20120183 Ver 1_401 Application_20120217

Green Mountain Engineering, PLLC Civil Engineering Consultants
Date February 16 2012
To NC DWQ 401 /Wetlands Unit
1650 Mail Service Center
Raleigh NC 27699 -1650
Re Verizon Wireless Store — 304 South Main Street, Graham, NC
For the Record Only for DWO 401 Certification
Dear Sir or Madam
Attached please find a complete Pre Construction Notification form and
accompanying documents for the proposed Venzon Wireless Store to be located at 304 South
Main Street in Graham NC Much design and review has gone into this project including a
site visit by DWQ and the US Army Corps of Engineers (Action ID No SAW2010 0184 1)
Two copies of each item listed below are attached for your review Please let me
know if you require additional infonmation, you can reach me via email
vince@greenmountainengineers com or by telephone [phone])
1 Agent Authorization Form signed by the current property owner
2 Letter of stone -water plan approval for the proposed Venzon Wireless Store
to be constructed at 304 South Main Street in Graham NC This letter was
written by Alley Williams Carmen and King who provides stone water
review services on behalf of the City of Graham
3 Completed PCN form
4 Full sized copy of the site plan sheet C 1 1 Existing Conditions and
Demolition
5 Full sized copy of the site plan sheet C 12 Site Plan
6 Full sized copy of the site plan sheet C 15 Grading and Storm Drainage Plan
7 Wetlands impact maps (three (3) 8 1/2 x11 sheets)
Since this site is for notification only no fee is required Please let us know if
you require additional information
Best Regards
g D
FE8 1 7 2012
"'W
WAiER QuALITI
Vincent C Townsend PE PLS AZ4AIZ-AI "ORMWAMO BRANCH
609 Stafford Pointe Court Oak Ridge, NC 27310 [phone]

20120183
Green Mountain Engineering, PLLC Civil Engineering Consultants
Agent Authonzation Form COURTESY
Property Legal Description C 0 P y
Geo P iN 8884127473 Old Tax ID No 172 693 4 Parcel ID Number
Street Address 304 South Man Street, Graham, NC
Property Owner
FEB 1 7 2012
t/� Gr /- /i/! ,� ,� C DENR WATER QUALITY
WETLAND,) MD STORIMATER BWINCH
The undersigned registered property owners of the above noted property do hereby authorize
Vincent C Townsend, PE, PLS of Green Mountain Engineeriniz, PLLC to ict on my behalf
and take all actions necessary foi the processing issuance and acceptance of this permit or
certification and any and all standard and special conditions attached
Property Owner s Address (if different from above)
Telephone 336 a?rz5z o iR 3 36— °136— 2776
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge
Au onzed Signature
Authorized Signature
Date �3 %� Date
609 Stafford Pointe Court Oak Ridge NC 27310 [phone]

November 7, 2011
Engineering *Architecture a Land Surveying
LETTER OF APPROVAL
Mr Robert Grill ASLA
Moser Mayer Phoenix Associates PA
328 East Market Street Suite 200
Greensboro NC 27401
Subject Venzon Wireless Store
Graham NC
BMP Review for 401/404 Program
Dear Mr Grill
We have reviewed and approve the stormwater plan and calculations for the Venzon Wireless
store at 314 South Main Street in Graham NC on behalf of the City of Graham This consisted
of reviewing the storm drainage sand filter and the associated calculations The project is
approved based on the City of Graham s Stormwater Manual The City s manual is the N C
Division of Water Quality s Stormwater BMP Manual and this certification applies to the project s
401/404 water quality permit The stream triggering the 401/404 water quality permit does not
trigger a buffer within the City of Graham but this plan was reviewed locally on behalf of NC
DWQ
Per NC DWQ policy after the plans and calculations are approved by the local municipality the
developer /designer is responsible for submitting this approval to the NC DWQ along with a Pre -
Construction Notification Form
Should you have any questions please call me at (336) 226 -5534 or email me at
(ioshfaawck com)
Sincerely
Joshua S Johnson, P E
enc
Cc Aaron Holland City of Graham
Vince Townsend, P E Green Mountain Engineering
File
740 Chapol Hill Road (27215) P 0 Box 1179 Burlington North Carolina 27216
To/ [phone] Fa — (336)c26 3034 avtik corn
ESTABLISHED 1960

CF IWAT�F9QG
20120183
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 11
PCN Form — Version 1 3 December 10 2008 Version
Pre - Construction Notification (PCN) Form
A Apphcant Information
-
1
Processing �
1 a
Type(s) of approval sought from the
Corps
®Section 404 Permit E] Section 10 Permit
lb Specify Nationwide Permit (NWP) number 39 or General Permit (GP) number
1c
Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1d
Type(s) of approval sought from the DWQ (check all that apply)
❑ 401 Water Quality Certification — Regular ❑ Non 404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
® Yes ❑ No
For the record only for Corps Permit
® Yes ❑ No
1 f
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
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2
Project Information
2a
Name of project
Venzon Wireless Cellular Sales Graham
2b
County
Alamance
2c
Nearest municipality / town
City of Graham
2d
Subdivision name
WA
2e
NCDOT only T I P or state
project no
N/A
3
Owner Information
3a
Name(s) on Recorded Deed
VZW RE GRAHAM LLC
3b
Deed Book and Page No
Deed Book 3077 Page 325 326 p
3c
Responsible Party (for LLC if
applicable)
Bryan Clemmons
3d
Street address
1850 Pembroke Road
�Z
3e
City state zip
Greensboro NC 2? 03 a,'j q $ DE WATER QUALITY
3f
Telephone no
336 736 2776
TER8R4ICH
3g
Fax no
3h
Email address
bclemmons @ocmcarolmas com
Page 1 of 11
PCN Form — Version 1 3 December 10 2008 Version

4
Applicant Information (if different from owner)
4a
Applicant is
® Agent ❑ Other specify
4b
Name
Vincent C Townsend PE PLS
4c
Business name
(if applicable)
Green Mountain Engineering PLLC
4d
Street address
609 Stafford Pointe Court
4e
City state zip
Oak Ridge NC 27310
4f
Telephone no
336 255 8395
4g
Fax no
336 298 7021
4h
Email address
vince @greenmountainengineers corn
5
Agent/Consultant Information (if applicable)
5a
Name
Vincent C Townsend PE PLS
5b
Business name
(if applicable)
Green Mountain Engineering PLLC
5c
Street address
609 Stafford Pointe Court
5d
City state zip
Oak Ridge NC 27310
5e
Telephone no
336 255 8395
5f
Fax no
336 298 7021
5g
Email address
vince @greenmountainengmeers com
Page 2 of 11
PCN Form — Version 1 3 December 10 2008 Version

B Project Information and Prior Project History
1 Property Identification
1 a Property identification no (tax PIN or parcel ID)
PIN 145753 State GPIN 8884127473
1 b Site coordinates (in decimal degrees)
Latitude 36 06407 Longitude 7939833
(DD DDDDDD) (DD DDDDDD)
1c Property size
0 45 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
Unnamed tributary to Haw River
proposed project
2b Water Quality Classification of nearest receiving water
WS IV NSW
2c River basin
Cape Fear
3 Project Description
3a Descnbe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
Existing vacant residence and outbuildings with and impacted intermittent stream between two developed sites in an
urbanized area
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
114 8 linear feet of intermittent stream
3d Explain the purpose of the proposed project
The purpose of this project is to develop an existing infdl site into a cell phone retail center to provide required parking in
accordance with City of Graham development ordinance and NCDOT requirements
3e Describe the overall project in detail including the type of equipment to be used
The existing lot is surrounded by previously developed parcels where little attention was paid to stromwater impacts
In order to avoid negative impacts off site the entire stream on site must be impacted with piping or stabilization The site
plan went through several iterations and the solution submitted with this application was determined by the parties
involved with designing and reviewing the plans to be the best workable solution
Minimization and avoidance were among the most important considerations along with safety and compliance with other
development requirements Adequate parking per City of Graham ordinance is provided (reference City of Graham
Development Ordinances Article IV Division 11 Page 4 102 1 space /200 sf)
The site development consists of grading storm drainage and utility work Dump trucks track loaders track excavators
and light grading equipment will be used There will also be a curb machine and paving machine along with traffic
typically associated with building construction such as concrete trucks and matenals delivery vehicles
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes El No ❑ Unknown
project (including all prior phases) in the past?
Comments
4b If the Corps made the jurisdictional determination what type
® Preliminary Final
ry
Of determination was made?
4c If yes who delineated the jurisdictional areas?
Agency /Consultant Company ECS
Name (if known)
Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
10/2112010 Site meeting Sue Homewood (NCDENR) Andrew Williams (USACE) Denise Poulos (ECS) Gene Mustin
(BWA) It is my understanding that the individuals determined at the meeting that the channel is an intermittent stream
Page 3 of 11
PCN Form — Version 13 December 10 2008 Version

5 Project History
5a Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ® No ❑ Unknown
5b If yes explain in detail according to help file instructions
6 Future Project Plans
6a Is this a phased project?
❑ Yes ® No
6b If yes explain
Page 4 of 11
PCN Form — Version 13 December 10 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la 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
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g Total wetland impacts
2h Comments
3 Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number
(PER) or
(Corps 404 10
stream
length
Permanent (P) or
intermittent
DWQ — non 404
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ❑ T
Fill and pipe
Unkno_wantrib to
El PER
® INT
® Corps
® DWQ
1 5 ft
77 0 ft
S2 [I P ®T
Grade and
stabilize with rip
Unknown trib to
Haw River
❑ PER
®INT
® Corps
®DWQ
1 5 ft
37 8 ft
rap
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
31 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
4d
4e
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Tem ora 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
51 Expected pond surface area (acres)
51 Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWO)
If project will impact a protected npanan 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)
(square feet)
Temporary T
im act
re uired?
B1 ❑P ❑T
El Yes
❑ No
B2 ❑P ❑T
El Yes
❑ No
B3 ❑P ❑T
❑Yes
❑ No
6h Total buffer impacts
61 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
Stabilization of the stream allows a portion of the channel to remain open and not piped It would have been beneficial for the
owner to provide parking in these areas rather than leave them open but minimization was a concern and therefore a portion
of the channel is stabilized and will remain open after development
The hydraulic profile of the stormwater must also be considered in this design Adding any structures would have caused
water to back up in the upstream parking lot therefore there are no additional structures In order to prevent any stormwater
problems downstream stormwater storage volume is provided below the proposed discharge end of the pipe and in the pipes
themselves
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Stabilization of the stream allows a portion of the channel to remain open and not piped It would have been beneficial to the
developer to provide parking in these areas rather than leave them open but minimization was a concern and therefore a
portion of the channel is stabilized and will remain open after development Also in order to avoid excessive turning
movements on South Main Street the parking is tied to the existing parking north of the site The required number of parking
spaces is 12 and 12 spaces are provided (we provided only the minimum required parking We are not allowed to provide
parking in front of the budding this was originally proposed but denied by NCDOT due to the potential for conflicting turn
movements
The construction sequence requires that the pipes be installed first before the rest of the site development occurs This will
prevent sediment from entering the stream during construction There are also erosion control measure to be installed and
maintained during construction that will prevent pollution of the stream A permanent sand filter will be installed to clean /treat
storm water runoff from the site
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 mtttgatton is required by (check all that apply)
❑ DWQ ❑ Corps
❑ Mitigation bank
2c If yes which mitigation option will be used for this
❑ ro Payment to in lieu fee ram
y p g
projects
❑ 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
Page 7 of 11
PCN Form — Version 1 3 December 10 2008 Version

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
15
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 [3 No
Comments
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
575%
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
A permanent sand filter is to be constructed the plans for this structure were reviewed and approved by the City of
Graham
® Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan'2
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government s jurisdiction is this project2
City of Graham
® 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 El No
attached?
4
DWQ Stormwater Program Review
❑ Coastal counties
4a
Which of the following state - implemented stormwater management programs apply
❑ HQW
❑ 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 (DWO 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?
lb 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)?
is 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
letter)
❑ Yes ❑ No
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 213 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 (DWO 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
Sewer discharge from the site will flow through the City of Graham s wastewater collection system to the City of
Burlington s wastewater collection system and municipal waste -water treatment plant
Page 10 of 11
PCN Form — Version 13 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'2
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts9
❑ Raleigh
5c If yes indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
fws gov website USACE website available endangered species maps and field observations
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitats
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat2
ocean floridamanne org
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 resources9
NC State Historic Preservation Office
8 Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA designated 100 year floodplain ?
❑ Yes ® No
8b If yes explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination'? NFIP Pannel 8884J Map No 3710888400J Effective
Date September 6 2006
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Page 11 of 11
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GREEN MOUNTAIN
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