20141089 Ver 1_401 Application_20141014

October 11, 2014 1,$ PAID 20141089
To Whom it May Concern,
The buyers for property 118 Teufen Road, New Bern, NC (Taberna of 373) need more
highland /non wetland to accommodate the house and the driveway and meet the deed and
covenant restrictions for this housing development. The garage on the property is required to
face to the side. They are asking for an extra 3,970 ft2 or ,091 acres of the wetlands to
accomplish this.
If you will look at the attached plat map the needed space is from the existing wetland line to a
point 15' from the left property line and 110' from the curb.
I have attached a copy of the plat map showing where the requested permit is needed.
Please let us know if you have any questions.
Th7y. cam
Rick Young
RECEIVED
OCT 14 2014
252- 497 -8831
DENR -LAND QUALITY
STORMWATER PERMITTING

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the Corps:
❑X Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 18 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑X Yes ❑ No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑X No
For the record only for Corps Permit:
❑ Yes ❑X 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 ❑X No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑x Yes ❑ No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑X No
2.
Project Information
2a.
Name of project:
118 Teufen OtEGENED
2b.
County:
Craven
2c.
Nearest municipality / town:
New Bern OCT 14 2014
2d.
Subdivision name:
Taberna
2e.
NCDOT only, T.I.P. or state project no:
NA STORMWATER PERMITTING
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Sylvester L and Linda J. Ebron
3b.
Deed Book and Page No.
2138/0786
3c.
Responsible Party (for LLC if
applicable):
NA
3d.
Street address:
PO Box 3548
3e.
City, state, zip:
Frederick, MD 21705
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent X❑ Other, specify Buyer
4b
Name,
Hollis R Brinklow
4c
Business name
(if applicable)
NA
_
4d
rStreet address
40 Creighton Court
4e
City, state, zip
Martinsburg, WV 25404
4f
Telephone no
304 - 274 -1785
4g
Fax no
NA
4h
Email address
buckray3' @frontier,com
5
Agent/Consultant Information (if applicable)
5a
Name
Rick Young /Susan Young (agent)
5b
Business name
(if'apphcable)
NA
5c
Street address
111 Felicity Ln
5d
City, state, zip
New Bern, NC 28562
5e
Telephone no
252-497-8831/252= 5118-5817
5f
Fax no
NA
5g
Email address
ryoung 60,p @gmail com /mrs ryoung81 @g-mail com
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1a
Property identification no (tax PIN or'parcel,ID)
7- 300 -5-373
1 b
Site coordinates (in decimal degrees)
Latitude Longitude
1c
Property size
094 acres
2.
Surface Waters
2a
Name,of nearest body of water to proposed project
Brices Creek
2b
Water Quality Classification, of nearest receiving water
NA
2c
River basin
Neuse
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
Subdivision'lot in Taberna Need 10 of an acre to buildidnveway'on
3b
List the total estimated acreage of all existing wetlands on the property' 0 47
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
Not enough buildable high ground to build home amenities and pertinent structures
3e Describe the overall projechn detail, including the type of equipment to be4used
Use Clean fill,matenal inwetland and typical equipment,used for that activity (bull dozer- backhoe etc )
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,?
❑X Yes ❑ No ❑ Unknown
Comments
4b
If the Corps made the jurisdictional determination, what type
of determination was made
❑ Preliminary ❑ Final
4c
If yes, who delineated the jurisdictional areas?
Name (if known) "Wetland approved by Corp
Agency /Consultant Company
Other NA
4d- If yes-, list the dates of the Corps'jurisdictional determinations or State determinations and attach documentation
Not Known
5.
Project History
5a
Have permits or certifications been requested or obtained for
this project (including all ,prior phases) in the past
El Yes ❑ No MX Unknown
5b
NA
If yes, explain in detail according to "help file" instructions
6.
Future Project Plans
6a
Is this a phased project?
❑ Yes ❑X No
6b
If yes, `explain
Page 3 of 10
PCN Form — Version 1 4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
Ta Which sections were completed,below for your project (check all that apply)
❑X 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
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 1
Fill
Rivenne Swamp Forest
Yes
both
01
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
'2g Total Wetland Impacts
0 1
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
Stream Impact
number
Permanent (P) or
Temporary (T)
3b
Type of impact
3c
Stream name
3d
Perennial (PER) or
Intermittent (INT)?
3e
Type of
jurisdiction
3f
Average
stream
width
(feet)
39
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
NA
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 US then individually 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
Choose one
Choose
O2
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f Total open water impacts
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
purposeof pond
5c,
Wetland Impacts (acres)
5d
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f Total
5g 'Comments
5h Is a dam high hazard permit required?
❑ Yes ❑ No If'yes, permit ID no
Bi Expected pond surface',area (acres)
5j Size of pond watershed (acres),
5k Method of construction
6. Buffer Impacts (for DW,Q)
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 this1orm
'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
B1
Yes /No
62
Yes /No
B3
Yes /No
'B4
'Yes /No
B5
Yes /No
B6
Yes /No
6h Total Buffer Impacts.
,61 Comments NA
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 project
Filling minimal amount of land to construct a buildable lot
1 b Specifically describe measures taken to avoid or minimize,the proposed impacts through construction techniques
Installation of sdt,fence at base of fill area
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 ❑X Corps
1
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
3b Credits Purchased (attach receipt and letter)
Type Choose one
Type Choose one
Type Choose one
Quantity
Quantity
Quantity
NA
3c Comments
4.
Complete if Makin ,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
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 NA
5.
Complete if Using a Permittee Responsible Mitigation Plan
5a
NA
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 project result in an impact within a protected riparian buffer that requires
Yes QX 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
15
6f Total buffer mitigation required-
6g If buffer,mitigation is required, discuss what,ty,pe of mitigation is proposed (e g , payment,to private mitigation bank,
permittee responsible riparian buffer restoration, payment info 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
1 a
Does the project include or is it adjacent to protected riparian buffers identified
within one of the,NC Riparian Buffer Protection Rules?
❑ Yes ❑X No
-
1 b
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?
15 %
2b
Does this project require a Stormwater Man a ement Plan?
❑ Yes No
2c If this project DOES NOT require a Stormwater Management Plan, explain why
I
Already exists for Taberna
2d
I
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of "the plan
i
2e
Who,will'be responsible for -the review of the Stormwater Management Plan?
DwR
3
Certified Local Government Stormwater, Review
3a
In which local governm6nCs jurisdiction is this project?
NA
3b
Which of the following locally - implemented) stormwater management programs
apply (check alLthat apply)
❑ Phase II
❑ NSW
❑ USMP
❑ Water Supply Watershed
❑ Other
3c
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑X Yes ❑ No
4.
DWQ Stormwater^Pro -ram Review _
4a'
Which of the following state - implemented stormwater management programs apply
(check all that apply)
I
OCoastal counties
❑HOW
❑0 R
[]Session Law 2006 -246
❑ Other
4b
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑X Yes ❑ No
5.
DWQ 401 Unit Stormwater Review
5a
i
Does the Stormwater Management Plan meet the appropriate requirements?
❑X Yes ❑ No
5b
Have allaof the 401 Unit submittal requirements been met?
❑X 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 involvewan expenditure of,public (federal /state /local) funds or the
❑ Ye -s
❑X No
use of public'(fed'eral /state) land?
1 b
If you answered "yes" to the above, does the project require preparation of an
❑Yes
❑ No
environmental document pursuant to-the requirements of the National or State
(North Carolina) Environmental PolicyAct (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 of SEPA final approval
❑ Yes
❑ No
letter )
Comments
2
Violations (DWQ Requirement)
2a
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
❑ Yes
❑X No
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after - the -fact permit application?
❑ Yes
❑X 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
E] Yes
❑x No
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
Public
Sewer
Page 9 of 10
PCN Form — Version 1 4 January 2009

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 ❑X No
5b Have you checked with the USFWS concerning Endangered Species Act
impacts?
❑ Yes ❑X No
5c If yes, Indicate the USFWS Field Office you have contacted
-
5d What data ^sources did you use to determine whether your site 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 habitat?
❑ Yes ❑X No
6b What data sources did you use to determine whether'your site would Impact 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 (e_g , National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
❑ Yes ❑X N'o
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
NA
8. Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes ❑X No
8b If yes, explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination?
Local Board MLS
Appllcant%Agent's'Printed Name,
Date
Applicant/Agent's Signature
(Agent's signature is-valid only if an authorization
letter from the applicant is provided )
Page 1,0 of 1`0

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Jurisdictional 'Determination Request
PROPERTY OWNER CERTIFICATION
,,the undersigned, a duly authorized owner of record of the property /properties identified herein,
o authorizeirepresentatives of the Wilmington District, U.S. Army Corps of Engineers (Corps)
enter upon,the property 'herein described for'the purpose of conducting on -site investigations
nd issuing a determination associated with Waters of the U.S. subject to,Federal junsdiction
nder Section 404, of the Clean, Water Act and/or Section 10 of the Divers and Harbors Act of
899.
, SYLVESTER L & LINDA J
Owner (please print)
9/1 "5/2014
Date
Propdty Owner Signature
E. JURISIDICTIONAL (DETERMINATION TYPE
i
Select One:
{
LJI am requesting that the Corps provide,a preliminary JD for the property identified herem.
This request does include a delineation.
I I am requesting that the,Corps provide a preliminary JD ,for the property identified herein.
I This request does NOT include a delineation.
MI am requesting that the Corps investigate the,property /project area for the presence or
absence of WoUS5 and provide an MXMved.JD for the property identified herein. This
request does NOT ,include a,request for a verified delineation.
PUI LAJ I aiia requesting that the Corps delineate the boundaries of all WoUS on a property /project
I atea,and provide an approved JD (this may or may not include a survey plat).
I
® I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted,
by others) owa property/project areayand provide an aa2provedJD (may or may not
include a survey plat).
S For NCDOT requests following the current'MCDOT /USAGE protocols, skip to Part E.
i Waters of the'tlnited States
Version: December,2013 Page 4
L d ecsz Lte LO£ N08931 a80 670 bL 96 daS

I
Parcel ID
Owner:
Mailing Address :
Property Address:
Descriotion :
Lot DesdI ription
Craven County Geographic Information System
Craven County does NOT warrant the Information ishown on this page and should be,used ONLY for tax assessment purposes.
This report was created by Craven County GIS reporting services on 9/15/2014 10 42 36 AM
7 -300 -5 -373
EBRON, SYLVESTER L & LINDA J
PO BOX 3548 FREDERICK MD'21705
118 TEUFEN RD
LOT 373 TABERNA PH V 1ST ADDITION 1 1t2
188.15 X223.1,6 IRR
Assessetl Acreage: 0.940
Deed Reference: 2138 -0786
Recorded Survey : G -1 62 =C
Estate Number :
Calculated Acreage: 0.940
Recorded Date: 1 20 2004
Land Value : $75,000 Tax Exempt: No
Improve Iment Value $0 # of Improvements : 0
Total Value: $75,000
City Na e: NEW BERN Fire tax District
Drainage l District : Special District:
Land us I : VACANT- RESIDENTIAL TRACT
I Recent Sales Information
SALE DATI Sellers Name Buyers Name Sale Type Sale Price
1/20/2004 WEYERHAEUSER'REAL EBRON, SYLVESTER L & STRAIGHT $43,000
ESTATE, LINDA J TRANSFER
List of Improvements to Site
No improvements listed-for this parcel