20140902 Ver 1_401 Application_20140814

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the Corps:
❑ Section 404 Permit ED Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 401r 3 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps?
❑ Yes ® No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑ No
For the record only for Corps Permit:
❑ Yes ® No
1 f. Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes ® No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
Eg Yes ❑ No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
® Yes ❑ No
2. Project Information
2a. Name of project:
Perform Maintenance Dredgin of Long Point Boat Basin
2b. County:
Carteret
2c. Nearest municipality / town:
n/a
2d. Subdivision name:
n/a
2e. NCDOT only, T.I.P. or state project no:
n/a
3. Owner Information
3a. Name(s) on Recorded Deed:
National Park Service, Cape Lookout Na
3b. Deed Book and Page No.
n/a
14 2014
3c. Responsible Party (for LLC if
applicable):
&116
pat Kenney, Superintendent
3d. Street address:
131 Charles Street PERMITTING
3e. City, state, zip:
Harkers Island, NC 28531
3f. Telephone no.:
252 - 728 -2250
3g. Fax no.:
252 - 728 -2160
3h. Email address:
CALO — Superintendent @nps.gov
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a Applicant is
❑ Agent ❑ Other „specify
4b Name
4c Business name
(if applicable)
4d Street address
4e City, state, zip
4f Telephone no
4g Fax no
6
,4h Email address
5. Agent/Consultant Information (if applicable)
5a Name
5b Business name
(if applicable)
5c Street address
5d City, state; zip
5e Telephone no
5f Faxsno
5g Email address
L
Page 2 of 10

B. Project Information and Prior Project History
1.
Property Identification
1a
Property identification no (tax;PIN`or parcel ID)
(Long Point Cabin Area - North Core Banks
1b
Site coordinates (in decimal degrees)
Latitude 34 8995 Longitude - 76'257761
1c
Property size
7,033 acres
2.
Surface Waters
2a
Name of nearest body of water to proposed project
Core Sound
2b
Water Quality Classification of nearest receiving water
SA
2c
River basin
White Oak
3.
Project Description
3a 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 boat basin has been dredged twice since hurricane Isabel im2011 Hurricane,Arthur (2104) has washed more sand' into the boat basin The boat
basin is accessed from Core,Sound via a channel
3b
List the total estimated acreage of all existing wetlands on the property 1,500
3c
List the total estimated linear feet of,all existing streams (intermittent and perennial) on the property 0
3d Explain the purpose of the proposed project
To dredge the sand from-the boat basin
3e ,Describe the overall project in detail, including the type of equipment to be used
The dredging. consists of,pumping or dredgmg�and,hauling sand and other,organic matter form the Long Point boat basin Less than 1000 cubic yards of sand will'be
removed,and,the basin restored to alusabie depth of,5,feet The�sand'wili be, disposed of within the interior of the island
4.
Jurisdictional Determinations
4a
Have junsdictlonal wetland or strearn determinations ;by the
Corps or State been requested,or obtained for this property/
project (including all prior hases In the; ast?
El Yes Q No I❑ Unknown
Comments
-
4b
If the Corps made the jurisdictional, determination, what,type
of determination was made?
❑ Preliminary, ❑ Final
4c
If yes, who delineated the juirisdictibnaf areas?
Name (If known)
Agency /Consultant Company
1,0ther
4d
If yes, list the dates of'the Corps jutisdictional determinations or State determinations and attach documentation
S.
Project History
5a
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑X Yes ❑ No ❑Unknown
5b If yes, explain in detail according to "help file" instructions
A,permit for this same proiect,was issued,on August 8, 2012
r
6.
Future Project Plans
6a
Is this a phased project?
❑ Yes Q No
6b
If yes, explain
Page 3 of 10
PCN Form — Version 1.4 January 2009,

C. Proposed'Impacts Inventory
1. Impacts Summary
`1a Which sections were completed below for your profect,(check all that apply)
❑ Wetlands ❑ Streams— tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site,'then complete this question foreach wetland area impacted
2a A
Wetland impact
number
Permanent (P) or
Temporary T
2b
Type of,impact
2c
Type of wetland
-
-
2d -
Forested
2e
Type of jurisdiction
Corps (404;10) or
DWQ' (401, other)
2f
Area of
impact
(acres)
W1
Choose,one
Choose one
Yes %No
W2
Choose one
Choose,one
Yes /No
W3
Choose one
Choose one
Yes /No
-
W4
Choose one
Choose one
Yes /No
W5
Choose one
Choose one
Yes /No
W6
Choose one
Choose,one
Yes /No
20 Total Wetland Impacts:
2h Comments
3. Stream Impacts -
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then completelthis
question for all stream sites impacted 9
3a
Stream impact
number
Permanent (P) or
Temporary (T)
3b
Type of impact :
3c
Stream name
3d
Perennial (PER) or
intermittent (INT)?
�3e
f *Type of
jurisdiction
3f
Average
stream
width
(feet)
3g
Impact
length
(linear
feet)
S1
Choose one
-
S2
Choose one
S3
Choose one
S4
Choose one
S5
Choose one
S6
Choose one
3h Total stream and,tributary°impacts
31 Comments
'Page 4 of 10
PCN Form — Version 1 4,January 2009

4. Open Water Impacts
If there are proposed impacts to' lakes „ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U S then,indiv ually list all open water impacts below
4a
Open water
impact number
Permanent (P) or
Temporary T
4b
Name�of waterbody
(if,applicable)
4c
Type of impact
4d
Waterbody
type
'4e
Area of impact (acres)
01 T
Cope Sound
Dredging
Sound
05
02,
Choose,one
Choose
03
Choose one
Choose
04
Choose,one
Choose
4f Total open water impacts
05
4g Comments
5. Pond or Lake Construction
If pond or,lake construction proposed, the complete the chart,below
5a
Pond ID number
5b
Proposed use or
purpose'ofpond
`
5c
Wetland Impacts (acres)
5d
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Fifled
Excavated
P1
Choose one
P2
Choose one
5f Total.
5g Comments
5h Is a dam high hazard permit required?
; ❑ Yes ' ❑,No Ifyes, permit ID no
,51 Expected pond surface area (aces)
5j Size of pond - watershed (acres)
15k Method of construction
6. Buffer-Impacts (for DWQ)
If project will impact a protected npanan. buffer; then complete the chart below If yes, then individually list all buffer impacts
below _If an "im acts,require mitigation, then ou MUST fill out Section D-of this form
6a Project is in which protected basin?
❑ Neuse ❑ Tar - Pamlico ❑ Catawba, ❑ Randleman ,❑ Other
6b
Buffer Impact
number -
Permanent (P) or
Temporary T
6c
Reason for impact
6d
Stream name
6e
Buffer
mitigation
required?
6f
Zone 1
impact
(square
feet
6g
Zone 2
impact
(square
feet
61'
Yes /No
B2
Yes /No
B3
Yes /No
84
Yes /No
B5
Yes /No
B6
Yes /No
6h Total Buffer Impacts-
61' Comments
Page,5,of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts, in designing protect
Dredging will be limited to a small area within a currently used boat basin The dredged material will be disposed of'nearby within the'inienor of North
Core Banks
1b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
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 ❑X - No
2b If yes, mitigation is required by (check all that apply)
❑ bWQ ❑ Corps
2c - If yes,, which mitigation option will be used for this
project?
❑ Mitigation bank
El Payment,to in-lieu fee program
❑ Permittee, Responsible Mitigation
3. Complete If Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and,letter)
l
Type Choose one
Type Choose one
Type �Choose.one
Quantity
Quantity
Quantity
3c Comments
4. Complete if Makin ,a Payment to,ln -lieu Fee.PrO ram
4a Approval,letter4rom in -'lieu feeMprdgram is attached
❑ Yes
4b Stream,mitigatioa requested
linear feet
4c If using,stream mitigation, stream temperature
Choose one `
,4d Buffer mitigation requested'(DWQ'only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non - riparian wetland mitigation requested
`acres
4g Coastal (tidal)'wetland mitigation requested
acres
4h Comments
5. Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
Page 6 of 10
PCN Form — Version 1 4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) --required by DWQ
6a Will the protect result in an impact within a protected riparian buffer that requires
buffer mitigation?
Yes X No
6b _ If yes, then identify the square feet,of impact to each zone of 4he riparian buffer that requires mitigation Calculate the
amount;of mitigatiowregwred
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation, required:
6g If buffer mitigation is required, discuss what,type ofImitigation ^is proposed (e g ,,payment, to private` mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee,fund)
6h, Comments
Page 7 of 10

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1a
Does the project include.or is it adjacent to protected riparian buffers identified
❑ Yes © No
within one of the NC Riparian Buffer Protection Rules?
1b
If yes, then is a diffuse flow plan included? If no, explain why
❑ Yes ❑ No
'2.
Stormwater Management Plan
2a
What is the overall percent imperviousness of this,project?
0%
2b Does,this project require a Stormwater Management Plan?
❑ Yes ❑X No
2c
If'this project DOES NOT require a.Stormwater Management Plan,, explain why
2d
If this, project DOES require a Stormwater Management, Plan, then provide a brief, narrative descnp ion of the plan
2e
Who wilkbe responsible fof the review-of the Stormwater Management Plan?
3.
Certified Local Government Stormwater Review
'3a
In which local government's I urisdiction is this project?
❑ Phase II
3b
Which of the following locally - implemented stormwater management programs
❑ NSW
apply (check all that apply)
❑ USMP
❑ Water Supply,Watershed
❑ Other
;3c
Has the approved Stormwater Management Plan with proof of approval been
❑Yes ❑ No
attached?
4.
DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a
Which of the following state - implemented stormwater management programs apply
ORW
(check all that apply)
HSession Law 2006 -246
_T
[-]Other
4b
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes [] No
attached?
5.
DWQ 401 Unit, Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been met?
❑,Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1.
Environmental "Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federal /state /local) funds or the ,
0 Yes
❑ No
use of public (federal /state) land
1b
If you answered "yes" to the above, does the project require preparation,of an
environmental document,,pursuant to the requirements of the National or State
= ❑X Yes
❑'No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c
If you answered "yes" to,the above, has the document review been finalized by,the
State Clearing House? (If so, attach a copy of -the NEPA or SEPA final approval
letter
❑ Yes
©No
)
Comments
2.
Violations (DWQ Requirement)
2a_
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
Wetland Rules ( -15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
❑Yes
❑X No
or Riparnan'Buffer Rule s,(15A NCAC 2B 0200)?
2b
Is'this an after - the -fact permit application?
El Yes
© No
2c
If you answered ",yes" to one orlboth of the above questions, provide an explanatiowof the violation(s)_
3.
Cumulative Impacts (DWQ Requirement)
3a
Will this project (based on past,and reasonably anticipated future impacts) result in
QYes
©'Nv
additional development, which could impact nearby downstream water quality ?'
3b,
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact�analysis,in accordance with the
most recent DWQ,policy If you answered '•no, "provide a short narrative description
4.
Sewage Disposal (DWQ Requirement)
4a
Clearly detail,the,ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility
n/a
P6ge\9,of 10
'PCN Form — Version,1.4 January 2009

S. Endangered Species.and Designated Critical Habitat (Corps Requirement).
5a Will this project occur in orneair an area,with federally protected spec_les or
habitat?
Yes ' No
® ❑
5b Have you checked with the USI V WS concerning Endangered Species Act
impacts?
® Yes ❑ No
5c If yes, indicate the,USFWS Field`Office you have contacted
Raleigh
5d What data sources did you use to determine whether yoursite ,' would impact Endangered Species or Designated 'Critical
Habitat?
6. Essential Fish Habitat (Corps - Requirement) , '
6a Will this project occur in or near an area designated as essential fish habitats
®Yes ❑ No
6b What data'sources did you use to determine whether your site Would impact Essential Fish Habitat?
The -area has been dredged in the past and has been used for ferry operations on a routine basis }
7. Historic or Prehistoric Cultural Resources (CorpsAtiquirement),
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
❑ Yes ❑X No
status (e g , National Historic Trust designation or properties,significant in
North Carolina, history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources'?
8. Flood Zone Designation (Corps Requirement)
8a WIII this project occur in a FEMA- designated 100 -year floodplain?
❑X Yes ❑ No
8b If yes, explain how project meets FEMA requirements
8c WhaLsource(s) did you use to make the'floodplain determin on,)
FEMA FIRM 3720842200)
Patrick M Kenney
�� �p •
®Y ,
Applicant/Agent's Printed Name
Date
App*fcandAlfenrs Sig ature
(Agent's signature is valid only if an authorization
letter from the applicant is provided
Page 10 of 10
J

Cape Lookout National Seashore National Park Service
North Carolina U.S. Department of the Interior