20220896 Ver 1_SAW-2022-00653 NWP 29 Verification_20221006

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2022-00653 County: Forsyth U.S.G.S. Quad: NC -Rural Hall
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Permittee:
Carolina Development Services, LLC
Jonathan McCall
Address:
2627 Breckenridge Centre Drive
Monroe, North Carolina 28110
Telephone Number:
[phone]
E-mail:
imccall(&carolina-development.com
Size (acres) 150 Nearest Town Rural Hall
Nearest Waterway Muddy Creek River Basin Yadkin
USGS HUC 03040101 Coordinates Latitude: 36.205437
Longitude:-80.3205
Location description: The project area is identified as an approximate 150-acre tract of land located on Forsyth County, North
Carolina Parcel 6809966493. This parcel is located west of the intersection of Bethania Rural Hall Road and Mimah Church
Road, in Rural Hall, Forsyth County, North Carolina. Work in waters of the United States (U.S.) will occur within the
headwaters of Muddy Creek, a direct tributary of the Yadkin River (8-di0t HUC: 03040101).
Description of projects area and activity: The applicant, Carolina Development Services, LLC, has requested a department of
the Armv authorization to discharge fill material into waters of the U.S. in coniunction with the construction of the Long
Creek Village residential development. Proiect activity will involve the construction single and multi-familv residential lots
along with associated infrastructure and amenities. Implementation of the proposed proiect will permanently impact 0.374
acre of wetland and 202 linear feet (0.007 acre) of stream channel, and temporarily impact 45 linear feet of stream channel.
Proiect activity will also involve the placement of a riprap dissipator along 15 linear feet of stream channel. Upon proiect
completion, all temporarily disturbed areas would be returned to their pre -disturbed elevations and contours.
The proposed proiect activity will also involve the installation of a bottomless arched culvert which would result in indirect
impacts to 87 linear feet (0.08 acre); including 15 linear feet of riprap. This impact is not considered a loss.
Compensatory mitigation is required at a minimum of 1:1 mitigation to impact ratio for all wetland losses that exceed 1/10-
acre. Therefore, the applicant has proposed to purchase 0.75 wetland mitigation units from Restoration Systems, LLC's RS
Yadkin 01 UMBI, Brushy Mountain Mitigation Bank, to offset the loss of aquatic function to 0.374 acre of wetland.
Applicable Law(s): © Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Nationwide Permit 29 (residential developments)
SEE ATTACHED NWP GENERAL, REGIONAL, AND/OR SPECIAL CONDITIONS
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
Conditions, your application signed and dated 6/30/2022, and the enclosed plans dated 9/8/2022. Any violation of the attached
conditions or deviation from your submitted plans may subject the permittee to a stop work order, a restoration order, a Class
I administrative penalty, and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide and/or regional general permit
authorization is modified, suspended or revoked. If, prior to the expiration date identified below, the nationwide and/or regional general
permit authorization is reissued and/or modified, this verification will remain valid until the expiration date identified below, provided
it complies with all requirements of the modified nationwide permit. If the nationwide and/or regional general permit authorization
expires or is suspended, revoked, or is modified, such that the activity would no longer comply with the terms and conditions of the
nationwide permit, activities which have commenced (i.e., are under construction) or are under contract to commence in reliance upon
the nationwide and/or regional general permit, will remain authorized provided the activity is completed within twelve months of the
date of the nationwide and/or regional general permit's expiration, modification or revocation, unless discretionary authority has been
exercised on a case -by -case basis to modify, suspend or revoke the authorization.

Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Resources (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA), prior
to beginning work you must contact the N.C. Division of Coastal Management Morehead City, NC, at [phone].
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal, State
or local approvals/permits. If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of
Engineers regulatory program, please contact Samantha Dailey at [phone], EXT. 22or Samantha.J.Dailcvnusace.armv.mil.
Corps Regulatory Official: 1�7Ca4x' e-111Z4 Date: 10/06/2022
Expiration Date of Verification: 3/14/2026
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 the Customer Satisfaction Survey located at
hM2:HcoKpsmapu.usace.ariny.mil/cm apex/f?p=l36:4:0
Copy furnished:
Agent: Pilot Environmental, Inc.
David Brame
Address: 743 Park Lawn Court
Kernersville, North Carolina 27284
Telephone Number: [phone]
E-mail: dbrame( )pilotenviro.com
Property Owner: BHR Land Holdinp_s, LLC
Ben Russell
Address: 4389 Indian Trail Fairview Road
Indian Trail, North Carolina 28079
Telephone Number: [phone]
E-mail: benAyinnaclehomcusa.net

SAW-2022-00653
SPECIAL CONDITIONS
a. In order to compensate for impacts associated with this permit, mitigation shall be provided in accordance
with the provisions outlined on the most recent version of the attached Compensatory Mitigation Responsibility
Transfer Form. The requirements of this form, including any special conditions listed on this form, are hereby
incorporated as special conditions of this permit authorization.

Action ID Number: SAW-2022-00653 County: Forsyth
Permittee: Carolina Development Services, LLC
Project Name: Lone Creek Village
Date Verification Issued: 10/06/2022
Project Manager: Samantha Dailey
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn: Samantha Dailey
Raleigh Regulatory Office
U.S Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
or
[e-mail]
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending, modifying or revoking the authorization and/or issuing a Class I
administrative penalty, or initiating other appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
Signature of Permittee
Date

U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Compensatory Mitigation Responsibility Transfer Form
Permittee: Carolina Development Services, LLC
Project Name: Long Creek Village
Action ID: SAW-2022-00653
County: Forsyth
Instructions to Permittee: The Permittee must provide a copy of this form to the Mitigation Sponsor, either an approved
Mitigation Bank or the North Carolina Division of Mitigation Services (NCDMS), who will then sign the form to verify the
transfer of the mitigation responsibility. Once the Sponsor has signed this form, it is the Permittee's responsibility to ensure
that Wilmington District Project Manager identified on page two is in receipt of a signed copy of this form before conducting
authorized impacts, unless otherwise specified below. If more than one Mitigation Sponsor will be used to provide the
mitigation associated with the permit, or if the impacts and/or the mitigation will occur in more than one 8-digit Hydrologic
Unit Code (HUC), multiple forms will be attached to the permit, and the separate forms for each Sponsor and/or HUC must be
provided to the appropriate Mitigation Sponsors.
Instructions to Sponsor: The Sponsor verifies that the mitigation requirements (credits) shown below have been released and
are available at the identified site. By signing below, the Sponsor is accepting full responsibility for the identified mitigation,
regardless of whether they have received payment from the Permittee. Once the form is signed, the Sponsor must update the
bank ledger and provide a copy of the signed form and the updated ledger to the Permittee, the Project Manager who issued the
permit, the Bank Project Manager, and the District Mitigation Office (see contact information on page 2). The Sponsor must
also comply with all reporting requirements established in their authorizing instrument.
Permitted Impacts and Compensatory Mitigation Requirements:
Permitted Impacts Requiring Mitigation* 8-digit HUC and Basin: 03040101, Yadkin River Basin
Stream Impacts (linear feet)
Wetland Impacts (acres)
RiparianRiverine
Warm
Cool
Cold
Riparian Non-Riverine
Non -Riparian
Coastal
0.374
*If more than one mitigation sponsor will be used for the permit, only include impacts to be mitigated by this sponsor.
Compensatory Mitigation Requirements: 8-digit HUC and Basin: 03040101, Yadkin River Basin
Stream Mitigation (credits)
Wetland Mitigation (credits)
Riparian
Riparian Non -
Warm
Cool
Cold
Non -Riparian
Coastal
Riverine
Riverine
0.75
Mitigation Site Debited: Restoration Systems, LLC's RS Yadkin 01 UMBI, Brushy Fork Mitigation Bank
(List the name of the bank to be debited. For umbrella banks, also list the specific site. For NCDMS, list NCDMS. If the
NCDMS acceptance letter identifies a specific site, also list the specific site to be debited).
Section to be completed by the Mitigation Sponsor
Statement of Mitigation Liability Acceptance: I, the undersigned, verify that I am authorized to approve mitigation
transactions for the Mitigation Sponsor shown below, and I certify that the Sponsor agrees to accept full responsibility for
providing the mitigation identified in this document (see the table above), associated with the USACE Permittee and Action
ID number shown. I also verify that released credits (and/or advance credits for NCDMS), as approved by the Wilmington
District, are currently available at the mitigation site identified above. Further, I understand that if the Sponsor fails to provide
the required compensatory mitigation, the USACE Wilmington District Engineer may pursue measures against the Sponsor to
ensure compliance associated with the mitigation requirements.
Mitigation Sponsor Name:
Name of Sponsor's Authorized Representative:
Signature of Sponsor's Authorized Representative Date of Signature
Page 1 of 2 Form Version 10 June 2020 updated

CESAW-RG (File Number, SAW-2022-00653)
Conditions for Transfer of Compensatory Mitigation Credit:
• Once this document has been signed by the Mitigation Sponsor and the District is in receipt of the signed form, the
Permittee is no longer responsible for providing the mitigation identified in this form, though the Permittee remains
responsible for any other mitigation requirements stated in the permit conditions.
• Construction within jurisdictional areas authorized by the permit identified on page one of this form can begin only after
the District is in receipt of a copy of this document signed by the Sponsor, confirming that the Sponsor has accepted
responsibility for providing the mitigation requirements listed herein. When NCDMS provides mitigation for authorized
impacts conducted by the North Carolina Department of Transportation (NCDOT), construction within jurisdictional areas
may proceed upon permit issuance; however, a copy of this form signed by NCDMS must be provided to the District
within 30 days of permit issuance. NCDOT remains fully responsible for the mitigation until the District has received this
form, confirming that the Sponsor has accepted responsibility for providing the mitigation requirements listed herein.
• Signed copies of this document must be retained by the Permittee, Mitigation Sponsor, and in the USACE administrative
records for both the permit and the Bank/ILF Instrument. It is the Permittee's responsibility to ensure that the District
Project Manager (address below) is provided with a signed copy of this form.
• If changes are proposed to the type, amount, or location of mitigation after this form has been signed and returned to the
District, the Sponsor must obtain case -by -case approval from the District Project Manager and/or North Carolina
Interagency Review Team (NCIRT). If approved, higher mitigation ratios may be applied, as per current District guidance
and a new version of this form must be completed and included in the District administrative records for both the permit
and the Bank/ILF Instrument.
Comments/Additional Conditions: A letter from Restoration Systems, LLC, confirming they are willing and able to
accept the applicant's compensatory mitigation responsibility, dated 6/27/2022 was included with the preconstruction
notification.
This form is not valid unless signed below by the District Project Manager and by the Mitigation Sponsor on Page 1. Once
signed, the Sponsor should provide copies of this form along with an updated bank ledger to: I) the Permittee, 2) the District
Project Manager at the address below, 3) the Bank Manager listed in RIBITS, and 4) the Wilmington District Mitigation
Office, 3331 Heritage Trade Drive, Suite 105, Wake Forest, NC27587 (or by email to SAWMIT(a usace.army.mil). Questions
regarding this form or any of the permit conditions may be directed to the District Mitigation Office.
USACE Project Manager: Samantha Dailey
USACE Field Office: Raleigh Regulatory Office
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Email: Samantha.J.Daileygusace.army.mil
Saotl Z�11
10/06/2022
USACE Project ManagVr Signature Date of Signature
Current Wilmington District mitigation guidance, including information on mitigation ratios, functional assessments, and
mitigation bank location and availability, and credit classifications (including stream temperature and wetland groupings) is
available at http://ribits.usace.army."l

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