20210761 Ver 1_ePCN Application_20210604

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?*
CYes r No
Change cnly 1 needed.
BIMS # Assigned* Version#*
20210761 1
Is a payment required for this project?*
✓ No payment required
✓ Fee received
6 Fee needed - send electronic notification
Reviewing Office *
Central Office - [phone]
Information for Initial Review
la. Name of project:
Baker Subdivision
la. Who is the Primary Contact?*
Sean Clark
What amout is owed?*
F $240.00
r $570.00
Select Project Reviewer*
Rick Trone:eads\rvtrone
lb. Primary Contact Email:* lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
6/4/2021
Nearest Body of Water
Clifton's Pond
Basin
Tar -Pamlico
Water Classification
C;NSW
Site Coordinates
Latitude: Longitude:
35.9816 -78.3619
LA. Processing Information
County (or Counties) where the project is located:
Franklin
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 f• No

ID#
20210761
Version
1
Pre -fling Meeting or Request Date
4/13/2021
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 (1).pdf
Fie type nest be FCF
la. Type(s) of approval sought from the Corps:
f7 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
6 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 allo
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
52.84KB
I— 401 Water Quality Certification - Express
17 Riparian Buffer Authorization
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
✓ 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
Baker Tract DMS Acceptance Letter.pdf 439.03KB
lh. Is the project located in any of NC's twenty coastal counties?
✓ Yes r*
1j. Is the project located in a designated trout watershed?
GYesa No
B. Applicant Information
1d. Who is applying for the permit?
I7 Owner I— 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:
Baker family (representative - James Baker, III)
✓ Yes S No
✓ Yes S No
2b. Deed book and page no.:
1603/830

2c. Contact Person:
James Baker, III
2d.Address
Street Address
3232 Greenville Loop Road
Address Line 2
(Sty State / Province /l gion
Wake Forest NC
Rstal / Zip tde Country
27587 United States
2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
lan McMillan
4b. Business Name:
Sage Ecological Services, Inc.
4c. Address
Street Address
3707 Swift Drive
Address Line 2
City
Raleigh
Postal / Zip Code
27606
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
signed agent authorization form (1).pdf
State /Province / Ragion
NC
Country
United States
4e. Fax Number:
275.97KB
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(rf apprcpriate)
lc. Nearest municipality/ town:
Youngsville
2. Project Identification
2a. Property Identification Number:
1881-83-3183
2b. Property size:
+/- 238
2c. Project Address
Street Address
00 NC 98
Address Line 2
oty State / Province / I3gion
Youngsville NC
Postal / Zip 03de Country
27596 United States
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Clifton's Pond
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.
030201010404
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:*
The Site is comprised of two parcels which are undeveloped. A series of unimproved roads traverse both parcels, and historical aerial imagery reveals a timber harvest sometime
between 2015-2016. An agricultural field is present along the southern border adjacent to NC Hwy 98. A residential home not associated with the Site lies in the center of the project
area. Hardwoods and pines are present throughout the Site. Land use in the vicinity includes rural residential, agricultural and pasture land, and forested, undeveloped land.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
✓ Yes 6' 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)
Figurel-R.pdf 1.04MB
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)
Figure2-R (1).pdf 1.1MB
4f. List the total estimated acreage of all existing wetlands on the property:
14.32
4g. List the total estimated linear feet of all existing streams on the property:
8478
4h. Explain the purpose of the proposed project:*
The purpose of this project is to develop a residential subdivision and associated utilities to provide needed housing for the area.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The overall project is a single-family residential subdivision with residential streets and onsite utilities. The proposed impacts result from three road crossings and a sewer line crossing.
Heavy equipment typically used for utility installation projects (e.g., backhoes, bulldozers, etc.) will be utilized.
4j. Please upload project drawings for the proposed project.
956-19 Wetland Impact Maps combined (2021-06-01) (1).pdf 2.21MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
• Yes rNo
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
F Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
SAW-2021-00807
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): David Gainey
Agency/Consultant Company: Sage Ecological Services, Inc.
Other:
O Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
April Norton, with the USAGE - Raleigh Regulatory Office, met Sean Clark, of Sage Ecological Services, on -site, on April 18, 2021, to review the jurisdictional determination.
5d1. Jurisdictional determination upload
06-Figure3-PJD Sketch Map.pdf 1.11MB
6. Future Project Plans
6a. Is this a phased project?*
✓ Yes f 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?
D. Proposed Impacts Inventory
1. Impacts Summary

la. Where are the impacts associated with your project? (check all that apply):
® Wetlands 17 Streams -tributaries
❑ Open Waters r Pond Construction
2. Wetland Impacts
r7 Buffers
2a. Site #* (?)
2a1 Reason (?)
2b. Impact type * (?)
2c. Type of W.*
2d. W. name *
2e. Forested *
2f. Type of
Jurisdicition*(?)
2g. Impact
area*
Site 2
Road crossing
P
Riverine Swamp Forest
WA-6
Yes
Both
0.056
(acres)
Site 3
Road crossing
P
Riverine Swamp Forest
WF-1
Yes
Both
0.076
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.132
2g. Total Permanent Wetland Impact
0132
2i. Comments:
Total proposed permanent impacts to wetlands = 0.132 acre as a result of road crossings. No temporary wetland impacts are proposed.
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
3d. S. name *
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width *
3h. Impact
length*
Si
Site 1 - Road crossing
Permanent
Culvert
Stream SB
Intermittent
Both
5
Average (feet)
46
(linear feet)
S2
Site 1 - Road crossing
Temporary
Dewatering
Stream SB
Intermittent
Both
5
Average (feet)
4
(linear feet)
S3
Site 2 - Road crossing
Permanent
Culvert
Stream SA
Intermittent
Both
3
Average (feet)
45
(linear feet)
S4
Site 2 - Road crossing
Temporary
Dewatering
Stream SA
Intermittent
Both
3
Average (feet)
4
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
91
31. Total stream and ditch impacts:
99
3i. Total temporary stream impacts:
8
3j. Comments:
Total proposed permanent impacts to streams = 91 linear feet as a result of road crossings. Total propose temporary stream impacts = 8 linear feet as
a result of dewatering for culvert construction.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
▪ Neuse
✓ Catawba
✓ Goose Creek
✓ Other
rJ Tar -Pamlico
r Randleman
r Jordan Lake
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Site 2 - Perpendicular Road Crossing -
Allowable Upon Authorization
P
Stream SA
No
3,516
2,907
Site 2 - Perpendicular Road Crossing -
Allowable Upon Authorization
T
Stream SA
No
560
0
Site 1 - Perpendicular Road Crossing -
Allowable Upon Authorization
P
Stream SB
No
3,725
2,536
Site 1 - Perpendicular Road Crossing -
Allowable Upon Authorization
T
Stream SB
No
458
0

Site 4 - Utility crossing - jack and bore -
Deemed Allowable
P
Stream SE
No
0
700
6h. Total buffer impacts:
Total Temporary impacts:
Total Permanent impacts:
Total combined buffer impacts:
Zone 1
1,018.00
Zone 1
7,241.00
Zone 1
8,259.00
Zone 2
0.00
Zone 2
6,143.00
Zone 2
6,143.00
6i. Comments:
Total proposed permanent riparian buffer impacts = 7,241 sf in Zone 1 and 5,443 sf in Zone 2 and total proposed temporary buffer impacts = 1,018 sf
in Zone 1 and 0 sf in Zone 2 as a result of perpendicular road crossings. Perpendicular road crossings are "Allowable Upon Authorization" per the
Table of Uses. Total proposed permanent riparian buffer impacts = 700 sf in Zone 2 for a non -sewer utility crossing. This impact is "Deemed
Allowable" per the Table of Uses.
Supporting Documentation
956-19 Wetland Impact Maps -combined (2) (1).pdf
2.2MB
E. Impact Justification and Mitigation
v
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
This project has been designed to meet the purpose and need while avoiding and minimizing impacts to onsite natural resources to the greatest extent
practicable. There are 14.32 acres of onsite wetlands, of which only 0.13 acre is proposed to be permanently impacted. There are 8,478 linear feet of
stream onsite, and only 91 linear feet are proposed to be permanently impacted. Less than 1/3 acres of buffers are proposed to be impacted by the
project.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
All road crossings were designed to cross perpendicular to the streams to minimize impacts and the non -sewer utility crossing will implement a jack
and bore technique to minimize wetland and buffer impacts.
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?
6 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 fJ 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.
6 Yes r No
4b. Stream mitigation requested:
(linear feet)
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non -riparian wetland mitigation requested:
(acres)
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
4e. Riparian wetland mitigation requested:
(acres)
0.26
4g. Coastal (tidal) wetland mitigation requested:
(acres)
F. Stormwater Management and Diffuse Flow Plan (required by DWR) C^U
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?
f• Yes r No
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (lower SI- T)
r Wetland Swale (higher SHWT)
I7 Other SCM that removes minimum 30% nitrogen
r Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
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 G 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 6 No
✓ N/A - project disturbs < 1 acre
3. Stormwater Requirements
3a. Select whether a completed stormwater management plan (SMP) is included for review and approval or if calculations are provided to document the project will not cause
degradation of downstream surface waters.*
Stormwater Management r Antidegradation
Plan Calculations
3b. Stormwater Management Plan
3c. Antidegradation Calculations:
Comments:
The Project requires a Stormwater Management Plan (SMP) which will be reviewed by Franklin County. A conditional 401 approval is requested that specifies a stormwater management
plan must be approved prior to proposed impacts taking place.
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land? *
✓ Yes r: No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15ANCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
✓ Yes r• No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
✓ Yes ( No
3b. If you answered "no," provide a short narrative description.
This project incorporates onsite water and sewer and therefore no additional impacts are anticipated.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
6 Yes r 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.
Onsite individual septic is proposed for this project.
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?*
✓ Yes (No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
✓ Yes (No
5d. Is another Federal agency involved?*
✓ Yes
5e. Is this a DOT project located within Division's 1-8?
✓ Yes r: No
r No r Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
c Yes r No
5g. Does this project involve bridge maintenance or removal?
✓ Yes rNo
5h. Does this project involve the construction/installation of a wind turbine(s)?*
✓ Yes r 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.?
✓ Yes 6 No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
The NC Natural Heritage Program (NCNHO) database was queried and a report (dated November 12, 2019) was received from NCNHP which identified
no known occurrences of federally protected species on or within 1.0 mile of the Site.
Consultation Documentation Upload
NCNHP Report for Baker Tract pdf 797.3KB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
✓ Yes f 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?*
✓ Yes rt' No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
(http://gis.ncdcr.gov/hpoweb/) The Site itself is not listed as a historic property or within a historic district. There are 3 "Surveyed Only" properties, 1
"Surveyed Only - Gone" property, and 1 "National Register historic district within 1.0 mile of the Site.
7c. Historic or Prehistoric Information Upload
NCSHPO map.pdf 530.19KB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-yearfloodplain?*
CZ Yes r No
8b. If yes, explain how project meets FEMArequirements:
There is a 100-year FEMA floodplain within the most northwestern portion of the parcel, but no residential structures are proposed to be construction
in this area.
8c. What source(s) did you use to make the floodplain determination?*
Panel 3720188000K, effective 4/16/2013.
Miscellaneous
Comments
DMS Mitigation Acceptance Letter from Kelly Williams with NC DMS
Miscellaneous attachments not previously requested.
Baker Tract DMS Acceptance Letter.pdf 439.03KB
Signature
*
B 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:
Ian McMillan
Signature
Date
6/4/2021

ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretary
TIM BAUMGARTNER
Director
James T. Baker, III
Baker Family
3909 Greenville Road Loop
Wake Forest, NC 27587
NORTH CAROLINA
Environmental Quality
May 19, 2021
Expiration of Acceptance: 11/19/2021
Project: Baker Tract County: Franklin
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
Tar -Pamlico
03020101
Riparian Wetland
0.13
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].
cc: Ian McMillan, agent
Sincerely,
FOR James. B Stanfill
Asset Management Supervisor
NORTH CAROLINA
Departmental Environmental Quality
North Carolina Department of Environmental Quality I Division of Mitigation Services
217 West Jones Street 11652 Mail Service Center I Raleigh, North Carolina 27699-1652
919.707.8976

ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretary
TIM BAUMGARTNER
Director
James T. Baker, III
Baker Family
3909 Greenville Road Loop
Wake Forest, NC 27587
NORTH CAROLINA
Environmental Quality
May 19, 2021
Expiration of Acceptance: 11/19/2021
Project: Baker Tract County: Franklin
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
Tar -Pamlico
03020101
Riparian Wetland
0.13
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].
cc: Ian McMillan, agent
Sincerely,
FOR James. B Stanfill
Asset Management Supervisor
NORTH CAROLINA
Departmental Environmental Quality
North Carolina Department of Environmental Quality I Division of Mitigation Services
217 West Jones Street 11652 Mail Service Center I Raleigh, North Carolina 27699-1652
919.707.8976

DocuSign Envelope ID: C743F186-41E5-43C0-B1AD-692957A5D6A3
Name:
Address:
Phone:
Email:
SAGE
ECOLOGICAL
SERVICES
EST j11, 2016
AGENT AUTHORIZATION FORM
All Blanks to Be Filled in By the Current Landowner or Legal Representative
Baker Family
00 NC 98 Hwy, Youngsville, NC 27596 (property address)
Tom Baker 3232 Greenville Loop Rd, Wake Forest, NC 27587
Tom Baker (family representative) 919-928-4510
Tom Baker [e-mail]
Project Name/Description: Baker Subdivision
Sage Project #
Date:
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
P.O. Box 1890
Wilmington, NC 28402
Attn:
Field Office:
Re: Wetlands and Streams Related Consulting and Permitting
To Whom It May Concern:
I, the undersigned, the owner or a duly authorized representative of record of the property/properties identified
herein, do authorize representatives of the U.S. Army Corps of Engineers (Corps) to enter upon the property herein
described for the purpose of conducting on -site investigations and issuing a determination associated with Waters
of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers
and Harbors Act of 1899. I also hereby designate and authorize Sage Ecological Services to act on my behalf as my
agent in the processing of permit applications, to furnish upon request supplemental information in support of
applications, etc. from this day forward.
This notification supersedes any previous correspondence concerning the agent for this project.
Notice: This authorization, for liability and professional
officials to enter the property when accompanied by Sage
prior to visiting the site.
Baker family - see Additional
BY: Signatures Addendum
Print Name of Landowner or
Legal Representative
courtesy reasons, is valid only for government
staff. Please contact Sage to arrange a meeting
Baker Family - see
Additonal Signatures
BY: Addendum
Signature of Landowner or
Legal Representative
DS DS DS ch.
PlItt,�{�DSS'�p�I1n DS ,D®Sj��/� 6D qS �—DDSS{p'''� ,—DS

DWR Pre -Filing Meeting Request Form
ID#*
Regional Office *
Reviewer List*
20210761
Version*
1
Raleigh Regional Office - [phone]
Rick Trone
Pre -Filing Meeting Request submitted 4/13/2021
Contact Name * Kim Hamlin
Contact Email Address* [e-mail]
Project Name * Baker Tract
Project Owner* Baker, James
Project County* Franklin
Owner Address: Street Address
3232 Greenville Loop Rd
Address Line 2
City State / Rovince / Region
Wake Forest NC
Fbstal / Zip Code Country
27587 USA
Is this a transportation project?* C Yes r No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - I— 401 Water Quality Certification -
Reg ula r Express
I— Individual Permit I— Modification
I— Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes C No
Please list all existing project ID's associated with this projects.*
RRO #19-451
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below and include location information.*

The Site is located +/- 500 feet east of the intersection of Tarboro
Road and NC 98 six miles northwest of Bunn, in Franklin County, NC.
The coordinates of 35.9816°N, 78.3619°W generally correspond to
the center of the Site. The proposed project is a residential
development. A buffer determination site meeting was held on
January 10, 2020, with Mr. Josh Brigham of NCDWR and Mr. David
Gainey of Sage Ecological (see attachments).
Please give a couple of dates you are available for a meeting.
4/20/2021
4/26/2021
Please attach the documentation you would like to have the meeting about.
NCDWR Buffer Determination Letter (RRO #19-
5.16MB
451) for Baker Tract.pdf
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.
• !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
We f&
Submittal Date 4/13/2021

Map Location
PERSON
GRANVILLE
DURHAM
VANCE
WARREN
FRANKLIN
USGS Topo Map
Baker Tract
Sage Project # 2019.103
Bunn West, NC Quadrangle
USGS Topography, December 2013
November 5, 2019
Project Study Area
Figure 1
SAGE
ECOLOGICAL
SERVICES
EST. 4 2016
WAKE
NASH
JOHNSTON -WILSON
0 1,500 3,000
Feet
Sage Ecological Services, Inc.
Office: 919-335-6757
Cell: 919-559-1537

11111,1.1
PERSON
viad
GRANVILLE
DURHAM
Map Location
VANCE
WAKE
WARREN
FRANKLIN
JOHNSTON -WILSON
NRCS Soils Map
Baker Tract
Sage Project # 2019.103
Soil Survey 2006
Franklin County NC
Soil Sheet # 13 & 14
November 5, 2019
0 1,000 2,000
Feet
irr+)s
tilf (....___
=Project Study Area
Figure 2
SAGE
ECOLOGICAL
SERVICES
EST. 2016
Sage Ecological Services, Inc.
Office: 919-335-6757
Cell: 919-559-1537

Potential Non -wetland
WOUS'fSE +/2'4,222 LF
•D
r
r
Granville
Durham
Wake
Potential Wetland
WOUSr-` WE-6
+/--'1:189 ac.
Potential Wetland
WOUS - WE-7
+/-'0:357 ac.
Potential Wetland
WOUSr-` WE-5
+/~3.07 ac.
Potential Wetland
• WOUS - WE-9
+/-'0:439 ac.
Potential Non -wetland
WOUS'- SF +/Y323 LF
Potential Wetland
WOUSt WD-7
+/-'0.003 ac.
Potential Non -wetland
WOUS'fSD'+/2r1;254 LF
Map Location
Vance
Franklin
Johnston
Warren
Halifax
Nash
Wilson
Potential Wetland :, .
WOUS WD-5 •
+/-'0:062 ac.
Potential
Wetland WOUS -
WD`4 ac.
Potential Wetland
WOUS+' WD:1
+/-0:015 ac.
Potential Non -wetland
WOUS'fSC +/Y859 LF
Potential Wetland
WOUS• Marginal
Preliminary JD Map
Wetland & Stream Sketch
Baker Tract
Sage Project # 2019.103
March 30, 2021
0 225 450
Feet
I I
V/1
Potential Non -wetland
WOUS"Marginal F
+/-'211 LF
Potential Wetland
WOUS -WF-1
+/-,1.268 ac.
Potential Wetland
WOUS - Marginal
WL2'+%ti0:55 ac.
NOTE: Location, shape, and size of
depicted features on the evaluated site
are approximate and should be surveyed
by a licensed NC surveyor for final site planning
Potential Wetland
WOUS WAA1
+/Al:118 ac.
Potential Wetland WOUS
- WAA3 +/-'0:046 ac:
Potential Wetland
WOUSt WC:1
+/. 1:69 ac.
Potential Non -wetland
WOUS'-'SA+/-1,005 LF
Potential Wetland
• WOUSr-` WA'6
+/-'3.44 ac.
All features must be confirmed by
the NCDWR and the USACE.
Map Legend
r Project Study Area
Outparcel
Potential Non -wetland WOUS - Intermittent Stream
—Potential Non -wetland WOUS - Perennial Stream
Potential Non -wetland WOUS - Tributary
O Wetland Data Point
Potential Wetland WOUS
Potential Wetland WOUS - Marginal
Potential Wetland
WOUS"= WB:1
+/- 0.005 ac.
Potential Wetland
WOUS' WB=2
Potential Non -wetland
WOUS"SB +/-'815 LF
Potential Non -wetland
WOUS!Margin'al Al
+/?175 LF
Sage Ecological Services, Inc.
Office: 919-335-6757
Cell: 919-559-1537

• ■■■
�� � NC DEPARTMENT OF
■ ■m■■ NATURAL AND CULTURAL RESOURCES
• ■■■
Sean Clark
Sage Ecological Services
3707 Swift Drive
Raleigh, NC 27606-2543
RE: Baker Tract; 2019.103
Dear Sean Clark:
Roy Cooper. Governor
Susi Hamilton, Secretary
Walter Clark, Director, Land and Water Stewardship
November 12, 2019
NCNHDE-10688
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide
information about natural heritage resources for the project referenced above.
Based on the project area mapped with your request, a query of the NCNHP database indicates that
there are no records for rare species, important natural communities, natural areas, and/or
conservation/managed areas within the proposed project boundary. Please note that although there
may be no documentation of natural heritage elements within the project boundary, it does not
imply or confirm their absence; the area may not have been surveyed. The results of this query
should not be substituted for field surveys where suitable habitat exists. In the event that rare
species are found within the project area, please contact the NCNHP so that we may update our
records.
The attached `Potential Occurrences' table summarizes rare species and natural communities that
have been documented within a one -mile radius of the property boundary. The proximity of these
records suggests that these natural heritage elements may potentially be present in the project area
if suitable habitat exists. Tables of natural areas and conservation/managed areas within a one -mile
radius of the project area, if any, are also included in this report.
If a Federally -listed species is found within the project area or is indicated within a one -mile radius of
the project area, the NCNHP recommends contacting the US Fish and Wildlife Service (USFWS) for
guidance. Contact information for USFWS offices in North Carolina is found here:
https://www.fws.gov/offices/Directory/ListOffices.cfm?statecode=37.
Please note that natural heritage element data are maintained for the purposes of conservation
planning, project review, and scientific research, and are not intended for use as the primary criteria
for regulatory decisions. Information provided by the NCNHP database may not be published
without prior written notification to the NCNHP, and the NCNHP must be credited as an information
source in these publications. Maps of NCNHP data may not be redistributed without permission.
The NC Natural Heritage Program may follow this letter with additional correspondence if a
Dedicated Nature Preserve, Registered Heritage Area, Clean Water Management Trust Fund
easement, or Federally -listed species are documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance,
please contact Rodney A. Butler at [e-mail] or 919-707-8603.
Sincerely,
NC Natural Heritage Program
DEPARTMENT OF NATURAL AND CULTURAL RESOURCES
Q 121 W. JONES STREET. RALEIGH. NC 27603 • 16S1 MAIL SERVICE CENTER. RALEIGH. NC 27699
OFC 'M9.707.9120 • FAX [phone]

Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One -mile Radius of the Project Area
Baker Tract
Project No. 2019.103
November 12, 2019
NCNHDE-10688
Element Occurrences Documented Within a One -mile Radius of the Project Area
Taxonomic EO ID cientific Name Common Name Element Accuracy Federal State Global State
Group Observation Occurrence Status Status Rank Rank
Date i Rank +
Dragonfly or 33749 Somatochlora Coppery Emerald 2004-Pre H? 5-Very
Damselfly georgiana Low
No Natural Areas are Documented Within a One -mile Radius of the Project Area
Managed Areas Documented Within a One -mile Radius of the Project Area
Med Area Name Owner Type
Tar River Land Conservancy Preserve Tar River Land Conservancy Private
Significantly G3G4 S2?
Rare
Definitions and an explanation of status designations and codes can be found at https://ncnhde.natureserve.org/content/help. Data query generated on November 12, 2019; source: NCNHP, Q4 Oct 2019.
Please resubmit your information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database.
Page 2 of 3

NCNHDE-10688: Baker Tract
+E
November 12, 2019
▪ Project Boundary
▪ Buffered Project Boundary
Managed Area (MAREA)
1:31,212
0 0.275 0.55
0 0.425 0.85
1.1 mi
1.7 km
Sources' Esri, HERE, Garmin,, Intermap, increment P Corp_, GEBCO, USGS,
FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey, Esn Japan,
METI, Esri China (Hong Kong), (c) OpenStreetMap contributors, and the GIS
User Community
Page 3 of 3

Fox Ridge Rd
Data Source: NCSHPO GIS Shapefiles -
Downloaded on August 8, 2019.
https://www. ncdcr.gov/about/history/division-
histo rica l-resou rces/g is -maps -an d-data#g is-d ata-
download
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Map Location
PERSON
GRANVILLE
DURHAM
VANCE
WARREN
FRANKLIN
NCSHPO Map
Baker Tract
Sage Project # 2019.103
November 5, 2019
Figure 5
SAGE
ECOLOGICAL
SERVICES
EST2016
WAKE
NASH
JOHNSTON rWILSON
0 1,500 3,000
Feet
Sage Ecological Services, Inc.
Office: 919-335-6757
Cell: 919-559-1537