20140574 Ver 3 _PCN_Final _20160118

o -r
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the Corps:
❑X Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 29 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
❑ Yes ❑X No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑X Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑X No
For the record only for Corps Permit:
❑ Yes ❑X 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.
❑X Yes ❑ No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes ❑X No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑X No
2.
Project Information
2a.
Name of project:
Sunset Bluffs Subdivision
2b.
County:
Wake
2c.
Nearest municipality / town:
Town of Fuquay-Varina
2d. Subdivision name:
Sunset Bluffs Subdivision
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Ransdell, William G III E & J Randsell LLC
3b.
Deed Book and Page No.
011937
3c.
Responsible Party (for LLC if
applicable):
01703
3d.
Street address:
528 Hawthorne Street, Apartment 2
3e.
City, state, zip:
Houston, Texas, 77006
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a.
Applicant is:
X❑ Agent ❑ Other, specify:
4b.
Name:
Chad Blackmon
4c.
Business name
(if applicable):
SSBNC, LLC
4d.
Street address:
PO Box 38
4e.
City, state, zip:
Holly Springs, NC, 27540
4f.
Telephone no.:
919-539-3636
4g.
Fax no.:
4h.
Email address:
[e-mail]
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Justin Milstein, SSIT
5b.
Business name
(if applicable):
Timmons Group
5c.
Street address:
5410 Trinity Road, Suite 102
5d.
City, state, zip:
Raleigh, NC, 27607
5e.
Telephone no.:
919-866-4508; 252-933-5764
5f.
Fax no.:
5g.
Email address:
[e-mail]
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
0658728758
1 b.
Site coordinates (in decimal degrees):
Latitude: 35.6282 Longitude: -78.8027
1 c.
Property size:
131.43 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Basal Creek
2b.
Water Quality Classification of nearest receiving water:
B; NSW
2c.
River basin:
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 conditions on the site consist of agricultural fields and forested land over a majority of the property. The land use in the near vicinity is
agricultural, forestry, and residential.
3b.
List the total estimated acreage of all existing wetlands on the property: 2
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 4,000
3d. Explain the purpose of the proposed project:
The purpose of the project is to construct phases 6, 7, 8, and 10 of the proposed subdivision including roadway and utility infrastructure.
3e. Describe the overall project in detail, including the type of equipment to be used:
Equipment typical for road construction and grading will be used to construct the proposed project such as track hoes, bulldozers, dump trucks, etc.
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (includingall prior phases)in the past?
❑X Yes ❑ No ❑ Unknown
Comments: Stream Determination
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
Preliminary ❑ Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known): Scott Mitchell, PE, LSS
Agency/Consultant Company: Mitchell Environmental, PA
Other: James Lastinger, USACE
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Stream/Buffer Determination Letter issued on July 17, 2013 by NCDWR (NBRRO# 13-156).
Wetlands Preliminary JD issued by USACE September 27, 2013.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
0 Yes ❑ No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
NWP 12 issued by USACE for sewer line installation under SAW -2013-01898 and stream and buffer impact approvals issued DWR# 14-0574v2.
6.
Future Project Plans
6a.
Is this a phased project?
Q Yes ❑ No
6b. If yes, explain.
Future impacts are anticipated for this project, associated primarily with road and utility crossings interior to the proposed subdivision.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ❑X Streams —tributaries ❑X 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.
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1
Choose one
Choose one
Yes/No
-
W2
Choose one
Choose one
Yes/No
W3
Choose one
Choose one
Yes/No
W4
Choose one
Choose one
Yes/No
W5
Choose one
Choose one
Yes/No
W6
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
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.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Culvert, Fill
UT to Basal Creek
PER
Corps
6.95
148.2
S2 P
Fill
UT to Basal Creek
PER
Corps
10
12
S3 P
Fill
UT to Basal Creek
PER
Corps
8
12
S4 P
Fill
Basal Creek
PER
Corps
23
12
S5 -
Choose one
-
S6
Choose one
-
3h. Total stream and tributary impacts
184.2
3i. Comments:
S1 is for a road crossing and is the current stream impacts. S2, S3, and S4 were previous stream impacts made for the sewer line installation to serve
Sunset Bluffs Subdivision and were permitted under: (SAW-2013-01898)/(DWR# 14-0574v2).
Page 4 of 10
PCN Form — Version 1.4 January 2009

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 indivi ually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01
Choose one
Choose
O2
Choose one
Choose
03
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
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 miticlation, then vou MUST fill out Section D of this form.
6a. Project is in which protected basin?
Q Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number—
Permanent (P) or
Temporary T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
B1 P
Fill, Grading
UT to Basal Creek
No
8,173
4,971
B2
Yes/No
B3 -
Yes/No
B4 -
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
8,173
4,971
6i. Comments: B1 is to fill and grading for the road crossing.
Page 5 of 10

D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Stream and stream buffer crossing avoidance was impractical due to the location of the jurisdictional feature on the property, necessary to tie into
existing road in previous phase of subdivision.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
All disturbed areas will be bound by silt fence and tree protection fence before construction begins.
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 FX1 Corps
2c.
If yes, which mitigation option will be used for this
project?
0 Mitigation bank
El Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3.
Complete if Using a Mitigation Bank
3a.
Name of Mitigation Bank: Restoration Systems, LLC
3b.
Credits Purchased (attach receipt and letter)
Type: Stream
Type: Choose one
Type: Choose one
Quantity: 185
Quantity:
Quantity:
Statement of Availability Attached.
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:
Choose one
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 6 of 10
PCN Form — Version 1.4 January 2009

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
E] Yes 0 No
buffer mitigation?
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.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
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 7 of 10

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1a.
Does the project include or is it adjacent to protected riparian buffers identified
Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1b.
If yes, then is a diffuse flow plan included? If no, explain why.
All
stormwater is being stored and treated via a wetpond facility and bioretention facilities per BMP
Yes No
manual, hence no level spreader is required. Overflows are discharged into rip -rap dissipater pads prior
❑X ❑
to discharging to buffers.
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
40.1%
2b.
Does this project require a Stormwater Management Plan?
❑X 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:
All stormwater is being stored and treated in a wetpond facility and two bioretention facilities.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
Town of Fuquay-Varina
3.
Certified Local Government Stormwater Review
3a.
In which localgovernment's jurisdiction is thisproject?
Town of Fuquay-Varina
❑ Phase II
X❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
El Yes X❑ 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 been
❑ Yes ❑ No
attached?
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

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
X❑ No
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
❑ 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
❑X No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after-the-fact permit application?
❑Yes
❑X 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
El Yes
❑X 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.
This
single -family resident subdivision is not likely to spur cumulative impacts.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
Wastewater
the proposed project, or available capacity of the subject facility.
from the be treated discharged by the Town Fuquay-Varina treatment
generated project will collected, and of wastewater
system.
Page 9 of 10
PCN Form — Version 1.4 January 2009

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?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes X❑ No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The Northern long-eared bat was listed as Threatened in Wake County on 4/2/15. This project involves the removal of trees (see site plan for details).
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Essential Fish Habitat (EFH) Mapper www.habitat.noaa.gov/protection/efh/ehfrnapper
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 X❑ 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?
NC State Historic Preservation Mapper
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:.
8c. What source(s) did you use to make the floodplain determination?
Wake County iMAPS FEMA Flood Layer
Justin M. Milstein
'r
01/14/2016
Applicant/Agent's Printed Name
Applican Agent°s Signature
Date
Agents signature is valid only if an authorization
letter from the applicant isprovided-)
Page 10 of 10