20140866 Ver 1_401 Application_20140814

Environmental Consultants,
8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27615 • Phone: [phone]
sandec.com
To: US Army Corps of Engineers
Raleigh Regulatory Field Office
Attn: James Lastinger
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
From: Deborah Edwards Shirley
Soil & Environmental Consultants, PA
Re: Jackson Manor
Wake County, NC
August 14, 2014
S &EC Project # 12156.W8
NC DWR, 401 & Buffer Permitting Unit
Attn: Karen Higgins
Archdale Building — 9th Floor
512 North Salisbury Street
Raleigh, NC 27604
On behalf of the applicant, JA2GA, LLC (Attn: James M. Adams, Sr.) please find attached a complete
application and supplemental information requesting written concurrence from the U.S. Army Corps of
Engineers and the N. C. Division of Water Resources that the activities proposed below may proceed
under Nationwide Permit 29 and Water Quality Certification 3890. Please contact me at (919) 846 -5900 if
you have any questions or require additional information.
PROJECT SUMMARY
Project Name
Jackson Manor
Project Type
Residential Development
Owner / Applicant
JA2GA, LLC
County
Wake
Nearest Town
Wake Forest
Waterbody Name
UT to Horse Creek
Basin
Neuse
Index Number
27-17-(0.7)
Class
WS -IV, NSW
IMPACT SUMMARY
Stream Impact (acres):
0.015
Wetland Impact (acres):
0.005
.-
Open Water Impact (acres):
0
„
Total Impact to Waters of the U.S. (acres)
0.02
Total Stream Impact (linear feet):
148
Attachments:
Pre - construction Notification (PCN) Application Form
Agent Authorization Forms
NRCS Soil Survey Map
USGS Topographic Map
DWR Buffer Determination letter (NBRRO 13 -263)
Overall Site Plan & Existing Conditions Map
DWR ONLY:
Stormwater Calculations
O &M Agreements
Construction Drawings
$240 DWR Application Fee
2014
D NF •Mti"d� °��f -1< -vJALITiY
411wds & Stooirwa`.r Branch

O�O� W A T �9
� y
Olqiiii�<
Office Use Only:
Corps action ID no.
DWQ project no. �t
1
Form Version 1.3 Dec 0
V4!4 � ,a , �lrit:l ?`r• ,;:;,r nranctl
Page 1 of 13
PCN Form — Version 1.3 December 10, 2008 Version
Pre - Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit ❑Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 29 or General Permit (GP) number: N/A
1c.
Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ® Riparian Buffer Authorization
1e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® 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
® No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
[:]Yes
® No
2.
Project Information
2a. Name of project:
Jackson Manor
2b. County:
Wake
2c.
Nearest municipality / town:
NE of Wake Forest, just South of Wake /Franklin Co. line
2d.
Subdivision name:
Jackson Manor
2e.
NCDOT only, T.I.P. or state
project no:
N/A
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Kenneth A. Lye SM Development Co. LLC
3b.
Deed Book and Page No.
D.B. 8459; D. Pg. 1955 D. B. 10494; D. Pg. 1070
3c.
Responsible Party (for LLC if
applicable):
Kenneth A. Lye Robert Neeb
3d.
Street address:
21 Jersey Lane 8120 Diazit Drive
3e.
City, state, zip:
Wake Forest, NC 27587 Wake Forest, NC 27
3f.
Telephone no.:
919 - 669 -1397 919 - 889 -3445
3g.
Fax no.:
N/A N/A
fir
3h.
Email address:
N/A N/A
V4!4 � ,a , �lrit:l ?`r• ,;:;,r nranctl
Page 1 of 13
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a Applicant is,
❑ Agent ® Other,, specify- Owner - please send con-espondence,to Apphca"nt'and
Agent.
4b Name:
Attn: James M. Adams, Sr.
4c. Business name
(if applicable)-
JA2GA, LLC
4d Street address,
818 S/. White Street
4e City, state, zip:
Wake Forest, North Carolina 27587
4f Telephone no
-919- 422 -8453
4g; Fax no. •
919 - 556 -6672
Ah: Email address:
N/A
5. Agent/Consultant Information (if applicable)
5a. Name
Deborah Edwards Shirley
5b Business name
(if,applicable):
Soil & Environmental Consultants, PA
5c. Street address:
8412,Falls of Neuse Road, Suite 104
5d., City, state, zip:
Raleigh, NC'27615
5e Telephone no.
919- 846 -5900
5f.- Fax no..
919- 846 -9467
5g Email address.
DShirley @SandEC.com
Page 2 of`13

B. Project• Information and Prior Project History
1. Property Identification
la Property identification no (tax PIN or parcel ID)
Parcel ID. 1832 -65 -2767, 1832 -74 -9606
1b Site�coordinates (in decimal degrees)
Latitude: 36.0158 Longitude: - 78.5364
(DD DDDDDD) ( -DD DDDDDD)
1 c. Property size.
t 83 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc) to
UT to Horse Creek 27- 17 -(0.7)
proposed project
2b WaterQuality Classification of nearest receiving water
WS -IV; NSW
2c Ri'ver�basin
Neuse; Hydrologic Unit'Code 03020201
3. Project Description
3a. 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 existing conditions on site are forested and grassed, with a perennial stream system that bisects the
property. The general land use in the vicinity of the project is residential development.
3b List the total estimated acreage of all existing � wetlands on the property.
Approximately0.814 acres
3c. List the, total estimated linear feet of'all existing streams (intermittent and perennial) on the property:
Approximately 3,754 linearfeet
3d. Explain the�purpose of the proposed project
The purpose of the proposed project is to provide access to the western portion of the property
3e. Describe, the overall project'm detail, mcluding,the type,of equipment to be used.
The overall project consists'of a 71 lot single- farhify'residentia/ development that includes construction of roadway,
a comniiin"ity water" system and stormwater BMP's. Specifical /y'the plan entails constructing a.road to the west
from Jackson Road (i e. Donlin Drive), with three, (3) cul-de -sacs coming off of the proposed,Donlin Drive, a
connection to an existing deve/opment•to the north (i.e. Jersey Lane), to the west (i.e. existing Donlin Drive) and a
connection to the south. Equipment such as bull dozers, bucket loaders, excavators and other typical equipment
used for land disturbance and construction will be, utilized for this project.
4. Jurisdictional Determinations
4a HaveJudsdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes [:1 No El Unknown
project (including all prior phases),in the past?
Comments:
4b If the Corps made the jurisdictional determination, what type
of determination was made?
Comments- Jamestasbnger made determination calls,for
❑ Preliminary ❑ Final
features,at site; ,however a1JD package has not been
submitted to date A JD package will follow this PCN
Application package for'signature.
46 If yes, who delineated the junsdictional areas
Agency /Consultant Company Soil & Environmental
Name, (if known). Steven Ball
Consultants, PA Other.
4d If yes, list,the.dates of the Corps jurisdictional determinations or State determinations and attach documentation
Property was delineated in 2013 by Steven Ball of S &EC USACE site. visit venfyingjunsdictiona/ streams & wetlands
conducted,on November 20, 2013 with James Las6nger. NCDWR site visit verifying Neuse Riparian Buffers on October
2, 2013 with Sara Knies, see attached NBRRQ13 =263:
Page 3 of 13
PCN Form Version 1 3 December 10, 2008 Version

B. Project Information and Prior Project History
5. Project History
5a Have permits�or certifications been reguested or,obtamed for
this project (including all prior phases) in the past?
❑ Yes ® No ❑ Unknown
5b If,yes, explain in detail according, to "help file" instructions
N/A
6. Future Project Plans
6a IsAtii' a phased protect?
❑ Yes ® No
6b If yes, explain
/V IA
Page 4 of 13

C. Proposed Impacts Inventory
1. Impacts Summary
la Which sections were completed below for your project (check all that apply)-
® Wetlands ® Streams - tributaries ® Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted
2a.
2b
2c.
2d.
2e.
2f.
Wetland impact number —
Type of jurisdiction .
Permanent (P) or
Type of
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Temporary T
impact
if known
QW.0 —,non -404, other
acres
W1, ( #1) ® P ❑ T
Fill -Road
Bottoh7land
®, Yes
® Corps
0 005
Crossing
Hardwood
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWo
W3 ❑ P ❑ T
El Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
a005
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts, (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted
3a.
3b
3c
3d.
3e.
3f
3g•
Stream impact number -
Type of
Stream name
Perennial
Type of jurisdiction
Average
Impact
Permanent (P) -or
impact
(PER) or
(Corps - 404, 10
stream
length
Temporary (T)
intermittent
DWQ — non -404,
width
(linear
(INT)?
other)
(feet)
feet)
Fill- Culvert &
S1 ( #1) ® P ❑ T
Dissipater for
UT to Horse
® PER
® Corps
5
138
Road
Creek
❑ INT
❑ DWQ'
Crossing
S2 ( #1) El P ®T
Construction
UT,to Horse
® PER
® Corps
5
10
Corridor
Corridor
Creek
El
S3 ❑ P ❑7
[:1 PER
❑ Corps
❑ INT
❑ DWQ
S4 [:1 P E:1 T
[:1 PER
[__1 Corps
[I INT
El DWQ
3h Total stream and'tributary impacts
148
3i. Comments' Temporary stream impacts wdl,be established back to existing elevations and - stabilized.
Page 5 of 13
PCN Form — Version 1.3 December 10, 2068 Version

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 then individ ally list all open water im acts below
4a
4b.
4c
4d.
4e
Open water impact
'Name of waterbody
number -
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P ❑T
-
02, ❑P ❑T
4f. Total open water impacts
0
4g Comments:
5. Pond or Lake Construction
If pond or lake construction-proposed, then com lete the chart below
5a
5b
5c.
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use -or purpose of
(acres)
number
pond
Flood
ed
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
0
0
0
0
0
0
0
5g Comments
5h Is a dam high,hazard permit required?
❑ Yes El No If yes, permit ID no-
51 Expected pond surface, area (acres)
5j Size of pond watershed (acres)-
5k Method of construction
Page 6 of 13

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below If,yes, then individually listall buffer impacts
below If any impacts require mitigation, then you MUST fill out,Section D of,this,form� '
6a.
® Neuse ❑ Tar - Pamlico El Other.
Prolect'is in,which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f'
6g.
Buffer impact
number —
Reason for impact
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
Stream name
mitigation
(square feet)
(square feet)
Temporary T
required?
B1 ( #1)� ❑ P ❑ T
Road,Crossing
UT to Horse
Creek
❑ Yes
ONO
5;574
2,361
B2 ❑P ❑T
[:1 Yes
❑ No
-
B3 ❑'P ❑ T
El 'Yes
❑ No
_
B4❑P T
El Yes
❑ No
6h. Total buffer impacts
5,574
2,361
61 Comments.
Page 7 of 13

D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
la
Specifically "describe measures taken to avoid or minimize the proposed impacts in designing project
S &EC completed a wetland delineation and Neuse Buffer evaluation for the entire property in order to identify
natural resources so that the project engineer could design a site plan that would minimize impacts to the maximum
extent practicable. The proposed project includes one impact area to a stream and linear wetland. The proposed
Impact Area #1 includes 138 linear:feet of permanent stream impacts for the culvert and dissipater, and 10 linear
feet of temporary stream impacts for a temporary construction corridor to a perennial stream Additionally, there is a
linear wetland within the footprint of the permanent impact area; total wetland impacts proposed are 0 005 acres.
This proposed road crossing is necessary to access the western portion of the property. The proposed crossing
has been designed to cross the stream at a perpendicular angle; headwalls have also been utilized to minimize the
total impacts to the stream. All other jurisdictionatareas onsite have been avoided
Furthermore, the applicant.is aware of the regional conditions associated with the Nationwide Permits 29. With
respect to residential development conditions (NWP 29- Regional Conditions section 4.0) the applicant does not
anticipate any impacts to streams or wetlands associated with stormwater facilities, there are no impacts associated
with single- family'recreation facilities, there are no permanent wetland or stream fills proposed within the
flbodway/floodplain and the stream classification for this project is WS -1V, NSW (i e. not Outstanding Resource
Waters, High, Quality Waters, Coastal Wetlands or wetland adjacent to these waters)
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
During construction, an Erosion & Sediment Control plan will be utilized to avoid /minimize additional impacts The
Erosion & Sediment Control p1bri,will be approved by Wake County,
2.
Compensatory Mitigation for Impacts to Waters of the'U.S. or Waters of the State
❑ Yes ® No
The proposed permanent impacts are below 150 linear
feet of stream and 0.10 acre of wetlands As such, the
applicant is not proposing compensatory mitigation in the
2a
Does theproject require Compensatory Mitigation for
form of a mitigation payment but.by,minimizing impacts., If
impacts,to Waters ofthe U -S or Waters of the State?
however, afterreview of this application the
USACE/NCDWR determines compensatory mitigation'is
required in the form of a payment, the applicant will utilize
a private mitigation bank or the Ecosystem Enhancement
Program (NCEEP)
2b
If yes, mitigation is required by (check all that apply)-
❑ DWQ ❑ Corps
❑ Mitigation bank
2c.
If yes, which mitigation option will be used for this
El Payment to in -lieu fee program
projects
❑ Permittee Responsible Mitigation
3.
Complete if Using a Mitigation Bank
3a
Name of Mitigation Bank-
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
Page 8 of 13
PCN Form — Version 1 3 December 10, 2008 Version

3c Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a Approval letter from m -lieu fee program is attached
❑ Yes
4b. Stream mitigation requested
0 linear feet
4c. If using stream mitigation, stream temperature
❑ warm ❑ cool ❑cold
4d Buffer mitigation requested (DWQ only)
0•square feet
4e Riparian wetland mitigation requested
O,acres
4f Non - npanan wetland mitigation requested
O,acres
4g. Coastal (tidal) wetland mitigation requested.
0 acres
4h Comments
5. Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the projectresult in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b If yes, then identify theesquare feet -of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required.
Zone
6c
Reason'for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f Total buffer mitigation.required:
6g If'buffer mitigation is required, discuss what type of mitigation is proposed (e g , payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments
Page 9 of 13

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
.1a
Does the project include or is it adjacent to protected riparian buffers - identified
® Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
lb
If yes, then is a diffuse flow plan included? If no, explain why Comments: The
Stormwater Management Plan devices °are designed to meet Wake County's
requirements and are designed to provide, nutrient removal. Please note that the diffuse
flowmeasures are being used in conjunction, with stormwater devices and therefore
® Yes ❑ No
should be considered a part,of the Stormwater Management Plan The applicant
requests that a conditional 401 Approval be issued�allowmg them to submit the SMP'
Approval "by Wake County once zreceived
2.
Stormwater Mana ement °Plan
2a
What is the overall percent imperviousness of this project?
30%
2b
Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c
If thmproject DOES NOT require a Stormwater Management Plan, explain why
2d
If this project, DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan
The site will utilize °four (4) detention basins along with two (2) level spreaders - filter strips in order to provide the nitrogen and
phosphorus removal and detention These calculahons,& details have been provided'in the,attached Jackson Manor
Stormwater Management Report. Additionally, BMP details have, been rprovided, alongwith the O &M Agreements. The
applicant requests that a conditiona1,401 Approval be,issuedlallowmg them;to submit the_SMP Approval by Wake °County once
received.
® Certified Local Govemment ,
2e
Who will be responsible for the review of,the Stormwater Management, Plan?
❑ DWQ Stormwater Program
❑ DWQ 401' Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
Wake County
® Phase II
3b
Which of the following locally - implemented stormwater management programs
®I NSW
❑ USMP
apply (check.all that apply)
® Water Supply Watershed
❑ Other,
3c
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a.
Which of the following state - implemented stormwater management, programs apply
❑ ORW
(check all that apply)*
❑ Session Law 2006 -246
❑ Other
4b Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5.
DWQ 401 Unit Stormwater Review
Page 10 ,of 13
'PCN Form — Version 1 3 December 10, 2008 Version

5a Does the Stormwater Management Plan meet the appropriate requirements
El Yes
❑ No
5b Have all of the -401 Unit submittal requirements been met?
❑ Yes
❑ No
Page 11 of 13

F. Supplementary Information
1. .Environmental Documentation (DWQ Requirement)
la Does the project,mvolve an expenditure of public (federal /state /local) funds orthe
❑ Yes ® No
use of public (federal /state) land?
1 b If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to4he requirements of the, National or State
❑ Yes ❑'No
(North Carolina), Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State C_ Ieanng House? (If so, attach a copy of °,the �NEPA or S_EPA,fnal approval
❑ Yes ❑ No
letter.) Comments
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or�Ripanan Buffer Rules,(15A NCAC,2B .0200)?
2b. Is this an•after- the -fact permit application?
❑ Yes ® No
2c Ifyou,answered 'yes "'to one or both of the above questions, provide an explanation of the violatiori(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality'?
3b. If you answered "yes ",to the, above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ - policy If you answered "no," provide a short narrative description
We have reviewed the Draft Internal Policy, Cumulative impacts and the 401 Water Quality Certification and Isolated Wetlands
Programs" document prepared by the,NC Division of Water Quality on Apni' 10, 2004„ version,2 1. The draft states that many
private developments,are unlikely to cause cumulative impacts, ,including projects such as urban in -rill, most residential
subdivisions and small commercial developments as well as agricultural and'sdvicultural operations The Jackson Manor project
will be a small residential development Additionally, the project is located within Wake County'sjunsdiction, therefore, the
adjacent properhes,that have potential for development will, have thesfollowing regu/ahons.to protect downstream waters' 1) the
,Phase lI NPDES,StormwaterPermit Program, this program include9permitt►ng requirements for Municipal Separate Storm
Sewer Systems (MS4s) in addition to post -construction stormwater management requirements, and 2) the Neuse, River Basin
Riparian Buffer Protection regulations, these regulations,require limited development within the riparian buffer area in addition to
diffuse flow" requirements at,a minimum and could require,Best Management Practices that control nitrogen if diffuse flow
cannot be achieved, ,and 3) the Water Supply, Watershed Protection Program which limits development densities as wellias
requires protective hpanan buffers We anticipate °that the DWR will advise us if any additional information is needed
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from
the proposed prolect,�or available capacity of the subject facility Then wastewater will be handled with private septic
tanks and nitrification fields,as,permitted by the Wake County Health'Department.
Page 12 of 13
PCN Form — Version 1 3'December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species
❑ Yes ® No
or habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ®No
impacts? 1
❑ Raleigh
5c If yes, indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use4o determine whether your site would'impact Endangered Species or Designated Critical
Habitat? The NC- Natural Heritage Programs Data Search was used to search for elemental occurrences of federally protected
species listed within the Grissom Topographic Quadrangle map. It was determined based on the search that there are =no
elemental occurrence that are listed as federally protected Threatened or Endangered within the Grissom Quad map. See table
below
References: North`Carolma NaturahHentage Program Online Database Search (August 14, 20141 Department'of EnOronment
and Natural Resources, Office of Land and Water'Stewardship, Raleigh, NC http / /www ncnhn org/
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish
❑ Yes ® No
habitat?
6b What data sources did you use to determine whether your site,would, impact Essential Fish Habitat? Project located in-
Wake County. This project`is„not nearany designated Essential Fish Habitat areas.
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 historicior cultural preservation
❑ Yes ® No
status (e:g., National Histonc'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?
Records checks at the State Historic Preservation Office or the Office of State Archeology were not' performed No
residential structures > 50 yrs. old were observed on the property during the wetland evaluation. Additionally, no
structures were identified within the property boundaries on the online NC State Historic Preservation Office HPOWEB
GIS Service web search.
8. Flood.Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes ® No
8b If yes, explain how p-roject,meets',FEMA requirements- N/A
8c What source(s) did you use to make the floodplain determination? NC Flood Risk Information System
http //fris.nc gov/fris%Home aspx '2ST =NC Accessed August 14, 2014
_±/
August 15,
Deborah E. Shirley
Applicant/Agent's SI atuie
Applicant/Agent's Printed Name
2014
(Agent's signature is valid only ifan authorization letter from th pplicant
Date
is,provided )
Page 13 of 13

Environmental Consultants,
8413 Falls of Neuse Road, Suite I(N, Raleigh, NC: 27615 t Phone (919) 846 -i9(X)
sandec coin
AGENT AUTHORIZATION FORM
All Blanks To Be Filled In By The Current Landowner
Name: Ken A. Lye
Address. 21 Tersey Lane
Wake Forest; N.C. 27587
919 - 669 -1397
'Project Name /Description:- _ Jackson Manor /Silo,Glen S &EC Project # 12156
Date:
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
P.O. Box 1890
Wilmington, NC 28402
Attn: lames Lastinger- Field Office: Raleigh Regulatory Field Office
Re: Wetlands Related Consulting and Pernutting
To Whom It May Concern:
I; the current ro per owner,'hereby designate,and authorize Soil & Environmental Consultants, PA to
act in my- behalf as my, agent in the processing of permit applications, to furnish upon request
supplemental information in support of applications, etc. from this- day forward. The day of
This notification supersedes any previous correspondence concerning the agent for this project.
'NOTICE: This authorization, for liability and professional ,eourtesy reasons, is valid only'for _
,government officials to enter the property when accompanied by'S &EC staff. You should call S &EC
to arrange a site meeting prior to visiting'the site.
,ew TA 4, 4-
Print Property Owner's Name
cc, Ms. Karen Higgins
NCDENR - DWR
512 N. Salisbury St
Raleigh, NC 27604
Property Owner's Si ture
cc- Ms Deborah Edwards Shirley
Soil & Environmental Consultants, PA

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Project No. Figure I -U5G5
12156.W1
Quadrangle Map
Project Mgr.: 5do glen Soil & Environmental Consultants, PA
SB Wake Co, NC 11010 Raven Ridge Rd.- Raleigh, NC 27614
(919) 846 -5900 - [phone]
Scale: Web Page: www.SandEC.corn
I" — 2.000
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North Carolina Department NW of Environment and, Natural Resources
Division of 'Water Resources
WaterQuality Programs
Pat',McCrory Thomas A. Reeder
Governor Director
October 3,'20.13
Kenneth Lye
JA2GA, GLC
818 S. Whiie;Street
Wake Forest; NC 27587
John E. Skvada, III
Secretary
Subject: Surface,Water Determination Letter
NBRRO# 13 -263,
Wake,County
Determination Type
Buffer Call
Isolated or,EIP Call,
® Neuse,(1`5A NCAC,2B .0233)
Start@
❑ Tar - Pamlico (A 5A NCAQ 2B 0259)
❑ Ephemeral /Intetmittent/Perenrilal Determination
❑ Jordan (1 5A NCAC 26 �0267j
❑ Isolated, Wetland Determination
Project Name• Silo-Glen-0 & 21 Jersey Lane, Wake Forest
Location/Directions: Subject properties are•private•undeveloped lot at'the-end of Jersey, Lang,
bmthe Franklin/Wake County Line, North, of P,urriell' Road at,project
address(es)
Subject Stream: UT to Horse Creek
(Determination Date :, October 2,, 201'3 Staff: Sara, Knies-
Feature
--
E"*
lYot,Subject
Subject
Start@
Stop@
_
Soft
Surve'
USGS
Top-
A'
I
_ _
Fl
X
X
B
I•
X
D.W , Flag
X
C
P'
X
Throughout
X
X
D
E
X,
X
Z
E I
X I
I
X
•E/UP Ephemera lllntermittentlAerennfa /
�fixplanafion: The featut'e(s) listed above'lias or'have °been located'ondhe Soil Survey of Wake County, North
Carolina or the'most recent copy of the [JSGS'Topographic;map ata 1:24,000 scale: Each feature that'm,c�fi- ked
1 op7fhCaro�lMa
'North Carolina; Division of Water Resources 16281 Mad ServicetCenter Raleigh,,NC;27699 -1628 Phone [phone]
btemet- www•ncwaierouah or 'L-ocapon ,{4800 Barrett;Dnve Raleigh, Nb 27609 Fax [phone]
An Equal 0ppo4nq /Affiwbve Achon Empbyer- 50% Recyded110% Post Consumer.P,aper

0 & 21 Jersey Lane -Silo Glen
WakelCounty
October 3, 2013
Page.2.of,2
"Not Subject -'ihas been determined,not to be a stream or-is not present,on the property Features that:are,checked
"SubjecV7ghave been located on;the property and',possess characteristics,that qualify it to be,a,stream. There,may`be
other Weam" located on your property that do not show up op the maps -referenced aboveibut, still may be
considered jurisdictional according to the .US Army-Coips of Engineers and%or to the Division of Water Resources
(DWR).
this on- site,determination shall expire five,(5)�years from theadate of this letter. Landowners or affected,,parties that
dispute a determination made by the DWR.or.Delegated;Local Authority,may request a determination tiythe,
Director: An appeal request must be made within.sixty (60) days of•d'ate of this'letter•or from the date-the-affected
party (includined6wnstream.aid /or adjacent owners) is notified of this letter.. A request for a determination by the
Director shall;be referred to,the Director in writing clo.Karen HigginsjDWR'WeBSCaPe Unit,'1650 Mail Service
Center, Raleigh; NC 27699.
This d_ etermination Js final and,binding. unless, as detailed above,iyou ask for a hearing or appeal'within sixty(60)
days.
The owner /future owners-should notify,the Division of Water Resources (including;any other Local, State, and
FWeral'.Agencies) of;this decision concerningtany 'fdtureicottespondences regarding ttie.subject property'.(stated
above). 'This project may require,a Section 404 /401 P,ermit,for the proposed activity. Anyinquiries should be
directed to the Division.of Water Resources (Central Office) at (919 }807- 6300,,and the US Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919 )-554 -4884.
Ifyou have questions regarding -this determination; please.feel free to contact,Sara)Knies at (919) 7914200.
es tfully,
JA 17 /Iw Danny Smith
Regional Sup
cc: , RRO /SWP File Copy

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Name:
Address:
Environmental
AGENT AUTHORIZATION FORM
Consultants,
hone (919( 846 -;4(K) • 1 t♦ (919)
All Blanks To Be Filled In By. The Current Landowner
�IL� t C1'2r-lT"
Phone :,
Project Name/ Description: Jackson Manor/ Silo Glen S&EC Project #
Date: :V 2i/ I 1
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
P.O. Box 1890 -
Wilmmgton, NC 28402
Attn: Tames Lastinger Field Office: Raleigh Regglatoly Field Office
Re: Wetlands Related Consulting and Permitting
To Whom It May Concern:
1, the,current ro per owner, hereby designate and authorize Soil & Environmental : onsultants, PA to
,act inmy behalf as.my agent in the processing of pern-ut applications, to furnish uponlrequest
supplemental information in support of applications, etc from this; day forward. Thel - day of
'mil fit �
This�notification supersedes any previous correspondence concerning the agent for thus project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only•for
government officials to enter the property when accompanied by S &EC staff. You i should call S &EC
to arrange a site meeting prior to visiting, the ,site.
Print Prbperty Owner's Name
cc- Ms. Karen Higgins
NCDENR - DWR
512 N. Salisbury St.
Raleigh, NC 27604
Property Owners Signature•
1
cc: Ms. Deborah Edwards Shirley
Soil & Environmental Consultants, PA
1 -
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