20190835 Ver 1_PCN Form Submission_20190619

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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 *
Version#*
20190835
1
Is a payment required for this project?*
* No payment required
What amout is owed?*
* Fee received
r $240.00
r Fee needed - send electronic notification
r $570.00
Reviewing Office* Select Project Reviewer*
Raleigh Regional Office - [phone] Stephanie Goss:eads\szgoss
Information for Initial Review
1a. Name of project:
Moon Pine Agroforestry Development
1a. Who is the Primary Contact?*
Robert Tucker
1 b. Primary Contact Email:*
[e-mail]
Date Submitted
6/19/2019
Nearest Body of Water
Mud Lick Creek
Basin
Cape Fear
Water Classification
WS -III
Site Coordinates
Latitude:
35.835948
A. Processing Information
County (or Counties) where the project is located:
Chatham
Is this project a public transportation project?*
r Yes r No
Longitude:
-79.424739
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?
P Nationwide Permit (NWP)
F- Regional General Permit (RGP)
r- Standard (IP)
1c. Primary Contact Phone:*
[phone]

1c. Has the NWP or GP number been verified by the Corps?
r' Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
P 401 Water Quality Certification - Regular
F Non -404 Jurisdictional General Permit
F Individual Permit
29 - Residential Developments
1e. Is this notification solelyfor the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
F 401 Water Quality Certification - E)press
F Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r- 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. Is the project located in any of NC's twenty coastal counties?
r- Yes r 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?
Q Owner r Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?
C Yes r- No
2. Owner Information
2a. Name(s) on recorded deed:
High Clover Land Company, LLC
2b. Deed book and page no.:
1949,0753
2c. Responsible party:
Robert Tucker
2d. Address
Street Address
1300 Silk Hope -Liberty Road
Address Line 2
CKY
Siler City
Postal / Zip Code
27344
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
C. Project Information and Prior Project History
1. Project Information
State / Rovince / Fbgion
NC
Country
U.S.
2f. Fax Number:
r- Yes r No
r- Yes r No

1b. Subdivision name:
(d appropriate)
1c. Nearest municipality/town:
Siler City
2. Project Identification
2a. Property Identification Number:
000655
2c. Project Address
Street Address
0 Moon Lindley Road
Address Line 2
City
Siler City
Postal / Zip Cade
27344
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Mud Lick Creek
3b. Water Resources Classification of nearest receiving water:*
WS -III
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.
030300030502
4. Project Description and History
2b. Property size:
57
State / Province / Region
NC
Country
U.S.
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 entire 57 acre parcel contains a 15 -year old loblolly pine plantation. The drainage area to the north (which comprises the majority of the drainage area to the stream crossing) is
primarily open cattle pasture. A USGS blue -line stream bi-sects the property, and an ephemeral channel containing adjacent jurisdictional wetlands intersects the property in the
southwest corner.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes G 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)
NC_Crutchfield_Crossroads_20160608_TM_geo. pdf
25.89MB
4e. Attach an 8 1/2X11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
NRCS_Soil Map.pdf 753.48KB
4f. list the total estimated acreage of all existing wetlands on the property:
0.3
4g. List the total estimated linear feet of all existing streams on the property:
2,130
4h. Explain the purpose of the proposed project:*
The purpose for the stream/wetland impacts are to provide access to a conservation -based minor subdivision of four, 1.5 -acre lots, while the remaining land in the 57+ acre tract will be
permanently maintained as forestry and agro-forestry operations. The purpose of the overall project is to pilot an alternative land development model that allows for compact/clustered
residential lots while permanently preserving 85%+ of the total land area in regenerative -based agriculture systems (e.g., managed -intensive grazing, agroforestry, diversified forestry,
native perennial cash crops).
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project includes approximately of 2000 If of new roadway (12' -wide gravel, 30' ROW) extending from Siler City -Snow Camp Road to the clustered lot area. Equipment utilized will be
skidders for tree removal within the ROW, backhoe, bulldozer/mini-excavator,a skid -steer, and off-road dump trucks. A small amount of off-site fill will be required to cover the culverts at
both wetland/stream impact areas. At wetland impact #1, one (1) 15" culvert will be installed at grade along the low elevation of the wetland area (including pipe bedding) and covered
with compacted backfill and a 6" gravel road bed. At wetland impact #2/stream impact #1, four (4) 18" HDPE pipes will be installed to convey runoff up to the 50 -yr event (one pipe in the
main channel, and three pipes in the floodplain bench). The inverts for the main channel culvert will match existing channel elevations, while the three floodplain pipes will be installed
approximately 6" below existing elevation with a small, rip rap pool on the upstream end. All four pipes will discharge to a rip rap -armored outlet apron to help dissipate energy from the
concentrated culvert flows. Small boulder walls will be used for slope -armoring around the pipe ends to minimize impact area and help protect two adjacent hardwood trees.
4j. Please upload project drawings for the proposed project.
C-2_Site_Plan.pdf 16.46MB
C-3_Stream_Crossing.pdf 346.75KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*

r Yes f No f 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 N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Andy Williams
Agency/Consultant Company: US Army Corp of Engineers
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
January 31, 2019
Sd1. Jurisdictional determination upload
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?
No
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
Reason (?) 2b. Impact type * (?) 2c. Type of W. 2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition*(?) area*
1 Culvert P Unknown W1 Yes Fps
0.020
(acres)
F-A
Culvert
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.025
2h. Comments:
3. Stream Impacts
. Total stream and ditch impacts:
48
31
2g. Total Permanent Wetland Impact
0.025
F
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name * 3e. Stream Type * 3f. Type of width * 3h. Impact
(?) Jurisdiction* length*
S1 Culverted road crossing Permanent Culvert S1 fftt777]
. Total temporary stream impacts:
0
Both � 48
Average (feet) (linear feet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
48
31
P
Unknown
W2
Yes
Corps
0.005
(acres)
2g. Total Temporary Wetland Impact
0.000
2g. Total Wetland Impact
0.025
2h. Comments:
3. Stream Impacts
. Total stream and ditch impacts:
48
31
2g. Total Permanent Wetland Impact
0.025
F
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name * 3e. Stream Type * 3f. Type of width * 3h. Impact
(?) Jurisdiction* length*
S1 Culverted road crossing Permanent Culvert S1 fftt777]
. Total temporary stream impacts:
0
Both � 48
Average (feet) (linear feet)
31. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
48
31

3j. 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:
The road layout was sited to reduce environmental impacts through minimized road/ROW widths, extenuated flow paths for peak flow reduction, and
siting as close to the adjacent property (open pasture) to preserve continuity in forested stream conditions as possible. Proposed lots and house
locations were based on the minimum allowable lot areas, setbacks, and road frontages to reduce land clearing and impervious areas. A community
well and drainfield are proposed to minimize tree clearing and the extent of onsite utility impacts. Commercial -scale rainwater harvesting will be utilized
within the "village" area to further manage storm flows. The remainder of the property will be transitioned from loblolly pine to mixed -hardwood
savanna to increase ecological diversity and ecosystem processes.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Foremost, the logging/grading contractor was selected based on competence for environmentally -sensitive construction. Clearing areas will be limited
to the proposed ROW and building locations. Logging debris will be chipped on site and utilized to stabilize the road shoulders, drainage swales, and
remaining disturbed areas immediately upon completion of finished grading operations, in addition to other sediment and erosion control practices
approved as part of the E&SC permit (e.g., straw wattles, silt fence). At the stream crossing, tree protection fencing will be utilized to protect adjacent
specimen trees to the extent practical. The applicant will perform daily site inspections to ensure that construction activities meet the site protection
goals and permit requirements. The applicant will also help with the construction of the stream culverts to ensure successful installation.
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:
Project impacts do not exceed the minimum thresholds for compensatory mitigation requirements.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
l' Yes r No
If no, explain why:
The project is not included in any of NC's Riparian Buffer Protection watersheds.
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 2H .0500), Isolated Wetland Rules (15A NCAC 2H.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.

This project is one-time impact to install road access to 4 -lot home cluster. Each lot will be 1.5 acres and include one home site each. The remaining
property will be permanently preserved via protective covenants as mixed forestry and agroforestry systems. No further subdivision or permanent road
access Will be allowed.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated
at a treatment plant, list the capacity available at that plant.
All home sites will be served by an off-site community septic and disposal system on the main farrrforestry property. The design flow is 1800 gpd and
shall be permitted as a shallow conventional system with pressure manifold dispersal.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
Sa. 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
5d. Is another Federal agency involved?*
r Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?
r Yes r No
59. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
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?
USACE map of NC Significant Natural Heritage Areas; USFWS Endangered Species, Threatened Species, Federal
Species of Concern, and Candidate Species list for Chatham County, NC
Consultation Documentation Upload
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 EFH mapper
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?*
NC State Historic Preservation Office HPOWEB GIS Service; NC listings in the National Register of Historic Places
for Chatham County.
7c. Historic or Prehistoric Information Upload
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?*
Chatham County staff review, County GIS data; FEMA flood map #10876400J
Miscellaneous
Comments

Miscellaneous attachments not previously requested.
Parcel 655 - Riparian Buffer and Floodplain Report.pdf 1.64MB
Signature
m By checking the box and signing below, I certify that:
• 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 NC 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:
Robert Smith Tucker
Signature
Date
6/19/2019
v

WATERSHED PROTECTION DIVISION
Environmental Quality Department
CHATHAM COUNTY P.O. Box 548
NORTHCAROLINA
Pittsboro, NC 27312
PHONE: [phone]
Fax: [phone] • E-mail: [e-mail] • Website: www.chathamnc.org
October 11, 2017
Robert Tucker
1300 Silk Hope Liberty Road
Siler City, NC 27344
Project Name: Subdivision of Parcel # 655
Location: Moon Lindley Road/Silk Hope Liberty Road
Subject
Features: No features
Dear Mr. Tucker,
Based on information which you provided on the Riparian Buffer Review Application, submitted
on October 4, 2017, staff within the Watershed Protection Division of the Chatham County
Environmental Quality Department completed a Riparian Buffer Review in accordance with
Chatham County Watershed Protection Ordinance Section 304(B) Field Delineations. This
Riparian Buffer Review was completed for the eastern portion of an existing 57.0 -acre tract
currently identified as Parcel# 655 that is located outside of the Jordan Lake watershed.
Summary of Findings
Drew Blake completed the site review on October 11, 2017. No features subject to riparian
buffers were found within the reviewed area; however, one feature is shown on the USGS and
NRCS maps within the remaining portion of the parent tract. This feature is subject to a 50 -ft
buffer (at minimum) in accordance with the 1994 Chatham County Watershed Protection
Ordinance. Should this property be further subdivided in the future additional buffers may
apply. Any impacts to this feature will also require additional consultation with Chatham
County, NC Division of Water Quality, and the US Army Corps of Engineers.
The following documents attached herein are provided for your records. If surface water
features were observed during the site review and were described above, exhibit 2 must be
provided to the surveyor on record and all features and required buffers described above must be
indicated on the property survey which should be provided to Ms. Kim Tyson (Land Use
Administrator) for review.
This on-site determination shall expire five (5) years from the date of this letter. Landowners or
affected parties that dispute a determination made by Chatham County, on parcels outside of the
Jordan Lake watershed, may submit a request for appeal in writing to the Watershed Review
Board. A request for a determination by the Watershed Review Board shall be made in
accordance with Section 304 of the Chatham County Watershed Protection Ordinance.
Landowners or affected parties that dispute a determination made by Chatham County, on
parcels inside the Jordan Lake watershed, shall submit a request for appeal in writing to NC

WATERSHED PROTECTION DIVISION
Environmental Quality Department
CHATHAM COUNTY P.O. Box 548
NORTHCAROLINA
Pittsboro, NC 27312
PHONE: [phone]
Fax: [phone] • E-mail: [e-mail] • Website: www.chathamnc.org
DWR, 401 & Buffer Permitting Unit, 1650 Mail Service Center, Raleigh, NC 27669-1650
attention of the Director of the NC Division of Water Quality.
Should this project result in any direct impacts to surface water features (i.e., crossing and/or
filling streams or wetlands) additional reviews may be necessary. Additionally, a Section
404/401 Permit may be required. Any inquiries regarding Section 404/401 permitting should be
directed to the Division of Water Resources (Central Office) at (919)-807-6364 and the US
Army Corp of Engineers (Raleigh Regulatory Field Office) at (919)-554-4884.
Respectfully,
Olw &ia
Drew Blake
Watershed Specialist

WATERSHED PROTECTION DIVISION
Environmental Quality Department
CHATHAM COUNTY P.O. Box 548
NORTHCAROLINA
Pittsboro, NC 27312
PHONE: [phone]
Fax: [phone] • E-mail: [e-mail] • Website: www.chathamnc.org
Table of Contents
Site Report/Analysis — Summary of Chatham County staff findings ..................................... Page 4
Exhibit 1 — Map indicating area reviewed by Chatham County staff ..................................... Page 5
Exhibit 2 — Aerial photograph indicating review area ....................................................... Page 6
NRCS Map — National Resources Conservation Service Soils Map of property ........................ Page 7
USGS Map — United States Geological Survey Topographic Map of property ......................... Page 8
Chatham County Floodplain Application..................................................................... Page 9
FEMA Map — Federal Emergency Management Agency Floodplain Map of property ............... Page 10
Chatham County Riparian Buffer Application.............................................................. Page 11
Authorization to Enter Property Form....................................................................... Page 12
Receiptof Payment............................................................................................. Page 13
For additional questions regarding the Watershed Protection Ordinance or Riparian Buffers please contact:
Ms. Rachael Thorn — Watershed Protection Supervisor
Chatham County Environmental Quality Department
P.O. Box 548
Pittsboro, NC 27312
Phone: [phone]
Email: rachael.thorn(&chathamnc.org
For additional questions regarding the Minor Subdivision process please contact:
Ms. Kimberly Tyson — Land Use Administrator
Chatham County Planning Department
P.O. Box 54
Pittsboro, NC 27312
Phone: [phone]
Email: kimberly.tysonAchathamnc.org
For additional questions regarding soils and sanitary/septic systems please contact:
Ms. Anne Lowry
Chatham County Environmental Health Department
P.O. Box 130
Pittsboro, NC 27312
Phone: [phone]
Email: [e-mail]

I11
CHATHAM COUNTY
NORTH CAROLINA
77`1 FOR OFFICE USE ONLY
Riparian Buffer Application Date: 10/4/17
owner Name: High Clover Land Company
Agent Name: Robert Tucker
Parcel #:655
Number of lots proposed: 4
Original parent tract acreage: 57.0
Received by staff member. KT
1 >1-- I- T Z-4.
® Fee $ 250'00 Paid with: ❑ Cash
Land & Water Resources Division
Environmental Quality Department
Phone: [phone]
Planning Application (PL#): 20171639
IN Completed Tract Information Form
X❑ Copy of Plat
® Signed Right to Enter Form
0 Signed Owner's Agent Designation Form
Site Review Completed on (Date):
Number of acres remaining: _
Assigned to staff member: DB
® Check # 1049 ❑ Credit Card
10/11/17 Staff Initials: D B
Reviewed the eastern half of the property including the proposed septic areas and lot locations. No features requiring buffers were
Findings:
found within the reviewed area; however, one feature is shown on the USGS and NRCS map of the remaining property. This feature
is subject to a minimum of a 50 -ft buffer on both sides in accordance with the 1994 Watershed Protection Ordinance. Should the remaining portions of the
be subdivided further this feature may be subject to wider buffers under the subdivision process.
Applicant contacted to mail or pickup (date): Staff Initials:
Returned to applicant via:
❑ Mail ® Email ❑ Pickup Date: 10/11/17 Initials: DB
Minor Subdivision Packet to Applicant: ❑ Yes ❑ No Date: Initials:
Sent to Surveyor/Consultant: ❑ Email ❑ Pickup
Office Review Completed on:
Minor Subdivision approved:
Riparian buffers on plat approved by staff:
Date: Initials:
Initials:
Initials:
Initials:

Exhibit 1
w.W'v
MWI„at,72
WI
IF
.771 +
Area reviewed by Drew
11 it. A Blake on 10/11/17. No
Y` features found within
}5 ' reviewed area.
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0
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MOON
VINDLEY RD
N
Feet
0 237.5 475
Service Layer Credits: NC911, Chatham
County, Chatham County GIS
Chatham County, Chatham County GIS
Date: 10/9/2017
Time: 1:50:06 PM
f�1
CHATHAM COMM
NORTH {ARDLINA

Exhibit 2
This feature is subject to Area reviewed by Drew' a
riparian buffers in Blake on 10/11/17. No !'
accordance with the 1994 features found within
Watershed Protection 4� reviewed area. �.
Ordinance. '
a A r4
65
6 46
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LINDLEY RD
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e 'C yeti
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Legend
Riparian Transition Points
Other
Review Corners
Review Boundaries
Parcels
Service Layer Credits: NC911, Chatham
County, Chatham County GIS
Chatham County, Chatham County
Feet
0 237.5 475
N,
CHATHAM COUi4'"I'Y
NORTH CARDCINA
Date: 10/11/2017
Time: 1:25:36 PM

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Service Layer Credits: Chatham County,
Chatham County GIS
NRCS, Chatham County, Chatham County
Date: 10/9/2017
Time: 1:49:28 PM
CHATHAM COIIN`TY
NORTH {ARDLINA

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Service Layer Credits: USGS, Chatham
County, Chatham County GIS
Chatham County, Chatham County GIS
Date: 10/9/2017
Time: 1:48:42 PM
CHATHAM COUNTY
N0FLI'11 CAFLOLENA

IL 20171(0
CIIA71 IAM COUN'rl - --
��� APPLICATION FOR FLOOD PLAIN DETERMINATION CA CC
Chatham County, North Carolina
Applicant Information:
Landowner Information:
Name Ro6-ert- ia"" Name (If different from Applicant)
Address 100 Sr. K I` P' -la. -t" i' i
S -tr G ii 7 3L11
BEST Contact Number:
( q1q ) - aal, 338-7
Location of Property: II
Property Address MoosA L, �, J -ex �cf.
Lot Number AyjjR : 6 55
Subdivision
Proposed Work (check one): ❑ Residential Construction ❑ Land Purchase ❑ Site Evaluation (Perc Test)
❑Subdivide (See Planning Staff if this is selected) ❑ Well ❑ Septic Repairllnstaliation 00ther
Additional Information: Will property be used for a non-residential purpose? ❑ Yes Vi If yes, See Planning Staff
PLEASE READ AND SIGN
Please attach a drawing of the property showing the location of the development activity, the 100 -year flood plain, the distance to a stream or river and other information
necessary to accurately locate the development activity on the property in relationship to the floodable areas and property lines.
The information shown for office use only is based on the location of the property and development as provided by the applicant. The information shown is based on
regulations in effect to date. A determination of permit approval will be evaluated based on the permit application submitted and the regulations in effect at the time.
I hereby certify hat I am ma ing this application for the landowner or myself and th t th 3 rmation given is correct to the best of my knowledge.
Applicant/Landowner (Please Print) Applicant/Landowner Signature Date
For Office Use Only
Is there a "T" code in Parcel Type?—]
Yes No If yes, see Planning Staff for assistance.
Parcel ID#: 5'
Acreage: 17, 0
Jordan Lake Watershed ❑Yes No
Year Lot was created: i1vv,49-
Watershed District: CJS,
Zoning District/CUP:
Flood Plain Information
Riparian Buffer Information
Select one of the boxes below based on the information provided by Applicant:
Flood Map37 11 d�7!!U1-i� 14—
V!!2414—
❑Lot created before 1 /2 312 008 and not a subdivision of land:
s#
Zone
ff in Jordan Lake Watershed: use the USGS Topo and NRCS Soil Survey to look for streams and
ponds to buffer with a 50 foot buffer. Identify "Rivers" on USGS Topo only for 100 ft buffers. No
Map Date: 2-2-2007 or
ephemerals.
❑ Stream(s) with 50' Buffer ❑ Ponci with 50' Buffer ❑ River or stream within 2500 feet of
The development activity is within 100
River with 100' Buffer
feet of the 100 -year flood plain?
Not in Jordan Lake Watershed: use USGS Topo only.
❑ Stream(s)with 50' Buffer ❑ River or stream within 2500 feet of River with 100' Buffer
❑ Yes Ll No ❑ Uncertain
If "Yes" or "Uncertain," talk to
Parcel will be subdivided: Talk to Planning Staff. Needs Riparian Buffer Review by EQ Staff.
Environmental Quality Director.
❑Lot (over 10 acres in size) created after 1/2312008 and no Riparian Buffer Review on file or In
Flood Plain Elevation
Cityview: must have Riparian Buffer Review by EQ Staff prior to building permit. Refer to Planning Staff.
The elevation of the development
❑Lot funder 10 acres in size) created after 1/2312008: Riparian Buffer Review should already be
completed. See survey or Cityview. Check for "T" code!
activity is
�,_,�
Kl�� 0' ]"IC Y
Riparian Buffer Review required by EQ Staff? � Yes ❑ No, if yes send to
Subdivision Administrator
ADDITIONAL COMMLNTS:
4
County Staff Signature
-- Date -�OA 4117
Revised 03/26/2014

Floodplain Map
N
Feet
0 237.5 475
Service Layer Credits: NC911, Chatham
County, Chatham County GIS
Chatham County, Chatham County GIS
CHATHAM COMM
NORTH {ARDLINA
Date: 10/9/2017
Time: 1:50:38 PM
P�
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N
Feet
0 237.5 475
Service Layer Credits: NC911, Chatham
County, Chatham County GIS
Chatham County, Chatham County GIS
CHATHAM COMM
NORTH {ARDLINA
Date: 10/9/2017
Time: 1:50:38 PM

CI-[ATHAM COUNTY
N O R T ]i C ARD 1.1 NA
LAND & WATER RESOURCES DIVISION
Environmental Quality Department
PHONE: [phone]
Tract Information:
Website: www.chathamnc.org
Riparian Buffer Re view Application
SURFACE WATER IDENTIFICATION REQUEST
**Use only for projects 25 acres or less and 5 lots or less**
Parcel Identification Number(s) (AKPAR)
Total Acreage (area to be reviewed must be 25 acres or less): `'' -7 oc T -CS
Total number of new lots: 9 l
Watershed District (and name of creek if known):
Property Owner: t dovefi WSJ /n n
Location/ Physical Address of Tract: d Moon t"Jf/
Driving Directions from Pittsboro:
Subdivision Name (if applicable):
tf'�) 1f�'f4t • #NFA �! le' cil ?,III= 1,
la t u 6S
Owner's 1 Agent's Contact Information:
Name: Rvb-er'� l CL,r
Contact Phone Numbers: (h)
(w)
E-mail: (e boll �110AJCk?X1 JfStgyl I LagIVN
Mailing Address: 13n0 .SilkO�e,L,�e�-�, rQ�.
S�Icr G y . IVC a73g9
(c) q, q. :A0io, � � q'
Please check one: ❑ 1 would like to pick up the completed Riparian Buffer Review at the County Office
❑ I would like the completed Riparian Buffer Review mailed to me
iI would like the completed Riparian Buffer Review e-mailed to me
Please include with this re est:
Copy of Plat ( e& - quJ)
Signed Right to Enter Property Form
Signed Owner's Agent Designation Form (if applicable)
Fee (make checks payable to Chatham County) $50.00 Administrative fee plus
$50.00 per lot. Total paid: $
have read and understand the regulations of the Watershed Protection Ordinance, Section 304, and I
agree to adhere to these assn ted o1i�,.s and guidelines herein.
Owner/Agent Signature: o'' 1-L— ­
Applications can be mailed to: Planning Dept., PO Box 54, Pittsboro, NO 27312
For Questions, please contact: Lynn Richardson at 919-542-8207

LAND & WATER RESOURCES DIVISION
Environmental Quality Department
CHATHAM COUNTY
NORTH CAROLINA PHONE: [phone]
website: www.chathamnc.org
Authorization to Enter Property Form
Date: - 3 C71 ?
PARCEL No. (AKPAR) 1655-
I, (print name) R Ob el,+ ' • as owner of the property
described above, or as a representative of the owner(s) do hereby convey permission to Chatham County
staff to enter the property at their convenience to conduct a surface water identification (SWID)
necessary to determine whether or not water features on my property are subject to the riparian buffer
regulations described in Section 304 of the Chatham County Watershed Protection Ordinance. The SWID
will be public record and on file at the Planning and Environmental Quality Departments, and may be
requested in the future for review by interested parties.
I understand that stream delineations for the property listed above will be made by County staff only
once and that if future subdivisions are proposed within this property boundary, it will require a surface
water identification by a private consultant at the property owner's expense.
(Print Owner's Name) (Signature of Owner) (Date)
(Print Authorized Agent Name) (Signature of Authorized Agent)
(Date)

cHASHAMCatrfrr
1'Ai dl.l'wh
T
Receipt Number:
Receipt Date:
Date Paid:
Full Amount:
Payment Details:
Amount Tendered:
Change / Overage:
Contact:
Parcel #:
FEE DETAILS:
Fee Description
Floodplain Permit Fee
Riparian Buffer Fee
Chatham County
RECEIPT OF PAYMENT
20176636
10/04/2017
10/04/2017
$270.00
Payment Method
Check
Check
Amount Tendered Check Number
$250.00 1049
$20.00 1094
$270.00
$0.00
TUCKER ROBERT S, Address: 1300 SILK HOPE LIBERTY RD
Payment Received By: Kimberly Tyson
Reference Number Amount Owing Amount Paid
PL20171639 $20.00 $20.00
PL20171639 $250.00 $250.00
If you have any questions please contact the appropriate department at the number
listed below:
Central Permitting 919-542-8230 Planning Department 919-542-8204
Environmental Health 919-542-8208 Environmental Quality 919-545-8343

i
EXISTING STREAM CL
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WETLAND BOUNDARY
0.014 AC TOTAL \
0.005 AC IMPACTED \ I
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(3) 18" HDPE DUAL WALL PIPES
LENGTH = 20'
INV IN = 640.0'
INV OUT = 639.5' q0.5 / /Rlw�/ R/W —� RNV
RM� RVR/W R/W — R/W
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12' WIDE CONCRETE SPILLWAY
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RIPRAP OUTLET
PROTECTION
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1
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SL -2 \
1 18" HDPE DUAL WALL PIPE
_( )
W/ PRECAST HEADWALLS
LENGTH = 20'
INV IN = 640.0'
INV OUT = 639.5'
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PLAN VIEW
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1
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SL -2 \
1 18" HDPE DUAL WALL PIPE
_( )
W/ PRECAST HEADWALLS
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INV IN = 640.0'
INV OUT = 639.5'
— MRi MR1 I
SL.3
STA. 0+95.28
SL -3
PLAN VIEW
-30 -25 -20 -15 -10 -5 0 5 10 15 20 25 30
M/2i
645
+50
0+00 1+00
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PROFILE STREAM CROSSING - VERT SCALE 1" = 2'
SL.1
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0 5 10 20 648
SCALE: 1" = 10'
(HORIZ. SCALE: 1" = 2.5'
646--
46--
642-
642-
640
640 640
636
-40 -35 -30 -25 -20 -15 -10 -5 0
640
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SWALE
INLET
0 5 10 20 648
SCALE: 1" = 10'
(HORIZ. SCALE: 1" = 2.5'
646--
46--
642-
642-
640
640 640
636
-40 -35 -30 -25 -20 -15 -10 -5 0
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5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 636
SL.2
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636 _40 -35 -30 -25 -20 -15 -10 -5 0
5 10 15 20 25 30 35 40 45 50 55 60 65 70
640
636
Architect:
www.bodhilandanddesign.com
Plans, maps, specifications, studies,
and reports not containing a red ink
seal imprint accompanied by an original
signature by the licensed professional
may have been fraudulently altered and
shall not be considered an original copy.
All information should be disregarded
unless verified by the professional whose
signature appears above.
Copyright Protected 2013.
Project Owner:
FTW
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(3)
OVERFLOW
CULVE
RTS
AIN CULVE
„
T
18"
--IDPE
ELEV
= 639.6'
OFFSET
=
.4
ELEV
= 639.6
636 _40 -35 -30 -25 -20 -15 -10 -5 0
5 10 15 20 25 30 35 40 45 50 55 60 65 70
640
636
Architect:
www.bodhilandanddesign.com
Plans, maps, specifications, studies,
and reports not containing a red ink
seal imprint accompanied by an original
signature by the licensed professional
may have been fraudulently altered and
shall not be considered an original copy.
All information should be disregarded
unless verified by the professional whose
signature appears above.
Copyright Protected 2013.
Project Owner:
FTW
W
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0
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a
Stamp:
Issue For:
U.S. ARMY CORP OF ENGINEERS
Issue Date:
JUNE 19, 2019
REVISIONS
PRINCIPAL IN CHARGE:
B. TUCKER
PROJECT MANAGER:
DRAWN BY:
B. TUCKER
Project Address:
0 MOON LINDLEY RD.
SILER CITY, NC 27344
Project Number:
Sheet Title:
STREAM
CROSSING
PLAN
Sheet Number:
C-03

0 50 100 200
SCALE: 1" = 100'
WETLAND IMPACT #1
(0.02 AC)
I
PROPOSED STREAM CROSSING
i
AND WETLAND IMPACT #2 l
(SEE SHEET C-03) 1'
30' ROW EASEMENT
1.55 AC (APPROX.)
7 01i
P
. i
'' '' SECONDARY SEPTIC
% '► 1
1 .
. DRAIN FIELD
,
(0.65 AC) IIIIIIII
1 r,
100' �����
Mit
A�'..yy�
40X50 BUILDING FOOTPRINT �W I
(LOCATION APPROX.) I
12' -WIDE GRAVEL ROAD PER\\` /
CHATHAM COUNTY PRIVATE \���\W = _ ` ,%
EASEMENT ROAD STANDARD
BARN AND FARM PROPOSED TURN -AROUND ��\
INFRASTRUCTURE AREA W/ SHARED PARKING W �I ,1,
I
W= = )K.I r. I�I II
67
EPHEMERAL CHANNEL - - PROPOSED COMMUNITY -
WITH 50' PROTECTED WELL LOCATION `, F
BUFFER �'-• - �'
INTERMITTENT STREAM
(PER CHATHAM COUNTY GIS MAPPING)
f— JV d'-'� J0 L)J VV
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S 86'18'597 W
15.51
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PROPERTY
AKPAR: 655
AREA: 60 AC
A,
330'
gd'7,
16,i
' 1 /
I f
PROPOSED SEPTIC AREA
1.0 AC
(ACTIVE AND REPAIR)
88° 4- " W 638.92'
N
70'
LO
Architect:
•
www.bodhilandanddesign.com
d, Plans, maps, specifications, studies,
and reports not containing a red ink
seal imprint accompanied by an original
signature by the licensed professional
may have been fraudulently altered and
shall not be considered an original copy.
All information should be disregarded
unless verified by the professional whose
signature appears above.
Copyright Protected 2013.
Project Owner:
I
(4) PROPOSED LOTS,
1.5 AC
W
ZC/)W
W
Q
ZOJ
Q
LL
J
00>
2W
0
Q
Stamp:
Issue For:
U.S. ARMY CORP OF ENGINEERS
Issue Date:
JUNE 19, 2019
REVISIONS
PRINCIPAL IN CHARGE:
B. TUCKER
PROJECT MANAGER:
DRAWN BY:
B. TUCKER
Project Address:
0 MOON LINDLEY RD.
SILER CITY, NC 27344
Project Number: I
1 Sheet Title:
OVERALL
SITE PLAN
Sheet Number:
C=02

M
641950
35° 50'14' N
35° 49 55"N
Soil Map—Chatham County, North Carolina
642040 642130 642220 642310 642400 642490
642580 642670
Ln
Ln
642760
c 35° 50' 14" N
K
641950 642040 642130 642220 642310 642400
3
N Map Scale: 1:4,100 if printed on A landscape (11" x8.5") sheet
Meters
N 0 50 100 200 300
Feet
0 150 300 600 900
Map projection: Web Mercator Comer coordinates: WGS84 Edge tics: LITM Zone 17N WGS84
USDA Natural Resources Web Soil Survey
Conservation Service National Cooperative Soil Survey
642490 642580 642670
1
35° 49'55' N
642760
3
M1
6/9/2019
Page 1 of 3

MAP LEGEND
Area of Interest (AOI)
Area of Interest (AOI)
Soils
Spoil Area
The soil surveys that comprise your AOI were mapped at
Soil Map Unit Polygons
Pm 0
Soil Map Unit Lines
0
Soil Map Unit Points
Special
Point Features
Very Stony Spot
Blowout
Warning: Soil Map may not be valid at this scale.
Borrow Pit
Wet Spot
Clay Spot
Enlargement of maps beyond the scale of mapping can cause
Closed Depression
Gravel Pit
misunderstanding of the detail of mapping and accuracy of soil
CS
Other
Gravelly Spot
line placement. The maps do not show the small areas of
Landfill
Special Line Features
Lava Flow
contrasting soils that could have been shown at a more detailed
Marsh or swamp
+
Mine or Quarry
scale.
Miscellaneous Water
Perennial Water
�0
Rock Outcrop
Please rely on the bar scale on each map sheet for map
Saline Spot
b b
Sandy Spot
Transportation
Severely Eroded Spot
Sinkhole
Source of Map: Natural Resources Conservation Service
Slide or Slip
0o
Sodic Spot
Soil Map—Chatham County, North Carolina
MAP INFORMATION
USDA Natural Resources Web Soil Survey 6/9/2019
Conservation Service National Cooperative Soil Survey Page 2 of 3
Spoil Area
The soil surveys that comprise your AOI were mapped at
1:24,000.
3
Stony Spot
Very Stony Spot
Warning: Soil Map may not be valid at this scale.
Wet Spot
Enlargement of maps beyond the scale of mapping can cause
misunderstanding of the detail of mapping and accuracy of soil
CS
Other
line placement. The maps do not show the small areas of
.=
Special Line Features
contrasting soils that could have been shown at a more detailed
scale.
Water Features
Streams and Canals
Please rely on the bar scale on each map sheet for map
measurements.
Transportation
Rails
Source of Map: Natural Resources Conservation Service
Web Soil Survey URL:
Interstate Highways
Coordinate System: Web Mercator (EPSG:3857)
US Routes
Maps from the Web Soil Survey are based on the Web Mercator
Major Roads
projection, which preserves direction and shape but distorts
distance and area. A projection that preserves area, such as the
Local Roads
Albers equal-area conic projection, should be used if more
accurate calculations of distance or area are required.
Background
Aerial Photography
This product is generated from the USDA-NRCS certified data as
of the version date(s) listed below.
Soil Survey Area: Chatham County, North Carolina
Survey Area Data: Version 21, Sep 10, 2018
Soil map units are labeled (as space allows) for map scales
1:50,000 or larger.
Date(s) aerial images were photographed: Jun 15, 2015—Dec 9,
2017
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
shifting of map unit boundaries may be evident.
USDA Natural Resources Web Soil Survey 6/9/2019
Conservation Service National Cooperative Soil Survey Page 2 of 3

Soil Map—Chatham County, North Carolina
Map Unit Legend
USDA Natural Resources Web Soil Survey 6/9/2019
s Conservation Service National Cooperative Soil Survey Page 3 of 3
Map Unit Symbol
Map Unit Name
Acres in AOI
Percent of AOI
CmB
Cid-Lignum complex, 2 to 6
percent slopes
57.2
100.0%
Totals for Area of Interest
57.2
100.0%
USDA Natural Resources Web Soil Survey 6/9/2019
s Conservation Service National Cooperative Soil Survey Page 3 of 3

-USGS
science for a changing world
79°30'
35°52'
397 10l
50'
EVA
730
F
35°45'
79°30'
Produced by the United States Geological Survey
North American Datum of 1983 (NAD83)
World Geodetic System of 1984 (WGS84). Projection and
1000 -meter grid: Universal Transverse Mercator, Zone 17S
10 000 -foot ticks: North Carolina Coordinate System of 1983
U.S. DEPARTMENT OF THE INTERIOR
U.S. GEOLOGICAL SURVEY
The National Map
USTopo
CRUTCHFIELD CROSSROADS QUADRANGLE
NORTH CAROLINA
7.5 -MINUTE SERIES
27'30" 25' 79°22'30"
This map is not a legal document. Boundaries may be
generalized for this map scale. Private lands within government
reservations may not be shown. Obtain permission before
entering private lands.
Imagery ...............................................NAIP,
August
2014
Roads ................................
U.S. Census Bureau, 2015 -
2016
Names..........................................................GNIS,
2016
Hydrography ....................National
Hydrography Dataset,
2014
Contours............................National
Elevation Dataset,
2008
Boundaries ............
Multiple sources; see metadata file 1972
- 2016
Wetlands ......... FWS National Wetlands Inventory 1977 - 2014
8° 41"
154 MILS N
0° 55"
16 MILS
UTM GRID AND 2016 MAGNETIC NORTH
DECLINATION AT CENTER OF SHEET
U.S. National Grid
100,000-m Square ID
PV
Grid Zone Designation
r7S
27'30"
SCALE 1:24 000
1 0.5 0 KILOMETERS 1 2
1000 500 0 METERS 1000 2000
1 0.5 0 1
MILES
1000 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 10000
FEET
CONTOUR INTERVAL 10 FEET
NORTH AMERICAN VERTICAL DATUM OF 1988
This map was produced to conform with the
National Geospatial Program US Topo Product Standard, 2011.
A metadata file associated with this product is draft version 0.6.19
►fey
` 79°22'30"
ROAD CLASSIFICATION
■NORTH Expressway Local Connector
CAROLIN Secondary Hwy Local Road
Ramp 4WD
If Interstate Route 0 US Route O State Route
QUADRANGLE LOCATION
1 Kimesville
1 2 3 2 Snow Camp
3 Saxapahaw
4 5 4 Liberty
5 Silk Hope
6 Coleridge
6 7 8 7 Siler City
8 Siler City NE
ADJOINING QUADRANGLES
CRUTCHFIELD CROSSROADS, NC
2016
0"
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