20180411 Ver 1_401 Application_20180318

DWR
Division of WaaerResources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
January 31, 2018 Ver 2.3
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E -PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https:lledoes.deq. ne.govlWaterResources101edocl624704/PCN%20Help%20File%202018-1-30. pdf
A. Processing Information
County (or Counties) where the project is located:
Brunswick
Is this project a public transportation project?*(?)
r Yes r No
1a. Type(s) of approval sought from the Corps:*
Pr Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
fJ Nationwide Permit (NWP)
r Regional General Permit (RGP)
Nationwide Permit (NWP) Number: 29 - Residential Developments
NWP Number Other:
List all MN nunbers you are applying for not on the drop dow n list.
1c. Type(s) of approval sought from the DWR:*
check all that apply
r 401 Water Quality Certification - Regular rJ 401 Water Quality Certification - Express
r Non -404 Jurisdictional General Permit r Riparian Buffer Authorization
...............................................................................................................
*
1d. 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:
b Yes r No
O Yes O No
1e. 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
0 Yes P No

Acceptance Letter Attachment
Click the upload button or drag and drop files here to attach document
Stone Farm Credit Ltr.pdf 226.72KB
RLETYFE "T BE FDF
1f. Is the project located in any of NC's twenty coastal counties?
C Yes r No
1g. Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
f Yes G No r Unknown
1h. Is the project located in a designated trout watershed?*
r Yes r No
Link to trout information: http://www.saw.usace.army.miI/Missions/Regulatory-Permit-ProgranitAgency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Curtis Dukes
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
rJ Owner r- Applicant (other than owner) rJ Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
Blue Fox Development, LLC
2b. Deed book and page no.:
04002 0027
2c. Responsible party:
(for Corporations)
Curtis Dukes
2d. Address
Street Address
1006 6th Avenue South
Address Line 2
Suite 2
City
North Myrtle Beach
Fbstal / Zip Code
29582
2e. Telephone Number:
[phone]
2f. Fax Number:
State / Province / Region
South Carolina
Country
USA

2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Joseph C. Floyd
4b. Business Name:
(if applicable)
The Brigman Company
4c. Address
Street Address
607 Main Street
Address Line 2
P.O. Box 1532
City
State / Province/ Region
Conway
South Carolina
Postal / Zip Code
Country
29528
Horry
4d. Telephone Number:
[phone]
4e. Fax Number:
(xxx)xxx-xxxx Email Address:*
[e-mail]
Agent Authorization Letter*
Rease provide the Agent Authorization Letter if you are subrritting this docunent.
Wetland Agent Authorization Ltr. Blue Fox.pdf 202.57KB
RLETYFE MHr BE RDF
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Landmark at Lighthouse Cove
1b. Subdivision name:
(if appropriate)
Lighthouse Cove
1c. Nearest municipality / town:
*
Carolina Shores
1d. Driving directions*
If it is a new project and can not easily be found in a GPS rrapping system Rease provide directions.
Lighthouse Cove subdivision is located on the west side of Thomasboro Road approximately 2 miles south of its intersection with US Hwy 17.
It has a well marked entrance sign.
2. Project Identification

2a. Property Identification Number:
(tax RN or parcel ID)
241-00-00-602
2b. Property size:
(in acres)
25.76
2c. Project Address
Street Address
Thomasboro Road
Address Line 2
cay
Carolina Shores
Rbstal / Zip Code
28467
2d. Site coordinates in decimal degrees
State / Province/ Region
North Carolina
Country
Brunswick
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey -grade GPS device) after the decimal place as
appropriate, based on howthe location was determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to
map coordinates to 5 or 6 digits after the decimal place.)
Latitude:* Longitude:*
33.911375 -78.564042
ex: 34.208504 -77.796371
I Surface Waters
3a. Name of the nearest body of water to proposed project:*
Shingletree Swamp
3b. Water Resources Classification of nearest receiving water:*
C; Sw
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Lumber
River Basin Lookup
4. Project Description
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:*
Undeveloped forested parcel that is surrounded on three sides by existing single family residences in developed
subdivisions. The fourth side is bounded by forested, undeveloped property.
4b. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for
DWR)
Click the upload button or drag and drop files here to attach docunent
Landmark at Lighthouse Cove USGS.pdf 501.05KB
File type rust be pdt
4c. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.
(for DWR)

Click the upload button or drag and drop files here to attach document
Landmark at Lighthouse Cove Soil Map.pdf 722.59KB
File type rrust be pdr
4d. List the total estimated acreage of all existing wetlands on the property:
0.26
4e. List the total estimated linear feet of all existing streams on the property:
(intermttent and perennial)
n/a
4f. Explain the purpose of the proposed project:*
The project purpose is to expand the existing Lighthouse Cove subdivision into its second and final phase of
development.
4g. Describe the overall project in detail, including indirect imapacts and the type of equipment to be used:*
The timber on site will be harvested with current, standard logging equipment followed by infrastructure
construction, such as roads, utilities and housing material. Each of these operations will use the standard, heavy
equipment typically used in subdivision development.
4h. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files here to attach docurrent
Landmark at Lighthouse Cove Permit Drawings.pdf 1.17MB
File type crust be pdr
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:
Landowner is submitting a JD request with this application. See Misc. tab.
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r Approved r Unknown r N/A
Corps AID Number:
Example: SAW -2017-99999
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Joseph C. Floyd
The Brigman Company
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5dl. Jurisdictional determination upload
Click the upload button or drag and drop files here to attach document
File type must be FDF
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
7. Future Project Plans

7a. Is this a phased project?*
r Yes r No
7b. If yes, explain.
This will be the second and final phase of the Lighthouse Cove Subdivision.
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? This includes other separate and distant crossing for linear projects that require Department of the
Army authorization but don't require pre -construction notification.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
V Wetlands
F- Open Waters
r— Streams -tributaries
F- Pond Construction
r— Buffers
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. Site # - Reason for impact* 2b. Impact type * 2c. Type of wetland * 2d. Wetland name *2e. 2f. Type of 2g. Impact
Forested* Jurisdicition* area*
Residential Construction P
Ivhp label (e.g. Fbad Crossing 1 - Calvert, Ferrrenent (F) or
dewatering, etc) Temporary (T)
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.260
2g. Total Wetland Impact
0.260
2h. Comments:
Non-Riverine Swamp PFO1C Yes Both 0.260
Forest (404, 10) or D,NR(401, (acres)
other)
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 proposed layout of Phase II continues with the pre -approved layout constructed in Phase I. This layout
accommodates an existing sewer lift station as well as space for on-site storm water retention ponds.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Due to the layout of the existing Phase I infrastructure and the required new infrastructure (including storm water
management ponds) avoiding the wetland was not economically feasible.
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?
r Yes r No

2c. If yes, mitigation is required by (check all that apply):
W DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
W Mitigation bank r Payment to in -lieu fee program r Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Stone Farm Mitigation Bank
3b. Credits Purchased/ Requested (attach receipt and letter)
Type: Quantity:
Non -riparian wetland 0.5
Attach Receipt and/or letter
dick the upload button or drag and drop files hereto attach docurrent
HLE TYPE MJST BE FDF
3c. Comments
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire
form - please contact DWR for more information.
r Yes r No
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
......... ......... ......... ......... ........... ......... ......... ...................
*** Recent changes to the stormwater rules have required updates to this section .***
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?
r Yes r No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?*
r Yes
r No
To look up low density requirement click here 15A NCAC 02H .1003(2).
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?*

r Yes
t: No
Fant: projects that have vested rights, exerrptions, or grandfathering from state or locally implerrented storrrwater programs or projects that satisfy state or locally -implemented stormwater programs
through use of cormunity in -lieu programs should answer no to this question.
3. Stormwater Requirements
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. *
r Stormwater Management Plan r Antidegradation Calculations
3b. Stormwater Management Plan: If submitting a SMP for review and approval, it shall comply with the high-density development
requirements set forth in 15A NCAC 02H .1003. Include all appropriate stormwater control measure supplemental forms and associated
items.
gick the upload button or drag and drop files here to attach docurrent
Stormwater Statement.pdf 185.9KB
HLE IYFE M -ST BE FDF
3c. Antidegradation Calculations: If submitting calculations to document the project will not cause degradation of downstream surface
waters, the documentation shall include a detailed analysis of the hydrological impacts from stormwater runoff when considering the
volume and velocity of stormwater runoff from the project built upon area and the size and existing condition of the receiving
waterbody(ies).
gick the upload button or drag and drop files here to attach docurrent
RLE TYPE NMT BE FDF
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?*
r Yes r 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)? *
r Yes r No
2b. Is this an after -the -fact permit application?*
r Yes F No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact
nearby downstream water quality?*
r Yes R No
3b. If you answered "no," provide a short narrative description.
This project is the second and final phase of an existing subdivision, which is currently surrounded on three sides
by existing, developed subdivisions. The developer will use all required storm water management techniques to
protect downstream waters.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
G Yes r Nor 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.
Sewerage disposal will be provided by Brunswick County Water and 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?*
r Yes F No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes G No
5d. Is another Federal agency involved?*
r Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?*
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
F Yes r No
5g. Does this project involve bridge maintenance or removal?*
r Yes r No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?**
r Yes G 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.?*
r Yes G No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
US Fish & Wildlife Service/Brunswick County Endangered Species List website:
https://wwvv.fws.gov/raleigh/species/cntylist/brunsWck.html
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes F No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
n/a
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/
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 (e.g., National Historic Trust designation or properties significant in North Carolina history and archaeology)?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
North Carolina Historic Preservation Office Historic Properties Map website:
http://gis.ncdcr.gov/hpoweb/
7c. Historic or Prehistoric Information Upload

Click the upload button or drag and drop files here to attach docunent
File rrust be FDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Map Service Center
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docurrent
Landmark at Lighthouse Wetland Map.pdf 1.24MB
Landmark at Lighthouse JD Request.pdf 10.53MB
File rrst be FDF or aE
Signature
m By checking the box and signing below, I certify that:
■ 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:*
Joseph Cary Floyd
Signature
Initial Review
Is this project a public transportation project?*(?
C Yes r No
Change only if needed.
Has this project met the requirements for acceptance in to the review process?
r Yes
No
BIMS # Assigned*
20180411
Version#*
1

Reviewing Office*
Wilmington Regional Office - [phone]
Select Project Reviewer*
Chad Coburn:eads\cccoburn
Is a payment required for this project?*
r No payment required
r Fee received
G Fee needed - send electronic notification
What amout is owed?
F $240.00
* $570.00