20011791 Ver 1_COMPLETE FILE_20010124

o?0 N! A TFRQG
r
0 `ii? -c
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
February 11, 2002
DWQ Project # 01-1791
Wake County
City of Raleigh
C/o: Stewart J. Sykes, PE
PO Box 5-%
Raleigh, NC 27602
Re: Nor-.h Hills Club, Inc. and David W. & Susan M. Dubach Properties,
&K-i Yadkin Drive and 4905 Lear Place, Raleigh, NC 27609
h4ir.e Creek X03-04-02, 27-33-14, C NSW)
Dear Mr. S,*es,
Your =replication for a 401 Water Quality Certification was received in the Central Office of the Division of
Water Oua-Ty (DWQ) on December 4, 2001. According to our rules (15A NCAC 2H .0507(A) and 15A NCAC 2B
.0233(8)', final ac6m is not taken within 60 days, the 401 Certification and Neuse Buffer Authorization
Certifies "s,.vaive^ unless DWQ has objected in writing to your application. Therefore, DWQ has waived the
requirerne. a for a 4•91 Water Quality Certification No. 3258 for your plans to impact 62 feet of stream channel for
the purp--se of proVkfing positive drainage flow and reduce erosive velocities as described in your application.
Howeirs, if accitonal impact occurs or your development plains change, this waiver is no longer valid and a
401 Wat_r Cuality C=rtification and Authorization Certificate viill be required.
If you rave any -uestions, please telephone Mr. Bob Zarzecki at 919-733-9726.
Sincerely,
ry J. Thorpe, Ph.D.
11'n6Director, DWQ
Cc: S=?e Miter-p, DWQ Raleigh Regional Office
rile copy
Coal FIe~
DWQ 011791
=s
North- Car-lna Division of Water Quality, 401 Wetlands Certificat"m. Unit,
1550 Wrai Service Center, Raleigh, NC 27699-1650 (IMc3ng A.ddr-s)
2'321 12*ree Blvd., Raleigh, NC 27604-2260 (Locatrx)
919-7'1':.'786 (phone), 919-733-6893 (fax), httpJ/h25 err-state.:-r- sJncwetlarr--s;
N
R66
pj?
?<C??'LC/r\G???
4?
L, I'd (4-a
512 N. Salisbury St. Raleigh NC 27604 Phon 919)_733-7015
_\i 0^vJ
CITY OF RALEIGH
CENTRAL ENGINEERING DEPARTMENT
222 West Hargett Street
Raleigh', North Carolina 27602
PHONE [phone]
TO ,?C, ?(! /Li<et? G /(??.? ?//.QzrltF?dd(K
27,E 9?- /ddb
Date
- -o/ ? Prod. No.
0 7
Attention
Re:

LETTER OF TRANSMITTAL
GENTLEMEN:
TRANSMITTED HEREWITH ARE THE FOLLOWING:
( J Shop drawings ( J Prints ( ] Tracings [ ) Submittal data
( J Copy of letter ( ] Progress drawings [ )
COPIES I DATE I NUMBER
I ) Specifications
DESCRIPTION
.f/
THESE ARE TRANSMITTED AS FOLLOWS:
For approval [ ) No exceptions noted ( ) Revise and resubmit
( ) For your use ( ] Make corrections noted [ ) Submit copies for distribution
[ ] As requested [ ] Reiected [ ) Return corrected prints
[ ) For review and comment ( ]
REMARKS: ?OC
M!'?liJt'/>1' IdAl?e -7r X L22,, .?i rti s C'cu,,g P4?,CtN
?-
ti1G> Aw 'reg SiTx rrfi 'T /Z; /,a,/
I?'!fil??i?lEo C/of'?l O? A t?TTE? C'i.?Fi2?tfi?r//? '?.?-E ?'-Eatlt?s o7?' 7.1E /t??'?id?'
AA/F o4AIy
_opies To / / 12,
T sll%?
Signed
Office Use Only: Form Version October 2001
USACE Action ID No. DWQ No.,
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
Section 404 Permit
Section 10 Permit
401 Water Quality Certification
® Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide 13
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: R
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here:
II. Applicant Information
1. Owner/Applicant Information
Name: North Hills Club, Inc. and David W. & Susan M. Dubach
Mailing Address: 4824 Yadkin Dr., Raleigh, N.C. 27609
4905 Lear Place, Raleijzh, N.C. 27609
Telephone Number: 919-787-3655 Fax Number: 919-781-8859
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Stewart J. Sykes, PE, City Engineer
Company Affiliation: City of Raleigh
Mailing Address: P.O. Box 590
Raleigh, N.C. 27602
Telephone Number: 919-890-3030 Fax Number: 919-890-3832
E-mail Address: [e-mail]
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
Name of project: Drainage Improvements on Properties of David & Susan Dubach and
North Hills Club, Inc.
2. T.I.P. Project Number or State Project Number (NCDOT Only)
3. Property Identification Number (Tax PIN):
4. Location
N/A
1706335637 & 1706431303
County: Wake Nearest Town: Raleigh
Subdivision name (include phase/lot number): Lt. 9 Blk. D Briarcliff Subdivision Sec. C
Directions to site (include road numbers, landmarks, etc.): Directions to North Hills Club -
North on Six Forks Rd. to Northbrook Dr., left onto Northbrook to Yadkin Dr., right onto
Yadkin Dr., North Hills Club will be on the right - 4824 Yadkin Drive.
5. Site coordinates, if available (UTM or Lat/Long): N/A
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application: The
North Hills Club property is a 16.22 acre site used as a swim and tennis club; the property is
bordered by residential properties zoned R-4.
7. Property size (acres): 4824 Yadkin Dr. - 16.22 ac. 4905 Lear Pl. - .58 acre
8. Nearest body of water (stream/river/sound/ocean/lake): Mine Creek
9. River Basin: Neuse
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.ne.us/admin/maps/.)
Page 6 of 12
10. Describe the purpose of the proposed work: The purpose of the work is to provide positive
drainage flow as well as to install a velocity dissipater to reduce erosive velocities currently
being experienced at pipe outlet.
11. List the type of equipment to be used to construct the project: 1 rubber tired backhoe,
I small duMD truck
12. Describe the land use in the vicinity of this project: Land use in the general vicinity of the
Project is primarily low density residential.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
N/A
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
No
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
Page 7 of 12
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)
1 Relocation 25 UT to Mine Creek 4 Intermittent
1 Rip-rap Dissip. 12 UT to Mine Creek 4 Intermittent
I Excavation 25 UT to Mine Creek 4 Intermittent

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 62 linear feet
Page 8 of 12
Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Name of Waterbody

(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): 0 uplands ? stream E] wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
During the past several years, stormwater flows have produced scour and deposited sediment
downstream of 24" RCP which has caused a standing water problem. The proposed project
would provide a velocity dissipater to reduce velocities and scour as well as provide for positive
flow in the stream channel.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
Page 9 of 12
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Page 10 of 12
IX.
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ® No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
/-one i extenas out .5v tect perpenaicuiar from near oanK of cnannei; Lone 2 extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
No additional impervious surface is proposed with this project.
XII. Sewage Disposal (DWQ Only)
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.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes El No
Is this an after-the-fact permit application?
Yes E] No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
i
(Agent's signat?re is valgonly if an authorization letter from the applicant is provided.)
Page 12 of 12
.--'
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Page 10 of 12
IX.
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes N No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes F-1 No N
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes [-] No ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes N No N If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet)
Multiplier Required

Mitigation
1 3
2 1.5
Total
Gone i extends out su teet perpendicular trom near bank of channel; Gone Z extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
No additional impervious surface is proposed with this project.
XII. Sewage Disposal (DWQ Only)
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.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes F No
Is this an after-the-fact permit application?
Yes ? No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

(Agent's signat?re is valV only if an authorization letter from the applicant is provided.)
Page 12 of 12
Views Looking Downstream of Pipe Outlet
\ \ EXISTING 24"
\ \ CULVERT
\ PROPERTY OF DAVID
NV. EL. 110.00 (ASSUMED)
?J AND SUSAN DUBACH
?\\8077. EL 109.48
EXTEND CULVERT f
8 401D ADD 24 i \ EXISTING CHAIN LINK FENCE
FLARED END err ?„ X x
7
\ PONDED PROPERT OF
v ° NORTH PILL CLUB, INC.
w'?'? v v v v CL EL 110.49
v v v v
70,
110.9'+/-
CL 'o voov X EL 110.66
? vvvvv ?--_.? X ?\
v AB DITCH
BOTT. 109.54 EXIT ST
?' vvvv \
FILL HOLE TO. X CL EL 110.34
AN ELEVATION I BELOW
ADD MA112W OCITY
AND 4E
DISSIPATOR (17 L X
10' WIDE X 183 THICK ING
INSTALL I RIpORTEXTILE FIL X11 ,\
FABRIC UNDER RIP RAP.
SCI C? ? DIT OF X
RIP RAP TO EXISTIW
CHANNEL (+I-N WIDE 7 DEEP)
TO ELIMINATE PONDINCZ.
NOTIE,
REMOVE TREES ONLY IF IN DEEPEN CHANCEL THIS
PATH OF DITCH EXCAVATION. AREA TO ACHIEVE POSiTIVE
DRAINAGE FROM END
RIP RAP DISSIPATER
SKETCH OF PROPOSED
DRAINAGE IMPROVEMENTS
ON PROPERTIES OF
DAVID E SUSAN DUBACN AND
NORTH PILLS CLUB, INC.
SCALE: I" = 10'
GEORGE FINCHIBONEY AND ASSOCIATES, P.A. RALEIGH, NC
OCTOBER 31, 2001

CL EL 110.57
X \ CL EL. 110.18
CL EL 108.88
\ J
0

(lL??
City Of ale gh
.North 6arolina
July 24, 2001
Mr. Robert Graham, PE
George Finch/Boney and Associates, PA
P.O. Box 10472
Raleigh, N.C. 27605-0472
Re: North Hills Club - Public Nuisance
Dear Robert:
This letter is to confirm my meeting yesterday (7/23/01) with Mr. Bob Zarzecki with the
North Carolina Division of Water Quality (NCDWQ) regarding the proposed work at the
outlet of an existing 24" RCP on the properties of the North Hills Club and Dave and
Susan Dubach. Mr. Zarzecki and myself met on site and discussed the work proposed to
alleviate the standing water problem present at the pipe outlet.
During our meeting, I outlined the scope of the work as proposed which included
removal of silt/sediment/debris within the channel in order to achieve positive grade;
installation of a rip-rap velocity dissipater as well as a 24" flared end section. Mr.
Zarzecki stated the proposed work would be an allowed use under streambank
stabilization, but would require submittal of a Pre-Construction Notification Application
(PCN) to NCDWQ for compliance with the Neuse Buffer Rules. Mr. Zarzecki
emphasized that disturbance to the buffer should be kept to a minimum and that re-
planting of vegetation in the buffer would be necessary once excavation is complete.
Minimization of disturbance as well as re-planting should be noted on the plan when
submitted.
Also, Mr. Zarzecki suggested additional vegetation could be planted in existing grassy
areas adjacent to the stream in order to improve water quality.
When submitting the application (PCN), Mr. Zarzecki noted it would be helpful to note
his site meeting in your cover letter in order to assist with expediting the permitting
process. Mr. Zarzecki stated the proposed work, should fall under Nationwide Permit 13.
)FFI(,E_, • ^^ 1NL?T -14R?_E.. 77 1 LE_P • T MX :u"U • AI I GH. C-IORI i C,"?RUIJN? 30i?
iccvcled P mate
Mr. Robert Graham, PE
7/24/01
Page Two
I trust this information will be helpful in your efforts to obtain approval for the proposed
project. Please do not hesitate to contact me should you have questions or concerns.
Since ely,
n ,
Marty 4DBizze S
Stormwater Services Engineer
Cc: Asst. City Manager - Operations
City Engineer
Stormwater Engineering Manager
Inspections Director
Housing/Environmental Inspector Supervisor
Bob Zarzecki - NCDWQ
Dave and Susan Dubach
Steven Brown - North Hills Club
File (3)
Office Use Only: Form Version October 2001
USACE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
Section 404 Permit
? Section 10 Permit
401 Water Quality Certification
® Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide 13
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here:
II. Applicant Information
1. Owner/Applicant Information
Name: North Hills Club, Inc. and David W. & Susan M. Dubach
Mailing Address: 4824 Yadkin Dr., Raleigh, N.C. 27609
4905 Lear Place, Raleigh, N.C. 27609
Telephone Number: 919-787-3655
E-mail Address:
Fax Number: 919-781-8859
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Stewart J. Sykes, PE, City Engineer
Company Affiliation: City of Raleigh
Mailing Address: P.O. Box 590
Raleigh, N.C. 27602
Telephone Number: 919-890-3030 Fax Number: 919-890-3832
E-mail Address: [e-mail]
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Drainage Improvements on Properties of David & Susan Dubach and
North Hills Club, Inc.
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
Property Identification Number (Tax PIN): 1706335637 & 1706431303
4. Location
County: Wake Nearest Town: Ralei
Subdivision name (include phase/lot number): Lt. 9 Blk. D Briarcliff Subdivision Sec. C
Directions to site (include road numbers, landmarks, etc.): Directions to North Hills Club -
North on Six Forks Rd. to Northbrook Dr., left onto Northbrook to Yadkin Dr., right onto
Yadkin Dr., North Hills Club will be on the right - 4824 Yadkin Drive.
5. Site coordinates, if available (UTM or Lat/Long): N/A
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application: The
North Hills Club property is a 16.22 acre site used as a swim and tennis club; the property is
bordered by residential oronerties zoned R-4.
7. Property size (acres): 4824 Yadkin Dr. - 16.22 ac. 4905 Lear Pl. - .58 acre
8. Nearest body of water (stream/river/sound/ocean/lake): Mine Creek
9. River Basin: Neuse
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
Page 6 of 12
10. Describe the purpose of the proposed work: The purpose of the work is to provide positive
drainage flow as well as to install a velocity dissipater to reduce erosive velocities currently
being experienced at pipe outlet.
11. List the type of equipment to be used to construct the project: 1 rubber tired backhoe,
1 small dump truck
12. Describe the land use in the vicinity of this project: Land use in the general vicinity of the
Project is primarily low density residential.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
N/A
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
No
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
Page 7 of 12
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)
1 Relocation 25 UT to Mine Creek 4 Intermittent
1 Rip-rap Dissip. 12 UT to Mine Creek 4 Intermittent
1 Excavation 25 UT to Mine Creek 4 Intermittent

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several intemet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.rnapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 62 linear feet
Page 8 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

i,ist eacn impact separateiy ana iaenmy temporary impacts. impacts mciuae, out are not ttmttea to: till, excavation, areaging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands F-] stream wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
During the past several years, stormwater flows have produced scour and deposited sediment
downstream of 24" RCP which has caused a standing water problem. The proposed project
would provide a velocity dissipater to reduce velocities and scour as well as provide for positive
flow in the stream channel.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
Page 9 of 12
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
IX.
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes F No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes F-] No ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ® No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
T Gone i extends out ju teet perpendicular trom near banK of channel; Gone 2 extends an
additional 20 feet from the edge of Zone 1.
Page I I of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
No additional impervious surface is proposed with this project.
XII. Sewage Disposal (DWQ Only)
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.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes F No
Is this an after-the-fact permit application?
Yes F? No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

,?V,p Cant/Agent's 6ignatuye Qftte.
(Agent's signatoe is vat only if an authorization letter from the applicant is provided.)
Page 12 of 12
\ \ EXISTING 24'
\ \ CULVERT
\ PROPERTY OF DAVID
INV. EL. 110.00 (ASSUMED)
1. AND SUSAN DUBACH
\\BOTT. EL 109.48
EXTEM CLJLVE12T f
RED ADD 24' , `? EXISTING CHAIN LINK FENCE
X
?rT -N\
PROPERT OF
PONDED \? v ° \ NORTH HILLq CLUB, INC.
WATER v v v v \ CL EL 110.49
ELEVATION v v v v ?`___
110.9'+/- \ vv vv -
\ v v v v v X CL EL 110.66
? vvvvv ?--_?_ X
BOTT. 109.54 EXICHA? DITCH
vvvvv \
v ov v \
FILL HOLE TO, \ X\CL EL 110.34
`
AN ELEVATION I 'BELOW
END
THE
AND ADDFLARED AP OCITY
DISSIPATOR (17 L X
10' WIDE X 18' THICK ING
CLASS I RIP RAP, +/- 15' y G.
INSTALL GEOTEXTILE FIL
FABRIC UNDER RIP RAP.
EXCAVATE DIT OF
RIP RAP TO EXIS
CHANNEL (+/-4' WIDE 7 DEEP)
TO ELIMINATE PONDING
NOTE
REMOVE TREES ONLY IF IN
PATH OF DITCH EXCAVATION.
SKETCH OF PROPOSED
DRAINAGE IMPROVEMENTS
ON PROPERTIES OF
DAVID ? SUSAN DUBACH AND
NORTH HILLS CLUB, INC.
SCALE= I" = 10'
GEORGE FINCWBONEY AND ASSOCIATES, PA. RALEIGH, INC
OCTOBER 31, 2001
%cf
1\
X CL EL 110.5
DEEPEN CHANNEL THIS
AREA TO ACHIEVE PO?TM
DRAINAGE FROM END OF
RIP RAP DISSIPATER
CL EL 108.88
\ .1
0
X \ CL EL. 110.18

\

LL
Y 0 f -TL a 117 e -I.W h
5Vorth earolina
July 24, 2001
Mr. Robert Graham, PE
George Finch/Boney and Associates, PA
P.O. Box 10472
Raleigh, N.C. 27605-0472
Re: North Hills Club - Public Nuisance
Dear Robert:
This letter is to confirm my meeting yesterday (7/23/01) with Mr. Bob Zarzecki with the
North Carolina Division of Water Quality (NCDWQ) regarding the proposed work at the
outlet of an existing 24" RCP on the properties of the North Hills Club and Dave and
Susan Dubach. Mr. Zarzecki and myself met on site and discussed the work proposed to
alleviate the standing water problem present at the pipe outlet.
During our meeting, I outlined the scope of the work as proposed which included
removal of silt/sediment/debris within the channel in order to achieve positive grade;
installation of a rip-rap velocity dissipater as well as a 24" flared end section. Mr.
Zarzecki stated the proposed work would be an allowed use under streambank
stabilization, but would require submittal of a Pre-Construction Notification Application
(PCN) to NCDWQ for compliance with the Neuse Buffer Rules. Mr. Zarzecki
emphasized that disturbance to the buffer should be kept to a minimum and that re-
planting of vegetation in the buffer would be necessary once excavation is complete.
Minimization of disturbance as well as re-planting should be noted on the plan when
submitted.
Also, Mr. Zarzecki suggested additional vegetation could be planted in existing grassy
areas adjacent to the stream in order to improve water quality.
When submitting the application (PCN), Mr. Zarzecki noted it would be helpful to note
his site meeting in your cover letter in order to assist with expediting the permitting
process. Mr. Zarzecki stated the proposed wort: should fall under Nationwide Permit 13.
()FFI(?ES • =°_^ %W -T 1-14RGE17 -7MLL T - ICISI :)f FI ;'. 13Cv 0 • { AL--.1 I iJU13Ti t;,'?ROI_IfV? "i]n??
?iecvCieo Pnue?r
Mr. Robert Graham, PE
7/24/01
Page Two
I trust this information will be helpful in your efforts to obtain approval for the proposed
project. Please do not hesitate to contact me should you have questions or concerns.
Sinc ely,
Marty 4DBizze S
Stormwater Services Engineer
Cc: Asst. City Manager - Operations
City Engineer
Stormwater Engineering Manager
Inspections Director
Housing/Environmental Inspector Supervisor
Bob Zarzecki - NCDWQ
Dave and Susan Dubach
Steven Brown - North Hills Club
File (3)
Office Use Only: Form Version October 2001
USAGE Action ID No. DWQ No.
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
Section 404 Permit
Section 10 Permit DEC i
F-] 401 Water Quality Certification "?
® Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested:
Nationwide 13
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here:
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: North Hills Club, Inc. and David W. & Susan M. Dubach
Mailing Address: 4824 Yadkin Dr., Raleigh, N.C. 27609
4905 Lear Place, Raleigh, N.C. 27609
Telephone Number: 919-787-3655 Fax Number: 919-781-8859
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Stewart J. Sykes, PE, City Engineer
Company Affiliation: City of Raleigh
Mailing Address: P.O. Box 590
Raleigh, N.C. 27602
Telephone Number: 919-890-3030 Fax Number: 919-890-3832
E-mail Address: sykessgraleigh-nc.org
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Drainage Improvements on Properties of David & Susan Dubach and
North Hills Club, Inc.
2. T.I.P. Project Number or State Project Number (NCDOT Only)
3. Property Identification Number (Tax PIN)
4. Location
County: Wake
N/A
1706335637 & 1706431303
Nearest Town: Raleigh
Subdivision name (include phase/lot number): Lt. 9 Blk. D Briarcliff Subdivision Sec. C
Directions to site (include road numbers, landmarks, etc.): Directions to North Hills Club -
North on Six Forks Rd. to Northbrook Dr., left onto Northbrook to Yadkin Dr., right onto
Yadkin Dr., North Hills Club will be on the right - 4824 Yadkin Drive.
Site coordinates, if available (UTM or Lat/Long): N/A
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application: The
North Hills Club property is a 16.22 acre site used as a swim and tennis club; the property is
bordered by residential properties zoned R-4.
7. Property size (acres): 4824 Yadkin Dr. - 16.22 ac. 4905 Lear Pl. - .58 acre
Nearest body of water (stream/river/sound/ocean/lake):
9. River Basin: Neuse
Mine Creek
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.ne.us/admin/maps/.)
Page 6 of 12
10. Describe the purpose of the proposed work: The purpose of the work is to provide positive
drainage flow as well as to install a velocity dissipater to reduce erosive velocities currently
being experienced at pine outlet.
11. List the type of equipment to be used to construct the project: 1 rubber tired backhoe,
1 small dump truck
12. Describe the land use in the vicinity of this project: Land use in the general vicinity of the
Project is primarily low density residential.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
N/A
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
No
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
Page 7 of 12
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema.gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)
1 Relocation 25 UT to Mine Creek 4 Intermittent
1 Rip-rap Dissip. 12 UT to Mine Creek 4 Intermittent
1 Excavation 25 UT to Mine Creek 4 Intermittent

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 62 linear feet
Page 8 of 12
Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Upen Water Impact
Area
Name of W
Type of Waterbody
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
No additional impervious surface is proposed with this project.
XII. Sewage Disposal (DWQ Only)
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.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes F-] No N
Is this an after-the-fact permit application?
Yes F-1 No N
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

A p`l' ant/Agent's Signat Qite.
(Agent's signat?re is val' only if an authorization letter from the applicant is provided.)
Page 12 of 12
Views Looking Downstream of Pipe Outlet
Mr. Robert Graham, PE
7/24/01
Page Two
I trust this information will be helpful in your efforts to obtain approval for the proposed
project. Please do not hesitate to contact me should you have questions or concerns.
Sinc ely,
n
Marty D Bizze S
Stormwater Services Engineer
Cc: Asst. City Manager - Operations
City Engineer
Stormwater Engineering Manager
Inspections Director
Housing/Environmental Inspector Supervisor
Bob Zarzecki - NCDWQ
Dave and Susan Dubach
Steven Brown - North Hills Club
File (3)
Office Use Only: Form Version October 2001
USACE Action ID No. DWQ No. If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
1. Processing
1. Check all of the approval(s) requested for this project:
Section 404 Permit
Section 10 Permit
l'
401 Water Quality Certification
® Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested
Nationwide 13
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here:
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Drainage Improvements on Properties of David & Susan Dubach and
North Hills Club. Inc.
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN)
4. Location
County: Wake
1706335637 & 1706431303
Nearest Town: Raleigh
Subdivision name (include phase/lot number): Lt. 9 Blk. D Briarcliff Subdivision Sec. C
Directions to site (include road numbers, landmarks, etc.): Directions to North Hills Club -
North on Six Forks Rd. to Northbrook Dr., left onto Northbrook to Yadkin Dr., rivht onto
Yadkin Dr., North Hills Club will be on the right - 4824 Yadkin Drive.
Site coordinates, if available (UTM or Lat/Long): N/A
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application: The
North Hills Club property is a 16.22 acre site used as a swim and tennis club; the property is
bordered by residential properties zoned R-4.
7. Property size (acres): 4824 Yadkin Dr. - 16.22 ac. 4905 Lear Pl. - .58 acre
8. Nearest body of water (stream/river/sound/ocean/lake): Mine Creek
9. River Basin: Neuse
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
Page 6 of 12
10. Describe the purpose of the proposed work: The purpose of the work is to provide positive
drainage flow as well as to install a velocity dissipater to reduce erosive velocities currently
being experienced at pipe outlet.
11. List the type of equipment to be used to construct the project: 1 rubber tired backhoe,
1 small dump truck
12. Describe the land use in the vicinity of this project: Land use in the general vicinity of the
Project is primarily low density residential.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
N/A
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
No
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
Page 7 of 12
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema'gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)
1 Relocation 25 UT to Mine Creek 4 Intermittent
1 Rip-rap Dissip. 12 UT to Mine Creek 4 Intermittent
1 Excavation 25 UT to Mine Creek 4 Intermittent

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapqucst.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 62 linear feet
Page 8 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): F? uplands F-] stream wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
During the past several years, stormwater flows have produced scour and deposited sediment
downstream of 24" RCP which has caused a standing water problem. The proposed project
would provide a velocity dissipater to reduce velocities and scour as well as provide for positive
flow in the stream channel.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
Page 9 of 12
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wtp/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Page 10 of 12
IX.
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes ® No ?
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ® No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
Lone i extenas out .su teet perpenatcuiar trom near oank of cnannei; Gone z extends an
additional 20 feet from the edge of Zone 1.
Page I I of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or.0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
No additional impervious surface is proposed with this project.
XII. Sewage Disposal (DWQ Only)
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.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes 7 No
Is this an after-the-fact permit application?
Yes E] No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
i
A bKant%Agent's Signat D?te .
(Agent's signat0e is val' only if an authorization letter from the applicant is provided.)
Page 12 of 12
� �
t
�
( _
1

Mr. Robert Graham, PE
7/24/01
Page Two
I trust this information will be helpful in your efforts to obtain approval for the proposed
project. Please do not hesitate to contact me should you have questions or concerns.
Sinc ely,
Marty 4DBlzze S
Stormwater Services Engineer
Cc: Asst. City Manager - Operations
City Engineer
Stormwater Engineering Manager
Inspections Director
Housing/Environmental Inspector Supervisor
Bob Zarzecki - NCDWQ
Dave and Susan Dubach
Steven Brown - North Hills Club
File (3)
Office Use Only: Form Version October 2001
USACE Action ID No. DWQ No.-?'?? '
If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A" rather than
leaving the space blank.
L Processing
L Check all of the approval(s) requested for this project:
? Section 404 Permit ;
? Section 10 Permit
? 401 Water Quality Certification
® Riparian or Watershed Buffer Rules
2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide 13
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (see section VIII - Mitigation), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: North Hills Club, Inc. and David W. & Susan M. Dubach
Mailing Address: 4824 Yadkin Dr., Raleigh, N.C. 27609
4905 Lear Place, Raleigh, N.C. 27609
Telephone Number: 919-787-3655 Fax Number: 919-781-8859
E-mail Address:
2. Agent Information (A signed and dated copy of the Agent Authorization letter must be
attached if the Agent has signatory authority for the owner/applicant.)
Name: Stewart J. Sykes, PE, City Engineer
Company Affiliation: City of Raleigh
Mailing Address: P.O. Box 590
Raleigh, N.C. 27602
Telephone Number: 919-890-3030 Fax Number: 919-890-3832
E-mail Address: [e-mail]
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Drainage Improvements on Properties of David & Susan Dubach and
North Hills Club, Inc.
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN)
1706335637 & 1706431303
4. Location
County: Wake Nearest Town: Raleigh
Subdivision name (include phase/lot number): Lt. 9 Blk. D Briarcliff Subdivision Sec. C
Directions to site (include road numbers, landmarks, etc.): Directions to North Hills Club -
North on Six Forks Rd. to Northbrook Dr., left onto Northbrook to Yadkin Dr., right onto
Yadkin Dr., North Hills Club will be on the right - 4824 Yadkin Drive.
Site coordinates, if available (UTM or Lat/Long): N/A
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Describe the existing land use or condition of the site at the time of this application: The
North Hills Club property is a 16.22 acre site used as a swim and tennis club; the property is
bordered by residential properties zoned R-4.
7. Property size (acres): 4824 Yadkin Dr. - 16.22 ac. 4905 Lear Pl. - .58 acre
8. Nearest body of water (stream/river/sound/ocean/lake): Mine Creek
9. River Basin: Neuse
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
Page 6 of 12
10. Describe the purpose of the proposed work: The purpose of the work is to provide positive
drainage flow as well as to install a velocity dissipater to reduce erosive velocities currently
being experienced at pipe outlet.
11. List the type of equipment to be used to construct the project: 1 rubber tired backhoe,
1 small dumb truck
12. Describe the land use in the vicinity of this project: Land use in the general vicinity of the
Proiect is t)rimarily low density residential.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
N/A
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application:
No
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
Page 7 of 12
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Wetland Impacts
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-358-9616, or
online at http://www.fema,gov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.)
List the total acreage (estimated) of existing wetlands on the property:
Total area of wetland impact proposed:
2. Stream Impacts, including all intermittent and perennial streams
Stream Impact
Site Number
(indicate on map)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Impact Perennial or
Intermittent?
(please specify)
1 Relocation 25 UT to Mine Creek 4 Intermittent
1 Rip-rap Dissip. 12 UT to Mine Creek 4 Intermittent
1 Excavation 25 UT to Mine Creek 4 Intermittent

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
** Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.usgs.gov. Several internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
www.mapquest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 62 linear feet
page 8 of 12
3. Open Water Impacts, including Lakes, Ponds, Estuaries, Sounds, Atlantic Ocean and any
other Water of the U.S.
Open Water Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Name of Waterbody
(if applicable) Type of Waterbody
(lake, pond, estuary, sound,
bay, ocean, etc.)

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.
4. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): 0 uplands F-1 stream wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
During the past several years, stormwater flows have produced scour and deposited sediment
downstream of 24" RCP which has caused a standing water problem. The proposed project
would provide a velocity dissipater to reduce velocities and scour as well as provide for positive
flow in the stream channel.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
Page 9 of 12
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/stnngide.html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP) with the NCWRP's written agreement. Check the box indicating that
you would like to pay into the NCWRP. Please note that payment into the NCWRP must be
reviewed and approved before it can be used to satisfy mitigation requirements. Applicants
will be notified early in the review process by the 401/Wetlands Unit if payment into the
NCWRP is available as an option. For additional information regarding the application
process for the NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If
use of the NCWRP is proposed, please check the appropriate box on page three and provide
the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Page 10 of 12
IX.
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Environmental Documentation (DWQ Only)
Does the project involve an expenditure of public funds or the use of public (federal/state/local)
land?
Yes N No 0
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes F-] No N
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes F-1 No E
X. Proposed Impacts on Riparian and Watershed Buffers (DWQ Only)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ® No N If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
Zone* Impact
(square feet) Multiplier Required
Mitigation
1 3
2 1.5
Total
tone i extenas out su reet perpenatcuiar trom near nanK of cnannei; tone Z extends an
additional 20 feet from the edge of Zone 1.
Page 11 of 12
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration / Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 213 .0242 or.0260.
XI. Stormwater (DWQ Only)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
No additional impervious surface is proposed with this project.
XII. Sewage Disposal (DWQ Only)
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.
XIII. Violations (DWQ Only)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes [] No
Is this an after-the-fact permit application?
Yes F-] No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
i
ATp rrant/ Agent's Nignat L) te.
(Agent's signat?re is val' only if an authorization letter from the applicant is provided.)
Page 12 of 12
,r
' ,r �7 { * , �v ` f' • r 4 . �1.AN,
}. 4 7° l4 te�a�':. l y t'.. I •, ,j � •�. ;
}.,tom �' .rr;, e�' •\ 1 ••1I1 / •� .i l a -� r 3.
'it>' ,y + � ) _� 1� t.,t, , 1.., rt � _ .'� �� I 'r► �i ,{ten 1,1 ) •i
' ". '_'DIY � y �V'�.'r.y ���k�-1:!_�.�1.+� v•' �•_ `�k' �ih"�
of
.k�'
_ rya + f I i• +� ''}. rift I�r '., � t r saR .
pl
b l�t'+ �.1 i )r-1 i —/ „ t r..w �t •� ,y �t t �
. .r .1'17 �`�� r ✓� d. i_ � 1��r' �
r1>y.Yk' t ... j,>' -"1 ✓',. _
• � Y
ry
All
• ! i I 6 'rir 1

\ \ EXISTING 24-
\ \ CULVERT
\ INV. EL. 110.00 (ASSUMED) PROPERTY OF DAVID
AND SUSAN DUBACH
\
EXTEND CU-VERY BOTT. EL 109.48
?
? N D M EXISTING CHAIN LINK FENCE
- X - `X - X?
\ PONDER PROPERT OF
NORTH HILL CLUB, INC.
WATER v v v ° `
ELEVATION CL EL 110.49
\ 110.9'+/- o° ° o o X - CL EL 110.66
? v v v v v .---_? X
BOTT. 109.54 °° y° EXIT STS DITCH
vv v v `?
FILL HOLE TO. X ?\ CL EL 110.34
AN B.EVATION I - BLOW `
AND ADD RIP RDAP OCITY
DISSIPATOR (17 L X ,
la WIDE X 18- THICK ING CLASS , +/- IV
FABRIC UVDE3? RIP RAP.
CHANT FROM, I'lo DIT OF X
RIP RAP TOEXI
CHANNEL. W-N WIDE 7 DES
TO ELIMINATE PODDING.
NOTC-
REMOVE TREES ONLY IF IN DEEPEN CHANNEL THIS
PATH OF DITCH EXCAVATION. AREA TO ACHIEVE POSITIVE
DRAINAGE FROM END
RIP RAP DISSIPATER
SKETCH OF PROPOSED
DRAINAGE IMPROVEMENTS
ON PROPERTIES OF
DAVID E SUSAN DUBACH AND
NORTH PILLS CLUB, INC.
SCALE= I" = 10'
GEORGE FINCWBONEY AND ASSOCIATES, P.A. RALEIGH, NC
OCTOBER 31, 2001

CL EL 110.57`
X \ CL EL. 110.18
CL EL 108.88
\ J
e

City Of I-PLatfletigh
5Vorth 6aroline.
July 24, 2001
Mr. Robert Graham, PE
George Finch'Boney and Associates, PA
P.O. Box 10472
Raleigh, N.C. 27605-0472
Re: North Hills Club - Public Nuisance
Dear Robert:
This letter is to confirm my meeting yesterday (7/23/01) with Mr. Bob Zarzecki with the
North Carolina Division of Water Quality (NCDWQ) regarding the proposed work at the
outlet of an existing 24" RCP on the properties of the North Hills Club and Dave and
Susan Dubach. Mr. Zarzecki and myself met on site and discussed the work proposed to
alleviate the standing water problem present at the pipe outlet.
During our meeting, I outlined the scope of the work as proposed which included
removal of silt/sediment/debris within the channel in order to achieve positive grade;
installation of a rip-rap velocity dissipater as well as a 24" flared end section. Mr.
Zarzecki stated the proposed work would be an allowed use under streambank
stabilization, but would require submittal of a Pre-Construction Notification Application
(PCN) to NCDWQ for compliance with the Neuse Buffer Rules. Mr. Zarzecki
emphasized that disturbance to the buffer should be kept to a minimum and that re-
planting of vegetation in the buffer would be necessary once excavation is complete.
Minimization of disturbance as well as re-planting should be noted on the plan when
submitted.
Also, Mr. Zarzecki suggested additional vegetation could be planted in existing grassy
areas adjacent to the stream in order to improve water quality.
When submitting the application (PCN), Mr. Zarzecki noted it would be helpful to note
his site meeting in your cover letter in order to assist with expediting the permitting
process. Mr. Zarzecki stated the proposed work should fall under Nationwide Permit 13.
JFFi C ___ 'Afl Sl ?-14HGE7- ;IEET. '3(`X y??. ,?ALc!;?hl_ rJURTi-I _._'JiOLIN 02
;??nvcle[1 PnDcl
Mr. Robert Graham, PE
7/24/01
Page Two
I trust this information will be helpful in your efforts to obtain approval for the proposed
project. Please do not hesitate to contact me should you have questions or concerns.
Sinc ely,
n '
Marty 4DBizze , S
Stormwater Services Engineer
Cc: Asst. City Manager - Operations
City Engineer
Stormwater Engineering Manager
Inspections Director
Housing/Environmental Inspector Supervisor
Bob Zarzecki - NCDWQ
Dave and Susan Dubach
Steven Brown - North Hills Club
File (3)