20240536 Ver 1_Buncombe Co NWP 29 and AJD and 401 application Woodfin Retirement Residence_20240409

CLearWaLer
.-I
An EnviroScience Company R
ClearWater Environmental Consultants, Inc.
www.cwenv.com
April 9, 2024
Mr. Mitchel Anderson
US Army Corps of Engineers Ms. Stephanie Goss
Asheville Regulatory Field Office NC Division of Water Resources
151 Patton Avenue, Room 208 2090 US Highway 70
Asheville, North Carolina 28801 Swannanoa, North Carolina 28778
RE: Woodfin Retirement Residence (+/- 5.75 Ac)
Nationwide Permit 29 Application
Approved Jurisdictional Determination (AJD) Request
DWR 401 Water Quality Certification Request
Buncombe County, North Carolina
Dear Mr. Anderson and Ms. Goss,
The attached Pre -Construction Notification (PCN) is being submitted on behalf of Woodfin
Retirement Residence, LLC; represented by Kristi Nezanski. The project site is located on
Buncombe County PIN 973079058500000 located at 99999 Weaverville Road in Asheville
(Woodfin), North Carolina (35.6470317, -82.5784487).
The applicant is seeking a Nationwide Permit 29 for temporary and permanent stream impacts
associated with a retirement residential development.
Please do not hesitate to contact me at 828-698-9800 ext. 304 if you have any questions
regarding the attached application and supplemental information.
Sincerely,
McKenzie Beyer
Biologist
145 Th Avenue West, Suite B
Hendersonville, NC 28792
828-698-9800 Tel

CLearWaLer
7 �--n L m M �A
An EnviroScience CompanyjB
Department of the Army
Wilmington District, Corps of Engineers
Attn: Tommy Fennel, Chief Regulatory Division
PO Box 1890
Wilmington, NC 28402-1890
-and-
NC DWR, Webscape Unit
Attn: Stephanie Goss
512 North Salisbury Street
Raleigh, North Carolina 27604
1, the current landowner/managing partner of the property identified below, hereby authorize
ClearWater Environmental Consultants, an EnviroScience company, to act on my behalf as my
agent during the processing oflunisdictional determination requests and permits to impact Wetlands
and Water 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. CEC is authorized to provide supplemental
information as needed at the request of the USACE or DWR.
Additionally, I authorize representatives of the Wilmington District, US Army Corps of Engineers
to enter upon the property herein described for the purposes of conducting onsite investigations and
issuing a determination associated with Wetlands and Waters of the US subject to Federal
j un sdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors
Act of 1899.
Property Owner of Record:
Woodfin Retirement Residence LLC
Property Owner Address: C/O Hawthorn Construction Group
2260 McGilchrist Street SE
Salem, OR 97302
Phone Number: Contact: Kristi Neznanski 503-400-9239
Email address: KNeznanski@ HawthornCG.com
Property Location: TBD Reynolds Mountain Road Parcel #973079058500000
Woodfin Retirement Residence LLC, a Washington limited liability company
By: Hawthorn IL Propco, LP, its managing member
Owner/Managing partner Signature: By� CP HRG IL REIT 1. LLC. its sole general partner
Owner/Managing printed name: By:
Eric Mulligan, Authorized Signatory
Date: April9,2024
145 7th Avenue West, Suite B
Hendersonville, NC 28792
Phone: [phone]
www.cwenv.com

Preliminary Data Entry Fields for New Actions
SAW —
1. Project Name:
Woodfin Retirement Residence
2. Work Type:
Private W] institutional F-1
GovernmentF]
Commercial 11
3. Project Description / Purpose:
AJD, NWP 29, and 401 Water Quality Certification application for a +/- 5.75 acre tract in Asheville,
NC
4. Property Owner / Applicant: Woodfin Retirement Residence, LLC; Attn: Kristi Nezanski
5. Agent/ Consultant: ClearWater Environmental Consultants, an EnviroScience Company
6. Related Action ID Number(s): n/a
7. Project Location - Coordinates, Street Address, and/or Location Description:
The project site is located at 99999 Weaverville rd, Asheville NC 28804 (PIN: 973079058500000;
35.6470317, -82.5784487).
S. Project Location - Tax Parcel ID: 973079058500000
9. Project Location —County: Buncombe
10. Project Location —Nearest Municipality or Town : Woodfin
11. Project Information — Nearest Waterbody: Beaverdam Creek (C)
12. Watershed / 8-Digit Hydrologic Unit Code: French Broad / 06010105
Authorization: Section 10 F-1 Section 404 Fv-(] Section 10 & 404 F-1
Regulatory Action Type:
D Standard Permit
L�d Nationwide Permit# 29
F1 Regional General Permit #
F,/] Jurisdictional Determination Request
F-113re-Application Request
F-1 Unauthorized Activity
F-1 Compliance
F—] No Permit Required
Revised 20210513

Buncombe County Assessment
Pronertv Record Search
Buncombe County Assessment Property Record Search
973079058500000 WOODFIN RETIREMENT RESIDENCE LLC
2626 GLENWOOD AVE #550, RALEIGH,
NC,27608
KEY INFORMATION
Zoning
Neighborhood
Land Use Code
COMM VAC
Municipality
Fire District
FWO
Special District
Present Use
Appraisal Area
Erik Simes [phone] [e-mail]
Exemption
Legal Description
Deed Date:08/30/2023 Deed:6346-1057 Plat:0000-0000
Plat Reference
1-0
ASSESSMENT DETAILS
Land Value
$1,250,200
Building Value
$0
Features
$0
Total Appraised
$1,250,200
Value
Deferred Value
$0
Exempt Value
$0
Total Taxable
$1,250,200
Value
LAND INFORMATION
RMBA
CWO
Total Appraised Value
$1,250,200
ZONING LAND USE CODE SIZE NEIGHBORHOOD ASSESSED VALUE FLOODPLAIN
COMMUNITY SHOPPING DISTRICT COMM VAC 6.58 acres RMBA $1,250,200 NO
BUILDING INFORMATION
IS THE BUILDING INFORMATION ON YOUR PROPERTY RECORD CARD CORRECT?
Please confirm that the information below is correct for all buildings, via the'Confirm property record card data is correct' button.
If any of the information is incorrect on any building please report the changes via the 'I want to update my property record'
button for the building that needs to be updated.
IConfirm Property Record Card Data is correct.
BUILDING(S)
TRANSFER HISTORY
TRANSFER DATE TRANSACTION PRICE VALID SALE BOOK/PAGE DEED INSTRUMENT
08/30/2023 $1,850,000 Qualified Sale SWD
VALUE CHANGE HISTORY

DATE OF VALUE
EFFECTIVE TAX
LAND
BUILDING
FEATURES
NEW
CHANGE
YEAR
REASON FOR CHANGE
VALUE
VALUE
VALUE
VALUE
2020-03-19 00:00:00
2020
GENERAL PARCEL REVIEW
$1,091,200
$0
$0
$1,091,200
2021-02-01 00:00:00
2021
COMMERCIAL REAPPRAISAL
$1,295,800
$0
$0
$1,295,800
NOTICE
2024-02-01 00:00:00
2024
GENERAL PARCEL REVIEW
�1,250,200
$0
$0
$1,250,200
RECENT PERMIT AL]TIV17Y
PERMIT DATE PERMIT TYPE
No items to display
APPEALS
No recent appeal information
I ID,,,je
WIM
W',
126
us 19
US 23
'4% N I
PERMIT STATUS
Z(6
ft"Drd5 mauc4vr�
No Photo Available
Data last updated: 03/26/2024

IM
NORTH CAROLINA
Environmental Quality
Water Resources
Office Use Only
Corps Action I D no. [Click to enter.] Date received: [Click to enter.]
DWR project no. [Click enter.] Date received: [Click to enter.]
Site Coordinates:
Latitude (DD.DDDDDD): 35.6470317
Longitude (DD.DDDDDD): 82.5784487
Form Version 4.3, February 22, 2024
Pre -Construction Notification (PCN) Form
(Ver. 4.3, February 22, 2024)
For Nationwide Permits and Regional General Permits and corresponding Water Quality Certifications
Please note: fields marked with a red asterisk are required. The form is not considered complete until all
mandatory questions are answered.
The PCN help document may be found at this link:
https://www.deg.nc.gov/water-resources/pcn-help-document-last-updated-1 162024
Pagel of22 PCN Form Version 4.3- February 22, 2024

A. Processing Information
County (counties) where project is located:
Buncombe Additional (if needed).
Is this an ARPA project?
0 Yes Z No
If yes, ARPA project number:
* 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
Click or tap here to enter text.
your DWI ARPA Funding Project Number, please contact Corey
Basinger at core y. basingeramcdenrgov forfurther assistance.
Is this a NCIDMS project?
(Click yes only if NCIDMS is the applicant or co-
El Yes Z No
applicant)
Is this a public transportation project?
(Publicly funded municipal, state, or federal road, rail,
El Yes Z No
or airport project)
Is this a NCIDOT project?
El Yes Z No
If yes, NCIDOT TIP or state project number:
Click to enter.
If yes, NCIDOT WBS number:
Click to enter.
Z Section 404 Permit (wetlands, streams, waters,
Clean Water Act)
1 a. Type(s) of approval sought from the Corps:
El Section 10 Permit (navigable waters, tidal
waters, Rivers and Harbors Act)
Has this PCN previously been submitted?
El Yes Z No
Please provide the date of the previous submission.
Clink tn -nt,-r A ripfi-
Z Nationwide Permit (NWP)
1 b. What type(s) of permit(s) do you wish to seek
El Regional General Permit (RGP)
authorization?
El Standard (IP)
This form may be used to initiate the standard/ individual permit
process with the USACE. Please contact your Corps
representative concerning submittals for standard permits. All required items can be included as attachments and
submitted with this form.
1 c. Has the NWP or GP number been verified by the Corps?
El Yes Z No
NWP number(s) (list all numbers
29
RGP number(s) (list all numbers
Click to enter.
Are you a federal applicant?
El Yes Z No
If yes, please provide a statement concerning compliance with the Coastal Zone Management Act
Click to enter texi
1 d. Type(s) of approval sought from DWR (check all that apply):
* 401 Water Quality Certification — Regular
El 401 Water Quality Certification— Express
* Non-404 Jurisdictional General Permit
El Riparian Buffer Authorization
El Individual 401 Water Quality Certification
Is this a courtesy copy notification
El Yes Z No
Page 2 of 22 PCN Form Version 4.3- February 22, 2024

1 e.
Is this notification solely for the record because written approval is not required? *
For the record only for DWR 401 Certification:
El Yes
0 No
For the record only for Corps Permit:
El Yes
N No
1 f.
Is this an after -the -fact permit/certification application?
El Yes
N No
1 g.
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts?
El Yes
N No
If yes, attach the acceptance letter from mitigation bank or in -lieu fee program.
1 h.
Is the project located in any of NC's twenty coastal counties?
El Yes
N No
1 i.
Is the project located within an NC DCM Area of Environmental
Concern (AEC)?
El Yes
N No El Unknown
1j.
Is the project located in a designated trout watershed?
El Yes
N No
If yes, you must attach a copy of the approval letter from the appropriate Wildlife Resource Commission Office.
Trout information may be found at this link: hftp://www.saw.usace.army.miI/Missions/Regulatory-Permit-
Program/Agency-Coordination/Trout.aspx
Page 3 of 22 PCN Form Version 4.3- February 22, 2024

B. Applicant Information
1 a.
Who is the primary contact?
Kristi Nezanski
1 b.
Primary Contact Email:
[e-mail]
1 c.
Primary Contact Phone: (###)###-
[phone]
1 d.
Who is applying for the permit/certification? * (check
all that apply)
M Owner El Applicant (other than owner)
1 e.
Is there an agent/consultant for this project?
M Yes El No
2.
Landowner Information
2a.
Name(s) on Recorded Deed:
Woodfin Retirement Residence, LLC
2b.
Deed Book and Page No.:
6346-1057
2c.
Contact Person (for corporations):
Kristi Nezanski
2d.
Address
Street Address:
2260 McGilchrist street SE
Address line 2:
Click to enter.
City:
Salem
State/ Province/ Region:
Oregon
Postal/ Zip Code:
97302
Country:
us
2e.
Telephone Number: (###)###-
[phone]
2f.
Fax Number: (###)###-####
Click to enter.
2g.
Email Address:
[e-mail]
3.
Applicant Information (if different from owner)
3a.
Name:
Click to enter.
3b.
Business Name (if applicable):
Click to enter.
3c.
Address:
Street Address:
Click to enter.
Address line 2:
Click to enter.
City:
Click to enter.
State/ Province/ Region:
Click to enter.
Postal/ Zip Code:
Click to enter.
Country
Click to enter.
3d.
Telephone Number:
Click to enter.
3e
Fax Number: (###)###-####
Click to enter.
3f.
Email Address:
Click to enter.
Page 4 of 22 PCN Form Version 4.3- February 22, 2024

4. Agent/ Consultant (if applicable)
4a. Name:
McKenzie Beyer
4b. Business Name:
ClearWater, an EnviroScience company
4c. Address:
Street Address:
145 7th Ave W
Address line 2:
Suite B
City:
Hendersonville
State/ Province/ Region:
North Carolina
Postal/ Zip Code:
28792
Country:
us
4d. Telephone Number: (###)###-
[phone]
4e Fax Number: (###)###-####
Click to enter.
4f. Email Address:
[e-mail]
Agent Authorization Letter:
Attach a completed/signed agent authorization form or letter. A sample form may be found at this link:
https://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Permits/2017-Nationwide-Permits/Pre-
construction-Notification/
Page 5of22 PCN Form Version 4.3- February 22, 2024

C. Project Information and Prior Project History
1 . Project Information
1 a. Name of project:
Woodfin Retirement Residence
1 b. Subdivision name (if appropriate):
Click to entei
1 c. Nearest municipality/town:
Woodfin
2.
Project Identification
2a.
Property identification number (tax PIN or parcel ID):
973079058500000
2b.
Property size (in acres):
5.75
2c.
Project Address:
Street Address:
99999 Weaverville Rd
Address line 2:
Click to entei
City:
Asheville
State/ Province/ Region:
NC
Postal/ Zip Code:
28804
Country:
us
2d.
Site coordinates in decimal degrees (using 4-6 digits
after the decimal point):
Latitude (DD.DDDDDD): 35.6470317
Longitude (-DD.DDDDDD): -82.5784487
3. Surface Waters
3a. Name of nearest body of water to proposed project:
Beaverdam Creek
3b. Water Resources Classification of nearest receiving
Class C
water:
The Surface Water Classification map may be found at this link:
hftps:Hexperience.arcqis.com/experience/7073e9l22ab74588b8c48ded34c3df55/
French Broad
3c. In what river basin(s) is your project located?
Choose additional (if needed)
3d. Please provide the 12-digit HUC in which the project is
060101050901
located:
The Find Your HUC map may be found at this link:
hftps:Hncdenr.maps.arcqis.com/apps/Publiclnformation/index.html?appid=ad3a85aOc6d644aOb97cdO69db238ac3
Page 6 of 22 PCN Form Version 4.3- February 22, 2024

4.
Project Description and History
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:
The project area is currently an undeveloved forested tract between commercial developments and residential
areas.
4b.
Have Corps permits or DWR certifications been obtained for this
El Yes Z No El Unknown
project (including all prior phases) in the past?
If yes, please give the DWR Certification number and/or Corps
[Click to enter.]
Action ID (ex. SAW-0000-00000):
lClick to enter.]
Attach any pertinent project history documentation
4b2.
Is any portion of the work already complete?
El Yes Z No
If yes, describe the completed work.
Click to enter text.
4c.
List of other certifications or approvals/denials received from other federal, state or local agencies for work
described in this application not related to the 404 or 401.
Stormwater application has been submitted to the Town of Woodfin on 04/03/2024, and can be provided upon
request.
4d.
Attach an 81/2x 11 " excerpt from the most recent version of the USGS topographic map indicating the location of
the project site.
4e.
Attach an 81/2x 11 " excerpt from the most recent version of the published County NRCS Soil Survey map
depicting the project site.
4f.
List the total estimated acreage of all existing wetlands on the
0.00 acres
property:
4g.
List the total estimated linear feet of all existing streams (intermittent
698 linear feet
and perennial) on the property:
4gl.
List the total estimated acreage of all existing open waters on the
0.00 acres
property:
4h.
Explain the purpose of the proposed project:
To construct an access way, parking and building pad within the project area for the purpose of a retirement
home community.
4i.
Describe the overall project in detail, including the type of equipment to be used:
The proposed project seeks to replace and extend a culvert across the unnamed tributary on the south
eastern portion of the project area to access the upland portion of a proposed retirement residential
development. The culvert proposed to be installed will be a 60 LF culvert and will be installed in -the -
dry via a pump -around device (see Figures 5.0-5.2). The culvert will be embedded into the stream bed
to ensure facilitate aquatic habitat and connectivity.
The intermittent stream on the northern edge of the project area will be redirected through a culvert
and French drain to construct suitable a building pad that will provide access around the building
complex, additional parking and room for a building pad. Additionally most trees within the project area
will be cleared, but all tree clearing (approximately +/- 4 acres) will be conducted outside of active bat
seasons (October 15 — March 31).
Typical construction equipment will be used on site including bulldozers, excavators, dump trucks,
etc. All stream bed and banks will be restored to their original contour and will be stabilized.
4j.
Attach project drawings/site diagrams/depictions of impact areas for the proposed project.
Page 7 of 22 PCN Form Version 4.3- February 22, 2024

4k. Will this activity involve dredging in wetlands or waters? * El Yes Z No
If yes, describe the type of dredging, the composition of the dredged material, and the locations of disposal area.
LACK to enter tex.
Page 8 of 22 PCN Form Version 4.3- February 22, 2024

5.
Jurisdictional Determinations
5a.
Have the wetlands or streams been delineated on
the property or in
Z Yes
El No El Unknown
proposed impact areas?
Comments:
UlicK to enter teXL.
5b.
If the Corps made a jurisdictional determination,
El Preliminary N Approved
El Emailed concurrence
what type of determination was made? *
El Not Verified El Unknown
El n/a
Corps AID number (ex. SAW-0000-00000):
See Attached AJD Application
Name (if known): T. Kurtz & M.
Beyer
5c.
If 5a is yes, who delineated the jurisdictional
Agency/Consultant Company:
ClearWater, an
areas?
EnviroScience company
Other: '-.'lick to enter
5d.
List the dates of the Corps jurisdictional determination or State determination if a determination was made by
either agency.
See attached AJD application
5d1.
Attach jurisdictional determinations.
6. Future Project Plans
6a. Is this a phased project?
El Yes Z No
6b. If yes, explain.
'lirk to Pnter.
Are any other NWP(s), regional general permit(s), or individual permit(s) used, or intended to be used, to
authorize any part of the proposed project or related activity? This includes other separate and distant crossings
for linear projects that require Department of the Army authorization but don't require pre -construction
notification.
Click to entf-..
7. Addresses of adjoining property owners, lessees, etc. whose property adjoins the waterbody (if more than can be
entered here, please attach a supplemental list)
See Attached (Appendix D)
8. Scheduling of activity:
Click to enter.
Page 9 of 22 PCN Form Version 4.3- February 22, 2024

D. Proposed Impacts Inventory
Impacts Summary
El Wetlands 0 Streams - tributaries
la. Where are the impacts associated with your project El Buffers El Open Waters
(check all that apply):
El Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, complete this table for each wetland area impacted.
2a.
Site #
2al.
I mpact
Reason/Type*
2b.
I mpact
Duration*
2c.
Wetland Type
2d.
Wetland Name*
2e.
Forested
?*
2f.
Jurisdiction
Type*
2g.
Impact Area
(ac)*
W1
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W2
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W3
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W4
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W5
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W6
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W7
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W8
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W9
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W10
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W1 1
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W12
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W13
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W14
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W15
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
2gl. Total temporary wetland impacts
Click to enter. ac
2g2. Total permanent wetland impacts
Click to enter. ac
2g3. Total wetland impacts
Click to enter. ac
2h. Type(s) of material being discharged and the amount of each type in cubic yards:
Click to enter text.
2i. Comments:
Click to enter text.
Page 10 of 22 PCN Form Version 4.3- February 22, 2024

3. Stream Impacts
If there are perennial or intermittent stream/ tributary impacts (including temporary impacts) proposed on the site,
complete this table for all stream/ tributary sites impacted.
All Perennial or Intermittent streams must be verified by DWR or delegated local government
3a
3b.
3c.
3d.
3e.
3f.
3g.
3h.
Site #*
I mpact
I mpact
Impact Type*
Stream Name*
Stream
Jurisdiction
Stream Width
Impact length
Reason*
Duration*
Type*
Type*
(avg ft)
(linear ft)
S1
To gain
Permanent
Crossing/
UT to
Perennial
Corps
2.25
30.9
access to
Culvert
Beaverdam
upland areas
Creek
S2
To redirect
Permanent
Crossing/
UT to
I ritermittent
Corps
2.79
250
stormwater to
Culvert
Beaverdam
make room for
Creek
building pad
parking
S3
Dewatering
Temporary
Dewatering
UT to
Perennial
Corps
3.92
10
device
Beaverdam
installed
Creek
upstream of
impact S1
culvert
S4
Dewatering
Temporary
Dewatering
UT to
Perennial
Corps
3.69
26
device
Beaverdam
downstream of
Creek
impact S1
culvert and
sewer utility
crossing
S5
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
one
S6
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
one
S7
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
one
S8
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
one
S9
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
one
sio
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
one
Sil
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
one
S12
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
one
S13
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
one
S14
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
I
I
I
I
I one
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
one
Page 11 of 22 PCN Form Version 4.3- February 22, 2024

S16
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
one
S17
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
one
S18
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
I
one
S19
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
one
S20
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
I
I
I
I one
I
I
3il.
Total jurisdictional ditch
Click to enter. linear ft
impact:
3i2.
Total permanent stream
280.9 linear ft
impacts:
M.
Total temporary stream
36 linear ft
impacts:
3W
Total stream and ditch
316.9 linear ft
impacts:
3j.
Comments:
Total permanent perennial stream impacts 30.9 If (0.0016 Ac)
Total permanent intermittent stream impacts 250 If (0.016 Ac)
Total temporary stream impacts 36 If (0.0031 Ac)
Page 12 of 22 PCN Form Version 4.3- February 22, 2024

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., individually list all open water impacts in the table below.
4a.
Site #
4al.
Impact Reason
4b.
I mpact
Duration*
4c.
Waterbody Name*
4d.
Activity Type*
4e.
Waterbody
Type*
4f.
Impact area
(ac)
01
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
02
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
03
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
04
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
05
Click to enter.
Temp/ Perm
Click to enter.
Choose one
I Choose one
Click to enter.
4g.
Total temporary open water impacts
Click to enter. ac
4g.
Total permanent open water impacts
Click to enter. ac
4g.
Total open water impacts
Click to enter. ac
4h.
Comments:
Click to enter.
5.
Pond or Lake Construction
If pond or lake construction is proposed, complete
the table below. (*This
does NOT include offline stormwater
management ponds.)
5a.
5b.
5c.
5d.
5e.
Pond ID
Proposed use or
Wetland Impacts
(ac)
Stream
Impacts (ft)
Upland
#
purpose of pond
Impacts (ac)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Pi
Choose one
Click tL
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
enter.
P2
Choose one
Click to
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
enter.
P3
Choose one
Click to
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
enter.
5f.
Total
Click to
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
enter.
5g.
Comments:
Click to enter.
5h.
Is a dam high hazard permit required?
El Yes El No
If yes, permit I D no.:
Click to enter.
5i.
Expected pond surface area (acres):
Click to enter.
5j.
Size of pond watershed (acres):
Click to enter.
5k.
Method of construction:
Click to enter.
Page 13 of 22 PCN Form Version 4.3- February 22, 2024

6. Buffer Impacts (DWR requirement)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts.
6a. Project is in which protected basin(s)?
(Check all that apply.)
El Neuse El Tar -Pamlico El Catawba
El Jordan El Goose Creek El Randleman
El Other: Click to enter.
Site #*
6b.
Impact Type*
6c.
Impact Duration*
6d.
Stream Name*
6e.
Buffer
Mitigation
Required?*
6f.
Zone 1 Impact*
(sq ft)
6g.
Zone 2 Impact*
(sq ft)
131
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to entei
132
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to entei
133
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to entei
134
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to entei
135
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
136
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
137
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
138
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
139
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B10
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
1311
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B12
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B13
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B14
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B15
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B16
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B17
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B18
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B19
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B20
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
6h. Total temporary impacts:
Zone 1: Click to enter sq ft
Zone 2: Click to enter. sq ft
6h. Total permanent impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
6h. Total combined buffer impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
6i. Comments:
Click to enter.
Please attach supporting documentation (impact maps, plan sheets, etc.) for the proposed project.
Page 14 of 22 PCN Form Version 4.3- February 22, 2024

E. Impact Justification and Mitigation
1 . Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts through project design:
Stream impact S1 utilizes existing culvert with plans to lengthen to provide enough support for construction
trucks and general residental traffic. The proposed project avoids impacts to 60% (417.1 LO of the 698 Lf of
jurisdictional streams onsite and 93% (417.1 Lf) impact to perennial streams (448 LO.
The original site plans proposed the parking lot and sidewalk to be built over the southern stream, but was
redesigned to minimize stream impacts to only the culvert lengthening and utility crossing.
1 b. Specifically describe measures taken to avoid or minimize proposed impacts through construction techniques:
All construction equipment will be operated from high ground. Appropriate erosion and sediment control measure
will be implemented to avoid unintended impacts to waters on site. Culverts and sewer line will be installed in the
dry via a pump -around device (See Figures 5.0-5.2 for details).
2. Compensatory Mitigation for Impacts to Waters of the U.S., Waters of the State, or Riparian Buffers
2a. If compensatory mitigation is required, by whom is it required? El DWR El Corps
(check all that apply)
2b. If yes, which mitigation option(s) will be used for this El Mitigation Bank
project? (check all that apply) El In Lieu Fee Program
El Permittee Responsible Mitigation
3. Complete if using a Mitigation Bank
(Must satisfy NC General Statutel 43-214.11 (dl).)
3a. Name of mitigation bank:
CliCK io enier.
3b. Credits purchased/requested:
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Attach receipt and/or approval letter.
3c. Comments:
Click to enter.
4. Complete if Using an In Lieu Fee Program
4a. Attach approval letter from in lieu fee program.
4b. Stream mitigation requested:
Click to emel. linear feet
4c. If using stream mitigation, what is the stream temperature:
Choose one
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington
District's RIBITS website: (Please use the filter and select Wilmington district)
https://ribits.ops.usace.armV.miI/ords/f?p=107:2 ......
4d. Buffer mitigation requested (DWR only):
Click to enter. square feet
4e. Riparian wetland mitigation requested:
Click to enter. acres
Page 15 of 22 PCN Form Version 4.3- February 22, 2024

4f. Non -riparian wetland mitigation requested:
Click to enter. acres
4g. Coastal (tidal) wetland mitigation requested:
Click to enter. acres
4h. Comments:
Click to enter.
5. Complete if Providing a Permittee Responsible Mitigation Plan
5a. If proposing a permittee responsible mitigation plan, provide a description of the proposed mitigation plan,
including mitigation credits generated.
Click to enter.
I 5b. Attach mitigation plan/documentation. I
6.
Buffer Mitigation (State Regulated Riparian Buffer Rules) — DWR requirement
6a.
Will the project result in an impact within a protected riparian buffer
El Yes Z No
that requires buffer mitigation?
If yes, please complete this entire section — please contact DWR for more information.
6b.
If yes, identify the square feet of impact to each zone of the riparian buffer that requires
mitigation. Calculate the
amount of mitigation required in the table below.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
Click LU U-11LU-1.
Click to entei.
%_,iiuuz�� one
Click LU U-11LU-1.
Zone 2
Click to enter.
Click to enter.
Choose one
Click to enter.
6f. Total buffer mitigation required
',lick to enter.
6g.
If buffer mitigation is required, is payment to a mitigation bank or
El Yes El No
NC Division of Mitigation Services proposed?
6h.
If yes, attach the acceptance letter from the mitigation bank or NC Division of Mitigation Services.
6i.
Comments:
Click to enter.
Page 16 of 22 PCN Form Version 4.3- February 22, 2024

F. Stormwater Management and Diffuse Flow Plan (DWR requirement)
1 . Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers
El Yes 0 No
identified within one of the NC Riparian Buffer Protection Rules?
1 b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the
project is subject to a state implemented riparian buffer protection program, include a plan that fully documents
how diffuse/dispersed flow will be maintained.
All Stormwater Control Measures (SCM) must be designed in accordance with the NC Stormwater Design
Manual (https://deg.nc.gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-permit-
guidance/stormwater-b mp-manual).
Associated supplement forms and other documentation must be provided.
El Level Spreader
What Type of SCM are you
El Vegetated Conveyance (lower seasonal high water table- SHWT)
providing?
El Wetland Swale (higher SHWT)
(Check all that apply)
El Other SCM that removes minimum 30% nitrogen
El Proposed project will not create concentrated stormwater flow through the
buffer
For a list of options to meet the diffuse flow requirements, click here.
Attach diffuse flow documentation.
2.
Stormwater Management Plan
2a.
Is this an NCDOT project subject to compliance with NCDOT's
Individual NPDES permit NCS000250?
El Yes 0 No
2b.
Does this project meet the requirements for low density projects as
defined in 15A NCAC 02H .1003(2)?
El Yes N No
To look up low density requirements, click here:
hftp://reports.oah.state.nc.us/ncac/title`/`2015a`/`20-`/`20environmental`/`20guality/chapter`/`2002`/`20-
%20envi ron mental% 20 management/su bcha pter%20h/l 5a%20ncac%2002h%20.1003.pdf
2c.
Does this project have a stormwater management plan (SMP)
N Yes El No
reviewed and approved under a state stormwater program or state -
approved local government stormwater program?
El n/a — project disturbs < 1 acre
Note: Projects that have vested rights, exemptions, or grandfathering from state or locally implemented
stormwater programs or projects that satisfy state or locally -implemented stormwater programs through use of
community in -lieu programs should answer "no" to this question.
2d.
Which of the following stormwater management program(s) apply?
Z Local Government
(Check all that apply.)
El State
If you have local government approval, please include the SMP on their overall impact map.
Local Government Stormwater Programs
Z Phasell El USMP
El NSW El Water Supply
Page 17 of 22 PCN Form Version 4.3- February 22, 2024

Please identify which local government stormwater program you are using.
Local program satisfies Phase 11 SW requirements
State Stormwater Programs Z Phasell El HQW or ORW
El Coastal Counties El Other
Comments:
Click to enter.
Page 18 of 22 PCN Form Version 4.3- February 22, 2024

G. Supplementary Information
1. Environmental Documentation
1 a. Does the project involve an expenditure of public (fed e ral/state/loca 1)
El Yes Z No
funds or the use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require
preparation of an environmental document pursuant to the
requirements of the National or State (North Carolina) Environmental
El Yes El No
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
El Yes El No
NEPA or SEPA final approval letter.)
Comments:
Click to enter.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (1 5A
NCAC 2H .0500), Isolated Wetland Rules (1 5A NCAC 2H .1300),
Federally Non -Jurisdictional Wetlands /Classified Surface Waters
El Yes Z No
(15A NCAC 2H. 1400) DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (1 5A NCAC 2B .0200)?
2b. If you answered "yes" to the above question, provide an explanation of the violation(s):
LACK to enter.
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future
impacts) result in additional development, which could impact nearby
El Yes Z No
downstream water quality?
3b. If you answered "no", provide a short narrative description:
This project will not result in additional development that could affect downstream water quality.
3c. If yes, provide a qualitative or quantitative cumulative impact analysis in accordance with the most recent DWR
policy. (Attach pdo
4. Sewage Disposal (DWR Requirement)
I 4a. Is sewage disposal required by DWR for this project? I Z Yes El No El N/A I
4b. If yes, 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.
The project's wastewater will tie into MSD of Buncombe County, connection point 64-47602 located on Reynolds
Mountain road adjacent to the site (See figure 5.1), see attached allocation letter (Appendix E).
Page 19 of 22 PCN Form Version 4.3- February 22, 2024

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected
0 Yes 0 No
species or habitat? (IPAC weblink: https://www.fws.gov/ipac/ ffws.govl)
5b. Have you checked with the USFWS concerning Endangered Species
0 Yes N No
Act impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
Choose one
5d. Is another federal agency involved?
El Yes N No El Unknown
If yes, which federal agency?
Click to enter.
5e. Is this a DOT project located within Divisions 1-8?
El Yes N No
5f. Will you cut any trees in order to conduct the work in waters of the
U.S.?
M Yes El No
5g. Does this project involve bridge maintenance or removal?
El Yes N No
5gl. If yes, have you inspected the bridge for signs of bat use such as
staining, guano, bats, etc.? Representative photos of signs of bat use
El Yes El No
can be found in the NLEB SLOPES, Appendix F, pages 3-7.
Representative photos of signs of bat use can be found in the NLEB SLOPES, Appendix F, pages 3-7. Link to
NLEB SLOPES document: hftp://saw-reg.usace.army.mil/NLEB/1-30-17-signed NLEB-SLOPES&apps.pd
If you answered yes to 5gl, did you discover any signs of bat use? *
El Yes El No El Unknown
If yes, please show the location of the bridge on the permit drawings/ project plans
5h. Does this project involve the construction/ installation of a wind
turbine(s)?
El Yes N No
If yes, please show the location of the wind turbine(s) on the permit drawings/ project plans (attach pdo
5i. Does this project involve blasting and /or other percussive activities
that will be conducted by machines, such as jackhammers,
El Yes N No
mechanized pile drivers, etc.?
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this
activity on the property (attach pdo
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated
Critical Habitat?
The USFWS Critical Habitat Mapper was used to check for critical habitat that could be affected by the project -
hftps:Hfvvs.maps.arcgis.com/home/webmap/viewer.html?webmap=9d8de5e265ad4feO9893cf75b8dbfb77
Attach consultation documentation.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as
an Essential Fish Habitat?
El Yes Z No
Is there submerged aquatic vegetation (SAV) around
the project vicinity?
El Yes Z No El Unknown
Page 20 of 22 PCN Form Version 4.3- February 22, 2024

I Will this project affect submerged aquatic vegetation? * 1 1:1 Yes 0 No 1:1 Unknown I
Explain: Click to enter.
6b. What data source(s) did you use to determine whether your site would impact Essential Fish Habitat?
NOAA's Essential Fish Habitat (EFH) Mapper. Accessed March 26, 2024 at
hftps://www.habitat.noaa.gov/apps/efhmapper/.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data):
hftp://ciis.ncdcr.ciov/hpoweb/
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 (e.g., National Historic Trust designation or
El Yes X No
properties significant in North Carolina history and archaeology)?
7b. What data source(s) did you use to determine whether your site would impact historic or archeological
resources?
The project area has over a dozen "surveyed only" historic sites within a half mile radius. Approximately half a mile
south of the project area is the BNO1 76 Renolyds House (status NR). Approximately a quarter of a mile southwest of the
project is the BN6156 Mills Manufacturing Corportation (status DOE). It is the opinion of ClearWater that the proposed
project would have no effect on this nearby historic resources.Data was gathered from NCHPO's HPOWEB 2.0 for
General Audience. Accessed March 29, 2024.
7c. Attach historic or prehistoric documentation.
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https:Hmsc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 1 00-year floodplain?
El Yes Z No
8b. If yes, explain how the project meets FEMA requirements.
Click to enter.
8c. What source(s) did you use to make the floodplain determination?
Firm Panel: 3700973000J (Eff. 01/06/2010); see Figure 6
H. Miscellaneous
Comments:
See attached Appendix F for limited threatened and endangered species review.
I Attach pertinent documentation or attachments not previously requested I
Page 21 of 22 PCN Form Version 4.3- February 22, 2024

1. Signature *
Z By checking the box and signing below, 1, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete, to
the best of my knowledge and belief;
• 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;
• The project proponent hereby agrees 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");
• The project proponent hereby agrees to conduct this transaction by electronic means pursuant to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• The project proponent hereby understands that an electronic signature has the same legal effect and can be
enforced in the same way as a written signature; AND
• As the project proponent, I intend to electronically sign and submit the PCN/online form.
Full Name: McKenzie Beyer
Signature:
Date: 4/9/2024
Page 22 of 22 PCN Form Version 4.3- February 22, 2024

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Appendix A:
Approved Jurisdictional
Determination Request

U.S. Army Corps of Engineers (USACE)
Form Approved -
REQUEST FOR JURISDICTIONAL DETERMINATION (JD)
OMB No. 0710-0024
For use of this form, see Sec 404 CWA, Sec 10 RHA, Sec 103 MPRSA; the proponent agency is CECW-COR.
Expires 2024-04-30
DATA REQUIRED BY THE PRIVACY ACT OF 1974
Authority Rivers and Harbors Act, Section 10, 33 USC 403; Clean Water Act, Section 404, 33 USC 1344; Marine Protection, Research, and
Sanctuaries Act, Section 103, 33 USC 1413; Regulatory Programs of the Corps of Engineers; Final Rule 33 CFR 320-332.
Principal Purpose The information that you provide will be used in evaluating your request to determine whether there are any aquatic resources
within the review area that are or that may be subject to federal jurisdiction under the regulatory authorities referenced above.
Routine Uses This information may be shared with the Department of Justice and other federal, state, and local government agencies, and the
public, and may be made available as part of a public notice or FOIA request as required by federal law. Your name and property
location where federal jurisdiction is to be determined will be included in any approved jurisdictional determination (AJD), which will
be made available to the public on the District's website and on the Headquarters USACE website.
Disclosure Submission of requested information is voluntary, however, if the information is not provided there may be some delay in
processing your request. Failure to provide this information will not result in an adverse action.
System of Record Notice (SORN): The information received is entered into our permit tracking database and a SORN has been
completed (SORN #A1 145b) and may be accessed at the following website:
http://dpcid.defense.ciov/Privac�/SORNsindex/DOD-wide-SORN-Article-View/Articie/6701 16/al 146b-ce.aspx
The Agency Disclosure Notice (ADN)
The Public reporting burden for this collection of information, 0710-0024, is estimated to average 10 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services, at
whs.mc-alex.esd.mbx.dd-dod-information-collectionse-mail.mil. Respondents should be aware that notwithstanding any other provision of law, no
person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
1. To (District Name): CESAW-RG-A
2. 1 am requesting a JD on property located at (Street Address): Woodfin Retirement Residence
City/Township/Parish: Woodfin County: Buncombe state: North Carolina
Acreage of Parcel/Review Area for JD: 5.75
Section: Township: Range:
Latitude (decimal degrees): 35.647031 Longitude (decimal degrees): -82.578448
(For linear projects, please include the center point of the proposed alignment.)
3. Please attach a survey/plat map and vicinity map identifying location and review area for the JD.
4. [—] I currently own this property. I plan to purchase this property.
FX1 I am an agent/consultant acting on behalf of the requester.
7 Other (please explain):
ENG FORM 6247, NOV 2023 PREVIOUS EDITIONS ARE OBSOLETE. Page 1 of 2

5. Reason for request: (check as many as applicable)
1-1 1 intend to construct/develop a project or perform activities on this parcel which would be designed to avoid all aquatic resources.
I intend to construct/develop a project or perform activities on this parcel which would be designed to avoid all jurisdictional aquatic resources
under Corps authority.
XI intend to construct/develop a project or perform activities on this parcel which may require authorization from the Corps, and the JD would
be used to avoid and minimize impacts to jurisdictional aquatic resources and as an initial step in a future permitting process.
I intend to construct/develop a project or perform activities on this parcel which may require authorization from the Corps; this request is
accompanied by my permit application and the JD is to be used in the permitting process.
I intend to construct/develop a project or perform activities in a navigable water of the U.S. which is included on the district Section 10 list
and/or is subject to the ebb and flow of the tide.
A Corps JD is required in order to obtain my local/state authorization.
I intend to contest jurisdiction over a particular aquatic resource and request the Corps confirm that jurisdiction does/does not exist over the
aquatic resource on the parcel.
1-1 1 believe that the site may be comprised entirely of dry land.
1-1 Other:
6. Type of determination being requested:
IX —I I am requesting an approved JD.
I am requesting a preliminary JD.
I am requesting a "no permit required" letter as I believe my proposed activity is not regulated.
I am unclear as to which JD I would like to request and require additional information to inform my decision.
7. Typed or Printed Name: McKenzie Beyer Daytime Phone No.: 828-698-9800 ext 304
Company Name: ClearWater, an EnviroScience Co.
Address: 145 7th Ave. W, Suite B, Hendersonville, NC 28792
Email Address: mbeyerAenviroscienceinc.com
By signing below, you are indicating that you have the authority, or are acting as the duly authorized agent of a person or entity with such authority, to
and do hereby grant Corps personnel right of entry to legally access the site if needed to perform the JD. Your signature shall be an affirmation that
you possess the requisite property rights to request a JD on the subject property.
Signature: I�ql
Date: 2024-04-09
ENG FORM 6247, NOV 2023 Page 2 of 2

SA NORTH CAROL:NA P3 3 TR:R 0
268 FOOT A 356
-4 19700 -82.57812000
SB NDRTH CARO FNA R3 L 64 FOOT AS�TR B 404 46766700 -82.57919500
SC (IM) NORTH CAROLINA R4 350 FOOT A3 TRIB-404 35.64752300 -82.57846300
SC 2 (E�,p) NORTH CAROLINA R5 IF 92 FOCT B3-EXCL-EIITCH 35.64738900 -82.57BO7100
SD NORTH CAROLINA R3 16 FOOT A3.TRIB-404 35.64791200 -�2.578.1200

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Vicinity Map Residence
Figure 1 (+1- 5.7 5 Ac) An EnviroScience company
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Aerial Imagery Map
NC OneMap (2022)
Figure 3
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Woodfin Retirement 37.5 75 150 Feet N
Residence I I I --L I A CLearWaLer
(+/- 5.75 Ac) I I I ' I P I
Buncombe County, NC. 0 7.5 15 30 45 Netem An EnviroScience company la

Jurisdictional wetlands and waters identified on this map
have been located within sub -meter accuracy utilizing a
Trimble mapping grade Global Positioning System (GPS) Jurisdiction a I
and the subsequent differential correction of that data. Non -Wetland Waters of the US
GPS points may demonstrate uncorrectable errors due to
topography, vegetative cover, and/or multipath signal
error. SIB - 64 Lf (0.006 AC)
SC (Int) - 350 Lf (0.021 Ac)
Note: The illustrated wetland and stream locations are SID - 16 Lf (0.001 Ac)
apprOXIMaLe. Iliese areas have been "agged in he relu,
however, they have not been surveyed. Although
EnviroScience is confident in our assessment, the US
Army Corps of Engineers (Corps) is the only agency that
can make final decisions regarding jurisdictional wetland
and waters of the US delineations. Therefore, all
preliminary determinations are subject to change until
written verification is obtained. EnviroScience strongly
recommends that written verification be obtained from the
Corps prior to dosing on the property, beginning any site
work, or making any legal reliance on this determination.
This map was prepared by EnviroScience using the best
information available to EnviroScience at the time of
production. This map is for informational purposes only
and should not be used to determine precise boundaries,
S
roadways, property boundary lines, nor legal descriptions.
This map shall not be construed to be an official survey of
any data depicted.
Source Data: Project Boundary - Surveyed, Contours and
Aerial Imagery - NC OneMap
Streams on site are UTs to Beaverdam Creek (NC DWR
Class C Waters)
Non -Jurisdictional Waters
Stream
Linear
Acres
Feet
(stream bed)
SC-2 (Emp)
92
0.007
Total
92
0.007
Jurisdictional Waters
of the US
Wetland
Stream
Acres
Acres
Linear
(stream
Feet
bed)
Total
0
SA
268
0.021
S B
64
0.006
SC (Int)
350
0.021
Project Bounda
SID
16
0.001
Total
698
0.049
wi�
Project Boundary
Jurisdictional - Stream
Intermittent
Perennial
Non -Jurisdictional - Ephemeral Stream wl OHWIVI
Culvert
Contours - 2ft
Data Form
�D
ream I D
to r nn
Non -Jurisdictional
Non -Wetland Waters
SC-2(Emp)-92Lf(O.007Ac)
, 44M
SC
2 liv
_Xq
A
S1.
DP-UPL1
Jurisdictional
Non -Wetland Waters of the US
SA - 268 Lf (0.021 Ac)
Wetland and Stream Map Woodfin Retirement .3 40 so 160 Feet N
Delineated on Feb. 2, 2024 Residence I CLearWaLer
Figure 5 (+/- 5.75 Ac) I An EnviroScience company 1B
Buncombe County, NC. 0 10 20 40 Meteirs
Author: EP Date: 3/5/24 Project #: 18997 NAn 1QRi9n11Rt­P1­ N.fth r.—Im, Pips i9nn Pt �jq

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Floodway

oundary
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C= Project Boundary
Woodfin Retirement 75 1,10 300 Feet N
Lidar Map Residence CLearWaLer
Figure 7 (+/- 5.75 Ac) T An EnviroScience Compan
Buncombe County, NC. 0 12.5 25 50 75 Metem YO
Author: EP Date: 3/5124 Project#: 18997

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Woodfin Retirement Residence City/County: Woodfin/Buncombe County Sampling Date: 2024-02-28
Applicant/Owner: State: - N.rth Cardin, Sampling Point: DP-UPL1
Investigator(s):E. Powell & T. Kurtz Section, Township, Range:
Landform (hillslope, terrace, etc.): Hillslope Local relief (concave, convex, none): Convex Slope(%): 12
Subregion (LRR or MLRA): N 130B L,t: 35.64637796 Long: -82.57830194 Datum: NAD 83
Soil Map Unit Name: UhE - Udorthents-Urban land complex, 2 to 50 percent slopes NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes V No (if no, explain in Remarks.)
Are Vegetation ­ Soil or Hydrology_ significantly disturbed? Are "Normal Circumstances" present? Yes No
Are Vegetation ­ Soil or Hydrology_ naturally problematic? (if needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes — No V Is the Sampled Area
Hydric Soil Present? Yes — No within a Wetland? Yes No v/
Wetland Hydrology Present? Yes No
Remarks:
Data recorded adjacent to ditch and evidence of previous earthwork observed.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reguired)
Primary Indicators (minimum of one is required: check all that apply)
— Surface Soil Cracks (B6)
— Surface Water (Al)
— True Aquatic Plants (1314)
— Sparsely Vegetated Concave Surface (138)
— High Water Table (A2)
— Hydrogen Sulfide Odor (Cl)
— Drainage Patterns (1310)
— Saturation (A3)
— Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (BI 6)
— Water Marks (Bl)
— Presence of Reduced Iron (C4)
— Dry -Season Water Table (C2)
— Sediment Deposits (B2)
— Recent Iron Reduction in Tilled Soils (C6)
— Crayfish Burrows (C8)
— Drift Deposits (133)
— Thin Muck Surface (C7)
— Saturation Visible on Aerial Imagery (C9)
— Algal Mat or Crust (B4)
— Other (Explain in Remarks)
— Stunted or Stressed Plants (DI)
— Iron Deposits (135)
— Geomorphic Position (D2)
— Inundation Visible on Aerial Imagery (137)
— Shallow Aquitard (D3)
— Water -Stained Leaves (B9)
— Microtopographic Relief (D4)
— Aquatic Fauna (B13)
— FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes — No
Depth (inches):
Water Table Present? Yes — No
Depth (inches):
Saturation Present? Yes — No
Depth (inches):
Wetland Hydrology Present? Yes No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
No hydrology observed.
US Army Corps of Engineers Eastern Mountains and Piedmont -Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-UPL1
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30 ft r
% Cover
Species? Status
Number of Dominant Species
1. Pinus virginiana
40
UPL
That Are OBL, FACW, or FAC. 2 (A)
2. Robinia pseudoacacia
15
FACU
Pyrus
10
-
UPL
Total Number of Dominant
3. calleryana
Species Across All Strata: 6 (B)
Percent of Dominant Species
33.33
4. Liriodendron tulipifera 10 FACU
5. Platanus occidentalis 10 FACW
That Are OBL, FACW, or FAC: (A/B)
7.
Prevalence Index worksheet:
85
Total Cover
Total % Cover of: Multiply by:
50% of total cover:
42.50 20%
of total cover: 17.00
OBL species 0 X 1 = 0
Sapling/Shrub Stratum (Plot size:
15 ft r
FACW species 25 x 2 = 50
1.
Prunus serotina
25
v/ FACU
FAC species 15 x 3 = 45
2.
Fraxinus pennsylvanica
15
/ FACW
FACU species 133 x 4 = 532
3.
Robinia pseudoacacia
10
V FACU
UPL species 55 x 5 = 275
4.
Liquidambar styraciflua
10
v/ FAC
Column Totals: 228 (A) 902 (B)
5.
Acer rubrum
5
FAC
3-95
6.
Pinus virginiana
5
UPL
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
7. Ligustrum sinense 5 FACU
8.
Liriodendron tulipifera
5
FACU
I - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
9.
3 - Prevalence Index is :�3.01
80 Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
40-00 20%
of total cover: 16.00
Herb Stratum (Plot size: 5 ft r
data in Remarks or on a separate sheet)
I .
Lonicera japonica
30
V FACU
Problematic Hydrophytic Vegetation' (Explain)
2.
Hedera helix
5
FACU
lindicators of hydric soil and wetland hydrology must
3.
be present, unless disturbed or problematic.
4.
Definitions of Four Vegetation Strata:
5.
6.
Tree -Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
7.
height.
8.
Sapling/Shrub - Woody plants, excluding vines, less
9.
than 3 in. DBH and greater than or equal to 3.28 ft (I
10.
m) tall.
11.
-
Herb -All herbaceous (non -woody) plants, regardless
35
Total Cover
of size, and woody plants less than 3.28 ft tall.
50% of total cover:
17.50 20%
of total cover: 7.00
30 ft r
Woody vine - All woody vines greater than 3.28 ft in
Woody
Vine Stratum (Plot size:
height.
1.
Lonicera japonica
20
V FACUl
2.
Celastrus orbiculatus
8
( FACUl
Hydrophytic
5. Vegetation
28 Total Cover Present? Yes No
50% of total cover: 14.00 20% of total cover: 5.60
Remarks: (include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont -Version 2.0

SOIL
Sampling Point: DP-UPL1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth
Matrix
Redox Features
(inches)
Color (moist)
%
Color (moist) % TvK)e' Loe Texture Remarks
0-1
10YR 3/3
100
Sandy Loam
1-7
7.5YR 4/4
100
- Sandy Loam
7-10
7.5YR 4/4
90
2.5Y 5/2 5 D M Sand
7-10
—
7.5YR 4/6— 5 C M Sand
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2 Location: PL=Pore Lining, M=Matrix
Hydric Soil Indicators:
Indicators for Problematic Hydric SoiIS3:
— Histosol (Al)
— Dark Surface (S7)
— 2 cm Muck (Al 0) (MLRA 147)
— Histic Epipedon (A2)
— Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
— Black Histic (A3)
— Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
— Hydrogen Sulfide (A4)
— Loamy Gleyed Matrix (F2)
— Piedmont Floodplain Soils (F19)
— Stratified Layers (A5)
— Depleted Matrix (F3)
(MLRA 136, 147)
— 2 cm Muck (Al 0) (LRR N)
— Redox Dark Surface (F6)
— Very Shallow Dark Surface (TF1 2)
— Depleted Below Dark Surface (Al 1)
— Depleted Dark Surface (F7)
— Other (Explain in Remarks)
Thick Dark Surface (Al 2)
Redox Depressions (F8)
Sandy Mucky Mineral (SI) (LRR N,
Iron -Manganese Masses (F1 2) (LRR N,
MLRA 147, 148)
MLRA 136)
Sandy Gleyed Matrix (S4)
Umbric Surface (F1 3) (MLRA 136, 122)
31ndicators of hydrophytic vegetation and
Sandy Redox (S5)
Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Stripped Matrix (S6)
Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type: Compaction
Depth (inches): 10
Hydric
Soil Present? Yes — No
Remarks:
Fill material and Micah interspersed throughout; C4 not tested.
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

NC DWQ Stream Identification Form Version 4.11
Date: 0210212024
Woodfin Retirement Residence
Latitude:
35.6477061
Evaluator: T. Kurtz
County: Buncombe
Longitude: -
82.5785660
Total Points:
Strearnis at least intermittent ifL 19orperennialifL30*
I
Stream Determination: Ephemeral Intermittent Perennial
1
Other
Stream Name: SC
1
121.5
Ilintermittent
Absent
Weak
Moderate
Strong
1. Continuity of channel bed and bank*
0
1
2
3
T-Sinuosity of channel along thalweg
0
1
2
3
T-In-channel structure ex. riffle -pool, step -pool, ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
T Depositional bars or benches
0
1 1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Heaccuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
70. Natural valley
0
0.5
1
I���
11. Second or greater order channel
No
0
Yes =
3
*artificial ditches are not rated, see discussions in manual
A. Geonnorphology Subtotal
11.5
12. Presence of Baseflow
0
1
2
3
73. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
75. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
77. Soil -based evidence of high water table?
No= 0
Yes = 3
B. Hydrology Subtotal
18. Fibrous roots in streambed
3
1
0
79. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
2
3
T1. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
T3. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
T6. Wetland plants in streambed
FACW 0.75, 013L = 1.5 Other = 0 0
=perennial streams may also be identified using other methods.
C. Biology Subtotal

2
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ai
3:
N
0
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I)m
, N
<
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u
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0
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(S@qDUI) 1112JUle�l

Appendix B:
US Fish and Wildlife Service lPaC -
Official Species List and NC Natural
Heritage Program Data

United States Department of the Interior
FISH AND WILDLIFE SERVICE
Asheville Ecological Services Field Office
160 Zillicoa Street
Asheville, NC 28801-1082
Phone: [phone] Fax: [phone]
In Reply Refer To:
Project Code: 2024-0001625
Project Name: Woodfin Retirement Residence
r, 777. 7 � 77"
Ak
0 9/2024 17: 10: 11 UTC
Subject: List of threatened and endangered species that may occur in your proposed project
location or may be affected by your proposed project
To Whom It May Concern: %k'J A
The enclosed species list identifies threatened, endangered, proposed, and candidate species, as
well as proposed and final designated critical habitat, that may occur within the boundary of your
proposed project and/or may be affected by your proposed project. The species list fulfills the
requirements of the U.S. Fish and Wildlife Service (Service) under section 7(c) of the
Endangered Species Act (Act) of 1973, as amended (16 U.S.C. 1531 et seq.).
New information based on updated surveys, changes in the abundance and distribution of
species, changed habitat conditions, or other factors could change this list. Please feel free to
contact us if you need More current information or assistance regarding the potential impacts to
federally proposed, listed, and candidate species and federaLly designated and proposed critical
habitat. Please note that under 50 CFR 402.12(e) of the regulations implementing section 7 of the
Act, the accuracy of this species list should be verified after 90 days. This verification can be
completed formally or informally as desired. The Service recommends that verification be
completed by visiting the IPaC website at regular intervals during project planning and
implementation for updates to species lists and information. An updated list may be requested
through IPaC by completing the same process used to receive the enclosed list.
The purpose of the Act is to provide a means whereby threatened and endangered species and the
ecosystems upon which they depend may be conserved. Under sections 7(a)(1) and 7(a)(2) of the
Act and its implementing regulations (50 CFR 402 et seq.), Federal agencies are required to
utilize their authorities to carry out programs for the conservation of threatened and endangered
species and to determine whether projects may affect threatened and endangered species and/or
designated critical habitat.
A Biological Assessment is required for construction projects (or other undertakings having
similar physical impacts) that are major Federal actions significantly affecting the quality of the
human environment as defined in the National Environmental Policy Act (42 U. S.C. 4332(2)
(c)). For projects other than major construction activities, the Service suggests that a biological

Project code: 2024-0001625 03/29/2024 17:10:11 UTC
evaluation similar to a Biological Assessment be prepared to determine whether the project may
affect listed or proposed species and/or designated or proposed critical habitat. Recommended
contents of a Biological Assessment are described at 50 CFR 402.12.
If a Federal agency determines, based on the Biological Assessment or bio I evaluation, that
p
listed species and/or designated critical habitat may be affected by the r sed ct, the
iti
agency is required to consult with the Service pursuant to 50 CFR 402,Aoddition, e Service
recommends that candidate species, proposed species and proposed rical h ' at be addressed
I
s
within the consultation. More information on the regulations and pr ures f section 7
consultation, including the role of permit or license applicant bVe�he "Endangered
S, c I il I
Species Consultation Handbook" at: https://www.fws.gov/sit buk/files documents/
endangered-species-consultation-handbook.pd 7 A#
1W
Migratory Birds: In addition to responsibilities to prote hreatened and endangered species
under the Endangered Species Act (ESA), there are additional responsibilities under the
Migratory Bird Treaty Act (MBTA) and the Bald an�d�ldefi Ea Protection Act (BGEPA) to
protect native birds from project -related impacts. Afflrff"M , Xei
ntional or unintentional,
resulting in take of migratory birds, including eaks, is pr ited unless otherwise permitted by
the U.S. Fish and Wildlife Service (50 C.F.R. Sec. 10 . 12 16 U.S.C'Sec. 668(a)). For more
information regarding these Acts, see Migrato y Bird P it I What We Do I U.S. Fish & Wildlife
Service (fws.gov). �0 aw A 4t
The MBTA has no provision for allowing take of migratory birds that may knintentionally
killed or injured by otherwise lawfu tivities. * the resp 'lity o project proponent to
I �Ie
comply with these Acts by identif otential impacts t igr ds and eagles within
�11 t 11,
fu tivitie
otent Ani
]r Ir z
applicable NEPA documents (whe4n a federal nexus) agle Conservation Plan
4 #
or i�'
(when there is no federal nex1j. Propon should i I _ - ize ervation measures to avoid
I so
or minimize the production project -related stressors im ze the exposure of birds and
their resources to the projA-re*d stressors. For 0 tion on avian stressors and
4 a
recommended conservatioT me see httas://www.fws.p-ov/library/collections/threats-birds.
In addition to MBT d GEPA, Executive Order 13186:'Responsibilities of Federal Agencies
to Protect Migrotor
obligates all Federal agencies that engage in or authorize activities
that might affecffgratorjWs, to minimize those effects and encourage conservation measures
that will imprffbiji�ogk-lations. Executive Order 13186 provides for the protection of both
migratory b* i ory bird habitat. For information regarding the implementation of
Executiv der lease visit https://www.fws.gov/partner/council-conservation-
cutiv
m m to s_
i ra S.
1gr
We appreciate concern for threatened and endangered species. The Service encourages
Federal agencies to include conservation of threatened and endangered species into their project
planning to further the purposes of the Act. Please include the Consultation Code in the header of
this letter with any request for consultation or correspondence about your project that you submit
to our office.
Attachment(s):
m Official Species List
2 of 8

Project code: 2024-0001625
03/29/2024 17:10:11 UTC
OFFICIAL SPECIES LIST
This list is provided pursuant to Section 7 of the Endangered Species Act, and Ifills the
requirement for Federal agencies to "request of the Secretary of the Interior rmation whether
any species which is listed or proposed to be listed may be present in the roposed
action".
This species list is provided by:
Asheville Ecological Seirvices Field Office
160 Zillicoa Street
Asheville, NC 28801-1082
[phone]
3 of 8

Project code: 2024-0001625 03/29/2024 17:10:11 UTC
PROJECT SUMMARY
Project Code: 2024-0001625
Project Name: Woodfin Retirement Residence
Project Type: Commercial Development
Project Description: potential development
Project Location:
The approximate location of the project can be viewed in Google'raps.
www.p,00p,le.com/maps/(a)35.646973349999996,-82.578!
Counties: Buncombe County, Noi
I
NIhJA
!3
4 of 8

Project code: 2024-0001625 03/29/2024 17:10:11 UTC
ENDANGERED SPECIES ACT SPECIES
There is a total of 8 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
1PaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheriesi, as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
A.,
*ON
5 of 8

Project code: 2024-0001625
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MAMMALS
NAME
Gray Bat Myotis grisescens
No critical habitat has been designated for this species.
Species profile: htips://ecos.fws.gov/ecp/species/6329
Northern Long-eared Bat Myotis septentrionalis
No critical habitat has been designated for this species.
Species profile: htips://ecos.fws.gov/ecp/species/9045
Tricolored Bat Perimyotis subflavus
No critical habitat has been designated for this species.
Species profile: htips://ecos.fws.gov/ecp/species/10515
REPTILES
NAME
Bog Turtle Glyptemys muhlenbergii
Population: U.S.A. (GA, NC, SC, TN, VA)
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.eov/eCD/spec
CLAMS 11W
NAME
Appalachian Elktoe Alosmidonto r4074nco
There is final critical habitat for s species. ocation
ov/ecp/species/5039
Species profile: htips:/ ecos.fws.gt
INSECTS
NAME
Monarch Butterfl
No critical hab
Species profiJJ
FLO'
NAME
Mountain Swe?Wcher-plant Sarracenia rubra ssp. jonesii
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/4283
LICHENS
NAME
Rock Gnome Lichen Gymnoderma lineare
STATUS
Endangered
,0 Endangered
habitat.
Proposed
Endangered
STATUS
Similarity of
Appearance
(Threatened)
STATUS
Endangered
161 W, I tog,
Endangered
6 of 8

Project code: 2024-0001625
03/29/2024 17:10:11 UTC
NAME STATUS
No critical habitat has been designated for this species.
Species profile: htips://ecos.fws.gov/ecp/species/3933
CRITICAL HABITATS A
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDE IS OFFICE'S
JURISDICTION.
YOU ARE STILL REQUIRED TO DETERMINE IF YOUR PROJECT(S) MAY E S ON ALL
ABOVE LISTED SPECIES.
7 of 8

Project code: 2024-0001625
03/29/2024 17:10:11 UTC
IPAC USER CONTACT INFORMATION
Agency:
ClearWater, an EnviroScience Company
Name:
McKenzie Beyer
Address:
145 7th Ave West, Suite B
City:
Hendersonville
State:
NC
Zip:
28779
Email
[e-mail]
Phone:
7043025978
Ntfit
8 of 8

MEN
NC DEPARTMENT OF
NATURAL AND CULTURAL RESOURCES
M MEN
March 29, 2024
McKenzie
ClearWater Environmental Consultants, INc
14S 7th ave West, Suite B
hendersonville, NC 28792
RE: woodfin retirement residence
Dear McKenzie:
Roy Cooper, Governor
D_ Reid Wilson, Secre"
Misty Buchanan
Deputy Director, Natural H eiritage ftogTarn
NCNHDE-2S497
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide
information about natural heritage resources for the project referenced above.
Based on the project area mapped with your request, a query of the NCNHP database indicates that
there are no records for rare species, important natural communities, natural areas, and/or
conservation/managed areas within the proposed project boundary. Please note that although there
may be no documentation of natural heritage elements within the project boundary, it does not
imply or confirm their absence; the area may not have been surveyed. The results of this query
should not be substituted for field surveys where suitable habitat exists. In the event that rare
species are found within the project area, please contact the NCNHP so that we may update our
records.
The attached 'Potential Occurrences' table summarizes rare species and natural communities that
have been documented within a one -mile radius of the property boundary. The proximity of these
records suggests that these natural heritage elements may potentially be present in the project area
if suitable habitat exists. Tables of natural areas and conservation/managed areas within a one -mile
radius of the project area, if any, are also included in this report.
If a Federal ly-I isted species is found within the project area or is indicated within a one -mile radius of
the project area, the NCNHP recommends contacting the US Fish and Wildlife Service (USFWS) for
guidance. Contact information for USFWS offices in North Carolina is found here:
bttosm//www.fws.gov/offices/Directory/ListOffices.cfm?statecode--37.
Please note that natural heritage element data are maintained for the purposes of conservation
planning, project review, and scientific research, and are not intended for use as the primary criteria
for regulatory decisions. Information provided by the NCNHP database may not be published
without prior written notification to the NCNHP, and the NCNHP must be credited as an information
source in these publications. Maps of NCNHP data may not be redistributed without permission.
The NC Natural Heritage Program may follow this letter with additional correspondence if a
Dedicated Nature Preserve, Registered Heritage Area, Land and Water Fund easement, or Federally -
listed species are documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance,
please contact the NCNHP at naturaLheritaQe(c_)dncr.nc.gov.
Sincerely,
NC Natural Heritage Program
DEPARTMENT OF NATURAL AND CULTURAL RESOURCES
C�) 1,:1 W IONES STREET. PALEI��H. r-iC 27603 . 1651 � 1AIL SERVIC E Cf:rQTER RALEIGH NC 274V0
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Appendix C:
Photolog

Alm
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0

4W7�-
12024
Photo 3: View of Stream B (SB) facing upslope near the lower end.
Photo 4: View of Stream B (SB) facing upslope near the top end.

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Alv-
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Appendix D:
Adjacent Parcels

Air'
'T4001:
iiw
Im
lo,
-!, )WI
I J�
Project Boundary
Per, _-I
Buncombe County Parcels

Number
Owner
PIN
Acres
Mailing Address
1
Midstate Hospitality
973069749200000
2.14
6203 Wescott Dr, Summerfield NC,
Group, LLC
27358
2
Zeta Properties, LLC
973069936000000
0.69
138 Twin Courts Dr, Weaverville NC,
28787
3
F E H Ventures, LLC
973079003900000
0.55
214 Velvet Ln, Weaverville NC, 28787
4
Laji Properties
973078298700000
3.03
39 Mountain Vista Dr, Asheville NC,
28804
5
CSE Woodfin LP
973078898700000
10.02
303 International Cir, Suite 200, Hunt
Valley MID, 21030
6
North Asheville
973079570100000
7.96
90 Griffee Rd, Weaverville NC, 28787
Baptist Church
7
Shaw William Brent
973170025000000
5.57
79 Forest Rd, Asheville NC, 28803
8
Mardel Holdings,
973069664900000
1.42
PO box 8905, Asheville NC 28814
LLC

Appendix E:
Allocation Letter

Applicant:
Company:
Mailing Address:
Phone:
Project #:
Project Name:
Project Location:
PIN:
Metropolitan Sewerage District
of Buncombe County, North Caro[ina
Allocation Approval
This approval is not to be used to obtain a building permit
and is for gravity sewer extension only.
JASON DOLAN
TIMMONS GROUP
Reviewed F± Approved by: SAMUEL GETTLEMAN on 1/ 18/2024
610 EAST MOREHEAD STREET, CHARLOTTE, NC 28202
704-900-4945 (C)
2024005
WOODFIN RETIRFMENT RESIDENCE
REYNOLDS MOUNTAIN BOULEVARD
9730790585
MSD of Buncombe County has approved your request for 12,750 GPD
The connection point (manhole #) will be 64-47602
The project vvill. consist of (1150) SENIOR HOUSING UNITS
Your final, approval is contingent upon compliance of the items below*
- The project witI. require a sewer service connection. Please complete and submit a Sewer Service Application and MSD staff
wit[ contact YOU with the applicable fees.
- MSD will require the tap be instaLl by an NC Licensed Public Utility Contractor and inspected by MSD. Prior to construction,
MSD must review/approve a bulletin drawing for the installation, C.O.s will not be released until MSD has approved installation
and engineer has provided a bulletin As-Buflt drawing with the service ati-nment and invert in elevation. Please contact
Denise Moore at 828-225-8277 to request inspector a minimum of two business days prior to beginning sewer construction.
- You must contact Alan Taylor at [e-mail] and/or [e-mail] to submit plans for the grease
interceptor ("trap"). After interceptor installation, please contact Mr. Taylor again at 828-225-8231 to inspect/approve the
installation.
- A Town of Woodfin Right -of -Way Cut Permit wilt be required at the proposed connection location prior to construction.
Comments:
* Building Permit will be on hold until Sewer Service Application has been processed and applicable fees paid.
* Building Permit will be on hold until Alan Taylor approves grease interceptor plans.
* C.O.s will be on hold until Alan Taylor inspects and approves the installation.
* C.O,s will not be released until MSD has approved installation and engineer has provided a bulletin As -Built drawing with
details.
The North Carolina Department of Environmental Quality (NCDEQ) requires MSD to issue this
approval based on line condition/capacity of the receiving sewer and remaining plant capacity.
This allocation approval wilt expire on 01/18/2025 if no construction has started.
If you have any questions, please contact MSD.
Joh
Ke
MSD Planning and Development

Appendix F:
Additional Threatened and
Endangered Species Data

PCN Form Additional Information
Section F. 5a. Endangered Species and Designated Critical Habitat — Habitat
The USFWS IPaC "Official Species List" (Appendix B) lists seven (7) species as potentially
occurring within the project boundary:
Common Name
Scientific Name
Status
Gray bat
Myotis gfisescens
Endangered
Northern long-eared bat
Myotis septentrionalis
Endangered
Tricolored bat
Perimyotis subf1avus
Proposed Endangered
Bog turtle
Glyptemys muhlenbergii
Threatened (S/A) 2
Appalachian Elktoe
Alasmidonta raveneliana
Endangered
Mountain sweet pitcher plant
Sarracenia rubra ssp. jonesii
Endangered
Rock gnome lichen
Gymnoderma fineare
Endangered
Gray Bat
No naturally occurring suitable habitat (caves) for the gray bat were observed within the project
area. It is the opinion of ClearWater that this project is not likely to adversely affect the gray bat.
Northern Long-eared Bat
No naturally occurring suitable wintering habitat for northern Long-eared Bat (NLEB) exists within
the project area. Potentially suitable summer habitat for the NLEB exists within the project area,
however all tree clearing is to be conducted during the NLEB's non -active season October 15 th_
March 31st. It is the opinion of ClearWater that this project is not likely to adversely affect the
northern long-eared bat.
Tricolored Bat
No naturally occurring suitable habitat (caves) for the tricolored bat were observed within the
project area. It is the opinion of ClearWater that this project is not likely to adversely affect the
tricolored bat.
Bog Turtle
No suitable habitat for bog turtle was found within the project area. No wetland impacts are
proposed for the utility crossing, culvert installation, or commerical area. Additionally, the northern
population of bog turtle does not occur in North Carolina. It is the opinion of ClearWater that the
proposed project would have no effect on the northern bog turtle.
Appalachian Elktoe
The only occurring streams within the project area are small unnamed tributaries to Beaverdam
Creek and are too small and lack proper substrate to support the Appalachian Elktoe population.
In addition, there were no near element occurrences on the NHP website. It is the opinion of
ClearWater that this project will have no effect on the Appalachian Elktoe.

Mountain Sweet Pitcher Plant
No bogs were observed within the project area; therefore, suitable habitat for mountain sweet
pitcher -plant does not occur on this site. No wetland impacts are proposed for the utility crossing,
culvert installations, or commercial area. It is the opinion of ClearWater that this project would
have no effect on the mountain sweet pitcher plant.
Rock Gnome Lichen
Potentially suitable habitat for rock gnome lichen is not within the project area. The utility crossing,
culvert installations, and project area lies at elevations below those known to support populations
of rock gnome lichen, and no rock outcrops were observed. It is the opinion of ClearWater that
project activities would have no effect on the rock gnome lichen.
North Carolina Natural Heritage Program
A review of the NC Natural Heritage Program (NHP) database on March 29, 2024, revealed no
element occurrences (EO) of federally protected species within a one -mile radius of the project
boundary. The proposed project is unlikely to disturb any federally protected species. See
Attachment B.