20230946 Ver 1_ePCN Application_20230630

DW R
DHlsloo of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Initial Review
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:
1 /10/2023
BIMS # Assigned
20230946
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Washington Regional Office - [phone]
Information for Initial Review
1a. Name of project:
Bob's Gun Shop
1a. Who is the Primary Contact?*
Steve Dowdy
1b. Primary Contact Email: *
[e-mail]
Date Submitted
6/30/2023
Nearest Body of Water
Moyock Run
Basin
Pasquotank
Water Classification
PAS
Site Coordinates
Latitude:
36.516556
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Currituck
Is this a NCDMS Project
Yes No
Longitude:
-76.171067
Version#*
1
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
Robert Tankard:[e-mail]
1c. Primary Contact Phone:*
[phone]
Is this project a public transportation project?*
Yes No

1a.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
Please provide the date of the previous submission.
2/15/2023
1b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
39 - Commercial/Institutional Developments
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:
401 Water Quality Certification - Express
Riparian Buffer Authorization
1f. Is this an after -the -fact permit application? *
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1h. Is the project located in any of NC's twenty coastal counties?
Yes No
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. 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:
2A Realty LLC.
2b. Deed book and page no.:
2c. Contact Person:
Steve Dowdy
*
Yes No
Yes No

2d. Address
Street Address
746 Granby Street
Address Line 2
city
Norfolk
Postal / Zip Code
23510
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
David A. Balsley
4b. Business Name:
Stokes Environmental Associates, Ltd
4c.Address
Street Address
4101 Granby Street Suite 404
Address Line 2
city
Norfolk
Postal / Zip Code
23504
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Moyock
2. Project Identification
2a. Property Identification Number:
8031-18-3437
2c. Project Address
Street Address
Bob's Gun Shop, Tract 14, Moyock Commons Dr.
Address Line 2
City
Moyock
Postal / Zip Code
27958
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Moyock Run
3b. Water Resources Classification of nearest receiving water:
PAS
3c. What river basins) is your project located it *
Pasquotank
State / Province / Region
VA
Country
USA
2f. Fax Number:
State / Province / Region
VA
Country
USA
4e. Fax Number:
2b. Property size:
3.6
State / Province / Region
NC
Country
USA

3d. Please provide the 12-digit HUC in which the project is located.
030102051105
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 subject site is currently mostly open grasslands, with forested and emergent wetlands on the central and western portion if the project site. The properties in the immediate vicinity of
the project are mostly commercial developments.
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:
1.32 acres
4g. List the total estimated linear feet of all existing streams on the property:
0 feet
4h. Explain the purpose of the proposed project:*
The project purpose is to construct a commercial building including a gun shop to meet local needs.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:"
A single commercial building and asphalt paved parking lots are being planned to be constructed on the subject site. The building will be a 150' x 90' structure consisting of a retail area
and two eight -lane shooting ranges. The building will also include a bathroom, an office and two classrooms. Asphalt paved parking lots will be constructed to connect to the building and
with Moyock Commons Drive. Equipment used will include excavators, bulldozers, backhoes, trucks and hand tools.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No O Unknown
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-2021-02667
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): David A. Balsley
Agency/Consultant Company:
Other:
Stokes Environmental Associates, Ltd
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
Corp jurisdiction determination 6/13/22
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
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries Buffers
Open Waters Pond Construction
2. Wetland Impacts
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W. *
2d. W. name
2e. Forested *
2f. Type of Jurisdicition *
?)
2g. Impact
area *
Fill
P
Non -Tidal Freshwater Marsh
Wetland 1
L
Corps
0.480
acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.480

2g. Total Wetland Impact
0.480
2i. Comments:
Total Temporary Wetland Impact 0.058 acres
Total Permanent Wetland Impact 0.422 acres
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The development plan (as seen in the supporting documentation) is concentrated development, utilizing a compact layout limited to the northern portion
of the subject site, while not disturbing the forested wetlands on the southwestern side of the subject site. The planned wetland disturbance primarily
affects emergent wetlands, and minimizes the impact on the remaining forested wetlands.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Wetlands outside of the planned construction area will be protected utilizing wire mesh supported sediment fencing. Wetlands protection tape will be
utilized to mark wetland areas. Where necessary, sediment, erosion control measures will be utilized to minizine outfall of silt and soil towards wetlands.
Examination of the site plan shows that the majority of the forested wetlands have been avoided through the careful placement of access road and
parking lots. The proposed 2 additional ranges are no longer included in the site plans, but the future expansion will be towards the south and is not
anticipated to impact wetlands.
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):
D W R 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:
Greenway Farms
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Non -riparian wetland 0.47 acres
3c. Comments
Forested wetland mitigation at 2:1 ratio (0.049 acres impacted, 0.099 acres mitigated)
Emergent Wetland mitigation at 1:1 ratio (0.371 acres impacted, 0.371 acres mitigated)
Equaling 0.47 acres
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:
See proposed grading & drainage plans in supporting documentation attached
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
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater program?
Yes
N/A - project disturbs < 1 acre
3. Stormwater Requirements
No
L

3a. Select whether a completed stormwater management plan (SMP) is included for review and approval or if calculations are provided to document the project will not cause degradation of
downstream surface waters.'
Stormwater Management Plan Antidegradation Calculations
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.
This project has taken measures such as silt fencing to minimize disturbance to the nearby downstream water quality
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
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?"
Yes No Unknown
5e. Is this a DOT project located within Division's 1-8?
Yes No
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?
US Fish and Wildlife Service, IPAC
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?
NOAA Essential Fish Habitat Mapper
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?"
NC Department of Natural & Cultural Resources GIS
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
Yes No
8c. What source(s) did you use to make the floodplain determination?"
FEMA Floodplain 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 allach document
Pre -Construction Notification Supporting Documentation (1).pdf 28.83MB
File must be PDF or KMZ
Comments
See attached supporting documentation
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:
David A. Balsley
Signature
Date
6/30/2023
8