20220007 Ver 1_ePCN Application_20211222

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Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
December 6, 2021 Ver 4.2
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#*
20220007
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:
Sippihaw Springs
1a. Who is the Primary Contact?*
Nick Tudor
1 b. Primary Contact Email: * 1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
12/22/2021
Nearest Body of Water
Black Creek (Partins Pond, Panther Lake)
Basin
Neuse
Water Classification
B; NSW
Site Coordinates
Latitude:
Longitude:
35.587866
-78.759860
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
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):
18- Minor Discharges
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:
Southview Self Storage, LLC
2b. Deed book and page no.:
016514 02067
2c. Contact Person:
Don Wellons
2d.Address
Street Address
1816 Old Bramble Lane and 6008 S NC Hwy
Address Line 2
City
Fuquay-Varina
Postal / Zip Code
27526
2e. Telephone Number:
[phone]
2g. Email Address:
[e-mail]
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
North Carolina
Country
United States
2f. Fax Number:
Yes No
Yes No
U

2a. Name(s) on recorded deed:
Francisco Rodriguez and Juana Deleon Rodriguez
2b. Deed book and page no.:
009256 01784
2c. Contact Person:
2d.Address
Street Address
6316 S NC Hwy
Address Line 2
City
Fuquay-Varina
Postal / Zip Code
27526
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Willow Creek II Homeowners Association Inc.
2b. Deed book and page no.:
018620 02678
2c. Contact Person
2d.Address
Street Address
c/o Associa H. R. W. Management, AAMC — 4700 Homewood Ct
Address Line 2
City
Raleigh
Postal / Zip Code
27609
2e. Telephone Number:
[phone]
2g. Email Address:
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Seth Thompson
3b. Business Name:
Wellons Construction
3c.Address
Street Address
PO Box 730
Address Line 2
City
Dunn
Postal / Zip Code
28335
3d. Telephone Number:
[phone]
3f. Email Address:
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Nick Tudor
4b. Business Name:
Timmons Group
State / Province / Region
North Carolina
Country
United States
2f. Fax Number
State / Province / Region
North Carolina
Country
United States
2f. Fax Number
State / Province / Region
North Carolina
Country
United States
3e. Fax Number:

4c.Address
Street Address
5410 Trinity Rd.Suite 102
Address Line 2
City
Raleigh
Postal / Zip Code
27607
4d. Telephone Number:
[phone]
4f. Email Address:
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
State / Province / Region
North Carolina
Country
United States
4e. Fax Number:
1c. Nearest municipality / town:
Fuquay-Varina
2. Project Identification
2a. Property Identification Number:
0676183978, 0676195616, 0676280719,
2b. Property size:
0676189573
10.02 acres
2c. Project Address
Street Address
1816 Old Bramble Lane
Address Line 2
City
State / Province / Region
Fuquay-Varina
North Carolina
Postal / Zip Code
Country
27526
United States
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Black Creek (Partins Pond, Panther Lake)
3b. Water Resources Classification of nearest receiving water:*
B; 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.
030202011201
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
The Site encompasses approximately 10.02 acres and is located in Fuquay-Varina, North Carolina within Wake County. The Site is bound by forested areas and a self -storage facility to
the north and residential developments to the south, east, and west. In addition, the Site is bound by NC Highway 55 to the east. The Site is located within the Coastal Plain Physiographic
Province.
The Site is occupied by forested areas and an approximately 0.2 acre area containing a single-family residence and associated maintained lawn in the southeast corner
A delineation of the Site was completed by Timmons Group on September 3, 2020. A Preliminary Jurisdiction Determination was received from USACE on September 28, 2021. A Buffer
Determination was received from DEQ on October 2, 2020.
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:
2.93
4g. List the total estimated linear feet of all existing streams on the property:
1,308

4h. Explain the purpose of the proposed project:'
The purpose of the project is to construct a single-family residential development in Wake County, North Carolina with community cohesion and the necessary amenities, including
stormwater control measures and utility and roadway improvements.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
The proposed development is a single -phased residential development project that is located at 1816 Old Bramble Lane Fuquay-Varina, NC. within Wake County.
The project site will include 16 single-family residences and other associated amenities, including stormwater control measures and utility and roadway 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.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No
Comments:
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-2020-01680
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Sydni Law, Kate Hefner
Agency/Consultant Company: Timmons Group
Other:
Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
A delineation was conducted by Timmons Group on on September 3, 2020. A Preliminary Jurisdiction Determination was received from USACE on September 28, 2021.
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 permits) 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
U
2a1 Reason (?)
2b. Impact type*(?)
2c. Type of W.
2d. W. name*
2e. Forested*
2f. Type of Jurisdicition*
2g. Impact
?)
area
SSWR Aerial Crossing
P
Bottomland Hardwood Forest
A
Yes
Both
0.010
SSWR Aerial Crossing
T
Bottomland Hardwood Forest
A
Yes
Both
(acres)
0.120
(acres)
F7]
Stormwater Installation
T
Bottomland Hardwood Forest
A
Yes
Both
0.003
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.123 0.010
2g. Total Wetland Impact
0.133

21. Comments:
Wetland Impacts land 2 will result in 0.01-acre of permanent impacts and 0.12-acre of temporary impacts for the installation of an aerial sanitary sewer
line. Permanent impacts are associated with the installation of supports shown on SSWR Aerial Crossing Profile on Sheet CWI-2.1. Temporary impacts
are associated with installation of a sanitary sewer utility easement necessary to connect the proposed development to public wastewater services.
Following completion of the disturbance, the sanitary sewer easement will be maintained, resulting in permanent conversion of the impacted wetland
areas from forested to herbaceous wetland. Alignment of the sanitary sewer was determined by the location of an existing easement and overall design
of the proposed project. Further, the sanitary sewer was placed in such a way to cross the wetland areas at as close to a 90-degree angle as possible at
their narrowest portions.
Wetland Impact 3 will result in 0.003 acres of temporary impacts from the installation of a stormwater drainage pipe that will convey stormwater flow into
a stormwater detention pond. Nationwide Permit 18 coverage is requested for this impact.
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type'
3c. Type of impact*
3d. S. name* �3e.StreamType*
(?)
[3f.Typeof
urisdiction*
3gSwidth*
3h. Impact
length*
S1
SSWRAerialCrossin 9
P rY
Tem ora ::]
Other
B
Perennial
Both
h;;;J�:]
3i. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
0
31. Total stream and ditch impacts:
35
3i. Total temporary stream impacts:
35
3j. Comments:
Stream Impacts will result in 35 linear feet of temporary impacts. Temporary impacts are associated with installation of an aerial sanitary sewer utility
easement necessary to connect the proposed development to public wastewater services.
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?
6C Zone 1 impact
6g. Zone 2 impact
SSWR Aerial Crossing (allowable upon
P
F
No
2,523
1,342
authorization)
SCM Outfall (allowable)
P
B
No
408
432
Lot Fill (allowable)
P
B
No
0 11
1,018
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1
Zone 2
Total Permanent impacts: 2,931.00
2,792.00
Zone 1
Zone 2
Total combined buffer impacts: 2,931.00
2,792.00
61. Comments:
Buffer Impacts will result in a total of 2,931 square feet of permanent Zone 1 Impacts and 2,792 square feet of permanent Zone 2 Impacts. Permanent
impacts are from sanitary sewer utility easement and SCM Outfall are necessary to connect the proposed development to public wastewater services.
Permanent impacts from lot fill are required to provide necessary grading for the project.
E. Impact Justification and Mitigation
1. Avoidance and Minimization

1a. 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.
Impacts to jurisdictional features have been minimized through the use of design, the proposed sanitary sewer and stormwater outlet has been designed
to cross wetland areas at as close to a 90-degree angle as possible and at their narrowest portions. This design also avoids adjoining parcels. Retaining
walls have also been used to avoid impacts to wetlands. Use of an aerial sanitary sewer eliminates additional impacts from trenching.
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 owners 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 fill
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
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
15A NCAC 02B .0714 TABLE OF USES (kk) Utility- allows new sewer lines perpendicular to
crossings of streams and other surface waters subject to this Rule or perpendicular entry into the riparian buffer that does not cross a stream or other surface water subject to this Rule
provided that vegetation is allowed to regenerate in disturbed areas outside of
the permanent maintenance corridor. (ii) Construction corridor of greater than 40 linear
feet wide and less than or equal to 150 linear feet wide and a permanent maintenance
corridor that is equal to or less than 30 feet wide is allowable upon authorization. Therefore, no buffer mitigation is required.
Wetland and stream mitigation is not required because permanent wetland impacts are under the 0.10-acre threshold and there are not permanent stream impacts proposed.
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.
Fuquay-Varina
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?*
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 site. The project will be completed with
appropriate land use control measures in place for specific areas which require them. All impacts associated with the proposed project are accounted for
herein.
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
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 JSFWS IPaC Report listed six federally protected species as potentially occurring within the project area or a 1-mile radius, including the red -
cockaded woodpecker, Neuse River waterdog, Carolina madtom, Atlantic pigtoe, monarch butterfly, and Michaux's sumac. Critical habitat is not reported
as occurring with the project area or a 1-mile radius of the project boundaries.
The red -cockaded woodpecker requires mature pine forests that are at least 60 years old. The majority of the site is mixed hardwood -pine forest mainly
associated with bottomland hardwood forests and riverine swamps. Further, no occurrences of the species were noted during onsite investigations.
Therefore, the proposed project should have no effect on the red -cockaded woodpecker.
The Neuse River waterdog requires low to moderate gradient streams and low current velocity. The species dwells in streams wider than 15 meters in
near freezing water temperatures. No suitable habitat or occurrences of the Neuse River waterdog were noted during onsite investigations. Therefore,
the proposed project should have no effect on Neuse River waterdog.
The Carolina madtom prefers streams with riffles, runs, and pools in medium to large streams and rivers. Ideally, it inhabits fresh waters with continuous,
year-round flow and moderate gradient. Substrate for the Carolina madtom is predominantly silt -free, stable, gravel and cobble bottom habitat, and it
must have cover for nest sites, including under rocks, bark, relic mussel shells. No suitable substrate or habitat was noted during onsite investigations.
Therefore, the proposed project should have no effect on The Carolina madtom.
The Atlantic pigtoe prefers free -flowing streams with clean sand or gravel bottoms. During the summer, they can be found hiding under mussel shells,
logs, pieces of bark, and other cover. No suitable substrate or habitat was noted during onsite investigations. Therefore, the proposed project should
have no effect on the Atlantic pigtoe.
The monarch butterfly requires flowering plants for foraging habitat and milkweed for breeding habitat. Due to the dense canopy and understory layers
within the site, suitable habitat for the monarch butterfly was not observed within the site. Further, occurrences of the butterfly and milkweed species
were not observed during onsite investigations. Therefore, the proposed project should have no effect on the monarch butterfly.
Michaux's sumac requires sandy or rocky open woods in association with basic soils. Further, no occurrences of the species were noted during onsite
investigations. Therefore, the proposed project will have no effect on the Michaux's sumac.
A search of the North Carolina Natural Heritage Program's (NCNHP) online database revealed no documented occurrences of the aforementioned
species within the project area. Occurrences of the Regal Darner (2004), and hidden -flowered witchgrass (1939) are listed within a 1-mile radius of the
project boundaries. However, due to conditions within the site and the proposed design, the project should have little to no effect on these species.
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) revealed multiple historic resource as occurring within
a 1-mile radius of the proposed project limits. However, no historical places were listed within the site's boundaries or within the immediate vicinity of the
site.
The proposed project is a single and complete, low -density residential project that will not result in further development. The project is consistent with
land use in the surrounding area and all construction activities will be limited to the project boundary. Therefore, the project is anticipated to have no
adverse effect on historic 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?*
According to FEMA FIRM Panel 372006700J (eff. 512/2006) the site is located 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
2021.12.22_Sippihaw Springs ePCN.pdf 10.14MB
File must be PDF or KMZ
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:
Nick Tudor
Signature
Date
12/22/2021

�!000
o ^
5410 Trinity Road P 919.866.4951
T I M M O N S GROUP Suite F 919.859.5663
Raleigh,
NC 27607 www.timmons.com
December 22, 2021
Lyle Phillips
U.S. Army Corps of Engineers — Wilmington District
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Colleen Cohn
401 & Buffer Permitting Branch
NCDEQ — Division of Water Resources
3800 Barrett Drive
Raleigh, NC 27609
Re: Electronic Pre -Construction Notification Attachments
Sippihaw Springs
Fuquay-Varina, Wake County, North Carolina
Project No.: 42861
Dear Mr. Phillips and Ms. Cohn,
On behalf of Wellons Construction, we are providing additional attachments and information to
aid in the review of the electronic Pre -Construction Notification of the Sippihaw Springs project,
an approximately 10.02 -acre site located in Fuquay-Varina, North Carolina, within Wake County
(the Site).
Please review the below attachments and contact Nick Tudor at [phone] or
nick.tudora-timmons.com if additional information is required.
Sincerely,
Timmons Group
Nick Tudor
Senior Environmental Scientist
ENGINEERING I DESIGN I TECHNOLOGY

Enclosures
ATTACHMENTS
Appendix A Figure 1 — Vicinity Map
Figure 5 — NRCS Soil Survey Map
Figure 6 — Wetlands and Waters Delineation Map
Appendix B Agent Authorization Forms
Appendix C Preliminary Jurisdictional Determination Letter
Buffer Determination Letter
Appendix D Environmental Impacts Set
Appendix E USFWS IPaC Report
NCNHP Report
Appendix F SHPO Map and List

Appendix A

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Site limits are approximate.
Topographic imagery from USGS. • _: s !
4,000••
Feet
0 1,000 2,000 3,000
SIPPIHAW SPRINGS
T I M M O N S GROUP
WKAE COUNTY, NORTH CAROLINA
•
FIGURE 1: VICINITY MAP
YOUR VISION ACHIEVED THROUGH OURS.
TIMMONS GROUP JOB NUMBER: 42861
U.S.G.S. QUADRANGLE(S): FUQUAY-VARINA
PROJECT STUDY LIMITS: 10.02 ACRES
DATE(S): 2019
LATITUDE: 35.587866
WATERSHED(S): UPPER NEUSE (NEUSE RIVER BASIN)
LONGITUDE:-78.759860 o e
ese o ans an associate ocunnents are t e exc usive orooerty o andmay not a reoro uce in w
HYDROLOGIC UNIT CODE(S): 03020201
or in oar t an s a not a use or anv ouroose w atsoever. me usive. ut not
is ruction, bidding, and/or construction staking without the express written consent of TIMMONS GROUP.

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Site limits are approximate. — A 2 I
Soils from NRCS web soil survey.
1
0 400 800 1,200 1,600
Feet
SIPPIHAW SPRINGS T I M M O N S GROUP •• ••
WAKE COUNTY, NORTH CAROLINA
FIGURE 5: NRCS SOIL SURVEY MAP YOUR VISION ACHIEVED THROUGH OURS.
TIMMONS GROUP JOB NUMBER: 42861 U.S.G.S. QUADRANGLE(S): FUQUAY-VARINA
PROJECT STUDY LIMITS: 10.02 ACRES DATE(S): 2019
LATITUDE: 35.587866 WATERSHED(S): UPPER NEUSE (NEUSE RIVER BASIN)
LONGITUDE:-78.759860 HYDROLOGIC UNIT CODE(S): 03020201
ese o ans and associate ocuments are t e exc usrve orooertv o and may not ce repro uce In w o e Orin part an s a no a use or anv ouroose w a[soever. Inc usrve. ut not
o construction, bidding, and/or construction staking without the express written consent of TIMMONS GROUP.

Appendix B

�4P�����
TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS,
AGENT AUTHORIZATION and
PROPERTY OWNER CERTIFICATION FORM
All Blanks to be Filled in by Current Landowner
The Department of the Army
US Army Corps of Engineers
Wilmington District
PO Box 1890
Wilmington, NC 28402-1890
To Whom It May Concern:
NCDEQ - Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
I, the undersigned, current property owner designate, authorize representatives of Timmons
Group 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 �_J day of DCC. mU ; 20X.
(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)
and NCDEQ Division of Water Resources (DWR) 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 401 and 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: Sippihaw Springs
Parcel ID: Q (u'Ao 18 3q'7 6
Site Address: 19(tu 0(d �I-avnWe L► , Ft goaq VGl (nci
Property Owner's Name (Print):
Property Owner's Signature:
Property Owner's Mailing
Address: Z"
Property Owner's f� Fax
Telephone: �G �G �p S Na.
Property Owner's �W1�5�
Email Address: �'t'$.111:D-,
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TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS,
AGENT AUTHORIZATION and
PROPERTY OWNER CERTIFICATION FORM
All Blanks to be Filled in by Current Landowner
The Department of the Army NCDEQ — Division of Water Resources
US Array Corps of Engineers 401 & Buffer Permitting Unit
Wilmington District 1650 Mail Service Center
PO Box 1890 Raleigh, NC 27699-1650
Wilmington, NC 28402-1890
To Whom It May Concern:
1, the undersigned, current property owner designate and authorize representatives of Timmons Group to
act on my behalf as my agent in the processing of permit applications, to firrnish upon request
supplemental information in support of applications, etc., from this day forward.
This the a3 day of, 20.
(number) {Month} (Year)
1, the undersigned, a duly authorized owner of record of the property/properties identified herein, do
authorize representatives of the Wilmington District, U.S. At -my Corps of Engineers (Corps) and NCDEQ
Division of Water Resources (DWR) 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 401 and 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 Narrre: Sippihaw Springs
Parcel ID: 0676280719*
Site Address: 6316 S NC 55 Hwy, Fuquay-Varina, NC*
"This approval is limited to the portion of the property where the proposed utility line is to be located.
Property Owner's Name (Print): Francisco
f
Property Owner's Signature:
Property Owner's Mailing Address:
K `Property Owner's Telephone:
Property Owner's Email Address: C:so Sc,- (C) d\ 9NVVA��r
and Juana Deleon
Fax No.
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TIMMONS GROUP
YOUR VISION ACHIEVED THROUGH OURS.
AGENT AUTHORIZATION and
PROPERTY OWNER CERTIFICATION FORM
All Blanks to be Filled in by Current Landowner
The Department of the Army NCDEQ — Division of Water Resources
US Army Corps of Engineers 401 & Buffer Permitting Unit
Wilmington District 1650 Mail Service Center
PO Box 1890 Raleigh, NC 27699-1650
Wilmington, NC 28402-1890
To Whom It May Concern:
I, the undersigned, current property owner designate and authorize representatives of Timmons Group 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 3rd day of September , 20 20.
(number) (Montle) (Year)
1, 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) and NCDEQ
Division of Water Resources (DWR) 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 401 and 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: Sippiliaw Springs
Parcel ID: 0676189573 *
Site Address: 6320 S NC 55 Hwy, Fuquay-Varula, NC*
*This approval is limited to the 2ortion of the property where the proposed utility line is to be located.
Property Owner's Name (Print): Willow Creek II Homeowners Association Inc.
Property Owner's Signature:
........ ........ . . . . ............... . . . ....
Bernd W. Herrmann President WC HOA
Property Owner's Mailing Address:
c/o Associa H. R. W. Management, AAMC - 4700 Homewood Ct., Suite 380, Raleigh, NC 27609
Property Owner's Telephone: [phone] (office) Fax No. 919-786-8041
a
Property Owner's Email Address: [e-mail] (Debra Flores, Willow Creek community manager)
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TIMMONS GROUP
YO€I I VISION ACIHEVEU THROUGH OUIi S.
AGENT AUTHORIZATION and
PROPERTY OWNER CERTIFICATION FORM
All Blanks to be Filled in by Current Landowner
The Department of the Army NCDEQ — Division of Water Resources
US Army Corps of Engineers 401 & Buffer Permitting Unit
Wilmington District 1650 Mail Service Center
PO Box 1890 Raleigh, NC 27699-1650
Wilmington, NC 28402-1890
To Whom It May Concern:
I, the undersigned, current property owner designate and authorize representatives of Timmons Group 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 I day of G (6 C.( , 20 W,
(number) I (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) and NCDEQ
Division of Water Resources (DWR) 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 401 and 404 of the Clean Water Act, and/or Section 10 of the Rivers
and Harbors Act of 1999.
This notification supersedes any previous correspondence concerning the agent for this project.
Project Name: Sippihaw Springs
Parcel ID: 0676183978 and 0676195616
Site Address: 1816 Old Bramble Lane and 6008 S NC 55 Hwy, Fuquay-Varina, NC
Property Owner's Name (Print): Southview Self S
Property Owner's Signature:
Property Owner's Mailing Address: PO Doy- 12-51
b�nn +n WC Z83315
Property Owner's Telephone: -1 1O "89 Z`yBBg Fax No.
Property Owner's Email Address: [� U•ieL �V15 1117e� la�t5, OIr'
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Appendix C

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2020-01680 County: Wake U.S.G.S. Quad: NC-Fuguay-Varina
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Requestor: Timmons Group, Inc.
Lauren Norris -Heflin
Address: 5410 Trinity Road, Suite 102
Raleigh, North Carolina 27607
Size (acres) —10.02 acres Nearest Town Fuquav-Varina
Nearest Waterway UT to Black Creek River Basin Neuse
USGS HUC 03020201 Coordinates Latitude: 35.587866
Longitude:-78.759860
Location description: The project site is on the west side of S. North Carolina 55 Highway and east of Old Bramble Lane,
located at 1816 Old Bramble Lane in Fuquav-Varina, Wake County, North Carolina.
Indicate Which of the Following Apply:
A. Preliminary Determination
® There appear to be waters, including wetlands on the above described project area/property, that may be subject to Section 404
of the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). The
waters, including wetlands have been delineated, and the delineation has been verified by the Corps to be sufficiently accurate
and reliable. The approximate boundaries of these waters are shown on the enclosed delineation map dated 9/9/2020. Therefore
this preliminary jurisdiction determination may be used in the permit evaluation process, including determining compensatory
mitigation. For purposes of computation of impacts, compensatory mitigation requirements, and other resource protection
measures, a permit decision made on the basis of a preliminary JD will treat all waters and wetlands that would be affected in any
way by the permitted activity on the site as if they are jurisdictional waters of the U.S. This preliminary determination is not an
appealable action under the Regulatory Program Administrative Appeal Process (Reference 33 CFR Part 331). However, you may
request an approved JD, which is an appealable action, by contacting the Corps district for further instruction.
❑ There appear to be waters, including wetlands on the above described project area/property, that may be subject to Section 404 of
the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). However,
since the waters, including wetlands have not been properly delineated, this preliminary jurisdiction determination may not be
used in the permit evaluation process. Without a verified wetland delineation, this preliminary determination is merely an
effective presumption of CWA/RHA jurisdiction over all of the waters, including wetlands at the project area, which is not
sufficiently accurate and reliable to support an enforceable permit decision. We recommend that you have the waters, including
wetlands on your project area/property delineated. As the Corps may not be able to accomplish this wetland delineation in a
timely manner, you may wish to obtain a consultant to conduct a delineation that can be verified by the Corps.
B. Approved Determination
❑ There are Navigable Waters of the United States within the above described project area/property subject to the permit
requirements of Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act
(CWA)(33 USC § 1344). Unless there is a change in law or our published regulations, this determination may be relied upon for
a period not to exceed five years from the date of this notification.
❑ There are waters, including wetlands on the above described project area/property subject to the permit requirements of Section
404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
❑ We recommend you have the waters, including wetlands on your project area/property delineated. As the Corps may not be
able to accomplish this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that
can be verified by the Corps.
❑ The waters, including wetlands on your project area/property have been delineated and the delineation has been verified by the
Corps. The approximate boundaries of these waters are shown on the enclosed delineation map dated DATE. We strongly
suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the Corps. Once
verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your property which, provided
there is no change in the law or our published regulations, may be relied upon for a period not to exceed five years.

SAW-2020-01680
❑ The waters, including wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the Corps
Regulatory Official identified below on DATE. Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
❑ There are no waters of the U.S., to include wetlands, present on the above described project area/property which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
❑ The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act (CAMA).
You should contact the Division of Coastal Management in Morehead City, NC, at [phone] to determine their
requirements.
Placement of dredged or fill material within waters of the US, including wetlands, without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). Placement of dredged or fill material, construction or
placement of structures, or work within navigable waters of the United States without a Department of the Army permit may
constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act (33 USC § 401 and/or 403). If you have any questions
regarding this determination and/or the Corps regulatory program, please contact George Lyle Phillips III at [phone] X25 or
Geo ri!e.L.Phillips(&us ace.army.mil.
C. Basis For Determination: See the preliminary jurisdictional determination form dated 09/28/2021.
D. Remarks: The preliminary jurisdictional determination review area is shown as the pink outlined
"Proiect Stud; Limits" depicted on the "Figure 6: Potential Wetlands and Waters Delineation Map"
exhibit attached.
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination may not be valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.
F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in B.
above)
If you object to this determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed
you will find a Notification of Appeal Process (NAP) fact sheet and Request for Appeal (RFA) form. If you request to appeal this
determination you must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Mr. Philip A. Shannin
Administrative Appeal Review Officer
60 Forsyth Street SW, Floor M9
Atlanta, Georgia 30303-8803
AND
PHILIP.A. SHANNINgUSACE.ARMY.MIL
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by Not applicable.
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this correspondence.**
Corps Regulatory Official:
C &o- j e- L yGe- Pk /it
Date of JD: 09/28/2021 Expiration Date of JD: Not applicable

SAW-2020-01680
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete our Customer Satisfaction Survey, located online at
hrips://regulatory.ops.usace.army.mil/customer-service-survey/.
Copy Furnished:

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: Timmons Grouu, Inc., Attn: Lauren Norris-
File Number: SAW-2020-01680
Date: 09/28/2021
Heflin
Attached is:
See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission)
A
PROFFERED PERMIT (Standard Permit or Letter of permission)
B
PERMIT DENIAL
C
APPROVED JURISDICTIONAL DETERMINATION
D
❑X
PRELIMINARY JURISDICTIONAL DETERMINATION
E
SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at or hllp://www.usace.army.miUMissions/CivilWorks/RegulatoryProgramandPermits.aspx
or the Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After
evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new
information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section II of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed),
by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the JD.
Nor -
SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However, you may provide additional information to clarify the location of information that is already in the administrative
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the
If you only have questions regarding the appeal process you may
appeal process you may contact:
also contact:
District Engineer, Wilmington Regulatory Division
MR. PHILIP A. SHANNIN
Attn: George Lyle Phillips III
ADMINISTRATIVE APPEAL REVIEW OFFICER
Raleigh Regulatory Office
CESAD-PDS-O
U.S Army Corps of Engineers
60 FORSYTH STREET SOUTHWEST, FLOOR M9
3331 Heritage Trade Drive, Suite 105
ATLANTA, GEORGIA 30303-8803
Wake Forest, North Carolina 27587
PHONE: [phone]; FAX [phone]
EMAIL: PHILIP.A.SHANNIN(aUSACE.ARMY.MIL
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15-day
notice of any site investigation, and will have the opportum to participate in all site invest] ations.
Date:
Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: George Lyle Phillips III, 69 Darlington Avenue, Wilmington, North
Carolina 28403
For Permit denials, Proffered Permits and Approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Philip Shannin, Administrative
Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 1OM15, Atlanta, Georgia 30303-8801
Phone: [phone]

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 09/28/2021
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Timmons Group, Inc., Lauren Norris -Heflin,
5410 Trinity Road, Suite 102, Raleigh, North Carolina 27607
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, Sippihaw Springs / 1816 Old
Bramble Lane / Fuquay-Varina / Wake County, SAW-2020-01680
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: The project site is on the west side of S.
North Carolina 55 Highway and east of Old Bramble Lane, located at 1816 Old Bramble Lane in Fuquay-Varina,
Wake County, North Carolina. The preliminary jurisdictional determination review area is shown as the pink
outlined "Project Study Limits" depicted on the "Figure 6: Potential Wetlands and Waters Delineation Map"
exhibit attached.
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County: Wake City: Fuquay-Varina
Center coordinates of site (lat/long in degree decimal format): Latitude: 35.587866 Longitude:-78.759860
Universal Transverse Mercator: NAD83
Name of nearest waterbody: UT to Black Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
®Field Determination. Date(s): November 18, 2020
TABLE OF AQUATIC RESOURCES IN REVIEWAREA WHICH "MAY BE" SUBJECT TO
REGULATORY JURISDICTION
Site Number
Latitude
Longitude
Estimated
Type of aquatic
Geographic authority to
(decimal
(decimal
amount of
resources (i.e.,
which the aquatic
degrees)
degrees)
aquatic
wetland vs.
resource "may be"
resources in
non -wetland
subject (i.e., Section 404
review area
waters)
or Section 10/404)
(acreage and
linear feet, if
applicable
A
35.588631
-78.760299
3.55
Wetland
Section 404
B
35.588827
-78.759378
1517
Non -wetland
Section 404

1. The Corps of Engineers believes that there may be jurisdictional aquatic resources in the
review area, and the requestor of this PJD is hereby advised of his or her option to request and
obtain an approved JD (AJD) for that review area based on an informed decision after having
discussed the various types of JDs and their characteristics and circumstances when they may
be appropriate.
2. In any circumstance where a permit applicant obtains an individual permit, or a Nationwide
General Permit (NWP) or other general permit verification requiring "pre- construction
notification" (PCN), or requests verification for a non -reporting NWP or other general permit,
and the permit applicant has not requested an AJD for the activity, the permit applicant is
hereby made aware that: (1) the permit applicant has elected to seek a permit authorization
based on a PJD, which does not make an official determination of jurisdictional aquatic
resources; (2) the applicant has the option to request an AJD before accepting the terms and
conditions of the permit authorization, and that basing a permit authorization on an AJD could
possibly result in less compensatory mitigation being required or different special conditions;
(3) the applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant can accept a
permit authorization and thereby agree to comply with all the terms and conditions of that
permit, including whatever mitigation requirements the Corps has determined to be necessary;
(5) undertaking any activity in reliance upon the subject permit authorization without
requesting an AJD constitutes the applicant's acceptance of the use of the PJD; (6) accepting a
permit authorization (e.g., signing a proffered individual permit) or undertaking any activity in
reliance on any form of Corps permit authorization based on a PJD constitutes agreement that
all aquatic resources in the review area affected in any way by that activity will be treated as
jurisdictional, and waives any challenge to such jurisdiction in any administrative orjudicial
compliance or enforcement action, or in any administrative appeal or in any Federal court; and
(7) whether the applicant elects to use either an AID or a PJD, the JD will be processed as
soon as practicable. Further, an AJD, a proffered individual permit (and all terms and
conditions contained therein), or individual permit denial can be administratively appealed
pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it becomes appropriate to
make an official determination whether geographic jurisdiction exists over aquatic resources in
the review area, or to provide an official delineation of jurisdictional aquatic resources in the
review area, the Corps will provide an AJD to accomplish that result, as soon as is practicable.
This PJD finds that there "may be" waters of the U.S. and/or that there "may be" navigable
waters of the U.S. on the subject review area, and identifies all aquatic features in the review
area that could be affected by the proposed activity, based on the following information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
Timmons Group, Inc. /
■❑ Maps, plans, plots or plat submitted by or on behalf of the PJD requestor: Lauren Norris -Heflin
Map:Vicinity, HUC, environmental inventory, parcel, NRCS soils, delineation map
0 Data sheets prepared/submitted by or on behalf of the PJD requestor.
X❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
■❑ U.S. Geological Survey Hydrologic Atlas: 030202011201 (Neuse River Basin)
❑ USGS NHD data.
0 USGS 8 and 12 digit HUC maps.
■❑ U.S. Geological Survey map(s). Cite scale & quad name: Fuquay-Varina (2019); 1-24,000
■❑ Natural Resources Conservation Service Soil Survey. Citation: Wake County, 1970
■❑ National wetlands inventory map(s). Cite name: USFWS NWI North Carolina 2018
❑ State/local wetland inventory map(s):
■FEMA/FIRM maps: 3720061600J (eff. 05/02/2006)
El
■❑
100-year Floodplain Elevation is: n/a
Photographs: ■❑ Aerial (Name & Date)
or ■❑ Other (Name & Date)
.(National Geodetic Vertical Datum of 1929)
NC OneMap Orthoimagery 2017
Landscape
❑ Previous determination (s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Ly6a' Pltid,(i�k 111 09/28/2021
Signature and date of
Regulatory staff member
completing PJD
Signature and date of
person requesting PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
' Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.

Sydni Law
From: Deck, Erin M <[e-mail]>
Sent: Friday, October 2, 2020 11:41 AM
To: Lauren Norris -Heflin; Sydni Law
Subject: FW: [External] Sippihaw Springs
Attachments: 2020.09.30_Sippihaw Springs -Buffer Determination Request Package.pdf
For sites located in the Neuse River Basin -Per 15A NCAC 02B. 0714, all features depicted on the most recent version of
the published manuscript of the soil survey map or the USCG National map, are subject to the riparian buffer
regulations. If a landowner or affected party believes these maps inaccurately depict surface waters or the specific
origin point of a stream then an onsite determination can be requested.
That being said, per our conversation and the attached documentation, the features, as depicted on the provided maps,
are subject to the Neuse River riparian buffer regulations, outlined in 15A NCAC 02B. 0714. The maps can be used for
planning and future permitting needs.
Erin Deck
Department of Environmental Quality
Division of Water Resources
Raleigh Regional Office
Office: 919-791-4258
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.
From: Sydni Law <[e-mail]>
Sent: Wednesday, September 30, 2020 6:03 PM
To: Deck, Erin M <[e-mail]>
Cc: Lauren Norris -Heflin <[e-mail]>
Subject: [External] Sippihaw Springs
lw1111610AMternal email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
([e-mail]
Good morning Erin,
Please find attached the updated Buffer Determination request package for the Sippihaw Springs project. The updated
package includes the USGS topo and NRCS maps with delineated stream features called out as either Subject or Not
Subject.

Could you please confirm that the buffers as depicted are correct, and can be relied up for planning and permitting
purposes?
Thank you!
Best,
Sydni Law
Environmental Technician
TIMMONS GROUP I www.timmons.com
5410 Trinity Rd, Suite 102 1 Raleigh, NC 27607
Office: [phone] 1 Fax: [phone]
Mobile: [phone]
[e-mail]
Your Vision Achieved Through Ours

Appendix D

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Appendix E

United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Phone: [phone] Fax: [phone]
In Reply Refer To: November 29, 2021
Consultation Code: 04EN2000-2022-SLI-0309
Event Code: 04EN2000-2022-E-00682
Project Name: Sippihaw Springs
Subject: List of threatened and endangered species that may occur in your proposed project
location or may be affected by your proposed project
To Whom It May Concern:
The species list generated pursuant to the information you provided identifies threatened,
endangered, proposed and candidate species, as well as proposed and final designated critical
habitat, that may occur within the boundary of your proposed project and/or may be affected by
your proposed project. The species list fulfills the requirements of the U.S. Fish and Wildlife
Service (Service) under section 7(c) of the Endangered Species Act (Act) of 1973, as amended
(16 U.S.C. 1531 et seq.).
New information based on updated surveys, changes in the abundance and distribution of
species, changed habitat conditions, or other factors could change this list. Please feel free to
contact us if you need more current information or assistance regarding the potential impacts to
federally proposed, listed, and candidate species and federally designated and proposed critical
habitat. Please note that under 50 CFR 402.12(e) of the regulations implementing section 7 of the
Act, the accuracy of this species list should be verified after 90 days. This verification can be
completed formally or informally as desired. The Service recommends that verification be
completed by visiting the ECOS-IPaC website at regular intervals during project planning and
implementation for updates to species lists and information. An updated list may be requested
through the ECOS-IPaC system by completing the same process used to receive the enclosed list.
Section 7 of the Act requires that all federal agencies (or their designated non-federal
representative), in consultation with the Service, insure that any action federally authorized,
funded, or carried out by such agencies is not likely to jeopardize the continued existence of any
federally -listed endangered or threatened species. A biological assessment or evaluation may be
prepared to fulfill that requirement and in determining whether additional consultation with the
Service is necessary. In addition to the federally -protected species list, information on the
species' life histories and habitats and information on completing a biological assessment or

11/29/2021 Event Code: 04EN2000-2022-E-00682 2
evaluation and can be found on our web page at http://www.fws.gov/raleigh. Please check the
web site often for updated information or changes
If your project contains suitable habitat for any of the federally -listed species known to be
present within the county where your project occurs, the proposed action has the potential to
adversely affect those species. As such, we recommend that surveys be conducted to determine
the species' presence or absence within the project area. The use of North Carolina Natural
Heritage program data should not be substituted for actual field surveys.
If you determine that the proposed action may affect (i.e., likely to adversely affect or not likely
to adversely affect) a federally -protected species, you should notify this office with your
determination, the results of your surveys, survey methodologies, and an analysis of the effects
of the action on listed species, including consideration of direct, indirect, and cumulative effects,
before conducting any activities that might affect the species. If you determine that the proposed
action will have no effect (i.e., no beneficial or adverse, direct or indirect effect) on federally
listed species, then you are not required to contact our office for concurrence (unless an
Environmental Impact Statement is prepared). However, you should maintain a complete record
of the assessment, including steps leading to your determination of effect, the qualified personnel
conducting the assessment, habitat conditions, site photographs, and any other related articles.
Please be aware that bald and golden eagles are protected under the Bald and Golden Eagle
Protection Act (16 U.S.C. 668 et seq.), and projects affecting these species may require
development of an eagle conservation plan (http://www.fws.gov/windenergy/
eagle_guidance.html). Additionally, wind energy projects should follow the wind energy
guidelines (http://www.fws.gov/windenergy/) for minimizing impacts to migratory birds and
bats.
Guidance for minimizing impacts to migratory birds for projects including communications
towers (e.g., cellular, digital television, radio, and emergency broadcast) can be found at: http://
www.fws.gov/migratorybirds/CurrentBirdlssues/Hazards/towers/towers.htm; http://
www.towerkill.com; and http://www.fws.gov/migratoDLbirds/CurrentBirdlssues/Hazards/
towers/comtow.html.
Not all Threatened and Endangered Species that occur in North Carolina are subject to section 7
consultation with the U.S Fish and Wildlife Service. Atlantic and shortnose sturgeon, sea
turtles,when in the water, and certain marine mammals are under purview of the National Marine
Fisheries Service. If your project occurs in marine, estuarine, or coastal river systems you should
also contact the National Marine Fisheries Service, http://www.nmfs.noaa.gov/
We appreciate your concern for threatened and endangered species. The Service encourages
Federal agencies to include conservation of threatened and endangered species into their project
planning to further the purposes of the Act. Please include the Consultation Tracking Number in
the header of this letter with any request for consultation or correspondence about your project
that you submit to our office. If you have any questions or comments, please contact John Ellis
of this office atjohn—[e-mail].

11/29/2021 Event Code: 04EN2000-2022-E-00682
Attachment(s):
• Official Species List

11/29/2021 Event Code: 04EN2000-2022-E-00682
Official Species List
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
[phone]

11/29/2021
Event Code: 04EN2000-2022-E-00682
Project Summary
Consultation Code: 04EN2000-2022-SLI-0309
Event Code: Some(04EN2000-2022-E-00682)
Project Name: Sippihaw Springs
Project Type: ** OTHER **
Project Description: The Site encompasses approximately 10.02 acres and is located in
Fuquay-Varina, North Carolina within Wake County.
Project Location:
Approximate location of the project can be viewed in Google Maps: https:
www. google.com/maps/(c►)35.589453000000006,-78.7596154270425,14z
Ace
ir.rrl {p .
— 4ftfe L0 z Y.
'a fi
Counties: Wake County, North Carolina

11/29/2021 Event Code: 04EN2000-2022-E-00682 3
Endangered Species Act Species
There is a total of 6 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheriesi, as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
1. NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
Birds
NAME STATUS
Red -cockaded Woodpecker Picoides borealis Endangered
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/7614
Amphibians
NAME STATUS
Neuse River Waterdog Necturus lewisi Threatened
There is final critical habitat for this species. The location of the critical habitat is not available.
Species profile: https:Hecos.fws.gov/ecp/species/6772
Fishes
NAME
STATUS
Carolina Madtom Noturus furiosus Endangered
There is final critical habitat for this species. The location of the critical habitat is not available.
Species profile: https:Hecos.fws.gov/ecp/species/528
Clams
NAME
STATUS
Atlantic Pigtoe Fusconaia masoni Threatened
There is final critical habitat for this species. The location of the critical habitat is not available.
Species profile: https:Hecos.fws.gov/ecp/species/5164

11/29/2021 Event Code: 04EN2000-2022-E-00682 4
Insects
NAME
Monarch Butterfly Danaus plexippus
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/9743
Flowering Plants
NAME
Michaux's Sumac Rhus michauxii
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/5217
STATUS
Candidate
STATUS
Endangered
Critical habitats
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.

Roy Cooper, Governor
■ ■■■
r ■■ ■ INC DEPARTMENT OF
■■,■i NATURAL AND CULTURAL RESOURCES
■ ■■
November 29. 2021
Nick Tudor
Timmons Group
5410 Trinity Road
Raleigh, NC 27606
RE: Sippihaw Springs; 42861
Dear Nick Tudor:
❑. Reid Wilson, Secretary
Misty Buchanan
Deputy Director, Natural Heritage Program
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide
information about natural heritage resources for the project referenced above.
Based on the project area mapped with your request, a query of the NCNHP database indicates that
there are no records for rare species, important natural communities, natural areas, and/or
conservation/managed areas within the proposed project boundary. Please note that although there
may be no documentation of natural heritage elements within the project boundary, it does not
imply or confirm their absence; the area may not have been surveyed. The results of this query
should not be substituted for field surveys where suitable habitat exists. In the event that rare
species are found within the project area, please contact the NCNHP so that we may update our
records.
The attached `Potential Occurrences' table summarizes rare species and natural communities that
have been documented within a one -mile radius of the property boundary. The proximity of these
records suggests that these natural heritage elements may potentially be present in the project area
if suitable habitat exists. Tables of natural areas and conservation/managed areas within a one -mile
radius of the project area, if any, are also included in this report.
If a Federally -listed species is found within the project area or is indicated within a one -mile radius of
the project area, the NCNHP recommends contacting the US Fish and Wildlife Service (USFWS) for
guidance. Contact information for USFWS offices in North Carolina is found here:
httr)s://www.fws.gov/offices/Directory/ListOffices.cfm?statecode=37.
Please note that natural heritage element data are maintained for the purposes of conservation
planning, project review, and scientific research, and are not intended for use as the primary criteria
for regulatory decisions. Information provided by the NCNHP database may not be published
without prior written notification to the NCNHP, and the NCNHP must be credited as an information
source in these publications. Maps of NCNHP data may not be redistributed without permission.
The NC Natural Heritage Program may follow this letter with additional correspondence if a
Dedicated Nature Preserve, Registered Heritage Area, Land and Water Fund easement, or Federally -
listed species are documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance,
please contact Rodney A. Butler at rod ney.butler�ncdcr.gov or 919-707-8603.
Sincerely,
NC Natural Heritage Program
DEPAR7HEN7 OF NATURAL AND CULTURAL RESOURCES
121 W. JONES STREET. RALEIGH. NC 27603 • 1691 MAIL SERVICE CENTER. RALEIGH. NC 27609
OFC 919.707.9120 • FAX [phone]

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