20191354 Ver 1_PCN Form Submission_20191004

DWR
MOM— 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
20191354
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office*
Raleigh Regional Office - [phone]
Information for Initial Review
1a. Name of project:
McGee's Crossing
1a. Who is the Primary Contact?*
Wyatt Brown
1b. Primary Contact Email:*
[e-mail]
Date Submitted
10/4/2019
Nearest Body of Water
Black Creek
Basin
Neuse
Water Classification
B,NSW
Site Coordinates
Version# *
1
What amout is owed?*
r• $240.00
* $570.00
Select Project Reviewer*
Stephanie Goss:eads\szgoss
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
35.50106 -78.64595
FA. Processing Information U
County (or Counties) where the project is located:
Johnston
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
r 401 Water Quality Certification - Express
W Riparian Buffer Authorization
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:
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
1j. Is the project located in a designated trout watershed?
0 Yes r No
B. Applicant Information
1d. Who is applying for the permit?
W Owner r 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:
Blackridge Properties, LLC
2b. Deed book and page no.:
05429, 0095
2c. Responsible party:
Stuart Poulsen
2d. Address
Street Address
414 Forsyth Street
Address Line 2
CKY
Raleigh
Postal / Zip Cade
27609
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
State / Frovinoe / fbgion
NC
Ceuntry
USA
2f. Fax Number:
r- Yes r No
r- Yes r No
C. Project Information and Prior Project History v
1. Project Information

1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Angier
F
2. Project Identification
2a. Property Identification Number:
160300-57-4382
2c. Project Address
Street Address
Address Line 2
city
Fbstal / Zip Cade
3. Surface Waters
3a. Name of the nearest body of water to proposed project:`
Black Creek
3b. Water Resources Classification of nearest receiving water:*
B,NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12 -digit HUC in which the project is located.
030202011202
4. Project Description and History
2b. Property size:
22.5 acres
State / Frmince / Pagion
Country
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:*
General land use is agricultural and forestry. EAsting conditions are unimproved woodland and row crops. There are a few existing homes in the vicinity. There is an existing pond that
will remain. The pond is Neuse Buffered.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
C- Yes t' No F 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)
Quad.pdf 455.01 KB
4e. Attach an 8 1/2X11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
soils.pdf 479.99KB
4f. List the total estimated acreage of all existing wetlands on the property:
1.77 acres
4g. List the total estimated linear feet of all existing streams on the property:
1441
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to construct single family home -sites served with County water and public electricity. There will be on-site septic for each house lot. The streets
and infrastructure will be provided by the developer.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project is divided into 2 phases. the Phase 1 has no wetland or stream impacts and is not part of the JD package. The Phase 2 section is the section being permitted for the
wetland impact. The initial clearing will be for the instillation of erosion and sedimentation control, then the road construction will begin using bull dozers and motor graders. Sediment
control will be installed to protect the wetland and the pond. Temporary and permanent ground covers will be provided to stabilize the area is a timely manner.
4j. Please upload project drawings for the proposed project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
F Yes r No O Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary f Approved F Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?

Name (if known): Wyatt Brown
Agency/Consultant Company: Brown's Environmental Group, Inc
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r Yes C No
7b. If yes, explain.
This permit is for Phase 2, Phase 1 consisted of working in uplands where there was no impact to jurisdictional features.
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?
Not to my knowledge.
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(?) 2b. Impact type * (?) 2c. Type of W. 2d. W. name * 2e. Forested* 2f. Type of 2g. Impact
Jurisdicition * M area*
_11
Netland77fill for road P Seep wetland Yes Both 0.090
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.090
2h. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
2g. Total Permanent Wetland Impact
0.090
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
On the construction drawings just south of lot 4, you will see the proposed street is placed as close as possible against the Upchurch property line.
The ditch side slopes on both sides of the road have been steeped from 3:1 to 2:1 to minimize the impact to the wetland in the impact area.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
A silt fence will be placed just below the 2:1 backslope to prevent off site sedimentation to the wetland. The wetland area has been flagged by Wyatt
Brown and surveyed by a PLS.
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?
f Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The wetland impact is less than 0.10 acre. There were no earlier or other wetland impacts.
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
What type of SCM are you providing?

W Level Spreader
F- Vegetated Conveyance (lower SHWT)
F- Wetland Swale (higher SHWT)
F- Other SCM that removes minimum 30% nitrogen
F Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
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:
11.37 % on Phase 2.
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 (15ANCAC 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.
There is no further development planned.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r• No r 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
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
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?
NC Natural Heritage
Consultation Documentation Upload

project _report _mcgees_ crossing_21339_21339.pdf 780.57KB
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?*
https://www.fisheries. noaa.gov/resource/map/essential-fish-habitat-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?*
SHPO HPOWEB GIS Data
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
8c. What source(s) did you use to make the floodplain determination?*
FEMA link above
Miscellaneous
Comments
I attached the preliminary JD package, thanks
Miscellaneous attachments not previously requested.
McGee's Crossing signed.pdf 5.05MB
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:
Wyatt Brown
Signature
�jrezl��i
Date
10/4/2019

Deborah Whittenton Eason (Owner)
and Sandra Whittenton Tart (Owner)
2804 Romealia Ln.
Raleigh, NC 27613
Blackridge Properties, LLC (Developer)
c/o Stuart Poulsen, Manger
414 Forsyth Street
Raleigh, NC 27609
RE: Request of written consent from the U.S. Army Corps of Engineers
To U.S. Army Corps of Engineers, to Whom It May Concern:
The undersigned are the Owners of the real property located at 231 Whittington Road, Angier, Johnston County,
NC, having Parcel ID#s 160300-57-4136 and 160300-56-2531 (the "Property"). The undersigned Owners grant
Alsey J. Gilbert, PLS, and/or Wyatt Brown, licensed soil scientist, permission to act on my behalf in respect to the
US Army Corps of Engineers matters in reviewing/measuring the wetlands on the Property as located and depicted
on the two (2) Wetlands Map for Blackridge Properties LLC, each dated 7/23/19, prepared by Alsey J. Gilbert, PLS,
and we grant to the US Army Corps of Engineers, Alsey J. Gilbert, PLS, and/or Wyatt Brown permission to enter the
Property for such purposes. However, neither Alsey J. Gilbert, PLS nor Wyatt Brown have the authority to bind us
as Owners, to encumber the Property, to grant any interest in the Property, to cause any permits or authorizations
to be issued in our names or to consent to action on our behalf. The undersigned Owners grant to Blackridge
Properties,
L``L,,C�� the authority to grant/
ttt—he permission to access the Property as granted below.
kA
It,/l d f li-il�,
Deborah Whittenton Eason
Sandra Whittenton Tart by
Deborah Whittenton Eason, Attorney in Fact 1jr —.2,,,�
Pursuant to Power of Attorney recorded in Book 5165, Page 146, Johnston County Registry
Blackridge Properties, LLC is the Buyer of the Property pursuant to a contract with the above Owners and is also
the Developer of the Property. Blackridge Properties, LLC grants access to the Property to the US Army Corps of
Engineers, Alsey J. Gilbert, PLS, and Wyatt Brown for the purposes herein stated. Blackridge Properties, LLC hereby
agrees to, and shall, indemnify, hold harmless and defend Owners from and against any and all claims, liabilities,
causes of action, suits, demands, losses and damages, including any costs, expenses and attorneys' fees incurred in
the defense thereof or otherwise by Owners, suffered or incurred by Owners in any way relating to or resulting
from the permissions and authorizations herein granted and any actions, inaction, omissions or undertakings by
the US Army Corps of Engineers, Alsey J. Gilbert, PLS and/or Wyatt Brown affecting or related to the Property and
its Owners.
Blackridge Properties, LLC
By- — Date: (V 4
Stuart Poulsen, anager

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■ ■■■ Roy Cooper. Governor
00 0 NC DEPARTMENT OF Susi Hamilton, Secretary
■■L■■ NATURAL AND CULTURAL RESOURCE=S
IN won Walter Clark, Director, Land and Water Stewardship
NCNHDE-10380
October 2, 2019
wyatt brown
Brown's Environmental Group, inc
242 Batten Farm Road
Selma, NC 27576
RE. McGee's Crossing
Dear wyatt brown.
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide
information about natural heritage resources for the project referenced above.
Based on the project area mapped with your request, a query of the NCNHP database indicates that
there are no records for rare species, important natural communities, natural areas, and/or
conservation/managed areas within the proposed project boundary. Please note that although there
may be no documentation of natural heritage elements within the project boundary, it does not
imply or confirm their absence, the area may not have been surveyed. The results of this query
should not be substituted for field surveys where suitable habitat exists. In the event that rare
species are found within the project area, please contact the NCNHP so that we may update our
records.
The attached `Potential Occurrences' table summarizes rare species and natural communities that
have been documented within a one -mile radius of the property boundary. The proximity of these
records suggests that these natural heritage elements may potentially be present in the project area
if suitable habitat exists. Tables of natural areas and conservation/managed areas within a one -mile
radius of the project area, if any, are also included in this report.
If a Federally -listed species is found within the project area or is indicated within a one -mile radius of
the project area, the NCNHP recommends contacting the US Fish and Wildlife Service (USFWS) for
guidance. Contact information for USFWS offices in North Carolina is found here:
https://www.fws.gov/offices/Directory/ListOffices.cfm?statecode=37.
Please note that natural heritage element data are maintained for the purposes of conservation
planning, project review, and scientific research, and are not intended for use as the primary criteria
for regulatory decisions. Information provided by the NCNHP database may not be published
without prior written notification to the NCNHP, and the NCNHP must be credited as an information
source in these publications. Maps of NCNHP data may not be redistributed without permission.
The NC Natural Heritage Program may follow this letter with additional correspondence if a
Dedicated Nature Preserve, Registered Heritage Area, Clean Water Management Trust Fund
easement, or Federally -listed species are documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance,
please contact Rodney A. Butler at rodnev.butlerWncdcr.aov or 919-707-8603.
Sincerely,
NC Natural Heritage Program
DEPARTMENT OF NATURAL AND CULTURAL RESOVRCES
121 W. JONES STREET. RALEIGH. NC 27603 • 16S1 MAIL SERVICE CENTER, RALEIGH. NC 27699
& OFC 919.707.9120 • FAX [phone]

Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One -mile Radius of the Project Area
McGee's Crossing
October 2, 2019
NCNHDE-10380
Element Occurrences Documented Within a One -mile Radius of the Project Area
Taxonomic EO ID Scientific Name Common Name Last Element Accuracy Federal State Global State
Group servation Occurrence Status tatus Rank Rank
t + Date' Rank
Dragonfly or 33753 Somatochlora Coppery Emerald 2004 -Pre H? 5 -Very --- Significantly G3G4 S2?
Damselfly georgiana Low Rare
Dragonfly or 33751 Somatochlora Coppery Emerald 2004 -Pre H? 5 -Very --- Significantly G3G4 S2?
Damselfly georgiana Low Rare
Freshwater 4370 Fusconaia masoni Atlantic Pigtoe 1951 H 3 -Medium Proposed Endangered G2 S3
Bivalve Threatened
No Natural Areas are Documented Within a One -mile Radius of the Project Area
No Managed Areas are Documented Within a One -mile Radius of the Project Area
Definitions and an explanation of status designations and codes can be found at httr)s://ncnhde.natureserve.ora/content/hely). Data query generated on October 2, 2019; source: NCNHP, Q3 Jul 2019.
Please resubmit your information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database.
Page 2 of 3

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Project Boundary
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Page 3 of 3
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