19990971 Ver 1_Mitigation Evaluation_20090724

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Mitigation Project Evaluations: Information Table
NC Division of Water Quality
Date of Office Review: '1 _9A - Oq Evaluator's Name(s):
Date of Report: R kg + -31- ®,4 rnc,-, rp? Report for Monitoring Year: 3
Date of Field Review: 2--L r ;Icl Evaluator's Name(s):
Other Individuals/Agencies Present:
Weather Conditions (today & recent): _
Directions to Site: Project site is ESE of Boone
1. Office Review Information:
Project Number: 19990971
>
Project Name: Kerner Ridge V f
County(ies): Watauga i-WL
Basin & subbasin: New l?-? aQ
Nearest Stream: East Fork South Fork New River
Water Quality Class of Nearest Stream:
Mitigator Type: Private
DOT Status: non-DOT
Total Mitigation on Site
Wetland: 0.16 acres
Stream: 660 linear feet
Buffer:
Nutr. Offset:
Approved mitigation plan available? pe No
Monitoring reports available? //N_'.
Problem areas identified in reports? Yes (d-d

Project History
Event Event Date
Construction Completed 5/15/2001
Report Receipt: Monitoring 8/18/2003
Report Review - Wetlands 5/22/2009
Report Review - Streams 5/22/2009
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Problem areas addressed on site? Yes No - -7 ? ? L j -2 1 534 Mitigation required on site: ports,
Associated impacts (if known): w6 r ley I y I etc.
During office review, note success criteria and ev ort
results. Record relevant data in Sections II and Ill.
On back of sheet, note other information found during office review and/or to be obtained during site visit.
I1. Summary of Results:
Mitigation Component
19990971-1 660 linear feet Stream (Perennial) Creation
19990971-2 0.16 acres Wetland Creation
Monitoring Success Success
Year (report) (field) Resolved
7
7
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Version 1. 0 (August 22, 2007) Page 1 of 2
(Poc kJ c 3c A = 3000 sc? ?--v . -120 :!aq? } . C?2ajoo P kD'n c sc S 1 r
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Mitigation Project Evaluations: Information Table
NC Division of Water Quality
MITIGATION SUCCESS:
Compared to the approved mitigation plan, this project is: s ccess, I partially successful unsuccessful
List specific reasons for lack of success for this project:
Additional comments (e.g. DWQ follow-up actions, recommendations, etc.):

4 ,

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Version 1.0 (August 22, 2007) Page 2 of 2
r
Wetland Mitigation Project Evaluations: Information Table
NC Division of Water Quality
Component: 0.16 acres Wetland Creation Component ID: 19990971-2
Description: ?Ptx'i-- vJl- C?-" ff-
Location within project:
III. Success Criteria Evaluation:
HYDROLOGY - Approved Success Criteria: Wetland Hydrology Indicators:
inundated
Saturated in upper 12 inches
Monitoring report indicates success Yes No `Drift lines
Observational field data agrees? Ye No Drainage patterns in wetlands
based on mitigation plan? Yes No Sediment deposits
based on wetland type? Yes No Water marks
List any remainin hydr
ology issues to"
address (e.g. remaining ditches, excessive water, etc.):
?
+
...1..1

SOILS - Approved Success Criteria: na
Are soils hydric or becoming hydric? Ye No
List indicators of hydric soils: iCc.1?1 ?r? 1,UU ?LV Cr^n rrv I tT?? ?L;
List any remaining soil issues to address (e.g. erosion, upland areas, etc.):

VEGETATION - Approved Success Criteria: Dominant Plant Species
Species Story TPA/'/ cover
pocw oY

Monitoring report indicates success? Yes No
Average TPA for entire site (per report):
Observational field data agrees? Yes No + VbU-
based on community composition? Yes No
based on TPA and/or % cover? Yes No
Vegetation planted on site? Yes No tr-?}
Date of last planting:
Vegetation growing successfully? Yes No
Specific vegetation plots or site locations with little to no vegetation:
Estimated acreage or site percentage of unvegetated areas:
Invasive species on site (species, location(s), and % cover):
List any remaining vegetation issues to address (e.g. plant survival, concerns, etc.):

Version 1.0 (August 22, 2007) Page 1 of 2

Wetland Mitigation Project Evaluations: Information Table
NC Division of Water Quality
AT klv?
NCWAM - Approved Success Criteria or Evaluative Techniques: NCWAM Type on Site:
na Coastal
C Riverine
Monitoring report indicates succes?? Yes No Riparian
Observational field data agrees? Yes No Non-riparian (wetter)
Attach NCWAM analysis results to is report. Non-riparian (drier)
List any remaining NCWAM i sues to address (e.g. functionality, developing wetland type, etc.):
MITIGATION SUCCESS:
Compared to the approved mitigation plan, this component is: s cess ul partially successful unsuccessful
List specific reasons for lack of success for this component:
C?VY1} ?t f
Additional comments (e.g. DWQ follow-up actions, recommendations, etc.): 'Dki -+0
V,3 CAA C aA
During site visit, document representative conditions and areas of concern. Observe preservation and
enhancement areas that may not have specific success criteria. Label and attach photos to this report.
Attach maps showing photo locations, areas of concern, and important field observations.
Additional notes related to evaluation of this component:
Version 1.0 (August 22, 2007)
Page 2 of 2
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U\-, ccw'e Lom L9--
Mitigation Project Evaluations: Information Table
NC Division of Water Quality
Date of Office Review: -1 - 2- I 0 ci
Date of Report: Z - s t oS4
Date of Field Review: 3 -- 2'4 -C,2
Other Individuals/Agencies Present:
Weather Conditions (today & recent):
Directions to Site: project site is ESE of Boone
Evaluator's Name(s): Oi
Report for Monitoring Year:
Evaluator's Name(s): 1'?-Lx-`
I. Office Review Information:
Project Number: 19990971
Project Name: Kerner Ridge
County(ies): Watauga
Basin & subbasin: New
Nearest Stream: East Fork South Fork New River
Water Quality Class of Nearest Stream:
Mitigator Type: Private
DOT Status: non-DOT
Total Mitigation on Site
Wetland: 0.16 acres
Stream: 660 linear feet
Buffer:
Nutr. Offset:
Project History
Event Event Date
Construction Completed 5/15/2001
Report Receipt: Monitoring 8/18/2003
Report Review - Wetlands 5/22/2009
Report Review - Streams 5/22/2009
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Approved mitigation plan available? %e' No
Monitoring reports available? No did U?WQ, tUE--
Problem areas identified in reports? No Lfr aucben4ho5 ? '- bV
Problem areas addressed on site? Yes 2C7U5? f ih01 lt M l?Yl • rtp
Mitigation required on site: *Add significant project-related events: reports,
Associated impacts (if known) :Q\ w _ received, construction, planting, repairs, etc.
During office review, note success criteria and evaluate each component based on monitoring report
results. Record relevant data in Sections II and III.
On back of sheet, note other information found during office review and/or to be obtained during site visit.
II. Summary of Results:
Monitoring Success Success
Mitigation Component Year (report) (field) Resolved
19990971-1 660 linear feet Stream (Perennial) Creation 7
19990971-2 0.16 acres Wetland Creation 7
Version 1.0 (August 22, 2007) Page 1 of 2
Mitigation Project Evaluations: Information Table
NC Division of Water Quality
MITIGATION SUCCESS:
Compared to the approved mitigation plan, this project is: successful partially successful unsuccessful
List specific reasons for lack of success for this project:
Additional comments (e.g. DWQ follow-up actions, recommendations, etc.):
Version 1.0 (August 22, 2007) Page 2 of 2
Stream Mitigation Component Evaluations: Information Table
NC Division of Water Quality
Component: 660 linear feet Stream (Perennial) Creation Component ID: 19990971-1
Description: C CVJGLVJrleA
Location within project:
III. Success Criteria Evaluation:
STREAMBANK STABILITY - Approved Success Criteria:
none listed
Are streambanks stable? Yes No
If no, provide description and notes regarding stability issues:
5darn rCC C,A ?'n ?- ? ' Si of bL'U? aloe
AV A 106L :? INK 0 t" ila ©CC ??+? r' ?a1 }t? l Oc _ -? C'E' G CYYU?f1 C'X S7c
STRUCTURES -Approved Success Criteria:
none listed
List all types of structures present on site:
Are the structures installed correctly? Yes No
Are the structures made of acceptable material? Yes No
(Unacceptable materials include: railroad ties, concrete with rebar, etc.
j Are the structures located approximately where shown on the plan? Yes No
Are the structures stable (e.g. erosion, deposition, etc.)? Yes No
Provide description and notes regarding problematic structures:
FEATURES - Approved Success Criteria:
none listed
Are riffles and pools in approximately the correct locations Yes No
Is the final sinuosity and gradient designed approximately to plan specifications? Yes No
Any evidence of vegetation growing on the stream bed or in the thalweg Yes No
Percentage of the restoration reach that has: Flowing water Ponded areas
Describe any stream features that provide evidence of unstable stream reaches (e.g. mid-channel bars,
downstream meander migration, chute cutoff formation, etc.):
AQUATIC BIOTA - Approved Success Criteria:
none listed
Is aquatic life present in the channel? Yes No
i
Description of taxa observed, incl. quantities of individuals and general distribution of biota. Include a brief
description of the sampling methodology.
List any remaining aquatic biota issues to address (e.g. erosion, discharges or toxicants, etc.):
I
_4 O
Ax c-'X'Dr
Version 1.0 (August 22, 2007) Page 1 of 2
Stream Mitigation Component Evaluations: Information Table
NC Division of Water Quality
VEGETATION - Approved Success Criteria: Dominant Plant Species
na Species Stour TPA/'/ cover

Monitoring report indicates success? Yes No
Average TPA for entire site (per report):
Observational field data agrees? Yes No
based on community composition? Yes No
based on TPA and/or % cover? Yes No
Vegetation planted on site? Yes No
Date of last planting:
Vegetation growing successfully? Yes No
General observations on condition of riparian/buffer areas (e.g. buffer width, overall health of vegetation,
etc.):
Specific vegetation plots or site locations with little to no vegetation:
Estimated acreage or site percentage of unvegetated areas:
Invasive species on site (species, location(s), and % cover):
List any remaining vegetation issues to address (e.g. plant survival, concerns, etc.):

MITIGATION SUCCESS:
Compared to the approved mitigation plan, this component is: successful partially successful unsuccessful
List specific reasons for lack of success for this component:
i
Additional comments (e.g. DWQ follow-up actions, recommendations, etc.):
i
- Use the definitions in the joint state/federal stream mitigation guidelines to determine the correct type of
mitigation used for this component.
During site visit, document representative conditions and areas of concern. Observe preservation and
enhancement areas that may not have specific success criteria. Label and attach photos to this report.
Attach maps showing photo locations, problem areas, and/or important stream features.
Additional notes related to evaluation of this component:
Version 1.0 (August 22, 2007) Page 2 of 2
1 "CQ 9 (2Cl 1 '1
Adult Care Homes / Homes for the Aged
Licensed by the State of North Carolina
Department of Health and Human Services - Division of Health Service Regulation
(Number in parenthesis indicates the maximum number of residents for which the home is licensed)
As of 07/2009
The Oliver House (100)
Oliver House, LLC
PO Box 2568; Hickory, NC 28603
[phone] Fax: [phone] HAL-092-086
Star Rating Certificate # of Stars: 3
Wake Assisted Living (60)
Wake Assisted Living, LLC
2800 Kidd Road; Raleigh, NC 27610
[phone] Fax: [phone] HAL-092-144
Wake Forest Care Center, Inc. (80)
Wake Forest Care Center, Inc.
306 S. Allen St.; Wake Forest, NC 27587
[phone] Fax: [phone] HAL-092-020
Star Rating Certificate # of Stars: I
Woodland Terrace (84)
Blue Fin Enterprises, LLC DBA Woodland Terrace
300 Kildaire Woods Drive; Cary, NC 27511
[phone] Fax: [phone] HAL-092-103
Star Rating Certificate # of Stars: 3
Zebulon House (60)
ZHI, LLC
PO Box 2568; Hickory, NC 28603
[phone] Fax: [phone] HAL-092-143
Star Rating Certificate # of Stars: 3
WARREN
Boyd's Rest Home #2 (10)
Anne B. Crawford and Alfatir Crawford
295 Carrolltown Road; Macon, NC 27551
[phone] Fax: [phone] HAL-093-001
Floyd B. McKissick Sr. Assisted Living Center (40)
Lea's Assisted Living # 1, Inc.
962 Manson Axtell Road; Norlina, NC 27563
[phone] Fax: [phone] HAL-093-009
Star Rating Certificate # of Stars: 0
Magnolia Gardens of Warrenton (86)
Magnolia Gardens, Inc.
P.O. Box 2042; Roanoke Rapids, NC 27870
[phone] Fax: [phone] HAL-093-005
WASHINGTON
Cypress Manor (40)
Beacon Arms, Inc.
PO Box 340; Roper,
[phone] Fax:
WATAUGA
NC 27970
[phone] HAL-094-005
,?ield Ridge Assisted Living (96) `
eerfield Ridge Assisted Living Assisted Livng
287 BAMBOO ROAD; Boone, NC 28607
[phone] Fax: [phone] HAL- 5-008
Star Rating Certificate # of Stars: 3 ?./
ountam are Facilitie0)
Mr. a . u . Gragg
P.O. Box 1040; Boone, NC 28607
[phone] Fax: [phone] HAL-095-002
WAYNE
Britthaven of LaGrange (37)
Hillco, Ltd
PO Box 428; LaGrange, NC 28551
[phone] Fax: [phone] HAL-096-001
Countryside Living, Inc. (40)
Countryside Living, Inc
PO Box 335; Pikeville, NC 27863
[phone] Fax: [phone] HAL-096-018
Fremont Rest Center (50)
Fremont Rest Center
P.O. Box 548; Fremont, NC 27830
[phone] Fax: [phone]. HAL-096-024
Glen Care Of Mt. Olive (104)
Kornegay Healthcare, Inc.
P.O. Box 339; Kenansville, NC 28349
[phone] Fax: [phone] HAL-096-028
Star Rating Certificate # of Stars: 3
Goldsboro Assisted Living & Alzheimer's Care (56)
Goldsboro Assisted Living, LLC d/b/a Goldsboro Assisted
2201 Royale Ave; Goldsboro, NC 27534
[phone] Fax: [phone] HAL-096-031
Renu Life Extended, Inc. (37)
Renu Life Extended, Inc
PO Box 1017; Goldsboro, NC 27533
[phone] Fax: [phone] HAL-096-022
Somerset Court of Goldsboro (60)
Diversified Senior Services/Salem Senior Housing Inc.
1105 Brookstone Ave; Winston-Salem, NC 27101
[phone] Fax: [phone] HAL-096-019
Sterling House of Goldsboro (60)
Brookdale Senior Living Communities, Inc.
1800 N. Berkley Blvd.; Goldsboro, NC 27534
[phone] Fax: [phone] HAL-096-014
31
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Hill, Tammy
From: Hill, Tammy
Sent: Friday, July 10, 2009 6:26 PM
To: '[e-mail]'
Subject: mitigation project for Kerner Ridge Development
Good afternoon, Mr. Vilas.
As part of an EPA-funded study of wetland and stream mitigation in NC, I will be inspecting the project at the assisted
living center on Bamboo Road in Boone on July 24, 2009. Based on the age of the project, it appears likely that you are
no longer under contract to perform monitoring. However, if you would like to join us for the site visit, you are welcome
and your input on the site would be valuable. If you are interested, please contact me to arrange a time to meet on the
24th (or later afternoon on the 23rd if that is more convenient for you).
I will inform the assisted living center that I will be there on the 24th. I am having difficulty locating contact information
for Mr. Jeff Dickerson or Kerner Ridge Development. If you have any information on the current property owner who
may have knowledge regarding the mitigation area, I would appreciate it.
Please note that you are not at all required to attend the site visit; this is simply an invitation because our files indicate
that you have had the most experience with the project over time.
Have a great weekend.
Warm regards,
Tammy L. Hill
Environmental Senior Specialist
NC Division of Water Quality (401/Wetlands)
2321 Crabtree Blvd., Suite 250
Raleigh, NC 27604
919-715-9052
[e-mail]
**Please note that my email address has changed!**
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.