20190579 Ver 1_PCN Form Submission_20190501

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Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance into the review process?*
r Yes
r No
Is this project a public transportation project?*
r Yes r No
Change only if needed.
BIMS # Assigned *
Version#*
20190579
1
Is a payment required for this project?*
* No payment required
What amout is owed?*
* Fee received
r $240.00
r Fee needed - send electronic notification
r $570.00
Reviewing Office* Select Project Reviewer*
Raleigh Regional Office - [phone] Stephanie Goss:eads\szgoss
Information for Initial Review
1a. Name of project:
Earpsboro Tract
1a. Who is the Primary Contact?*
Jon Harrell
1 b. Primary Contact Email:*
[e-mail]
Date Submitted
5/1/2019
Nearest Body of Water
Little River
Basin
Neuse
Water Classification
WS -V; NSW
Site Coordinates
Latitude:
35.785289
A. Processing Information
County (or Counties) where the project is located:
Johnston
Is this project a public transportation project?*
r Yes r No
Longitude:
-78.309233
1a. Type(s) of approval sought from the Corps:
V Section 404 Permit (wetlands, streams and waters, Clean Water Act)
F Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1 b. What type(s) of permit(s) do you wish to seek authorization?
P Nationwide Permit (NWP)
F- Regional General Permit (RGP)
r- Standard (IP)
1c. Primary Contact Phone:*
[phone]

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:
P 401 Water Quality Certification - Regular
F Non -404 Jurisdictional General Permit
F Individual Permit
29 - Residential Developments
1e. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
F 401 Water Quality Certification - E)press
P Riparian Buffer Authorization
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
19. 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
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
Q Owner r Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
C Yes r- No
2. Owner Information
2a. Name(s) on recorded deed:
Sam's Branch, LLC
2b. Deed book and page no.:
05131:0352
2c. Responsible party:
Reid Smith
2d. Address
Street Address
114 W Main Street, Suite 102
Address Line 2
City
Clayton
Postal / Zip Code
27520
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
State / Rovince / Fbjion
NC
Country
United States
2f. Fax Number:
r- Yes r No
r- Yes r No

1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Zebulon
2. Project Identification
2a. Property Identification Number:
270400-40-4867
2c. Project Address
Street Address
2979 Earpsboro Road
Address Line 2
City
Zebulon
Flostal / Zip Cade
27597
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Little River
3b. Water Resources Classification of nearest receiving water:*
WS -V; NSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12 -digit HUC in which the project is located.
030202011503
4. Project Description and History
2b. Property size:
82.24
State / Province / Region
NC
Country
United States
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:*
Existing conditions on the site is mostly agricultural and wooded land. The general land use in the vicinity is mostly agricultural, forestry, and low density residential.
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 1/2 X11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
USGA topo 8.5 x 11.pdf
200.69KB
4e. Attach an 81/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Soil Survey.pdf 385.96KB
4f. List the total estimated acreage of all existing wetlands on the property:
0
4g. List the total estimated linear feet of all existing streams on the property:
7,542
4h. Explain the purpose of the proposed project:*
The purpose of this project is to develop the property into a residential subdivision for residential homes, including utilities and roadway infrastructure.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Type of equipment to be used will include that which is typical for road construction, utility installation, and grading for the purposes of the purposed project. These may include track
hoes, bulldozers, excavators, rollers, etc.
4j. Please upload project drawings for the proposed project.
Plans Page 2.pdf 362.97KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:
Delineation completed only for proposed stream crossing.
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r Approved r Not Verified r Unknown r WA
Corps AID Number:

5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Scott Mitchell
Agency/Consultant Company: Mitchell Environmental, PA
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
G Yes r No
7b. If yes, explain.
This project Will be split into two phases as seen on the plan sheet.
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?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
F Wetlands j7, Streams -tributaries jZ Buffers
F Open Waters ❑ Pond Construction
3. Stream Impacts
❑ 3a. Reason for impact (?) 3b.impact type * 3c. Type of impact* 3d. S. name * 3e. Stream Type * 3f. Type of 3g. S. width * 3h. Impact
(?) Jurisdiction* length*
Road S1 Crossin Permanent Culvert JA Intermittent Both 4 46 9
Average (feet) (lir�rfeet)
g2 Road Crossing Temporary Culvert JA
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 31. Total temporary
Road Crossing
P
A
No
3,346
1,452
Road Crossing
T
A
No
1,617
819
Intermittent
Both
4
Average (feet)
22
(ir�rfeet)
stream impacts:
46 22
3i. Total stream and ditch impacts:
68
3j. Comments
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check
all that apply.
® Neuse rTar-Pamlico
❑ Catawba r" Randleman
❑ Goose Creek r Jordan Lake
❑ Other
6b. Impact Type 6c. Per or Temp 6d. Stream name 6e. Buffer mitigation required? 6f. Zone 7 impact 6g. Zone 2 impact
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary
Road Crossing
P
A
No
3,346
1,452
Road Crossing
T
A
No
1,617
819
impacts: 1,617.00 819.00

Zone 1 Zone 2
Total Permanent impacts: 3,346.00 1,452.00
Zone 1 Zone 2
Total combined buffer impacts: 4,963.00 2,271.00
61. Comments:
Supporting Documentation
EARPSBORO-WETLAND IMPACT MAP 1.pdf 514.2KB
EARPSBORO-WETLAND IMPACT MAP 2.pdf 149.62KB
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:
The proposed stream crossing is as perpendicular as practical in an effort to minimize impacts. This UT to Little River bisects the property, making
impacts unavoidable.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
All disturbed areas will be bound by silt fence and tree protection fence before construction begins to prevent impacts to jurisdictional features outside
of proposed impact areas.
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
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Stream impacts are under the 150 ft threshold requirement for mitigation. Buffer impacts are under the 1/3 acre threshold requirement for mitigation.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) V
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?
r Yes r No
What type of SCM are you providing?
P Level Spreader
r- Vegetated Conveyance (lower SHWT)
r- Wetland Swale (higher SHWT)
r- Other SCM that removes minimum 30% nitrogen
r Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
EMAIL-EARPSBORO-CD01.pdf 7.07MB
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 15A NCAC 02H .1003(2)?
r Yes r No
Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes F No
2. Violations (DWR Requirement)

2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B.0200)?*
r Yes r No
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.
This single-family residential subdivision is not likely to spur cumulative impacts.
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)
Sa. 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
Sh. 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?
USFWS T&E species list for Johnston County.
Consultation Documentation Upload
T&E Species -Johnston County.pdf 113.88KB
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?*
Essential Fish Habitat mapper by NOAA
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?*
HPOWEB
7c. Historic or Prehistoric Information Upload
HPOWEB Earpsboro Print 041219.pdf 599.27KB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
FEMA Floodplain Maps link provided above

Miscellaneous
Comments
Miscellaneous attachments not previously requested.
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:
Scott Mitchell
Signature
�tlTT,=RiirGh�LL
Date
511/2019

Mitchell Environmental, P.A.
The Department of the Army
US Army Corps of Engineers
Wilmington District
PO Box 1890
Wilmington, NC 28402-1890
To Whom It May Concern:
AGENT AUTHORIZATION and
PROPERTY OWNER CERTIFICATION FORM
All Blanks to be Filled in by Current Landowner
NCDENR — Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
I, the undersigned, current property owner designate and authorize representatives of Mitchell Environmental,
P.A., to act on my behalf as my agent in the processing of permit applications, to fumish upon request
supplemental information in support of applications, etc., from this day forward.
This the 12- day ofF;L,!, 20—M.
(number) (Month) (Year)
1, the undersigned, a duly authorized owner of record of the property/properties identified herein, do authorize
representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon the property
herein described for the purpose of conducting on-site investigations and issuing a determination associated
with Waters of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section
10 of the Rivers and Harbors Act of 1899.
This notification supersedes any previous correspondence concerning the agent for this project.
Project Name:_ Earpsboro Tract Location: 2979 Earpsboro Road, Zebulon
Property Owner's Name (Print): ,J a S
Property Owner's Signature: /Glib
Property Owner's Mailing Address: r1 1H
C 2-79?,o
Property Owner's Telephone: `'I t� ? (�' 2� Fax No.
Property Owner's Email Address:
1501 Lakestone Village Lane, Suite 205
Fuquay-Varina, North Carolina 27526
919-669-0329

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* * * DISCLAIMER * * *
Johnston County assumes no legal responsibility for the information represented here.
Scale: 1:15186 - 1 in. = 1265.52 feet
(The scale is only accurate when printed landscape on a 8 1/2 x 11 size sheet with no page scaling.)
Johnston County GIS
April 15, 2019
Result 1
id:11L02199E
Tag:11L02199E
NCPin:270400-40-4867
Mapsheet No:2704
Owner Name 1:SAM'S BRANCH, LLC
Owner Name 2:
Mail Address 1:114 W MAIN ST STE 102
Mail Address 2:
Mail Address 3:CLAYTON, NC 27520-2397
Site Address 1:2979 EARPSBORO RD
Site Address 2:ZEBULON, NC 27597-
Book:05131
Page:0352
Market Value:275260
Assessed Acreage:82.24
Calc. Acreage:82.24
Sales Price:673000
Sale Date:2018-04-12
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T 314 East Main StreetClayton, NC [e-mail]919-243-1332FIRM # C-4187GRAPHIC SCALE: 1"=500'5002500500SHEET 1 OF 2WETLAND IMPACT MAPEARPSBORO TRACTJOHNSTON COUNTY, NORTH CAROLINANAD8
3
LOCATION OF PROPOSED
STREAM CROSSING
(SEE SHEET 2 FOR DETAIL)
PROPOSED SUBDIVISION ENTRANCE
VICINITY MAP
NTS
NAD83
EARPSBORO RD (SR 1723)BRETT RD(SR 1724)
13+0014+00PC=14+03.55
280280
278278GRAPHIC SCALE: 1"=30'
30 15 0 30
SHEET 2 OF 2 WETLAND IMPACT MAP EARPSBORO TRACT
JOHNSTON COUNTY, NORTH CAROLINA
0 TOP OF CREEK BANK30" RCP W/ HEADWALLSTO BE INSTALLED SO THATINVERT IS 6" BELOW STREAM BEDAS SHOWN IN FIGURE ABOVE.50' RIPARIAN BUFFER50' RIPARIAN BUFFERPROPOSED ZONE 1 IMPACTPROPOSED ZONE 2 IMPACTTEMPORARY CONSTRUCTION ZONE 1 IMPACTTEMPORARY CONSTRUCTIONZONE 2 IMPACTNAD8
3
314 East Main Street
Clayton, NC 27520
[e-mail]
919-243-1332
FIRM # C-4187C CREEKLHW1HW2CULVERT C-550'50'PROPOSED SCOURHOLE (TYP.)PROPOSED EDGEOF PAVEMENT20% OF DIA.UP TO 12"
Earpsboro Tract
Town of Cary, Johnston County, State of North Carolina DOT, Esri, HERE, Garmin, INCREMENT P, NGA, USGS
Endangered Species, Threatened Species,Federal Species of
Concern, and Candidate Species,
Johnston County, North Carolina
Updated: 06-27-2018
Common Name Scientific name Federal
Status
Record Status
Vertebrate:
Bald eagle Haliaeetus leucocephalus BGPA Current
Carolina madtom Range by Basin Noturus furiosus ARS Current
Neuse River waterdog Range by
basin
Necturus lewisi ARS Current
Red-cockaded woodpecker Picoides borealis E Current
Invertebrate:
Atlantic pigtoe Range by Basin Fusconaia masoni ARS Current
Dwarf wedgemussel Range by
basin
Alasmidonta heterodon E Current
Green floater Lasmigona subviridis ARS Current
Tar River spinymussel Range by
basin
Parvaspina steinstansana E Current
Yellow lance Range by basin Elliptio lanceolata T Current
Vascular Plant:
Bog spicebush Lindera subcoriacea ARS Current
Carolina bogmint Macbridea caroliniana ARS Current
Michaux's sumac Rhus michauxii E Historic
Nonvascular Plant:
Lichen:
Definitions of Federal Status Codes:
E = endangered. A taxon "in danger of extinction throughout all or a significant portion of its range."
T = threatened. A taxon "likely to become endangered within the foreseeable future throughout all or a
significant portion of its range."
Johnston County Endangered Species, Threatened Species,Federal Speci...https://www.fws.gov/raleigh/species/cntylist/johnston.html
1 of 2 5/1/2019, 2:21 PM
C = candidate. A taxon under consideration for official listing for which there is sufficient information to
support listing. (Formerly "C1" candidate species.)
BGPA =Bald and Golden Eagle Protection Act. See below.
ARS = At Risk Species. Species that are Petitioned, Candidates or Proposed for Listing under the Endangered
Species Act. Consultation under Section 7(a)(2) of the ESA is not required for Candidate or Proposed species;
although a Conference, as described under Section 7(a)(4) of the ESA is recommended for actions affecting
species proposed for listing.
FSC=Federal Species of Concern. FSC is an informal term. It is not defined in the federal Endangered Species
Act. In North Carolina, the Asheville and Raleigh Field Offices of the US Fish and Wildlife Service (Service)
define Federal Species of Concern as those species that appear to be in decline or otherwise in need of
conservation and are under consideration for listing or for which there is insufficient information to support
listing at this time.Subsumed under the term "FSC" are all species petitioned by outside parties and other
selected focal species identified in Service strategic plans, State Wildlife Action Plans, or Natural Heritage
Program Lists.
T(S/A) = threatened due to similarity of appearance. A taxon that is threatened due to similarity of appearance
with another listed species and is listed for its protection. Taxa listed as T(S/A) are not biologically
endangered or threatened and are not subject to Section 7 consultation. See below.
EXP = experimental population. A taxon listed as experimental (either essential or nonessential).
Experimental, nonessential populations of endangered species (e.g., red wolf) are treated as threatened species
on public land, for consultation purposes, and as species proposed for listing on private land.
P = proposed. Taxa proposed for official listing as endangered or threatened will be noted as "PE" or "PT",
respectively.
Bald and Golden Eagle Protection Act (BGPA):
In the July 9, 2007 Federal Register( 72:37346-37372), the bald eagle was declared recovered, and removed
(de-listed) from the Federal List of Threatened and Endangered wildlife. This delisting took effect August
8,2007. After delisting, the Bald and Golden Eagle Protection Act (Eagle Act) (16 U.S.C. 668-668d) becomes
the primary law protecting bald eagles. The Eagle Act prohibits take of bald and golden eagles and provides a
statutory definition of "take" that includes "disturb". The USFWS has developed National Bald Eagle
Management Guidelines to provide guidance to land managers, landowners, and others as to how to avoid
disturbing bald eagles. For mor information, visit http://www.fws.gov/migratorybirds/baldeagle.htm
Threatened due to similarity of appearance(T(S/A)):
In the November 4, 1997 Federal Register (55822-55825), the northern population of the bog turtle (from
New York south to Maryland) was listed as T (threatened), and the southern population (from Virginia south
to Georgia) was listed as T(S/A) (threatened due to similarity of appearance). The T(S/A) designation bans the
collection and interstate and international commercial trade of bog turtles from the southern population. The
T(S/A) designation has no effect on land management activities by private landowners in North Carolina, part
of the southern population of the species. In addition to its official status as T(S/A), the U.S. Fish and Wildlife
Service considers the southern population of the bog turtle as a Federal species of concern due to habitat loss.
Definitions of Record Status:
Current - the species has been observed in the county within the last 50 years.
Historic - the species was last observed in the county more than 50 years ago.
Obscure - the date and/or location of observation is uncertain.
Incidental/migrant - the species was observed outside of its normal range or habitat.
Probable/potential - the species is considered likely to occur in this county based on the proximity of known
records (in adjacent counties), the presence of potentially suitable habitat, or both.
Johnston County Endangered Species, Threatened Species,Federal Speci...https://www.fws.gov/raleigh/species/cntylist/johnston.html
2 of 2 5/1/2019, 2:21 PM