20210051 Ver 1_ePCN Application_20210223

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
October 26, 2020 Ver 3.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
6 Yes
r No
Is this project a public transportation project?*
C Yes 6 No
Change only if needed.
BIMS # Assigned * Version#*
20210051 1
Is a payment required for this project?*
r No payment required
What amout is owed?*
r Fee received
r $240.00
6 Fee needed - send electronic notification
6 $570.00
Reviewing Office *
Select Project Reviewer*
Raleigh Regional Office - [phone]
Stephanie Goss:eads\sagoss
Information for Initial Review
1a. Name of project:
East Nash PV3
1a. Who is the Primary Contact?*
Lauren Norris -Heflin
1b. Primary Contact Email:*
[e-mail]
Date Submitted
2/23/2021
Nearest Body of Water
Sapony Creek
Basin
Tar -Pamlico
Water Classification
C; NSW
Site Coordinates
Latitude: Longitude:
35.967194-78.095758
Pre -Filing Meeting Information
ID#
20210051
Pre -fling Meeting or Request Date*
1/7/2021
Attach documentation of Pre -Filing Meeting Request here:*
DWR Pre -Filing Meeting Request Form.pdf
2021.02.07_pre-filing clock reached 20210051 Ver 1.pdf
A. Processing Information
1c. Primary Contact Phone:*
[phone]
Version
1
51.1 KB
136.41<B
County (or Counties) where the project is located:

Nash
Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
P Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
r Yes
r No
1b. What type(s) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number: 14 - Linear transportation
NWP Numbers (for multiple NWPS):
Ild. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
Ile. Is this notification solelyfor the record because written approval is not required?
For the record onlyfor DWR 401 Certification:
For the record onlyfor 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. 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?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r Owner W Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
UPCHURCH J E ET AL
2b. Deed book and page no.:
Deed book 2819 and page #614
2c. Responsible party:
r Yes r No
r Yes r No
2d.Address

Street Address
E Nash Street
Address Line 2
aty
Mannings
Postal / Zip axle
27882
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
FAMILY ACREAGE LLC
2b. Deed book and page no.:
Deed book 2895 and page #772
2c. Responsible party
2d.Address
Street Address
1652 N Old Franklin Road
Address Line 2
City
Mannings
Postal / Zip code
27882
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
BASS FAMILY LLC
2b. Deed book and page no.:
Deed book 3047 and page #972
2c. Responsible party
2d.Address
Street Address
1050 Bass Road
Address Line 2
City
Mannings
Postal / Zip Code
27882
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Katie Wanka
3b. Business Name:
Fresh Air Energy XLI, LLC
3c. Address
State / Province / Fagion
North Carolina
country
USA
2f. Fax Number:
State / Ravine / Iagion
North Carolina
Country
USA
2f. Fax Number
State / Rovince / Begim
North Carolina
Country
USA
2f. Fax Number

Street Address
600 Park Offices Drive
Address tine 2
Suite 285
city
Slate / province / Pagion
Research Triangle Park
North Carolina
Postal / Zip Code
Country
27709
USA
3d. Telephone Number:
3e. Fax Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Lauren Norris -Heflin
4b. Business Name:
Timmons Group
4c.Address
Street Address
5410 Trinity Road, Suite 102
Address Line 2
(Sty
State / province / Region
Raleigh
North Carolina
Postal / Zip Code
Country
27607
USA
4d. Telephone Number:
4e. Fax Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
East Nash PV3 - Cameron Bass Owner Consent - 20200320.pdf
272.43KB
Upchurch Owner -Consent Form.pdf
157.68KB
East Nash PV3 - Brent Bass Owner Consent (Fully Executed) - 20190212.pdf
490.02KB
East Nash - Agent Authorization signed.pdf
312.53KB
C. Project Information and Prior Project History
C^U
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Spring Hope
2. Project Identification
2a. Property Identification Number:
286000764551, 286000891057, and
2b. Property size:
287000092021
282.1
2c. Project Address
Street Address
1652 N Old Franklin Road
Address Line 2
city
State / province / Ibgion
Mannings
North Carolina
Postal / Zip Code
Country
27882
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Sapony Creek
3b. Water Resources Classification of nearest receiving water:*

C; NSW
3c. What river basin(s) is your project located in?*
Tar -Pamlico
3d. Please provide the 12-digit HUC in which the project is located.
030201010604
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinityof the project at the time of this application:*
The proposed project is situated on three parcels totaling approximately 531.5 acres of land (Site) located off of 1652 N Old Franklin Road in Mannings, North Carolina, within Nash
County. The Site is primarily comprised of mixed pine -hardwood forest and agricultural fields.
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)
Figure 1 - VIC.pdf
1.11 MB
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)
Figure 2 - NRCS.pdf 1.66MB
4f. List the total estimated acreage of all existing wetlands on the property:
39.42
4g. List the total estimated linear feet of all existing streams on the property:
23127
4h. Explain the purpose of the proposed project:*
The primary purpose of the Project is to develop a 26 MW AC renewable energy generation facility that is needed to achieve greater energy generation diversity and to achieve
targeted goals of renewable energy generation within Nash County. The Applicant has identified this Site as an ideal location for a solar facility due to its location along an existing
transmission line. This Project has been evaluated and meets the necessary requirements to economically produce electrical power through the use of photovoltaic panel arrays.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The proposed solar development will be achieved through construction of several access points off North Old Franklin Road and East Nash Street. These access points tie to gravel
access roads that traverse the Project Area.
The photovoltaic panels are proposed to be constructed in a grid pattern. The system will utilize the arrays to achieve the generation of 26 MW AC of electrical power. The panels will be
mounted on a single -axis tracking system that is able to alter direction for optimal sun exposure. The Project may also utilize panels affixed to a fixed -tilt tracking system. The generated
power will be supplied to the regional Duke Energy Progress electric grid.
A security fence with warning signage will be constructed around the facility with access by way of gates at strategic points along the access roads. This will protect the Site and public
from unregulated access to the Site.
All vork will be conducted in accordance with local, state, and federal regulations. Traditional equipment will be used consisting of front-end loaders, bulldozers, paving equipment,
graders, and earth movers. Sediment control is required and will be used.
4j. Please upload project drawings for the proposed project.
210113 - East Nash PV3 - Concept plan (1).pdf 1.25MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes
r No
Comments:
Delineated by S&ME
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-2017-000132
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: S&ME
Other:
r Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
S&ME submitted a Preliminary Jurisdictional Determination Request for the project Site. Please see the attached Jurisdictional Determination dated June 19, 2020 from Samantha
Dailey, USACE.
5d1. Jurisdictional determination upload
200619 - SAW-2017-00132 East Nash Solar Farm Site Preliminary JD.pdf 8.07MB

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 other NWP(s), regional general permits(s), or individual permit(s) are intended to be used. All project impacts are being accounted for in this permit application.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries m Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2a1 Reason (?) 2b. Impact type *M 2c. Type of W.* 2d. W. name * 2e. Forested* 2f. Type of 2g. Impact
Jurisdicition*(?) area*
RF_71�oad crossing P Headwater Forest Feature W30 ���Bcth 0.080
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.080
2g. Total Wetland Impact
0.080
2h. Comments:
Impact 4 consists of 3,695-sq. ft. of permanent wetland impact in order to install a road crossing, necessary to connect the southeastern portion of the
project area. The road crossing will include the installation of two 36" Reinforced Concrete Pipe (RCP) culverts. The RCP will be countersunk
underneath the road crossing to maintain the hydrologic connection between the up gradient and down gradient portion of the wetland and stream.
Culverts were sized and placed based on flow requirements for the location.
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type *
3c. Type of impact*
3d. S. name *
3e. Stream Type*
Type of
3gSwidth *
3h. ImpactM
❑
�[3f.
urisdiction*
length*
Road crossing
9Average
Permanent
Culvert ]F�ureS1
Perennial
Both
(feet)
(linearfeet)
S2
Road crossingPermanent
Culvert
Feature S6
Perennial
Both
4
86
Average (feet)
(lir�rfeet)
S3
Road crossingPermanent
Culvert
Feature S2
Perennial
Both
5
58
Average (feet)
(lin�rfeet)
�
Road crossin g
Permanent
Ri Ra Fill
p p
Feature S1
Perennial
Both
4
27
Average (feet)
(lir�rfeet)
S5
Road crossing
Permanent
Rip Rap Fill
Feature S6
Perennial
Both
33
Average (feet)
(linearfee[)
S6
Road crossing
Permanent
Rip Rap Fill
Feature S2
Perennial
Both
5Av(f)
30f)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts: 31. Total temporary stream impacts:
293 0
31. Total stream and ditch impacts:
293
3j. Comments:

Impact 1 (S1) consists of 59-ft of permanent stream impact associated with the installation of one 36" Reinforced Concrete Pipe (RCP) culvert in order
to install a road crossing, necessary to connect the western portions of the project area. Additionally, 27-ft of permanent no loss impact (S4)
associated with a dissipator pad is required. The proposed culvert will be countersunk beneath the road to maintain the upstream and downstream
hydrologic connection.
Impact 2 (S2) consists of 86-ft of permanent stream impact associated with the installation of one 36" Reinforced Concrete Pipe (RCP) culvert in order
to install a road crossing, necessary to connect the northern and southern portions of the project area. Additionally, 33-ft of permanent no loss impact
(S5) associated with a dissipator pad is required. The proposed culvert will be countersunk beneath the road to maintain the upstream and
downstream hydrologic connection.
Impact 3 (S3) consists of 58-ft of permanent stream impact associated with the installation of two 36" Reinforced Concrete Pipe (RCP) culverts in order
to install a road crossing, necessary to connect the eastern portion of the project area. Additionally, 30-ft of permanent no loss impact (S6) associated
with a dissipator pad is required. The proposed culvert will be countersunk beneath the road to maintain the upstream and downstream hydrologic
connection.
All culverts were sited and sized based on flow requirements of the crossing location. Each crossing is considered single and complete.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
r Neuse R Tar -Pamlico
r Catawba r Randleman
r Goose Creek r Jordan Lake
r Other
6b. Impact Type 6c. Per or Temp 6d. Stream name 6e. Buffer mitigation required? 6f. Zone 1 impact 6g. Zone 2 impact
Road crossing
P
Feature S1
No
3,719
1,498
Road crossing
P
Feature S6
No
4,321
1,611
Road crossing
P
Feature S2
No
2,132
350
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1
Zone 2
Total Permanent impacts: 10,172.00
3,459.00
Zone 1
Zone 2
Total combined buffer impacts: 10,172.00
3,459.00
6i. Comments:
Impacts 5 through 10 are permanent impacts to Buffer Zone 1 and 2 required for grading associated with the three proposed road crossings.
Supporting Documentation
Figure 5 - WTIM.pdf
39945.015-851-SITE-Culvert 1-11x17.pdf
39945.015-851-SITE-Culvert 2-11x17.pdf
39945.015-851-SITE-Culvert 3-11x17.pdf
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1.2MB
313.65KB
319.57KB
327.23KB
U
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Impacts to jurisdictional features have been avoided and minimized to the mapmum extent practicable by incorporating resourceful site planning,
including utilization of the wetland/stream delineation to adjust the layout of the Site design to avoid and minimize impacts. The remaining impacts
proposed are necessary in order for the project's goals to be realized.
Road crossings were designed to use headwalls to minimize the amount of grading required and strategically placed at locations with minimal wetlands
and stream bends. A culvert will be installed beneath the crossing to maintain the hydrologic connection of the wetlands and/or streams up and down -
slope of the crossings.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:

Proper sedimentation and erosion control methods will be utilized during all phases of construction and installation as described in accordance with
the requirements of the North Carolina Department of Environment and Natural Resources: Erosion Control Planning and Design Manual (May 2013)
and local codes. All work will take place during dry conditions and can be facilitated from high, non -jurisdictional, stable ground. The contractor shall
install silt fence, inlet protection, sediment traps, division ditches, temporary coffer dams, tree protection, and clearing only as necessary to install
devices. All erosion and sediment control measure will be checked for stability and operation following every runoff producing rainfall, but in no case
less than once every week. Any needed repairs will be made immediately to maintain all measures designed. An erosion control inspections report is
required and will be kept by the owner's representative.
Temporary seeding and permanent seeding plans are included to restore impacted areas. The project will meet all relative requirements of Best
Management Practices and Engineered Stormwater Control Structures as outlined through State and Local Stormwater Rules. Measures will be taken
to prevent oil, tar, trash, debris and other pollutants from entering adjacent jurisdictional features. Any excess excavated materials not utilized as back
fill Will be placed and contained within upland areas and permanently stabilized to prevent erosion into adjacent jurisdictional features. Therefore,
stockpiling of excavated material within jurisdictional waters of the U.S. will be strictly prohibited as part of the construction of this project. all project
construction activities initiated within jurisdictional waters of the U.S. Will be carried to completion in an expeditious manner to minimize the period of
disturbance within jurisdictional waters.
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
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Compensatory Mitigation is not required as each single and complete crossing will result in less than 0.1 acres of permanent wetland impact and less than 150-If of permanent stream
impact. Further, each crossing requires less than 1/3-acre of permanent buffer impact.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) V
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 SHW T)
r Wetland Swale (higher SHWT)
r Other SCM that removes minimum 30 % nitrogen
P Proposed project will not create concentrated sormwater flow through the buffer
Diffuse Flow Documentation
210113 - East Nash PV3 - Concept plan (1).pdf
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 15ANCAC 02H .1003(2)?
r Yes r No
Comments:
G. Supplementary Information
1. Environmental Documentation
1.25 MB
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
I 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.
This is a single phased project, as such, all impacts have been taken into account for this permit application.

4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR forth is project?*
rYes r Nor 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 r- No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
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 any trees 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
5i. 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?
A USFWS IPaC Report and NCNHP Natural Heritage Database Report were utilized for reviewof potential protected species in the vicinity of the
project Site. Species identified by IPaC as potentially occurring in the vicinity of the Site include the %use River waterdog, Carolina madtom, Atlantic
pigtoe, Tar River spinymussel, Michames sumac, and yellow lance. No critical habitats were identified within the Site.
No occurrences of the aforementioned protected species were observed during the Site inspection by S&ME. S&ME completed a self -certification
letter for the project on April 7, 2020 per the USFWS' Raleigh Office's procedures. Based on their review, S&ME concluded due to the composition
and size of the streams on -site, the proposed project will have no effect on the %use River waterdog, Carolina madtom, Atlantic pigtoe, Tar River
spinymussel, yellow lance, Michau)fs sumac, and bald eagle. Further, they concluded the proposed project may affect, but is not likely to adversely
affect the northern long eared bat and falls under the 4(d) rule.
The NCNHP report indicates no known occurrences of endangered or threatened species within a one -mile radius of the project area.
Consultation Documentation Upload
East Nash Solar USFWS SelfCertify_200408.pdf 21.21 MB
2021.01.19_IPaC_Species List_ Raleigh Ecological Services Field Office.pdf 222.65KB
2021.01.19_NCNHP _project _ report_east _nash_28389_28389.pdf 852.24KB
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?*
The State Historic Preservation Office Historic Properties Map was reviewed to determine if the site has the potential to impact historic resources. No
sites listed on or eligible for listing on the National Register of Historic Places were identified on or within the immediate vicinity of the Site. The nearest
site is a surveyed site (NS0677) located over 0.3-miles northwest of the Site. Multiple sites are identified as being located just greater than 0.4-miles
southwest of the Site. Due to the distance from historic resources and eAsting tree stands between the Site and these areas, the proposed project is
not anticipated to have an adverse impact on historic resources.
A portion of the project area (Upchurch property, PIN 286000764551) was submitted to SHPO for reviewthrough State Clearinghouse in 2017 and
again in 2020. SHPO provided no comments in 2017 (170330). In August of 2020 SHPO indicated there are no known archaeological sites or a
likelihood for archaeological sites within the review area, therefore indicating no archaeological investigation would be warranted (200818). In
September of 2020 SHPO further determined there would be no historic properties impacted. The remainder of the site is currently undergoing SHPO
reviewthrough State Clearinghouse (initiated 1125/2021).
7c. Historic or Prehistoric Information Upload

2021.01.26 NCSHPO Map.pdf 422.06KB
2021.01.26 NCSHPO Data.pdf 274.23KB
170330 - E Nash PV2 - SHPO Excerpt -State Clearinghouse Comments (1).pdf 248.5KB
200818 - East Nash PV2 - SHPO-Clearinghouse Comments (1).pdf 1.07MB
200926 - East Nash PV2 - SHPO-Clearinghouse Concurrence (1).pdf 213.87KB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
According to FEMA Flood Insurance Rate Map 3720286000J (November 3, 2004, Not Printed), the Site and associated jurisdictional impacts are
located within Zone K areas located outside of the 100-year floodplain.
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature u
*
W By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief; and
• 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 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:
Lauren Norris -Heflin
Signature
AAA �,"Id4w -
Date
2/23/2021

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Erik Stuebe, Authorized Signatory 1-25-2021
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02/07/2019 13:26 9194791797 UPCHURCH DRUGS PAGE 02
BILTING A6 101 gi cp and StrmL. Ste. 1250 807 East Alain 5ttect, St¢. 64)54
1901 Arlington liighlMde Blvd. SAn Fwaiaaa, CA 94105 Durham, NC 27"1
3&1 AM
Aa4iagtan, TX 7(pGl9 ! 113 444 34d6
a,+rw.esopEcxu rs. crsn,
ecoplexus
Project: East Nash Submittal
1 Date: 2/12/2019
I HRREBY GIVE MY CONSENT to EJcoplexus, Inc (by and through 45 oftacers,'directQrs, managers, employees and
agents) to act on my behalf, to submit or have submitted this application and all regal red material and documents, and
to attend slid reMselnt rue at all meetings and public hearings perraitling to the application( s) Odicated above.
Furt}1eYmoye, I hereo, gave consent to the party designnted above to agree to all terms artd conditions that may arise as
pars of the approval of this applications.
I hereby oertify that I have full knowledge of the property's antioipttnd use as Et solar power generation faeility and that
I have an ownership interest in the subject of this application. I undarstrMd that eery false, inaccurate or incorzlplete
information provided by me or my agent will result in the denial, realstation of adnimistrative witbdlrawal of this
application, reC[tlest, approval or permits, I ackmwledge Chat additional ulfo1111atiotl may be required to process tlris
appliontiom I further agree to all terms and conditions, which may be imposed as part of the approval of this
application.
L'�J'z �- �'� , � qfk�
Sigrrat'ur'e of Owner Print Ncmre Dote
I hereby certify the statements or i0ot7nati❑n made in any paper or plans submitted herewith are true and correct to the
best of my knowledge, I understand this application, related material and all attachments becorX,e official records of the
Plawvrlg I]epartment, and will not be returned.
StghaNw aj.fseaplexus
M
topple w Japan
view=
Erik Stuebe, President
Print Name
Faoplexua Mexiao
1J4ate
2-12-2019
F,oaplax
httpa;jldl -snail, ao1mail,aomJwgldownloadjrnailbox�lgf@� .tel- Vl...xlsrUVRfx,IaDAQkQH06F WXP1NnG0Y02RoAJ19T-Ak5S28JW5F..0k 217l19. '11719 AM
Page t of 2

��� � BILLING ADDRESS. 101 Second Street, Ste. 1250 807 East Main Street, Ste. 6-050
3901 Arlington Highlands Blvd. San Francisco, CA 94105 Durham, AIC277D1
Ste. 200 r 415 6261802
Arlington, TX 760I8 F 415 449 3466 www.ecoplexus.com
im
OWNER'S CONSENT FORM
Project: East Nash
OWNER'S AUTHORIZATION
Submittal Date: 2/12/2019
I HEREBY GIVE MY CONSENT to Ecoplexus, Inc (by and through its officers, directors, managers, employees
and agents) to act on my behalf, to submit or have submitted this application and all required material and
documents, and to attend and represent me at all meetings and public hearings pertaining to the application( s)
indicated above. Furthermore, I hereby give consent to the party designated above to agree to all terms and
conditions that may arise as part of the approval of this application.
I hereby certify that I have full knowledge of the property's anticipated use as a solar power generation facility and
that I have an ownership interest in the subject of this application. I understand that any false, inaccurate or
incomplete information provided by lxle or my agent will result in the denial, revocation or administrative
withdrawal of this application, request, approval or permits. I acknowledge that additional information may be
required to process this application. I further agree to all terms and conditions, which may be imposed as part of
the approval of this application.
Signature of Owner
Print Name Date
I hereby certify the statements or information made in any paper or plans submitted herewith are true and correct
to the best of my knowledge. I understand this application, related material and all attachments become official
records of the Planning Department, and will not be returned.
Signature of Ecoplexus
Erik Stuebe, President
Print Name
2-12-2019
Date
Ecoplexus Japan Ecoplexus Mexico Ecoplexus Vietnarn
2-28-4 Sendagaya Paseo de ]a Reforma 350, 1 00'Floor 16/F Saigon Tower
Inui Building 4th Floor Colonia Juarez, CP 6600 29 Le Duan Street, District 1
Shibuya-Ku, Tokyo, Japan Mexico City, Mexico Ho Chi Minh City

TIMMONS GROUP
YOUR VISION ACMEYEP THROUGH OURS.
AGENT AUTHORIZATION FORM
All Blanks to be Filled in by Current Landowner
The Department of the Army NCDEQ — Division of Water Resources
US Army Corps of Engineers 401 & Buffer Permitting Unit I I,,
Wilmington District 1650 Mail Service Center o
PO Box 1890 Raleigh, NC 27699-1650 N
Wilmington, NC 28402-1890 I U
z
a)
To Whom It May Concern:
I, the undersigned, authorize representatives of Timmons Group to act on my behalf as my o
agent in the processing of permit applications, to furnish upon request supplemental information v
in support of applications, etc., from this day forward.
This the 27 day of January 12021
(number) (Month) (Year)
T
I, the undersigned, do authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) and NCDEQ Division of Water Resources (DWR) to enter upon the property
herein described for the purpose of conducting on -site investigations and issuing a o
determination associated with Waters of the U.S. subject to Federal jurisdiction under Section v
401 and 404 of the Clean Water Act, and/or Section 10 of the Rivers and Harbors Act of 1899. Ln
This notification supersedes any previous correspondence concerning the agent for this project.
Project Name: East Nash PV3
Parcel ID: 287000092021, 286000891057, and 286000764551
Site Address: 1050 BASS RD, 1652 N OLD FRANKLIN RD, and US-64A, MANNINGS, NC
27882
Name (Print): Katie Wanka
Signature: fl,1qJ
Mailing Address: 600 Park Offices Dr., Suite 285, Research Triangle Park, NC 27709
Fax
Telephone: [phone] No.
Email Address: kwankaa-ecoplexus.com
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Site Limits ♦♦�
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Site limits are approximate.
Topographic imagery from USGS.
0 1,000 2,000 3,000
EAST NASH PV3
NASH COUNTY, NORTH CAROLINA
FIGURE 1: VICINITY MAP
TIMMONS GROUP JOB NUMBER: 39945.015
PROJECT STUDY LIMITS: 282.1 ACRES
LATITUDE: 35.967194
LONGITUDE:-78.095758 UTM:17S 7618953984210
4,000
� Feet
TIMMONS GROUP .00000O
YOUR VISION ACHIEVED THROUGH OURS. & 0
U.S.G.S. QUADRANGLE(S): SPRING HOPE
DATE(S): 2019
WATERSHED(S): UPPER TAR (PAMLICO RIVER BASIN)
HYDROLOGIC UNIT CODE(S): 03020101
limited to construct on, bidding, and/or construct on staking without the express written consent of TIMMONS GROUP.

Path: Y:\805\39945.015 - East Nash\GIS\39945.015-NRCS.mxd
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Site limits are approximate.
NRCS Soil Survey: Nash County (1989).
0 1.500 r 3.000 4,500 6,000
Feet '
Y
EAST NASHPV3 TIMMONS GROUP
NASH COUNTY, NORTH CAROLINA 0
FIGURE 2: NRCS MAP YOUR VISION ACHIEVED THROUGH OURS.
TIMMONS GROUP JOB NUMBER: 39945.015 U.S.G.S. QUADRANGLE(S): SPRING HOPE
PROJECT STUDY LIMITS: 282.1 ACRES DATE(S): 2019
LATITUDE: 35.967194 WATERSHED(S): UPPER TAR (PAMLICO RIVER BASIN)
LONGITUDE:-78.095758 UTM:17S 7618953984210 HYDROLOGIC UNIT CODE(S): 03020101
ese o ans and associate ocunnents are t e exc usrve orooertv ot I IMMUNb UKOUP and may not De reDroaucea in w o e or in part an s a no a use or anv ouroose w a[soever. inc usrve. ul nol
to construction, bidding, and/or construction staking without the express written consent of TIMMONS GROUP.

GENERAL PROJECT INFORMATION
PROJECT NAME:
PROJECT ADDRESS:
DEVELOPER NAME:
DEVELOPER ADDRESS:
EAST NASH PV3
LAT.: 35.956 °, LON.:--78.094 °
ECOPLEXUS, INC.
101 2ND ST., STE. 1250, SAN FRANCISCO, CA 94105
GENERAL SYSTEM INFORMATION
MODULE:
BOVIET BVM6612M9-440S-H-HC-BF-DG
QUANTITY:
76,185
INVERTER:
DELTA 250 kW
QUANTITY:
92
MOUNTING SYSTEM:
TBD
MOUNTING SYSTEM TYPE:
SINGLE -AXIS TRACKER 45° TILT, 90° AZIMUTH, 33.0% GCR
SYSTEM SIZE (DC):
33.8 MW
SYSTEM SIZE (AC):
26.0 MW
TOTAL UTILIZED AREA:
149.2 ACRES
l
N/F
GREGORIO M &
;=1BONFIR
lUA 939721
) BOOK 2275 PAC
i
�E
ZONING
BOUNDARY
(TYP. )

GENERAL PROJECT INFORMATION
PROJECT NAME:
PROJECT ADDRESS:
DEVELOPER NAME:
DEVELOPER ADDRESS:
EAST NASH PV3
LAT.: 35.956 °, LON.:--78.094 °
ECOPLEXUS, INC.
101 2ND ST., STE. 1250, SAN FRANCISCO, CA 94105
GENERAL SYSTEM INFORMATION
MODULE:
BOVIET BVM6612M9-440S-H-HC-BF-DG
QUANTITY:
76,185
INVERTER:
DELTA 250 kW
QUANTITY:
92
MOUNTING SYSTEM:
TBD
MOUNTING SYSTEM TYPE:
SINGLE -AXIS TRACKER 45° TILT, 90° AZIMUTH, 33.0% GCR
SYSTEM SIZE (DC):
33.8 MW
SYSTEM SIZE (AC):
26.0 MW
TOTAL UTILIZED AREA:
149.2 ACRES
l
N/F
GREGORIO M &
;=1BONFIR
lUA 939721
) BOOK 2275 PAC
i
�E
ZONING
BOUNDARY
(TYP. )

N
13
L.-©--�
Legend
1..� Project Study Limits - 282.1 Acres
© Stream Impact
© Wetland/Buffer Impact
Stream
Wetland
Culvert
Rip -Rap
Riparian Buffer Disturbance Area
— Permanent Stream Impact
Permanent Stream Impact - No Loss
QStream Buffer - Zone 1
QStream Buffer - Zone 2 (50' Buffer)
® Permanent Wetland Impact
Permanent Stream Impact
®Permanent Stream Impact - No Loss
®Permanent Buffer Impact
— Proposed Grading
- X Fence
1. Waters of the U.S. within the project study limits have been
located using submeter, Bluetooth GPS antennas S & ME
2.Waters of the U.S. have been confirmed by the U.S. Army
Corps of Engineers until stamped.
3. Project limits are approximate.
4. Topography based on USGS LiDAR.
5. Cowardin Stream Classifications are based solely on field
observations. No formal Stream assessment methodology was
completed to determine these Cowardin Classifications.
N
0 500
1,000
2000.
Feet
,110
-----77?
Sheet

1
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L..©--�
Legend
1..� Project Study Limits - 282.1 Acres
© Stream Impact
© Wetland/Buffer Impact
91W Stream
Wetland
Culvert
Rip -Rap
Riparian Buffer Disturbance Area
— Permanent Stream Impact
Permanent Stream Impact - No Loss
QStream Buffer - Zone 1
QStream Buffer - Zone 2 (50' Buffer)
® Permanent Wetland Impact
Permanent Stream Impact
®Permanent Stream Impact - No Loss
® Permanent Buffer Impact
— Proposed Grading
- X Fence
1. Waters of the U.S. within the project study limits have been
located using submeter, Bluetooth GPS antennas S & ME
2.Waters of the U.S. have been confirmed by the U.S. Army
Corps of Engineers until stamped.
3. Project limits are approximate.
4. Topography based on USGS LiDAR.
5. Cowardin Stream Classifications are based solely on field
observations. No formal Stream assessment methodology was
completed to determine these Cowardin Classifications.
N
0
20
40 80
>
Feet

N
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MOM
Legend
1..� Project Study Limits - 282.1 Acres
© Stream Impact
© Wetland/Buffer Impact
91W Stream
Wetland
Culvert
Rip -Rap
Riparian Buffer Disturbance Area
— Permanent Stream Impact
Permanent Stream Impact - No Loss
QStream Buffer - Zone 1
QStream Buffer - Zone 2 (50' Buffer)
® Permanent Wetland Impact
Permanent Stream Impact
®Permanent Stream Impact - No Loss
® Permanent Buffer Impact
— Proposed Grading
- X Fence
1. Waters of the U.S. within the project study limits have been
located using submeter, Bluetooth GPS antennas S & ME
2.Waters of the U.S. have been confirmed by the U.S. Army
Corps of Engineers until stamped.
3. Project limits are approximate.
4. Topography based on USGS LiDAR.
5. Cowardin Stream Classifications are based solely on field
observations. No formal Stream assessment methodology was
completed to determine these Cowardin Classifications.
N
0 20
40 80
Feet

I �a
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Legend
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1..� Project Study Limits - 282.1 Acres
© Stream Impact
k
© Wetland/Buffer Impact
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Wetland
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Riparian Buffer Disturbance Area
Permanent Stream Impact
/
Permanent Stream Impact - No Loss
QStream Buffer - Zone 1
k
QStream Buffer - Zone 2 (50' Buffer)
/
® Permanent Wetland Impact
Permanent Stream Impact
k
® Permanent Stream Impact - No Loss
® Permanent Buffer Impact
/
—Proposed Grading
- X Fence
k
1. Waters of the U.S. within the project study limits have been
located using submeter, Bluetooth GPS antennas S & ME
k
2.Waters of the U.S. have been confirmed by the U.S. Army
Corps of Engineers until stamped.
3. Project limits are approximate.
/
4. Topography based on USGS LiDAR.
0 5. Cowardin Stream Classifications are based solely on field
k
observations. No formal Stream assessment methodology was
completed to determine these Cowardin Classifications.
0
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k
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35
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2 0 20 40 80
/
Feet
k
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245
240
240
235
235
230
230
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- PROPOSED CULVERT
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10+00
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SCALE 1
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0 60' 120'
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226
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SCALE 1
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Contact Name*
Contact Email Address*
Project Owner*
Project Name*
Project County*
Owner Address:*
Is this a transportation project?*
Lauren Norris -Heflin
[e-mail]
Ecoplexus
East Nash
Nash
Street Address
3901 Arlington Highlands Blvd
Address Line 2
Suite 200
aty
Arlington
Postal/ Zip axle
76018
r Yes r No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - F 401 Water Quality Certification -
Regular Express
F Individual Permit F Modification
F Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes c: No
State / Province / Region
Texas
Country
United States
Do you know the name of the staff member you would like to request a meeting with?
Stephanie Goss
Please give a brief project description below.*
This project is for a proposed solar site in Nash County. Three
jurisdictional crossings are anticipated for this project.
Please reach out if the proposed meeting dates do not work.
Please give a couple of dates you are available for a meeting.
1 /12/2021
1 /13/2021
1 /14/2021
1 /15/2021

Please attach the documentation you would like to have the meeting about.
East Flash PV2&3 - Zoning Plan - 200601.pdf 982.36KB
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
1 understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
1 also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature *
Submittal Date 1/7/2021

Lauren Norris -Heflin
From: [e-mail]
Sent: Sunday, February 7, 2021 12:01 AM
To: Lauren Norris -Heflin
Cc: [e-mail]
Subject: Pre -Filing Time Clock has been reached for East Nash - 20210051 Ver 1
Attachments: DWR Pre -Filing Meeting Request Form.pdf
CAUTION: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the
sender and know the content is safe.
The North Carolina Division of Water Resources has received the Pre -Filing Meeting Request Form for East Nash that
you submitted on 1/7/2021. The ID number for that project is 20210051, Version 1.
Your Pre -Filing Meeting Request has now reached the 30 calendar days' requirement and your application can now be
accepted.
When you submit your application please upload a copy of the attached document in this email.
This email was automatically generated by Laserfiche workflow. Please do not respond to this email address, as
responses are not monitored.
1