20140195 Ver 2_401 Application_20160816

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Corps action ID no.
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Form Version 1 3 Dec 10 2008
Page 1 of 10
PCN Form — Version 1.3 December 10, 2008 Version
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit ❑Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 29 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification.
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
® Yes
❑ No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
® Yes
❑ No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
I ❑ Yes
® No
2.
Project Information
2a.
Name of project:
Lot 25, Helms Port S/D (5037 Dockside Drive)
2b
County,
New Hanover County
2c
Nearest municipality / town,
Wilmington
2d
Subdivision name
Helms Port
2e.
NCDOT only, T.I.P. or state
project no
N/A
3.
Owner Information
3a.
Name(s) on Recorded Deed
Linda and John Myers AUG
2 5 201s 101
3b
Deed Book and Page No
3c.
Responsible Party (for LLC if
applicable)
401$ BUFFER PERMIRRCES
ING
3d
Street address.
458 Country Oak Lane
3e
City, state, zip-
Wilkesboro, NC 28697
3f.
Telephone no.:
3g.
Fax no.:
3h
Email address -
Page 1 of 10
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner):
4a. Applicant is:
❑ Agent ❑ Other, specify-
4b
Name*
4c
Business name
(if applicable)
4d.
Street address.
4e. City, state, zip:
4f
Telephone no.:
4g.
Fax no.:
4h.
Email address.
5.
Agent/Consultant Information (if applicable)
5a.
Name.
Kim Williams
5b
Business name
(if applicable):
Land Management Group, Inc.
5c
Street address.
3805 Wrightsville Avenue, Suite 15
5d
City, state, zip,
Wilmington, NC 28403
5e
Telephone no
[phone]
5f.
Fax no.:
[phone]
5g.
Email address
[e-mail]
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID).
R07600-003-186-000
Latitude: 34.139816 °N Longitude: -77.868071 °W
1 b. Site coordinates (in decimal degrees):
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size
0.65 ac
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc ) to
Masonboro Sound
proposed project:
2b. Water Quality Classification of nearest receiving water:
SA; ORW
2c. River basin-
Cape Fear
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application: Lot currently contains a house, driveway and retaining wall Adjacent land use is undeveloped or residential.
3b List the total estimated acreage of all existing wetlands on the property.
0.25 ac
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
N/A
3d. Explain the purpose of the proposed project:
The purpose of the project is to construct a swimming pool, fire place, fire pit, pergola, and retaining wall within the lot
3e. Describe the overall project in detail, including the type of equipment to be used:
The construction footprint will be cleared of vegetation. The retaining wall will then be constructed. The existing retaining
wall will be removed and fill material will be brought into the site to level the area of disturbance. The pool will then be
constructed. Note that it is the understanding of the applicant that the adjacent lot owner (Lot 26) plans to obtain a permit
to fill wetlands on that lot as well, so no hydrologic connection to that wetland finger needs to be maintained. Track hoe,
loader, dump truck, bob cat, and other standard construction equipment will be used.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes ❑ No ❑ Unknown
project (including all prior phases) in the past?
Comments
4b. If the Corps made the jurisdictional determination, what type
❑ Preliminary ® Final
of determination was made?
4c If yes, who delineated the jurisdictional areas?
Agency/Consultant Company:LMG
Name (if known). Corey Novak
Other:
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
JD issued by Christy Wicker Folta on December 2, 2013 (Action ID# SAW -2013-01819).
5. Project History
5a. Have permits or certifications been requested or obtained for
® Yes ❑ No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Subdivision developer obtained a CAMA Mayor Permit (#24-81), 401 WQC, and GP 291 that authorized impacts to 0.041
acre of coastal wetlands (for upland basin marina) and 0.038 acre of RPW for lot development.
6. Future Project Plans
6a Is this a phased project?
❑ Yes ® No
6b. If yes, explain
Page 3 of 10
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ❑ Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ®P ❑ T
Fill for pool and
fire pit
Non -Riparian
® Yes
❑ No
® Corps
® DWQ
014
El Yes
❑ Corps
W2 [:1P F1T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W3 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W4 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W5 ❑ P ❑ T
❑ No
❑ DWQ
2g. Total wetland impacts
0.14
2h Comments
3. Stream Impacts NIA
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
3i Comments.
Page 4 of 10
PCN Form —.Version 1.3 December 10, 2008 Version

4. Open Water Impacts N/A
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a 4b 4c. 4d 4e.
Open water Name of waterbody
impact number — (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 [:]PRT
4f. Total open water impacts
4g. Comments.
5. Pond or Lake Construction: N/A
If pond or lake construction proposed, the com tete the chart below
5a 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded I Filled I Excavated Flooded I Filled I Excavated Flooded
P1
P2
5f. Total
5g. Comments: See attached site plan for details
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
51. Expected pond surface area (acres)
5j. Size of pond watershed (acres).
5k. Method of construction:
6. Buffer Impacts (for DWQ): N/A
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
Project is in which protected basin?
6b 6c. 6d.
Buffer impact
number — Reason
Permanent (P) or for
Temporary T impact
131 ❑P❑T
B2 ❑P❑T
B3 ❑P❑T
61. Comments
❑ Neuse ❑ Tar -Pamlico ❑ Other:
❑ Catawba ❑ Randleman
6e. I 6f. I 6g.
Buffer
Stream name mitigation
required?
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
6h. Total buffer impacts
Page 5 of 10
Zone 1 impact I Zone 2 impact
(square feet) (square feet)

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Because of the location and extent of wetlands within the lot, wetlands could not be avoided in order to construct the pool.
Furthermore, regulations do not allow pools on the sides of houses.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
A retaining wall will be constructed to limit the amount of wetland impacts.
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
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ® Corps
2c. If yes, which mitigation option 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: Lower Cape Fear Umbrella Mitigation Bank
3b. Credits Purchased (attach receipt and letter)
Type: Non -Riparian
Quantity: 0.14
3c. Comments, Because wetlands to be impacted are of marginal quality, a 1:1 mitigation to impact ratio is requested.
4. Complete if Making a Payment to In -lieu Fee Program: N/A
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b Stream mitigation requested:
N/A
4c If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
N/A square feet
4e. Riparian wetland mitigation requested:
N/A acres
4f Non -riparian wetland mitigation requested-
N/A acres
4g Coastal (tidal) wetland mitigation requested:
N/A acres
4h. Comments
5. Complete if Using a Permittee Responsible Mitigation Plan: N/A
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) —required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
❑ Yes ® No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required. N/A
6c
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g If buffer mitigation is required, discuss what type of mitigation is proposed (e.g , payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
N/A
6h. Comments. N/A
Page 7 of 10

E: Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments:
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
23%
2b.
Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Subdivision has already obtained a stormwater permit (SW8 140211). Impervious cover allowed for lot is 6,500 sf.
❑ Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
® DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review: N/A
3a
In which local government's jurisdiction is this project?
❑ Phase II
3b.
Which of the following locally -implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply)-
❑ Water Supply Watershed
❑ Other:
3c
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4.
DWQ Stormwater Program Review:
® Coastal counties
❑ HQW
4a
Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
5.
DWQ 401 Unit Stormwater Review: N/A
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1 3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ❑ No
letter.)
Comments:
2.
Violations (DWQ Requirement)
2a
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 26 .0200)?
2b
Is this an after -the -fact permit application?
❑ Yes ® No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
Project will not provide utilities or access to adjacent tracts.
4.
Sewage Disposal (DWQ Requirement)
4a
Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Project will tie into the municipal system.
Page 9 of 10 _
PCN Form — Version 1.3 December 10, 2008 Version

S. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
® Yes ❑ No
habitat'
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
El Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The NC Natural Heritage Program GIS layer was used to determine the presence of federally listed species No federally
protected species are known to occur within this site. Several rare species, including sea turtles, sturgeon, and manatee
are known to occur within a one mile radius of the lot, most likely within Masonboro Sound, which is located
approximately 1,000' from the site. The project will not impact any federally-protected species.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
The NOAA Fisheries Essential Fish Habitat Mapper GIS program was used to determine the presence of Essential Fish
Habitat. No HAPC or EFH Areas were identified within or adjacent to the project site.
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
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant In
North Carolina history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
The NC State Historic Preservation Office HPOWEB GIS mapping resource was used to determine the presence of
cultural or historic resources. No cultural or historic resources were noted within this site. The Aqua Vista Egg Farm (NH
0618) is located within the subdivision, but not within the site. It is a surveyed feature, but not on the National Register of
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:
8c What source(s) did you use to make the floodplain determination? The NC Floodplain Mapping Information System
website was used to determine the boundaries of the 100-year floodplain.
Kim Williams
[
8/19/2016
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided
Page 10 of 10

AGENT AUTHORIZATION FORM
TO WHOM IT MAY CONCERN:
Uwe, the undersigned, hereby authorize Land Management Group, Inc. to act as our agent in the
preparation and representation of information related to the Section 404/401 permit application
for Lot 25: Helms Port S/D: Wilmington. NC project. All questions in regards to this project
should be directed to Land Management Group, Inc.
Sincerely,
erS -Jct h,1,e S
Print Name
Date

Myrtle
Grove
Ma.onboro
Sources: Esri, HERE, Del-orme, USGS, Intermap, increment P Corp.,
NRCAN, Esri Japan, METI, Esri China (Hong Kong), Esri (Thailand),
TomTom, Mapmylndia, © OpenStreetMap contributors, and the GIS
User Community
*Boundaries are approximate and are not meant to be absolute.
Map Source: ArcGIS World Street Map
Lot 25; Helms Port S/D
Linda & John Myers
New Hanover County, NC
August 2016
LMG# 02-16-251
LMG
www.lmgrouP.net
3805 Wrightsville Avenue
Wilmington, NC 28403
Phone: [phone] Fax: [phone]
SCALE 1" = 1 mile
Figure 1
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Linda & John MyersNitV �,R-
Figure 2
New Hanover County, NC t , 1-1-1171111 111-114.111 www.lm¢roup.net g
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3805 Wrightsville Avenue
August 2016 Wilmington, NC 28403
LMG# 02-16-251 Phone: [phone] Fax: [phone]

Legend
Nh: Newhan fine sand
Wa: Wakulla sand
'Boundaries are approximate and are not meant to be absolute.
Map Source: NRCS Soil Survey
SCALE 1" =
Lot 25; Helms Port S/D LMG
Linda & John Myers
New Hanover County, NC Figure 3
www.-Img-(g,op.net Soils Map
3805 Wrightsville Avenue
August 2016 Wilmington, NC 28403
LMG# 02-16-251 Phone: [phone] Fax: [phone]

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Dockside Drive
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*Boundaries are approximate and are not meant to be absolute.
Map Source: 2010 GIS World Imagery SCALE 1 200'
Lot 25; Helms Port S/D LMG
Linda & John Myers
New Hanover County, NC _ Figure 4
WWW lm rp p net Aerial Photograph
3805 Wrightsville Avenue
August 2016 Wilmington, NC 28403
LMG# 02-16-251 Phone: [phone] Fax: [phone]

LOT 26
25,012 SF
0.57 AC
Z
17.49'
S 7 ° 58' 1 E
-17.50
=200.0
S 70°2743" E 115.15'
LOT 25
EXISTING HOUSE
PRELIMINARY: NOT FOR CONSTRUCTION
For Section 404/401 Permitting Purposes Only
® 404 Wetlands
® Proposed Impact to 404 Wetlands (6132 sf)
SCALE: 1" = 30'
i PROPOSED DRIP
Propose(
Wetland
0.14 ac
DECK
cM= pOCKSIDE DRIVE
Survey and Site Design information provided by
Logan Homes
5037 Dockside Drive
Wilmington, NC (New Hanover County)
Figure 5. Site plan showing
proposed wetland impacts.
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IRE PLACE
cM= pOCKSIDE DRIVE
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Logan Homes
5037 Dockside Drive
Wilmington, NC (New Hanover County)
Figure 5. Site plan showing
proposed wetland impacts.

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