20060528 Ver 1_COMPLETE FILE_20060327

? ?CF WA
O 7-F9P61
r
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
April 17, 2006
Triangle Developments of Eastern Carolina, Inc.
3526 Sheppard Mill Road
Stokes, NC 27884
Subject Property: Triangle Developments of Eastern Carolina
Parker Creek [030305, 28-9-5, C, NSW]
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project # 06-0528
Pitt County
Approval of 401 Water Quality Certification and Authorization Certificate per the Tar-Pamlico
River Buffer Protection Rules (15A NCAC 2B.0259) with Additional Conditions
Dear Sir or Madam:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
within or otherwise impact 0.06 acres of wetland and zero square feet (ft2) of protected riparian buffers
for the purpose of constructing commercial building on the subject property as described within your
application dated March 23, 2006 and received by the N.C. Division of Water Quality (DWQ) on January
9, 2006, with additional information received by the DWQ on March 27, 2006. After reviewing your
application, we have decided that the impacts are covered by General Water Quality Certification
Number(s) 3402 (GC3402). The Certification(s) allows you to use Nationwide Permit(s) 18 (NW 18)
when issued by the US Army Corps of Engineers (USACE). This letter shall also act as your approved
Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 213 .0259. In
addition, you should obtain or otherwise comply with any other required federal, state or local permits
before you go ahead with your project including (but not limited to) Erosion and Sediment Control, and
Non-discharge regulations. Also, this approval to proceed with your proposed impacts or to conduct
impacts to waters as depicted in your application shall expire upon expiration of the 404 or CAMA
Permit.
This approval is for the purpose and design that you described in your application. If you change your
project, you must notify us and you may be required to send us a new application. If the property is sold,
the new owner must be given a copy of this Certification and approval letter and is thereby responsible for
complying with all conditions. If total fills for this project (now or in the future) exceed one acre of
wetland or 150 linear feet of stream, compensatory mitigation may be required as described in 15A
NCAC 2H.0506 (h). This approval requires you to follow the conditions listed in the attached
certification and any additional conditions listed below.
Conditions of Certification:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and general
conditions of this Certification (or Isolated Wetland Permit) are met. No other impacts are
approved including incidental impacts:
401 Oversight/Express Review Permits Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] /FAX [phone] / Internet: htto://h2o.enr.state.nc.us/ncwetlands
IN
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
Triangle Developments of Eastern Carolina, Inc. E
Page 2 of 3
April 17, 2006
Amount Approved Units Plan Location or Reference
404 Wetland 0.06 acres PCN page 8 of 12
Zone 1 TPBR Buffer Impacts 0.00 (square feet PCN page 11 of 12
Zone 2 TPBR Buffer Impacts 0.00 (square feet PCN page 11 of 12
Sediment and Erosion Control:
2. Erosion and sediment control practices must be in full compliance with all specifications governing
the proper design, installation and operation and maintenance of such Best Management Practices in
order to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Sediment and Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control
measures must be such that they equal, or exceed, the requirements specified in the most
recent version of the North Carolina Sediment and Erosion Control Manual. The devices
shall be maintained on all construction sites, borrow sites, and waste pile (spoil) projects,
including contractor-owned or leased borrow pits associated with the project.
c. Sufficient materials required for stabilization and/or repair of erosion control measures and
stormwater routing and treatment shall be on site at all times.
3. 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 404/401 Permit Application. 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;
4. Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent
practicable. If placement of sediment and erosion control devices in wetlands and waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
Division of Land Resources has released the project;
5. Protective Fencing - 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 2H,
Section :0500;
Deed Notifications - Deed notifications or similar mechanisms shall be placed on all retained
jurisdictional wetlands, waters and protective buffers in order to assure compliance for future
wetland, water and buffer impact. These mechanisms shall be put in place prior to impacting any
wetlands, waters and/or buffers approved for impact under this Certification Approval and
Authorization Certificate. A sample deed notification can be downloaded from the 401/Wetlands Unit
web site at http://h2o.enr.state.nc.us/ncwetlands. The text of the sample deed notification may be
modified as appropriate to suit to this project;

r
Triangle Developments of Eastern Carolina, Inc.
Page 3 of 3
April 17, 2006
7. Written Stormwater Management Plan (Final Plan Needed)
A final written stormwater management plan will be required for this project. The stormwater
management plan must include plans, specifications, and worksheets for stormwater management
facilities that are appropriate for the surface water classification and designed to remove at least 85%
TSS according to the most recent version of the NC DENR Stormwater Best Management Practices
Manual. These facilities must be designed to treat the runoff from the entire project, unless otherwise
explicitly approved by the Division of Water Quality. Also, before any permanent building is
occupied at the subject site, the facilities (as approved by this Office) shall be constructed and
operational, and the stormwater management plan (as approved by this Office) shall be implemented.
The structural stormwater practices as approved by this Office as well as drainage patterns must be
maintained in perpetuity. No changes to the structural stormwater practices shall be made without
written authorization from the Division of Water Quality.
Additionally, in watersheds within one mile and draining to 303(d) listed waters, as well as
watersheds that are classified as nutrient sensitive waters (NSW), water supply waters (WS), trout
waters (Tr), high quality waters (HQW), and outstanding resource waters (ORW), the Division shall
require that extended detention wetlands, bio-retention areas, and ponds followed by forested filter
strips (designed according to latest version of the NCDENR Stormwater Best Management Practices
Manual) be constructed as part of the stormwater management plan when a site-specific stormwater
management plan is required.
For streams classified as Water Supply, High Quality Waters and Outstanding Resource Waters, post-
construction, on-site stormwater management shall be required as appropriate and as outlined in 15A
NCAC 213 .0104(m) and 2H .1000 to .1007, respectively, in addition to that required in this General
Certification.
Alternative designs may be requested by the applicant and will be reviewed on a case-by-case basis
by the Division of Water Quality.
Approval of stormwater management plans by the Division of Water Quality's other existing state
stormwater programs including appropriate local programs are sufficient to satisfy this Condition as
long as the stormwater management plans meet or exceed the design requirements specified in this
condition. This condition applies unless more stringent requirements are in effect from other state
water quality programs.
Unless specified otherwise in the approval letter, the final, written stormwater management plan shall
be approved in writing by the Division of Water Quality's Wetlands Unit before the impacts specified
in this Certification occur. The facilities must be designed to treat the runoff from the entire project,
unless otherwise explicitly approved by the Division of Water Quality.
Also, the stormwater management plan (as approved by the Wetlands Unit) shall be implemented
before any permanent building or other structure is occupied at the subject site.
The structural stormwater practices as approved by the Wetlands Unit as well as drainage patterns
must be maintained in perpetuity. No changes to the structural stormwater practices shall be made
without written authorization from the Division of Water Quality.
8. Diffuse Flow (No Review)
All constructed stormwater conveyance outlets shall be directed and maintained as diffuse flow at
non-erosive velocities through the protected stream buffers such that it will not re-concentrate before
discharging into a stream as identified within 15A NCAC 213 .0233 (5). If this is not possible, it may

Triangle Developments of Eastern Carolina, Inc.
Page 4 of 3
April 17, 2006
be necessary to provide stormwater facilities that are considered to remove nitrogen. This may require
additional approval from this Office.
9. Certificate of Completion:
Upon completion of all work approved within the 401 Water Quality Certification or applicable
Buffer Rules, and any subsequent modifications, the applicant is required to return the attached
certificate of completion to the 401/Wetlands Unit, North Carolina Division of Water Quality, 1650
Mail Service Center, Raleigh, NC, 27699-1650.
Violations of any condition herein set forth may result in revocation of this Certification and may result in
criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct
impacts to waters as depicted in your application and as authorized by this Certification shall expire upon
expiration of the 404 or CAMA Permit.
If you do not accept any of the conditions of this Certification (associated with the approved wetland or
stream impacts), you may ask for an adjudicatory hearing. You must act within 60 days of the date that
you receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of
the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, N.C. 27699-6714. This certificatior(and its conditions are final and binding unless you ask for a
hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Cyndi Karoly or Ian McMillan in the Central Office in
Raleigh at 919-733-1786 or Kyle Barnes in the DWQ Washington Regional Office at 252-946-6481.
Sincerely,
AWK/?m
Enclosures: GC 3402
Certificate of Completion
W. K Im 'ek, P. E.
cc: USACE Washington Regulatory Field Office
Kyle Barnes, DWQ Washington Regional Office
DLR Washington Regional Office
File Copy
Central Files
Filename: 060528TriangleDevelopmentsOfEastemCarol ina(Pitt)401+TPBR

MAR 2 7 2006
DEr;i - V,'ATER CUALITY
Office Use Only: Form Version March 05
20060528
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "NOt Hppucaoic or iviri .?
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
[Z401 Water Quality Certification ? Express 401 Water Quality Certification ..
2. Nationwide, Regional or General Permit Number(s) Requested: NW P 19 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: ?
11. Applicant Information
1. Owner/Applicant Information
Name: TRia.tnlP Deye?opm nos pJ East Ca Inc.
Mailing Address: 3526 Shegpaizd M't I I -Read
SfnKe5. N C 27884•
Telephone Number: ?252) 327- 2157
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: N JA
COmDanV Affiliation: i
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number: (as?)X52-gol6
Fax Number:
Updated 11/1/2005
Page 5 of 12
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 may be 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 ofproject: _FRianQ1e Deyeloomenfs 4 Ectste-R-n- OaRo14,,
I., I
2. T.I.P. Project Number or State Project Number (NCDOT Only): N ZA
Property Identification Number (Tax PIN):
4. Location
County: P;tf Nearest Town: L?Reenyi He.
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): Tn-VetzsP?f;nn .4
_N_C ighu?n,? 33 and M urnfor Road 71POR Re?nv; I le. Pitt Cot<n Iu
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. (,2'1(,5'1 °N I '1. 3455520 °W
6. Property size (acres): 2 48 Acmes
7. Name of nearest receiving body of water: PdfRRe_RS CRee-K
8. River Basin: Tutz - Pa m I i c.o
(Note - this must be one of North Carolina's seventeen designated major river basins. Tile
River Basin map is available at http://h2o.enr.state.nc.tis/admin/mas1.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: :Disturtbed wended cCrtect be_+wee_n MLrnf R
Road and NC Nwv 33. Corn meRCial and gLiRci( rzes;derttidf
rounoeaties make- uo adjacent land uses-
Updated H/1/2005
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: PRopose,
to Till app-l0Ximalel a,588 s0L!PR f f Of dl-f2RPS-5innal weflandS
loeafeA within c(istLzk rI sif- $LL11dozep, du.np+R and exeayclloR..
11. Explain the purpose of the proposed work: -PRe page fhe- sife -dog. fh _ const ur-fion
of a eommerzcial buildinJ Vehicie .I ' i and a cess dRiy s will
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. LSACE Wash,'notan Re9uk+n Field office PCR7DRmed
dh?l confiRmed ?ts dtie on ?ile. dWail'Ir1a AlJ n asst°nmPn'1'.
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.
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 may be included at the applicant's discretion. If this proposed impact is strictly for
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: M isArige- of cl e- n ect fLn..
-f i I I rriateizial info depaessinnal Welland agea
Updated 11/1/2005
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For darns,
cr n?rnfoly tact ;rnnactc &w.. to hnth stnlchtre and flooding.
Wetland Impact

Site Number
(indicate on map)

Type of Impact Type of Wetland

(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
es/no Distance to
Nearest
Stream
linear feet Area of
Impact
(acres)
e
If
Dis e FQRested
es
00
0.0

Total Wetland Impact (acres) 0.06
3. List the total acreage (estimated) of all existing wetlands on the property: 0.09
4. Individually list all intertnittent and perennial stream impacts. Be sure to identify temporary
N /A 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 he included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
indicate on ma
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact hnpact
Length
linear feet Area of
Impact
acres

Total Stream Impact (by length and acreage)
N/A 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
Site Number
indicate on ma Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. Area of
Impact
acres

Total Open Water Impact (acres)
Updated 11/1/2005
Page 8 of 12
List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Im act (acres : p
Wetland Impact (acres): O OG
Open Water Impact (acres): o
Total Impact to Waters of the U.S. (acres) O OG
Total Stream Impact (linear feet
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.
8. Pond Creation
NIA 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., dain/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stornwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be 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.-A pli'mint has aVoided
u A n
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. N/A
Updated 11/1/2005
Page 9 of 12
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
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in detennining 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 sliall 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
littp://1i2o enr state nc.us/ncwetIands/strmgide.11tml.
1. Provide a brief description of the proposed mitigation plan. The description should provide
NIA as much infornation 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.
Nn mifiaafion ROFosecl
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
N 1A [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 littp://li2o.enr.state.nc.us/wrp/index.litm. 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):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Updated 11/1/2005
Page 10 of 12
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 Z
2. If yes, does the project require preparation of an environmental document pursuant to the
N/A requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA 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
N/A attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
Y. 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.
Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Neuse), 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
NlA buffer multipliers.
I I Zone* Impact Multiplier Required
(square feed Mitieation
3 (2 for Catawba)
1.5
Total I I I
' 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.,
N/A 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.
updated 11/1/2005
Page 11 of 12
XI. Storn»vater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stornwater 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 impervious level. =mpeayious suRfaces will r1Qf
(? YrPFrl 2001. XIL 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.
Pity of V2ePhVl [le. waters and seweR available
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No ?v'
Is this an after-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 [0'
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:
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).
`Applicant/Ag6it's Signature Date
's signature is valid only if an authorization letter from the applicant is provided.)
Updated 11/1/2005
Page 12 of 12

Q
(VQ?i
L?
s
U
r?
r ?]
i 4
I?
Car=cn Memcrla]
LE6EJC
Church Unit-0
- CnurCh
=. ffr.m,a. it n.T
?.e.t lme
tvr. 0,31 W.n.
C; ?.A
Ar ns
-. b'w ?w to tw.Rtw.rwr.,?
a
44?' `-
MIX
T 9
_
c
?Ix te. 3?,
.. ••.
j r.[. I
W
?
b -t Ir

J "x?,r? n o°^'x?.a..:.°''I??.T.aS.? II',? ?"?•'? w-an v ..i puert
--?F-.umTx
1 DCAT`D'1 I!.-
I
i'-1000' •\ / % LrtmJ uweal /
CAk_-' /
PENIECCSIALL -INEe3 /
fx Y>rn

0 Py-vK4 'rill AveA
CEATIFICATrw
yW ?. R.TfIY T.MT TIRS
?? ?? a- /!S1"7t! MTie
O O CfV''^T Mt{
• ..nt n.
$ • r
•
3 ? r
• qw¢G tn?i
e
I `
& A. BURG
THIS CERTIFIES THAT THIS COPY CF THIS PLAT IDENTIFIES AS WETLANDS ALL AREAS DF
WETLANDS REGULATED PURSUANT TO 'SECTION 401 CF THE CLEAN WATER ACT A3
DE I ER. INED BY THE UNDERSIGNED ON THIS DATE UNLESS THEPE IS A CHANCE IN THE
PIttLIPT oenCn Cf [M / LAW CR PILRII:?HEO REGULATIONS. THIS DETEFMINATICN CF -ECTION 404
\\ T IS DATE T I.. WAS ° DETERMINATION WAS MADE UTILIZING THE 2997 CORD'
\ \ Ta+xNG-C. / PiRISOICTION MAY BE RELIED UPON FOR A PERIOD NOT TO EYCEEO FIVE YEARS
ED `\
JESx acHii avcx .m \
T- ro5Jf5 F
I?IfN'a-Pa2J w -
J `
1
/ ElP ?
JE•?2rOC[rw. CPr.?ON .M 11
tt15p15 J
ZCNING•PA]0 / CITY K GPEEM•lU[
1 TAY PZTf
1 CB IN2 PeAAtoaye
J rNtrc
J
J
? b
??
S7tM TMavtiE afi£F.EWT
.iin Y1PCf.il C IH[PP
pATEp CCTCBfP 3PQ 4964.

g
/- I? I]' ..
I11 ILrT
AREA -2.18 ACRES
107.1;33.82 SOFT
13Y THE =MTNATE SE7T=
/ FROM N IS M
/ OF ENGINEERS WETLANDS DELINEATION MANJAL.
/ NAME:
/ TITLE:
/
/ DATE:
t. \ rAE FY a.4 BPE.EP ET.LS
n+P?
\\ S;raIIG?P.20
Q4
1TI® i \\\

!?' - q T1
1l..dC L71P
A
NY WaAko

°?'° A
". v?D Tf
T
[
?
le-Z
•
1
{dyyyR / ?`
1
"E"•? J 450
Rp lb
'K-Le", rrx
27
1 ars? m.ao
d
[tTr a
cRCwnLt 7
Gu?4 n
y
1
t12?T1M
..^ h !'
i w
?r LL[ J Gi::-..r "7,Y
M.
I .
iT
1 w fm t[ru.oS _._
! p?'Q-?
1
.

Y snuNnARY SURVF?Y aFe«w.r
rm o
1 rwtwwwo J _ [

_
n C- w fiATRYN
R
CAYQSUO7?ATI2l
I[?2
H
A J ?! `_
g0
A
?
? ?
v
at
tt
yy
??
nAt
• Y..IEII.xA ll0?
'? An?
4RSRID / .,
iw
+.aa
t?
'
T tmRY. r[[ml fiRSY
FiC'r? A TCM
1
r
T
9
.
?
y
?
?
g
?
n
?
mot A t1 M=<?t' ?''etCr LYfLL\LC..
AMFt= flm.Pe .Ill q.
RHONE
BURCM1.ANDSMVEYLtiGP_&
SITE DATA
PROFESSIONAL LAND SURVEYORS SCALE 1'-CO' TAY P." te-esr
CJYiENir INSIDE ETJ CITY Of 6PE TUE
3931 NC I1VY 30. P.0. BOX 172 [v %%T 9?Ir - 1CErEILL -t.11
STOKES N. C. 27891
2-7' 0 60 120 wrEPTT Te LC IM lH T- too - flan R rN
I.E
TE 01 -1D-0168
AI IE[ 11vE 0
3E20
w
. a
P .
?
J
?AEENV
M
1
IU5
1
Y -
YAM12Y[e w ?'A'°'[ t ytV. RlIE'A9 J.t IZ J1£R
I
L.66e
UFFIY J
3
0IS2
1ArAw W'T ?'+ aTC
oe? m .,.. a .•.m•
RE?TLLAeeKS SDI?TE97'A' "TIT))" IIm -s-
o.IaAHf.A fltcLL.ATF o.osl+F1 T:utt.LA Er o wn
0T QYAO:>.1TIS eT l96[:IIMTTS
4 t o
M
EP4-3 'R 3.4
e. .n.
-v v
M U4'i '1] 547