20221038 Ver 3_ePCN Application_20231009

DW R
Division of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
October 2, 2023 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:
8/1/2022
Does this project involve maintenance dredging funded by the Shallow Draft Navigation Channel Dredging and Aquatic Weed Fund or involve the distribution or transmission of energy or
fuel, including natural gas, diesel, petroleum, or electricity?
Yes No
BIMS # Assigned *
20221038
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Select Project Reviewer*
Holley Snider:Holley.Snider
Information for Initial Review
1a. Name of project:
COURTESY COPY SUNSET HARBOR LOT 9
1a. Who is the Primary Contact?*
HAYWOOD PITTMAN
1b. Primary Contact Email: *
[e-mail]
Date Submitted
10/9/2023
Nearest Body of Water
INTRACOASTAL WATERWAY
Basin
Cape Fear
Water Classification
SA
Site Coordinates
Latitude:
34.47654
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Fender
Longitude:
77.24186
Version#*
3
Reviewing Office*
Wilmington Regional Office - [phone]
1c. Primary Contact Phone: *
[phone]
6
Is this a NCDMS Project
Yes No

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.
8/1 /2022
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: 18 - Minor Discharges
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
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:
JOHN L PIERCE
2b. Deed book and page no.:
4023/140
2c. Contact Person:
Yes No
Yes No

2d. Address
Street Address
PO BOX 1685
Address Line 2
City
JACKSONVILLE
Postal / Zip Code
28541
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
JOHN L PIERCE
3b. Business Name:
3c. Address
Street Address
PO BOX 1685
Address Line 2
city
JACKSONVILLE
Postal / Zip Code
28541
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
HAYWOOD PITTMAN
4b. Business Name:
PITTMAN SOIL CONSULTING
4c.Address
Street Address
1003 GREGORY FORK ROAD
Address Line 2
City
RICHLANDS
Postal / Zip Code
28574
4d. Telephone Number:
[phone]
0. Email Address:*
PI TTMAN SOI L@YAHOO. COM
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
SUNSET HARBOR
1c. Nearest municipality / town:
SURF CITY
State / Province / Region
NC
Country
US
2f. Fax Number:
State / Province / Region
NC
Country
US
3e. Fax Number:
State / Province / Region
NC
Country
US
4e. Fax Number:
O
2. Project Identification

2a. Property Identification Number:
4234-46-8712-0000
2c. Project Address
Street Address
1015 TOPSAIL DRIVE
Address Line 2
city
SURF CITY
Postal / Zip Code
28445
3. Surface Waters
3a. Name of the nearest body of water to proposed project: "
INTRACOASTAL WATERWAY
3b. Water Resources Classification of nearest receiving water:'
SA
3c. What river basin(s) is your project located in?"
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
03020302
4. Project Description and History
2b. Property size:
0.29
State / Province / Region
NC
Country
US
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: "
SITE IS PARTIALLY CLEARS WITH RESIDENTIAL HOUSING ON EACH SIDE
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:
0.2
4g. List the total estimated linear feet of all existing streams on the property:
0
4h. Explain the purpose of the proposed project: `
TO CONSTRUCT A RESIDENCE
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
INSTALLATION OF SILT FENCE AND PLACEMENT OF FILL MATERIAL TO ALLOW FOR HOUSE TO BE BUILT
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:
ACTION ID 199900317
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): MICKY SUGG
Agency/Consultant Company: ARMY CORPS OF ENGINEERS
Other:
Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
2-9-1998
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
0
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"
L2f.Type of Jurisdicition
�area�
2g. Impact
RESIDENTIAL
P
Salt/Brackish Marsh
1
No
Corps
0.010
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.010
21. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
2g. Total Permanent Wetland Impact
0.010
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
HOUSE HAS BEEN LOCATED ON EDGE OF POWER LINE R/W. FILL MATERIAL IS 10' FROM EDGE OF PROPOSED HOUSE
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
INSTALLATION OF SILT FENCE AND HEAD WALL
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:
DAVIS FARM
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Riparian wetland .1
3c. Comments
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. 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:
2. Stormwater Management Plan
Q
V

2a. Is this a NC DOT 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
1a. 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.
LAST VACANT LOT
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.
SEWER
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
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?
USFWS WEBSITE
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?
WEB

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 HERITAGE WEBSITE
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:
HOUSE WILL BE BUILT ABVE FLOOD
8c. What source(s) did you use to make the floodplain determination?
FEMA WEBSITE
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
SUNSET HARBOR FILL AREA 001.pdf 567.32KB
SUNSET HARBOR LETTER.pdf 114.8KB
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:
R HAYWOOD PITTMAN II
Signature
Date
10/9/2023
O