20200981 Ver 2_ePCN Application_20230420

DWR
Division of Water Resources
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?
Yes
No
Is this project a public transportation project?*
Yes No
Change only If needed.
Pre -Filing Meeting Date Request was submitted on:
12/19/2022
BIMS # Assigned
20200981
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Raleigh Regional Office - [phone]
Information for Initial Review
la. Name of project:
Reserve at Dunn Creek & Friendship Chapel Road Extension
1a. Who is the Primary Contact?*
Bob Zarzecki
1b. Primary Contact Email: *
[e-mail]
Date Submitted
4/20/2023
Nearest Body of Water
Hatters Branch (aka Dunn Creek) & Spring Branch (aka College Branch)
Basin
Neuse
Water Classification
C;NSW
Site Coordinates
Latitude:
Longitude:
35.964260
-78.504273
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Wake
Is this a NCDMS Project
Yes No
Version#*
2
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
Zachary Thomas:[e-mail]
1c. Primary Contact Phone: *
[phone]
a
Is this project a public transportation project?*
Yes No

1a.Type(s)of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
Yes
No
1b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
29 - Residential Development
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
14 - Linear transportation
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:
1f. Is this an after -the -fact permit application? *
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
1d. Who is applying forthe permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
Nancy H. Dameron
2b. Deed book and page no.:
012337-02555
2c. Contact Person:
2d.Address
Street Address
3336 White Oak Road
Address Line 2
city
Raleigh
Postal / Zip Code
27609
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
NC
Country
USA
Yes No
Yes No

2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Huggy Bear, LLC
2b. Deed book and page no.:
13812-3
2c. Contact Person:
T. Barker Dameron
2d.Address
Street Address
3336 White Oak Road
Address Line 2
city
Raleigh
Postal / Zip Code
27609
2e. Telephone Number:
[phone]
2g. Email Address:
[e-mail]
2a. Name(s) on recorded deed:
High Bar Creek, LLC
2b. Deed book and page no.:
15086-271
2c. Contact Person:
T. Barker Cameron
2d.Address
Street Address
3336 White Oak Road
Address Line 2
city
Raleigh
Postal / Zip Code
27609
2e. Telephone Number:
[phone]
2g. Email Address:
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Christopher L. Woody II
3b. Business Name:
Abode Communities, LLC
3c. Address
Street Address
3105 Glenwood Avenue
Address Line 2
Suite 105
City
Raleigh
Postal / Zip Code
27612
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
2f. Fax Number:
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
3e. Fax Number:

4. Agent/Consultant (if applicable)
4a. Name:
Bob Zarzecki
4b. Business Name:
Soil & Environmental Consultants, PA
4c.Address
Street Address
8412 Falls of Neuse Road
Address Line 2
Suite 104
city
Raleigh
Postal / Zip Code
27615
4d. Telephone Number:
[phone]
4f. Email Address:'
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
Reserve at Dunn Creek
1c. Nearest municipality / town:
Wake Forest
2. Project Identification
2a. Property Identification Number:
1840657710;1840761824;1840660542
2c. Project Address
Street Address
0 Friendship Chapel Road
Address Line 2
city
Wake Forest
Postal / Zip Code
27587
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Hatters Branch (aka Dunn Creek) & Spring Branch (aka College Branch)
3b. Water Resources Classification of nearest receiving water:"
C;NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
03020201-0702
4. Project Description and History
State / Province / Region
NC
Country
USA
4e. Fax Number:
[phone]
2b. Property size:
67.43
State / Province / Region
NC
Country
USA
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: "
Friendship Chapel Road is currently stubbed to dead end just east of Dunn Creek. The Dunn Creek crossing area currently consists of a mostly open floodplain with a greenway trail and
sanitary sewer easement.
The Reserve at Dunn Creek subdivision assemblage consists of three parcels of land predominately planted in a loblolly pine stand with hardwood buffers along Dunn Creek and Spring
Branch. The property is bordered on the north by the Highway 98 bypass, to the east & southeast by Heritage residential subdivision and newly constructed Legacy apartments (both
across Dunn Creek), and to the west & southwest by the newly constructed Holden Village subdivision.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
Yes No Unknown
O

If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
NCDWR Project # 20-0981
USACE SAW-2016-00650
" These approvals expired. The applicant has reduced the impacts notably for the Friendship Chapel Road crossing of Dunn Creek (aka Hatters Branch) considerably to stay below the
0.05 acre stream loss threshold of the new NWP14. The Reserve at Dunn Creek subdivision has been further designed and all anticipated impacts are now requested in this application
along with the renewal request for the Friendship Chapel Road crossing of Dunn Creek.
4f. List the total estimated acreage of all existing wetlands on the property:
0.567
4g. List the total estimated linear feet of all existing streams on the property:
5,695
4h. Explain the purpose of the proposed project:*
The project purpose is to construct a residential subdivision on land that is landlocked by Dunn Creek, Spring Branch & Highway 98 Bypass.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The project consists of a residential subdivision, extension of the existing Friendship Chapel Road across Dunn Creek to the project, sanitary sewer connections, stormwater SCM
conveyances, and greenway trail connections to the east and west. No indirect impacts are anticipated from the development which will obtain all necessary FEMA, stormwater & erosion
control permits. Equipment used will be heavy earth moving equipment such as bulldozers and excavators typically used in such civil construction projects.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes No G Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
SAW-2016-00650
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Kevin Martin
Agency/Consultant Company: S&EC, PA
Other: verified by James Lastinger, USACE
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
SAW-2016-00650_PJD_Issued July 22, 2016 (no expiration), no wetlands were found to exist, however wetland flags from another consulting company were later found in the floodplain
near Spring Branch which were identified & will be avoided, but we were unable to find a JD for these flags, the applicant was able to easily avoid them;
NCDWR NBRRO # 2023-018 Neuse Buffer Determination issued March 1, 2023
6. Future Project Plans
6a. Is this a phased project?*
Yes 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?
No future develop is anticipated for this project.
Friendship Chapel Road will eventually be extended to the west which will complete the road from South Main Street to Heritage Lake Road. The Town of Wake Forest will be applying for
crossing. The Reserve at Dunn Creek project was required to stub Friendship Chapel Road to align with the existing stubbed section within Holding Village.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries 0 Buffers
Open Waters Pond Construction
2. Wetland Impacts
O
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W. *
2d. W. name
2e. Forested *
2f. Type of Jurisdicition *
(?)
2g• Impact
area *
CWI-2.1_2A
Road Fill
P
Hewater Forest
ad
W-2A
Yes
Both
0.025
(acres)
CWI-2.3_2B
Greenway Trail
P
Headwater Forest
W-26
Yes
Both
0.018
(acres)
CWI-2.3_2C
Construction Access
T
Headwater Forest
W-2C
Yes
Both
0.016
(acres)

CWI-2.3_2D Construction Access I Headwater Forest W-21) Yes Both 0.004
(acres)
2g. Total Temporary Wetland Impact
0.020
2g. Total Wetland Impact
0.063
2g. Total Permanent Wetland Impact
0.043
2i. Comments:
Total permanent wetland loss < 1/10th acre. No mitigation proposed.
Temporary wetland impacts will be returned to grade and reseeded with a riparian wetland seed mix.
3. Stream Impacts
F
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
3f. Type of
3g. S. width
3h. Impact
?)
Jurisdiction*
length*
S1
Road Fill (CWI-2.1_1)
Permanent
Culvert
Dunn Creek (aka Hatters
Perennial
Both
16
116
Branch)
Average (feet)
(linear feet)
g2
Construction Access Road
Temporary
Other
Dunn Creek (aka Hatters
Perennial
Both
13
(CWI-2.1_1)
Branch)
Averege (feet)
(linear feet)
S3
Dissipation Pad (CWI-2.1_1)
Permanent
Rip Rap Fill
Dunn Creek (aka Hatters
Perennial
Both
16
150
Branch)
Averege (feel)
(linear feet)
S4
Construction Access
Temporary
-]
Other
Spring Branch
Perennial
Both
13
22
Greenway (west side)(CWI-
Average (feet)
(linear feet)
2.7_5)
S5
Sewer Crossing (CWI-
Temporary
Other
Spring Branch
Perennial
Both
30
2.10_7)
Average (feet)
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
266
31. Total stream and ditch impacts:
321
3i. Total temporary stream impacts:
55
3j. Comments:
S1 = CWI-2.1_1;Dunn Creek Crossing permanent stream LOSS = 0.044 acres (reduced to < 0.05 acres);
S3 = CW1-2.1_1; inlet & outlet riprap dissipation pads will be permanent impact, but NO LOSS, and will be installed below the streambed elevation in a
manner to allow aquatic life passage;
S4 = CWI-2.7_5; temporary impacts to construct greenway trail bridge/boardwalk; stream will be returned to (or otherwise maintained as) it's original
contours, stabilized with core fiber matting & seeded (as necessary per final E&S plan);
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
Neuse Tar -Pamlico
Catawba Randleman
Goose Creek Jordan Lake
Other
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone f impact
6g. Zone 2 impact
Road Fill (CWI-2.11A)
P
Dunn Creek (aka Hatters Branch)
Yes
10,458
7,439
Dissipation Pad (CWI-2.1_113)
P
Dunn Creak (aka Hatters Branch)
Yes
3,779
0
Sewer Construction (CWI-2.1_1C)
Storm Drainage Greenway / SCM Conveyance
(CWI-2.3_2E)
Greenway Construction Fill/Relocation (CWI-
2.3_2F)
P
P
P
Dunn Creek (aka Hatters Branch)
Dunn Creek (aka Hatters Branch)
Dunn Creek (aka Hatters Branch)
No
No
No
677
0
0
414
260
394
Sewer Construction (CWI-2.4_3)
Greenway Construction / Connect to Existing
Greenway (east side)(CWI-2.5_4)
P
P
Dunn Creek (aka Hatters Branch)
Dunn Creek (aka Hatters Branch)
No
No
0
480
511
1,301
Greenway Construction (west side)(CWI-2.75)
P
Spring Branch
No
1,473
1,213

Storm Drainage SCM Conveyance (CWI-2.9_6
P
Spring Branch
No
531
180
& 6A)
Zone 2 Only Grading & Revegation (Pond
P
Spring Branch
No
1,881
Grading)(CW I-2.9_6B)
L
Sewer Construction (CWI-2.10_7)
P
Spring Branch
No
1,589
1,222
Storm Drainage SCM Conveyance (CWI-8 &
P
Spring Branch
No
143
8A)
t
Zone 2 Only Grading & Revegetation (Pond
P
Spring Branch
No
1,127
Grading)(CW I-2.11 _8B)
L
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Total Permanent impacts: 19,583.00 16,085.00
Zone 1 Zone 2
Total combined buffer impacts: 19,583.00 16,085.00
6i. Comments:
CWI-2.1_1A (Road Fill) + 1 B (Dissipation Pad) = mitigation was previously provided for these impacts; see attached documentation; 63,941 credits were
purchased in March 2022 which is 10,072 credits more than the 53,869 credits that are now required;
Storm Drainage SCM Coneveyance & Zone 2 Only Impacts are included above but are "Deemed Allowable"
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The project was previously permitted by the USAGE and DWR in 2020. Only buffer mitigation was required for those impacts. The impacts have not yet
occurred and the associated NWP has expired. The applicant retained S&EC to renew the Neuse Buffer determinations (which also expired) and to
confirm that there have been no changes to the potentially jurisdictional wetlands and streams. S&EC worked with the applicant and their engineers to
revise the Friendship Chapel Road crossing of Dunn Creek (aka Hatters Branch) to stay below the new NWP14 0.05 acre stream loss threshold. The
subdivision plans were further designed and reviewed by the Town. The Town required to greenway trail connections to both the east and west. S&EC
worked with the applicant to revise their plans such to avoid new pedestrian bridge crossing of Dunn Creek and instead connect to the existing greenway
closer to Hwy 98 Bypass. S&EC also identified the remain of an old mill site and another consultant's wetland delineation flags in the floodplain areas
along Spring Branch near Hwy 98 bypass, and worked with the applicant and their engineers to relocate the western greenway trail connection further
south to avoid the mill site and potential wetlands.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The project will obtain an erosion control plan from the Town of Wake Forest prior to construction. The project will also obtain a post -construction
stormwater management plan from the town. These plans and oversight by the town will help avoid and minimize impacts both during and after
construction.
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?
Yes No
2c. If yes, mitigation is required by (check all that apply):
DWR Corps
2d. If yes, which mitigation option(s) will be used for this project?
Mitigation bank Payment to in -lieu fee program Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
EBX-Neuse sponsored Neu -Con Wetland & Stream Umbrella Mitigation Bank, Stone Creek site
3b. Credits Purchased/Requested (attach receipt and letter)
Type:
Quantity:
Stream 232
3c. Comments
SOA attached; mitigation is proposed for the 116 feet of stream loss;
L

6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more information.
Yes No
6b. If yes, then identify the square feet of impact.
6c. Reason for impact
6d. Total impact (square
feet)
Multiplier
6e. Required mitigation
(square feet)
Zone 1
Road Fill & Dissipater Pad 11
14,237
3
42,711
Zone 2 Road Fill 7,439 1.5 11,159
6f. Total buffer mitigation required
53870
6g. If buffer mitigation is required, is payment to a mitigation bank or NC Division of Mitigation Services proposed?
Yes No
6j. Comments:
The only buffer impacts that require mitigation for the project are those associated with the Friendship Chapel Road extension across Dunn Creek.
Buffer impacts were approved for this crossing previously in 2020, but never occurred. However, the buffer mitigation was paid (see attached invoice
documentation) in March 2022 for 63,941 credits. As such, these previously purchased credits will more than cover the buffer mitigation required under
the new minimized plans. The overage is 10,071 credits. The applicant will work with the mitigation banker on any potential refund & ledger change after
the anticipated approval of this new request.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30 % nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
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?
Yes No
N/A - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
Local Government State
Local Government Stormwater Programs
Phase II NSW USMP Water Supply
Please identify which local government stormwater program you are using.
Town of Wake Forest
Comments:
The Town of Wake Forest will review and approve a stormwater management plan for the project. Current plans as shown include three (3) stormwater control structures (SCMs)
anticipated to be wet detention ponds.
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?
Yes No
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Q

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.
The project is an infill residential subdivision surrounding by existing and under construction residential subdivisions and apartment complexes. As such,
it is not anticipated that this project would result in additional development which could impact nearby downstream water quality.
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 from the project will be discharged to the City of Raleigh (CoR) sanitary sewer system (CoR provides sewer services to the Town of Wake
Forest). The CoR and DEQ will ensure that adequate capacity exists for this additional wastewater.
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 O No
What Federal Agency is involved?
FEMA associated with the Friendship Chapel Road extension across Dunn Creek
5e. Is this a DOT project located within Division's 1-8?
Yes No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?'
Yes No
n Unknown
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
FWS IPAC & NHP Databases; see attached updated FWS official species list & NHP report; the project was previously permitted in 2020 and also
obtained FWS concurrence on the FEMA CLOMR; there are no Federally listed species elemental occurrences identified within the project area or within
1 mile of the project; the project anticipated to have either "No Effect" or "May affect, but not likely to adversely affect" Federally listed endangered or
threatened species;
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 EFH Mapper; The project is located in the piedmont region of NC far from any EFH 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 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? *
SHPO HPOWEB - The project was previously permitted. SHPO HPOWEB shows nothing within or near the project area. The remains of an old mill were
found (photo attached) along Spring Branch near the NCDOT right of way and culverts for Hwy 98 bypass. No impacts are proposed to this mill site and
the greenway trail connection was relocated to the south to avoid it.
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 project meets FEMA requirements:
FEMA issued a CLOMR for the project on August 21, 2020. S&EC applied for and obtained this CLOMR and is currently working with the applicant to
notify NCDPS-NCFMP of the design changes. The project will obtain all necessary flood studies or documentation from FEMA.
8c. What source(s) did you use to make the floodplain determination?*
FEMA DFIRM, etc.
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 drag and drop files here to attach document
Reserve at Dunn Creek_PCN Attachments (combined).pdf 38.49MB
File must be PDF or KMZ
Comments
Attachments include: Agent Authorization Forms, Pre -Filing documentation, stream mitigation SOA, USGS, Soil Survey, Aerial Sketch maps, PJD, buffer letter, 2020 permits, 2020 buffer
mitigation documentation, IMPACT MAPS, site photos, FWS concurrence, updated species list, updated NHP report, SHPO-HPOWEB map & mill site photo;
Signature
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:
S&EC, PA - Bob Zarzecki
Signature
Date
4/20/2023
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