20091347 Ver 1_401 Application_20091209

AT?cRO
omop W <
09- 1 3 4 7
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PC Form
A. Applicant Information
1. Processing
I a. Type(s) of approval sought from the
Corps:
? Section 404 Permit ? Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes ? No
1d. Type(s) of approval sought from the DWQ (check all that apply):
? 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ? No For the record only for Corps Permit:

? Yes ? No
If. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in4ieu
fee program. ? Yes ANo
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below. ? Yes ? No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ? No
2. Project Information
2a. Name of project: 0 kf\
2b. County: k
2c. Nearest municipality / town:
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: 1Gk
3b. Deed Book and Page No. 1 01
3c. Responsible Party (for LLC if
applicable):
DEC 2 n 2009
3d. Street address: t'
3e. City, state, zip: a 7 U o'1 WETLANDS ANDSTORiWATER
3f. Telephone no.:
3g. Fax no.:
3h. Email address: Fd P_ l
14ew in Yilkw 1AA h14W by Ay
Page 1 of 10
PCN Form - Version 1.3 December 10, 2008 Version
D
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4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identiftcation
1a. Property identification no. (tax PIN or parcel ID): `
1b. Site coordinates (in decimal degrees): Latitude: Longitude: -
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: 93acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
proposed project:
Me
2b. Water Quality Classification of nearest receiving water:
2c. River basin:
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application: TL

rv ? n
c a n , i
3b. List the total estimated acreage of II existing w hands on the property:
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
y
3d. Explain the
purpose f the roposed project:
Qua i llc? C
J_X Aela e u ' 3 rlrpc?
SrrVY / c
3e. Describ the overall project in detail, including the type of equipment to be used:
M m6lvm4ra I e-
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
Comments:
? Yes ? No ? Unknown
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ? preliminary ? Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Agency/Consultant Company:
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
b. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? ? Yes > ('No
? Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ? Yes ? No
6b. If yes, explain.
Of 01
Q0
Page 3 of 10
PCN Form - Version 1.3 December 10, 2008 Version
C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
? Wetlands ? Streams - tributaries YUuffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)
Temporary T
W1 ? PEI T ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes
? No ? Corps
? DWQ
_
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ? PEI T ? PER ? Corps
? INT ? DWQ
S2 ? P ? T ? PER ? Corps
? INT ? DWQ
S3 ? P ? T ? PER ? Corps
? INT ? DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? PEI T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts
3i. Comments:
Page 4 of 10
PCN Form - Version 1.3 December 10, 2008 Version
4. Open Water Impacts
sounds, the Atlantic Ocean, or any other open water of
tributaries
estuaries
ponds
acts to lakes
ed im
if
h
,
,
,
,
p
ere are propos
t
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4E Total open water impacts
4g. Comments.
5. Pond or Lake Construction
If pond or lake construction ro sed then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5i. Total
59. Comments:
5h. Is a dam high hazard permit required?
? Yes ? No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a. X Neuse ? Tar-Pamlico ? Other:
Project is in which protected basin? ? Catawba ? Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason Buffer Zone 1 impact Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary T impact required?
131 XP?T ?Yes
? No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts
6i. Comments:
Page 5 of 10
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe m asures taken to av id or

gw?te was vrc e r? g' e S'
p inimize the pro sed impacts in de igning project.

rl
z iK Yer n a n.
1 b. Specifically describe measures taken avoid or minimiz the Apr posed impacts through construction techniques.
F i fr SAC f S 1 oil Pr
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ? No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this
project? ? Mitigation bank

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

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in4ieu fee fund).
6h. Comments:
Page 7 of 10
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan

1a. Does the project include or is it adjacent to protected riparian buffers identified ? Yes No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
? Yes ? No
Comments:
2. Stormwater Management Plan

2a. What is the overall percent imperviousness of this project? %
2b. Does this project require a Stormwater Management Plan? ? Yes ? No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
? Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ? DWQ Stormwater Program
? DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
? Phase 11
3b. Which of the following locally-implemented stormwater management programs ? NSW

USMP
?
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review

? Coastal counties
? HQW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
(check all that apply): ? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
? Yes ? No
attached?
6. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 8 of 10
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/stateAocal) funds or the ? Yes to
)W
use of public (federal/state) land? I
1b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ? No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
? Yes ? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H.0500), Isolated
Welland Rules (15A NCAC 2H .1300), DWQ Surface Water or Weiland Standards, ? Yes XN 0
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes XNo
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered 'no,' provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Page 9 of 10
PCN Form - Version 1.3 December 10, 2008 Version
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
habitat? ? Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts? ? Yes ? No

5c. If yes, indicate the USFWS Field Office you have contacted. ?
Raleigh
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? ? Yes ? No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
? Yes ? No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ? No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
t??l?ie•? 11
ci ioi- To -7 S57
Applicant/Agent's Printed Name ApplicanU Signature
(Agent's signature is valid only uthorization letter from the applicant
is provided.) Date
Page 10 of 10
PCN Form - Version 1.3 December 10, 2008 Version
004 W ATFAOG
D 'f
December 7, 2007
Buffer Interpretation/Clarification #2007-002
MEMORANDUM-MODIFICATION
RE: DWG's stance on wooden-slatted decks that are attached to a dwelling and its associated wooden-slatted steps
within the Neuse and Tar-Pamlico Protected Riparian Buffers
Problem: It has been brought to DWQ's attention that wooden-slatted decks that are attached to a dwelling and its
associated steps in either zone of the protected riparian buffers have only been addressed in the definitions under 15A
NCAC 02B.0202(13), where wooden-slatted decks are considered pervious. However, DWQ has concerns that not all
wooden-slatted decks are high enough to allow for adequate sunlight and moisture to penetrate them to ensure that Zones
one and two of the buffers are continuing to be maintained in vegetation as required in 15 NCAC 28.0233(4) and 15NCAC
2B.0259(4).
Solution: Provided that the wooden-slatted deck is attached to a dwelling, minimal vegetation is removed from Zone two and
no vegetation is removed from Zone one during the installation of the deck, if the deck is at least 8 feet (ft) in height to allow
fc ?teguate su„01ig did motstVrree 1g.malntainIng vegetation. benepth it an that it mee quire en s" 1i us""e't?w
for Zone one and Zone two of the buffers, then wooden slatted decks (and associated steps) would be allowable in Zones
one and two of the protected riparian buffers. However, if the deck does not meet any of the requirements listed above, it
would be considered prohibited in Zone one and Zone two of the protected riparian buffers.
Please note. If the deck is built within one of the 20 Coastal Counties that meets the criteria for the General Coastal
Major Variance, this memorandum does not apply.
Signature:
Date:
401 Wetlands Certification Unit
1650 Mad Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Ralegh, North Carolina 27604
Phone: [phone] FAX [phone] / Internet: htto://h2o.enr.state. nc.uslncwetlands
Michael F. Fasle?
Governor
William G. Ross, Jr., secretary
Department of Environment and Natural Resources
Coleen H Sullins, Director
Division of Water @uahIN
fthCarohna
aturall f
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
ECTION BLOCK PHASE
B -- SUBDIVISION PRYNWOOD
LOT
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AS RECORDED IN MAP BOOK 1998 VOL. ------- PAGE 636 LEGEND:
OF THE WAKE COUNTY REGISTRY.
I declare that this survey complies with a North Carolina Standards of Practice for Surveying (section. 1600) for
class A surveys and that the calculated (aaflo of precision before adjustments is 10,000+• Furthermore, building
comers shown are primary control mon mentation for the re-establishment of property comers in the absence of
grid monuments and other subdivision operty comers. This survey is not to be recorded without the written
authorization of the surveyor.
Professional Land Surveyor
- Z7 Notes: 1.) North arrow is referenced to record document shown above unless denoted otherwise.
2.) House ties are radial to property lines unless shown otherwise.
3.) Underground pipes are;not located with this survey.
4.) All areas are computed by coordinates.
5.) This map remains the property of the surveyor and is to be used only for the conveyance
of this lot to the person(s) shown on this map.

NIF
MEDFIELD ESTATES
BM 1969-87
O = EXISTING IRON PIPE
• = NEW IRON PIPE
P - PORCH, S = STOOP, SH = SHED
-= FENCE, R - RADIUS
-• .-• - - = CREEK (APPROX. LOCATION)
-E-= OVERHEAD ELECTRIC LINE
LP = LIGHT POLE, PP = POWER LINE
CP = CARPORT, PK = MASONRY NAIL
PL = PROPERTY LINE, MH = MANHOLE
PM = PRELIMINARY MAP
LBS = LOCATION BY SCALE
CL - CHAINLINK, WD - WOOD
C = CHIMNEY, ¦ = ELECT. TRANSFORMER
RECORDED BUILDING ENVELOPE
L = ARC LENGTH, CH= CHORD LENGTH
YI = YARD INLET
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50' RIW
SURVEY FOR
RICHARD L. SCHERTZ
LEAH W. DAIL
50'NEUSE RIVER BUFFER
30'UNDISTURBED STREAM BUFFER
a PRIVATE MAINTENANCE EASEMENT

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Web-Based Email:: Print
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Subject: Construction permit 50' easement
From: "Rick Schertz" <[e-mail]>
Date: Mon, Dec 21, 200910:00 pm
To: <[e-mail]>
Willie,
Page 1 of 1
Thank you for your call regarding the construction permit. I understand that a portion of the planned deck
(the back right comer) extends into the 50' watershed easement based on the survey and that this grassy
area under the deck in the easement is to remain vegetation.
Rick Schertz
117 Prynnwood Ct
Raleigh NC, 27607
Copyright m 2003-2009. All rights reserved.
https:HemaiIO5. secureserver.net/view_print_multi.php?uidArray=4811INBOX&aEmIPart=O 12/22/2009