20121007 Ver 1_401 Application_20121112

4;.
ENGINEERS I PLANNERS I SURVEYORS
111 MacKenan Drive
CARY, NORTH CAROLINA, 27511
(919) 469 -3340
FAX [phone]
TO: NCDWQ
1650 Mail Service Center
Raleigh, NC 27699 -1650
WE ARE SENDING YOU
❑ Shop Drawings
❑ Copy of Letter
❑ Attached via
❑ Prints
❑ Change order
20121007
LEUM OCR U ° NWMAL
DATE October 31, 2012
1 JOB NO. 02120365
ATTENTION Laurie Dennison
PHONE # [phone]
RE: NRB Authorization
MacGregor Downs CC — Cary NC
❑ For review and comment
❑
3
10 -31 -12
1
U Plans
❑ Diskette
_ the following items:
❑ Samples ❑ Specifications
El
COPIES
DATE
NO.
DESCRIPTION
❑ As requested
❑ Returned for corrections
❑ For review and comment
❑
3
10 -31 -12
1
PCN Form
3
10 -31 -12
2
Impact Map
3
10 -31 -12
3
Backgroun Qtos erll" °
lol"l'v v I ZU11
THESE ARE TRANSMITTED as checked below:
® For approval
❑ Approved as submitted
® For your use
❑ Approved as noted
❑ As requested
❑ Returned for corrections
❑ For review and comment
❑
WeBands &.... ��3nnrat@v Etrenah I
❑ Resubmit
copies for approval
❑ Submit
copies for distribution
❑ Return;
corrected prints
❑ FOR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS:
Attached is a Neuse Buffer Authorization request for a new irrigation pump builing at MacGregor
Downs CC in Carv, NC.
Per earlier conversation with Amy Chapman, the pump building was determined to be a water
Dependant structure, and therefore allowable with written authorization. Steps have been taken
To locate the building awa from the ater's edge and also to limit clearing.
Please feel free to call with any questions. 1 1 , /%
Hunter Freeman, PE
CDPY TO: W &R FILE
SIGNED:
if enclosures are not as noted, kindlynotify us at once.

`dot wnrF9 G
O
o �
2012100 -7
Office Use Only.
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 11
PCN Form — Version 1 3 December 10, 2008 Version
Pre - Construction Notification CN) Form
A. Applicant Information
1.
Processing
1 a. Type(s) of approval sought from the
Corps:
El Section 404 Permit El Section 10 Permit
1b Specify Nationwide Permit (NWP) number. or General Permit (GP) number-
1c.
Has the NWP or GP number been verified by the Corps?
❑ Yes ❑ No
1d
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.
N Yes ❑ No
For the record only for Corps Permit
N 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
1g.
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
MacGregor Downs Pump House
2b.
County.
Wake
2c
Nearest municipality / town:
Cary
2d
Subdivision name:
N/A
2e.
NCDOT only, T.I.P or state
project no:
3.
Owner Information
3a
Name(s) on Recorded Deed:
MacGregor Downs Country Club, Ltd
3b
Deed Book and Page No
Book 3076 Page 491,
3c.
Responsible Party (for LLC if
applicable):
q �'"
I
Contact Name - Todd Pippin Ilk
3d.
Street address:
430 Saint Andrews Lane f'ti a v r! I l U 12
3e. City, state, zip:
Cary, NC 27511
3f
Telephone no
919 467 -0145 We tlands WATER QUALITY
3g
Fax no.
3h.
Email address:
tpippin @macgregordowns.org
Page 1 of 11
PCN Form — Version 1 3 December 10, 2008 Version

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:
Hunter Freeman
5b. Business name
(if applicable):
Withers & Ravenel
5c. Street address:
111 MacKenan Drive
5d. City, state, zip.
Cary, NC 27511
5e. Telephone no
919 -469 -3340
5f Fax no.:
919467 -6008
5g. Email address:
hfreeman @withersravenel.com
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):
0762166605
1 b. Site coordinates (in decimal degrees):
Latitude: 35.744494 Longitude: - 78.79464
(DD DDDDDD) (- DD.DDDDDD)
1c. Property size:
252.94 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
MacGregor Downs Lake / Swift Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS -III, NSW
2c. River basin:
Neuse
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site is in a maintained wooded area between the club parking lot and the lake edge The woods consists of mature
pines sporadically spaced. There is little or no undergrowth. Due to the proximity to the clubhouse, the area is maintained
by club staff.
3b. List the total estimated acreage of all existing wetlands on the property:
N/A - unkown on the total parcel. Based on field examinations, there are no wetlands in the vicinity of the proposed
project
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property.
Unknown. Due to the size of the property, the total stream length is unknown. The site wholly contains the limits of
MacGregor Downs Lake, which has a surface area of approximately 49 Acres.
3d. Explain the purpose of the proposed project
The project consists of replacement of an existing pump house serving the golf course irrigation system. The existing
pump house will remain in service during construction
3e Describe the overall project in detail, including the type of equipment to be used:
The project consists of construction of a new 53' x 30' building with a 30' x 10' exterior concrete pad. Construction will be
managed from the parking lot side of the site to the maximum extent practicable. Construction includes excavation of a
wet well and new water supply line from the lake to the building. Equipment to be used includes wheel mounted crane (to
be posotioned on the parking lot side of the project) small bull dozers for grading, dump trucks for hauling materials as
needed, and hand labor to construct building masonry.
4. Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
❑ Yes ® No ❑ Unknown
Comments: 2012 field survey located the existing water's
edge.
4b If the Corps made the jurisdictional determination, what type
El Preliminary ❑Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency /Consultant Company-
Name (if known):
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Page 3 of 11
PCN Form — Version 1.3 December 10, 2008 Version

S. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ❑ No ® Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ® No
6b. If yes, explain.
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
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ 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
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
01 ❑P ❑T
02 ❑P ❑T
03 ❑ PEI T
04 ❑P FIT
4L Total open water impacts
4g. Comments: Intake structure will not result in any impact to existing lake
5. Pond or Lake Construction
If pond or lake construction proposed, the 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
5E 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 DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse El Tar-Pamlico El 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
impact
required?
131 ®P ❑ T
guldi g
MacGregor Downs Lake
® Nos
2319
1947
B2 ❑ PEI T
El Yes
❑ No
B3 ❑P ❑T
El Yes
❑ No
6h. Total buffer impacts
2319
1947
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.
Building size is minimum required to house new pumps and accessory equipment.Bwlding will be constructed at grade with
minimal disturbance to land around the perimiter of the building.The water intake line will be pushed into the lake through the
bank, there will be no impact to surface waters during construction.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Construction activities will be concentrated on the parking lot side of the building, and the parking lot will be used for staging
and equipment storage.
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: Pump house is a water dependant structure
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
la.
Does the project include or is it adjacent to protected riparian buffers identified
® Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1b.
If yes, then is a diffuse flow plan included? If no, explain why.
Comments: No new stormwater infrastructure proposed. Building will not inlcude
❑ Yes ® No
gutters. All flow will remain in sheet flow or will infiltrate into ground immediately
adjacent to building
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
35%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan, explain why- Total
land disturbance is less than
12,000 sf.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
® 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?
Cary
® Phase II
® NSW
❑ USMP
3b
Which of the following locally - implemented stormwater management programs
® Water Supply Watershed
apply (check all that apply).
❑ Other: No grading permit
required, project disturbed are is
less than 12,000 sf
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
[-I HQW
4a.
Which of the following state - implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006 -246
❑ Other.
4b. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes E] No
attached?
5.
DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
Page 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5b Have all of the 401 Unit submittal requirements been met?
❑ Yes
❑ No
F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1a.
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)?
1c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes
❑ No
letter.)
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.
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.
No wastewater discharge from the proposed building. The budding does not contain restrooms
Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version

S. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
habitat?
❑ Yes ❑ No
5b Have you checked with the USFWS concerning Endangered Species Act
impacts?
❑ Yes ❑ No
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?
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?
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
status (e g , National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
❑ Yes ❑ No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements.
8c. What source(s) did you use to make the floodplain determination?
D
oD P'�
P
Applicant/Agent's Printed Name
ocu ign y:
71 AFROFgi 200427
10/29/2012
Date
Applicant/Agent's Signature
(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

RIPARIAN BUFFER IMPACTS (SF)
ZONE 1
2.319
ZONE 2
1.947
LEGLUD
AREA OF IMPACT ZONE 1
AREA OF IMPACT ZONE 2
SEAL
ski
GRAPHIC SCALE
30 0 15 30 60
1 inch = 30 ft.
IT
EXISTING BOAT RACK / • , \ i
TO BE RELOCATED I J / I DBE#x /
SUN 1 I 1
SANITARY SEWER 14WHOLE/ I / ' / \ / _/0• N //Cri MEN
RIM. 351 18' ' .I�/ ����w
INV M: 338 48• (( 1
M V OUT. 33828• Z • a I o !
n
fLOODWAY
I We NEUSE RIVER
BOUNDARY PER FEMA FIRM y BUFFER ZONE 2
MAP 37200762001 y
CLEARING LIMITS /
y {
IX ANNUAL CHANCE WATER r— - C
SURFACE ELEVATION. 35/.8• - - V LF
(144 088) +368.1 .
PER FEMA FIRM
MAP 37200762001 -
��y� y 3 s5' CONC .81 ( \ l CONNECTED 'O BE '
TO EXISTING
PROPOSED FRESH ■ •—�..T w \ IRRIGATION SYSMU
WATER INTAKE I 1 ♦3681 I , ` r
APPROX. LOCATION I
PAD .��
• a: m,..
mw e '
PROPOSED y e \
PUMP BUILDING I I r 20 / l
PROPOSED MMCH PATH
W \
• PROPOSED POTABLE
1 WATER SERVICE '
I +1683 PVC PN ` \
Jam_ w =0. t 30' NEUSE RIVER \
TVR
EXISTING RACK \ r, BUFFER ZONE 1
,\ I
50' NEUSE RIVE R `
I l 1 BUFFER ZONE 2 \
EXISTING 333 SF BU2DING
TO BE REMOVED
INV 351.51
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( BOUNDARY
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AND
SMH
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MV IN 31. 85'
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SURFACE ELEVATION 3546'
(NAVD F
PER FEMA FIRM '� •
MAP 3720076200) \ `
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_ ne � - � wITNSRS IWR^VKNUL
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Tracks
Name: Trk11
Distance: 5 miles, 716 feet
Area: 947 532 acres
1.480 sq. miles
Log Points: 29
Markers
Name Pump Building Location
Short Name: PmpBld
Coordinates. 035.7444941 ° N, 078.79464000 W

rl.�
■

OBJECTID
225092
PIN
0762166605
CALC_AREA
247.09
RDEAL ESTATE
0043324
OWNER NAME
MACGREGOR DOWNS COUNTRY
CLUB LTD
ADDRl
430 SAINT ANDREWS
LN
ADDR2
CARY NC 27511 -6550
ADDR3
DEED BOOK
03076
DEED PAGE
0491
DEED DATE
1/3/1983 12:00:00 AM
DEED ACREAGE
252.94
BUILDING
VALUE
5802553
LAND VALUE
2248224
TOTAL VALUE
8050777
PROPDESC
SWIFT CREEK LD
HEATEDAREA
36571
STNAME
ST ANDREWS
STYPE
LN
STPRE
STSUF
STNUM
430
STMISC
FULLSTNAME
ST ANDREWS LN
CITY
CAR
CITYDECODE
Cary
YEAR BUILT
1967
SALE PRICE
0
SALE DATE
TYPEANDUSE
65
LAND CLASS
U
LANDDECODE
GOLF COURSE
EXEMPTDESC
EXEMPTSTAT
OWNERSHIP
1020
ACTIVITY
2200
FUNCTION
2540
STRUCTURE
2221
SITE
6400
TOTSTRUCTS
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