A01 Eng_Form_4345_2022Sep 20240126 JLR Signed to Print

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U.S. Army Corps of Engineers (USAGE)
Form Approved -
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT
OMB No. 0710-0003
For use of this form, see 33 CFR 325. The proponent agency is CECW-CO-R.
Expires: 08-31-2023
The public reporting burden for this collection of information, OMB Control Number 0710-0003, is estimated to average 11 hours per response, including the time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense, Washington Headquarters Services,
at, Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection
of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR APPLICATION TO THE ABOVE EMAIL.
PRIVACY ACT STATEMENT
Authorities: Rivers and Harbors Act, Section 10, 33 USC 403; Clean Water Act, Section 404, 33 USC 1344; Marine Protection, Research, and Sanctuaries Act,
Section 103, 33 USC 1413; Regulatory Programs of the Corps of Engineers; Final Rule 33 CFR 320-332. Principal Purpose: Information provided on this form
will be used in evaluating the application for a permit. Routine Uses: This information may be shared with the Department of Justice and other federal, state, and
local government agencies, and the public and may be made available as part of a public notice as required by Federal law. Submission of requested information
is voluntary, however, if information is not provided the permit application cannot be evaluated nor can a permit be issued. One set of original drawings or good
reproducible copies which show the location and character of the proposed activity must be attached to this application (see sample drawings andlor instructions)
and be submitted to the District Engineer having jurisdiction over the location of the proposed activity. An application that is not completed in full will be
returned. System of Record Notice (SORN). The information received is entered into our permit tracking database and a SORN has been completed (SORN
#A1145b) and may be accessed at the following website:
(ITEMS 1 THRU 4 TO BE FILLED BY THE CORPS)
1. APPLICATION NO.
2. FIELD OFFICE CODE
3. DATE RECEIVED 4. DATE APPLICATION COMPLETE
(ITEMS BELOW TO BE FILLED BY APPLICANT)
5. APPLICANT'S NAME
8. AUTHORIZED AGENT'S NAME AND TITLE (agent is not required)
First - Justin Middle - Last - Curis
First - Jennifer Middle - Last - Robertson
Company - TKC Land Development II, LLC
Company - Atlas Environmental Inc
E-mail Address [e-mail]
E-mail Address [e-mail]
6. APPLICANT'S ADDRESS:
9. AGENT'S ADDRESS:
Address- 4500 Cameron Valley Pkwy, Suite 400
Address- 338 S. Sharon Amity Road, 9411
City - Charlotte State - NC Zip - 28211 Country -USA
City - Charlotte State - NC Zip - 28211 Country -USA
7. APPLICANT'S PHONE NOs. wlAREA CODE 10. AGENTS PHONE NOs. wIAREA CODE
a. Residence b. Business c. Fax a. Residence b. Business c. Fax
704.319,8164 829.712.9205
STATEMENT OF AUTHORIZATION
11. 1 hereby authorize, Alias Environmental Inc, David Rabon to act in my behalf as my agent in the processing of this application and to furnish, upon request,
supplemental information in support of this permit application.
°4i++r.� sr .nme, acsema.
Jennifer Robertson 2024-01-05
SIGNATURE OF APPLICANT DATE
NAME, LOCATION, AND DESCRIPTION OF PROJECT OR ACTIVITY
12. PROJECT NAME OR TITLE (see instructions)
South Point Commerce Center
13. NAME OF WATERBODY, IF KNOWN (if applicable) 14. PROJECT STREET ADDRESS (if applicable)
Kennedy Mill Creek, Class C, Lower Yadkin Watershed 03040103
Address 346 Griclar Street
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15. LOCATION OF PROJECT
Latitude: -N 35,92604' Longitude: -W-80.046900 - Thomasville State- NC zip- 27262
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16. OTHER LOCATION DESCRIPTIONS, IF KNOWN (see instructions)
State Tax Parcel ID a,idwn: 16311MM11, ,631:0000W& 1631200M%7 a, „� Municipality Thomasville
Section - Township - Range -
17. DIRECTIONS TO THE SITE
From 8430 University Executive Park Dr, Charlotte, NC 28262, Get on I-85 N from W W.T.Harris Blvd
Follow 1-85 N to 1-85BL N/US-29 NIUS-70 E in Davidson County. Take exit 87 from 1-285/I-85BL N/US-52 N
Use the right 2 lanes to take exit 87 for I-285/U.S. 52 toward Lexington/Winston-Salem
Continue onto I-285/I-85BL NIUS-52 N
Use the right 2 lanes to take exit 87 for I-85/US-29/US-70 toward High Pt
Continue on I-85BL N. Drive to Transit Ave
Continue onto I-85BL N/US-29 N/US-70 E
Take the exit toward W High Point
Use any lane to turn left onto NC-68 N
Turn right onto Hasty School Rd
Turn left after Advance Auto Parts (on the left)
Arrive 346 Griclar St, High Point, NC 27262 0
18. Nature of Activity (Description of project, include all features)
The proposed project is a five building industrial park on 178.31 acres in Davidson (5 parcels), Guilford (2 parcels), and Randolph (I parcel)
counties. The buildings are of varying sizes (ranging from approximately 125,000 to 1,000,000 square feet). The proposed industrial center
also will include ingress and egress roadways, automobile and trailer parking, stormwater control measures, and utilities and other associated
infrastructure components. The project site includes 1 I streams (5 perennial and 6 intermittent), 6 wetlands (1 non jurisdictional), and I
impoundment.
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19. Project Purpose (Describe the reason or purpose of the project, see instructions)
The purpose of the proposed project is to construct a new and modern, high -quality, light industrial center with industrial buildings of varying
sizes (125,000 to 200,000 square feet each, and at least one building greater than 1,000,000 square feet in size) and features (e.g., modem
clear heights, number of dock doors, number of parking spaces) to meet current and future demand for industrial space, accommodate a
diverse and stable tenant portfolio, and better serve the greater Triad (Greensboro, High Point, and Winston-Salem) markets. The proposed
facilities ideally would be near major transportation corridors with easy ingress and egress of transportation corridors and the project site.
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USE BLOCKS 20-23 IF DREDGED ANDIOR FILL MATERIAL_ IS TO BE DISCHARGED
20. Reason(s) for Discharge
CH 400 - Installation of French drain and fill material to fill 763 linear feet (0.062 acres) of perennial stream for the construction of an
industrial building.
CH 900 - Installation of culvert for road crossing 110 linear feet (0.006) in length and construction of headwalls to reduce additional impacts
to stream. Road crossing to provide access to high ground and proposed industrial building.
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21. Type(s) of Material Being Discharged and the Amount of Each Type in Cubic Yards:
Type Type Type
Amount in Cubic Yards Amount in Cubic Yards Amount in Cubic Yards
CH 900 Culvert - 4.84 cy CH 400 French Drain - 100.03 cy
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22. Surface Area in Acres of Wetlands or Other Waters Filled (see instructions)
Acres 0.085 Total acres (0.062 ac French drain and fill impact to CH 400 perennial; 0.006 ac culvert to CH 900 intermittent)
or
Linear Feet 873 total LF (110 LF for culvert and 763 for building)
23. Description of Avoidance, Minimization, and Compensation (see instructions)
The placement and overall size of the buildings have been designed to avoid and minimize impacts to streams and wetlands. Buildings have
been reduced in size, realigned away from aquatic features to the greatest extent possible to allow vehicles to move safely around buildings,
and a total of 941 linear feet (29,835 SF) of retaining walls are proposed to avoid and reduce impacts to aquatic resources. Compared to the
Highest and Best Use (HBU) site plan, the proposed project site plan reduces overall building square footage by approximately 34% and
reduces total office space, dock doors, auto parking spaces, and trailer parking spaces. The HBU site plan results in impacts to two additional
perennial streams, two additional intermittent streams, and two additional jurisdictional wetlands compared to the preferred project plan.
Mitigation is proposed by purchasing credits from NCDMS or approved third -parry mitigation bank.
24. Is Any Portion of the Work Already Complete? OYes 0 No IF YES, DESCRIBE THE COMPLETED WORK
25. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (if more than can be entered here, please attach a supplemental list),
a. Address- SEE ATTACHED
City - State - Zip -
b. Address -
City - State - ,Zip -
c. Address -
City - State - Zip -
d. Address -
City - State - Zip -
e. Address -
City - State - Zip -
26. List of Other Certificates or Approvals/Denials received from other Federal, State, or Local Agencies for Work Described in This Application.
AGENCY TYPE APPROVAL* IDENTIFICATION NUMBER DATE APPLIED DATE APPROVED DATE DENIED
NCDWR 401
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Would include but is not restricted to zoning, building, and flood plain permits
27. Application is hereby made for permit or permits to authorize the work described in this application. I certify that this information in this application is
complete and accurate. I further certify that I possess the authority to undertake the work described herein or am acting as the duiy authorized agent of the
applicant.
Jennifer Robertson
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SIGNATURE OF APPLICANT DATE SIGNATURE OF AGENT DATE
The Application must be signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly
authorized agent if the statement in block 11 has been filled out and signed.
18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States
knowingly and willfully falsifies, conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or fraudulent
statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or fraudulent
statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both.
ENG FORM 4345, SEP 2022 Page of