20221777 Ver 1_ePCN Application_20221216

DWR
Division of Water Resources
Initial Review
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
Pre -Filing Meeting Date Request was submitted on:
12/16/2022
BIMS # Assigned * Version#*
20221777 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Robert Tankard:eads\rbtankard
Information for Initial Review
la. Name of project:
COOURTESY COPY 1129 Carotank Drive
la. Who is the Primary Contact?*
Troy Murphy
Reviewing Office*
Washington Regional Office - [phone]
1 b. Primary Contact Email:* lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
12/16/2022
Nearest Body of Water
Currituck Sound
Basin
Pasquotank
Water Classification
SC
Site Coordinates
Latitude:
36.377908
A. Processing Information
County (or Counties) where the project is located:
Currituck
Is this a NCDMS Project
Yes No
Is this project a public transportation project? *
Yes No
Longitude:
-75.831939

la. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
Yes
No
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 18 - Minor Discharges
NWP Numbers (for multiple NWPS):
ld. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
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:
1f. Is this an after -the -fact permit application?*
Yes No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1 h. Is the project located in any of NC's twenty coastal counties?
Yes No
1 i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
Id. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
Corolla Education Foundation
2b. Deed book and page no.:
DB 1714, PG 644
2c. Contact Person:
Bryan W. Daggett
401 Water Quality Certification - Express
Riparian Buffer Authorization
Unknown
Yes No
Yes No

2d. Address
Street Address
PO Box 215
Address Line 2
City
Corolla
Postal / Zip Code
27927
2e. Telephone Number:
[phone]
2g. Email Address: *
[e-mail]
C. Project Information and Prior Project History
State / Province / Region
NC
Country
USA
2f. Fax Number:
1. Project Information
1b. Subdivision name:
(if appropriate)
Corolla Village
lc. Nearest municipality / town:
Corolla
2. Project Identification
2a. Property Identification Number:
9937-21-5375
2c. Project Address
Street Address
1129 Carotank Drive
Address Line 2
City
Corolla
Postal / Zip Code
27927
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Currituck Sound
3b. Water Resources Classification of nearest receiving water: *
SC
3c. What river basin(s) is your project located in?*
Pasquotank
3d. Please provide the 12-digit HUC in which the project is located.
030102051305
4. Project Description and History
2b. Property size:
0.58
State / Province / Region
NC
Country
USA
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 site currently consists of a gravel parking lot. Adjacent properties include a school, single family residences, commercial properties, and undeveloped uplands and wetlands.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0.037
4g. List the total estimated linear feet of all existing streams on the property:
No streams present
4h. Explain the purpose of the proposed project: *
The proposed project consists on the construction of a new school house and associated septic system and parking. The nationwide permit is for the driveway crossing from Carotank
Drive into the property. This would require the filling of 625 SF of section 404 wetlands.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
Dumptrucks and skid steers will be used to place fill material for the proposed driveway. Silt fencing will be used to contain all fill. All material will be graded in a way to not promote
erosion. Once material is in place, all fill will be seeded and stabilized.

5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Brian Rubino
Quible & Associates P.C.
Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
Field Approved by Billy Standridge, December 2022
6. Future Project Plans
6a. Is this a phased project?*
Yes 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
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
Wetlands
Open Waters
2. Wetland Impacts
Streams -tributaries
Pond Construction
Buffers
2a. Site #* (?)
2a1 Reason (?)
2b. Impact type*(?)
2c. Type of W.*
2d. W. name
2e. Forested*
2f. Type of Jurisdicition*
(?)
2g. Impact
area*
1
Driveway Crossing
P
Small -Basin Wetland
Wetland
Yes
Corps
0.014
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.014
21. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
2g. Total Permanent Wetland Impact
0.014
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The impacts were limited to the smallest amount possible and still meet the county requirements for driveway widths and culverts.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Silt fence will be used to contain all fill, and material will be sloped and graded in a way not to promote erosion.
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
2c. If yes, mitigation is required by (check all that apply):
DWR Corps

2d. If yes, which mitigation option(s) 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:
Great Dismal Swamp Restoration Bank
3b. Credits Purchased/Requested (attach receipt and letter)
Type:
Non -riparian wetland
3c. Comments
Quantity:
0.028
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?
Yes No
If no, explain why:
No riparian buffers are present within the Pasquotank River Basin
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)?
Yes No
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?*
Yes 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.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No N/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?*
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No

5d. Is another Federal agency involved?*
Yes No Unknown
5e. Is this a DOT project located within Division's 1-8?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NC Natural Heritage Program
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? *
No surface waters will be impacted.
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?*
National Register of Historic Places
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:
This type of development is allowable within the AE flood zone if the buildings first floor elevation exceeds the base flood elevation.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood 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
P11079.1-PJD EXHIBIT-11x17.pdf
USGS-COROLLA.pdf
NRCS_Soil_Map.pdf
P11079.1-GRADING & DRAINAGE-121522.pdf
Agent Auth-Signed-121622.pdf
File must be PDF or KMZ
Comments
Signature
By checking the box and signing below, I certify that:
551.95KB
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• 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:
Troy Murphy
Signature
Date
12/16/2022

RE: 1129 Carotank Dr.
Corolla, Currituck County, NC
PIN# 9937-21-5375
As current owner, I authorize Quible & Associates, P.C. (Quible) to apply for and receive a
Jurisdictional Determination through the US Army Corps of Engineers (USACE). And, I
authorize USACE to access the above referenced property as necessary for the same purpose
(confirmation of the location of 404 wetlands). Additionally, if any USACE and/or DWR Permits
are required, I authorize Quible to act as agent on my behalf.
7
Authorized Signature
Name: Bryan W. Daggett - Treasurer Date: Dec 16, 2022

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Soil Map—Currituck County, North Carolina
Map Unit Legend
Map Unit Symbol
Map Unit Name
Acres in AOI
Percent of AOI
Os
Osier fine sand
1.7
59.9%
OuB
Ousley fine sand, 0 to 6
percent slopes
1.1
40.1 %
Totals for Area of Interest
2.8
100.0%
USDA Natural Resources Web Soil Survey 9/27/2022
Conservation Service National Cooperative Soil Survey Page 3 of 3

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