20170070 Ver 1_More Info Received_20170118

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< DWQ project no.
Form Version 1.4 January 2009
A.
1.
Pre -Construction Notification (PCN) Form nnR(��M
MY
Applicant Information K rf
Processing
1 a.
Type(s) of approval sought from the Corps:
❑ Section 404 Permit ❑X Se icB R RESOD
1 b. Specify Nationwide Permit (NWP) number: 3&13 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
❑X Yes ❑ No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
R 401 Water Quality Certification — Regular ❑X Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ 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
1 f.
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes ❑X 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 Q No
2.
Project Information
2a.
Name of project:
Lake Trace/Stonegate Sediment Pond Restoration
2b.
County:
Lee
2c.
Nearest municipality / town:
Sanford
2d.
Subdivision name:
Carolina Trace
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
See Attachment 1.
3b.
Deed Book and Page No.
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
3e.
City, state, zip:
3f.
Telephone no..-
o.:3g.
3g.
Fax no.:
3h.
Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009
D
.,ES
rIN

4. Applicant Information (if different from owner)
4a. Applicant is:
❑X Agent ❑ Other, specify:
4b. Name:
Roger Brown
4c. Business name
(if applicable):
NA
4d. Street address:
88 Traceway
4e. City, state, zip:
Sanford, NC 27332
4f. Telephone no.:
919-498-3671
4g. Fax no.:
4h. Email address:
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID):
See attached Table 1.
1 b. Site coordinates (in decimal degrees):
Latitude: Longitude:
1 c. Property size:
acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Lake Trace
2b. Water Quality Classification of nearest receiving water.
Little River
2c. River basin:
Cape Fear
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:
See Attachment 2.
3b. List the total estimated acreage of all existing wetlands on the property: 0.2
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 900
3d. Explain the purpose of the proposed project:
Sediment catchment basin for Lake Trace and Recreation
3e. Describe the overall project in detail, including the type of equipment to be used:
See Attachment 2.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project(including all priorphases) in thepast?
❑X Yes ❑ No ❑ Unknown
Comments:
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): William Mullin, Wetland Biologist
Agency/Consultant Company:
Other: Dr. J.H. Carter III % Assoc. Inc.
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ❑X No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ❑X No
6b. If yes, explain.
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):
❑X Wetlands ❑X Streams — tributaries ❑ Buffers ❑X 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 P
P
Small -Basin Wetland
No
Corps 404
0.29
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:
0.29
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 T
Excavation
Cans Creek
INT
Corps
10
150
S2 T
Excavation
Cans Creek
PER
Corps
20
200
S3
S4
S5
S6
3h. Total stream and tributary impacts
350
3i. Comments:
Jursdiction shared with DWQ
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 individually 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 T-
Stonegate Pond
Excavation
Pond
2
O2 T-
Lake Trace
Excavation
Lake
5
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. 5e.
Stream Impacts (feet) 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 mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ 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 -
Yes/No
B2 -
Yes/No
B3 -
Yes/No
B4 -
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Dredging will not be used. See Attachment 2.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
See Attachment 2.
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?
❑X Yes ❑ No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ Corps
2c. If yes, which mitigation option will be used for this
project?
Q Mitigation bank
❑Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
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
buffer mitigation?
Yes ❑X No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
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
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑ YesX❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
0%
2b. Does this project require a Stormwater Management Plan?
❑ Yes No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
The project is to restore the pond to be an effective sediment catchment basin as originally planned.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which localgovernment's jurisdiction is thisproject?
❑ Phase 11
3b. Which of the following locally -implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑Yes ❑ No
attached?
4. DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a. Which of the following state -implemented stormwater management programs apply
❑ORW
(check all that apply):
[]Session Law 2006-246
❑Other:
4b. Has the approved Stormwater Management Plan with proof of approval 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
letter.)
❑ Yes
❑ No
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,
❑ YesX❑
No
or Riparian Buffer Rules (15A NCAC 26 .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
E] 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.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
NA
Page 9 of 10
PCN Form — Version 1.4 January 2009

S. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
E] Yes QX No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
D Yes QX 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?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes Q No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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
E] 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?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain? 7-9
Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
No structures are involved in the project - only excavation and placement materials
No FEMA requirements.
8c. What source(s) did you use to make the floodplain determination?
FEMA floodplain maps
Roger A. Brown
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant isprovided.)
Page 10 of 10

ATTACHMENT 1
Stonegate POA
Joe Dunne, President
1628 Stonegate North
[e-mail]
Ph: 919-498-5034
Carolina Trace Association
(represents North Shore and
Golf West POAs)
Alan Dirk, President
6004 Cypress Point, Sanford, NC 27332
[e-mail]
Ph: 919-498-0882
Carolina Trace Country Club
John Fairall, General Manager
2100 Country Club Drive, Sanford, NC 27332
[e-mail]
Ph: 919-499-5121 ext 202
TABLE 1
Stonegate Pond
5 Acres
35 25' 30" N
79 06'45" W
Lake Trace2
300 Acres
35 25' 10" N
79 06' 09" W
1

ATTACHMENT 2
Stonegate Pond (Area 1)
The work is to remove recent sediments deposited into Stonegate Pond caused by NCDOT
construction projects. The pond has been excavated before approximately ten years ago and is now
full of sediment. Its purpose is to act as a sediment basin for future erosion to prevent the sediments
from entering Lake Trace and is now ineffective. It is envisioned mechanical equipment such as
dozers and backhoes will be used to excavate the area to bedrock or to a maximum depth of 10 feet
below normal water line (elevation approximately 272.7 feet above Mean Sea Level (MSL). At the
dam, bedrock slopes from a depth of about 3 feet on the south side of the pond to a depth of about 15
feet on the north side. Bedrock is nearer the normal water line as one proceeds upstream from the
dam.
Large or prolonged rains could impact this work. Stonegate Pond will be lowered by the Contractor
several weeks prior to excavation work, removing the gate blocking the low level outlet, which will
drop the water level about 5 feet. Beyond the initial lowering of Stonegate Pond, the Contractor will be
responsible for controlling and maintaining the water levels during the sediment excavation work. It is
envisioned that the Contractor will need to provide a by-pass pumping operation or diversion
channels to divert the base flow in Carrs Creek away from the work area to avoid muddying the water
and passing it downstream into Lake Trace.
The Contractor will be responsible for dewatering the silt excavation area as necessary to perform the
work. The excavated material will be deposited on the south shore in areas designated on the map
for Area 1. Sewer systems are routed through the area and fill must be placed so that sewer pipes
are not broken or damaged, and manhole accessibility is maintained. Assume three manholes must
be raised. Approximately 2-3 acres will be provided for placement of the excavated sediments.
These areas, as well as the required access, will require preparation by removal and disposal of small
trees and underbrush. Proper interior drainage of surrounding areas must be maintained. Sediment
control methods and proper grading are required to prevent the fill sediments from eroding back into
the excavated pond area or into manholes. These fill areas will require final grading and grassing
upon completion.
Site ingress and egress will be from Traceway. Any damage to either the infrastructure within the
work area or roads used for transit to and from the work area must be corrected at the completion of
the work. It is estimated 7000 CY of sediment will be removed and deposited on the surrounding
area.
Attachment 5 pg. 1

Lower Carrs Creek/Lake Trace (Area 2)
The Stonegate Pond is no longer effectively functioning as a sediment basin for eroded materials and
therefore sediment removal is for this portion of Lake Trace is necessary. The area being affected is
primarily between the No. 5 tee box of the Carolina Trace Country Club (CTCC) Creek golf course
and the bridge crossing near No. 18 green at the entrance to Lake Trace proper. The area is used
primarily for recreation. Adjacent landowners are no longer able to use their boats as the water is too
shallow. Lake Trace is also an excellent lake for fishing. Work for this project must be accomplished
during the winter months. It is envisioned the excavation will be made using mechanical equipment
such as dozers and backhoes. Dredging will not be allowed. The normal Lake Trace water level is
approximately 256.5 feet MSL. Lake Trace will be lowered about 5 feet using a low level outlet to an
elevation of approximately 251.5 feet MSL by CTCC. In the deeper areas of the water area, where
top of sediment is at 252.5 MSL or lower, no removal will be required. The overall objective will be to
have approximately 4 feet of water in most areas when the lake is full. Because of bedrock and
higher elevation, the upper portion of the water area (above #3 bridge) will have a lower water
objective depth level of 2-3 feet. The sediments not being collected by Stonegate Pond are the main
source of the sediments that need to be removed. In general, 1 to 3 feet of sediment will be removed
in most removal areas. Bottom maps of the area will be provided which will show approximate areas
where sediment should be removed. The Contractor will be responsible for maintaining the water
levels during the sediment excavation work; therefore, siphons may be needed at the dam to maintain
the lowered elevation during large or prolonged rains. When Lake Trace is lowered, the main stream
of Carrs Creek is on the west side of this portion of Lake Trace. This stream will continue to run
during this work and should be avoided during the excavation process. There will be excavation from
both sides of Carrs Creek. The Contractor will be responsible for dewatering the silt excavation areas
as necessary to perform the work.
Site work will be needed to obtain access to the work area (see Map 2) and the access area must be
restored upon completion of the work. The excavated materials will be placed in the areas shown on
Map 2. Proper sediment control and grading must be used. Some sanitary manholes are in
designated fill areas. Care must be exercised not to damage sewer lines and access to manholes
must be maintained. All fill will be placed and prepared to prevent erosion of fill into Carrs Creek and
Lake Trace and into manholes. Fill areas that remain part of the golf course near the Hole No. 3
bridge must be graded and sodded with Bermuda grass upon job completion. Other fill areas are to
be graded and grassed.
Ingress and egress to the site will be via Traceway, Fairway Woods in Golf West Property Owners
Association (POA), Fairway Lane in North Shore POA, and Creek Run in Laurel Thicket I POA.
It is estimated 8000 CY will be excavated and deposited on the surrounding areas.
Attachment 5 pg- 3

* r
LUVVE• r r CREEK dC e iN �w
a
rAND LAKE TRACE1',
u A = f a
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IN t ee
r r `.V q e ��� " �•
k
rt
r
Lo
0
Ftii Fiil
WR d '
b
Q
F,vj
k
h rt � a m tt>>,®f ,C arrs Creek ►: ;
N, y
k' d Vn w
} m �
t '
No 8Bri,g Lake 'race
1�, w
Lake Trace
- "0113,C`o0gl0
G(
34 tt -' { c c-� a r }
uau
r � r
y
263 t} eye alt 4397 ft
Irnagbry,Date: 1/31/2007 350.25'09,85" N 79°06'08.54" VV elev
_.,. _.4.

Subject: Appointment of Agent
To: Whom It May Concern
The Carolina Trace Association (CTA), Inc., the Escalante Carolina Trace (LLC), and
the Stonegate Volunteer Property Owners Association (VPOA), Inc. appoint Roger A.
Brown as the official agent in all matters related to securing all necessary permits from
the United States Army Corps of Engineers and the North Carolina Department of
Environmental Quality to remove silt and sediment from Lake Trace and Stonegate
Sediment Pond.
IN WITNESS WHEREOF, the above parties execute this Appointment of Agent to be
effective as of January 15, 2017.
Carolina Trace Association, Inc.,
aNorth�olina non-profit corporation
by;� .
� , ,
P ' ent , Carolina Trace Association:
Escalante Carolina Trace, LLC,
a North Carolina limited liability company
by: f_
Manager, Carolina Trace Country Club
on: j/4
on: ; Z) 12-0 l %
Stonegate Volunteer Property Owners Association, Inc.,
a North Carolina non-profit corporation
by:
President, Stonegate Volunteer Property Owners Association
on: ._ i 7-
DAWN STANEK
Notary Public, North Carolina
Harnett County
My Commission Expires

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 QX 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?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes XX No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
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?
B. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑X Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
No structures are involved in the project - only excavation and placement materials
No FEMA requirements.
8c. What source(s) did you use to make the floodplain determination?
FEMA floodplain maps
Roger A. Brown
Applicant/Agent's Printed Name9
plicanUAgent's Signature
ate
(Agen 5 signature is valid only if an authorization
letter from the applicant isprovided.)
Page 10 of 10

Subject: Appointment of Agent
To: Whom It May Concern
The Carolina Trace Association (CTA), Inc., the Escalante Carolina Trace (LLC), and
the Stonegate Volunteer Property Owners Association (VPOA), Inc. appoint Roger A.
Brown as the official agent in all matters related to securing all necessary permits from
the United States Army Corps of Engineers and the North Carolina Department of
Environmental Quality to remove silt and sediment from Lake Trace and Stonegate
Sediment Pond.
IN WITNESS WHEREOF, the above parties execute this Appointment of Agent to be
effective as of January 15, 2017.
Carolina Trace Association, Inc.,
a North olina non-profit corporation
by:
Pres' ent , Carolina Trace Association:
Escalante Carolina Trace, LLC,
a North Carolina limited liability company
by:
Manager, Carolina Trace Country Club
on: 0 S / 7 on: j z y ILO -7
Stonegate Volunteer Property Owners Association, Inc.,
a North Carolina/
corporation
- - rz /, 0,/,& —<f�
President, Stonegate Volunteer Property Owners Association
on: - a r
DAWN STANEK
Notary Public, North Carolina
Harnett County
My Commission Expi s

6. Endangered species and Daeignate & Critical Habitat (Corps RmWhwnwd)
5a. YO Oft project occur in or now an area with federally protected species or
Yes ® No
5b. Have you dmciced with the USFWS concerning Endangered Species Act
� Yes ® No
impact?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
Sd What data sources did you use to determine whether your site would Irnpact Endangered Spades or Designated Critical
Habitat?
6. Essential Fish HaWtat (Corps Requh+a mM
Ba. WBI this project ocuaur In or near an area designated as essential fish habitat T
Q Yes ® No
6b. What data sources cid you use to determine whether your site would impact Essential Fish Habitat?
7. Historic or Prehistoric Cultural Resources (Corps Requdnnwnt)
7a. VVII this project occur in or now an arm that the stab, federal or tribal
govermrmft haus designated as Laving historic or culhrai preservation
0 Yes ® No
status (e.g., National Historic Tnst designation or properties significant to
North Carding history and archaeology)?
7b. What data sources dud you use to du iwn*m whether your site would impact hWotio or wdmbgic d resources'?
S. Flood zone Designation (Corps Requimrnertt)
Be. Will this project ocar In a FEMA-designated 100-year floodplain?
Foyes ❑ No
Bb. If yes, explain how project meet FEMA requirement:
No sbi taoe we Involved in In project - only excavation and placement male hk
No FEMA mWkerne t
tic. What source(s) did you use to make the floodplain determination?
FEMA ftodpialn maps
Roger A. Brawn
9 �6
Applicant(Agent's Printed Name
nt/Agmrs Signature
signature is vaed a* If an mAt arizom
letter ban to Is
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