20191556 Ver 1_PCN Form Submission_20191111

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial 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
Change only if needed.
BIMS # Assigned
20191556
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:
8104 Mitchell Mill Rd
1a. Who is the Primary Contact?*
Justin Hooks
1b. Primary Contact Email:*
[e-mail]
Date Submitted
11/11/2019
Nearest Body of Water
Fowlers Mill Creek
Basin
Neuse
Water Classification
WS-II; HOW, NSW
Site Coordinates
Latitude: Longitude:
35.90383-78.39418
A. Processing Information
County (or Counties) where the project is located:
Wake
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
W 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?
* Nationwide Permit (NWP)
* Regional General Permit (RGP)
7 Standard (IP)
Version#*
1
What amout is owed?*
IT $240.00
r $570.00
Select Project Reviewer*
Stephanie Goss:eads\sagoss
1c. Primary Contact Phone:*
[phone]
V

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
r Non-404 Jurisdictional General Permit
r Individual Permit
40 - Agricultural activities
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR401 Certification:
For the record only for Corps Permit:
r 401 Water Quality Certification - E)press
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
1h. lathe project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
W Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
Hooks Properties, LLC
2b. Deed book and page no.:
Book: 17411 Page:434
2c. Responsible party:
Justin Hooks
2d.Address
Street Address
8140 Mitchell Mill Rd
Address Line 2
aty
Zebulon
Postal / Zip Code
27597
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
State / Province / Region
NC
Country
USA
2f. Fax Number:
r Yes r No
r Yes r No
4a. Name:
Scott Mitchell

4b. Business Name:
Mitchell Environmental. PA
4c.Address
Street Address
1501 Lakestone Village Lane
Address tine 2
Suite 205
Qy
Fuquay-Varina
Postal / Zip Code
27526
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Agent Authorization Form -Signed 051919.pdf
State / Amine / I3gion
NC
Country
USA
4e. Fax Number:
272.52KB
C. Project Information and Prior Project History C^U
1. Project Information
1b. Subdivision name:
(ff appropriate)
N/A
1c. Nearest municipality/ town:
Zebulon
F-
2. Project Identification
2a. Property Identification Number:
1778944178
2c. Project Address
Street Address
8104 Mitchell Mill Rd
Address tine 2
City
Zebulon
Postal / Zip Code
27597
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Fowlers Mill Creek
3b. Water Resources Classification of nearest receiving water:*
WS-II; HQW; 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.
030202011501
4. Project Description and History
2b. Property size:
44.29
State Amine/ tlegion
NC
Country
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:*
The eAsting conditions on the site is forested and agricultural use. Land use in the vicinity is mainly agricultural and forested, with low density rural residential mixed in.
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 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
USGS Final.pdf 25.47MB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Soil Survey map.pdf 1023.93KB

4f. List the total estimated acreage of all existing wetlands on the property:
0.5258
4g. List the total estimated linear feet of all existing streams on the property:
0
4h. Explain the purpose of the proposed project:*
The purpose of the project is to install a driveway to access upland portions of the property.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
No indirect impacts are expected. The type of equipment used is that typical of infrastructure installation, including excavators, dump trucks, bull dozers, rollers, etc.
4j. Please upload project drawings for the proposed project.
Impact Map 110819.pdf 241.6KB
8104 Mitchell Mill driveway crossing -Driveway cross-section.pdf 132.06KB
8104 Mitchell Mill driveway crossing-Overall.pdf 194.68KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r 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:
Verbal approval only - AID Number unknown
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: Mitchell Environmental, PA
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR
July 2019.
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.
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands r Streams -tributaries r Buffers
r Open Waters F 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*(?) area*
Driveway P Bottomland Hardwood Forest �A/B Yes Corps 0.099
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.099
2h. Comments:
2g. Total Permanent Wetland Impact
0.099

E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The wetland spans across the entire property near the road leaving no access to uplands except by crossing the wetland. Crossing is designed in the
narrowest portion of the wetland to minimize impacts.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Prior to construction, silt fence and/or tree protection fence will be installed to ensure impacts are limited to the construction area.
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 f• No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Proposed impacts are below mitigation thresholds.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) U
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?
r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
r Other SCM that removes minimum 30 % nitrogen
P 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:
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 21-11.1300), 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.
Site will be used as a landscape nursery, which is unlikely to result in cumulative impacts.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*

r' Yes a No C' WA
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 f• No
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
5h. 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?
USFWS Raleigh Ecological Field Office - Wake County list of Endangered Species.
Consultation Documentation Upload
Wake County Endangered Species 110819.pdf 116.94KB
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?*
NOAA 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?*
HPOWEB.
7c. Historic or Prehistoric Information Upload
HPOWEB 110819.pdf 246.79KB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-yearfloodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
Wake County iMaps Floodplains layer.
Miscellaneous U
Comments
Miscellaneous attachments not previously requested.
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:
Scott Mitchell
Signature
5-OTT- 411—Ch4`LL
Date
11/11/2019

Mitchell Environmental, P.A.
AGENT AUTHORIZATION and
PROPERTY OWNER CERTIFICATION FORM
All Blanks to be Filled in by Current Landowner
The Department of the Army NCDENR -- Division of Water Resources
US Army Corps of Engineers 401 & Buffer Permitting Unit
Wilmington District 1650 Mail Service Center
PO Box 1890 Raleigh, NC 27699-1650
Wilmington, NC 28402-1890
To Whom It May Concern:
I, the undersigned, current property owner designate and authorize representatives of Mitchell Environmental,
P.A., to act on my behalf as my agent in the processing of permit applications, to furnish upon request
supplemental information in support of applications, etc., from this day forward.
This the I day of et 204.
(number) (Month) (Year)
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do 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 and issuing a determination associated
with Waters of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section
10 of the Rivers and Harbors Act of 1899.
This notification supersedes any previous correspondence concerning the agent for this project.
Project Name: aecm M - Location: 10 36 �"I� ZG
Property Owner's Name (Print): 4 lu' 11, A _ HOLA s
Property Owner's Signature: : !f
Property Owner's Mailing Address: 3621 Ef u-/'►' :in r�frn_ If\)r�L
f1 tU,:l Ie� 57 1
T
Property Owner's Telephone 6 0q � 3 Fax No.
Property Owner's Email Address:
1501 Lakestone Village Lane, Suite 205
Fuquay-Varina, North Carolina 27526
919-669-0329

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NORTH CAROLINA
QUADRANGLE LOCATION
ROLESVILLE QUADRANGLENORTH CAROLINA7.5-MINUTE SERIES
ROLESVILLE, NC
2016
Expressway Local Connector
ROAD CLASSIFICATION
Ramp 4WD
Secondary Hwy Local Road
Interstate Route State RouteUS RouteWX./H
ROLESVILLE, NC
2016
ROAD CLASSIFICATION
Check with local Forest Service unitfor current travel conditions and restrictions.
FS Primary Route FS High Clearance RouteFS PassengerRouteª«­▬Interstate Route State RouteUS RouteWX./H
Expressway Local Connector
Ramp 4WD
Secondary Hwy Local Road
U.S. DEPARTMENT OF THE INTERIOR U.S. GEOLOGICAL SURVEY
1 Grissom
8 Zebulon
2 Franklinton3 Louisburg4 Wake Forest5 Bunn West6 Raleigh East7 Knightdale
ADJOINING QUADRANGLES
1 2 3
4 5
6 7 8
This map was produced to conform with the National Geospatial Program US Topo Product Standard, 2011.A metadata file associated with this product is draft version 0.6.19
CONTOUR INTERVAL 10 FEETNORTH AMERICAN VERTICAL DATUM OF 1988
SCALE 1:24 000
1000 500 0 METERS 1000 2000
21KILOMETERS00.51
1 0.5 0
MILES
1
1000 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000
FEET
Imagery..................................................NAIP, June 2014Roads................................ U.S. Census Bureau, 2015 - 2016Names..........................................................GNIS, 2016Hydrography....................National Hydrography Dataset, 2014Contours............................National Elevation Dataset, 2008Boundaries............Multiple sources; see metadata file 1972 - 2016
Wetlands.........FWS National Wetlands Inventory 1977 - 2014
North American Datum of 1983 (NAD83)World Geodetic System of 1984 (WGS84). Projection and1 000-meter grid: Universal Transverse Mercator, Zone 17S
Produced by the United States Geological Survey
10 000-foot ticks: North Carolina Coordinate System of 1983
This map is not a legal document. Boundaries may begeneralized for this map scale. Private lands within governmentreservations may not be shown. Obtain permission beforeentering private lands.
North American Datum of 1983 (NAD83)World Geodetic System of 1984 (WGS84). Projection and1 000-meter grid: Universal Transverse Mercator, Zone 17S
Produced by the United States Geological Survey
10 000-foot ticks: North Carolina Coordinate System of 1983
This map is not a legal document. Boundaries may begeneralized for this map scale. Private lands within governmentreservations may not be shown. Obtain permission beforeentering private lands.
Imagery<IMG_LEADER><IMG_CITATION>Roads<TRANS_LEADER> U.S. Census Bureau, 2015 - 2016Roads within US Forest Service Lands.............FSTopo Data with limited Forest Service updates, 2012 - 2016Names...............................................................GNIS, 2016Hydrography<HYDRO_LEADER>National Hydrography Dataset, <HYDRO_DATE>Contours<HYPSO_LEADER><HYPSO_CITATION>Boundaries............Multiple sources; see metadata file 1972 - 2016<OPTIONAL_CITATIONS>Wetlands.........FWS National Wetlands Inventory 1977 - 2014
U.S. National Grid
100,000-m Square ID
Grid Zone Designation
QV
17S
^
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GN
UTM GRID AND 2016 MAGNETIC NORTHDECLINATION AT CENTER OF SHEET
1° 30´27 MILS
9° 20´166 MILS
*7643016379170*NSN.7643016379170NGA REF NO.USGSX24K38453
ApC1 A B2 WARE COUNTY, NORTH CAROLINA — SHEET NUMBER 23
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32031825'40'DATEREVISION NO.
NAD 83
Impact Area 14,344 ft2(0.0997 ac)Wetland
DATEREVISION NO.
32031825'40'DATEREVISION NO.
NAD 83 Invert In = 319.502, 18" Dual Wall N-12HDPE Pipe with flaredend sections on inletsand outlets12' x 12' Class BRip-rap EnergyDissipator Pad(12" thick, under lainby geotech fabric)35' of 18"HDPEInvert Out = 319.40Silt FenceWetland
Sources: Esri, HERE, Garmin, USGS, Intermap, INCREMENT P, NRCan, Esri Japan, METI, Esri China (Hong Kong), Esri
Korea, Esri (Thailand), NGCC, (c) OpenStreetMap contributors, and the GIS User Community
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Endangered Species, Threatened Species,Federal Species of
Concern, and Candidate Species,
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Wake County, North Carolina
Updated: 12-27-2012
Wake County Endangered Species, Threatened Species,Federal Species of Concern, and Candid...https://www.fws.gov/raleigh/species/cntylist/wake.html
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Common Name Scientific name Federal
Status
Record Status
Vertebrate:
American eel Anguilla rostrata FSC Current
Bachman's sparrow Aimophila aestivalis FSC Historic
Bald eagle Haliaeetus leucocephalus BGPA Current
Carolina darter Etheostoma collis lepidinion FSC Probable/potential
Carolina madtom Noturus furiosus FSC Current
Pinewoods shiner Lythrurus matutinus FSC Current
Red-cockaded woodpecker Picoides borealis E Current
Roanoke bass Ambloplites cavifrons FSC Current
Southeastern myotis Myotis austroriparius FSC Historic
Southern hognose snake Heterodon simus FSC Obscure
Invertebrate:
Atlantic pigtoe Fusconaia masoni FSC Current
Diana fritillary (butterfly)Speyeria diana FSC Current
Dwarf wedgemussel Alasmidonta heterodon E Current
Green floater Lasmigona subviridis FSC Current
Yellow lance Elliptio lanceolata FSC Current
Vascular Plant:
Bog spicebush Lindera subcoriacea FSC Current
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Grassleaf arrowhead Sagittaria weatherbiana FSC Historic
Michaux's sumac Rhus michauxii E Current
Sweet pinesap Monotropsis odorata FSC Historic
Virginia least trillium Trillium pusillum var.
virginianum
FSC Current
Nonvascular Plant:
Lichen:
Definitions of Federal Status Codes:
E = endangered. A taxon "in danger of extinction throughout all or a significant portion of its
range."
T = threatened. A taxon "likely to become endangered within the foreseeable future throughout
all or a significant portion of its range."
C = candidate. A taxon under consideration for official listing for which there is sufficient
information to support listing. (Formerly "C1" candidate species.)
BGPA =Bald and Golden Eagle Protection Act. See below.
FSC = federal species of concern. A species under consideration for listing, for which there is
insufficient information to support listing at this time. These species may or may not be listed in
the future, and many of these species were formerly recognized as "C2" candidate species.
T(S/A) = threatened due to similarity of appearance. A taxon that is threatened due to similarity
of appearance with another listed species and is listed for its protection. Taxa listed as T(S/A) are
not biologically endangered or threatened and are not subject to Section 7 consultation. See
below.
EXP = experimental population. A taxon listed as experimental (either essential or nonessential).
Wake County Endangered Species, Threatened Species,Federal Species of Concern, and Candid...https://www.fws.gov/raleigh/species/cntylist/wake.html
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Experimental, nonessential populations of endangered species (e.g., red wolf) are treated as
threatened species on public land, for consultation purposes, and as species proposed for listing
on private land.
P = proposed. Taxa proposed for official listing as endangered or threatened will be noted as
"PE" or "PT", respectively.
Bald and Golden Eagle Protection Act (BGPA):
In the July 9, 2007 Federal Register( 72:37346-37372), the bald eagle was declared recovered,
and removed (de-listed) from the Federal List of Threatened and Endangered wildlife. This
delisting took effect August 8,2007. After delisting, the Bald and Golden Eagle Protection Act
(Eagle Act) (16 U.S.C. 668-668d) becomes the primary law protecting bald eagles. The Eagle
Act prohibits take of bald and golden eagles and provides a statutory definition of "take" that
includes "disturb". The USFWS has developed National Bald Eagle Management Guidelines to
provide guidance to land managers, landowners, and others as to how to avoid disturbing bald
eagles. For mor information, visit http://www.fws.gov/migratorybirds/baldeagle.htm
Threatened due to similarity of appearance(T(S/A)):
In the November 4, 1997 Federal Register (55822-55825), the northern population of the bog
turtle (from New York south to Maryland) was listed as T (threatened), and the southern
population (from Virginia south to Georgia) was listed as T(S/A) (threatened due to similarity of
appearance). The T(S/A) designation bans the collection and interstate and international
commercial trade of bog turtles from the southern population. The T(S/A) designation has no
effect on land management activities by private landowners in North Carolina, part of the
southern population of the species. In addition to its official status as T(S/A), the U.S. Fish and
Wake County Endangered Species, Threatened Species,Federal Species of Concern, and Candid...https://www.fws.gov/raleigh/species/cntylist/wake.html
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Wildlife Service considers the southern population of the bog turtle as a Federal species of
concern due to habitat loss.
Definitions of Record Status:
Current - the species has been observed in the county within the last 50 years.
Historic - the species was last observed in the county more than 50 years ago.
Obscure - the date and/or location of observation is uncertain.
Incidental/migrant - the species was observed outside of its normal range or habitat.
Probable/potential - the species is considered likely to occur in this county based on the
proximity of known records (in adjacent counties), the presence of potentially suitable habitat, or
both.
Wake County Endangered Species, Threatened Species,Federal Species of Concern, and Candid...https://www.fws.gov/raleigh/species/cntylist/wake.html
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