20141276 Ver 2_401 Application_20170717

Soil & Environmental Consultants, PA
8=112 Fall: of Neusci Bload, Svutc 104, Raleigh, NC 2761` • Ihlcric: (119) (84(-'900 • Fair. (919; 846-5467
sarid ec.coin
To: USI Arrry Corps of Engineers
Raleigh Regulatory Rield Cffice
Attn: Tasha Alexanc en
3331 f eniiage ))rade Drive, Sluice 105
Wake Rorest, b C 27587
Rrom: Deborah B. Shirley
Soil & Bnvironrrenial ConSL Itants, RA
Re: The Estates at Yates Rcnd-Ofisite Gravity Sewer
AIDA SAW -2013-01739
Cary, Wake County, N C
Jcly 26, 2 017
S181EC Project A 12088.W12
N C DWR, 401 81 Buffer Rerrr itling L nit
Attn: Karen Higgins
Arct dale Building - 9�h Rloor
512 North Salisbury) Street
Raleigh, N C 2 7604
Cn t ehalf of the applicant, Nod 1- wesi Comrr unity CIhL rct IjAitn: Joel Carpenter ) please flnc attached a torr plele
application and supplemental inforrration requesting wriiten concurrence from ite U.S. Arrry Corps of Engineers and
the N. C1. Division of Water Flesource:i iINCDWR) that the activities proposed below rray proaeec under Nationwide
Rermit 12 and Water C uality Ceri ificaiion 4086. Rlease contaci me at 11919; 846-9900 if yoL ha%e any quesiiomi or
neqLire additional information.
RRC, EC -111 SUMMARY
Rro'ect Name
The Bslates at Yates Pond-Cffsite Gra%ity Elewer
Rro'eci Type
L tility Line Activit
C wner / Applicant
Northwest C omrr L nity Church
COL nty
Wake
Nearest Town
Cary
Waierbody Narr e
Lll to Rocky Rord Branch
Basin
Cape Rean-Jordari Watershed
Index Nurrber
16-41-6-4-(1)
Class
WS -IV, NEW
IMRACT SUMMARY
Stream Irr pati (acres):
0.001
WEliland Impact (acres):
0
Open Water Impact (acres::
CI
Total Impact to Waters of'1he L.S. (acres)
C1.001
Total Streami Impact illinear feel; :
35
Atiacil ments:
Fire-construaiion N otifiaaiion (FiCN; Application Rorm
Agent ALihorizaiion Rorrrs
USGSI Topograpt is Marl 81 N RCS Soil SluNiey Map
NCEWR Buffer ❑etermiinaiion-NBRROA15-320
404 Nationwide Perrrit & J❑ -SAW -2013-017139
401 Waier Cuality Ceriiflcaticin Appro%al-DWR#14-•1276
Coy er Sheet
Cverall SutdNision Plan -sheet PI
wisc ictional Strearri Impact sheet -1-4
DWR ONLY:
$240 EWRAFIplicaiion Ree

� wAr��
-0 oq� Office Use Only:
Corps action ID no.
v DWQ project no.
Farm Version 1.3 Dec 10 2008
Pre -Construction Notification (PCN) Farm
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps: ®Section 404 Permit ❑Section 1 D Permit
1b. Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number: N/A
1c. Has the NWP or GP number been verified by the Corps? EA Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
Z 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictionaf 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:
Wake
2c.
Nearest municipality /town:
❑ 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 fetter from mitigation bank or in -lieu
109 Woodwinds Industrial Ct.
3e.. City, state, zip:
fee program.
Cary, North Carolina, 27511
3f.
1g, Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
❑ Yes
No
below.
Fax no.:
N/A
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
No
2. Project Information
2a.
Name of project:
The Estates at Yates Pond -Offsite Gravity Sewer
2b.
County:
Wake
2c.
Nearest municipality /town:
Cary
2d.
Subdivision name:
The Estates at Yates Pond
2e.
NCDOT only, T.I.P. or state
project no:
NIA
3. Owner Information
3a.
Name(s) on Recorded Deed:
Bryan G. Purse
Timothy G. Council, Rae Lynn Council
3b.
Deed Book and Page No.
D.B. 15450; Pg, 621
D. B. 91866, Pg, 9646
3c.
Responsible Party (for LLC if
applicable).-
pplicable):3d.
3d.
Street address:
2610 6e Street, SSI/
109 Woodwinds Industrial Ct.
3e.. City, state, zip:
Naples, Florida 34105
Cary, North Carolina, 27511
3f.
Telephone no.:
919-250-8243
3g.
Fax no.:
N/A
N/A
3h.
Email address:
[e-mail]
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

A .
Applicant Information Ilif different from owner)
4a.
Applicant is:
❑ ACEnt ® Cther, speicily: Cwner-please send ccrresTcride nce tc Agerll arG
ccpyl bcM cwnet and applicant
4b.
Name:
Jcei CetTlerter
4c.
Business name
(ii applicable):
NcrthwestCommGinityChatch
4d.
Sireet address:
IG169 Morrisville Parkiway
4e.
City, state, zip:
A[ex, NC 27E2
41.
TedepFcnE nc.:
919-.665--45 7
4c.
Rax nc.:
N/A
4h.
Email address:
o�laecerperter@tl6llseuthl.n6iI
EI.
AclEnt/Consultart Irfbrmaticin Ilif applicaiblE)
5a.
INarriE:
Gleticteh Edwards Shlitdeyl
5b.
Business name
(if applicable;:
Sc i/8 Elrvircnmertal CorlSLlitants, FA
5c.
Street address:
6492 Fads cfN6use Flcad, Suite 964
5d.
City, state, zip:
R�)IeJgtl, NC 2 76 15
5e1.
iledeiphene nc.:
999-646-51566
5f.
Raga nc.:
599-846-9467
5g.
Bmailaddress-.
ClShir/[e-mail]
Page 2 of 11

B. Project Information and Priicir Project History
1. Property Icentification
'I a. Frcperty idEintiflcaticn ric. (tax PIN crparcel Ii Impacib3
Parcel ID: 6724;14725, 072460&764
1b. Mite coordinates Qin deicirrial degrees):
Latitude: 55.78e2 Lcn itudei: - 7&.M2
Latitude:g
(DD.❑❑❑DDD
1c. Frcperty sizer.
MA-i.hearutilkysasemerit
2. Surface Waiters
Zai. Name cf nearest body cf wader (scream, river, etc.) tc
UT to Rccky( Ford Branch j6-41-6-4-(I;
proposed projeicl:
2b. Waller Quality Classification of r heist rElaelivincl v�ateir:
WS-IV; NSW
2c. River basin:
Calle FEar-Joroan Watersted; Hyloroib5ic Unit Code
CX500O2
2. Rrojcct Dlescription
3a. DEiscnibe the existing cc ndilicns c n the sitei and the genEirail land use in the vicinity cf tl• El project act ilhe lime cl this
applicatic n: Ebaisiling ecndiilicns corisist of cpcn fie,las aric wooded Ereas. The plrcposE d ut,itiiy( Easement foilcws along
tt.e plfcpErty touncaries of a lural fEsiaEntial Act. The genErai,Iarie use in 21he vic,in,iily of ilhIE pro,ecil his a rrix cf forested and
residenlie t
3b. List thea Ictal estirriaited acreage of all existing wellainds c n the property:
Less than 0.90 acres withiin the plrcpcsed easement.
3c. List thea Ictal eislirriated linear feet of all existing slreiams Ilinlermittent and perennial) c n theprc perty:
Applrcximately( 351 linearfeet withlin the Tltcpcsc d E asement.
3d. Explain She purpose of the prcpcsec project:
The plurplcse cf Able prcposEd prcject,is ilo provide e gravity sevwcorinect,ion to ills plrev,iacis/y petrrutiled residerulial
subdivision, and efirri natE ilEm�lcrary pump stailicn.
3ei. Describe the overall prcject in cedail, including the types of equipment tc be used:
The overah1 project ccns.ists of the ccnstiucticri cf an offs ie gravity sewer/,inE thlall M11 tie into an eAistirigl manticile.
Frcposed impects iricluoe crie stream & wetilend crossing. Equipment typlica1Jy used to construcilicn such as
t1aekltc6s, tluldoozers, excavators, clreders, AEvers silo. wilitlE used.
4. JuriscictionailOcterminaitioins
4 a. HEIVEI jurisdidic nal wetland or streairri deleinminalic ns by the
Ccrps or Stale been requested or cbtaiined fcn this property /
Yes E] Nc El Lnknovvn
prcject Qincluding all pricr ptaseis' in Ita peisi?
Ccrriments:
4b.. If the Conps made the jurisdictional delerminalicn, %Ahad typEi
of determination was made?
❑ Preliminary E, Final
Com rnenls: A1D# `s SA W-2C ; i-C i 759 & SAW-26 ; 5-C 9549
4c. If yeas, who delineated lhejurisdicticnail areas?
Agency/Consullani Clcmpainy: Sci/ 8l Envirorimental
NarriE1 Qif known;: Sileven BaV
Ccnsuhlanils, PA Clher:
4d. If yes, list the dates of the Corps jurisdictional deleirmir ions c r Stale deiteirmiriaticns wind atteich dccurrientaticn.
USAGE-Juriso,ictional Deilermination issucc fcr Estates at Yaks Florio #SAW-2093-017594.1is is the residenhia/plcrtkn cf
chis project, Eastside cfWh1le CakChLoch Rcad. ourisdicticnaiGleterminationissued forFtoviderice at Ylatles Florid
SAW-2G 1 &C 16149. Tt is JD ,ins/noes the area of thlE proGosed offsite gravity sewer, west ske cf Mite Cakl Church rcao
ano SEcf Atte resideritiaAsutdivisicn FVov.ieEnce at Ylailes Flono. A portion cfprcperiy( 0724-CC-0674 is inc/LKlec MUlin
iltis prcject areE. SSEIC aeilheatec hcwEvEr no tkild oetermiinailicns byl the USACEI hlave been conducted forthis efea.
NICGIWR-site vis.'il witt Sara Arches ct the NCDIWRI cn jury 15, 2C i 5-NBRFIG#15-320
Rage 1I of 11
PCN Acrm —version 1.3 December 10, 2008 Versicin

8 Proje c t Infcu mail ion aind Rricr Proje ct Hlisitogy
S. Project His tory
5e. Have permits c r cerificeticns been requested croblained for
®Yes [ No El Unknown
it ig project (including all prior phages; in the past?
5b. If yes, explain in delail according tc "help file" instruclicns.
A NaticrWJde Ferm# 29 verificadicr ar,d WaterQuahily CErtifieailicn Apcticval was pisseyed forthe Estates at YlatEs Pcndir,
26'15 (/ 1D# S1 W-2093-097135 arc DWR h i 4-1276).
6. Future Project Plains
6e. Is This a phasec preject?
❑ Yes ® No
E b. If yes, explain.
AVA
Reig e 4 c f 11

C . Ri cipos eid Irrpac is Invent city
1. Irrpactsi SurrrraDI
1e. Which sections weIle completedbelowferyour project (check all that epply;:
❑ Wetlands ® Strearris- tributaries ❑ Bufllers
❑ Open Weiers ❑ Rcnd Construction
2,. Wei land Impacts
If there are wetlend irripacis propcsed cin the site, then ccrripllete this quesiicn icer each wetland area impacted.
2 a.
U.
2 c.
2 d.
2e.
2f.
Weiland impact
Type cf jurisdiction
number—
Type cfimpac'I
Type cfwelllend
Fcres'led
ilCorp s - 4 04, 10
Areacfimpact
Permanent (P) or
(if knc w ri)
1IW Q — ricin-4 04, citr e r,
(a cneis;
Temporary T
W' ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DW Q
W2 ❑ R ❑ T
❑ Yes
❑ Ccoips
❑ Nc
❑ DWG
W3 ❑ P ❑ T
❑ Yes
❑ C claps
No
❑ DWG
W4 ❑ R ❑ T
❑ Yes
❑ C crps
❑ No
❑ OWC
W5 ❑ R ❑ it
❑ Yes
❑ Corps
❑ No
❑ DW C
2g. Tcilal vAetla nd imp acts.
2 h. Ccirrimenis:
�. Slreiam Impacts
If there are perennial or intermittent staea m impacds ilincluding iemporery impacts; prciposed c the site, then ccrrpleie this
question for all siream sites impacled.
3a.
31J.
3c.
3d.
3e.
3f.
3g.
Staeam impact
Type cif irripacl
Stream name
Perennial
Type cf.junisdiclicin
Average
IrrPF, C1
nurridem-PE nrriarieint
(PBR) or
ilCarps- 404, 10
stream
length
(R; or Terriporery (T)
intermiltent
DWQ —ncin-404,
width
(linear
(INT;?
oilher)
(feet'
feet'
S1 (#3) El F 11
Seniitary Ssvwer-
O,cen Cut
UT to Flocky Fcrc
El PER
® Corps
`
r
"I
(Fee ilure E,
Brarich
INT
❑ D"G
S2 ❑ P ❑ T
❑ HER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ HER
❑ Corps
❑ INT
❑ DW Q
S4 ❑ P ❑ T
❑ HER
❑ Corps
❑ IN-9
❑ DWQ
3h. Total sitneam and tnibutary impacts
35
3i. Comments:
Page 5 of 11
PCf Form — VE rsian 1.3 Deice mber 10, 21008 Versicin

4. C Fein Water Irr paictsi
If ilheirei area proposed impacts to lakes, pcinds, eisiue ries, tribuiarries, sounds, tt e Atlantic Ocean, cir any other open water ctll
thea U. I. I' ein individue Ily list all open waiein im acis below.
4 a.
4 b.
4 c.
4d.
4e.
C pen waieir impacil
� arrie of
nurriber —
wailenbcidy
Type of irripaci
Wateirbcidy type:'
Area cif impacil (acres)
Permanent (P) or
(iii e pplicable;
Teim ora T
01 ❑P❑T
4f. 711ctail open water imp acts
4g. C crriments:
51. Pcinc cir Lake Consitrucilion
If pond ccr lake coiristruction proposed, thein ccimpleilEl the the r1 below.
5a.
9b.
5c.
5d.
5E.
Weitlarid Impects (acres)
Strearri Impacts (feet)
Upland
Pond ID
Prcposeid use or purpose cf
(acres)
ni. mbeir
Fonc
Rlccded
Filled
E�cevated
Blooded
Rilled
Excavateid
Flccdeid
R1
R21
Elf. Tolal
5g. Comments:
ch. Is a de m high hazanc permit reqs ire,d
❑ Yes ❑ � c If ye,i, pemrriit ID no:
5i. Bxpeicied pond SIL rfacei area (acnes):
5j. Mize cif Klcind watershed (acres':
5k. Meithcdoil construction:
6. Bufller Impacts iltor i
If project will impact a protected riparian buffer, theirs ccmpleitei the cher below. If yes, thein individually list ell buffer irripacis
below. If any impacts re L irei mitigation, ihein you MIL ST fill c ut Section D of this form.
6a.
❑ Nei se ❑Tar-Ramlicc ®Others: Jordan
Project is in which protected basin?
❑ Cate" ba ❑ Renc leiman
E b.
6c.
6d.
6e1.
611.
6g.
Bufileirr irripact
riurriber —
Reiasciri for
E uffer
Zonei 'I imi
Zone 2 irr!pe ct
Permarierit iIP) cir
impact
Strea rri name
rriitige i icin
ilsquare feet)
ilsqL are fe Eli;
Teim ora T
re uireid?
❑ YES
B'I ❑ P ❑ T
❑ No
❑
B2 [:]PRT
❑No
❑ Yes
B3 ❑R❑ T
❑ No
B4 ❑R ❑T
❑ YEIs
❑ No
El'. llcitail bufller irr F aclsi
6i. Clcirrimenis: Tie Town ct Caryl w71l teVew torNc Flracilicejl Alternatives
Fege 6 cf 11

D.
Impact Justification and Miliglaition
Avoidance wind Mirimiaation
1a.
Specifically describe measures taken to avoic on minimize the proposec impacts in cesigning projecl.
58EC ecmpleiled a well/and 8 stream oei6neeticri fcr thle prodcsed Gitfllty ecrriciorin crdertc ideritifyl natGval resources sc
thlat impacts could be avoided & m,in,im,¢ed ilo thle maximum extlenil practicabie. The graviily sewerhi was shifted southl tc
avoid imfacils ilo wetlands. The sewercrossirig wVil resuhl ,iris e ilerriperaryl stream imcaal, ric ricrac neeoed. Fcst
ccnsilruct,icn the stream bankls will to stabilized and the stream ted wiil be blroughlil tackl tc Tris -ccnsilructicri elevations.
1b.
Specifically cescribe measures taken to avoid or rrjinimizE tte prop osec impaals through constnLction techniques.
Ccnstruction rr eesures emr,oyed Millbe use ofsflt tbnce ilc rrinirr,izle erosion and turblidity offsite and withlin
dowristreerr, wetland systems, ilree protecilicri fencing tc I.imitdisturblance outside tale 1,Vnits ct I cc ristruction.
Construction cf utilitycressiri5p wid b1e done vwheri thle site ccnoitioris are reiativeiydryto rrinimizie anypcteritial
erosion and turtlid water discherg,ing Jntc the wetland systerrs.
2.
Corrpensiaiteiry Miticlaticin for Imp actsi tc Wailersi of the L.S. c i "ail ems ci the State
21a.
Does the prcljeci require CompEnsaitory Mitigadion fcr
impacts to Waters of ihE U.S. cir Waiters of the 1liate?
[ Yes ® No
2b.
If yes, mitigelicn is requirec by (check all Thai apply):
❑ ❑WQ ❑ Corps
2 c.
If yes, which mitigation epiion will be USE for tri is
pno,ject?
❑ Mitigation bank
ElPayrrienl to in -lieu fee program
❑ Pe rmitleE Responsible Mitigation
3.
Ccimpleie if Using ai N itiglation Baink
3a.
Ne rr1E of V itigation Bank:
3b.
CrEdiis Runchased (Fdteich receipt Find IElter)
TypE:
Cuantity:
3c.
Comments:
4.
Comp fete if Masking a Paiyment tc InAie u Flee Picigrarr
4a. Approval IEtte r frcirri irrlieu fee program is attached.
❑ Yes
4b.
Stneam miligaticn rEqLEsled:
C line air feet
4c.
If using strEairri mitigation, stream terriperalune:
❑ warm ❑ cool ❑coild
4d. BuffEr mitigation nequested (OWQ cinly):
C squene feet
4e. Riparian wetland mitigation nequestEd:
C acres
4f.
Ncin-riparian wetland mitigalicn rEquesied:
C eons
4g.
Coastal (tidal) WEiland mitigation requested:
C acres
4 h.
Comments:
f.
Complete if Using a Permillee Rlesponsiii Mitigation Plain
5a.
If using a permittee responsible mitigation plan, provide a descripticir cf the proposed mitigaiicin plan.
Page Icf11
RCN Rcnm —version 1.3 DeceimdEir 1C, 21CCE VErsicn

Buffer N itiglalien (State Reglu late c Ripaliar 9ufilei Rules) — iegt, ireic Hy 13WG
Ea. Will the p rc,jeci result in an impecil wilt in e protEc'Eid riparian bUffEir that requires
buffs r mitigation?
❑ Yes ® Ne
6b. If yes, then identify thEi sqc etre feet cf impacri tc each oc nei cf the nipaniein buffer that rEquirres mitigei icn. Ce IculatE. the
eirricuni of mitigation requirrec.
21c rIE1
E C.
Reascn fcr impact
Ed.
Total impact
(square feet)
Multiplier
6e.
Required mi?ligaticri
Ijsquer*E fust)
ZcnEi 1
3 (2 fon Catawba)
Zc nE 2
1.5
Ef. Total dufiler mitigaticn required:
6g. If buffer miligeiticn is rreiquirEid, discruss "hal typEi of mitigalicn is pnepcsed (E.g., payrrent is privaitE mitigelicn banes,
permittee rEsperisible nipainiain buffer restoralion, payment inie an epprcvEid in-liEiL fee fund).
6h. Ccrrimenis:
Page E c1111

E.
Siormwate r Manage mein t arc Eliffuse Flow Plain (required by EIIMd)
1.
Diffuse Filow Rlari
tai.
DOE EI tl'E prcjEct include em is it adjacerill to prctectEc lip anien buffers identified
® YE,i ❑ Nc
wilt in cnE of Vhe NC Riparian HuffE r Pnoteciion Rules?
1b.
If YE 9, then is a diffuse flow plain included? If nci, e)aplaiin why. CCImrrIEntS:
❑ 19es ® Nc
PrcpcsedactiuihEs wil)lrictresud in ME ecnceritrailedf/cw clstermwatEr
2.
SicirmwaterMar a emEntPlan
2 ei.
W hat is the overe II percE nt irriperviciusness cif this p rc jE ci?
AVA
2b.
Dces this prcjEci require ai Stormweler Meimclerrient Plain?
❑ YEa ®Nc
2c.
If this project DC ESI NC nequire a Stcrmweiier ManaciEment Plain, eAplain why:
The stcrmwater mariagemenit flilan fcr the rc,,Jint]al portion of this flrcject vi, aa reviewed anc apflrcvea tly the Towri cf
Cary. Tt is request oruly inoiluees e n c fi`site gravity SE wer, and we ere requesting tt e use of a NWFI 12 arie Ge nera I
Ccrtiticabori 4066. This requestaces not me et the dersityrEquirerrents ItrasilonTvwate rrraria ngementplan.
2c.
If this pngjecl DC ESI rEquine ai SlormwatEr MeinagE rr1E nt Plain, Then provide a briEf, namraitive cescription of the plain:
® CE ri ifiec Lc ca l Gc VE mrTIE ni
2E.
Who will be respcnsible fen the rEView cfthe StormwatErManagErriEnt Plan?
❑ D"Q StormwElenPrcgrarri
❑ DWQ 401 Unit
2.
CerlifiedUcicalGciueinmentSteirmwaterReview
3a.
In which IccaI governmEnt'sjLri,iciction is this prcjEct?
Tcwr, of Cary
® Phase II
3b.
Which of the fcllcwing locally-irrip]erriEntEd stcrmwaitEr mainegemerit pregreims
®NcIW
❑ U.IMP
apply i1check ail] that apply):
® WaltE r Supply WatershEd
❑ CRer:
3c.
Has the apprcvEc Elierrrivvaiter Managemeni Rlan with proof cf apprcval bEen
❑ Yes ® Nc
aittached?
4.
1 StcrmwatEr Pro ran' Revievu
❑ Coastal cc urities
❑ HCW
4ei.
Which cf the fcllowing s1atE-imp lerriented stcrmwaier manaigEME ni p rcgrarris apply
❑ CRW
(check all thait apply):
❑ Sessicn Laiw 2006-246
❑ CihEr:
4b.
Feis the approved EItlemmvvater Meinagemeni Rlan witY prcof cf apprcval been
attached?
❑ Yea ❑ Nc
5. DWQ 401 Unit StcirmwatE r Review
5a.
DOE,I Ili Sieirrrivvater Managemeni Ilan meet tl`E apprepriatE reci,uirEmenis?
El Yes ❑ No
5b.
HEIVE all of Ili 401 L nit submittal requirements been rr1Ei?
❑ lies ❑ No
Page c cf 11
PCN Fcnm—uensien 1.2 Dec embEr 10, 2008 Version

F.
SupplErreniairylrflormaiiicr
Bnviroinmeintal DoicurrEintatiein 110WG ReclukemEnt)
1a.
❑ceis the prcject invc Nei a n expenditt rE C public (fE de ral/state/Ic ca l) func s c r the
E: Yes ® Nc
uses of public (fEderal/states) lane?
1 b.
If you answerec "yes" to 11he above, does the projeci nequire pneperaticn of a n
Env ircnrriEintal cocurneint pLrsuani tc the requiremenis of the NaticneI cr Stefe
[ YES [ No
(North Canolina) Envinonmenial FlclicyAct (NEPArSEPA;?
1c.
If you answEirEid "yes" to the abcvEi, has the documeni reivie% been finalized by the
State Clearing House? (If so, attach a copy ci the N ERA or IIERA find approval
❑ Hess [ No
lefien.)
CommEints:
2.
Viclailiens (❑WQ Requirement)
21E.
Is tl` Ei site in violation of DWC Westland RL les (15A NCAC 21-1.0500), Isc lated
Wetland Rdeis (115A NCAC 2H .1300), DWG Surfeaei VhatEir or W eitlanc '`liandares,
❑ Yes HNC
or Ripe rian Buffer RUIEIs (15A NCAC 20 .02100)?
gib.
Is this an aftEir-therfect permit applicalicn?
❑ YEs ® Nc
�c.
li you answered "yes" tc onei cr both of ihEi above questions, prcvidEi an explanation of 'Ihe viclatien(s):
2.
CumulativE Impacts (❑VYQ Requiremeani)
�a.
Will this prcject (based on past anc reiascnably aniicipateid futcrEi impacts) nesult in
El YEIS No
additional devEiloprriEnt, which could impact nearby do%nslreiam waien quality?
3b.
If ycu answered "yes" tc the above, submit a qua Iiteiive c quantitative cumulative impact analysis tri acoo rdancei wilh the
rricat recent DWC policy. If you answEired "no," prcvidEi a stat narrative desanipticn.
We hleve reviewed the Ti -rift Ante meAFlolicy, CumuilaNve kr. pacts aric the S6 i Waters Cbia,Vty Certificetic n and lsc/ailed
Wet/ands Flrognems" document prerared by the NC Cliv.is,ion of We ter QLIE Rly c April 16, 2604, VEIsicn 2.1. The draft
states that mercy privete develcprnerits are un/iklely to ceuse cumulative impecits, incAucing pre,ecils such as urtleni ,in -till,
most nesioentia/ aubdivis,ior.is and smEd ecmrnercieA develogrnerits as WE,V as agrieu,Vbiml and silv,ieulturel cperetic ns. The
Elstetes at Yetes Pond Cffsite Grev,iily S6WEn prcject is e ut,ihity cor.iriecilicn tbra resider.itiel deve,loPmErit. Ado.iticnedy, the
pncjectis Iccetec withiri thle Tcwn ctlCary, thenettm ilhe sdic-centrropert,ies the thave potentkl for developrreritwAI
have the fcdcwing reg uileNoris to,cnctectdcwnstneerr, waters: 1) the Water Supply, Watershled Flrctectiori Flrognerr
whichlimits devEloprrent densities as weld es requires protective riparian buffers; 2) ME Jordan Watershed Riparieri
BuffEr Pnctection regulations, ilhese reguilaticn: nequire lirr,ited develcprr,ent wAh,in the ri.0arien tluffEn eree in
eadition tc "diffuse tllow" requinemerits at e minimum, and coulo requine Best Menagerrent Practices thlail ccntnol
nitrogens if diffuse flow cannot to achlie ved; and finahly S; the Phase Ail NFIICES Stormweter Flerm,it Progrerr, this
rrcgrerr iricluees permitlin5 requirements forM,un,ic,ipel Sefarete Stour. Sewer SyMerrs (MS4s, .in 6dditicn to pcst-
corisilructiori stormweten rranegemerit rEquirerrEnts. We ariilicicate the the GIWR MV advise us ill anyaad,iliorie,l
informe tion is needE d.
4.
Sewage Disposal (13WQ Requiherrient;
4a. Clearly detail the ultimates tneairrient melhcds and dispcsiiicn (ncn-dischangEi or dische rge) cf wastewater generatEid lncrri
the prcplcsed prcject, cr available capacity of the scbjeci faciliiy.
This Fncject w.iN uulimetely ccnriecil tc the Tcwn cflCaryl Senitaryl ScwerSystcm. 71 -le Acwn will erssune that capacity cfl
thlE it treatment facility will nc t tle ezcee ded.
Pagel 10 of 11
PCN Form - Versic n 1.3 DEicembeir 10, 21C08 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?
El 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 Luta Explorer Map was used to search for elemental occurrences of
federally protected species listed within 1 mile of the project boundaries. It was determined based on the search that
there are no elemental occurrences that are listed as federally Threatened/Endangered within 1 mile of the project
,boundaries. Please note the final 4(d) rule identifies the Northern Long-eared Bat as a Threatened species within Wake
County.
References: North Carolina Natural Heritage Program Data Explorer Search [July 24, 2017]. Department of Environment
and Natural Resources, Office of Land and Water Stewardship, Raleigh, NC. htt ,,1AvWw.ncnhg.gal
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near ars 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 [1 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 interactive map was referenced on July 24, 2617; no historic
listings or study list entries or determined eligible listings were identified within the property boundaries of the impact
location.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 1 00 -year floodplain?
❑ Yes No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? Per project engineer & NC Floodplain Mapping
Program
Deborah E. Shirley
�
July 26, 2017
Applicant/Agent"s Sigl n ur6
Applicant/Agent's Printed Name
(Agent's signature is valid only if an authorization leiter from th applicant
Date
is provided.)
Page 11 of 11

ar;
Soil & Environmental Consultants, PA
84 12 Fall of Netmc Road, Sidle 144, Ralcigk NC 27615 • Phone; (919) -S'n I Fax: (719) PA6-')407
amldce.com
PROPERTY ONNNER CERTIFICATION 1 AGENT AUTiHOPJZATION
Project Name/Description:
Date:
The Department of the Army
U.S, Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
S&EC Project #
I "L.L
Field Office:+ 4
I, the undersigned, a duly authorized owner of record of the propertylproperties identifled herein, do
authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) and Soil &
Environmental Consultants, PA (S&ECJ 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 notification supersedes any
previous correspondence concerning the agent for this project.
NOTICE: This authorizatlon, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S&EC staff. You should call MEC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index Number(s) (PIN):
Site Address:
Watershed:
A ltVi L.L\1 1 v'IT A%{ 4. a1+. --I-
Name; rrw� 0 /, r,rC.'/. .yn)
Address:
Phone No.: 9 L labile No.:
Email: 1 ;,,<Lzx!'46
ZS
Property Owner (pleas int) 15ate
Pr'or)erty Owner Siznature
We hereby certify the above information submitted in this application is true and accurate to
the ,best of our knowledge.

Enviromnen tal Cons a It -ams,
PROPERTY i71VNER CERTIFICATION I AGENT AUT110RIZATION
Project Narne/Description: P4r4'a ti&F:[' Project #
1
[late; 712 15:
the Department of"the Army
It.S, Army Corps of En,incers, Wilmington District
69 Darlington Aventre
Wilrnington, NC 28403
Aim: field Office; �.� ..� --—•—.._..._.
1, the undersigned, a duly authorized 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 & Environmental 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 IO of the Riven 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.Thls notification supersedes any previous
correspondence concerning the agent for this project,
NOTICE: This authorization, for liability and professional courtesy reasons, Is valid only for
government officials to enter the property when accompanied by S&EC staff, You should call
S&EC to arrange a site meeting prior to visiting the site.
1LAIRc' f I , I, l -M MARML
114srcel IWe%, Ntrttihcr(s) 01 NY - tof
Sitc Mdress:
City. Comity, State:--.i-C.-,:- .
PR0I'I IJTI_()-WNLR j,NF(lRMAT1(4hy'
Bryan Purse 06/24/15
Property thrner (please print) Date
Properly Ove iier Signature
We hereby certify the agave information submitted in this application is true and accurate to
the best of our knowledge,

EWTER
h�,
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Project Areas �.rK
r ,r
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Project No. USES Vicinity Map
12088.W10 0 1,000 2,000 4,000
Northwest Community
Project Mgr.: Church Site Feet
CJS
Ware Co., NC
Scale:
1" = 1,000' Soil & Environmental Consultants, PA
2013 USGS
8412 Falls of \roar' RwQ Suite 144, RahigJy KC17G15 • Phone: [phone] •Fax: (919)'&36-h467
2014-12-09 Green Level Quadrangle s3„decxom

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
July 23, 2015
Bryan Purse
2610 66'x` Street SW
Naples, FL 34145
Donaid R. van der Vaart
Secretary
Subject; Suffer Determination
NB RRO# 15-324
ChathamfWake County
Determination Type:
Suffer Cali
Isolated or EIP Cali
® Neuse (15A NCAC 28 .0233)
Soil
Survey
E) Tar -Pamlico (15A NCAC 28 :0259)
❑ Ephemeral/Intermittent/PerennialDetermination
P
Isolated Wetland Determination
® Jordan (15A NCAC 28.0267
X
Project Name; 1116 White Oak Church Road, Cary (Purse Property)___
Location/Directions: Subject property is a privately owned parcel located at project address;
Subject Stream UT to Rocky Ford Branch
Determination Date: July 1.3, 2015 Staff: Sara Knies
These features are In the Cape Fear Basin, The following features were assessed for 401/isolated water
permitting only; local jurisdiction watershed buffers may apply.
Feature
EW*
Start[
stop@
Soil
Survey
USGS
To 0
—/Flag
A
P
Throughout
Throughout
X
X
B
P
Throughout
Confluence
w/Feature A
X
X
C
P
Throughout,
Confluence
wlFeature A
X
D
P
Throughout
Throughout
X
X
El
(including
Pond)
P
Flag 501
Pond Dam
X
X
E2
P
Flag 48B Start CH
Throughout
X
X
F
Not Present
X
G
Not Present
X
*E/I/P - EpherneraYfntermittent/Perennial.
Nom` Carolina
V1�rttttMAY
North Carolina Division of Water Resources 1628 Mail Service Center Raleigh, NC 27699-1628 Phone [phone]
Internet: wwvw.ncwvater ualit .or Location: 3806 Barrett Drive Raleigh, NO 27609 Fax [phone]
An Equal OpportunitylAifirmative Action Employer —50%RecycledIll0 o Post Consumer Paper

Purse Property
Chatham/Wake County
July 23, 2015
Page 2 of 2
Explanation The feature(s) listed above has or have been located on the Soil Survey of Wake County, North
Carolina or the most recent copy of the USGS Topographic map at a 1.24,000 scale. Each feature that is checked
"Not Subject" has been determined not to be a stream or is not present on the property, Features that are checked
"Subject" have been located on the property and possess characteristics that qualify it to be a stream. There may be
other streams located on your property that do not show up on the maps referenced above but, stili may be
considered jurisdictional according to the LIS Army Corps of Engineers and/or to the Division of Water Resources
(DWR).
This on-site determination shall expire five (S) years from the date of this letter. Landowners or affected parties that
dispute a determination made by the DWR or Delegated Local Authority may request a determination by the
Director. An appeal request must be made within sixty (60) days of date of this letter or frons the date the affected
,party (including downstream and/or adjacent owners) is notified of this letter. A request for a determination by the
Director shall be referred to the Director In writing clo Karen Higgins, !Caren Higgins, DWR. —401 & Buffer
Permitting Unit,1617 Mail Service Center, Raleigh, NC 27699-1617,
This determination is r'inat anti binding unless, as detailed above, you ask for it hearing or appeal within sixty (60)
days.
The owner/future owners should notlf� the Division of Water Resou roes (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subject property (state
above). This project may req ulre a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Resources (Central Offlec) at (919)-807-6300, and the US Army Corp of Engineors
(Raleigh Regulatory Field Office) at (919)-554-4884,
if you have questions regarding this doiermination, please fool free to contact Sara Knles at [phone],
Riopect fly,
Datitty Smith, Supervisor
Water Quality Section
Raleigh Regional Office
cc: RRO/SWP File Copy

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12359.W)az'
Quadrangle
Project Mor.: Purse Property
55 Baker RC50enbal Soil & Environmental Consultants, PA
til] fjsAj ,f j91•) 7
5calc: Wake County, NC
814114 Green Level Quad

r-- -

U.S. ARMY CORPS OF ENGINEERS COPY
WILMINGTON DISTRICT
Action Id. SA"01-2013-01739 County: Wake U.S.G.S. Quad: NC-GREED' LEVE �y -- �--
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICA t
? MAR 05 2015
Permittee: Northwest CornmuniChurch
Joel Carpenter
Address: 10109 Morrisville Parkwa
Apex, NC, 27523 ...._�_ .�.
Telephone Number- 919-398-3533
Size (acres) 56.03 Nearest Town Car
Nearest Waterway Rocky Ford Branch River Basin Cane Fear
USGS HUC 03030002 Coordinates Latitude: 35,7922
Longitude: -789255
Location description: The proiect area Is located on the southwest and sou east er of the in ers "tion of Morrisville
Parkwav and White Oak Church Road. Plods: 0724230269, 07242.21707, 0724224623, 0724220573. 0724220336, 0724223238.
0724222025.
Description ofprojects area and activity: This verification aut orizes the plpcement o fill material in 0.159 acres of wetlands to
facilitate thg construction of a sinLyle-f1mily residential s h ivislon. Prglect Impacts include 0.056 acru ofed ions
a sociat d with residential lot fill 0.026 scrg§ of wetland lol§ 4ssocinted with the construction of a drainage easement and
0.067 acres of wetland loss asAoclgUa-LvjJh The construction of two roadways.
Applicable Law. ® Section 404 (Clean Water Act, 33 USC 1344)
[] Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Nationwide Permit Number. 29 Residential Developments
SEEA7`T4CRED RGP orNWP GENERAL AND REGIONAL CONDITIONS
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the enclosed
Conditions, your application signed and dated February 20, 2015, and the enclosed plans Sheets 0.0 and 11-I3 dated
September S. 2014. Any violation of the attached conditions or deviation from your submitted plans may subject the permittee
to a stop work order, a restoration order, a Class I administrative penalty, andlor appropriate legal action.
'3`1•ris verifi 4 o'rt will remain valid until the expiration date ideittifred below unless -die nationwide authorization is modified,
suspended or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or
modified, this verification will remain valid until the expiration date identified below, provided it complies with all requirements of
the modified nationwide permit If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the
activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are
under construction) or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the
activity is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case-by-case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.'
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management in Morehead City, NC, at [phone].
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact David_ Shaeffer at 919-554-4884 X31 or David.L.Shaeffer 4usace.armLmil,-
"+�- �. � OaewoNi9..nrw4rr(b0.sw9K
Corps Regulatory Official; "¢`°� °`°" "°"�„ Date: 3/3/2015
o..�imco,a,�xut,�ssx
Expiration Date of Verification: 3118/2017

SAW -210113-01739
Illetenmination of Jurisdiction:
A, ❑ Basted an pnelirr.inaryl information, tHemi appear to be watens ofl the US including watlancs within the above dascriliec project
area. This preliminary determination is roi an anrlealeic k action undam the RagulafaryPnogam Administrative Appeal Process
( Reference 33 CFRI Hart 331).
B. ❑ Thene are Navigable Waters of the Ufnitad States within tha abovie describad project area subject to the permit raeuircrr amts] of
Se ation 10 of the Rlvars and Harbors Act and Section 404 of the CIean Water Act. Unless there is a change in the flaw or our
pubEsHed negglatiors, this determination may be re:liad upon fon a period not to excaed fivae years from the dale of tHis
notification.
C. E Rum are waters of the US and/or hatlanids within the abome de,,ieribed project area subject to thea permit necuirements of
Section 404 of the Clean Watar Act (CWA)(33 DISC § 1344). Unlcmi tf. are is a change in the flaw or our pul:lllishad regulations,
this determination may He nellad upon for a pariod not to emceed fine yleais from the date of this notification.
Il. ❑ Tha junisdict'anal areas within the above dascnibed pro'ect area have been identified under a previous act ion. Blaa:io naftmence
jurisdictional determination issued . Action ID: SAW-
Basis For Dtltlermlinaflioin: Based on inform ailcn submitted Hy the applieaniG thea site eAHibW criteria fbr waters
oil the L'.S, as defined in 33 CFR 328.3„ the 19871 Wletlar. d IDellneaition Manual. find tie Regional Supplement to the 1987
Manual: Eastern Piedmont and Mcurtairs 01.
Rem:? rksl: Precise Houndaries oflwatcts of the En'ted Staters are shown or the er elos(id iuirisd;ictional d(terminatian
survey map dated Jlanuary IS, 2015.
E. Attenticm USDA Pragnaml Falrlicipants
This delineatlonldetermination Has baemi aonduatad 10 identify the limits of Corps' Cllaan Waitan Act junisdia tion fbr the part cul ar site
identifiad in this i aquast. The delineation/determination miayl not be malid far the wetland acnsemation provisions of the Food Security
Act of 1981 If you cr }{aur tenant aro USDA Frogn am particiiFants, on antiaipate particil ation in USDA pnograrns, )lou should raquest
a cert.'ficd wetland determination from the local office of the Natuna] Resounaes Conservat.'on Service, pricr to,it arling world.
F. Appeals Infcrmallion (This information applics only to appnoved jurisdi(itional] datamrr, inatiors as indicated in Band C
abomt ).
�.'. fYL, �._. L°L.L ..y — e..5+' ° 'Lie. 1 '6 7r" 7.. 4 h L
s_us corns"'�oi4i'nce .die..,r[;, lee aril a" rove, Nristid-lonal dvteJJninat'an for above dascr ibeu .rlEV. h vtY Fill ect ILO this
r r. J Y" - _i"
detarminaiian, you may raquest an administrative appeal under Corp: nagulations at 33 CBRI Part33:1. Enc11osed)lciu vuiill fmd a
Notification of Apg aa: Process (NAP) fact sheet and request fon appeal (RFA) fbrm. Iflyau raquest to appeal this detcwminat'on you
must submit a acimp. eted RFA form to the following addrass:
UIS Armry CorFs of fingineems
South Atlantic Division
At n: Jason Staele, Rovvaw Cfficer
60 Forsyth Street SW, Roam 1OMI 9
Atlanta, Georgia 3030:1-8801
Fhorner (404) -162-5137
Irl orders for an RFA to be accepted by the Corps, the Corps must determine thall it is comip' ate, that i1 meets the civil aria for arT cal
under 33 CFR part 3211.5, and that it has been received byl the Division C ffrce within 60 days of the date of the NAF. Klauad you
decide to submit an RFA form, 't mwit tla reaeiv& at the abome address by 5/2/2015.
**It h nol necessary to sutlmitE-�S
A farm to the Div Mori Office if you do not object to the determination in this correspondence."
Corps Regulaton}l Official: °
,&—
David 5lhaafltler
Date of JD: 3/3/2015
Eapiratian Datei of JD: 3j3/2020

SAW -2101-01%1
The Wjlrr, ington Di,Uictl is ccmmitted to Fromiding the highwit ]emu] of support to the public. Tc NuIp 1:s ensure we
eciniinue to doi se, please cemFlete our austbruicm'latlisfaeticm Sruvey odina adl http:/Aegrnlaticry.0sac ie,lurye .con/.
Copy furnhhed:
Ag ad: Soil and Envh or mental Consu ltan ts, PA
ileb or ah F dward si S hirley
A ddrewx 8412 FaDls of NEm:ie Road, Suite 104
Raleigh, North Carolina, 21619
Telaphonei Numbar: 919446-5900

SAW -3021-01139
SPECIAL CONDITIONS
a. Ili order tlo compensadla fcn impactls associadled with this permit, mitigation shalll be provided in
aiccord once with the provisicins outlined on the mieist re cent versicin cif Me attlached Compensatory
Mitigation Responsibility Transfer Acirrn. The necluiremients of this form, including any special
conditions listed on this firm, are hereby incerpoiraftd ais speciial conditions of this permitl
authorization.

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North Carolina Department of Environment and Natural Resources
Pat McCrary
Govemor
January 12, 2015
Northwest Community Church
Attn: Joel Carpenter
10109 Morrisville Parkway
Apex, NC .27523
Donald R. van der Vaart
Secretary
DWR # 14-12.75
Wake County
Subject: APPROVAL OF 401 WATER iQUALITY CERTIFICATION WITH ADDITIONAL CONDITIONS
The Estates at Yates Pond
Dear Mr, Carpenter:
You have our approval for the impacts listed below for the purpose described in your
application dated November 10, 2014 and received by the Division of Water Resources
(Division) on December 11, 2014. These impacts are covered by the attached Water Quality
General Certiticatlon Number 3890 and the conditions listed below. This certification is
associated with the use of Nationwide Permit Number 29 once It is issued to you by the U.S.
Army Corps of Engineers. Please note that you should get any other federal, state or local
permits before proceeding with your project, including those required by (but not limited to)
Sediment and Erasion Control, Non -Discharge, and Water Supply Watershed regulations.
This approval requires you to follow the conditions listed in the enclosed certification and 0,z
following additional conditions:
1. The following impacts are hereby approved ,provided that all of the other specific and
general conditions of the Certification are met. No other impacts are approved, including
incidental impacts. (15A NCAC 02B .+0505(b)(c)]
Division of Water Resources, Raleigh. Regional Office, Water Quality Operations Section http://portal.ncdenr.org/web/wgfaps
162.8 Mail Service Center, Raleigh, NC 27699-1528 Phone: [phone]
Location: 3800 Barrett Drive, Raleigh, NC 27649 Fax: [phone]
An Equal Opportunity 1 Affirmative Action Employer - Dade In part by recycled paper

The Estates at Yates Pond
DWR# 14-127£
401 APPROVAL
Page 2 of 4
Type of impact
Amount Approved
Amount Approved
(units)
(units)
Permanent
Temporary `
Wetland
0.066 (acres)
a (acres)
Site 1A
Wetland
0.025 (acres)
0 (acres)
Site 113
Wetland
0.028 (acres)
0 (acres)
Site 1C
l
Wetland
0.039 (acres)
0 (acres)
Site 2
1. Stormwater Mana ement Plan SMP Approval from Local Comm unity Required
You are required to provide one copy (hard copy or digital) of the approved SMS', including
plan details on full-sized pian sheets, with proof of the Town of Cary's approval. The
approved SMP shall be submitted to the DWR 401 & Buffer Permittirg Unit (1617 Mail
Service Center, Raleigh, NC 27699-1617) before any impacts authorized in this certification
occur, After it is approved and submitted to the Division, the SMP may not be modified
without prior written authorization from the Town of Cary. If the SMA is modified in the
future, then you shall provide one modified SMP with proof of approval to the DWR 401 &
Buffer Permitting Unit prior to the commencement of the modifications. [1.5A NCAC 02H
.0506(b)(5)]
2, No Waste Spoil, Solids or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas
beyond the footprint of the impacts depicted in the Pre -Construction Notification. All
construction activities, including the design, installation, operation, and maintenance of
sediment and erosion control Best Management Practices, shall be performed so that no
violations of state water quality standards, statutes, or rules occur. [15A NCAC 02H .0501
and ,0502]
3, Protective Fences
The outside buffer, wetland or water boundary and along the construction corridor within
these boundaries approved under this authorization shall be clearly marked with orange
warning fencing (or similar high visibility material) for the areas that have been approved to
infringe within the buffer, wetland or water prior to any land disturbing activities to ensure
compliance with 15 NCAC 02H .0500. [15A NCAC 02H .0506 (b)(2) and (c)(2) and 15A NCAC
02H .0507 (c)]
4. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the Certification.

The Estates at Yates Pond
DWR## 14-1275
401 APPROVAL
Page 3 of 4
if you change your project, you must notify the Division and you may be required to
submit a new application package with the appropriate fee. If the property is sold, the
new owner must be given a copy of this approval letter and General Certification and is
responsible for camplyin With all conditions. j15A NCAC U28 A5(}7(d)(2)]
5. This approval and Pts conditions are -final and binding unless contested, [G.5. 143-21.5,51
This Certification can be contested as provided In Articles 3 and 4 of General Statute 1508 by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH). A petition form may be obtained from the OAH at
htt: wvvw.ncoah,com Z or by calling the OAH Clerk's Office at (9 19) 431-3000 for information.
Within thirty (30) calendar days of receipt of this notice, a petition must be filed with the OAH.
A petition is considered filled when the original and one (1.) copy along with any applicable OAH
filing fee is received in the OAH during normal Office hours (Monday through Friday between
8:00am and 5:00pm, excluding official state holidays).
The petition may be faxed to the OAH at [phone], provided the original and one copy.of
the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission.
Mailing address for the OAH:
If sending by First Class Mall
via the US Postal Service:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
If sending via delivery service
(e.g. UPS, FedEx):
Office of Administrative Hearings
171.1 New Hope Church Road
Raleigh, NC 27609-6285
One (1) copy of the petition must also be served to DENR:
John Evans, General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh, NC 27699-1601
Please send one (1) copy of the petition to DWR:
If sending by First Class Mail
via the US Postal Service:
Karen Higgins
NC DENR-DWR-401 & Buffer
Permitting unit
If sending via delivery service
(e.g. UPS, FedEx):
Karen Higgins
NC DEN R-DWR-401 & Buffer
Permitting Unit

1617 Mail Service Center
Raleigh, NC 27699'1617
512 N. Salisbury Street
Raleigh, NC 27604
The Estates at Yates Pond
DWR# 14-1276
401 APPROVAL
Page 4 of 4
This letter completes the review of the Division under section 401 of the Clean Water Act.
Please contact Cherri Smith at 919-791-4251 or [e-mail] if you have any
questions or concerns.
Sinc ly,
Danny SmitVater
Supervisor,Quality Regional Operations Section
Enclosure: GC 3890
cc: U.S. Army Corps of Engineers; Raleigh Regulatory Fiend Office; 3331 Heritage Trade
Drive, St. 105; Wake Forest, NC 27597
Deborah Shirley; Soil & Environmental Consultants, PA; 11010 Raven Ridge Road;
Raleigh, NC 2761.4

WETLAND AND STREAM IMPACT MAPS FOR
a�
a�
ESTATES AT YATES PONDSUBDIVISION
g�N
ACTION ID: SAW -20313-01739u
�Mz
DWR # 14-12767
�oa
GARY, NORTH CAROLINA 6
IMPERVIOUS SUMMARY
WETLAND IMPACT SUM MARY
ROADWAYS:
2266
A REA
SIDEWALKS:
IMPACTMAP
IMPACT## IMPACTTYPE
IMPERVIOUS PER LOT:
6500
SF
TOTAL IMPERVIOUS AREA:
Sq. FT.
AC
PREVIOUSLY PERMITTED
1-2
1A J W -LOT FILL
3144
0.066
1-2
1B JW-DRAINAGEEASEMENT
875
0.026
1-2
1C JW -ROAD GRADING
1206
0.028
1-3
2 JW -ROAD GRADING
1692
0.039
TOTAL IMPACTS {PERMITTED}
5917
0.159
TOTAL EXISTI NGWETLAND5
31736
0.73
PROPOSED
STREAM IMPACT SUMMARY
AREA.
IMPACT MAP
IMPACT#i IMPACTTYPE
SQ. FT.
AC
1.4
3 JS - SANITARY SEWER EASEMENT 35 LF
63
0.001
IMPERVIOUS SUMMARY
IMPERVIOUS SUMMARY:
ROADWAYS:
2266
LF
SIDEWALKS:
3736
LF
IMPERVIOUS PER LOT:
6500
SF
TOTAL IMPERVIOUS AREA:
7.22
AC
I PREPARED BY:
09108/2014
REVISED 2120115 (ORIGINAL PERMIT SET)
REVISED 07118117
VICINITY MAP
O
{1 J
�
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FUT11RE
CHURCH
SITE SITE i
z
EXISTING SITE WITH n
PREVIOUSLY PERMITTEDf
IMPACTS -1 z I N
r y
SANITARY SEWER OUTFALL C I
(AREA OF NEW IMPACT)
�4 W E
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WITHERS R14►V E N' E L
ENGINEERS I PLANNERS I SURVEYORS
115 nom Kevan Drime Cary-, Nfirlh Carolina. 275 11 Iek Si14.469-334f} �,+ns r+•.•n�itl:ersrai�ene�.ceri I iren5e No. C -N32
I DEVELOPER/OWNER
SHEET INDEX
SHEET # SHEET TITLE
0.013 COVER
1-1 OVERALL IMPACT MAP
1-2 WETI AND IMPAGIMAIR
I-4 JURISDICTIONAL STREAM IMPACT
x NOT INCLUDED IN THIS SET.
PREVIOUSLY PERMITTED
SAW - 2013.01739
DWR# 14 -1276
NORTHWEST COMMUNITY CHURCH
10109 MORRISVILLE PKWY
APEX, NC 27523
ATTN: MR. JOEL CARPENTER

\ _-- E7i�. lU •�,� w- -r° r11' rKtVlUUSLY rtKMI l I to
fj ti MAP 1-2 UMpACT 1 y _ - SAW- 2a13.01739
DWR# 14-1276
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L1 Q
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- - POND SUBDIVISION � �
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BY PROVIDENCE AT
71_ YATES POND
ESTATES AT YATES POND SUBDIVISION OVERALL IMPACT MAP WITHERS & RAVENEL
Town of Ca Wake COun North Carolina [NIIMIIRS 1 PLAMMIRi 1 SURVEYORS
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EXISTING T
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/
TO MATCH EXISTING GRADE
' AFTER OPEN CUT FOR SEWER INSTALLATION.
WF40B �� 305 305
1'
1
i
WF42A . . VVF41A ,I I
l`I / ( �— /, f 300 300
- WP42B'
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JURISDICTIONAL STREAM IMPACT
Town of Ca Wake Coun tvorlh Carolina [roiN!!Rs 1 PLANNERS i suRvtroRs I-4
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