20211827 Ver 1_ePCN Application_20211214

DW R
mrlsloa of ware. Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
June 1, 2021 Ver 4.1
Initial Review
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
BIMS # Assigned*
Version#*
20211827
1
Is a payment required for this project?
No payment required
What amout is owed?*
Fee received
$240.00
Fee needed - send electronic notification
$570.00
Reviewing Office*
Select Project Reviewer*
Raleigh Regional Office - [phone]
Colleen Cohn:eads\cmcohn
Information for Initial Review
1a. Name of project:
Bexford
1a. Who is the Primary Contact?*
Matt Michel
1 b. Primary Contact Email: * 1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
12/14/2021
Nearest Body of Water
Terrible Creek
Basin
Neuse
Water Classification
QNSW
Site Coordinates
Latitude:
Longitude:
35.597670
-78.716519
A. Processing Information u
County (or Counties) where the project is located:
Wake
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No
Pre -Filing Meeting Information
Is this a courtesy copy notification?*
Yes No

ID#
Version
Pre -fling Meeting or Request Date
10/14/2021
Attach documentation of Pre -Filing Meeting Request here:
Click the upload button or drag and drop files here to attach document
DWR Pre -Filing Meeting Request Form.pdf
File type must be PDF
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?
Yes
No
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
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:
1f. Is this an after -the -fact permit application?"
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1 h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?"
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
Trustee of Trust The James William Fish Irrevocable
2b. Deed book and page no.:
49.47KB
401 Water Quality Certification - Express
Riparian Buffer Authorization
Yes No
Yes No
2c. Contact Person:
Vivian Fish

2d.Address
Street Address
841 Madison Avenue
Address Line 2
City
Cary
Postal / Zip Code
27513-4339
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Karl Beyer
3b. Business Name:
Terramor Homes
3c.Address
Street Address
7208 Falls of Neuse Road
Address Line 2
Suite 201
City
Raleigh
Postal / Zip Code
27615
3d. Telephone Number:
[phone]
3f. Email Address:*
karl. [e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Matt Michel
4b. Business Name:
4c. Address
Street Address
428 Eastwood Road
Address Line 2
City
Wilmington
Postal / Zip Code
28403
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Fuquay-Varina
2. Proiect Identification
State / Province / Region
North Carolina
Country
USA
2f. Fax Number:
State / Province / Region
North Carolina
Country
USA
3e. Fax Number:
State / Province / Region
North Carolina
Country
USA
4e. Fax Number:

2a. Property Identification Number:
0687425609
2b. Property size:
82
2c. Project Address
Street Address
6490 Hilltop Road
Address Line 2
City
Fuquay-Varina
Postal / Zip Code
27592
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Terrible Creek
3b. Water Resources Classification of nearest receiving water:*
QNSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202010901
4. Project Description and History
State / Province / Region
North Carolina
Country
USA
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 project Site consists of approximately 82 acres and is located at 6490 Hilltop Road in Wake County, North Carolina, near the Town of Fuquay-Varina. The project Site is bound by
residential development, agricultural fields, and forested areas to the north, east, south, and west. Hilltop Road runs from north to south, splitting the site into eastern and western portions.
The site consists of mixed hardwood and pine forests and agricultural land.
The proposed residential development will consist of single-family homes, multi -family townhome buildings, stormwater control measures, utility improvements (i.e. public water supply and
sanitary sewer alignment), and other amenities (i.e. open space).
A delineation of the Site was completed by Environmental Services, Inc., who met with James Lastinger of the USACE for site confirmation on February 4, 2020. A Preliminary
Jurisdictional Determination, SAW-2019-02335, was received on February 19, 2020 confirming the boundaries utilized for avoidance and minimization during project planning.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past? *
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
7.9
4g. List the total estimated linear feet of all existing streams on the property:
2,984
4h. Explain the purpose of the proposed project:
The purpose of the project is to construct a residential development near Fuquay-Varina with community cohesion and the necessary amenities, within southern Wake County.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The proposed residential development is a single -phased residential development project that is located 6490 Hilltop Road in Wake County, North Carolina, near the Town of Fuquay-
Varina.
The project will include single-family homes and multi -family townhome buildings, as well as other associated amenities, including stormwater control measures and utility improvements.
All work will be conducted in accordance with local, state, and federal regulations. Traditional equipment will be used consisting of front-end loaders, bulldozers, paving equipment,
graders, and earth movers. SCMs are required and will be used.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
Comments:
Delineated by Environmental Services, Inc.
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
SAW-2019-02335
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company: Environmental Services, Inc.

Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
A Preliminary Jurisdictional Determination was received from James Lastinger of the USACE on February 19, 2020. A Buffer Determination approval letter was received on December 23,
2019 from Brion Byers with the DWR RRO #19426.
6. Future Project Plans
6a. Is this a phased project?*
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?
No other NWP(s), regional general permit(s), or individual permit(s) are intended to be used. All project impacts are being accounted for in this permit application.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries v Buffers
Open Waters Pond Construction
2. Wetland Impacts
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W. *
2d. W. name*
2e. Forested"
2f. Type of Jurisdicition
2g. Impact
area*
Impact 1
Road crossing
P
Headwater Forest
WI
Yes
Both
0.110
Impact 1
Road crossing
T
Headwater Forest
WI
Yes
Both
(acres)
0.020
Impact 2
Sanitary sewer
T
Headwater Forest
WB
Yes
Both
(acres)
0.050
(acres)
Impact 3
Road crossing
P
Headwater Forest
WB
Yes
Both
0.130
Impact 3
Road crossing
T
Headwater Forest
WB
Yes
Both
(acres)
0.010
Impact 4
Road crossing
P
Headwater Forest
WE
Yes
Both
(acres)
0.090
(acres)
Impact 6
Sanitary sewer
T
Headwater Forest
WE
Yes
Both
0.090
ac es)
2g. Total Temporary Wetland Impact
0.170
2g. Total Wetland Impact
0.500
21. Comments:
2g. Total Permanent Wetland Impact
0.330
Impact 1 (Sheets 1.1-1.1 B) will result in 0.11-ac. of permanent and 0.02-ac. of temporary wetland impacts associated with a road crossing within the
portion of the site to the west of Hilltop Road. Temporary wetland impacts at this impact location will be restored and allowed to naturalize following
completion of the disturbance. This road crossing is necessary to connect the eastern and western portions of the site to the west of Hilltop Road.
Impact 3 (Sheets 1.3-1.3B) will result in 0.13-ac. of permanent and 0.01-ac. of temporary wetland impacts associated with a road crossing within the
portion of the site to the east of Hilltop Road. Temporary wetland impacts at this impact location will be restored and allowed to naturalize following
completion of the disturbance. This road crossing is necessary to connect the northern and southern portions of the site to the east of Hilltop Road.
Impact 4 (Sheets 1.4-1.4B) will result in 0.09-ac. of permanent wetland impacts associated with a road crossing within the portion of the site to the east
of Hilltop Road. This road crossing is necessary to connect the eastern and western portions of the site to the east of Hilltop Road.
Impact 2 (Sheets 1.2-1.213) will result in 0.05-ac. of temporary wetland impacts associated with sanitary sewer installation. Additionally, Impact 6 (Sheets
1.6 and 1.6A) will result in 0.09-ac. of temporary wetland impacts associated with sanitary sewer installation. The sewer lines will be constructed using
the open cut/trench method. Following completion of the disturbance, the areas will immediately be revegetated with a wetland seed mix and will be
regularly maintained, resulting in permanent conversion from forested to herbaceous wetland.
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*
H
Impact act 3
Permanent
Culvert
SA
Perennial
Both
6
Average (feet)
82
(linear feet)

gy
Impact
Permanent
Rip Rap Fill
SA
Perennial
Both
6Average(feet)
1pinearreet)
S3
Impact 3
P
Tem ora
P rY
Culvert
SA
Perennial
Both
6
4
Average (feet)
(linear feet)
S4
Impact 5
p
Permanent
Culvert
SDb
Perennial
Both
5
58
Average (feet)
(linear feet)
SS
Impact 5
p
Permanent
Rip Rap Fill
p P
SDb
Perennial
Both
5
12
Average (feet)
(linear feet)
S6
Impact 5
P
Tem ora
P rY
Culvert
SDb
Perennial
Both
5
5
Average (feet)
(linear feet)
g7
Impact 6
Temporary
Other
SIB
Perennial
Both
20
Average (feet)
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
3i. Total permanent stream impacts:
167
31. Total stream and ditch impacts:
196
3j. Comments:
3i. Total temporary stream impacts:
29
Impact 3 (Sheets 1.3-1.313) will result in 82-I.f. (483-sq.ft.) of permanent and 4-I.f. (24-sq.ft.) of temporary stream impacts associated with a proposed
road crossing. The road crossing will consist of 2, 18" corrugated metal pipes (CMP) with headwalls at the up- and downstream portions of the crossing.
Additionally, 15-I.f. (87-sq.ft.) of permanent - no loss stream impacts associated with rip rap dissipater pad installation are proposed. Rip rap will be
keyed into the streambed, allowing for the safe passage of aquatic life. The proposed road crossing is necessary to connect the northern and southern
portions of the site to the east of Hilltop Road.
Impact 5 (Sheets 1.5-1.513) will result in 58-I.f. (314-sq.ft.) of permanent and 5-I.f. (34-sq.ft.) of temporary stream impacts associated with a proposed
road crossing. The road crossing will consist of 2, 24" CMPs with headwalls at the up- and downstream portions of the crossing. Additionally, 12-I.f. (50-
sq.ft.) of permanent - no loss stream impacts associated with rip rap dissipater pad installation are proposed. Rip rap will be keyed into the streambed,
allowing for the safe passage of aquatic life. The proposed road crossing is necessary to connect the northern and southern portions of the site along the
easternmost site boundary.
Impact 6 (Sheets 1.6 and 1.6A) will result in 20-I.f. (155-sq.ft.) of temporary stream impact associated with sanitary sewer line installation. The sewer line
will consist of 8" PVC pipe encased in concrete and 8" Ductile Iron Pipe (DIP) where it occurs below the stream. The sewer line will be installed using the
open cut/trench method. The sanitary sewer crossing has been aligned to cross the stream as close to a 90-degree angle as possible and the stream
will be restored following completion of the disturbance.
4. Open Water Impacts
4a. Site #
4at. Impact Reason
4b. Impact type
4c. Name of waterbody
4d. Activity type :114e.
Waterbody type
4f. Impact area
Impact 7
Pond Breach
P APB
Drainage
Pond
0.01
4g. Total temporary open water Impacts:
0.00
4g. Total open water impacts:
0.01
4g. Total permanent open water impacts:
0.01
4h. Comments:
Impact 7 (Sheet 1.7) will result in 0.01-ac. (277-sq.ft.) of impacts to an existing manmade pond associated with breaching the pond's dam. The open
water feature will be allowed to naturalize to a stream and/or wetland complex and is not proposed as developable area at this time.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
Neuse Tar -Pamlico
Catawba Randleman
Goose Creek Jordan Lake
Other
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Pond Breach (Impact 7)
T 11
UT to Terrible Creek
No
1,150 11
127
Road crossing (Impact 3)
P 11
UT to Terrible Creek
No
6,293
4,230
Road crossing (Impact 5)
P 11
UT to Terrible Creek
No
4,608
2,776
Sanitary sewer (Impact 6)
T 11
UT to Terrible Creek
No
1,438 11
1,013
Grading (Impact 8)
P
UT to Terrible Creek
No
0
607
Grading (Impact 9)
P
UT to Terrible Creek
No
0
7,415

Grading (Impact 10)
P
UT to Terrible Creek
No
0
2,386
Grading (Impact 11)
P
UT to Terrible Creek
No
0 11
1,181
Grading (Impact 12)
P
UT to Terrible Creek
No
0
410
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 2,588.00 1,140.00
Zone 1 Zone 2
Total Permanent impacts: 10,901.00 19,005.00
Zone 1 Zone 2
Total combined buffer impacts: 13,489.00 20,145.00
61. Comments:
The proposed project will result in 1,150-sq.ft. of Zone 1 and 127-sq.ft. of Zone 2 buffer impacts from Impact 7 (Sheet 1.7), associated with the breaching
of a manmade pond's dam to drain the pond. The pond will be allowed to naturalize for at least 6 months and a new riparian buffer will be established
through natural regeneration within 50-feet of any stream that naturally forms in the drained pond area. This activity is Deemed Allowable pursuant to the
15A NCAC 02b .0714 Table of Uses and does not require authorization or mitigation.
The proposed project will result in 6,293-sq.ft. of Zone 1 and 4,230-sq.ft. of Zone 2 buffer impacts associated with a road crossing at Impact 3 (Sheets
1.3-1.313) and 4,608-sq.ft. of Zone 1 and 2,776-sq.ft. of Zone 2 buffer impacts associated with a road crossing at Impact 5 (Sheets 1.5-1.513). Both road
crossings were aligned to cross the streams as close to 90-degrees as possible. Both road crossings will result in less than 1/3-acre of riparian buffer
impacts and therefore, pursuant to the Table of Uses in 15A NCAC 02b .0714, do not require mitigation.
The proposed project will result in 1,438-sq.ft. of Zone 1 and 1,013-sq.ft. of Zone 2 buffer impacts associated with sanitary sewer line installation. The
sanitary sewer line has been aligned to the stream as close to a 90-degree angle as possible and will consist of a 30-ft. wide permanent maintenance
corridor and a construction corridor less than 150-ft. Therefore, pursuant to 15A NCAC 02b .0714, the buffer impacts resulting from sewer line
installation do not require mitigation.
The proposed project will result in a total of 11,999-sq.ft. of Zone 2 impacts associated with grading at Impacts 8, 9, 10, 11, and 12 (Sheets 1.11 and
1.12). Grading will only be conducted in Zone 2 and will not compromise the health of vegetation in Zone 1 or create concentrated stormwater runoff
through the buffer. All disturbed areas will be stabilized and revegetated once the disturbance is complete. Therefore, pursuant 15A NCAC 02b .0714,
buffer Impacts 8, 9, 10, 11, and 12 are Deemed Allowable and do not require mitigation.
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:
Impacts to jurisdictional features have been avoided and minimized to the maximum extent practicable by incorporating resourceful site planning,
including utilization of the wetland/stream delineation to adjust the layout of the Site design to avoid and minimize impacts. The remaining impacts
proposed are necessary in order for the project's goals to be realized.
For this project, retaining walls and steep slopes were used as much as possible in order to reduce stream and wetland impacts. Culverts have been
proposed in certain areas to maintain hydrologic connection between features and avoid indirect losses of wetlands. Stream crossings were designed to
avoid sinuous portions of the streambed and to cross the stream at as much of a 90-degree angle as possible.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Proper sedimentation and erosion control methods will be utilized during all phases of construction and installation as described in accordance with the
requirements of the North Carolina Department of Environment and Natural Resources: Erosion Control Planning and Design Manual (May 2013) and
local codes. All work will take place during dry conditions and can be facilitated from high, non -jurisdictional, stable ground. The contractor shall install
silt fence, inlet protection, sediment traps, division ditches, temporary coffer dams, tree protection, and clearing only as necessary to install devices. All
erosion and sediment control measures will be checked for stability and operation following every runoff producing rainfall, but in no case less than once
every week. Any needed repairs will be made immediately to maintain all measures designed. An erosion control inspections report is required and will
be kept by the owner's representative.
Temporary seeding and permanent seeding plans are included to restore impacted areas. The project will meet all relative requirements of Best
Management Practices and Engineered Stormwater Control Structures as outlined through State and Local Stormwater Rules. Measures will be taken to
prevent oil, tar, trash, debris, and other pollutants from entering adjacent jurisdictional features. Any excess excavated materials not utilized as back TII
will be placed and contained within upland areas and permanently stabilized to prevent erosion into adjacent jurisdictional features. Therefore,
stockpiling of excavated material within jurisdictional waters of the U.S. will be strictly prohibited as part of the construction of this project. All project
construction activities initiated within jurisdictional waters of the U.S. will be carried to completion in an expeditious manner to minimize the period of
disturbance within jurisdictional waters.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
Yes No
u
2c. If yes, mitigation is required by (check all that apply):
DWR Corps

2d. If yes, which mitigation option(s) will be used for this project?
Mitigation bank Payment to in -lieu fee program Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Falling Creek Umbrella Mitigation Bank
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Riparian wetland 0.82
3c. Comments
The proposed project will result in a total of 13,489-sq.ft. (0.31-ac.) of Zone land 20,145-sq.ft. (0.46-ac.) of Zone 2 riparian buffer impacts resulting from
a pond dam breaching, two road crossings, a sanitary sewer line crossing, and grading, as detailed in Section D, item 6 above. Pursuant to 15A NCAC
02b .0714, all proposed riparian buffer impacts are Deemed Allowable or Allowable with Authorization and do not require mitigation. Therefore, riparian
buffer mitigation is not proposed.
The proposed project will result in a total of 140-I.f. (0.018-ac.) of permanent stream impacts and are below the mitigation threshold as outlined in the
conditions of NWP 29 and the USACE Wilmington District's Regional General Conditions. Therefore, stream mitigation is not proposed.
The proposed project will result in a total of 0.34-ac. of permanent and 0.17-ac. of temporary wetland impacts, as well as 0.01-ac. of permanent impacts
to open waters. Of the 0.17-ac. of temporary wetland impacts, 0.14-ac. will result from permanent conversion from forested to herbaceous wetland. All
permanent wetland impacts are proposed to be mitigated at a 2:1 ratio and the 0.14-ac. of temporary wetland impacts from permanent conversion from
forested to herbaceous wetland are proposed to be mitigated at a 1:1 ratio. Therefore, 0.82 wetland mitigation credits are proposed to be purchased
from Wildlands Holdings' Falling Creek Umbrella Mitigation Bank.
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.
Yes No
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30 % nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?"
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes 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 No
N/A - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
Local Government State
Local Government Stormwater Programs
Phasell NSW USMP Water Supply
Please identify which local government stormwater program you are using.
Wake County
State Stormwater Programs
Phase II
HWQ or ORW
Comments:
Coastal Counties
Other

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?*
Yes No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
Yes 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 is a single phased project and this permit is to provide impacts for the overall development of the project. The project will be completed with
appropriate land use control measures in place for specific areas which require them.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No 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 No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
Yes No Unknown
5e. Is this a DOT project located within Division's 1-8?
Yes No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes 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.?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
A Threatened and Endangered Species review was completed by Soil and Environmental Consultants (S&EC) and is included in the attached
deliverables. The USFWS official IPaC database report identified seven endangered and threatened species, including the red -cockaded woodpecker,
dwarf wedgemussel, Michaux's sumac, yellow lance, Carolina madtom, Neuse river waterdog and Atlantic pigtoe. It was concluded that the proposed
project would have "No effect" on any of the listed species. The North Carolina National Heritage Program (NCNHP) report did not identify any Federally
threatened or endangered species with the project area or within one mile of the project area.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?
Yes 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 No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
A search of the North Carolina Natural Heritage Preservation Office's online database (HPOWEB) was conducted within a 1-mile radius of the proposed
project limits by Timmons Group on 10/15/2021. No historical places were listed within or in the immediate vicinity of the Site's boundaries. One Study
Listed resource, Rowland Farm was listed within a 1-mile radius of the project Site. This resource is located approximately 0.5-miles from the project
boundaries. Due to the distance from the Subject Property, this resource will not be affected by the proposed project. Thus, it is the opinion of Timmons
Group that this project will not have any effect on significant Cultural Resources.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?"
Yes No
8c. What source(s) did you use to make the floodplain determination?"
FEMA FIRM Panel 3720068700J (effective 5/2/2006) was used to make the floodplain determination. The Subject Property occurs within Zone X - Area
of Minimal Flood Hazard.
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.
Click the upload button or drag and drop files here to attach document
Bexford SD - ePCN Deliverables.pdf 34.63MB
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Comments
Signature
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:
SydniL.Law
Signature
1� .Ie
Date
12/14/2021