20240279 Ver 1_3844.1_Shamrock Valley Subdivision_PCN Application_2.13.24_20240214

Preliminary ORM Data Entry Fields for New Actions
3/24/35
TBX.312:.11691
ACTION ID #: SAW- Begin Date (Date Received):
Prepare file folderAssign Action ID Number in ORM
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1.Project Name \[PCN Form A2a\]:
5
2.Work Type: Private Institutional Government Commercial
3.Project Description / Purpose \[PCN Form B3d and B3e\]:
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mpdbufepouifdfousbmqpsujpopguiftjuf/Uifxftufsoqpsujpopguiftjufdpoubjotxppefemboe/Uifqvsqptfpguifqspkfdujtup
dpotusvdubtjohmf.gbnjmzsftjefoujbmofjhicpsippe/
4.Property Owner / Applicant \[PCN Form A3 or A4\]:
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5.Agent / Consultant \[PNC Form A5 – or ORM Consultant ID Number\]:
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6.Related Action ID Number(s) \[PCN Form B5b\]:
7.Project Location – Coordinates, Street Address, and/or Location Description \[PCN Form B1b\]:
!47/148458®0.8:/53:165®
8.Project Location –Tax Parcel ID \[PCN Form B1a\]:
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9.Project Location – County \[PCN Form A2b\]:
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10.Project Location – Nearest Municipality or Town \[PCN Form A2c\]:
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11.Project Information –Nearest Waterbody \[PCN Form B2a\]:
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12.Watershed / 8-Digit Hydrologic Unit Code \[PCN Form B2c\]:
14141113
5
Authorization: Section 10 Section 404 Section 10 and 404
Regulatory Action Type:
Standard PermitPre-Application Request
5
Nationwide Permit # Unauthorized Activity
Regional General Permit # Compliance
Jurisdictional Determination RequestNo Permit Required
Revised 20150602

Office Use Only
Form Version 4.3, 12/04/2023
(Ver. 4.2, 12/04/2023)

* The project number can be found on the “Letter of Intent to Fund”
(LOIF) or “Offer and Acceptance Letter”. If you are unable to locate
your DWI ARPA Funding Project Number, please contact Corey
Basinger at [e-mail] for further assistance.

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From:Heather LaGamba
To:[e-mail]
Subject:Pre-File Notice - Shamrock Valley - Monroe Holt Rd (3844.1)
Date:Tuesday, September 27, 2022 11:01:58 AM
We would like to submit a Pre-filing Notice for the following project:
Project Name: Shamrock Valley - Monroe Holt Rd (3844.1)
Project Owner: Concept Builders
Project Owner’s Address: Post Office Box 2507, Burlington, North Carolina 27215
Project County: Alamance
Type of project/Approval Sought: 401 WQC, Pre-Application Request Meeting Declined
Thank you and have a wonderful day!
Sincerely,
Heather LaGamba
336.345.9536 (c)
336.310.4527 (o)
P.O. Box 128
Kernersville, NC 27285
www.pilotenviro.com
hlagamba@ pilotenviro.com

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2019-00580 County: Alamance U.S.G.S. Quad: NC- Burlington
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Requestor: Pilot Environmental, Inc.
MichaelBrame
Address: P.O. Box 128
Kernersville, NC 27285
Size (acres) ~62 Nearest Town Graham
Nearest Waterway UT to Big Alamance Creek (Alamance Creek) River Basin Cape Fear
USGS HUC 03030002 Coordinates 36.037376; -79.428447
Location description: The project are is on the south side of Monroe Holt Road,
in Graham, Alamance County, North Carolina. The project area is shown as the orange outlined ÐSite BoundaryÑ on the
attached sketch labeled ÐWetland Map.Ñ
Indicate Which of the Following Apply:
A ȁ0±¤«¨¬¨­ ±¸$¤³¤±¬¨­ ³¨®­
There appear to be waters, including wetlands on the above described project area/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. The approximate boundaries of these waters are shown on the enclosed delineation map
dated 4/5/2019. 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 project area/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 the waters, 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,
tlands on your project area/property delineated. As the Corps may not be able to accomplish this wetland
including we
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 project area/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, including wetlands on the above described project area/property subject to the permit requirements of Section
404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the 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, including wetlands on your project area/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, including wetlands on your project area/property have been delineated and the delineation has been verified by
the Corps. The approximate boundaries of these waters are shown on the enclosed delineation map dated DATE. We strongly
suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the Corps. Once

SAW-2019-00580
verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your property which, provided
there is no change in the law or our published regulations, may be relied upon for a period not to exceed five years.
The waters, including wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the
Corps Regulatory Official identified below on
DATE. Unless there is a change in the 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 project area/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 the 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.
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 David E. Bailey at [phone] X 30 or
[e-mail].
Basis For Determination: See the preliminary jurisdictional determination form dated 12//2019.
Remarks: None.
Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of CorpsÓ Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination may not be valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.
F.Appeals Information (This information applies only to approved jurisdictional determinations as indicated in B.
above)
This correspondence constitutes an approved jurisdictional determination for the above described site. 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: Phillip Shannin, Review Officer
60 Forsyth Street SW, Room 10M15
Atlanta, Georgia 30303-8801
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 Not applicable.
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this correspondence.**
Ebuf;!312:/23/42!25;11;23!.16(11(
Corps Regulatory Official: ______________________________________________________
Date of JD: 12//2019 Expiration Date of JD: Not applicable
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
http://corpsmapu.usace.army.mil/cm_apex/f?p=136:4:0
Copy furnished:
Sue Homewood, NCDEQ-DWR, 450 W. Hanes Mill Rd., Suite 300, Winston-Salem, NC 27105

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: Pilot Environmental, Inc., ichael Brame File Number: SAW-2019-00580 Date: 12//2019
Attached is: See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission) A
PROFFERED PERMIT (Standard Permit or Letter of permission) B
PERMIT DENIAL C
APPROVED JURISDICTIONAL DETERMINATION D
PRELIMINARY JURISDICTIONAL DETERMINATION E
SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at or http://www.usace.army.mil/Missions/CivilWorks/RegulatoryProgramandPermits.aspx
or the Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.

ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After
evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit

ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new
information.
ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section II of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed),
by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the JD.
SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However, you may provide additional information to clarify the location of information that is already in the administrative
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the If you only have questions regarding the appeal process you may
appeal process you may contact: also contact:
District Engineer, Wilmington Regulatory Division
Mr. Phillip Shannin, Administrative Appeal Review Officer
Attn: David E. Bailey
CESAD-PDO
Raleigh Regulatory Office
U.S. Army Corps of Engineers, South Atlantic Division
U.S Army Corps of Engineers
60 Forsyth Street, Room 10M15
3331 Heritage Trade Drive, Suite 105
Atlanta, Georgia 30303-8801
Wake Forest, North Carolina 27587
Phone: [phone]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day
notice of any site investigation, and will have the opportunity to participate in all site investigations.
Date:Telephone number:
________________________________________
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: David E. Bailey, 69 Darlington Avenue, Wilmington, North Carolina
28403
For Permit denials, Proffered Permits and Approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Phillip Shannin, Administrative
Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 10M15, Atlanta, Georgia 30303-8801
Phone: [phone]

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
REPORT COMPLETION DATE FOR PJD: 12//2019
NAME AND ADDRESS OF PERSON REQUESTING PJD: Pilot Environmental, Inc., Michael
Brame, P.O. Box 128, Kernersville, NC 27285
DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, Shamrock Valley /
Graham / Alamance County / Residential, SAW-2019-00580
PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES
AND/OR AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County: Alamance City: Graham
Center coordinates of site (lat/long in degree decimal format): Latitude: 36.037376 Longitude: -79.428447
Universal Transverse Mercator: WGS 84
Name of nearest waterbody: UT to Big Alamance Creek (Alamance Creek)
E.REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date:
Field Determination. Date(s): 04/03/2019
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO
REGULATORY JURISDICTION.
EstimatedamountGeographicauthorityto
Typeofaquatic
ofaquaticresourceswhichtheaquaticresource
Latitude(decimalLongituderesources(i.e.,
SiteNumberinreviewareaͻƒğǤĬĻͼsubject(i.e.,
degrees)(decimaldegrees)wetlandvs.non
(acreageandlinearSection404orSection
wetlandwaters)
feet,ifapplicable10/404)
SA36.03453879.428970800NonwetlandSection404
ISA36.03521579.428769375NonwetlandSection404
ISC36.03715379.430339325NonwetlandSection404
SB36.03857579.431897150NonwetlandSection404
SBA36.03887179.431378400NonwetlandSection404
1
SBA36.03946479.43042830NonwetlandSection404
2
WB36.03891879.4312480.14WetlandSection404
WAAD36.03868379.4322330.09WetlandSection404

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:

SUPPORTINGDATA.DatareviewedforPJD(checkallthatapply)
Checkeditemsshouldbeincludedinsubjectfile.Appropriatelyreferencesourcesbelowwhere
indicatedforallcheckeditems:
Maps,plans,plotsorplatsubmittedbyoronbehalfofthePJDrequestor:
Map:
Datasheetsprepared/submittedbyoronbehalfofthePJDrequestor.
Officeconcurswithdatasheets/delineationreport.
Officedoesnotconcurwithdatasheets/delineationreport.Rationale:
DatasheetspreparedbytheCorps:
Corpsnavigablewaters'study:
U.S.GeologicalSurveyHydrologicAtlas:
USGSNHDdata.
USGS8and12digitHUCmaps.
U.S.GeologicalSurveymap(s).Citescale&quadname:Drawing 1
NaturalResourcesConservationServiceSoilSurvey.Citation:Drawings 2 & 2A
Nationalwetlandsinventorymap(s).Citename:Drawing 3
State/localwetlandinventorymap(s):_
FEMA/FIRMmaps:Drawing 4
100-yearFloodplainElevationis:(NationalGeodeticVerticalDatumof1929)
Photographs:Aerial(Name&Date):Drawing 5
orOther(Name&Date):
Previousdetermination(s).File no.anddateofresponseletter:
Otherinformation(pleasespecify):
IMPORTANT NOTE:Theinformation recordedonthisform hasnotnecessarilybeen
verifiedbytheCorpsandshouldnotberelieduponforlaterjurisdictional
determinations.
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SignatureanddateofRegulatorySignatureanddateofperson
staffmembercompletingPJDrequestingPJD(REQUIRED,
unlessobtainingthesignature
1
isimpracticable)
1
DistrictsmayestablishtimeframesforrequestertoreturnsignedPJDforms.Iftherequesterdoesnotrespondwithinthe
establishedtimeframe,thedistrictmaypresumeconcurrenceandnoadditionalfollowupisnecessarypriortofinalizing
anaction.

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