20220103 Ver 1_401 Application_20220119

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Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
June 1, 2021 Ver 4.1
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*
20220103
Is a payment required for this project?
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Wilmington Regional Office - [phone]
Information for Initial Review
1a. Name of project:
Peytons Ridge, Section VIII
la. Who is the Primary Contact?*
Jennifer Morton Ward
1 b. Primary Contact Email: *
[e-mail]
Date Submitted
1/19/2022
Nearest Body of Water
Queen Creek
Basin
White Oak
Water Classification
SA;HQW
Site Coordinates
Latitude:
34.7250
A. Processing Information
County (or Counties) where the project is located:
Onslow
Is this a NCDMS Project
Yes No
Longitude:
-77.1949
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
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
John Perry:eads\jmperry2
1c. Primary Contact Phone:*
[phone]

Has this PCN previously been submitted? °t
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
If yes, please provide a statement concerning compliance with the Coastal Zone Management Act.
Nationwide Permit (NWP) Number: 29 - Residential Developments
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 h. 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:
South State Development, LLC
2b. Deed book and page no.:
DB 4785, Fig 648
2c. Contact Person:
Jennifer Morton Ward
2d.Address
Street Address
121 Garnet Lane
Address Line 2
City
State / Province / Region
Jacksonville
NC
Postal / Zip Code
Country
28546
us

2e. Telephone Number:
[phone]
2g. Email Address:
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Anthony Moctezuma
4b. Business Name:
Tidewater Associates, Inc.
4c.Address
Street Address
306 New Bridge Street
Address Line 2
City
Jacksonville
Postal / Zip Code
28540
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
Peytons Ridge, Section VIII
1c. Nearest municipality / town:
Swansboro
2. Project Identification
2a. Property Identification Number:
008096
2c. Project Address
Street Address
Misty Pond Drive
Address Line 2
City
Hubert
Postal / Zip Code
28539
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Queen 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.
030203020202
4. Project Description and History
2f. Fax Number:
State / Province / Region
NC
Country
us
4e. Fax Number:
2b. Property size:
64.9
State / Province / Region
NC
Country
NC
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:
Existing site was previously farmland, adjacent sites include more former farmland and residential subdivisions.

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:
2.9 ac
4g. List the total estimated linear feet of all existing streams on the property:
25
4h. Explain the purpose of the proposed project:'
The purpose of this project is to build and construct a road crossing for the future subdivision.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
Overall project is for a residential subdivision consisting of slab on grade construction, with typical grading and road construction equipment, to include all typical services (water sewer,
electrical, etc.)
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:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Haywood Pittman
Pittman Soil Consulting, Inc.
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
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?
Future sections ma be developed as South State Development owns portions of land adjacent to this project.
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
2. Wetland Impacts
2a1 Reason M
2b. Impact type* (?)
2c. Type of W.*
2d. W. name*
2e. Forested*
r., Type of Jurisdiciti��2g.
Impact
area
[771
Road crossing
P
Unknown
Unkown
Yes
]
Both
]
0.090
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.090
21. Comments:
E. Impact Justification and Mitigation
2g. Total Permanent Wetland Impact
0.090
1. Avoidance and Minimization

la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The layout and design of the subdivision was carefully planned to minimize wetland and stream impacts, while at the same time maximizing the potential
of the project. Proposed road crossing will occur at the edge of the wetlands. Centerline of road has been offset and will be a private road at the cost of
the developer in order to minimize impacts to the wetlands as much as possible, while still maintaining connecting road required by Onslow County
Planning Department.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Limit disturbance areas to minimal needed for equipment and installation. Work to be done in periods of dry weather. Work to be completed in minimal
time necessary. Headwalls have been designed for the culver crossings to minimize impact length. Silt fence and other erosion control measures are
proposed to minimize sedimentation runoff.
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:
Impact area is less than 1/10th of an acre.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. 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:
There aren't any riparian buffers in this project.
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
Comments:
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.
Developed areas area accounted for and stormwater devices are sized to handle runoff from the project.
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.
Wastewater at this project uses septic systems that have been previously located.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
U

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
5d. Is another Federal agency involved?*
Yes No
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
5i. 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?
Critical Habitat map Viewer from AcrGIS
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?
NOAA South Atlantic Fishery management Council Essential Fish Habitat Viewer
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?*
NC Department of Natural & Cultural Resources GIS
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 Flood map
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
Peyton 8 - Impact Maps.pdf 346.67KB
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:
Anthony Moctezuma

Signature
(�xGfdYry ��rib�tsrv�em
Date
1/19/2022

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