20190970 Ver 1_401 Application_20190719

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ATLANTIC ENVIRONMENTAL CONSULTANTS, LLC
P.O. Box 3266, Kitty Hawk, NC 27949
[phone] fax [phone]
44:1'111
July 1, 2019 V"
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NC DWR, 401 Buffer Permitting Unit
1650 Mail Service Center
Raleigh,NC 27699-1650
RE: Jennette—PCN - Nationwide#14
Buxton, Dare County
To Whom It May Concern,
Enclosed is a Preconstruction Notification Form(PCN) for a Nationwide#14 permit to
develop a residential property located at 47467 Lost Tree Trail, Buxton, Dare County,
North Carolina.
The proposed impact includes wetland fill in Section 404 wetlands to construct a
driveway over wetlands for access to a residential home. Wetland impacts were limited
to a total of 685 square feet (0.016 acres), which is covered under a USACE Nationwide
14 General Permit.
We request that you initiate the application process and if have questions or need
additional information please contact me at 252-599-2603.
Sincerely,
Doug Dorman
Atlantic Environmental Consultants, LLC
cc: Billy Standridge, USACOE

o�oF WATF9oC. Office Use Only:
7 Corps action ID no.
! IL, o - DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
la. Type(s)of approval sought from the
Corps: ® Section 404 Permit ❑ Section 10 Permit
lb. Specify Nationwide Permit(NWP) number: 14 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 El Riparian Buffer Authorization
le. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certification:
❑ Yes ® No ❑Yes ® No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation ❑Yes ® No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ®Yes ❑ No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes ® No
2. Project Information
2a. Name of project: Jennette Residence
2b. County: Dare
2c. Nearest municipality/town: Buxton
2d. Subdivision name: Hatteras Pines
2e. NCDOT only, T.I.P. or state N/A
project no:
3. Owner Information
3a. Name(s)on Recorded Deed: Leo& Heather Jennette
3b. Deed Book and Page No. 1911/0462
3c. Responsible Party(for LLC if
applicable):
3d. Street address: PO Box 981
3e. City, state,zip: Buxton, NC 27920
3f. Telephone no.: 252-996-0644
3g. Fax no.: N/A
3h. Email address: [e-mail]
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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 Atlantic Environmental Consultants, LLC
(if applicable):
5c. Street address: PO Box 3266
5d. City, state,zip: Kitty Hawk, NC 27949
5e. Telephone no.: 252-599-2603
5f. Fax no.: 252-261-7707
5g. Email address: [e-mail]
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PCN Form—Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
la. Property identification no. (tax PIN or parcel ID): 053609160642
1 b. Site coordinates(in decimal degrees): Latitude: 35.257731 Longitude: -75.54754
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 0.61 acres
2. Surface Waters
2a. Name of nearest body of water(stream, river, etc.)to Pamlico Sound
proposed project:
2b. Water Quality Classification of nearest receiving water: SC
2c. River basin: Tar/Pamlico
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 in existing subdivsion. Land use in the vicinity is residential.
3b. List the total estimated acreage of all existing wetlands on the property:
0.075 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 crossing will provide access to the build-able high ground on the property..
3e. Describe the overall project in detail, including the type of equipment to be used:
A single family residential home is being constructed on the property. There is a wetland area across the front of the lot
adjacent to the subdivision road that will be crossed to provide access to the build-able area. A dump truck will be used
to bring in clean fill and a front end loader will grade the fill for the driveway.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property/ ®Yes ❑ No ID 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
Cons.
Name (if known): Doug Dorman Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for ❑Yes ® No El Unknown
this project(including all prior phases)in the past?
5b. If yes, explain in detail according to"help file" instructions.
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PCN Form—Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a. Is this a phased project? ❑ Yes ® No
6b. If yes, explain.
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PCN Form—Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
la. Which sections were completed below for your project(check all that apply):
®Wetlands ❑ Streams-tributaries 0 Buffers
0 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)
Temporary(T)
W1 ® P ❑T Driveway crossing Forested ❑Yes ® Corps 0.016
® No ® DWQ
W2 ❑ P ❑T 0 Yes 0 Corps
❑ No ❑ DWQ
W3 ❑ P❑T ❑Yes 0 Corps
❑ No ❑ DWQ
W4 ❑ P ❑T ❑Yes 0 Corps
❑ No ❑ DWQ
W5 ❑ P ❑T 0 Yes 0 Corps
❑ No ❑ DWQ
W6 ❑ P ❑T 0 Yes 0 Corps
❑ No ❑ DWQ
2g.Total wetland impacts 0.016
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)
Si [' POT ❑ PER ❑ Corps
❑ INT ❑ DWQ
S2 ❑ P ❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S3 ❑ P ❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S4 ❑ P ❑T 0 PER ❑ Corps
❑ INT ❑ DWQ
S5 ❑ P ❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S6 ❑ P ❑T 0 PER 0 Corps
❑ INT ❑ DWQ
3h. Total stream and tributary impacts
3i. Comments:
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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(T)
01 ❑ P ❑T
02 ❑ P❑T
03 ❑ P❑T
04 ❑ P❑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
5f.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 0 Tar-Pamlico El Other:
Project is in which protected basin? 0 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(T) impact required?
B1 ❑ P ❑T Yes
❑ No
B2 ❑P ❑T ID Yes
❑ No
B3 ❑ P ❑T ❑Yes
❑ No
6h.Total buffer impacts
6i. Comments:
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PCN Form-Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The driveway is designed at the minimum 10 foot width requirement. The driveway is designed with 2 feet of fill to minimize
side slopes on the driveway and avoid further impacts.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The driveway is being constructed at the minimum required width of 10 feet and 2 feet of fill reduces the side slope impacts.
An 18 inch culvert will be installed to provide connectivity to the adjacent wetlands. Construction of a bridge was evaluated
but the cost to support emergency vehicles is 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 0 Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes,mitigation is required by(check all that apply): ❑ DWQ 0 Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
project? 0 Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased(attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a.Approval letter from in-lieu fee program is attached. 0 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.
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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 ❑Yes ® No
buffer mitigation?
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.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (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:
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PCN Form—Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la. 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? 10.5%
2b. Does this project require a Stormwater Management Plan? ❑Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Exisitng lot. Stormwater rules do not
apply.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ 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? Dare County
❑ Phase II
3b. Which of the following locally-implemented stormwater management programs ❑ NSW
USMP
apply(check all that apply): ❑
❑Water Supply Watershed
® Other: County Standards
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
attached? 0 Yes ® No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ❑Yes 0 No
5b. Have all of the 401 Unit submittal requirements been met? 0 Yes ❑ No
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•
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public(federal/state/local)funds or the El Yes ® No
use of public(federal/state) land?
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 ❑Yes ® No
(North Carolina) Environmental Policy Act(NEPA/SEPA)?
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, El 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.
The exisitng lot will have individual conventional septic system.
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•
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.
0 Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The USFWS website.
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as essential fish habitat? 0 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?
Environenmental review from NC Department of Natural and Cultural Resources.
8. Flood Zone Designation (Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain? ®Yes 0 No
8b. If yes, explain how project meets FEMA requirements: Installation of culverts meets FEMA requirements.
8c.What source(s)did you use to make the floodplain determination? Dare County flooplain maps
Doug Dorman 7/1/19
Applicant/Agent's Printed Name Ap icant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
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PCN Form—Version 1.3 December 10, 2008 Version