20220599 Ver 1_ePCN Application_20220422

Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
OO Yes
O No
Is this project a public transportation project?*
OYes 0No
Change only if needed.
Pre -Filing Meeting Date Request was submitted on:
4/22/2022
BIMS # Assigned* Version#*
20220599 1
Is a payment required for this project?*
® No payment required
0 Fee received
O Fee needed - send electronic notification
Select Project Reviewer*
Colleen Cohn:eads\cmcohn
Information for Initial Review
Reviewing Office*
Raleigh Regional Office - [phone]
la. Name of project:
COURTESY COPY Reserve of Wake Forest
la. Who is the Primary Contact?*
Kevin Martin
lb. Primary Contact Email:*
lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
4/22/2022
Nearest Body of Water
UT to Richland Creek
Basin
Neuse
Water Classification
WS-IV;NSW
Site Coordinates
Latitude:
35.964438
A. Processing Information
Longitude:
-78.518334
County (or Counties) where the project is located:
Wake
Is this a NCDMS Project
0Yes ONo
Is this project a public transportation project?*
0 Yes ® No

la. Type(s) of approval sought from the Corps:
21 Section 404 Permit (wetlands, streams and waters, Clean Water Act)
O Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
0 Yes
O No
1b. What type(s) of permit(s) do you wish to seek authorization?
O Nationwide Permit (NWP)
0 Regional General Permit (RGP)
0 Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
OYes 0No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
EO 401 Water Quality Certification - Regular
0 Non-404 Jurisdictional General Permit
0 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:
If. Is this an after -the -fact permit application?*
O Yes O No
O 401 Water Quality Certification - Express
0 Riparian Buffer Authorization
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
O Yes O No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
O Yes O No
lh. Is the project located in any of NC's twenty coastal counties?
O Yes O No
1j. Is the project located in a designated trout watershed?
OYes 0No
B. Applicant Information
OYes 0No
OYes 0No
Id. Who is applying for the permit?
0 Owner 2 Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
0 Yes 0 No
2. Owner Information
2a. Name(s) on recorded deed:
ASB II PTNRB
2b. Deed book and page no.:
DB:12940 DP: 2401
2c. Contact Person:
Graham Cawthome
2d. Address
Street Address
6112 Crescent Knoll Dr
Address Line 2
City
Raleigh
Postal / Zip Code
27614-8954
State / Province / Region
NC
Country
USA

2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Graham Cawthorne & Catherine Cawthorne
2b. Deed book and page no.:
DB: 14789 DP: 0543, DB: 009339 DP: 01369, DB: 10206 DP: 0425 & DB: 10206 DP: 0429
2c. Contact Person:
2d. Address
Street Address
6112 Crescent Knoll Dr
Address Line 2
City
Raleigh
Postal / Zip Code
27614-8954
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Betty Williams Trustee & Gracie Mangum
2b. Deed book and page no.:
DB: 18790 DP: 0557
2c. Contact Person:
2d. Address
Street Address
1138 S Main St
Address Line 2
City
Wake Forest
Postal / Zip Code
27587-9280
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Frederick Eason
2b. Deed book and page no.:
DB: 06393 DP: 0381
2c. Contact Person:
2d. Address
Street Address
1172 S Main St
Address Line 2
City
Wake Forest
Postal / Zip Code
27587
2e. Telephone Number:
[phone]
2g. Email Address: *
[e-mail]
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
2f. Fax Number:
2a. Name(s) on recorded deed:
DE&L Land, LLC

2b. Deed book and page no.:
DB: 16288 DP: 1128
2c. Contact Person:
James W. Davis
2d. Address
Street Address
4378 E Holly Grove Rd
Address Line 2
City
Thomasville
Postal / Zip Code
27360
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Eric Rush & Keri Rush
2b. Deed book and page no.:
DB: 10061 DP: 1173
2c. Contact Person:
2d. Address
Street Address
419 N College St
Address Line 2
City
Wake Forest
Postal / Zip Code
27587-2305
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Steve Burnett & Herbert Burnett
2b. Deed book and page no.:
DB: 01854 DP: 0405 & DB: 01000 DP: 0001
2c. Contact Person:
2d. Address
Street Address
1182 S Main St
Address Line 2
City
Wake Forest
Postal / Zip Code
27587-9280
2e. Telephone Number:
[phone]
2g. Email Address: *
[e-mail]
2a. Name(s) on recorded deed:
Viking III Associates
2b. Deed book and page no.:
DB: 06341 DP: 0096
2c. Contact Person:
Bryan J. Benton
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
2f. Fax Number:
State/ Province / Region
NC
Country
USA
2f. Fax Number:

2d. Address
Street Address
2505 York Rd
Address Line 2
City
Raleigh
Postal / Zip Code
27608
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Frank Morisey
3b. Business Name:
RSS NorthView, LLC
3c. Address
Street Address
6131 Falls of Neuse Rd, Suite 202
Address Line 2
City
Raleigh
Postal / Zip Code
27609
3d. Telephone Number:
[phone]
3f. Email Address: *
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Kevin Martin
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
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:
[phone]
1. Project Information
lb. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Wake Forest
2. Project Identification

2a. Property Identification Number:
1840168890, 1840261701, 1840168495,
1840168121, 1840265151, 1840263153,
1840261291, 1840260213, 1840168276,
1840167228, 1840264200 & 1840262490
2c. Project Address
Street Address
1138 S Main St
Address Line 2
City
Wake Forest
Postal / Zip Code
27587
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
UT to Richland Creek
3b. Water Resources Classification of nearest receiving water: *
WS-IV;NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202010701 & 030202010702
4. Project Description and History
2b. Property size:
+/- 11.7
State / Province / Region
NC
Country
USA
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: *
Existing conditions onsite consists primarily of forested land with some single-family residential houses located within the property. Specifically, there are two (2) intermittent stream
features (S1 & S2) located on the property. General land use in the vicinity of the project consists of commercial and residential developments with forested land. Dr Calvin Jones Highway
bounds the property to the North and South Main Street bounds the property to the east.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
O Yes O No O Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0 acres
4g. List the total estimated linear feet of all existing streams on the property:
510
4h. Explain the purpose of the proposed project:*
The purpose of this project is to construct a multi -family residential development (senior center) 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 multi -family residential development (senior center) and its necessary infrastructure including but not limited to; roadway infrastructure,
residential lots, utilities, SCMs, and amenities. Specifically, there is one (1) road crossing that impacts streams. 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
Comments:
0 No 0 Unknown
5b. If the Corps made a jurisdictional determination, what type of determination was made? *
O Preliminary < Approved Ci Not Verified 0 Unknown <; N/A
Corps AID Number:
SAW-2021-00546
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Kevin Martin
Soil & Environmental Consultants, PA
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
NCDWR: Site visit done by Vanessa Manuel and determination issued on August 23, 2019 (NBRRO #19-113). Additional site visit for additional parcels done by Erin Deck and issued on
December 18, 2020 (DWR RRO #20-377).
April Norton of the USACE performed a site visit on 6/9/2021 to confirm the delineation

6. Future Project Plans
6a. Is this a phased project?*
O Yes G 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?
It is my understanding that there are no intended future phases beyond the property boundaries shown. Therefore, no additional NWP, Regional General Permits, or IP are anticipated.
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
O Wetlands OO Streams -tributaries
O Open Waters O Pond Construction
3. Stream Impacts
O Buffers
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width
3h. Impact
length*
SI
Impact 1 - Road Crossing
Permanent
Culvert
Stream 1
Intermittent
Both
3
Average (feet)
52
(linear feet)
S2
Impact 1 - Road Crossing -
Temporary Construction
Access
Temporary
Other
Stream 1
Intermittent
Both
2
Average (feet)
6
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
52
3i. Total stream and ditch impacts:
58
3j. Comments:
permanent impacts include Culvert and rip rap. Temporary impact is for construction access.
E. Impact Justification and Mitigation
3i. Total temporary stream impacts:
6
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
S&EC completed a wetland delineation and buffer evaluation for the entire property so that natural resources can be identified, and impacts minimized to
the maximum extent practicable. Impact 1 is a proposed road crossing with temporary and permanent stream impacts. This road crossing is necessary
to access the property from Dr. Calvin Jones Highway. The road crossing has been strategically placed at the top of the drainage and will utilize retaining
walls to minimize stream impacts to the maximum extent practicable.
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Sediment/skimmer basins with silt fencing, diversion ditches, check dams and rock check dams will be utilized.
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?
O Yes O No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
There are no proposed wetland impacts and all permanent stream impacts are less than 0.02 acres.
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?
n Yes O No
What type of SCM are you providing?
O Level Spreader
O Vegetated Conveyance (lower SHWT)
O Wetland Swale (higher SHWT)
O Other SCM that removes minimum 30% nitrogen
!O 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 •i No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes 4 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?
J Yes 0 No
N/A - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
O Local Govemment O State
Local Government Stormwater Programs
Phase II OO NSW O USMP C7 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?*
O Yes O 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)?*
O Yes O No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
0 Yes O No
3b. If you answered "no," provide a short narrative description.
We have reviewed the "Draft Internal Policy, Cumulative impacts and the 401 Water Quality Certification and Isolated Wetlands Programs" document
prepared by the NC Division of Water Quality on April 10, 2004, version 2.1. The draft states that many private developments are unlikely to cause
cumulative impacts, including projects such as urban in -fill, most residential subdivisions and small commercial developments as well as agricultural and
silvicultural operations. The Reserve at Wake Forest project is a residential development. Additionally, the project is located within the town of
Franklinton ETJ, therefore the adjacent properties that have potential for development will have the following regulations to protect downstream waters:
1) the Neuse River Basin Riparian Buffer Protection regulations, these regulations require limited development within the riparian buffer area, in addition
Best Management Practices may be required that control nitrogen if diffuse 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?*
OYes 0No0N/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 permitted by City of Raleigh.
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?*
O Yes O No
5b. Have you checked with the USFWS conceming Endangered Species Act impacts?*
O Yes O No
5d. Is another Federal agency involved?*
0 Yes
o • Unknown
5e. Is this a DOT project located within Division's 1-8?
OYes 0No

5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
OYes 0No
5g. Does this project involve bridge maintenance or removal?
0 Yes ® No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
0 Yes ® No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
® Yes 0 No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
The NC Natural Heritage Programs Data Explorer Map was used to search for elemental occurrences of federally protected species listed within and
within 1-mile of the project boundaries. It was determined based on the search that there are no elemental occurrences that are listed as federally
Threatened/Endangered within or within 1-mile of the project boundaries. References: NC Natural Heritage Program. 2022. Geographic Information
System (GIS) data. NCDNCR, Raleigh, NC. Available at http://www.ncnhp.org/. (Accessed: April 12, 2022).
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
0 Yes O 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 April 12, 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?*
NC Flood Risk Information System Floodplain Mapping Program and confirmation from the project engineer.
Miscellaneous u
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
01 - Overall Site Plan.pdf 596.21KB
02 - Impact Plan.pdf 214.81 KB
File must be PDF or KMZ
Comments
The Town of Wake Forest requires more than one external access point for residential subdivisions with 100 homes or more and MF/Residential Care as well so that if there is an
emergency, they have a 2nd way in/out of the site. Our PD, Fire, and EMS, want us to get it when possible, especially at a facility where we have older residents. The main purpose of this
road crossing is to provide that as well as access to the northern parcel since it is only accessible via a "right in right" access off HWY 98.
Signature
RI 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:
Kevin C Martin
Signature
ciVwe 0otee

Date
4/22/2022

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IMPACT SUMMARY
IMPACT
AREA
LENGTH
WIDTH
STREAM
TEMPORARY
12 SF
0.000 AC
6 LF
2 LF
PERMANENT
108 SF
0.002 AC
52 LF
3 LF
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0 SF
0 AC
0 LF
0 LF
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0 SF
0 AC
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0 AC
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0 SF
0 AC
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0 SF
0 AC
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TEMPORARY
0 SF
0 AC
--
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0 SF
0 AC
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0 SF
0 AC
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0 SF
0 AC
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0 SF
0 AC
--
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0 SF
0 AC
--
--
CULVERT FILL
0 SF
0 AC
--
--
LEGEND
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ZONE 2 NEUSE
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(PERMANENT)
STREAM IMPACT
(NO PERM LOSS)
WETLANDS IMPACT
(PERMANENT)
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