20080734 Ver 1_401 Application_20080408

Progress ~-
~~ 08-0734
April 16, 2008
Division of Water Quality
401/Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Subject: Pre-Construction Notification Application Form
Cecil Farm Site
3915 N. Church Street
Greensboro, North Carolina
To Whom It May Concern:
Enclosed please find a courtesy copy of the Pre-Construction Notification Application Form and
supporting documents for a Nationwide Permit (N WP 39) request for commercial development at
3915 North Church Street in Greensboro, North Carolina. Danielle Lauren Properties, LLC has
retained Progress Environmental, Inc. (Progress) to provide permitting services for this project.
Please do not hesitate to call me at [phone] if you have any questions regarding this
submittal.
Sincerely,
PROGRESS E IRONMENTAL, INC.
,,~~ ~~`
i 6 ,
Joseph S. Lawson 111 ;"~ ~' ~ p~ ~~,,h,~
Director of Natural Resources
_, ~,r~.
Enclosure: Pre-Construction Notification Application Form
Vicinity Map
USGS Topographic Quadrangle
NRCS soil Survey Map
Aerial
Koontz-Bryant, P.C. Original Site Map with Wetlands (Project Abandoned)
Koontz-Bryant, P.C. Site Map for Current Project (ABC Store/Retail)
Koontz-Bryant, P.C. Wetlands Area Map (with proposed impacts)
Copy of Jurisdictional Determination Documents
Copy of Agent Certification of Authorization
PO Box 5884 Winston-Salem, NC 27 1 1 3-5884
336-722-9999 Office 336-722 9993 Fax
www.progresserwironmentaLcom

08-0734
Office Use Only:
Form Version March OS
USACE Action ID No.
(If any particular item is not applicable to this projects, piea~selener "Not Applicable" or "N/A"
I• Processing ~
1. Check all of the approval(s) requested for this project:
® Section 404 Permit
^ Section 10 Permit ^ ~parian or Watershed Buffer Rules
^ Isolated Wetland Permit from DWQ
^ 401 Water Quality Certification ^ Express 401 Water ualit Ce
Q Y rtificahon
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39
3. If this notification is solely a courtesy copy because written approval for the 401 Cert'
is not required, check here: ® ification
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP is r
for mitigation of impacts, attach the acceptance letter from NCEEP, complete sectionposed
and check here: [] VIII,
5. If your project is located in any of North Carolina's twenty coastal counties liste
4), and the project is within a North Carolina Division of Coastal Managementd Ar page
Environmental Concern (see the top of page 2 for further details), check here: ea of
II. Applicant Information "~'' " ~ '` ~ •~~ ` ~' ~`~ ~ ~~~
s t t :fi
~1~, ~_-~ .7.~ ~.. ~~~
..~ . ,..__, ~. _ ,~,
1 • Owner/Applicant Information ~nl~ ~"` A ~ h ~, 2~(}g
Name: Danielle Lauren Pro erties LLC n )p~1
.. tilh ~ L R ~iV~.IY~.•~
Mailing Address: 101 S. Elm Street Suite lO1G ~~~~ -~~~ ~ qu~~'
tf'~~i.. 'e..:,
Greensboro NC 27401
Telephone Number:_(336) 379-0063
E-mail Address: SRJcook(a~bellsouth net Fax Number:_(336) 379-0334
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorizat'
must be attached if the Agent has signatory authority for the owner/applicant.) ion letter
Name: Jose h S. Lawson III
Company Affiliation: Pro ress Environmental Inc.
Mailing Address: p n u~., ~ o
Wi
Telephone Number:~336) 722-9999
E-mail Address: ilawcnr,n,, ..............____
Updated 11/1/2005
Page 5 of 14
7113-
Fax Number: (3361722-9998
Ital ~`nm

III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing propert
boundaries and development plans in relation to surrounding properties. Both the vicinit may
and site plan must include a scale and north arrow. The specific footprints of all bui din P
impervious surfaces, or other facilities must be included. If possible, the maps and plans sho u d
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the pro ert
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion
so long as the property is clearly defined. For administrative and distribution purposes, the
USAGE requires information to be submitted on sheets no larger than 11 by 17-inch format•
however, DWQ may accept paperwork of any size. DW r
Q p efers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
Name of project:
2. T.LP. Project Number or State Project Number (NCDOT Only): N/A
~. PrnnPrty irlr „1-;f:,.,,~___ ,., ,_
-014
-031
-032
-033
-034
-035
4. Location -036
County: Guilford Nearest Town: Greensboro
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): Follow US 29N from
Greensboro to Cone Blvd Exit. Take Cone Blvd Exit West . Continue to Church Street and
turn right (north) onto Church Street. Site is lncatP,~ ~~ Zn, ~ ,.T ~.,
. ..
ee i ure 1.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.134461 °N 79.791136
oW
6. Property size (acres): 7
7. Name of nearest receiving body of water: Lake Jeanette formerl Richland Lake
8. River Basin: Cane Fear
Updated 11/1/2005
Page 6 of 14

9
(Note -this must be one of North Carolina's seventeen designated major river
River Basin map is available at ht_ tp:/;h~o•enr.state nc ~,~~a,~,,,• ~ basins. The
.=x,~liuia s, .)
Describe the existing conditions on the site and general land use in the vicinit
at the time of this application: The sub•ect site is located at 3915 North rh, of~th~ project
Greensboro Guilford C'~,,,,t., 1~T,.,.at „ _
10. Describe the overall project in detail, including the type of equipment to be u
ro•ect will consist of the construction of twn rnr,,,Y,o,.,,:,., ___ sed: The
eRr
Explain the purpose of the proposed work: The ro osed ro•ect is loc
ated within the
Pis__gah _Church Road corridor which serves develo in residential arPa~ ;,, *ho .,:...__•.
vanous commercial ePr,~;.,~.. T, ,
IV• Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obt
project (including all prior phases of the same subdivision) in the past, please ex lai
the USAGE Action ID Number, DWQ project Number a 1• arced for this
certifications were issued or withdrawn. Provide photoco ie p n• Include
pp ication date, and date permits and
p s of previously issued permits,
certifications or other useful information. Describe reviousl a
buffer impacts, along with associated mitigation (where applicable). pIf this s a land, stream and
list and describe permits issued for prior segments of the same T.LP roNCDOT project,
Ton struc~ion^schedules. A wand jurisdictional ~1PrP,•~,;r„~:..__ _ _ p sect, along with
Updated 11/1/2005
Page 7 of 14

_ ~' L- i was revised to a roximatel 4 feet i
lication for a 1\ra+;,,,,..,:a.. _ _
~s miti ation de endin u on final im acts. The iinitial develonment~r,l
ion of mult;_,,,,;+ ..,,,,,a,._...:._~__
V.
Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the antici ated
and provide justification for the exclusion of this work from the current application. p Fork,
No: However the eastern ortion ~f the ~;+A ,,,..., L_ _
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and ma all
wetlands, open water, and stream channels associated with the project. Each pm actlmacts to
listed separately in the tables below e. P ust be
riprap dissipater pads). Be sure to indigate of ant impactais tem could be listed separately from
permanent and temporary, must be listed, and must be labeled and clealy pden~fiable oncan
accompanying site plan. All wetlands and waters, and all streams (intermittent and erennial
should be shown on a delineation map, whether or not impacts are proposed to these )
Wetland and stream evaluation and delineation forms should be included as a systems.
pp opriate.
Photographs may be included at the applicant's discretion. If this proposed im act is s
p trictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If addi i
space is needed for listing or description, please attach a separate sheet. tonal
l . Provide a written description of the proposed im acts:
include im acts to 0.0989 acre of wetland. Im acts will result fmm rhPeal,,. ro^ect will
material and nnncrr,,..~;,.... ,.~ _ __ . .

Updated 11/1/2005
Page 8 of 14

2. Individually list wetland impacts. Types of impacts include, but are not
mechanized clearing, grading
fill
excavati
ed to
tt
,
,
on, flooding, ditching/d
separately list impacts due to both structure and floodin rainage, etc. d
For
ams,
Wetland Impact g.
Site Number
(indicate on map) Type of Impact Type of Wetland Located within
100-year
(e.g., forested, marsh Distance to
Nearest Area of

"W
" ,
herbaceous, bog, etc.) Floodplain Stream Impact
(acres)
A/WB
Fill (yes/no)
Shrub/Scrub (linear feet)
No
75
0.0989
Tota] Wetland ]mpact (acres)
0.0989
3. List the total acreage (estimated) of all existing wetlands on the property: 0.55
4. Individually list all intermittent and perennial stream impacts. Be sure to identif
y temporary
impacts. Stream impacts include, but are not limited to placement of fill or cult'
construction, flooding, relocation, stabilization activities e, erts, dam
walls, gabions, etc.), excavation, ditching/straightening, etc (If stream relocation i P ro ' crib
plans and profiles showing the linear footprint for both the original and relocated posed,
must be included. To calculate acrea e, multiply len th X width, then divide b 43 560treams
Stream Impact
Number y
Stream Name Perennial or Average Im act
indicate on ma) TYPe of Impact P Area of
Intermittent? Stream Width Length Impact
N/A Before Im act (linear feet) (acres)
Total Stream Impact (by length and. acreage)
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds
Ocean and any other water of the U.S.. ,Atlantic
fill, excavation, dredging, flooding, drainagep bulkheadsmetccts include, but are not limited to
Open Water Impact
Site Number Name of Waterbody Type of Waterbod
(indicate on ma) (if applicable) TYPe of Impact (lake, pond, estua sound, ba Area of
~'~ Y~ Impact
N/A ocean, etc.) ~,,,,___,
Total Open Water Impac
Updated 11/1/2005
Page 9 of 14

6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres):
Wetland Impact (acres):
Open Water Impact (acres): 0.0989
Total Impact to Waters of the U.S. (acres)
Total Stream Impact (linear feed:
7. Isolated Waters
Do any isolated waters exist on the property?
Describe all impacts to isolated waters, and include the type ®water w
the size of the proposed impact (acres or linear feet). Please note that this section )onld
applies to waters that have specifically been determined to be isolated by the USACE. y
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands stream
Describe the method of construction (e.g., dam/embankment,^excavation, instal atioands
draw-down valve or spillway, etc.): n of
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond:
Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibilit and
financial viability of the project. The applicant may attach drawings of alternative, lower-imp act
site layouts, and explain why these design options were not feasible. Also discuss how im acts
were minimized once the desired site plan was developed. If applicable, discuss constniption
techniques to be followed during construction to reduce impacts. The site is located within the
Greensboro Water Su 1 Watershed and includes a manr,Pr~l „P,.ar~;.., _~
~iYaan ail.,-,. Oa__---- - ~ ~ --- ,.-.. _
I Gu uirements for City of
ins (30-7-1 Water Supply W;
~s, ;
to
Updated 11/1/2005
Page 10 of 14

1_esuitmu impact to
Greensboro Depart;
on-site perennial
potentially result in
re uest.
VIII. Mitigation
Transportation (GDnTI ;n;r;
s
wi
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required b the NC
Division of Water Quality for projects involving greater than or equal to one acre of im acts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to eprenni
streams. p al
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwid
Permits, published in the Federal Register on January 15, 2002, mitigation will be re uired when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the im act
aquatic resource will be considered in determining acceptability of appropriate and practpicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include
but are not limited to: reducing the size of the project; establishing and maintainin wetl
g and
and/or upland vegetated buffers to protect open waters such as streams; and replacin losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserv n g similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in orde
for USACE or DWQ to consider the application complete for processing. An a licati r
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incom 1 on
An applicant may also choose to review the current guidelines for stream restoration in DWete.
Draft Technical Guide for Stream Work in North Carolina (see DWQ website for most currQens
version.). t
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view)
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
re (i.e. 0 09R9 acrel of th
zonal determination that i
ervation of the YPm A;nir,.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancemen
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
Updated 11/1/?005
Page 11 of 14

[phone] to determine availability, and written approval from the NCEEP Indic '
that they are will to accept payment for the mitigation must be attached to this form. ahng
additional information regarding the application process for the NCEEP, check the NCE or
website at http://w~,v~,~ nCeep net/pages/inlie>.>renla~ P 1,r EP
please check the appropriate box on page five and prov de the followine NCEEP is proposed,
g nformation:
Amount of stream mitigation requested (linear feet): N/A
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount ofNon-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or t
public (federal/state) land? he use of
Yes ^ No
2. If yes, does the project require preparation of an environmental document urs
p uant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEP ~
Note: If you are not sure whether aNEPA/SEPA document is required, call the A)
coordinator at [phone] to review current thresholds for environmental documentaEo A
Yes ^ No ^
n.
3. If yes, has the document review been finalized by the State Clearinghouse? If
attach a copy of the NEPA or SEPA final approval letter, yeS ^ No so, Please
X• Proposed Impacts on Riparian and Wate ^
rshed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and ma all i
P mpacts to
required state and local buffers associated with the project. The applicant must also
justification for these impacts in Section VII above. All proposed impacts must be li provide
and must be clearly identifiable on the accompanying site lan. sted herein,
map, whether or not impacts are proposed to the buffes . Correbpondence froms the DW a
Regional Office may be included as appropriate. Photographs may also be includ ~
applicant's discretion. ed at the
1 • Will the project impact protected riparian buffers identified within 15A NCAC 2
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba 15A M0233
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other CAC
identify
)? Yes [] No ® (please
2. If "yes", identify the square feet and acreage of impact to each zone of the ri ari
p an buffers.
If buffer mitigation is required calculate the required amount of mitigation b a 1 '
buffer multipliers. Y pp ymg the
Zone* Impact
(square feet) Multiplier Required
Updated I1/1/200~
Page 12 of 14

' 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. N/A
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stonnwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. N/A
XII. Sewage Disposal (required by DWQ)
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
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Is this anafter-the-fact permit application? Yes ^ No ^
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
httn://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative
descrtption:To o raphic/envimnmenral ~,.,,~*,.,,;w~.. ,~___•. , ,.. _
Updated I l/1/2005
Page 13 of 14

XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
~( Q~ ~
pplica t/ nt's Signature
(Agent's signature is valid only if an authorization letter from the applicantD provided.)
Updated I1/1!2005
Page 14 of 14

Figure 1
Vicinity Map
3915 North Church Street
Greensboro, North Carolina
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4
hlprth Ny~ia mark
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P.O. Box 5884
Winston-Salem, NC 27113
Telephone: [phone]
Fax:[phone]
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Greensboro, N. C.
www.mapquest.com
Scale: As Shown
Date: March 2008
Project: 3915 N. Church Street
Client: Danielle Lauren
Properties, LLC
Progress Job #:100724.001
Date: March 2008

Figure 2
Topographic Site Map
3915 North Church Street
Greensboro, North Carolina
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K r r~- _ o r iFF "? _ ~ t,
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P.O. Box 5884
Winston-Salem, NC 27113
Telephone: [phone]
Fax: [phone]
7"::'~s'•;~r'oar,_essenvir-onrne~ZaT com
Lake Brandt, N. C.
United States Department of the Interior
United States Geological Survey
7.S Minute Series Topographic Map
Contour Interval: 10 feet
Scale: 1 "=2000'
Date: 1951, Revised 1994
Project: 3915 N. Church Street
Client: Danielle Lauren
Properties, LLC
Progress Job #: 100724.001
Date: Mazch 2008

Figure 4
Aerial
3915 North Church Street
Greensboro, North Carolina
~l,LL 4_
P.O. Box 5884
Winston-Salem, NC 27113
Telephone: [phone]
Fax: [phone]
}-; ~::. u: •o~- 2ssz gin; ;, onnaa~ „vi. cc;;~
Greensboro, North Carolina
Guilford County, NC Web Site
17t ~: 'J;Si4ieh EC"~ .uSi•SCY~'•
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--tY
2003 Aerial Imagery
Scale: 1:1,500
~: is : >'"
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Project: 3915 N. Church Street
Client: Danielle Lauren
Properties, LLC
Progress Job #: 100724.001
Date: March 2008

3
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VICINITY MAP
SCALE: 1"=2000'
NOTES
1. iAX PARCEL ID: 1OO9O619GO63fi1O0D31 THROUGH 36
2. E7GSTING ZONING: RM-8
3. PROPOSED ZONING: RM-18 & GB (GENERAL BUSINESS)
4. PROPOSED USE: CONDOMINIUMS & GENERAL BUSINESS
5. SIZE:
CONDOMINIUMS: 72 TOTAL UNITS (36 ONE-BEDROOM
+ 36 TWO-BEDROOM)
RETAIL: 13,3001 Sf
6. CONTRACT PURCHASER/DEVELOPER: SRJ PROPERTIES, LLC
101 S. ELM STREET
GREENSBORO, NC 27401
CONTACT: SCOTL BAYER
PHONE: [phone]
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A Site Solutions from Concept to Construction DRAwN:
v GILMER TOWNSHIP CITY OF GREENSBORO, NC vas
O m 69091MERNATIONAL DRNE,SUITE 100
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GREENSBORO,NORTH UROUNA 27409 CHECKED:
SKETCH PLAN 13 361 66 50100 FA%13361665-0210 ELG
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WETLANDS AREA
CECIL FARM PROPERTY
CITY OF GREENSBORO
GILMER TOWNSHIP
GUILFORD COUNTY, NC
SHEET: 1 OF 1 JOB #: 06247.001

„/® DESIGNED:
VPS
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69091NTERNATIONAL DRIVE, SUITE 100
GREENSBORO, NORTH CAROLINA 27409 CHECKED:
[phone] FAX [phone]
kbpc~koonfzbryantcom ELG

DATE:
03-14-OB
SCALE: 1 "=100' ScAOO~
REVISIONS:
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