20031003 Ver 2_COMPLETE FILE_20060222

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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
June 28, 2006
Mr. Steve Stokes
KCI Tchncologies, Inc.
Landmark Center 11, Suite 220
4601 Six Forks Road
Raleigh, NC 27609
Subject Property: Daniels Farm #2 Wetland Restoration site
Alan W. Klimek, P.E. Director
Division of Water Quality
DWQ Project # 2003-1003
Franklin County
Approval of 401 Water Quality Certification and Tar-Pamlico Buffer Rule approval with Additional
Conditions
Dear Mr. Stokes:
You have our approval, in accordance with the attached conditions and those listed below, to place fill
within or otherwise impact 496 feet of ditches for the purpose of conducting wetland and stream
mitigation at the subject property, as described within your revised application dated June 7, 2006 and
received by the N.C. Division of Water Quality (DWQ) on June 7, 2006. After reviewing your
application, we have decided that the impacts are covered by General Water Quality Certification
Number(s) 3495 (GC3495). The Certification(s) allows you to use Nationwide Permit(s) 27 when issued
by the US Army Corps of Engineers (USACE). In addition, you should obtain or otherwise comply with
any other required federal, state or local permits before you go ahead with your project including (but not
limited to) Erosion and Sediment Control, Non-dischargeregulations. Also, this approval to proceed
with your proposed impacts or to conduct impacts to waters as depicted in your application shall
expire upon expiration of the 404 or CAMA Permit.
This approval is for the purpose and design that you described in your application. If you change your
project, you must notify us and you may be required to send us a new application. If the property is sold,
the new owner must be given a copy of this Certification and approval letter and is thereby responsible for
complying with all conditions. If total fills for this project (now or in the future) exceed one acre of
wetland or 150 linear feet of stream, compensatory mitigation may be required as described in 15A
NCAC 2H.0506 (h). This approval requires you to follow the conditions listed in the attached
certification and any additional conditions listed below.
The Additional Conditions of the Certification are:
1. Impacts Approved
The following impacts are hereby approved as long as all of the other specific and general
conditions of this Certification (or Isolated Wetland Permit) are met. No other impacts are
approved including incidental impacts:
Amount Approved (Units) Plan Location or Reference Na" hCaro6na
Ditches 496 feet Revised site plan atA(tally
401 Oversight/Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone [phone] / Fax [phone]
Internet: http://www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
KCI Technologies, Inc.
Page 2 of 3
June 28, 2006:
2. Erosion & Sediment Control Practices
Erosion and sediment control practices must be in full compliance with all specifications
governing the proper design, installation and operation and maintenance of such Best
Management Practices in order to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Sediment and Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control
measures must be such that they equal, or exceed, the requirements specified in the most
recent version of the North Carolina Sediment and Erosion Control Manual. The devices
shall be maintained on all construction sites, borrow sites, and waste pile (spoil) projects,
including contractor-owned or leased borrow pits associated with the project.
c. For borrow pit sites, the erosion and sediment control measures must be designed, installed,
operated, and maintained in accordance with the most recent version of the North Carolina
Surface Mining Manual.
d. The reclamation measures and implementation must comply with the reclamation in
accordance with the requirements of the Sedimentation Pollution Control Act.
3. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond
the footprint of the impacts depicted in the Pre-Construction Notification. All construction
activities, including the design, installation, operation, and maintenance of sediment and erosion
control Best Management Practices, shall be performed so that no violations of state water quality
standards, statutes, or rules occur.
4. No Sediment & Erosion Control Measures w/n Wetlands or Waters
Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum
extent practicable. If placement of sediment and erosion control devices in wetlands and waters
is unavoidable, they shall be removed and the natural grade restored within six months of the date
that the Division of Land Resources has released the project.
5. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable
Buffer Rules, and any subsequent modifications, the applicant is required to return the attached
certificate of completion to the 401 Oversight/Express Review Permitting Unit, North Carolina
Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.
6. Stream restoration credit is hereby approved on behalf of the 401 Certification Program for the length
of channel from the upslope ditch plug downstream to the road crossing. If these credits are sought to
be used for 401 Certifications, additional written concurrence is required from DWQ with respect to
the amount of credit. If stream credit is to be sought, then annual physical and vegetation monitoring
will be required for this stream channel.
Violations of any condition herein set forth may result in revocation of this Certification and may result in
criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct
KCI Technologies, Inc.
Page 3 of 3
June 28, 2006:
impacts to waters as depicted in your application and as authorized by this Certification shall expire upon
expiration of the 404 or CAMA Permit.
If you do not accept any of the conditions of this Certification (associated with the approved wetland or
stream impacts), you may ask for an adjudicatory hearing. You must act within 60 days of the date that
you receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of
the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a
hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone Cyndi Karoly or John Dorney in the Central Office in
Raleigh at 919-733-1786 or Mike Horan in the DWQ Raleigh Regional Office at 7914200.
AWK/jrd
Enclosures: GC 3495
Certificate of Completion
Sincerely,
r Alan W. Klimek, P.E.
cc: Eric Alsmeyer, USACE Raleigh Regulatory Field Office
Mike Horan, DWQ Raleigh Regional Office
File Copy
Central Files
Filename: 20031003DanielsFarm2(Frankl in)401
KCI
TECHNOLOGIES
Transmittal Letter
ENGINEERS ? SURVEYORS ? SCIENTISTS ? CONSTRUCTION MANAGERS
LANDMARK CENTER II, SUITE 220 ? 4601 SIX FORKS ROAD ? RALEIGH, NC 27609 ? 919-783-9214 ? (FAX) 919-783-9266
Date: June 7, 2006
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Company: North Carolina Division of Water Project: Daniels Farm #2 Wetland
Quality Restoration
Contact: John Dorney
Subject: 401 Permit Application

1 Revised PCN Application and Supporting Documentation

? In accordance with your request ? For your use/files
? For your review ? Please call when ready
® For processing ? Please return to this office
? Plans reviewed and accepted ® Approval requested
? Plans reviewed and accepted as noted ? Conference requested
? For revision by you at your convenience
Comments: This application has been revised based on a site visit with John Dorney,
DWQ. Per this design, the stream will be put back in the old channel. I can be reached at
[phone] ext. 187 or on cell at 210-5481 you have any questions. Additionally, Eric
Alsmeyer will be out of the office 6-18-06 to 6-26-06. Thanks in advance for reviewing this
data b?this Frida . ? _
p C???6V t? p
JUN - 7 2006
DEW - WATER QUALITY
WE RANM AND STOFWATER YW CH
cc: File
KCI TECHNOLOGIES, INC.
teven F. Stokes
Environmental Scientist
www.kci.com
Employee-Owned Since 1988
•-
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1.
II.
Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested:
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
Applicant Information
1. Owner/Applicant Information
Name:_
Mailing
R r---n /.;N
OORMArm-1 0
JUN - 7 2006
Landmark Center TT_ Suite 220
Forks Rd
NC 27609
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: sstokes(ai)kci.com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Daniels Farm #2 Wetland Restoration Site
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 2814-32-4173
4. Location
County: Franklin Nearest Town: Louisburg
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): The site is located
approximately 2.4 miles southeast of Louisburg and one mile east of the intersection of
Egypt Church Road (SR 1604) and NC Route 39.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.0614 ON 78.2747 °W
6. Property size (acres): 34.0 acres
7. Name of nearest receiving body of water: Tar River
8. River Basin: Tar-Pamlico River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is a combination of agricultural and forested land.
There are two soybean fields totaling 14.3 acres as well as 19.7 acres of forest. The property
has been ditched and drained extensively. The surrounding land use is rural.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: A
bulldozer and/or front-end loader on tracks will be used to fill and/or plug selected channels.
In the jurisdictional wetland areas, mats will be used in conjunction with earth-moving
machinery.
11. Explain the purpose of the proposed work: The project will restore and enhance a 19.7-acre
Bottomland Hardwood wetland ecosystem. The channel to be filled does not represent
natural site conditions. KCI will fill in the dug stream channel thus allowing the stream to
flow once again through its historic channel.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
A jurisdictional determination was requested from the USACE and approved by Eric Alsmeyer
of the Raleigh Regulatory Field Office on December 21, 2005 (Action ID 200620232. In 2003,
KCI also implemented a wetland restoration project (Daniels Farm #0 adjacent to the proposed
project (Permit Action ID 200321138).
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of the proposed impacts: The project will use three ditch plugs
and fill 496.3 feet of channel. KCI will also put the stream flow back into the historic
channel and recreate a stable outlet at an existing downstream culvert.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Impact
Site Number

(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,

herbaceous, bog, etc.) Located within
100-year
Floodplain

( es/no) Distance to
Nearest
Stream

(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 15.5 acres
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact
Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
linear feet Area of
Impact
(acres)
1 UT to Tar River 3 ditch plugs & fill Perennial 4 feet 496.3 0.0456

Total Stream Impact (by length and acreage) 496.3 0.0456
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill, excavation, dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres)
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.0456
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0
Total Stream Impact (linear feet): 496.3
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
irrigation, aesthetic, trout pond,
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The proiect proposes to restored wetlands to auricultural lands that have been drained. Impacts
to existing streams and wetlands have been minimized in the restoration design.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/stnngide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
N/A
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wry/index.htnL If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX.
X.
Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ?
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Required
Zone* (s uImpct are feet Multiplier Mitigation
1 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment
Riparian Buffer Restoration Fund). Please attach all appropriate information as
within 15A NCAC 2B .0242 or.0244, or.0260.
into the
identified
Page 11 of 12
s
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level.
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
KCI
TECHNOLOGIES
Transmittal Letter
ENGINEERS ? SURVEYORS ? SCIENTISTS ? CONSTRUCTION MANAGERS
LANDMARK CENTER It, SUITE 220 ? 4601 SIX FORKS ROAD ? RALEIGH, NC 27609 1 919-783-9214 ? (FAX) 919-783-9266

Date: June 12, 2006
Company: North Carolina Division of Water Project: Daniels Farm #2 Wetland
Quality Restoration
Contact: John Dorney
Subject: 401 Permit Application
? In accordance with your request ? For your use/files
? For your review ? Please call when ready
® For processing ? Please return to this office
? Plans reviewed and accepted ® Approval requested
? Plans reviewed and accepted as noted ? Conference requested
? For revision by you at your convenience
Comments: This application has been revised based on a site visit with John Dorney,
DWQ. Per this design, the stream will be put back in the old channel. I can be reached at
[phone].
JuN 1 2 2006
br ir1 r wfi R"
Kristin Knight
Environmental Scientist
cc: File
KCI TECHNOLOGIES, INC. www.kci.com
Employee-Owned Since 1988
f,
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. - I CC?3 V ?-
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 27
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details, check herc:
II. Applicant Informations' D
JUN 1 2 2006
1. Owner/Applicant Information
Name: KCI Technolo ies Inc.
Mailing Address: Landmark Center II, Suite 220
4601 Six Forks Rd
Raleigh, NC 27609
Telephone Number:[phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 5 of 12
10. Describe the overall project in detail, including the type of equipment to be used: A
bulldozer and/or front-end loader on tracks will be used to fill and/or plug selected channels.
In the jurisdictional wetland areas, mats will be used in conjunction with earth-moving
machinery.
11. Explain the purpose of the proposed work: The project will restore and enhance a 19.7-acre
Bottomland Hardwood wetland ecosystem. The channel to be filled does not represent
natural site conditions. KCI will fill in the dug stream channel thus allowing the stream to
flow once again through its historic channel.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
A_ jurisdictional determination was requested from the USACE and approved by Eric Alsmeyer
of the Raleigh Re ug latorv Field Office on December 21, 2005 (Action ID 200620232). In 2003,
KCI also implemented a wetland restoration project (Daniels Farm #0 adjacent to the proposed
project (Permit Action ID 200321138).
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 7 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.0456
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0
Total Stream Impact (linear feet): 496.3
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The proiect proposes to restored wetlands to agricultural lands that have been drained. Impacts
to existing streams and wetlands have been minimized in the restoration design.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
<`
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ?
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* I Impact I I Required
Multiplier ?R:.. ..
1 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
Page 11 of 12
t
Louisburg
PROJECT
SITE
VANCE WARREN
HALIFAX
GRANVILLE
FRANKLIN
NASH
WAKE
Daniels Farm #2 Vicinity Map
T? R' fJ"
Project Site
Roads N
-? W?E
i Major Rivers
I Municipalities 1:63,360
KC = s
1 inch equals 1 miles
TECHNOLOGIES Counties 1 0.5 0 1 Miles
KCI
ASSOCIATES OF NC
ENVY ONMEMAL TECnnaoG?s
AND CONSTRUCnON, INC.
Franklin County, North Carolina

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ASSOCIATES OF NC
w s E
Project Site Boundary
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1 inch equals 1,500 feet
TECHNOLOGIES 1,500 750 0 1,500 ENvwoNMENtAL TECW40LOCIES
Feet AND CONSTRUCI'll INC.
Source: USGS Topographic Quadrangle Louisburg 1984
3997
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3996
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IL - - - Project Site Boundary Existing Ditches
a Fill Ditches Existing Stream Channel
T Q Ditch Plugs Tar River
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1:5,400
1 inch equals 450 feet
TECHNOLOGIES 450 225 0 450
Image Source: AirPhotoUSA April I, 2004 Feet
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MMWMMMWA?
KCI
ASSOCIATES OF NC
J4
ENvwoNt EwAL TtcNNOtz
AND CONSM)CMN. INC.
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC
Do normal circumstances exist on the site? Yes No X Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: IA Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Fraxinus pennsylvanica 1 FACW 9.
2. Acer rubrum 1 FAC 10.
3. N sv sa sylvatica 1 FAC 11.
4. Saururus cernuus 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
_ Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
_ Other Inundated
Saturated in Upper 12"
X No Recorded Data Available _ Water Marks
_ Drift Lines
Field Observations: Sediment Deposits
_ Drainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: >60 (in.) Water-Stained Leaves
X Local Soil Survey Data
Depth to Saturated Soil: >60 (in.) x FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
Site has been drained.
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SOILS
1A Non-wetland
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): Typ ic Endoaquults Confirm Mapped Type? Yes X No
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-2 Al 10YR 5/2 sil, lfgr
2-10 Bt ml 10YR 511 7.5YR 4/6 fid 1, 1fsbk
10-18 Btg2 10YR 511 7.5YR 4/6 c2d scl. l msbk
18-30 Btg3 10YR 511 10YR 6/4 fl f c, 2msbk
30-42 2Cg_ 10YR 511 2.5Y 6/4 c2d 2.5Y 6/6 c2d sc, massive
42-50 2Cg1 2.5Y 7/2 sl, massive
50-60 2Cg2 2.5Y 7/2 10YR 6/1 c2d sl, massive, lenses of clay
Hydric Soil Indicators:
Histosol _ Concretions
_
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
_ Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime x Listed On Local Hydric Soils List
_
Reducing Conditions x Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors -Other (Explain in Remarks)
Remarks:
Relic mottles evident.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes X No
Remarks:
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2A Non-wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Ulmus alata 1 FACU+ 9.
2. Ulmus alata 2 FACU+ 10.
3. Fraxinus pennsylvanica 1 FACW 11.
4. Liquidambar styraciflua 3 FAC+ 12.
5. Boehmeria cylindrica 3 FACW+ 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 60%
Remarks:
HYDROLOGY
_ Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
_ Other Inundated
-Saturated in Upper 12"
X No Recorded Data Available Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: >18 (in.) Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: >18 (in.) FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
SOILS
2A Non-wetland
Map Unit Name
(Series and Phase): Wake-Wateree-Wedowee Complex Drainage Class: Well Drained
Taxonomy (Subgroup): Lithic Udip samments Confirm Mapped Type? Yes_ No X
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) ( Munsell Moist) Abundance/Contrast Structure, etc.
0-6 Al 10YR 5/3 sand, lfgr
6-15 Bwl 10YR 5/4 sand, lfgr
15-18 Bw2 10YR 5/3 sl, lfsbk
Hydric Soil Indicators:
Histosol Concretions
Histic Epipedon High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
_
Aquic Moisture Regime Listed On Local Hydric Soils List
Reducing Conditions Listed on National Hydric Soils List
Gleyed or Low-Chroma Colors -Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes No X
Hydric Soils Present? Yes No X
Is the Sampling Point
Within a Wetland? Yes_ No X
Remarks:

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DANIELS FARM II ?
WETLAND RESTORATION PROJECT KCI
TBCFIIiO><.oa1S9
LOUISBURG, FRANKLIN COUNTY, NORTH CAROLINA ENGINEERS•PLANNERS.ECOLOGISTS
SLATE 220 LANDMARK CENTER A
1601 SIX FORKS RD., RALEIGH, NC
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DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2B Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Acer rubrum 1 FAC 9.
2. Impatiens capensis 3 FACW 10.
3. Fraxinus pennsylvanica 1 FACW 11.
4. Leersia oazoides 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
Other x Inundated
x Saturated in Upper 12"
X No Recorded Data Available _ Water Marks
_ Drift Lines
Field Observations: Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: 2 (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: (in.) Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: (in.) x FAC-Neutral Test
_ Other (Explain in Remarks)
Remarks:
1
SOILS
2B-Wetlands
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): Typic Endoaquults Confirm Mapped Type? Yes_ No X
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-3 Al 10YR 511 sil
3-12 A2 10YR 6/1 1, lmsbk
12-18+ Btg 10YR 4/2 sc, massive
Hydric Soil Indicators:
Histosol Concretions
_
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime x Listed On Local Hydric Soils List
Reducing Conditions x Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes X No,
Remarks:
WA7-F Michael F. Easley, Governor
O 9 William G. Ross Jr., Secretary
\O? QG North Carolina Department of Environment and Natural Resources
7 Alan W. Klimek, P.E. Director
r Colleen H. Sullins, Deputy Director
(DUJCd--1l` Division of Water Quality
D " 3Eiz;
July 18, 2005
KCI Technologies, Inc.
Landmark Center 11
Suite 220
Six Forks Rd.
Raleigh, NC 27609-5210
Attn: Mr. Steven F. Stokes, LSS
BASIN:
TPBRRO#05-184
County: Franklin
Neuse River Tar-Pamlico X
(15A NCAC 2B.0233) (15A NCAC 2B.0259)
Complaint NOV Buffer Determination X
Incident # Appeal Call
Project Name: Daniels Farm Wetland Restoration Site KCI Project # 12054238
Location/Directions: located off SR 1604 on left hand side.
Subject Stream: UT to Tar River
Date of Determination:
Feature Start Buffer
GPS Points (if
provided) End Buffer Stream
Form Appeal
Call Located
on Soil
Survey Located on
USGS
Topographic
A Subject x X

Comments:
Raleigh Regional Office 1628 Mail Service Center
Water Quality Section Raleigh, NC 27699-1628
phone [phone] Customer Service
facsimile [phone] 1-877-623-6748

I r ` l
Daniels Farm Wetland Restoration Site
KCI Project # 12054238
7/18/2005
Page 2 of 2
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 the DWQ or Delegated Local Authority that a surface water exists and that
it is subject to the buffer rule may request a determination by the Director. A request for a determination by the
Director shall be referred to the Director in writing clo Cyndi Karoly, DWQ Wetlands1401 Unit, 2321 Crabtree
Blvd, Raleigh, NC 27604-2260. Individuals that dispute a determination by the DWQ or Delegated Local
Authority that "exempts" a surface water from the buffer rule may ask for an ad judicatory hearing. You must
act within 60 days of the date that you receive this letter. Applicants are hereby notified that the 60-day statutory
appeal time does not start until the affected party (including downstream and adjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification in order to be certain that third
party appeals are made in a timely manner. To ask for a hearing, send a written petition, which conforms to
Chapter 150E of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 27699-6714. This determination is final and binding unless you ask for a hearing
within 60 days.
The (owner/future owners) should notify the Division of Water Quality (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subject property (stated
above). This project may require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Quality (Central Office) at (919)-733-1786, and the US Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919)-876-8441.
Respectfully,
Michael Horan
Environmental Spec. I
CC: Jean Maneule, US Army Corps of Engineers, Raleigh Regulatory Office
Debbie Edwards-Wetlands/ Stormwater Branch, 2321 Crabtree Blvd, Suite 250, Raleigh, NC 27604
Franklin County, Planning and Inspections, 215 East Nash Street, Louisburg, NC 27549
Franklin Soil and Water, 101 B. South Bickett Blvd, Louisburg, NC 27549
File Copy
Central Files
Y ? ? r
Al K C I --_.__- _
ENGINEERS • SURVEYORS • SCIENTISTS ' CONSTRUCTION MANAGERS
TECHNOLOGIES LANDeIARK CENTER If • SUITE 220 • 46(11 Six FORKS ROAD • RALEII;H INC 27609 • )N-7$i-9314 • IFA'U 919-7S3-,)1o6
July 11, 2005
Mike Horan
Environmental Scientist
Water Quality Section
Division of Water Quality
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
RE: Daniels Farm Wetland Restoration Site
KCI Project # 12054238
Dear Mr. Horan:
The Daniels Farm Wetland Restoration Site is located approximately 2200 feet north of Egypt
Church Road (SR 1604) where it dead ends at the Clyde Daniels Farm, approximately 3.5 miles
south-southeast of Louisburg in Franklin County, North Carolina. The approximately 35-acre
site is located on the most current (1984) Louisburg, North Carolina USGS 7.5 minute
topographic quadrangle. Only one stream feature is located on the Franklin County Soil Survey
Map and the Louisburg Topographic Quadrangle Map. No other stream features are located on
the site outlined on the enclosed maps.
Please provide a letter of concurrence that the remainder of the site other than the blue line
stream is not subject to the Tar-Pamlico Buffer Rules.
Respectfully Submitted,
PA..'0=-P?* i
Steven F. Stokes, LSS
Senior Environmental Scientist
Attachments:
USGS Topographic Quadrangle
Franklin County Soil Survey Maps
C: File
KCI TECHNOLOGIES NvN%- W.kci.coin
M ( { y.
r

47
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Louisburg Quadrangle
Daniels Farm #2 Project Site Boundary ?lJ (0S N K C I
= r w e
r .?`.-- . -- -.• ?? ASSOCIAITS OF NC
1:24,000 s
1 inch equals 2,000 feet
2,000 1 000 0 2.000 Feet
_=wL_J
T ECHNOLOGIES ENV
IRONMFNTAL TECHNOLOGIES
AND CONSTMiCTION, INC.
I Source: USGS Topographic Quadrangle Louisburg, 1984
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?^ '"s..x - i3'_?t.3 -. ,•39 ' ti? _=? ? {Id4 -. `ReA ?.+? a ?. ? ? ? .
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Daniels Farm #2 Restoration Site KC T
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/Y!D COItSlliUf IION. 40C.

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 200321138 County Franklin
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner KCI Associates of North Carolina
Address Attn: Mr. Joe Pfeiffer Jr.
Landmark Center II Suite 220
4601 Six Forks Road
Raleigh North Carolina 27609-5210
Telephone Number (9191783 9214
Size and Location of project (waterway, road name/number, town, etc.) 33.93 on the north side
of SR 1604 (Egypt Church Road) approximately 0.8 mile east NC 39, southeast of Louisburg,
pen Branch.
North Carolina The property is located near Wolf
Description of Activity
Mechanized landclearing and filling activities impacting 0.24 acre of jurisdictional wetlands
located with the bottoms of existing ditches associated with the wetland restoration of the 33+
acre parcel.
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
27 Nationwide Permit.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or appropriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the permittee of the responsibility to obtain any other required Federal, State, or local
approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
Regulatory Project Manager Signature
Date 8 August 2003 Expir*tion Date 8 August 2005
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
L
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. -? - I C? C? V ?_
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 27
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area
Environmental Concern (see the top of page 2 for further details), ch &&@g D
II. Applicant Information JUN 1 2 2006
1. Owner/Applicant Information I}UAyITTY
Name: KCI Technologies, Inc. TO% W0 ? ",A?
Mailing Address: Landmark Center 11, Suite 220
4601 Six Forks Rd
Raleigh, NC 27609
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: sstokesCkchcom
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Daniels Farm #2 Wetland Restoration Site
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 2814-32-4173
4. Location
County: Franklin Nearest Town: Louisburg
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): The site is located
approximately 2.4 miles southeast of Louisburg and one mile east of the intersection of
Egypt Church Road (SR 1604) and NC Route 39.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.0614 ON 78.2747 °W
6. Property size (acres): 34.0 acres
7. Name of nearest receiving body of water: Tar River
8. River Basin: Tar-Pamlico River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is a combination of agricultural and forested land.
There are two soybean fields totaling. 14.3 acres as well as 19.7 acres of forest. The property
has been ditched and drained extensively. The surrounding land use is rural.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: A
bulldozer and/or front-end loader on tracks will be used to fill and/or plug selected channels.
In the jurisdictional wetland areas, mats will be used in conjunction with earth-moving
machinery.
11. Explain the purpose of the proposed work: The project will restore and enhance a 19.7-acre
Bottomland Hardwood wetland ecosystem. The channel to be filled does not represent
natural site conditions. KCI will fill in the dug stream channel thus allowing the stream to
flow once again through its historic channel.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
A jurisdictional determination was requested from the USACE and approved by Eric Alsmeyer
of the Raleigh Regulatory Field Office on December 21, 2005 (Action ID 200620232). In 2003,
KCI also implemented a wetland restoration project (Daniels Farm #0 adjacent to the proposed
project (Permit Action ID 200321138).
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of the proposed impacts: The project will use three ditch plugs
and fill 496.3 feet of channel. KCI will also put the stream flow back into the historic
channel and recreate a stable outlet at an existing downstream culvert.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
cennrately list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
( es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 15.5 acres
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acrea e, multi 1 length X width, then divide b 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
1 UT to Tar River 3 ditch plugs & fill Perennial 4 feet 496.3 0.0456

Total Stream Impact (by length and acreage) 496.3 0.0456
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill. excavation, dredging. flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres)
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.0456
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0
Total Stream Impact (linear feet): 496.3
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The moiect proposes to restored wetlands to agricultural lands that have been drained. Impacts
to existing streams and wetlands have been minimized in the restoration design.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
?T
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
htti)://h2o.enr.state.nc.us/ncwetiands/strrngide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
N/A
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
c
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ?
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
I I Zone* Impact Multiplier Required
(square feet) Mitigation
1 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
Page 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level.
N/A
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes El No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Page 12 of 12
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
L

-' Franklin County, North Carolina
Louisburg

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DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies. Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes No X Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: I A Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Fraxinus pennsylvanica I FACW 9.
2. Acer rubram I FAC 10.
3. N?'ssa s0vatica 1 FAC 11.
4. Sauntrus cernuus 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%r
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
Other Inundated
Saturated in Upper 12"
X No Recorded Data Available Water Marks
Drift Lines
Field Observations: Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: >60 (in.) Water-Stained Leaves
x Local Soil Survey Data
Depth to Saturated Soil: >60 (in.) x FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
Site has been drained.
SOILS
IA Non-wetland
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): Typ ic Endoaquults Confirm Mapped Type? Yes X No
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-2 A I I0YR 5/2 sil. I fgr
2-10 Bta 1 l OYR 511 7.5YR 4/6 H d 1. 1 fsbk
10-18 Btg2 IOYR 511 7.5YR 4/6 c2d scl, lmsbk
18-30 Btg3 IOYR 5/1 IOYR 6/4 flf c. 21nsbk
30-42 2Cg IOYR 511 2.5Y 6/4 c2d 2.5Y 6/6 c2d sc, massive
42-50 2QZI 2.5Y 7/2 sl, massive
50-60 2Cg2 2.5Y 7/2 10YR 6/1 c2d sl, massive, lenses of clay
Hydric Soil Indicators:
Histosol Concretions
Histic Epipedon High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime x Listed On Local Hydric Soils List
Reducing Conditions x Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors Other (Explain in Remarks)
Remarks:
Relic mottles evident.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes X No
Remarks:
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2A Non-wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Ulnius alata I FACU+ 9.
2. Uln us alata 2 FACU+ 10.
3. Fra_viuus pennsylvmtica 1 FACW 11.
4. Liyuidambar stvraciflua 3 FAC+ 12.
5. Boehrneria (-l4indrica 3 FACW+ 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 607
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
Other Inundated
Saturated in Upper 12"
X No Recorded Data Available Water Marks
Drift Lines
Field Observations: Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: >18 (in.) Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: >18 (in.) FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
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SOILS
2A Non-wetland
Map Unit Name
(Series and Phase): Wake-Wateree-Wedowee Complex Drainage Class: Well Drained
Taxonomy (Subgroup): Lithic Udipsamments Confirm Mapped Type? Yes No X
Profile Description:
Depth Matrix Colors Mottle Color s Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-6 A I I OYR 5/3 sand, 1 f?*r
6-15 Bw 1 I OYR 5/4 sand, I far
15-18 Bw2 1 OYR 5/3 sl, I fshk
Hydric Soil Indicators:
Histosol Concretions
Histic Epipedon High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime Listed On Local Hydric Soils List
Reducing Conditions Listed on National Hydric Soils List
Gleyed or Low-Chroma Colors Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes No X
Hydric Soils Present? Yes No X
Is the Sampling Point
Within a Wetland? Yes No X
Remarks:
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2B Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Acer rubrum I FAC 9.
2. Impatiens capensis 3 FACW 10.
3. Fraxinus pennsylvanica I FACW 11.
4. Leersia orvzoides 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100(/(
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
Other x Inundated
X Saturated in Upper 12"
X No Recorded Data Available Water Marks
Drift Lines
Field Observations: Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: 2 (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: (in.) Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: (in.) x FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
SOILS
213-Wetlands
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): Typic Endoaquults Confirm Mapped Type? Yes No X
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-3 A I I OYR 511 sil
3-12 A2 1 OYR 6/1 1, 1 msbk
12-18+ Btgl 10YR 4/2 sc, massive
Hydric Soil Indicators:
Histosol Concretions
Histic Epipedon High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime x Listed On Local Hydric Soils List
Reducing Conditions x Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes X No
Remarks:
??aF w A rF9Q
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D ? -C
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Colleen H. Sullins, Deputy Director
Division of Water Quality
July 18, 2005
KCI Technologies, Inc.
Landmark Center H
Suite 220
Six Forks Rd.
Raleigh, NC 27609-5210
Attn: Mr. Steven F. Stokes, LSS
BASIN:
Neuse River
TPBRRO#05-184
County: Franklin
Tar-Pamlico X
(15A NCAC 2B .0233)
(15A NCAC 2B.0259)
Complaint NOV Buffer Determination X
Incident # Appeal Call
Project Name: Daniels Farm Wetland Restoration Site KCI Project # 12054238
Location/Directions: located off SR 1604 on left hand side.
Subject Stream: UT to Tar River
Date of Determination:
Feature Start Buffer
GPS Points (if
provided) End Buffer Stream
Form Appeal
Call Located
on Soil
Survey Located on
USGS
_Topographic
A Subject x X

Comments:
Raleigh Regional Office 1628 Mail Service Center
Water Quality Section Raleigh, NC 27699-1628
phone [phone] Customer Service
facsimile [phone] 1-877-623-6748

1 3
Daniels Farm Wetland Restoration Site
KCI Project # 12054238
7/18/2005
Page 2of2
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 the DWQ or Delegated Local Authority that a surface water exists and that
it is subject to the buffer rule may request a determination by the Director. A request for a determination by the
Director shall be referred to the Director in writing c1o Cyndi Karoly, DWQ Wetlands1401 Unit, 2321 Crabtree
Blvd, Raleigh, NC 27604-2260. Individuals that dispute a determination by the DWQ or Delegated Local
Authority that "exempts" a surface waterfront the buffer rule may ask for an ad judicatory hearing. You must
act within 60 days of the date that you receive this letter. Applicants are hereby notified that the 60-day statutory
appeal time does not start until the affected party (including downstream and adjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification in order to be certain that third
party appeals are made in a timely manner. To ask for a hearing, send a written petition, which conforms to
Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 2 769 9-6 71 4. This determination is final and binding unless you ask for a hearing
within 60 days
The (owner/future owners) should notify the Division of Water Quality (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subjectproperty (stated
above). This project may require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Quality (Central Office) at (919)-733-1786, and the US Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919)-876-8441.
Respectfully,
Michael Horan
Environmental Spec. I
CC: Jeaa Maneule, US Army Corps of Engineers, Raleigh Regulatory Office
Debbie Edwards-Wetlands/ Stormwater Branch, 2321 Crabtree Blvd, Suite 250, Raleigh, NC 27604
Franklin County, Planning and Inspections, 215 East Nash Street, Louisburg, NC 27549
Franklin Soil and Water, 101 B. South Bickett Blvd, Louisburg, NC 27549
File Copy
Central Files
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ischNR R: bi :-
KCI ----
ENGINEERS • SURVEYORS • SCIENTISTS ' CONSTRUCTION MANAGERS
TECHNOLOGIES LANDMARK CENTER II • SUITE 220 • 4601 Six FORKs ROAD • RALEIGH • NC 27609 • 0[)-784-9114 • FAX) 019-783-)2L,6
July 11, 2005
Mike Horan
Environmental Scientist
Water Quality Section
Division of Water Quality
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
RE: Daniels Farm Wetland Restoration Site
KCI Project # 12054238
Dear Mr. Horan:
The Daniels Farm Wetland Restoration Site is located approximately 2200 feet north of Egypt
Church Road (SR 1604) where it dead ends at the Clyde Daniels Farm, approximately 3.5 miles
south-southeast of Louisburg in Franklin County, North Carolina. The approximately 35-acre
site is located on the most current (1984) Louisburg, North Carolina USGS 7.5 minute
topographic quadrangle. Only one stream feature is located on the Franklin County Soil Survey
Map and the Louisburg Topographic Quadrangle Map. No other stream features are located on
the site outlined on the enclosed maps.
Please provide a letter of concurrence that the remainder of the site other than the blue line
stream is not subject to the Tar-Pamlico Buffer Rules.
Respectfully Submitted,
Steven F. Stokes, LSS
Senior Environmental Scientist
Attachments:
USGS Topographic Quadrangle
Franklin County Soil Survey Maps
C: File
KCI TECHNOLOGIES w wW.kci.coin'

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m•.?.?? Figure 1. Vicinity Map
? Daniels Farm #2 Restoration Site N
Major Roads K C I
Major Rivers w e ASSOCIATES OF
Cities and Towns s
I County Boundaries Scale: 1:316,800 P= 5 miles
K C'
TECHNOLOGIES 5 0 5 Mi s
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ivo Coran+UCnan. I.C.
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action 1D. 200321138 County Franklin
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
PropertyOwner KCI Associates of North Carolina
Address Attn: Mr. Joe Pfeiffer Jr.
Landmark Center II, Suite 220
4601 Six Forks Road
Raleigh, North Carolina 27609-5210
er?9191783 9214
Telephone Numb
Size and Location of project (waterway, road name/number, town, etc.) 33.93 on the north side
of SR 1604 (Egypt Church Road) approximately 0.8 mile east NC 39, southeast of Louisburg,
North Carolina The property is located near Wolfpen Branch.
Description of Activity
Mechanized landclearing and filling activities impacting 0.24 acre of jurisdictional wetlands
located with the bottoms of existing ditches associated with the wetland restoration of the 33+
acre parcel.
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
27 Nationwide Permit.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or appropriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the permittee of the responsibility to obtain any other required Federal, State, or local
approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
Regulatory Project Manager Signature
Date 8 August 2003 Expiration Date 8 August 2005
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.

Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. I U, c_3 V ?-
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1.
II.
Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 27
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
Applicant Information
1. Owner/Applicant Information
Name: KC
Mailing Address: Lan
JUN 1 2x006
4601 Six Forks Rd
Raleigh, NC 27609
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Daniels Farm #2 Wetland Restoration Site
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 2814-32-4173
4. Location
County: Franklin Nearest Town: Louisburg
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): The site is located
approximately 2.4 miles southeast of Louisburg and one mile east of the intersection of
Egypt Church Road (SR 1604) and NC Route 39.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.0614 ON 78.2747 °W
6. Property size (acres): 34.0 acres
7. Name of nearest receiving body of water: Tar River
8. River Basin: Tar-Pamlico River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is a combination of agricultural and forested land.
There are two soybean fields totaling 14.3 acres as well as 19.7 acres of forest. The property
has been ditched and drained extensively. The surrounding land use is rural.
Page 6 of 12
t
10. Describe the overall project in detail, including the type of equipment to be used: A
bulldozer and/or front-end loader on tracks will be used to fill and/or plug selected channels.
In the jurisdictional wetland areas, mats will be used in conjunction with earth-moving
machinery.
11. Explain the purpose of the proposed work: The project will restore and enhance a 19.7-acre
Bottomland Hardwood wetland ecosystem. The channel to be filled does not represent
natural site conditions. KCI will fill in the dug stream channel thus allowing the stream to
flow once again through its historic channel.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
A jurisdictional determination was requested from the USACE and approved by Eric Alsmeyer
of the Raleigh Re ug latory Field Office on December 21, 2005 (Action ID 200620232). In 2003,
KCI also implemented a wetland restoration project (Daniels Farm #0 adjacent to the proposed
project (Permit Action ID 200321138).
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of the proposed impacts: The project will use three ditch plugs
and fill 496.3 feet of channel KCI will also-put the stream flow back into the historic
channel and recreate a stable outlet at an existing downstream culvert.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
cennrntely list impacts due to both structure and flooding.
-- ----
Wetland Impact
Site Number
(indicate on map) --- ---- ---- -

Type of Impact
Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.)
Located within
100-year
Floodplain
( es/no)
Distance to
Nearest
Stream
(linear feet)
Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 15.5 acres
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
mmct he inchuled- Tn calculate acreage. multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
1 UT to Tar River 3 ditch plugs & fill Perennial 4 feet 496.3 0.0456

Total Stream Impact (by length and acreage) 496.3 0.0456
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill- excavation- dredging. flooding. drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres)
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the proiect:
Stream Impact (acres): 0.0456
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0
Total Stream Impact (linear feet): 496.3
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond:
VII. Impact Justification (Avoidance and Minimization)
Expected pond surface area:
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The nroiect nroooses to restored wetlands to agricultural lands that have been drained. Impacts
to existing streams and wetlands have been minimized in the restoration design.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetiands/strmp,ide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
N/A
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wry/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ?
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* I Impact I I Required
Multiplier A d;... ..
1 I 13 (2 for Catawba)
2 1.5 1
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
Page 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level.
N/A
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.ne.us/ncwetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Page 12 of 12
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
t
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DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies. Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes No X Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: IA Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Fraxinus pennsyNanica I FACW 9.
2. Acer rubrwn I FAC 10.
3. Nvssa s0wtica I FAC 11.
4. Saurui-its cei•nuus 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 1001/(
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
Other Inundated
Saturated in Upper 12"
X No Recorded Data Available Water Marks
Drift Lines
Field Observations: Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: >60 (in.) Water-Stained Leaves
x Local Soil Survey Data
Depth to Saturated Soil: >60 (in.) x FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
Site has been drained.

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i J? DANIELS FARM II KCI
WETLAND RESTORATION PROJECT .?
? •rscttxo>.oo?as
220 LANNERS•EENTER I
LOUISBURG, FRANKLIN COUNTY, NORTH CAROLINA ENGINEERS
-- - 601 SIXFORKS RDRRALEIGH. C
SOILS
IA Non-wetland
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): Typ ic Endoaquults Confirm Mapped Type? Yes X No
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-2 A l l OYR 5/2 siI, I I'Ur
2-10 Bt,] 1 OYR 511 7.5YR 4/6 f l d 1, 1 fsbk
10-18 Btg2 IOYR 511 7.5YR 4/6 c2d scl, Imsbk
18-30 Btg3 IOYR 5/1 I OYR 6/4 fl f c, 2msbk
30-42 2Cg 10YR 5/1 2.5Y 6/4 c2d 2.5Y 6/6 c2d sc. massive
42-50 2Cg 1 2.5Y 7/2 sl, massive
50-60 2Cg2 2.5Y 7/2 l OYR 6/1 c2d sl massive, lenses of clay
Hydric Soil Indicators:
Histosol Concretions
Histic Epipedon High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime x Listed On Local Hydric Soils List
Reducing Conditions x Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors Other (Explain in Remarks)
Remarks:
Relic mottles evident.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes X No
Remarks:
a a _
/A ?0 W A T?9Q
?O G
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Colleen H. Sullins, Deputy Director
Division of Water Quality
July 18, 2005
TPBRRO#05-184
County: Franklin
KCI Technologies, Inc.
Landmark Center II
Suite 220
Six Forks Rd.
Raleigh, NC 27609-5210
Attn: Mr. Steven F. Stokes, LSS
BASIN:
Neuse River
(15A NCAC 2B .0233
Tar-Pamlico X
(15A NCAC 2B.0259)
Complaint NOV Buffer Determination X
Incident # Appeal Call
Project Name: Daniels Farm Wetland Restoration Site KCI Project # 12054238
Location/Directions: located off SR 1604 on left hand side.
Subject Stream: UT to Tar River
Date of Determination:
Feature Start Buffer
GPS Points (if
provided) End Buffer Stream
Form Appeal
Call Located
on Soil
Survey Located on
USGS
Too a hic
A Subject x X

Comments:
Raleigh Regional Office
Water Quality Section
1628 Mail Service Center
Raleigh, NC 27699-1628
phone [phone] Customer Service
facsimile [phone] 1-877-623-6748
i r
Daniels Farm Wetland Restoration Site
KCI Project # 12054238
7/18/2005
Page 2 of 2
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 the DWQ or Delegated Local Authority that a surface water exists and that
it is subject to the buffer rule may request a determination by the Director. A request for a determination by the
Director shall be referred to the Director in writing c% Cyndi Saroly, DWQ Wetlands1401 Unit, 2321 Crabtree
Blvd, Raleigh, NC 27604-2260. Individuals that dispute a determination by the DWQ or Delegated Local
Authority that "exempts" a surface water from the buffer rule may ask for an ad judicatory hearing. You must
act within 60 days of the date that you receive this letter. Applicants are hereby notified that the 60-day statutory
appeal time does not start until the affected party (including downstream and adjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification in order to be certain that third
party appeals are made in a timely manner. To ask for a hearing, send a written petition, which conforms to
Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 2 769 9-6 71 4. This determination is final and binding unless you ask for a hearing
within 60 days.
The (owner/fitture owners) should notify the Division of Water Quality (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subject property (stated
above). This project may require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Quality (Central Office) at (919)-733-1786, and the US Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919)-876-8441.
Respectfully,
n ctd,?' kku_
Michael Horan
Environmental Spec. I
CC: Jean Maneule, US Army Corps of Engineers, Raleigh Regulatory Office
Debbie Edwards-Wetlands/ Stormwater Branch, 2321 Crabtree Blvd, Suite 250, Raleigh, NC 27604
Franklin County, Planning and Inspections, 215 East Nash Street, Louisburg, NC 27549
Franklin Soil and Water, 101 B. South Bickett Blvd, Louisburg, NC 27549
File Copy
Central Files
1f .?
KCI _-----
ENGINEERS • SURVEYORS • SCIENTISTS • CONSTRUCTION MANAGERS
TECHNOLOGIES LANDUOK CENTER If • SUITE 220 • -bill SI\ FoRKs R,,.aD R;LEI,;H INC 27609 • 9[ 7-7Si-91({ • .FAX) 919-7R3-9306
July 11, 2005
Mike Horan
Environmental Scientist
Water Quality Section
Division of Water Quality
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
RE: Daniels Farm Wetland Restoration Site
KCI Project # 12054238
Dear Mr. Horan:
The Daniels Farm Wetland Restoration Site is located approximately 2200 feet north of Egypt
Church Road (SR 1604) where it dead ends at the Clyde Daniels Farm, approximately 3.5 miles
south-southeast of Louisburg in Franklin County, North Carolina. The approximately 35-acre
site is located on the most current (1984) Louisburg, North Carolina USGS 7.5 minute
topographic quadrangle. Only one stream feature is located on the Franklin County Soil Survey
Map and the Louisburg Topographic Quadrangle Map. No other stream features are located on
the site outlined on the enclosed maps.
Please provide a letter of concurrence that the remainder of the site other than the blue line
stream is not subject to the Tar-Pamlico Buffer Rules.
Respectfully Submitted,
Steven F. Stokes, LSS
Senior Environmental Scientist
Attachments:
USGS Topographic Quadrangle
Franklin County Soil Survey Maps
C: File
KCI TECHNOLOGIES «-«•?w.kci.coiii
7 r

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Louisburg Quadrangle
---?- , -,._. Daniels Farm #2 Project Site Boundary '7/:)G-f 6 " K C I
w-<? -- -, ---yam --.-. ;? ASSOCIATFS OF INC
- - 1:24,000
1 inch equals 2,000 feet _
KC1 s
2,000 1 000 0 2 000 Feet
Z E CH N OLO G IES ENVIRONMENTAL rECHN01.OGIES
AND CONMRUCTION, INC.
Source: USGS Topographic Quadrangle Louisburg, 1984
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nar?? Daniels Farm #2 Restoration Site N
Major Roads K C I
Major Rivers w e ASSOCIACATTEOF
1"U in
Cities and Towns S . County Boundaries Scale: 1:316,800 P'= 5 miles
es x?
KCI
TECHNOLOGIES 5 0 5 Mi s
?riv:v`on?ro?u tec?rao?axres
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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT -
Action ID. 200321138 County Franklin
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner KCI Associates of North Carolina
Address Attn: Mr. Joe Pfeiffer Jr.
Landmark Center II, Suite 220
4601 Six Forks Road
Raleigh North Carolina 27609-5210
Telephone Number [phone]
Size and Location of project (waterway, road name/number, town, etc.) 33.93 on the north side
of SR 1604 (Egypt Church Road)approximately 0.8 mile east NC 39, southeast of Louisburg,
North Carolina The properly is located near Wolfpen Branch.
Description of Activity
Mechanized landclearing and filling activities impacting 0.24 acre of jurisdictional wetlands
located with the bottoms of existing ditches associated with the wetland restoration of the 33+
acre parcel.
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
27 Nationwide Permit.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or appropriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the penmittee of the responsibility to obtain any other required Federal, State, or local
approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
Regulatory Project Manager Signature
Date 8 August 2003 Expiration Date 8 August 2005
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
?'DSYiS®tY Y' k vs L F[?6i
t A
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. G3 _ 1 C D 3 V
(1t any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 27
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal i f
Environmental Concern (see the top of page 2 for further details), check L5
II. Applicant Information JUN 1 2 2006
1. Owner/Applicant Information WETUWDSANDST7 ATER BROa
Name: KCI Technologies, Inc.
Mailing Address: Landmark Center II, Suite 220
4601 Six Forks Rd
Raleigh, NC 27609
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page 5 of 12
S
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Daniels Farm #2 Wetland Restoration Site
2. T.I.P. Project Number or State Project Number (NCDOT Only
3. Property Identification Number (Tax PIN): 2814-32-4173
4. Location
County: Franklin Nearest Town: Louisburg
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): The site is located
approximately 2.4 miles southeast of Louisburg and one mile east of the intersection of
Egypt Church Road (SR 1604) and NC Route 39
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.0614 ON 78.2747 °W
6. Property size (acres): 34.0 acres
7. Name of nearest receiving body of water: Tar River
8. River Basin: Tar-Pamlico River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at htti)://h2o.enr.state.nc.us/adn-in/mai)s/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is a combination of agricultural and forested land.
There are two soybean fields totaling 14.3 acres as well as 19.7 acres of forest. The property
has been ditched and drained extensively. The surrounding land use is rural.
Page 6 of 12
r.
10. Describe the overall project in detail, including the type of equipment to be used: A
bulldozer and/or front-end loader on tracks will be used to fill and/or plug selected channels
In the jurisdictional wetland areas, mats will be used in conjunction with earth-moving
machinery.
11. Explain the purpose of the proposed work: The project will restore and enhance a 19.7-acre
Bottomland Hardwood wetland ecosystem. The channel to be filled does not represent
natural site conditions. KCI will fill in the dug stream channel thus allowing the stream to
flow once again through its historic channel.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
A jurisdictional determination was requested from the USACE and approved by Eric Alsmeyer
of the Raleigh Regulatory Field Office on December 21, 2005 (Action ID 200620232) In 2003,
KCI also implemented a wetland restoration project (Daniels Farm #1) adjacent to the proposed
project (Permit Action ID 200321138).
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 7 of 12
a
1. Provide a written description of the proposed impacts: The project will use three ditch plugs
and fill 496.3 feet of channel KCI will also put the stream flow back into the historic
channel and recreate a stable outlet at an existing downstream culvert.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
cPnarntPly li.t impact. clue to both structure and flooding.

Wetland Impact

Site Number
indicate on map)
(?

ype of Impact
Type of Wetland

(e.g., forested, marsh,
herbaceous, bog, etc.) Located within

-year
100
F(yes/noin
) Distance to

Nearest
Stream
(linear feet) Area of

Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 15.5 acres
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
rnnct hP inrlnrlPrl Tn calculate acreage- multiply lenLyth X width, then divide by 43,560.
Stream Impact . v
Number
(indicate on ma) - ~V
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
1 UT to Tar River 3 ditch plugs & fill Perennial 4 feet 496.3 0.0456

Total Stream Impact (by length and acreage) 496.3 0.0456
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
r;11 excavation rirP.rlainu flooding- drainage. bulkheads, etc.
Open Water Impact

Site Number
(indicate on map)
Name of Waterbody

(if applicable)

Type of Impact Type of Waterbody

(lake, pond, estuary, sound, bay,
ocean, etc.) Area of

Impact
(acres)

Total Open Water Impact (acres)
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the proiect:
Stream Impact (acres): 0.0456
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0
Total Stream Impact (linear feet): 496.3
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The project proposes to restored wetlands to agricultural lands that have been drained. Impacts
to existing streams and wetlands have been minimized in the restoration design.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/stnngide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
N/A
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
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IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ?
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
* I Impact I I Required
I Zone few f aMultiplier
1 3 (2 for Catawba)
2 1.5
Total
* Zone I extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
Page 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level.
N/A
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/newetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Page 12 of 12
(Agent's signature is valid only if an authorization letter from the applicant is proviaea.)
L 6

Louisburg
PROJECT
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?¦?+? Daniels Farm #2 Vicinity Map
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TECHNOLOGIES Counties 1 0.5 0
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Project Site Boundary
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DAN&S FARM it Z KCIWETLAND RESTORATION PROJECT
LOUISBURG, FRANKLIN COUNTY, NORTH CAROLINA ENGINEERS-PLANNERS.ECOLOGISTS
40SIX FORKS MARK

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Daniels Farm #2 Site Plan
IL - - - Project Site Boundary /\,d Existing Ditches
Fill Ditches 1*"**V Existing Stream Channel
Q Ditch Plugs S Tar River
w?.
1:5,400
1 inch equals 450 feet
TECHNOLOGIES 450 225 0 450
Image Source: AirPhotoUSA April 1, 2004 Feet
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KCI
ASSOCIATES OF NC
ENVWO MaEP TECIRJOIOGES
MID CONSTRMTK)N. INC.
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes No X Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: IA Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Fraxinus pennsylvanica 1 FACW 9.
2. Acer rubrum 1 FAC 10.
3. Nyssa sylvatica 1 FAC 11.
4. Saururus cernuus 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
_ Other _ Inundated
Saturated in Upper 12"
X No Recorded Data Available _ water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: >60 (in.) Water-Stained Leaves
x Local Soil Survey Data
Depth to Saturated Soil: >60 (in.) x FAC-Neutral Test
_ Other (Explain in Remarks)
Remarks:
Site has been drained.
SOILS
1A Non-wetland
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): Tun ic Endoaauults Confirm Mapped Type? Yes X No
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-2 Al 10YR 5/2 sil, lfgr
2-10 Btgl IOYR 511 7.5YR 4/6 fld 1. 1fsbk
10-18 Btg2 10YR 511 7.5YR 4/6 c2d scl, lmsbk
18-30 Btg3 10YR 511 10YR 6/4 flf c. 2msbk
30-42 2C2 _ IOYR 511 2.5Y 6/4 c2d 2.5Y 6/6 c2d sc, massive
42-50 2Cg1 2.5Y 7/2 sl, massive
50-60 2CQ2 2.5Y 7/2 10YR 6/1 c2d sl, massive, lenses of clay
Hydric Soil Indicators:
Histosol _ Concretions
_
Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime x Listed On Local Hydric Soils List
Reducing Conditions x Listed on National Hydric Soils List
_
x Gleyed or Low-Chroma Colors -Other (Explain in Remarks)
Remarks:
Relic mottles evident.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes X No
Remarks:
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2A Non-wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Uhnus alata 1 FACU+ 9.
2. Ulmus alata 2 FACU+ 10.
3. Fraxinus pennsylvanica 1 FACW 11.
4. Liquidainbar styraciflua 3 FAC+ 12.
5. Boehmeria cylindrica 3 FACW+ 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 60%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
_ Other _ Inundated
-Saturated in Upper 12"
X No Recorded Data Available Water Marks
_ Drift Lines
Field Observations: Sediment Deposits
_ Drainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: >18 (in.) Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: >18 (in.) FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
SOILS
2A Non-wetland
Map Unit Name
(Series and Phase): Wake-Wateree-Wedowee Complex Drainage Class: Well Drained
Taxonomy (Subgroup): Lithic Udipsamments Confirm Mapped Type? Yes_ No X
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-6 Al I OYR 5/3 sand, 1 fgr
6-15 Bw 1 10YR 5/4 sand, 1 fgr
15-18 Bw2 10YR 5/3 sl, lfsbk
Hydric Soil Indicators:
Histosol Concretions
_
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
_ Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime Listed On Local Hydric Soils List
_ Reducing Conditions Listed on National Hydric Soils List
Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes No X
Hydric Soils Present? Yes No X
Is the Sampling Point
Within a Wetland? Yes No X
Remarks:
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2B wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Acer nsbrum 1 FAC 9.
2. Impatiens capensis 3 FACW 10.
3. Fraxinus pennsylvanica I FACW 11.
4. Leersia oazoides 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
Other x Inundated
_ X Saturated in Upper 12"
X No Recorded Data Available Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
Depth of Surface Water: 2 (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: (in.) Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: (in.) X FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
SOILS
2B-Wetlands
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): Tunic Endoaquults Confirm Mapped Type? Yes_ No X
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-3 Al IOYR 511 sil
3-12 A2 10YR 6/1 1. lmsbk
12-18+ BtO IOYR 4/2 sc, massive
Hydric Soil Indicators:
Histosol _ Concretions
_
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime x Listed On Local Hydric Soils List
Reducing Conditions x Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors -Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes X No
Remarks:
Michael F. Easley, Governor
of W ArFR William G. Ross Jr., Secretary
?OC? QG North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
r Colleen H. Sullins, Deputy Director
Division of Water Quality
July 18, 2005
KCI Technologies, Inc.
Landmark Center II
Suite 220
Six Forks Rd.
Raleigh, NC 27609-5210
TPBRRO#05-184
County: Franklin
Attn: Mr. Steven F. Stokes, LSS
BASIN:
Neuse River
Tar-Pamlico X
(15A NCAC 2B.0233)
(15A NCAC 2B.0259)
Complaint NOV Buffer Determination X
Incident # Appeal Call
Project Name: Daniels Farm Wetland Restoration Site KCI Project # 12054238
Location/Directions: located off SR 1604 on left hand side.
Subject Stream: UT to Tar River
Date of Determination:
Feature Start Buffer
GPS Points (if
provided) End Buffer Stream
Form Appeal
Call Located
on Soil
Survey Located on
USGS
Too a hic
A Subject x X

Continents:
Raleigh Regional Office 1628 Mail Service Center
Water Quality Section Raleigh, NC 27699-1628
phone [phone] Customer Service
facsimile [phone] 1-877-623-6748

t r•
Daniels Farm Wetland Restoration Site
KCI Project # 12054238
7/18/2005
Page 2 of 2
This on-site determination shall expire five (S) years from the date of this letter. Landowners or affected parties
that dispute a determination made by the DWQ or Delegated Local Authority that a surface water exists and that
it is subject to the buffer rule may request a determination by the Director. A request for a determination by the
Director shall be referred to the Director in writing c% Cyndi Saroly, DWQ Wetlands1401 Unit, 2321 Crabtree
Blvd., Raleigh, NC 27604-2260. Individuals that dispute a determination by the DWQ or Delegated Local
Authority that "exempts" a surface water from the buffer rule may ask for an ad judicatory hearing. You must
act within 60 days of the date that you receive this letter. Applicants are hereby notified that the 60-day statutory
appeal time does not start until the affected party (including downstream and adjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification in order to be certain that third
party appeals are made in a timely manner. To ask for a hearing, send a written petition, which conforms to
Chapter 150E of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 2 769 9-6 71 4. This determination is final and binding unless you ask for a hearing
within 60 days.
The (owner/future owners) should notify the Division of Water Quality (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subject property (stated
above). This project may require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Quality (Central Office) at (919)-733-1786, and the US Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919)-876-8441.
Respectfully,
Michael Horan
Environmental Spec. I
CC: Jeaa Maneule, US Army Corps of Engineers, Raleigh Regulatory Office
Debbie Edwards-Wetlands/ Stormwater Branch, 2321 Crabtree Blvd, Suite 250, Raleigh, NC 27604
Franklin County, Planning and Inspections, 215 East Nash Street, Louisburg, NC 27549
Franklin Soil and Water, 101 B. South Bickett Blvd, Louisburg, NC 27549
File Copy
Central Files
n !,-R1R R+LEIu
KCI .__---.-
ENGINEERS • SURVEYORS • SCIENTISTS ' CONSTRUCTION MANAGERS
TECHNOLOGIES LANDALkRF CENTER If • SUITE 230 • 4601 SIX FORKS Ro.?D • R?LEII;H • INC 27609 • 919-783-9314 • FAX) 1)11)-78,.;.,)2o6
July 11, 2005
Mike Horan
Environmental Scientist
Water Quality Section
Division of Water Quality
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
RE: Daniels Farm Wetland Restoration Site
KCI Project # 12054238
Dear Mr. Horan:
The Daniels Farm Wetland Restoration Site is located approximately 2200 feet north of Egypt
Church Road (SR 1604) where it dead ends at the Clyde Daniels Farm, approximately 3.5 miles
south-southeast of Louisburg in Franklin County, North Carolina. The approximately 35-acre
site is located on the most current (1984) Louisburg, North Carolina USGS 7.5 minute
topographic quadrangle. Only one stream feature is located on the Franklin County Soil Survey
Map and the Louisburg Topographic Quadrangle Map. No other stream features are located on
the site outlined on the enclosed maps.
Please provide a letter of concurrence that the remainder of the site other than the blue line
stream is not subject to the Tar-Pamlico Buffer Rules.
Respectfully Submitted,
Steven F. Stokes, LSS
Senior Environmental Scientist
Attachments:
USGS Topographic Quadrangle
Franklin County Soil Survey Maps
C: File
KCI TECHNOLOGIES wwNV.kci.coii'

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Figure 1. Vicinity Map
Daniels Farm #2 Restoration Site N
161?? N Major Roads K C I
w E ASSOCIATES OF
Major Rivers YMH Ph
Cities and Towns S
I Q County Boundaries Scale: 1:316,800 1" = 5 miles
TECHNOLOGIES 5 0 5 Mi s
CM?'.kOwAFMM iec:e?aoG?es
MlD C0T61nUC11pT?, 4vc.

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT .
Action ID. 200321138 County Franklin
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner KCI Associates of North Carolina
Address Attn: Mr. Joe Pfeiffer Jr.
Landmark Center II Suite 220
4601 Six Forks Road
Ralei h North Carolina 27609-5210
er?9191783-9214 -- --
Telephone Numb
Size and Location of project (waterway, road name/number, town, etc.) 33.93 on the north side
of SR 1604 (Enmt Church Road)approximately 0.8 mile east NC 39 southeast of Louisburg,
North Carolina The prope]1y is located near Wolfpen Branch.
Description of Activity
Mechanized landclearing and filling activities impacting 0.24 acre of jurisdictional wetlands
located with the bottoms of existing ditches associated with the wetland restoration of the 33+
acre parcel.
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
27 Nationwide Permit.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or appTpriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the permittee of the responsibility to obtain any other required Federal, State, or local
approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
Regulatory Project Manager Signature 1%
Date 8 August 2003 Expiration Date 8 August 2005
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. C - 1 C'0 3 V c?-
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1.
II.
Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 27
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
Applicant Information
1. Owner/Applicant Information
JUN 1 2 2006
Name: KCI Technologies, Inc.
Mailing Address: Landmark Center II Suite 220 DENR • WATER QUALITY
4601 Six Forks Rd WERANDSM9 BRANCH
Raleigh, NC 27609
Telephone Number:_ [phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number:
E-mail Address:
Fax Number:
Page 5 of 12
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Daniels Farm #2 Wetland Restoration Site
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 2814-32-4173
4. Location
County: Franklin Nearest Town: Louisburg
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): The site is located
approximately 2.4 miles southeast of Louisburg and one mile east of the intersection of
Egypt Church Road (SR 1604) and NC Route 39.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.0614 ON 78.2747 °W
6. Property size (acres): 34.0 acres
7. Name of nearest receiving body of water: Tar River
8. River Basin: Tar-Pamlico River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is a combination of agricultural and forested land.
There are two soybean fields totaling 14.3 acres as well as 19.7 acres of forest. The property
has been ditched and drained extensively. The surrounding land use is rural.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: A
bulldozer and/or front-end loader on tracks will be used to fill and/or plug selected channels.
In the jurisdictional wetland areas, mats will be used in conjunction with earth-moving
machinery.
11. Explain the purpose of the proposed work: The project will restore and enhance a 19.7-acre
Bottomland Hardwood wetland ecosystem. The channel to be filled does not represent
natural site conditions. KCI will fill in the dug stream channel thus allowing the stream to
flow once again through its historic channel.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
A jurisdictional determination was requested from the USACE and approved by Eric Alsmuer
of the Raleigh Re ug latorv Field Office on December 21, 2005 (Action ID 200620232). In 2003,
KCI also implemented a wetland restoration project (Daniels Farm #0 adjacent to the proposed
project (Permit Action ID 200321138).
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of the proposed impacts: The project will use three ditch plugs
and fill 496.3 feet of channel. KCI will also put the stream flow back into the historic
channel and recreate a stable outlet at an existing downstream culvert.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
( es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 15.5 acres
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must he included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
1 UT to Tar River 3 ditch plugs & fill Perennial 4 feet 496.3 0.0456

Total Stream Impact (by length and acreage) 496.3 0.0456
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill- excavation- dredging. flooding. drainaize, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody

(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

I Total Open Water Impact (acres) I :J
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.0456
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0
Total Stream Impact (linear feet): 496.3
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The project proposes to restored wetlands to agricultural lands that have been drained. Impacts
to existing streams and wetlands have been minimized in the restoration design.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
r 7
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
N/A
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wry/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
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DANIELS FARM II KCI --
WETLAND RESTORATION PROJECT
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_ LOUISBURG, FRANKLIN COUNTY, NORTH CAROLINA s unowu+K carEx 1 "` 0°p??°" - - --
16q 5IX Fg2K5 RO» HALEJCIL NC REVISIONS
1
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federaUstate/local) funds or the use of
public (federal/state) land? Yes ® No ?
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* I Impact I Multiplier I Required
1 3 (2 for Catawba)
2 1.5
Total
* Zone I extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or .0244, or .0260.
Page 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level.
N/A
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
Page 12 of 12
(Agent's signature is valid only if an authorization letter from the applicant is provided.)

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PROJECT
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TECHNOLOGIES
Daniels Farm #2 Vicinity Map
Project Site
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ASSOCIATES OF NC
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Daniels Farm #2 Site Plan -i
IL - - _ Project Site Boundary Existing Ditches
ENEMA Fill Ditches / V Existing Stream Channel KCI
ASSOCIATES OF
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KCI 1:5,400y
1 inch equals 450 feet -
TECHNOLOGIES 450 225 0 450 ENVVX)WENUL TECIWOIOGES
Image Source: AirPhotoUSA April 1, 2004 Feet AND Co?isMCWN• INC.
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes No X Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 1A Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Fraxinus pennsylvanica 1 FACW 9.
2. Acer rubrum 1 FAC 10.
3. N sy sa sylvatica 1 FAC 11.
4. Saururus cernuus 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
_ Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
_ Other Inundated
Saturated in Upper 12"
X No Recorded Data Available _ Water Marks
_ Drift Lines
Field Observations: Sediment Deposits
_ Drainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: >60 (in.) Water-Stained Leaves
x Local Soil Survey Data
Depth to Saturated Soil: >60 (in.) x FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
Site has been drained.
SOILS
1A Non-wetland
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): Typ ic Endoaguuults Confirm Mapped Type? Yes X No
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-2 Al 10YR 5/2 sil, 1 fgr
2-10 Btgl 10YR 511 7.5YR 4/6 fld 1, lfsbk
10-18 Btg2 10YR 511 7.5YR 4/6 c2d scl, lmsbk
18-30 Btg3 10YR 511 10YR 6/4 flf c, 2msbk
30-42 2?C _ 10YR 511 2.5Y 6/4 c2d 2.5Y 6/6 c2d sc, massive
42-50 2Cgl 2.5Y 7/2 sl, massive
50-60 2Cg2 2.5Y 7/2 1 OYR 6/1 c2d sl, massive, lenses of clay
Hydric Soil Indicators:
Histosol Concretions
_
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
_
Aquic Moisture Regime x Listed On Local Hydric Soils List
Reducing Conditions x Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors -Other (Explain in Remarks)
Remarks:
Relic mottles evident.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes X No,
Remarks:
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2A Non-wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Ulmus alata I FACU+ 9.
2. Ulmus alata 2 FACU+ 10.
3. Fraxinus pennsylvanica I FACW 11.
4. Liquidambar styraciflua 3 FAC+ 12.
5. Boehmeria cylindrica 3 FACW+ 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 60%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
_ Aerial Photographs Primary Indicators:
Other _ Inundated
_ -Saturated in Upper 12"
X No Recorded Data Available _ Water Marks
Drift Lines
Field Observations: _ Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: >18 (in.) Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: >18 (in.) FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
SOILS
2A Non-wetland
Map Unit Name
(Series and Phase): Wake-Wateree-Wedowee Complex Drainage Class: Well Drained
Taxonomy (Subgroup): Lithic Udipsamments Confirm Mapped Type? Yes_ No X
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-6 At 1 OYR 5/3 sand, 1 fgr
6-15 Bw 1 l OYR 5/4 sand, I fgr
15-18 Bw2 10YR 5/3 sl. Ifsbk
Hydric Soil Indicators:
Histosol Concretions
_ Histic Epipedon High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
_ Aquic Moisture Regime Listed On Local Hydric Soils List
Reducing Conditions Listed on National Hydric Soils List
Gleyed or Low-Chroma Colors Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes No X
Hydric Soils Present? Yes No X
Is the Sampling Point
Within a Wetland? Yes No X
Remarks:
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC
Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2B Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Acer rubrum 1 FAC 9.
2. Impatiens capensis 3 FACW 10.
3. Fraxinus pennsylvanica 1 FACW 11.
4. Leersia oryzoides 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
_ Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
_ Aerial Photographs Primary Indicators:
_ Other X Inundated
X Saturated in Upper 12"
X No Recorded Data Available _ Water Marks
Drift Lines
Field Observations: Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: 2 (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: (in.) Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: (in.) x FAC-Neutral Test
_ Other (Explain in Remarks)
Remarks:

SOILS
2B-Wetlands
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): Typic Endoaquults Confirm Mapped Type? Yes_ No X
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-3 Al IOYR 511 sil
3-12 A2 10YR 6/1 1 lmsbk
12-18+ Btgl 10YR 4/2 sc, massive
Hydric Soil Indicators:
Histosol _ Concretions
_
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime x Listed On Local Hydric Soils List
_
Reducing Conditions x Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors -Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes X No
Remarks:
? W??TF Michael F. Easley, Governor
o q William G. Ross Jr., Secretary
SOS QG North Carolina Department of Environment and Natural Resources
r Alan W. Klimek, P.E. Director
y Colleen H. Sullins, Deputy Director
p -? Division of Water Quality
July 18, 2005
TPBRRO#05-184
County: Franklin
KCI Technologies, Inc.
Landmark Center II
Suite 220
Six Forks Rd.
Raleigh, NC 27609-5210
Attn: Mr. Steven F. Stokes, LSS
BASIN:
Neuse River Tar-Pamlico X
(15A NCAC 2B .0233) (15A NCAC 2B.0259)
Complaint NOV Buffer Determination X
Incident # Anneal Call
Project Name: Daniels Farm Wetland Restoration Site KCI Project # 12054238
Location/Directions: located off SR 1604 on left hand side.
Subject Stream: UT to Tar River
Date of Determination:
Feature Start Buffer
GPS Points (if
provided) End Buffer Stream
Form Appeal
Call Located
on Soil
Survey Located on
USGS
To ogra hic
A Sub'ect x X

Comments:
Raleigh Regional Office 1628 Mail Service Center
Water Quality Section Raleigh, NC 27699-1628
phone [phone] Customer Service
facsimile [phone] 1-877-623-6748

I f
Daniels Farm Wetland Restoration Site
KCI Project # 12054238
7/18/2005
Page 2 of 2
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 the DWQ or Delegated Local Authority that a surface water exists and that
it is subject to the buffer rule may request a determination by the Director. A request for a determination by the
Director shall be referred to the Director in writing do Cyndi Saroly, DWQ Wetlands1401 Unit, 2321 Crabtree
Blvd, Raleigh, NC 27604-2260. Individuals that dispute a determination by the DWQ or Delegated Local
Authority that "exempts" a surface water from the buffer rule may ask for an ad judicatory hearing. You must
act within 60 days of the date that you receive this letter. Applicants are hereby notified that the 60-day statutory
appeal time does not start until the affected party (including downstream and adjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification in order to be certain that third
party appeals are made in a timely manner. To ask for a hearing, send a written petition, which conforms to
Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 27699-6714. This determination is final and binding unless you ask for a hearing
within 60 days.
The (owner/future owners) should notify the Division of Water Quality (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subject property (stated
above). This project may require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Quality (Central Office) at (919)-733-1786, and the US Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919)-876-8441.
Respectfully,
Michael Horan
Environmental Spec. I
CC: Jean Maneule, US Army Corps of Engineers, Raleigh Regulatory Office
Debbie Edwards-Wetlands/ Stormwater Branch, 2321 Crabtree Blvd, Suite 250, Raleigh, NC 27604
Franklin County, Planning and Inspections, 215 East Nash Street, Louisburg, NC 27549
Franklin Soil and Water, 101 B. South Bickett Blvd, Louisburg, NC 27549
File Copy
Central Files
r 4 a ?
t'' ;rP1R RALE,u;k; A --- -
ENGINEERS • SURVEYORS • SCIENTISTS • CONSTRUCTION MANAGERS
KCI
TECHNOLOGIES L.ANONLARK CENTER If* SUITE 110 • 4601 SIX Fons ROAD • RaLER;H • INC 17609 • 01a-78;-9114 • • FAN) 919-7; 3-9=b6
July 11, 2005
Mike Horan
Environmental Scientist
Water Quality Section
Division of Water Quality
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
RE: Daniels Farm Wetland Restoration Site
KCI Project # 12054238
Dear Mr. Horan:
The Daniels Farm Wetland Restoration Site is located approximately 2200 feet north of Egypt
Church Road (SR 1604) where it dead ends at the Clyde Daniels Farm, approximately 3.5 miles
south-southeast of Louisburg in Franklin County, North Carolina. The approximately 35-acre
site is located on the most current (1984) Louisburg, North Carolina USGS 7.5 minute
topographic quadrangle. Only one stream feature is located on the Franklin County Soil Survey
Map and the Louisburg Topographic Quadrangle Map. No other stream features are located on
the site outlined on the enclosed maps.
Please provide a letter of concurrence that the remainder of the site other than the blue line
stream is not subject to the Tar-Pamlico Buffer Rules.
Respectfully Submitted,
Steven F. Stokes, LSS
Senior Environmental Scientist
Attachments:
USGS Topographic Quadrangle
Franklin County Soil Survey Maps
C: File
KCI TECHNOLOGIES +w1v.kci.coin'
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1ECHNOLOGIES Ew CONSTRUCtION, INmoIrs
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Figure 1. Vicinity Map:
r?wl?ir?¦nn ......?.
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Daniels Farm #2 Restoration Site N
®¦??It N Major Roads K C I
Major Rivers w e ASSOCIATES OF
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Cities and Towns s
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TECHNOLOGIES 5 0 5 Mi s-ifs
-0 COfSTA=rK.L WC.

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 200321138 County Franklin
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner KCI Associates of North Carolina
Address Attn: Mr. Joe Pfeiffer Jr.
Landmark Center II, Suite 220
4601 Six Forks Road
Raleigh North Carolina 27609-5210
er?9191783 9214
Telephone Numb
Size and Location of project (waterway, road name/number, town, etc.) 33.93 on the north side
of SR 1604 (Egypt Church Road) approximately 0.8 mile east NC 39, southeast of Louisburg,
North Carolina The property is located near Wolfpen Branch.
Description of Activity
Mechanized landclearing and filling activities impacting 0.24 acre of iurisdictional wetlands
located with the bottoms of existing ditches associated with the wetland restoration of the 33+
acre parcel.
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
27 Nationwide Permit.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or appropriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the permittee of the responsibility to obtain any other required Federal, State, or local
approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
Regulatory Project Manager Signature
Date 8 August 2003 Expirktion Date 8 August 2005
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
Triage Check List
Date:
Project Name: Cuv? s `?v? ?'`
DWQ#: 0 3 3
County:
To: ? ARO Kevin Barnett
? FRO Ken Averitte
? MRO Alan Johnson/Barry Love
O Eric Kulz
From:

? WaRO Kyle Barnes
? WiRO Noelle Lutheran/Joanne Steenhuis
? WSRO Daryl Lamb
Telephone : (919)
The file attached is being forwarded to your for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
? Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
? Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concern
Comments: ?-
r_?'t64 VY- cly-V144
bill_? WOO`" ??l ?*L wo'/? ?nL cl?
V_ U
U./ V
Triage Check List
?Date: Project Name:
DWQ#: D 3 - l?d_3
?f ,, County:
i-
To: ? ARO Kevin Barnett
? FRO Ken Averitte
? RO Alan Johnson/Barry Love
RRO Eric Kulz
From: `
? WaRO Kyle Barnes
? WiRO Noelle Lutheran/Joanne Steenhuis
? WSRO Daryl Lamb
Telephone : (919) -733 ( -78l;
The file attached is being forwarded to your for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
? Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
? Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concern
0-
KCI
TECHNOLOGIES
Transmittal Letter
?y
ENGINEERS ? SURVEYORS ? SCIENTISTS ? CONSTRUCTION MANAGERS

LANDMARK CENTER H, SUITE 220 ? 4601 SIX FORKS ROAD ? RALEIGH, NC 27609 ? 919-783-9214 ? (FAX) 919-783-9266
Date: March 31, 2006 \1 2.\ 10
3 ' fl 3 MAR Z0?6
%1
Company: North Carolina Division of Water Project: Daniels Farm #2 Wetland
Quality Restoration
Contact: John Domey Subject: 401 Permit Application
? In accordance with your request ® For your use/files
? For your review ? Please call when ready
® For processing ? Please return to this office
? Plans reviewed and accepted ? Approval requested
? Plans reviewed and accepted as noted ? Conference requested
? For revision by you at your convenience
Comments: This application has been revised per the request of the US Army Corps of
Engineers. I can be reached at [phone] ext . 187 if you have any questions.
Leven Stokes
Soil Scientist
cc: File
KCI TECHNOLOGIES, INC. www.kci.com
Employee-Owned Since 1988
W
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. O 3 - O O 3
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A"".) _? D
D
(?(J?
1. Processing D
1. Check all of the approval(s) requested for this project: M
® Section 404 Permit ? Riparian or Watersheds alt
? Section 10 Permit ? Isolated Wetland P,? ?.?
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 27
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: KCI Technologies, Inc.
Mailing Address: Landmark Center H, Suite 220
4601 Six Forks Rd
Raleigh, NC 27609
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: sstokesCCkci.com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 5 of 12
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III. Project Information
Attach a vicinity' map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Daniels Farm #2 Wetland Restoration Site
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 2814-32-4173
4. Location
County: Franklin Nearest Town: Louisburiz
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): The site is located
approximately 2.4 miles southeast of Louisburg and one mile east of the intersection of
Egypt Church Road (SR 1604) and NC Route 39.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.0614 ON 78.2747 °W
6. Property size (acres): 34.0 acres
7. Name of nearest receiving body of water: Tar River
8. River Basin: Tar-Pamlico River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/may-
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is a combination of agricultural and forested land.
There are two soybean fields totaling 14.3 acres as well as 19.7 acres of forest. The property
has been ditched and drained extensively. The surrounding land use is rural.
Page 6 of 12
i
10. Describe the overall project in detail, including the type of equipment to be used: A
bulldozer and/or front-end loader on tracks will be used to fill and/or plug selected channels.
In the jurisdictional wetland areas, mats will be used in conjunction with earth-moving
machinery.
11. Explain the purpose of the proposed work: The project will restore and enhance a 19.7-acre
Bottomland Hardwood wetland ecosystem. The channel to be filled does not represent
natural site conditions. KCI will fill in the stream channel and recreate a DA stream system
that likely existed on-site before human modifications took place.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
A jurisdictional determination was requested from the USACE and approved by Eric Alsmer
of the Raleigh Regulatory Field Office on December 21, 2005 (Action ID 200620232). In 2003,
KCI also implemented a wetland restoration project (Daniels Farm #0 adjacent to the proposed
project (Permit Action ID 200321138).
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of the proposed impacts: The project will use three ditch plugs
and fill 496.3 feet of channel KCI will also install a level spreader structure, which will
impact a minimal area of surrounding wetland (Wetland Impact 1).
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
se aratel list im acts due to both structure and floodin .
Wetland Impact

Site Number
(indicate on map)

Type of Impact Type of Wetland

(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)
1 Fill and flooding Bottomland Hardwood Yes 0 0.0177

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 15.5 acres
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
mind he included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
1 UT to Tar River 3 ditch plugs & fill Perennial 4 feet 496.3 0.0456

Total Stream Impact (by length and acreage) 496.3 0.0456
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill- excavation. dredging. flooding. drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres)
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.0456
Wetland Impact (acres): 0.0177
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0.0633
Total Stream Impact (linear feet): 496.3
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The moiect proposes to restored wetlands to agricultural lands that have been drained. Impacts
to existing streams and wetlands have been minimized in the restoration design.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetiands/stnugide.html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
N/A
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ?
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
* I Impact I I Required
Zone o.N Multiplier
1 I 13 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or.0244, or.0260.
Page 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level.
N/A
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
iyr f , 3 -3/-a6
-?? Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
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TECHNOLOGIES 4225 0 450 NVIRONMENTAL TECHNOLOGIES
Image Source: Ah-Phofo USA April I. 2004 Feet AND I- ONST-CT1ON. INC.
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes No X Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: IA Non-wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Fraxinus pennsylvanica 1 FACW 9.
2. Acer rubrum 1 FAC 10.
3. Nvssa svlvatica 1 FAC 11.
4. Saururus cernuus 3 OBL 12.
5. 13.-
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
_ Recorded Data (Describe In Remarks):
_ Stream, Lake, or Tide Gauge
_ Aerial Photographs
Other
X No Recorded Data Available
Field Observations:
Depth of Surface Water: (in.)
Depth to Free Water in Pit: >60 (in.)
Depth to Saturated Soil: >60 (in.)
Remarks:
Wetland Hydrology Indicators
Primary Indicators:
_ Inundated
Saturated in Upper 12"
Water Marks
Drift Lines
_ Sediment Deposits
Drainage Patterns in Wetlands
12"
Secondary Indicators:
Oxidized Roots Channels in Upper
Water-Stained Leaves
x Local Soil Survey Data
x FAC-Neutral Test
Other (Explain in Remarks)
Site has been drained.
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC
Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 1B Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Acer rubrum 1 FAC 9.
2. Acer rubrum 2 FAC 10.
3. Fraxinus pennsylvanica 1 FACW 11.
4. Murdannia keisak. 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
_ Recorded Data (Describe In Remarks):
Stream, Lake, or Tide Gauge
_ Aerial Photographs
Other
X No Recorded Data Available
Field Observations:
Depth of Surface Water:
.M•)
Depth to Free Water in Pit:
Depth to Saturated Soil:
-(in.)
Wetland Hydrology Indicators
Primary Indicators:
_ Inundated
Saturated in Upper 12"
_ Water Marks
_ Drift Lines
Sediment Deposits
X Drainage Patterns in Wetlands
Secondary Indicators:
X Oxidized Roots Channels in Upper
12"
_ Water-Stained Leaves
_ Local Soil Survey Data
42 (in.) x FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2A Non-wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Ulmus alata 1 FACU+ 9.
2. Ulmus alata 2 FACU+ 10.
3. Fraxinus pennsvlvanica 1 FACW 11.
4. Liquidambar stvraciflua 3 FAC+ 12.
5. Boehmeria cXlindrica 3 FACW+ 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 60%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks):
_ Stream, Lake, or Tide Gauge
_ Aerial Photographs
Other
X No Recorded Data Available
Field Observations:
Depth of Surface Water: (in.)
Depth to Free Water in Pit: >18 (in.)
Depth to Saturated Soil: >18 (in.)
Wetland Hydrology Indicators
Primary Indicators:
_ Inundated
Saturated in Upper 12"
_ Water Marks
_ Drift Lines
Sediment Deposits
_ Drainage Patterns in Wetlands
12"
Secondary Indicators:
Oxidized Roots Channels in Upper
_ Water-Stained Leaves
Local Soil Survey Data
FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
II DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2B Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Acer rubrum 1 FAC 9.
2. Impatiens capensis 3 FACW 10.
3. Fraxinus pennsylvanica 1 FACW 11.
4. Leersia orvzoides 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks):
Stream, Lake, or Tide Gauge
Aerial Photographs
_ Other
X No Recorded Data Available
Field Observations:
Depth of Surface Water: --,L(in.)
Depth to Free Water in Pit: (in.)
Depth to Saturated Soil: (in.)
Remarks:
Wetland Hydrology Indicators
Primary Indicators:
x Inundated
x Saturated in Upper 12"
_ Water Marks
_ Drift Lines
Sediment Deposits
Drainage Patterns in Wetlands
12"
Secondary Indicators:
Oxidized Roots Channels in Upper
_ Water-Stained Leaves
Local Soil Survey Data
X FAC-Neutral Test
Other (Explain in Remarks)
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2A Non-wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Ulnnrs alata 1 FACU+ 9.
2. Ulmus alata 2 FACU+ 10.
3. Fraxinus pennsylvanica 1 FACW 11.
4. Liyuidambar sh,raci ua 3 FAC+ 12.
5. Boehmeria c0indrica 3 FACW+ 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 60'%-
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
Other Inundated
-Saturated in Upper 12"
X No Recorded Data Available Water Marks
Drift Lines
Field Observations: Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: >18 (in.) Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: >18 (in.) FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
SOILS
2A Von-wetland
Map Unit Name
(Series and Phase): Wake-Waterer-Wedowee Complex Drainage Class: Well Drained
Taxonomy (Subgroup): Lithic Udipsamments Confirm Mapped Type? Yes No X
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-6 A I I OYR 5/3 sand, I fgr
6-15 B w l 1 OYR 5/4 sand, 1 fir
15-18 Bw2 IOYR 5/3 sl I1'sbk
Hydric Soil Indicators:
Histosol Concretions
Histic Epipedon High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime Listed On Local Hydric Soils List
Reducing Conditions Listed on National Hydric Soils List
Gleyed or Low-Chroma Colors Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes No X
Hydric Soils Present? Yes No X
Is the Sampling Point
Within a Wetland? Yes_ No X
Remarks:
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies. Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2B wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. A(-er ratUrunt l FAC 9.
2. Impatiens mpensis 3 FACW 10.
3. Fraxinus pennsi'h,anica I FACW 11.
4. Leersia otx,<oides 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100c%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
Other x Inundated
x Saturated in Upper 12"
X No Recorded Data Available Water Marks
Drift Lines
Field Observations: Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: 2 (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: (in.) Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: (in.) x FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
SOILS
2B-Wetlands
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): Tunic Endoaquults Confirm Mapped Type? Yes No X
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-3 Al IOYR 511 sil
3-12 A2 I OYR 6/1 1, 1 msbk
12-18+ Btgl I OYR 4/2 sc, massive
Hydric Soil Indicators:
Histosol Concretions
Histic Epipedon High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime X Listed On Local Hydric Soils List
Reducing Conditions X Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes X No
Remarks:
oFwArF9
co -P
4 -?
r'y'a
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Colleen H. Sullins, Deputy Director
Division of Water Quality
July 18, 2005
KCI Technologies, Inc.
Landmark Center II
Suite 220
Six Forks Rd.
Raleigh, NC 27609-5210
Attn: Mr. Steven F. Stokes, LSS
TPBRRO#05-184
County: Franklin
BASIN:
Neuse River Tar-Pamlico X
(15A NCAC 2B .0233) (15A NCAC 2B.0259)
Complaint
NOV
Buffer Determination X
Incident # Appeal Call
Project Name: Daniels Farm Wetland Restoration Site KCI Project # 12054238
Location/Directions: located off SR 1604 on left hand side.
Subject Stream UT to Tar River
Date of Determination:
Feature Start Buffer
GPS Points (if
provided) End Buffer Stream
Form Appeal
Call Located
on Soil
Survey Located on
USGS
Topographic
A Subject x X

Comments:
Raleigh Regional office 1628 Mail Service Center
Water Quality Section Raleigh, NC 27699-1628
phone [phone] Customer Service
facsimile (919) 5714718 1-877-623-6748

I . 1
Daniels Farm Wetland Restoration Site
KCI Project # 12054238
7/18/2005
Page 2 of 2
This on-site determination shall expire five (S) years from the date of this letter. Landowners or affected parties
that dispute a determination made by the DWQ or Delegated Local Authority that a surface water exists and that
it is subject to the buffer rule may request a determination by the Director. A request for a determination by the
Director shall be referred to the Director in writing c% Cyndi Saroly, DWQ Wetlands1401 Unit, 2321 Crabtree
Blvd., Raleigh, NC 27604-2260. Individuals that dispute a determination by the DWQ or Delegated Local
Authority that "exempts" a surface water from the buffer rule may ask for an ad judicatory hearing. You must
act within 60 days of the date thatyou receive this letter. Applicants are hereby notified that the 60-day statutory
appeal time does not start until the affected party (including downstream and adjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification in order to be certain that third
party appeals are made in a timely manner. To ask for a hearing, send a written petition, which conforms to
Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 27699-6714. This determination is final and binding unless you ask for a hearing
within 60 days
The (owner/future owners) should notify the Division of Water Quality (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subjectproperty (stated
above). This project may require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Quality (Central Office) at (919)-733-1786, and the US Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919)-876-8441.
Respectfully,
Michael Horan
Environmental Spec. I
CC: Jean Maneule, US Army Corps of Engineers, Raleigh Regulatory Office
Debbie Edwards-Wetlands/ Storrawater Branch, 2321 Crabtree Blvd, Suite 250, Raleigh, NC 27604
Franklin County, Planning and Inspections, 215 East Nash Street, Louisburg, NC 27549
Franklin Soil and Water, 101 B. South Bickett Blvd, Louisburg, NC 27549
File Copy
Central Files
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DANIELS FARM II KCI
-,i WETLAND RESTORATION PROJECT TSCt{11IES
ENGINEERS-PLANNERS-ECOLOGISTS
LOUISBURG, FRANKLIN COUNTY, NORTH CAROLINA SUITE 220 LANDMARK CENTER A
4601SIX FORKS RD., RALEIGH. NC

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GINEERS SURVEYORS SCIENTISTS CONSTRUCTION MANAGERS
KCI
TECHNOLOGIES LANDMARK CENTER If SUITE 220 • +601 Six FoRks ROAD • R4LEI6H NC 27609 • 9I,)-783-c)214 • Fast 919-783-1Ro6
July 11, 2005
Mike Horan
Environmental Scientist
Water Quality Section
Division of Water Quality
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
RE: Daniels Farm Wetland Restoration Site
KCI Project # 12054238
Dear Mr. Horan:
The Daniels Farm Wetland Restoration Site is located approximately 2200 feet north of Egypt
Church Road (SR 1604) where it dead ends at the Clyde Daniels Farm, approximately 3.5 miles
south-southeast of Louisburg in Franklin County, North Carolina. The approximately 35-acre
site is located on the most current (1984) Louisburg, North Carolina USGS 7.5 minute
topographic quadrangle. Only one stream feature is located on the Franklin County Soil Survey
Map and the Louisburg Topographic Quadrangle Map. No other stream features are located on
the site outlined on the enclosed maps.
Please provide a letter of concurrence that the remainder of the site other than the blue line
stream is not subject to the Tar-Pamlico Buffer Rules.
Respectfully Submitted,
Steven F. Stokes, LSS
Senior Environmental Scientist
Attachments:
USGS Topographic Quadrangle
Franklin County Soil Survey Maps
C: File
KCI TECHNOLOGIES N%'. k- Ci.com

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Daniels Farm #2 Restoration Site N
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TECHNOLOGIES 5 0 5 Is _' `?

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 200321138 County Franklin
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner KCI Associates of North Carolina
Address Attn: Mr. Joe Pfeiffer Jr.
Landmark Center 1 1, 220
4601 Six Forks Road
Ralei h North Carolina 27609-5210
er?9191783-9214
Telephone Numb
Size and Location of project (waterway, road name/number, town, etc.) 33.93 on the north side
of SR 1604 (Egypt Church Road)approximately 0.8 mile east NC 39, southeast of Louisburg,
North Carolina The properly is located near Wolfpen Branch.
Description of Activity
Mechanized landclearing and filling activities impacting 0.24 acre of jurisdictional wetlands
located with the bottoms of existing ditches associated with the wetland restoration of the 33+
acre parcel.
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
27 Nationwide Permit.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or appropriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the permittee of the responsibility to obtain any other required Federal, State, or local
approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
Regulatory Project Manager Signature
Date 8 August 2003 Expiration Date 8 August 2005
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF-REQUIRED OR AVAILABLE.
T, ,
KCI
TECHNOLOGIES
Transmittal Letter
ENGINEERS ? SURVEYORS ? SCIENTISTS ? CONSTRUCTION MANAGERS
LANDMARK CENTER 11, SUITE 220 ? 4601 SIX FORKS ROAD 1 RALEIGH, NC 27609 ? 919-783-9214 ? (FAX) 919-783-9266
Date: March 31, 2006 1 _ 1 O 3 piQ " D
MAR zab
Company: North Carolina Division of Water Project: Daniel
Quality Restora ion
? In accordance with your request ® For your use/files
? For your review ? Please call when ready
® For processing ? Please return to this office
? Plans reviewed and accepted ? Approval requested
? Plans reviewed and accepted as noted ? Conference requested
? For revision by you at your convenience
Comments: This application has been revised per the request of the US Army Corps of
Engineers. I can be reached at [phone] ext. 187 if you have any questions.
Steven Stokes
Soil Scientist
cc: File
KCI TECHNOLOGIES, INC. www.kci.com
Employee-Owned Since 1988
Contact: John Domey Subject: 401 Permit Application
i
y'?. fl3-Io?3
Office Use Only: Form Version March 05
USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not App or A".) Ll/
MAC 3 i 2006
I. Processing
DaNR? SATE
1. Check all of the approval(s) requested for this project: Yo ® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 27
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: KCI Technologies, Inc.
Mailing Address: Landmark Center II. Suite 220
4601 Six Forks Rd
Raleigh, NC 27609
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: sstokesCcbkci.com
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 5 of 12

III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Daniels Farm #2 Wetland Restoration Site
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 2814-32-4173
4. Location
County: Franklin Nearest Town: Louisburg
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): The site is located
approximately 2.4 miles southeast of Louisburg and one mile east of the intersection of
Egypt Church Road (SR 1604) and NC Route 39.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.0614 ON 78.2747 °W
6. Property size (acres): 34.0 acres
7. Name of nearest receiving body of water: Tar River
8. River Basin:-Tar-Pamlico River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is a combination of agricultural and forested land.
There are two soybean fields totaling 14.3 acres as well as 19.7 acres of forest. The property
has been ditched and drained extensively. The surrounding land use is rural.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: A
bulldozer and/or front-end loader on tracks will be used to fill and/or plug selected channels.
In the jurisdictional wetland areas, mats will be used in conjunction with earth-moving
machinery.
11. Explain the purpose of the proposed work: The project will restore and enhance a 19.7-acre
Bottomland Hardwood wetland ecosystem. The channel to be filled does not represent
natural site conditions. KCI will fill in the stream channel and recreate a DA stream system
that likely existed on-site before human modifications took place.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
A jurisdictional determination was requested from the USACE and approved by Eric Alsmeyer
of the Raleigh Regulatory Field Office on December 21, 2005 (Action ID 200620232). In 2003,
KCI also implemented a wetland restoration project (Daniels Farm #1) adjacent to the proposed
project (Permit Action ID 200321138).
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of the proposed impacts: The project will use three ditch plugs
and fill 496.3 feet of channel KCI will also install a level spreader structure, which will
impact a minimal area of surrounding wetland (Wetland Impact 1).
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
se aratel list im acts due to both structure and floodin .
Wetland Impact

Site Number
(indicate on map)

Type of Impact Type of Wetland

(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
(es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)
1 Fill and flooding Bottomland Hardwood Yes 0 0.0177

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 15.5 acres
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
,,,,,et hP inr•hvlarl Tn ralrnlate acreage- multinly length X width, then divide by 43,560.
Stream Impact - V
Number
(indicate on ma) v
Stream Name
Type of Impact Perennial or
Internutten Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
1 UT to Tar River 3 ditch plugs & fill Perennial 4 feet 496.3 0.0456

Total Stream Impact (by length and acreage) 496.3 0.0456
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill excavation dredging flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody
(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres)
Page 8 of 12
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.0456
Wetland hn act (acres): 0.0177
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0.0633
Total Stream Impact (linear feet): 496.3
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The moiect nronoses to restored wetlands to agricultural lands that have been drained. Impacts
to existing streams and wetlands have been minimized in the restoration design.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.htn-fl.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
N/A
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at htty://h2o.enr.state.nc.us/wry/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX.
X.
Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ?
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify )? Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Impact Required
Zone* -------- r o,? Multiplier
3 (2 for Catawba)
1.5
Total
* Zone 1 extends out 30 feet perpendicu
additional 20 feet from the edge of Zone 1.
3
from the top of the near bank of channel; Zone 2 extends an
If buffer mitigation is required, please discuss what
Donation of Property, Riparian Buffer Restoration
Riparian Buffer Restoration Fund). Please attach all
within 15A NCAC 2B .0242 or.0244, or.0260.
type of mitigation is proposed (i.e.,
Enhancement, or Payment into the
appropriate information as identified
Page 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level.
N/A --
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 211.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
- Tf , 3 - 3/ _06
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12

Louisburg
r
PROJECT
SITE
C'
VANCE WARREN
HALIFAX
VILLE
FRANKLIN
NASH
WAKE
Daniels Farm #Z Vicinity Map
Project Site
Roads
Major Rivers
VC I r I Municipalities

W?MAR 3 1 ZOn6
s f?F-Nk . WATER aLALI'
1 inch equals 1 miles
TECHNOLOGIES = Counties 1 0.5 0 1 Miles
A
KCI
ASSOCIATES OF NC
ENVRONm mM TmoooLOGES
Alan CONSTRUCTION. INC.
Franklin County, North Carolina
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MAR 3
04NN * WATER QUALIT'f KCI
MDATD"ffi Ift) CH ASSOCIAM OF NC
Project Site Boun&ry
1:18,000
K C I I inch equals 1,500 feet
TECHNOLOGIES 1,500 750 0 1,500 ENvwoNwNtAL TiEcmNoLoGiEs
I Source: USGS Topographr Qwdr?gle Louishurg, 1984 Feet I AND CONMUCTION. 114C.
3997
36°05'00"
3996
3995
3994
3993
3992
36002'30"
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Daniels Farm #2 Site Plan
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- - Project Site Boundary / Existing D
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Fill Ditches I*NV Existing Stream 9ARe13 2Oa6
® Ditch Plugs Tar River DENR -WATER QUALITY
WETLANDS K AND STMWAMR ORMIC
Level Spreader 1 inch equals 450 feet
TECHNOLOGIES 450 225 0 450
Image Source: AirPhotoUSA April 1, 2004 Feet
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MMMMMMM*?
KCI
ASSOCIATES OF NC
ENvpoNwmAL TECHNOL06MS
AND CONSMUMM, INC.
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes No X Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: IA Non-wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Fraxinus pennsylvanica 1 FACW 9.
2. Acer rubrum 1 FAC 10.
3. N sy sa sylvatica 1 FAC 11.
4. Saururus cernuus 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks):
Stream, Lake, or Tide Gauge
Aerial Photographs
Other
X No Recorded Data Available
Field Observations:
Depth of Surface Water: (in.)
Depth to Free Water in Pit: >60 (in.)
Depth to Saturated Soil: >60 (in.)
Remarks:
Wetland Hydrology Indicators
Primary Indicators:
_ Inundated
Saturated in Upper 12"
_ Water Marks
Drift Lines
_ Sediment Deposits
Drainage Patterns in Wetlands
12"
Secondary Indicators:
Oxidized Roots Channels in Upper
Water-Stained Leaves
x Local Soil Survey Data
x FAC-Neutral Test
Other (Explain in Remarks)
Site has been drained.
SOILS
1A Non-wetland
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): Typic Endoaquults Confirm Mapped Type? Yes X
No
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-2 Al IOYR 5/2 sil, lfar
2-10 Btgl 10YR 511 7.5YR 4/6 fld 1, 1fsbk
10-18 Btg2 10YR 511 7.5YR 4/6 c2d scl, lmsbk
18-30 Bta3 10YR 511 10YR 6/4 flf c, 2msbk
3042 2Cg 10YR 511 2.5Y 6/4 c2d 2.5Y 6/6 c2d sc, massive
42-50 2Cgl 2.5Y 7/2 sl, massive
50-60 2Cg2 2.5Y 7/2 10YR 6/1 c2d sl, massive, lenses of clay
Hydric Soil Indicators:
_ Histosol _ Concretions
Histic Epipedon _ High Organic Content in Surface Layer in Sandy
Soils
_Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime x Listed On Local Hydric Soils List
Reducing Conditions x Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors -Other (Explain in Remarks)
Remarks:
Relic mottles evident.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes No X
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes_ No X
Remarks:
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC

Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 1B Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Acer rubrum 1 FAC 9.
2. Acer rubrum 2 FAC 10.
3. Fraxinus pennsvlvanica 1 FACW 11.
4. Murdannia keisak. 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks):
Stream, Lake, or Tide Gauge
Aerial Photographs
Other
X No Recorded Data Available
Field Observations:
Depth of Surface Water:
Lu?•)
Depth to Free Water in Pit:
Depth to Saturated Soil:
-0n.)
Wetland Hydrology Indicators
Primary Indicators:
_ Inundated
Saturated in Upper 12"
_ Water Marks
_ Drift Lines
Sediment Deposits
X Drainage Patterns in Wetlands
Secondary Indicators:
X Oxidized Roots Channels in Upper
12"
_ Water-Stained Leaves
Local Soil Survey Data
42 (in,) x FAC-Neutral Test
_ Other (Explain in Remarks)
Remarks:
SOILS
1B-wetland
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): Typic Endoaquults Confirm Mapped Type? Yes X
No
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure. etc.
0-4 Al 10YR 5/2 sil. lfgr
4-7 A2 10YR 511 7.5YR 4/4 c212 sl, lfsbk
7-16 Btgl I OYR 511 7.5YR 4/4 c2n sc, 2msbk
16-27 Bt,y2 IOYR 6/1 10YR 5/6 c2d scl, lmsbk
27-40+ 2Cg? 10YR 6/1 10YR 5/6 c2d c, massive
Hydric Soil Indicators:
Histosol _ Concretions
_
Histic Epipedon _ High Organic Content in Surface Layer in Sandy
Soils
_ Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime X Listed On Local Hydric Soils List
Reducing Conditions X Listed on National Hydric Soils List
X Gleyed or Low-Chroma Colors -Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes X No
Remarks:
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies Inc. County: Franklin
Investigator: Steven F. Stokes State: NC
Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2A Non-wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Ulmus alata 1 FACU+ 9.
2. Ulmus alata 2 FACU+ 10.
3. Fraxinus pennsvlvanica 1 FACW 11.
4. Liguidambar sUraciflua 3 FAC+ 12.
5. Boehmeria cvlindrica 3 FACW+ 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 60%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks):
Stream, Lake, or Tide Gauge
Aerial Photographs
Other
X No Recorded Data Available
Field Observations:
Depth of Surface Water: (in.)
Depth to Free Water in Pit: >18 (in.)
Depth to Saturated Soil: >18 (in.)
Wetland Hydrology Indicators
Primary Indicators:
_ Inundated
-Saturated in Upper 12"
_ Water Marks
Drift Lines
Sediment Deposits
Drainage Patterns in Wetlands
12"
Secondary Indicators:
Oxidized Roots Channels in Upper
_ Water-Stained Leaves
Local Soil Survey Data
_ FAC-Neutral Test
_ Other (Explain in Remarks)
Remarks:
T
SOILS
2A Non-wetland
Map Unit Name
(Series and Phase): Wake-Wateree-Wedowee Complex Drainage Class: Well Drained
Taxonomy (Subgroup): Lithic Udipsamments Confirm Mapped Type? Yes
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
inches Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-6 Al 10YR 5/3 sand, 1 fa
6-15 Bwl 10YR 5/4 sand, lfes
15-18 Bw2 10YR 5/3 sl, lfsbk
Hydric Soil Indicators:
Soils
_ Histosol
_ Histic Epipedon
_ Sulfidic Odor Organic Streaking in Sandy Soils
_ Aquic Moisture Regime Listed On Local Hydric Soils List
-Reducing Conditions Listed on National Hydric Soils List
Gleyed or Low-Chroma Colors -Other (Explain in Remarks)
_ Concretions
High Organic Content in Surface Layer in Sandy
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No Is the Sampling Point
Wetland Hydrology Present? Yes No X Within a Wetland? Yes_ No X
Hydric Soils Present? Yes No X
Remarks:
` f
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC
Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2B Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Acer rubrum 1 FAC 9.
2. Impatiens capensis 3 FACW 10.
3. Fraxinus pennsvlvanica 1 FACW 11.
4. Leersia o1yzoides 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks):
Stream, Lake, or Tide Gauge
Aerial Photographs
Other
X No Recorded Data Available
Field Observations:
Depth of Surface Water: 2 (in.)
Depth to Free Water in Pit: (in.)
Depth to Saturated Soil: (in.)
Remarks:
Wetland Hydrology Indicators
Primary Indicators:
x Inundated
x Saturated in Upper 12"
Water Marks
_ Drift Lines
_ Sediment Deposits
Drainage Patterns in Wetlands
12"
Secondary Indicators:
Oxidized Roots Channels in Upper
_ Water-Stained Leaves
_ Local Soil Survey Data
x FAC-Neutral Test
Other (Explain in Remarks)
T
SOILS
_ Histosol
Histic Epipedon
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: PoorlyDrained
Taxonomy (Subgroup): Typic Endoaquults Confirm Mapped Type? Yes
No X
Profile Description:
Depth Matrix Colors Mottle Colors
(inches) Horizon (Munsell Moist) (Munsell Moist)
0-3 Al I OYR 511
3-12 A2 IOYR 6/1
12-18+ Btg1 10YR 4/2
Hydric Soil Indicators:
Soils
2B-Wetlands
Mottle Texture, Concretions,
Abundance/Contrast Structure, etc.
sil
1, lmsbk
sc, massive
_ Concretions
High Organic Content in Surface Layer in Sandy
_ Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime x Listed On Local Hydric Soils List
Reducing Conditions x Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors -Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No Is the Sampling Point
Wetland Hydrology Present? Yes X No Within a Wetland? Yes X No
Hydric Soils Present? Yes X No
Remarks:
PROPERTY CORNER
N-843842.08
E=2212533.94 /
/
/
/
2/
L /
R
ALL WETLAND AND NON WETLAND AREAS SHOWN HEREON ARE
WITHIN THE STATED PROPOSED CONSERVATION EASEMENT (SEE
SHEET 2 OF 2).
AREA OUTSIDE OF THE PROPOSED CONSERVATION EASEMENT NOT
EVALUATED FOR JURL30ICTIONAL WETLANDS.
THE BASIS OF THE COORDINATES SHOWN HEREON IS THE NORTH
CAROLINA STATE PLANE COORDINATE SYSTEM, NORTH AMERICAN
DATUM 1983.
ALL WETLAND FLAGS AND DATA POINTS WERE LOCATED IN THE
FIELD BY CONVENTIONAL SURVEY METHODS BETWEEN SEPTEMBER
AND OCTOBER 2005.
PROPERTY CORNER
N=843842.08
E=2212533.94
SITE LAYOUT
-1 841960.945 2214368.058
-2 841916.992 2214389.106
-3 841861.473 2214414.334
-4 841816.451 2214441.380
-5 841800.051 2214533.520
-6 841762.260 2214516.282
7 841744,437 2214469.927
-8 841784.862 2214400.011
9 841856821 2214355.830
•10 841887.892 2214351.653
-11 841917.593 2214363.558
42 841921.462 2214351.962
13 841885.480 2214326.904
14 841774526 2214342800
IS 841736.400 2214296.693
416 841614.018 221.4319.700
17 841537.856 2214313.430
•18 841520.222 2214359.652
•19 841534394 2214424.415
•20 841594,048 2214480.100
21 841601.354 22145"-935
22 841611.154 2214627.460
•23 841600.463 2214742.310
24 841687.011 2214752125
•25 841704.634 221481&785
26 841696.715 2214921280
•34 841667.815 2214953.541
•36 2214957.617
37 841575,775 2215014,296
138 2215049.567
39 841521.058 2215077.272
40 841476.781 2215121.121
-41 84150&003 221520&147
42 841487.698 2215302084
-43 84144&820 2215393.256
144 841378-923 2215443.996
45A 841339.465 221544&881
45 8413nZB7 2215450.129
.46 841314.555 2215490.261
47 2215502025
9 841167.713 2215536.245
841173.240 5578.
2

60A 2
21556 5.732
60 841102-201 2215655.837
-61 841218.939 2215641 072
62 2215587.771
•63 8413117-569 2215605233
64 841409.458 2215601.759
-65 84146&065 2215567.156
66 .841499.443 2215581807
-67 841540.142 2215566_972
-68 2215574.910
69 841671-3255 2215600.846
W742.154 2215577
-306
2 841769.091
- 84176&394 2221545
73 841709.774 2215421.976
.74
2215390.408
-75 841670.462 2215311.

6 841725.415 15170.415
22
-77 841767.929
78 841770-2D2 2
1
-79 841826.407 2215051.065
80 841875.127 2215050.628
9A 841923-9M 2214504.546
94 221480&185
-95 2214757.656
96A 2214607.997
96 2214716.427
-98 2214420.865
•-71
4-70
MAR 3
zoos
W4-66
4-65 DElyk • WATER QUALITY
AND 517 ft6 TER gRgN
4-62
' STREAM
rES OF N.C.
)RS AND PLANNERS
ROAD, SUITE 220
IC 27609
FAX [phone]
FLAG NORTHING EASMNG
W6-45H 842454.669 2213182198
W6-45G 842511.950 2213225354
W6-45F 842499.074 2213246.982
W6-45E 842441507 2213306.481
W6-450 842347.876 2213460.955
W6-45C 842307.975 2213604.153
W6-45B 842264.383 2213774.591
W6-45A 842258.936 2213800.103
W6-45 842262638 2213835.008
W6-44 842248.282 2213882920
WS-43 842288.882 2213925.003
W6-42 842301.812 2213934.525
W6-41 842332548 2213790.579
W6-40 842375.608 2213622223
W6-33 842412725 2213489.012
W6-37 842555.050 2213289.796
W6-36 842568.401 2213267.372
W5-35 842576.652 2213273.966
W6-34 842572987 2213284.422
W6-38 842497-288 2213349.497
W6-33A 842420.877 2213491.774
W6-32 842385.076 2213622123
W6-31 842340.212 2213791.697
W6-30 842310.746 2213940.170
WS-29 842234.461 2214114.906
W6-28 842163.878 2214246.321
WS-27 842140.608 2214289.492
W6-52 842117.000 2214283.195
W6-51 842160227 2214225.890
W6-43 842301.812 2213934,525
W6-49 842297.615 2213944.961
W6-43A 842243.244 2213894.503
W8-18 842131208 2214134.319
W8-IA 842165.488 2214072969
W8-2 842011.867 2214132532
W8-3 841980.449 2214038.289
W8-4 841944.347 2213962473
W8-7 841701.229 2213672.191
W9-7A 841870.923 2213490.579
W9-8 841887.108 2213507.783
W9-6 841893.081 2213505.504
W9-9 841916-059 2213543.462
W9-10 841956.256 2213573.524
W9-11 841999.315 2213604.975
W9-12 842041.604 2213630.870
W9-14 842144.902 2213680.650
W9-2 842200.114 2213666.497
W9-3 842129.891 2213646.571
W9-4 842019.959 2213586.434
W9-5 841965.632 2213548.637
W7-13 841949.716 2213406.253
W7-12 842025.216 2213490.768
W7-11 842091.583 221355&119
W7-10 842200.488 2213614.425
W7-9 842234 919 2213577.931
W7-8A 84223&647 2213532022
W7-7A 842249.311 2213508.993
W7-7 842277.556 2213504.482
W7-6 842313.373 2213431.137
W7-5 842345.730 2213413.715
W7-4 842331093 221332&067
W7-3 842374,246 2213269.414
W7-2 842396.547 2213205.536
W7-18 842397.169 2213161.777
W7-IA 842400.118 2213154,125
FLAG NORTHING FASTING
W5--I 842057.943 2214404,413
W.r-1A 842084,413 2214409.767
W6-21 842187.313 2214376.531
W6-22 842210.839 2214339.797
W6-23 842207.151 2214340.837
W6-24 842171.190 2214361.064
W6-25 842117.186 2214330.540
W6-26 84212&730 2214300.972
W6-53 842102532 2214291.632
W6-54 842099.758 2214321311
W6-55 842063.337 2214365531
W6-55A 842008.315 22143515.785
W6-55B 841992.660 2214360.511
WERAW
NON-WETLAND
101 DATA POINT
GRAPHIC SCALE
300 0 150 300
1 INCH = 300 FEET
WETLAND BOUNDARY PLAT
FOR
DANIELS' FARMS II
691 EGYPT CHURCH ROAD
LOUISBURG, FRANKLIN COUNTY, NC 27549
1 =
4
PROPERTY CORNER -?
N-843842.08
E=221253194 !
/
/
/
/
!
/
1, "ES M. Cal.ENTHIN, HEREBY DECLARE THAT THIS MAP wAS
DRAWN UNDER MY SUPERVISION FROM A SURVEY MADE UNDER MY
SUPERVISION, THAT THE BOUNDARIES NOT SURVEYED ARE CLEARLY
INDICATED THAT THE RATIO OF PRECISION AS CALCULATED IS
GREATER THAN 1:10,000; THAT THIS MAP DOES NOT REPRESENT
AN OFFICIAL BOUNDARY SURVEY AND HAS NOT BEEN PREPARED
IN ACCORDANCE WITH G:S. 47-30 AS AMENDED' iW1TN YI11![I
ORIGINAL 9GNATURE RE(15iiUTiQd?Eft A RA%-% t§
20TH DAY OF DUCEMSER. 20051
,,// .I{j? . r Qn
JAMES M. GELLENTSIN ;
.? r
N Ru 11 C3 v% li
W E
136.09 S
N36'59'39'
6135
N2T13'53'
5422
-N89'15'46"E
PROPERTY CORNER
N-843842.08
E=2212533.94
SITE LAYOUT
69.85
S6T20'33'E
74.66
SIB -22-4-6-E
?C \v?J D
MAR 3 1 2006
?
ri
i$ r QUA1rr
N
ZION >
N O
300 0 150 300 1 11
2.31'OS"N
sew!???
117.23
1 INCH = 300 FEET
rES OF N.C. WETLAND BOUNDARY PLAT
)RS AND PLANNERS FOR
DANIELS' FARMS 11

G
ROAD, SUITE 220
R
UI 691 EGYPT CHURCH ROAD

LOUISBURG, FRANKLIN COUNTY
NC 27549
276 ,
• FAX [phone]
I
DATE
SCALE
SHEET:
DEC. 16. 2005 1" =300' nv.
?r W qT Michael F. Easley, Governor
OF F9 William G. Ross Jr., Secretary
?? Q? North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
r-I Colleen H. Sullins, Deputy Director
p -? Division of Water Quality
July 18, 2005
KCI Technologies, Inc.
Landmark Center Il
Suite 220
Six Forks Rd.
Raleigh, NC 27609-5210
TPBRRO#05-184
County: Franklin
Attn: Mr. Steven F. Stokes, LSS
BASIN:
Neuse River
Tar-Pamlico X
(I5A NCAC 2B.0233)
Complaint NOV
Buffer Determination X
Incident # Appeal Call
Project Name: Daniels Farm Wetland Restoration Site KCI Project # 12054238
Location/Directions: located off SR 1604 on left hand side.
Subject Stream: UT to Tar River
Date of Determination:
Feature Start Buffer
GPS Points (if
provided) End Buffer Stream
Form Appeal
Call Located
on Soil
Survey Located on
USGS
Too a hic
A Subject x X

Comments:
Raleigh Regional Office 1628 Mail Service Center
Water Quality Section Raleigh, NC 27699-1628
(I 5A NCAC 2B .0259)
phone [phone] Customer Service
facsimile [phone] 1-877-623-6748

I r
Daniels Farm Wetland Restoration Site
KCl Project # 12054238
7/18/2005
Page 2 of 2
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 the DWQ or Delegated Local Authority that a surface water exists and that
it is subject to the buffer rule may request a determination by the Director. A request far a determination by the
Director shall be referred to the Director in writing clo Cyndi Saroly, DWQ Wetlands1401 Unit, 2321 Crabtree
Blvd., Raleigh, NC 27604-2260. Individuals that dispute a determination by the DWQ or Delegated Local
Authority that "exempts" a surface water from the buffer rule may ask for an ad judicatory hearing. You must
act within 60 days of the date that you receive this letter. Applicants are hereby notified that the 60-day statutory
appeal time does not start until the affected party (including downstream and adjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification in order to be certain that third
parry appeals are made in a timely manner. To ask for a hearing, send a written petition, which conforms to
Chapter 150E of the North Carolina General Statutes to the office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 2 769 9-6 71 4. This determination is final and binding unless you ask for a hearing
within 60 days.
The (owner/future owners) should notify the Division of Water Quality (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subjectproperty (stated
above). This project may require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Quality (Central Office) at (919)-733-1786, and the US Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919)-876-8441.
Respectfully,
Michael Horan
Environmental Spec. I
CC: Jean Maneule, US Army Corps of Engineers, Raleigh Regulatory Office
Debbie Edwards-Wetlands/ Stormwater Branch, 2321 Crabtree Blvd, Suite 250, Raleigh, NC 27604
Franklin County, Planning and Inspections, 215 East Nash Street, Louisburg, NC 27549
Franklin Soil and Water, 101 B. South Bickett Blvd, Louisburg, NC 27549
File Copy
Central Files

1
31
ENGINEERS • SURVEYORS • SCIENTISTS • CONSTRUCTION MANAGERS
KC1 ER
TECHNOLOGIES L.IXDAIARR CENTER IT • SUITE 120 • 4601 Six Fons ROAD • R>LE16H • INC 27601) • 911)-73i-92t4 • iFAX) 919-7S,-92b6
July 11, 2005
Mike Horan
Environmental Scientist
Water Quality Section
Division of Water Quality
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
RE: Daniels Farm Wetland Restoration Site
KCI Project # 12054238
Dear Mr. Horan:
The Daniels Farm Wetland Restoration Site is located approximately 2200 feet north of Egypt
Church Road (SR 1604) where it dead ends at the Clyde Daniels Farm, approximately 3.5 miles
south-southeast of Louisburg in Franklin County, North Carolina. The approximately 35-acre
site is located on the most current (1984) Louisburg, North Carolina USGS 7.5 minute
topographic quadrangle. Only one stream feature is located on the Franklin County Soil Survey
Map and the Louisburg Topographic Quadrangle Map. No other stream features are located on
the site outlined on the enclosed maps.
Please provide a letter of concurrence that the remainder of the site other than the blue line
stream is not subject to the Tar-Pamlico Buffer Rules.
Respectfully Submitted,
Steven F. Stokes, LSS
Senior Environmental Scientist
Attachments:
USGS Topographic Quadrangle
Franklin County Soil Survey Maps
C: File
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DANIELS FARM II
WETLAND RESTORATION PROJECT
LOUISBURG, FRANKLIN COUNTY, NORTH CAROLINA
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WETLAND RESTORATION PROJECT
LOUISBURG, FRANKLIN COUNTY, NORTH CAROLINA
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? A, Daniels Farm #2 Restoration Site N
Major Roads K C I
Major Rivers w e ASSOCIAATT S OFF
Cities and Towns S
K County Boundaries Scale: 1:316,800 1" = 5 miles *? .
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TECHNOLOGIES 5 0 5 Mi S
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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 200321138 County Franklin
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner KCI Associates of North Carolina
Address Attn: Mr. Joe Pfeiffer Jr.
Landmark Center 1 1, 220
4601 Six Forks Road
Raleigh North Carolina 27609-5210
Telephone Number (9191783-9214
Size and Location of project (waterway, road name/number, town, etc.) 33.93 on the north side
of SR 1604 (Egypt Church Road)approximately 0.8 mile east NC 39, southeast of Louisburg,
North Carolina The property is located near Wolfpen Branch.
Description of Activity
Mechanized landclearing and filling activities impacting 0.24 acre of jurisdictional wetlands
located with the bottoms of existing ditches associated with the wetland restoration of the 33+
acre parcel.
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
27 Nationwide Permit.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or app opriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the permittee of the responsibility to obtain any other required Federal, State, or local
approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
Regulatory Project Manager Signature
Date 8 August 2003 Expiration Date 8 August 2005
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF -REQUIRED OR AVAILABLE.
KCI
TECHNOLOGIES
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Transmittal Letter
ENGINEERS ? SURVEYORS ? SCIENTISTS ? CONSTRUCTION MANAGERS
LANDMARK CENTER IL SUITE 220 4601 SIX FORKS ROAD RALEIGH, NC 27609 919-783-9214 (FAX) 919-783-9266
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Date: February 22, 2006 ,r,, ZUC
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Company: North Carolina Division of Water Project: Daniels Farm #2 Wetland
Quality Restoration
Contact: John Dorney Subject: 401 Permit Application
? In accordance with your request ® For your use/files
? For your review ? Please call when ready
® For processing ? Please return to this office
? Plans reviewed and accepted ? Approval requested
? Plans reviewed and accepted as noted ? Conference requested
? For revision by you at your convenience
Comments: I can be reached at [phone] ext. 187 if you have any questions
regarding this application.
S even Stokes •
Soil Scientist
cc: File
KCI TECHNOLOGIES, INC. www.kci.com
Employee-Owned Since 1988
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Triage Check List
D,a Z.
Date: ? 0(v Project Name: s D M
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DWQ#: 3 3
County: i
To: ? ARO Kevin Barnett ? WaRO Kyle Barnes
? FRO Ken Averitte ? WiRO Noelle Lutheran/Joanne Steenhuis
? MRO Alan Johnson/Barry Love ? WSRO Daryl Lamb
O Eric Kulz
From: Telephone : (919)
U I .
The file attached is being forwarded to your for your evaluation.
Please call if you need assistance.
? Stream length impacted
? Stream determination
? Wetland determination and distance to blue-line surface waters on USFW topo maps
? Minimization/avoidance issues
? Buffer Rules (Meuse, Tar-Pamlico, Catawba, Randleman)
? Pond fill
? Mitigation Ratios
? Ditching
? Are the stream and or wetland mitigation sites available and viable?
? Check drawings for accuracy
? Is the application consistent with pre-application meetings?
? Cumulative impact concern
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Comments: ?- 9/tro? J0
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Office Use Only: V'+ 1!! Form Version March 05
USACE Action ID No. DWQ No. ?T 2-1 03 ' D03
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 27
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
H. Applicant Information
1. Owner/Applicant Information
Name: KCI Technologies, Inc.
Mailing Address: Landmark Center II. Suite 220
4601 Six Forks Rd
Raleigh, NC 27609
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 5 of 12

M. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Daniels Farm #2 Wetland Restoration Site
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 2814-32-4173
4. Location
County: Franklin Nearest Town: Louisburg
Subdivision name (include phasellot number):
Directions to site (include road numbers/names, landmarks, etc.): The site is located
approximately 2.4 miles southeast of Louisburg and one mile east of the intersection of
Egypt Church Road (SR 1604) and NC Route 39. -
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.0614 ON 78.2747 °W
6. Property size (acres): 34.0 acres
7. Name of nearest receiving body of water: Tar River
8. River Basin: Tar-Pamlico River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/mai)s/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is a combination of agricultural and forested land.
There are two soybean fields totaling 14.3 acres as well as 19.7 acres of forest. The property
has been ditched and drained extensively. The surrounding land use is rural.
Page 6 of 12

10. Describe the overall project in detail, including the type of equipment to be used: A
bulldozer and/or front-end loader on tracks will be used to fill and/or plug selected channels.
In the jurisdictional wetland areas, mats will be used in conjunction with earth-moving
machinery.
11. Explain the purpose of the proposed work: The project will restore and enhance a 19.7-acre
Bottomland Hardwood wetland ecosystem. The channel to be filled does not represent
natural site conditions. KCI will fill in the stream channel and recreate a DA stream system
that likely existed on-site before human modifications took place.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
A jurisdictional determination was requested from the USACE and approved by Eric Alsme,
of the Raleigh Regulatory Field Office on December 21, 2005 (Action ID 200620232). In 2003,
KCI also implemented a wetland restoration project (Daniels Farm #1) adjacent to the proposed
project (Permit Action ID 200321138).
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No.
VI. Proposed Impacts to Waters of the United StateslWaters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 7 of 12

1. Provide a written description of the proposed impacts:
The project will use five ditch plugs and fill 1034.7 feet of stream channel.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
cenarately list impacts due to both structure and flooding.
Wetland Impact
Site Number
(indicate on map)
Type of Impact Type of Wetland
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplain
( es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 15.5 acres
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage, multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
1 UT to Tar River 5 ditch plugs & fill Perennial 4 feet 1,034.7 0.095

Total Stream Impact (by length and acreage) 1,034.7 0.095
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill excavation dredging, flooding, drainage, bulkheads, etc.
Open Water Impact
Site Number
(indicate on ma)
(if Name of applicable) ) Wat
Type of Impact Type of Waterbody
(1ake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Page 8 of 12

Stream Impact (acres): 0.095
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0.095
Total Stream Impact (linear feet): 1,034.7
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The proiect proposes- to restored wetlands to agricultural lands that have been drained. Impacts
to existing streams and wetlands have been minimized in the restoration design.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC-
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12

USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.ne.us/ncwetlands/strmgide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
N/A
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http•//h2o.enr.state.nc.us/wry/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
T
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ?
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multit)liers.
* Impact Required
Zone Multiplier
3 (2 for Catawba)
1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or.0244, or.0260.
Page 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level.
N/A
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetiands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
2 ` xa-gD6
Applican Agents Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
T

Louisburg
PROJECT
SITE
VANCE WARREN
HALIFAX
GRANVILLE
FRANKLIN
NASH
WAKE
Daniels Farm #2 Vicinity Map
Project Site
Roads
?i Major Rivers
1 1 Municipalities
Counties
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1:63,360
1 inch equals 1 miles
1 0.5 0 1 Miles
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ASSOCIATES OF NC
EwwowuaAI TECIwo="
AND CONSTRUCTION, INC.
Franklin County, North Carolina
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Daniels Farm #2 Topographic Map
N KCI
ASSOCIATES OF NC
W S E
Project Site Boundary
K C I 1:18,000 y ? .
1 inch equals 1,500 feet
TECHNOLOGIES 1.500 750 0 1,500 ENVU?0Nt*NtursCfaaoto?tEs
Feet AND CONSttzucnoN, INC.
Source: USGS Topographic Quadrangle Louisburg, 1984
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Daniels Farm #2 Site Plan ?-+--
o?
` - - Project Site Boundary Existing Ditches
..
Fill Ditches Existing Stream Channel KCI
ASSOCIATES OF NC
Q Ditch Plugs S Tar River
KCI 1quals 'c
1 inch equals 450 feet
TECHNOLOGIES 450 gas 0 450 ENVIRONMENtAL TECHNOLOGIES
Image Source: AirPhotoUSA April 1, 2004 Feet AND CONSTRUCWN• INC.
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC
Do normal circumstances exist on the site? Yes No X Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: IA Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Fraxinus pennalvanica 1 FACW 9.
I
2. Acer rubrum 1 FAC 10.
3. Nvssa sylvatica 1 FAC ll.
4. Saururus cernuus 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
_ Aerial Photographs Primary Indicators:
_ Other _ Inundated
Saturated in Upper 12"
X No Recorded Data Available _ Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
Depth of Surface Water: (?) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: >60 (in.) _ Water-Stained Leaves
x Local Soil Survey Data
Depth to Saturated Soil: >60 (in.) x FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
Site has been drained.
S' ' ? T
SOILS
lA Non-wetland
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): LM ic Endoaquults Confirm Mapped Type? Yes X No
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-2 Al 10YR 5/2 sil, lfgr
2-10 Btgl 10YR 511 7.5YR 4/6 fid 1. 1fsbk
10-18 Btg2 10YR 511 7.5YR 4/6 c2d scl, lmsbk
18-30 BtQ3 10YR 511 10YR 6/4 flf c. 2msbk
30-42 2Cg? 10YR 511 2.5Y 6/4 c2d 2.5Y 6/6 c2d sc, massive
42-50 2C2 2.5Y 7/2 sl, massive
50-60 204 2.5Y 7/2 10YR 6/1 c2d sl, massive, lenses of clay
Hydric Soil Indicators:
Histosol _ Concretions
_
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
_ Sulfidic Odor Organic Streaking in Sandy Soils
Aquic Moisture Regime x Listed On Local Hydric Soils List
_
Reducing Conditions x Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
Relic mottles evident.
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes -X No
Remarks:
*. . T.
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies Inc. County: Franklin
Investigator: Steven F. Stokes State: NC
Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2A Non-wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Ulmus alata 1 FACU+ 9.
1
2. Ulmus alata 2 FACU+ 10.
3. Fraxinus pennsvlvanica 1 FACW 11.
4. Liquidambar stvraciflua 3 FAC+ 12.
5. Boehmeria cylindrica 3 FACW+ 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 60%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
_ Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
_ Other _ Inundated
-Saturated in Upper 12"
X No Recorded Data Available _ Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
_ Drainage Pattems in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: >18 (in.) _ Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: >18 (in.) _ FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
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DANIELS FARM II cl
WETLAND RESTORATION PROJECT ,,BCHNaLOC,?
LOUISBURG, FRANKLIN COUNTY, NORTH CAROLINA ENGINEERS-PLANNERS-ECOLOGISTS -- - -
SUITE 220 LANDMARK CENTER A °CSOPgM - ___
--- - - 4601 SIX FORKS RD., RALEIA NC sm
I! REVISIONS
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DIRT PATH

1 DANIELS FARM II
KCI
WETLAND RESTORATION PROJECT TECH
NOLOGIBS
20 LANNERS•E
LOUISBURG, FRANKLIN COUNTY, NORTH CAROLINA ENGINEERS
SUITE 22F LKS RD.. CEENTER NTER I
i -- -- 4601 SIX FORKS RO RALEIGH, NC
m?
N
A
p[iC -
1 'J'
SOILS
2A Non-wetland
Map Unit Name
(Series and Phase): Wake-Wateree-Wedowee Complex Drainage Class: Well Drained
Taxonomy (Subgroup): Lithic Udipsamments Confirm Mapped Type? Yes No X
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc,
0-6 Al 10YR 5/3 sand, lfgr
6-15 Bwl 10YR 5/4 sand, lfps
15-18 Bw2 10YR 5/3 sl, 1 fsbk
Hydric Soil Indicators:
Histosol _ Concretions
_
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
_
_ Aquic Moisture Regime Listed On Local Hydric Soils List
_ Reducing Conditions Listed on National Hydric Soils List
_ Gleyed or Low-Chroma Colors - Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes No X
Hydric Soils Present? Yes No X
Is the Sampling Point
Within a Wetland? Yes_ No X
Remarks:
4, i Z
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC
Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2B Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Acer rubrum I FAC 9.
I
2. Impatiens capensis 3 FACW 10.
3. Frazinus penMlvanica 1 FACW ll.
4. Leersia orvzoides 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 100%
Remarks:
HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
Aerial Photographs Primary Indicators:
Other x Inundated
_ x Saturated in Upper 12"
X No Recorded Data Available _ Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: 2 (1L) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: (in.) x FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
z ' ?J-
SOILS
2B-Wetlands
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): T)Mic Endoaquults Confirm Mapped Type? Yes_ No X
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Mansell Moist) Abundance/Contrast Structure, etc.
0-3 Al 10YR 511 sil
3-12 A2 10YR 6/1 1. lmsbk
12-18+ Btgl 10YR 4/2 sc, massive
Hydric Soil Indicators:
Histosol _ Concretions
_
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
_
Aquic Moisture Regime x Listed On Local Hydric Soils List
_
Reducing Conditions x Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors -Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No
Is the Sampling Point
Within a Wetland? Yes X No
Remarks:
r W ATE Michael F. Easley, Governor
O R William G. Ross Jr., Secretary
\O? QG North Carolina Department of Environment and Natural Resources
?r Alan W. Klimek, P.E. Director
0 1 m.. Colleen HDSvision of Water Quality
July 18, 2005
KCI Technologies, Inc.
Landmark Center II
Suite 220
Six Forks Rd.
Raleigh, NC 27609-5210
TPBRRO#05-184
County: Franklin
Attn: Mr. Steven F. Stokes, LSS
BASIN:
Neuse River
Tar-Pamlico X
(15A NCAC 2B .0233)
Complaint NOV
Incident #
(15A NCAC 2B.0259)
Buffer Determination X
I Call
Project Name: Daniels Farm Wetland Restoration Site KCI Project # 12054238
Location/Directions: located off SR 1604 on left hand side.
Subject Stream: UT to Tar River
Date of Determination:
Feature Start Buffer
GPS Points (if
provided) End Buffer Stream
Form Appeal
Call Located
on Soil
Survey Located on
USGS
Topographic
A Subject X X

Comments:
Raleigh Regional Office 1628 Mail Service Center
Water Quality Section Raleigh, NC 27699-1628
phone [phone] Customer Service
facsimile [phone] 1-877-623-6748

Daniels Farm Wetland Restoration Site
KCI Project # 12054238
7/18/2005
Page 2 of 2
This on-site determination shall expire f ve (5) years from the date of this letter. Landowners or affectedparties
that dispute a determination made by the D WQ or Delegated Local Authority that a surface water exists and that
it is subject to the buffer rule may request a determination by the Director. A request for a determination by the
Director shall be referred to the Director in writing do Cyndi Karoly, DWQ Wetlands1401 Unit, 2321 Crabtree
Blvd, Raleigh, NC 27604-2260. Individuals that dispute a determination by the DWQ or Delegated Local
Authority that "exempts" a surface water from the buffer rule may ask for an ad judicatory hearing. You must
act within 60 days of the date that you receive this letter. Applicants are hereby notified that the 60-day statutory
appeal time does not start until the affected party (including downstream and adjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification in order to be certain that third
party appeals are made in a timely manner. To ask for a hearing, send a written petition, which conforms to
Chapter 150E of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 2 769 9-6 71 4. This determination is final and binding unless you ask for a hearing
within 60 days.
The (owner/fixture owners) should notify the Division of Water Quality (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subjectproperty (stated
above). This project may require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Quality (Central Office) at (919)-733-1786, and the US Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919)-876-8441.
Respectfully,
Michael Horan
Environmental Spec. I
CC: Jean Maneule, US Army Corps of Engineers, Raleigh Regulatory Office
Debbie Edwards-Wetlands/ Stormwater Branch, 2321 Crabtree Blvd, Suite 250, Raleigh, NC 27604
Franklin County, Planning and Inspections, 215 East Nash Street, Louisburg, NC 27549
Franklin Soil and Water, 101 B. South Bickett Blvd, Louisburg, NC 27549
File Copy
Central Files

r ,
a
i - ,
..i . .
t'?rF1 R R?+LE, u„
KCI .--
ENGINEERS • SURVEYORS • SCIENTISTS • CONSTRUCTION MANAGERS
TECHNOLOGIES LA.NDAIARK CENTER If • SUITE 220 • 4601 Sr.; FORKS ROAD • RaLEk.H • INC 27609 • 91) `,-9'_1{ • IFAX) 919-7S;-92(,('
July 11, 2005
Mike Horan
Environmental Scientist
Water Quality Section
Division of Water Quality
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
RE: Daniels Farm Wetland Restoration Site
KCI Project # 12054238
Dear Mr. Horan:
The Daniels Farm Wetland Restoration Site is located approximately 2200 feet north of Egypt
Church Road (SR 1604) where it dead ends at the Clyde Daniels Farm, approximately 3.5 miles
south-southeast of Louisburg in Franklin County, North Carolina. The approximately 35-acre
site is located on the most current (1984) Louisburg, North Carolina USGS 7.5 minute
topographic quadrangle. Only one stream feature is located on the Franklin County Soil Survey
Map and the Louisburg Topographic Quadrangle Map. No other stream features are located on
the site outlined on the enclosed maps.
Please provide a letter of concurrence that the remainder of the site other than the blue line
stream is not subject to the Tar-Pamlico Buffer Rules.
Respectfully Submitted,
Steven F. Stokes, LSS
Senior Environmental Scientist
Attachments:
USGS Topographic Quadrangle
Franklin County Soil Survey Maps
C: File
KCI TECHNOLOGIES ct.coin

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Louisburg Quadrangle
Daniels Farm #2 Project Site Boundary W
_0?_ " E
KCI
ASSOCIATES OF NC
1:24,000 Is
K C 1 I inch equals 2,000 feet
2,000 1 000 0 2,000 Feet ?-
I E CH N OLO G IES ENVIRONMENTAL TECHNOLOGIES
AND CONSTRUCTION, INC.
Source: USGS Topographic Quadrangle Louisburg, 1984
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Daniels Farm #2 Resto stn Site r'??
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Major Rivers ASSOCIATES OF
KCI Cities and Towns s
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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action 1D. 200321138 County Franklin
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner KCI Associates of North Carolina
Address Attn: Mr. Joe Pfeiffer Jr.
Landmark Center II Suite 220
4601 Six Forks Road
Raleigh North Carolina 27609-5210
Telephone Number [phone]
Size and Location of project (waterway, road name/number, town, etc.) 33.93 on the north side
of SR 1604 (Emt Church Road) approximately 0.8 mile east NC 39, southeast of Louisburg,
North Carolina The property is located near Wolfpen Branch.
Description of Activity
Mechanized landclearing and filling activities impacting 0.24 acre of jurisdictional_ wetlands
located with the bottoms of existing ditches associated with the wetland restoration of the 33+
acre parcel.
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
27 Nationwide Permit.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the permittee to a stop work order, a restoration order, and/or appropriate legal
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the permittee of the responsibility to obtain any other required Federal, State, or local
approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
Regulatory Project Manager Signature
Date 8 August 2003 Expir$tion Date 8 August 2005
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
4
a? Ftts 2 9, 2006
T?,c _H Form Version March OS
Office Use Only:
USACE Action ID No. DWQ No. a G 3 J ) 003_
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 27
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ?
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
II. Applicant Information
1. Owner/Applicant Information
Name: KCI Technologies, Inc.
Mailing Address: Landmark Center II. Suite 220
4601 Six Forks Rd
Raleigh, NC 27609
Telephone Number: [phone] Fax Number: [phone]
E-mail Address: [e-mail]
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 5 of 12
r
M. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: Daniels Farm #2 Wetland Restoration Site
2. T.I.P. Project Number or State Project Number (NCDOT Only):
3. Property Identification Number (Tax PIN): 2814-32-4173
4. Location
County: Franklin Nearest Town: Louisburg
Subdivision name (include phase/lot number):
Directions to site (include road numbers/names, landmarks, etc.): The site is located
approximately 2.4 miles southeast of Louisburg and one mile east of the intersection of
Egypt Church Road (SR 1604) and NC Route 39.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 36.0614 ON 78.2747 °W
6. Property size (acres): 34.0 acres
7. Name of nearest receiving body of water: Tar River
8. River Basin:-Tar-Pamlico River Basin
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/mgps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is a combination of agricultural and forested land.
There are two soybean fields totaling 14.3 acres as well as 19.7 acres of forest. The property
has been ditched and drained extensively. The surrounding land use is rural.
Page 6 of 12
10. Describe the overall project in detail, including the type of equipment to be used: A
bulldozer and/or front-end loader on tracks will be used to fill and/or plug selected channels.
In the jurisdictional wetland areas, mats will be used in conjunction with earth-moving
machinery.
11. Explain the purpose of the proposed work: The project will restore and enhance a 19.7-acre
Bottomland Hardwood wetland ecosystem. The channel to be filled does not represent
natural site conditions. KCI will fill in the stream channel and recreate a DA stream system
that likely existed. on-site before human modifications took place.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
A jurisdictional determination was requested from the USACE and approved by Eric Alsmeyer
of the Raleigh Regulatory Field Office on December 21, 2005 (Action ID 200620232). In 2003,
KCI also implemented a wetland restoration project (Daniels Farm #0 adjacent to the proposed
project (Permit Action ID 200321138).
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No.
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Page 7 of 12
1. Provide a written description of the proposed impacts:
The project will use five ditch plugs and fill 1,034.7 feet of stream channel.
2. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
se srstely list imnacts due to both structure and flooding.
~
Wetland Impact
Site Number
(indicate on map)

Type of Impact of Wetland
Ty
(e.g., forested, marsh,
herbaceous, bog, etc.) Located within
100-year
Floodplam
(es/no) Distance to
Nearest
Stream
(linear feet) Area of
Impact
(acres)

Total Wetland Impact (acres)
3. List the total acreage (estimated) of all existing wetlands on the property: 15.5 acres
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must he included. To calculate acreage. multiply length X width, then divide by 43,560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acres)
1 UT to Tar River 5 ditch plugs & fill Perennial 4 feet 1,034.7 0.095

Total Stream Impact (by length and acreage) 1,034.7 0.095
5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill excavation dredging, flooding, drainage, bulkheads, etc.
9
Open Water Impact
Site Number
(indicate on ma) 7
Name of Waterbody

(if applicable)

Type of Impact Type of Waterbody

nake, pond, estuary, sound, bay,
ocean, etc.) Area of

Impact
(acres)

Total Open Water Impact (acres)
6. List the cumulative impact to all Waters of the U.S. resulting from the project:
Page 8 of 12
Stream hn act (acres): 0.095
Wetland Impact (acres): 0
Open Water Impact (acres): 0
Total Impact to Waters of the U.S. (acres) 0.095
Total Stream Impact (linear feet): 1,034.7
7. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.):
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The project proposes to restored wetlands to agricultural lands that have been drained. Impacts
to existing streams and wetlands have been minimized in the restoration design.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 9 of 12
T
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strmgide.html.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
N/A
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet):
Amount of buffer mitigation requested (square feet):
Amount of Riparian wetland mitigation requested (acres):
Amount of Non-riparian wetland mitigation requested (acres):
Amount of Coastal wetland mitigation requested (acres):
Page 10 of 12
IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ?
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify V Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
I I Required
Zone* I Impact Multiplier
1 3 (2 for Catawba)
2 1.5
Total
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an
additional 20 feet from the edge of Zone 1.
3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or.0244, or.0260.
Page 11 of 12
XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level.
N/A
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state.nc.us/ncwetlands. If no, please provide a short narrative description:
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
2.1Z-o`
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 12 of 12
I
0-
VANCE WARREN
HALIFAX
GRANVILLE
FRANKLIN
NASH
WAKE
Louisburg
PROJECT
SITE
T` R/per
>A
Daniels Farm #2 Vicinity Map
Project Site
Roads
?i Major Rivers
Municipalities
Counties
2 2920G5
w?
11,
Q? it !_iTl'
r,:uN
• • •
1:63,360
1 inch equals 1 miles
1 0.5 0 1 Miles
iiia
KCI
ASSOCIATES OF NC
ENVIRONMENTAL TECNNOLOGR S
AND CONSTRUCTION. INC.
Franklin County, North Carolina
I t

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It
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Daniels Farm #2 Topographic Map o
EE ,2 2 0 0 S
? KC1
F Project Site Boundary K C I 1:18,000
1 inch equals 1,500 feet
TECHNOLOGIES 1,500 750 0 1,500 EwRONNRNTAL TECHNOLD
Source: USGS Topographic Quadrangle !Duisburg, 1984 MMIMMMOMIIIIIIIII" Feet AND CONSTRUCTM INC
1
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is Farm #2 Site Plan
Dame
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Project Site Boundary ' " L- J MMMMMMMO?
Existing Ditche
_ Fill Ditches /0 ? Existing StrCain'Channel_ { :Ire Fi K C I
!"r`? ASSOCIATES OF NC
KC I ® Ditch Plugs S Tar River
1quals
1 inch equals 450 feet
TECHNOLOGIES 450 225 0 450 ENVUKX"ENUI TECHNOLOGIES
Image Source: AirPhotoUSA April 1, 2004 Feet AND CONSTRUCTION, INC.
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies Inc. County: Franklin
Investigator: Steven F. Stokes State: NC
Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2A Non-wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Ulmus alata 1 FACU+ 9.
2. Ulmus alata 2 FACU+ 10.
3. Fraxinus pennsylvanica 1 FACW 11.
4. Liguidambar styraciflua 3 FAC+ 12.
5. Boehmeria cylindrica 3 FACW+ 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). 60%
Remarks:
HYDROLOGY
_ Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
_ Stream, Lake, or Tide Gauge
_ Aerial Photographs Primary Indicators:
_ Other _ Inundated
_Saturated in Upper 12"
X No Recorded Data Available _ Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: >18 (in.) _ Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: >18 FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
, r t
SOILS
2A Non-wetland
Map Unit Name
(Series and Phase): Wake-Wateree-Wedowee Complex Drainage Class: Well Drained
Taxonomy (Subgroup): Lithic Udipsamments Confirm Mapped Type? Yes No X
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-6 Al 10YR 5/3 sand, 1fQr
6-15 Bwl 10YR 514 sand, 1fgr
15-18 Bw2 10YR 5/3 sl, 1fsbk
Hydric Soil Indicators:
Histosol _ Concretions
_
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
_
_ Aquic Moisture Regime Listed On Local Hydric Soils List
_ Reducing Conditions Listed on National Hydric Soils List
_ Gleyed or Low-Chroma Colors - Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes No X
Hydric Soils Present? Yes No X
Is the Sampling Point
Within a Wetland? Yes_ No X
Remarks:
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual)
Project / Site: Daniels Farm #2 Date: 8-31-05
Applicant / Owner: KCI Technologies, Inc. County: Franklin
Investigator: Steven F. Stokes State: NC
Do normal circumstances exist on the site? Yes X No Community ID:
Is the site significantly disturbed (Atypical situation)? Yes No X Transect ID:
Is the area a potential problem area? Yes No X Plot ID: 2B Wetland
(explain on reverse if needed)
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. Acer rubrum 1 FAC 9.
2. Impatiens capensis 3 FACW 10.
3. Fraxinuspenjolvanica 1 FACW 11.
4. Leersia orvzoides 3 OBL 12.
5. 13.
6. 14.
7. 15.
8. 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAG). 100%
Remarks:
HYDROLOGY
_ Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
_ Aerial Photographs Primary Indicators:
Other x -Inundated
_ x Saturated in Upper 12"
X No Recorded Data Available . Water Marks
_ Drift Lines
Field Observations: _ Sediment Deposits
Drainage Patterns in Wetlands
Depth of Surface Water: 2 (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: (in.) _ Water-Stained Leaves
Local Soil Survey Data
Depth to Saturated Soil: (in.) x FAC-Neutral Test
Other (Explain in Remarks)
Remarks:
2 1 v
SOILS
2B-Wetlands
Map Unit Name
(Series and Phase): Roanoke silt loam Drainage Class: Poorly Drained
Taxonomy (Subgroup): Typic Endoaguults Confirm Mapped Type? Yes No X
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
(inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Structure, etc.
0-3 Al 10YR 511 sil
3-12 A2 IOYR 6/1 1, lmsbk
12-18+ Btgl IOYR 4/2 sc, massive
Hydric Soil Indicators:
Histosol _ Concretions
_
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
Sulfidic Odor Organic Streaking in Sandy Soils
_
Aquic Moisture Regime x Listed On Local Hydric Solis List
Reducing Conditions x Listed on National Hydric Soils List
x Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes X No
Wetland Hydrology Present? Yes X No
Hydric Soils Present? Yes X No _
Is the Sampling Point
Within a Wetland? Yes X No
Remarks:
r T. V4A7'? Michael F. Easley, Governor
O R William G. Ross Jr., Secretary
O? QG North Carolina Department of Environment and Natural Resources
r Alan W. Klimek, P.E. Director
>
.a. Colleen H. Sullins, Deputy Director
OX, %
p , Division of Water Quality
July 18, 2005
TPBRRO#05-184
KCI Technologies, Inc. County: Franklin
Landmark Center 11
Suite 220
Six Forks Rd.
Raleigh, NC 27609-5210
Attn: Mr. Steven F. Stokes, LSS
BASIN:
Neuse River
(15A NCAC 2B .0233)
Complaint NOV
Buffer Determination X
Incident #
Project Name: Daniels Farm Wetland Restoration Site KCI
Location/Directions: located off SR 1604 on left hand side.
Subject Stream: UT to Tar River
Call
ect # 12054238
Date of Determination:
Feature Start Buffer
GPS Points (if
provided) End Buffer Stream
Form Appeal
Call Located
on Soil
Survey Located on
USGS
Topographic
A Subject X X

Comments:
Raleigh Regional Office 1628 Mail Service Center
Water Quality Section Raleigh, NC 27699-1628
Tar-Pamlico X
(15A NCAC 2B.0259)
phone [phone] Customer Service
facsimile [phone] 1-877-623-6748
Daniels Farm Wetland Restoration Site
KCI Project # 12054238
7/18/2005
Page 2 of 2
This on-site determination shall expire five (5) years from the date of this letter. Landowners or affectedparties
that dispute a determination made by the D WQ or Delegated Local Authority that a surface water exists and that
it is subject to the buffer rule may request a determination by the Director. A request for a determination by the
Director shall be referred to the Director in writing c% Cyndi Karoly, DWQ Wetlands/401 Unit, 2321 Crabtree
Blvd, Raleigh, NC 27604-2260. Individuals that dispute a determination by the DWQ or Delegated Local
Authority that "exempts" a surface water from the buffer rule may ask for an ad judicatory hearing. You must
act within 60 days of the date that you receive this letter. Applicants are hereby notified that the 60-day statutory
appeal time does not start until the affected party (including downstream and adjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification in order to be certain that third
party appeals are made in a timely manner. To ask for a hearing, send a written petition, which conforms to
Chapter 150E of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 2 769 9-6 71 4. This determination is final and binding unless you ask for a hearing
within 60 days.
The (owner/future owners) should notify the Division of Water Quality (including any other Local, State, and
Federal Agencies) of this decision concerning any future correspondences regarding the subjectproperty (stated
above). This project may require a Section 4041401 Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Quality (Central Office) at (919)-733-1786, and the US Army Corp of Engineers
(Raleigh Regulatory Field Office) at (919)-876-8441.
Respectfully,
Aku-
Michael Horan
Environmental Spec. I
CC: Jean Maneule, US Army Corps of Engineers, Raleigh Regulatory Office
Debbie Edwards-Wetlands/ Stormwater Branch, 2321 Crabtree Blvd, Suite 250, Raleigh, NC 27604
Franklin County, Planning and Inspections, 215 East Nash Street, Louisburg, NC 27549
Franklin Soil and Water, 101 B. South Bickett Blvd, Louisburg, NC 27549
File Copy
Central Files
'r , ,
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KCI --
ENGINEERS ' SURVEYORS • SCIENTISTS • CONSTRUCTION MANAGERS
_ --
TECHNOLOGIES LANDMARK CENIER If SUITE '20 • 4601 Six FoRks ROAD RaLEi.,H • NC 27601) )[a-7s;-)2[4 • Fax a[)-7:3-91u6
July 11, 2005
Mike Horan
Environmental Scientist
Water Quality Section
Division of Water Quality
Raleigh Regional Office
3800 Barrett Drive
Raleigh, NC 27609
RE: Daniels Farm Wetland Restoration Site
KCI Project # 12054238
Dear Mr. Horan:
The Daniels Farm Wetland Restoration Site is located approximately 2200 feet north of Egypt
Church Road (SR 1604) where it dead ends at the Clyde Daniels Farm, approximately 3.5 miles
south-southeast of Louisburg in Franklin County, North Carolina. The approximately 35-acre
site is located on the most current (1984) Louisburg, North Carolina USGS 7.5 minute
topographic quadrangle. Only one stream feature is located on the Franklin County Soil Survey
Map and the Louisburg Topographic Quadrangle Map. No other stream features are located on
the site outlined on the enclosed maps.
Please provide a letter of concurrence that the remainder of the site other than the blue line
stream is not subject to the Tar-Pamlico Buffer Rules.
Respectfully Submitted,
Steven F. Stokes, LSS
Senior Environmental Scientist
Attachments:
USGS Topographic Quadrangle
Franklin County Soil Survey Maps
C: File
KCI TECHNOLOGIES
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IECHNOLOGIES DR COONMTNTAT HNOO-- S
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Figure 1. Vicinity Map '

Daniels Farm #2 Restoration site° . --
Major Roads L ` `' N K C I
F L O r, c W E
Major Rivers U iJ ASSOCIATES OF
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TECHNOLOGIES
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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 200321138 County Franklin
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner KCI Associates of North Carolina
Address Attn: Mr. Joe Pfeiffer Jr.
Landmark Center II Suite 220
4601 Six Forks Road
Raleigh North Carolina 27609-5210
Telephone Number (9191783 9214
Size and Location of project (waterway, road name/number, town, etc.) 33.93 on the north side
of SR 1604 (Egypt Church Road) g0roximately 0.8 mile east NC 39 southeast of Louisburg,
North Carolina The property is located near Wolfpen Branch.
Description of Activity
_Mechanized landclearing and filling activities impacting 0.24 acre of jurisdictional wetlands
located with the bottoms of existing ditches associated with the wetland restoration of the 33+
acre parcel.
X Section 404 (Clean Water Act, 33 USC 1344) only.
Section 10 (River and Harbor Act of 1899) only.
Section 404 and Section 10.
27 Nationwide Permit.
Any violation of the conditions of the Regional General or Nationwide Permit referenced above
may subject the penmittee to a stop work order, a restoration order, and/or appropriate legal
t
action.
This Department of the Army Regional General/Nationwide Permit verification does not relieve
the permittee of the responsibility to obtain any other required Federal, State, or local
approvals/permits. The permittee may need to contact appropriate State and local agencies
before beginning work.
Regulatory Project Manager Signature
Date 8 August 2003 Expiration Date 8 August 2005
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORM, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
. Complete items 1, 2, and 3. Also complete A. SI ?a ure
item 4 if Restricted Delivery is desired. X
i Print your name and address on the reverse
so that we can return the card to you. B. Received by (Printed Name)
ii Attach this card to the back of the mailpieace,
ermits
ace
front if s
th
.
p
p
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or on
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Article Addressed to:
If YES, er de ry address
Mr. Steven Stokes 2 8
KCI Technologies Land Center
-
II,Ste 220 4601 Six Forks Rd. I _07
Raleigh,NC 27609 3' `?
Cell mail re
DWQ# 03-1003-Franklin Reglste ii,
& Re3tun
? Agent
? Addresses
C. Date of Deliver.
Yes
No
J
V
Merchandise
? Insured Mall!
4. Restricted Delivery? (Extra Fee) ? Yes
Article Number 7005 1160 0000 9954 9673
,nsfer from service label)
orm 3811. February 2004 Domestic Return Receipt 1025Q'
UNITED STATES POSTAL SERVICE
First-Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
NC DENR Division of Water Quality
401 Oversight/Express Unit
2321 Crabtree Boulevard, Suite 250
Raleigh, NC 27604
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