20061393 Ver 2_COMPLETE FILE_20060104

O??F WATF9Q Michael F. Easley, Governor
G
William G. Ross Jr., Secretary
r North Carolina Department of Environment and Natural Resources
Y Alan W. Klimck, P.E. Director
Division of Water Quality
November 7, 2006
DWQ Project # 06-1393, Ver. 2
Wake County
Mr. Steve Shipwash
96 Shipwash Drive
Garner, NC 27529
Subject Property: Garrison Subdivision
Ut to Basal Creek [030403, 27-43-15-3, B, NSW]
Approval of 401 Water Quality Certification and Authorization Certificate per the Neuse River
Buffer Protection Rules (15A NCAC 2B .0233) with Additional Conditions
Dear Mr. Shipwash:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
within or otherwise impact 0.29 acres of wetland, 112 linear feet of perennial stream, and 5,388 square
feet (ft) of Zone 1 Neuse River basin protected riparian buffers and 2,085 square feet (ft) of Zone 2
Neuse River basin protected riparian buffers to construct the proposed residential subdivision at the
subject property, as described within your undated application received by the N.C. Division of Water
Quality (DWQ) on October 4, 2006. After reviewing your application, we have decided that the impacts
are covered by General Water Quality Certification Number(s) 3402 (GC3402). The Certification(s)
allows you to use Nationwide Permit(s) 39 when issued by the US Army Corps of Engineers (USACE).
This letter shall also act as your approved Authorization Certificate for impacts to the protected riparian
buffers per 15A NCAC 213 .0233. In addition, you should obtain or otherwise comply with any other
required federal, state or local permits before you go ahead with your project including (but not limited
to) Erosion and Sediment Control, and Non-discharge regulations. Also, this approval to proceed with
your proposed impacts or to conduct impacts to waters as depicted in your application shall expire
upon expiration of the 404 or CAMA Permit.
This approval is for the purpose and design that you described in your application. If you change your
project, you must notify us and you may be required to send us a new application. If the property is sold,
the new owner must be given a copy of this Certification and approval letter and is thereby responsible for
complying with all conditions. If total fills for this project (now or in the future) exceed one acre of
wetland or 150 linear feet of stream, compensatory mitigation may be required as described in 15A
NCAC 2H.0506 (h). This approval requires you to follow the conditions listed in the attached
certification and any additional conditions listed below.
The Additional Conditions of the Certification are:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and general
conditions of this Certification (or Isolated Wetland Permit) are met. No other impacts are
approved including incidental impacts:
401 Oversight/Express Review Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] /FAX [phone] / Internet: http://h2o.enr.state.nc.us/ncvvetlands
Noy` Carolina
Ntura!!il
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper
Mr. Steve Shipwash
Page 2 of 5
November 7, 2006
Amount Approved
Units Plan Location or Reference
404/Wetland 0.29 (acres) PCN page 8 of 12
Stream - perennial 112 linear feet PCN page 8 of 12
Buffer -Zone 1 5,388 (square ft.) PCN page 11 of 12
Buffer -Zone 2 2,085 (square ft. PCN page 11 of 12
2. Erosion & Sediment Control Practices
Erosion and sediment control practices must be in full compliance with all specifications
governing the proper design, installation and operation and maintenance of such Best
Management Practices in order to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Sediment and Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control
measures must be such that they equal, or exceed, the requirements specified in the most
recent version of the North Carolina Sediment and Erosion Control Manual. The devices
shall be maintained on all construction sites, borrow sites, and waste pile (spoil) projects,
including contractor-owned or leased borrow pits associated with the project.
3. No Waste, Spoil, Solids, or Fill of Any Kind
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.
4. Diffuse Flow
All constructed stormwater conveyance outlets shall be directed and maintained as diffuse flow at
non-erosive velocities through the protected stream buffers such that it will not re-concentrate
before discharging into a stream as identified within 15A NCAC 2B .0233 (5). If this is not
possible, it may be necessary to provide stormwater facilities that are considered to remove
nitrogen. This may require additional approval from this Office.
5. Protective Fencing
The outside buffer, wetland or water boundary and along the construction corridor within these
boundaries approved under this authorization shall be clearly marked with orange warning
fencing (or similar high visibility material) for the areas that have been approved to infringe
within the buffer, wetland or water prior to any land disturbing activities to ensure compliance
with 15A NCAC 2B 33 and GC 3402.
6. Construction Stormwater Permit NCG010000
Upon the approval of an Erosion and Sedimentation Control Plan issued by the Division of Land
Resources (DLR) or a DLR delegated local erosion and sedimentation control program, an
NPDES General stormwater permit (NCG010000) administered by DWQ is automatically issued
Page 3 of 5
November 7, 2006
to the project. This General Permit allows stormwater to be discharged during land disturbing
construction activities as stipulated by conditions in the permit. If your project is covered by this
permit [applicable to construction projects that disturb one (1) or more acres], full compliance
with permit conditions including the sedimentation control plan, self-monitoring, record keeping
and reporting requirements are required. A copy of this permit and monitoring report forms may
be found at http•//1?2o enr state.nc.uslsu/Forins Documents.htm.
7. Culvert Installation
Culverts required for this project shall be installed in such a manner that the original stream profiles
are not altered. Existing stream dimensions (including the cross section dimensions, pattern, and
longitudinal profile) must be maintained above and below locations of each culvert. Culverts shall
be designed and installed to allow for aquatic life movement as well as to prevent head cutting of
the streams. If any of the existing pipes are or become perched, the appropriate stream grade shall
be re-established or, if the pipes installed in a perched manner, the pipes shall be removed and re-
installed correctly.
Culvert(s) shall not be installed in such a manner that will cause aggradation or erosion of the
stream up or down stream of the culvert(s). Existing stream dimensions (including the cross section
dimensions, pattern and longitudinal profile) shall be maintained above and below locations of each
culvert.
Placement of culverts and other structures in waters, streams, and wetlands must be placed below
the elevation of the streambed by one foot for all culverts with a diameter greater than 48 inches,
and 20 percent of the culvert diameter for culverts having a diameter less than 48 inches, to allow
low flow passage of water and aquatic life. Design and placement of culverts and other structures
including temporary erosion control measures shall not be conducted in a manner that may result in
dis-equilibrium of wetlands or streambeds or banks, adjacent to or upstream and down stream of the
above structures. The applicant is required to provide evidence that the equilibrium shall be
maintained if requested in writing by DWQ.
The establishment of native, woody vegetation and other soft stream bank stabilization techniques
must be used where practicable instead of rip rap or other bank hardening methods. If rip-rap is
necessary, it shall not be placed in the stream bed, unless specifically approved by the Division of
Water Quality.
Installation of culverts in wetlands must ensure continuity of water movement and be designed
to adequately accommodate high water or flood conditions.
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. Please
send photographs upstream and downstream of each culvert site to document correct installation
along with the Certificate of Completion form.
8. Deed Notifications
Deed notifications or similar mechanisms shall be placed on all retained jurisdictional wetlands,
waters and protective buffers in order to assure compliance for future wetland, water and buffer
impact. These mechanisms shall be put in place prior to impacting any wetlands, waters and/or
Mr. Steve Shipwash
Page 4 of 5
November 7, 2006
buffers approved for impact under this Certification Approval and Authorization Certificate. A
sample deed notification can be downloaded from the 401/Wetlands Unit web site at
http://h2o.enr.state.nc.us/ncwetlands. The text of the sample deed notification may be modified
as appropriate to suit to this project.
9. No Sediment & Erosion Control Measures w/n Wetlands or Waters
Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum
extent practicable. If placement of sediment and erosion control devices in wetlands and waters
is unavoidable, they shall be removed and the natural grade restored within six months of the date
that the Division of Land Resources has released the project.
10. Onsite Imperviousness
Please note, your proposed imperviousness for the project is 28.91 percent. If a compliance
inspection reveals that you have exceeded the threshold of 30 percent imperviousness for the site,
you will need to retrofit a stormwater best management plan that would have to consist of a
constructed wetland or bioretention pond followed by level spreaders and a forested filter strip.
11. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable
Buffer Rules, and any subsequent modifications, the applicant is required to return the attached
certificate of completion to the 401/Wetlands Unit, North Carolina Division of Water Quality,
1650 Mail Service Center, Raleigh, NC, 27699-1650.
Violations of any condition herein set forth may result in revocation of this Certification and may result in
criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct
impacts to waters as depicted in your application and as authorized by this Certification, shall expire upon
expiration of the 404 or CAMA Permit.
If you do not accept any of the conditions of this Certification (associated with the approved wetland or
stream impacts), you may ask for an adjudicatory hearing. You must act within 60 days of the date that
you receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of
the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a
hearing.
Any disputes over determinations regarding this Authorization Certificate (associated with the approved
buffer impacts) shall be referred in writing to the Director for a decision. The Director's decision is
subject to review as provided in Articles 3 and 4 of G.S. 150B.
Page 5 of 5
November 7, 2006
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act and the Neuse riparian buffer protection rule as described within 15A NCAC 2B .0233. ;Vou have
any questions, please telephone Cyndi Karoly or Ian McMillan at 919-733-1786.
Alan W. Klimek, P.E.
AWK/Un:
Enclosures: GC 3402
Certificate of Completion
cc: Eric Kulz, DWQ Raleigh Regional Office
USACE Raleigh Regulatory Field Office
File Copy
Central Files
John Teel, Stewart-Proctor, PLLC, 319 Chapanoke Road, Raleigh, NC 27603
Filename: 061393 Ver2GarrisonSD(Wake)101+NBR
DWQ 06-1393 Garrison S/D
Subjcct: DWQ 06-1393 Garrison S/D
From: Cynthia F Van Der Wiele <[e-mail]>
Datc: Sat, 04 Nov 2006 17:51:36 -0500
To: Ian McMillan <[e-mail]>
Ian:
1. Impervious surface is at 28.910. See previous email. Need to make sure they
"hold the line"...
2. Level spreaders 6 & 7 are under the max. length for our current design guidance,
but if there's a way they could re-jigger the drainage area to split it up...191
feet is awfully long and mostly impossible to make level.
3. The scale of their plans is too small to be able to see the level spreaders. I
cannot tell if they're parallel to the contours and they appear to be in everyone's
backyard. Need ease of access, perm. drainage easement.
4. They didn't send any typical construction detail, so I have no idea what the
level spreaders are made out of..
Other than all that, it's groovy...CVDW
1 of 1 11/6/2006 2:20 PM
Transmittal
-13,3
oLo
STEWART-PROCTOR PLLC
ENGINEERING & SURVEYING
319 CHAPANOKE ROAD
SUITE 106
RALEIGH, NC 27603
PHONE: [phone]
FAX.- [phone]
Date:
Attention:
From:
No. of pages:
(Including this cover)
Comment(s):

U 'I
RECEIVED

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Reply requested: - Yes _ No
DWQ Project No.
DIVISION OF WATER QUALITY - LEVEL SPREADER WORKSHEET
L PROJECT INFORMATION (ploaso complete the following information):
Project Name : i p
Contact Person: -Tott+-? T5rI PhonoNumber. (1/f I - S
Level Spreader ID: i._% S
Level Spreader Length 3 ?. It
Drainage Area r ac.
Imperviou3 Area . D ca•
Maximum Filter StriplBuffor Slope & %
grass
Max. Disdtargo from a 10 Year Storm 2.7 S cis
Max. Disdtarge to Level Spreader 2.-? cfs
Filter Strip/Buffer Vegetation (0 o A ss
(pcrpcncr=L r to flow)
(on-site and off site drainago to tho level spreader)
(on-site and off-situ drhago to the beet spreader)
(6% for forested, leaf litfier cover, 8% for thick ground cover).
(thick ground cover or grass, canopied frost with kof litter
groundcover)
Pro-troatrrantor Bypass Method ,E2E-Tt'EATF,,)1-
REQUIRED ITEMS CHECKLIST
Initial in the spew provided to indicate the following design requirements have bcon mot and supporting documentation is Aachod. tf a
wqukumont has not boon mot, attach an explanation of why. At a minimum, a complete sbmv;&r management plan submittal Indud03
a wakshoet for oach BMP, design calaltlorA plans and spedffca9= showing all BM and outlet structuro doh, a deWW
drainage plan and a fully executed operation and rnaintonarim ogroernarat An Incomplete submittal package will result in a request for
additional information and will substantially delay final review and approval of the projoct.
eaolfcants initials
r'r Lovol spreader is at bast 131 per cfs for thick ground cover or grass or 100 R per cf3 in canoptod fiorost with loaf
litter.
71- Pro-Form Scour Hopes are on flat slopes only
T No struucturos are located in protected buffers'
If bypass method specified in the Draft Level Spreader Design Option Document:
Bypass method Is spodfied (d applicable) and plan details and M'culatfars are provided
Discharge to level spreader and subsequent filter strip 13 hydrouGodiy and spatfaily separate from the bypass
discharge.
No structure are located in protodod buffers.
Plan details for the bypass and outlets are provided.
___:rho operation and maintenance agreement includes annual erosion and vogctatlon ropair.
Tho operation and maintenance agreement signed and notarized by the rocTonsible party Is provided.
' Level spreaders in series can be used on slopes of up to 15% in forested areas with leaf littler cover or on slopes of up to 25% in auras
with thick ground cover or grass If designed according to the Draft Level Spreader Design Option Document. Thls polontl:ay requires a
minor variance in protected buffer areas. In any event the second level sprcador cannot be k>es5ed In Zone 1 of a protocted bufeor aria
DwQ Ned No.
DIVISION OF WATER QUALITY - LEVEL SPREADER WORKSHEET
1. PROJECT INFORMATION (pk:aso complete the following information):
Project Name : C A P i sO,J c v A I)Contad Person: 1-HA 0 rEE L_ Phone Number. SS
Level Spreader ID:?
Lvvol Spreader Length i R I fL
Drainage Area ac.
Impervious Area co•
Maximum Fitter Strip/Buffer Slope 9?0
grass
Max. Discharge from a 10 Year Storm 1-4. cts
Max. Disclw go to Level Spreader 11. // Cis
Filter Stflp/BufferVegetation (WA-;3
(perpendicular to flew)
(on-site and off-slto drainage to the level spreader)
(on-sito and off-site drnage to the level spreader)
(6% for forested, leaf littler cover, 8% for thick groin Cover)'
(thick ground cover or grass, canopiod forest with kaf fitter
groundcover)
Pro-treabnont or Bypass Method P PF--Fey T l to-
REQUIRED ITEMS CHECKLIST
Initial In the space provided to indicate the following design requirements have been met and supporting docunhentaifon Is sbcthet. If a
roqukemant has not boon met, attach an explanation of why. At a minimum, a complete emmiwator management plan submittal includes
a workshoot for each BMP, design calculations, plans and spocifications shoeing A BM's and outlet structure d&ta a &W W
drainage plan and a fully executed operation and nu*bnanco ogrooncnL An I neompleto submittal package will =uft in a request for
additional information and will substantially delay final revlow and approval of the projoa
Applicants Initials
TV -Level sproador 13 at least 13 ft per cis for thick ground cover or grass or 100 It per cfs in canopied faost with leaf
litter.
S T" Pro-Form Scour Holes are on flat slopes only
T' No structures are located in protected buffers'
If bypass method specified in the Draft Level Spreader Design Option Document:
Bypass method Is specified (if applicable) and plan detais and calculations are provided
Discharge to level spreader and subsequent filter strip Is hydraufcaily and spaddy separate from the bypass
disclhargo.
No structures are located In protected buffers.
Plan details for the bypass and outlets are provided.
The operation and maintenance agreement includes annual erosion and vegetation repair.
The operation and maintenance agreement signed end notarized by the responsible party 13 provided.
• Level spreaders in series can be used on slopes of up to 15% In forested areas with leaf Gtifor cover or on mopes of up to 25% in areas
with thick ground cover or grass if designed according to the Draft Level Spreader Design Option Document. This potentially requires a
minor variance in protected buffer areas. In any event the second level epreador cannot bo located in Zone 1 of a protected buffer area.
DWQ Project No.
DIVISION OF WATER QUALITY - LEVEL SPREADER WORKSHEET
L PROJECT INFORMATION
Project Name : ._?
Contact Person:
Level Spreader ID%jp 'l
Level Spreader Length
Drainage Area
Impervious Area
Maximum Filter Strip/Buffer Slope
grass
complete the following information):
Phone Number.
1.4.4 %
ac.
ac.
9?0
Max. Dischargo from a 10 Year Storm 11"o cis
Max. Dischargo to Level Spreader 11.0 cis
Filter Strip/Buffor Vegetation 6 u' ASS
Pro-troatment or Bypass Method P2E--TeFA TA -r
REQUIRED ITEMS CHECKLIST
(perpendicular to flew)
(on-situ and oft sito drainage to the level spreader)
(on-situ and off-ito drainage to the level spreader)
(6% for forested, leaf littler cover, 8% for thick groin cover)'
(thick ground cover or grass, canopied bust with la fitter
groundcover)
Initial In the space provided to indicate the following design roquire=ts have been met and supporting documentation 13 cached. If a
mquiroment has not goon mot, attach an explanation of why. At a minimum, a complete storrmmbr management plan submittal indudes
a wakshoot for each BMP, design calculations, plans and specifications showing a;l Bh'Ps and oubot sbucbxo doh, a detailed
drainage plan and a fully executod operation and mabitonanco agreement An incompleto submittal package will result In a request for
additional information and will substantially delay final Wow and approval of the projoa
Aaolicnnts Initials
-' f Level spreader Is at bast 13 R per cis for thick ground covor or grass or 1 DO ft pot cis In canopied bast with leaf
litter.
7 T Pro-Form Scour Holes are on flat slopes only
T No structures are located in protected buffers'
If bypass method specified in the Draft Level Spreader Design Option Document:
Bypass method Is specified (if applicable) and plan details and mlc ula5ons; are provided
Dsschargo to level spreader and subsequent filter strip 13 hydraulically and spatially separate from to bypass
discharge.
No structures are located in protoed buffers.
Plan details forthe bypass and outlets are provided.
The operation and maintenance agro=nt includes annual erosion and vegetation repair.
Tho operation and maintenance agreement egnod and notarized by tho responsible party 13 provided.
Level spreaders in series can be used on slopes of up to 15% In forostod areas with leaf littler cover or on slopes of up to 25% in areas
with thick ground cover or grass If designed according to the Draft Level Spreader Design Option Document ThI3 potcne* requkees a
minor vartanee in protected buffer areas. In any event the second level spreader cannot be kuca ed in Zone 1 of a protected buffer area.
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Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. V21, O b- l 3
(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:
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information

1. Owner/Applicant Information 0 C T 4 2006
Name: 'qJ2,E «/PwhSkk
Mailing Address: 26 SN 1,00 S R PO L16 t)FNR - WATER nuALITY
G A 2JL)E2 , 1 . G . 27 S2 40 LAWS t%ND STORIWATcR BRAPICH
Telephone Number: 779-/P« Fax Number:
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: _6MiuA27e oc roe
Company Affiliation: E?Grl7 Fk -
Mailing Address: 119 CNAPA?JOKG eaAA
RA LEIS t? ?.l C 270 3
Telephone Number: 719- 19 SS Fax Number: 771 ?1 io6 /
E-mail Address: ?ohnash?'?a e? `1hNOD GoM
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: A R(LI so N
2. T.I.P. Project Number or State Project Number (NCDOT Only): 0/d
3. Property Identification Number (Tax PIN): 4646-1,3- 6 2o2
4. Location
County:_ WNkF- Nearest Town: -ratio of MoLV 65zwcs
Subdivision name (include phase/lot number): GA R2isbA) Z 9 ? LoTS
Directions to site (include road numbers/names, landmarks, etc.):
l,o,-_A7_rFD oFF D? etgi5y Geour c, tuoJ P-N SAP uo1 . Sooo` .souTN-
o t? Au Ep'r, FEIMY WD TprEesEcTro.0 , -
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): ON ow
6. Property size (acres): :!!M.(4 A r
7. Name of nearest receiving body of water:
8. River Basin: 0 EVS E
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at littp•//li2o.enr.stite.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: W 00060 d^ EAU o cJ
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
LA.9D uSE V2apo5ED To (3E KCsIoEPT[AL, -fvPE OF , QurPmc,Jr
TO INGLQQr- atlLL QOZE(C' ? GOLD106 PAP Pap Teack llbr
11. Explain the purpose of the proposed work: To Fit-c_. .0 mll i-) Agrat O F
PP ofloSrb P-o A Q
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. tit B Rg0 09---q.31
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.
b.inOE
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: REsrro ur1AL ,COAWA r
GQo-;siJl c?iTli Ill L,P OE X7XM 1 -TiMPA47- AUCi A MOPOSEA GIFT ?ATIo?
t f 1r?1 VIMAOr.N Z'r1PAt-r -
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,
1;q imnnntc Avif-. to hnth structure and floodine.

Wetland Impact
Site Number
(indicate on map)

Type of Impact Type of Wetland
o
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(cs/no Distance to
Nearest
Stream
linear feet Area of
Impact
(acres)
- ( IPE Flt_t. o EsTEQ 5 Co _- 0. 1 _<
2 t.iFT$rATio>J FILL o s TED-- YC5 .4 mod' --- O, I

Total Wetland Impact (acres) 0, 7,9 AL,
3. List the total acreage (estimated) of all existing wetlands on the property: e.'!' Aa
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? Average
Stream Width
Before Impact Impact
Length
linear feet Area of
Impact
acres
14 u a Asat- eeEEk PIPE `ILL PMOPIAL S 1 Z .01

Total Stream Impact (by length and acreage)
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 wonuntinn dredginv_ flnndint*_ dminaae. bulkheads, etc.

Open Water Impact

Site Number
indicate on ma

Name of Waterbody
(if applicable)

Type of Impact Type ofWaterbod
Y
(lake, pond, estuary' sound, bay,

ocean, etc.
Area of
Impact

acres

Total Open Water Impact (acres)
Page 8of12
6. List the cumulative impact to all Waters of the U.S. resultin from the project
Stream Impact (acres): 01
Wetland Impact (acres : o , 2
Open Water Impact acres :
Total Impact to Waters of the U.S. (acres)
Total Stream Impact linear feet : 112
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
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. ) o w-i o F NoetX rPV,w i? S
NAVE PI-SK fog 744 LIFT STA'T T d Of, nn,J)J P7' PI,,JrY aEovf "$$Uhd 20
r_ L T,PO JUJA56AS Alen 71lG? AAl BCiY 1/ Pot TIFF /n 1Jf/r1AJ ro Tt4F x;nQvt
0AS (.J3 ? S?crAfideE 4- LryEL SPerA0f2s W/LL EE USER To feDVZ1, _rt' P4C7-f•
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.
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
httV://li2o.enr.state.tic.tis/ncwctlatids/strm aide.hhI if.
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.
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://li2o.enr.st ite.nc.tishvrp/itidex.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):
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federaUstate/local) funds or the use of
public (federaUstate) land? Yes ? No VN
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)
2.
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 0213.0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes Z No ?
If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* Impact
(square feet Multiplier Required
Miti ation
I S3 9 6 3 (2 for Catawba)
2 z095, 1.5
Total 7q 3
* 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.
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 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. SEE IMPreu,ot)s
AT1'ncNC,0
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.
TowQ o NoL?y SPP??(?S
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No 19
Is this an after-the-fact permit application? Yes ? No Z
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•//112o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Appli Wt/ gent's signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12

O CT 4 2006
:? l
DENR. ?IIATER QUALITY
Q
?%,ETW.DS Mo STORNgJATER BRANCH
o
`j''JA
?G
r
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
www.saw.usace.armv.mil/wetlands/Permits.hhrnl.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at wwNv.saw.usace.army.mil/wetlands/index.html, or contact one of the field offices
listed on page 3 of this application. The website also lists the responsible project manager for each
county in North Carolina and provides additional information regarding the identification and regulation
of wetlands and waters of the U.S.
The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://h2o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for General Certifications is not required, provided
that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should
contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on page 4 of this application) prior to submittal of the application.
Page 1 of 12
Coastal Area Management Act (CAMA) Coordination - If the project occurs in any of North Carolina's
twenty coastal counties (listed on page 4) the applicant should contact the North Carolina Division of
Coastal Management (DCM). DCM will determine whether or not the project is within a designated
Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such
cases, DCM will require a CAMA Permit and will coordinate the 404/401 Permits.
The applicant may also choose to coordinate with the United States Fish and Wildlife Service to ensure
that the proposed project will have no impact upon any endangered or threatened species or critical
habitat as regulated by the Endangered Species Act, and the State Historic Preservation Office, North
Carolina Department of Cultural Resources to ensure that the proposed project will have no impact upon
any properties listed or eligible for listing on the National Register of Historic Places. Compliance with
these regulations is required to be eligible for any Department of the Army permit. The addresses for
both agencies are listed on page 3 of this application.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office. Upon receipt of an application, the
USACE will determine if the application is complete as soon as possible, not to exceed 30 days. This
PCN form is designed for the convenience of the applicant to address information needs for all USACE
Nationwide, Regional or General permits, as well as information required for State authorizations,
certifications, and coordination. Fully providing the information requested on this form will result in a
complete application for any of the USACE Nationwide, Regional or General permits. To review the
minimum amount of information that must be provided for a complete PCN for each USACE
Nationwide permit, see Condition 13, 67 Fed. Reg. 2090 (Jan. 15, 2002), available at
littp://www.usace.armv.mil/inet/functions/cw/cecwo/rep/2002nwps.pdf. Processing times vary by
permit and begin once the application has been determined to be complete. Please contact the
appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at littp://li2o.ehnr.state.ne.us/newetlands/fees.litml. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 12
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Caldwell Haywood McDowell Swain
US Army Corps of Engineers Alleghany Catawba Henderson Mecklenburg Transylvania
151 Patton Avenue Ashe Cherokee Iredcll Mitchell Union
Room 208 Avery Clay Jackson Polk Watauga
Asheville, NC 28801-5006 Buncombe Cleveland Lincoln Rowan Yancey
Telephone: [phone] Burke Gaston Macon Rutherford
Fax: [phone] Cabarrus Graham Madison Stanley
Raleigh Regulatory Field Office Alamance Franklin Nash Surry
US Army Corps Of Engineers Caswell Forsyth Northampton Vance
6508 Falls of the Ncusc Road Chatham Granville Orange Wake
Suite 120 Davidson Guilford Person Warren
Raleigh, NC 27615 Davie Halifax Randolph Wilkes
Telephone: [phone] Durham Johnston Rockingham Wilson
Fax: [phone] Edgecombe Lee Stokes Yadkin
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camdcn Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Pcrquimans *Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
North Carolina State Agencies
Division of Water Quality
Ecosystem Enhancement Program
1652 Mail Service Center
Raleigh, NC 27699-1652
Telephone: [phone]
Fax: [phone]
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]
US Fish and Wildlife Service / National Marine Fisheries Service
US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service
Raleigh Field Office Asheville Field Office Habitat Conservation Division
Post Offce Box 33726 160 Zillicoa Street Pivers Island
Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516
Telephone: [phone] Telephone: [phone] Telephone: [phone]
Page 3 of 12
CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquoank
1638 Mail Service Center Bertic Craven Hyde Pender
Raleigh, NC 27699-1638 Brunswick Currituck New Ilanover Perquimans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCVVRC and NC Trout Counties
Western Piedmont Region Coordinator Alleghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kemcrsville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
APPLICATION FORM BEGINS ON PAGE 5. PLEASE DO NOT SUBMIT PAGES 1 - 4.
Page 4 of 12
\N A T
off/'`
co
rvicnaei r. r-asivy, vuvcrniui
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Colleen H. Sullins, Deputy Director
Division of Water Quality
December 15, 2005
Mr. dike Stewart
Stewart-Proctor
319 Chapanoke Road, Suite 106
Raleigh. NC 27603
BASIN:
Neuse River X
(15A NCAC 2B .0233).
Complaint
Incident #
2046
QC? ?
a
• ?,t1DS I;10 SZ ? pTER e J:CN
V,
NOV
NBRRO 05-337
County: Wake
Buffer Determination X
Appeal Call
Project Name: Holland Property - Holly Springs Township (Wake County)
Location/Directions: Site is located on the west side of Piney Grove-Wilbon Road, approx. one mile south of Avent
Ferry Road in Holly Springs Township (Wake County).
Subject Stream:
UT to Basal Creek
Date of Determination: 9/20/05
Feature Start Buffer
GPS Points (if provided) End Buffer Stream
Form Appeal
Call Located
on Soil
Survey Located on
USGS
To oera hic
A Not Subject (incl. pond) X X

NOTE: Only one feature was evaluated on-site. Pond discharges to wetlands which flow to UT to Basal
Creek (beaver impounded).
This on-site determination shall expire five (S) years front the dale of this letter. Landowners or affectetl parties
that dispute a determination /nade by the DiVO or Delegated Local Authorit that a stuface water exists and that
it is subject to the lwff r rule may request a determination by the Director. A request for it determination by the
Director shall be referred to the Director in writing c% Cyndi Kar•oly, DiVQ Wetlands/101 Unit, 2321 0-abtr•ee
Blvd., Raleigh, NC 27604-2260. Individuals that dispute a determination by the DiVQ or Delegated Local
lttthority that "exempts" a snrfitce water front the buffer rule may ask for an ad judic•atorp hearing. Ir)u mast
act within 60 da1ys of the date that you receive this letter. Applicants are hereby notified that the 60-dqy statutorg,
Raleigh Regional Office 1628 Mail Service Center
Water Quality Section Raleigh, NC 27699-1628
Tar-Pamlico
(15A NCAC 213 .0259)
4'T
phone [phone] Customer Service
facsimile [phone] 1-877-623-6748
12/15/2005
Page 2 of 2
appeal Jhne does not start until the affected party (including downstreain and adjacent twidowners) is notified oj'
this decision. DIVA recontarends that the applicant conduct this notification in order to be certain that third
party appeals are made in a tinxely manner. To asla fora hearing, send a written petition, which conforms to
Chapter 150B of the North Carolina General Statutes to the Office ofA dinin istrative Hearings, 6714 Alwil
Service Center, Raleigh, N. C. 27699-6714. This deternxination is final aird biiuling unless you ash fora hearing
within 60 days.
The (owner/fixture owners) should notify the Division of Water Quality (inchiding any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subject property (slated
above). This project mmh require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division oj• lVater Quality (Central Office) at (919)-733-1756, and the US: frilly Corp ojEn? 'veer.
(Raleigh Regulatoiy Field Office) at (919)-576-8441. /?
Res fu v. / 1
Eff W. Kulz/
Environmental S
CC: File Copy
Central Files
DWQ Wetlands and Stonnwater Branch
Heather Keefer - Town of Holly Springs
Byron Brady - Wake County
Raleigh Regional Office 1628 Mail Service Center phone [phone] Custome r Service
Water Quality Section Raleigh, NC 27699-1628 facsimile [phone] 1-877-623-6748
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REID: 0014111
OWNERI: HOLLAND, MABEL 0
1719 AVENT FERRY
ADDR1: RD
HOLLY SPRINGS NC
ADDR2: 275468418
ADDR3:
DEED BOOK:
DEED PAGE: 0000
DEED DATE: 111/1989
DEED ACRES: 44.11
BLDG VAL: 0
LAND VAL: 259892
BILLING CLASS: INDIVIDUAL
LO1 BESSIE COLLINS
DESCRIPTION:
EST
MAP NAME: 064804
PIN NUM: 0648636209
PIN EXT: 000
CITY:
PLAN JURIS: WC
TOWNSHIP: HOLLY SPRINGS
YEAR BUILT: 0
SALEPRICE: 0
SALEDATE:
TYPE USE: Vacant
DESIGN STYLE:
UNITS: 0
LAND CLASS: AGRICULTURAL-FARM
ZONING: R-30
OLD PARCEL 799-00000-0006
NUMBER:
ADDRESS
ST NUM: 900
ST MISC:
DIR PREFIX:
PINEY GROVE
ST NAME: WILSON
ST TYPE: RD
;Oft DIR SUFFIX:

12/8/2005 12:44 FIN
lofl

ENGINEERING & SURVEYING
IMPERVIOUS CALCULATIONS FOR GARRISON SUBDIVISION
FOOTPRINT OF HOUSES TO BE LIMITED TO
DRIVEWAYS AND WALKWAYS TO BE LIMITED TO
DECKS TO BE LIMITED TO
TOTAL IMPERVIOUS TO BE LIMITED TO
TOTAL IMPERVIOUS FOR ALL LOTS
95 LOTS X 3500 SF
ROADWAY
SIDEWALKS
LIFT STATION AND GRAVEL ROAD
TOTAL IMPERVIOUS FOR SITE
TOTAL ACREAGE FOR SITE
TOTAL PERCENT IMPERVIOUS FOR SITE
= 2,500 SF
=1000 SF
= 200 SF
= 3,700 SF PER LOT
= 351,500 SF IN LOTS
= 175,111 SF
= 24,829 SF
= 4,377 SF
= 555,817 SF
= 12.76 AC.
= 44.14 AC.
= 28.91%
319 CHAPANOKE RD., SUITE 106, RALEIGH, NC 27603 PHONE [phone] FAX [phone]
LEVEL SPREADER OPERATION AND MAINTENANCE AGREEMENT
The level spreader is defined as an elongated, level threshold, designed to diffuse stormwater runoff.
Maintenance activities shall be performed as follows:
1. After construction and until vegetation has been established, level spreader(s) shall be inspected after
every rainfall. Thereafter, level spreader(s) shall be inspected at least every month and more
frequently during the fall season and after heavy rainfall events:
a. Accumulated sediment, leaves, and trash shall be removed, and repairs made if required.
b. Inspect level spreader(s) for evidence of scour, undercutting, settlement of the structure, and
concentrated flows downhill from the level spreader(s).
c. A level elevation shall be maintained across the entire flow-spreading structure at all times.
Repair or replace the level spreader if it is damaged.
d. Mow vegetative cover to a height of six (6) inches and prune plants if they cover over half of the
level spreader surface.
e. Repair eroded areas and replace/replant dead or damaged vegetation.
2. The contractor should avoid the placement of any material on and prevent construction traffic across
the structure. If the measure is damaged by construction traffic, it shall be repaired immediately.
3. Inspect and repair the collection system (e.g., catch basins, pipes, swales, riprap) four (4) times a year
to maintain proper functioning.
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance
procedures listed above. I agree to notify DWQ of any problems with the system or prior to any changes to
the system or responsible party.
P
S
D
Note: The legally responsible party should not be a homeowners association unless more than 50% of the
lots have been sold and a resident of the subdivision has been named the president.
I. a Notary Public for the State of
County of do hereby certify that
personally appeared before me this 4 l-4-day of no , , and acknowledge the due
execution of the forgoing wet [wetland] detention basin maintenance requirements. Witness my hand and
official seal,
H Dq LTA
NOTARC
pU?l1 v?
SEAL
My commission expires y 1 d,ra 0 /4
Page t of l
Print name: sTEvE SftlPc?ASi-f-
Title: oL-jo s'.I DEvpLoPe2
Address: q(' 0i PLJAsH onuE_
DWQ Project No.
DIVISION OF WATER QUALITY - LEVEL SPREADER WORKSHEET
1. PROJECT
Project Name :
Contad Per":
(pie= complete the following information):
1-01A,) TEL Phone Number.
Level Spreader ID: ,j
Level Spreader Length
Drainage Area
lmporviou3 Area
Maximum Filter Strip/Buffer Slope
grass
9 it
C) • 2 ac.
d ac.
!n ?o
Max. Discharge from a 10 Year Storm D• G cis
Max. Discharge to Level Spreader . G S cis
Filter Strip/Buffer Vogotation 2A S S
Pro-beatrnent or Bypass Method Re r% -:[C,5A-r Evi,
(I. REQUIRED ITEMS CHECKLIST
(pcrpendicular to flow)
(on-situ and off situ draxmago to the level spreader)
(on-site crd off-sito dra.!riago to the level grader)
(6% for forested, leaf littior cover, 8% for thick groad cover)'
(thick ground cower or gr^, canopied forest with {-f litter
groundcovcr)
in'rtia! In the space provided to indicate the following design roquironhents have b= met Grid supporting documentctlon b Amhod. If a
mqulromont has not boon mot, attach an oxpfanotlon of why. At a minimum, a complete stomr,tiator management plan subrAW includos
a nfthoet for each BMP, design calm iafiorm plans and spouxffcatiorrs zhoWM ati BNJ's and outlet simaro dots:, a detatied
drainage plan and a fully executed operation and malnterimm agrcchmcrit An Incomplete submittal package %ill result h a rogrest for
additional information and will substantially delay final revimv and approval of the project.
Amllotints IntVals
Tr Love! spreader 13 at bast 13 R par cis for thick ground cover or grass or 1 DO It per d3 In =plod trost Mh loaf
litter.
Pre-Form Scour Holes are on flat slopes only
s No structures are located in protected buffers'
If bypass method specified in the Draft Level Spreader Design Option Doaumcnt:
Byp= mothod b specified (if appficablo) and plan detati3 and ealculz-bons aro provided
Discharge to level spreader and subscquont 119tor strip b hydraulically and spatially separate from the bypass
dischargo.
No structures are l>catod In protected buffers.
Plan dctaib for the bypass and outlets are provided.
The operation cnd maintenance agreement includes annual erosion and vegetation ropar.
Tho operation cnd maintenanco agreement signed and notarizod by the ranponsible party is provided.
Level spreaders in series can be used on slopes of up to 15% In forested areas %ith leaf Mer cover or on slopes of up to 25% in areas
with thick ground cover or gras3 if designed according to the Draft Level Spreader Design Option Document This potcntiatiy requires a
minor variance in protected buffer areas. In any event the second level spreader carrot be keyed in Zone 1 of a protocted buffer area.
DWQ Project No.
DIVISION OF WATER QUALITY • LEVEL SPREADER WORKSHEET
1. PROJECT INFORMATION (pleaso complete the following information):
Project Name
Contact Person: 'Stott ?J rrIrL Phone Number. 7 I - es
Love] Spreader ID: 4t 2
Level Spreader Length 33 R
Dra/nago Area D • 9 ac.
impervious Area CL 13 ac•
Mardmum Filter ShipBuffer Slope %
grass
Discharge from a 10 Year Storm Z • q Z cfs
Max
.
Max. Di-charga to Level Spreader 2.4 2 Cis
Filter StriipBuffor Vegetation &2A-4s
(perpendicular to flow)
(on-rito ad off-sb dm!rkV to the level spreader)
(on-silo ¢7d offF.ato dr,.hV to th3 love! cproade j
(6% for forested, loaf l1wor cover, 8% for thick grou,d cover)'
(thick ground cover or grass, canopied forest with lrf fitter
groundcovcr)
Pro-t wtmont or Bypass Method PQ E -TC A Trt<,ur
11. REQUIRED ITEMS CHECKLIST
In1W in tho spew provided to indicat o the following design roquln=nts have been mot and supporting document odon b tttached. If a
roqutromont has not boon mot, aW an exptanatlon of why. At a minimum, a comploto ctowerator managencnt plan vAdttal includes
a worksheet for each BMP, design cdculatiorrs, plans and : pecfttions showing a!I BhiPs urrd outlet strucfuro dotes, a detailed
drainago plan and a fully executed operation and maintenance agreement An Incomplete submiM package v4 r=ft ti a request for
addtdonai information and W11 substan=y delay final review and opprovai of the project.
Amliconts Initials
sT Lovel sproa dor Is at bast 13 It per cfs for thick ground coves or grass or 100 ft pot cfs In canopied forost with loaf
litter.
s r Pro-Form Scour Holes are on flat slopes only
TT No structures me located in protected buffers'
If bypass method specified in the Draft Level Spreader Design Option Document:
Byp method is zpocfiod (if appticablo) and plan detais and calculations am provided
Discharge to level spreader and subsequent filter strip 13 hydraulically and spatially separate from the bypass
discharge.
No strucW= are located in protocted buffers.
Plan details fortho bypass and outlets aro provided.
The operation and maintonance agreement includes mnual erosion and vegetation roper.
The operation and maintonanc© agreement signed and notarized by the m ponsiblo party b provided.
• Level spreadors in series can be used on slopes of up to 15% In forested areas vVb W littler cover or on slopes of up to 25% In areas
vdth thick ground cover or gr= N de;dgne d according to the Draft Level Spreader DcJgn Option Document. Thl; posxntialty requires a
minor vartanco in protected buffer aroas. In any event the second level spreader cannot be kxµed In Zone 1 of a preacod buffer aria.
OWQ Project No.
DMSION OF WATER QUALITY • LEVEL SPREADER VIORKSHEET
PROJECT INFORMATION (please complete the following information):
Project Name :

Contact Person: z o K p T EE L Phono Number. l 71 7 1 r r 7- to ?, .3
Level Spreader ID:,A 3
Lovel Spreader Lcngth Z Z it. (perpend*=Iar to flow)
Drae;nago Area O's- X. (on-s3m and off-sito dranago to the level spreader)
Imponriou3 Area 0-5- ac. (on-site and off-sito driago to the level gxcWo l
Maximum Filter Strip/Buffer Slope % (6% for forested, leaf IlWer cover, 8% for thick ground cover)'
G=s
Max. Discharge from a 10 Year Storm /. G 2 ds
flax. Dl;diargo to level Spreader /, e, L- Cls
Filter Strip/Buffer Vogetation Ln R A bS
Pro-troatrnent or Byp= Method , ?Z i= 'T UfAT- A CtXr
REQUIRED ITEMS CHECKLIST
(thick ground cover or grass, canopied forest vith 10 Etter
groundcovor)
Initial In the space provided to Indicate the following design toquiromants have bcca met and supporting dommientation b sttached. If a
mqulmmont has not boon mot, attach an oxplanation of tiny. At a minimum, a complete stomm-,itor management plan sulxMtal incud03
a wurkawot for each Bh',P, dss7 n cdculatlons, plans and spocificatlon3 showing alt BhSPs End outlet structure doh, a detaed
dmhago plan and a fully oxocuted operation and ffk*tonar= agreement. An Incomplete submittal padcago vill result h a roquod for
additional Information and Wil subst<irtially delay final review and approval of the projocl
Aaolf?,nnts Inftfals
Leval s xuWor 13 at least 13 ft per cfs for thick ground cover or 9=3 or 100 ft per ds In canoplod forost with loaf
litter.
Pro-Form Scour Hole3 am on flat slopes only
5 No struudurm era located in protected buffers'
If bypass method speatiod In the Draft Level Spreader Design Option Document:
Byp= method is spoor od (f epplicable) and plan detarls and calculate aro provided
Discharge to level spreader and subsequent fdtcr strip 13 hydraulically and spatially separate from the bypass
dischargo.
No structures am located in protected buffers.
Plan deW'13 for the bypass and mrtlets are providod.
The operation and maintenance ogrcement incude3 annual erosion and vegetation repair.
The operation and nx*tonanco agreement slgnod and notarized by th3 responsible party 13 provided.
' Level spreaders in series can be used on slopes of up to 15% In forested er= v44h leaf fattier cover or on slopes of up to 25% in area:;
with thick ground cover or grass If designed according to the Draft Level Spreader Dc.,..'gn Option Document. Thh potrnti* requires a
minor vzximce in protected buffer areas. In arty event the second level sprca dor carrot be locwed In Zone 1 of a proto tod buffer area.
DWQ Prgcd No.
DIVISION OF WATER QUALITY - LEVEL SPREADER WORKSHEET
1. PROJECT INFORMATION (pleaso complete the following information):
Project Name ; 6AZelsoO- .S uA A .
Contact Person: -To k ?) Tc ct Phone Number: - S
Level Spreader ID:.
Level Spreader Length q ft.
Drainage Area d . 2 ac.
Impervious Area
Maximum Filter Strip/Buffer Slope 66 3'0
grass
Disctmrgo from a 10 Yoar Storm D. (S cis
Max
.
Max, Dischargo to Level Spreader 0, , S cfs
Filter Strip/BufferVegetation (10- ASS
(perpendicular to flow)
(on-jto and off-sito dralriago to the level cpreader)
(on-sib End off-situ draleago to the level spreader)
(6% for forested, h.,af littler cover, 8% for thick grou tl cover).
(thick ground cover or grass, canopied forest with k1 litter
groundcovcr)
Pro-tmatrnont or Bypass Method re C- -T eEA rtJ'r
II. REQUIRED ITEMS CHECKLIST
Inilial In the cpaco provided to indicate the following design roquiromonts have been met and supporting documentation Is #ached. If a
roquimmont has not boon mot, attach an explanation of why. At a minimum, a complete sbrm utor management plan submittal Includes
a vmrlrshoot for oath BMP, design czlculatiorA plans and specifications showing JI BMPs and outlet structure dot ii a detailed
drdnago plan cnd a fully executed operation and maintenance ogroomont An incomplete submittal padcago will result in a request for
additional information and will substantlelty delay final review and approval of the project
AwIIQ?mts Initials
S t Lovd sproWor Is at krast 131 per cis for thick ground coves or grass or 1 DD It per cfs in csneplod forest v& leaf
litter.
Pro-Form Scour Holes are on flat slopes only
37- No structures are located in protected buffers'
If bypass method specified In the Draft Level Spreader Design Option Document:
Bypass method IS specified (f applicable) and plan details End cdwl.^tiom are provided
Dischugo to level spreader and subsequent filter strip Is hydraulically End spatially separate from the bypass
discharge.
No structures are located in protected buffers.
Plan detail for ttw bypass and ou" Ere provided.
__:rho opomtion and maintenance agreement includes annual erosion and vegetation repair.
The operation and maintenance agroornont signed and notarized by the responsible party 13 providxf.
' Level spreaders in series can be used on slopes of up to 15% In forested areas Kith leaf littler cover or on slopes of up to 25% in areas
with thick ground cover or grams If designed according to the Draft Level Spreader Design Option Document ThI3 potentialty requires a
minor variance in protected buffer areas. In any event the second level spmWor carurot be ioccled In Zone 1 of a pmtocted buffer area.
Office Use Only: Form Version March 05
USAGE Action ID No. DWQ No. D U ?' 1 3
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
ELI i L?
1. Check all of the approval(s) requested for this project:
Section 404 Permit N 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:
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 he p• [f -.-I 9?dT2 I
II. Applicant Information 0 CT 4 ZQ06
1. Owner/Applicant Information DEW, y,{AV-1jUL, L,IY
Name: S?Fj/E fillpwASt4 r??tr?,r,?nNnnTc,RtAWPJ RErt.I??ll
Mailing Address: 26 su IPOAS 14 Del L1E
GA2?F(?,,,.! G Z7S2`?
Telephone Number: J19-/ASS Fax Number: 779-/ ?,6/
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: .5=- kjA(ZT - e o ro
Company Affiliation: 6?JGiJ E.2
Mailing Address: 419 CNAPAQpKG pnAn
QA LEI(. 41 t 1 C z-7(,o
Telephone Number: 7`19-1 SSS Fax Number: 771-1(4/
E-mail Address: ?ohnashtee_l G YAIIDO Got
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: GA RR1so N -
2. T.I.P. Project Number or State Project Number (NCDOT Only): a
3. Property Identification Number (Tax PIN): 064(3-(03 - 6 Z09
4. Location
County: W NkF- Nearest Town: To .i U or- I to i v 5 Pet pj 6 i
Subdivision name (include phase/lot number): GA(ZeiioO / 9 S- Lays
Directions to site (include road numbers/names, landmarks, etc.):
LOCATED DEE or-' PIOCY GZDUE 1-.11600 ID. SOR 1101 . 50001 .3ovTN-
0 r- AUEp*?` r_ 22y 2.(J TPrt<_05reTro?J ,
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): °N °W
6. Property size (acres): :!J& (4 A c. .
7. Name of nearest receiving body of water:
8. River Basin: t.) FV.6 E
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.st ite.tic.tis/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: W00060 d- ichLotJ
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used:
LAJo USF P2oQosM TO 8E. eESIDCNTIAL. TYPE of -e©t)rPMcyT
TO 106LuoE 600L Dv ZE2 G2Ar D10G PAP 60D TEAC-k 140L
11. Explain the purpose of the proposed work: To Fiu t1,?J 8gi5Q O r-
Pe.oposrb PoA(,?
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. N S R &O D S- ?3 7
(I Li 41-w26'10)
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.
?J00C
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: RESInggnAL ,CoAAWA X
CoosW(? t,1TN Ill LAP 0? ?fEAP1 JCIhPAGT ALib A peoPoS?51D GIFT- SiATIo?
t f Irk.} Or.,TLAX1D !fflAae-
Page 7 of 12
2. Individually list wetland impacts. Types of impacts include, but are not linited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
Sennrntely list impacts due to both structure and flooding.
Wctland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(yes/no) Distance to
Nearest
Stream
linear feet Area of
Impact
(acres)
P, ( tPE F??t- oREsT?I? 100 - O S
# 2 LIFT $TATPP FILL D S TED YC5 - 0Cr - 0,14

Total Wetland Impact (acres) 0. q Ne
3. List the total acreage (estimated) of all existing wetlands on the property: 9 ? AC
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate 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
l
u
24 arASAt- 4eeEk
PIPE fILL
PfeEPPIAL
S
M
.ol

Total Stream Impact (by length and acreage)
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, dred in , flooding, drainage, bulkheads, etc.
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

L
Total Open Water Impact (acres)
Page 8 of 12
List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 01
Wetland Impact (acres): o , 2
Open Water lm act acres :
Total Impact to Waters of the U.S. (acres)
Total Stream Impact linear feet : 112
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.
Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
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. i o wLj o F Pour aP__ ,w ?s
WAUC AsK Fog IgF LIFTSTA'TIOJ Tb OF anLJO Py PW£Y (-eo,)f wrc?a?RD,
Fog ToPo ge-As4,i.s, iatso TKEy Agr Aow(? Galt 7'Hr. eoAjpferiop? ro THE x;a1* '
OAS4,03 + SlcrrraeE 4- t-rueL S?QEAOP2S e../ILL OF' Us£,D To QEOVe£ _r1~PAC7J,
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.
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
littl2:Hli2o.eiir.state.nc.us/ilcxvetlands/strms;ide.litml.
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.
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://li2o.eiir.state.nc.tis/carp/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):
Page 10 of 12
IX.
X.
Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No
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 ?
Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes Z 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 multioliers.
I I Zone" Impact Multiplier Required
(square feet) Mitigation
1 5'3 9 t3 3 (2 for Catawba)
2 zog S' 1.5
Total 7Q 7 3
* Zone 1 extends out 30 feet pcrpendicu
additional 20 feet from the edge of Zone 1.
the top of the near
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 all appropriate information as identified
within 15A NCAC 2B .0242 or.0244, or.0260.
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. SEE I('r1P£Qoinu_r, e-ALcS, _
TTncNCA
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.
?OLJO o 1`u o [,L'Y sPP r,J ,.S
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No g
Is this an after-the-fact permit application? Yes ? No 0
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:
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).
1--7. Appliit/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
r.? `w A T F?

?C
f3
G
Y?
Pre-Construction Notification (PCN) Application Form
For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules
This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
www.saw.usace.army.mil/wetlands/Permits.html.
The USACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at www.s iNv.usace.army.mil/wetlands/index.html, or contact one of the field offices
listed on page 3 of this application. The website also lists the responsible project manager for each
county in North Carolina and provides additional information regarding the identification and regulation
of wetlands and waters of the U.S.
The DWQ issues a corresponding Certification (General or individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
httn://h2o.enr.state.nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for General Certifications is not required, provided
that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should
contact DWQ's Central Office in Raleigh at [phone].
Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on page 4 of this application) prior to submittal of the application.
Page 1 of 12
Coastal Area Management Act (CAMA) Coordination - If the project occurs in any of North Carolina's
twenty coastal counties (listed on page 4) the applicant should contact the North Carolina Division of
Coastal Management (DCM). DCM will determine whether or not the project is within a designated
Area of Environmental Concern, in which case DCM will act as the lead permitting agency. In such
cases, DCM will require a CAMA Permit and will coordinate the 404/401 Permits.
The applicant may also choose to coordinate with the United States Fish and Wildlife Service to ensure
that the proposed project will have no impact upon any endangered or threatened species or critical
habitat as regulated by the Endangered Species Act, and the State Historic Preservation Office, North
Carolina Department of Cultural Resources to ensure that the proposed project will have no impact upon
any properties listed or eligible for listing on the National Register of Historic Places. Compliance with
these regulations is required to be eligible for any Department of the Army permit. The addresses for
both agencies are listed on page 3 of this application.
USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office. Upon receipt of an application, the
USACE will determine if the application is complete as soon as possible, not to exceed 30 days. This
PCN form is designed for the convenience of the applicant to address information needs for all USACE
Nationwide, Regional or General permits, as well as information required for State authorizations,
certifications, and coordination. Fully providing the information requested on this form will result in a
complete application for any of the USACE Nationwide, Regional or General permits. To review the
minimum amount of information that must be provided for a complete PCN for each USACE
Nationwide permit, see Condition 13, 67 Fed. Reg. 2090 (Jan. 15, 2002), available at
http://www.us,ice.armv.mil/inet/functions/cw/cecwo/re>'/2002nwps.pdf. Processing times vary by
permit and begin once the application has been determined to be complete. Please contact the
appropriate regulatory field office for specific answers to permit processing periods.
401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 401/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at littp:Hli2o.eliilr.state.nc.us/nc\vetlarids/fees.litml. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.
Page 2 of 12
US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Caldwell Haywood McDowell Swain
US Army Corps of Engineers Allcghany Catawba Henderson Mecklenburg Transylvania
151 Patton Avenue Ashe Cherokee Ircdcll Mitchell Union
Room 208 Avery Clay Jackson Polk Watauga
Asheville, NC 28801-5006 Buncombe Cleveland Lincoln Rowan Yancey
Telephone: [phone] Burke Gaston Macon Rutherford
Fax: [phone] Cabarrus Graham Madison Stanley
Raleigh Regulatory Field Office Alamance Franklin Nash Surry
US Army Corps Of Engineers Caswcll Forsyth Northampton Vance
6508 Falls of the Neuse Road Chatham Granville Orange Wake
Suite 120 Davidson Guilford Person Warren
Raleigh, NC 27615 Davie Halifax Randolph Wilkes
Telephone: [phone] Durham Johnston Rockingham Wilson
Fax: [phone] Edgecombe Lee Stokes Yadkin
Washington Regulatory Field Office Beaufort Currituck Jones Pitt
US Army Corps Of Engineers Bcrtie Dare Lenoir Tyrrcll
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan Natio nal Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pcnder
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland
North Carolina State Agencies
Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]
Division of Water Quality
Ecosystem Enhancement Program
1652 Mail Service Center
Raleigh, NC 27699-1652
Telephone: [phone]
Fax: [phone]
State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 276994617
Telephone: [phone]
Fax: [phone]
US Fish and Wildlife Service / National Marine Fisheries Service
US Fish and Wildlife Service US Fish and Wildlife Service National Marine Fisheries Service
Raleigh Field Office Asheville Field Office Habitat Conservation Division
Post Office Box 33726 160 Zillicoa Street Pivers Island
Raleigh, NC 27636-3726 Asheville, NC 28801 Beaufort, NC 28516
Telephone: [phone] Telephone: [phone] Telephone: [phone]
Page 3 of 12
CAMA and NC Coastal Counties
Division of Coastal Management Beaufort Chowan Hertford Pasquotank
1638 Mail Service Center Bertic Craven Hyde Ponder
Raleigh, NC 27699-1638 Brunswick Currituck New Hanover Perquirnans
Telephone: [phone] Camden Dare Onslow Tyrrell
Fax: [phone] Carteret Gates Pamlico Washington
NCWRC and NC Trout Counties
Western Piedmont Region Coordinator Allcghany Caldwell Watauga
3855 Idlewild Road Ashe Mitchell Wilkes
Kernersville, NC 27284-9180 Avery Stokes
Telephone: [phone] Burke Surry
Mountain Region Coordinator Buncombe Henderson Polk
20830 Great Smoky Mtn. Expressway Cherokee Jackson Rutherford
Waynesville, NC 28786 Clay Macon Swain
Telephone: [phone] Graham Madison Transylvania
Fax: [phone] Haywood McDowell Yancey
APPLICATION FORM BEGINS ON PAGE 5. PLEASE DO NOT SUBMIT PAGES 1 - 4.
Page 4 of 12
0???pG
\y
o, r
> >'D
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Colleen H. Sullins, Deputy Director
Division of Water Quality
December 15, 2005
Mr. Nlike Stewart
Stewart-Proctor
319 Chapanoke Road, Suite 106
Raleigh. NC 27603 lo g ,
6
0c, 4 200
WATr-RQUALITY
DENR -IDS QR NA SRBRN'CN
Nott'NDS PI
BASIN:
Neuse River X
Tar-Pamlico
NBRRO 05-337
County: Wake
(15A NCAC 2B .0233)
(15A NCAC 2B .0259)
Complaint NOV Buffer Deternnation X
Incident # Appeal Call
Project Name: Holland Property - Holly Springs Township (Wake County) -
Location/Directions: Site is located on the west side of Piney Grove-Wilbon Road, approx. one nvle south of Avent
Ferry Road in Holly Springs Township (Wake County).
Subject Stream: UT to Basal Creek
Date of Determination: 9/20105
Feature Start Buffer
GPS Points (if provided) End Buffer Stream
Form Appeal
Call Located
on Soil
Survey Located on
USGS
Topographic
A Not Subject (incl. pond) X X

NOTE: Only one feature was evaluated on-site. Pond discharges to wetlands which flow to UT to Basal
Creek (beaver impounded).
This on-site determination shall cwpire jive (5) years fi-au the date of this letter. Landowners or affected parties
that dispute it determination anode by the DiVQ or Delegated Local Authority that a surface water exists and that
it is subject to the bufjir rule may request a determination by the Director. A request for a determination by the
Director shall be referred to the Director in writing c% Cyudi Karoly, DiVQ iVeaandsI401 Unit, 2321 Crabtree
Blvd., Raleigh, NC 27604-2260. Individuals that clispttte a determination by the DiVQ or Delegated Local
l utlrority that "etvempts" a surface water from the buffer role at ay ask for an ad judicalory /rearing. You must
act within 60 days of the date that you receive this letter. Applicants are hereby notified that the 60-dqy statutoq
Raleigh Regional Office 1628 Mail Service Center
Water Quality Section Raleigh, NC 27699-1628
iKV
phone [phone] Customer Service
facsimile [phone] 1-877-623-6748
12/15/2005
Page 2 of 2
appeal lime does not start !until the affected party (including downstream acrd adjacent landowners) is notified of
this decision. D{VQ recontunends that the applicant conduct this itolification in order to be certain 1/1 at (bird
party appeals are made in it timely nntrrtner. To ask fora !rearing, sent! a written petildain, ?vhich conforms to
Chapter 1508 of the North Carolina General Statutes to the Office of Athninistrative Hearings, 6714 Affill
Service Center, Raleigh, N.C 27699-6714. This tleteriiihiatiott is final and biittling artless yoi risk for a /nearing
?vithin 60 days.
The (o?vner/future owners) should notify the Division of Water Quality (including any other Local, State, and
Federal Agencies) of this decision concerning arty future correspondences regarding the subject property (slated
ahove). This project nnay require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division of !biter Quality (Central Office) at (919)-733-1786, and the US Army Corp ojEn ' re?er
(Raleigh Regulatory Field Office) at (919)-376-8441. n
Res fu v.
Environmental Sp?c. I
CC: File Copy
Central Files
DWQ Wetlands and Stonnwater Branch
Heather Keefer - Town of Holly Springs
Byron Brady - Wake County
Raleigh Regional Office 1628 Mail Service Center
Water Quality Section Raleigh, NC 27699-1628
t+h j:l
LtL
phone [phone] Customer Service
facsimile [phone] 1-877-623-6748

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Map center is UTM 17 695390E 3944668N (WGS84/NAD83)
Apex quadrangle M=-8.673
Projection is UTM Zone 17 NAD83 Datum G 1.257
G
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REID: 0014111
OWNERI: HOLLAND, MABEL 0
1719 AVENT FERRY
ADDR1: RD
HOLLY SPRINGS NO
ADDR2: 27540.8418
ADDR3:
DEED BOOK:
DEED PAGE: 0000
DEED DATE: 1/1/1989
DEED ACRES: 44.11
BLDG VAL: 0
LAND VAL: 259892
BILLING CLASS: INDIVIDUAL
L01 BESSIE COLLINS
DESCRIPTION: EST
MAP NAME: 064804
PIN NUM: 0648636209
PIN EXT: 000
CITY:
PLAN JURIS: WC
TOWNSHIP: HOLLY SPRINGS
YEAR BUILT: 0
SALEPRICE: 0
SALEDATE:
TYPE USE: Vacant
DESIGN STYLE:
UNITS: 0
LAND CLASS: AGRICULTURAL-FARM
ZONING: R-30
OLD PARCEL 799-00000-0006
NUMBER:
ADDRESS
ST NUM: 900
ST MISC:
DIR PREFIX:
PINEY GROVE
ST NAME: WILSON
ST TYPE: RD
19 ft DIR SUFFIX:

of 1 12/8/2005 12:44 PN.
SUIE RIBU-[ O CU0
ENGINEERING & SURVEYING
IMPERVIOUS CALCULATIONS FOR GARRISON SUBDIVISION
FOOTPRINT OF HOUSES TO BE LIMITED TO = 2,500 SF
DRIVEWAYS AND WALKWAYS TO BE LIMITED TO = 1000 SF
DECKS TO BE LIMITED TO = 200 SF
TOTAL IMPERVIOUS TO BE LIMITED TO = 3,700 SF PER LOT
TOTAL IMPERVIOUS FOR ALL LOTS
95 LOTS X 3500 SF
ROADWAY
SIDEWALKS
LIFT STATION AND GRAVEL ROAD
TOTAL IMPERVIOUS FOR SITE
TOTAL ACREAGE FOR SITE
TOTAL PERCENT IMPERVIOUS FOR SITE
= 351,500 SF IN LOTS
= 175,111 SF
= 24,829 SF
= 4,377 SF
= 555,817 SF
= 12.76 AC.
= 44.14 AC.
= 28.91%
319 CHAPANOKE RD., SUITE 106, RALEIGH, NC 27603 PHONE [phone] FAX [phone]
LEVEL SPREADER OPERATION AND MAINTENANCE AGREEMENT
The level spreader is defined as an elongated, level threshold, designed to diffuse stormwater runoff.
Maintenance activities shall be performed as follows:
1. After construction and until vegetation has been established, level spreader(s) shall be inspected after
every rainfall. Thereafter, level spreader(s) shall be inspected at least every month and more
frequently during the fall season and after heavy rainfall events:
a. Accumulated sediment, leaves, and trash shall be removed, and repairs made if required.
b. Inspect level spreader(s) for evidence of scour, undercutting, settlement of the structure, and
concentrated flows downhill from the level spreader(s).
c. A level elevation shall be maintained across the entire flow-spreading structure at all times.
Repair or replace the level spreader if it is damaged.
d. Mow vegetative cover to a height of six (6) inches and prune plants if they cover over half of the
level spreader surface.
e. Repair eroded areas and replace/replant dead or damaged vegetation.
2. The contractor should avoid the placement of any material on and prevent construction traffic across
the structure. If the measure is damaged by construction traffic, it shall be repaired immediately.
3. Inspect and repair the collection system (e.g., catch basins, pipes, swales, riprap) four (4) times a year
to maintain proper functioning.
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance
procedures listed above. I agree to notify DWQ of any problems with the system or prior to any changes to
the system or responsible party.
Note: The legally responsible party should not be a homeowners association unless more than 50% of the
lots have been sold and a resident of the subdivision has been named the president.
I, khAk - ov. a Notary Public for the State of
County of t ?1c l? , do hereby certify that %)W wry
personally appeared before me this ? 0-4-day of ?< <<, no(, , and acknowledge the due
execution of the forgoing wet [wetland] detention basin maintenance requirements. Witness my hand and
official seal,
`>>,u?1?uu t u?u ruai/1'
NOTARY
pu?1.1C
SEAL
My commission expires k/ 1a.f/10/0
Page I of 1
Print name: s17v61 SHIAUA-<4
Title:_ 0 J0 E2 / b _vr' DPF2.
Address: qt-, SNi PfJasN UivE_
V t1 C' Litt r'?,.• ..
CO.
`S(f NORTH CAROLINA-WAKE
s 7.5 MINUTE SERIES (TOPOORAPHIC
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DWQ Ned No.
DIVISION OF WATER QUALITY - LEVEL. SPREADER WORKSHEET
1. PROJECT INFORMATION (please complete the following information):
Project Name : G N rc 0l S 0J Sy n D
Contact Pcrson: 10k w TEEL_ Phone Number:
Level Spreader ID:, j
Level Spreader Length ft.
Drainage Area b . 2 ac.
Impervious Area 017- ac.
Maximum Filter Strip/Buffer Slope 4, %
9=
Max. Discharge from a 10 Year Storm 0. cfs
Max. Discharge to Level Spreader O . G S cfs
Filter StripBufferVegetation 0 A6 S
(perpendicular to flow)
(on-situ srd off-site drunago to the level spreader)
(on-site and off-sito drainage to the level spreader?
(6% far forested, leaf littler cover, 8% for thick groin cover).
(thick ground cover or grass, canopied forest with Iof litter
groundcovcr)
Pro-truatrnontor Bypass Method Re r,- -"- CEaTMr,?T-
REQUIRED ITEMS CHECKLIST
Initial In the space provided to indicate the following design requirements have been mot and supporting documentation b Aached. !f a
requiromont has not boon mot, attach an explanation of why. At a minimum, a complete stommwater management plan vAmitt4l includes
a wa*shoot for oath BMP, design calaitlons, plans and spedficafions showng ati ByPs and outlet structure d a detaLEW
drainago plan and a fully executed operation and maintenance agreement An incomplete submittal package v,,il result In a request for
additional Information and will substantially delay final roviam and approval of the projoct.
Aamllcnnts Initials
S T Levol sproador Is at bast 13 ft per kds for thick ground cover or grass or 100 ft per cis In canopied fist with leaf
litter. .
Pro-Form Scour Holes are on flat slopes only
s No structures are located in protected buffers'
If bypass method specified in the Draft Level Spreader Design Option Document:
Bypass method b specified (if rppficable) and plan details and eah!Zlions sre provided
Discharge to level spreader and subsequent filler strip b hydraulically and spatially separate from the bypass
discharge.
No structures are located in protected buffers.
Plan detaib forthe bypass and outlets are provided.
The operation and maintenance agreement includes annual erosion and vegetation repair.
Tho operation and maintenance agreement signed cnd notarized by the mgxnsiblo party b provided.
' Level spreaders in series can be used on slopes of up to 15% in forested areas with leaf littler cover or on slopes of up to 25% in areas
with thick ground corer or grass if designed according to the Draft Level Spreader Design Option Document. Thb potent* requires a
minor variance in protected buffer areas. In any event the second level spreader cannot be bled In Zone 1 of a p utoded buffer area.
DWQ Projed No.
DIVISION OF WATER QUALITY - LEVEL SPREADER WORKSHEET
1. PROJECT INFORMATION (please complete the following information):
Project Name : 1
Contact Person: :Xn K o rt;?5L- Phone Number. 7 h - r?s
Level Spreader ID: it 2
Level Spreader Length 39 ft.
DrJa sago Area D 9 ac.
ImpGrVi0U3 Area ?J . 1 3 ae.
Maximum Filter Strip/Buffer Slope %
grass
Max. Discharge from a 10 Year Storm 2.12 cis
Max. Discharge to Level Spreader 2.4 2 cis
Filter Strip/Buffor Vegetation &P- A -4S
(perpendicular to flow)
(on-sits and off-situ drahago to the level spreader)
(on-site and off-sito dr-4.n' ago to tho level spreader)
(6% for forested, Icz-f littler cover, 8% for thick roO cover).
(thick ground cover or grass, canopied forest with lof litter
groundcovor)
Pro-bwtrnontor Bypass Method PR E -TQEATnCNr
REQUIRED ITEMS CHECKLIST
Inrtial In the space provided to indicate the following design roquiroment3 have boon mot and supporting docur cntation Is ottac hed. If a
nequlromont has not boon mot, attach an oVianetlon of why. At a minimum, a completo store orator management plan submittal bncude3
a worksheet for each 131,113, deslgn calculations, plans and specifications showing all BhfP3 and outlet strucbxo dam, a detailed
drahago plan and a fully executed operation and nu*tenanco agroement. An Incompleto subrrxttal padcago will result ina request for
additional information and Wil substantially delay final review and approval of the project
Aaollmnts Initials
ST Level sproador Is at !oast 13 it per cf3 for thick ground cover or grass or I DO ft per ds In canopied forest YAW
litter.
s f Pro-Form Scour Holes are on flat slopes only
ST No structures are located in protected buffers'
If bypass method specified in the Draft Level Spreader Design Option Document:
Bypass method is spociflod (if applfcabio) rand plan details and ealcula'Jons cm provided
Discharge to level spreader and subsequent f !tor strip 13 hydraulically and spatially separate from the bypass
discharge.
No structures are located in protected buffers.
Plan details for the bypass and outlets Oro provided.
The operation and maintenance agreement includes annual erosion and vegetation repair.
Tho operation and maintenance agreement signed end notarized by tike roz;pons1b!o party 13 provided.
Level spreaders in series carp be used on slopes of up to 15% In forested areas with leaf littler cover or on slopes of up to 25% in arras
with thick ground cover or grams if designed according to the Draft Level Spreader Design Option Doamhent. ThI3 potcntiatiy requires a
minor vairnoo in protected buffer ar> aa3. In any event the second level sprcadcr caawt be bid in Zone 1 of a protoctod buffer area.
DWQ Project No.
DIVISION OF WATER QUALITY - LEVEL SPREADER WORKSHEET
1. PROJECT INFORMATION (please complete the following information):
Project Name: GAM-500 5,yAp
Contact Person: Z e K O TEFL- Phone Number. 9- r?ss?
Level Spreader ID::a 3
Level Spreader Length 2& ft
Drainago Area 0. S ac.
Impervious Area 0.5- ac.
Ma)dmum Filter Strip/Buffer Slope %
grass
Max. Discharge from a 10 You Storm /. G Z cfs
Max. Discharge to Level Spreader / (p Z Cf3
Filter StripBuffor Vegetation Co Q A sS
(perpendicular to flow)
(on-situ ad off=sits dmhago to the level spreader)
(on-sits and off-site drarage to tho level spreader)
(6% for forested, lo,-,f GWor cover, 8% for thick groin cover)'
(thick ground cover or grass, canopied forest vr,'th lof Etter
groundcover)
Pro-t eatmont or Bypass Method ?Er. "7 EfA TA 6J '
REQUIRED ITEMS CHECI(LIST
Initial in the space provided to Indicate the following design requirements have been met and supporting documi;ntadon 13 Atached. ff a
mlukurnont has not boon mot, affacfr an oy1anatlon of why. At a minimum, a complete stomnYater management plan submittal Includes
a workshed for each BLIP, design calculations, plans and specifications rhovbv all BM!Ps and outlet structure d3tails, a det^ a
ddrwgo plan and a fully executed operation and matntonanco ogroement An incompleto submittal package will result in a request for
additional information and wlfi substantially delay final review and approval of the project
Arxpllcmts InMgts
rr Lovol spreader Is at least 13 ft per ds for thick ground cover or grans or 100 ft per cis In canopied forest wfh leaf
Iltler.
3' Pro-Form Scour Holes are on flat slopes only
S' No structures are located In protected buffers'
If bypass method specified In the Draft Level Spreader Design Option Document:
Bypass method 13 specified (if applicable) and plan details and ca lculatiorrs are provided
Discharge to level spreader and subsequent filter strip 13 hydraulically and spatially separate from the bypass
discharge.
No structures are located In protected buffers.
Plan details for tho bypass and outlets aro provided.
The operation and maintenance agreement includes annual erosion and vegetation repair.
Tho operation and malntonanco ogrooment signed and notarized by tho responsible party 13 provided.
' Level spreaders in series can be used on slopes of up to 15% In foressted areas v ith leaf tattier cover or on slopes of up to 25% in areas
with thick ground cover or grass If designed according to the Draft Level Spreader Design Option Dokx>rrrent This potcn&* requires a
minor varlanco In protected buffer areas. In any event the second level gxoador cannot be low in Zone 1 of a protxbed buffer area.
DWQ Project No.
OMSION OF WATER QUALITY - LEVEL SPREADER WORKSHEET
1. PROJECT INFORLIATION (please complete the following information):
Project Name : A021SOO S ub D ,
Contact Person: So k w rr-r5L- Phone Number. - ss
Level Spreader ID:.
Leval Spreader Length 9 ft.
Drainage Area a , 2 ac.
Impervious Area 0 1 7- CC.
Maximum Filter Strip/Buffer Slope %
grass
Max. Disdzrgo from a 10 Year Storm O. C.S cis
Max. Umchargo to Level Spreader D , S cis
Filter Strip/Buffer Vegetation /? 2ASS
(perpendicular to flow)
(on-sb and off=situ drathago to the level rpreader)
(on-site rand off-sito danage to the level cpreader)
(6% for forosted, loaf littler cover, 8% for thick grouO cover)'
(thick ground cower or grass, canopied forest vrth kof litter
groundcover)
Pro-troatrrant or Bypass Method Pe C- -T H-A tr?E,JT-
REQUIRED ffEfdS CHECKLIST
Initial In the space provided to indicate the following design requirements have been met cnd supporting documentation IS Aached. If a
mqukomont has not boon mot, attach an explanation of why. At a minimum, a complete stomnrator management plan submittal includes
a warks wot for oach BMP, design calculations, plans and specificalions show:ng a!! BVPs and outlet structuro dot: , a dotalled
drainage plan and a fully executed operation and mathtonance agroon nt An Incompleto submittal package vr71 %udt In a request for
additional Information and %WI sutr.;tantialy delay find review and approvJ of the project.
Aooliponts InMils
TT Lowol spreader is at least 131 per ds for thick ground covor or grass or 100 ft per cis In canopied forest with Ica!
litter.
T T- Pro-Form Scour Holes are on flat slopes only
Yr No structures are located in protected buffers'
If bypass method spedfiod in the Draft Level Spreader Design Option Document:
Bypass method Is specified (if applicable) and plan details and calculations are provided
Discharge to level spreader and subsequent filter strip 13 hydraulically and spatially separato from tho bypass
discharge.
No structures are located in protected buffers.
Plan details for tho bypass and outlets Oro provided.
The operation and maintenance agreement includes annual erosion and vegetation ropak.
Tho operation and maintenance ogreement signed and notarized by tfw rosponsib o party is provided.
• Level spreaders in series can be used on slopes of up to 15% In forested areas with IM littler cover or on slopes of up to 25% in areas
with thick ground cover or grass if designed according to the Draft Level Spreader Design Option Dowmnt. This potentially requires a
minor v co in protected buffer areas. In any event tho second level spreader cannot be Iocctcd In Zone 1 of a protected butter area.
DWQ Project No.
DIVISION OF WATER QUALITY - LEVEL SPREADER WORKSHEET
1. PROJECT INFORMATION (peso complete tha following infbn=-Uon):
Project Nam: ;A9R1So)J SvgD .
Contad Person: -To tt TE 151 Phone Number. - 9,
Level Spreader ID: ?t S
Level Spreader Length 3 G it
DrInago Arai ac.
Impervious Area . D f cc.
Maximum Filter Strip/Buffer Slope ( %
9=3
Max. Discharge from a 10 Year Storm 7 S cfs
Max. Disctwgo to Level Spreader 2.7 cis
Filter Strip/Buffer Vegetation t Q A s S
(perpendicular to flew)
(on-sito and off-situ dra rage to tho level spreader)
(on-sito and off-situ dd!nage to the level cpreador)
(6% for forested, loaf littler cover, 8% for thick groucd cover)'
(thick ground cover or grass, canopied forest v4h kaf latter
groundcover)
Pro-troatmentor Bypass Method C2E-TECAT?IE?T-
II. REQUIRED ITEP.iS CHECKLIST
Initial In the space provided to Indicate the following design roquiranents have been met and supporting docum; ntatlon IS slaChed. If a
roquiremont has not boon mot, aftach ran oxplanation of why. At a mnimum, a completo stonmater management plan : ubrnittal includes
a =kshoet for each BMP, design calculations, plans and specification showing 1 Bh'Ps and outlet structuro do a detar9ed
drainago plan and a fully executed operation and maintenanco ogreomont. An Incomplete submittal package w,ilp r=ft In a request for
additional information end will ; ubstantiaty delay final review red cpprovai of the projod
Applicants Initials
Fy- Lovd sproador f3 at least 13 it per ds for thick ground cover or grans or 100 R per ds In carsopiod forost with leaf
litter.
S T- Pro-Form Scour Holes am on flat slopes only
3 No structures are located in protected buffers'
If bypass method specified in the Draft Level Spmador Design Option Docrmmt:
Bypass method is specified (f applicable) and plan details and calculations aro provided
Dischargo to level spreader and subsoquont filter strip b hyd=11cally and spatially separate from the bypass
disehargo.
No structures are located in protected buffers.
Plan details for the bypass and outlets a o providod.
The operation and maintenance ogrocment includes annual cro.,ion and vegetation repair.
The operation and maintenance agreement signed and notarized by the mrponsiblo party 13 provided.
' Level spreaders in series CM be used on slopes of up lo 15% in forested areas with leaf littler cover or on siope3 of up to 25% in areas
with thick ground cover or gras3 if designed according to the Draft Level Spreader Design Option Document This potentially requires a
minor variance in protected buffer areas. In any event the second level Ixc3dor m mot be lewd in Zone 1 of a pretocted buffer area
DWQ Project No.
DIVISION OF WATER QUALITY - LEVEL SPREADER WORKSHEET
1. PROJECT INFORMATION (piece complete the following information):
Project Nano: r,AePIsolJ kya p
Contact Person: SdtA rJ rcC L Phone Number. S?
Level Spreader ID:,?j
Level Spreader Length I q I it
Drsinago Area ac.
Impervious Area X.
Maximum Filter StripBuffer Slope %
9=3
Max. Discharge from a 10 Year Storm I? cis
Max. D'.sc>argo to Level Spreader i f . cis
Filter Strip/Bufior Vegetation QA SS
(perpendxulx to flow)
(on-sl1a rind off-sito drahago to the level spreader)
(on-rate c nd off-?Io drnago to tho level spreader)
(6% for forested, loaf littler cover, 8% for thick ground cover).
(thick ground cover or grass, canopied forest with 19f litter
groundcover)
,?PF-tKFA7/?<?i
Pro-troatrnentorByp=Method
REQUIRED ITEMS CHECKLIST
Initial In the space provided to indicate the following design requirements have been mot cnd supporting documentc9on b ached. If a
nquiremont has not boon mot, attach an oxpfanation of why. At a minimum, a complete stormwater management pen subigial Includes
a worksboot for each BM.P, design calculations, plans and : podf caS= shoWxQ :JI BMPs and outlet strucl uro doh a doL "
dralnago plan and a fully executed operation and ma!n1arimco ogroorncrnt An Incomplete submittal packago vill result in a request for
additional information and will srubstrmtia3ly delay final roviow and approval of the projod.
Amliconts Initials
3T _-Level spreader 13 d !oast 13 R pot cfs for thick ground cover or grass or 100 R per cfs in canopied forest mth leaf
litter.
S T- Pro-Form Scour Holes are on flat slopes only
T,T' No structures are k>cotod in protected buffers'
If bypass nmthod specified In the Draft Level Spreader Design Option Doarm ont:
Bypass method b specified (if oppricablo) and plan details and calculations are provided
Discharge to level spreader and subsequent filtor strip b hydraulically and spatially separate from the bypass
discharge.
No structures are located in protected buffers.
Plan details for the bypass and outlets are provided.
The oporatfon and maintenance agreement includes annual erosion and vegetation repair.
The operation rand malntonance agreement signed and notarized by tha responsible pity b provided.
Level spreaders in series carp be used on slopes of up to 15% in forested areas with leaf littler cover or on £IDIM of Up to 25% In areas
v.ith thick ground cover or grass If dovJgned according to the Draft Level Sprc3dor Design Option Docnhent This potorhd* requites a
minor va;rianoo in protected buffer areas. In any ovent the second level spreader ccnnot be loes od in Zone 1 of a protxtod budV area.
DWQ Ned No.
DIVISION OF WATER QUALITY - LEVEL SPREADER WORKSHEET
1. PROJECT INFORMATION (pleaso complete the following information):
Project Nam : (, A MS 0,-; $06n.
Contact Person: T 1-h) rtrr . Phone Number. t Ss'
Level Spreader ID:.jt -1
Level Spreader Length it
Drainage Area ac.
Impervious Area CC.
Maximum Filter Strip/Buffer Slope
grass
Max. Discharge from a 10 Year Storm 11.19 cfs
Max Disctu rgo to Level Spreerfer 11.0 cfs
Filter StriiplBuffor Vegetation L. e ASs
(perpendicular to flow)
(on-situ and off-site draInago to the level spreader)
(on-sit0 and off--situ dra'nago to the level cpacader)
(6% for forested, IM Etifer cover, 8% for thick grou l cover).
(thick ground cover or grass, canopied forest W.lh W Etter
groundcovor)
Pro-treatment or Bypass Method Pe r--To EA r/l g nllr
REQUIRED f uas CHECKt.IST
Initial In the space provided to indicate the following design requirements have been met and supporting doaummcntation 13 sitachod. If a
requirement has not boon mot, attach an wplanation of My. At a minimum, a complete donmvator management plan sutxn;'ttnl includes
a t= kshoot for each BMP, doslgn calculations, plans and specifications sho4V ail BMPs tnd outlet structuro dam, a d4god
drainago plan and a fully executed operation and nk*tonarce agreement An Incompleto subnittal packago w m result in a request for
additional information and WH ubstantiaity delay fine roviow and eppnrnal of the project
Armlicnnts Inftials
-T I- Loyd spreader b at bast 13 ft per cfs for thick ground cover or grass or 100 ft per cis In conoplod forest with leaf
litter.
7 T Pro-Form Scorn Holes are on fiat slopes only
5 No stnrduros are located in protected buffers'
If bypass method specified in the Draft Level Spreader Design Option Document:
Bypass method Is specified (f epplicablo) and plan details and calculations are provided
Discharge to level spreader and subsequent filter strip 13 hydraulically and spatially separate from the bypass
discharge.
No strucfure3 are locatod in protected buffers.
Plan deUI3 for tho bypass and outlets are provided.
Tho operation and maintenance agreement Includes annual eroslon and vegetation rep&
The operation and maintenance agreement signed and notarized by the responsiNo party 13 provided.
• Level spreaders in series can be used on slopes of up to 15% In forested areas with leaf littler cover or on sfopcs of up to 25% in area;
with thick ground cover or grows If designed according to the Draft Level Spreader Design Option Document ThI3 potent* !,'y requires a
minor varianco in protected buffer areas. In any event the second level sprcadcr cannot be loccitod in Zone 1 of a protoctod buffer crra.