20151273 Ver 1_401 Application_20151215

CAROLINA
ECOSYSTEMS, INC.
December 7, 2015
Mr. James Lastinger
Raleigh Regulatory Field Office �
US Army Corps of Engineers
3331 Heritage Trade Drive Suite l
Wake Forest, North Carolina 27587
3040 NC Hwy 42 West; Clayton, NC 27520
P:919-359-1102 — F:919-585-5570
RE: Pre -Construction Notification: Nationwide Permit 29 & General
Mount Vernon Church Road Subdivision
Wake County, North Carolina
Dear Mr. Lastinger;
20151213
DEC 0 9. 2015
Carolina Ecosystems, Inc., has prepared the attached pre -construction notification for the above
referenced project for a Clean Water Act Section 404 Nationwide Permit 29 and a Section 401
Water Quality Certification No. 3890. The Mount Vernon Church Road subdivision project is a
residential development consisting of single family homes.
Through the on-site delineation process, three perennial streams (Upper Barton Creek (SA), SB,
SC) were found to be jurisdictional features within the site boundaries. In addition to Section 404
jurisdictional status, Upper Barton Creek (SA), SB, and SC are also protected by buffers
established through the Neuse Buffer rules and stream SB is protected by the Falls Lake water
supply watershed buffers. Upper Barton Creek totals approximately 275 linear feet, stream SB
totals approximately 1,550 linear feet, and stream SC totals approximately 90 linear feet within
the project area.
Six wetlands were also found to be jurisdictional features on the site totaling 0.81 acres. There is
one proposed impact of 0.094 acres for the construction of a stormwater management device.
The preceding information, along with the enclosed Project Information Sheet, Pre -Construction
Notification form, Vicinity map, USGS map, NRCS map, stream and buffer impact drawings,
and preliminary construction plans are being submitted for your review of this project.
Sincerely,
Carolina Ecosystems, Inc.
6/li2., �? A��
Brian Smith, PWS
Senior Environmental Scientist
cc: Karen Higgins, NCDWR, 401 & Buffer Permitting Unit

l 6
CAROLINA
ECOSYSTEMS, INC.
Project Information Sheet
Project Name: Mount Vernon Church Road Subdivision
Name of Property Owner/Applicant: Sanford Bailey
Consultant/Agent: Carolina Ecosystems, Inc.
Related/Previous Action IDs: None
Site Address: N/A
Subdivision Name (if applicable): N/A
City: Wake Forest, NC
County: Wake County
Lat: 35.9560 Long: -78.6793
USGS Quadrangle(s): Bayleaf
River Basin(s): Neuse
8 -Digit HUC(s): 03020201
Nearest Stream(s): Upper Barton Creek
3040 NC Hwy 42 West; Clayton, NC 27520
P:919-359-1102 — F:919-585-5570
Date: 12/07/15
Directions to Site: From Raleigh take US -70W to NC -50N. Take NC -50N for approximately 7 miles
and turn right onto Norwood Road and continue for approximately one mile. Turn left onto Mt Vernon
Church Road and continue for 0.5 mile.
Requested Action:
❑ Pre -application Request
❑ Jurisdictional Determination Request ❑ Final ❑ Preliminary
® Permit Application: ® Nationwide 29 ❑ General
❑ Individual

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre -Construction Notification PCN Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 29 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps?
❑ Yes
to 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
le. 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
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes
® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Mount Vernon Church Road Subdivision
2b. County:
Wake County
2c. Nearest municipality / town:
Wake Forest
2d. Subdivision name:
Mount Vernon
2e. NCDOT only, T.I.P. or state
project no:
N/A
3. Owner Information
3a. Name(s) on Recorded Deed:
Tankard, Amelia Watkins
3b. Deed Book and Page No.
Book: 007554 Page: 00878
3c. Responsible Party (for LLC if
applicable):
Sanford Bailey
3d. Street address:
8900 Bud Smith Road
3e. City, state, zip:
Wake Forest, NC 27587
3f. Telephone no.:
919-417-5617
3g. Fax no.:
3h. Email address:
[e-mail]
Page 1 of 11
PCN Form —Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
Brian Smith
5b. Business name
(if applicable):
Carolina Ecosystems Inc.
5c. Street address:
3040 NC Hwy 42 West
5d. City, state, zip:
Clayton, NC 27520
5e. Telephone no.:
(919)-606-9145
5f. Fax no.:
(919)-585-5570
5g. Email address:
[e-mail]
Page 2 of 11
PCN Form —Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property Identification no. (tax PIN or parcel ID):
0890439116
1b. Site coordinates (in decimal degrees):
Latitude: 35.9560 Longitude: - 78.6793(DD.DDD0QD)
(-DD,DDDDDP)
1c, Property size:
19.2 acres
Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Upper Barton Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS -IV; NSW; CA
2c. River basin:
I Neuse
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:
Existing site is currently forest land. The surrounding land is primarily forested with residential development in areas.
3b. List the total estimated acreage of all existing wetlands on the property:
0.81 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
1915 linear feet
3d. Explain the purpose of the proposed project: r
The purpose of the project is to provide single family residences to meet the high demand for housing in Wake County.
3e. Describe the overall project in detail, including the type of equipment to be used:
Land clearing will take place along with installation of erosion control devices. Road and water infrastructure will be built
per the attached plans. Construction will be accomplished using typical equipment including excavators, backhoes, pans,
and dumptrucks. Additional equipment may be used as required.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
®Yes ❑ No El Unknown
Comments: All features shown on USGS quad map and soil
survey maps have been buffered. No 'site buffer
determination was necessary.
4b. If the Corps made the jurisdictional determination, .What type
® preliminary ❑ Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Carolina Ecosystems
Name (if known): Rob Crowther
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
USACE jurisdictional determination acquired on December 1, 2015.
5. Project History
5a. Have permits or certifications been requested or obtained for
❑ Yes 0,No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file", instructions.
Page -3 of 11
PCN Form —Version 1.3 December 10, 2008 Version

6._:. Futui6',,Project Plans
6a: Is this.a phased project? ❑ Yes ® No
6b.• If yes, explain. y
r �
S
1V _
Page 4 of 11
_ PCN Form — Version 1.3 December'1,0,.2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. 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
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ®P ❑ T
Stormwater
Bottomland
® Yes
® Corps
0.094
device
Hardwood Forest
❑ No
E] DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W7 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.094
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
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑P❑T
❑PER
❑Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
F1 Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
3i. Comments:
Page 5 of 11
PCN Form — Version 1.3 December 10, 2008 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 individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number –
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
T
—Temporary
01 ❑P❑T
02 ❑P
03 ❑P
04 ❑P❑T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
5b.
5c.
5d.
5e,
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
® Neuse ❑ Tar -Pamlico ❑ Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number–
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required?
131 ❑P❑T
❑Yes
❑ No
B2 ❑P❑T
El Yes
❑ No
B3 ❑ P ❑ T
❑ Yes
❑ No
6h. Total buffer impacts
6i. Comments:
Page 6 of 11
PCN Form – Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Alternatives to the proposed wetland impact were evaluated and determined to be impractical for the construction of a
retention pond due to slopes reaching up to 40%. The presence of the Neuse River buffer traversing the site from north to
south also contributes to the limitations of constructing the BMP device.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Sediment and erosion control measures will be implemented according to NC requirements, and approved by Wake County
prior to implementation. Jurisdictional areas that are not permitted to be impacted and are adjacent to construction areas will
be clearly marked with protection fencing or other similar method to avoid inadvertent encroachment. Copies of the issued
permits and impact areas will be provided to the prime contractor and all subcontractors working in or near jurisdictional areas.
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
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option 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:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
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.
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b. If yes, then identify the square 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:
0
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 8 of 11
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
® Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes No
Comments: Part of the local government review
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
9%
2b. Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c. If this project 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:
Plan has been prepared and was initially submitted to Wake County 9/5/15. The engineer continues to work with Wake
County to obtain an approved plan.
® Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?
❑ DW4 Stormwater Program
❑ OWQ 401 Unit
3. Certified local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
Wake County
❑ Phase 11
30. Which of the following locally -implemented stormwater management programs
® NSW
❑ USMP
apply (check all that apply):
Z 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 peen
❑ Yes ❑ No
attached?
5, DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
E] Yes Q No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes, ❑ No
Page 9 of 11
PCN Form —Version 1.3 Qecernber 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
1b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the 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 Clearing House? (If so, attach a copy of the NEPA or SEPA final 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 Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fact permit application?
❑ Yes No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(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.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
There are no planned stream impacts for this project related to the installation of a sewer line to connect to the municipal
system already located very near to the site. The City of Raleigh has accepted this additional sewer onto their system.
Page 10 of 11
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 or
® Yes ❑ No
habitat? Northern long-eared bat
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ®No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
USFWS Website http://www.fws.gov/raleigh/species/cntylisVwake.html, for Wake County, North Carolina Natural Heritage
Program GIS data updated October 2015, and onsite habitat review.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA EFH mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
HPOWEB Map Service http://gis.ncdcr.gov/hpowebf
National Register of Historic Places http://www.nps.gnv/nr/research/
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: A stormwaer device (Device #1 on Sheet C-2) occurs inside the
100 -year floodplain. Project engineers will work with Wake County to secure a floodplain development permit, if
necessary.
8c. What source(s) did you use to make the floodplain determination? Wake County GIS floodplain mapping, North Carolina
Floodplain Mapping Program http://www.ncfloodmaps.com/
Brian Smith
12/07/15
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Date
(Agent's signatun: is valid only if an authorization letter from the applicant
isprovided.)
Page 11 of 11
PCN Form —Version 1.3 December 10, 2008 Version

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P: (919)-359-1102 F:(919)-585-5570 0 0.5 1 — Mt Vernon Church Road
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RIPARIA
BUFF -
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IMPACT AREA
© WETLAND IMPACT AREA 4103 SF, 0.094 AC.
BAILEY -MT. VERNON
NA1M t]OIII4PY, mm Cmum
DRACl 1rJClC
SMWART-PROCTOR
Design Consultants
319 Chapanoke Rood
air
Ral9 h, North Carolina 27603
Phone [phone] Fox [phone]
PREPARED FOR:
GRAPHIC C SC ALE
SANFORD BAILEY
8900 BUD SMITH ROAD
50' p 25' S0'
WAKE FOREST, NC 27587
DATE : 11-5-15
PROJECT ENGINEER:
IN FEET
MIKE L. STEWART
1 inch = 50 ft.
PROJECT CADD DESIGNER:
NC DWQ MAPS:
JOHN A. TEEL
AREA IMPACT MAP
PROJECT SURVEYOR:
FIGURE#:
PROJECT SURVEYOR

50' RIGHT OF WAY
8• 20 PAVEMENT 6' 6'
0' F.
10'
MpF
8 CABG
FILL CU7
RESIDENTIAL STREETS
TYPICAL CROSS SECTION
NTS
ss
s' Aec
Y SF95A SBPERPAVE ASPHAL
sECDa A_.
SYMMETRICAL CUL-DE-SAC
WITH NO CURB AND GUTTER
NTS
PERMANENT STORMWATER
DA_TAACW
DIVERSION BERM
me•eesaa
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nt
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1 -. pTCIMM�K BASIN �1 DETAIL)
PIPE A 18 -RCP 230 581 60
'
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MAXIMUM IMPERVIOUS AREA SQUARE FOOTAGE ON EACH LOT WILL BE
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IBIBIR - W
I' HIGH STORMWATER DIVERSION BERMS
TO BE INSTALLED WITH MINIMAL LAND
DISTURBANCE BERMS TO BE INSTALLED
AFTER PERMANENT DETENTION BASIN'S
HAVE BEEN INSTALLED AND APPROVED
BY WAKE COUNTY EROSION CONTROL
INSPECTOR
m RIP RAP ENERGY DISSIPATOR
ffM SKIMMER/RISER BASIN
® SEDIMENT TRAP
—AT— TEMPORARY MATTING
-Eu— ENKA MAT
Q STORM SEWER PIPE
y TEMPORARY DIVERSION DITCH
GRAVEL CONSTRUCTION ENTRANCE
-ST— SILT FENCE
-- LIMITS OF DISTURBANCE
95& CHECK DAM
18B RIP RAP
O SILT FENCE OUTLET
ED RIP RAP LINED PLUNGE POOL
a o.I. aT..lea.. r�s.f•e•ge
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s i[S 2T AVrA,c. rfaNENr a. sln DRAINAGE DENUDED Q25 SURFACE AREA
I�,� /� - AND rEMP smmrRr ranr AREA (Ac) Ac (CFS) REQUIRED
SB #1 W/BAFFLES 1 80 m
B #2 W/BAFFLES 351 080 590 2,568 SFS 2,592 SF
S
1 30 115 5,008 SF 5,151 SF
l!/�•' �� �" /�„ - --_-_
ST #3 W/BAFFLES
051 051 187 7285E 780 SF
DIMENSIONS LISTED ARE FOR BOTTOM OF BASINS
ALL SKIMMER BASINS TO HAVE POROUS BAFFLES
I l . I / ' -` I ' / I / • I ' I -.' SKIMMER BASINS 1 AND 2 TO BE CONVERTED INT
STORAGE STORAGE BASIN SIZE WEIR
REQUIRED PROVIDED L x W x D LENG'
3,240 CF 5,940 CF 72'71365145 10'
8,318 CF 12,825 CF 101'x51'x4 5' 10'
1,800 CF 1,386 CF 395120'x4 5' 10'
_
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0 STORMWATER PONDS
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SIZE
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PIPE A 18 -RCP 230 581 60
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0 83 297 50 297 00
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0 83 29350 29300
90 45 6' 18- CLASS B
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I�,� /� - AND rEMP smmrRr ranr AREA (Ac) Ac (CFS) REQUIRED
SB #1 W/BAFFLES 1 80 m
B #2 W/BAFFLES 351 080 590 2,568 SFS 2,592 SF
S
1 30 115 5,008 SF 5,151 SF
l!/�•' �� �" /�„ - --_-_
ST #3 W/BAFFLES
051 051 187 7285E 780 SF
DIMENSIONS LISTED ARE FOR BOTTOM OF BASINS
ALL SKIMMER BASINS TO HAVE POROUS BAFFLES
I l . I / ' -` I ' / I / • I ' I -.' SKIMMER BASINS 1 AND 2 TO BE CONVERTED INT
STORAGE STORAGE BASIN SIZE WEIR
REQUIRED PROVIDED L x W x D LENG'
3,240 CF 5,940 CF 72'71365145 10'
8,318 CF 12,825 CF 101'x51'x4 5' 10'
1,800 CF 1,386 CF 395120'x4 5' 10'
_
WAIERSTIED BUFFER •.\ , - •- 1\\� \`I , / DEVICE /2 _ I
MEASURED 100' FROM ` ' - 1 `I `I' s KIMMER B N, fL
1 Tdmnr IFn (SEE C-5 FOR
TOP OF TOM / C (�µ�me• 1' 1(IaMF \ `(SEE` D 1 FOR
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WET DETENTION DEVICE 1 AND 2 DESIGNED
TO REMOVE 90% TSS AND DOES NOT REQUIRE
THE USE OF AN LS-VFS PER CHAPTER 10 OF / \—i `\ \���\\� ,`•\`I ''II\` `` \ \ \ III 1 _
THE NC
DENR STORMWATERMANUAL
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MAXIMUM IMPERVIOUS AREA SQUARE FOOTAGE ON EACH LOT WILL BE
_
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STRINGENTLY ENFORCED WITH NO EXCEPTIONS INTO PERPETUITY PLANS
APPROVED WITH A MAXIMUM IMPERVIOUS SURFACE
- 20'8 LOIN
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OF 6,000 SF PER LOT
100' WATER SUPPLY i '
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NOTE - /,_�� t II I v -\• 1 AA\,.� 1 I I •, 1 I I� yI 7v; 1 - AA ,-
WET DETENTION DEVICE 1 AND 2 DESIGNED
TO REMOVE 90% TSS AND DOES NOT REQUIRE
THE USE OF AN LS-VFS PER CHAPTER 10 OF / \—i `\ \���\\� ,`•\`I ''II\` `` \ \ \ III 1 _
THE NC
DENR STORMWATERMANUAL
MP
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CHANNEL D
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OA = 240 ACRES
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USE NANNINGS
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b = 3' USE EXCELSIOR MATTING I ` \ L \ 1 .'��11 `\., \� \ \ \`' `� / \ ' yI i % , / /. _ - '•\
T=IDS 62.4a((073)01 - 045 PSF I \` \ \ \ ``1 \ t\. ��:• .` ` ��0, \\ �` J r /` i `/' ,
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wmrH mTH
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SHOULDER SECTION
DRIVEWAY TURNOUT GRADES
NOTE-
I I 1 / \ . 1 ` \ \ \Q,,',` \�'C' �` (I I I 1 / l I•
_i - __- -
WET DETENTION DEVICE 1 AND 2 TO BE
11 1 I i {I
/ 1�` \\ ``®'\`\\�!y' 1 •1a, I r II ` •' I/
i
CONSTRUCTED AND SERVE AS SKIMMER BASINS
UNTIL SITE IS STABILIZED
(, \\ � ;
j ' 11 ;; \\\\- mrnnTl.�i i
__ _
ONCE SITE IS
STAB IUZED AND ASS ILT SURVEY WILL BE DONE
1 I 1 1';` I
w° 1 ` I
j
TO ENSURE BOTH DEVICE'S ARE TO WAKE COUNTY
l / ('• I I
; /
STANDARDS AND THAT THE DEVICE'S ARE INDEEDTHE
ONES DESIGNED
BE
BE ACQUIRING A BUILDING PERMIT FOR LOTS MARKED NTH AN '1� THE BUILDER
MAY NEED TO OBTAIN A FLOOD HAZARD AREA USE PERMIT FROM WAKE COUNTY
ENVIRONMENTAL SERVICES THE BUILDER'S ENGINEER, ARCHITECT AND/OR SURVEYOR
(AS APPROPRIATE) MUST CERTIFY THAT ALL FLOOD HAZARD REQUIREMENTS ARE MET
THERE SHALL BE NO FILLING OR THE ERECTION OF PERMANENT STRUCTURES IN THE
AREAS OF WAI(E COUNTY FLOOD HAZARD SOILS OR FEDERAL EMERGENCY MANAGEMENT
AGENCY (FEMA) 100 YEAR FLOOD ZONES UNTIL A FLOOD STUDY IS APPROVED BY
WAKE CO NTY AND/OR F E M A
STORMWATER CONTROL AND MANAGEMENT
IMPERVIOUS CALCULATIONS
IMPERVIOUS AREA PER LOT TO BE LIMITED TO
THIS AMOUNT TO BE TO STRINGENTLY ENFORCED INTO PERPETUITY
WAKE COUNTY TOOL V21 WAS USED FOR ALL STORMWATER CALCULATIONS
SURVEYOR
I'lli CAWTHORNE, MOSS & PANCIERA, PC
DISTURBED AREA = 3.50 AC - illll'' PROFESSIONAL LAND SURVEYORS, C-1525 DEVELOPER
EY
333 S WHITE STREET. P 0 BOX 1253 89DNODeu°DBSMITTH ROAD
\� WAKE FOREST N C , 27588 WAKE FOREST, N C 27567
[phone]
GENERAL NOTES
CONTRACTOR SHALL VERIFY
THE LOCATIONF
0 ALL EXISTING
unuTI
ES. AND SHALL RESPONSIBLE FOR ANY DAMAGE
RESULTING FROM HIS ACTIVITIES CALL UTILITY LOCATOR
SERVICE 46 HOURS PRIOR TO BEGINNING EXCAVATION
ALL CONSTRUCTION AND MATERIALS SHALL BE IN
ACCORDANCE WITH THE WAKE COUNTY DESIGN STANDARDS
AND SPECIFICATIONS
CONSTRUCTION DRAWING APPROVAL IS REQUIRED BEFORE
CONSTRUCTION ON THIS PROJECT MAY BEGIN
STOCKPILE NOTES
STOCKPILE HEIGHT NOT TO EXCEED 35 FT, STOCKPILE SLOPES 2 1 OR
FLATTER
APPROVED BMP. SHALL BE SHOWN ON A PLAN TO CONTROL ANY POTENTIAL
SEDIMENT LOSS FROM A STOCKPILE
STOCKPILING MATERIALS ADJACENT TO A DITCH, DRAINAGEWAY,
WATERCOURSE, WETLAND, STREAM BUFFER, OR OTHER BODY OF WATER
SHALL BE AVOIDED UNLESS AN ALTERNATIVE LOCATION IS DEMONSTRATED TO
BE UNAVAILABLE
DIVERSIONS TO APPROVED BNP. SHOULD BE UTILIZED ON UPSLOPE SIDES OF
STOCKPILES
OFF-SITE SPOIL OR BORROW AREAS MUST BE IN COMPLIANCE WITH WAKE
COUNTY UDO AND STATE REGULATIONS ALL SPOIL AREAS OVER AN ACRE
ARE REQUIRED TO HAVE AN APPROVED SEDIMENT CONTROL PLAN
DE ACT SHALL NOTIFY WAKE GO OF ANY OFFSITE
DI=pL OF SOIL PRIDR TO DISPOSAL FILL OF ANY FEMA FLOODWAYS
AND NON -ENCROACHMENT AREAS ARE PROHIBITED EXCEPT AS OTHERWISE
PROVIDED BY SUBSECTION I6-19-2 OF THE WAKE COUNTY UNIFIED
DEVELOPMENT ORDINANCE(CERTIRCARONS AND PERMITS REQUIRED)
SEEDING OR COVERING PILES WITH TARPS OR MULCH IS REQUIRED AND WILL
REDUCE EROSION PROBLEMS TARPS SHOULD BE KEYED IN AT THE TOP OF
THE SLOPE TO KEEP WATER FROM RUNNING UNDERNEATH THE PLASTIC
STAGED SEEDING AND MULCHING SHALL BE IMPLEMENTED ON A CONTINUAL
BASIS WHILE THE STOCKPILE IS IN USE
ESTABLISH AND MAINTAIN A VEGETATIVE BUFFER AT THE TOE OF THE
SLOPE(WHERE PRACTICAL)
PLASTIC COVERING CAN ALSO BE USED FOR IMMEDIATE PROTECTION FROM
EROSION ON DISTURBED AREAS AND STOCKPILES SHEETING SHOULD BE
KEYED IN AT THE TOP OF THE SLOPE TO KEEP WATER FROM RUNNING
UNDERNEATH THE PLASTIC
STOCKPILE FOOTPRINTS SHALL BE SETBACK A MIN OF 25 FROM PROPERTY
LINES
ANY CONCENTRATED FLOW LIKELY TO AFFECT THE STOCKPILE SHALL BE
DIVERTED TO AN APPROVED BMP
IF STOCKPILE IS TO REMAIN FOR FUTURE USE AFTER THE PROJECT IS
COMPLETE (BUILDERS. ETC) THE FINNANCIAL RESPONSIBLE PARTY MUST
NOTIFY WAKE COUNTY OF A NEW RESPONSIBLE PARTY FOR THAT STOCKPILE
FOR REVIEW ONLY -
NOT FOR CONSTRUCTION
PLAN IS SUBJECT TO REVISIONS DURING
THE CONSTRUCTION APPROVAL PROCESS
GRAPHIC SCALE
( IN FEET )
I Ince - 100 r4
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SHEET
C-3

CAROLINA 3040 NC Hwy 42 West; Clayton, NC 27520
ECOSYSTEMS, Ne. P:919-�59-1102 — F:919-585-5570
PROPERTY ACCESS AND AGENT AUTHORIMUON FORM
Property Information
Property Address
and/or Description Property along Mt Vernon Church Rd.
Parcel Identification {?890439116
Number(s) (PIN)
City: State: NC County: Wake Property Size (Acres): 19.28
Property Owner l,Lif'ornmation
owner: Q Authorized A,gentA°:
Name:
Title:
StreetAddress:
City: 1A& Fps State: C:::Zip Cade: ,a3
*Wrimm proof of a0imization from owner required.
Authorization
L the undersigned, a duly authorized owner of record of the r�roperty/pmper6es identifxe�t here 3n, do authorize
represeutatives of the Wilmington District, U.S. Array Corps of Engineers (Corps) to enter upon the property herein
described for the purpose of conducting on-site investigations,and issuing a detcrtuination associated with Waters of the
US. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors
Act of 1899.
Additionally, I hereby grant Catalina Ewsystems, Inc. (CET) staff, their designated contractors and representatives, as
well as other Federal, State or local authorities access to the above referenced property vlhen necess:uy for the purposes of
conducting on-site environmental consulting services. I also grant CE1 the authority to act as authorized agora on behalf of
the owner of the above listed property for the communication, submission, and/or application to mlvartt government
entities, including local, state, and federal authorities, for the review, acceptance, concurrence, and/or approval of
environmental information, document, and/or permit requests concernnig the above listed property. These services may
include regulatory determinations of environmental feawres on nay property such as issuing a determination associated
with streams and wetlands. I certify that I am the legal owner or authorized agent of the legad owner of tt9e above property
and have aut'r,ority to grant such access. I have made CEI aware of, :end suppliod all available records related to, previous
enviroumental investigations on the subject property of which 1 have lalowledge,
Owner/Agent (sig-►aMM) TSate ^ "

Mt. Vernon Church Road
PIN: 0890439116
Township: Barton's Creek
Real Estate ID: 0074613
Year Built: 0
Map Name: 0890 03
Total Sale Price: $0
Owner: TANKARD, AMELIA WATKINS
Land Class: VACANT
Mailing Address 1: PO BOX 460
Old Parcel Number: 224-00000-0011
Mailing Address 2: EASTVILLE VA 23347-0460
Deed Book: 007554
Deed Page: 00878
Deed Date: 07/15/1997
Deeded Acreage: 19.28
Assessed Building Value: $0
Assessed Land Value: $565,364
Total Assessed Value: $565,364
Billing Class: Individual
Property Description: BOUNDRY SURVEY JEAN
POOLE ENDERLE ESTATE
Heated Area: 0
Site Address: 0 CREEDMOOR RD
0 205 410 820 Feet
I t i i I t r i I
1 inch = 400 feet
Disclaimer
iMaps makes every effort to produce and publish
the most current and accurate information possible.
However, the maps are produced for information purposes,
and are NOT surveys. No warranties, expressed or implied,
are provided for the data therein, its use,or its interpretation.

- - �K755bPG0878 'PRESENT 10
REGISTRATION
00026 97.1U1.15 AN 112 0
EAti7:� i'i, h!t1DICK
WAK`cauHTYas
t►�daaTar i in
r
Tax Pan* No. Tm Lat Pa.18r:
Vsd6ed bV County an the
bV
Mar akK recording 0 LYnn F. ChandlK • Smhh, Andetaon, BbaM. Dorsett. Mllchar b .lernbera. LL.P., Pat OIHce
Box 2611. Raleigh. North Carotins 27602-2611. lHo Opinion on Tidal.
This i wbwnM wet MOM by L F. Chandler Smut► An Tsar+
Brill DeecripgOri for the index i 1500 Q"bl or Road
i
QUITCLAIM DEED
HIS DEED mads '/ f +o M7 by aro Detwem,
GRANTOR
W&W WATKINS UwWLL *.nm woman deefng
with her aria and sepwam property; JAMES F.
MUGLL. JR.. M husband of kers WOdes rAst(iti%
THOMAS POOLE WAYMM, a menl n ming
*Mfr hb ads and separate property%
WATKMIB, a wNe of Thornes Pooh Watkins.
GRANTEE
AMELIA MRLER WATKINS, a Streets woman.
1801 Fairvlew Road
Raleigh, North Caroliu 27608
Ekiri, MMW M YIoaY Ter wcU . nm. Myrna, rd N r�MoMrM drnc,r d �e4•. moi. www° w pobwmty
and include aingular, OJW. mascuG�feWmine m neut as hake. s
harldn said parties, their Muired by COMM and assigns.
W{TNESSETH. tha& for a vahrabie ar+sideration taald by the Grantee to Creamy, the receipt of which Is hersbY
m
u owiedd, th
gee Gtaana, for himself and his aareoesws and assigns, has remised and rebased and by these
presents does remiss, rebase, and forevn *ihdeimand assigns all r0% thb
, a>lrt0 Grantee and Ila 6=6340mand err priyiege,
dein, end irtenpt 01 the wentor in b 00 Canty of W and &ate of North tiro and ft" described
and sppj%nmww two belonging.
onExhibk A atttedn '10 and node a part hereof by this reference (ft'ProPaA• )-
TO HAVE AND TO HOLD the Property and all privileges and appurtenarms thereto IDWMV g to the Grantee
in fee Nmple, free and discharged from all right, No, daim, or interest of the Gn ww or armMm claiming
by, through, or wider the Grantor.
,Ss9ryn:,:a�,r-:,fir. �. �s;�^<•, , ,, ,, , , i -. , . ..

u
r •eit7554F�08T9 • - -- -
w wIRMEti 1NN@soF. ow ato w ho Awaw to "t Ms hutd wd "d. or If I:otponte, hu orused ft kwtu Am to W
dpAd in b oot0' 1 tlwfte by iq dab mAhmind off ms Ittd its uM to be hurift offbied by &Ow ty of Its bwd of
&Aft w. ft dny ofd YM *0 ebow Wdrdn.
E
NiA
' tC+geporete Name! - ti Nfatliilts .
L-
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Ai7EST ! Th ma Pool b ins
K
0 Suun S. Hftdit
Swmm tcwpwm sed) N
L
y
SINWAM
y
ftDFiiN CAR"A. +AFM Cosriy.
1. o Itatoy Rok at on County a d beets a'wfa1W, catdfy Ow lism 1Fladdra,' MwGiM , 42 F• f l 444
S
Jr. ihsmut Po* 1Yatbirx W Seam S. 4YaWm, Gftrd-. Pwaon0v 4OPwWbdtwg ues Oftdw aed
I�y�tt �q 711iyy
�WlltiOt! Ot eM �OI�jO%1{j 1 . ••.�w� IRr how W4 em" mmnv or Nib. dig ...
W
/
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taA'oa:+�lo�ona�irss: �'9•�g.
rat
0040
hE COW, o
x
sFJu.ar�uw
NI>WH CAfwuNA. W49 CwjnW.
Q
1. • Nato PdWq of eM Cw.WV and SWe darouM..areify that pataona Y oarna WON ma 1* day and
e
adm*UdW ow homw is _ loo om of o North Cwdko awpmadak and dear
E
M aadmrity "Y tt= and as Ow am at tha amps dM. tha I - 0s11 ftmnwwtt wea 04OW to Im nu dY
No pts",K so" with Its Coryvraea MW and aetaatad by WWAW r its samatany,
e
v4ftm my dotal ,and Q wd -tomo aranal. thb —dw of 1 Y
L
A
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filly ootmiaaicn adtba / !
'
f
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lfla t7la�R� Caf�CLiaSal OI
. d"Q'••e�.�C>���
iahga oattlffad to W oarwot 1ltla tncputrtalet avid ttla cNdflcals era duty rsgigWW at tha data and rima aai N tho Doak and Pop 04wfl onft
filal Pop boost•
LAURA M. RIDD" gfEGMylftfl CA Dr�os r� � CoufafY
t
,I
tt"ftjA=Wtu •F qwn of Daada.

Being to tint aataia bt of pared of I&W situated sea the City of Raleigh, Baton's Cmk Twmn$MP-
waw Courcy, NW& Cudina and arae pwdc&dy described as fadowL
BMNNMO JA an iron op found in the M*wegm corm of the property now or fomerly owned by
the U.S. Amy Cape of Beginem, Segment 4, Falb IAhe Preject, Tract 400, N 86.42' 190 E 676.57 feet
In a coomm-mmutment found; tbence coaliftuft WOM the Fab L"-e Pm4ect N 09* 58. 11• E 303.27 fed
'W a t-,Dnm A 0 mommot found; Umm S 67* 381 240 E 45.30 fast to & Point in the 00=IiDe Of Mount
Vernon Churcb Road (S.L 1644); do= S 17* 28' WE 375.56 fed to a point in the e» hers right-of-way
line of B&WMA Vernon Church Reed; tbence S OD* 33' 291 W 1.192-38 fed along the western line of
pmpMy now of formerly owned by WWW W. Wiebt (we deed recorded in Book M Pap 701, Walm
County, Regloy) to as iron pipe ftr4 dem S 64* 32' 440 W 237.80 fed aW9 the Wdbem line Of
or formerly owned by Kenneth S. Dennard (we deed recorded in Book 6", pop SM, Waim
property now - 45* W 1,429-59 feet along the msmm line Of
Cmjty-Rq0gfy) to an iron pipe farad; ftm N 31* 04
pgopaty now or fannedy owned by Olive Tme parmerabip (see deed recorded in Book 3458, Pap 891,
Wake County Registry) to a point; thence N 39* 19' 35' E 139.79 fed to the point and place Of
BEGgema, wnWft 19.278 acres more or les aduAve of 0.612 axes for road right-of-way at dKm
on vsM eadded 'Boundary Survey of Jean Poole Endefle Estate', prepared by Kenneth Close, hr- dated
Febrmy 4, 1997

PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL DETERMINATION (JD): December 1,
2015
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Carolina Ecosystems, Inc.
Attn: Brian Smith
3040 Hwy 42 West
Clayton, NC 27520
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington Mount Vernon Church Road Subdiv, SAW -2015-
02371
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: From Raleigh take US -70 W to NC -50 N, Take
NC -50 N for approx 7 miles turn right onto Norwood Rd and continue for approx 1 mile, turn left ont Mt. Vernon
Church Rd for 0.5 mile. Please reference the attached waters location table and may for locations of jurisdictional
features on site.
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODiES AT DIFFERENT SITES)
State: NC County/parish/borough: Wake City: Wake Forest
Center coordinates ol'site (lat/long in degree decimal format): Lat. 35.9561394878255° Pick List, Long. -
78.6794935426436° Pick List. Universal Transverse Mercator:
Name of nearest water body: Upper Barton Creek
Identify (estimate) amount of waters in the review area:
Non -wetland waters: 1,915 linear feet: 5 width (ft) and/or acres.
Cowardin Class: Riverine
Stream Flow: Perennial
Wetlands: 0.81 acres.
Cowardin Class: Forested
Name of any water bodies on the site that have been identified as Section 10 waters:
Tidal:
Non -Tidal:
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLIES):
®
Office (Desk) Determination. Date: December 1, 2015
❑. Field Determination. Date(s):
1. The Corps of Engineers believes that there maybe jurisdictional waters of the United States on the subject site, and the permit
applicant or other affected party who requested this preliminary JD is hereby advised of his or her option to request and obtain an
approved jurisdictional determination (JD) for that site. Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in this instance and at this time.
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 approved JD for the activity, the permit applicant is hereby
made aware of the following: (1) the permit applicant has elected to seek a permit authorization based on a preliminary JD, which
does not make an official determination of jurisdictional waters; (2) that the applicant has the option to request an approved JD
before accepting the terms and conditions of the permit authorization, and that basing -a permit authorization on an approved JD
could possibly result in less compensatory mitigation being required or different special conditions; (3) that 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) that 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) that
undertaking any activity in reliance upon the subject permit authorization without requesting; an approved JD constitutes the,
applicant's acceptance of the use of the preliminary JD, but that either form of JD will be processed as soon as is practicable;
(6) accepting a permit authorization (e.g., signing n proffered indi%idual permit) or undertaking any activity in reliance on any
form of Corps permit authorization based on a preliminary JD constitutes agreement that 411 wetimids and other water bodies on
the site affected in any -way by that activity are jurisdictional waters of die United States, and precludes 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 approved JD or a preliminary JD, that JD will be processed as soon as
is practicable. Further, an approved JD, 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, and that in any administrative appeal,
jurisdictional issues can be raised (see 33 C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary to make
an official determination whether CWA jurisdiction exists over a site, or to provide an official delineation of jurisdictional waters
on the site, the Corps will provide an approved JD to accomplish that result, as soon as is practicable.
This preliminary JD finds that there "pray be" waters of the United States on the subject project site, and identifies all aquatic
features on the site that could be affected by the proposed activity, based on the following information:
SUPPORTING DATA. Data reviewed for preliminary JD (check all that apply - checked items should be included in case
file and, where checked and requested, appropriately reference sources below):
® Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant: Carolina Ecosystems, Inc..
® Data sheets prepared/submitted by or on behalf of the applicant/consultant.
® Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets./delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
® U.S. Geological Survey Hydrologic Atlas:
® USGS NHD data.
❑ USGS S and 12 digit HUC maps.
® U.S. Geological Survey map(s). Cite scale & quad name: 1:24k Bayleaf.
® USDA Natural Resources Conservation Service Soil Survey. Citation: Wake County sheet 12.
® National wetlands inventory map(s). Cite name: Simsuite.
❑ State/Local wetland inventory map(s):
® FEMA/FIRM maps: NFHL.
❑ 100 -year Floodplain Elevation is: (National Geodetic Vertical Datsun of 1929)
® Photographs: ® Aerial (Name & Date):
or ❑ Other (Name & Date):
❑ Previous determination(s). File no, and date ofresponse letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily been verified by the Corns and should
not be relied upon for later jurisdictional determinations.
ign ure an ate of
gulatory inject Manager
(REQUIRED) .
Signtiture and date of
person requesting preliminary JD
(REQUIRED, unless obtaining the signature is
Impracticable)

Mt Vernon Church Road October 2015
Stream and Wetland Tables
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X = Data form completed Page 1 of 1