20070193 Ver 1_401 Application_20070107

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Environmental Consultants, PA
:Road Raleigh, Noah Cazolina 27614 Phone: [phone] Fax: [phone]
www.SandEC.com
January 31, 2007
S&EC Project # 9629.W2
To: US Army Corps of Engineers
Raleigh Regulatory Field Office
Attn: Jamie Shem
6508 Falls of the Neuse Road, Suite 120
Raleigh, NC 27614
From: Nicole Thomson
Soil & Environmental Consultants, P.A.
11010 Raven Ridge Road
Raleigh, NC 27614
Re: Wake Med Apex Healthplex Building, Wake County, NC
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On behalf of the owner, Wake Med Property Services, please find attached a complete application and supplemental infommation
requesting written concurrence from the U.S. Army Corps of Engineers (USAGE) and the N.C. Division of Water Quality (DWQ) that
the activities proposed below may proceed under Nationwide Permits 39 and General Water Quality Certifications 3402. Please
contact me at [phone] if you have any questions or require additional information.
PRn1F.CT SiIMMARY
Pro'ect Name Wake Med A ex Health lex Buildin
Pro'ect T e Hos ital Com lex
Owner / A licant Wake Med Pro Services
Coun Wake
Nearest Town A ex
Waterbod Name UT to Beaver Creek
Basin /Sub-basin 03-06-05
Index Number 16-14-10 0.5
Class WS-IV•NSW
USGS Catalo in Unit 03030004
IMPACT SUMMARY
Stream Impact (acres): 0
Wetland Impact (acres): 0.29
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0..29
Total Stream Impact (linear feet): 0
Attachments:
Pre-construction Notification (PCN) Application Form
NRCS Soil Survey Map
USGS Topographic Map
Agent Authorization Form
Impact Detail Sheet (11X17)
Full Size Plan Sheets (DWQ Only)
11X17 Plan Sheets (USAGE only)
Stormwater Management Plan (including signed O & M Agreement and Full Size Plan Sheet; DWQ only:
$200 Application Fee to DWQ
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Charlotte Office: ~ Greensboro Office:
236 LePhillip Court, Suite C 3817-E Lawndale Drive
Concord, NC 28025 Greensboro, NC 27455
Phone: [phone] Phone: [phone]
Fax: [phone] Fax: [phone]

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Office Use Only: Form Version March OS
USACE Action. ID No. DWQ No.
(u any particular item is not applicable to ttus project, please enter "Not Applicable" or "N/A".)
I.
Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ^ Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ^ Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP 39
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ^
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ^
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ^
II. Applicant Information ~ ~ ~ ~ LI
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1. Owner/Applicant Information
Mailing Address
SAN ~ ~ wt7~7
3000 New Bern Avenue
Raleigh NC 27610
Telephone Number:~919) 350-2553 Fax Number:~919) 231-9431
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Nicole J. Thomson
Company Affiliation: Soil & Environmental Consultants, PA
Mailing Address: 11010 Raven Ridge Road
Raleigh NC 27614
Telephone Number:[phone] Fax Number:_ [phone]
E-mail Address: NThomson(a~sandec.com
Page 1 of 8

III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps maybe included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Wake Med Apex Healthplex Building
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): 0732942062
4. Location
County: Wake Nearest Town: Apex
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): From Raleigh take I-
440/I-40/US 64 West toward Cary; continue on US 64 West/LTS 1 South; continue on US 64
West; take NC 55 South (West Williams Std toward Apex; the subject property will be on
the right at the intersection of NC 55 South and the Apex Peakway.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 35.7397 °N 78.8676 °W
6. Property size (acres): ~16 acres
7. Name of nearest receiving body of water: UT to Beaver Creek (03-06-05; 16-41-10-(0.5);
WS-N;NSW)
8. River Basin: Cape Fear (USGS Cataloging Unit 03030004)
(Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The property is currently undeveloped and is primarily
Page 2 of 8

wooded. Surrounding properties are wooded or residential subdivisions with some
commercial/industrial development.
10. Describe the overall project in detail, including the type of equipment to be used: The
overall project will be to construct a hospital as well as the necessary parking lots, sidewalks
and roadway infrastructure to access the proposed hospital building_Typical excavating and
grading equipment such as bulldozers, backhoes, and motor graders will be used during
construction activities.
11. Explain the purpose of the proposed work: The increased population in the Apex area has
necessitated the need for a new hospital facility.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. S&EC conducted a detailed delineation of the subject property on
September 31, 2005. On January 5, 2006, Mr. Monte Matthews of the US Army Corps of
Engineers met S&EC on site to verify the wetlands and streams delineated. At this time, a
Jurisdictional Determination has not been formally signed. In 2000, Mr. John Dorney of the NC
DWQ approved a Stormwater mana ement pond on this site (DWQ No. 000275) for the
development across the street. No previous permits have been reauested or issued for this site.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future permits are anticipated for this property.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine; delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs maybe included at the applicant's discretion. If this proposed impact is strictly for
Page 3 of 8

wetland or stream mitigation, list and describe the impact in Section VIII below.. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: Impact Site #1: 12,879 square feet
X0.29 acl of permanent wetland impact for roadway infrastructure and site rading
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Impact Type of Wetland Located within Distance to Area of
Site Number Type of Impact (e.g., forested, marsh, 100-year Nearest Impact
(indicate on map) herbaceous, bog, etc.) Floodplain Stream (acres)
es/no (linear feet
Impact Site #1 Fill Herbaceous No >100' 0.29
Total Wetland Impact (acres) 0.29
3. List the total acreage (estimated) of all existing wetlands on the property: +/- 0.59 ac.
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acrea e, multi 1 len h X width, then divide b 43,560.
Stream Impact Perennial or Average Impact Area of
Number Stream Name Type of Impact Stream Width Length Impact
(indicate on ma Intermittent? Before Im act linear feet acres
N/A N/A N/A N/A N/A 0 0
Total Stream Impact (by length and acreage) 0 0
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Name of Waterbody Type of Waterbody Area of
Site Number
(if applicable) Type of Impact (lake, pond, estuary, sound, bay, . Impact
indicate on ma) ocean, etc. acres
N/A N/A N/A N/A 0
Total Open Water Impact (acres) 0
6. List the cumulative impact to all Waters of the U.S. resulting from the proiect:
Stream Irn act (acres : 0
Wetland Impact (acres): 0.29
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0.29
Total Stream Impact (linear feet): 0
Page 4 of 8

7. Isolated Waters
Do any isolated waters exist on the property? ^ Yes ®No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
No isolated waters are known to exist on the subject property
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Current land use in the vicinity of the pond: N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It maybe useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. The proposed development is a
Hospital complex and the roadway infrastructure that permanently impacts 0 29 acres of wetland
is a reauirement not only for emer ency vehicle access but is also a necessity to access the
complex itself. The locations of the intersections for the Apex Peakway and NC Highway 55
preclude moving the access road elsewhere on the property due to the requirements for
intersection spacing per NCDOT and City of Apex guidelines Additionally the design
requirements for the Hospital and associated buildings and the location of the existi~
Stormwater Management Pond prevents the roadway infrastructure from being moved away
from the existinil wetlands.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of .Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
Page 5 of 8

necessary to ensure that adverse effects to the aquatic environment .are minimal. Factors
including size and type of proposed impact and functipn and relative value of the .impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
The project proposes permanent impacts to 0.29 acres of herbaceous, non-riparian
wetland. Payment to the NC-EEP at a ratio of 1:1 is proposed to meet the stream miti ag tion
requirement We will forward the EEP acceptance letter to you once we receive it.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): 0
Amount of buffer mitigation requested (square feet): 0
Amount of Riparian wetland mitigation requested (acres): 0
Amount ofNon-riparian wetland mitigation requested (acres): 0.29
Amount of Coastal wetland mitigation requested (acres): 0
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ^ No
Page 6 of 8

2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPAISEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ^ No ^
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ^ No ^
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ^ No ^
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* Impact
s uare feet Multiplier Required
Miti ation
1 N/A 3 (2 for Catawba) N/A
2 N/A 1.5 N/A
Total N/A N/A
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260. N/A This project is not in a buffered river
basin.
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss Stormwater
controls proposed in order to protect surface waters and wetlands downstream from the property. If
percent impervious surface exceeds 20%, please provide calculations demonstrating total proposed
Page 7 of 8

impervious level. The expected impervious surface for the proposed development will be greater than
30% and therefore, a Stormwater mans eg ment plan has been attached, including the proposed design for
an extended detention wetland. It should also be noted that there is an existing Storrnwater Pond that was
approved in 2000 by Mr. John Dorney of the NCDWO,~DWQ Project No 000275) that will also be
utilized to treat some of the Stormwater generated by the proposed development• calculations showing
this pond will not exceed the treatment capabilities have also been included
XII. Sewage Disposal (required by DWQ)
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.
Sewer.
XIII. Violations (required. by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Is this anafter-the-fact permit application? Yes ^ No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ^ No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description: We
have reviewed the "DRAFT Internal Policy Cumulative impacts and the 401 Water OualitX
Certification and Isolated Wetland Programs" document prepared by the NC Division of Water
Qualit~n April 10, 2004, version 2.1. The draft states that most residential subdivisions are
unlikely to cause cumulative impacts This residential project does not meet any of the three
criteria of private projects that can clearly result in cumulative impacts We anticipate that you
will advise us if a qualitative or quantitative impact analysis is required
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that- may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
~ `~- Applicantl~gent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8

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