20130201 Ver 1_401 Application_20130213

ot 1.9
� c
p
2013020 1
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the Corps:
❑ Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number. or General Permit (GP) number.
1c. Has the NWP or GP number been verified by the Corps?
❑ Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
❑ 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ® Riparian Buffer Authorization
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
It 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
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
mow.
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:
511 Rosengarten Aly
2b. County:
I
Wake
2c. Nearest municipality / town:
Raleigh
2d. Subdivision name:
Rosengarien Park
2e. NCDOT only, T.I.P. or state project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
Starcraft Builders
3b. Deed Book and Page No.
116, 57' Z
3c. Responsible Party (for LLC if
applicable):
Jason Brown
3d. Street address:
728 Piney Grove Wilbon Road
3e. City, state, rip:
Holly Springs, NC 27540
3f. Telephone no..
919 -369 -1228
3g. Fax no.:
3h. Email address:
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑ Other, specify:
4b. Name:
4c. Business name
if applicable):
4d. Street address:
4e. City, state, zip:
V. Telephone no.:
49. Fax no.:
4h. Email address:
5. AgenHConsultant Information (If applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no..
5f. Fax no.:
5g. Email address:
Page 2 of 10

B. Project Information and Prior Project History
1. Properly Identification C71 Rot A n / I� /✓G
1a. Property identification no. (tax PIN or paroel ID): 7F,0 3 Y6 Oo0
1b. Site coordinates (in decimal degrees):
I Latitude: 3S % X37
Longitude: - 7
1c. Property size: .jp?
. 07 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
V -}a
2b. Water Quality Classification of nearest receiving water.
2c. River basin: /yti.jA w-Z;1 cs;n
3. Project Description
3a. Describe the a 'sting conditions on the site and th general land u in the vicinity of the project at the time of this
application (�nGQ is V ait�! lo'� �e+ t (% i3 lSo u a coN �i
lie 4 � aH N�'
sif�� IS %i► .,� a4 t7-r✓ �a �y !'O a' a� 4n� Iics �c�n 7'��
s.
3b. List the total estimated acreage of all existing wetlands on the eperty: ,71V mew+ o Q
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d. Explain the purpose of the proposed project�
3e. Desai/ � the overall project in detail, including the pe of a /quipme It be used:
P
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the
❑ Yes ❑ No nknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
E] Preliminary Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency /Consultant Company:
Other.
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
[]Yes ❑ No grIbInknown
5b. If yes, explain in detail according to °help file° instructions.
6. Future Project Plans �,,� ,..; SI �•rcG
6a. Is this a phased project? ❑ Yes IA No
6b. If yes, explain.
Page 3 of 10
PCN Form - Version 1.4 January 2009
U

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ❑ Streams — tributaries IN 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.
Wetland impact
number
Permanent (P) or
Temporary
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 -
Choose one
Choose one
Yes/No
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
W4 -
Choose one
Choose one
YesJNo
W5 -
Choose one
Choose one
Yes/No
W6 -
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary m
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (IN'T)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
pinear
feet)
S1 -
Choose one
S2 -
Choose one
S3 -
Choose one
S4 -
Choose one
S5 -
Choose one
S6 -
Choose one
3h. Total stream and tributary
impacts
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

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.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
M. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction Proposed. the complete the chart below.
58.
Pond ID number
5b.
Proposed use or
pub of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
S. 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. you MUST fill out Section D of this form.
6a. Project is in which protected basin?
(Meuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet )
6g.
Zone 2
impact
(square
feet
81 �^�zli-
�' may/
Y sM
B2
Sp As
Y o
83 LM
134 -
Yes/No
85 -
YesMo
B6 -
Yes/No
6h. Total Buffer Impacts:
�7
61. Comments: D. jewol 4,4' , 4 4e
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. S Ily describe measures taken to avoid or minimize the im designing-project .
/loaf �3 2T �I,�N -Kri 677 75=1 �.� 17
pal I�7
1b. Specifically dew measures taken to avoid or minimize the proposed impacts through construction niques.
�M ;,t' �!ke iW.& j." p4c�3, �o..G�► uw le IeA aS ff t*ss, as 4 ewrre.,J�
G'orr7Zs 011'e-, r'SS
2. Com to ry Mitigation for Impacts to Waters of the U.S. or Waters of the Stan
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
proles
❑ Mitigation bank
13 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: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete N Making a Payment to In4leu Fee Program
4a. Approval letter from in4ieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
ayes
4f. Non - riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a PermI tee Responsible Mitigation Plan
5a. If using a perrnittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

S. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DM
6a. Will the project result in an impact within a protected riparian buffer that requires
Yes r No
buffer mitigation?
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.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
69. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10

E. Stomwater 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
L<es 0 No
within one of the NC Riparian Protection Rules?
�Buffer
1 b.. If yes, then is a diffuse flow ))an included? o, explain
porz�. lv��� orJ i Y-�e
Yes
�"
0
2. Stormwoter Management Plan
2a. What is the overall percent imperviousness of this project?
%
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:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. in which local governmenfs jurisdiction is this project?
❑ Phase II
3b. Which of the following locally- implemented storrnwater management programs
❑ NSW
USMP
apply (check all that apply):
Water Supply Watershed
Other:
3c. Has approved Stormwater Management Plan with proof of approval been
Oyes ❑ No
attached?
4. DWQ Stormwater Pro ram Review
OCoastal counties
❑HQW
4a. Which of the following state- implemented stormwater management programs apply
ORW
(check all that apply):
HSesslon Law 2006 -246
[]Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
S. 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 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWG Requirement)
la. Does the project involve an expenditure of public (federaUstate/local) funds or the
❑Yes [I No
use of public (federallstate) land?
1b. 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)?
1c. If you answered °yes° to the above, has the document review been finalized by the
State tearing House? (If so, attach a copy of the NEPA or SEPA final approval
Yes No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
/'
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑Yes _ o
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after- the -fact permit application?
Oyes M1401,
2c. If you answered "yes' to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
[]Yes No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes° to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (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.
Page 9 of 10
PCN Form — Version 1.4 January 2009

6. 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 ❑ No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts?
❑Yes No
❑
5c. If yes, indicate the USFWS field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
Be. 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?
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 (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
❑Yes ❑ No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
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?
Sin �c✓/1
Applicant/Agents Printed Name
plicant/Agenrs Signature
Agenrs signature is valid only if an authorization
letter from the applicant Is provided.)
4m113
Date
Page 10 of 10

NOBS
AM BY COOROMES.
P sESENI ZONNG — R-20
TNIS LOT IS NOT LOWED IN A FEMA
MAPPED FLOOD WIZARD AREA FEMA MAP
/ 3720170300J; ZONIE X: EFF. DATE 5/2/08.
E
50' NEUSE RNER
RIPARIAN BUFFEJt
NEUSE RIVER BUFFER 0 1
NEUSE RIVER BUFFER f 2
IMPERVIOUS CALCULATIONS
S3"C
PROPOSED PLOT PLAN FOR:
HOUSE /PORCH - 881 SF
S
STARCRAFT BUILDERS
DRNE/WALK - 162 SF
18.95'
511 ROSENGARTEN ALLEY. ,RALEIGH. NC
TOTAL PROPOSED — 1.043 SF
33X PROPOSED IMPERVIOUS
g
LOT 14 ALEX ROSENGARTEN PROP.
p
BOOK OF MAPS 1918 PAGE 50
CffY OF
g
DEED BK. 14635 PAGE 829
R-20 SERMM
PIN # 1703462794
FRONT - W
CITY OF RALEIGH — WAKE COUNTY
REAR - 20'
NORTH CAROLINA
IE - IW
SCALE : 1" = 30' — FEBRUARY 6. 2013
CORNER SLOE
N0
15 30 so
FENCE /
s � , uN
A Iry
ti 14 �X J
PROPOSED ,yam ��' MIS
?
HOUSE h�. ->ly ' O
JOHN CHAPPELL et Al
PROPOSED
oRNE
7PORSCH
3.150 SQ
y
Els
1 G BLOCK RET. WALL
H 4� 4S•
— 42.57'
w N 8S
HENTON DEWAR & ASSOCIATES
PROFESSIONAL IAND SURVEYOR
5920 HONEYCUTT ROAD
HOLLY SPRINGS, NC 27540
(919) -552 -9818
X ' L -3040 ; X
D.B. 13725 PG. 2270 '
/ �...::
"N •w.
40 20iN ElP N &T40'20 -W ,
� 1 �
/o
b
w
�1L � ALLEY � 113.55' 0 setback H
12 -175s
ROSENG \12 \600
S3"C
79 94 •
S
THAT THE BOUNDARIES NOi SURVEYED ARE SHOWN AS BROKEN LINES
PLATTED INFORMATKIN HOUND IN BOOK MAP 1918
PACE THAT TILLS PLAT DOES NOT MEET SIZE REQUIREMENTS
FOR RECOWW IN 7HE REGISTER OF OEEDS. PER Q.S. 47 -30 AS AMMENDED.
LICENCE NUMBER AND SECA�L� THIS 28 DAY OF FEBRUARY 20_L3
S 21'23'55 W 17
18.95'
JOHN CHAPPELL at al
D.B. 14696 PG. 2149
40 20iN ElP N &T40'20 -W ,
� 1 �
/o
b
w
�1L � ALLEY � 113.55' 0 setback H
12 -175s
ROSENG \12 \600
THIS PLAT IS OF A BOUNDARY SURVEY OF AN EXISTING
PARCEL OF LAND THAT IS REGULATED BY A COUNTY OR
MUNICIPALITY ORDINANCE THAT REGULATES PARCELS OF LAND.
L BENTON W. DEWAR CERTIFY THAT THIS PLAT WAS DRAWN UNDER
MY SUPERVISION FROM AN ACTUAL SURVEY MADE UNDER MY
SUPERVISION; THAT THE RATIO OF PRECIMN IS 1 IMOOD+
0 /
/
THAT THE BOUNDARIES NOi SURVEYED ARE SHOWN AS BROKEN LINES
PLATTED INFORMATKIN HOUND IN BOOK MAP 1918
PACE THAT TILLS PLAT DOES NOT MEET SIZE REQUIREMENTS
FOR RECOWW IN 7HE REGISTER OF OEEDS. PER Q.S. 47 -30 AS AMMENDED.
LICENCE NUMBER AND SECA�L� THIS 28 DAY OF FEBRUARY 20_L3
PROFESBONAL LAND SURVEYOR L -3040
THIS PLAT IS OF A BOUNDARY SURVEY OF AN EXISTING
PARCEL OF LAND THAT IS REGULATED BY A COUNTY OR
MUNICIPALITY ORDINANCE THAT REGULATES PARCELS OF LAND.

0
4.
wlv,
_ -A! i
in

rt
r
ceB2
AA
�° ; !V JEW
WAKE COUNTY, NORTH CAROL
A il k
ti
co
a
_
to
in
Fa-
min
1
H
�
N
C
O
rt
r
ceB2
AA
�° ; !V JEW
WAKE COUNTY, NORTH CAROL
A il k
Fa-
i4�rfll
-

- -- - ®®
City of Raleigh and Wake County WAPS Windorw� Internet Explorer
rP�,- p:.rdeiglnc.gov r c .frtnl v� st '�IX a � „gl.;
He Edit V.... Favorites Tools Help -- X
�,'r F —lit. { `P SAP eusinessObjects lnfoV� it. L -1 Fr a Hohnd C Log In �, 14C SFI SIC C. -*tee NC5F1
City of Raleigh and Make County MAPS
LF
� • Page - Safety • Tod, • � - ��
About Feedback Links Data Download Settinas Halo
a Jj c
W Harwell 51 3
MObor,
�rStr rd N N w'Mar
wDa— st
ibarrus st ■ Wbarrus 5t
� W len °
5 w South st
W South 5t
D°rocheaD,
West n
Lmh °o yQ, etvd Ma11t"Ldt
K'nc I, oh
Search By j PIN
1703462794
Field
Value
PIN
1703462794000
Real Estate ID
0019797
Map Name
170310
Owner
STARCRAFT BUILDERS INC
Mailing Address
728 PINEY GROVE WILSON RD
1
Mailing Address
HOLLY SPRINGS NC 27540 -8102
2
Deetl Book
15116
Deetl Page
1768
Deed Date
01125!2013
Deeded
0 07
Acreage
Assessed
$o
Building Value
Assessed Land
$12,800
Value
Total Assessed
$12,800
Value
Billing Class
CORPORATE LISTING
Property
L014 ALEX ROSENOARTEN
Descriptlon I PROP BM1918 -50
Heatetl Area 0