20160101 Ver 1_401 Application_20160116

Environmental Consultants,
8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27615 • Phone: [phone]
sandec.com
To: US Army Corps of Engineers
Raleigh Regulatory Field Office
Attn: James Lastinger
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
From: Deborah Edwards Shirley
Soil & Environmental Consultants, PA
Re: Town of Apex -Highway 55 Waterline Extension
Apex, Wake County, NC
January 29, 2016
S&EC Project # 12502.W4
NC DWR, 401 & Buffer Permitting Unit
Attn: Karen Higgins
Archdale Building — 91" Floor
512 North Salisbury Street
Raleigh, NC 27604
20160101
On behalf of the applicant, Mr. Stan Fortier with the Town of Apex Public Works & Utilities Department, please find
attached a complete application and supplemental information requesting written concurrence from the U.S. Army
Corps of Engineers (USACE) and the N. C. Division of Water Resources (NCDWR) that the activities proposed below
may proceed under Nationwide Permit 12. In addition, the applicant would like to request a Jordan Lake Watershed
No Practical Alternatives Determination from the NCDWR for the proposed impacts to riparian buffers.
Please contact me at [phone] if you have any questions or require additional information.
PROJECT SUMMARY
Project Name
Town of Apex -Hwy 55 Waterline Extension
Project Type
Utility Line Construction
Owner / Applicant
Town of Apex
County
Wake
Nearest Town
Apex
Waterbody Name
UT to Beaver Creek
Basin
Cape Fear -Jordan Lake
Index Number
16-41-10-(0.5)
Class
WS -IV; NSW
IMPACT SUMMARY
Stream Impact (acres):
0.007
Wetland Impact (acres):
0.004
Open Water Impact (acres):
0
Total Impact to Waters of the U.S.
acres
0.011
Total Stream Impact (linear feet):
0
Total Riparian Buffer Impact (sq. ft.)
Zone 1: 2,048 1 Zone 2: 1,092
Attachments:
Pre -construction Notification (PCN) Application Form
Agent Authorization Form
NRCS Soil Survey Map
USGS Topographic Map
DWR Buffer Determination NBRRO#15-177
NCDMS Mitigation Acceptance
Impact Exhibit
Construction Drawings -sheets 1-4
$240 DWR Application Fee
01
JAN 1 2016

OF W A TF9
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
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: 12 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification – Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification – Express ® Riparian Buffer Authorization
1 e. 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
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Town of Apex Hwy 55 Waterline Extension
2b. County:
Wake
2c. Nearest municipality / town:
Apex
2d. Subdivision name:
N/A
2e. NCDOT only, T.I.P. or state
project no:
N/A
3. Owner Information
3a. Name(s) on Recorded Deed:
Town of Apex -Public Works & Utilities Department
3b. Deed Book and Page No.
N/A; linear municipal project
3c. Responsible Party (for LLC if
applicable):
Stan Fortier
3d. Street address:
1058 Upchurch Street
Apex, NC 27502
3e. City, state, zip:
3f. Telephone no.:
919-249-1166 '
3g. Fax no.:
919-387-7055 DE—Q — _
3h. Email address:
[e-mail] FER PERMi,`.;`
Page 1 of 13
PCN Form – Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ® Other, specify: Applicant is owner as listed on the Agent
Authorization; please copy agent (S&EC) on all correspondence.
4b. Name:
Stan Fortier
4c. Business name
(if applicable):
Town of Apex-Public Works & Utilities Department
4d. Street address:
1058 Upchurch Street
4e. City, state, zip:
Apex, NC 27502
4f. Telephone no.:
919-249-1166
4g. Fax no.:
919-387-7055
4h. Email address:
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
Deborah Edwards Shirley
5b. Business name
(if applicable):
Soil & Environmental Consultants, PA
5c. Street address:
8412 Falls of Neuse Road
5d. City, state, zip:
Raleigh, NC 27615
5e. Telephone no.:
919-846-5900
5f. Fax no.:
919-846-9467
5g. Email address:
[e-mail]
Page 2 of 13

B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel iD):
N/A -linear utility project
1b. Site coordinates (in decimal degrees): IMPACT #7
Latitude: 35.7308 Longitude: - 78.8593
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size:
NIA
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
UT to Beaver Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
WSW, NSW, 16-41-10-(0.5)
2c. River basin:
Cape Fear River -Jordan Lake; Hydrologic Unit Code
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 existing conditions for the utility corridor is a wooded area between Hwy 55 and the. base of a dam. A,
perennial stream with adjacent wetland flows from the dam outlet to the pipe under Hwy 55 with an additional intermittent
stream flowing parallel to Hwy 55. The land use in the vicinity of the project is residential with some commercial.
3b. List the total estimated acreage of all existing wetlands on the property:
Approximately 158 ftz within the proposed construction corridor.
3c: List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Approximately 16 linear feet within the proposed construction corridor.
3d: Explain the purpose of the proposed project: The purpose of this project is to connect the waterline `loop"system. The.
existing Town'water system is a looped system that typically feeds water both ways. Due to the steepness of Highway 55
in this area the existing water line was stopped with a blow -off on each end and a gap in between. The connection of this
line will increase the water capacity and pressure of the system. It will also allow additional sections located near the
existing ends of the system to be taken off line for repairs and maintenance and still be able to provide water without a
total shut down to those homes and businesses.
3e. Describe the overall project in detail, including the type of equipment to be used:
The proposed infrastructure project will consist of a 12 -inch potable water line for approximately 700+ feet. The waterline
will start at the existing "end of existing 12" DIP water line", and. will extend south on the east side of Hwy 55 to the "end of
existing 12" DIP water line", see Plan & Profile sheet 3 of 4. All construction will take place on the eastern side of Hwy
55, just outside the existing Right -of -Way. Equipment typically used for. excavation and earthwork such as backhoes,
bulldozers, excavators etc. will be utilized for this project.
4. Jurisdictional Determinations
4a..Have jurisdictional wetland orstream determinations by the
Corps or State been requested or obtained for this property /
® Yes ❑ No ❑ Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
Preliminary El Final
of determination was made?
46. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Soil & Environmental
Consultants, PA.
Name (if known): Steven Ball
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
USACE- James Lastinger of the USACE visited the site on April 10, 2014 to verify jurisdictional wetlands & streams,
NCDWR- James Graham of the NCDWR visited the site on May 6, 2015 to verify riparian buffers (NBRRO#15-177)
Page 3 of 1.3 .
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ® No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
N/A .
6. Future Project Plans.
6a. Is this a phased project?
❑ Yes ®No
6b. If yes, explain.
N/A
Page 4 of 13

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
Utilities-
W1 (#1)'® P ❑ T
Conversion-
Permanent
Bottorimland
Hardwood Forest
® Yes
❑ No
® Corps
❑ DWQ
0.004
Maintenance
Corridor
El Yes
[_1 Corps
W2 ❑ P [IT
❑ No
❑ DWQ
❑ Yes
❑ Corps
W3 ❑ P ❑ T
❑ No
❑ DWQ
El Yes
El Corps
W4 El P ❑ T
❑ No
❑ DWQ
El Yes
El Corps
W5 ❑ P ❑ T
❑ No
❑ DWQ
2g. Total wetland impacts
0.004
2h. Comments: Total Permanent Conversion/Permanent, No Permanent Loss = 0.004acres (Permanent conversion of
forested wetland to permanently maintained corridor)
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 (#1) ❑ POT
Utilities -Water
UT to Beaver
® PER
Z Corps
20
16 .
Line -Open Cut
Creek
[__1 INT
❑ DWQ
❑ PER
❑ Corps
S2 ❑ P ❑ T
❑ INT
❑ DWQ
❑ PER
❑ Corps
S3 ❑ P ❑ T
❑ INT
❑ DWQ
0 PER
[:1 Corps
S4 [:1 P ❑ T
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
16
3i. Comments: Impact will be brought back to pre -construction stream bed elevations, and banks stabilized
Page 5 of 13
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.
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)
##1 ❑P❑T
#2 ❑P❑T
03 ❑P❑T
04 ❑P❑T
0. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the 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
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:
Page 6 of 13

6. Buffer Impacts (for DWO)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ❑Tar -Pamlico. ®Other: Jordan
Project is in which protected basin?
F1Catawba El Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason for
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
impact
Stream name
mitigation
(square feet)
(square feet)
Temporary T
required?
Utilities- Water
® Yes
B1(#1) ® P ❑ T
line
UT to Beaver Creek
❑ No
2,048
1,092
Construction
B2 ❑ PEI T
ED Yes
❑ No
El Yes
B3 ❑P❑T
❑ No
6h. Total buffer impacts
2,048
1,092
6i. Comments: Zone 1 impacts that require compensatory mitigation total 1, 016 ft? this Zone 1 area equals the parallel Zone 1
impacts to the intermittent stream that flows parallel to Hwy 55, not the perpendicular Zone 1 impact to the perennial stream.
See Impact Exhibit
Page 7 of 13

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.
S&EC completed a. wetland, stream and riparian buffer delineation for the proposed waterline project so that the project.
engineers could design a plan to minimize impacts to the natural resources to the maximum extent practicable.
The proposed waterline extension consists of a 12" water line that will result in one impact area. The proposed impact
area consists of a permanent, no permanent loss impact to a jurisdictional wetland and temporaryimpact to a perennial
stream associated with construction clearing and the open -cut construction method. In addition, the 30' wide construction
easement will include a 16' wide permanent maintenance corridor that will result in a "permanent conversion"from a
forested wetland to a maintained herbaceous wetland. Impacts and riparian buffer clearing for this project have been
minimized to the maximum extent practicable. Additionally, the waterline could not be constructed within the ROW
because this. section of Highway 55 is a two lane road with extremely steep side slopes (i.e. greater than 20' in depth and
at a steeper slope_ than a 1::1) and no guardrail. There is also an overhead Duke Energy easement along the ROW that
will have to be avoided. In summary, the total proposed impacts for this project are 0.004 acres of riparian wetlands, 16
linear feet of stream and 2, 048 ft2 of Zone land 1, 092 ft2 of Zone 2.
Furthermore; the applicant is aware of the regional conditions associated with the Nationwide Permits 12. With respect to
utility line activities (NWP 12 -Regional Conditions section 4. 0), the applicant is not proposing to directionally drill or Jack&
Bore because there is a significant slope on the southern side of the existing stream. In order to bore under the stream
and stay completely outside of the buffers, the bore pit would have been excessively deep (i.e. greater than 259, it would
have created an extreme amount of soil to be temporarily removed from the site and would have also been a maintenance
problem in the future with the water line so deep; any temporary discharges into wetlands during construction activities will
be kept to minimum period of time and will be contained with appropriate erosion control methods, construction corridor
proposed to be 30' wide but narrows down to 16' wide within the footprint of the stream and wetland areas, utilities are not
crossing the AIWW; the utilities are not aerial communication lines, the cleared wetlands within the construction corridor
will be allowed to re -vegetated with native species and the permanently maintained corridor has beenminimized to the
maximum extent practicable with impacts less than 0.10 acres therefore compensatory, mitigation has not been proposed,
use of riprap will not be necessary..
1 b.
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
construction access points are proposed for this project, one along Hwy 55 to the north of the stream and the other along_
the Town of Apex Warehouse driveway on the south of the stream. Once the water line installation is completed under
the stream, the existing grades will be re-established and the rea will be stabilized. Silt fence is proposed to be installed
across the easement along the Zone 2 buffer line on both sides of the stream and the impacted areas will not be
disturbed any further. Construction vehicles and materials will not be allowed in the stream, buffer or the wetland area at
this point.
2.
Compensatory Mitigation -for Impacts to Waters of the U.S. or Waters_ of the State
❑ Yes ® No
All proposed permanently converted wetland impacts are
less than 0.10 acres, therefore the applicant is not prop_ osing
2a.
Does the project require Compensatory Mitigation for
compensatory mitigation in the form of a payment to a
impacts to Waters of the U.S. or Waters of the State?
mitigation bank. However, the applicant does plan to bring
all impacts to wetlands back to pre -construction contours and
allow these areas to re -vegetate and maintain. Additionally,
stream impacts will be restored to pre -construction
elevations and banks stabilized.
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
El Payment to -in -lieu fee program
project?
❑ Permittee Responsible Mitigation
Page 8 of 13
PCN Form = Version 1.3 December 10, 2008 Version

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
Parallel in Zone 1
1,016
3 (2 for Catawba)
3,048
Zone 2
1.5
6f. Total buffer mitigation required:
3,048
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: Zone 1 impacts that require compensatory mitigation total 1,016 ft? this Zone 1 area equals the parallel Zone.
1 impacts to the intermittent stream that flows parallel to Hwy 55, not the perpendicular Zone 1 impact to the perennial
stream. Please see attached Mitigation Acceptance letter from the NC Division of Mitigation Services.
Page 9 of 13

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 within
® Yes [:]No
one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
Comments: This proposed project will not result in concentrated stormwater or
❑ Yes ® No
additional imperviousness.
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
N/A, proposed activity will not
add impervious to project area.
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why: This proposed project is requesting the
use of a Nationwide Permit 12 and General Water Quality Certification 3884, Stormwater
Management is not a
conditional requirement of this General Certification.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
N/A
❑ 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 II
3b.
Which of the following locally -implemented stormwater management programs apply
F1 NSW
F1 USMP
(check all that apply):
❑ Water Supply Watershed
❑ Other:
36. Has the approved Stormwater Management Plan with proof of approval been attached?.
0 Yes El No
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 attached?
El Yes No
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 10 of 13
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
❑ Yes ® No
environmental document pursuant to the requirements of the National or State
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
❑ Yes ❑ No
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
❑ Yes ® No
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
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.
We have reviewed the "Draft Internal Policy, Cumulative impacts and the 401 Water Quality Certification and Isolated
Wetlands Programs" document prepared by the NC Division of Water Quality on April 10, 2004, version 2.1. The draft
states that `other publically funded projects"may or may not result in cumulative impacts. The proposed Highway 55
Waterline Extension project may result in future cumulative impacts however the Town of Apex has addressed these
potential secondary and cumulative impacts within their Secondary and Cumulative Impacts Master Mitigation Plan" and
Biennial Reports found on the Town of Apex SCI Master Mitigation Plan website: http✓/www.apexnc.ora/266/SCI-Master-
Mitiaation-Plan In addition to this plan and report, it is important to note that the project is located within Town of Apex,
therefore any proposed adjacent properties that have potential for development would have the following
regulations to protect downstream waters and water quality. 1) the Water Supply, Watershed Protection Program
which limits development densities as well as requires protective riparian buffers, 2) the Jordan Watershed Basin
Riparian Buffer Protection regulations, these regulations require limited development within the riparian buffers,
"diffuse flow" of any concentrated stormwater which could require Best Management Practices to control nitrogen
and phosphorus if diffuse flow cannot be achieved, and finally 3) the Phase II NPDES Stormwater Permit Program,
this program includes permitting requirements for Municipal Separate Storm Sewer Systems (MS4s) in addition to
post -construction stormwater management requirements. We anticipate that the DWR will advise us if any
additional information is necessary.
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. N/A
Page 11 of 13
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Rp.quirement)
5a. Will this project occur in or near an area with federally protected species or ❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ❑ Yes ® No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted. ❑ Raleigh
❑ Asheville
Page 12 of 13

5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat? The NC -Natural Heritage Programs Data Explorer Map was used to search for elemental occurrences of
federally protected species listed within 1 mile of the project boundaries. It was determined based on the search that
there are no elemental occurrences that are listed as federally Threatened/Endangered within 1 mile of the project
boundaries. Please note the Final 4(d) rule identifies the Northern Long-eared Bat as a Threatened species within Wake
County.
References: North Carolina Natural Heritage Program Data Explorer Search [January 27, 2016]. Department of
Environment and Natural Resources, Office of Land and Water Stewardship, Raleigh, NC. htta://www.ncnhp.orcr/
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?
Project located in Wake County. This project is not located near any designated Essential Fish Habitat areas.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
❑ Yes ® No
governments have designated as having historic or cultural preservation
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
The NC State Historic Preservation Office HPOWEB GIS Service interactive map was referenced on January 27, 2016,
no historic structures were identified within the property boundaries. Additionally, no structures were identified onsite
during the wetlands evaluation.
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? Project engineer and the NC Floodplain Mapping
Program
z (,
January 29,
Deborah E. Shirley
2016
Applicant/Agenfs Signature
Applicant/Agent's Printed Name
(Agent's signature is valid only if an authorization letter from applicant
is provided.)
Date
Page 13 of 13

Soil Environmental Consultants., PA
8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27615 - Phone: (gig) 84lr5.900 * Fax: [phone]
sandec.com
MUNICIPAL OFFICIAL] AGENT AUTHORIZATION
Project Nam.e/Description: Town of Apex Hwy 55 Waterline -S&EC Project # 12502.
Date: 1 'Z—'Z
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403.
Attn: James Lastihizer Fiefd Office: Ral6i6 Regulatory Field Office
This document authorizes Soil & Environmental Consultants, PA (S&EQ (as my:agent) to act on my
behalf and take all actions necessary for the processing, issuance and acceptance of a permit or
certification and any and all associated standard and special conditions. This notification supersedes any
previous correspondence concerning the agent for this project.
NOTICE: This authorization, for Liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S&EC staff. You should: call S&EC to arrange a site
meeting prior to visiting the site:
PARCEL INFORMATION:
Parcel Index Numbers) (PIN): 0742211229
Site Address: 503 W. Chatham Street
City, County, State: Apex Wake CountyNorth Carolina
PROPERTY OWNER INFORMATION:
Name -�® ;. �, 1�-o�X PuO(i(,tNor-ks an Uf,1 ate c
Address• 105 R 0pr-,i,- (A -e1, k1 F 7 a
Phone No.: (91 q) Z. .q 9-'11(0 -b Fax No.:.(cl1 q) 3177 - 7 6-5 Mobile No.: (7).q) ,2 g i. - z 5a 7 -
Email: T,6,\ "r k -t
S�An FGA 4f,
Municipal Official (please print) Date
finicipal Official's -Signature
We hereby certify the above information submitted in this application es true and accurate to
the best of our knowledge

55
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HUNTER ST 74
Us tice�
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Project Number: Map Title:
12502.W I U5G5 Map
Project Manager:
513 Town of Apex Hwy 55 Waterline
5cale: Wake County, NC
1 " = 500'
Source:
Date: 1 1-71 1 G U565 Apex Quadrangle
J Jq
Limit of Evaluation
;n
N
0 250 500 750 1,000
Feet
Soil a Environmental Consultants, PA
Ni] f.Eln d-�siw Reed. Rmne I W.ILJNg6..\C 2'!LI S • hea.•. 1919)R�6�J9W • fe. (919�1169bJ
arde[cnm

North [7epr:,ne!'t of Envircl!merit ,and Natural Resources
Prat I-AcCro�i y
I own of Apex
P.O. Box 250
Apex, NC 27502
Donald R. var del
r
May 11, 2015
LWL
Y 18 Zo15
na^ UA
Subject: Buffer Determination
NBRROft 15.177
Wake County
Determination Type:
Buffer Call Isolated or EIP Call
❑Neuse (15A NCAC 2B .4233)
❑ Tar -Pamlico (15A NCAC 2B ,4259) ❑Ephemeral/IntennittenUPerennial Determination
❑ Isolated Wetland Determination j
® Jordan (15A NCAC 28.0267) J
Project Name:
Locat ion }Directions:
Subject Stream:
_ Town of Apex frWY 55 Waterline
Property is located along HWY 55 next to the town Public works building.
Beaver Creek
Determination Date: May 6, 2015
Feature ~ Not Subject
/lwlag � Subject To
To Butlers
A. Buffers
X . __..
_ __ _.:
Pond I X
P F'P - Fphemeral'intenniuentrPercnnial
Staff: James Graham
Start@a (_ Stop@a
Soil � USGS
Survey Topo
_ X. X
_ X - X
Explanation: The feature(s) listed above has or have been located on the Soil Survey of Wake County, North
Carolina or the most recent copy of the USGS Topographic map at a 1:24,440 scale. Each feature that is checked
"Not Subject" has been detennined not to be it stream or is not present on the property. Features that are checked
"Subject" have been located on the property and possess characteristics that qualify it to be a stream. There may be
other streams located on your property that do not show up on the maps referenced above but, still may be
considered jurisdictional according to the US Almy Corps of Engineers andlor to the Division of Water Resources
(DWR).
?4olit
hCaru ina
,1aturn��/
North Caroikna Division of Water Resources, 1628 Mad Service Center Raleigh, NC 27699-1628 Phone [phone]D
Internet wvm numitentuaht_y ory Location: 3800 Barrett Drive Raleigh, NC 27609 Fax [phone]
An Equal 0ppo-blI V limNe Atter E00ner.- 50% RM0eW10`ru Post COMM Pape.'

Town of Apex NWY 55 Waterline
Wake County
May 12, 2015
Page 2 of 2
This on-site determination shall expire five (S) years from the date of this letter. Landowners or affected parties that
dispute a determination made by the DWR or Delegated Local Authority ma) request a determination by the
Director. An appeal request must be made within sixty (60) days of date of this letter or from the date the affected
party (including downstream and/or adjacent owners) is notified of this letter. A request for a determination by the
Director shall be referred to the Director in writing. If sending ria US Postal Service c/o Karen Higgins DWR _. 401 A
Buffer Permining Unit 1617 Afall Service Center Raleigh, NC 27699-1617. If sending via defivroy service (UPS, fedi x,
etc.) Karen Higgins D N'R — 401 do Buffer Permitting Unit 512 N .Sollsbury Street Raleigh, NC 2 760.
This determination is final and binding unless. as detailed above, you ask for a hearing or appeal within sixty (60)
days.
The owner/future owners should notify the Division of Water Resources (including any other local, State, and
Federal Agencies) of this decision concerning an) future correspondences regarding the subject property (stated
above). This project may require a Section 404/401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Resources (Central Office) at (919)-807-6300, and the US Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919)-S.S4-4884.
If You have questions regarding this determination, please feel free to contact lames Graham at [phone].
Respectfully.
Danny Smith, Supervisor
Water Quality Regional Operation Section
Raleigh Regional Office
cc: RRO+SWP File Copy
Steven Ball
S&EC
8412 Falls of the Neuse Rd Suite 104
Raleigh, NC 27615

or
S&
EC

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Project Number: Map Ttfle:
1 2502.E I 0 250500 750 1.003 1
Project Manager: 5w burvey Map - -
5B Town of Apex Hwy 55 Waterline Feet
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500' Wake County, liC
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Environmental
Quality
January 26, 2016
Stan Fortier
Town of Apex -Public Works & Utilities
1506 Upchurch Street
Apex, NC 27502
Project: Town of Apex -Highway 55 Waterline Extension Project
PAT MCCRORY
6owrno.'
DONALD R. VAN DER VAART
Sfrrefory
Expiration of Acceptance: July 26, 2016
County: Wake
The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) 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 DMS in -lieu fee mitigation program will be
approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the applicant to
contact permitting agencies to determine if payment to the DMS will be approved. You must also comply with all other
state, federal or local government permits, regulations or authorizations associated with the proposed activity including
G.S. § 143-214.11.
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/401 Certification/CAMA permit within this time frame, this acceptance will expire. It
is the applicant's responsibility to send copies of the permits to DMS. Once DMS 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 in4leu fee to be paid by an applicant is calculated based upon the Fee Schedule and
policies listed at http.1/portal.ncdenr.org/web/eep.
Based on the information supplied by you in your request to use the DMS, the impacts that may require compensatory
mitigation are summarized in the following table. The amount of mitigation required and assigned to DMS for this impact
is determined by permitting agencies and may exceed the impact amounts shown below.
Impact
River
CU Location
Stream (feet) Wetlands (acres) Buffer I
Buffer II
Basin
(8 -digit HUC)
(Sq. Ft.)
(Sq. Ft.)
Cold
Cool Warm Riparian
Non -Riparian
Coastal Marsh Jordan -Lower New
Hope
Cape
Fear
03030002
0
0 0 0
0
0 1,016
0
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The mitigation will be
performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010 and 15A NCAC 02B .0295 as
applicable. Thank you for your interest in the DMS in4ieu fee mitigation program. If you have any questions or need
additional information, please contact Kelly Williams at [phone].
cc: Debbie Shirley, agent
Sincerely,
�_'�&Vo
Jam s. Stanfill
Asse anagement Supervisor
"Nothing Compares,_
State of North Carolina I Environmental CArality
1601 Mail Service Center I Raleigh, North Camllna 27699 1601
919-707-8600

I �
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EDGE OF WATER f °n
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Ex. TOP OF BANK SAM SPILLWAY Wetlands
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_ � � moo. � _ � ..:y"•.p'•.• ,� \ \
0 WA,
�Of lJ * x ..�. .\ •�.' '`. , \ / -TCE
ConstructiOn Easement
TCE
Tem TCE
10 Ease �t PWE, \` / PW
TCE T E \ \ PWE PWE
�.... WE
jA/�tlnds j/ i/.�..i' ' I, ( 1 i \ E 201 PWE PveTE 1--t' W \ o\ P ' - J
\ " \
— TCE — TCJ�ci n� �1 ''1 I Pw ) I I I w-
10' Temp Construction Easement TCE TCE \ J�,J�.��,.i , 16 Perm Water as + awE ���� f w�'�T \ \ \ \ PO \
TCE TCE TCE / 1 y /� / PWE-
20' Perm Water Easement /J/ +�++ WE �— WE PWE
PWE PWE —PWE\—/�. \ +++
PWE -�� PWE r PWE i + 1 at _
k&P-12" WATER LINE— w \ ' �� E 20 E s dnt t O Wad• �R
—wT=—w —T�+ w' w
/ PWE/ I PWE I PWE{ PWE PWE PWE
E2�err�'W e� LaseMentl —_— —_ ---- ---- _---_----
/� J )
ghtb� fi =`--
-7- -----------_--_---
- - - - - - - - - - - - - - - -- - - -
- _ - - - - - - - - - - - - - -
z
_ _ _ _ _ — _ _ Ex. Overhead Power
a=te= _ — — — — — — — — Existing Edge of Pavement /
------_—__—
H1r..14 11AY `�------------- —\ Q
(100' RIGHT OF WAY�
f Pavement` \ _Existth9 Bae,/�j�'
E g Edge �_.S�P -- Of} / /'�J' j-
- --
— op
- -op
TEMPORARY IMPACTS
ZONE 1 BUFFER
1,032 SF
ZONE 1 BUFFER WITH MITIGATION
ZONE 2 BUFFER
1,016 SF
1,092 SF--/J�-�JJ�JJ
STREAM - LENGTH
16 LF ` • ' ++ +
STREAM - AREA
326 LF
PERMANENT IMPACTS WITH NO
PERMANENT LOSS
WETLAND 1 158 SF
R►g�t of Way,
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DATE: 1-15-2016
SCALE: 1"=30'
IMPACT
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