20220403 Ver 1_ePCN Application_20220314

DWR
Division of Water Resources
Initial Review
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
December 6, 2021 Ver 4.2
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* Version#*
20220403 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
What amout is owed? *
$240.00
$570.00
Reviewing Office* Select Project Reviewer*
Washington Regional Office - [phone] Robert Tankard:eads\rbtankard
Information for Initial Review
la. Name of project:
Balot Grimesland Bulkhead
la. Who is the Primary Contact?*
Derrick (pock
1 b. Primary Contact Email:* lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
3/14/2022
Nearest Body of Water
Tar River
Basin
Tar -Pamlico
Water Classification
C;NSW
Site Coordinates
Latitude: Longitude:
35.594490 35.594360 35.594190 35.593725 35.593559-77.268158 -77.268440 -77.268740 -77.268839
-77.269075
A. Processing Information
County (or Counties) where the project is located:
Pitt
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
la. 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)

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)
lc. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 13 - Bank Stabilization
Nationwide Permit (NWP) Number: 18 - Minor Discharges
NWP Numbers (for multiple NWPS):
Id. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
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:
For the record only for Corps Permit:
1f. Is this an after -the -fact permit application?*
Yes No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
lg. 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
1j. Is the project located in a designated trout watershed?
Yes No
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No
B. Applicant Information u
ld. 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:
Richard Balot & Colleen Balot
2b. Deed book and page no.:
1711/540
2c. Contact Person:
2d. Address
Street Address
P.O. Box 2067
Address Line 2
City
Greenville
Postal / Zip Code
27836
2e. Telephone Number:
[phone]
State / Province / Region
NC
Country
US
2f. Fax Number:
[phone]

2g. Email Address: *
[e-mail]
2a. Name(s) on recorded deed:
BCBC, LLC
2b. Deed book and page no.:
4041/849 4041/849 4041/849 4041/852
2c. Contact Person:
Richard Balot
2d. Address
Street Address
2017 Fiesta Dr.
Address Line 2
City
Sarasota
Postal / Zip Code
34231
2e. Telephone Number:
[phone]
2g. Email Address: *
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Derrick Ipock
3b. Business Name:
Bobby Cahoon Construction, Inc.
3c. Address
Street Address
6003 Neuse Road
Address Line 2
City
Grantsboro
Postal / Zip Code
28529
3d. Telephone Number:
[phone]
3f. Email Address: *
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Derrick (pock
4b. Business Name:
Bobby Cahoon Construction, Inc.
4c. Address
Street Address
6003 Neuse Road
Address Line 2
City
Grantsboro
Postal / Zip Code
28529
4d. Telephone Number:
[phone]
4f. Email Address: *
[e-mail]
C. Project Information and Prior Project History
State / Province / Region
FL
Country
US
2f. Fax Number:
[phone]
State / Province / Region
NC
Country
US
3e. Fax Number:
[phone]
State / Province / Region
NC
Country
US
4e. Fax Number:
[phone]

1. Project Information
1b. Subdivision name:
(if appropriate)
lc. Nearest municipality / town:
Grimesland
2. Project Identification
2a. Property Identification Number: 2b. Property size:
43408 43409 43410 43411 43412 1.02 0.35 0.71 0.66 4.49
2c. Project Address
Street Address
2997, 2989, 2981, 2975, 2961 Landing Circle
Address Line 2
City
Grimesland
Postal / Zip Code
27837
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Tar River
3b. Water Resources Classification of nearest receiving water: *
C;NSW
3c. What river basin(s) is your project located in?*
Tar -Pamlico
3d. Please provide the 12-digit HUC in which the project is located.
030201030605
4. Project Description and History
State / Province / Region
NC
Country
US
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:*
Cleared lot with heavy vegetation along slope to water.
Empty residential lots and a residential lot with home.
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:
0.072
4g. List the total estimated linear feet of all existing streams on the property:
4h. Explain the purpose of the proposed project: *
Install bulkhead along shoreline to prevent further erosion.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
Install a vinyl sheet pile bulkhead along shoreline to be approximately 5' tall and no more than 2' away from landward
edge of shore.
We will clear necessary vegetation to install tiebacks and anchors.
We will backfill the wall with suitable soil to a positive slope not to retain water behind the wall.
This will be constructed using an excavator on land.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
Comments:
No Unknown
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:
6. Future Project Plans
6a. Is this a phased project?*
Emily Thompson
Army Corps
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?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
Wetlands
Open Waters
2. Wetland Impacts
Streams -tributaries
Pond Construction
Buffers
2a. Site #* (?)
2a1 Reason (?)
2b. Impact type*(')
2c. Type of W.*
2d. W. name*
2e. Forested*
2f. Type of Jurisdicition*
(
2g. Impact
area*
1
Bulkhead backfill
P
Unknown
Wetland A
Yes
Both
0.072
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.072
2i. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
2g. Total Permanent Wetland Impact
0.072
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Install the wall only to the minimal necessary height to protect shoreline but minimalize the amount of fill behind the wall.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Once the sheet pile wall is installed this will serve as a barrier to prevent dirt fill from entering the adjacent 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:
Wetland impacts are less than 0.1 acres
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
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30% nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
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.
No additional development is anticipated on these lots
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No N/A
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
5d. Is another Federal agency involved?*
Yes
5e. Is this a DOT project located within Division's 1-8?
Yes No
No Unknown
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
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?
USFWS ECOS map
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 Essential Fish Habitat Mapper
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?*
http://gis.ncdcr.gov/hpoweb/
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:
8c. What source(s) did you use to make the floodplain determination?*
https://msc.fema.gov/portal/search
Miscellaneous
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
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:
Derrick (pock
Signature
a.BP eato ofvC,e
Date
3/14/2022