20131251 Ver 2_401 Application_20170817

Montalvo, Sheri A
From: Stansell, Rana <[e-mail]>
Sent: Friday, August 11, 2017 10:58 AM
To: Montalvo, Sheri A
Subject: FW: St James Plantation permit application
See below.
Rana Stansell, PE, CFM
Lead Water Resources Engineer
�i
Direct: 984-269-4673
Main: 919-836-4040
WSP USA
434 Fayetteville Street
Suite 1500
Raleigh, NC 27601
WSP I Parsons Brinckerhoff is now WSP.
From: Coburn, Chad [mailto:[e-mail]]
Sent: Monday, July 24, 2017 10:56 AM
To: Stansell, Rana
Subject: RE: St James Plantation permit application
If Brooks is going to require a new CAMA major application, then all of the money goes through him and there is no 2°d
fee for us.
From: Stansell, Rana [mailto:Rana.Stansellka wsp.com]
Sent: Monday, July 24, 2017 9:35 AM
To: Coburn, Chad <chad.coburngncdenr.gov>
Subject: RE: St James Plantation permit application
I have talked to Brooks with CAMA on this. I'm in the process of pulling together the permit modification for CAMA,
401 and 404. In order to obtain a check to send to you I just need for you to let me know in writing what the application
fee is for the modification. Thanks.
Rana Stansell, PE, CFM
Lead Water Resources Engineer
M
Direct: 984-269-4673
Main: 919-836-4040
WSP USA
434 Fayetteville Street

Suite 1500
Raleigh, NC 27601
WSP I Parsons Brinckerhoff is now WSP.
From: Coburn, Chad [mailto:[e-mail]]
Sent: Monday, July 24, 2017 7:55 AM
To: Stansell, Rana
Subject: RE: St James Plantation permit application
Have you spoken with the CAMA folks on this one yet?
From: Stansell, Rana [mailto:Rana. Stansellgwsp.com]
Sent: Friday, July 21, 2017 3:22 PM
To: Coburn, Chad <chad.coburn 2ncdenr.gov>
Subject: St James Plantation permit application
Chad,
We originally submitted a permit application to you in November 2013 for a bulkhead replacement along St James Dr SE
in St James Plantation. The permit was approved on December 6, 2013 (DWR Project # 13-1251). The wall was
extended beyond the permitted limits and we will need to permit the additional impacts that this will create. What is the
application fee for this modification?
I've attached the original permit for your reference and a drawing that shows the additional impacts. Thanks.
Rana Stansell, PE, CFM
Lead Water Resources Engineer
%a
Direct: 984-269-4673
Main: 919-836-4040
WSP USA
434 Fayetteville Street
Suite 1500
Raleigh, NC 27601
WSP I Parsons Brinckerhoff is now WSP.
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July 24, 2017
Chad Coburn
NCDEQ
Wilmington Regional Office
127 Cardinal Drive Ext.
Wilmington, NC 28405
RE: PCN Application Package for additional wetland imapcts
for Bulkhead Replacement alongSt James Drive SE
crossing over Polly Gully Creek in St James Plantation
Dear Mr. Coburn:
In November 2013 we submitted a permit application for the installation of a bulkhead in St. James Plantation that
was to be installed infront of an existing failing bulhead along St James Drive SE. The original permit was approved
on December 6, 2013, DWR Project No: 13-1251. The original impact was for 0.014 ac (614 sf) of wetland impacts.
The original project consisted of replacement of the existing bulkhead and slight realignment of the approach
roadway at the bridge. The approach on both sides of the bridge (250 ft. south and 60 ft. north) is supported by
decaying timber bulkhead. The original permiteed project replaces the decaying bulkhead with a sheet pile wall.
The existing bulkhead was left in place and new sheet pile walls were constructed on the exterior of the existing
bulkhead.
The project limits for installation of the bulkhead along St James Drive SE have increased to help protect the
roadway. The original project consisted of installation of the new bulkhead to stop at the location of the decaying
bulkhead. The bulkhead will be extended approximately 80' south of the existing bulkhead and 11' north of the
existing bulkhead. This creates an additional impact of 0.003 ac (146 sf) on the south end of the bulkhead. There
are no additional wetland impacts along the north side of the bulkhead. There will not be any impacts to Polly Gully
Creek for this project.
WSP is submitting this modification to the original PCN application package on behalf of St James Plantation
POA. If you have any questions concerning the project you may contact me at [phone] or at
rang. stansel ICe-wsp, com.
Sincerely,
"�V "'4 f
Rana Stansell, PE, CFM
R11E@[R0WLR0
AUG Q 2 2017
WSP USA
Suite 1500
434 Fayetteville Street
Raleigh, NC 27601
Tel; 1 919 8364040
Fax: «l 919 836-4099
'vsP com

St. James Bulkhead Replacement
St James Plantation
Brunswick County, NC
Project Narrative
Existing Conditions
The project site is located on the St. James Plantation property in Brunswick County, North Carolina (Lat.
35.932514 N, Long. 78.112217 W). Specifically, the project is at the St. James Drive SE crossing of Polly
Gully Creek and its adjacent salt marsh, which is primarily comprised of black needlerush (Juncus
roemerianus) and smooth cordgrass (Spartina alterniflora). The existing bridge is a 50 ft. long cored slab
bridge, 27 ft. wide with a standard jersey barrier rail. The bridge is supported by concrete abutments on
each end. Both the abutments and the cored slab bridge are in good condition. The bridge is
approximately 12 degrees askew relative to the roadway, creating a hazardous projection of the
northeast barrier rail. The roadway is comprised of two lanes and is approximately 24 ft. wide. The
guardrail installed on both sides of the road is nonconforming timber rail. This rail has several sections
that have been improperly repaired. The rail does not meet FHWA requirement for vehicles or cyclists.
This structure provides the only access to approximately 800 residents in St. James Plantation.
Polly Gully Creek (Stream Index # 18-88-9-1-1) is a Class SC water with secondary classifications SW and
HQW, and drains to Beaverdam Creek approximately 0.5 mile east of the project site, in the Cape Fear
River Basin. The mean high water elevation in the project area is approximately 4.40' and the mean low
water elevation is approximately 0.15'. The surrounding land use is comprised of a residential
development and golf course community.
Prior to this project, CAMA issued Permit No. 58-02 on May 9, 2002 for construction of the bridge on St.
James Plantation Drive SE over Polly Gully Creek. Subsequent CAMA approvals for the bridge included a
permit refinement, dated February 24, 2003, a minor modification dated October 8, 2003, permit
renewals dated November 7, 2005 and April 22, 2008, and a permit extension dated April 21, 2010,
which expired on December 31, 2012. The North Carolina Division of Water Quality issued a Water
Quality Certification on April 11, 2002 (DWQ Project # 020277). The U.S. Army Corps of Engineers issued
authorization under General Permit 198000291(USACE Action ID No. 200200641), as well as a
subsequent permit modification, dated March 12, 2003.
Original Proposed Project
The proposed project will be privately funded by the St. James Plantation Property Owners Association.
No public funds are to be used.
The original proposed project had three elements:
Bulkhead Replacement
The approach on both sides of the bridge (250 ft. south and 60 ft. north) is supported by decaying
timber lagging bulkhead with a maximum height of about 4 ft. The project will replace the decaying
bulkhead with a sheet pile wall. The existing bulkhead will be left in place and new sheet pile walls will
be constructed on the exterior of the existing bulkheads. This will extend the fill 2'-0" along the entire

length of the bulkheads on both sides of the road. Impacts will be created to the wetlands for this
construction. This impact is necessary since the bulkhead can't be replaced in the same location. Given
the irregular alignment of the existing wall, the new sheet pile wall must be placed on outside of the
existing wall. If the new sheet pile was placed in the same location the clear road width would be
reduced by 1 foot on each side creating a narrower travel lane which would create unsafe driving
conditions. In addition, the roadway would have to be closed to construct the wall in the same location
and this road must remain open to traffic at all times since it is the only access for the residents and fire
and rescue. Construction of guardrail is also proposed along the approach roadway.
The majority of the construction equipment utilized to construct the wall will be on the existing
roadway. Temporary timber mats will be utilized in the wetlands in order to install the wall anchors.
Roadway Realignment
The bridge is approximately 12 degrees askew relative to the approach roadway, creating an unsafe
condition. The layout of the proposed sheet pile wall will allow a slight realignment of the roadway to
alleviate the skew and improve safety.
The work associated with the bulkhead replacement and roadway realignment will not have any impacts
to Polly Gully Creek. The work that is proposed is outside of the Creek.
Future Pedestrian and Golf Cart Walkway
St. James Plantation Property Owners Association proposed to construct a new pedestrian walkway on
the west side of St. James Plantation Drive SE. The walkway will be a wooden, slotted structure elevated
a minimum of 3 ft. (measured from the bottom of the joists) off the marsh substrate. The proposed
walkway will be 10' wide in order to accommodate both golf carts and pedestrians.
While the bridge is wide enough to accommodate shoulders and pedestrian traffic, the approach
roadway north and south of the bridge is too narrow. Pedestrians frequently utilize a nearby (located
within 85 to 115 feet from the roadway and bridge) golf cart path to cross the marsh. This creates an
unsafe condition for several reasons, including: the existing path is a not wide enough to safely
accommodate carts and pedestrians; the existing path is a boardwalk that has no guardrails; and the
existing path is showing signs of decay. In addition, the existing path is owned and maintained by the
Clubs at St James Plantation, LLC and not St. James Plantation POA. The existing path is only supposed
to be used by those that are playing golf at Clubs at St James Plantation since it is within the right of way
of the golf course. The new walkway is proposed to improve pedestrian safety by directing pedestrians
and residential golf carts away from the road and away from the existing golf cart path walkway which is
owned by the golf course and not the community.
The walkway will be constructed by St. James Plantation Property Owners Association within the next 3
years. It will not be constructed at the same time as the sheet pile walls but is being permitted
concurrent with the bulkhead. A top-down method is proposed for construction of the future
pedestrian walkway. If this is not feasible, temporary timber mats will be utilized for construction.

Orip,inal Permits for Bulkhead Replacement and Walkway
This bulkhead replacement project was permitted by CAMA on February 7, 2014, Permit Number 5-14;
by the U.S. Army Corps of Engineers on January 14, 2014, Action ID. SAW -2002-00641; and by the North
Carolina Department of Environment and Natural Resources on December 6, 2013, DWR Project No. 13-
1251.
Modifications to Proposed Project
Due to safety issues it has become necessary to extend the bulkhead on both ends of the project along
St James Plantation Drive SE. The bulkhead will be extended a maximum of 80' beyond the original
limits on the south end and a maximum of 11' beyond the original limits on the north end. This creates
additional coastal and 404 wetland impacts on the north end of the project. There are no additional
wetland impacts along the north side of the project.
Stormwater
Stormwater from the existing roadway sheet flows off the roadway into the adjacent wetlands. No
treatment is required. The proposed project will maintain the existing sheet flow drainage from the
roadway. The proposed project will not create any additional impervious area therefore a Stormwater
Permit modification is not required.
Erosion and Sedimentation Control
Since the project will result in less than 1.0 acre of disturbance, an erosion and sedimentation control
permit will not be required.

Version 1.4
January 9, 2009
401 Oversight/Express Permitting PCN Submittal Checklist
N/A ❑ The application fee (Checks may be made out to "N.C. Division of Water Resources"
$240.00 for 401 Water Quality Certification with minor impacts
- $570.00 for 401 Water Quality Certification with major impacts
- Express Review Fee (Amount requested on Acceptance Letter)
Five (5) complete and collated copies of the PCN Application and supporting
documentation (instead of providing 5 copies of the full size plans you may provide two
copies of full size plans along with three copies of 11 X 17 plans)
N/A ❑ Stormwater Management Plan (if applicable — see PCN Form Help File Section E)
1) Please provide three (3) copies of the stormwater management plans along with all
supporting information pertaining to this project including the following:
a. Entire site development/layout plans delineating all drainage areas;
b. Design calculation sheets for all proposed BMP(s) sized for both on-site and
off-site drainage;
c. BMP supplements for each proposed BMP and Required Items Check List
(http://portal.ncdenr.org/web/Ir/bmp-manual) along with all required items;
d. A Notarized Operation & Maintenance Agreement for each stormwater
management facility;
e. Detailed construction drawing sheets shall include
(i) Erosion and sediment control plans;
(ii) Installation and planting schedules for the proposed BMPs;
(iii) Appropriately scaled plan views and cross sectional details of all
BMPs and associated components — inlet and outlet structures,
forebay, respective zones and pertinent elevations.
N/A ❑ If your project is located within a State implemented Riparian Buffer Rule Area, submit the
following along with site plans and PCN form:
1) Three (3) copies of the details for on-site diffuse flow provisions, (refer to
http://portal.ncdenr.org/web/Ir/bmp-manual).
N/A ❑ DWR Stream Determination Forms for streams on property and DWR determination
letter for wetlands or streams (if applicable).
The following is the most critical of all the information that you must provide. The quality and
detail of the information will often determine the expeditiousness of the review. The following is
a checklist of the types of pertinent information required at a minimum:
Maps and Plans:
All items not checked below were included with original submittal.
❑ The most recent version of the 1:24,000 USGS Topographic Map - Please cleanly draw or
delineate the site boundaries on the topographic map.
❑ The most recent version of the bound and published County NRCS Soil Survey Map -
(required for projects within the Neuse River Basin, Tar -Pamlico River Basin, Randleman
Lake Watershed and the Catawba River Basin, also recommended for all projects) -
Please clearly delineate the site boundaries, etc. on the map. If the delineation obscures
any of the features, it is recommended that a clean copy be provided. Copies of the

Version 1.4
January 9, 2009
current soil survey and/or soil survey map sheets can be obtained from the local NRCS
County Office (http://www.nc.nres.usda.gov/). GIS soil layers are not acceptable.
❑ Vicinity map - Please clearly mark the location and approximate boundaries of the property
and project on the map. Please indicate north arrow and scale. Please include applicable
road names or State Road numbers.
❑ The Site Plan - The most critical map to be provided is the site plan. You must provide full
sized plans. The following is the minimum list of plans that are typically needed.
❑ Pre-construction/Pre-existing conditions - This sheet (or sheets) must include:
• All jurisdictional and non -jurisdictional wetland, stream, water features, State regulated
buffers (delineated into Zones 1 and 2)
• Topographic contours with elevations
• Any existing structures and impervious areas
• Existing utility lines and easements
• Existing roads, culverts, and other pertinent features
• North arrow and the scale (1":50' scale is recommended).
® Proposed conditions - This sheet (or sheets) must include:
• All jurisdictional and non -jurisdictional wetland, stream, water features, State regulated
buffers (delineated into Zones 1 and 2)
• Lot layout (if a subdivision or commercial development is proposed) - lots must be
developable without further impacts to jurisdictional and non -jurisdictional wetlands,
streams, water features. and State regulated buffers. Building envelopes must be
provided when streams, wetlands, riparian buffers, or water features exist on a lot
• All built -out structures and impervious cover
• Final grading contours with elevations
• All utilities and easements (including septic fields on all lots within 100 feet of stream,
wetland, or water features - if applicable)
• Impacted areas — these should correspond with the Impact numbers listed on your PCN
form.
N/A ❑ Drainage Plans - Final drainage plans must include the following:
• Locations and pertinent elevations and sizes of the stormwater collection system and
drainage ways
• All inlets and outlets must also be shown with pertinent elevations (All outlets to
wetlands must be at a non-erosive velocity, generally less than 2 ft/sec during the peak
flow from the 10 -yr storm)
• Scaled stormwater BMPs must also be indicated as required by DWR rules and policies
• In certain cases (see Section E of PCN form), final stormwater management plans must
also be provided (see Stormwater Management Plan Checklist)
® Proposed Impacts - All impacts to jurisdictional and non -jurisdictional wetland, stream,
water features, and State regulated buffers must be shown and labeled on the site plans at
a scale no smaller than 1" = 50'. All excavation, fill, flooding, stabilization, and other impacts
that will be conducted in or near jurisdictional and non -jurisdictional wetland, stream, water
features, and State regulated buffers must be indicated. Please provide cross sectional

Version 1.4
January 9, 2009
details showing the provisions for aquatic life passage (burial of culvert 20% for culverts <_ 48
inches, and 1 -foot for culverts > 48 inches).
Wetland Impacts:
® Precise grading and final elevation contours must be provided. Existing
vegetation and any clearing must be specified.
❑ All subsurface utility lines must indicate the location of anti -seep collars.
Construction detail for anti -seep collars must be provided.
❑ Roadway or other crossings of riparian wetlands may require floodway culverts to
maintain existing hydrological conditions.
® Plans should show that the hydrology of remaining wetlands on the site will be
maintained.
N/A Stream Impacts:
❑ Stream impacts must be clearly shown on the plans. The centerline as well as
the banks of the stream must be surveyed or located by GPS for the portion of
the stream to be impacted.
❑ The inlet and the outlet of all culverts should be aligned with the stream as
much as possible. Inlet and outlet elevations and streambed elevations should
be indicated. Any inlet or outlet protection must be shown and enumerated on
the impact map(s).
❑ For bottomless culverts or other spans, a vertical cross section should be
provided that shows the minimum distance from each span to each stream bank,
the stream cross section, the height of the span above the stream and the
minimum distance from the edge of each footer to each stream bank.
Additionally, please provide a signed and sealed geotechnical report of
subsurface soils at the proposed bottomless culvert location. The report must
comply with the Division of Highways — Guidelines for Drainage Studies and
Hydraulic Design, prepared by A.L. Hankins, Jr., State Hydraulics Engineer -
1999.
❑ Multiple culverts or sectioned box culverts typically require the use of sills, off-
setting or other means to match the cross section of the existing stream (in order
to maintain stream stability and provide aquatic life passage). A vertical cross
section of the culverts should be shown overlain with the up and downstream
stream cross section including the stream flood -prone area.
❑ Impacts associated with dam construction must indicate and enumerate all fill
associated with the dam footprint, spillway and any bank stream bank
stabilization. The length of stream impounded must also be indicated and
enumerated.

ov Office Use Only:
Corps action ID no.
LEZI
DWQ project no.
Form Version 1.3 Dec 10 2008
�# Pre -Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Cop s) of approval sought from the (® Section 404 Permit ❑ Section 10 Permit I
1b. Specify Nationwide Permit (NWP) number. 3 and14 or General Permit (GP) number: ,
1c. Has the NWP or GP number been verified by the Corps? I ® Yes ❑ No
1d. 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
1e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certification:
I ❑ Yes ® No ❑ Yes ® No I
j 1f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation I ® I
of impacts? if so, attach the acceptance letter from mitigation bank or in -lieu Yes No ❑
fee program. t
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ® Yes
❑ No
below. j
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ® Yes ❑ No
2. Project Information
2a. Name of project: Saint James Plantation — Bulkhead Replacement and Future Pedestrian Walkway
2b. County: Brunswick
2c. Nearest municipality / town: Southport
2d. Subdivision name: Saint James Plantation
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: St James Plantation POA
3b. Deed Book and Page No. ; PIN 2076-0906-5302 and 2066-1297-1426
3c. Responsible Party (for LLC if
annticahlcl• Jack Noland, PE
3d. Street address: 4140 Southport -Supply Road, Suite B
i 3e. City, state, zip: Southport, NC 28461
3f. Telephone no.: 910-253-4805
3g. Fax no.: 910-253-4808
3h. Email address:? [e-mail]
Page 1 of 11
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
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
j
S. AgentlConsultant Information (if applicable) }
5a. Name:
Rana Stansell, PE
5b. Business name
(if applicable):
j WSP
5c. Street address:
; 434 Fayetteville Street, Suite 1500
i
5d. City, state, zip:
Raleigh, NC 27601
5e. Telephone no.:
! 984-269-4673 ;
5f. Fax no.:
5g. Email address:
[e-mail]
Page 2 of 11

I B. Project Information and Prior Project History
1. Property Identification
f 1a. Property identification no. (tax PIN or parcel ID): J PIN 2076-0906-5302 and 2066-1297-1426
1 b. Site coordinates (in decimal degrees): I Latitude: 35.932514 Longitude: - 78.112217
(DD.DDDDDD) (-DD.DDDDDD)
I
1.4 ac (area between cart bridge easement to the west 1 c. Property size: � 9
( and roadway easement on east side of the road)
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to :
proposed project: Polly Gully Creek
2b. Water Quality Classification of nearest receiving water: SC;Sw,HQW
2c. River basin: map is available at
http://h2o.enr.state.nc.us/admin/maps/ ! Cape Fear I
I
j 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:
The site consists of a two lane paved roadway with a bulkhead on each side of the roadway. The roadway services
approximately 800 residents in St James Plantation. The surrounding area in the immediate vicinity of the project is
primarily a salt marsh. The general land use in the vicinity of the project includes residential development and a golf
course.
3b. List the total estimated acreage of all existing wetlands on the property:
0.89 ac (area between cart bridge easement to the west and roadway easement on east side of the road)
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
153 If (area between cart bridge easement to the west and roadway easement on east side of the road)
3d. Explain the purpose of the proposed project:
The purpose of the project is to replace a failing bulkhead.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project will consist of installation of a new bulkhead along a section of SE St James Dr. and slight road realignment at s
bridge approach. See the attached narrative for a more complete description of work to take place.
Standard small construction equipment such as excavators and vibratory hammers will be used to construct the wall. The i
majority of the work will be done from the existing roadway. Temporary timber mats will utilized in the wetlands for
installation of the wall anchors.
Page 3of11
PCN Form — Version 1.3 December 10, 2008 Version

i 4. Jurisdictional Determinations
4a. Have jurisdictional wetiand or stream determinations by the
Corps or State been requested or obtained for this property !
project (including all prior phases) in the past? ® Yes ❑ No ❑ Unknown
Comments: Original JD was not provided. i
i
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: r
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Original JD was not provided but the permit number assigned to the COE approval associated with this JD is COE Action
ID No 200200641 and is dated May 30, 2002.
5. Project History
j 5a. Have permits or certifications been requested or obtained for ®Yes ❑ No El Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
I See attached Project Narrative for previous permits obtained for the site.
6. Future Project Plans
j 6a. Is this a phased project? ❑ Yes ® No
6b. If yes, explain.
Page 4 of 11

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
{ ® Wetlands ❑ Streams - tributaries
❑ Buffers
1 ❑ Open Waters ❑ Pond Construction
j 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 i
T of jurisdiction
number - Type of impact Type of wetlan
I Forested
Ce
Corps - 404, 10 Area of impact
Permanent P or
(} (if known#-,
DWQ - non-404, other) (acres)
Temporary T
I W1 ®P ❑ T i Fill a
® Corps 0.0009 (39 sf)❑ DWQ IW2
®P❑T Fill
®Corps0.0025 (107 sf)
❑ DWQ
W3 ❑ P ❑ T
El
® Corps I
® No
❑ DWQ
W4 ❑ P❑ T 1
I❑ Yes
® Corps
® No
I ❑ DWQ I
W5 ❑PFIT
F1 Corps
I
❑s
No
❑DWQ 3
W6 ❑ P r-1T
j El
❑ Corps
❑ No
❑DWQ
2g. Total wetland impacts 0.0034 (146 sf}
2h. Comments: The original permitted impacts totaled 0.0141
0.0034 ac (146 sf) for a total project impact of 0.0175 ac (760
ac (614 sf). The bulkhead extension will impact an additional
sf).
j 3. Stream Impacts
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. 3g.
f Stream impact Type of impact I Stream name
> Perennial
(3f.
Type of jurisdiction I Average Impact
{ number -
(P) or
(PER) or
intermittent
(Corps - 404, 10 stream length
(linearPermanent
on-j
Temporary T
(INT)?
,Tem
other) (feet) feet}
S1 ❑P❑T
❑ PER
❑Corps
❑ INT
❑ DWQ
S2 [IP❑T ;
❑ PER
❑ Corps
!
❑INT
❑DWQ
j S3 ❑ P ❑ T
❑ PER
' ❑ Corps
I
❑ INT
❑ DWQ
j S4 ❑ P ❑ T (
! ❑ PER
❑ Corps
❑ INT
❑ DWQ i
S5 El P [I T I
:1 PER
i L] Corps 4
I
❑ INT
❑ DWQ
S6 ❑ P ❑ T
I ❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts j
3i. Comments:
—�
I
Page 5 of 11

4. Open Water impacts
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 im acts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbod
1 impact number — (if applicable} Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Tem ora T
01 ❑P❑T i I
O2 ❑p❑T
03 ❑ PE] T
04 ❑P❑T
4f. Total open water impacts
14g. Comments:
5. Pond or Lake Construction
If pond or lake construction pWosed, then com tete the chart below.
5a. 5b.
5c. 5d.
j 5 Wedand Impacts (acres) Stream Impacts (feet) 1Upland
Pond
ID Proposed use or purpose �' (acres)
numberof pond Flooded 1 Filled Excavated 1 Flooded Filled Excavated Flooded
P1
P2 } {
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑Yes ❑ No If yes, permit ID no: ,
5i. Expected pond surface area (acres): i
51. Size of pond watershed (acres):
5k. Method of construction:
I
6. Buffer Impacts (for DWQ)
E
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. j
16a.
i
❑ Neuse ❑ Tar -Pamlico ❑ Other.
Project is in which protected basin?
❑ Catawba ❑ Randleman
1 6b. 6c. 6d.
fie. 6f. 6g.
Buffer impact I
number — Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary T impact
re uired?
B1 ❑P❑T
❑Yes j
❑ No
B2 ❑ P ❑ T I
❑Yes
I
❑ No 3
B3 ❑P❑T
s
❑❑Nos I
6h. Total buffer impacts
6i. Comments:
Page 6 of 11

I D. Impact Justification and Mitigation j
! 1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
A sheet pile wall will be constructed in lieu of a pile panel wall in order to minimize impacts.
b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The majority of the construction equipment for the sheet pile wall will be on the existing roadway. Temporary timber
matting will be utilized for any equipment that needs to be in the wetlands for construction. The only time construction
equipment is anticipated to be in the wetlands is for installation of the anchor bolts.
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?
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
project? ❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type ! Quantity
i
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
Page 7of11
PCN Form — Version 1.3 December 10, 2008 Version

S. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
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 I
buffer mitigation? If es, you will have to fill out this entire form — please
Yes ❑ No
contact the State for more information. 1
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.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
j Zone 1 3 (2 for Catawba) '
Zone
l1.5 !
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).
6h. Comments:
Page 8 of 11

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
3 1 a. Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules? ElYes No
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: ! ❑Yes ❑ No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? No change from existing
2b. Does this project require a Stormwater Management Plan? ❑ Yes ® No j
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: There is no additional impervious area
created by construction of this project. j
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ; ❑ DWQ Stormwater Program
j ❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
j
❑ Phase 11
3b. Which of the following locally -implemented stormwater management programs I ❑❑ 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? I
j! 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
attached? ❑ Yes ❑ No
S. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
El Yes ❑ No
Page 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
I
1a. Does the project involve an expenditure of public (federal/stateAocal) funds or the
use of public (federal/state) land? ❑ Yes ® No
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)?
1c. 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
letter.) ! ❑ Yes ❑ No
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), DWO Surface Water or Wetland Standards, ❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fact permit application? ❑Yes No
i
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
additional development, which could impact nearby downstream water quality? ❑ Yes ® No
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.
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.
Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version

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? i ❑ Yes ® No
5b. Have you checked with the USFWS concerning Endangered Species Act ®Yes
impacts? ❑ No
5c. If yes, indicate the USFWS Field Office you have contacted.
® Raleigh
❑ Asheville !
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Kathy Matthews with the USFWS checked the GIS database on September 5, 2013
1 6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ® Yes ❑ No
i
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NC DMF Primary Nursery Area Map
7. Historic or Prehistoric Cultural Resources (Corps Requirement) I
7a. Will this project occur in or near an area that the state, federal or tribal 1
governments have designated as having historic or cultural preservation ❑Yes
status (e.g., National Historic Trust designation or properties significant in No
North Carolina history and archaeology)?
t f
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Viewed the North Carolina State Historic Preservation Office HPOWEB GIS Service on January 29, 2012.
B. Flood Zone Designation (Corps Requirement) !
i
j 8a. Will this project occur in a FEMA -designated 100 -year floodplain? ® Yes ❑ No
! 8b. If yes, explain how project meets FEMA requirements: Replacement of the bulkhead will not impede 100 -year floodplain
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM Panel 2066 Map Number 3720206600J
Effective Date June 2, 2006
Jack Noland, PE I ��
f
Applicant/Agent's Printed Name Applit ant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
— is provided.)
Page 11 of 11