20140644 Ver 1_401 Application_20140614

fhZEN AND SAWYER
Environmental Engineers & Scientists
To: NC DWR
401 & Buffer Permitting Unit
Address: 512 North Salisbury Street, 91' Floor
Raleiqh, NC 27604
Attention: Karen Higgins 919 - 807 -6360
We Are Sending You: 0 Herewith ❑ Under Separate Cover
• Reports ❑ Tracings ❑ Prints
• Shop Drawings ❑ Specifications
• Samples ❑ Contracts ❑ Other
Hazen and Sawyer, P.C.
4944 Parkway Plaza Blvd., Suite 375
Charlotte, NC 28217
704 - 357 -3150
Fax: [phone]
Date: June 24, 2014
Job: Permit Application Documents
Rays Fork Interceptor
(Job No. 30831 -033)
Sent By: ❑ Blue Printer ❑ Hold for Pickup
❑ Messenger ❑ Mail
H UPS ❑ Federal Express
Date
Sets /Copies
Documents
6/2014
4
PCN Report
6/2014
2
Full Size Set of Plans
6/2014
2
11x17 Set of Plans
6/2014
1
CD w/ PDF of Signed Full Size Plans
6/2014
1
Check $240.00
Remarks:
Transmitted:
• At Your Request
• For Your Information
• For Your Comments
E■ For Your Approval
• For Distribution
• For Correction
• Furnish as Submitted
• Furnish as Corrected
• Revise and Resubmit
Copies to:
Very truly yours
Hazen and Sawyer, P.C.
File: 30831 -033 By:
Je Green

Hazen and.Sawyer, P'C
June 12, 2014
NC DWR
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, 'NC 276994650
Re Pre - Construction Notification, Rays Fork Interceptor, Union County Public•Works
Department, Union County, North Carolina
Sir /Madam,
Please find attached the Pre - Construction Notification' (PCN) Application ,for the above
referenced project The Union County Public Works Department is proposing to install
approximately 14,300 feet of gravity sewer from the Trellis Pump Station to an existing
interceptor located on Monroe- Ansonville Road The transmission line, will collect flows from
Union County's Agricultural Center, Jail Facility, and Animal Shelter and flow via gravity
northward generally following Rays Fork Sewage will ultimately be conveyed to the'Monroe
Wastewater Treatment Plant for treatment via the existing East Side Pump Station
Construction of the new interceptor will allow °three (3), existing pump stations to be
decommissioned and demolished
In order to accommodate installation of'the proposed transmission line, open cut installation
techniques will be necessary; which will result in temporary and permanent impacts`to several
jurisdictional streams and temporary impacts to one jurisdictional wetland Permanent impacts
to jurisdictional streams will occur in association with hardscape placed in four streams, as
required for-maintenance,and emergency access to the pipe
Impacts associated with the proposed activities are 0 2 acre of temporary impacts to
jurisdictional wetlands, 493 feet of temporary impacts to jurisdictional Section 404 streams, and
57 feet of permanent impact to, jurisdictional Section 404 streams If you have,any questions or
require additional information, please contact me at 919 863 9256 Thank you for your
assistance
Sincerely,
HAZEN AND SAWYER, P.C.
Linda Diebolt
Senior Principal Scientist
Attachments
New York, NY • Armonk, NY • Woodbury, NY • Detroit, MI • Raleigh, NC • Charlotte, NC • Atlanta, GA • Fairfax, VA • Hollywood, FL • Boca Raton, FL • Fort Pierce, FL • Sarasota, FL • Miami, FL • Philadelphia, PA
4011 se Blvd
W,
MM MD SOM
Raleigh, NC 27607
Raleigh, NC 2
Environmental Engineers & Scientists
919- 833 -7152
Fax- 919 -833 -1828
June 12, 2014
NC DWR
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, 'NC 276994650
Re Pre - Construction Notification, Rays Fork Interceptor, Union County Public•Works
Department, Union County, North Carolina
Sir /Madam,
Please find attached the Pre - Construction Notification' (PCN) Application ,for the above
referenced project The Union County Public Works Department is proposing to install
approximately 14,300 feet of gravity sewer from the Trellis Pump Station to an existing
interceptor located on Monroe- Ansonville Road The transmission line, will collect flows from
Union County's Agricultural Center, Jail Facility, and Animal Shelter and flow via gravity
northward generally following Rays Fork Sewage will ultimately be conveyed to the'Monroe
Wastewater Treatment Plant for treatment via the existing East Side Pump Station
Construction of the new interceptor will allow °three (3), existing pump stations to be
decommissioned and demolished
In order to accommodate installation of'the proposed transmission line, open cut installation
techniques will be necessary; which will result in temporary and permanent impacts`to several
jurisdictional streams and temporary impacts to one jurisdictional wetland Permanent impacts
to jurisdictional streams will occur in association with hardscape placed in four streams, as
required for-maintenance,and emergency access to the pipe
Impacts associated with the proposed activities are 0 2 acre of temporary impacts to
jurisdictional wetlands, 493 feet of temporary impacts to jurisdictional Section 404 streams, and
57 feet of permanent impact to, jurisdictional Section 404 streams If you have,any questions or
require additional information, please contact me at 919 863 9256 Thank you for your
assistance
Sincerely,
HAZEN AND SAWYER, P.C.
Linda Diebolt
Senior Principal Scientist
Attachments
New York, NY • Armonk, NY • Woodbury, NY • Detroit, MI • Raleigh, NC • Charlotte, NC • Atlanta, GA • Fairfax, VA • Hollywood, FL • Boca Raton, FL • Fort Pierce, FL • Sarasota, FL • Miami, FL • Philadelphia, PA

=0140644
OF W A TE9
Office Use Only:
r " Corps action ID no.
o < DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the Corps:
Q Section 404 Permit ❑ Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps? __T_E]
Yes 0 No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
0 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes x❑ No
For the record only for Corps Permit:
❑ Yes X❑ No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes 0 No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes Q No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑ No
2.
Project Information
2a.
Name of project:
Rays Fork Interceptor
2b.
County:
Union
2c.
Nearest municipality / town:
Monroe
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state project no:
op
3.
Owner Information
099MM
[Ain)
3a.
Name(s) on Recorded Deed:
UU r
3b.
Deed Book and Page No.
JUN 2 5 2014
3c.
Responsible Party (for LLC if
applicable):
0 NR - WA QUALITY
3d.
Street address:
ranch
3e.
City, state, zip:
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a_
Applicant is
❑ Agent ❑x Other, specify Municipality
4b
Name
Mike Garbark, PE, CIP Program Manager
4c
Business name
(if applicable)
Uniorn County Public Works Department
4d
Street address-
500 North Main Street, Suite 500
4e
City, state, zip
Monroe, NC 27112
4f
Telephone no
704' 2964211
4g
Fax'no
704 296 4232
4h
Email address-
MarkGarbark @co union nc us
5.
Agent/Consultant Information (if, applicable)
5a
Name
Linda Diebolt, Sr Principal Scientist
5b
Business name
(if applicable)
Hazen and Sawyer
5c
Street address
4011 WestChase Boulevard, Suite 500
5d
City, state,, zip
Raleigh, NC 27607
5e
Telephone no
919 863 9256
5f
Fax no
919 833 1828
5g
Email address
Id iebolt@hazenand sawyer corn
Page 2 of 10

B.
Project Information and Pirior'Project History
1.
Property Identification
1a
Property identification no (tax PIN or parcel ID)
lb, Site coordinates (in decimal degrees)
Latitude- 34 986473 Longitude -86 472336
1c
Property size
123 acres
2.
Surface Waters
2a
Name of nearest body of water4o proposed project
Rays Fork
2b
Water Quality Classification of nearest receiving water
C
2c
River basin
Yadkin
3.
Project'Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at -the time of this
application
The project corridor is mainly located in undeveloped, forested, upland areas A portion of the project corridor is located in a farm field and several
portions of theprolect,areas are located in improved and /or maintained areas associated with roadways and road easements, railroad tracks and
railroad easement, and developed, maintained'land The project is located in a, rural area, comprised of undeveloped forested areas, farmland,
industrial/commercial businesses rural residential and municipal facilities
36
List the total estimated acreage of all existing wetlands on the property 0 2
3c
List,the total estimated linear feet of all existing streams (intermittent and perennial) on the property 600
3d Explain the purpose of the proposed project
See Attachment
3e Describe the overall project in detail, including`the,type of equipment to be used
See Attachment
4.
Jurisdictional Determinations
4a
Have jurisdictional wetland or stream determinations,by the
Corps or State;been requested or obtained for this property /
project (including all prior phases) in the past?
❑IYes ❑z No ❑ Unknown
Comments
4b
If the Corps made,the jurisdictional determination, what type
of determination was made?
❑ Preliminary ❑ Final
4c
If yes, who delineated the jurisdictional areas?
Name (if known)
Agency /Consultant Company
Other
4d
If,yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5.
Project History
5a
Have permits or certifications been requested or,obtained for
this project (including all prior phases) in the past?
El Yes ❑x No ❑ Unknown
5b
If yes, explain in detail according to "help file' instructions
6.
Future Project Plans
6a
Is this a phased project?
❑ Yes ❑x No
6b
If yes, explain
Page 3 of 10
PCN Form — Version 1 4 January 2009

C. Proposed Impacts Inventory
'1. Impacts Summary
la Which sections were completed below for your project (check all that apply)
❑,r Wetlands El Streams — tributaries ❑ Buffers ,❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted
2a
Wetland impact
number
Permanent (P) or
Tem ora
2b
Type of impact
2c
Type of wetland
2d
Forested
2e
Type of'junsdiction
Corps (404,10) or
DWQ (401, other)
2f
Area of
impact,
(acres)
W1 T
Excavation
Hardwood Flat
Yes
Corps
02
W2
W3
W4
W5
W6
2g Total Wetland Impacts:
02
2h Comments
Wetland Site W,1 is depicted on Figure 36
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary" impacts) proposed on the site, then complete this
question for all stream sites impacted
3a
'Stream impact
number
Permanent (P) or
Temporary (T)
3b
Type of impact
3c
Stream name
3d
Perennial (PER) or
intermittent (INT)i
3e
Type�of
jurisdiction
3f
Average
stream
width
(feet)
3g_
Impact
length
(linear
feet)
S1
S2
S3
S4
S5
S6
3h Total stream and tributary impacts
31 Comments
See attached table for stream impacts The project includes 493 feet of temporary stream impact and 57 feet of permanent stream impact The
permanent stream impacts are associated with vehicular crossings, which are necessary for maintenance and emergency access to the pipe comdor
Page 4 of 10
PCN Form — Version 14 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U -S then indiv ually list all open water impacts below
4a
Open water
impact number
Permanent (P) or
Temporary
4b
Name of waterbody
(if applicable)
4c
Type,of impact
4d
Waterbody
type
4e
Area of impact (acres)
01
02
03
04
4f Total open water impacts
4g Comments i
5. Pond or Lake Construction
If, and or lake construction proposed, the complete the chart below
5a
Pond ID number
5b
Proposed use or
purpose of pond
5c
Wetland Impacts•(acres)
5d-
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
P2
5f Total:
5g- Comments
5h Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no -
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method ofconstruction
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below If yes, then individually list all buffer impacts
below If any impacts require mitigation, then you MUST fill out Section D of this form
6a. Projectus in which protected basing
❑ Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other
6b
Buffer Impact
number—
Permanent (P) or
Temporary ora
6c
Reason for impact
6d
Stream name
6e
Buffer
mitigation
required?
6f
Zone 1
impact
(square
feet )
6g
Zone 2
impact
(square
feet
131
B2
B3
B4.
B5 '
B6
6h Total Buffer Impacts:
61 Comments
Page 5 of 10

D.
Impact Justification and Mitigation
1.
Avoidance•and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
See Attachment
lb Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
See Attachment
2.
Compensatory Mitigation for'Im acts to Waters of the U.S. or Waters of the State
2a
Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State?
❑ Yes ❑x No
2b
If yes, mitigation is required by (check'all that apply)
❑ DWQ ❑ Corps
2c
If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
El Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3.
Comp lete'if Using a Mitigation Bank
3a
Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Type
Type
Quantity
Quantity
Quantity -
3c
Comments
4.
Complete if Makin ,a Payment to In -lieu Fee Program
4a Approval letter from in -lieu fee program is attached
❑ Yes
4b
Stream mitigation requested
linear,feet
4c
If using stream mitigation, stream temperature
4d
Buffer mitigation requested (DWQ only)
square feet
4e
Riparian wetland mitigation requested
acres
4f
Non - riparian wetland mitigation requested
acres
4g
Coastal (tidal) wetland mitigation requested
acres
4h Comments
5.
Complete if Using a Permittee Responsible Mitigation Plan
5a
If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
l
Page 6 of 10
PCN Form — Version 14 January 2009

6. Buffer Mitigation (State Regulated Riparian Buff _ er'Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer'that requires
buffer mitigation?
❑ Yes ❑x No
6b If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required:
6g If buffer mitigation is required, discuss what type of mitigation is proposed (e g , payment to private mitigation bank,
peftittee responsible riparian bufferrrestoration, payment mto,an approved in -lieu fee fund)
6h Comments
Page 7 of 10

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1a
Does the project include or,is it adjacent to protected riparian buffers Identified
❑ Yes ❑x No
within one of,the NC Riparian Buffer Protection Rules?
lb
If yes, then Is a diffuse flow plan Included? If no, explain why
❑ Yes ❑ No
2.
Stormwater Management Plan
2a
What Is the overall percent Imperviousness of this protect?
05%
2b
Does this ro ect're uire,a Stormwater Management Plan?
❑ Yes ❑,c No
2c
If this project DOES, NOT require a Stormwater Management Plan, explain why
The project will not result in an increase in impervious surface, therefore, a stormwater management '-plan will notbe, required for the project
2d
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan
2e
Who will be responsible for the review of the,Stormwater Management Plan
,,3.
Certified Local Government Stormwater Review
3a
In which local government's jurisdiction is this project?
❑ Phase II
❑ NSW
3b
Which of the following locally - Implemented stormwater management programs
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c
Has the approved, Stormwater Management Plan with proof of approval been
❑Yes ❑ No
attached?
4.
DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a
Which of the following state - implemented stormwater management,programs apply
❑ORW
(check all that apply)
❑Session Law 2006 -246
❑Other
4b
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached
5.
DWQ 401 Unit�Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b
Have-all of the 401 Unit submittal requirements been mete
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1 4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1a
Does the project involve an expenditure of public (federal /state /local) funds or the
❑x Yes ❑ No
use of pubha(federal /state) land?
1b
'Ifyou answered "yes" to the'above, doe&'the project.require preparation of'an
environmental document pursuant to the requirements of the-,National or State
El Yes ❑z No
(North Carolina) `Envi ronmental Policy Act (NEPA/SEPA)?
1c
If you answered 'yes" to the,above, has the document review been finalized by the
State,Cleanng House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ❑ No
letter)
Comments
2.
Violations (DWQ Requirement)
2a
Is'the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
❑Yes ❑x No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after - the -fact permit application?
❑Yes ❑x No
2c
If you answered `yes" to one or both ofthe above questions, provide an explanation of the violation(s)
3.
Cumulative Impacts (DWQ Requirement)
3a
Will this project (based on past and reasonably anticipated future impacts) result in
El Yes ® No
additional development, which could impact nearby downstream water quality?
3b
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance,with the
most recent DWQ policy If you answered "no," provide a short narrative description
The project will provide gravity sewer - service to existing municipal facilities and will not promote growth or development in the project area or region
4.
Sewage Disposal (DWQ Requirement)
4a
Clearly detail the ultimate treatment methods,and disposition (non - discharge or discharge) of, wastewater`generated from
No
the proposed project,;, or available capacity,of the subject facility
sewage will be °generated' from tHe'proposed protect The protecf entails installation of °a gravity transmission line that will, transport, sewage from
three existing municipal facilities to an existing interceptor
Page 9 of 10
PCN Form — Version 1 4 January 2009

5. Endangered - Species, and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected,species,or
❑ Yes [F] No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes Q No
impacts?
5c If yes, indicate the USFWS Field Office you have contacted
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Review of Natural Heritage Program data relative to known occurrences and populations of listed species was performed
via NC CGIA data -and at,the Natural Heritage Program office in Raleigh Additionally, field surveys were performed
6. Essential Fish Habitat (Corps Requirement)
6a Will this project occur in,or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data�sources,did you use to determine whether your, site would impact Essential Fish Habitat?
Review of Essential Fish,Habltat designations was performed on-line via the National Oceanic and Atmospheric Administration, National Manne
Fisheries Service's Essential Fish Habitat Mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
Yes Q No
status (e g , Nationat Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
Review was performed of listed historical and archeology'sdes,a't the State Historic Preservation Office
8. Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA- designated `!Myear,floodplain?
® Yes ❑,No
8b If yes, explain how project meets FEMA requirements
Upon completion of pipe installation, the protect corridor will'be returned to its previous,grade, therefore, no decrease in floodplam capacity will occur
from the proposed protect
8c What source(s) did you use to make the floodplain determination?
Union County'GIS floodplam data
WINO_
(w _`n —`b,
7blardc Garbark
X11
Appllcant/Agent's'Printed Name
Date
Applicant/Agent's Signature
(AgenPs signature is,valid only -if an authorization
letter from, the,a licant is provided
Page 10 of 10

ADDITIONAL INFORMATION
Rays Fork Interceptor
A.M. Explain the purpose of the proposed project-
The project extends from the Trellis Pump Station north to the East'Side Pump Station. The purpose of
the project is to provide gravity sewer to,the County's Agricultural Center, Jail Facility and Animal Shelter
and to allow for the decommissioning and demolition of the,Trelhs, Animal Shelter, and Agricultural
Center Pump Stations and their associated force mains.
B 3e Describe the, overall project in detail, including °the type,of equipmentto be used.
The project consists of installation of 14,300 feet of gravity sewer line from the Trellis Pump Station to
an existing interceptor located on Monroe- Ansonville Road The,transmission line will collect flows from
Union County's Agricultural Center, Jail Facility, and Animal'Shelter and`flow,via gravity northward
generally following Rays Fork The new interceptor will consist of approximately 2,820 feet of 8 -inch
,diameter, 1,963 feet of 12 -inch diameter, and 10,057 feet of 15 -inch diameter sewer that will be mainly
installed using open,cut techniques due the extensive and shallow rock,located within the proposed
pipeline corridor The proposed interceptor alignment will require a bore under US Highway 74 and
under a CSX railroad. easement. Sewage will ultimately be conveyed to the Monroe Wastewater
Treatment Plant for treatment'via the existing, East Side Pump Station Construction of the new
interceptor will allow three (3) existing pump stations to be decommissioned and demolished
Equipment,anticipated to be used during installation of the gravity sewer line are anticipated to include
backhoes, front -end loaders, bulldozers, dump trucks, compaction rollers, flatbed haul trucks, and a hack
and bore guided auger machine
D.1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing
project
Avoidance of all impacts is possible with a no -build alternative The no -build alternative does not meet
the need of the project. Prior to and during design of the project, wetland and stream determinations
Were performed to assess the presence of jurisdictional wetlands and streams within the proposed pipe
corridor. As many'components -of the project as is feasible have been sited away from jurisdictional
areas The pipe has been sited to avoid jurisdictional wetlands to the extent feasible and to minimize
impacts to streams and riparian areas.
The installation corridor for the proposed transmission line has been narrowed to the extent feasible
within and immediately adjacent to jurisdictional areas Additionally, during project design the
manholes were spaces to be outside of and not immediately adjacent to jurisdictional areas. The
transmission line within the jurisdictional wetland area will include anti -seep collars placed immediately
downgradient of and within the wetland, and be spaced a maximum of 150 feet apart Several options
relative to access roads were assessed and the options chosen were those that provide access to the

A;1
transmission line corridor without impact or -with minimal impact to jurisdictional resources. One
stream crossing.(S3) associated with vehicular access for maintenance and emergency purposes utilizes
an existing ford; thereby, avoiding an additional stream impact
D.1b Specifically describe measures taken to avoid or minimize the proposed impacts through
construction'techniques
Construction of the transmission line will require traversing streams and a jurisdictional wetland. Due to
the narrow corridor present between Rays Fork and an adjacent steep slope, the pipe will traverse one
jurisdictional wetland area The wetland area was,formed during construction of the Union County
Sheriffs Department and Jail Facility as a temporary stormwater- detention area. Upon completion of
construction of the Sheriff's facility; the stormwater feature was not removed and is presently a
jurisdictional wetland area During,installation of the transmission line within the jurisdictional wetland
area, excavated materials will be temporarily side cast within the cleared construction corridor Upon
completion of the pipe installation, wetland areas impacted during construction activities will be
returned to original grade and seeded within 30 days of completion of construction Wetlands
temporarily impacted by activities within the construction cor<ridor,will be,allowed to naturally
revegetate.
Impacts to streams during construction will be limited to the extent feasible by performing as much
work as is possible,from upland areas along the banks of the streams. All'streams will' be crossed within
15 degrees of perpendicular. Installation of the transmission line across streams will be via open cut
with coffer dams being installed upstream and downstream of the area of construction and the stream
flow being;pumped around the area of construction Due to the amount and depth,of bedrock within
the project corridor, it has been determined that alternate, non - trench methods of transmission line
installation are not feasible. The portions ofthe transmission line located under jurisdictional streams
will be a minimum of 24 inches below the existing streambed
With the exception of four stream crossings (Stream Sites S4, S6, S7, and S -9), streamslemporarily
impacted during construction will be returned to their original configuration, the stream banks will be
stabilized using material such as Jute matting Installation of the pipe across streams that result'in only
temporary impacts do not include,the placement of,permanent structures below Ordinary High Water
Closed cell shoreblock will be placed within the streambed of three streams (Stream Sites S4, S6, and S9)
to allow for vehicular access to the pipe,corridor for maintenance and emergency purposes. A culvert
will be placed within the streambed of one stream (S7) to.allow vehicular crossing of the stream for
maintenance and emergency access to the transmission line The impacted areas will be as narrow as
feasible. Photographs of most of the stream crossing sites is attached
To avoid unnecessary permanent stream impacts associated with maintenance and emergency access to
the transmission line, access roads will be installed from existing roadways to the pipe corridor.
Permanent impacts to wetland or streams will not occur in association with these access roads Best
management practices, and sedimentation and erosion control methods will be °used during all
construction activities. No equipment refueling or maintenance,activities will occur adjacent to the
jurisdictional areas

r,
3. Stream Impacts
If there are,perennial or intermittent stream impacts proposed (including temporary impacts) proposed on the site,then complete this question
' Figure this question for all stream sties impacted
No 3a 3b. 3c 3d. 3e. 3f 3g
Stream impact Type of impact Stream name Perennial (PER)or Type of Average Impact
number interrttent(INT)? jurisdiction stream length
Permanent(P)or width (feet) (linear feet)
Temporary(T)
3A S1 T Excavation Rays Fork PER Corps 25 50
3B S2, T Excavation Rays Fork PER Corps 22 50
3C S4 T Excavation _ Rays Fork PER Corps 15 36 -
3C S4 P Crossing Rays Fork PER Corps 15 14
3D S5 T Excavation Rays Fork PER Corps 18 50
3E S6 T Excavation Rays Fork PER Corps 34 36
3E S6 P Crossing Rays Fork PER Corps 34 14
3E S7 T Excavation UT to Rays Fork INT Corps 7 35
3E S7 P Culvert UT to Rays Fork INT Corps 7 15
3F S8 T Excavation Rays Fork PER Corps 2'6 50
3G S,9 T Excavation Rays Fork PER Corps 19 36
3G S9 ,P Crossing Rays Fork_- PER Corps 19 14
3F S10 T Excavation Rays Fork PER Corps 30 50
3F S11 T Excavation UT to Rays Fork - PER Corps 14 - 5,0
3H S12 T Excavation Rays Fork PER Corps 23 50
3h.Total stream and tributa m acts: T = 493
�i P P = 57

R UP,:
SATZ46-t
Legend
Proposed Rays Fork Interceptor
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1:
WETLAND DETERMINATION DATA FORM - Eastern,Mountains and Piedmont Region
1=
Project/Site City/County �./� il�� I , Sampling Date? x
Applicant/Owner. 1 !' State Sampling Point.
Investigator(s) -1 Section, Township, Range
Landform (hillslope, rrace, etc) Local relief (concave, convex,hnone):, Slope( %).
Subregion (LRR or MLRA) Lat- Long Datum: -
Soil Map Unit Name. NWI classification
Are climatic / hydrologic conditions on'the site typicaLfor this bmeof year? Yes X No (If no, explain,m Remarks)
Are Vegetation ­Soil—, or!Hydrology significantly disturbed? Are "Norrrial`Circumstances" present? Yes- X No
Are Vegetation . Sod or Hydrology naturally problematic? (If needed, explain any answers in Remarks)
lu1VlMAKY Ur rINLAIVCiS,�— Attacn site map, snowing sampling point locations, tr;ansects, important features, etc
Hydrophytic Vegetation Present? Yes No
Isthe Sampled Area
Hyd6c Soil Presents Yes No v within a Wetland? Yes No ✓
Wetland Hydrology Present? Yes No�
Remarks
HYDROLOGY
'Wetland Hydrology Indicators-
Secondary Indicators (minimurr+of two required)
Pnmary Indicators 1pinimum of one is required
check all that apply) _
Surface Soil Cracks (B6)
= Surface Water (Al)
_ True,Aquauc Plants (814) _
Sparsely Vegetated Concave Surface (68)
_ High Water Table,(A2)
` Hydrogen Sulfide Odor (01) —
Drainage Patterns (B10)
_ Saturation-03)
` Oxidized Rhizospheres oniL`iving Roots (C3) _
Moss Trim'Lfnes (1316)
_ Water Marks (131)
_ Presenceof Reduced Iron (C4) _
Dry- Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilted Sods (C6) _
Crayfish Burrows (C8)
= Drift Deposits (B3)
_ Thm Muck Surface (C7) _
Saturation Vis&e`on Aerial Imagery (C9)
Algal Mat or Crust (84)
_ 'Other (Ezplaiwin Remarks) _
Stunted'or Stressed Plants (D1)
— Iron Deposits'(B5)
_
Geomorphic Position (D2)
Inundation Visible on Aerial Imagery
(137) _
Shallow Aquitard (D3)
_ Water - Stained Leaves (69)
_
Microtopographic Relief (D4)
Aquatic "Fauna (1313)
_
FAC- Neutral Test (D5)
Fiefd`Observations•
/
Surface Water Present? Yes
No Depth (inches).
Water TablePresent? Yes
No Depth (inches)
Saturation Present? Yes
No Depth (inches)
Welland Hydrology Present? Yes No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous mspections),'if available
Remarks -
US Army Corps of Engineers
Eastern Mountains and,Pfedmont - Version Z0

VEGETATION'(Fout Strata) — Use scientific names of plants.
1
2
3
4
5
6.
7
8.
Sampling Point _W
Absolute Dominant Indicator Dominance Test worksheet:
(Plot size_) % Cover S ies? Status Number of Dominant Species
7 ± hZn6 ";A c (S Y'. FA i/ That Are OBL „FACW, or FAC i(A)
rf4k: j Total,Number of Dominant
_ r-.Gr _ Species Across All Strata (B)
'cg4.jS � tt &C �� Percent of Dominant Species (�
—�- ThatAmOBL, FACW, or FAC: l (A/B)
l = Total, Cover
Sagllng /Shrub Stratum (Plot size: '0_1 - `
3 0-s Uv_
4E
5
6
7
8
9.
10
Total Cover
Herb ,Stratum {Plot size i (] )
Lr-,,\uj e., -, 0 TAC,
2 K? L. d
3
4
5.
6,
7,
8
9,
10
11
12
Prevalence Index worksheet:
Total % Cover of Multiply by-
OBL species 'O x i =
0
FACW species x2=
y
FAG species ) (�•— x 3 =
-3,5
FACUtspecies x4=
1 Z
UPL species U` x15 =
�%
Column Totals: _� _3 (A)
(B)
2��
Prevalence Index = B/A,= 3_ - c 3
1 - Rapid`Test for Hydmphytic Vegetation
— 2 - Dominance Test is >50%
1- Prevalence Index is s3 0'
— 4 - Morphological,Adaptailons' (Provide supporting
data m'Remarks or on a separate sheet)
_ Problematic Hydrophytic,Vegetation' (Explain)
lindicators,of,hydnc soilPand Wetland hydrology must
be present, unless disturbed or problematic
Definitions of Four Veaetatiorf Strata:
Tree -Woody plants, excluding vines,; 3'm (7 6 cm) or
more in diameter at breast height (DBH), regardless of
height
SaplinglShrub - Woody plants, excluding vines, less
than 3 in DSH,and greater than 3,28 ft,(1 m) tall.
Herb -.AII hierbaceous (nort- woody) plants,,,regardless
of size, and woody plants less than 3 28 ft tall
=Total Cover Woody vine - All woody vmes,greater than 3.28A in
t () '
Woody Vine Stratum (Plotsfze ) height-.
2
3.
4
5
6
US Army Corps ofEngineers
oron a
10 = Total Cover
Hydrophytic
Vegetation
Present?
Yes No ✓
Eastern Mountains and Piedmont - Interim Version

Y
SOIL Sampling Point:
Profile Description: (Describe;to the +depth needed,to document the indicator or confirm the,absence of indicators.)
'Depth Matrix Redox Features
(inches) Color (moist) % Color moist % ewe L�oc � Texture Remarks
IU 5 -0— (Y) A Hl�rn
'Type C= Concentration, D =De letion, RM= Reduce&MaUix MS-Masked Sand Grains, ZLocation PL =Pore Lining, M =Matrix
Hydric Sod Indicators:
Indicators for Problematic Hydric Sods':
T Histosol (Al)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedom(A2)
— Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast,Prarrie Redox (A16)
Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy,Gleyed Matrix (172)
--,_ Piedmont Floodplain Solis (F19)
Stratified Layers,(A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
2 cm Muck (A10) (LRR N)
— Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
_ Depleted Below Dark - Surface (A11)
_ Depleted Dark`Surface (F7)
_ Other (Explain in Remarks)
_ Thick Dark Surface (Al2)
_ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N,
_ Iron - Manganese Masses,(1712) (LRR,N,
MLRA 147, 148)
MLRA 136)
_ Sandy Gleyed'Matrix (S4)
_ Umbnc Surface (F13) (MLRA 136, 122)
3Indicators of hydrophytic vegetation and
_ Sandy Redox (S5)
_ Piedmont Floodplain Soils (1`19) (MLRA 148)
wetland hydrology must•be present,
_ Stripped Matrix (S6)
_ Red Parent Material {F21) (MLRA 127,_ 147)
unless disturbed or problematic
Restrictive Layer (if observed):
Type
Depth (inches)
Hydric Soil Present? Yes No t
US Army Corps of Engineers
Eastern Mountains and Piedmont - Version 2.0

Project/Site. t-
ApplicanVOwner
Invesngator(s)• L
WETLAND DETERMINATION DATA FORM — Eastem Mountains and Piedmont Region
Sampling Date e 0',Q', J-/;
State: — Sampling Point t I )!
Landform (hillslope, terrace„ etc) Local relief (concave, convex, none) Slope (%)
Subregion (LRR or MLRA) Lat Long - S6 . 4 % c9 3 4,o Datum (- 1
Sal Map Unit Name NWI classification
Are climatic hhydrologic conditions on the site typical for, is time,of year? Yes ✓_ No (If no, explain in Remarks )
Are Vegetation . Sod ,or Hydrolog) =significantly disturbed? Are "Normal Circumstances "present? Yes No Z_
Are Vegetation . Sod or Hydrology naturally problematic? (If needed, explain any answers In Remarks)
SUMMAWOF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic vegetation Present? Yes --------V����---- No Is the Sampled Area
Hydnc Soil Present? Yes � No within a Wetland? Yes `l No
Wetland Hydrology Present? Yes No
rJ (f j - t'� Y ?:t�'� G '~ z a�� �:,�! �'�l C� f It �k A
L
HYDROLOGY
Wetland Hydrology Indicators-
Secondary Indicators (minimum of two required) ,
Primary indicatorsdminimum,of one is required, check,all`that apply)
_ Surface Soil,Cracks (36)
Surface Water (Al)
7}iigh
_ True AquatiaPlants (B14)
_ Sparsely Vegetated Concave Surface (88)
Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Dramage,Pattems (B10)
✓Saturation (A3)
Water Marks
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
(131)
_ Presence of, Reduced Iron (C4)
_ Dry- Season Water Table (C2)
Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Sods (C6)
_ Crayfish Burrows (C8)
Drift Deposits,(83)
_ Thin Muck Surface (C7)
— Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (134)
^ Other (Explain in Remarks)
_ Stunted or Stressed, Plants, (D1)
Iron Deposits (85)
_ Geomorphic Position,(D2)
_ Inundation Visible on Aerial Imagery�(137)
_ Shallow Aquitard (133)
Water- Stained Leaves (139)
_ Microtopographic Relief (D4)
_ Aquatic Fauna (B13)
_ FAC- Neutral Test (D5)
Field Observations:
Surface'Water Present? Yes No
Depth (inches).
Water Table Present? Yes No
Depth (inches) I-") _
1�
/
Saturation Present? Yes No
Depth (inches)
Wetland
Hydrology Present? Yes V No
includes capillary fringe)
Describe Recorded Data,(stream gauge, monitoring well, aerial photos, previous inspections),9f available
Remarks
US Army Corps of Engineers Eastern,Mountains,and Piedmont - Version 2 0

VEGETATION (Five,Strata) - Use scientific names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size _ [) x 3 U ) ° Cover Species? Status
t __�
3 pn AJLA 102 1 C 4_ FEU
5
6
- - Total Cover
4 _
5 _
6 _
=Total Cover
50% of total cover 20% of total cover _
Herb Stratum (Plot size:
Sampling Point:U,l I
Dominance Test worksheet:
Number of Dominant Species tt
That Are OBir FACW, or FAC t (A)
Total Number of Dominant 2
Species Across Al Strata
Percent of Dominant, Species
That Are OBL, FACW, or FAC (A713)
Total %Cover of Mulaply by
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =_
FACU species x 4
UPL species C x 5 =
Column Totals (A) C:2C-_ (a)
Prevalence'lndex = B/A -
1 - Rapid Test for Hydrophytic Vegetation
Dominance Test is >50a /a
V 3 - Prevalence Index,'is :53 0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic,Hydrophyuc Vegetation' (Explain)
'Indicators of hydric sod and wetland hydrology must
be present, unless disturbed or problematic
Tree - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in
(J 6 cm) or larger, in diameter at breast- height,(DBH)
2 Sapling - Woody,plants, excluding woody vines,
3 approximately 20 ft (6 m) or more in height and less
4 than 3 in (7.6 cm) DBH
.5 Shrub - Woody plants, excludmg,woody vines,
approximately 3 to 20 ft,(1 to 6 m) in height
7, Herb - All herbaceous (non- woody),plants, including
ti herbaceous vines, regardless of size, and,woody
plants, except woody vines; less than a0proximately'3
9 ft (1 m) in height
10
11 Woody vine -All woody canes, regardless of height
= Total,Cover
50% of total cover 20% of total cover_ l
Woody Vine Stratum (Plot size
2
3
4
5 Hydrophytic
= Total Cover Vegetation
50 %,of total cover 20% of total cover Present? Yes No
Remarks- (Include,photo numbers,here or, on, a separate sheet')
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0
50% of total cover
20% of totai,cover
Sap9ng_Stratum
(Plot size- a o k Qo )
FA
1
2
��
3
--
5
6
_L = Total Cover
50%, of total cover
20% of total cover
Shrub,Stratum
,(Plot,size 60k9,0 )
1
2.
4 _
5 _
6 _
=Total Cover
50% of total cover 20% of total cover _
Herb Stratum (Plot size:
Sampling Point:U,l I
Dominance Test worksheet:
Number of Dominant Species tt
That Are OBir FACW, or FAC t (A)
Total Number of Dominant 2
Species Across Al Strata
Percent of Dominant, Species
That Are OBL, FACW, or FAC (A713)
Total %Cover of Mulaply by
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =_
FACU species x 4
UPL species C x 5 =
Column Totals (A) C:2C-_ (a)
Prevalence'lndex = B/A -
1 - Rapid Test for Hydrophytic Vegetation
Dominance Test is >50a /a
V 3 - Prevalence Index,'is :53 0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic,Hydrophyuc Vegetation' (Explain)
'Indicators of hydric sod and wetland hydrology must
be present, unless disturbed or problematic
Tree - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in
(J 6 cm) or larger, in diameter at breast- height,(DBH)
2 Sapling - Woody,plants, excluding woody vines,
3 approximately 20 ft (6 m) or more in height and less
4 than 3 in (7.6 cm) DBH
.5 Shrub - Woody plants, excludmg,woody vines,
approximately 3 to 20 ft,(1 to 6 m) in height
7, Herb - All herbaceous (non- woody),plants, including
ti herbaceous vines, regardless of size, and,woody
plants, except woody vines; less than a0proximately'3
9 ft (1 m) in height
10
11 Woody vine -All woody canes, regardless of height
= Total,Cover
50% of total cover 20% of total cover_ l
Woody Vine Stratum (Plot size
2
3
4
5 Hydrophytic
= Total Cover Vegetation
50 %,of total cover 20% of total cover Present? Yes No
Remarks- (Include,photo numbers,here or, on, a separate sheet')
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

F
SOIL Sampling Point: U_�L
Profile Description: ,(Describe to thedepth needed to document,the indicator or confirm the absence'of indicators.)
Depth Matnx Redox Features
- finches) � for moist % Color o % Tyke Loc Texture Remarks
D
RM= Reduced
Hydric�Soil,indicators
Indicators for Problematiciliydnc Soils3:
_ Histosol (Al)
_ Dark Surface (S7)
— 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox,(A16)
Black Histic (A3)
_ Thin Dark,Surface (S9) (MLRA 147;148)
(MLRA 147,148j
Hydrogen'Sulfide (A4)
Loamy Gleyed Matrix (172)
_ Piedmont Floodpiain Sods,(F19)
_ Stratified Layers (A5)
�Depleted'Matrix (F3)
(MLRA °136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark,Surface (F6)
_ Very Shallow Dark Surface (TF12)
_ Depleted Below Dark Surface (A71)
— Depleted,Dark Surface (F7)
_ Other (Explain,m Remarks)
Thick Dark Surface (Al2)
_ Redox Depressions (F8)
Sandy Mucky Mineral (S1) (LRR N,
_ Iron - Manganese Masses (F12) (LRR,N,
MLRA 147, 148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
_ Umbnc Surface (F13) (MLRA 136,122)
'Indicators of hydrophytic vegetation and
— Sandy Redox'(S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
_ Stnpped'Matrix (S6),
_ Redj Parent, Material (F21) (MLRA 127,147)
unless_ disturbed orproblematic
Restrictive Layer (if observed):
Type
Depth (inches)
Hydnc
Soil Present? Yes No
- A
US Army Corps of Engineers
Eastern Mountains and Piedmont – Version 2 0

Landowner Authorization Form
I, the undersigned, a duly authorized owner of record of the property identified below, do hereby
authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon
the property herein described fora period, not to exceed' 7 ',3 days from the date of this instrument,
the purposes of conducting,and /or approving the following action(s) associated with Waters of the U.S.
subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers
and Harbors Act of 1,899:
m'Jurisdictional determination and delineation ofthe boundaries of Waters of the U.S.
• Inspection and'investigation of potential unauthorized activity(s).
• Inspection and evaluation of the,property as,a potential stream and/or wetland mitigatiomproject.
❑ Other (specify)
I further authorize ` k of
{ insert 'name o agent/consultant) {insert,name of company)
to act and communicate on my behalf, and to take all necessary steps to facilitate the above referenced
actions to,be conducte&by representatives,of the,Wilmington District, U.S. Army Corps of Engineers.
Legal Description of Property:
County: -�,Ji C, NI Deed 93ook; _ Page 4:
Parcel ID Number: -
Owner of Record (please�print):
Parcel Street Address:
This authorization also specifically includes the right of ingress an&egress on other adjoiningIands
of the Owner not described above, provided such ingress and egress is necessary and,not otherwise
conveniently,available to the Corps.
I hereby certify the above information to be true and accurate to,the best,of my knowledge.
Owner's Signature
Owner's Signature Date
Owner(s) Address (if different from above):
Owner(s) Telephone Number:
Version 5.2013