20001218 Ver 2_401 Application_20130524

P PABST & HILBURN, PA
H ENGINEERING & CONSULTING
LETTER OF TRANSMITTAL
To: NCDENR
Division of Water Quality
3800 Barrett Dr
Rafeiah, NC 27609
Re: Lake II at Breckenridge
PCN and 401 Permit Submittal
I am sending you the following Rem(s):
00 - I a I B ua-
911 Paverstone Drive, Ste. E
Raleigh, NC 27615
Office: 919.848.4399
Fax: [phone]
Date: 05/22113
� ID
.lob No,: 228-13
COPIES
DATE
NO.
DESCRIPTION
5
04/29/13
1
Plan Sets (2 each 24°)W and 3 each 11 °x17'
5
05/15/13
2
Copies of signed PCN Form and Agent Authorizations
1
3
Application Fee of $240.00
1
4
USGS Topo Map with site delineated
1
5
NRCS Soils Map with site delineated
hAAV
i
LWj8:a"U-WA-
ITY
These are transmitted as checked below.
❑ As requested ❑ For your use
❑ For approval
❑ For Signatures
® For review and comment ® For Submittal
Remarks:
Please find the above referenced items for submittal. Do not hesitate to call if you have any
questions or need additional information. Thank you.
Copy to: File Signed: _ �c
Patty E. Hilburn, PLS

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Office use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A. Applicant Information r
1. Processing
1 a. Type(s) of approval sought from the Corps:
® Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number.
1c. Has the NWP or GP number been verified by the Corps?
TO Yes ® No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ® No
1f. Is payment into a mitigation bank or in4leu 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 1 h
below.
❑Yes ®No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ® No
2. Project Information
2a. Name of project:
Lake 11 at Breckenridge
2b. County:
Wake
2c. Nearest municipality / town:
Morrisville
2d. Subdivision name:
Breckenridge
2e. NCDOT only, T.I.P. or state project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
Lake at Breckenridge Townhome Assoc. & Lake II at Breckenridge Townhome Assoc.
3b. Deed Book and Page No.
Deed Book 11165 Page 0148
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
1225 Crescent Green Ste 250
3e. City, state, zip:
Cary NC 27518
3f. Telephone no.:
(919) 863 -0818
3g. Fax no.:
(919) 828 -9240
3h. Email address:
I VirginiaDavis @yorkproperties.com
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:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
Patty Hilburn
5b. Business name
(if applicable).
Pabst & Hilburn, PA
5c. Street address:
911 Paverstone Dr Ste E
5d. City, state, zip:
Raleigh, NC
5e. Telephone no.:
(919)848 -4399
5f. Fax no.:
(919)848 -4395
5g. Email address:
[e-mail]
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
0736708995 & 0736812112
1b. Site coordinates (in decimal degrees):
Latitude: 35.840221 Longitude: - 78.871568
1c. Property size:
6.36 - acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Kit Creek Tributary 2 (Basin 29, Stream 8)
2b. Water Quality Classification of nearest receiving water:
WS -V; NSW (Kit Creek)
2c. River basin:
Cape Fear
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The property in which the lake is located is the dedicated open space for the surrounding residential neighborhood. Sediment has accumulated at one
of the upstream ends (near Gray Marble Road) of the lake and overtime, wetlands developed along the lake fringe.
3b. List the total estimated acreage of all existing wetlands on the property: 0.024
3c. List the total estimated linear feet of all existing streams (intermittent and perenniaQ on the property: 0
3d. Explain the purpose of the proposed project:
To remove accumulated sediment from the lake bottom within an approximate area of 4,040 SF, which Includes 650 SF (0.015 AC) of wetlands.
3e. Describe the overall project in detail, including the type of equipment to be used:
See Exhibit'N for project description
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
ro'ect (including all riot phases) in the past?
❑ Yes ❑ No © Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
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.
S. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ❑ No © Unknown
5b. If yes, explain in detail according to "help file° instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ® No
6b. If yes, explain.
Page 3 of 10
PION Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑X Wetlands ❑ Streams — tributaries ❑ Buffers ® Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary T
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 P
Excavation
Unknown
No
Corps
0.015
W2 T
See Comment Below
Unknown
No
Corps
0.009
W3 -
Choose one
Choose one
Yes/No
W4 -
Choose one
Choose one
Yes/No
W5 -
Choose one
Choose one
Yes/No
W6 -
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
0.024
2h. Comments:
W2 will be temporarily impacted for possible access to the lake and for the removal of invasive vegetation.
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 (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
3g.
Impact
length
(linear
AMA fe
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.
4b.
4c.,
4d.
4e.
Open water
Name of waterbody
impact number
(if applicable)
Type of impact
Waterbody
Area of impact (acres)
Permanent (P) or
type
Temporary
01 T
Lake II at Breckenridge
Fill
Lake
0.08
02
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f. Total open water Impacts
0.08
4g. Comments: Sediment will be excavated and then temporarily stockpiled (fill) within lake bottom until hauled off -site.
S. Pond or Lake Construction
If Pond or lake construction proposed, the complete the chart below.
5a.
5b.
5c.
5d.
50,
Pond ID number
Proposed use or
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
purpose of pond
(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:
6. Buffer Impacts (for DWO)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any Impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar - Pamlico ❑ Catawba []Randleman ❑ other:
6b.
6c.
6d.
6e.
6f.
6g.
Buffer Impact
Reason for impact
Stream name
Buffer
Zone 1
Zone 2
number —
mitigation
impact
impact
Permanent (P) or
required?
(square
(square
Temporary
feet )
feet
61
Yes/No
B2
Yes/No
63
Yes/No
64
Yes/No
B5
Yes/No
Be
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
rage 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Engineer met with contractor on -site to discuss alternate routes to access the lake bottom in hopes of avoiding the wetland areas and avoid the
temporary stockpiling of excavated material within the lake bottom. Access will not be accomplished without impacting existing wetlands due to steep
side slopes outside of the wetland areas. A portion of the wetlands will remain without being impacted except for the removal of invasive vegetation.
1 b. Specifically describe measures taken to avoid or minimize the proposed Impacts through construction techniques.
Contractor will install a stoned construction entrance to the project area to minimize sediment from entering into the lake. All side slopes and denuded
areas will be stabdizedtvegetated after construction is complete. Contractor will not use heavy equipment, if possible, for the removal of invasive
vegetation.
2. CompensatorV Mitigation for Impacts to Waters of the U.S, or Waters of the State
2a. Does the project require Compensatory Mitigation for
Impacts to Waters of the U.S. or Waters of the State?
❑ Yes © No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non - riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide;; description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

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

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes © No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
0%
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
The proposed work only consists of sediment removal and general maintenance of a small section of the lake. This project is not a new development
containing impervious areas.
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?
WA
3. Certified Local Government Stormwater Review
3a. In which local governments jurisdiction is this project?
Town of Morrisville
® Phase II
3b. Which of the following locally- implemented stormwater management programs
❑ NSW
apply (check all that apply):
❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4. DWG Stormwater Program Review
❑Coastal counties
❑HOW
4a. Which of the following state - implemented stormwater management programs apply
❑ORW
(check all that apply):
[]Session Law 2006 -246
❑Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
S. DWO 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

a
F. Supplementary Information
1. Environmental Documentation (DWO Requirement)
la. Does the project involve an expenditure of public (federaUstate/local) funds or the
Yes
No
use of public (federal /state) 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 Clearing House? (if so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes
❑ No
Comments:
2. Violations (DWO Requirement)
2a. Is the site in violation of DWO Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWO Surface Water or Wetland Standards,
❑Yes
❑X No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fact permit application?
❑ Yes
©No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWO Requirement)
3a. Will this project (based on past and reasonably anticipated future Impacts) result in
El 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
the impact is temporary.
4. Sewage Disposal (DWO Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Page 9 of 10
PCN Form —Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑Yes ®No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
® Yes ❑ No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
USFWS Critical Habitat Mapper does not show any critical habitats near the project. In addition, we have requested (on 5/3/13) an impact statement
from the Raleigh FWS Field Office and are awaiting a reply.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes © No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
The NOAA Habitat Conservation Essential Fish Habitat Mapper does not show any essential fish habitats in or near the project In addition, we have
requested (on5/3/13) an impact statement from the Raleigh FWS Field Office and are awaiting a reply.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
Yes ©No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
The North Carolina State Historic Preservation does not list any historic resources near the project.
i
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur In a FEMA - designated 100 -year floodplain?
❑ Yes Q No
8b. If yes, explain how project meets FEMA requirements; `
8c. What source(s) did you use to make the floodplain determination?
FEMA FIRM PANEL #3720073600J
PATTY HILBURN, PLS
•.
5-15-/3
Applicant/Agent's Printed Name
icant/Agent's Signature
Date
(Agents signature Is valid only If an authorization
letter from the applicant is provided.)
Page 10 of 10

EXHIBIT `A'
3. Project Description
3e. This project consist mainly of removing accumulated sediment within the lake bottom and around
the lake fringe (wetlands). Other maintenance activities will include repairing an existing storm drainage
pipe, re- establishing the dissipater pad, repairing ruts and gullies along the side slopes outside of the
lake area, and removing invasive vegetation. Excavated material will be temporarily stockpiled with the
lake bottom until hauled off -site. The contractor will provide a construction entrance from Gray Marble
Road to the project area. The lake will be temporarily drained down until the project area is workable.
A Volvo 210 Backhoe Excavator will be utilized for the excavation of the sediment and a doser and skid -
steer for work upland of the lake. Once construction is completed, contractor will remove the
construction entrance and re- vegetate /stabilize all denuded areas upstream of the lake and within the
project area.
k
i

0 ,,
PROPERTY LEGAL DESCRIP'RON:
r
AGENT AUTHORIZATION FORM
0736708995
LOT NO. PLAN NO. ! PARCEL ID: n 7!1 6 81 9 11.?
STREET ADDRESS: NEAR INTERSECTION OF SPENCER MILL RD AND GRAY MARBLE RD
MORRISVILLE NC 27560
Please print:
Property Owner: THE LAKE AT BRECKENRIDGE TOWNHOME ASSOCIATION
Property Owner: THE LAKE II AT BRECKENRIDGE TOWNHOME ASSOCIATION
The undersigned, registered property owners of the above noted property, do hereby authorize
PATTY HILBURN, PLS of PABST & HILBURN, PA
(Contractor / Agent) (Name of consulting firm)
tD act on my behalf and take all actions necessary far the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
1225 CRESCENT GREEN STE 250 CARY C 27518 -8119
Telephone:
We hereby certify the above information submitted in this application is true and accurate to the
best of our VaMedge. t'
— A� IA"'A!
Authorized &re
Date:
a
Auth odzed Signature
Date:
t
2 2 2013

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
0736708995
LOT NO. PLAN NO. PARCEL ID: f 3 6 R 1 2112
STREET ADDRESS: bTEAR INTRRGECTi OF SPEN _ER MT ,L un ANa GRAN MARBLE RD
MORRISVILLE NC 27560
Please print:
Property Owner: THE LAKE AT BRECKENRIDGE TOWNHOME ASSOCIATION
Property Owner: THE LAKE II AT BRECKENRIDGE TOWNHOME ASSOCIATION
The undersigned, registered property owners of the above noted property, do hereby authorize
PATTY HILBURN PLS of PABST & HILBURN, PA
(Contractor / Agent) (Name of consulting flrrn)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone:
We hereby certify the above information submitted.Jn this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date:

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Produced by the United States Geological Survey
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World Geodetic System of 1984 (WGS84). Projection and
1 000 -meter grid: Universal Transverse Mercator, Zone 17S
10 000 -foot ticks: North Carolina Coordinate System of 1983
Imagery..... ...........
— ................................. ...NAIP, July 2008
Roads ........ ..........
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Names .............. ..............................
...................GNIS, 2008
Hydrography .................National
Hydrography Dataset, 2008
Contours ..... .......................National
Elevation Dataset, 2008
13
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100,000 -m Square ID
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CONTOUR INTERVAL 10 FEET
NORTH AMERICAN VERTICAL DATUM OF 1988
This map was produced to conform with version 0.5.10 of the
draft USGS Standards for 7.5- Minute Quadrangle Maps.
A metadata file associated with this product is draft version 0.5.11
O H CAROrIINA
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ADJOINING 7.5' QUADRANGLES
ROAD CLASSIFICATION
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2010
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