20181555 Ver 1_PCN Form Submission_20181114

DWR
IDIOM n of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
tial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Qiange only if needed.
BIMS # Assigned
20181555
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office*
Wilmington Regional Office - [phone]
Information for Initial Review
1a. Name of project:
Jenkins - 311 Pelican Walk
1a. Who is the Primary Contact?*
Tom Gulley
1b. Primary Contact Email:*
[e-mail]
Date Submitted
11/14/2018
Nearest Body of Water
Atlantic ICWW
Basin
White Oak
Water Classification
HWQ/SA
Version# *
1
What amout is owed?*
r• $240.00
* $570.00
Select Project Reviewer*
Robb Mairs:eads\rlmairs2
1c. Primary Contact Phone:*
[phone]
Site Coordinates
Latitude: Longitude:
34.404692 -77.609344
FA. Processing Information U
County (or Counties) where the project is located:
Fender
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
* 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?
rJ Nationwide Permit (NWP)
F- Regional General Permit (RGP)
F Standard (IP)

1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
F Non -404 Jurisdictional General Permit
F Individual Permit
29 - Residential Developments
1e. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
r 401 Water Quality Certification - Express
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r- Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r- Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r- Yes r No r Unknown
1j. Is the project located in a designated trout watershed?
C Yes r No
F. Applicant Information
1d. Who is applying for the permit?
r- Owner V Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
r Yes r- No
2. Owner Information
2a. Name(s) on recorded deed:
Robert A Jenkins et al
2b. Deed book and page no.:
4665/1413
2c. Responsible party
r- Yes r No
r- Yes r No
2d. Address
Street Address
1201 Porches Dr.
Address Line 2
City
State / Frovinre / R�gicn
Wilmington
NC
Postal / Zip Code
Qbuntry
28409
USA
2e. Telephone Number:
2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)

3a. Name:
Tom Gulley
3b. Business Name:
Needham Environmental, Inc.
3c.Address
Street Address
2130 Carolina Beach Rd.
Address Line 2
City
Wilmington
Ft%tal / Zip Code
28401
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
Meares Division PB 37/26
1c. Nearest municipality/town:
Hampstead
2. Project Identification
2a. Property Identification Number:
4214-91-5165-0000
2c. Project Address
Street Address
311 Pelican Walk
Address Line 2
City
Hampstead
Fbstal / Zip Code
28443
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Atlantic ICWW
3b. Water Resources Classification of nearest receiving water:*
HWQ/SA
3c. What river basin(s) is your project located in?*
White Oak
3d. Please provide the 12 -digit HUC in which the project is located.
03020302
4. Project Description and History
State / Rovince / fiagion
NC
Country
USA
3e. Fax Number:
2b. Property size:
0.45
State / Rovince / fbgion
NC
Country
USA
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:*
The wasting property currently contains ground cover plants and with low shrubs in places. It is bush -hogged a couple of times a year. The classification of the land use of the
immediate area is low-density. It is surrounded by areas mapped as cultivated land and southern yellow pine. Some of these areas have been since developed with low-density
development.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
4d. Attach an 8 1/2X11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Pelican Walk USGS.pdf 880.62KB
4e. 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)
Pelican Walk Soil Survey.pdf 300.56KB

4f. List the total estimated acreage of all existing wetlands on the property:
0.25 ac
4g. List the total estimated linear feet of all existing streams on the property:
none
4h. Explain the purpose of the proposed project,*
New Construction of single-family home. Wetland impact for driveway to home.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Owner/applicant will construct a new home, driveway, and septic system. Standard construction equipment will be used. Home will be constructed on pilings, so a pile driver will be used.
4j. Please upload project drawings for the proposed project.
Jenkins - 311 Pelican Walk Proposed Wetland Impact Map.pdf 2.71 MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No f Unknown
Comments:
Approved by Emily Greer on 3/30/18
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r WA
Corps AID Number:
SAW -2018-00465
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Tom Gulley
Agency/Consultant Company: Needham Environmental, Inc.
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
Approved by Emily Greer on 3/30/1
5d1. Jurisdictional determination upload
e2018-00465 Pelican Walk Lot 4 Tearsheet.pdf 418.36KB
6. Future Project Plans
6a. 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?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
W Wetlands r Streams -tributaries
r Buffers
F Open Waters r Pond Construction
2. Wetland Impacts
a. Site #* (?) 2a1 Reason M 2b. Impact type * (?) 2c. Type of W. * 2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition*(?) area*
1 fill JP Bottomland Hardwood Forest F1 No Corps 0.010
(acres)
2g. Total Temporary Wetland Impact
0.000
29. Total Wetland Impact
0.010
2h. Comments:
E. Impact Justification and Mitigation
2g. Total Permanent Wetland Impact
0.010

1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The driveway was placed at the narrowest side of the wetland. Front load garage was attempted, but the required above ground septic system would
not allow. Driveway was moved to a sideload and driveway placed in the portion of wetland area with the minimal impact, leaving a wetland area
directly adjacent to the property line.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Driveway is proposed with the minimal 1:3 sideslope.
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?
C Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The impact is under 1/10th of an acre and could not be avoided due to the septic system and impact was minimized where possible.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r^ Yes r No
If no, explain why:
Slte is in the White Oak basin and not in a listed riparian buffer basin.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
C Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes C No
Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
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)?*
f Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
C Yes r No
3b. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
C Yes r Nor 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
5d. Is another Federal agency involved?*
r Yes r No r Unknown
Se. 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
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?
Critical Habitat for Threatened & Endangered Species [USFWS] Mapper
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
C Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
Critical Habitat for Threatened & Endangered Species [USFWS] Online Mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NCSHPO Mapper
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
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:
Home will be constructed on pilings.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Map Service Center
Miscellaneous
Comments
Discussed proposed impact with Emily Greer by email on Aug 27, 2018.
Miscellaneous attachments not previously requested.
Fender Cc Environmental Health Permit.pdf 303KB
Signature u
*
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:
James T Gulley, Jr.
Signature

Sign
Date
11/14/2018

Needham
Environmental, Inc.
Main Office/Fax [phone]
Tom Gulley – [e-mail]
P.O. Box 960, Wilmington, NC. 28402

Agent Authorization Form

TO WHOM IT MAY CONCERN:

I/we, the undersigned, hereby authorize Needham Environmental, Inc. to act as our agent
in the preparation and representation of information related to the tract listed below. This
authorization grants permission for the USACE to enter the property for the purposes of
jurisdictional wetlands determination as well as review of any areas that may be included
in a 404/401 or CAMA permits. This authorization, for liability and professional courtesy
reasons, is valid only for government officials to enter the property when accompanied by
staff of Needham Environmental, Inc.

TRACT NAME: Lot 4, Tract 3A Houston Meares Div

TRACT LOCATION: Pelican Walk

OWNER/APPLICANT: Robert Jenkins

SIGNATURE:

DATE:
Proposed Wetland
Impact Map
Needham Environmental, Inc.
Environmental Consultants
1” ~ 50’NNJenkins
311 Pelican Walk
Hampstead, NC
03-18-/094/PCN Info.cdr
Survey Provided prepared by: Charles F Riggs and Associates Inc.
(F1)
Wilmington, NC
November 2018
Generalized Soils Map
Needham Environmental, Inc.
Environmental Consultants
1” ~ 100’
NN
Map Source: Pender County Online GIS
Tract boundary shown in Red.
Houston Mears Div
Tract 3A, Lot 4
Hampstead, NC
NN
03-17-112/COE Package.cdr
Wilmington, NC
January 2018
USGS Hampstead
(NC) Quad
Needham Environmental, Inc.
Environmental Consultants
Map Source: US Fish & Wildlife Service 1” ~ 2000’
NN
Houston Mears Div
Tract 3A, Lot 4
Hampstead, NC
ITE
S
03-17-112/COE Package.cdr
Wilmington, NC
January 2018