20090846 Ver 1_401 Application_20090809

4 6
`4 -
Office Use Only:
-jE /J 0 V -K Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the Corps: ? Section 404 Permit ? Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes ? No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
? 401 Water Quality Certification - Regular ? Non-404 Jurisdictional General Permit
? 401 Water Quality Certification - Express 0 Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required?
0 10 For the record only for DWQ
401 Certification:
? Yes ? No For the record only for Corps Permit:

? Yes ? No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in-lieu fee program.
? Yes No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below. ? Yes No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ? No
2. Project Information
2a. Name of project: h ) ?.%n, '
2b. County:
2c. Nearest municipality / town: I
2d. Subdivision name: tv-0 W n1 ?`A ?.J
2e. NCDOT only, T.I.P. or state project no:
3. Owner Information

3a. Name(s) on Recorded Deed: i
V D 5 Z L a.,? ?- S o
3b. Deed Book and Page No. i3oo1? t??3 K Z"Z l1
3c. Responsible Party (for LLC if
applicable):
S ti
3d. Street address: r v „v. o w r
3e. City, state, zip: z'._ LEA V, N C_ Z-7 (0 1 5
3f. Telephone no.: 919- 14%- W 19 5
3g. Fax no.:
3h. Email address: V-D V`?r e+. O a c c. o W'-
u10
AUG 5 200g

DENR -WATER-QUALITY
Page 1 of 10 WETLANDSANDSTORMWATERBRANCH
PCN Form - Version 1.4 January 2009
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip:
5e. Telephone no.:
5f. Fax no.:
5g. Email address:
Page 2 of 10
B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1 b. Site coordinates (in decimal degrees): Latitude: Longitude:
1c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: T A-o
2b. Water Quality Classification of nearest receiving water:
2c. River basin: .mss
3. Project Description
3a. Describe the existing conditions on the site and the eneral land use in the vicinity of the project at the time of this
application: f..&x-b Z'S'+'ot.? ?oubI_ tv? 1rtSk®sr%T•k
,??, 5 ?bo??.oon
3b. List the total estimated acreage of all existing wetlands on the property:
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d. Explain the purpose of the proposed project:
3e. Describe the overall project in detail, including the type of equipment to aA used:
-Sy b 7c 2 Czw. t+ti - bk c,4 I 's }-e r tea i AS o_
?r\ooe ??tVt?"'C'•A •'? STCL?c.Tv?"?..? -Ev rtvear?-`fir' kow.ti. ?l?n1D;w.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ? Yes ? No Unknown

Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made? ? Preliminary ? Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Agency/Consultant Company:
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? ? Yes No ? Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? ? Yes No
6b. If yes, explain.
Page 3 of 10
PCN Form -Version 1.4 January 2009
C. Proposed Impacts inventory
1. Impacts Summary U
1a. Which sections were completed below for your project (check all that apply):
? Wetlands ? Streams -tributaries ? Buffers ? Open Waters ? Pond Construction
2. Wetland Impacts N'A„
If there are wetlan d impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary 2b.
Type of impact 2c.
Type of wetland 2d.
Forested 2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other) 2f.
Area of
impact
(acres)
W1 Choose one Choose one Yes/No
W2 Choose one Choose one Yes/No
W3 Choose one Choose one Yes/No
W4 Choose one Choose one Yes/No
W5 Choose one Choose one Yes/No
W6 Choose one Choose one Yes/No
2g. Total Wetland Impacts:
2h. Comments:
3. Stream Impacts N
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary (T) 3b.
Type of impact 3c.
Stream name 3d.
Perennial (PER) or
intermittent (INT)? 3e.
Type of
jurisdiction 3f.
Average
stream
width
(feet) 3g.
Impact
length
(linear
feet)
S1 Choose one
S2 Choose one
S3 Choose one
S4 Choose one
S5 Choose one
S6 - Choose one _
3h. Total stream and tributaryimpacts
oi. ?..unnnents:
Page 4 of 10
PCN Form - Version 1.4 January 2009
4. Open Water Impacts N Ik
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individual) list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary 4b.
Name of waterbody
(if applicable) 4c.

Type of impact 4d.

Waterbody
type 4e.

Area of impact (acres)
01 Choose one Choose
02 Choose one Choose
03 Choose one Choose
04 Choose one Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a.
Pond ID number 5b.
Proposed use or
purpose of pond 5c.
Wetland Impacts (acres) 5d.
Stream Impacts (feet) 5e.
Upland
(acres)
Flooded Filled Excavated Flooded Filled Excavated
P1 Choose one
P2 Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required? Yes E] No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If an impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin? ?Neuse [] Tar-Pamlico ? Catawba [] Randleman ? Other:
6b.
Buffer Impact

PtEa 6c.
Reason for impact 6d.
Stream name 6e.
Buffer
mitigation

required? 6f.
Zone 1
impact

(squar
e
feet 6g.
Zone 2
impact

(square
feet
. r? lad ?/??? Ye o Z2? C)
B2 ?O ,?- `? ??,. Yes/No
B3 Yes/No
B4 Yes/No
B5 Yes/No
B6 Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes lo
2b. If yes, mitigation is required by (check all that apply): ?DWQ ? Corps

2c. If yes, which mitigation option will be used for this
project? ? Mitigation bank

? Payment to in-lieu fee program
? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
se one Quantity:
3b. Credits Purchased (attach receipt and lose one Quantity:
=Ty
ose one Quantity:
3c. Comments:
4. Com lete if Makin a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. ? Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation, stream temperature: Choose one
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal) wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
I
Page 6 of 10
PCN Form -Version 1.4 January 2009
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
I
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation? ? Yes ? No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank
,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 7 of 10
E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a . Does the project include or is it adjacent to protected riparian buffers identified Yes ? No
within one of the NC Riparian Buffer Protection Rules?
1 b . If yes, then is a diffuse flow plan included? If no, explain why.
?Z e`• r. ?` r?-w? t;'?,. w ?r•-?i )l'es ? No

2. Stormwater Management Plan
2a . What is the overall percent imperviousness of this project? %
2b . Does this project require a Stormwater Management Plan? ? Yes ? No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d . If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
? Phase II
3b . Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been []Yes ? No
attached?
4. DWQ Stormwater Program Review
[]Coastal counties
?HQW
4a. Which of the following state-implemented stormwater management programs apply ?ORW
(check all that apply):
[]Session Law 2006-246
? Other:
4b. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached.
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? ? Yes ? No
5b. Have all of the 401 Unit submittal requirements been met? ? Yes ? No
Page 8 of 10
PCN Form - Version 1.4 January 2009
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
use of public (federal/state) land? ? Yes lo
c
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ? Yes ? No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
? Yes ? No
Comments:
F2. Violations (DWQ Requirement)
V"7.0001-LJ O0*A7-T IL tgt.14 O01b
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, 9Yes ? No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? S ? No
2c. If you answered "ffyes" to one or both of the above questions, provide an explanation of the violation(s):
`?
C
L?
v , N -,V
w..? C?.a a t C b •? i - S S` t v` C.'t' 4.4.E k3 a.T 4.2.5
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in

El Yes No
additional development, which could impact nearby downstream water quality?
o
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. 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 facilit
y.
_ f
Page 9 of 10
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
habitat? ? Yes ? No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts? ? Yes ? No
5c. If yes, indicate the USFWS Field Office you have contacted.
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? T ? Yes ? No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
? Yes ? No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ? No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
n?-31-2007
Applicant/Agent's Printed Name Applicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant is provided.) Date
Page 10 of 10
Account Summary - 0129506
M F. . T Home Wake County Real Estate Data
Account Summary
-74 Real Estate ID 012950
WAKE Location Address
412 DROLMOND DR
COUNTY
NO:,; 11 C AR01 Account I Buildings
Page 1 of 1
(Maps
Tax Bills
6 PIN # 1707674310
Property Description Account
L083 CROWN OAKS SUB BM2004-2135 Search
Pin/Parcel History Search Results New Search
Land I Deeds I Notes I Sales Photos I Tax Bill Map
Property Owner
WILSON, CLAUDIUS S & ILARA S Owner's Mailing Address
412 DROLMOND DR
RALEIGH NC 27615-6229 Property Location Address
412 DROLMOND DR
RALEIGH NC 27615-6229

Administratve Data Transfer Information Assessed Value
Old Map # 324-00000-1082
Map/Scale 1707 11 Deed Date 1 2/10/2004 Land Value Assessed $50,000
VCS 07RA028 Book & Page 11 138 2717 Bldg. Value Assessed $108,049
City RALEIGH Revenue Stamps
Fire District Pkg Sale Date 11/7/1994
Township HOUSE CREEK Pkg Sale Price $108,000 Tax Relief
Land Class R-<10-HS Land Sale Date
ETJ RA Land Sale Price Land Use Value
Spec Dist(s) Use Value Deferment
Zoning R-6 Improvement Summary Historic Deferment
History ID 1 Total Deferred Value
History ID 2 Total Units 1
Acreage .58 Recycle Units 1
Permit Date Apt/SC Sqft Use/Hist/Tax Relief
Permit # Heated Area 1,504 Assessed
Total Value Assessed $158,049
For questions regarding the information displayed on this site, please contact the Revenue Department at
[e-mail] or call 919-856-5400.
http://services.wakegov. com/realestatelAccount.asp?id=0129506&stype=addr&stnum=412&stna... 06/30/2009
Floodsmart.gov
Floodmar
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wo
Call toll free: 1-888-379-9531
Search Go
Property Address: 412 DROLMOND DR RALEIGH, NC 27615
YOUR PROPERTY'S This Property is High Risk
FLOOD RISK
You live in or near a Special+
Flood Hazard Area.
Disclaimer
The risk profile displayed at FloodSmart.gov is not a legal document and should not be used in
place of a flood zone hazard determination. Risk profiles are meant to be used as advisory tools
for general flood hazard awareness and education. Do not use this information to make final
decisions about purchasing property or flood insurance.
The best way of determining your flood risk is by using Flood Insurance Rate Maps.
FloodSmart.gov uses digital versions of these flood maps to determine your relative risk level. To
determine your actual flood risk, go to the Map Service Center to view the latest flood map for
your community.
Please note that the results of this profile are not limited to National Flood Insurance Program
(NFIP) communities. However, flood insurance is only made available to these participating
communities. To find out if your community is a part of the NFIP, please visit
http://www.fema.gov/fema/csb.shtm or contact your local insurance agent.
Learn About Policies -
YOUR ESTIMATED
PREMIUM COST
Premiums vary depending on
the amount of coverage you
choose and the type of
coverage you need.
Estimated Annual Premium Cost*
$145 - $1148 Contents Only
$403 - $1701 Building Only
$509 - $2766 Building and Contents
* premium estimates are approximate
Detailed premium estimate >>
AGENTS SERVING
YOUR AREA
Contact an agent* to purchase
a flood insurance policy.
'Pricing does not vary by agent.
Matthew Clark .9mi.
Clark & Associates of Email this agent
Raleigh
Direct (919)-844-2995
Brian Phillips 1.5mi.
Brown-Phillips Insurance Email this agent
Direct (919)-874-0405
Pagel of 2
http://www.floodsmart.gov/floodsmart/oneStepFloodRiskAddressSearch.action 6/28/2009
iMAPS
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Raleigh Crime Data
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CUSTOMER SATISFACTION SURVEY
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Parcel Number: 1707674310
Property
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Copyright 2009. City of Raleigh & Wake County
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WHAT'S NEW
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iMAP S
Customer
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mmi parcel num
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legend
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Real Estate Data
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Department
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Zoning
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CUSTOMER SATISFACTION SURVEY WHAT'S NEW
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C+ /ZUs Qt j ;
Towner
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Zoning
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Parcel Number: 1707674310
Property
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WHAT'S NEW
Copyright 2009. City of Raleigh & Wake County
http://imaps.co.wake.nc.us/imaps/map.asp?cmd=REFRESH&msize=525&tool=PAN&pin=1707... 06/30/2009
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FLOOD CERTIFICATION
TATS WILL CERTIFY TEAT THE SUBJECT PROPERTY
( X ) IS or ( ) IS NOT located In a SPECW. FLOOD HAZARD AREA
as determined by the Department of Housing and Urban
Development, or as shown on the FLOOD IN T,E(,fMAP.
370243 1707 J / l
COMMUNITY PANEL SUFFlX FftFtSSIONAL LAND SUR&MR
NOTE
h
THIS PROPERTY DOES NOT LIE WITHIN
2000' OF A N.C.G.S. MONUMENT. CENTERLINE OF
THIS SURVEY IS OF AN EXISTING PARCEL G LICK BRANCH • IS
OR PARCELS OF LAND. 4 THE PROPERTY
UTILITIES SHOWN ARE FOR REPRESENTATION pay LINE, TRAVERSE
ONLY AND NOT TO BE USED FOR MO LINE FOR
PROPERTY LINE LOCATION REFERENCE ONLY
ALL CREEKS, EASEMENTS, BUFFERS,
do SETBACKS TAKEN FROM . .'. ' ;'.
so 90M 2004 PG 2135
•'OAKILO

DROLMOND DRIVE
_ ...................... .. (50' R/1P)
1, Jeffrey H. Davis, PLS , certify this map was drawn under my supervision from an actual survey mode under my supervision;
and that the error of closure as calculated by latitudes and departures is 1/ 10,000+ ; that the boundaries not surveyed
are shown as broken lines plotted from information found in Book - ; Page - that this mop was prepared in
accordance with G.S. 47-30 amended.
Witness my original signature, registration number and seal this
7TH day of MAY 2009. _,,-) /9 /7
LEGEND
O EXISTING IRON PIPE
0 NEW IRON PIPE
X COMPUTED CORNER
?Co
mrn
N) N)
U °
C)
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z
Signed
CLA UDI US WILSON
i? ILARA WILSON
LOT 83
A PORTION OF CROWN OAKS
v
412 DROLMOND DRIVE
RALEIGH NORTH CAROLINA
DATE: 05-07-2009 DWG. NO.
SCALE: 1* = 30' A-1 1825
.L:..:•••• "`""''gyp.
....... ?.'...
........ ....
Seal

OPF- CI
-NEUSE BUFFER TO BE
VERIFIED BY DMSION OF
WATER QUALITY
.. LINE TABLE
?.' LINE LENGTH BEARING
L1 34.40 S29'30490E
L2 2134 N36'35' 11 'W
CURVE TABLE
CURVE LENGTH RADIUS DELTA
C1 58,11-' 77.23' 19'47'08"
C2 165.42' 347 27' 27'17'30"
SEAL
L-3463
y
REVISED TO SHOW DIM TO CREEK
TURNING POINT
SURVEYING vuc
4113 JOHN S. RABOTEAU WYND
RALEIGH, NORTH CAROLINA 27612
FAX [phone] PH (919)781--0234
VICINITY MAP
(N.T.S.)