20090071 Ver 1_More Info Received_20090515

r7T,
Design
6f OUP
4807-C Koger Blvd.
Greensboro, NC 27407
Phone [phone]
Fax [phone]
TRANSMITTAL LETTE
Date: May 12, 2009
To: Sue Homewood
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Project: Ashton Place
Greensboro, NC
We Transmit:
( x ) herewith
( ) under separate cover
The Following:
Copies Date
2 March 4, 2009
2 May 7, 2009
Asti'' ??r ?J
MAY 23"U"
'Kinston-Salem
Regional Office
Project No.: 09-015
For Your:
( x ) approval
( ) review & comment
( ) use
Description
PCN
Wetland/Stream Impact Plans
rks:
Sue-
It tache
d are two hard copies of the plans and PCN form per your email request
on May 8, 2009. If you have any questions or need additional information, please
call.
Thanks for your help-
Copies:
Sincerely,
By; ?! 9 lhnnyll "h
J. Anthony Lusk, PE
Civil Engineer
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit ? Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
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
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
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: Ashton Place
2b. County: Guilford
2c. Nearest muni cipality / town: Greensboro
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: Ashton Place Holdings, LLC
3b. Deed Book and Page No. DB 6921 PG 81
3c. Responsible Party (for LLC if
applicable):
Mr. Robert Walker, Jr.
3d. Street address: 965 Meadow Lane
3e. City, state, zip: Henderson, NC 27536
3f. Telephone no.: [phone]
3g. Fax no.:
3h. Email address: [e-mail]
Page 1 of 11
PCN Form -Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: L. Allan Hill, P.E.
5b. Business name
(if applicable):
Triad Design Group
5c. Street address: 4807-C Koger Blvd.
5d. City, state, zip: Greensboro, NC 27407
5e. Telephone no.: [phone]
5f. Fax no.: [phone]
5g. Email address: [e-mail]
Page 2 of 11
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 05-04-0249-0-0306-00-012
1 b. Site coordinates (in decimal degrees): Latitude: 36.08677 Longitude: - 79.66533
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 10.20 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Little Alamance Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: WS-IV; NSW, CA
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 vacant and consists of trees greater than 6-8 inches in diameter. Adjacent land uses include a church,
residential properties, and undeveloped properties.
3b. List the total estimated acreage of all existing wetlands on the property:
0.095 acres (includes 0.049 acres on Calvary Baptist Church of McLeansville property, DB 5726 PG 196)
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
120 feet of intermittent stream on the property. 37 feet of intermittent stream on adjacent property between property
boundary and wetland area.
3d. Explain the purpose of the proposed project:
To provide access to the property. The property is landlocked with the exception of a 105-foot wide strip extending south
to Burlington Road with no alternate access. Zoning prohibits access through a residential subdivision to the north.
3e. Describe the overall project in detail, including the type of equipment to be used:
Development of the site will include construction of a health & rehabilitation center called Ashton Place. Construction shall
also include associated parking areas and driveways. Tree conservation areas will be in place prior to any clearing or
grubbing and will remain in place until construction is complete. Grading and utility construction will include the use of
heavy equipment, such as bulldozers, loaders, dump trucks, and backhoes or trackhoes. A portion of the storm water
BMP and road crossing impacts are located on the adjacent property authorized by the previously submitted Pond
Maintenance and Easement Agreement with Calvary Baptist Church of McLeansville.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ? Yes ® No ? Unknown
Comments: No jurisdictional determinations have previously
been requested for this project.
4b. If the Corps made the jurisdictional determination, what type
? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
B. Project Information and Prior Project History
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.
Ecologic previously delineated wetlands at the adjacent property owned by Calvary Baptist Church of McLeansville.
Andrea Wade (USACE) and Daryl Lamb (DWQ) visited the site with Mark Taylor. A memorandum summarizing their
findings has been previously submitted.
6. Future Project Plans
6a. Is this a phased project? ? Yes ® No
6b. If yes, explain.
Page 4 of 11
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
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
Culvert and Yes Corps
®
W1 ®P ? T associated Bottom Land El No
? No DWQ
? 0.065
dissipation device

W2 ? P ®T Culvert
Construction
Bottom Land ® Yes

? No ® Corps

?DWQ
0.004
W3 ? P ®T Pond Construction Bottom Land ® Yes
? No ® Corps
? DWQ 0.009
W4 ? P ®T Pond Construction Bottom Land ® Yes
? No ® Corps
? DWQ 0.015
W5 ? P ®T Pond Construction Bond Land ® Yes
? No ® Corps
? DWQ 0.002
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts 0.095
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - (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 Culvert and
associated UT to Little ? PER ® Corps
2
142
dissipation device Alamance Creek ®INT ?DWQ
S2 ? PET Culvert UT to Little ? PER ® Corps 2 18
Construction Alamance Creek ® 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 160
3i. Comments:
Page 5 of 11
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 individual) 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 and or lake construction proposed, then 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:
5h. Is a dam high hazard permit required?
? Yes ? No if yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a. El Neuse
El Tar-Pamlico ®Other: Guilford County
Project is in which protected basin? ? Catawba
El Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number - Reason for impact Buffer Zone 1 impact Zone 2 impact
Permanent (P) or Stream name mitigation (square feet) (square feet)
Temp ora T required?
131 ®P ? T Road Crossin
Crossing UT to Little ? Yes
2
518
2
414
Alamance Creek ® No , ,
62 ? P ? T Road Crossing UT to Little ? Yes
Construction Alamance Creek ? No
B3 ?P?T ?Yes
? No
6h. Total buffer impacts 2,518 2,414
6i. Comments:
Page 6 of 11
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Alternate locations for the access road to the site were investigated. A residential development is located northeast of the
site. Hartsfield Forest Drive, a secondary road within the residential development, is proposed to extend to the northeast
corner of the site. However, according to the City of Greensboro, this road is located within a residential zoning district
and cannot be used for business traffic. Therefore, the property is only accessible from Burlington Road. The location of
the road crossing was designed to minimize the amount of fill to accommodate the road crossing and avoid additional
impacts to the stream and wetlands to the east. The access drive to the site will maintain the minimum required width to
minimize impacts to the intermittent stream. Headwalls were designed at the ends of the culvert to reduce the footprint of
the fill required to accommodate the road crossing.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
It would greatly reduce the risk for surface water impacts to complete construction of the road crossing during dry periods
of the summer when base flow in the intermittent stream is reduced. Storm water will be addressed by installing BMPs
until permanent vegetation is established. Headwalls were designed at the ends of the culvert to reduce the footprint of
the fill required to accommodate the road crossing.
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?
El Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type 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: 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
Page 7 of 11
PCN Form -Version 1.3 December 10, 2008 Version
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project 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 8 of 11
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.
? Yes ? No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 42%
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, na rrative description of the plan:
Storm water from impervious areas are captured and directed to storm water management pond for water quality and
quantity control.
® 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? City of Greensboro/Guilford
County
® 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 El Yes ® No
attached? Final approval to be based on
approval of PCN.
4. DWQ Stormwater Program Review
? Coastal counties
? HQW
4a. Which of the following state-implemented stormwater management programs apply ? ORW
? S
i
L
2
0
(check all that apply): ess
on
aw
0
6-246
? Other:
N/A
4b. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
N/A
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 9 of 11
PCN Form - Version 1.3 December 10, 2008 Version
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the ? Yes ® No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ? No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ? Yes ? No
Comments:
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.
The project consists of the construction of a health and rehabilitation center. The project is not phased nor is it expected
to encourage additional development in the area.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater
enerated from
g
the proposed project, or available capacity of the subject facility.
Wasterwater generated at this site will be treated by the City of Greensboro.
Page 10 of 11
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?
US Fish & Wildlife Service Online (http://www.fws.gov/nc-es/es/cntylist/ciuilford.html)
North Carolina Natural Heritage Program (httg://149.168.1.196/nha/quad.ohr)).
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?
Http://ocean.floridamarine/org/efh coral/ims/viewer/htm.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
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?
httr)://www.hr)o.ncdcr.ciov, http://hpo.ncdcr.gov/nrlist,htm, htti)://www.archaeoloav.ncder.gov/ncarch/articles/articles.htm.

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? httr)://www.ncfloodmaps.com.
Robert Walker, Jr. 01
/
Applicant/Agent's Printed Name Appli ant/Agent's S' ature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 11
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