20210224 Ver 1_Pre-Construction Notification (PCN) Form Updated 12-16-2021_20211216

DWR
Division of Water Resources
Pre -Construction Notification (PCN) Foi
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
June 1, 2021 Ver 4.1
This PCN modification is in
response to the "Request for
more information" email from
Paul Wojoski with the
NCDWR on November 16,
2021.
Sianed Camden M. Brunick
Please note: fields marked with a red asterisk below are 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://edoes. deq. n e.gov/WaterResou rces/0/ed oc/624704/PCN % 20 Help / 20F i le / 202018-1-30. pdf
A. Processing Information
County (or Counties) where the project is located:*
Durham
Is this a NCDMS Project*
r Yes C No
Click Yes, only if NCDlvS is the applicant a co -applicant.
Is this project a public transportation project?
C Yes F No
This is arty publicly funded by nunicipal,state a federal funds road, rail, airport transpafatm project.
1a. 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 permit(s) do you wish to seek authorization?*
IJ Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified bythe Corps?*
r Yes F No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
List all NJVnurbers ycu are applying fa not m the drop dawn list.
1d. Type(s) of approval sought from the DWR:*
check all that apply
401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual 401 Water Quality Certification
Pre -Filing Meeting Information
29 - Residential Developments
r 401 Water Quality Certification - Express
IJ Riparian Buffer Authorization
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not be 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.
Is this a courtesy copy notification?
C Yes E No
ID# Version
20210224 1
Pre -fling Meeting or Request Date

2/1 /2021
Attach documentation of Pre -Filing Meeting Request here:*
Cickthe upload button a drag and drop files here to attach dccurrent
DWR Pre -Filing Meeting Request Form.pdf 51.06KB
File type crust be FLF
1e. Is this notification so lelyfor the record because written approval is not required?
*
For the record onlyfor DWR401 Certification: C Yes 6' No
For the record onlyfor Corps Permit: C Yes 6' No
1f. Is this an after -the -fact permit application?*
C Yes (-- No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
If so, attach the acceptance letter from ratigadon bank a in -lieu fee program
6 Yes O No
Acceptance Letter Attachment
Cickthe upload button a drag and drop files here to attach dccurrent
FiLEiYFE MJST BE FDF
1 h. 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?*
f Yes F No
Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
la. Who is the Primary Contact?*
Camden Brunick
1c. Primary Contact Phone:*
1b. Pri mary Contact Email:*
(xxx)xxx-xxxx
[e-mail]
[phone]
1d. Who is applying for the permit?
F- Owner
Applicant (other than owner)
(Check all that apply)
le. Is there an Agent/Consultant for this project?*
F Yes f No
2. Owner Information
2a. Name(s) on recorded deed:*
Faith Community Church International Inc
2b. Deed book and page no.:
DB: 005976 DP: 000241
2c. Contact Person:
(fa Corpvations)
2d. Address*
Sheet Address
4903 N. Ro)boro St.
Address Line 2
aty
State / Aovince / Pegicn
Durham
NC
Postal / Zp Code
Country
27704
USA
2e. Telephone Number:*
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]

........
2a. Name(s) on recorded deed:*
Point Ridge Park, LLC
2b. Deed book and page no.:
DB:009162 DP: 000732 R DB:009082 DP: 000998
2c. Contact Person:
(fa Corpvatims)
Keith Brown
2d. Address*
Street Address
388 Old Piedmont Circle
Address Line 2
aty
State / Aovince / Regim
Chapel Hill
NC
Postal / Zp Code
Country
27516
USA
2e. Telephone Number:*
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:*
Jonathan Holtvedt
3b. Business Name:
(d applicable)
Terramor Homes
3c. Address*
Street Address
7208 Falls of Neuse Road
Address Line 2
Qty
State / Aovince / Regim
Raleigh
NC
Fbstal / Zp Code
Country
27615
USA
3d. Telephone Number:*
[phone] 3e. Fax Number:
(xxx)xxx-xxxx (xxx)xxx-xxxx
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:*
Camden Brunick
4b. Business Name:
(d applicable)
Soil R Environmental Consultants, PA
4c. Address*
Street Address
8412 Falls of Neuse Road, Suite 104
Address Line 2
Qty
State / Aovince / Regim
Raleigh
NC
Fbstal / Zp Code
Country
27615
USA
4d. Telephone Number:*
4e. Fax Number:
[phone]
[phone]
(xxx)xxx-xxxx
(xxx)xxx-xxxx

4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History U
1. Project Information
1a. Name of project:*
Westpoint
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality / town:
*
Durham
2. Project Identification lJ
2a. Property Identification Number:
(tax RN a parcel ID)
0824-04-72-6918, 0824-42-93-2948, 0824-
2b. Property size:
18-41-0604, 0824-62-66-1033 R 0824-04-72-
(in acres)
4752
+/- 64.39
2c. Project Address
Street Address
5001 N. Roxboro Street
Address Line 2
aty
State / Aovince / Regim
Durham
NC
Postal / Zp Code
Country
27704
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 howthe location was
determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude:* Longitude:*
36.065080-78.910180
ex: 34.208504-77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Jumping Run and UT to Eno River
3b. Water Resources Classification of nearest receiving water:*
WS-IV;NSW and WS-IV,B;NSW
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.*
030202010304
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:*
Existing conditions onsite consists primarily of forested land with some structures located adjacent to North Roxboro Street. There are also two existing 30' sewer easements located on
the far eastern and western property respectively. Specifically, there are three (3) perennial streams (SA, SE, R SF), two (2) wetland features (W1 R W3), and two (2) linear wetlands
(LWI and LW01) located on the property. 'SE' bounds the property on the far west. 'SF' is located in the southern portion of the property near the stubbed road on Stadium Drive and
features adjacent wetland 'W3'.'SA' is located on the far eastern portion of the property and features adjacent wetlands'W1, LWI R LW01'. General land use in the vicinity of the project
is primarily forested land with some residential neighborhoods to the south.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
r Yes E No r Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
Approximately 0.34 acres

4g. List the total estimated linear feet of all existing streams on the property:
(intermittent and pffenrial)
Approximately 1,984 LF
4h. Explain the purpose of the proposed project:*
The purpose of this project is to construct a mixed use single-family and multi -family residential development and its necessary infrastructure.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The overall project consists of the construction of a mixed use single-family and multi -family residential development inlcuding but not limited to; roadway infrastructure, residential lots,
greenway, utilities, SCM's, and clubhouse/amenities. Specifically, there is one (1) road crossing that impacts streams, wetlands, and riparian buffers and two (2) utility crossings that
impact wetlands and buffers. Equipment typically used for construction and earthwork such as backhoes, bulldozers, excavators, graders, pavers etc. will be utilized for this project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r- Yes r No f Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r- Preliminary r Approved f Not Verified !Unknown r N/A
Corps AID Number:
Exarrple: SAW-2017-99999
SAW-2006-40196
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Steven Ball
Agency/Consultant Company: Soil R Environmental Consultants, PA
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR.
USACE: Site visit and field determination made by Ross Sullivan and April Norton on May 1, 2019.
NCDWR: Site visit and field determination made by Cheng Zhang on May 20, 2019 (NBRRO #19-141).
***Note that "Preliminary JD" not issued to date, preliminary was checked at C5b to provide this data box for project details.***
6. Future Project Plans
6a. Is this a phased project?*
r• Yes r No
6b. If yes, explain.
The project will be phased internally as shown on attached overall map.
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.
It is my understanding that there are no intended future phases beyond the property boundaries shown. Therefore, no additional NWP, Regional General Permits, or IP are anticipated.
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
fJ Wetlands ro- Streams -tributaries 12 Buffers
r Open Waters r 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".
Impact Al
Impact Al
2a1 Reason*(?)
Road Crossing -Fill
Road Crossing -Fill
2b. Impact type*(?)
P
P
2c. Type of W.
Bottomland Hardwood Forest
Bottomland Hardwood Forest
2d. W. name*
Linear Wetland I
Linear Wetland L
2e. Forested*
Yes
Yes
2f. Type of
Jurisdicition*(?)
Both
Both
2g. Impact
area
0.007
acres)
0.008
(acres)
Impact Al
Road Crossing -Fill
P
Bottomland Hardwood Forest
W1
Yes
Both
0.089
(acres)

ImpactA2
Utility Crossing
(Permanent -no
permanent loss)
P
Bottomland Hardwood Forest
W1
Yes
Both
0.011
(acres)
Impact A2
Utility Crossing
(Permanent -no
permanent loss)
P
Bottomland Hardwood Forest
Linear Wetland L
Yes
Both
0.002
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.117
2g. Total Wetland Impact
0.117
2i. Comments:
Total Permanent Wetland Loss impact = 0.104 ac Total Permanent -No Permanent Loss impact = 0.013 ac
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites impacted.
"S." will be used in the table below to represent the word "stream".
3a. Reason for impact*(')
3b.lmpact type *
3c. Type of impact*
3d. S. name*
3e. Stream Type*
��3f. Type of
3g. S. width *
3h. Impact
M
Jurisdiction*
length*
S1
Impact AlRoadCrossin
p 9-
Permanent
Culvert
StreamA
Perennial
Both
9
89
Culvert
Average (feet)
(linear feet)
gp
Impact Al -Rip Rap Dissipator
Permanent
Other
StreamA
Perennial
Both
12
Pad (Permanent -No
Average(feet)
1(limar feet)
Permanent loss)
S3
Impact Al -Road Crossing -
Temporary
Other
Stream A
Perennial
Both
9
14
Temporary Construction Access
Average (feet)
linear feet
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
141
3i. Total temporary stream impacts:
14
3i. Total stream and ditch impacts:
155
3j. Comments:
Permanent loss stream impacts = 0.19 acres (842 SF) Permanent -no Permanent loss stream impacts = 10.01 acres (615 SF)
6. Buffer Impacts (for DWR)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts below.
6a. Project is in which protect basin(s)? *
Check all that apply.
IJ Neuse r Tar -Pamlico
r Catawba r Randleman
r Goose Creek r Jordan Lake
r Other
6b. Impact Type*(?)
Impact Al -Road Crossing
6c. Per or Temp* (?)
P
6d. Stream name*
StreamA
6e. Buffer mitigation required?*
No
7
6f. Zone 1 impact*
8,31E
(square feet)
6g. Zone 2 impact*
4,833
(squarefeet)
ImpactA2-Utility Crossing/SewerReplacement
P
StreamA
Yes
square feet)
764
(square feet)
Impact B1-Utility Crossing
P
Stream F =�=::::
460
(square feet)
1,388
(square feet)
6h. Total buffer impacts:
Zone 1 Zone 2

Total Temporary impacts: 0.00
0.00
Zone 1
Zone 2
Total Permanent impacts: 8,776
6,985
Zone 1 Zone 2
Total combined buffer impacts: 8.776 6,985
6i. Comments:
. It should be noted that Impact area B2 (stormvvater outlet pipe) on the impact maps have
been determined "deemed allowable" per the Neuse River Buffer rules (15A NCAC 02B .0714) item (9(b)(viii)) and item (9(b)(ii)).
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:*
SREC completed a wetland and stream delineation as well as a Neuse River Buffer evaluation for the entire property in order to identify natural
resources so that impacts could be avoided and minimized to the maximum extent practicable. Impact area Al is proposed permanent buffer, stream,
and wetland impacts for a road crossing. Retaining walls have been utilized to minimize stream impacts. A riprap dissipator that will be utilized to
reduce flow velocities and minimize stream degradation. This road crossing is necessary to provide access to the entire property from North Roxboro
Street. Compensatory mitigation at a 2:1 ratio is proposed to offset permanent stream and wetland losses. Impact area A2 is proposed permanent
buffer and permanent -no permanent loss wetland impacts for a sewer replacement. These impacts are necessary to replace the existing sewer that
has some leaks from the age and material of the pipe. It should be noted the exsting pipe is vitrified clay that is notorious for inflow and infiltration and
will be replaced with a ductile iron pipe to reduce effects. The city also believes that the road construction will compromise the pipe and would prefer to
replace the line ahead of installing road fill. Compensatory mitigation at a 1:1 ratio for permanent -no permanent wetland impacts w4ilfe-fvr
Impact area B1 is proposed riparian buffer impacts for a utility crossing. This impact is necessary to
connect to the exsting sewer line and cannot be made within the existing street due to the angle of the existing sewer main. Impact area B2 is
proposed Zone 2 buffer impacts for a stormvvater pipe outlet. Per the Neuse River Buffer rules (15A NCAC 02B .0714) item (9(b)(viii)) and item (9(b)
(ii)) this impact is considered "deemed allowable".
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
For the proposed road crossing (connection to Roxboro Rd), the proposed grade of the road is proposed to be as low as reasonably possible given
the required storm drain culvert size, extending a public water line over the culvert, and maintaining cover over the water line. By keeping the road as
low as possible, the amount of disturbance is limited by keeping the fill slopes as short as possible. During construction of the road through the stream
and wetlands, cofferdams and a pump around will be used so that the work occurs in dry conditions and the mitigate against sediment laden runoff
entering the stream. Additionally, diversion ditches will be installed uphill of the crossing to limit the amount of runoff that enters the work area. These
ditches will drain to sediment basins. In addition silt fence will be installed both upstream of these areas as well as around the work area in the stream
and wetland. Lastly, the intent would be for this work to occur during a dry period.
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):
fJ DWR
r Corps
2d. If yes, which mitigation option(s) will be used for this project?
PF Mitigation bank Cj Payment to in -lieu fee r Permittee Responsible
program Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Falling Creek Stream and Wetland Umbrella Mitigation Bank
3b. Credits Purchased/Requested (attach receipt and letter)
.................... .
Type: Quantity:
Riparian wetland
0.22 acres
3c. Comments
Permanent loss wetland impacts have been proposed at 2:1 rati 4,503 SF x 2 = 9,006SF/43,560 = 0,207 ac; ermanent-no permanent loss wetland
impacts have been proposed at a 1:1 ratio 548 SF x 1 = 548SF/43,560 = 0.013 ac. Total = 0.207 ac
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website.
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more
information.
O Yes 0 No

6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation calculate the amount of mitigation required in the table below.
6c. Reason for impact 6d. Total impact Multiplier 6e. Required mitigation
(square feet) (square feet)
Zone 2
6f. Total buffer mitigation required
-4+vL
6g. If buffer mitigation is required, is payment to a mitigation bank or NC Division of Mitigation Services proposed?
XYes )"No
6j. Comments:
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?
R Yes r No
1 b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the project is subject to a state implemented riparian buffer protection
program, include a plan that fully documents how diffuse flowwill be maintained.
All Stormwater Control Measures (SCM)s must be designed in accordance with the NC Stormwater Design Manual. Associated supplement forms and other documentation shall be
provided.
What type of SCM are you providing?
❑ Level Spreader
r" Vegetated Conveyance (lower SHWT)
r" Wetland Swale (higher SHWT)
[J Other SCM that removes minimum30% nitrogen
❑ Proposed project will not create concentrated stormwater flowthrough the buffer
(check ail that apply)
For a list of options to meet the diffuse flow requirements, click here
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
f Yes F No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)? *
f Yes F No
To look up lowdensity requirement click 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?
G Yes f No
r N/A - project disturbs < 1 acre
Hn[: projects that have vested righs, exerrptiors, a graidrathering fron state a locally inplerented stamvater programs a projects that satisfy state a locally-irr1 lerrented stamvater programs though use of ccrrnnity inlieu programs should answer no
to this question.
2d. Which of the following stormwater management program(s) apply (check all that apply):*
[j Local Government r" State
If you have a local governrren[ approval please indude the SlvPon Cher overall inpact crap.
Local Government Stormwater Programs*
rJ Phase II NSW
❑ USMP Water Supply
Please identifywhich local government stormwater programyou are using.*
City of Durham
Comments:

G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
f Yes f 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 (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water quality?*
C Yes (-- No
3b. If you answered "no," provide a short narrative description.
We have reviewed the "Draft Internal Policy, Cumulative impacts and the 401 Water Quality Certification and Isolated Wetlands Programs" document
prepared by the NC Division of Water Quality on April 10, 2004, version 2.1. The draft states that many private developments are unlikely to cause
cumulative impacts, including projects such as urban in -fill, most residential subdivisions and small commercial developments as well as agricultural
and silvicultural operations. The Westpoint project is a residential development. Additionally, the project is located within the City of Durham ETJ,
therefore the adjacent properties that have potential for development will have the following regulations to protect downstream waters: 1) the Neuse
River Basin Riparian Buffer Protection regulations, these regulations require limited development within the riparian buffer area, in addition Best
Management Practices may be required that control nitrogen if diffuse flowcannot be achieved; 2) the Water Supply, Watershed Protection Program
which limits development densities as well as requires protective riparian buffers; 3) the Phase II NPDES Stormwater Permit Program, this program
includes permitting requirements for Municipal Separate Storm Sewer Systems (MS4s) in addition to post -construction stormwater management
requirements. We anticipate that the DWR will advise us if any additional information is needed.
4. Sewage Disposal (DWR Requirement)
4a.Issewage disposal required by DWR for this project?*
G Yes r Nor 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.
Non -discharge wastewater will be generated and treated at the North Durham Water Reclamation Facility which has a capacity of 20 MGD.
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?
G Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
c Yes C No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
0 Yes C No n Unknown
5e. Is this a DOT project located within Division's 1-8?*
C Yes C No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?*
6Yes 0No
5g. Does this project involve bridge maintenance or removal?*
r Yes E No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-1,0-17-signed_NLEB-SLOPESRapps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?'*
f 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?*

SREC completed a Threatened R Endangered Species Report, to include a Self -Certification letter through the US Fish R Wildlife Service (USFWS), a
query through the NC Natural Heritage Program database, and an official Species List through the iPac. A formal request was sent to the USFWS on
April 13, 2020 with updates sent on May 15, 2020. SREC received response from USFWS on May 15, 2020 that they concurred with the
determinations made by SREC that the proposed actions is not likely to adversely affect any federally -listed endangered or threatened species, their
formally designated critical habitat, or species currently proposed for listing under the Endangered Species Act (ESA). Additionally, SREC updated this
Threatened R Endangered Species report and sent to USFWS on June 30, 2021. Please see attached SREC Threatened R Endangered Species
report and correspondence from USFWS.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?
f Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
The NOAA Habitat Conservation/Habitat Protection: National Marine Fish Service; Essential Fish Habitat Mapper website was referenced. No Essential
Fish Habitat was identified near the project.
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.neder.gov/hpoweb/
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 historyand archaeology)?*
r Yes E No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
The NC State Historic Preservation Office HPOWEB GIS Service interactive map was referenced on May 12, 2021, no historic listings or study list
entries or determined eligible listings were identified within the property boundaries. It should be noted prior to the date mentioned, an environment
review request was submitted on behalf of SREC on March 11, 2020. SREC received concurrence from the State Historic Preservation Office that
there are no historic resources which would be affected by the project. Please see attached ER letter and SHPO Environmental Review Request
packet.
8. Flood Zone Designation (Corps Requirement)
Link to the FEMAFIoodplain Maps: https://rrse.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain?
6 Yes r No
8b. If yes, explain how project meets FEMA requirements:
The only disturbance within the floodplain is the connection to an existing sanitary sewer outfall (no impacts or negative effects to the floodplain) and
the installation of a drainage conveyance from one of the primary SCM's located on the western side of the property. These disturbances to not
impacts wetlands/waters.
8c. What source(s) did you use to make the floodplain determination?*
NC Flood Risk Information System Floodplain Mapping Program and confirmation from the project engineer.
Miscellaneous
Comments
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.
Click the upload button a drag and drop files here to attach docurrent
PCN Attachments_Westpoint.pdf
File mst be FLF a lQvI7
Signature
rJ By checking the box and signing below, I certify that:
27.6MB
• 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 CWA401 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:*
Camden Brunick
Signature *

Date
9/16/2021