20220239 Ver 1_ePCN Application_20220209

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mrlsloa of ware. Resources
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#*
20220239
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:
Kinsley Subdivision
1a. Who is the Primary Contact?*
Bob Zarzecki
1 b. Primary Contact Email: * 1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
2/9/2022
Nearest Body of Water
Richland Creek (27-21-(1.5))
Basin
Neuse
Water Classification
WS-IV:NSW
Site Coordinates
Latitude:
Longitude:
36.003901
-78.500897
A. Processing Information
County (or Counties) where the project is located:
Wake
Franklin
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: 29 - Residential Developments
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
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:
Calvin A. Ray & Mary Ann Hughes
2b. Deed book and page no.:
DB: 16-E DP: 219
2c. Contact Person:
Mary Ann Hughes
2d.Address
Street Address
9205 Bud Smith Road
Address Line 2
City
Wake Forest
Postal / Zip Code
27587
2e. Telephone Number:
[phone]
2g. Email Address:
[e-mail]
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
NC
Country
USA
2f. Fax Number:
Yes No
Yes No

2a. Name(s) on recorded deed:
Site Investments, LLC
2b. Deed book and page no.:
DB: 017321 DP: 00204 & DB: 2166 DP: 2117
2c. Contact Person:
Michael E. Jordan
2d.Address
Street Address
933 Old Knight Road
Address Line 2
City
Knightdale
Postal / Zip Code
27545-9065
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Michael E. Jordan
3b. Business Name:
Site Investments, LLC
3c.Address
Street Address
933 Old Knight Road
Address Line 2
City
Knightdale
Postal / Zip Code
27545-9065
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Bob Zarzecki
4b. Business Name:
Soil & Environmental Consultants, PA
4c.Address
Street Address
8412 Falls of Neuse Road, Suite 104
Address Line 2
City
Raleigh
Postal / Zip Code
27615
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
State / Province / Region
NC
Country
USA
2f. Fax Number
State / Province / Region
NC
Country
USA
3e. Fax Number
State / Province / Region
NC
Country
USA
4e. Fax Number:
U

1b. Subdivision name:
(if appropriate)
Kinsley
1c. Nearest municipality / town:
Wake Forest
2. Project Identification
2a. Property Identification Number:
1842705407,1842803120,1842719092,
2b.Property size:
1842719001, 1851094149 & 1852-10-3498
+/- 203.08
2c. Project Address
Street Address
1167 N Main St
Address Line 2
City
State / Province / Region
Wake Forest
NC
Postal / Zip Code
Country
27587
USA
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Richland Creek (27-21-(1.5))
3b. Water Resources Classification of nearest receiving water:*
WS-IV:NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202010701
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: *
Existing conditions onsite consists primarily of forested land and field areas. There are also some single-family homes and outbuildings scattered throughout the property boundaries.
Specifically, there are nine (9) wetland features (W1-W9), four (4) ponds (Pond 1- Pond 4), two (2) intermittent streams (SB1 & SF), and three (3) perennial streams (SA, SB2 & SC)
located on the property. Please see attached wetland sketch map for exact locations of each feature. General land use in the vicinity of the project consists mainly of forested land with
some single-family residential neighborhoods. North Main Street bisects the property north to south. A railroad track bounds the property to the far east.
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:
Approximately 1.34 acres
4g. List the total estimated linear feet of all existing streams on the property:
Approximately 3,817 LF
4h. Explain the purpose of the proposed project:
The purpose of this project is to construct a mixed use single-family and multi -family residential development and its necessary infrastructure.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The overall project consists of the construction of a mixed use single-family and multi -family residential development including but not limited to roadway infrastructure, residential lots,
utilities, SCMs, and greenway. Specifically, there are three (3) road crossings that impact streams, wetlands, and buffers, nine (9) SCMs that impact wetlands and buffers, three (3) utility
crossings that impact streams and buffers, and three (3) greenway crossings that impact streams and buffers. Equipment typically used for construction and earthwork such as backhoes,
bulldozers, excavators, graders, pavers etc. will be utilized for this project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No Unknown
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-2018-01484
5c. If 5a is yes, who delineated the jurisdictional areas?

Name (if known): Bob Zarzecki
Agency/Consultant Company: Soil & Environmental Consultants, PA
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
USACE: PJD issued by James Lastinger on February 27, 2019.
NCDWR: Site visit made and determination issued by Cheng Zhang on April 30, 2018 (NBRRO #18-113). Additional site visit and determination issued on January 18, 2019 by Cheng
Zhang (NBRRO #18-113 (supplementary)).
6. Future Project Plans
6a. Is this a phased project?*
Yes No
6b. If yes, explain.
All phases for the project will be done internally and are shown on the vicinity map.
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
It is my understanding that there are no intended future phases beyond the property boundaries shown. Therefore, no additional NWP, Regional General Permits, or IP are anticipated.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries 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*
Impact 1
Road Crossing
P
Headwater Forest
Wetland 9
Yes
Both
0.012
(acres)
Impact 5
Road Crossing
P
Headwater Forest
Wetland 7
Yes
Both
0.008
(acres)
Impact 11
Road Crossing
P
Bottomland Hardwood Forest
Wetland 4
Yes
Both
0.005
(acres)
Impact 13
SCM Outlet
P
ffftomland Hardwood Forest
Wetland 4
Yes ][Both
0.004
acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.029
21. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.029
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
3e. Stream Type"
[3f. Type of
3gSwidth*
3h. Impact
�ff.name*
(?)
urisdiction*
length*
g1
Impact 1 - Road Crossing
Permanent
Other
Stream B
Intermittent
Both
93
Average (feet)
pinear feet)
S2
Impact 6 - Utility Crossing
Temporary
Other
Stream A
Perennial
Both
31
Average (feet)
(linear feet)
S3
Impact 10 - Greenway
Permanent
Other
Stream A
Perennial
Both
15
Crossing
Average (feet)
(linear feet)
S4
Impact 11 - Road Crossing
Permanent
Other
Stream A
Perennial
Both
Average (feet)
pinear feet)
SS
Impact 19 - Utility Crossing
Temporary
Other
Stream A
Perennial
Both
3
38
Average (feet)
(linear feet)
S�
Impact 21 - Utility Crossing
Temporary::]
Other
Stream C
Perennial
Both
31
Average (feet)
(linear feet)

31. Total jurisdictional ditch impact in square feet:
31. Total permanent stream impacts:
115
31. Total stream and ditch impacts:
215
3i. Total temporary stream impacts:
100
3j. Comments:
Total permanent stream loss = 115 LF (439 SF/0.010 ac); total permanent -no permanent loss = 0 LF; total temporary stream = 100 LF (436 SF/0.010
ac).
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
Impact 1 - Road Crossing
P
Stream B
No
5,603
4,867
Impact 10 - Greenway Crossing
P
Stream A
No
923
673
Impact 11 - Road Crossing
P
Stream A
No
2,730
4,185
Impact 18 - Greenway Crossing
P
Pond 1
No
69
179
Impact 20 - Greenway Crossing
P
Pond 1
No
0
1,682
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1
Zone 2
Total Permanent impacts: 9,325.00
11,586.00
Zone 1
Zone 2
Total combined buffer impacts: 9,325.00
11,586.00
61. Comments:
It should be noted that per the Neuse River Buffer Rules (15a ncac 02b .0714(kk)(i)) utility crossing impacts 6, 19 and 22 are considered "deemed
allowable'. Impacts 2B, 313, 4, 15 & 16 are all considered "deemed allowable' under the Neuse River Buffer Rules (15a ncac 02b .0714(11)(i)). Impacts
2A, 3A, 7, 8, 9, 12, 13, 14 & 17 are all considered "deemed allowable' under the Neuse River Buffer Rules (15a ncac 02b .0714(9)(a)(i).
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:
S&EC completed a wetland delineation and Neuse river buffer evaluation for the entire property so that natural resources could be identified and impacts
minimized to the maximum extent practicable. Impact 1 is proposed permanent stream, wetland, and buffer impacts for a road crossing. This road
crossing is necessary to connect the northern portions of the proposed development. The crossing is occurring at the top of the drainage and will cross
at a perpendicular angle to minimize impacts to the maximum extent practicable. Impact 5 is proposed permanent wetland impacts for a road crossing.
This crossing is necessary to connect the southeastern portions of the proposed development. The crossing has been strategically placed near the top
of the wetland to minimize wetland impacts to the maximum extent practicable. Impact 6 is proposed temporary stream impacts for a utility crossing. This
crossing will occur perpendicular to the stream and be constructed via open cut. A temporary coffer dam and pump around will be utilized to minimize
impacts to the maximum extent practicable. Impact 10 is proposed permanent stream and buffer impacts for a greenway crossing. The greenway will
cross the stream at a perpendicular angle and utilize a pipe for continuous water flow. Impact is proposed permanent wetland, stream, and buffer
impacts for a road crossing. The impact is occurring at an existing crossing and will connect to the road stub to the north. Impact 13 is proposed
permanent wetland impacts for an SCM outlet pipe. The outlet pipe is located near the adjacent SCM #5 and will be treated before entering the wetland
at an angle to minimize impacts. Impact 18 is proposed permanent buffer impacts for a greenway crossing. The greenway will be bridged over the
spillway to minimize impacts to the maximum extent practicable. Impact 19 is proposed temporary stream impacts for a utility crossing. This crossing will
occur perpendicular to the stream and be constructed via open cut. A temporary coffer dam and pump around will be utilized to minimize impacts to the
maximum extent practicable. Impact 20 is proposed permanent buffer impacts for a greenway. It should be noted that the greenway was placed only in a
small portion of Zone 2 and avoids any Zone 1 buffer impacts. Impact 21 is proposed temporary stream impacts for a utility crossing. This crossing will
occur perpendicular to the stream and be constructed via open cut. A temporary coffer dam and pump around will be utilized to minimize impacts to the
maximum extent practicable. It should be noted that all other impacts within the impact sheets have been considered "deemed allowable" and avoided
per the Neuse River Buffer rules.
V

I b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Erosion control measures include sediment basins with diversion swales into the basins, cofferdams, pump arounds, and silt fencing with silt fence
outlets.
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:
All permanent stream impacts are less than 0.02 acres and all wetland impacts are less than 0.10 of an acre.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
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
Phase II NSW USMP Water Supply
Please identify which local government stormwater program you are using.
Town of Wake Forest
Comments:
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
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
I Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?
Yes No
U

3b. If you answered "no," provide a short narrative description.
We have reviewed the "Draft Internal Policy, Cumulative impacts and the 401 Water Quality Certification and Isolated Wetlands Programs" document
prepared by the NC Division of Water Quality on April 10, 2004, version 2.1. The draft states that many private developments are unlikely to cause
cumulative impacts, including projects such as urban in -fill, most residential subdivisions and small commercial developments as well as agricultural and
silvicultural operations. The Kinsley Subdivision project is a residential development. Additionally, the project is located within the town of Wake Forest
ETJ, therefore the adjacent properties that have potential for development will have the following regulations to protect downstream waters: 1) the Nauss
River Basin Riparian Buffer Protection regulations, these regulations require limited development within the riparian buffer area, in addition Best
Management Practices may be required that control nitrogen if diffuse flow cannot be achieved; 2) the Phase II NPDES Stormwater Permit Program, this
program includes permitting requirements for Municipal Separate Storm Sewer Systems (MS4s) in addition to post -construction stormwater
management requirements; 3) the Water Supply, Watershed Protection Program which limits development densities as well as requires protective
riparian buffers. We anticipate that the DWR will advise us if any additional information is needed.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated at a
treatment plant, list the capacity available at that plant.
Non -discharge wastewater will be generated and treated at the Smith Creek Wastewater Treatment Plant and has a capacity of 3.0 MGD.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
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 turbines)?*
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?
S&EC completed a Threatened & Endangered Species Report, to include a Self -Certification letter through the US Fish & Wildlife Service (USFWS), a
query through the NC Natural Heritage Program database, and an official Species List through the iPac. A formal request was sent to the USFWS on
June 14, 2021. The USFWS has 30 days to respond from the date of the sent request. S&EC received no response from USFWS within the 30 days
meaning that they concurred with the determinations made by S&EC that the proposed actions is not likely to adversely affect any federally -listed
endangered or threatened species, their formally designated critical habitat, or species currently proposed for listing under the Endangered Species Act
(ESA). Please see attached S&EC Threatened & Endangered Species report.
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?*
The NOAA Habitat Conservation/Habitat Protection: National Marine Fish Service; Essential Fish Habitat Mapper website was referenced. No Essential
Fish Habitat was identified near the project.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
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?*
The NC State Historic Preservation Office HPOWEB GIS Service interactive map was referenced on January 26, 2022, no historic listings or study list
entries or determined eligible listings were identified within the property boundaries.
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?*
INC Flood Risk Information System Floodplain Mapping Program and confirmation from the project engineer.
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
Kinsley PCN Attachments.pdf 20.61 MB
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:
Bob Zarzecki
Signature
19-z2-szfSC, 19W
Date
2/9/2022

Environmental Consultants,
8412 Falls of Meuse Road, Suite 104, Raleigh,, NC 27615 • Phone: [phone]
sandec.com
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description: KINSLEY SUBDIVISION (formerly North Main Street Assemblage)
S&EC Project # 13461 Date: 2018/2019
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn: James Lastinger USACE Regulatory Field Office: Raleigh
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 Soil &
Environmental Consultants, PA (S&EC) staff (as my agent) to enter upon the property herein described
for the purpose of conducting on -site investigations and issuing a determination associated with Waters
of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of
the Rivers and Harbors Act of 1899. This document also authorizes S&EC (as my agent) to act on my
behalf and take all actions necessary for the processing, issuance and acceptance of a permit or
certification and any and all associated standard and special conditions. This notification supersedes any
previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S&EC staff. You should call S&EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index Number(s) (PIN): Wake County — 1851094149 (58.74 acres)
Franklin County — 1852-01-8373 (87.79-ac)
Site Address: 1248 N. Main St., Wake Forest, NC 27587
Watershed: Richland Creek, 27-21-(1.5), "WS-IV;NSW", Neuse 03020201
PROPERTY OWNER INFORMATION:
Name: Site Investments, LLC
Address: 933 Old Knight Road, Knightdale, NC 27545-9065
Phone No.: 919-422-3933 Mobile No.: 919-422-3933
Email: [e-mail]
Site Investments, LLC By: JV Management, LLC Manager
Michael E. Jordan, Manager g 2'4
Property Owner (please print)//) hate
6
Property Owner
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.

Soil & Environmental Consultants, PA
8412 Falls of Neuse Road, Sui(e 104, Raleigh, IBC; 27615 • Phone: (919} 846-5900 • Fax: [phone]
sandec.coxn
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description- KINSLEY SUBDfVISION (formerly North Main Street Assemblage)
S&EC Project # 13461 Date: 2018/2019
The Department of the Army
U.S. Army Corps of Engineers,
69 Darlington Avenue
Wilmington, NC 28403
Attn: James Lastinger
Wilmington District
USACE Regulatory Field Office: Raleigh
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 Soil &
Environmental Consultants, PA (S&EC) staff (as my agent) to enter upon the property herein described
for the purpose of conducting on -site investigations and issuing a determination associated with Waters
of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of
the Rivers and Harbors Act of 1899. This document also authorizes S&EC (as my agent) to act on my
behalf and take all actions necessary for the processing, issuance and acceptance of a permit or
certification and any and all associated standard and special conditions. This notification supersedes any
previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S&EC staff. You should call S&EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index Number(s) (PIN): Wake County — 1842803120 (37.95-ac), 1842705407 (24.35-ac),
1842719092 (0.15-ac), & 1942810062 (0.01-ac);
Site Address: 27 Spring Lane, Wake Forest, NC 27587
Watershed: Richland Creek, 27-21-(1.5), "WS-IV;NSW", Neuse 03020201
PROPERTY OWNER INFORMATION
Name: Calvin A. Ray, Jr. & Mary Ann Hughes
Address: 9205 Bud Smith Road, Wake Forest, NC 27587
Phone No.: Mobile No.:
Email:
Owner (plea print) i9
Date
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.

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BZ
North Main Street Assemblage
Wake/Franklin County
Feet
Scale: 1 1000'
" =
Source: NG USGS
Grissom, Wake Forest,
Soil & Environmental Consultants, PA
S412 F.lk id'N—RL-k X.n.M Raleigh.%C IML5-Ph—(919)&6TW-Fwa 9L9]NJ&9a6
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Date:
3/21 /18
Franklinton & Rolesville Quads

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Scale: Wake/Franklin County
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Source: Soil & Etivironmental Consultants, PA
Date: Franklin County E412 F.11, M'\—R—L S... MR.W&', 'C2%i3•Pb.—:(919) W—Im•F—(9 L9)1FIb9+6
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Scale: 1 if = 1000' Wake/Franklin County
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3/21 /18 Soil Survey Sheet 11—Lk,.—

Bob Zarzecki
From: Lastinger, James C CIV USARMY CESAW (US) <[e-mail]>
Sent: Wednesday, July 25, 2018 3:15 PM
To: Bob Zarzecki
Subject: RE: North Main Street Assemblage - USACE Agent(s)? - - PJD REQUEST
Thank you for the updated map. The delineation accurately reflects what was reviewed in the field on July 17, 2018. It
may be used for planning and permitting purposes. Should the need for a Department of the Army 404 permit arise, a
JD can be issued at the time of permit verification. The AID for the project is SAW-2018-01484. Please let me know if
you have any questions.
James Lastinger
Regulatory Project Manager
Raleigh Regulatory Field Office
US Army Corps of Engineers, Wilmington District
ADDRESS: 3331 Heritage Trade Drive, Suite 105 Wake Forest, NC 27587
Tel: [phone], x32
Cell: [phone]
Fax: [phone]
-----Original Message -----
From: Bob Zarzecki [mailto:[e-mail]]
Sent: Tuesday, July 24, 2018 12:14 PM
To: Lastinger, James C CIV USARMY CESAW (US) <[e-mail]>
Subject: [Non-DoD Source] RE: North Main Street Assemblage - USACE Agent(s)? - - PJD REQUEST
James
Attached is the updated sketch map updated based on your field verification on July 17th for reference with the PJD.
Cheers!
Bob Zarzecki
Wetlands Department Manager
Soil & Environmental Consultants, PA
From: Bob Zarzecki
Sent: Monday, July 16, 2018 1:02 PM
1

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R.GY COOPER
MiCHAEL S. REGAN
LINDA CULT EP ER
r,,. , r,!,
Calvin A. Ray and Mary Ann Hughes
9205 Bud Smith Road
Wake Forest, NC 27587-8059
Sharon G. Lewis
PO Box 852
Youngsville, NC 27595-0852
Fred D. Frazier
1244 N. Main Street
Wake Forest. NC 27587-9403
Determination Type:
4J
January 18, 2019
Subject: Surface Water Determination Letter
NBRRQ#18-113 {supplementary}
Wake/Franklin County
I Buffer Call I Isolated or EIP Call I
® Neu se 05A NCAC 2B .0233}
❑ Ephemeral/Intermittent/Perennial Determination
El Tar -Pamlico (15A NCAC 2B .0259)
❑ Jordan (15A NCAC 21B .0267) ❑ Isolated Wetland Determination
Project Name: North Main Street Assemblage (supplementary)
Location'Directions: The project area includes 7 parcels offN. Main Street in
Wake Forest. Wake and Franklin County
Subject Stream: UTs to Richland Creek
Determination Date: 1/15/2019 Staff: Cheng Zhang
Stream
)E;/UP
*
Not Subject
to Buffers
Subject to Starts
Buffers
Stop'
Soil
Survey
USGS
To a
Pond 4
X
x
*EI11P = EphemeralilriterniittentlPerenniat
Explanation: The feature(s) listed above has or have been located on the Soil Survey of Wake and
Franklin County. North Carolina or the most recent copy of the USGS Topographic map at a 1:24,000
scale. Each feature that is checked "Not Subject" has been determined not to be a stream or is not present

an the property. Features that are checked "Subject" have been located on the property and possess
characteristics that qualify it to be a stream. There may be other streams located on your property that do
not show up on the maps referenced above but. still may be considered jurisdictional according to the US
Army Corps of Engineers and. or to the Division of Water Resources (DWR).
This on -site determination shall expire fine (5) years from the date of this Setter. Landowners or affected
parties that dispute a determination made by the DW1 R or Delegated Local Authority may request a
determination by the Director. An appeal request must be made within sixty (60) days of date of this letter or
from the date the affected party (including downstream and/or adjacent owners) is notified of this letter. A
request for a determination by the Director shall be referred to the Director in writing If sending via L'S
Postal Service c/o Karen Higgins D I R — 401 & Buffer Permitting I'isit 161 7/bfuil Service Center Raleigh, NC
27699-1617. If sending via delivery service (UPS. FedEx, etc.) Karen Higgins D1i N — 401 & Buffer Permitting
Unit, 512 N. Salisbury Street Raleigh, NC 27604
This determination is final and binding unless, as detailed above, you ask for a hearing or appeal within sixty
(60) days.
The owner/future owners should notify the Division of Water Resources (including any other Local, State,
and Federal Agencies) of this decision concerning any future correspondences regarding the subject property
(stated above). This project may require a Section 4041401 Permit for the proposed activity. Any inquiries
should be directed to the Division of Water Resources (Central Office) at (919)-807-6300, and the LDS Army
Corp of Engineers (Raleigh Regulatory Field Office) at (919)-554-4884.
If you have questions regarding this determination, please feel free to contact Cheng Zhang at (919) 791-
4E59.
Sincerely,
10//o
Rick Solicit, L.G.
Assistant Supervisor, Water Quality Regional Operations Center
cc: RRO DWR File Copy

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Project Number: Map Title: 13461.W1 0 1,000 2,000
Figure 1 - USGS Map
Project Manager: I I i I J
BZ North Main Street Assemblage Feet
Scale. 1 �' _ 1000' Wake/Franklin County
Source: Soil & Environmental Consultants, P
Date: Grissom, Wake Forest, :1.11. •. ♦.iM1 k.• J mwi, i•a YJny 4 :} N•aA ,ala ry- rY
3121 /18 Franklinton & Rolesville Quads �"`

April 30, 2018
Calvin A. Ray and Mary Ann Hughes
9205 Bud Smith Road
Wake Forest, NC 27587-8059
Sharon G. Lewis
PO Box 852
Youngsville, NC 27596-0852
Fred D.Frazier
1244 N. Main Street
Wake Forest, NC 27587-9403
Determination Type:
ROY COOPER
� ff7 Pt'1"ilf7!'
MICHAEL S. REGAN
setrewry
LINDA CULPEPPER
hireriin Director
Subject: Surface Water Determination Letter
NBRRO# 18-113
Wake/Franklin County
I Buffer Cali I Isolated or EIP Call I
® Neuse (15A NCAC 213.0233)
❑ Tar -Pamlico (15A NCAC 2B .0259) ❑ Ephemeral/Intermittent/Perennial Determination
❑ isolated Wetland Determination
❑ Jordan (15A NCAC 2B .0267)
Project Name: North Main Street
Location/Directions: The project area includes 7 parcels off N. Main Street in Wake Forest,
Wake and Franklin County
Subject Stream: UTs to Richland Creek
Determination Date: 4/20/2018 Staff: Cheng Zhang
Division of Water Resources, Raleigh Regional Office, Watcr Qunlity Operations Section http:iideq.ne.gov/ahout/divisiuns/water-resource.
1628 Muil Serviee Center, Raleigh. NC 27699-1628 Phonc: (919) 79I-4200
I"ocation: 3800 Barrett Drive, Raleigh, NC 27609 Fax: [phone]

North Main Street Assemblage
Wake./Franklin County
4/201 2018
Page 2 of 2
Stream
E/IIP*
Not Subject
to Buffers
Subject to
Buffers
Starts
Stop'
Soil
Survey°
USGS
To 0
A
P
X
DWR flag
*
X
X
Pond 1
X
X
X
Pond 2
X
X
X
B1
I
X
DWR flag
X
X
Pond 3
X
X
X
B2
P
X
C
F
X
X
X
D
***
X
X
E
****
X
X
F
I
X
DWR flag
.loins Feature A
X
G
****
X
X
H
****
X
X
*E1'I1P = Eplremet°alllntej-rrrirtenNPerennicrl
**from origin throughout exc•epr three piped sections
welland
**** not present
Explanation: The features) listed above has or have been located on the Soil Survey of 11'akelCounty. North
Carolina or the most recent copy of the USGS Topographic map at a 1:24,000 scale. Each feature that is checked
"Not Subject" has been determined not to be a stream or is not present on the property. Features that are checked
"Subject" have been located on the property and possess characteristics that quality it to be a stream. There may be
other streams located on your property that do not show up on the maps referenced above but, still may be
considered jurisdictional according to the US Anny Corps of Engineers and/or to the Division of Water Resources
(DWR).
This on -site determination shall expire rive (5) years from the date of this letter. Landowners or affected parties that
dispute a determination made by the DWR or Delegated Local Authority may request a determination by the
Director. An appeal request must be made within sixty (60) days of date of this letter or from the date the affected
party (including downstream and/or adjacent owners) is notified of this letter. A request for a determination by the
Director shall be referred to (lie Director in writing If sending viu US Postal Service c/o Karen Higgins DWR — 401 &
Buffer Permitting Unit 1617 Xfail Service Center Raleigh, NC 27699-1617. If sending via delivery service (UPS, FedEx.
etc) Karen Higgins DWR — 401 & Buffer Permitting Lrnit, 512 N. Salisbury Street Raleigh, NC 27604
This determination is final and Minding unless, as detailed above, you ask for a hearing or appealwithin sixty (60)
days.
The owner/future owners should notify the Division of Water Resources (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subject property (stated
above). This project may require a Section 404/401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Resources (Central Office) at (919)-807-6300, and the US Arm)- Corp of Engineers
(Raleigh Regulatory Field Office) at (919)-554-4884.
If you have questions rer rdin this determination. please feel free to contact Chcng Zhang at [phone].
Panny
ly,
Smit
Supervisor, ater Quality Regional Operations Center
cc: RRa DWR File Copy

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Project Manager: Figure 2 - Waite Soil Survey Map
6Z North Main Street Assemblage Feet
Scale: Wake/Franklin County
Source: Soil & Environmental Consultants, P
Date: Wake County
3/21 /18 Soil Survey Sheet 11 ll:lalh •\.w N.W .uu k l \{ :h l.•Tw iY lviRk M.f-la. ivlvi Rw

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Impact 11 (Existing Crossing) — Kinsley
Existing pipe located at proposed crossing impact area 11