20221135 Ver 2_401 Application_20230124

Staff Review Form
NORTH CAROLINA
Ertrlmnmertlrtl Quality
Updated September 4, 2020
Staff Review
Does this application have all the attachments needed to accept it into the review process?*
Yes No
ID# *
20221135
Version* 2
Is this project a public transportation project?*
Reviewer List: *
Select Reviewing Office: *
Yes
No
Sue Homewood:eads\slhomewood:[e-mail]
Winston-Salem Regional Office - [phone]
Does this project require a request for payment to be sent?*
Yes
No
How much is owed?* $240.00
$570.00

Project Submittal Form
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: *
For the Record Only (Courtesy Copy)
New Project
Modification/New Project with Existing ID
More Information Response
Other Agency Comments
Pre -Application Submittal
Re-Issuance\Renewal Request
Stream or Buffer Appeal
Pre -Filing Meeting Date Request was submitted on:
4/28/2022
Project Contact Information
Name:
Heather LaGamba
Who is submitting the information?
Email Address: [e-mail]
Project Information
Existing ID #:
20221135
20170001 (no dashes)
Project Name: TriWest Business Park
Is this a public transportation project?
Yes
No
Existing Version:
1
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
County (ies)
Davie
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
5917.3 Tri-West Bus Park_PCN
submittal_1.24.23.pdf
TriWest BC - Building 2_2022.12.21.pdf
TriWest Business Center Stormwater Report
2023.01.17.pdf
Only pdf or kmz files are accepted.
24.15MB
33.91 M B
6.63MB

Describe the attachments or
comments:
PCN Application
Stormwater Management Plan
Sign and Submit
By checking the box and signing box below, I certify that:
• I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief.
• I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
• I agree that submission of this online form is a "transaction" subject to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act");
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a
written signature; AND
• I intend to electronically sign and submit the online form.
Signature:
Submittal Date: 1/24/2023
Is filled in automatically.

Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- 2021- Begin Date (Date Received): 08.16.22
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: Tri West Business Park
2. Work Type: ❑✓ Private ❑ Institutional ❑ Government ❑ Commercial
3. Project Description / Purpose [PCN Form 133d and 133e]:
The site is being developed with the Tri-West Business Park.
4. Property Owner / Applicant [PCN Form A3 or A4]: Mocksville Development Partners
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
David Brame/Pilot Environmental, Inc.
6. Related Action ID Number(s) [PCN Form B5b]:
7. Project Location— Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
US Highway 158, Mocksville, Davie County, NC
36.134614 ° /-79.891898 °
8. Project Location— Tax Parcel ID [PCN Form Bla]: 5840855939
9. Project Location — County [PCN Form A2b]: Davie
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Mocksville
11. Project Information — Nearest Waterbody [PCN Form 132a]: Ceadr Creek
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form 132c]: Upper Yadkin/03040101
Authorization: Section 10 ❑ Section 404 ❑✓
Regulatory Action Type:
❑ Standard Permit
✓ Nationwide Permit #
Regional General Permit #
Jurisdictional Determination Request
Section 10 and 404 ❑
❑ Pre -Application Request
❑ Unauthorized Activity
❑ Compliance
❑ No Permit Required
Revised 20150602

P I LGT
P I L O T G E O L 0 G 1 C A L. P L L C
January 20, 2023
Ms. Sue Homewood
Division of Water Resources, Winston-Salem Regional Office
Department of Environmental Quality
Ms. Sam Dailey
U.S. Army Corps of Engineers
Wilmington District, Regulatory Division, Charlotte Field Office
Reference: PCN Application Revised Submittal
TriWest Business Park
US Highway 158
Mocksville, Davie County, North Carolina
DWR 401 Project #20221135/SAW-2020-01262
Pilot Project 5917.3
Dear Ms. Homewood/Ms. Dailey:
Pilot Environmental Inc. ("Pilot") has prepared this PCN application on behalf of Mocksville
Development Partners, LLC. The same project was previously reviewed by your offices and a
denial letter was issued on December 12, 2022. 1 have attached the denial for your reference.
The denial letter indicated that the following additional information would be required:
As requested in the Request for Additional Information dated October 3, 2022: In order to
ensure protection of downstream water quality, please provide a complete stormwater
management plan for review. Please ensure that it includes all appropriate supplemental
forms, O&M agreements, calculations, engineering drawings, etc., that complies with the
requirements of the State Stormwater Program. The Stormwater Design Manual and
applicable forms may be found on the DEMLR's website at
https.Ildeq.nc.govlabout/divisions/energy-mineral-land-resourceslenergymineral-land-
permit-guidance/stormwater-bmp-manual.
A Stormwater Management Design Report, dated January 17, 2023, has been prepared by Oak
Engineering and uploaded to the Project Submittal Interim Form.
For your reference, the Request for Additional Information response, dated November 18,
2022, prepared by Pilot is included as an attachment.
Lastly, please see attached a new PCN application that has been prepared to request approvals
for proposed stream and wetland impacts. We appreciate your time and consideration of this
PO Box 128, Kernersville, NC 27285
www.pilotenvir(.com

Request for Additional Information
November 18, 2022
matter. Please contact us at 336.310.4527 if you have any questions concerning the proposed
plan.
Sincerely,
David S. Brame, PWS
Senior Project Manager
Michael T. Brame, PWS
Principal

DocuSign Envelope ID: 38A378A1-25E4-4CA0-AEA4-85F82EDEADA8
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
December 12, 2022
DWR # 20221135
Davie County
Mocksville Development Partners LLC
Attn: Mr. Daniel Barnes
PO Box 341
Dobson NC 27017
Delivered via email to: [e-mail]
Subject: DENIAL of 401 Water Quality Certification Application
Tri-West Business Park
Dear Mr. Barnes:
On August 19, 2022, the Division of Water Resources (Division) received your application requesting an
Individual 401 Water Quality Certification from the Division for the subject project. On October 3, 2022,
the Division notified you that your application was incomplete and requested additional information.
The Division received a response to that request on November 29, 2022 and upon review of the
information submitted it has been determined that additional information is still necessary in order to
certify the project.
Notwithstanding North Carolina regulations governing the timeline for the Division's review of 401
Water Quality Certification applications, the U.S. Army Corps of Engineers has indicated that the
Division's reasonable period of time for action on your application under section 401 of the Clean Water
Act concludes December 16, 2022. Therefore, the Division must act on your 401 Water Quality
Certification application at this time.
The Division has determined the application is still incomplete and the Division has insufficient
information to issue a 401 Water Quality Certification for the discharge from the proposed project.
Therefore, in accordance with 15A NCAC 02H .0507(e) and 40 CFR § 121.7, your application for a 401
Water Quality Certification is hereby denied.
Once you have addressed the items below you may reapply to the Division including a complete
application package and appropriate fee.
The Division's decision can be contested as provided in Chapter 150B of the North Carolina General
Statues by filing a Petition for a Contested Case Hearing (Petition) with the North Carolina Office of
D � ��� North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1 450 W. Hanes Mill Rd, Suite 300 1 Winston-Salem, North Carolina 27105
NORTH CARou Na 336.776.9800

DocuSign Envelope ID: 38A378A1-25E4-4CA0-AEA4-85F82EDEADA8
Tri-West Business Park
DWR# 20221535
Denial
Page 2 of 3
Administrative Hearings (OAH) within sixty (60) calendar days. Requirements for filing a Petition are set
forth in Chapter 150B of the North Carolina General Statutes and Title 26 of the North Carolina
Administrative Code. Additional information regarding requirements for filing a Petition and Petition
forms may be accessed at http://www.ncoah.com/ or by calling the OAH Clerk's Office at (919) 431-
3000.
One (1) copy of the Petition must also be served to the North Carolina Department of Environmental
Quality:
William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
This completes the review of the Division under section 401 of the Clean Water Act. Please be aware
that you have no authorization under the Water Quality Certification Rules for this activity and any work
done within waters of the state may be a violation of North Carolina General Statutes and
Administrative Code.
Please contact Sue Homewood at 336-776-9693 [e-mail] if you have any
questions or concerns.
Sincerely,
D�ocuSiigggned /by:
n. JM0.Ct'
1_.49E225C94EA...
Lon T. Snider
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ— WSRO
Electronic cc: David Brame, Pilot Environmental Inc.
Samantha Dailey, USACE, Charlotte Regulatory Field Office
Todd Bowers, EPA
DWR 401 & Buffer Permitting Branch file
North Carolina Department of Environmental Quality I Division of Water Resources
D � Winston-Salem Regional Office 1 450 W. Hanes Mill Rd, Suite 300 1 Raleigh, North Carolina 27105
Noa1HCAaD_NA 336.776.9800

DocuSign Envelope ID: 38A378A1-25E4-4CA0-AEA4-85F82EDEADA8
Tri-West Business Park
DWR# 20221535
Denial
Page 3 of 3
Additional Information Required:
As requested in the Request for Additional Information dated October 3, 2022: In order to ensure
protection of downstream water quality, please provide a complete stormwater management plan
for review. Please ensure that it includes all appropriate supplemental forms, O&M agreements,
calculations, engineering drawings, etc., that complies with the requirements of the State
Stormwater Program. The Stormwater Design Manual and applicable forms may be found on the
DEMLR's website at https://deg.nc.gov/about/divisions/energy-mineral-land-resources/energy-
mineral-land-permit-guidance/stormwater-bmp-manual.
The SMP submitted on November 29, 2022 proposed dry detention basins for stormwater detention.
For any high density developments (with BUA greater 24%), stormwater from all BUA shall be treated
in a Primary stormwater control measure (SCM). Dry ponds are designated as secondary SCM in the
State Stormwater Design Manual. In addition, none of the required supplemental forms (including
application form SWU-101), O&M plan/agreements, design calculations, engineering drawings, etc.,
are included with this submission.
Alternatively, you may provide the following information for the proposed SMP to ensure that the
project will comply with 15A NCAC 02H .0506(b)(2) and (3).
1. A discussion on how the project will not cause degradation of downstream surface waters when
considering the volume and velocity of the increased flows and the current size/condition of the
receiving stream.
2. Delineation of each drainage area and accompanying calculations to show that flows from every
discharge point will be non -erosive to both the land surface and the receiving surface water
during the peak flow from the 10-year storm event. You may refer to the guidelines from DEMLR
- Sedimentation and Erosion Control to determine an appropriate non -erosive velocity. The
permissible velocities for erosion protection are under Appendix 8.05 (i.e. Chapter 8).
3. Calculations to demonstrate that for any discharge points proposed to increase flow rate and
volume, the structural stability of the receiving surface water will not be compromised.
4. Designed drawings (both aerial and profile views showing the actual designed dimensions) and
calculations of any proposed diffuse flow or detention systems and any vegetated conveyances
(if provided).
North Carolina Department of Environmental Quality I Division of Water Resources
D � Winston-Salem Regional Office 1 450 W. Hanes Mill Rd, Suite 300 1 Raleigh, North Carolina 27105
NoalHCaaD_NA 336.776.9800

P I LGT
P I L O T G E O L 0 G 1 C A L. P L L C
November 18, 2022
Ms. Sue Homewood
Division of Water Resources, Winston-Salem Regional Office
Department of Environmental Quality
Reference: Request for Additional Information
TriWest Business Park
US Highway 158
Mocksville, Davie County, North Carolina
DWR 401 Project #20221135/SAW-2020-01262
Pilot Project 5917.3
Dear Ms. Homewood:
Pilot Environmental Inc. ("Pilot") has prepared this response on behalf of Mocksville
Development Partners, LLC to address a Request for Additional Information from the NCDEQ
dated October 3, 2022 (attached). The information requested and our responses/comments are
included below.
1. Please provide more details regarding avoidance and minimization of impacts for this project.
Please clarify if the buildings have been designed for specific end users or are speculative in nature.
It appears that resizing and/or redesign of one building has the potential to significantly reduce
impacts for this project. Please redesign the project to further avoid and minimize the impacts or
provide specific detailed information regarding user requirements/sizing criteria, parking lot size
criteria, truck parking sizing, and roadway needs to clearly document avoidance and minimization
for the current design.
Response — the main building referenced above has been designed for a user. The user of
the main building will require a 1,200,000 square foot distribution and manufacturing
facility. The facility will contain storage/manufacturing areas and office areas, restrooms
and employee break areas, trailer docks, storage parking, employee parking and landscaped
areas. Additionally, the user will require minimally obstructed circular flow that does not
comingle foot traffic with tractor trailer traffic. A circular flow is also necessary for
operational efficiencies of the occupant and for safety purposes of emergency personnel
services. The site has been designed for a user that anticipates up to approximately 200
tractor trailer trips per day and approximately 600 vehicular trips per day for employee and
visitors. The proposed facility is anticipated to operate three shifts that allow 24-hour per
day operations. Necessary trailer docks, trailer storage, distance between docks and trailer
storage (i.e. cross dock configuration), vehicular parking areas and general vehicular and
tractor trailer flow pattern has been designed based upon the user's anticipated
requirements and general safety.
PO Box 128, Kernersville, NC 27285
www.pilotenvir(.com

Request for Additional Information
November 18, 2022
It should be noted that a larger building and parking and access infrastructure are preferred
for growth and flexibility but has been reduced to its current size in order to avoid impacts
to the wetland located further north. While an alternatives analysis has not been completed
in conjunction with this request, it is widely known in the market that there are no other
properties located within the piedmont of North Carolina that can accommodate a facility
of this size or at least not without far greater impacts to streams and wetlands. Additionally,
the site is located adjacent to Interstate 40 and situated strategically between major
commerce destinations.
Due to the size and shape of the property and locations of other streams and wetlands, the
proposed building orientation is the only logical layout of the building and surrounding
infrastructure on the site. Other orientations of the building would impact far more streams
and wetlands. A reduced building length would not further decrease the amount of stream
and wetland impacts. A reduced building width would minimally reduce the amount of
impact and not meet user requirements. It should also be noted that the southwestern
wetland proposed for impact is of low quality and cultivated annually and that the applicant
has proposed to provide mitigation for impacts to the wetland at a 2:1 ratio despite its low
quality. Due to its proximity to the highway and the minimal amount of impact required to
construct a facility of this size, the proposed site has been identified as a viable option for
the proposed project.
2. Notwithstanding the answer to item #1, please provide more detailed design information so
that the Division may evaluate additional potential water quality impacts. Multiple areas within the
project show the limits of buildings, roadways, and stormwater control measures immediately
adjacent to the boundaries of jurisdictional features. It appears that the plans provided with the
application may not be detailed enough to account for any potential additional impacts for fill slopes,
temporary construction access and/or temporary erosion control measures.
Response —There are no additional impacts for fill slopes, temporary construction access or
temporary erosion control measures. Please refer to the attached EX 1 - TriWest Business
Park —Stream and Wetland Impact Exhibit.
2

Request for Additional Information
November 18, 2022
3. The application states that the project is subject to a local government post construction water
quality stormwater review, however according to the Division of Energy, Mineral and Land Resources
website, this project is located outside of any local government jurisdiction for water quality
stormwater review. Therefore, in order to ensure protection of downstream water quality, please
provide a complete stormwater management plan for review. Please ensure that it includes all
appropriate supplemental forms, O&M agreements, calculations, engineering drawings, etc., that
complies with the requirements of the State Stormwater Program. The Stormwater Design Manual
and applicable forms may be found on the DEMLR's website at
https://deq.nc.gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-
permitguidance/stormwater-bmp-manual. In addition, please also submit the application form
SWU101(attached). However, The 505 application fee and last two signature pages of this form may
be omitted.
Response —Please refer to the attached Stormwater Management Design Report for TriWest
Business Center prepared by Oak Engineering.
4. Pursuant to 15A NCAC 02H.0506(b) "a 401 Water Quality Certification may only be issued upon
determining that the proposed activity will comply with state water quality standards which includes
designated uses, numeric criteria, narrative criteria and the state's antidegradation policy, as defined
in rules of 15A NCAC 02B .0200... In assessing whether the proposed activity will comply with water
quality standards, the Division shall evaluate if the proposed activity: (2) would cause or contribute
to a violation of water quality standards; (3) would result in secondary or cumulative impacts that
cause or contribute to, or will cause or contribute to, a violation of water quality standards;" In order
for the Division to fully evaluate potential hydrological impacts on some stream and wetland features
within the project limits, please provide the location of all outlet structures from the SCMs shown on
the proposed plan sheet. In order to avoid further requests for additional information upon receipt
of the response to this item, the Division strongly encourages that you carefully evaluate the
proposed site plan for locations where existing surface hydrology will be redirected and would
therefore have the potential to remove or reduce the existing functions of a stream and/or wetland.
Based on the current proposed plan the Division believes there is significant potential for indirect
impacts to some features within the overall project limits.
Response —The locations of stormwater ponds and outlet structures have been revised and
are shown on the revised Wetland and Stream Impact Exhibit (attached). In order to avoid
secondary impacts to streams and wetlands by removing/redirecting hydrology, a French
drain has been added to Stream SC, stormwater ponds have been placed upgradient of
several features and outlet structures repositioned to the heads of features. The French
drain will resupply hydrology back to the start of Stream SC and Wetland WD. Additionally,
Stream SC and Wetland WD are groundwater induced systems, meaning that the
groundwater surfaces in these areas providing hydrology to the stream and wetland. While
upgradient surface water may be redirected, there will be no dewatering or disturbance to
the groundwater table. As such, hydrology to Stream SC and Wetland WD will continue to
be supplied by the groundwater table. The stormwater pond outlets have been realigned to
discharge to the heads of features during storm events and will further aid in rehydrating
downgradient streams and wetlands by capture and slow infiltration back into the
surrounding features. The stormwater ponds are located upgradient of the streams and
3

Request for Additional Information
November 18, 2022
wetlands, and will recharge to these features in their entirety. Wetland WT discharges into
a grass lined ditch. Removal of hydrology from this area will have no impact on the quality
or function of the downgradient feature. Wetland WA and features located downgradient
of WA are not expected to be impacted as 40 percent of the drainage area will remain as
pervious surface. Additionally, over 40 percent of its drainage area will continue to
contribute to the hydrology of Wetland WA.
Closing
We appreciate your time and consideration of this matter. Please contact us at 336.310.4527 if
you have any questions concerning the proposed plan.
Sincerely,
'os-'
114-17 40.-
David S. Brame, PWS
Michael T. Brame, PWS
Senior Project Manager
Principal
Attachments: NCDEQ-Request for Additional Information dated October 4, 2022
EX1 TriWest Business Park— Wetland and Stream Impact Exhibit
TriWest Business Center Stormwater Report (uploaded to online Project
Submittal Interim Form)
4

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
October 3, 2022
DWR # 20221135
Davie County
Mocksville Development Partners, LLC
Attn: Mr. Daniel Barnes
PO Box 341
Dobson NC 27017
Delivered via email to: [e-mail]
Subject: REQUEST FOR ADDITIONAL INFORMATION
Tri-West Business Park
Dear Mr. Barnes:
On August 19, 2022, the Division of Water Resources (Division) received your application requesting a
401 Water Quality Certification from the Division for the subject project. The Division has determined
that your application is incomplete and cannot be processed. The application is on -hold until all of the
following information is received:
Please provide more details regarding avoidance and minimization of impacts for this project.
Please clarify if the buildings have been designed for specific end users or are speculative in
nature. It appears that resizing and/or redesign of one building has the potential to significantly
reduce impacts for this project. Please redesign the project to further avoid and minimize the
impacts or provide specific detailed information regarding user requirements/sizing criteria,
parking lot size criteria, truck parking sizing, and roadway needs to clearly document avoidance
and minimization for the current design.
Notwithstanding the answer to item #1, please provide more detailed design information so that
the Division may evaluate additional potential water quality impacts. Multiple areas within the
project show the limits of buildings, roadways, and stormwater control measures immediately
adjacent to the boundaries of jurisdictional features. It appears that the plans provided with the
application may not be detailed enough to account for any potential additional impacts for fill
slopes, temporary construction access and/or temporary erosion control measures.
3. The application states that the project is subject to a local government post construction water
quality stormwater review, however according to the Division of Energy, Mineral and Land
Resources website, this project is located outside of any local government jurisdiction for water
quality stormwater review. Therefore, in order to ensure protection of downstream water
quality, please provide a complete stormwater management plan for review. Please ensure that
it includes all appropriate supplemental forms, O&M agreements, calculations, engineering
drawings, etc., that complies with the requirements of the State Stormwater Program. The
D � ��� North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1 450 W. Hanes Mill Rd, Suite 300 1 Winston-Salem, North Carolina 27105
NOMlH naouNa 336.776.9800

Mocksville Development Partners, LLC
DWR# 20221135
Request for Additional Information
Page 2 of 3
Stormwater Design Manual and applicable forms may be found on the DEMLR's website at
https://deg.nc.gov/about/divisions/energy-mi neral-land-resources/energy-mi neral-land-permit-
guidance/stormwater-bmp-manual. In addition, please also submit the application form SWU-
101 (attached). However, the $505 application fee and last two signature pages of this form may
be omitted.
4. Pursuant to 15A NCAC 02H.0506(b) "a 401 Water Quality Certification may only be issued upon
determining that the proposed activity will comply with state water quality standards which
includes designated uses, numeric criteria, narrative criteria and the state's antidegradation
policy, as defined in rules of 15A NCAC 02B .0200... In assessing whether the proposed activity
will comply with water quality standards, the Division shall evaluate if the proposed activity: (2)
would cause or contribute to a violation of water quality standards; (3) would result in secondary
or cumulative impacts that cause or contribute to, or will cause or contribute to, a violation of
water quality standards;" In order for the Division to fully evaluate potential hydrological impacts
on some stream and wetland features within the project limits, please provide the location of all
outlet structures from the SCMs shown on the proposed plan sheet. In order to avoid further
requests for additional information upon receipt of the response to this item, the Division
strongly encourages that you carefully evaluate the proposed site plan for locations where
existing surface hydrology will be redirected and would therefore have the potential to remove
or reduce the existing functions of a stream and/or wetland. Based on the current proposed plan
the Division believes there is significant potential for indirect impacts to some features within the
overall project limits.
Pursuant to Title 15A NCAC 02H .0502(e), the applicant shall furnish all of the above requested
information for the proper consideration of the application. Please respond in writing within 30
calendar days of receipt of this letter by sending one (1) copy of all of the above requested information
to the 401 & Buffer Permitting Branch, 1617 Mail Service Center, Raleigh, NC 27699-1617 OR by
submitting all of the above requested information through this
link: https://edocs.deg.nc.gov/Forms/Supplemental-Information-Form (note the DWR# requested on
the link is referenced above).
If all of the requested information is not received within 30 calendar days of receipt of this letter, the
Division will be unable to approve the application and it will be denied as incomplete. The denial of this
project will necessitate reapplication to the Division for approval, including a complete application
package and the appropriate fee.
Please be aware that you have no authorization under the Section 401 of the Clean Water Act for this
activity and any work done within waters of the state may be a violation of North Carolina General
Statutes and Administrative Code.
North Carolina Department of Environmental Quality I Division of Water Resources
D � Winston-Salem Regional Office 1 450 W. Hanes Mill Rd, Suite 300 1 Raleigh, North Carolina 27105
NoalHCaao_wa 336.776.9800

Mocksville Development Partners, LLC
DWR# 20221135
Request for Additional Information
Page 3 of 3
Please contact me at 336-776-9693 or Sue. [e-mail] if you have any questions or
concerns.
Sincerely,
DocuSigned by:
Ho"Iewood
456ED631098F411...
Sue Homewood
Division of Water Resources, NCDEQ— WSRO
Electronic cc: David Brame, Pilot Environmental Inc.
Samantha Dailey, USACE Raleigh Regulatory Field Office
DWR 401 & Buffer Permitting Branch file
North Carolina Department of Environmental Quality I Division of Water Resources
D ��� Winston-Salem Regional Office 1 450 W. Hanes Mill Rd, Suite 300 1 Raleigh, North Carolina 27105
NOR1H CARou Na 336.776.9800

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Corps Action ID no. Click to enter.] Date received: [Click to enter.]
DWR project no. Click enter.] Date received: [Click to enter.]
Site Coordinates:
Latitude (DD.DDDDDD): 35.954668'
Longitude (DD.DDDDDD): 80.520644'
Form Version 1.5, September 2020
Pre -Construction Notification (PCN) Form
(Ver. 1.5, September 2020)
For Nationwide Permits and Regional General Permits and corresponding Water Quality Certifications
Please note: fields marked with a red asterisk are required. The form is not considered complete until all mandatory
questions are answered.
The online help file may be found at this link:
https://edocs.deg.nc.gov/WaterResources/O/edoc/624704/PCN%2OHelp%2OFile%202018-1-30.pdf
The help document may be found at this link:
http://www.saw.usace.army. mil/Missions/Reg ulatory-Permit-Program/Permits/2017-Nationwide- Perm its/Pre-
construction-Notification/
Before submitting this form, please ensure you have submitted the Pre -Filing Meeting Request Form as DWR will not be
able to accept your application without this important first step. The Pre -Filing Meeting Request Form is used to satisfy 40
C.F.R. Section 121.4(a) which states "At least 30 days prior to submitting a certification request, the project proponent shall
request a pre -filing meeting with the certifying agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all
certification requests must include documentation that a pre -filing meeting request was submitted to the certifying authority
at least 30 days prior to submitting the certification request.
Attach documentation of Pre -Filing Meeting Request to this Application.
10/19/2021
DWR ID # Click to enter. Version Click to enter. (If applicable)
A. Processing Information
County (counties) where project is located: *
Davie Additional (if needed).
Is this a public transportation project? *
(Publicly funded municipal, state, or federal road, rail,
❑ Yes ❑x No
or airport project)
Is this a NCDOT project? *
❑ Yes ❑x No
If yes, NCDOT TIP or state project number:
Click to enter.
If yes, NCDOT WBS number: *
Click to enter.
❑x Section 404 Permit (wetlands, streams, waters,
Clean Water Act)
la. Type(s) of approval sought from the Corps:
❑ Section 10 Permit (navigable waters, tidal
waters, Rivers and Harbors Act)
Page 1 of 21 PCN Form -Version 1.5, September 2020

0 Nationwide Permit (NWP)
1b. Permit tpe(s)?
❑ Regional General Permit (RGP)
❑ Standard (IP)
This form may be used to initiate the standard/ individual permit process with the USACE. Please contact your Corps
representative concerning submittals for standard permits. All required items can be included as separate attachments
and submitted with this form.
1 c. Has the NWP or GP number been verified by the Corps?
❑ Yes 0 No
NWP number(s):
NWP 39
RGP number(s):
Click to enter
1 d. Type(s) of approval sought from the DWR (check all that apply):
N 401 Water Quality Certification — Regular ❑ 401 Water Quality Certification— Express
❑ Non-404 Jurisdictional General Permit ❑ Riparian Buffer Authorization
❑ Individual 401 Water Quality Certification
1 e. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification: *
❑ Yes N No
For the record only for Corps Permit:
❑ Yes N No
1f. Is this an after -the -fact permit/certification application?
❑ Yes N No
1 g. Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts?
® Yes ❑ No
If yes, attach the acceptance letter from mitigation bank or in -lieu fee program.
1 h. Is the project located in any of NC's twenty coastal counties?
❑ Yes N No
1 i. Is the project located within an NC DCM Area of Environmental
Concern (AEC)?
❑ Yes N No ❑ Unknown
1j. Is the project located in a designated trout watershed?
❑ Yes N No
If yes, you must attach a copy of the approval letter from the appropriate Wildlife Resource Commission Office.
Trout information may be found at this link: http://www.saw.usace.army.miI/Missions/Regulatory-Permit-
Program/Agency-Coordination/Trout.aspx
Page 2 of 21 PCN Form - Version 1.5, September 2020

B. Applicant Information
1 a.
Who is the primary contact? *
Daniel Barnes
1 b.
Primary Contact Email: *
[e-mail]
1 c.
Primary Contact Phone: ' (###)###-####
336-386-9790
1 d.
Who is applying for the permit/certification? (check
all that apply)
® Owner ❑ Applicant (other than owner)
1 e.
Is there an agent/consultant for this project?
® Yes ❑ No
2.
Landowner Information
2a.
Name(s) on Recorded Deed: *
Mocksville Development Partners, LLC
2b.
Deed Book and Page No.:
011960344
2c.
Responsible Party (for corporations):
Daniel Barnes
2d.
Address
Street Address:
PO Box 341
Address line 2:
CIicK uw UlILer.
City:
Dobson
State/ Province/ Region:
NC
Postal/ Zip Code:
27017
Country:
United States
2e.
Telephone Number: * (###)###-####
336-386-9790
2f.
Fax Number: (###)###-####
Click to enter.
2g.
Email Address: *
[e-mail]
3.
Applicant Information (if different from owner)
3a.
Name:
Click to entE.
3b.
Business Name (if applicable):
Click to enter.
3c.
Address:
Street Address:
Click to enter.
Address line 2:
Click to enter.
City:
Click to enter.
State/ Province/ Region:
Click to enter.
Postal/ Zip Code:
Click to enter.
Country
Click to enter.
3d.
Telephone Number: (###)###-####
Click to enter.
3e
Fax Number: (###)###-####
Click to enter.
Page 3 of 21 PCN Form - Version 1.5, September 2020

3f. Email Address: * Click to enter.
4. Agent/ Consultant (if applicable)
4a. Name: *
David S. Brame
4b. Business Name:
Pilot Environmental, Inc.
4c. Address: *
Street Address:
743 Park Lawn Court
Address line 2:
Click to entE
City:
Kernersville
State/ Province/ Region:
NC
Postal/ Zip Code:
27284
Country:
U.S.
4d. Telephone Number: (###)###-####
[phone]
4e Fax Number: (###)###-####
Click to entE
4f. Email Address:
[e-mail]
Agent Authorization Letter:
Attach a completed/signed agent authorization form or letter. A sample form may be found at this link:
https://www.saw.usace.army. mil/Missions/Reg ulatory-Permit-Program/Permits/2017-Nationwide-Permits/Pre-
construction-Notification/
Page 4 of 21 PCN Form - Version 1.5, September 2020

C. Project Information and Prior Project History
1. Project Information
1 a. Name of project: *
Tri-West Business Park
1 b. Subdivision name (if appropriate):
None
1c. Nearest municipality/town: *
Mocksville, NC
2.
Project Identification
2a.
Property identification number (tax PIN or parcel ID):
5840855939
2b.
Property size (in acres):
201
2c.
Project Address:
Street Address:
US Hwy 158
Address line 2:
Click to enter.
City:
Mocksville
State/ Province/ Region:
NC
Postal/ Zip Code:
27028
Country:
U.S.
2d.
Site coordinates in decimal degrees (using 4-6 digits
after the decimal point):
Latitude (DD.DDDDDD): 35.954668'
Longitude (-DD.DDDDDD):-80.520644'
3. Surface Waters
3a. Name of nearest body of water to proposed project: *
Cedar Creek
3b. Water Resources Classification of nearest receiving
C
water:
The Surface Water Classification map may be found at this link:
https://ncdenr.maps.arcqis.com/apps/webappviewer/index.html?id=6e125ad7628f494694e259c80dd64265
Yadkin-PeeDee
3c. In what river basin(s) is your project located?
Choose additional (if needed)
3d. Please provide the 12-digit HUC in which the project is
030401011402
located:
The Find Your HUC map may be found at this link:
https://ncdenr.maps.arcqis.com/apes/PubIicInformation/index.html?appid=ad3a85aOc6d644aOb97cdO69db238ac3
Page 5 of 21 PCN Form - Version 1.5, September 2020

4.
Project Description and History
4a.
Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of
this application: *
The northwestern portion of the site is developed with a residence, agricultural structures, and
outbuildings. The remainder of the site contains fields and wooded areas. Three ponds, Cedar
Creek and several streams are present on the site. Forested and emergent wetlands are
located throughout the property. The wetlands are separated from surrounding uplands by
topographic, vegetation and/or soil breaks. The nearby properites contain fields, wooded
areas and residences. The Davie County Health Department is located on adjoining property
to the west. Commerical/light industrial development is located along Farmington Road and
US 158.
4b.
Have Corps permits or DWR certifications been obtained for this
i] Yes X No ❑ Unknown
project (including all prior phases) in the past? *
4c.
If yes, please give the DWR Certification number and/or Corps
[Click to enter.]
Action ID (ex. SAW-0000-00000):
IClick to enter.]
Attach any pertinent project history documentation
4d.
Attach an 8'/2 x 11" excerpt from the most recent version of the USGS topographic map indicating the location of
the project site.
4e.
Attach an 8'h x 11" excerpt from the most recent version of the published County NRCS Soil Survey map
depicting the project site.
4f.
List the total estimated acreage of all existing wetlands on the
13.0 acres
property:
4g.
List the total estimated linear feet of all existing streams (intermittent
9,840 linear feet
and perennial) on the property:
4g1.
List the total estimated acreage of all existing open waters on the
1.475 acres
property:
4h.
Explain the purpose of the proposed project:
The purpose of the proposed project is to construct an industrial facility.
4i.
Describe the overall project in detail, including the type of equipment to be used:
The overall project includes the proposed construction of Tri-West Business Park on an approximate 201 acre tract.
The business park will consist of four buildings, parking lots and roadways. The project will result in 51 built -upon
acres. Four entrances from US 158 and one entrance from Farmington Road are required to satisfy safety and
development ordinances. When developed, the site will have six permanent stormwater ponds.
To facilitate the development, clearing and grading the site is necessary. Graders, haulers, excavators and other
heavy equipment will be used during grading of the site and construction of the business park. When developed, water
and sanitary sewer services will be provided by the municipality.
In order to develop the site with the business park, one stream and three wetland areas will be filled. Wetland and
stream impacts have minimized to the extent possible through the careful placement of buildings, parking lots and
roads and the use of retaining walls.
4j.
Attach project drawings/site diagrams/depictions of impact areas for the proposed project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or in
® Yes ❑ No ❑ Unknown
proposed impact areas?
Page 6 of 21 PCN Form - Version 1.5, September 2020

Comments:
The site was delineated by Pilot Environmental in July 2020.
Name (if known): David Brame
5b. If 5a is yes, who delineated the jurisdictional
Agency/Consultant Company: Pilot Environmental
areas?
Other: LU UJ I«.
5c. If the Corps made a jurisdictional determination,
X❑ Preliminary ❑ Approved ❑ Emailed Concurrence
what type of determination was made?
❑ Not Verified ❑ Unknown
Corps AID number (ex. SAW-0000-00000):
SAW-2020-01262
5d. List the dates of the Corps jurisdictional determination or State determination if a determination was made by
either agency.
September 22, 2020 — confirmed by Bryan Roden -Reynolds, USACE (field determination)
5d1. Attach jurisdictional determinations.
Page 7 of 21 PCN Form - Version 1.5, September 2020

6. Future Project Plans
6a. Is this a phased project?
® Yes X No
6b. If yes, explain.
The site is a proposed single phase development. No additional phases are proposed.
Are any other NWP(s), regional general permit(s), or individual permit(s) used, or intended to be used, to authorize
any part of the proposed project or related activity? This includes other separate and distant crossings for linear
projects that require Department of the Army authorization but don't require pre -construction notification.
No other permits are intended to be used.
Page 8 of 21 PCN Form - Version 1.5, September 2020

D. Proposed Impacts Inventory
Impacts Summary
0 Wetlands 0 Streams - tributaries
1 a. Where are the impacts associated with your project ❑ Buffers ❑ Open Waters
(check all that apply):
❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, complete this table for each wetland area impacted.
2a.
2a1.
2b.
2c.
2d.
2e.
2f.
2g.
Site #*
Impact
Impact
Wetland Name*
Wetland Type*
Forested
Jurisdiction
Impact Area
Reason/Type*
Duration*
?*
Type*
(ac)*
W1
Fill (Incl.
Permanent
WT
Seep
No
Both
0.2402
Riprap)
W2
Fill (Incl.
Permanent
WD
Bottomland
Yes
Both
0.1108
Riprap)
Hardwood
Forest
W3
Fill (Incl.
Permanent
WL
Bottomland
Yes
Both
0.0466
Riprap)
Hardwood
Forest
W4
Choose one
Temp/
Click to enter
Choose one
Y/N
Choose one
Click to
Perm
enter
W5
Choose one
Temp/
Click to enter
Choose one
Y/N
Choose one
Click to
Perm
enter
W6
Choose one
Temp/
Click to enter
Choose one
Y/N
Choose one
Click to
Perm
enter
2g1. Total temporary wetland impacts
0 ac
2g2. Total permanent wetland impacts
0.3976 ac
2g3. Total wetland impacts
0.3976 ac
2h. Comments:
Three wetland impacts are proposed. Wetland impact W1 is associated with building/parking lot construction. This
wetland will be filled. The wetland is emergent and has historically been farmed. Wetland impact W2 is associated with
parking lot/roadway construction. This wetland will be filled. Wetland impact W3 is associated with parking lot
construction. This wetland will be filled.
Page 9 of 21 PCN Form - Version 1.5, September 2020

3. Stream Impacts
If there are perennial or intermittent stream/ tributary impacts (including temporary impacts) proposed on the site,
complete this table for all stream/ tributary sites impacted.
** All Perennial or Intermittent streams must be verified by DWR or delegated local government
Site #*
3a.
Impact Reason/
Type
3b.
Impact
Duration
3d.
Stream Name
3e.
Stream
Type
3f.
Jurisdiction
Type
3g.
Stream Width
(avg ft)
3h.
Impact length
(linear ft)
S1
Fill (Incl. Riprap)
Permanent
SC2
Perennial
Both
4.4
275
S2
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S3
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S4
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S5
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S6
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S7
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S8
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S9
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S10
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S11
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S12
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S13
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S14
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S15
Choose one
Temp/ Perm
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
3i1. Total jurisdictional ditch impact:
0 linear ft
M. Total permanent stream impacts:
275 linear ft
M. Total temporary stream impacts:
0 linear ft
34. Total stream and ditch impacts:
275 linear ft
3j. Comments:
S1 — Stream location 1 will be impacted by permanent fill/riprap associated with the parking lot and roadway.
Page 10 of21 PCN Form - Version 1.5, September 2020

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., individually list all open water impacts
in the table below.
4a.
4b.
4c.
4d.
4e.
4e1.
4f.
Site #
Impact Reason/
Impact
Waterbody Name
Waterbody
Jurisdiction
Impact area (ac)
Type
Duration
Type
Type
01
Choose one
Click to enter.
Choose one
Choose one
Click to enter
02
Choose one
amp/
Click to enter.
Choose one
Choose one
Click to enter
Perm
03
Choose one
Temp/
Click to enter.
Choose one
Choose one
Click to enter
Perm
04
Choose one
Temp/
Click to enter.
Choose one
Choose one
Click to enter
Perm
4g.
Total temporary open water impacts
0 ac
4g.
Total permanent open water impacts
0 ac
4g.
Total open water impacts
0 ac
4h.
Comments:
Open water impacts are not proposed.
5.
Pond or Lake Construction
If pond or lake construction is proposed, complete
the table
below. (*This
does NOT include offline stormwater
management ponds.)
5a.
5b.
5c.
5d.
5e.
Pond ID
Proposed use or
Wetland Impacts (ac)
Stream
Impacts (ft)
Upland
#
purpose of pond
Impacts (ac)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
Click to
Click to
Click to
Click to
Click to
Click to
UICK to
enter.
enter.
enter.
enter.
enter.
enter.
enter.
P2
Choose one
Click to
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
enter.
5f.
Total
Click to
Click to
Click to
Click to
Click to
Click to
Click to
enfcr
pnfcr
enter.
enter.
enter.
enter.
enter.
5g.
Comments:
Pond or lake construction is not proposed.
5h.
Is a dam high hazard permit required?
❑ Yes ❑ No
If yes, permit ID no.:
Click to enter.
5i.
Expected pond surface area (acres):
Click to enter.
5j.
Size of pond watershed (acres):
Click to enter.
5k.
Method of construction:
Click to enter.
Page 11 of21 PCN Form - Version 1.5, September 2020

6. Buffer Impacts (DWR requirement)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts.
6a. Project is in which protected basin(s)?
(Check all that apply.)
❑ Neuse ❑ Tar -Pamlico ❑ Catawba
❑ Jordan ❑ Goose Creek ❑ Randleman
❑ Other: Click to ente
Site #*
6b.
Impact Type*
6c.
Impact Duration*
6d.
Stream Name*
6e.
Buffer
Mitigation
Required?*
6f.
Zone 1 Impact*
(sq ft)
6g.
Zone 2 Impact*
(sq ft)
131
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B2
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B3
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
134
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B5
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B6
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
137
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B8
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B9
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B10
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
6h. Total temporary impacts:
Zone 1: Click to enter sq ft
Zone 2: Click to enter. sq ft
6h. Total permanent impacts:
Zone 1: Click to enter sq ft
Zone 2: Click to enter. sq ft
6h. Total combined buffer impacts:
Zone 1: Click to enter sq ft
Zone 2: Click to enter. sq ft
6i. Comments:
Click to enter.
Please attach supporting documentation (impact maps, plan sheets, etc.) for the proposed project.
Page 12 of21 PCN Form - Version 1.5, September 2020

E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts through project design:
The applicant has designed the proposed development to avoid impacts to the remaining streams and wetlands
located on the site. In order to develop the site and provide the necessary parking and the required access and to
construct the project, the proposed impacts could not be avoided. Civil design, such as minimizing the entranceway
widths, use of retaining walls were used to further reduce impacts to streams and wetlands.
In order to avoid secondary impacts to streams and wetlands by removing/redirecting hydrology, a French drain has
been added to Stream SC, stormwater ponds have been placed upgradient of several features and outlet structures
repositioned to the heads of features. The French drain will resupply hydrology back to the start of Stream SC and
Wetland WD.
1 b. Specifically describe measures taken to avoid or minimize proposed impacts through construction techniques:
The clearing limits will be surveyed, staked and silt fencing and clearing limit fencing will be used. Disturbed areas will
be promptly seeded and mulched to limit sediment from entering downgradient waters. Slope matting will be used on
steep slopes. Stormwater during construction will be directed into sediment traps.
2. Compensatory Mitigation for Impacts to Waters of the U.S., Waters of the State, or Riparian Buffers
2a. If compensatory mitigation is required, by whom is it required? * 0 DWR 0 Corps
(check all that apply)
2b. If yes, which mitigation option(s) will be used for this ❑ Mitigation Bank
project? * (check all that apply) 0 In Lieu Fee Program
❑ Permittee Responsible Mitigation
3. Complete if using a Mitigation Bank (Must satisfy NC General Statute143-214.11 (d1).)
3a. Name of mitigation bank:
Yadkin Valley Umbrella Mitigation Bank
3b. Credits purchased/requested:
Type: Riparian Wetland
Quantity NA
Type: Stream
Quantity 550
Type: Choose one
Quantity Click to enter.
Attach receipt and/or approval letter.
3c. Comments:
The applicant intends to purchase stream credits from the Yadkin Valley Umbrella Mitigation Bank. Wetland
credits are not available and will be satisfied through DMS. 550 LF of stream credits will be purchased to off -set
275 LF of impact at a 2:1 ratio. DMS and Wildlands Statement of Availability (SoA) is attached.
4. Complete if Using an In Lieu Fee Program
4a. Attach approval letter from in lieu fee program.
4b. Stream mitigation requested:
Click to enter. linear feet
4c. If using stream mitigation, what is the stream temperature:
Choose one
Page 13 of21 PCN Form - Version 1.5, September 2020

NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington
District's RIBITS website: (Please use the filter and select Wilmington district)
https://ribits. usace.army. miI/ribits apex/f?p=107:27:2734709611497::NO: RP:P27 BUTTON KEY:O
4d.
Buffer mitigation requested (DWR only):
Click to ente square feet
4e.
Riparian wetland mitigation requested:
0.555 acres
4f.
Non -riparian wetland mitigation requested:
Click to enter. acres
4g.
Coastal (tidal) wetland mitigation requested:
Click to enter. acres
4h.
Comments:
DMS has been contacted and will be used to secure wetland mitigation credits and stream credits should private
bank credits not be available at the time of purchase. DMS SoA is attached. Wetland credits will be purchased
at 1:1 ration for wetland impact W1 (see attached NCWAM Form) and 2:1 for wetland impacts W2 and W3.
5. Complete if Providing a Permittee Responsible Mitigation Plan
5a. If proposing a permittee responsible mitigation plan, provide a description of the proposed mitigation plan,
including the amount of mitigation proposed.
Click to enter
5b. Attach mitigation plan/documentation.
6.
Buffer Mitigation (State Regulated Riparian Buffer Rules) — DWR requirement
6a.
Will the project result in an impact within a protected riparian buffer
❑ Yes X No
that requires buffer mitigation?
If yes, please complete this entire section — please contact DWR for more information.
6b.
If yes, identify the square feet of impact to each zone of the riparian buffer that requires
mitigation. Calculate the
amount of mitigation required in the table below.
6c.
6d.
6e.
Zone
Reason for impact
Total impact (square
Multiplier
Required mitigation
feet)
(square feet)
Zone 1
Click to enter.
Click to enter.
Choose one
Click to enter.
Zone 2
Click to enter.
Click to enter
Choose one
Click to enter.
6f. Total buffer mitigation required
Click to enter.
6g.
If buffer mitigation is required, is payment to a mitigation bank or
❑ Yes ❑ No
NC Division of Mitigation Services proposed?
6h.
If yes, attach the acceptance letter from the mitigation bank or NC Division of Mitigation Services.
6i.
Comments:
Buffer mitigation is not proposed.
Page 14 of21 PCN Form - Version 1.5, September 2020

F. Stormwater Management and Diffuse Flow Plan (DWR requirement)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers
❑ Yes 0 No
identified within one of the NC Riparian Buffer Protection Rules?
1 b. All buffer impacts and high ground impacts require diffuse flow or other forms of stormwater treatment. If the
project is subject to a state implemented riparian buffer protection program, include a plan that fully documents
how diffuse flow will be maintained.
All Stormwater Control Measures (SCM) must be designed in accordance with the NC Stormwater Design
Manual (https://deg.nc.,qov/about/divisions/energy-mineral-land-resources/energy-mineral-land-permit-
guidance/stormwater-bmp-manual).
Associated supplement forms and other documentation must be provided.
❑ Level Spreader
What Type of SCM are you
❑ Vegetated Conveyance (lower seasonal high water table- SHWT)
providing?
❑ Wetland Swale (higher SHWT)
(Check all that apply)
❑ Other SCM that removes minimum 30% nitrogen
❑ Proposed project will not create concentrated stormwater flow through the
buffer
For a list of options to meet the diffuse flow requirements, click here:
Attach diffuse flow documentation.
2. Stormwater Management Plan
2a. Is this an NCDOT project subject to compliance with NCDOT's
Individual NPDES permit NCS000250?
❑ Yes 0 No
2b. Does this project meet the requirements for low density projects as
defined in 15A NCAC 02H .1003(2)? *
❑ Yes 0 No
To look up low density requirements, click here:
http://reports.oah.state. nc.us/ncac/title%2015a%20-%20environmental%20guaIity/chapter%2002%20-
%20environmental%20manage ment/subchapter%20h/15a%20ncac%2002h%20.1003.pdf
2c. IS the project over an acre?
0 Yes ❑ No
2d. Does this project have a stormwater management plan (SMP)
reviewed and approved under a state stormwater program or state-
0 Yes ❑ No
approved local government stormwater program?
Note: Projects that have vested rights, exemptions, or grandfathering from state or locally implemented
stormwater programs or projects that satisfy state or locally -implemented stormwater programs through use of
community in -lieu programs should answer "no" to this question.
2e. Which of the following stormwater management program(s) apply?
❑ Local Government
(Check all that apply) *
❑ State
If you have local government approval, please include the SMP on their overall impact map.
Page 15 of21 PCN Form - Version 1.5, September 2020

❑ Phase II ❑ USMP
Local Government Stormwater Programs *
❑ NSW ❑ Water Supply
Please identify which local government stormwater program you are using.*
Click to enter.
❑ Phase II ❑ HQW or ORW
State Stormwater Programs *
❑ Coastal Counties X Other
Comments:
A stormwater management plan has been prepared for review as part of the 401 application and uploaded to the
online Project Submittal Interim Form.
Page 16 of 21 PCN Form - Version 1.5, September 2020

G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local)
❑ Yes X No
funds or the use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require
preparation of an environmental document pursuant to the
requirements of the National or State (North Carolina) Environmental
❑Yes ❑ No
Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been
finalized by the State Clearing House? (If so, attach a copy of the
❑ Yes ❑ No
NEPA or SEPA final approval letter.)
Comments:
A NEPA or SEPA is not required.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A
NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300),
DWR Surface Water or Wetland Standards or Riparian Buffer Rules ❑Yes X No
(15A NCAC 2B .0200)?
2b. If you answered "yes" to the above question, provide an explanation of the violation(s)
;lick to enter.
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future
impacts) result in additional development, which could impact nearby
❑ Yes X No
downstream water quality? *
3b. If you answered "no", provide a short narrative description:
Additional development as a result of the proposed development is not anticipated.
3c. If yes, attach a qualitative or quantitative cumulative impact analysis (.pdf) in accordance with the most recent
DWR policy.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project? * I ® Yes ❑ No ❑ N/A
4b. If yes, describe in detail the treatment methods and dispositions (non -discharge or discharge) of wastewater
generated from the proposed project. If the wastewater will be treated at a treatment plant, list the capacity
available at that plant.
Sewage will be discharged into an existing sewer line that is located on Framington Road. Additional impacts
associated with sewage disposal are not proposed.
Page 17 of21 PCN Form - Version 1.5, September 2020

5.
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a.
Will this project occur in or near an area with federally protected
® Yes ❑ No
species or habitat? (IPAC weblink: https://www.fws.gov/ipac/ ffws.govl)
5b.
Have you checked with the USFWS concerning Endangered Species
❑ Yes M No
Act impacts? *
5c.
If yes, indicate the USFWS Field Office you have contacted.
Choose
5d.
Is another federal agency involved? *
❑ Yes M No ❑ Unknown
If yes, which federal agency?
Click to enter.
5e.
Is this a DOT project located within Divisions 1-8? *
❑ Yes M No
5f.
Will you cut any trees in order to conduct the work in waters of the
U.S.? *
®Yes ❑ No
5g.
Does this project involve bridge maintenance or removal? *
❑ Yes M No
Link to NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed NLEB-
SLOPES&apps.pdf
5h.
Does this project involve the construction/ installation of a wind
turbine(s)? *
El Yes M No
If yes, please show the location of the wind turbine(s) on the permit drawings/ project plans (attach .pdf)
5i.
Does this project involve blasting and /or other percussive activities
that will be conducted by machines, such as jackhammers,
❑ Yes M No
mechanized pile drivers, etc.? *
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this
activity on the property (attach .pdf)
5j.
What data sources did you use to determine whether your site would impact Endangered Species or Designated
Critical Habitat? *
US Department of the Interior — Fish and Wildlife Service Official Species List from IPaC
Four listed species are identified on the IPaC report (attached). The Tri-Colored Bat, Monarch Butterfly, Michaux's
Sumac and Schweinitz's Sunflower are included by the IPaC as federally listed species identified within the project
area. Bat hibernacula is not located on the site. The majority of the site contains fields and, so, does not include areas
of suitable summer roosting habitat. Potentially higher quality suitable summer roosting habitat was observed on
surrounding properties. Percussive activities including blasting or driving piles are not anticipated as a result of
construction of the proposed project. Based on availability of similar and higher quality habitat on nearby properties,
we have made the determination that the proposed project is not likely to adversely affect the tri-colored bat. Suitable
habitat for Michaux's Sumac and Schweinitz's Sunflower is not present on the site and known occurences of these
species have not been identified within 2 miles of the site. The Monarch Butterfly is a candidate species and not
subject to the provisions of the ESA.
Attach consultation documentation.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as
an Essential Fish Habitat? *
❑ Yes X No
Page 18 of 21 PCN Form - Version 1.5, September 2020

Are there submerged aquatic vegetation (SAV) around
the project vicinity? *
El Yes 0 No El Unknown
Will this project affect submerged aquatic vegetation?
❑ Yes X No ❑ Unknown
Explain: Click to enter.
6b. What data source(s) did you use to determine whether your site would impact Essential Fish Habitat?
Essential Fish Habitat Mapper — NOAA Fisheries
Page 19 of 21 PCN Form - Version 1.5, September 2020

7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data):
http://gis. ncdcr.,qov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural
preservation status (e.g., National Historic Trust designation or
®Yes x❑ No
properties significant in North Carolina history and archaeology)?
7b. What data source(s) did you use to determine whether your site would impact historic or archeological
resources? *
NC Historic Preservation Office's HPOWEB 2.0. Historic properties that are listed or are eligible for listing on the
National Register for Historic Places were not identified on the site or proximate to stream and wetland impacts. A
copy of the SHPO Map is included as an attachment.
7c. Attach historic or prehistoric documentation.
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https:Hmsc.fema.,qov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain? *
® Yes X No
8b. If yes, explain how the project meets FEMA requirements.
Click to enter.
8c. What source(s) did you use to make the floodplain determination?
National Flood Hazard Layer from FEMA Web Map Service — Drawing 4 (Attached)
Page 20 of 21 PCN Form - Version 1.5, September 2020

H. Miscellaneous
Comments:
Please let me know if you need additional information in order to process this application.
Attach pertinent documentation or attachments not previously requested
I. Signature *
X By checking the box and signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete, to
the best of my knowledge and belief;
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time;
• The project proponent hereby agrees that submission of this PCN form is a "transaction" subject to Chapter
66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• The project proponent hereby agrees to conduct this transaction by electronic means pursuant to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• The project proponent hereby understands that an electronic signature has the same legal effect and can be
enforced in the same way as a written signature; AND
• As the project proponent, I intend to electronically sign and submit the PCN/online form.
Full Name: * David S. Brame
Signature: * ��
1 //24/2`023
Page 21 of 21 PCN Form - Version 1.5, September 2020

Proposal for Environmental Services
Pilot Proposal5917.3
April26, 2022
AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address: 643 tfi«,_IA Y /ur6
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Applicant Information
Name: /v%CCeJV/LG�6_ I �/�L4pj-���T r�i4RTn%�•cS t LC
Address: �� 43OX 3
&o,3 NC Z70/7
Telephone Number: —,_30 6 — / 7 90
Fax Number:
E-mail Address:
Signature: �%�C,C�S✓/L�i�vwL4�.JT PiM pate
co**-eMJ � «<
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IIUIIYIiLI{IY

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2020-01262 County: Davie U.S.G.S. Quad: NC- Mocksville
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Requestor: Wells Fargo Bank
Lorraine Bulloch
Address: 150 Fayetteville Street
Raleigh, NC 27601
Telephone Number: 919-624-3971
E-mail: Lorraine.bullochAwellsfargo.com
Size (acres) 201 Nearest Town Mocksville
Nearest Waterway Cedar Creek River Basin Upper Pee Dee
USGS HUC 03040101 Coordinates Latitude: 35.954668
Longitude:-80.520644
Location description: The review area is located on the north side of US Highwav 158; approximately 5.4 miles north of the
intersection of US Highwav 158 and US Highwav 64. PIN: 5840855939. Reference review area description shown in
Jurisdictional Determination Request package entitled "Drawing 1, USGS Topographic Map".
Indicate Which of the Following Apply:
A. Preliminary Determination
® There appear to be waters, including wetlands on the above described project area/property, that may be subject to Section 404
of the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). The
waters, including wetlands have been delineated, and the delineation has been verified by the Corps to be sufficiently accurate
and reliable. The approximate boundaries of these waters are shown on the enclosed delineation map dated 9/22/2020. Therefore
this preliminary jurisdiction determination may be used in the permit evaluation process, including determining compensatory
mitigation. For purposes of computation of impacts, compensatory mitigation requirements, and other resource protection
measures, a permit decision made on the basis of a preliminary JD will treat all waters and wetlands that would be affected in any
way by the permitted activity on the site as if they are jurisdictional waters of the U.S. This preliminary determination is not an
appealable action under the Regulatory Program Administrative Appeal Process (Reference 33 CFR Part 331). However, you may
request an approved JD, which is an appealable action, by contacting the Corps district for further instruction.
❑ There appear to be waters, including wetlands on the above described project area/property, that may be subject to Section 404
of the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403).
However, since the waters, including wetlands have not been properly delineated, this preliminary jurisdiction determination
may not be used in the permit evaluation process. Without a verified wetland delineation, this preliminary determination is
merely an effective presumption of CWA/RHA jurisdiction over all of the waters, including wetlands at the project area, which
is not sufficiently accurate and reliable to support an enforceable permit decision. We recommend that you have the waters,
including wetlands on your project area/property delineated. As the Corps may not be able to accomplish this wetland
delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that can be verified by the Corps.
B. Approved Determination
❑ There are Navigable Waters of the United States within the above described project area/property subject to the permit
requirements of Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act
(CWA)(33 USC § 1344). Unless there is a change in law or our published regulations, this determination may be relied upon for
a period not to exceed five years from the date of this notification.
❑ There are waters, including wetlandson the above described project area/property subject to the permit requirements of Section
404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
❑ We recommend you have the waters, including wetlands on your project area/property delineated. As the Corps may not be
able to accomplish this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that
can be verified by the Corps.
❑ The waters, including wetlands on your project area/property have been delineated and the delineation has been verified by
the Corps. The approximate boundaries of these waters are shown on the enclosed delineation map dated DATE. We strongly

SAW-2020-01262
suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the Corps. Once
verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your property which, provided
there is no change in the law or our published regulations, may be relied upon for a period not to exceed five years.
❑ The waters, including wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the
Corps Regulatory Official identified below onDATE. Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
❑ There are no waters of the U.S., to include wetlands, present on the above described project area/property which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
❑ The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act (CAMA).
You should contact the Division of Coastal Management in Morehead City, NC, at [phone] to determine their
requirements.
Placement of dredged or fill material within waters of the US, including wetlands, without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). Placement of dredged or fill material, construction or
placement of structures, or work within navigable waters of the United States without a Department of the Army permit may
constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act (33 USC § 401 and/or 403). If you have any questions
regarding this determination and/or the Corps regulatory program, please contact Bryan Roden -Reynolds at 704-510-1440 or
brvan.roden-reynolds(&u sace.army.mil.
C. Basis For Determination: Basis For Determination: See the preliminary jurisdictional determination
form dated 9/22/2020.
D. Remarks: None.
E. Attention USDA Program Participants
This delineation/determmation has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination may not be valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.
F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in B.
above)
This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this determination you
must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Phillip Shannin, Review Officer
60 Forsyth Street SW, Room 10M15
Atlanta, Georgia 30303-8801
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by Not applicable.
**It is not necessary to submit an RFA form to the Division Office if ** lyou do not object to the determination in this correspondence.
RODEN Digitally signed by RODEN
REYNOLDS.BRYAN.KENNETH.1263385574 REYNOLDS.BRYAN.KENNETH.1263385574
Corps Regulatory Official: Date: 2020.09.22 15:47:38 -04!00'
Date of JD: 9/22/2020 Expiration Date of JD: Not applicable

SAW-2020-01262
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete the Customer Satisfaction Survey located at
http://corpsmapu.usace.army.mil/cm_apex/f?p=136:4:0
Copy furnished:
Agent:
Pilot Environmental, Inc.
Seren Homer
Address:
P.O. Box 128
Kernersville, NC 27285
Telephone Number:
336-310-4527
E-mail:
shomer(&yilotenviro,com

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: Wells Fargo Bank, Lorraine Bullock File Number: SAW-2020-01262
Date: 9/22/2020
Attached is:
See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission)
A
PROFFERED PERMIT (Standard Permit or Letter of permission)
B
PERMIT DENIAL
C
APPROVED JURISDICTIONAL DETERMINATION
D
❑X
PRELIMINARY JURISDICTIONAL DETERMINATION
E
SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at or http://www.usace.army.miUMissions/CivilWorks/ReaulatoryProgramandPenuits.asi)
OZI& Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After
evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new
information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section II of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed),
by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the JD.
SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However, you may provide additional information to clarify the location of information that is already in the administrative
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the
If you only have questions regarding the appeal process you may
appeal process you may contact:
also contact:
District Engineer, Wilmington Regulatory Division
Mr. Phillip Shannin, Administrative Appeal Review Officer
Attn: Bryan Roden -Reynolds
CESAD-PDO
Charlotte Regulatory Office
U.S. Army Corps of Engineers, South Atlantic Division
U.S Army Corps of Engineers
60 Forsyth Street, Room 1 OM15
8430 University Executive Park Drive, Suite 615
Atlanta, Georgia 30303-8801
Charlotte, North Carolina 28262
Phone: [phone]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15-day
notice of any site investigation, and will have the opportum to participate in all site investi ations.
Date:
Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: Bryan Roden -Reynolds, 69 Darlington Avenue, Wilmington, North
Carolina 28403
For Permit denials, Proffered Permits and Approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Phillip Shannin, Administrative
Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 1OM15, Atlanta, Georgia 30303-8801
Phone: [phone]

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 09/30/2020
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Wells Fargo Bank, Lorraine Bulloch, 150
Fayetteville Street, Raleigh, NC 27601
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, US Highway 158, SAW-
2020-01262
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: The review area is located on the
north side of US Highway 158; approximately 5.4 miles north of the intersection of US Highway 158 and US
Highway 64. PIN: 5840855939. Reference review area description shown in Jurisdictional Determination
Request package entitled "Drawing 1, USGS Topographic Map".
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES
AND/OR AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County: Davie City: Mocksville
Center coordinates of site (lat/long in degree decimal format): Latitude: 35.954668 Longitude:-80.520644
Universal Transverse Mercator:
Name of nearest waterbody: Cedar Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
®Office (Desk) Determination. Date: 07/07/2020
® Field Determination. Date(s):09/22/2020
TABLE OF AQUATIC RESOURCES INREVIEW AREA WHICH "MAY BE" SUBJECT TO
REGULATORY JURISDICTION
Feature
Latitude
Longitude
Estimated
Type of aquatic
Geographic authority to
(decimal
(decimal
amount of
resources (i.e.,
which the aquatic
degrees)
degrees)
aquatic
wetland vs. non-
resource "may be"
resources in
wetland waters)
subject (i.e., Section 404
review area
or Section 10/404)
(acreage and
linear feet, if
applicable
SEE ATTACHED TABLE
1. The Corps of Engineers believes that there may be jurisdictional aquatic resources in the
review area, and the requestor of this PJD is hereby advised of his or her option to request
and obtain an approved JD (AJD) for that review area based on an informed decision after
having discussed the various types of JDs and their characteristics and circumstances when
they may be appropriate.
2. In any circumstance where a permit applicant obtains an individual permit, or a Nationwide
General Permit (NWP) or other general permit verification requiring "pre- construction
notification" (PCN), or requests verification for a non -reporting NWP or other general
permit, and the permit applicant has not requested an AJD for the activity, the permit
applicant is hereby made aware that: (1) the permit applicant has elected to seek a permit
authorization based on a PJD, which does not make an official determination of

jurisdictional aquatic resources; (2) the applicant has the option to request an AJD before
accepting the terms and conditions of the permit authorization, and that basing a permit
authorization on an AJD could possibly result in less compensatory mitigation being
required or different special conditions; (3) the applicant has the right to request an
individual permit rather than accepting the terms and conditions of the NWP or other
general permit authorization; (4) the applicant can accept a permit authorization and
thereby agree to comply with all the terms and conditions of that permit, including
whatever mitigation requirements the Corps has determined to be necessary; (5)
undertaking any activity in reliance upon the subject permit authorization without
requesting an AID constitutes the applicant's acceptance of the use of the PJD; (6)
accepting a permit authorization (e.g., signing a proffered individual permit) or undertaking
any activity in reliance on any form of Corps permit authorization based on a PJD
constitutes agreement that all aquatic resources in the review area affected in any way by
that activity will be treated as jurisdictional, and waives any challenge to such jurisdiction
in any administrative or judicial compliance or enforcement action, or in any administrative
appeal or in any Federal court; and (7) whether the applicant elects to use either an AJD or
a PJD, the JD will be processed as soon as practicable. Further, an AJD, a proffered
individual permit (and all terms and conditions contained therein), or individual permit
denial can be administratively appealed pursuant to 33 C.F.R. Part 331. If, during an
administrative appeal, it becomes appropriate to make an official determination whether
geographic jurisdiction exists over aquatic resources in the review area, or to provide an
official delineation of jurisdictional aquatic resources in the review area, the Corps will
provide an AJD to accomplish that result, as soon as is practicable. This PJD finds that
there "may be" waters of the U.S. and/or that there "may be" navigable waters of the U.S.
on the subject review area, and identifies all aquatic features in the review area that could
be affected by the proposed activity, based on the following information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply) Checked items are included in the administrative
record and are appropriately cited:
® Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: Drawings 1-5
® Data sheets prepared/submitted by or on behalf of the PJD requestor. Datasheets:
® Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑USGS NHD data:
❑ USGS 8 and 12 digit HUC maps:
®U.S. Geological Survey map(s). Cite scale & quad naive: Drawing 1, USGS Topographic Map (1:24,000
Mocksville and Advance, NC)
®Natural Resources Conservation Service Soil Survey. Citation: and Drawing 2A, Published Soil Man (Soil
Survey of Davie County, Sheet 3 Dated 1995)
® National wetlands inventory map(s). Cite name: Drawing 2, Web Soil Mal) (Web Soil Survey of Davie
County) and Drawing 3, NWI Mai) (USFWS NWI Mapper)
❑ State/local wetland inventory map(s):
®FEMA/FIRMmaps: Drawing 4, FEMA FIRM (National Flood Hazard Laver)
❑ 100-year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
® Photographs: ® Aerial (Name & Date): Drawing 5, Wetland Man (Dated 07/07/2020)
or ❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarilv been verified by the Corps
and should not be relied upon for later jurisdictional determinations.
RODEN Digitally signed by RODEN
REYNOLDS.BRYAN.IENNETH.1263385574
REYNOLDS.BRYAN.KENNETH.1263385574 Date: 2020.09.2215A809 04'00'
Signature and date of Regulatory
staff member completing PJD
9/22/2020
Signature and date of person requesting PJD
(REQUIRED, unless obtaining the signature is
impracticable)1
1 Districts may establish timeframes for requester to return signed PJD forms. If the requester does not respond within the established
time frame, the district may presume concurrence and no additional follow up is necessary prior to fmalizing an action.

Feature
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated
amount of
aquatic
resources in
review area
(acreage and
linear feet, if
applicable
Type of aquatic
resources (i.e.,
wetland vs. non-
wetland waters)
Geographic
authority to
which the
aquatic resource
"may be"
subject (i.e.,
Section 404 or
Section 10/404
PA
35.959462
-80.524969
0.12
Non -wetland
404
PB
35.956093
-80.522955
0.24
Non -wetland
404
PC
35.955266
-80.520983
1.12
Non -wetland
404
Cedar Cr
35.948831
-80.513514
4850
Non -wetland
404
SA
35.959589
-80.524528
190
Non -wetland
404
SB
35.959676
-80.524329
30
Non -wetland
404
SC 1
35.95755
-80.524235
770
Non -wetland
404
SC 2
35.956401
-80.524931
350
Non -wetland
404
SD
35.955708
-80.520983
240
Non -wetland
404
SE
35.956023
-80.522571
580
Non -wetland
404
SF
35.955147
-80.521563
70
Non -wetland
404
SG
35.954035
-80.521595
330
Non -wetland
404
SH
35.955048
-80.512743
1650
Non -wetland
404
SI
35.948844
-80.513567
780
Non -wetland
404
WA
35.959268
-80.525937
0.884
Wetland
404
WB
35.959577
-80.524636
0.04
Wetland
404
WC
35.959668
-80.523972
0.025
Wetland
404
WD
35.957145
-80.524337
0.401
Wetland
404
WE
35.955951
-80.523189
0.066
Wetland
404
WF
35.956054
-80.52232
0.201
Wetland
404
WG
35.955978
-80.52138
0.115
Wetland
404
WH
35.955066
-80.52159
0.017
Wetland
404
WI
35.954382
-80.521242
0.227
Wetland
404
WJ
35.955829
-80.520822
0.126
Wetland
404
WK
35.957391
-80.519917
5.597
Wetland
404
WL
35.95628
-80.518853
0.211
Wetland
404
WM
35.956136
-80.516595
1.283
Wetland
404
WO
35.95646
-80.516074
0.209
Wetland
404
WP
35.953014
-80.515836
0.071
Wetland
404
WQ
35.950667
-80.51297
0.43
Wetland
404
WR
35.952449
-80.513296
0.127
Wetland
404
WS
35.954148
-80.514695
2.715
Wetland
404
WT
35.954208
-80.527954
0.24
Wetland
404

S8
WB �30 LF
0.04 ac.
We
N
SAJ 0,025 ac,
PA 190 LF
WA 0.12 ac.
WK
0.884 ac. 1 5,597 ac.
Sc
Wo 770 LF A
0.401 ac.
SC 2 PB Cedar Cr
350 LF1710 LF
\ 0-24 ac.
WF SE
590 LF SD DP-60
0, 201 ac, \1 240 LF \bDP-5
DP-2 WG
5F �7 DP� ---1-0.115 ac;,
Fl
WE 70 LF \-1 # \ WJ 0WL
211 ac
0.066 ac. 0.126 ac. .. WrA
1.283 ac.
WH
WT
0.24 ac, 0,017 ac.
SG K
330 V ODP-4 1.12 ac.
DP-3
W1 WP
0.227 a-C, 0.071 a
'7
A�
-------- IK�
V
- 006
r:
Jg
wo
U09 ac,
Cedar'I-
3141D LF
WR
0.127 ac.
WQ
/0.43 a
LEGEND
Site Boundary
FLAG NUMBERS/INFORMATION
Pond
4,
WETLAND FLAGS
Perennial Stream
Wetland
STREAM FLAGS
Wetland Flags 337
Stream
Ky
-10
Stream Flags = Flagged at origins DP Data Point
and intersections; surveyor locate
intersections;
Lu -4 WA Feature ID
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP WERE VERIFIED BY MR. BRYAN RODEN-REYNOLDS WITH THE USACE ON SEPTE M BER
t22, 2020. LOCATIONS OF
INCLUDES GPS LOCATIONS OF DELINEATED FEATURES.
��. n N
Drawing 5 Wetland Map
2018 Satellite Imagery from ESRI
US Highway 158
and Pilot GPS Data
Approximate 201-Acre Tract
Scale: 1" = 600'
Date: 7.7.20 PIL111 Mocksville, Davie County, NC
Revised: 9.22.20 PILOT E N V I R 0 N M E N T A L . �IN C Pilot Project 5917

T
++ F+ {
r
I
Vp
�r
df
• t '!
'K6_ '� •'
LEGEND
- Site Boundary
Drawing 1 :. USGS Topographic Map
USGS Topographic Map US Highway 158
Approximate 201-Acre Tract
Mocksville and Advance t
NC Quadrangles PILM Mocksville, Davie County, NC
Scale: 1" = 2,000' L r LOT LY1'IR6NMCNT/i X{ Pilot Project 5917

4
i
{
y � i
LW
Jk
qL
a
IAN
'Alt
1.
dr
I
s
LEGEND
Site Boundary
R�
Drawing 2 Web Soil Map
USDA Web Soil Survey ,. :'. rr ;. US Highway 158
of Davie County, NC = _.: Approximate 201-Acre Tract
++* M1 Mocksville, Davie County, NC
Scale. 1 - _ 600 PI
r LOT !'IVIRDNMCNT/i. M{ Pilot Project 5917

PIS
L 0 T L

Drawing 3
USFWS NWI
Wetlands Mapper
Scale: 1" = 600'
NWI Map
US Highway 158
t Approximate 201-Acre Tract
Mocksville, Davie County, NC
PILOT Pilot Project 5917
Ir LOT L Y 1' I R O N M C N T/ i X{

so '*'r
000-MA
� � r
.17
UILPANEL
a QJ
`31;
2008�
wy.. i %,AREA F
Y
Drawing 4
National Flood Hazard Layer
From FEMA Web Map Service
Scale: 1" = 600'
._;a
IT.
�• ' LEGEND
Site Boundary
. � ;•+ *ffR 1 %Annual Chance Flood Hazard
}' Regulatory Floodvay
s Sped al Floodvay
Area of Undetermined Flood Hazard
f` 0.2%Annual Chance Flood Hazard
Future Conditions 1 %Annual Chance Flood Hazard
Area with R educed Risk Due to Levee
4' I'
PI
r L O T L 4 V I K 6 N M C N T/ L M{
FEMA FIRM
US Highway 158
Approximate 201-Acre Tract
Mocksville, Davie County, NC
Pilot Project 5917

W-4 1
0.954 ac,
se
W&
a0 LF
0.94 ac,N_11�
We
4J425 •C-
5A
PA 190 4�
0.12 ac.
_W L
770 LF
wwo
0_401 ac.
5C z
350 LF�
�
WF
0, 201 x.
FLAG NUMBERS/INFORMATION
WE
0-066 ac.
WK
5.547 ae.
PB
!4 ac
SF
5@Q LF %V
740 LF
11F O P 1
iAl1
70 L, �P 2(
o,12rt
W L!
0,017 ar,
5G •.�L
A30 LF 1 1� oc
. -4
\ODP
ODP-3
Cador Cr
1710 LF
DP-60\
r ODP-5
y 1
0.231 ac, WM
s 1.283 arc, ,
M227ac. * '--- -�b __ 0_1071
i'
W O r _ VT
Site Boundary
Pond
WETLAND FLAGS = I I I Perennial Stream
STREAM FLAGS = I////////I Wetland
Wetland Flags = 337 DP-1 O Data Point
Stream Flags = Flagged at origins
and intersections; surveyor locate - WA Feature ID
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP WERE VERIFIED BY MR. BRYAN RODEN-REYNOLDS WITH THE USACE ON SEPTEMBER
22, 2020. THIS EXHIBIT INCLUDES GPS LOCATIONS OF DELINEATED FEATURES.
Drawing 5
2018 Satellite Imagery from ESRI
and Pilot GPS Data
Scale: 1" = 600'
Date: 7.7.20
Revised: 9.22.20
tLD T ! Y V I K D N M C N T/ i M{
Wetland Map
US Highway 158
Approximate 201-Acre Tract
Mocksville, Davie County, NC
Pilot Project 5917

NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 5
USAC E AID#: NCDWR #:
Project Name Tri-West Business Park Date of Evaluation 7/6/20
Applicant/Owner Name Mocksville Development Partners LLC Wetland Site Name WT
Wetland Type Non -Tidal Freshwater Marsh Assessor Name/Organization David Brame
Level III Ecoregion Piedmont Nearest Named Water Body Dutchmand Creek
River Basin Yadkin -Pee Dee USGS 8-Digit Catalogue Unit 03040101
County Davie NCDWR Region Winston-Salem
r - Yes 3'- No Precipitation within 48 hrs? Latitude/Longitude (deci-degrees) 35.954248°/-80.527816°
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference, if
appropriate, in recent past (for instance, approximately within 10 years). Noteworthy stressors include, but are not limited
to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub -surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby
septic tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• Habitat/plant community alteration (examples: mowing, clear -cutting, exotics, etc.)
Is the assessment area intensively managed? �w Yes ' - No
Regulatory Considerations - Were regulatory considerations evaluated? Yes i No If Yes, check all that apply to the assessment area.
I Anadromous fish
1 Federally protected species or State endangered or threatened species
I NCDWR riparian buffer rule in effect
i Abuts a Primary Nursery Area (PNA)
i Publicly owned property
I N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
I Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
Designated NCNHP reference community
Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
Blackwater
Brownwater
1 Tidal (if tidal, check one of the following boxes) Lunar i Wind i Both
Is the assessment area on a coastal island? 3 Yes No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? Yes No
Does the assessment area experience overbank flooding during normal rainfall conditions? Yes w No
Ground Surface Condition/Vegetation Condition - assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure
(VS) in the assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable,
then rate the assessment area based on evidence of an effect.
GS VS
A A Not severely altered
is B is B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire -plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing,
less diversity [if appropriate], hydrologic alteration)
2. Surface and Sub -Surface Storage Capacity and Duration - assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub -surface storage capacity and
duration (Sub). Consider both increase and decrease in hydrology. A ditch <- 1 foot deep is considered to affect surface water only,
while a ditch > 1 foot deep is expected to affect both surface and sub -surface water. Consider tidal flooding regime, if applicable.
Surf Sub
3­ A i A Water storage capacity and duration are not altered.
B B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
C i C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation
change) (examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief - assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column for each group below. Select the appropriate storage for the assessment area (AA) and the wetland
type (WT).
AA WT
3a. 3' A i A Majority of wetland with depressions able to pond water > 1 foot deep
B B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
C i C Majority of wetland with depressions able to pond water 3 to 6 inches deep
D D Depressions able to pond water < 3 inches deep
3b.A Evidence that maximum depth of inundation is greater than 2 feet
B Evidence that maximum depth of inundation is between 1 and 2 feet
C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture/Structure - assessment area condition metric (skip for all marshes)
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape
feature. Make soil observations within the 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for
regional indicators.
4a. i A Sandy soil
B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
C Loamy or clayey soils not exhibiting redoximorphic features
D Loamy or clayey gleyed soil
E Histosol or histic epipedon
4b. �` A Soil ribbon < 1 inch
B Soil ribbon > 1 inch
4c. A No peat or muck presence
` B A peat or muck presence
5. Discharge into Wetland - opportunity metric
Check a box in each column. Consider surface pollutants or discharges (Surf) and sub -surface pollutants or discharges (Sub).
Examples of sub -surface discharges include presence of nearby septic tank, underground storage tank (UST), etc.
Surf Sub
A w A Little or no evidence of pollutants or discharges entering the assessment area
B i B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
C C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use - opportunity metric (skip for non -riparian wetlands)
Check all that apply (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the
assessment area (5M), and within 2 miles and within the watershed draining to the assessment area (2M). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
F A I A I A > 10% impervious surfaces
F B F B F B Confined animal operations (or other local, concentrated source of pollutants)
F C F C F C > 20% coverage of pasture
(J D r ❑ F* D > 20% coverage of agricultural land (regularly plowed land)
F E F E r^ E > 20% coverage of maintained grass/herb
F F F F f F > 20% coverage of clear-cut land
F7 G r G r_,� G Little or no opportunity to improve water quality. Lack of opportunity may result from little or no disturbance in
the watershed or hydrologic alterations that prevent dainage and/or overbank flow from affectio the
assessment area.
Wetland Acting as Vegetated Buffer - assessment area/wetland complex condition metric (skip for non -riparian wetlands)
7a. Is assessment area within 50 feet of a tributary or other open water?
3' - Yes w No If Yes, continue to 7b. If No, skip to Metric 8.
7b. How much of the first 50 feet from the bank is weltand? (Wetland buffer need only be present on one side of the water body. Make
buffer judgment based on the average width of wetland. Record a note if a portion of the buffer has been removed or disturbed.)
i A > 50 feet
B From 30 to < 50 feet
{` C From 15 to < 30 feet
{ D From 5 to < 15 feet
{" E < 5 feet or buffer bypassed by ditches
7c. Tributary width. If the tributary is anastomosed, combine widths of channels/braids for a total width.
(` <- 15-feet wide ' - > 15-feet wide ' - Other open water (no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
-' Yes 3-' No
7e. Is tributary or other open water sheltered or exposed?
Sheltered - adjacent open water with width < 2500 feet and no regular boat traffic.
Exposed - adjacent open water with width > 2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area - wetland type/wetland complex condition metric (evaluate WT for all marshes
and Estuarine Woody Wetland only; evaluate WC for Bottomland Hardwood Forest, Headwater Forest, and Riverine Swamp
Forest only)
Check a box in each column. Select the average width for the wetland type at the assessment area (WT) and the wetland complex at the
assessment area (WC). See User Manual for WT and WC boundaries.
WT WC
A (` A > 100 feet
(-' B (" B From 80 to < 100 feet
( C (" C From 50 to < 80 feet
D D From 40 to < 50 feet
( E (" E From 30 to < 40 feet
( F F From 15 to < 30 feet
(" G "'G From 5 to < 15 feet
(" H i H < 5 feet

9. Inundation Duration - assessment area condition metric (skip for non -riparian wetlands)
Answer for assessment area dominant landform.
3' - A Evidence of short -duration inundation (< 7 consecutive days)
B Evidence of saturation, without evidence of inundation
3' - C Evidence of long -duration inundation or very long -duration inundation (7 to 30 consecutive days or more)
10. Indicators of Deposition - assessment area condition metric (skip for non -riparian wetlands and all marshes)
Consider recent deposition only (no plant growth since deposition).
A Sediment deposition is not excessive, but at approximately natural levels.
is B Sediment deposition is excessive, but not overwhelming the wetland.
C Sediment deposition is excessive and is overwhelming the wetland.
11. Wetland Size - wetland type/wetland complex condition metric
Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut, select "K" for the FW column.
WT WC FW (if applicable)
(- A (- A (-" A > 500 acres
C B C B C B From 100 to < 500 acres
C C C C ( C From 50 to < 100 acres
C D C D ( D From 25 to < 50 acres
C E C E C E From 10 to < 25 acres
CF CF CF From 5 to < 10 acres
C G C G C G From 1 to < 5 acres
C H H ( H From 0.5 to < 1 acre
I (: I ( I From 0.1 to < 0.5 acre
(- J J is J From 0.01 to < 0.1 acre
C K C K C` K < 0.01 acre or assessment area is clear-cut
12. Wetland Intactness - wetland type condition metric (evaluate for Pocosins only)
I- A Pocosin is the full extent (> 90%) of its natural landscape size.
B Pocosin is < 90% of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas - landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
metric naturally vegetated area and open water (if appropriate). Boundaries are formed by four -lane roads, regularly maintained utility
line corridors the width of a four -lane road or wider, urban landscapes, fields (pasture open and agriculture), or water > 300 feet wide.
Well Loosely
C A f" A > 500 acres
C B B From 100 to < 500 acres
C C C From 50 to < 100 acres
C D D From 10 to < 50 acres
{: E (9 E < 10 acres
C" F f F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
( Yes f" No Wetland type has a surface hydrology connection to open waters/stream or tidal wetlands.
14. Edge Effect - wetland type condition metric (skip for all marshes and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non -forested areas > 40 feet wide such as fields, development, roads, regularly maintained utility line corridors and clear -cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directiions? If the assessment area is clear-cut,
select option "C."
A 0
B 1to4
C 5 to 8
15. Vegetative Composition - assessment area condition metric (skip for all marshes and Pine Flat)
C A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotic plants absent or sparse within the assessment area.
C B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or
clearing. It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
C C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non -
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in
at least one stratum.
16. Vegetative Diversity - assessment area condition metric (evaluate for Non -tidal Freshwater Marsh only)
f- A Vegetation diversity is high and is composed primarily of native species (<10% cover of exotics).
C. B Vegetation diversity is low or has > 10% to 50% cover of exotics.
C Vegetation is dominated by exotic species (>50% cover of exotics).

17. Vegetative Structure — assessment area/wetland type condition metric
17a. Is vegetation present?
(9 Yes (` No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non -marsh wetlands.
(9 A > 25% coverage of vegetation
!— B < 25% coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non -marsh wetlands. Consider structure
in airspace above the assessment area (AA) and the wetland type (WT) separately.
AA WT
n f' A i� A Canopy closed, or nearly closed, with natural gaps associated with natural processes
mC B f B Canopy present, but opened more than natural gaps
U f: C {: C Canopy sparse or absent
oC A f A Dense mid-story/sapling layer
in f - B C B Moderate density mid-story/sapling layer
t: C (+ C Mid-story/sapling layer sparse or absent
s f— A (- A Dense shrub layer
t
C B C B Moderate density shrub layer
U t: C (: C Shrub layer sparse or absent
s C A C A Dense herb layer
f: B (: B Moderate density herb layer
= i C C C Herb layer sparse or absent
18. Snags — wetland type condition metric (skip for all marshes)
f A Large snags (more than one) are visible (> 12-inches DBH, or large relative to species present and landscape stability).
t: B Not A
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
( A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
C B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12-inch DBH.
t: C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric (skip for all marshes)
Include both natural debris and man -placed natural debris.
(" A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
(: B Not A
21. Vegetation/Open Water Dispersion — wetland type/open water condition metric (evaluate for Non -Tidal Freshwater
Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
i`A B `C (9D
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands and Salt/Brackish Marsh only)
Examples of activities that may severely alter hydrologic connectivity include intensive ditching, fill, sedimentation, channelization,
diversion, man-made berms, beaver dams, and stream incision. Documentation required if evaluated as B, C, or D.
!— A Overbank and overland flow are not severely altered in the assessment area.
B Overbank flow is severely altered in the assessment area.
` C Overland flow is severely altered in the assessment area.
D Both overbank and overland flow are severely altered in the assessment area.
Notes

Wetland Site Name
Wetland Type
NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
1I
Non -Tidal Freshwater Marsh
Date
Assessor Name/Organization
7/6/20
David Brame
Notes on Field Assessment Form (Y/N)
NO
Presence of regulatory considerations (Y/N)
NO
Wetland is intensively managed (Y/N)
YES
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
NO
Assessment area is substantially altered by beaver (Y/N)
NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
NO
Assessment area is on a coastal island (Y/N)
NO
Sub -function Rating Summary
Function
Sub -function
Metrics
Rating
Hydrology
Surface Storage and Retention
Condition
NA
Sub -Surface Storage and Retention
Condition
NA
Water Quality
Pathogen Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence? (Y/N)
NA
Particulate Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence? (Y/N)
NA
Soluble Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence? (Y/N)
NA
Physical Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence? (Y/N)
NA
Pollution Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence? (Y/N)
NA
Habitat
Physical Structure
Condition
LOW
Landscape Patch Structure
Condition
LOW
Vegetation Composition
Condition
MEDIUM
Function Rating Summary
Function
Metrics/Notes Rating
Hydrology
Condition
Water Quality
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Habitat
Condition LOW
Overall Wetland Rating

United States Department of the Interior
FISH AND WILDLIFE SERVICE
Asheville Ecological Services Field Office
160 Zillicoa Street
Asheville, NC 28801-1082
Phone: [phone] Fax: [phone]
In Reply Refer To:
Project Code: 2022-0072440
Project Name: Tri-West
January 24, 2023
Subject: List of threatened and endangered species that may occur in your proposed project
location or may be affected by your proposed project
To Whom It May Concern:
The enclosed species list identifies threatened, endangered, proposed and candidate species, as
well as proposed and designated critical habitat, that may occur within the boundary of your
proposed project and/or may be affected by your proposed project. The enclosed species list
fulfills the requirements of the U.S. Fish and Wildlife Service (Service) under section 7(c) of the
Endangered Species Act (Act) of 1973, as amended (16 U.S.C. 1531 et seq.).
Please note that new species information can change your official species list. Under 50 CFR
402.12(e) of the regulations implementing section 7 of the Act, the accuracy of this species list
should be verified after 90 days. The Service recommends you visit the ECOS-IPaC website at
regular intervals during project planning and implementation to ensure your species list is
accurate or obtain an updated species list.
The purpose of the Act is to provide a means whereby threatened and endangered species and the
ecosystems upon which they depend may be conserved. Under sections 7(a)(1) and 7(a)(2) of the
Act and its implementing regulations (50 CFR 402 et seq.), Federal agencies are required to
utilize their authorities to carry out programs for the conservation of threatened and endangered
species and to determine whether projects may affect threatened and endangered species and/or
designated critical habitat.
A biological assessment (BA) or biological evaluation (BE) should be completed for your
project. A BA is required for major construction activities (or other undertakings having similar
physical impacts) considered to be Federal actions significantly affecting the quality of the
human environment as defined in the National Environmental Policy Act (42 U.S.C. 4332(2) (c))
(NEPA). For projects other than major construction activities, the Service suggests that a BE be
prepared to determine effects of the action and whether those effects may affect listed species
and/or designated critical habitat. E?ects of the action are all consequences to listed species or
critical habitat that are caused by the proposed action, including the consequences of other

01/24/2023
activities that are caused by the proposed action. A consequence is caused by the proposed action
if it is reasonably certain to occur and would not occur "but for" the proposed action..
Recommended contents of a BA/BE are described at 50 CFR 402.12. More information and
resources about project review and preparing a BA/BE can be found at the following web link:
https://www.fws. gov/office/asheville-ecological-services/asheville-field-office-online-review-
process-overview.
If a Federal agency determines listed species and/or designated critical habitat may be affected
by the proposed project, the agency is required to consult with the Service pursuant to 50 CFR
402. The Service is not required to concur with "no effect" determinations from Federal action
agencies. If consultation is required, the Service recommends that candidate species, proposed
species, proposed critical habitat, and at -risk species be addressed within the consultation. More
information on the regulations and procedures for section 7 consultation, including the role of
permit or licensed applicants, can be found in the "Endangered Species Consultation Handbook"
at the following web link: https://www.fws.gov/media/endangered-species-consultation-
handbook.
Migratory Birds: In addition to responsibilities to protect threatened and endangered species
under the Act, there are additional responsibilities under the Migratory Bird Treaty Act (MBTA)
and the Bald and Golden Eagle Protection Act (BGEPA) to protect native birds from project -
related impacts. Any activity, intentional or unintentional, resulting in take of migratory birds,
including eagles, is prohibited unless otherwise permitted by the Service (50 C.F.R. Sec. 10.12
and 16 U.S.C. Sec. 668(a)). More information about MBTA and BGEPA can be found at the
following web link: https://www.fws.gov/program/migratory-birds.
We appreciate your consideration of Federally listed species. The Service encourages Federal
agencies to include conservation of threatened and endangered species in their project planning
to further the purposes of the Act. Please contact our staff at 828-258-3939, if you have any
questions. In any future correspondence concerning this project, please reference the
Consultation Code which can be found in the header of this letter.
Attachment(s):
• Official Species List
• USFWS National Wildlife Refuges and Fish Hatcheries
• Migratory Birds
• Wetlands

01/24/2023
Official Species List
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Asheville Ecological Services Field Office
160 Zillicoa Street
Asheville, NC 28801-1082
[phone]

01/24/2023
Project Summary
Project Code: 2022-0072440
Project Name: Tri-West
Project Type: Commercial Development
Project Description: The site is being considered for Industrial development.
Project Location:
Approximate location of the project can be viewed in Google Maps: https:
www. google.com/maps/(a)35.95645245,-80.5212764211077,14z
Counties: Davie County, North Carolina

01/24/2023 3
Endangered Species Act Species
There is a total of 4 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheriesi, as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
1. NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
Mammals
NAME STATUS
Tricolored Bat Perimyotis subflavus Proposed
No critical habitat has been designated for this species. Endangered
Species profile: https:Hecos.fws.gov/ecp/species/10515
Insects
NAME STATUS
Monarch Butterfly Danaus plexippus Candidate
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/9743
Flowering Plants
NAME STATUS
Michaux's Sumac Rhus michauxii Endangered
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/5217
Schweinitz's Sunflower Helianthus schweinitzii Endangered
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/3849
Critical habitats
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.

01/24/2023

01/24/2023
USFWS National Wildlife Refuge Lands And Fish
Hatcheries
Any activity proposed on lands managed by the National Wildlife Refuge system must undergo a
'Compatibility Determination' conducted by the Refuge. Please contact the individual Refuges to
discuss any questions or concerns.
THERE ARE NO REFUGE LANDS OR FISH HATCHERIES WITHIN YOUR PROJECT AREA.

01/24/2023
Migratory Birds
Certain birds are protected under the Migratory Bird Treaty Act! and the Bald and Golden Eagle
Protection Actz.
Any person or organization who plans or conducts activities that may result in impacts to
migratory birds, eagles, and their habitats should follow appropriate regulations and consider
implementing appropriate conservation measures, as described below.
1. The Migratory Birds Treat. Act of 1918.
2. The Bald and Golden Eagle Protection Act of 1940.
3. 50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)
The birds listed below are birds of particular concern either because they occur on the
USFWS Birds of Conservation Concern (BCC) list or warrant special attention in your
project location. To learn more about the levels of concern for birds on your list and how this
list is generated, see the FAQ below. This is not a list of every bird you may find in this location,
nor a guarantee that every bird on this list will be found in your project area. To see exact
locations of where birders and the general public have sighted birds in and around your project
area, visit the E-bird data mapping tool (Tip: enter your location, desired date range and a species
on your list). For projects that occur off the Atlantic Coast, additional maps and models detailing
the relative occurrence and abundance of bird species on your list are available. Links to
additional information about Atlantic Coast birds, and other important information about your
migratory bird list, including how to properly interpret and use your migratory bird report, can be
found below.
For guidance on when to schedule activities or implement avoidance and minimization measures
to reduce impacts to migratory birds on your list, click on the PROBABILITY OF PRESENCE
SUMMARY at the top of your list to see when these birds are most likely to be present and
breeding in your project area.
1►/_11uhl
BREEDING
SEASON
Bald Eagle Haliaeetus leucocephalus Breeds Sep 1 to
This is not a Bird of Conservation Concern (BCC) in this area, but warrants attention Jul 31
because of the Eagle Act or for potential susceptibilities in offshore areas from certain types
of development or activities.
Prothonotary Warbler Protonotaria citrea Breeds Apr 1 to
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA Jul 31
and Alaska.
Rusty Blackbird Euphagus carolinus Breeds
This is a Bird of Conservation Concern (BCC) only in particular Bird Conservation Regions elsewhere
(BCRs) in the continental USA

01/24/2023
BREEDING
NAME SEASON
Wood Thrush Hylocichla mustelina Breeds May 10
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Aug 31
and Alaska.
Probability Of Presence Summary
The graphs below provide our best understanding of when birds of concern are most likely to be
present in your project area. This information can be used to tailor and schedule your project
activities to avoid or minimize impacts to birds. Please make sure you read and understand the
FAQ "Proper Interpretation and Use of Your Migratory Bird Report" before using or attempting
to interpret this report.
Probability of Presence (■)
Each green bar represents the bird's relative probability of presence in the 10km grid cell(s) your
project overlaps during a particular week of the year. (A year is represented as 12 4-week
months.) A taller bar indicates a higher probability of species presence. The survey effort (see
below) can be used to establish a level of confidence in the presence score. One can have higher
confidence in the presence score if the corresponding survey effort is also high.
How is the probability of presence score calculated? The calculation is done in three steps:
The probability of presence for each week is calculated as the number of survey events in
the week where the species was detected divided by the total number of survey events for
that week. For example, if in week 12 there were 20 survey events and the Spotted Towhee
was found in 5 of them, the probability of presence of the Spotted Towhee in week 12 is
0.25.
2. To properly present the pattern of presence across the year, the relative probability of
presence is calculated. This is the probability of presence divided by the maximum
probability of presence across all weeks. For example, imagine the probability of presence
in week 20 for the Spotted Towhee is 0.05, and that the probability of presence at week 12
(0.25) is the maximum of any week of the year. The relative probability of presence on
week 12 is 0.25/0.25 = 1; at week 20 it is 0.05/0.25 = 0.2.
3. The relative probability of presence calculated in the previous step undergoes a statistical
conversion so that all possible values fall between 0 and 10, inclusive. This is the
probability of presence score.
Breeding Season( )
Yellow bars denote a very liberal estimate of the time -frame inside which the bird breeds across
its entire range. If there are no yellow bars shown for a bird, it does not breed in your project
area.
Survey Effort (1)
Vertical black lines superimposed on probability of presence bars indicate the number of surveys
performed for that species in the 10km grid cell(s) your project area overlaps. The number of
surveys is expressed as a range, for example, 33 to 64 surveys.

01/24/2023 3
No Data (—)
A week is marked as having no data if there were no survey events for that week.
Survey Timeframe
Surveys from only the last 10 years are used in order to ensure delivery of currently relevant
information. The exception to this is areas off the Atlantic coast, where bird returns are based on
all years of available data, since data in these areas is currently much more sparse.
■ probability of presence breeding season I survey effort — no data
SPECIES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Bald Eagle
Non B C Jill +,+ —++ III Jill
+++ +---Jill
Jill
Jill
Jill
VulProthonotary +—�+ ++++ —+++ Jill Jill
Jill
IN
+
W�-- ---- +�-- —+—� ----
azbler
BCC Rangewide
(CON)
Rusty Blackbird +--+ ++,+ —+++ --++ — — — — — — — — —+++ +--- — — — — +--- —'—� —
BCC -BCR
Wood Thrush
BCC Rangewide •' Mimi
(CON)
Additional information can be found using the following links:
• Birds of Conservation Concern https://www.fws.gov/program/migratory-birds/species
• Measures for avoiding and minimizing impacts to birds https://www.fws.gov/library
collections/avoidinp--and-minimizinp--incidental-take-mip-ratorv-birds
• Nationwide conservation measures for birds https://www.fws.gov/sites/default/files/
documents/nationwide-standard-conservation-measures.pdf
Migratory Birds FAQ
Tell me more about conservation measures I can implement to avoid or minimize impacts
to migratory birds.
Nationwide Conservation Measures describes measures that can help avoid and minimize
impacts to all birds at any location year round. Implementation of these measures is particularly
important when birds are most likely to occur in the project area. When birds may be breeding in
the area, identifying the locations of any active nests and avoiding their destruction is a very
helpful impact minimization measure. To see when birds are most likely to occur and be breeding
in your project area, view the Probability of Presence Summary. Additional measures or permits
may be advisable depending on the type of activity you are conducting and the type of
infrastructure or bird species present on your project site.

01/24/2023 4
What does IPaC use to generate the list of migratory birds that potentially occur in my
specified location?
The Migratory Bird Resource List is comprised of USFWS Birds of Conservation Concern
(BCQ and other species that may warrant special attention in your project location.
The migratory bird list generated for your project is derived from data provided by the Avian
Knowledge Network (AKN). The AKN data is based on a growing collection of survey, banding,
and citizen science datasets and is queried and filtered to return a list of those birds reported as
occurring in the 10km grid cell(s) which your project intersects, and that have been identified as
warranting special attention because they are a BCC species in that area, an eagle (Eagle Act
requirements may apply), or a species that has a particular vulnerability to offshore activities or
development.
Again, the Migratory Bird Resource list includes only a subset of birds that may occur in your
project area. It is not representative of all birds that may occur in your project area. To get a list
of all birds potentially present in your project area, please visit the Rapid Avian Information
Locator (RAIL)Tool.
What does IPaC use to generate the probability of presence graphs for the migratory birds
potentially occurring in my specified location?
The probability of presence graphs associated with your migratory bird list are based on data
provided by the Avian Knowledge Network (AKN). This data is derived from a growing
collection of survey, banding, and citizen science datasets.
Probability of presence data is continuously being updated as new and better information
becomes available. To learn more about how the probability of presence graphs are produced and
how to interpret them, go the Probability of Presence Summary and then click on the "Tell me
about these graphs" link.
How do I know if a bird is breeding, wintering or migrating in my area?
To see what part of a particular bird's range your project area falls within (i.e. breeding,
wintering, migrating or year-round), you may query your location using the RAIL Tool and look
at the range maps provided for birds in your area at the bottom of the profiles provided for each
bird in your results. If a bird on your migratory bird species list has a breeding season associated
with it, if that bird does occur in your project area, there may be nests present at some point
within the timeframe specified. If "Breeds elsewhere" is indicated, then the bird likely does not
breed in your project area.
What are the levels of concern for migratory birds?
Migratory birds delivered through IPaC fall into the following distinct categories of concern:
1. "BCC Rangewide" birds are Birds of Conservation Concern (BCC) that are of concern
throughout their range anywhere within the USA (including Hawaii, the Pacific Islands,
Puerto Rico, and the Virgin Islands);
2. "BCC - BCR" birds are BCCs that are of concern only in particular Bird Conservation
Regions (BCRs) in the continental USA; and

01/24/2023 5
3. "Non -BCC - Vulnerable" birds are not BCC species in your project area, but appear on
your list either because of the Eagle Act requirements (for eagles) or (for non -eagles)
potential susceptibilities in offshore areas from certain types of development or activities
(e.g. offshore energy development or longline fishing).
Although it is important to try to avoid and minimize impacts to all birds, efforts should be made,
in particular, to avoid and minimize impacts to the birds on this list, especially eagles and BCC
species of rangewide concern. For more information on conservation measures you can
implement to help avoid and minimize migratory bird impacts and requirements for eagles,
please see the FAQs for these topics.
Details about birds that are potentially affected by offshore projects
For additional details about the relative occurrence and abundance of both individual bird species
and groups of bird species within your project area off the Atlantic Coast, please visit the
Northeast Ocean Data Portal. The Portal also offers data and information about other taxa besides
birds that may be helpful to you in your project review. Alternately, you may download the bird
model results files underlying the portal maps through the NOAA NCCOS Integrative Statistical
Modeling and Predictive Mapping of Marine Bird Distributions and Abundance on the Atlantic
Outer Continental Shelf project webpage.
Bird tracking data can also provide additional details about occurrence and habitat use
throughout the year, including migration. Models relying on survey data may not include this
information. For additional information on marine bird tracking data, see the Diving Bird Study
and the nanotag studies or contact Caleb Spiegel or Pam Loring.
What if I have eagles on my list?
If your project has the potential to disturb or kill eagles, you may need to obtain a permit to avoid
violating the Eagle Act should such impacts occur.
Proper Interpretation and Use of Your Migratory Bird Report
The migratory bird list generated is not a list of all birds in your project area, only a subset of
birds of priority concern. To learn more about how your list is generated, and see options for
identifying what other birds may be in your project area, please see the FAQ "What does IPaC
use to generate the migratory birds potentially occurring in my specified location". Please be
aware this report provides the "probability of presence" of birds within the 10 km grid cell(s) that
overlap your project; not your exact project footprint. On the graphs provided, please also look
carefully at the survey effort (indicated by the black vertical bar) and for the existence of the "no
data" indicator (a red horizontal bar). A high survey effort is the key component. If the survey
effort is high, then the probability of presence score can be viewed as more dependable. In
contrast, a low survey effort bar or no data bar means a lack of data and, therefore, a lack of
certainty about presence of the species. This list is not perfect; it is simply a starting point for
identifying what birds of concern have the potential to be in your project area, when they might
be there, and if they might be breeding (which means nests might be present). The list helps you
know what to look for to confirm presence, and helps guide you in knowing when to implement
conservation measures to avoid or minimize potential impacts from your project activities,
should presence be confirmed. To learn more about conservation measures, visit the FAQ "Tell

01/24/2023
me about conservation measures I can implement to avoid or minimize impacts to migratory
birds" at the bottom of your migratory bird trust resources page.

01/24/2023
Wetlands
Impacts to NWI wetlands and other aquatic habitats may be subject to regulation under Section
404 of the Clean Water Act, or other State/Federal statutes.
For more information please contact the Regulatory Program of the local U.S. Army Corps of
Engineers District.
Please note that the NWI data being shown may be out of date. We are currently working to
update our NWI data set. We recommend you verify these results with a site visit to determine
the actual extent of wetlands on site.
FRESHWATER FORESTED/SHRUB WETLAND
• Palustrine
RIVERINE
• Riverine

01/24/2023
2
IPaC User Contact Information
Agency:
Pilot Environmental, Inc
Name:
David Brame
Address:
743 Park Lawn Court
City:
Kernersville
State:
NC
Zip:
27284
Email
[e-mail]
Phone:
3363104527
Lead Agency Contact Information
Lead Agency: Army Corps of Engineers

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EFH Mapper Report
EFH Data Notice
Essential Fish Habitat (EFH) is defined by textual descriptions contained in the fishery management plans developed by the
regional fishery management councils. In most cases mapping data can not fully represent the complexity of the habitats that make
up EFH. This report should be used for general interest queries only and should not be interpreted as a definitive evaluation of EFH
at this location. A location -specific evaluation of EFH for any official purposes must be performed by a regional expert. Please
refer to the following links for the appropriate regional resources.
Query Results
Degrees, Minutes, Seconds: Latitude = , Longitude =
Decimal Degrees: Latitude = , Longitude =
The query location intersects with spatial data representing EFH and/or HAPCs for the following species/management units.
EFH
No Essential Fish Habitats (EFH) were identified at the report location.
Salmon EFH
No Pacific Salmon Essential Fish Habitat (EFH) were identified at the report location.
HAPCs
No Habitat Areas of Particular Concern (HAPC) were identified at the report location.
EFH Areas Protected from Fishing
No EFH Areas Protected from Fishing (EFHA) were identified at the report location.

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MARC RECKTENWALD
Director
Daniel Barnes
Mocksville Development Partners, LLC
121 N. Crutchfield Street
Dobson, NC 27101
Project: Tri West Business Park
NORTH CAROLINA
Environmental Quality
August 10, 2022
Expiration of Acceptance: 2/10/2023
County: Davie
The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) is willing to
accept payment for compensatory mitigation for impacts associated with the above referenced project as
indicated in the table below. Please note that this decision does not assure that participation in the DMS in -
lieu fee mitigation program will be approved by the permit issuing agencies as mitigation for project impacts.
It is the responsibility of the applicant to contact permitting agencies to determine if payment to the DMS will
be approved. You must also comply with all other state, federal or local government permits, regulations or
authorizations associated with the proposed activity including G.S. § 143-214.11.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not
received a copy of the issued 404 Permit/401 Certification within this time frame, this acceptance will
expire. It is the applicant's responsibility to send copies of the permits to DMS. Once DMS receives a copy
of the permit(s) an invoice will be issued based on the required mitigation in that permit and payment must
be made prior to conducting the authorized work. The amount of the in -lieu fee to be paid by an applicant is
calculated based upon the Fee Schedule and policies listed on the DMS website.
Based on the information supplied by you in your request to use the DMS, the impacts for which you are
requesting compensatory mitigation credit are summarized in the following table. The amount of mitigation
required and assigned to DMS for this impact is determined by permitting agencies and may exceed the
impact amounts shown below.
River Basin
Impact Location
8-di it HUC
Impact Type
Impact Quantity
Yadkin
03040101
Riparian Wetland
0.398
Yadkin
03040101
Warm Stream
275
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The
mitigation will be performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010.
Thank you for your interest in the DMS in -lieu fee mitigation program. If you have any questions or need
additional information, please contact [e-mail].
Sincerely,
FOR James. B Stanfill
Deputy Director
cc: David Brame, agent
North Carolina Department of Environmental Quality I Division of Mitigation Services
217 West Jones Street 1 1652 Mail Service Center I Raleigh, North Carolina 27699-1652
h(h�TH :.AROI iRA IV
o �nmmmenni w�a 919,707,8976

HOLDIN*Gs
Stream Credit Statement of Availability
August 10, 2022
THE CROWN COMPANIES, LLC
121 N. Crutchfield St., PO Box 341
Dobson, NC 27017
Attn: Mr. Daniel Barnes
RE: Availability of Stream Credits for the "Tri West Business Park" project
Bank Name: Yadkin Valley Umbrella Mitigation Bank
Bank Site: Dugger Creek Mitigation Site
Bank Sponsor: Wildlands Holdings IV, LLC
USACE Action ID No. SAW-2017-01918
Permittee: Mocksville Development Partners, LLC
Stream Credits Needed: 550.00 LF — Cool Stream
Stream Credits Available: 11,227.00 LF — Cold Stream
Yadkin 03040101 River Basin
Dear Mr. Barnes,
Wildlands Holdings IV, LLC currently has sufficient cold stream credits from the Yadkin Valley Umbrella
Mitigation Bank - Dugger Creek Mitigation Site to satisfy the mitigation requirements related to the
above -mentioned project. The project is located within the Yadkin (HUC 03040101) watershed.
This letter is simply a statement of availability of credits as of the date written. Although current
inventory is high, the letter is not a guarantee of availability as credits will be sold on a first come, first
serve basis. An invoice for this transaction will be sent upon your request and we will formally reserve
both the credits and price quoted for a period of 30 days from the invoice at no cost.
Final transfer of the credits will be made upon completion of the Mitigation Responsibility Transfer Form
within the 404-permit approving the mitigation purchase from the Bank and upon receipt of your
payment to Wildlands Holdings IV, LLC.
We appreciate the opportunity to assist you with your mitigation requirements. Please contact me at
[phone] x124 or [e-mail] if you have any questions or need any additional
information.
Wildlands Holdings IV, LLC • Wildlands Engineering, Inc • 1430 S. Mint Street, Suite 104, Charlotte, NC 28203

HOLDIN*Gs
Sincerely,
Ashley N. Yarsinske
Wildlands Engineering, Inc.
Marketing & Credit Sales
[e-mail]
0: [phone] ext. 124
M: [phone]
Cc: Mr. David Brame, PWS I Pilot Environmental, Inc.
Wildlands Holdings IV, LLC • Wildlands Engineering, Inc • 1430 S. Mint Street, Suite 104, Charlotte, NC 28203

David Brame
From: 401 PreFile <401 [e-mail]>
Sent: Thursday, April 28, 2022 4:34 PM
To: Heather LaGamba
Subject: Automatic reply: [External] Pre -File Notice - Tri-West Business Park - US Highway 158
(5914.3)
This email confirms receipt of your pre -filing meeting request. Please retain this email for your records and
submit this documentation as part of your 401 application (PCN Application) as required by federal law. DWR
will not be able to accept your application without this federally required documentation. 401 applications
received without documentation that a pre -filing meeting request was submitted at least 30 days prior will be
returned as incomplete.
Responses to this email are not monitored.
Background
On April 6, 2022, the United States Supreme Court issued an order staying a lower court's vacatur of the
Trump Administration's 2020 "Clean Water Act Section 401 Certification Rule" ("Federal Rule"). As a result of
the United States Supreme Court order, the Trump Administration's Federal Rule has sprung back into effect.
The Trump Administration's Federal Rule imposes additional procedural requirements on applicants for 401
Certifications and on DWR's processing of those applications. One requirement is that 401 applicants must
request a pre -filing meeting request at least 30 days prior to submitting their 401 application. [40 C.F.R.
§121.4] In turn, the Federal Rule requires that applicants include documentation of their pre -filing meeting
request in their 401 Certification application. [40 C.F.R §121.1; 40 C.F.R. §121.5]. Please refer to the Federal
Rule for more information.
Per 40 CFR §121 and §121.5, a 401 Certification application that does not include the required pre -filing
meeting request documentation does not constitute a "certification request." As a result of the reinstatement
of the Trump Administration's Federal Rule, all 401 applications received after April 6, 2022 that do not have
documentation that a pre -filing meeting request was submitted at least 30 days prior to submittal of a 401
Certification application will be returned as incomplete.
If you need to contact 401/Buffer Permitting Staff, please use the following link(s) to access of staff contact
list(s).
For Non -Transportation Central Staff:
https://deg.nc.gov/about/divisions/water-resources/water-quality-permitting/401-buffer-permitting/401-
buffer-germittinR-contacts
For Non -Transportation Regional
Staff: https://edocs.deg.nc.gov/WaterResources/DocView.aspx?dbid=0&id=2162034&cr=1
For all Transportation Projects Including NCDOT Projects:
https://deg.nc.gov/about/divisions/water-resources/water-resources-permits/transportation-
perm itting/staff-contacts

2

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