20230221 Ver 1_ePCN Application_20230208

RE: Currituck County PIN # 115E00000240000
Lot 24, Corolla Bay
As property owner, I authorize Quible & Associates, P.C. (Quible) to act as permitting agent on
my behalf for the purpose of obtaining a Nationwide 18 Permit and 401 Water Quality
Certification if necessary. And, I authorize USACE, NCDCM and NCDWR to access the above
referenced property as necessary for the same purpose.
A rized Signature
Name: �C*-� —�) I C-0C'cv Date: -� — 3 22

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I. CURRENT OM ER: PULVER 57ONE2 LLC
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MAYIE PA )gO87 NOTE: THIS DOCUMENT IS PRELIMINARY - NOT FOR CONSTRUCTION,
2. PlN/PID: 9936-422643/1L5E0000024G000 RECORDATION, SALES OR CONVEYANCES - THIS DOCUMENT IS FOR
3. PROPERTY ADDRESS: 1002 CRUZ BAY LANE DISCUSSION PURPOSES ONLY! EXISTING INFORMATION SHOWN ON THIS
4. LOT AREA = I5,36B ft / 0.353 06P®5 (AREA5 BY COORDINATE /$TROD) DOCUMENT IS BASED ON BEST AVAILABLE DATA AND IS NOT A CERTIFIED SURVEY.
�9 ALL INFORMATION SHOWN ON THIS DOCUMENT IS SUBJECT TO ANY REQUIREMENTS
5 S�GT REFFRDNA E5: DB /7/6, P6 I69,• hB J, P6 /99. BY ANY REGULATORY AGENCY, ENTITY OR AUTHORITY.
6. ALL BOUNDARY AND EXI5TIT6 CONDITIONS ARE 5HOPW BA5E9 ON A 5I6NE9
5RVEY BY COA5TAL EN&INEERINC, AND SWVEYINS ENTITLED ° A5 WILT QUIBLE & ASSOCIATES, P.C. DOES NOT GUARANTEE THE ACCURACY OR THE
SKYEY FOR NORTHE45TERN NORTH CAROLINA PROPERTIE5 COROLLA COMPLETENESS OF ANY INFORMATION IN THIS DOCUMENT AND IS NOT RESPONSIBLE
SOUNDS/DF LLG"DATED 02/l5/20/7. FOR ANY ERROR OR OMISSION OR ANY LOSSES OR DAMAGES RESULTING FROM THE
7. ALL DISTANCES ARE 16 .�VEY FEET AND HORIZONTAL 6ROUND. USE OF THIS INFORMATION.
6. THI5 PLAN 15 5 T TO ANY FACTS, IMLUDINS BU1LDIN5 5ETBA6K
RE57RICTIOAS, EA5EhIENT5, COVENANTS, ETC, THAT MAY BE REVEALED BY
A FULL AND ACCURATE TITLE 5FARGH.
PROJECT COPYRIGHT © 2023 NC Licensa//: C-0208
ouleLF & ASSOCIATFS, P.C. NATIONWIDE 18 PLAN �����
P23008 THIS DOCUMENT IS THE PROPERTY OF SINCE 1 59
OUIBLE &ASSOCIATES. P.C. ANY LOT 24 SEC 1
DRAWN BY ALTERATION of THIS DOCUMENT Is �
PROHIBITED.& .dissociates P.C.
JTM/OTH IF THIS DocuMENT Is NOT SIGNED AND COROLLA BAY SUBDIVISION �
SEALED BY A LICENSED PROFESSIONAL ENGINEERING** * CONSULTING * PLANNING
CHECKED BY THEN THIS DOCUMENT SHALL BE POPLAR BRANCH TOWNSHIP CURRITUCK COUNTY ENVIRONMENTAL SCIENCES * SURVEYING**
CONSIDERED PRELIMINARY, NOT A NORTH CAROLINA *'ENG./SUR. NOT OFFERED AT BLACK MTN. OFFICE—
BDR CERTIFIED DOCUMENT AND SHALL NOT 11466 Coratoke Hwy, Powells Polnt, NC 27966
BE USED FOR CONSTRUCTION, 0 30 60 Phone: [phone]
DATE RECORDATION, SALES OR LAND 90 Church St., Ste. B, Black Mountain, NC 28711
CONVEYANCES, UNLESS OTHERWISE Phone: [phone]
01/30/23 NOTED. GRAPHIC SCALE IN FEET 1 "=30' aam so-amrc9 mle.ea

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:
2/8/2023
BIMS # Assigned* Version#*
20230221 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 1002 Cruz Bay Lane
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
2/8/2023
Nearest Body of Water
Currituck Sound
Basin
Pasquotank
Water Classification
SC
Site Coordinates
Latitude: Longitude:
36.354441 -75.826869
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

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:
Pulver Stoner, LLC
2b. Deed book and page no.:
DB1716, PG 169
2c. Contact Person:
Frederick DiCocco
401 Water Quality Certification - Express
Riparian Buffer Authorization
Unknown
Yes No
Yes No

2d. Address
Street Address
399 Colket Lane
Address Line 2
City State / Province / Region
Wayne PA
Postal / Zip Code Country
19087 USA
2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address: *
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Troy Murphy
4b. Business Name:
Quible & Associates P.C.
4c. Address
Street Address
PO Box 870
Address Line 2
City State / Province / Region
Kitty Hawk NC
Postal / Zip Code Country
27949 USA
4d. Telephone Number: 4e. Fax Number:
[phone]
4f. Email Address: *
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
Corolla Bay
lc. Nearest municipality / town:
Corolla
2. Project Identification
2a. Property Identification Number:
9936-42-2843
2b. Property size:
0.353
2c. Project Address
Street Address
1002 Cruz Bay Lane
Address Line 2
City State / Province / Region
Corolla NC
Postal / Zip Code Country
27927 USA
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
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 single family residence with pool and undeveloped wetlands. Adjacent properties include single family residences with pools 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:
0.21
4g. List the total estimated linear feet of all existing streams on the property:
N/A
4h. Explain the purpose of the proposed project: *
The proposed project includes the fill of 0.03 acres of wetlands to accommodate a pool deck expansion and a walkway to access a proposed pier. The amount of fill proposed is for the
expanded deck and walkway and to allow grading to adjacent wetlands to be at an acceptable slope as to not promote erosion.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
Dump trucks, a skid steer, and hand tools will be utilized for the proposed fill. Silt fence will also be used to contain all fill material. All material will be graded and seeded as to not promote
erosion.
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:
SAW-2008-00770
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
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
Decking and grading
P
Estuarine Woody Wetland
Wetland
No
Corps
0.030
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.030

2g. Total Wetland Impact
0.030
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:
The proposed fill was minimized to the smallest amount necessary for the proposed improvements and to allow for grading of the fill to the adjacent
wetland grade at a slope that will not promote erosion.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Silt fencing will be used to contain all fill material. Material will be graded and seeded as to not 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:
Riparian wetland
3c. Comments
Quantity:
0.06
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:
There are no riparian buffers 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 28 .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
5e. Is this a DOT project located within Division's 1-8?
Yes No
No Unknown
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NC Natural Heritage Database
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 project is allowable within this FEMA flood zone.
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
authorization.pdf
P23008-NAT 18 PLAN-013023.pdf
File must be PDF or KMZ
Comments
190.29KB
369.85KB
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:
Troy Murphy
Signature
Date
2/8/2023