20190616 Ver 1_More Info Requested_20190703

DR
111*19rr of water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
September 29, 2018 Ver 3
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E -PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edocs.deq. nc.govMaterResources/O/edoc/624704/PCN % 20Help%20F ile%202018-1-30. pdf
A. Processing Information
County (or Counties) where the project is located:*
Wake
Is this project a public transportation project?*
r Yes r• No
This is any publicly funded by rrunicipal,state a federal funds road, rail, airport transportation project.
1a. Type (s) of approval sought from the Corps:*
IJ 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?
IJ Nationwide Permit (NWP)
F- Regional General Permit (RGP)
r Standard (IP)
This form may be used to initiate the standard/individual permit process with the Corps. Please contact your Corps representative concerning submittals for standard permits. All required items that
are not provided in the E -PCN can be added to the miscellaneous upload area located at the bottom of this form.
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):
List all NN numbers ycu are appyirg fa not w the drop down list.
1d. Type (s) of approval sought from the DWR:*
check all that apply
fJ 401 Water Quality Certification - Regular
r Non -404 Jurisdictional General Permit
r Individual Permit
29 - Residential Developments
le. 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:
1f. Is this an after -the -fact permit application?*
r Yes r No
r 401 Water Quality Certification - E)press
rJ Riparian Buffer Authorization
*
r Yes r W
r Yes r W
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
N so, attach the acceptance letter from mitigation bank a in -lieu fee program
r Yes r No
Acceptance Letter Attachment
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RLETYFENLBTBEFCF
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
Link to trout information: http://vmw.saw.usace.army.mil/Missions/Regulatory-Permit-Prograrr✓Agency-Coordination/Trout.aspx
B. Applicant Information -
1a. Who is the Primary Contact?*
Deborah Shirley
2. Owner Information
2a. Name(s) on recorded deed:*
1c. Primary Contact Phone:*
1 b. Primary Contact Email:*
(xxx)xxx-xxxx
[e-mail]
[phone]
1d. Who is applying for the permit?*
V Owner
frJ Applicant (other than owner)
(Check all that apply)
1e. Is there an Agent/Consultant for this project?
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:*
Old Milburnie Road LLC
2b. Deed book and page no.:
Book 013858, Page 01207
2c. Responsible party:
(for Corporations)
Edythe Poyner
2d. Address*
Street Address
4412 Delta Lake Dr.
State / Province / Fbgm
Address Line 2
NC
City
State / Provinoe / Fbgm
Raleigh
NC
F stal / Zip Cade
Country
27612
USA
2e. Telephone Number:*
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:*
Zach Daugherty
3b. Business Name:
(if applicable)
Shenandoah Fomes, LLC
3c. Address*
Street Address
3724 National Dr. #220
Address Lire 2
City
State / Province / Fbgm
Raleigh
NC
Festal / Zip Cade
Country
27612
USA
3d. Telephone Number:*
[phone] 3e. Fax Number:
(xxx)xxx-xxxx (xxx)xxx-xxxx
3f. Email Address:*
[e-mail]

4. Agent/Consultant (if applicable)
4a. Name:*
Deborah Shirley
4b. Business Name:
(d applicable)
Soil & Environmental Consultants, PA
4c. Address*
Street Address
8412 Falls of Neuse Rd
Address Line 2
Suite 104
Cty
Raleigh
Postal / Zip Code
27615
4d. Telephone Number:*
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Flease provide the Agent Autlwrization Letter if you are subrrdrig this docurrrantt.
Property Owner Authorization (signed).pdf
FLETiYPEM- BEPCF
State / Province / %gion
NC
Country
USA
4e. Fax Number:
442.48KB
C. Project Information and Prior Project History
1. Project Information l^J
1a. Name of project:*
Milburnie Ridge
1b. Subdivision name:
ff appropiate)
1c. Nearest municipality / town:
*
Raleigh, NC
2. Project Identification U
2a. Property Identification Number:
2b. Property size:
(tax RJ a parcel Q
(in acres)
1746628360
55
2c. Project Address
Street Address
3231 Old Milburnie Rd
Address Une 2
City
State / Province / legion
Raleigh
NC
Postal / Zip Cade
Country
27616
United States
2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey -grade GPS device) after the decimal place as appropriate, based on howthe location was
determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude: * Longitude:*
35.8429 -78.5072
ex: 34.208504 -77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Hodges Mill Creek
3b. Water Resources Classification of nearest receiving water:*

C;NSW
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12 -digit HUC in which the project is located.*
030202010703
River Basin Lookup
4. Project Description and History
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 consist of a wooded parcel with one residential structure, two wells and a 10' utility pole easement. The parcel is bisected by an intermittent stream with a
headwater wetland, and the property is bounded by a perennial stream to west with adjacent bottomland hardwood forest wetlands. General land use in the vicinity of the project
consists of forested land, and 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)
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USGS.pdf 720.45KB
File type must be pdF
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)
Click the upload button or drag and drop files here to attach docur ent
SS.pdf 232.04KB
File type rust be pdf
4f. List the total estimated acreage of all existing wetlands on the property:
Approximately 0.35 acres
4g. List the total estimated linear feet of all existing streams on the property:
(interrrttent and perennial)
Approxirnately 2,600 LF
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to provide access for a residential development.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The overall project consists of the construction of a residential development with accompanying roads, utilities, stormwater control measures (SCM), and residential structures.
Specifically, there are two stream impacts associated with road crossings, three impacts resulting from stormwater discharge outlets, and one impact from greenway trail construction.
Equipment typically used for construction and earthwork such as backhoes, bulldozers, excavators, graders, pavers, etc. will be used for this project.
4j. Please upload project drawings for the proposed project.
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NCR182053DP0-C-201 EXISTING CONDITIONS & DEMOLITION PLAN.pdf 1.35MB
File type must be pdr
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:
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:
Exarple: SAW -2017-99999
SAW -2018-01529
5c. If Sa is yes, who delineated the jurisdictional areas?
Name (if known): Steven Ball
Agency/Consultant Company: Soil & Environmental Consultants, PA
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR.
USACE: streams and wetlands reviewed by Ross Sullivan on September 26, 2018, confirmation sent via email; NCDWR: Neuse Buffers were field verified by Gary Kreiser on March 23,
2018 by Gary Kreiser (RRO #18-068).
5dl. Jurisdictional determination upload

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18-068 3231 Old Milburnie Rd Determination Letter.pdf
File type mist be PCF
6. Future Project Plans
341.72KB
6a. Is this a phased project?*
r Yes O 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 projector related activity? This
includes other separate and distant crossing for linear projects that require Department of the Army authorization but don't require pre -construction notification.
There are none to my knowledge.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
R Wetlands W Streams -tributaries W Buffers
F_ Open Waters r Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
"W." will be used in the table below to represent the word "wetland".
29. Total Temporary Wetiand Impact
0.009
2g. Total Permanent Wetland Impact
0.011
2g. Total Wetland Impact
0.020
2h. Comments:
Temporary wetland impacts will be brought back to pre -construction contours and allowed to re -vegetate with adjacent wetland seed source.
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.
"S:" will be used in the table below to represent the word "stream".
2at Reason * (?)
2b. Impact type * (?)
2c. Type of W.
2d. W. name *
2e. Forested*
2f. Type of2g.
Impact
3h. Impact
❑
Jurisdicition*(?)
area*
Im act A-2
P
SCM Discharge Outlet
P
Bottomland Hardwood Forest
W1
Yes
Both
0.005
Impact A-2
SCM Discharge Outlet:
T
Bottomland Hardwood Forest
W1
Yes
Both
(acres)
0. 005
Construction Activitiess
Average (feet)
(linear feet)
32
Impact B: Road Crossing
Permanent
(acres)
Impact F-2
Greenway Trail
P
Headwater Forest
W2
Yes
Both
0.006
Average (feet)
(linear feet)
S3
(acres)
Im act F-2 P
GreenwayTrail:
T
Headwater Forest
W2
Yes
Both
0.004
Construction Activities
Constructio Activities
Average (fees)
(acres)
29. Total Temporary Wetiand Impact
0.009
2g. Total Permanent Wetland Impact
0.011
2g. Total Wetland Impact
0.020
2h. Comments:
Temporary wetland impacts will be brought back to pre -construction contours and allowed to re -vegetate with adjacent wetland seed source.
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.
"S:" will be used in the table below to represent the word "stream".
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
3a. Reason for impact*(?)
3b.lmpact type *
3c. Type of impact*
3d. S. name*
3e. Stream Type *
3f. Type of
3g. S. width *
3h. Impact
❑
(?)
Jurisdiction*
length*
gt
Impact B: Road Crossing-
Temporary
Other
In to Hodges Mill Creek
Intermittent
Both
15
42
Construction Activities
Average (feet)
(linear feet)
32
Impact B: Road Crossing
Permanent
Culvert
LT to Hodges Mill Creek
Intermittent
Both
10
80
Average (feet)
(linear feet)
S3
Impact E: Road Crossing-
Temporary
Other
LT to Hodges Mill Creek
Perennial
Both
23
48
Construction Activities
Average (fees)
(lirrfeet)
S4
Impact E: Road Crossin 9
Pe9
rmanent
Culvert JUT
to Hod es Mill Creek
Perennial
BthrnP
Aver�e(feet)
(linearfe�)
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:

149
3i. Total temporary stream impacts:
90
3i. Total stream and ditch impacts:
239
3j. Comments:
Temporary stream impacts will be brought back to pre -construction stream bed elevations and the stream banks will be stabilized.
6. Buffer Impacts (for DWR)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts below.
6a. Project is in which protect basin(s)? *
Check all that apply-
6c. Per or Temp* (')
() Neuse
❑ Tar -Pamlico
F Catawba
❑ Randleman
F Goose Creek
❑ Jordan Lake
F Other
No
6b. Impact Type *(')
6c. Per or Temp* (')
6d. Stream name*
6e. Buffer mitigation required?*
6f. Zone 1 impact*
6g. Zone 2 impact*
Impact A-1: SCM Discharge OutletP
10,584.00
<R to Hodges Mill Creek
No
680
492
(square feet)
(square feet)
Impact B: Road Crossing
P
l!1 to Hodges Mill Creek
No
7,560
4,713
(square feet)
(square feet)
Impact C: SCM Discharge Outlet
P
lJl to Hodges Mill Creek
No
710
95
(square feet)
(square feet)
Impact D; SCM Discharge Outlet
P
In to Hodges Mill Creek
No
906
509
(square feet)
(square feet)
Impact E: Road Crossing
P
In to Hodges Mill Creek
No
5,676
2,227
(square feet)
(square feet)
Impact F: Greenway Trail
P
ree
LIT to Hodges Mill Ck ]E_
1,493
2,148
(square feet)
(square feet)
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1
Zone 2
Total Permanent impacts: 17,025.00
10,584.00
Zone 1
Zone 2
Total combined buffer impacts: 17,025.00
10,584.00
6i. Comments:
Supporting Documentation - i.e. Impact Maps, Plan Sheet, etc.
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190501 - WETLAND IMPACT EXHIBIT - Milburnie Ridge NCR182053.pdf 5.59MB
File trust be FDF
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:*
_�E

S&EC completed a wetland delineation and Neuse River Buffer evaluation for the entire property in order to identify natural resources so that impacts
could be avoided & minimized to the maximum extent practicable. Proposed impacts include two (2) road crossings, one (1) greenway crossing and
three (3) Stormwater Control Measures (SCM) discharge outlets. Impacts A-1, C and D are all SCM discharge outlets through riparian buffers. These
are permanent riparian buffer impacts necessary to discharge treated stormwater down to the receiving waters. These discharges have been
designed to enter the stream at an angle, and to avoid stream impacts. Additionally, Impact A-2 includes permanent and temporary wetland impacts.
This wetland impact has been minimized by shifting the discharge as far north as possible and within the narrowest portion of the wetland. Impact B is
a proposed road crossing necessary for access to the east side of the property. Proposed impacts include permanent and temporary intermittent
stream impacts and associated riparian buffer impacts. Temporary stream impacts are necessary for construction activities. Stream and riparian buffer
impacts have been minimized by utilizing head walls. Impact E is a proposed road crossing necessary for access to the property from an existing stub
Phlox Road. Proposed impacts include permanent and temporary perennial stream impacts and associated riparian buffer impacts. Temporary stream
impacts are necessary for construction activities. Stream and riparian buffer impacts have been minimized by utilizing head walls and wing walls.
Impact F-1 & F-2 is a proposed greenway crossing necessary for pedestrian connectivity which avoids a road crossing in this location. Proposed
impacts include permanent and temporary wetland impacts and associated riparian buffer impacts. Temporary wetland impacts are necessary for
construction activities. Stream impacts have been avoided in this location. Temporary wetland impacts will be brought back to pre -construction
contours and allowed to re -vegetate with adjacent wetland seed source. Temporary stream impacts will be brought back to pre -construction stream
bed elevations and the stream banks will be stabilized.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
All E&S measures will conform to the latest NCDEQ Erosion and Sediment Control Planning and Design Manual and City of Raleigh Requirements. A
detail sheet of some of the measures to be used is included, sheet 8 of 8.
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:
Proposed permanent impacts to jurisdictional waters of the US/State have been minimized and are belowthe 150 linear foot, the compensatory mitigation threshold typically required by
the USACE-Raleigh Regulatory Field Office.
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
*** Recent changes to the stormwater rules have required updates to this section .***
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
1b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the project is subject to estate implemented riparian buffer protection
program, include a plan that fully documents how diffuse flow will be maintained.
All Stormwater Control Measures (SCM)s must be designed in accordance with the NC Stormwater Design Manual. Associated supplement forms and other documentation shall be
provided.
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
V Other SCM that removes minimum 30% nitrogen
r Proposed project will not create concentrated stormwater flow through the buffer
(check all that apply)
For a list of options to meet the diffuse flow requirements, click here.
Diffuse Flow Documentation
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190115 - Milburnie Ridge Post Drainage Exhibit.pdf 2.8MB
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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
To lookup low density requirement click here 15A NCAC 02H.1003(2).
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?*
r Yes r No
Hnt: projects that have vested rights, exerrptiors, a grandfathering franstate a locadly inplerrented stormwater prograrrs a projects that satisfy state a locally-hplenented stamvata programs through use of comnmity in -lieu programs should answer no
to this question.
2d. Which of the foIlowin stormwater mans age ro ram(s) a I *
g g p g () pp y (check all that apply):

P Local Government r State
If you have a local government approval please include the SfVPon their overall impact rap.
Local Government Stormwater Programs*
V Phase II rJ NSW
F USMP r Water Supply
Please identify which local government stormwater program you are using.*
City of Raleigh
Comments:
Three Wet Ponds proposed on site designed to treat 90% TSS and 30% to and will discharge directly to the stream through buffers.
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 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 (15A NCAC 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 (based on past and reasonably anticipated future impacts) 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.
We have reviewed the "Draft Internal Policy, Cumulative impacts and the 401 Water Quality Certification and Isolated Wetlands Programs' document
prepared by the NC Division of Water Quality on April 10, 2004, version 2.1. The draft states that many private developments are unlikely to cause
cumulative impacts, including projects such as urban in -fill, most residential subdivisions and small commercial developments as well as agricultural
and silvicultural operations. The Milburnie Ridge project is a residential development. Additionally, the project is located within the City of Raleigh
jurisdiction, therefore the adjacent properties that have potential for development will have the following regulations to protect downstream waters: 1)
the Neuse River Basin Riparian Buffer Protection regulations, these regulations require limited development within the riparian buffer area, in addition
to "diffuse flow" requirements and could require Best Management Practices that control nitrogen if diffuse flow cannot be achieved; 2) the Phase II
NPDES Stormwater Permit Program, this program includes permitting requirements for Municipal Separate Storm Sewer Systems (MS4s) in addition to
post -construction stormwater management requirements. We anticipate that the DWR will advise us if any additional information is needed.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes f Nor WA
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated
at a treatment plant, list the capacity available at that plant.
Non -discharge; Wastewater will be conveyed from a pump station on site to the eAsting City of Raleigh Public Utility Sewer system.
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
5e. Is this a DOT project located within Division's 1-8?*
r- Yes r No
5f. Will you cut any trees 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
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17signed_NLEB-SLOPES&apps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?**
r Yes r No
r Unknown

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?*
North Carolina Natural Heritage Program, 2019. Geographic Information System (GIS) data, NCDNCR, Raleigh, NC. Available at http://www.ncnhp.org/.
(Accessed: May 1, 2019).
Consultation Documentation Upload
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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?*
The NOAA Habitat Conservation/Habitat Protection: National Marine Fish Service; Essential Fish Habitat Mapper website was referenced. No Essential
Fish Habitat was identified near the project.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpovmb/
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status (e.g., National Historic
Trust designation or properties significant in North Carolina history and archaeology)?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
The NC State Historic Preservation Office HPOWEB GIS Service was referenced on May 1, 2019. No historic listings, study list entries, or determined
eligible listings were identified within the property.
7c. Historic or Prehistoric Information Upload
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8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
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?*
The NC Floodplain Mapping Program's Flood Risk Information System was referenced; confirmation from project engineer.
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
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Signature
PF 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:*
Deborah E. Shirley
Signature
Date

5/7/2019