20081379 Ver 2_401 Application_20090409

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Crowley, Crisp & Associates, Inc.
Professional Engineers
1906 South Main Street, Suite 122
Wake Forest, NC 27587
919-562-8860 • Fax: [phone]
TO: NC DWO, 401 /Wetlands Unit
1650 Mail Service Center sPAID
Raleigh, NC 27699-1650
[L[EUTEa oV 4G im"15KNIV IL
DATE: 04/14/09 JOB NO.: 09004
ATTENTION: Cyndi Karoly
RE: PCN for Grace Haven Baptist Fellowship

WE ARE SENDING YOU ® Attached ? Under Separate Cover via
? Shop Drawings ? Prints ? Plans ? Samples
? Copy of Letter ? Change Order ® As listed
the following items
? Specifications
COPIES DATE NO. DESCRIPTION
04/14/09 1 Original PCN form and supporting documentation
YES 04/14/09 4 PCN form and supporting documentation
04/14/09 1 Check for fees

THESE ARE TRANSMITTED as checked below:
® For approval
? For your use
? As requested
® For review and comment
? FOR BIDS DUE
REMARKS:
? Approval as submitted ? Resubmit corrected prints
? Approved as noted ? Submit copies for distribution
? Returned for corrections ? Return corrected prints
20 ?PRINTS RETURNED AFTER LOAN TO US
COPY TO: Jon Frazier, PE
919.562.8860 x 29
i frazier(&crowley-crisp. com
If enclosures are not as noted, kindly notify us at once
SIGNED: n
AI?k 1 ? ?,,.. _ U
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O?OF \N AT F9
IDS-13101 9 2.
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information IM a
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ® Yes ? No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ® Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

? 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 ? No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ® No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: Grace Haven Baptist Fellowship - Phase I
2b. County: Franklin
2c. Nearest municipality / town: Franklinton
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: N/A
3. Owner Information
3a. Name(s) on Recorded Deed: Grace Haven Baptist Fellowship
3b. Deed Book and Page No. Book 1444, Page 513
3c. Responsible Party (for LLC if
applicable): Reverend Dick Graves
3d. Street address: 125 Youngsville Blvd
3e. City, state, zip: Youngsville, NC 27596
3f. Telephone no.: 919-554-0180
3g. Fax no.: 919-649-7017
3h. Email address:
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Page I of 11
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PCN Form - Version 1.3 December 10,-in
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: Jon Frazier
5b. Business name
(if applicable): Crowley, Crisp & Associates, Inc
5c. Street address: 1906 South Main Street, Suite 122
5d. City, state, zip: Wake Forest, NC 27587
5e. Telephone no.: 919-562-8860
5f. Fax no.: 919-562-8872
5g. Email address: [e-mail]
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 1854-97-0215
1 b. Site coordinates (in decimal degrees): Latitude: 36.08910 Longitude: - 78.45901
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 71.94 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Cedar Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C; NSW
2c. River basin: Tar-Pamlico
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:
Cedar Creek runs west to east along the north property line, and it is fed by two perennial tributaries that run south to
north through the property. The landscape is generally wooded along the southern and western slopes with grass and
shrubs in the flood plain. There is an existing sewer sewer line that parallels Cedar Creek along the property line, and
there is an existing dirt road that leads to an open roofed pavilion. There are also several existing paths that provide
access to the entire property. The surrounding area is comprised of agriculture, silviculture, and residential development.
3b. List the total estimated acreage of all existing wetlands on the property:
1 acre
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
1801 linear feet
3d. Explain the purpose of the proposed project:
Grace Haven Baptist Fellowship - Phase I is the installation of an 18-foot wide gravel driveway. The driveway will provide
future access to the future church building, which is Phase II of the project.
3e. Describe the overall project in detail, including the type of equipment to be used:
The 18-foot wide driveway will utilize the existing dirt road entrance on Hicks Road and will travel along the southern
property line where it will cross the first of the two perennial tributaries. Two 48" concrete pipes will be placed at this
crossing. The driveway will continue westward along the toe of the wooded slope and will cross the second perennial
tributary at an exisitng path crossing. The existing culvert at this crossing will be replaced by two 42" concrete pipes,
which will correct for the existing elevated culvert and allow for improved flow and aquatic passage. The driveway will
continue northwest a short distance beyond the stream crossing and will terminate. Runoff from the driveway will be
captured in driveway-side ditches that will then carry the runoff to three BMPs, two stormwater wetlands and one
bioretention facility. The BMPs will treat the stormwater runoff for water quality. Equipment to be used includes pumps,
trackhoes, bulldozers, and other land grading equipment.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes ? No ? Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type ? Preliminary ED Final
of determination was made.
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: Keller Environmental
Name (if known): Jay Keller Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
The State determination ocurred on November 21, 2006, and the documentation is attached. The Corps General Permit
Verification was issued on September 18, 2008, and the documentation is attached.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Project History
5a. Have permits or certifications been requested or obtained for ® Yes ? No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
A PCN was submitted under DWQ Project # 08-1379 for this driveway on September 9, 2008. A Request for More
Information was issued by DWQ on September 23, 2008, and the application was returned on January 15, 2009 due to
failure to respond to the Request for More Information. The original PCN and Request for More Information are attached.
6. Future Project Plans
6a. Is this a phased project? ® Yes ? No
6b. If yes, explain.
Grace Haven Baptist Fellowship will be completed in two phases. Phase I is the installation of an 18-foot wide gravel
driveway. The driveway will provide future access to the future church building, which is Phase II of the project.
Page 4 of 11
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
? 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. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T
W1 ? P ? T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts
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. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)

S1 ®P ? T Culverts,
headwall
and UT to Cedar
® PER
® Corps
7
61
,
dissipater pad Creek ?INT ?DWQ

S2 ® P ? T Culverts,
headwall, and UT to Cedar ® PER
? Corps
5
55
dissipater pad Creek ?INT ?DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 116
3i. Comments:
Page 5 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number- (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWO)
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.
? Neuse ® Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary T impact required?
B1 ® P ? T UT to Cedar Creek ® Nos 3290 2037
B2 ®P ? T UT to Cedar Creek ® Nos 3231 2098
B3 ?P?T ?Yes
? No
6h. Total buffer impacts 6521 4135
6i. Comments:
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Since both tributaries cross the entire property from south to north, access to the western side of the property is not possible
without crossing the tributaries. The eastern tributary is proposed to be crossed at the maximum distance from Cedar Creek,
and the western tributary crossing will utilize an existing crossing while improving flow and aquatic passage at that crossing.
The impacts resulting from the driveway have been minimized by crossing the tributaries at perpendicular angles and by
utilizing headwalls to decrease the volume of fill and subsequent fill slopes.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Construction vehicles will utilize the existing dirt roads and paths when accessing the property, and all construction will be in
accordance with NCDENR standards and specifications for erosion control.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this
project? ? Mitigation bank

El Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type 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: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. 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 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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 ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified ® Yes ? No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
®Yes ? No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 1.03%
2b. Does this project 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:
Stormwater runnoff from the proposed driveway will be captured by driveway-side ditches and carried to three BMPs.
Two of the BMPs will be Stormwater Wetlands located in the flood plain, and the third BMP will be a Bioretention Facility
located on the wooded slope. These BMPs will treat stormwater runoff for water quality.
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
® DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties

4a. Which of the following state-implemented stormwater management programs apply ? HQW
? ORW
(check all that apply):
? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? 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
Page 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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 ® 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 to the requirements of the National or State ? Yes ? No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. 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 ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ® Yes ? No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
Phase II of Grace Haven Baptist Fellowship, which is the construction of the future church building and associated site, is
not anticipated to have any additional stream, wetland, or buffer impacts. Stormwater runoff from the proposed site will
be treated by on-site BMPs per DWQ standards. A layout of the future site with potential BMPs has been included in the
submittal. It is understood that future development will require resubmittal to DWQ for approval of a stormwater
management plan.
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.
Phase I of Grace Haven Baptist Fellowship is not anticipated to generate wastewater. Wastewater from the future church
building will be treated by gravity sewer connected to the Franklin County Public Utilities sanitary sewer main that crosses the
property.
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ? Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ® Yes ? No
impacts?

5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
®
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The North Carolina National Heritage Progream, the USFWS website, and the USFWSRaleigh field office were
consulted.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
The source use was the South Atlantic Habitat and Ecosystem IMS.
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 ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
The source used was the North Carolina Historic Preservation Office website.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? FED es ? No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? The source used was the FEMA FIRMs.
<?s 441-?
?aAL lql(?Ici?
Applicant/Agent's Printed Name -
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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Doc ID: 003196300002 Tvoe: CRP
Recorded: 06/13/2008 at 12:53:02 PM
Fee Amt: $20.00 Page i of 2
Excise Tax: $3.00
Franklin Countv North Carolina
Linda H. Stone Reaister of Deeds
BK1688PG767-768

PREPARED BY: Warren Perry Narron Shackleford & Mackay, PLLC, dhv
343 S. White Street, Wake Forest, NC 27587
TAX IDENTIFICATION #: OUT OF 8505 REVENUE STAMPS $ 3.00
NORTH CAROLINA GENERAL WARRANTY DEED
This deed made this 12th day of June, 2008 by and between:
GRANTOR: GEORGE H. JOHNSON A/K/A GEORGE H. JOHNSON, JR. AND WIFE, CORINA JOHNSON
GRANTEE: GRACE HAVEN BAPTIST FELLOWSHIP, INC.
i S E To,-A ,S S 4. _
Lt Ke FO,,-e ?,,+l t\J C, ? 7S 4
Grantor, for valuable consideration paid by Grantee, receipt of which is hereby acknowledged, does grant, convey
and transfer unto Grantee in fee simple the property described as follows:
TOWNSHIP OF FRANKLINTON -,COUNTY OF FRANKLIN
Being all of 0.411 acre as shown on map entitled "Recombination Survey For Grace Haven Baptist
Fellowship" as shown on map recorded in Book of Maps 2008, Page 207, Franklin County
Registry.
The above property was acquired by Grantor by instrument recorded in Book 431, Page 312.
TO HAVE AND TO HOLD the above described property and all privileges and appurtenances thereto belonging
to the Grantee in fee simple.
Grantor covenants with Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the
same in fee simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant
and defend the title to the property against the lawful claims of all others except for the exceptions set out below.
GRACEHAVENBAPTIST.41 Page 1 of 2

ale to the property described herein is subject to the following exceptions:
1. Subject to the right of way of Hicks Road & existing gravel path.
2. Subject to easement to the Board of Transportation recorded in Book 769, Page 772, Franklin County
Registry.
IN WITNESS WHEREOF, Grantor has set his hand and seal, or if corporate, has caused this instrument to be
signed in its corporate name by a duly authorized officer.
?•
(SEAL)
George H. ohnson
(SEAL)
Corina Johnson
STATE OF NORTH CAROLINA, COUNTY OF WAKE
1, ft2 c th call 0 1 „ 1 x ? n f h a Notary Public for the County of Wake State
of North Carolina, certify that George H. Johnson and wife, Corina Johnson personally appeared before me
this day and acknowledged the execution of the foregoing instrument.
Witness my hand and official stamp or seal, this 12th day of June, 2008.
No at ry Public
My Commission Expires 1r .t-t 1G 1c? O
GRACEHAVENBAPTIST.41 Page 2 of 2
Permit Number
(to be provided by DWQ)
OF WAT?cR
NC ENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WETLAND SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all the required information
1I. PROJECT INFORMATION
Project name Grace Haven Baptist Fellowship
Contact name Jon Frazier
Phone number 919.562.8860
Date March 25, 2009
Drainage area number 1
II. DESIGN INFORMATION
Site Characteristics
Drainage area 361,265.00 ft2
Impervious area 13,352.00 ft2
Percent impervious 3.7%%
Design rainfall depth 1.00 inch
Peak Flow Calculations
1-yr, 24-hr rainfall depth
1-yr, 24-hr intensity
Pre-development 1-yr, 24-hr runoff
Post-development 1-yr, 24-hr runoff
Pre/Post 1-yr, 24-hr peak control
Storage Volume: Non-SA Waters
Minimum required volume
Volume provided (temporary pool volume)
Storage Volume: SA Waters Parameters
1.5' runoff volume
Pre-development 1-yr, 24-hr runoff volume
Post-development 1-yr, 24-hr runoff volume
Minimum volume required
Volume provided
Outlet Design
Depth of temporary pool/ponding depth (Dp1a,t)
Drawdown time
Diameter of orifice
Coefficient of discharge (CD) used in orifice diameter
calculation
Driving head (Ho) used in the orifice diameter calculation
2.88 in
4.87 in/hr
12.35 ft3/sec
12.30 ft3/sec
-0.05 ft3/sec
2,507.00 ft3
2,628.00 ft3 OK
ft3
ft3
ft3
ft3
ft3
12.00 in OK
2.25 days OK
2.00 in Drawdown orifice diameter may be insufficient. Please
provide adequate supporting calculations.
0.60 (unitless)
1.13 ft OK
Form SW401-Wetland-Rev.4-2110/09 Parts I and II. Project Design Summary, Page 1 of 3
Permit Number
(to be provided by DWQ)
Surface Areas of Wetland Zones
Surface Area of Entire Wetland 2,628.00 ft2
Shallow Land 1,036.00 ft2
The shallow land percentage is: 0.39%
Shallow Water 1,036.00 ft2
The shallow water percentage is: 0.39%
Deep Pool
Forebay portion of deep pool (pretreatment) 351.00 ft2
The forebay surface area percentage is: 0.13%
Non-forebay portion of deep pool 205.00 ft2
The non-forebay deep pool surface area percentage is: 0.08%
Total of wetland zone areas 2,628.00 ft2
Add or subtract the following area from the zones 0.00 ft2
Topographic Zone Elevations
Temporary Pool
Shallow Land (top) 297.00 fmsl
Permanent Pool
Shallow Water (top) 296.00 fmsl
Deep Pool (top) 295.50 fmsl
Most shallow point of deep pool's bottom 293.00 fmsl
Deepest point of deep pool's bottom 293.00 fmsl
Design must meet one of the following two options:
This design meets Option #1,

Deep pool is Cinches below SLWT, If yes: Y (Y or N)
SLWT (Seasonally Low Water Table) 295.00 fmsl
This design meets Option #2,
Has a clay liner
If yes:
Depth of topsoil above clay liner in
Topographic Zone Depths
Temporary Pool
Shallow Land 12.00 in
Permanent Pool
Shallow Water 6.00 in
Deep Pool (shallowest) 30.00 in
Deep Pool (deepest) 30.00 in
Planting Plan
Are cattails included in the planting plan? N
Number of Plants recommended in Shallow Water Area:
Herbaceous (4'cubic-inch container) 300
Number of Plants recommended in Shallow Land Area:
Herbaceous (4'cubic-inch container), OR 300
Shrubs (1 gallon or larger), OR 48
Trees (3 gallon or larger) and Herbaceous (4+ cubic-inch) 6
Number of Plants provided in Shallow Water Area:
Herbaceous (4'cubic-inch container) 50
Number of Plants provided in Shallow Land Area:
Herbaceous (4'cubic-inch container) 60
Shrubs (1 gallon or larger) 48
Trees (3 gallon or larger) and 6
Grass-like Herbaceous (4+ cubic-inch)
(Y or N)
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
OK
and 240
Higher density is recommended.
More recommended if not planting shrubs or trees.
OK
OK
Form SW401-Wetland-Rev.4-2/10/09 Parts I and 11. Project Design Summary, Page 2 of 3
Permit Number
(to be provided by DWQ)
Additional Information
Can the design volume be contained?
Does volume in excess of the design volume flow evenly
distributed through a vegetated filter?
What is the length of the vegetated filter?
Are calculations for supporting the design volume provided in the
application?
Is BMP sized to handle all runoff from ultimate build-out?
Is the BMP located in a recorded drainage easement with a
recorded access easement to a public Right of Way (ROW)?
The length to width ratio is:
Approximate wetland length
Approximate wetland width
Approximate surface area using length and width provided
Will the wetland be stabilized within 14 days of construction?
Y (Y or N) OK
N (Y or N) Excess volume must pass through filter.
ft
Y (Y or N) OK
Y (Y or N) OK
Y (Y or N) OK
2.17 :1 OK
78.00 ft
36.00 ft
2, 808.00 ft2 This approx. surface area is within this number of square
feet of the entire wetland surface area reported above:
Y (Y or N) OK
Form SW401-Wetland-Rev.4-2/10/09 Parts I and II. Project Design Summary, Page 3 of 3
Permit Number
(to be provided by DWQ)
OF WAT?cR
AA ' A O? QG
NCDENR °
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WETLAND SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part 111) must be printed, filled out and submitted along with all the required information.
I. PROJECT INFORMATION
Project name Grace Haven Baptist Fellowship
Contact name Jon Frazier
Phone number 919.562.8860
Date March 25, 2009
Drainage area number 2
11. DESIGN INFORMATION
Site Characteristics
Drainage area 534,231.00 ft2
Impervious area 18,067.00 ft2
Percent impervious 3.4%%
Design rainfall depth 1.00 inch
Peak Flow Calculations
1-yr, 24-hr rainfall depth
1-yr, 24-hr intensity
Pre-development 1-yr, 24-hr runoff
Post-development 1-yr, 24-hr runoff
Pre/Post 1-yr, 24-hr peak control
Storage Volume: Non-SA Waters
Minimum required volume
Volume provided (temporary pool volume)
Storage Volume: SA Waters Parameters
1.5" runoff volume
Pre-development 1-yr, 24-hr runoff volume
Post-development 1-yr, 24-hr runoff volume
Minimum volume required
Volume provided
Outlet Design
Depth of temporary pool/ponding depth (DPianl)
Drawdown time
Diameter of orifice
Coefficient of discharge (CD) used in orifice diameter
calculation
Driving head (Ho) used in the orifice diameter calculation
2.88 in
4.87 in/hr
17.40 ft3/sec
18.09 ft3/sec
0.69 ft3/sec
3,581.00 ft3
4,392.00 ft3 OK
ft3
ft3
ft3
ft3
ft3
12.00 in OK
2.83 days OK
2.00 in Drawdown orifice diameter may be insufficient. Please
provide adequate supporting calculations.
0.60 (unitless)
1.13 ft OK
Form SW401-Wetland-Rev.4-2/10/09 Parts I and II. Project Design Summary, Page 1 of 3
Permit Number
(to be provided by DWQ)
Surface Areas of Wetland Zones
Surface Area of Entire Wetland
Shallow Land
The shallow land percentage is:
Shallow Water
The shallow water percentage is:
Deep Pool
Forebay portion of deep pool (pretreatment)
The forebay surface area percentage is:
Non-forebay portion of deep pool
The non-forebay deep pool surface area percentage is:
Total of wetland zone areas
Add or subtract the following area from the zones
Topographic Zone Elevations
Temporary Pool
Shallow Land (top)
Permanent Pool
Shallow Water (top)
Deep Pool (top)
Most shallow point of deep pool's bottom
Deepest point of deep pool's bottom
Design must meet one of the following two options:
This design meets Option #1,
Deep pool is 6'inches below SLWT, If yes:
SLWT (Seasonally Low Water Table)
This design meets Option #2,
Has a clay liner
If yes:
Depth of topsoil above clay liner
Topographic Zone Depths
Temporary Pool
Shallow Land
Permanent Pool
Shallow Water
Deep Pool (shallowest)
Deep Pool (deepest)
Planting Plan
Are cattails included in the planting plan?
Number of Plants recommended in Shallow Water Area:
Herbaceous (4'cubic-inch container)
Number of Plants recommended in Shallow Land Area:
Herbaceous (4'cubic-inch container), OR
Shrubs (1 gallon or larger), OR
Trees (3 gallon or larger) and Herbaceous (4+ cubic-inch)
Number of Plants provided in Shallow Water Area:
Herbaceous (4'cubic-inch container)
Number of Plants provided in Shallow Land Area:
Herbaceous (4'cubic-inch container)
Shrubs (1 gallon or larger)
Trees (3 gallon or larger) and
Grass-like Herbaceous (4+ cubic-inch)
4,392.00 ft2 OK
1,740.00 ft2 OK
0.40%
1,740.00 ft2 OK
0.40%
492.00 ft2 OK
0.11 %
420.00 ft2 OK
0.10%
4,392.00 ft2 OK
0.00 ft2
295.00 fmsl
294.00 fmsl
293.50 fmsl
291.00 fmsl
291.00 fmsl
Y (Y or N)
293.50 fmsl OK
in
12.00 in OK
6.00 in OK
30.00 in OK
30.00 in OK
N (Y or N) OK
450
450
72
9 and 360
50 Higher density is recommended.
60 More recommended if not planting shrubs or trees.
72 OK
9 OK
Form SW401-Wetland-Rev.4-2/10/09 Parts I and II. Project Design Summary, Page 2 of 3
Permit Number
(to be provided by DWQ)
Additional Information
Can the design volume be contained?
Does volume in excess of the design volume flow evenly
distributed through a vegetated filter?
What is the length of the vegetated filter?
Are calculations for supporting the design volume provided in the
application?
Is BMP sized to handle all runoff from ultimate build-out?
Is the BMP located in a recorded drainage easement with a
recorded access easement to a public Right of Way (ROW)?
The length to width ratio is:
Approximate wetland length
Approximate wetland width
Approximate surface area using length and width provided
Will the wetland be stabilized within 14 days of construction?
Y (Y or N) OK
N (Y or N) Excess volume must pass through filter.
ft
Y (Y or N) OK
Y (Y or N) OK
Y (Y or N) OK
1.70 :1 OK
95.00 ft
56.00 ft
5,320.00 ftz This approx. surface area is within this number of square
feet of the entire wetland surface area reported above:
Y (Y or N) OK
Form SW401-Wetland-Rev.4-2/10/09 Parts I and II. Project Design Summary, Page 3 of 3
Permit Number:
(to be provided by DWQ)
? ?F W ATF9
h ?
A WA
> >?
WDENR °
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
BIORETENTION CELL SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Project name Grace Haven Baptist Fellowship
Contact name Jon Frazier
Phone number 919.562.8860
Date
Drainage area number
March 25, 2009
11. DESIGN INFORMATION
Site Characteristics
Drainage area 43,963 ftZ
Impervious area 2,968 ft2
Percent impervious 6.8% %
Design rainfall depth 1.0 inch
Peak Flow Calculations
Is pre/post control of the 1-yr, 24-hr peak flow required? N (Y or N)
1-yr, 24-hr runoff depth 2.88 in
1-yr, 24-hr intensity 4.87 in/hr
Pre-development 1-yr, 24-hr peak flow 0.420 ft3/sec
Post-development 1-yr, 24-hr peak flow 0.470 ft3/sec
Pre/Post 1-yr, 24-hr peak control 0.050 ft3/sec
Storage Volume: Non-SA Waters
Minimum volume required 406.0 ft3
Volume provided 571.0 ft3 OK
Storage Volume: SA Waters
1.5" runoff volume ft3
Pre-development 1-yr, 24-hr runoff ft3
Post-development 1-yr, 24-hr runoff ft3
Minimum volume required 0 ft3
Volume provided ft3
Cell Dimensions
Ponding depth of water 12 inches OK
Ponding depth of water 1.00 ft
Surface area of the top of the bioretention cell 571.0 ftz OK
Length: 30 ft OK
Width: 19 ft OK
-or- Radius ft
Soils Report Summary
Drawdown time, ponded volume hr
Drawdown time, to 24 inches below surface hr
Drawdown time, total: 0 hr
In-situ soil:
Soil permeability in/hr
Planting media soil:
Soil permeability in/hr
Soil composition
% Sand (by weight)
% Fines (by weight)
% Organic (by weight)
Total: 0%
Form SW401-Bioretention-Rev.4 Parts I and II. Design Summary, Page 1 of 2
Phosphorus Index (P-Index) of media
Basin Elevations
Temporary pool elevation
Planting elevation (top of the mulch)
Bottom of the cell
Planting depth
Depth of mulch
SHWT elevation
Are underdrains being installed?
How many clean out pipes are being installed?
What factor of safety is used for sizing the underdrains? (See
BMP Manual Section 12.3.6)
Additional distance between the bottom of the planting media and
the bottom of the cell to account for underdrains
Bottom of the cell required
Distance from bottom to SHWT
Type of bioretention cell (answer "Y" to only one of the two
following questions):
Is this a grassed cell?
Is this a cell with trees/shrubs?
Planting Plan
Number of tree species
Number of shrub species
Number of herbaceous groundcover species
Additional Information
Does volume in excess of the design volume bypass the
bioretention cell?
Does volume in excess of the design volume flow evenly distributed
through a vegetated filter?
What is the length of the vegetated filter?
Does the design use a level spreader to evenly distribute flow?
Is the BMP located at least 30 feet from surface waters (50 feet if
SA waters)?
Is the BMP localed at least 100 feet from water supply wells?
Are the vegetated side slopes equal to or less than 3:1?
Is the BMP located in a recorded drainage easement with a
recorded access easement to a public Right of Way (ROW)?
Inlet velocity (from treatment system)
Is the area surrounding the cell likely to undergo development in
the future?
Are the slopes draining to the bioretention cell greater than 20%?
Is the drainage area permanently stabilized?
Pretreatment Used
(Indicate Type Used with an "X" in the shaded cell)
Gravel and grass
(81inches gravel followed by 3-5 ft of grass)
Grassed swale
Forebay
Other
Form SW401-Bioretention-Rev.4
(unitless)
306.00 fmsl
305 fmsl OK
301.42 fmsl
3.58 ft
3 inches OK
298 fmsl OK
Y (Y or N)
2 OK
10 OK
1ft
300.42 fmsl
2.42 ft OK
N (Y or N)
Y (Y or N) OK media depth
2
2
1 OK
Y (Y or N) OK
Permit Number:
(to be provided by DWQ)
N (Y or N) Excess volume must pass through filter.
ft
N (Y or N) Show how flow is evenly distributed.
Y (Y or N) OK
Y (Y or N) OK
Y (Y or N) OK
Y (Y or N) OK
ft/sec
N (Y or N) OK
N (Y or N) OK
Y (Y or N) OK
OK
Parts I and II. Design Summary, Page 2 of 2
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
tion ID. 200802699 County: Franklin USGS Quad: Franklinton
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: Reverend Dick Graves
Address: Grace Haven Baptist Fellowship
P.O. Box 1432
Wake Forest, NC 27588
Telephone No.: 919-556-7880
Size and location of property (water body, road name/number, town, etc.): The project site is located on Hi _hs Rd . and
is bordered to the North by Cedar Creel., to the east by Hicks Rd., .end to the south by Bert Winston Rd., near
Franklinton, Franklin Countv, North Carolina. Aquatic features on site drain to Cedar Creek in the Tar-Pamlico
River basin.
Description of projects area and activity: This permit verification allows for 116 linear feet of permanent stream
channel impacts to UT's to Cedar Creek for the installation of one 61 foot culvert and the replrtcement of one 55
foot culvert for road crossings to access high ground on the property No mitigation is required for this proposal
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
? Section 10 (Rivers and Harbors Act, 33 USC 4033
A uthorization: Regional General Permit Number:
Nationwide Permit Number: 14
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
-editions and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the
permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified,
suspended or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or
modified, this verification will remain valid until the expiration date identified below, provided it complies with all requirements of
the modified nationwide permit. If the nationwide pen-nit authorization expires or is suspended, revoked, or is modified, such that the
activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are
under construction) or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the
activity is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case-by-case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management .
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact James Lastinger at telephone number 919-554-4884 extension 32.
Corps Regulatory Official _James Lastinger C Date: September 18, 2008 7 L Expiration Date of Verification:
Septemb 18, 2010
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to do so,
please complete the attached customer Satisfaction Survey or visit http://www.saw.usace army mil/WETL ANDS index html to
mplete the survey online.
Page I of 2
" k
Determination of Jurisdiction:
? Based on preliminary information, there appear to be waters of the US including wetlands within the above described project area.
This preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
( Reference 33 CFR Part 331).
? There are Navigable Waters of the United States within the above described project area subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
[\? There are waters of the US and/or wetlands within the above described project area subject to the permit requirements of Section
-i04 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this
ktermination may be relied upon for a period not to exceed five years from the date of this notification.
The jurisdictional areas within the above described project area have been identified under a previous action. Please reference
jurisdictional determination issued . Action 1D
Basis of Jurisdictional Determination: Established OHWM
Appeals Information (This information applies only to approved jurisdictional determinations.)
Attached to this verification is an approved jurisdictional determination. If you are not in agreement with that approved jurisdictional
determination, you can make an administrative appeal under 33 CFR 331. Enclosed you will find a Notification of Appeal Process
(NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this determination you must submit a completed RFA
form to the following address:
District Engineer, Wilmington Regulatory Division
Attn: Jean Manuele, Field Office Chief,
Raleigh Regulatory Field Office
U.S. Anny Corps of Engineers
3331 Heritage Trade Dr., suite 105
Wake Forest, NC 27587
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 33 1.5, and that it has been received by the District Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by November 18, 2008.
"It is not necessary to submit an RFA form to the District Office if you do not object to the determination in this correspondence."
Corps Regulatory Official: _Jarnes Lastinger Z9?) C'A
Date September 18, 2008 Expiration Date September 18, 2013
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT PLANS, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
Copy Furnished:
Keller Environmental
Attn: Jay Keller
7921 Haymarket Lane
Raleigh, NC 27615
Psc;e 2 of 2
IFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
QUEST FOR APPEAL
applicant: Reverend Dick Graves File Number: sAw-2008-02699 Date: September 18, 2008
Attached is: See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of
permission) A
j! PROFFERED PERMIT (Standard Permit or Letter of permission) B
PERMIT DENIAL C
APPROVED JURISDICTIONAL DETERMINATION D
PRELIMINARY JURISDICTIONAL DETERMINATION E
SECTION I - The following 'identifies your rights and options regarding an administrative appeal of th7above
decision. Additional information may be found at htta://www.usace.arlny.mil/inetffiznctions/cw/eecw-Corps regulations at 33 CFR Part 33 L
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Pennit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the pen-nit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the
permit be modified accordingly. You must complete Section 11 of this form and return the form to the district engineer. Your
objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right to appeal
the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify the
permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit
having determined that the permit should be issued as previously written. After evaluating your objections, the district engineer
will send you a proffered permit for your reconsideration, as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Pen-nit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
t APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form
j and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of
this notice.
i
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division engineer
[thin 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of
this notice, means that you accept the approved JD in its entirety, and waive all rights to appeatthe approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section 11 of this form and sending the form to the district engineer. This form must be received by
the division engineer within 60 days of the date of this notice.
a ID Number: SAW-?.008-02699 County: Fran?Jin
rmittee: Reverend Dick Graves
Date Verification Issued: September 18, 2008
Project Manager: James Lastin6er
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
RALEIGH REGULATORY FIELD OFFICE
3331 HERITAGE TRADE DRIVE, SUITE 105
WAKE FOREST, NORTH CAROLINA 27587
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. If you fail to comply with this permit you are subject to permit suspension,
modification, or revocation.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
signature of Permittee
Date
C7 TT STAT A TINT TT TT T(li\1-1
.LlALV111NtX1? I J UM,)1Jik- I IUINAL llE-1 EF-M1NAT10N: You do not need to respond to the Corps
ding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved
(which may be appealed), by contacting the Corps district for further instruction. Also you may provide new
formation for further consideration by the Corps to reevaluate the JD.
SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your
objections to an initial proffered permit in clear concise statements. You may attach additional information to
this form to clarify where your reasons or objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps
memorandum for the record of the appeal conference or meeting, and any supplemental information that the
review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps
may add new information or analyses to the record. However, you may provide additional information to clarify
the location of information that is already in the administrative record.
POINT OF CONTACT FOR QUESTIONS OR INF ORMATION:
If you have questions regarding this decision If you only have questions regarding the appeal process you
and/or the appeal process you may contact: may also contact:
i-mes Lastinger, Regulatory Specialist Jean Manuele, Field Office Chief
.eigh Regulatory Field Office Raleigh Regulatory Field Office
3331 Heritage Trade Dr., suite 105 3331 Heritage Trade Dr., suite 105
Wake Forest, NC 27587 Wake Forest, NC 27587
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any
government consultants, to conduct investigations of the project site during the course of the appeal process
You
.
will be provided a 15 day notice of any site investigation, and will have the opportunity to participate in all site
investigations.
Date: Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits and approved Jurisdictional Determinations send this form to:
District Eng
t) t5
ineer, Wilmington Regulatory Division, Attn: Jean Manuele, Field Office Chief, Raleigh
Regulatory Field Office, 3331 Heritage Trade Dr., suite 105, Wake Forest, North Carolina 27587
For Permit denials and Proffered Permits send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Mike Bell,
Administrative Appeal Officer, CESAD-ET-CO-R, 60 Forsyth Street, Room 9M1S, Atlanta, Georgia
30303-8801
OF W ATFR
Beverly Eaves Perdue, Governor
?0? QG
I Dee Freeman, Secretary
North Carolina Department of Environment and Natural Resources
a<- C
Coleen H. Sullins, Director
Division of Water Quality
January 15, 2009
DWQ Project # 08-1379
Franklin County
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
Reverend Dick Graves
P.O. Box 1432
Wake Forest, NC 27588
Subject Property: Grace Haven Baptist Fellowship
Ut to Cedar Creek [030301, 28-29-(2), C, NSW]
RETURN OF APPLICATION
Dear Reverend Graves:
On September 9, 2008, the Division of Water Quality (DWQ) received your application dated September 9, 2008, to
fill or otherwise impact 116 linear feet of perennial stream, and 7,479 square feet of Zone 1 Tar-Pamlico River basin
protected riparian buffers and 5,074 square feet of Zone 2 Tar-Pamlico River basin protected riparian buffers to
construct the proposed Grace Haven Baptist Church development at the site. The DWQ has determined that your
application was incomplete and/or provided inaccurate information as discussed below.
I. On September 23, 2008, the DWQ sent a "Request For More Information" correspondence to you, giving
you 30 days to address the DWQ concerns with your project as proposed. As of today we have not
received a response to this request from you.
For this reason your permit application is hereby considered returned. Once you have redesigned your project to
address the problems and inadequacies with your application as it was submitted, you will need to reapply for DWQ
approval. This includes submitting a complete application pacl<age with the appropriate fee.
Please be aware that you have no authorization under Section 401 of the Clear Water Act for this activity and any
work done within waters of the state would be a violation of North Carolina General Statutes and Administrative
Code. Please call Ms. Cyndi Karoly or Mr. Ian McMillan at 919-733-1786 if you have an questions or concerns.
Sincerely,
?U?e,ci U J
;f
Cyndi Karoly, Supervisor
0l Oversight/Express Review Permitting Unit
CBK/ijm
cc: Lauren Witherspoon, DWQ Raleigh Regional Office
USACE Raleigh Regulatory Field Office
File Copy
Matt Matthews, DWQ Wetlands and Stormwater Branch Manager
Jay Keller, Keller Environmental, 7921 Haymarket Lane, Raleigh, NC 27516
Filename: 081379GraceHavenBaptistFellowship(Frankl in)Returned_Application
Oil Oversight/Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone [phone] / FAX [phone] i Internet: htt4),l/h2o.enr.srtt, nc,us/ncwetlun(
One
NorthCarolina
AlaturdlIll
\n Equal Opportunity/Affirmative Action Employer -- 50% Recycled/10% Post Consumer Paper
p? W AT -IT Michael F Easley, Governor
' William G. Ross Jr., Secretary
t North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
September 23, 2008
DWQ Project # 08-1379
Franklin County
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
Reverend Dick Graves
P.O. Box 1432
Wake Forest, NC 27588
Subject Property: Grace Haven Baptist Fellowship
Ut to Cedar Creek [030301, 28-29-(2), C, NSW]
REQUEST FOR MORE INFORMATION
Dear Reverend Graves:
On September 9, 2008, the Division of Water Quality (DWQ) received your application dated
September 9, 2008, to fill or otherwise impact 116 linear feet of perennial stream, and 7,479
square feet of Zone 1 Tar-Pamlico River basin protected riparian buffers and 5,074 square feet of
Zone 2 Tar-Pamlico River basin protected riparian buffers to construct the proposed Grace
Haven Baptist Church development at the site. The DWQ has determined that your application
was incomplete and/or provided inaccurate information as discussed below. The DWQ will
require additional information in order to process your application to impact protected wetlands
and/or streams on the subject property. Therefore, unless we receive five copies of the additional
information requested below, we will place this project on hold as incomplete until we receive
this additional information. If we do not receive the requested information, your project will be
formally returned as incomplete. Please provide the following information so that we may
continue to review your project.
Additional Information Requested:
1. Please provide cross section details showing the provisions for aquatic life passage.
2. Please provide building envelopes for all lots with wetlands, streams or buffers on the site
plans.
3. Please indicate proposed lot layout as an overlay on the site plan.
4. Please locate any planned sewer lines on the site plan.
,01 Oversight/Express Review Permitting Unit
160 Mail Service Center, Raleigh, North Carolina 27699-1650
3321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone [phone] / FAX [phone] / Internet: h":!/h2o.enr_state_nc.us/ncwetlands
NorthCarolina
Naturally
An Fyual Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
Reverend Dick Graves
Page 2 of 2
September 23, 2008
Please locate all of the protected riparian buffers as overlays on the site plan, clearly
showing Zone 1 and Zone 2.
6. Please show the entire proposed road network with logical termini.
7. Please provide an inventory of imperviousness surfaces in each drainage area. The
inventory should include all proposed building footprints, roads, driveways, sidewalks,
gravel-surfaced areas, amenity areas, etc. A Stormwater Management Plan (SMP) must
be provided for any drainage areas that exceed 24 percent imperviousness. For each
BMP, provide a completed BMP Supplement Form with all the required items (see
http:// h2 o.enr.state. nc.l.ts/su/bmp forms.htm). Per NCAC 2B 15A: 02H.1000, a "drainage
area" is defined as "the entire area contributing surface runoff to a single point."
Please submit this information within 30 calendar days of the date of this letter. If we do not
receive this requested information within 30 calendar days of the date of this letter, your project
will be withdrawn and you will need to reapply with a new application and a new fee.
This letter only addresses the application review and does not authorize any impacts to wetlands,
waters or protected buffers. Please be aware that any impacts requested within your application
are not authorized (at this time) by the DWQ. Please call Ms. Cyndi Karoly or Mr. Ian
McMillan at 919-733-1786 if you have any questions regarding or would like to set up a meeting
to discuss this matter.
Since ly,
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
CBK/ijrn
cc: Lauren Witherspoon, DWQ Raleigh Regional Office
USACE Raleigh Regulatory Field Office
File Copy
Central Files
Jay Keller, Keller Environmental, 7921 Haymarket Lane, Raleigh, NC 27516
Filename: 081379GracettavenBaptistFellowship(Johnston)On_Hoid
Office Use Only: Form Version March 08
USACE Action ID No. DWQ No.
fit any particular item is not applicable to tilts project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ® Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested:
14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: Reverend Dick Graves
Mailing Address: P.O. Box 1432
Wake Forest North Carolina 27588
Telephone Number: [phone] Fax Number:
E-mail Address: dgraves3na,nc.rr.com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Jay Keller
Company Affiliation: Keller Environmental
Mailing Address: 7921 Haymarket Lane
Raleigh NC 27516
Telephone Number: [phone] Fax Number: [phone]
E-mail Address:_'?t_ykellercnvironmental.cotn
Pagel of 9
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Grace Haven Baptist Fellowship
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 1854-97-0215
4. Location
County: Franklin Nearest Town: Franklinton
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): North on Capital Blvd.; turn right
onto Bert Winston Rd.; come to a T-intersection & turn left onto Hicks; site is approx. 'h-
5. Site coordinates (Lat/Long or decimal degrees): N 36° 04.527 W 78° 27.457
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): 71.94 Acres
7. Name of nearest receiving body of water: Cedar Creek
8. River Basin: Tar-Pamlico River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/snaps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Site is bordered by Cedar Creek to the North. Two
perennial tributaries are located on the east side of the property in a mostly pastured
landscape. There is an existing sewer line that parallels Cedar Creek on the property line.
There is also an existing dirt road and paths on the property that provides access to the entire
Page 2 of 9
property. An open roofed pavilion exists near the second stream and its road crossing. The
western half of the property is mostly wooded and railroad tracks and bridge at the western
property line. The surrounding area is comprised of agriculture, silviculture, and residential
homes.
10. Describe the overall project in detail, including the type of equipment to be used: The
proposed project involves placing an 18-foot driveway along the southeast property line to
maximize the distance between it and Cedar Creek. A new twin-culvert will be placed in the
first stream crossing and the second stream culvert will involve replacing the existing raised
culvert. Replacing the second crossing will correct the current elevated situation and allow
for aquatic migration and improved flow. Equipment to be used includes pumps trackhoes
bulldozers, and other land grading and bridge equipment.
11. Explain the purpose of the proposed work: The purpose of the proposed work is to
construct a driveway to maximize the distance between it and Cedar Creek It will provide
access to the existing pavilion and to the western half of the property. Replacing the second
stream culvert will also provide improved aquatic migration and flow.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
November 21, 2006- site meeting with Mr. Mike Horan. Please refer to the attached November
30, 2006 stream determination letter.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future permit requests are anticipated after the proposed stream crossings are installed
Page 3 of 9
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts:
Stream Impact 1- involves placement of twin 48-inch RCP's headwalls and downstream
dissipater pad in 61 if of perennial stream channel. Both culverts will be sunken 1-foot to allow
for aquatic passage. Due to the incised channel, it has been determined that both culverts will be
placed at the same level.
Stream Impact 2- involves replacing the existing approximately 18-inch steel culvert with a 42-
inch RCP headwalls and downstream dissipater pad in 55 if of perennial stream channel The
culvert will be sunken 1-foot to allow for aquatic passage. This will correct the current elevated
situation and allow for aquatic migration and improved flow. A picture of this existing culvert
and pavilion can be seen on page one of the photographs.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Impact

Site Number
(indicate on map)

Type of Impact Type of Wetland

(e.g., forested, marsh,
herbaceous, bog, etc.) Located within

100-year
Floodplain
(yes/no) Distance to
Nearest

Stream
(linear feet) Area of
Impact

(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 1-acre
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Page 4 of 9
Stream Impact
Number
(indicate on map)
Stream Name
Type of Impact
Perennial Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)

1
UT to Cedar Creek Culverts,
headwall, &
dissipater pad
Perennial
7
61
0.010
2 UT to Cedar Creek Maintenance Perennial 5 55 0.006

Total Stream Impact (by length and acreage) 116 0.016
Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on map) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. result ina from the Droiect:
Stream Impact (acres): 0.016
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U. S. (acres) 0.016
Total Stream Impact (linear feet): 116
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USAGE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Page 5 of 9
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. The proposed impacts will
provide the necessary access road for the existing pavilion and the western property. Stream
Impact One was placed adjacent to the southwest property line to maximize the distance between
the driveway Cedar Creek and its 100-year FEMA floodplain Stream Impact Two will replace
the existing steel culvert and sunken 1-foot to allow for aquatic passage This will correct the
current elevated situation and allow for aquatic migration and improved flow. Road impacts have
been minimized by crossing the proposed stream at a perpendicular angle and utilizing headwalls
to decreasing the volume of fill and subsequent fill slopes.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetl4ticis/stringide.hti-nl.
Page 6 of 9
I . Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed. The proposed impacts due to the road crossings are
less than 150 feet; therefore, stream mitigation is not required. No other environmental
features wetlands and streams) have been impacted by the proposed project.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page three and provide the following information:
Amount of stream mitigation requested (linear feet): 0
Amount of buffer mitigation requested (square feet): 0
Amount of Riparian wetland mitigation requested (acres): 0
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres): 0
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Page 7 of 9
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 0213.0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ® No ?
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 7,479 3 (2 for Catawba) 0
2 5,074 1.5 0
Total 12,553 0
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
XI
XII.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 213 .0242 or .0244, or .0260. Buffer mitigation is not required for this
project because the proposed impacts are below the thresholds that require mitigation. The
road crossings result in 0.288 acres of impact.
Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. The existing impervious area for the pavilion is
3,200 SF (0.073 Acre) versus total acreage (71.94) is .001%. The proposed imperious acreage
(0.7336) versus total acreage is 1.02%. The proposed project has approximately 1% existing and
proposed impervious. That includes the existing pavilion near the second stream crossing. Sheet
flow into Cedar Creek and its tributaries riparian buffers is currently being conducted and will be
preserved. While under construction, temporary, custom sedimentation basins will be installed
outside of the wetlands, streams, and riparian buffer areas to protect them against sedimentation
along with other appropriate sedimentation and erosion control measures in compliance with
Franklin County & NC Sedimentation and Erosion Control requirements.
Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
The congregation currently uses porto-potties for gatherings and events.
Page 8 of 9
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http:,//h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description: Having
reviewed the draft internal policy concerning cumulative impacts these road and riparian
restoration are unlikely to damage downstream water quality and should not require additional
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
lep,plicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 9 of 9
KELLER ENVIRONMENTAL
t.i V I1°tC..UNMEN F AL CC-iNSU l AN 15
_ J Haymarket ane, Raleigh NC 27615
919)$44-743"
Pax [phone]
AGENT AUTHORIZATION FORM
Name Grace Haver1 Baptist Fellowship
t ddi ess P 0 Box 1432
C"Ity Statc zip Wake Forest- NC 27588
Phone __!9?9 649:7t?1 r or-tg191 55-7880
Project Narne<?Jescrtption _ Grace Haven Baptist Fellowship
Date M& 14 2008
T o US Array Corps of Engineers
Raleigh Regulatory Office
Attn Staff
3331 Heritage Trade Drive
Suite 105
Wake Forest NC 27567
To Who,,n It May Concern
NC Division of Water Quality
401 Oversight and Express Permits Unit
Attrt: Staff
2321 Crabtree Boulevard
Suite 250
Raleigh. North Carolina 27604-2260
As a representative .,onceming the subject site. I do hereby authorize and give
permission for Keller Environmental to represent or act as agent on my behalf and allow
the COE or any other regulatory agency to go on the property with an Keller
Enviro,ni;nental representative for such purposes as necessary to perform the job tasks.
r
i
f'r3111 F lopk,rr? (h?r?r N?t11w pert ON?tier's Sionalur":
Jai K llet
Keller [,w irotimental I_L(
Prenira-y rJJenan?i zs Stream AsseSsmer'it5rrsdrotional Wetiand Delineations-Meuse & 'I ar giver Stream Buffer
rvals & Coord;nat=on -401 x`404 Water Quality Permitting-Stream & Wetland Restoration--Threatened & Endangered
Si=eges Sorveys E3enihrr Macroinvertebr_atp Sampi)ng-Phase i-i`,1 Environmental Site Assessments--Tree Surveys
Grace Haven Church:
Entrance Driveway Crossing
UT to Cedar Creek
Franklin County, North Carolina
January 9, 2008
Prepared By:
t
Ward Consulting Engineers, P.C.
Project Manager: Becky Ward
8386 Six Forks Road, Suite 101
Raleigh, NC 27615-5088
Ph: 919-870-0526
Fax: [phone]
Grace Haven Church Entrance Driveway Crossing UT to Cedar Creek
Franklin County, NC
Background:
The proposed Grace Haven Church driveway will cross over two streams, one of
which is an intermittent stream which falls under the jurisdiction of the NC Department
of Water Quality (DWQ) and the US Army Corps of Engineers (COE). This intermittent
stream A is located approximately 375 linear feet west of Hicks Road (SR 1125) and is
the first crossing of the tributary for the construction of the proposed roadway. To
comply with minimum impacts which will not require a Pre-construction Notification to
DWQ and COE the impacts have been limited to 50 feet of stream length for this
jurisdictional stream. Stream impacts include stream disturbance with the placement of
culverts for the road crossing and riprap.
The second stream B on the project site is located approximately 800 feet west of
the proposed crossing A and has an existing 24 inch pipe and roadway crossing.
Recommendations have been included in this report for increasing the size of this culvert.
Analysis:
The design for both of the streams involved determining the amount of flow that
the culvert will need to carry without overtopping the road during the-10 year storm event
based on the Rational Equation. The flow quantity was determined by finding the area of
the watershed and the type of land that is contained within each watershed. These two
factors are multiplied by each other together with an intensity determined by the
watershed's length to yield a discharge value in cubic feet per second (cfs).
For both of the stream crossings there are many similarities in the proposed
designs. The roadway design provided by Mike Moss included an 18 feet wide roadway.
Four foot shoulders on each side of the roadway were assumed for the culvert sections.
Beyond the shoulder, the designed ground was sloped down at a 3H to 1 V slope to the
top of a proposed headwall. A headwall has been designed to be placed on both sides of
the road flush with the faces of the entrance and exit of the pipes. Extending outward at
45 degree angles from the ends of the headwall, wing walls have been shown to contain
the sloping bank and to direct the water flow into and out of the pipes. The pipes have
been designed to be placed one-foot below the existing stream bed to allow for the
bottom of the pipe to fill with sediment for habitat and passage of stream species. The
tops of the pipes have been designed to be a minimum of two feet below the proposed
finished roadway elevation. The constructed pipe design includes a one foot separation
between the pipes and the outer edge of the headwalls (see headwall cross sections). The
tops of the headwalls are dependant on the proposed roadway elevations. The taller the
headwall the flatter the roadway shoulder slope. At the upstream and downstream ends
of both of the pipe systems Class 11 riprap has been proposed to be installed in the bed of
the stream and up the banks for erosion control.
Culvert Designs:
Stream A has a predicted discharge of approximately 190 cfs during the 10-year
storm. Based on the lengths of the pipes and the channel slope the recommended pipes
for this channel are two 48in pipes. With the placement of these twin pipes one foot
below the existing channel the pipes will carry 230.3 cubic feet/second (cfs) of water.
During the l0-year storm event it is estimated that the stormwater will be below the
proposed roadway elevation by approximately 7 inches. Larger storm events will overtop
the roadway.
Culvert A
Size in Number Length Slope Invert Elevation In
48 2 30 0.034 292.53
The western-most stream B has a predicted discharge of approximately 143 cfs
during the 25-year storm. Currently this crossing consists of a 24in pipe. The proposed
culvert design calls for two 42in pipes based on the lengths and existing channel slope.
Installing these pipes one foot below the existing channel bed elevation the pipes will
have a predicted capacity of approximately 148 cfs. This design will contain the 10-year
storm event. Storm events larger than a 25 year event will overtop the roadway. The
design shown on the attached sketches uses a headwall and wing wall system, however
because the impacts on this stream are not required to be less than 50 feet the culverts
could be extended in length. To avoid constructing headwalls the roadway shoulder
slope could be graded at a 3H to 1 V slope or a 2H to 1V slope with the pipes projecting
from the fill. Rather than using the walls, the culvert could use the twin 42in pipes and
extend their lengths such that they daylight on a slope that is graded down from the edge
of the proposed roadway. Class 11 riprap is recommended to be installed at both ends of
the pipes to protect against erosion. The following pipe lengths and slopes could be
installed:
Culvert B
Size in Number Length Slope Invert Elevation In Notes
42 2 30 0.031 298.61 with headwall
42 2 68 0.022 299.17 no headwall: 3H to 1V slope from shoulder
42 2 56 0.022 298.91 no headwall: 2H to 1V slope from shoulder
The headwall or extended culvert installation method selected should be based on
the cost of the recommended options and the ease of construction.
Included within the report are sketches of the culvert profiles and two headwall
cross sections for both of the streams and proposed crossings with dimensions and
elevations. Also attached to this report are two appendices. Appendix A is an NCDOT
typical drawing for headwall and wing walls based on twin culverts that may be used as a
reference for construction. Appendix B is the land usage and C-value calculations that
were used for determining the discharge to each culvert.

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REINFORCED COMCRETE EFL ALL
`DEPT. OF TRANSPORTATION
DIVISION O lIGMAVS FOR DOUBLE & TRIPLE,54" PIPE - 90° SKI
RALEIGH, N.C.
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