20140503 Ver 2_401 Application_20140714

WITHERS &- RAVENEL
ENGINEERS I PLANNERS I SURVEYORS
1410 COMMONWEALTH DRIVE, SUITE 1o1
WILMINGTON, NORTH CAROLINA, 28403
(910) 256 -9277
FAX [phone]
TO: NC Division of Water Resources
512 N. Salisbury Street; 9`h Floor
Raleigh, NC 276o4
WE ARE SENDING YOU
❑ Shop Drawings
❑ Copy of Letter
® Attached
❑ Prints
❑ Change order
ao14 0503 v Z
DATE /16/14
JOB No. 02120446.00
ATTENTION
Ms. Karen Higgins
PHONE N 919-807-6363
RE: Courtyards at O'Kelly Chapel
NWP 12 & IWGPl00000 - DWR Proj #14 -0503
Revised Impact Plan Submittal
Revised Impact Plan and Updated PN
❑ Under separate cover via
❑ Plans ❑ Samples
❑ Diskette ❑
the following items:
❑ Specifications
COPIES
DATE
NO.
DESCRIPTION
3
7/3/14
0212o446.00
Revised Impact Plan and Updated PN
THESE ARE TRANSMITTED as checked below:
® For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS:
COPY TO: File SIGNED. Troy Bea
ifenclosures are not as noted, kindly notify us at once.

20W() 503J2
WITHERS RAVEN EL
ENGINEERS PLANNERS J SURVEYORS
July 3`d, 2014
NC- Division of Water Resources
401 & Buffer Permitting Unit
Attn: Ms. Karen Higgins
1617 Mail Service Center
Raleigh, North Carolina 27699
Re: Courtyards at O'Kelly Chapel — 401 WQC & IWGPl00000 - Revised Plans Submittal
DWR Project # 14 -0503
W &R Project #02120446.00
Dear Ms. Higgins,
In a letter dated June 13, 2014, Andy Williams with the Corps of Engineers required that the design of the
alignment for the Courtyards at O'Kelly Chapel project be revised before he would approve the NWP 12. A copy
of Andy's letter has been provided as an Appendix. Specifically, the Andy's concerns were with the sewer stub
located on the west side of the stream (Impact #1), which was designed to meet the Town of Cary's site plan
approval conditions. The construction of the sewer stub would have resulted in 0.02 acres of temporary
wetland impacts to cross the onsite wetland. Andy determined that the crossing was not warranted since the
sewer stub would not connect to a current sewage source or treatment facility. Also, Andy requested that the
sewer alignment be shifted farther north so that the sewer crossed the stream instead of the wetlands in order
to reduce the amount of impacts.
As a result of Andy's requirements, W &R has reached an agreement with the Town of Cary to stub the sewer
line on the east side of the stream /wetlands in order to eliminate the temporary impacts (Impact #1) for this
crossing. The applicant will still establish the 20' sewer easement and dedicate it to the Town of Cary.
However, the construction of the connection to the sewer stub and impacts associated with the connection
will be completed by whoever develops adjacent to the project, and not the EPCON Communities. EPCON
Communities will only be constructing the sewer stub on the eastern side of the stream /wetlands and
dedicating the sewer easement to the Town of Cary. It should also be noted that the sewer stub is located
outside of the 5o' Jordan Lake Buffers.
The revisions to the sewer alignment have resulted in the elimination of the 0.02 acres of temporary wetland
impacts at Impact #1, as well as a revision to the location of the sewer easement where the future connection
to the sewer will take place. Therefore, we are providing an updated PCN in which the impact tables have
been revised to reflect the final impacts. We are also providing copies of the revised Impact Plans which
specify the removal of Impact #1, and the new location of the sewer easement.
Please feel free to call if you have questions.
Sincerely, J p _ F —"`+
CCCa �l �,
Troy Beasley lLi��t
Environmental Scientist
D t4R 1AL17-
Attachments: ,N"Of1T1; r arancn
• Corps Request for Additional Information Letter
• Revised PCN
• Revised Impact Plans
1410 Commonwealth Drive I Suite 101 j Wilmington, NC 28403 1 tel: [phone] j fax: [phone]
www.withersravenel.com I License No. C -0832

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW- 2013 -01935 County: Chatham U.S.G.S. Quad: NC -GREEN LEVEL
INCOMPLETE APPLICATION
Applicant: EPCON Communities
Todd Pomorski
Address: 500 Stonehendge Parkway
Dublin, OH, 73017
Location /Description of Proposed Activity: . Lattitude35.8438 Longitude- 78.9196. T his proposedproiect is
for temporary impactstoiurisdictional streams and wetlands asmdated with the i nstal lation of a new
sewerlineasfollaws Cros§nq #1: Headwater Wetland -0.02 acreof temporary impacts Crossing #2: 1st UT
toNancv Branch -39 linear feet of temporary impacts Crossina#3: 2nd UT to Nancv Branch -46 linear feet of
tem�arimpa impact
Type of Permit Applied For (check one): IP ❑ N WP ® GP ❑
Applicable law: Section 404 of the Clean Water Act®; Section 10, Rivers and Harbor Act ❑
YOUR APPLICATION IS INCOMPLETE AND CANNOT BE PROCESSED UNTIL THE FOLLOWING
INFORMATION IS RECEIVED (CHECK ALL THAT APPLY):
❑ Your application form has not been completed and /or signed (see remarks)
® Under the conditions of the Nationwide Permit, mitigation is required for your project. The mitigation
proposal submitted with your application is insufficient. (see remarks.)
® Your application did not include a statement explaining how avoidance and minimization for losses of waters
of the U.S. were achieved on the project site. (see remarks)
❑ Your submitted project plans or maps were insufficient, too large, or not legible (see remarks).
❑ Your application did not include a delineation of affected special aquatic sites, including wetlands, vegetated
shallows, and riffle and pool complexes as required.
❑ You must submit a copy of your application to the NC Wildlife Resources Commission (WRC) since your
proposed work is in a designated trout water county (see remarks section below for the address of your WRC
representative)
❑ Other (see remarks below).
REMARKS:
1. Based on a review of your permit application and submitted plans, this proposed project does not meet the
Nationwide Permit (NWP) Condition #23 (Mitigation). Specifically, NWP condition #23 requires that the
activity must be designed to avoid and minimize adverse effects, both temporary and permanent, to waters of
the United States, to the maximum extent practicable at the project site. Also, mitigation in all forms,
including avoiding and minimizing will be required to the extent necessary to ensure that adverse effect to the
aquatic environment are minimal. Your plans indicate crossing #1 will temporarily impact a headwater forest
wetland. However, the section of sewer line associated with this impact does not connect to a sewage source or
treatment facility. As such, there does not appear to be a purpose for this particular crossing and impacts
could be avoided. Additionally, even if there is a purpose for the crossing, it appears that it could be moved to
the north slightly so that it would impact less jurisdictional acreage. Please revise your plans to exclude this
impact or provide additional information indicating the purpose.
2. Your application does not specifically mention if there are additional phases of this subdivision. Please
indicate if there are additional phases of this subdivision.
Page 1 of 2

Please submit'the above information within 30 days of receipt of this Notifcation or we will
cofisider yotir application withdrawn 'and close the file. Please call 6r-email
,(AntbewE 1M_rllia sacearmymil) me if you have -any questions.
Date: June.13.2614
Corps.Regulatory Official: Andrew Williams Telephone, No: 919 - 654-4884x6
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Corps Regulatory Field Office Address:
3331 Aeritiage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Copy furnished:
Troy Beasley,
Withers.and Ravenel
1410 Commonwealth D'nve,;Suite 101
W,ilmingtori NC 28403'
Chefri'Smith,
NorthiCarolma,Divisi6d.of Water Resources
Environmental SeniorSpecialist
1,628 Mail Service Center
Raleigh, NC'27699 -1628
2

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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 PCN) Form
A. Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1b.
Specify Nationwide Permit (NWP) number: NWP 12 or General Permit (GP) number: IWGP100000
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:
❑ 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
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Courtyards at O'Kelly Chapel Residential Subdivision
2b.
County:
Chatham
2c.
Nearest municipality / town:
Cary
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Pennie Ellis Coussit
3b.
Deed Book and Page No.
Book: 1494; Page: 0056
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address.
1120 Cheryl Lane
3e.
City, state, zip:
Wilmington, NC 28405
3f.
Telephone no.:
910- 617 -4404
3g.
Fax no.:
3h.
Email address:
ptunebyrd @yahoo.com
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 EPCON Communities - Contract Purchaser
4b
Name
Todd Pomorski
4c
Business name
(if applicable)
EPCON Communities
4d
Street address
500 Stonehenge Parkway
4e,
City, state, zip
Dublin, OH 73017
4f
Telephone no
614- 761 -1010
4g
Fax no
4h
Email address
tpomorski @epconcomm Lin ities corn
5.
Agent/Consultant Information (if applicable)
5a
Name
Troy Beasley
5b
Business name
(if applicable)_
Withers and,Ravenel
5c
Street address
1410 Commonwealth Drive, Suite 101
5d
City, state, zip-
Wilmington, NC-.28403
5e
Telephone no
910 - 256 -9277
5f
Fax no
910 - 256 -2584
5g
Email address
tbeasley @withersravenel corn
Page 2 of 11
PCN Form — Version 1 3 December 1,0, 2008 Version

B.
Project Information and Prior Project History
1.
Property Identification
Subdivision—PIN 0726 -32 -7074
Sewer Line PIN 0726 -30 -6959 000
PIN 0726 -30 -4388 000
1a
Property identification no (tax PIN or parcel ID)
PIN 0725 -29 -7023 000
PIN 0725 -29 -7694 000
PIN 0725 -29 -5455 000
PIN 0725 -29 -0405 000
Subdivision Lat 35 844,740 °N' Long - 78 919134 °W
lb
Site coordinates (in, decimal degrees)
Sewer -South Lat 35 835602 °N, Long -78 924216 °W
1c
Property size
±31 acres
2.
Surface Waters
2a
Name of nearest body of water (stream, river, etc) to
Nancy Branch (Stream Index 16- 41- 1- 17 -3 -2)
proposed project
2b
Water Quality Classification of nearest receiving water
WS- IV,NSW
2c
River basin
Cape Fear (HUC 03030002)
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 project site currently consists of undeveloped woodlands The general land use in the vicinity of the project consists
of residential and commercial land use, as,well as undeveloped woodlands
3b
List the total estimated acreage of all existing wetlands on the property
t0 1 acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
Subdivision - Jurisdictional Streams — 875 If
Subdivision - Isolated Stream — 68 If
Sewer —,Jurisdictional Stream - 85 If
3d
Explain the purpose of the proposed project
The purpose of'the proposed project is to construct a residential subdivision and associated infrastructure (i a roads,
sewer, utilities, stormwater management, etc ) The project also involves the construction of an offsite gravity sewer jive
which will connect to an existing sewer line along Pittard Sears Road to provide,sewer service fo,the Courtyards at
O'Kelly Chapel subdivision The proposed sewer line has been sized to provide �additional capacity�for future
development, and upon completion of construction, the sewer line will be turned over to the Town of Cary
3e
Describe the overall project in detail, including the type of equipment to be used
The project will consist of construction of a residential subdivision, roads, utilities and stormwater management, as well,as
an offsite.gravty sewer line Standard commercial construction equipment will be used to construct the proposed project
Page 3 of 11
PCN Form — Version 1 3 December 10, 2008 Version

4. Jurisdictional Determinations
4a Have junsdictional wetland or stream determinations by the
Corps or,State been requested or obtained for this property /
® Yes E] No El Unknown
projecf(including,all prior'phases) in the past?
Comments
4b If the Corps made the jurisdictional determination, what type
® Preliminary ❑ Final
of determination was made?
4c If yes, who delineated the jurisdictional areas?
Agency /Consultant Company Withers & Ravenel
Name (if known) Troy Beasley
Other
4d If yes, list the dates,of'the Corps jurisdictional determinations•or State determinations and attach documentation
The Corps of Engineers conducted a field review of the wetlands and streams within the Courtyards at O'Kelly Chapel
Road project area on January 22, 2014 The JD Request, dated August 16, 2013 and revised exhibits emailed on
December 6, 2013, included the,wetland delineation for the proposed sewer alignment However, due to a lack of written
documentation of access authorization, the Corps did not review the delineation for the proposed sewer alignment The
only jurisdictional features,within the proposed sewer alignment are two intermittent streams We are requesting a JD for
only,the impact areas,withrn,the sewer alignment, which'will be issued in,contunction with issuance of the NWF 12
Since the proposed sewer line crosses both the Town of Cary,and Chatham County jurisdiction, the buffer
determination /requirements for the features within the proposed sewer alignment defaulted to NCDWR NCDWR issued
a Stream /Buffer Determination for the proposed sewer - alignment on February 24, 2014 (JBRRO 13 -386) A copy of the
DWR Stream /Buffer Determination has been provided as an Appendix
The Town of Cary issued a Buffer Determination for the subdivision site on August 27, 2013 A copy of the Buffer
Determination Letter has been provided as an Appendix Please note that impacts to Jordan Lake Buffers for
construction of the subdivision will be permitted through the Town of Cary as a delegated "municipality
S. 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
6. Future Project Plans
6a Is this a phased project?
® Yes ❑ No
6b If yes, explain
The subdivision will be constructed in phases However, all impacts necessary for construction of the entire project are
being addressed under th&application
Page 4 of 11
PCN Form — Version 1 3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1a. 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)
Impact #1
Removed
El Yes
El Corps
Removed
[I P [I T
[I No
El DWQ
2g. Total wetland impacts
2h. Comments: Impact #1 has been eliminated
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.
31b.
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)
Impact #2
Fill
UT to Nancy
❑ PER
❑ Corps
3'
68 If
® P E] T
(Isolated Stream)
Branch
® INT
® DWQ
Total Permanent Isolated Stream Impacts
68 If
Impact #3
Sewer Crossing
UT to Nancy
❑ PER
® Corps
4'
39 If
[I P ®T
Branch
® INT
® DWQ
Impact #4
Sewer Crossing
UT to Nancy
El PER
® Corps
4'
46 If
® P ❑ T
Branch
® INT
®DWQ
Total Temporary Stream Impacts
85 If
3h. Total stream and tributary impacts
153 If
3i. Comments:
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 ❑ PEI T
4f. Total open water impacts
4g. Comments.
Page 5 of 11
PCN Form —Version 1.3 December 10, 2008 Version

5. Pond or Lake Construction
,If pond or lake construction proposed, thern 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.
.51, Expected pond surface area (acres)
t5j, 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' ou MUST fill out Section D of this form
6a.
❑ Neuse ❑ Tar-Pam lico ®Other Jordan
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?
131, ❑P ❑T
El Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑ No
B31 ❑P ❑T
❑Yes
❑ No
6h Total buffer impacts
61 Comments Impacts to Jordan Lake Buffers will be permitted through the Town of Cary as the delegated municipality
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Prior to site design, the Applicant completed a formal delineation,of onsite jurisdictional wetlands and streams so that impact
could be minimized Impacts have been minimized to one stream crossing and one wetland crossing for installation of the
sewer, and impacts to a 68 If isolated stream for construction of a BMP
The construction of the sewer line will require a two stream crossing (Impact #3 & 4), which will result in 85 If of temporary
stream impacts The sewer has been designed to3cross the streams at perpendicular angles to minimize impacts Upon
completion of�construction, the stream bed /banks will be restored to pre - construction conditions
The proposed 68 If of permanent isolated stream impacts (Impact #2), will occur from construction of a stormwater BMP The
isolated stream has virtually no functiona[value, as, there,are no wetlands located upstream or,'immedately downstream, and
the isolated stream is located ±550 If,from the downstream unnamed tributary to Nancy Branch In order to maintaima
feasible site design and avoid impactssto the�onsite jurisdictional streams, the BMP must be,constructed within the location of
the isolated stream In order to avoid impacting the isolated stream, the site would have to be redesigned, resulting in a loss
Page 6 of 11
PCN Form — Version 1 3 December 10, 2008 Version

of multiple lots in order to provide an adequately sized BMP A site visit was conducted with Chern Smith with NCDWR on
September 17"', 2013 to review the condition of the isolated-stream During the site visit, Ms Smith agreed that the functional
value of the isolated stream was minimal
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Silt fencing will be installed around all disturbed areas to prevent sediment from escaping into downstream waters Also,
temporary stream and wetland impact areas will be restored to pre - existing grades Disturbed wetlands will be seeded with
rye grass to provide temporary stabilization until natural recruitment re- vegetates the disturbed wetlands and provides long
term stabilization
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
Ad 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,Decerriber 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
E] Yes ❑ No
buffer mitigation'?
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
6c
6d
6e
Zone
- Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(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- Impacts,to Jordan Lake Riparian Buffers within the subdivision site will be permitted through the Town of Cary
as a delegated municipality
Page 8 of 11
PCN Form — Version 13 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?
lb
If yes, then is a diffuse flow plan included? If no, explain why
Comments The Stormwater Management Plan and diffuse flow requirements will be
❑ Yes ® No
reviewed and approved by the Town of Cary Upon issuance of the Stormwater
Management Approval by the Town of Cary, a copy will be provided to NCDWR
2.
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
37%
2b
Does,this project require a Stormwater Management Plan?
® Yes ❑ No
2c
If this project DOES NOT require a Stormwatet Management Plan, explain why
2d
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan
'The stormwater management plan consists,of two wet,detention ponds The stormwater management plan is being
reviewed by the Town of'Cary Upon issuance of approval by the Town of Cary, a copy will be provided to NCDWR
® 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 juri'sdiction is this project ?,
Town of Cary
,® 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
❑ 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
,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)
la
Does the project involve an expenditure of public (federaVstate /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
0 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
Wyou,answered "yes" to the above, submit))- �quahtative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If`you,answered "no," provide�a short narrative description
The project °is located within a heavily developed area of`Wake County and is not anticipated °to be a catalyst °for °future
development
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 ava ilab le, capacity of the subject facility
Town of Cary sanitary sewer
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?
❑ Raleigh
5c If yes, indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine°whetheryour site;would impact Endangered Species or Designated Critical
Habitat?
W &R reviewed the NC Natural Heritage Program GIS data,_ provided by John Finnegan with NCNHP, to identify if there
were any known occurrences of federally listed threatened or endangered species on or near the proposed project The
review of the NHP database did not identify any recent occurrences of federally listed species or critical habitat on the
subject property or within 2 0 miles of ^the project
6. Essential Fish Habitat (Corps Requirement)
6a Will this project occur nor 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?
There are no waters classified as EFH in Chatham County
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?
W &R reviewed the NC State Historic Preservation Office's online database, located at http / /gis ncdcr Qov /hpoweb /, to
determine if there were any known historic or cultural resources within or in the vicinity of the proposed project- The
database'review did not identify any known resources within the proposed project or within 0 5 miles
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? www ncfloodmaps com
Troy Beasley
Authorized Agent
7/,3/14
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's,signature is valid only if an authorization letter from the applicant
is provide d
Page 11 of 11
PCN Form — Version 1 3 December, 10, 2008 Version

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