20180413 Ver 1_401 Application_20180318

DWR
Dfutslon of Water Resources
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://edocs. deq. nc.gov/WaterResources/0/edoc/624704/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 G No
1a. Type(s) of approval sought from the Corps:*
rJ Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
17 Nationwide Permit (NWP)
r Regional General Permit (RGP)
Nationwide Permit (NWP) Number: 03 - Maintenance
Nationwide Permit (NWP) Number: 36 - Boat Ramps
NWP Number Other:
List all MNnunbers you are applying for not on the drop down list.
1c. Type(s) of approval sought from the DWR:*
check all that apply
401 Water Quality Certification - Regular r 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:
r Yes r No
For the record only for Corps Permit: r Yes r 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
C Yes r No
1f. Is the project located in any of NC's twenty coastal counties?*
b Yes r No
1g. Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
r Yes r No r Unknown
1h. Is the project located in a designated trout watershed?*
a Yes r No
Link to trout information: http://wuwv.saw.usace.army.miI/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Bethany Womack
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
r- Owner r Applicant (other than owner) PF Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
Department of the Army, United States of America
2b. Deed book and page no.:
Deed Book 0189, Page No. 0513
2c. Responsible party:
(for Corporations)
Matthew C Swanson, Director, Public Works Division
2d. Address
Street Address
6280 Sunny Point Road SE
Address Line 2
Military Ocean Terminal Sunny Point
City
Southport
Postal / Zip Code
28461-5000
2e. Telephone Number:
[phone]
2f. Fax Number:
[phone]
2g. Email Address:*
State / Province / Region
NC
Country
US

[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Bethany Womack
4b. Business Name:
(if applicable)
Cypress Environmental of Bay County, LLC
4c. Address
Street Address
P.O. Box 16062
Address Line 2
City
Panama City
Rbstal / Zip Code
32406
4d. Telephone Number:
[phone]
(xxx)xxx-xxxx
4e. Fax Number:
4f. Email Address:*
[e-mail]
State / Province / legion
FL
Country
US
Agent Authorization Letter*
Rease provide the Agent Author¢ation Letter if you are submitting this document.
Corps - DWQ Application.pdf 2.43MB
RLETYFE UBT BE RDF
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Military Ocean Terminal Sunny Point (MOTSU) LCU Security Boat Ramp
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Southport, NC
1d. Driving directions*
If it is a new project and can not easily be found in a GPS napping system Pease provide directions.
Military Ocean Terminal Sunny Point
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
17400001

2b. Property size:
(in acres)
0.3
2c. Project Address
Street Address
Address Line 2
aty
Fbstal / Zip Code
2d. Site coordinates in decimal degrees
State/ Frovince / Plegion
Country
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 how the 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:*
34.000411 *77.954722
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Cape Fear River
3b. Water Resources Classification of nearest receiving water:*
SC - Tidal Salt Water
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Cape Fear
River Basin Lookup
4. Project Description
4a. Describe the existing conditions on the site and the general land use in the vicinityof the project at the time of this application:*
Remove existing boat ramp; Install a +/-165 LF temporary sheetpile coffer dam; construct a new 20'x 120'
concrete boat ramp; install a 8.9' x 20' rip rap scour pad; install a new 8' x 24' floating dock with 2 concrete anchor
piles; install+/ -620 SF (57CY) of new rip rap below MHW; Repair+/ -920 SF (85CY) of rip rap below the MM;
Repair+/ -1,100 SF (102CY) of rip rap above the MHW; Impact 150 SF of EAV in rip rap repair area
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 docurrent
Quad Map.pdf 341.72KB
File type rrust be pdf
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)
nick the upload button or drag and drop files here to attach docurrent
File type rust be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
0
4e. List the total estimated linear feet of all existing streams on the property:

(interrrittent and perennial)
0
4f. Explain the purpose of the proposed project:*
Repair/ replace existing boat ramp and rip rap revetment
4g. Describe the overall project in detail, including indirect imapacts and the type of equipment to be used:*
Boat ramp for existing military installation. Equipment used -Backhoe, low pressure jet for pilings and sheetpile
4h. Please upload project drawings for the proposed project.
Cick the upload button or drag and drop files here to attach docurrent
Project Drawings.pdf 6.23MB
File type rrust be pdt
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
f Yes r No C Unknown
Comments:
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:
Ecarrple: SAW -2017-99999
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5d1. Jurisdictional determination upload
Click the upload button or drag and drop files hereto attach docurrent
File type crust 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
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):
r- Wetlands r- Streams -tributaries r- Buffers
V Open Waters r- Pond Construction
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 impacts below.
4a. Site # - Reason for
impact*
Boat Ramp
K/bp label (e.g. Finad Crossing 1)
4b. Impact type * 4c. Name of waterbody* 4d. Activity type * 4e. Waterbody type *4f. Impact
area
P Cape Fear River Fill Other 0.04
F2rnenent (F) or (if applicable) (acres)
Terrporary (T)
4g. Total temporary open water Impacts:
0.00
4g. Total permanent open water impacts:
0.04
4g. Total open water impacts:
0.04
4h. Comments:
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:*
Project is within footprint of existing rip rap and boat ramp
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Silt fence will be installed around upland project area and a temporary sheet pile cofferdam will be installed in the
open water to prevent turbidity within Cape Fear River
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
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Project is a repair / replacement of an existing facility
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:
N/A
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
r Yes t: No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
t: Yes
r No
To look up low density requirement click here 15A NCAC 02H .1003(2).
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
1b. 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 (North Carolina) Environmental Policy Act (NEPA/SEPA)?*
r Yes r No
Comments:*
Not required
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 C 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.
Repair / replacement of existing boat ramp facility
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
r Yes t: No r 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?*

r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes r No
5e. Is this a DOT project located within Division's 1-8?*
r Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?*
r Yes r No
5g. Does this project involve bridge maintenance or removal?*
r Yes r No
r Unknown
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEBSLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?"*
r Yes r 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 r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
Submitted project info to USFWS -John Ellis responded with the recommendation to "incorporate the Service's NC
Manatee guidelines" and "other than that it [the application] looked good"
Submitted project info to NMFS - Fritz Rohde responded that he agreed with a "No Effect" determination for the
Atlantic Sturgeon species or its associated critical habitat or any other threatened or endangered species.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NMFS Essential Fish Habitat GIS database
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?
NC State Historical Preservation Office (SHPO) GIS database
7c. Historic or Prehistoric Information Upload
Click the upload button or drag and drop files hereto attach docurrent
File rust 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
8b. If yes, explain how project meets FEMA requirements:
The proposed project is limited to the replacement of an existing boat ramp; repair of an ebsting rip rap revetment;
and installation of a new floating dock structure. No buildings / habitable structures are proposed.
8c. What source(s) did you use to make the floodplain determination?*
FEMA flood map - VE (elev. 11)
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docunent
EFH Mapper.pdf
60.44KB
Flood Map.pdf
371.85KB
NMFS - No Effect Determination. pdf
71.23KB
USFWS coordination.pdf
7.3MB
vicinity map.pdf
191.16KB
File rrust be FDF or IME
Signature
W 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:*
Bethany Womack
Signature
0�� WMWW6
Initial Review
Is this project a public transportation project?*(?
r Yes r No
Change only V needed.
Has this project met the requirements for acceptance in to the review process?
r Yes
r No
BIMS # Assigned *
20180413
Version#*

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
f Fee needed - send electronic notification