20061181 Ver 1_COMPLETE FILE_20060721

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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
September 5, 2006
DWQ# 06-1181
Forsyth County
Mr. Scott Bortz
Green I, LLC
200 Providence Road, Suite 106
Charlotte, NC 28207
APPROVAL of 401 Water Quality Certification with Additional Conditions
Dear Mr. Bortz:
Green I, LLC has our approval, in accordance with the attached conditions, to place temporary fill associated
with trenching and backfilling in 65 linear feet of stream and in 0.0117 acre of wetlands in order to install a
sanitary sewer line in Forsyth County, as described in your application received by the Division of Water
Quality (DWQ) on July 21, 2006. After reviewing your application, we have determined that this fill is covered
by General Water Quality Certification Number 3374, which can be viewed on our web site at
http://www.ncwaterquality.org/wetlands.html. This Certification allows you to use Nationwide Permit Number
12 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 fills for this project (now or
in the future) exceed one acre, or total fill to perennial streams equals or exceeds 150 linear feet, compensatory
mitigation maybe 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 the
Certification are met. No other impacts, including incidental impacts, are approved:
Amount Approved Plan Location or Reference
Streams 65 linear feet James Branch and two unnamed tributaries between Olivet Church
Road and Muddy Creek, as depicted on the Project Location Map
included with the Pre-Construction Notification

_ JJne Carolina
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://www.ncwaterguality.org
Customer Service Number: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
Mr. Scott Bortz
Page 2, DWQ# 06-1181
September 5, 2006
Amount Approved Plan Location or Reference
Wetlands 0.0117 acre Small herbaceous wetland adjacent to James Branch as
depicted on the Project Location Map included with the
Pre-Construction Notification

2. 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.
3. 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.
4. 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 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.
5. If concrete is used with any fill material, it shall not be allowed to come in contact with surface waters
until it has cured.
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 stream channel crossings shall be at an angle of at least seventy degrees (70) to the stream bank.
8. Upon completion of the project, the Applicant shall complete and return the enclosed "Certificate of
Completion" form to notify NCDWQ when all work included in the §401 Certification has been
completed. The responsible party shall complete the attached form and return it to the 401/Wetlands
Unit of the NC Division of Water Quality upon completion of the project. Along with the Certificate of
I IP
a
Mr. Scott Bortz
Page 3, DWQ# 06-1181
September 5, 2006 .
Completion form, please send photographs upstream and downstream of each stream-crossing 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,
V4&rlll
Alan W. Klimek, P.E.
AWK/cdl
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
Ms. Denise Poulos ECS Carolinas, LLP, 4811 Koger Boulevard, Greensboro, NC 27407
Mr. Kelway Howard, Stimmel Associates, PA, 601 North Trade Street, Suite 200, Winston-Salem, NC
27101-2916
Fm@ oWEiR
SEP 8 20H
DENR - WATER QUALITY
WETLANDS AND STORMATER BRANCH
Triage Check List
Date: 7/26/06 Project Name: James Branch Sewer Outfall
DWQ#: 06-1181
County: Forsyth
Daryl Lamb, Winston-Salem Regional Office
To:
60-day processing time: 7/21/06 - 9/19/06
From: Cyndi Karoly Telephone: [phone]
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
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!
ECS CAROLINAS, LLP
LLn Geotechnical • Construction Materials • Environmental
July 19, 2006
Ms. Cyndi Karoly
North Carolina Division of Water Quality
2321 Crabtree Boulevard
Suite 250
Raleigh, North Carolina 27604-2260
Reference: Request for 401 Water Quality Certification
James Branch Sanitary Sewer Outfall
Forsyth County, Winston-Salem, North Carolina
ECS Project G-1 1278C
Dear Ms. Karoly:
Enclosed please find seven copies of the Preconstruction Notification for the James Branch Sanitary
Sewer Outfall project located in Winston-Salem, North Carolina. The site is an approximate 7,000 to
9,000 foot long corridor located northeast of Olivet Church Road in Winston-Salem. The approximate
corridor is outlined on the attached USGS Topographic Map.
The installation of the sanitary sewer line will temporarily impact approximately 0.0117 acres of wetlands
and 65 linear feet of James Branch and unnamed tributaries to James Branch. These crossings are
unavoidable due to easement constrains imposed by the owners of property located along the corridor.
This permit application, prepared on behalf of Green I, LLC, requests a 401 Water Quality Certification
to authorize the impact to 0.0117 acres of wetlands and 65 linear feet of stream channel associated with
the installation of the James Branch Sanitary Sewer Outfall. The impacts to the wetlands and streams are
further described in the attached permit application. Due to the minimal impact, mitigation should not be
required and none is proposed.
Thank you in advance for your timely consideration of this matter. Please contact me at [phone] if
you have questions or require additional information.
Sincerely,
ECS Carolinas, LLP
(:: ::04f 9_?
Denise M. Poulos, LSS
Principal Scientist
Water Quality Certification Fee - $200
Attachments
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JUL 2 1 2006
UENR - WATER QUALITY
Vi E1 LANDS AND STORIAVATER EMNCH
4811 Koger Boulevard • Greensboro, NC 27407 • [phone] • Fax [phone]
06/30/2006 14:49 7048213272 PN CONST PAGE 07
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Charlotte, NC 28207
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Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. 2000113,1
(lf anv narticular item is not annlicable to this moiect. Dlease enter "Not AoDlicable" 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 12
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), the b
VV D
II. Applicant Information JUL 2 1 2006
1. Owner/Applicant Information DENR - WATER QUALITY
Name: Green I, LLC YVE WDSAM STOR"ATER BRANCH
Mailing Address: 200 Providence Road, Suite 106
Charlotte, North Carolina 28207
Attn: Mr. Scott Bortz
Telephone Number: 704-333-8484 Fax Number: 704-333-8485
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: Denise M. Poulos
Company Affiliation: ECS Carolinas, LLP
Mailing Address: 4811 Koger Boulevard
Greensboro, North Carolina 27407
Telephone Number: 33-856-7150 Fax Number: 336-856-7160
E-mail Address: dpoulos(a ecslimited.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 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 of project: James Branch Sanitary Sewer Outfall
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Forsyth Nearest Town: Winston-Salem
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): From Winston-Salem:
west on I-40• north on Hwy 421; north on Jonestown Road; west on Country Club Road;
north on Meadowlark Drive; west on Robinhood Road, north on Olivet Church Road.
Crossing 6 is located approximately 1,500 feet northeast of Olivet Church Road at a tributary
to James Branch.
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):
6. Property size (acres): The site consists of the proposed corridor of the James Branch
Sanitary Sewer Line Outfall. The corridor is approximately 7,000 to 9,000 feet long.
7. Name of nearest receiving body of water: James Branch/Muddy Creek
8. River Basin: Yadkin/Pee Dee
(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/adniin/mat)s/.)
Page 2 of 8
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 site is a partially wooded corridor located along James
Branch. The surrounding properties contain single family residences, a school and wooded
land.
10. Describe the overall project in detail, including the type of equipment to be used: The
project consists of the installation of a sanitary sewer outfall along James Branch in Winston-
Salem. Trucks loaders excavators, trackhoes, etc. will be used to install the sanitary sewer
line.
11. Explain the purpose of the proposed work: The purpose of the work is to extend sanitary
sewer services to residents and businesses in the vicinity of James Branch in Winston-Salem.
The James Branch sewer outfall will serve approximately 508 acres of businesses and
residents.
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. There have been no previous jurisdictional determinations or permits
requested for this project.
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.
We do not anticipate that there will be future permit requests for this project.
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.
Page 3 of 8
1. Provide a written description of the proposed impacts: Approximately 65 linear feet of
stream and 513 square feet (0.0117 acres) of wetlands will be temporarily impacted by the
construction of the sanitary sewer line.
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
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)
Crossing 7 fill herbaceous no adjacent 0.0117

Total Wetland Impact (acres) 0.0017
3. List the total acreage (estimated) of all existing wetlands on the property: NA
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
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
Crossing 1 UT James Branch temp-sewer line intermittent 5 feet 12 0:0013
Crossing 2 UT James Branch temp-sewer line intermittent 2 feet 11 0.0005
Crossing 3 James Branch temp-sewer line intermittent 4 feet 10 0.0009
Crossing 4 James Branch temp-sewer line perennial 6 feet 11 0.0015
Crossing 5 James Branch temp-sewer line perennial 5 feet 11 0.0012
Crossing 6 James Branch temp-sewer line perennial 3 feet 10 0.0006
Total Stream Impact (by length and acreage) 65 0.0060
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. There are no open water
impacts associated with the project.
Page 4 of 8
Open Water Impact
Site Number
(indicate on ma) Name Waterbody
(if applicable) e)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.0060
Wetland Impact (acres): 0.0117
Open Water Impact (acres): 0.0000
Total Impact to Waters of the U.S. (acres) 0.0177
Total Stream Impact (linear feet): 65.0
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 There are no ponds planned for the site.
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
techniques to be followed during construction to reduce impacts. The impacts associated with
this proiect have been minimized to the extent possible. The alienment of the sewer line is
dictated by the easements granted by the property owners. The sewer line will temporarily
impact only 65 linear feet of stream channel and 0.0117 acre of wetlands.
Page 5 of 8
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
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/stnm,gide.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.
Due to the minimal impact, mitigation should not be required and none is proposed.
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/M/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):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Page 6 of 8
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federaUstate) 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 [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 213 .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
213 .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.
I I Zone* Impact Multiplier Required
(square feet) Mitigation
I 1 I 13 (2 for Catawba)
I 2 1.5
Total 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.,
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 213.0242 or.0244, or.0260.
Page 7 of 8
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. The project will not create impervious surfaces.
Standard erosion control measures will be utilized to protect surface waters and wetlands
downstream from the project.
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.
Not Applicable
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes E] 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 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.ne.us/ncwetlands. If no, please provide a short narrative description:
This project will not result in additional development that could impact downstream water
quality. The project will provide sanitary sewer services to residences and businesses in the area.
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).
7 I V6
Applicant/Agent's Signature / Date 1
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
St i m m e I V?l N trade Sliara (late; 7118/06 Job #: 05-303
Awitor satrm. Nt project: JAMES BRANCH OUTFALL
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EXHIBIT
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scale: 1"=40' sheet 6 of 6

Stimmel Associates, PA Civil Engineering
Land Planning P: 336.723.1067
F: 336.723.1069
description: SANITARY SEWER STREAM CROSSING 6
EXHIBIT

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date: 7/17/06 job #: 05-303
project: JAMES BRANCH OUTFALL
scale: 1"=40' sheet 7 of 7
description: WETLAND IMPACTAREA
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0.01 ACRES
(CROSS HATCHED AREA) SURVEYED WETLANDS
SCALE: 1" = 40'
40 0 40
c,
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: James Branch Sewer Outfall Project No: Date: July 2006
Applicant/Owner: Green I, LLC G-11278C County: Forsyth
Investigators: ECS Carolinas, LLP State: North Carolina
Plot ID: DP-1
Do Normal Circumstances exist on the site? Yes No Community ID:
Is the site significantly disturbed (Atypical Situation:)? ?Yes ® No Transect ID:
Is the area a potential Problem Area? ?Yes ® No Field Location:
(If needed, explain on the reverse side)
VEGETATION
Dominant Plant Species (Latin/Common) Stratum Indicator Plant Species (Latin/Common) Stratum Indicator
Toxicodendron radicans
Poison Ivy Vine FAC
Parthenocissus quinquefolia
Virginia creeper Vine FAC
Eulalia viminea
Nepal microstegium Herb FAC+
Acer rubrum
Red maple Tree FAC

Percent of Dominant Species that are OBL, FACW or FAC:
(excluding FAC-) 100% FAC Neutral:
Numeric Index:
Remarks:
The dominant vegetation is hydrophytic.
HYDROLOGY
Recorded Data (Describe in Remarks): Wetland Hydrology Indicators
? Stream, Lake or Tide Gauge Primary Indicators
? Aerial Photographs ? Inundated
? Other ? Saturated in Upper 12 Inches
? Water Marks
® No Recorded Data ? Drift Lines
? Sediment Deposits
Field Observations ? Drainage Patterns in Wetlands
Secondary Indicators
Depth of Surface Water: NA ? Oxidized Root Channels in Upper 12 Inches
? Water-Staincd Leaves
Depth to Free Water in Pit: >12" ? Local Soil Survey Data
? FAC-Neutral Test
Depth to Saturated Soil: >12" ? Other (Explain in Remarks)
Remarks:
Wetland hydrology indicators were not observed.
(Wetform) Page 1 of 2
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetland s Delineation Manual)
Project/Site: James Branch Sewer Outfall Project No: Date: July 2006
Applicant/Owner: Green I, LLC G-11278C County: Forsyth
Investigators: ECS Carolinas, LLP State: North Carolina
Plot ID: DP-1
Map Unit Name (Series and Phase): Enon fine sandy loam
Map Symbol: EnD
Mapped Hydric Inclusion? ?Yes ® No
Drainage Class: Well drained Field Observations Confirm Mapped Type: Eyes ? No
Taxonomy (Subgroup): Ultic Hapludalfs
Profile Descri tion
Depth Matrix Color Mottle Color Mottle
(inches) Horizon (Munsell Moist) (Munscll Moist) Abundance/Contrast Texture, Concretions, Structure, etc.
0-12 5YR 5/6 Loam

Hydric Soil Indicators:
? Histosol ? Concretions
? Histic Epipedon ? High Organic Content in Surface Layer in Sandy Soils
? Sulfidic Odor ? Organic Streaking in Sandy Soils
? Aquic Moisture Regime ? Listed on Local Hydric Soils List
? Reducing Conditions ? Listed on National Hydric Soils List
? Gleyed or Low Chroma Colors ? Other (Explain in Remarks)
Remarks:
Hydric soil indicators were not observed.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No Is the Sampling Point within the Wetland? Yes No
Wetland Hydrology Present? ?Yes M No
Hydric Soils Present? Dyes M No
Remarks:
The three wetland criteria are not present. The sampling point is not located within a wetland.
11 11
(Wetform) , Page 2 of 2
17 --- -,
ECS CAROLINAS, LLP
Geotechnical • Construction Materials • Environmental
Ms. Cyndi Karoly
North Carolina Division of Water Quality
2321 Crabtree Boulevard
Suite 250
Raleigh, North Carolina 27604-2260
Reference: Request for 401 Water Quality Certification
James Branch Sanitary Sewer Outfall
Forsyth County, Winston-Salem, North Carolina
ECS Project G-1 1278C
Dear Ms. Karoly:
July 19, 2006

Enclosed please find seven copies of the Preconstruction Notification for the James Branch Sanitary
Sewer Outfall project located in Winston-Salem, North Carolina. The site is an approximate 7,000 to
9,000 foot long corridor located northeast of Olivet Church Road in Winston-Salem. The approximate
corridor is outlined on the attached USGS Topographic Map.
The installation of the sanitary sewer line will temporarily impact approximately 0.0117 acres of wetlands
and 65 linear feet of James Branch and unnamed tributaries to James Branch. These crossings are
unavoidable due to easement constrains imposed by the owners of property located along the corridor.
This permit application, prepared on behalf of Green I, LLC, requests a 401 Water Quality Certification
to authorize the impact to 0.0117 acres of wetlands and 65 linear feet of stream channel associated with
the installation of the James Branch Sanitary Sewer Outfall. The impacts to the wetlands and streams are
further described in the attached permit application. Due to the minimal impact, mitigation should not be
required and none is proposed.
Thank you in advance for your timely consideration of this matter. Please contact me at [phone] if
you have questions or require additional information.
Sincerely,
ECS Carolinas, LLP
i
Denise M. Poulos, LSS
Principal Scientist
Water Quality Certification Fee - $200
Attachments
D
JUL 2 1 2006
DENR - WATER QUALITY
ti?>l @s AND sTX,6V,A A
TER L BRANCH
4811 Kober Boulevard • Greensboro, NC 27407 • [phone] • Tax [phone]
06/30/2006 14:49 7048213272
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' Robinhood Rd
Winston Salem, NC
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Green T LLC -
It200 Providence Rd, STe 106
Ad:!;M'
Charlotte, NC 28207
Ta"=zM 704/333-8484
704/333-8485 --?
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?Q ?d
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. 20081181
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. 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 12
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), the V
D
II. Applicant Information JUL 2 1 2006
1. Owner/Applicant Information DENR - WATER QUALITY
Name: Green I, LLC 1h'EIIANDS AND STORYWATER BRA.tir.H
Mailing Address: 200 Providence Road, Suite 106
Charlotte. North Carolina 28207
Attn: Mr. Scott Bortz
Telephone Number: 704-333-8484 Fax Number: 704-333-8485
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: Denise M. Poulos
Company Affiliation: ECS Carolinas, LLP
Mailing Address: 4811 Koger Boulevard
Greensboro, North Carolina 27407
Telephone Number: 33-856-7150 Fax Number: 336-856-7160
E-mail Address: dpoulosgecslimited.com
Pagel 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 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 of project: James Branch Sanitary Sewer Outfall
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN):
4. Location
County: Forsyth Nearest Town: Winston-Salem
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): From Winston-Salem:
west on I-40; north on Hwy 421; north on Jonestown Road: west on Country Club Road;
north on Meadowlark Drive; west on Robinhood Road; north on Olivet Church Road.
Crossing 6 is located approximately 1,500 feet northeast of Olivet Church Road at a tributary
to James Branch.
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):
6. Property size (acres): The site consists of the proposed corridor of the James Branch
Sanitary Sewer Line Outfall. The corridor is approximately 7,000 to 9,000 feet long.
7. Name of nearest receiving body of water: James Branch/Muddy Creek
8. River Basin: Yadkin/Pee Dee
(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/.)
Page 2 of 8
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 site is a partially wooded corridor located along James
Branch. The surrounding properties contain single family residences, a school and wooded
land.
10. Describe the overall project in detail, including the type of equipment to be used: The
project consists of the installation of a sanitary sewer outfall along James Branch in Winston-
Salem. Trucks loaders excavators, trackhoes, etc. will be used to install the sanitary sewer
11. Explain the purpose of the proposed work: The purpose of the work is to extend sanitary
sewer services to residents and businesses in the vicinity of James Branch in Winston-Salem.
The James Branch sewer outfall will serve approximately 508 acres of businesses and
residents.
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. There have been no previous jurisdictional determinations or permits
requested for this project.
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.
We do not anticipate that there will be future permit requests for this project.
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.
Page 3 of 8
1. Provide a written description of the proposed impacts: Approximately 65 linear feet of
stream and 513 square feet (0.0117 acres) of wetlands will be temporarily impacted by the
construction of the sanitary sewer line.
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,
se aratel list impacts due to both structure 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)
Crossing 7 fill herbaceous no adjacent 0.0117

Total Wetland Impact (acres) 0.0017
3. List the total acreage (estimated) of all existing wetlands on the property: NA
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
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet Area of
Impact
(acres
Crossing 1 UT James Branch temp-sewer line intermittent 5 feet 12 0.0013
Crossing 2 UT James Branch temp-sewer line intermittent 2 feet 11 0.0005
Crossing 3 James Branch temp-sewer line intermittent 4 feet 10 0.0009
Crossing 4 James Branch temp-sewer line perennial 6 feet 11 0.0015
Crossing 5 James Branch temp-sewer line perennial 5 feet 11 0.0012
Crossing 6 James Branch temp-sewer line perennial 3 feet 10 0.0006
Total Stream Impact (by length and acreage) 65 0.0060
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. There are no open water
impacts associated with the project.
Page 4 of 8
Open Water Impact
Site Number
(indicate on ma Name Waterbody
applicable) )
(if ap
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.0060
Wetland Impact (acres): 0.0117
Open Water Impact (acres): 0.0000
Total Impact to Waters of the U.S. (acres) 0.0177
Total Stream Impact (linear feet): 65.0
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 There are no ponds planned for the site.
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
techniques to be followed during construction to reduce impacts. The impacts associated with
this nroiect have been minimized to the extent possible. The alienment of the sewer line is
dictated by the easements granted by the property owners. The sewer line will temporarily
impact only 65 linear feet of stream channel and 0.0117 acre of wetlands.
Page 5 of 8
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
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
littp://li2o.enr.state.ne.us/ncwetiands/strmaide.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.
Due to the minimal impact, mitigation should not be required and none is proposed.
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 littp://h2o.enr.state.nc.us/xvm/index.btm. 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):
Page 6 of 8
Amount of Coastal wetland mitigation requested (acres):
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federaUstate) 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 [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 trust 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 V 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 I Zone* Impact Multiplier Required
(square feet) Mitieation
1 3 (2 for Catawba)
2 1.5
Total
* 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.
Page 7 of 8
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. The project will not create impervious surfaces.
Standard erosion control measures will be utilized to protect surface waters and wetlands
downstream from the protect.
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.
Not Annlicable
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 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
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:
This project will not result in additional development that could impact downstream water
quality. The project will provide sanitary sewer services to residences and businesses in the area.
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/Agent'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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Stimmel Associates, PA Land Planning F: 336.723.1069 description: SANITARY SEWER STREAM CROSSING 3
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?t I 601 N. Trade Street
Suite 200 date: 6/1106 job #: 05-303
Winston Salem, NC project: JAMES BRANCH OUTFALL
Landscape Architecture 27101-2916
scale: 1"=40' sheet 6 of 6

Stimmel Associates, PA Civil Engineering
Land Planning P: 338.723.1067
F: 336.723.1069
description: SANITARY SEWER STREAM CROSSING 6
EXHIBIT

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? Lan, p?- Architeciut .
Civil .nc?in.+c;i 9
Stanrnal Associates, PA L nd Plarmirn
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date: 7/17/06 job #: 05-303
project: JAMES BRANCH OLITFALL
scale: V=40' sheet 7 of 7
description: WETLAND IMPACTAREA
CA
U2 912
EXISTING
. - ? STREAM .
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20' SANITARY
SEWER ESMT.
WETLAND AREA OF IMPACT
513 SOFT
0.01 ACRES
(CROSS HATCHED AREA)
SSMH #112
SURVEYED WETLANDS
SCALE: 1" = 40'
40 0 40
i L77, ,,,
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: James Branch Sewer Outfall Project No: Date: July 2006
Applicant/Owner: Green 1, LLC G-11278C County: Forsyth
Investigators: ECS Carolinas, LLP State: North Carolina
Plot ID: DP-1
Do Normal Circumstances exist on the site? Yes No Community ID:
Is the site significantly disturbed (Atypical Situation:)? ?Yes ® No Transect ID:
Is the area a potential Problem Area? ?Ycs ® No Field Location:
(If needed, explain on the reverse side)
VEGETATION
Dominant Plant Species (Latin/Common) Stratum Indicator Plant Species (Latin/Common) Stratum Indicator
Toxicodcndron radicans
Poison Ivy Vine FAC
Parthenocissus quinquefolia
Virginia creeper Vine FAC
Eulalia viminca
Nepal microstegium Herb FAC+
Acer rubrum
Red maple Tree FAC

Percent of Dominant Species that arc OBL, FACW or FAC:
(excluding FAC-) 100% FAC Neutral:
Numeric Index:
Remarks:
The dominant vegetation is hydrophytic.
HYDROLOGY
Recorded Data (Describe in Remarks): Wetla nd Hydrology Indicators
? Stream, Lake or Tide Gauge Pri ma ry Indicators
? Aerial Photographs ? Inundated
? Other ? Saturated in Upper 12 Inches
? Water Marks
® No Recorded Data ? Drift Lines
? Sediment Deposits
Field Observations ? Drainage Patterns in Wetlands
Sec on dary Indicators
Depth of Surface Water: NA ? Oxidized Root Channels in Upper 12 Inches
? Water-Stained Leaves
Depth to Free Water in Pit: >12" ? Local Soil Survey Data
? FAC-Neutral Test
Depth to Saturated Soil: >12" ? Other (Explain in Remarks)
Remarks:
Wetland hydrology indicators were not observed.
(Wetform) j Page 1 of 2
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetland s Delineation Manual)
Project/Site: James Branch Sewer Outfall Project No: Date: July 2006
Applicant/Owner: Green I, LLC G-11278C County: Forsyth
Investigators: ECS Carolinas, LLP State: North Carolina
Plot ID: DP-1
Map Unit Name (Series and Phase): Enon fine sandy loam
Map Symbol: EnD
Mapped Hydric Inclusion? ?Yes ® No
Drainage Class: Well drained
Taxonomy (Subgroup): Ultic Hapludalfs Field Observations Confirm Mapped Type: ®Yes ? No
Profile Dcscri tion
Depth Matrix Color Mottle Color Mottle
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Texture, Concretions, Structure, etc.
0-12 5YR 516 Loam

Hydric Soil Indicators:
? Histosol ? Concretions
? Histic Epipedon ? High Organic Content in Surface Layer in Sandy Soils
? Sulfidic Odor ? Organic Streaking in Sandy Soils
? Aquic Moisture Regime ? Listed on Local Hydric Soils List
? Reducing Conditions ? Listed on National Hydric Soils List
? Gleyed or Low Chroma Colors ? Other (Explain in Remarks)
Remarks:
Hydric soil indicators were not observed.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? mycs ® No Is the Sampling Point within the Wetland? Yes No
Wetland Hydrology Present? Yes No
Hydric Soils Present? Dyes M No
Remarks:
The three wetland criteria are not present. The sampling point is not located within a wetland.
(Wetform) Page 2 of 2
DETACH AND RETAIN THIS STATEMENT
THE ATTACHED CHECK 151N PAYMENT OF ITEMS DESCRIBED BELOW. IF NOT CORRECT PLEASE NOTIFY US PROMPTLY. NO RECEIPT Of. SIRED
ECS CAROLINAS LLP GREENSBORO PETTY CASH
DATE I DESCRIPTION I AMOUNT
104 u?.
p@p=adp= p
JUL 2 1 2006
DENR • WATER QUALITY
WETLANDS AND STORMWATER BRANCH