20140995 Ver 1_401 Application_20140914

Kimley > >> Horn
2 0 1 4 0 9 9 5
September 19, 2014
Mr. James Lastinger
US Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
Ms. Karen Higgins
NC Division of Water Resources
401 & Buffer Permitting Unit
512 North Salisbury Street
Raleigh, NC 27604
RE: Nationwide Permit 14 Application
Pine Plaza Roadway Project
Apex, Wake County, North Carolina
Dear Mr. Lastinger and Ms. Higgins:
On behalf of our client, the Town of Apex, Kimley -Horn is submitting the attached pre- construction
notification application (PCN) for authorization under Nationwide Permit (NWP) 14 for the above
referenced project, located north of US -64 between Lake Pine Drive and Laura Duncan Road in
Apex. Also included with this application package is a preliminary jurisdictional determination (JD)
request with supporting documentation.
As shown on Figure 3 of the jurisdictional determination request package, the Pine Plaza Roadway
Project crosses two areas covered by active jurisdictional determinations. The enclosed preliminary
JD request is for the area of the Pine Plaza Roadway project not covered by an active JD. Similarly, a
buffer determination was issued by NCDWQ on March 29, 2006 (documentation attached) and is still
valid per Session Law 2010 -177. Kimley -Horn delineated jurisdictional features within the study area
on July 25, 2013 and February 6, 2014, confirming the features covered by the active JDs, and
identifying two additional intermittent stream features within the study area.
The Town of Apex is proposing to construct approximately 0.5 miles of new roadway corridor through
a currently forested tract north of US 64, connecting two existing stubs of Pine Plaza Drive. The
proposed roadway project will provide a new east -west connector road to improve local connectivity
in this area while reducing congestion in this developing area of Apex and will provide safe access
between Lake Pine Drive and Laura Duncan Road without entering US 64.
Permanent impacts to jurisdictional streams and protected riparian buffers will result from the
construction of the roadway corridor and associated facilities. The proposed alignment has been
carefully selected to minimize impacts to the extent practical, and all stream and riparian buffer
crossings will be perpendicular to minimize impacts. The alignment utilizes a large S curve to allow
the perpendicular crossing of the main drainage feature within the tract (Stream S3), and the eastern
end of the alignment will only minimally impact streams S1 and S2 (4 and 47 linear feet, respectively).
Stream S3 will be culverted beneath the proposed roadway and riprap fill material will be placed in
the channel for outlet protection resulting in 149 linear feet of permanent stream impact. All impacts

Kimley) ))Horn
Page 2
have been minimized to the extent practical, and impacted areas within the riparian buffer will be
reseeded, however all riparian buffer impacts have been listed as permanent due to the removal of
woody vegetation. Stormwater treatment for the roadway corridor is proposed as shown in the
attached plan sheets and has been reviewed by Town of Apex staff.
To facilitate your review of this application package, the following attachments have been included:
• PCN Application Form
• Agent Authorization
• Figures and Impact Maps
• NCDWQ Stream Identification Forms
• USACE Stream Quality Assessment Worksheets
• Adjacent Jurisdictional Determination Documentation
• NCDWQ Buffer Determination Documentation
• Plan Sheets
• NCDWR 401 Application Fee of $570
• Preliminary Jurisdictional Determination Request Package
If there is any additional information you need to assist in the processing of this NWP and
jurisdictional determination application package, please do not hesitate to contact me at
jason.hartshorn @Kimley - Horn.com or (919) 6784155.
Sincerely,
Jason Hartshorn
Attachments
Cc: Chris Bostic, P.E., Kimley -Horn
Kent Jackson, P.E., Town of Apex

OV N A r�F9Q�
O lqiii� T
2 0 1 4 0 9 9 5
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 11
PCN Form —Version 1.3 December 10, 2008 Version
Pre - Construction Notification PCN Form
A. Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑ Yes
® 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 N Riparian Buffer Authorization
1e.
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:
Pine Plaza Drive Roadway Project
2b.
County:
Wake
L
2c.
Nearest municipality / town:
Apex
2d.
Subdivision name:
I n/a
2 2 014 i
2e.
NCDOT only, T.I.P. or state
project no:
n/a
f
DENR
3.
Owner Information
R pERM1TTiNG
3a.
Name(s) on Recorded Deed:
Town of Apex (via Pending Right -of -Way Acquisition)
3b.
Deed Book and Page No.
n/a
3c.
Responsible Party (for LLC if
applicable):
Kent Jackson, P.E.
3d.
Street address:
73 Hunter Street
3e.
City, state, zip:
Apex, NC 27502
3f.
Telephone no.:
919- 249 -3418
3g.
Fax no.:
919 - 249 -3416
3h.
Email address:
kent.jackson @apexnc.org
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
4b
Name
4c
Business name
(if applicable)
4d
Street address
4e
City, state, zip
4f
Telephone no
4g
Fax no
4h
Email address
5.
AgentIConsultant Information (if applicable)
5a
Name
Jason Hartshorn
5b
Business name
(if applicable)
Kimley -Horn
5c
Street address
3001 Weston Parkway
5d
City, state, zip
Cary, NC 27513
5e
Telephone no
919 - 678 -4155
5f
Fax no
919- 677 -2050
5g
Email address
Cason harshorn @kimley -horn com
Page 2 of 11
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)
See attached Figure 5
1 b Site coordinates (in decimal degrees)
Latitude 35 74886 Longitude - 78 83062
(DD DDDDDD) ( -DD DDDDDD)
1 c Property size
9 4 acres
2. Surface Waters
2a Name of nearest body of water (stream, river, etc ) to
Williams Creek (Apex Lake)
proposed project
'2b Water Quality Classification of nearest receiving water
WS- III,NSW
2c River basin
Neuse
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 site is currently undeveloped, but is located just north of US 64, and is boardered by commerical /retail to the west,
and residential development to the north and east
3b List the total estimated acreage of all existing wetlands on the property
0 acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
354 LF
3d Explain the purpose of the proposed project
The project proposes to construct a connector road between the two existing stubs of Pine Plaza Drive, which will
connect Laura Duncan Road and Lake Pine. Drive This east -west connector road will improve local connectivity and
reduce congestion in this developing area of Apex, while also providing safe access between Lake Pine Drive and Laura
Duncan Road without entering US 64
3e Describe the overall project in detail, including the type of equipment to be used
The project will construct a two lane connector road with a sidewalk on the southern/western side of the roadway between
the existing stub of Pine Plaza Drive at Laura Duncan Road to another existing stub of Pine Plaza Drive near,the
intersection of Shepards Vineyard Drive The proposed alignment traverses a currently forested tract of land and totals
approximately 0 5 miles of roadway construction and associated stormwater facilities Typical roadway construction
equipment will be used, including cranes, track hoes, back hoes, graders, dump trucks, and bulldozers
4. Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes El No El Unknown
project (including all prior phases) in the pasty
Comments
4b If the Corps made the jurisdictional determination, what type
® Preliminary ❑ Final
of determination was made?
4c If yes, who delineated the jurisdictional areas?
Agency /Consultant Company Kimley -Horn
Name (if known) Chad Evenhouse, PWS
Other n/a
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
The adjacent property parcel south of roadway corridor was venfed by the USACE and a preliminary jurisdictional
determination was issued on August 14, 2013 (SAW- 2013- 01516) Documentation is attached The adjacent property
parcels located on the western end of the roadway corridor was verified by the USACE and a preliminary jurisdictional
determination was issued on June 2, 2011 (SAW =2011- 01024) Documentation is attached A prehmmary jursidictional
determination request for the remainder of the corridor has been included with this permit application (properties on the
eastern end of the corridor)
Page 3 of 11
PCN Form — Version 1 3 December 10, 2008 Version

5. Project History
5a Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past
❑ Yes ❑ No ® Unknown
5b If yes, explain in detail according to "help file" instructions
n/a
6. Future Project Plans
6a Is this a phased project?
❑ Yes ® No
6b If yes, explain
n/a
Page 4 of 11
PCN Form — Version 1 3 December 10, 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la 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
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P FIT
❑ 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 FIT
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
n/a
2h Comments No wetland impacts will result from the proposed construction
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 ❑ PIE T
Construction Access
UT to Williams
Creek
❑ PER
® INT
® Corps
❑ DWQ
2
060
S1 ®P ❑ T
Roadway
UT to Williams
❑ PER
® Corps
2
308
Construction
Creek
® INT
❑ DWQ
S2 ❑ P ® T
Construction Access
UT to Williams
Creek
❑ PER
® INT
® Corps
❑ DWQ
3
123
S2 ®P ❑ T
Roadway
UT to Williams
❑ PER
® Corps
3
4614
Construction
Creek
® INT
❑ DWQ
S3 ❑ P ® T
Construction Access
UT to Williams
Creek
❑ PER
® INT
® Corps
❑ DWQ
4
5384
S3 ®P ❑ T
Culvert Installation,
UT to Williams
❑ PER
® Corps
4
148 50
Outlet Protection
Creek
®INT
❑DWQ
S4 ❑ PH T
Construction Access
UT to Williams
Creek
❑ PER
® INT
® Corps
❑ DWQ
6
3305
3h Total stream and tributary impacts 1
287
31 Comments Unavoidable impacts to jurisdictional streams will result from the proposed roadway construction project
Streams S1, S2, and S3 will all be permanently impacted due to perpendicular crossings of the proposed road Temporary
Page 5 of 11
PCN Form — Version 1 3 December 10, 2008 Version

impacts will also result to S1, S2, S3, and S4 to faciliate construction and equipment access within the corridor All temporary
impacts will be returned to pre - construction contours after completion of the project
Permanent impacts to S3 will result from the installation of a culvert beneath the proposed Pine Plaza Drive, as well as from
the placement of rip rap fill material within the channel to stabilize the outlet and to protect downstream water quality
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
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4L Total open water impacts
4g Comments No open water impacts will result from the proposed construction
5. Pond or Lake Construction
If pond or lake construction proposed, then com Iete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose of
(acres)
number
pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
K Total
5g Comments No ponds or lakes will be constructed as a result of the proposed construction
5h Is a dam high hazard permit required
❑ Yes No If yes, permit ID no
51 Expected pond surface area (acres)
n/a
5j Size of pond watershed (acres)
n/a
5k Method of construction
n/a
Page 6 of 11
PCN Form — Version 1 3 December 10, 2008 Version

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 for
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P)
impact
Stream name
mitigation
(square feet)
(square feet)
or Temporary
required?
T
61 ®P ❑ T
Roadway
Construction
S1 — UT to Williams Creek
❑ Yes
® No
8685
1,5835
B2 ®P ❑ T
CRoa ct on
S2 — UT to Williams Creek
® Nos
3,7822
3,9746
B3 ® P [:IT
CRoa ct on
S3 — UT to Williams Creek
® Nos
11,768 9
6,0458
6h Total buffer impacts
16,420
11,604
61 Comments Impacts to the protected riparian buffers of streams S1, S2, and S3
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 proposed roadway alignment was carefully selected to minimize impacts to jurisdictional waters and riparian buffers A
large S curve was added to the alignment to faciliate perpendicular crossings of three jurisdictional features, and the road
alignment was shifted as far south as feasible to avoid impacting S1 and S2 and their buffers S1, S2, and their buffers are
only minimally impacted by the proposed alignment at the extreme upslope end of the stream systems The proposed road
will tie into existing roadway stubs on both ends to minimize new road construction overall
1b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Impacts to streams within the corridor will be minimized to the extent practical throughout the construction process by avoiding
stream features wherever possible Where feasible, staging and construction access will be located in upland areas
throughout the corridor, and silt fencing will be installed around the permitted limits of distrubance to ensure all equipment is
located within the project corridor at all times near stream areas Best Management Practices (BMP) and measures will be
used to reduce stormwater impacts to receiving waters and minimze runoff from the construction sites
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the, State
2a Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U S or Waters of the State?
2b If yes, mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
❑ Mitigation bank
2c If yes, which mitigation option will be used for this project?
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a Name of Mitigation Bank n/a
3b Credits Purchased (attach receipt and letter)
Type n/a
Quantity n/a
Page 7 of 11
PCN Form — Version 1 3 December 10, 2008 Version

3c Comments n/a
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 n/a
S. Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
n/a
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:
n/a
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)
n/a
6h Comments Per Neuse River Basin riparian buffer rules, road crossings fo streams subject that impact greater than 40
linear feet but equal to or less than 150 linear feet or 1/3`d of an acre�of riparian buffer are "allowable" As such, no
mitigation is required for the proposed riparian buffer impacts
Page 8 of 11
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?
lb
If yes, then is a diffuse flow plan included? If no, explain why
Comments See the attached Erosion Control Plans to see the most detailed
® Yes ❑ No
information on measures to handle the stormwater
2.
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
31 %
2b
Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c
If this project DOES NOT require a Stormwater Management Plan, explain why n/a
2d
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative
description of the plan
The project is a linear transportation project, and all new conveyances will meet diffuse flow prior to discharge into a
buffer See attached Erosion Control Plan Sheets for stormwater management features
❑ 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
❑ NSW
3b
Which of the following locally - implemented stormwater management programs
El USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a
Which of the following state - implemented stormwater management programs apply
❑ ORW
(check all that apply)
❑ Session Law 2006 -246
❑ Other
4b Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5.
DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
® Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been met?
® Yes ❑ No
Page 9 of 11
PCN Form — Version 1 3 December 10, 2008 Version

F. Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (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 n/a
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'Ripanan 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
This project is designed to reduce current and projected local traffic loads on US 64 by providing an east -west connector
between Laura Duncan Road and Lake Pine Drive
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
The proposed project will not generate wastewater
Page 10 of 11
PCN Form — Version 1 3 December 10, 2008 Version

5.
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a.
Will this project occur in or near an area with federally protected species or
Yes ® No
habitat?
5b.
Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c.
If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d.
What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
According to the NC Natural Heritage Program Element Occurrence Database (updated July 2014), no known
occurrences of any federally threatened or endangered species within 1.0 mile of the project area. Suitable habitat is not
present within the project area for dwarf wedgemussel, red - cockaded woodpecker, or Michaux's sumac.
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?
NOAA Essential Fish Habitat Mapper (Accessed September 2, 2014)
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?
North Carolina State Historic Preservation Office HPOWEB GIS Service (Accessed September 2, 2014)
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: n/a
8c.
What source(s) did you use to make the floodplain determination? FEMA FIRM Panels 3720074200J and 3720075200J
Jason Hartshorn
9/3/2014
Applicant /Agent's Printed Name
Date
Applican Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 1 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

Letter of Authorization
The Town of Apex authorizes Knnley -Horn and Associates, Inc, to act as our
agent to prepare and coordinate the application to the U.S. Army Corps of
Engineers and the N.C. Division of Water Quality for 404/401 pernuts and
jurisdictional determinations associated with the Pine Plaza Drive Project located
in Apex, North Carolina. Authorization will terminate on either final agency
action or upon written notification.
�Wv
Signature
I
Printed Name
I �
Dat

FIGURES

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Wake County -' Cyr Legend
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VIEW L IA `��, �,_,� Project Study Area
Project Location
0 10 20 40 1 j 0 1,500 3,000
Miles I Feet
Figure 1: Vicinity Map
Kimley >>> Horn Pine Plaza Roadway Project
Apex, Wake County, NC
September 2014
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CHURCH
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Project Location
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Miles I Feet
Figure 1: Vicinity Map
Kimley >>> Horn Pine Plaza Roadway Project
Apex, Wake County, NC
September 2014

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Figure 2: USGS Topo Map (Apex Quad, 1987)
Kimley > >> Horn Pine Plaza Roadway Project
Apex, Wake County, NC
September 2014

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STREAM DATA FORMS

North Carolina Division of Water Quality - Stream Identification Form, Version 4.11
A. Geomorphology Subtotal = 11
Pine Plaza Roadway
Weak
Date: 2/6/2014
Project/Site: Project
Latitude: 35.748916
1a. Continuity of channel bed and bank
Stream S1
1
Evaluator: J Hartshorn (KHA),
County: Wake County
Longitude: - 78.82749
R. Sullivan (KHA)
0
1
Total Points: 22
3
1
3. In- channel structure: ex. riffle -pool, step -pool, ripple-
ool se uence
Stream Dete circle one)
Other
Stream is at least intermittent
Ephemer ntermitte erennial
e.g. Quad Name- Apex
if ? 19 or perennial if 2: 30
0
1
A. Geomorphology Subtotal = 11
Absent
Weak
Moderate
Strong
Score
1a. Continuity of channel bed and bank
0
1
2
3
3
2. Sinuosity of channel along thalweg
0
1
2
3
1
3. In- channel structure: ex. riffle -pool, step -pool, ripple-
ool se uence
0
1
1
3
2
4. Particle size of stream substrate
0
1
1
3
2
5. Active /relic flood lain
0
1
2
3
0
6. Depositional bars or benches
0
1
2
3
0
7. Recent alluvial deposits
0
1
2
3
0
8. Headcuts
0
I
2
3
1
9. Grade control
0
1 0.5
1
1.5
1
10. Natural valley
0
1 0.5
1
1.5
1
11. Second or greater order channel
No = 0
Yes = 3
0
artificial ditches are not rated, see discussions in manual
B. Hydrology Subtotal =
12. Presence of Baseflow
0
1
2
3
2
13. Iron oxidizing bacteria
u
1
2
3
0
14. Leaf litter
1.5
1
0.5
0
0
15. Sediment on plants or debris
0
0.5
1
1.5
0.5
16. Organic debris lines or piles
0
0.5
1
1.5
0.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
3
C. Biology Subtotal =
18. Fibrous roots in streambed
3
2
1
0
2
19. Rooted upland plants in streambed
3
2
1
0
3
20. Macrobenthos note diversity and abundance
0
1
2
3
0
21. Aquatic Mollusks
0
1
2
3
0
22. Fish
0
0.5
1
1.5
0
23. Crayfish
0
0.5
1
1.5
0
24. Amphibians
0
0.5
1
1.5
0
25. Algae
0
0.5
1
1.5
0
26. Wetland plants in streambed
FACW = 075; OBL
= 1.5; Other = 0
0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: Stream S1 is a headwater stream that begins north of US64 and
flows north towards an offsite stream. S1 has little sinuosity and is located
within a topographic crenulation. S1 is downcutting and becoming channelized.
There is abundant leaf litter within the stream channel.

USACE AID #_
ffi "0
Site # (indicate on attached map)
C71 STREAM QUALITY ASSESSMENT WORKSHEET -A&
Provide the following information for the stream reach under assessment:
1. Applicant's name: Town of Apex 2. Evaluator's name: 3. Hartshorn (KHA), R. Sullivan (KHA)
3. Date of evaluation: 02/06/2014 4. Time of evaluation: 10:00 am
5. Name of stream: Pine Plaza Roadway- Stream S1 6. River basin: Neuse
7. Approximate drainage area: 20 Acres
9. Length of reach evaluated: 100 Feet
11. Site coordinates (if known): prefer in decimal degrees
8. Stream order: First Order
10. County: Wake
12. Subdivision name (if any)
n/a
Latitude (ex. 34.872312): 35.748916 Longitude (ex. - 77.556611): - 78.827490
Method location determined (circle): �PS ✓�ropo Sheet0 rtho (Aerial) Photo /GIS[D)ther GISE]Dther
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
S1 begins approx. 1000' north of US64, 1300' south of Laura Duncan Rd, & 500' west of a utility easement.
14. Proposed channel work (if any): n/a
15. Recent weather conditions: Light rain within the previous 24 hours with temperature ranging from 30 -54 degrees Farenheit.
16. Site conditions at time of visit: Cool and dry with a temperature of approximately 42 degrees Farenheit.
17. Identify any special waterway classifications known: Section 10 F Tidal Waters F Essential Fisheries Habitat
RTrout Waters Outstanding Resource Waters ✓0 Nutrient Sensitive Waters Owater Supply Watershed III (I -IV)
18. Is there a pond or lake located upstream of the evaluation point? NO If yes, estimate the water surface area: n/a
19. Does channel appear on USGS quad map? NO 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: % Residential % Commercial _% Industrial % Agricultural
95 % Forested 5 % Cleared / Logged % Other ( )
22. Bankfull width: 2' 23. Bank height (from bed to top of bank): 3'
24. Channel slope down center of stream: ,Flat (0 to 2 %) OGentle (2 to 4 %) ✓Omoderate (4 to 10 %) DSteep (>10%)
25. Channel sinuosity: Straight 0occasional bends Frequent meander Overy sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 41 Comments:
Stream S1 is a headwater stream that begins north of US64 and flows north towards an offsite stream. S1 has little sinuosity
and is located within a topographic crenulation. S1 is downcutting and becoming channelized. There is abundant leaf litter
within the stream channel.
Evaluator's Signature JU/110-"a ` (a r1J1 ,,r n, Date 02/06/2014
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919- 876 -8441 x 26.

Pine Plaza Roadway- Stream S1
STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastaL streams
#
CH�REICT�E�RISTIC$
SCORE
-,��
Coastal
Piedmont
Mountain
Presence of;flow� /;persi's'tent poolsinsstream' �`
,��'
2
' flow
_ no.flow,or_sativatton_0 ;stron b �iriax; omts _
'LEvidence.o"f�pastPttuman «alteration;; �'�°
3,
� ' • ` .'
extenstve%iteratton,_= Olno alteration` =zmax %` omts _ _
_
,3r i
, -. ;Ripe rtan "zone F s
'. ' I . u°
k,
fit i °�' —r6
- a
��` 4
ti t ' (bj" 51" t
3
i
i r e c.
�no buffer =t0 `, Conti ' ous °wide Buffer.• =max omts
= °'
.
nutrent or chemcaldischarges ` '4
'0,_`5
{`:0,= 4
0 = 4'
3
f extensive.dischar es_ =,0; no:dischar es_ =At ax otnts
" `
. ' �Gr'o',oad�vater,discliarge,,,, ,"`" .," .' ..
_ ,� '.3 _'
•'_�� �
° • �
1
i
_
no,dischar e='0 rs nn "s se e ps ,wetland's *letc 7= max, oints
_4
",0,
U
- ►•�'r,
� ��
r
.; ��' b Pre °sence,of�adjacentSfloodplain, " :."' `•_��l
��' ° -a
,� r��
,^
, ev
a d O�enoflo n= ; sfl am
�
`
= Entrenchmedt ; /'floodplain acces s,:
"oints)
— 4
0� -,2_
1
666 entrenched - >'0' frequent flooding = max;
_•
`'
`Presence of;adjai ent wetlands",
e= ,d
n_o , w- 0;'1ar e a acent,wetla nds = in ax; 6mts
r 9'
-
" Clannelfsinsy
w n
S
' 3
� as
1
extenstve;charineltzafiori . ='0 rnatural'meandei" maxi omts , l
; Q =
n
1'0 _
- _ " Sedment'inpp't '. "�' ; ' Z ,'
'osition� 0- `
V'
' �0 = 5 _
f
A-4
2
,'; extensive�de httle,or,no;sediinent;= max omts _,ri
_
"
`Sii ,,diversity"of,channel bed,W stiate` '.
''
2
fine shomo enous_= 0 lar a diverse sizes, max- -oints ,
1'2
Evidence`ofichannel,incision�or widening
= ` r °: - v
« dee 1-`,linci' d*O >stable,bed,, &;banks. =5max omts� . „ ",
a 0` ,.5,
let
"
3` ' °' APrese'nce ofiinajor!baiik�failur`es 'x ”
' °
'g"
' `
rNsevere;eroston
13
= .,0,mo erosion, stable,banks' =max, omts
3
14 .
Root °depth,and =derisity,on,banks` y
ti
�' r,,>
,;, '0'n 3,
;0,: 4
` fti '5,
3
no,visible!roots�= 0' dense,roots,ihrou hout. =;max omts
7i
''!
IS
Irnpact "by4grktilture; .lives`6&,:ortimber,'production
.r
.I
0— 4',
0_ =5
2
sf
, -F; substarittal,im act- 0 no,' idence ° -Smax; omts
_ ,0 -'5
1
_
PresenceaofirfiMf -,pi ol/ripple'poolacomplexes =
` j9� "
p;,,
3
no riffles /ri` les or ools =f0 well'develo 'ed °= max> omts ,
e
=gin
X1.7•
= 4 Habitat' complexity ' , , ,`
E`,z
0`
2
(httleor•no- hibitai� 0;_fre 4 uent`, waried!hdbitats = max oints )
t
6z
V0 6Y:;
18
' = Canopy ,coverageiover ",,sfreambed
no s}iadin „w-e etahont�0 ,continuousxauo' , =,max. °oirits
0 -5
_ i
-
0 5
�;
x
-;0 f5
4
1'9 '
�� 'Su6sti�ate�emlieddedn '
` `'' =� - '
NSA*
10' ='4 "
0 —=4�
2
y
dee 1 Ooose`structure_ ='max
k
embedded'1 a
r'
20
°:Presence•ofstceaui invertebr ties`(see page;4)'
0-4, `
' - 0
O -5�-
0
' i „ Y
no evidence.= '0`common- es. =,max; omts
;
='5,,
-
=
„numerous
h
` Nr'esence�6feamphitiians;
”
O
no,evidence� O;- commoa numerois es smaxi omis�
i
a
O
A22
= , r ; "' ' �l?i esence, of,'fisli ; " ;R a:"
° , : ' -0
�',
— °4 • f
0� -•4
'0 = 4
0
,no�eyidence -�0 ;common ,numerous, e'sf= inax3 omts
_
-
f�
'Evidence,'f it life :a ���o
o w d a use' L t, �`
"�,.va�_
2
t
rViVidenZep .0 ,aliuridant,evidence? =.max omts-'
TotaltPoints Possible
Em
umv I
Em
t'
TOTAI. SCORE (also enter on f rst page)
41
* These characteristics are not assessed in coastaL streams

North Carolina Division of Water Quality - Stream Identification Form, Version 4.11
A. Geomorphology Subtotal = 13
Pine Plaza Roadway
Weak
Date: 2/6/2014
Project/Site: Project
Latitude: 35.748725
1 a Continuity of channel bed and bank
Stream S2
1
Evaluator: Hartshorn (KHA), R Sullivan (KHA)
County: Wake
Longitude: - 78.82913
Total Points: 25.5
0
1
2
Stream Deter circle one)
Other
Stream is at least intermittent
Ephemer ntermitten erennial
e g Quad Name: Apex
if ? 19 or perennial if z 30
3
2
A. Geomorphology Subtotal = 13
Absent
Weak
Moderate
Strong
Score
1 a Continuity of channel bed and bank
0
1
2
3
3
2. Sinuosity of channel along thalweg
0
1
2
3
1
3. In- channel structure: ex. riffle -pool, step -pool, ripple-
ool se uence
0
1
1
3
2
4. Particle size of stream substrate
0
1
1
3
2
5. Active /relic flood lain
0
1
2
3
1
6. Depositional bars or benches
0
1
2
3
0
7. Recent alluvial deposits
0
1
2
3
0
8. Headcuts
0
1
2
1 3
2
9. Grade control
0
0.5
1
1.5
1
10. Natural valley
0
0.5
1
1.5
1
11. Second or greater order channel
No = 0
Yes = 3
0
artificial ditches are not rated, see discussions in manual
B. Hydrology Subtotal = 7.5
12. Presence of Baseflow
0
1
2
3
2
13. Iron oxidizing bacteria
0
1
2
3
0
14. Leaf litter
1.5
1
0.5
0
0.5
15. Sediment on plants or debris
0
0.5
1
1.5
0.5
16. Organic debris lines or piles
0
0.5
1
1.5
1.5
17. Soil -based evidence of high water table?
No = 0
Yes =_ 3
3
C. Biology Subtotal =
18. Fibrous roots in streambed
3
2
1
0
2
19. Rooted upland plants in streambed
3
2
1
0
3
20. Macrobenthos note diversity and abundance
0
1
2
3
0
21. Aquatic Mollusks
0
1
2
3
0
22. Fish
0
0.5
1
1.5
0
23. Crayfish
0
0.5
1
1.5
0
24. Amphibians
0
0.5
1
1.5
0
25. Algae
0
0.5
1
1.5
0
26. Wetland plants in streambed
FACW = 0.75, OBL
= 1.5; Other = 0
0
"perennial streams may also be identified using other methods. See p. 35 of manual
Notes: Stream S2 is a headwater stream that begins north of US64 and
flows north to a confluence with an offsite stream. The stream has little
sinuosity and is downcutting and channelizing. S2 is located within a
tor)ooraphic crenulation. and abundant leaf litter was observed within the
stream channel.

USACE AID# DWQ #
Site # (indicate on attached map
FE-11 STREAM QUALITY ASSESSMENT WORKSHEET _AW
Provide the following information for the stream reach under assessment:
1. Annlicant's name: Town of Apex 2. Evaluator's name:1 Hartshorn (KHA), R. Sullivan (KHA)
3. Date of evaluation: 02/06/2014 4. Time of evaluation:
5. Name of stream: Pine Plaza Roadway-Stream S2 6. River basin: NeusE
7. Approximate drainage area: 16 acres
9. Length of reach evaluated: 100 Feet
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312): 35.748725
11:00 am
8. Stream order: First Order
10. County: Wake
12. Subdivision name (if any): n/a
Longitude (ex. - 77.556611): - 78.82913
Method location determined (circle): EbPSaopo Sheet rtho (Aerial) Photo /GIS[:�)ther GISEDOther
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
S2 begins approx. 1000' north of US64, 1200' south of Laura Duncan Rd, & 1000' west of a utility easement.
14. Proposed channel work (if any): n/a
15. Recent weather conditions: Light rain within the previous 24 hours with temperature ranging from 30 -54 degrees Farenheit.
16. Site conditions at time of visit: Cool and dry with a temperature of approximately 42 degrees Farenheit.
17. Identify any special waterway classifications known: FISection 10 FlTidal Waters Essential Fisheries Habitat
DTrout Waters 00utstanding Resource Waters ✓V Nutrient Sensitive Waters ✓OWater Supply Watershed III (I -IV)
18. Is there a pond or lake located upstream of the evaluation point? NO If yes, estimate the water surface area: n/a
19. Does channel appear on USGS quad map? NO 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: % Residential _% Commercial % Industrial % Agricultural
100 % Forested % Cleared / Logged % Other (
22. Bankfull width: 3' 23. Bank height (from bed to top of bank): 2'
24. Channel slope down center of stream: Flat (0 to 2 %) OGentle (2 to 4 %) F✓ Moderate (4 to 10 %) E[Steep ( >10 %)
25. Channel sinuosity: Straight 00ccasional bends Frequent meander OVery sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 43 Comments:
Stream S2 is a headwater stream that begins north of US64 and flows north to a confluence with an offsite stream
located within a topographic valley. S2 has little sinuosity and is downcutting and channelizing. S2 is located within a
topographic crenulation, and abundant leaf litter was observed within the stream channel.
Evaluator's Signature cry c ri 1ffa rig, 1,&7 ab Date 02/06/2014
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919 - 876 -8441 x 26.

Pine Plaza Roadway-Stream S2
STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams
Coastal WK
je*d"l
WXF nikin
SCORE
risenWe of;n ream, s>
2
n�,ffc;'W,'qr.,' ati�rll rorl Qw.= ax
'satqi� 'st - �-Oomfs)
;flow
I`AvA
0 5
E*idinie,
W 16
0­5
2
:(6�6fsft�6ft tio'n on­,maxpoirl
efa- 'O,no,�lfe��ii
31
Riparian zoRe.,
11W=­6
0-4, J�-
"&—:5
3
6f�1=116;(contiguous,,,wide,butterI7—,max,po
"(fi6l�uff 6ts)
de' ni,or�el�eti�icitdis-'c'fia-r,-ges,
1E il&kiintrk
Vf
0
4
3
lexi�n "i,�,Iichafg6s dik 615birll
�nol
0, lia r g e- =.m ax' i
.71 7 � '. - -
ro arg--e-1t
IG ' Alfidwaferdisc 1 4 - " -
,,
, I
A`�_
_�p —4,
2
s s, seeos,wetlarll ="max p6 irl
- ,
6"
.Oresenceto�f•itdjacentiflo'��plain,,.-
W 4
0, =4
- ', 0-27_2,;
p'liln'�=,max'�oirll
�noifi&oap'-ldirl �"O, extensive flood'
7, Efitreikhme � flood\ilain,�ac
Jil p cess
(deeplyjdiitr�nched =iO• frequentfloodifi x points
—A,
--�,-,Pregence.iifidia'cintwitlaiidi
2'
eflands,
-Xno w 4, large,a�qj;centweilafids'='�laxpoin�ts)'-
In y
Cliannel,4'6�sit
extensive ,naturallmean points n6liz d'
J( Ldhin ationv=,A er _�max,
SedinibnOnpit
­0,`-5
',O—A­�?
;,O
2
10,
i(exte i�,&`aepcisiiiorl Oji4fe.or no'iedimenV_="max polhisli,
SiZi _&,div6� i,A V o(,channe1%e&4ibstrati
' •- "
' 'JO 4
0= 5,,,
2
1
fine ,hor�ogehous0 large,divefse, sizes —,� max,p outs t.
­12
­Ev0;&ni:e,ofchknne1 incisiqn-wwi ening
'd
0-4,,.-
!(ddeoly�in6isdd,,=,O;stable'bdd 1biiriks=niax�poiifts)
7�5
�O —'s
13
0 -5-,
�0!­�5
'0.—'5,­',
3
-i(seve-r-e',ei�osi'otn=-6.tn'oerd§i-6n-"'-,stAblbi.b-�ihks=,max,o pints )
114,
Y*n� antis_`
1(no,,,lllr lroots­_ ense�root-sltlfrough�diiti�-kme,ax'T'�61fiii)��-",'�',
"1 '0 d
0,7,3:
"0 - 5'T
3
1.� ' ' ' I - erpro,u,�
finpaet.by,-,agricultdre-,Hi p "r "oduction
fo,
(A t­O;,,h6,`eviderl
@b9tantihLimpac max,pbifi , ts)
P-!-,F'senci,76(jtffflg-,p9lDl/rippii-pool?-C.,,oMp!exes,,
(fionfflCs/n p16s or, 06ols:--,'O,Wdll�ii6Velope ==maxpomtsj-,-
0 -5
6,,
3
11 -1 -,
H fi., � t. I 1 "11 . , : ,
a itat CoiidO!exky
7
­(little foild ",abilifat = „0••'--fre quehi;,Va'ne'd3hi�itats- =,inaxpoints')'
0,
10
4
C” nopy ep, vitage iisltre' bed
(nd sh4d�riAiv-ege tati6W,=,O,'coritihft6ii-si-464nopy:�I
.6 5 _t
ro
fO-5-
4
glib's s"
NA1-
Maw
4'
2
ep yier�8eddedl_
j46I -�10;,I(jose�.,siru�tur(�,=�m�x,)',
7
:Presence ofistreim:inveitebiaie ii(sde-page'-,,f).
0
-20,,,,
;common - nl pmt
s° - -
4
W25�,
5' •
21
3 1;Pies�ncevf;amphibians_ I- -
-,0 4,
'0� 4-
0
Q&,4
-
J
(fioeviderll conimon,numerousa types= max point��,-
O
-2
Pfeience-of s
0- 4
0 �4-
0
(n&,evideke--,O;,common, numerous � max, ppiiiis�l
23,-.
�Evideiifeof,,,v�ildlifC�iise-' o, 1.
�O
. 6
�40�­5,' ,
2
_e 0, undajitievi ence -imak1polill
oi, vi&nce-,ab
�=l
,
TotaliPoints Possible
100
100
100
z
enter g=) !
Ki
_(also
11
* These characteristics are not assessed in coastal streams

North Carolina Division of Water Quality - Stream Identification Form, Version 4.11
Date: 7/25/2013
Project/Site: Apex S3 Site
Latitude: 35.7475
J. Hartshorn (KHA),
Evaluator:
County: Wake
Longitude: - 78.8317
C. Evenhouse (KHA)
0
1
Total Points: 29.5
Stream Det circle one)
Other
Stream is at least intermittent
Ephemer Intermittent erennial
e.g. Quad Name: Apex, 1988
if ? 19 or perennial if ? 30
3
2
A. Geomorphology Subtotal = 18
Absent
Weak
Moderate
Strong
Score
1a. Continuity of channel bed and bank
0
1
2
3
3
2. Sinuosity of channel along thalweg
0
1
0.5
3
2
3. In- channel structure: ex. riffle -pool, step -pool, ripple-
ool se uence
0
1
2
3
3
4. Particle size of stream substrate
0
1
2
3
3
5. Active /relic flood lain
0
1
2
3
1
6. Depositional bars or benches
0
1
2
3
2
7. Recent alluvial deposits
0
1
2
3
0
8. Headcuts
0
1
2
3
2
9. Grade control
0
0.5
1
1.5
1
10. Natural valley
0
0.5
1
1.5
1
11. Second or greater order channel
No = 0
Yes = 3
0
artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal =
12. Presence of Baseflow
0
1
2
3
0
13. Iron oxidizing bacteria
0
1
2
3
0
14. Leaf litter
1.5
?
0.5
0
1
15. Sediment on plants or debris
0
0.5
1
1.5
0
16. Organic debris lines or piles
0
0.5
1
1.5
1
17. Soil -based evidence of high water table?
No = 0
Yes = 3
3
C. Biology Subtotal = 6.5
18. Fibrous roots in streambed
3
2
1
0
3
19. Rooted upland plants in streambed
3
2
1
0
3
20. Macrobenthos note diversity and abundance
0
1
2
3
0
21. Aquatic Mollusks
0
1
2
3
0
22. Fish
0
0.5
1
1.5
0
23. Crayfish
0
0.5
1
1.5
0.5
24. Amphibians
0
0.5
1
1.5
0
25. Algae
0
0.5
1
1.5
0
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5; Other = 0
0
.perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: Stream S3 is a Iona intermittent channel that bisects the oroiect
area. S3 has the largest upstream drainage area of any of the features on the
site, but this leads to heavy stormwater input through the stream system. Due
to the stormwater input, the upper reaches of S3 score out to intermittent, but
the system is likely very flashy and does not flow due to groundwater input.

USACE AID# DWQ # Site # (indicate on attached map)
FEM STREAM QUALITY ASSESSMENT WORKSHEET -jQp
Provide the following information for the stream reach under assessment:
1. Applicant's name: 2. Evaluator's name: C. Evenhouse (KHA)
3. Date of evaluation: 07/25/2013 4. Time of evaluation: 12:10 pm
5. Name of stream:Stream S3
7. Approximate drainage area: 60 acres
9. Length of reach evaluated: 100'
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312):
35.747500
6. River basin: Neuse
8. Stream order:. First Order
10. County: Wake
12. Subdivision name (if any): n/a
Longitude (ex. - 77.556611): - 78.831700
Method location determined (circle): �PS ✓fopo Sheet❑Drtho (Aerial) Photo /GISE]Dther GISE:]Dther
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
Stream S3 is located north of US 64, approx. 1000' southeast of Laura Duncan Road.
14. Proposed channel work (if any): n/a
15. Recent weather conditions: 0.5" of rainfall recorded within last 24 hours according to NOAA /NWS.
16. Site conditions at time of visit: Sunny and clear.
17. Identify any special waterway classifications known: FISection 10 Tidal Waters REssential Fisheries Habitat
nTrout Waters Outstanding Resource Waters I Nutrient Sensitive Waters DWater Supply Watershed (I -IV)
18. Is there a pond or lake located upstream of the evaluation point? NO If yes, estimate the water surface area: n/a
19. Does channel appear on USGS quad map? NO 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: 30 % Residential % Commercial _% Industrial _% Agricultural
60 % Forested 5 % Cleared / Logged 5 % Other (
22. Bankfull width: 8' 23. Bank height (from bed to top of bank). 2'
24. Channel slope down center of stream: DFlat (0 to 2 %) _oGentle (2 to 4 %) DModerate (4 to 10 %) nSteep ( >10 %)
25. Channel sinuosity: Straight 00ccasional bends Frequent meander Overy sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 45 Comments:
Stream S3 is an intermittent channel that receives drainage from a residential development across US 64 from the site. A
large portion of US 64 drains to S3 as well. Wrack lines and debris piles indicate this system also receives over bank flow.
Evaluator's Signature ` ka.od Date 07/25/2013
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919 - 876 -8441 x 26.

Stream S3
STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams
#
saw= -
CHARA :gMERISTICS
�. r.., ._..._ -�.-- 4 .
ECOREGION PO.M
RRARG -E
SCORE
Coastal
Piedmont
Mountain
aPreserice,ofiflow: /ipersistent ;pools in -stream`, _
no_flow:or',
r_, ,'
0 -a5' , .
a0 -_.4
0 5
1
saturation =s`0 stion ;flow ==,max' omts
­2 °}
a 'r.' °e ` '. ' ' lkylidence +of past'h`umaii alteration. -,�,_„ ;,, , q
' 'no,alteration=�maX.
"u, _ � '
E ,� .<5
� 'S ~'
3
,.
��� ezterisrveialteratiom ='0 hints ,i
� 3�°
parian°zone „
� s N w,. ti�;�.�r n � _ -° , ,° , -
r '9 � 6
` "0,r '_4 °
;Oi
3
j
,
no.buffer = 0 confi uoust;,wide buffer =ImaxA ' omts ° ” Y' i
�>
,<5
`� <Evid'ence,of},nutriene, chemical`�discliarges'
s
exten_sivesdischar esS =:O" nofdischai es: =:maxr o"mts
�
-
2
5'.�
,� CG oundwater,dischdige ' _ ..:' "; " ^> i
d
0 r3 `: ra
�� Q� -�4,•,
,0. ^4
2
no�discliar "e' ='0 �s nn s'fsee` s- wetlands,- etc -`ma) ,'-o'mts) .
`'
y
- n Presence,ofadjacen'tfloodplain
r'
1
y,
._ no'flood laint= 0 extensn!e1lood lain, =xnax "oints)
fi
,E;ntrencha % floodplain access-
=4
0,5
1
=ment
0• ue4odm=,mak, omts ,"
dee 1 ntr enchedfr
Preseneeiof adjacent-wetlandsE _
, _ '
0: =s6
c0 -4 .
0 2',2
rt_
riowwetlands, =,0 `lar e,ad acent_w,etlarid's� =.max: oints)
r
w.9, ,
r �: =: y Channelainuo §ity ^r
2
- eztens>ve,chanrielization. LO, natural meander,.= max, oints
laq
`Sedimentinpyt r ., ,
extdniiv-eTde osrtton= 0•`httlesor ^no sed>ment: =imax, omts
_
r
Size•& diversity -of channel'bedisnbstraie.' `
,- _ �, r
°omts
,0° "�5'.
3'
,,.
_ fine ,homo enou"sf = -0 'lar a diverse'sizes =nmax,
X1,2 H
- Evidenceiof channel incision+or,widening` -.
�, 6
dee 'l incised = 0 stable bedl& banks = max' omts
0.- 5
3
f3:
'Presence,of'major'bank- failures' ;-
°;ti
''
0 L511
°0 -s5
0� _.5.
2
�t _
severe.eros'ion =.0; no- erosion; stable - banks €= max, omts•
_
I
;,14s
r: 'Root ;depth and°density;on�banks r "
a
_ no;u> ible�foots = 0 dense,roots'throu out ='maX. bmts =
0 � 3� _
_ = •
�0;� 4 ,
?
0;= 5
u . •_ -
2
^
�Impacf %y„agrkaltur-e, .lives`tock or,tiinber �pr6diiiciion
a
_ P
3
a
_ substantial,im act =0 Frio evidence =grnak, oints
_
^ -' 'Presence.bfa rift e`Zpd6l/ ripple= poohcomplezes;> •
;. �
- �' y ^
0 -,3
�'„ Y•, �r
_
�, 0'
4
x , � _ i
no�nfflOn les °oi; ools —= O- well- ed =max omts "
.:
0` =.5{ >
-,6
,develo
--
`,Habitat
-
?17„
coaiplezity `.
e
= r =
T �0 =,6
`
- 0,� =a6
0, -,6�
4
o
httle'oi•iio habitat= = °0 °fre uent vanedihabifats; maxi omts �,
_
A 4 ,--
�,
18
C 'anopy,coyerage,ovec "streanibed - - .• ' i
<`
~, k
"_;
4
n6 shadin wv etation =,0 cano - max o�nts
^
,continuous
�
19
'Subsfrate`enilieddedness
NA *
�0 4.
a
;0�- 4 `;
2
dee 1",�embeddeii� � ',0 'loosea tr`ucture = _,max
-
20
Presence of stream invertebrates'.(see,page,4)
r _
no evidence„ _O ' common- ,numerous es ='max: oints'
,0" 4,,-
x,0-`5
M1
:
1
24-1
biads,-
Presence of amphi
es
_ dri evidence, ,'conmori, numerous, max omts '
=_4;
0 -4
�`s�
0 -4
O
�,Presence:dfCi li, ' f,_" ,
= _t- u
'.
� r� °
0 44 -'"
- 0-4
0" 4'r'
()
� �no,evidence' ='�0 commo`n' numerous, es =inax omts
,
_�<<
- ,
r
s
2 3ti •
✓' vow
� Eidha , R
�;0=�6
i•0 ',4
1
��-
x'°
x o 0 ,aburidant:evid enc m, in,
_
A
Total Points Possible
100
100
100
X
T®TAL SCORE (ialso enter on first page)
45
h -
* These characteristics are not assessed in coastal streams

North Carolina Division of Water Quality - Stream Identification Form, Version 4.11
Date: 7/25/2013
Project/Site: Apex Site S4
Latitude: 35.7488
Evaluator: C Hartshorn (
County: Wake
Longitude: - 78.8313
C. Evenhouse (KHAKHA' )
0
1
Total Points: 33.5
3
3
is least intermittent
Stream Determination
Other
Apex, 1988
Stream at
Ephemeral Intermitt t Perennial
.g- Quad Name:
if ? 19 or perennial if ? 30
0
1
A. Geomorphology Subtotal = 22
Absent
Weak
Moderate
Strong
Score
1 a. Continuity of channel bed and bank
0
1
2
3
3
2. Sinuosity of channel along thalweg
0
1
2
0
3
3. In- channel structure: ex. riffle -pool, step -pool, ripple-
ool se uence
0
1
2
-
3
2
4. Particle size of stream substrate
0
1
2
3
3
5. Active /relic flood lain
0
1
2
3
3
6. Depositional bars or benches
0
1
2
3
3
7. Recent alluvial deposits
U
1
2
3
0
8. Headcuts
U
1 1
1 2
1 3
1 0
9. Grade control
0
0.5
1
1.5
0.5
10. Natural valley
0
0.5
1
11. Second or greater order channel
No = 0
Yes = 3
3
artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = 6.5
12. Presence of Baseflow
0
1
2
3
0
13. Iron oxidizing bacteria
0
1
2
3
0
14. Leaf litter
1.5
1
0.5
0
1.5
15. Sediment on plants or debris
0
0.5
1
1.5
0.5
16. Organic debris lines or piles
0
0.5
1
1.5
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
3
C. Biology Subtotal =
18. Fibrous roots in streambed
3
2
1
0
2
19. Rooted upland plants in streambed
3
2
1
0
3
20. Macrobenthos note diversity and abundance
0
1
2
3
0
21. Aquatic Mollusks
0
1
2
3
0
22. Fish
0
0.5
1
1.5
0
23. Crayfish
0
0.5
1
1.5
0
24. Amphibians
0
0.5
1
1.5
0
25. Algae
0
0.5
1
1.5
0
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5; Other = 0
0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: S4 is a first order stream within a topoqraphic crenulation, mainl
supported by stormwater flow from adjacent development. Stream S4
is a perennial channel below the confluence with stream S3. The channel bed
is close to the groundwater throughout the reach, and hydric soils were noted
within the channel bed throuqhout the reach.

USACE AID#
DWQ #,
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name:
3. Date of evaluation: 07/25/2013
2. Evaluator's name: C. Evenhouse (KHA)
4. Time of evaluation: 11:55 am
5. Name of stream:Stream S4 6. River basin: Neuse
7. Approximate drainage area: 20 acres 8. Stream order:, First Order
9. Length of reach evaluated: 100' 10. County: Wake
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): n/a
Latitude (ex. 34.872312):
35..748900
Longitude (ex. -77.556611)
:111
Method location determined (circle): EbPSEVopo Sheet[artho (Aerial) Photo /GIS[D)ther GISE:J)ther
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
Stream S4 is located at the north end of the property, immediately east of Crossroads Infinity Dealership.
14. Proposed channel work (if any): n/a
15. Recent weather conditions: 0.5" of rainfall recorded within last 24 hours according to NOAA/NWS.
16. Site conditions at time of visit: Sunny and clear.
17. Identify any special waterway classifications known: Fl Section 10 Tidal Waters Essential Fisheries Habitat
RTrout Waters 0outstanding Resource Waters F� Nutrient Sensitive Waters DWater Supply Watershed (I -IV)
18. Is there a pond or lake located upstream of the evaluation point? NO If yes, estimate the water surface area: n/a
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: % Residential 60 % Commercial _% Industrial _% Agricultural
20 % Forested 20 % Cleared / Logged % Other ( )
22. Bankfull width: 8' 23. Bank height (from bed to top of bank): 2'
24. Channel slope down center of stream: DFlat (0 to 2 %) QGentle (2 to 4 %) 0Moderate (4 to 10 %) E[Steep ( >10 %)
25. Channel sinuosity: Straight 00ccasional bends W Frequent meander OVery sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 51 Comments:
Stream S4 begins offsite at a stormwater BMP associated with a new car dealership immediately adjacent to the project area.
S4 begins as an intermittent stream, and changes to a perennial channel at the confluence with S3. No flow was observed in
the channel despite recent rainfall. Evidence of over bank flow was present throughout the reach, with good sediment
deposition and moderate in- channel structures developing.
Evaluator's Signature Date 07/25/2013
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919- 876 -8441 x 26.

Stream S4
STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams
#
CHARACTERISTICS
DECO LIRE ON P�©INpTTRRAN7Ell
-
SCORE
Coastal
Piedmont
M_ ountain
. �
1
f .. �. -- [1. 1 M 2T3%.t
? ' .Presence of,flow %persistentpools6instreauiw
air• '-' _ :l A
- • °
` � h - ° `
1
_ _(h o ow'o- satuiatton =,0 ", str'on giflow, ymax. omts
1
`• Eviilence;ofpa'st.6unian�alreation�: - `� '
%
-, � `''� z •
-
0= 5
'` ' 5 -
4
tenve,t an= i_
exaratUi 0,oertomnts t w S ,
: � :
-
-•Riparian :zone „ °'
3
no�buffer- =0•rcontt uous wide_liufferz, =;rifax_ omts ,_&
A
E�iderice of�ttutrienttor�cheinical +discharges
extenst_v6ldtschar 'es; =A,,no dtschar es n max, omts
t.
PGroandwaterrdi & --'ge' ' If? , -- 3 P
d'
no dtschar e;= ,.sees ,wetlands ,etc.' =-maxi omis
=
- '
F,Pi,esence;of=adJacent tloodplain ', s
`lam 'dints
0 §4
'0 °- 4 `
0 - 2
3
tinoflood `lam - ,+0eXtenstve =flood = =max
'. �Enti;enchmenf % �flooilplain.aceess ° ' +' �- 7 y
'' `�” �
� "
' � • ' °�
t,
-
F „ :
rl`
,
�"= �
3
dee ?entrenched`= 0 =fie uerit floodm =}max, dints __
-3
- `Pr'esence;of!adjaeent w&1ands, `.,
'
' "e,,ad
'q
. no :weilarids = O,,Ia- acerit wetlands =,max, dints
''meander-
� - °� " ��
0
� �, ' �• ° _
°° � �0 _ =3 ",
3
_( extensive _channeltzattori = +O,inatural : = ' lmax omts )°
` 'Sediment;input
2
extenstve,& osttion= 0 litfle „oino sediment;= max, points)”
11
;Sizewdivers t- lof�channelibed;subArate:. '? , °,
"
�` �`
`� •� -s
3
fine ;homo eiious =,0 - lar e,`dtverse,stzes =� dints = _
3 ^
"
Evidence of {channel;incision' e `
or widning, -
0,
'0
x ,0
'5 -
;12
_
e
de 1 "�tricised . =t0- stable'bedr &'banks =max -dints `
=�5
�
= ,4
- -._ ,
3
1 -3
''presence_of major`�banklailures -. °`- w,
_ : ,_ � 1 '•�jI �_
, •01 •
_ _ _
�0.� 5
_" :
ti,��0,_r5�+,->
3
;
se "verererosion = °O,;rio erosion stable banks =,max omts
,5
�.
;1,4
`Root de^,it ilJdensityson'banks ' ; ° r n ,
lhout=
0-3
:0 —4
2
vtstbldfoots,= O0;idenseiroofs ',throu max, omts _
z;
15"
�,'Iinpictrby,a&ieuliuie,. livestock ;orltimber,;;producticp
5;
t s0 °4"
-k,_
0 51( r
-�
2
' substanttal�tm act =i =O' no evidence r`maz dints `
,1r6
c .Presence of `riffle- pool /nipple -pool complexes ' T
U'= 3'
0 = 5
0,- 6
3
('
nomffles)ii les'or, d 1_ =!0 =well- develo ed- __max omts
- - -
''Hatiitat complexity , _ ° ,
_ (ltttlecorino;habtta[ = 0, fre `uent,yarted habitats = maxf "dints
4
Canopy xcoverageioven itreambed -
3
X no +shadm'"we'etati6n?� -0 continuou`sicano max' otnts
Sa6strateembeddednessr °. ;
-�"
dee l �embed"deil = 0 loose•structu'r6= mix
Lim
,
,�0� -j4,1
3
E
' Presence,of stream'invertebrates,(see'page- 4)-
0
no evidence = O�common numerous' esi= max- dints '._ i
-
t
Y"
�0 5�4„
4-
0'=
0
'
no,evidencei= 0;,c6mnon numerous es = max: oints
` _
,
. =
O
22
r PresencevUisli ti ' ,� ,
no�evtdence` =_0 common numerous: es max: dints
°
�`
0
, ,°
4 ,
_ -_O,-­42z­
aT
0
s 4 Evidence,of wildlifekuse` ,- - :; ,
"
=a 7 "'
_�;: " ",'
no, evidence= +'O abundant evidence =.max, omts'
- - -
-
-
�
Total Points Possible
100
100
100
TOTAL SC®RE (also enteron first page)
51
y
_
* These characteristics are not assessed in coastal streams

ADJACENT ACTIVE
JURISDICTIONAL
DETERMINATION
DOCUMENTATION

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ld 201101024 County Wake U S G S Quad Apex
NOTIFICATION OF JURISDICTIONAL DETERMINATION
' Property Owner /Agent Glenn Futrell
Address 150 Towerview Court
Cary, NC 27513
Telephone No 919 - 612 -5245
Property description
Size (acres) 20 Nearest Town Apex
Nearest Waterway Williams Creek River Basin Neuse
USGS HUC 03020201 Coordinates N 35.7486 W - 78.8324
Location description The subject property is located northeast/adiaceiit to the intersection of Luara Duncan Rd.,
and U.S. Hwv 64 in Apex, Wake Countv, North Carolina, and contains tributaries to Williams Creek in the Neuse River.
basin
Indicate Which of ,the Following Apply:
A. Preliminary Determination
Based on`prelimmary information, there may be wetlands on the above described property We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction To be considered final, a
jui isdictional detei mination must be vei ified by the Corps This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 33 1)
B. Approved Determination
There are Navigable Waters of the United States within the above described property subject to the peimit requirements of
'Section 10'of the Rivers and Harbois Act and Section 404 of the Clean Water Act Unless there is a change in the law or
our published regulations, this determination may be i elied upon for a period not to exceed five years from the date of this
notification
X There ate waters of the US on the above described pioperty subject to the permit requirements of Section 404 of the
Clean Water Act (CWA)(33 USC § 1344) Unless theie is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years fiom the date of this notification
We strongly suggest you have the wetlands on your property delineated Due to the size of your property and /or our
piesent workload, the Corps may not be able to accomplish this wetland delineation in a timely manner For a more timely
delineation, you may wish to obtain a consultant To be considered final, any delineation must-be verified by the Corps
X The waters of the U S on your property have been delineated and the delineation has been verified by the Corps We
stiongly suggest you have this delineation surveyed Upon completion, this survey should be reviewed and verified by the
Corps Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your
property which, provided theie is no change in the law or our published iegulations, may be relied upon for a period not to
exceed five years
_ The wetlands have been delineated and surveyed and are accwately depicted on the plat signed by the Corps
Regulatory Official identified below on Unless theie is a change in the law,or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification
There are no w�tecs of the U �., to include wetlands, present on the above described property which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344) Unless there is a change in the law of our
published regulations, this determination may be relied upon foi a period not to exceed five years from the date of this
notification

The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(CAMA) You should contact the Division of Coastal Management in Washington, NC, at (252) 946 -6481 to determine
their requirements
Placement of dredged or fill material within waters of the US and /or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § l 311) If you have any questions regarding this
determination and/or the Corps regulatory program, please contact James Lastinger at 919 -554 -4884 ext 32
C. Basis For Determination
Previous Jurisdication determination approved on January 20 1999 by Todd Tugwell of the U.S. Army Corps of
Engineers. Tributaries on site were deemed jurisdictional through the,observance of an established OHWM.
D. Remarks
Previous AID SAW4999 -20297 approved by Todd Tugwell on January 20 1999 The applicant has stated there has
been no change to waters of the U.S. subject to section 404 of the CWA on site.
E. ,Attention USDA Program Participants
This delineation /determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the
particular site identified i i this request The del meation/d eterinmation may not be valid for the wetland conservation
provisions of the Food Security Act of 1985 if you or your tenant are USDA Program participants, or anticipate participation
in USDA programs, you should request a certified wetland determination from the local office of the Natural Resources
Conservation Service, prior to starting work
F. Appeals Information (This information applies only to approved Jurisdictional determinations as indicated in
B above)
This correspondence constitutes an approved jurisdictional determination for the above described site If you object to this
determination, you may iequest an administrative appeal under Corps regulations at 33 CFR part 331 Enclosed you, wilI find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form if you request to appeal this
determination you must submit a completed RFA form to the following address
District Engineer, Wilmington Regulatory Division
Attn• Jean Gibby, Field Office Chief,
Raleigh Regulatory Field Office
3331 Heritage Trade Dr., suite 105
Wake Forest, North Carohna,27587
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for
appeal under 33 CFR part 3315, and that it has been received by the District Office within 60 days of the date of the NAP
Should you decide to submit an RFA form, it must be received at the above address by August 2, 2011
* *It;,s nowneces.aiy to subrnet w7 RFA- form to the District Office i' you do not object to the determinatioa in this
correspondence **
Corps Regulatory Official
Date June 2, 2011 Expiration Date June 2, 2016
The Wilmington District is committed to providing the highest level of support to the public To help us ensure we continue to
do so, please complete the Customer Satisfaction Survey located at our website at http /h e ulatory usacesui vey coin/ to
complete the survey online
Copy fuinished
Soil and Environmental Consultants
Attn Steven Ball
11010 Raven Ridge Rd
Raleigh, NC 27614

Applicant Glenn Futrell
File Number- SAW -2011-
Date: June 2, 2011
01024
Attached is.
See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission)
A
PROFFERED PERMIT (Standard Permit or Letter of permission)
B
PERMIT DENIAL
C
X
APPROVED JURISDICTIONAL DETERMINATION
D
LM
PRELIMINARY JURISDICTIONAL DETERMINATION
E
h• 4 h! _ _ i
A `INITIAL PROFFERED PERMIT You may acceptor object to the permit.
• ACCEPT If you received a Standard Permit, you may sign the permit document and return it to the district engineer for, final
authorization If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights
to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit
® OBJECT If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that
the pennit be modified accordingly You must complete Section II of this form and return the form to the district engineer
Your objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right
to appeal the permit in the future Upon receipt of your letter, the district engineer will evaluate your objections and may (a)
modify the permit to address all of youi concerns, (b) modify the permit to addi ess some of your objections, or (c) not modify
the permit having determined that the pet rmt,should be issued as previously written After evaluating your objections, the
district engineer will send you a proffered permit foi your reconsideration, as indicated in Section B below
B• PROFFERED PERMIT• You may accept or appeal the permit
• ACCEPT If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization if you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized Your
signatureyon the Standard Permit of acceptance of the LOP means that you accept the permit in its entirety, and waive all rights
to, ^appeal'the permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit
® APPEAL If you choose to decline the proffered permit (Standard of LOP) because of certain terms and conditions therein, you
may appeal the declined permit under the Corps of Engineeis Administrative Appeal Process by completing Section II of this
form and sending the form to the division engineer This foim must be received by the division engineer within 60 days of the
date of this notice
C- PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process
by completing Section II of this form and sending the form to the division engineer This form must be received by the division
engineer within 60 days of the date of this notice
D• APPROVED JURISDICTIONAL DETERMINATION You may accept or appeal the approved JD or
provide new information.
• ACCEPT You do not need to notify the Corps to accept an approved JD Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD
• APPEAL If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section 11 of this form and sending the form to the division engineer This form must be received
by the division engineer within 60 days of the date of this notice

E: PRELIMINARY JURISDICTIONAL DETERMINATION. You do not need to respond to the Corps
regarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an
approved JD (which may be appealed), by contacting the Corps district for further instruction Also you may
provide new information for further consideration by the Corps to reevaluate the JD.
K
REASONS FOR APPEAL OR OBJECTIONS (Describe your reasons for appealing the decision or your objections to an
initial proffered permit in clear concise statements You may attach additional information to this form to clarify where your reasons
or objections are addressed in the administrative record )
ADDITIONAL INFORMATION The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the administrative record Neither the appellant nor the Corps may add,new information or analyses to the record However,
you may rovide additional information to clan the location of information that is already m the administrative record

If you have questions regarding this decision and/or the appeal
If you only have questions regarding the appeal process you may
process you may contact
also contact
James Lastinger
Jason Steele
Regulatory Specialist
Administrative Appeals Review Officer
Raleigh Regulatory Field Office
60 Forsyth Street, SW (Room 9M10)
3337 Heritage Trade ,Dr , suite 105
Atlanta, GA 30303 -8801
Wake Forest, NC 27587
404 -562 -5137
919 -554 -4884 ext 32
RIGHT OF ENTRY Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process You will be provided a 15 day
notice of any site investigation, and will have the opportunity to participate in all site investigations
Date
Telephone number.
Signature of appellant or agent
For appeals on Initial Proffered Permits and approved Jurisdictional Determinations send this
form to:
District Engineer, Wilmington Regulatory Division, Attn: Jean Gibby, Field Office Chief, Raleigh
Regulatory Field Office, 3331 Heritage Trade Dr., suite 105, Wake Forest, North Carolina 27587
For Permit denials and Proffered Permits send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Mike Bell,
Administrative Appeal Officer, CESAD- ET -CO -R, 60 Forsyth Street, Room 9M15, Atlanta,
Georgia 30303 -8801

ATTACHMENT
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD): a �y� 3
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Kimley -Horn and Associates, Inc. on behalf of:
ATTN: Edward Mann
Columbia Development
1845 St. Julian Place
Columbia, SC 29204
ATTN: Chad Evenhouse, PWS
P.O Box 33068
Raleigh, NC 27636
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: cio-SAJ- - R � � G Y s'k
Zv N1- b i r 16
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES
AT DIFFERENT SITES)
State: NC County /pansh /borough Wake County
City: Apex
Center coordinates of site (lat/long in degree decimal format).
Lat. 35.7471 ° N, Long. 78.8288° W.
Universal Transverse Mercator: 17
Name of nearest waterbody: Lake Pine
Identify (estimate) amount of waters in the review area:
Non - wetland waters: 1,035 linear feet
o Cowardin Class: Riverine
Stream Flow.
• Perennial: SD (275 linear feet)
• Intermittent: SC (760 linear feet)
O Wetlands:
o Cowardin Class. n/a

Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: n/a
Non - Tidal. n/a
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination. Date.
® Field Determination Date(s): 8/8/2013
1 The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
"pre- construction notification" (PCN), or requests verification for a non - reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for,the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water °bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court; and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
2

will be processed as soon as is practicable. Further -, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.
This preliminary JD finds that there "may be "waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
SUPPORTING DATA. Data reviewed for preliminary JD (check all that apply
- checked items should be included in case file and, where checked and
requested, appropriately reference sources below)-
® Maps, plans, plots or'plat submitted by or on behalf of the
applicant/consultant:
® Data sheets prepared /submitted by or on behalf of the
pplicant/consultant.
Office concurs with data sheets /delineation report.
i(1 Office does not concur with data sheets /delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
I ® U.S. Geological Survey map(s). Cite scale & quad name- 1.24,000 - Apex
.l'Quad (1987).
i3 ® USDA Natural Resources Conservation Service Soil Survey. Citation.
d'► Wake County (1970).
❑ 'National wetlands inventory map(s). Cite name:
❑ State /Local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100 -year Floodplain Elevation is: (National Geodectic Vertical Datum
of 1929)
YO® Photographs: ® Aerial (Name & Date), NC Statewide Orthoimagery
R- 2010.
or ❑ Other (Name & Date)-
,,,KPrevious determination(s). File no. and date of response letter: mob ;Li3SSo
Other information (please specify):

IMPORTANT NOTE: The information recorded on this form has not
necessarily been verified by the Corps and should not be relied upon for
later jurisdictional determinations.
rAignature and date of
Regulatory Project Manager
(REQUIRED)
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)
Estimated
amount of
Class of
Site
Latitude
Longitude
Cowardin
aquatic
aquatic
number
Class
resource in
resource
review area
SC -INT
35.7475
- 78.8317
Riverine
760 linear feet
non - section 10
- wetland
SD -PER
35.7490
- 78.8304
Riverine
275 linear feet
non - section 10
- non -tidal

NCDWR BUFFER
DETERMINATI ®N LETTER

i
VNA %9Q RECEIVED Michael Easley, Governor
William G Ross Jr, Secretary
APIA 0 5 2006 North Carolina Department of Environment and Natural Resources
> r—� Alan W Klimek, P.E Director
KIMLEY HORN Division of Water Quality
tNVIR.
March 29, 2006
Mr. Chad Evenhouse
Kimley -Horn and Associates, Inc
3001 Weston Parkway
Cary, NC 27513
NBRRO 06-079
County: Wake
BASIN
Neuse X Tar- Pamhco
(15A NCAC 2B 0233) (15A NCAC 2B 0259)
Complaint NOV Buffer Determination X
Incident # Avneal Call
Project Name Highway 64 Site - Apex
Location/Directions. Site is located on the north side of NC Highway 64, between Lake Pine Drive and Laura
Duncan Road in Apex
Subject Stream- UT to Williams Creek
Date of Determination: 3/22/06
Feature
Start Buffer
End Buffer
Stream
Appeal
Located
Located on
GPS Points (if provided)
Form
Call
on Soil
USGS
Survey
To o ra hic
A
Not Subject (Subject >50
X
feet offsite
B
Not Subject (Subject <50
17.5 &
X
feet offsite )
18,5
C
Subject
X
NOTE Feature C becomes peremual at Flag C6.
This determination shall expire five (5),years from the date of this letter. Landowners or afjrectedparties that
dispute a determination made by the DWQ,or Delegated Local Authority that a surface water exists and that it is
subject to the buffer rule may request a determination by the Director. A request for a determination by the
Director shall be referred to the Director in writing clo Cyndi Karoly, , DWQ Wetau&1401 Unit, 2321 Crabtree
Blvd., Raleigh, NC 27604 -2260. Individuals that dispute a determination by the DWQ or Delegated local
Authority that "exempts" a surface water from the buffer rule may ask far an ad judicatory hearing. You must
act within 60 days of the date that you receive this letter. Applicants are�hereby�notifred that the 60 -day statutory
appeal time does not start until the affected party,(including downstream andwdjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification in order to be certain that third WY thCarotina
party appeals are made in a timely manner. To ask for a hearing, send a written: petition, which conforms to Naturally
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection
Intemet h2o enr state nc us 1628 Mail Service Center Raleigh, NC 27699 -1628
An Equal Opportunity /Affirmative Acton Employer- 50% Recyded110% Post Consumer Paper
Phone [phone] Customer Seance
FAX [phone]

3/29/2006
Page 2 of 2
Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 27699 -6714. This determination is final and binding unless you ask jor a hearing
within 60 days.
The (owner /future owners) should notify the Division of Water Quality (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subject property (stated
above). 777is project may require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Quality (Central Office) at (919)- 733 -1786, and the US Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919)- 876 -8441. 1
Eric W. Kulz
Environmental
CC: File Copy
Central Files
DWQ Wetlands and Stormwater Branch
Mike Deaton — Town of Apex
One
Npith,Carolina
AWMAdlil
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection Phone [phone] Customer Service
Internet h2o enr state nc us 1628 Ma :I Sri vice Center Raleigh, NC 27699 -1628 FAX [phone]
An Equal Opportundy /Aiflrmadve Action Employer — 50 %Recycled/10% Post Consumer Paper

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PRELIMINARY JURISDICTIONAL
DETERMINATION REQUEST

Jurisdictional Determination Request
US Army Corps
of Engineers
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
to the appropriate Corps Field Office (or project manager, if known) via mail, electronic mail, or
facsimile. A current list of county assignments by Field Office and project manager can be
found on -line at: http: / /www.saw.tisace.army.miI /Missions /Re ,,ug latoryPerniitPro ,rpx , by
telephoning: 910 -251 -4633, or by contacting any of the field offices listed below:
ASHEVILLE REGULATORY FIELD OFFICE
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801 -5006
General Number: (828) 271 -7980
Fax Number: (828) 281 -8120
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: (919) 554 -4884
Fax Number: (919) 562 -0421
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: (910) 251 -4610
Fax Number: (252) 975 -1399
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910 -251 -4633
Fax Number: (910) 251 -4025
Version: December 2013 Page 1

Jurisdictional Determination Request
INSTRUCTIONS:
All requestors must complete Parts A, B, C, iD, E and F.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part G.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that all JD
requests must include the current property owner authorization for the Corps to proceed with the
determination, which may include inspection of the property when necessary. This form must be
signed by the current property owner to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for JD
requests associated with North Carolina Department of Transportation (NCDOT) projects will be
conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD may not
be valid for the wetland conservation provisions of the Food Security Act of 1985. If you or
your tenant are USDA Program participants, or anticipate participation in USDA programs, you
should also request a certified wetland determination from the local office of the Natural
Resources Conservation Service, prior to starting work.
Version: December 2013 Page 2

Jurisdictional Determination Request
A. PARCEL INFORMATION
' Street Address: (see attached'Figure 5)
City, State: Apex, NC,27502
County: Wake
Directions: Take US 64,west away,from Raleigh Site is located � approximately 2 5 miles
west of US 1,on US 64, between Laura Duncan Road and Lake Pine Drive
Parcel Index Number(s) (PN: (see attached Figure 5, property covers parts of 8 parcels)
R. REQUESTOR INFORMATION
Name: Kimley -Horn and Associates, Inc, ATTN Jason Hartshorn
Mailing Address: 3001 Weston Parkway, Cary, NC 27513
Telephone Number: 919- 677 -2121
Electronic Mail Address t: Jason Hartshom @Kimley -Hom corn
f
Select one:
❑ I am the current property owner.
❑✓ I am an Authorized Agent or Environmental Consultant
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address
3:
(see attached Figure 5)
❑ Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel /Tax Record data)
1 If available
2 Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION'
I, the undersigned, a duly authorized owner of record of the property /properties identified herein,
do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on -site investigations
and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction
under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899.
(see attached authorizations)
Property Owner (please print)
Property Owner Signature
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
Date
0 I am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does include a delineation.
F] I am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does NOT include a delineation.
I am requesting that the Corps investigate the property /project area for the presence or
absence of WoUS5 and provide an approved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
F] I am requesting that the Corps delineate the boundaries of all WoUS on a property /project
area and provide an approved JD (this may or may not include a survey plat).
F] I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property /project area and provide an approved JD (may or may not
include a survey plat).
For NCDOT requests following the current NCDOT /USACE protocols, skip to Part E.
5 Waters of the United States
Version: December 2013 Page 4

Jurisdictional Determination Request
F. ALL REQUESTS
Map of Property or Project Area (attached). This Map must clearly depict the boundaries
of the area of evaluation.
❑t7 Size of Property or Project Area 1 17 acres
I y l I verify that the property (or project) boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marked or distinguishable.
G. JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
0 Completed and signed Preliminary Jurisdictional Determination Formb.
❑✓ Project Coordinates: 35.748817 Latitude 78.829754 Longitude
Maps (no larger than 11x17) with Project Boundary Overlay:
aLarge and small scale maps that depict, at minimum: streets, intersections, towns
0 Aerial Photography of,the project area
0 USGS Topographic Map
W1 Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
6 See Appendix A of this Form. From Regulatory Guidance Letter No. 08-02, dated June 26, 2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicablc)7:
Wetlands:
❑ Wetland Data Sheets
Tributaries:
aUSACE Assessment Forms
❑ Upland Data Sheets ✓❑ Other Assessment Forms
(when appropriate)
❑ Landscape Photos, if taken
❑ Field Sketch overlain on legible Map that includes:
■ All aquatic resources (for sites with multiple resources, label and identify)
■ Locations of wetland data points and/or tributary assessment reaches
■ Locations of photo stations
■ Approximate acreage /linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
❑ Project Coordinates:
Latitude Longitude
Maps (no larger than 1 I x 17) with Project Boundary Overlay:
❑ Large and small scale maps that depict, at minimum: streets, intersections, towns
❑ Aerial Photography of the project area
❑ USGS Topographic Map
❑ Soil Survey Map
❑ Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site Plan,
previous delineation maps)
1987 Manual Regional Supplements and Data forms can be found at:
http• / /www usace.armv mil/ Missions/ CivilWorks/ RegulatoryProgramandPermits /reg supp.asox
Wetland and Stream Assessment Methodologies can be found at:
http://PQrtal.ncdenr.org/c/document library/get file ? uuid= 76f3c58b -dab8- 4960- ba43- 45b7faf06f4c &grouold =38364 and,
http• / /www.saw usace army mil/ Portals /59 /dots /regulatory/publicnQtices /2013 /NCSAM Draft User Manual 130318.pdf
a Delineation information must include, at minimum, one wetland data sheet for each wetland /community type.
Version: December 2013 Page 6

Jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands:
❑ Wetland Data Sheets
Tributaries:
❑ USACE Assessment Forms
❑ Upland Data Sheets ❑ Other Assessment Forms
(when appropriate)
❑ Landscape Photos, if taken
❑ Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
• Locations of wetland data points and/or tributary assessment reaches
• Locations of photo stations
• Approximate acreage /linear footage of aquatic resources
Supporting Jurisdictional Information (for Approved JDs only)
❑ Approved Jurisdictional Determination Form(s) (also known as "Rapanos,
Form(s)")
❑ Map(s) depicting the potential (or lack of potential) hydrologic connection(s),
adjacency, etc. to navigable waters.
9 Delineation information must include, at minimum, one wetland data sheet for each wetland /community type
Version: December 2013 Page 7

Jurisdictional Determination Request
I. REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT
Prior to final production of a Plat, the Wilmington District recommends that the Land
Surveyor electronically submit a draft of a Survey Plat to the Corps project manager for
review.
Due to storage limitations of our administrative records, the Corps requires that all hard -
copy submittals include at least one original Plat (to scale)'that is no larger than 11 "x17"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than 11 "x17 ", may also be submitted forCorps signature as needed. The
Corps also accepts electronic submittals of plats, such as those transmitted as a Portable
Document Format (PDF) file. Upon verification, the Corps can electronically sign.these
plats and return them via e-mail to the requestor.
(1) PLATS SUBMITTEID FOR APPROVAL
❑ Must be sealed and signed by a licensed professional land surveyor
F1Must be to scale (all maps must include both a graphic scale and a verbal scale)
❑ Must be legible
❑ Must include a North Arrow, Scale(s), Title, Property Information
Must include a legible WoUS Delineation Table of distances and bearings /metes
and bounds /GPS coordinates of all surveyed delineation points
Must clearly depict surveyed property or project boundaries
Must clearly, identify the known surveyed point(s) used as reference (e.g. property
corner, USGS monument)
❑ When wetlands are depicted:
• Must include acreage (or square footage) of wetland polygons
• Must identify each wetland polygon using an alphanumeric system
Version: December 2013 Page 8

i Jurisdictional Determination Request
❑ When tributaries are depicted:
® Must include either a surveyed, approximate centerline of tributary with
approximate width of tributary OR surveyed Ordinary High Water Marks
(OHWM) of tributary
• Must identify each tributary using,an alphanumeric system
® Must include linear footage of tributaries and calculated area (using approximate
widths or surveyed OHWM)
0 Must include name of tributary (based on the most recent USGS topographic
map) or, when no USGS name exists, identify as "unnamed tributary"
I
F] all depicted WoUS (wetland polygons and tributary lines) must intersect or tie -to
surveyed project/property boundaries
F] Must include the location of wetland data points and /or tributary assessment
reaches
Must include, label accordingly,, and depict acreage of all waters not currently
subject to the requirements of the CWA (e.g. "isolated wetlands ", "non -
jurisdictional waters "). NOTE: An approved JD must be conducted in order to
make an official Corps determination that a particular waterbody or wetland is not
jurisdictional.
Must include and survey all existing conveyances (pipes, culverts, etc.) that
transport WoUS
Version: December 2013 Page 9

Jurisdictional Determination Request
(2) CERTIFICATION LANGUAGE
FWhen the entire actual Jurisdictional Boundary is depicted:
include the following Corps Certification language:
"This certifies that this copy of this plat accurately depicts the boundary of the jurisdiction
of Section 404 of the Clean Water Act as determined by the undersigned on this date.
Unless there is a change in the,law or our published regulations, the determination of
Section 404 jurisdiction may be relied upon for a period not to exceed five (5) years from
this date. The undersigned completed this determination utilizing the appropriate Regional
Supplement to the 1987 U.S. Army Corps of Engineers Wetlands Delineation Manual."
Regulatory Official:
Title-
Date:
USACE Action ID No..
❑ When uplands may be present within a depicted Jurisdictional Boundary
include the following Corps Certification language:
"This certifies that this copy of this plat identifies all, areas of waters of the United States
regulated pursuant to Section 404 of the Clean Water Act as determined by the
undersigned on this date. Unless there is change in the law or our published regulations,
this determination of Section 404 jurisdiction may be relied upon for a period not to exceed
five years from this date. The undersigned completed this determination utilizing the
appropriate Regional Supplement to the 1987 U.S. Army Corps of Engineers, Wetlands
Delineation Manual."
Regulatory Official.
Title:
Date:
USA CE Action ID No.:
Version: December 2013 Page 10

Jurisdictional Determination Request
(3) GPS SURVEYS
For Surveys prepared using a Global Positioning System (GPS), the Survey must include
all of the above, as well as:
❑ be at sub -meter accuracy at each survey point.
include an accuracy verification:
i One or more known points (property corner, monument) shall be located with the
GPS and cross - referenced with the existing traditional property survey (metes and
bounds).
❑ include a brief description of the GPS equipment utilized.
ti
Version: December 2013 Page`ll
i

ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION ,DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
16mley -Hom and Associates, Inc, ATTN Jason Hartshorn on behalf of Town of Apex
3001 Weston Parkway, Cary,, NC,27513
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC
County /pansh /borough: wake county
City. Apex
Center coordinates of site (lat/long in degree decimal format):
Lat. 35.748817 °N; Long, 78.829754
Universal Transverse Mercator: 17
Name of nearest waterbody: Williams creek
oW
Identify (estimate) amount of waters in the review area:
Non- wetland waters:
51 linear feet: 3 width (ft) and /or acres.
Cowardin Class: Rivenne
Stream Flow: Intermittent
Wetlands. n/a acres.
Cowardin Class: n/a
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: n/a
Non - Tidal: n/a

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
® Maps, plans, plots or plat submitted by or on behalf of the
applicant/consultant: Kimley -Horn and Associates, Inc.
❑ Data sheets prepared /submitted by or on behalf of the
applicant/consultant.
Office concurs with data sheets /delineation report.
Office does not concur with data sheets /delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study.
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
® U.S. Geological Survey map(s). Cite scale & quad name: 124,000 Apex
® USDA Natural Resources Conservation Service Soil Survey
Citation: wake'county (1970)
❑ National wetlands inventory map(s). Cite name,
❑ State /Local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100 -year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
® Photographs: ® Aerial (Name & Date): NC Statewide Orthoimagery Project (2010) or
❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter.
❑ Other information (please specify):
2

1 The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at'this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
"pre- construction notification" (PCN), or requests verification for a non - reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could' possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever,mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable, (6) accepting a permit authorization (e:g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or °in any administrative appeal or ,,in -any Federal court; and (7) whether
the applicant - elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.
3

This preliminary JD finds that there amay be" waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
later jurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
4
y l�
S' nature and date of
erson requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

5
Estimated
Site
amount of
Class of aquatic
Latitude
Longitude
Cowardin Class
aquatic
number
resource
resource in
review area
S 1
35.748916
- 78.827490
Rivenne
4 linear feet
non - section 10 —
non -tidal
S2
35.748725
-78829130
Rivenne
47 linear feet
non - section 10 —
non -tidal
5

Letter of Authorization
The Town of Apex authorizes Kimley -Horn and Associates, Inc., to act as our
agent to prepare and coordinate the application to the U.S. Army Corps of
Engineers and the N.C. Division of Water Quality for 404/401 pernuts and
jurisdictional determinations associated with the Pine Plaza Drive Project located
in Apex, North Carolina Authorization will terminate on either final agency
action or upon written notification.
Signature
I
Printed Name
I �
Dat

_ AGENT AUTHORIZATION FORM
• �'� �� Toe �,�c�� �Ex Io! C 2�
«W-
ie& Nam�/Description: Pine Plaza Road Project, Town of Apex, NC
Date: EgtW Ky 4 zu 14
The epartn ient of the Army
U.S. rmy orps of Engineers, Wilmington District,
Atte ion: James Lastinger
Field Office: Raleigh
Re: N I letland Related Consulting,and Permitting
To hom I May Concern:
1, the current property owner of Wake County property parcel 0752175366 and
0.7524 472356, hereby designate and authorize Kimley -Horn and Associates, Inc. to act in
my/our beh If as my /our agent,solel for the purpose of processing Jurisdictional
Determinat ons, Section 404 permits /Section 401 Water Quality Certifications
application , and Neuse River Basin Riparian Buffer Determinations, and to furnish upon
request sup lemental information in support of applications, etc. from this day forward
until 6ucce sful completion of the permitting process or revocation by the owner.
Autgorized this the day of R L
SL C ► L - WA
Pririt PI perty Owner's Name Pro erty� Owner's Signature
Cc: Karen Higgins
NCB Division of Water Resources
40 l & Buffer'Permitting Unit x
1650 Mail Service Center _{
Rat eigh, NC 27699 -1650

AGENT AUTHORIZATION FORM
Name:
Address: '70 l r 0 A) l� e� �� /�c
r
Phone: cl 3 cc)s
Project Name /Description: Pine Plaza Road Project, Town of Apes NC
Date: February 4. 2014
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
Attention: James Lastinger
Field Office: Raleigh
Re: Wetland Related Consulting and Permitting
To Whom It May Concern:
I, the current property owner of Wake County property parcel 0752079346, hereby
designate and authorize Kimley -Horn and Associates, Inc. to act in my /our behalf as
my /our agent sol ely for the purpose of processing Jurisdictional Determinations, Section
404 permits/Section 401 Water Quality Certifications applications, and Neuse River
Basin Riparian Buffer Determinations, and to furnish upon request supplemental
information in support of applications, etc. from this day forward until successful
completion of the permitting process or revocation by the owner.
Authorized this the day of 17e, x,19
/`7%tAJit)
Print Property Owner's Name
Cc: Karen Higgins
NC Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
Pr a Owner's Signature

AGENT AUTHORIZATION FORM
Name:
Address: C/ Ir c =�►�.� - v C ��f $ C A �/G ;
Phone: / /o s—b� q (0
6 /y
Project Name /Description: Pine Plaza Road Project Town of Apex, NC
Date: Febi uary 4 2014
The Depattment of the Army
U.S. Army Corps of Cngitieets, Wilmington Distiict
Attention: James Lastinger
Field Office: Raleigh
,Re: Wetland Related Consulting and Permitting
To Whom It May Concern:
1, the current property owner of Wake County propci ty parcel 0752075395, .hereby
designate and authorize Kimley- l-iorn and Associates, Inc. to act in my /out behalf as
,my /out agent solely for the purpose of,piocessing Jurisdictional Determinations, Section
404 permits /Section 401 Water Quality Certifications applications, and Neuse River
Basin Riparian Buffer Deteiminations, and to furnish upon request supplenidntal
information•in support of applications, etc.'frotn thisAay forward'until successful
completion of the permitting-,process or revocation by the °owner:
Authorized this the ,!,sx day of M ez
j1 y��
Print Property Owner's Name Propei ty Owner's
Cc: Karen Higgins
NO Division of Water Resources
401 & Buffer Permitting Unit
1650 MaiLService Center
Raleigh, NC 27699 -1650

AGENT AUTHORIZATION FORM
Name- Q IV- ri r i 1- e I 1
Address 1-To I o win ui ZU r- Cam- CA t�J . N • C -115 f3
Phone R 1 01 61 1- (, 1-4 S
Project Name/Description- Pine Plaza Road Project, Town of Apex, NC
Date. February 4, 2014
The Department of the Army
U.S Army Corps of Engineers, Wilmington District
Attention: James Lastinger
Field Office Raleigh
Re- Wetland Related Consulting and Permitting
To Whom It May Concern:
I, the current property owner of Wake County property parcel 0752073789 and
0752072387, hereby designate and authorize Kimley -Horn and Associates, Inc. to act in
my /our behalf as my /our agent solely for the purpose of processing Jurisdictional
Determinations, Section 404 permits /Section 401 Water Quality Certifications
applications, and Neuse River Basin Riparian Buffer Determinations, and to furnish upon
request supplemental information in support of applications, etc. from this day forward
until successful completion of the permitting process or revocation by the owner.
Authorized this the /kri day of r brwt t► t G tl
N ,✓ Ai 4P-r; tl
Print Property Owner's Name
Cc Karen Higgins
NC Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650
Property Owner's Signature

AGENT AUTHORIZATION FORM
Name:
Address:
Phone:
Project Name/Description: Pine Plaza Road Project. Town of Apex, NC
Date: February 4. 2014
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
Attention: James Lastinger
Field Office: Raleigh
Re: Wetland Related Consulting and Permitting
To Whom It May Concern:
I, the current property owner of Wake County property parcel 0742979528 and
0742974407, hereby designaterand authorize Kimley -Horn and Associates, Inc. to act in
my /our behalf as my /our agent, solely for the purpose of processing Jurisdictional
Determinations, Section 404 permits/Section 401 Water Quality Certifications
applications, and Neuse River Basin Riparian Buffer Determinations, and to furnish upon
request supplemental information in support of applications, etc. from this day forward
until successful completion of the permitting processor revocation by the, owner.
Authorized this the 'r-1 day of rC Z
C4twl 4, so t4 d
Print Property wner's Nfinie Property Owner's Signature
Cc: Karen Higgins
NC Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699 -1650

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a
i_ VIEW L IA `�� �,_,� Project Study Area
Project Location
0 10 20 40 \ -L 0 1,500 3,000
Miles
Feet
Figure 1: Vicinity Map
Kimley > >> Horn Pine Plaza Roadway Project
Apex, Wake County, NC
September 2014

V �'' r, � � ��' �� • �.1 • iii • �
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- Legend
s
• ' 1 ' '`- .r r'- `�, r Project Study Area
0 750 1,500
Feet
Figure 2: USGS Topo Map (Apex Quad, 1987)
Kimley > >> Horn Pine Plaza Roadway Project
Apex, Wake County, NC
September 2014

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11

North Carolina Division of Water Quality - Stream Identification Form, Version 4.11
A. Geomorphology Subtotal = 11
Pine Plaza Roadway
Weak
Date: 216/2014
Project/Site: Project
Latitude: 35.748916
1'. Continuity of channel bed and bank
Stream S1
1
Evaluator: Hartshorn (KHA),
County: Wake County
Longitude: - 78.82749
R Sullivan (KHA)
0
1
Total Points: 22
Stream Dete circle one)
Other
Stream is at least intermittent
Ephemer ntermitte erennial
e.g. Quad Name: Apex
if ? 19 or perennial if ? 30
3
2
A. Geomorphology Subtotal = 11
Absent
Weak
Moderate
Strong
Score
1'. Continuity of channel bed and bank
0
1
2
3
3
2. Sinuosity of channel along thalweg
0
1
2
3
1
3. In- channel structure: ex. riffle -pool, step -pool, ripple-
ool se uence
0
1
1
3
2
4. Particle size of stream substrate
0
1
3
3
2
5. Active /relic flood lain
0
1
2
3
0
6. Depositional bars or benches
0
1
2
3
0
7. Recent alluvial deposits
0
1
2
3
0
8. Headcuts
0
1
2
3
1
9. Grade control
0
0.5
?
1.5
1
10. Natural valley
0
0.5
I
1.5
1
11. Second or greater order channel
No = 0
Yes = 3
0
artificial ditches are not rated, see discussions in manual
B. Hydrology Subtotal =
12. Presence of Baseflow
0
1
%
3
2
13. Iron oxidizing bacteria
0
1
2
3
0
14. Leaf litter
1.5
1
0.5
0
0
15. Sediment on plants or debris
0
0.5
1
1.5
0.5
16. Organic debris lines or piles
0
0.5
1
1.5
0.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
3
C. Bioloqy Subtotal =
18. Fibrous roots in streambed
3
2
1
0
2
19. Rooted upland plants in streambed
3
2
1
0
3
20. Macrobenthos note diversity and abundance
0
1
2
3
0
21. Aquatic Mollusks
0
1
2
3
0
22. Fish
0
0.5
1
1.5
0
23. Crayfish
0
0.5
1
1.5
0
24. Amphibians
0
0.5
1
1.5
0
25. Algae
0
0.5
1
1.5
0
26. Wetland plants in streambed
FACW = 0.75; OBL
= 1.5; Other = 0
0
'perennial streams may also be identified using other methods. See p 35 of manual.
Notes: Stream S1 is a headwater stream that begins north of US64 and
flows north towards an offsite stream. S1 has little sinuosity and is located
within a topographic crenulation. S1 is downcutting and becoming channelized.
There is abundant leaf litter within the stream channel.

[ USACE AID #.
DWQ#
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET -A&
Provide the following information for the stream reach under assessment:
1. Applicant's name: Town of Apex 2. Evaluator's name: 1. Hartshorn (KHA), R. Sullivan (KHA)
3. Date of evaluation: 02/06/2014
5. Name of stream: Pine Plaza Roadway - Stream S1
7. Approximate drainage area: 20 Acres
9. Length of reach evaluated: 100 Feet
4. Time of evaluation: 10:00 am
6. River basin: Neuse
8. Stream order: First Order
10. County: Wake
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): n/a
Latitude (ex. 34.872312): 35.748916 Longitude (ex. - 77.556611): - 78.827490
Method location determined (circle): EbPSi + u opo Sheetl�rtho (Aerial) Photo /GIS(D)ther GISE3Dther
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
S1 begins approx. 1000' north of US64, 1300' south of Laura Duncan Rd, & 500' west of a utility easement.
14. Proposed channel work (if any): n/a
15. Recent weather conditions: Light rain within the previous 24 hours with temperature ranging from 30 -54 degrees Farenheit.
16. Site conditions at time of visit: Cool and dry with a temperature of approximately 42 degrees Farenheit.
17. Identify any special waterway classifications known: FISection 10 Tidal Waters REssential Fisheries Habitat
nTrout Waters 00utstanding Resource Waters 21 Nutrient Sensitive Waters OWater Supply Watershed III (I -IV)
18. Is there a pond or lake located upstream of the evaluation point? NO If yes, estimate the water surface area: n/a
19. Does channel appear on USGS quad map? NO 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: % Residential % Commercial _% Industrial % Agricultural
95 % Forested 5 % Cleared / Logged % Other (
2' 3'
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2 %) OGentle (2 to 4 %) ✓[Moderate (4 to 10 %) Steep ( >10 %)
25. Channel sinuosity: Straight 00ccasional bends Frequent meander OVery sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 41 Comments:
Stream S1 is a headwater stream that begins north of US64 and flows north towards an offsite stream. S1 has little sinuosity
and is located within a topographic crenulation. S1 is downcutting and becoming channelized. There is abundant leaf litter
within the stream channel.
Evaluator's Signature Jl`v_',& n `(""a1Jt,&' n Date 02/06/2014
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919- 876 -8441 x 26.

Pine Plaza Roadway- Stream S1
STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams
#
C« W!Pf CTE�RISTIC ►S
SEC ©REGION P�OIN�T
RANGE
SCORE
,�
Coastal Piedmont
_ _s
Mountain
r = Pres6&O;f ?flow, / persistentipools'•in stream'
2
rio flow;or saturation' =.j0 4st'r'on flow, " = max oints
-
2
-` v; a aEviden &oFpast'humanialteration'° - '; '°
'
,,0 -'6 `,,'
i0,'e5�
,�"
�0
2
ex tensivelalferatidn�= O' noialteration = <maz; o�nts
=Y 1„ - x'
_''
`Riparian zone° ; `` ;. "�_
"s `
'6'
, _ _
�- 0 -,4,`:
-t
�0 -;5`
3
�no`,buffer �0 coriti` uous Vide.buffe , 'x, ouits
�`_
�: °
4,
' 'Evidence of'nufrientior,Ichem� cal discharges
'
- 5"
s • J
�,J w'
�0 4� `_
eutensw_e,dischar` = es = inax� oints
-�0
i�0 -�4°
—
+'
,• es !O,,rioAis6har
S,
A'
- ° _
disc] ge
"A' M , `g
aotdi sc4 ar e: =0• -s nn s seeps, wtlands etc oints
=>
1
,.,
6 .
,.max_
_
tt j ; a , ;P<reience�of adjacent floodplain, "f
yno
_`;`z ,0
4
2`
__ flood lam : =,0 extensw_e flood lam =,max, omts 'f
= °access
_
',
�,'_;
Entrenchment; /jtloodplain _
dee`1� ,entrenched =i0 re ui ri floodin = max. 0oin&
=a
P-resence.6f adjacenttwetlands,.- = _ _' -w
' s
± no'weilands;= •'0;_lar e•ad acent�wetl'ands`_ maxi omts _,, °
-
r
,9
", t" - a• ; 'Charinelasiiiuosityv -' _
,n
r extensive, Chan_ nelization '= _0 „natural,meander��.max, oints
1
i
_10
9ed_in ent4input ; -
' ''” �'
s
�0 -S�o
- -
0 -4
_•„ , _
0 =4 °'
2
— extenside.de osition 0' hale orno sediment ,max omts
.'
--
°
a
1'lr
-, a .s �
Size ° &'diversity;of aiinnel `tied,substrate • , � °¢ - ,
,,Y F,c a
d
3�
2
_ fine 'homo" enous_,:0 filar e` >diverse`s�zes =,max; o�nts ` _
_
h2 ,
Evidence;of channels ncision or�wideuing�
`omts 7
- - r'�
d0 -'S a
_ 0� =�4'
0 = 5 ;.
d'e`e l ncised "= O',stable bed; &gbanks =omax
13'
`'_ - ,Presence of;major,bank failures , =' `a "-
O1- S;k, ' '
0 - 5 : '
On-'S
3
seveie�bros`iorP4; no,eiosion,,stablexbanks• =,max,
_
'
_ „ w
Rbdidi ffi,and(densityon
ni
(noytsi6lexb' oAs ='0 dense roots4thr6n outs smaz oints),
Impact by,agriculture; ilivestock,;or timber prodn ction'
r ''S
'0 4
2
=0 =max
r' ,0
-
u substanti ct no'evidence oints'
.x t
Presence•of riffle- pool/npple =pool complexes,
no nflles /n le "s or; "ools = 0 :well- develo ed, =5m`ax ouit "s
'17
coinplezity'
U- - `6 s
`0 _ 6 u zr�
`t
- 6
2
F"
hftle'ornoaha6►tat = O,*& uent,_vaned habitats ___imaxs" omts
18
n - Canopy coverag "e�over.streani6ed��' ., ; " '
: ^. no'shadm 've etation = 0 jconiinuous cano -•maxi `omts
`- r
F
' a -n
",
xa
`:'
a
- X1'9
Substrate einbeddedness _ : •
'
2
dee l rembedil4 =,o _loos&4s ict'ure�=smax'
, t`
_
; Presence ;of,stream;invertebrates,(see page 4)
no edidence =•0 °cominon•,numerous es - =,max oints
0 -4-
-_
s0 = 5
-- _• .
��0� -:5„ c
"
X21
x: Presence•,of,anipliiliians . " ., ° 4
-` 0
_ �,
_
no,&vi&,ice,, =',0 cominon,_nume"rous es• =•max omfs ,' ->
`
�Z of�fisli ,
= -
<=
0
��-++
- rio9evidence ti`0 „oommon- �numerou "s= es'`•= ,-inaz oints'
-
r
23
Ey dence'ofwi1d10ej6§ -_ <��
,'
0'- 6r'-
' " =�
�0 - =5�
�fi €° ;
Ov ='S,r '
2
no evid'e'ricei= 0 aliundant,evid'ence _= maxy;` omts� • _
�`
;
Hmii
i T +otal Points Possible
IN=
100
100
Lfl,pT�®TA�h
SCORE (;also enter on first page)
41
* These characteristics are not assessed in coastal streams

North Carolina Division of Water Quality - Stream Identification Form, Version 4.11
A. Geomorphology Subtotal = 13
Pine Plaza Roadway
Weak
Date: 2/6/2014
Project/Site: Project
Latitude: 35.748725
1a. Continuity of channel bed and bank
Stream S2
1
Evaluator: Hartshorn (KHA),
County: Wake
Longitude: - 78.82913
R Sullivan (KHA)
0
1
Total Points: 25.5
Stream Deter circle one)
Other
Stream is at least intermittent
Ephemeralntermitten erennial
e.g. Quad Name: Apex
if ? 19 or perennial if ? 30
3
2
A. Geomorphology Subtotal = 13
Absent
Weak
Moderate
Strong
Score
1a. Continuity of channel bed and bank
0
1
2
3
3
2. Sinuosity of channel along thalweg
0
1
2
3
1
3. In- channel structure: ex. riffle -pool, step -pool, ripple-
ool se uence
0
1
1
3
2
4. Particle size of stream substrate
0
1
1
3
2
5. Active /relic flood lain
0
Yes = 3
2
3
1
6. Depositional bars or benches
0
1
2
3
0
7. Recent alluvial deposits
0
1
2
3
0
8. Headcuts
0
1
0
3
2
9. Grade control
0
0.5
1.5
1
10. Natural valley
0
0.5
1
1.5
1
11. Second or greater order channel
No = 0
Yes = 3
0
artificial ditches are not rated, see discussions in manual
B. Hydrology Subtotal = 7.5
12. Presence of Baseflow
0
1
2
3
2
13. Iron oxidizing bacteria
0
1
2
3
0
14. Leaf litter
1.5
1
0.5
0
0.5
15. Sediment on plants or debris
0
0.5
1
1.5
0.5
16. Organic debris lines or piles
0
0.5
1
1.5
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
3
C. Biology Subtotal =
18. Fibrous roots in streambed
3
2
1
0
2
19. Rooted upland plants in streambed
3
2
1
0
3
20. Macrobenthos note diversity and abundance
0
1
2
3
0
21. Aquatic Mollusks
0
1
2
3
0
22. Fish
0
0.5
1
1.5
0
23. Crayfish
0
1 0.5
1
1.5
0
24. Amphibians
0
0.5
1
1.5
0
25. Algae
0
0.5
1
1.5
0
26. Wetland plants in streambed
FACW = 0.75; OBL
= 1.5; Other = 0
0
'perennial streams may also be identified using other methods. See p 35 of manual.
Notes: Stream S2 is a headwater stream that begins north of US64 and
flows north to a confluence with an offsite stream. The stream has little
sinuosity and is downcutting and channelizing. S2 is located within a
topographic crenulation, and abundant leaf litter was observed within the
stream channel.

USACE AID#
DWQ#
Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET --A&
Provide the following information for the stream reach under assessment:
1. Applicant's name: Town of Apex 2. Evaluator's name: 3. Hartshorn (KHA), R. Sullivan (KHA)
4. Time of evaluation: 11:00 am
6. River basin: Neuse
8. Stream order: First Order
10. County: Wake
3. Date of evaluation: 02/06/2014
s. Name of stream: Pine Plaza Roadway- Stream S2
7. Approximate drainage area: 16 acres
9. Length of reach evaluated: 100 Feet
11. Site coordinates (if known)
Latitude (ex. 34.872312):
prefer in decimal degrees.
35.748725
12. Subdivision name (if any)
Longitude (ex. -77.556611
n/a
- 78.82913
Method location determined (circle): aPS�opo Sheet rtho (Aerial) Photo /GIS[DDther GIS❑Dther
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
S2 begins approx. 1000' north of US64, 1200' south of Laura Duncan Rd, & 1000' west of a utility easement.
14. Proposed channel work (if any): n/a
15. Recent weather conditions: Light rain within the previous 24 hours with temperature ranging from 30 -54 degrees Farenheit.
16. Site conditions at time of visit: Cool and dry with a temperature of approximately 42 degrees Farenheit.
17. Identify any special waterway classifications known: ,Section 10 DTidal Waters FlEssential Fisheries Habitat
DTrout Waters 00utstanding Resource Waters ✓2 Nutrient Sensitive Waters nWater Supply Watershed III (I -IV)
18. Is there a pond or lake located upstream of the evaluation point? NO If yes, estimate the water surface area: n/a
19. Does channel appear on USGS quad map? NO 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _% Residential % Commercial % Industrial % Agricultural
100 % Forested % Cleared / Logged % Other ( )
22. Bankfull width: 3' 23. Bank height (from bed to top of bank): 2'
24. Channel slope down center of stream: DFlat (0 to 2 %) OGentle (2 to 4 %) g✓ Moderate (4 to 10 %) DSteep ( >10 %)
25. Channel sinuosity: F71Straight 00ccasional bends Fi Frequent meander OVcry sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 43 Comments:
Stream S2 is a headwater stream that begins north of US64 and flows north to a confluence with an offsite stream
located within a topographic valley. S2 has little sinuosity and is downcutting and channelizing. S2 is located within a
topographic crenulation, and abundant leaf litter was observed within the stream channel
Evaluator's Signature Avi.&'ti ` a,4Jtz "i. Date 02/06/2014
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919- 876 -8441 x 26.

k -C
Pine Plaza Roadway-Stream S2
STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams
­tICAAAWT _9TIC,
AE -OfN,,T
SCORE
pii nt,;;
in
Presencvg ow rea
ffl- lj`peirsisteii666Wi�,St�- in'-
^�4
`0 `5
'0
10
2
01i:
1- 13
Eviaence ,oCO
4
`1 '10'
2
10;,no al etifi6n­ fhi)i Obints)
,(ekt6risive,altefation-�—,
6f
3
Riparipp,Kone Av
'us,,%Vide'
0
-r
3
4(n 6iffer,�,=A',6on6gu`6 �buffei-��,ffiaX� points)'
'icall isc arges---
ent,or,che- d­' " -
kvia,66, 4undtri in
'xt
-5
K X
3
e ensiv6,,disc'ha7rges,= O, no d6kharges = max,pounts),
tO
Groundwaiei�,disWiirge,,'
2
, springs ,
(nb,di§chdrge­O iseeps, W'etlandi;,etc', =imai ,'h6mtsl
-6
'presence-of a4i nt Ifloo doldin
_jace
"Arn
'0 -
_kl
0 e_,fl_oo'dp'lan
�(ri boo lain, 0';�e iensiy
-7,
E fit7r� e n- c fi_ ne,if/1flqod p,I- a in ac eSS7
C
5
4- 2,
_V
(dedpl fehtfench6d = O 'fie fluent foodinj =,mi x'.poihts)
'nt,wet1aiidi
�,'Presencifd,,adjaee
1� I __
40- W
0�74�
0
,8
I 1, 1 �,
-.-',(n6��1,1�tiindst7--,'Oi'larie-d��qi-'a'c�nt,;�eilatids ­.,max�points)--
!��A "
hadneltsinupsity,
` 'u
C`
1� ,0­4
(itersiv�,,Aan n�l2dtioi=�0;,naturalpmeanaer,=mWpbnts)-
Sediment input
01`5,
0 + =4'
0-- -4,",
2
nlsi ttf�_,ornoise�dimeiit oinis)
�exie-xeidej�6siti6h= t O,tli max,
i
-,gliiel,&aiveesity4f ��chiihn6bed"su6strafe
2
rill
--jfin�,ho geri6Ts A rge,,diverse sizes max poih
NA
, o- f;ch.ann e_lincision_.for widening ,
,, ff-id, eI ncI - i
'
10 —3,
0 4-
12
(d e O lY ift6 ed1 ,=gib-sfable ied&tbanW=i max; pom ts, -,
,
bank failuris
'0,
as
13
_Piesence4jfiajor
(6ereleidjo no,erosioii,sfablebanks_=,t
si n,,='
V 5
5'
Q,
3
b- Itd— eF th,and (densityon,binks
�O -s
3
�O _4
'0
3
6ns root�_thr�u�h'oiit =,m'a'x�Obints)
_010 visible�roott =16,A' e, A
un
A mpact�by�igricdltiire;,,Ii�eitocki�qr,timber,,,pr6dii, Aion,"
1, iifiViAct,,=_O, no evidence = mak Ooints)-
J6
ijesggee,d., ffle-po6/iippie-poi" lkconpiexes I ,
j -'- *,,.
, A 5'
6'
3
e �,o- Dints
(no riffie'sifippl's rp s,- jwelhdeveldped,=,maxp6
j t
':Habita6coni'pidity-
(little 6rh 'Ifabitat,r0-,-,freq-u-ent,,�van- ed_,habitat's_='rfiakpomtsj -
-,3
4
118
Y-C ovenstr6anib�
anop oyerage
6-,"- ' iiniiousi"c'an-o'6yr=3rfli)cjp6l,n,fs)' -
�fioshadiiik Vegeiatidn con
z, 5',---
4
9,
'Siuibstfitieinbeddedness
- - I - q,
AT
N
10,:11 4--
'0 ­4
2
� dde -�sttkidtu'z
(6eply�&46 i,=;'O,,,foo`sej
C 1
t—', x- I
,
I -
Preseh& ofif�eain'invertei)i;atei(see,
0
no -evidence =. O,. common ,,numeroi!§jt" pds. max: oifits)
p
10­2 4"
0 —:5,
0,_5
jo
kreisencp�6f�pm�hi ians,
!�, , - � ­ _
,
0
,
,(no,CA4dence,,= 0, commofiljniiiiieidus-, 0�:_,mixl points),
Presence,oMsk'
?0
Q
0
A c'd-mjffiojn�,'numerous types ind,�Ipoliito
[A[±,eVidence,=
E - 'vidence'*,,wildlij e,use
!O�'6
70- , 5-,
r5
0,,eyid��,C�= 6, abundant eAii&nce'=,max,pF6mf�)­'
k
01 w
as
0,
Iro
1,00
400"
�Osii,
A_
4 �ITOTAL `,SCORE' 'if
Age)
43
,(�1,ehi �t,
* These characteristics are not assessed in coastal streams