20240692 Ver 1_ePCN Application_20240513

DW R
DHlsloo of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
October 2, 2023 Ver 4.3
Initial Review
Has this project met the requirements for acceptance in to the review process?
Yes No
Is this project a public transportation project?*
Yes No
Change only If needed.
Does this project involve maintenance dredging funded by the Shallow Draft Navigation Channel Dredging and Aquatic Weed Fund or involve the distribution or transmission of energy or
fuel, including natural gas, diesel, petroleum, or electricity?
Yes No
BIMS # Assigned Version# *
20240692 1
Is a payment required for this project?*
No payment required
What amount is owed?*
Fee received
$240.00 $570.00
Fee needed - send electronic notification
$323.00 $767.00
Reviewing Office*
Select Project Reviewer*
Raleigh Regional Office - [phone]
Joseph Myers:joseph.myers
Information for Initial Review
1a. Name of project:
Black Creek Farms
la. Who is the Primary Contact?*
Josh Riding
1b. Primary Contact Email: * 1c. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
5/13/2024
Nearest Body of Water
Black Creek
Basin
Neuse
Water Classification
C; NSW
Site Coordinates
Latitude:
Longitude:
35.50735'
-78.65847'
A. Processing Information
Is this project connected with ARPA funding?
Yes No
County (or Counties) where the project is located:
Johnston
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No

1a. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
Yes
No
1b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
29 - Residential Developments
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
1f. Is this an after -the -fact permit application? *
Yes No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
fig. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
401 Water Quality Certification - Express
Riparian Buffer Authorization
1d. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
Lil Black Creek Farm LLC
2b. Deed book and page no.:
03515
2c. Contact Person:
Jay Libbus
2d. Address
Street Address
5400 Highcroft DR
Address Line 2
City State / Province / Region
Cary NC
Postal/Zip Code Country
27519 USA
Yes No
Yes No

2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Chris Roughly
3b. Business Name:
Pulte Group
3c. Address
Street Address
1225 Crescent Green, Suite 250
Address Line 2
city
Cary
Postal / Zip Code
27518
3d. Telephone Number:
[phone]
3f. Email Address:
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Josh Riding
4b. Business Name:
GTA Associates, Inc.
4c.Address
Street Address
530 Hinton Pond Dr, Suite 101
Address Line 2
City
Knightdale
Postal / Zip Code
27545
4d. Telephone Number:
[phone]
4f. Email Address:
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
Black Creek Farms
1c. Nearest municipality I town:
Angier
2. Project Identification
2f. Fax Number:
State / Province / Region
NC
Country
USA
3e. Fax Number:
State / Province / Region
NC
Country
USA
4e. Fax Number:
2a. Property Identification Number: 2b. Property size:
NC PINS 160300-29-0381. 160400-00-0356 150,

2c. Project Address
Street Address
3442 Plain View Church Road
Address Line 2
City
Angier
Postal / Zip Code
27501
3. Surface Waters
3a. Name of the nearest body of water to proposed project:
Black Creek
3b. Water Resources Classification of nearest receiving water:
C; NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located.
030202011202
4. Project Description and History
State / Province / Region
NC
Country
USA
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: "
The subject site is currently primarily agriculture and wooded land.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
13.04
4g. List the total estimated linear feet of all existing streams on the property:
8820
4h. Explain the purpose of the proposed project: *
The purpose of the proposed project would be to construct a residential development, with associated infrastructure and utilities.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The proposed project would entail the construction of a residential development using industry standard methods and equipment.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?
Yes No O Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Martin Richmond
Agency/Consultant Company: Lakenheath Inc.
Other:
6. Future Project Plans
Ga. Is this a phased project?*
Yes O No
6b. If yes, explain.
This Project will be constructed in phases. However, this PCN application includes the anticipated impacts for all phases.
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
No
D. Proposed Impacts Inventory

1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands Streams -tributaries
Open Waters Pond Construction
2. Wetland Impacts
Buffers
2a1 Reason (?)
2b. Impact type* (?)]2c.
Type of W.*
2d. W. name
2e. Forested*
2f. Type of Jurisdicition *
?)
2g. Impact
area
W1
Road/Driveway Crossing
T
Headwater Forest
Wetland H
Yes
Both
0.001
(acres)
W2
Road/Driveway Crossing
P
Headwater Forest
Wetland H
Yes
Both
0.001
(acres)
W3
Road/Driveway Crossing
T
Headwater Forest
Wetland G
Yes
Both
0.030
(acres)
W4
Road/Driveway Crossing
P
Headwater Forest
Wetland G
Yes
Both
0.010
(acres)
W5
Road/Driveway Crossing
T
Headwater Forest
Wetland D
Yes
Both
0.003
(acres)
f677Road/Driveway
Crossing ��P
Headwater Forest
Wetland D
E��Ioth
0.007
acres)
2g. Total Temporary Wetland Impact
0.034
2g. Total Wetland Impact
0.052
21. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.018
F I
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
3f. Type of
3g. S. width
3h. I mpact
(?)
Jurisdiction*
length*
S1
Temporary Construction
Temporary
Dewatering -]
Stream 02
Perennial
Both
57
Measures
Average (feet)
(linear feet)
g2
Road Crossing
Permanent
Culvert
Stream 02
Perennial
Both
65
Averege (feet)
(linear feet)
S3
Temporary Construction
Temporary
Dewatering
Stream 03
Perennial
Both
69
Measures
Average (feet)
(linear feet)
E
Road Crossing
Permanent
Culvert Jtream
03
Perennial
Both
�
74
Averege (feet)
(linear feet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
139
3i. Total stream and ditch impacts:
265
3j. Comments:
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
Neuse
Catawba
Goose Creek
Other
31. Total temporary stream impacts:
126
Tar -Pamlico
Randleman
Jordan Lake
116b. Impact Type 116c. Per or Temp 116d. Stream name 116e. Buffer mitigation required? 116f. Zone 1 impact 116g. Zone 2 impact

Temporary Erosion Control
T
Stream 2
No
3,827
1,731
Crossing/Culvert/Bridge
P
Stream 2 11
No
2,917
2,305
Temporary Erosion Control
T
Stream 3
No
4,178
1,605
Crossing/Culvert/Bridge
P
Stream 3
No
3,787
3,200
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 8,005.00 3,336.00
Zone 1 Zone 2
Total Permanent impacts: 6,704.00 5,505.00
Zone 1 Zone 2
Total combined buffer impacts: 14,709.00 8,841.00
6i. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
This project was designed to avoid impacts to the maximum possible extent. This site has streams and wetlands throughout the site and site was
designed to only have impacts associated with the entrance road.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
This site will employ industry standard best management practices to avoid impacts to wetlands and streams during construction.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
Yes No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
This project proposes stream and wetland impacts that are below the mitigation thresholds. In addition, the buffer impacts associated with this project are classified as allowable with
authorization, and Johnston County is the buffer authority for this project.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30 % nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater program?
Yes No
N/A - project disturbs < 1 acre
3. Stormwater Requirements
O
O

3a. Select whether a completed stormwater management plan (SMP) is included for review and approval or if calculations are provided to document the project will not cause degradation of
downstream surface waters.'
Stormwater Management Plan Antidegradation Calculations
Comments:
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?'�
Yes No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?
Yes No
3b. If you answered "no," provide a short narrative description.
This project is not anticipated to result in future development that could impact downstream water quality.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
Yes No N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?"
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?"
Yes No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?"
Yes No Unknown
5e. Is this a DOT project located within Division's 1-8?
Yes No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPaC, NC Natural Heritage Inquiry, USFWS Species Recovery Plans
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?
NOAA Essential Fish Habitat Mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)

7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status? "
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NC HPO Web 2.0
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
Yes No
8c. What source(s) did you use to make the floodplain determination?"
3720068400L 7/1912022, 3720160400k 6/20/2018, and 3720160200K 6/20/2018
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to allach document
22101 PCN Support Package FINAL 2024.05.13.pdf 74.35MB
File must be PDF or KMZ
Comments
Signature
By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Joshua S Riding
Signature
0&f.157-1� idury
Date
5/13/2024
O