20160418 Ver 2_401 Application_20161116

q(
O�V �. Version 1.4
I January 9, 2009
401 & Buffer Permitting PCN Submittal Checklist
® The application fee (Checks may be made out to "N.C. Division of Water Resources"
$240.00 for 401 Water Quality Certification with minor impacts
T64 flo - $570.00 for 401 Water Quality Certification with major impacts
- Express Review Fee (Amount requested on Acceptance Letter)
® Four (4) complete and collated copies of the PCN Application and supporting
documentation (instead of providing 4 copies of the full size plans you may provide two
copies of full size plans along with two copies of 11 X 17 plans)
® Stormwater Management Plan (if applicable — see PCN Form Help File Section E)
1) Please provide three (3) copies of the stormwater management plans along with all
supporting information pertaining to this project including the following:
a. Entire site development/layout plans delineating all drainage areas;
�+ b. Design calculation sheets for all proposed BMP(s) sized for both on-site and
off-site drainage;
c. BMP supplements for each proposed BMP and Required Items Check List
(http://portal.ncdenr.org/web/Ir/bmp-manual) along with all required items;
T„ -�,o Ilam --d. A Notarized Operation & Maintenance Agreement for each stormwater
management facility;
e. Detailed construction drawing sheets shall include
(i) Erosion and sediment control plans;
N JA E- (ii) Installation and planting schedules for the proposed BM
(iii) Appropriately scaled plan views and cross sectional de
BMPs and associated components — inlet and outlet st res, V D
forebay, respective zones and pertinent elevations. 'SUV R 2016
►J If your project is located within a State implemented Riparian Buffer Rule f1r,
following along with site plans and PCN form:
1) Three (3) copies of the details for on-site diffuse flow provisions, (refer to
http://Portal.ncdenr.org/web/Ir/bmp-manual).
36 DWR Stream Determination Forms for streams on property and DWR determination
letter for wetlands or streams (if applicable). MOT SLAB -6 I F7>HS APPLIES.
The following is the most critical of all the information that you must provide. The quality and
detail of the information will often determine the expeditiousness of the review. The following is
a checklist of the types of pertinent information required at a minimum:
Maps and Plans:
® The most recent version of the 1:24,000 USGS Topographic Map - Please cleanly draw or
delineate the site boundaries on the topographic map.
® The most recent version of the bound and published County NRCS Soil Survey Map -
(required for projects within the Neuse River Basin, Tar -Pamlico River Basin, Randleman
Lake Watershed and the Catawba River Basin, also recommended for all projects) -
Please clearly delineate the site boundaries, etc. on the map. If the delineation obscures
any of the features, it is recommended that a clean copy be provided. Copies of the

Version 1.4
January 9, 2009
current soil survey and/or soil survey map sheets can be obtained from the local NRCS
County Office (http://www.nc.nres.usda.gov/). GIS soil layers are not acceptable.
® Vicinity map - Please clearly mark the location and approximate boundaries of the property
and project on the map. Please indicate north arrow and scale. Please include applicable
road names or State Road numbers.
® The Site Plan - The most critical map to be provided is the site plan. You must provide full
sized plans. The following is the minimum list of plans that are typically needed.
® Pre-construction/Pre-existing conditions - This sheet (or sheets) must include:
• All jurisdictional and non -jurisdictional wetland, stream, water features, State regulated
buffers (delineated into Zones 1 and 2)
• Topographic contours with elevations
• Any existing structures and impervious areas
• Existing utility lines and easements
• Existing roads, culverts, and other pertinent features
• North arrow and the scale (1":50' scale is recommended).
® Proposed conditions - This sheet (or sheets) must include:
• All jurisdictional and non -jurisdictional wetland, stream, water features, State regulated
buffers (delineated into Zones 1 and 2)
• Lot layout (if a subdivision or commercial development is proposed) - lots must be
developable without further impacts to jurisdictional and non -jurisdictional wetlands,
streams, water features, and State regulated buffers. Building envelopes must be
provided when streams, wetlands, riparian buffers, or water features exist on a lot
• All built -out structures and impervious cover
• Final grading contours with elevations
• All utilities and easements (including septic fields on all lots within 100 feet of stream,
wetland, or water features - if applicable)
• Impacted areas — these should correspond with the Impact numbers listed on your PCN
form.
® Drainage Plans - Final drainage plans must include the following:
• Locations and pertinent elevations and sizes of the stormwater collection system and
drainage ways
• All inlets and outlets must also be shown with pertinent elevations (All outlets to
wetlands must be at a non-erosive velocity, generally less than 2 ft/sec during the peak
flow from the 10 -yr storm)
• Scaled stormwater BMPs must also be indicated as required by DWR rules and policies
• In certain cases (see Section E of PCN form), final stormwater management plans must
also be provided (see Stormwater Management Plan Checklist)
® Proposed Impacts - All impacts to jurisdictional and non -jurisdictional wetland, stream,
water features, and State regulated buffers must be shown and labeled on the site plans at
a scale no smaller than 1" = 50'. All excavation, fill, flooding, stabilization, and other impacts
that will be conducted in or near jurisdictional and non -jurisdictional wetland, stream, water
features, and State regulated buffers must be indicated. Please provide cross sectional
details showing the provisions for aquatic life passage (burial of culvert 20% for culverts <_ 48
inches, and 1 -foot for culverts > 48 inches).

Version 1.4
January 9, 2009
Wetland Impacts:
❑ Precise grading and final elevation contours must be provided. Existing
vegetation and any clearing must be specified.
❑ All subsurface utility lines must indicate the location of anti -seep collars.
Construction detail for anti -seep collars must be provided.
❑ Roadway or other crossings of riparian wetlands may require floodway culverts to
maintain existing hydrological conditions.
❑ Plans should show that the hydrology of remaining wetlands on the site will be
maintained.
Stream Impacts:
® Stream impacts must be clearly shown on the plans. The centerline as well as
the banks of the stream must be surveyed or located by GPS for the portion of
the stream to be impacted.
® The inlet and the outlet of all culverts should be aligned with the stream as
much as possible. Inlet and outlet elevations and streambed elevations should
be indicated. Any inlet or outlet protection must be shown and enumerated on
the impact map(s).
® For bottomless culverts or other spans, a vertical cross section should be
provided that shows the minimum distance from each span to each stream bank,
the stream cross section, the height of the span above the stream and the
minimum distance from the edge of each footer to each stream bank.
Additionally, please provide a signed and sealed geotechnical report of
subsurface soils at the proposed bottomless culvert location. The report must
comply with the Division of Highways — Guidelines for Drainage Studies and
Hydraulic Design, prepared by A.L. Hankins, Jr., State Hydraulics Engineer -
1999.
® Multiple culverts or sectioned box culverts typically require the use of sills, off-
setting or other means to match the cross section of the existing stream (in order
to maintain stream stability and provide aquatic life passage). A vertical cross
section of the culverts should be shown overlain with the up and downstream
stream cross section including the stream flood -prone area.
rJ �S- ® Impacts associated with dam construction must indicate and enumerate all fill
associated with the dam footprint, spillway and any bank stream bank
stabilization. The length of stream impounded must also be indicated and
enumerated.

SITS
7500 Memorial Pkwy, SW, Suite 209
Huntsville, AL 35802
Phone: [phone]
wwwAsiteinc.biz
New Retail Store
Brevard, NC
Description of Trout Stream Disturbance
The existing site is located in the northeast corner of the intersection of See Off Mountain
Road and Greenville Highway in Transylvania County, NC. The existing stream is an
approximately 8' wide vegetated channel that flows from the north to the south, exiting the site
at the west property line where it is then routed into a storm pipe under See Off Mountain Road.
The proposed development is a 9,100 SF retail store and parking lot with associated
utilities, grading, storm sewer and erosion control measures. Since the new building is
positioned over the stream, re-routing of the stream is required.
A portion of the stream (approximately 140'), therefore, will be filled with structural soil
for the construction of the building and associated topographic features of the developed
condition. There will also be minor earthwork cutting involved at the beginning (north) of the
stream disturbance to tie into the proposed headwall structure (see plans).
The stream will be re-routed via 30" piping to avoid the new building. There will also be
a bypass channel which is designed to deter large volumes of water from flooding the building.
CIVIL ENGINEERING SURVEYING LANDSCAPE ARCHITECTRUE
COLLABORATIVE DESIGN + CREATIVE SJLU IIUN

7500 Memorial Pkwy, SW, Suite 209
Huntsville, AL 35802
Phone: [phone]
wwwAsiteinc.biz
New Retail Store
Brevard, NC
Description of Trout Stream Disturbance
Actions Taken to Minimize Buffer Impacts:
This project has been ongoing for over one year and several design layouts have been
considered. The current layout represents the optimal design for this particular retail store —
which secures a minimally disturbed surface area. Additionally, pavement was added in the
southeast corner of the lot to eliminate the need for pavement that would further encroach onto
the stream to the north. Piping and grading used to divert the stream was designed to be the
minimum required to adequately route runoff from the stream.
Why Disturbance Will Have Temporary Impacts from Erosion & Sedimentation:
Throughout construction, temporary and permanent erosion and sediment control measures will
be implemented to secure a minimal impact on the stream and, consequently, downstream
waters. Check dams will be placed along the bypass channel as well as at the upstream inlet
structure (B1). A rock doughnut inlet protection will be installed at the downstream structure
(133). Once grading activities are complete, disturbed areas will be permanently stabilized with
sod.

AV
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
Trout Buffer Waiver
Supplemental Information
The following information should be completed and submitted with respect to the site
requiring the buffer waiver.
Project Name: New Retail Store - Brevard, NC
Owner's Name: The Broadway Group, LLC
Address: 216 West Side Square
Huntsville, AL 35801
Consultant's Name: 4Site, Inc
Address: 7500 Memorial Pkwy SW, Suite 209
Huntsville, AL 35802
Stream Name: Long Branch
County: Transylvania
Project Purpose: Commercial Retail Store
Total Acres of Land -Disturbing Activity:
Water Class: Tr
M
(ac)
Total Acres Disturbed within buffer zone: 0.16 (ac)
Total Length of Stream on Tract 578 (ft)
Buffer Impacts:
Buffer Width Reduction:
Vegetation Trimming:
Channel Piping:
Channel Relocation:
Total Length of Buffer Impact:
(piped section & open channel section)
25 (ft)
25 (ft)
110 (ft)
140 (ft)
110 (ft)

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Page 1 of 4

J.
Hydrologic Soil Group—Transylvania County, North Carolina
MAP LEGEND
Area of Interest (AOI)
Area of Interest (AOI)
Soils
C
Soil Rating Polygons
Q
A
Please rely on the bar scale on each map sheet for map
A/D
Q
B
Q
B/D
aC
0
C/D
Q
D
Not rated or not available
Soil Rating
Lines
_r
A
,.
A/D
n.►
B
s.y
B/D
r r
C
..,,r
C/D
This product is generated from the USDA-NRCS certified data as of
D
r
Not rated or not available
Soil Rating
Points
Soil Survey Area: Transylvania County, North Carolina
A
®
A/D
Background
B
B/D
MAP INFORMATION
®
C
The soil surveys that comprise your AOI were mapped at 1:12,000.
p
C/D
Please rely on the bar scale on each map sheet for map
E
D'
measurements.
0
Not rated or not available
Source of Map: Natural Resources Conservation Service
Web Soil Survey URL: http://websoilsurvey.nres.usda.gov
Water Features
Coordinate System: Web Mercator (EPSG:3857)
Streams and Canals
Maps from the Web Soil Survey are based on the Web Mercator
Transportation
projection, which preserves direction and shape but distorts
++r
Rails
distance and area. A projection that preserves area, such as the
Albers equal-area conic projection, should be used if more accurate
....
Interstate Highways
calculations of distance or area are required.
US Routes
This product is generated from the USDA-NRCS certified data as of
Major Roads
the version date(s) listed below.
Local Roads
Soil Survey Area: Transylvania County, North Carolina
Survey Area Data: Version 14, Sep 16, 2015
Background
Aerial Photography
Soil map units are labeled (as space allows) for map scales 1:50,000
or larger.
Date(s) aerial images were photographed: Oct 15, 2011—Dec 9,
2011
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor shifting
of map unit boundaries may be evident.
USDA Natural Resources Web Soil Survey 8/19/2016
Conservation Service National Cooperative Soil Survey Page 2 of 4

Hydrologic Soil Group—Transylvania County, North Carolina
Hydrologic Soil Group
Hydrologic Soil Group— Summary by Map Unit — Transylvania County, North Carolina (NC175)
Map unit symbol Map unit name Rating Acres in AOI Percent of AOI
AeE
Chestnut-Edneyville B
6.3 -
complex, 15 to 30
113.1
percent slopes, stony
AeF
Chestnut-Edneyville B
1.7%
complex, 30 to 50
0.1%
percent slopes, stony
AhG
Ashe-Chestnut complex, B
100.0%
50 to 95 percent
slopes, very rocky
AnD
Ashe-Edneyville B
complex, 8 to 15
percent slopes, rocky
AnE
Ashe-Edneyville B
complex, 15 to 30
percent slopes, rocky
AnF
Ashe-Edneyville B
complex, 30 to 50
percent slopes, very
rocky
ChE
Evard loam, 15 to 30 B
1 percent slopes, stony
HcE3
Hayesville clay loam, 15 B
to 30 percent slopes,
moderately eroded
TeD
Tate fine sandy loam, 8 B
to 15 percent slopes
To
Cullowhee-Ela complex A/D
0 to 3 percent slopes,
occasionally flooded
TsE
Saunook loam, 15 to 30 B
percent slopes, stony
W
Water
Totals for Area of Interest
21.1 5.9%
148.0 — 41.4%
16.9
4.7%
6.3 -
- 1.7%
113.1
31.6%
19.1 ---
5.3%
17.3
4.8%
0.2
--- 0.0%
0.5%
1.7
6.1
1.7%
0.2
0.1%
8.0
2.2%
357.9
100.0%
U_ SDA Natural Resources Web Soil Survey 8/19/2016
Conservation Service National Cooperative Soil Survey Page 3 of 4

Y Hydrologic Soil Group—Transylvania County, North Carolina
Description
Hydrologic soil groups are based on estimates of runoff potential. Soils are
assigned to one of four groups according to the rate of water infiltration when the
soils are not protected by vegetation, are thoroughly wet, and receive precipitation
from long -duration storms.
The soils in the United States are assigned to four groups (A, B, C, and D) and
three dual classes (A/D, B/D, and C/D). The groups are defined as follows:
Group A. Soils having a high infiltration rate (low runoff potential) when thoroughly
wet. These consist mainly of deep, well drained to excessively drained sands or
gravelly sands. These soils have a high rate of water transmission.
Group B. Soils having a moderate infiltration rate when thoroughly wet. These
consist chiefly of moderately deep or deep, moderately well drained or well drained
soils that have moderately fine texture to moderately coarse texture. These soils
have a moderate rate of water transmission.
Group C. Soils having a slow infiltration rate when thoroughly wet. These consist
chiefly of soils having a layer that impedes the downward movement of water or
soils of moderately fine texture or fine texture. These soils have a slow rate of water
transmission.
Group D. Soils having a very slow infiltration rate (high runoff potential) when
thoroughly wet. These consist chiefly of clays that have a high shrink -swell
potential, soils that have a high water table, soils that have a claypan or clay layer
at or near the surface, and soils that are shallow over nearly impervious material.
These soils have a very slow rate of water transmission.
If a soil is assigned to a dual hydrologic group (A/D, B/D, or C/D), the first letter is
for drained areas and the second is for undrained areas. Only the soils that in their
natural condition are in group D are assigned to dual classes.
Rating Options
Aggregation Method. Dominant Condition
Component Percent Cutoff., None Specified
Tie-break Rule: Higher
USDA Natural Resources Web Soil Survey 8/19/2016
Conservation Service National Cooperative Soil Survey Page 4 of 4

0� O�WA
TF9oG
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the Corps:
X❑ Section 404 Permit ❑ Section 10 Permit
1b.
Specify Nationwide Permit (NWP) number: or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑X 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
❑X 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 ❑X No
For the record only for Corps Permit:
❑ Yes ❑X 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 ❑X No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ YesX❑ No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ YesX❑ No
2.
Project Information
2a.
Name of project:
New Retail Store - Brevard, NC
2b.
County:
Transylvania
2c.
Nearest municipality / town:
Brevard
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:
High Mountain Holding, Inc.
3b.
Deed Book and Page No.
Deed Book 442, Page No. 260
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
18 See Off Mountain Road
3e.
City, state, zip:
Brevard, NC, 28712
3f.
Telephone no.:
[phone]
3g.
Fax no.:
3h.
Email address:
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a. Applicant is:
X❑ Agent ❑ Other, specify:
4b.
Name:
Melissa Ballard
4c.
Business name
(if applicable):
The Broadway Group, LLC
4d. Street address:
216 West Side Square
4e. City, state, zip:
Huntsville, AL, 35801
4f.
Telephone no.:
[phone]
4g.
Fax no.:
[phone]
4h.
Email address:
[e-mail]
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Jerry Cargile, P.E.
5b.
Business name
(if applicable):
4Site, Inc.
5c.
Street address:
7500 Memorial Parkway SW, Suite 209
5d. City, state, zip:
Huntsville, AL 35802
5e. Telephone no.:
[phone]
5f.
Fax no.:
[phone]
5g.
Email address:
[e-mail]
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1a. Property identification no. (tax PIN or parcel ID):
8593127813000
1 b.
Site coordinates (in decimal degrees):
Latitude: 35.156388 Longitude: -82709166
1 c.
Property size:
2.25 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Long Lake
2b.
Water Quality Classification of nearest receiving water:
Long Branch - Tr
2c.
River basin:
French Broad River Basin
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 site consists of a single real estate building with associated parking area and utilities located in the front portion of the lot toward
Highway 276 and See Off Mountain Road.
3b.
List the total estimated acreage of all existing wetlands on the property: 0
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 588
3d. Explain the purpose of the proposed project:
Construction of new retail store (9,002 SF) with associated parking, stormwater management and utilities, including demolition of existing site condition:
D
3e. Describe the overall project in detail, including the type of equipment to be used:
Bulldozers, dump trucks, excavators and skid steers will be used for demolition of existing conditions and grading for the proposed conditions.
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (includingall prior phases)in the past?
❑ Yes 9 No ❑ Unknown
Comments:
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
El Preliminary Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
4d.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes X❑ No ❑ Unknown
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes Q No
6b.
If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ❑X Streams — tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 -
Choose one
Choose one
Yes/No
-
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
-
W4 -
Choose one
Choose one
Yes/No
-
W5 -
Choose one
Choose one
Yes/No
-
W6
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Fill
Long Branch
PER
Corps
7
140
S2 -
Choose one
-
S3 -
Choose one
-
S4 -
Choose one
-
S5 -
Choose one
-
S6 -
Choose one
-
-
3h. Total stream and tributary impacts
140
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

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 indivi ually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
O2 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the 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
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
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 vou MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
61 -
Yes/No
B2 -
Yes/No
B3 -
Yes/No
B4 -
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The layout of the proposed store was designed to a minimal surface area and placed as far south as possible; for example, additional pavement was
added in the southeast corner of the lot to eliminate the need for pavement that would further encroach onto the stream to the north. Piping and
grading used to divert the stream was designed to be the minimum required to adequately route runoff from the stream.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
During construction, erosion and sediment control measures will be taken for all aspects of the drainage system, including silt fencing, check dams,
rock doughnuts, rock pipes and a gravel construction entrance (see provided plan).
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?
❑X Yes ❑ No
2b. If yes, mitigation is required by (check all that apply):
Q DWQ ❑X Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑X 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: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
140 linear feet
4c. If using stream mitigation, stream temperature:
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: Payment to an In -Lieu Fee Program will be made once the fee is assessed by the USACE
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.
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
Yes QX 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

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
❑ Yes ❑X 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.
❑ Yes ❑ No
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
26
2b.
Does this project require a Stormwater Management Plan?
E9 Yes ❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
30"
piping will be used to re-route water from the stream around the new building into the existing storm system. A diversion swale will be used
outside the building to direct runoff in the yard areas into the existing storm system. The parking lot is graded to draina into a new area inlet, where
runoff is then routed into the existing storm system along U.S. Highway 276.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
NCDEQ
3.
Certified Local Government Stormwater Review
3a.
In which localgovernment's jurisdiction is thisproject?
Transylvania County
❑ Phase II
❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑X Other: NCDEQ
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑X No
attached?
4.
DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ORW
(check all that apply):
❑Session Law 2006-246
❑X Other: High Density
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑X No
attached?
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes X❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes 0 No
Page 8 of 10
PCN Form — Version 1.4 January 2009

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 ❑X 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 Q 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 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,
E] Yes 0 No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fact permit application?
❑Yes ❑X 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 Q 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.
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.
located
Sanitary sewer from the building will be pumped (design by others) into a new septic system on the uphill side of the site, adjacent to the
eastern boundarline (see provided plan). The system will treat the sewage and allow wastewater to percolate within the designated field lines.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
habitat?
Yes ❑ No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts?
X❑ Yes ❑ No
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?
Bryon Hamstead off the Ashevill USFWS Field Office was contacted and sent project information to determine of the site is located within Long
Earred Bat habitat. We are awaiting Mr. Hamstead's findings.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
hftp://www.habitat.noaa.gov/protection/efh/howweprotect.htm1
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
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
❑ YesX❑ No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ❑X No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
https://msc.fema.gov/portal/search#searchresultsanchor
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant isprovided.)
Page 10 of 10

PROJECT NOTES:
=)ROPERTY OWNER INFO?MAT►OK
HIGH MOUNTAIN HOLDINGS
2. DEVELOPER INFORM;
THE BROADWAY GROUP LLC
216 WESTSIDE SQUARE
HUNTSVILLE, ALABAMA 35801
PHONE: [phone]
3. PROPERTY INFORMATION:
DEED BOOK 442 PAGE 260
4. GOVERNING MUNICIPALITY
-TRANSYLVANIA COUNTY, NC
-U.S. ARMY CORPS OF ENGINEERS
-NORTH CAROLINA DEPARTMENT
OF ENVIRONMENTAL QUALITY
(NCDEO)
CONSTRUCTION PLANS FOR
PROPOSED RETAIL STORE
PREPARED FOR THE BROADWAY 6ROUP LLC
U.S. HIGHWAY 276 BREVARD, Iqr
DUNN'S ROCK TOWNSHIP - TRANSYLVANIA COUNTY
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GENERAL NOTES
-HE CCI.-R/.:-„P'.S RESPONSIB,E FOR MAKING APPLICATION AND PAYING FOR ALL NECESSARY PERMITS
2 THE CC) TRACTOR SHA., PREVENT THE DESTRUCTION OF ALS SURVEY MONUMENTS. BENCH MARKS PROPERTY CORNERS AND A-
CTHEP SURVEY POINTS WHERE THE REMOVAL OF SUCH PON-5ISNECESSARY FOR THE ACCOMPLISHMENT OF THE WORK THE
CONTRACTOR IS TO INFORM THE ENGINEER IN WRITING PRIOR -C THE DISTURBANCE OF ANY POINT AND IS NOT TO DISTURB THE
POINT UNTIL WRITTEN PERMISSION TC DO SO HAS BEEN GRANTED BY THE ENGINEER
3. ALL EXISTING TREES AND SHRUBS OUTSIDE OF THE LIMITS OF WORK SHALL BE PROTECTED DURING CONSTRUCTION. AND ARE NOT TO
BE DAMAGED IN ANY MANNER
4 THE CONTRACTOR SHALL BE RESPONSIBLE FOP REPAIRING ANY DAMAGE TO EXISTING STREETS AND OTHER STRUCTURES WHICH IS
CAUSED BY CONSTRUCTION ACTIVITIES
5 THE CONTRACTOR SHALL BE RESPONSIBLE FOG THE REMO'VA_ AND PROPER DISPOSAL OF ALL BOULDERS DEBRIS. EXCESS
CONSTRUCTION MATERIALS. MATERIAL GENERATED FROM THE DEMOLITION OF EXISTING STRUCTURES AND FAQLITIES. AND TRASH
E THE CONTRACTOR SHALL BE RESPONSIBLE FOR HAVING EXISTING UTILITIES LOCATED PRIOR TO THE COMMENCEMENT OF
CONSTRUCTION THE ENGINEER/ SURVEYOR ASSUME NO RESPONSIBILITY AS TO THE ACCURACY OR COMPLETENESS OF THE EXISTING
UTILITIES SHOWN ON THE PLANS
7 UNLESS INDICATED OTHERWISE ON THE PLANS. ALL STORM DRAINAGE PIPES SHALL BE REINFORCED CONCRETE CLASS III (ASTM C-76)
COMPACTED GRANULAR MATERIAL FOR BEDDING SHALL BE REQUIRED WHERE UNSUITABLE GROUND WATER OR OTHER CONDITIONS
PREVENT THE CONTRACTOR FROM OBTAINING A PROPERLY SHAPED TRENCH BOTTOM
8 ALL PAVEMENT CUTS SHALL BE REPAIRED WITH MATERIAL IN KIND TO THAT REMOVED
9. UNLESS INDICATED' THERWISE ON THE PLANS. ALL RIP RAP SHALL BE IN ACCORDANCE WITH SECTION 6.15. NCDEO EROSION E
SEDIMENT CONTROL PLANNING 6 DESIGN MANUAL
10 THE CONTRACTOR SHALL BE SOLELY AND COMPLETELY RESPONSIBLE FOR COND'TIONS OF THE JOB SITE. INCLUDING THE SAFETY OF
ALL PERSONS AND PROPER'Y DURING PERFORMANCE OF THE WORK THIS REOUIREMENT SHALL APP Y CONTINUOUSLY AND NOT BE
LIMITED TO NORMAL WORKING HOURS
11 THE CONTRACTOR SHALL PROVIDE ADEQUATE TRAFFIC CONTROL DEVICES AND SAFETY MEASURES FOR CONSTRUCTION WORK
WITHIN PUBLIC FIGHT -OF -WAYS AND OTHER AREAS WHICH REQUIRE ITS USE IN ACCORDANCE WITH THE FEDERAL HIGHWAY
ADMINISTRATION MANUAL ON UNIFORM TRAFFIC CONTROL DEVICES FOR STREETS AND HIGHWAYS (M U T C D) LATEST EDITION
12 THE DUTY OF THE ENGINEER TO CONDUCT CONSTRUCTION REV IE W OF THE CONTRACTOR S PERFORMANCE DOES NOT INCLUDE
REVIEW OF THE CONTRACTOR'S SAFETY MEASURES IN. ON. OR NEAR THE CONSTRUCTION SITE
1S SIDEWALK RAMPS ARE TO COMPLY WITH THE AMERICANS WITH DISABILITIES ACT (ADA) SPECIFICATIONS
PAVEMENT CONSTRUCTION GENERAL NOTES:
REINFORCED CONCRETE NOTES
i ALL CONCRETE SHALL BE NR ENTRAINED 3000 PS. MINIMUM COMPRESSIVE STRENGTH AT 28 DAYS (CLASS "A') UNLESS NOTEL_
OTHERWISE ON THE PLANS
2 ALL CONSTRUCTION JOINTS SHALL BE CONSTRUCTED WITH CONTINUOUS SHEAR KEYS IN ACCORDANCE WITH THE SHEAR KEY
DETAIL ON THE PLANS
3 ALL REINFORCING STEEL SHALL BE GRADE 60 DEFORMED BARS. AND SHALL CONFORM TO STM A615. FOR BILLET STEEL.
4 LAP SPLICES AND BAR EMBEDMENTS SHALL BE IN ACCORDANCE WITH THE TABLE ON THE PLANS
5 CONCRETE AR CONTENT AND SLUMP SHALL BE IN ACCORDANCE W17 THE TABLE ON THE PLANS
6 A -L REINFORCING BARS SHALL BE SHOP BENT IN ACCORDANCE WITH THE TABLE ON THE PLANS HEATING OF REINFORCING BARS TO
BEND THEM OR STRAIGHTEN THEM WILL NOT BE AL -OWED
ALL WELDED WIRE FABRIC SHALL CONFORM TO ASTM N85. SMOOTH FABRIC WITH AN ASTM YIELD STRENGTH OF 65000' PSI
SEEDING NOTES:
- THE CONTRACTOR IS REQUIRED TO FURNISH ALL MATERIALS EQUIPMENT AND LABOR NECESSARY FOR THE SEEDING OF /ALL
DISTURBED AREAS. AND OTHER AREAS SPECIFIED ON THE GRADING PLANS ALL SPECIFIED SURFACE AREAS SHALL BE SPECIES; IN
ACCORDANCE WITH THE FOLLOWING SPECIFICATIONS
2 TOPSOIL SHALL BE STRIPPED AND STOCK PILED DURING CONSTRUCTION A MINIMUM OF 61NCHES OF CONDITIONED AND AMENDED
TOPSOIL SHALL BE RESPREAD OVER ALL AREAS SPECIFIED FOR SEEDING GRADING SHALL CONFORM WITH THE GRADING PLAN
SEEDING SHALL BE AS FOLLOWS lA)*PEBEL' OP "PALCON' FESCUE SEED (TL APRIL 1STH) WITH 95% GERMINATION APPLICATION
RATE SHALL BE 8'LES PER I.DOC SOUARE FEET (B)BERMUDA SEED (FROM APRIL 15TH TO AUGUST 15TH) WITH 95%: GERMINATION
APPLICATION RATE SHALL BE 3 LBS PER I.DDO SQUARE FEET
4 SOIL AMENDMENT SHALL BE RECOMMENDED USING LIME OR SULFUR TC ACHIEVE A SOIL PH OF 55 TO 65
2-4-D ROUNDUP' OR EQUIVALENT POST -EMERGENT HERBICIDE SHALL BE REQUIRED TO Kn_L EXISTING WEEDS PRIOR TO SEEDING
`TREFLAN "DACTAL' OR EQUIVALENT PRE -EMERGENT HERBICIDE SHALL BE REQUIRED FOR ALL SEEDED AREAS TO PREVENT WEED
GERMINATION
6. PROTECTION OF SEEDED AREAS ON STEEP SLOPES SHALL BE PROVIDED USING A'SUPER DUTY EXCELSIOR EROSION CONTROL
BLANKET” AS MANUFACTURED BY `PPS PACKAGING COMPANY." P O BOX 56 FOWLER, CA. 93625. OR APPROVED EQUIVALENT WHERE
INDICATED ON THE GRADING PLAN APPLICATION OF "EXCELSIOR' BLANKET SHALL COMPLY WITH THE MANUFACTURER S
RECOMMENDATIONS WHERE INDICATED ON THE PLANS. APPLY BLANKET TO THE SLOPE AFTER PROPER PREPARATION AND SEEDING
OF THE GROUND
1. THE SITE TOPOGRAPHY AND OTHER TOPOGRAPHIC DATA SHOWN ON THE PLANS OR INCLUDED IN THE SPECIFICATIONS ARE FOR
THE INFORMATION OF THE CONTRACTOR THE CONTRACTOR SHALL MAKE SUCH ADDITIONAL INVESTIGATIONS AS REQUIRED TO
ACQUAINT HIMSELF ADEQUATELY WITH THE SITE. INCLUDING SUBSURFACE SOIL CONDITIONS. FOR PREPARATION OF HIS BID. AND
FOR THE SUCCESSFUL EXECUTION
2 UNLESS INDICATED OTHERV/ISE ON THE PLANS. ALL PROPOSED CONTOURS AND ALL PROPOSED SPOT ELEVATIONS SHOWN ARE
FINISHED GRADE
3 THE CONTRACTOR SHALL BE SOLED AND COMPLETELY RESPONSIBLE FOR THE PROTECTION OF HIS WORK. SUCH GRADING AS IS
REQUIRED F' OR THIS PURPOSE SHALL BE THE CONTRACTOR S RESPONSIBILITY AND SHAD BE PERFORMED AT NO ADDITIONAL
COST TO THE OWNER THE OWNER MAY DIRECT THE CONTRACTOR TO PERFORM SUCH GRADING AND DRAINAGE AS IS NECESSAPY
TO PREVENT SURFACE RUNOFF FROM DAMAGING THE WORK
4. THE CONTRACTOR SHALL BE REQUIRED TO INSTALL SILT FENCES. CHECK DAMS. AND OTHER EROSION C SEDIMENT CONTROL
MEASURES TO PREVENT LOOSE DIRT AND SEDIMENT FROM WASHING ONTO STREETS AND ADJACENT PROPERTY THE
CONTRACTOR SHALL BE RESPONSIBLE FOR THE MAINTENANCE OF EROSION 6 SEDIMENT CONTROL MEASURES UNTIL FINAL
INSPECTION BY THE LOCAL GOVERNING AGENCY
5 ALL EARTH FILL SHALL BE COMPACTED TO 95% OF THE MAXIMUM DRY DENSITY PLUS OR MINUS 2% OF OPTIMUM MOISTURE
(ASTM -D6798) EXCEPT FOR EARTH FILLS UNDER ROADS WHICH ARE TO COMPLY WITH THE PAVING SPECIFICATIONS
6. ALL EARTH FILL SHAD BE PLACED IN UNIFORM LAYERS OR LIFTS NOT EXCEEDING 6' IN COMPACTED THICKNESS UNLESS INDICATED
OTHERWISE ON THE PLANS.
7 ALL EARTH FILL SHALL BE PLACED IN ACCORDANCE WITH NCDOT 2006 STANDARDS. ALL EARTH FILL UNDER BUILDINGS SHALL
ALSO MEET THE REQUIREMENTS OF THE ARCHITECTS PLANS AND SPECIFICATIONS
8 IF A GEOTECHNICAL REPORT HAS BEEN PREPARED FOR THE SITE THE CONTRACTOR SHALL BE RESPONSIBLE FOR FOLLOWING
THE SITE PREPARATION RECOMMENDATIONS SPECIFIED WITHIN THIS DOCUMENT. UNLESS MORE STRINGENT REQUIREMENTS ARE
GIVEN ON THE PLANS OR WITHIN THE PROJECT SPECIFICATIONS
9 ALL DISTURBED AREAS ARE TO BE PERMANENTLY STABILIZED WITH SOD
EROSION AND SEDIMENT CONTROL PLAN
CONSTRUCTION SEQUENCE - PHASE I:
EROSION AND SEDIMENT CONTROL PLAN
CON U U
1 CONSTRUCT STAGING AND MATERIALS STORAGE AREA
2 INSTALL TEMPORARY SANITARY FACILITIES AND DUMPSTERS
3. INSTALL UTILITIES. STORM SEWER. SANITARY SEWERS AND WATER SERVICES
4 INSTALL ROCK DOUGHNUT INLET PROTECTION ON PROPOSED STORM INLET
5 CONSTRUCT TEMPORARY CONCRETE WASHOUT AREA
6 BEGIN CONSTRUCTION OF BUILDING FOUNDATION AND STRUCTURE
7. INSTALL GUTTERS CURBS AND PREPARE PAVEMENT SUBGRADE.
6 PARKING LOT PAVED. EXTERIOR BUILDING CONSTRUCTED
9 REMOVE TEMPORARY CONCRETE WASHOUT AREA
IC IMPLEMENT WINTER STABILIZATION PROCEDURES IF NECESSARY
11 FINALIZE PAVEMENT ACTIVITIES
12 FINALIZE GRADING ACTIVITIES
1G REMOVE ALS TEMPOR/WY CONTROL BMP S AND STABILIZE AREAS DISTURBED BY THEIR REMOVAL WITH EROSION CC_)IlITROLS
14 PREPARE FINAL SOL AND LANDSCAPING
15 MONITOR STABILIZED AREAS UNTIL FINAL STABILIZATION IS REACHED
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DEMOLITION
CONSTRUCTION PLANS FOR
OrA,
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fx:_ "°��= PROPOSED RETAIL STORE
�iSITE
PREPARED FOR THE BROADWAY GROUP, LLC
Z 1 ��
•����. U.S. HIGHWAY 276 - BREVARD• NC
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11100, DUNN'S ROCK TOWNSHIP - TRANSYLVANIA COUNTY

III AREA DETAILS
TANDARD ASPHALT/CONC PVMT-4.634 SO FT
EAVY DUTY ASPHALT/CONC PVMT - 9.600 SO F-
CDOT PAVEMENT -1.338 SO FT.
ONCRETE SIDEWALK - 1.285 SO FT.
UMPSTER/DELIVERY AREA CONCRETE - 1054 SO FT.
ETNNING WALL APPROXIMATELY - 2.626 SO FT
ARTHWORK QUANTITIES
UT - 1,206 CVD
6?: CYC
tE FILL - 466 CYC
OTAL DISTURBED AREA - 3E 306 SO FT IQ 88 AQ
OTE EARTHWOPF: QUANTITIES REPRESENT
NADJUSTED VOLUMES BASED ON EXISTING G
ROPOSED SURFACE MODELS
LEGEND
❑
ABBREVIIII
0
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O
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L
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TEMP TEMPORARY
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UBO UTK.II Y AND DRAINAGE
X FG 662.50
LINO UNLESS NOTED OIHERW6E
/N/Y\
SIR SIPUCTURE
III AREA DETAILS
TANDARD ASPHALT/CONC PVMT-4.634 SO FT
EAVY DUTY ASPHALT/CONC PVMT - 9.600 SO F-
CDOT PAVEMENT -1.338 SO FT.
ONCRETE SIDEWALK - 1.285 SO FT.
UMPSTER/DELIVERY AREA CONCRETE - 1054 SO FT.
ETNNING WALL APPROXIMATELY - 2.626 SO FT
ARTHWORK QUANTITIES
UT - 1,206 CVD
6?: CYC
tE FILL - 466 CYC
OTAL DISTURBED AREA - 3E 306 SO FT IQ 88 AQ
OTE EARTHWOPF: QUANTITIES REPRESENT
NADJUSTED VOLUMES BASED ON EXISTING G
ROPOSED SURFACE MODELS
LEGEND
❑
CONCRETE MONUMENI. FOUND
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O166
LBSIS' (I-1/2"'; HOT BITUMINOUS CONCRETE
WEARING COURSE. NCDCT 2012 SPECIFICATIOF6
�XC2R1
WEARING OJR5E. NCDOT 2012 SPECffICATIONS
(C Y1
BINDER COURSE WDOT 2012 SPECIFICATIONS.
STANDARD SPECIFICATIONS.
GAL/EY. EMULSIFIED ASPHALT OR 007 GAT -IC Y
O2
TOE LMjSY (1-T/2") HOT BRUMNOUS CONCRETE
2 3
WITH THE WDOT 2D12 SPECIFICATIONS.
BINDER COURSE WI -T 2012 SPECFICATIONE
8LAYER OF DENSE GRADED LMETONE BASE COURSE
BE COMPACTED TO 95% PROCTOR DENSITY AS
COMPDITIONACHOM
DIDGALSE EMULS—ASPHAl1 OR007GAL/SY
TEST SEEPAVEMENT NOTES —ADDITIONAL
TEST SEE
INFORMATION
3 O
TACK CDA7 ALL MATERIALS ARE TD BEN ACCORDANCE
TOP 6" OFSUBGRADESTOBECOMPACTEDTO
SHALL BE LAID SUCH THAT JOINTS ARF I FVEL WITH ADJOINING JOINTS SO AS TO PROVIDE A SMOOTH TRANSITION FROM
WITH THE NCDOT 28125PECIFICATIONS
M. PROCTOR DENSITY BELOW TOP 6" 6 TO
BE COMPACTED T095%ORDFNSITYAS
PRODOT
O
6' JavER OF DENSE GRADED LIMESTONE BASE LOURS[
DETERMINED BYAASHTOTES RCOMPACTION
O
NC 2012 SPECIFICATNS
IO. ALI MATERWL5 SHALL BE
EST SEEPAVEMENT NOTES FOR ADDITIONAL
IN ACCORDANCE WITH 5ECIION ID10.100% COMPACTN RFO'D
IO
INFORMATION
NOT TO SCALE
01 DOS ALJMINUM
STANDARD PAVEMENT SECTION
NOT TO SCALE
NOT TO SCALE
O224 LBSSY(P•) HOT BRJMINOUS CONCRETE
LBS SY (21 BITUMINOUS CONCRETE
WEARING COURSE. NCDCT 2012 SPECIFICATIOF6
�XC2R1
O2 229 LB— (21HOT BITUMINOUS CONCRETE
2
BINDER COURSE WDOT 2012 SPECIFICATIONS.
STANDARD SPECIFICATIONS.
GAL/EY. EMULSIFIED ASPHALT OR 007 GAT -IC Y
B. PAVERS WILL BE LAID ON TOP OF A W CONCRETE BASE. SETTING BED AND JOINTS TO BE MORTARED IN ACCORDANCE
ODID
3 TACK COAT. ALL NATERALS ARE TO BE IN ACCORDANCE
TOP 6" OFSUBGRADEISTOBECOMPACTEDTO
WITH THE WDOT 2D12 SPECIFICATIONS.
100%PROCTOR DENSITY BELOW TOP 6" 6 TO
8LAYER OF DENSE GRADED LMETONE BASE COURSE
BE COMPACTED TO 95% PROCTOR DENSITY AS
COMPDITIONACHOM
NCDOT 20125PKIFKATIONS ALL MATERIALS SHALL BE
O
TEST SEEPAVEMENT NOTES —ADDITIONAL
TEST SEE
INFORMATION
IN ACCORDANCE WITH SECTIO I— IUD% COMPACTION RLO'D
HEAVY DUTY PAVEMENT SECTION
NOT TO SCALE
SEC PLANS
LIGHT BROOM STROKES
FINISH (TYP)
/4' PER FT
e a' P
ILI
III—III =i e
SEE DETAIL -9.— FOR
EXPANSION JOINT PEC -TS
NOTE. CONTRACTION JOINTS SHALL BE
SPACEDAT W (MAX)OINTERTO
CR.ENTEAND SHALL BE FORMED USNG
C
LASTC OR HARDBOARD PREFORMED
51RIPS (:/3 DEPTH OF SLAB) PLACED
IN
N THE SIDEWALK AND RB AT THE
I IME OF CONSTRUCTION, OR BY SAW—ING
THE SIDEWALK AND CURS TO V3 DERIH
WITHIN `"UR`
AFTER CONSTRUCTIOn
MATCH LOCATION OF JOINTS IN PAVEMENT
WHERE POSSIBLE.
L2" PRE -MOLDED JOINT RLLER
ROOD BETWEEN CURB E COW
PVMT (TVP)
CONCRETE SIDEWALK &
TURN -DOWN CURB DETAIL
NOT TO SCALE
GENERAL NOTES
JOINT SEALING COMPOUND (11)
I/4'
O d NOTE SPACE EXPANSION JOINTS AT
N• P d SO' MAX. AND AT ALL LOGATIOI:S
WHERE CURB OR SIDEWALK
TERMINATES AGAINST A RIGID OBJECT
I/2 PRE -MOLDED JOINT FILLER
REO•D BETWEEN CURB E COW PVMT. (TYR)
SIDEWALK & CURB
EXPANSION JOINT DETAIL
NOT TO SCALE
O221
LBS SY (21 BITUMINOUS CONCRETE
1) WHITACRE-GREFR FIREPROOFING COMPANY, 1400 S. MAHONING AVE.
TRANSPORTATION SPECIFICATIONS.
SURFACE COURSE REF. 610.5958. WDOT 2012
p
(RUSTIC) 430
STANDARD SPECIFICATIONS.
2) HANOVER ARCHITECTURAL PRODUCTS, 240 BENDER ROAD. HANOVER. PA
B. PAVERS WILL BE LAID ON TOP OF A W CONCRETE BASE. SETTING BED AND JOINTS TO BE MORTARED IN ACCORDANCE
336 LOS .ISY (31 BITUMINOUS CONCRETE
'• 2 YJ', T -(E 1
3) PAVESTONE COMPANY. 7322 BONNYSHIRE DRIVE. CHATTANOOGA, TENNESSEE.
INTERMEDIATE COURSE REF 610.1-1908. NCOOT 2012
IB'H3' SIGN
5. WHERE SIDEWALKS ARE REQUIRED. THIS PLAN SHALL BE USED A' PEDESTRIAN CROSSWALKS FOR SAFE AND CONVENIENT
STANDARD SPECIFICATIONS
MAXIMUM
HNE 5300
O3
0.04 - 808 GAL./SY. TACK COAT AS PEOD BY SPECS
TOP 6' OF SUBGRADC 5 TO BE COMPACTED TO
100% PROCTOR DENSITY BELOW TOP 6" 610
SHALL BE LAID SUCH THAT JOINTS ARF I FVEL WITH ADJOINING JOINTS SO AS TO PROVIDE A SMOOTH TRANSITION FROM
ALL MATERWLS ARE HD BEN ACCORDANCE
WITH SECTION 605 OF THE WDOT 2012 SPEORGAlIDNS
BE COMPACTED TO— PROCTOR DENSITY AS
O
10' LAYER OF CRUSHED AGGREGATE BASE COURSE PLANT MNED SHALL
DETERMINED BY PASHTO T-99 COMPACTION
TEST SE[ PAVEMENT NOTES FORADDITIONAL
FINSHED P-7 1"+P;
BE PLACED N ACCORDANCE WITH SECTION 520, WDOH 2012 AIL
MATERIALS SHALL BE IN ACCORDANCE WI SECTION TOM 100%
INFORMATION.
COMPACTION REO'D
NCDOT PAVEMENT SECTION (IN R.O.W.)
NOT TO SCALE
01 DOS ALJMINUM
H'CAP SIGN DETAIL
SEC PLANS
LIGHT BROOM STROKES
FINISH (TYP)
/4' PER FT
e a' P
ILI
III—III =i e
SEE DETAIL -9.— FOR
EXPANSION JOINT PEC -TS
NOTE. CONTRACTION JOINTS SHALL BE
SPACEDAT W (MAX)OINTERTO
CR.ENTEAND SHALL BE FORMED USNG
C
LASTC OR HARDBOARD PREFORMED
51RIPS (:/3 DEPTH OF SLAB) PLACED
IN
N THE SIDEWALK AND RB AT THE
I IME OF CONSTRUCTION, OR BY SAW—ING
THE SIDEWALK AND CURS TO V3 DERIH
WITHIN `"UR`
AFTER CONSTRUCTIOn
MATCH LOCATION OF JOINTS IN PAVEMENT
WHERE POSSIBLE.
L2" PRE -MOLDED JOINT RLLER
ROOD BETWEEN CURB E COW
PVMT (TVP)
CONCRETE SIDEWALK &
TURN -DOWN CURB DETAIL
NOT TO SCALE
GENERAL NOTES
JOINT SEALING COMPOUND (11)
I/4'
O d NOTE SPACE EXPANSION JOINTS AT
N• P d SO' MAX. AND AT ALL LOGATIOI:S
WHERE CURB OR SIDEWALK
TERMINATES AGAINST A RIGID OBJECT
I/2 PRE -MOLDED JOINT FILLER
REO•D BETWEEN CURB E COW PVMT. (TYR)
SIDEWALK & CURB
EXPANSION JOINT DETAIL
NOT TO SCALE
1. THE EXPANSION JOINT IS TO BE REPLACED WHERE THE NEW RAMP OR SIDEWALK JOINS EXISTING PAVEMENT STRUCTURE.
ACCEPTABLE MANUFACTURERS AND PRODUCTS ARE:
IP'JB' SIGN
1) WHITACRE-GREFR FIREPROOFING COMPANY, 1400 S. MAHONING AVE.
TRANSPORTATION SPECIFICATIONS.
WHTE •1'CAP S'�MBOL
p
(RUSTIC) 430
BLUE BACKGROUND
2) HANOVER ARCHITECTURAL PRODUCTS, 240 BENDER ROAD. HANOVER. PA
B. PAVERS WILL BE LAID ON TOP OF A W CONCRETE BASE. SETTING BED AND JOINTS TO BE MORTARED IN ACCORDANCE
HANDICA»ED -
PARKING ONLY
1" HO.. RE
LETTERS(TYP)
3) PAVESTONE COMPANY. 7322 BONNYSHIRE DRIVE. CHATTANOOGA, TENNESSEE.
MORTAR JOINTS TO A WIDTH OF 3/8 •. PAVERS SHALL NOT BE DIRECTLY TOUCHING EACH OTHER UNLESS TRAY HAVE
IB'H3' SIGN
5. WHERE SIDEWALKS ARE REQUIRED. THIS PLAN SHALL BE USED A' PEDESTRIAN CROSSWALKS FOR SAFE AND CONVENIENT
-BOTTOM DIAMETER OF 23 MM (0.91N):
MAXIMUM
HNE 5300
BLUE BAT.- NO
D
- HEIGHT OF 5 MM (021N):
SHALL BE LAID SUCH THAT JOINTS ARF I FVEL WITH ADJOINING JOINTS SO AS TO PROVIDE A SMOOTH TRANSITION FROM
\
SE -SIS POST IN CONCRETE [TY%
- ELEVATION ABOVE
TO A MININIUM DEPTH OF T-0' JSE
"U-TYPE"FI WEDSTEELSECTIONSFOR
FINSHED P-7 1"+P;
AT LEAST 70 PERCENT.
FOR SIGN POST (PER ALDOT SPECT,)
PER ADA REQUIREMENTS. FACE OF ALL BRICK SHALL BE CLEAN OF CEMENT AND PROTECTED SO AS TO AVOID CHIPPING
FA9RICATE SIGN PANELS .1 16 G4
DURING CONSTRUCTION. IIEXPANSION JOINTS SHALL BE PROVIDED IN THE CURB RAMP AS EXTENSIONS OF WALK JOINTS
01 DOS ALJMINUM
H'CAP SIGN DETAIL
COVERED (EXCLUDING THE FLARED SIDES) RATHER THAN THE ENTIRE LENGTH OF THE RAMP TO MAXIMIZE THE
1. THE EXPANSION JOINT IS TO BE REPLACED WHERE THE NEW RAMP OR SIDEWALK JOINS EXISTING PAVEMENT STRUCTURE.
ACCEPTABLE MANUFACTURERS AND PRODUCTS ARE:
2. EXPANSION JOINT MATERIAL TO BE IN ACCORDANCE WITH ARTIC-E 83201 AND 83202 OF ALABAMA DEPARTMENT OF
1) WHITACRE-GREFR FIREPROOFING COMPANY, 1400 S. MAHONING AVE.
TRANSPORTATION SPECIFICATIONS.
ALLIANCE. OR 44601. ADA PAVER. "X 8'X 2-114". CLEAR RED
3. THE SUBGRADE SHALL BE FREE OF ALL ROOTS AND OTHER UNDESIRABLE MATERIALS WITH THE ROOTS CUT BACK ONE (1)
(RUSTIC) 430
FOOT FROM FACE OF SIDEWALK.
2) HANOVER ARCHITECTURAL PRODUCTS, 240 BENDER ROAD. HANOVER. PA
B. PAVERS WILL BE LAID ON TOP OF A W CONCRETE BASE. SETTING BED AND JOINTS TO BE MORTARED IN ACCORDANCE
1733L DETECTABLE WARNING PAVER. 4" X 8" X 2'. RED OR QUARRY RED.
4. RAMPS SHALL HAVE A NON-SKID SURFACE APPLIED BY BRUSHING TRANSVERSELY OR GROOVING.
3) PAVESTONE COMPANY. 7322 BONNYSHIRE DRIVE. CHATTANOOGA, TENNESSEE.
MORTAR JOINTS TO A WIDTH OF 3/8 •. PAVERS SHALL NOT BE DIRECTLY TOUCHING EACH OTHER UNLESS TRAY HAVE
DETECTABLE WARNING PAVER. 4' X 8" X 2-3/8'. RED
5. WHERE SIDEWALKS ARE REQUIRED. THIS PLAN SHALL BE USED A' PEDESTRIAN CROSSWALKS FOR SAFE AND CONVENIENT
-BOTTOM DIAMETER OF 23 MM (0.91N):
MOVEMENT OF THE HANDICAPPED AND PERSONS USING WHEEL CHAIRS.
DESIGN SPECIFICATIONS FOR DETECTABLE (TRUNCATED) WARNINGS
B. INSTALL DETECTABLE WARNINGS (TRUNCATED DOMES) FOR A DISTANCE OF 24' FRON THE BACK OF THE CURB FOR THE
THE DETECTABLE WARNING IS DEFINED AS "A STANDARDIZED SURFACE FEATURE BUIL- IN OR APPLIED 10 THE
ENTIRE WIDTH OF THE RAMP OPENING SHOWN.
WALKING SURFACE OR OTHER ELEMENTS TO WARN VISUALLY IMPAIRED PEOPLE OF HAZARDS ON A CIRCULATION
PATH"
7. PAVERS SHALL MEET ASTM C 902 CLASS SX. TYPE I. OR C 936, OR C 1272 TYPE R
ALL DETECTABLE WARNINGS SHALL BE IN COMPLIANCE WITH THE AMERICANS WITH DISABILITIES ACT OF 1990
B. PAVERS WILL BE LAID ON TOP OF A W CONCRETE BASE. SETTING BED AND JOINTS TO BE MORTARED IN ACCORDANCE
ACCESSIBILITY GUIDELINES (ADAAG) AS DETAILED IN 28 CFR PART 36. DETECTABLE WARNINGS SHALL CONSIST OF
WITH MANUFACTURER'S INSTRUCTIONS, OR WITH A MAXIMUM 1/2 "THICK BED O= LATEX MODIFIED CEMENT MORTAR
RAISED TRUNCATED DOMES WITH A:
MORTAR JOINTS TO A WIDTH OF 3/8 •. PAVERS SHALL NOT BE DIRECTLY TOUCHING EACH OTHER UNLESS TRAY HAVE
SPACING BARS.
-BOTTOM DIAMETER OF 23 MM (0.91N):
- TOP DIAMETER OF 10 MM (041N),
9. MORTARED JOINTS ARE TO BE FLUSH WITH THE TOP SURFACE AND STRUCK SO AS TO GINE A SMOOTH SURFACE. PAVERS
- HEIGHT OF 5 MM (021N):
SHALL BE LAID SUCH THAT JOINTS ARF I FVEL WITH ADJOINING JOINTS SO AS TO PROVIDE A SMOOTH TRANSITION FROM
- CENTER -TO -CENTER SPACING OF 60 MM (2.3511
BRICK TO BRICK AND BRICK TO CONCRETE SURFACE.
- THE COLOR OF THE DETECTABLE WARNING SHOULD CONTRAST VISUALLY WITH ADJOINING SURFACES: EITHER
LIGH- ON DARK OR DARK ON LIGHT. THE MATERIAL USED TO PROVIDE CONTRAST SHOULD CONTRAST BY
10. THE SURFACE OF ANY TWO ADJACENT UNITS SHOULD NOT DIFFER BY MORE THAN 1/8 • IN HEIGHT. BRICKS SHALL BE
AT LEAST 70 PERCENT.
PLACED IN A HERRINGBONE PATTERN WHERE FEASIBLE. IN ALL CASES. THE PATTERN OF THE DOMES IS TO BE MAINTAINED
PER ADA REQUIREMENTS. FACE OF ALL BRICK SHALL BE CLEAN OF CEMENT AND PROTECTED SO AS TO AVOID CHIPPING
DETECTABLE WARNINGS SHALL BE LAID OUT ON A TRIANGULAR GRID ORA SO TARE GRID (PARALLEL ALIGNMENT).
DURING CONSTRUCTION. IIEXPANSION JOINTS SHALL BE PROVIDED IN THE CURB RAMP AS EXTENSIONS OF WALK JOINTS
WHEN INSTALLED ON CURB RAMPS. ONLY THE LOWER 610 MM (2 FT) OF THE ENTIRE CURB RAMP WIDTH SHALL BE
FOR ANEW CONCRETE WALK. A V2' EXPANSION JOINT FILLER SHALL BE PROVIDED AROUND THE EDGE OF RAMPS BUT T
COVERED (EXCLUDING THE FLARED SIDES) RATHER THAN THE ENTIRE LENGTH OF THE RAMP TO MAXIMIZE THE
IN EXISTING CONCRETE WALKS. LINES SHOWN ON THIS DRAWING INDICATE THE RAMP EDGE AND SLOPE CHANGES AND
DETECTABILITY AND TO MINIMIZE THE NEGATIVE IMPACT ON PEOPLE WHO RE_Y ON WHEELED DEVICES FOR
ARE NOT NECESSARILY JOINT LINES.
MOBILITY. THE DETECTABLE WARNINGS SHALL BE INSTALLED SUCH THAT THE EDGE NEAREST THE CURB LINE IS
152 MM TO 200 MM (6 IN TO 8 IN) BEHIND THE CURB UNE.
H'CAP RAMP DETAILS
NOT TO SCALE
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4
ROCK DOUGHNUT
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NOTE: ALL EROSION CONTROL
DETAILS ARE TAKEN FROM B
SHOULD BE INSTALLED IN
ACCORDANCE WITH THE
NCDEO EROSION 6 SEDIMENT
CONTROL PLANNING 6 DESIGN
MANUAL (REVISED MAY 2013).
MOUND BACKFIL_
TOA-LOWEMP,FOR
SETILEMEN"
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- ALDOTND . iB
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EXCAVATION
WDRK MATERIAL AROJND PIPE.
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RROJECTNO.: :E-13!

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� SKEW OF 70'
MAX_ W2 T -D NOTE: FOR JUNCTION BOX
ONLY, OMIT CONCRETE APRONS
PLAN AND THROAT OPENINGS
2'-6"x6"OPENING
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DEVELOP A MINIM- COMPRESSNE STRENGTH
OF 300. PSI 11 28 DAYS
2 REINFORCING SHALL BE INTERMEDIATE GRADE (GRADE 6Dj
DEFORMED BARE AND SHALL CONE -ORM TO THE
REDJIREMENTS OF THF STANDARD SPEC CATIONS
FOR BI1 STEEL CONCRETE REINFORCEMENT
BARS. ASTM A-15 AND DEFORMATIONS CONFORMING
TO ASTM A-305
3 STEPS ARE IIEOJIR D ON ALL INLET BOXES
W HE.N DIMENSION FROM BO' IOM SLAB FLOW LINE
TO TOP OF TOP SLAB IS GREATER T: SAN 4'-0
JUNCTION BOX/OPEN THROAT INLET
DETAIL FOR 27" TO 60" PIPES
NOT TO SCALE
CONCRETE APRON RECD AT
THROAT DPENNGS ONLY
(SEE CONSTRI TIDN PIANS
FOR APRON LOCATIONS)
OPENNG (SEE PLAN
DR THROAT I E 6
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#SFO 2" O C
EACH WAV
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CS's@8"OC 15'LAP [.<.JI SNEEDED
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W
SECTION "A" -"A"
NOTES
1 ALL CONCRETE SHAL. BE CLA55 "A" AND SHALT
DEVELOP A MINIMUM CDMPREESIVE STRENGTr
OF 3000 PSI IN 2B OAVS
2. REINFORCING SHA- BE INTERMEDIATE GRACE (GRADE 60)
DEFORMED BARS AND SHALL CONFORM TC THE
RFOLIREMENTS OF THE CTANDARD SPECIFICATIO
FOR BILLET STEEL CONCRETE REINFORCEMENT
BARS. ASTM A -LE AND DE-ONMATXDN5 CONFORMING
TO ASTM A-305.
3 STEPS ARE REOMED ON ALL INLET BOXES
WHEN DMENSION FROM BOTTOM SLAB FLOW LINE
TO TCP OF TOP SLAB IS GREATER THAN V -D'.
4 WHEN BRCK CON.STRJCTION G ILGED. WALLS SHALL BE B'
BRICK, WHEN H : 5'. USE 12" BRICK WHEN H :5'. WITH
INLET DIMENSIONS
PIPE ID.
A
TIR AT'F APRON RAT
OPENINGS C,
TyN RCEO'D
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(SEE CONSTRI TIDN PIANS
FOR APRON LOCATIONS)
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SECTION "A" -"A"
NOTES
1 ALL CONCRETE SHAL. BE CLA55 "A" AND SHALT
DEVELOP A MINIMUM CDMPREESIVE STRENGTr
OF 3000 PSI IN 2B OAVS
2. REINFORCING SHA- BE INTERMEDIATE GRACE (GRADE 60)
DEFORMED BARS AND SHALL CONFORM TC THE
RFOLIREMENTS OF THE CTANDARD SPECIFICATIO
FOR BILLET STEEL CONCRETE REINFORCEMENT
BARS. ASTM A -LE AND DE-ONMATXDN5 CONFORMING
TO ASTM A-305.
3 STEPS ARE REOMED ON ALL INLET BOXES
WHEN DMENSION FROM BOTTOM SLAB FLOW LINE
TO TCP OF TOP SLAB IS GREATER THAN V -D'.
4 WHEN BRCK CON.STRJCTION G ILGED. WALLS SHALL BE B'
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INLET DIMENSIONS
PIPE ID.
A
B
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OROJEDTND.:.E_13I

Montalvo, Sheri A
To: [e-mail]
Cc: [e-mail]
Subject: New Retail Store - Brevard
Attachments: Agent Authorization Form.pdf
Importance: High
Jerry,
We received the PCN for the above. The signature page 10 of 10 was left unsigned. Please email me the signed page at
[e-mail] so that I can take the project off hold and forward it through the review process. If the page is
signed by someone other than the owner you will also need to forward a completed agent auth form that I have attached
for your use.
Thanks
Sheri, MowtaLvo
Administrative Assistant
401 & Buffer Permitting Branch
Division of Water Resources
North Carolina Department of Environmental Quality
919-807-6303 (office)
919 807-6494 (fax)
sheri.montalvoancdenr.eov
Physical: 512 N. Salisbury St., Ste 942-D, Raleigh, NC 27604
Mailing: 1617 Mail Service Center, Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

\SWZFFr AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION!
LOT NO. ....... PLAN NO..... PARCEL ID: 85 9'S- 1-1 113-- .
STREET ADDRESS: _I. �. Sep
........ iz .
Please print:
Property Owner
l ...........
Property Owner.
1 -he u;idersigned, registered property owners of the above noted property, do hereby authorize
4_..._ of
(Contracbor / Agent) ) (Name of consulting3(irm) T L � _.......
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special condition:, attached.
Property Owner's Address (If different than property above):
lelephi)ne:
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature
Date: _lj�1ti
Au hoj,ized/S�ign%aty
Date:

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
Q Yes ❑ No
habitat?
_... . ..._...... _ _ _ _ __. _ _ - ..
....... ......... .......... ........ ._._...... .
5b. Have you checked with the USFWS concerning Endangered Species Act
Yes ❑ No
impacts?
_......... ........... _................. _......... .................. _...... .. . I..-..--... ........ . -..................................... - .......... _... _.... _... _.....
........ ............... _......... ...
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville i
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Bryon Hamstead off the Ashevill USFWS Field Office was contacted and sent project information to determine of the site is located within Long
Earred Bat habitat. We are awaiting Mr. Hamstead's findings.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http:/iwww.liabitat.r)oaa.gov/protection/eftiAiowweprotect.htm(
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
i
governments have designated as having historic or cultural preservation
❑ Yes ❑X No
status (e.g., National Historic Trust designation or properties significant in
1 North Carolina history and archaeology)?
�i
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? T ❑ Yes ❑X No
_.__._ ....... _ .._.._.. __....._..... .___._._.____._....— ...................._.__........_..__.._ . __ 1..._....._..._.__.
8b. If yes, explain how project meets FEMA requirements:
Ii
I
8c. What source(s) did you use to make the floodplain determination?
https:limsc.fems.gov/portal/seaFch#searchresultsanchor
ApplicanVAgent's Printed Name pplicant/Agent's Signature
Date
(Ager rs signature is valid only if an authorization
j
letter from the applicant is provided.)
_
Page 10 of 10