20090766 Ver 1_401 Application_20090709

<f
Soil & Environmental ConsultarisryP`,
11010 Raven Ridge Road Raleigh, North Carolina 27614 • Phone: [phone] • Fax: (91 467
/
www.SandEC.com ?c?Q?
July 10, 2009 e
S&EC Project #11268.P1
To: NC Division of Water Quality
401 Oversight/Express Permitting Unit 9 0 7 6 6
Attn: Cyndi Karoly/Amy Chapman
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604-2260
From: Debbie Edwards
Soil & Environmental Consultants, P.A.
11010 Raven Ridge Road
Raleigh, NC 27614
Re: Agape Fellowship Church
Raleigh, Wake County, NC
On behalf of the property owner Agape Word Fellowship, Inc. (Attn: Jerry M. Williams), please find
attached a complete application and supplemental information requesting written authorization from the
North Carolina Division of Water Quality for activities proposed to impact Neuse River Riparian Buffers.
Please contact me at [phone] if you have any questions or require additional information.
PROJECT SUMMARY
Project Name Agape Fellowship Church
Project Type Riparian Buffer Authorization
Owner / Applicant Agape Word Fellowship, Inc.
Count Wake
Nearest Town Raleigh
Waterbod Name UT to Walnut Creek
Basin / Sub-basin Neuse/03-04-02
Index Number 27-34(4)
Class C; NSW
IMPACT SUMMARY (Jurisdictional Waters)
Stream Impact (acres): 0
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres): 0
Total Stream Impact (linear feet): 0
Total Riparian Buffer Impact (Square feet): 3,317
Attachments:
Pre-construction Notification Application Form
Agent Authorization
USGS Vicinity Map
Wake County Soil Survey
10-yr Storm Drainage Calculations
Overall Site Plan w/ Impact Exhibit
Charlotte Office:
236 LePhillip Court, Suite C
Concord, NC 28025
Phone: [phone]
Fax: [phone]
Greensboro Office:
3817-E Lawndale Drive
Greensboro, NC 27455
Phone: [phone]
Fax: [phone]
sr??
9
08-0766
O?O?- W AT
O T
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the
Corps:
El Section 404 Permit El Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: N/A or General Permit (GP) number: N/A
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: Agape Fellowship Church
2b. County: Wake
2c. Nearest municipality / town: Raleigh
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: N/A
3. Owner Information
3a. Name(s) on Recorded Deed: Agape Word Fellowship, Inc.
3b. Deed Book and Page No. Deed Book 13319; Page 0329
3c. Responsible Party (for LLC if
applicable): Jerry M. Williams
3d. Street address: 9100 Rhinebeck Ct.
3e. City, state, zip: Raleigh, NC 27613
3f. Telephone no.: 919-786-2942
3g. Fax no.: N/A
3h. Email address: N/A
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: Owner-please send correspondence to both owner
and Agent
4b. Name: Jerry M. Williams
4c. Business name
(if applicable): Agape Word Fellowship, Inc.
4d. Street address: 9100 Rhinebeck Ct.
4e. City, state, zip: Raleigh, NC 27613
4f. Telephone no.: 919-986-2942
4g. Fax no.: N/A
4h. Email address: N/A
5. Agent/Consultant Information (if applicable)
5a. Name: Debbie Edwards
5b. Business name
(if applicable): Soil & Environmental Consultants, PA
5c. Street address: 11010 Raven Ridge Road
5d. City, state, zip: Raleigh, NC 27614
5e. Telephone no.: 919-846-5900
5f. Fax no.: 919-846-9467
5g. Email address: [e-mail]
Page 2 of 11
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 1723907334
1 b. Site coordinates (in decimal degrees): Latitude: 35.7554 Longitude: - 78.5627
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: +/- 3.32 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to UT to Walnut Creek; 27-34-(4)
proposed project:
2b. Water Quality Classification of nearest receiving water: C; NSW
2c. River basin: Neuse 03-04-02
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: Currently the site is heavily wooded. The general land use in the vicinity of the project is predominantly old
and new residential.
3b. List the total estimated acreage of all existing wetlands on the property:
Less than 0.10 acres within the property boundaries, however these wetlands are located solely within the riparian areas
and not within proposed impact location.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Approximately 531 linear feet.
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct a sanitary sewer connection to the existing sanitary sewer system.
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project will consist of the construction of a church and necessary facilities. Heavy equipment typically used
for grading, excavating, concrete pouring etc. 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 (including all prior phases) in the past?
Comments: Steven Ball of Soil & Environmental Consultants,
PA conducted a detailed wetland delineation and Neuse ? Yes ® No ? Unknown
Buffer Evaluation on June 22, 2009. There are no
jurisdictional wetlands/waters identified within the upland
development area. Additionally the Neuse River buffers on
and off property are not being contested.
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: Soil & Environmental
Name (if known): Steven Ball Consultants, PA Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
N/A
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.
N/A
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
N/A
Page 4 of 11
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 - or
(PER)
(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 individual) list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
0. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
® Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason for impact Buffer Zone 1 impact Zone 2 impact
Permanent (P) or Stream name mitigation (square feet) (square feet)
Temporary T required?
B1 ®P ? T Aerial Sanitary UT to Walnut ? Yes 1
695 1
622
Sewer Crossing Creek ® No , ,
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts 1,695 1,622
6i. Comments: Impact proposed are an "allowable" use according to 15A NCAC 02B.0233(6)
Page 6 of 11
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Impacts to jurisdictional waters/wetlands have been avoided throughout the development plan. The sanitary sewer
connection location is set because of existing dedicated City of Raleigh Easements. Sanitary sewer crossing designed to
cross surface waters at a perpendicular angle (i.e. between 751 and 105°).
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Erosion & Sediment Control plan will require measures such as tree protection fencing, sediment fencing and
sediment basins to protect water quality during construction activities.
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

F1 Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: ? warm ? cool ?cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ? Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 8 of 11
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
I a. 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.
Comments: The project will discharge the concentrated stormwater to an existing ? Yes ® No
conveyance within South New Hope Road. Please see attached site plan map and
10-yr storm drainage calculations.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 19.7%
2b. Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Because this project is only requesting
impacts to riparian buffers and should only require a diffuse flow plan. However, all concentrated stormwater will be
discharged into an existing conveyance within South New Hope Road. Please see attached site plan map and 10-yr
storm drainage calculations.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
N/A
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
? 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)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the ? Yes ® No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ? No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
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): N/A
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.
We have reviewed the "Draft Internal Policy, Cumulative impacts and the 401 Water Quality Certification and Isolated
Wetlands Programs" document prepared by the NC Division of Water Quality on April 10, 2004, version 2.1. The draft
states that many private developments are unlikely to cause cumulative impacts, including projects such as urban in-fill,
most residential subdivisions and small commercial developments as well as agricultural and silvicultural operations. The
Agape Fellowship Church project is a small development within a highly development watershed. The City of Raleigh is
requiring a stormwater management plan. We anticipate that the DWQ will advise us if any additional information is
needed.
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.
This project will connect to the City of Raleigh Sanitary Sewer System. The City will ensure that the capacity of their
treatment facility will not be exceeded.
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
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. El 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?
Debbie Edwards ?J July 10, 2009
Applicant/Agent's Printed Name Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided.) Date
Page 11 of 11
Environmental Consultants, PA
Road • Raleigh. North Carolina 27614 • Phone: [phone]'Xx) • Fax: [phone]
Address: ! H3 U 15' 2?A
2-1612
Phone: K6 " Z 9 4 -
Z-Project Name/ Description: S&EC Project #
Date: (?? a4
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
P.O. Box 1890
Wilmington, NC 28402
Attn:
Field Office:
Re: Wetlands Related Consulting and Permitting
To Whom It May Concern:
I, the current landowner or municipal official hereby designate and authorize Soil & Environmental
Consultants, PA to act in my behalf as my agent in the processing of permit applications, to furnish upon
requeVupplemental information in support of applications, etc. from this day forward. The
day of J v K"-
This notification supersedes any previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for
government officials to enter the property when accompanied by S&EC staff. You should call S&EC
to arrange a site meeting prior to visiting the site.
i
Jecr /? t M ecwts
Print Propert Owner's or Municipal Official's Name roperty OwlWs or Municipal Official's Signature
cc: Ms. Cyndi Karoly cc: Ms. Debbie Edwards
NCDENR - DWQ Soil & Environmental Consultants, PA
2321 Crabtree Boulevard
Raleigh, NC 27604
Clmrlottc Office:
236 LePhillip Court. Suite C
Concord. NC 28025
Phone: [phone]
Fax: [phone]
Greensboro Office.
3817-E Lawndale Drive
Q%misboro. NC 27455
Phone: (336) 540-V34
Fax: 133ti) 540-8235
AGENT AUTHORIZATION FORM
All ( (-Cl la/nks To Be Filled In By The Current Landowner or Municipal Official
Name: ?u v d rA-A-
North Carolina Secretary of State
Elaine F. Marshall
Secretary
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Corporation Names
Name Name Type
NC Agape Word Legal
Church, Inc.
NC AGAPE WORD Prev Legal
FELLOWSHIP, INC.
Non-Profit Corporation Information
SOSID:
Status:
Date Formed:
Citizenship:
State of Inc.:
Duration:
0508960
Current-Active
10/12/1999
Domestic
NC
Perpetual
Registered Agent
Agent Name: Williams, Jerry M
Registered Office 9100 Rhinebeck Ct.
Address: Raleigh NC 27613
Registered Mailing P.O. Box 61335
Address: Raleigh NC 27661
Principal Office 8220 Coosa Court
Address: Raleigh NC 27616
Principal Mailing 9100 Rhinebeck Ct.
Address: Wake County
Raleigh NC 27613
Page 1 of 2
North Carolina
DEPARTMENT OFT11E
SECRETARY OF STATE
PO Box 29622 Raleigh, NC 27626-0622 [phone]
7/10/2009
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