20150451 Ver 1_More Info Received_20150514

A10 �OO
ENERGY LAND & INFRASTRUCTURE
May 12, 2015
NC DWQ, WBSCP Unit
512 North Salisbury Street
Raleigh, NC 27604
RE: PRE - CONSTRUCTION NOTIFICATION PACKAGE
PIEDMONT NATURAL GAS, STOKESDALE 6" PRESSURE IMPROVEMENT PROJECT
STOKESDALE, GUILFORD COUNTY, NORTH CAROLINA
DWR# 15 -0451
Enclosed please find the additional copies as requested on May 7, 2015 for the Pre - Construction
Notification (PCN) package for the Stokesdale 6" Pressure Improvement project in Guilford County, North
Carolina
Enclosed please find three copies each of the following parts of the permit application
• Pre - Construction Notification (PCN) form
• Agent Authorization Form
• Request for Preliminary Jurisdictional Determination dated March 18, 2015
• Waters of the U S (Including Wetlands) Delineation dated April 2015
• April 22, 2015 letter from NCDENR about the On -Site Determination
• Easement exhibits
• March 31, 2015 letter from the State Historic Preservation Office
• April 3, 2015 letter from the US Fish and Wildlife Service
• Guilford County Stream Buffer Use Request Form
If you have questions or need additional information please contact Suzanne Herron at (615) 383 -6300 or
by email at suzanne herron @eli -Ilc com
Sincerely,
ENERGY LAND & INFRASTRUCTURE, PLLC
Suzanne B erron, P E, CPESC
Enclosures
MAY a_ 4 2015
DEiR- wAiL. <;'�
401 & EUFFL�+ 7'r'. TTING
1420 Doneison Pike, Suite A -12. Nashville, Tennessee 37217 www.Eii- lic.com 615.3183.6300
ENGINEERS • SURVEYORS • INFRASTRUCTURE • ENVIRONMENTAL

�y °F CUB
STREAM BUFFER USE �
GUILFORD COUNTY
REQUEST FORM PLANNING & DEVELOPMENT DEPARTMENT
RE Q
Post Office Box 3427
Greensboro, North Carolina 27402
Rra
Phone [phone]
c ^i`OV
http I /www myguilford com/
This form is untended for use by anyone requesting the use of a stream buffer from the Guilford County, Planning &
Development Department for use in the un- incorporated hrruts and contracted townships within Guilford
County Please
include all supporting information, as described within each category, with your request You may submit
your request to the
Stormwater /Watershed Section via mail, electronic mail, fax, or drop off
i ')J ECT INFORMATIO
PROJECT NAME Stokesdale 6" Pressure Improvement Project
PROPERTY ADDRESS- Between Highway 158 and Flatrock Road
CITY, STATE- Stokesdale, NC ZIP CODE
PARCEL IDENTIFICATION NUMBER(S) (PIN)• See attached plans
i : ® •' •
NAME Suzanne Herron, Energy Land & Infrastructure, PLLC
MAILING ADDRESS- 1420 Donelson Pike, Suite A -12
CITY, STATE Nashville, TN ZIP CODE- 37217
PHONE NUMBER (0) (615) 383 -6300 PHONE NUMBER (C)
EMAIL. [e-mail]
C 4 215
SELECT ONE.
❑ I am the current property owner
- , ;•; �. n
❑ Interested buyer or under contract to purchase.
X I am an authorized Agent or Environmental Consultant
❑ Other, please explain
i •• i i• •
NAME: See project plans
MAILING ADDRESS
CITY, STATE: ZIP CODE
PHONE NUMBER (H). PHONE NUMBER (C)
EMAIL
X Proof of Ownership Attached (e.g. a copy of Deed, County GIS /Parcel /Tax Record data)

OF Gp
STREAM BUFFER USE �o GUILFORD COUNTY
REQUEST FORM �a PLANNING & DEVELOPMENT DEPARTMENT
Post Office Box 3427
Greensboro, North Carolina 27402
Phone. [phone]
QTb CAROB http I/www myguilford com/
The undersigned applicant, a duly authorized owner on record of the property/project area does hereby authorize the
Applicant Agent listed to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
Jordan Lake Riparian Buffer Authorization and any and all standard and special conditions attached From this, the assigned
Guilford County staff is permitted to enter upon the property herein described for the purpose of conducting on -site
investigations and issuing a determination associated with Waters of the U S. subject to Federal Jurisdiction under Section 404
of the Clean Water Act and /or Section 10 of the Rivers and Harbors Act of 1899
Signature:
Date
Complete the chart below and list each buffer impact individually.
Buffer Impact ID
Activity or Use
[From table in 7 -1 -2 of
the GCDO]
Linear Impact
(feet)
Zone 1
Impact
(square feet)
Zone 2
Impact
(square feet)
Mitigation
Required?
(Yes or No
Stream SA
Utility, non - electric,
perpendicular
crossings
6.38
1991.1
1338.3
No
Stream SC
722
1854.5
1239.1
No
Total Buffer Impacts
13.6
3845.6
2577.4
*Please use same ID on all plan sheets and narrative.
I certify that this project meets all the following criteria for a determination of no practical alternatives
A The basic project purpose cannot be practically accomplished in a manner that would better mimimize disturbance,
preserve aquatic life and habitat, and protect water quality;
B The use or activity cannot practically be reduced in size or density, reconfigured, modified or redesigned to better
minimize disturbance, preserve aquatic life and habitat, and protect water quality, and
C Best management practices shall be used as necessary to minimize disturbance, preserve aquatic life and habitat, and
protect water quality.
Further, I certify that, to the best of
accurate
Print Name:
knowledge and belief, all information supplied with this application is true and
Date: C�) 4 l -o kz'-
i

(r�<
STREAM BUFFER USE OF C GUILFORD COUNTY
FORM
REQUEST �a PLANNING & DEVELOPMENT DEPARTMENT
Q Post Office Box 3427
Greensboro, North Carolina 27402
20RT9 C'A¢O�� P
Phone- (336) 641 -3334
http guilford coin/
REAM BUFFER USE ' • • N — SUBMI TAL REOUIREMENTS
The following must accompany your application Failure to do so will result in your application being considered incomplete
For assistance with this application, please contact Guilford County Planning & Development Department
X Digital Files and Paper Copies — provide digital files and paper copies of all plans and documents.
X Recorded Plat or Deed of Property
X Written Narrative describing the proposal — must include:
• Explanation of why this plan for the use or activity cannot be practically accomplished, reduced or reconfigured to
better minimize disturbance to the riparian buffer, preserve aquatic life and habitat and protect water quality.
• Description of measures taken to avoid or minimize the proposed impacts in designing the project.
• Description of measures taken to avoid or minimize the proposed impacts through construction techniques.
X Stream Determination — necessary for all submittals
X Jurisdictional Wetland Determination — if applicable
X Copy of 404 permit /401 certification — if applicable
Site Plan (2 copies to be submitted no larger than 24" x 36 ") Plans should be legible and clearly drawn by a licensed
Professional Engineer and /or Land Surveyor
• Legend
• Labels
• North Arrow (North oriented toward top of page)
• Property Boundaries
• Scale (Engineering), denoted graphically and numerically
• Existing topography at rnmimum 2 -foot intervals and finished grade
• Setbacks and property boundaries
• Buffer impact IDs, as specified in Section E — Buffer Impact Information
All plan sets should include the following
• Natural drainage and manmade drainage features, including, water bodies, streams, Jordan Riparian Buffers Boundary, Floodplain,
and Wetlands Boundary, where applicable (note ephermal streams on site).
• Delineate the boundaries of the uses or land to be utilized for activities Delineate the location and dimensions of any proposed
disturbance in the riparian buffers.
• Existing /Proposed utilities in the project area
• Notes for specific uses or activities based on requirements in Section 7 -1 of the GCDO [including footnotes from Table of Uses
and Activities 7 -1 -9
• All relevant development plan items that impact, effect or cause buffer disturbance
• Plans for any best management practices proposed to be used to control the impacts associated with the activity