20170694 Ver 2_PCN Form Submission_20191223

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
20170694
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:
Hidden Valley -Phases 10 & 11 (Modification)
1a. Who is the Primary Contact?*
Deborah Shirley
1b. Primary Contact Email:*
[e-mail]
Date Submitted
12/23/2019
Nearest Body of Water
Neills Creek 18-16-(0.3)
Basin
Cape Fear
Water Classification
C
Site Coordinates
Latitude:
35.5483
A. Processing Information
County (or Counties) where the project is located:
Wake
Is this project a public transportation project?*
r Yes r No
Longitude:
-78.7708
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#*
2
What amout is owed?*
IT $240.00
r $570.00
Select Project Reviewer*
Stephanie Goss:eads\szgoss
1c. Primary Contact Phone:*
[phone]

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):
14 (road crossing in floodplain)
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
29 - Residential Developments
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)iress
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
Hidden Valley DIMS Acceptance Letter.pdf
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?
O 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:
Pulte Home Company, LLC
2b. Deed book and page no.:
DB: 016985; DP: 00008
2c. Responsible party:
Randy King
2d.Address
Street Address
1225 Crescent Green Drive, Ste. 250
Address Line 2
City
Cary
Rostal / Zip Code
27518
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Deborah Shirley
State / Fnwince / Region
NC
Country
USA
2f. Fax Number:
81.74 KB
r Yes r No
r Yes r No

4b. Business Name:
Soil & Environmental Consultants, PA
4c.Address
Street Address
8412 Falls of Neuse Rd., Ste. 104
Address Line 2
City
Raleigh
Postal / Zip Cate
27615
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Pulte Agent Authorization_Fidden Valley.pdf
State / Province / tiegion
NC
Country
USA
4e. Fax Number:
[phone]
28.16KB
C. Project Information and Prior Project History U
1. Project Information
1b. Subdivision name:
(if appropriate)
Hidden Valley
1c. Nearest municipality/ town:
Fuquay-Varina
2. Project Identification
2a. Property Identification Number:
0675131686,0665959073
2c. Project Address
Street Address
2557 Nassau Trace & 0 Bethpage Drive
Address Line 2
city
Fuquay-Varina
Postal / Zip Code
27526
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Neills Creek 18-16-(0.3)
3b. Water Resources Classification of nearest receiving water:*
C
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
030300040501
4. Project Description and History
2b. Property size:
213 (entire property), 74 (impact mod location
area)
State / Province / Region
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:*
Pre -construction existing conditions consisted of an assemblage of properties that were partially forested and some open field areas. An abandoned golf course existed on the parcels
to the east, which have now been graded and infrastructure constructed. Specifically, Impacts 1, 3, 4, 5, 6, 7, 8, 9, and10 all been completed (see attached exhibit), and Impact 11 was
omitted. There were three large jurisdictional ponds, two have since been drained, as well as streams and wetlands throughout the property. The general land use in the vicinity of the
project is residential.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
6 Yes r- No r- Unknown
4c. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
USACE: SAW-2017-01306; NCDWR: DWR #17-0694
Project History Upload

USACE NWP_Hidden Valley_06-25-17.pdf
NCDWR 401 Approval_07-27-17.pdf
359.65KB
1.79MB
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 map.pdf 221.06KB
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)
SS map.pdf 221.17KB
4f. List the total estimated acreage of all existing wetlands on the property:
Appro>mately 14.86 acres, and 9.31 acre in open waters before authorized impacts took place.
4g. List the total estimated linear feet of all existing streams on the property:
Approximately 1,875 linear feet before authorized impacts took place.
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to construct a residential development and the infrastructure necessary to access the residential development.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The overall project consists of the construction of roadway infrastructure, utilities, single-family lots and stormwater BMP's. Specifically for this application, there are wetland impacts
associated with road fill and utility construction. Equipment typically used for construction and earthwork such as backhoes, bulldozers, excavators, graders, pavers etc. will be utilized
for this project.
4j. Please upload project drawings for the proposed project.
Hidden Valley Wetland Impacts 20191223.pdf 5.08MB
Overall with Impacts Completed Identified_Hidden Valley.pdf 569.89KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No 6 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:
SAW-2017-01306
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Steven Ball
Agency/Consultant Company: Soil & Environmental Consultants, PA
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR
USACE- James Lastinger with the Corps verified jurisdictional areas on March 03, 2016, the PJD was issued with the Nationwide Permit Verification on 6/26/17; Wake County -the
western portion of the site was reviewed by Betsy Pearce with Wake County on 2/29/16, no letter was ever provided; Fuquay-Varina-a site visit with a representative of Fuquay-Varina
was conducted on2/23/16, since that time Fuquay-Varina have removed their riparian buffer requirements within the Cape Fear.
Sd1. Jurisdictional determination upload
PJD.pdf 1.03MB
6. Future Project Plans
6a. Is this a phased project?*
r Yes n No
7b. If yes, explain.
The project has been constructed as a phased development, however no new phases beyond what is currently shown are anticipated.
Are anyother 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?
it is my understanding that there are no intended future phases beyond the property boundaries shown. Therefore, no additional NWP, Regional General Permits, or IP are anticipated.
D. Proposed Impacts Inventory C^U
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands f Streams -tributaries r Buffers
W Open Waters r Pond Construction
2. Wetland Impacts

2a1 Reason (?)
2b. Impact type*(?)
2c. Type of W.*
2d. W. name *
2e. Forested*
2C Type of
2g. Impact
Jurisdicition*(?)
area*
#2 Road Crossing -Culvert
P
Bottomland Hardwood Forest
Yes
Both
0.027
& Headwalls(acres)
�W2
#2 Road Crossing-
T
Bottomland Hardwood Forest
W2
Yes
Both
0.007
Construction Access
(acres)
#12 Utility Crossing-
P
Headwater Forest
W14
Yes
Both
0.024
(Modification Permanent Maintenance
(acres)
location) Corridor -Permanent, No
Permanent Loss
2g. Total Temporary Wetland Impact
0.007
2g. Total Wetland Impact
0.058
2h. Comments:
2g. Total Permanent Wetland Impact
0.051
Previously authorized Impact #2 is not complete and Impact #12 has changed route and is requesting a modification. Temporary impacts will be
brought back to original contours and re -vegetated with wetland seed mix
4.Open Water Impacts
4a. Site # 4a1. Impact Reason 4b. Impact type 4c. Name of wat,rbody 4d. Activity type 4e. Wate rbody type 4f. Impact area
Impact 11 Road Fill P Pond 2 Fill Pond 0.00
4g. Total temporary open water Impacts:
0.00
4g. Total open water impacts:
0.00
4h. Comments:
4g. Total permanent open water impacts:
0.00
Previous authorization verified 0.101 acres of open water permanent road fill. Since that time, the pond was drained, footprint of wetlands re -verified
by USACE, and there are currently no proposed impacts (wetland/open water) at Impact #11.
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:
This is a modification request of a previously authorized project. Only one impact area is requesting a modification, Impact #12, and Impact #2 has not
been completed (i.e. constructed) to date. Impacts 1, 3, 4, 5, 6, 7, 8, 9, and 10 have been completed (see attached exhibit). Impact #11 (i.e. open
water) was omitted because pond 2 was drained and the wetlands that remained within the foot of the pond were not impacted.
The modification of Impact #12 is necessary because pond 1 was drained and it was necessary to re-route the sanitary sewer off of the dam of pond
3. As a result of the sanitary sewer re-routing, the wetland impacts increased in this area however were minimized by shifting the sanitary sewer to the
north to maximum extent practicable. Compensatory mitigation is proposed for this increased impact area. Impact area #2 has not changed.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Contractor will follow the following construction sequence:
Contractor shall install erosion & sedimentation control measures including, but not limited to, construction entrances, silUtree protection fence,
diversions/check dams, and sediment basins/traps in accordance with requirements set forth in the Wake County Land Disturbing Permit.
Contractor shall notify the Tom of Fuquay Varina Public Works 48-hours in advance of start of work during a period of time with no rain in the
forecast.
Prior to start of work, contractor shall have all materials and equipment on -site. For utility crossings with casings, the carrier pipe shall be installed
within the casing pipe prior to any open cut activities.
Contractor shall install a temporary coffer dam on the upstream side of the proposed crossing to pump water around the open cut area to the
downstream side. Contractor may also install a temporary diversion channel lined with plastic to allow the stream to bypass the open cut area.
Contractor shall place the culvert or utility casing with carrier pipe at elevations shown on the approved plans and backfill in accordance with Town of
Fuquay Varina specifications.
Contractor shall restore channel and stabilize any disturbance within 24-hours of start of work.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r Yes
r No
2c. If yes, mitigation is required by (check all that apply):
r DWR
W Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank W Payment to in -lieu fee r Permittee Responsible
program Mitigation

4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
r Yes r No
4b. Stream mitigation requested:
(linear feet)
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non -riparian wetland mitigation requested:
(acres)
4c. If using stream mitigation, what is the stream temperature:
4e. Riparian wetland mitigation requested:
(acres)
0.02
4g. Coastal (tidal) wetland mitigation requested:
(acres)
4h. Comments
Previous 404 Nationwide Permit Verification required 428 LF of stream mitigation (2:1), and 0.70 acres of riparian wetland mitigation. Previous 401
Water Quality Certification Approval required 214 LF of stream mitigation (1:1). This mitigation has been paid, including mitigation required for Impact
#2, see attached receipts. The modification of Impact #12 will require 0.02 acres of riparian wetland mitigation for the permanent -no permanent loss @
the permanent maintenance corridor @ 1:1.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes r No
If no, explain why:
Project located in Cape Fear River Basin and does not have a NC Riparian Buffer Protection Rule
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
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?
r Yes r No
2d. Which of the following Stormwater management program(s) apply:
W Local Government r State
Local Government Stormwater Programs
W Phase II r NSW r USMP r Water Supply
Please identify which local government stormwater program you are using.
Town of Fuquay Varina
Comments:
Per the project Stormwater Impact Analysis: Six wet detention basins have been proposed and designed to treat the requirements of 85 % TSS removal, drawdown of the first inch of
rainfall between 2-5 days and reduction of peak flow for the 1 "-24 hour storm event. In addition, the 100-year event has been routed to ensure safe passage through the site. The
project is under construction, Fuquay Varina Approved the Stormwater Management Plan
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 (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.

We have reviewed the "Draft Internal Policy, Cumulative impacts and the 401 Water Quality Certification and Isolated Wetlands Programs" document
prepared by the NC Division of Water Quality on April 10, 2004, version 2.1. The draft states that many private developments are unlikely to cause
cumulative impacts, including projects such as urban in -fill, most residential subdivisions and small commercial developments as well as agricultural
and silvicultural operations. The Hidden Valley project is a residential development. Additionally, the project is located within Fuquay-Varina
jurisdiction, therefore the adjacent properties that have potential for development will have the following regulations to protect downstream waters: 1)
the Phase II NPDES Stormwater Permit Program, this program includes permitting requirements for Municipal Separate Storm Sewer Systems (MS4s)
in addition to post -construction stormwater management requirements. We anticipate that the DWR Will advise us if any additional information is
needed.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated
at a treatment plant, list the capacity available at that plant.
There is a proposed on -site pump station that Will convey wastewater off -site via a force main to an existing Town of Fuquay-Varina gravity sewer
system.
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
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?
The NC -Natural Heritage Programs Data Explorer Map was used to search for elemental occurrences of federally protected species listed Within 1 mile
of the project boundaries. It was determined based on the search that there are no elemental occurrences that are listed as federally
Threatened/Endangered within 1 mile of the project boundaries. References: North Carolina Natural Heritage Program Data Explorer Search
[December 23, 2019]. North Carolina Department of Natural and Cultural Resources, Division of Land and Water Stewardship, Raleigh, NC.
http://mmfv.ncnhp.org/
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
The NOAA Habitat Conservation/Habitat Protection: National Marine Fish Service, Essential Fish Habitat Mapper website was referenced. No Essential
Fish Habitat was identified near the project.
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?*
The NC State Historic Preservation Office HPOWEB GIS Service interactive map was referenced on December 20, 2019, no historic listings or study
list entries or determined eligible listings were identified within the property boundaries.
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-yearfloodplain?*

r Yes
r No
8b. If yes, explain how project meets FEMArequirements:
A FEMA 100-year floodplain bisects the site. Impacts within the floodplain have already been completed.
8c. What source(s) did you use to make the floodplain determination?*
Per project engineer & NC Floodplain Mapping Program
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Hidden Valley Subdivision.pdf
MRTF-2017-01306 Hidden Valley SD.pdf
Signature
R By checking the box and signing below, I certify that:
65.11 KB
162.9KB
u
• 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:
Deborah E. Shirley
Signature
Date
12/23/2019

ROY COOPER
Governor
MICHAEL S. REGAN
Serartory
TIM BAUMGARTNER
Director
Randy King
Pulte Home Company, LLC
1225 Crescent Green Drive, Suite 250
Cary, NC 27518
Project: Hidden Valley
NORTH CAROLINA
Environmental Quality
December 17, 2019
Expiration of Acceptance: 6/17/2020
County: Wake
The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) is willing to
accept payment for compensatory mitigation for impacts associated with the above referenced project as
indicated in the table below. Please note that this decision does not assure that participation in the DMS in -
lieu fee mitigation program will be approved by the permit issuing agencies as mitigation for project impacts.
It is the responsibility of the applicant to contact permitting agencies to determine if payment to the DMS will
be approved. You must also comply with all other state, federal or local government permits, regulations or
authorizations associated with the proposed activity including G.S. § 143-214.11.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not
received a copy of the issued 404 Permit1401 Certification within this time frame, this acceptance will
expire. It is the applicant's responsibility to send copies of the permits to DMS. Once DMS receives a copy
of the permit(s) an invoice will be issued based on the required mitigation in that permit and payment must
be made prior to conducting the authorized work. The amount of the in -lieu fee to be paid by an applicant is
calculated based upon the Fee Schedule and policies listed on the DMS website.
Based on the information supplied by you in your request to use the DMS, the impacts for which you are
requesting compensatory mitigation credit are summarized in the following table. The amount of mitigation
required and assigned to DMS for this impact is determined by permitting agencies and may exceed the
impact amounts shown below.
ct Location Impact Type Impact Quantity
River Basin Impa
Cape Fear 03030004 Riparian Wetland 0.020
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The
mitigation will be performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010 and
15A NCAC 02B .0295 as applicable. Thank you for your interest in the DMS in -lieu fee mitigation program.
If you have any questions or need additional information, please contact Kelly Williams at [phone].
cc: Debbie E. Shirley, agent
e*.�u.taaa.w+rrgw4�
Sincerely,
J4es Stanfill
Anagement Supervisor
North Carolina Department of Environmental Quality I Division of M'digat ion Services
217 W.]om, Street 11652 Mail Service Center I Raleigh, North Carolina 27699-1652
919.707.6976

Soil & Environmental Consultants, PA
8 l3 Falls of \case l�nad, Suite 111F, Nalci�l3, 1'C 37G17 • Pho��c: (919) Yr}(r59D[} • Va,"-: (919) 846-9 07
s;ic3dec.cc5c:3
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description: Hidden Valley S&EC Project # 12754
Date:(liabi
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn: James Lastinger Field Office: Raleigh Regulatory Field Office____
1, 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) and Soil &
Environmental Consultants, PA (S&EC) staff, as my agent, 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 document also authorizes S&EC, as my agent, to act on my behalf
and take all actions necessary for the processing, issuance and acceptance of a permit or certification and
any and all associated standard and special conditions. This notification supersedes any previous
correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S&EC staff. You should call S&EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index Number(s) (PIN): 0675131686 0665959073
Site Address: 2557 Nassau Trace & 0 Bethpage Drive
City, County, State: Fuguay-Varina, NC 27526
PROPERTY OWNER INFORMATION:
Name: Pulte Home Camoanv. LLC
Mailing Address: _1225 Crescent Green Dr., Suite 250, Cary, NC 27518
Telephone Number: QI I- A/6 - HV 6
Email: Y Alv24. ttN6r (9I��L GI�dVP• �r^
Property-Qwner (please print) Date
Property Owner
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.

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Cate: Wake County GIS E4624a.a oV%,—R-d. ti.il 104, NaLmo.X_7i 15-rJw --j919)1 59-F—(919)X*W
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Contractor will follow the following construction sequence:
• Contractor shall notify the Town of Fuquay Varina Public
Works 48-hours in advance of start of work during a period of
time with no rain in the forecast.
• Prior to start of work, contractor shall have all materials and
equipment on -site. For utility crossings with casings, the
carrier pipe shall be installed within the casing pipe prior to
any open cut activities.
• Contractor shall install a temporary coffer dam on the
upstream side of the proposed crossing and pump water
around the open cut area to the downstream side.
• Contractor shall place the culvert or utility casing with carrier
pipe at elevations shown on the approved plans and backfill in
accordance with Town of Fuquay Varina specifications.
• Contractor shall restore channel and stabilize any disturbance
within 24-hours of start of work.
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Mitigation Services
ENVIRONMENTAL QUALITY
RECEIPT
December 28, 2017
Chris Raughley
Pulte Home Company, LLC
1225 Crescent Green Drive, Suite 250
Cary, NC 27518
Project: Hidden Valley Subdivision
County: Wake
401 permit#: 17-0694
404 permit#: 2017-01306
DMS ID#: MR-06650
Amount Paid: $222,461.00
Check Number: 71741719
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
The NCDEQ Division of Mitigation Services (DMS) has received a check as indicated above as payment for the
compensatory mitigation requirements of the 401 Water Quality Certification/Section 404 Permit(s) issued for
the above- referenced project. This receipt serves as notification that your compensatory mitigation
requirements assigned to DMS associated with the authorized activity as specified below have been satisfied.
You must also comply with all other conditions of this certification and any other state, federal or local
government permits or authorization associated with this activity including G.S. § 143-214.11.
The DMS, by acceptance of this payment, acknowledges that the Division is responsible for the
compensatory mitigation requirements indicated below associated with the project permit and agrees to
provide the compensatory mitigation as specified in the permit. Mitigation responsibility assigned to the DMS
is nontransferable. The mitigation will be performed in accordance with the In -Lieu Fee Program instrument
dated July 28, 2010.
River Basin Mitigation Location
8-di it HUC
Cape Fear 03030004
Cape Fear 03030004
Mitigation Type
Quantity
Warm Stream
428
Riparian Wetland
0.70
Refunds of payments made to NCDMS are only approved under certain conditions. All refund requests must
be submitted in accordance with the Division's refund policy. If you have any questions or need additional
information, please contact Kelly Williams at [phone].
Sincerely,
67Mip a1�r artner
rector
cc: Todd Tugwell, USACE - Raleigh; James Lastinger, USACE
Sheri Montalvo, NCDWR-Raleigh
Debbie E. Shirley, agent
State of North Carolina I Environmental Quality I Mitigation Services
1652 Mail Service Center I Raleigh, NC 27699-1652 1 217 W. Jones Street, Suite 3000
919 707 8976 T

U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Compensatory Mitigation Responsibility Transfer Form
Permittee: Pulte Home Company Attn: Chris Raughley Action ID: SAW-2017-01306
Project Name: Hidden Valley subdivision County: Wake
Instructions to Permittee: The Permittee must provide a copy of this form to the Mitigation Sponsor, either an approved
Mitigation Bank or the North Carolina Division of Mitigation Services (NCDMS), who will then sign the form to verify the
transfer of the mitigation responsibility. Once the Sponsor has signed this form, it is the Permittee's responsibility to
ensure that to the U.S. Army Corps of Engineers (USACE) Project Manager identified on page two is in receipt of a signed
copy of this form before conducting authorized impacts, unless otherwise specified below. If more than one mitigation
Sponsor will be used to provide the mitigation associated with the permit, or if the impacts and/or the mitigation will occur
in more than one 8-digit Hydrologic Unit Code (HUC), multiple forms will be attached to the permit, and the separate forms
for each Sponsor and/or HUC must be provided to the appropriate mitigation Sponsors.
Instructions to Sponsor: The Sponsor must verify that the mitigation requirements (credits) shown below are available at
the identified site. By signing below, the Sponsor is accepting full responsibility for the identified mitigation, regardless of
whether or not they have received payment from the Permittee. Once the form is signed, the Sponsor must update the
bank ledger and provide a copy of the signed form and the updated bank ledger to the Permittee, the USACE Project
Manager, and the Wilmington District Mitigation Office (see contact information on page 2). The Sponsor must also comply
with all reporting requirements established in their authorizing instrument.
Permitted Impacts and Compensatory Mitigation Requirements:
Permitted Impacts Requiring Mitigation* 8-digit HUC and Basin: 03030004, Cape Fear River Basin
Stream Impacts (linear feet) I Wetland Impacts (acres)
Warm Cool Cold Riparian Riverine Riparian Non-Riverine Non -Riparian Coastal
214 1 0.40
*If more than one mitigation sponsor will be used for the permit, only include impacts to be mitigated by this sponsor.
Compensatory Mitigation Requirements: 8-diait HUC and Basin: 03030004. Caoe Fear River Basin
Stream Mitigation (credits)
Wetland Mitigation (credits)
Warm
Cool Cold
Riparian Rive rine Riparian Non-Riverine Non -Riparian Coastal
428
0.70
Mitigation Site Debited: NCDMS
(List the name of the bank to be debited. For umbrella banks, also list the specific site. For NCDMS, list NCDMS. If the
NCDMS acceptance letter identifies a specific site, also list the specific site to be debited).
Section to be completed by the Mitigation Sponsor
Statement of Mitigation Liability Acceptance: I, the undersigned, verify that I am authorized to approve mitigation
transactions for the Mitigation Sponsor shown below, and I certify that the Sponsor agrees to accept full responsibility for
providing the mitigation identified in this document (see the table above), associated with the USACE Permittee and Action
ID number shown. I also verify that released credits (and/or advance credits for NCDMS), as approved by the USACE, are
currently available at the mitigation site identified above. Further, I understand that if the Sponsor fails to provide the
required compensatory mitigation, the USACE Wilmington District Engineer may pursue measures against the Sponsor to
ensure compliance associated with the mitigation requirements.
Mitigation Sponsor Name: I r— DM
Name o�odsor's Authorized Rgpfiesentative:_
re of Sponsor's Authorized Representative
Date of Signature
Page 1 of 2 Form Updated 23 November, 2015

USACE Wilmington District
Compensatory Mitigation Responsibility Transfer Form, Page 2
Conditions for Transfer of Compensatory Mitigation Credit:
• Once this document has been signed by the Mitigation Sponsor and the USACE is in receipt of the signed form, the
Permittee is no longer responsible for providing the mitigation identified in this form, though the Permittee remains
responsible for any other mitigation requirements stated in the permit conditions.
• Construction within jurisdictional areas authorized by the permit identified on page one of this form can begin only
after the USACE is in receipt of a copy of this document signed by the Sponsor, confirming that the Sponsor has
accepted responsibility for providing the mitigation requirements listed herein. For authorized impacts conducted by
the North Carolina Department of Transportation (NCDOT), construction within jurisdictional areas may proceed upon
permit issuance; however, a copy of this form signed by the Sponsor must be provided to the USACE within 30 days of
permit issuance. NCDOT remains fully responsible for the mitigation until the USACE has received this form, confirming
that the Sponsor has accepted responsibility for providing the mitigation requirements listed herein.
• Signed copies of this document must be retained by the Permittee, Mitigation Sponsor, and in the USACE
administrative records for both the permit and the Bank/ILF Instrument. It is the Permittee's responsibility to ensure
that the USACE Project Manager (address below) is provided with a signed copy of this form.
• If changes are proposed to the type, amount, or location of mitigation after this form has been signed and returned to
the USACE, the Sponsor must obtain case -by -case approval from the USACE Project Manager and/or North Carolina
Interagency Review Team (NCIRT). If approved, higher mitigation ratios may be applied, as per current District
guidance and a new version of this form must be completed and included in the USACE administrative records for both
the permit and the Bank/ILF Instrument.
Comments/Additional Conditions:
This form is not valid unless signed below by the USACE Project Manager and by the Mitigation Sponsor on Page 1. Once
signed, the Sponsor should provide copies of this form along with an updated bank ledger to: 1) the Permittee, 2) the
USACE Project Manager at the address below, and 3) the Wilmington District Mitigation Office, Attn: Todd Tugwell, 3331
Heritage Trade Dr., suite 105, Wake Forest, NC 27587 (email: [e-mail]). Questions regarding this
form or any of the permit conditions may be directed to the USACE Project Manager below.
USACE Project Manager: James Lastinger
USACE Field Office: Raleigh Regulatory Field Office
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Email: [e-mail]
signed by
LASTINGERJAMES. LDASTINGERJAMES.C.1363642400
DN: c=US, o=U.S. Government, ou=DoD, ou=PKI,
C.1363642400 Date: 201706.2610:19200Ao E050C.1363642400
June 26 2017
USACE Project Manager Signature Date of Signature
Current Wilmington District mitigation guidance, including information on mitigation ratios, functional assessments, and
mitigation bank location and availability, and credit classifications (including stream temperature and wetland groupings) is
available at http://ribits.usace.army.mi1.
Page 2 of 2
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to do so, please complete the
Customer Satisfaction Survey located at our website at http://regulatory.usacesurvey.com/ to complete the survey online.