20110130 Ver 1_401 Application_20110211

WITHERS ~' RAVENEL
ENGINEERS I PLANNERS I SURVEYORS
i4io COMMONWEALTH DRIVE, SUITE ioi
WILMINGTON, NORTH CAROLINA, 28403
(9io) 256-9277
FAX (9io) 256-2584
T0: NC Division of Water Quality - 4oi Wetlands Unit
165o Mail Service Center
Raleigh, NC 27699
WE ARE SENDING YOU
^ Shop Drawings
^ Copy of Letter
®Attached
^ Prints
^ Change order
the following items:
^ Specifications
COPIES DATE NO. DESCRIPTION
2 2/ /11 0 100 0 .oo Inde endence Ventures Center NWP PCN

FEB 0
Dl~l .
SAND STDRINVyA~ BRANCH
THESE ARE TRANSMITTED as checked below:
® For approval ^ Approved as submitted ^ Resubmit copies for approval
^ Foryour use ^ Approved as noted ^ Submit copies for distribution
^ As requested ^ Returned for corrections ^ Return corrected prints
^ For review and comment ^
^ FOR BIDS DUE 20 ^ PRINTS RETURNED AFTER LOAN TO US
REMARKS:
Signature:
Date:
COPY TO: File SIGNED:_ Troy Beasley
if enclosures are not as noted, kindly notify us at once.
2~ 1 10 13®
~_~I~ ~~`I'IrI~ ~~~~~~ ril I~~°~i~~l~`>>i,~~'%IlI]~~~~I~/°~'1,
onTE 2/ /11 loeNO. 03100303.00
nrrfNnoN Mr. Ian McMillan
PHONE# i _807-6364
RE: Inde endence Ventures Center
NWP 3 PCN Submittal

^Underseparatecovervia
^ Plans ^ Samples
^ Diskette ^

WITHERS ~~-~ RAVENEL
ENGINEERS I PLANNERS i SURVEYORS
201 10 130
February 3, 2011
US Army Corps of Engineers
WilmingtonRegulatory Field Office
Attn: Ms. Emily Hughes
69 Darlington Avenue
Wilmington, NC 28405
NC-Division of Water Quality
401 Wetlands Unit ~~~~-~~~-~~
Attn: Mr. Ian McMillan
1650 Mail Service Center ~~~'~
Raleigh, North Carolina 27699-1650
Re: Independent Ventures Center
Corps AID#SAW-2010-01906
W&R Project #02090434.00
Dear Ms. Hughes and Mr. McMillan,
Q~c~~oe~~
FEB 0 ¢ pp~~
~~-wA~~tw~irr
9VETLAMpSAND STORMWATERBKANCH
On behalf of Independence Ventures, LLC, we are requesting authorization from the
USACE to use NWP 39 for 0.18 acres of permanent impacts to jurisdictional wetlands.
A copy of this PCN has also been provided directly to Mr. Chad Coburn in the NC-DWQ
Wilmington Field Office.
The project is X7.6 acres in size and is located north of the intersection of Independence
Blvd and Carolina Beach Road, in Wilmington, New Hanvoer County (Latitude:
34.176769N; Longitude: -77.924803W). The project is located in the Cape Fear River
basin and onsite waters drain to Barnard's Creek. The Water Quality Classification for
Barnard's Creek is C; SW and the Stream Index Number is: 18-80. The cataloging unit
for the site is 03030005.
Proposed Project
The proposed project consists of a mixed-use commercial development consists of a
rehabilitation center for the elderly, a drug store, a convenience store, car wash and an
auto repair shop.
Project Historx
Ms. Emily Hughes with the Corps of Engineers issued a Jurisdictional Determination
(AID#SAW-2010-01906) for the subject property on December 22, 2010.
Proposed Impacts
The proposed impacts consist of 0.18 acres of permanent wetland impacts as a result of
construction of the proposed project.
igio Commonwealth Drive, Suite ioi Wilmington, North Carolina 28go3 tel: gio-256-977 fax: gio-z56-z58q
www.withersravenel.com

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WITHERS RAVENEL
ENGINEERS I PLANNERS I SURVEYORS
Avoidance and Minimization
Prior to site plan design, the applicant requested that a detailed wetland delineation be
conducted to identify the jurisdictional wetlands within the proposed project.
The onsite wetlands consist of very small, disconnected wetland pockets that are
remnants of a historically larger inter-stream wetland system. As a result of the existing
development surrounding the project site, the onsite wetlands have been severed from
offsite wetlands, with the only hydrologic connection being provided through a series of
culverts and road-side ditches, which has greatly reduced the functional value of the
onsite wetlands. As a result of the surrounding development, the watershed/drainage area
of the onsite wetlands has been reduced to the 7.6 acre project site. In the current
condition, the onsite wetlands are recharged by direct rainfall and runoff from onsite
uplands with very little, if any, influence from groundwater fluctuations.
During the planning stage of the proposed project, it was determined that impacts to
onsite wetlands could not be completed avoided. The City of Wilmington requires that
all runoff from high density developments be captured and treated in a stormwater
management system. If direct impacts to onsite wetlands were avoided in the site plan,
the stormwater management system would divert water away from the wetlands and into
the stormwater pond, severing the natural hydrologic recharge source of the onsite
wetlands. Due to the small size of the wetlands, hydrology sufficient to maintain wetland
function could not be maintained without runoff from adjacent uplands and the onsite
wetlands would eventually dry up and convert to uplands in the matter of a few years.
Therefore, it was determined that the integrity and long term viability of the onsite
wetland pockets could not be maintained in the post-development condition and the
onsite wetlands would be secondarily impacted even if direct impacts were avoided. It
was determined that the functional value of the onsite wetlands would be better served
through the provision of wetland mitigation within a significant wetland system.
Therefore, the proposed site plan has been designed to directly impact all onsite wetlands
and will result in 0.18 acres of permanent wetland impacts.
Mitigation
Since the site plan does not avoid and minimize wetland impacts, the Applicant proposes
to purchase 0.50 acres of non-riparian wetland mitigation from EEP to offset the
proposed 0.18 acres of wetland impacts. The purchase of 0.50 acres of wetland
mitigation will result in a 2.7:1 mitigation ratio.
There are no Private Mitigation Banks which service the Cape Fear 03030005 basin, the
purchase of mitigation from EEP Satisfies the Corps Final Rule for Compensatory
Mitigation, for Losses of Aquatic Function.
iyio Commonwealth Drive, Suite ioi Wilmington, North Carolina z8go3 tel: gio-256-9277 fax: gio-256-2584
www.withersravenel.com

WITHERS ~" RAVENEL
ENGINEERS i PLANNERS 1 SURVEYORS
Stormwater Management Plan
The proposed project will result in 54% impervious area and will require a State
Stormwater Permit from the City of Wilmington. The stormwater management plan
consists of the treatment of stormwater runoff in a wet detention basin. The Stormwater
Management Permit application has been submitted to the City of Wilmington and is
currently under review.
The current request is for 0.18 acres of permanent impacts to jurisdictional
wetlands (see the attached maps and PCN for details).
Please feel free to call if you have questions or require additional information.
Sincerely,
~~~
Troy Beasley
Environmental Scientist
Attachments:
• PCN Form
• Agent Authorization
• USGS Quad Map
• New Hanover County Soil Survey
• JD Tearsheet and Signed Wetland Survey
• EEP Letter of Acceptance
• Wetland Impact Plan
i4io Commonwealth Drive, Suite ioi Wilmington, North Carolina z84o3 tel: 9io-z56-9z77 fax: 9io-z562584
www.withersravenel.com

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Office Use Only:
Corps action ID no.
DWO project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. A licant Information sa
1. Processing ~+/'1,

1 a.
Type(s) of approval sought from the
Corps:

®Section 404 Permit ^ Section 10 Permit y ..r
1 b. Specify Nationwide Permit (NWP) number: 39 or General Permit (GP) number:
1 c. 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 DWO 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
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: Independent Ventures Center
2b. County: New Hanover County
2c. Nearest municipality /town: Wilmington
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: Independence Ventures, LLC
3b. Deed Book and Page No. DB: 5025; Page: 2063
3c. Responsible Party (for LLC if
applicable): John Hinrichs
3d. Street address: 1505 Military Cutoff Road Suite 201
3e. City, state, zip: Wilmington, NC 28403
3f. Telephone no.: 910-392-9800
3g. Fax no.:
3h. Email address: [e-mail]
Page 1 of 12
PCN Form -Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: ^ Agent ^ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: Troy Beasley
5b. Business name
(if applicable): Withers and Ravenel
5c. Street address: 1410 Commonwealth Drive, Suite 101
5d. City, state, zip: Wilmington, NC 28403
5e. Telephone no.: 910-256-9277
5f. Fax no.: 910-256-2584
5g. Email address: [e-mail]
Page 2 of 12
PCN Form -Version 1.3 December 10, 2008 Version

,.
B. Project Information and Prior Project History
1. Property Identification
806515-003-008-000; 806515-003-0124-000; 806515-
003-008-001; 806515-003-009-000; 806515-003-010-
1a. Property identification no. (tax PIN or parcel ID): 000; 806515-003-011-000; 806515-003-012-000;
806515-003-013-000; 806515-003-014-000; 806515-
003-015-001
1 b. Site coordinates (in decimal degrees): Latitude: 34.176769N Longitude: - 78.924803W
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 7.6 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to UT to Barnard's Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C; Sw Stream Index # 18-80
2c. River basin: Cape Fear - 03030005
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:
The site currently consists of undeveloped property and the vegetation on the site has been mowed. The general land
use in the vicinity consists of a mixture of commercial and residential development.
3b. List the total estimated acreage of all existing wetlands on the property:
0.18 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
None
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct amulti-use commercial development which includes a rehabilitation
center, drug store, convenience store, car wash and auto service center.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project will consist of a multi-use commercial development. Standard commercial construction equipment will be
used to construct the project.
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:
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: Withers and Ravenel
Name (if known): Troy Beasley Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Emily Hughes with the Corps of Engineers issued a final JD for the site on December 22, 2010 (AID #2010-01906)
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 12
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.
The project will be constructed in Phases. However, wetland impacts for the entire development are being permitted as a
single project.
Page 4 of 12
PCN Form -Version 1.3 December 10, 2008 Version

r~
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)
Tempora (T)
Impact #1
®P ^ T
Fill
Basin Wetland ®Yes
^ No ®Corps
®DWQ
0.04 ac
Impact #2
^ P ^ T
Fill
Basin Wetland ®Yes
^ No ®Corps
®DWQ
0.06 ac
Impact #3
^ P ^ T
Fill
Basin Wetland ®Yes
^ No ®Corps
®DWQ
0.05 ac
Impact #4
^ P ^ T
Fill
Basin Wetland ®Yes
^ No ®Corps
®DWq
0.03 ac
2g. Total wetland impacts 0.18 ac
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 ^ PER ^Corps
^ INT ^DWQ
S2 ^ P ^ T ^ PER ^Corps
^ INT ^DWQ
S3 ^ P ^ T ^ PER ^Corps
^ INT ^DWQ
S4 ^ P ^ T ^ PER ^Corps
^ INT ^DWQ
S5 ^ P ^ T ^ PER ^Corps
^ INT ^DWQ
S6 ^ P ^ T ^ PER ^Corps
^ INT ^DWQ
3h. Total stream and tributary impacts
3i. Comments:
Page 5 of 12
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. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Tempora (T
01 ^P^T
02 ^P^T
03 ^P^T
04 ^P^T
4f. Total open water 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 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 miti ation, 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 Zone 2 impact
Permanent (P) or for Stream name mitigation (square feet) (square feet)
Temporary (T) impact required?
B1 ^P^T ^Yes
^ No
62 ^P^T ^Yes
^ No
B3 ^P^T ^Yes
^ No
6h. Total buffer impacts
6i. Comments:
Page 6 of 12
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.
Prior to site plan design, the applicant requested that a detailed wetland delineation be conducted to identify
the jurisdictional wetlands within the proposed project.
The onsite wetlands consist of very small, disconnected wetland pockets that are remnants of a historically
larger inter-stream wetland system. As a result of the existing development surrounding the project site, the
onsite wetlands have been severed from offsite wetlands, with the only hydrologic connection being provided
through a series of culverts and road-side ditches, which has greatly reduced the functional value of the onsite
wetlands. As a result of the surrounding development, the watershed/drainage area of the onsite wetlands has
been reduced to the 7.6 acre project site. In the current condition, the onsite wetlands are recharged by direct
rainfall and runoff from onsite uplands with very little, if any, influence from groundwater fluctuations.
During the planning stage of the proposed project, it was determined that impacts to onsite wetlands could not
be completed avoided. The City of Wilmington requires that all runoff from high density developments be
captured and treated in a stormwater management system. If direct impacts to onsite wetlands were avoided
in the site plan, the stormwater management system would divert water away from the wetlands and into the
stormwater pond, severing the natural hydrologic recharge source of the onsite wetlands. Due to the small
size of the wetlands, hydrology sufficient to maintain wetland function could not be maintained without
runoff from adjacent uplands and the onsite wetlands would eventually dry up and convert to uplands in the
matter of a few years. Therefore, it was determined that the integrity and long term viability of the onsite
wetland pockets could not be maintained in the post-development condition and the onsite wetlands would be
secondarily impacted even if direct impacts were avoided. It was determined that the functional value of the
onsite wetlands would be better served through the provision of wetland mitigation within a significant
wetland system. Therefore, the proposed site plan has been designed to directly impact all onsite wetlands
and will result in 0.18 acres of permanent wetland impacts.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
N/A
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ®Yes ^ No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ^ DWQ ®Corps
^ Mitigation bank
2c. If yes, which mitigation option will be used for this
project?
®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
Page 7 of 12
PCN Form -Version 1.3 December 10, 2008 Version

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: 0.5 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.
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 12
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? 54
2b. Does this project require a Stormwater Management Plan? ®Yes ^ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Stormwater from this project will be treated by a wet detention basin. The Stormwate r Management Plan has been
submitted to the City of Wilmington and is currently under review.
® 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? City of Wilmington
® 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
^ HQW
4a. Which of the following state-implemented stormwater management programs apply ^ ORW
(check all that apply): ^ Session Law 2006-246
^ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
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 12
PCN Form -Version 1.3 December 10, 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 26 .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.
The proposed project is located within a developed are of New Hanover County. The construction of the proposed
commercial center will not be a catalyst for additional development in the area.
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.
Cape Fear Public Utility Authority.
Page 10 of 12
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 ^ 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.
^ A
h
ill
s
ev
e
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
W&R reviewed the NC OneMap Viewer GIS website, located at http://www.nconemap.net/Default.aspx?tabid=286, to
identify if any potential occurrence of endangered species on or near the proposed project. The review of the GIS
database did not identify any recent occurrences of endangered species or critical habitat on the subject property or
within 1.0 miles of the project.
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?
W&R reviewed the NOAA Essential Fish Habitat online mapper, located at:
http://sharpfin.nmfs.noaa.gov/website/EFH Mapper/map.as~x. The EFH mapper classifies the Cape Fear River, located
approximately 1.5 miles southwest of the proposed project, as Essential Fish Habitat. Due to the provision of onsite
stormwater management and the distance of the project from EFH, the proposed project will not result in adverse impacts
to Essential Fish Habitat within the Cape Fear River.
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?
There are no historic structures located on the project site.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in aFEMA-designated 100-year floodplain? ^ Yes ®No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA Firm Panel 3125

Troy Beasle ~~~
/
y

Withers and Ravenel 2/3/2011
Applicant/Agent's Signature Date
Applicant/Agent's Printed Name (Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 12
PCN Form -Version 1.3 December 10, 2008 Version

AGENT AUTHORIZATION

WtTHEIRS a' RAVEr+IEL
ENGINEERS I PLANNERS I SURVEYORS
AUTHORITY FOR APPOINTMENT OF AGENT
The undersigned owner(s). Independence Ventures, LLC do(es) hereby appoint Troy Beasley /
Witi~ers_& Ravenel. Inc. as his, her, or it's agent for the purpose of petitioning the appropriate
local, state and federal environmental regulatory agencies {US Army Corps of Engineers, NC
•- Division of Water Quality, NC Division of Coastal Management, etc.} for. a) review and approval
of the jurisdictional boundaries of onsite jurisdictional areas (wetlands, surface waters, etc.)
andlor; b) preparation and submittal of appropriate environmental permit applicationslrequests for
the property Located northwest_ of the intersection of Carolina Beach Road and
Independence Blvd.
The owner does hereby authorize that said agent has the authority to do the following acts on
behalf of the owner:
(1 } To submit appropriate requests/applications and the required
supplemental materials;
(2} To attend meetings to give representation on behalf of the Client.
{3} To authorize access to subject property far the purpose of environmental
review by appropriate regulatory agencies.
This authorization shall continue in effect until completion of the contracted task or termination by
the property owner.
Agent's Name, Address & Telephone:
Troy Beasley /Withers &Ravenel. Inc.
1410 Commonwealth Drive. Suite 101
Wilmincrton. NC 28403
Dat : ~D ?~`1~
Signature of Owner(s):
nt)
nature)
Tel. [phone] I ~~ Mt 1 i-I GLYI( 1.UJl ~'( ~~c~l
Mailing Address
Wi~minC~'~UYl ~G a8'~-~3
City ate Zip
igio Commonwealth Urive, Suite Boa Wilmington, North Carolina z8ga9 tcl: gio-z56-gz77 Fax:gio-z56-z58y
www.withersravenel.com '

USGS QUAD MAP
AND
NEW HANOVER COUNTY SOIL SURVEY

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Independence Ventures Center Aerial Photo WITHERS RAVENELENSINEERS 1 PLANNERS 1 SURVEYORS
Irvin < New Hanover Coun North Carolina

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JD TEARSHEET
AND
SIGNED WETLAND SURVEY

.~
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2010-01906 County: New Hanover U.S.G.S. Quad: Wilmington
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Agent: Independence Ventures, LLC
C/o Mr. Charles Paul, IIl
Address: 1508 Military Cutoff Road, #201
Wilmington, North Carolina 28403
Telephone No.:
Property description:
Size (acres) 7_b
Nearest Waterway Barnard's Creek
USGS HUC 03030005
Nearest Town Wilmington
River Basin Cape Fear
Coordinates N 34.176769. W -77.924803
Location description The_property is located at the northern corner of the intersection of Carolina Beach Road and
Independence_Boulevard (referred to as Tract 4 and Tract 7 on the signed plat). Wilmington, New Hanover County, North
Carolina.
Indicate Which of the Following Annly:
A. Preliminary Determination
Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have this
property inspected to determine the extent of Department of the Army (DA}jurisdiction. Ta be considered final, a jurisdictional
determination must be verified by the Corps. This preliminary determination is not an appealable action under the Regulatory
Program Administrative Appeal Process (Reference 33 CFR Part 331).
B. Approved Determination
_ There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
X There are wetlands on the above described property subject to the permit reauirements of Section 404 of the Clean Water
Act (CWA)(33 USC ~ 1344). Unless there is a change in the law or our published regulations, this determination may be
relied upon for a period not to exceed five years from the date of this notification.
_ We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and%r our present
workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely delineation,
you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
_ The waters of the U.S. including wetland on your property have been delineated and the delineation has been verified by the
Corps. We strongly suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified
by the Corps. Once verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your
property which, provided there is no change in the law or our published regulations, may be relied upon for a period not to exceed
five years.
X The wetlands have been delineated and surveyed and are accuratel~epicted on the plat signed by the Corps
Regulatory Official identified below on 12/22/2010. Unless there is a change in the law or ourpublished regulations. this
determination may be relied upon for a period not to exceed five years from the date of this notification.
_ There are no waters of the U.S., to include wetlands, present on the above described property which are subject to the permit
requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.

X The property is located in one of the 20 Coastal Counties subiect to regulation under the Coastal Area Management Act
(CAMA). You should contact the Dwision of Coastal Management in Wilmington, NC at [phone] to determine
(heir requirements.
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act {33 USC § 1311). If you have any questions regarding this determination
and/or the Corps regulatory program, please contact Emily Hughes at 910-251-4635.
C. Basis For Determination
This site exhibits wetland criteria as described in the 1987 Corps Wetland Delineation Manual and is adiacent to an unnamed
#ributarv to Barnard's Creek. This determination is based on information submitted by Withers and Ravenel and a site visit
b_y Emily Hughes on 11/10/2010.
D. Remarks
E. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in B.
above)
This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA} form. If you request to appeal this determination you
must submit a completed RFA form to the following address:
District Engineer, Wilmington Regulatory Dzvision
Attn: Emily Hughes, Project Manager,
Wilmington Regulatory Field Office
69 Darlington Ave.
Wilmington, North Carolina 28403-1398
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the District Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by 2/22/2011.
**It is not necessary to submit an RFA form to the District Office if you do not object to the determination in this correspondence.**
Corps Regulatory Official:
Date December 22, 2010 Expiration Date December 22, 2015
Action Id. SAW-2010-01906
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to do so,
please complete the Customer Satisfaction Survey located at our website at httn://reaulatorv.usacesurvev coml to complete the survey
online.
Copy furnished:
Withers &Ravenel Attn: Tro Beasle 1410 Commonwealth Dr. Ste 101 Wilmin ton NC 28403

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EEP LETTER OF ACCEPTANCE

r~
Ecosyst~e~m
PROGRAM
January 2S, 20ll
John Hinrichs
Independence Ventures, LLC
1508 Military Cutoff Road, {k201
Wilmington, NC 28403
Project: Independence Ventures Center
Expiration of Acceptance: October 25, 20I1
County: New Hanover
This letter replaces one issued dated January 24, 2011. The purpose of this letter is to notify you that the North Carolina Ecosystem
Enhancement Program (NCEEP) is willing to accept. payment for impacts associated with the above referenced project. Please note
that this decision does not assure that the payment will be approved. by the permit issuing agencies as mitigation for project impacts. It
is the responsibility of the applicant to contact these agencies to determine if payment to the NCEEP will be approved. You must also
Comply with all other state, federal or local government permits regulations or authari7ations associated with the proposed activity
including SIv 2009-337: An Act to Promate Compensatory Miti atg ion b~Yrivatc Mitigation Banks
This acceptance is valid. far nine months from the date of this letter and is not transferable. If we have not received a copy of the
issued 404 Permit/40I Certification/CAMA permit within this time, frame, this acceptance will. expire. It is the applicant's
responsibility to send coptes of the permits to NCEEP.. Once NCEEP receives a copy of the permit(s) an invoice will be issued based
on the required mitigation in that permit and payment must be made prior to conducting the authorized work. The amount of the In
Lieu Fee to be paid to NCEEP by an applicant is calculated based upan the Pee Schedule and policies listed at www.nceep.net.
Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the following
table.
River
Basin CU
Location Stream (feet) Wetlands (acres} Buffer I
(Sq. Ft.} Buffer II
(Sq~ Ft.)
Cold Cool Waem Ri arian Non-Ri arian Coastal Marsh
Impact Cape Fear 03030005 0 0 0 4 0.18 0 0 0
Credits Cape Fear 03030005 0 0 0 0 Up to O.SO 0 0 0
Upon receipt of payment, EEP will take responsibility fc7r providing the compensatory mitigation. If the regulatory agencies require
mitigation credits greater than indicated above, and the applicant wants NCEEP to be responsible For the additional mitigation, the
applicant will need Co submit a mitigation request to NCEEP for approval prior to permit issuance. The mitigation will be performed
in accordance with the N.C. Department of Environment and Natural Resources' Ecosystem Enhancement Program In-Lieu Fee
Instrument dated July 28, 2010.
If you have any questions or need additional information, please contact Kelly Williams at [phone].
ce: Ian McMillan, NCDWQ Wetlands/401 Unit
Emily Hughes, USACE-Wilmington (AID# 2010-01.906)
Chad Coburn, NCDWQ-Wilmington
lloug Huggett, NCDCM-Morehead City
Troy Beasley, agent
File
Sincerer,
William D. Gilmore, PE
Director
R.P.StDYLGG~... ~ ~ ... PYDL`"t?Gtl.GL~ C1GL{'' StG~"'L
~'~/~~
FICDENR
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-0476 / www.nceep.net

WETLAND IMPACT PLAN

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WETLAND IMPACTS
WETLAND
IMPACT
#1 -
WETLAND
IMPACT
#2 -
WETLAND
IMPACT
#3 -
WETLAND
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#4 -
TOTALS -
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Properties
D,8� 11316 PG. 590
Zoning: PD
Land Use. Vacant
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(DCAtdOPY I
DBV,. Inc.
DAB, 3685 PG, 954
Zoning. 0&1-1
Land Use:
Res;dential
C
.-r
< 6J,
0 Rd
-STORY
> X 4,468 S.F. 1 ;0 �� I aye. 11:�'J'
� , I
"�J 1
N 6 -BED
LIVING WING
ASSISTED
FF=38.50
X
W
0
PROPOSED 5'
1 -STORY SIDEWALK
%X
2,216 S.F.
I1%PT(8EVDfiNG
DIN rl�C` 71i_ 21
A�
4TED
4FFA 50
L QEF
@
3
- - - - - - - - - - - - - ---------
-------------- - - - - - - - - - - --------------- -
10' SIDE YARD SETBACK
N 26-0750" W 134.78' i N 25'!75 �71
13" 01,28 N 25'57'09" W 182.25' —
IMPACTS #
4? SE independence
,,de 07,77,
inde-pei nce
;,3 L,
(0 06 AC) DiB50
Venture3" , , . 25 PG, 2063
D & 1'79xr PG, 174 D.& 5025 2063
Zordng� C8
1 30' Al
on: g: 'C' 6 zon C8 Land I se: Vacon, -
VEASE1
ond U, se R e s d e,,n c, CzrLane ; s Vocont
LOT 3
tl OT 2 //58,518 SQf'--F--T----
44, 09 S FT 1.34 A RES
1 -i A r Fes,
0111 TIM", 111011111
Designer
GSP
Scale
1 40'
Drawn By
Date
GSP
DECEMBER 2010
License #
job No.
P-0718
2010-0012
S 2 60 6,'2 8
...... ....... . ......... - ....... ....
N 2,65'33'0"" W 174,26'
D
OCI a
1�1_% a 11- 0 Z I �_'J -,/, '_/ I
I P'N' ff[)" E mr"hE N wl"J' El N' C E Vff E N T L J ff R"ES" L" E ONTER
Wilmington New Hanover County North Carolina,!
-R,- 9 W, /I A
I" F B 4,1 ? g
.
RB Independence MM-WATERQUALIly
UC, ' "--A18,MDSMRMVVATERftWH
D,& 5179 PC, 2950
ZoningCB (CD)
201 10 130
Land UseRetell Development Coto:
Proposed Land Use: Skilled Nursing & Assisted Living Facility
b__.Accessory Use - In & Out-patient Physical Therapy Bldg. Coverage
City of
t
;A
��%A i - E Maintenance Bldg. - 800 s.f. XX 47.580 s.f. (28.3%)
=1729�.38 Wilmington i Total Facility - 46,780 s.f.
5463 66
D,E,,, 2406 K1
7
38 50'1�
C D. L=54.63' Land Use-
Vocont
Total Bldg. Area (Single Floor) - 44,056 s.f. GFA
80 -Bed cal Nursing 35,012 s.f.
PhysiTherapy 2,360 s. f.
24 -Bed Assisted 6,684 s.f.
i t
V 0 f
R=17297.38' Wilmington Bldg. Hgt. - 1 -Story / 25' max.
L=82.24'
11D8. 14-78 PG. 1525
N 38*36'39" E Zoning� R-15 Parking -
CHD. L=82-24'
e,
us
Vacant Total Beds = 104 /Staff on 1st shift 36
req sp./4 be s & 1 sp./staff
+ 2,360 s.f. PT 0 1 sp./250 sf = 10
Total Spaced Req'd = 72
N
\X I Max. permt'd, 0 150% min. = 108
1729 8' For 76-100 spaces = 4 required HC spaces
�
ig:57 89 Spaces provided; including 4 HC Spaces
8
3 _J4 E
L
52'
wImpervious Surfaces -
"it V
"itV 01' Lot 1 96,746 s.f.
Nton 119,000 Sf.
Wilm" Lots 2, 3 & 4
f 1\ \ IDIO. 1477 PG.
Total 215.746 s.f. (54.07.)
ZoniirqR-15
V1
Land Use:
Vacant
\\o
II General Notes:
1, New Hanover County Parcel Nos.:
8 A
"-X -003-004-000]
3112507.57.2640 [R06515-003-003-000]
312507.57.1546 [R06515
�) 1 V
312507.57.3646 [R06515-003-002-000]
312507.57.4700 [806515-003-001-000]
�,.: ` \ w I \ \ '"�p/o 312511.57.3309 [R06515-003-008-000]
p/o 312511.57.2141 [R06515-003-012-000]
n/f
p/o 312511.57.1081 [R06515-003-013-000]
- City of p/o 312511.56.1954 [R06515-003-014-000]
\'
Wilmington
LOT 5
D 5362 372
2,150 SQ. 2, PG,
'+)Zoning: R-15 ±
0.97 ACR S Land Use: 2. Total Project Area: 4.99 oc.
Vacant Nursing Home Lot - 4.02 oc.±
I:.. \ � � � �� � Pond Lot - 0.97 oc.±
A
(I PROPOSED 3. Zoning District: 0&1-1
WET I Setbacks 20' Front
ETENTION
20 Corner
BASIN n/f 25' Rear
City of
10ri
\ \ � t ' In Side
Wilmington
&\
D,8. 1452 PG, 839
10 IZoning: R-- 15 1 4, Land Classification: Urban
Land Use
Vacant 5. This property contains 401 or 404 wetlands
an
... . ... 6. Property Address: p/o 3731, 3803, 3805 & 3807
Carolina Beach Rood and 4 Rebecca Lone
45� .9
S 25'57'09" E V
eoe'ndence
Ven ture,'
G 3_74 v
DB. 5362 P
WETLAND
Land Use-: 'Vaca;,:
MPACTS 4
LOT 4 it
78,567 SQ T .03 AC
w.
�,
Drucy Store
teas u
W/
urive-thru
A40
NN 5;5 5°9'• W
120112' 60,01, N 26'40'29,' W 1,111M
mJ111 I i � I I III I I
p
PREPARED FOR:
Independence Ventures, L.L.C.
1508 Military Cutoff Rd., Suite #201
Wilmington, NC 28403
GRAPHIC SCALE
ao I 1 ao 1 8 1 0
[PER FM
1 inch = 40 ft.
SP CON IL III
uL INPLL
E N G I N E E R I N G
6626 Gordon Road Unit C Wilmington, North Carolina 28411 tel: [phone] fax: [phone]
Sheet No.