20190097 Ver 1_PCN Form Submission_20190121

DWR
IDIOM n of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
tial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned
20190097
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office*
Wilmington Regional Office - [phone]
Information for Initial Review
1a. Name of project:
Pluris Webb Creek Waste Water Treatment Facility
1a. Who is the Primary Contact?*
Maurice W. Gallarda, PE, Managing Member
1b. Primary Contact Email:*
[e-mail]
Date Submitted
1/21/2019
Nearest Body of Water
Parrots Swamp
Basin
White Oak
Water Classification
SA;HOW
Site Coordinates
Version# *
1
What amout is owed?*
r• $240.00
* $570.00
Select Project Reviewer*
Robb Mairs:eads\rlmairs2
1c. Primary Contact Phone:*
[phone]
Latitude: Longitude:
34.50371 -77.20206
FA. Processing Information U
County (or Counties) where the project is located:
Onslow
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
* Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?
rJ Nationwide Permit (NWP)
F- Regional General Permit (RGP)
F Standard (IP)

1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
F Non -404 Jurisdictional General Permit
F Individual Permit
39 - Commercial/Institutional Developments
r 401 Water Quality Certification - Express
r Riparian Buffer Authorization
1e. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification: r Yes r No
For the record only for Corps Permit: r Yes r No
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No
r Unknown
1j. Is the project located in a designated trout watershed?
C Yes r No
F. Applicant Information
1d. Who is applying forthe permit?
R Owner r Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
f Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
Pluris Webb Creek, LLC
2b. Deed book and page no.:
4853 876
2c. Responsible party:
Maurice W. Gallarda, PE, Managing Member
2d. Address
Street Address
c/o Pluris Holdings,
Address Line 2
100 McKinney Avenue, Suite 1550
Cty
State/ Frovince/ Pagion
Dallas
TX
Postal / Zip Code
Country
75201
us
2e. Telephone Number:
2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]

C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
NA
1c. Nearest municipality / town:
Swainsboro
2. Project Identification
2a. Property Identification Number:
534301097626.00 or 1308-2.12
2c. Project Address
Street Address
250 Zachary Lane
Address Line 2
City
Hubert
F stal / Zip Code
28539
3. Surface Waters
3a. Name of the nearest body of water to proposed project:`
Parrots Swamp
3b. Water Resources Classification of nearest receiving water:*
SA; HQW
3c. What river basin(s) is your project located in?*
White Oak
3d. Please provide the 12 -digit HUC in which the project is located.
030203010301
4. Project Description and History
2b. Property size:
8.3
State / Rovince / Region
NC
Country
US
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 currently serves as a wastewater treatment facility, Mich covers approximately 2.8 acres of the site. The remainder of the site is wooded. Two bottomland hardwood forest
wetland fingers encroach into the property from the south. Residential is the general land use in the surrounding area. Please see attached aerial photo and site plan, for existing
conditions.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r yes r No R Unknown
4d. Attach an 8 1/2X11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Webb Creek WWTP LiDAR Map 011519.pdf 245.03KB
Webb Creek WWTP Topo Ediibit 011519.pdf 181.22KB
4e. 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)
Webb Creek WWTP Soils Map 011519.pdf 222.16KB
4f. List the total estimated acreage of all existing wetlands on the property:
2.55 acre
4g. List the total estimated linear feet of all existing streams on the property:
0
4h. Explain the purpose of the proposed project:*
The purpose of this project is to construct a newwastewater treatment facility, as well as a new access road, that meets Onslow County Fire and EMS design criteria, on the property.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
This project involves the construction of a newwaste water treatment plant (WWTP) and the disassembly of the old WWTP, as well as the construction of a new access drive into the
new WWTP. Clean earthen fill will be placed within the wetlands, at Impact Area A, which will serve as the road base of the newaccess road. Impact Area B will also be filled, with clean
earthen fill that is excavated from the proposed tank locations. The fill is necessary to provide adequate maintenance area around the plant, as well as stability of the slope once the
plant has been completed. Culverts and/or stormwater ponds are not proposed as part of this project. Large machinery, such as dump trucks, backhoes and front end loaders will be
used to complete the work.
4j. Please upload project drawings for the proposed project.
5. Jurisdictional Determinations

5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
SEGi is requesting a PJD as part of this application.
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): David M. Scibetta
Agency/Consultant Company: SEGi
Other:
Sd1. Jurisdictional determination upload
JD Request Form.pdf
180.21 KB
PArcel Map 1.pdf
553.35KB
PArcel Map 2.pdf
114.63KB
Webb Creek WWTP Wetland Exhibit 011519.pdf
244.34KB
6. Future Project Plans
r Unknown
6a. Is this a phased project?*
r Yes r 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?
The project will not provide access to otherwise inaccessible land and is not part of a phased project.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
W Wetlands r Streams -tributaries r Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2a1 Reason M 2b. Impact type * M 2c. Type of W. 2d. W. name * 2e. Forested* 2f. Type of 2g. Impact
Jurisdicition * M area*=[
Road Crossing P Headwater Forest unnamed Yes Corps 0.080
(acres)
WWTPfootprint P Headwater Forest ffed f=]C.rps
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.300
2g. Total Wetland Impact
0.300
2h. Comments:
Please see Wetland Impact Map for details
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:
During the design phase, the Applicant's engineer designed the turning radius of the road to be as low as possible, while allowing fire and EMS
vehicles to utilize the access drive, and is utilizing 3:1 or slightly less, which is required to ensure stability of the banks, rather than flatter slopes.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Prior to land disturbance,the wetlands will be clearly marked and silt fence installed along the wetland bound line and limits of impact, to help ensure
sediment is not discharged into the resources. Additionally, S&EC measures will be installed to collect construction stormwater before discharging into
downstream receiving waters. Lastly, the S&EC measures will be inspected at least once
a week and after a rain event that produces > or = to 0.50" of
rainfall within a 24 hour period.
0.220
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.300
2g. Total Wetland Impact
0.300
2h. Comments:
Please see Wetland Impact Map for details
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:
During the design phase, the Applicant's engineer designed the turning radius of the road to be as low as possible, while allowing fire and EMS
vehicles to utilize the access drive, and is utilizing 3:1 or slightly less, which is required to ensure stability of the banks, rather than flatter slopes.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Prior to land disturbance,the wetlands will be clearly marked and silt fence installed along the wetland bound line and limits of impact, to help ensure
sediment is not discharged into the resources. Additionally, S&EC measures will be installed to collect construction stormwater before discharging into
downstream receiving waters. Lastly, the S&EC measures will be inspected at least once
a week and after a rain event that produces > or = to 0.50" of
rainfall within a 24 hour period.

2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r Yes r No
2c. If yes, mitigation is required by (check all that apply):
fJ DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
rJ Mitigation bank r Payment to in -lieu fee r Permittee Responsible
program Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Bachelor's Delight Mitigation Bank
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity
Riparian wetland 0.60
Attach Receipt and/or letter
3c. Comments
While the project is located outside the service area of the mitigation bank, it is within the same river basin and is located relatively close to the
mitigation bank. Thus SEGi believes a 2:1 mitigation to impact ratio is sufficient to offset the proposed impacts. A request for credit reservation has
been submitted to the bank POC and will be submitted to the agencies upon receipt.
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more
information.
r Yes r No
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes r No
If no, explain why:
This site is not located in a NC Riparian Buffer River Basin.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15ANCAC 02H .1003(2)?
r Yes r No
Comments:
Currently, 9.9% of the project is covered by impervious surface area. The proposed project will contain 4.8% impervious surface area. See attached site plan for details.
G. Supplementary Information `
1. Environmental Documentation
la. Does the project involve an expenditure of public (federallstate/local) funds or the use of public (federal/state) land?*
r Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15ANCAC 2H.1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15ANCAC 2B.0200)?*
r Yes r No
3. Cumulative Impacts (DWR Requirement)

3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
Filling of the wetlands will not result in additional development, as it does not provide access to currently inaccessible land, and stormwater runoff,
generated by the proposed project, will be treated prior to discharging offsite and into downstream receiving waters.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this 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?
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r^ 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?
r Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r^ Yes r No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
Most of the project area has been cleared of woody vegetation. Cutting of trees will only take place in areas where the wetland impacts are proposed.
SEG utilized the NC Natural Heritage Program (NHP) to investigate the potential for adverse impacts to ES or DCH. The US Fish and Wildlife IPaC
system is not operating due to the government shutdown. A copy of the NHP species list will be forwarded upon receipt.
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
This project is not abutting or waterbody that would support EFH.
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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
The site has been disturbed over the past and, therefore, it is anticipated that historic or archaeological resources were destroyed during that time.
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes r No
8c. What sources) did you use to make the floodplain determination?*
While part of the property is located within a flood zone, no part of the proposed project is to take place within the flood zone (see attached site plan).
SEGi used the Onslow County GIS program to verify this statement (see attached).
Miscellaneous
Comments

Miscellaneous attachments not previously requested.
Pluris 250 Zachary Lane Flood Map.pdf 1.22MB
Natural Heritage Email Response to SEGi Request for Enviromental Review.pdf 654.93KB
Webb Creek WWTP Vicinity Exhibit 011519.pdf 180.79KB
Signature
m 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:
Dana A. Lutehran
Signature
Date
1/21/2019

HLA3CFC plyd
hy--
hi obau_
r i"+yh A?"
x
fY
Ji
R
Behr r-Ftek Rd
d
0 1,000 2,000 4,000 6,000
Feet
1 inch = 3,000 feet
Map Source: ESRI Street Maps
�i
� � x
r � Gf°°R 44raV
p a
So
Gk Fw
\� voe
Sanv Rr,1gc Rte
Vicinity Map
Pluris Webb Creek WWTP Site
Hubert, Onslow County, North Carolina
1/15/2019 019-008.01
�6"
47urah�.igxk
f
&car Nmk 10, Opp
IiR
��/

[e-mail]
From: [e-mail] on behalf of Natural Heritage Program <[e-mail]>
Sent: Monday, January 21, 2019 2:04 PM
To: [e-mail]
Subject: Follow-up to your Request for Quote to NCNHP - 162
Thank you Dana Lutheran for your request for a customized environmental review or biological field survey, submitted
on 01/21/2019 - 2:04pm. We will contact you as soon as possible regarding your request. To assist us, please reply to
this email with any attachments you think would be helpful as we process your request.
Please ensure the number 162 remains in the subject line.
Thank you,
North Carolina Natural Heritage Program
Submitted values are:
Select from the options below: Customized environmental review— Includes a report and a map prepared by NCNHP of
rare species, natural communities, natural areas, and nature preserves related to user specified species or project area,
based on information already within the NCNHP Biotics Database.
Company Name: Southern Environmental Group, Inc. (SEGi)
First Name: Dana
First Name: Lutheran
Address Line 1: 5315 South College Road
Address Line 2: Suite E
City: Wilmington
State: North Carolina
Zip Code: 28412
Email: [e-mail]
How do you want NHP to respond to this request?: Issue a quote letter
Enter Best Contact Number:
Project Description:
The project is located at 250 Zachary Lane, in Hubert, Onslow County, NC (lat/long: 34.50371/-77.20206) and consists of
replacing old infrastructure with new infrastructure. In order to facilitate the proposed work, two areas of bottomland

hardwood forest, totaling 0.30 -acre, need to be filled. The wetland impact areas are forested, while the remainder of
the site is devoid of woody vegetation. The site abuts Parrot Swamp.
Project Type: Water/Sewer Infrastructure
User Project Number(s) - Organization -specific project number(s) for user tracking purposes (optional): NA

1315042 `3?5
4` 1308H-39: k 1. 13026-130
�'� �� �
130&H-131 .}' , y , C,t 13150
.1308H-132 F , `LbC
] f`
13 0eH-1 C13 1,11,P-H-1'�P_. 1308H 121
J- f 1308H-120 t�, AE
4E I=:i:i?�I-1 0t9 G k
AE J.
2H f1 1 ti I: IDPH -1 17
1308H -11G.
Y r 13150-37
1::l=l2•H-21=17 1308H-115
+_`0H-205
co
} ,4E 1308-2.12
/ Y %
xs
Ln1308)-28 1302)-G0
1302.)-70ENGLISH
1
X9.1ixx ,n} �/ty
0
1308K-53' / y 13
9306)-30"'�. `4 1302)-r 1 �xxi i3 5' 130
!--- - ±{C m m 1308Ki2.
f 5302 2. �0 1306J-64 .. .,13-7B :,14Ag6 � Y 1306K-45 930

o ao ao 160 240 Wetland Exhibit
Feet
1 inch = 120 feet Pluris Webb Creek WWTP Site
Hubert, Onslow County, North Carolina w E
1/ 15/ 2019 019-008.01 5� G
Map Source: 2016 NCOneMap Orthoimagery S

Onslow County, NC Tax Parcel Report Wednesday, January 16, 2019
Parcel ID
060903
Owner Name
PLURIS WEBB CREEK LLC
General Information
Acres
Physical Address
Neighborhood Code
Plat Book & Page
Township
Building Value
Assessed Value
Heated Square Feet
Number of Bedrooms
Last Sale
Date
30 -OCT -18
246
1�
1308H-111
Map Number
1308H-207
Owner Mailing Address
2100 MCKINNEY AVE STE 1550
DALLAS TX 75201
248
1308H-112
1308-2.12
0.23
252 ZACHARY LN
4148
39-115
SWANSBORO
$0.00
$30,000.00
Price
$31,000.00
1308H-119
X251
1308H-118
�4cy
252
•
1308H-207
254
•
1308H-208
1308H-117
&253
Property Description
Subdivision
City Limit
NC PIN
Improvement Code
Land Value
Total Taxed Value
Year Built
Book
4853
Onslow County WARNING: THIS IS NOT A SURVEY.
Geographical Information This map is prepared for the inventory of real
Services -GIS compiled from recorded deeds, plats, and oth
234 NW Corridor Blvd. hereby notified that the aforementioned public
Jacksonville, NC 28540 for verification of the information contained on
assume no legal responsibility for the informa
1308H-113
258
0
L485 S5 FOXTRACE
FOXTRACE SUB LOT
485,670,+672 SEC5
UNINCORPORATED ONSLOW
534301099813
V
$30,000.00
$30,000.00
Page
860
property found within this jurisdiction, and is
er public records and data. Users of this map are
primary information sources should be consulted
this map. The County and mapping company
tion contained on this map.
1308H-116
255
1�
<N
1308H-115
yak
i
f.
256
1308H-114
•
1308H-209
Property Description
Subdivision
City Limit
NC PIN
Improvement Code
Land Value
Total Taxed Value
Year Built
Book
4853
Onslow County WARNING: THIS IS NOT A SURVEY.
Geographical Information This map is prepared for the inventory of real
Services -GIS compiled from recorded deeds, plats, and oth
234 NW Corridor Blvd. hereby notified that the aforementioned public
Jacksonville, NC 28540 for verification of the information contained on
assume no legal responsibility for the informa
1308H-113
258
0
L485 S5 FOXTRACE
FOXTRACE SUB LOT
485,670,+672 SEC5
UNINCORPORATED ONSLOW
534301099813
V
$30,000.00
$30,000.00
Page
860
property found within this jurisdiction, and is
er public records and data. Users of this map are
primary information sources should be consulted
this map. The County and mapping company
tion contained on this map.

Onslow County, NC Tax Parcel Report Wednesday, January 16, 2019
Parcel ID
046721
Owner Name
PLURIS WEBB CREEK LLC
Map Number
1308-2.12
Owner Mailing Address
2100 MCKINNEY AVE STE 1550
DALLAS TX 75201
# # 213 �� 239 �` # 1210 .
#307 201210 # #2 9cy 214# �1 7
243'
■ 214 220222 9�y� 2} o� '
21t # t22 �- 225
21112 8 242", pl 247 224X227 "
# f *144 # 251 #226 2 229
# 2 8 #253 # 22
244 ® �54f 257 ■ #30.
P F1' 52 ®256 259
o,2 118 110 50 ®2*
0
•�. oma' 1
773 0 123 °
3 3
7831 '! ��� �N 121 324
# x322
. m'119 160 40 40600
# p 0 ,. 157 O 1 401 X10
i 805 809 141 °' °1 #4.11 ENGLISH CT
784 �c 811 e4UFNF � ' . 0 .. 4#409 40f"l 't 311&18
<,, RO # 403 309
4 til"°w„_n.. ..� 143' ” .� s 14
General Information
Acres
Physical Address
Neighborhood Code
Plat Book & Page
Township
Building Value
Assessed Value
Heated Square Feet
Number of Bedrooms
Last Sale
Date
30 -OCT -18
8.27
Property Description
ZACHARY LN
250 ZACHARY LN
Subdivision
NO SUBDIVISION RECORDED
4148
City Limit
UNINCORPORATED ONSLOW
NO-SUBDIV
NC PIN
534301097626
SWANSBORO
Improvement Code
O
$41,990.00
Land Value
$30,530.00
$72,520.00
Total Taxed Value
$72,520.00
Year Built
Price
Book
mmm
Page
$58,500.00
4853
876
Onslow County
Geographical Information
Services -GIS
234 NW Corridor Blvd.
Jacksonville, NC 28540
WARNING: THIS IS NOT A SURVEY.
This map is prepared for the inventory of real property found within this jurisdiction, and is
compiled from recorded deeds, plats, and other public records and data. Users of this map are
hereby notified that the aforementioned public primary information sources should be consulted
for verification of the information contained on this map. The County and mapping company
assume no legal responsibility for the information contained on this map.

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: 250, 252 Zachary Lane
City, State:
County:
Hubert, NC
Onslow
Parcel Index Number(s) (PIN): 046721, 060903
B. REQUESTOR INFORMATION
Name: David Scibetta
Mailing Address: 5315 S College Road Suite E
Wilmington, NC 28412
Telephone Number: 910-452-2711
Electronic Mail Address: [e-mail]
Select one:
11 I am the current property owner.
✓❑ I am an Authorized Agent or Environmental Consultant'
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: Pluris Webb Creek LLC c/o Maurice Gallarda
Mailing Address: 2100 Mckinney Ave Ste. 1550
Dallas, TX 75201
Telephone Number: 214-716-3950
Electronic Mail Address:
' 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',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.
David Scibetta
Print Name
Capacity: ❑ Owner ❑✓ Authorized Agent'
1/16/2019
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 projector 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:
For NCDOT requests following the current NCDOT/USACE 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 form/letter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
❑� I am requesting that the Corps provide a preliminarX 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 8.5 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:
Longitude
N 34.66964
W 77.20149
A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ 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.
aCompleted Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 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.mil/Missions/Re ulatory-Permit-
Pro gram/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
aCompleted 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'
Vicinity Map
Aerial Photograph
USGS Topographic Map
Soil Survey Map
OOther Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
❑ Landscape Photos (if taken)
❑ NCSAM and/or NCWAM Assessment Forms and Rating Sheets
NC Division of Water Resources Stream Identification Forms
FOther Assessment Forms
' www.saw.usace.gM.mil/Portals/59/docs/re ug latorregdocs/JD/RGL 08-02_ App _ A_ Prelim_ JD_ Form_fillable.pdf
' Please see http://www.saw.usace.army.mil/Missions/Re ug latory-Permit-Proaram/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 is to 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 USAGE 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.
Version: May 2017 Page 6

0 40 80 160 240eet SOIIS Map
1 inch = 120 feet
Pluris Webb Creek WWTP Site
Map Source: 2016 NCOneMap OrthoimHubert, Onslow County, North Carolina
agery, 5� G�
Soil Survey of Onslow Co. 1/15/2019 019-008.01
S

NSJ�'+r — R Y 5
y
WOO
l II
t J L { t •4 I
4i&' ; 4 Redo Idw
a
0 100 200 400 600
Feet
1 inch = 300 feet
Map Source: USGS Topo Map Server,
7.5' quadrangle, 1:24k scale
5
"4
i t {
Er,rctIsrr CT
KE
L
i M
fie
'- S
USGS Topo Map
Pluris Webb Creek WWTP Site
Hubert, Onslow County, North Carolina
1/15/2019 019-008.01

0 40 80 160 240eet LIDAR Map
1 inch = 120 feet
Pluris Webb Creek WWTP Site
W E r
Hubert, Onslow County, North Carolina
1/15/2019 019-008.01 5EG
Map Source: NC Flood Mapping LiDAR Data S

5LGi
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION: ZACHARY LANE
LOT NO. PLAN NO. PARCEL I.D. 046721
STREETADDRESS: 250 ZACHARY LANE
Property Owner (please print): Pluris Webb Creek, LLC
The undersigned, registered property owner of the above noted property, does hereby authorize
Southern Environmental Group, Inc. (SEGi) to act on their behalf in matters regarding areas of
environmental concern.
Property Owner's Address (if different than property above):
Pluris Webb Creek, LLC
c/o Pluris Holdings, LLC
2100 McKinney Avenue, Suite 1550
Dallas, Texas 75201
Telephone:
214-2203413
We he by certify he ab ve information submitted in this application is true and accurate to the best of
our k wled e.
Prope a Au orized Signature SEGi Authorized Signature
Mauri e W. Gallarda, PE, Managing Member Dana A. Lutheran
Print Name & Title Print Name
January 17, 2019 01/17/19
Date Date