20190745 Ver 1_Pre-Construction Notification (PCN) Form 6_20_19_20190620

DWR
MOM— M WM­ R­­
Pre-Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
September 29, 2018 Ver 3
Please note: fields marked Wth a red asterisk below are required. You W11 not be able to submit the form until all mandatory questions are ansmred.
Also, if at any point you Wsh 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://edor-s.deq.nc.gov/WaterResources/O/edoc/624704/PCN`/�2OHelp�/*2OFile`/`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
This is any publicly funded by "nicipal,state a federal funds road, rail, airport transportation pq�t.
Is this a NCIDOT Project?*
r Yes r No
(NCIDOT only) T.I.P. or state project number:
WBS#*
16.71001
(for NCDOT use only)
1 a. Type(s) of approval sought from the Corps:
W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
W Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. Whattype(s) ofpermit(s) do you wish to seek authorization?*
W Nationwide Permit (NWP)
F Regional General Permit (RGP)
r- Standard (P)
This form may be used to initiate the standard/individual permit process with the Corps. Please contact your Corps representative concerning submittals for standard permits. All required items that
are not provided in the E-PCN can be added to the miscellaneous upload area located at the bottom of this form.
1c. Has the NWP or GP number been verified by the Corps?*
r Yes r No
Nationwide Permit (NWP) Number: 13 - Bank Stabilization
NWP Numbers (for multiple NWPS):
List all MNnurrbers you are apoyingfor notonthedrop down list.
Id. Type(s) of approval sought from the DWR:*
ch�k all that apoy
R 401 Water Quality Certification - Regular
F- Non-404 Jurisdictional General Permit
F- Individual Permit
le. Is this notification solely for the record because written approval is not required?
For the record only for IDWIR 401 Certification:
For the record only for Corps Permit:
r- 401 Water Quality Certification - Express
r- Riparian Buffer Authorization
r Yes r No
(' Yes r No
If. Is this an after -the -fact permit application?*
r Yes G- No

1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
9 so, aftach the acceptance letter from nitigation bank or in -lieu fee program
r Yes r No
Acceptance Letter Attachment
Gick the upload button a drag and drop files here to attach document
FIUETYPEK4JSTBEPDl=
I h. Is the project located in any of NC's twenty coastal counties?
r Yes (- No
li. Is the project located within a NC DCM Area of Environmental Concern (AEC)?*
r Yes r No 0 Unknown
1j. Isthe project located in a designated trout watershed?*
C Yes r No
Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-ProgranVAgency-Coordination/Trout.aspx
B. Applicant Information ��J �
Ia. Who is the Primary Cori
Brian Doliber
1c. Primary Contact Phori
1 b. Primary Contact Email:
[e-mail] [phone]
Id. Who is applying for the permit?
F Owner P Applicant (other than owner)
(Check all that apply)
1 a. Is the re an Age nt/Consu Itant for th is project?
r Yes r No
2. Owner Information
2a. Nami on recorded deed:*
North Carolina Department of Transportation
2b. Deed book and page ri
01147, 1145
2c. Responsible party:
(for Corpprationi
2d. Address*
Street Address
159 Lucinda Lane
Address Line 2
aty
State/ Frei Pagion
Powells Point
NC
Pbsi / Zip Code
Country
27966
USA
2e. Te le phone Numbe r:
(XXX)XXX-xxxx
[phone]
2f. Fax Number:
2g. Email Adcl
[e-mail]
3. Applicant Information (if different from owner)
3a. Nami
Brian Doliber
3b. Business Name:
(if applicable)
3c. Address*

Street Address
159 Lucinda Lane
Address Line 2
CKY
State / Province / Ragion
Powells Point
NC
Postal / Zip Code
O�ntry
27966
USA
3d. Telephone Nuni
[phone]
3e. Fax Number:
(xxx)xxx-xxxx
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
I a. Name of project:*
Southport Spoil Site Shoreline Stabilization 2019
1b. Subdivision name:
(if appropriate)
1 c. Nearest municipality / town:
Southport
F2Project Identification
2a. Property Identification Number:
2b. Property size:
(tax FIN a parcel D)
(in acres)
22200009
12.18
2c. Project Address
Street Address
1650 Ferry Road SE
Address Line 2
city
State / Frovince I Region
Southport
NC
Postal / Zip Code
Country
28401
USA
2d. Site coordinates in decimal degrees
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 wth GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude,* Longitude:*
39.932887 -77.991897
ex: 34.209504 -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:*
Cape Fear
Surface Water Lookup
3c. What river basini is your project located hi
Cape Fear
3d. Please provide the 12-digit HLIC in which the project is located.*
030300050803
River Basin Lookup
4. Project Description and History
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:
,�J

The land in the vicinity of this project is used for disposal of dredging material. No development e)dsts on the piece of land being used for the spoil site. The ferry terminal is adjacent to
the spoil site and includes paved roads, ferry operations buildings and ferry ramps.
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
4c. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
SAW-2005-9988983
Project History Upload
Click the upload button a drag and drop files here to attach docurrent
File type must be FDF
4d. 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
NC—Kure—Beach-20160621—TM geo.pdf 21.71MB
File type nust be pdf
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)
Click the upload button or drag and drop files here to attach occurrent
20190606091 2110958284Soi I_Repo rt. pdf 708.28KB
File type must be pdf
4f. List the total estimated acreage of all existing wetlands on the property:
0
4g. List the total estimated linear feet of all existing streams on the property:
(internittent and perennial)
1700
4h. Explain the purpose of the proposed project,*
Recent storms have damaged the spoil site berm around the perimeter of the site and impacted the shoreline. The existing rip rap does not extend far enough south to prevent
additional damage to the shoreline and spoil site. The 78' of additional rip rap will stabilize the shoreline and prevent further erosion/damage.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The NCDOT Ferry Division is looking to stabilize a 78.59' section of the spoil site berm on the eastern side of the Southport spoil site. Rip rap already eAsts along the perimeter of much
of the spoil site but the section being referenced has never been stabilized and significant erosion has occurred as a result of recent storm events. Class 2 rip rap would e)dend 78.59'
to the southwest from the current rip rap, with the toe following the CAMA stakes that mere placed during the pre -application meeting and be placed on filter fabric. The width ofthe new
rip rap would be 20' and the overall length of both newand e)dsting rip rap would be 515.57'. Following placement ofthe rip rap, the section ofthe berm that has experienced significant
erosion would be brought back to its pre -storm profile to match the rest of the spoil site by backfilling with material located on site.
4j. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files here to attach document
SOUTHPORT RIPRAP 5-21-19.pdf 3.27MB
File type rrust be pdr
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?
r Yes r No 47, Unknown
Comments
5b. Ifthe Corps made ajurisclictional determination, what type of determination was made?*
r Preliminary r Approved r NotVerified r Unknown r NA
Corps AID Number:
Fxar,#w. SAW-2017-99999
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Age ncy/Consultant Company:
Other:
5dl. Jurisdictional determination upload
Click the upload button a drag and drop files here to attach docurnant
Ple " —st be PDF
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
Are anyother NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize anypart ofthe proposed project or related activity'.) This
includes other separate and distant crossing for linear projects that require Department ofthe Army authorization but don't require pre -construction notification.

LD.:Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
F Wetlands r— Streams -tributaries F Buffers
W 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. Sit Reason ��4b. Impact type*(?) 4c. Name of waterbody(?) 4d. Artiv ity type* 4e. Wate rbody type 14f. Impact
0.03
S=outhport Spoil fftttlbilization �I` Cape Fear tabilization (acres)
Sit.
4g. Total temporary open water Impacts:
0.00
4g. Total permanent open water impacts:
0.03
4g. Total open water impacts:
0.03
4h. Comments:
Approximately 200 cubic yards of rip rap will be placed below MFIW along the 78' section of shoreline in need of stabilizing.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project**
The extension ofthe rip rap was designed to limit its placement to only the area in which damage has occurred and is likely to continue to occur in the
future if shoreline stabilization is not performed. Site visits were conducted with field officers for DCM, AGE and DWR in order to receive guidance prior
to final draWngs being created and permit applications submitted.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Al equipment will perform the work while stationed on a stable, benched berm above MHW.
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. Ifthis project DOES NOTrequire Compensatory Mitigation, explain why:
Land disturbance Will be minimal and construction activities wIl temporary and brief.
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS vebsite.
LFStormwater Management and Diffuse Flow Plan (required by DWR)
— Recent changes to the stormwater rules have required updates to this section .-
1. Diffuse Flow Plan
la. 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
Fora listofoptionsto meetthe diffuse flow requirements, click here.
If no, explain why:
Cape Fear River directly adjacent to shoreline/spoil site
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 meetthe requirements for low density projects as defined in 15ANCAC 02H .1003(2)?*

9 Yes C No
To lookup lowdensity requirement click here 15ANICAC 02H.1003(2).
Comments:
G. Supplementary Information ��J �
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds orthe use of public (federal/state) land?*
r Yes r No
1b. Ifyou answered "yes" to the above, does the project require preparation ofan environmental document pursuant to the requirements ofthe National or State (North Carolina)
Environmental PolicyAct (NEPA/SEPA)?*
r Yes r No
Comments:*
Minor modification to an eAsting permit
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (1 5A NCAC 2H .0500), Isolated Wetland Rules (11 5A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (1 5A NCAC 2B.0200)? *
r Yes r 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 (-- 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?*
r Yes (-- No r NIA
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 (- 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
5e. Isthisa DOT project located within Division's 1-8?*
r Yes r No
r Unknown
5j. What data sources did you use to determine whetheryour site would impact Endangered Species or Designated Critical Habitat?*
Consultation with permitting agencies, limited/brief open water impacts and no major land disturbances will occur.
Consultation Documentation Upload
Click the upload button or drag wd drop files here to attach docurrent
File type rrust be FDF
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
Are there submerged aquatic vegetation (SAV) around the project vicinity?*
r Yes r No r Unknown
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
https://wm.habitat.noaa.gov/protection/efh/efhniapper/
Familiarity Wth construction practices involved in shoreline stabilization

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.nrdcr.gov/hpovmb/
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)?*
(- Yes (­- No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
The land will not be disturbed in a manner that could impact any potential nearby areas that have such designations.
7c. Historic or Prehistoric Information Upload
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File rrust be PCF
8. Flood Zone Designation (Corps Requirement)
Li n k to t h a F E M A F lood p la 1 n M a ps: hftps://msc.fe me. gov/portal/sea rch
8a. Will this project occur in a FEMA-designated 1 00-year floodplain?
r Yes (- No
8b. Ifyes, explain how project meets FEIVIA requirements:
8c. What source(s) did you use to make the floodplain determination?*
https:llmsc.fema.gov/portal/search?AddressQuery=southport`/`20nc#searchresultsanchor
Miscellaneous <�)
Comments
Miscellaneous attachments not previously requested.
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File rrust be PM or KW
-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:*
Brian Doliber
Signature
Au.��A pe�ua
Date
6/20/2019