20191326 Ver 1_401 Application_20190930

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre -Construction Notification PCN Form
A. Applicant Information
1. Processing 0 j
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit ❑2Section 10 Permit B
1 b. Specify Nationwide Permit (NWP) number: NWP 29 or General Permit (GP) number:
1 c. 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:
Villas on 5T" Street
2b. County:
Alamance
2c. Nearest municipality / town:
Mebane
2d. Subdivision name:
Villas on 5T" Street RECEf /E_
2e. NCDOT only, T.I.P. or state
project no:
SEP
3. Owner Information wator
3a. Name(s) on Recorded Deed:
Nova Triad Partners, LLC Porrniting Section
3b. Deed Book and Page No.
0790189
3c. Responsible Party (for LLC if
applicable):
Andy Dreyfuss
3d. Street address:
206 N Spruce Street, Suite 2B
3e. City, state, zip:
Winston-Salem, NC 27101
3f. Telephone no.:
336.749.1012
3g. Fax no.:
3h. Email address:
[e-mail]
Page 1 of 12
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:
S. Agent/Consultant Information (if applicable)
5a. Name:
Michael T. Brame
5b. Business name
(if applicable):
Pilot Environmental, Inc.
5c. Street address:
PO Box 128
5d. City, state, zip:
Kemersville, NC 27285
5e. Telephone no.:
336.708.4620
5f. Fax no.:
5g. Email address:
[e-mail]
Page 2 of 12
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):
9814543813
Latitude: 36.0713920 Longitude: - -
1 b. Site coordinates (in decimal degrees):
79.2850870
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
34.5 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Little Haw Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS-V, NSW
2c. River basin:
Cape Fear
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:
The site is an aproximate 34.5-acre tract. The northern portion of the site contains a residential subdivision. The
subdivision contains paved roads, stormwater devices, developed lots, graded/undeveloped lots and cleared areas. The
remainder of the site contains wooded land, overgrown fields and a drained pond. Residential and commercial structures
are located within the vicinity of the site.
3b. List the total estimated acreage of all existing wetlands on the property:
Wetland=0.294 Ac
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Streams=790 LF
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct Villas on 5TH, a residential subdivision.
3e. Describe the overall project in detail, including the type of equipment to be used:
The Vilas on 5T" is a 105 lot subdivision. Approximately 81 lots are in the process of development (cleared, graded, built
upon, etc.). In order to construct the remainder of the subdivision (25 lots) and to satisfy City of Mebane requitrements, it
is necessary to construct Cameron Lane across the site. Cameron Lane will provide interconnectivity within the
subdivision and provides two accesses to the subdivision (one to Highway 119/S.5T" Street and a second to Mebane
Airport Road). The road is being stubbed onto adjacent property west of the site to satisfy City of Mebane requirements.
In order to construct Cameron Lane and provide access to the undeveloped portion of the sub -division, it is necessary to
install a stream/wetiand crossing. To facilitate the construction of the road and development of the site, clearing and
grading is necessary. Graders, haulers, excavators and other heavy equipment will be used during grading and
construction of the site.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
El 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: Pilot Enviromental, Inc.
Name (if known): Michael Brame
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
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PCN Form — Version 1.3 December 10, 2008 Version

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
6b. If yes, explain.
The project is the Villas on 51 sub -division. The northern portion of the subdivision (Phase 1) is under construction. In
order to develop the southern portion of the sub -division (Phase 11), it is necessary to construct a road and associated
road crossing. Phase III of the subdivision is currently being designed. Pilot has delineated streams and wetlands on the
site, including all three phases of the subdivision. Additional surface waters or wetlands are not located on the portion of
the site where Phase III will be constructed. Impacts to streams/wetlands, outside of those proposed in this application,
are not anticipated as a result of the proposed project.
Page 4 of 12
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)
Temporary
W1 ®P [-IT
Culvert/Slope/Rip
Rap
Forested
® Yes
❑ No
® Corps
El DWQ
0.025
W2 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
2g. Total wetland impacts
0.025
2h. Comments: In order to construct the road crossing, it is necessary to permanently impact a 0.025 acre wetland (portion of
a larger wetland). The wetland fill will include a culvert, a headwall, back -fill and a rip rap dissipator.
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 SPOT
Culvert/Rip-
Rap/Pump Around
Unnamed
® PER
❑ INT
® Corps
❑ DWQ
5
128/19/23
S2 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
128/19/23
3i. Comments: The proposed stream crossing will permanently impact 119 linear feet of stream from culvert fill and 19 linear
feet of stream associated with rip -rap that is to be keyed in. Additionally, 23 linear feet of stream channel will be temporarily
impacted associated with a coffer dam/pump around. Areas of temporary impact will be restored to similar pre -construction
conditions.
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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
4E Total open water impacts
4g. Comments: Open water impacts are not proposed.
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
Stormwater
0.65
P2
5L Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ®No If yes, permit ID no:
5i. Expected pond surface area (acres):
0.29
5j. Size of pond watershed (acres):
16.37
5k. Method of construction:
It is an existing stormwater pond that was constructed in uplands during the
development of Phase I of the subdivision.
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PCN Form — Version 1.3 December 10, 2008 Version

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 El Tar -Pamlico ®Other: Jordan Lake
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 T
impact
required.
131 ❑P❑T
[I Yes
® No
B2 ❑P❑T
El Yes
❑ No
B3 ❑P❑T
El Yes
❑ No
6h. Total buffer impacts
6i. Comments: The applicant is seeking buffer authorization for the project from the local DWR delegated municipality.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The applicant has designed the proposed residential sub -division to avoid other impacts to streams and wetlands, specifically
associated with lot/pad fill and a stormwater device. The applicant has further demonstrated avoidance and minimization of
stream impacts by proposing to construct culvert head/end walls. The remaining 643 linear feet of stream and 0.269 acres of
wetland are being avoided.
The road will provide two points of access and interconnectivity to the subdivision. The road is also a thoroughfare that is
being required by the City of Mebane to be stubbed onto adjoining propertyy located west of the site. In order to meet
Mebane and site requirements, the applicant has designed the stream crossing in a relatively straight portion of the stream
that does not contain adjacent wetlands. If the crossing is moved upgradient of the proposed crossing location, there are two
parallel streams that would be impacted resulting in a much larger stream impact. If the crossing were moved down -gradient,
the crossing would impact significantly more wetlands.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and silt fence will be used. A temporary coffer dam will be installed upgradient of the
proposed culvert. During construction, water will be pumped around the construction footprint. Appropriate stream bank
protection will be provided in the channel during construction and all excess excavated material will be immediately removed
from the stream bank crossing area. The rip rap is being keyed in to further minimize the impacts to the stream. Upon
completion of the culvert installation, the temporary sand bag coffer dam will be removed and flow will be diverted through the
culvert. Following construction, disturbed banks will be restored to similar pre -construction conditions, matted and seeded/live
staked. Upon installation of the sewer line, the emeregent wetland will be restored to grade and seeded.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
❑ 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 ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
❑Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
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PCN Form — Version 1.3 December 10, 2008 Version

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.
❑ 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 Pennittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
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 8 of 12
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.
Comments: Diffuse flow has been designed at concentrated flow discharge points
® Yes ❑ No
into the buffers.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
24.64 %
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:
A stormwater pond has been designed and constructed to treat stormwater from Phases I and II. An additional
stormwater pond will be designed and constructed as part of Phase III. The design for Phase Ill is preliminary and final
design will be dictated by the drainage area and impervious surfaces that will be treated.
® 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?
Mebane
® Phase II
3b. Which of the following locally -implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
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
❑ Yes ® No
attached?
5. 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 9 of 12
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 (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: A NEPA or SEPA is not required as part of this project.
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.
We are not aware of additional development associated with the development of the subdivision that will impact nearby
downstream water quality.
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.
Wastewater from the proposed subdivision will be discharged into existing sanitary sewer lines. There are no proposed
impacts to streams or wetlands associated with the proposed sewer lines.
Page 10 of 12
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?
We consulted the USFWS Website to determine if federally protected endangered or threatened species inhabit
Alamance County, NC. The Cape Fear Shiner is listed as a federally protected endangered species. The stream on the
site is small and does not contain fish habitat. Fish will not be directly impacted by the proposed project. A pump around
will be used during the culvert installation to avoid sedimentation down stream. Additionally, stormwater will be treated
from impervious surfaces prior to being discharged to down -gradient waterbodies that contain fish habitat. Based on our
observations, it is our opinion that the proposed project will have no effect on federally listed species.
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?
Based on our knowledge of the site, the site is not located in or near an area designated as essential fish habitat. Best
management practices and the construction of stormwater ponds will prevent sediment from entering down -gradient
waterbodies which may contain fish.
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?
We reviewed the SHPO Map (http://gis.ncder.gov/hpoweb/) to identify historic and/or archaeological resources of the site.
The map does not identify eligible for listing properties at the site or on nearby properties. The nearest identified
properties ae located more than 1,300 linear feet from the site. A copy of the map is included as an attachment.
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:
8c. What source(s) did you use to make the floodplain determination? 3710981400K (Drawing 4)
Michael Digitally
N cn=M'�ad &aM� Michael Bo=Plame
ot
Michael T. Brame PWS
'
Envim'e^dl•ou.
, �S
Brame ema 2019�� 43trS6
9.25.19
5 W
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only ff an authorization letter from the applicant
Page 11 of 12
PCN Form — Version 1.3 December 10, 2008 Version

isprovided.)
Page 12 of 12
PCN Form — Version 1.3 December 10, 2008 Version

PARCEL DATA
PARCEL ID: 263995 11641%
TOTAL ACREAGE: 35.11 AC. /-
DFF.O REF: D.B. 3595, PG. B04
D.R. 3617, PG 221
PLAT REF: P.B. 71 PG, 289
EXISTING ZONING: CU R6
EXISTING USE. VACANT
PROPOSED USE: SINGLE FAMILY
TOTAL NUMBER OF UNITS: 106
TOTAL LF OF STREETS: 6,S4 LF
LOT DATA
R6 LOTS. 106
DENSITY: 3D9UNIT5/AC.
AREA IN LOTS: 20.D0 AC
AM IN R/W: 7.78 AC /-
PUBLIC RECREATION SPACE REQUIRED:
1/35 AC./ LOT =106 LOTS/35 =3.03 AL 1 REQUIRED
PRIVATE COMMON AREA/OPEN SPACE
PROVIDED: 6.46 AC. T/-(19.71%)
R6, MIN. LOT AREA - 6,00D SF
MIN. LOT WIDTH AT BUILDING UNE• 56 FT,
TYPICAL LOT WIDTH AT BUILDING LINE - 58 FT.
MIN. LMWIDTHATSMET•35FT,
FRONT SETBACK • 20 FT.
SIDE SETBACK - 5 FT.
MIN. SEPARATNON • 15 R.
SIDE STREET SETBACK =10 R.
REAR SETBACK • 20 FT. WITH THE EXCEPTION OF
LOTS 95-100,
BEAR SET BACK OF LOTS 95-10010 BE 15 FT.
GENERAL PLAN NOTES
THIS MAP DOES NOT MEET GS. 47-30 AND IS NOT FOR RECORDING.
THIS PROPERTY IS SUBJECT TO ANY EASEMENTS, AGREEMENTS, OR RIGHTS -OF -WAY OF RECORD PRIOR
TO THE DATE OF THIS MAP AND WHICH WERE NOT VISIBLE AT THE TIME OF INSPECTIDN.
THE MAP WAS PREPARED WITH OUT THE BENEFIT OF A TITLE REPORT AND DOES NOT NECESSARILY
INDICATE ALL ENCUMBRANCES UPON THIS PROPERTY.
BOUNDARY TAKEN FROM SURVEY BY ALLRED LAND SURVEYING, PLLC.
NO SURVEYING OR SUBSURFACE INVESTIGATIONS PERFORMED BY STOLTZFUS ENGINEERING, INC.
THIS PROPERTY IS NOT LOCATED IN A FLOOD PLAIN PER FIRM MAP 371098140D1 EFFECTIVE DATE:
SEPTEMBER 6, 20D6
PROPOSED PROPERTY TO BE SERVED BY CITY OF MEBANE PUBLIC WATER AND SANITARY SEWER. ALL
CONSTRUCTION TO RE TO CITY OF MEBANE AND NCDOT STANDARDS AND SPECIFICATIONS AS
APPUCABLE.
NCDOT DRIVEWAY PERMITS REQUIRED WITH BOND FOR ROAD IMPROVEMENTS, PRIOR TO
CONSTRUCTION. NCDOT ENCROACHMENTS AGREEMENT REQUIRED FOR UTILITY CONSTRUCTION, PRIOR
TO CONSTRUCTION.
A FLOOD STUDY WILL BE PROVIDED ON ALL DRAINAGE WAYS HAVING A CONTRIBUTING AREA OF S
ACRES OR MORE.
ZONING SPECIAL CONDITIONS:
SITE:
1. AT THE TIME OF DEVELOPMENT, THE PROPERTY OWNER O TO FILE FOR VOLUNTARY ANNEXATION INTO THE CITY
OF MEBANE FOR PARCEL NUMBER 164156.
2. POSTED SPEED LIMIT FOR ALL INTERNAL STREETS TO BE 25 MPH WITH THE EXCEPTION Of CAMERON DRIVE.
3. THE PROPOSED AMENITIES INCLUDE AT A MINIMUM A COMMUNITY CABANA, POOL, GARDEN AREA, GREEN 1
OPEN SPACE. THE AMENITIES TO BE INSTALLED BEFORE THE FINAL PLAT IS RECORDED FOR PHASE 3.
4. THE DEVELOPMENT WILL PROVIDE A 6' PIRACY FENCE ALONG THE REAR OF LOTS 76-91. THE FENCE SHALL BE
RACED A MINIMUM OF IV INSIDE OF THE PROPERTY LIRE. THERE SHALL ALSO BE A 6' PRIVACY FENCE ALONG
THE COMMON PROPERTY LINE WITH PARCEL R 164153, THE FENCE SHALL BE PLACED ON THE IV TYPE'B'
LANDSCAPE BUFFER RATHER THAN ON SAID PROPERTY LINE.
S. BASED ON THE ON -SITE PRIVATE AMENITIES PROVIDED FOR ENJOYMENT OF THE COMMUNITY RESIDENTS, THE
APPLICANT REQUESTS THATTHE PUBLIC RECREATION AREA REQUIREMENT BE WANED FOR THE DEVELOPMENT
AND INCORPORATED WITH THE RE -ZONING CONDITIONS.
6. THE PROJECT 6TO PROVIDE THE REQUIRED IMPROVEMENTS TOOK HWY 119 AT FOUST ROAD AS REQUIRED BY
THE NCDOT.
7. LOTS ADIACENTTO CAMERON LANE SHALL HAVE NO DIRECT ACCESS TO CAMERON LANE. SPECIFICALLYLOTS
67-69 AND LOTS 95-100.
9. ME DEVELOPER SHALL PROVIDE A REASONABLE ACCESS POWTTO CAMEROM LANE EXTENSION FOR ME ADJOINING
SOUTHERN PROPERTY AS APPROVED BY CITY OF MEBANE STAFF. ME ACCESS SHALL BE PROVIDED AS ASO PUBLIC
RIGHT-OF-WAY MAT IS UNIMPROVED WITH lO CONSTRUCTION EASEMENTS ON EACH SIDE FOR FUTURE CONSTRUCTION,
AT NO COST TO ME CITY OR THE ADJONING LAND OWNER FOR ME DEOICATION OF THE LAND.
ARCHITECTURAL
1. HOMES MAY RE SLAB ON GRADE, CRAWL SPACE OR MAY HAVE A BASEMENT FLOOR DEPENDING ON
TOPOGRAPHIC CONDITIONS OR PROGRAM.
2. HOMES WILL HAVE FRONT LOADED GARAGES. ME GARAGES MAY BE A ONE OR TWO CAR GARAGE.
3. HOME EXTERIORS MAY BE A COMBINATION OF MATERIALS SUCH AS BRICK, STONE AND HAROFPLANK WITH
MASONRY ACCENTS. NO VINYL SIDING.
4. HOMES WILL PROVIDE 30 YEAR ARCHITECTURAL SHINGLES
S. HOMES WILL PROVIDE PROJECTED EAVES.
MESE DRAWRNGS ARE INSTRUMENTS OF SERVICE AND
SHALL REMAIN ME PROPERTY OF
ME ENGINEER. THESE DRAWINGS ARE PROTECTED UNDER COPYRIGHT LAWS AND MAY
NOT BE REPRODUCED IN PART OR IN WHOLE WITHOUT ME SPECIFIC WRITTEN CONSENT
OF ME ENGINEER.
©2019 STOLTZFUS ENGINEERING, INC
1
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PARCELID: 16371
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REF. NO.:
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Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- 2019-
Prepare file folder ❑
1. Project Name [PCN Form A2a]: Villas on 5TH Street
Begin Date (Date Received): 9.25.2019
Assign Action ID Number in ORM ❑
2. Work Type: ❑✓ Private ❑ Institutional ❑ Government ❑ Commercial
3. Project Description / Purpose [PCN Form B3d and B3e]:
The site is proposed for development with a three phase, 106 lot single family neighborhood.
4. Property Owner / Applicant [PCN Form A3 or A41: Nova Triad Partners, LLC
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
Pilot Environmental, Inc.
6. Related Action ID Number(s) [PCN Form B5b]: Unknown
7. Project Location— Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
South Fifth Street, Mebane, Alamance County, NC
36.071463 0/-79.285033 0
8. Project Location— Tax Parcel ID [PCN Form B 1 a]: 9814543813
9. Project Location — County [PCN Form A2b]: Alamance
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Mebane
11. Project Information — Nearest Waterbody [PCN Form B2a]: Little Haw Creek
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form B2c]: 03030002
Authorization: Section 10 ❑ Section 404 ❑✓
Regulatory Action Type:
Standard Permit
✓ Nationwide Permit #
Regional General Permit #
Jurisdictional Determination Request
Section 10 and 404 ❑
Pre -Application Request
Unauthorized Activity
HCompliance
No Permit Required
Revised 20150602

urisdictional Determination Request
US Army Corps
of Engineers
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www saw.usace.army.mil/Missions/Re ug latoryPermitProgram/Contact/CouniyLocator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: [phone]
Fax Number: [phone]
INSTRUCTIONS:
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: South Fifth Street
City, State:
County:
Mebane, NC
Alamance
Parcel Index Number(s) (PIN): 9814543813
B. REQUESTOR INFORMATION
Name: Michael Brame, Pilot Environmental, Inc
Mailing Address:
Post Office BOX 128
Kernersville, NC 27285
Telephone Number:
336-310-4527
Electronic Mail Address:
mbrame@)pilotenyiro.com
Select one:
❑ I am the current property owner.
✓❑ I am an Authorized Agent
or Environmental Consultant'
Interested Buyer or Under Contract to Purchase
Other, please explain.
C. PROPERTY OWNER INFORMATION2
Name:
Nova Triad Partners
Mailing Address:
206 North Spruce, #23
Winston-Salem, NC 27101
Telephone Number:
336-749-1012
Electronic Mail Address:
[e-mail]
' Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION3,4
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
Andy Dreyfuss
Print Name
Capacity: ❑✓ Owner ❑ Authorized Agents
6.3.2019
Date
Attached
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
❑ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
✓ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
❑ I intend to construct/develop a projector perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
A Corps JD is required in order obtain my local/state authorization.
I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
❑ I believe that the site may be comprised entirely of dry land.
❑ Other:
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
4 If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
5 Must provide agent authorization form/letter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
WlI am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional `waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an =roved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
aSize of Property or Review Area -34.5 acres.
❑ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
a
Project Coordinates (Decimal Degrees): Latitude:
36.0714630
Longitude:-79.285033 °
aA legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
■ Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
❑ Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.army.mil/Missions/Re ug latory-Permit-
Program/Jurisdi ction/
Version: May 2017 Page 5

Jurisdictional Determination Request
Ft/1 Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Form'
❑
Vicinity Map
Aerial Photograph
a
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
Landscape Photos (if taken)
NCWAM and/or NCWAM Assessment Forms and Rating Sheets
❑ NC Division of Water Resources Stream Identification Forms
❑ Other Assessment Forms
' www.saw.usace.anny.mil/Portals/59/docs/regyulatory/regdocs/JD/RGL 08-02 App A Prelim JD Form fillable.pdf
' Please see http://www.saw.usace.4M.mil/Missions/Re ug latoly-Permit-Program/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

Proposal for Environmental Services
Pilot Proposal 2793.2
May 23, 2019
AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address: r..iDQi H FIFTH S`•
ay
h5A-J € . A G 27301 t�JObI�r.U�FO
Owner Information: r4CVA EIIA0 //Ili,46-i5
Address: 5&.IGt
Telephone Number: (O(Z
Fax Number:
E-mail Address: A n&ad5_g(2c o4oml qma, Lug-!
JURISDICTIONAL DETERMINATION REQUEST
D. PROPERTY ACCESS CERTIFICATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
Print Name
Capacity: _9wner Authorized Agent
Date
Signature
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PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: September 25, 2019
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Michael Brame, Pilot Environmental, Inc.
Post Office Box 128, Kemersville, North Carolina 27285
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington, McGee Farm, SAW 2019-
D. PROJECT LOCATIONS) AND BACKGROUND INFORMATION: The site is located south of Highway 119 in
Mebane, Alamance County, NC. The site contains partially developed land, cleared and graded land and wooded land. Tb
site is proposed for development with the Villas on 5TH Street, a residential subdivision.
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: North Carolina County/parish/borough: Alamance County City: Mebane
Center coordinates of site (lat/long in degree decimal format): Lat.: 36.071463' Long.:-79.285033'
Universal Transverse Mercator: WGS 84
Name of nearest waterbody: Little Haw Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES INREVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site
Latitude (decimal
Longitude
Estimated amount of
Type of aquatic
Geographic authority to
Number
degrees)
(decimal degrees)
aquatic resources in
resources (i.e.,
which the aquatic resource
review area (acreage
wetland vs. non-
"may be" subject (i.e.,
and linear feet, if
wetland waters)
Section 404 or Section
a licable
10/404
ISA
36.0713300
-79.2836010
140 linear feet
Non -wetland
404
waters;
Intermittent
stream
SA
36.0707950
-79.2841180
600 linear feet
Non -wetland
404
waters; Perennial
stream
WA 1-3
36.0712300
-79.2839060
75 linear feet
Non -wetland
404
waters; Perennial
stream
WA 4-30
36.0705290
-79.2842280
0.294 acres
Wetland
404

1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in the
review area, and the requestor of this PJD is hereby advised of his or her option to request
and obtain an approved JD (AJD) for that review area based on an informed decision after
having discussed the various types of JDs and their characteristics and circumstances when
they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a Nationwide
General Permit (NWP) or other general permit verification requiring "pre- construction
notification" (PCN), or requests verification for a non -reporting NWP or other general permit,
and the permit applicant has not requested an AJD for the activity, the permit applicant is
hereby made aware that: (1) the permit applicant has elected to seek a permit authorization
based on a PJD, which does not make an official determination of jurisdictional aquatic
resources; (2) the applicant has the option to request an AJD before accepting the terms and
conditions of the permit authorization, and that basing a permit authorization on an AJD could
possibly result in less compensatory mitigation being required or different special conditions;
(3) the applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant can accept
a permit authorization and thereby agree to comply with all the terms and conditions of that
permit, including whatever mitigation requirements the Corps has determined to be necessary;
(5) undertaking any activity in reliance upon the subject permit authorization without
requesting an AJD constitutes the applicant's acceptance of the use of the PJD; (6) accepting a
permit authorization (e.g., signing a proffered individual permit) or undertaking any activity in
reliance on any form of Corps permit authorization based on a PJD constitutes agreement that
all aquatic resources in the review area affected in any way by that activity will be treated as
jurisdictional, and waives any challenge to such jurisdiction in any administrative or judicial
compliance or enforcement action, or in any administrative appeal or in any Federal court;
and (7) whether the applicant elects to use either an AJD or a PJD, the JD will be processed
as soon as practicable. Further, an AJD, a proffered individual permit (and all terms and
conditions contained therein), or individual permit denial can be administratively appealed
pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it becomes appropriate to
make an official determination whether geographic jurisdiction exists over aquatic resources
in the review area, or to provide an official delineation of jurisdictional aquatic resources in
the review area, the Corps will provide an AJD to accomplish that result, as soon as is
practicable. This PJD finds that there "may be" waters of the U.S. and/or that there "may be"
navigable waters of the U.S. on the subject review area, and identifies all aquatic features in
the review area that could be affected by the proposed activity, based on the following
information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources below where
indicated for all checked items:
❑ Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:
® Data sheets prepared/submitted by or on behalf of the PJD requestor.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
® U.S. Geological Survey map(s). Cite scale & quad name: Drawing 1
® Natural Resources Conservation Service Soil Survey. Citation: Drawings 2 & 2A
® National wetlands inventory map(s). Cite name: Drawing 3
❑ State/local wetland inventory map(s):
® FEMA/FIRM maps: Drawing 4
❑ 100-year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
® Photographs: ®Aerial (Name & Date): Drawing 5
or []Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily been
verified by the Corps and should not be relied upon for later Jurisdictional
determinations.
Signature and date of Regulatory
staff member completing PJD
/ 1- -7 A. —September 25, 2019
Signature and date of person
requesting PJD (REQUIRED,
unless obtaining the signature
is impracticable)1
1 Districts may establish timeframes for requester to return signed PJD forms. If the requester does not respond within the
established time frame, the district may presume concurrence and no additional follow up is necessary prior to finalizing
an action.

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LEGEND
Site Boundary
•
�I
Drawing 1,
USGS Topographic Map`-`i-
Mebane, NC Quadrangle
Scale: 1" = 2,000'
PILOT ENVIRO N M E N T A L. I N C _
USGS Topographic Map
Villas on 5th Street
Approximate 34.5-Acre Tract
Mebane, Alamance County, NC
Pilot Project 2973.2

f If
Drawing 2
USDA Web Soil Survey
of Alamance County, NC
Scale: 1" = 250'
M
i'
fiPILOT "
"L.I ENNV I R O M F N T A L
6 A6
LEGEND
Site Boundary
Web Soil Map
Villas on 5th Street
Approximate 34.5-Acre Tract
Mebane, Alamance County, NC
Pilot Project 2973.2

Drawing 2A
USDA Published Soil Survey
ofA|arnanceCounty, NC
Pub|ishedl96[L
Sheets 16and ZO
Not toScale
.[ |r
ENVIRONMENTAL. INC
LEGEND
Site Boundary
Published Soil Map
Villas onSthStreet
Approximate 34.5'Acne Tract
Mebane, A|annanceCounty, N[
Pilot Project 2973.2

:
Orr
7
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^zw
t..
;yx
Drawing 3
USFWS NWI
Wetlands Mapper
Scale: 1" = 250'
7
AN
Al
k
G I L O T E N V I R 0 N N E N 7 A L i N C
indary
iter Emergent
iter Forested/Shrub
e and Marine Deepwater
e and Marine
iter Pond
NWI Map
Villas on 5th Street
Approximate 34.5-Acre Tract
Mebane, Alamance County, NC
Pilot Project 2973.2

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Site Boundary
01%Annual Chance Flood Hazard
Regulatory Floodway
mom
0Sped al Floodvay
Area of Undetermined Flood Hazard
w'r 0.2%Annual Chance Flood Hazard
Future Conditions 1 %Annual Chang Flood Hazard
..AreawithReduced Risk Due to Levee
Drawing 4
National Flood Hazard Layer;
from FEMA Web Map Service
Scale: 1" = 750' "" \
PILOT
I I L O T 1 N 11 1 1 O N M F N T L 1 11 C
FEMA FIRM
Villas on 5th Street
Approximate 34.5-Acre Tract
Mebane, Alamance County, NC
Pilot Project 2973.2

v gj r
LEGEND
Site Boundary
Perennial Stream
...... Intermittent Stream
Wetland
DP-1 O Data Point
WA 1-5 Flag Number/Feature ID
e
IWTV
I;"44
r
a
ISA 1-3
140 LF
WA 1-3
75 LF
SA 1-18\
600 LF
WA 4-12
0.094 ac. WA 13-30
0.20 ac.
DP-2 O
DP-1 O�
FLAG NUMBERS/INFO
WETLAND FLAGS =
_ . STREAM FLAGS =
Stream Flags = 24
Wetland Flags = 27
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE PRELIMINARY. THEY HAVE NOT BEEN VERIFIED BY THE USACE AND/OR NCDEQ-
DWR. THIS EXHIBIT INCLUDES GPS LOCATIONS OF DELINEATED FEATURES. DELINEATION CONDUCTED BY PILOT ON 6.6.19.
Drawing 5 Wetland Map
Aerial Imagery from ESRI Villas on 5th Street
and Pilot GPS Data Approximate 34.5-Acre Tract
Scale: 1" = 2S0' ! Mebane, Alamance County, NC
Date:6.7.19 PLOT ENVIRONMFNTAL.!NC Pilot Project2973.2

U.S. Army Corps of Engineers Requirement Control Symbol
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region EXEMPT
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority: AR -2n) ,
P P 9 Y paragraph 5-2a)
Project/Site: McGee Farm (Villas on 5TH) City/County: Mebane/Alamance Sampling Date: 6.5.19
Applicant/Owner. Nova Triad Partners State: NC Sampling Point: DPA
Investigator(s): Pilot Section, Township, Range: NA
Landform (hillside, terrace, etc.): Pond Basin Local relief (concave, convex, none): Concave Slope (%): 1-2
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.070044 Long:-79.284428 Datum: wgs 84
Soil Map Unit Name: Water (Pond Basin) NWI classification: Freshwater Pond
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation , Soil or Hydrology significantly disturbed? Are "Normal Circumstances' present? Yes X No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
_ Surface Soil Cracks (66)
—Surface Water (Al) —True
Aquatic Plants (614)
—Sparsely Vegetated Concave Surface (68)
X High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
X Drainage Pattems (610)
X Saturation (A3) _
Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (1316)
—Water Marks (61) _
Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
—Sediment Deposits (132) _
Recent Iron Reduction in Tilled Soils (C6)
—Crayfish Burrows (C8)
_ Drift Deposits (133) —Thin
Muck Surface (C7)
—Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (134) —Other
(Explain in Remarks)
—Stunted or Stressed Plants (131)
_ Iron Deposits (B5)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (B7)
—Shallow Aquitard (133)
X Water -Stained Leaves (69)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
X FAC-Neutral Test (135)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes X No
Depth (inches): 4
Saturation Present? Yes X No
Depth (inches): 0
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-1
Tree Stratum (Plot size: 30 ) % Cover Species? Status
1.
2.
3.
4.
5.
6.
7.
=Total Cover
50% of total cover. 20% of total cover.
Sapling/Shrub Stratum (Plot size: 15 )
1. Salix nigra 5 Yes
2. Fraxinus pennsylvanica 5 Yes
3. Platanus occidentalis 5 Yes
4.
5.
6.
7.
8.
9.
15 =Total Cover
50% of total cover. 8 20% of total cover.
Herb Stratum (Plot size: 5
1.
Carex intumescens
10
2.
Typha ladfolia
10
3.
Juncus etiusus
10
4.
Vernonia gigantea
10
5.
Boehmeda cylindrica
10
6.
7.
8.
9.
10.
11.
Yes
Yes
Yes
Yes
Yes
OBL
FACW
FACW
3
FACW
OBL
FACW
FAC
FACW
50 =Total Cover
50% of total cover. 25 20% of total cover. 10
Woody Vine Stratum (Plot size: 30 )
1.
2.
3.
4.
5.
=Total Cover
50% of total cover. 20% of total cover.
Remarks: (Include photo numbers here or on a separate sheet.)
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
Total Number of Dominant
Species Across All Strata:
Percent of Dominant Species
That Are OBL, FACW, or FAC:
8 (A)
8 (B)
100.0% (A/B)
Total % Cover of:
Multiply by:
OBL species
15
x 1 =
15
FACW species
40
x 2 =
80
FAC species
10
x 3 =
30
FACU species
0
x 4 =
0
UPL species
0
x 5 =
0
Column Totals:
65
(A)
125 (B)
Prevalence Index = B/A =
1.92
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
X 3 - Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
(1 m) tall.
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No
ENG FORM 6116-"G, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DPA
Profile Description: (Describe to the depth needed to document the Indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type Loc Texture Remarks
0-18 2.5Y 4/1 80 7.5YR 4/6 20 C M Loamy/Clayey Prominent redox concentrations
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
Hydric Soil Indicator:
_ Histosol (Al)
_ Histic Epipedon (A2)
—Black Histic (A3)
_ Hydrogen Sulfide (A4)
—Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al 2)
_Sandy Mucky Mineral (S1)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147,148)
—Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
X Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122,136)
—Piedmont Floodplain Soils (1719) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
2Location: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric Soils:
2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(MLRA 147,148)
Piedmont Floodplain Soils (F19)
(MLRA 136,147)
Red Parent Material (F21)
(outside MLRA 127,147,148)
—Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes X No
Remarks:
ENG FORM 6116-4-3G, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

U.S. Army Corps of Engineers Requirement Control Symbol
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region EXEMPT
(Authority. AR 335-15,
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R Paragraph 5-2a)
Project/Site: McGee Farm (Villas on 5TH) City/County: Mebane/Alamance Sampling Date: 6.5.19
Applicant/Owner. Nova Triad Partners State: NC Sampling Point: DP-2
Investigator(s): Pilot Section, Township, Range: NA
Landform (hillside, terrace, etc.): Pond Basin (Side Slope) Local relief (concave, convex, none): Concave Slope (%): 2-3
Subregion (LRR or MLRA): LRR P, MLRA 136 Let: 36.070055 Long:-79.284506 Datum: wgs 84
Soil Map Unit Name: Water (Pond Basin) NWI classification: Freshwater Pond
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation , Soil or Hydrology significantly disturbed? Are 'Normal Circumstances' present? Yes X No
Are Vegetation , Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
—Surface Soil Cracks (136)
—Surface Water (Al) _
True Aquatic Plants (B14)
_ Sparsely Vegetated Concave Surface (B8)
High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
—Drainage Patterns (1310)
_ Saturation (A3) _
Oxidized Rhizospheres on Living Roots (C3)
—Moss Trim Lines (1376)
—Water Marks (B1) _
Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
—Sediment Deposits (132) _
Recent Iron Reduction in Tilled Soils (C6)
—Crayfish Burrows (C8)
_ Drift Deposits (133) —Thin
Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134) _
Other (Explain in Remarks)
_ Stunted or Stressed Plants (131)
_ Iron Deposits (B5)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (B7)
—Shallow Aquitard (133)
—Water-Stained Leaves (139)
_ Microtopographic Relief (134)
Aquatic Fauna (1313)
X FAC-Neutral Test (135)
Field Observations:
Surface Water Present? Yes No
Depth (inches):
Water Table Present? Yes No
Depth (inches):
Saturation Present? Yes No
Depth (inches):
Wetland
Hydrology Present? Yes No X
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), If available:
Remarks:
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-2
Tree Stratum (Plot size: 30 ) % Cover Species? Status
1.
2.
3.
4.
5.
6.
7.
=Total Cover
50% of total cover.
20% of total cover.
Sapling/Shrub Stratum (Plot size: 15
)
1. Acer rubrum
5 Yes
2. Liquidamber styraciflua
5 Yes
3. Salix nigra
5 Yes
4.
5.
6.
7.
8.
9.
15 =Total Cover
50% of total cover.
8 20% of total cover.
Herb Stratum (Plot size: 5 )
FAC
FAC
OBL
3
1. Eu/alia viminea 50 Yes FAC
2. Carex intumescens 10 No FACW
3.
4.
5.
6.
7.
8.
9.
10.
11.
60 =Total Cover
50% of total cover. 30 20% of total cover. 12
Woody Vine Stratum (Plot size: 30 )
1.
2.
3.
4.
5.
=Total Cover
50% of total cover. 20% of total cover.
Remarks: (Include photo numbers here or on a separate sheet.)
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
Total Number of Dominant
Species Across All Strata:
Percent of Dominant Species
That Are OBL, FACW, or FAC:
4 (A)
4 (B)
100.0% (A/B)
Total % Cover of:
Multiply by:
OBL species
5
x 1 =
5
FACW species
10
x 2 =
20
FAC species
60
x 3 =
180
FACU species
0
x 4 =
0
UPL species
0
x 5 =
0
Column Totals:
75
(A)
205 (B)
Prevalence Index = B/A =
2.73
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
_ 3 - Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
(1 m) tall.
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No
ENG FORM 6118-4-SG, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP-2
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type Loc Texture Remarks
0-18 7.5YR 4/6 80 10YR 4/4 20 D M Loamy/Clayey
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric 301183:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
—Thin Dark Surface (S9) (MLRA 147,148)
_ Coast Prairie Redox (A16)
_ Black Histic (A3)
—Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147,148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
—Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
—Depleted Matrix (F3)
(MLRA 136,147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
—Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (177)
(outside MLRA 127,147, 148)
—Thick Dario Surface (All 2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
—Other (Explain in Remarks)
Gleyed Matrix (S4)
MLRA 136)
—Sandy
_ Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122,136)
3Indicators of hydrophytic vegetation and
—Stripped Matrix (S6)
—Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127,147,148)
unless disturbed or problematic.
Restrictive Layer (ff observed):
Type:
Depth (inches): Hydric Soil Present? Yes No X
Remarks:
ENG FORM 61164-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0