20210933 Ver 1_ePCN Application_20211007

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
October 26, 2020 Ver 3.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned
20210933
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office *
Raleigh Regional Office - [phone]
Information for Initial Review
1a. Name of project:
Baileywick Road Property
1a. Who is the Primary Contact?*
John (Mark) Ward
1b. Primary Contact Email:*
[e-mail]
Date Submitted
10/7/2021
Nearest Body of Water
Uf to Lower Barton Creek
Basin
Neuse
Water Classification
WS-N; NSW
Site Coordinates
Latitude:
35.912613
Pre -Filing Meeting Information
ID#
20210933
Pre -fling Meeting or Request Date*
5/10/2021
Longitude:
-78.677723
Version#*
1
What amout is owed?*
IT $240.00
r $570.00
Select Project Reviewer*
Bev Strickland:eads\bjstrickland
1c. Primary Contact Phone:*
[phone]
Version
1
Attach documentation of Pre -Filing Meeting Request here:*
Baileywick DWR Pre -Filing Acceptance.pdf 141.87KB
DWR Pre -Filing Meeting Request Form 051021.pdf 44.74KB
A. Processing Information v
County (or Counties) where the project is located:

Wake
Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
P Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
r Yes
r No
1b. What type(s) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
Ild. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
29 - Residential Developments
Ile. Is this notification solelyfor the record because written approval is not required?
For the record onlyfor DWR 401 Certification:
For the record onlyfor Corps Permit:
r 401 Water Quality Certification - E)press
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
W Owner r Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
John Mark Ward
2b. Deed book and page no.:
Book: 15582 , Pg: 1630
2c. Responsible party:
r Yes r No
r Yes r No
2d.Address

Street Address
106 Rose Sky Court
Address tine 2
city
Cary
Postal / Zip Code
27513
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Scott Mitchell
4b. Business Name:
Mitchell Environmental. PA
4c.Address
Street Address
1501 Lakestone Village Lane, Suite 205
Address Line 2
city
Fuquay-Varina
Fbstal / Zip Code
27526
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
USACE NCDENR Mitchell Authorization signed.pdf
State / Rmince / Regim
NC
Country
United States
2f. Fax Number:
State / Province / Rion
NC
Country
United States
4e. Fax Number:
589.75KB
C. Project Information and Prior Project History U
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Raleigh
Project Identification
2a. Property Identification Number:
2b. Property size:
0798573294;0798575238
3.63
2c. Project Address
Street Address
9709 & 9717 Baileywick Road
Address tine 2
CKY
State / Province / Fbgim
Raleigh
NC
Postal / Zip Code
Country
27615
United States
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
UT to Lower Barton Creek
3b. Water Resources Classification of nearest receiving water:*
WS-IV: NSW
3c. What river basin(s) is your project located in?*

Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202010602
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 existing conditions on the site is open and wooded combination. The land use in the general vicinity is mostly residential with 1-540 to the north.
4b. 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 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
NC_Bayleaf_20190730_TM.jpg.pdf 1.7MB
USGS Zoom.pdf 69.93KB
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)
Soil Survey mapl9.pdf 1015.83KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.5459
4g. List the total estimated linear feet of all existing streams on the property:
110
4h. Explain the purpose of the proposed project:*
The purpose of the project is to develop the property into buildable single-family residential lots.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The equipment to be used on this project are those typically used for road and utility infrastructure improvements and grading including excavators, bull dozers, dump trucks, etc.
4j. Please upload project drawings for the proposed project.
Baileywick Rd Wetlands Impacts 071321.pdf 1.38MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
G Yes r No O Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown f N/A
Corps AID Number:
SAW-2021-00670
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: Mitchell Environmental, PA
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR
Corps PJD issued June 9, 2021.
5dl. Jurisdictional determination upload
Baileywick USACE Wetlands Concurrence.pdf 123.7KB
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):
W Wetlands r Streams -tributaries F Buffers
r Open Waters r Pond Construction

2. Wetland Impacts
!a. Site #* (?) 2a1 Reason (?) 2b. Impact type * (?) 2c. Type of W.* 2d. W. name * 2e. Forested* 2f. Type of 2g. Impact
Jurisdicition*(?) area*
Grading P Bottomland Hardwood Forest A Yes Both =(0711
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.078
2h. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
2g. Total Permanent Wetland Impact
0.078
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
All proposed impacts occur in areas created by erosion control measures installed in and around 1999, during soil harvesting operations on this
property. Proposed impacts focus on very narrowditches to minimize the impact area on the site, while also allowing reasonable use of uplands on this
property.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Erosion control measures will be installed at proposed limits of disturbance, and fill slopes will stay out of the primary wetland area on the property.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r^ Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Proposed wetland losses are below mitigation thresholds.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) O
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
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SMNT)
r Other SCM that removes minimum 30 % nitrogen
V 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?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15ANCAC 02H .1003(2)?
r Yes r No
Comments:
F. 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?*
r Yes r No

2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 21-1.1300), 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 f• No
3b. If you answered "no," provide a short narrative description.
The development is not likely to spur cumulative impacts.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r 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?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r Yes r No r Unknown
Se. 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
51. 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?
ipac
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r 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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
HPOWEB 2.0
7c. Historic or Prehistoric Information Upload
HPOWEB.pdf 85.55KB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*

Wake County !Maps Floodplain layer
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
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:
Scott Mitchell
Signature
5�6TT�ii~CtfELL
Date
10/7/2021
u

Mitchell Environmental, P.A.
The Department of the Army
US Army Corps of Engineers
Wilmington District
PO Box 1890
Wilmington, NC 28402-1890
To Whom It May Concern:
AGENT AUTHORIZATION and
PROPERTY OWNER CERTIFICATION FORM
All Blanks to be Filled in by Current Landowner
NCDENR — Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
I, the undersigned, current property owner designate and authorize representatives of Mitchell Environmental,
P.A., 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 the —� day of /90 94" 20__�F2.
(number) (Month) (Year)
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do 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 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.
This notification supersedes any previous correspondence concerning the agent for this project.
Project Name: 1.14-Ai n c g /'mil rs r 3 Location:
Property Owner's Name (Print):yOi4;v A1144 C (AAA-0
Property Owner's
Property Owner's Mailing Address:_ _/0&
Property Owner's Telephone: 4y'l`% <1 .76 oo Fax No.
Property Owner's Email Address: J-;�K46JXAI V- Gtitgf<- - C01,11
1501 Lakestone Village Lane, Suite 205
Fuquay-Varina, North Carolina 27526
919-669-0329

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Scott Mitchell
From: Adam Aycock
Sent: Monday, July 5, 2021 11:36 AM
To: Scott Mitchell
Subject: FW: Baileywick Road Property / Raleigh / Wake County / SAW-2021-00670 /
Jurisdictional Determination
Attachments: Baileywick Road Property Wetlands Delineation.pdf
Baileywick Road email from USACE.
Adam Aycock, El
Environmental Engineer 11
Mitchell Environmental, PA
1501 Lakestone Village Lane
Suite 205
Fuquay-Varina, NC 27526
252-213-1374
From: Phillips, George L CIV USARMY CESAW (USA) <[e-mail]>
Sent: Wednesday, June 9, 2021 3:25 PM
To: Adam Aycock <[e-mail]>
Subject: Baileywick Road Property / Raleigh / Wake County / SAW-2021-00670 / Jurisdictional Determination
Adam,
I do not need to make a site visit for the above referenced project, and concur with the delineation within the pink
outlined "Site Boundary" depicted on the attached "Baileywick Road Property Wetlands Delineation" exhibit. Due to
workload volume it may take 90-120 days for the issuance of a standalone JD, however, you may use the delineation for
planning and permitting purposes. Should the need for a permit arise the JD can be issued with the permit verification.
The AID for this project is SAW-2021-00670. I have attached the "Baileywick Road Property Wetlands Delineation"
exhibit for reference.
Please let me know if you have any questions/concerns.
Lyle Phillips
Regulatory Specialist
US Army Corps of Engineers
CE-SAW-RG-R
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Phone: [phone], Ext. 25.
Fax: [phone]
Email: [e-mail]
We would appreciate your feedback on how we are performing our duties. Our automated Customer Service Survey is
located at https://regulatory.ops.usace.army.mil/customer-service-survey/ . Thank you for taking the time to visit this
site and complete the survey.

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Scott Mitchell
From:
Sent:
To:
Subject:
Attachments:
Adam Aycock, El
Environmental Engineer ll
Mitchell Environmental, PA
1501 Lakestone Village Lane
Suite 205
Fuquay-Varina, NC 27526
252-213-1374
Adam Aycock
Friday, September 10, 2021 7:43 AM
Scott Mitchell
FW: Pre -Filing Time Clock has been reached for Baileywick Road Property - 20210933
Ver 1
DWR Pre -Filing Meeting Request Form.pdf
From: [e-mail] <[e-mail]>
Sent: Thursday, June 10, 2021 12:01 AM
To: Adam Aycock <[e-mail]>
Cc: [e-mail]
Subject: Pre -Filing Time Clock has been reached for Baileywick Road Property - 20210933 Ver 1
The North Carolina Division of Water Resources has received the Pre -Filing Meeting Request Form for Baileywick Road
Property that you submitted on 5/10/2021. The ID number for that project is 20210933, Version 1.
Your Pre -Filing Meeting Request has now reached the 30 calendar days' requirement and your application can now be
accepted.
When you submit your application please upload a copy of the attached document in this email.
This email was automatically generated by Laserfiche workflow. Please do not respond to this email address, as
responses are not monitored.
Internal Use only: Non Transportation

ID#* 20210933
Version* 1
Regional Office * Raleigh Regional Office - [phone]
Reviewer List* Stephanie Goss
Pre -Filing Meeting Request submitted 5/10/2021
Contact Name*
Contact Email Address*
Project Name*
Project Owner*
Project County*
Owner Address:
Adam Aycock
[e-mail]
Baileywick Road Property
John Mark Ward
Wake
Street Address
PO Box 17526
Address Line 2
aty
Raleigh
Postal / Zip axle
27619
Is this a transportation project?* r Yes r No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - F- 401 Water Quality Certification -
Regular Express
F- Individual Permit F- Modification
F- Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes (-- No
State / Province / Pegion
NC
Country
United States
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 project is to develop 3.63 acres into residential lots. The
property is located at 9709 and 9717 Baileywick Road in Raleigh, NC.
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 5/10/2021