EPA Surface Water Enhancement, Restoration & Protection (SWERP) 4.0004 wirerP"776- Clearinghouse Application Form )11644141'

For assistance with completing this form, please refer to the SWERP Clearinghouse Users Guide. The users guide is available at: http://www.epa.ohio.govidswiswerp/index.aspx.

I. Contact Information:

Name:

Address:

Street

City State Zip Code

Phone Number: ( ) Fax Number: ( )

E-mail Address for Project Contact:

OHIO EPA USE ONLY

Application Submission Date:

Tracking Name Tracking Number

II. Project Location Information':

1) Project Name:

2) Address:

Street

City

State Zip Code

3) County:

04110002 ah°

(Cuv aa) 4) HUC Watershed: - Latitude (d/m/s): Longitude (d/m/s):

(For the HUC Watershed and the Latitude and Longitude, please visit this web link: http://ois.ea.ohio.govfma-D.pht,)

5) Location Description (such as the nearest intersection):

6) Land Ownership:

1 Note: The latitude and longitude will be used to map the location of your project and should be as accurate as possible.

Ill. Project Description:

1) Project is available for (check all that may apply):

401 Mitigation/Isolated Wetland Mitigation CI Supplemental Environmental Project CI

2) Please indicate the opportunities available on your site (check all that may apply):

Restoration CI Creation CI Enhancement ❑ Preservation ❑

3) What mechanism is acceptable to protect the project in the future?

Conservation Easement 0

Environmental Covenant ❑ Fee Simple Transfer ❑

Comments:

Click to clear all entered information (on all 4 pages of this form) CLEAR

Organization:

04110002 (Cuyahoga)

Fox Hollow

10393 Ravenna Road Twinsburg Ohio 44087

Summit

41.32459 -81.45484

The Fox Hollow project is located on Ravenna Road, Twinsburg, Ohio and to the south-east of Whitewood Parkway.

Fox Hollow (Twinsburg) Inc.

Robert J. Karl, Esq. on behalf of Fox Hollow (Twinsburg) Inc.

Ulmer & Berne LLP, 65 E. State Street, Suite 1100, Columbus, OH 43215

614 229-0000 614 229-0001

bkarl@ulmer.com

X X

X X

X

X X X

Ohio EPA SWERP Application Form Page 2 of 4

A — Streams resources PROPOSED on your site:

Stream ID

Stream Type

Ephemeral Intermittent Perennial

Headwater Stream?

Yes/No

Linear Feet

Water Quality Benefit

Restoration Enhancement Preservation

Current Stream

Designation

MWH VVWH CWH EWH

Unknown

Riparian Width

(linear feet) LDB/RDB

B — Wetland resources PROPOSED on your site:

Wetland ID

Restoration (Acres)

Enhancement (Acres)

Preservation (Acres)

Creation (Acres)

Buffer/Riparian Width Proposed:

C — Lake resources PROPOSED on your site:

Lake/Pond ID

Restoration (Linear Feet)

Enhancement (Linear Feet)

Preservation (Linear Feet)

Creation (Linear Feet)

Buffer/Riparian Width Proposed:

Document Revised 11/12

Stream 1 Intermittent Not Known 109.70 Preservation RPW (Relatively Permanent Water)

3.0

Wetland A 3.080

Buffer/Green Space 2.000

Ohio EPA SWERP Application Form Page 3 of 4

D — Please provide a text description of your site and the type of resources that are available. Please limit this description to 250 words or less. Look to the SWERP Clearinghouse Users Guide for any project.

E — Please indicate any special conditions that would restrict or enhance potential projects on your site or restrict any restoration, protection or enhancement project on your site.

F — Is this project in accordance with a Total Maximum Daily Load Project? Yes No If yes, please explain:

G — Is this project in accordance with an endorsed Watershed Action Plan? Yes No If yes, please explain:

H — Does this project address a source water protection plan? Yes No If yes, please explain:

— What are the estimated funds being requested?

J — Are there matching funds? Yes No

K — What is the status of the project? Ready to go Estimated date of readiness

Document Revised 11/12

$

See Attachment A

X

X

X

X

X

To be negotiated.

Ohio EPA SWERP Application Form Page 4 of 4

L — Is there additional information attached to this application form? Yes No

M — Optional Information: Attach Photographs (A brief text description should accompany each photograph.)

Number: (3 max)

Format: Print(s) ❑ Electronic U (specify type

N — Delisting Date:

Questions and application forms can be submitted electronically at: SVVE7:Pclearinghouse era.state.oh:Js

If submitting a hard copy of this application form, mail it to the address listed at the right, or fax it to the Division of Surface Water at: (614) 644-2745.

Ohio EPA Division of Surface Water P.O. Box 1049 Columbus, Ohio 43216-1049

Attn.: Surface Water Enhancement, Restoration & Protection Clearinghouse

If you need assistance completing this application form, please contact Linda Merchant-Masonbrink with the Division of Surface Water:

1 By email at linda.merchant-masonbrink@epa.state.oh.us; or 2) By phbne at: (614) 644-2001.

Document Revised 11/12

X

See included Attachment A.

See included Attachment B.

COL1997 260736v229165.00012

Attachment A

Fox Hollow is a currently existing wetland and stream area which has been documentedand confirmed by a wetlands delineation and associated jurisdictional verification fromthe Army Corps of Engineers (copy of Army Corps jurisdictional determination includedwith this Attachment). The wetland system (3.080 Acres) forms at the southern edge ofthe site, along Ravenna Road. A small stream (109.7 Linear feet) enters the sitedraining through the wetland system for a short distance before losing defined bed andbank. In addition to these two features, there is over 2.0 acres of buffer andgreenspace available surrounding the wetlands and stream features. Below is a moredetailed explanation of the wetland characteristics of Fox Hollow.

Emergent Wetland

The Fox Hollow wetland is dominated by herbaceous vegetation. Observed growingwithin the wetland were reed canary grass (Phalaris arundinacea), cattails (Typha spp.),soft rush (Juncus effuses), sedge species (Carex spp.), woolgrass (Scirpus cyperinus),moneywort (Lysimacchia nummularia), sensitive fern (Onoclea sensibilis), tearthumb(Polygonum sagittatum), tall ironweed (Vernonia gigantea), goldenrods (Solidago spp.),asters (Aster spp.) and rice cutgrass (Leersia oryzoides).

Scrub/Shrub, Wetland

The perimeter of the wetland is dominated by dense shrubs. Some of the plants foundwithin this community area as follows: arrowwood (Viburnum dentatum), silky dogwood(Cornus amomum), stiff dogwood (C. foemina), European buckthorn (Frangula alnus),swamp rose (Rosa palustris), willows (Salix spp.), and poison ivy (Toxicodendronradicans).

Mixed Hardwoods, Wetland

Scattered trees are growing within the wetland as well as a strand of trees on the westside. Some of the plants found within this community are as follows: black willow (Salixnigra), cottonwood (Populus deltoids), red maple (Acer rubrum), American elm (UlmusAmericana), eastern sycamore (Platanus occidentalis), arrowwood (Viburnumdentatum), dogwoods (Cormus spp.), European buckthorn (Frangula alnus), and poisonivy (Toxicodendron radicans).

Attachment B

Attachment B

Attachment B