20180902 Ver 1_PCN_20180629

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PCN 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: Section 404 Permit Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 29 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? Yes No
1d. Type(s) of approval sought from the DWQ (check all that apply):
401 Water Quality Certification – Regular Non-404 Jurisdictional General Permit
401 Water Quality Certification – Express Riparian Buffer Authorization
1e. Is this notification solely for the record
because written approval is not required?

For the record only for DWQ
401 Certification:
Yes No
For the record only for Corps Permit:

Yes 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.
Yes No

1g. Is the project located in any of NC’s twenty coastal counties. If yes, answer 1h
below.
Yes No

1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes No
2. Project Information
2a. Name of project: Timberlake Preserve
2b. County: Franklin County
2c. Nearest municipality / town: Youngsville
2d. Subdivision name: Timberlake Preserve
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: Crosswind Development, Inc. (Note: the county GIS site does not reflect the recent
change in ownership)
3b. Deed Book and Page No. DB 478; DP 136,
3c. Responsible Party (for LLC if
applicable):
3d. Street address: 2550 Capital Drive, Suite 105
3e. City, state, zip: Creedmoor, NC 27522
3f. Telephone no.: 919-528-1347
3g. Fax no.:
3h. Email address: [e-mail]
Office Use Only:
Corps action ID no. SAW-2016-
01126
DWQ project no. _______________

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4. Applicant Information (if different from owner)
4a. Applicant is: Agent Other, specify:
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: Mr. Sean Clark
5b. Business name
(if applicable): Sage Ecological Services, Inc.
5c. Street address: 3707 Swift Drive
5d. City, state, zip: Raleigh, NC 27606
5e. Telephone no.: 919-559-1537
5f. Fax no.:
5g. Email address: [e-mail]

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PCN Form – Version 1.4 January 2009
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 1852-65-3291
1b. Site coordinates (in decimal degrees): Latitude: 36.016748° N Longitude: 78.471511° W
1c. Property size: +/- 76.71 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Richland Creek
2b. Water Quality Classification of nearest receiving water: C; NSW
2c. River basin: Neuse River Basin (HUC 03020201)
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 site is mostly forested and undeveloped with crop production fields located in the southern quarter
of the tract. General land-use in the vicinity of the site consists agricultural, undeveloped forested land and rural
residential tracts.
3b. List the total estimated acreage of all existing wetlands on the property: +/-3.1 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: +/- 1,900 LF
3d. 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
for housing in this part of Franklin County.
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project is a single-family residential subdivision that consists of 176-detached residential lots. Residential streets
will connect to existing adjacent roads in the area. The proposed impacts from road construction, lot fill, and raised
boardwalk / greenway trail and aerial sewer line crossing will result in impacts from wetland fill and temporary and permanent
riparian buffer impacts. Utilities for the proposed project will connect to existing utility lines adjacent to the proposed project
boundaries. Heavy equipment typically used for utility installation projects (e.g. back hoes, bull-dozers, etc) will be utilized.

4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
Yes No Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made? Preliminary Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Sean Clark
Agency/Consultant Company:
SEPI Engineering and Construction,
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
A field verification meeting was held with Mr. James Lastinger of the USACE on September 3, 2015 (AID: SAW-2015-
01931). A riparian buffer determination was made by NCDWR staff on July 15, 2015 and a determination letter
(TPRRO# 15-272) was issued on July 20, 2015.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? Yes No Unknown
5b. If yes, explain in detail according to “help file” instructions.

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6. Future Project Plans
6a. Is this a phased project? Yes No
6b. If yes, explain.

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
Wetlands Streams – tributaries 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 (T)
2b.

Type of impact
2c.

Type of wetland
(if known)
2d.

Forested

2e.
Type of jurisdiction
Corps (404, 10) or
DWQ (401, other)
2f.

Area of
impact
(acres)
Impact 1
(P)
Roadway
Slope Fill
Bottomland
Hardwood
Forest
Yes Corps 0.0058
Impact 2
(P)
Road ROW
Fill
Bottomland
Hardwood
Forest
Yes Corps 0.0007
Impact 3
(P)
Lot
Fill
Bottomland
Hardwood
Forest
Yes Corps 0.0038
Impact 4
(P)
Road ROW
Fill
Bottomland
Hardwood
Forest
Yes Corps 0.0999
Impact 5
(P)
Lot
Fill
Bottomland
Hardwood
Forest
Yes Corps 0.0269
- Choose One Choose one Yes/No -
2g. Total wetland impacts 0.1371
2h. Comments: Proposed wetland impacts are to the wetland referred to as WA on the previously submitted JD
request.
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)

3h. Total stream and tributary impacts
3i. Comments: No stream impacts are proposed for this project.

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4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number –
Permanent (P) or
Temporary (T)
4b.
Name of
waterbody
(if applicable)
4c.

Type of impact
4d.

Waterbody type
4e.

Area of impact
(acres)
O1 Choose one Choose One Choose
4f. Total open water impacts 0
4g. Comments: There are no open waters with proposed impacts within the project boundaries.

5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.

Pond ID
number
5b.

Proposed use or
purpose of pond

5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1 Choose One
P2 Choose One
5f. Total 0 0 0 0 0 0 0
5g. Comments: This project does not propose Pond or Lake construction
5h. Is a dam high hazard permit required?
Yes No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.Project is in which protected basin? Neuse Tar-Pamlico Catawba Randleman Other:
6b.
Buffer impact
number –
Permanent (P) or
Temporary (T)
6c.

Reason for
impact
6d.

Stream
name
6e.

Buffer mitigation required?
6f.

Zone 1 impact
(square feet)
6g.

Zone 2 impact
(square feet)
1 - P
Sewer
Crossing of
Stream
UT Richland
Creek No 830 1,200
2 - P
Greenway
Crossing of
Stream
UT Richland
Creek No 1,205 804
6h. Total buffer impacts 2,035 2,004
6i. Comments: Proposed buffer impacts are considered “allowable” in the table of uses.

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D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. Stream crossings
were avoided completely by using a bridge for the greenway trail and an aerial sewer crossing. Roads were shifted
slightly to avoid additional wetland impacts. Low retaining walls are proposed to avoid wetland lot fill.
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?
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
Payment to in-lieu fee program
Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: Grantham Branch Mitigation Site
3b. Credits Purchased (attach receipt and letter)
Type: Riparian
wetland Quantity 0.28 acres
Type: Choose one Quantity N/A
Type: Choose one Quantity N/A
3c. Comments: N/A
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. Yes
4b. Stream mitigation requested: 0 linear feet
4c. If using stream mitigation, stream temperature: cool
4d. Buffer mitigation requested (DWQ only): 0 square feet
4e. Riparian wetland mitigation requested: 0 acres
4f. Non-riparian wetland mitigation requested: 0 acres
4g. Coastal (tidal) wetland mitigation requested: 0 acres
4h. Comments: N/A
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.

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6. Buffer Mitigation (State Regulated Riparian Buffer Rules) – required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
Yes No

6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)

Multiplier
6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:

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PCN Form – Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules? Yes No
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: The diffuse flow plan is part of the Stormwater Management Plan being
reviewed by the County.
Yes No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 32.9 %
2b. Does this project require a Stormwater Management Plan? Yes No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: The project requires a Stormwater
Management Plan that will be reviewed by Town of Holly Springs, NC.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
The site plan calls for multiple BMPs spread throughout the site.
2e. Who will be responsible for the review of the Stormwater Management Plan? Town of Youngsville
3. Certified Local Government Stormwater Review
3a. In which local government’s jurisdiction is this project? Town of Youngsville
3b. Which of the following locally-implemented stormwater management programs
apply (check all that apply):
Phase II
NSW
USMP
Water Supply Watershed
Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
attached?
Yes No
4. DWQ Stormwater Program Review
4a. Which of the following state-implemented stormwater management programs apply
(check all that apply):
Coastal counties
HQW
ORW
Session Law 2006-246
Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? Yes No
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

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PCN Form – Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the
use of public (federal/state) land? Yes No
1b. 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
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
Yes No
1c. If you answered “yes” to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
Comments:
Yes No
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,
or Riparian Buffer Rules (15A NCAC 2B .0200)?
Yes No
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
additional development, which could impact nearby downstream water quality? Yes No
3b. If you answered “yes” to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered “no,” provide a short narrative description.

4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
The proposed project will tie into existing Town of Youngsville sewer lines located on to the site.

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5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
habitat? Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts? Yes No
5c. If yes, indicate the USFWS Field Office you have contacted.
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The NC Natural Heritage Database (2018) was queried and a report (dated June 5, 2018) was received from NCNHP
which 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 essential fish habitat? Yes No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
The proposed project takes place in Franklin 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)
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)?
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
http://gis.ncdcr.gov/hpoweb/ *Records check at the State Historic Preservation Office or the Office of State Archeology was not
performed. No recorded historic properties are located on the project site. See attached documentation for nearby recorded
historic properties.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? Yes No
8b. If yes, explain how project meets FEMA requirements: N/A
8c. What source(s) did you use to make the floodplain determination? FEMA Flood Map Service Center
(https://msc.fema.gov/portal/search) FEMA DFIRM Panel # 3720185200J, effective January 16, 2004.

Sean Clark

Applicant/Agent's Printed Name

_______________________________
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
06/29/2018
Date