20150034 Ver 1_401 Application_20150115

January 12, 2015
SEPI Project # WR15.001.00
TO,
Bill Biddlecome
U S Army Corps of Engineers
Wilmington Regulatory Field Office
69 Darlington Avenue
Wilmington, North Carolina 28403
From Jason Hales
SEPI Engineering & Construction
5030 New Centre Drive, Suite B
Wilmington, NC 28403
20150034
F= @ P= ow- P=
JAN 1 2 2015
Li
DENR - WATER RESOURCES
Roberto Scheller
NCDENR — DWR
Washington Regional Office
943 Washington Square Mall
Washington, NC 27889
Re: Contentnea Creek Emergency Shoreline Stabilization
Eastern bank of Contentnea Creek Town of Hookerton, Greene County, NC
SEPI Engineering and Construction is pleased to submit on the behalf of the Town of
Hookerton a request for use of USACE general permit #197800080 and NCDWR water
quality certification #3885 for installation of a rip rap revetment along the east bank
of Contentnea Creek adjacent to the Town of Hookerton's waste water pond #1
(Figures 1 -3) We would also like to request a buffer authorization certificate for this
project located in the Neuse River Basin The eastern shoreline of Contentnea Creek
(NC SID 27- 86- (7)b2; Class C, Sw, NSW) is experiencing rapid erosion and is
threatening the structural integrity of the walls of water water lagoon #1 This
stabilization is an emergency repair to protect the infrastructure
Work will include clearing and grading the slope at no greater than a 1 5 1 slope and
installing —50 linear feet of rip rap revetment along the shoreline The rip rap will be
installed above and below the ordinary high water mark (OHMW) Flow rate and water
surface elevation data at USGS gauging station #02091500 on Contentnea Creek at
Hookerton were used to calculate the OHWM. Using the average discharge of a "two
year" storm event the OHWM elevation at the site is 15' The revetment structure will
be approximately 50' long x 41' wide There will be —500 sq. ft (50' x 10') below the
OHWM and 1550 sq ft (50' x 31') above the OHWM Dump trucks and excavators
will be used for the revetment placement and material movement. Vegetation will be
hand cleared from the bank in the repair area Geotextile fabric will be installed on the
cleared and graded slope prior to revetment installation Rip rap stone size 24" to 36"
shall be used to form the toe of slope They will be keyed in a minimum of 2' below
the stream bed and placed no further than 10' waterward of the OHWM Clean class II

rip rap, concrete slabs and crushed concrete will then be placed a minimum of 2' thick
up to the top of bank No rebar or reinforcing wire shall protrude from the recycled
concrete slabs and crushed concrete. The estimated quantities of revetment structure
materials to be placed are —150 tons of rip rap (granite) below OHWM, —300 tons of
rip rap (granite) above OHWM, —50 tons of washed stone (crushed concrete), —125
square yards of geotextde fabric liner and recycled concrete slabs as placement allows
Equipment will not work in or cross any wetlands All revetment and construction
materials will be stored on uplands "In water work" will be approximately 5 days in
duration
The repair work will be conducted as discussed on 1/7/2015 by NCDWR (Robert
Tankard and Roberto Scheller), Hookerton (Angie Tooley and Bobby Tripp) and SEPI
(Jason Hales, David Webb and Amber Greune) Included in this packet are the
following items
1) GIS Figures including. Vicinity map, USGS topo map and aerial map
2) Photos of the site
3) Schematic plan and cross section view of construction plans
4) Agent Authorization Form
We appreciate the opportunity to work with you. Please contact us if you have any
questions regarding the information we have provided
Sincerely,
SEPI Engineering & Construction
Jason Hales
Environmental Project Manager
SEPI Engineering and Construction
5030 New Centre Drive, Suite B
Wilmington, NC 28403
910 - 633 -6921
2

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Legend
Project Area
Ho c ke rt o n
1 0 875 1.750 3.500 Feet
Figure 1. Hookerton Vicinity Map.
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EPI Figure 1. Vicinity
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Legend
Project Area " f SEPI Hookerton
S
E NOI NEERINB s Figure 2. USGS Topo 1982
C O N S T R U C T I O N
0 700 1.400 2.800 Feet
Figure 2. Hookerton USGS Topo Map 1982.
4

a

Photo 1. Hookerton Pond #1 / Contentnea Creek looking north.
Photo 2. Hookerton / Contentnea Creek looking northeast.

PLAN VIEW
PROPOSED
GEOTEXTILE FABRIC
CLASS II RIP RAP
ALONG PROPOSED SLOPE
(1.5:1 OR FLATTER)
PROPOSED RECYCLED
CONCRETE SLABS
(APPROX. 8" THICK)
OHW
1o' MAX. ENCROACHMENT
FROM ORDINARY HIGH
WATER ELEVATION OF 15'
KEY IN 2' MIN.
EXISTING
GROUND
PROPOSED WASHED STONE OR
CRUSHED RECYCLED CONCRETE
TOP OF BERM
CROSS SECTION
NTS
GENERAL NOTES:
1. PROJECT NOT SURVEYED. PLAN VIEW AND
CROSS SECTION TO BE CONSIDERED SCHEMATIC
EXHIBIT ONLY.
2. WORK TO BE CONDUCTED AS EMERGENCY
REPAIR PER 1/7/15 NCDWR, TRIPP BROTHERS
(CONTRACTOR), TOWN OF HOOKERTON (OWNER) &
SEPI (ENGINEER) SITE VISIT DISCUSSION &
PROJECT NARRATIVE ATTACHED TO USACE
GENERAL PERMIT NO. 197800080.
3. SHOWN DATA FROM GIS SPATIAL DATA, SITE
VISIT, AND AERIAL PHOTOGRAPHY.
CONSTRUCTION NOTES:
1. GEOTEXTILE FABRIC SHALL BE INSTALLED
ON CLEARED AND GRUBBED SLOPE PRIOR TO
INSTALLATION OF WASHED STONE OR RECYCLED
CONCRETE.
2. RECYCLED CONCRETE SLABS MAY BE USED TO
FORM REVETMENT, HOWEVER NO REBAR OR
REINFORCING WIRE SHALL PROTRUDE FROM
SLABS.
3. RAP STONE SIZE 24" TO 36" SHALL BE USED TO
FORM THE TOE OF SLOPE AND KEYED IN A
MINIMUM OF 2' BELOW THE STREAM BED. CLASS II
RIP RAP AND RECYCLED CONCRETE SHALL BE
PLACED A MINIMUM OF 2' THICK UPSLOPE TO
FORM THE REVETMENT. REVETMENT STRUCTURE
WILL BE LOCATED NO FURTHER THAN 10 FEET
WATERWARD OF THE ORDINARY HIGH WATER
MARK.
4. REVETMENT SLOPE SHALL BE 1-5'(H): 1' (V)
OR FLATTER
5. NO GRUBBING OF STREAM BANKS IS
ALLOWED BEYOND THE 5o' EMERGENCY REPAIR
PROJECT AREA. LAND CLEARING FOR ACCESS TO
SITE SHALL BE LIMITED TO HAND CLEARING.
6. HEAVY EQUIPMENT ACCESS TO THE PROJECT
AREA SHALL NOT TRAVERSE ANY PART OF THE
WASTEWATER LAGOON BERMS.
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Office Use Only
Corps action ID no
DWQ project no
Form Version 13 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
la
Type(s) of approval sought from the
Corps
® Section 404 Permit ❑ Section 10 Permit
1b Specify Nationwide Permit (NWP) number or General Permit (GP) number #197800080
1 c
Has the ,NWP or GP number been verified by the Corps?
® Yes ❑ No
Id
Type(s) of approval sought from the DWQ (check all that apply)
® 401 Water Quality Cerbficabon — 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 ❑ 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
Contentnea Creek Emergency Bank Stabilization
2b
County
Greene
2c
Nearest municipality / town
Hookerton
2d
Subdivision name:
NA
2e
NCDOT only, T 1 P or state
project no
3.
Owner Information
3a
Name(s) on Recorded Deed
Town of Hookerton
3b
Deed Book and Page No
Book 351, Page 330
3c
Responsible Party (for LLC if
applicable).
Town of Hookerton
3d
Street address.
945 HWY 123 N
3e
City, state, zip
Hookerton, NC 28538
3f
Telephone no
252 - 747 -3816
3g
Fax no
252 - 747 -8131
3h
Email address
ahbaker @embargmail com
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 Mayor
4b
Name
Robert Taylor (Mayor)
4c
Business name
(if applicable)
Town of Hookerton
4d'
Street address
945 HWY 123 N
4e
City, state, zip
Hookerton, NC 28538
4f
Telephone no.
252 - 747 -3816
4g
Fax no
252 - 747 -8131
4h
Email address
ahbaker @embargmail com
5.
Agent/Consultant Information (if applicable)
5a
Name
Jason Hales
5b
Business name
(if applicable)
SEPI Engineering and Construction
5c
Street address
5030 New Centre Drive, Suite B
5d
City, state, zip
Wilmington NC, 28403
5e
Telephone no
910 -633 -6921
5f
Fax no
910 - 523 -5716
5g
Email address
shales @sepiengmeenng com
Page 2 of 11
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)-
Parcel ID 0623058
1b Site coordinates (in decimal degrees)
Latitude 35 428418 Longitude -77 589886
(DD DDDDDD) ( -DD DDDDDD)
1 c Property size
44 99 acres
2. Surface Waters
2a Name of nearest body of water (stream, river, etc ) to
Contentnea Creek NC SID 27- 8647)b2
proposed project
2b Water Quality Classification of nearest receiving water
C, Sw, NSW
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
The site consists of the Town of Hookerton's waste water treatment facility. There are three open water lagoons and
twelve greenhouses with an access road and protective fencing Land use in the vicinity of the project is primarily
residential and agricultural The bank of Contentnea Creek adjacent to lagoon #1 is experiencing rapid erosion.and is
threatening the structural integrity of the lagoon wall An emergency repair is needed to prevent a potential breach.
(additional information in attached cover letter and figures)
3b List the total estimated acreage of all existing wetlands on the property
—2389.
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
—738'
3d Explain the purpose of the proposed project
Emergency shoreline protection along the bank of Contentnea Creek adjacent to Hookerton's waste water lagoon #1
3e Describe the overall project in detail, including the type of equipment to be used
Project,mvolves placement`of —50 linear feet of np rap revetment shoreline protection along the bank of Contentnea
Creek The revetment materials will include 24" x 36" granite stone, class II granite stone, some recycled concrete slab
pieces and crushed'concrete Dump trucks and excavators will be used for material transport and revetment placement
The vegetation will be hand grubbed and loose stumps removed The bank will be graded to a 1 5 1 slope 24" x 36"
stone will be placed at the base of the revetment structure to "key" it in Clean class II np rap, concrete slabs, and crushed
concrete will then be placed a minimum of 2' thick up to the top of bank Geotextde filter fabric will be placed under the
revetment structure (additional information in attached cover letter and figures)
4. Jurisdictional Determinations
4a. Have junsdictional wetland or stream determinations by the
Corps or'State been requested or obtained for this property /
❑ Yes ® No ❑ Unknown
project (including all prior phases) in the past*7
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). Jason Hales
Other
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
Page 3 of 11
PCN Form — Version 13 December 10, 2008 Version

5.
Project History
5a
Have permits or certifications been requested or obtained for
this project (including all pnor phases) in the past?
Yes ® No ❑ Unknown
5b
if yes, explain in detail according to "help file" instructions
6.
Future Project Plans
6a
Is,this a phased project?
❑ Yes ® No
6b
If yes, explain
Not a phased project, but the USACE and the Town of Hookerton are studying long term solutions for Hookerton's waste
water treatment that may include a larger and more lengthy shoreline protection project
C. Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your project (check all that apply)
❑ Wetlands ® Streams - tributaries ® Buffers
❑ Open Waters ❑ Pond Construction
Page 4 of 11
PCN Form — Version 1.3 December 10, 2008 Version

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
❑ Yes
❑ Corps
W1 ❑ P ❑ T
Fill
PF01 /4A
❑,No
f ❑ DWQ
❑ Yes
❑ Corps
W2 ❑ P ❑ T
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
❑ Yes
❑ Corps
W4 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W5 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W6 ❑ P ❑ T
❑ No
❑ DWQ
2g. Total wetland impacts
2h Comments No wetland impacts
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 -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 SPOT
Shoreline
stabilization
Contentnea Creek
® PER
❑ INT
® Corps
® DWQ
15 -20'
—50'
❑ PER
❑ Corps
S2 ❑ P ❑ T
❑ INT
❑ DWQ
❑ PER
❑ Corps
S3 ❑ P ❑ T
❑.INT
❑ DWQ
❑ PER
❑ Corps
S4 ❑ P ❑ T
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
❑ PER
❑ Corps
S6 ❑ P ❑ T
❑ INT
❑ DWQ
3h Total stream and tributary impacts: —50'
31 Comments- Emergency shoreline stabilization
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 individually 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
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f. Total open�water impacts
4g Comments No open water impacts
5. Pond or Lake Construction
If Pond or lake construction proposed, the complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose of
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
number
pond
P1
P2
K Total
5g Comments
5h Is a dam high hazard permit required
❑ Yes ❑ No If yes, permit ID no
51 Expected pond surface area (acres),
5j Size of pond watershed (acres)
5k Method of construction
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, im acts require mitigation, then you MUST fill out Section D of this form
6a.
® Neuse ❑Tar- Pamlico ❑Other
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number=
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P)
for impact
Stream name
mibgabon
(square feet)
(square feet)
or Temporary T
re uired?
B1 ®P ❑ T
Shoreline
Contentnea Creek
❑ Yes
1550
protection
® No
❑Yes
B2 ❑P ❑T
❑ No
❑ Yes
B3 ❑ P ❑ T
❑ No
6h Total buffer impacts
[61
1550
Comments. Minimum impact for revetment placement Stream bank is highly eroded and threatening waste water lagoon
Page 6 of 11
PCN Form — Version 1 3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a Specifically descnbermeasures taken to avoid or minimize the proposed impacts in designing project
Project was designed to disturb the least area possible to adequately protect,the shoreline.m front of lagoon #1
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Equipment will not work in or cross any wetlands All revetment and construction materials will be stored on uplands Hand
clearing of vegetation along the bank of Contentnea Creek Filter fabric below the revetment In water work approximately 5
days
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 NA
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 - npanan 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 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
buffer mitigation?
❑ Yes ® No
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
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
15
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 in -lieu fee fund)
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 Protection Rules?
lb
If yes, then is a diffuse flow plan included? If no, explain why
❑ Yes No
Comments No structures Limited emergency shoreline protection
2.
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
NA
2b
Does this project require a Stormwater Management Plans
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan, explain why Minimal disturbance
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 Plans
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater,Review
3a
In which local government's junsdiction is this project?
❑ Phase II
❑ NSW
3b
Which of the following locally - implemented stormwater management programs
El
apply (check all that apply)
Water ❑ Water Suppiy Watershed
❑ Other
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached'?
4. DWQ Stormwater Program Review
❑ Coastal counties
❑ HOW
4a
Which of the following state - implemented stormwater management programs apply
❑ ORW
(check all that apply)
❑ Session Law 2006 -246
❑ Other NPDES
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 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
® Yes ❑ No
use of public (federal /state) land?
1 b 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 House? (If so, attach a copy of the NEPA or 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
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer 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
El Yes ® 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
This project will neither influence nearby land uses nor stimulate growth Therefore, a detailed indirect of cumulative
effects study will not be necessary
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
NA
Page 10 of 11
PCN Form —Version 1 3 December 10, 2008 Version

5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat'?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c If yes, indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat
The Natural Heritage Program (NHP) elemental occurrence data base does not show any federally threatened and
endangered species occurrences or habitat at the site The section of Contentnea Creek on -site is listed as habitat for
Carolina Madtom (Noturus funosus) a state endangered species and federal species of concern Habitat for the Neuse
River Waterdog (Necturus lewisi) a state species of concern begins in Contentnea Creek greater than 2 miles
downstream of the site The closest federally threatened or endangered species occurrence is potential habitat for the
West Indian Manatee (Trichechus manatus) beginning greater than 17 miles downstream at the confluence of
Contentnea Creek and the Neuse River
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?
NOAA Essential Fish Habitat Mapper v3 0
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
❑ Yes ® 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?
1/8/205 SEPI search of North Carolina State Historic Preservation Office HPOWEB GIS Service /mapper did not show any
listed historic properties http / /ois ncdcr gov /hpoweb/
8. Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA - designated 100 -year floodpiain?
® Yes ❑ No
8b If yes, explain how project meets FEMA requirements No structures proposed
8c. What source(s) did you use to make the floodplain determination? FEMA flood map
4 /e, -&
//�21Z,r
3-,
Applicant/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 11 of 11
PCN Form — Version 1 3 December 10, 2008 Version

TOWN OF HOOKERTON AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION
LOT N0. NIA PLAN NO. N/A PARCEL ID. 0623058
STREET ADDRESS. 945 HWY 123 North, Hookerton NC 28538
Please print
Property Owner, Town of Hookerton
Property Owner.
The undersigned, registered property owners of the above noted property, do hereby authorize
Jason Hales , of _ SEPI Engineering and Construction
(Contractor J Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above)
227 Main Street, P 0 Box 296, Hookerton NC, 28538
Telephone [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
)WS z �
Authorized Signa ure Authorized Signature
Date. Date