20190614 Ver 1_PCN Form Submission_20190507

DR
02*10n of Water R"Ourc"
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance into the review process?*
r Yes
r No
Is this project a public transportation project?*
r Yes r No
Change only if needed.
BIMS # Assigned
20190614
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
Information for Initial Review
1a. Name of project:
Greensboro Proposed Resort Lifestyle Community
1a. Who is the Primary Contact?*
Patrick R. Korn
1 b. Primary Contact Email:
[e-mail]
Date Submitted
5/7/2019
Nearest Body of Water
Reddick's Creek
Basin
Cape Fear
Water Classification
WS -Iv
Site Coordinates
Latitude: Longitude:
36.020397 -79.883408
A. Processing Information
County (or Counties) where the project is located:
Guilford
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
V Section 404 Permit (wetlands, streams and waters, Clean Water Act)
F_ Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1 b. What type(s) of permit(s) do you wish to seek authorization?
V Nationwide Permit (NWP)
r- Regional General Permit (RGP)
r- Standard (IP)
Version# *
1
What amout is owed?*
r $240.00
* $570.00
Select Project Reviewer*
Sue Homewood:eads\slhomewood
1c. Primary Contact Phone:*
[phone]

1c. Has the NWP or GP number been verified by the Corps?
f Yes F No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
rJ 401 Water Quality Certification - Regular
F Non -404 Jurisdictional General Permit
F- Individual Permit
39 - Commercial/Institutional Developments
r- 401 Water Quality Certification - Express
F- Riparian Buffer Authorization
1e. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification: f Yes 6 No
For the record only for Corps Permit: r Yes 6 %
1f. Is this an after -the -fact permit application?*
r- Yes F No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
f Yes r No
19. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r- Yes r No
Acceptance Letter Attachment
1h. lathe project located in any of NC's twenty coastal counties?
f Yes B No
1j. Is the project located in a designated trout watershed?
r- Yes r No
B. Applicant Information
1d. Who is applying for the permit?
F_ Owner rJ Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
r Yes r- No
2. Owner Information
2a. Name(s) on recorded deed:
KSL Sedgefield Pilot, LLC
2b. Deed book and page no.:
2c. Responsible party:
2d. Address
Street Address
5790 Fleet Street
Address Line 2
City
Carlsbad
Postal / Zip Code
92008
2e. Telephone Number:
[phone]
2g. Email Address:*
Mitch. [e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Bob Levis
State / Province / Flagion
CA
Country
USA
2f. Fax Number:

3b. Business Name:
Cameron General Contractors
3c.Address
Street Address
7101 S. 82nd Street
Address Line 2
city
Lincoln
Postal / Zip Code
68516
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/ town:
Greensboro
2. Project Identification
2a. Property Identification Number:
7832786157
2c. Project Address
Street Address
5300 High Point Road, Tract 4
Address Line 2
CKY
Greensboro
Postal / Zip Code
27407
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Reddick's Creek
3b. Water Resources Classification of nearest receiving water:*
WS -IV
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12 -digit HUC in which the project is located.
030300030105
4. Project Description and History
State / Province / Iegbn
NE
(bun*
USA
3e. Fax Number:
2b. Property size:
11.79
State / Province / Pegion
INC
(buntry
USA
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
The project site currently consists of open cleared and maintained undeveloped land. It is bordered on the north by a vacant commercial facility, to the east by Alamance Road followed
by a wooded area, High Point Road, and residences. To the south of the project area is High Point Road followed by residences. West of the project area is cleared maintained land,
Reddick's Creek, wooded areas and few residences.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes F No r Unknown
4d. Attach an 8 1/2 X11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
USGS Topo.pdf
2.82MB
4e. Attach an 8 1/2 X11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
71187511 Soils Map.pdf 814.95KB
4f. list the total estimated acreage of all existing wetlands on the property:
0.07 acres

4g. List the total estimated linear feet of all existing streams on the property:
1,664 linear feet
4h. Explain the purpose of the proposed project:*
The purpose of this project is to construct a senior living facility, adequate parking and roadways, and a stormwater management infrastructure that can adequately support the
proposed facility. The need for the proposed project is to provide housing for seniors.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The Proposed Resort Lifestyle Community project will involve the construction of a senior living facility. The facility will consist of a central living area at the core of the building as well as
two wings, which will contain apartment units. The facility will be equipped with asphalt pavement for parking and perimeter access around the exterior of the facility. A proposed parking
garage is to be constructed on the western side of the proposed facility. West of the parking garage will be a storm water management infrastructure.
4j. Please upload project drawings for the proposed project.
100192 - Greensboro Wetland Permit Drawings 2019-01-03.pdf 3.61 MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
R Preliminary r Approved r Not Verified r Unknown r WA
Corps AID Number:
SAW -2018-01939
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Timothy O'Halloran & Mary C. Murray
Agency/Consultant Company: Terracon Consultants
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
Upon review of the request, the USACE accompanied Terracon Personnel at the site on November 2, 2018 to verify the accuracy of the delineation. The USACE provided Terracon with
recommendations to revise the location of the wetlands located on-site. The revisions representative of the requested changes are shown in Appendix B.
5d1. Jurisdictional determination upload
SAW- 2018-01939 - Greensboro PRLC JD Package_REVISED.pdf 7.34MB
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
V Wetlands r Streams -tributaries r Buffers
r- Open Waters r Pond Construction
2. Wetland Impacts
!a. Site #* (?) 2a1 Reason(?) 2b. Impact type * (?) 2c. Type of W. * 2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition*(?) area*
_11
t
land A Parking garage JP Headwater Forest Headwater Wetland Yes Corps 0.060
(acres)
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.060
29. Total Wetland Impact
0.060
2h. Comments:

E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Alternative designs were considered to minimize impacts to wetlands and WoUS. The original site plan was redesigned to minimize impacts to existing
on-site wetlands as well as minimize land disturbance during construction. The site plan must meet specific criteria to avoid obstruction of the vacant
facility located north of the project area because it is considered to be a historical preservation site.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Only a portion of the parking garage will be impacting the wetlands. Due to the building sight line restriction, this is the most feasible location for the
parking garage to have minimal impacts. The building behind on the property behind the project area is considered a historical site, and this the
building site line restriction is necessary so that the building remains visible from High Point Road. During the time of construction waste should not be
allowed to be stored around the wetlands or streams on-site, and vehicles should not be allowed to idle around wetlands or streams to reduce
environmental impacts. The construction of a parking garage will minimize impacts to WoUS. The parking garage will reduce the amount of impervious
surface that will be developed on site, this will reduce downstream erosion and protect water quality. In addition, minimization of impervious surfaces
results in less direct impacts to WoUS.
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?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The impacted wetlands are under 0.1 acres.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) -
1. Diffuse Flow Plan
1a. Does the project include oris it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes r No
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (lower SHWT)
F_ Wetland Swale (higher SHWT)
R Other SCM that removes minimum 30% nitrogen
F_ Proposed project will not create concentrated stormwater flowthrough the buffer
Diffuse Flow Documentation
Greensboro PRLC SCM Summary.pdf 492.66KB
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes r No
Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 21-1.0500), Isolated Wetland Rules (15A NCAC 21-1.1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15ANCAC 2B.0200)?*
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No

3b. If you answered "no," provide a short narrative description.
The site will be improved with a senior living facility. No additional development in the project area is known at this time.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r N/A
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?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes r No
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
Sf. Will you cut anytrees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
Sh. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
r Unknown
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
IPaC, Natural Heritage Program, field observations by a qualified scientist.
Consultation Documentation Upload
USFWS IPaC Letter.pdf 206.65KB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA National Marine Fisheries
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?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
North Carolina State Historic Preservation Office.
7c. Historic or Prehistoric Information Upload
1631.1 Pilot At Sedgefield_SHPO Sub_5.3.19.pdf 24.02MB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
FEMA FIRM Map Number 3710783200J dated 06/18/07
Miscellaneous
Comments
The Resort Lifestyle Community project will involve the development of solely Tract 4, by Cameron General Contractors. The remainder of the property is owned by KSL Sedgefield
Pilot, LLC and they will be submitting a separate Nationwide Permit for their sanitary sewer project.
Miscellaneous attachments not previously requested.

71187511 _Greensboro PRLC NWP_20190506.pdf
Signature
JW By checking the box and signing below, I certify that:
18.19MB
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the INC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Timothy O'Halloran
Signature
e�teteoFy �`SYit/�t2�
Date
5/7/2019

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID: 0156629
STREET ADDRESS: 5300 High Point Road, Tract 4
Greensboro, North Carolina 27407
Please print:
Property Owner: _ KSL Sedgefield Pilot, LLC
Property Owner:
Cameron General Contractors (Pending Property Transaction)
The undersigned, registered property owners of the above noted property, do hereby authorize
Patrick R. Korn
(Contractor / Agent)
__.of
Terracon Consultants
(Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
7101 S. 82nd Street
Lincoln, NE 68516
Telephone: [phone] - Mr. Bob Lewis, Director of Development
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
The property located at 5300 High Point Road, Tract 4, in Greensboro, North Carolina is currently
owned by KSL Sedgefield Pilot, LLC. A transaction between KSL Sedgefield Pilot, LLC and
Cameron General Contractors is underway and the property will soon be owned by Cameron Gen-
eral Contractors. Terracon Consultants will be acting as n authorized agent for Cameron General
Contractors. —/I
l , d_ ! I'
Authorized Signature orized Signature
Date: 7 2,c11 Date: r—
l
J

Project Summary
Project Name: RLC - Greensboro
Project Area (ft): 514,008 ft
Disturbed Area (ft): 326,700 ft
County:
11.8000 acres Submission Date:
7.5000 acres
Local Jurisdiction: Greensboro
Development Land Use Type: Commercial
Owner Type:
Private
1.3%
Development Activity Type: Development
- New
Designated Downtown Area.
no
34.0%
Nutrient Management Watershed: Randleman Lake
Subwatershed:
Randleman -
Lower
Phosphorus Delivery Zone: Randleman -
Lower
Nitrogen Delivery Zone:
Randleman -
Lower
Phosphorus Delivery Factor (%):
100%
Nitrogen Delivery
Factor (%):
100%
Phosphorus Loading Rate Target (Ib/ac/yr):
0.81
Nitrogen Loading Rate Target (Ib/ac/yr):
5.08
Phosphorus Load Target at Site (Ib/yr):
9.59
Nitrogen Load Target at Site (Ib/yr):
59.91
Phosphorus Load Leaving Site w/SCMs (Ib/yr):
6.90
Nitrogen Load Leaving Site w/SCMs (Ib/yr):
28.00
P Offsite Buy -Down Threshold Loading Rate (Ib/ac/yr):
N/A
N Offsite Buy -Down Threshold Loading Rate
N/A
Total P Load Reduction Needed (Ib/yr):
0.00
Total N Load Reduction Needed (Ib/yr):
0.00
P Load Treatment Balance at Site (Ib/yr):
-2.69
N Load Treatment Balance at Site (Ib/yr):
-31.91
P Load Treatment Balance at Lake (Ib/yr):
-2.69
N Load Treatment Balance at Lake (Ib/yr):
-31.91
Nutrient Export Summary
Percent Impervious (for runoff calculation) (%)
Pre -Project
Whole Site
Conditions
Post -Project
Whole Site
without SCMs
Post -Project
Whole Site with
SCMs
Post -Project
SCM -Treated
Area
Post Project
Untreated Area
1.3%
36.7% 36.7% 86.6%
5.6%
Percent Built -Upon Area (BUA) (%)
1.3%
34.0%
34.0%
79.5%
5.6%
Annual Runoff Volume ft3/ r
109,468
678,720
486,165
376,462
109,702
Annual Runoff % Change (relative to pre -D)
0%
520%
344%
Total Nitrogen EMC (mg/L)
2.27
1.41
0.92
0.65
1.87
Total Nitrogen Load Leaving Site (Ib/yr)
15.51
59.91
28.00
15.19
12.81
Total Nitrogen Loading Rate (Ib/ac/yr)
1.31
5.08
2.37
3.35
1.76
Total Nitrogen % Change (relative to pre -D)
0%
286%
81%
Total Phosphorus EMC (mg/L)
0.89
0.23
0.23
0.12
0.58
Total Phosphorus Load Leaving Site (Ib/yr)
6.11
1 9.59
6.90
2.89
4.01
Total Phosphorus Loading Rate (Ib/ac/yr)
0.52
1 0.81
0.58
0.64
0.55
Total Phosphorus % Change (relative to pre -D)
0%
1 57%
13%

SCM/Catchment Summary
SCM rows in red have a data entry error for the SCM that makes an error in the calculation.
SCM ID and Type
Catchment 1
Volume
Reduction (%)
33.84%
TN Out (mg/L)
0.65
TP Out (mg/L)
0.12
TN Out
(lbs/ac/yr)
3.35
TP Out
(lbs/ac/yr)
0.64
TN Reduction
(oho)
67.74%
TP Reduction (%)
48.16%
101: Bioretention with IWS per MDC
33.84%
0.65
0.12
3.35
0.64
67.74%
48.16%
102: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
103: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
Catchment 2
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
201: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
202: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
203: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
Catchment 3
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
301: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
302: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
303: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
Catchment 4
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
401: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
402: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
403: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
Catchment 5
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
501: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
502: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
503: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
Catchment 6
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
601: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
602: NA
0.00%
0.00
0.00
0.00
0.00
0.00%
0.00%
603: NA
0.00%
0.00
0.00
0.00
0.00
1 0.00%
0.00%
SCM rows in red have a data entry error for the SCM that makes an error in the calculation.

Supporting Calculations
R„ = 0.05 + ( 0.009 * 1),
where I = percent impervious (%)
V=Pi* Rv*A*(P/12),
where A = area of catchment (ft)
P = average annual rainfall depth (in)
L=((P*Pi*Rj-(12))*(C*A*2.72)
where L = annual pollutant loading (lbs)
Pi = fraction of rain events that produce runoff (dec)
C = event mean concentration of pollutant (mg/L)
Vout = Vin * (1 - Red)
where V;n = inflow volume (ft')
Red = volume reduction by SCM (%)
Lout = Vout * EMCo„ t * 6.243E-5
where Vo„ t = outflow volume (ft'),
EMCo„ t = effluent median concentration (mg/L)
CATCHMENT 1, SCM 101
Type of SCM:
Bioretention with IWS
per MDC
Area Treated by SCM (ft):
197,600
Percent Impervious of Contributing Watershed (%):
87%
Runoff Coefficient, Rv:
0.83
Inflow Volume (ft):
569,018
Incoming Total Nitrogen Concentration (mg/Q:
1.33
Annual Incoming Total Nitrogen Load (lbs):
47.09
Incoming Total Phosphorus Concentration (mg/Q:
0.16
Annual Incoming Total Phosphorus Load (lbs):
5.58
Total Volume Leaving SCM (ft):
376,462
Outgoing Total Nitrogen Concentration (mg/Q:
0.65
Annual Outgoing Total Nitrogen Load (Ibs):
15.19
Outgoing Total Phosphorus Concentration (mg/Q:
0.12
Annual Outgoing Total Phosphorus Load (Ibs):
2.89
Annual Volume Reduction by SCM (ft):
192,556
Annual Volume Reduction by SCM (%):
34%
Annual Total Nitrogen Reduction by SCM (%):
67.74%
Annual Total Nitrogen Reduction by SCM (lb):
31.90
Annual Total Phosphorus Reduction by SCM (%):
48.16%
Annual Total Phosphorus Reduction by SCM (lb):
2.69

Supporting Calculations
R„ = 0.05 + ( 0.009 * 1),
where I = percent impervious (%)
V=Pi* Rv*A*(P/12),
where A = area of catchment (ft)
P = average annual rainfall depth (in)
L=((P*Pi*Rj-(12))*(C*A*2.72)
where L = annual pollutant loading (lbs)
Pi = fraction of rain events that produce runoff (dec)
C = event mean concentration of pollutant (mg/L)
Vout = Vin * (1 - Red)
where V;n = inflow volume (ft')
Red = volume reduction by SCM (%)
Lout = Vout * EMCo„ t * 6.243E-5
where Vo„ t = outflow volume (ft'),
EMCo„ t = effluent median concentration (mg/L)
CATCHMENT 1
Cumulative Catchment Area (ft):
197,600
Composite Catchment Impervious Surface (%):
Composite Runoff Coefficient, Rv:
Cumulative Runoff Volume (ft 3):
569,018
Composite Total Nitrogen Runoff Concentration (mg/L):
1.33
Annual Total Nitrogen Runoff Load (lbs):
47.09
Composite Total Phosphorus Runoff Concentration (mg/L):
0.16
Annual Total Phosphorus Runoff Load (lbs):
5.58
Total Volume Leaving Catchment (ft):
376,462
Outgoing Total Nitrogen Concentration (mg/L):
0.65
Annual Outgoing Total Nitrogen Load (Ibs):
15.19
Outgoing Total Phosphorus Concentration (mg/L):
0.12
Annual Outgoing Total Phosphorus Load (Ibs):
2.89
Annual Volume Reduction by Catchment (ft):
192,556
Annual Volume Reduction by Catchment (%):
34%
Annual Total Nitrogen Reduction by Catchment (%):
67.74%
Annual Total Nitrogen Reduction by Catchment (lb):
31.90
Annual Total Phosphorus Reduction by Catchment (%):
48.16%
Annual Total Phosphorus Reduction by Catchment (lb):
2.69

S'..%.
P A`=1I h N E L.I!L Jlh.
United States Department of the Interior14
FISH AND WILDLIFE SERVICE
Raleigh Ecological Services Field Office '
Post Office Box 33726
Raleigh, NC 27636-3726
Phone: [phone] Fax: [phone]
In Reply Refer To: December 10, 2018
Consultation Code: 04EN2000-2019-SLI-0202
Event Code: 04EN2000-2019-E-00464
Project Name: Greensboro Proposed Resort Lifestyle Community
Subject: List of threatened and endangered species that may occur in your proposed project
location, and/or may be affected by your proposed project
To Whom It May Concern:
The species list generated pursuant to the information you provided identifies threatened,
endangered, proposed and candidate species, as well as proposed and final designated critical
habitat, that may occur within the boundary of your proposed project and/or may be affected by
your proposed project. The species list fulfills the requirements of the U.S. Fish and Wildlife
Service (Service) under section 7(c) of the Endangered Species Act (Act) of 1973, as amended
(16 U.S.C. 1531 et seq.).
New information based on updated surveys, changes in the abundance and distribution of
species, changed habitat conditions, or other factors could change this list. Please feel free to
contact us if you need more current information or assistance regarding the potential impacts to
federally proposed, listed, and candidate species and federally designated and proposed critical
habitat. Please note that under 50 CFR 402.12(e) of the regulations implementing section 7 of the
Act, the accuracy of this species list should be verified after 90 days. This verification can be
completed formally or informally as desired. The Service recommends that verification be
completed by visiting the ECOS-IPaC website at regular intervals during project planning and
implementation for updates to species lists and information. An updated list may be requested
through the ECOS-IPaC system by completing the same process used to receive the enclosed list.
Section 7 of the Act requires that all federal agencies (or their designated non-federal
representative), in consultation with the Service, insure that any action federally authorized,
funded, or carried out by such agencies is not likely to jeopardize the continued existence of any
federally -listed endangered or threatened species. A biological assessment or evaluation may be
prepared to fulfill that requirement and in determining whether additional consultation with the
Service is necessary. In addition to the federally -protected species list, information on the
species' life histories and habitats and information on completing a biological assessment or

12/10/2018 Event Code: 04EN2000-2019-E-00464
evaluation and can be found on our web page at http://www.fws.gov/raleigh. Please check the
web site often for updated information or changes
If your project contains suitable habitat for any of the federally -listed species known to be
present within the county where your project occurs, the proposed action has the potential to
adversely affect those species. As such, we recommend that surveys be conducted to determine
the species' presence or absence within the project area. The use of North Carolina Natural
Heritage program data should not be substituted for actual field surveys.
If you determine that the proposed action may affect (i.e., likely to adversely affect or not likely
to adversely affect) a federally -protected species, you should notify this office with your
determination, the results of your surveys, survey methodologies, and an analysis of the effects
of the action on listed species, including consideration of direct, indirect, and cumulative effects,
before conducting any activities that might affect the species. If you determine that the proposed
action will have no effect (i.e., no beneficial or adverse, direct or indirect effect) on federally
listed species, then you are not required to contact our office for concurrence (unless an
Environmental Impact Statement is prepared). However, you should maintain a complete record
of the assessment, including steps leading to your determination of effect, the qualified personnel
conducting the assessment, habitat conditions, site photographs, and any other related articles.
Please be aware that bald and golden eagles are protected under the Bald and Golden Eagle
Protection Act (16 U.S.C. 668 et seq.), and projects affecting these species may require
development of an eagle conservation plan (http://www.fws.gov/windenergy/
eagle_guidance.html). Additionally, wind energy projects should follow the wind energy
guidelines (http://www.fws.gov/windenergy/) for minimizing impacts to migratory birds and
bats.
Guidance for minimizing impacts to migratory birds for projects including communications
towers (e.g., cellular, digital television, radio, and emergency broadcast) can be found at: http://
www.fws.gov/migratorybirds/CurrentBirdIssues/Hazards/towers/towers.htm; http://
www.towerkill.com; and http://www.fws. o� rg atorybirds/CurrentBirdIssues/Hazards/towers/
comtow.html.
Not all Threatened and Endangered Species that occur in North Carolina are subject to section 7
consultation with the U.S Fish and Wildlife Service. Atlantic and shortnose sturgeon, sea
turtles,when in the water, and certain marine mammals are under purview of the National Marine
Fisheries Service. If your project occurs in marine, estuarine, or coastal river systems you should
also contact the National Marine Fisheries Service, http://www.nmfs.noaa.gov/
We appreciate your concern for threatened and endangered species. The Service encourages
Federal agencies to include conservation of threatened and endangered species into their project
planning to further the purposes of the Act. Please include the Consultation Tracking Number in
the header of this letter with any request for consultation or correspondence about your project
that you submit to our office. If you have any questions or comments, please contact John Ellis
of this office at [e-mail].

12/10/2018 Event Code: 04EN2000-2019-E-00464
Attachment(s):
• Official Species List

12/10/2018 Event Code: 04EN2000-2019-E-00464
Official Species List
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
[phone]

12/10/2018 Event Code: 04EN2000-2019-E-00464 2
Project Summary
Consultation Code: 04EN2000-2019-SLI-0202
Event Code:
04EN2000-2019-E-00464
Project Name:
Greensboro Proposed Resort Lifestyle Community
Project Type:
DEVELOPMENT
Project Description:
5300 High Point Road, Tract 4, Guilford County, Greensboro, North
Carolina. The project area is approximately 11.79 acres, the scope of the
project is to construct a senior independent living center. The facility will
include a central common area and have two wings branching off of both
sides of the central core area and will contain apartments. Surrounding the
structure will be asphalt paved areas for parking and mobilizing around
the exterior of the facility. On the western side of the facility will be a
storm water pond.
Project Location:
Approximate location of the project can be viewed in Google Maps: https:
www.google.com/mgps/Tlace/36.02107524063524N79.88217742292969W
S
.4
C v
4
Counties: Guilford, NC

12/10/2018 Event Code: 04EN2000-2019-E-00464 3
Endangered Species Act Species
There is a total of 2 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheriesl, as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
Flowering Plants
NAME STATUS
Schweinitz's Sunflower Helianthus schweinitzii Endangered
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/3849
Small Whorled Pogonia Isotria medeoloides Threatened
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/1890
Critical habitats
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.

R 1 Ila a a`I Drive
e
�'�' �'_
�� � I �•'�j1•; �y S A �.!7 14 — s �� }• _ �e
V'k
T73 `�• '_�-` _ ,_ � �' �"�������� ��� �`� -� - --�-� r ��_
_
ppp `
rrP
us 4 1 Center
jC
A 2-5
< !!!
AY 1! r m A L � v
r
Wirde
A
ll: 0 rfae) MIN
%----6.
a - _
yy
oke
es,
_
•
,
TL Mudd
Ij 6L --ve
r � � mss. �m L�
r � 1 I A ", ISI X11 � on street
r � �• . ��I �. � a � l � � 'I I 1
I�
,r
® � _
' `w.
�} dd " ,7 4 1:_ �....,e111 Yom• ma
L f• .1.,.gym Y i
% 16
if a
r
Ll
k 'V3 in ree
%&6
r
■ Fad
t I
I i
m
1
e N 1,
�
d d
r Homes
PC NI
Lp
ml
/7 R`
Ada
_ 0 �.
1
�A r � � 1
•1 a` A a .,A � � , � rF'
,
r bOm U rb n
-
Loop -tea
f •. • m
1 �
` 00 �—
4 a ` Oka T .i
-��rD
aaaa� N � � a��c � _ —A��' 'nth _ A� ��'����' - •a
_ 1
Weevm �`
g Irl —- 1 � Por
L _
1
a'
I —
Fti •,®aF" •'m a II _rel �_� I a4i
.,
Irk
.,.
''���aa�� 1
JY- — a - —
-
r we fLL -
if
� FARM � � ��� RDaa
s is � 5�{ � m wl a `'e•. �; '
I r �Ikaf I �'Ir!�
A.
Y p
L f rrf � •°:•� � �1 II. — � �r err• 'pile edbe" �� R _
CE
, I
�. a� Ilr ll C I 1�
—
I� r' � � � I � • II
_�. Sed efi a Id
I �- SAA P@ r k
df
L•-
�" ,°" J ,+y , [ r•1 R O F WI i r I Av•
fn IE a dl
'
d
a reens oro, ngineering ngineering ans - Wg,
D
�1
© ®. enStreetMap (and) contributors, CC -BY -SA
PROJECT LIMITS
J
Q
=3
Co
BH
O
C?
O >
C S
Y
M
C\1
CO
N
CD
N 00
M
o
CCz
s
7 0
C c6
C
O
C,
6
C-7
C,
=
O
O N
E a
0
!_
—U_
O
3
CD M
C/) E
CL LL
z
ZD
O
C/)
OLU LL.
z
U
�z
00
z
U
�
0
w0
Q
J
m
0F
I
C/)z
LU
Lu
w
LL
LU
cn
0
C!)
LU
Ir
U)
U)
z
Q
J
0—
BH
BCG
BH
DESIGN
I DRAWN
I CHKD
JOB No.
100192-01-001
DATE :
01-03-2019
SHEET

TOTAL PROJECT AREA = 11.79 ACRES
TOTAL APPROXIMATE NON -WETLAND WATERS=1,664 L.F./0.35 ACRES
TOTAL APPROXIMATE .07 ACRES 3;
TOTAL APPROXIMATE UPLAND�SS= 110.37 ACRES P r\UJL`(� T / / z �
TOTAL APPROXIMATE LINEAR WETLANDS IMPACTED (FILL IMPACTS) = 0.02 AC. (800 SF)L M TS�4e
TOTAL APPROXIMATE WETLANDS IMPACTED (FILL IMPACTS) = 0.06 ACRES (2500 SF) ` / � / ; /
1 /
NEAR
o
� ;,��� � , • . ,
j
1
WETLAN D
3 i �
��- 0,,02 EAR'0'
-' -,-' WD MPACTS
LL MPACTS ON LY
\511,11
WETLAND ,Id,
-
0. 0 4 AC.
0 5P 10'
GRAPHIC SCAd
111=101/11
Hareens oro,
OF WETLAND
IMPACTS (FILA
MPACTS C NLYl
OPOSED
CONCRETE STORM
DRAINAGE PIPE
/,
/j
NON
z x- z z -
WETLAND ell,
WATER
e
I
I
I
I
I
I
I
I
I
I
I
F'A
�0,
N
\ W
� l
z
BH BCG BH
\ DESIGN DRAWN CHKD
JOB No. 100192-01-001
\ DATE : 01-03-2019
\_jj SHEET 3
J
Q
O
co
E
O
c?
/Ort >,
V Co
O Y
E�
co
cmc
N
N -CO
I
Mo
0') a_
J
d
7 0
��
d
U)O
cm
O N0
O
—
O
�'
O CV
8
c o
E
mInU)cr
T E
U
O
0-
z
ZD
/
O
Lu
O
LL
ZDJ
0
I
z
ZD
�U
Lu
�z
00
z
Q
U�
6-
w0
w
--i
CO
01:
>-
CO
Cnz
I
ww
Q
�0
0
un
Lu
\ W
� l
z
BH BCG BH
\ DESIGN DRAWN CHKD
JOB No. 100192-01-001
\ DATE : 01-03-2019
\_jj SHEET 3

TOTAL PROJECT AREA = 11.79 ACRES
TOTAL APPROXIMATE NON -WETLAND WATERS=1,664 L.F./0.35 ACRES
TOTAL APPROXIMATE WETLANDS = 0.07 ACRES
TOTAL APPROXIMATE UPLANDS = 11.37 ACRES
TOTAL
APPROXIMATE
LINEAR WETLANDS IMPACTED (FILL IMPACTS)
= 0.02
AC. (800 SF)
TOTAL
APPROXIMATE
WETLANDS IMPACTED (FILL IMPACTS) = 0.06
ACRES
(2500 SF)
: F:\l UUl92 - HW-Lireensooro,
•m
•
840
835
840
835
830
8251
835
830
825
820
830
825
1A
PROPOSED FILL GRADING
FILL GRADING
\
\
825
820
815
8101
1
820
815
810
805
815
810
805
800
810
805
WETLAND
IMPACT
805
800
800
795
795
10+00 +50 11+00 +50 12+00 +50 13+00 13+50
LINEAR WETLAND PROFILE - STA 9+50 TO STA 13+50
�'ertio al Yoggora tion = /0"
0 50' 100'
GRAPHIC SCALL_
1"=50'
am
N1
835
835
830
830
8251
825
820
\
1A
PROPOSED
FILL GRADING
820
815
�y
y
815
8101
1
1
810
805
WETLAND IMPACT
805
800
800
10+00 +50 11+00 +50 12+00 12+50
J
U �
WETLAND SECTION - STA 9+50 TO STA 12+50
I/e;�tica/ c xagaera tion ao�
LLJ
nUracUN IAL 50'
0 1 = 50
GRAPHIC SCALE
(10:1 VERTICAL EXAGGERATION)
EX/ST/NG GRADE
FINISHED GRADE
�Zo
F
J
r�L
0
1=0
=3 co
O > M
(D m M
Y N
0)
cz E
N cm
C
O a) �
U -0
cz O L O
E O E
O
CD M C!i Ir
Lu
J
Ir
0-
C)
ZD
U)
z
J
0-
C/)
W
F—
U
�z
00
U IC
W 0
� m
Cj)
�z
�W
W W
LL �
rr
0
W
rr
z
ZD
0
0
Ir
0
J_
0
BH I BCG I BH
DESIGN DRAWN CHKD
,LOB No. 100192-01-001
DATE : 01-03-2019
SHEET 4

N PM: MCM Project No. 71187511 NRCS Web Soil Survey Map EXH I B7 NO
Drewn By: Scale: Irerracon
,Po AS Shown
L� 5300 High Point Road, Tract 4
W E Checked By: File Path: 5
- Consulting Engineers & Scientists0 100 200 400 JAR Greensboro, Guilford County, North Carolina
S Feet Approved By: Date: 2701 Weport
Road Charlotte, NC 28216
JAR August 2018 phone: [phone] Fax: [phone]

-j