20180410 Ver 1_401 Application_20180318

DWR
Division of WaaerResources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
January 31, 2018 Ver 2.3
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E -PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https:lledoes.deq. ne.govlWaterResources101edocl624704/PCN%20Help%20File%202018-1-30. pdf
A. Processing Information
County (or Counties) where the project is located:
Cumberland
Is this project a public transportation project?*(?)
r Yes r No
1a. Type(s) of approval sought from the Corps:*
Pr Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
17 Nationwide Permit (NWP)
r Regional General Permit (RGP)
Nationwide Permit (NWP) Number: 29 - Residential Developments
NWP Number Other:
List all MN nunbers you are applying for not on the drop dow n list.
1c. Type(s) of approval sought from the DWR:*
check all that apply
Pr 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
r Non -404 Jurisdictional General Permit r Riparian Buffer Authorization
...............................................................................................................
*
1d. 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:
b Yes r No
O Yes O No
1e. 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
0 Yes r No

1f. Is the project located in any of NC's twenty coastal counties?*
f Yes r No
1h. Is the project located in a designated trout watershed?*
r Yes r No
Link to trout information: http://wm.saw.usace.army.miI/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Mike Eaker, Southeastern Soil & Environmental
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
(xxx)xxx-xxxx
[phone]
1d. Who is applying for the permit?
W Owner r Applicant (other than owner) V Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
Highcroft of Fayetteville LLC
2b. Deed book and page no.:
BK 10197 PG 0075
2c. Responsible party:
(for Corporations)
D. Ralph Huff III
2d. Address
Street Address
2919 Breezewood Ave #400
Address Line 2
Oty
Fayetteville
Fbstal / Zip Code
28303
2e. Telephone Number:
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
[phone]
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
State / Rovince / Fbgion
NC
Country
us

Mike Eaker
4b. Business Name:
(if applicable)
Southeastern Soil & Environmental
4c. Address
Street Address
PO Box 9321
Address Line 2
aty
Fayetteville
Rbstal / Zip Code
28311
4d. Telephone Number:
[phone]
4e. Fax Number:
4f. Email Address:*
[e-mail]
State / Province / Flegion
NC
Country
us
Agent Authorization Letter*
Rease provide the Agent Authorization Letter if you are subrritting this docurrent.
(2) Agent Authorization.pdf 503.96KB
RLE TYPE MIST BE RDF
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Highcroft of Fayetteville LLC
1b. Subdivision name:
(if appropriate)
Highcroft
1c. Nearest municipality/ town:
Fayetteville
1d. Driving directions*
If it is a new project and can not easily be found in a GPS napping system Pease provide directions.
From Fayetteville take HWY 401 (Raeford Rd) west. Turn right on Spotted Horse Lane. Site is at end of drive
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
9476-88-6738,9476-89-4516,9476-88-0790
2b. Property size:
(in acres)
49
2c. Project Address

Street Address
1500 Spotted Horse Lane
Address Line 2
City
State / Ftovince / Plegion
Fayetteville
NC
Fbstal / Zip Code
Country
28304
US
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey -grade GPS device) after the decimal place as
appropriate, based on how the location was determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to
map coordinates to 5 or 6 digits after the decimal place.)
Latitude:* Longitude:*
35.038974 -79.072548
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Little Rockfish Creek
3b. Water Resources Classification of nearest receiving water:*
C
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Cape Fear
River Basin Lookup
4. Project Description
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:*
Site is currently residential/undeveloped. Land use in the vicinity is residential
4b. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for
DWR)
Cick the upload button or drag and drop files here to attach docurrent
(9) USGS Topo Map.pdf 798.38KB
File type rrust be pdt
4c. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site.
(for DWR)
Click the upload button or drag and drop files hereto attach docurrent
(10) NRCS Soil Map.pdf 1.14MB
File type crust be pdt
4d. List the total estimated acreage of all existing wetlands on the property:
0.4
4e. List the total estimated linear feet of all existing streams on the property:
(intermttent and perennial)
0
4f. Explain the purpose of the proposed project:*
156 -lot single family residential development connected by a network of roads and utilities

4g. Describe the overall project in detail, including indirect imapacts and the type of equipment to be used:
At the proposed impact one 88ft long 18" RCP culvert @ 0.5% slope will be installed under the roadway
(Stackhouse Drive) and a dissipator pad will be added at the outlet. Water and sewer utility lines will be
concurrently installed in the road right-of-way. The area will be back filled, the roadway paved, sidewalk installed,
and side slopes stabilized with vegetative planting. Typical construction equipment such as excavators, loaders,
dump trucks, and graders will be utilized.
4h. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files here to attach docurrent
Highcroft-Profile Map at Impact.pdf 794.19KB
Highcroft-Plan Map at Impact.pdf 1.69MB
Highcroft-Drainage Plan.pdf 1.99MB
File type crust be pdf
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r Approved r Unknown r N/A
Corps AID Number:
Exarrple: SAW -2017-99999
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other
Mike Eaker
Southeastern Soil & Environmental
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
A request for Preliminary Jurisdictional Determination was submitted to USACE on 15 Mar 2018. No determination yet.
5d1. Jurisdictional determination upload
Click the upload button or drag and drop files hereto attach docurrent
File type rrust be FDF
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
7. Future Project Plans
7a. Is this a phased project?*
r Yes r No
7b. If yes, explain.
156 lots are planned to be developed in three 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? This includes other separate and distant crossing for linear projects that require Department of the
Army authorization but don't require pre -construction notification.

D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
Wetlands r Streams -tributaries r Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. Site # - Reason for impact * 2b. Impact type * 2c. Type of wetland * 2d. Wetland name *2e. 2f. Type of 2g. Impact
Forested* Jurisdicition* area*
Road Crossing - culvert P
K/hp label (e.g. Fbad Crossing 1 - Culvert, Permanent (P) or
dewatering, etc) Temporary (T)
road crossing -culvert T
Ivhp label (e.g. Fbad Grossing 1 - Culvert, Permanent (P) or
dewatering, etc) Terrporary (T)
2g. Total Temporary Wetland Impact
0.010
2g. Total Permanent Wetland Impact
0.090
2g. Total Wetland Impact
0.100
2h. Comments:
Headwater Forest A Yes Both 0.090
(404, 10) or D V\R(401, (acres)
other)
Headwater Forest A Yes Both 0.010
(404, 10) or DdbR(401, (acres)
other)
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:*
Lots were configured to ensure they could be developed without wetland impacts.
The road was sited perpendicular to the wetland drainageway.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Sediment and erosion control measures will be used, such as silt fencing, to protect water quality.
Construction limits will be clearly marked through wetlands.
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?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
permanent wetland impacts less than 1/10 acre.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
*** Recent changes to the stormwater rules have required updates to this section .***

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?
r Yes t: No
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
Site is in the Cape Fear River Basin
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes F No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes
r No
To look up low density requirement click here 15A NCAC 02H .1003(2).
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?*
F Yes
r No
Fant: projects that have vested rights, exemptions, or grandfathering from state or locally irrplerrented storn-water programs or projects that satisfy state or locally-inplenented storrrwater prograr s
through use of corrrunity in -lieu programs should answer no to this question.
2d. Which of the following stormwater management program(s) apply (check all that apply):*
W Local Government
r- State
Local Government Stormwater Programs*
rJ Phase II
r- NSW
r- USMP
r- Water Supply
Please identify which local government stormwater program you are using.*
Fayetteville
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 21-1.0500), Isolated Wetland Rules (15A NCAC 21-1.1300), or
DWR Surface Water or Wetland Standards or Riparian Buffer Rules (15A NCAC 2B.0200)? *
r Yes r No
2b. Is this an after -the -fact permit application?*
r Yes r No

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 downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
This residential development is relatively small and will not likely affect regional growth patterns.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?
r Yes r Nor N/A
4b. 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.
Public Sanitary Sewer
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?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes r No f Unknown
5e. Is this a DOT project located within Division's 1-8?*
r Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?*
r Yes r No
5g. Does this project involve bridge maintenance or removal?*
r Yes r No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?"
r Yes r 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.?*
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
US FWS iPaC (https:Hecos.fws.gov/ipac/) provided a list of federally protected species that may occur in the
proposed project area and/or may be affected by the proposed project. It included the Red -cockaded Woodpecker
(Picoides borealis), American alligator (Alligator mississippiensis), Saint Francis' Satyr Butterfly (Neonympha
mitchellii), American Chaffseed (Schwalbea americanna), Michames Sumac (Rhus michau)ii), Pondberry (Lindera
melissifolia), and Rough -leaved loosestrife (Lysimachia asperulaefolia). No Critical Habitats were identified.
NC Natural Heritage Program (ncnhp.org) documents an element occurrence for the federally protected species
Saint Francis' Satyr Butterfly (Neonympha mitchellii) within a one -mile radius of the project area.

6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Habitat Conservation National Marine Fisheries Service
https://www.habitat.noaa.gov/protection/efh/efhmapper/
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/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 properties significant in North Carolina history and archaeology)?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NC State Historic Preservation Office
http://gis.ncdcr.gov/hpoweb/
7c. Historic or Prehistoric Information Upload
Click the upload button or drag and drop files here to attach docurrent
NCHPO_GIS Service.pdf 279.12KB
File rust be FDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes G No
8c. What source(s) did you use to make the floodplain determination?*
Flood Risk Information System
http://fris.nc.gov/fris/
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files hereto attach docurrent
NCNHP_project _report _highcroft_ sd_11530_11530.pdf 903KB
FWS_Species List_ Raleigh Ecological Services Field Office.pdf 192.59KB
File rust be FDF or iw7
Signature
W By checking the box and signing below, I certify that:
■ 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:*
Mike Eaker
Signature
41"�
Initial Review
Is this project a public transportation project?* (')
r Yes r No
Change only if needed.
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
BIMS # Assigned*
20180410
Version#*
Reviewing Office *
Fayetteville Regional Office - [phone]
Select Project Reviewer*
Chad Turlington:eads\ccturlington
Is a payment required for this project?*
r No payment required
f Fee received
r Fee needed - send electronic notification
What amout is owed?
r $240.00
* $570.00