20201569 Ver 2_ePCN Application_20210618

DWR
Division of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
June 1, 2021 Ver4.1
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
r Yes r No
Change only if needed.
BIMS # Assigned
20201569
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office*
Fayetteville Regional Office - [phone]
Information for Initial Review
la. Name of project:
Spring Village VERSION 2
1a. Who is the Primary Contact?*
Jeff Harbour
1b. Primary Contact Email:*
[e-mail]
Date Submitted
6/18/2021
Nearest Body of Water
Black River
Basin
Cape Fear
Water Classification
C:Sw
Site Coordinates
Latitude: Longitude:
35.5092-78.7226
A. Processing Information
County (or Counties) where the project is located:
Harnett
Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?*
r Yes r No
Pre -Filing Meeting Information
Version#*
2
What amout is owed?*
IT $240.00
r $570.00
Select Project Reviewer*
Chad Turlington:eads\ccturlington
1c. Primary Contact Phone:*
[phone]
Is this a courtesy copy notification?*
r Yes r No

ID#
20201569
Pre -fling Meeting or Request Date
10/23/2020
Attach documentation of Pre -Filing Meeting Request here:
nick the upload button or drag and drop files here to attach document
DWR Pre -Filing Meeting Request Form.pdf
File type mast be FCF
1a. Type(s) of approval sought from the Corps:
V 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
Please provide the date of the previous submission.*
3/15/2021
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:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
r 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
W Individual 401 Water Quality Certification
Version
1
29 - Residential Developments
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:
49.72KB
r 401 Water Quality Certification - Express
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
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?
W Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r- No
2. Owner Information
2a. Name(s) on recorded deed:
Carolina Land Group
2b. Deed book and page no.:
*
r Yes r No
r Yes r No

2c.Contact Person:
2d.Address
Street Address
341 Kimayne Drive
Address Line 2
City
Cary
Postal / Zip Code
27511
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Jeff Harbour
4b. Business Name:
Terracon
4c.Address
Street Address
2401 Brentwood Road Suite 107
Address Line 2
aty
Raleigh
Postal / Zip Code
27604
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
ff appropriate)
1c. Nearest municipality/ town:
Angier
2. Project Identification
2a. Property Identification Number:
2c. Project Address
Street Address
152 Sundowner Lane
Address Line 2
City
Angier
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Black River
3b. Water Resources Classification of nearest receiving water:*
C:Sw
State / Rwince / Region
NC
Country
us
2f. Fax Number:
State / Rmwe / Iagim
NC
Country
us
4e. Fax Number:
2b. Property size:
48
State / Rwince / Plegion
NC
Country
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.
030300060101
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:*
see previous PCN submittal
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
4f. List the total estimated acreage of all existing wetlands on the property:
6.5
4g. List the total estimated linear feet of all existing streams on the property:
310
4h. Explain the purpose of the proposed project:*
Construct a residential development to provide housing for this area.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project as designed provides single family homes and townhomes. The project has been redesigned pursuant to USACE comments and this resubmittal of the PCN as Version 2 for
NCDWR is being done at DWR's request. The details of the project were submitted With the original application.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified C Unknown r N/A
Corps AID Number:
SAW-2020-00870
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Jeff Harbour
Agency/Consultant Company: Terracon
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR
9/4/2020 USACE PJD
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?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
17 Wetlands r Streams -tributaries r 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*
Impact 1
road crossing
P
Headwater Forest
WHB/WHC
Yes
Both
0.086
(acres)
Impact 2
grading
P
Headwater Forest
WHA
Yes
Both
0.075
(acres)
Impact 3
grading/pond
P
fl�a'water Forest
WHA
Yes
Both
0.134
(acres)

2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.295
2g. Total Wetland Impact
0.295
21. Comments:
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 project has been designed to minimize impacts as much as possible and the impacts that are necessary are to small areas and away from larger
wetland systems
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The road crossing has been minimized by steepening slopes and all BMPs will be used during construction
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
2c. If yes, mitigation is required by (check all that apply):
r DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank W 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.
r 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)
0.29
4g. Coastal (tidal) wetland mitigation requested:
(acres)
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?
r Yes r No
If no, explain why:
not a buffered basin
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
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?
r Yes r No
r N/A - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
r Local Government W State

State Stormwater Programs
W Phase II r Coastal Counties
r HWQ or ORW r- Other
Comments:
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?*
t' 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
3. 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.
Not anticipated to be a driver of any new development
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r 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 r Unknown
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
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?
NCNHP, onsite surveys by Terracon, USFWS iPACS
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?*
EFH Mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)

7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
r Yes IT No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Formal SHPO consultation has been completed
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
C Yes IT No
8c. What source(s) did you use to make the floodplain determination?*
FEMA website
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one
file when possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
nick the upload button or drag and drop files here to attach docurrent
1633-IMPACT MAP Ver2 June18.pdf 3.1 MB
Submitted PCN Form Version 1 from March 2021.pdf 1.21 MB
Spring Village updated PCN impact table.pdf 14.44KB
File rrust be FLF or I%Z
Comments
Signature
*
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:
Jeff Harbour
Signature
Ci��u�C�aei�
Date
6/18/2021

ROY COOPER
Governor
JOHN NICHOLSON
Interim Secretary
TIM BAUMGARTNER
Director
Kirby LaForce
Carolina Land Group
341 Kilmayne Drive
Cary, NC 27511
Project: Spring Village
NORTH CAROLINA
Environmental Quality
June 11, 2021
Expiration of Acceptance: 12/12/2021
County: Harnett
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-di it HUC
Impact Type
Impact Quantity
Cape Fear
03030006
Riparian Wetland
0.011
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,
Av�dA�Z�
FOR James. B Stanfill
Asset Management Supervisor
cc: Jeff Harbour, agent
D EQ �� North Carolina Department of Environmental Quality Division of Mitigation Services
217 West Jones Street 1 1652 Mail Service Center I Raleigh, North Carolina 27699-1652
NORTH CAROLINA
oePanmem or enmrommemai ouai� / 919.707.8976

Contact Name*
Jeff Harbour
Contact Email Address*
[e-mail]
Project Owner*
Carolina Land Group
Project Name*
Spring Village
Project County*
Harnett
Owner Address:*
Street Address
341 Kilmayne Drive
Address Line 2
aty
Cary
Postal/ Zip axle
27511
Is this a transportation project?*
(- Yes c: 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#?*
(- Yes c: No
State / Province / Region
NC
Country
USA
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below.*
Minimal impacts are anticipated resulting from a single road crossing.
Project should qualify for a Nationwide Permit.
Please give a couple of dates you are available for a meeting.
12/1 /2020
12/2/2020
Please attach the documentation you would like to have the meeting about.
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 Icannot submit myapplication 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.
Signature *
Submittal Date 10/23/2020

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DWR
DWislan of Waler Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
October 26, 2020 Ver 3.3
Please note: fields marked with a red asterisk beloware required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https: //edocs.deq.nc.gov/WaterResources/0/edoc/624704/PCN % 20 Help % 20File % 202018-1-30. pdf
A. Processing Information V
County (or Counties) where the project is located:*
Harnett
Is this a NCDMS Project*
r Yes C No
dick Yes, ody if NdTS is the applicant a co -applicant
Is this project a public transportation project?*
O Yes C No
This is any publicly funded by nunicipal,state or federal funds road, rail, airport transportation project
la. Type(s) of approval sought from the Corps:*
© Section 404 Permit (wetlands, streams and waters, Clean Water Act)
❑ Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
O Yes
O No
1 b. What type(s) of permits) do you wish to seek authorization?*
© Nationwide Permit (NWP)
❑ Regional General Permit (RGP)
❑ Standard (IP)
This form may be used to initiate the standard/individual permit process with the Corps. Please contact your Corps representative concerning submittals for standard permits. All required items that
are not provided in the E-PCN can be added to the miscellaneous upload area located at the bottom of this form.
1c. Has the NWP or GP number been verified by the Corps?*
r Yes C No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
List all MN numbers you are applying for not on the drop dam in list
1d. Type(s) of approval sought from the DWR:*
check al that aptly
h 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
Pre -Filing Meeting Information
29 - Residential Developments
r 401 Water Quality Certification - E)press
r Riparian Buffer Authorization
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we Will not he able to accept your application without this important first step. The Pre -Filing
Meeting Request Form is used in accordance With 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project proponent shall request a pre -filing meeting With the
certifying agency" and in accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5) all certification requests shall include documentation that a pre -filing meeting request was submitted to the certifying
authority at least 30 days prior to submitting the certification request. Click here to read more information on when this form is needed prior to application submission or here to viewthe form.
ID# Version
20201569 1
Pre -fling Meeting or Request Date

10/23/2020
Attach documentation of Pre -Filing Meeting Request here:*
Pre -Filing Time Clock has been reached for Spring Village - 20201569 Ver 1.msg 158KB
le. Is this notification solely for the record because written approval is not required?
*
For the record only for DWR 401 Certification: O Yes O No
For the record onlyfor Corps Permit: r Yes 6 No
1f. Is this an after -the -fact permit application?*
C Yes E No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
N so, attach the acceptance letter from rritigation bank or inaieu fee program
F Yes O No
Acceptance Letter Attachment
tlickthe upload button a drag and drop files hereto attach docurrent
Spring Village DMS Acceptance.pdf 375.82KB
RETYPE M ST BE FDF
1h.Is the project located in anyof NC's twentycoastal counties?*
O Yes O No
1j. Is the project located in a designated trout watershed?*
O Yes O No
Link to trout information: http://wAAAi.saw.usace.arrny.rnii/Missions/Regulatory-Permit-Program/Agency-CoordinationFFrout.aspx
B. Applicant Information O
la. Who is the Primary Contact?*
Jeff Harbour
1c. PrimaryContact Phone:*
1 b. Primary Contact Email: *
(xxx)xxx-xxxx
[e-mail]
[phone]
1d. Who is applying for the permit?*
rJ Owner
C Applicant (other than owner)
(Check all that apdy)
1e. Is there an Agent/Consultant for this project?
O Yes O No
2. Owner Information
2a. Name(s) on recorded deed:*
Carolina Land Group
2b. Deed book and page no.:
2c. Responsible party:
(for Cr,,Wratiors)
Kirby LaForce
2d. Address*
Street Address
341 Kilmayne Drive
Address Line 2
oty
State I Frovince I legion
Cary
NC
Postal / Zip Cbde
Cbuntry
27511
USA
2e. Telephone Number:*
(xxa)xxx xxxx
[phone]
2f. Fax Number:
(xxa)xxx xxxx
2g. Email Address:*

ca rolinala ndgrou [e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Jeff Harbour
4b. Business Name:
(if apdicable)
Terracon Consultants, Inc
4c. Address*
Street Address
2401 Brentwood Road
Address Line 2
Suite 107
Gty
State I Province I F.-gion
Raleigh
NC
Postal I Zip Qx1e
Qountry
27604
USA
4d. Telephone Number:*
[phone]
(xxz)xxx-xxxz
4e. Fax Number:
(xxz)xxx-zxxz
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Pease provide the Agent Authorization Letter if you are submitting this docunent.
Terracon Agent Authorization Form-2.pdf
FLETYFENtSTBEFOF
302.95KB
C. Project Information and Prior Project History O
1. Project Information U
1a. Name of project:*
Spring Village
1b. Subdivision name:
(d appropriate)
1 c. Nearest municipality I town:
Angier
2. Project Identification (^�
2b. Property size:
2a. Property Identification Number:
(in acres)
(tax FIN or parcel ID)
48
2c. Project Address
Street Address
152 SundownerLane
Address Line 2
Gty
State I Province I Flegion
Angier
NC
Postal I Zip C d.
Country
USA
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey -grade GPS device) after the decimal place as appropriate, based on how the location was
determined. (For example, most mobile phones with GPS provide Iocational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude:* Longitude:*
35.5092-78.7226
ex: 34.208504-77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*

3b. Water Resources Classification of nearest receiving water:*
C: Sw
Surface Water Lookup
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.*
030300060101
River Basin Lookup
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 property is currently agriculture and abandoned residences. Several wooded areas are present and contain delineated and Corps approved wetlands and tributaries. Several man-
made ponds occur on the property as well. Surrounding land use is primarily agriculture and residential areas.
46. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes G No r Unknown
4d. Attach an 8 112 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (far DWR)
tlickthe upload button a drag and drop files hereto attach document
topo.pdf 1.73MB
Fie type rust be pdf
4e. Attach an 8 112 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
dickthe upload button a drag and drop files here to attach document
soils map.pdf 13.56KB
Fie type nust be pdf
4f. List the total estimated acreage of all existing wetlands on the property:
6.5
4g. List the total estimated linear feet of all existing streams on the property:
(intermittent and perennial)
310
4h. Explain the purpose of the proposed project:*
The purpose of the project is to provide affordable single-family homes to this region of Harnett County. The project layout has resulted in an efficient and low impact development that
only results in one small impact for a road crossing.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project as currently designed provides single-family lots and open space that will remain undisturbed. The site will be accessed on Sundowner Lane from NC 210. The project
contains several road stubs that are a requirement of Harnett County for interconn activity and future emergency access. The applicant does not control any activities on the adjoining
parcels where these studs are required to be placed. No detrimental indirect impacts are anticipated to result from this project. Typical construction equipment will be used including
graders, dump trucks, excavators, etc.
4j. Please upload project drawings for the proposed project.
Oickthe upload baton a drag and drop files hereto attach docunent
1633-IMPACT MAP.pdf 1.06MB
Fle type rust be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
(-- Yes C No O Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
6 Preliminary r Approved I- Not Verified C Unknown r' N/A
Corps AID Number:
C anple: SAW-2017-99999
SAW-2020-00870
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Jeff Harbour
Agency/Consultant Company: Terracon
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR.
9/4/2020 USACE PJD

5d1. Jurisdictional determination upload
Click the upload button cr drag and drop files hereto attach docurent
eSAW-2020-00870 Carolina Land Group PJD September 2020.pdf 2.62MB
File type rrust be F➢F
6. Future Project Plans
6a. Is this a phased project?*
r Yes 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? This
includes other separate and distant crossing for linear projects that require Department of the Army authorization but don't require pre -construction notification.
D. Proposed Impacts Inventory O
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
F0 Wetlands F Streams -tributaries F Buffers
r Open Waters F Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
"W." will be used in the table below to represent the word "wetland".
2a. Site #* (') 2a1 Reason*(?) 2b. Impact type * (') 2c. Type of W. * 2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition*0) area*
Imff::1
road crossing P Headwater Forest WHA Yes Both 0.110
acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.110
2g. Total Wetland Impact
0.110
2h. Comments:
NCWAM form attached
E. Impact Justification and Mitigation O
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The engineer has designed the project to avoid all wetlands and voters other than the small impact that is needed for the road crossing. The road
cannot be shifted due to an abutting property line.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
The road crossing is designed to impact the smallest area of wetland while still meeting all necessary engineering criteria. Al applicable BMPs vsll be
used throughout the duration of project construction to prevent any additional wetland or waters disturbance
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
2c. If yes, mitigation is required by (check all that apply):
F_ DWR LJ Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank r 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.
F Yes r No

4b. Stream mitigation requested: 4c. If using stream mitigation, what is the stream temperature:
(linearfeet)
NC Stream Temperature Gassification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS Website.
4d. Buffer mitigation requested (DWR only): 4e. Riparian wetland mitigation requested:
(square feet)
4f. Non -riparian wetland mitigation requested:
(acres)
.11
4h. Comments
(acres)
4g. Coastal (tidal) wetland mitigation requested:
(acres)
applicant is proposing 1.5:1 ratio based on NCWAM rating of medium quality
F. Stormwater Management and Diffuse Flow Plan (required by DWR) U
— Recent changes to the stormwater rules have required updates to this section .-
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?
O Yes
F No
Fora list of options to meet the diffuse flow requirements, dick here.
If no, explain why:
Project is not in a buffered basin or other buffered jurisdiction.
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 15A NCAC 02H .1003(2)?*
C Yes (-- No
To look up low density requirement dick here 15A NCAC 02H .1003(2).
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?
F Yes
(- No
f N/A- project disturbs < 1 acre
Hirt: projects that have vested rights, exemptions, or grandfathering from state or locally irrplerrented stnmwater programs a projects that satisfy state a locally-irrplernented stormater programs through use of mrrttunity irrlieu programs should answer no
to this question.
2d. Which of the following stormwater management program(s) apply (check all that apply):*
r` Local Government r7 State
f you have a local government approval please include the SNPm their overall impact nip.
State Stormwater Programs*
17 Phase II r- Coastal Counties
❑ HWO or ORW r- Other
Comments:
The stormwater on the site will be treated by six wet ponds. The wet ponds are designed in accordance with the current NCDEQ MDC manual. The storm water Will be reviewed and
permitted by NCDEQ DWQ.
G. Supplementary Information O
1. Environmental Documentation
Ia. Does the project involve an expenditure of public (fe de rallstate /local) funds or the use of public (federallstate) 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 21-1.1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15ANCAC 2B.0200)?*
c- Yes
(-- No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality?*
(' Yes (- No

3b. If you answered "no," provide a short narrative description.
The project is not anticipated to be a driver of development that would affect downstream water quality
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
r Yes r Nor N/A
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 C No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
C- Yes r No
5d.Is another Federal agency involved?*
C- Yes r No
5e. Is this a DOT project located within Division's 1-8?*
r Yes G No
5f. Will you cut anytrees 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?*
f Yes F No
Link to the NLEB SLOPES document: http://sav,-reg.usace.amiy.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the constructionlinstallation of a wind turbine(s)?**
r Yes E No
r Unknown
51. Does this project involve (1) blasting, andlor (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?*
Terracon biologists conducted a habitat evaluation and subsequent survey for Michau)es sumac in September 2020. No evidence of this species was
observed.
Consultation Documentation Upload
dickthe upload button a drag and drop files hereto attach document
TE Survey memo September 2020.pdf 93.66KB
Fie type crust be PDF
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes (-- No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOA EFH Mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoAeb/
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 (e.g., National Historic
Trust designation or properties significant in North Carolina history and archaeology)?*
r Yes (-- No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Formal SHPO consultation
7c. Historic or Prehistoric Information Upload
Click the upload button a drag and drop files hereto attach document
SHPO Response Letter.pdf 151.29KB
ER-20-2106.pdf 207.32KB
Fie crust be FCF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMAFloodplain Maps: https://msc.fema.gov/portal/search

8a. Will this project occur in a FEMA-designated 100-year floodplain?*
C Yes r No
8c. What source(s) did you use to make the flood plain determination?*
FEMA website
Miscellaneous U
Comments
Stub roads are a town requirement. The town requires developments to stub to undeveloped properties for cross access. The locations were chosen based on the layout of the internal
streets for the project. The streets were extended to any large undeveloped tracts as required by the town. There is not a requirement as to where on the property that the road is
stubbed as long as it is stubbed. The applicant is not responsible for any activities that may occur an adjacent parcels.
Miscellaneous attachments not previously requested.
tlickthe upload buttm ar drag and drop files hereto attach document
delineation.pdf 1.68MB
Wetland Impact Area.pdf 358.61 KB
NC WAM for impact area.pdf 140.94KB
Re nest be MF or ME
Signature O
m By checking the box and signing below, I certify that:
The projcct proponent hereby cortifies that all information containod hcroin is truc, accuratc, and complete to the best of my knowlodge and bclicf; and
• The project proponent hereby requests that the certifying authority review and take action an 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:*
Jeff Harbour
Signature *
��`'�utafar�t
Date
3/15/2021

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