20191242 Ver 2_ePCN Application_20210524

DWR
Division of Water Resources
Initial Review
Pre -Construction Notification (PCN) Form
April 4, 2021 Ver 4
Has this project met the requirements for acceptance in to the review process?*
6 Yes
✓ No
Is this project a public transportation project?*
C Yes ( No
Change only if needed.
BIMS # Assigned* Version#*
20191242 2
Is a payment required for this project?*
✓ No payment required
✓ Fee received
6 Fee needed - send electronic notification
Reviewing Office *
Raleigh Regional Office - [phone]
Information for Initial Review
la. Name of project:
Summerdale II
la. Who is the Primary Contact?*
Greg Bagley
lb. Primary Contact Email:*
[e-mail]
Date Submitted
5/24/2021
Nearest Body of Water
Kenneth Creek
Basin
Cape Fear
Water Classification
C
Site Coordinates
Latitude:
35.584561
A. Processing Information
What amout is owed?*
6 $240.00
r $570.00
Select Project Reviewer*
Stephanie Goss:eads\szgoss
lc. Primary Contact Phone:*
[phone]
Longitude:
-78.812719
County (or Counties) where the project is located:
Wake
Is this a NCDMS Project
✓ Yes G No
Is this project a public transportation project?*
✓ Yes G No
Pre -Filing Meeting Information
Is this a courtesy copy notification?*
✓ Yes r• No

ID#
20191242
Version
2
Pre -fling Meeting or Request Date
3/31/2021
Attach documentation of Pre -Filing Meeting Request here:
Click the upbad button or drag and drop files here to attach document
DWR Pre -Filing Meeting Request Form.pdf
Rle type nest be FCF
la. Type(s) of approval sought from the Corps:
rJ Section 404 Permit (wetlands, streams and waters, Clean Water Act)
I— Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
✓ Yes
( No
1b. What type(s) of permit(s) do you wish to seek authorization?
I7 Nationwide Permit (NWP)
I- Regional General Permit (RGP)
I— Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
( Yes r No
Nationwide Permit (NWP) Number: 29 - Residential Developments
NWP Numbers (for multiple NWPS):
Id. Type(s) of approval sought from the DWR:
17 401 Water Quality Certification - Regular
I— Non-404 Jurisdictional General Permit
I— Individual 401 Water Quality Certification
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
If. Is this an after -the -fact permit application?*
✓ Yes ( No
55KB
I— 401 Water Quality Certification - Express
I— Riparian Buffer Authorization
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
(c Yes r No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
DMS Acceptance Letter for Summerdale Il.pdf 428.94KB
lh. Is the project located in any of NC's twenty coastal counties?
✓ Yes 6- No
1j. Is the project located in a designated trout watershed?
GYes(' No
B. Applicant Information
Id. Who is applying for the permit?
r Owner I7 Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
s Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
Prime 1 Builders
✓ Yes a No
✓ Yes ( No
2b. Deed book and page no.:
Book 017932, pg 01062

2c. Contact Person:
Lee Balance
2d.Address
Street Address
2209 Hamrick Drive
Address Line 2
air State / Province / Region
Raleigh NC
Fbstal / Zip Oode Country
27616 US
2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Greg Bagley
3b. Business Name:
3c. Address
Street Address
805 Cokesbury Road
Address Line 2
(Sty State / Province / Region
Fuquay-Varina NC
Postal / Zip Code Country
27526 US
3d. Telephone Number: 3e. Fax Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Krissina Newcomb
4b. Business Name:
Hal Owen & Associates Inc
4c.Address
Street Address
PO Box 400
Address Line 2
(Sty
Lillington
Fbstal /Zip Code
27546
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Agent Authorization.pdf
State / Province / Region
NC
Country
US
4e. Fax Number:
[phone]
596.28KB
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
('t appropriate)
Summerdale II

lc. Nearest municipality/ town:
Fuquay-Varina
2. Project Identification
2a. Property Identification Number:
0656576506
2c. Project Address
Street Address
131 Coley Farm Road
Address Line 2
2b. Property size:
6.52
DtY State / Province / Region
Fuquay-Varina NC
Fbstal / ZZp Code Country
27526 US
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Kenneth Creek
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
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:*
Site is undeveloped and wooded. Land use in the vicinity 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
If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
SAW-2019-02106
20191242 Version: 1
Project History Upload
Wildlands MRT 06-16-2020_signed.pdf
USACE SAW-2019-02106 NWP29 verification.pdf
424.9KB
2.32MB
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)
Topo Map.pdf 596 66KB
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)
Wake Soil Survey.pdf 478.09KB
4f. List the total estimated acreage of all existing wetlands on the property:
1/2
4g. List the total estimated linear feet of all existing streams on the property:
207
4h. Explain the purpose of the proposed project:*
to construct single family residential townhomes (38 Lots) connected by a network of roads and utilities.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Additional wetland impacts are necessary for the fill slopes associated with the building pads on Lots 29, 32, 33, and 22. Shoulder slopes for the road were previously planned at 2:1,
but have been changed to 3:1 and will result in an additional wetland impact. A chart of old and new impacts is attached.
Typical construction equipment such as excavators, loaders, dump trucks, and graders
will be utilized.
4j. Please upload project drawings for the proposed project.
Summerdale II -Additional Mitigation.pdf
Summerdale II -Site Plan.pdf
summerdale II Chart of Impacts.pdf
5. Jurisdictional Determinations
702.96KB
1.46MB
71.92KB
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*

✓ Yes
Comments:
r No f Unknown
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
✓ Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
5d1. Jurisdictional determination upload
PJD docs.pdf
6. Future Project Plans
Alex Adams
6a. Is this a phased project?*
✓ Yes ( No
1.48MB
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 future impacts are anticipated with this development.
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
17 Wetlands
I— Open Waters
2. Wetland Impacts
r Streams -tributaries
r Pond Construction
r Buffers
2a. Site #* (?)
2a1 Reason (?)
2b. Impact type * (?)
2c. Type of W.*
2d. W. name *
2e. Forested *
2f. Type of
Jurisdicition*(?)
2g. Impact
area*
W10
fill slope Lot 22
P
Headwater Forest
wetland
Yes
Both
0.019
(acres)
W11
fill slope road
P
Headwater Forest
wetland
Yes
Both
0.022
(acres)
W12
fill slope Lot 32-33
P
Headwater Forest
wetland
Yes
Both
0.026
(acres)
W13
fill slope Lot 29
P
Headwater Forest
wetland
Yes
Both
0.041
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.108
2i. Comments:
2g. Total Permanent Wetland Impact
0.108
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The original design attempted to avoid these impacts by limiting fill to the building foundation. However, the local planning department has required a
perimeter of fill to be established around the foundation to facilitate construction and upkeep.
Shoulder slopes at road crossing have been re -designed at 3:1, as required by the local planning board.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Sediment and erosion control measures will be used, such as silt fencing, to protect water quality. Construction limits will be clearly marked through the
wetlands.

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?
✓ Yes C No
2c. If yes, mitigation is required by (check all that apply):
r DWR fJ Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank 17 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.
G Yes r No
4b. Stream mitigation requested:
(linear feet) 4c. If using stream mitigation, what is the stream temperature:
0
4d. Buffer mitigation requested (DWR only):
(square feet)
0
4e. Riparian wetland mitigation requested:
(acres)
0.22
4f. Non -riparian wetland mitigation requested: 4g. Coastal (tidal) wetland mitigation requested:
(acres) (acres)
✓ 0
4h. Comments
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
✓ Yes 0' No
If no, explain why:
Project is in Neill's Creek watershed of Cape Fear River Basin, HUC 03030004 not subject
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
✓ Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
✓ 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?
✓ Yes
✓ N/A - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
I7 Local Government r State
Local Government Stormwater Programs
17 Phase II r NSW r USMP r Water Supply
Please identify which local government stormwater program you are using.
Fuquay-Varina
Comments:
G. Supplementary Information
1. Environmental Documentation
C No
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
C Yes ( 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)?*
C Yes ( No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
C Yes 6' No
3b. If you answered "no," provide a short narrative description.
This residential development is relatively small and will not likely affect regional growth patterns.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
(: Yes C No r- 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.
Public sewer. The Town of Fuquay-Varina's wastewater capacity is 5.6 million gallons a day. The current unused wastewater capacity is 1.7 million
gallons a day.
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?*
CYes (I- No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
( Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
C Yes
5e. Is this a DOT project located within Division's 1-8?
✓ Yes r' No
( No C Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
a Yes r No
5g. Does this project involve bridge maintenance or removal?
✓ Yes (' No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
C Yes a No
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.?
C Yes ( No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
US FWS iPaC (https://ecos.fws.gov/ipac/). iPaC provided a list of federally protected species that may occur in the proposed project area and/or may
be affected by the proposed project. It included the Red -cockaded Woodpecker (Picoides borealis), Cape Fear Shiner (Notropis mekistocholas),
Atlantic Pigtoe (Fusconaia masoni), and Michauxrs Sumac (Rhus michauxii). No Critical Habitats were identified.
In addition, the Bald Eagle (Haliaeetus leucocephalus) is federally protected under the Bald and Golden Eagle Protection Act.
NC Natural Heritage Program (ncnhp.org) Data Explorer indicates no element occurrences for federally protected species within two miles of the
project area.
Consultation Documentation Upload
USFWS Species List Raleigh Ecological Services Field Office.pdf 159.16KB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
C Yes ( No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Habitat Conservation National Marine Fisheries Service
https://www.habitat.noaa.gov/protection/efh/efhmapper/
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 ( No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*

NC State Historic Preservation Office (http://gis.ncdcr.gov/hpoweb/)
To the south of the site are two historic homes that have been surveyed and deemed ineligible
1) The home at 618 W Academy Rd, Fuquay-Varina (WA6536) is a c.1955 1-story side gable brick Colonial Revival house; Ineligible 2014; ER 13-
0634; WA Co Rpt #658; U-5317
2) The home at 614 W Academy Rd, Fuquay-Varina (WA6537) is a c.1954 1-story side gable brick Ranch; Ineligible 2014; ER 13-0634; WA Co Rpt
#658; U-5317
7c. Historic or Prehistoric Information Upload
NC SHPO map.pdf
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes 6 No
8c. What source(s) did you use to make the floodplain determination?*
NC Flood Risk Information System (https://fris.nc.gov/fris/)
256.47KB
Miscellaneous L)
Comments
Miscellaneous attachments not previously requested.
Signature
*
IJ 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:
Krissina Newcomb
Signature
Kildelrii larva.
Date
5/24/2021

May 21, 2021

Lee Balance
Prime 1 Builders, LLC
2209 Hamrick Drive
Raleigh, NC 27615 Expiration of Acceptance: 11/21/2021

Project: Summerdale II 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 Permit/401 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.
River Basin Impact Location
(8-digit HUC) Impact Type Impact Quantity
Cape Fear 03030004 Riparian Wetland 0.108

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.
Thank you for your interest in the DMS in-lieu fee mitigation program. If you have any questions or need
additional information, please contact [e-mail].
Sincerely,

FOR James. B Stanfill
Asset Management Supervisor

cc: Krissina B. Newcomb, agent

AGENT AUTHORIZATION FORM
PROPERTY INFORMATION
Project Name:
S v m rh e K D A L E it
Address:
13 / C s / Ey rp se.Ijt
Z.o,4d
PIN:
v t: 5-4 57 6.S0h
County:
U/A AG Pr
OWNER INFORMATION
Name:
pg I/776 1 — L.EE BAIL ivc.6"
Mailing Address:
Z Z. 01 }-k, .r1n f?... t c ic.- D.2_. / VC-- 43/E
Telephone Number:
g / 7 — 6. / 6 — 7533
E-mail Address:
bpi- 'l (c'Z 44 4 bl/s ov7it . Aic"f .
APPLICANT INFORMATION (if different from owner)
Name:
6&Rq t
Mailing Address:
7
$p S co455 &Ly e-eAd Fu4mti (/.4K,
Telephone Number:
%� 9/ - G of — 03D8 /
E-mail Address:
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By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps
of Engineers (Corps) to enter upon the property herein described for the purpose of
conducting on -site investigations, if necessary, and issuing a jurisdictional determination
pursuant to Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors
Act of 1899. I, the undersigned, am either a duly authorized owner of record of the property
identified herein, or acting as the duly authorized agent of the owner of record of the
property.
I hereby authorize Hal Owen & Associates, Inc. to act on my behalf and take all actions
necessary for the processing, issuance and acceptance of jurisdictional determinations,
CWA Section 401 and 404 permits and certifications, and any and all standard and
special conditions attached.
This authorization will remain in effect for (5) five years unless revoked by the
undersigned in writing.
7 t$-u
AuthorizVSi hatur U 7 d Title Date
(Please egibly print name here: )

DWR Pre-Fil ing Meeting Req u est Form
Contact Name *
Contact Email Addre ss *
Proje ct Owne r *
Proje ct Name *
Proje ct County *
Owne r Addre ss:*
Is this a transportation proje ct?*
Type (s) of approv al sought from the DWR:
Doe s this proje ct hav e an e xisting proje ct ID#?*
Ple ase list all e xisting proje ct ID's associate d with this proje cts.*
Do you know the name of the staff me mbe r you would like to re que st a me e ting with?
Ple ase giv e a brie f proje ct de scription be low.*
Please give a couple of dates you are available for a meeting.
Ple ase attach the docume ntation you would like to hav e the me e ting about.
Krissina Newcomb
[e-mail]
Prime 1 Builders
Summerdale II
Wake
City
Raleigh
State / Province / Region
NC
Postal / Zip Code
27616
Country
US
Street Address
2209 Hamrick Drive
Address Line 2
Yes No
401 Water Quality Certification -
Regular
401 Water Quality Certification -
Express
Individual Permit Modification
Shoreline Stabilization
Yes No
NCDWR 20191242 Ver1
Summerdale II is a proposed residential subdivision. The previous
permit authorized 0.23 acre of impact and 140 linear feet of stream
channel. A modification to that permit will being requested due to
modifications in the plan directed by the Town of Fuquay which will
impact an additional 1/10 acre of wetland.
Signature *
Submittal Date
Summerdale.pdf 638.18KB
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.
· I understand by signing this form that I cannot submit my application until 30 calendar days after this pre-filing
meeting request.
· I 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.
3/31/2021

Compensatory Mitigation Responsibility Transfer Form 

Permittee: Greg Bagley Action ID: SAW‐2019‐02106
Project Name: Summerdale II 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) Wetland Impacts (acres) 
Warm Cool Cold Riparian Riverine Riparian Non‐Riverine Non‐Riparian Coastal 
     0.23   
*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‐digit HUC and Basin: 03030004, Cape Fear River Basin 
Stream Mitigation (credits) Wetland Mitigation (credits) 
Warm Cool Cold Riparian Riverine Riparian Non‐Riverine Non‐Riparian Coastal 
    0.46   

Mitigation Site Debited: Daniel’s Creek Umbrella Mitigation bank  
(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:   

Name of Sponsor’s Authorized Representative:  

 Signature of Sponsor’s Authorized Representative Date of Signature 
6/16/2020
Robert W. Bugg
Wildlands Holdings IV, LLC

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: A letter from Wildlands Holdings IV, LLC, confirming they are willing and able to accept 
the applicant’s compensatory mitigation responsibility, dated 1/10/2020 was included with the preconstruction 
notification. 

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, 11405 Falls 
of Neuse Road, 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 Office  
 US Army Corps of Engineers  
 3331 Heritage Trade Drive, Suite 105  
 Wake Forest, North Carolina 27587  
Email: [e-mail]  

   1/29/2020  
 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.mil
USGS Topographic Map
Hal Owen & Associates, Inc. 9/16/2019 Summerdale II Subdivision

(2016)

Site
Soil Survey of Wake County, NC
Hal Owen & Associates, Inc. 9/16/2019 Summerdale II Subdivision

Site
19
21
24
VA
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WETLANDS
IMPACT
WETLANDS
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OPEN SPACE 2
188
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"

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CB#6 CB#7OP
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1 EXIST DBL 30" RCP50 LF
OF
12"
RCP
WETLANDS
IMPACT
WETLANDS
IMPACT
WETLANDS
IMPACT
78' OF
D
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6"
R
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S-1
S-2
10'-
0
"392392390
394
W 10 = 821 SQ FT
W 13 = 1780 SQ FT
W 12 = 1133 SQ FT
W 11 = 979 SQ FT
6'
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Sheet Number
ofADDITIONAL WETLANDMITIGATIONRemarksDate:No.
1
3
2
REVISIONS
4
Client Name:TOWNHOUSE VILLAGEFORPRIME 1 BUILDERS, LLCWake County N.C.C. GREGORY BAGLEYENGINEERADDITIONAL MITIGATION
1" = 20'
Date:
Project #:
Drawn/Design By:
Scale:
3-22-21
1" = 40'12276SEALPROFESSIONALNORTHCAROLINA
ENGINEERC .GREGORYBAGLEY3-22-213-22-21 TOWN OF FV
19
21
1
23
4
5
6
7
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24FLEMMING RIDGE COURTVA
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303132
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WETLANDS
IMPACT
WETLANDS
IMPACT
WETLANDS
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OPEN SPACE 2
OPEN SPACE 2
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WET BASIN
W
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ISLAND
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OPEN SPACE 2
OPEN SPACE 2 OPEN SPACE 2OPEN SPAC
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WETLANDS
WETLANDS
WETLANDS
WETLANDS
IMPACT
WETLANDS
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W-1
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"5'4.5'2.5'1'12'21'10'-
0
"
10'
28'-612"
LOT AREAS
SQ FOOTAGE ACREAGE
1.1876.41 .0431
2.2043.43 .0469
3.2194.63 .0504
4.2153.43 .0946
5.2119.85 .0487
6.2329.54 .0535
7.2121.34 .0487
8.2083.10 .0478
9.2202.52 .0505
10.2134.11 .0489
11.2151.89 .0494
12.2105.36 .0483
13.2059.32 .0473
14.2171.07 .0498
15.2207.67 .0506
16.2226.02 .0511
17.2206.49 .0506
18.2218.06 .0509
19.2208.10 .0507
SQ FOOTAGE ACREAGE
20.2221.07 .0509
21.2214.06 .0508
22.2193.03 .0501
23.1991.62 .0457
24.2048.16 .0470
25.2045.36 .0469
26.1914.53 .0439
27.1960.75 .0449
28.2128.29 .0488
29.2279.30 .0523
30.1825.26 .0419
31.2029.91 .0466
32.2028.58 .0566
33.2331.15 .0535
34.2308.93 .0529
35.2299.92 .0527
36.2273.30 .0522
37.2244.71 .0515
38.1942.63 .0475
EASEMENTTYPICAL LOT DETAILROWPRIVA
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PUB
L
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W 10 = 821 SQ FT
W 13 = 1780 SQ FT
W 12 = 1133 SQ FT
W 11 = 979 SQ FT
10'-
0
"20'WETLANDS2626 29
10' typ 18'
t
yp
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SITE PLAN
1" = 40'
SITE DATA
INFRASTRUCTURE
Sheet Number
of
RemarksDate:No.
1
3
2
REVISIONS
4
Client Name:Summerdale IIFORPRIME 1 BUILDERS, LLCWake County N.C.C. GREGORY BAGLEYENGINEER12276SEALPROFESSIONALNORTHCAROLIN A
ENGINEERC .GREGORYBAGLEYDate:
Project #:
Drawn/Design By:
Scale:3-22-213-22-21
1" = 40'
3-22-21 TOWN OF FV
PRELIMINARYSITE PLAN
Summerdale II Impact Summary
SAW-2019-02106 (1/29/2020)wetland stream Wetland
Impact acreage LF Impact for Old New total
W1 0.203 acre
W2 0.011 Lot 29 W2 W13
W3 0.009 0.011 0.041 0.052
W4 0.004 Lot 32 W3 W12
S1 140 0.009 0.026 0.035
Total 0.227 140 Lot 33 -included
0 w/ Lot 32
Request for Additional Impacts (2021)Lot 22 W4 W10
impact sf acreage 0.004 0.019 0.023
w10 821 0.019 Road W1 W11
w11 979 0.022 0.203 0.022 0.225
w12 1133 0.026
w13 1780 0.041 Stream
Total 4713 0.108 0 Impact for Old New total
sf
Road S1 -
Cumulative Impact 140 0 140
wetland (acre) =0.335
stream (LF) =140
May 20, 2021
United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Phone: [phone] Fax: [phone]
In Reply Refer To:
Consultation Code: 04EN2000-2019-SLI-1597
Event Code: 04EN2000-2021-E-02653
Project Name: Summerdale II Subdivision

Subject:Updated list of threatened and endangered species that may occur in your proposed
project location or may be affected by your proposed project
To Whom It May Concern:
The species list generated pursuant to the information you provided identifies threatened,
endangered, proposed and candidate species, as well as proposed and final designated critical
habitat, that may occur within the boundary of your proposed project and/or may be affected by
your proposed project. The species list fulfills the requirements of the U.S. Fish and Wildlife
Service (Service) under section 7(c) of the Endangered Species Act (Act) of 1973, as amended
(16 U.S.C. 1531 et seq.).
New information based on updated surveys, changes in the abundance and distribution of
species, changed habitat conditions, or other factors could change this list. Please feel free to
contact us if you need more current information or assistance regarding the potential impacts to
federally proposed, listed, and candidate species and federally designated and proposed critical
habitat. Please note that under 50 CFR 402.12(e) of the regulations implementing section 7 of the
Act, the accuracy of this species list should be verified after 90 days. This verification can be
completed formally or informally as desired. The Service recommends that verification be
completed by visiting the ECOS-IPaC website at regular intervals during project planning and
implementation for updates to species lists and information. An updated list may be requested
through the ECOS-IPaC system by completing the same process used to receive the enclosed list.
Section 7 of the Act requires that all federal agencies (or their designated non-federal
representative), in consultation with the Service, insure that any action federally authorized,
funded, or carried out by such agencies is not likely to jeopardize the continued existence of any
federally-listed endangered or threatened species. A biological assessment or evaluation may be
prepared to fulfill that requirement and in determining whether additional consultation with the
Service is necessary. In addition to the federally-protected species list, information on the
species' life histories and habitats and information on completing a biological assessment or
05/20/2021 Event Code: 04EN2000-2021-E-02653   2

evaluation and can be found on our web page at http://www.fws.gov/raleigh. Please check the
web site often for updated information or changes
If your project contains suitable habitat for any of the federally-listed species known to be
present within the county where your project occurs, the proposed action has the potential to
adversely affect those species. As such, we recommend that surveys be conducted to determine
the species' presence or absence within the project area. The use of North Carolina Natural
Heritage program data should not be substituted for actual field surveys.
If you determine that the proposed action may affect (i.e., likely to adversely affect or not likely
to adversely affect) a federally-protected species, you should notify this office with your
determination, the results of your surveys, survey methodologies, and an analysis of the effects
of the action on listed species, including consideration of direct, indirect, and cumulative effects,
before conducting any activities that might affect the species. If you determine that the proposed
action will have no effect (i.e., no beneficial or adverse, direct or indirect effect) on federally
listed species, then you are not required to contact our office for concurrence (unless an
Environmental Impact Statement is prepared). However, you should maintain a complete record
of the assessment, including steps leading to your determination of effect, the qualified personnel
conducting the assessment, habitat conditions, site photographs, and any other related articles.
Please be aware that bald and golden eagles are protected under the Bald and Golden Eagle
Protection Act (16 U.S.C. 668 et seq.), and projects affecting these species may require
development of an eagle conservation plan (http://www.fws.gov/windenergy/
eagle_guidance.html). Additionally, wind energy projects should follow the wind energy
guidelines (http://www.fws.gov/windenergy/) for minimizing impacts to migratory birds and
bats.
Guidance for minimizing impacts to migratory birds for projects including communications
towers (e.g., cellular, digital television, radio, and emergency broadcast) can be found at: http://
www.fws.gov/migratorybirds/CurrentBirdIssues/Hazards/towers/towers.htm; http://
www.towerkill.com; and http://www.fws.gov/migratorybirds/CurrentBirdIssues/Hazards/
towers/comtow.html.
Not all Threatened and Endangered Species that occur in North Carolina are subject to section 7
consultation with the U.S Fish and Wildlife Service. Atlantic and shortnose sturgeon, sea
turtles,when in the water, and certain marine mammals are under purview of the National Marine
Fisheries Service. If your project occurs in marine, estuarine, or coastal river systems you should
also contact the National Marine Fisheries Service, http://www.nmfs.noaa.gov/
We appreciate your concern for threatened and endangered species. The Service encourages
Federal agencies to include conservation of threatened and endangered species into their project
planning to further the purposes of the Act. Please include the Consultation Tracking Number in
the header of this letter with any request for consultation or correspondence about your project
that you submit to our office. If you have any questions or comments, please contact John Ellis
of this office at [e-mail].
05/20/2021 Event Code: 04EN2000-2021-E-02653   3

▪
Attachment(s):
Official Species List
05/20/2021 Event Code: 04EN2000-2021-E-02653   1

Official Species List
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
[phone]
05/20/2021 Event Code: 04EN2000-2021-E-02653   2

Project Summary
Consultation Code:04EN2000-2019-SLI-1597
Event Code:04EN2000-2021-E-02653
Project Name:Summerdale II Subdivision
Project Type:DEVELOPMENT
Project Description:residential subdivision
Project Location:
Approximate location of the project can be viewed in Google Maps: https://
www.google.com/maps/@35.58461369446812,-78.81274421369488,14z
Counties:Wake County, North Carolina
05/20/2021 Event Code: 04EN2000-2021-E-02653   3

1.
Endangered Species Act Species
There is a total of 4 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheries , as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
Birds
NAME STATUS
Red-cockaded Woodpecker Picoides borealis
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/7614
Endangered
Fishes
NAME STATUS
Cape Fear Shiner Notropis mekistocholas
There is final critical habitat for this species. The location of the critical habitat is not available.
Species profile: https://ecos.fws.gov/ecp/species/6063
Endangered
Clams
NAME STATUS
Atlantic Pigtoe Fusconaia masoni
There is proposed critical habitat for this species. The location of the critical habitat is not
available.
Species profile: https://ecos.fws.gov/ecp/species/5164
Proposed
Threatened
1
05/20/2021 Event Code: 04EN2000-2021-E-02653   4

Flowering Plants
NAME STATUS
Michaux's Sumac Rhus michauxii
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/5217
Endangered
Critical habitats
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.
NCHPO HPOWEB
Town of Cary, State of North Carolina DOT, Esri, HERE, Garmin,
Parcels (Polygons) - Parcels
Local districts & boundaries
Local individual resources & centerpoints
Local Landmark
Local Landmark, Gone
Local HD Center Point
Surveyed Only individual resources & centerpoints
Surveyed Only
5/21/2021, 11:47:40 AM 0 0.06 0.120.03 mi
0 0.1 0.20.05 km
1:4,514
North Carolina State Historic Preservation Office
Town of Cary, State of North Carolina DOT, Esri, HERE, Garmin, INCREMENT P, NGA, USGS | NCCGIA, NC911 Board | Participating NC Counties, NCCGIA, NC OneMap, US EPA | Esri, HERE |