20220994 Ver 1_ePCN Application_20220721

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
0 No
Is this project a public transportation project?*
OYes 0No
Change only if needed.
Pre -Filing Meeting Date Request was submitted on:
5/9/2022
BIMS # Assigned *
20220994
Is a payment required for this project?*
O No payment required
O Fee received
Fee needed - send electronic notification
Reviewing Office*
Wilmington Regional Office - [phone]
Information for Initial Review
Version#*
What amout is owed?*
0 $240.00
O $570.00
Select Project Reviewer*
Holley Snider:eads\hasnider
la. Name of project:
Supply Dollar General
la. Who is the Primary Contact?*
John Parker
lb. Primary Contact Email:*
lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
7/21/2022
Nearest Body of Water
Shallote Creek
Basin
Lumber
Water Classification
C; Sw, HQW
Site Coordinates
Latitude:
33.929046
A. Processing Information
Longitude:
-78.322793
County (or Counties) where the project is located:
Brunswick
Is this a NCDMS Project
0Yes ONo
Is this project a public transportation project?*
0Yes ONo

la. Type(s) of approval sought from the Corps:
EI 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?
E✓ Nationwide Permit (NWP)
0 Regional General Permit (RGP)
0 Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
0Yes ®No
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
O Individual 401 Water Quality Certification
39 - Commercial/Institutional 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
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
O Yes O No
1j. Is the project located in a designated trout watershed?
Yes • No
B. Applicant Information
0 Unknown
0Yes ONo
OYes 0No
ld. Who is applying for the permit?
O Owner O Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
OYes 0No
2. Owner Information
2a. Name(s) on recorded deed:
John Parker
2b. Deed book and page no.:
2c. Contact Person:
John Parker

2d. Address
Street Address
2075 Juniper Lake Road
Address Line 2
City
West End
Postal / Zip Code
27376
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Jonathan Grubb
4b. Business Name:
ECS Southeast LLP
4c. Address
Street Address
6714 Netherlands Drive
Address Line 2
City
Wilmington
Postal / Zip Code
28405
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
State / Province / Region
North Carolina
Country
United States
2f. Fax Number:
State / Province / Region
North Carolina
Country
United States
4e. Fax Number:
1. Project Information
lb. Subdivision name:
(if appropriate)
lc. Nearest municipality / town:
Shallotte
2. Project Identification
2a. Property Identification Number:
2310002202
2b. Property size:
1.85
2c. Project Address
Street Address
Oxpen Road SW and Boones Neck Road SW
Address Line 2
City State / Province / Region
Shallote North Carolina
Postal / Zip Code Country
28462 United States
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Shallote Creek
3b. Water Resources Classification of nearest receiving water: *
C; Sw, HQW
3c. What river basin(s) is your project located in?*
Lumber

3d. Please provide the 12-digit HUC in which the project is located.
030402080203
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 consists of forested land, scrub/shrub and herbaceous wetlands. Multiple single-family residences and several out -buildings are located along Boones Neck Road. There are also
agricultural fields located along Oxpen Road.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
0 Yes O No 0 Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0.71
4g. List the total estimated linear feet of all existing streams on the property:
274
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to construct a Dollar General complimented by associated parking and access areas to service the local community.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The proposed development will include a Dollar General and associated parking/access areas. Construction of two stormwater management ponds are planned in the southeastern and
northwestern portions of the site. Based on preliminary information provided, maximum anticipated cut- and fill -depths may reach between five (5) and 20 feet.
Standard construction equipment such as cranes, excavators, dump trucks, and similar vehicles would be used for the project. Proper erosion and sedimentation control measures (BMP's)
would be employed throughout the project. Typical materials and machinery will be used on -site during the construction process.
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 O Approved O Not Verified 0 Unknown O N/A
Corps AID Number:
SAW-2022-00055
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Jonathan Dale Grubb
ECS Southeast LLP
0 Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
April 25, 2022
6. Future Project Plans
6a. Is this a phased project?*
O Yes O 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?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
pO Wetlands Streams -tributaries
0 Open Waters =1 Pond Construction
2. Wetland Impacts
0 Buffers
2a. Site #* (?)
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W.*
2d. W. name
2e. Forested*
2f. Type of Jurisdicition*
(?)
2g. Impact
area*
W1
Fill/Building Pad
P
Headwater Forest
W1
Yes
Corps
0.429
(acres)

2g. Total Temporary Wetland Impact
0.000
2g. Total Permanent Wetland Impact
0.429
2g. Total Wetland Impact
0.429
2i. Comments:
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width
3h. Impact
length*
S1
Parking Lot
Permanent
Culvert
T1
Intermittent
Both
2
Average (feet)
183
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
183
3i. Total stream and ditch impacts:
183
3j. Comments:
CulverUPipe Impact
E. Impact Justification and Mitigation
3i. Total temporary stream impacts:
0
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
This project will fulfill the additional grocery shopping needs of the local community. The proposed wetland impact is necessary to provide a building pad
outside of any NCDOT road setbacks. Stream/wetland features bisect the property and crossing the stream/wetland features are the only way to stay out
of NCDOT setbacks while still captilizing the road frontage at the intersection. The site has been designed in a way to avoid and minimize except as
needed for the building pad and associated parking lot. A culvert will be placed in the stream to allow continuance of flow. No other impacts are
proposed.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
In previous site plans (attached), the wetland areas to the north east were being impacted to a greater extent. Changes in site design resulted in the
north eastern portion of the wetland to have less impact, leaving impacts to only the western -central wetland area where fill is proposed to be placed in
addition to a culvert for the ditch.
The construction techniques shall be conducted in accordance with NCDENR standards. Temporary and additional erosion control measures shall be
maintained throughout the construction process. Silt fencing will be placed at the bottom of the slopes to deter sediment translocation offsite and control
erosion during construction activities. Temporary erosion, sedimentation, and pollution controls will be installed prior to and maintained during the entire
construction duration and until final stabilization is established.
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
F. Stormwater Management and Diffuse Flow Plan (required by DWR) CJ
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?
O Yes
If no, explain why:
Not a buffered basin.
O No
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
OYes 0No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
0 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?
O Yes O No
0 N/A - project disturbs < 1 acre

3. Stormwater Requirements
3a. Select whether a completed stormwater management plan (SMP) is included for review and approval or if calculations are provided to document the project will not cause degradation of
downstream surface waters.*
• Stormwater Management Plan Antidegradation Calculations
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
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.
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.
Wastewater treated at a treatment plant operated by the City of Shalotte
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
5e. Is this a DOT project located within Division's 1-8?
• Yes No
• No Unknown
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPaC and NC NHP. Conclusions attached.
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?*
State Historic Preservation Website. Concurrence attached.

8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
O Yes O No
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Map Service Center Mapping and development plans
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 dreg and drop files here to attach document
1 PCN_FillableForm_v1_DRAFT_20220510_Protected-merged-compressed (1).pdf 4.03MB
File must be PDF or KMZ
Comments
Signature
L 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:
Jonathan Dale Grubb
Signature
Date
7/21/2022

NORTH CAROLINA
Environmental Quality
Water Resources
Office Use Only
Corps Action ID no. SAW-2022-00055 Date received: [Click to enter.]
DWR project no. 'lick enter.1 Date received: [Click to enter.]
Site Coordinates:
Latitude (DD.DDDDDD): 33.929046
Longitude (DD.DDDDDD): -78.322793
Form Version 4.2, January 31, 2022
Pre -Construction Notification (PCN) Form
(Ver. 4.2, January 31, 2022))
For Nationwide Permits and Regional General Permits and corresponding Water Quality Certifications
Please note: fields marked with a red asterisk are required. The form is not considered complete until all
mandatory questions are answered.
The online help file may be found at this link:
https://edocs.deq.nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30.pdf
The help document may be found at this link:
http://www.saw.usace.army.mil/M issions/Requlatory-Permit-Program/Permits/2017-Nationwide-
Permits/Pre-construction-Notification/
A. Processing Information
County (counties) where project is located:
Brunswick Additional (if needed).
Is this a NCDMS project?
(Click yes only if NCDMS is the applicant or co-
applicant)
❑ Yes ❑x No
Is this a public transportation project?
(Publicly funded municipal, state, or federal road, rail,
or airport project)
❑ Yes ❑x No
Is this a NCDOT project?
❑ Yes ❑x No
If yes, NCDOT TIP or state project number:
Click to enter.
If yes, NCDOT WBS number:
Click to enter.
Page 1 of 20 PCN Form - Version 4.2, January31, 2022

la. Type(s) of approval sought from the Corps: *
❑x Section 404 Permit (wetlands, streams, waters,
Clean Water Act)
❑ Section 10 Permit (navigable waters, tidal
waters, Rivers and Harbors Act)
Has this PCN previously been submitted? *
❑ Yes ❑x No
Please provide the date of the previous submission. *
Click to enter a date.
lb. What type(s) of permit(s) do you wish to seek
authorization? *
❑x Nationwide Permit (NWP)
El Regional General Permit (RGP)
❑ Standard (IP)
This form may be used to initiate the standard/ individual permit process with the USACE. Please contact your Corps
representative concerning submittals for standard permits. All required items can be included as attachments and
submitted with this form.
lc. Has the NWP or GP number been verified by the Corps? *
❑ Yes ❑x No
NWP number(s) (list all numbers ):
39
RGP number(s) (list all numbers ):
Click to enter.
Are you a federal applicant?
❑ Yes ❑x No
If yes, please provide a statement concerning compliance with the Coastal Zone Management Act *
Click to enter text.
ld. Type(s) of approval sought from DWR (check all that apply): *
❑x 401 Water Quality Certification - Regular ❑ 401 Water Quality Certification- Express
❑ Non-404 Jurisdictional General Permit ❑ Riparian Buffer Authorization
❑ Individual 401 Water Quality Certification
Is this a courtesy copy notification
• Yes ❑x No
le. Is this notification solely for the record because written approval is not required? *
For the record only for DWR 401 Certification: *
• Yes ❑x No
For the record only for Corps Permit: *
❑ Yes ❑x No
lf. Is this an after -the -fact permit/certification application? *
❑ Yes ❑x No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts?
,-: Yes ❑ No
If yes, attach the acceptance letter from mitigation bank or in -lieu fee program.
1 h. Is the project located in any of NC's twenty coastal counties? *
►': Yes ❑ No
1 i. Is the project located within an NC DCM Area of Environmental
Concern (AEC)? *
El Yes ❑x No El Unknown
1j. Is the project located in a designated trout watershed? *
❑ Yes ❑x No
If yes, you must attach a copy of the approval letter from the appropriate Wildlife Resource Commission Office.
Trout information may be found at this link: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-
Program/Agency-Coordination/Trout.aspx
Page 2 of 20 PCN Form - Version 4.2, January31, 2022

B. Applicant Information
la.
Who is the primary contact? *
John Parker
1b.
Primary Contact Email: *
[e-mail]
lc.
Primary Contact Phone: * (###)###-####
[phone]
1d.
Who is applying for the permit/certification? * (check
all that apply)
0 Owner El Applicant (other than owner)
le.
Is there an agent/consultant for this project?*
0 Yes ❑ No
2. Landowner Information
2a. Name(s) on Recorded Deed: *
John Parker
2b. Deed Book and Page No.:
Click to enter.
2c. Contact Person (for corporations):
Click to enter.
2d. Address *
Street Address:
2075 Juniper Lake Road
Address line 2:
Click to enter.
City:
West End
State/ Province/ Region:
North Carolina
Postal/ Zip Code:
27376
Country:
United States
2e. Telephone Number: * (###)###-####
[phone]
2f. Fax Number: ####
Click to enter.
(###)###
2g. Email Address: *
[e-mail]
3.
Applicant Information (if different from owner)
3a.
Name: *
John Parker
3b.
Business Name (if applicable):
Click to enter.
3c.
Address: *
Street Address:
2075 Juniper Lake Road
Address line 2:
Click to enter.
City:
West End
State/ Province/ Region:
North Carolina
Postal/ Zip Code:
27376
Country
United States
3d.
Telephone Number: * (###)###-####
[phone]
3e
Fax Number: (###)### ####
Click to enter.
3f.
Email Address: *
[e-mail]
Page 3 of 20
PCN Form - Version 4.2, January31, 2022

4. Agent/ Consultant (if applicable)
4a. Name: *
Jonathan Grubb
4b. Business Name:
ECS Southeast LLP
4c. Address: *
Street Address:
6714 Netherlands Drive
Address line 2:
Click to enter.
City:
Wilmingtion
State/ Province/ Region:
North Carolina
Postal/ Zip Code:
28405
Country:
United States
4d. Telephone Number: * (###)###-####
[phone]
Click to enter.
4e Fax Number: (###)### ####
4f. Email Address: *
jgrubb©ecslimited.com
Agent Authorization Letter:*
Attach a completed/signed agent authorization form or letter. A sample form may be found at this link:
https://www.saw. usace.army.mil/Missions/Regulatory-Permit-Program/Permits/2017-Nationwide-Permits/Pre-
construction-Notification/
Page 4 of 20 PCN Form - Version 4.2, January31, 2022

C. Project Information and Prior Project History
1.
Project Information
la.
Name of project: *
Supply Dollar General
lb.
Subdivision name (if appropriate):
Click to enter.
lc.
Nearest municipality/town: *
Shallote, North Carolina
2.
Project Identification
2a.
Property identification number (tax PIN or parcel ID):
2310002202
2b.
Property size (in acres):
1.85
2c.
Project Address:
Street Address:
Oxpen Road SW and Boones Neck Road SW
Address line 2:
Click to enter.
City:
Shallote
State/ Province/ Region:
North Carolina
Postal/ Zip Code:
28462
Country:
United States
2d.
Site coordinates in decimal degrees (using 4-6 digits
after the decimal point): *
Latitude (DD.DDDDDD): * 33.929046
Longitude (-DD.DDDDDD): *--78.322793
3.
Surface Waters
3a.
Name of nearest body of water to proposed project: *
Shallote Creek
3b.
Water Resources Classification of nearest receiving
water: *
C; Sw, HOW
The Surface Water Classification map may be found at this link:
https://ncdenr. maps.arcgis.com/apes/webappviewer/index. html?id=6e125ad7628f494694e259c80dd64265
3c.
In what river basin(s) is your project located? *
Lumber
Choose additional (if needed)
3d.
Please provide the 12-digit HUC in which the project is
located: *
030402080203
The Find Your HUC map may be found at this link:
https://ncdenr. maps.arcgis.com/apes/Publiclnformation/index.html?appid=ad3a85a0c6d644a0b97cd069db238ac3
Page 5 of 20 PCN Form - Version 4.2, January31, 2022

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 consists of forested land, scrub/shrub and herbaceous wetlands. Multiple single-family
residences and several out -buildings are located along Boones Neck Road. There are also agricultural
fields located along Oxpen Road.
4b. Have Corps permits or DWR certifications been obtained for this
project (including all prior phases) in the past? *
• Yes ❑x No El Unknown
If yes, please give the DWR Certification number and/or Corps
Action ID (ex. SAW-0000-00000):
SAW-2022-00055
jClick to enter.]
Attach any pertinent project history documentation
4b2. Is any portion of the work already complete? *
❑ Yes ❑x No
If yes, describe the completed work.
Click to enter text.
4c. List of other certifications or approvals/denials received from other federal, state or local agencies for work
described in this application not related to the 404 or 401.
Click to enter text.
4d. Attach an 8% x 11" excerpt from the most recent version of the USGS topographic map indicating the location of
the project site.
4e. Attach an 8% x 11" excerpt from the most recent version of the published County NRCS Soil Survey map
depicting the project site.
4f. List the total estimated acreage of all existing wetlands on the
property:
0.71 acres
4g. List the total estimated linear feet of all existing streams (intermittent
and perennial) on the property:
274 linear feet
4g1. List the total estimated acreage of all existing open waters on the
property:
0 acres
4h. Explain the purpose of the proposed project: *
The purpose of the proposed project is to construct a Dollar General complimented by associated
parking and access areas to service the local community.
4i. Describe the overall project in detail, including the type of equipment to be used: *
The proposed development will include a Dollar General and associated parking/access areas.
Construction of two stormwater management ponds are planned in the southeastern and northwestern
portions of the site. Based on preliminary information provided, maximum anticipated cut- and fill -
depths may reach between five (5) and 20 feet.
Standard construction equipment such as cranes, excavators, dump trucks, and similar vehicles would
be used for the project. Proper erosion and sedimentation control measures (BMP's) would be
employed throughout the project. Typical materials and machinery will be used on -site during the
construction process.
4j. Attach project drawings/site diagrams/depictions of impact areas for the proposed project.
4k. Will this activity involve dredging in wetlands or waters? *
• Yes ❑x No
If yes, describe the type of dredging, the composition of the dredged material, and the locations of disposal area.
Click to enter text.
Page 6 of 20
PCN Form - Version 4.2, January31, 2022

5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or in
proposed impact areas? *
►_ Yes ❑ No El Unknown
Comments:
Anticipated wetland impact offset is a 2:1 ratio.
5b. If the Corps made a jurisdictional determination,
what type of determination was made? *
❑x Preliminary ❑ Approved ❑ Emailed concurrence
❑ Not Verified ❑ Unknown ❑ n/a
Corps AID number (ex. SAW-0000-00000):
SAW-2022-00055
5c. If 5a is yes, who delineated the jurisdictional
areas?
Name (if known): Jonathan Grubb
Agency/Consultant Company: ECS Southeast LLP
Other: Click to enter.
5d. List the dates of the Corps jurisdictional determination or State determination if a determination was made by
either agency.
April 25, 2022
5d1. Attach jurisdictional determinations.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ❑x No
6b.
If yes, explain.
Click to enter.
Are any other NWP(s), regional general permit(s), or individual permit(s) used, or intended to be used, to
authorize any part of the proposed project or related activity? This includes other separate and distant crossings
for linear projects that require Department of the Army authorization but don't require pre -construction
notification.
Click to enter.
7. Addresses of adjoining property owners, lessees, etc. whose property adjoins the waterbody (if more than can be
entered here, please attach a supplemental list)
Click to enter.
8. Scheduling of activity:
Click to enter.
Page 8 of 20 PCN Form - Version 4.2, January31, 2022

D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project
(check all that apply):
❑x Wetlands
❑ Buffers
❑ Pond Construction
❑x Streams - tributaries
❑ Open Waters
2. Wetland Impacts
If there are wetland impacts proposed on the site, complete this table for each wetland area impacted.
2a.
Site #*
2a1.
Impact
Reason/Type*
2b.
Impact
Duration*
2c.
Wetland Type*
2d.
Wetland Name*
2e.
Forested
?*
2f.
Jurisdiction
Type*
2g.
Impact Area
(ac)*
W1
Fill (Incl.
Riprap)
Permanent
Headwater
Forest
W1
Yes
Corps
0.4299
W2
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W3
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W4
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W5
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W6
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W7
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W8
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W9
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W10
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W11
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W12
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W13
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W14
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W15
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
2g1. Total temporary wetland impacts
0 ac
2g2. Total permanent wetland impacts
0.4299 ac
2g3. Total wetland impacts
0.4299 ac
2h. Type(s) of material being discharged and the amount of each type in cubic yards:
Clean material; approximately 2,465 cy
2i. Comments:
Click to enter text.
Page 9 of 20
PCN Form - Version 4.2, January31, 2022

3. Stream Impacts
If there are perennial or intermittent stream/ tributary impacts (including temporary impacts) proposed on the site,
complete this table for all stream/ tributary sites impacted.
** All Perennial or Intermittent streams must be verified by DWR or delegated local government
Site #*
3a
Impact
Reason*
3b.
Impact
Duration*
3c.
Impact Type*
3d.
Stream Name*
3e.
Stream
Type*
3f.
Jurisdiction
Type*
3g.
Stream Width
(avg ft) *
3h.
Impact length
(linear ft) *
Si
Culvert
Permanent
Fill (Incl.
Riprap)
Ti
Perennial
Both
2
183
S2
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S3
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S4
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S5
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S6
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S7
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S8
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S9
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S10
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S1 1
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S12
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S13
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S14
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S15
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S16
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S17
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S18
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S19
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S20
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
3i1. Total jurisdictional ditch
impact:
183 linear ft
3i2. Total permanent stream
impacts:
Click to enter. linear ft
3i3. Total temporary stream
impacts:
Click to enter. linear ft
3i4. Total stream and ditch
impacts:
183 linear ft
3j. Comments:
Click to enter.
Page 10 of 20 PCN Form - Version 4.2, January31, 2022

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other
open water of the U.S., individually list all open water impacts in the table below.
4a.
Site #*
4a1.
Impact Reason
4b.
Impact
Duration*
4c.
Waterbody Name*
4d.
Activity Type*
4e.
Waterbody
Type*
4f.
Impact area
(ac)*
01
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
02
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
03
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
04
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
05
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
4g. Total temporary open water impacts
Click to enter. ac
4g. Total permanent open water impacts
Click to enter. ac
4g. Total open water impacts
Click to enter. ac
4h. Comments:
Click to enter.
5. Pond or Lake Construction
If pond or lake construction is proposed, complete the table below. (*This does NOT include offline stormwater
management ponds.)
5a.
Pond ID
#
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (ac)
5d.
Stream Impacts (ft)
5e.
Upland
Impacts (ac)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
P2
Choose one
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
P3
Choose one
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
5f. Total
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
5g. Comments:
Click to enter.
5h. Is a dam high hazard permit required?
❑ Yes ❑x No
If yes, permit ID no.:
Click to enter.
5i. Expected pond surface area (acres):
Click to enter.
5j. Size of pond watershed (acres):
Click to enter.
5k. Method of construction:
Click to enter.
Page 11 of 20 PCN Form - Version 4.2, January31, 2022

6. Buffer Impacts (DWR requirement)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts.
6a. Project is in which protected basin(s)?
* (Check all that apply.)
❑ Neuse ❑ Tar -Pamlico ❑ Catawba
❑ Jordan ❑ Goose Creek ❑ Randleman
❑ Other: Click to enter.
Site #*
6b.
Impact Type*
6c.
Impact Duration*
6d.
Stream Name*
6e.
Buffer
Mitigation
Required?*
6f.
Zone 1 Impact*
(sq ft)
6g.
Zone 2 Impact*
(sq ft)
B1
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B2
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B3
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B4
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B5
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B6
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B7
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B8
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B9
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B10
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
1311
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B12
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B13
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B14
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B15
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B16
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B17
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B18
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B19
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B20
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
6h. Total temporary impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
6h. Total permanent impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
6h. Total combined buffer impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
6i. Comments:
Click to enter.
Please attach supporting documentation (impact maps, plan sheets, etc.) for the proposed project.
Page 12 of 20 PCN Form - Version 4.2, January31, 2022

E. Impact Justification and Mitigation
1.
Avoidance and Minimization
la.
Specifically describe measures taken to avoid or minimize the proposed impacts through project design: *
This project will fulfill the additional grocery shopping needs of the local community. The proposed
wetland impact is necessary to provide a building pad outside of any NCDOT road setbacks.
Stream/wetland features bisect the property and crossing the stream/wetland features are the
only way to stay out of NCDOT setbacks while still captilizing the road frontage at the intersection.
The site has been designed in a way to avoid and minimize except as needed for the building pad
and associated parking lot. A culvert will be placed in the stream to allow continuance of flow. No
other impacts are proposed.
1 b.
Specifically describe measures taken to avoid or minimize proposed impacts through construction techniques: *
In previous site plans (attached), the wetland areas to the north east were being impacted to a greater
extent. Changes in site design resulted in the north eastern portion of the wetland to have less
impact, leaving impacts to only the western -central wetland area where fill is proposed to be placed in
addition to a culvert for the ditch.
The construction techniques shall be conducted in accordance with NCDENR standards. Temporary
and additional erosion control measures shall be maintained throughout the construction process. Silt
fencing will be placed at the bottom of the slopes to deter sediment translocation offsite and control
erosion during construction activities. Temporary erosion, sedimentation, and pollution controls will be
installed prior to and maintained during the entire construction duration and until final stabilization is
established.
2. Compensatory Mitigation for Impacts to Waters of the U.S., Waters of the State, or Riparian Buffers
2a. If compensatory mitigation is required, by whom is it required? *
(check all that apply)
❑ DWR ❑x Corps
2b. If yes, which mitigation option(s) will be used for this
project? * (check all that apply)
Mitigation Bank
❑ In Lieu Fee Program
❑ Permittee Responsible Mitigation
3. Complete if using a Mitigation Bank (Must satisfy NC General Statute143-214.11 (d1).)
3a. Name of mitigation bank:
Click to enter.
3b. Credits purchased/requested:
Type: Non -riparian
Wetland
Quantity 0.4299
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Attach receipt and/or approval letter.
3c. Comments:
Click to enter.
Page 13 of 20
PCN Form - Version 4.2, January31, 2022

4. Complete if Using an In Lieu Fee Program
4a. Attach approval letter from in lieu fee program.
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, what is the stream temperature:
Choose one
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington
District's RIBITS website: (Please use the filter and select Wilmington district)
https://ribits.usace.army.mil/ribits apex/f?p=107:27:2734709611497::NO:RP:P27 BUTTON KEY:O
4d. Buffer mitigation requested (DWR only):
Click to enter. square feet
4e. Riparian wetland mitigation requested:
Click to enter. acres
4f. Non -riparian wetland mitigation requested:
Click to enter. acres
4g. Coastal (tidal) wetland mitigation requested:
Click to enter. acres
4h. Comments:
Click to enter.
5. Complete if Providing a Permittee Responsible Mitigation Plan
5a. If proposing a permittee responsible mitigation plan, provide a description of the proposed mitigation plan,
including mitigation credits generated.
Click to enter.
5b. Attach mitigation plan/documentation.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — DWR requirement
6a. Will the project result in an impact within a protected riparian buffer
that requires buffer mitigation?
❑Yes ❑ No
If yes, please complete this entire section — please contact DWR for more information.
6b. If yes, identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required in the table below.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
Click to enter.
Click to enter.
Choose one
Click to enter.
Zone 2
Click to enter.
Click to enter.
Choose one
Click to enter.
6f. Total buffer mitigation required
Click to enter.
6g. If buffer mitigation is required, is payment to a mitigation bank or
NC Division of Mitigation Services proposed?
❑ No
►: Yes
6h. If yes, attach the acceptance letter from the mitigation bank or NC Division of Mitigation Services.
6i. Comments:
Click to enter.
Page 14 of 20
PCN Form - Version 4.2, January31, 2022

F. Stormwater Management and Diffuse Flow Plan (DWR requirement)
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 ❑x No
1 b.
All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the
project is subject to a state implemented riparian buffer protection program, include a plan that fully documents
how diffuse/dispersed flow will be maintained.
All Stormwater Control Measures (SCM) must be designed in accordance with the NC Stormwater Design
Manual(https://deq.nc.gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-permit-
quidance/stormwater-bmp-manual).
Associated supplement forms and other documentation must be provided.
What Type of SCM are you
providing?
(Check all that apply)
❑ Level Spreader
ElW Vegetated Conveyance (lower seasonal high water table- SHT)
❑ Wetland Swale (higher SHWT)
❑ Other SCM that removes minimum 30% nitrogen
❑ Proposed project will not create concentrated stormwater flow through the
buffer
For a list of options to meet the diffuse flow requirements, click here.
Attach diffuse flow documentation.
2.
Stormwater Management Plan
2a.
Is this an NCDOT project subject to compliance with NCDOT's
Individual NPDES permit NCS000250?
El Yes ❑x No
2b.
Does this project meet the requirements for low density projects as
defined in 15A NCAC 02H .1003(2)?
El Yes ❑x No
To look up low density requirements, click here:
http://reports.oah.state. nc. us/ncac/title%2015a%20-%20environmental%20quality/chapter%2002%20-
%20environ mental%20management/subchapter%20h/15a%20ncac%2002h%20.1003.pdf
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 ❑x No
❑ n/a — project disturbs < 1 acre
Note: Projects that have vested rights, exemptions, or grandfathering from state or locally implemented
stormwater programs or projects that satisfy state or locally -implemented stormwater programs through use of
community in -lieu programs should answer "no" to this question.
2d.
Which of the following stormwater management program(s) apply?
(Check all that apply.)*
❑ Local Government
❑x State
If you have local government approval, please include the SMP on their overall impact map.
Local Government Stormwater Programs *
❑x Phase II ❑ USMP
❑ NSW ❑ Water Supply
Page 15 of 20
PCN Form - Version 4.2, January31, 2022

Please identify which local government stormwater program you are using. *
Click to enter.
State Stormwater Programs *
❑ Phase II ❑ HOW or ORW
❑x Coastal Counties ❑ Other
Comments:
Click to enter.
Page 16 of 20 PCN Form - Version 4.2, January31, 2022

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
❑x No
lb.
If you answered "yes" to the above, does the project require
preparation of an environmental document pursuant to the
requirements of the National or State (North Carolina) Environmental
Policy Act (NEPA/SEPA)? *
❑ Yes
El No
lc.
If you answered "yes" to the above, has the document review been
finalized by the State Clearing House? (If so, attach a copy of the
NEPA or SEPA final approval letter.) *
❑ Yes
❑ No
Comments:
Click to enter.
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),
Federally Non -Jurisdictional Wetlands /Classified Surface Waters
(15A NCAC 2H. 1400) DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
❑ Yes
❑x No
2b.
If you answered "yes" to the above question, provide an explanation of the violation(s):
Click to enter.
3.
Cumulative Impacts (DWR Requirement)
3a.
Will this project (based on past and reasonably anticipated future
impacts) result in additional development, which could impact nearby
downstream water quality? *
❑ Yes ❑x No
3b.
If you answered "no", provide a short narrative description:
The proposed development will be confined to the existing property boundary and no plans of expansion or
related commercial development are anticipated. Future development of surrounding/local properties is unknown
at this time.
3c.
If yes, provide a qualitative or quantitative cumulative impact analysis in accordance with the most recent DWR
policy. (Attach .pdf)
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project? *
®Yes El No El N/A
Page 17 of 20 PCN Form - Version 4.2, January31, 2022

4b. If yes, 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.
Wastewater treated at a treatment plant operated by the City of Shalotte
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? (IPAC weblink: https://www.fws.ciov/ipac/ [fws.govl) *
o Yes ❑ No
5b. Have you checked with the USFWS concerning Endangered Species
Act impacts? *
o Yes ❑ No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another federal agency involved? *
❑ Yes ❑x No ❑ Unknown
If yes, which federal agency?
Click to enter.
5e. Is this a DOT project located within Divisions 1-8? *
0 Yes ❑ No
5f. Will you cut any trees in order to conduct the work in waters of the
U.S.?
_, Yes El No
5g. Does this project involve bridge maintenance or removal? *
❑ Yes ❑x No
5g1. If yes, have you inspected the bridge for signs of bat use such as
staining, guano, bats, etc.? Representative photos of signs of bat use
can be found in the NLEB SLOPES, Appendix F, pages 3-7.
❑ Yes ❑ No
Representative photos of signs of bat use can be found in the NLEB SLOPES, Appendix F, pages 3-7. Link to
NLEB SLOPES document: http://saw-req.usace.army.mil/NLEB/1-30-17-signed NLEB-SLOPES&apps.pdf
If you answered yes to 5g1, did you discover any signs of bat use? *
❑ Yes ❑ No ❑ Unknown
If yes, please show the location of the bridge on the permit drawings/ project plans
5h. Does this project involve the construction/ installation of a wind
turbine(s)? *
El Yes ❑x No
If yes, please show the location of the wind turbine(s) on the permit drawings/ project plans (attach .pdf)
5i. Does this project involve blasting and /or other percussive activities
that will be conducted by machines, such as jackhammers,
mechanized pile drivers, etc.? *
❑ Yes ❑x No
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this
activity on the property (attach .pdf)
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated
Critical Habitat? *
USFWS IPaC and NC NHP. Conclusions attached.
Attach consultation documentation.
6. Essential Fish Habitat (Corps Requirement)
Page 18 of 20
PCN Form - Version 4.2, January31, 2022

6a.
Will this project occur in or near an area designated as
an Essential Fish Habitat?
El Yes
❑x No
Is there submerged aquatic vegetation (SAV) around
the project vicinity? *
El Yes
❑x No
El Unknown
Will this project affect submerged aquatic vegetation? *
❑ Yes
❑x No
❑ Unknown
Explain: Click to enter.
6b.
What data source(s) did you use to determine whether your site would impact Essential Fish Habitat? *
NOAA Essential Fish Habitat Mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data):
http://gis.ncdcr.gov/hroweb/
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural
preservation status (e.g., National Historic Trust designation or
properties significant in North Carolina history and archaeology)? *
❑Yes ❑x No
7b. What data source(s) did you use to determine whether your site would impact historic or archeological
resources? *
Concurrance attached.
7c. Attach historic or prehistoric documentation.
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain? *
❑x No
• Yes
8b. If yes, explain how the project meets FEMA requirements.
All project disturbance is outside the mapped flood hazard area.
8c. What source(s) did you use to make the floodplain determination?
FEMA Flood Map Service Center Mapping and development plans
H. Miscellaneous
Comments:
Click to enter.
Attach pertinent documentation or attachments not previously requested
Page 19 of 20 PCN Form - Version 4.2, January31, 2022

I. Signature *
❑x By checking the box and signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete, to
the best of my knowledge and belief;
• 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;
• The project proponent hereby agrees 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");
• The project proponent hereby agrees to conduct this transaction by electronic means pursuant to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• The project proponent hereby understands that an electronic signature has the same legal effect and can be
enforced in the same way as a written signature; AND
• As the project proponent, I intend to electronically sign and submit the PCN/online form.
Full Name: * Jonathan Grubb
Signature: * Jonathan Grubb
Date: * 6/28/2022
Page 20 of 20 PCN Form - Version 4.2, January31, 2022

25F
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Bowman North Carolina Ltd.
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SUPPLY, NORTH CAROLINA
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EROSION & SCM
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DATE
DESCRIPTION
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JOB No. TSD-058-014
DATE FEBRUARY 4, 2022
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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2022-00055 County: Brunswick County
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Applicant: Rhetson Companies Inc
John Parker
Address: 2075 Juniper Lake Road
West End, NC, 27376
Telephone Number: [phone]
E-mail Address: .john(a),rhetson.com
Size (acres) 1.85 Nearest Town Shallotte, NC
Nearest Waterway Intracoastal Waterway River Basin Lower Pee Dee
USGS HUC 03040208 Coordinates Latitude: 33.928417; Longitude: -78.323472
Location description: This project is located on Oxpen Road SW and Boones Neck Road SW in Shallotte, Brunswick
County, NC (Parcel ID: 2310002202).
Indicate Which of the Following Apply:
A. Preliminary Determination
X There appear to be waters, including wetlands, on the above described 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. Therefore this preliminary jurisdiction determination may be used in the
permit evaluation process, including determining compensatory miti2ation. For purposes of computation of
impacts, compensatory miti2ation 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 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. 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 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 thewaters, 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 of the U.S., including wetlands, on your property delineated. As the Corps may not be able to
Page 1 of 2

SAW-2022-00055
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 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 of the U.S., including wetlands, on the above described property subject to the permit requirements of
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.
_ We recommend you have the waters of the U.S., including wetlands, on your 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 of the U.S., including wetlands, on your property have been delineated and the delineation has been
verified by the Corps. 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, unless there is a change in law or our published regulations, may be relied upon
for a period not to exceed five years from the date of this notification.
_ The waters of the U.S., including wetlands, have been delineated and surveyed and are accurately depicted on the plat
signed by the Corps Regulatory Official identified below on . 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 no waters of the U.S., to include wetlands, present on the above described 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 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.
X 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 Gary Beecher at
[phone] or Gary.H.Beecher(ausace.army.mil.
C. Basis For Determination: N/A. An Approved JD has not been completed.
D. Remarks: A desk top review was conducted on this application using information obtained from the consultant
(ECS) and from Corps generated QL2 Lidar Maps.
E. Attention USDA Program Participants
The delineation included herein has been conducted to identify the location and extent of the aquatic resource boundaries
and/or the jurisdictional status of aquatic resources for purposes of the Clean Water Act for the particular site identified in this
request. This delineation and/or jurisdictional determination may not be valid for the Wetland Conservation Provisions of the
Food Security Act of 1985, as amended. If you or your tenant are USDA program participants, or anticipate participation in
USDA programs, you should discuss the applicability of a certified wetland determination with the local USDA service center,
prior to starting work.

SAW-2022-00055
F. Appeals Information for Approved Jurisdiction Determinations (as indicated in Section 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
[e-mail]
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 N/A.
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:
Date of JD: April 25, 2022 Expiration Date: PJD Does not expire
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
https://regulatory.ops.usace.army.mil/customer-service-survey/_
Copy Fumished via e-mail to:
Consultant:
Jonathan Grubb
ECS
7614 Netherlands Drive
Wilmington, NC 28405
[phone]
i g ru b b (a, e c s lim it ed. co m

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION 12/16/21
A. REPORT COMPLETION DATE FOR PJD: April 25, 2022
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: ECS, Jonathan Grubb, 7614 Netherlands Drive,
Wilmington, NC 28405
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, Dollar General Supply Site, ECS:
49:15282 SAW-2022-00055
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION Oxpen Road SW and Boones Neck Road
SW, Brunswick County, North Carolina
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: North Carolina County: Brunswick City: Shallotte
Center coordinates of site (lat/long in degree decimal format): Latitude: 33.928417 Longitude: -78.323472
Universal Transverse Mercator: 17
Name of nearest waterbody: Shallotte Creek
REVIEW PERFORMED FOR SITE EVALUATION
(CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
® Field Determination. Date(s): October 17, 2021
TABLE OF AQUATIC RESOURCES INREVIEWAREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site Number
Latitude (decimal
degrees)
Longitude (decimal
degrees)
Estimated amount of
aquatic resources in
review area (acreage
and linear feet, if
applicable
Type of aquatic
resources (i.e.,
wetland vs. non -
wetland waters)
Geographic authority to
which the aquatic resource
"may be" subject (i.e.,
Section 404 or Section
10/404)
W1
33.928996
-78.322714
0.71 ac
Wetland
404
W2
33.929070
-78.322661
274 If
Non -Wetland
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 or judicial compliance or enforcement action, or in any
administrative appeal or in any Federal court; and (7) whether the applicant elects to use either an AJD
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:
® Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: ECS Figures 1-6
Z Data sheets prepared/submitted by or on behalf of the PJD requestor.
Z 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:
❑ USGS NHD data.
❑ USGS 8- and 12-digit HUC maps.
® U.S. Geological Survey map(s). Cite scale & quad name: Figure 2
® Natural Resources Conservation Service Soil Survey. Citation: Figure 3
® National wetlands inventory map(s). Cite name: Figure 4
❑ State/local wetland inventory map(s):
FEMA/FIRM maps: Figure FM123456789
❑ 100-year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
Z Photographs: ®Aerial (Name & Date): Figure 6
or ®Other (Name & Date): ECS Photolog
❑ Previous determination(s). File no. and date of response letter:
x❑ Other information (please specify): USACE QL2 Lidar Maps
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.

Signature and date of Regulatory Signature and date of person requesting PJD
staff member completing PJD (REQUIRED, unless obtaining the signature is
DATE impracticable)'
1 Districts may establish timeframes for requester to return signed PJD forms. If the requester 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.

Legend
Supply Project Study Area
4 �Q
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Stanbio
ry 4,7 s
Sykes Si
Oceai,
Client:
Project:
OXPEN ROAD SWAND
BOONES NECK ROAD SW
BRUNSWICK COUNTY
NORTH CAROLINA
Title:
SITE
LOCATION MAP
1 in = 1 mile
BRUSWICK COUNTY
oetille AL SAW drill Wiry*
ikaVZORIVAAVAik
ardreLit
Drawn By:
JDM
Checked By:
JDG
Approved By:
WBF
Date:
10/ 11 /2021
ECS Pro'ect No.
49:15282-A
FIGURE 1

Legend
Supply_Site_PSA_Brunswick
Potential Tributary
potential wetland
Potential wetland 1
Approx. 0.71
Acre
Potential Tributaruy 1
Approx. 274
linear feet
0 50 100 200
Feet
Eji
Client:
Project:
OXPEN ROAD SWAND
BOONES NECK ROAD SW
BRUNSWICK COUNTY
NORTH CAROLINA
Title:
POTENTIAL
WATERS
OF THE U.S
NOTES:
1. JURISDICTIONAL WATERS OF
THE US WERE DELINEATED BY
ECS ON OCTOBER 17, 2021.
2. FEATURES DEPICTED ON THIS
MAP HAVE NOT BEEN VERIFIED
BY THE USACE AND NCDWR AND
ARE SUBJECT TO CHANGE.
3. THIS MAP SHOULD BE USED
FOR PRELIMINARY PLANNING
PURPOSES.
Drawn By:
JDG
Approved By:
WBF
Checked By:
JDG
Date:
10/21/2021
ECS Project No.
49:15282-A
FIGURE 6

Legend
Supply Project Study Area
s44
ED
44s
' eadows ❑r SW o` ayap
a re
_wwr
4
°Qdt�'`aSn P� s`ti
1 ,a E 4ctst
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011.
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Ocean Blvd1N
Yurkey Trap Rd Sw
Stanbio
ry 4,7 s
Sykes Si
ceai
lient:
Project:
OXPEN ROAD SWAND
BOONES NECK ROAD SW
BRUNSWICK COUNTY
NORTH CAROLINA
Title:
SITE
LOCATION MAP
1 in = 1 mile
BRUSWICK COUNTY
oetille AL SAW drill Wiry*
ikaVZORIVAAVAik
ariteLit
Drawn By:
JDM
Checked By:
JDG
Approved By:
WBF
Date:
10/ 11 /2021
ECS Pro ect No.
49:15282-A
FIGURE 1

Legend
Supply Project Study Area
' • •
•
0 500 1,000 2,000
•
Feet
lient:
Project:
OXPEN ROAD SWAND
BOONES NECK ROAD SW
BRUNSWICK COUNTY
NORTH CAROLINA
Title:
USGS
TOGORAPHIC MAP
DATED:1994
SUPPLY, NC
PROJECT STUDY AR A
e
Drawn By:
JDM
Approved By:
WBF
Checked By:
JDG
Date:
10/ 11 /2021
ECS Pro ect No.
49:15282-A
FIGURE 2

Legend
Supply Project Study Area
Soil Map
SOIL MAP UNIT
Mu: Murville Murky Fine Sand
Ma: Mandarin Fine Sand
Project:
OXPEN ROAD SWAND
BOONES NECK ROAD SW
BRUNSWICK COUNTY
NORTH CAROLINA
Title:
USDA-NRCS
SOIL SURVEY MAP
DATED:10/12/2020
BRUNSWICK COUNTY
Drawn By:
JDM
Approved By:
WBF
Checked By:
JDG
Date:
10/11/2021
ECS Pro ect No.
49:15282-A
0 500 1,000 2,000
Feet
FIGURE 3

Legend
Supply Project Study Area
Flood Hazards
FLD_ZONE
A
AE
VE
7 /4 4110L
/47
Project:
OXPEN ROAD SWAND
BOONES NECK ROAD SW
BRUNSWICK COUNTY
NORTH CAROLINA
Title:
FEMA- NFHL
FLOOD ZONES MAP
DATED: 08/28/2018
3720218900K
BRUNSWICK COUNTY
Approved By:
WBF
Date:
10/11/2021
ECS Pro ect No.
49:15282-A
0 500 1,000 2,000
Feet
FIGURE 4

Legend
Supply Project Study Area
Wetlands Map
Freshwater Emergent Wetland
Freshwater Forested/Shrub Wetland
Freshwater Pond
Lake
Riverine
Project:
OXPEN ROAD SWAND
BOONES NECK ROAD SW
BRUNSWCK COUNTY
NORTH CAROLINA
Title:
USFWS
NATIONAL
WETLANDS
INVENTORY MAP
Project Study Area
Drawn By:
JDM
Approved By:
WBF
Checked By:
JDG
Date:
10/11/2021
ECS Pro ect No.
49:15282-A
HUC 03040208
0 500 1,000 2,000
Feet
FIGURE 5

Legend
Supply_Site_PSA_Brunswick
Potential Tributary
potential wetland
Potential wetland 1
Approx. 0.71
Acre
Potential Tributaruy 1
Approx. 274
linear feet
0 50 100 200
Feet
Eji
Client:
Project:
OXPEN ROAD SWAND
BOONES NECK ROAD SW
BRUNSWICK COUNTY
NORTH CAROLINA
Title:
POTENTIAL
WATERS
OF THE U.S
NOTES:
1. JURISDICTIONAL WATERS OF
THE US WERE DELINEATED BY
ECS ON OCTOBER 17, 2021.
2. FEATURES DEPICTED ON THIS
MAP HAVE NOT BEEN VERIFIED
BY THE USACE AND NCDWR AND
ARE SUBJECT TO CHANGE.
3. THIS MAP SHOULD BE USED
FOR PRELIMINARY PLANNING
PURPOSES.
Drawn By:
JDG
Approved By:
WBF
Checked By:
JDG
Date:
10/21/2021
ECS Project No.
49:15282-A
FIGURE 6

ECS SOUTHEAST, LLP
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June 3, 2022
U.S. Fish and Wildlife Service
Raleigh Ecological Services Field Office
551 Pylon Drive
Suite F
Raleigh, North Carolina 27636-3726
Reference: Request for Concurrence
Threatened and Endangered Species/Critical Habitat
Proposed Dollar General
Oxpen Road SW and Boones Neck Road SW
Supply, Brunswick County, North Carolina
ECS Project No. 49:15828-C
To Whom It May Concern:
NC Registered Engineering Firm F-19/8
NC Registered Geologists Firm C-553
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ECS Southeast, LLP (ECS), on behalf of our client, Rhetson Companies Inc, is requesting
concurrence concerning the possible presence of threatened and endangered species and their
habitats.
BACKGROUND
The Project Study Area (PSA) is located at Oxpen Road SW and Boones Neck Road SW in
Bolivia, Brunswick County, North Carolina (Figure 1). According to Brunswick County Online GIS
the site is identified by Parcel Identification Number (PIN) 2310002202. Based on a brief desktop
review, the site is currently wooded land. The US Geological Survey (USGS) topographic map
for the site depicts no streams on site (Figure 2). ECS understands the proposed project to be
commercial development.
SITE RECONNAISSANCE
ECS personnel conducted a site reconnaissance on October 17, 2021. The site consisted of
moderately wooded land. The surrounding properties consist of commercial properties, single-
family residence, wooded land, and agricultural fields.
DATABASE REVIEW
ECS utilized the USFWS Information for Planning and Consultation (IPaC) project planning tool
to identify federally protected threatened and endangered species in Brunswick County, North
Carolina. The following federally protected threatened and/or endangered species were identified
in the resulting IPaC resource list (see attached) for Brunswick County, North Carolina:
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Common Name
Scientific name
Federal Status
Birds
Bald Eagle
Haliaeetus leucocephalus
BGPA
Wood Stork
Mycteria americana
T
Piping Plover
Charadrius melodus
T
Red Knot
Calidris canutus rufa
T
Red -cockaded Woodpecker
Picoides borealis
E
Mammals
West Indian Manatee
Trichechus manatus
T
Northern Long -Eared Bat
Myotis septentrionalis
T
Reptiles
American Alligator
Alligator mississippiensis
T
Green Sea Turtle
Chelonia mydas
T
Leatherback Sea Turtle
Dermochelys coriacea
E
Kemp's Ridley Sea Turtle
Lepidochelys kempii
E
Loggerhead Sea Turtle
Caretta caretta
T
Flowering Plants
Cooley's Meadowrue
Thalictrum cooleyi
E
Rough -leaved Loosestrife
Lysinachia asperulaefolia
E
Seabeach Amaranth
Amaranthus pumilus
T
BGPA = Bald and Golden Eagle Protection Act
Endangered
T = Threatened
CH = Critical Habitat
SPECIES/HABITAT DESCRIPTION
E
P = Proposed
Bald Eagle
Description: Distinguished by a white head and white tail feathers, bald eagles are powerful,
brown birds that may weigh 14 pounds and have a wingspan of 8 feet. Male eagles are smaller,
weighing as much as 10 pounds and have a wingspan of 6 feet. Bald eagles are mostly dark
brown until they are four to five years old and acquire their characteristic coloring.
Habitat: Bald eagles live near rivers, lakes, and marshes where they can find fish, their staple
food. bald eagles will also feed on waterfowl, turtles, rabbits, snakes, and other small animals and
carrion. Bald eagles require a good food base, perching areas, and nesting sites. Their habitat
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includes estuaries, large lakes, reservoirs, rivers, and some seacoasts. In winter, the birds
congregate near open water in tall trees for spotting prey and night roosts for sheltering.
Conclusions: The site consists of moderately wooded land. Large bodies of water and a steady
food support base are not present on the site. Additionally, bald eagles, eagles, or eagle nests
were not observed during the site reconnaissance. Based on our knowledge and site
observations, suitable habitat for the bald eagle is not located on site. ECS has concluded that
the developments will have no effect on the species.
Wood Stork
Description: A large, tall bird with long, broad wings; black flight feathers and tail contrast with
white body; adult has bare, dark -gray head (feathered and grayish brown in immature); bill is long,
thick, and downcurved.
Habitat: Chiefly freshwater situations: marshes, swamps, lagoons, ponds, flooded fields;
depressions in marshes are important during drought; also occurs in brackish wetlands. Nests
mostly in upper parts of cypress trees, mangroves, or dead hardwoods over water or on islands
along streams or adjacent to shallow lakes. Feeds in freshwater marshes, swamps, lagoons,
ponds, flooded pastures and flooded ditches, depressions in marshes (especially during drought).
Conclusion: The PSA consists of consists of moderately wooded land. Surface waters and
cypress trees, mangroves, and large dead hardwoods are not located on the PSA. Based on the
site reconnaissance and observations, and lack of water environments, suitable habitat for the
Wood Stork is not present within the PSA. ECS has concluded that the developments will have
no effect on the species.
Piping Plover
Description: The piping plover is a small, stocky shorebird that resembles a sandpiper. They are
approximately seven inches in length with a wingspan of approximately 15 inches. Piping plovers
are a pale brownish color with a white underside and are distinguished by a black band across
their forehead over their eyes and a black ring around the base of their necks.
Habitat: The piping plover breeds along the entire eastern coast of the United States. North
Carolina is uniquely positioned in the species' range, being the only State where the piping
plover's breeding and wintering ranges overall and the birds are present year-round. They nest
most commonly where there is little or no vegetation, but some may nest in stands of beach grass.
The nest is a shallow depression in the sand that is usually lined with shell fragments and light-
colored pebbles.
Conclusion: Open beaches and associated dune areas were not observed at the site. The site
consists of moderately wooded land. Based on our site observations, suitable habitat for the
piping plover was not observed on the site. ECS has concluded that the developments will have
no effect on the species.
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Red Knot
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Description: Red knots are highly migratory birds that have been known to migrate distances of
9,000 miles. They have a wingspan of approximately 20 inches in length. Red knot's coloration
will vary depending on the season. In the spring, adults are finely mottled with grays, black and
light ochre, running into stripes on the crown and their throats, breast, and sides are a cinnamon -
brown color. Adults in the winter lose their reddish brown coloration on their throats, breasts, and
sides.
Habitat: The red knot is one of the six recognized subspecies of red knots, and is the only
subspecies that routinely travels along the Atlantic coast of the United States during the spring
and fall migrations. It is known to winter in North Carolina and to stop over during migration.
Habitats used by red knots in migration and wintering areas are similar in character: coastal
marine and estuarine habitats with large areas of exposed intertidal sediments. In North America,
red knots are commonly found along sandy, gravel, or cobble beaches, tidal mudflats, salt
marshes, shallow coastal impoundments and lagoons, and peat banks. Ephemeral features such
as sand spits, islets, shoals, and sandbars, often associated with inlets can be important habitat
for roosting.
Conclusion: The site consists way of undeveloped, wooded. Based on our site observations,
suitable habitat for the red knot was not observed on the site. ECS has concluded that the
developments will have no effect on the species.
Red- cockaded Woodpecker
Description: The red -cockaded woodpecker (RCW) is a small bird measuring about 7 inches in
length. Identifiable by its white cheek patch and black and white barred back, the males have a
few red feathers, or "cockade". These red feathers usually remain hidden underneath black
feathers between the black crown and white cheek patch unless the male is disturbed or excited.
Female RCWs lack the red cockade. Juvenile males have a red 'patch' in the center of their black
crown. This patch disappears during the fall of their first year at which time their 'red -cockades'
appear.
Habitat: Red -cockaded woodpecker habitat includes forests with trees old enough for roosting,
generally at least 60-120 years old, depending on species of pine. The most prominent adaptation
of RCWs is their use of living pines for cavity excavation.
For nesting and roosting habitat, red -cockaded woodpeckers need open stands of pine containing
trees 60 years old and older. RCWs need live, large older pines in which to excavate their cavities.
Longleaf pines (Pinus palustris) are preferred, but other species of southern pine are also
acceptable. Dense stands (stands that are primarily hardwoods, or that have a dense hardwood
understory) are avoided. Foraging habitat is provided in pine and pine hardwood stands 30 years
old or older with foraging preference for pine trees 10 inches or larger in diameter. In good,
moderately -stocked, pine habitat, sufficient foraging substrate can be provided on 80 to 125
acres.
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Roosting cavities are excavated in living pines, and usually in those which are infected with a
fungus known as red -heart disease. The aggregate of cavity trees is called a cluster and may
include 1 to 20 or more cavity trees on 3 to 60 acres. The average cluster is about 10 acres.
Completed cavities that are being actively used have numerous, small resin wells which exude
sap. The birds keep the sap flowing as a cavity defense mechanism against rat snakes and
other tree climbing predators.
Conclusion: The PSA consists primarily of a moderately dense wooded land. Forested areas
located in the northern portions of the site were observed to have a dense canopy and moderately
dense understory of the canopy species. Based on the habitat within the PSA, it was concluded
that habitat for the red- cockaded woodpecker was not present within the site. ECS has concluded
that the developments will have no effect on the species.
West Indian Manatee
Description: The West Indian manatee is a large, aquatic mammal. There are two subspecies of
West Indian manatees: the Antillean manatee, and the Florida manatee. Due to their eating
habits, manatees are nicknamed "sea cows" because they eat sea grasses and other aquatic
plants.
Habitat: The West Indian Manatee prefers slow moving rivers, estuaries, saltwater bays, canals,
and other coastal areas.
Conclusion: The PSA consists of moderately dense wooded land. Based on the habitat within
the PSA, it has been concluded that suitable habitat for the West Indian Manatee does not exists
within the PSA. No individuals were observed during the site reconnaissance. ECS has concluded
that the developments will have no effect on the species.
Northern Long-eared Bat
Description: The Northern long-eared bat is a medium sized bat approximately three to 3.7
inches in length with a wingspan of nine to ten inches in length. The name comes from the
characteristic long ears that distinguish this bat species from other species of bats.
Habitat: In North Carolina, the Northern long-eared bat (NLEB) occurs in the mountains, with
scattered records in the Piedmont and coastal plain. In western North Carolina, NLEB spend
winter hibernating in caves and mines. Since this species is not known to be a long-distance
migrant, and caves and subterranean mines are extremely rare in eastern North Carolina, it is
uncertain whether or where NLEB hibernate in eastern North Carolina. During the summer, NLEB
roost singly or in colonies underneath bark, in cavities, or in crevices of both live and dead trees
(typically >_3 inches dbh). Males and non -reproductive females may also roost in cooler places,
like caves and mines. This bat also been found, rarely, roosting in structures like barns and sheds,
under eaves of buildings, behind window shutters, in bridges, and in bat houses. Foraging occurs
on forested hillsides and ridges, and occasionally over forest clearings, over water, and along
tree -lined corridors. Mature forests may be an important habitat type for foraging.
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Conclusions: The site consists way of undeveloped, wooded. The species is not known for long-
distance migrations and caves and subterranean mines are rare in eastern North Carolina.
Suitable habitat, including mines, trees with loose bark, for the NLEB are not present on the site.
ECS has concluded that the developments will have no effect on the species.
American Alligator
Description: The alligator can be distinguished from the crocodile by its head shape and color.
The crocodile has a narrower snout, and unlike the alligator, has lower jaw teeth that are visible
even when its mouth is shut. In addition, adult alligators are black, while crocodiles are brownish
in color. The alligator has a large, slightly rounded body, with thick limbs, a broad head, and a
very powerful tail that it uses to propel itself through water. The tail accounts for half the alligator's
length. While alligators move very quickly in water, they are generally slow -moving on land,
although they can be quick for short distances.
Habitat: Alligators are usually found in freshwater, slow -moving rivers. They also live
in swamps, marshes and lakes.
Conclusion: The PSA consists of moderately dense wooded land. ECS concluded that suitable
habitat is not present on site. Additionally, no individuals were observed within the PSA. ECS has
concluded that the developments will have no effect on the species.
Green Sea Turtle
Description: Green sea turtles are approximately four feet in length and can weigh up to
approximately 440 pounds. They have heart -shaped shells with a small head and flippers with a
single claw. The adult carapace is smooth and keelless and can be light to dark brown in color.
Habitat: The green sea turtle is found in temperate and tropical oceans and seas. Nesting in
North America is limited to small communities on east coast of Florida requiring beaches with
minimal disturbances and a sloping platform for nesting (they do not nest in NC). The green sea
turtle can be found in shallow waters. They are attracted to lagoons, reefs, bays, mangrove
swamps, and inlets where an abundance of marine grasses can be found, as this is the principle
food source for the green turtle.
Conclusion: The site consists way of undeveloped, wooded land in a predominately urbanized,
commercial area. Open beaches were not observed in the vicinity of the site. Based on our site
observations, suitable habitat for the green sea turtle was not observed on the site. ECS has
concluded that the developments will have no effect on the species.
Leatherback Sea Turtle
Description: Leatherback Sea turtles are approximately four to eight feet in length and can weigh
up to approximately 500 to 2000 pounds. Its shell is composed of a mosaic of small bones covered
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by a firm, rubbery skin with seven longitudinal ridges. The skin is predominately black with variable
pale spotting.
Habitat: Leatherbacks are distributed world-wide in tropical waters of the Atlantic, Pacific, and
Indian oceans. They are generally open ocean species, and may be common off the North
Carolina coast during certain times of the year. However, in northern waters leatherbacks are
reported to enter into bays, estuaries, and other inland bodies of water. Major nesting areas occur
mainly in tropical regions. In the United States, primary nesting areas are in Florida, however
nests are known from Georgia, South Carolina, and North Carolina as well. Nesting occurs from
April to August. Leatherbacks need sandy beaches backed with vegetation in the proximity of
deep water and generally with rough seas. Beaches with a relatively steep slope are usually
preferred.
Conclusion: The site consists way of undeveloped, wooded. Open beaches were not observed
in the vicinity of the site. Based on our site observations, suitable habitat for the leatherback sea
turtle was not observed on the site. ECS has concluded that the developments will have no effect
on the species.
Kemp's Ridley Sea Turtle
Description: The Kemp's ridley sea turtle is the smallest of the sea turtles, reaching
approximately two feet in length and weighing up to 100 pounds. They have an oval carapace
that is almost wide as it is long. The carapace has five pairs of costal scutes and in each bridge
adjoining the plastron to the carapace, there are four infragmagrinal scutes.
Habitat: Kemp's ridley sea turtle is the smallest of the sea turtles that visit North Carolina's coast,
and has been sighted in most coastal counties. While the majority of this sea turtle's nesting
occurs in Mexico, the species is known to nest on North Carolina beaches infrequently. Sightings
of the species exist for most coastal counties. Kemp's ridley sea turtle can lay eggs as many as
three times during the April to June breeding season. Kemp's ridley sea turtles prefer beach
sections that are backed up by extensive swamps or large bodies of open water having seasonal
narrow ocean connections and a well-defined elevated dune area. The species prefers neritic
areas with sandy or muddy bottoms.
Conclusion: The site consists of undeveloped, wooded. Open beaches were not observed in the
vicinity of the site. Based on our site observations, suitable habitat for the Kemp's ridley sea turtle
was not observed on the site. ECS has concluded that the developments will have no effect on
the species.
Loggerhead Sea Turtle
Description: Loggerhead sea turtles have larger heads relative to body sized when compared to
green sea turtles. They are a reddish -brown color. They can average approximately three feet in
size and weigh approximately 200 pounds.
Habitat: The loggerhead is widely distributed within its range and is found in three distance
habitats during their lives. These turtles may be found hundreds of miles out in the open ocean,
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in neritic areas, or on coastal beaches. In North Carolina, this species has been observed in every
coastal county. Loggerheads occasionally nest on North Carolina beaches, and are the most
common of all the sea turtles that visit the North Carolina coast. They nest nocturnally, at two to
three year intervals, between May and September, on isolated beaches that are characterized by
fine-grained sediments. In near shore areas, loggerheads have been observed in bays, lagoons,
salt marshes, creeks, ship channels, and mouths of large rivers. Coral reefs, rocky places, and
shipwrecks are often used as foraging areas.
Conclusion: The site consists way of undeveloped, wooded. Open beaches were not observed
in the vicinity of the site. Based on our site observations, suitable habitat for the loggerhead sea
turtle was not observed on the site. ECS has concluded that the developments will have no effect
on the species.
Seabeach Amaranth
Description: Seabeach amaranth is an annual plant with fleshy, pinkish -red stems and small
rounded leaves. The leaves are clustered toward the tip of the stem.
Habitat: Seabeach amaranth occurs on barrier island beaches where its primary habitat consists
of overwash flats at accreting ends of islands, lower foredunes, and upper strands of noneroding
beaches (landward of the wrack line). In rare situations, this annual is found on sand spits 160
feet or more from the base of the nearest foredune. It occasionally establishes small temporary
populations in other habitats, including sound -side beaches, blowouts in foredunes, interdunal
areas, and on sand and shell material deposited for beach replenishment or as dredge spoil. The
plant's habitat is sparsely vegetated with annual herbs (forbs) and, less commonly, perennial
herbs (mostly grasses) and scattered shrubs. It is, however, intolerant of vegetative competition
and does not occur on well -vegetated sites. The species usually is found growing on a nearly
pure silica sand substrate, occasionally with shell fragments mixed in. Seabeach amaranth
appears to require extensive areas of barrier island beaches and inlets that function in a relatively
natural and dynamic manner. These characteristics allow it to move around in the landscaped,
occupying suitable habitat as it becomes available.
Conclusion: Sand dunes were not observed on the site. The site consists of undeveloped,
wooded land. Based on our site observations, suitable habitat for seabeach amaranth was not
observed on the site. ECS has concluded that the developments will have no effect on the
species.
Rough -leaved Loosestrife
Description: Rough -leaved loosestrife is a perennial herb with triangular shaped leaves that are
opposite on shorter stems and tend to be arranged in whorls of three or four encircling taller
stems. The leaf surfaces are smooth to the touch.
Habitat: Rough -leaved loosestrife, endemic to the Coastal Plain and Sandhills of North and South
Caroline, generally occurs in the ecotones or edges between longleaf pine uplands and pond pine
pocosins in dense shrub and wine grown on moist to seasonally saturated sands and on shallow
organic soils overlaying sand (spodosolic soils). Occurrences are found in such disturbed habitats
as roadside depressions, maintained power and utility line rights -of -way, firebreaks, and trails.
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The species prefers full sunlight, is shade intolerant, and requires areas of minimal disturbance
(eg. clearing mowing, periodic burning) where the overstory is minimal. It can, however, persist
vegetatively for many years in overground, fire-supressed areas. Blaney, Gilead, Johnston,
Kalmia, Leon, Mandarin, Murville, Torhunta, and Vaucluse are some of the soil series that the
plant occurs on.
Conclusion: The site consists of undeveloped, wooded. Carolina Bays or ecotones between
longleaf pine upland and pond pine pocosins are not located on -site. Based on our site
observations, suitable habitat for rough -leaved loosestrife was minimal on the site. ECS has
concluded that the developments may affect but are not likely to adversely affect the species.
Cooley's Meadowrue
Description: Cooley's meadowrue is a perennial herb, which grows from a rhizome. In an ideal
conditions, such as full sun, the stems are erect; however, when shaded, they are lax and trail
along the ground and lean on plants. They have compound leaves divided into three parts and
the leaflets are lance -shaped.
Habitat: Cooley's meadowrue, documented in the Pine Savanna natural community, occurs in
circumneutral soils in sunny, moist to wet grass -sedge bogs, wet -pine savannas over calcareous
clays, and savannah -like areas, often at the ecotones of intermittent drainages or non-riverine
swamp forests. This rhizomatous perennial herb is also found along plowed firebreaks, roadside
ditches and right-of-way, forest clearings dominated by grass or sedge, and power line or utility
rights -of -way. The species requires some type of disturbance (eg. mowing, cleaning, periodic fire)
to maintain its open habitat. The plant typically occurs on slightly acidic (pH 5.8-6.6) soils that are
loamy fine sand, sandy loam, or fine sandy loam; at least seasonally moist or saturated; an
mapped as Foreston, Grifton, Muckalee, Torhunta, or Woodington series.
Conclusion: The site consists of undeveloped, wooded. Based on our site observations, suitable
habitat for Cooley's meadowrue was not observed on the site. ECS has concluded that the
developments will have no effect on the species.
CONCLUSIONS
ECS has conducted a preliminary threatened and endangered species determination review for
the site. Please note that our services did not include detailed surveys specific to listed species.
Based on our knowledge, site observations, available resources concerning threatened and
endangered species, and other desktop information, ECS does not believe that endangered
species are located on site. If confirmation or a development plan is needed to confirm for the
agencies review, ECS will work with the client to provide.
CLOSURE
We appreciate your assistance. Please contact Mr. Jonathon Grubb at [phone], or via
email at [e-mail] if you have any questions concerning the site or this request.
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Respectfully submitted,
Et,S soutneast,
Jonathan Grubb
Environmental Staff Project Manager
[phone]
[e-mail]
Attachments: Figure 1 — Site Location Map
Figure 2 — USGS Topographic Map
Figure 3 — Published Soils Map
Figure 4 — USFWS NWI Map
USFWC IPaC Resource List
Photolog
fi)
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W. Brandon Fulton, LSS, PSC, PWS
Environmental Principal
[phone]
[e-mail]
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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:
Project code: 2022-0002754
Project Name: Dollar General- Supply NC
February 03, 2022
Subject: Consistency letter for the 'Dollar General- Supply NC' project indicating that any take
of the northern long-eared bat that may occur as a result of the Action is not
prohibited under the ESA Section 4(d) rule adopted for this species at 50 CFR
§ 17.40(o).
Dear Kara Cometti:
The U.S. Fish and Wildlife Service (Service) received on February 03, 2022 your effects
determination for the 'Dollar General- Supply NC' (the Action) using the northern long-eared bat
(Myotis septentrionalis) key within the Information for Planning and Consultation (IPaC)
system. You indicated that no Federal agencies are involved in funding or authorizing this
Action. This IPaC key assists users in determining whether a non -Federal action may cause
"take"M of the northern long-eared bat that is prohibited under the Endangered Species Act of
1973 (ESA) (87 Stat.884, as amended; 16 U.S.C. 1531 et seq.).
Based upon your IPaC submission, any take of the northern long-eared bat that may occur as a
result of the Action is not prohibited under the ESA Section 4(d) rule adopted for this species at
50 CFR §17.40(o). Unless the Service advises you within 30 days of the date of this letter that
your IPaC-assisted determination was incorrect, this letter verifies that the Action is not likely to
result in unauthorized take of the northern long-eared bat.
Please report to our office any changes to the information about the Action that you entered into
IPaC, the results of any bat surveys conducted in the Action area, and any dead, injured, or sick
northern long-eared bats that are found during Action implementation.
If your Action proceeds as described and no additional information about the Action's effects on
species protected under the ESA becomes available, no further coordination with the Service is
required with respect to the northern long-eared bat.
The IPaC-assisted determination for the northern long-eared bat does not apply to the following
ESA -protected species that also may occur in your Action area:
• American Alligator Alligator mississippiensis Similarity of Appearance (Threatened)

02/03/2022 IPaC Record Locator: 100-109425203 2
• Cooley's Meadowrue Thalictrum cooleyi Endangered
• Green Sea Turtle Chelonia mydas Threatened
• Kemp's Ridley Sea Turtle Lepidochelys kempii Endangered
• Leatherback Sea Turtle Dermochelys coriacea Endangered
• Loggerhead Sea Turtle Caretta caretta Threatened
• Magnificent Ramshorn Planorbella magnifica Candidate
• Monarch Butterfly Danaus plexippus Candidate
• Piping Plover Charadrius melodus Threatened
• Red Knot Calidris canutus rufa Threatened
• Red -cockaded Woodpecker Picoides borealis Endangered
• Rough -leaved Loosestrife Lysimachia asperulaefolia Endangered
• Seabeach Amaranth Amaranthus pumilus Threatened
• West Indian Manatee Trichechus manatus Threatened
• Wood Stork Mycteria americana Threatened
You may coordinate with our Office to determine whether the Action may cause prohibited take
of the animal species listed above.
[1]Take means to harass, harm, pursue, hunt, shoot, wound, kill, trap, capture, or collect, or to
attempt to engage in any such conduct [ESA Section 3(19)].

02/03/2022 IPaC Record Locator: 100-109425203 3
Action Description
You provided to IPaC the following name and description for the subject Action.
1. Name
Dollar General- Supply NC
2. Description
The following description was provided for the project 'Dollar General- Supply NC':
Proposed commercial development
Approximate location of the project can be viewed in Google Maps: https://www.google.com/
maps/ a@33.928977,-78.32279430355345,14z
Determination Key Result
This non -Federal Action may affect the northern long-eared bat; however, any take of this
species that may occur incidental to this Action is not prohibited under the final 4(d) rule at 50
CFR §17.40(o).
Determination Key Description: Northern Long-eared Bat 4(d) Rule
This key was last updated in IPaC on May 15, 2017. Keys are subject to periodic revision.
This key is intended for actions that may affect the threatened northern long-eared bat.
The purpose of the key for non -Federal actions is to assist determinations as to whether proposed
actions are excepted from take prohibitions under the northern long-eared bat 4(d) rule.
If a non -Federal action may cause prohibited take of northern long-eared bats or other ESA -listed
animal species, we recommend that you coordinate with the Service.

02/03/2022 IPaC Record Locator: 100-109425203 4
Determination Key Result
Based upon your IPaC submission, any take of the northern long-eared bat that may occur as a
result of the Action is not prohibited under the ESA Section 4(d) rule adopted for this species at
50 CFR §17.40(o).
Qualification Interview
1.
2.
3.
Is the action authorized, funded, or being carried out by a Federal agency?
No
Will your activity purposefully Take northern long-eared bats?
No
[Semantic] Is the project action area located wholly outside the White -nose Syndrome
Zone?
Automatically answered
No
4. Have you contacted the appropriate agency to determine if your project is near a known
hibernaculum or maternity roost tree?
Location information for northern long-eared bat hibernacula is generally kept in state
Natural Heritage Inventory databases — the availability of this data varies state -by -state.
Many states provide online access to their data, either directly by providing maps or by
providing the opportunity to make a data request. In some cases, to protect those resources,
access to the information may be limited. A web page with links to state Natural Heritage
Inventory databases and other sources of information on the locations of northern long-
eared bat roost trees and hibernacula is available at www.fws.gov/midwest/endangered/
mammals/nleb/nhisites.html.
Yes
5. Will the action affect a cave or mine where northern long-eared bats are known to
hibernate (i.e., hibernaculum) or could it alter the entrance or the environment (physical or
other alteration) of a hibernaculum?
No
6. Will the action involve Tree Removal?
Yes
7. Will the action only remove hazardous trees for the protection of human life or property?
No
8. Will the action remove trees within 0.25 miles of a known northern long-eared bat
hibernaculum at any time of year?
No

02/03/2022 IPaC Record Locator: 100-109425203
9. Will the action remove a known occupied northern long-eared bat maternity roost tree or
any trees within 150 feet of a known occupied maternity roost tree from June 1 through
July 31?
No

02/03/2022 IPaC Record Locator: 100-109425203 6
Project Questionnaire
If the project includes forest conversion, report the appropriate acreages below.
Otherwise, type '0' in questions 1-3.
1. Estimated total acres of forest conversion:
0
2. If known, estimated acres of forest conversion from April 1 to October 31
0
3. If known, estimated acres of forest conversion from June 1 to July 31
0
If the project includes timber harvest, report the appropriate acreages below.
Otherwise, type '0' in questions 4-6.
4. Estimated total acres of timber harvest
0
5. If known, estimated acres of timber harvest from April 1 to October 31
0
6. If known, estimated acres of timber harvest from June 1 to July 31
0
If the project includes prescribed fire, report the appropriate acreages below.
Otherwise, type '0' in questions 7-9.
7. Estimated total acres of prescribed fire
0
8. If known, estimated acres of prescribed fire from April 1 to October 31
0
9. If known, estimated acres of prescribed fire from June 1 to July 31
0
If the project includes new wind turbines, report the megawatts of wind capacity
below. Otherwise, type '0' in question 10.
10. What is the estimated wind capacity (in megawatts) of the new turbine(s)?
0

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:
Project Code: 2022-0002754
Project Name: Dollar General- Supply NC
February 03, 2022
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
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

02/03/2022 2
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 developm
Attachment(s):
• Official Species List

02/03/2022 1
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]

02/03/2022 2
Project Summary
Project Code: 2022-0002754
Event Code: None
Project Name: Dollar General- Supply NC
Project Type: Commercial Development
Project Description: Proposed commercial development
Project Location:
Approximate location of the project can be viewed in Google Maps: https://
www.google.com/maps/@33.928977,-78.32279430355345,14z
Counties: Brunswick County, North Carolina

02/03/2022 3
Endangered Species Act Species
There is a total of 16 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
Fisheries', 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.
Mammals
NAME STATUS
Northern Long-eared Bat Myotis septentrionalis Threatened
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/9045
West Indian Manatee Trichechus manatus
There is final critical habitat for this species. The location of the critical habitat is not available.
This species is also protected by the Marine Mammal Protection Act, and may have additional
consultation requirements.
Species profile: https://ecos.fws.gov/ecp/species/4469
Threatened

02/03/2022 4
Birds
NAME
STATUS
Piping Plover Charadrius melodus
Population: [Atlantic Coast and Northern Great Plains populations] - Wherever found, except
those areas where listed as endangered.
There is final critical habitat for this species. The location of the critical habitat is not available.
Species profile: https://ecos.fws.gov/ecp/species/6039
Red Knot Calidris canutus rufa
There is proposed critical habitat for this species. The location of the critical habitat is not
available.
Species profile: https://ecos.fws.gov/ecp/species/1864
Red -cockaded Woodpecker Picoides borealis
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/7614
Wood Stork Mycteria americana
Population: AL, FL, GA, MS, NC, SC
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/8477
Reptiles
NAME
American Alligator Alligator mississippiensis
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/776
Threatened
Threatened
Endangered
Threatened
STATUS
Green Sea Turtle Chelonia mydas
Population: North Atlantic DPS
There is final critical habitat for this species. The location of the critical habitat is not available.
Species profile: https://ecos.fws.gov/ecp/species/6199
Kemp's Ridley Sea Turtle Lepidochelys kempii
There is proposed critical habitat for this species. The location of the critical habitat is not
available.
Species profile: https://ecos.fws.gov/ecp/species/5523
Leatherback Sea Turtle Dermochelys coriacea
There is final critical habitat for this species. The location of the critical habitat is not available.
Species profile: https://ecos.fws.gov/ecp/species/1493
Loggerhead Sea Turtle Caretta caretta
Population: Northwest Atlantic Ocean DPS
There is final critical habitat for this species. The location of the critical habitat is not available.
Species profile: https://ecos.fws.gov/ecp/species/1110
Similarity of
Appearance
(Threatened)
Threatened
Endangered
Endangered
Threatened

02/03/2022 5
Snails
NAME
STATUS
Magnificent Ramshorn Planorbella magnifica
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/6216
Insects
NAME
Candidate
STATUS
Monarch Butterfly Danaus plexippus
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/9743
Flowering Plants
NAME
Candidate
STATUS
Cooley's Meadowrue Thalictrum cooleyi
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/3281
Rough -leaved Loosestrife Lysimachia asperulaefolia
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/2747
Seabeach Amaranth Amaranthus pumilus
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/8549
Endangered
Endangered
Threatened
Critical habitats
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.

ECS SOUTHEAST, LLP
"Setting the Standard for Service"
Geotechnical - Construction Materials • Environmental - Facilities
Reference: NCSHPO Review
Proposed Dollar General
Oxpen Road SW and Boones Neck Road SW
Supply, Brunswick County, North Carolina
ECS Project Number: 49-15282
Dear Ms. Gledhill -Earley,
NC Registered Fngineennp Firm F-1078
NC Registered Geologists Firm C-40ti
5C Registered Engineering Firm 3239
June 3, 2022
Ms. Renee Gledhill -Earley
State Historic Preservation Office
4617 Mail Service Center
Raleigh, North Carolina 27699-4617
ECS Southeast, LLP (ECS) is pleased to provide our project information to initiate the North Carolina State
Historic Preservation Office's (SHPO) review of projects subject to applicable federal and/or state cultural
resources protection laws, including Section 106 of the National Historic Preservation Act and North
Carolina General Statute 121-12(a).
PROJECT INFORMATION
The Project Study Area (PSA) is located at Oxpen Road SW and Boones Neck Road SW in Supply,
Brunswick County, North Carolina. The site is identified by Brunswick County GIS Parcel Identification
Number (PIN) 2310002202. The PSA is currently undeveloped moderately wooded land. The proposed
project is a commercial development.
Based on the United States Geological Survey (USGS) Topographic Map, no named tributaries are
depicted onsite. During our review of the NCSHPO On -Line GIS Database, no historic resources were
identified within the PSA. Two resources were identified within 1,500 feet of the PSA boundaries and were
identified as House (BW0396) and House (BW0395 (NCHPO HPOWEB figure). If you have questions or
need additional information, please contact us at [e-mail] or at [phone].
Respectfully submitted,
ECS Southeast, LLP
Jonathan Grubb
Environmental Project Manager
Enclosures:
Figures
F/-fri4
W. Brandon Fulton, LSS, PSC, PWS
Environmental Principal
ECS Capitol Services. PLLC • ECS Florida, LLC • ECS Mid -Atlantic, LLC • ECS Midwest LLC • ECS Southeast, LLP • ECS Texas, LLP
www. ecsl invited. com

Legend
Supply Project Study Area
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Client:
Project:
OXPEN ROAD SWAND
BOONES NECK ROAD SW
BRUNSWICK COUNTY
NORTH CAROLINA
Title:
SITE
LOCATION MAP
1 in = 1 mile
BRUSWICK COUNTY
jaimmommumewo
oetille AL SAW drill Wiry*
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Drawn By:
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Checked By:
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Date:
10/ 11 /2021
ECS Pro ect No.
49:15282-A
FIGURE 1

Legend
Supply Project Study Area
•
gas
500 1,000 2,000
Feet
lient:
Project:
OXPEN ROAD SWAND
BOONES NECK ROAD SW
BRUNSWICK COUNTY
NORTH CAROLINA
Title:
USGS
TOGORAPHIC MAP
DATED:1994
SUPPLY, NC
PROJECT STUDY AR A
e
Drawn By:
JDM
Approved By:
WBF
Checked By:
JDG
Date:
10/ 11 /2021
ECS Pro ect No.
49:15282-A
FIGURE 2

Legend
Supply Project Study Area
Soil Map
Project:
OXPEN ROAD SWAND
BOONES NECK ROAD SW
BRUNSWICK COUNTY
NORTH CAROLINA
Title:
USDA-NRCS
SOIL SURVEY MAP
DATED:10/12/2020
BRUNSWICK COUNTY
Project Study Area
Drawn By:
JDM
Checked By:
JDG
SOIL MAP UNIT
Mu: Murville Murky Fine Sand
Ma: Mandarin Fine Sand
Approved By:
WBF
Date:
10/11/2021
ECS Pro ect No.
49:15282-A
0 500 1,000 2,000
Feet
FIGURE 3

• ■■■
9� � NC DEPARTMENT OF
Ammo NATURAL AND CULTURAL RESOURCES
• ■EN
February 3, 2022
Kara Cometti
ECS Southeast LLP
1812 Center Park Drive
Charlotte, NC 28217
RE: Proposed Dollar General- Supply NC 49-15828
Dear Kara Cometti:
Roy Cooper, Governor
D. Reid Wilson, Secret ty
Misty Buchanan
Deputy Director, Natural Heritage Program
NCNHDE-17047
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:
https://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 [e-mail] or 919-707-8603.
Sincerely,
NC Natural Heritage Program
DEPART EN OF NATURAL AND CULTURAL RESOURCES
® 121 W. JOKES STREET_ RALEIGH_ NC 27603 • 16S1 MAIL SERVICE CENTER, RALEIGH, NC 27699
OFC 9.19.71V.9120 + FAX [phone]

Taxonomic
Group
Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One -mile Radius of the Project Area
Proposed Dollar General- Supply NC
Project No. 49-15828
February 3, 2022
NCNHDE-17047
Element Occurrences Documented Within a One -mile Radius of the Project Area
EO ID cientific Name Common Name
Observation
Date
Element Accuracy Federal State
Occurrence Status Status
Rank
MIL J
Global State
Rank Rank
1
Bird
Bird
Dragonfly or
Damselfly
Freshwater
Mammal
Natural
Community
Reptile
27194 Charadrius wilsonia
Wilson's Plover
27219 Haematopus palliatus American
Oystercatcher
33738 Somatochlora Coppery Emerald
georgiana
Fish38937 Acipenser oxyrinchus Atlantic Sturgeon
oxyrinchus
17664 Trichechus manatus West Indian
1954 Pine/Scrub Oak
Sandhill (Coastal
Fringe Subtype)
2007-05-11
2007
2004-Pre
2018-09
Manatee 2019-11-14
2006
7407 Alligator American Alligator 2017-09-20
mississippiensis
Vascular Plant 2764
Vascular Plant 17635
Sporobolus virginicus Saltmarsh Dropseed 1930-08
Vaccinium Cranberry 1991-07-27
macrocarpon
Natural Areas Documented Within a One -mile Radius of the Project Area
E
BC
H?
E
E
BC
E
H
E
4-Low
4-Low
5-Very
Low
4-Low
Special G5 S2B
Concern
Special G5 S2S3B,
Concern S3N
Significantly G3G4 S1?
Rare
Endangered Endangered G3T3 S2
5-Very Threatened Threatened G2G3 S1N
Low
4-Low G2 S2
3-Medium Threatened Threatened G5 S3
Similar
Appearance
4-Low --- Threatened G5 S1
4-Low Threatened G5 S2
.ite Nam
-
Shallotte Creek Sandhills
epresen a Iona ating
R3 (High)
Collective Rating
C4 (Moderate)
Managed Areas Documented Within a One -mile Radius of the Project Area
Med Area Name
North Carolina Agricultural Foundation Preserve
Town of Holden Beach Open Space
Owner Type
The North Carolina Agricultural Foundation,Private
Inc.
Town of Holden Beach
Local Government
Definitions and an explanation of status designations and codes can be found at https://ncnhde.natureserve.ora/help. Data query generated on February 3, 2022; source: NCNHP, Q4, January 2022.
Page 2 of 4

Please resubmit your information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database.
Page 3 of 4

NCNHDE-17047: Proposed Dollar General- Supply NC
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Sources Esri, HERE. Garmin, Inrenrmp, increment P. Corp., GEBCO, USGS;
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MET!, Esri China (Bong Kcng), (c) OpenSireetMep cormitUWrs, and the .01$
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Page 4 of 4