20220797 Ver 1_ePCN Application_20220610

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:
5/2/2022
BIMS # Assigned* Version#*
20220797 1
Is a payment required for this project?*
O No payment required
O Fee received
O Fee needed - send electronic notification
Select Project Reviewer*
Robert Tankard:eads\rbtankard
Information for Initial Review
Reviewing Office*
Washington Regional Office - [phone]
1a. Name of project:
COURTESY COPY Munyer Residence
la. Who is the Primary Contact?*
Doug Dorman
lb. Primary Contact Email:*
1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
6/10/2022
Nearest Body of Water
Dowdy Bay - Currituck Sound
Basin
Pasquotank
Water Classification
SC
Site Coordinates
Latitude:
36.290921
A. Processing Information
Longitude:
-75.802227
County (or Counties) where the project is located:
Currituck
Is this a NCDMS Project
0Yes ONo
Is this project a public transportation project?*
0Yes ONo

la. Type(s) of approval sought from the Corps:
EI 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
lb. What type(s) of permit(s) do you wish to seek authorization?
2 Nationwide Permit (NWP)
0 Regional General Permit (RGP)
O Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
0Yes ®No
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
O Individual 401 Water Quality Certification
18 - Minor Discharges
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
O Riparian Buffer Authorization
1g. 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
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
O Yes O No
1j. Is the project located in a designated trout watershed?
Yes • No
B. Applicant Information
O Unknown
OYes 0No
OYes 0No
ld. Who is applying for the permit?
O Owner O Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
OYes 0No
2. Owner Information
2a. Name(s) on recorded deed:
Walter & Jaqueline Munyer
2b. Deed book and page no.:
1692/316
2c. Contact Person:

2d. Address
Street Address
1922 Timber Haven Court
Address Line 2
City
Grove City
Postal / Zip Code
43123
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Doug Dorman
4b. Business Name:
Atlantic Environmental Consultants, LLC
4c. Address
Street Address
PO Box 3266
Address Line 2
City
Kitty Hawk
Postal / Zip Code
27949
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
State / Province / Region
OH
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:
1. Project Information
113. Subdivision name:
(if appropriate)
Ocean Sands
lc. Nearest municipality / town:
Corolla
2. Project Identification
2a. Property Identification Number:
126A0000128000B
2c. Project Address
Street Address
544 Ocean Trail
Address Line 2
City
Corolla
Postal / Zip Code
27926
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Dowdy Bay - Currituck Sound
3b. Water Resources Classification of nearest receiving water: *
SC
3c. What river basin(s) is your project located in?*
2b. Property size:
0.61 acres
State / Province / Region
NC
Country
USA
Pasquotank

3d. Please provide the 12-digit HUC in which the project is located.
030102051306
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 property is an undeveloped residential lot located in the Ocean Sands Subdivision. General land use in the vicinity is residential.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
0 Yes n No 0 Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0.17 acres
4g. List the total estimated linear feet of all existing streams on the property:
None
4h. Explain the purpose of the proposed project:*
The purpose of the project is to develop an existing lot for a 4 bedroom single family residence. In order to gain access to the upland area on the lot the owner will need to cross an area of
wetlands. The impacts associated with the driveway crossing will be 0.03 acres (1,330 sf).
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The property is an undeveloped lot in the Ocean Sands subdivision. To achieve access to an upland area, the driveway crossing will impact 0.03 acres (1,330 sf) of non -riparian 404
wetlands. Indirect impacts include additional surface runoff during construction of the driveway and house. Equipment will be stored on site during the construction.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
4 Yes O No
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
O Preliminary O Approved O Not Verified OUnknown 0 N/A
Corps AID Number:
Pending AID from USACOE
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Doug Dorman
Atlantic Environmental Consultants, LLC
0 Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
Wetland lines verified on April 26, 2022 by Anthony Scarbraugh of the USACOE.
6. Future Project Plans
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?
D. Proposed Impacts Inventory
U
1. Impacts Summary
1 a. Where are the impacts associated with your project? (check all that apply):
Wetlands O Streams -tributaries
❑ Open Waters O Pond Construction
2. Wetland Impacts
0 Buffers
2a. Site #* (?)
2a1 Reason (7)
2b. Impact type* (7)
2c. Type of W.*
2d. W. name
2e. Forested*
2f. Type of Jurisdicition*
(7)
2g. Impact
area*
1
Driveway
P
Bottomland Hardwood Forest
Munyer
Yes
Both
0.030
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.030

2g. Total Wetland Impact
0.030
2i. Comments:
E. Impact Justification and Mitigation C.)
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
We have designed the driveway location at the narrowest section of wetlands to avoid and minimize wetland impacts. The driveway has also been
designed at the minimum width required by Currituck Planning Department to further avoid and minimize wetland impacts.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The proposed driveway will be constructed with a maximum of 2 feet of fill above the existing wetland grade to reduce side slope from the driveway and
help avoid and minimize wetland impacts. The driveway will also be constructed with a culvert to provide connectivity with wetlands on either side to the
wetland crossing.
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?
O Yes O No
2c. If yes, mitigation is required by (check all that apply):
O DWR O Corps
2d. If yes, which mitigation option(s) will be used for this project?
Mitigation bank ❑ Payment to in -lieu fee program O Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Hidden Lakes
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Non -riparian wetland 0.06 acres
3c. Comments
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?
O Yes O No
If no, explain why:
Project area is not within a NC Riparian Buffer Protection Area.
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)?
OYes Co) 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?
O Yes 0 No
O N/A - project disturbs < 1 acre
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?*
O Yes O 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 future development plans for this property that could impact additional wetlands.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
0Yes CS) No0N/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?*
0 Yes O No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
O Yes O No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
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
OYes 0No
5g. Does this project involve bridge maintenance or removal?
0Yes ®No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes • No
Si. 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?
US Fish and Wildlife Service, IPaC (Information for Planning and Consultation)
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?*
Wetland area on the property would not 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?*
Environmental review with NC State Historical Preservation Office.
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:
Proposed house will be constructed to meet minimum FEMA elevation requirements.

Sc. What source(s) did you use to make the floodplain determination?*
Currituck County flood plain maps
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
Munyer Preliminary Site Plan.pdf 113.73KB
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:
Doug Dorman
Signature
goeted, ODbtt.ACeP.X
Date
6/10/2022

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