20200624 Ver 3_ePCN Application_20210416

DWR
Division of Water Resources
Initial Review
Pre -Construction Notification (PCN) Form
April 4, 2021 Ver 4
Has this project met the requirements for acceptance in to the review process?*
6 Yes
✓ No
Is this project a public transportation project?*
CYes r No
Change Only 1 needed.
BIMS # Assigned*
20200624
Is a payment required for this project?*
✓ No payment required
✓ Fee received
6 Fee needed - send electronic notification
Reviewing Office *
Central Office - [phone]
Information for Initial Review
la. Name of project:
GALAHD DRIVE MOB
la. Who is the Primary Contact?*
Bob Zarzecki
lb. Primary Contact Email:*
[e-mail]
Date Submitted
4/16/2021
Nearest Body of Water
Longview Branch (Stream Index No. 27-33-21)
Basin
Neuse
Water Classification
C;NSW
Site Coordinates
Latitude:
35.783605
A. Processing Information
Version#*
What amout is owed?*
r $240.00
6 $570.00
Select Project Reviewer*
Rick Trone:eads\rvtrone
lc. Primary Contact Phone:*
[phone]
Longitude:
-78.591470
County (or Counties) where the project is located:
Wake
Is this a NCDMS Project
✓ Yes G No
Is this project a public transportation project?*
✓ Yes G No
Pre -Filing Meeting Information
Is this a courtesy copy notification?*
✓ Yes f• No

ID#
20200624
Version
2
Pre -fling Meeting or Request Date
3/16/2021
Attach documentation of Pre -Filing Meeting Request here:
Click the upped button or drag and drop files here to attach document
GALAHD DRIVE_Pre-Filing Meeting Request Form & Email_16ApriI2021.pdf
Fie type rust be FCF
la. Type(s) of approval sought from the Corps:
fJ Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
✓ Yes
✓ No
Please provide the date of the previous submission.*
5/21/2020
1b. What type(s) of permit(s) do you wish to seek authorization?
17 Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
6 Yes r No
Nationwide Permit (NWP) Number: 39 - Commercial/Institutional Developments
NWP Numbers (for multiple NWPS):
Id. Type(s) of approval sought from the DWR:
I7 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual 401 Water Quality Certification
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
lf. Is this an after -the -fact permit application?*
✓ Yes ('No
741.3KB
r 401 Water Quality Certification - Express
r Riparian Buffer Authorization
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
✓ Yes r No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
✓ Yes rNo
Acceptance Letter Attachment
GALAHAD DRIVE_Neu-Con Stream SOA - Blackbird - Galahad Drive MOB.pdf
GALAHAD DRIVE_Buffer SOA - Galahad Drive MOB.pdf
1 h. Is the project located in any of NC's twenty coastal counties?
✓ Yes (-No
1j. Is the project located in a designated trout watershed?
4Yest No
139.5KB
123.11KB
✓ Yes t: No
✓ Yes t: No
B. Applicant Information
C^U
Id. Who is applying for the permit?
n Owner II Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
✓ Yes r No
2. Owner Information
2a. Name(s) on recorded deed:

Glen Summit Properties, LLC
2b. Deed book and page no.:
Book 14459 / Page 154
2c. Contact Person:
W. Dwight Graham (for all properties)
2d.Address
Street Address
10600 Candler Falls Ct.
Address Line 2
aty State / Province / Region
Raleigh NC
Postal / Zip Corte Country
27614-9111 USA
2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address:*
dvdg ht_g ra h a m@outlook. com
2a. Name(s) on recorded deed:
D&K Corp.
2b. Deed book and page no.:
Book 2478 / Page 553
2c. Contact Person:
James Davis & Charles Davis (managers)
2d. Address
Street Address
414 Delaware Ave.
Address Line 2
Apt. 120
(Sty State / Province / Region
Norfolk VA
Postal / Zip (Side Country
23508-2850 USA
2e. Telephone Number: 2f. Fax Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Robert (Trey) S. Adams III
3b. Business Name:
ATLAS STARK HOLDINGS, LLC
3c. Address
Street Address
911 N. West Street
Address Line 2
Suite 201
aty State / Province / Region
Raleigh NC
Rbstal / Zip Code Country
27603 USA
3d. Telephone Number: 3e. Fax Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Bob Zarzecki
4b. Business Name:

Soil & Environmental Consultants, PA
4c.Address
Street Address
8412 Falls of Neuse Road
Address Line 2
Suite 104
aty State/ Bovine/ Region
Raleigh NC
Postal / Zip Code Country
27615 USA
4d. Telephone Number: 4e. Fax Number:
[phone] [phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Galahad Drive MOB - Agent Authorizations.pdf 1.51 MB
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
n/a
lc. Nearest municipality/ town:
Raleigh
2. Project Identification
2a. Property Identification Number:
1724106215; 1724107410; 1724108414
2c. Project Address
Street Address
2911 & 2919 Galahad Drive
Address Line 2
100 Luther Drive
aty
Raleigh
Postal / Zip Code
27610
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Longview Branch (Stream Index No. 27-33-21)
3b. Water Resources Classification of nearest receiving water:*
C;NSW
3c. What river basin(s) is your project located in?*
Neuse
2b. Property size:
2.41
State / Bovine/ Region
NC
Country
USA
3d. Please provide the 12-digit HUC in which the project is located.
030202010804
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
The site is an assemblage of three (3) parcels located between Galahad Drive, Luther Drive, West Campus Drive and New Bern Avenue adjacent to the WakeMed Raleigh Campus
hospital complex. The property is vacant, forested land. The stream on the site originates at a stormwater pipe which receives uncontrolled stormwater runoff and most likely air
conditioning condensate water from the hospital. No stream exists above this point. The stream is daylighted on site for approximately 230 LF and then enters another pipe, flowing
under an existing parking lot and New Bern Avenue before daylighting again on the northwest side of New Bern Avenue and flowing into Longview Branch. The site is an inholding
vacant lot surrounded by urban development. WakeMed P1 Green Visitor parking lot and deck exists just south of the site, WakeMed exists to the east, Lot 6 Heart Center employee
parking lot exists to the north and medical office buildings to the west.
Note: The outlet end of the existing 48" RCP pipe, headwall and several sections of the pipe have failed (see photos attached to the NCSAM form). The surrounding land slope and
shoulder of Galahad Drive has also failed, sending fill and sediment into the stream. The area is a safety hazard. Safety cones and fencing has been placed around the area pending a
repair or the development of this site.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*

R Yes r No C Unknown
If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
DWR#2020-0624v2
SAW-2020-00922
(There is no change to the previously approved impacts. The applicant simply will not be able to complete the impacts prior to March 18, 2022 and thereby requests reissuance under
the new NWP and GC. A Major Exception was approved for impacts to the Neuse Buffers, but this approval does not require reissuance.)
Project History Upload
20200624v2GalahadDriveMOB(Wake)_401_GC.docx.pdf
SAW-2020-00922 - NWP 39 Verfication.pdf
20200624v1 GalahadDriveMOB(Wake)_NRB_EXCEPTION.docxpdf
697.04KB
830.75KB
706.18KB
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Galahad Drive MOB - USGS.pdf 2MB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Galahad Drive MOB - Soil Survey pdf 3.33MB
4f. List the total estimated acreage of all existing wetlands on the property:
0
4g. List the total estimated linear feet of all existing streams on the property:
230
4h. Explain the purpose of the proposed project:*
The purpose of the project is to construct a 24,00 SF medical office building (MOB) and required 120 lot parking lot and 10,500 sf passive open space + courtyard at main entry
consistent with the rest of WakeMed campus.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project will involve site clearing, grading and piping the daylighted 230 LF section of stream located between the existing storm pipes on either side of the site. An appropriately size
pipe. The new pipe has not yet been fully designed, but most likely will be an extension of the existing 54" RCP culvert at the lower (north) end of the site, south through the site and
connecting to and receiving discharge from the existing 48" RCP culvert on the upper (south) end of the site. The site will then be raised to grade suitable for the construction of the site
improvements (MOB and parking lot). The project will also include the installation of two (2) subsurface sandfilter and detention devices to control and treat stormwater runoff from the
new development. Heavy earthmoving equipment (e.g., excavators, dump trucks, bulldozers, etc.) typical for such site work will be used.
4j. Please upload project drawings for the proposed project.
Galahad Drive MOB - IMPACT MAPS - 2020.05.01 - MOB Concept_Surface Park.pdf 545.63KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
C Yes
r' No O Unknown
Comments:
A JD has not been verified by the USACE for the site. However, S&EC has delineated the site (found
no potential wetlands) and confirmed the perennial stream determination with NC DWR staff. The
applicant is not requesting a JD verification in association with this NWP39 verification.
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved 6 Not Verified r Unknown r WA
Corps AID Number:
n/a
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Bob Zarzecki
S&EC, PA
5d1. Jurisdictional determination upload
Galahad Drive MOB - DWR-NBRRO19-298_24Sept2019 (reduced).pdf 848 73KB
6. Future Project Plans
6a. Is this a phased project?*
r Yes 0 No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):

r Wetlands
r Open Waters
I7 Streams -tributaries
r Pond Construction
❑ Buffers
3. Stream Impacts
SI
3a. Reason for impact (?)
S1
3b.Impact type*
Permanent
3c. Type of impact*
Culvert
3d. S. name*
Stream "A" - UT to Longview
Branch
3e. Stream Type*
(?)
Perennial
3f. Type of
Jurisdiction*
Both
3g. S. width*
5
Average (feet)
3h. Impact
length*
230
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
230
3i. Total stream and ditch impacts:
230
3i. Total temporary stream impacts:
0
3j. Comments:
Neuse River riparian buffers impacts are also proposed for this project. These impacts require a "Major Exception" approval which was approved NC
DWR (DWR Project No. 2020-0624v1) on September 9, 2020.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The applicant hired S&EC to delineate the site and obtain confirmation of the Neuse Buffers. The applicant then used this information in an attempt to
design a development for the site that would avoid and minimize impacts. Ultimately the applicant determined that the entirety of the stream would
need to piped to practicably make a development on the site work. The applicant is under contract with the owners to purchase and develope this
property. The applicant does not believe the property is developable for commercial purposes without fully impacting the stream and buffers. This
property is unique as the property is currently separated in half by a culvert stream that is subject to a 50' buffer which has been determined to be
low -medium quality in nature (NCSAM attached) and it appears that most of the runoff can reasonably be attributed to runoff from the WakeMed's
campus. The stream starts at the culvert at Galahad Drive and flows into a culvert under an existing parking lot and New Bern Avenue. Because of the
bisection, in order to develop the property in its current condition, you would have to construct a medical office building with under grade parking on
one side of the stream while the other side would be designated as patient or employee parking with a pedestrian bridge/cross walk connecting the
two areas. The cost of subgrade parking is cost prohibitive to get any return and more importantly it's not an ideal condition to have patients crossing
an exposed bridge/cross walk if they are seeking medical treatment. Distance to the entrance is becoming increasingly important as the age of
patients seeking medical care is increasing due to the baby boomer generation. Other developers have walked from this site due to the costs
associated to develop it. The cost of the proposed development plan also produces a return below Mat is typical or desired for similar development
projects, but it is acceptable to the applicant, even after factoring in the anticipated $310k+ of stream and buffer mitigation costs. If this proposed
development plan isn't approved, then the applicant too will need to walk from this site.
During the previous review, the USACE & DWR asked a couple additional questions and the following information/responses were provided:
"Attached shows the existing slope as roughly 16%which is pretty typical across the site. Generally speaking the steepest a vegetated slope can be
33% or 3:1 without some slope stabilization measures, but for anything developed generally the steepest a parking lot can be is 5% otherwise car
doors open to abruptly and damage the neighboring car. Roadways can be steeper but are generally limited to 10% max. A building footprint is flat or
0%. As you can see the existing slope is steeper than any of the development types and therefore a wall will be required on the low end to hold up any
proposed improvement. Any development whether the stream remains or not will require a wall down to existing grade. In the attached scheme
following the 5% through the parking lot a 15' wall will be required to make the parking lot work without the stream. With the stream walls would also be
required along the edge of the stream buffer in addition to the wall down to existing grade along the eastern and western property lines. This amount
of walls would be cost prohibitive for any development.... I think the key to why impacting the stream can't be avoided is the grades. There are
significant slopes on both sides of the site, even if the site could be re -organized so that the amenity area were located over the stream area, in that
scenario the grades still would not allow the stream to be persevered. If design is started with persevering the stream then walls are built to maintain
the stream corridor the remaining site is not economically viable.... (Joe Puckett, PE, LEED AP, Practice Leader, Civil Engineering)"
I've also heard from them that the "amenity area" is intended to be more of a usable park like area similar to other outdoor green spaces around the
WakeMed campus. So, they could not count a natural stream/buffer area, which would apparently need to be walled in 15' down, if it even were
feasible.
In regards to the driveway location on Galahad Drive (question 1.b.), it really could be located anywhere and would not change their options to avoid
the stream due to grades, etc. as described above, but the identified location is believed to both provide adequate distance from the West Campus
Drive intersection and still enter near the building to provide ease of access for drop off and pick up of patients to the medical office building.
In regards to the stream length (question 2), STEWART has confirmed the length correctly identifies the linear feet of stream channel measured along
the stream (not point to point, which is closer +/- 175 feet).
Finally, as discussed below (question 3), the applicant has agreed to the 1.5:1 mitigation ratio and understands that 345 LF of stream mitigation
credits will be required.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The project will obtain an erosion and sediment control plan from the City of Raleigh prior to construction. The application will also obtain a
postconstruction stormwater management plan anticipated to include the two proposed underground sandfilter/detention BMPs. These measures
should protect downstream water quality both during and after construction of 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 impacts to Waters of the U.S. or Waters of the State?
( Yes r No
2c. If yes, mitigation is required by (check all that apply):
fJ DWR fJ Corps
2d. If yes, which mitigation option(s) will be used for this project?
17 Mitigation bank r Payment to in -lieu fee r Permittee Responsible
program Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Neu -Con Wetland & Stream Umbrella Mitigation Bank - Blackbird Site
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Stream 345 If
Attach Receipt and/or letter
GALAHAD DRIVE_Neu-Con Stream SOA - Blackbird - Galahad Drive MOB.pdf 139.5KB
3c. Comments
The USACE agreed to a 1.5:1 mitigation ratio given the urban, "medium" quality nature of the stream, and the fact that it is a 230 LF section of
daylighted stream between extensive storm networks and discharges above and below, and the buffer mitigation required as part of the anticipated
major variance (SOA attached), and the City of Raleigh Phase 2 & Neuse NWS stormwater management BMPs.
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more
information.
( Yes
r No
6b. If yes, then identify the square feet of impact.
6c. Reason for impact
6d. Total impact
(square feet)
Multiplier
6e. Required mitigation
(square feet)
Zone 1
Lot Fill
17,174
3
51,522
Zone 2
Lot Fill
6f. Total buffer mitigation required
65606
9,389
1.5
6g. If buffer mitigation is required, is payment to a mitigation bank or NC Division of Mitigation Services proposed?
6' Yes r No
6h. Attach the acceptance letter from the mitigation bank or NC Division of Mitigation Services.
GALAHAD DRIVE_Buffer SOA - Galahad Drive MOB.pdf
123.11KB
14,084
6j. Comments:
As stated previously, the applicant is not requesting the buffer impacts as part of this PCN application as these impacts were approved and required
as a condition of the "Major Exception" approval.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes ( No
If no, explain why:
The project is within the City of Raleigh's jurisdiction and will obtain an approved stormwater management plan that
complies with NPDES Phase 2 requirements as well as Neuse River NWS requirements. The conceptual plan calls for
two underground sandfilter/detention devices in the approximate locations shown on the attached plans. The
applicant asks for a conditional approval such that the stormwater management plan details (BMP Supplement Form
& O&M Form, etc.) are provided pending the Major Variance approval and at the time of the 401 Water Quality
Certification application.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*

✓ Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
✓ Yes G No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?
6' Yes r No
✓ N/A - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
fJ Local Government r State
Local Government Stormwater Programs
7 Phase II 17 NSW r USMP n Water Supply
Please identify which local government stormwater program you are using.
City of Raleigh
Comments:
The project is within the City of Raleigh's jurisdiction and will obtain an approved stormwater management plan that
complies with NPDES Phase 2 requirements as well as Neuse River NWS requirements. The conceptual plan calls for
tyro underground sandfilter/detention devices in the approximate locations shown on the attached plans. The
applicant asks for a conditional approval such that the stormwater management plan details (BMP Supplement Form
& O&M Form, etc.) are provided pending the Major Variance approval and at the time of the 401 Water Quality
Certification application.
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
✓ Yes f No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15ANCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
✓ Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
✓ Yes ( No
3b. If you answered "no," provide a short narrative description.
The project involves the development of an existing inholding site surrounded by existing urban development and the WakeMed Raleigh Campus.
There are no other available vacant properties in the immediate vicinity with streams or other WOTUS that could result in additional development
which could impact downstream water quality.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
6. Yes r No r N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated
at a treatment plant, list the capacity available at that plant.
City of Raleigh sanitary sewer system
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
✓ Yes f No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
✓ Yes f• No
5d. Is another Federal agency involved?*
✓ Yes
5e. Is this a DOT project located within Division's 1-8?
✓ Yes ( No
f• No r Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
<7 Yes r No
5g. Does this project involve bridge maintenance or removal?

✓ Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
✓ Yes G No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
✓ Yes 6 No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
FWS & NHP; NHP & FWS online databases; Of all the Federally listed species the only one identified by NHP within 1 mile of the site is Carolina
Madtom (Noturus furiosus) known to exist within Crabtree Creek. However, no habitat for this species exists on site given the isolated nature of this
230 LF of daylighted stream. An aquatic survey was done in association with the attached NCSAM form and no fish species were found to exist within
the stream. There was actually very little aquatic life found in the stream beyond amphipods.(5f) Yes. Essentially all existing trees will need to be
removed. New landscape trees will be added per attached plans. Previous consultation w/ FWS associated with the existing 404 NWP verification was
conducted. No potential habitat exists on the site other than NLEB.
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
✓ Yes f No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NMFS EFH Mapper website; The project is located in the piedmont region of NC far from any EFH areas.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
✓ Yes f• No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
SHPO HPO WEB website; Longview Gardens Historic District exists to the southwest, but the site is not located within the district and is isolated from it
by existing urban development. There are no structures on the site.
7c. Historic or Prehistoric Information Upload
Galahad Drive MOB - SHPO.pdf 376.13KB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
✓ Yes t No
8c. What source(s) did you use to make the floodplain determination?*
Wake Co. iMAPS & FEMA DFIRM
Miscellaneous
Comments
As stated previously the Neuse Buffer impacts depicted on the attached plans required a "Major Exception" which was approved by DWR (DWR Project No. 2020-0624v1) on September
9, 2020 and remains valid.
Miscellaneous attachments not previously requested.
GALAHAD DRIVE_Engineer's Justificaiton Exhibit 30June2020.pdf
Galahad Drive MOB - NCSAM.pdf
Galahad Drive MOB - Recorded Map Book1979-Page687.pdf
2.32MB
3.84MB
125.23KB
Signature
*
fJ By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
S&EC, PA - Bob Zarzecki
Signature
SsG'3!-�d�r

Date
4/16/2021

EBX-Neuse I, LLC Stream and Wetland Banks
Statement of Availability April 16, 2021

U.S. Army Corps of Engineers
Lyle Phillips
Raleigh Regulatory Field Office
3331 Heritage Trade Center, Suite 105
Wake Forest, NC 27587

Re Project: Galahad Drive MOB

This document confirms that Atlas Stark Holdings, LLC (Applicant) for the Galahad Drive MOB
(Project) has expressed an interest to utilize 460.00 Stream Mitigation Credits the EBX-Neuse
sponsored Neu-Con Wetland & Stream Umbrella Mitigation Bank, specifically 460.00 stream credits
from the Blackbird Site, in the Neuse HUC 03020201. As the official Bank Sponsor, EBX-Neuse I, LLC,
attests to the fact that mitigation is available for reservation at this time.
These mitigation credits are not considered secured, and consequently are eligible to be used for alternate
purposes by the Bank Sponsor, until payment in full is received from the Applicant resulting in the
issuance of a Mitigation Credit Transfer Certificate by the bank acknowledging that the Applicant has
fully secured credits from the bank and the Banker has accepted full responsibility for the mitigation
obligation requiring the credits/units.
The Banker will issue the Mitigation Credit Transfer Certificate within three (3) days of receipt of the
purchase price. Banker shall provide to Applicant a copy of the Mitigation Credit Transfer Certificate and
a documented copy of the debit of credits from the Bank Official Credit Ledger(s), indicating the permit
number and the resource type secured by the applicant. A copy of the Mitigation Credit Transfer
Certificate, with an updated Official Credit Ledger will also be sent to regulatory agencies showing the
proper documentation.
If any questions need to be answered, please contact me at 919-209-1075.
Best Regards,

Caitlan B. Parker
Resource Environmental Solutions, LLC
701 E. Bay Street, Suite 306
Charleston, SC 2922.903

EBX-Neuse I, LLC Stream and Wetland Banks
Statement of Availability April 16, 2021

U.S. Army Corps of Engineers
Lyle Phillips
Raleigh Regulatory Field Office
3331 Heritage Trade Center, Suite 105
Wake Forest, NC 27587

Re Project: Galahad Drive MOB

This document confirms that Atlas Stark Holdings, LLC (Applicant) for the Galahad Drive MOB
(Project) has expressed an interest to utilize 460.00 Stream Mitigation Credits the EBX-Neuse
sponsored Neu-Con Wetland & Stream Umbrella Mitigation Bank, specifically 460.00 stream credits
from the Blackbird Site, in the Neuse HUC 03020201. As the official Bank Sponsor, EBX-Neuse I, LLC,
attests to the fact that mitigation is available for reservation at this time.
These mitigation credits are not considered secured, and consequently are eligible to be used for alternate
purposes by the Bank Sponsor, until payment in full is received from the Applicant resulting in the
issuance of a Mitigation Credit Transfer Certificate by the bank acknowledging that the Applicant has
fully secured credits from the bank and the Banker has accepted full responsibility for the mitigation
obligation requiring the credits/units.
The Banker will issue the Mitigation Credit Transfer Certificate within three (3) days of receipt of the
purchase price. Banker shall provide to Applicant a copy of the Mitigation Credit Transfer Certificate and
a documented copy of the debit of credits from the Bank Official Credit Ledger(s), indicating the permit
number and the resource type secured by the applicant. A copy of the Mitigation Credit Transfer
Certificate, with an updated Official Credit Ledger will also be sent to regulatory agencies showing the
proper documentation.
If any questions need to be answered, please contact me at 919-209-1075.
Best Regards,

Caitlan B. Parker
Resource Environmental Solutions, LLC
701 E. Bay Street, Suite 306
Charleston, SC 2922.903

EBX Buffer Mitigation Banks
Statement of Availability April 16, 2021

NC Division of Water Resources
Paul Wojoski
512 N. Salisbury St.
Archdale Building, 9th floor
Raleigh, NC 27604

Re Project: Galahad Drive MOB

This document confirms that Atlas Stark Holdings, LLC (Applicant) for the Galahad Drive MOB
(Project) has expressed an interest to utilize 65,605.50 Square Feet of Riparian Buffer Mitigation
Credits from one of the following banks, EBX-Neuse I, LLC Neuse Riparian Buffer Umbrella Mitigation
Bank, RES Neuse Buffer and Nutrient Offset Umbrella Mitigation Bank, RES Poplar Creek Buffer &
Nutrient Offset Umbrella Mitigation Bank, or EBX Upper Neuse Riparian Buffer Umbrella Mitigation
Bank. Specific bank sites that may be debited are Buffalo Branch, Selma Mill, Cedar Grove, Hatley,
Ezell, Hannah Bridge, Stone Creek, Meadow Spring, Uzzle, Poplar Creek and Polecat, all located in HUC
03020201. As the official Bank Sponsor, EBX-Neuse I, LLC and EBX, attests to the fact that mitigation
is available for reservation at this time.
These mitigation credits are not considered secured, and consequently are eligible to be used for alternate
purposes by the Bank Sponsor, until payment in full is received from the Applicant resulting in the
issuance of a Mitigation Credit Transfer Certificate by the bank acknowledging that the Applicant has
fully secured credits from the bank and the Banker has accepted full responsibility for the mitigation
obligation requiring the credits/units.
The Banker will issue the Mitigation Credit Transfer Certificate within three (3) days of receipt of the
purchase price. Banker shall provide to Applicant a copy of the Mitigation Credit Transfer Certificate and
a documented copy of the debit of credits from the Bank Official Credit Ledger(s), indicating the permit
number and the resource type secured by the applicant. A copy of the Mitigation Credit Transfer
Certificate, with an updated Official Credit Ledger will also be sent to regulatory agencies showing the
proper documentation.
Please contact me at 919-209-1075 or [e-mail] if you have any questions.
Best,

Caitlan B. Parker
Resource Environmental Solutions, LLC
701 E. Bay Street, Suite 306
Charleston, SC 29403
Bank Sponsor – EBX-Neuse I, LLC and Environmental Banc & Exchange (EBX)

EBX Buffer Mitigation Banks
Statement of Availability April 16, 2021

NC Division of Water Resources
Paul Wojoski
512 N. Salisbury St.
Archdale Building, 9th floor
Raleigh, NC 27604

Re Project: Galahad Drive MOB

This document confirms that Atlas Stark Holdings, LLC (Applicant) for the Galahad Drive MOB
(Project) has expressed an interest to utilize 65,605.50 Square Feet of Riparian Buffer Mitigation
Credits from one of the following banks, EBX-Neuse I, LLC Neuse Riparian Buffer Umbrella Mitigation
Bank, RES Neuse Buffer and Nutrient Offset Umbrella Mitigation Bank, RES Poplar Creek Buffer &
Nutrient Offset Umbrella Mitigation Bank, or EBX Upper Neuse Riparian Buffer Umbrella Mitigation
Bank. Specific bank sites that may be debited are Buffalo Branch, Selma Mill, Cedar Grove, Hatley,
Ezell, Hannah Bridge, Stone Creek, Meadow Spring, Uzzle, Poplar Creek and Polecat, all located in HUC
03020201. As the official Bank Sponsor, EBX-Neuse I, LLC and EBX, attests to the fact that mitigation
is available for reservation at this time.
These mitigation credits are not considered secured, and consequently are eligible to be used for alternate
purposes by the Bank Sponsor, until payment in full is received from the Applicant resulting in the
issuance of a Mitigation Credit Transfer Certificate by the bank acknowledging that the Applicant has
fully secured credits from the bank and the Banker has accepted full responsibility for the mitigation
obligation requiring the credits/units.
The Banker will issue the Mitigation Credit Transfer Certificate within three (3) days of receipt of the
purchase price. Banker shall provide to Applicant a copy of the Mitigation Credit Transfer Certificate and
a documented copy of the debit of credits from the Bank Official Credit Ledger(s), indicating the permit
number and the resource type secured by the applicant. A copy of the Mitigation Credit Transfer
Certificate, with an updated Official Credit Ledger will also be sent to regulatory agencies showing the
proper documentation.
Please contact me at 919-209-1075 or [e-mail] if you have any questions.
Best,

Caitlan B. Parker
Resource Environmental Solutions, LLC
701 E. Bay Street, Suite 306
Charleston, SC 29403
Bank Sponsor – EBX-Neuse I, LLC and Environmental Banc & Exchange (EBX)
S&
EC
Soil & Environmental Consultants, PA
14.12 balls of Neusc Road, Suite 104, Raleigh tiC 27615 • Phone: [phone]. Fax: [phone]
andec.com
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description: WakeMed Project at Galahad Drive S&EC Project # 13980
Date: 2019
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn: Ross Sullivan USACE Regulatory Field Office: Raleigh
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do
authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) and Soil &
Environmental Consultants, PA (S&EC) staff (as my agent) to enter upon the property herein described
for the purpose of conducting on -site investigations and issuing a determination associated with Waters
of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of
the Rivers and Harbors Act of 1899. This document also authorizes S&EC (as my agent) to act on my
behalf and take all actions necessary for the processing, issuance and acceptance of a permit or
certification and any and all associated standard and special conditions. This notification supersedes any
previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S&EC staff. You should call S&EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Address: 291 1 & 2919 Galahad Dr. Raleigh, Wake County, NC
Deed: 014459/0154 Evaluation Area: +/- 2 acres
PIN No.: 1724106215 & 1724107410 Lat/Long: 35.783605/-78.591470
Watershed: Longview Branch, 27-33-21, "C:NSW". Neuse 03020201-0804
PROPERTY OWNER INFORMATION:
Name: Glen Summit Properties, LLC; Raymond Dewitt Kornegay
Address: 10600 Candler Falls Ct., Raleigh, NC 27614-9111
Phone No.: ( ) Fax No.: ( ) Mobile No.: 004 aaq
Email: d61.9kt 9 ragi:LA,- Cv zu f ek . cm+►,
W.I 1*Gvak- 5/6/2020
Property er (please rint) Date ,�
% Adam,- frcAr a. t �s y �e a � Pa,mokS K i rv►eJ J Property Owne tgnature
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.

DocuSign Envelope ID: C3E2484C-8412-4862-B9AE-C0825F3083DC
S&
EC
Soil & Environmental Consultants, PA
8412 Fall: of Neuse Road, Suite 104, Raleigh, NC 27615 . Plume: (9.49) 846-5900 • Fax: [phone]
sandec.com
PROPERTY OWNER CERTIFICATION /AGENT AUTHORIZATION
Project Name/Description: WakeMed Project at Galahad Drive S&EC Project #13980
Date: 2019
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn: Ross Sullivan USACE Regulatory Field Office: Raleigh
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do
authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) and Soil &
Environmental Consultants, PA (S&EC) staff (as my agent) to enter upon the property herein described
for the purpose of conducting on -site investigations and issuing a determination associated with Waters
of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of
the Rivers and Harbors Act of 1899. This document also authorizes S&EC (as my agent) to act on my
behalf and take all actions necessary for the processing, issuance and acceptance of a permit or
certification and any and all associated standard and special conditions. This notification supersedes any
previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S&EC staff. You should call S&EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Address: 100 LutherDr., Raleigh, Wake County, NC
Deed: 002478/00553 Evaluation Area: +/- 0.41 acres
PIN No.: 1724108414 Lat/Long: 35.783605/-78.591470
Watershed: Longview Branch. 27-33-21, "C:NSW", Neuse 03020201-0804
PROPERTY OWNER INFORMATION:
Name: D & K Corp; c/o Barbara Adams
Address: 414 Delaware Ave., Apt. 120, Norfolk, VA 23508-2850
Phone No.: ( ) Fax No.: ( )
GQu/h'
Email: gitt,,, rs�ai«. e e'r hmk,
#.4-
Property Ow er (please prim) Date
Mobile No.: (fa) Aa.q-
Property Owner Sature
�. [1 /l (01, forich;‘,
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.

NC Center for Geographic Information & Analysis
Project Number:
BZ
Project Manager:
1" = 1000'Scale:
08/23/2019Date:
Map Title:
Source:
Figure 1 - USGS Map
Wake Med
Galahad Drive,
Raleigh, NC
2016 NC Raleigh
East Quad
¯0 1,000 2,000
Feet
13980.W1

NC Center for Geographic Information & Analysis
Project Number:
BZ
Project Manager:
1" = 500'Scale:
08/23/2019Date:
Map Title:
Source:
Figure 2 - Soil Survey
Wake Med
Galahad Drive,
Raleigh, NC
Wake County Soil
Survey Sheets 59 & 60
¯0 500 1,000
Feet
13980.W1
Site Information
Total Combined Parcel Size: 2A1 AC
Zoning: OX-7-PL
(7-Floor Mixed -Use Office, Parking Limited)
Amenity Area Required:
10% of parcel 1 0, 500 SF
Tree Conservation Area (TCA):
10,500 SF minimum (if all parcels recombined)
0 5F (if no parcel greater than 2 acres)
Proposed Building:
24,000 SF Medical Office Building
Parking Required for MOB: 1/300 SF
80 Minimum, 120 Maximum (1. 0% of minimum
parking)
Must have a primary entrance face primary street 1
Galahad Drive
-PL limits surface parking to 2 bays with a single
drive aisle between the building and the street.
MOB CONCEPT
Parcel Area: 2A1 AC
Medical Office Building: 4,000 SF
Surface Parking: 120 (approximate)
Amenity Area: 10,500 SF
Passive Open Space -F Courtyard at main entry
GALAHAD DRIVE MOB CONCEPTS
ZONE 1 = 17,174 SF
ZONE =9389SF
TOTAL STREAM BUFFER = 26,563 SF
230 LF EWW TWO
PROPERTIES
.tosoftCorporation el 202'
STEWART
0 25 50
SCALE 1- = 50"
01 24 2020

Site Information
Total Combined Parcel Size: 2.41 AC
Zoning: OX-7-PL
(7 Floor Mixed -Use Office, Pcrking Limited)
Amenity Area Required:
10% of parcel 10,500 SF
Tree Conservation Area (TCA):
10,500 SF minimum (if all parcels recombined)
0 SF (if no parcel greater than 2 acres)
Proposed Building:
24,000 SF Medical Office Building
Parking Required for MOB: 1/300 SF
80 Minimum, 120 Maximum (15096 of minimum
parking)
Must have a primary entrance face primary street /
Galahad Drive
-PL limits surface parking to 2 bays with a single
drive aisle between the building and the street.
MOB CONCEPT
Parcel Area: 2A1 AC
Medical Office Building: 4,000 SF
Surface Parking: 120 (approximate}
Amenity Area: 10,500 SF
Passive Open Space + Courtyard at main entry
r
r
CP
I:uu i SF AME tr(AAEA
VARIAtilikHEIGHT
TAINIK WALL
rI.)FrTO?G"TALL 1
CONNECT TO
EXISTING TOR
NETWORK HERE
11.STOrrkr
rrr;!,
3,50CrS}. Ah'1ENIT Y. AREA
ZONE 1=1(,1?-4SF
ZONE 2 = Eon SF
TOTAL. STREAM BUFFER = 26,563 SF
Agfallr
P1 IT To
EXISTING STORM
NETWORK HERE
PROPERTIES
�oSOft Corporation o
a1Grribe C44FfliArtikn Airbusti5
GALAHAD DRIVE MOB CONCEPTS
STEWART
01 24 2020
0 25 50
SCALE 1' = 5er
TOC

MOB CONCEPT
Parcel Area: 2.41 AC
Medical Office Building: 24,000 SF
Surface Parking: 120 (approximate)
Amenity Area: 10,500 SF
Passive Open Space + Courtyard at main entry
7,000 SF AMENITY AREA
VARIABLE HEIGHT
RETAINING WALL
(UP TO 20’ TALL)
PRIMARY ENTRANCE
3,500 SF AMENITY AREA
2-STORY
FFE 254
GALAHAD DRIVEWE
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FFE 242
ADA
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Site Information
Total Combined Parcel Size: 2.41 AC
Zoning: OX-7-PL
(7-Floor Mixed-Use Office, Parking Limited)
Amenity Area Required:
10% of parcel / 10,500 SF
Tree Conservation Area (TCA):
10,500 SF minimum (if all parcels recombined)
0 SF (if no parcel greater than 2 acres)
Proposed Building:
24,000 SF Medical Office Building
Parking Required for MOB: 1/300 SF
80 Minimum, 120 Maximum (150% of minimum
parking)
Must have a primary entrance face primary street /
Galahad Drive
-PL limits surface parking to 2 bays with a single
drive aisle between the building and the street.
01 24 2020
GALAHAD DRIVE MOB CONCEPTS
ADA
ARKING
A
PARKING
CONNECT TO EXISTING STORM NETWORK HERE
CONNECT TO EXISTING STORM NETWORK HERE
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ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
Glen Summit Properties, LLC
C/O Raymond Dewitt Komegay
10600 Candler Falls Ct.
Raleigh, North Carolina 27614-9111 C&K Corp
C/O Barbara
Adams 414 Delaware Ave
Norfolk, Virginia 23508-
2850 NORTH CAROLINA Environmental
Quality September
24, 2019
Subject: Buffer Determination
Letter NBRRO #19-298
Wake County Determination
Type: Buffer
I Intermittent/
Perennial Neuse (15A NCAC
2B .0233) Tar -Pamlico (15A
NCAC 213 .0259) ® Intermittent/Perennial Determination (where local buffer ordinances apply) ElJordan (
15A NCAC
2B .0267) governmental and/or
interjurisdictional projects) Project Name
Address/
Location: Stream(
s) WakeMed
Project -Galahad
Drive 2911 & 2919 Galahad
Dr, Raleigh Un-named Tributaries
to Determination Date: 09/
24/2019 Branch Staff: Erin
Deck
Stream E/I/
P* Not Subject Subject Start@ Stop@ Soil USGS Survey To o
A P X
Culvert at Culvert at X Galahad Dr Luther
Rd B NP X
X E111P = Ephemeral/Intermittent/
Perennial 1) E=Ephemeral,
1=Intermittent, P=Perennial, NP=Not Present, NA=Not applicable 2) Refers to
riparian buffer rules only. Stream, wetland, or pond impacts may still be subject to applicable water quality standards and permitting requirements. Explanation:
The features(
s) listed above has been located on the most recent published NRCS Soil Survey of Wake County, North Carolina
and/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 to not be at least intermittent or is not present. Streams North Carolina Department
of Environmental Quality ! Division of Water Resources D EQ RaleighRegionalOffice13800BarrettDriveIRaleigh, North Carolina 27609 o°n°`°"°"'°ie""""°"°'°"°`
919.791.4200
WakeMed Project -Galahad Drive
Wake County
Page 2 of 2
Streams that are checked " Subject" have been located on the property and possess characteristics that qualify it to be
at least an intermittent stream. There may be other features located on the property that do not show up on the
maps referenced above but may be considered jurisdictional according to the US Army Corps of Engineers.
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 DWR may request a determination by the Director. An
appeal request must be made within sixty (60) days of date of this letter. A request for a determination by the
Director shall be referred to the Director in writing. If sending via US Postal Service: c/o Karen Higgins,
DWR — 401 & Buffer Permitting Unit, 1617 Mail Service Center, Raleigh, NC 27699-1617. If sending via
delivery service (UPS, FedEx, etc.): Karen Higgins; DWR — 401 & Buffer Permitting Unit, 512 N. Salisbury
Street, Raleigh, NC 27604.
This determination is final and binding unless, as detailed above, an appeal is requested within sixty (60)
days.
This project may require a Section 404/401 Permit for the proposed activity. Any inquiries should be
directed to the US Army Corp of Engineers (Raleigh Regulatory Field Office) at (919)-554-4884.
If you have questions regarding this determination, please feel free to contact Erin Deck at [phone], or by
email at [e-mail]
Sincerely,
4olich,OLG
Assistant Supervisor, Water Quality Regional Operations Center
cc: RRO DWR File Copy
Bob Zarzecki via email: [e-mail]
f
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Project Number:
13980.W1
Project Manager:
BZ
Scale:
1" = 1000'
Date:
08/23/2019
Map Title:
Figure 1 - USGS Map
Wake Med
Galahad Drive,
Raleigh, NC
Source: 2016 NC Raleigh
East Quad
N e- a_ t
tn
Z
Z
ifor Geographic yifa,r at{p 1
nalysi
0
1,000 2,000
! ! l ! t ! t 1
Feet
Sit
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Soil & Environmental Consultants, PA
M11 Felh n[\ems R d b]:le 104 Ralng,11 4C0115I0•Fr P10104,393O•Fa4 (919)A0-0.M
i.e.

NCHPO HPOWEB
Sources: Esri, HERE, Garmin, USGS, Intermap, INCREMENT P, NRCan,
Local districts & boundaries
Local individual resources & centerpoints
Local Landmark
Local Landmark, Gone
Local HD Center Point
Surveyed Only individual resources & centerpoints
Surveyed Only
Surveyed in NRHD
5/21/2020, 1:36:42 PM 0 0.25 0.50.13 mi
0 0.4 0.80.2 km
1:18,056
North Carolina State Historic Preservation Office
Town of Cary, Johnston County, State of North Carolina DOT, Esri, HERE, Garmin, INCREMENT P, NGA, USGS |
Disc la im er
iMap s m akes ev ery effor t to pro duce an d pub lish
th e m ost curren t a nd acc urate inform ation p ossib le.
However, th e m ap s are pr oduc ed for information pu rposes,
and are NOT surv eys. No warran ties, ex pressed or im p lied
,are pr ovided for the data therein, its use,o r its inter pretation.
0 50 10025 ft
1 inch = 50 feet±
7,000 SF AMENITY AREA
VARIABLE HEIGHT
RETAINING WALL
(UP TO 20’ TALL)
PRIMARY ENTRANCE
3,500 SF AM
2-STORY
FFE 254
GALAHAD DRIVEWE
S
T

C
AM
P
U
S

D
R
I
V
E
2-STORY
FFE 242
ADA
PARKING
ADA
ARKING
A
PARKING
CONNECT TO EXISTING STORM NETWORK HERE
CONNECT TO EXISTING STORM NETWORK HERE
U
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Roof Downspouts
to Sand Filter
Roof Downspouts
to Sand Filter
Catch Basin, Typ
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Typ
NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2.1
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5 -minute topographic
quadrangle, and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on th e same property,
identify and number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for
detailed descriptions and explanations of requested information. Record in the “Notes/Sketch” section if supplementary measurements were
performed. See the NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): Galahad Drive MOB (WakeMed) 2. Date of evaluation: May 20, 2020
3. Applicant/owner name:
Atlas Stark Holdings, LLC / * see AA
Forms 4. Assessor name/organization: B. Zarzecki / S&EC, PA
5. County: Wake 6. Nearest named water body
on USGS 7.5-minute quad:
Longview Branch (27-33-21;
C;NSW) 7. River basin: Neuse 03020201-0804
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.783605 / -78.591470
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): Stream "A" 10. Length of assessment reach evaluated (feet): 230
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 0.5 Unable to assess channel depth.
12. Channel width at top of bank (feet): 5 13. Is assessment reach a swamp steam? Yes No
14. Feature type: Perennial flow Intermittent flow Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: Mountains (M) Piedmont (P) Inner Coastal Plain (I) Outer Coastal Plain (O)
16. Estimated geomorphic
19 valley shape (skip for
Tidal Marsh Stream):
A B
(more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip Size 1 (< 0.1 mi2) Size 2 (0.1 to < 0.5 mi2) Size 3 (0.5 to < 5 mi2) Size 4 (≥ 5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? Yes No If Yes, check all that apply to the assessment area.
Section 10 water Classified Trout Waters Water Supply Watershed (I II III IV V)
Essential Fish Habitat Primary Nursery Area High Quality Waters/Outstanding Resource Waters
Publicly owned property NCDWR Riparian buffer rule in effect Nutrient Sensitive Waters
Anadromous fish 303(d) List CAMA Area of Environmental Concern (AEC)
Documented presence of a federal and/or state listed protected speci es within the assessment area.
List species:
Designated Critical Habitat (list species)
19. Are additional stream information/supplementary measurements included in “Notes/Sketch” section or attached? Yes No

1. Channel Water – assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
A Water throughout assessment reach.
B No flow, water in pools only.
C No water in assessment reach.
2. Evidence of Flow Restriction – assessment reach metric
A At least 10% of assessment reach in-stream habitat or riffle-pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates , debris jams,
beaver dams).
B Not A
3. Feature Pattern – assessment reach metric
A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
B Not A
4. Feature Longitudinal Profile – assessment reach metric
A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
B Not A
5. Signs of Active Instability – assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down-cutting (head-cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
A < 10% of channel unstable
B 10 to 25% of channel unstable
C > 25% of channel unstable

6. Streamside Area Interaction – streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
A A Little or no evidence of conditions that adversely affect reference interaction
B B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access , disruption of flood flows through streamside area,
leaky or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
C C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision,
disruption of flood flows through streamside area] or too much floodplain/intertidal zone access [examples:
impoundments, intensive mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a
man-made feature on an interstream divide
7. Water Quality Stressors – assessment reach/intertidal zone metric
Check all that apply.
A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
B Excessive sedimentation (burying of stream features or intertidal zone)
C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
D Odor (not including natural sulfide odors)
E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in “Notes/Sketch”
section.
F Livestock with access to stream or intertidal zone
G Excessive algae in stream or intertidal zone
H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
I Other: (explain in “Notes/Sketch” section)
J Little to no stressors
8. Recent Weather – watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
C No drought conditions
9. Large or Dangerous Stream – assessment reach metric
Yes No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In-stream Habitat Types – assessment reach metric
10a. Yes No Degraded in-stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in-stream hardening [for example, rip-rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
A Multiple aquatic macrophytes and aquatic mosses
(include liverworts, lichens, and algal mats)
B Multiple sticks and/or leaf packs and/or emergent
vegetation
C Multiple snags and logs (including lap trees)
D 5% undercut banks and/or root mats and/or roots
in banks extend to the normal wetted perimeter
E Little or no habitat
F 5% oysters or other natural hard bottoms
G Submerged aquatic vegetation
H Low-tide refugia (pools)
I Sand bottom
J 5% vertical bank along the marsh
K Little or no habitat

*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate – assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. Yes No Is assessment reach in a natural sand-bed stream? (skip for Coastal Plain streams)
11b. Bedform evaluated. Check the appropriate box(es).
A Riffle-run section (evaluate 11c)
B Pool-glide section (evaluate 11d)
C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c. In riffle sections, check all that occur below the normal wetted perimeter of the assessment reach – whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) =
absent, Rare (R) = present but < 10%, Common (C) = > 10-40%, Abundant (A) = > 40-70%, Predominant (P) = > 70%. Cumulative
percentages should not exceed 100% for each assessment reach.
NP R C A P
Bedrock/saprolite
Boulder (256 – 4096 mm)
Cobble (64 – 256 mm)
Gravel (2 – 64 mm)
Sand (.062 – 2 mm)
Silt/clay (< 0.062 mm)
Detritus
Artificial (rip-rap, concrete, etc.)
11d. Yes No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
Check for Tidal Marsh Streams Only
12. Aquatic Life – assessment reach metric (skip for Tidal Marsh Streams)
12a. Yes No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. No Water Other:
12b. Yes No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to “individuals” for Size 1 and 2 streams and “taxa” for Size 3 and 4 streams.
Adult frogs
Aquatic reptiles
Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
Beetles
Caddisfly larvae (T)
Asian clam (Corbicula)
Crustacean (isopod/amphipod/crayfish/shrimp)
Damselfly and dragonfly larvae
Dipterans
Mayfly larvae (E)
Megaloptera (alderfly, fishfly, dobsonfly larvae)
Midges/mosquito larvae
Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
Mussels/Clams (not Corbicula)
Other fish
Salamanders/tadpoles
Snails
Stonefly larvae (P)
Tipulid larvae
Worms/leeches
13. Streamside Area Ground Surface Condition – streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland
runoff.
LB RB
A A Little or no alteration to water storage capacity over a majority of the streamside area
B B Moderate alteration to water storage capacity over a majority of the streamside area
C C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil
compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage – streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
A A Majority of streamside area with depressions able to pond water ≥ 6 inches deep
B B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
C C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence – streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
Y Y Are wetlands present in the streamside area?
N N
16. Baseflow Contributors – assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
A Streams and/or springs (jurisdictional discharges)
B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
C Obstruction passing flow during low-flow periods within the assessment area (beaver dam, leaky dam, bottom -release dam, weir)
D Evidence of bank seepage or sweating (iron in water indicates seepage)
E Stream bed or bank soil reduced (dig through deposited sediment if present)
F None of the above
17. Baseflow Detractors – assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
C Urban stream (≥ 24% impervious surface for watershed)
D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
E Assessment reach relocated to valley edge
F None of the above
18. Shading – assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider “leaf-on” condition.
A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
B Degraded (example: scattered trees)
C Stream shading is gone or largely absent
19. Buffer Width – streamside area metric (skip for Tidal Marsh Streams)
Consider “vegetated buffer” and “wooded buffer” separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
A A A A ≥ 100 feet wide or extends to the edge of the watershed
B B B B From 50 to < 100 feet wide
C C C C From 30 to < 50 feet wide
D D D D From 10 to < 30 feet wide
E E E E < 10 feet wide or no trees
20. Buffer Structure – streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 (“Vegetated” Buffer Width).
LB RB
A A Mature forest
B B Non-mature woody vegetation or modified vegetation structure
C C Herbaceous vegetation with or without a strip of trees < 10 feet wide
D D Maintained shrubs
E E Little or no vegetation
21. Buffer Stressors – streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but
is within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22:
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
A A A A A A Row crops
B B B B B B Maintained turf
C C C C C C Pasture (no livestock)/commercial horticulture
D D D D D D Pasture (active livestock use)
22. Stem Density – streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 (“Wooded” Buffer Width).
LB RB
A A Medium to high stem density
B B Low stem density
C C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer – streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
A A The total length of buffer breaks is < 25 percent.
B B The total length of buffer breaks is between 25 and 50 percent.
C C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition – streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contribute s to
assessment reach habitat.
LB RB
A A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
B B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
C C Vegetation is severely disturbed in terms of species diversity or proport ions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single spec ies or no vegetation.
25. Conductivity – assessment reach metric (skip for all Coastal Plain streams)
25a. Yes No Was conductivity measurement recorded?
If No, select one of the following reasons. No Water Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
A < 46 B 46 to < 67 C 67 to < 79 D 79 to < 230 E ≥ 230

Notes/Sketch:

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1

Stream Site Name Galahad Drive MOB
(WakeMed) Date of Assessment May 20, 2020
Stream Category Pb1 Assessor Name/Organization B. Zarzecki / S&EC, PA

Notes of Field Assessment Form (Y/N) NO
Presence of regulatory considerations (Y/N) YES
Additional stream information/supplementary measurements included (Y/N) YES
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream) Perennial

Function Class Rating Summary
USACE/
All Streams
NCDWR
Intermittent
(1) Hydrology MEDIUM
(2) Baseflow MEDIUM
(2) Flood Flow MEDIUM
(3) Streamside Area Attenuation HIGH
(4) Floodplain Access HIGH
(4) Wooded Riparian Buffer HIGH
(4) Microtopography NA
(3) Stream Stability LOW
(4) Channel Stability MEDIUM
(4) Sediment Transport LOW
(4) Stream Geomorphology MEDIUM
(2) Stream/Intertidal Zone Interaction NA
(2) Longitudinal Tidal Flow NA
(2) Tidal Marsh Stream Stability NA
(3) Tidal Marsh Channel Stability NA
(3) Tidal Marsh Stream Geomorphology NA
(1) Water Quality LOW
(2) Baseflow MEDIUM
(2) Streamside Area Vegetation HIGH
(3) Upland Pollutant Filtration HIGH
(3) Thermoregulation HIGH
(2) Indicators of Stressors YES
(2) Aquatic Life Tolerance LOW
(2) Intertidal Zone Filtration NA
(1) Habitat MEDIUM
(2) In-stream Habitat LOW
(3) Baseflow MEDIUM
(3) Substrate MEDIUM
(3) Stream Stability MEDIUM
(3) In-stream Habitat LOW
(2) Stream-side Habitat HIGH
(3) Stream-side Habitat HIGH
(3) Thermoregulation HIGH
(2) Tidal Marsh In-stream Habitat NA
(3) Flow Restriction NA
(3) Tidal Marsh Stream Stability NA
(4) Tidal Marsh Channel Stability NA
(4) Tidal Marsh Stream Geomorphology NA
(3) Tidal Marsh In-stream Habitat NA
(2) Intertidal Zone NA
Overall MEDIUM

Disc la im er
iMap s m akes ev ery effor t to pro duce an d pub lish
th e m ost curren t a nd acc urate inform ation p ossib le.
However, th e m ap s are pr oduc ed for information pu rposes,
and are NOT surv eys. No warran ties, ex pressed or im p lied
,are pr ovided for the data therein, its use,o r its inter pretation.
Gala ha d Dr ive Stormwater iM APs
0 210 420105 ft
1 inch = 200 feet±
Wake Med Project - Galahad Drive - Stream PhotosS&EC 13980.W1 - Page 1
Wake Med Project - Galahad Drive - Stream PhotosS&EC 13980.W1 - Page 2
Wake Med Project - Galahad Drive - Stream PhotosS&EC 13980.W1 - Page 3
Wake Med Project - Galahad Drive - Stream PhotosS&EC 13980.W1 - Page 4
NORTH CAROLINA - WAKE COUNTY
The f regoing c:tifcate• of
Notar (y) (ies) (are) ertified to a correct. This instrument was
presented for regist.tion and recorded in this office.
This / day o �`-'�'�'7 19 % .� JC� lock,r. M.
of Deeds
at "c
R. B`.' McKenzie, Jr., Register
By K� �/ /' f GW(
Dipu4y Register o eeds
DUNCAN
INC.. RALRIaN •7111
MEMO.ri.44 No5 P1 T,4 c.,;)
A/o 4./. C. G,2/LJ .Y/0"vc/,,-7EX)"5 EEC/5T /"//T/// '
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PAGE t33
1
"I, this undersigned City Clark and Treasurer of the City of
Raleigh, do hereby certify that the City of Raleigh, as provided
by its City Code, on the 2 day of
Idr7 7 , approved this plat or reap and accepted the
deli ;one as shown thereon but on the further condition that
the r:ty gnulnes no responsibility to open or maintain the tanl•
until in thefiscretIon end opinion of the gov r(Ing body of the
City of Ralglgh it Is in the public interest t,or do ye.
/ , r aa..�/ L_
qlJ City Clerk end Treasurer" 5
w,r,( Cod/v Ty ,PEG4s -7 y
JOHN A. EDWARDS & COMPANY
Consulting Engineers
333 Wade Ave., Raleigh, N. C.
Phone [phone]
'OOK 1979 PAGE 687
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FLD. DK. & PAGE
/4V/41Z
FILE 140.:
�9 53-Z
DATE:
8- 8- 79
DRAWN RY:
7�. n"l a/✓A/
This certifies that the undersigned Is (are) the owner(s) of the
property shown on this map having acquired title thereto by deed(s)
recorded in the Office of the Register of Deeds of Wak• County,
North Carolina, or otherwise, as shown below and that by submis-
sion of this plat or map for approval I (we) do dedicate to the City
of Raleigh for public use all streets, easements, rights of way and
parks shown thereon for all lawful purposes to which the City may
devote or allow the same to be used and upon acceptonc• thereof in
accordance with all city policies, ordinances and regulations or
conditions of the City of Raleigh for the benefit of the public, said
dedication shall be irrevocable; provided, any dedication of •ase-
ments for storm drainage are not made to the City of Raleigh but
are irrevocably made to this subsequent owners of any and all
properties shown hereon for their use and benefit subject to condi-
tions of subsections (b) (c) (d) and (f) of Section 1 and Section 4
of the "City Storm Drainage Policy" (Resolution 1970-742 as this
same may be from time to time amended).
Book No. Page No. Signature(s) of Property Owner{s)
�- , zi
:,-
voAn .4. Ea/warci , certify
that this map was drawn (ly-owe) (under my supervision) from on
actual by --es.) (survey mad under my su 1 iqn) deed
description recorded in Book N" 4 , Page ^7.,
etc.: (other); that the error of closure as calculated by latitudes
and dapertures is 1/ ,O, 000 ; that the boundaries not
surveyed are shown as broken lines plotted from information
found in Book — Page — ; that this mop
was prepared in accordance with G.S. 7-30 as amended.
Witness my hand and seal this day of 44/ GUST ,
19 7 9
irt:o
SEAL
4.
L-1/39
.:
✓'." tic.®�:
NORTH CAROLINA
c./oy/,./ A' E o tA/AFc' O 5
Personally appeared before me
D,./A./4 L . E Q Y , who being
duly sworn, Agys that the certificate shown Is true and correct
this 8 day of.0 ' 7 19 7 9
My c ission•xpires It /
Notar Public
WAKE COUNTY
S14SET
OF

1
Bob Zarzecki
From:[e-mail]
Sent:Friday, April 16, 2021 8:40 AM
To:Bob Zarzecki
Cc:[e-mail]
Subject:Pre-Filing Time Clock has been reached for Galahad Drive - 20200624 Ver 3
Attachments:DWR Pre-Filing Meeting Request Form.pdf
The North Carolina Division of Water Resources has received the Pre-Filing Meeting Request Form for Galahad Drive
that you submitted on 3/17/2021. The ID number for that project is 20200624, Version 3.

Your Pre-Filing Meeting Request has now reached the 30 calendar days’ requirement and your application can now be
accepted.

When you submit your application please upload a copy of the attached document in this email.

This email was automatically generated by Laserfiche workflow. Please do not respond to this email address, as
responses are not monitored.

Internal Use only: Non Transportation
DWR Pre-Fil ing Meeting Req u est Form
ID#*Ve rsion *
Re gional Office *
Re v ie we r List *
Contact Name *
Contact Email Addre ss *
Proje ct Name *
Proje ct Owne r *
Proje ct County *
Owne r Addre ss:
Is this a transportation proje ct?*
Type (s) of approv al sought from the DWR:
Doe s this proje ct hav e an e xisting proje ct ID#?*
Ple ase list all e xisting proje ct ID's associate d with this proje cts.*
Do you know the name of the staff me mbe r you would like to re que st a me e ting with?
Ple ase giv e a brie f proje ct de scription be low and include location information.*
20200624 3
Central Office - [phone]
Rick Trone
Pre-Filing Me eting Reque st submitte d 3/16/2021
Robert Zarzecki, Sr.
[e-mail]
Galahad Drive
Atlas Stark Holdiings, LLC (attn: Robert S. Adams III)
Wake
City
Raleigh
State / Province / Region
NC
Postal / Zip Code
27603
Country
United States
Street Address
911 N. West Street, Suite 201
Address Line 2
Yes No
401 Water Quality Certification -
Regular
401 Water Quality Certification -
Express
Individual Permit Modification
Shoreline Stabilization
Yes No
DWR#2020-0624v2
Rick Trone
Please give a couple of dates you are available for a meeting.
Ple ase attach the docume ntation you would like to hav e the me e ting about.
Signature
Submittal Date
Rick - We really have no need to hold a pre-filing meeting unless you
would like one. We are simply requesting this previously approved
Certification (and NWP verification) to be reissued under the new
GC4263 and new NWP39 as the impacts are not anticipated to occur
prior to March 2022. There have been no changes to the proposed
project or plans. Stream impacts remain the same at 230 lf (+/- 0.03
acres), so we should be good to go under the new NWP39 & GC.
Please let me know as soon as I can submit. Thanks. - Bob Zarzecki
3/18/2021
3/22/2021
20200624v2GalahadDriveMOB(Wake)_401_G…697.04KB
SAW-2020-00922 - NWP 39 Verfication.pdf 830.75KB
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:

· This form completes the requirement of the Pre-Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
· I understand by signing this form that I cannot submit my application until 30 calendar days after this pre-filing
meeting request.
· I also understand that DWR is not required to respond or grant the meeting request.

Your project’s thirty-day clock started upon receipt of this application.  You will receive notification regarding meeting location
and time if a meeting is necessary.  You will receive notification when the thirty-day clock has expired, and you can submit an
application.
3/16/2021