20140898 Ver 1_401 Application_20140814

TO: NC Division of Water Resources
512 N. Salisbury Street; 9t" Floor
Raleigh, NC 27604
WE ARE SENDING YOU
❑ Shop Drawings
❑ Copy of Letter
MVER OF VR HMVV ZU
DATE 8/15/14
JOB NO. 02120469.00
ATTENTION Ms. Karen Higgins
PHONE# 919 - 807 -6363
RE:
Chatham Medical Office Building Sanitary Sewer
Extension - Pittsboro, Chatham Count
NWP 12 PCN Submittal
02120469.00
NWP 12 PCN Submittal
1
8/15/14
® Attached ❑ Under separate cover
❑ Prints ❑ Plans ❑ Samples
❑ Change order ❑ Diskette ❑
the following items:
❑ Specifications
COPIES
DATE
NO.
DESCRIPTION
5
8/14/14
02120469.00
NWP 12 PCN Submittal
1
8/15/14
02120469.00
Check for $240 Application Fee
1
8/15/14
02120469.00
CD of PCN
THESE ARE TRANSMITTED as checked below:
❑ copies for
® For approval ❑ Approved as submitted Resubmit approval
copies for
❑ For your use ❑ Approved as noted ❑ Submit distribution
❑ As requested ❑ Returned for corrections ❑ Return corrected prints
❑ For review and
comment ❑
❑ FOR BIDS DUE 20 ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS:
Signature:
Date:
COPY TO: FIB@ If enclosures are not as notegl ki 169ot ff8 pt�&c $fey

WITHER,S 6�RAVENiEL
August 14, 2014
US Army Corps of Engineers
Regulatory Field Office
Attn: Mr. Andy Williams
3331 Heritage Trade Drive
Suite 105
Wake Forest, NC 27587
NC- Division of Water Resources
401 & Buffer Permitting Unit
Attn: Ms. Karen Higgins
1617 Mail Service Center
Raleigh, North Carolina 27699
Re: Chatham Medical Office Building Sanitary Sewer Extension — 401WQC Request
W &R Project #02120469.00
Dear Ms. Higgins,
On behalf of Chatham Park Investors, LLC, we are requesting a 401 WQC for 24 if of temporary stream
impacts for construction of a sewer line to service the future Chatham Medical Office Building,
located east of Suttles Road at the southern end of the proposed sewer line. Since the entire 20'
utility easement will be mowed /maintained in perpetuity, the crossing is classified as "Allowable" in
the Jordan Lake Buffer Rules Table of Uses and therefore requires written authorization from NCDWR.
Please note that the project qualifies for a non - notifying NWP 12, and written notification to the
Corps of Engineers is not required. However, a courtesy copy of this application is being provided to
the Corps of Engineers for their records.
The proposed sewer line is located southeast of the intersection of Russett Run Road and Suttles
Road, and will begin east of Suttles Road at Lat: 35•7528290 °N; Long: - 79.1662658 °W, and run north
east where it ties into an existing sewer line (Manhole 16) at Lat: 35•7546975°N; -79.1643922 °W
(Manhole 16). The project area is located within the Cape Fear River basin (HUC 03030002) and
waters within the project area flow to the Haw River (Stream Index: 16- (36.3); Water Quality
Classification: WS- IV;NSW;CA).
Proposed Project
The project consists of the construction of ±978 if of 8" gravity sewer line, which will provide sewer
service to the future Chatham Medical Office Building that will be constructed east of Suttles Road at
the southern end of the proposed sewer line. The Chatham Medical Office Building is anticipated to
begin construction within the next 6 -12 months. The construction of the sewer line will require a
single stream crossing that will result in 24 if of temporary stream impacts.
Please note that the construction of the Chatham Medical Office Building will not result in impacts to
wetlands or streams.
Project History
The wetland delineation for the project area was completed by S &EC as part of the wetland
delineation for the Chatham Park property. The Corps of Engineers field verified the wetland
delineation specific to the project area on October 27, 2011 (AID #SAW - 2010 - 00140). The Corps of
Engineers have not issued a formal JD for the project area, but the delineation has been preliminarily
approved in the field. A copy of the S &EC wetland delineation exhibit, as well as the JD for the
1410 Commonwealth Drive I Suite 1011 Wilmington, NC 28403 1 tel: [phone] fax: [phone]
www.withersravenel.com I License No. C -0832

Chatham Park property and letter from S&E[ regarding the she review by the Corps has been
provided asanAppendix.
The proposed Chatham Medical Office Building sewer line will tie into an existing sewer line which
was permitted through the Corps of Engineers (SAW-2010-0014o) and N[DVVR (Project # 73'776n) in
2o73as the Bo'angies Sanitary Sewer Extension.
Proposed Impacts
The proposed impacts consist of 24 if of temporary stream impacts for installation of the sewer line
across the stream to tie into the existing sewer line on the north side of the stream.
Avoidance and Minimization
The location of the proposed sewer line was dictated by the topography of the area surrounding the
alignment, as well as the location of the existing sewer line on the northern side of the stream. The
sewer alignment has been designed to provide positive gravity flow while minimizing impacts. The
proposed sewer alignment has been designed to cross the stream at a perpendicular angle to
minimize impacts. Upon completion of construction of the sewer crossing, the bed and banks of the
stream will be restored to pre-construction contours and temporarily stabilized to prevent erosion.
Cumulative Impacts
The sanitary sewer line will immediately service a Chatham Medical Office Building, vvhidl is
anticipated tobe constructed within the next 6'72months. However, the sewer line will eventually
be expanded to a larger network servicing the entire Chatham Park project once designed,
engineered and constructed, which will result in additional development that could have impacts to
wetlands and streams. All additional development requiring expansion of the sewer system will be
required to meet all federal, state and local regulations, as well as the Town ofPittsboro`svery
stringent Jordan Lake Watershed Stonnvvater Management Rules and Riparian Buffer Protection
Ordinance.
Mitigation
Because the proposed stream impacts are temporary, there is no mitigation proposed.
The current request is for 24 If of temporary stream impacts (see the attached maps and PCN for
details).
Please feet free to call if you have questions or require additional information.
Sincerely,
Troy Beasley
Environmental Scientist
Attachments:
• Agent Authorization
• USGS Quad & Chatham Co. Soil Survey
• Chatham ParkjDInfo
• Impact Exhibits
WITH ERS RAVEN E L Page of
ENGINEERS 11 PLANNERS I SURVEYORS

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 10
PCN Form — Version 1.3 December 10, 2008 Version
Pre - Construction Notification (PCN) Form
A. Applicant Information
1.
Processing
la.
Type(s) of approval sought from the
Cor s:
p
®Section 404 Permit ❑Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 12 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
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
❑ No
2.
Project Information
2a.
Name of project:
Chatham Medical Office Building Sanitary Sewer Extension
2b.
County:
Chatham
2c.
Nearest municipality / town:
Pittsboro
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Chatham Park Investors, LLC
3b.
Deed Book and Page No.
Book: 1567; Page: 0800
3c.
Responsible Party (for LLC if
applicable):
Tim Smith
3d.
Street address:
100 Weston Estates Way
3e.
City, state, zip:
Cary, NC 27513
3f.
Telephone no.:
919- 481 -3000
3g.
Fax no.:
3h.
Email address:
Tim @prestondev.com
Page 1 of 10
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a.
Applicant is:
0 Agent El Other, specify:
4b.
Name:
4c.
Business name
(if applicable):
4d.
Street address:
4e.
City, state, zip:
4f.
Telephone no.:
4h.
Email address:
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Troy Beasley
5b.
Business name
(if applicable):
Withers and Ravenel
5c.
Street address:
1410 Commonwealth Drive, Suite 101
5d.
City, state, zip:
Wilmington, NC 28403
5e.
Telephone no.:
910-256-9277
5f.
Fax no.:
910-256-2584
5g.
Email address:
[e-mail]
Page 2of1O
PCN Form — Version 1.3 December 10, 2008 Version

B.
Project Information and Prior Project History
1.
Property Identification
1 a.
Property identification no. (tax PIN or parcel ID):
9752 -08 -9484
South End: Lat: 35.75282900 Long: - 79.1662658 °W
1 b.
Site coordinates (in decimal degrees):
North End: Lat: 35.75469750 Long: - 79.1643922 °W
(DD.DDDDDD) (- DD.DDDDDD)
1c.
Property size:
N/A — Linear Project
2.
Surface Waters
2a.
Name of nearest body of water (stream, river, etc.) to
Haw River (Stream Index #16- (36.3)
proposed project:
2b.
Water Quality Classification of nearest receiving water:
WS- IV;NSW;CA
2c.
River basin:
Cape Fear (HUC 03030002)
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 proposed sewer alignment is located within undeveloped woodlands. The general land use in the vicinity consists of
a mixture of undeveloped woodlands and existing residential and commercial land use.
3b.
List the total estimated acreage of all existing wetlands on the property:
N/A — There are no wetlands within the proposed sewer alignment.
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
24 If of perennial stream within the proposed sewer alignment.
3d.
Explain the purpose of the proposed project:
The purpose of the proposed project is to construct a ±978 If gravity sewer line that will service the Chatham Medical
Office Building that will be constructed east of Suttles Road.
3e.
Describe the overall project in detail, including the type of equipment to be used:
The project consists of the construction of ±978 If of gravity sewer line (8 "), which will provide sanitary sewer service to
the Chatham Medical Office Building which will be constructed on the east side of Suttles Road in Pittsboro. The
proposed sewer line will begin at the Chatham Medical Office Building, and run northeast before tying into an existing
sewer line. Standard commercial construction equipment will be utilized to construct the proposed sewer line.
Page 3 of 10
PCN Form — Version 1.3 December 10, 2008 Version

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 past?
Comments: S &EC delineated the wetlands and streams
within the project area as an addition to the Chatham
® Yes ❑ No ❑ Unknown
Park property (SAW- 2010 - 00140) and the Corps of
Engineers field verified the delineation on 10/27/11. A
formal JD has not been issued for this specific area, but
the wetland delineation has been preliminarily approved
as a result of the field verification.
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: S &EC
Name (if known):
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
The proposed sewer line will be constructed through an area that is an addition to the original Chatham Park property
(SAW- 2010- 00140). The wetland delineation for the current project area was completed by S &EC and field verified by
the Corps of Engineers on 10/27/11. A copy of the S &EC wetland delineation exhibit, as well as the JD for the Chatham
Park property and letter from S &EC regarding the site review by the Corps has been provided as an Appendix.
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.
The proposed Chatham Medical Office Building Sanitary Sewer Extension will tie into an existing sewer line which was
permitted by the Corps (SAW- 2010 - 00140) and NCDWR (Project # 13 -1160) in 2013 as the Bojangles Sanitary Sewer
Extension. W &R is not certain if NCDWR will consider the proposed sewer extension for the Chatham Medical Office
Building an extension of the " Bojangles Sanitary Sewer Extension" project, which is why we have checked "unknown ".
6. Future Project Plans
6a. Is this a phased project?
® Yes ❑ No
6b. If yes, explain.
The proposed gravity sewer line will eventually be expanded to an entire network servicing the entire Chatham Park
project once Chatham Park has been fully designed, engineered and permitted. The current project consists only of the
section of sewer line necessary to service the future Chatham Medical Office Building which will be constructed east of
Suttles Road at the southern end of the proposed sewer alignment. The future sections of sewer line will be permitted
upon need and design.
Page 4 of 10
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. 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 (T)
W1 P T
❑ ❑
El Yes
[:1 Corps
No
DWQ
2g. Total wetland impacts
2h. Comments: There are no wetland impacts associated with this proposed sewer line.
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)
Impact #1
❑P ®T
Sewer Crossing
g
T to Haw River
® PER
❑INT
® Corps
®DWQ
7'
24 If
3h. Total stream and tributary impacts
24 If
3i. Comments: Proposed stream impacts will be temporary and stream bed /banks will be restored to pre- construction contours
upon completion of installation of the sewer line.
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 (T)
01 ❑P ❑T
02 ❑ P ❑ T
03 ❑ P ❑ T
04 ❑ P ❑ T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
Page 5 of 10
PCN Form — Version 1.3 December 10, 2008 Version

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
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 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 ❑ Tar - Pamlico ® Other: Jordan Lake
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 (T)
impact
required?
B 1 P T
❑ Yes
❑ No
B2 P T
❑ Yes
❑ No
B3 P T
❑ Yes
❑ No
6h. Total buffer impacts
6i. Comments: Impacts to Jordan Lake Buffers will be permitted by the Town of Pittsboro as a delegated municipality.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Impacts to streams have been minimized to temporary impacts, and the stream crossing has been designed to cross the
stream as close to perpendicular as possible. Due to the existing grades and presence of bedrock, the proposed sewer line
could not be tied into the existing sewer line farther east and maintain the gradient necessary for positive gravity flow.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
During construction, sediment & erosion control measures will be installed to prevent sediment from escaping the project area.
Page 6 of 10
PCN Form — Version 1.3 December 10, 2008 Version

2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes ® 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
roJ
p �ect?
❑ Mitigation bank
E:1 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
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:
❑ 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:
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
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
PCN Form — Version 1.3 December 10, 2008 Version

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?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
Comments: The project consists of the construction of a sanitary sewer line which
❑ Yes ® No
will not result in impervious area and diffuse flow is not required.
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
N/A — Sewer Line
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
project consists of the construction
of a sanitary sewer line which will not result in impervious area and stormwater management is not required.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ 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?
❑ Phase 11
3b.
Which of the following local) -im lemented stormwater management programs
❑ NSW
El 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
❑ 0 R
(check all that apply):
❑ Session Law 2006 -246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes El
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 8 of 10
PCN Form — Version 1.3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes ® No
use of public (federal /state) land?
1 b.
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 F1 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 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 description.
The proposed sanitary sewer line will immediately service the Chatham Medical Office Building which is anticipated to be
constructed within the next 12 months. However, the sewer line will eventually be expanded into a network to service the
Chatham Park project once fully designed and constructed. All additional development associated with the expansion of
the sewer line will be required to meet all federal, state and local regulations, as well as the Town of Pittsboro's very
stringent Jordan Lake Watershed Stormwater Management Rules and Riparian Buffer Ordinance.
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.
Town of Pittsboro Sanitary Sewer
Page 9 of 10
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?
F-1 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?
S &EC conducted surveys for federally listed species for the project area in 2008. The surveys did not identify the
presence of any federally listed species within or adjacent to the proposed sewer alignment.
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?
There are no waters classified as EFH in Chatham County.
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?
W &R reviewed the NC State Historic Preservation Office's online database, located at: http://gis.ncdcr.gov/hl)oweb/, to
determine if there were any known historic or cultural resources within or in the vicinity of the proposed project. The
database review did not identify any known resources within or in the vicinity of the proposed project.
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? www.ncfloodmaps.com
Troy Beasley — W &R
Authorized Agent
g
8/14/14
Applicant /Agent's Signature
Date
Applicant /Agent's Printed Name
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 10 of 10
PCN Form — Version 1.3 December 10, 2008 Version

AGENT AUTHORIZATION

WITHERS
R,AVENEL
ENGINEERS l PLANNERS l' SURVEYORS
AUTHORITY FOR APPOINTMENT OF AGENT
LAWCL
The undersigned owner StWe'(Client) does hereby appoint Withers &
Ravenel, Inc. as his, her, or it's agent for the purpose of petitioning the appropriate local, state
and federal environmental regulatory agencies (US Army Corps of Engineers, NC Division of
Water Quality, NC Division of Coastal Management, local municipalities, etc.) for: a) review and
approval of the jurisdictional boundaries of onsite jurisdictional areas (wetlands, surface waters,
riparian buffers, etc.) and/or; b) preparation and submittal of appropriate environmental permit
applications /requests for the Chatham Medical office Building Sanitary Sewer Extension.
The Client does hereby authorize that said agent has the authority to do the following acts on
behalf of the owner:
(1) To submit appropriate requests /applications and the required supplemental
materials;
(2) To attend meetings to give representation on behalf of the Client.
(3) To authorize access to subject property for the purpose of environmental
review by appropriate regulatory agencies.
This authorization shall continue in effect until completion of the contracted task or termination by
the Client.
Agent's Name, Address & Telephone:
Withers & Ravenel Inc.
115 MacKenan Drive
Cary, NC 27511
Tel. [phone],40
115 MacKenan Drive Cary, NC 27511 tel.: [phone] fax: [phone] ' www.withersravenel.com License No. C -0832
1410 Commonwealth Drive Suite 101 Wilmington, NC 28403 tel: [phone] fax: [phone]
7011 Albert Pick Road Suite G Greensboro, NC 27409 tel: [phone] fax: [phone]

USGS QUAD &
CHATHAM CO. SOIL SURVEY

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CHATHAM PARK JD INFO

Preston Development
Attn:' Philip Culpepper
100 Weston Estates Way
Cary, NC 27513
Environmental Consultants-, PA
Road 9 MeigN Norffi Carolina 27614 9 Phone: [phone] * Fax: [phone]
www.SandEC.com
October 28, 201
S&EC Project 9948.W21
Re: U.S. Army Corps of Engineers (USACE) Site Meeting for verification of the Wetlands and
Waters of the U.S. for the property known as Chatham Park (+/- 800 ae addition), Pittsboro,
Chatham County, North Carolina
On October 271, 2011 , Mr. Monte Matthews of the USACE and I reviewed a portion (800 acre
-itddition north.of Suttles Road) of the Chatham Park Assemblage to verify the wetland and
stream determinations made by S&EC. The Attached maps show the areas most recently veed
and the determinations made.
All marginal channels shown on the original delineation maps were determined to be "non-
jurisdictional".- The area at the intersection of Russet Run and Suttle-s Road was determined to
be "Non Jurisdictional Pond in high ground", therefore not subject to the USACE jurisdiction.
Feature F was determined to be important. All other features are as they were in the original
S&EC report.
These determinations are strictly for the purposes of the US Army Corps of Engineers. They do
not include any Chatham County Municipal Buffers.
If you wish to, have us submit all information to request a Jurisdictional Determination from the
USACE, please contact us.
. .10
Sincerely,
Steven Ball
Wetland Scientist
Attachments: 1) Revised Wetland sketch map (overall only)
Cc: Monte Matthews/USACE

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j For your Infonnation and files
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comment For El Returned for
correction, resubmit
0
Ej Approved noted
Under Separate Cover'-
By i
By couner
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,E] By express
ftw�M
If enclosures are not as listed as above, kindly notify .
cc

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. 201000140 County: Chatham U.S.G.S. Quad: Pittsboro/Merry Oaks
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Agent: Chatham Park Investors, LLC
Address: Attn: Tim Smith
100 Weston Estates Wa
Carv., NC 27513
Telephone No.: 919-481-3000
Property description:
Size (acres)
Nearest Waterway
USGS HUC
Location descripti(
Neare,st Towel
Div asIn
ej(l R
B
'I
Riii) esoilr/S t'nki H LL Cooi,dihi ate
es
Ca "I el Feat
),J Chtd-�
)n site,, soittll rg
,10rd k mn.L_ake.
Indicate Which of the Following Apipla:
Pitts t!,js b o r 0
CIA, 2e filear
N
35.71254 792154
i,
NC atid,u xte",ads st1 ad
ott I jactl.!U�o
A. Preliminary Determination
fioti, t1wi-e nlay bc%� W'ct,1,afl,ds, on, (lie above descri`bcd property'. We sirongiy
Bas.,ed on preld'ilfitiary inFortna 1 0
i 1,e Ar-niy
A. Jurisdictioll., I be
is, propellysl deter pit extetill of'Denartilient'o,ftl
pectedto d
It I inittiary', ts, no,t ti appealable act,"
be vcrifl d, by tlie Cor,ps., "his" J,)reli
C Appe-ttl process (Referetice 33 C, ''ZiAl 331 ),
ti,nd er the Regu, latory Rrogra, Ads, i.tfl S A i v
B. Approved Determination
eft rep are°eMt�s of
Lhiitcd, Stales wid"Oti, e above derscribd proper', y subject tt,)i tile
"Fliere,are 'N, wable'Wat"ers of th,e i
1
,,el AW or
Scaton '10 ofthe'R` J 1-larbors A,ct an(l Section 4.04 of Cleaii WaterAct. L,1114c;ss there is, a chiall e 1, 1 1
ive,rs aid i,J , , xi , W , t X oil 'he a I'S
ti, perto nt date of ties
dii, �t to e ceed five years ft
otirpublished rtgtflations, tiiils detennilla, tiotl il"'lay, he reined, upori f0t
notification.
pennit requiretnents, of
X There are waters of the U.S. including wetlands on the above described project, �irea SLA�jed, tO tl Ished
Section 404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there I*s a chatIp Hitliz law or our pub1i
regulations, this determination may be relied upon for a period not to exceed rive years Croill the dat,e ol tbl'snot*fii cat i
ton.
D 7 V
ue to the s iz,,e Of yo ,,. rop efty, an(Vor o ut
gly suggesst you, have, the wetlaiids, on your property delineate(lo,
We st'roll '1 1, '1 1, For a, inore, litne
d, de"neation in atitne' i ly
presciltwork''load, tile Corps inay tiot be able toaceot'Ii,plish t1lis wettal, ly 'na , twi rps.
beverl't'ied by the Co
delilticatiloll,, y0t], tnay vvisb to, obtain, a, c,otisttltailt. "T"o lie considered, tinal, any delineation, tnus''
X rtwl waters. of t1it. 11S. flicludi tig, wetlaIld, oti,, your pt-oJeet area have been del",neated, tt,ild the defineatiot'i flasbeen
t'ljis� s,u vey should be
e e 10,11 Surveyed,, 1Jpoii coinpletl 17
vert,fited, bythe Cor'l W s-t,,r,ol�l,gi,y,sLI,",styo,uli,a�l�et,h"s,d,�'t'i,neat,"
y w".11, provi'de ail accurate depictioll, orall areas subject to
"t viewed and vered'by th I e (90orps. otwe ver: V IN D tile law, or our publ"Ished regulations, may be
I
I per") 'hie'li,prio�vided,tIi,e,t,,� istiochat), I
10 [1 your pro ere Jurisd t iioil( 0
iv, �,trs,,
relied, poi r a per"od ,lot to exceed, f
e y c
icted on Carp
-vey dand, are =Llzrately dep'
r the plat signed by the Co s
been, defineated, alid,sttj
1® 1 . 'is a change in the law or our published regulations, this
Re ict 1,
gtjlatoi-),�, 0,111 al "dentified, below oti, 's 1 A) in tl 11 e date of this notification.
i
There are no waters of the U.S., to include wetlands, present on the above- described property which are subject to the
i
permit re ements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our
qur e relied upon for a period not to exceed five years from the date of this
published regulations, this determination may b
notification.
The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(CAMA). You should contact the Division of Coastal Management in Washington, NC, at [phone] to determine
their requirements.
Page I of 2

Action ID: 201000140
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (3 3 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact Monte Matthews at 919- 554 -4884 x30.
C. Basis For Determination
�, � off" t e 198 etlands DelInes Iron ti a,l atet of 1 e 1.
il�eugg of an o dear � l� ate n��� k �nl �s
s i . °Dace connection t 1 -d i ale a . "" co, cct o s e'�ther d w� ~eet or tl� �o�u l� @�� l �u� �"
h: r es� Nh
Creek.
D. Remarks
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the
particular site identified in this request. The delineation/determination may not be valid for the wetland conservation
provisions of the Food Security Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation
in USDA programs, you should request a certified wetland determination from the local office of the Natural Resources
Conservation Service, prior to starting work.
F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in
B. above)
This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this
determination you must submit a completed RFA form to the following address:
District Engineer, Wilmington Regulatory Division
Attn: Jean Manuele, Project Manager,
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for
appeal under 33 CFR part 331.5, and that it has been received by the District Office within 60 days of the date of the NAP.
Should you decide to submit an RFA form, it must be received at the above address by July 12, 2010.
"It is not necessary to submit an RFA form to the District Office if you do not object to the determination in this
correspondence.
Corps Regulatory Official: wl ati�s
Date May 12 2010
Expiration Date May 12, 2015
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to
do so, please complete the Customer Satisfaction Survey located at our website at htto :Hre�-rulatory.usacesurvey.com/ to
complete the survey online.
Copy furnished:
Mr. Steven Ball, S &EC, 11010 Raven Ridge Road, Raleigh, NC 27614
Page 2 of 2

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w &R "® CHATHAM MEDICAL OFFICE BUILDING
SANITARY SEWER EXTENSION
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