20170734 Ver 1_401 Application_20170613

ENVIRONMENTAL SERVICES, INC
4901 TRADEMARK DRIVE
RALEIGH, NC 27610
[phone] • FAX [phone]
environmentalservicesinc.com r%/�
v►
June 8, 2017
2 0 7 70 7 34
NCDWR, 401 & Buffer Permitting Unit
Attn: Karen Higgins
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Olive Chapel Professional Park
Ms. Higgins,
Attached please find a "for the record only" PCN for a project located in Apex, NC. The project
will incur 0.02 acre of wetland impact that we have requested approval for via a Nationwide
Permit 18. The project does not meet the notification thresholds found under General Water
Quality Certification 4092.
Please contact me if you have any questions or need additional information. Thank you for your
assistance.
Sincerely,
Environment 1 Services, Inc.
Jeff Harbour, PWS
Enclosures

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the Corps:
NX Section 404 Permit ❑ 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 ❑X 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:
NX Yes ❑ No
For the record only for Corps Permit:
N Yes ❑X 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 ❑X No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes ❑X No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑X No
2.
Project Information
2a.
Name of project:
Olive Chapel Professional Park
2b.
County:
Wake
2c.
Nearest municipality / town:
Apex
2d.
Subdivision name:
NA N
2e.
3.
NCDOT only, T.I.P. or state project no: OF %%
Owner Information (/ F
3a. Name(s) on Recorded Deed:
Olive Chapel Professional Park, LLC
3b.
Deed Book and Page No.
3c.
Responsible Party (for LLC if
applicable):
Will Gasiorowski
3d.
Street address:
1121 Pemberton Hill Road
3e.
City, state, zip:
Apex, NC 27502
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009

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:
Jeff Harbour
5b. Business name
(if applicable):
ESI
5c. Street address:
4901 Trademark Drive
5d. City, state, zip:
Raleigh, NC 27610
5e. Telephone no.:
919-212-1760
5f. Fax no.:
5g. Email address:
[e-mail]
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
0732239843 0732239453
1 b. Site coordinates (in decimal degrees):
I Latitude: 35.7382 Longitude: -78.8896
1c. Property size:
8.7 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Reedy Branch
2b. Water Quality Classification of nearest receiving water:
WS -IV; NSW
2c. River basin:
Cape Fear
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:
Older single family residential/farm property. Surrounding land use is residential and commercial sites.
3b. List the total estimated acreage of all existing wetlands on the property: 0.4
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 0
3d. Explain the purpose of the proposed project:
Construction of a mixed use commercial park
3e. Describe the overall project in detail, including the type of equipment to be used:
A small 0.02 -acre wetland impact necessary for storm water pond. Typical construction equipment will be used.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (includingall prior phases)in the past?
❑X Yes ❑ No ❑ Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
❑x Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Jeff Harbour and Kevin Murphrey
Agency/Consultant Company: ESI
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Preliminary JD (SAW -2016-02301) issued on November 18, 2016.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ❑X No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ❑X No
6b. If yes, explain.
Page 3 of 10
PCN Form - Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑X 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.
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 P
Fill
Headwater Wetland
Yes
Corps
0.02
W2
Choose one
Choose one
Yes/No
W3
Choose one
Choose one
Yes/No
W4
Choose one
Choose one
Yes/No
W5
Choose one
Choose one
Yes/No
W6
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
0.02
2h. Comments:
Impact resulting from construction of a storm water pond. Photo of wetland area attached.
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.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1
Choose one
S2 -
Choose one
S3 -
Choose one
S4 -
Choose one
S5 -
Choose one
S6 -
Choose one
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

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.
Open water
impact number
Permanent (P) or
Temporary T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01
Choose one
Choose
O2
Choose one
Choose
O3 -
Choose one
Choose
04
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled Excavated
Pi
Stormwater
0.02
0.12
P2
Choose one
5f. Total:
0.02
0.12
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑X No If yes, permit ID no:
5i. Expected pond surface area (acres):
0.14
5j. Size of pond watershed (acres):
5.5
5k. Method of construction:
mass grading and excavation
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. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number-
Permanent (P) or
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
-Temporary
BI
Yes/No
B2
Yes/No
B3
Yes/No
B4
Yes/No
B5 -
Yes/No
B6
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The wetland delineation was approved by the USACE and then surveyed so it could be accurately depicted on design plans. The applicant has taken
measures to avoid most all wetland impacts on the property. The 0.02 -acre impact that is proposed has been minimized by the project engineer as
much as practicable.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
All applicable ESC measures will be strictly maintained throughout the entire construction period. Bare gound will be stabilized and vegetated quickly
to prevent erosion and sedimentation issues.
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 ❑X 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: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
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:
Choose one
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 6 of 10
PCN Form — Version 1.4 January 2009

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 ❑X 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 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules?
❑ Yes ❑ No
1b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
50%
2b.
Does this project require a Stormwater Management Plan?
0 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:
The storm water plan has been approved by the Town of Apex.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
3.
Certified Local Government Stormwater Review
3a.
In which localgovernment's jurisdiction is this ro'ect?
Town of Apex
3b.
Which of the following locally -implemented stormwater management programs
apply (check all that apply):
❑ Phase II
❑ NSW
El USMP❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑X Yes ❑ No
4. DWQ Stormwater Program Review
4a.
Which of the following state -implemented stormwater management programs apply
(check all that apply):
❑Coastal counties
❑HQW
❑ORW
E] Session Law 2006-246
❑Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑X No
5. DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑X Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

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
❑X 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
❑X No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
❑Yes
❑X 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
❑X 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.
Municipal sanitary sewer
Page 9 of 10
PCN Form — Version 1.4 January 2009

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 ❑X 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
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Online project review completed and self -certification letter submitted to USFWS-Raleigh office on June 5, 2017.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X 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
❑ 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?
NCSHPO has asked that consultants no longer send requests to them for projects. Assume it will be addressed under your 404 review.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ YesX❑ No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
NC Floodmaps
Jeff Harbour
06-07-2017
Applicant/Agent's Printed Name
pp Icant/Agent's Signature
Date
( e is signature is valid only if an authorization
' letter from the applicant isprovided.)
Page 10 of 10

RIGHT OF ENTRY & AGENT AUTHORIZATION
V� �� (� �- \oh�t l3QStOCO�the, owner(s) of the (Owner Name) property
UWe i-�c;�Ssocc���Sk� ,
commonly identified as > IV �',ha �e t p �eSS ,ot�c.l �c,c k LLL _
14x9 x-1409 Chgel L;A�e RA. (Project Name, Street Address or PIN)
Ac-o-�s i a�s0'ay.'A e- State of(City/Town) (County)
hereby grant, freely and without coercion, the right of access and entry to said property to Environmental
Services, Inc., including but not limited to its employees, contractors, subcontractors and any applicable
regulatory agency personnel, for the purpose of environmental, ecological or archaeological assessments.
This access agreement is effective upon signature and shall remain in effect until such time as assessment
activities are completed, including any ancillary activities associated with said activities.
Environmental Services, Inc. is also granted the right to act as my authorized agent for the purposes of
conducting this site review and future consultation with regulatory agencies, including permitting actions.
For the consideration and purposes set forth herein, UWe hereby acknowledge, accept and agree to the
terms of the Right of Entry Agreement and Agent Authorization as evidenced by my dated signature
below.
Signed this eday of n� �' �� 2016.
/
Print Name:
Signature:

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NOTES:
1. MATERIALS AND METHODS OF CONSTRUCTION 511ALL BE IN ACCORDANCE WITH TOWN Of APEX STANDARDS AND
SPECIFICATION5.
2. BOUNDARY AND TOPOGRAPHIC INFORMATION TAKEN FROM SURVEY PROVIDED BY ATNN50N LAND SURVEYING.
3 REFER TO ARCHITECTURAL DRAWMG5 FOR BUILDING DETAIL INFORMATION.
4. NO RMA MAPPED FLOODPWN EXISTS ON TH15 PROPERTY PER FEMA MAP I3720073200J DATED MAY 2. 2006.
5. ALL SITE ELEMENTS (PER PHASE) MUST BE INSTALLED PRIOR TO RECEIVING C.O. INCLUDING LANDSCAPING. PARKING
t UGHTING.
6. TO ENSURE PROPER PARKING RATIOS ARE MAINTANED, THE DEVELOPER WILL LIMIT MEDICAL OFFICE USES TO NO
MORE THAN 30% OF THE TOTAL BUILDING AREA (22,500 5F).
7. PAVEMENT WIDENING ALONG OLIVE CHAPEL AND CHAPEL RIDGE ROADS SHALL BE DESIGNED TO MEET NODOT AND
TOWN OF APEX STANDARDS AND 5PECIFICATION5.
D. CONSTRUCTION VEHICLE PARKING NOT ALLOWED AT THE TWO ENTRANCES. UMIT PARKING TO ONE SIDE OF THE
ACCE55 DRIVEWAYS (OPPOSITE OF HYDRANTS). SIGNS INDICATING"NO CONSTRUCTION VEHICLES TH15 510E OF
STREET• IN ENGLISH f 5PM15H SHALL BE INSTALLED.
9. ONCE THE FIRST UFT OF ASPHALT 15 PA55ABLE BY VEHICLES, THE DEVELOPER WILL BE REQUIRED TO INSTALL
WEATHER PX515TANT TEMPORARY PROJECT SIGNS AT INTERSECTIONS PRIOR TO PLAT APPROVAL. THESE SIGNS
SHALL BE MAINTAINED BY THE DEVELOPER UNTIL REPLACED BY THE PERMANENT SIGNS.
10. DURING IN57 ALLATION OF SILT PENCE, MANTAN 3' CLEARANCE AROUND FIRE HYDRANTS.
I I . ALL HVAC UNITS AND MECHANICAL EQUIPMENT MUST BE SCREENED AND OUT OF VIEW FROM ADJACENT
PROPERTIE5.
12. THIS DEVELOPMENT WILL NOT INCLUDE A PUBLISHING OFFICE OR A RADIOITM1510N RECORDING STUDIO.
13, DUMP5TER AREA TO INCLUDE SPACE FOR TRASH OUMP5TER, RECYCUNG CONTAINER AND GREASE HANDUNG
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