20100053 Ver 1_401 Application_20100110

Michael Baker Engineering, Inc. RAN S M ITTAL
- 8000 Regency Parkway
? Suite 200
Cary, North Carolina 27518
Phone: [phone]
Fax: 919,463.5490 JAN 2 1 2010 Pi
2010005,3
DW • WATt:R QUUAIITY
119TIANDS"SMIUM HtdRANCH
TO: NC Division of Water Quality RE: Permit Application for a 401 permit for the
Parkview Building Ellerbe Creek Stabilization Project
2321 Crabtree Blvd
Raleigh, NC 27604
ATTENTION: Mr. Ian McMillan/Cyndi Karoly $PAID
DATE: January 21, 2010 JOB NO. 116333
We are sending via:
0 Fax FX Regular Mail ? Pick-up 0 Hand Delivered
The following items:
Correspondence OX Plans FX Specifications FX Other as listed below:
COPIES DATE NO. DESCRIPTION
5 Design Plans 3-11X17 & 2-full size
5 PCN form
5 Agent Authorization Forms
1 Fee $570.00
1 3 DWQ Stream Determination Form
1 Technical Specs

THESE ARE TRANSMITTED as checked below:
eX For Approval As Requested HApproved Approved As Submitted e Returned For Corrections
X For YoX For Permitting As Noted Forward To Subcontractor
REMARKS:
Please find enclosed an application for DWQ's 401 Permit application along with supporting documentation for
the Ellerbe Creek project in Durham County. If you have any questions, please call me at [phone]. Thanks.
COPY TO: File SIGNED: Kavne Van Stell
11111chael Baker Engineering, Inc.
8000 Regency Parkway
Suite 200
Cary, North Carolina 27518
Phone: [phone]
Fax: [phone]
January 21, 2010
Mr. Thomas Brown
Raleigh Regulatory Field Office
Department of the Army, Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
Ms. Cyndi Karoly
401 Oversight/Express Review Permitting Unit
2321 Crabtree Blvd, Suite 250
Raleigh, NC 27604
Re: Ellerbe Creek Stream Enhancement/Stabilization Project
401/404 Pre-Construction Notification Application
Dear Mr. Brown and Ms. Karoly:
Enclosed for your consideration and approval is the Pre-Construction Notification for the US Army Corps
nationwide permit 27 and the Division of Water Quality's general certification 3689 for stream enhancement
and stabilization for the Ellerbe Creek Restoration Project. This project is located in Downtown Durham in
Durham County, NC. Also enclosed are copies of the Ellerbe Creek Design Plans and Specs for your reference
in reviewing the PCN application.
The project meets the DWQ definition of stream restoration and funding was provided by grant
funding. A permitting fee has been included with this package. This is not a stream mitigation
project.
If I can be of any further assistance, please contact me at [phone].
Sincerely,
?V
Kayne Van Stell, Project Manager
Enclosures: PCN, Agent Authorization Forms, Figures, Construction Specifications, and Check for
permitting fees
Version 1.4
January 9, 2009
401 Oversight/Express Permitting PCN Submittal Checklist
The application fee (Checks may be made out to "N.C. Division of Water Quality"
240.O or 401 Water Quality Certification with minor impacts
- <'$570.00 r 401 Water Quality Certification with major impacts
`Express Review Fee (Amount requested on Acceptance Letter)
?? Five (5) complete and collated copies of the PCN Application and supporting
documentation (instead of providing 5 copies of the full size plans you may provide two
copies of full size plans along with three copies of 11 X 17 plans)
? Stormwater Management Plan (if applicable - see PCN Form Help File Section E)
1) Please provide three (3) copies of the stormwater management plans along with all
supporting information pertaining to this project including the following:
a. Entire site development/layout plans delineating all drainage areas;
b. Design calculation sheets for all proposed BMP(s) sized for both on-site and
off-site drainage;
c. BMP supplements for each proposed BMP and Required Items Check List
(http://h2o.enr.state.nc.us/su/bmp forms.htm) along with all required
items;
d. A Notarized Operation & Maintenance Agreement for each stormwater
management facility;
e. Detailed construction drawing sheets shall include
(i) Erosion and sediment control plans;
(ii) Installation and planting schedules for the proposed BMPs;
(iii) Appropriately scaled plan views and cross sectional details of all
BMPs and associated components - inlet and outlet structures,
forebay, respective zones and pertinent elevations.
? If your project is located within a State implemented Riparian Buffer Rule Area, submit the
vi /A following along with site plans and PCN form:
1) Three (3) copies of the details for on-site diffuse flow provisions, (refer to
http://h2o.enr.state.nc.us/su/bmp_jorms.htm).
DWQ Stream Determination Forms for streams on property and DWQ determination
letter for wetlands or streams (if applicable).
The following is the most critical of all the information that you must provide. The quality and
detail of the information will often determine the expeditiousness of the review. The following is
a checklist of the types of pertinent information required at a minimum:
Maps and Plans:
5 The most recent version of the 1:24,000 USGS Topographic Map - Please cleanly draw or
5e? 5f? delineate the site boundaries on the topographic map.
w? MAPS
The most recent version of the bound and published County NRCS Soil Survey Map -
(required for projects within the Neuse River Basin, Tar-Pamlico River Basin, Randleman
Lake Watershed and the Catawba River Basin, also recommended for all projects) -
Please clearly delineate the site boundaries, etc. on the map. If the delineation obscures
any of the features, it is recommended that a clean copy be provided. Copies of the
Version 1.4
January 9, 2009
current soil survey and/or soil survey map sheets can be obtained from the local NRCS
County Office (http://www.nc.nres.usda.gov/). GIS soil layers are not acceptable.
5EE ?""Vicinity map - Please clearly mark the location and approximate boundaries of the property
S?e?S and project on the map. Please indicate north arrow and scale. Please include applicable
road names or State Road numbers.
Sti.vt ['"The Site Plan - The most critical map to be provided is the site plan. You must provide full
BLS sized plans. The following is the minimum list of plans that are typically needed.
e005 Ql**'Pre-construction/Pre-existing conditions - This sheet (or sheets) must include:
• All jurisdictional and non-jurisdictional wetland, stream, water features, State regulated
buffers (delineated into Zones 1 and 2)
• Topographic contours with elevations
• Any existing structures and impervious areas
• Existing utility lines and easements
• Existing roads, culverts, and other pertinent features
• North arrow and the scale (1":50' scale is recommended).
eProposed conditions - This sheet (or sheets) must include:
• All jurisdictional and non-jurisdictional wetland, stream, water features, State regulated
buffers (delineated into Zones 1 and 2)
• Lot layout (if a subdivision or commercial development is proposed) - lots must be
developable without further impacts to jurisdictional and non-jurisdictional wetlands,
streams, water features, and State regulated buffers. Building envelopes must be
provided when streams, wetlands, riparian buffers, or water features exist on a lot
• All built-out structures and impervious cover
• Final grading contours with elevations
• All utilities and easements (including septic fields on all lots within 100 feet of stream,
wetland, or water features - if applicable)
• Impacted areas - these should correspond with the Impact numbers listed on your PCN
form.
? Drainage Plans - Final drainage plans must include the following:
A • Locations and pertinent elevations and sizes of the stormwater collection system and
"? drainage ways
• All inlets and outlets must also be shown with pertinent elevations (All outlets to
wetlands must be at a non-erosive velocity, generally less than 2 ft/sec during the peak
flow from the 10-yr storm)
• Scaled stormwater BMPs must also be indicated as required by DWQ rules and policies
• In certain cases (see Section E of PCN form), final stormwater management plans must
also be provided (see Stormwater Management Plan Checklist)
[Proposed Impacts - All impacts to jurisdictional and non-jurisdictional wetland, stream,
water features, and State regulated buffers must be shown and labeled on the site plans at
a scale no smaller than 1" = 50'. All excavation, fill, flooding, stabilization, and other impacts
that will be conducted in or near jurisdictional and non-jurisdictional wetland, stream, water
features, and State regulated buffers must be indicated. Please provide cross sectional
details showing the provisions for aquatic life passage (burial of culvert 20% for culverts <_ 48
inches, and 1-foot for culverts > 48 inches).
Version 1.4
January 9, 2009
Wetland Impacts:
J ? Precise grading and final elevation contours must be provided. Existing
vegetation and any clearing must be specified.
? All subsurface utility lines must indicate the location of anti-seep collars.
Construction detail for anti-seep collars must be provided.
? Roadway or other crossings of riparian wetlands may require floodway culverts to
maintain existing hydrological conditions.
? Plans should show that the hydrology of remaining wetlands on the site will be
maintained.
Stream Impacts:
Stream impacts must be clearly shown on the plans. The centerline as well as
the banks of the stream must be surveyed or located by GPS for the portion of
the stream to be impacted.
LJ The inlet and the outlet of all culverts should be aligned with the stream as
much as possible. Inlet and outlet elevations and streambed elevations should
be indicated. Any inlet or outlet protection must be shown and enumerated on
the impact map(s).
? For bottomless culverts or other spans, a vertical cross section should be
provided that shows the minimum distance from each span to each stream bank,
the stream cross section, the height of the span above the stream and the
minimum distance from the edge of each footer to each stream bank.
Additionally, please provide a signed and sealed geotechnical report of
subsurface soils at the proposed bottomless culvert location. The report must
comply with the Division of Highways - Guidelines for Drainage Studies and
Hydraulic Design, prepared by A.L. Hankins, Jr., State Hydraulics Engineer -
1999.
? Multiple culverts or sectioned box culverts typically require the use of sills, off-
,j1A setting or other means to match the cross section of the existing stream (in order
to maintain stream stability and provide aquatic life passage). A vertical cross
section of the culverts should be shown overlain with the up and downstream
stream cross section including the stream flood-prone area.
ri1A ? Impacts associated with dam construction must indicate and enumerate all fill
associated with the dam footprint, spillway and any bank stream bank
stabilization. The length of stream impounded must also be indicated and
enumerated.
North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Date: ? I I ?(? 9 Project: CF'"e k Latitude: 3C ©c ' s -I
Evaluator: 0 __'t Site: t • ?'' ?. t c° l Longitude:
tr wa ??/
Total Points: Other
m'f'r
Stream is at least intermittent / j? County: ?}} f? e.g. Quad Name:
,? Jd t. r'°a ?? t 3" ?,
if>_19orperennial if?30
A. Geomorphology (Subtotal = o J) Absent Weak I Moderate Strong
1a. Continuous bed and bank 0 1 2 3
2. Sinuosity 0
1' 2
I 3
3. In-channel structure: riffle-pool sequence - 0 ,
I ! 2 3
4. Soil texture or stream substrate sorting 0 1 2 3
5. Active/relic floodplain 0 1 2 3
6. Depositional bars or benches 0 1 2 3
7. Braided channel 0 1 2 3
8 Recent alluvial deposits 0 1 C2 3 _
9 a Natural levees d 1 2 3
10. Headcuts 0 1 2 3
11. Grade controkks 0 0.5 1 1.5
12. Natural valley or drainageway 0 0.5 1 1.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented No = 0 Yes 0
evidence.
a Man-made ditches are not rated, see discussions in manual
B. Hydrology (Subtotal = 10
14. Groundwater flow/discharge 0 1 2 3
15. Water in channel and > 48 hrs since rain, or
0
1 ?
2
Water in channel --dry or growi-ng season
- - -- - - )
16. Leaflitter 1.5 1 0 j
(10.5

17. Sediment t on plants or debris
0
0.5
1 15
_I
- --
18. Organic debris lines or piles (Wrack lines) --
0 _
0.5 1 1.5
- ---
19. Hydric soils (redoximorphic features) present?
No = 0 a
Yes1
C. Biology (Subtotal= -(y-)
20b Fibrous roots in channel 3 2 1 0
21e Rooted plants in channel 3) 2 1 0

22. Crayfish
- - - -
0
--- --- - ,' ???
0.5 yy 1,
__ L=Ss..
1-5
23. Bivalves 0 1
24- Fish 0 0.5 1?9 1.5
25 Amphibians 0 0.5 1 , 1.5
1 1-1 -l- ...........
26 Macrobenthos (note diversity and abundance) - - -
0 -
_ 0.5) 1
1.5
27. Filamentous algae, periphyton 0 1 2 3
28. Iron oxidizing bacteria/fungus 0 0.5 1 1.5
- - -
29 ° Wetland plants in streambed -
FAC 0.5 - -
FACW = 0.75; OBI = 1.5 SAV = 2.0; Other = 0
Items 2and 21 focus on the presence of upland plants, Item 29 focuses of the presence of aquatic or wetland plants.
Skatch
Notes: (use back side of this form for additional notes.)

Project Site Photographs - Ellerbe Creek, pg 1

Looking downstream near beginning of Reach at Looking upstream at Albany St. culvert crossing
Albany St. culvert crossing and significant deposition
Looking upstream at bedrock grade control and
moderate bank stability near XSC 1
XSC 2 - Riffle section with gravel substrate
Looking upstream at low flow conditions with
alternating side bar formations and sediment
deposition patterns
Looking at left bank erosion and slumping along
near pool XSC 3 - potential planting and/or
bioengineering area
Project Site Photographs - Ellerbe Creek, pg 2
portion of reach
bank

Looking at low flow conditions indicating lack of
bedform diversity and aquatic habitat
Looking at inner berm formation near middle
Looking at tributary confluence near utility
Looking at severe bank erosion
Looking at second failing stormwater outfall along
left bank
Looking at failing stormwater outfall along left
Project Site Photographs - Ellerbe Creek, pg 3
Looking at inner berm formations near middle
portion of reach - reshape channel dimension, add
instream structures
Looking downstream at right bank near Guess Rd.
with narrow buffer vegetation and potential
greenway trail extension area
Looking upstream at Guess Rd. culvert crossing
Looking at narrow buffer vegetation and lack of
bedform diversity
Looking at headcut near intermittent tributary
confluence at sanitary sewer easement crossing
Looking at downstream culvert crossing under 1-85
Ellerbe Creek Stream Enhancement/Stabilization Project
PCN Attachment: Owner Information M - t
Property Owners North of Ellerbe Creek
JAN 2a iO
Owner: City of Durham
Address: 1900 Camden Avenue, Durham, NC 27704-4702
Location: 1701 Albany Street, Durham, NC 27705
Contact: Eddie Culberson
Phone: [phone]
Fax: [phone]
Email: [e-mail]
Name on Recorded Deed: City of Durham
PIN: 0822-09-07-9227
Property Size (Ac): 8.502
Site Coordinates: 33.57N, 85.57E
Deed Book No.: 1377
Page No.: 0987
Owner: Ellerbe Creek Watershed Association
Address: PO Box 2679, Durham, NC 27705-2679
Location: 1820 Albany Street, Durham, NC 27705
Contact: Diana Tetens
Phone: [phone]
Fax: N/A
Email: [e-mail]
Name on Recorded Deed: Ellerbe Creek Watershed Association
PIN: 0822-05-17-9902
Site Coordinates: 33.57N, 85.57E
Property Size (Ac): 4.355
Deed Book No.: 3536
Page No.: 654
Owner: Shree Dutt SAI, LLC
Address: 2517 Guess Road, Durham, NC 27505
Location: 2517 Guess Road, Durham, NC 27505
Contact: N/A
Phone: [phone]
Fax: N/A
Email: N/A
Name on Recorded Deed: Shree Dutt SAI, LLC
PIN: 0822-05-28-3385
Site Coordinates: 33.57N, 85.57E
Property Size (Ac): 5.543
Deed Book No.: 5973
Page No.: 00001
?00 RR
Page 1 of 5

Owner: Ramen Patel & Lilaben Patel
Address: 720 North Madison Blvd., Roxboro, NC 27573-4638
Location: 2337 Guess Road, Durham, NC 27705
Contact: Ramen Patel & Lilaben Patel
Phone: [phone]
Fax: N/A
Email: N/A
Name on Recorded Deed: Ramen Patel & Lilaben Patel
PIN: 0822-06-28-8371
Property Size (Ac): 1.419
Site Coordinates: 33.57N, 85.57E
Deed Book No.: 2371
Page No.: 767
Owner: National Jewelry & Pawn, Inc.
Address: 2334 Guess Road, Durham, NC 27705
Location: 2334 Guess Road, Durham, NC 27705
Contact: N/A
Phone: [phone]
Fax: N/A
Email: N/A
Name on Recorded Deed: National Jewelry & Pawn, Inc.
PIN: 0822-06-38-2439
Site Coordinates: 33.57N, 85.57E
Property Size (Ac): 2.56
Deed Book No.: 1767
Page No.: 535
Owner: W C K Enterprises
Address: 5517 Briar Drive, Houston, Texas 77056
Location: 1920 Garland Street, Durham, NC 27705
Contact: N/A
Phone: N/A
Fax: N/A
Email: N/A
Name on Recorded Deed: W C K Enterprises
PIN: 0822-06-38-4604
Site Coordinates: 33.57N, 85.57E
Property Size (Ac): 2.726
Deed Book No.: 1794
Page No.: 906
Page 2 of 5
Owner: Kenneth R. McCormick, Sr. & Rhonda R. McCormick
Address: 3508 Wild Harvest Court, Durham, NC 27712-2969
Location: 1924 Garland Street, Durham, NC 27705
Contact: Kenneth R. McCormick, Sr. & Rhonda R. McCormick
Phone: [phone]
Fax: N/A
Email: N/A
Name on Recorded Deed:
PIN: 0822-06-38-5773 & 0822-06-38-6755
Property Size (Ac):1.252 & 0.906
Site Coordinates: 33.57N, 85.58E
Deed Book No.: 6036
Page No.: 641
Property Owners South of Ellerbe Creek
Owner: Ellerbe Creek Watershed Association
Address: PO Box 2679, Durham, NC 27705-2679
Location: 2100 Perennial Drive, Durham, NC 27705
Contact: Diana Tetens
Phone: [phone]
Fax: N/A
Email: [e-mail]
Name on Recorded Deed: Ellerbe Creek Watershed Association
PIN: 0822-05-17-5513
Site Coordinates: 33.57N, 85.57E
Property Size (Ac): 0.596
Deed Book No.: 2811
Page No.: 344
Owner: Ellerbe Creek Watershed Association
Address: PO Box 2679, Durham, NC 27705-2679
Location: 2100 Perennial Drive, Durham, NC 27705
Contact: Diana Tetens
Phone: [phone]
Fax: N/A
Email: [e-mail]
Name on Recorded Deed: Ellerbe Creek Watershed Association
PIN: 0822-05-17-6588
Site Coordinates: 33.57N, 85.57E
Property Size (Ac): 0.586
Deed Book No.: 2811
Page No.: 344
Page 3 of 5
11
Owner: Ellerbe Creek Watershed Association
Address: PO Box 2679, Durham, NC 27705-2679
Location: 2100 Perennial Drive, Durham, NC 27705
Contact: Diana Tetens
Phone: [phone]
Fax: N/A
Email: [e-mail]
Name on Recorded Deed: Ellerbe Creek Watershed Association
PIN: 0822-05-17-8653
Site Coordinates: 33.57N, 85.57E
Property Size (Ac): 0.983
Deed Book No.: 2811
Page No.: 344
Owner: Ellerbe Creek Watershed Association
Address: PO Box 2679, Durham, NC 27705-2679
Location: 2100 Perennial Drive, Durham, NC 27705
Contact: Diana Tetens
Phone: [phone]
Fax: N/A
Email: [e-mail]
Name on Recorded Deed: Ellerbe Creek Watershed Association
PIN: 0822-05-27-0638
Site Coordinates: 33.57N, 85.57E
Property Size (Ac): 0.390
Deed Book No.: 2811
Page No.: 344
Owner: Ellerbe Creek Watershed Association
Address: PO Box 2679, Durham, NC 27705-2679
Location: 2100 Perennial Drive, Durham, NC 27705
Contact: Diana Tetens
Phone: [phone]
Fax: N/A
Email: [e-mail]
Name on Recorded Deed: Ellerbe Creek Watershed Association
PIN: 0822-05-27-1732
Site Coordinates: 33.57N, 85.57E
Property Size (Ac): 0.854
Deed Book No.: 2811
Page No.: 344
Page 4 of 5

Owner: Ellerbe Creek Watershed Association
Address: PO Box 2679, Durham, NC 27705-2679
Location: 1811 Maryland Avenue, Durham, NC 27705
Contact: Diana Tetens
Phone: [phone]
Fax: N/A
Email: [e-mail]
Name on Recorded Deed: Ellerbe Creek Watershed Association
PIN: 0822-06-27-7832
Site Coordinates: 33.57N, 85.57E
Property Size (Ac): 6.652
Deed Book No.: 3536
Page No.: 654
Owner: City of Durham
Address: 1900 Camden Avenue, Durham, NC 27704-4702
Location: 1900 Maryland Avenue, Durham, NC 27705
Contact: Eddie Culberson
Phone: [phone]
Fax: [phone]
Email: [e-mail]
Name on Recorded Deed: City of Durham
PIN: 0822-06-38-1047
Property Size (Ac): 1.828
Site Coordinates: 33.57N, 85.57E
Deed Book No.: 120
Page No.: 505
Owner: City of Durham
Address: 1900 Camden Avenue, Durham, NC 27704-4702
Location: 2300 Guess Road, Durham, NC 27705
Contact: Eddie Culberson
Phone: [phone]
Fax: [phone]
Email: [e-mail]
Name on Recorded Deed: City of Durham
PIN: 0822-06-38-6432 per Durham Co Tax Records
0822-06-38-6309 per GIS Database
Property Size (Ac): 2.041
Site Coordinates: 33.57N, 85.57E
Deed Book No.: 74
Page No.: 589
Page 5 of 5

?p W A t?9
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20100053
INPOvember 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 27 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes ® No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express ? Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required? For the record only for DWQ 401
Certification:
? Yes ® No For the record only for Corps Permit:

? Yes ® No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: Ellerbe Creek Stream Enhancement & Stabilization Project
2b. County: Durham
2c. Nearest municipality / town: Durham
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: N/A
3. Owner Information
3a. Name on Recorded Deed: See Attached
3b. Deed Book and Page No. See Attached
3c. Responsible Party (for LLC if
applicable): N/A
3d. Street address: See Attached
3e. City, state, zip: See Attached
3f. Telephone no.: See Attached
3g. Fax no.: See Attached
3h. Email address: See Attached
Page 1 of 13
PCN Form - Version 1.0 November 2008 Version
Section A. Applicant Information, continued
4. Applicant Information (if different from owner)
4a. Applicant is: ® Agent ? Other, specify:
4b. Name: Diana Tetens, Executive Director
4c. Business name
(if applicable): Ellerbe Creek Watershed Association
4d. Street address: 331 W. Main Street, Suite 503
4e. City, state, zip: Durham, North Carolina 27705
4f. Telephone no.: [phone]
4g. Fax no.: N/A
4h. Email address: [e-mail], [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: Kayne Van Stell
5b. Business name
(if applicable): Michael Baker Engineering, Inc.
5c. Street address: 8000 Regency Parkway, Suite 200
5d. City, state, zip: Cary, NC 27518
5e. Telephone no.: 919-463-5488
5f. Fax no.: 919-463-5490
5g. Email address: [e-mail]
Page 2 of 13
PCN Form - November 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): See Attached
1 b. Site coordinates (in decimal degrees): See Attached 'N - See Attached 'W
1c. Property size: See Attached acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Falls Lake
proposed project:
2b. Water Quality Classification of nearest receiving water: C: NSW
2c. River basin: Neuse
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
This project is not for Mitigation. The upstream portion of Ellerbe Creek flows through the Hillandale Golf Course and has
recently undergone stream restoration activities. The project subwatershed and reach section flows along a public
greenway and is surrounded by medium density residential housing, commerical buildings, parking lots, and a mature
forest preserve. The project reach is within the Upper Neuse River Basin and is currently considered impaired because
of a Fair bioclassification. The ambient monitoring station on Ellerbe Creek also detected elevated levels of lead, zinc,
and dissolved oxygen that was occasionally below the water quality standard and a geometric mean of fecal coliform
bacteria. Urban nonpoint source pollution is cited as the likely cause of impairment (2002 Neuse River Basinwide Water
Quality Plan). The Division of Water Quality specifically recommends stream and riparian habitat restoration for impaired
urban streams in the upper Neuse watershed.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3,090 LF
3d. Explain the purpose of the proposed project:
The goals of this projcect are to stabilize, and/or enhance stream functionality and improve water quality and habitat by
reducing streambank erosion and suspended sediment loads to the degraded stream and ultimately the Falls Lake
Reservoir. Additionally, the project will preserve and/or establish permanent vegetative buffers in perpetuity through
conservation easements and address public safety concerns along the greenway trail.
3e. Describe the overall project in detail, including the type of equipment to be used:
Enhancement and stabilization along approximately 3,090 linear feet of Ellerbe Creek within the City of Durham. Work
will be conducted with track hoes, trucks, and other equipment typically used for stream restoration projects.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / ? Yes ® No ? Unknown
project (including all prior phases) in the past?
4b. If the Corps made the jurisdictional determination, what type
? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for ? Yes ® No ? Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Page 3 of 13
PCN Form - Version 1.0 November 2008 Version
B. Project Information and Prior Project History
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 13
PCN Form - November 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 ® Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of Type of wetland Forested (Corps - 404, Area of impact (acres)
Permanent (P) or impact (if known) DWQ - non-404, other)
Temporary T
W1 ? P ? T ? Yes ? No ? Corps
? DWQ
W2 ? P ? T ? Yes ? No ? Corps
? DWQ
W3 ? P ? T ? Yes ? No ? Corps
? DWQ
W4 ? P ? T ? Yes ? No ? Corps
? DWQ
W5 ? P ? T ? Yes ? No ? Corps
? DWQ
W6 ? P ? T ? Yes ? No ? Corps
? 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.
Stream impact Type of Stream name Perennial (PER) or Average stream width (feet) Impact
number- impact intermittent (INT)? length
Permanent (P) or (linear feet)
Temporary (T)
Enhance
S1 ®P ? T ment &
Stabilizati Ellerbe Creek ® PER ? INT 33.0 3,090
on
S2 ? P ? T ? PER ? INT
S3 ? P ? T ? PER ? INT
S4 ? P ? T ? PER ? INT
S5 ? P ? T ? PER ? INT
S6 ? P ? T ? PER ? INT
3g. Total stream and tributary impacts 3,090
3h. Comments:
Page 5 of 13
PCN Form - Version 1.0 November 2008 Version
C. Proposed Impacts Inventory, continued
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individual) list all o en water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of
impact number waterbody Type of impact Waterbody type Area of impact (acres)
- Permanent (if
(P) or applicable)
Temporary T
-
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
Page 6 of 13
PCN Form - November 2008 Version
C. Proposed Impacts Inventory, continued
5. Pond or Lake Construction
If and or lake construction pro osed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or (acres)
number purpose of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. 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 ou MUST fill out Section D of this form.
6a.
® 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 (square Zone 2 impact
Permanent (P) for impact Stream name mitigation feet) (square feet)
or Temporary required?
T
Enhance
B1 ? P ®T ment &
Stabilizati Ellerbe Creek ? Yes ® No 120,000 30,000
on
B2 ? P ? T ? Yes ? No
B3 ?P?T ?Yes ?No
6h. Total buffer impacts
6i. Comments: Existing Greenway trail runs along right top of bank (Zone 1) and existing sanitary easement runs along left
side of creek (Zone 2). Construction activities will be conducted primarily within the existing channel.
Page 7 of 13
PCN Form - November 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Proposed impacts are required to enhance and stabilize stream functions, reduce sediment, and increase bank stability.
Project will result in stabilizing and/or enhancing approximately 3,090 linear feet (LF) of stream along Ellerbe Creek.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Sediment and Erosion Control measures will be implemented throughout the construction process per the NC S&EC
Planning and Design Manual (2006) as shown on the construction plans and as described in the technical specifications.
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

pro
project? ? Mitigation bank

? 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.
Page 8 of 13
PCN Form - Version 1.0 November 2008 Version
D. Impact Justification and Mitigation, continued
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 Reason for impact Total impact
(square feet) Multiplier Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
Total buffer mitigation required:
6c. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6d. Comments:
Page 9 of 13
PCN Form - November 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? ? Yes ® No
2. Determination if the Project Requires a Stormwater Management Plan
2a. Does the project require a Non-404 Jurisdictional General Permit? ? Yes ® No
2b. Is the project subject to General Certification 3704 or 3705? ? Yes ® No
3. Determination of Stormwater Review Jurisdiction
3a. Is this project subject to any of the following state-implemented stormwater ? Coastal counties
management programs (check all that apply)? ? HQW
? ORW
If so, attach one copy of the approval letter from the DWQ and one copy of the ? Session Law 2006-246
approved stormwater management plan. ? Other:
3b. In which local government's jurisdiction is this project? City of Durham
3c. Is this local government certified to implement a state stormwater program? ? Yes ? No
If so, attach one copy of the approval letter from the local government and one copy
of the approved stormwater management plan (or one copy of the approved
Stormwater management plan stamped as approved).
4. Information Required for DWQ 401 Unit Stormwater Review
Exist Sub watershed = -22%,
4a. What is the overall percent imperviousness according to the most current site plan? however the stream project
will not add any
imperviousness
4b. Does this project contain any areas that meet the criteria for "high density" per ? Yes ® No
General Certifications 3704 and 3705?
4c. If the site is over 24% impervious and/or contains high density areas, then provide a brief narrative description of the
stormwater management plan.
N/A
4d. Has a completed BMP Supplement Form with all required items been submitted ? Yes ® No
for each stormwater BMP?
Page 10 of 13
PCN Form - Version 1.0 November 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
? Yes ? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ? Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
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 11 of 13
PCN Form - Version 1.0 November 2008 Version
F. Supplementary Information, continued
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ? Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ® Yes ? No
impacts?

Raleigh
®
5c. If yes, indicate the USFWS Field Office you have contacted. ? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NCWRC Natural Heritage website (http://www.ncnhp.org/Pages/heritagedata.html), Natural Heritage workroom, USFWS
website (http://nc-es.fws.gov/es/countyfr.htmi). Additionally, letters were sent to USFWS and NCWRC on 8/07/09
requesting information regarding potential species impacts and a WRC response dated 8/20/09 indicated the proposed
action is not likely to significantly impact aquatic and terrestrial wildlife resources and recommended implementing an
erosion and sedimentation control plan as approved by Land Quality.
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?
USFWS website (http://nc-es.fws.gov/es/countyfr.html). Additionally, letters were sent to USFWS and NCWRC on
8/07/09 requesting information regarding potential species impacts and a USFWS response dated 8/20/09 indicated the
proposed action is not likely to adversely affect any federally-listed endangered or threatened species and recommended all
practicable measures must be taken to avoid adverse impacts to aquatic species by implementing an erosion and
sedimentation control plan as approved by Land Quality.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ? Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
North Carolina Office of Archives and History and NRIS database. Additionally, letters were sent to Office of State
Archelology and the State Historic Preservation Office on 2/12/09 requesting information regarding historical site impacts
and a SHPO response letter dated 3/4/09 indicated no historic resources would be affected by the project.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? -- FE Yes ? No
8b. If yes, explain how project meets FEMA requirements: An engineering No-rise Report (Hydraulic Analysis) along with
supporting technical data was submitted to the Durham County Stormwater Services Department for approval on January
2, 2010. It is not anticipated that the proposed activities will increase flood levels in the FEMA 100-yr floodplain (Panel
#3720082200J).
8c. What source(s) did you use to make the floodplain determination? North Carolina Floodplain Mapping Information System
Page 12 of 13
PCN Form - November 2008 Version
F. Supplementary Information, continued
<AYr49 VAO !3-fF-11Z-? r1 D
Applicant/Agent's Printed Name A cant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant Date
Page 13 of 13
PCN Form - November 2008 Version
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID: 0822-05-17-9902
STREET ADDRESS: 1820 Albany Street
Durham, NC 27705
Please print: Ellerbe Creek Watershed Association
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kevin Tweedy, PE of Michael Baker Engineering, Inc.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
PO Box 2679, Durham, NC 27705
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
- J'/'? , - a ?/
Author ed Signat e
Date: /0-/Y-o
Authori?r? %.;P'
Date.
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
PLAN NO.
STREET ADDRESS: 1924 Garland Street
Durham, NC 27705
PARCELID: 0822-06-38-5773, 0822-06-38-6755
Please print: Kenneth R. McCormick, Sr. & Rhonda R. McCormick
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kevin Tweedy, PE of Michael Baker Engineering, Inc
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
3508 Wild Harvest Court, Durham, NC 27712
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
?nA - ?e z-4
Authorized Signature Authorized Signature
Date: 1 -2-4 1 0 ')7 Date:
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO
STREET ADDRESS: 1701 Albany Street
Durham, NC 27705
Please print: City of Durham
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kevin Tweedy, PE of Michael Baker Engineering, Inc.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
1900 Camden Avenue, Durham, NC 27704
Telephone: _919-560-0558
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature Authorized Signature
Date: Date:
PARCEL ID: 0822-09-07-9227
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO.
STREET ADDRESS: 2337 Guess Road
PARCEL ID: 0822-06-28-8371
Durham, NC 27705
Please print: Raman & Lilaben Patel
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kevin Tweedy, PE
(Contractor / Agent)
of Michael Baker Engineering
(Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
720 N. Madison Blvd., Roxboro, NC 27573
Telephone:
336-599-6759
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date: (?12 ?Tnc?Nl??
Authorized Signature
Date: i??/ o q
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID: 0822-06-38-1047
STREET ADDRESS: 1900 Maryland Avenue
Durham, NC 27705
Please print: City of Durham
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kevin Tweedy, PE of Michael Baker Engineering, Inc.
(Contractor J Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
1900 Camden Ave, Durham, NC 27704
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
A44e4?n?
Authorized Signature
Date:
Authorized Signature
Date:
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO.
PARCEL ID: 0822-06-38-6309
STREET ADDRESS: 2300 Guess Road
Durham, NC 27705
Please print: City of Durham
Property Owner: y
Property Owner:
The undersigned, registered properly owners of the above noted property, do hereby authorize
Kevin Tweedy, PE of Michael Baker Engineering, Inc.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
1900 Camden Ave, Durham, NC 27704
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
sr' V
Authorized Date: / 10
Authorized Signature
Date:
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO.
PARCEL ID: 0822-06-38-2439
STREET ADDRESS: 2334 Guess Road
Durham, NC 27705
Please print: National Jewelry & Pawn, Inc.
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kevin Tweedy, PE of Michael Baker Engineering, Inc.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
ithorized Signature
Ite:
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID: 0822-06-38-2439
The undersigned, registered property owners of the above noted property, do hereby authorize
Kevin Tweedy, PE of Michael Baker Engineering, Inc.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
STREET ADDRESS: Guess Road
Durham, NC 27705
Please print: National Jewelry & Pawn Inc.
Property Owner: ry Property Owner:
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO.
STREETADDRESS: 2100 Perennial Drive
Durham, NC 27705
Please print: Ellerbe Creek Watershed Association
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kevin Tweedy, PE of Michael Baker Engineering, Inc.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
PO Box 2679, Durham, NC 27705
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
A?
Auth zed Signature
Date: 10 - *0q
`0q
PARCEL ID: 0822-05-17-6588
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
PLAN NO. PARCEL ID: 0822-05-17-8653
STREET ADDRESS: 2100 Perennial Drive
Durham, NC 27705
Please print: Ellerbe Creek Watershed Association
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kevin Tweedy, PE of Michael Baker Engineering, Inc.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
PO Box 2679, Durham, NC 27705
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
4AuthzffS?igmiture
Date: /D -/ V-011-!
Authorize ature
Date: ?Wtoq
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
PLAN NO. PARCEL ID: 0822-05-17-5513
STREET ADDRESS: 2100 Perennial Drive
Durham, NC 27705
Please print: Ellerbe Creek Watershed Association
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kevin Tweedy, PE of Michael Baker Engineering, Inc.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
PO Box 2679, Durham, NC 27705
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
4Authed Sign ture
Date: /6 `/ t1-0
9
Authorized S ature
Date:
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
PLAN NO. PARCEL ID: 0822-05-27-1732
STREET ADDRESS: 2100 Perennial Drive
Durham, NC 27705
Please print: Ellerbe Creek Watershed Association
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kevin Tweedy, PE of Michael Baker Engineering, Inc.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
PO Box 2679, Durham, NC 27705
Telephone:
919-698-8161
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date:
Authorized ' nature
Date: I0, IVe°Z
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO.
PLAN NO, PARCEL ID: 0822-06-27-7832
STREETADDRESS: 2100 Perennial Drive
Durham, NC 27705
Please print: Ellerbe Creek Watershed Association
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kevin Tweedy, PE of Michael Baker Engineering, Inc.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
PO Box 2679, Durham, NC 27705
Telephone:
919-698-8161
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authored Signature
Date:
Autho Signa
Date: I D????D
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO.
STREET ADDRESS: 2100 Perennial Drive
Durham, NC 27705
Please print: Ellerbe Creek Watershed Association
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Kevin Tweedy, PE of Michael Baker Engineering, Inc.
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
PO Box 2679, Durham, NC 27705
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Auth ed Signature
Date: /0 `/ V -04q
PARCEL ID: 0822-05-27-0638
Date: / r /?