20131081 Ver 1_401 Application_20131013

ECS CAROLINAS, LLP
"Setting the Standard for Service"
Geotechnical • Construction Materials • Environmental • Facilities
Ms. Karen Higgins
NC DWR, 401/Wetlands Unit
512 North Salisbury Street, Archdale Building — 9T" Floor
Raleigh, North Carolina 27604
Subject: Pre - Construction Notification Application
Request for 401 Water Quality Certification
Silas Pointe MOB
Winston Salem, Forsyth County, North Carolina
ECS Project 09 -21778
Dear Ms. Higgins:
NC Registered Engineering Firm F -1078
October 7, 2013
Please find five copies of the Pre - Construction Notification Application for the above referenced
project. The site consists of wooded land and paved areas. Structures are not located on the
site. Proposed development at the site includes the construction of an approximate 80,000
square feet medical office building (MOB) and associated parking /landscaped areas. Road
access will be provided by the extension of Healy Drive, which is currently located near the
northwestern site boundary.
On behalf of the Broyhill Silas Pointe, LLC, I am requesting that a 401 Water Quality
Certification be issued to authorize the permanent impact (culvert) to 156 linear feet of stream
channel. Wetlands will not be impacted by the proposed project. Based on the proposed
impacts being greater then 150 linear feet of stream channel, mitigation at a 1:1 ratio is being
proposed.
The associated 401 Water Quality Certification Fee is included as an attachment. Please feel
free to contact me at (336) 856 -7150 if you have any questions concerning this request or if
additional information is required. Thank you in advance for your timely consideration of this
matter.
Sincerely,
ECS Carolinas, LLP
Bradley S. Luckey
Environmental Project Manager
uEn�F... ✓'rare UA1 I
IT' / /
ichael T. Brame, PWS
Environmental Principal
Attachment: Pre - Construction Notification Application
401 Water Quality Certification Fee - $570.00
4811 Koger Blvd., Greensboro, NC 27407 • T 336- 856 -7150 • F: 336- 856 -7160 • mm.ecslimited.com
ECS Capitol Services, PLLC • ECS Carolinas, LLP • ECS Central, PLLC • ECS Florida, LLC - ECS Mid - Atlantic, LLC • ECS Midwest, LLC • ECS Southeast, LLC • ECS Texas, LLP

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Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 12
PCN Form —Version 1.3 December 10, 2008 Version
Pre - Construction Notification PCB Form
A. Applicant Information
1.
Processing
r.
1 a.
Type(s) of approval sought from the
Corps:
® Section 404 Permit ❑ Section 10 Permit
- ---- -_
1 b. Specify Nationwide Permit (NWP) number: NWP 39 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
0 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 DWO 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f.
!s payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
® Yes
❑ No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
-
2a.
Name of project:
Silas Pointe MOB
2b.
County:
Forsyth
2c.
Nearest municipality / town:
Winston Salem
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Broyhill Silas Pointe, LLC
3b.
Deed Book and Page No.
Book 3062, Page 1975 and Book 3086, Page 3546
3c.
Responsible Party (for LLC if
applicable):
Chartles Campbell
3d.
Street address:
2701 Coltsgate Road - Suite 300
3e.
City, state, zip:
Charlotte, NC 28211
3f.
Telephone no.:
704 - 971 -4894
3g.
Fax no.:
3h.
Email address:
charles @brackettflagship.com
Page 1 of 12
PCN Form —Version 1.3 December 10, 2008 Version

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
Bradley S Luckey
5b
Business name
(if applicable)
ECS Carolinas, LLP
5c
Street address
4811 Koger Boulevard
5d
City, state, zip
Greensboro, NC 27407
5e
Telephone no
(336) 856 -7150
5f
Fax no
(336) 856 -7160
5g
Email address
bluckey @ecslimited com
Page 2of12
PCN Form — Version 1 3 December 10, 2008 Version

B. Project Information and Prior Project History
1 Property Identification
1a Property identification no (tax PIN or parcel ID)
6814 -58 -5887 00 and 6814 -58 -8730 00
Latitude 36 0754407 Longitude -
1 b Site coordinates (in decimal degrees)
80 302764
(DD DDDDDD) ( -DD DDDDDD)
1c Property size
4 81 acres
2. Surface Waters
2a Name of nearest body of water (stream, river, etc ) to
Little Creek
proposed project
2b Water Quality Classification of nearest receiving water
Class C
2c River basin
Yadkin
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 site contains wooded land and paved areas The site is located in a commercial area of Winston Salem Medical
buildings, a hospital and various other commercial /retail facilities are located in the vicinity of the site
3b List the total estmated acreage of all existing wetlands on the property
0 Acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
156 Feet
3d Explain the purpose of the proposed project
The purpose of the proposed project is to develop the site wth an approximate 80,000 square feet medical office building
(MOB) and associated parking /landscaped areas Road access will be provided by the extension of Healy Drive, which is
currently located near the northwestern site boundary
3e Describe the overall project in detail, including the type of equipment to be used
The overall project consists of developing the site with an approximate 80,000 square feet MOB and associated
parking/landscaped areas The 80,000 square feet MOB is proposed to be four stones with 20,000 square feet of space
per floor In order to provide access to MOB, Healy Drive must be extended from the northwestern site boundary to Silas
Creek Parkway To facilitate the extension of Healy Drive and site development, the crossing location must be cleared
and graded As part of the grading and to provide access to the proposed MOB, 156 linear feet of stream channel will be
piped with 36" RCP and tied into existing culverts located up and down gradient of the stream Graders, haulers,
excavators and cranes will be used during the grading and construction activities on the site
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes ❑ No ❑Unknown
project (including all prior phases) in the pasty
Comments Sue Homewood
4b If the Corps made the jurisdictional determination, what type
❑ preliminary ❑ Final
of determination was made?
4c If yes, who delineated the jurisdictional areas?
Agency /Consultant Company
Name (if known)
Other
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
DWQ Site Visit = August 30, 2013
Page 3 of 12
PCN Form — Version 1 3 December 10, 2008 Version

5
Project History
5a
Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b
If yes, explain in detail according to "help file" instructions
6.
Future Project Plans
6a
Is this a phased project?
❑Yes No
6b
If yes, explain
The stream located up and down - gradient of the proposed stream impacts were previously piped with 36" RCP in the late
1960's /early 1970s Additional phases, resulting in future impacts to streams or wetlands are not anticipated or proposed
at this time
Page 4 of 12
PCN Form —Version 1 3 December 10, 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your project (check all that apply)
❑ Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2 Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted
2a
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
2h Comments Wetland impacts are not proposed
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ❑ T
Culvert
Unnamed
® PER
❑ INT
® Corps
❑ DWQ
4
156
S2 []PMT
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ PMT
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
156
31 Comments 156 linear feet of perennial stream channel will be permanantly impacted by installation of a culvert Mitigation
will be required due to the impacts being greater then 150 linear feet of stream channel
Page 5 of 12
PCN Form — Version 1 3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U S then individually list all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f. Total open water impacts
4g Comments No open water impacts are proposed
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
511 Total
5g Comments No constructed ponds are proposed
5h Is a dam high hazard permit required?
❑ Yes No If yes, permit ID no
51 Expected pond surface area (acres)
51 Size of pond watershed (acres)
5k Method of construction
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below If yes, then individually list all buffer impacts
below If any impacts require mitigation, then you MUST fill out Section D of this form
6a
❑ Neuse El Tar-Pamlico ❑Other
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary
impact
required?
131 ❑P ❑T
❑Yes
❑ No
132 []PMT
❑Yes
❑ No
63 ❑P ❑T
❑Yes
❑ No
6h Total buffer impacts
61 Comments No regulated buffer impacts are being proposed
Page 6 of 12
PCN Form — Version 1 3 December 10, 2008 Version

D Impact Justification and Mitigation
1. Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The proposed stream impacts are occurring on a reach of stream that up and downgradient portions of the stream have
previously been piped Approximately 1,000 linear feet of stream channel were previously piped up- gradient of the proposed
stream impacts and approximately 1,600 linear feet of stream channel were previously piped down - gradient of the proposed
stream impacts Due to the amount of stream that has been previously impacted up and down - gradient of the proposed
stream impacts, there is minmal aquatic habitat in the proposed impact area It is not functioning as a habitat corridor for
aquatic life Aquatic life has not been observed in the area of stream that is proposed to be impacted
Furthermore, when comparing green field site development versus the proposed use of the exisiting site, there would likely be
far greater impacts to streams and wetlands than those proposed in this application The applicant will be using a site which
the majority is currently developed Additionally, potential impacts associated with the development of a green field site with a
proposed MOB would likely result in impacts to higher quality features and result in greater loss and impact to aquatic species
and their habitat
The extension of Healy Drive has been designed to traverse as near to the northeastern site boundary as possible In doing
so, saftey concerns with bisection of parking areas and the MOB have been eliminated Furthermore, the extension of Healy
Drive will result in less traffic congestion than the use of the existing road infrastructure, especially the heavily congested Silas
Creek Parkway
The proposed grade increase of the Healy Drive extension is approximately 20 feet Based on the proposed increase in
grade, the use of retaining walls to avoid additional stream impacts is not economically feasible Additionally, the use of
retaining walls to leave a portion of the stream open will have potential safety concerns for vehicular and pedestrain traffic
traveling to and from the MOB, thus increasing the liability for injury for the property owner /developer It will be a maintenance
issue as it will create an area that could clog up and flood parking areas and nearby structures The potential to create an
unstable situation as the stream erodes down overtime and undermines the retaining wall is likely Furthermore, the use of
retaining walls could provide a pathway for sediments and other contaiminants that could negatively effect down - gradient
water bodies It is not a feasible option to leave a small open area down - gradient of Healy Road
Based upon the developer /owners experience in management and operation of similair existing facilues, the number of
parking spaces for the proposed MOB has been calculated to exceed local requirements The parking requirements of the
proposed MOB have been designed to properly accommodate the anticiapted number of patients and employees However,
the proposed grade in the vicinity of the stream is dictating the proposed stream impacts, not the proposed parking spaces
1b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
The clearing limits will be staked and silt fence will be used A temporary coffer dam will be installed upgradient of the
proposed culvert within areas of stream that will be permanently impacted by the culvert In areas that the proposed culvert is
connecting to the existing culverts, the pump around will utilize manholes in the exisiting culvert and temporary coffer dams
will not be used Upon completion of culvert installation, the temporary sand bag coffer dams will be removed and stream flow
will be diverted through the culvert A Stream Pump Around and Dewatenng Detail exhibit is included as an attachment
2. Compensatory Mitigation for Impacts to Waters of the U S. or Waters of the State
2a Does the project require Compensatory Mitigation for
® Yes ❑ No
impacts to Waters of the U S or Waters of the State?
2b If yes, mitigation is required by (check all that apply)
® DWQ ® Corps
❑ Mitigation bank
2c If yes, which mitigation option will be used for this
projects
Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
Page 7 of 12
PCN Form —Version 1 3 December 10, 2008 Version

3c Comments Private mitigation banks are not available in this watershed
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
156 linear feet
4c If using stream mitigation, stream temperature
® warm ❑ cool ❑cold
4d Buffer mitigation requested (DWQ only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non - riparian wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments The NCEEP has accepted 156 linear feet of stream channel credits (EEP Acceptance Letter is attached)
Based on the minimal aquatic habitat and lack of aquatic species, the applicant proposes a 1 1 mitigation ratio for the
proposed stream impacts
5. Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
15
6f Total buffer mitigation required:
6g If buffer mitigation is required, discuss what type of mitigation is proposed (e g , payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund)
6h Comments The site is located in the Yadkin River basin, a basin without state regulated riparian buffer rules
Page 8 of 12
PCN Form — Version 1 3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
lb If yes, then is a diffuse flow plan included? if no, explain why
Comments Stormwater run -off will be discharged directly into underground
❑ Yes ® No
stormwater tanks that discharge to sand filters
2. Stormwater Management Plan
2a What is the overall percent imperviousness of this project?
7392%
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
Stormwater will be treated via underground storage tanks that discharge captured stormwater to a sand filter treatment
system Stormwater devices have been designed to treat at least 85% total suspended solids The stormwater
management plan has been designed to treat stormwater based on the site being 73 92% impervious The stormwater
plan is being mailed to the City of Winston Salem for review and is not included in this permit application
® Certified Local Government
2e Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a In which local government's jurisdiction is this project?
Winston Salem
❑ Phase II
3b Which of the following locally - implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a Which of the following state - implemented stormwater management programs apply
❑ ORW
(check all that apply)
❑ Session Law 2006 -246
❑ Other
4b Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
5. DWQ 401 Unit Stormwater Review
5a Does the Stormwater Management Plan meet the appropriate requirements?
® Yes ❑ No
5b Have all of the 401 Unit submittal requirements been met?
® Yes ❑ No
Page 9 of 12
PCN Form — Version 1 3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la Does the project involve an expenditure of public (federal /state/local) funds or the
❑ Yes ® No
use of public (federal /state) land?
lb If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ® No
letter)
Comments A NEPA or SEPA is not required as part of this project
2. Violations (DWQ Requirement)
2a Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
'Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b Is this an after - the -fact permit application?
❑ Yes ® No
2c If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
3. Cumulative Impacts (DWQ Requirement)
3a Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered "no," provide a short narrative descnption
We are not aware of additional development that will impact nearby downstream water quality
4. Sewage Disposal (DWQ Requirement)
4a Clearly detail the ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility
Wastewater from the MOB will be disposed of by municipal sewer service provided by the City of Winston Salem No
stream or wetland impacts will occur that are associated with sewage disposal and/or installation of sewage lines
Page 10 of 12
PCN Form —Version 1 3 December 10, 2008 Version

5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
E] Raleigh
5c If yes, indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
ECS consulted the Natural Heritage Program Website to determine if federally protected endangered or threatened
species inhabit the Winston Salem West, NC Quadrangle (the quadrangle that contains the site) The bog turtle
(Glyptemys muhlenbergn) was identified on the Winston Salem West NC Quadrangle as a federally listed threatened (due
to simdair appearance) species The bog turtle typically inhabits mud, grass and aphagnum moss of bogs, swamps and
marshy meadows These wetlands are usually fed by cool springs flowing slowly over the land, creating the wet, muddy
sod needed oy the turtles Wetlands are not located on the site and will not be impacted by the proposed project We did
not observe the bog turtle or suitable habitat for the bog turtle on the site
There are no other federally listed endangered or threatened species that have been identified on this quadrangle
6. Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitats
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Based on our knowledge of the site, the site is not located in or near an area designated as essential fish habitat We did
not observe fish inhabiting the stream during our site visits Best management practices will prevent sediment from entering
down gradient waterbodies which may contain fish
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?
We reviewed the SHPO Map (http / /gis ncdcr gov /hpoweb /) to identify historic and /or archaeological resources of the site
The SHPO map did not identify historic and/or cultural resources on the site or in the vicinity of the site A copy of the map
is included as an attachment
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 floodplam determination? North Carolina Floodplain Mapping Program, View
Attachments
10/7/13
Bradley S. Luckey
Page 11 of 12
PCN Form —Version 1 3 December 10, 2008 Version

Date
Applicant/Agent's Printed Name I Applicanty+Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
Page 12 of 12
PCN Form — Version 1 3 December 10, 2008 Version

Stimmel 601 N. Trade Street date: 10 -01 -2013 job #: 12 -273
Suite 200
Winston Salem, NC project: Brackett- Flagship -Silas Pointe MOB
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dissipater made of rip rap completed n one day
orsandbags
SEC110N A —A
!rnparmus sheeting
base flow + i toot
work area 'i` i " (2 loot minimum)
cross secncn of sandbag dike
PUMP AROUND DETAIL
NOTESe
1. PUMP AROUND DIKES SHALL NOT BE SET OUTSIDE OF THE DISTUREBED /IMPACT LIMITS
SHOWN ON THE PLANS.
2. INSTALL PUMP - AROUND DNERISON AND DEWATER THE CONSTRUCTION ZONE
THROUGH THE DEWATERING DEVICE. THE CONTRACTOR SHALL STAGE THE LIMITS OF THE
PUMP - AROUND FLAW ONERSION TO DEWATER ONLY THAT SECTION SCHEDULED FOR THAT
DAYS WORK. AT THE END OF EACH WORK DAY, THE WORK AREA SHALL BE
SiABILIZED, THE PUMP AROUND PRACTICE REMOVED, AND THE FLOW RESTORED TO
THE CHANNEL WORK SHALL BE COMPLETED ONLY DURING FORECAST PERIODS OF
DRY WEATHER.
PLAN VIEW
r- straw We dike or berm
1 - (0.45 m)
+_ minimum
j I j
j minimum i
i
I'
j 0.9 m
A.F.._ ! stone outlet
structure
SECTION
1.5 It
(0,45 m)��
flow
A=A
A �- filter fabric
i;
4 to 6-4n (10 to
15 cm) riprop
SECTION R -B
2 to 3 -ft (0.6 to 0,9-m)
rebar or stakes for
Straw bales
6 inches
(15 cm)
4 -in (10 -cm)
minimum depth
DEWATERING BASIN DETAIL
1 STREAM PUMP AROUND AND DEWATERING DETAILS
f
3,R (0,9-m)
minimum
_.

ECS Carolinas, LLP
AGENT AUTHORIZATION
Scope of Work: Permitting Services
Location: Silas Pointe
Winston Salem, North Carolina
This form authorizes ECS to act as our agent In stream /wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water (duality field verification and permit
application.
Property Address: 3 3 5/LA 5 e e,d e vwx /C duri 7
3
Owner Informatlon:
Name:�B;�.�
Address:
Telephone Number: 4 ,' j — 4Lf 9. _
Fax Number: 20
Email Address: 40 Ws fD 4AAeA'� r T. t- Aire514,A. ca
Data: Z-

Ecosystem
PRQGRAM
October 2, 2013
Charles Campbell
Broyhill Silas Point MOB, LLC
2701 Coltsgate Road. Suite 300
Charlotte, NC 2821 1
Project: Silas Point Medical Office Building
Expiration of Acceptance: April 2, 2014
County: Forsyth
The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to accept
payment for compensatory mitigation for impacts associated with the above referenced project as indicated in the table below. Please
note that this decision does not assure that participation in the NCEEP will be approved by the permit issuing agencies as mitigation
for project impacts. It is the responsibility of the applicant to contact these agencies to determine if payment to the NCEEP will be
approved. You mUat also cgD]ply with all other state. federal gr local gov&mMent pgrMits. regwlgji r aLithprizAtion6 ass2ciated
with the mosed activity rose incl4ding SL 2OQ9-3,37: Act tQ P o► ote the Uge gf Cgmpen§aJgry .Miliggtign Batiks as amended by
S.L. 2011 -3431
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not received a copy of the
issued 404 Permit /461 Certification /LAMA permit within this time frame, this acceptance will expire. It is the applicant's
responsibility to send copies of the permits to NCEEP, Once NCEEP receives a copy of the permit(s) an invoice will be issued based
on the required mitigation in that permit and payment must be made prior to conducting the authorized work. The amount of the In-
Lieu Fee to be paid to NCEEP by an applicant is calculated based upon the Fee Schedule and policies listed at www.nceep.net,
Based on the information supplied by you in your request to use the NCEEP, the impacts that may require compensatory mitigation are
summarized in the following table, The amount of mitigation required and assigned to NCEEP for this impact is determined by
permitting agencies and may exceed the impact amounts shown below.
Impact
River
Basin
CU
Location
Stream (feet)
Wetlands (acres)
Buffer I
(Sq. Ft.)
Buffer Il
(Sq. Ft.)
Cold
Cool
Warm
Riparian
Non-Riparian
Coastal Marsh
Yadkin
03040 10 1
0
0
156
0
0
0
0
0
Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation. The mitigation will be performed in
accordance with the N.C. Department of Environment and Natural Resources' Ecosystem Enhancement Program In -Lieu Fee
Instrument dated July 28, 2010.
Thank you for your interest in the NCEEP. If you have any questions or need additional information, please contact Kelly Williams at
(919) 707 -8915.
Sincerely,
Ja is B Stanfill
Asset Management Supervisor
cc: Karen Higgins, NCDWR Wetlands /401 Unit
John Thomas. USACE- Raleigh
Sue Homewood. NCDWR- Winston -Salem
Bradley Luckey, agent
File
kutor' .. E .. Pro" Our ka& RUM
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699 -1652 /9'19-707-8976 /www,nceep.net

0 fou St "r
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FY3576 Lit.. El.4-.t.,y SW.1
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4FY0262 Kirk House I Gone) !t, FY315139 Trin4' Presbyterian Church
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IDS
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Sources: Esri, DeLorm.� NAVTEQ, USGSPrn"ttrmap, iPC,,NR, AN, Esri Japan, METI, Esr, China (Hong Ko
�4

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AWMI. P
GS;

Pat McCrory
Governor
A&
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Thomas A. Reeder John E. Skvarla, III
Mr. Bradley Luckey
ECS Carolinas, LLP
4811 Koger Boulevard
Greensboro, NC 27407
Director
Subject Property: 3340 Silas Creek Parkway, Winston Salem, Forsyth County
On -Site Determination for Applicability to the Mitigation Rules (15A NCAC 2H .0506(h))
Dear Mr. Luckey:
Secretary
September 5, 2013
On August 30, 2013, at your request and in your attendance, Sue Homewood conducted an or -site
determination to review a feature located on the subject property for intermittent /perennial determinations
with regards to the above noted state regulations. The feature that was reviewed is identified on the
attached map.
The channel identified on the attached maps was determined to be perennial throughout the property
boundary.
Please note that at the time of this letter, all intermittent and perennial stream channels and jurisdictional
wetlands found on the property are subject to the mitigation rules cited above. These regulations are subject
to change in the future.
The owner (or future owners) should notify the DWR (and other relevant agencies) of this decision in any
future correspondences concerning this property. This on -site determination shall expire five (5) years from
the date of this letter.
�hhnston -Salem Regional 08Ice
Location 585 Waughtown St Winston - Salem. Mo0h C aro hn;�
Phone 336­771 5000' PA.X 335 - 771 -463(, :usto e ervi
Internet Aww ncwaterquallty org
An Equal ')pportunity' Affirmative A.chrn Employee
NorthCarolina
Naturally

Brad Luckey
Broyhill Silas Pointe MOB LLC Stream Determination
September 5, 2013
Page 2 of 2
Landowners or affected parties that dispute a determination made by the DWR or Delegated Local Authority
that a surface water exists and that it is subject to the buffer rule may request a determination by the
Director A request for a determination by the Director shall be referred to the Director in writing c/o Karen
Higgins, DWR, Wetlands, Buffers and Stormwater Compliance Unit, 2321 Crabtree Blvd., Suite 250, Raleigh,
NC 27604 -2260 Individuals that dispute a determination by the DWR or Delegated Local Authority that
"exempts" surface water from the buffer rule may ask for an adjudicatory hearing. You must act within 60
days of the date that you receive this letter Applicants are hereby notified that the 60 -day statutory appeal
time does not start until the affected party (including downstream and adjacent landowners) is notified of
this decision DWR recommends that the applicant conduct this notification in order to be certain that third
party appeals are made in a timely manner To ask for a hearing, send a written petition, which conforms to
Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 27699 -6714 This determination is final and binding unless you ask for a hearing
within 60 days
This letter only addresses the applicability to the mitigation rules and the buffer rules and does not approve
any activity within Waters of the United States or Waters of the State or their associated buffers. If you have
any additional questions or require additional information please contact me at 336 - 771 -4964 or
sue homewood @ncdenr gov
Sincerely,
Sue Homewood
DWQ Winston -Salem Regional Office
Enclosures. USGS Topo Map
cc Broyhill Silas Pointe MOB, LLC, 2701 Coltsgate Rd, Suite 300, Charlotte NC 28211
John Thomas, USACE Raleigh Regulatory Office (via email)
DWQ, Winston -Salem Regional Office