20180660 Ver 1_401 Application_20180518

CAROLINA
ECOSYSTEMS9 INC,
1
20180660
P
3Iwy 42 West; Clayton, NC 27520
AA ��,,�,� 919-359-1102 — F:919-585-5570
D @�8
James Lastinger TU! Raleigh Regulatory Field Office MAY 1 US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587 P
RE: Pre -Construction Notification: Nationwide Permit 29 & General Certification No. 4092
Autumn Lakes Subdivision, Wake County, North Carolina
Dear Mr. Lastinger;
Carolina Ecosystems, Inc., on behalf of LGI Homes and Bohler Engineering, has prepared the
attached Pre -Construction Notification (PCN) for the above referenced project for a Clean Water
Act Section 404 Nationwide Permit 29 and a Section 401 Water Quality Certification No. 4092.
The site is located along Old Bunn Road and US 64 in Zebulon, NC. The project is Phase II of
the Autumn Lakes subdivision, which will help meet growing demand for residences in eastern
Wake County. No impacts were associated with Phase 1 of this development.
Jurisdictional delineation was performed by Summit Engineering, Laboratory and Testing, Inc.
and field verified by you in 2017. NCDWR verified streams subject to the Neuse River buffer
rule on March 7, 2017(NBRRO #17-046). A revised determination letter, attached, was provided
after re-evaluation of Ponds C and D. Six wetlands and seven unnamed tributaries of Beaverdam
Creek in the Neuse River Basin occur on the property. The attached PCN form provides
information for your use in review of unavoidable impacts to jurisdictional resources, including
an aerial crossing of one stream and allowable impacts to its buffer, and unavoidable impacts to
two wetlands. Impacts would result from a sanitary sewer crossing and an access area for
maintenance of proposed infrastructure including sewer lines and stormwater BMPs. For specific
locations, and impacts, please refer to the attached impacts maps.
Unavoidable Impacts
Two wetland impacts, totaling 0.13 acre are associated with Phase 2. Impact Area A (W 1-W2) is
located in the northern portion of Phase Il, and includes a total of 0.02 acre of permanent
conversion for the installation of a sewer line crossing. Impact Area B (W3 -W4) includes a total
of 0.10 acre of wetland impact for the construction of a proposed turn -around and sewer
crossing, and 0.01 acre for permanent conversion for the installation of a sewer line. Riparian
buffer impacts at Impact Area A would total 684 square feet of Zone 1 and 1,209 square feet of
Zone 2, and would be considered Allowable for the utility line crossing. A corridor 30 -feet wide
is required by the City of Raleigh for maintenance, as the piers to be installed would be 20 -feet
long. Diffuse flow requirements are satisfied by BMPs designed to remove at least 30% total
nitrogen from stormwater.

0 S
Autumn Lakes
May 10, 2018
Page 2 of 2
Avoidance and Minimization
Slopes at impact area B around the proposed cul-de-sac were adjusted to utilize 2:1 slopes and
minimize j -he unavoidable footprint. All erosion and sediment controls would be installed prior to
ground disturbance. A pre -construction meeting would be held with contractors prior to any
ground disturbance. Sediment traps and basins would be immediately stabilized after installation.
Phase I of the project was designed to avoid all impacts to jurisdictional resources. The impacts
proposed for Phase II are necessary to extend sanitary sewer connection to western portions of
the project (construction corridor limited to 30 -feet), and access is needed to maintain proposed
BMPs.
Phase III is anticipated in the future, but the date of this development is undetermined. There is
potential for one additional road crossing (stream impact) as well as a sewer and greenway
crossing. These impacts would be detailed in a future permit application, and impacts would be
considered cumulatively with those proposed in this application. A Tier 1 search of the NC
Natural Heritage Data Explorer found no records of federally protected species on or near the
project. Their report is attached.
The preceding information, along with the enclosed Pre -Construction Notification form, Vicinity
map, USGS map, Aerial map, Environmental Impact Maps, NCDWR letters, and NC Division of
Mitigation Services acceptance are being submitted for your review of this project. If you have
any questions or need additional information, please contact me at your earliest convenience at
[phone] or [e-mail].
Sincerely,
Carolina Ecosystems, Inc.
1
Phil May
Senior Scientist
cc: Ms. Karen Higgins, NCDEQ, 401 & Buffer Permitting Branch
Mike Roselli, P.E. Bohler Engineering
David Hansley, LGI Homes
Attachments:
- Pre -Construction Notification Form
- Agent Authorization Form
- NC Natural Heritage Program Search Report NCNHDE-5773
- Figures
o Vicinity Map
o USGS Map
o Aerial Map
- Autumn Lakes Phase II Environmental Impact Maps (Bohler Engineering)
- Overall Phasing Plan, Autumn Lakes Subdivision (Bohler Engineering)
- NCDWR Letters (NBRRO #17-046)
- NCDMS Acceptance

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. 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
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
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:
Autumn Lakes, Phase 2
2b. County:
Wake
2c. Nearest municipality /town:
Zebulon
2d. Subdivision name:
Autumn Lakes
2e. NCDOT only, T.I.P. or state project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
LGI Homes NC LLC
3b. Deed Book and Page No.
017036/00567
3c. Responsible Party (for LLC if
applicable):
David Hansley
3d. Street address:
3037 Sherman Dr
3e. City, state, zip:
Lancaster, SC 29720
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:
❑ Agent ❑X Other, specify: Owner
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
Phil May
5b. Business name
(if applicable):
Carolina Ecosystems, Inc.
5c. Street address:
3040 NC Highway 42 West
5d. City, state, zip:
Clayton, NC 27520
5e. Telephone no.:
919-606-1065
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):
2706513257
1 b. Site coordinates (in decimal degrees):
Latitude: 35.8399 Longitude: -78.3076
1c. Property size:
53.74 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Beaverdam Creek (27-86-2-3)
2b. Water Quality Classification of nearest receiving water:
C; 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:
The project vicinity is primarily agricultural with residential and commercial developments interspersed. The existing conditions on-site consist of
maintained fields with mature forest to the north and east.
3b. List the total estimated acreage of all existing wetlands on the property: 3.16
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 3,245
3d. Explain the purpose of the proposed project:
Provide single family residential development to help meet the growing housing demand in eastern Wake County.
3e. Describe the overall project in detail, including the type of equipment to be used:
See sheet 2.0. Phase I did not have any impacts associated with development. Phase III will be developed at an undetermined date in the future.
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: NBRRO #17-046
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
0 Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Michael Zavislak
Agency/Consultant Company: Summit Engineering,
Other: Laboratory & Testing, P.C.
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
NBRRO #17-046 (March 7, 2017 and August 22, 2017) PJD field verification by J. Lastinger in 2017
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?
❑X Yes ❑ No
6b. If yes, explain.
See cover letter.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
❑X Wetlands ❑X Streams — tributaries Q 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
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
Fill
Riparian Headwater Forest
Yes
Corps
0
W2 P
Construction/Conversion
Riparian Headwater Forest
Yes
Corps
0.02
W3 P
Fill
Riparian Headwater Forest
Yes
Corps
0.10
W4 P
Construction/Conversion
Riparian Headwater Forest
Yes
Corps
0.01
W5
Choose one
Choose one
Yes/No
0
W6
Choose one
Choose one
Yes/No
0
2g. Total Wetland Impacts:
0.13
2h. Comments:
See cover letter and Bohler Engineering Impact Exhibits. Impact Area A (W1, W2); Impact Area B (W3, W4).
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
Utility Easement
SH
PER
Corps
30
S2
Choose one
S3
Choose one
-
S4
Choose one
S5
Choose one
S6
Choose one
3h. Total stream and tributary impacts
30
3i. Comments:
Temporary stream crossing for utility construction. No impact is expected or proposed -the 30' temporary impact requested is to cover installation of the
aerial crossing only.
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
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. 5d. 5e.
Wetland Impacts (acres) 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?
❑X Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number -
Permanent (P) or
Temporary
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
Rip -Rap
SH (UT to Beaverdam Creek)
No
208
82
B2 T
Utility Easement
SH (UT to Beaverdam Creek)
No
262
577
B3 P
Conversion
SH (UT to Beaverdam Creek)
No
214
550
B4 -
Yes/No
B5
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
684
1,209
6i. Comments: 30' wide allowable utility crossing, with 15' wide maintenance corridor. 131, 62, and 63 are shown on Impact Area A-2.
Page 5of10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Phase I was designed without impacts. Phase II impacts are unavoidable; a utility crossing is required to serve the west side of the site and access is
required to maintain BMPs and infrastructure.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Best management practices and sedimentation and erosion control methods will be used during all construction techniques. No equipment refueling or
maintenance activities will occur adjacent to jurisdictional areas. All temporary impacts to jurisdictional wetlands during construction activities will be
returned to their original configuration and seeded in a timely manner for stabilization.
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?
❑ Mitigation bank
❑X 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.
❑X Yes
4b. Stream mitigation requested:
0 linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
0.13 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
❑ Yes ❑X 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).
Buffer impacts associated with allowable impact.
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
❑X Yes ❑ 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.
Stormwater plan will be reviewed and approved by Zebulon under their Phase II Stormwater Permit
buffer
❑ Yes ❑X No
authority.
This will include diffuse flow measures to ensure compliance with the riparian rules.
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
30.1%
2b.
Does this project require a Stormwater Management Plan?
Z 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:
See explanation in 1 b, above.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
Town of Zebulon
3.
Certified Local Government Stormwater Review
3a.
In which localgovernment's jurisdiction is thisproject?
Town of Zebulon
❑x 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
❑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
El 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
No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fact permit application?
❑Yes
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.
The limited size of this development, including Phase III will not affect potential development in the area.
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.
Sewer lines on site will tie into existing wastewater infrastructure maintained by the City of Raleigh. Adequate capacity is available for the potential flow
from this development.
Page 9of10
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 ❑X No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
Z Yes ❑ No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
USFWS website https:www.fws.gov/raleigh/species/cntylist/wake.html. NC Natural Heritage Data Explorer was performed (attached).
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?
http://wwww.habitat.noaa.gov/protection/efh/efhmapper.html
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 ❑ 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?
HPOWEB Map Service http://gis.ncdcr.gov/hpoweb/. National Register of Historic Place http://www.nps.gov/nr/research/. Building reference
#86000157. Occurs near Bunn, Bennett, Plantation
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ❑X No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
Wake County GIS floodplain mapping, North Carolina Floodplain Mapping Program http://www.ncfloodmaps.com/
Chits �ktqpef j L'E
1`�laY (0)1b,15
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization
letter from the applicant isprovided.)
Page 10 of 10

CAROLINA, 3040 NC Hwy 42 West; Clayton, NC 27520
ECOSYSTEM'.,.,r, INC. P:919-359-1102 — F:919-585-5570
PROPERTY ACCESS AND AGENT AUTHORIZATION FORM
Property Information
Property Address
and/or Description
1225 Old Bunn Rd
Parcel Identification
Number(s) (PIN) 270-65-13-257
City: Zebulon
State: NC
Property Owner Information
County: Wake
Owner: ® Authorized Agent*: ❑
Name: LGI Homes NC LLC
Title:
Street Address: 3037 Sherman Drive
City: Lancaster
State:SC
*Written proof of authorization from owner required.
Authorization
Property Size (Acres)
Zip Code:29720
53
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do authorize
representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon the property herein
described for the purpose of conducting on-site investigations and issuing a determination associated with Waters of the
U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors
Act of 1899.
Additionally, I hereby grant Carolina Ecosystems, Inc. (CEI) staff, their designated contractors and representatives, as
well as other Federal, State or local authorities access to the above referenced property when necessary for the purposes of
conducting on-site environmental consulting services. I also grant CEI the authority to act as authorized agent on behalf of
the owner of the above listed property for the communication, submission, and/or application to relevant government
entities, including local, state, and federal authorities, for the review, acceptance, concurrence, and/or approval of
environmental information, documents, and/or permit requests concerning the above listed property. These services may
include regulatory determinations of environmental features on my property such as issuing a determination associated
with streams and wetlands. I certify that I am the legal owner or authorized agent of the legal owner of the above property
and have authority to grant such access. I have made CEI aware of, and supplied all available records related to, previous
environmental investigations on the subject property of which I have knowledge.
Owner/Agent (signature) Date

North Carolina Department of Natural and Cultural Resources
Natural Heritage Program
Governor Roy Cooper
April 10, 2018
Jackson Mathis
Carolina Ecosystems Inc
3040 NC Hwy 42 W.
Clayton, NC 27520
RE: Autumn LAkes Phase II
Dear Jackson Mathis:
Secretary Susi H. Hami ton
NCNHDE-5773
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide information
about natural heritage resources for the project referenced above.
A query of the NCNHP database, based on the project area mapped with your request, indicates that there are
no records for rare species, important natural communities, natural areas, 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 and is
included for reference. Tables of natural areas and conservation/managed area within a one -mile radius of the
project area, if any, are also included in this report.
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 (DNP), Registered Heritage Area (RHA), Clean Water Management Trust Fund (CWMTF) 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 Rodney A. Butler at rodney.butler ncdcr.gov or 919.707.8603.
Sincerely,
NC Natural Heritage Program
MAILING ADDRESS: Telephone: [phone] LOCATtM,
1651 Mad Service Center www.ncnhp.org 121 West Jones Sheet
Ratevgh, NC 27699-1651 Raleigh, NC 276133

CAROLINA INA 3040 NC Hwy 42 West; Clayton, NC 27520
EcosyTEm, INC. P:919-359-1102 — F:919-585-5570
PROPERTY ACCESS AND AGENT AUTHORIZATION FORM
Property Information
Property Address
and/or Description
1225 Old Bunn Rd
Parcel Identification
Number(s) (PIN) 270-65-13-257
City: Zebulon
State: NC
Property Owner Information
County: Wake
Owner: ® Authorized Agent*: ❑
Name: LGI Homes NC LLC
Title
Street Address: 3037 Sherman Drive
City: Lancaster
State:SC
*Written proof of authorization from owner required.
Authorization
Property Size (Acres): 53
Zip Code:29720
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do authorize
representatives of the Wilmington District, IJ.S. Army Corps of Engineers (Corps) to enter upon the property herein
described for the purpose of conducting on-site investigations and issuing a determination associated with Waters of the
U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors
Act of 1899.
Additionally, I hereby grant Carolina Ecosystems, Inc. (CEI) staff, their designated contractors and representatives, as
well as other Federal, State or local authorities access to the above referenced property when necessary for the purposes of
conducting on-site environmental consulting services. I also grant CEI the authority to act as authorized agent on behalf of
the owner of the above listed property for the communication, submission, and/or application to relevant government
entities, including local, state, and federal authorities, for the review, acceptance, concurrence, and/or approval of
environmental information, documents, and/or permit requests concerning the above listed property. These services may
include regulatory determinations of environmental features on my property such as issuing a determination associated
with streams and wetlands. I certify that I am the legal owner or authorized agent of the legal owner of the above property
and have authority to grant such access. I have made CEI aware of, and supplied all available records related to, previous
environmental investigations on the subject property of which I have knowledge.
Owner/Agent (signature)
�ua�^ Date 5/11/18

Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One -mile Radius of the Project Area
Autumn LAkes Phase II
April 10, 2018
NCNHDE-5773
Element Occurrences Documented Within a One -mile Radius of the Project Area
Taxonomic EO ID Scientific Name Common Name Last Element Accuracy Federal State Global State
Group Observation Occurrence Status Status Rank Rank
Date Rank
Dragonfly or 32043 Coryphaeschna ingens Regal Darner 2004 -Pre H? 5 -Very --- Significantly G5 S2?
Damselfly Low Rare
No Natural Areas are Documented Within a One -mile Radius of the Project Area
Managed Areas Documented Within a One -mile Radius of the Project Area
Managed Area Nart>ra Owner Owner Type
Wake County Open Space Wake County: multiple local government Local Government
Wake County Open Space Wake County Local Government
Town of Zebulon Open Space Town of Zebulon Local Government
Definitions and an explanation of status designations and codes can be found at httos://ncnhde,natureserve.ora/content/help. Data query generated on April 10, 2018; source: NCNHP, 01 January 2018. Please resubmit your
information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database.
Page 2 of 3

NCNHDE-5773: Autumn LAkes Phase II
April 10, 2018
Project Boundary
Buffered Project Boundary
Q Managed Area (MAREA)
Page 3 of 3
1:23,896
0 0.2 OA 0.8 mi
0 0.325 0.65 1.3 km
Sources.- Esn. HERE, Garnvn, Int—p, Increment P Corp., GEBCO, USGS.
FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey, Esn Japan,
METI, Esn Churg (Fong Kong), sonsstopo. 0 OpenStreetMap wntnbuton:, and
the GIS User Communey
s
� a
°�
2 „o'
7.
� _ lra.
eeaveraam C.�».
r
y
e
3
r,
Ge
.�
� w•ainw v. _d
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-
y
fooJ Bili FLws
f �
N
. Zebulon
V
s
April 10, 2018
Project Boundary
Buffered Project Boundary
Q Managed Area (MAREA)
Page 3 of 3
1:23,896
0 0.2 OA 0.8 mi
0 0.325 0.65 1.3 km
Sources.- Esn. HERE, Garnvn, Int—p, Increment P Corp., GEBCO, USGS.
FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey, Esn Japan,
METI, Esn Churg (Fong Kong), sonsstopo. 0 OpenStreetMap wntnbuton:, and
the GIS User Communey

J "'NVIRONMENTAL IMPAC MAPS
�j
OWNERS
GAY FAMILY LIMIT' t i NERSHIP II
104 W HORTr„
ZEBULC..''4%,
,w 27597
BUNN EDGAR ROGER III HEIRS
436 E SECOND STREET
OCEAN ISLE BEACH, NC 28469
LGI HOMES, INC.
3037 SHERMAN DR.
LANCASTER, SC 29720
CONTACT - BOBBY MACNAUGHTON
[e-mail]
Sheet
Number
Sheet Title
1
COVER
2
OVERALL IMPACT MAP
3
IMPACT AREA A-1
4
IMPACT AREA A-2
5
IMPACT AREA B
AUTUMN LAKES SUBDIVISION e PHASE 11
ZEBULO , NCS
COPYRIGHT 2010 NAVTEQ 8 2016 MICROSOFT CORPORATION
01 BOHLER" -.000� ENVIRONMENTAL IMPACT MAPS
ENGINEERING NC, PLLC on AUTUMN LAKES SUBDIVISION - PHASE II
NCBELE BLVD.,
4NE: WESTCHASE BLVD., SUITE 290
PHONE: THIS PLAN A 0 PR (919) PROPRIETARY
AND
O O L D B U N N ROAD
THE INFORMATION, DESIGN AND CONTENT OF THIS PIAN ARE PROPRIETARY AND SHALL NOT BE HOME S
COPIED OR USED FOR ANY PURPOSE WITHOUT PRIOR WRITTEN AUTHORILOW41
ZATION FROM BOHLER
ENGINEERING. ONLY APPROVED, SIGNED AND SEALED PIANS SHALL BEUTILIZED FOR Z E B U L O N, N C 27597
CONSTRUCTION PURPOSES. ©BOHIER ENGINEERING, 20701 7
PHASE 11 SITE DATA
SITE AREA: (AC.)
ZONING
WATERSHED:
FIRM MAP DATE:
FIRM MAP NUMBER
FLOODPLAIN:
PHASE II AREA:
PROPOSED # OF LOTS:
PROPOSED DENSITY:
PERCENT IMPERVIOUS: (%)
SUBDIVISION DISTURBED AREA: (AC.)
PIN# 2706615785: ±85.65 AC
PIN# 2706729236: ±22.38 AC
PIN# 2706514158: ±52.01 AC
Total = ±160.04 AC
R-13-SUD
BEAVERDAM CREEK (NEUSE RIVER BASIN)
MAY 2, 2006
3720270600J
NOT IN FLOODPLAIN
53.74 AC
188
2.71 DUA
16.18 AC/ 53.74 AC=30.1%
45.34 AC
�T 5/9/181 PMA I NCR162057
A�1 1000 500 250 0 1000
E y1 ""=x10'AJLJL00'
�y v
`1/O V JL_ R SE Y
s SHEET IOF4

B0LER"
ENGINEERING NC, PLLC
NCBELS P-1132
4011 WESTCHASE BLVD., SUITE 290
PHONE. (919)57&9000 FAX: [phone]
THE INFORMATION, DESIGN AND CONTENT OF THIS PLAN ARE PROPRIETARY AND SHALL NOT BE
COPIED OR USED FOR ANY PURPOSE WITHOUT PRIOR WRITTEN AUTHORIZATION FROM BOHLER
ENGINEERING. ONLY APPROVED, SIGNED AND SEALED PIANS SHALL BE UTILIZED FOR
CONSTRUCTION PURPOSES. © BOHLER ENGINEERING, 2017
ENVIRONMENTAL IMPACT MAPS N
AUTUMN LAKES SUBDIVISION - PHASE II
LL
HOMES 0 OLD BUNN ROAD
ZEBULON, NC 27597
LEGEND
PROPERTY LINE
PHASE LINE
WETLANDS
PERMANENT IMPACT AREAS
WETLAND
CONSTRUCTION/CONVERSION
IMPACT AREAS
WETLAND
►act
3 SF)
31 SF)
5/9/18 1 PMA I NCR162057
10 5 2.5 0 10
IMPACT AREA A- I
SHEET 3OF5

BOHLER
ENGINEERING NC, PLLC
NCBELS P-1132
4011 WESTCHASE BLVD., SUITE 290
PHONE (919)57&9000 FAX (919) 7D2665
THE INFORMATION, DESIGN AND CONTENT OF THIS PLAN ARE PROPRIETARY AND SHALL NOT BE
COPIED OR USED FOR ANY PURPOSE WITHOUT PRIOR WRITTEN AUTHORIZATION FROM BOHLER
ENGINEERING. ONLY APPROVED, SIGNED AND SEALED PLANS SHALL BE UTILIZED FOR
CONSTRUCTION PURPOSES. © BOHLER ENGINEERING, 2017
L
1
HOMES
LEGEND
PROPERTY LINE
- PHASE LINE
WETLANDS
PERMANENT IMPACT AREAS
ZONE 1 (30')
ZONE 2 (20')
TEMPORARY IMPACT AREAS
ZONE 1 (30')
ZONE 2 (20')
CONVERSION IMPACT AREAS
ZONE 1 (30')
ZONE 2 (20')
Location
Impact Type
Buffer Zone Impacts
Zone 1
Zone 2
A
Permanent (Rip -Rap)
0.01 AC (208.14 SF)
0.00 AC (82.12 SF)
A
Temporary (Utility Easement)
0.01 AC (261.90 SF)
0.01 AC (577.43 SF)
A
Conversion
0.01 AC (213.67 SF)
0.01 AC (549.92 SF)
ENVIRONMENTAL IMPACT MAPS
AUTUMN LAKES SUBDIVISION - PHASE II
0 OLD BUNN ROAD
ZEBULON, NC 27597
sT 5/9/181 PMA I NCR162057
10 5 2.5 0 10
E V=10'
10'
IMPACT AREA EA\ A-2
S
SHEET 3OF5

,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
,
® BOHLER
ENGINEERING NC, PLLC
NCBELS P-192
PHONE 9 9S 7&9000BFAAXX:(919)70 2665
THE INFORMATION, DESIGN AND CONTENT OF THIS PLAN ARE PROPRIETARY AND SHALL NOT BE
COPIED OR USED FOR ANY PURPOSE WITHOUT PRIOR WRITTEN AUTHORIZATION FROM BOHLER
ENGINEERING. ONLY APPROVED, SIGNED AND SEALED PIANS SHALL BE UTILIZED FOR
CONSTRUCTION PURPOSES. ® BOHLER ENGINEERING, 2017
LEGEND
PROPERTY LINE
WETLANDS
PERMANENT IMPACT AREAS
WETLAND
CONSTRUCTION/CONVERSION
IMPACT AREAS
WETLAND
ct Type
Wetlands Impact
nt (Grading)
0.10 AC (4,309.12 SF)
n/Converstion
0.01 AC (482.86 SF)
ENVIRONMENTAL IMPACT MAPS N 5/9/18I PMA NCR162057
20 10 5 0 l 20
ffi AUTUMN LAKES SUBDIVISION - PHASE II 1„=20,
HOMES 0 OLD BUNN ROAD
ZEBULON, NC 27597 IMPACT AREA B
` SHEET5OF5

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--_______
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FLUSH -------------------------
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LAND USE AND ZONING INFORMATION AND NO'T'ES
1. REFER TO GENERAL NOTES SHEET OB.1
GRAPHIC LEGEND
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TYPICAL NOTE TEXT
PROPOSEDNOTE
WINSTCNSALEM, W 27105
PROK11WILEASE
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LGI HOMES
--_______
BULONGOR
PARKING SETBACK
_
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GUTTER
GAY FAMILY UNTIED PARTNERSHIP II
FLUSH -------------------------
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PARKING
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LAND USE AND ZONING INFORMATION AND NO'T'ES
1. REFER TO GENERAL NOTES SHEET OB.1
2. SURVEYOR:
AWEDASSOgATES,PA.
HOWLING WIND DRIVE
-0 KESTER MIU ROAD
FROSTY WAY LANE
WINSTCNSALEM, W 27105
3. APPLICANT:
LGI HOMES
BRISK WAY
3057 SHERALAN DRIVE
FLANNEL WAY
LANCASTER. SC 3972D
A. OWNER:
GAY FAMILY UNTIED PARTNERSHIP II
1301 OLD BUNN ROAD
ZEBULON, NC 2/597
BUNN EDGAR ROGER III HEIRS
0.%E SECOND STREET
OCEAN ISLE BEACH, NC 2BAE9
5. PARCEL:
2708ISM.27067292 ,27 6141%
0 OLD BUNN ROAD
ZEBULON,NC
WAKE COIINN. NI—CAROLINA
S. ZDNED:
""S"D7.
ALL DIMENSIONS ARE SHOWN FROM BACK OF CURB TO BACK OF CURB UNLESS OTHERWISE NOTED,
PROPOSED
TOTAL AREA gSTI1RBE0 AREA 1453AAC
BUILDIN TRUCTURESETBACKS
FROM PRIMARY STREET 2D
FROM SIDE STREET 10
FROM SIDE LOT LINE SHIN. 12 AGGREGATE
FROM REAR LOT LINE 2O'
ROADWAY DATA TABLE
STREET NAME
DESK: W
CLASSIFICATION PO-STEO PUBLICOR LENGTHOF
SPEED PRIVATE NEWROAD
HOWLING WIND DRIVE
LOCALSTREET /rya PUBLIC ]eB
FROSTY WAY LANE
RESIDENTIAL 3425 PI18UC 1,810
COLLECTOR
LOGAN CANON LANE
LOCAL STREET 3425 PUBLIC 1?5
BRISK WAY
LOCAL STREET 3025 PUBLIC 2.68
FLANNEL WAY
LOCALSTREET 3NE PU61JC 893'
GOURDSTREET
LOCAL STREET M25PUBLIC 1.OAY
SUBDIVISION NOTES
1. REFERTOGENERALNOTESONSHEETG3.0.
2. SETBACKS ARE SHOWN IN ACCORDANCE HATH THE APPROVED TOWN OF ZEBULON STANDARDS.
REFER TO TOWN OF ZEBULON /AND DEVELOPMENT ORDINANCE FOR PORCHES, DECKSGARAGES,
ETC. ,
3. ALL CURB AND GUTTER SHALL BE CONSTRUCTED ACCORDING TO STANDARD DETAILS OF THE TOWN
OF ZEBULON STREET AND STORM DRAINAGE STANDARDS d SPECIRCATIONS MANUAL.
9. CONTRACTORSH4ALL HAVE NDRTH CARDIJNA ONE GALL(1-M6BT2i90.91 LOCATE ALL EXISTING
UTILITIES PRIOR TO BEGINNING CONSTRUCTION.
5. CONTRACTOR SHALL VERIFY THE LOCATION AND DEPTH OF ALL EXISTING UTILITIES AND NOTIFY THE
ENGINEER OF ANY DISCREPANCIES OR CONFUCTS PRIOR TO SEDINNING CONSTRUCTION.
B. CDNTRACTORISRESPONSIBLE FOR REMOVING OR RELOCATING ALL UTIUTIES IN CONFUCT WITH
NEW CONSTRUCTION. CONTRACTOR SHALL COORDINATE WITH UTILITY COMPANIES PRIOR TO
gSPUREANCE.
H?, 'u
I�1ON Biz
4O ♦ • eX
\ 'P'i gF'G. p�S
REVISIONS
IFEVI DATE I COMMENT I BY
KNOW WHAT'S BELOW
ALWAYS CALL 811
BEFORE YOU DIG
Irs est.Irs n...lrs n. Yw.
NOT APPROVED FOR
CONSTRUCTION
DRAWN BY: SJK
CHECKED BY: MAR
DATE:
SCALE:
CAD I.D.: SPO
PRO.ECT: AUTUMN
LAKES
PHASE III
FOR
LI
LO(7ATIA ON OF SITE
0OLD BUNN RD
ZEBULON, NC 27597
WAKE COUNTY, NORTH CAROLINA
BOHLER
BNGnm! !MNG, PLLD
413D PARKLAKE AVENUE, SUITE 130
RALEIGH,NC 27612
Phl [phone]
Fez: 'Sl 9) 70}2685
NC Boh/etEng.—
SHEET TITLE:
OVERALL
ENG
PLAN
SHEET NUMBER:
C -3R®

Water Resources
ENVIRONMENTAL QUALITY
August 22, 2017
Greg Price Carolina Ecosystems
3040 NC Hwy 42W
Clayton, NC 27520
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
Subject: Corrected Buffer Determination Letter to replace letter sent April 3
NBRRO # 17-046
Wake County
Determination Type:
Buffer
Intermittent/Perennial
® Neuse (11 5A NCAC 2B .0233)
Start(-
El Tar -Pamlico (11 5A NCAC 2B .0259)
0 Intermittent/Perennial Determination (where local buffer
SA
ordinances apply)
❑ Jordan (15A NCAC 2B .0267)
(governmental and/or interjurisdictional
_X
projects)
SB
Project Name:
Address/Location:
Stream(s):
Old Bunn. Road
1039 Old Bunn Road, Zebulon
UT's to Beaverdarn Creek
Determination Date: August 22, 2017 Staff: Ray Milosh
Stream
E/IIP*
Not
Sub'ect
Subject
Start(-
Stop(Soil
Survey
USGS
To o
SA
E
X
_X
_
SB
I
X
35.84220 7830287
X
SC
P
X_....._..__.
X
X ......_.
SF
I
X
35.84078 78.30501
— -._...._X .._-....._.........._.
X
SF
Does not exist
X
X
SG
E
X
SH
P
X
35.84115 78.30655
X
POND A
X
X
POND B
X
X
X
POND C
X
X
_..__ X
POND D
X
_...__ _
X ...
POND E
X
X-
*E111P = iJph(,,mefalllnterntittent/Pe)cnnical
!i`Nothtng Compares
State of North Cine tna ( Environmental QuA ty I Water Resources
S'1 N 5� 4isbcary Skreet j Kill Mail Sergi C (',(-nv-f- 4taleigh NC270119-1611
4119.07NUVU

Explanation: The stream(s) listed above has been located on the most recent published NRCS Soil Survey of
Chatham County, North Carolina and/or the most recent copy of the USGS Topographic map at a 1:24,000 scale.
Each stream that is checked "Not Subject" has been determined to not be at least intermittent or is not present.
Streams that are checked "Subject" have been located on the property and possess characteristics that qualify it to be
at least an intermittent stream. There may be other streams located on the property that do not show up on the maps
referenced above but may be considered jurisdictional according to the US Army Corps of Engineers.
This on-site determination shall expire five (5) years from the date of this letter. Landowners or affected
parties that dispute a determination made by the DWR may request a determination by the Director. An
appeal request must be made within sixty (60) days of date of this letter. A request for a determination by the
Director shall be referred to the Director in writing. If sending via LIS Postal Service: c/o Karen Higgins;
DWR — 401 & Buffer Permitting Unit; 1617 Mail Service Center; Raleigh, NC 27699-1617. If sending via
delivery service (UPS, FedEx, etc.): Karen Higgins; DWR — 401 & Buffer Permitting Unit; 512 N. Salisbury
Street; Raleigh, NC 27604.
This determination is final and binding unless, as detailed above, unless an appeal is requested within sixty
(60) days.
This project may require a Section 404/401 Permit for the proposed activity. Any inquiries should be
directed to the US Army Corp of Engineers (Raleigh Regulatory Field Office) at (919)-554-4884.
If you have questions regarding
this determination,
determination, please feel free to contact Ray Milosh at [phone].
2Si cerely r'
Danny Smit
Supervisor, Water Quality Regional Operations Center
cc: R.RO DWR File Copy
Nothing Compares..-,_,..
Srat t.)f North Carolina l GnvironinCnt;al Qual t} Watrr Rest t rcc°s
STI N, Salisbor y Street: 1 1014tt+i€ So vice C,erste r ? Raidgh, N(.2i69+,1611
ulc}.rpt e}0100

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F,
17-046: Old Bunn Road
Map provided by NCDEQ Division of Water Resources
Locations are approximate and are provided for reference only
SA = Ephemeral. Not Subject.
SC = Perennial. Subject.
SE = Int at 35.84078 78.30501. Subject.
SG = Ephemeral. Not Subject.
Pond A = Subject.
Pond C = Not Subject.
SB = Int. at 35.84220 78,30287, Subject.
SD = Perennial. Subject.
SF = Does not exist. Not Subject.
SH = Perennial at 35.84115 78.30655. Subject.
Pond B = Subject.
Pond D = Not Subject. Pond E = Subject.

17-046: Old Bunn Road
Map provided by NCDEQ Division of Water Resources
:: Locations are approximate and are provided for reference only ::
SA = Ephemeral. Not Subject.
SC = Perennial. Subject.
SE = Int at 35.84078 78.30501. Subject
SG = Ephemeral. Not Subject.
Pond A = Subject.
Pond C = Not Subject.
SB = Int. at 35.84220 78.30287. Subject.
SD = Perennial. Subject.
SF = Does not exist. Not Subject.
SH = Perennial at 35.84115 78.30655. Subject.
Pond B = Subject.
Pond D = Not Subject. Pond E = Subject.

Print- Form
DMS ILF Mitigation Request Statement of Compliance with §143-214.11 & 143-214.20
(fink to G.S. 143-214.11)
Prior to accessing the Division of Mitigation Services (DMS), all applicants must demonstrate compliance
with G.S. § 143-214.11 and 143-214.20. All requests MUST include this form signed and dated by the
permit applicant or an authorized agent. Please refer to D NR's Implementation Policy for more details.
Compliance Statement:
I have read and understand G.S. § 143-214.11 and 214.20 and have, to the best of my
knowledge, complied with the requirements. I understand that participation in the DMS is
voluntary and subject to approval by permitting agencies.
Please check all that apply:
Applicant is a Federal or State Government Entity or a unit of local government
meeting the requirements set forth in G.S. 143-214.11 and is not required to
purchase credits from a mitigation bank.
i There are no listed mitigation banks with the credit type I need located in the
hydrologic unit where this impact will take place link to [SWR list
E] Mitigation bank(s) in the hydrologic unit where the impacts will occur have been
contacted and credits are not currently available.
p The DWR or the Corps of Engineers did not approve of the use of a mitigation
bank for the required compensatory mitigation for this project.
Ei This is a renewal request and the permit application is under review. Bank
credits were not available at the time the application was submitted.
Enter date permit application was submitted for review:
Note: It is the applicant's responsibility to document any inquiries made to private mitigation
banks regarding credit availability.
:> If have read and understand the IaWIS refund paicies (attached)
initial here
Sig 3ture of Appli t r Agent Printed Name
04116/201$
Date
Autumn Lakes - Phase II
Zebulon
Project Name Location

DIVISION OF MITIGATION SERVICES (DMS)
IN -LIEU FEE REQUEST FORM Revised 4/23/2015
Complete requested information, sign and date, email to kellv.williamstcDncdenr.aov . Attachments are acceptable for clarification
purposes (location map, address or [at long is required). Information submitted is subject to NC Public Records Law and may be
re nested by third parties Review meetincis are held on Tuesday afternoons.
CONTACT INFORMATION
APPLICANT'S AGENT
APPLICANT
1. Business/Company Name
Carolina Ecosystems, Inc..
_.r_
LGI Homes
__—_.._.__----____..
._.._..._-__,._._.._........_..._..._..�.._..._.
2. Contact Person
Phil May
Bobby Macnaughton
3. Street Address or P O Box
3040 NC Highway 42 West
3037 Sherman Drive
4. City, State, Zip
Clayton, NC 27520
Lancaster, SC 29720
5. Telephone Number
[phone]
6. E -Mail Address [e-mail] [e-mail]
PROJECT INFORMATION
7. Project Name (Autumn
Lakes
8. Location Project Pro nearest town city)
j ( tY) iZebulon,
�~
NC
9. Lat-Long Coordinates or attach a map
35.8399, -78.3076
10. County
Wake
11. River Basin & Cataloging Unit (8 -digit)
Neuse 03020203
(See Note 1)�-—
— _.... _,_..---.._..__..._....... __..._._._..__........ _.......... _._..__..---.._._._—.__.
12. Project Type "indicate owner type and
Owner Type: 0 Government fl Private
write in project type (e.g. school, church, retail,
residential, apartments, road, utilities, military,
Project Type: Residential
13. Riparian Wetland Impact (ac.) (e.g., 0.13)
0.13
14. Non -Riparian Wetland Impact (ac.)
15.
Coastal Marsh Impact (ac.)
16. Stream Impact (ft.) (e.g. 1,234)
Warm Cool Cold
17. Riparian Buffer Impact (sq. ft.)
f
Zone 1: Zone 2:
Include subwatershed if Jordan or Falls Lake:
it{3
18. Regulatory Agency Staff Contacts
NCDWR:
USAGE: James Lastinger
i Other: Karen Higgns
Check (v} below if this request is for a:
By signing below, the applicant Is confirming they have
revision to a current acceptance
read and understand the DMS refund policy posted at
i
nceep.net and attached to this form.
renewal of an expired acceptance
Signature of A plicant or Authorized Agent:
i
E extension of unexpired acceptance
Note 1: For help in determining the Cataloging Unit, visit:www.nceep.net or contact DMS
Direct questions to Kelly Williams at 919-707-8915 or keilv.williamst")g ncdenr.gov or to the front desk at 919-707-8976

Refund Policv for Fees Paid to DMS In -Lieu Fee Programs !9/21/2009
Purpose: The purpose of this policy is to make clear the circumstances and process tinder which a
permittee can obtain a refund while simultaneously balancing customer service and responsible
business practices. This policy applies to all refund requests made on or after the publication date of
this policy.
Policy Statement: The policy of DMS is to allow for refunds under certain conditions.
1. All refund requests must be made in writing to the DMS In -Lieu. Fee Program Coordinator at
kelly.wiIlia ms d-ncdenr.gov.
2. All refund requests are subject to fund availability. DMS does not guarantee fund availability for
any request.
3. The request must either come from the entity that made the payment or from an authorized agent.
Third parties requesting refunds must provide written authorization from the entity that made the
payment specifying the name and address of the authorized refund recipient.
4. Refund requests related to unintended overpayments, typographical errors or incorrect invoices
should be brought the attention of the In -Lieu Fee Program Coordinator as soon as possible. Such
requests are typically approved without delay.
5. Payments made under the incremental payment procedure are not eligible for refunds.
h. Refund requests made within nine months of payment to DMS will only be considered for requests
associated with projects that have been terminated or modified where the permittee's mitigation
requirements have been reduced. Such requests must be accompanied by written verification from the
permitting agency that the project has been cancelled, the pen -nits have been rescinded or have been
modified, or the mitigation requirements have been reduced.
7. Refund requests made more than nine months from the payment date will only be considered for
permits that were terminated or modified to not require any mitigation. Such requests must be
accompanied by written verification from the permitting agency that the project has been cancelled, the
permits have been rescinded and/or mitigation is no longer required.
8. Refund requests not meeting the criteria specified above are not eligible for arefund.
9. Refund requests that meet the criteria above will be elevated to DMS Senior Management for
review. The following considerations apply to all refund requests:
a. availability of funds after consideration of all existing project and regulatory obligations
b. the date the payment was made
c. the likelihood DMS can use the mitigation procured using the payment to meet other
mitigation requirements
10. Once a refund has been approved, the refund recipient must provide a completed W-9 form to the
DMS In -Lieu fee Program Coordinator within two weeks in order to process the refund though the
State Controller's Office.
11. All decisions shall be final.