20140834 Ver 1_401 Application_20140814

HARRIS ENGINEERING
1325 Harding Place
Charlotte, North Carolina 28204
Phone [phone]
Fax [phone]
To: NCDWR 401 Buffer & Permitting
1617 Mail Service Center
Raleigh, NC 2 7699-16 70
[LIEVV 2 @[F 4 ° H(MDCTU&L
DATE: July 28, 2014
JOB NO. 21213/Wetlands
ATTENTION: Buffer & Permitting Unit
RE: Sharon Ave. Property
1
Agent Authorization Form
6 -14 -14
1
WE ARE SENDING VIA US MAIL THE FOLLOWING ITEMS:
❑ Attached ❑ Plans ❑ Prints
❑ Copy of Letter ❑ Samples ❑ Change Order
❑ Shop Drawings ❑ Specifications E NOTED
COPIES DATE No. of SHEETS DESCRIPTION
5
5
5
5
5
5
1
n/a
I
Corps Submittal Cover Sheet
3 -3 -14
1
Agent Authorization Form
6 -14 -14
1
NCDWQ Stream Classification Form
7 -28 -14
10
PCN Form
7 -28 -14
3
EEP Forms
n/a
3
Proposed Site Plan & Exhibits
7129114
1
Fee — Howey /Lanier check #1004, 5570.00
THESE ARE TRANSMITTED as checked below:
® For Approval ❑ For Review and Comment
❑ For Your Use ❑ For Your Information
COMMENTS:
COPY TO:
William Elliot (COE) w/ I set encls.
Eric Lanier w/ I set encls.
❑ As Requested
❑ For Your Signature
FROM: Wayne M. Harris, P.E.
If enclosures are not as noted, kindly notify us at once.

H
Corps Submittal Cover Sheet
Please provide the, following info:
1. Project Name Lot 3, Block 2 MB 4, Pg 597 Tax Parcel# 181- 131 -02 (partial)
2. Name of Property Owner /,Applicant: Eric Lanier / Howey Lanier LLC
3. Name of Consultant/Agent: Wayne M. Harris, P.E./ Harris Engineering
*Agent authorization needs to'be attached
4 Related/Previous Action ID number(s). N/A
5. Site Address. 2126 Sharon Ave., Charlotte, NC 28211
6. Subdivision Name: Brookwood,Hills (1941 plat)
7. City: Charlotte
8. County Mecklenburg
9. Lat: 35•i677 Long: -'80.1677 (Decimal Degrees Please )
10. Quadrangle Name: USGS Charlotte East
11. Waterway-.- unnamed trib. of'L'ittle Sugar Creek
12. Watershed: Briar
13. Requested Action:
X Nationwide Permit,# 29
General Permit,#
_ Jurisdictional,Determination Request
_ Pre - Application Request
The following information will be completed by Corps office:
AID:
Prepare File Folder Assign number in ORM
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site /Waters Name-
Keywords: _
Begin Date

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION
LOT NO -.3, Block 2 PLAN NO ty1B 4. P,, 597 PARCEL ID- 181 - 131 -02 (paiteal)
STREET ADDRESS 2126Shalon Ave., Chailotte, NC 28211
Please ,print
PROPERTY OWNER. Eric Lanier
PROPERTY OWNER
The undersigned, registered property owner(s)�of the above noted property, do hereby authorize
Wayne M. Hari-is, P.E. of — Harris Engineerinz
(Contractor! Agent) (Nam&of Consulting Firm)
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)
A O. Box 1028, Pineville NC 28134
Telephone. (704) 587 =3022
We hereby certify the above Information submitted in this application Is true and accurate to the
best of our knowledge,
S %USACOE INFO AGENT AUTHORIZATION FORM DOCX
-ionzed Signature

NC DWO Stream Identification Form Versinn 4.11
Date: - ��' L
J Project/Site `G
Latitude. -3S- & %
Evaluator: /� S
County
Longitude: —6.117 %
Total Points: w
Stream is at least intermittent
Stream Determi (circle one)
Other 1_4S aim
Z
d 2 19 or perennial d 2:30* G
Ephemeral I itte t Perennial
e g Quad Name: .
.-.r
A. Geomorphology Subtotal = /X. S
Absent
Weak
Moderate
Strong
1a'Continuity,of °channel bed and bank
01
1
_ _ 2
3
2 Sinuosity of channel along thalweg
0
1
5
3
3 In- channel structure ex riffle -pool, step -pool,
ripple-pool se uence
0
1
2
1.5
4 Particle size of stream substrate
0
1
2
15
5 Active /relict floodplain
0
1
1
3
6 Depositional bars,or benches
0
1
3
7 'Recent alluvial deposits
0
1
2P
3
8 Headcuts
0
25 Algae
2
3
9 Grade control
_ 0
05
1
1 5
10 Natural valley
0
.perennial streams may also be identified, using,other;methods Seep 35,of manual
1
15
11 ,Second or greater order channel
a
o = 0
Yes = 3
ague uai unuies are nor rareu „see discussions in manual T
B Hvdroloov (Subtotal = .4441
12 Presence of'Baseflow
0
1
3
13 Iron oxidizing bacteria
0,
3 v
_ _ 2
3
14. Leaf litter
0
1
5
0
15.,.Sediment on plantsiorrdebns
-.15
0
3
1
1.5
16 Orgamc,debris hnes,or piles
0
2
1
15
17 Sod -based evidence of high water tables
o =,v
Yes = 3
18. Fibrous roots in-streambed
3
2
1
0
19 Rooted upland plants in streambed
3 v
2
1 _ _'
0
20 Macrobenthos (note diversely and abundance)
1
2
3
21 Aquatic Mollusks
1
2
3
22 Fish
0`
05
1
1.5
23 Crayfish
05
1
15
24 Amphibians
0
05
1
_
15
25 Algae
0,5
1
15
26 Wetland plants in streambed
FACW = 0 75, OR
.perennial streams may also be identified, using,other;methods Seep 35,of manual
Notes
Sketch
L'0T
ST/z 15 M

°FWA7F9 Office Use PAID
o� oG
Corps actio n Onl n ID.
2 0 1 4 0 8 3 4 DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A.
Applicant Information
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: (,A 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
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 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
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:
Lot 3, Block 2 MB 4, Pg. 597 Tax Parcel 181 -131 -02 (partial)
2b. County:
Mecklenburg
2c.
Nearest municipality / town:
Charlotte
2d.
Subdivision name:
Brookwood Hills (1941 plat)
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Howey /Lanier LLC Attn. Eric Lanier
-
1AUG
3b.
Deed Book and Page No.
DB 28992, Pg 936
3c.
Responsible Party (for LLC if
applicable):
Eric Lanier
- +WA fill
3d. Street address:
P.O. Box 1028
3e.
City, state, zip:
Pineville, NC 28134
3f.
Telephone no.:
(704) 587 -3022
39. Fax no.:
3h.
Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if'different from owner)
4a Applicant is:
X❑ Agent ❑ Other, specify.,
4b Name.
Wayne Harris
4c Business name
(if, applicable).
Harris Engineering
4d Street address
1325 Harding Place
4e City, state, zip
Charlotte, NC 28204
4f Telephone no"
(704) 334 -1325
4g Fax�no :
(704) 334 -1330
4h Emall�address
5. Agent/Consultant 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 1`0

B. Project Information and Prior Project History
1. Property Identification
1a Property Identification no (tax PIN,or parcel ;ID)
181131,02 (partial)
1b. Site coordinates (in decimal degrees):
Latitude. 35 16786 Longitude. - 80.8203
1c Property size:
0.43 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
unnamed tributary of Little Sugar Creek
2b Water Quality Classification of nearest receiving water.
2c. River basin
Catawba
3. Project Description
3a Describe the existing conditions on the site and the general landluse,in the vicinity of'the project at the time,of this
application:
Existing condition of the site is a,grassy lawn, area, with, some trees General land' use in the vicinity of the prolect�is mostly � houses
3b. List the total estimated acreage of all existing wetlands on the property:, 0
3c. List'the total estimated linear feet of all existing streams (Intermittent and perennial) on the property: 200
3d. Explain the,purpose of the,proposed project:
To reasonably use a1ot that was plattedin 1941 to build on for the first time
3e. Describe the overall projectin detail, including the type of equipment to be used.
To'pipe the stream channel around a loi;m order to,reasonably use the'lot Will use standard equipment, i e tractors, bulldozers„track;hoes
4. Jurisdictional Determinations
4a. Have junsdictional wetland or stream determinations by the
Corps or, State been requested or obtained for this property /'
project includin ,all prior phases) in the past?
® Yes ❑ No ❑ Unknown
Comments.
4b. If the Corps made the jurisdictional °determination, what type
of determination was made?
X Preliminary []'Final
❑ ry ❑
4c: If yes; who delineated the jurisdictional areas?
Name (if known). William Elliot
Agency /Consultant,Company:
Other-
4d. If yes, list the dates of the Corps jurisdictional determinations or State determination&and attach documentation'.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (Including all,pnor 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
PCN Form — Version 1 4 January 2009

C. Proposed Impacts Inventory
1. Impacts "Summary
1a' Which sections were completed below for your project (check all that apply)
❑ Wetlands Q 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 -
Choose,one
Choose one
Yes/No
-
' W2 -
Choose one
Choose one
Yes/No
W3 -
Choose one
Choose one
Yes/No
-
VV4 -
Choose one
Choose one
Yes/No
-
'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 (T)
3b.
Type of'impacf
3c
Stream name
3d
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g_
Impact
length
(linear
feet)
S1 P
Type In (Pipe)
unnamed'tnb
INT
Corps
2
200
S2 -
Choose one
-
S3 -
Choose;one
_
S4 -
Choose one
-
S5 -
Choose one
_
-
S6 -
Choose one
3h. Total stream and tributary impacts
200
3i. Comments-
Page 4 of 10
PCN Form — Version 14 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, Qnbutanes, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indiv ually list all open water impacts below
4a
Open water
impact number
Permanent (P) or
Temporary T
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
4f. Total open water impacts
4g Comments:
5. Pond or Lake Construction
If pond,or lake construction proposed, the com lete4he,chart,below.
5a.
Pond, ID number
5b:
Proposed use or
purpose 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:
'51 Expected pond surface area (acres)-
'5j. Site 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 listall buffer impacts,
below. If any impacts require mitigation, then you MUST fill out,Secbon D of4his form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other
6b
Buffer Impact
number —
Permanent (R) or
Temporary T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet )
69.
Zone 2
impact
(square
feet
131
Yes/No
,62
Yes /No
B3
Yes /No
B4 -
Yes /No
B5
Yes/No
B6
Yes/No
6h. Total_ Buffer Impacts:
61., Comments
Page 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
Due to the location of the stream there is no way to have reasonable access and use of Lot 3, while maintaining the,existmg location
1 b. Specifically describe measures taken to,avoid or minimize the proposed impacts through construction techniques.
Plans for storm drainage improvements and related erosion control measures will be prepared in accordance with City of CharlotWstandards, and will
be, reviewed and approved by the City Engineering Dept prior to commencement of "construction activities
2. Compensatory Mitigation for Impacts to Waters of the U.S.,or Waterssof',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).
0 DWQ ® Corps
2c If 'yes, which mitigation option will be used for this
project?
❑ Mitigation bank
©Payment to in -lieu fee program
❑ Permlttee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of MitigationiBank:
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:
50 linear feet
4c. If using stream mitigation, stream temperature
warm
4& 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 a description of the.proposed mitigation plan
Based on the.fact that portions of the stream have been previously, impacted by a City of Charlotte stormwater project (rip rap channel lining), and
because the existing stream alignment renders Lot 3 unusable, we are proposing to,mitigate for impacts only greater than 150'(1 a 50') which ,is,
consistent with conversations between thefCOE agent'and the applicant's representative at the time of jurisdictional determination
Page 6, of 10
PCN Form — Version 1 4 January 2009

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
Yes X 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 ofrmitigation 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
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
Page 7 of 10

E. Stormwater Management and Diffuse�Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ❑X No
within one of the NC Riparian Buffer Protection Rules?
16 If yes, then is a diffuse flow, plan included? If no,,explain why
❑ Yes ❑ No
2. Stormwater'Mana ement Plan
2a What is the overall percent imperviousness of this project?
20+/-%
2b. Does this project require a Stormwater Management Plan?
❑ Yes No
2c If this,project DOES NOT require a Stormwater Management Plan, explain °why.
Below City and County requirements
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 government's jurisdiction Is this project?
Cdy,of'Charlotte.
❑ Phase II
❑ NSW
3b. Which of the following locally - implemented stormwater management programs
❑ USMP
apply (check all that apply)-
❑ Water Supply Watershed
❑ Other
3c Has the approved Stormwater Management Plan with proof of'approval been
❑ Yes ® No
attached?
4. DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a Which of the following state - implemented stormwater management programs apply
❑ORW
(check all that apply):
❑Session Law 2006 -246
❑Other -
4b. Has the approved Stormwater Management'Plan with proof of approval been
❑ Yes Q No
attached?
5. DWQ 401 Unit Stormwater Review
5a ,Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes X❑ No
5b Have all of the 401 Unit submittal requirements been,met?
❑ Yes ❑X No
Page 8Aof 10
PCN Form— Version 1 4 January 20091

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a Does the project involve,an expenditure of public,(federal /state /local) funds or the
❑ Yes Q No
use of public (federal /state) land
1b, If you answered "yes" to the above, does, the project, regw re, preparation of an
environmental document pursuant to the requirements of the National or'State
El Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c If you,answered "yes" to4he above, has the document review been finalized by the
State Cleanng House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ❑ No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules,(15A NCAC-2H .1300), DWQ Surface Water orWetland Standards,
'F] 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 future1mpacts) resuUn
❑Yes ® No
additional development, which could Impact nearby downstream water quality?
3b If you answered "yes" to,the, above, submit a,qualltative or quantitative cumulative impact analysis In accordance with the
rriost'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
The protect will use current, in place, wastewater treatment
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
E] Yes ❑X No
habitat
5b Have,you checked with the USFWS concerning Endangered Species Act
Yes X No
Impacts?
5c. If yes, indicate the USFW,S 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?
US,Fish and Wildlife websrte
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'Habdat?
US Fish and Wildlife websrte
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 sigrnficant,m
North Carolina history and archaeology)?
7b. What data sources did'you use to determine whether your site would impact,historic or archeological resources
NC State, Histonc Preservation webste ,
B. Flood Zone Designation (Corps Requirement)
8a. Will this project occurin 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?
FEMA websrte
1,U4Y14 /;i 4�-
7 /at
A pllcan =3i ignature
(Agen s signatur ly 'if an authorization
Applican _gent's` anted Name
letter from'the applicant is provided
Page 10 of 10

Print
Statement of Compliance with Session Law 2009 -337 An Act to Promote
the Use of Compensatory Mitigation Banks and SL 2011-343.
(link,to SL.2009T33V) (link to,SL 2011343/
Prior to accessing ,fhe Ecosystem Enhancement'Program (EEP) In -Lieu' Fee Mitigation
Program, all applicants requesting wetlands, stream and /or riparian buffer mitigation are now
required ,by,law to comply with Session' Law 2009 =337 An Act to Promote the Use of
Compensatory Mitigation Banks and Session Law 2011 -343. All requests submitted on or
after June 27, 2011 MUST include this form signed and dated by the, permit applicant or,an
authorized agent. Please refer to DENR's ,ImOementation_Policy for more detailed guidance.
Compliance Statement:
'I have read and understand SL- 2009 -337 and SL- 2011 -343 and have, to the best of my
knowledge, complied with their requirements. I understand that participation in the
NCEEP is voluntary and subject to approval by permitting agencies.
Please check all that apply:
Applicant is a Federal or State Government Entity or a unit of local government
meeting the requirements set forth in G.S. 143- 214.11 (as amended by SL 2011-
343) and is not requited to purchase credits from a mitigation bank.
There are no listed mitigation banks with the credit type I, need located in the
hydrologic unit where this impact will take place (link-to DWR;list)
p Mitigation bank(s) ,in the hydrologic unit where the impacts will occur have been
contacted and credits are not currently available.
The DWR or the Corps of Engineers, did not approve ,of the use of a mitigation
bank for the required compensatory mitigation for this project.
p This is a renewal request and the permit application is under review. Bank
credits were not,available at the time the, application was submitted.
Enter date permit application was submitted for review:
Note: It is the applicant's responsibility to document any inquiries made to private mitigation
banks regarding credit availability.
`i'have fead�arid- understand EEP's.refLii d:DOlicies`(atti36hed)
irntial,liere
Wayne,Hams
Printed Name
Date
Lot 3, Block 2 MB 4, Pg. 597 Tax Parcel 181- 131 -02 (partial) Charlotte, NC
Project Name Location

NORTH CAROLINA ECOSYSTEM ENHANCEMENT PROGRAM, NCEEP
IN -LIEU FEE REQUEST FORM Revised June 18, 2014
Complete requested,information, sign and date, email to kelly Williams gncdenr gov Attachments are acceptable for clarification
purposes,(location map, address or lat long is required) Information submitted is subject to NC Public Records, Law and maybe
reauested by third parties Review meetinos are held on Tbesdav afternoons
CONTACT INFORMATION
APPLICANT'S AGENT
APPLICANT
1. Business /Company Name
Harris Engineering
Eric Lanier/ Howey Lanier LLC
2. Contact Person
Wayne Harris
_ _ Eric Lanier
3. Street Address or P O Box
1325 Harding Place
P.O. Box 1028
4. City, State, Zip
Charlotte, NC 28204
Pineville, NC 28134
5. Telephone Number
(704) 334 -1325
(704) 587 -3022
6. E -Mail Address
PROJECT INFORMATION
7. Project Name
Lot 3, Block 2 MB 4, Pg 597 Tax Parcel 181 -131 -02 (partial)
8. Project Location (nearest-town, city)
2126,Sharon Ave. Charlotte, NC
9. Lat -Long Coordinates or attach a map
35.16786 - 80:8203
10. County
Mecklenburg
11. River Basin.& Cataloging Unit (8- digit)
Catawba 03050103
(See Note 1)
12. Project Type "indicate owner,type and
Owner T 13 Government El Pnvate
yam'
write in protect type (e g school, church, retail,
residential, apartments, road, utilities, military,,
Project Type: Residential
etc "'
- -
13. Riparian Wetland Impact (ac.) (e.g., 0.13)
14. Non - Riparian Wetland,lmpact (ac.)
15. Coastal Marsh'Impact (ac.)
16. Stream Impact (ft.) (e.g. 1,234)
Warm
Cool
Cold
50
17. Riparian Buffer Impact (sq. ft.)
Include subwatershed if Jordan or Falls Lake:
Zone 1
Zone 2
18. Regulatory Agency Staff Contacts
NCD,W R:
USACE William Elliot
Other:
Check (�) below if this request is for a
By signing below; --the applicant is-confirm ftlhey'have
❑ revision to a current acceptance
read and understand °,EEP's `refund policywposted at
nceep.net,and attached to�this for m.
❑ renewal of an expired acceptance
Si a of App !cant or Authorized Agent:
❑ extension of unexpired, acceptance
y 2 I
L
Date:
7
Note 1 For help in determining the Cataloging Unit, visit www nceea net or contact EEP
Direct questions to Kelly Williams at 919- 707 -8915 or kelly williams(oncdenr gov or to EEP's'front desk ,,at 919 - 707 -8976

Refund Policy for Fees Paid to EEP's In -Lieu Fee Programs (9/21/2009)
Purpose: The purpose of this policy is to make,,clear the•ciicumstances and process under which a
permitted, can obtain, a refund while simultaneously balancing customer service, and responsible
business practices. This policy applies to all refund requests made on or after,the publication date of
this policy.
1. All refund requests must be made in writing to ESP's In -Lieu Fee Program Coordinator at
kelly.williams(a_ncdenr.gov
2. All refund requests are subject to fund availability. EEP does not guarantee fund availability for
any request.
3. The request must either come from the entity that made the payment or from an authorized agent.
Third parties requesting refunds must provide written authorization from the entity that made the'
payment specifying the name and address of the authorized refund recipient.
4. Refund requests related to unintended overpayments, typographical errors or incorrect invoices
should be brought ,the attention of the In -Lieu Fee Program Coordinator as soon as possible. Such
requests are, typically approved without delay.
5. Payments made under EEP's incremental payment procedure are not eligible for refunds.
6. Refund requests made within.nine months of payment to EEP will only be considered for requests
associated with projects that have been °terminated or,modified where the permittee's mitigation
requirements have been reduced. Such requests,must be accompanied by written verification from the
permitting agency that the project has been cancelled, the permits have been rescinded or have been
modified, or the mitigation requirements have been,reduced.
7. Refund requests made °morerthan nine months from the payment date will only be considered for
permits that were terminated or modified to not require any mitigation. Such, requests-must be
accompanied by`written verification from the permitting agency that the project has been cancelled, the
permits have been rescinded and/or mitigation is no longer required.
8. Refund requests not meeting the criteria specified above are not eligible for a refund.
9. Refund requests that meet the criteria above will be elevated, to EEP Senior Management for
review. The following considerations apply to all refund requests:
a. availability of funds after consideration of all existing project and regulatory obligations
b. the date the payment was made
c. the likelihood EEP can,use the mitigation procured using the payment to�meet other'
mitigation requirements
10. Once a refund has been approved, the refund recipient must provide a completed W -9 form to
EEP's In -Lieu fee Program Coordinator within two weeks in order to process the refund though the
State, Controller's Office.
11. All decisions shall be final.

(�R EXHIBIT #1
SHARON AVENUE PROPERTY
,� ON BULLETIN DWG. #5 -19 -14
HE JOB #21213, SCALE: 1" = 40'
1 A portion of LOT 7 J r'
` BROOKWOOD HILLS A portion of LO LOT
B �j LOT 6 /
I
BROOKWOOD 4 PGD
MB 4 PG 597 '! 5 +( MB 4 P D HILLS
G /
r
LOT NO.
BROOKWOOD HILLS
MB 4 PG 597 J r r
r LOT 5
N 85'49'44 - E N 85'49'44' E l BROOKWOOD HILLS
MB 4 PG 597
PROP. OUTLET STRUCT.
W/ RIP RAP APRON PER \
CITY Of CHARLOTTE STDS. f.
t
r------- - - - --1 I r------- - - - --�
jN #2126 j� = t #2126
Z LOT 4 f r LOT 3 N
I� TP pal - 131 -02 TP pal - 131 -02 I
I� 18.998 sF I 1 I 18,808 SF
I I( tl I r g LOT
I I i t CHANNEL I I r" BMoB WoPOGD597L5
rL PROP. PIPE Qc
STORM DRAINAGE I I ( g
g I ESMT., TV. (ESMT. I e
8 I SHOWN SHADED) I I I N Ch
I I' I I Iw a
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PROP. JUNCTION '
BOX / MH 48't EX. RIP RAP
CHANNEL k APRON
EX. 15'
RCP
S 8548'30" W 100.00' S 86'01'52' W 97.87' Lit. _ _
PROP. JUNCTION - - - - -
_ — — — — — — BOX O EX. HW
Sharon Avenue \ \ EX. EOP
EX. THAN 48' RCP'S
TO —DL CONC. HW Y�f
EX
ARYD I
INLE
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S: \21273 - SHARON AVE \ENGR \5 -20 BASE PLAN.dwg

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