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HomeMy WebLinkAbout20200397 Ver 1_PCN Form Submission_20200321DWR mrlslon of Water Resources Pre -Construction Notification (PCN) Form September 29, 2018 Ver 3 Initial Review Has this project met the requirements for acceptance in to the review process?* r Yes r No Is this project a public transportation project?* C Yes r No Change only if needed. BIMS # Assigned 20200397 Is a payment required for this project?* r No payment required r Fee received r Fee needed - send electronic notification Reviewing Office * Raleigh Regional Office - (919) 791-4200 Information for Initial Review 1a. Name of project: Courtyards @ Holt 1a. Who is the Primary Contact?* Alex Aycrigg 1b. Primary Contact Email:* aaycrigg@fandr.com Date Submitted 3/21/2020 Nearest Body of Water Beaver Creek Basin Cape Fear Water Classification WS-IV Site Coordinates Latitude: 35.764820 A. Processing Information County (or Counties) where the project is located: Wake Is this project a public transportation project?* r Yes r No Longitude: -78.857964 1a. Type(s) of approval sought from the Corps: W Section 404 Permit (wetlands, streams and waters, Clean Water Act) r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act) 1b. What type(s) of permit(s) do you wish to seek authorization? * Nationwide Permit (NWP) * Regional General Permit (RGP) 7 Standard (IP) Version#* 1 What amout is owed?* IT $240.00 r $570.00 Select Project Reviewer* Stephanie Goss:eads\szgoss 1c. Primary Contact Phone:* (919)719-1088 1c. Has the NWP or GP number been verified by the Corps? r Yes r No Nationwide Permit (NWP) Number: NWP Numbers (for multiple NWPS): May need additional for stormwater discharge impact to wetlands. 1d. Type(s) of approval sought from the DWR: W 401 Water Quality Certification - Regular f- Non-404 Jurisdictional General Permit r Individual Permit 29 - Residential Developments le. Is this notification solely for the record because written approval is not required? For the record only for DWR401 Certification: For the record only for Corps Permit: F 401 Water Quality Certification - E)iress F Riparian Buffer Authorization 1f. Is this an after -the -fact permit application?* r Yes r No 1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts? r Yes r No 1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts? r Yes r No Acceptance Letter Attachment 59Y-0017 F3 Courtyards at Holt Wetland SOA 03-10-2020.pdf 59Y-0017 F4 Courtyards at Holt DIMS Acceptance Letter.pdf 1h. Is the project located in any of NC's twenty coastal counties? r Yes r No 1j. Is the project located in a designated trout watershed? O Yes O No B. Applicant Information 1d. Who is applying for the permit? r Owner 9 Applicant (other than owner) le. Is there an Agent/Consultant for this project?* r Yes r No 2. Owner Information 2a. Name(s) on recorded deed: Epcon Holt Road LLC 2b. Deed book and page no.: 2c. Responsible party: Mark Stiglitz 2d.Address Street Address 500 Stonehenge Parkway Address Line 2 City Dublin Postal / Zip Code 43019 2e. Telephone Number: (614)761-1010 2g. Email Address:* rristiglitz@epconcommunities.com 3. Applicant Information (if different from owner) 3a. Name: State / Rwime / legion Ohio (Twntry USA 2f. Fax Number: 161.23KB 334.03KB r Yes r No r Yes r No Same as Owner 3b. Business Name: 3c.Address Street Address same as owner Address tine 2 City same Postal / Zip Code same 3d. Telephone Number: (919)630-3330 3f. Email Address:* aaycrigg@fandr.com 4. Agent/Consultant (if applicable) 4a. Name: Alex Aycrigg 4b. Business Name: F&R 4c.Address Street Address 310 Hubert Street Address tine 2 City Raleigh Postal / Zip Code 27603 4d. Telephone Number: (919)719-1088 4f. Email Address:* aaycrigg@fandr.com Agent Authorization Letter* Property Access Auth.pdf C. Project Information and Prior Project History 1. Project Information 1b. Subdivision name: (if appropriate) Courtyards @ Holt 1c. Nearest municipality/ town: Town of Apex 2. P2. jeor�ct Identification State / Province / legion same Country same 3e. Fax Number: State / Province / legion NC Country USA 4e. Fax Number: 61.51 KB 2a. Property Identification Number: 2b. Property size: 0743234100 29 acres 2c. Project Address Street Address 1337 Holt Road at al. Address tine 2 City State / Province / legion Apex NC Postal / Zip Code Country 27523 USA 3. Surface Waters 3a. Name of the nearest body of water to proposed project:* Beaver Creek 3b. Water Resources Classification of nearest receiving water:* WS-IV 3c. What river basin(s) is your project located in?* Cape Fear 3d. Please provide the 12-digit HUC in which the project is located. 030300020609 4. Project Description and History 4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:* See attached Purpose and Need. 4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?* r Yes r No r Unknown 4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR) 03 Topo2. pdf 2.01 MB 4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR) 04 Soil Survey Map2.pdf 1.87MB 05 Soil Survey Map2.pdf 1.85MB 4f. List the total estimated acreage of all existing wetlands on the property: 2 acres 4g. List the total estimated linear feet of all existing streams on the property: 588 4h. Explain the purpose of the proposed project:* See attached Purpose and Need 41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:* See attached Purpose and Need 4j. Please upload project drawings for the proposed project. 59Y-0017 F4j Courtyards on Holt - ACOE Plan Set.pdf 3.07MB 5. Jurisdictional Determinations 5a. Have the wetlands or streams been delineated on the property or proposed impact areas?* r Yes r No r Unknown Comments: See attached Cover Letter and Purpose and Need 5b. If the Corps made a jurisdictional determination, what type of determination was made? r Preliminary r Approved r Not Verified r Unknown r N/A Corps AID Number: 5c. If 5a is yes, who delineated the jurisdictional areas? Name (if known): Paul Hughes Agency/Consultant Company: F&R Other: 5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR See attached Cover Letter 5d1. Jurisdictional determination upload CORPS Response.pdf 102.34KB 6. Future Project Plans 6a. Is this a phased project?* r Yes r No Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity? [D. Proposed Impacts Inventory "� 1. Impacts Summary 1a. Where are the impacts associated with your project? (check all that apply): W Wetlands W Streams -tributaries r Open Waters r Pond Construction 2. Wetland Impacts W Buffers 2a1 Reason (?) 2b. Impact type * (?) 2c. Type of W. 2d. W. name * 2e. Forested * 2f. Type of Jurisdicition*(?) 2g. Impact area* W1 Fill P Non -Tidal Freshwater Marsh Wetland 1 No Corps 0.048 (acres) W3 Fill P Non -Tidal Freshwater Marsh Wetland 3 Corps 0.032 (acres) W4 Fill P Non -Tidal Freshwater Marsh Wetland 4 No Corps 0.018 (acres) Pond Wetlands Fill P Non -Tidal Freshwater Marsh Pond Wetlands No Corps 0.390 (acres) W1 construction T Non -Tidal Freshwater Marsh Wetland 1 No Corps 0.004 (acres) ��T Non -Tidal Freshwater Marsh Wetland 3 Iff---torps J�:::] ff___]Fnstruction 2g. Total Temporary Wetland Impact 0.009 2g. Total Wetland Impact 0.497 2h. Comments: 3. Stream Impacts 2g. Total Permanent Wetland Impact 0.488 F1 3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name * ��3..Str am Type * [Jurisdiction f. Type of 3g. S. width * 3h. Impact (?) * length* S1 Culvert for Road Permanent Culvert Stream Intermittent Cor s P 1 Average (feet) 105 (lir�rfeet) 82 Road Crossing Temporary Bank Stabilization J Stream Intermittent Corps 1 Average (feet) 22 (lir�rfeet) 3i. Total jurisdictional ditch impact in square feet: 0 3i. Total permanent stream impacts: 105 3i. Total stream and ditch impacts: 127 3j. Comments: 6. Buffer Impacts (for DWR) 6a. Project is in which protect basin(s)? Check all that apply. r Neuse r Catawba r Goose Creek 17 Other Cape Fear 3i. Total temporary stream impacts: 22 r Tar -Pamlico r Randleman r Jordan Lake 6b. Impact Type 6c. Per or Temp 6d. Stream name 6e. Buffer mitigation required? 6f. Zone 1 impact 6g. Zone 2 impact Impacts Evaluated Separately P 0 Yes 0 0 6h. Total buffer impacts: Zone 1 Zone 2 Total Temporary impacts: 0.00 0.00 Zone 1 Zone 2 Total Permanent impacts: 0.00 0.00 Zone 1 Zone 2 Total combined buffer impacts: 0.00 0.00 61. Comments: See attached No Practical Alternatives Supporting Documentation No-Practical-Alternatives-PDF-. pdf E. Impact Justification and Mitigation 1. Avoidance and Minimization 258.38KB v la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project: See attached Purpose and Need 1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques: See attached Purpose and Need 2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State 2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State? r Yes r No 2c. If yes, mitigation is required by (check all that apply): r DWR W Corps 2d. If yes, which mitigation option(s) will be used for this project? W Mitigation bank W Payment to in -lieu fee r Permittee Responsible program Mitigation 3. Complete if Using a Mitigation Bank 3a. Name of Mitigation Bank: Wildlands Holdings: Cane Creek Umbrella Mit Bank 3b. Credits Purchased/Requested (attach receipt and letter) Type: Quantity: Riparian wetland 0.50 Riparian buffer 35761 Attach Receipt and/or letter Courtyards at Holt Wetland SOA 03-10-2020.pdf 161.23KB 3c. Comments Buffer and possibly wetland credits from Cane Creek. Stream unavailable; needs to come from DMS. See attached. 4. Complete if Making a Payment to In -lieu Fee Program 4a. Approval letter from in -lieu fee program is attached. r Yes r No 4b. Stream mitigation requested: (linear feet) 105 4d. Buffer mitigation requested (DWR only): (square feet) 4f. Non -riparian wetland mitigation requested: (acres) 4c. If using stream mitigation, what is the stream temperature: warm 4e. Riparian wetland mitigation requested: (acres) 4g. Coastal (tidal) wetland mitigation requested: (acres) 4h. Comments F. Stormwater Management and Diffuse Flow Plan (required by DWR) 1. Diffuse Flow Plan 1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules? r Yes r No What type of SCM are you providing? r Level Spreader r Vegetated Conveyance (lower SHWT) r Wetland Swale (higher Si r Other SCM that removes minimum 30 % nitrogen W Proposed project will not create concentrated stormwater flow through the buffer Diffuse Flow Documentation 2. Stormwater Management Plan 2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?* r Yes r No 2b. Does this project meet the requirements for low density projects as defined in 15ANCAC 02H .1003(2)? r Yes r No 2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater program? r Yes r No 2d. Which of the following stormwater management programs) apply: W Local Government F State Local Government Stormwater Programs W Phase II r NSW r USMP r Water Supply Please identify which local government stormwater program you are using. Town of Apex Comments: No Practical Alternatives and Stormwater being review by Jessica Bolin, PE. G. Supplementary Information 1. Environmental Documentation la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?* r Yes r No 2. Violations (DWR Requirement) 2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or Riparian Buffer Rules (15A NCAC 2B .0201 r Yes r No 3. Cumulative Impacts (DWR Requirement) 3a. Will this project result in additional development, which could impact nearby downstream water quality?" r Yes r No 3b. If you answered "no," provide a short narrative description. This project is of independent utility, is not currently planned for phasing. 4. Sewage Disposal (DWR Requirement) 4a. Is sewage disposal required by DWR for this project?* r Yes r Nor WA 5. Endangered Species and Designated Critical Habitat (Corps Requirement) 5a. Will this project occur in or near an area with federally protected species or habitat?" r Yes r No 5b. Have you checked with the USFWS concerning Endangered Species Act impacts?* r Yes r No 5d. Is another Federal agency involved?* r Yes r No r Unknown 5e. Is this a DOT project located within Division's 1-8? r Yes r No 5f. Will you cut any trees in order to conduct the work in waters of the U.S.? r Yes r No 5g. Does this project involve bridge maintenance or removal? r Yes r No 5h. Does this project involve the construction/installation of a wind turbine(s)?* r Yes r No 5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.? r Yes r No 5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? iPAC Consultation Documentation Upload 6. Essential Fish Habitat (Corps Requirement) 6a. Will this project occur in or near an area designated as an Essential Fish Habitat?* r Yes r No 6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?* iPAC 7. Historic or Prehistoric Cultural Resources (Corps Requirement) 7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?* r Yes r No 7b. What data sources did you use to determine whether your site would impact historic or archeological resources?* NHP 7c. Historic or Prehistoric Information Upload Holt SHPO.pdf 8. Flood Zone Designation (Corps Requirement) 8a. Will this project occur in a FEMA-designated 100-year floodplain?* r Yes r No 8c. What source(s) did you use to make the floodplain determination?* Flood Study M Miscellaneous Comments Miscellaneous attachments not previously requested. Signature * W By checking the box and signing below, I certify that: 156.37KB • I have given true, accurate, and complete information on this form; • I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); • I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act"); • I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND • I intend to electronically sign and submit the PCN form. Full Name: Alex Aycrigg Signature Date 3/21/2020 Wildlands Holdings IV, LLC · Wildlands Engineering, Inc · 1430 South Mint Street, Suite 104, Charlotte, NC 28203 Statement of Availability March 10, 2020 Epcon Communities 500 Stonehenge Parkway Dublin, Ohio 43017 RE: Availability of Riparian Wetland Credits for the “Courtyards at Holt” project Bank Name: Cane Creek Umbrella Mitigation Bank Bank Site: Bethel Branch Site Bank Sponsor: Wildlands Holdings IV, LLC USACE Action ID: SAW-2016-02365 Riparian Wetlands Credits Needed: 0.60 acres Riparian Wetlands Credits Available: 1.25 acres Cape Fear 03030002 River Basin Epcon Communities, Wildlands Holdings IV, LLC has the above-mentioned riparian wetland credits from the Cane Creek Umbrella Mitigation Bank: Bethel Branch Site to satisfy the mitigation requirements related to the above-mentioned project. The project is located within the service area (HUC 03030002) of the Bank. Credits may be reserved for a period of 12 months upon the receipt of a non-refundable deposit of 10% of the purchase price. Should credits not be reserved, they will be sold on a first come, first serve basis. Credit prices will be guaranteed for a period of 6 months from the date of this letter and are then subject to change. An invoice for this transaction will be sent upon your request and we will reserve the credits and price for a period of 30 days from invoice. This letter is a Statement of Availability as of the date provided – it is not a reservation of credits nor a guarantee of price. Credits will be sold on a first come, first serve basis. Final transfer of credits will occur upon completion of the Mitigation Responsibility Transfer Form within the 404 permit. Wildlands Holdings IV, LLC · Wildlands Engineering, Inc · 1430 South Mint Street, Suite 104, Charlotte, NC 28203 We appreciate the opportunity to assist you with your mitigation requirements. Please contact me at 205-807-0800 or ihazelhoff@wildlandseng.com if you have any questions or need any additional information. Sincerely, Ian M. Hazelhoff Wildlands Engineering, Inc. Land Acquisition ihazelhoff@wildlandseng.com O: (704) 332-7754 ext. 120 M: (205) 807-0800 Cc: Mr. Alex D. Aycrigg, MS, PWS, Froehling & Robertson, Inc. Wildlands Holdings IV, LLC · Wildlands Engineering, Inc · 1430 South Mint Street, Suite 104, Charlotte, NC 28203 Statement of Availability March 10, 2020 Epcon Communities 500 Stonehenge Parkway Dublin, Ohio 43017 RE: Availability of Riparian Wetland Credits for the “Courtyards at Holt” project Bank Name: Cane Creek Umbrella Mitigation Bank Bank Site: Bethel Branch Site Bank Sponsor: Wildlands Holdings IV, LLC USACE Action ID: SAW-2016-02365 Riparian Wetlands Credits Needed: 0.60 acres Riparian Wetlands Credits Available: 1.25 acres Cape Fear 03030002 River Basin Epcon Communities, Wildlands Holdings IV, LLC has the above-mentioned riparian wetland credits from the Cane Creek Umbrella Mitigation Bank: Bethel Branch Site to satisfy the mitigation requirements related to the above-mentioned project. The project is located within the service area (HUC 03030002) of the Bank. Credits may be reserved for a period of 12 months upon the receipt of a non-refundable deposit of 10% of the purchase price. Should credits not be reserved, they will be sold on a first come, first serve basis. Credit prices will be guaranteed for a period of 6 months from the date of this letter and are then subject to change. An invoice for this transaction will be sent upon your request and we will reserve the credits and price for a period of 30 days from invoice. This letter is a Statement of Availability as of the date provided – it is not a reservation of credits nor a guarantee of price. Credits will be sold on a first come, first serve basis. Final transfer of credits will occur upon completion of the Mitigation Responsibility Transfer Form within the 404 permit. Wildlands Holdings IV, LLC · Wildlands Engineering, Inc · 1430 South Mint Street, Suite 104, Charlotte, NC 28203 We appreciate the opportunity to assist you with your mitigation requirements. Please contact me at 205-807-0800 or ihazelhoff@wildlandseng.com if you have any questions or need any additional information. Sincerely, Ian M. Hazelhoff Wildlands Engineering, Inc. Land Acquisition ihazelhoff@wildlandseng.com O: (704) 332-7754 ext. 120 M: (205) 807-0800 Cc: Mr. Alex D. Aycrigg, MS, PWS, Froehling & Robertson, Inc. March 13, 2020 Mark Stiglitz EPCON Communities 11020 David Taylor Drive, Suite 105 Charlotte, NC 28262 Expiration of Acceptance: 9/13/2020 Project: Courtyards at Holt County: Wake This is a conditional acceptance letter. The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) is willing to accept payment for compensatory mitigation for impacts associated with the above referenced project as indicated in the table below. Please note that this decision does no t assure that participation in the DMS in- lieu fee mitigation program will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the applicant to contact permitting agencies to determine if payment to th e DMS will be approved. You must also comply with all other state, federal or local government permits, regulations or authorizations associated with the proposed activity including G.S. § 143 -214.11. This acceptance is valid for six months from the date of this letter and is not transferable. If we have not received a copy of the issued 404 Permit/401 Certification within this time frame, this acceptance will expire. It is the applicant’s responsibility to send copies of the permits to DMS. Once DMS receives a copy of the permit(s) an invoice will be issued based on the required mitigation in that permit and payment must be made prior to conducting the authorized work. The amount of the in-lieu fee to be paid by an applicant is calculated based upon the Fee Schedule and policies listed on the DMS website. Based on the information supplied by you in your request to use the DMS, the impacts for which you are requesting compensatory mitigation credit are summarized in the following table. The amount of mitigation required and assigned to DMS for this impact is determined by permitting agencies and may exceed the impact amounts shown below. River Basin Impact Location (8-digit HUC) Impact Type Impact Quantity Cape Fear 03030002 Riparian Wetland 0.390 Cape Fear 03030002 Non-Riparian Wetland* 0.197 Cape Fear 03030002 Warm Stream 105 Cape Fear Jordan- Lower New Hope Riparian Buffer Zone 1- 18,206 @ 3:1 Zone 2- 17,555 @1.5:1 *Non-riparian wetland credit is not available in this service area. In accordance with the directive from the February 8, 2011 IRT meeting, non-riparian wetland impacts located in the mountains and piedmont areas of North Carolina can be accepted as requested, and mitigated utilizing riparian wetland mitigation credits. Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The mitigation will be performed in accordance with the In-Lieu Fee Program instrument dated July 28, 2010 and 15A NCAC 02B .0295 as applicable. Thank you for your interest in the DMS in-lieu fee mitigation program. If you have any questions or need additional information, please contact Kelly Williams at (919) 707-8915. Sincerely, FOR James. B Stanfill Asset Management Supervisor cc: Alex Aycrigg, agent SINCE FROEHLING & ROBERTSON, INC. Engineering Stability Since 1881 310 Hubert Street Raleigh, North Carolina 27603-2302 00 T 919.828.34411 F 919.828.5751 1881 Nr I irpncp #F-n?Fif March 11, 2020 United States Army Corps of Engineers 3331 Heritage Trade Drive, Suite 105 Wake Forest, NC 27587 Re: USACE Agent Authorization Letter Courtyards @ Holt 1337 Holt Road Apex, Wake County, North Carolina Parcel ID No. 0743236975 The undersigned, registered property owner(s) of the above -note property, do hereby authorize Froehling & Robertson, Inc. (F&R) to act on behalf of the current property owner(s) as the agent for all actions necessary for the processing, issuance, and acceptance of permits or certifications pertaining to Waters of the United States at the above referenced project site. This agent authorization letter supersedes all previous agent authorizations. Owner Signature: (required) IPrinted Name: Date: Organization Stiglitz 1 3/11/20 i Epcon Communities, LLC 500 Stonehenge Parkway Mailing Address: I Dublin, Ohio 43019 Phone Number: qlc� �?e Z/ 2"d Signature: (optional) Printed Name: Date: Orgai Mailii Phorn Corporate HQ: 3015 Dumbarton Road Richmond, Virginia 23228 T 804.264.2701 F 804.264.1202 www.fandr.com VIRGINIA • NORTH CAROLINA • SOUTH CAROLINA • MARYLAND • DISTRICT OF COLUMBIA A Minoritv-Owned Business NAD 1983 StatePlane North Carolina FIPS 3900 (Feet) Clie nt :Pro je ct :Lo cat ion :F&R P roject No.:Dat a:Dat e: USG S TO PO MAP Sc ale :1:7,200 1 inch = 600 feet FI GURENo.: Epc on Co mm uni ti es Ca ro lina s, L LC Wa ke C oun ty, NC US G SJune 2 01 8 0 300 600 900 1,200 1,500 1,800150Feet Ho lt Roa d Asse mb lag e 66 W -0 0 64 FROEHLING & ROBERTSON, INC. 310 Hubert StreetRaleigh, North Carolina 27603-2302 I USAT 919.828.3441 I F 919.828.5751 Ü Disclaimer: F&R makes no warranties or guarantees regarding the accuracy orcompleteness of geographic features shown on this map. Spatial accuracy ofmeasurement provided by source agencies can be obtained by contacting F&R.Engineering Stability Since 1881 3 NAD 1983 StatePlane North Carolina FIPS 3900 (Feet) Clie nt :Pro je ct :Lo cat ion :F&R P roject No.:Dat a:Dat e: Soil Survey Map Sc ale :1:7,200 1 inch = 600 feet FI GURENo.: Epc on Co mm uni ti es Ca ro lina s, L LC Wa ke C oun ty, NC US DA Wake Cou nt y S o ils S ur v eyJune 2 01 8 0 300 600 900 1,200 1,500 1,800150Feet Ho lt Roa d Asse mb lag e 66 W -0 0 64 FROEHLING & ROBERTSON, INC. 310 Hubert StreetRaleigh, North Carolina 27603-2302 I USAT 919.828.3441 I F 919.828.5751 Ü Disclaimer: F&R makes no warranties or guarantees regarding the accuracy orcompleteness of geographic features shown on this map. Spatial accuracy ofmeasurement provided by source agencies can be obtained by contacting F&R.Engineering Stability Since 1881 4 S1 S2 NAD 1983 StatePlane North Carolina FIPS 3900 (Feet) Clie nt :Pro je ct :Lo cat ion :F&R P roject No.:Dat a:Dat e: Soil Survey Map Sc ale :1:7,200 1 inch = 600 feet FI GURENo.: Epc on Co mm uni ti es Ca ro lina s, L LC Wa ke C oun ty, NC US DA Wake Cou nt y S o ils S ur v eyJune 2 01 8 0 300 600 900 1,200 1,500 1,800150Feet Ho lt Roa d Asse mb lag e 66 W -0 0 64 FROEHLING & ROBERTSON, INC. 310 Hubert StreetRaleigh, North Carolina 27603-2302 I USAT 919.828.3441 I F 919.828.5751 Ü Disclaimer: F&R makes no warranties or guarantees regarding the accuracy orcompleteness of geographic features shown on this map. Spatial accuracy ofmeasurement provided by source agencies can be obtained by contacting F&R.Engineering Stability Since 1881 5 S1 S2 Applicant is (check one): Name of Project: Project Location: Request for a "No Practical Alternatives" Determination CONTACT INFORMATION Owner Information Agent / Consultant Information (if applicable) Applicant Information (if different from Owner) □ Agent □ Other, specify: E-mail address: Telephone Number: City, State, ZIP: Street address: Responsible Party (LLC if applicable): Deed Book and Page No.: Business name (if applicable): Name: Name(s) on Recorded Deed: Telephone Number: E-mail address: Telephone Number: E-mail address: Street address: City, State, ZIP: Street address: City, State, ZIP: Business name (if applicable): Name: Town of Apex Request for a NPA Page 1 of 4 Last updated: 8/7/2019 Property ID / PIN:Property size (acres): River basin: Jordan Lake watershed: PROJECT INFORMATION Watershed Data □ Neuse □ Cape Fear □ Yes □ No □ Primary □ SecondaryWatershed Protection Overlay District: Nearest body of water: Have permits or certifications been obtained for this project (including all prior phases) in the past? □ Yes □ No □ Unknown If yes, explain: Project History Project Description If yes, list the dates of the USACE jurisdictional determinations or DEQ or Town determinations and attach documentation : Have jurisdictional wetland or stream determinations by the USACE, DEQ, or the Town been obtained for this property? □ Yes □ No □ Unknown If yes, who delineated the jurisdictional areas? Name (if known): □ Agency □ Consultant □ Other: Jurisdictional Determinations Describe the existing conditions and land use in the vicinity of the project: List the total estimated linear footage of all existing streams (intermittent and perennial) on the property: Explain the project purpose and describe construction techniques to be used (including type of equipment): Town of Apex Request for a NPA Page 2 of 4 Last updated: 8/7/2019 Reason for impact Mitigation required? Zone 1 impact (ft2) Zone 2 impact (ft2) Zone 3 impact (ft2) □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No □ Yes □ No BUFFER IMPACTS Impacts Summary Please list all buffer impacts as a line item below. (If any impacts require mitigation, then the Mitigation section of this application must be submitted.) Mapping Call out the total area (SF) of each impact by zone. Include shading of impact areas by zone (provide a legend for clarity). Attach a map of each individual impact: Attach an overall map: □ Neuse □ Jordan Lake □ Town of ApexBuffers impacted (check all that apply): Stream name Calling out each individual buffer impact listed in the table above. Showing the extent of the project and all riparian buffers on site. Total buffer impact: Town of Apex Request for a NPA Page 3 of 4 Last updated: 8/7/2019 Name:Title: Signature: Date: Explanation & Justification Prove that the basic project purpose cannot be practically accomplished in a way that would better minimize buffer impacts than what is currently designed. Prove that the impacts shown cannot practically be reduced in area, reconfigured, or redesigned to better minimize disturbance. BUFFER IMPACTS State the practices that will be used to minimize disturbance, preserve aquatic life and habitat, and protect water quality. Certification By my signature below, I (as the applicant) attest that the information provided is accurate and meets all criteria as specified in the Town of Apex UDO. Town of Apex Request for a NPA Page 4 of 4 Last updated: 8/7/2019 E --> C (') Not secure I ncnhde.naWreseNe.org/content/map Apps 0 Google Maps A Stock Markets, Buss.. % Welcometothe PL.. 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