20190013 Ver 1_401 Application_20181228

December 12, 2018
'"'4
ARM
Geothermal, Environmental,
& Well Drilling
NC Division of Water Quality
Attn: Jennifer Burdette ��.���
1650 Mail Service Center CO
Raleigh, NC 27699-1650 Copy
RE: Waterway Trail, NCPIN; 3292-64-8054-000
Pender County, North Carolina
Ms. Burdette,
201900'3
In an effort to further clarify the intent to construct a driveway at the above referenced
location, please find enclosed the following documents for your review;
Project Narrative Letter
Preliminary Jurisdictional Determination Form
Wetland Determination Data Forms -Coastal Plain
Pre -Construction Notification Form
Figure 1: Tract 11 Forest Sound — Site Vicinity
Figure 2: Tract 11 Forest Sound — Proposed Impact site plan
Agent Authorization Form
Copy of NC General Warranty Deed
If you have any questions, please do not hesitate to contact our office at [phone].
Sincerely,
L
P11WIS
Gene E
Environ Scientist
Applied Kcoource Management, PC
i? 0. Box 882, 257 Transfer Station Road, Hampstead, NG 28445, 910.270.2919, Fax [phone]

December 12, 2018
NC Division of Water Quality
Attn: Jennifer Burdette
1650 Mail Service Center
Raleigh, NC 27699-1650
RE: Project Narrative
Waterway Trail
Dear Ms. Burdette:
ARM kk
Gcothermal, Environmental,
& Well Drilling
On behalf of Winfield Talton III, Applied Resources Management, P.C. is providing you with a
project narrative for the above referenced site.
The project is located along Waterway Trail in Hampstead, NC. The property is approximately 2.04
acres. In order to construct a home, driveway to access a homesite on an upland area, a driveway
crossing will be needed in a small portion of the noted wetlands; therefore a Nationwide Permit 29
is being sought.
The proposed project consists of construction of a driveway and home site for a single family
residential structure. The wetland area is noted to bisect the property, thus this minimal crossing
impact is needed. .
The impact is expected to be approximately 0.01 acres. This wetland impact has been minimized by
locating the crossing a smaller portion of the wetland and with the use of a culvert and retaining wall
the impact should be minimal. This should also keep erosion and sedimentation under better
control.
If you have any questions or require any additional information, please feel free to contact me at
[phone].
Sincerely,
2tos
Gene ou , R HS
Environmenta cientist
Applied Keoource Management, FIG
F. 0. Box 882, 257 Transfer Station Road, Hampstead, NC 28443, 910.270.2919, Fax [phone]

urisdictional Determination Request
U5 Army Corps
of Engineers
Wilmington Distrid
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
hgp://www.saw.usace.army.mil/Missions/RegularyPermitProgmm/Contact/CouMLocator aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number. [phone]
Fax Number- [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number. [phone]
Fax Number. [phone]
INSTRUCTIONS:
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number [phone]
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: Waterway Trail
City, State:
Hampstead, NC
County: Pender
Parcel Index Number(s) (PIN): 3292-64-8054-0000
B. REQUESTOR INFORMATION
Name: Gene Youn% ARM
Mailing Address: 257 Transfer Station RD
Hampstead, NC 28443
Telephone Number: 910-617-4914
Electronic Mail Address: [e-mail]
Select one:
F] I am the current property owner.
DI am an Authorized Agent or Environmental Consultant'
F] Interested Buyer or Under Contract to Purchase
n Other, please explain. authorized agent for owner
C. PROPERTY OWNER INFORMATION2
Name: Win Talton
Mailing Address: 1018 Freeport Drive
Cary, NC 27519
Telephone Number: 919-943-2832
Electronic Mail Address: [e-mail]
' Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION 1,4
By signing below, I 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, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
_..40Vrern.Ce Wi4g(J Ta&l
Print Name
Capacity: Owner ❑ Authorized Agents
12113/220($'
Date.
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
❑ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
❑ I intend to construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
A Corps JD is required in order obtain my local/state authorization.
I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
I believe that the site may be comprised entirely of dry land.
Other:
s For NCDOT requests following the current NCDOTIUSACE protocols, skip to Part E.
If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
s Must provide agent authorization fbmvletter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
0 I am requesting that the Corps provide a preliminary_ JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓❑ Size of Property or Review Area 2.04 acres.
❑ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude:
34.3587
Longitude: -77.6853
17 A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11 x 17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).'
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
■ Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
✓0 Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.army.miVMissions/Regulatory-Permit-
Program/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
zCompleted appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Form'
F] Vicinity Map
aAerial Photograph
F] USGS Topographic Map
F Soil Survey Map
F] Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
F] Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Forms and Rating Sheets
NC Division of Water Resources Stream Identification Forms
Other Assessment Forms
' www. saw.usace.army.mil/Portals/59/docs/re ulatory/reQdocs/JD/RGL 08-02 App A Prelim JD Form fillable pdf
' Please see http://www.saw.usace.army.miUMissions/Reeulatory-Permit-Prograni/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal. state. and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction isto be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGEwebsite.
Disclosure: Submission of requested information isvoluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

Appendix 1 - REQUEST FOR CORPS JURISDICTIONAL DETERMINATION WD)
To: District Name Here
• I am requesting a JD on property located at: waterwaytrall
(Street Address)
City/Township/Parish: Hampstead County: Pander State: NC
Acreage of Parcel/Review Area for JD: 2.04
Section: Township: Range:
Latitude (decimal degrees): 34.3587 Longitude (decimal degrees): -77.8853
(For linear projects, please include the center point of the proposed alignment.)
• Please attach a survey/plat map and vicinity map identifying location and review area for the JD.
• I currently own this property. _ I plan to purchase this property.
✓ I am an agent/consultant acting on behalf of the requestor.
=Other (please explain):
• Reason for request: (check as many as applicable)
Q I intend to construct/develop a project or perform activities on this parcel which would be designed to
avoid all aquatic resources.
=I intend to construct/develop a project or perform activities on this parcel which would be designed to
avoid all jurisdictional aquatic resources under Corps authority.
=1 intend to construct/develop a project or perform activities on this parcel which may require
authorization from the Corps, and the JD would be used to avoid and minimize impacts to jurisdictional
aquatic resources and as an initial step in a future permitting process.
r-71 I intend to construct/develop a project or perform activities on this parcel which may require authorization from
the Corps; this request is accompanied by my permit application and the JD is to be used in the permitting process.
=I intend to construct/develop a project or perform activities in a navigable water of the U.S. which is
included on the district Section 10 list and/or is subject to the ebb and flow of the tide.
�A Corps JD is required in order to obtain my local/state authorization.
�] I intend to contest jurisdiction over a particular aquatic resource and request the Corps confirm that
jurisdiction does/does not exist over the aquatic resource on the parcel.
Q I believe that the site may be comprised entirely of dry land.
Q Other:
• Type of determination being requested:
=I am requesting an approved JD.
✓ I am requesting a preliminary JD.
I am requesting a "no permit required" letter as I believe my proposed activity is not regulated.
I am unclear as to which JD I would like to request and require additional information to inform my decision.
By signing below, you are indicating that you have the authority, or are acting as the duly authorized agent of a
person or entity with such authority, to and do hereby grant Corps personnel right of entry to legally access the
site if needed to perform the JD. Your signature shall be an affirmation that you possess the requisite property
rights to request a JD on the subject property.
*Signature: I & Date: i
• Typed or printed me: a Young, REHS
Company name: Applied Resource Management, PC
Address: 257 Transfer Station RD
Hampstead, NC 28443
Daytime phone no.: 9IM17-4914
Email address: genecamvic.com
*Authorities: Rivers and Hartwrs Act, Section 10, 33 USC 403; Clean Water Act, Section 404, 33 USC 1344; Marine Protection, Research, and Sanctuaries Act,
Section 103, 33 USC 1413; Regulatory Program of the U.S. Army Corps of Engineers; Final Rule for 33 CFR Parts 320-332.
Principal Purpose: The information that you provide will be used in evaluating your request to determine whether there are any aquatic resources within the project
area subject to federal jurisdiction under the regulatory authorities referenced above.
Routine Uses: This Information may be shared with the Department of Justice and other federal, state, and local government agencies, and the public, and may be
made available as part of a public notice as required by federal law. Your name and property location where federal jurisdiction is to be determined will be included in
the approved jurisdictional determination (AJD), which will be made available to the public on the Districts website and on the Headquarters USACE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the request for an AJD cannot be evaluated nor can an AJD be
issued.

Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
A. REPORT COMPLETION DATE FOR PJD:
B. NAME AND ADDRESS OF PERSON REQUESTING PJD:
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Pender City: Hampstead
Center coordinates of site (lat/long in degree decimal format):
Lat.: 34.3587 Long.: -77.6853
Universal Transverse Mercator:
Name of nearest waterbody: Intracoastal Waterway
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
In review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non -wetland
waters)
Geographic authority
to which the aquatic
resource "may be"
subject (i.e., Section
404 or Section 10/404)
1
34.3587
-77.6853
0.65
wetland
404

1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in
the review area, and the requestor of this PJD is hereby advised of his or her option
to request and obtain an approved JD (AJD) for that review area based on an
informed decision after having discussed the various types of JDs and their
characteristics and circumstances when they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a
Nationwide General Permit (NWP) or other general permit verification requiring "pre -
construction notification" (PCN), or requests verification for a non -reporting NWP or
other general permit, and the permit applicant has not requested an AJD for the
activity, the permit applicant is hereby made aware that: (1) the permit applicant has
elected to seek a permit authorization based on a PJD, which does not make an
official determination of jurisdictional aquatic resources; (2) the applicant has the
option to request an AJD before accepting the terms and conditions of the permit
authorization, and that basing a permit authorization on an AJD could possibly result
in less compensatory mitigation being required or different special conditions; (3) the
applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant can
accept a permit authorization and thereby agree to comply with all the terms and
conditions of that permit, including whatever mitigation requirements the Corps has
determined to be necessary; (5) undertaking any activity in reliance upon the subject
permit authorization without requesting an AJD constitutes the applicant's acceptance
of the use of the PJD; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps permit
authorization based on a PJD constitutes agreement that all aquatic resources in the
review area affected in any way by that activity will be treated as jurisdictional, and
waives any challenge to such jurisdiction in any administrative or judicial compliance
or enforcement action, or in any administrative appeal or in any Federal court; and (7)
whether the applicant elects to use either an AJD or a PJD, the JD will be processed
as soon as practicable. Further, an AJD, a proffered individual permit (and all terms
and conditions contained therein), or individual permit denial can be administratively
appealed pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it
becomes appropriate to make an official determination whether geographic
jurisdiction exists over aquatic resources in the review area, or to provide an official
delineation of jurisdictional aquatic resources in the review area, the Corps will
provide an AJD to accomplish that result, as soon as is practicable. This PJD finds
that there "may be" waters of the U.S. and/or that there "may be" navigable waters of
the U.S. on the subject review area, and identifies all aquatic features in the review
area that could be affected by the proposed activity, based on the following
information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
0 Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:
0 Data sheets prepared/submitted by or on behalf of the PJD requester.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
R USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
0 U.S. Geological Survey map(s). Cite scale & quad name: Hampstead, NC 2016
❑ Natural Resources Conservation Service Soil Survey. Citation:
❑ National wetlands inventory map(s). Cite name:
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100 -year Floodplain Elevation is: .(National Geodetic Vertical Datum of 1929)
❑ Photographs: ❑ Aerial (Name & Date):
or ❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corns and should not be relied upon for later jurisdictional
determinations.
Signature and date of
Regulatory staff member
completing PJD
Signatur nd d to
person requ Ing PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
' Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: Waterway Trail City/County: Pander Sampling Date: December 11 2018
Applicant/Owner.. Win Talton State: NC Sampling Point: Wetland
Investigator(s): Gene Young, REHS-A.R.M. Section, Township, Range: Hampstead, NC
Landform (hillslope, terrace, etc.): Side slope Local relief (concave, convex, none): Linear Slope (%): 20%
Subregion (LRR or MLRA): LRR T Let: 34.3587N Long: -77.6853W Datum:
Soil Map Unit Name: Aloin Series NCWAM classification: Small Basin Wetland
Are climatic / hydrologic conditions on the site typical for this time of year? Yes x No (if no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes x No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINnimr.q — eftnnh alto men chnwinn comnlinn nnin+ inns+rnno +--+e —.....+—# F-6— a6^
Hydrophytic Vegetation Present? Yes
X No
Hydric Soil Present? Yes
X No
Is the Sam p
Sampled Area
Wetland Hydrology Present? Yes
X No
within a Wetland? Yes x No
Remarks: This appears to be a wetland.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two
required)
Primary Indicators minimum of one is required; check all that apply)
_ Surface Soil Cracks (66)
X Surface Water (A1) x
Water -Stained Leaves (139)
Sparsely Vegetated Concave Surface
_
(68)
High Water Table (A2) _
Aquatic Fauna (1313)
_ Drainage Patterns (610)
Saturation (A3) _
Marl Deposits (B15)(LRR U)
_ Moss Trim Lines (616)
Water Marks (131) _
Hydrogen Sulfide Odor (Cl)
_ Dry -Season Water Table (C2)
Sediment Deposits (62) _
Oxidized Rhizospheres on Living Roots _ Crayfish Burrows (C8)
(C3)
Drift Deposits (133) _
Presence of Reduced Iron (C4) _ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (64) _
Recent Iron Reduction in Tilled Soils (C6) _ Geomorphic Position (D2)
Iron Deposits (65) _
Thin Muck Surface (C7)
_ Shallow Aquitard (133)
Inundation Visible on Aerial Imagery _
Other (Explain in Remarks)
x FAC -Neutral Test (D5)
(137)
Field Observations:
Surface Water Present? Yes x No
Depth (inches):2-3"
Water Table Present? Yes x No
Depth (inches):+2"
Saturation Present? Yes x No
Depth (inches):+2"
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

Tree Stratum (Plot size: 30' )
1. Water Oak (Quercus nigra)
Absolute
% Cover
20
Dominant
Species?
Y
Indicator
Status
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 5 (A)
Total Number of Dominant
Species Across All Strata: 5 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100 (A/B)
FAC
2. Sweetaum (Liauidambar stvreciflua)
20
Y
FAC
3. Myrtle (Myrica cerifera)
10
Y
FAC
4. Black willow (Salix niora)
5
N
OBL
5.
6
—
_
Cover
7.
Sapling Stratum (Plot size: 39
1
55
= Total
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x2=
FAC species x 3 =
FACU species x4=
UPL species x 5 =
Column Totals: (A)
(B)
Prevalence Index = B/A =
2.
3.
4.
5
6.
7.
Shrub Stratum (Plot size: 30' )
1. Palmetto (Saba[ minor)
2. Netted chainfern (Woodwardia areolata)
5
= Total
Y
Cover
FACW
5
Y
OBL
3'
Hydrophytic Vegetation Indicators:
X Dominance Test is >50%
Prevalence Index is s3.0'
Problematic Hydrophytic Vegetation'
(Explain)
'Indicators of hydric soil and wetland hydrology
must
4.
5.
6.
7
Herb Stratum (Plot size: 30' )
1
10
= Total
Cover
Definitions of Vegetation Strata:
Tree — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3
in.(7.6 cm) or larger in diameter at breast height
(DBH).
Sapling — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub — Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb — All herbaceous (non -woody) plants,
including
herbaceous vines, regardless of size. Includes
woody
plants, except woody vines, less than approximately
3 ft (1 m) in height.
Woody vine — All woody vines, regardless of
height.
2.
3.
4
5.
6.
7.
g
9.
10.
11.
12.
Woody Vine Stratum (Plot size: 30' )
1•
= Total
Cover
2.
3
4'
5•
= Total
Cover
Hydrophytic
Vegetation
Present? Yes x No
Remarks: (If observed, list morphological adaptations below).vegetation strata are very limited

ova.
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matix Redox Features
Inches Color (moist) % Color (moist) % Tie_ Loc Texture Remarks
0-18 2.5Y 2/1 Sandy loam Mucky
Type: C=Concentration, D=Depletion, RM= Reduced Matrix, CS=Covered or Coated Sand Grains. Location: PL= Pore Lining, M= Matrix
_ Histosol (Al)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
_ Organic Bodies (A6)(LRR P, T, U)
_ 5 cm Mucky Mineral (A7)(LRR P, T,
X Muck Presence (A8)(LRR P, T)
_ 1 cm Mucky Mineral (A7)(LRR P, T,
_ Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al2)
_ Coast Prairie Redox (A16)(MLRA
_ Sandy Mucky Mineral (S1)(LRR O,S)
_ Sandy Gieyed Matrix (S4)
Polyvalue Below Surface (S8)(LRR S,
Thin Dark Surface (S9) (LRR S, T, U)
Loamy Mucky Surface (F1) (LRR O)
Loamy Gleyed Matra (F2)
Depleted Matrix (F3)
Redox Dark Surface (F6)
Depleted Dark Surface (F7)
Redox Depressions (F8)
Marl (F10) (LRR U)
Depleted Ochric (F11) (MRLA 151)
Iron -Manganese Masses (F12)(LRR
Unbric Surface (F13( (LRR P, T, U)
Delta Ochric (F17) (MRLA 151)
Reduce Vertic (F18) (MRLA 150A, 150B)
1 cm Muck (A9) (LRR O)
2 cm Muck (A10) (LRR S)
Reduced Vertic (F18)(outside MLRA 150A, B)
Piedmont Floodplain Soils (F19)
Anomalous Bright Loamy Soils (F20)
(MRLA 153B)
Red Parent Material (TF2)
Very Shallow Dark Surface (TF12) (LRR T, U)
Other (Explain in Remarks)
9 Indicators of hydrophytic vegetation
and
wetland hydrology must be present,
unless disturbed or problematic.
_ Sandy Redox (S6) _ Piedmont Floodplain Soils (MRLA 149A)
_ Stripped Matrix (S6) _ Anomalous Bright Loamy Soils (F20) (MRLA 149A, 153C, 153D)
Dark Surface S7 LRR P S T U
Restrictive Layer (H observed):
Type:
Depth (inches): Hydric Soils Present? Yes _ x No
Remarks:
soils appear to be hydric.

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: Waterway Trail City/County: Pender Sampling Date: December 11, 2018
Applicant/Owner: Win Talton State: NC Sampling Point: Upland
Investigator(s): Gene Young, REHS-A.R.M. Section, Township, Range: Hampstead, NC
Landform (hilislope, terrace, etc.): Side slope Local relief (concave, convex, none): Linear Slope (%): 20%
Subregion (LRR or MLRA): LRR T Lat: 34.3587N Long: -77.6853W Datum:
Soil Map Unit Name: Alvin Series NCWAM classification: Small Basin Wetland
Are climatic / hydrologic conditions on the site typical for this time of year? Yes x No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes x No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features. etc.
Hydrophytic Vegetation Present? Yes X No
Hydric Soil Present? Yes No X
Wetland Hydrology Present? Yes No x
Zemarks: This does not appear to be a wetland.
Is the Sampled Area
within a Wetland?
Yes No X
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two
required)
Primary Indicators (minimum of one is required:
check all that apply)
_ Surface Soil Cracks (66)
Surface Water (Al)
_ Water -Stained Leaves (Bg)
_ Sparsely Vegetated Concave Surface
(68)
High Water Table (A2)
_ Aquatic Fauna (1313)
_ Drainage Patterns (610)
Saturation (A3)
_ Marl Deposits (1315)(LRR U)
_ Moss Trim Lines (1316)
Water Marks (131)
_ Hydrogen Sulfide Odor (Cl)
_ Dry -Season Water Table (C2)
Sediment Deposits (62)
_ Oxidized Rhizospheres on Living Roots
_ Crayfish Burrows (C8)
(C3)
Drift Deposits (63)
_ Presence of Reduced Iron (C4)
_ Saturation Visible on Aerial Imagery (Cg)
Algal Mat or Crust (134)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Geomorphic Position (D2)
Iron Deposits (135)
Inundation Visible on Aerial Imagery
(137)
Observations:
_ Thin Muck Surface (C7)
_ Other (Explain in Remarks)
e Water Present? Yes _ No X Depth (inches):
Table Present? Yes _ No X Depth (inches): >24"
_ Shallow Aquitard (133)
x FAC -Neutral Test (135)
i Present? Yes _ No x Depth (inches):>24"I Wetland Hydrology Present? Yes No x
capillary fringe)
Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:

Tree Stratum (Plot size: 30' }
1. Water Oak (Quercus nigra)
Absolute
% Cover
20
Dominant
Species?
Indicator
Status
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 2 (A)
Total Number of Dominant
Species Across All Strata: 2 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100 (A/B)
Y
FAC
2. Tulip poplar (Liriodendron tulipftra)
10
N
FACU
3.
4.
5.
6
7.
Cover
Sapling Stratum (Plot size: 30' )
1 •
30
= Total
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x2=
FAC species x3=
FACU species X4=
UPL species X5=
Column Totals: (A)
(B)
Prevalence Index = B/A =
2•
3•
4•
5•
6.
7.
Shrub Stratum (Plot size: 30' )
1. Buckeye (Aesculus svlvatica)
2. Doahobble (Leucothoe spp)
3.
5
= Total
N
Cover
FAC
80
Y
FACW
Hydrophytic Vegetation Indicators:
X Dominance Test is >50%
Prevalence Index is s3.0'
_ Problematic Hydrophytic Vegetation'
(Explain)
'Indicators of hydric soil and wetland hydrology
must
4•
5.
6
7
Herb Stratum (Plot size: 30' )
1
85
= Total
Cover
Definitions of Vegetation Strata:
Tree — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3
in.(7.6 cm) or larger in diameter at breast height
(DBH).
Sapling — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub — Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb —All herbaceous (non -woody) plants,
including
herbaceous vines, regardless of size. Incudes
woody
plants, except woody vines, less than approximately
3 ft (1 m) in height.
Woody vine — All woody vines, regardless of
height.
2.
3.
4
5
6.
7.
8
9
10.
11.
12.
Woody Vine Stratum (Plot size: 30' )
1.
= Total
Cover
2.
3
4.
5•
= Total
Cover
Hydrophytic
Vegetation
Present? Yes x No
Remarks: (If observed, list morphological adaptations below).vegetation strata are very limited

Profile Description: (Describe to the depth needed to document the Indicator or confirm the absence of Indicators.)
Depth Matix Redox Features
Inches Color (moist) % Color (moist) % Type Loc Texture Remarks
0-4 2.5Y 3/1 Loamy sand Uncoated sand grains
4-20 10YR 4/2 Loamy Sand
20-30 2.5Y 6/4 Loamy Sand
Type: C=Concentration, D=Depletion, RM= Reduced Matrix, CS=Covered or Coated Sand Grains. Location: PL= Pore Lining, M= Matrix
_ Histosol (Al)
_ Polyvalue Below Surface (S8)(LRR S,
_ Histic Epipedon (A2)
_ Thin Dark Surface (S9) (LRR S, T, U)
_ Black Histic (A3)
_ Loamy Mucky Surface (F1) (LRR O)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matra (F2)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
_ Organic Bodies (A6)(LRR P, T, U)
_ Redox Dark Surface (F6)
_ 5 cm Mucky Mineral (A7)(LRR P, T,
_ Depleted Dark Surface (F7)
_ Muck Presence (A8)(LRR P, T)
_ Redox Depressions (F8)
_ 1 cm Mucky Mineral (A7)(LRR P, T,
_ Marl (1710) (LRR U)
_ Depleted Below Dark Surface (A11)
_ Depleted Ochric (F11) (MRLA 151)
_ Thick Dark Surface (Al2)
_ Iron -Manganese Masses (F12)(LRR
_ Coast Prairie Redox (A16)(MLRA
_ Unbric Surface (F13( (LRR P, T, U)
_ Sandy Mucky Mineral (S1)(LRR O,S)
_ Delta Ochric (F17) (MRLA 151)
_ Sandy Gleyed Matrix (S4)
_ Reduce Vertic (F18) (MRLA 150A, 150B)
1 cm Muck (A9) (LRR O)
2 cm Muck (A10) (LRR S)
Reduced Vertic (F18)(outside MLRA 150A,B)
Piedmont Floodplain Soils (F19)
Anomalous Bright Loamy Soils (F20)
(MRLA 153B)
Red Parent Material (TF2)
Very Shallow Dark Surface (TF1 2) (LRR T, U)
Other (Explain in Remarks)
3 Indicators of hydrophytic vegetation
and
wetland hydrology must be present,
unless disturbed or problematic.
_ Sandy Redox (S6) _ Piedmont Floodplain Soils (MRLA 149A)
_ Stripped Matrix (S6) — Anomalous Bright Loamy Soils (F20) (MRLA 149A, 153C, 153D)
Dark Surface S7 LRR P S T U
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soils Present? Yes _ No x
Remarks:
do not appear to be hydric.

oaoFt
>
0 C <
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
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 Q No
1 d. 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
1 e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
X❑ Yes ❑ 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.
❑ Yes Q No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
rX1 Yes ❑ 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:
Talton -Waterway Trail
2b. County:
Pender
2c.
Nearest municipality / town:
Hampstead
2d.
Subdivision name:
Forest Sound, Tract 11
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Winfield Talton III
3b.
Deed Book and Page No.
3606/51
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
1018 Freeport Drive
3e. City, state, zip:
Cary, NC 27519
3f.
Telephone no.:
919-943-2832
3g.
Fax no.:
3h.
Email address:
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
® Agent ❑ Other, specify:
4b. Name:
Gene Young, REHS
4c. Business name
(if applicable):
Applied Resource Management, PC
4d. Street address:
257 Transfer Station RD
4e. City, state, zip:
Hampstead, NC 28443
4f. Telephone no.:
910-617-4914
4g. Fax no.:
910-270-2988
4h. Email address:
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
same as above
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10

B. Project Information and Prior Project History
I. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
3292-64-8054-0000
1 b. Site coordinates (in decimal degrees):
I Latitude: 34.3587 Longitude: -77.6853
1 c. Property size:
2.04 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Intracoastal Waterway
2b. Water Quality Classification of nearest receiving water:
SA
2c. River basin:
White Oak /New River
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 currently undeveloped. The general land use is residential.
3b. List the total estimated acreage of all existing wetlands on the property: 0.65
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d. Explain the purpose of the proposed project:
The purpose of the project is to install a driveway to access a homesite on uplands behind the wetland area.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project will involve installing a culvert and retaining wall to allow for a driveway crossing over a wetland area. Typical equipment to be used
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):
Agency/Consultant Company:
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑Yes ❑ No ❑X Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ❑X No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
X❑ 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
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
Culvert
Headwater Wetland
Yes
Corps
0.01
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
W4 -
Choose one
Choose one
Yes/No
W5 -
Choose one
Choose one
Yes/No
W6 -
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
0.01
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 -
Choose one
-
S2 -
Choose one
-
S3 -
Choose one
-
S4 -
Choose one
S5 -
Choose one
S6 -
Choose one
-
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
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.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other.
6b.
Buffer Impact
number —
Permanent (P) or
Temporary T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
61 -
Yes/No
B2 -
Yes/No
B3 -
Yes/No
B4 -
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The crossing was proposed in an area with a very small crossing in order to minimize the impact.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
By culverting and installing a retaining wall, this will minimze impact area to the wetland while allowing flow through beneath the driveway
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:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Makina a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non-riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
6. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes Q No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑ 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.
❑ Yes ❑ No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
12%
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
below the impervious threshold per PCN guidance document
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which localgovernment's jurisdiction is thisproject?
❑ Phase 11
3b. Which of the following locally-implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑Yes ❑ No
attached?
4. DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a. Which of the following state-implemented stormwater management programs apply
ORW
(check all that apply):
HSession 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)
la. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes
® No
use of public (federal/state) land?
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
❑Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
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.)
❑ Yes
❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetiand 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
❑Yes
© No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
The site has been issued an Improvements Permit from Pender County for an on-site septic system.
Page 9 of 10
PCN Form — Version 1.4 January 2009

S. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes Q No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
Q Yes ❑ No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
website -
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC Natural Heritage website
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes Q No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
site is not adjacent to any estuary waters
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ❑X No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
HPOWEB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes Q No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
Pender County GIS Tax Map
Gene Young, REHS
—
11-30-2018
Applicant/Agent's Printed Name
is ature
Appl' n�val*
Date
(Agent's signs aonly if an authorization
letter from cant isprovided.)
Page 10 of 10

Mo
teal.. /
1p
_
��� 'p
�Ay TRC
'. y Project Location,. -
�-
e:-
Intracoastal
do Waterway
Project Boundary
(+/- 2.04 acres)
❑ Approximate Wetland Boundary
0.65 acres)
Note: ap adapted from survey by USGS To o ra hic Map "Hampstead, NC 2016"
TITLE: Tract 11, Forest Sound FIGURE:
applied �e5ource Site Vicinity
Management, P C. JOB: SCALE: DATE: DRAWN BY: 1
Hamp5t-,adNG264�43 17051 1"=1000' 10/11/18 GY

F-1 Approximate Wetland Boundar
(+/- 0.65 acres)
Proposed wetland crossing
(+/- 0.01 acres)
Property size: 2.04 acres
O Data Collection Location
Applied 11�e50urce
Management, PC
HampStea�l NC 28443
— /M , LS,8b.Zt7 N
Waterway Trail
Note: Map adapted from survey by Gary Keyes and Pender Co nty GIS Tax
TITLE: Tract 11, Forest Sound FIGURE:
Pender County, NC
JOB: SCALE: I DATE: DRAWN BY: 2
17051 1 "=50' 10/11/181 GY

Date:_ 12113/2018'
To Whom It May Concern:
RE: Agent and Access Authorization Letter
I authorize Gene Young or any employee of Applied Resource Management, PC to act
as an agent on my behalf in all matters dealing with wetland Jurisdictional
Determinations, reviews or permitting.
I furthermore authorize the US Army Corps of Engineers and/or the North Carolina
Division of Water Resources representative(s) to access my property as part of this
process.
Sincerely, d4 -i ���
Printed Name: Lac3vetnu, WivitlJd
Property Address:
Fd,rQ,4 Sbu�td ,
W 044- Oay tYAi
&mp 4ectd , NC 2-3443

12/13/2018 Pender GIS - Deed Search
The office of the Register of Deeds for Pender County hereby DISCLAIMS, and the user hereby WAIVES
any warranty, implied or otherwise, as to the correctness of the information contained herein.
Deed Book: 3606 • Page: 0051.jpg • Zoomin ZoomOut Previous Next
FILED BM3606PGO51
2009 APR -9 R!f 0: 02
rATE T;;v.;:
REGISTER OF DEEaS
PIN #F .3o)la-(oH^S Ip R COUNTY 11.G.
P -%TF- � o� sr-, 2L
STATE OF NORTH CAROLINA
GENERAL WARRANTY DEED
COUNTY OF PENDER
PLEASE TAKE NOTICE: The Attorney preparing this instrument has made no record
search or tide examination as to the property herein described, unless the same is shown by
his written and signed certificate. Fm ther, no tax advice of any nature has been rendered
to the parties to this instrument.
V/
MAIL AFTER RECORDING TO: Robert W. Kilroy, P.C., P.O. Box 999, Hampstead, NC 28443
THIS INSTRUMENT WAS PREPARED BY: • Patricia M. Homa
BRIEF DESCRIPTION FOR THE INDEX: Tract 11, Forest Sound, Section 2
PARCEL I.D. NO.: 3292-644HK"000
REVENUE STAMPS 50.00 (Gift Deed)
THIS DEED made this tad day of April, 2009, by and between
GRANTOR: TRUST UNDER WILL OF AUDREY M. TALTON,
JO W. TALTON NEAL, TRUSTEE formerly known as
JO W. TALTON
GRANTEE: LAWRENCE WINFIELD TALTON, III, Divorced
1018 Free Port Drive
Cary, NC 27519
The designation Grantor and Grantee as used herein shall include said parties, their heirs,
o-- 3
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