20100988 Ver 1_401 Application_20101110

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RECEIVE G
NC D
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?Lr ECS CAROLINAS, LLP Setting the Standard for Service
lnlFaculties NC Registered Engineering Firm-1078
C.aRC>1_lNAs Geotechnlcal • Construction Materials • Envi?6
20100988
Mr. Dean Green
Greensboro Auto Auction
3907 West Wendover Avenue
Greensboro, North Carolina 27407

Reference: Report of Wetland Delineation
Proposed Commercial Development
West Wendover Avenue
Greensboro, Guilford County, North Carolina
ECS Project No. 09-19102
Dear Mr. Green:
October 19, 2010
FM @ LEE Wr -,=-
NOV 2 4 2010
DENR - WATER QUALITY
WI1+ LAND STORMWATER BRANCH
ECS Carolinas, LLP (ECS) is pleased to submit this report of the jurisdictional waters/wetland
determination for the site located on West Wendover Avenue in Greensboro, Guilford County,
North Carolina. This report summarizes our findings for the site.
Background
The site consists of a drainage swale that is located south of West Wendover Avenue in
Greensboro, Guilford County, North Carolina (Figure 1). The drainage swale contains grass-
covered areas with a narrow wooded buffer and undeveloped, wooded land. ECS was
contracted to delineate jurisdictional waters including ponds, streams and wetlands on the site.
Wetlands are defined by the U.S. Army Corps of Engineers and the United States
Environmental Protection Agency as "those areas that are inundated or saturated by surface or
groundwater at a frequency and duration sufficient to support, and under normal circumstances,
do support a prevalence of vegetation typically adapted for life in saturated soil conditions." In
order for an area to be classified as wetland, hydrophytic vegetation, hydric soils, and wetland
hydrology indicators must be present.
Literature Review
We have reviewed the USGS Topographic Map, the Soil Survey of Guilford County and the
Geologic Map of North Carolina to obtain information regarding the site.
• The USGS Topographic Map (Figure 1) shows an unnamed tributary to South Buffalo Creek
in the drainage swale that was evaluated as part of this study.
The USDA Soil Survey of Guilford County (Figure 2) shows soils in the vicinity of the
drainage swale are mapped as Enon fine sandy loam (EnD), Madison sandy loam (MaE)
and Wehadkee loam (WhA). The Enon series consists of well drained, slowly permeable
soils that occur on ridgetops and side slopes. The Madison series consists of well drained,
moderately permeable soils that occur on gently sloping to steep uplands. The Wehadkee
4811 Koger Boulevard • Greensboro, NC 27407 - T: 336-856-7150 o F: 336-856-7160 www.ecslimited.com
ECS Carolinas, LLP ECS Florida, LLC • ECS Mid-Atlantic, LLC ° ECS Southeast, LLC - ECS Texas, LLP
Proposed Commercial Development - West Wendover Avenue
Greensboro, Guilford County, North Carolina
ECS Project 09-19102
October 19, 2010
series consists of poorly drained and very poorly drained, moderately permeable soils that
occur on floodplains along streams. The Wehadkee series is identified on the Hydric Soils
List for Guilford County as being hydric or as having hydric soils as a major component. The
other soils on the site are not identified on the Hydric Soils List for Guilford County.
The Geologic Map of North Carolina indicates that the site is located in the Carolina Slate
Belt of the Piedmont Physiographic Province. The soils encountered in this area are the
residual product of in-place chemical weathering of rock presently underlying the site. In
general, shallow unconfined groundwater movement within the overlying soils is controlled
largely by topographic gradients. Recharge occurs primarily by infiltration along higher
elevations and typically discharges into streams or other surface water bodies. The
elevation of the shallow water table is transient and can vary greatly with seasonal
fluctuations in precipitation. Movement in this water table is generally from higher to lower
elevations. As such, shallow groundwater would be expected to flow beneath the site
toward the unnamed tributary to South Buffalo Creek.
Site Reconnaissance
The site consists of a drainage swale that is located south of West Wendover Avenue in
Greensboro, Guilford County, North Carolina. The drainage swale contains grass-covered
areas with a narrow wooded buffer and undeveloped, wooded land.
ECS performed a site reconnaissance on October 12, 2010. During our reconnaissance, we
observed the site for evidence of ponds, streams and wetlands. We did not observe ponds on
the site. A stream originates from a culvert beneath West Wendover Avenue and traverses
through the drainage swale. The stream has a defined bed and defined banks, substrate
sorting, iron-oxidizing bacteria and contained flowing water at the time of our site visit. Based
on our observations, the stream is perennial. The stream centerline was marked in the field with
blue and white striped surveyor tape.
Hydrophytic vegetation was observed in several areas adjacent to the stream. The stream on
the site is high banked. Wetland hydrology indicators and hydric soils were not observed
outside of the banks of the stream. An area near the southeastern boundary contained
hydrophytic vegetation and wetland hydrology indicators. However, hydric soil indicators were
weak. The area was not flagged as wetland. The U.S. Army Corps of Engineers may consider
this area to be a jurisdictional wetland. The soils are bright and appear well drained to depths of
at least twelve inches. Routine Wetland Determination Data Forms supporting our opinions are
included as attachments.
Figure 3 shows the approximate locations of the stream and data points. Figure 3 is based on
our field notes and should only be used for preliminary planning purposes. We recommend that
the delineation be verified by the U.S. Army Corps of Engineers and the North Carolina
Department of Environment and Natural Resources (NCDENR), Division of Water Quality. After
the site has been verified, a survey should be performed to determine the exact locations and
extent of the jurisdictional areas.
2
Proposed Commercial Development - West Wendover Avenue
Greensboro, Guilford County, North Carolina
ECS Project 09-19102
October 19, 2010
General Discussion
Section 404 of the clean Water Act regulates the discharge of dredge and fill materials into
waters of the United States (lakes, rivers, ponds, streams, etc.), including wetlands. Waters of
the United States include the territorial seas, navigable coastal and inland lakes, rivers and
streams, intermittent streams, and wetlands. Activities that could be regulated under Section
404 include the placement of fill for construction of roadways; residential, commercial or
industrial structures; and the construction of water retention ponds along tributaries. The EPA
and the U.S. Army Corps of Engineers jointly administer the Section 404 program. Section 401
of the Clean Water Act grants each state the authority to approve, condition, or deny any
Federal permits that could result in a discharge to State waters.
The stream located on the site is regulated by the U.S. Army Corps of Engineers and the North
Carolina Division of Water Quality. Permits will be required prior to impacting open waters,
including perennial or intermittent streams. Mitigation and stormwater management plans will
be a condition of any permits issued for the site. Buffers may be required adjacent to the
stream channels.
For impacts to more than 300 linear feet of stream channel, an individual permit (IP) may be
required. An IP requires a habitat analysis, alternative site analysis, project justification, plans
to avoid and minimize impacts, and a proposed mitigation plan. Depending on the habitat
analysis and the extent of impacts, and Environmental Impact Statement may be required by
the U.S. Army Corps of Engineers. An IP allows for a public comment period and may require 4
to 18 months to obtain depending on conditions arising during the U.S. Army Corps of
Engineers review and public comment period.
Watershed Classification
An unnamed tributary to South Buffalo Creek crosses the site. According to the North Carolina
Department of Environment and Natural Resources (NCDENR), Division of Water Quality, the
site is located in the Cape Fear River Basin in an area that has been classified as WS-V;
nutrient sensitive waters (HUC = 03030002).
3
Proposed Commercial Development - West Wendover Avenue
Greensboro, Guilford County, North Carolina
ECS Project 09-19102
October 19, 2010
ECS appreciates the opportunity to provide wetland services for your project. Please contact us
at [phone] if you have any questions concerning this report.
Sincerely,
ECS CAROLINAS, LLP
Michael T. Brame
Senior Environmental Scientist
Attachments: Figure 1 - Site Location Map
Figure 2 - Soil Map
Figure 3 - Stream/Data Point Location Map
Routine Wetland Determination Data Forms
0AL4,9
Denise M. Poulos, LSS
Principal Scientist
4
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SOURCE: FIGURE 1
USGS TOPOGRAPHIC MAP +
GUILFORD, NC QUADRANGLE SITE LOCATION MAP
DATED 1951 AND REVISED 1994 AND PROPOSED COMMERCIAL DEVELOPMENT
GREENSBORO, NC QUADRANGLE ump WEST WENDOVER AVENUE
DATED 1951 AND REVISED 1994 GREENSBORO, NORTH CAROLINA
SCALE I"=2,000' CAROLINAS ECS PROJECT NO. 09-19102

Ali
f v
SOURCE:
USDA SOIL SURVEY OF
GUILFORD COUNTY, NC
FROM NCSS WEBSITE
THE STREAM LOCATION SHOWN ON THIS MAP IS APPROXIMATE. IT HAS BEEN DELINEATED BY ECS. IT HAS NOT
BEEN VERIFIED BY THE U.S ARMY CORPS OF ENGINEERS. THEY HAVE NOT BEEN SURVEYED.
AREA EVALUATED
v
F`
_ _
i
LEGEND
^.— Approximate Location of Perennial Stream
■ DP -1 Data Point Location
l SOURCE:
GUILFORD COUNTY, NORTH CAROLINA
GIS DEPARTMENT
AERIAL PHOTOGRAPH, DATED 2008
SCALE: I" - 179'
DP -2
0
0
CAROLINAS
FIGURE 3
STREAM/DATA POINT LOCATION MAP
PROPOSED COMMERCIAL DEVELOPMENT
WEST WENDOVER AVENUE
GREENSBORO, NORTH CAROLINA
ECS PROJECT NO. 09-19102

Is ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: Proposed Commercial Development- West Wendover Avenue Project No: Date: 10/12/2010
Applicant/Owner: Greensboro Auto Auction County: Guilford
Investigators: ECS Carolinas, LLP 09-19102 State: North Carolina
Plot ID: DP-1
Do Normal Circumstances exist on the site? Yes No Community ID: Partially Wooded
Is the site significantly disturbed (Atypical Situation:)? ?Yes ® No Trausect ID:
Is the area a potential Problem Area? ?Yes ® No Field Location: View Figure 3
(If needed, explain on the reverse side)
VEGETATION
Dominant Plant Species (Latin/Common) Stratum Indicator Plant Species (Latin/Common) Stratum Indicator
Rosa multiflora
Multiflora rose Herb UPL
Lonicera japonica
Japanese honeysuckle Vine FAC-
Festuca sp.
Fescue sp. Herb FACU
Rubus betulifolius
Blackberry Herb FAC
Vitis rotundifolia
Muscadine grape Vine FAC
Mimosa strigillosa
Herbaceous mimosa Sap FAC

Percent of Dominant Species that are OBL, FACW or FAC (excluding FAC-): 50% FAC Neutral: 0%
Numeric Index:
Remarks:
50% of the vegetation is hydrophytic.
HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators
? Stream, Lake or Tide Gauge Primary Indicators
? Aerial Photographs ? Inundated
? Other Saturated in Upper 12 Inches
Water Marks
® No Recorded Data Drift Lines
Sediment Deposits
Field Observations Drainage Patterns in Wetlands
Secondary Indicators
Depth of Surface Water: 0" Oxidized Root Channels in Upper 12 Inches
Water-Stained Leaves
Depth to Free Water in Pit: >12" Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: >12" ? Other (Explain in Remarks)
Remarks:
Wetland hydrology indicators are not present.
Wetform) Page 1 of 2
DATA FORM
ROUTINE WETLAND DETERMINATION
7 (1987 COE Wetlands Delineation Manual)
Project/Site: Proposed Commercial Development -West Wendover Avenue Project No: Date: 10/12/2010
Applicant/Owner: Greensboro Auto Auction County: Guilford
Investigators: ECS Carolinas, LLP 09-19102 State: North Carolina
Plot ID: DP-1
Map Unit Name (Series and Phase): Wehadkee loam
Map Symbol: WhA Mapped Hydric Inclusion? ®Yes ? No
Drainage Class: Very poorly drained Field Observations Confirm Mapped Type: ?Yes ® No
Taxonomy (Subgroup): Fluvaquentis endonquepts
Profile Description
Depth Matrix Color Mottle Color Mottle
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Texture, Concretions, Structure, etc.
0-12 2.5YR 4/6 0% Loam

Hydric Soil Indicators:
? Histosol ? Concretions
? Histic Epipedon ? High Organic Content in Surface Layer in Sandy Soils
? Sulfidic Odor ? Organic Streaking in Sandy Soils
? Aquic Moisture Regime ? Listed on Local Hydric Soils List
? Reducing Conditions ? Listed on National Hydric Soils List
? Gleyed or Low Chroma Colors ? Other (Explain in Remarks)
Remarks:
Hydric soil indicators are not present.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No Is the Sampling Point within the Wetland? Yes No
Wetland Hydrology Present? ?Yes No
Hydric Soils Present? 7Yes 17 No 1 11
Remarks:
Wetland hydrology and hydric soil indicators are not present. The sampling point is not located within a wetland.
Wetform) Page 2 of 2
Yl a 1 L-1 1' V1?J.11
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
tiProject/Site: Proposed Commercial Development - West Wendover Avenue Project No: Date: 10/12/2010
Applicant/Owner: Greensboro Auto Auction County: Guilford
Investigators: ECS Carolinas, LLP 09-19102 State: North Carolina
Plot ID: DP-2
Do Normal Circumstances exist on the site? Yes No Community ID: Partially Wooded
Is the site significantly disturbed (Atypical Situation:)? ?Yes ® No Transect ID:
Is the area a potential Problem Area? ?Yes ® No Field Location: View Figure 3
(If needed, explain on the reverse side)
VEGETATION
Dominant Plant Species (Latin/Common) Stratum Indicator Plant Species (Latin/Common) Stratum Indicator
Rosa multiflora
Multiflora rose Herb UPL
Carpinus caroliniana
American hornbeam Tree/Sap FAC
Bambusa vulgaris
Common bamboo Tree/Sap FACU
Fraxinus pennsylvanica
Green ash Tree/Sap FACW
Salix nigra
Black willow Tree/Sap OBL

Percent of Dominant Species that are OBL, FACW or FAC (excluding FAC-): 60% FAC Neutral: 50%
Numeric Index:
Remarks:
The dominant vegetation is hydrophytic.
HYDROLOGY
Recorded Data (Describe in Remarks): Wetla nd Hydrology Indicators
? Stream, Lake or Tide Gauge Pri ma ry Indicators
? Aerial Photographs ? Inundated
? Other ? Saturated in Upper 12 Inches
? Water Marks
® No Recorded Data ? Drift Lines
? Sediment Deposits
Field Observations ? Drainage Patterns in Wetlands
Sec on dary Indicators
Depth of Surface Water: 0" ? Oxidized Root Channels in Upper 12 Inches
? Water-Stained Leaves
Depth to Free Water in Pit: >12" ? Local Soil Survey Data
® FAC-Neutral Test
Depth to Saturated Soil: >12" ? Other (Explain in Remarks)
Remarks:
Only one secondary hydrology indicator is present.
Wetform) Page 1 of 2
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: Proposed Commercial Development - West Wendover Avenue Project No: Date: 10/12/2010
Applicant/Owner: Greensboro Auto Auction County: Guilford
Investigators: ECS Carolinas, LLP 09-19102 State: North Carolina
Plot ID: DP-2
Map Unit Name (Series and Phase): Wehadkee loam
Map Symbol: WhA Mapped Hydric Inclusion? ®Yes ? No
Drainage Class: Very poorly drained Field Observations Confirm Mapped Type: ?Yes ® No
Taxonomy (Subgroup): Fluvaquentis endoaquepts
Profile Description
Depth Matrix Color Mottle Color Mottle
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Texture, Concretions, Structure, etc.

0-12 7.5YR 5/6 0% Loam

Hydric Soil Indicators:
? Histosol ? Concretions
? Histic Epipedon ? High Organic Content in Surface Layer in Sandy Soils
? Sulfidic Odor ? Organic Streaking in Sandy Soils
? Aquic Moisture Regime ? Listed on Local Hydric Soils List
? Reducing Conditions ? Listed on National Hydric Soils List
? Gleyed or Low Chroma Colors ? Other (Explain in Remarks)
Remarks:
Hydric soil indicators are not present.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No Is the Sampling Point within the Wetland? Yes LLIJ
No
Wetland Hydrology Present? ?Yes ® No
Hydric Soils Present? nYes M No
Remarks:
Wetland hydrology and hydric soil indicators are not present. The sampling point is not located within a wetland.
Wetform)
Page 2 of 2
United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh Field Office
Post Office Box 33726
Raleigh, North Carolina 27636-3726
November 16, 2010
Mr. Bruce Nooe, PE, PLS
CPT Engineering and Surveying, Inc
4400 Tyning Street
High Point, North Carolina 27265
?_?-RECE'IVF,'-D----
N, C, De<,t. ,* F N P
NOV 2 3 2010
V'dlnstorn?alar--,
sec anal C?`!c=_
It UL?
OV 4. 20110
DEW - WX1 EituUAUTY
WETLANDS AND STWJM7ER BROMM
Re: Location for Greensboro Auto Auction, 4009 W. Wendover Avenue, Greensboro, Guilford
County, North Carolina
Dear Mr. Nooe:
This letter is to inform you that a list of all federally-protected endangered and threatened species
with known occurrences in North Carolina is now available on the U.S. Fish and. Wildlife
Service's (Service) web page at http://www.fws.gov/raleigh. Therefore, if you have projects that
occur within the Raleigh Field Office's area of responsibility (see attached county list), you no
longer need to contact the Raleigh Field Office for a list of federally-protected species.
Our web page contains a complete and frequently updated list of all endangered and threatened
species protected by the provisions of the Endangered Species Act of 1973, as amended (16
U.S.C. 1531 et seq.)(Act), and a list of federal species of concern' that are known to occur in
each county in North Carolina.
Section 7 of the Act requires that all federal agencies (or their designated non-federal
representative), in consultation with the Service, insure that any action federally authorized,
funded, or carried out by such agencies is not likely to jeopardize the continued existence of any
federally-listed endangered or threatened species. A biological assessment or evaluation may be
prepared to fulfill that requirement and in determining whether additional consultation with the
Service is necessary. In addition to the federally-protected species list, information on the
species' life histories and habitats and information on completing a biological assessment or
evaluation and can be found on our web page at http://www.fws.gov/raleigh. Please check the
web site often for updated information or changes.
' The term "federal species of concern" refers to those species which the Service believes might be in need of
concentrated conservation actions. Federal species of concern receive no legal protection and their designation does
not necessarily imply that the species will eventually be proposed for listing as a federally endangered or threatened
species. However, we recommend that all practicable measures be taken to avoid or minimize adverse impacts to
federal species of concern.
If your project contains suitable habitat for any of the federally-listed species known to be
present within the county where your project occurs, the proposed action has the potential to
adversely affect those species. As such, we recommend that surveys be conducted to determine
the species' presence or absence within the project area. The use of North Carolina Natural
Heritage program data should not be substituted for actual field surveys.
If you detennine that the proposed action may affect (i.e., likely to adversely affect or not likely
to adversely affect) a federally-protected species, you should notify this office with your
determination, the results of your surveys, survey methodologies, and an analysis of the effects
of the action on listed species, including consideration of direct, indirect, and cumulative effects,
before conducting any activities that might affect the species. If you determine that the proposed
action will have no effect (i.e., no beneficial or adverse, direct or indirect effect) on federally
listed species, then you are not required to contact our office for concurrence (unless an
Enviromnental Impact Statement is prepared). However, you should maintain a complete record
of the assessment, including steps leading to your determination of effect, the qualified personnel
conducting the assessment, habitat conditions, site photographs, and any other related articles.
With regard to the above-referenced project, we offer the following remarks. Our comments are
submitted pursuant to, and in accordance with, provisions of the Endangered Species Act.
Based on the information provided and other information available, it appears that the proposed
action is not likely to adversely affect any federally-listed endangered or threatened species, their
formally designated critical habitat, or species currently proposed for listing under the Act at
these sites. We believe that the requirements of section 7(a)(2) of the Act have been satisfied for
your project. Please remember that obligations under section 7 consultation must be
reconsidered if. (1) new information reveals impacts of this identified action that may affect
listed species or critical habitat in a manner not previously considered; (2) this action is
subsequently modified in a mamier that was not considered in this review; or, (3) a new species
is listed or critical habitat determined that may be affected by the identified action.
However, the Service is concerned about the potential impacts the proposed action might have
on aquatic species. Aquatic resources are highly susceptible to sedimentation. Therefore, we
recommend that all practicable measures be taken to avoid adverse impacts to aquatic species,
including implementing directional boring methods and stringent sediment and erosion control
measures. An erosion and sedimentation control plan should be submitted to and approved by
the North Carolina Division of Land Resources, Land Quality Section prior to construction.
Erosion and sedimentation controls should be installed and maintained between the construction
site and any nearby down-gradignt surface waters. In addition, we recommend maintaining
natural, vegetated buffers on all streams and creeks adjacent to the project site.
The North Carolina Wildlife Resources Commission has developed a Guidance Memorandum (a
copy can be found on our website at (http://www.fws.gov/raleigh) to address and mitigate
secondary and cumulative impacts to aquatic and terrestrial wildlife resources and water quality.
We recommend that you consider this document in the development of your projects and in
completing an initiation package for consultation (if necessary).
2
We hope you find our web page useful and informative and that following the process described.
above will reduce the time required, and eliminate the need, for general correspondence for
species' lists. If you have any questions or comments, please contact Howard Hall of this office
at [phone] ext. 27.
Sincerely,
Pete Benjamin
Field Supervisor
r[NR
of wATp
?' `13 2-010
- R C e-
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9 8
Office Use Only:
i Corps action ID no.
l DWQ project no.
Form Version 1.3 Dec 10 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

PQlrr4it 1b ~`'"`?......

-•.
1 b. Specify Nationwide Permit (NW P) number: 14 & 39 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 on

? Yes ly for Corps Permit:

® No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so. attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes ® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ? No
2. Project Information
2a. Name of project: 4009 West Wendover Ave.
2b. County: Guilford
2c. Nearest municipality / town: Greensboro
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: N/A
3. Owner Information
3a. Name(s) on Recorded Deed: Greensboro Auto Auction, Inc.
3b. Deed Book and Page No. DB 7139 Pg 2269
3c. Responsible Party (for LLC if
applicable): Dean Green, President
3d. Street address: 3907 West Wendover Ave.
3e. City, state, zip: Greensboro, NC, 27409
3f. Telephone no.: 336-202-3326
3g. Fax no.: 336-478-2228
3h. Email address:
II?-
[e-mail]
4 Jk VI<. A'Mi t (UUALI I T
yfiwi?W)SANDSTOR'IvAfERil?I `
Page 1 of 11
PCN Form - Version 1.3 December 10, 2008 Version
::?T?..`
,? ....?...w-
Applicant Information (if different from owner)
4a. Applicant is: _ gent ? Other, specify:
? A
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:
City, state, zip:
5e. Telephone no.: --
5f. Fax no.:
5g. Ernail address:
Page 2 of 11
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 7844000811 & 7834917634
1 b. Site coordinates (in decimal degrees): Latitude: 36.0594 Longitude: - 79.8810
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: 26.48 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Tributary B of South Buffalo Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-V; NSW
2c. River basin: Cape Fear
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:
On Site: Former Guilford County Property (Nursing Home and Light Industrial), General land use in vicinity (Commercial)
3b. List the total estimated acreage of all existing wetlands on the property:
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
715 linear feet
3d. Explain the purpose of the proposed project:
Change in ownership from public (Guilford County) to private (Dean Green) and change in use and zoning that requires
public and private roadway improvements at the intersection of W. Wendover Ave. and private drive.
3e. Describe the overall project in detail, including the type of equipment to be used:
The required installation of a right turn lane on West Wendover Ave. apporximately 200 I.f. of full width (12 feet) and
another 200 I.f. of tapper. The addition of a left turn lane as part of the private drive required improvements. The
demolition of the existing nursing home and the construction of a parking lot and a wet detention pond (BMP).
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?
Comments: By ECS Carolinas, LLP
4b. If the Corps made the jurisdictional determination, what type
? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?

Name (if known): Michael T. Brame, Senior Environmental Agency/Consultant Company: ECS Carolinas, LLP

Scientist 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 11
PCN Form - Version 1.3 December 10, 2008 Version
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 11
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 ? Buffers
? Open Waters ? Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number - Type of impact Type of wetland Forested (Corps - 404, 10 Area of impact
Permanent (P) or (if known) DWQ - non-404, other) (acres)

_
Temporary T
- - ? Yes ? Corps
W1 ?P?T ?No ?DWO
- El Yes [] Corps
LW2 P ? T
? No ? DWQ
? Yes ? Corps
W3 ?P?T ?No ?DWQ
? Yes ? Corps
W4 ? P ? T
No
F-1
? DWQ
? Yes El Corps
W5 ?P?T ?No ?DWQ
? Yes El Corps
W6 ? P ? T El 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 ®P ? T Culvert Tributary B South
Buffalo Creek ® PER
? INT ® Corps
? DWQ g 295
S2 ? P ? T ? PER
? INT ? Corps
? DWQ
? PER ? Corps
S3 ? P ? T ? INT ? DWQ
? PER ? Corps
S4 ? P ? T ? INT ? DWO
? PER ? Corps
S5 ? P ? T ? INT ? DWQ
_
? PER ? Corps
S6 ? P ? T ? INT ? DWQ
3h. Total stream and tributary impacts 295
3i. Comments:
Page _5 of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. r 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
4f. Total open wader impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, 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
-
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 DWO)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ? 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)
feet)
(square
T impact required?
B1 ?P?T ?Yes

- ? No
B2 ? P ? T ? Yes
? No
B3 ?P?T - ?Yes
? No
6h. Total buffer impacts
6i. Comments:
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Piped stream only in area where the City of Greensboro required public roadway and sidewalk and private drive
improvements.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Use of retaining walls to avoid other stream and wetland impacts.
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.
Page 7 of 11
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 in-lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form - Version 1.3 December 10, 2008 Version
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a . Does the project include or is it adjacent to protected riparian buffers identified ? Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b . 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? 67.8%
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, na rrative description of the plan:
Installation of a stormwater piping system and a permanent wet detention pond to col lect and treat runoff.
® 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? F Greensboro
® Phase II
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

4a.
Which of the following state-implemented stormwater management programs apply ? HOW
? ORW
(check all that apply):
? Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ? Yes ? No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. 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.
City of Greensboro currently provides sanitary sewer service to this site.
Page 10 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
habitat? ? Yes [ No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts? [54 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?
Raleigh FWS Field Office
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?
http://ocean.floridamarine.org/efh coral/ims/viewer.htm
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
? Yes No
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Google Earth - NC National Register Points
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: No rise certification being reviewed.
8c. What source(s) did you use to make the floodplain determination? FEMA Flood Maps
Dean Green
10/28/10

Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
- is provided.)
Page 1 1 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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