20191129 Ver 1_PCN Form Submission_20190822

DWR
MOM— of Water Resources
1a. Name of project:
Pinckney Residence
1a. Who is the Primary Contact?*
Doug Dorman
1b. Primary Contact Email:*
[e-mail]
Date Submitted
8/22/2019
Nearest Body of Water
Pamlico Sound
Basin
Tar -Pamlico
Water Classification
SC
Site Coordinates
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
35.258422 -75.540510
FA. Processing Information U
County (or Counties) where the project is located:
Dare
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)
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 *
Version#*
20191129
1
Is a payment required for this project?*
* No payment required
What amout is owed?*
* Fee received
r $240.00
r Fee needed - send electronic notification
r $570.00
Reviewing Office*
Select Project Reviewer*
Washington Regional Office - [phone]
Robert Tankard:eads\rbtankard
Information for Initial Review
1a. Name of project:
Pinckney Residence
1a. Who is the Primary Contact?*
Doug Dorman
1b. Primary Contact Email:*
[e-mail]
Date Submitted
8/22/2019
Nearest Body of Water
Pamlico Sound
Basin
Tar -Pamlico
Water Classification
SC
Site Coordinates
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
35.258422 -75.540510
FA. Processing Information U
County (or Counties) where the project is located:
Dare
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
14 - Linear transportation
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
Pinckney DMS Acceptance Ltr.pdf
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
1j. Is the project located in a designated trout watershed?
O Yes r No
B. Applicant Information
1d. Who is applying for the permit?
P Owner W 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:
Charles & Michelle Pinckney
2b. Deed book and page no.:
Deed Book 661, Page 92
2c. Responsible party:
2d. Address
Street Address
71 Solid Oak Drive
Address Lim 2
city
Martinsburg
Bxtal / Zip Code
25404
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
C Unknown
Sate / Province/ Region
WV
(bunlry
USA
2f. Fax Number:
79 54KB
r- Yes r No
r- Yes r No

3a. Name:
Charles & Michelle Pinckney
3b. Business Name:
3c.Address
Street Address
71 Solid Oak Drive
Address Line 2
(3ty
Martinsburg
postal / Zip Code
25404
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
Hatteras Pines Subdivision
1c. Nearest municipality/ town:
Dare County/Buxton
F
2. Project Identification
2a. Property Identification Number:
053610265815
2c. Project Address
Street Address
47040 Deer Run Cirlcle
Address Line 2
city
Buxton
postal / Zip Code
27920
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Pamlico Sound
3b. Water Resources Classification of nearest receiving water:*
SC
3c. What river basin(s) is your project located in?*
Tar -Pamlico
3d. Please provide the 12 -digit HUC in which the project is located.
03020105
4. Project Description and History
State / Province / Region
WV
Oxantry
USA
3e. Fax Number:
2b. Property size:
0.76
State / Province/ Pagion
NC
(buntry
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:*
Wooded residential lot Wth no eAsting improvements. The lot is in the Hatteras Pine subdivision in a residential community.
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)
Pinckney Topo.pdf 914.07KB
4e. Attach an 81/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Pinckney Soils Map.pdf 746.92KB
4f. List the total estimated acreage of all existing wetlands on the property:

0. 15 acres
4g. List the total estimated linear feet of all existing streams on the property:
None
4h. Explain the purpose of the proposed project,*
The proposed wetland fill Will provide access to upland area in the back of the property and additional area for the house and parking.
41. Describe the overall project in detail, including indirect impacts and 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 middle of the lot that will be crossed to provide access to additional 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.
4j. Please upload project drawings for the proposed project.
Pinckney Site Plan.pdf 91.49KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No O Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Doug Dorman
Agency/Consultant Company: Atlantic Environmental Consultants, LLC
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
5d1. Jurisdictional determination upload
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?
No other permits proposed.
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 E Buffers
E Open Waters r Pond Construction
2. Wetland Impacts
a. Site #* (') 2al Reason (?) 2b. Impact type * (?) 2c. Type of W. * 2d. W. name * 2e. Forested* 2f. Type of 2g. Impact
Jurisdicition*(?) area*
Driveway P Bottomland Hardwood Forest Crossing Yes Corps 0.040
(acres)
2g. Total Temporary Wetland Impact
0.000
29. Total Wetland Impact
0.040
2h. Comments:
E. Impact Justification and Mitigation
2g. Total Permanent Wetland Impact
0.040

1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
A site plan design was evaluated that tried to avoid wetland impacts by incorporating the house, parking, garage and septic system on the upland
area in the front portion of the lot. There was not enough available space to accomplish this; therefore, the house and active septic system were
moved to the upland area in the back of the lot. The design has minimized wetland impacts by crossing the narrow portion of the wetland area
installing a culvert for wetland connectivity.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The driveway and parking area are being constructed over 2 feet of fill which 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 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 impacts to Waters of the U.S. or Waters of the State?
r Yes r No
2c. If yes, mitigation is required by (check all that apply):
W DWR W Corps
2d. If yes, which mitigation options) will be used for this project?
F Mitigation bank W Payment to in -lieu fee r Permittee Responsible
program Mitigation
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
r Yes r No
4b. Stream mitigation requested:
(linear feet)
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non -riparian wetland mitigation requested:
(acres)
0.080
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
4e. Riparian wetland mitigation requested:
(acres)
49. Coastal (tidal) wetland mitigation requested:
(acres)
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more
information.
r Yes r No
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:
Buffer protection rules do not apply to this property.
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 meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes r 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?*

C 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)?*
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project 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.
Wetland impacts are for access to upland area and no future impacts will be needed.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r^ 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
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
Sh. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
r Unknown
51. 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?
USFW website Endangered Species list.
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?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
Wooded interior lot with Waters of the US that can 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 status?*
r^ Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
An environmental review request was submitted to North Carolina's Historical and Cultural Resource Department on August 19, 2019. We do not
anticipate any resources to be present on property because of the other evaluations done recently in the vicinity.
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:
House construction to be elevated to meet FEMA and Dare County flood plain requirements.
8c. What source(s) did you use to make the floodplain determination?*
Dare County flood plain maps.
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
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:
Doug Dorman
Signature
hkl Pokw.
Date
8/22/2019

ROY COOPER
Governor
MICHAEL S. REGAN
secretary
TTM BAUMGARTNER
Dtrector
Chip Pinckney
Charles and Michelle Pinckney
71 Solid Oak Drive
Martinsburg, WV 25404
Project: Pinckney Residence
NORTH CAROLINA
EnWronmenta(Qualfty
August 21, 2019
Expiration of Acceptance: 2/21/2020
County: Dare
The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) is willing to
accept payment for compensatory mitigation for impacts associated with the above referenced project as
indicated in the table below. Please note that this decision does not assure that participation in the DMS in -
lieu fee mitigation program will be approved by the permit issuing agencies as mitigation for project impacts.
It is the responsibility of the applicant to contact permitting agencies to determine if payment to the DMS will
be approved. You must also comply with all other state, federal or local government permits, regulations or
authorizations associated with the proposed activity including G.S. § 143-214.11.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not
received a copy of the issued 404 Permit/401 Certification within this time frame, this acceptance will
expire. It is the applicant's responsibility to send copies of the permits to DMS. Once DMS receives a copy
of the permit(s) an invoice will be issued based on the required mitigation in that permit and payment must
be made prior to conducting the authorized work. The amount of the in -lieu fee to be paid by an applicant is
calculated based upon the Fee Schedule and policies listed on the DMS website.
Based on the information supplied by you in your request to use the DMS, the impacts for which you are
requesting compensatory mitigation credit are summarized in the following table. The amount of mitigation
required and assigned to DMS for this impact is determined by permitting agencies and may exceed the
impact amounts shown below.
River Basin Impact Location Impact Type Impact Quantity
J (8 -digit HUC)
Tar -Pamlico 03020105
Non -Riparian Wetland 1 0.08
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The
mitigation will be performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010 and
15A NCAC 02B .0295 as applicable. Thank you for your interest in the DMS in -lieu fee mitigation program.
If you have any questions or need additional information, please contact Kelly Williams at [phone].
cc: Doug Dorman, agent
Sincerely,
J me . B Stanfill
As' Management Supervisor
QE��
North Carolina Department of Ernironmental Quality I Division of Mitigation Services
217 W. Jones Street 11652 Mail Service Center I Raleigh, North Carolina 27699-1652
919.707.8976

AGENT AUTHORIZATION FORM
Date 8/20/2019
Name of Property Owner Applying for Permit:
Charles Pinckeny
Mailing Address:
71 Solid Oak Drive
Martinsburg, WV 25404
]certify that I have authorized (agent) Atlantic Environmental Consultants. LLC to act on my behalf, for
the purpose of applying for and obtaining all Permits necessary to install or construct (activity)
a single family residence . at (my property located at)
47040 Deer Circle Run, Buxton, NC 27920.
Pinckney, Charles L. 2 July 2019
Property Owner (please print) late

SITE
50 40 30 20 10 0 50
DEER
RUN
CIRCLE
BUXTON BACK ROAD
LOCATION SKETCH, NOT TO SCALE
47040 DEER RUN CIRCLE, BUXTON, NC 27920
HATTERAS PINES
CHARLES L. PINCKNEY
MICHELLE L. PINCKNEY
PROPOSED FILL PLAN FOR HIGHLAND26,920.47 sq.ft.10' MBL10' MBLC V R D P O R C H 5' UTILITY & DRAINAGE EASEMENT1 0 ' U T I L I T Y & D R A I N A G E E A S E M E N T
C V R D
D E C K5' UTILITY & DRAINAGE EASEMENTO P E N
D E C K
2 0 ' M B L
PP
P R O P O S E D
R E S I D E N C E
PP
U .S .D .I .51'PROPOSEDACTI
VE WASTEWATER STSTEMSTP R O P O S E D F I L L
(1 ,8 8 0 s q f t )(S TO N E )31.72'PP
WETLAND
6,332.54 sq.ft.
P R O P O S E D
1 8 " C U L V E R T
D E E R R U N C I R C L E
30' MBL
(STONE)LOT 70.76 acres / 33,253.01 sq ftPROPOSED FUTURE GARAGE 24' X 41'100% WASTE-WATER SYSTEM REPAIR AREA 540 sq ftPROPOSED DRIVEWAY15' UTILITY & DR A I N A G E E A S E M ENTPAVED
ROAD
F L O W E R S R I D G E R O A D
W
BUXTON, NC
MID DLE RID GE TRAIL
CROOKED RIDGE TRAIL LOST TREE TRAILCAPE HATTERAS
SCHOOL
SITE
08/20/19
LOT 7
FLOWERS RIDGE RDCROSS WAY ROADDIPPING VAT ROADDOC FOLB LANEN C 1 2
Soil Map—Dare County, North Carolina
Natural Resources
Conservation Service
Web Soil Survey
National Cooperative Soil Survey
8/21/2019
Page 1 of 339015703901650390173039018103901890390197039020503901570390165039017303901810390189039019703902050450390450470450550450630450710450790450870450950451030451110451190
450390 450470 450550 450630 450710 450790 450870 450950 451030 451110 451190
35° 15' 37'' N 75° 32' 43'' W35° 15' 37'' N75° 32' 11'' W35° 15' 20'' N
75° 32' 43'' W35° 15' 20'' N
75° 32' 11'' WN
Map projection: Web Mercator Corner coordinates: WGS84 Edge tics: UTM Zone 18N WGS84
0 150 300 600 900
Feet
0 50 100 200 300
Meters
Map Scale: 1:3,700 if printed on A landscape (11" x 8.5") sheet.
Soil Map may not be valid at this scale.
MAP LEGEND MAP INFORMATION
Area of Interest (AOI)
Area of Interest (AOI)
Soils
Soil Map Unit Polygons
Soil Map Unit Lines
Soil Map Unit Points
Special Point Features
Blowout
Borrow Pit
Clay Spot
Closed Depression
Gravel Pit
Gravelly Spot
Landfill
Lava Flow
Marsh or swamp
Mine or Quarry
Miscellaneous Water
Perennial Water
Rock Outcrop
Saline Spot
Sandy Spot
Severely Eroded Spot
Sinkhole
Slide or Slip
Sodic Spot
Spoil Area
Stony Spot
Very Stony Spot
Wet Spot
Other
Special Line Features
Water Features
Streams and Canals
Transportation
Rails
Interstate Highways
US Routes
Major Roads
Local Roads
Background
Aerial Photography
The soil surveys that comprise your AOI were mapped at
1:24,000.
Warning: Soil Map may not be valid at this scale.
Enlargement of maps beyond the scale of mapping can cause
misunderstanding of the detail of mapping and accuracy of soil
line placement. The maps do not show the small areas of
contrasting soils that could have been shown at a more detailed
scale.
Please rely on the bar scale on each map sheet for map
measurements.
Source of Map: Natural Resources Conservation Service
Web Soil Survey URL:
Coordinate System: Web Mercator (EPSG:3857)
Maps from the Web Soil Survey are based on the Web Mercator
projection, which preserves direction and shape but distorts
distance and area. A projection that preserves area, such as the
Albers equal-area conic projection, should be used if more
accurate calculations of distance or area are required.
This product is generated from the USDA-NRCS certified data as
of the version date(s) listed below.
Soil Survey Area: Dare County, North Carolina
Survey Area Data: Version 18, Sep 10, 2018
Soil map units are labeled (as space allows) for map scales
1:50,000 or larger.
Date(s) aerial images were photographed: Dec 31, 2009—Oct
30, 2017
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
shifting of map unit boundaries may be evident.
Soil Map—Dare County, North Carolina
Natural Resources
Conservation Service
Web Soil Survey
National Cooperative Soil Survey
8/21/2019
Page 2 of 3
Map Unit Legend
Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI
CnA Conaby muck, 0 to 2 percent
slopes, rarely flooded
5.0 8.3%
CuA Currituck mucky peat, 0 to 1
percent slopes, frequently
flooded
0.3 0.5%
FrD Fripp fine sand, 2 to 30 percent
slopes
50.1 82.4%
OsA Osier fine sand, 0 to 2 percent
slopes, rarely flooded
0.0 0.1%
OuB Ousley fine sand, 0 to 5
percent slopes, rarely
flooded
5.3 8.8%
Totals for Area of Interest 60.8 100.0%
Soil Map—Dare County, North Carolina
Natural Resources
Conservation Service
Web Soil Survey
National Cooperative Soil Survey
8/21/2019
Page 3 of 3