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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 3 and 29 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1d.
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
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Royal Creek
2b.
County:
Wake
2c.
Nearest municipality / town:
Raleigh
2d.
Subdivision name:
Royal Creek
2e.
NCDOT only, T.I.P. or state
project no:
not a DOT project
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Project area is 20 parcels and 4 owners, please see attached ownership table and
maps
3b.
Deed Book and Page No.
20 parcels, please see the attached parcel maps
3c.
Responsible Party (for LLC if
applicable):
Barrett Blackburn
3d.
Street address:
20 parcels, please see the attached ownership table
3e.
City, state, zip:
20 parcels, please see the attached ownership table
3f.
Telephone no.:
704-333-2393
3g.
Fax no.:
704-333-2394
3h.
Email address:
bbb@cambridgeproperties.com
Page 1 of 10
PCN Form — Version 1.4 January 2009
4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ® Other, specify: Purchaser
4b.
Name:
Barrett Blackburn
4c.
Business name
(if applicable):
Cambridge-FV, LLC
4d.
Street address:
831 E Morehead Street, Suite 245
4e.
City, state, zip:
Charlotte NC, 28020
4f.
Telephone no.:
704-333-2393
4g.
Fax no.:
704-333-2394
4h.
Email address:
bbb@cambridgeproperties.com
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Jennifer L Robertson
5b.
Business name
(if applicable):
Atlas Environmental, Inc.
5c.
Street address:
338 S. Sharon Amity Road, #411
5d.
City, state, zip:
Charlotte, NC 28211
5e.
Telephone no.:
704-512-1206
5f.
Fax no.:
not applicable
5g.
Email address:
JRobertson@atlasenvi.com
Page 2 of 10
PCN Form — Version 1.4 January 2009
B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
20 parcels, Please see attached list
1 b.
Site coordinates (in decimal degrees):
Latitude: 35.667136 Longitude: - 78.704420
1 c.
Property size:
67.7 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Mills Branch
2b.
Water Quality Classification of nearest receiving water:
C; NSW
2c.
River basin:
Upper Neuse: 03020201
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: single family residences, farm fields, recently logged areas, forested areas on site / commercial development,
residential development, farm fields, single family residences, and forested areas in the project vicinity
3b.
List the total estimated acreage of all existing wetlands on the property: 5.89 acres
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 1233 linear feet
3d.
Explain the purpose of the proposed project: Construction of single family residences, townhome residences, apartment
residences, and retail/office space. The purpose of the project is to provide needed housing opportunities as well as
retail/office space. Rehabilitation of an existing dam to repair degraded conditions.
3e.
Describe the overall project in detail, including the type of equipment to be used: Heavy equipment will be used for earth
work for the preparation of the ground surface to reach the necessary elevations. Earth work and grading will include the
preparation for street construction and building pads for residences and retail/office buildings as well as dam repair.
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
® Yes ❑ No ❑ Unknown
Comments:
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
®Preliminary El Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known): Jennifer Robertson
Agency/Consultant Company: Atlas Environmental, Inc.
Other:
4d.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
The Corps has not issued the jurisdictional determination as of yet. A revised JD was submitted in July 2019.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
® Yes ❑ No ❑ Unknown
5b.
If yes, explain in detail according to "help file" instructions.
Enclosed is a copy of the issued 404 and 401 obtained in 2019.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ® No
[66b.
If yes, explain.
N/A
Page 3 of 10
PCN Form — Version 1.4 January 2009
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.
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
(if known)
2d.
Forested
2e.
Type of jurisdiction
Corps (404, 10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 -
Choose one
Choose one
Yes/No
-
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
-
W4 -
Choose one
Choose one
Yes/No
-
W5 -
Choose one
Choose one
Yes/No
-
W6 -
Choose one
Choose one
Yes/No
-
2g. Total wetland impacts:
2h. Comments: There is not enough space for the wetland impacts. Please see the attached table of impacts.
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.
Stream impact
number -
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial
(PER) or
intermittent
(INT)?
3e.
Type of jurisdiction
(Corps - 404, 10
DWQ — non-404,
other)
3f.
Average
stream
width
(feet)
3g .
Impact
length
(linear
feet)
S1 P
Culvert
CH 100
INT
Corps
3
82
S2 T
Other (Type In)
CH 100
INT
Corps
3
36
S3 -
Choose one
-
-
S4 -
Choose one
-
-
S5 -
Choose one
-
-
S6 -
Choose one
-
-
3h. Total stream and tributary impacts:
118
3i. Comments: Impact S2 (impact 10 on the impact maps) is for temporary construction access including pump around zones
for S1 (impact 10 on the impacts maps) culvert installation.
Page 4 of 10
PCN Form — Version 1.4 January 2009
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.
Open water
impact number —
Permanent (P) or
Temporary T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts:
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID
number
5b.
Proposed use or purpose
of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No
If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
Page 5of10
PCN Form — Version 1.4 January 2009
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.Project is in which protected basin?
® Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number—
Reason for impact
Buffer
Zone 1
Zone 2
Permanent (P) or
Stream name
mitigation
impact
impact
Temporary (T)
required?
(square
(square
feet)
feet
B1 P
SCM Construction
CH 100
Yes/No
254
411
and Discharge
B2 P
Storm Water
CH 100
Yes/No
0
405
Discharge
B3 P
SCM Construction
CH 100
Yes/No
410
471
and Discharge
B4 P
Stream Crossing
CH 100
Yes/No
7509
6402
B5 -
Yes/No
B6 -
Yes/No
6h. Total buffer impacts:
8173
7689
6i. Comments: 131 is impact 1, B2 is impact 5, B3 is impact 7, and B4 is impact 10 on the enclosed impact maps.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The engineering design of the project only requires a single stream road crossing. The permanent impacts of this road
crossing have been minimized by placement within the intermittent section of stream and in a location with minimal
surrounding wetlands. The stream crossing is also placed in a location with little topographical relief where side slopes will be
minimal. Wetland impacts have been minimized by intentionally designing the development to avoid the largest areas of
wetland as open space and only impacting areas necessary for road construction and one lot preparation. Over 93% of the
stream will be avoided. Almost 94% of the wetlands have been avoided. Wetland impacts have been minimized by
intentionally designing the development to avoid the largest areas of wetland as open space and only impacting areas
necessary for road construction, one lot preparation, and minor parking lot fills.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Construction techniques have been used to minimize and avoid impacts by the placment of roads and the steepness of the
side slopes. Many of the roads and lots abut wetlands areas but do not impact wetland areas. By controling the steepness of
the side slopes permanent wetland impacts have been greatly reduced. Construction of retaining walls have minimized
wetland impacts. The stream culvert has been minimized to 82 linear feet of stream impact.
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
El Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
Page 6 of 10
PCN Form — Version 1.4 January 2009
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: Weaver Farm, Pancho, and Half Mile for buffer credits from Restoration Systems / Pancho for
wetland credits from Restoration Systems / a combination of these banks EBX-Neuse I, LLC Neuse Riparian Buffer Umbrella
Mitigation Bank, RES Neuse Buffer and Nutrient Offset Umbrella Mitigation Bank, or EBX Upper Neuse Riparian Buffer
Umbrella Mitigation Bank. Specific bank sites that may be debited are Arrington Bridge I, Buffalo Branch, Selma Mill, Cedar
Grove, Hatley, Ezell, Polecat, Hannah Bridge, Meadow Spring, and Stone Creek for the remainder of the buffer credits from
Resource Environmental Solutions, LLC
Type: Riparian wetland
Quantity 0.706 and 0.014 (2:1 ratio)
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Quantity none
Type: Choose one
Quantity none
3c. Comments: please see the enclosed SOA letter from Restoration Systems
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:
Choose one
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 Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
not applicable
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
® Yes ❑ No
buffer mitigation?
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.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
Stream Crossing and
SCM Construction
8173
3 (2 for Catawba)
24519
Zone 2
Stream Crossing and
7689
1.5
11533.5
SCM Construction
6f. Total buffer mitigation required:
36052.5
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).
payment to private mitigation banks
6h. Comments: please see the enclosed SOA letters from Restoration Systems and Resource Environmental Solutions, LLC
Page 7 of 10
PCN Form — Version 1.4 January 2009
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.
The stormwater plan has been submitted to the appropriate agency by Timmons
❑ Yes ® No
Group
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
-60.5% %
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:
The stormwater management plan includes the construction of two SCM's that will discharge to CH 100 located on site.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
Fuquay-Varina
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
Fuquay-Varina
® 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
attached?
❑ Yes ® No
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 8 of 10
PCN Form - Version 1.4 January 2009
F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
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:
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.
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.
Fuquay-Varina sewer
Page 9 of 10
PCN Form — Version 1.4 January 2009
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?
5c.
If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d.
What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NCDENR Natural Heritage Program Map Viewer and GIS Layer; self certification for Federal T&E
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?
NOAA EFH 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
❑ 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?
NCHPO GIS Service; see enclosed NCHPO comment letter
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? FEMA floodmaps GIS layer
Jennifer L Robertson
+,� Jf��w
February 11,
2020
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization letter from the applicant
isprovided.)
Page 10 of 10
PCN Form — Version 1.4 January 2009