20190740 Ver 1_401 Application_20190604

May 22, 2019
NC Division of Water Quality
Attn: Jennifer Burdette
1650 Mail Service Center
Raleigh, NC 27699-1650
RE: Windsor Place Apartments
Onslow County, North Carolina
Ms. Burdette,
()URYESY
COPY
ARMliv
Geothermal, Environmental,
& Well Drilling
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: Windsor Place Apartments — Site Vicinity
Figure 2: Windsor Place Apartments — Proposed Impact Site Plan
Figure 3: Windsor Place Apartments — Aerial Image
If you have any questions, please do not hesitate to contact our office at [phone].
Sincerely,
S
Gene Y ng, RE
Environme cientist
Applied Resource Management, PC
P 0. Box 882, 257 Transfer Station Road, Hampstead, NC 28443, 910.270.2919, Fax [phone]

May 22, 2019
NC Division of Water Quality
Attn: Jennifer Burdette
1650 Mail Service Center
Raleigh, NC 27699-1650
RE: Project Narrative
Windsor Place Apartments
Dear Ms. Burdette:
Geothermal, Environmental,
& Well Drilling
On behalf of Windsor Place Apartments, LLC, Applied Resources Management, P.C. is providing
you with a project narrative for the above referenced site.
The project is located along Western Boulevard in Onslow County. The property is approximately
16.75 acres. In order to construct a sewer line extension, a small portion of the noted wetlands will
need to be disturbed; therefore, a Nationwide Permit 12 is being sought.
The impact is expected to be approximately 0.02 acres. This wetland impact has been minimized by
impacting only what is necessary for construction of the sewer line. Furthermore, the disturbance is
located at the smallest crossing point in the review area.
If you have any questions or require any additional information, please feel free to contact me at
[phone].
Sincerely,
Gene ung, R HS
Environm cientist
Applied Kcoource Management, FC
P. 0. Box 882, 257 Transfer Station Road, Hampstead, NC 28443, 910.270.2919, Fax [phone]

urisdictional Determination Request
US Arnty Corps
of Engineers
WAmington Distil
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:
hqp://www.saw.usace army mil/Missions/Re,�,ulatoiyPermitProgram/Contact/CouniyLocator aspn.
by calling 910-2514633, 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

J
Jurisdictional Determination Request
A.: PARCEL INFORMATION
:Street Address: 100 Windsor.Circle
City, state: Jacksonville, NC
County:
Onslow
Parcel Index Numbers) (PIN): 43781.0257697.
B. REQUESTOR INFORMATION . .
Name: Gene Young, ARM.
.. Mailing Address: 257 Transfer Station RD
Hampstead, NC 28443:::,
910-617-4914
Telephone Number: =
.
Electronic Mail Address::: [e-mail]
Select one:
I am the current: property owner:. -
I. am an Authorized Agent or Environmental Consultant)
El=Interested Buyer:or Under Conti actao Purchase
Other; please. explain. authorized agent:
or, owner
C. PROPERTY OWNER INFORMATION2
Name:Windsor Place Apartments, LLC .,
Mailing Address: • :.. 10 S. Cardinal Drive
Wilmington; NC 28403
Telephone Number:910-465-4104. .
Electronic Mail Address: michael@tri butecompanies.com:
.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. PROPER'T'Y ACCESS CERTIFICATION3,4
By signing below, I authorize representatives of the Wilmington District, :U.S. Arany Corps of
Engineers (corps) to enter upon the property herein described for the putpose of conducting on-::.
site investigations , if nec
ga essary, and issuing a jurisdictional determination pursuant to Sec
404 of the Clean Water Act and/or Section 10 ofthe River$ 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 . y„ aagent of the owner of record of the. property.
Mark. Maynard =
P t. Name
Capacity: Q .owner ElAAAuthorized Agents
3/28/19
Date .
Signature . ...
K REASON FOR JD RE .VEST: Check as man as
.: ..... .� . ( Y applicable):
❑: I intend to construct/develop a project or perform activities on this parcel which would be
ff=d
avoid all aquatic resources.
to construct/develop a project or perform activities on this parcel which Would be .
desi to avoid all;jurisdictional aquatic resources under Corps authority:
I_intend to construct/develo aro ect or perform activities: 6n this parcel which may
P p J P. p X.
require authorization from the Corps, orps, an a JD would be usedto avoid and. minimize
impacts jurisdictional aquatic resources and as an initial step in a future permitting
IM © s.
I iiitend.t. 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 ocal/state authorization.
I intend to contest jurisdictionover 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..:
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
4 )f there are multiple parcels ownedby different pafies, please provide the following fof.eacb additional parcel on a
continuation sheet.
s Must provide agent authorization ftMetter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION QD) TYPE (Select One)
1 am requesting that the Corps provide a preliminary JD f6r the property identified herein.
A Preliminary Jurisdictional, Determination (PJD) provides an indication that ther . e 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
"pripliminary": in the sense that an approved JD can be requested at any time. PJDs do
not expire.
F-1 I am requesting that the Corps.provide an aDproved.JD for the property identified herein.
An Approved Jurisdictional. Determination (AJD) is a determination that -
jurisdictional "waters of th&Urfited 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
lean 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.. 3312). The results of the AJD will be,
Corps we
posted on the Co : website. A landowner, permit applkAnt, 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-
I am unclear as to which JD I would. like to request -and require additional. information
F1
to inform my decision..
G. ALL REQUESTS
Map of Property or Project Area. This Map -must clearly depidthe boundaries of the
review, area.
Size of Property or Review Area 16.7.5 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:
34.798213
Longitude: -77.426437
W1A 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).'
■ 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.
Completed 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. hn://www.saw.usace.army.mil/Missions/Regulatory-Permit-
Promurn/Juri sdiction/
Version:k1ay 2017 Page 5

Jurisdictional Determination Request
Completed appropriate Jurisdictional Determination form
• PJD% please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDs. Ulease complete an Approved Jurisdictional Determination Form'
F] Vicinity Map
0 Aerial 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)
F] NCSAM and/or NCWAM Assessment Forms and Rating Sheets
1-1 NC Division of Water Resources Stream Identification Forms
F] Other Assessment Forms
'
www.saw.usace.army.miUPortals/59/docs/rezulatory/regdocs/JD/RGL 0"2 App A Prelim JD Form fillable pdf
s Please see lam://www.saw.usace.ormy.miUMissions/Regulatory-Permit-Propram/Jurisdiction/
Principal Purpose: The information thatyou 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 USAGE website.
Disclosure: Submission ofrequested 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 9 - REQUEST FOR CORPS JURISDICTIONAL DETERMINATION CJD) .
To: District Name Here.
• I am requesting a JD on property, located at: 1ooy16ndWPlaceDR
(Street- Address)
City/Township/Parish: Jacksonville County: onslcw State: NC
Acreage of Parcel/Review'Area for JD: 16.75 ....
Section: Township: - - - . Range:
Latitude (decimal degrees): 34.798213 _ _ Longitude (decimal degrees):
.... -77.424
7.
(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.
• 1 currently own this property::,.:' _ I plan to purchase this property.
✓ I am an agerit/consultant acting on behalf of the:requestor.
CI
Other (please explain):
• Reason for request: (check as many as applicable)
01 intend to construct/develoo a project or perform activities on this parcel which would be designed to
avoid all aquatic resources.
intend to construct/develop a projector perform activities on this parcel which would be designed,to
avoidall jurisdictional aquatic resources. under Corps authority.
QI 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
WuWatic resources and. as an initial step in a;future permitting process.
I..intend to coristruct/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. .
7] 1 intend to construct/develop -a project or perform activities in a navigable water of the U.S. which: is
included on the district Section'l0 list and/or is subject to the ebb.and flow of the'tide.. .
EDA -Corps JD is required in order to obtain my. local/state authorization.
[]-1 '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.
believe that the.site may be comprised .entirely of dry land..
Q Other: .
•
Type of determination being requested:
am requesting an approved JD. ::
✓ I am requesting a relimina JD.
q 9 .. p.. ry, .........
lam requesting a "no permit required".lette.r:as I believe my.proposed activity is not regulated. -
1 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 thatyou have the authority, or are acting as the: duly.a6thorized agent of a. .
person: or entity with such authority, to and do. herby, grant Corps'personnel right of entry to legally access the
site if needed to perform the JD. Your signature's . hall be an affirmation that you possess the requisite, property
rights to request JD on the subject property. .
`Signature: Date; 5— 2Z 7
• Typed or printed .nam Gene Yo '9, REHS
Company name: AppliedResourceManagement.
Address:. 257 Transfer Station RD
Hampstead, NC 28443
Daytime phone .no.:::g,o-617-4914
Email address`. gene@armnc.00m
*Authorities: Rivers and Harbors Act, Section 10, 33 USC 403; Clean Water Act, Section 404, M USC 1344; Marine Protection, Research, and Sanctuaries Act,
Section 103, 33 USC 1413; Regulatory. Program of the U.S. Airy 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 infomlation.may be shared with the Department of Justice and other -federal, state, and locwl govemment agencies, and the public, and may tie
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 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
BACKGROUND INFORMATION
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: onslow City: jacksonville
Center coordinates of site (lat/lonq'in degree decimal .format):
Lat-:-34.798213 Long.: J7:426437
Universal Transverse Mercator: .
Name: of: nearest waterbody: un ham6d tributary / mill Creek:.
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)
34.798213
-77.426437..
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 riot -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
ofFiciai 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 permitauthorization (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 challengeto:such jurisdiction: in any administrative:& 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 ora 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, i.t
becomes -appropriate to make an official determination whether geographic.:::
jurisdiction exists over aquatic resources in the review area, or to provide anofficial:
: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
thatthere "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:,
belowwhereindicated 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 requestor.
❑ 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:
❑ USGS NHD data.
USGS 8 and 12 digit HUC maps. : -_
U.S.. Geological Survey map(s). Cite scale & quad.name.
FW Natural Resources Conservation Service Soil Survey. Citation. Jacksonville North, NC.2016
National wetlands inventory p(s)• ma Cite:name:�
..
❑ Statelocal wetland inventory map(s):
❑ FEMA/FIRM maps:_
100 ear Flood Iain Elevation is:.
❑ y: p .(National Geodetic Vertical Datum of 1929)
Photographs:. ❑ Aerial (Name & Date):
or ❑ Other (Name & Date):
❑ Previous determinations}. File no. and date of response letter: -
..... . ....
Other informationleasespecify).
p fy)
IMPORTANT NOTE: The informatlon recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for: later jurisdictional
determinations.
Signature and.date of Signat. a and d t o
'Regulatory staff member person u g'PJD
completing:PJD (REQUIRED: unless obtaining.
the signature is impracticable)'
' Districts may establish timeframes for requester 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: Windsor Place City/County: Onslow Sampling Date: 10/24/18
ApplicantlOwner. Gene Young, REHS for Windsor Place Apartments LLC State: NC Sampling Point: wetland
Investigator(s): Gene Young REHS Section, Township, Range: Jacksonville, NC .
Landform (hillside, terrace, etc.): side slope Local relief (concave, convex, none): linear Slope (%):
Subregion (LRR or MLRA)' LRR T Lat: 34.798213 Long: :77.426437 Datum:
Soil Map Unit Name: Lenoir Loam.. NWI classification: Headwater 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 Is the Sampled Area
Hydric Soil Present? Yes x No within a Wetland? Yes x No
Wetland Hydrology Present? Yes x No.
Remarks:
Site 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)
_Surface.Water (Al) _Aquatic
Fauna (613)
Sparsely_ Vegetated Concave Surface (68)
High Water Table (A2)
Marl Deposits .(B1 (LRR U)
Drainage Patterns (610) -
_ Saturation (A3): _
Hydrogen Sulfide Odor (Cl) '
_ Moss Trim Lines (616)_
Water Marks (81) _
Oxidized Rhizospheres on Living Roots (C3)
_ Dry -Season Water Table (C2).
x Sediment Deposits (62)
Presence of Reduced Iron (C4)
Burrows (C8)
_
x Drift Deposits (133)
Recent Iron Reduction in Tilled Soils (C6)_
_Crayfish
Saturation Visible on Aerial Imagery (C9)
_
_Algal Mat or Crust (B:4)
Thin Muck Surface (C7)
_Geomorphic Position (D2) .
Iron Deposits (B5) `Other
(Explain in Remarks)
_$hallow Aquitard (D3)
Inundation Visible on Aerial Imagery)(67)
X FAC -Neutral Test (135)
Water -Stained Leaves (139)
_Sphagnum Moss (D8) (LRR T,U)
Field Observations:
Surface_ Water Present? Yes No
x Depth (inches):
Water Table Present? Yes No
x Depth (inches):
Saturation Present? Yes No
. x Depth (inches)::.:
Wetland Hydrology Present? Yes X No
includes capillary frin a -:..
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
i
US Army Corps of Engineers . Atlantic and Gulf Coastal Plain Region — Version 2.0

Vt:Ut:.l A I IUN (1=1Ve strata) - use sclentitic names oT,plants.
Tree Stratum (Plot size: j % Cover . Species? Status
1. Liquidambar sfyracifiva 20 Yes FAC
2. Acer rubrum 20 Yes FACW
3.
4.
5.
Sampling Point: wetland
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 3 (A)
Total Number of Dominant
Species Across All Strata: 3 (B)
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 100.0% . (AIB)
...40 =Total Cover
Prevalence Index worksheet:
50% of total cover:
20 20% of total cover:
8
Total % Cover of. Multiply by:
Sapling Stratum (Plot size: )
OBL species 20 x 1 = 20
1.
FACW species'. 60: x2= 120-
2.
FAC• species 20 x 3..' 60
3.
FACU species 0 X4= .. 0
4.
.UPL species :0 X5= ' 0
5.
. .. .
Column Totals: 100 (A) 200 (B)
6.
Prevalence Index = WA = 2.00
:. =Total Cover
Hydrophytic Vegetation Indicators:
50% of total :cover:
20970 of total cover:
1 - Rapid Test for Hydrophytic Vegetation
Plot :
Shrub Stratumsize:
( )
X:.2 =Dominance Testis >50% ..
I'.
_
X 3. Prevalence Index is s3.0'
2•
_ Problematic Hydrophytic Vegetation' (Explain)
3.
4
...
5
'Indicators of hydric soil and wetland hydrology must
6.
be present, unless disturbed or problematic...
=Total Cover
Definitions;of l=ive Vegetation Strata:
506/6 of total covet`:
a 20% of total cover:
Tree "Woody plants, excluding woody vines,
Herb Stratum (Plot size: )
approximately 20 ft (6: in) or more in height and 3 in.
1. Arundinaria gigantea
R0 .: .Yes
FACW
7.6 cm or lar er to diameter at breast hei ht DBH
( ) 9 .. g ( )�
2: Woodwardia areo/ata
-10 No
OBL
Sapling'- Woody plants, excl'uding.woody vines,
3. Saururus.cemuus
10........ No
OBL.....
approximately 20 ft,(6 m). or more in height and less.
4.
. .
than 3 in. (7.6 cm) DBH: .
5
...
Shrub -Woody Plants, excluding woody vines,
'6.
approximately 3 to 20 ft (1 to 6 m)in height.
7.
Herb - All herbaceous (non -woody) plants, including
8.
herbaceous vines, regardless of size, and.wo"ody
:9.
plants, except woody vines, less than approximately 3
10.
ft (1 m) in height.
11.
Woody Vine - All woody vines, regardless of height.
66 =Total Cover
50% of total cover:
30 20% of total cover.
12
Woody Vine Stratum (Plot size::
)
1.
2
3.
4.
5' Hydrophytic
=Total Cover Vegetation
50% of total cover: 20°� of total cover Present? Yes X No
Remarks: (If observed, list morphological adaptations below_ .)
understory not heavily vegetated.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL . Sampling Point: wetland
Profile Description: {Describe to the'depth needed to document the indicator or corthmi the absence of Indicators.)
Depth Matrix
Redox Features .
(inches) Color,(moist) %
Color(molst) % Type Loc
Texture Remarks
0=8 10YR 3/1
10YR 5/6.... .. C PL:
Loamy/Clayey sandy loam
8-18 10YR 5/1:
10YR 6/8 C.: M
Loamy/Clayey : sandy clay loam
'Type: C --Concentration, D=De letion, RM=Reduced Matrix, MS=Masked Sand Grains..
2Location: PL=Pore Lining, M=Matrix.
Hydric.Soil.lndicators: (Applicable to all LRRs, unless otherwise noted.)
Indicators for Problematic Hydric Soils3:.
Histosol (Al.)
Thin Dark.Surface (S9) (LRR S, T, U)''
1 cm Muck (A9) (LRR O) -
Histic Epipedon:(A2):
Barrier Islands 1 cm Muck (S12)
2 cm Muck (A10) (LRR S)-
_ Black Histic (A3).
(MCRA 1538,1 630)-
_Co ast Prairie Redox (A16) -
—Hydrogen Sulfide (A4)
_Loamy Mucky Mineral (F1) (LRR O)
(outside MLRA.150A)
Stratified Layers (A5)
Loamy Gleyed Matrix (F2)
Reduced,Vertic (F18)
_Organic Bodies _(A6) (LRR, P, T, U)
x Depleted Matrix (F3) = -;
(outside MLRA 150A,150.B
5 cm Mucky Mineral (A7) (LRR P, T, U)
Redox Dark Surface (F6)
_Piedmont Floodplain Soils (Fl 9) (LRR P, T)
—Muck Presence (A8) (LRR U), '
_Depleted:Dark Surface (177)
: —Anomalous Bright Floodplain Soils (1720)
_ 1 cm Muck (A9) (LRR P, 'T')::
Redox Depressions (F8)
(MLRA 16313)
`Depleted Below Dani Surface (A11)
_
_Marl (1710) (LRR U)
_Red Parent Material (1721)
:.Thick Dark Surface (Al 2).
—Coast
Depleted Ochric (F11) (MLRA 151)
_Very Shallow, Dark Surface (F22), .
Prairie Redox (A16) (MLRA 150A)—
Iron-Mahbaiiese Masses (F12) (LRR O, P, T) (outside MLRA.138,152A in FL, 164).
—Sandy Mucky Mineral (Sl) (LRR O; S)
�Umbric Surface (F13) (LRR P, T, U)
.._Barrier Islands Low Chrome Matrix (TS7)
Sandy Gleyed. Matrix (S4)
Delta. Ochdc (F17) (MLRA 161)
(MLRA 153B, 153D)
_ Sandy Redox (S5)
_ Reduced.Vertic (F18) (MLRA 150A,.1.506) _ Other (Explain in Remarks)
Stripped Matrix (S6)
Piedmont Floodplain Soils (F19) (MLRA 149A)
x,.Dau ace (S7) .(LRR P, Sj, U)
Anomalous Bright Floodplain Soils (F20)
— Polyvalue Below Surface (S8)
.(MLRA 149A,1530;153D)
31ndiicators of hydrophytic•vegetation and
(LRR S, T, U)_Very
Shallow Dark Surface (F22) ;
wetland hydrology must be present, .
(MLRA 138;.152A in FL, 154)
unless disturbed or problematic.
estric ve ayer (if observed):
•
Type
Depth (inches): " ::
".
Hydric Soil Present? Yes No.
Remarks:
This data form is revised:frorn Atlantic and Gulf Coastal Plain Regional Supplement Version 2.0 to. include the NRCS Field, Indicators of Hydric Soils,.
Version 8.0, 2016.
(
US Army Corps of Engineers
_ Atlantic and Gulf Coastal Plain Region – Version 2:0

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: Windsor Place City/County: OnsloVv Sampling Date: .10/24118
ApplicanVOwner. Gene Young, REHS for Windsor:Place Apartments LLC. State: NC Sampling Point: upland
Investigator(s): Gene Young RENS . Section, Township, Range: Jacksonville, NC..
Landform (hillside, terrace, etc.): side slope Local relief (concave, convex, none): linear Slope (%):
Subregion (LRR or MLRA):.LRR T Lat:. 34.798213 Long: -77.426437 Datum:
Soil Map Unit Name:. Lenoir Loam NWI classification: Headwater 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 Is the Sampled Area
Hydric Soil Present? Yes No . X within a Wetland? • Yes... No X
Wetland Hydrology Present? Yes No X,
Remarks:
Site does not appear to be a wetland
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: cheek all that apply)
Surface Soil Cracks (136)
_Surface Water (A1) _Aquatic
Fauna (P113)
_Sparsely Vegetated Concave Surface (138);
— High Water Table (A2)
Marl Deposits (1315) (LRR U)
Draina9e Pattems (1310)
_Saturation (A3) —Hydrogen
Sulfide Odor. (CII)
- - Moss Trim Lines (1316) -
_Water Marks (61) —Oxidized
Rhizospheres on Living Roots (C3)
—Dry -Season Water Table (C2)
Sediment Deposits (132) —
Presence of Reduced Iron (C4)
_Crayfish Burrows '(C8)
—Drift Deposits (133) —Recent
Iron Reduction in Tilled Soils (C6)
Visible on Aerial Imagery (C9)
_Algal Mat or Crust:(B4)
Thin Muck Surface (C7)
_Saturation
Position (D21: .:.
Iron Deposits (65)
— —
Other (Explain in Remarks)
_.Geomorphic
—Shaliow Aquitard (D3)
_ Inundation Visible on Aerial Imagery (137)
X FAC -Neutral Test. (D5)
—Water -Stained Leaves (69)_ _ . -
—Sphagnum Moss (D8) (LRR TU).,.
Field Observations:
Surface Water Present? Yes. No
x Depth (inches):
Water Table Present? Yes No
x Depth -(inches):
Saturation Present? .. Yes' No..
x Depth (inches):
Wetland Hydrology Present? Yes No X
includes ca illa .frin a ..
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region –Version 2.0

VEGETATION (Five Strata) - Use scientific names of -plants.
Sampling Point: upland
US Army Corps of Engineers Atlantic and Gulf Coastal. Plait! Region - Version 2.0
Absolute ominant
Indicator
Tree Stratum (Plot size: )
% Cover Species?
Status
Dominance Test worksheet:
1. ; Liquidambars44aciflua
20 Yes
FAC
Number of Dominant Species.
2. Acer Mbrurri
20 ::: .. Yes
FACW ..
That Are OBL, FACW, or. FAC: 3 (Al
3
Total Number of Dominant
:4.
Species Across All Strata: 3 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW,. or FAC: 100.0% . (A/B)
40 =Total Cover
Prevalence Index worksheet:-
orksheet:.50%
.56%of total cover:
20 20% of total cover.
6
Total % Cover of: Multiply by:
SaMina Stratum (Plot size: } '
: , :
OBL species = 0 x 1 = ..0_
1.
FACW species - . 40. '. x2= 80
2.:
FAC species 20 x 3.= 60
3.
FACU species 0 x 4._ 0
4.
UPL species 0 X5= 0
5. -
:Column Totals:.::.: 60' :.. (A).. 140 (B).
:6.2.33
Index = 6%A =. 2.33
=Total Cover
Hydrophytic Vegetation indicators:
50% of.total cover:
20% -of total cover.
1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot siie: " . ) ' :
X::2 - Dominance Test is >50%
1. :
3 -Prevalence Index is s3.0'
2.
Problematic Hydrophytic Vegetation' (Explain)
3.
:4-
5. . .... ..
'Indicat ors of hydric sail,and wetland hydrology must
6.
be present, unless disturbed or problematic:.
=Total Cover _
:
Definitions of Five Vegetation Strata:
50% of total cover: .
20% of total co4er
Tree =Woody plants, excluding woody vines,
Herb Stratum (Plot size: j
approximately 20 ft: (6 my or more in height and 3 in.
1. Arundinada gigantea20
.: Yes
FACW
.(7.6 cm) or larger. in diameter at breast height (DBH).
2..
Sapling-. Woody plants, excluding woody vines,
3•
.........approximately
201t. (6 m) or more in height. and less.
4.
than 3 in. (7.6 cin). DBH.
5.:
Shrub = Woody Plants, excluding woody vines,
6•
ra
approximately 3 to 20 ft (1 to 6 m) in height.
7.
Herb - All herbaceous (non -woody) plants; including
8.
herbaceous vines, regardless of size, and woody . .
g
plants, except woody vines, less than approximately 3
ft (1 m)/in height..
11.Woody
Vine -All woody vines, regardless of height.
20 =Total Cover
50% of total cover:
: 10 20% of total cover:
4
Woody Vine Stratum (Plot size`.:
3.
4.
5
Hydrophytic
. .
=Total Cover.
_
Vegetation
566/6 of total cover:
20% of total cover:
Present? Yes . ;X No
Remarks: (if observed, list morphological; adaptations below.)
understory not heavily. vegetated.
US Army Corps of Engineers Atlantic and Gulf Coastal. Plait! Region - Version 2.0

SOIL Sampling Point: upland
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inches) Color. (moist) %
Coloe.(moist) % Type Loc
Texture Remarks
0-8 10YR 3/1
Loamy/Clayey sandy loam -uncoated sand grains
8-18 10YR 6/4
10YR 6/2 2 D M
Loamy/Clayey sandy clay loam
'T C=Concentration, D=De letion, RM=Reduced Matrix, MS=Masked Sand Grains.
zLocation: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRR6, unless otherwise noted.)
' Indicators for Problematic Hydric Soils3: .
Histosol (Al)
—Thin Dark Surface (S9) (LRR S, T, U) :
—1 cm Muck (A9) (LRR O)
_ Histic Epipedon.(A2)
Barrier Islands 1 em Muck S12
( )
2. cm Muck A10 LRR S
( ) ( )
Black Histic (A3).
_
:(MLRA 153B, 153Dj
Coast Prairie Redox '(Al6)
_Hydrogen Sulfide (A4)
—Loamy Mucky:Mineral (FI) (LRR O) :.:'
.: (outside MLRA 60A)
Stratified Layers (A5)
Loamy Gleyed Matrix (F2)
Reduced Vertic:(F18)
?: 'Organic Bodies (A6) (LRR, P, T, U)
: Depleted Matrix (F3)
:. (outside MLRA 150A;.1SOB)
.5 cm Mucky Mineral (A7) (LRR P, T, U)
_ Redox Dark Surface (176)
Piedmont Floodplain Soils (F19) (LRR P, T)
_ Muck Presence (A8) (LRR U).:
— Depleted:Dark Surface (F7)
—Anomalous:BN'hi.Floodplain Soils (F'
1.6m Muck (A9) (LRR P, T). _ .
_ Redox Depressions (F8)
(MLRA:153Bj ..
Depleted Below_Dark Surface (All)
: Marl (F10) (LRR U)
_ Red Parent Material (F21)
Thick Dark Surface (Al2)
—Coast
Depleted Ochric (F11). (MLRA 151)
.,... Very Shallow Dark Surface (1722)
Prairie Redox (A16) (MLRA 1s0A)
Iron -Manganese Masses (F12) (LRR O, P; T) (outside'MLRA 138,152A in FL: 164)
—Sandy Mucky Mineral (S1) (LRR O, S)
—Umbd,o Surface (1713) (LRR P, T, .U) .._
Barrier Islands Low Chroma Matrix (TS7)
Sandy Gleyed Matrix (S4)
Delta Ochdc (F17) (MLRA 751)
(MLRA 163B, 163D)
_.Sandy Redox (S5).
_ Reduced Vertic (F18) (MLRA 150A, 1508) _ Other (Explain in Remarks)
—Stripped Matrix (S6)
Piedmont Floodplain Soils (F19) (MLRA 149A)
—Dark Surface (S7) (LRR P, S, T, U)
—Anomalous Bright Floodplain Soils (F20)
_Polyvalue Below Surface (S8)
,(MLRA 149A, 153C; 153D)
.31ndicators of hydrophytic.vegetation and
(LRR S, T, U)
_ Very Shallow. Dark Surface (1722)
wetland hydrology must be present,
(MLRA 138,152A in FL,154) .:
unless:disturbed or problematic.
estr ctWe Layer (if observed):
Type
T''Hydric
Depth (inches):
Soil Present? Yes No X:
Remarks:
This data form is revised :from Atlantic and Gulf Coastal Plain Regional Supplement Version 2.0 to include the NRCS Field indicators of Hydric Soils,
Version 8.0, 2016.
US 'Army Corps of Engineers Atlantic and Gulf Coastal Plain Region – Version 2.0

0
�0t W A 7,r,9
�1
Office Use Only:
Corps action ID no.
DWQ project no.
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: 12 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps?
❑ Yes ❑X No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
Q 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:
0 Yes ❑ No
For the record only for Corps Permit:
Q Yes ❑ No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes X❑ No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
n Yes ❑ No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes © No
2. Project Information
2a. Name of project:
Windsor Place Apartments
2b. County:
Onslow
2c. Nearest municipality / town:
Jacksonville, NC
2d. Subdivision name:
Windsor Place Apartments
2e. NCDOT only, T.I.P. or state project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
Windsor Place Apartments, LLC
3b. Deed Book and Page No.
1874/521
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
10 S. Cardinal Drive
3e. City, state, zip:
Wilmington, NC 28403
3f. Telephone no.:
910-465-4104
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.
Q Agent ❑ Other, specify:
4b.Name:'
Gene Young; RHS
4c. Business name
Cf applicable): ia pP � ):
Applied, Resource Management
4d. Street address:
257 Transfer. Station RD
4e:. City, state, zip:
Hampstead,. NC 28443
4f. Telephone no.:
910-270w2919
4g: F.ax.no.:
910-270-;2908_.;_
4h. Email address:
[e-mail]
S. Agent/Consultant Information (if appiicable)
5a.' Name:
same as above.
5b, -Business name
(if applicable):.:
5c,. Street address:
5d: 'City, state, zip:
$e. Telephone:no:::
5f. Fax no.:.
5g_tmail address:

B. 'Project information and Prior Project History
1.. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 1437810257697
1 b. Site coordinates (tri decimal degrees):
Latitude: 34.798213 Longitude: -77.426437
1 c. Property size:
16.75 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
unnamed tributary I mill creek
2b. Water Quality Classification of nearest receiving water:
SC.
2c. River basin:
White. Oak ..
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 currently contains an existing apartment complex.
3b. 'List the total estimated acreage of all existing wetlands on the property: 0.25
3c. List the total estimated linear feet of. all. existing streams (intermittent and perennial) ori the property:
3d: Explain the purpose of the: proposed project:::
The phojeot is to extend an sewer main through the wetland area by mechanically clearing the path, trenching and backfilling the sewer easement
3e. Describe the overall project. in. detail, including. the type of equipment to be used:
see above. Typical trenching equipment and backhoe/excavator .
4. Jurisdictional Determinations
4a. :Have jurisdictional wettarid & stream determinations by the
.Corps: or State been requested or obtained forth_ is property /
project(including all briorphases),in thepast?
❑ Yes : ❑ No ❑X Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?.
Preliminary E] 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..
S. Project History
5a. Have permits or certifications'been requested or obtained for
this project (including all prior phases) in the past?
❑Yes E] No MX Unknown
5b. If yes, explain: in detail according to "help file" instructions.
S. 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
la. Which sections were completed below for your project (check all that apply):
Q Wetlands ❑ Streams — tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a!
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d:
Forested
2e.
Type of jurisdiction
Corps (404,10) or
q DWQ (401, other)
2f.
Area of
impact
(acres).
W1 P
Excavation
Hardwood Flat
Yes
Corps
0.02
W2 -
Choose one.
Choose one .
Yes/No
W3 -
Choose one
Choose one
Yes/No
W4 . -
Choose one
Choose one
Yes/No
7..
W5 -
Choose one
Choose: one
Yes/No
-
W6 -
Choose one
Choose one
Yes%No
-
. 2g. Total Wetland Impacts:
0.02
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)
51 -
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 ode
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:
50. Comments:
5h. Is a •dam high hazard permit; required?
❑ Yes ❑ No if yes, permit 10 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)
4
Zone 2
impact
(square
feet
Yes/No
62 -
Yes/No
B3 -
Yes/No
134- -
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
1 a. Specificallydescribe measures taken to. avoid or minimize the proposed impacts in designing project.
The wetland extends the length of the property, however, the wetlands were crossed at the narrowest point.
1 b. Specifically. describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Constriction will only occur within the proposed sewer easement-area. Sedimentation netting is to be used along edges of trench to prevent erosion
as much as possible.
2. Com Oensatoty Mitigation for-im acts 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 X❑ 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. Com lete.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 Making 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 J
4f. Non-riparian Wetland mitigation requested:
acres.
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
S. 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
66.
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
within one of the NO Riparian Buffer Protection Rules?
❑ Yes ❑X No
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?
o
2b. Does thisproject require a Stormwater Management Plan?
❑ Yes... ❑ No ... ... ..
2c. If this.project DOES NOT require a Stormwater Management Plan, explain why:
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 local govemmenfs 'urisdiictiorr is thisproject?
.:
3b. Which of the -following locally -implemented storinwater management programs
apply (check all that apply): .
❑ Phase II
❑ NSW
USMP.
Water.$upply Watershed
El Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
attached?
❑Yes ❑ No
4. DWQ:Stormwater Pro ram Review
4a. Which. of the following.state=implemented stormwater management programs apply
(check all that apply):
NCoastal counties
❑HQW
❑ORW .
❑Session Law 2006-246
❑Other:
4b:Has the approved Stormwater Management:Plan with proof of approval :been
attached?
❑ Yes . ' E] No
5. DWQ 401 Unit Stormwater Review
5a:: ,Does the Stormwater:Management Plan, meet the appropriate. requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal:requirements been met?
❑ Yes ❑ No

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
Yes OX No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant tothe requirements of the National or State
❑Yes El No
(North Carolina) Environmental Policy Act (NEPA/$EPA)?
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 Wetland Rules ;(15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H.1300), DWQ Surface Water or Wetland Standards,,.
,: []Yes MX No
or Riparian Buffer Rules (15A NCAC: 2B .0200)?
2b. Is this an after -the -fact permit application?
Yes ❑X 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 andreasonably 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.
this projects for a sewer extension. Property is to be served by sewer.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near ani area with federally protected species or
Yes X No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
El Yes QX No
impacts?
5.c. 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 program
6-. Essential Fish Habitat.(Corps Requirement)
6a: Will this project occur in or near an area designated as essential fish habitat?
Q. Yes . Q No
6b. What data sources- did you, use to determine whether your site would impact Essential Fish Habitat?
site is not:near aquatic source.
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 arolina history: and archaeology)? -
.7b. What data sources did you use to determine'Whethee your site would impact historic or archeological resources?
NC HPOWEB
8. Flood Zone Designation .(Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
0 Yes ❑X No
8b. If yes, explain how project meets FEMA requirements:
8c. What sources) did you use to make the floodplain determination?
Onslow County GIS Tax map
Applicant/Aprit's Printed Name
Ap 'cant/ ent nature
Date
(Agent's signat valid only if an authorization
letter.from theaapplicant isprovided.)
Page 10 of 10

BLVD Western
ocGAT
Subject Property
_J I Wetland boundary
Map adapted from USGS Topographic Map "Jacksonville North, NC 2016"
Windsor Place Apartments FIGURE:
Applled Resource Site Vicinity
Management, F C JOB: SCALE: DATE: DRAWN BY:
H—)-Aned NC26443 18311 1= 1000' 3/27/19 GY

Western BLVD
<4
Y
79
-� Subject Property
Wetland boundary
Map adapted from USGS Topographic Map "Jacksonville North, NC 2016"
Windsor Place Apartments FIGURE:
App/ied Resource Aerial Image
Management,%" C JOB: SCALE: DATE: DRAWN BY: 3
Hampstead, NC2B443 18311 1 "= 200' 3/27/19 GY

+. ARLINCTON
"'EST
T
i%'•1f?i till;�T'
CONNECT TO
EX. PUBLIC
PUMP STATION
CITY OF
JACKSONVILLE
Preliminary Wetland Boundary
[-7-
Proposed Impact Area
(0.02 acres)
Project Review Area
WET1A
pR p_ i
�s
. y
PROPOSED �
UPS ANDSTWORIPW
i
�—PRIVATE PUMP`'
WETLAND STATION TO BE
IMPACTS ABANDOND
1260SF
Applied l�e5ource
Management, P G.
yamPStead NC26443
Map adapted from sewer plan by Stroud Engineering dated 10/29/18
TITLE: Windsor Place FIGURE:
Proposed Wetland Impact
OB: SCALE: DATE: DRAWN BY:
2
18311 1 "=100 5/22/19 GY