20180851 Ver 1_401 Application_20180617

Action History (UTC -05:00) Eastern Time (US & Canada)
Submit by Anonymous User 6/17/2018 5:15:51 PM (Start Event)
Accept by Montalvo, Sheri A 6/20/2018 10:39:29 AM (Non DOT Initial Review)
The task was assigned to Montalvo, Sheri A. The due date is: June 21, 2018 5:00 PM
6/17/2018 5:17 PM

DWR
Division of water Resources
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://edocs.deq.nc.govMaterResources/0/edocl6247041PCN%20Help%20File%202018-1-30.pdf
A. Processing Information
County (or Counties) where the project is located:*
Wake
Is this project a public transportation project?*
f Yes f• No
This is any publicly funded by nunicipal,state or federal funds road, rail, airport transportation project.
1a. Type (s) of approval sought from the Corps:*
V Section 404 Permit (wetlands, streams and waters, Clean Water Act)
F Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?*
IJ Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
This form may be Corps to initiate the standard/individual permit process. Please contact your Corps representative for submittal of standard permits.
All required items that are not provided in the E -PCN and be added to the miscellaneous upload located at the bottom of this form.
Nationwide Permit (NWP) Number: 29 - Residential Developments
NWP Number Other:
List all IWV nurrbers you are applying for not on the drop down list.
1c. Type(s) of approval sought from the DWR:*
check all that apply
IJ 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express
F Non -404 Jurisdictional General Permit IJ Riparian Buffer Authorization
r Individual Permit
*
1d. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
O Yes O No
For the record only for Corps Permit: 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
f Yes C No
1f. Is the project located in anyof NC's twentycoastal counties?*
r Yes C No
1h. Is the project located in a designated trout watershed?*
f Yes f• No
Link to trout information: http://vmw.saw.usace.army.mil/Missions/Regulatory-Permit-ProgranVAgency-Coordination/Trout.aspx
B. Applicant Information
1a. Who is the Primary Contact?*
Sean Clark
1b. Primary Contact Email:*
[e-mail]
1c. Primary Contact Phone:*
(XXX)XXX-XXXX
[phone]
1d. Who is applying for the permit?
❑ Owner V Applicant (other than owner) r- Agent/Consultant
(Check all that apply)
2. Owner Information
2a. Name(s) on recorded deed:
Wayne M. Beavers / NGB Properties, LLC
2b. Deed book and page no.:
015257,01510
2c. Responsible party:
(for Corporations)
2d. Address
Street Address
2932 Green Level West Road / 2216 Donny Brook Road
Address Line 2
City State/ Province/ Region
Cary / Raleigh NC
Postal / Zip Code Country
27519 / 27603
2e. Telephone Number:
(XXX)XXX-XXXX
2f. Fax Number:
(XXX)XXX-xxxx
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Applicant is:

O Agent
f• Other Buyer/Developer
If other please specify.
3b. Name:
Bill Harrell
3c. Business Name:
(if applicable)
Hopper Communities
3d. Address
Street Address
173 Paraggi Court
Address Line 2
aty
Clayton
Fbstal / Zip Code
27527
3e. Telephone Number:
[phone]
(XXX)XXX-XXXX
Fax Number:
(x)x)xxx-xxxx
3g. Email Address:*
[e-mail]
......... ....................
State / Province / Fbgion
NC
Country
Johnston
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
The Village at Lake Wheeler
1b. Subdivision name:
(if appropriate)
The Village at Lake Wheeler
1c. Nearest municipality/ town:*
Fuquay-varina
1d. Driving directions*
If it is a new project and can not easily be found in a CPS rrapping system Please provide directions.
The proposed Village at Lake Wheeler (Project) involves the development of a 44.8 -acre assemblage partially bounded on the east by Lake
Wheeler Road and to the south by the future 1-540 corridor. The Project is located in southern Wake County at a point immediately
northwest of Lake Wheeler Road and immediately south of Cross Timber Lane.
2. Project Identification
2a. Property Identification Number:
(tax RN or parcel ID)
0689-36-6682;0689-37-8090;0689-46-1609;0689-47-0903
2b. Property size:
(in acres)
44.8
2c. Project Address

Street Address
0, 8536, & 8600 Lake Wheeler Road
Address Line 2
aty
State/ Province/ Region
Fuquay-Varina
NC
Postal / Zip Code
Country
27603
Wake
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:*
35.6663° N -78.7173° E
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Mills Branch
3b. Water Resources Classification of nearest receiving water:*
C; NSW
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Neuse
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:*
The Site is mostly comprised of a large agricultural field. Three separate houses on the Site with several
outbuildings are located along the eastern Lake Wheeler Road portion. Wooded areas composed of mixed pine
and hardwood species are located along the western edge and northeast corner of the Site. Approximately 13
acres of the Site is forested.
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)
Qick the upload button or drag and drop files here to attach document
Figure1 - USGS.pdf 1.07MB
File type must be pdf
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)
nick the upload button or drag and drop files here to attach document
Figure2 - Soils.pdf 1.66MB
File type must be pdf
4d. List the total estimated acreage of all existing wetlands on the property:
+/- 3.5 acres
4e. List the total estimated linear feet of all existing streams on the property:
(internittent and perennial)
+/- 25 LF
4f. Explain the purpose of the proposed project:*

The purpose of the proposed project is to construct a residential subdivision and associated utilities to meet the
demand in this area of Wake County.
4g. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The overall project is a 44 -lot single-family residential subdivision with residential streets and utilities that will
connect to eiasting adjacent streets and utilities. The proposed impacts result from the construction of a
stormwater wetland BMP located further up the drainage from an eAsting culverted utility crossing. Heavy
equipment typically used for utility installation projects (e.g. back hoes, bull -dozers, etc) will be utilized.
4h. Please upload project drawings for the proposed project.
Click the upload button or drag and drop files here to attach docurrnnt
File type must be pdt
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
f• Yes f 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:
Example: SAW -2017-99999
SAW -2017-01069
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Sean Clark
Sage Ecological Services, Inc.
5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
A wetland and stream delineation was completed in 2017 and the delineation approved by Mr. James Lastinger of the USACE during a field
visit. A preliminary jurisdictional determination (SAW -2017-01069) was issued on August 16, 2017. The determinations made by Mr.
Lastinger are reflected on the attached impact maps. A buffer determination letter (NCDWR project RRO #17-128) was issued by Mr. Rick
Trone of the NCDWR on May 12, 2017.
5dl. Jurisdictional determination upload
Click the upload button or drag and drop files here to attach document
PJD (SAW -2017-01069) for Lake Wheeler Parcels.pdf 587.92KB
File type mist be Ft7F
6. Project History
6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past?*
f Yes C No f Unknown
7. Future Project Plans
7a. Is this a phased project?*
f Yes C No
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.
No
D. Proposed Impacts Inventory

1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
V Wetlands V Streams -tributaries rJ 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 *
W1 P Bottomland Hardwood
Ivbp label (e.g. Fbad Crossing 1 - Culvert, Perrrenent (F) or Forest
dewatering, etc) Temporary (T)
W2 T Bottomland Hardwood
Nbp label (e.g. Finad Crossing 1 - Culvert, Fern -anent (F') or Forest
dewatering, etc) Temporary (T)
2g. Total Temporary Wetland Impact
0.010
2g. Total Permanent Wetland Impact
0.070
2g. Total Wetland Impact
0.080
2d. Wetland name *2e.
2f. Type of
2g. Impact
Forested*
Jurisdicition*
area*
WA Yes
Both
0.070
Intermittent
(404, 10) or DAR (401,
(acres)
Permanent (F� or
other)
WA Yes
Both
0.010
(404, 10) orDAR (401,
(acres)
Intermittent
other)
Nbp label (e.g. Fvad Crossing
2h. Comments:
Impact W2 is a proposed temporary clearing impact required to place machinery for construction.
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. Reason for impact*3b.lmpact 3c. Type of impact*3d. Stream name*
3e. Stream
3f. Type of
5 4
type *
Type *
Jurisdiction
S1 culvert replacement
T Other UT to Mills Branch
Intermittent
Both
Ivbp label (e.g. Finad Crossing
Permanent (F� or
Perennial (F$:� or
1)
Temporary (T)
intermttent (INT)
S2 culvert extention
P Culvert UT to Mills Branch
Intermittent
Both
Nbp label (e.g. Fvad Crossing
Permanent (F' or
Perennial (F$P� or
1)
Terrporary (T)
intermittent (INT)
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
5
3i. Total temporarystream impacts:
5
3i. Total stream and tributary impacts:
10
3j. Comments:
3g. Stream 3h. Impact s
width*
length*
9
5 4
Average
(linear feet) 5
(feet)
10
5 5
Average
(linear feet) 0
(feet)

The 10 LF impact results from the widening of shoulders along Lake Wheeler Road which is needed to comply with
current design standards. The stream being impacted is a straightened but naturalized ditch. Impact S1 will be
required for construction during the replacement of the eAsting pipe. Impact S2 will be permanent in order to
lengthen the culvert to increase the shoulder width and comply with current roadway standards. Since the total
permanent stream impact is well below 150 LF, no stream mitigation is proposed for this project.
6. Buffer Impacts (for DWR)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts below
6a. Project is in which protect basin(s)?*
Check all that apply.
rJ Neuse r Tar -Pamlico
r- Catawba r Randleman
r Goose Creek r Jordan Lake
r Other
...........................
6b. Impact Type *
6c. Per or
6d. Stream name *
6e. Buffer mitigation
6f. Zone 1
6g. Zone 2
Temp*
required?*
impact*
impact*
B1 allowable
P
UT to Mills Branch
No
0
169
Location and Exenpt, Allowable, allowable w/
Permanent (P) or
(square feet)
(square feet)
mitigation
Temporary (T)
B2 allowable
P
UT to Mills Branch
No
206
0
Location and Exempt, Allowable, allowable w/
Permanent (P) or
(square feet)
(square feet)
nitigafion
Tenporary (T)
B3 allowable
P
UT to Mills Branch
No
489
0
Location and Exempt, Allowable, edlowable w/
Permanent (P) or
(square feet)
(square feet)
nitigation
Temporary (T)
B4 allowable
P
UT to M ills Branch
No
0
780
Location and Exempt, Allowable, a lovable w/
Permanent (P) or
(square feet)
(square feet)
rritigation
Temporary (T)
B5 allowable
P
UT to Mills Branch
No
18
0
Location and Exempt, Allowable, allowable w/
Permanent (P) or
(square feet)
(square feet)
mitigation
Temporary (T)
B6 allowable
P
UT to Mills Branch
No
35
0
Location and Exempt, Allowable, allowable w/
Permanent (P) or
(square feet)
(square feet)
mitigation
Tenporary (T)
6h. Total buffer impacts:
........................................
Zone 1 Zone 2
Temporary impacts: 0.00 0.00
Zone 1 Zone 2
Permanent impacts: 748.00 949.00
Zone 1 Zone 2
Total buffer impacts: 748.00 949.00
61. Comments:
Supporting Documentation - i.e. Impact Maps, Plan Sheet, etc.

Qick the upload button or drag and drop files here to attach docurrent
NCDWR Buffer Determination Letter (RRO #17-128) for Lake Wheeler Parcels.pdf 3.6MB
01 Overall Impact Map -REV 051018.pdf 686.93KB
02 Culvert - Ex Conditions.pdf 492.47KB
03 Culvert - Proposed Impacts -rev 051018.pdf 652.76KB
04 Mass Grading - Ex Conditions.pdf 289.64KB
05 Mass Grading - Proposed Impacts -rev 051018.pdf 417.24KB
06 Pond Outlet - Ex Conditions.pdf 299.61 KB
07 Pond Outlet - Proposed Impacts -Rev 051018.pdf 403.9KB
File mist be RDF
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:*
Jurisdictional areas on the site were designed around to avoid unnecessary impacts. Proposed subdivision roads
were aligned so as to completely avoid impacts. Lot layouts were reconfigured to require less wetland fill than
originally proposed. Stormwater BMPs were located on the site so as to provide hydrologic input into the
jurisdictional wetland areas while avoiding permanent impacts.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
General techniques include the use of construction fencing to define the construction corridor and prevent any
accidental additional impacts. Silt fencing and temporary basins will also be used to prevent sediment runoff into
the streams and 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?
f Yes
r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Proposed permanent wetland impacts have been minimized to be less than 0.1 acre. Permanent stream impacts total only 5 LF and riparian
buffer impacts are considered "allowable".
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 INC Riparian Buffer Protection
Rules?
r Yes
r No
1b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the project is subject to a
state implemented riparian buffer protection program, include a plan that fully documents how diffuse flow will be maintained.
All Stormwater Control Measures (SCM)s must be designed in accordance with the NC Stormwater Design Manual. Associated
supplement forms and other documentation shall be provided.
What type of SCM are you providing?
Level Spreader
r Vegetated Conveyance (lower SFWF)
r Wetland Swale (higher SHWT)
W Other SCM that removes minimum 30% nitrogen
(check all that apply)
For a list of options to meet the diffuse flow requirements, click here.
Diff us Flow Documentation

Click the upload button or drag and drop files here to attach docunent
File type rust be FDF
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?
f Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?*
f Yes
f• No
To lookup 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?*
r Yes
f No
Hnt: projects that have vested rights, exemptions, or grandfathering from state or locally implemented storrwater programs or projects that satisfy state or locally-inplerrented stormwater programs
through use of community in -lieu programs should answer no to this question.
2d. Which of the following stormwater management program(s) apply (check all that apply):*
V Local Government
F State
Local Government Stormwater Programs*
rJ Phase II
r- NSW
r- USMP
r- Water Supply
Please identifywhich local government stormwater program you are using.*
Fuquay-Varina
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
f Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or
DWR Surface Water or Wetland Standards or Riparian Buffer Rules (15A NCAC 2B.0200)? *
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?*
f Yes r No
3b. If you answered "no," provide a short narrative description.
No additional infrastructure will be added to the region to facilitate additional growth as a result of this project.
4. Sewage Disposal (DWR Requirement)

4a. Is sewage disposal required by DWR forth is project?*
r Yes r Nor N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
f Yes b No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
f Yes r No
5d. Is another Federal agency involved?*
r Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?*
f 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?
f Yes r No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/130-17-signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?*
f 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?
The NC Natural Heritage Data Base (2017) was referenced and a report received from NCNHP (attached)
identified no recorded federally listed species on the project site or within a 1 -mile radius.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
f Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
The proposed project takes place in Wake County which is not near any coastal or tidal habitat that would support
EFH (i.e. salt marshes, oyster reefs, etc.).
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?*
Records check at the State Historic Preservation Office or the Office of State Archeology was not performed. The
HPOWEB GIS mapping service was accessed on December 21, 2017. One DOE Boundary (Determined Eligible
Historic District listing), The John B. Strain House, is present within the site limits. The John B. Strain House
(WA1236 & WA126) is a Mid -19th Century Greek Revival located in the southeastern corner of the site along Lake
Wheeler Road. A phase 1 archaeological survey has been completed on the site and a report has been submitted
to NCDCR. Additionally, discussions have been initiated with NCSHPO as to the fate of the John B. Strain House,
however a final resolution has not been made.
7c. Historic or Prehistoric Information Upload

Click the upload button or drag and drop files here to attach docurrent
File mist be FDF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https:Hmsc.fema.gov/portal/search
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r^ Yes r No
8c. What source(s) did you use to make the floodplain determination?*
NC Flood Risk Information System (http://fris.nc.gov/fris/Home.asp)?ST=NC) DFIRM Panel # 3720068800J,
effective May 2, 2006.
Miscellaneous
Miscellaneous attachments not previously requested.
Click the upload button or drag and drop files here to attach docurrent
1 - Cover Letter for Highland Forest.pdf 89.72KB
2 - Signed Agent Authorization Forms for Lake Wheeler Parcels.pdf 2.26MB
NCNHP report for The Village at Lake Wheeler.pdf 835.24KB
File rust be FDF or 1,aE
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:*
Sean Clark
Signature
q G &Xpl
Date Submitted:
6/18/2018
Initial Review
Is this project a public transportation project?* (?
f Yes r No
Change only if needed.
Has this project met the requirements for acceptance in to the review process?*
r Yes
f No
BIMS # Assigned
20180851
Version#*

Reviewing Office*
Central Office - [phone]
Select Project Reviewer*
Paul Wojoski:EADS\pavojoski
Is a payment required for this project?*
f No payment required
r Fee received
F Fee needed - send electronic notification
What amout is owed?*
r $240.00
f $570.00