20110829 Ver 1_401 Application_20110911

201 10828
WINDSOR
August 31,2011
Mr. Ian McMillan
N. C. Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
Subject: Temporary Creek Crossing
Action ID - 200900076
Forsyth County
Dear Mr. McMillan:
As discussed recently by phone with Sue Homewood, I am writing on behalf of our
client to request a relocation of the temporary stream crossing and extension to five (5)
months for the referenced permit. A copy of the first page of the permit is attached.
Exhibits prepared by Stimmel Associates showing the new location and details are also
attached. The $240 fee is also enclosed.
The temporary crossing will remain the same as before and only the location is
changing. We need to move to the new location to avoid trees in the stream buffer and
allow for construction of the permanent creek crossing. We are also requesting an
extension of the 2 month time limit to 5 months. The extension is needed to allow for
clearing, grading, retaining wall construction, and construction of the permanent creek
crossing structure. Our only access to one side of the creek is the temporary crossing and
we anticipate weather delays with a project start-up this time of year. We intend to start
the temporary creek crossing project immediately after approval of this change.
Please let me know if you need any additional information. I can be reached at (336)
362-0734.
Thank you for your attention to this matter. -. -,
TO,, kos??? D
Sincerely,
i`
WINDSOR COMMERCIAL i CEP 211
_5
?i? ?/ ._
---- _ DENR ? Qt1Alrc%amyWou
h
William S. Seymour, P.E..
President
Cc: Sue Homewood
Windsor Commercial
P.O. Box 9205 • Greensboro, NC 27429
336.282.3550 • Fax [phone]
T.J.S. ARMY COMPS OF ENGINEERS
WILMINGTON DISTRICT
Action 11). 200900076 County: Forsyth USGS Quad: Rural Hall
GENERAL, PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: Shaffer Group, Inc. / Rick Shaffer
Address: 401 East Elm Street
Conshohocken, Pennsylvania 19428 C
Py
Telephone No.: 610 825-9129
Size and location of property (water body, road narne/number, town, etc.): Proposed residential development site
located off of Quincy Drive, in Winston-Salem, in Forsyth County, North Carolina, The project is located adjacent
to a tributary of Silas Creek which is a tributary of the Yadkin River.
Description of projects area and activity: Temporary access road construction for new residential development site
as described in your construction plan included with your application of December 29, 2008, resulting in 44 linear
feet of temporary stream channel impacts to the jurisdictional waters of a tributary of Silas Creels.
Special Condition: The project includes bottomless arch culverts that do not require the discharge of dredged or
fill material hito a water of the United States. It these bottomless arch culverts are replaced and require the
discharge of dredged on fill material into a water of the United States, compensatory mitigation for the impacts
will be assessed at a 2:1 ratio.
Per your request of July 15, 2011, this verification is extended/re-issued to March 18, 2012, as defined by
the plans and conditions (special attention Viven to the above special condition) of the orij4inal verification
Action ID SAW 200900076.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
? Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number;
Nationwide Permit Number: NW 33
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the
permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified,
suspended or revoked. All of the existing NWPs are scheduled to be modified re-issued or revoked prior to March 18, 2012. If, prior
to the expiration date identified below, the nationwide permit authorization is reissued and/or modified, this verification will remain
valid until the expiration date identified below, provided it complies with all requirements of the modified nationwide permit. If the
nationwide permit authorization expires or is suspended, revoked, or is modified, such that the activity would no longer comply with
the terms and conditions of the nationwide permit, activities which have commenced (i.e., are under construction) or are under
contract to commence in reliance upon the nationwide permit, will remain authorized provided the activity is completed within twelve
months of the date of the nationwide permit's expiration, modification or revocation, unless discretionary authority has been exercised
on a case-by-case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (LAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management,
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/pernnits.
If there are any questions regarding :9119 verification, any of the conditiory; of the Permit, or the Corps of Engineers regulatory
program, please contact John Thomas 554-4884 ex?) 25.
Corps Regulatory Official J? Q-r? Date: 01112/2009
Expiration Date of Verificatiottr: 03/18/2012
Page 1 of 2
801 N. Trade Street date; 8129/2011 ?Ob #; 08-223
St i m m e I Suite 200
Winston Salem, NC
project: Q-TOWNE
Landscape Architecture 27101-2916
scale: 1"=120' sheet 1 of 3
Civil Engineering
Stimmel Associates, PA Land Planning P: 338.723,1087
F: 336.723.1069 description: OVERALL LOCATION MAP
EX H I BI T

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Landscape Architecture 27101-2916
Civil Engineering
Stimmel Associates, PA Land Planning P: 336.723.1067
r: 336.723.1069
EX H I B IT
date: 8/29/2011 lob #: 08-223
project: Q-TOWNE
scale: AS SHOWN sheet 2 Of 3
description: TEMPORARY STREAM CROSSING
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TEMPORARY STREAM CROSSIN

STREAM BUFFER
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601 N Trade Street
S t i m m e l suite zao
Wnslon Salem, NC
Landscape Architecture 27101-2916
Civil Engineering
Stimmel Associates, PA Land Planning P; 336.723.1067
F: 336.723.1069
EXH I BI T
date; 8/29/2011 job #: 08-223
project: Q-TOWNE
scale: N.T.S. sheet 3 of 3
description: TEMPORARY STREAM CROSSING DETAIL
2.5' MIN. FROM
TOP OF PIPE
TO RIP RAP
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CLASS B RIPRAP INFILL
d50- 9"
NOTES:
1. ANY RIP RAP REQUIRED FOR NORMAL PIPE BURIAL
AND STABILIZATION SHALL BE BURIED SUCH THAT THE
ORIGINAL STREAM ELEVATION IS RESTORED AND
MAINTAINED.
2. ALL TEMPORARY FILL AND CULVERTS SHALL BE
REMOVED AND THE IMPACTED AREA RETURNED TO THE
ORIGINAL GRADE, INCLUDING EACH STREAMS ORIGINAL
CROSS SECTIONAL DIMENSIONS, PLANFORM PATTERN,
AND LONGITUDINAL BED AND BED PROFILE AFTER
CONSTRUCTION IS COMPLETE OR WITHIN TWO (2)
MONTHS OF THE ESTABLISHMENT OF THE CROSSING,
WHICHEVER IS SOONER, AND THE VARIOUS SITES SHALL
BE STABILIZED WITH NATURAL WOODY VEGETATION
(EXCEPT FOR THE MAINTENANCE AREAS OF PERMANENT
UTILITY CROSSINGS) AND RESTORED TO PREVENT
EROSION,
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UNDER RIPRAP
AND CULVERT,
6" SURGE STONE (MIN.)
SECTION A-A
2
TOP OF BANK
SECTION s--B
ELEV 106 ?-- 20 -j
WINDSOR CONTRACTING, LLC
PO BOX 9205
GREENSBORO, NC 27429
P11. 336-282-3550
PAY TO THE NCDENR
ORDER OF
EXACTLY TWO HUNDRED FORTY DOLLARS
NCDENR
585 Waughtown Street
Winston Salem NC 27107
MEMO
21837
BANK of
NORTH CAROLINA ? ?,
w .bankolnc.mm
66.1203.531
08/31/2011
a
0
*********$240.00
DOLLARS
TWO SIGNATURES REQUIRED OVER $20,000 8
AUTHORIZED SIGNATURE
1"02183711' 000531120391: 1115000329911"
ECS CAROLINAS, LLP
?ddGD Geotechnical - Construction Materials - Environmental
CAROLINAS
Mr. John Thomas
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Subject: Pre-Construction Notification Application
Request for Nationwide Permit 33
Q-Towne - Quincy Drive
Winston-Salem, Forsyth County, North Carolina
ECS Project 09-15979D
Dear Mr. Thomas:
December 23, 2008
Please find two copies of the Pre-Construction Notification Application for the above referenced site.
The site is located on Quincy Drive in Winston Salem (Figure 1) and consists of an approximate 9.23
acre tract that is being developed with Q-Towne Townhomes. A tributary of Silas Creek crosses the site.
There are 882 linear feet of stream channel and 0.01 acres of wetlands on the site. Approximately 44
linear feet of stream channel will be temporarily impacted by a temporary construction road.
Upon completion of construction, the culvert will be removed and the stream will be restored to
its original grade, dimensions, pattern and profile. Due to the temporary nature of the impact,
mitigation should not be required and none is proposed. Based on a telephone conversation with you, I
understand that the temporary access road can be authorized with Nationwide Permit 33.
A bottomless culvert will be used to provide permanent access to all areas of the site. To avoid
impacts, the bottomless culvert will span the stream.
On behalf of the Shaffer Group, Inc., I am requesting that a Nationwide Permit 33 be issued to authorize
the temporary impact to 44 linear feet of stream channel. There are no other stream or wetland impacts
associated with this project.
Please feel free to contact me at [phone] if you have any questions concerning this request or if
additional information is required. Thank you in advance for your timely consideration of this matter.
Sincerely,
Carolinas, LLP
erase M. Poul s, LSS
Principal Scientist
Attachment: Pre-Construction Notification Application
4811 Koger Boulevard - Greensboro, NC 27407 - [phone] - Fax [phone]
Q-7bivne Temporary Stream Crossing
Qxincy Drive
Winston-Salem, North Carolina
ECS Proposal 14554-P
December 18, 2008
ECS Carolinas, LLP
AGENT AUTHORIZATION
This form authorizes ECS to act as our agent in stream/wetland matters including U.S. Army Corps of
Engineers and North Carolina Division of Water Quality field verification and permit application.
Property Address:
Owner Information:
Quincy Drive
Name: Shaffer Group, Inc.
Address: 401 E. Elm St.
Teiephone Number:
Fax Number:
E-mail Address:
Conshohocken, PA 19428
610-825-9129
610-825-9130
Signature: 2' / Date: t 2 O
V pl'?' I
4
20 1 1 082 8
Office Use Only: Form Version March 08
USACE Action ID No. DWQ No.
(Tf ATV nartirnlar item i t _ _
..rr --_ .., -- P-J'n L, }ncaac MIMI INUt Appllcal)le° or 'N/A".)
I. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
? 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NW-P33
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
it. Applicant Information
Owner/Applicant Information
Name: Shaffer Group Inc.
Mailing Address: 401 East Elm Street
Conshohocken PA 19428
Attn: Mr. Rick Shaffer
Telephone Number: 610-825-9129 Fax Number: 610-825-9130
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Ms. Denise M. Poulos
Company Affiliation: ECS CarolinasLLP
Mailing Address: 4811 Koaer Boulevard
Greensboro NC 27407
Telephone Number: 336-856-7150 Fax Number: 336-856-7160
E-mail Address: dpoulosaecslimited com
Page 1 of 9

III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than I 1 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: 0-Towne
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Forsyth County Nearest Town: Winston Salem
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): From Raleigh: I-40 West Exit
206 onto 1-40 Business toward Kernersville/Winston-Salem. Continue west to South Broad
Street (Exit 513). Turn right on South Broad Street left on West End Boulevard right on
Reynolda Road, left on Polo Road left on Owen Drive right on Quincy Drive
5. Site coordinates (Lat/Long or decimal degrees): 36.134017 N, 8,294461 W
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres): Approximately 9.23 acres
7. Name of nearest receiving body of water: Silas Creek
8. River Basin: Yadkin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http:/ih2o.enr.state.nc.us/admin/mans/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site contains a single family residence and undeveloped
wooded land. The surrounding properties contain residential and commercial development
Page 2 of 9
10. Describe the overall project in detail, including the type of equipment to be used: The site is
being developed with O-Towne a town home community. Trucks trackhoes loaders pans
etc. will be used to construct the project A tributary to Silas Creek crosses the site In order
to develop the property, a road will be constructed across the tributary To avoid impacts a
bottomless culvert will be used to span the stream The bottomless culvert will be designed
and constructed so as not to disturb the stream. However, in order to grade the site and
construct the bottomless culvert, it is necessary to cross the stream with a temporary
construction road. The temporary crossing will be constructed with 44 linear feet of 42"
pipe. As noted on the Temporary Stream Crossing Detail prepared by Stimmel all
temporary fill and culverts will be removed and the impacted area will be returned to the
original grade.
11. Explain the purpose of the proposed work: The purpose of the work is to develop a town
home community on the site.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. ECS delineated streams and wetlands on the site in May 2008 To our
knowledse, there have been no permits obtained for this project in the past
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
It is not anticipated that there will be future permit requests for this project
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland. and stream evaluation and delineation forms should be included as appropriate.
Page 3 of 9
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Provide a written description of the proposed impacts: Approximately 44 linear feet of
stream channel will be temporarily impacted by a temporary construction road. Upon
completion of construction the culvert will be removed and the stream will be restored to its
original grade dimensions pattern and profile A bottomless culvert will be used to provide
permanent access to all areas of the site To avoid a permanent impact the bottomless
culvert will span the stream.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
senarately lint irnnartc rlnP to tenth ctnirfiirP anal flnn?inrT T1.oro .?1 _ ] :?
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(yes/no) Distance to?
Nearest
Stream
(linear feet) » 7(ae

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 0.01 acres
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage_ mnltinly lPnoth X width thP., .h.,;?P h. Al c<n
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact or
PerennIntermial oittentr Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
#1 UT to Silas Creek temporary perennial 5' 44 0.005

Total Stream Impact (by length and acreage) 0.005
Page 4 of 9
Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc. There are no open water
impacts associated with the project.
Open Water Impact
Site Number
(indicate on mar))
Name of Waterbody Type of Waterbody Area of
(if applicable) Type of Impact (lake, pond, estuary, sound, bay, Impact
ocean, etc.) (acres)
Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the ro'ect:
Stream Impact (acres): 0.005 (tem
Wetland Impact (acres): 0.0
Open Water Impact (acres): 0.0
Total Impact to Waters of the U.S. (acres) 0.005 (ter
Jotal Stream Impact (linear feet): 44 (temnor
Isolated Waters
Do any isolated waters exist on the property? ? Yes No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
VII
Pond Creation Ponds will not be constructed as part of this vroiect
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
Page 5 of 9
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. The site is being developed
with Q-Towne a town home community. A tributary to Silas Creek crosses the site In order to
develop the property, a road will be constructed across the tributary. To avoid impacts a
bottomless culvert will be used to span the stream. The bottomless culvert will be designed and
constructed so as not to disturb the stream. However, in order to grade the site and construct the
bottomless culvert, it is necessary to cross the stream with a temporary construction road. The
temporary crossing will be constructed with 44 linear feet of 42" pipe The temporarycrossing
will be placed in straight stretch of the stream As noted on the Temporary Stream Crossing
Detail prepared by Stimmel all temporary fill and culverts will be removed and the impacted
area will be returned to the original grade.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enE.state,nc.us/ncwetlands/stmigide.html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
Due to the temporary nature of the impact mitigation should not be required and none is
proposed.
Page 6 of 9
Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htin. If use of the NCEEP is proposed, please
check the appropriate box on page three and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPAISEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ?
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers.. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No
Page 7 of 9
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
I I Zone* Impact Multiplier Required
(scuare feet) Mitieation
3 (2 for Catawba)
1.5
Total
" Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B.0242 or.0244, or.0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss stormwater
controls proposed in order to protect surface waters and wetlands downstream from the property. If
percent impervious surface exceeds 20%, please provide calculations demonstrating total proposed
impervious level. Standard erosion control measures will be utilized to protect downstream surface
waters and wetlands. When developed, the site will contain 41.06% impervious surfaces.
XII. Sewage Disposal (required by DWQ)
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.
When developed, the site will utilize the municipal sanitary sewer system.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development which could impact nearby downstream water quality? Yes ? No ?
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/newetlands. If no, please provide a short narrative description:
The project will provide for the housing needs of residents of Forsyth County. It is not
anticipated that the project will result in additional development that could impact downstream
water aualitv.
Page 8 of 9
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
/ 3- / rte. / c, 1S
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 9 of 9
.
.
R
lei
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SOURCE: FIGURE 1
g USGS TOPOGRAPHIC MAP SITE LOCATION MAP
RURAL HALL, NC QUADRANGLE
DATED 1951, REVISED 1994 N..r. Q-TOWNE
WINSTON-SALEM WEST, NC QUADRANGLE QUINCY DRIVE
DATED 195 1, REVISED 1994 L WINSTON-SALEM, NORTH CAROLINA
SCALE: 1"=2,000' ECS PROJECT NO. 09.15979D
H I'D
?HinBZ..-) r eCi / i-JAI? N7CeB
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SOURCE: FIGURE 2
w E e
s USDA SOIL SURVEY OF SOIL MAP
FORSYTH COUNTY Q-TOWNE
SHEET NO. 23 QUINCY DRIVE
ISSUED MAY 1976 ????+ WINSTON-SALEM, NORTH CAROLINA
NOT TO SCALE n^p?y ' ? W"k7 ECS PROJECT NO. 09.15979D
THE STREAM{WETLAND LOCATIONS SHOWN ON THIS MAP ARE APPROXIMATE. THEY HAVE BEEN DELINEATED BY ECS, THEY
HAVE NOT BEEN VERIFIED BY THE U.S. ARMY CORPS OF ENGINEERS AND THEY HAVE NOT BEEN SURVEYED.
JJP 1 O
DI' 2 O
Legend
Approximate Location of Perennial Stream
Approximate Location of Wetland
DP 1 O Approximate Location of Data Point
N
' SOURCE: FIGURE 3
C STREAM/WETLAND LOCATION MAP
AERIAL PHOTOGRAPH FROM THE FORSYTH
COUNTY GIS WEBSITE AND FIELD NOTES ? Q-TOWNE
PREPARED BY ECS PERSONNEL 45iP QUINCY DRIVE
WINSTON-SALEM, NORTH CAROLINA
NOT TO SCALE CAROLINAS ECS PROJECT NO. 09.15979D
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual) _
Project/Site: Q-Towne - Quincy Drive Project No: Date: May 13, 2008
Applicant/Owner: Shaffer Builders, Inc. County: Forsyth
Investigators: ECS Carolinas, LLP 09-15979D State: North Carolina
Plot ID: DP-1
Do Normal Circumstances exist on the site? Yes H No Community ID: 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
Ligustrum sinense
Chinese privet Tee/Sap FAC
Liquidambar styraciflua
Sweet gum Tree/Sap FAC+
Toxicodendron radicans
Poison ivy Vine FAC
Rosa palustris
Swamp rose Herb OBL
Fraxinus pennsylvanica
Green ash Tree/Sap FACW

-
7

Percent of Dominant Species that are OBL, FACW or FAC: 100%
(excluding FAC-) FAC Neutral:
Numeric Index:
Remarks:
The dominant vegetation is hydrophytic.
HYDROLOGY
Recorded Data (Describe in Remarks):
? Stream, Lake or Tide Gauge
Aerial Photographs
Other

® No Recorded Data

Field Observations

Depth of Surface Water: 1"

Depth to Free Water in Pit: Surface

Depth to Saturated Soil: Surface Wetla
Pri

ec nd Hydrology Indicators
mary Indicators
Inundated
Saturated in Upper 12 Inches
Water Marks
Drift Lines
Sediment Deposits
Drainage Patterns in Wetlands
ondary Indicators
Oxidized Root Channels in Upper 12 Inches
Water-Stained Leaves
Local Soil Survey Data
FAC-Neutral Test
H Other (Explain in Remarks)
Remarks:
Wetland bvdrology indicators are present.
(Wetform) Page 1 of 2
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: Q-Towne - Quincy Drive Project No: Date: May 13, 2008
Applicant/Owner: Shaffer Builders, Inc. County: Forsyth
Investigators: ECS Carolinas, LLP 09-15979D State: North Carolina
Plot ID: DP-1
Map Unit Name (Series and Phase): Pacolet fine sandy loam
Map Symbol: PaF Mapped Hydric Inclusion? ?Yes ®No
Drainage Class: Well drained Field Observations Confirm Mapped Type: ?Yes ® No
Taxonomy (Subgroup): Typic hapludults
Profile Descri tion
Depth Matrix Color Mottle Color Mottle
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Texture, Concretions, Structure, etc.
0-12" 2.5Y 4/2 10YR 4/4 25% 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 present.
WFTT.ANn DF.TF,RMTNATION
Hydrophytic Vegetation Present? ZYes U No Is the Sampling Point within the Wetland? Yes U No
Wetland Hydrology Present? ®Yes ? No
Hydric Soils Present? 7Yes F No
Remarks:
The three wetland criteria are present. The sampling point is located within a wetland.
(Wetform) Page 2 oft
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: Q-Towne - Quincy Drive Project No: Date: May 13, 2008
Applicant/Owner: Shaffer Builders, Inc. County: Forsyth
Investigators: ECS Carolinas, LLP 09-15979D State: North Carolina
Plot ID: DP-2
Do Normal Circumstances exist on the site? Yes No Community ID: Wooded
Is the site significantly disturbed (Atypical Situation:)? ?Yes No Transeet ID:
Is the area a potential Problem Area? []Yes Z No Field Location: View Figure 3
(If needed, explain on the reverse side)
VEGE'T'ATION
Dominant Plant Species (Latin/Common) Stratum Indicator Plant Species (Latin/Common) Stratum Indicator
Ligustrum sinense
Chinese privet Tee/Sap FAC
Liquidambar styraciflua
Sweet gum Tree/Sap FAC+
Toxicodendron radicans
Poison ivy Vine FAC
Rosa multiflora
Multiflora rose Herb UPI,
Smilax rotundifolia
Common greenbrier Herb FAC

Percent of Dominant Species that are OBL, FACW or FAC: 80%
(excluding FAC-) FAC Neutral:
Numeric Index:
Remarks:
The dominant vegetation is hydrophytic.
HYDROLOGY
Recorded Data (Describe in Remarks): Wetla nd Hydrology Indicators
? Stream, Lake or Tide Gauge Pri mary 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 ondary 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 I of 2
DATA FORM
ROUTINE WETLAN D DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: Q-Towne - Quincy Drive Project No: Date: May 13, 2008
Applicant/Owner: Shaffer Builders, Inc. County: Forsyth
Investigators: ECS Carolinas, LLP 09-15979D State: North Carolina
Plot ID: DP-2
Map Unit Name (Series and Phase): Pacolet fine sandy loam
Map Symbol: PaF
Drainage Class: Well drained
Mapped Hydric Inclusion? ?Yes ® No
Field Observations Confirm Mapped Type: ®Yes ? No
Taxonomy (Subgroup): Typic hapludults
Profile Description
Depth
(inches)
Horizon Matrix Color
(Munsell Moist) Mottle Color
(Munsell Moist) Mottle
Abundance/Contrast
Texture, Concretions, Structure, etc.

0-12" 7.5YR 4/4 0% Loam

Hydric Soil Indicators:
? Histosol
? Histic Epipedon
? Concretions
? High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor
? Aquic Moisture Regime
? Reducing Conditions
? Gleyed or Low Chroma Colors ? Organic Streaking in Sandy Soils
? Listed on Local Hydric Soils List
? Listed on National Hydric Soils List
? Other (Explain in Remarks)
Remarks:
Hydric soil indicators are not present.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? HYes No Is the Sampling Point within the Wetland? Yes No
Wetland Hydrology Present? Yes ® No
Hydric Soils Present? ?Yes ® No
Remarks:
Wetland hydrology and hydric soil indicators are not present. The sampling point is not located within a wetland.
(Wetform) Page Z of 2
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St i mme I Sulte 200
- - :?4 1 7 Winston Salem, NC project; Q-TOWNE
Landscape Architecture 27101-2916
Engineering SC31e; 1"=120' sheet 1 Of 3
Civil
. P: 336.723.1067
Stimmel Associates, PA Land Planning F: 336.723.1069 description: OVERALL LOCATION MAP
EXHIBIT

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St i m m e I Suite 200
Winston Salem, NC
project: Q-TOWNE
Landscape Architecture 27101-2916
scale: AS SHOWN sheet 2 Of 3
Civil Engineering P: 336.723.1067
Stimmel Associates, PA Land Planning F: 336.723.1069 description: TEMPORARY STREAM CROSSING
EXHIBIT

RY STREAM CROSSING
EMPO
30' (NO-DISTURB ?` -"-
? `
BUFFER
`?
..,? M D FROM

7,
PROTECTION FENCE
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?-? TYP EACFISIl9E AROUND STREAM BANK
~`?-
EXISTING AND STREAM BUFFER
-
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MEASUREDrFROM._ _,.._.
OP OF BANK
.-64CH SIDE ? -...

SCALE: 1" - 40'
40 0 40

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PROFILE SCALE
HORIZ
1'=40'
t:
,
VERT. 1 °=4'

TO OF RIP P
OP F 8 NK

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Stimmel Associates, PA
Stimmel
Landscape Architecture
Civil Engineering
Land Planning
EXHIBIT
601 N. Trade Street date; 12/18/08 lob #: 08-223
Suite 200
Winston Salem, NC project: q-TOWNE
27101.2916
scale: N.T.S. sheet 3 of 3
P: 336.723.1067
F: 336.723.1069 description: TEMPORARY STREAM CROSSING DETAIL
2.5' MIN. FROM
TOP OF PIPE
TO RIP RAP
FILTER FABRIC
NCDOT TYPE 2
6" SURGE STONE (MIN.)
i
CULVERT_ _
-
SEE PLAN VIEW FOR SIZE T III III"' '
NCDOT TYPE 2 SECTION A-A
GEOTEXTILE FABRIC
UNDER RIPRAP
AND CULVERT.
ELEV 106 } --' 20' -- -1
2 2
-I1 TOP OF BANK
44 LF OF
42" PIPE
SECTION B-B
A
O0? ?c0o ?O
00 0 0 p0 0 O
pp O D O 4.r
0
000 4j G 000-0
000 O o 0 t
00.00° 0 O
0 4
0 0op0 po0°
°00° 0 *0
CLASS B RIPRAP INFTLL
d50= 9"
NOTES:
1. ANY RIP RAP REQUIRED FOR NORMAL PIPE BURIAL
AND STABILIZATION SHALL BE BURIED SUCH THAT THE
ORIGINAL STREAM ELEVATION IS RESTORED AND
MAINTAINED.
2. ALL TEMPORARY FILL AND CULVERTS SHALL BE
REMOVED AND THE IMPACTED AREA RETURNED TO THE
ORIGINAL GRADE, INCLUDING EACH STREAMS ORIGINAL
CROSS SECTIONAL DIMENSIONS, PLANFORM PATTERN,
AND LONGITUDINAL BED AND BED PROFILE AFTER
CONSTRUCTION IS COMPLETE OR WITHIN TWO (2)
MONTHS OF THE ESTABLISHMENT OF THE CROSSING,
WHICHEVER IS SOONER, AND THE VARIOUS SITES SHALL
BE STABILIZED WITH NATURAL WOODY VEGETATION
(EXCEPT FOR THE MAINTENANCE AREAS OF PERMANENT
UTILITY CROSSINGS) AND RESTORED TO PREVENT
EROSION.
CwCNor;' 0 CL2V> o v
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...} . INVEFs
Hy I
<Name>
Hydrograph type = Rational
Storm frequency (yrs) = 25
Drainage area (ac) = 18.610
Rainfall Inten (in/hr) = 6.647
OF Curve Forsyth.ID"
E AL
0 -791
Runoff Hydrograph
Q ?Cfs) ?4? ,L ¢r Uri?` 25-yr frequency
80 00 _
70 00
60 00
I
50 00
Q (cfs)
90.00
80.00
I
70.00
60.00
50.00
40 00 40,00
f
30 00 30.00
20.00 _ 2000
10 00
o ?a
0
__ _ _ 10 00
0 00
10 15
Peak discharge (cfs) = 80.41
Time interval (min = 1
Runoff coeff. (C) = 0.65
Tc by User (min) = 10
Rec limb factor = 1.00
Hydrograph Volume= 48,243 (cult); 1.108 (acft)
?°?°°"..- Runoff Hyd - Qp = 80 41 fcfs
Cir Culvert
Invert Elev Dn (ft) = 100.00 Calculations
Pipe Length (ft) = 24.00 CAIO,, Qmin (cfs) = 80.4
Slope (%) = 1.42 ,
44 c 5?,y":' Qmax cfs = 80.4
Invert Elev Up (ft)
Ri
i = 100.34 r ;
???,:laL Tailwater Elev (ft) _ (dc+D)12
se (
n)
Shape = 42.0
=Cir t? {j R
12

Span (in)
= 42.0 Highlighted

Qtotal (cfs)

= 80.41
No. Barrels = 1
HO ?
1 Q e (cf
pi p s)
= 80.41
n-Value = 0.012 r4.,,M,,,11100 Qovertop (cfs) = 0.00
Inlet Edge = Projecting Veloc Dn (ft/s) = 8.81
Coeff. K,M,c,Y,k = 0.0045, 2, 0.0317, 0.69, 0.5 Veloc Up (ft/s) = 9.72
HGL Dn (ft) = 103.15
Embankment HGL Up (ft) = 103.15
Top Elevation (ft) = 106.00 Hw Elev (ft) = 104.94
Top Width (ft) = 16.00 Hw/D (ft) = 1.32
Crest Width (ft) = 10.00 Flow Regime = Inlet Control
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