20171631 Ver 1_401 Application_20171217

ECOLOGICAL
ENGINEERING .
December 6, 2017
NC Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Re: Request for Section 401 Approval
Applewood Townhomes
Creedmoor, Granville County, North Carolina
Ms. Higgins:
1151 SE Cary Parkway, Suite 101
Cary, North Carolina 27518
[phone]
www.ecologicaleng.com
OEC 1 9 2017
D - A R
401 8 OF RPERPITTING
3
Ecological Engineering, LLP (Ecological Engineering), on behalf of Summit Engineering & Design, Inc.
(Summit) and Crosswind Development Inc., respectfully requests project approval per Section 401 of the
Clean Water Act for impacts associated with the Applewood Townhomes project. In accordance with
environmental permitting requirements, we have attached the following information to assist in your
review of the project:
• Five copies of the completed Pre -Construction Notification;
• Five copies of the approved NCDWR Surface Water Determination Letter;
• Five copies of the permit drawing denoting impacts to jurisdictional resources;
• Five copies of Granville County tax card;
• Five copies of the Agent Authorization Form;
• Check for Minor Water Quality Application Fee ($240.00).
Complete site plans and stormwater calculations are available electronically upon request. Based on the
limited permanent impacts from this project, 0.094 acres (4,097 sq.ft.), that will occur as part of the
construction of the new Applewood Townhomes and associated stormwater facilities, no wetland
mitigation is being offered. There will be an additional 0.02 acres of temporary impacts due to the
installation and maintenance of sediment and erosion control measures.
If you have any questions or concerns regarding this submittal, please do not hesitate to contact me at
919.557.0929 or via email at [e-mail].
Sincerely,
Heather Smith, LSS
cc: Chris Oliver, Summit Design & Engineering, Inc.
Randy Hall, Summit Design & Engineering, Inc.
File 10512-032

o��OFyWj'A
'r 96
O Niii� -c
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 10
Pre -Construction Notification PCN Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 18 or General Permit (GP) number: 4137
1 c.
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
N 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 N No
For the record only for Corps Permit:
❑ Yes N 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
N No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 In
below.
❑ Yes
N 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:
Applewood Townhomes
2b. County:
Granville
2c.
Nearest municipality / town:
Creedmoor
2d.
Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state
project no:
N/A
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Connie Elliott
3b.
Deed Book and Page No.
See Granville County Tax Card Accessed 5/24/2017
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
1530 Beaver Dam Rd.
3e.
City, state, zip:
Creedmoor, NC 27522
iul
3f.
Telephone no.:
N/A
EC 19
2011
3g.
Fax no.:
3h.
Email address:
N/A
401
& BUFFERPERMITTIN
Page 1 of 10

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ® Other, specify: Developer
4b. Name:
Bill Wynn
4c. Business name
(if applicable):
Crosswind Development, Inc
4d. Street address:
2550 Capitol Dr. Suite 105
4e. City, state, zip:
Creedmoor, NC 27522
4f. Telephone no.:
919-528-1347
4g. Fax no.:
N/A
4h. Email address:
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
Heather Smith
5b. Business name
(if applicable):
Ecological Engineering
5c. Street address:
1151 S.E. Cary Parkway, Suite 101
5d. City, state, zip:
Cary, NC 27518
5e. Telephone no.:
919-557-0929
5f. Fax no.:
5g. Email address:
[e-mail]
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
Not applicable
1 b. Site coordinates (in decimal degrees):
Latitude: 36.122287 Longitude: -78.727283
1 c. Property size:
9 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
proposed project:
Little Ledge Creek
2b. Water Quality Classification of nearest receiving water:
WS -IV; NSW
2c. River basin:
Neuse
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 are wooded and disturbed areas from former single family home. A power transmission line runs
through the property on the eastern side.
3b. List the total estimated acreage of all existing wetlands on the property:
0.96 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
1,415 linear feet
3d. Explain the purpose of the proposed project:
To construct a new Thales Academy and associated parking, and stormwater facilities.
3e. Describe the overall project in detail, including the type of equipment to be used:
Construct several townhomes, parking and stormwater facilities. Standard building equipment, such as trucks, dozers
and cranes will be used.
Page 2 of 9

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
®Preliminary E] Final
of determination was made
4c.
If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Ecological Engineering
Name (if known): Heather Smith
Other:
4d.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
7/19/2017 Andy Williams, 7/18/2017 NCDWR Cheng Zhang (NBRRO#17-215)
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.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ® No
6b. If yes, explain.
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 3 of 9

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)
(if known)
DWQ - non -404, other)
(acres)
or Temporary
T
W1 ®P ❑ T
Fill
Headwater/Bottomland
® Yes
® Corps
0.09
Hardwood Forest
® No
[:1 DWQ
W1 ❑ P ®T
Temporary- S&EC
Bottomland Hardwood
® Yes
® Corps
0.02
Measures
Forest
❑ No
❑ DWQ
2g. Total wetland impacts
0.11
2h. Comments: There are 0.094 acres (4,074 sq.ft.) of permanent impacts due to fill and 0.02 acres (889 sq.ft.) of temporary
impacts due to S&EC measures.
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)
intermittent
DWQ - non -404,
width
(linear
or Temporary
(INT)?
other)
(feet)
feet)
(T)
S1 ®P ❑ T
Fill
UT to Little Ledge
❑ PER
® Corps
1.0
23
Creek/ Stream A
® INT
® DWQ
3h. Total stream and tributary impacts
3i. Comments: Permanent impacts to streams 23 sq.ft.
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 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
Page 4 of 9

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:
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:
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)
for
Stream name
mitigation
(square feet)
(square feet)
or Temporary
impact
required?
T
61 ❑P❑T
❑Yes
❑ No
6h. Total buffer impacts
6i. Comments:
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 site uses the upland area to the greatest extent possible. The majority of the wetland being impacted is of low
quality due to disturbance when the site contained a single family home. The site is littered with trash from the demolition of
the structure and there are a few garbage piles within the wetland. The vegetation is herbaceous in this area. There are two
very small areas being impacted as part of the grading for the sideslopes of the development.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Sediment and erosion control measures will be used to prevent impacts to the remaining on-site wetland.
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
Page 5 of 9

3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
N/A
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
N/A
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:
Page 6 of 9

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 runoff from the development is being directed into the two
❑ Yes ® No
stormwater facilities.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
21.7% (94,461 sq.ft., 2.17 ac)
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: The
runoff from the development is being directed into a bio -retention area and a constructed wetland.
® 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?
Town of Butner, submitted on
12-4-2017
❑ Phase II
3b. Which of the following locally -implemented stormwater management programs
® NSW
❑ 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 7 of 9

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
❑ Yes
❑ No
letter.)
Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ 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
additional development, which could impact nearby downstream water quality?
❑ Yes
® No
There are no current plans to develop any other portions of the parcel.
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4.
Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
The new facility will be connected to the sewer system.
Page 8 of 9

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 project is located within the Neuse River Basin and has potentially suitable habitat for the dwarf wedgemussel
(Alasmidonta heterodon) and yellow lance (Elliptio lanceolate). The site is located upstream of Falls Lake and there are
no documented occurrences on the NCNHP data dated April 2017 of either of these species occurring between the
project site and Falls Lake.
There is potentially suitable habitat for harperella (Ptilimnium nodosum) in Little Ledge Creek. The substrate of Little
Ledge Creek, a perennial stream, is mostly sand. According to NCNHP data dated April 2017, the closest known
specimen is over 40 miles to the southeast and was classified as historical. There were no specimens of harperella
observed during an on-site visit on July 19, 2017.
There is potentially suitable habitat for smooth coneflower (Echinacea laevigata) but no specimens are located within 1.0
mile of the site according the NCNHP data dated April, 2017. The closest current specimen is 3 miles to the north. No
specimens were found during a site visit on July 19, 2017.
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?
NOAA Essential Fish Habitat Mapper
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?
North Carolina State Historic Preservation Office GIS Service
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:
8c. What source(s) did you use to make the floodplain determination? FEMA Maps/ NC Floodplain Mapping Program
Heather Smith
December 5,
2017
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.
Page 9 of 9

1 pr�
Water Resources
ENV 00NMENTAL OUALITV
July 20, 2017
Connie Elliot
1530 Beaver Dam Road
Creedmoor. NC 27522
ROY COOPER
Gwevncr
MICHAEL S. REGAN
S. JAY ZIMMERMAN
th,e, 7)I
Subject: Surface Water Determination Letter
NBRRON 17-215
Granville County
Determination Type:
Buffer Call
Isolated or EIP Call
® Neuse (15A NCAC 2B.0233)
A P
❑ Tar -Pamlico (15A NCAC 2B .0259)
❑ Ephemeral/Intermittent/Perennial Determination
X
Isolated Wetland Determination
❑
F1 Jordan (15A NCAC 26 .0267)
X
Project Name: Applewood ToN%-nhomes
Location'Directions: the project area is located along Joe Pead Road near W.B. Clark Road in
Granville County
Subject Stream: UTs to Little Ledge Creek
Determination Date: 7/18/2017 Staff: Cheng Zhang
Stream E/1/P*
Not Subject Subject to
to Buffers Buffers
Starts Stop Soil
r Survey
USGS
To o
A P
X
X
X
B **
X
X
X
C **
X
X
X
*E/11P = Ephemet-ctl.'lnterniittent!Perc,mtiu!
** Wetland
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 characteristic, that qualify it to be a stream. There may be
other streams located on your property that do not shoe up on the maps referenced above but. still may be
considered jurisdictional according to the US Army Corps of Engineers and.'or to the Division of Water Resources
(DWR).
Dkisiott of kater Resources. Raleigh Re,,ionaI Office. \\ Ater Quaht\ UPeratiown Section huP: dCk1.nc,to\ ahourditiision. «atcr-rc;e,urce
162`; Mail Scr\ice Center. Raleigh. \C 27699-162SPhone: [phone]
Lucatiun: 3S00 Barrell 9) 7ti.N_?Ise)

Applewood Townhomes
Granville County
T l 8;`2017
Page 2 of
This on-site determination shall expire five (5) 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 from 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 If sending via LIS Postal Service c/o Karen Higgins DWR — 401 &
Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617. If sending via delivery service (UPS, FedE.v,
etc.) Karen Higgins DOR — 401 & Buffer Permitting Unit, 512N. Salisbury Street Raleigh, NC 27604
This determination is final and binding unless, as detailed above, you ask for a hearing or appeal iiithin sixty (60)
days.
The owner/future owners should notify the Division of Water Resources (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subject property (stated
above). This project may require a Section 404/401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Resources (Central Office) at (919)-807-6300, and the LIS Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919)-5544884.
If you have questions regarding this determination. please feel free to contact Cheng Zhang at (919) 791-4?59.
Since y, /
11 G7 J%/rQuali(v
Danny Smith
Supervisor. Wa Regional Operations Center
cc: RRO DWR File Copy

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PROPOS ED TEMPORARY WETLAND IMPACT. 889 SF (0 AC) I a- ... ... a l j
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PROJECT NO,
17-0097
DRAWING NAME:
17-DO97_G.dwg
SHEET N0.
C-4

Map Number: 088603135008
Granville County, North Carolina - Property Record Card Record f]ata acf• nf. 8340
9_MAR_17 _ 11.37•RR
OWNERSHIP 03022017— 8289-310 ---1 f?ROPER—TYDESCRIPTION--- ---
TAX SUBDIVISIONS—
NO
ELLIOTT CONNIE BECK SACS & HSE SR 1109 U
1S-QBB E R JCHG I/H
CRM 7 2
DEED : 203 266W080!2011 3------ -991 -- _
IDUTCHVILLE TOWNSHIP
IBUTNER DISTRICT
LYON STATION SAN DI
WASTE CONY SITE FEE
-------------
—JMAP—NUMBER--CARD
1088603135008 2
RECORD NUMBER:. 40259
CROUTE 088603 002
ILISTER:SB 040996
REV I EW_RM-021 9j 0--- '
TOPO-- I STREET — I UT I L I TY—
I ZONI NG-- --- ------------
NBA
0068
NOTES:
#1LAND CLASS I —SIZE--�BASERATE* FRNT*DPTH*ADI=ADJRATE*UNITS=L10-VALUE
LAND—VALUE__— __
0
_ _ _
# OTHER FEAT —SI ZE--jBASERATE*COIVD ADJRATE*UN ITS=0FF3 VALUE
11144BBARA 50* 721 15.13 0.20 3.03 36001 10908
121 8BSHELTER 1 28* 501 8.080.20 1 1.621 14001 2268
131 4BSTG.SHEDI 32* 361 12.580.20 1 2.S21 11S21 2903
1
1
1
1
IQ!HERVALUE_
IFNDATIONIXTRFNISilROOFTYPEIROOFMTRLjSIZE//OTYJ
�WALLENSHIFLOORS
11.00STHTJ
—SHEAT&AIRIFiEATEUEL�
__AT*
O T H E R _ _ _O
_
#jSTRUCTURE.f_SKTCH SF*STHT= AREA —RATE*GRDF+HEAT+EXWH AREA= — RPCN*
L*WLT=ADIR
DEPF*CNDF=STRVALUE
----- ---- CTSTRUUE
-------------RVALUE_--- ---
0
------�------------------ ------ --- -- ---� ----- --
_ _
—CA F2 D-2 VA L U E --1 60 7 9

Numb
Granville County, North Carolina - Property Record Card Map Record No: rd No: : 388603135008
8340
OWNERSHIP 030220 8289-310 ---
ELLIOTT CONNiE BECKECK
PROPERTC
Y—DESRIPTION _
_-- TAX SUBDIVISIONS---EMAP—NUMBER
ARD NO
SACS & HSE SR 1109 U
IDUTCHVILLE TOWNSHIP
1088603135008 1
15B E R
1
JCHG I/H
IBUTNER DISTRICT
LYON STATION SAN DI
RECORD NUMBER:. 8340
CROUTE 088603
CR M 7 2
DEED: 2013 265W080I201 3--
11109 SR & 1110 SR
CLARK RD &—JOE—eEED—RD
IWASTE CONV SITE FEE
002
JLISTER:WD 020393- 1 `
—___4_--- __ _j REV I EW_RM-02181 0---
#ILAND3LASS—— SI S—�BASERATE*FRNI*DPTH*ADI=ADJRATE*UNITS=LND=VALUEICARDE-CLASS�ACF2EAGE*--RATE--= 1SE=VA NE
1.00ACj
11 2LFRNTA
E2� 35000
2112LFRNTAGE21 1.25AC� 300001 -j.43ACrjO.8Sj
�0.85� 29750 1.00
109651 1.2SI
29750 INELIGIBLES
137061 OPEN 1.2SI
1 1 29750
3119LLAKEPND21 2.00ACj 200001 0.43ACFj0.85j
4122LCLEARED21 14.26ACI 195001 0.43ACFj0.85j
73101 2.001
I
146201 POND 1 2.001
750.00 1 938
750.00 1 1500
5�-32LWQ—ODED 2�-- 1 0311 AQP -1 2575—Q_A3ACF�
7127114.261
O_Z� 1 385�1 O_3 I
1016311 OPEN 1 14.261
39 33 Wp3C D—�-10_31
750.00 1 10695
I 59-0 00—�-- 4021
TOTALS--- ----------------
LAND VALUE: 199040
---------- —
--
199040--- -- -----
.
---- --46904
LAND USE VALUE: 46904
DEFERRED VALUE: 152136

Map Number: 088603135008
Granville County, North Carolina - Property Record Card �a;aadN aMOR_,7_„•Q7-QQ
QWNERSHIP 03022017— 8289-310---IPROPERTY
ELLIOTT CONNIE BECK (ACS
15 O B E RICHG
CR M 7 2 11109
DE–EQ—:2013 266W0801 2O1 3-------g9 W B
......27.....
6 E
....21....
OESCRIPTlO -- ---(TAX
& HSE SR 1109 U
I/H
SR & 1110 SR
CLARK RD &–JOE PEED–RD-------
ITOPQ-- ISTREET–II!ILITY–IZONING--
1ROLLING 1UNPAVED 1
SEPTIC
SUBDIVISIONS---IMAP–NUMBER--CARD NO
IDUTCHVILLE TOWNSHIP 1088603135008 1
IBUTNER DISTRICT IRECORD NUMBER:. 8340
ILYON STATION SAN DI IROUTE 088603 002
IWASTE CONV SITE FEE JLISTER:WD 020393- 1
DREZ/ I EW_RM-02] 810---
_28 aZACRES ----- NBHD
JAR 40 0068
I NOTES:
3 3
4 D- 4
SNG FAML:
4
6
I --------- �IELECTR
C�-------
R : ADJ–FOPOWERL I NE-------
117 AND CLASS I —SII ZE_f_BASERATE * FF2NT * DPTH *AOS==ADJ F2ATE*UIS
_v IT=LND-VALUE
I11 2LBLDGSIT21 1.00ACJ 350001 1 10.851 297501 1.001 29750
12112LFRNTAGE21 1.25ACI 300001 0.43ACF10.851 109651 1.251 13706
13119LLAKEPND21 2.00ACJ 200001 0.43ACFIO.85I 73101 2.001 14620
14122LCLEARED21 14.26ACI 195001 0.43ACFJ0.8SJ 7127114.261 101631
15132LWOODED 21 10.31ACI 126751 0.43ACFI0.701 3815110.311 39333
20..:....21...:
6B 6 C 6
.7.:...20..:...58....:.:.....
1
2 6 A-
3 SNG FAML
. . . . . . . . 42 . . . . . . . . 3
PORCH 6
F-
........42........ 2 I
O 1 2. 1----------�--
1 IWALLF–NSHIFLOORS
7 :7.: 1 IDRY
:.16. G 2 (PANEL
......30........12.:
1 LAND—VALUE__— _ ---___
199040
__
1 # I OTHER FEAT I —S II ZE_I_BASERATE *GOND ADJRATE
111-6CDWELL/SVI 1* 11 1 J
12-48CTOB.BARNI 1* 21 1 J
13-49CPACK.HSEI 1* 11 1 J
14-49CPACK.HSEI 1* 11 1 J
I5-94CMISCBLDGI 1* 11 1 J
161-4CSTG.SHEDI 1* 11 1 I
171-8CSHELTER 1 1* 11 1 I
181-6CDWELL/SVS 1* 11 1 I
I QTHEF2 VALUE_---
_
* UN-
J
J
I
I
I
I
I
VALUE
J
J
I
J
J
I
3000
0
0
500
200
800
400
500
5400
FNDATION XTRFNISH
I----- I------ I F200FTYPE
ICONCBLCKIALUM/VINIGABLE
J I
_IFIEAT&AIRIHEATFUEL1
WALLISOFTWOODICENTRAL
I ICENT-A/C1
AVERAGE —GOND I T II ON
J F200FMTRL 1 S 1 ZE/QTY J
JASPHSHNGI I
J 12.00STHTI
------ I J
IGAS I I
1 9 ROOM
--------—
DWELLI NG CONVTNAL–C+05–B1 901 E1 965---
______2 _
DIMENSIONS:A-CU16RSBD36Ll6U2OL42 B-Ul6CU6R20D6L20 C-U16R2OCU6R21D6L21 D-U16R0U6CU34R21D34L21 E-U16R20U40CN6_R
27D46L6U40L21 F=C-U 6L7D23R42D17R30U9L Q L16U2QL42 G-D23R65C�J12R12D12L12H__
#ISTRUCTUREISKTCH-SF*STHT= AREA _RATE*GRDF+HEAT+EXWL*WLHT=ADJRAT* _AREA= _ FECN*
Al 1CSNG FAMLI 124812.001 24961 66.8311.0512.501 10.951 69.041 24961 1723241
1 2.00 BATHSI I I I I I 1 1 3000.001 1 6000
1 1 HALFBATHS I I I I I 1 1 1950.001 1 19501
1 1 FIREPLACE I I I I I 1 1 3000.001 1 3000
BI 1 SNG FAMLI 12011.001 1201 66.8311.0512.501 1 1 72.671 1201 87201
Cl 1 SNG FAMLI 12612.001 2521 66.8311.0512.501 10.951 69.041 2521 173981
DI 1 SNG FAMLI 71411.001 7141 66.8311.0512.SOI 1 1 72.671 7141 518861
E180 PORCH 1 40211.001 4021 23.9511.051 1 1 1 25.151 4021 101101
FI80 PORCH 1 70111.001 7011 23.95I1.05I I I 125.151 7011 176301
G182 CAR PORTI 14411.00A_--1441 22.65I1.OSI I I 123_781 1441 -- 3424I
3582HSF, 4829TSF RPCN- 81.64/HSF 292442 VALU-
DEPF*CNDF=STR--VALUE
0.551 1 9 3300
0.55
0.551 J 1073
0.55
0.551 1 4796
0.551 1 9569
0.551 I 28537
0.551 1 5561
0.551 1 9697
O.SSl I –_ 1883
44.90/HSF 160844
----------------------STRUCTUE
R VALUJE_-----
________________
160844
VALUATION _l_TH I S CARD++CARD-2=NN==-- VALUE I ------ I --- J ---- J ---
LAND 1 1990401 OI 1990401 I I I
OTHERFEATI 54001 160791 214791 J J
STRUCTURE) 1608441 OI 1447601 J I
TOTAL--�--3652$-- 1 6079 �--5279 – _––-----�--101
I
I 6906LV/AC
I 101TV/HSF
TV/FiSF--_
CARD NO 1
CARD NO. 2
TOTAL VALUE
_ _ _
365284
16079
381363
GEOGRAPHIC-ADJUSTMENT-NBHD_-68 CAVE: –160844 * 0.90=--144760-------TOTAL–APPRAISED-VALUE:—
__
365279
�.i wtau VY 1'nl:[YUF-l:en5yn��nl nen1xu cen, luc.

AGENT AUTHORIZATION FORM
Project Name: Applewood Townhomes
Project Location: Joe Peed Rd., Creedmoor, NC
Date: June 2017
Connie Elliott, undersigned, does hereby authorize:
The Professional Engineers and Scientists
of
(Contractor / Agent)
Ecological Engineering, LLP
(Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
permit or certification and any and all standard and special conditions attached.
Connie Elliott
1530 Beaver Dam Rd.
Creedmoor, NC 27522
I hereby certify the above information submitted in this application is true and accurate to the
best of my knowledge.
Connie Elliott
Property Owner
Date