20230202 Ver 1_ePCN Application_20230206

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:
2/6/2023
BIMS # Assigned * Version#*
20230202 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:
COURTESY COPY O'Neill
la. Who is the Primary Contact?*
George H Wood
Reviewing Office*
Washington Regional Office - [phone]
1 b. Primary Contact Email:* lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
2/6/2023
Nearest Body of Water
Currituck Sound
Basin
Pasquotank
Water Classification
Currituck Sound
Site Coordinates
Latitude:
36.542235
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:
-75.871627

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):
None
Id. 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:
lf. 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:
John O'Neill
2b. Deed book and page no.:
1594/198
2c. Contact Person:
N/A
401 Water Quality Certification - Express
Riparian Buffer Authorization
Unknown
Yes No
Yes No

2d. Address
Street Address
131 Averyville Lane
Address Line 2
City
Lake Placid
Postal / Zip Code
12946
2e. Telephone Number:
[phone]
2g. Email Address: *
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
George H Wood
4b. Business Name:
Environmental Professionals
4c. Address
Street Address
224 Colington Ridge
Address Line 2
PO Box 3368
City
Kill Devil Hills
Postal / Zip Code
27948
4d. Telephone Number:
[phone]
4f. Email Address: *
[e-mail]
C. Project Information and Prior Project History
State / Province / Region
NY
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:
1. Project Information
1b. Subdivision name:
(if appropriate)
Carova Beach
lc. Nearest municipality / town:
Corolla
2. Project Identification
2a. Property Identification Number:
087A01800110001
2c. Project Address
Street Address
2354 Ocean Sands Rd
Address Line 2
City
Carova
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: *
Currituck Sound
2b. Property size:
0.33
State / Province / Region
NC
Country
USA
3c. What river basin(s) is your project located in?*
Pasquotank

3d. Please provide the 12-digit HUC in which the project is located.
03010205220010
4. Project Description and History
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 has been cleared and partially filled to prepare for single family residential construction
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:
0.201
4g. List the total estimated linear feet of all existing streams on the property:
None
4h. Explain the purpose of the proposed project: *
Prepare the site for single family residential construction
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
3,403 s.f. of wetlands are planned to be permanently filled to prepare the site for construction
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:
George H Wood
Environmental Professionals
Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
10/4/21 Wetlands delineated
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?
N/A
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries
Open Waters Pond Construction
2. Wetland Impacts
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
setback
P
Bottomland Hardwood Forest
behind house
Yes
Corps
0.065
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.065
2g. Total Wetland Impact
0.065

2i. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
only the area needed for setbacks were filled
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
silt fence installation until permanent cover can be established
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:
The Great Dismal Swamp Restoration Bank, LLC
3b. Credits Purchased/Requested (attach receipt and letter)
Type:
Non -riparian wetland
3c. Comments
Quantity:
0.131
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more information.
Yes No
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:
the fill is not adjacent to protected riparian buffers
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 U
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
2b Provide an explanation of the violation(s):
this is an after the fact / restoration plan
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.
the fill will allow for construction of a single family residential structure and no other activity is proposed
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated at a
treatment plant, list the capacity available at that plant.
onsite ground absorption system
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
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
Yes
5e. Is this a DOT project located within Division's 1-8?
Yes No
No Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFW Data base
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? *
not activity proposed in water
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?*
State Archives and History Data Base
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:
survey
Sc. What source(s) did you use to make the floodplain determination?*
survey
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
scan1131.pdf 1.29MB
File must be PDF or KMZ
Comments
Signature
By checking the box and signing below, I certify that:
• 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:
George H Wood
Signature
rge ��%orG
Date
2/6/2023

ENVIRONMENTAL
PROFESSIONALS
LNC
PLANNING FOR
A BETTER
ENVIRONMENT
August 2, 2022
The Great Dismal Swamp Restoration Bank, LLC
Attn: Ms. Beverly White
PO Box 6186
Chesapeake, VA 23323
Dear Ms. White,
This letter is to request confirmation of acceptance for mitigation credits for John O'Neill
application for proposed impacts to Section 404 wetlands.
Corps' Project Number:
Waterway:
Permittee's Name:
Location of Impact:
Permit Action:
Impacts (Acres/Linear Feet):
Impact NWI Classification:
Impact Hydrological Unit Code:
Anticipated Mitigation:
In progress
Non riparian
John O'Neill
2354 Ocean Sands Rd Currituck County
NW Permit #18
.065
None
Pasquotank 03010205220010
0.131
Thank you for providing a letter of acceptance for this project.
Sincerely,
Environmental Professionals, Inc.
16�- /,� /m/
George H Wood CEP PWS
P.O. BOX 3368 • HILL DEVIL HILLS, NORTH CAROLINA 27948
MOBILE: [phone] • OFFICE: 252-441-0239
EMAIL: [e-mail]

NOTES —
1. AREA BY COORDINATE COMPUTA770N=14,500Sgfi
2. F.LR.M. ZONE SUBJECT TO CHANGE BYF.E.M.A.
3. IT IS THE SOLE RESPONSIBILITY OF THE PERMITTING
MUNICIPALITY TO VERIFY SITE COMPLIANCE iMTHALL
ORDINANCES, ZONING, & SETBACKS REQUIREMENTS ��� h' e c
PRIOR TO THE ISSUANCE OFPERMITS. SURVEYOR ''� ' 113
MAKES NO CERTIFICATION AS TO COMPLIANCES EITHER
SHOWN OR IMPLIED_
4. THIS SURVEY IS SUBJECT TO ANY FACTS THAT MAY BE
DISCLOSED BY A FULL AND ACCURATE TITLE SEARCH
5 TOTAL PROPOSED COVERAGE AREA=1,462sgft (10.2%)
Qewn Sands Road
r (&Y f,'"
r Unimproved Sbnd Roadway
yam_ tl ND1°45700-W ; ' Sai'45'00"E e 100.00' areew.c�e
�( �f 9{T0.(?4'
;ar:r�Ferce �v, cmysea, o Upland
� o
u>aowevav r�nra.rom•tw l {Area ,746sq.R)
l----------
25.0'
10.0'-------
Fill rr gSl—_12-0—,'—
BiMaw 5.g' 1 T1 j
i (i 2
Proposed Septic Area 2 .0 �sci ---i
2Lines4O'@g-O.C. k i 1L0'
(240G.P.Dl1.OL.TAR.) i 1 i k 28.0' a
24-Fi11Rwpjr ± ! i i k_ r , f
01
l s i i t
10 -IV Y 1 1
o�jc p i ii ii 16 rrn
h
L1/ tc 4a
^ Welland Line -
uj
.. I` Potential Jurisdictional W lands
Area To die Resfx�d
111 � � {Area��I03sq.ilJ
P46. sem„
rmae,.u[rraa
25 h9BL .
Potential Jurisdictionat W�rads
Approximate Ditch t3enk "� \ {Area=Z500sq.1L)
As Located 122aW
_ J Nf
NO 1-45 #00"W 1AQ�£}�, 60'r, 1
15 1 14
This ceRific�s that this copy of tns plat accurately depk:Fs thebourhdery#ttejurisdic�ai of
Section 404 of the Clean Water Act as determined bS'the tmdersigrhst on trhs date Llnhass
there is a change in the I" were published regule tK the determination CfSec;bon 4%
jurisdiction may be retell upon for a period not to exceedgm (q years from this Bete. The
undersigned wmpleted this determination utlizing the apprpdateRegvnal Sit to
the 1987 U.S. Army Corps of Engineers N4ta7ds Deftra tLan Manrrel.
Line Table
Una
Length
_
Bearing
Li
1 0.28'
N79°25'08 E
Regulatory Official:
Tits;
Date:
USACE Action ID No.:
RECORDED REFERENCE
PN NO.
DATE
M.B.2Py.M
9M3-80 9870
fau=
RECORDED DEED
PARCELM#
FILENO.
D.B. f594, . f98
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SCALE
4S Shown
372198f308K
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oaro. Rd
SITE
Oman sands Rd
False Ca» Rd
$
Swan LskndRd
omwpNimf
r
I(ICINITY MAP
NTS
l
I S01'55'19'E
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o.ree;a,.ca�e
Prco used Unimproved Pa K#W
Drive Area 2 - 10'x 18'
3
Prdpossed 2 R&rn Dwa*rg
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Potential Jurisdictional WeSeW
Area 71> Be Fr7led 2, 851sgqit
LEGEND)
O
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1 O - RSMR SET
- EX. RESAR
- SX CONC. MOM,
f ❑ - CONC. MON. SET
ao
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d - PAC NAIL SET
- FIBER OP77C
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❑ ' ELEC. BOX
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F b., Al G- LIGHTPOST
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s . _ - WATER METER
13
_ Wetland Line Table
Line
Lengfh
P-arirg
L2
85.97'
S8$'15190`W
L3
18.17'
S231431941E
14
46.74'
S48.5123-E
L5
28.61'
S28°48'43'E
L6
38.59'
S59-28191'W
L7
6.60,
S3O'26284V
L8 1
70.31
N88°15W't*
John O'Neiff
& Joanne Afibrandi