20140765 Ver 1_401 Application_20140714

WITHERS & RAVENEL
ENGINEERS I PLANNERS 1 SURVEYORS
1410 COMMONWEALTH DRIVE, SUITE ioi
WILMINGTON, NORTH CAROLINA, 28403
(910) 256 -9277
FAX [phone]
TO: NC Division of Water Resources
512 N. Salisbury Street; 9`h Floor
Raleigh, NC 27604
WE ARE SENDING YOU
❑ Shop Drawings
❑ Copy of Letter
® Attached
❑ Prints
❑ Change order
DATE 7/21/14
1 loa N0. 02080596 oo
ATTENTION
Ms. Karen Higgins
PHONE# �9- 8o7-6363
RE Wake Co.
Cary Park TC -2B — Cary,
NWP 18 PCN Submittal (Courtesy)
02080596.00
NWP 18 PCN
1
7/21/14
0208o5 6.00
❑ Under separate cover via
❑ Plans ❑ Samples
❑ Diskette ❑
the following items:
❑ Specifications
COPIES
DATE
NO.
DESCRIPTION
3
7/21/14
02080596.00
NWP 18 PCN
1
7/21/14
0208o5 6.00
CD of PCN
JUL 2 3 1014
N - —w 'F2 QUALIT`r'
rm r Bra
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 ❑
❑ FOR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
❑ Resubmit
❑ Submit
❑ Return
copies for approval
copies for distribution
corrected prints
REMARKS:
Signature:
o
r D
-
(a
Date:
JUL 2 3 1014
N - —w 'F2 QUALIT`r'
rm r Bra
COPY TO: File
SIGNED: Troy Beasley
If enclosures are not as noted, kindly notify us at once.

WITHERS RAVENEL
July 21, 2014
US Army Corps of Engineers
Regulatory Field Office
Mr. David Shaeffer
3331 Heritage Trade Drive
Suite 105
Wake Forest, NC 27587
ENGINEERS I PLANNERS I SURVEYORS
NC- Division of Water Resources
401 & Buffer Permitting Unit
Ms. Karen Higgins
1617 Mail Service Center
Raleigh, North Carolina 27699
Re: Cary Park TC -213 — NWP 18 PCN Submittal
Corps AID# SAW -2014- 01042)
W &R Project #02130063.00
Dear Mr. Shaeffer and Ms. Higgins,
On behalf of Cary Park Associates, LLC, we are requesting authorization from the USACE to use NWP
18 for 0.04 acres of permanent wetland impacts for construction of the proposed project. Please
note that written authorization from DWR is not required and the application is being provided to
DWR as a courtesy.
The project is ±2.o acres in size and is located at 398o Cary Glen Blvd, in the northwest quadrant of
the intersection of Cary Glen Blvd and Carpenter Fire Station Road in Cary, Wake County (Latitude:
35.8234 °N; Longitude: - 78.8985 0W). The project is located in the Cape Fear River basin and onsite
waters drain to Morris Branch. The Water Quality Classification for Morris Branch is WS -V; NSW and
the Stream Index Number is: 16- 41-1-17-3-1• The cataloging unit for the site is 03030002.
Project History
Onsite wetlands were delineated by Withers and Ravenel, and were verified in the field by David
Shaeffer with the Corps of Engineers on July 6, 2014 (SAW -2014- 01042). We are requesting issuance
of the Preliminary JD in conjunction with issuance of the NWP 18.
The Town of Cary issued a Buffer Determination Letter documenting that there are no buffered
features within the subject property. A copy of the Town of Cary Buffer Determination Letter has
been provided as an Appendix.
Proposed Impacts
The proposed impacts consist of 0.04 acres of permanent wetland impacts for the construction of
the parking lot, as well as the connection of the onsite storm drainage to the existing drainage pipe
located below the onsite wetlands.
Avoidance and Minimization
The onsite wetland consists of a small wetland pocket (0.04 acres), located immediately above a
drainage culvert associated with the Camden Townhomes residential subdivision located
1410 Commonwealth Drive I Suite 1011 Wilmington, NC 28403 1 tel: [phone] fax: [phone]
www.withersravenet.com I License No. C -0832

Cary Park TC -2B
07/21/14
immediately north of the proposed project. The onsite wetland exists entirely within the subject
property and there are no wetlands or jurisdictional waters within 750 if of the onsite wetland.
Due to the small size, poor quality and landscape location of the onsite wetland, it was determined
that the integrity of this wetland could not be maintained in perpetuity once it was surrounded by
impervious area associated with the proposed project. Therefore, the entire 0.04 acre wetland will
be impacted as a result of the fill associated with construction of the parking lot.
Mitigation
Since the proposed permanent wetland impacts are less than o.10 acres, mitigation is not proposed.
The current request is for 0.04 acres of permanent wetland impacts (see the attached maps and PCN
for details).
Please feel free to call if you have questions or require additional information.
Sincerely,
Troy Beasley
Environmental Scientist
Attachments:
• PCN Form
• Agent Authorization
• Wetland Exhibit
• USGS Quad
• Wake County Soil Survey
• Town of Cary Buffer Determination Letter
• Impact Exhibits
WITHERS 6 RAVENEL Page 2 of 2
ENGINEERS I PLANNERS I SURVEYORS

4�0' \N AT F'
o � �
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 9
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
1 b.
Specify Nationwide Permit (NWP) number: 18 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):
N 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:
❑ Yes N 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
N No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
N 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:
Cary Park TC -2B
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:
Cary Park Associates, LLC
3b.
Deed Book and Page No.
Bok: 013003; Page: 433
3c.
Responsible Party (for LLC if
applicable):
Dennis Rochelle
3d.
Street address:
1450 Environ Way
3e.
City, state, zip:
Chapel Hill, NC 27707
3f.
Telephone no.:
919 - 929 -0660
3g.
Fax no.:
3h.
Email address:
DRochelle @EWP- NC.com
Page 1 of 9
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:
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 - 509 -6512
5f.
Fax no.:
910 - 256 -2584
5g.
Email address:
tbeasley @withersravenel.com
Page 2 of 9
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):
0735040691
1 b. Site coordinates (in decimal degrees):
Latitude: 35.8234 °N Longitude: - 78.8985 °W
(DD.DDDDDD) (- DD.DDDDDD)
1 c. Property size:
±2.0 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Morris Branch (Stream Index #16- 41- 1- 17 -3 -1)
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS -IV; NSW
2c. River basin:
Cape Fear - 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 land use in the general vicinity consists of a mixture of
residential and commercial land use.
3b. List the total estimated acreage of all existing wetlands on the property:
0.04 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
None
3d. Explain the purpose of the proposed project:
3e. Describe the overall project in detail, including the type of equipment to be used:
The purpose of the proposed project is to construct a medical office building.
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 El No ❑ Unknown
Comments: Wetland delineation was field verified by David
Shaeffer with the Corps of Engineers on 7/6/14 (SAW -2014-
01042).
4b. If the Corps made the jurisdictional determination, what type
®Preliminary El 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.
David Shaeffer with the Corps of Engineers verified the wetland delineation on 7/6/14 (SAW- 2014 - 01042).
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.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ® No
6b. If yes, explain.
Page 3 of 9
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 A
® P El
Fill
Headwater
El Yes
® No
® Corps
® DWQ
0.04 acres
2g. Total wetland impacts
0.04 acres
2h. Comments: Onsite wetlands consist of a very small wetland pocket (154 sq ft) located immediately upstream of a drainage
culvert.
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
3h. Total stream and tributary impacts
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 ❑ PEI T
04 ❑P ❑T
4f. Total open water impacts
4g. Comments:
Page 4 of 9
PCN Form - Version 1.3 December 10, 2008 Version

5. Pond or Lake Construction
If pond 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 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 (T)
impact
required?
B1 ❑ P ❑ T
❑ Yes
❑ No
B2 ❑P ❑T
El Yes
❑ No
B3 ❑ P ❑ T
❑ Yes
❑ No
6h. Total buffer impacts
6i. Comments: The Town of Cary issued a Buffer Determination documenting that there are no buffered features within the
subject property.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The onsite wetland consists of a small wetland pocket (0.04 acres), located immediately above a drainage culvert associated
with the Camden Townhomes residential subdivision located immediately north of the proposed project. The onsite wetland
exists entirely within the subject property and there are no wetlands or jurisdictional waters within 750 If of the onsite wetland.
Due to the small size, poor quality and landscape location of the onsite wetland, it was determined that the integrity of this
wetland could not be maintained in perpetuity once it was surrounded by impervious area associated with the proposed
project. Therefore, the entire 0.04 acre wetland will be impacted as a result of the fill associated with construction of the
parking lot.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
N/A
Page 5 of 9
PCN Form — Version 1.3 December 10, 2008 Version

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.
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 6 of 9
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?
70%
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:
Onsite stormwater will be treated by an existed constructed wetland within the Camden Townhomes development (MR-
6), which was originally sized and permitted to receive /treat the stormwater from the proposed project.
® 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?
Town of Cary
® Phase II
❑ NSW
3b.
Which of the following locally - implemented stormwater management programs
❑ 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?
The stormwater management plan is currently being reviewed by the Town of Cary.
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 7 of 9
PCN Form — Version 1.3 December 10, 2008 Version

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)?
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
❑ 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.
The proposed project consists of infill within a heavily developed area. Therefore, the proposed project will not be a
catalyst for future development that could impact nearby downstream water quality.
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.
Town of Cary Sanitary Sewer
Page 8 of 9
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?
E] Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
W &R reviewed the NC Natural Heritage Program database, located at http: / /www.ncnhp.org /web /nhp /nhp- map- viewer, to
identify if there were any known occurrences of endangered species on or near the proposed project. The review of the
NHP database did not identify any recent occurrences of endangered species or critical habitat on the subject property or
within 1.0 miles of the project. Furthermore, the project is located within a heavily developed area, and site reviews did
not identify any potential habitat for any federally protected species known to occur in Wake County. Therefore, the
project will have "No Effect" on federally listed Threatened or Endangered species.
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?
There are no waters in Wake County classified as EFH.
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.gov /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 or in the vicinity of the proposed project. Therefore, the
proposed project will not impact any known 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? www.ncfloodmaps.com
Troy Beasley — W &R
-7:7�j.,c_
7/21/14
Authorized Agent
Applicant /Agent's Printed Name
Date
Applicant /Agent's Signature
Page 9 of 9
PCN Form — Version 1.3 December 10, 2008 Version

AGENT AUTHORIZATION

ENGINEERS l PLANNERS I SURVEYORS
AUTHORITY FOR APPOINTMENT OF AGENT
The undersigned Owner Cary Park Associates, LLQ cIo East West Partners Management
Co, Inc (Client) does hereby appoint Withers & Ravenel. Inc. as his, her, or it's agent for the
purpose of petitioning the appropriate local, state and federal environmental regulatory agencies
(US Army Corps of Engineers, NC Division of Water Quality, NC Division of Coastal
Management, local municipalities, etc.) for a) review and approval of the jurisdictional boundaries
of onsite jurisdictional areas (wetlands, surface waters, riparian buffers, etc.) and/or; b)
preparation and submittal of appropriate environmental permit applications/requests for the Cary
Park TC -2 aroiect (PIN 0735040 6811, located at 3980 Cary Glen Blvd in Cary. Wake County.
The Client does hereby authorize that said agent has the authority to do the following acts on
behalf of the owner:
(1) To submit appropriate requests/applications and the required supplemental
materials;
(2) To attend meetings to give representation on behalf of the Client.
(3) To authorize access to subject property for the purpose of environmental
review by appropriate regulatory agencies.
This authorization shall continue in effect until completion of the contracted task or termination by
the Client.
Agent's Name, Address & Telephone:
Withers & Ravenel Inc.
115 MacKenan Drive
Cary, NC 27511
Date: 1 SA
Signature of Clien
(Name - Print) (Tit e)
(Signature)
Tel. (919)- 469 -3340 i S° n� u��✓ c� (�4
Mailing Address
City state zip
Phone: 2-1 ',/)j °�, 0
Email:l�a /, ad "oA
115 MacKenan Drive ( Cary, NC 275111 tel.: [phone] fax: [phone] E www.withemravenet.com i License No. C -0832
1410 Commonwealth Drive f Suite 1011 Wilmington, NC 28403 j tel: [phone] fax: [phone]
7011 Albert Pick Road 1 Suite G I Greensboro, NC 274091 tel: [phone] ; fax: [phone]

WETLAND LOCATION EXHIBIT

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WITH CORPS OF ENGINEERS ON 07/06/14.
Act
CARY PARKTC -2B POTENTIAL WETLAND LOCATION EXHIBIT WITHER8 & RAVENEL
ENGINEERS I PLANNERS 1 SURVEYORS
CARY WAKE COUNTY NORTH CAROLINA

USGS QUAD &
WAKE CO. SOIL SURVEY

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INGINIIRS I PLANNIRS I SURVIVORS

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WAKI 4;:,i 1, 1) NORTH CAROLINA

TOWN OF CARY
BUFFER DETERMINATION LETTER

May 19, 2014
Troy Beasley
Withers and Ravenel
1410 Commonwealth Drive, Unit 101
Wilmington, NC 28403
Subject: Jordan Lake Watershed - Urban Transition Buffer Rules
Real ID # 0335024 (3980 Cary Glen Blvd)
TCRB 14 -012
Dear Mr. Beasley
WATER RESOURCES DEPARTMENT
The site location map and other information that was provided, allowed a determination to be made as
to whether or not the referenced site would require compliance with The Town of Cary Urban Transition
Buffer (UTB) Rules. This project, as referenced by the Town of Cary as TCRB ,14 -012, includes
features as depicted on the attached maps. The table below summarizes the stream determinations
made in a site visit on May 15, 2014. This determination is valid until May 15, 2019.
Reference ID USGS Map LO Ft. Buffer
Sincerely,
J atterson
, Town of Cary Water Resources Department
Soil Su
TOWN Of CARY
Ft.
Not Subiect
318 North Academy Street -Cary, NC 27513-PO Box 8005•Cary, NC 27512 -8005
te1919- 469 -4030 • fax [phone]• www.townofcary.org

WITHERS & -r RAVEN EL
ENGINEERS I PLANNERS I SURVEYORS
Buffer Determination Request Information
Cary Park TC -2
Applicant /Owner - Cary Park Associates, LLC
1450 Environ Way
Chapel Hill, NC 27707
919- 929 -0660
[e-mail]
Written Authorization — See attached Agent Authorization form
Count — Wake
PIN# - 0735040691
Project Location — 3980 Cary Glen Blvd
Property is located in the northwest quadrant of the intersection of
Carpenter Fire Station Road and Cary Glen Blvd.
Drainage Basin --- Cape Fear /Jordan Lake
Receiving Waters — Morris Branch
Stream Index -
Surface Water Clas,
Decide rg ees —
USES Quad Map --
Soil Survey Shcet(s
Total Area —
16- 41- 1- 17 -3 -1
dfication - WS- IV;NSW
35.8234 °N; - 78.8985 °W
Green Level Quad
1- Wake Co. Soil Survey — Sheet 45
±2 acres
1410 Commonwealth Drive I Suite 1011 Wilmington, NC 28403 tel: [phone] j fax: [phone]
www.withersravene[.com I License No. C -0832

WITHERS &" RAVEN EL
ENGINEERS I PLANNERS I SURVEYORS
AUTHORITY FOR APPOINTMENT OF AGENT
The undersigned Owner Cary Park Associates. LLC: c/o East West Partners Management
Co. Inc (Client) does hereby appoint Withers & Ravenel. Inc. as his, her, or it's agent for the
purpose of petitioning the appropriate local, state and federal environmental regulatory agencies
(US Army Corps of Engineers, NC Division of Water Quality, NC Division of Coastal
Management, local municipalities, etc.) for. a) review and approval of the jurisdictional boundaries
of onsite jurisdictional areas (wetlands, surface waters, riparian buffers, etc.) and/or; b)
preparation and submittal of appropriate environmental permit applications/requests for the Cary
Park TC-2 prolect [PIN 07360408811. located at 3984 Cary Glen Blvd in Cary. Wake -County.
The Client does hereby authorize that said agent has the authority to do the following acts on
behalf of the owner:
(1) To submit appropriate requests/applications and the required supplemental
materials;
(2) To attend meetings to give representation on behalf of the Client.
(3) To authorize access to subject property for the purpose of environmental
review by appropriate regulatory agencies.
This authorization shall continue in effect until completion of the contracted task or termination by
the Client.
Agent's Name, Address & Telephone:
Withers & Ravenel. Inc.
115 MacKenan Drive
Cary. NC 27511
Date:
Signature of Clien
(Name - Print) M e
(Signature)
Tel. (919)- 469 -3340 / 4S�5 IL- ti ►/t l ✓ U ✓1,-L-
Mailing Address
LAI,)
City State Zip
Phone: � -- 40L°6 Z)
Email; t� >a
115 MacKenan Drive I Cary, NC 275111 tel.: [phone] fax: [phone] www.withersravenet.com I License No. C -0832
1410 Commonwealth Drive I Suite 1011 Wilmington, NC 28403 1 tel: [phone] fax: [phone]
7011 Albert Pick Road I Suite G I Greensboro, NC 27409 1 tel: [phone] fax: [phone]

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CARY PARK TC -2 AERIAL - 2010 WITHERS &- RAVENEL
[M41NEEKS 1 PLANNERS 1 SURVEYORS
CA£Y VMWLE CO L14N IV 'ORTI I CAMONA
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CARY PARK TC -2 AERIAL - 2010 WITHERS &- RAVENEL
[M41NEEKS 1 PLANNERS 1 SURVEYORS
CA£Y VMWLE CO L14N IV 'ORTI I CAMONA

1.50 300
inch 300 ft.
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RNOINRRR! 1 PLANNRR. I ..It R!
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CARY PARK TC -2 WAKE CO. SOIL SURVEY - SHEET 45 WtITH �( RAVENEL
�NOIN��A>f I �LANN�A� I lO�Y�YO�>i

NC DWO Stream Identification Form Version 4.11
Date: 1 (Q ProjectiSite: (_Art Tou(L -Te_. Latitude:
Evaluator: -r14 $ _ wc4- r- County: U j&_ „e_ Longitude:
Total Points: Stream Determination (circle one) Other 6re -ev1 L-e m-
Stream is at least intermittent hemer Intermittent Perennial e.g. Quad Name:
if >_ 19 or Perennial if? 112-115-
30*
A. Geomorphoj (Subtotal = _ 5
1' Continuity of channel bed and bank
2. Sinuosity of channel along thalweg
3. In- channel structure: ex. riffle -pool, step -pool,
_d Role-pool sequence
4. Particle size of stream substrate
5. Active /relict floodplain
6. Depositional bars or benches
7. Recent alluvial deposits
8. Headcuts
Absent
Weak
Moderate
2
2
2
2
2
Strong
3 "
3
3
0
0
0
0
C-
1
1
1
3
no
1
3
0
1
2
3
0
1
2
3
0
1
2
3
_
9. Grade control
M
0.5
1
1.5
10. Natural valley
0
0.5
1
1.
11. Second or greater order channel
C No'-- 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdroloav (Subtotal = ,3. �- I
12. Presence of Baseflow
C)
1
2
3
- --
13. Iron oxidizing bacteria
_
- -
0
1
2
3
14. Leaf litter
1.5
1
0.
0
15. Sediment on plants or debris
16. Organic debris lines or piles
OD
0.5
1
1
1.5
0.5
No = 0
1.5
17. Soil -based evidence of high water table?
�Yes
C. Biology Subtotal=
18. Fibrous roots in streambed
3
2
1
19. Rooted upland plants in streambed
3
e12
1
20. Macrobenthos (note diversity and abundance)
M
1
2
3
Aquatic Mollusks
MI.
1
2
3
_21.
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
ACW = O7 OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

IMPACT EXHIBITS

PIN # 0735040681
PARCEL 2.09 ACRES
11
-X11 =TJ- T- r- --- -F --T-�,
I
101 1 19187615141312111
II I I I I I
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WETLAND IMPACT A
7 U Y l LJ L) I I I I L)
— 2STV + GA.UL.M'
� GAP �sPA�E
LP
PROPOSED MEDICAL OFFICE BUILDING
GRAPHIC SCALE
0 30 60
1 inch = 60 ft.
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CARPENTER FIRE STATION ROAD (SR
1624)
EXISTING PUBLIC R/W
WETLAND LIMITS VERIFIED BY DAVID /ARIABLE WIDTH
SHAEFFER WITH CORPS OF ENGINEERS ON
6/19/14 (SAW- 2014 - 01042). 7/11/14
II CARY PARK TC -2B III OVERALL EXHIBIT III WITHERS & RAVENEL II
fNfINIRRf I PLANNRRf 1 SURVIVORS

CATCH BASIN
TOP 314.57
\ INV. IN 299.62
\ a INV. OUT 299.57
\ v
AREA IN T w
�\ TOP 313.2
TOP 111.2T
04.85
\ INV. IN(2f 300 �
INV. OVT 300 05 (2)
\ \ /
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_ —
\ / / /
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GRAPHIC SCALE
0 t0 20
\ 1 inch = 20 ft.
_AREA INLETS
TOP 3' -2.K_
INV. �lA1 301.40
INV. OUT-3&t25
- PERMANENT IMPACT
154 S.F.
0.004 AC.
V. -OU 4,.k \ I
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WETLAND LIMITS VERIFIED BY DAVID
\
SHAEFFER WITH CORPS OF ENGINEERS ON
\ \
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6/19/14 (SAW- 2014 - 01`00.
III
I j I / / 7/11/14
`
CARY PARK TC -2B
WETLAND IMPACT MAP A
WITHERS RAVENEL
INSINISRS I PLANNIRS 1 SURVIVORS
CARP WAKE COUNTY NORTH CAROLINA