20140681 Ver 1_More Info Received_20140728

DESIGN AND ENGINEERING SERVICES
TO NCDENR - DWQ
1612 Mail Service Center (Mail)
Raleigh, NC 27699 -1617
512 N. Salisbury St
Raleigh, NC 27604 (Physical)
ATTN Karen Higgins
D W R -14 -0681
WE ARE SENDING YOU:
■ Attached
❑ Prints
❑ Copy of Letter
❑ Under Separate Cover
❑ Reproducible
❑ Change Order
919.732.3883 SUMMIT- ENGINEER.COM
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Letter of Transmittal
DATE 7/22/2014 1 PROD. NO. 14 -0053
RE: J. Scott Taylor - Hyco lake, Person County
❑ Transmitted Via _
❑ Specifications
❑ Shop Drawings
COPIES
DRAWING
DATE
DESCRIPTION
4
7/9/2014
Page 1 PCN Form
4
7/9/2014
Page 10 PCN Form
4
7/10/2014
Signed Agent Authorization Letter
7/9/201
Application Fee (CHK #33873)
TRANSMITTED:
■ For Approval ❑ As Requested ❑ For Your Use ❑ For Review and Comment
COMMENTS
Please find the attached PCN pages and application fee as request by our letter dated July 2, 2014.
Please let me know if you require any additional information.
Copies have also been sent to Eric Alsme er with the USACE
Thanks-
Brantley — 919 - 732 -3883 ext. 3136
COPY TO
JUL 2 v 2014
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`Netian 8 Stom %lttxr Branch
SIGNATURE:
Brantley W. Wells, PLS

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Office Use Only:
Corps action ID no
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the Corps:
❑X Section 404 Permit ❑ Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: NWP # 14 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
Q Yes ❑ No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑X No
For the record only for Corps Permit:
❑ Yes ❑X No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes ❑X No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes Q No
1h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑x No
2.
Project Information
2a.
Name of project:
Talley Pointe Lot 23 and Additions
2b.
County:
Person
2c.
Nearest municipality / town:
Semora
2d.
Subdivision name:
Talley Pointe
2e.
NCDOT only, T.I.P. or state project no:
N/A
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Two Hoos, LLC.
3b.
Deed Book and Page No.
DB 868, PG 500 -504
3c.
Responsible Party (for LLC if
applicable):
J. Scott Taylor ( _ -- -
p
3d.
Street address:
7201 Waterston -
New Albany, OH 43054 N
3e.
City, state, zip:
3f.
Telephone no.:
614 - 395 -4410 - ! J rT
3g.
Fax no.:
614- 415 -6322
3h.
Email address:
STaylor @lb.com
Page 1 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
Yes ❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes X❑ No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
USFWS Threatened and Endangered Species list by County and Natural Heritage websites
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
South Atlantic Habitat and Ecosystem website
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
❑ Yes X❑ No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NC State Historic Preservation Office GIS website
B. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes ❑X No
8b. If yes, explain how project meets FEMA requirements:
The project occurs near a flood hazard zone AE, with the base flood elevation of 413', but the property boundaries are along the 420' contour as they
meet Hyco Lake.
8c. What source(s) did you use to make the floodplain determination?
North Carolina Floodplain Map #37109969000J, and the NC Floodplain Mapping website
Chad Abbott, PE
7l 1! ' I
Applicant/Agent's Printed Name
Date
p cant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant is provided.)
Page 10 of 10

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. Z 3 PLAN NO. PARCEL ID: �:N� I-rG-1 - 0-5 -ICI . 13,7 0o. 000
STREET ADDRESS: Is- k-AIw00A Lw.dQ�16
1c-)G LI 3
Please print: {
Property Owner: 1 Wo oos I LL_ [� CS. �eo'{t' Ta.,Io.•)
Property Owner:
The undersigned, registered property owners -of the above notedlp_roperty; do hereby authorize
IAk'bo-tt- ,,of bs: