20220780 Ver 1_ePCN Application_20220607

Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
OO Yes
O No
Is this project a public transportation project?*
OYes 0No
Change only if needed.
Pre -Filing Meeting Date Request was submitted on:
4/18/2022
BIMS # Assigned* Version#*
20220780 1
Is a payment required for this project?*
® No payment required
0 Fee received
O Fee needed - send electronic notification
Select Project Reviewer*
Colleen Cohn:eads\cmcohn
Information for Initial Review
Reviewing Office*
Raleigh Regional Office - [phone]
la. Name of project:
COURTESY COPY - NEW HOME CONSTRUCTION
la. Who is the Primary Contact?*
CAROLINE SALVAS
lb. Primary Contact Email:*
lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
6/7/2022
Nearest Body of Water
UT Neuse River
Basin
Neuse
Water Classification
WS-IV; NSW
Site Coordinates
Latitude:
35.569177
A. Processing Information
Longitude:
-78.280774
County (or Counties) where the project is located:
Johnston
Is this a NCDMS Project
0Yes ONo
Is this project a public transportation project?*
0 Yes ® No

la. Type(s) of approval sought from the Corps:
21 Section 404 Permit (wetlands, streams and waters, Clean Water Act)
O Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
0 Yes
O No
1b. What type(s) of permit(s) do you wish to seek authorization?
O Nationwide Permit (NWP)
0 Regional General Permit (RGP)
0 Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
OYes 0No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
EO 401 Water Quality Certification - Regular
0 Non-404 Jurisdictional General Permit
0 Individual 401 Water Quality Certification
29 - Residential Developments
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:
If. Is this an after -the -fact permit application?*
O Yes O No
O 401 Water Quality Certification - Express
0 Riparian Buffer Authorization
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
O Yes O No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
O Yes O No
lh. Is the project located in any of NC's twenty coastal counties?
O Yes O No
1j. Is the project located in a designated trout watershed?
OYes 0No
B. Applicant Information
OYes 0No
OYes 0No
Id. Who is applying for the permit?
O Owner D Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
0Yes CNo
2. Owner Information
2a. Name(s) on recorded deed:
CAROLINE M SALVAS
2b. Deed book and page no.:
770; 759
2c. Contact Person:
2d. Address
Street Address
2839 NC HWY 96 N
Address Line 2
City
SELMA
Postal / Zip Code
27576
State / Province / Region
NC
Country
USA

2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
lb. Subdivision name:
Of appropriate)
N/A
lc. Nearest municipality / town:
SELMA
2. Project Identification
2a. Property Identification Number:
14M09039A
2c. Project Address
Street Address
2839 NC HWY 96 N
Address Line 2
City
SELMA
Postal / Zip Code
27576
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
UT Neuse River
3b. Water Resources Classification of nearest receiving water: *
WS-IV; NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202011105
4. Project Description and History
2b. Property size:
3.41
State / Province / Region
NC
Country
USA
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: *
New home site. Site is primarily agricultural land with a forested wetland along NC-96 that needs to be crossed to access the family's proposed home site.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
0 Yes O No 0 Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0.20
4g. List the total estimated linear feet of all existing streams on the property:
N/A
4h. Explain the purpose of the proposed project:*
NEEDING TO BUILD A DRIVEWAY (1,500 SQ FT) FOR A NEW HOUSE CONSTRUCTION, SET FOR THE MIDDLE OF THE (SOYBEAN) FIELD.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
SMALL BOBCAT AND A SKID STEER WILL BE NEEDED TO ASSIST WITH COMPLETING THE DRIVING. DRIVEWAY APPROXIMATE 15 FT W X 100 FT LONG. A GRAVEL
DRIVEWAY WITH CULVERT PIPES FOR DRAINAGE.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas? *
®Yes No
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made? *
0 Preliminary C Approved ® Not Verified 0 Unknown 0 N/A
O Unknown

Corps AID Number:
SAW-2022-01263
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
6. Future Project Plans
Chris Hopper
USACE
6a. Is this a phased project?*
O Yes O 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?
YES, TOWN OF SELMA ZONING PERMIT, APPROVED 02/28/2022 AT 2:02PM, PERMIT# 2022-027-ZP
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
[1 Wetlands Oi Streams -tributaries
O Open Waters 10 Pond Construction
2. Wetland Impacts
O Buffers
2a. Site #* (?)
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W.*
2d. W. name
2e. Forested*
2f. Type of Jurisdicition*
(?)
2g. Impact
area*
Impact W1
Driveway Crossing
P
Headwater Forest
Wetland WA
Yes
Corps
0.030
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.030
2i. Comments:
E. Impact Justification and Mitigation
2g. Total Permanent Wetland Impact
0.030
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
WE ARE ADDING CULVERT PIPES and reducing the width of the crossing to minimize unavoidable losses to waters of the united states.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The work would be performed in compliance with local and state erosion control and stormwater management best management practices.
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:
Mitigation is not required because the impacts have been minimized to below 0.1 acre.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) U
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?
0 Yes t; No
If no, explain why:
WERE NOT IMPACTING THIS AREA.
2. Stormwater Management Plan

2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
0 Yes ® No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
O Yes No
Comments:
N/A
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.
The project is a single-family home with no future development proposed.
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?
0 Yes 0 No
• No Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S
0Yes ®No
5g. Does this project involve bridge maintenance or removal?
0 Yes ® No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
0 Yes ® No
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.?
0Yes ®No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USACE review concurrent with site visit on April 14, 2022.
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?*
N/A
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?*
O Yes O No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Farmland with no improvements.
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?*
N/A
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
TOWN OF SELMA ZONING PERMIT.pdf 462.95KB
File must be PDF or KMZ
Comments
Signature
Ill 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:
CAROLINE MAKINO SALVAS
Signature
Date
6/7/2022

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SELMA
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ZONING PERMIT APPROVAL
PERMIT TYPE: Residential—.1,300 Heated Square Ft Modular SFR Fee: $50.00
Johnston County Tag#: 14M09039A • Permit#: 2022-027-ZP
Issued on: 2/28/2022 Site Address: 2839 NC Hwy 96 N, Selma NC 27576
Issued to (applicant): Caroline M Salvas, 2350 Cole Rd, Clayton, NC 27520; (919) 333-6170;
csalvas75 a gmail.com
Zoning District: R-20 Residential Historic District: No
Flood Zone: X; Panel 2616 Protected Watershed: Yes,but exempt
The Town of Selma hereby issues a Zoning Permit for a 1,300 heated square ft residential modular home
•
Conditions of Approval:
1) Any modification of the building or deviation from the current site configuration shall require
approval in writing from the Town of Selma Planning Department and may require a new
Zoning Permit.
2) The applicant is responsible for obtaining all additional required county, state, or federal
permits. Building Permits shall be obtained from Johnston County Building Inspections
Department.
3) All work shall comply with the Town of Selma Unified Development Code.
Approved By. 1P5gFebruary 28, 2022
an . Cahoon-Tingle,AICP CZO Date_
Planning&Economic Development Director
TOWN OF SELMA
DATE : 2/28/2022 2:02 PM
OPER : Katie
TKBY : KCT
TERM : 2
REC# : R00009193
1 Miscellaneous Receipt 50.00
CAROLINE SALVAS 50.00
Town of Selma Planning &Economic Develop PLANNING & ZONING FEES 2022-027-ZP
114 N. Raiford St, • Selma,NC 27675 50.0
P:919-965-9841 • F: 919-965-4637 • www.selma-
Paid By:CAROLINE SALVAS
CREDIT CARD 50.00