20170484 Ver 1_401 Application_20170418

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 13
PCN Form — Version 1.3 December 10, 2008 Version
Pre -Construction Notification (PCN) Form
A. Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1b.
Specify Nationwide Permit (NWP) number: NWP 18 or General Permit (GP) number:
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
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
® Yes ❑ No
For the record only for Corps Permit:
❑ Yes ® No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Fordham Boulevard
2b.
County:
Orange
2c.
Nearest municipality / town:
Chapel HIII
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
RRPIV Village Plaza Chapel Hill, LLC/M&H Hospitality, LLC
3b.
Deed Book and Page No.
6162/154./.2440/179
3c.
Responsible Party (for LLC if
applicable):
Mr. David Klepser/Mr. Mike Amin
3d.
Street address:
1930 Camden Road, Suite 130, Charlotte NC 28203/1312 N. Fordham
Chapel Hill, NC 27514
Boulevard,
3e. City, state, zip:
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
Page 1 of 13
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ® Other, specify: Developer
4b.
Name:
Mr. David Klepser
4c.
Business name
(if applicable):
Ram Reaility Associates, IV, LLC
4d. Street address:
1930 Camden Road, Suite 130
4e.
City, state, zip:
Charlotte, NC 28203
4f.
Telephone no.:
704.377.9295
4g.
Fax no.:
4h.
Email address:
[e-mail]
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Bradley S. Luckey
5b.
Business name
(if applicable):
Pilot Environmental Inc.
5c.
Street address:
PO Box 128
5d.
City, state, zip:
Kernersville, NC 27285
5e. Telephone no.:
336.708.4997
5f.
Fax no.:
5g.
Email address:
[e-mail]
Page 2 of 13
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
9799242361/9799245697
1 b. Site coordinates (in decimal degrees):
Latitude: 35.93346 Longitude: - 79.02476
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
4.7 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Booker Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS -IV, NSW
2c. River basin:
Cape Fear
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 site is developed with a hotel and assoicated parking lot and maintained grassed areas. The remainder of the site
consits of undeveloped wooded land and fields. The site is located within a mixed use commercial and residential area of
Chapel Hill, NC.
3b. List the total estimated acreage of all existing wetlands on the property:
—0.09 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
—700LF
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to develop the site with a six story multi -family residential apartment complex and
related amenities.
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project consists of developing the site with multi -family six story apartment building, interior roads/sidewalks,
parking areas, recreational areas including pool, a greenway and landscaped areas. In order to facilitate construction of
the apartment complex building/foundation and greenway, it will be necessary to impact portions of three small wetland
pockets. To facilitate construction and development of the site, clearing and grading the site will be necessary. Graders,
haulers, excavators and other heavy equipment will be used during grading and construction of the site.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes El No El Unknown
project (including all prior phases) in the past?
Comments: SAW -2017-00535
4b. If the Corps made the jurisdictional determination, what type
El Preliminary El Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Pilot Enviromental, Inc.
Name (if known): Brad Luckey
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
USACE JD not yet issued.
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.
Page 3 of 13
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.
The project is not part of a phased project. Impacts to streams/wetlands, outside of those proposed in this appilication,
are not anticipated as a result of the proposed project.
Page 4 of 13
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ❑ Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
Page 5 of 13
PCN Form — Version 1.3 December 10, 2008 Version

2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ®P ❑ T
Fill
PFO
® Yes
❑ No
® Corps
❑ DWQ
0.065
W2 ® P ❑ T
Take
PFO
® Yes
❑ No
® Corps
❑ DWQ
0.021
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.086
2h. Comments: The apartment complex, stairs to access greenway/apartment complex and greenway will permanently impact
0.065 acres of wetlands. Based on the size of the wetland pockets, only 612, 153.4 and 129.7 SF will remain unaltered
following construction of the proposed project. Therefore, it is reasonably assumed that impact to the majority of the wetland
could result in hydrologic changes that would allow these remaining areas of un-impacted/filled wetlands to result in loss of
function as wetlands. Therefore, the applicant requests written approval of the remaining 895.1 SF (cumulatively 0.021 ac) to
be considered a permanent loss due to assumed take.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
3i. Comments: Stream impacts are not being proposed.
Page 6 of 13
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number -
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P❑T
02 ❑ PEI T
03 ❑ PEI T
04 ❑P❑T
4f. Total open water impacts
4g. Comments: Open water impacts are not being proposed.
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments: Construction of ponds/lakes are not being proposed.
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 you MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar -Pamlico ® Other: Lake Jordan
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number -
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
re uired?
131 ❑P❑T
❑Yes
❑ No
B2 ❑ PEI T
F-1 Yes
❑ No
B3 ❑P❑T
F-1 Yes
❑ No
6h. Total buffer impacts
6i. Comments: The applicant will obtain concurrence of exempt buffer activity and/or buffer authorization from Chapel Hill
Page 7 of 13
PCN Form - Version 1.3 December 10, 2008 Version

separate of this application.
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 proposed project has been designed to avoid impacts to streams, stream buffers and wetlands located on the site,
specifically impacts to Booker Creek and its associated buffer. However, due the limited size of the site, it is necessary to
maximize the number of units and associated revenue from units to make the project economically viable. The project has
been designed to meet Chapel Hill's development ordinance for multi -family apartments. This includes necessary building
setbacks from roads, access point requirements, emergency vehicle turnaround, required breezeways and interior sidewalks.
Additionally, due the project location in a highly urban/developed area, the success of tenant occupancy and appeal is for the
proposed project to be a pedestrian friendly environment. Therefore, interior sidewalks and access to the proposed
greenway/natural area is imperative to the success of tenant appeal of the proposed project.
The proposed project has been designed to utilize areas of permanent fill impact, associated with a greenway, for temporary
construction access. Stormwater retention has been designed to utilize permeable pavement and an underground sand filter
system, thus avoiding impacts to the stream, stream buffer or wetlands associated with stormwater treatment of the site.
The proposed project was designed to avoid permanent fill impacts to wetlands. However, based on the size of the remaining
wetlands, it is reasonably assumed that hydrology could be altered and the remaining un -impacted wetlands may no longer
function as Waters of the US. Therefore, the remaining unaltered wetlands are being considered assumed take by the
applicant. However, it should be noted that alteration of hydrology to these remaining un -impacted wetlands may not occur
and that they would continue to serve as functioning jurisdictional wetlands.
The apartment building, parking areas, stormwater management devices and the majority of the recreational amenities have
been designed to avoid additional impacts to the stream and wetlands located on the site. The remaining approximate 700
linear feet of stream channel are being avoided.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and silt fence/BMPs will be used. The area of permanent fill impact to wetlands associated
with the proposed greenway will be utilized during construction of the project as temporary access, thus avoiding temporary
impact to additional waters. Following construction, the site will be matted and re -vegetated to prevent sediments from
entering down -gradient waters.
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
❑Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
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PCN Form — Version 1.3 December 10, 2008 Version

3c. Comments:
4.
Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b.
Stream mitigation requested:
linear feet
4c.
If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d.
Buffer mitigation requested (DWQ only):
square feet
4e.
Riparian wetland mitigation requested:
acres
4f.
Non -riparian wetland mitigation requested:
acres
4g.
Coastal (tidal) wetland mitigation requested:
acres
4h.
Comments:
5.
Complete if Using a Permittee Responsible Mitigation Plan
5a.
If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6.
Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b.
If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
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: The proposed project will impact State Regulated Riparian Buffers. The applicant will submit documentation
to the local municipality to obtain concurrence of exempt buffer impact activities or obtain a buffer authorization certificate
for allowable activities separate of this application. If mitigation is a requirement of the buffer authorization, then the
applicant will satisfy those requirements of the buffer authorization prior to proposed impact to State Riparian Buffers.
Page 9 of 13
PCN Form — Version 1.3 December 10, 2008 Version

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: The stormwater management plan will be approved by the local
® Yes ❑ No
municpality prior to construction of the proposed project. The stormwater
management plan will be prepared in accordance with diffuse flow requirements.
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
81 %
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:
A stormwater mangement plan will be submitted to the Town of Chapel HIII separate of this application. The stormwater
management plan is being designed to treat at least 85%TSS and will utilize permeable pavement and an underground
sand filter system.
® Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
Chapel HIII
® Phase II
3b.
Which of the following locally -implemented stormwater management programs
® NSW
El USMP®
apply (check all that apply):
Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® 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
❑ 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 10 of 13
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. 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: A NEPA or SEPA is not required as part of this project.
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 are not aware of additional development that will impact nearby downstream water quality.
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.
Wastewater from the site will be disposed of by municipal sewer service into the local municipality treatment system. No
stream or wetland impacts will occur that are associated with sewage disposal and/or installation of sewage lines.
Page 11 of 13
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 USFWS identifies the following species as being federally protected in Orange County as of 6.8.15: bald eagle
(BGPA), dwarf-wedgemussel (E), Michaux's sumac (E) and smooth cone -flower (E). Suitable habitat for the bald eagle,
Michaux's sumac and smooth cone -flower are not present on the site. Therefore, we have made a no effeect
determination for these species. Suitable habitat for dwarf-wedgemussel may be present in Booker Creek, along the
western site boundary. Impacts are not proposed to Booker Creek or the majority of the buffer assoicated with Booker
Creek. Additionally, temporary sediment and erosion control measures will be used during construction. Based on the
lack of impact to suitable habitat located on the site and the use of BMPs, we have made a determination of no effect for
the dwarf-wedgemussel.
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?
Based on our knowledge of the site, the site is not located in or near an area designated as essential fish habitat. Best
management practices and the use of temporary sediment and erosion control devices will prevent sediment from entering
down -gradient waterbodies which may contain fish.
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 NCSHPO HPO GIS website was utilized to determine potential impact to cultural resources (attached). Eligible for
listing or listed properties are not located on within 1,100 feet of the proposed project. Listed properties are not located
within one mile of the proposed project.
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: Portions of the proposed project will occur in the 100 year
floodplain. The proposed project will be designed in accordance with FEMA requirements. FEMA approvals for impacts
to the 100 year floodplain will be obtained from the local municipality, separate of this application, prior to proposed
construction of the site.
8c. What source(s) did you use to make the floodplain determination? National Flood Hazard Layer
From FEMA Web Map Service -Drawing 4, USACE JD Package
Page 12 of 13
PCN Form — Version 1.3 December 10, 2008 Version

Bradley S. Luckey
Applicant/Agent's Printed Name
Digitally signed by Bradley S. Luckey
DN: cn=Bradley S. Luckey, o=Pilot
rF / Environmental, Inc., ou,
email=[e-mail], c=US 4/18/17
Date: 2017.04.18 17:07:50 -04'00'
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 13 of 13
PCN Form — Version 1.3 December 10, 2008 Version

firogwal Jor anvironmenicd Senkes
fIEV FLioploscd 26614 RI
flebrwcsny 16, 261171
AE ENT AIUTHORIZAITION
This form aL thorizes RHI to act as ciur agElrlt in stream/wetlairlc mattEnis inc IL c ing U.S. Alrrr y Clclrps
of Eln®irleElrs anc North Carolina Division cif Water REISOUIICEIS field venilication anc permitting
RncIFlElrty AddnElss: '4155 S. elliolt Road
Ghapel Hill, NC 27 514
CWnEIr Irliarmationl:
Addiless: 1930 Camden Road, SL ite 130
CFanlalte, NC 28203
TEIIEIphone NLmtElll: (1704) 377-9295
Fax IN umber:
9 -mail Ac c rEiss: dklepserC ramreailestate.com
JURISDICTICINAL UBTERMINATICIN REQUEST
SUCTION D-PROPERIIN OINNERCERTIHICATICIN
I, the L rldersiE rIEIC, al duly aIL th orized awrler cif rElconc S of 1 h EI proplElri y/ properties iC entifiElc
herein, da aL thorize 116prosentatives of the Wilmington Dist rid, U.9. Arrr y Conl:ls cii HriElineers
ilCorps) t CI enten L pon 1 h EI pncirjcrty herein deSCrih EIC for th EI purpose of condl. CtiriE on-site
irlvesti€ atiorls aric iSSL ing a c Ell errr ination associated with Waters of the U.9. subject 1 cI FEIC Elral
,jL risdictian uric EIr flection 4(141 of th EI Clean Water A ct aric /or Sec tion) 110 of 1 h e Ri%Ellis and
F art ors Act of 11899.
RRF17V VILLAIaE ALAZA CIFiAHHL HILI LLCI
By: F am RETE lty ASsaciatEISI IV LI CI, its MariagEir
Rro erty CMirler (plealse Flnint)
RIIcipurl y CWner Signa re
KarEin a. aeller,VP / James W. Stline, VH
3
.3 t j 4-//4
Date

Proposal for Environmental services
PEI Proposal 2604R1
February 16, 2017
AGENT AUTHORIZATION
This form authorizes PEI to act as our agent in stream/wetland matters including U.S. Army Corps
of Engineers and North Carolina Division of Water Resources field verification and permitting.
Property Address: 1312 N. Fordham Boulevard
Owner Information:
Address:
Telephone Number:
Fax Number:
E-mail Address:
Chapel Hill, NC 27514
1312 N. Fordham Boulevard
Chapel Hill, NC 27514
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JURISDICTIONAL DETERMINATION REQUEST
SECTION D -PROPERTY OWNER CERTIFICATION
I, the undersigned, a duly authorized owner of records of the property/properties identified
herein, do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers
(Corps) 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.
/Y7/!lf '4;0" r✓
Property Owner (please print)
Property Owner Signature
-3 -G , 2 0/7
Date

TRIANGLE V II
PIN: 9799242361 \
PB 57, PG 43 1
PB 90, PG 72
PB 109, PG 18 1 1
DB 1213, PG 155
AREA: 344,883 SQ. FT. /
7.92 ACRES
DO
JURISDICTIONAL WETLAND IMPACT
SEE EXHIBIT #2--
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se
- UNDERGROUND
S DETENTION &
STORMFILTER
• POOL
5/ .
LIMITS OF FLOODWAY / P�� EAST GATE SHOPPING CENTER DR.
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t/ • S. ELLIOT RD.
1
VICINITY MAP
SCALE: N.T.S.
V H SPIT i I rY
PIN# 9799-24-56S
DB 2440, PG 17B
AREA: 131,276 SQ.
3.01 AC.
131' Id F=FDII,'.I. .�
MULTI -STORY
APARTMENT
BUILDING
MULTI -STORY
APARTMENT
PERMEABLE
BUILDING
PAVEMENT
77 1'R _ -
U.S. 15/501 BYPASS ----
- FORDHAM BLVD.
100- p� 200' WIDTH PUBLIC R/W
I
11101202113,
PROJECT LIMITS (APPROX.)
JURISDICTIONAL STREAM
FLOODWAY LIMITS
JORDAN LAKE BUFFER
100 -YEAR FLOODPLAIN
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—100-YR—
OVERALL SITE PLAN
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BALLENTINE
ASSOCIATES, PA
221 PROVIDENCE ROAD, CHAPEL HILL, N.C. 27514
(919) 929 - 0481 (919) 489 - 4789
SCALE: AS NOTED
DATE: 04 APR 17
JOB NUMBER: 116026.00
DRAWN BY: J.J.T.
REVIEWED BY: D.W.S.
EXHIBIT
1

NOTES: %� — — — — — — — .25 301 3oi 301 — J llL5b
� L iio�� _ _ _ -
�a � 301301
1. JURISDICTIONAL WETLAND DELINEATION
PROVIDED BY PILOT ENVIRONMENTAL, INC. 301— — — — —
�- _ — �P
301� 255!�- -'S7- `.
2. DISTURBANCE AT THE JURISDICTIONAL — — PERMANENT JURISDICTIONAL WETLANDS- 30' WIDE CONSTRUCTION\ JORDAN LAKE
WETLAND IMPACT SHALL BE MINIMIZED TO _ DISTURBANCE (HATCHED AREA - TYP.)ACCESS AND GREENWAY EASEMENT BUFFER (TYP.)
CONSTRUCTIONTHE EXTENT TRA FII PRACTICABLE ACCESS.OF LIMITS \
-- -- — SB
3. ALL CONSTRUCTION SHALL BE CONDUCTED - DISTURBANCE (TYP.) SIB so
IN ACCORDANCE WITH NCDEQ/TOWN OF I' / / I so
CHAPEL HILL STANDARDS./
� � s6
se
1
se I 1
JURISDICTIONAL WETLAND SID 1 \ WETLAND #3 _
IMPACT SUMMARY: �� \ JI w
AREA OF JURISDICTIONAL WETLAND WETLAND #1
DISTURBED (VARIABLE WIDIW- WETLAND #2 •- �_ 257 H
PERMANENT = 2.820.5 S.F. (0.065 AC.) �\ / �` = J I q oo
N
DO
cnOm �- o
FLOODWAY LINE (TYP.) °
PROPOSED STORM � PROPERTY LINE (TYP.) —
PIPE TYP. 260 -
PROPOSED
BUILDING (TYP.) / Jo Icl
-263 – /
FFE – 265.1 FIFE – 265.1' /
JURISDICTIONAL WETLAND IMPACT DISTURBANCE
SCALE: 1 " = 20'
HATCH LEGEND:
PERMANENT JURISDICTIONAL
WETLAND DISTURBANCE
FORDHAM BLVD. APARTMENTS PROJECT
JURISDICTIONAL WETLANDS IMPACT SUMMARY:
JURISDICTIONAL WETLANDS IMPACT:
ID
WETLAND AREA
WETLAND AREA
DISTURBANCE
DURATION
AMOUNT IMPACTED
AMOUNT IMPACTED
REMARKS
EXISTING SF
EXISTING AC
PROPOSED SF
PROPOSED (AC)
Wetland # 1
1252.2
0.029
Permanent
640.5
0.015
Exhibit #2
Wetland #2
640.0
0.015
Permanent
486.6
0.011
Exhibit #2
Wetland #3
1823.1
0.042
Permanent
1693.4
0.039
Exhibit #2
TOTAL:
3715.3
0.085
Permanent
2820.5
0.065
GRAPHIC SCALE
( IN FEET )
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BALLENTINE
ASSOCIATES, PA
221 PROVIDENCE ROAD, CHAPEL HILL, N.C. 27514
(919) 929 - 0481 (919) 489 - 4789
SCALE: AS NOTED
DATE: 04 APR 17
JOB NUMBER: 116026.00
DRAWN BY: J.J.T.
REVIEWED BY: D.W.S.
EXHIBIT
2

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1 � 1
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Drawing 2
USDA Web Soil Survey of
Orange County NC
Scale: 1" = 200'
LEGEND
Site Boundary
Soils Map
N
Approximate 4.7 Acre Tract
Fordham Boulevard
Chapel Hill, Orange County, NC
PEI Project 2604

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LEGEND
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r__ Site Boundary
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Drawing 2A USDA Published Soils Map
USDA Soil Survey of Orange County, NC Approximate 4.7 Acre Tract a,
Published 1977, Sheets 26 & 30 Fordham Boulevard
Chapel Hill, Orange County, NC -:
Not to Scale PEI Project 2604
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LEGEND
:
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Drawing 2A USDA Published Soils Map
USDA Soil Survey of Orange County, NC Approximate 4.7 Acre Tract a,
Published 1977, Sheets 26 & 30 Fordham Boulevard
Chapel Hill, Orange County, NC -:
Not to Scale PEI Project 2604
r _ _
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41 - I
4K 00 1 i
1 0.
I%
Drawing 3
USFWS National Wetland
Inventory Mapper
Not to Scale
1
Site Boundary
NWI Designations
Frosrlwater Emergent
Freshwater Fores4,,VShrub
_ Esluarine and Marine Deepwater
Eslua6na and Marine
_ Freshwater Pond
_ Lake
_ Riv®rine
_ Other
NWI Map
Approximate 4.7 Acre Tract
Fordham Boulevard
Chapel Hill, Orange County, NC _
PEI Project 2604
-I A 7

MAIL
Drawing 4
National Flood Hazard Layer
From FEMA Web Map Service
Not to Scale
— I 'r-
- Vii'+IP
LEGEND
Site Boundary
1 1J. Annual Chance Flood Hazard
EReguliatory Floodx2y
Sped @I Fl oodway
Area of Undetermined F lood Hazard
11,20/
Annual Chance Flood Hazard
Future Conditions 1 %Annual Chance Flood Hazard
FrAAre@with Reduced Risk Due to Levee
7� Nor -
FEMA Map
Approximate 4.7 Acre Tract
Fordham Boulevard
Chapel Hill, Orange County, NC
PEI Project 2604

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■� DP -10 °r l
e.
WA 7-12
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WA 13-21 r Ir
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SA 1-17 N,
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JLI 'Ar
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. Not Flagged
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'Surveyor Locate
LEGEND_
Site Boundary FLAG NUMBERS/INFO
Perennial Stream WETLAND FLAGS
(Booker Creek)
.,•�° _ STREAM FLAGS =
sA 1 s Flag Number Stream Flags = 17
Wetland Flags = 21
DP -1 Data Point Total Flags = 38
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE PRELIMINARY AND APPROXIMATE. THEY HAVE NOT BEEN VERIFIED BY
THE USACE AND/OR THE NCDEQ-DWR. THEY HAVE NOT BEEN SURVEYED OR GEOLOCATED.
Drawing 5 v Wetland Map
Aerial Imagery from ESRI Approximate 4.7 Acre Tract
and PEI Field Notes Fordham Boulevard
Scale: 1" = 100' Chapel Hill, Orange County, NC
Date: 3.7.17 PEI Project 2604