20191750 Ver 1_PCN Form Submission_20191220

-■ WithersRavenel
.. Our People. Your Success,
12/20/19
US Army Corps of Engineers
Raleigh Regulatory Field Office
Mr. James Lastinger
3331 Heritage Trade Drive
Suite 105
Wake Forest, NC 27587
NC -Division of Water Resources
401 & Buffer Permitting Unit
Mr. Paul Wojoski
1617 Mail Service Center
Raleigh, North Carolina 27699
Re: Holly Lane Townhome Subdivision
Raleigh, Wake County
NWP 29 & Buffer Authorization PCN Submittal
AID# SAW-2019-01218
WR Project #02170003.00
Dear Mr. Lastinger and Mr. Wojoski,
On behalf of MI Homes, we are requesting authorization from the USACE to use NWP 29 for
0.021 acres of permanent wetland impacts, 0.026 acres of temporary wetland impacts, 118 If of
permanent stream impacts and 11 If of temporary stream impacts for construction of the proposed
project. We are also requesting a 401 WQC for the above referenced impacts, as well as a Riparian
Buffer Authorization from NCDWR for 18,216 sf of permanent riparian buffer impacts (Zone 1:
11,824 sf; Zone 2: 6,392 sf) and 833 sf of temporary riparian buffer impacts (Zone 1: 587 sf; Zone
2: 246 sf).
The project is ±12.4 acres in size and is located at 3803 Holly Lane in Raleigh, Wake County
(Latitude: 35.833294°N;
Longitude:-78.683321°W). The project consists of the following seven
parcels:
• Wake Co.
PIN: 0795386748 - ±2.30 ac
• Wake Co.
PIN: 0795388982 - ±1.83 ac
• Wake Co.
PIN: 0795388580 - ±2.20 ac
• Wake Co.
PIN: 0795481606 - ±1.88 ac
• Wake Co.
PIN: 0795480255 - ±0.94 ac
• Wake Co.
PIN: 0795482342 - ±1.61 ac
• Wake Co.
PIN: 0795483460 - ±1.60 ac
The project is located in the Neuse River basin (HUC: 03020201) and onsite waters drain to
Crabtree Creek (Stream Index: 27-33-(10); WQC: C;NSW).
Proposed Project
The purpose of the proposed project is to construct a residential townhome subdivision to meet
the need for residential housing in Raleigh. The proposed project consists of construction of an
88-unit townhome subdivision and associated infrastructure (roads, utilities, stormwater
management, etc.).
219 Station Road I Suite 1011 Wilmington, NC 28405
t: 910.622.0122 www.withersravenel.com I License No. C-0832
Asheville I Cary Greensboro I Pittsboro I Raleigh I Wilmington

Holly Lane Subdivision - NWP 29 PCN :: Ili th ers Rave n e l
Our People. Your Success.
The project will be constructed using traditional commercial construction equipment and
techniques.
Project History
Ross Sullivan with the USACE field verified the wetland delineation for the project on 7/31/19
(SAW-2019-01218). As of the submittal of this PCN, the PJD has not been issued. WR is not
requesting issuance of a JD in conjunction with issuance of the NWP 29. The Approved
Wetland/Buffer Delineation Exhibit depicting the field verified delineation has been provided as
an Appendix.
NCDWR issued a Riparian Buffer Determination Letter for the project on 6/3/19 (NBRRO#19-
156). A copy of the buffer determination letter has been provided as an Appendix.
Proposed Impacts
The proposed impacts consist of 0.021 acres of permanent wetland impacts, 0.026 acres of
temporary wetland impacts, 118 If of permanent stream impacts, 11 If of temporary stream
impacts, 18,216 sf of permanent riparian buffer impacts (Zone 1: 11,824 sf; Zone 2: 6,392 sf) and
833 sf of temporary riparian buffer impacts (Zone 1: 587 sf; Zone 2: 246 sf) for construction of
the proposed project.
The majority of the proposed wetland, stream and buffer impacts are necessary for improvements
to the existing Holly Lane in order to bring the existing road into compliance with current City of
Raleigh standards for a public road, as required as part of the City of Raleigh site plan approval.
The existing Holly Lane is a very small, gravel driveway, which is not sufficient to support large
construction equipment or vehicles. Holly Lane must be improved and widened, to provide access
to the wet pond SCM that will provide stormwater management treatment for the site. Holly Lane
will be a public road, maintained by the City of Raleigh, which will be eventually extended when
additional future development to west warrants the extension.
The proposed improvements and widening of Holly Lane will require the replacement of the
existing dual 36" RCP culvert with a 10'x12' box culvert and construction of retaining wall #6. The
10'x12' box culvert is necessary to meet the flow requirements based on the drainage study of the
drainage basin. The construction of the culvert and retaining wall will result in 67 If of permanent
stream impacts (Impacts 3 & 5), 0.002 acres of permanent wetland impacts (Impact 6), 6 If of
temporary stream impacts (Impact 4).
A rip -rap plunge pool will be constructed on the below the culvert to dissipate velocity to prevent
erosion of the stream channel and undercutting of the culvert. The installation of the rip -rap
plunge pool will result in 51 If of permanent stream impacts (Impact 2) and 0.019 acres of
permanent wetland impacts (Impact 7). An additional 0.006 acres of temporary wetland impacts
(Impact 8) and 5 If of temporary stream impacts (Impact 1) will be required for temporary access
during construction. The rip -rap will be installed by burying the rip -rap such that the top of the rip -
Page 2 of 4

Holly Lane Subdivision - NWP 29 PCN :: Withers Rave n e l
Our People. Your Success.
rap matches the preconstruction contours of the streams, allowing for the passage of aquatic life
and preventing a functional loss of this section of stream.
The improvements and widening to Holly Lane will result in a total of 14,688 sf of permanent
riparian buffer impacts (Impacts 10 & 12), and 833 sf of temporary riparian buffer impacts (Impact
11).
The sewer crossing necessary to connect the internal sewer to the existing City of Raleigh sewer
line will result in 3,528 sf of permanent riparian buffer impacts (Impact 9). Please note this will be
an aerial sewer crossing and will not result in impacts to the stream.
Avoidance and Minimization
Prior to site plan design, the applicant requested that a detailed wetland delineation be conducted
so that impacts to wetlands and "waters" could be minimized.
Proposed impacts to wetlands and streams have been minimized to only those necessary for
improvements and widening of Holly Lane. Impacts have been minimized by utilizing the existing
alignment of Holly Lane in the road design. Retaining walls have been incorporated into the design
to stabilize both road fill and site fill to further minimize impacts.
The sewer crossing to connect the internal sewer system to the existing City of Raleigh sewer line
has been designed as an aerial crossing to avoid impacts to the stream. Riparian buffer impacts
have been minimized to those necessary to construct the improvements to the road crossing and
a sewer crossing. There are no proposed impacts for lot fill.
Furthermore, the rip -rap plunge pool dissipator has been designed for the rip -rap will be installed
so that the top of the rip -rap matches the pre -construction elevation of the stream bed. This
design allows for the impacted segment of stream to continue functioning as a natural stream by
maintaining natural water depths and allowing for passage of aquatic life.
The proposed box culvert will be installed so that bottom of the culvert is at least 12-inches below
the stream bed to maintain aquatic life passage during periods of low flow. Additionally, the stream
channel is approximately 12-ft wide at the location of the proposed box culvert. Therefore, the
installation of the 10'x12' box culvert will not result in widening of the channel and the OHW
depth will be maintained.
The proposed buffer impacts are necessary to construct a perpendicular road crossing and
perpendicular sewer crossing, which are both classified as "Allowable" uses in the Neuse River
Riparian Buffer Rules Table of Uses.
Page 3 of 4

Holly Lane Subdivision - NWP 29 PCN :: Withers Rave n e l
Our People. Your Success.
M itigation
Stream Mitigation
The proposed permanent stream impacts consist of a total of 118 If (Functional Loss - 67 If; No
functional Loss - 51 If). Since the proposed permanent stream impacts are less than 150 If, the
applicant does not propose any stream mitigation.
Wetland Mitigation
The proposed permanent wetland impacts are less than 0.10 acres (0.021 acres) and therefore the
application does not proposed any wetland mitigation.
Buffer Mitigation
All proposed buffer impacts are classified as "Allowable" uses in the Neuse River Riparian Buffer
Rules Table of Uses, and therefore buffer mitigation is not required.
The current request is for 0.021 acres of permanent wetland impacts, 0.026 acres of temporary
wetland impacts, 118 If of permanent stream impacts and 11 If of temporary stream impacts,
18,216 sf of permanent riparian buffer impacts (Zone 1: 11,824 sf; Zone 2: 6,392 sf) and 833 sf
of temporary riparian buffer impacts (Zone 1: 587 sf; Zone 2: 246 sf) (see the attached maps and
PCN for details).
Please feel free to call if you have questions or require additional information.
Sincerely,
WithersRavenel
Troy Beasley
Senior Environmental Scientist
Attachments:
• PCN Form
• Agent & Access Authorization Forms
• Property Owner Information
• Approved Wetland/Buffer Delineation Exhibit
• USGS Quads
• Wake County Soil Survey
• NCDWR Buffer Determination Letter
• NCNHP Project Review Letter
• USFWS T&E Species List for Wake County
• Impact Exhibits
Page 4 of 4

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned
20191750
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office *
Raleigh Regional Office - [phone]
Information for Initial Review
1a. Name of project:
Holly Lane Townhome Subdivision
1a. Who is the Primary Contact?*
Troy Beasley
1b. Primary Contact Email:*
[e-mail]
Date Submitted
12/20/2019
Nearest Body of Water
Crabtree Creek (Stream Index 27-33-(10)
Basin
Neuse
Water Classification
QNSW
Site Coordinates
Latitude: Longitude:
35.833294 - 78.683321
A. Processing Information
County (or Counties) where the project is located:
Wake
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?
* Nationwide Permit (NWP)
* Regional General Permit (RGP)
7 Standard (IP)
Version#*
1
What amout is owed?*
IT $240.00
r $570.00
Select Project Reviewer*
Stephanie Goss:eads\szgoss
1c. Primary Contact Phone:*
[phone]
U

1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
29 - Residential Developments
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR401 Certification:
For the record only for Corps Permit:
r 401 Water Quality Certification - E)press
V Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r Owner W Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
Mark & Christopher Bensen
2b. Deed book and page no.:
B: 4642, P: 841, B: 4627, P: 24, B: 4627, P: 22; B: 16-E, P: 3223; B: 4177, P: 108
2c. Responsible party:
2d.Address
Street Address
3801 Holly Lane
Address Lim 2
City
Raleigh
Postal / Zip Cate
27612
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Hugh White
2b. Deed book and page no.:
B: 96-E; P: 1238
State / Province / Region
NC
Country
USA
2f. Fax Number:
r Yes r No
r Yes r No
2c. Responsible party

2d.Address
Street Address
2801 Glenwood Gardens Lane
Address Line 2
Unit 305
City
Raleigh
Postal / Zip Code
27608
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Michael & Carol Grajek
2b. Deed book and page no.:
B: 17294, P: 2190; B:
2c. Responsible party
2d.Address
Street Address
3909 Blue Ridge Road
Address Line 2
City
Raleigh
Rstal / Zip Code
27612
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Erica Leathern
3b. Business Name:
MI Homes
3c.Address
Street Address
1511 Sunday Drive
Address Line 2
Suite 100
City
Raleigh
Postal / Zip Code
27607
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Troy Beasley
4b. Business Name:
WithersRavenel
4c.Address
Slate / Rovince / legion
NC
Country
USA
2f. Fax Number:
State / Province / tegion
NC
Country
USA
2f. Fax Number:
Slate / Province / legion
NC
Country
USA
3e. Fax Number:

Street Address
219 Station Road
Address Line 2
Suite 101
City
State Fnwince/ Pagion
Wilmington
NC
Rbstal / Zip Code
Country
28405
USA
4d. Telephone Number:
4e. Fax Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
SIGNED_Agent Authorization_MI Homes.pdf 80.11 KB
SIGNED —Access Authorization_Bensen.pdf 60.65KB
SIGNED —Access Authorization_Grajek.pdf 52.04KB
SIGNED —Access Authorization_White.pdf 50.49KB
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Raleigh
F-
2. Project Identification
2a. Property Identification Number:
0795386748;0795388982;0795388580;
0795481606;0795480255;0795482342;
0795483460
2c. Project Address
Street Address
3803 Holly Lane
Address Line 2
City
Raleigh
Postal / Zip Code
27612
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Crabtree Creek (Stream Index 27-33-(10)
3b. Water Resources Classification of nearest receiving water:*
CINSW
3c. What river basin(s) is your project located in?*
Neuse
3d. Please provide the 12-digit HUC in which the project is located
030202010803
4. Project Description and History
2b. Property size:
12.4 acres
Slate / Frmince / Fa;gion
NC
Country
USA
4a. 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 an epsting residential dwelling, yard and driveway, undeveloped woodlands and a drained pond. The general land use in the vicinity consists of a
mixture of residential and commercial land use.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
f Yes r No r Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
USGS Quads.pdf 596.09KB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)

Soil Survey.pdf
607.82KB
4f. List the total estimated acreage of all existing wetlands on the property:
Wetlands - ±1.51 ac; Pond: ±0.10 acres
4g. List the total estimated linear feet of all existing streams on the property:
±1,004 If
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to construct a residential townhome subdivision with 88 units to meet the need for residential housing in Raleigh.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The proposed project consists of construction of an 88-unit townhome subdivision and associated infrastructure (roads, utilities, stormwater management, etc.).
The project will be constructed using traditional commercial construction equipment and techniques.
4j. Please upload project drawings for the proposed project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No C Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
SAW-2019-01218
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Alyssa Ricci
Agency/Consultant Company: WithersRavenel
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
Ross Sullivan with the USACE field verified the wetland delineation for the project on 7/31/19 (SAW-2019-01218). As of the submittal of this PCN, the PJD has not been issued. WR is
not requesting issuance of a JD in conjunction with issuance of the NWP 29.
NCDWR issued a Riparian Buffer Determination Letter for the project on 6/3119 (NBRRO#19-156). A copy of the buffer determination letter has been provided as an Appendix
5d1. Jurisdictional determination upload
Holly Lane Assemblage - NCDWR Buffer Determiantion - 06.03.2019.pdf 655.77KB
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
No. The proposed project represents all property currently under contract for purchase by the applicant. At this time, there are no additional phases anticipated, and the proposed
project represents a single and complete project with no other permits or impacts required.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries W Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
2a. Site #* (?) ��2al Reason (?) 2b. Impact type * (?) 2c. Type of W.* 2d. W. name * 2e. Forested * �21`.Typeof 2g. Impact
Jurisdicition*(?) area*
Im act 6
p
Road Crossing
9
P
Non -Tidal Freshwater Marsh
Wetland A Drained
Pond) (
No
Both
0.002
(acres)
Impact 7
Rip -Rap Dissipator
P
Non -Tidal Freshwater Marsh
Wetland A (Drained
Pond)
No
Both
0.019
(acres)

Im act 8 Temp, ConstructionJT hbn-Tidal Freshwater Marsh Wetland A Drained No Both P(
Access Pond) (acres)
2g. Total Temporary Wetland Impact
0.006
2g. Total Wetland Impact
0.027
2h. Comments:
3. Stream Impacts
2g. Total Permanent Wetland Impact
0.021
3a. Reason for impact (?)
3b.lmpact type *
3c. Type of impact*
3d. S. name *
3e. Stream Type *
Type of
3g. S. width *
3h. Impact
❑
(?)
�3f.
Jurisdiction*
length*
Impact 3 - Road Crossin
P 9Average
Permanent
Culvert :Iff�--Crabtree
Creek
Perennial
Both
(feet)
(linearfeet)
Impact 5 - Road Crossin
P 9Average
Permanent
Culvert 2�0
Crabtree Creek
Perennial
Both
(feet)
(linearfeet)
S3
Impact 2 - Road Crossing
Permanent
Rip Rap Fill
UT to Crabtree Creek
Perennial
Both
12
51
Averge(feet)
(linearfeet)
S4
Impact 1 - Temp Con
P P
Tem ora
P rY
Other
UT to Crabtree Creek
Perennial
Both
12
5
Access
Average (feet)
(lin�rfeet)
S5
Impact 4 - Temp Con st
Temporary
Other
11T to Crabtree Creek
Perennial
Both
12
6
Access
Average (feet)
(linearfeet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
118 11
3i. Total stream and ditch impacts:
129
3j. Comments:
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
P Neuse r Tar -Pamlico
r Catawba r Randleman
r Goose Creek r Jordan Lake
r Other
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Impact 9 - Perp Sewer Crossing
P
LIT to Crabtree Creek
hlo
2,236
1,292
Impact 10 - Perp Road Crossing
P
lJT to Crabtree Creek
N.
0
574
Impact 11 - Temp Construction Access
T
LIT to Crabtree Creek
No
587
246
Impact 12 - Perp Road Crossing
P
LIT to Crabtree Creek
N.
9,558
4,526
6h. Total buffer impacts:
Total Temporary impacts
Total Permanent impacts:
Total combined buffer impacts:
Zone 1 Zone 2
587.00 246.00
Zone 1 Zone 2
11,794.00 6,392.00
Zone 1 Zone 2
12,381.00 6,638.00
6i. Comments:

All proposed buffer impacts are classified as "Allowable" in the Neuse River Riparian Buffer Rules Table of Uses.
Supporting Documentation
Buffer Impact Maps_2019-12-06.pdf 1.75MB
Stream and Wetland Impact Maps_2019-12-06.pdf 2.21 MB
E. Impact Justification and Mitigation u
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Prior to site plan design, the applicant requested that a detailed wetland delineation be conducted so that impacts to wetlands and "waters" could be
minimized.
Proposed impacts to wetlands and streams have been minimized to only those necessary for improvements and widening of Folly Lane. Impacts have
been minimized by utilizing the existing alignment of Holly Lane in the road design. Retaining walls have been incorporated into the design to stabilize
both road fill and site fill to further minimize impacts.
The sewer crossing to connect the internal sewer system to the existing City of Raleigh sewer line has been designed as an aerial crossing to avoid
impacts to the stream. Riparian buffer impacts have been minimized to those necessary to construct the improvements to the road crossing and a
sewer crossing. There are no proposed impacts for lot fill.
Furthermore, the rip -rap plunge pool dissipator has been designed for the rip -rap will be installed so that the top of the rip -rap matches the pre -
construction elevation of the stream bed. This design allows for the impacted segment of stream to continue functioning as a natural stream by
maintaining natural water depths and allowing for passage of aquatic life.
The proposed box culvert will be installed so that bottom of the culvert is at least 12-inches below the stream bed to maintain aquatic life passage
during periods of low flow. Additionally, the stream channel is approximately 12-ft wide at the location of the proposed box culvert. Therefore, the
installation of the 10'x12' box culvert will not result in widening of the channel and the OHW depth will be maintained.
The proposed buffer impacts are necessary to construct a perpendicular road crossing and perpendicular sewer crossing, which are both classified as
"Allowable" uses in the Neuse River Riparian Buffer Rules Table of Uses.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Silt fencing will be installed around all disturbed areas and access during construction will be within uplands where possible.
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?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The proposed permanent stream impacts consist of a total of 118 If (Functional Loss — 67 If; No functional Loss — 51 If). Since the proposed permanent stream impacts are less than
150 If, the applicant does not propose any stream mitigation.
The proposed permanent wetland impacts are less than 0.10 acres (0.021 acres) and therefore the application does not proposed any wetland mitigation.
All proposed buffer impacts are classified as "Allowable" uses in the Neuse River Riparian Buffer Rules Table of Uses, and therefore buffer mitigation is not required.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes r No
What type of SCM are you providing?
F Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SHWT)
W Other SCM that removes minimum 30 % nitrogen
W Proposed project will not create concentrated stormv✓ater flow through the buffer
Diffuse Flow Documentation
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes r No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?
r Yes r No
2d. Which of the following stormwater management program(s) apply:
V Local Government r State
Local Government Stormwater Programs

V Phase II r NSW r USMP r Water Supply
Please identify which local government stormwater program you are using.
City of Raleigh
Comments:
The storm inter management plan consists of a wet detention SCM which will provide the required nitrogen removal and therefore diffuse flow is not required. Additionally, the pond
outfall will discharge through uplands and into the onsite wetlands, and not through the riparian buffers. The stormwater management plan will be reviewed and approved by the City of
Raleigh as the certified local government.
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
2. Violations (DWR Requirement)
2a. lathe site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
The proposed project is located within a heavily developed area of Raleigh, and there are no future phases of the proposed development anticipated.
The project is not anticipated to be a catalyst for future development that could impact nearby downstream water quality.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor WA
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated
at a treatment plant, list the capacity available at that plant.
City of Raleigh sanitary sewer
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?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?'
r Yes r No
51. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?

WR reviewed the NC Natural Heritage Program database, located at http://www.ncnhp.org/web/nhp/home, as well as NCNHP GIS data to identify if
there were any known occurrences of endangered species on or near the proposed project. The review of the NHP data did not identify any recent
occurrences of federally listed threatened or endangered species or critical habitat on the subject property or within 1.0 miles of the project, see
attached NCNHP project review letter.
Site reviews did not identify any potential habitat for bald eagle, red -cockaded woodpecker or Michauxis sumac.
The project is located in the Neuse River Basin, and therefore is not located within the known range of the Cape Fear Shiner. Additionally, the project
is not located within the known range of the Tar River spinyrrussel.
The project site is Within the known range of the Carolina madtom, Neuse River waterdog, Atlantic pigtoe, dwarf wedgemussel and yellow lance. The
proposed project is located Within the lower reach the UT to Crabtree Creek. The onsite perennial stream was historically impounded prior to failure of
the pond dam in 2016. The onsite perennial stream is now located between two existing impoundments (ponds), which was historically a chain of four
impoundments. The presence of these impoundments would prevent the migration of these species to sustain viable populations. Therefore, the
perennial stream within the project area was not considered potential habitat for Carolina madtom, Neuse River waterdog, Atlantic pigtoe, dwarf
wedgemussel and yellow lance. Therefore, WR concludes that the proposed project will have "No Effect" on federally listed species.
Consultation Documentation Upload
Holly Lane - NCNHP Letter - 2019-12-17pdf.pdf 258.31 KB
USFWS T&E List -Wake Co_2018-06-27.pdf 156.75KB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
WR reviewed the NOAA Essential Fish Habitat online mapper, located at: http://www.habitat.noaa.gov/protection/efh/efhmapper/indexhtml. 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 status?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
WR reviewed the NC State Historic Preservation Office's online database, located at: https:Hnc.maps.arcgis.corn/apps/webappvieAer/indexhtml?
id=79ea671ebdcc45639f0860257d5f5ed7, to determine if there were any known historic or cultural resources within or in the vicinity of the proposed
project. The database reviewdid not identify any known resources within or in the vicinity of the proposed project.
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
www.ncfloodmaps.com
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Cover Letter.pdf 107.08KB
Property Owner Info.pdf 111.86KB
Approved Wetland -Buffer Delineation Exhibit.pdf 442.48KB
Signature U
W By checking the box and signing below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Troy Beasley
Signature
9 -I
Date

12/20/2019

WithersRavenel
Our People. Your Success.
AUTHORIZATION FOR PROPERTY ACCESS
The undersigned owner(s), Hugh White, do(es) hereby authorize WithersRavenel, Inc. to access the ±1.64
acre parcel, Wake Co. PIN: 0795483460, located at 3915 Blue Ridge Road in Raleigh, NC for the
purpose of environmental regulatory agency review (US Army Corps of Engineers, NC Division of Water
Quality, NC Division of Coastal Management, US Fish and Wildlife Service, local Municipalities, etc.) and
approvals (i.e. wetland delineation, stream/buffer determination, environmental permitting, etc.) at the
request of the contract purchaser.
This authorization does not bind the current property owner(s) to financial responsibility for services
rendered on the subject property by WithersRavenel, Inc.
This agreement shall continue in effect until completion/termination of the purchase contract for the subject
property.
Contract Purchaser's Agent Info:
WithersRavenel, Inc.
115 MacKenan Drive
Cary, NC 27511 _
Tel. [phone]
Date: 2 I? _ I
Signature of Owner(s):
14 GI (,.' ,A e— -rTr �o �
Name - Print Title
Sligynature i A
7 O GI �Vcd� Gel raQ Lh
Mailing Address
I'A. Q ; r, 1,, N t' *Z-+ b 0$
City 6 State Zip
Phone: of I q - 630 - �q
Email: c,�l... {� i . (.. v►q.� , to�--
115 MacKenan Drive I Cary, NC 27511
t: 919.469.3340 1 f: 919.467.6008 1 www.withersravenel.com I License No. C-0832
Asheville I Cary I Greensboro I Pittsboro I Raleigh I Wilmington

WithersRavenel
Our People. Your Success.
AUTHORIZATION FOR PROPERTY ACCESS
The undersigned owner(s), Michael & Carol Grajek, do(es) hereby authorize WithersRavenel, Inc. to access
the ±1.61 acre parcel, Wake Co. PIN: 0795482342 located at 3909 Blue Ride Road in Raleigh
NC for the purpose of environmental regulatory agency review (US Army Corps of Engineers, INC Division
of Water Quality, NC Division of Coastal Management, US Fish and Wildlife Service, local Municipalities,
etc.) and approvals (i.e. wetland delineation, stream/buffer determination, environmental permitting, etc.) at
the request of the contract purchaser.
This authorization does not bind the current property owner(s) to financial responsibility for services
rendered on the subject property by WithersRavenel, Inc.
This agreement shall continue in effect until completion/termination of the purchase contract for the subject
property.
Date:
Contract Purchaser's Agent Info: Signature of Owner(s): r
rr f
WithersRavenel Inc. kot (j 631Awpvj,�p
Name - Print the
115 MacKenan Drive [ �%aa d nn;C�U
Cary, NC 27511 Signature /V,
Tel. M9)-469-3340
Mailing Address
City State Zip
Phone:
Email:
115 MacKenan Drive I Cary, NC 27511
t: 919.469.3340 1 f: 919.467.6008 1 www.withersravenel.com I License No. C-0832
Asheville I Cary I Greensboro I Pittsboro I Raleigh I Wilmington

WithersRavenel
Our People. Your Success.
AUTHORIZATION FOR PROPERTY ACCESS
The undersigned owner(s), Mark & Christy her Bensen - Vladimir B Heirs, do(es) hereby authorize
WithersRavenel, Inc. to access the following parcels located in Raleigh, NC for the purpose of environmental
regulatory agency review (US Army Corps of Engineers, NC Division of Water Quality, NC Division of
Coastal Management, US Fish and Wildlife Service, local Municipalities, etc.) and approvals (i.e. wetland
delineation, stream/buffer determination, environmental permitting, etc.) at the request of the contract
purchaser.
• Wake Co. PIN: 0795386748, ±2.3 acre parcel, located at 3801 Holly Lane
• Wake Co. PIN: 0795388982, ±1.83 acre parcel, located at 3801 Holly Lane
• Wake Co. PIN: 0795388580, ±2.2 acre parcel, located at 3803 Holly Lane
• Wake Co. PIN: 0795481606, ±1.88 acre parcel, located at 3801 Holly Lane
• Wake Co. PIN: 0795480255, ±0.94 acre parcel, located at 3801 Holly Lane
This authorization does not bind the current property owner(s) to financial responsibility for services
rendered on the subject property by WithersRavenel, Inc.
This agreement shall continue in effect until completion/termination of the purchase contract for the subject
property.
Contract Purchaser's Agent Info:
WithersRavenel Inc.
115 MacKenan Drive
Cary, NC 27511
Tel. 919-4b9-3340
Date: I F t t3 2 01 q
Signature ofOwner(s):
jh A�� lL Y.. �e /J SZ✓ /.i� � Lt✓ fr1 C�
Name - P ' Title
,,-7
•,z,
ignature
H-o 1 t La-
Mailing Address
1---P
City U State Zip
Phone: q I q - ILO
- G 3�v
Email: rl �0-vL5e-A
115 MacKenan Drive I Cary, NC 27511
t: 919.469.3340 1 f: 919.467.6008 1 www.withersravenel.com I License No. C-0832
Asheville I Cary I Greensboro I Pittsboro I Raleigh I Wilmington

WithersRavenel
Our People. Your Success.
AUTHORITY FOR APPOINTMENT OF AGENT
The undersigned contract purchaser, MA Homes (Client) does hereby appoint
WithersRavenel, 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, streams, riparian buffers, etc.) and/or; b) preparation and submittal of appropriate
environmental permit applications/requests for the following ±12.4 acre_proiect area
located in Raleigh, NC:
• Wake Co. PIN: 0795386748, ±2.3 acre parcel, located at 3801 Holly Lane
• Wake Co. PIN: 0795388982, ±1.83 acre parcel, located at 3801 Holly Lane
• Wake Co. PIN: 0795388580, ±2.2 acre parcel, located at 3803 Holly Lane
• Wake Co. PIN: 0795481606, ±1.88 acre parcel, located at 3801 Holly Lane
• Wake Co. PIN: 0795480255, ±0.94 acre parcel, located at 3801 Holly Lane
■ Wake Co. PIN: 0795482342, ±1.61 acre parcel, located at 3909 Blue Ridge Road
• Wake Co. PIN: 0795483460, ±1.64 acre parcel, located at 3915 Blue Ridge Road
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.
Date:
Agent's Name, Address & Telephone:
WithersRavenel Inc.
115 MacKenan Drive
Cary, NC 27511
Tel. [phone]
Signature of Client:
( e - rint) (Title)
(Signature)
16�-- 41f-�SlJ 16(5
Mailing Address
Ci L / tate Zip
Phone: 7�
Email: ea a",
L
115 MacKenan Drive I Cary, NC 27511
t: 919.469.3340 1 f: 919.467.6008 1 www.withersravenel.com I License No. C-0832
Asheville I Cary I Greensboro I Pittsboro I Raleigh I Wilmington

GRAPHIC SCALE
0 100 200
1 inch = 200 ft.
PIN:0795388982
REVIEW AREA MARK & CHRISTOPHER BENSEN
3801 HOLLY LANE
RALEIGH, NC 27612
PIN: 0795386748 -� \
MARK & CHRISTOPHER BENSEN
3801 HOLLY LANE
RALEIGH, NC 27612
PIN: 0795388580 -�
MARK & CHRISTOPHER BENSEN
3801 HOLLY LANE RALEIGH, NC 27612
HOLLY LANE ASSEMBLAGE
PIN:07954802551
MARK & CHRISTOPHER BENSEN
3801 HOLLY LANE RALEIGH, NC 27612
PROPERTY OWNER EXHIBIT
---' PIN:0795481606
MARK & CHRISTOPHER BENSEN
3801 HOLLY LANE
RALEIGH, NC 27612
NO
PIN : 0795483460
/ HUGH WHITE
2801 GLENWOOD
GARDENS LANE, UNIT 305
RALEIGH, NC 27608
PIN:0795482342
MICHAEL & CAROL GRAJEK
3909 BLUE RIDGE ROAD
RALEIGH, NC 27612
1!WithersRavenet
Engineers I Planners I Surveyors

-0 WithersRavenel
hi. Our People. Your Success.
3803 Hollv Lane
WR Proiect No. 02170003.00
Property Owner Information
PIN -
Wake Co. PIN: 0795386748,
0795481606 & 0795480255
Property Owner -
Mark & Christopher Bensen
Mailing Address -
3801 Holly Lane
Raleigh, NC 27612
Email -
[e-mail]
Phone-
919-740-4536
PIN - Wake Co. PIN: 0795482342
Property Owner - Michael & Carol Grajek
Mailing Address - 3909 Blue Ridge Road
Raleigh, NC 27612
0795388982, 0795388580,
PIN -
Wake Co. PIN: 0795483460
Property Owner -
Hugh White
Mailing Address -
2801 Glenwood Gardens Lane, Unit 305
Raleigh, NC 27608
Email -
[e-mail]
Phone-
919-630-7997
115 MacKenan Drive I Cary, NC 27511
t: 919.469.3340 1 f: 919.467.6008 www.withersravenel.com I License No. C-0832
Cary I Greensboro Pittsboro I Raleigh I Wilmington

GRAPHIC SCALE 4 Yorkshire. C#nnt=�
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HOLLY LANE TOWHOME SUBDIVISION USGS QUAD (2013) - RALEIGH WEST NO WithersRavenel
RALEIGH WAKE COUNTY NORTH CAROLINA 1/ Engineers Planners Surveyors

GRAPHIC SCALE
0 200 400
1 inch = 400 ft.
M
HOLLY LANE TOWNHOME SUBDIVISION
USGS QUAD (2013) - RALEIGH WEST
1!WithersRavenet
Engineers I Planners I Surveyors

GRAPHIC SCALE ' !
-
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1 inch = 400 ft. g lJ r _ .
Ak•
96
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1 HOLLY LANE TOWNHOME SUBDIVISION WAKE CO. SOIL SURVEY (1970) — SHEET 38 NO WithersRavenel
4 RALEIGH WAKE COUNTY NORTH CAROLINA 1/ Engineers Planners Surveyors

VICINITY MAP
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1 inch = I VU FL.
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IMPACT SPECIFICATION
OVERALL BUFFER IMPACT SUMMARY
TEMPORARY
PERMANENT
30' ZONE 1
20' ZONE 2
30' ZONE 1
20' ZONE 2
(SF)
(AC)
(SF)
(AC)
(SF)
(AC)
(SF)
(AC)
9
SEWER CROSSING
2,236
0.051
1,292
0.030
10
ROAD CROSSING
-
574
0.013
11
TEMPORARY
CONSTRUCTION
ACCESS
587
0.013
246
0.006
-
-
-
-
12
ROAD CROSSING
9,588
0.220
4,526
0.104
587
10.0131
246
0.006
11,824
0.271
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10.147
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\ \ \ \ \ \ \ I \ \ \ \ SEWER CROSSING
\ \ \ I I \ \ \ ZONE 1 - 2236 SF (0.046 AC) / / ONO 1 \ \ \ I I I \ J \ \ \ \ \ \ \
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PERMANENT
ZONE 1
NEUSE RIVER 30' BUFFER
PERMANENT
ZONE 2
NEUSE RIVER 20' BUFFER
TEMPORARY
ZONE1
NEUSE RIVER 30' BUFFER
TEMPORARY
ZONE 2
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LLJI � I \ / //� 50'NEUSE IPARIAN
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TEMPORARY CONSTRUCTION ACCESS
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\ WET POND I ZONE 2 - 246 SF (0.006 AC)
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PERMANENT
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PERMANENT
ZONE 2
NEUSE RIVER 20' BUFFER
TEMPORARY
ZONE1
NEUSE RIVER 30' BUFFER
TEMPORARY
ZONE 2
NEUSE RIVER 20' BUFFER
T` / IMPACT #12 —
/ PERMANENT BUFFER IMPACT
/ PERMANENT BUFFER IMPACT �� \�\ \
/ ROAD CROSSING
/ ROAD CROSSING \ ZONE 1 - 9,588 SF (0.220 AC) \ /% ` / �E A NING \ \ \�
ZONE 1 - N/A ZONE 2 - 4526 SF (0.104 AC) / N / _ 'L� S RllAAI .....
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GRAPHIC SCALE
100 0 50 100 200
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11111,11111 1
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OVERALL STREAM AND WETLAND IMPACT SUMMARY
OVERALL STREAM AND WETLAND IMPACT SUMMARY
c~i
a
IMPACT SPECIFICATION
TEMPORARY
PERMANENT
(NO FUNCTIONAL LOSS)
PERMANENT
(FUNCTIONAL LOSS)
STREAM
IWETLANDS
STREAM
WETLANDS
STREAM
WETLANDS
(LF)
(SF)
(SF) I
(AC)
(LF)
(SF)
(SF)
(AC)
(LF)
(SF)
(SF)
(AC)
TEMPORARY
1
CONSTRUCTION
5
69
ACCESS
2
RIP -RAP DISSIPATOR
51
896
3
ROAD CROSSING
-
-
10
203
TEMPORARY
4
CONSTRUCTION
6
173
-
-
ACCESS
5
ROAD CROSSING
57
1085
-
-
6
ROAD CROSSING
-
-
67
0.002
7
RIP -RAP
1
1816
0.019
TEMPORARY
8
CONSTRUCTION
-
-
241
0.006
-
-
ACCESS
11
242
241
10.006
51
896
1 67
1,288
883
1 0.021
.al

IMPACT LEGEND
PERMANENT WETLANDS
TEMPORARY WETLANDS
SSWSS
`57�\ \ \\ \ �L�� �� PERMANENT STREAM (NO FUNCTIONAL LOSS) o
NV OUT .17' �( �� \ \ \ \ 1 I \\ \ \\ \ I ����� PERMANENT STREAM FUNCTIONAL LOSS)
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50' BUFFERS J 3
\ I / \ \ ./ i / \ \/ I / / / / LIMITS OF \ \ I \ \ \ \ \ \ \ ( 06 U
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GRAPHIC SCALE PERMANENTSTREAMIMPACT
IMPACT #4 ROAD CROSSING / ` \
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