20121015 Ver 1_401 Application_20121112

WITHERS &- RAVENEL
ENGINEERS I PLANNERS I SURVEYORS
1410 COMMONWEALTH DRIVE, SUITE 1oi
WILMINGTON, NORTH CAROLINA, 28403
(910) 256 -9277
FAX [phone]
T0: NC Division of Water Quality — 4o1 Wetlands Unit
512 N. Salisbury Street; Stn Floor
Raleigh, NC 27604
WE ARE SENDING YOU
❑ Shop Drawings
❑ Copy of Letter
20121015
LETTER OFTHANSMMAL
DATE 11/2/12
1 JOB NO. 02110432.00
ATTENTION
Ms. Karen Higgins
PHONE #
919-807-6363
RE: Sheetz at Lufkin and Ten Ten
NWP 39, Isolated Wetlands Permit & Buffer Compliance
PCN
02110432.00
NWP 39, Isolated Wetland Permit & Buffer Compliance PCN
1
10/12/12
Will
® Attached ❑ Under separate cover via
❑ Prints ❑ Plans ❑ Samples
❑ Change order ❑ Diskette ❑
the following items:
❑ Specifications
COPIES
DATE
NO.
DESCRIPTION
5
11/2/12
02110432.00
NWP 39, Isolated Wetland Permit & Buffer Compliance PCN
1
10/12/12
02110 2.00
Check for $24o Application Fee
1
11/2/12
02110 32.00
CD of PCN Submittal
THESE ARE TRANSMITTED as checked below:
® For approval ❑ Approved as submitted
❑ For your use ❑ Approved as noted
❑ As requested ❑ Returned for corrections
❑ For review and comment ❑
❑ FOR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
❑ Resubmit
❑ Submit
❑ Return
copies for approval
copies for distribution
corrected prints
REMARKS:
COPY TO: File
SIGNED: Troy Beasley
lfenclosures are not as noted, kindly notify us at once.

WITHERS RAVEN EL
November 2, 2012
US Army Corps of Engineers
Regulatory Field Office
Attn: Mr. James Lastinger
3331 Heritage Trade Drive
Suite 105
Wake Forest, NC 27587
Re: Sheetz at Lufkin and Ten Ten
Corps ID# SAW - 2011 -00358
W &R Project #02110432.00
Dear Mr. Lastinger and Ms. Higgins,
ENGINEERS I PLANNERS I SURVEYORS
NC- Division of Water Quality
401 Wetlands Unit
Attn: Ms. Higgins
1650 Mail Service Center.
Raleigh, North Carolina 27699
On behalf of Lufkin Leased Fee, LLC, we are requesting authorization from the USACE to use NWP 39
for o.16 acres of permanent impacts to jurisdictional wetlands and 10 if of permanent stream
impacts for the construction of the proposed project. We are also requesting an Isolated Wetland
Permit from DWQ for 14 if of temporary impacts to an isolated stream, as well as Buffer Compliance
for 4,465 sq ft of permanent impacts and 4,661 sq ft of temporary impacts to riparian buffers.
The project is ±14.73 acres in size and is located southwest of the intersection of Lufkin Road and
Ten Ten Road in Apex, Wake County (Latitude: 35.721653 °N; Longitude: - 78.822625 0W). The project
is located in the Neuse River basin and onsite waters drain to Middle Creek. The Water Quality
Classification for Middle Creek is C; NSW and the Stream Index Number is: 27- 43-1541)• The
cataloging unit for the site is 03020201.
Proposed Proiect
The proposed project consists of the construction of a Sheetz convenience store and associated
infrastructure including access road (driveway), adequate parking, fuel storage, utilities and
stormwater management.
The project consists of four "commercial" parcels. The proposed Sheetz will be located on Parcel 4,
with the additional 3 parcels being developed in the future. The stormwater management pond
located on Parcel 1 will service the impervious area associated with the Sheetz project, but has been
designed /sized to adequately provide water quality treatment for future development on Parcels 1 &
2. Parcel 3 will have its own stormwater management system, which will be designed during the
design of the future development on Parcel 3.
Project History
The Corps of Engineers issued a JD and signed wetland survey for the project site on August 11, 2011.
A copy of the JD and signed wetland surveys has been provided as an Appendix.
1410 Commonwealth Drive I Suite 1011 Wilmington, NC 28403 1 tel: [phone] fax: [phone]
www.withersravene[.com I License No. C -0832

WITHERS II RAVEN EL
ENGINEERS I PLANNERS I SURVEYOR5
Martin Richmond with NC DWQ issued a Buffer Determination on March 7, 2011 (NB /IPRR0 #11 -o22).
A copy of the Buffer Determination Letter has been provided as an Appendix.
The Town of Apex received an Isolated Wetlands Permit from NCDWQ for impacts to the onsite
isolated stream and associated buffers associated with the Lufkin Road (SR 1444) Re- alignment
project (DWQ Project #20110746) in 2011. Please note that the Lufkin Road (SR 1444) Re- alignment
project was a Town of Apex project, and was not associated with the proposed project. Therefore,
impacts are not considered cumulative.
Proposed Impacts
The proposed impacts to 404 jurisdictional features consist of o.16 acres of permanent wetland
impacts and 10 if of permanent stream impacts. The proposed o.16 acres of permanent wetland
impacts will occur as a result of construction of the access road /driveway to provide access from
Lufkin Road. The 10 if of permanent stream impact will occur as a result of the installation of the rip -
rap below the high flow bypass outfall for the stormwater pond.
The proposed project will also result in 14 if of temporary impacts to an isolated stream, as well as
4,465 sq ft of permanent buffer impacts (Zone 1: 2,223 sq ft; Zone 2: 2,242 sq ft) and 4,661 sq ft of
temporary buffer impacts (Zone 1: 102 sq ft; Zone 2: 4,559 sq ft). The proposed 14 if of temporary
isolated stream impact and a portion of the permanent buffer impacts will occur from installation of
a water line. The remainder of the proposed buffer impacts will occur from the temporary
construction corridor for construction of a sewer line and subsequent utility easement.
Avoidance and Minimization
Prior to site plan design, the applicant requested that a detailed wetland delineation be conducted
so that impacts to wetlands, streams and buffers could be minimized. Due to the location of the
onsite wetlands and streams, impacts could not be avoided.
The access point to the site from Lufkin Road was previously determined during the design and
permitting of the Lufkin Road Re- alignment. Due the location of the entrance from Lufkin Road, the
driveway to the Sheetz will impact the entire o.16 acre wetland in order to provide safe ingress and
egress off of Lufkin Road.
Mitigation
The applicant proposes to mitigate for the o.16 acres of permanent wetland impacts through
purchase of o.16 acres of non - riparian wetland mitigation from EEP. A copy of the EEP Letter of
Acceptance has been provided as an Appendix.
Because permanent stream impacts are less than 150 lf, no stream mitigation is proposed.
WITHERS C\ RAVENEL Page 2 of 3
ENGINEERS I PLANNERS I SURVEYORS

WITHERS II RAVEN EL
ENGINEERS I PLANNERS I SURVEYOR5
All buffers impacts are for activities classified as "Allowable" in the Table of Uses. Therefore, buffer
mitigation is not proposed.
Mffiica FIMAI
The stormwater management plan consists of a wet detention pond with a level spreader to provide
diffuse flow. The Stormwater Management Plan is currently being reviewed by the Town of Apex. A
copy of the Stormwater Management Approval will be provided to DWQ upon issuance by the Town
of Apex.
Diffuse flow will be achieved through a level spreader. Copies of the BMP Supplement Forms for the
wet pond and level spreader have been provided as an Appendix.
The current request is for o.16 acres of permanent impacts to jurisdictional wetlands, 10 if of
permanent impacts to jurisdictional streams, 14 if of temporary impacts to an isolated stream and
4,465 sq ft of permanent buffer impacts and 4,661 sq ft of temporary buffer impacts (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
• Wake County Soil Survey
• Corps JD & Signed Wetland Survey
• DWQ Buffer Determination Letter
• EEP Letter of Acceptance
• Impact Exhibits
WITHERS RAVENEL Page 3 of 3
ENGINEERS I PLANNERS I SURVEYORS

o�oF w a rF9o�
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. Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 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 DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
® Yes
❑ No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 In
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:
Sheetz at Lufkin and Ten Ten
2b.
County:
Wake County
2c.
Nearest municipality / town:
Apex
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Lukin Leased Fee, LLC
3b.
Deed Book and Page No.
DB: 14251; Page: 2628
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
9810 S. Dorschester Ave
3e.
City, state, zip:
Chicago, IL 60628
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
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: Lufkin Leased Fee, LLC (Local Branch)
4b.
Name:
Joseph McSweeney — Manager
4c.
Business name
(if applicable):
Lukin Leased Fee, LLC
4d.
Street address:
4904 Waters Edge Drive, Suite 160
4e.
City, state, zip:
Raleigh, NC 27606
4f.
Telephone no.:
919 - 239 -4667
4g.
Fax no.:
4h.
Email address:
joe @brookwoodcp.com
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:
tbeasley @withersravenel.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):
0751371709;0751273705
1 b. Site coordinates (in decimal degrees):
Latitude: 35.721653 °N Longitude: - 78.822625 °W
(DD.DDDDDD) (- DD.DDDDDD)
1 c. Property size:
±14.73 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Middle Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
C;NSW (Stream Index: 27- 43- 15 -(1)
2c. River basin:
Neuse - 03020201
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 project site currently consists of undeveloped woodlands. The general land use in the vicinity of the project consists
of a mixture of residential and commercial land use.
3b. List the total estimated acreage of all existing wetlands on the property:
0.16 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
±432 If
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct a Sheetz convenience store and associated infrastructure including
an access road, parking, utilities and stormwater management.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project consists of the construction of a Sheetz convenience store, which will require the construction of an access
road, adequate parking, fuel storage, utilities and stormwater management. Standard commercial construction
equipment will be used to construct the proposed project.
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 El Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
El Preliminary ®Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency /Consultant Company: ESI, Inc.
Name (if known):
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
The Corps issued a Final JD for the project site on August 23, 2011 (AID #ASW- 2011 - 00358). A copy of the JD and
signed wetland survey have been provided as an Appendix.
NC DWQ issued a Buffer Determination on March 7, 2011 for the project site (NB /IPRRO #11 -022). A copy of the Buffer
Determination letter has been provided as an Appendix.
Page 3 of 11
PCN Form — Version 1.3 December 10, 2008 Version

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.
Please note that the Town of Apex received an Isolated Wetlands Permit for impacts to the isolated stream on the project
site for the Lufkin Road (SR 1444) Realignment project (DWQ Project #20110746). Please note that the realignment of
Lufkin Road was a Town of Apex project is was not associated with the proposed project and, therefore, permitted
impacts are not considered cumulative with the Sheetz project.
6.
Future Project Plans
6a.
Is this a phased project?
® Yes ❑ No
6b.
If yes, explain.
The project site consists of four separate "commercial' parcels. The Sheetz project will be constructed on Parcel 4, with
future development of the additional three parcels. The stormwater management pond will constructed on Parcel 1 and
has been designed sufficient to treat stormwater from the future development of Parcels 1 and 2. Parcel 3 will have its
own stormwater management system, which will be designed during the design for the development of Parcel 3. Please
note that impacts to streams and /or buffers will not be required for future development.
Page 4 of 11
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ® Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number -
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ - non -404, other)
(acres)
Temporary (T)
Driveway Impact
® P El T
Fill for Access Road
Basin Wetland
® Yes
El
® Corps
® DWQ
0.16 acres
2g. Total wetland impacts
0.16 acres
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)
Waterline
Installation of
UT to Middle
❑ PER
❑ Corps
3'
14 If
❑ P ® T
Waterline
Creek
® INT
® DWQ (Isolated)
BMP Outfall
Construction of High
❑ PER
® Corps
3'
10 If
® P El
Flow Bypass
® INT
® DWQ
3h. Total stream and tributary impacts
24 If
3i. Comments: The proposed 14 If of temporary stream impacts will occur to an isolated stream, which is non - jurisdictional to
the Corps of Engineers.
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
Temporary (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.
Page 5 of 11
PCN Form - Version 1.3 December 10, 2008 Version

5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose of
(acres)
number
pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
K 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 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 for
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P)
impact
Stream name
mitigation
(square feet)
(square feet)
or Temporary
required?
(T)
Waterline
El P T
Utility
Easement
UT to Middle Creek
®Nos
1,485 sq ft
1,052 sq ft
BMP Outfall
® P El T
High Flow
Bypass
UT to Middle Creek
El Yes
® No
738 sq ft
418 sq ft
Sewer Crossing
Sewer Line
UT to Middle Creek
❑ Yes
772 sq ft
N/A
® P ❑ T
Crossing
® No
Sewer Crossing
❑ P ® T
Sewer Line
Crossing
UT to Middle Creek
❑ Yes
® No
102 sq ft
488 sq ft
Sewer Outfall
Temp
❑ Yes
#1
Construction
UT to Middle Creek
® No
N/A
812 sq ft
❑ P ® T
Easement
Sewer Outfall
Temp
❑ Yes
N/A
#2
Construction
UT to Middle Creek
® No
1,485 sq ft
❑ P ® T
Easement
Sewer Outfall
Temp
❑ Yes
N/A
#3
Construction
UT to Middle Creek
® No
874 sq ft
❑ P ® T
Easement
Sewer Outfall
Temp
❑ Yes
N/A
#4
Construction
UT to Middle Creek
® No
900 sq ft
❑ P ® T
Easement
6h. Total buffer impacts
3,097 sq ft
6,029 sq ft
6i. Comments:
Page 6 of 11
PCN Form — Version 1.3 December 10, 2008 Version

D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Prior to site plan design, the applicant requested that a detailed wetland delineation be conducted so that impacts to wetlands,
streams and buffers could be minimized. Due to the location of the onsite wetlands and streams, impacts could not be
avoided.
The access point to the site from Lufkin Road was previously determined during the design and permitting of the Lufkin Road
Re- alignment. Due the location of the entrance from Lufkin Road, the driveway to the Sheetz will impact the entire 0.16 acre
wetland in order to provide safe ingress and egress off of Lufkin Road.
1 b.
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
2.
Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a.
Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
® Yes ❑ No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ® Corps
2c.
If yes, which mitigation option will be used for this project?
❑ Mitigation bank
® Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3.
Complete if Using a Mitigation Bank
3a.
Name of Mitigation Bank:
3b.
Credits Purchased (attach receipt and letter)
Type
Quantity
3c.
Comments:
4.
Complete if Making a Payment to In -lieu Fee Program
4a.
Approval letter from in -lieu fee program is attached.
® Yes
4b.
Stream mitigation requested:
linear feet
4c.
If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d.
Buffer mitigation requested (DWQ only):
square feet
4e.
Riparian wetland mitigation requested:
acres
4f.
Non - riparian wetland mitigation requested:
0.16 acres
4g.
Coastal (tidal) wetland mitigation requested:
acres
4h.
Comments:
5.
Complete if Using a Permittee Responsible Mitigation Plan
5a.
If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments: All proposed buffer impacts are classified as "Allowable" in the Table of Uses and do not require mitigation.
Page 8of11
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.
Comments: Diffuse flow will be provided through a level spreader. Copies of the
® Yes ❑ No
Wet Pond and Level Spreader BMP Supplement Forms have been provided as an
Appendix.
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
75%
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:
The Stormwater Management Plan consists of a wet detention pond, that outfall to a level spreader to provide diffuse
flow. The Stormwater Management Plan is currently being reviewed by the Town of Apex. A copy of the Stormwater
Management Approval will be provided upon issuance by the Town of Apex.
® 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?
Town of Apex
® Phase II
❑ NSW
3b.
Which of the following locally - implemented stormwater management programs
❑ 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 11
PCN Form — Version 1.3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes
® No
use of public (federal /state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes
❑ No
letter.)
Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after - the -fact permit application?
❑ Yes
® No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
® No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
The proposed project consists of a convenience store, which will not be a catalyst for future development
that could
impact downstream water quality.
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.
Town of Apex Sanitary Sewer
Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5.
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a.
Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b.
Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
E] 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?
W &R reviewed the NC Natural Heritage Program database, located at http: / /portal.ncdenr.org /web /nhp /nhp- map- viewer,
to identify if there were any known occurrences of endangered species on or near the proposed project. The review of
the NHP database did not identify any recent occurrences of endangered species or critical habitat on the subject
property or within 2.0 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?
There are no waters in Wake County classified as EFH.
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 were no cultural or historic features observed within the proposed project site.
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? www.ncfloodmaps.com
Troy Beasley — W &R
Authorized Agent
11/2/12
Applicant /Agent's Printed Name
Date
Applicant /Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 11
PCN Form — Version 1.3 December 10, 2008 Version

AGENT AUTHORIZATION FORM

WITHERS` - RAVENEL
ENGINEERS I PLANNERS I SURVEYORS
AUTHORITY FOR APPOINTMENT OF AGENT
The undersigned contract purchaser(s) /Owner Lufkin Leased Fee, LLC (Client) does hereby
appoint Troy Beasley / Withers & 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, riparian buffers, etc.) and /or; b) preparation and submittal of appropriate
environmental permit applications /requests for the Sheetz at Lufkin and Ten Ten project.
The Client 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 for 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 Client.
Agent's Name, Address & Telephone:
Troy Beasley / Withers & Ravenel, Inc.
1410 Commonwealth Drive. Suite 101
Wilminaton. NC 28403
Tel. [phone]
Date: /o • /2 -/2,
Signature of Client:
orm M, McyOiepGy MAW,# 4g),F
(Name - Print) (Title)
,A.
(Signature)
41 O Wafers rrkf Dr Ste_ 140
Mailing Address
24"aln tt,
City State Zip
1 11 MacKenan Drive I Cary, NC 27511 1 fel.: 919.469.3340 1 fax: [phone] www.withersrovenel.com
License No. C -0832
1410 Commonwealth Drive I Suite 101 1 Wilmington, NC 28403 1 tel: [phone] fax: [phone]
7011 Albert Pick Road I Suite G I Greensboro, NC 27409 1 tel: [phone] fax: [phone]

USGS QUAD MAP
WAKE COUNTY SOIL SURVEY

GRAPHIC SCALE �` J _, •,,, t ''� t r ^^
0 1000 2000
1 inch = 2000 ft.
IN
r''� V 'y \•�` - + � f a •i �J�r• �1�1r. J• - rj � �-'�� r' { 5�'' � �� s j
�. :A:• ,
� �� t � l-- ; �• 111 �,L �J ��� - r'' _Tj
r �� �� � t�J ". � ��' 11 �� � � � � � ��,, r { =Z ��./ �'. � j I i ;� -•la•' # I .
1'7"
SHEETZ AT LUFKIN & TEN TEN LOCATION EXHIBIT WITHER8 RAVENEL
lMi3k[[RR I ►L1L91 }IRRa ! sUIlYRY001
APEX WAKE COUNTY NORTH CAROLINA

GRAPHIC SCALE
0 250 500
k
1 inch = 500 ft.
lei
Ir
s60, � • I1
...k,Rm...
•
SHEETZ AT LUFKIN & TEN TEN USGS QUAD MAP - APEX WITHERS RAVIi
lMiIM!!Ri I PLANNERS t 1UkV[YnRi
•%r,Fx WAKE COUNTY NDRT}I CAR01 INA

i
GRAPHIC SCALE
0 150 300
1 inch = 300 ft. !
rC2
S �
Me
-c2
SHEETZ AT LUFKIN & TEN TEN WAKE CO. SOIL SURVEY - SHEET 66 WITHERS RAVENEL
INf INLERi I PLANNERS 1 fORYfrORf
APEX WART COUNTY NORI ICI CAROLINA

CORPS JD &
SIGNED WETLAND SURVEY

U'r.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. 2011003 -8 County: Wale IJ.S.G,S. Quad: Ajjtr
NOTIFICATION OF JURTSDICTIONAI_a DETERMINATION
Property Owner/Agent: Brookwo.o Capital Partners
Address: Attn: Joseph McSweeney
4900 Waters Gdge_Qr., suite 270
Ralei;~h, NC 27606
Telephone No.: 678- 427 -4438
Property description
Size (acres) 16 Nearest Town AM
Nearest Waterway Middle Creek River Basin Neuse
USGS HUC 03020201 Coordinates N 35.721 W - 78.823
Location description The proiect site is a 16 acre forested tract located south of the intersection of US Hwy 1 and
"Fen -Ten Rd., near Apex, Wake Countv, North Carolina, and contains several tributaries and wetlands that flow to
Middle Creek in the Neus€ &Finer basin.
Indicate Which of the Following Apply:
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. To 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 t 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 live years from the date of this
notification.
X There are waters of the U.S. including wetlands on the above described property subject to the permit requirements 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/or our
present workload, the Corps n;ay 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.
X 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 reli.ed
upon for a period not to exceed five years.
_ The wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the Corps
Regulatory Official identified below oil . 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 fi-om 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 requirernents 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.
Page 1 of 2

'Action il-):
The property is located in one of the 20 Coastal Counties subject to under the Coastal Area Mai mgemcnt .pct
(CAMA). You should contact the Division ofCoasta.l Management in Washington, NC, at (352) 940 -648I to d :tc;rrnine
their requirements.
Placement of dredged or fill material within waters of the US and /or wetlands Without a Department oftle Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 131 1). if you have any questions regarding this
determination and/or the Corps regulatory program, please contact Jarnes Lastin2er at 919 - 554 -4884 ext 23.
C. Basis For Determination
Established OHWM and the Corns 1987 Wetland Delineation Manual.
D. Remarks
Site visit conducted on February 11, 2011.
P. Attention USDA Program Participants
This delineation /determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiCtion for the
particular site identified in this request. The delineation/ determination may not be valid for the wetland Conservation
provisions o'i'ihe Food Security Act of 1985. if you or your- tenant are USDA Program participants, or anticipate participation
in USDA programs, you should request a certified wetland determination from the local office ofthe Natural Resources
Conservation Service, prior to starting work.
F. 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 Division
Attn: jean Gibby, Raleigh Field Office Chief
Raleigh Regulatory Field Office
3331 Heritage Trade Dr., suite 105
Wake Forest, North Carolina 27.587
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 33 1.5, 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 May 11, 2011.
* *tt 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 March 1.1, 2011 Expiration Date March 11, 2016
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 11ttp:/lt.e�ulator .u,sacesurve .corn/ to
complete the survey online.
Copy furnished:
ESI
Attn: Robert Turnbull
524 S. New Hope Rd.
Raleigh, NC 27610
Page 2 of 2

LEGEND
BOUNDARY LINE
—UN- SURVEYED LINE
n
n °o IPF EX. FENCE LINE
o w 0 IRON PIPE FOUND
Z N Ip IRON ROD FOUND /
OF PK NAIL FOUND
16 CONCRETE MONUMENT FOUND
APPROX. CENTERLINE IPS
ASPHALT IRON PIPE SET /
- - --
- - - --- -- - -- i
N.C.S.R. R No. 1444 (LUFKIN ROAD
- I PUBLIC ROAD -RIGHT OF WAY VARIES
� IPS csc o�, �,. ,,_
IPF - ./pointers
R= 1087.26 218.38'
R= 378.55
21.04
L= 262.50
L= 277.63
Tan = 131.89 F
Tan= 145.39
20.56'
F-
L-13-49'59" L- 13'49'59" �"SP.2.-,21
L= 42'01'17"
CHD DIR= N86'40'32 "E
-2F
CHD DIR= N72'27'09 "E
26.46'
CHD= 261.86 2F
CHD= 271.45
21.11'
NON -404 STRECHANNEL
�Oy1\ 01 -L(
a,ti�1
227 LINEAR FE
SURVEYOR NOTES:
AlPll-lF
1. THIS PLAT REPRESENTS THE LOCATION OF ENVIRONMENTAL
FEATURES DESIGNATED BY ENVIRONMENTAL SERVICES, INC. ON
FEBRUARY 14, 2011.
-2F NO
2. THIS PLAT IS NOT A BOUNDARY SURVEY, THE BOUNDARY SHOWN
WC PIN/ 0751 -27 -3705
SECTION 404
WETLAND
w
CRM MID ATLANTIC PROPERTIES, LLC
OTHERWISE NOTES.
.y iv
SUNTRUST BANK INC.
DB 14039 PG 1352
n
5. USACE SITE REVIEW CONDUCTED ON FEBRUARY 11, 2011
AREA
< T
TOTAL
a L2 L22a
m
526,286 sq.ft.
G 4e
0
12.08 acres
1j9
Z
EASEMENT
21,783 Sq.Ft.
x
0.50 Acres
ffj SPC1 -2F
504,503 Sq.Ft.
11.58 Acres
SPC2 -2F
N
nnM
404 N EEL J SPC3- 4F- INT2PER
20. TO 0
343 LINEAR FE
SPC4 -4F
y
�Qa,��nP w
SPC503F
SPAT -2F
b
°j
L45.` PA
g -2F
404 STREAM
CHANNEL
SPC7 -2F
68 LINEAR
�$r R_fF
FEET
N01'29 '37 "E
59.58'
N8
FLOOD HAZARD STATEMENT:
7'54'34 "W • / '
768.38'
/ 20'
EXISTING 20' SANITARY SEWER EASEMENT
DB 7808 PG 785
ALL OF THE PROPERTY SHOWN ON THIS PLAT IS NOT LOCATED
WITHIN A FEMA DESIGNATED FLOOD HAZARD AREA AS SHOWN ON
NATIONAL FLOOD INSURANCE PROGRAM (NFIP) FOR NORTH CAROLINA,
FLOOD INSURANCE RATE MAP (FIRM) $ 3704670751J (COMMUNITY ID
NO. 370467 - TOWN OF APEX, NC) WITH AN EFFECTIVE DATE OF
MAY 2, 2006. THIS STATEMENT IS BASED ON THE RESULTS OF
GRAPHIC PLOTTING ONTO THE ABOVE NAMED MAP AND PANEL.
"THIS CERTIFIES THAT THIS COPY OF THIS PLAT ACCURATELY
DEPICTS THE BOUNDARY OF THE JURISDICTION OF SECTION 404 OF
THE CLEAN WATER ACT AS DETERMINED BY THE UNDERSIGNED ON
THIS DATE. UNLESS THERE IS A CHANGE IN THE LAW OR OUR
PUBLISHED REGULATIONS, THIS DETERMINATION OF SECTION 404
JURISDICTION MAY BE RELIED UPON FOR A PERIOD NOT TO
EXCEED FIVE YEARS FROM THIS DATE. THIS DETERMINATION WAS
MADE UTILIZING THE APPROPRIATE REGIONAL SUPPLEMENT TO
THE 1987 CORPS OF ENGINEERS WETLANDS DELINEATION
MANUAL."
NA
TI-
DA TE: T
CONTROL CORNER
FOUND CONCRETE
MONUMENT
N 718,108.028
E 2,052,829.876 /
COMBINED FACTOR =
0.9998899756
8 4'54 "E (NAD83 NSRS 2007)
101.72' 6S. /
?626" NOW OR FORMERLY
96 6S• F WC PIN# 0751 -28 -9070 /
CRM MID ATLANTIC PROPERTIES, LLC
AR A SUNTRUST BANK INC.
25,96 q. 3 DB 14039 PG 1352 /
0.60 A s M
N /o °0.
N85'281 13 "W 204.12' NOW OR FOpRMERLY
N WC PIN0 .1 1 -37 -1709
O TP -3 CRM MID ATLANTICCC PROPERTIES, LLC
SUNTRUS BANK INC.
AREA DB 140 9 PG 1352 /
TO
„( 167,6447A3!.Ft.
Acres / /
IN EA EASEMENT
33,116 Sq.Ft. 0.76
AREA WITHIN Acres \
/
WETLANDS NET
6,974 SOFT. 134,498 Sq.Ft, G
3.09 Acres
T \ /
2 /
` Lz5 L2
B 7 df
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,5 L14 L13 v L12 Lit �f
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299.95.'
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STATE OF NORTH CAROLINA WAKE COUNTY
\ I, TIMOTHY A. BROTHERS, CERTIFY THAT THIS PLAT WAS DRAWN
\ UNDER MY DIRECT SUPERVISION USING DATA FROM AN ACTUAL FIELD
.I \ SURVEY MADE UNDER MY DIRECT SUPERVISION AND DATA FROM
PUBLIC RECORDS AS REFERENCED HEREON; THAT THE WETLAND
AREAS SHOWN HEREON WERE DELINEATED BY OTHERS; THAT THE
I RAW, UN- ADJUSTED RATIO OF PRECISION IS GREATER THAN 1:10,000;
IILJrI THAT THIS PLAT WAS PREPARED IN ACCORDANCE WITH N.C.G.S.
47 -30, AS AMENDED.
WITNESS MY ORIGINAL SIGNATURE, REGISTRATION NUMBER AND SEAL
THIS 12 DAY OF AUGUST, 2011, A.D. - I
J I I i
TIMOTHY A. BROTHERS,' PLS/ L 3457 �` =o`r�ESS�ti'L9
SEAL
-A L- 3457�g
4NO sux� l: S
THIS PLAT RECORDED IN BM ---------- PG --- - ----- WAKE COUNTY REGISTRY.
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JU/ J41�J C
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21.04
-
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20.56'
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585'2700 W
57244'25 "W
26.46'
FOR ry6 g
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21.11'
�Oy1\ 01 -L(
a,ti�1
SURVEYOR NOTES:
og
1. THIS PLAT REPRESENTS THE LOCATION OF ENVIRONMENTAL
FEATURES DESIGNATED BY ENVIRONMENTAL SERVICES, INC. ON
FEBRUARY 14, 2011.
/
2. THIS PLAT IS NOT A BOUNDARY SURVEY, THE BOUNDARY SHOWN
HEREON IS FOR REPRESENTATION ONLY.
/
3. ALL DISTANCES ARE GROUND DISTANCES IN US FEET UNLESS
OTHERWISE NOTES.
4. AREAS CALCULATED BY COORDINATE GEOMETRY METHOD
/
5. USACE SITE REVIEW CONDUCTED ON FEBRUARY 11, 2011
FLOOD HAZARD STATEMENT:
7'54'34 "W • / '
768.38'
/ 20'
EXISTING 20' SANITARY SEWER EASEMENT
DB 7808 PG 785
ALL OF THE PROPERTY SHOWN ON THIS PLAT IS NOT LOCATED
WITHIN A FEMA DESIGNATED FLOOD HAZARD AREA AS SHOWN ON
NATIONAL FLOOD INSURANCE PROGRAM (NFIP) FOR NORTH CAROLINA,
FLOOD INSURANCE RATE MAP (FIRM) $ 3704670751J (COMMUNITY ID
NO. 370467 - TOWN OF APEX, NC) WITH AN EFFECTIVE DATE OF
MAY 2, 2006. THIS STATEMENT IS BASED ON THE RESULTS OF
GRAPHIC PLOTTING ONTO THE ABOVE NAMED MAP AND PANEL.
"THIS CERTIFIES THAT THIS COPY OF THIS PLAT ACCURATELY
DEPICTS THE BOUNDARY OF THE JURISDICTION OF SECTION 404 OF
THE CLEAN WATER ACT AS DETERMINED BY THE UNDERSIGNED ON
THIS DATE. UNLESS THERE IS A CHANGE IN THE LAW OR OUR
PUBLISHED REGULATIONS, THIS DETERMINATION OF SECTION 404
JURISDICTION MAY BE RELIED UPON FOR A PERIOD NOT TO
EXCEED FIVE YEARS FROM THIS DATE. THIS DETERMINATION WAS
MADE UTILIZING THE APPROPRIATE REGIONAL SUPPLEMENT TO
THE 1987 CORPS OF ENGINEERS WETLANDS DELINEATION
MANUAL."
NA
TI-
DA TE: T
CONTROL CORNER
FOUND CONCRETE
MONUMENT
N 718,108.028
E 2,052,829.876 /
COMBINED FACTOR =
0.9998899756
8 4'54 "E (NAD83 NSRS 2007)
101.72' 6S. /
?626" NOW OR FORMERLY
96 6S• F WC PIN# 0751 -28 -9070 /
CRM MID ATLANTIC PROPERTIES, LLC
AR A SUNTRUST BANK INC.
25,96 q. 3 DB 14039 PG 1352 /
0.60 A s M
N /o °0.
N85'281 13 "W 204.12' NOW OR FOpRMERLY
N WC PIN0 .1 1 -37 -1709
O TP -3 CRM MID ATLANTICCC PROPERTIES, LLC
SUNTRUS BANK INC.
AREA DB 140 9 PG 1352 /
TO
„( 167,6447A3!.Ft.
Acres / /
IN EA EASEMENT
33,116 Sq.Ft. 0.76
AREA WITHIN Acres \
/
WETLANDS NET
6,974 SOFT. 134,498 Sq.Ft, G
3.09 Acres
T \ /
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STATE OF NORTH CAROLINA WAKE COUNTY
\ I, TIMOTHY A. BROTHERS, CERTIFY THAT THIS PLAT WAS DRAWN
\ UNDER MY DIRECT SUPERVISION USING DATA FROM AN ACTUAL FIELD
.I \ SURVEY MADE UNDER MY DIRECT SUPERVISION AND DATA FROM
PUBLIC RECORDS AS REFERENCED HEREON; THAT THE WETLAND
AREAS SHOWN HEREON WERE DELINEATED BY OTHERS; THAT THE
I RAW, UN- ADJUSTED RATIO OF PRECISION IS GREATER THAN 1:10,000;
IILJrI THAT THIS PLAT WAS PREPARED IN ACCORDANCE WITH N.C.G.S.
47 -30, AS AMENDED.
WITNESS MY ORIGINAL SIGNATURE, REGISTRATION NUMBER AND SEAL
THIS 12 DAY OF AUGUST, 2011, A.D. - I
J I I i
TIMOTHY A. BROTHERS,' PLS/ L 3457 �` =o`r�ESS�ti'L9
SEAL
-A L- 3457�g
4NO sux� l: S
THIS PLAT RECORDED IN BM ---------- PG --- - ----- WAKE COUNTY REGISTRY.
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811 OR 1.800.632.4949
(TOLL FREE)
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BY' TAB
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8 -93

DWQ BUFFER DETERMINATION LETTER

- ---��y ��r�lL�'• -:tip
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Robert T. Turnbull
Senior Scientist
Environmental Services, Inc.
524 South New Hope Road
Raleigh, NC 27610
Division of Water Quality
Coleen H. Sullins
Director
March 7, 2011
BASIN: T
® Neuse (15A NCAC 213.0233)
® Ephemeral /IntermittenVPerennial Determination
Project Name:
Location/Directions:
Subject Stream
Lufkin Rd Tract
Dee Freeman
Secretary
NB/1PRRO# 11 -022
Wake County
❑ Tar - Pamlico (15A NCAC 2B .0259)
❑ Isolated Wetland Determination
Subject property is a combination of two undeveloped tracts located at
southwest quad of intersection of Lufkin Rd and SR Ten Ten in Wake
County
UT to Middle Creek
Date of Determination: February 2, 2011
Feature
E/I/P*
Not
Sub ect
Subject
Start@
Stop@
Stream
Form Pts.
Soil
Survey
USGS
Topo
A
I
X
F]4& SPA I
X
B
I
X
Fla SP131
Flag SPB end
X
B'
I
X
Flag SPC1
Flag SPC3
X
B"
I P
I I
X
Fla SPg�C3 I
I I
X
*E11 1P = EphemeraUlntermitionilPerennta!
Explanation: The feature(s) listed above has or have been located on the Soil Survey of Wake County, North
Carolina or the most recent copy of the USGS Topographic map at a 1:24,000 scale. Each feature that is checked
"Not Subject" has been determined not to be a stream or is not present on the property. Features that are checked
"Subject" have been located on the property and possess characteristics that qualify it to be a stream. There may be
other streams located on your property that do not show up on the maps referenced above but, still may be
considered jurisdictional according to the US Army Corps of Engineers and/or to the Division of Water Quality.
This on -site determination shall expire five (5) years from the date of this letter. Landowners or affected parties that
dispute a determination made by the DWQ or Delegated Local Authority may request a determination by the
Director. An appeal request must be made within sixty (60) days of date of this letter or from the date the affected
party (including downstream and /or adjacent owners) is notified of this letter. A request for a determination by the
Director shall be referred to the Director in writing c/o Ian McMillan, DWQ Wetlands /401 Unit, 1650 Mail Service
Center, Raleigh NC 27699 -1650. None Caro i a
tU
North Carolina Division of Water Quality Raleigh Regional Office Surface Water Protection Phone [phone] Customer Service
Internet www.newaterquality.org 1628 Mail Service Center Raleigh, NC 27699 -1628 FAX [phone]
An Equal OpportunityfAffimrative Action Employer — 50% Recycled/10% Post Consumer Paper

Lufkin Rd Tract
Wake Co
March 7,
Page 2 of 2
If you dispute the Director's determination you may rile a petition for an administrative hearing. You must file the
petition with the Office of Administrative Hearings within sixty (60) days of the receipt of this notice of decision. A
petition is considered filed when it is received in the Office of Administrative Hearings during normal office hours.
The Office of Administrative Hearings accepts filings Monday through Friday between the hours of 8:00 am and 5:00
pm, except for official state holidays. To request a hearing, send the original and one (1) copy of the petition to the
Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699 -6714. The petition may also be
faxed to the attention of the Office of Administrative Hearings at (919) 733 -3478, provided the original and one (1)
copy of the document is received by the Office of Administrative Hearings within five (5) days following the date of
the fax transmission. A copy of the petition must also be served to the Department of Natural Resources, c/o Mary
Penny Thompson, General Counsel, 1601 Mail Service Center, Raleigh, NC 27699 -1601.
This determination is final and binding unless, as detailed above, you ask for a hearing or appeal within sixty (60)
days.
The owner /future owners should notify the Division of Water Quality (including any other Local, State, and Federal
Agencies) of this decision concerning any future correspondences regarding the subject property (stated above). This
project may require a Section 4041401 Permit for the proposed activity. Any inquiries should be directed to the
Division of Water Quality (Central Office) at (919)-807 -6301, and the US Army Corp of Engineers (Raleigh
Regulatory Field Office) at (919) -544 -4884.
Respectfully,
Martin Ric and
Environ ntal Specialist
cc: Wetlands/ Stormwater Branch, 1650 Mail Service Center, Raleigh NC 27699 -1650
1(R0,1SWۥ File Copy

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PIN
0751273705
Real Estate ID
0045293
Map Name
075105
Owner
LUFKIN LEASED
FEE LLC
Mailing Address 1
1096 VICTORIA ST
NE
Mailing Address 2
ATLANTA GA
30319.2343
Mailing Address 3
Deed Book
14251
Deed Page
2628
- — classrc Ra 1
0 200 400 800 Feet
j
—J4
L n
PIN
0751273705
Real Estate ID
0045293
Map Name
075105
Owner
LUFKIN LEASED
FEE LLC
Mailing Address 1
1096 VICTORIA ST
NE
Mailing Address 2
ATLANTA GA
30319.2343
Mailing Address 3
Deed Book
14251
Deed Page
2628
Deed Date
01/2812011
Deeded Acreage
12,08
Assessed Building
Value
$0.00
Assessed Land Value
$2,104,820 00
Total Assessed Value
$2,104,820.00
Billing Class
CORPORATE
LISTING
Property Description
L03 TWENTY
ASSOCIATES LLP
BM 1998 -02427
Heated Area
Site Address
0 LUFKIN RD
City
o h'
WHITE OAK
u
0
Total Sale Price
$0.00
Sale Date
Type and Use
Design Style
Land Class
VACANT
Old Parcel Number
649- 00000 -0006
22
�Y
WAKE
COUNTY

EEP LETTER OF ACCEPTANCE

Joseph McSweeny
Lufkin Leased Fee, LLC
4904 Waters Edge Drive
Raleigh, NC 27606
Project: Sheetz at Lufkin and Ten Ten
Expiration of Acceptance: April 30, 2013
County: Wake
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to accept
payment for compensatory mitigation for impacts associated with the above referenced project as indicated in the table below. Please
note that this decision does not assure that participation in the NCEEP 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 authorizations associated
with the proposed activity including SL 2009 -337: An Act to Promote the Use of Compensatory Mitigation Banks as amended by
S.L. 2011 -343.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not received a copy of the
issued 404 Permit/401 Certification /CAMA permit within this time frame, this acceptance will expire. It is the applicant's
responsibility to send copies 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 upon the Fee Schedule and policies listed at www.nceep.net.
Based on the information supplied by you in your request to use the NCEEP, the impacts that may require compensatory mitigation are
summarized in the following table. The amount of mitigation required for this impact is determined by permitting agencies.
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation. 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.
Thank you for your interest in the NCEEP. If you have any questions or need additional information, please contact Kelly Williams at
(919) 716 -1921.
Sincerely,
Suzann° L&
Acting Director
cc: Karen Higgins, NCDWQ Wetlands /401 Unit
James Lastinger, USACE- Raleigh
Troy Beasley, agent
File
V
Y
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699 -1652 / 919 - 715 -0476 / www.nceep.net
River
Basin
CU
Location
Stream (feet)
Wetlands (acres)
Buffer I
(Sq. Ft.)
Buffer II
(Sq. Ft.)
Cold
Cool
Warm
Riparian Non - Riparian
Coastal Marsh
Impact
Neuse
03020201
0
0
0
0.16 0
0
0
0
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation. 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.
Thank you for your interest in the NCEEP. If you have any questions or need additional information, please contact Kelly Williams at
(919) 716 -1921.
Sincerely,
Suzann° L&
Acting Director
cc: Karen Higgins, NCDWQ Wetlands /401 Unit
James Lastinger, USACE- Raleigh
Troy Beasley, agent
File
V
Y
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699 -1652 / 919 - 715 -0476 / www.nceep.net

IMPACT EXHIBITS

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SITE DATA
DEVELOPMENT NAME: SHEETZ AT LUFKIN AND TEN TEN
LOCATION: 4000 LUFKIN ROAD, APEX, NC
PROPOSED USE: C –STORE WITH GAS SALES
PIN #: 0751 -37 -1709 (SHEETZ PARCEL)
0751 -27 -3705 (FUTURE PARCEL 1)
0751 -75 -1253 (FUTURE PARCEL 2)
0751 -28 -9070 (FUTURE PARCEL 3)
PARCEL SIZE: 14.73 ACRES (TOTAL)
PROPOSED WETLAND. STREAM. AND BUFFER IMPACTS
IMPACT LOCATION
WETLAND
(AC)
PERM.
STREAM
(LF)
TEMP.
STREAM
(LF)
PERM. BUFFER
TEMP. BUFFER
ZONE 1
ZONE 2
ZONE 1
ZONE 2
(SF)
(SF)
(SF)
(SF)
DRIVEWAY
0.16
0
0
0
0
0
0
WATERLINE
0.00
0
14
1,485
1,052
0
0
BMP OUTFALL
0.00
10
0
738
418
0
0
SEWER CROSSING
0.00
0
1 0
0
772
1 102
488
SEWER OUTFALL #1
0.00
0
0
0
0
0
812
SEWER OUTFALL #2
0.00
0
0
0
0
0
1,485
SEWER OUTFALL #3
0.00
0
0
0
0
0
874
SEWER OUTFALL #4
0.00
0
0
0
0
0
900
TOTAL
0.16
10
14
2,223
2,242
102
4,559
WETLAND IMPACTS
ZONE 1 NRB IMPACTS
ZONE 2 NRB IMPACTS
®ZONE 1 NRB
TEMPORARY IMPACTS
ZONE 2 NRB
,■■■, TEMPORARY IMPACTS
STREAM IMPACTS
NOTE: ESI COMPLETED WETLAND /STREAM DELINEATION
AND NEUSE RIVER RIPARIAN BUFFER DETERMINATION
ON 2- 14 -11. NOTIFICATION OF JURISDICTIONAL
DETERMINATION FROM USACE DATED 03- 11 -11.
NO FEMA DESIGNATED FLOOD HAZARD AREA EXIST PER
FIRM #3704670751J DATED 05- 02 -06.
GRAPHIC SCALE
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1 inch = 200 ft.
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02110432.00
SHEETZ AT LUFKIN AND TEN TEN N
LUFKIN LEASED FEE LLC
i
Town of A ex Wake County North Carolina
IMPACT PACT MA P
I
WITHERS � RAV E N E L
ENGINEERS I PLANNERS I SURVEYORS �
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N° Re 's' °° Dd1e By DP51g °„ SCd1e S H E ETZ AT L U F K I N AND TEN TEN W &R '• -' ° °� WITHERS � RAVENEL F'�1PNO
Chwkd °�� IMPACT MAP
WAR ' ° -zz -,z LUFKIN LEASED FEE LLC 1 A
cn�k,d By � °bN °. i ENGINEERS I PLANNERS I SURVEYORS
CM° 02110432.00 Town of Apex Wake County North Carolina ,,19194 -3340 r--6160N — th- ra°,°d-

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N° Re 's' °° Dd1e By DP51 f SCd1e S H E ETZ AT L U F K I N AND TEN TEN N
W &R '� -' ° °� WITHERS � RAVENEL F'�1PNO
,d °�� IMPACT MA P
WAR ' ° -zz -,z LUFKIN LEASED FEE LLC 1 B
cneCked By � °n " °. i ENGINEERS I PLANNERS I SURVEYORS
OM0 021104 .00 Town of Apex Wake County North Carolina 111 MeaKe DrW Cary," °,m Ca, °n°ays„ td 9194­3340 f� 91-6008 ­ thm ,a°e°i

IMPACT SUMMARY
DRIVEWAY
WETLAND
IMPACTS: 6,974 SF ( ±0.16 AC)
IV V AYz,
IMP /ACT

I I I
I/ 4.30—
430
IM T IIIII1
I I #
(F TOP 1
IA I I `::.' ..::•.
I
IF I / ,
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, 01 II I
O_
00
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i�
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E/R �-/Xz
1 I MAP 6v /
BMP OUTFALL & SEWER CROSSING
MPACT SUMMARY
_ v L 1
BMP OUTFALL
ZONE 1 NRB IMPACTS: 738 SF
ZONE 2 NRB IMPACTS: 418 SF
STREAM IMPACTS: 10 LF
(PERMANENT)
I — — SEWER CROSSING
W�AT�RLIN ZONE 1 NRB IMPACTS: 0 SF
I M AICT I
\ \� I ZONE 2 NRB IMPACTS: 772 SF
�\ .:::........
\ \ — _ \ ZONE 1 NRB TEMPORARY
\ \
IMPACT 1: 182 SF
` \
\ \� ZONE 2 NRB TEMPORARY
\ \\ \\ \ IMPACT #1: 488 SF
OFF —SITE SEWER
ZONE 1 NRB TEMPORARY
IMPACT #2: 0 SF
ZONE 2 NRB TEMPORARY
I — \ \ \ \\ \ ✓ \�\ ` IMPACT #2: 812 SF
l \ \
\ \\ \ \\ WATERLINE CROSSING
O� \� \ I \ : ?: ZONE 1 NRB IMPACTS: 1,485 SF
RR -V I t4l P R Mi`T \ _
-PE A \ \(+ \ \�\ \\ ZONE 2 NRB IMPACTS: 1052 SF
-AN D, T RAY\ ( 1 \1 \L \ ��
S �� % � � � � ������ STREAM IMPACTS: 14 LF
-STREW
\ \ (TEMPORARY)
( D\VQ # X01 1 4 � \ .
GRAPHIC SCALE
WATERLINE CROSSING 30 0 15 30 60
1 inch = 30 ft.
Not Re "s' °° Date I by 111 °e=­' SCd1e ill = SHEETZ AT LUFKIN AND TEN TEN
30' Figure NO.
o,aw'
By W &R oa�e 1' WITHERS RAV E N E L
W&R 10 -22 -12 LUFKIN LEASED FEE LLC IMPACT MAP #3 3
cneeked ey fob NO. ENGINEERS I PLANNERS I SURVEYORS
e�no 02110432.00 Town of Apex Wake Count North Carolina 111 M.--Dr- Ce North Cer 1 -27511 ter. 9194 -3340 f� 91-6008 www.w�mers--ic

%
/
/ /
/
/ F J �
/ �� \O000�
/ 00 °/ /
�;
oe
(F T/OP)
I100000
BMP OUTFALL & SEWER CROSSING
10000,
T TAP
Y
WATERLINE CROSSING
�l
I \ C
/ SS 1-11 /
�lelo*
�f�FLA TOP)
I
IMPACT SUMMARY
OFF —SITE SEWER
® ZONE 1 NRB TEMPORARY IMPACTS: 0 SF
® ZONE 2 NRB TEMPORARY IMPACT #3: 1,485 SF
® ZONE 2 NRB TEMPORARY IMPACT #4: 874 SF
® ZONE 2 NRB TEMPORARY IMPACT #5: 900 SF
GRAPHIC SCALE
30 0 15 30 60
1 inch = 30 ft.
Not Re "s' °° I Date I by 111 °Pw"B SCd1e SHEETZ AT LUFKIN AND TEN TEN
W &R 1' = 30' Figure NO.
"w" By Dale WITHERS RAV E N E L
W &R 10 -22 -12 LUFKIN LEASED FEE LLC IMPACT MAP #4 4
cr,eCked 9y hob NO. ENGINEERS I PLANNERS I SURVEYORS
CMD 02110432.00 Town of Apex Wake Count North Carolina 111 Mac - -Drive Cary, Norm C-1 -27511 tel. [phone] fax 91446J£008 emm th— rave d-N

NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
LEVEL SPREADER - VEGETATED FILTER STRIP (LS -VFS) SUPPLEMENT
This form must be completely filled out, printed, initialed, and submitted.
PROJECT INFORMATION
O��W�A rf q
?1 ✓w��y
ONii� �
Project name
Sheetz at Lufkin & Ten Ten Rd
Contact name
Craig Duerr
Phone number
(919) 535 -5142
Date
October 31, 2012
Drainage area number
1
min
II. DESIGN INFORMATION
in /hr
The purpose of the LS -VFS
SW Rule: 10 -year drawdown from Wet Pond
Stormwater enters LS -VFS from
A BMP
Type of VFS
Protected riparian buffer (slope < 5 %)
Explanation of any "Other" responses above
If Stormwater Enters the LS -VFS from the Drainage Area
Drainage area
Impervious surface area
Percent impervious
Rational C coefficient
Peak flow from the 1 in /hr storm
Time of concentration
Rainfall intensity, 10 -yr storm
Peak flow from the 10 -yr storm
Design storm
Maximum amount of flow directed to the LS -VFS
Is a flow bypass system going to be used?
Explanation of any "Other" responses above
If Stormwater Enters the LS -VFS from a BMP
Type of BMP
Peak discharge from the BMP during the design storm
Peak discharge from the BMP during the 10 -year storm
Maximum capacity of a 100 -foot long LS -VFS
Peak flow directed to the LS -VFS
Is a flow bypass system going to be used?
Explanation of any "Other" responses above
ft
Do not complete this section of the form.
ft
Do not complete this section of the form.
%
Do not complete this section of the form.
Wet detention pond
Do not complete this section of the form.
cfs
Do not complete this section of the form.
min
Do not complete this section of the form.
in /hr
Do not complete this section of the form.
cfs
Do not complete this section of the form.
TICK one.
cfs Do not complete this section of the form.
(Y or N) Do not complete this section of the form.
Wet detention pond
4.97
17.57
2
0.2
Y
cfs
cfs
cfs
cfs
(Y or N)
Form SW401 - LS -VFS - 29June2012 - Rev. 10 page 1 of 3

LS -VFS Design
Forebay surface area
Depth of forebay at stormwater entry point
Depth of forebay at stormwater exit point
Feet of level lip needed per cfs
Computed minimum length of the level lip needed
Length of level lip provided
Width of VFS
Elevation at downslope base of level lip
Elevation at the end of the VFS that is farthest from the LS
Slope (from level lip to the end of the VFS)
Are any draws present in the VFS?
Is there a collector swale at the end of the VFS?
Bypass System Design (if applicable)
Is a bypass system provided?
Is there an engineered flow splitting device?
Dimensions of the channel (see diagram below):
M
B
W
y (flow depth for 10 -year storm)
freeboard (during the 10 -year storm)
Peak velocity in the channel during the 10-yr storm
Channel lining material
Does the bypass discharge through a wetland?
Does the channel enter the stream at an angle?
Explanation of any "Other" responses above
M
N (Y or N)
N (Y or N)
7.00
sq ft
19.00
in
0.38
in
50
ft /cfs
10
ft
10
ft
50
ft
422.00
fmsl
420.00
fmsl
4.00
%
N
(Y or N) OK
N
(Y or N)
N (Y or N)
N (Y or N)
7.00
ft
19.00
ft
0.38
ft
1.60
ft
2.13
ft /sec
Rip -rap
N (Y or N)
Y (Y or M
W
♦ B
freeboard (during the 10 -yr storm)
y (dLuing the 10 -yr storm) 1
M
Form SW401 - LS -VFS - 29June2012 - Rev. 10 page 2 of 3

III. REQUIRED ITEMS CHECKLIST
EDIT Please indicate the page or plan sheet numbers where the supporting documentation can be found. An incomplete submittal package will result
in a request for additional information. This will delay final review and approval of the project. Initial in the space provided to indicate the following
design requirements have been met. If the applicant has designated an agent, the agent may initial below. If a requirement has not been met, attach
justification.
Requried Item:
1. Plans (1 "- 50' or larger) of the entire site showing:
- Design at ultimate build -out,
Off -site drainage (if applicable),
Delineated drainage basins (include Rational C coefficient per basin),
Forebay (if applicable),
High flow bypass system,
Maintenance access,
Proposed drainage easement and public right of way (ROW), and
Boundaries of drainage easement.
2. Plan details (1" = 30' or larger) for the level spreader showing:
- Forebay (if applicable),
High flow bypass system,
One foot topo lines between the level lip and top of stream bank,
Proposed drainage easement, and
Design at ultimate build -out.
3. Section view of the level spreader (1" = 20' or larger) showing:
- Underdrain system (if applicable),
Level lip,
Upslope channel, and
Downslope filter fabric.
4. Plan details of the flow splitting device and supporting calculations (if applicable).
5. A construction sequence that shows how the level spreader will be protected from
sediment until the entire drainage area is stabilized.
6. If a non - engineered VFS is being used, then provide a photograph of the VFS showing
that no draws are present.
7. The supporting calculations.
8. A copy of the signed and notarized operation and maintenance (0 &M) agreement.
Initials Page or plan sheet number and any notes:
Form SW401 - LS -VFS - 29June2012 - Rev. 10 page 3 of 3

Permit No
(to be provided by DWQ)
�� OF W ATF9
`' a' r
NCDENR
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
401 CERTIFICATION APPLICATION FORM
WET DETENTION BASIN SUPPLEMENT
This form must be filled out, printed and submitted.
The Required Items Checklist (Part III) must be printed, filled out and submitted along with all of the required information.
I. PROJECT INFORMATION
Is the pre /post control of the lyr 24hr storm peak flow required?
Project name
Sheetz at Lufkin & Ten Ten Rd
Contact person
Craig Duerr
Phone number
(919) 535 -5142
Date
31- Oct -12
Drainage area number
1
II. DESIGN INFORMATION
Post - development 1 -yr, 24 -hr peak flow
Site Characteristics
Pre /Post 1 -yr, 24 -hr peak flow control
Drainage area
298,188 ft2
Impervious area, post - development
222,592 ftz
% impervious
74.65%
Design rainfall depth
1.0 in
Storage Volume: Non -SA Waters
Top of 1 Oft vegetated shelf elevation
Minimum volume required
17,936 ft3
Volume provided
18,339 ft3
419.00 fmsl
OK, volume provided is equal to or in excess of volume required.
Storage Volume: SA Waters
Sediment storage provided
1.5" runoff volume
ft3
Pre - development 1 -yr, 24 -hr runoff
ft3
Post - development 1 -yr, 24 -hr runoff
ft3
Minimum volume required
ft3
Volume provided
ft3
Peak Flow Calculations
Is the pre /post control of the lyr 24hr storm peak flow required?
Y (Y or N)
1 -yr, 24 -hr rainfall depth
in
Rational C, pre - development
(unitless)
Rational C, post - development
(unitless)
Rainfall intensity: 1 -yr, 24 -hr storm
in /hr
Pre - development 1 -yr, 24 -hr peak flow
6.81 ft3 /sec
Post - development 1 -yr, 24 -hr peak flow
6.52 ft3 /sec
Pre /Post 1 -yr, 24 -hr peak flow control
-0.29 ft3 /sec
Elevations
Temporary pool elevation
427.15 fmsl
Permanent pool elevation
425.50 fmsl
SHWT elevation (approx. at the perm. pool elevation)
426.00 fmsl
Top of 1 Oft vegetated shelf elevation
426.00 fmsl
Bottom of 1 Oft vegetated shelf elevation
425.00 fmsl
Sediment cleanout, top elevation (bottom of pond)
419.00 fmsl
Sediment cleanout, bottom elevation
418.00 fmsl
Sediment storage provided
1.00 ft
Is there additional volume stored above the state - required temp. pool?
N (Y or N)
Elevation of the top of the additional volume
fmsl
Form SW401 -Wet Detention Basin - Rev.9- 4/18/12 Parts I. & II. Design Summary, Page 1 of 2

Permit No
(to be provided by DWQ)
Surface Areas
Drawdown through orifice?
Area, temporary pool
12,264 ft'
2.00 in
Area REQUIRED, permanent pool
7,693 ft'
Coefficient of discharge (Co)
SA /DA ratio
2.58 (unitless)
1.75 ft
Area PROVIDED, permanent pool, Apenisool
8,923 ft'
OK
Area, bottom of 1 Oft vegetated shelf, Abot shelf
7,090 ft'
( unitless)
Area, sediment cleanout, top elevation (bottom of pond), Abot pond
2,045 ft'
Driving head (H)
Volumes
Pre - development 1 -yr, 24 -hr peak flow
6.81 ft3 /sec
Volume, temporary pool
18,339 ft
OK
Volume, permanent pool, Vpertn_ pool
30,333 ft
2.50 days OK, draws down in 2 -5 days.
Volume, forebay (sum of forebays if more than one forebay)
6,885 ft
OK
Forebay % of permanent pool volume
22.7% %
Insufficient forebay volume.
SA /DA Table Data
Design TSS removal
85%
Coastal SA /DA Table Used?
N (Y or N)
Mountain /Piedmont SA /DA Table Used?
Y (Y or N)
SA /DA ratio
2.58 (unitless)
Average depth (used in SA /DA table):
Calculation option 1 used? (See Figure 10 -2b)
N (Y or N)
Volume, permanent pool, Vpertn_ pool
30,333 ft'
Area provided, permanent pool, Apertn_ pool
8,923 ft'
Average depth calculated
ft
Need 3 ft min.
Average depth used in SA /DA, deU, (Round to nearest 0.5ft)
ft
Calculation option 2 used? (See Figure 10 -2b)
Y (Y or N)
Area provided, permanent pool, Apertn_ pool
8,923 ft'
Area, bottom of 1 Oft vegetated shelf, Abot shelf
7,090 ft'
Area, sediment cleanout, top elevation (bottom of pond), Abot pond
2,045 ft
"Depth" (distance b/w bottom of 1 Oft shelf and top of sediment)
6.00 ft
Average depth calculated
4.64 ft
OK
Average depth used in SA /DA, deU, (Round to down to nearest 0.5ft)
4.0 ft
Insufficient. Check calculation.
Drawdown Calculations
Drawdown through orifice?
Y (Y or N)
Diameter of orifice (if circular)
2.00 in
Area of orifice (if- non - circular)
in
Coefficient of discharge (Co)
0.60 (unitless)
Driving head (Ho)
1.75 ft
Drawdown through weir?
(Y or N)
Weir type
(unitless)
Coefficient of discharge (C.)
( unitless)
Length of weir (L)
ft
Driving head (H)
ft
Pre - development 1 -yr, 24 -hr peak flow
6.81 ft3 /sec
Post - development 1 -yr, 24 -hr peak flow
6.52 ft3 /sec
Storage volume discharge rate (through discharge orifice or weir)
0.15 ft3 /sec
Storage volume drawdown time
2.50 days OK, draws down in 2 -5 days.
Additional Information
Vegetated side slopes
3 :1
OK
Vegetated shelf slope
10 :1
OK
Vegetated shelf width
10.0 ft
OK
Length of flowpath to width ratio
2 :1
Insufficient flow path to width ratio. Must not short - circuit pond.
Length to width ratio
2.0 :1
OK
Trash rack for overflow & orifice?
Y (Y or N)
OK
Freeboard provided
1.1 ft
OK
Vegetated filter provided?
y (Y or N)
OK
Recorded drainage easement provided?
y (Y or N)
OK
Capures all runoff at ultimate build -out?
y (Y or N)
OK
Drain mechanism for maintenance or emergencies is
Flow through primary spillway
Form SW401 -Wet Detention Basin - Rev.9- 4/18/12 Parts I. & II. Design Summary, Page 2 of 2

W
Ld
Y
IV
Z
Y
U
i
a
M
Oi
N
0
0
E
0
Z
3
n:
m
i
rn
p
0
U
2
N
C
U
N
4,
En
Q
c
0
0
C
w
J
O
N
v
N
M
a
0
M
0
i
i
i
Y
PLANTING REQUIREMENTS - BMP #1
SHALLOW WATER (NORMAL POOL TO 6" BELOW) = 1,725 SF 50 HERB. PLANTS / 200 SF = 432 PLANTS
PLANT TYPE
QTY
I KEY
BOTANICAL NAME
COMMON NAME
ROOT
CALIPER
HEIGHT
NOTES
HERBACEOUS
75
45
Acorus calamus.
Sweet Flag
CONT_
1 Gal.
4" Pot
24" O.C.
24" OC.
12
42
Acorus calamus 'Variegata'
Variegated Sweet Flag
CONT.
1 Gal.
1 1/2"
24" O.C.
x• a
12
WATER QUALITY OUTLET BARREL
Peltandra virginica
Arrow arum
CONT.
1 Gal.
425.50
24" O.C.
' r
120
52
Pontedaria cordata
Pickerelweed
CONT_
4" Pot
3 Gal.
24" O -C.
18
32
Sagittana latifolia
Broadleaf Arrowhead
CONT.
1 Gal
1
24" O.C.
48" O.C.
120
99
Saururus cernuus
Lizard's tail
CONT.
4" Pot
1
24" O.C.
48" O.C.
75
31
Schoenoplectus tabernaemontani
Softstem Bulrush
CONT..
4" Pot
3 Gal.
24" OC_
SHALLOW LAND (NORMAL
POOL TO 6" ABOVE) = 1,988 SF 50 HERB. PLANTS / 200 SF = 497 PLANTS
PLANT TYPE
QTY
I KEY
BOTANICAL NAME
COMMON NAME
ROOT
CALIPER
HEIGHT
NOTES
HERBACEOUS
45
GTI
Carex stric
Tussock Sedge
CONT.
4" Pot
12' MIN.
24" OC.
45
42
Iris versicolor
Northern Blue Flag Iris
CONT.
4" Pot
1 1/2"
24" O.C.
MATCHED SPECIMENS
120
WATER QUALITY OUTLET BARREL
Iris virginica
Southern Blue Flag Iris
CONT.
4" Pot
425.50
24" O.C.
W/0/00 ��
'160
52
juncus effusus
Soft Rush
CONT
4" Pot
3 Gal.
24" O.C.
115
32
Lobelia cardinalis
Cardinal Flower
CONT.
4" Pot
1
1 24" O.C.
48" O.C.
12
99
Scirpus cyperinus
Woolgrass
CONT.
I 1 Gal.
1
124" O.C.
BMP #1 SCREENING
PLANT SCHEDULE
PLANT TYPE
QTY
I KEY
BOTANICAL NAME
COMMON NAME
ROOT
CALIPER
HEIGHT
NOTES
TREES
9
GTI
Gleditsia triacanthos inermis'Shademaster'
Thornless Honey Locust
B &B
2 1/2"
12' MIN.
MATCHED SPECIMENS
42
LIS
Lagerstromia indica'Siren Red' (Whit VII)
Siren Red Crape Myrtle
CONT.
1 1/2"
W MIN.
MATCHED SPECIMENS
418.58
WATER QUALITY OUTLET BARREL
80 LF 4" DIP 0 5.639;
BARREL INV IN
31 9
g
425.50
BARREL INV OUT
DATE
SHRUBS
52
ABG
Abelia x grandiflora 'Edward Goucher'
Edward Goucher Abelia
CONT
3 Gal.
18 " -24"
48" O.C.
418.00
32
ICB
Ilex cornuta'Burfordii Nana'
Dwarf Burford Holly
CONT.
3 Gal.
18 " -24"
48" O.C.
99
LCD
Loropetalum chinense'Daruma'
Daruma Loropetalum
CONT.
3 -Gal.
18 " -24"
48" O.C.
31
SIG
Spiraea japonica'Goldmound'
Goldmound Spiraea
CONT
3 Gal.
12 " -18"
36" O.C.
21
VTS
Viburnum tinus 'Spring Bouquet'
Spring Bouquet Laurestinus
CONT
5 Gal
24 " -36"
60" O.C.
VEGETATED FILTER STRIP
THE VEGETATED FILTER STRIP SHALL BE
CLEARED, AND - COVERED WITH -A. MINIMUM OF
6" OF TOPSOIL. MIX 1 -2 CUBIC YARDS OF
PEAT MOSS OR COMPOST PER 1,000 SF INTO
THE TOPSOIL. IN ADDITION, A ONE -TIME
START -UP FERTILIZATION SHOULD BE ADDED,
PER THE TABLE BELOW:
GRASS OTHER THAN CENTIPEDE:
- 75 LBS OF GROUND LIMESTONE PER 1,000'
SF
- A STARTER TYPE FERTILIZER, HIGH IN
PHOSPORUS, BASED ON THE TYPE OF
GRASS AND PLANTING METHOD.
CENTIPEDE-
- 1/2 LB OF NITROGEN PER 1,000 SF
GRASS TYPE:
-GRASS TYPE SHALL BE TALL FESCUE OR
COMMON BERMUDA. GRASS SHALL BE SOD,
GROWN IN NON- CLAYEY SOIL.
-WATER SOD FREQUENTLY FOR THE FIRST
THREE WEEKS AFTER INSTALLATION, SO THAT
THE FIRST 1.5" OF SOIL IS KEPT MOIST.
SKIMMER RISER
WATER LEVEL DURING STORM
TRASH HOOD TOP OF DAM
=I I I
_III -I
_ 6" PEAK FLOW ATTENUATION POOL �•
III —III— PERMANENT POOL 1.0:1
—III —III �'• '` 10' WIDE VEGETATED SHELF TO
'� 10' EXTEND TO A DEPTH OF 6" ABOVE
ti
(SEE ICHARTIFOR ft VEGETATED
- AND BELOW THE PERMANENT POOL
ACTUAL DEPTH,
FORE'6A III -1
Y— SHELF
I -
III —III I I I( I I 12 SEDIMENT STORAGE I I EARTH DAM
_ _12" SEDIMENT— I —I I I -1111 n °
STORAGE' I 1-=1 I ;
I , ,III , I I I -I I -III
I I =_ _ D►SSIPATOR PAD
I I -_ RIP RAP
ANTI- FLOATATION DEVICE � I I —
III III
— III -I I —
I
ANTI -SEEP COLLAR III —I I I I I I I I III —III -
- I III -
I
CROSS SECTION RCP OUTLET PIPE III I I- III - III -I_I
III1�� =1i1
NTS.
No.
Revision
Date
B
1
TOA 1ST REVIEW COMMENTS
09/12/12
TLM
2
TOA 2ND REVIEW COMMENTS
10/31/12
TLM
RISER WEIR ELEVATION
428.50
RISER FOOTING
7' X 7' X 24" THK
WIDTH OF VFS: 30 -FEET
RISER BOX
4' X 4' INSIDE DIMENSIONS
HIGH FLOW 1136W% O IL9 BCE►-
84 LF 36" RCP 0 0.50%
SLOPE- 2 00ox
Designer
CMD TLM
Scale
AS NOTED
Drawn By
Date
TLM
04/02/12
Checked By
Job No
CMD
02110432.00
GRAPHIC SCALE
20 0 10 20 40 T]'
1 inch = 20 ft
NOTE:
RISER BOX, SKIMMER AND OUTLET PIPE SHALL BE
INSTALLED AT PRIOR TO THE BEGINNING OF
OVERALL SITE GRADING AND SHALL BE UTILIZED AS
A SEDIMENT CONTROL DEVICE CONSTRUCTION. ONCE
SITE HAS BEEN STABILIZED AND GRADING IS
COMPLETE THE BASIN SHALL BE CLEANED OUT AND
STABILIZED. THE SKIMMER SHALL BE REMOVED.
RISER SLAB
COVER/ TRASH
HOOD
RISER WEIR ELEV.
'O -RING' JOINT
PLACE STEM SUPPORTS
AT 3' FROM BASE
NORMAL POOL
1'
4" CAP WITH —
2" WATER QUALITY ORIFICE
6" NRS GATE VALVE —
ATTACH TEMPORARY SKIMMER —
DURING CONSTRUCTION
VOID SPACE
8" MIN
BMP# 1 LEVEL SPREADER CALCULATIONS
DIMENSIONS
ELEVATION
PERMANENT POOL
MAX. CAPACITY OF 100 -FOOT LEVEL SPREADER
425.50
TOP OF DAM
10'
430.00
WATER QUALITY ORIFICE
2.0" DIAMETER
425.50
RISER WEIR ELEVATION
428.50
RISER FOOTING
7' X 7' X 24" THK
WIDTH OF VFS: 30 -FEET
RISER BOX
4' X 4' INSIDE DIMENSIONS
HIGH FLOW 1136W% O IL9 BCE►-
84 LF 36" RCP 0 0.50%
SLOPE- 2 00ox
BARREL` INV IN
S E A L o
o e
419.00
BARREL INV OUT
DATE
418.58
WATER QUALITY OUTLET BARREL
80 LF 4" DIP 0 5.639;
BARREL INV IN
31 9
g
425.50
BARREL INV OUT
DATE
421.00
FLOW CONTROL ORIFICE
TWO 2.5' WIDE X 6" HIGH
427.15
EMERGENCY SPILLWAY
NOT APPLICABLE
PUBLIC WORKS
POND BOTTOM
418.00
BMP# 1 LEVEL SPREADER CALCULATIONS
°
PEAK DISCHARGE FROM BMP (10 -YEAR STORM): 0.20
CFS
MAX. CAPACITY OF 100 -FOOT LEVEL SPREADER
oRo°ouo
°
WITH VEGETATED FILTER STRIP: 10
CFS
FEET OF LEVEL LIP REQUIRED PER CFS: 10 FT /CFS
CALCULATED MIN. LENGTH. OF LEVEL LIP: 2
EEET
* USE MIN. 10 -FOOT LEVEL SPREADER LENGTH.
°
d ' ° d ° °: .
6' WIDI
BMP# 1 VEGETATED FILTER STRIP (VFS)
BLIND
WIDTH OF VFS: 30 -FEET
ELEVATION AT DOWNSLOPE OF LEVEL LIP: 320.80
ELEVATION AT THE END OF THE VFS: 320.20
UI
SLOPE- 2 00ox
DIVISION OF WATER QUALITY DESIGN GUIDELINES. ° a
0 8
°
STRUCTURAL BMP CONSTRUCTION SEQUENCE:
THE FOLLOWING MUST OCCUR PRIOR TO FINAL PLAT AND /OR CERTIFICATE OF OCCUPANCY (CO):
�— TWO 2.5' .WIDE X 6" HIGH
FLOW OONTROL ORIFICES 1 ALL BMPS MUST BE INSTALLED IN ACCORDANCE WITH THE APPROVED CONSTRUCTION PLANS
1
2
0
VEGETATED FILTER STRIP
4' X 4' CONCRETE 2, ENGINEER MUST SUBMIT AN AS -BUILT PACKAGE WHICH MEETS ALL TOWN OF APEX 3 -�"
PRECAST BOX REQUIREMENTS INCLUDING A SIGNED AND SEALED CERTIFICATION STATEMENT. r r
3. SUBMIT SIGNED STRUCTURAL BMP 0 &M AGREEMENT AND MAINTENANCE GUARANTEE TO THE FLOW PATH
LEVEL � 3 INCHES OF SURGE STONE
DEVELOPMENT PROJECTS COORDINATOR IN CONSTRUCTION MANAGEMENT AT (919) 249 -3394. SPREADER LIP
4. A FINAL INSPECTION BY THE ENVIRONMENTAL PROGRAMS MANAGER SHALL BE CONDUCTED ONCE �I(- 1IEIIEIII
4" DIP TO THE AS -BUILT SUBMITTAL HAS BEEN RECEIVED. ONCE APPROVED, THE ENVIRONMENTAL •`••-
E=II RECEIVING
LEVEL SPREADER PROGRAMS MANAGER WILL SEND A BMP APPROVAL LETTER TO THE OWNER. B' WIDE BLIND SWALE STREAM
5. IN LIEU OF STRUCTURAL BMP COMPLETION AND FINAL APPROVAL BY THE ENVIRONMENTAL UNDERDRAIN -SIZED
FOR PROGRAMS MANAGER, THE TOWN OF APEX MAY ACCEPT A PERFORMANCE GUARANTEE IN SOIL CONDITIONS-
T O DRAIN IN TO BYPASS SWALE
ACCORDANCE WITH UDO SECTION 6.1.12(G). IF THE CONTRIBUTING DRAINAGE AREA FOR THE 3 FEET _WIDE STRIP OF FILTER FABRIC
BMPS IS UNSTABLE AT THE TIME OF FINAL PLAT APPROVAL FOR A SUBDIVISION, THE TOWN WILL
ALLOW A SKIMMER SYSTEM TO BE CONNECTED TO THE EMERGENCY DRAIN SIZED TO DE -WATER CONCRETE FOOTER
THE VOLUME OF THE BASIN OVER A 2 -3 DAY PERIOD. POROUS BAFFLES SHALL - EITHER (SIZED BY OTHERS
GROUT EACH SIDE CONTINUE TO BE MAINTAINED (IF CONVERTING FROM A SEDIMENT BASIN) OR BE INSTALLED. ANY
`• -' ORIFICES MUST BE CAPPED OR PLUGGED.
� LEVEL. SPREADER DETAIL
-JOINT SEALED WITH 6. ALL STRUCTURAL BMPS WILL BE REQUIRED TO BE CONVERTED PRIOR TO ISSUANCE OF THE
A -LOCK NEOPRENE GASKET FINAL CERTIFICATE OF OCCUPANCY FOR SHEETZ. DEVELOPMENT OF FUTURE PARCEL 2 WILL BE NTS
CAST IN MANHOLE WALL REQUIRED TO TAKE PROPER MEASURES TO CONTROL SEDIMENTATION AT A LATER DATE WHEN
O- RING' GASKETED RCP OUTLET BARBELL UNDER CONSTRUCTION.
' THE SIGNATURES AFFIXED BELOW CERTIFY THAT THIS SHEET HAS BEEN REVIEWED AND APPROVED
'0 -
CLASS lit RCP 7: IF A STRUCTURAL BMP COUNTS TOWARDS RCA, THE REQUIRED LANDSCAPING SHALL BE SOLELY PER THE CERTIFICATIONS SIGNED ON THE COVER SHEET OF THESE CONSTRUCTION PLANS.
INSTALLED DURING THE APPROPRIATE GROWING SEASON AND COORDINATED WITH THE TOWN
�,_ ZONING COMPLIANCE OFFICER. AT (91 -9) 249 -3426. DATE PUBLIC WORKS -ENV. PROGRAMS DATE
PAVED INVERT ": -, GROUT 6" CM - ENGINEERING
LEVEL SPREADER NOTES: ° ° j CARO °°°
SHEETZ AT LUFKIN AND TEN TEN
Town of Apex Wake County North Carolina
111 MacKenan Drive Cary, North Carolina 27511 tel: [phone] www.withersravenel.com License No. C -0832
°
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CM - TRANSPORTATION
DATE
PLANNING
DATE
RISER FOOTING
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1. LEVEL SPREADER DESIGN BASED ON CURRENT e�
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DIVISION OF WATER QUALITY DESIGN GUIDELINES. ° a
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CM - BUILDING
INSPECTIONS
DATE
PLANNING - TRANSPORTATION
DATE
2. INSPECT LEVEL SPREADER AFTER EACH °0
RAINFALL,
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PUBLIC WORKS
DATE
FIRE
DATE
- WATER /SEWER
RISERQQ,�, ��/
& DRA VV D O WN DEVICE DETAIL
UNTIL VEGETATION IS WELL ESTABLISHED, AND o C�° ° °FN
MAKE ANY NECESSARY REPAIRS; AFTERWARDS, ° ° ° ° °�q / °
° °M OV� AI3� �Z-
PUBLIC WORKS
PARKS, RECREATION & CULTURAL RES
DATE
- ELECTRIC
DATE
INSPECT PERIODICALLY AND KEEP VEGETATION oa000a00000°
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NTS
HEALTHY AND MAINTAINED.
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MATIT
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SHEETZ AT LUFKIN AND TEN TEN
Town of Apex Wake County North Carolina
111 MacKenan Drive Cary, North Carolina 27511 tel: [phone] www.withersravenel.com License No. C -0832