20141018 Ver 1_401 Application_20140924

-A
NCI
North Carolina Department of Environment and Natura
Pat McCrory
Governor
September 18, 2014
Ms. Karen Higgins
North Carolina Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699 -1617
RE: Water Quality Certification Request (General Certification 3883)
Bonarva Boardwalk Trail
Pettigrew State Park (Washington County)
Dear Ms. Higgins:
20141018
Resources
John E. Skvarla, III
Secretary
FSE2 4 2014 1
"" - vvglER RESOURCES
1 $ (3l1FFCC n - .....—
Enclosed are five copies of a completed application submittal package requesting a Water Quality
Certification (No. 3883) which corresponds to US Army Corps of Engineers ( USACE) General Permit
197800056. This application package consists of the following documentation: one completed PCN form,
two project area maps and five boardwalk drawings. Please also find the enclosed journal transfer
documentation indicating that payment of the $240 application fee has been transferred from the account of
the Division of Parks and Recreation (DPR) to the Division of Water Resources.
The proposed project involves the construction of a six foot wide boardwalk. The boardwalk will extend
from an existing trail over approximately 520' of wetland with an additional 100' of pier extending from the
shoreline to a 12'x12' wooden platform in Lake Phelps. The total square footage of this project will be 3744'
sq. The boardwalk will be manually constructed and pilings will be driven to a minimum of 5' below grade
using a light duty excavator. If unstable soils are encountered, removable mats will be utilized to minimize
ground disturbance. A boat will be used to deliver materials when necessary. Approximately 0,07 acres of
jurisdictional wetlands and 0.013 acres of open waters will be impacted by boardwalk construction.
DPR is concurrently submitting one copy of this permit application to Mr. Kyle Barnes of the USACE
Washington Field Office to request a General Permit Verification under GP Nationwide Permit 197800056.
Please contact me if you require any additional information.
Sincerely,
Justin Williamson
Environmental Review Coordinator
Division of Parks and Recreation, Natural Resources Program
North Carolina Department of Environment and Natural Resources
(919) 707 -9329 / justin.williamsonSu)ueparks.
1615 Mail Service Center. Raleigh, North Carolina 27699 -1615 NORTH CAROLINA STATE DARKS
Phone: 919 - 707 -93001 Internet: www.ncparks.gov Naluh zq Woallpiil
An Equal Opportunity 1 ANumative Action Employer - Made in part by recycled paper

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Office Use Only:
Corps action ID no.
DWO project no.
Form Version 1.3 Dec 10 2008
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version
Pre - Construction Notification PCN Form
A. Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit F1 Section 10 Permit
1b.
Specify Nationwide Permit (NWP) number: 42 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1d.
Type(s) of approval sought from the DWO (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1e.
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
1f.
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
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
® Yes
❑ No
1h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Pettigrew State Park - Bonarva RTP Trail & Boardwalk
2b.
County:
Tyrrell
2c.
Nearest municipality / town:
Creswell
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
State of North Carolina
3b.
Deed Book and Page No.
N/A
3c.
Responsible Party (for LLC if
applicable).
3d.
Street address:
MSC 1615
3e.
City, state, zip:
Raleigh, NC. 27699
311.
Telephone no.:
(919) 707 -9363
3g.
Fax no.:
(919) 733 -1431
3h.
Email address:
sue.regier @ncparks.gov
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if,different from owner)
4a
Applicant is
® Agent, ❑ Other, specify
_4b
Name
NCDENR, Division of Parks and Recreation (c /o Pettigrew State Park)
4c
Business name
(if applicable)
4d
Street address
MSC 1615
4e
City, state, zip
Raleigh, NC 27699 -1615
4f
Telephone no.
(919) 707 -9329
4g
Fax no.
(919) 715 -3085
4h
Email address
lustm.wdliamson @ncparks gov
5.
Agent/Consultant Information (if applicable)
5a
Name.
N/A
5b
Business name
(if applicable)
5c
Street address
5d
City, state, zip
5e
Telephone no
5f
Fax no.
5g
Email address
Page 2 of 1.1
PCN Form — Version 1 3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a Property identification no (tax PIN or parcel ID)
7774 - 194 -156
1b Site, coordinates (in decimal degrees)
Latitude 35 782 Longitude - 76 402
(DD'DDDDDD) ( -DD DDDDDD)
1c Property size
-5,580 acres
2. Surface Waters
2a Name of nearest body of water (stream, river, etc ) to
proposed project
Phelps Lake
2b Water Quality Classification of nearest receiving water
B,Sw,ORW
2c River basin
Pasquotank
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 trail is located near the northeastern portion of Phelps Lake and are within wooded wetland areas The boardwalk will
extend from existing trail, over wetland`s and over Lake Phelps General land use in the vicinity of the project is primarily
recreational within the Park boundaries General land use beyond'the Park boundaries is agnculturil and rural residential
3b List the total estimated acreage of all existing wetlands on the property
-280 acres (per NC DCM mapping) -
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
- 17,200' per USGS GIS mapping
3d Explain the purpose of the proposed project
The boardwalk & pier is being constructed to provide enhanced recreational activities for park visitors These activities
include hiking, fishing and swimming
3e Describe the overall project in detail, mcluding1he type of equipment to be-used
The proposed project involves the construction of a six foot wide boardwalk The boardwalk, will extend from an existing
trail over approximately 520' of wetland with an additional 100' of pier extending from the shoreline to a 12'x12 "wooden
platform in Lake Phelps The, total square footage of this project will be 3744' sq The boardwalk will be manually
constructed'and pilings will be driven to a minimum of,5' below grade using a light duty excavator If unstable sods are
encountered; removable mats will be utilized to minimize ground disturbance, A boat will be used to deliver materials
,when necessary
'4. Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
❑ Yes ® No ❑'Unknown
Comments
4b If the Corps made the jurisdictional determination, what type
❑ Preliminary ❑ Final
of determination was made?
4c If yes, who delineated the jurisdictional areas?
Agency /Consultant Company
Name (if•known) N/A
Other. -
4d If yes, list the dates of the Corps jurisdictional determinations or State-determinations and attach documentation
5 Project History
5a Have permits or certifications been requested or obtained for
❑ Yes No
® El Unknown
this project (including all ,pnor phases) in the past?
5b . If yes, explain in detail according to "help file" instructions
Page 3 of 11
PCN Form - Version 1 3 December 10, 2008 Version
fi

6. Future Project'Plans
6a Is this a phased project? ❑ Yes ® No
6b If yes, explain
Page 4 of 11
PCN Form —Version 1, 3 December 10, 2008 Version

C Proposed Impacts, Inventory
1 Impacts Summary
1a Which sections were, completed below for your prolect;(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 for each wetland area impacted
2a
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ®P ❑ T
Shading -
Boardwalk,
Swamp Forest
® Yes
E:1 No
® Corps
❑DWQ
07
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ p ❑ T
❑ Yes
❑ Corps
El-No
❑_DWO
W5 ❑P ❑T
El Yes
El Corps
❑ No
❑ DWQ
W6 ❑ P,❑ T
❑ Yes
❑'Corps
❑ No
❑DWQ
2g. Total wetland impacts
07
2h Comments
3. Stream Impacts -
If`there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for.all stream sites impacted.
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number-
Permanent (P),or
(PER) or
intermittent
(Corps - 404, 10
DWQ — non -404,
stream
width
length
(linear
Temporary,J),
(WT)?
other)
(feet)
feet)
S1 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ ,Corps
❑ INT
❑ DWQ
S4 ❑ P' ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h Total stream.and tributary imp_ acts
0
31 Comments ,N /A
Page 5 of 11
PCN Form — Version 1 3 December 10, 2008 Version

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 indiwdually'list,all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary (T
01 ®P ❑ T
Lake Phelps
Shading - Pier
Lake
013
02 ® P ❑ T
Lake Phelps
Shading - Boat Dock
Lake
003
03 ❑P ❑T
04 ❑P ❑T
417. Total open water impacts
0.0,16
4g Comments N/A
5. Pond ortake Construction
If pond or lake construction proposed, then complete the chart below
5a
5b
5c
5d
5e
Pond ID
Proposed use or purpose
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
number
of pond
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g Comment's N/A
5h Is a dam high hazard permit required?
❑'Yes ❑ No If yes, permit ID no
51 Expected pond surface area (acres)
N/A
5j Size of pond watershed (acres)
N/A
5k Method of construction
NIA
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below If yes, then individually list all buffer impacts
'below
If any impacts require mitigation, then you MUST fill out Section D of this form
6a.
❑ Neuse ❑ Tar - Pamlico ® Other
Project is,m which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6j
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square,feet)
(square feet)
Tem orar T
impact
required?
B1 ❑,P ❑T
❑Yes
❑ No
B2 ❑ P ❑ T
❑ TYes
❑ No
B3 ❑P ❑T
El Yes
❑,No
6h Total buffer impacts
61 Comments
Page 6 of 11
PCN Form — Version 1 3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
la Specifically describe measures,taken to avoid or minimize the proposed impacts in designing project
A wooden boardwalk was decided upon to minimize ground disturbance throughout the wetland
1 b Specifically describe measures taken to,avoid or minimize the proposed,impacts through construction techniques
The'trail will be manually constructed with the exceptiomof pilings Matenals will be transported out to construction area using
carts on newly constructed boardwalk If unstable soils are encountered, removable mats -will be utilized to minimize ground
disturbance A boat will be used to deliver materials when necessary
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 ,yes, mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank NIA
3b Credits Purchased (attach receipt and letter)
Type
Quantity
3c Comments
4. Complete if Making a Payment to In -lieu Fee Program
4a Approval letter from in -lieu fee „program is attached
❑ Yes
4b Stream mitigation requested
linear feet
4c If using stream mitigation, stream temperature
❑ warm ❑ cool ❑cold
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
N/A
Page 7 of 11
PCN'Form — Version 1 3 December 10, 2008 Version

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in,an`impact within a protected riparian buffer that requires
❑ Yes ® No
buffer mitigation?
6b If yes, then,identify the square feet of impact to�each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
6c
6d-
6e
[Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(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 of mitigation is proposed (e g , payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved inAeu fee fund)
N/A
6h Comments
Page 8 of 11
PCN Form — Version 1 3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la Does,the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protecfion Rules'?
lb If yes; then is a diffuse flow plan included? If no; explain why
Comments
❑ Yes ❑ No
2. Stormwater Management Plan
2a What is the overall percent, Imperviousness of,this project ?,
<1 %
2b Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c If this project DOES-NOT require a Stormwater Management Plan, explain why Well Below Threshold
2d If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan
❑ Certified Local Government
2e Who will be responsible for the review,of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government;Stormwater Review
3a In which local government's jurisdiction is this project?
N/A
❑ Phase II
3b Which of the following locally - implemented stormwater management programs
°(check
❑ NSW
❑ USMP
apply all that apply)
❑ Water Supply Watershed
❑ Other
3c Has the,approved Stormwater Management'Plan with proof of approval been
❑ Yes E3 No
attached?
4. DWQ<Stormwater Program Review
❑ Coastal,counties
4a Which of the following state - implemented Stormwater management programs apply
❑
❑ HQW ORW
(check all that apply)
❑ Session Law 2006 -246
® Other- N/A
4b 'Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5. DWQ 401 Unit,Stormwater Review
5a Does the Stormwater Management Plan meet the appropriate °requirements?
El Yes ❑ No
5b Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 11
PCN Form — Version 1 3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation, (DWQ Requirement)
1a Does the project involve an expenditure of public (federal /state /local) funds or the
use of public (federal /state) land?
® Yes ❑ No
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
❑ 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 House2 (If so, attach a copy of the NEPA or SEPA final approval
letter )
0 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 ® No
or Riparian Buffet Rules ('15A NCAC 2B 0200)?
2b Is this an after - the -fact permit application?
❑ Yes ® No
2c If you answered "yes" to one or both of the -above questions, provide an explanation of the, violation(s)
3. Cumulative Impacts (DWQ Requirement)
3a Will this project,(based on past and reasonably anticipated future impacts) result in
additional development, which could impact nearby downstream,wafer quality?
❑ Yes ® No
3b If you answered "yes" to thezabove, 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
Page 10 of 11
PCN Form — Version 1 3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will thisiprotect occur in or near an, area with federally protected species or
habitat? ❑ Yes ® No
5b Have you checkediwith the USFWS concerning Endangered SpecimAct
impacts? ❑ Yes ® No
Sc If yes, indicate the USFWS Field Office you have contacted. I El Raleigh
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or, Designated Critical
Habitat?
GIS file provided'by the NC-Natural Heritage Program (NHP)
6. Essential "Fish Habitat (Corps Requirement)
6a. Will this protect occur in or,near an area designated -as essential fish habitat? I ❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA Essential Fish Habitat Mapper- http: / /www habitat.noaa gov / protection /efh /efhmapper /indez.html
7. Historic or,Prehistoric Cultural Resources (Corps Requirement)
7a. Will this protect,occu-r in or near an area that the state, federal,or, tribal
governments have designated as,having historic or cultural preservation
status (e g , National .Historic Trust designation or properties significant'in ❑ Yes ® No
North Carolina History and archaeology)?
7b What- data,sources did you use to determine °whether your site would impact historic or archeological resources?
NC SHPO GIS Web SeNice-http : / /gis.ncdcr gov /hpoweb/
8. Flood Z666,13esi6nation (Corps Requirement)
8a. Will this protect occur in a FEMA- designated 100 -year floodplain0 ❑ Yes ® No
8b If yes, explain how protect meets FEMA requirements
8c What source(s) did you use to make the floodplain determination? GIS data provided by http: / /www ricfloodmaps com/
Justin Williamson / 9/24/14
Applicant/Agent's Printed Name ApplicanUAgent's Signature Date
(Age signature is' valid only 64n authorization letter from the applicant
is orovided l
Page 1 1 of 11
PCN Form - Version 1 3 December 10, 2008 Version

OSC -313 REFERENCE #999 -
Signature:
REQUEST FOR TRANSFER OF FUNDS BETWEEN
BUDGET CODES
DATE: 9119/2014
Please transfer funds between the budget codes indicated below:
From:
IM
Budget Code:
14300
24300
Amount:
$240.00
$240.00
Controller, DENR

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DIVISION OF PARKS AND RECREATION
September 18, 2014
MEMORANDUI1*1
TO: Tammy Dodd
FROM: Brian Strong r
CC: Doug LeQuire
Justin Williamson
SUBJECT: PETT Bonarva Trail Boardwalk - Request for Funds Transfer for DWQ
Water Quality Certification
Pettigrew State Park (PETT) is in need of a DWQ Water Quality Certification (WQC) for
impacts to wetlands and open waters associated with construction of a boardwalk, pier, and boat
dock. The overall project consists of the construction of approximately 632 feet of wooden
boardwalk that will provide enhanced recreational opportunities for Park visitors through
wetland natural communities. The majority of proposed trail construction will be conducted by
Park staff and seasonal employees, with assistance from volunteers on an as- needed basis.
Please prepare a fund transfer fomi in the amount of $240 payable to the NC Division of Water
Resources to cover the administrative fee for the processing of this WQC request. The WQC is
required as part of a permit application that will be submitted to the US Army Corps of
Engineers for this project.

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USGS 7.5' Quad - Creswell 2013 6a4w
Justin Williamson
9/15/14

Lake Phelps
NORTH CAROLINA
STATE PARKS