20190537 Ver 1_401 Application_20190423

ATLANTIC ENVIRONMENTAL CONSULTANTS, LLC
P.O. Box 3266, Kitty Hawk, NC 27949
[phone] fax [phone]
April 15, 2019
NC DWR, 401 Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
RE: Kobelski — PCN - Nationwide #18
Whalehead Beach, Corolla, Currituck County
To Whom It May Concern,
2 0 1 90 5 37
Enclosed is a Preconstruction Notification Form (PCN) for a Nationwide#18 permit to
develop a residential property located at 860 Whalehead Drive in Whalehead Beach,
Corolla, Currituck County, North Carolina.
The proposed impact includes wetland fill in Section 404 wetlands to construct a
residential home and parking. Wetland impacts were limited to a total of 0.10 acre,
which is covered under a USACE Nationwide 18 General Permit.
We request that you initiate the application process and if have questions or need
additional information please contact me at 252-261-7701'
.
Sincerely,
Doug Dorman
Atlantic Environmental Consultants, LLC
cc: Billy Standridge, USACOE

WA ,qQG
Office Use Only:
Corps action ID no.
DWQ project no.
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
1b. Specify Nationwide Permit (NWP) number: 18 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
1h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Kobelski Project
2b.
County:
Currituck
2c.
Nearest municipality / town:
Corolla
2d.
Subdivision name:
Whalehead Beach
2e.
NCDOT only, T.I.P. or state
project no:
N/A
3.
Owner Information
3a.
Name(s) on Recorded Deed:
John Kobelski
3b.
Deed Book and Page No.
1375/562
3c.
Responsible Party (for LLC if
applicable):
3d. Street address:
3686 Hill Breeze Road
3e. City, state, zip:
Virginia Beach, VA 23452
3f.
Telephone no.:
N/A
3g.
Fax no.:
N/A
3h.
Email address:
[e-mail]
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:
Doug Dorman
5b. Business name
(if applicable):
Atlantic Environmental Consultants, LLC
5c. Street address:
PO Box 3266
5d. City, state, zip:
Kitty Hawk, NC 27949
5e. Telephone no.:
252-599-2603
5f. Fax no.:
5g. Email address:
[e-mail]
Page 2 of 10
PCN Form —Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
115A00000430012
1b. Site coordinates (in decimal degrees):
Latitude: 36.33641 Longitude: - 75.815835
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
0.46 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Atlantic Ocean
proposed project:
2b. Water Quality Classification of nearest receiving water:
SA
2c. River basin:
Pasquotank
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:
Undeveloped property. Property located adjacant to other residential properties.
3b. List the total estimated acreage of all existing wetlands on the property:
0.13 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
None
3d. Explain the purpose of the proposed project:
The proposed fill will provide a site for a house, 8 parking spaces and engineered septic system.
3e. Describe the overall project in detail, including the type of equipment to be used:
Project includes: Fill of Section 404 wetlands (0.10 ac.)for the construction of residential home. Equipment utilized for
this project to include an excavator or backhoe, a dump truck will bring in fill material.
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: Atlantic Environmental
Consultants, LLC
Name (if known): Doug Dorman
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
In the process of obtaining Jurisdictional Determination. Submitted March 2019
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.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ® No
16b. 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)
Tem ora
W1 ®P ❑ T
404 wetland fill
Scrub shrub
❑ Yes
® No
® Corps
® DWQ
0.10
W2 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
2g. Total wetland impacts
0.10
2h. Comments:
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.
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
❑ INT
❑ Corps
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
85 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
31. Comments:
Page 4 of 10
PCN Form —Version 1.3 December 10, 2008 Version

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.
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
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑ PEI T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If Pond or lake construction proposed, then complete 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
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5E Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
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.
❑ Neuse [__1 Tar -Pamlico El Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary
impact
re uired?
B1 ❑P❑T
F1 Yes
❑ No
132 ❑P❑T
El Yes
❑ No
B3 ❑P❑T
El Yes
❑ No
6h. Total buffer impacts
6i. Comments:
Page 5 of 10
PCN Form —Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Due to the location of wetlands at the front half of the property it is difficult to avoid any impacts. The suitable area for a
wastewater system is located on the upland portion of the lot and this will use up most the availble uplands. Several design
options were evaluated and they all resulted in impacts to the exisitng wetland area.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Several design options were reviewed to avoid and minimize impacts. 1. A conventional septic system was evaluated but
there was not enough available space on the upalnd area and it would have resulted in wetland impacts exceeding a 0.10
acre. 2. A pile supported structure was also reviewed to reduce wetland impacts but county hieght restrictions limit the
structure to 35 feet and its not an option to loose one level of the house. 3. Vehicle parking is required and there is no way to
avoid or minimize these 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: The Great Dismal Swamp Swamp Timberlake Mitigation Bank
3b. Credits Purchased (attach receipt and letter)
Type Non Riparian
Quantity 0.20 ac.
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:
5. Complete if Using a Permittee Responsible Mitigation Plan
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
buffer mitigation?
❑ Yes ® No
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.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(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).
6h. Comments:
Page 7 of 10
PCN Form — Version 1.3 December 10, 2008 Version

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?
26%
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:
Stormwater runoff to be directed to rain garden with overflow to exisitng wetlands located on the property
® 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
3a. In which.local government's jurisdiction is this project?
Currituck County
❑ Phase II
3b. Which of the following locally -implemented stormwater management programs
❑ NSW
❑ IJSMP❑
apply (check all that apply):
Water Supply Watershed
® Other: County BMP's
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
El Yes El No
attached.
6. 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?
❑ Yes ❑ No
Page 8 of 10
PCN Form —Version 1.3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
la.
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 (NEPAISEPA)?
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 2B .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.
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.
Residential engineered septic system.
Page 9 of 10
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
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
® Yes ❑ No
impacts?
® 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?
Contacted a Biologist with the USFWS Field office.
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 wetland area would not support Essential Fish Habitat.
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?
Environmental review submited 4/8/19. Assistant State Archeologist for a determation.
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: Construction be elevated above designated flood plain
requirements for this location and approved by local municapalities prior to construction.
8c. What source(s) did you use to make the floodplain determination? Currituck County flooplain maps
Doug Dorman
,
4/8/19
Applicant/Agent's Printed Name'Applicant/Agent's
Date
Signature
(Agent's signature is valid only if an authorization letter from the applicant
isprovided.)
Page 10 of 10
PCN Form —Version 1.3 December 10, 2008 Version

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Page 1 of 3

AGENT AUTHORIZATION- FORM
Date. 3/2512019
Name of Property Owner -Applying for Permit:
johnAgbelski
'Mailing Address:
.3686'Hill Breeze Road
Virginia Beach, VA 23452
I:certify ,-that-lhave,auth.orized-(agent),AtianticEnVironmental.Consultants,UC. to -act -on my behalf, for
thepurposeof'a0plying for and obtaining all Permits necessary to install'or construct -(activity)
MkId family -residence. at( � pr ''cate
my operty 10 ad it),
860 Whalelidgd'brive, Cbrolla, NC 27927
Property Owner,(pleasc print)
Signature
Date

AGENTAUTHORIZATION! FORM
Date 3/2S/2019
Name of Property Owner Applying for Permit:
-johm(obelski
�Mailing Address:
,3686 Hill Ordebe Roa&-
Viminia Beach. VA 234SZ-
Icertify -that I have:authorized.(agent) Atlantic Environmental Consultants: U to act -on my behalf, for
th,tputposd of'applying for and obtaining all Perrhits.necessary,to Install or construct (activity)
Single fainiliresidenco at (my property located -At).
860 Whalehead Drive. Cdrolla. NC 27927
g5 L�C� 1�[slc. .
Property Owner (please print)
Signature—
A/
Date

00,
LEGEND
A
a
- PROPOSED WETLAND FILL (4,350 SF)
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PROPOSED CONCRETE
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WETLAND LINE
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8 - PROPOSED PARKING SPACES
10' - PROPOSED FILL ELEVATIONS
- EXISTING ELEVATIONS
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SITE
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WHALEHEAD DRIVE
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(60' R/W)
SITE
PLAN FOR NATIONWIDE #18
JOHN KOBELSKI
860 WHALEHEAD DRIVE
COROLLA— CURRITUCK COUNTY — NORTH CAROLINA
15'
0'
30'
60' 90'
ATLANr EN�/RONAIMUL CONSULTANTS, LLC
GRAPHIC
SCALE 1"=
30'
P.O. BOX,266, K/TTY HAWK, N.C. 27949
[phone], a -mall dougdaec®gma//. com
FILE:
2019 - KOBELSKYDATE:
4/4/19
REVISED: