20170344 Ver 1_Draft PCN 3-24-17 (signed)_20170324

E�vi�r��n�����1 �t���s�u1t����,
To: US Army Corps of Engineers
Raleigh Regulatory Field Office
Attn: Tasha Alexander
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
From
Re
Bob Zarzecki
Soil & Environmental Consultants, P.A.
City of Raleigh — Wake Towne Drive Extension
Wake County, NC
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•.ni,ls'. ,�rtn
March 24, 2017
S&EC Project # 9538
N.C. Division of Water Resources
401 & Buffer Permitting Unit
Attn: Karen Higgins & Jennifer Burdette
Archdale Building — 9t" Floor
512 North Salisbury Street,
Raleigh, NC 27604
On behalf of the applicant, City of Raleigh, and current owners, ITB Holdings LLC, please find attached a complete
application and supplemental information requesYing written concurrence from the U.S. Army Corps of Engineers
(USACE) and the N.C. Division of Water Resources (DWR) that the activities proposed below may proceed under
Nationwide Permit 14 and General Water Quality Certification 4088. Please contact me aY [phone] if you have
any questions ar require additional information.
PROJECT SUMMARY
Project Name Ci of Ralei h— Wake Towne Drive Extension
Project Type Linear Roadway
Owner / Applicant ITB Holdings LLC / City of Raleigh
County Wal<e
Nearest Town Ralei h
Waterbody Name Crabtree Creek
Index Number 27-33-(10)
Class C;NSW
USGS Catalo in Unit 03020201
IMPACT SUMMARY
Stream Impact (acres): 0.04 AC
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Tota] Impact to Waters of the U.S. (acres) 0.04 AC
Total Stream Impact (linear feet): 77.12 LF
Attachments:
-Complete PCN and Supplemental Infarmation
-DWR Permit Application Fee

�
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
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number: N/A
1c. Has the NWP or GP number been verified by the Corps? � Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
� 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express � Riparian Buffer Authorization
1e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certification:
❑ Yes � No ❑ Yes � No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation � Yes ❑ No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ❑ Yes � No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes � No
2. Project Information
2a. Name of project: City of Raleigh — Wake Towne Drive Extension
2b. County: Wake
2c. Nearest municipality / town: Raleigh
2d. Subdivision name: N/,4
2e. NCDOT only, T.I.P. or state N�A
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: ITB Holdings, LLC (current owner of future City street right-of-way)
3b. Deed Book and Page No. N/,4
3c. Responsible Party (for LLC if Sherman Richardson, Mgr.
applicable):
3d. Street address: PO Box 2152
3e. City, state, zip: Chapel Hill, NC 27515
3f. Telephone no.: 919-981-4044
3g. Fax no.: N/,4
3h. Email address: * email agent
Page 1 of 14
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent � Other, specify: City of Raleigh Future Street Right-of-Way
4b. Name: City of Raleigh
4c. Business name N�Q
(if applicable):
4d. Street address: Tansy D. Hayward (Assisstant City Manager for Se►vices)
4e. City, state, zip: 222 W. Hargett St., PO Box 590
4f. Telephone no.: Raleigh, NC 27601
4g. Fax no.: [phone] ext. 4650
4h. Email address: N/A
5. Agent/Consultant Information (if applicable)
5a. Name: Bob Zarzecki
5b. Business name Soil & Environmental Consultants, PA
(if applicable):
5c. Street address: 8412 Falls of Neuse Road, Ste. 104
5d. City, state, zip: Raleigh, NC 27615
5e. Telephone no.: 919-846-5900
5f. Fax no.: 919-846-9467
5g. Email address: bzarzeckic(�.sandec.com
Page 2 of 14

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): PIN: N/,4 — Linear Road Project
1 b. Site coordinates (in decimal degrees): Latitude: 35.821409 Longitude: -78.620102
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: +/- 1,200 LF
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to UT to Crabtree Creek 27-33-(10)
proposed project:
2b. Water Quality Classification of nearest receiving water: C; NSW
2c. River basin: Neuse River Basin; Hydrologic Unit Code 03020201
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: Existing conditions consist of mostly paved parking spaces and some wooded area. The general land use in
the vicinity of the project is retail, commercial and industrial.
3b. List the total estimated acreage of all existing wetlands on the property:
0 Acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Approximately 77.121inear feet of perennial stream.
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct a roadway that connects Wake Forest Road and Industrial Drive by
extending Wake Towne Drive to the east as identi�ed on the City's2030 Comprehensive Plan.
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project consists of the construction of a road extension. Equipment typically used for construction and
earthwork such as backhoes, bulldozers, excavators, graders, pavers efc. will be utilized for this project.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream 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
of determination was made?
Comments: � Preliminary ❑ Final
-A JD request package was approved by Tasha Alexander on
March 26, 2016
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: Soil & Environmental
Name (if known): Steven Ball & Bob Zarzecki Consultants, PA Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
USACE-Andrea Wade verified the jurisdictional waters on June 23, 2005
USACE- Tasha Alexander with the Corps re-verified jurisdictional waters on March 26, 2016
NCDWR- Cherri Smith with the NCDWR conducted a Neuse Buffer determination on September 15, 2015, see attached
letter (NBRRO#15-383).
5. Project History
5a. Have permits or certifications been requested or obtained for � Yes � No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
N/A
Page 3 of 14
PCN Form — Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a. Is this a phased project? ❑ Yes � No
6b. If yes, explain.
N/A
C. Proposed Impacts Inventory
1. Impacts Summary
1a. 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 Forested (Corps - 404, 10 Area of impact
Permanent (P) or wetland DWQ - non-404, other) (acres)
Tem ora T if known
W1(#1) ❑ P ❑ T
2g. Total wetland impacts 0
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. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number -Permanent (PER) or (Corps - 404, 10 stream length
(P) or Temporary (T) intermittent DWQ - non-404, width (linear
(INT)? other) (feet) feet)
UT to � pER � Corps
S1 (#1) � P❑ T Piping of Stream Crabtree 25' 77.12'
Creek ❑ INT ❑ DWQ
3h. Total stream and tributary impacts 77.12'
3i. Comments:
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 individuall list all o en water im acts below.
4a. 4b. 4c. 4d. 4e.
Open water impact Name of waterbody
number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Tem ora T
01 ❑P❑T
4f. Total open water impacts 0
4g. Comments:
5. Pond or Lake Construction
If ond or lake construction ro osed, then com lete the chart below.
Page 4 of 14

5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose of (acres)
number pond Flo
ode Filled Excavated Flooded Filled Excavated Flooded
d
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surFace area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts re uire miti ation, then ou MUST fill out Section D of this form.
6a.
� Neuse ❑ Tar-Pamlico ❑ Other:
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number — Reason for impact Buffer Zone 1 impact Zone 2 impact
Permanent (P) or Stream name mitigation (square feet) (square feet)
Tem ora T re uired?
UT to
B1 (#1) � P❑ T Roadway Crabtree � Nos 5,540 3,529
Construction Creek
6h. Total buffer impacts 5,540 3,529
6i. Comments: Buffer impacts previously approved under major variance. See attached
Page 5 of 14

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
S&EC completed a wetland delineation and Neuse River Buffer evaluation for the entire property in order to identify
natural resources so that impacts could be avoided & minimized to the maximum extent practicable. Impact 1 is a
proposed road crossing to a perennial stream. Proposed impacts include 77.12 LF of perennial stream and associated
buffer impacts. The stream is piped both above and below the project from 1-440 to Crabtree Creek, with the exception of
two open, but riprap lined sections of channel totaling 320 If to include this 77.12 If. Impacts to this open channel could not
be avoided given the existing and proposed development surrounding this roadway. Mitigation is proposed to offset the
ro osed stream loss.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
As per the project engineer,� Standard Erosion Control measures will be incorporated such as silt fencing, inlet protection
of all upstream structures and appropriately sized sediment riser basins will be utilized during construction.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for � Yes ❑ No
impacts to Waters of the U.S. or Waters of the State?
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
project? ❑ Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Stream Mitigation = Restoration Systems —Pancho Stream and Nutrient Mitigation bank
Buffer Mitigation = RES — EBX-Neuse 1, LLC Neuse Riparian Buffer Umbrella Mitigation Bank or EBX Upper Neuse Riparian Buffer Umbrella
Mitigation Bank
Type: Stream Quantity: 77.12
3b. Credits Purchased (attach receipt and letter)
Buffer 21, 913. 5
3c. Comments: See attached letters from Restoration Systems and RES
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:
4c. If using stream mitigation, stream temperature:
4d. Buffer mitigation requested (DWQ only):
4e. Riparian wetland mitigation requested:
4f. Non-riparian wetland mitigation requested:
4g. Coastal (tidal) wetland mitigation requested:
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
Page 6 of 14
PCN Form — Version 1.3 December 10, 2008 Version

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 resuit in an impact within a protected riparian buffer that requires � Yes ❑ No
buffer mitigation?
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.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 Roadway Construction 5,540 3:1 16,620
Zone 2 Roadway Construction 3,529 1.5:1 5,293.5
6f. Total buffer mitigation required: 21,913.5
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).
Payment to a private bank, see attached letter and major variance.
6h. Comments:
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified � Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: As per the project engineer,• The property is currently developed with a
significant amount of impervious surface and no stormwater management devices ❑ Yes � No
with direct discharge to the stream. No diffuse flow currently exists on the property. A
diffuse flow plan is not proposed for the project as it will utilize stormwater management
facilities that control nitro en.
Page 7 of 14

2. Stormwater Mana ement Plan
2a. What is the overall percent imperviousness of this project? 85%
2b. Does this project require a Stormwater Management Plan? � 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:
Per the project engineer.• The project will utilize underground detention devices and a sand filter designed to the current NC
DEQ BMP Manual. The project will obtain a stormwater management plan (SMP) approval from the City of Raleigh ( a DWR
certified local government) that will include these devices. A copy of this approved SMP will be provided to DWR prior to
im acts.
� 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 governmenYs jurisdiction is this project? City of Raleigh
� Phase II
3b. Which of the following locally-implemented stormwater management programs � NSW
apply (check all that apply): ❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑ Yes � No
attached?
4. DWQ Stormwater Pro ram 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? ❑ 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 8 of 14

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the � Yes � No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes ❑ No
Comments: While the project is a City linear transportation project, it will be
constructed on private property and funded by private investment at the time the
impacts to the stream occur. It later will be transferred to the City.
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ SurFace Water or Wetland Standards, ❑ Yes � No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ❑ Yes � No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in � Yes � No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
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. We
anticipate that the DWR will advise us if any additional information is needed.
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.
This is a linear transportation / roadway project. No wastewater will be generated from the proposed construction.
Page 9 of 14
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or � Yes � No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act � Yes � No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat? 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. P/ease note the interim 4(d) rule identifies the Northern Long-eared Bat as a Threatened species within
Wake County and a triangle polygon on the southern side of the property resides in Wake County. Some trees will be
removed in the project area with an estimated density of 100 trees per acre. No existing bridges will be removed
associated with this project. No percussive/blasting is anticipated associated with this project.
References: North Carolina Natural Heritage Program Data Explorer Search (January 9, 2017]. Department of
Environment and Natural Resources, Office of Land and Water Stewardship, Raleigh, NC. http://www.ncnhp.orp/
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?
The NOAA Habitat Conservation/Habitat Protection: National Marine Fish Service; Essential Fish Habitat Mapper website
was referenced. No Essential Fish Habitat was identified near the project.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation � Yes � No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources? The NC
State Historic Preservation Office HPOWEB GIS Service interacfive map was referenced on January 09, 2017; no historic
listings or study list entries or determined eligible listings were identified within the property boundaries.
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: Per the project engineer:
8c. What source(s) did you use to make the floodplain determination? Per project engineer & NC Floodplain Mapping
Program
Digitally signed by Bob Zarzecki
Bob Zarzecki DNrn=BobZarzecki,o=S&EC,PA,ou=WetlandsDepartment,
S&EC PA email=[e-mail],r—US
, oa�e:�o,�.o3.z4o9:,z:o3-o<�0o March 24,
Bob Zarzecki ApplicanUAgent's Signature 2017
Applicant/AgenYs Printed Name (Agent's signature is valid only if an authorization letter from the applicant Date
is provided.)
Page 10 of 14

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�rivironmerital Consultants,
8412 F�tl[s of 1�IetEse Road, 8uite 10�, Raleigl�, NC 27615 • I'l�o»e: (919) 84G-5900 •
sanc�ec,co�r�
MUN�CYPAL OFF�CrAL C�RTIF�CATYON / AGENT AUTHOR�ZATTON
P�•oject Nar�e/Descriptzon: Wal�e Towne Drive Extensia�n S&EC P�•oject # 9538
Date; 201b
The Depa��ment of the Army
U.S. Army Corps of�ngineers,
69 Darlington Avenue
Wihnington, NC 28403
Wilmingion District
A�tn: Tasha Alexander Field OfFice: Raleigh Re ug latory Field O�fice
I, the undersigned, a duly authorized municipal official identified herein, do authorize representatives of
�he Wilmington i7istrict, U.S. Army Corps of Engineers (Corps) and Soil & Environme�tal Cons�Itants� PA
(S&EC) s�aff, as my agen�, to enter upor� �he prnperry herein described for the purpose of conducting on-
site investigations and issuing a determination associated with Waters ofi the U.S. subject ta Federal
jurisdiction under Section 404 of the Clean Water Act and/or Section �0 of the Rivers and Harbors Act of
1899. This doc�rnent also authorizes S&EC, as my agent, ta ack on my behaif and take all actions
necessary for the processing, issuance and acceptance of a permit ar certificatfon and any and a[I
associated s�andard and special condi�ions. This notification supersedes any previous correspondence
concerr�ing the agent �or th[s project.
NOTiCE: This authorization, for liabil�ty and professionai caurtesy reasons, is valid only for go�ert�ment
offic�als �o enter the property when accnmpanied by S&EC s�a�F. Ynu shoulci call S&EC to arrange a si�e
meeting prior ta visiting the site.
ROADWAY & PARCEL 1NFORMATION:
Parcel Tndex Number{s) {PIN): linear transpoi�tation p�•oject; adjacent to & partiativ on 1715-24-1148
Site Address: extension of existin� Wake Towne Dr. east across; 2912 Wake Forest Rd
Connection: connectin� Wake Forest Road to Tndus#�•ial Drive
MUNICI�'AL OFFICIAL INFORMATION:
Name: � �
Mailing Address: � `�%`��
Telepl�one Number: � I � • ���p• ��D� Email:
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M�nicipal Official (please pi tnt}
M�znicipal
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We hereby cer�ify the above information s�bmi�ed in this application is �rue and accurate to
the best of our knawiedge.

Soi1 8� Environrnental Consultants, PA
R�112 Falls of Nn�se Road, Sui�c 1(?=�, R�leigh, NC 27G15 • Phone: (919) iW6-5900 • Fax: (919) Rdfi-9-{67
s�idcc,corn
PROPERTY OWNER CERTIFICATION / AGENT AUTHO1tIZATION
Project Name/Description: Alcatel Site S&EC Project # 9538
Date:
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn: Field Office: Ralei�h Re�ula.tory Fiel� Qf�ce
I, the undersigned, a duly auth�rized owner of record of the property/properties identified
herein, do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers
(Corps) and Soil & Envir�nmental Consultants, PA (S&EC) staff, as my agent, to enter upon the
property herein described for the purpose of conducting on-site investigations and issuing a
determination associated with Waters of the U.S. subject to Federal jurisdiction under Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. This
document also authorizes S&EC, 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 notificatian supersedes any previous
correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid anly 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 lndex Number(s) (PIN):
Site Address:
City, County, State:
1715-24-1148
2912 Wake Forest Road
Raleigh� North Carolina _ _
PROPERTY OWIVER INFORMATION:
Naine: ITB Holdin.� LLC
Mailing Address: PO Box 2152. Chanel Hill._NC 27515 __
Telephone Number: 919-981-4044
�t-C��� ��L��r�Ds�N� r�'��'� �'�f -�5
Property Owner(please Eariiil� Date
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We hereby certify the above information submitted in this appfication is true and accurate to
the best of our knowledge.

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f�der;al', s���� c�F f�a�ca� p���it� b�F�r�r� pr�����an� �rit�h �y�ur �r�je��ctp ir��la��un� the��� r���rir�d ��y
�E�ut �e�t I���t�d t�� �e�d�nn�r�t �nd Ee����r� ��rn�r�l, rt��r�-�i�����ge. �n� '4r�at�r �u�p�ly'+�r,��er�Fr��i
r���l!�tat�r��.
Th�s appr�ral r�quur�s +y�u �c� fic�l�car� t� �con��t�or�s I�st�e�d ��s�w:
1. Th� F�Vl��uan� ir�npa��t5 ar� ��er��r,r aPPraved'. E�� ��her ump��t� ��� ��pro��d, i�cl�din�
dnc�€J�ent�� �m�ra�ts� �15A I���C �,�8 .��33�'����c��
Type �af I��a€:tt
Bu��rs — ���e �,
��ff�ets — �'�n� �
Arnour�k A�pprov�d ���o�s�
Rermane�t
��.��i ���u�re f�et
��.��� ������� �e��
A��u�t +�p�r�l �uni��
fi�mwp�r� ry
�C� ����are �fe�
�] e����f�
�. I��a ��di���n�h �r��r��t� �t��r [��n e�€�er,pt ��e� as +��r��i'�i�d �witV��a� 1�� Gd�4� ��� .i3���
�Ni�U €��cur �wthrn th� proi�eke�d �Rp�rian k�uf��� u��,Ee�s �ppr�v�d by k�� �i�r�c�rro.
sl�or ur Wra9e Q: rmY� a i�ur,�aar�r� 4'j�qa�q� 1'u'atrr �s.+o�ss
1�!] 7�r�i wcrrli�e i'cnprr I�alri�lr, ix� C,rEak�or : TduV- I d h S
'� 6'4 li� Ek�041

#T81i�1[1Ur�, ll�
[]'WR �i 15-1�88
PAajor Varlanc�e Approval
Pag�e i vf S
3. M�ti�aE��n Ptan
Mitigati�r� must t�e �rc�vi�ied for th�e pr��sed �mp�a�cts as sp�e+cified in the table bef�w. ihe
Divisit�n h�s r+�c�iv�d an a�+ceptane�e lect�r #r�m WildNands Hc�ldir�g� t�o rn�eet �i3,383 s�quaF�e
f�et t�f tt�is rriitig�tio� requir�men# and Re�our€�e �rrr►ifanmer�i�# �lutinn�, 1r��. �RE�� �v
m�et the rerrrair�ing 48,81� square feet vf t�is mitig,ati�n requir�rner�t. Until the k�ank
sp+��s�rs r��eeiv� and cl,ear yc�ur pa�ynnent� a�d proc�f of pa�ment has fa�een �rv+rided tc� this
C3ff'�ce, r�u impac�ts s�eci�i�d in tF�i� A�,thoriz�ati�rrt Certfficat�e s�all o,ccur, F�r a�countir�g
��rposes. this A�t�ori�atitrn �+�rtificate auth+artzes pay�met�t to Wiltl�an�d� Ny�lr�c�g�r and
��S eo meet �h� fc�l�crwinp cam�en�ato�y m��#��ti�rn reqc�irer�rent J15A NCAC ��B .+�233
t�'}��1����1.
�nrnpen��t�ry Rhrer and Sub-bas�n
�+liti tfor� R uire�l I�urt��er
Bufi�rs
Bu�k Swarrtip P�rce� ar�d�'ar �Cara��+r��r �l�use
�re��C P��tceS Bar�k �ites of the''�E1— 43,38� (s+quare fe�t� {�3(3�42411
N�use (i� hlutrient �[}}fffs�t and Buffer
l�m�re��� �ank
BufF�r�
�u�Falo Bran�h� Gedar Grove. Se��ma �Ailk Neus�
ar�d/€�r Farrest Cr�el� Benks 5�t�es �of the 48,819 �squ�r� f�et� ,��,2(I2�}1
EB% �l�u�e Rip�cia� �uf#�� UmbreaEa
Miti ation �,ank r�r EB�-EF�II Fvnrest
4. Storrnwater AAan��erne�� 1�I�e�
Y�u are r�qu�red to �rov�d� ane co�ay �# th�e ap��rc�ved SMP, incfud�ng p#an deta�ls o�r full-
siz�d plar� sh+ew��s, w�th pf�of of City of R��eigh's a�prova�. The ap�raved ShAP s#�all �
su�rr�itted t�o the QWR 41�1 & Bufifer Pe�i�tti�g 41�nit �1�617 Ma�l �rvice C�nc�r, Fkal�eigh,
�VC �7��9�-1�1?� �efore any i�n�aa+ct� aui�ari�z�ed �n thi� �ertifit�atior� �tur. After it i�
ap�roved and submitted to the Division, the SM� may n�t k� rnad�f'red +�+�fthout �ric�r
writter� �vtt��.ri�atian #ro� th� �ity af Ra�ei�,h. !f the 5MP is madi�ed in t�e #utur�, th�n
you� s�all pr��d� �vne rr�ndifi�t! 5M� with p-toof oE ap�r++c�vva�l t�o the [�W� 4Il� &�e,�#er
�'�errni'�in� 41a�it pri�oF to th� �e�€nmencem�nt vf the rr��lific2�tit�r��. [15A AI�A� O�B .���3
{����}(iii��:

+rs ►�o�a�RBs, uc
DWR �1 15-12$8
Ma9or Varian[e Approval
Page 3 of 5
5. Erosion and S�diment Contro! Practices
Erasia� and sedimen[ contrc�l practices must be in full campliance with alf specifications
governing the proper ciesign, instaliation and aperation and maintenance of such �est
Nlanagement Practic+es in orcier io protect su�face waters standards [15A NCAC 02B
.OZ00]:
a. 7he erosion and sediment cantrol measures for the praject r°nust be desig�ed,
installed, operated, and maintained in accc�rdance ►nrith the most reient versian of
�he North Caroli�a Sediment and Erasian Gantrol Plannir�g and Design Manual.
b. Ti�e design, instailatioc�, vperation, and maintenance of the sediment and erosion
control measures must be such that they equal, ar exceed, the requirements
sp�cified in ttte mast recent version af the Norti� Carolina 5ediment and Erosion
Control Manual, The de�ices shall be maintained on ali constructian sites, borraw
sites, and waste pile (spoilj projects, incl�ding ct�ntractor-ow�ed or leased barrow
pits associ�ted with tt�e project.
c. For borro+�+v pit sites, the erosion ar�d sediment contrQl rr�easures must be
desigr�ed, installed, op�rated, and rnaintained in accordance with the most recent
version af the Narth Caralina SurFace Mining Manual.
d. The reelamatian measures and imp�ementation must eomply with the
reclamation in accorda�ce with the requirements of the S�dirnentation Poilution
Co�tral Act.
6. No waste, spoil, sol�ds, or fill af any kind shall occcar in wetla�ds, wat�rs, ar �iparian areas
�eyond the foot{�rint of the impacts depicted in the Pre-Construction Notification. AI!
construction actiwities, including tt�e design, installation, aperation, an� maintenance of
sedimer�t and erosion control BeSt Management Practices, shatl be performed sa that no
violat+ons of state water quality standards, statutes, or rules occur. j15A NCAC 2B .0233J
7. Prr�tective Fencina
The outside buffer, wetiand or water boundary and along the constructic�n corridor
wiChin these boundaries approved under t�is authorization shal� be c#eariy marked vuith
orange warn�ng fencing (or similar high vi�ibility material) for the areas that have been
approved to inf�inge within the buffer, wettar�d o� water prior to any land disturbir�g
activities ta ensure compliance with 15A N�CAC 2� .0233.
8. Th�s approval is for the purpase and design described in your �ppiication. The plans and
specifications for this �roject are inco�porated by reference and are an enforceable part
af this Approval. If you change your praJect, you must notify the Division and you may be
requirecf to submit a n�ew application package. If the property is sold, the new owner

ITB Hokfings, LlC
I]WR N 15-1288
Nlajor Variance A�pa�aval
P�ge 4 ai 5
rn�st be ginr�� a�c�py vf this Ap;prav�( and i� r�sp�ansible far �cornpl�ring with all eonditiar�s.
[15A hf�A� �8 ,[���3]
9, T'h� a�pfi€ant �nrfjc�r authoriz��i ager�t sha�E �xrovide � c�m�leted C�rtificate c�f
�C�am�pl�etior� F�rm ta the �VV4f� 4C118� Buffer Permittin,g B�a�ch +�ithin t�n �ays of p�rc��ett
�ompt�e��o�r� �av�ail�b�e at: htt�:j deq.r�e.Qa�r�about{div�i�sc�nzfw�ter-re�s+�urteslwater-
resourt�s-vermit�lw�s[�ewater-brarr�h/4p�-wetlan�is-b�ffer-�ermitsJ4�]1-��plic�tion-
farms-helr�-dotsaments.
10, Th�s app�c��rai �rants ��erm�s5ivn t� the �irectc�r, ae� �uthc�rized r��rc��n��;ive +af the
Qire�res�r, ar L�EQ s�aff, upar� t'h� p�resentation of p�rc�per cred�ntiaMsr ta ��ter t�e pr�Pert�+'
d�rri�►g narma� h�u�iness hours. �'his apprcr�►al ar�d its �ondit��ns ar� fir��al an�d bir�ding
ur�l��� �or��es�ed.
`1�is a�pr��ra� a��d its c�a,�dit�ons are #'�r�al a�� binc�i�ag unf�es� �+antes�ed. [6.SP 143-�15.��
Thrs Ma�ja� V�r��an�e car� be ��ntes#�e+d as prvv�d�d in Art�cl�s 3 and 4 vf �er�er�l 5tat�te 1508 kyy
Fiting a written p�zition tor a� admini�tr�ti+ve hearing t�o �#�e Off���e of +��mani�trative Hear�ngs
(hetehy known a� 4A�ij vv�hin s�d.y �60� ��ler�dar days.
A p�etitic�n form rnay b�e obtai�ted frorrj tF�� t�AH at httg�f,[uvww.ncn,ah_cvrn�l vr by ca�l�ng the �7AH
�Cleark's �D�fice at ��119�) 43t�3�? f�r info�mation, �l petitivn i� c�ans�der�i fil�d +where #he arigina�
and �ne �1� �py� �t+�ng v�rith any �pplica#�te DAH fil�ng f� i3 r�c�fved i�n t�ee €�AH du�ing na�rmal
off"�ce haurs (Moe��iay t�r+�ugh Fri�d�� betv+Eee� 8:O�larn an� S:�Dp�n, �xcluding of#`at+al sta'�e
h�liday��.
The p�t��on rnay be faxed �c� #�e �3AH at �919y 431-31C�1, prcrvi��c� th� �riginal and €rne copy �f
the petiti�n al�ar�g +w��th an� appli�a�t� �}�1H fiiing �� is re�cc�irred by �kh,e �AH within #"nre �5�
h��sine�� day� #�I�r�wing the faxed tran�mi�si�n.
AAailYng �dtlr��� iar the OA�H:
�{ s�r�Jr�g v1a L�i �a��p�� 5�rvicr: If s+�nnt'inq w'ar ckl#very srr►+�te �'�Jl�'S. �edl� tttJ:
0�'ice +�f �4dmin�s�tf�tive �tearin� {]ffice �df Adminis�ratfv� He�rings
6�'14 N1�31 �rrvice C+�nte�r �111 Nevr H��e Churcfi� Rvad
�a�eigh, MC ��i G�9-�714 RaCei�h, �� ��'�?9-6285�
O�ne (1} c�apy o� the peti#�4n must al�o be �ecued ta [�epartm�nt c►f EnviF�nmenc�l Quali�r:

ITB Holdin�s. kk�
C�VV(# �I i�-��8$
Nl���r ll�ra�nce +4pPraual
Pa�ge 5,p� 5
S�m �, I�a�re�, C��ner�l �o�ans�l
�ep��trx�er�t �f ��v��rc�rrrr���t�1 �Qua���y
�6�1 Ph1��il �rxr��ce Cenrt�r
Ra�leig'h, �MC �'7���-1601
This �e�te�� cc�mpfet�� th� ��viev�r �fi the [�i+v��i�r� und�r t�x�e f����e �ti�rian �ufF�r tt�ul�� a��
tJescfibed i� 15� h1�AaC 2� .�b�3�. i�lease contact �e�rn�f�er Burc�ette at 9�9-�f17-�636+i ar
ienn�fer.burc�ett��ncdenr.��v nr i� you I��+ve� a�y ��estinns +�r conc�rr�s.
Si�nc�r+e�l�.
� � �
K��en H#ggi�s, Sup�
d01 � ��uf�er Pemal
�
�e: ��r�i, �i1 �& �+�ttr�r�r��l �n�utk�t'4t�� lt�., +�4,�7 Fal�s � Ne� R�d, �
�'kAl't FWi��j�y FYL �����
FRi,�hard '�herrnMa�r�, FTB Ffoki�n�s, LLC� P tD B�x �152, Cl�ap�l H�II, �C �7�15
�V'�►R RRC� 4�}1 fil�
E]+dVR 4�1 �a Ruffer R�rmi�tirr� Bran��a Eile
�iknam�e, iSI28�_2912Wak�For�s[Rd�ed�e+relcxpm�rot�Wake��IR�,��1�.da�taE

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�.Su�bjcct" la�ve lx�n I��I+e�! uta tlx prc+�arrt, �t�1 �s�tn�s� tih�rs{Icri�lic� th�� quul�l} il Nt t++e a��rc�m. 1'h� nsuv b�
at�cr strrt�rns IneaR�.tii an �cwr prc+p�nr ���� du n��� :��+,v► up vn �h� m�ps refirrricc�l �t�����e hu�. ��rl! mux hc
t�nsirlrre�l juri:�ciiclir�n�{ ukcurriing 1� f4�r: 1�.r, hrrn�, �L'ur�rs uf kin�,�n�rrs �d'�r to �tic biva�ie�n c�1' ++�'ut�r I�c�c+�u:er�cs
Ii]�4rR�,
7'his na-�ife dclertnins�li�a sMal� c^��irr fire N�l r�c�� �rcrm �he da�e ��! Ihis ktt�r. l.�neln��ners ur ��1'ec�cd p�rriirs tbat
�I�Sp�la �t dete�'iptia�lk�►a made b;�� fhe'a'1►�Vft +ur l�le�alccl Lu�c�l dlutTaoril�� mrrr� r�e�c�l �+d�ctcrmi�a�ti�a br� Ihe
Dircclar. �1tr a�p,p��r1 r�qu�csl masl �+e m�lr within aisl�- 4b0? dr�y�� �fdr�1� nf �his �rltcr ar fra�qn !hr �iul� 16� aif+�lcd
p�rt�' 4in�ludi� �o�+rns�tres��n �adrar adjafcn[ a►rttt�x� � ttolifled �C t�rs� �rilcr� A reques�l ior ��letcrmieatian by 1he
I�tr�eclor sh�ll bc rr[errr� l+� ��Sr Direcr�r �n wri�ip�,. ff see�rrdlx;� ��ta d.� Pa.���.Ser�ict. tin Aarr+� fiJ'R,��ns: l7�H J� — it7�I
���r%fer P�rmtrr#r�� L'rn�i; J`�f7.lt�rdlS�,n�fc� Ce�etc�. R+���1,�J�. ."�'�' 17�44.16l7. dfscnaflH,� ��i� �'e!lY�r�srntrre fL'�"S,
1C'e��r. e�tr:i: J��rre�r N��g%r�; Lli� JT — �I�d � BuJf�r Ptr+nti�'�rr� � `r�+�, i1�, :4: �`rrR�r�err,�' ��'rt�r1« �'rrl�i�h, ,'�C' ?7blJ�
'ih�s �le��rminsliu� is �inrl �nct I�iadin� uni+rs�, �t �r1�F[+�d �ls�aw-c, 4'AY �S�t fVF i4 I!4'i1rtI11,� OC i�f�FC71t �►ithin sixtv {fi�}
daws.
T�e vwnerffutnrc +�waer� �hr�utd t��ii�' Ihe q#4��inn rrf �1'V�rt�rr ��s+�un�s (incl�din� ynv +�the� L.+rral, Statr, a�d
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alwv��, T'#�is piro,�cc°t tp��` r�c�yuirc � Ss�llnn �+QW�111 Ftrcai� f+ar ei�e �no�raxr�d aclt�it�. hn►� In�qu��a�s sl�ouf�1 b�r
c�ireet�i 1+� Ihe �ir-#�ivn n�'1V'st�r �tes�ru� �Cc�t1r�� UfRec� �� (9�4�-5�1�-b3�lU. in�l �h� i�� Ar�v �Cotp �af F.ng�a�cr�
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Statement of Mitigation Credit Availability
Pancho Stream, Wetland and Nutrient Mitigation Bank
January 26, 2017
Ms. Tasha Alexander
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive
Suite 105
Wake Forest, NC 27587
Re: Availability of Compensatory Stream Credits
Project: Wake Forest Road Mixed-Use Development
We are providing this letter in accordance with 33 CFR §332.8(r), to confirm that 977.32 Stream Mitigation Credits
(Credits) from the Pancho Stream, Wetland & Nutrient Mitigation Bank (Bank) are currently available and all or a
portion may be used, once transferred, for compensatory mitigation relative to the Wake Forest Road Mixed-Use
Development project, and as proposed by ITB Holdings LLC (Applicant).
The Applicant may ultimately purchase the Credits, if they are available, following Permit issuance. Should the
Applicant purchase the Credits at that time, we will complete and execute the Compensatory Mitigation
Responsibility Transfer Form (Transfer Form) within five (5) days of receipt of the full purchase price.
We will additionally provide copies of the completed and executed Transfer Form to the Applicant, the Bank's US
Army Corps (USACE) Project Manager and, if needed, other regulatory agencies. In addition, we will provide USACE
with an updated copy of the Bank's Ledger, reflecting the transaction. Transaction information in the updated Bank
Ledger will include relevant Permit and Applicant information as well as the number and resource type ofthe debited
Cred its.
Should your office have any questions, please contact me at 919.334.9123.
Sincerely,
�',����,�.,. f�`�y�� i� _
Tiffani Bylow
Restoration Systems, LLC

EBX Buffer Mitigation Banks
Statement of Availability January 23, 2017
NC Division of Water Resources
512 N. Salisbury St.
Archdale Building, 9th floor
Raleigh, NC 27604
Re Project: 2912 Wake Forest Road Redevelo�ment, DWR Project #15-1288
This document confiriils that LT.B. Holdin�s, LLC (Applicant) for the 2912 Wake Forest Road
Redevelopment (Project) has expressed an interest to utilize 92,263.50 Square Fee�t of Riparian Buffer
Mitigation Credits fiom the one of the following banks, EBX-Neuse I, LLC Neuse Riparian Buffer
Umbrella Mitigation Bank or EBX Upper Neuse Riparian Buffer UmUrella Mitigation Bank. Specific
bank sites that will be debited will either be Arringtoi� Bridge I, Arrington Bridge Il, Buffalo Branch,
Selma Mill, Cedar Grove, Ezell, and/or Hatley, all located in HUC 03020201. As tne official Bat�lc
Spo�lsor, EBX-Neuse I, LLC and EBX, attests to tl�e fact that mitigation is available for rese�vation at this
time.
These mitigation credits are not considcred secured, and consequently are eligible to be used for alternate
puiposes by tfie Bai�lc Sponsot�, until payment in full is received from the� Applicant resulting in the
issiiance of a M�itigation Credit Transfer CerTificate by the bank acknowledgin� that the Applicant has
ftilly secured credits from the Uanlc and the Banker has accepted fiill responsibility for the initigation
obligation reqtiiring the credits/units.
The Banker will isstie the Mitigation Creclit Transfer Certificate witfiin three (3) days of receipt of the
pm-chase price. Banker shall provide to Applicant a copy of the Mitigation Credit Transfer Certiticate and
a documented copy of the debit of credits from the Bank Off'icial Credit Ledger(s), indicating the permit
number and the resource type secured by the applicant. A copy of the Mitigation Credit Transfer
Certificate, with an updated Official Credit Ledger will also be sent to reb latory age�lcies showing the
proper docuinentation.
Please contact me at 919-209-1052 or cconder�cures.us if you have any questions or need additional
information.
Best Regards,
Cara S. Conder
Resoure� Envirom7iental Solutiorls, LLC
302 Jefferson Street, Suite 1 10
Raleigh, NC 27605
Banlc Sponsor — EBX-Nellse 1, LLC or Environinental Banc & ExcllangE (EBX)

NC SAM FIELD ASSESSMENT FORM
►ccompanies User Manual Version 2.1
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic
quadrangle, and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property,
identify and number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for
detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were
performed. See the NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): 2912 Wake Forest Road 2. Date of evaluation: December 20, 2016
3. ApplicanUowner name: ITB Holdings, LLC 4. Assessor name/organization: B.Zarzecki / S&EC,PA
5. County: Wake 6. Nearest named water body
7. River basin: Neuse on USGS 7.5-minute quad: UT to Crabtree Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.822506 /-078.621802
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): Stream 10. Length of assessment reach evaluated (feet): 320
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 1 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 12 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: �Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains (M) � Piedmont (P) ❑ Inner Coastal Plain (I) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic �A ���
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope)
�B
(less sinuous stream, steeper valley slope)
17. Watershed size: (skip ❑Size 1(< 0.1 mi2) �Size 2(0.1 to < 0.5 mi2) ❑Size 3(0.5 to < 5 mi2) ❑Size 4(>_ 5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? �Yes ❑No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property �NCDWR Riparian buffer rule in effect �Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/suaalementarv measurements included in "Notes/Sketch" section or attached? �Yes I-lNo
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
�A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
❑A At least 10% of assessment reach in-stream habitat or riffle-pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
�B NotA
3. Feature Pattern - assessment reach metric
�A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
❑B NotA
4. Feature Longitudinal Profile - assessment reach metric
�A Majority of assessment reach has a substantially altered stream profile (examples: channel down-cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
❑B NotA
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down-cutting (head-cut), active widening, and artificial hardening (such as concrete, gabion, rip-rap).
❑A < 10% of channel unstable
❑B 10 to 25% of channel unstable
�C > 25% of channel unstable

6. Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
❑B ❑B Moderate evidence of conditions (examples: berms, levees, down-cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area,
leaky or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
�C �C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision,
disruption of flood flows through streamside area] or too much floodplain/intertidal zone access [examples:
impoundments, intensive mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a
man-made feature on an interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
�A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
�D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
�I Other: (explain in "Notes/Sketch" section)
❑J Little to no stressors
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
�C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes �No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In-stream Habitat Types — assessment reach metric
10a. �Yes ❑No Degraded in-stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in-stream hardening [for example, rip-rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
�A Multiple aquatic macrophytes and aquatic mosses ��, ❑F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) F� ❑G Submerged aquatic vegetation
�B Multiple sticks and/or leaf packs and/or emergent o�' ❑H Low-tide refugia (pools)
vegetation � N ❑I Sand bottom
❑C Multiple snags and logs (including lap trees) _� ❑J 5% vertical bank along the marsh
❑D 5% undercut banks and/or root mats and/or roots �� ❑K Little or no habitat
in banks extend to the normal wetted perimeter
❑E Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS*'k""**************"****"****
11. Bedform and Substrate — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. ❑Yes �No Is assessment reach in a natural sand-bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
❑A Riffle-run section (evaluate 11c)
❑B Pool-glide section (evaluate 11d)
�C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c. In rifFle sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) _
absent, Rare (R) = present but < 10%, Common (C) _> 10-40%, Abundant (A) _> 40-70%, Predominant (P) _> 70%. Cumulative
percentages should not exceed 100% for each assessment reach.
NP R C A P
❑ ❑ ❑ ❑ ❑ Bedrock/saprolite
❑ ❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
❑ ❑ ❑ ❑ ❑ Cobble (64 — 256 mm)
❑ ❑ ❑ ❑ ❑ Gravel (2 — 64 mm)
❑ ❑ ❑ ❑ ❑ Sand (.062 — 2 mm)
❑ ❑ ❑ ❑ ❑ SilUclay (< 0.062 mm)
❑ ❑ ❑ ❑ ❑ Detritus
❑ ❑ ❑ ❑ ❑ Artificial (rip-rap, concrete, etc.)
11d. ❑Yes ❑No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. �Yes ❑No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. �Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ �Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ �Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ �Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ �Midges/mosquito larvae
❑ �Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ �Other fish
❑ ❑Salamanders/tadpoles
❑ �Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland
runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
�C �C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil
compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water >_ 6 inches deep
❑B ❑B Majoriry of streamside area with depressions able to pond water 3 to 6 inches deep
�C �C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
�N �N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
�A Streams and/or springs Qurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low-flow periods within the assessment area (beaver dam, leaky dam, bottom-release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
�E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low-flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
�C Urban stream (>_ 24% impervious surface for watershed)
�D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf-on" condition.
�A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
❑A ❑A ❑A ❑A >_ 100 feet wide or extends to the edge of the watershed
❑B ❑B ❑B ❑B From 50 to < 100 feet wide
�C �C ❑C ❑C From 30 to < 50 feet wide
❑D ❑D �D �D From 10 to < 30 feet wide
❑E ❑E ❑E ❑E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
❑A ❑A Mature forest
�B �B Non-mature woody vegetation or modified vegetation structure
❑C ❑C Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D Maintained shrubs
❑E ❑E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but
is within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22: ❑
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B ❑B �B �B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
�A �A Medium to high stem density
❑B ❑B Low stem density
❑C ❑C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
�A �A The total length of buffer breaks is < 25 percent.
❑B ❑B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
�B �B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear-cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
❑C ❑C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity — assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes �No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water �Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑B 46 to < 67 ❑C 67 to < 79 ❑D 79 to < 230 ❑E >_ 230
Notes/Sketch:
Stream is an urban, perennial stream that has been channelized and armored with riprap & receives uncontrolled stormwater runoff.

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name 2912 Wake Forest Road Date of Assessment December 20, 2016
Stream Category Pb2 Assessor Name/Organization B.Zarzecki / S&EC,PA
Notes of Field Assessment Form (Y/N) YES
Presence of regulatory considerations (Y/N) YES
Additional stream information/supplementary measurements included (Y/N) YES
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream) Perennial
USACE/ NCDWR
Function Class Rating Summary All Streams Intermittent
(1) Hydrology LOW
(2) Baseflow HIGH
(2) Flood Flow LOW
(3) Streamside Area Attenuation LOW
(4) Floodplain Access LOW
(4) Wooded Riparian Buffer MEDIUM
(4) Microtopography NA
(3) Stream Stability LOW
(4) Channel Stability LOW
(4) Sediment Transport LOW
(4) Stream Geomorphology LOW
(2) Stream/Intertidal Zone Interaction NA
(2) Longitudinal Tidal Flow NA
(2) Tidal Marsh Stream Stability NA
(3) Tidal Marsh Channel Stability NA
(3) Tidal Marsh Stream Geomorphology NA
(1) Water Quality MEDIUM
(2) Baseflow HIGH
(2) Streamside Area Vegetation MEDIUM
(3) Upland Pollutant Filtration MEDIUM
(3) Thermoregulation HIGH
(2) Indicators of Stressors YES
(2) Aquatic Life Tolerance HIGH
(2) Intertidal Zone Filtration NA
(1) Habitat LOW
(2) In-stream Habitat LOW
(3) Baseflow HIGH
(3) Substrate LOW
(3) Stream Stability LOW
(3) In-stream Habitat MEDIUM
(2) Stream-side Habitat HIGH
(3) Stream-side Habitat MEDIUM
(3) Thermoregulation HIGH
(2) Tidal Marsh In-stream Habitat NA
(3) Flow Restriction NA
(3) Tidal Marsh Stream Stability NA
(4) Tidal Marsh Channel Stability NA
(4) Tidal Marsh Stream Geomorphology NA
(3) Tidal Marsh In-stream Habitat NA
(2) Intertidal Zone NA
Overall LOW

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1"=40' H, 1"=4' V
242
240
238
236
234
232
230
228
226
224
222
10+50
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I EXISTING GRA E
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242
240
238
236
234
232
230
228
226
224
222
220 220
218 218
50 40 30 20 10 0 10 20 30 40 50
1"=20' H, 1"=4' V
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