20061088 Ver 1_COMPLETE FILE_20060623

Office Use Only: Form Version March 05
G 1 0 3 G
USACE Action ID No. DWQ No. -
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. C1? ck all of the approval(s) requested for this project:
[Section 404 Permit ? Riparian or Watershed Buffer Rules
? ection 10 Permit ? Isolated Wetland Permit from DWQ
M 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: AIWP /W-
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: ?
y
?Le(? rjguo -.
H. Applicant Information
1. Owner/A licant Information JUN 1
Name: 5C D I 11I-G 0 2006
Mailing Address: . c, . Q&, 05d DEN(' RQUALI
SI NS R o 20 r-, e,74-19 Q"""' ` '?Yr11FR IRRWCH 1, A] G'c7N7 *67- : 1-1?-17X4 PE
Telephone Number: T3 --5'4-4- - 26oo Fax Number: 336 -5+4 ZG??
E-mail Address: (G p r t ce (?,:p 4mF-7"Cor-P. Ca m
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signator authority for the owner/applicant.)
Name: L . /?GG.4N ?I 4-L- Pj
Company Affiliation: &- I q-D " gYlt5 l
Mailing Address: X07- G oG'E'oL oGc..
?? r2G,G.v S 6 o a-?? N L 2,7 4-0-7
Telephone Number: 3360
E-mail Address: a-k i 1
'Y Fax Number

- ZIU -/,otb
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 I I 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: CONE ONO
2. T.I.P. Project Number or State Project Number (NCDOT Only): IJ/?
3. Property Identification Number (Tax PIN): ACt- 215o - Eo - I
4. Location
County: 4_111GGora Neare t Town:??FCIVS?
Subdivision name (include phase/lot number): ±
Directions to site (include road numbers/names, landmarks, etc.): S'!TE .S' Gc 724150
AZ- / ,UCE ?IL?E .?7. ,9 , ke . 720 ' .t u7W OC 7-W
/it! fE e o.? o? C !/!G - N ,401W . f T N
.J
Ns X30 1267
5. Site coordinates (For Al e_
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): 36. 091150 Z °N 79.79,9S W °W
6. Property size (acres): 5o • 26 14?Gg6s • 1, el_, ?
7. Name of nearest receiving body of water: /V?477/ e"Aay-r p Cllzr_F C,
8. River Basin: e,9?•d,iC
(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/neaps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Ti?--1:' S/?E W.4-C GOP-nI?(./ BCGUP?E:? f/
l?r,UG_ oltzt_f. ?9'G?9YlGF_ 't -l-v of 71,c S!rE" F!7'fl?2 6WrgiNE9
DGF?cE, fan-?n?Ei2c,?, ?J-?vo INOu?'r21?. ,P?s?,oE,vrio?
PEr/E Go ?° GsV T IS To 7-//2' Na2 z'ffE1 -7- O? TfE S/ 7F-
Updated 11/1/2005
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: i ,kr y
I-IN S7iNG d' ? Re ft -ra %#t- LF /ONO Go-NS 74-U-G
7 Aiwo Gam/ L4 de
.,,;- G,w 4r WW,4-u_ _ Pl2/."4-'aU , Dv//'MCN "
4- 7/241-es< 54-CX'O
11. Explain the purpose of the
/S To At tow Ai
?2v?o9 0 ri7E S
IV. Prior Project History
sed work: 7w-e A,ePosE OF
ZmN/NG. ,Coy - Tbt - C- S/T
%n/
V1116 l,.C-
A-
ole-
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 permitsis§ued for prior segments of the same T.I.P. project, along with
construction schedules.-
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and proyWe 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: 7/ P2oM-3'60 1-'1106
WJ" /IY!/1W,7 20 LF DG ?F,Vit/I.4?
.SZ2EsY C ?vNEc , S/AGE T?fE F.L'rEitlS/ate! /S o?/ ?t
v! 2Eo .
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,
se aratel list impacts due to both structure and flooding. A1114-
Weiland 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)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:
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 acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
indicate on ma
Stream Name
Type of Impact Perennial or

ittent?
Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet Area of
Impact
acres
/ UNN E? AMC ?icT?Nrr P r 1, 7' 28' o. oa

Total Stream Impact (by length and acreage) Z$ r O .
Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts inc1 ude, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc. /C//
Open Water Impact

Site Number

indicate on ma Name

tee)
(if applicable) Wplicablle)

ype of Impact
I '
of Waterbody
Type
(lake, pond, estuary, sound, bay,
ocean, etc.

Area of

Impact
acres

1
L
1 - 1 1
E
Total Open Water Impact (acres)
Updated 11/1/2005
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): O, 00
Wetland Impact (acres): o
Open Water Impact (acres): b
Total Impact to Waters of the U.S. (acres) , ooS
Total Stream Impact (linear feet): ZY
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 t9waters that have specifically been determined to be isolated by the USACE.
Pond Creation /I///?-
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.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater 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 appp?licable, discuss construction
techm_ques to be followed during construction to reduce impacts. ?J,911/CE011ci- ' sT/Z'ET- /S
o E /D NEfl 14145 E allld riltG F /f e
?ivS/O w /u, Q i1WS ITIlU C7'A59 T h
GGitIGTlf D.G P/AL /?G.D/???EI7 L<US' GGSS?'N/.UC fiE
71AE
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.
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 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://112o.enr.state.ne.us/ncwetiands/strm,gide.htin1.
I. 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 casement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
rate sheet if more space is needed.
a Z/,9_
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://112o.enr.state.nc.us/wrp/index.litin. 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/sta /local) funds or the use of
public (federal/state) land? Yes ? No
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 NEPA/SEPA document is required, call the SEPA
coordinator at (919) 733-50% to review current thresholds for environmental documentation.
Yes ? No ? /l? / _
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 ? /4/
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 213 .0233
(Meuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffe Requirements), or other (please
identify )? Yes ? No 0
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.
I Zone* I Impact I Multiplier I Required
(souare feed Mitigation
3 (2 for Catawba)
1.5
Total I I I I
* Zone I 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 I.
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 al appropriate information as identified
within 15A NCAC 213 .0242 or.0244, or.0260.
Updated 11/1/2005
Page 11 of 12
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 impervious level. A%fYiwc1_ IM,4 1(//ouf Alf44 = 9- 56 A4,
Tr. /°/loi°osEP 1MP&111o64s AEA. ? /o, 7,¢414 id,.`r /yC e64-5 e A?
0.66 gc . :7w c- X/ TE / ZC. ZG 4e- , _.!;7a' 4M (2izA-iA1.te1-C
Gt;Zv 7;VC- S1 'rC 7_1E /N 7 77 ??' G'/ 7'y o/c G"?SBo2o'S
'
XII. Sewage Disposal (required by DWQ) 57'Oa'M S41?W'F2 '245M
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.
City ?fEw?2 /S T 7"W,4- 417-6'. 7,s,?C
(JGt/EtoPvuF_NT A44 4,G I Mw&V45V 75 T/&' /A/ To 7iVe el7e'l
XIII. Violations (required by DWQ)
Is this site in violation of DW Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No R/
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://1i2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
AM Prra" bGn7,c.van- c,#. -r tdirc 7iE /N Tn of
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).
Updated 11/1/2005
Page 12 of 12
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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Office Use Only: Form Version March 05
USACC Action ID No. I!NVQ-No... 2 0 0 6 1 0 8 6
(If any particular item is not applicable to this project p?1lease?nt r "No Applicable" or "N/A".)
1. Processing
1. Ch ck all of the approval(s) requested for this project:
[Section 404 Permit ? Riparian or Watershed Buffer Rules
? ection 10 Permit ? Isolated Wetland Permit from DWQ
4401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: /VWP /W-
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: ?
H. Applicant Information g
v L5 L J
1. Owner/Appplicant Information JUN 3 0 2006
Name: S C D LL G
Mailing Address: F. C, . ?X 605y,
Ga?T9GT : I ZW AW CE, PE
Telephone Number: 33 - ¢- ZGoo Fax Number: 3 36 -S¢47, - Z63g
E-mail Address: P r i, ceFTCoP?P. Ca ?'?'?
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attyyached if the Agent has signator authority for the owner/applicant.)
Name: L. /¢GG.4?l C- pi
Company Affiliation: /LIAR-D -.rrGitl ?2vcY5
Mailing Address: 07- G OG' L -0a4- AW-D
?,y2F?_.cJ 5 6 01?-v ? N L 2? d-c?7
Telephone Number: 336 - 2!6 -?Z? 'Y Fax Number: 33? - Z/P - 60 t d
E-mail Address: a-tj'I ? ,(P, -r!O- 14-0 - PC:,5 t2oU>o '.tit
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 1 I 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: CONE ONG
2. T.I.P. Project Number or State Project Number (NCDOT Only): IJf
3. Property Identification Number (Tax PIN): AC1r Zso - Eo - I
4. Location
County: !!?7U/4Go2D Nearest Town: e"`Wr7r x06f o
Subdivision name (include phase/lot number): ?
Directions to site (include road numbers/names, landmarks, etc.): S'17'05 IX 445-'47449
A7- 14t-14-t- ?/l?,UCEy???cE ST.. ?PP2?x. 720 ' .rauTN 44 77
IN r45? re( Al 0.11- Wgftill
tt/s ao moo,
a e-
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): 310. 0915a 17 °N 79.990s'2k °W
6. Property size (acres): '!o • 26 /?G/LfiS
7. Name of nearest receiving body of water: A49771 du ff `p CIZr_i5 .
8. River Basin: 494,4 e
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the pro,
at the time of this application: T.'VE -07,7 WW/ f G4,dM 2Gy 6C4uPIXJD ?qZ
X! -s. A'L«9Y1C o2Ti? of 7is? S/T?" lrH?i? Co,?Jrgi? ,
J3u ? ? G d2 AS' HQ L ?=I?vG, ftE ,Bu l tD pN s ?fAt/E ,?N
L4.vo as,-" /.v Vlel l* /s /0e1AJ4011 y
OGP/GE's C'art??E/LcisYC,/ /}-.tlo /•?/Ou-1'T/L/?. ,??5/DENT??
WW_ Lop /h,FiV T IS To TIC Na2 Z"ffEi?S T O/C TfE S/ ??.
Updated 11/1/2005
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: Y' r N
,o& . l S 75me 5b-Rep oic 2¢ GG ,?ivp ,-,o-NS 74-u-G
A ILI,QW w.4-LI-
lq- 9- ("410e .
11. Explain the purpose of the proposed work: T? faWaSC OG 7-11,6 PlAr geTEiW/o.?
IS To AUJ I J )*& Two AOD/ 7*1-O V L T2A1/ 6-AVeS ®N yAW1 f//G (.-
?/S mfA TUN A'ZM46i0,irVrl AiTo T
7a-,Qv Ze .4L 1010V 0
IV. Prior Project History 'Tbl-e s/T
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 is ued for prior segments of the same T.I.P. project, along with
construction schedules. /?
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and proyyde 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
E' Y7ENS1o n/ W/LL 1AM
proposed impacts: 1116 f'R
0-67 Z S 4,0c:? o,--
ICE 7-Pi5 E,?TE?tIS/
E/1C?1 D/St/P?-?o?
1FANi4-L?-
/s e ---J 7,
aJILc- A107'

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 dams,
separately list impacts due to both structure and flooding. )V/14'
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)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property:
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 acreage, multi I length X width, then divide b 43,560.
Stream Impact
Number
indicate on ma
Stream Name
Type of Impact
Perennial or Intermittent?
ittent? Average
Stream Width
Before Impact Impact
Length
linear feet Area of
Impact
acres
UNN,?m AMC 6; TZvrr /' ? ? 7' 28' o. do

Total Stream Impact (by length and acreage) Z$ O .
Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts inc ude, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc. /11?
Open Water Impact
Site Number
indicate on ma Name o
f Waterbody
(If applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc. 4rea

I -_
i - I
Total Open Water Impact (acres)
Updated 11/1/2005
Page 8 of 12
G. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): Q, Od
Wetland Impact (acres): o
Open Water Impact (acres): b
Total Impact to Waters of the U.S. (acres) , do 5'
Total Stream Impact (linear feet): Ze
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 tp waters that have specifically been determined to be isolated by tile USACE.
AOt
8. Pond Creation /1/ ?_
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.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater 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
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.
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 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.htm1.
1. Provide a brief description of the proposed mitigation plan. Tile 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 se rate sheet if more space is needed.
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 tile NCEEP
website at http://112o.enr.stite.tic.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/sta /local) funds or the use of
public (federal/state) land? Yes ? No
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 NEPA/SEPA document is required, call tile SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No El 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 ? 1(/ #-
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 froln 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 2B .0233
(Meuse), 15A NCAC 213 .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffe 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.
I Zone* I Impact I Multiplier I Required
(sauare feed Mitigation
3 (2 for Catawba)
1.5
Total
* Zone 1 extends out 30 feet perpendict
additional 20 feet from the edge of Zone 1.
from the top of the near bank of channel; Zone 2 extends an
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 alb appropriate information as identified
within 15A NCAC 2B.0242 or.0244, or.0260. /y /?_
Updated 11/1/2005
Page 11 of 12
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 impervious level. &I-e liva IM,06eillouS Alef4 = 9- 51 3,44,
T7'•?/0llo?°osEa /MPF/LViaas ?? = /o. Z¢.4G ; ?I' i(/?T /HC?E•4SE oG
O.66 .4c . :7-4e- X17r / - = Z67. ZG 4e , ,¢c? STo2rYt (?i2A i?,?1G?
P _a-,, c TN-E S/ rC T/E /ti T T7?' '217 V oG e '44W.< i?ae o 'S
XIL Sewage Disposal (required by DWQ) !5?aae" s W'F2 SyS 45/N
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.
CS T j ?fEw?2 /S To TAE -r17-6_. /lMK o
b T Tim /N T 7?-V, I'M,
t9G,(/F.L.0PvuGN 7- 1144 6EGAI A1' aV4
XIII. Violations (required by DWQ)
Is this site in violation of Y Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
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 addit.onal
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:
ANy F47a"_ U11L I, TiE /A/ n f'visTi c/G' 717"Y' of
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).
Updated 11/1/2005
Page 12 of 12
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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Tf i Design
Group
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4807-C Koger Blvd.
Greensboro, NC 27407
Phone [phone]
Fax [phone]
TRANSMITTAL LETTER
Date: June 29, 2006
To: Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Project: Cone One
Greensboro, NC
Project No.: 06-009/D
We Transmit:
( Y) herewith
( ) under separate cover
The Following:
Copies Date
7 June 28, 2006
For Your:
( Y) approval
( ) review & comment
( ) use
Description
Pre-Construction Notification Application
Form
7 June 6, 2006 Full Size Construction Drawings
Remarks:
If you have any questions, please contact me.
JUN 3 (? 2006
14 DENR. WAy -
Z ?tS,yrps (JUNUTY
TOPJ y rFA O win
Copies: File, NC DWQ
Sincerely,
By: L Allan Hill
L. Allan Hill, P.E.
Chief Civil Engineer
P.L006'Cou Mills OneAdmin`,06-29-06 permit to DWQ. xmt wpd
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October 9, 2006
A R C H I T E C T U R E
E N G I N E E R I N G
P L A N N I N G
IN T E R I OR D E S I G N
'I
PRINCIPALS:
Thomas J. Stone
Mark J. Davis, PE
Cyndi Karoly
401 Unit Supervisor
Division of `:rater Quality
2321 Crabtree Boulevard, Suite 250
Raleigh, North Carolina 27604
RE: Cone One (DWQ# 06-1086)
Greensboro, NC
Project no: 06-009/1)
Dear Ms. Karoly:
On behalf of our client, SCD I, LLC, we would like to withdraw our certification for
impacts to 28 linear feet of perennial stream on the Cone One project (DWQ# 06-
1086) in Guilford County, NC. Due to a re-design of the road widening, we were
able to avoid any impacts to the perennial stream. I apologize for any inconvenience
this may have caused. If you have any questions, please contact me.
ASSOCIATES:
Rodney M. Lindsey, AIA
L. Allan Hill, P.E.
Sincerely,
Jim 0. White, AIA
L. Allan Hill, P.E.
Chief Civil Engineer
J
4807-C Koger Blvd.
Greensboro, NC 27407
Telephone [phone]
Fax [phone]
cc: Keith Price, P.E.
- ,\ ( ` 1 ?.
ocT 1 1. 2006
,TER QLInLITY
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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
August 8, 2006
DWQ# 06-1086
Guilford County
CERTIFIED MAIL: 7004 2510 0002 2177 4989
RETURN RECEIPT REQUESTED
Mr. Arthur Samet
SCD I, LLC
P. O. Box 8050
Greensboro, NC 27419
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Samet:
SCD I, LLC has our approval, in accordance with the attached conditions, to place permanent fill in 28 linear
feet of perennial stream in order to extend an existing road crossing for the Cone One commercial
development located at 1414 Yanceyville Street in Greensboro, Guilford County, as described in your
application received by the Division of Water Quality (DWQ) on June 30, 2006. After reviewing your
application, we have determined that this fill is covered by General Water Quality Certification Number 3404,
which can be viewed on our web site at httt)://www.ncwaterquality.org/wet]ands.htm1. This Certification
allows you to use Nationwide Permit Number 14 when it is issued by the U.S. Army Corps of Engineers. In
addition, you should secure any other applicable federal, state or local permits before you proceed with your
project, including (but not limited to) those required by Sediment and Erosion Control, Non-Discharge, and
Water Supply Watershed regulations. Also, this approval will expire when the accompanying 404 permit
expires unless otherwise specified in the General Certification.
This approval is valid only for the purpose and design that you have described in your application. If you
change your project, you must notify us in writing, and you may be required to send us a new application for a
new certification. If the property is sold, the new owner must be given a copy of the Certification and
approval letter and is thereby responsible for complying with all conditions. If total wetland fill for this
project (now or in the future) exceeds one acre, or total fill to perennial streams equals or exceeds 150 linear
feet, compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h). For this approval
to be valid, you must follow the conditions listed in the attached certification, as well as the additional
conditions listed below:
1. The following impacts are hereby approved as long as all other specific and general conditions of this
Certification are met. No other impacts, including incidental impacts, are approved:
I'o°C Carolina
Naturally
North Carolina Division of Water Quality
Wetlands Certification Unit 1650 Mail Service Center Raleigh, NC 27699-1650 Phone [phone] FAX [phone]
2321 Crabtree Blvd. Raleigh, NC 27604-2260 Internet httP'11www ncwaterouality.org
Customer Scrvice Number: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper

Mr. Arthur Samet
Page 2, DWQ# 06-1086
August 8, 2006
Amount Approved Plan Location or Reference
Streams 28 linear feet Unnamed tributary to North Buffalo Creek located at 1414
Yanceyville Street in Greensboro, Guilford County, as depicted on the
site lan included with the application

2. A final, written stormwater management plan must be approved in writing by this Office before the
impacts specified in this authorization occur, per condition No. 6 in General Certification 3404. The
stormwater management plan must include plans and specifications for stormwater management
facilities that are appropriate for surface waters classified as Class C, NSW and designed to remove, at a
minimum, 85%o Total Suspended Solids 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 new 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. This stormwater
management plan must be submitted to the Central Office of the Wetlands/401 Certification Unit
in Raleigh within 60 days of receiving this letter.
3. Appropriate sediment and erosion control measures which equal or exceed those outlined in the most
recent version of the North Carolina Sediment and Erosion Control Planning and Design Manual or the
North Carolina Surface Mining Manual (available from the Division of Land Resources at NCDENR
regional offices or the central office), whichever is more appropriate, shall be designed, installed and
maintained properly to assure compliance at all times with the North Carolina water quality standards
that are applicable to Class C waters as described in 15A NCAC 02B.0211 Fresh Surface Water Quality
Standards For Class C Waters. Such measures must equal or exceed the requirements specified in the
most recent version of the North Carolina Sediment and Erosion Control Manual. These measures must
be maintained on all construction sites, borrow sites, and waste pile (spoil) sites, including contractor
owned and leased borrow pits, which are associated with this project.
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 measures in wetlands or waters is
unavoidable, they shall be removed and the natural grade restored within six months of the date that the
project is completed or, if applicable, within six months of the date that the project is released by the
North Carolina Division of Land Resources.
5. No waste, spoils, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the
footprint of the impacts depicted in the Pre-Construction Notification. All construction activities,
including the design, installation, operation, and maintenance of sediment and erosion control "Best
Management Practices" shall be performed so that no violations of state water quality standards,
statutes, or rules occur.
Mr. Arthur Samet
Page 3, DWQ# 06-1086
August 8, 2006
6. Where riprap is required for energy dissipation and scour protection, it shall be limited to the minimum
dimensions specified by appropriate engineering calculations. Riprap may only be used below the
normal high water level. The original grade and elevation of the stream's cross-section must be
maintained. Riprap placed in the stream bottom must be inserted into the bottom matrix to a depth
sufficient to provide the thickness of riprap required for scour protection. The elevation of the stream
bottom must not be increased by the placement of riprap. Placement of riprap must not result in
destabilization of the streambed or banks upstream or downstream of any crossing.
7. All construction activities associated with this project shall minimize built-upon surface area, direct
stormwater runoff away from surface waters, and incorporate best management practices to minimize
water quality impacts. If concrete is used with any fill material, it shall not be allowed to come in
contact with surface waters until it has cured. If any stormwater must be collected for discharge into a
stream channel, it shall not enter the stream as a point source, but shall be slowed and discharged as
sheet flow prior to entering the riparian buffer on either side of the stream.
8. Upon finishing the project, the Applicant shall fill out and return the enclosed "Certificate of
Completion" to notify NCDWQ when all work included in the §401 Certification has been completed.
This certificate should be returned to the Wetlands/401 Certification Unit of the NC Division of Water
Quality at the address listed on the form. Along with the Certificate of Completion, please send
photographs upstream and downstream of the culvert site to document correct installation.
If you do not accept any of the conditions of this certification, 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 certification 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 Daryl Lamb in the DWQ Winston-Salem Regional Office at 336-
771-4959 or Ian McMillan in the Wetlands/401 Central Office in Raleigh at 919-715-4631.
Sincerely,
Alan W. Klimek, P.E.
AUG
° 1006
AWK/cdl tA,y??sr %?
Attachments
cc: Mr. John Thomas, U. S. Army Corps of Engineers, Raleigh Regulatory Field Office
DWQ, Winston-Salem Regional Office
Central Files
Wetlands/401 File Copy
Mr. Alan Hill, P.E., Triad Design Group, 4807-C Koger Boulevard, Greensboro, NC 27407
Triage Check Dist
Date: 7/07/06
Daryl Lamb, Winston-Salem Regional Office
To
60-day processing time: 6/30/06 - 8/28/06
From: Cyndi Karoly Telephone: [phone]
DWQ#: 06-1086
County: Guilford

The file attached is being forwarded to you for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
Is the application consistent with pre-application meetings?
? Cumulative impact concern
1-1 Comments: As per our discussion regarding revision of the triage and delegation processes,

please review the attached file. Note that you are the first reviewer, so this file will need to be
reviewed for administrative as well as technical details. If you elect to place this project on hold,
please ask the applicant to provide your requested information to both the Central Office in
Raleigh as well as the Asheville Regional Office. As we discussed, this is an experimental, interim
procedure as we slowly transition to electronic applications. Please apprise me of any
complications you encounter, whether related to workload, processing times, or lack of a "second
reviewer" as the triage process in Central had previously provided. Also, if you think of ways to
improve this process, especially so that we can plan for the electronic applications, let me know.
Thanks!
Project Name: Cone One