.
New Hanover County Planning and Zoning
State Stormwater Programs
Phase II Coastal Counties
HWQ or ORW Other
Comments:
The stormwater permits are being sought concurrently with this application.
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?
Yes 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)? *
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?
Yes No
3b. If you answered "no," provide a short narrative description.
This project does not provide access to currently landlocked property. Stormwater will be collected and treated, prior to discharging into downstream
receiving waters.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated at a
treatment plant, list the capacity available at that plant.
CFPUA
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?*
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
Yes No
What Federal Agency is involved?
HUD
5e. Is this a DOT project located within Division's 1-8?
Yes No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
Unknown
51. 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.?
Yes No

5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
SEGi, as part of the Environmental Assessment being conducted for HUD review, SEGi obtained confirmation, through the NC NHP, there are no
documented Northern Long-eared Bat maternity roost trees within 150 feet of this project boundary. There are no Northern Long-eared Bat hibernacula
within 0.25 mile of this project boundary (see attached).
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?"
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?"
There are no waterbodies, on the property, that would support Essential Fish Habitat.
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?*
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
SEGi relied upon the NC SHPO HPOWEB 2.0 Website. A request, for review, has been submitted to the SHPO.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8c. What source(s) did you use to make the floodplain determination?"`
FEMA Firmette attached.
Miscellaneous
U
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 document
The Residences at Canopy Point PCN Attachments.pdf 2.98MB
final signed BHC Properties PJD tearsheet.pdf 179.73KB
File must be PDF or KMZ
Comments
Signature
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:
Dana A. Lutheran (SEGi)
Signature
a✓�tJa'ra '(�. �iil�r�2R e'
Date
1/10/2022