20200796 Ver 1_More Information Received_20201007

Staff Review
Does this application have all the attachments needed to accept it into the review process?*
r Yes r No
ID#* Version* 1
20200796
Is this project a public transportation project?* r Yes
r No
Reviewer List:* Stephanie Goss: eads\szgoss
Select Reviewing Office:* Raleigh Regional Office - [phone]
Does this project require a request for payment to be sent?*
r
Yes
r
No

Project Submittal Form
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: * r
For the Record Only (Courtesy Copy)
r
New Project
r
Modification/New Project with Existing ID
r
More Information Response
r
Other Agency Comments
r
Pre -Application Submittal
r
Re-Issuance\Renewal Request
r
Stream or Buffer Appeal
Is this supplemental information that needs to be sent to the Corps?*
r Yes r No
Project Contact Information
Name: Wyatt I brown
Who is subrritting the inforrration?
Email Address: [e-mail]
Project Information
Existing ID #: Existing Version:
20200796 1
20170001(no dashes) 1
Project Name: Ford Tract SAW-2020-000880
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
County (ies)
Johnston
Please upload all files that need to be submited.
aick the upload button or drag and drop files here to attach document
Final Ford Tract —REV Wetland Impact (2).pdf 1.34MB
PCN impacts for additional information.pdf 67.48KB
Only pdf or krrz files are accepted.
Describe the attachments
or comments:

1) REV Wetland Impact Final Ford Tract is a revised impact map. When we included the small pond as part of
the wetland on the southern end (revised map previously submitted) the BMP needed to be moved from the
small pond, the sewer line from the project now crosses the newwetland, this Wetland Impact map reflects the
sewer line impact and the fill impact.
2) PCN impacts for additional information displays the 2 impacts mentioned above on a PCN impact sheet
(The drop down menu would not allow me to pick COE and DWQ so I added DWQ after converting to a PDF).
Sign and Submit
P By checking the box and signing box below, I certify that:
■ I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to
the best of my knowledge and belief.
■ I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
■ I agree that submission of this online 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');
■ 1 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 online form.
Signature:
j22C7`0W,il
Submittal Date: Is filled in aurorratically.

J
I
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CALL BEFORE YOU DIG!
NORTH CAROLINA LAW REQUIRES NOTIFICATION OF
THE UNDERGROUND FACILITY OWNER NOT LESS
THAN TWO (2) BUT NO MORE THAN TEN (10)
WORKING DAYS PRIOR TO EXCAVATION OR
DEMOLITION
North Carolina One -Call
Center, Inc.
www.ncocc.org
1-800-632-4949
...................
....................
a RIPARIAN BUFFER
WETLANDS
WETLANDS IMPACT AREA
WETLAND IMPACTS
PROPOSED IMPROVEMENT
AREA (ACRE)
TYPE OF IMPACT
AREA #1 (ROAD R/W)
0.0575 AC.
PERMENANT
AREA #2 (UTILITY LINE)
0.0390 AC.
PERMENANT
TOTAL
0.0965 AC.
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SCALE: 1" - 100' WETLAND IMPACT MAP
FOR
0 50 100 200 300 FORD TRACT MIXED USE P.U.D. - PHASE TWO
CLEVELAND TOWNSHIP - JOHNSTON COUNTY, N.C.
Dalton Engineering and Associates, P. A.
446 East Main Street
P.O. Box 426
Clayton, NC 27520
Job: 17006 Date: 9/3/20
File: Ford Tract —RESIDENTIAL Drawn: WJ13
[phone]
Fax [phone]
Revision:
Sheet: 1 OF 1

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑X 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
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 P
Fill
Seep
No
Corps DWQ
0.0575
W2 P
Type In (Other)
Small -Basin Wetland
No
Corps -TWO
0.039
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:
0.0965
2h. Comments:
W1 is fill for a street.
W2 is for a sanitary sewer line with permanent maintenance corridor.
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
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1
Choose one
S2
Choose one
S3
Choose one
S4
Choose one
S5
Choose one
S6
Choose one
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009