20240909 Ver 1_NCDEQ 401 submittal Line 3 Exposure UT Trib Lake Hunt Rockingham Co. NC_20240628

corblu
ECOLOGY GROUP
June 28, 2024
NC DWR, 401 & Buffer Permitting Branch
512 North Salisbury Street
Raleigh, NC 27604
Subject: Section 401 Water Quality Pre -Construction Notification
Colonial Pipeline Company Maintenance
Rockingham County, North Carolina
Corblu Project No. 02-041901-188 - Line 3 Exposure UT Lake Hunt
To whom it may concern:
On behalf of our client, Colonial Pipeline Company (CPC), Corblu Ecology Group, LLC (Corblu)
is pleased to submit this Section 401 water quality Pre -Construction Notification (PCN) for
required maintenance on their Line 3 petroleum pipeline. Specifically, an exposure of CPC's Line
3 has been detected which requires restoration within an unnamed intermittent tributary (11) to
Lake Hunt within CPC's right-of-way (ROW). The pipeline exposure is located within CPC's
existing ROW northwest of the Reid School Road and Country Lane intersection in Rockingham
County, North Carolina (36.343785,-79.706563; Figure 1).
Based on our evaluation of the subject site, we believe that the temporary and permanent
disturbances to waters of the U.S. associated with this maintenance activity are authorized by the
U.S. Army Corps of Engineers (USACE) under Nationwide Permit (NWP) No. 3 (a) and (c) —
Maintenance. Based on the limited disturbance to unnamed intermittent tributary 11 (i.e.,
jurisdictional waters), the required pipeline maintenance does not require notification to the
USACE prior to initiation of the work; however, it has been determined that formal approval is
required from the North Carolina Department of Environmental Quality (DEQ) for Section 401
Water Quality Certification prior to the initiation of work. Additionally, we understand that DEQ
coordinates with the USACE during the 401 review; therefore, we have provided additional
information regarding USACE non -notifying use of NWP — 3 with the PCN Form (Appendix A).
770-591-9990
7F3225 South Cherokee Lane, Bldg. 800, Woodstock, GA 30188
corblu.corn

Section 401 Water Quality Pre -Construction Notification
Colonial Pipeline Company — Line 3 Exposure UT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
Background
Corblu inspected the above referenced pipeline maintenance location for the presence of
jurisdictional waters of the U.S. on May 21, 2024. Specifically, Corblu surveyed the above
maintenance location in accordance with the 1987 Corps of Engineers Wetlands Delineation
Manual', and the appropriate U.S. Army Corps of Engineers (USACE) Regional Supplement2.
Streams were assessed using the North Carolina Division of Water Quality (NCDWQ)
Identification Methods for the Origins of Intermittent and Perennial streams3 (Appendix 13).
Jurisdictional features [an unnamed intermittent tributary to Lake Hunt (11), and an second
unnamed intermittent tributary to Lake Hunt (12) with an abutting emergent wetland (W1) that must
be crossed for site access] were observed within the project area (Photograph Nos. 1-6; Figure
2).
The two observed streams (11 and 12) receive flow from a man-made pond located upstream
(southeast) of the CPC ROW (Figure 2). The pond appears to have a poorly functioning outlet
control structure (OCS). Specifically, 12 appears to originate from the pond OCS, and exhibited a
low flow rate during our site inspection. 11, which exhibited a higher flow rate (when compared to
12), originates from the northwestern edge of the off -site pond dam from what appears to be an
auxiliary spillway. The discharge of water through the auxiliary spillway appears to have formed
11 (i.e., a secondary stream channel) from the resulting discharge. 11 stream flow has resulted in
the formation of a head cut and the subsequent exposure of Line 3 within CPC's ROW. The lack
of pipeline protection at this location has resulted in conditions where the pipeline is currently
vulnerable to potential damage and conditions that are not consistent with CPC's or the U.S.
Department of Transportation's (USDOT) regulatory requirements for pipeline protection.
CPC is committed to operating their pipelines and support facilities in a manner that protects the
safety of the public, the environment, and its workforce. The proposed preventative pipeline
maintenance is a component of CPC's ongoing Integrity Management Program (IMP) as required
by the USDOT requirements [49 CFR Part 195 — "Pipeline Safety: Pipeline Integrity in High
Consequence Areas (Hazardous Liquid Operators with 500 or More Miles of Pipeline); Final
' Environmental Laboratory. Corps of Engineers Wetlands Delineation Manual. U.S. Army Corps of Engineers, Washington, D.C. 100
pp. plus appendices. 1987.
z U.S. Army Corps of Engineers. 2012. Regional Supplement to the Corps of Engineers Wetland Delineation Manual. Eastern
Mountains and Piedmont Region Version 2.0, ed. J.F. Berkowitz, J.S. Wakeley, R.W. Lichvar, C.V. Noble. ERDC/EL TR-12-9.
Vicksburg, MS: U.S. Army Engineer Research and Development Center.
3 North Carolina Division of Water Quality. 2010. NC DWQ Stream Identification Form Version 4.11. North Carolina Division of Water
Quality.
2

Section 401 Water Quality Pre -Construction Notification
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
Rule"]. The IMP provides an important means of achieving spill -free, error -free operations. The
purpose of the IMP is to improve/maintain the integrity of CPC's system — including CPC's
pipelines, facilities, equipment, tanks, and delivery lines.
CPC's IMP and the referenced USDOT regulations include prescriptive requirements for
inspection of pipeline systems and requires excavation and repair of certain pipeline defects
according to specific schedules and regulatory guidelines. It should be noted that USDOT has
completed an Environmental Assessment (EA) under the National Environmental Policy Act
(NEPA) concerning repairs that an operator would have to make to its pipeline following an
integrity assessment. The EA and corresponding Finding of No Significant Impact concluded that
these actions would not significantly affect the quality of the human environment (Docket No.
RSPA-99-6355).
In accordance with 49 CFR § 195.401 and CPC's IMP, CPC must take prompt action to address
anomalous conditions, to include pipeline exposures and shallow cover areas that are discovered
through the integrity assessment process. CPC must, in maintaining its pipeline systems, ensure
that repairs are made in a safe and timely manner and are conducted to prevent damage to
persons, property, and the environment. Additionally, CPC's IMP follows USDOT's requirements
with respect to addressing possible unsafe conditions; specifically, the USDOT - Pipeline and
Hazardous Materials Safety Administration's (PHMSA) Interpretation Response No. PI-84-0103
which details the regulatory provisions of 49 CFR Part 192, Subpart M and Part 195, Subpart F,
stating that whenever an operator discovers any condition that could adversely affect the safe
operation of its pipeline system, the operator must correct the condition within a reasonable time.
Proposed Activities in Jurisdictional Waters
The maintenance location will be accessed from Country Lane onto CPC's existing, mowed, and
maintained ROW (Figure 3). Prefabricated mats will be used to temporarily cross 12 and W1 for
site access and to cross 11 as necessary to conduct the required maintenance from either bank
of 11 (Appendix C). CPC intends to inspect Line 3 and replace the required minimal protective
cover over the pipeline using Submar pre -cast revetment mats and rip rap to remediate the lack
of protective pipeline cover. To re-establish the pipeline protective cover, CPC intends to conduct
the following: 1) temporarily isolate the maintenance location from stream flow (i.e., dam and
pump); 2) excavate the eroded area on Line 3; 3) inspect and make repairs to Line 3 as necessary;
4) backfill the excavation area; and 5) restore the streambed to stable approximate pre -erosional
,C]

Section 401 Water Quality Pre -Construction Notification
Colonial Pipeline Company — Line 3 Exposure UT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
contours and elevations over Line 3 using Submar mats and rip rap. These pre -cast mats and rip
rap will be keyed/imbedded into the 11 stream bed and banks in a manner that maintains grade
and normal stream flow conditions (Appendix D).
To minimize sedimentation to 11 during the above -mentioned maintenance activity, dams
constructed of sandbags, steel plates, or water -inflatable plastic dams will be temporarily placed
upstream of the maintenance area to conduct maintenance activities "in -the -dry". The stream flow
will be pumped around the maintenance area, discharging immediately downstream via an energy
dissipater to prevent stream scour. The pump(s) used will be sufficiently sized to accommodate
the anticipated stream flow (Appendix E). All excavated soils will be temporarily stored in the
adjacent upland area on geotextile fabric or similar material within the CPC ROW.
Rip rap will be used below the mat system, along the stream banks, and within the stream channel
for additional stabilization. Further, rip rap within the stream channel will be placed on an erosion
control blanket (geotextile fabric) in a manner where the finished top elevation of the rip rap does
not exceed that of the original stream bed elevation. Once the required minimal protective pipeline
cover (pre -cast revetment mats) is keyed into the streambed in a manner that maintains existing
grade and flow conditions of the stream, the temporary dams will be removed, and normal
streamflow will be restored.
CPC's standard erosion control practices will be employed (Appendix F). Specifically, the
disturbed areas along the stream bank will be reseeded with a native seed mix and strawed. No
monofilament erosion control matting will be used.
The exposure maintenance activity will require unavoidable permanent and temporary impacts to
11 and W1 as outlined in the table below and detailed in Appendix D Sheet C-701.
Site Aquatic Resource and Proposed Impacts Summary
Aquatic Resources
Stream Type
Proposed Permanent
Impact (acre)
Proposed Permanent
Impact (LF)
Proposed Temporary
Impact (LF and/or acre)
Total Permanent and Temporary
Impact (LF and/or acre)
Streams
11
Intermittent
0.004
55
60 LF (0.0026-acre)
115 LF (0.0066-acre)
12 (access)
Intermittent
0
0
0
0
Total:
0.004
55
60 LF (0.0026-acre)
115 LF (0.0066-acre)
Wetlands
W1 (access) NA
0
NA
0.0185 (access matting)
0.0185
Total:
0
1 NA
10.0185
1 0.0185
El

Section 401 Water Quality Pre -Construction Notification
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
Corblu respectfully requests 401 Water Quality Certification for the required Line 3 exposure
repair and the unavoidable permanent impacts of: 1) 55 LF (0.004-acre) Submar mats/rip rap
within 11. As mentioned above, temporary impacts include approximately 0.0185-acre of W1 for
access matting (Appendix D). No temporary disturbances to 12 are proposed since the temporary
access matting will be placed above the ordinary high-water mark of 12, which will allow for
continued downstream flows.
401 and Buffer Permitting PCN Submittal Checklist
We have provided the following information to document compliance with the requirements
outlined in the PCN Submittal Checklist (Appendix G). Each item is discussed below.
Application Fee
A $323.00 payment for a 401 Water Quality Certification with minor impacts will be made
electronically once the project has been assigned a project number.
Pre -filing meeting request
A prefiling meeting request was submitted to 401 [e-mail] on May 22, 2024. A copy
of the email request is attached to the USACE Wilmington District PCN Form.
PCN Application
A complete copy of the USACE Wilmington District PCN Form and supporting documentation
which includes an IPaC Official Species List have been included with this submittal (Appendix A).
Stormwater Management Plan
Not Applicable - This is a maintenance activity for an existing petroleum pipeline and does not
involve the construction of any roads or structures.
If your project is located within a State implemented Riparian Buffer Rule Area, submit the
following along with site plans and PCN form: Three (3) copies of the details for on -site diffuse
flow provisions.
The proposed required maintenance activity is located within the Cape Fear River Basin within
the Jordan Lake Watershed, which is a Riparian Buffer Rule Area. The project is exempt from the
Jordan Lake Buffer Rules since the pipeline was existing prior to the adoption of the rule and its
use is present and ongoing [15A NCAC 02B .0267(6)(a)]
DWR Stream Determination Forms for streams on property and DWR determination letter for
wetlands or streams (if applicable)
A North Carolina DWQ Stream Identification Forms have been included (Appendix B).
5

Section 401 Water Quality Pre -Construction Notification
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
Maps and Plans
• The most recent version of the 1:24,000 USGS Topographic Map:
See Figure 1.
• The most recent version of the bound and published County NRCS Soil Survey Map -
(required for projects within the Neuse River Basin, Tar -Pamlico River Basin, Randleman
Lake Watershed and the Catawba River Basin, also recommended for all projects):
See Figures 4A and 4B.
• Vicinity map:
See Figure 3.
• The Site Plan:
See Appendix D.
• Pre-construction/Pre-existing conditions:
See Appendix D.
• Proposed conditions:
See Appendix D.
• Drainage Plans:
Not Applicable.
• Proposed Impacts:
See Appendix D.
• Wetland Impacts:
See Appendix D.
• Stream Impacts:
See Appendix D.
Summary and Conclusion
In summary, the pipeline maintenance activity will result in permanent impacts of: 1) 55 LF (0.004-
acre) Submar mats/rip rap within 11. The project was designed to avoid and minimize stream
impacts to the maximum extent practicable and represents the least environmentally damaging,
C.

Section 401 Water Quality Pre -Construction Notification
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
practicable alternative that satisfies the project purpose for the pipeline maintenance and
protection as required by USDOT, PHSMA and CPC's IMP.
Based on this submittal, we respectfully request written authorization of Section 401 Water Quality
Certification. If you have any questions or comments regarding this PCN submittal, please
contact the undersigned at [phone].
Sincerely,
CORBLU ECOLOGY GROUP, LLC
Michael A. Barfield, CWB, CE
Senior Ecologist
Richard W. Whiteside, PhD, CWB, CSE
President
Enclosures: Figure 1 — Site Location Map
Figure 2 — Jurisdictional Features and Photograph Map
Figure 3 — Vicinity Map
Figure 4A — USDA NRCS Soils Map
Figure 4B — USDA Soils Map
Photographs (6)
Appendix A: USACE Wilmington District PCN Form and Supporting Information
Appendix B: NCDWQ Stream Form Version 4.11
Appendix C: Typical Prefabricated Mat Wetland and Stream Crossing
Appendix D: Submar Design Plans
Appendix E: Typical Dam and Pump Maintenance Dig
Appendix F: CPC Soil Erosion and Sediment Control Plan
Appendix G: 401 & Buffer Permitting PCN Submittal Checklist
c: Mr. Rusty Foust, CPC Project Manager, via email
Mr. John Wyatt, CPC Environmental Lead-SED, via email
Mr. David Reedy, CPC Environmental Specialist, via email
7

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Figure 1
Line 3 Exposure LIT Lake Hunt
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Site Location Map
Rockingham County, North Carolina
I
ECOLOGY GROUP,
Project No. 02-041901-188

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Photograph No. 1
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within the CPC ROW � , f Line 3 Exposure
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Line 3 Exposure
CPC Pipeline
Approximate CPC ROW
0.4 Photograph Locations
00 Data Points
Project Area
Stream
Wetland
j
Base Map Source: ESRI Aerial Imagery 0 100 200 400 Feet
GPS Data Collected: 5/21 /2024 1 - 800
Colonial Pipeline Company, SE
Figure 2
Jurisdictional Features and
Line 3 Exposure UT Lake Hunt C o b l
Photograph Map
Rockingham County, North Carolina ECOLOGY GROUP, Project No. 02-041901-188

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Base Map Source: ESRI Aerial Imagery
GPS Data Collected: 5/21 /2024
Colonial Pipeline Company, SE
Line 3 Exposure UT Lake Hunt
Rockingham County, North Carolina
Access via Country Lane
Legend
Line 3 Exposure
CPC Pipeline
Approximate CPC ROW
Site Access
® Project Area
—••—•• Stream
Wetland
0 105 210 420 Feet
1.2,000
Figure 3
c o l b l U Vicinity Map
ECOLOGY GROUP Project No. 02-041901-188

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1-24,000
Colonial Pipeline Company, SE
I
Figure 4A
Line 3 Exposure UT Lake Hunt
co blu
USDA NRCS Soils Map
Rockingham County, North Carolina
I
ECOLOGY GROUP,
Project No. 02-041901-188

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Line 3 Exposure
CPC Pipeline
® Project Area
Soils
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- NaB - Nathalie sandy loam, 2 to 8 percent slopes
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Base Map Source: ESRI Aerial Imagery
Soils Data: USDA NRCS Web Soil Survey Download 6/25/2024
Colonial Pipeline Company, SE
Line 3 Exposure UT Lake Hunt
Rockingham County, North Carolina
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Figure 4B
USDA Soils Map
Project No. 02-041901-188

Section 401 Water Quality Pre -Construction Notification Photographs taken on 5/21/2024
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt Corblu Project No. 02-041901-188- Rockingham Co. NC

Section 401 Water Quality Pre -Construction Notification Photographs taken on 5/21/2024
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt Corblu Project No. 02-041901-188- Rockingham Co. NC

Section 401 Water Quality Pre -Construction Notification Photographs taken on 5/21/2024
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt Corblu Project No. 02-041901-188- Rockingham Co. NC

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NORTH CAROLINA
Environmental Quality
Water Resources
Office Use Only
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): 36.343785
Longitude (DD.DDDDDD): 79.706563
Form Version 4.3, February 22, 2024
Pre -Construction Notification (PCN) Form
(Ver. 4.3, February 22, 2024)
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 PCN help document may be found at this link:
https://www. deg. nc. gov/water-resources/pcn-help-document-last-updated-1162024
Page 1 of 22 PCN Form Version 4.3- February 22, 2024

A. Processing Information
County (counties) where project is located: *
Rockingham Additional (if needed).
Is this an ARPA project?
❑ Yes ❑x No
If yes, ARPA project number:
* The project number can be found on the "Letter of Intent to Fund"
(LOIF) or "Offer and Acceptance Letter'. Ifyou are unable to locate
Click or tap here to enter text.
your DWI ARPA Funding Project Number, please contact Corey
Basinger at core y. basingerC�ncdenr.goy for further assistance.
Is this a NCDMS project? *
(Click yes only if NCDMS is the applicant or co-
❑ Yes ❑x No
applicant)
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.
❑ 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)
Has this PCN previously been submitted?
❑ Yes ❑x No
Please provide the date of the previous submission. *
Click to PntPr a rinta
❑ Nationwide Permit (NWP)
1 b. What type(s) of permit(s) do you wish to seek
❑Regional General Permit (RGP)
authorization?
❑ 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 attachments and
submitted with this form.
1 c. Has the NWP or GP number been verified by the Corps?
❑ Yes ❑x No
NWP number(s) (list all numbers):
3(a) and (c)
RGP number(s) (list all numbers ):
Click tn enter
Are you a federal applicant?
❑ Yes ❑x No
If yes, please provide a statement concerning compliance with the Coastal Zone Management Act
Click to enter text
1d. Type(s) of approval sought from DWR (check all that apply):
❑x 401 Water Quality Certification — Regular
❑ 401 Water Quality Certification— Express
❑ Non-404 Jurisdictional General Permit
❑ Riparian Buffer Authorization
❑ Individual 401 Water Quality Certification
Is this a courtesy copy notification
❑ Yes ❑x No
Page 2 of 22 PCN Form Version 4.3- February 22, 2024

1 e.
Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
❑ Yes
❑x No
For the record only for Corps Permit:
® Yes
❑ No
1f.
Is this an after -the -fact permit/certification application?
❑ Yes
❑x No
1g.
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts?
❑ Yes
❑x 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
❑x No
1 i.
Is the project located within an NC DCM Area of Environmental
Concern (AEC)?
❑ Yes
❑x No ❑ Unknown
1j.
Is the project located in a designated trout watershed?
❑ Yes
❑x 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.mil/Missions/Regulatory-Permit-
Program/Agency-Coordination/Trout.aspx
Page 3 of 22 PCN Form Version 4.3- February 22, 2024

B. Applicant Information
1 a.
Who is the primary contact?
Rusty Foust
1 b.
Primary Contact Email:
[e-mail]
1c.
Primary Contact Phone: (###)###-####
[phone]
1 d.
Who is applying for the permit/certification? (check
all that apply)
❑ Owner 0 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:
See attached easements
2b.
Deed Book and Page No.:
Click to enter.
2c.
Contact Person (for corporations):
Click to enter.
2d.
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.
2e.
Telephone Number: * (###)###-####
Click to enter.
2f.
Fax Number: (###)###-####
Click to enter.
2g.
Email Address:
Click to enter.
3.
Applicant Information (if different from owner)
3a.
Name:
Rusty Foust
3b.
Business Name (if applicable):
Colonial Pipeline Company (CPC)
3c.
Address:
Street Address:
411 Gallimore Dairy Road
Address line 2:
Click to PntPr
City:
Greensboro
State/ Province/ Region:
North Carolina
Postal/ Zip Code:
27409
Country
USA
3d.
Telephone Number: (###)###-####
[phone]
3e
Fax Number: (###)###-####
Click to enter.
3f.
Email Address:
[e-mail]
Page 4 of 22 PCN Form Version 4.3- February 22, 2024

4. Agent/ Consultant (if applicable)
4a. Name:
Michael Barfield
4b. Business Name:
Corblu Ecology Group, LLC
4c. Address:
Street Address:
3225 South Cherokee Lane, Bldg 800
Address line 2:
Click to enter.
City:
Woodstock
State/ Province/ Region:
Georgia
Postal/ Zip Code:
30188
Country:
USA
4d. Telephone Number: (###)###-####
[phone]
4e Fax Number: (###)###-####
Click to enter.
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/Regulatory-Permit-Program/Permits/2017-Nationwide-Permits/Pre-
construction-Notification/
Page 5 of 22 PCN Form Version 4.3- February 22, 2024

C. Project Information and Prior Project History
1. Project Information
la. Name of project: *
Line 3 Exposure UT Lake Hunt Rockingham Co. NC
1 b. Subdivision name (if appropriate):
Click to enter
1 c. Nearest municipality/town: *
Reidsville
2.
Project Identification
2a.
Property identification number (tax PIN or parcel ID):
799413144380; 799409152616
2b.
Property size (in acres):
Click to ente
2c.
Project Address:
Street Address:
Click to enter.
Address line 2:
Click to enter.
City:
Reidsville
State/ Province/ Region:
North Carolina
Postal/ Zip Code:
27320
Country:
USA
2d.
Site coordinates in decimal degrees (using 4-6 digits
after the decimal point):
Latitude (DD.DDDDDD): 36.343785
Longitude (-DD.DDDDDD):-79.706563
3.
Surface Waters
3a.
Name of nearest body of water to proposed project:
Unnamed Tributary to Troublesome Creek (Lake
Hunt)
3b.
Water Resources Classification of nearest receiving
WS-III; B; NSW
water:
The Surface Water Classification map may be found at this
link:
httr)s:Hexr)erience.arca is.com/experience/7073e9l 22ab74588b8c48ded34c3df55/
Cape Fear
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
030300020204
located:
The Find Your HUC map may be found at this link:
httr)s:Hncdenr.mar)s.arcais.com/apes/Publiclnformation/index.html?appid=ad3a85aOc6d644aOb97cdO69db238ac3
Page 6 of 22 PCN Form Version 4.3- February 22, 2024

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:
Mowed and maintained petroleum pipeline right-of-way (ROW). The streambed/bank erosion within the unnamed
intermittent tributary to Lake Hunt (11) is the presumed result of an upstream ponds poorly draining outlet control
structure (OCS), which has resulted in water passing through an auxiliary spillway, which has formed 11 overtime
and resulted in the exposure of Line 3. Intermittent stream 12 and emergent wetland W1 are located southwest of
the exposure location and must be temporarily crossed for site access. 12 appears to be the main channel from
the pond OCS, but exhibited very low flow during our site inspection.
4b.
Have Corps permits or DWR certifications been obtained for this
❑ Yes ❑ No ❑x Unknown
project (including all prior phases) in the past?
If yes, please give the DWR Certification number and/or Corps
[Click to enter.]
Action ID (ex. SAW-0000-00000):
jClick to enter.]
Attach any pertinent project history documentation
02.
Is any portion of the work already complete?
❑ Yes ❑x No
If yes, describe the completed work.
Click to enter text.
4c.
List of other certifications or approvals/denials received from other federal, state or local agencies for work
described in this application not related to the 404 or 401.
Click to enter text.
4d.
Attach an 8'h 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
0.068 acres
property:
4g.
List the total estimated linear feet of all existing streams (intermittent
170 linear feet
and perennial) on the property:
4g1.
List the total estimated acreage of all existing open waters on the
0 acres
property:
4h.
Explain the purpose of the proposed project:
The two observed streams (11 and 12) receive flow from a man-made pond located upstream (southeast) of the
CPC ROW. The pond appears to have a poorly functioning outlet control structure (OCS). Specifically, 12
appears to originate from the pond OCS, and exhibited a low flow rate during our site inspection. 11, which
exhibited a higher flow rate (when compared to 12) originates from the northwestern edge of the off -site pond
dam from what appears to be an auxiliary spillway. The discharge of water through the auxiliary spillway appears
to have formed 11 (i.e., a secondary stream channel) from the resulting discharge. 11 stream flow has resulted in
the formation of a head cut and the subsequent exposure of Line 3 within CPC's ROW. The lack of pipeline
protection at this location has resulted in conditions where the pipeline is currently vulnerable to potential
damage and conditions that are not consistent with CPC's or the U.S. Department of Transportation's (USDOT)
regulatory requirements for pipeline protection.
Page 7 of 22 PCN Form Version 4.3- February 22, 2024

4i. Describe the overall project in detail, including the type of equipment to be used:
The maintenance location will be accessed from Country Lane onto CPC's existing, mowed, and maintained
ROW (Figure 3). Prefabricated mats will be used to temporarily cross 12 and W1 for site access and to cross 11
as necessary to conduct the required maintenance from either bank of 11 (Appendix C). CPC intends to inspect
Line 3 and replace the required minimal protective cover over the pipeline using Submar pre -cast revetment mats
and rip rap to remediate the lack of protective pipeline cover. To re-establish the pipeline protective cover, CPC
intends to conduct the following: 1) temporarily isolate the maintenance location from stream flow (i.e., dam and
pump); 2) excavate the eroded area on Line 3; 3) inspect and make repairs to Line 3 as necessary; 4) backfill the
excavation area; and 5) restore the streambed to stable approximate pre -erosional contours and elevations over
Line 3 using Submar mats and rip rap. These pre -cast mats and rip rap will be keyed/imbedded into the 11
stream bed and banks in a manner that maintains grade and normal stream flow conditions (Appendix D).
To minimize sedimentation to 11 during the above -mentioned maintenance activity, dams constructed of
sandbags, steel plates, or water -inflatable plastic dams will be temporarily placed upstream of the maintenance
area to conduct maintenance activities "in -the -dry". The stream flow will be pumped around the maintenance
area, discharging immediately downstream via an energy dissipater to prevent stream scour. The pump(s) used
will be sufficiently sized to accommodate the anticipated stream flow (Appendix E). All excavated soils will be
temporarily stored in the adjacent upland area on geotextile fabric or similar material within the CPC ROW.
Rip rap will be used below the mat system, along the stream banks, and within the stream channel for additional
stabilization. Further, rip rap within the stream channel will be placed on an erosion control blanket (geotextile
fabric) in a manner where the finished top elevation of the rip rap does not exceed that of the original stream bed
elevation. Once the required minimal protective pipeline cover (pre -cast revetment mats) is keyed into the
streambed in a manner that maintains existing grade and flow conditions of the stream, the temporary dams will
be removed, and normal streamflow will be restored.
CPC's standard erosion control practices will be employed (Appendix F). Specifically, the disturbed areas along
the stream bank will be reseeded with a native seed mix and strawed. No monofilament erosion control matting
will be used.
Please see Appendix D sheet C-701 for details on proposed impacts.
Equipment will include: an excavator, rock truck (for material transport), properly sized pumps, and a welding
truck (to conduct pipe repairs as necessary).
4j. Attach project drawings/site diagrams/depictions of impact areas for the proposed project.
4k. Will this activity involve dredging in wetlands or waters?
❑ Yes ❑x No
If yes, describe the type of dredging, the composition of the dredged material, and the locations of disposal area.
DICK to enter tex.
Page 8 of 22 PCN Form Version 4.3- February 22, 2024

5.
Jurisdictional Determinations
5a.
Have the wetlands or streams been delineated on the property or in
® Yes ❑ No ❑ Unknown
proposed impact areas?
Comments:
See Figure 2 for the project area and Figure 3 for site access
5b.
If the Corps made a jurisdictional determination,
❑ Preliminary ❑ Approved ❑ Emailed concurrence
what type of determination was made?
❑x Not Verified ❑ Unknown ❑ n/a
Corps AID number (ex. SAW-0000-00000):
^lick fn An+a-
Name (if known): Michael Barfield
5c.
If 5a is yes, who delineated the jurisdictional
Agency/Consultant Company: Corblu Ecology Group, LLC
areas?
Other: Click to enter
5d.
List the dates of the Corps jurisdictional determination or State determination if a determination was made by
either agency.
Click to enter
5d1.
Attach jurisdictional determinations.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ❑x No
6b. If yes, explain.
Click to enter.
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.
Click to enter.
7. Addresses of adjoining property owners, lessees, etc. whose property adjoins the waterbody (if more than can be
entered here, please attach a supplemental list)
Kennedy Rodie
108 Cone Dr Unit F217
Haw River, NC 27258-9744 (access)
Johnson Albert Carlton
1415 Brookwood Drive
Reidsville, NC 27320-5203 (adjoins waterbody)
8. Scheduling of activity:
Activity will be scheduled in 2024-2025 after approval of this certification and is not expected to exceed 20 days.
Page 9 of 22 PCN Form Version 4.3- February 22, 2024

D. Proposed Impacts Inventory
Impacts Summary
❑x Wetlands ❑x 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.
Site #
2a1.
Impact
Reason/Type
2b.
Impact
Duration
2c.
Wetland Type
2d.
Wetland Name
2e.
Forested
?*
2f.
Jurisdiction
Type
2g.
Impact Area
(ac)
W1
Other
Temporary
Unknown
W1
No
Both
0.0185
W2
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W3
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W4
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W5
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W6
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W7
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W8
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W9
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W10
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W11
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W12
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
--hoose one
Click to enter
W13
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
--hoose one
Click to enter
W14
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W15
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
2g1. Total temporary wetland impacts
0.0185 ac
2g2. Total permanent wetland impacts
0 ac
2g3. Total wetland impacts
0.0185 ac
2h. Type(s) of material being discharged and the amount of each type in cubic yards:
Click to enter text.
2i. Comments:
W1 0.0185-acre access matting
Page 10 of 22 PCN Form Version 4.3- February 22, 2024

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
3a
3b.
3c.
3d.
3e.
3f.
3g.
3h.
Site #
Impact Reason
Impact
Impact
Stream Name
Stream
Jurisdiction
Stream
Impact
Duration
Type
Type
Type
Width (avg
length
ft)
(linear ft)
S1
Exposure Repair
Permanent
Fill (Incl.
11
Intermittent
Both
2.5
55
Riprap)
S2
Grading/workspace
Temporary
Other
11
Intermittent
Both
2.5
60
S3
Click to enter
Temp/
Choose
Click to enter
Choose
Click to enter
Click to enter
Perm
one
one
S4
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S5
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S6
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S7
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S8
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S9
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S10
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S11
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S12
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S13
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S14
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S15
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S16
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S17
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S18
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
S19
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
Page 11 of 22 PCN Form Version 4.3- February 22, 2024

S20
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
one
3i1.
Total jurisdictional ditch
Click to enter. linear ft
impact:
3i2. Total permanent stream
55 linear ft
impacts:
36. Total temporary stream
60 linear ft
impacts:
3W Total stream and ditch
115 linear ft
impacts:
3j.
Comments:
Click to enter.
Page 12 of 22 PCN Form Version 4.3- February 22, 2024

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.
Site #
4a1.
Impact Reason
4b.
Impact
Duration
4c.
Waterbody Name
4d.
Activity Type*
4e.
Waterbody
Type
4f.
Impact area
(ac)
01
;lick to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
02
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
03
:,lick to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
04
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
05
Click to enter.
Temp/ Perm
Click to enter.
Choose one
I Choose one
Click to enter.
4g.
Total temporary open water impacts
Click to enter. ac
4g.
Total permanent open water impacts
Click to enter. ac
4g.
Total open water impacts
Click to enter. ac
4h.
Comments:
Click to enter.
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 tc,
Click to
Click to
Click to
Click to
Click to
Click 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.
P3
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
enter.
enter.
enter.
enter.
enter.
enter.
enter.
5g.
Comments:
Click to enter.
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
Page13 of 22 PCN Form Version 4.3- February 22, 2024

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
❑x Jordan ❑ Goose Creek ❑ Randleman
❑ Other: Click to enter.
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)
B1
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.
B4
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.
B7
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.
B11
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B12
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B13
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B14
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B15
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B16
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B17
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B18
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B19
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B20
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:
Jordan Lake Buffer Rules 15A NCAC 02B .0267 (6)(a) Exemption when existing uses are present and ongoing
Please attach supporting documentation (impact maps, plan sheets, etc.) for the proposed project.
Page 14 of 22 PCN Form Version 4.3- February 22, 2024

E. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts through project design:
The Submar mat system has been designed to minimize disturbances to aquatic resources, while achieving the
required protective coverage.
1 b. Specifically describe measures taken to avoid or minimize proposed impacts through construction techniques:
The area will be temporarily de -watered with a dam and pump, which will allow for the project to take place
without contacting flowing water, thus reducing downstream sedimentation. Further, the articulating revetment
mats are pre -cast, which eliminates the need to bring live concrete on -site.
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? ❑ DWR ❑ Corps
(check all that apply)
2b. If yes, which mitigation option(s) will be used for this ❑ Mitigation Bank
project? (check all that apply) ❑ 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:
ClicK io enter.
3b. Credits purchased/requested:
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Attach receipt and/or approval letter.
3c. Comments:
Click to enter.
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
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)
hftps:Hribits.ops.usace.army.miI/ords/f?p=107:2::::::
4d.
Buffer mitigation requested (DWR only):
Click to enter. square feet
4e.
Riparian wetland mitigation requested:
Click to enter. acres
4f.
Non -riparian wetland mitigation requested:
Click to enter. acres
4g.
Coastal (tidal) wetland mitigation requested:
Click to enter. acres
Page 15 of 22 PCN Form Version 4.3- February 22, 2024

4h. Comments:
Click to enter.
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 mitigation credits generated.
Click to Pnter
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 ❑ 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
Multiplier
Required mitigation
(square 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:
Jordan Lake Buffer Rules 15A NCAC 02B .0267 (6)(a) Exemption when existing uses are present and ongoing
Page 16 of 22 PCN Form Version 4.3- February 22, 2024

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 ❑ 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 form of stormwater treatment. If the
project is subject to a state implemented riparian buffer protection program, include a plan that fully documents
how diffuse/dispersed flow will be maintained.
All Stormwater Control Measures (SCM) must be designed in accordance with the NC Stormwater Design
Manual (https://deg.nc.gov/about/divisions/energv-mineral-land-resources/energv-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?
El Yes ❑x No
2b.
Does this project meet the requirements for low density projects as
defined in 15A NCAC 02H .1003(2)?
❑ Yes ❑ No
To look up low density requirements, click here:
http://reports.oah.state.nc. us/ncac/title%2015a%20-%20environmental%20guality/chapter%2002%20-
%20environ mental%20management/subchapter%20h/15a%20ncac%2002 h%20.1003. pdf
2c.
Does this project have a stormwater management plan (SMP)
❑ Yes ❑ No
reviewed and approved under a state stormwater program or state -
approved local government stormwater program?
❑ n/a — project disturbs < 1 acre
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.
2d.
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.
Local Government Stormwater Programs
❑ Phase II ❑ USMP
❑ NSW ❑ Water Supply
Page 17 of 22 PCN Form Version 4.3- February 22, 2024

Please identify which local government stormwater program you are using.
Click to enter.
State Stormwater Programs I ❑ Phase II ❑ HQW or ORW
❑ Coastal Counties ❑ Other
Comments:
Project will not result in increased stormwater and does not require a stormwater management plan.
Page 18 of 22 PCN Form Version 4.3- February 22, 2024

G. Supplementary Information
1. Environmental Documentation
1 a. 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
El Yes El 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:
Click to enter.
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),
Federally Non -Jurisdictional Wetlands /Classified Surface Waters
❑ Yes ❑x No
(15A NCAC 2H. 1400) DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. If you answered "yes" to the above question, provide an explanation of the violation(s):
DICK 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:
The Submar articulating revetment mat system has been designed to provide the required protective cover over
the pipeline and remain stable in the stream system. Additional repairs to the area are not anticipated.
3c. If yes, provide a qualitative or quantitative cumulative impact analysis in accordance with the most recent DWR
policy. (Attach .pdo
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project? I ❑ Yes ❑ No ❑x 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.
Click to enter.
Page 19 of 22 PCN Form Version 4.3- February 22, 2024

5.
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a.
Will this project occur in or near an area with federally protected
❑ Yes ❑x No
species or habitat? (IPAC weblink: hftps://www.fws.gov/ipac/ ffws.govl)
5b.
Have you checked with the USFWS concerning Endangered Species
® Yes ❑ No
Act impacts? *
5c.
If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d.
Is another federal agency involved?
❑ Yes ❑x No ❑ Unknown
If yes, which federal agency?
Click to enter.
5e.
Is this a DOT project located within Divisions 1-8?
❑ Yes ❑x No
5f.
Will you cut any trees in order to conduct the work in waters of the
U.S.?
❑ Yes ❑x No
5g.
Does this project involve bridge maintenance or removal?
❑ Yes ❑x No
5g1.
If yes, have you inspected the bridge for signs of bat use such as
staining, guano, bats, etc.? Representative photos of signs of bat use
❑ Yes ❑ No
can be found in the NLEB SLOPES, Appendix F, pages 3-7.
Representative photos of signs of bat use can be found in the NLEB SLOPES, Appendix F, pages 3-7. Link to
NLEB SLOPES document: http:Hsaw-reg.usace. army. mil/NLEB/1-30-17-signed
NLEB-SLOPES&apps.pdf
If you answered yes to 5g1, did you discover any signs of bat use? *
❑ Yes ❑ No ❑ Unknown
If yes, please show the location of the bridge on the permit drawings/ project plans
5h.
Does this project involve the construction/ installation of a wind
turbine(s)?
❑ Yes ❑x No
If yes, please show the location of the wind turbine(s) on the permit drawings/ project plans (attach .pdo
5i.
Does this project involve blasting and /or other percussive activities
that will be conducted by machines, such as jackhammers,
❑ Yes ❑x 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 .pdo
Page 20 of 22 PCN Form Version 4.3- February 22, 2024

5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated
Critical Habitat?
Corblu used the U.S. Fish and Wildlife Service (USFWS) Information for Planning and Consultation (IPaC)
system to prepare a comprehensive site -specific list of protected species that potentially could occur on the
project site (Appendix A). The IPaC Official Species List suggests two species as potentially occurring in the
project area.
Insects
1. Monarch Butterfly (Danaus plexippus). The monarch butterfly at this time is a candidate species and therefore
not afforded protection under the Endangered Species Act of 1973 (ESA). Further, the monarch butterfly is
associated with milkweed (Asclepias sp.), which is the only host plant for this species. Milkweed was not
observed growing within the CPC ROW; therefore, we anticipate the project will have "No effect" on the monarch
butterfly.
Mammals
2. Tricolored Bat (Perimyotis subflavus). Currently, the tricolored bat (Proposed Endangered) is not afforded
protection under the ESA. Further, the tricolored bat hibernates in caves or roadway culverts and roosts in trees
under exfoliating bark, within cavities, and in tree snags during the summer months. No caves or roadway
culverts will be disturbed during the proposed project. Further, no tree clearing is proposed; therefore, we
anticipate the project will have "No effect" on the tricolored bat should it be listed as endangered.
In summary we anticipate the proposed maintenance project will have "No effect" on the two above referenced
species due to a lack of suitable habitat present within the project area and avoidance measures discussed
above.
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?
El Yes ❑x No
Is there submerged aquatic vegetation (SAV) around
the project vicinity?
El Yes ❑x 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?
NOAA
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data):
htti):Hqis.ncdcr.gov/hi)oweb/
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural ❑ Yes ❑x No
preservation status (e.g., National Historic Trust designation or
properties significant in North Carolina history and archaeology)?
Page 21 of 22 PCN Form Version 4.3- February 22, 2024

7b. What data source(s) did you use to determine whether your site would impact historic or archeological
resources? *
North Carolina State Histcric Preservation Office GIB download 211/2a24
7c. Attach historic or prehistoric documentation_
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA FloodpWn Maps: ht#ps.ifmsc.fema.govJportallsearch
8a. WiII this project odour ire a FEMA-designated 100-year flood piain? *
❑ Yes M No
8b, If yes, explain how the project meets FEMA requirements.
Click to erGter.
8c. What sources) did you use to make the floodplain determination?
FEMAArc GIS flood plain base layer
H. Miscellaneous
Comments:
Click to enter.
Attach pertinent documentation or attachments not previously requested
I. Signature *
N By checking the box and signing below, t, 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 CVVA 401
certification request within the applicable reasonable perlod of time;
The project proponent hereby agrees that submission of this PC 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 t4 conduct this transaction by electronic mean$ pursuant to Chapter 66,
Article 40 of the NG 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
Ir As the project proponent, I intend to electron bally sign and submit the PCWonline farm.
Full Name: ' Michael Barfield
signatura: ' Click to enter.
Date: ' Click to enter.
Page 22 of 22 PCP! Form Vwsion 4.9- Febwary 22. 2024

John M. Wyatt
Southeast Distric'
Environmental Program Manager
March 20. 2020
US Army Carps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
NC DWR, 401 S Buffer Permiting Branch
1617 Mail Service Center,
Raleigh, NC 27699-1617
Subject: Authorization Letter
To Whom It May Concern:
Colonial Pipeline Company
Tel. [phone]
Colonial Pipeline Company {CPC} gives authorization to Corbiu Ecology Group to serve as our agent
regarding North Carolina Division of Water Quality (DWQ)IIJ_S. Army Corps of Fngineers (USACF) Pre -
Construction Notification (PCN) Application Farms. Should you have any Questions or concerns please
contact me at the letterhead address or telephone number.
Sincerely,
1
Jahn M. Wyatt
Southeast Distrint
Environmental Program Manager
ColonW Pipoirie Company 5251 Hvey 153 Suite C #365 Hixrwn, TN 37343

Michael Barfield
From: [e-mail]
Sent: Wednesday, May 22, 2024 2:49 PM
To: Michael Barfield
Subject: Online submittal for CPC Line 3 Exposure Unnamed Tributary to Lake Hunt Rockingham
Co. NC
Attachments: Project Submittal Interim Form.pdf
Your Pre -Application Submittal information has been submitted to the North Carolina Division of Water
Resources - 401 Buffer Permitting Branch and Transportation Permitting Branch.
If this is an application, the time clock for the review process will not begin until after the initial review
has been done and payment received. If the application is incomplete a project manager will be
contactingyou to request more information.
If you have any questions, or are experiencing any issues with the PCN online form, please contact Kristi
Lynn Carpenter at [e-mail].
This email was automatically generated by Laserfiche workflow. Please do not respond to this email
address, as responses aren't monitored.

PCN FORM ATTACHMENT A — USACE Supporting Information

USACE NWP — Compliance
Colonial Pipeline Company — Line 3 Exposure UT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
We provide the following information to document the projects' compliance with the Nationwide Permit
General Conditions and Wilmington District Regional Conditions for the non -notifying (i.e., no Pre -
Construction Notification required) use of Nationwide Permit No. 3 — Maintenance.
NATIONWIDE PERMIT GENERAL CONDITIONS
The following information documents compliance with the USACE, NWP - General Conditions and
Wilmington District Regional Conditions. Each condition and subcategory is itemized below:
1. Navigation
The proposed project does not occur within navigable waters.
2. Aquatic Life Movements
The proposed maintenance project within 11 will not disrupt the necessary life cycle movements
of aquatic organisms. Specifically, the Submar articulating revetment mat will allow for upstream
aquatic life movements and will maintain a negative downstream profile.
3. Spawning Areas
Not applicable.
4. Migratory Bird Breeding Areas
Not applicable.
5. Shellfish Beds
Not applicable.
6. Suitable Material
Material used for the proposed project will be free from toxic pollutants in toxic amounts.
7. Water Supply Intakes
The project is not located in the vicinity of a water supply intake.
8. Adverse Effects from Impoundments
No impoundments are proposed.

USACE NWP — Compliance
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
9. Management of Water Flows
The proposed maintenance activity will not permanently impound or alter water flows. Temporary
dams and pumps will be used to conduct the maintenance activities "in -the -dry" and downstream
flow will be maintained during the maintenance activities. Additionally, the Submar may system
will not alter the floodplain connectivity of 11 (i.e., the stream will be connected to its floodplain
during flood events).
10. Fills Within the 100-Year Floodplains
No fills are proposed within the 100-Year Floodplain.
11. Equipment
Pre -fabricated mats will be used to temporarily cross 11, 12, and W1 (Appendix C).
12. Soil Erosion and Sediment Controls
Best Management Practices and proper erosion and sedimentation controls will be followed
during the project (Appendix F)
13. Removal of Temporary Fills
All temporary fills will be removed immediately following the maintenance activity.
14. Proper Maintenance
The existing pipeline and ROW will continue to be maintained and inspected on a regular basis
to ensure public safety.
15. Single and Complete Project
The requested NWP is associated with a single and complete maintenance project.
16. Wild and Scenic Rivers
The preventative maintenance activity is not located in or adjacent to a Wild and Scenic River.
17. Tribal Rights
The maintenance activity is not located within or adjacent to a Native American reservation or
nation.

USACE NWP — Compliance
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
18. Endangered Species
Corblu used the U.S. Fish and Wildlife Service (USFWS) Information for Planning and
Consultation (IPaC) system to prepare a comprehensive site -specific list of protected species that
potentially could occur on the project site (Appendix A). The IPaC Official Species List suggests
two species as potentially occurring in the project area:
Insects
1. Monarch Butterfly (Danaus plexippus). The monarch butterfly at this time is a candidate
species and therefore not afforded protection under the Endangered Species Act of 1973
(ESA). Further, the monarch butterfly is associated with milkweed (Asclepius sp.), which is
the only host plant for this species. Milkweed was not observed growing within the CPC ROW;
therefore, we anticipate the project will have "No effect" on the monarch butterfly.
Mammals
2. Tricolored Bat (Perimyotis subflavus). Currently, the tricolored bat (Proposed Endangered) is
not afforded protection under the ESA. Further, the tricolored bat hibernates in caves or
roadway culverts and roosts in trees under exfoliating bark, within cavities, and in tree snags
during the summer months. No caves or roadway culverts will be disturbed during the
proposed project. Further, no tree clearing is proposed; therefore, we anticipate the project
will have "No effect" on the tricolored bat should it be listed as endangered.
In summary we anticipate the proposed maintenance project will have "No effect" on the two
above referenced species due to a lack of suitable habitat present within the project area.
19. Migratory Birds and Bald and Golden Eagle Permits
No "take" permits will be required to complete the proposed project.
20. Historic Properties
The project site is within an existing and maintained utility ROW; therefore, if present, cultural
resources have been previously disturbed. Further, Corblu personnel completed a cultural
resource review for the project area utilizing the most recent North Carolina State Historic
Preservation Office shapefiles and GIS software. Based on the review, no cultural resources were
identified within the project area. Site ID: RK1432 listed as a house that is no longer present is

USACE NWP — Compliance
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
approximately 1,925 feet southwest of the project area and Site ID: RK1440 (Pritchard -Tuttle
House) is located approximately 1,550 feet east of the project area. Both sites are outside of the
viewshed of the project area. Based on our review of historic resources and the location of listed
resources, we anticipate no listed National Register of Historic Places (NRHP) sites or eligible
sites will be affected by the required pipeline maintenance (Appendix A).
21. Discovery of Previously Unknown Remains and Artifacts
The District Engineerwill be contacted immediately upon the discovery of any previously unknown
historic, cultural, or archeological remains and artifacts.
22. Designated Critical Resource Waters
Not applicable.
23. Mitigation
Based on the Nationwide Permit General Conditions compensatory mitigation is required for all
wetland losses that exceed 0.1-acre and for all losses of streambed that exceed 0.03-acre;
however, Wilmington District Regional Conditions require stream mitigation for any Nationwide
Permit that results in a loss of more than 0.02-acre of streambed.
As mentioned in the NC DEQ 401 WQC request the proposed Line 3 exposure maintenance
activity will result in permanent impacts to 1) 55 LF (0.004-acre) Submar mats/rip rap within 11.
The permanent stream impacts (0.004-acre) do not require mitigation as specified in the USACE,
Wilmington District Regional or NWP General Conditions.
24. Safety of Impoundment Structures
Not applicable.
25. Water Quality
The project will require individual 401 water quality certification from the North Carolia Department
of Environmental Quality Division of Water Resources prior to the initiation of work.
26. Coastal Zone Management
Not applicable.

USACE NWP — Compliance
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
27. Regional and Case -by -Case Conditions
See Section 5.0 below.
28. Use of Multiple Nationwide Permits
The proposed project will not require the use of multiple NWPs. The proposed pipeline project will
be completed under the non -notifying use NWP 3 and will adhere to all applicable General and
Regional Conditions.
29. Transfer of Nationwide Permit Verifications
Acknowledged.
30. Compliance Certification
The non -notifying use of NWP 3 — Maintenance will not require the submittal of a compliance
certification.
31. Activities Affecting Structures or Works Built by the United States
Not applicable.
32. Pre -Construction Notification
We respectively believe the project as described in the NC DEQ 401 WQC certification submittal
meets the non -notifying use of Nationwide Permit No. 3 — Maintenance and that the use of this
permit is an appropriate approach to this type of project as it authorizes the repair, rehabilitation,
or replacement of any previously authorized, currently serviceable structure or fill, or of any
currently serviceable structure or fill authorized by 33 CFR 330.3, provided that the structure or
fill is not to be put to uses differing from those uses specified or contemplated for it in the original
permit or the most recently authorized modification. Further, NWP 3 allows for minor deviations
in the structure's configuration or filled area, including those due to changes in materials,
construction techniques, requirements of other regulatory agencies, or current construction codes
or safety standards that are necessary to make the repair, rehabilitation, or replacement are
authorized. As referenced in the NC DEQ 401 submittal, the required pipeline maintenance is
being performed in accordance with USDOT pipeline safety regulations and will restore protection
to an existing pipeline.
Wetland data forms for your review (Appendix A).

USACE NWP — Compliance
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
WILMINGTON DISTRICT NWP REGIONAL CONDITIONS
A) Excluded Waters and/or Areas
1. Anadromous Fish Spawning Areas. Work in waters of the U.S. designated by either the North
Carolina Division of Marine Fisheries (NCDMF) or the North Carolina Wildlife Resources
Commission (NCWRC) as anadromous fish spawning areas are prohibited from February 15th
through June 30th, without prior written approval from the Corps and the appropriate wildlife
agencies (NCDMF, NCWRC and/or the National Marine Fisheries Service (NMFS)). Work in
waters of the U.S. designated by NCWRC as primary nursery areas in inland waters are prohibited
from February 15th through September 30th, without prior written approval from the Corps and
the appropriate wildlife agencies. Work in waters of the U.S. designated by NCDMF as primary
nursery areas shall be coordinated with NCDMF prior to being authorized by this NWP.
Coordination with NCDMF may result in a required construction moratorium during periods of
significant biological productivity or critical life stages.
Not applicable.
2. Trout Waters Moratorium. Work in waters of the U.S. in the designated trout watersheds of
North Carolina are prohibited from October 15th through April 15th without prior written approval
from the NCWRC, or from the Eastern Band of Cherokee Indians (EBCI) Fisheries and Wildlife
Management (FWM) office if the project is located on EBCI trust land. (See Section C.3. above
for information on the designated trout watersheds).
Not applicable project is not located within a designated trout watershed.
3. Sturgeon Spawning Areas. No in -water work shall be conducted in waters of the U.S.
designated by the National Marine Fisheries Service as Atlantic sturgeon critical habitat from
February 1 st through June 30th. No in -water work shall be conducted in waters of the U.S. in the
Roanoke River designated as Atlantic sturgeon critical habitat from February 1st through June
30th, and August 1 st through October 31 st, without prior written approval from NMFS.
Not applicable.
4. Submerged Aquatic Vegetation. Impacts to Submerged Aquatic Vegetation (SAV) are not
authorized by any NWP, except NWP 48, NWP 55 and NWP 56, unless Essential Fish Habitat
(EFH) consultation has been completed pursuant to the Magnuson -Stevens Fisheries

USACE NWP — Compliance
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
Conservation and Management Act (Magnuson -Stevens Act). Permittees shall submit a PCN
(See NWP General Condition 32) to the District Engineer prior to commencing the activity if the
project would affect SAV. The permittee may not begin work until notified by the Corps that the
requirements of the Magnuson- Stevens Act have been satisfied and that the activity is verified.
Not applicable.
B) Regional Conditions applicable to ALL NWPs
1. Critical Habitat in Western NC. For proposed activities within waters of the U.S. that require a
Pre -Construction Notification (PCN) and are located in the thirteen counties listed below,
permittees must provide a copy of the PCN to the U.S. Fish and Wildlife Service (USFWS), 160
Zillicoa Street, Asheville, North Carolina 28801 and the Corps Asheville Regulatory Field Office.
Please see General Condition 18 for specific PCN requirements related to the Endangered
Species Act and the below website for information on the location of designated critical habitat.
Not applicable.
2. Special Designation Waters. Prior to the use of any NWP that involves a discharge of dredged
or fill material in any of the following identified waters and/or adjacent wetlands in North Carolina,
permittees shall submit a PCN to the District Engineer prior to commencing the activity (see
General Condition 32).
Not applicable project is not located in special designation waters.
3. Trout Waters. Prior to any discharge of dredge or fill material into streams, waterbodies or
wetlands within the 294 designated trout watersheds of North Carolina, the permittee shall submit
a PCN (see General Condition 32) to the District Engineer prior to commencing the activity.
Not applicable the project is not located within a designated trout watershed.

USACE NWP — Compliance
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
4. Western NC Waters and Corridors. The permittee shall submit a PCN (see General Condition
32) to the District Engineer prior to commencing the activity in waters of the U.S. if the activity will
occur within any of the following identified waters in western North Carolina, within 0.5 mile on
either side of these waters, or within 0.75 mile of the Little Tennessee River, as measured from
the top of the bank of the respective water (i.e., river, stream, or creek).
Not applicable. Project does not occur within any listed waters.
5. Limitation of Loss of Stream Bed. NWPs may not be used for activities that may result in the
loss of more than 0.05 acres of stream bed, except for NWP 32.
Proposed stream impacts do not exceed 0.05-acre of stream bed.
6. Pre -Construction Notification for Loss of Stream Bed Exceeding 0.02 acres. The permittee
shall submit a PCN to the District Engineer prior to commencing the activity (see General Condition
32) prior to the use of any NWP for any activity that results in the loss of more than 0.02 acres of
stream bed. This applies to NWPs that do not have PCN requirements as well as those NWPs that
require a PCN.
Acknowledged, streambed impacts limited to 0.004-acre.
7. Mitigation for Loss of Stream Bed. For any NWP that results in a loss of more than 0.02 acres
of stream bed, the permittee shall provide a mitigation proposal to compensate for more than
minimal individual and cumulative adverse impacts to the aquatic environment, unless the District
Engineer determines in writing that either some other form of mitigation would be more
environmentally appropriate, or the adverse effects of the proposed activity are minimal. For
stream bed losses of 0.02 acres or less that require a PCN, the District Engineer may determine,
on a case -by -case basis, that compensatory mitigation is required to ensure that the activity results
in minimal adverse effect on the aquatic environment.
The proposed project will result in permanent impact to 0.004-acre of streambed; therefore,
mitigation is not required.

USACE NWP — Compliance
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
8. Riprap. For all NWPs that allow for the use of riprap material for bank stabilization, the following
conditions shall be applied:
a. Filter cloth must be placed underneath the riprap as an additional requirement of its use in North
Carolina waters. The placement of filter fabric is not required if the riprap will be pushed or "keyed"
into the bank of the waterbody. A waiver from the specifications in this Regional Condition must
be requested in writing.
Acknowledged. Filter cloth will be placed below rip rap.
b. Riprap shall be placed only on the stream banks, or, if it is necessary to be placed in the stream
bed, the finished top elevation of the riprap should not exceed that of the original stream bed.
Acknowledged. The finished top elevation of the rip rap in the streambed will not exceed that of
the original streambed.
9. Culvert Placement. For all NWPs that allow for culvert placement, the following conditions shall
be applied:
Not applicable no culverts are proposed.
10. Utility Lines. For all NWPs that allow for the construction and installation of utility lines, the
following conditions shall be applied:
Not applicable. The proposed maintenance project does not involve the construction and
installation of utility lines.
11. Temporary Access Fills. The permittee shall submit a PCN to the District Engineer prior to
commencing the activity if the activity will involve the discharge of dredged or fill material into
more than 0.1 acres of wetlands or 0.02 acres of stream channel for the construction of temporary
access fills and/or temporary road crossings. The PCN must include a restoration plan that
thoroughly describes how all temporary fills will be removed, how pre -project conditions will be
restored, and include a timetable for all restoration activities.

USACE NWP — Compliance
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
Acknowledged. No temporary access fill is proposed. Temporarily placed prefabricated mats will
be used to cross 12 and W1 and access the maintenance site, which will be limited to the existing
and maintained utility ROW.
12. Federal Navigation Channel Setbacks. Authorized structures and fills located in or adjacent to
Federally authorized waterways must be constructed in accordance with the latest setback
criteria established by the Wilmington District Engineer.
Not applicable.
13. Northern Long-eared Bat — Endangered Species Act Compliance
The Wilmington District, U.S. Army Corps of Engineers has consulted with the United States
Fish and Wildlife Service (USFWS) in regard to the threatened Northern long- eared bat (NLEB)
(Myotis septentrionalis) and Standard Local Operating Procedures for Endangered Species
(SLOPES) have been approved by the Corps and the USFWS. This condition concerns effects
to the NLEB only and does not address effects to other federally listed species and/or federally
designated critical habitat.
Not applicable. The project is located outside of a red Hydrologic Unit Code (HUC). Further, the
USFWS does not list the NLEB as occurring in Rockingham County within the project area.
14. West Indian Manatee Protection. In order to protect the endangered West Indian manatee
(Trichechus manatus) the Permittee shall implement the USFWS' Manatee Guidelines, and
strictly adhere to all requirements therein.
Not applicable.
15. ESA Programmatic Biological Opinions. The Wilmington District, USFWS, NCDOT, and the
FHWA have conducted programmatic Section 7(a)(2) consultation for a number of federally listed
species and designated critical habitat (DCH), and programmatic consultation concerning other
federally listed species and/or DCH may occur in the future. The result of completed
programmatic consultation is a Programmatic Biological Opinion (PBO) issued by the USFWS.
These PBOs contain mandatory terms and conditions to implement the reasonable and prudent
measures that are associated with "incidental take" of whichever species or critical habitat is
covered by a specific PBO. Authorization under NWPs is conditional upon the permittee's
compliance with all the mandatory terms and conditions associated with incidental take of the

USACE NWP — Compliance
Colonial Pipeline Company — Line 3 Exposure LIT Lake Hunt
June 28, 2024
Corblu Project No. 02-041901-188 — Rockingham Co. NC
applicable PBO (or PBOs), which are incorporated by reference in the NWPs. Failure to comply
with the terms and conditions associated with incidental take of an applicable PBO, where a take
of the federally listed species occurs, would constitute an unauthorized take by the permittee,
and would also constitute permittee non-compliance with the authorization under the NWPs. If
the terms and conditions of a specific PBO (or PBOs) apply to a project, the Corps will include
this/these requirements in any NWP verification that may be issued for a project. For an
activity/project that does not require a PCN, the terms and conditions of the applicable PBO(s)
also apply to that non -notifying activity/project. The USFWS is the appropriate authority to
determine compliance with the terms and conditions of its PBO and the ESA.
Not applicable. No PBOs exist for the species listed on the USFWS IPaC Official Species List
completed for the subject pipeline maintenance location (Appendix A).
16. Work on Eastern Band of Cherokee Land.
Not applicable. Project site is not Eastern Band of Cherokee Land.
17. Sedimentation and Erosion Control Structures and Measures
All PCNs will identify and describe sedimentation and erosion control structures and measures
proposed for placement in waters of the U.S. The structures and measures should be depicted
on maps, surveys or drawings showing location and impacts to jurisdictional wetlands and
streams.
Not applicable. No sedimentation erosion control structures and measures are proposed for
placement in Waters of the U.S.
C) Regional Conditions Applicable to Specific NWPs
1. NWP 3 — Not applicable. The proposed project does not occur within a trout watershed.
D) Section 401 Water Quality Certification
As mentioned in Section 4.0 a request for individual 401 WQC has been submitted to the NC
DEQ DWR. Work will not commence until 401 WQC approval has been received from the NC
DEQ DWQ and we receive written USACE concurrence on the non -notifying use of NWP — 3
Maintenance for this project.

PCN FORM ATTACHMENT B — Easement Agreement

.118
bir
LL# 13:3a
Not Drawn in Rockingham County Map# 15`' �V�
I
RIGHT OF WAY EASEMENT
FOR AND IN CONSIDERATION of Four Hundred Fifty Six and NO 00 — — — — — —— — DOLLARS,
the receipt of which is hereby acknowledged A. L. Johnson and wife Wilma C. JohnSon Sol
hereinafter referred to as Grantors (whether one or more), do hereby grant and convey unto COLONIAL PIPELINE COMPANYs
Delaware corporation, its successors and assigns, hereinafter referred to as Grantee, an easement for a pipeline right of way with the
right to construct, maintain, inspect, operate, protect, repair, replace, change the size of, and remove a pipeline for the transportation of
liquids and/or gases on, over, and through the following described lands, of which Grantors warrant they are the owners in fee simple,
situated in Rockingham County, State of North Carolina to -wit:
45.13 Acres, more or less, described in a Deed from Albert L. Cobb to A. L. Johnson, dated
February 14, 1955, recorded in Book 467, Page 315, in the office of the Register of Deeds
d abed
from W. B.Cobb tux, to A. L. Johnson, et ux, date February 27, 1941, recorded in Hook
7 �C7 X�D[dC7i7CR j7k3T C tha APgisi Pr nf'._I)8eds_ of Rockingham Oaimty, itinrth Carnlina.
�
through timber area during construction of pipeline and shall revert to a width of 501feet
the following described centerline: Beginning at a point in the South property line,
Lenora l
the southwest property corner, thence from said point of beginning in 470 101 East a
d-1-st—ne of 1546 feet- thence o ,
the East property line. George C. Tuttle's line.
together with the right of unimpaired access to said pipeline and the right of ingress and egress on, aver, and through the above -described
land for any and all purposes necessary and incident to the exercise by said Grantee of the rights granted hereunder.
The said Grantors shall have the right to use and enjoy the above -described land except as the same may be necessary for the
purposes herein granted to the said Grantee. Grantors agree not to build, create, or construct any obstructions, engineering works, or other
structures over said pipe line nor permit the same to be done by others.
In addition to the above consideration, Grantee agrees to repair or to pay for any actual damage which may be done to growing
crops, timber, fences, buildings, or other structures directly caused by Grantee exercising any rights herein granted.
Any pipe line constructed by Grantee across any portion of the above -described land which is under cultivation shall, at the time
of the construction thereof, be buried to such depth as will not interfere with Grantors' use of said land for normal cultivation required
for the planting and tending of crops; except that Grantee. at its option, may construct its pipe line above the channel of any natural or
man-made stream, ravine, ditch, or other water course.
1SQ4f]iiJg3[BS•C�A6]Bt'R[7[]l�C7C]G4'a1K�747�7��C4CAClXyttJC4�@4slt>�74�X3L�C9e;l6�t;fC374dJ6767CLhDC ]d'ld➢C7[t
�]EdE,BiDIagCDyta�&7a�+aC�tXiPar[4[71,��1I[DFI]HDCDdD2�4IIC7�tJ�DSgE1�t9Ca�C�b94�f XiltiSEdt4I7R9C�h@7C4[OL4C174Rdf�s7tm9t1J09t�
171443�Jf�DDt�Q�gtp�gSij�ad iRhl9C9ffifi-7EsX� ����C���7LS7Q4Q4L7C�JC
g BF�9�77pA�
c�i�E�S�dR]FOO7Sl�fti]1S.k1C OC 9s7t9oK
It is agreed that any payment hereunder may be made direct to said Grantors, or any one of them, or by depositing such payment to
the credit of said Grantors, or any one of them, in the Bank of Reidsville , Reidsville, N. 0,
and payment so made shall be deemed and considered as payment to each of said Grantors.
The rights herein granted may be assigned in whole or in part.
The terns, conditions, and provisions of this right of way easement shall extend to and be binding upon the heirs, executors,
administrators, personal representatives, successors, and assigns of the parties hereto.
TnLZress nncl egress shall be restrintj�d to e Right of Wayherein described Grantor
reserves the right to cross said Right of Way with hard -.surface roads. Timber out from
the Right, of Way shall be cut into saw —log lengthy and_pulRwood lengths before it is stacked
at the side of the Right of Way. All stumps from the trees cut during construction of the
a said stripshall be reseeded after the
pipeline has been laid. The contour of the land and terraces shall be replaced as near as
pos,ibl e to the original cardi ti on prior to c(nstr„nti nn of the Pipeline -
IN WITNFSS WHEREOF, the Grantors herein have hereunto set their hands and 19 63
Signed, sealed, and A. L. Johl!Soj
delivered in the presence of'"- V-6-' J (Sea])
Wilma C. Johnson
(seal)
Weinstein
- �1 — (Seai)
a {�. 19. Clymer Grantors
O`603 . tCx7
i

CPC-96
119
INDIVIDUAL ACKNOWLEDGMENT
STATE OF NORTH CARD NA
SS
COUNTY 4F
I do hereby certify that
personally ppea be re me this day and acknowleed the due execution of the foregoing instrument, /
Witness my hand and official seal this, the %� day of « 19�
My term of -offices expires on the=y of
otary Public
Ruth Weinstein
INDIVIDUAL ACKNOWLEDGMENT
STATE OF NORTH CAROLINA
COUNTY OF SS
I do hereby certify that
personally appeared before me this day and acknowledged the due execution of the foregoing instrument.
Witness my hand and official seal this, the day of 19
My term of office expires on the day of
Notary Public
. 19—.
PROOF BY SUBSCRIBING WITNESS
STATE OF NORTH CAROLINA 1
J}
COUNTY OF SS
I of County, state
certify thaI
personally appeared before me this day, and being duly sworn, state that in his presence
signed the foregoing instrument.
Witness my hand and official seal, this _ _ . day of 19w.
My term of office expires on the day of
Notary Public
19 -
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A.L. Johnson
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L enara Ookley Lands
CENTERLI tE OF PROPOSED P I PEL I tE DESCRIBED AS FOLLOWS:
,_ _. •.. � r- .. err:a's
3EGINNlNG AT A POINT III THE SOUTH PROPERTY LItlE, LENORA OAKLEYtS LIIE, SAID POINT
OF BE S I tV I NG AND ENTRY BEING 4BC FEET, MORE OR LESS, FROM THE SOUTHVJEST PROPERTY
CORNER, THENCE FROM SAID PO I11T OF BEG I tI I NG N 47° 101 E A D I STANCE OF 1546 FEET;
THENCE N 330 451 E A DISTANCE OF 2207 FEET TO A PO t NT OF EXIT IN THE EAST PROPERTY
L I E F, C,FORGE C, TI?TTLE I S L I PE , ALL AS SHOWN HERECH.
Pef Align. kL9 ,v 5. j2.d - 159
�T COLONIAL PIPELINE COMPANY
II ATLANTA. GEORGIA
- -�Pr4CPC5`�= L3 .3`2 " PIPELINE
C.�r'�7:� .`'ING PR�7PERTY �F
CO., IbOg7-,,H c',4,?Ol-Iva
DRAWN-0— .4.
NOTES
SCALE
LATE /'-F 65
CHECKED

FOR AND IN CONSIDERATION OF
RIGHT OF WAY EASEMENT
113 1
Te llars and other valuable consii
803:100
Rockingham County, N. C.
.ons D)LLARS
If I. the receipt and adequacy of which is herrhy acknowledged
Wilma 011ie Cobb Johnson, Widow
hereinafter referred to as Grm.Wr, (whether acre or morel. do hereby ¢rant, bargain. sell, convey. and warrant unto COLONIAL PIPELINE COMPANY, a Delaware c-Porittion.
its s.ccesacrs and assigns, hereinafter referred to as Grantee, an indefeasible .asemem for a pipeline right of way with the right to construct. maintain. inspect. identify, -peyow
protect, replace. repe�jgdt�reletsa��,YC�Cv.lg pl>llirl atlpurtrmutpcn. including mtrkers, for the transportation of iiquide. gases, solids. and/or mutnues o< any or
ail thereof. upon and Alon.•gfl a rout�es#wle¢saahuAntainawsa rrght off wlay W SSbrinig Fifty 50 feet h, width M extending Twenty Five (25 )
fret lean the Easterly _ - side and T'wP_nn tTFive (25_� (eat from the Wpcter - - aide of the center line of
she fist pipeline instilled hereunder. together with the right to use a strip of land Forty Five (4S }. _ (eat in width adjarent to the said right of way Wpmthe
side thereof selected by Grenteel and running the Iengh thereof, aw temporary work space during construction of said pipeline. on. over. and through the fdlowing described land.,.
of which Grantors warrant they arc the owners in fee simple. situated in Rockingham . On nty, State of North Carolina. to -it:
A tract or parcel of land located in Simpsonville Township, Rockingham County, North Carolina,
containing 231.13 acres, more or less, more particularly described in deeds from Albert L.
Cobb to A. L. Johnson dated February 14, 1955, recorded in Book 467, at Page 315, and from
W. B. Cobb to A. L. Johnson dated February 27, 1941, recorded in Book 331, at Page 512, both
in the Office of the Register of Deeds in Rockingham County, State of North Carolina.
During installation of said pipeline, the permanent right of way and temporary work space
comprising the construction area shall be confined to a strip of land 95 feet in width,
being 60 feet Easterly of and 35 feet Westerly of said pipeline, except at Road, Railroad
and Waterway crossings where said construction shall not exceed 250 feet in width and
200 feet in length back along the pipe. The land and terraces shall be returned, as near as
possible, to the original condition. The right of way is to be cleared and seeded. After
construction, all right to use of temporary right of way shall terminate.
together with the right of unimpaired accem to said pipeline and the right of ingress and egreea an, over. "'4Pa'ougf`r -12 9 fi95 esn mWO tar any and ell p-pw
mreemary and incident to the exercise by said Grantee of the right. granted hereunder, with the further eight to maintain +aid right of way herein granted clear of fetes. nndergt'mwth,
and brush. Grantors covenant and aarree that they will not impound water or eonatracs haddinga, sructuns, engineering works or other oiatructims of anv type whatsoever on the
above deacribed right of way strip unless a.dw iced in writing by Grantee. The Grantor agree to leave such pipelines undisturbed ore to Iccauon and depth. ''hex shall be carenanr-
running with the land and shall behind!" on G rontom, their hews and reigns. *
In addition to the above ccasiden Lion. Grantee agrees to repair or to pay for any actual damagewhwh may be dote to growing crops, timber, fcncea. buildings, or other atraema,t .
directly caused by Grantee exercuing am righu he m granted: prc rxied. however, after flue Curet pipeline boa been installed, Grantee -hail nut be haute fur dantxgee caused on th.
Rite of way by keeping said right of wav clear of trees. mtdergrowth. brush, buildings..,troetum. engineering works and obatructione in the eserriae of it$ eights granted herein_
At. pipeline ------ herettader by Grantees atuGae any portion of the abwe-desvibed land which is under eulni mon shall. at the tune of the cometxvetion dwEcd, be buried
tosuch depth as wiil mot interfere with Granters• veer of said land for normal cultivation required forthe planting and tending of crops: except that Grantee, at its option. may cooaauct
its pipeiime above the chamtei al anv aantrai or man -nude -ream, arias, ditch or wat mote ore.
=b�aer iihC eamda4huo3trremaowFarr�otslc6wutota:�anokfrrawesreaLrawaawr carrda�s caoosba atulawammm
__ -----'�ipeiimdse �.Lnes �e!>;terfarri4i+m�.a>.mewt3aetatr�9catt>ark�tni9im[n!sQs.9waww3tuswtam�k=-=--=---.�=�ersoddxF
taorta�aairk paarmeaCto � made �wwarwnxwat�drieirdditietwkpefreiww bpi-hdk�r�eet�sdtFiwnt�weita�+raciteVa��awenawk.
aaaati¢ahival>}R�
It is aged that am payment hereunder may be made direct to said Grantors, _,my one of them. or i,y depoeitinq ouch payment to the credit of said Grant—, x any sae of them.
in the
Each of said Grantors.
Bank of
and payment so made ah.0 be deemed and crnsidercd a, payment to
Delay of Grantee in du use or exercise at any right oreasement hereby granted. nein Iaying or inaafling the first pipeline or additional Vines in or along said right of way. shall not
resoit is the {ua. limitation or abandonment of any of the right, title, interest. easement or estate herchy granted.
The rights herein gramed are divisible and assignable in whale or in part.
The terra, mvemanm and provisions of this right of way easement shall extend to and be binding upon :he heir, executors, adminuva—, patented reprtxmatives, sutc--",
and eaeigm of the parties hereto.
TO HAVE AND TO HOLD said rights and right of wry, easement, eaau and prMirtro over. in, through. and to the +Lore -described "d unto the said Grantee. its snxeesaen
sad amigna, forever. and Grantor do hereby bind theraneivee and :heir respective heirs. suaaes ' srecusara. administratan, and assigns to warrant and forever defend all and
eitaWar sad rights and easemmu unm said Gnmtae. in suecseor and xseigns. and against every person whomsoever lawfully claiming or to claim the same or any part thrreol.
exeeptasatomcrictionxatdewmentaoirecord. ifamy. *except grantor shall have the right to construct a street,paved
or unpaved, over the right of way at 90-degree angle. Any street across easement shall not
reduce the grade.
IN WITNESS WHEREOF, the Grantors herein have hereuntt xt their hands and seals this day of C�)� L 19 �.
Signed. sealed and
delivered in;
Wilma 011ie Cobb Jo son, widow
(Seal I
STATE or rRnLEState
NpA�N` -xr(e Tax —
-�- r.a.u•r�o �
Iseal l
DRAWN BY:
3.1 (Rev. 7!"1

ACKNOWLEDGEMENT
Y INDIVIDUAL GRANTOR{S1k
STATE OF NORTH CAROLINA
COUNTYOF ' (q
a N.tan Public for said County and -State. do heee6v can fv that
- peraotta!!y appeared before me this day aad aeknowledged the due execution of the [oregninq instrument.
WITNMrn.,handaad..u, —l.thu � LJ 1
•_, dayof
a� _ • • Notary Public
My ooidaQiaeR�Eitii(•ejl,''d..=,� -:'
rArruwatar;;ltsf.�� 4_ 1 C :'�,°
�f'r rnlM�ty� ACKNOWLEDGEMENT
STATE OF NORTH CAROLINA
COUNTYOF
BY INDIVIDUAL GRANTOR[SI
a Notary public for said C—ty and State, do hembv certify that
par 11, appeared before me thia dev and acknowledged the due execution of the forWieg instrument.
WITNESS my hand and notarial seui, thin day of 19
My rnmionexPu-
i LA1ta N.L.,W Sealf
STATE OF NORTH CAROLINA
I COUNTYOF
Notary public
ACKNOWLEDGEMENT
BY SUBSCRIBING WITNESS (ONLY ONE REQUIRED)
a Notary Pu61ie far said County and State. do hereby certify that
personaliv appeared before me this day, and being swum, stated that in h p­
4gne,0 iacknowledged the o-6on oil* the foryaviaq insxrumeat,
WITNESS — hand and notarial seal the day a .19
Notary Pubiie
My ro—aatoa expinra
1 Atfia NotwW Seah
STATE OF NORTH CAROLINA—Rockingham County.
reforegoing entiemte,r..-'�e E.Sp, ....................ngham County,i...o....i.................................................
Stara.-of...Nar th...Carolina, ...................................
is certifiied to be Correct. This instrument was presented for registration at .......... o'clock P.M., on thel .... day of. ...... Ail&lIS G
19...78. and recorded ;n R.w, .7 rZ .... , Page..115.. Office of Register of Docdejor Rockingham County, N. C.
This the .loth„ day of....AUgUat ............................. i g —ZY.
$ 5.00 Fee Pd. IREN PRUITT, Register of Deeds, Rockingham County, N. C.
Mail to: Colonial Pipeline Co.
P 0 Box 9983 Asst: Deputy Register of Deeds
G'boro N C 27408

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PCN FORM ATTACHMENT C — IPaC Official Species List

United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh Ecological Services Field Office
3916 Sunset Ridge Rd
Raleigh, NC 27607
Phone: [phone] Fax: [phone]
In Reply Refer To: 06/25/2024 18:05:09 UTC
Project Code: 2024-0108545
Project Name: CPC Line 3 Exposure UT Lake Hunt
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 final designated critical habitat, that may occur within the boundary of your
proposed project and/or may be affected by your proposed project. The 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.). If your project area
contains suitable habitat for any of the federally -listed species on this species list, the proposed
action has the potential to adversely affect those species. If suitable habitat is present, surveys
should be conducted to determine the species' presence or absence within the project area. The
use of this species list and/or North Carolina Natural Heritage program data should not be
substituted for actual field surveys.
New information based on updated surveys, changes in the abundance and distribution of
species, changed habitat conditions, or other factors could change this list. Please feel free to
contact us if you need more current information or assistance regarding the potential impacts to
federally proposed, listed, and candidate species and federally designated and proposed critical
habitat. Please note that 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. This verification can be
completed formally or informally as desired. The Service recommends that verification be
completed by visiting the IPaC website at regular intervals during project planning and
implementation for updates to species lists and information. An updated list may be requested
through the IPaC system by completing the same process used to receive the enclosed 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

Project code: 2024-0108545
06/25/2024 18:05:09 UTC
species and to determine whether projects may affect threatened and endangered species and/or
designated critical habitat.
A Biological Assessment is required for construction projects (or other undertakings having
similar physical impacts) that are major 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)). For projects other than major construction activities, the Service suggests that a biological
evaluation similar to a Biological Assessment be prepared to determine whether the project may
affect listed or proposed species and/or designated or proposed critical habitat. Recommended
contents of a Biological Assessment are described at 50 CFR 402.12.
If a Federal agency determines, based on the Biological Assessment or biological evaluation, that
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. In addition, the Service
recommends that candidate species, proposed species and proposed critical habitat be addressed
within the consultation. More information on the regulations and procedures for section 7
consultation, including the role of permit or license applicants, can be found in the "Endangered
Species Consultation Handbook" at:
https://www.fws. gov/sites/defaultlfiles/documents/endangered-species-consultation-
handbook.pdf
Migratory Birds: In addition to responsibilities to protect threatened and endangered species
under the Endangered Species Act (ESA), 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 U.S. Fish and Wildlife Service (50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)). For more
information regarding these Acts, see https://www.fws.gov/program/migratory-bird-permit/what-
we-do.
The MBTA has no provision for allowing take of migratory birds that may be unintentionally
killed or injured by otherwise lawful activities. It is the responsibility of the project proponent to
comply with these Acts by identifying potential impacts to migratory birds and eagles within
applicable NEPA documents (when there is a federal nexus) or a Bird/Eagle Conservation Plan
(when there is no federal nexus). Proponents should implement conservation measures to avoid
or minimize the production of project -related stressors or minimize the exposure of birds and
their resources to the project -related stressors. For more information on avian stressors and
recommended conservation measures, see https://www.fws.gov/library/collections/threats-birds.
In addition to MBTA and BGEPA, Executive Order 13186: Responsibilities of Federal Agencies
to Protect Migratory Birds, obligates all Federal agencies that engage in or authorize activities
that might affect migratory birds, to minimize those effects and encourage conservation measures
that will improve bird populations. Executive Order 13186 provides for the protection of both
migratory birds and migratory bird habitat. For information regarding the implementation of
Executive Order 13186, please visit https://www.fws.gov/partner/council-conservation-
migratory-birds.
2of12

Project code: 2024-0108545
06/25/2024 18:05:09 UTC
We appreciate your concern for threatened and endangered species. The Service encourages
Federal agencies to include conservation of threatened and endangered species into their project
planning to further the purposes of the Act. Please include the Consultation Code in the header of
this letter with any request for consultation or correspondence about your project that you submit
to our office.
Attachment(s):
• Official Species List
• USFWS National Wildlife Refuges and Fish Hatcheries
• Bald & Golden Eagles
• Migratory Birds
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:
Raleigh Ecological Services Field Office
3916 Sunset Ridge Rd
Raleigh, NC 27607
[phone]
3of12

Project code: 2024-0108545 06/25/2024 18:05:09 UTC
PROJECT SUMMARY
Project Code: 2024-0108545
Project Name: CPC Line 3 Exposure UT Lake Hunt
Project Type: Pipeline - Onshore - Maintenance / Modification - Above Ground
Project Description: Pipeline Exposure
Project Location:
The approximate location of the project can be viewed in Google Maps: https:
www. google.com/maps/(a)36.34262615,-79.70750298141868,14z
Counties: Rockingham County, North Carolina
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Project code: 2024-0108545 06/25/2024 18:05:09 UTC
ENDANGERED SPECIES ACT SPECIES
There is a total of 2 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. Note that 1 of these species should be
considered only under certain conditions.
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.
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.
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Project code: 2024-0108545
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MAMMALS
NAME
STATUS
Tricolored Bat Perimyotis subflavus Proposed
No critical habitat has been designated for this species. Endangered
This species only needs to be considered under the following conditions:
• This species only needs to be considered if the project includes wind turbine operations.
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
CRITICAL HABITATS
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.
YOU ARE STILL REQUIRED TO DETERMINE IF YOUR PROJECT(S) MAY HAVE EFFECTS ON ALL
ABOVE LISTED SPECIES.
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.
BALD & GOLDEN EAGLES
Bald and golden eagles are protected under the Bald and Golden Eagle Protection Act1 and the
Migratory Bird Treaty Act2.
Any person or organization who plans or conducts activities that may result in impacts to bald or
golden eagles, or their habitats3, should follow appropriate regulations and consider
implementing appropriate conservation measures, as described in the links below. Specifically,
please review the "Supplemental Information on Migratory Birds and Eagles".
1. The Bald and Golden Eap-le Protection Act of 1940.
2. The Migratory Birds Treaty Act of 1918.
3. 50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)
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Project code: 2024-0108545
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There are likely bald eagles present in your project area. For additional information on bald
eagles, refer to Bald Eagle Nesting and Sensitivity to Human Activity
For guidance on when to schedule activities or implement avoidance and minimization measures
to reduce impacts to migratory birds on your list, see the PROBABILITY OF PRESENCE
SUMMARY below to see when these birds are most likely to be present and breeding in your
project area.
1►/Juhl
Bald Eagle Haliaeetus leucocephalus
This is not a Bird of Conservation Concern (BCC) in this area, but warrants attention
because of the Eagle Act or for potential susceptibilities in offshore areas from certain
types of development or activities.
https:Hecos.fws.gov/ecp/species/1626
PROBABILITY OF PRESENCE SUMMARY
I:7:19 M 911►rMll W.11Wo]►I
Breeds Sep 1 to
Jul 31
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 "Supplemental
Information on Migratory Birds and Eagles", specifically the FAQ section titled "Proper
Interpretation and Use of Your Migratory Bird Report" before using or attempting to interpret
this report.
Probability of Presence (■)
Green bars; the bird's relative probability of presence in the 10km grid cell(s) your project
overlaps during that week of the year.
Breeding Season( )
Yellow bars; liberal estimate of the timeframe inside which the bird breeds across its entire
range.
Survey Effort (1)
Vertical black lines; the number of surveys performed for that species in the 10km grid cell(s)
your project area overlaps.
No Data (—)
A week is marked as having no data if there were no survey events for that week.
■ 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 ++-- +++— ---+ +—++ ++—+ ++++ ----—+--1111111111111111
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Project code: 2024-0108545 06/25/2024 18:05:09 UTC
Non -BCC
Vulnerable
Additional information can be found using the following links:
• Eagle Management https://www.fws.gov/program/eagle-management
• Measures for avoiding and minimizing impacts to birds https://www.fws.gov/library
collections/avoiding-and-minimizing-incidental-take-mi rator.
• Nationwide conservation measures for birds https://www.fws.gov/sites/default/files/
documents/nationwide-standard-conservation-measures.pdf
• Supplemental Information for Migratory Birds and Eagles in IPaC https://www.fws.gov/
media/supplemental-information-mi ratory-birds-and-bald-and-golden-ea les-may-occur-
project-action
MIGRATORY BIRDS
Certain birds are protected under the Migratory Bird Treaty Acti and the Bald and Golden Eagle
Protection Act2.
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 in the links below. Specifically,
please review the "Supplemental Information on Migratory Birds and Eagles".
1. The Migratory Birds Treaty Act of 1918.
2. The Bald and Golden Eas71e Protection Act of 1940.
3. 50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)
For guidance on when to schedule activities or implement avoidance and minimization measures
to reduce impacts to migratory birds on your list, see the PROBABILITY OF PRESENCE
SUMMARY below to see when these birds are most likely to be present and breeding in your
project area.
BREEDING
NAME 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.
https:Hecos.fws.gov/ecp/species/1626
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Project code: 2024-0108545
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BREEDING
NAME SEASON
Chimney Swift Chaetura pelagica Breeds Mar 15
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA t0 Aug 25
and Alaska.
https:Hecos.fws.gov/ecp/species/9406
Chuck-will's-widowAntrostomus carolinensis Breeds May 10
This is a Bird of Conservation Concern (BCC) only in particular Bird Conservation Regions t0 Jul 10
(BCRs) in the continental USA
https:Hecos.fws.gov/ecp/species/960
Eastern Whip -poor -will Antrostomus voci ferns Breeds May 1
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA t0 Aug 20
and Alaska.
https:Hecos.fws.gov/ecp/species/10678
Grasshopper Sparrow Ammodramus savannarum perpallidus Breeds Jun 1 to
This is a Bird of Conservation Concern (BCC) only in particular Bird Conservation Regions Aug 20
(BCRs) in the continental USA
https:Hecos.fws.gov/ecp/species/8329
Prairie Warbler Setophaga discolor Breeds May 1
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Jul 31
and Alaska.
https:Hecos.fws.gov/ecp/species/9513
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.
https:Hecos.fws.gov/ecp/species/9439
Red-headed Woodpecker Melanerpes erythrocephalus Breeds May 10
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA t0 Sep 10
and Alaska.
https:Hecos.fws.gov/ecp/species/9398
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
https:Hecos.fws.gov/ecp/species/9478
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.
https:Hecos.fws.gov/ecp/species/9431
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 "Supplemental
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Project code: 2024-0108545
06/25/2024 18:05:09 UTC
Information on Migratory Birds and Eagles", specifically the FAQ section titled "Proper
Interpretation and Use of Your Migratory Bird Report" before using or attempting to interpret
this report.
Probability of Presence (■)
Green bars; the bird's relative probability of presence in the 10km grid cell(s) your project
overlaps during that week of the year.
Breeding Season( )
Yellow bars; liberal estimate of the timeframe inside which the bird breeds across its entire
range.
Survey Effort (1)
Vertical black lines; the number of surveys performed for that species in the 10km grid cell(s)
your project area overlaps.
No Data (—)
A week is marked as having no data if there were no survey events for that week.
probability of presence breeding season I survey effort — no data
SPECIES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Bald Non -BCC e II�1 IIII IIII 6i■■ MEMO ■■■g IIII —+rt ��11 11�1 IIII �111
Vulnerable
Chimney Swift III pill IN IN Illp
1111
"BCC Rangewide +++�
(CON)
Chuck-will's-widow ++—_
+++— --- -+ +'
'+ ++—
+++
M-0-0i
-++ —++�BCC
- BCR
MM
Eastern Whip -Poor-
Wily
BCC Rangewide
(CON)
Grasshopper
Sparrow ++—�
+
+++� ��� '-11
IIII 111� 1 —'
11
�T11 1
++� --
—1 1111 — +�
BCC -BCR
Prairie Warbler
++--
+++— ---+ +—+'
+i+ +++Jill
—+�— ---�
+—++ —++— --+�
BCC Rangewide
NONE
(CON)
�iN
Prothonotary
�"""""""'
Warbler +++� ���+
--�— ---�
+­++
BCC Rangewide
(CON)
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Project code: 2024-0108545 06/25/2024 18:05:09 UTC
Red-headed "—' "—++ + Woodpecker
BCC Rangewide
(CON)
Rusty Blackbird ++—� ++'— —'—' +—++ ++—+ ++++ --� —+�— ---� +­++ —+U --+�
BCC -BCR
Wood Thrush ' '■''"��`■■ —"�
BCC Rangewide ++ + + + —� ++� ���—+ ++ —++— --+�
(CON)
Additional information can be found using the following links:
• Eagle Management https://www.fws.gov/program/eagle-management
• Measures for avoiding and minimizing impacts to birds https://www.fws.gov/library
collections/avoiding-and-minimizing-incidental-take-mi rator.
• Nationwide conservation measures for birds https://www.fws.gov/sites/default/files/
documents/nationwide-standard-conservation-measures.pdf
• Supplemental Information for Migratory Birds and Eagles in IPaC https://www.fws.gov/
media/suDDlemental-information-mip-ratorv-birds-and-bald-and-p-olden-eas-les-mav-occur-
project-action
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Project code: 2024-0108545
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IPAC USER CONTACT INFORMATION
Agency: Corblu Ecology Group
Name: Michael Barfield
Address: 3225 South Cherokee Lane, Bldg. 800
City:
WOODSTOCK
State:
GA
Zip:
30188
Email
[e-mail]
Phone:
6782152742
12 of 12

PCN FORM ATTACHMENT D — NRHP Map

r l.+� ��
t •
Site ID: RK1440
Status: SO
'Y Site Name: Pritchard
-Tuttle House
Distance to porject; 1,550 ft41 "
Line 3 Exposure
w.
- ' 36.343785, 79.706563
IM Site ID: RK1432
Status: SD •
•
' '
Site Name: House (gone) � r..�� . .
_ , , - �- t
Distance to porject; 1,925 ft
> ;} a •�
e
3 =xZ W,
BV
OL
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Legend
Line 3 Exposure � •� r. �rc�-�`�i ;: �;s:'�.
CPC Pipeline - 1
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.r f _ }
��p►" �4' h '
O NCHPOpoints�
.
�
N�
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a . 1
Base Map Source: ESRI Aerial Imagery
1.10, 000
0 500 1,000 2,000 Feet
Colonial Pipeline Company, SE
Line 3 Exposure UT Lake Hunt
blu
NC HPO and NRHP Map
co
Project No. 02-041901-188
Rockingham County, North Carolina
ECOLOGY GROUP,

PCN FORM ATTACHMENT E — FEMA/FIRM Map

-_ ;.N - .��r - �� �r.,-�'� ` ��.r- r• •�•�1 r i pit -'`�•:', r .ti �`• �
r
�-F.' • rf > MYi �s�/�.�r� '�� �.R�rr �� • - f 1 ; �Ln � •• -Y
kv
dr
,•,; Line 3 Exposure w- _ --
36.343785, 79.706563 "
PANEL t� ; PAN '�
fo
3710798400J 3T10T 400J
eff. T131 -007 efF. IZflO
• '
• -q- 4
z. Legend
Line 3 Exposure
CPC Pipeline
" Q FIRM Panels
k
.� •, ,,,`, z Flood Hazard Zones
i Zone Type
i3' + ►' s' 1 % Annual Chance Flood Hazard
i
Regulatory Floodway
r
Special Floodway
. T131200T �•,�,�� Area of Undetermined Flood Hazard
0.2% Annual Chance Flood Hazard
Future Conditions 1 % Annual Chance Flood Hazard
•r
4 / Area with Reduced Risk Due to Levee
40 Area with Risk Due to Levee
-16
Base Map Source: ESRI Aerial Imagery 0 500 t,000 z,000 Feet
1:10, 000
Colonial Pipeline Company, SE
FEMA/FIRM Map
Line 3 Exposure UT Lake Hunt
corblu Project No. 02-041901-188
Rockingham County, North Carolina ECOLOGY GROUP,

PCN FORM ATTACHMENT F - WETLAND DATA FORMS

U.S. Army Corps of Engineers OMB Control#: 0710-0024, Exp:1113012024
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region Requirement Control Symbol EXEMPT:
See ERDC/EL TR-12-9; the proponent agency is CECW-CO-R (Authority: AR 335-15, paragraph 5-2a)
Project/Site: CPC Line 3 Exposure UT Lake Hunt City/County: Rockingham Sampling Date: 5/21/24
Applicant/Owner: Rusty Foust - Colonial Pipeline Company State: NC Sampling Point: DP1
Investigator(s): Michael Barfield Section, Township, Range: NA
Landform (hillside, terrace, etc.): Local relief (concave, convex, none): Slope (%): 0
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.343539 Long:-79.706680 Datum: WGS 84
Soil Map Unit Name: FrD2 - Fairview -Poplar Forest complex, 8 to 15 percent slopes, moderately eroded NWI classification: R4SBC
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS —Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
_Surface Soil Cracks (136)
_Surface Water (Al) _True
Aquatic Plants (1314)
_Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
—Drainage Patterns (1310)
X Saturation (A3) X
Oxidized Rhizospheres on Living Roots (C3)
—Moss Trim Lines (1316)
—Water Marks (131) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
—Sediment Deposits (132) _
Recent Iron Reduction in Tilled Soils (C6)
—Crayfish Burrows (C8)
_ Drift Deposits (133) —Thin
Muck Surface (C7)
—Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (134) —Other
(Explain in Remarks)
—Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
X Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water-Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes X No
Depth (inches): 16
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116-4, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP1
Absolute
Dominant
Indicator
Tree Stratum (Plot size: 30 ft )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Quercus alba
3
No
FACU
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: 3 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 3 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 100.0% (A/B)
7.
Prevalence Index worksheet:
3
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
2 20% of total cover:
1
OBL species 45 x 1 = 45
Sapling/Shrub Stratum (Plot size: 15 ft
)
FACW species 34 x 2 = 68
1.
Liquidambar styraciflua
5
Yes
FAC
FAC species 15 x 3 = 45
2.
FACU species 9 x 4 = 36
3.
UPL species 0 x 5 = 0
4.
Column Totals: 103 (A) 194 (B)
5.
Prevalence Index = B/A = 1.88
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
X 3 - Prevalence Index is <-3.0'
5
=Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
3 20% of total cover:
1
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5 ft )
-Problematic Hydrophytic Vegetation' (Explain)
1.
Carex frankii
30
Yes
OBL
'Indicators of hydric soil and wetland hydrology must be
2.
Boehmeria cylindrica
20
Yes
FACW
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Scirpus atrovirens 15 No OBL
4.
Juncus effusus
10
No
FACW
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
Microstegium vimineum
10
No
FAC
more in diameter at breast height (DBH), regardless of
6.
Tridens flavus
6
No
FACU
height.
7.
Pycnanthemum tenuifolium
4
No
FACW
Sapling/Shrub - Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
95
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
48 20% of total cover:
19
height.
Woody Vine Stratum (Plot size: 30 ft )
1.
2.
3.
4.
5.
Hydrophytic
=Total Cover
Vegetation
50% of total cover:
20% of total cover:
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
ENG FORM 6116-4, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: DP1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Locz Texture Remarks
0-16 2.5Y 5/1 85 10YR 5/6 15 C PL Sandy Prominent redox concentrations
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
—Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al 2)
_Sandy Mucky Mineral (S1)
—Sandy Gleyed Matrix (S4)
X Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
_ Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
_ Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 1479 148)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soils3:
_ 2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(MLRA 147, 148)
—Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
—Red Parent Material (F21)
(outside MLRA 127, 1479 148)
—Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
31ndicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes X No
ENG FORM 6116-4, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

U.S. Army Corps of Engineers OMB Control#: 0710-0024, Exp:1113012024
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region Requirement Control Symbol EXEMPT:
See ERDC/EL TR-12-9; the proponent agency is CECW-CO-R (Authority: AR 335-15, paragraph 5-2a)
Project/Site: CPC Line 3 Exposure UT Lake Hunt City/County: Rockingham Sampling Date: 5/21/24
Applicant/Owner: Rusty Foust - Colonial Pipeline Company State: NC Sampling Point: DP2
Investigator(s): Michael Barfield Section, Township, Range: NA
Landform (hillside, terrace, etc.): hillside Local relief (concave, convex, none): Slope (%): 1
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.343663 Long:-79.706577 Datum: WGS 84
Soil Map Unit Name: FrD2 - Fairview -Poplar Forest complex, 8 to 15 percent slopes, moderately eroded NWI classification: Upland
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS —Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
_Surface Soil Cracks (136)
_Surface Water (Al) _True
Aquatic Plants (1314)
_Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
—Drainage Patterns (1310)
—Saturation (A3) —Oxidized
Rhizospheres on Living Roots (C3)
—Moss Trim Lines (1316)
—Water Marks (131) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
—Sediment Deposits (132) _
Recent Iron Reduction in Tilled Soils (C6)
—Crayfish Burrows (C8)
_ Drift Deposits (133) —Thin
Muck Surface (C7)
—Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (134) —Other
(Explain in Remarks)
—Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
X Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water-Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland Hydrology Present? Yes No X
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116-4, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP2
Absolute
Dominant
Indicator
Tree Stratum (Plot size: 30 ft )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Liquidambarstyraciflua
10
Yes
FAC
Number of Dominant Species
2.
Acerrubrum
5
No
FAC
That Are OBL, FACW, or FAC: 1 (A)
3.
Quercus alba
15
Yes
FACU
Total Number of Dominant
4.
Species Across All Strata: 5 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 20.0% (A/B)
7.
Prevalence Index worksheet:
30
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
15 20% of total cover:
6
OBL species 0 x 1 = 0
Saplinq/Shrub Stratum (Plot size: 15 ft
)
FACW species 0 x 2 = 0
1.
Juniperus virginiana
6
Yes
FACU
FAC species 20 x 3 = 60
2.
FACU species 131 x 4 = 524
3.
UPL species 0 x 5 = 0
4.
Column Totals: 151 (A) 584 (B)
5.
Prevalence Index = B/A = 3.87
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
2 - Dominance Test is >50%
9.
3 - Prevalence Index is :53.0'
6
=Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
3 20% of total cover:
2
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5 ft )
-Problematic Hydrophytic Vegetation' (Explain)
1.
Quercus alba
15
No
FACU
'Indicators of hydric soil and wetland hydrology must be
2.
Dichanthelium aciculare
30
Yes
FACU
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Lolium perenne 30 Yes FACU
4.
Lespedeza cuneata
7
No
FACU
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
Schedonorus arundinaceus
20
No
FACU
more in diameter at breast height (DBH), regardless of
6.
Liquidambarstyraciflua"
5
No
FAC
height.
7.
Rubus argutus
8
No
FACU
Sapling/Shrub - Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
115
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
58 20% of total cover:
23
height.
Woody Vine Stratum (Plot size: 30 ft )
1.
2.
3.
4.
5.
Hydrophytic
=Total Cover
Vegetation
50% of total cover:
20% of total cover:
Present? Yes No X
Remarks: (Include photo numbers here or on a separate sheet.)
'sprout
ENG FORM 6116-4, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: DP2
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Locz Texture Remarks
0-3 10YR 4/3 100 Sandy
3-16 10YR 6/4 100 Sandy
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
—Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al 2)
_Sandy Mucky Mineral (S1)
—Sandy Gleyed Matrix (S4)
—Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
_ Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
_ Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 1479 148)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soils3:
_ 2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(MLRA 147, 148)
—Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
—Red Parent Material (F21)
(outside MLRA 127, 1479 148)
—Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
31ndicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No X
ENG FORM 6116-4, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

/e1»;ILlIQPli--3
NCDWQ STREAM FORM VERSION 4.11

NC DWQ Stream Identification Form Version 4.11
Date: 5/21 /2024
Project/Site: LN 3 Exp UT Lake Hunt
Latitude: 36.343538
Evaluator: Michael Barfield
county: Rockingham
Longitude: _79.706770
Total Points:
Stream Determination (circle one)
Other
Stream is at least intermittent 21.5
if> 19 or Perennial if>_ 30"
Ephemeral Intermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
X
2
3
2. Sinuosity of channel along thalweg
0
X
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
X
2
3
4. Particle size of stream substrate
0
X
2
3
5. Active/relict floodplain
X
1
2
3
6. Depositional bars or benches
X
1
2
3
7. Recent alluvial deposits
X
1
2
3
8. Headcuts
X
1
2
3
9. Grade control
X
0.5
1
1.5
10. Natural valley
0
0.5
X
1.5
11. Second or greater order channel
No = 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow
0
1
X
3
13. Iron oxidizing bacteria
0
1
X
3
14. Leaf litter
X
1
0.5
0
15. Sediment on plants or debris
X
0.5
1
1.5
16. Organic debris lines or piles
0
C
1
1.5
17. Soil -based evidence of high water table?
No = 0
YesX 3
C. Biology (Subtotal =
18. Fibrous roots in streambed
X
2
1
0
19. Rooted upland plants in streambed
X
2
1
0
20. Macrobenthos (note diversity and abundance)
X
1
2
3
21. Aquatic Mollusks
X
1
2
3
22. Fish
X
0.5
1
1.5
23. Crayfish
0
1
1.5
24. Amphibians
0
1
1.5
25. Algae
0
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 0i.her = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: 12 (access)
Sketch:

NC DWQ Stream Identification Form Version 4.11
Date: 5/21 /2024
Project/Site: LN 3 Exp UT Lake Hunt
Latitude: 36.343785
Evaluator: Michael Barfield
county: Rockingham
Longitude: _79.706563
Total Points:
Stream Determination (circle one)
Other
��■��Stream is at least intermittent
Ephemeral Intermittent Perennial
e.g. Quad Name:
if> 19 or Perennial if>_ 30"
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Absent
Weak
Moderate
Strong
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0
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3
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2
3
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0
X
2
3
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3
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1
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3
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1
2
3
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0
1
X
3
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0
N
1
1.5
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0
CX
1
1.5
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No �q'z 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow
0
1
2
A
13. Iron oxidizing bacteria
0
1
X
3
14. Leaf litter
X
1
0.5
0
15. Sediment on plants or debris
X
0.5
1
1.5
16. Organic debris lines or piles
0
C
1
1.5
17. Soil -based evidence of high water table?
No = 0
YesX 3
C. Biology (Subtotal = 8.25 )
18. Fibrous roots in streambed
X
2
1
0
19. Rooted upland plants in streambed
X
2
1
0
20. Macrobenthos (note diversity and abundance)
X
1
2
3
21. Aquatic Mollusks
X
1
2
3
22. Fish
X
0.5
1
1.5
23. Crayfish
0
1
1.5
24. Amphibians
0
1
1.5
25. Algae
0
1
1.5
26. Wetland plants in streambed
FXW = 0.75; OBL =
1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

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PUMP
SUMP W/INTAKE HOSE
FILTER/SCREEN OR
SUBMERSIBLE PUMP
- WATERBODY -
SPOIL CONTAINMENT BERM
(SILT FENCE, HAY BALES
OR OTHER APPLICABLE
MATERIALS)
II I I
I III
I ICI_
� All
SPOIL
II
II
- ;III III
I I I I
,II II
FILTER BAG
V/ TROW ENGINEERING CONSULTANTS INC.
T 1300 MEOi0P0uiPN BLYO., SOIM 200 rHLN1ASSEE, R., OSP 323M
Trout PHONE: (850) 385_5441
REVISION DATE
GALE DATE DRAWN APPROVED
NTS 01-29-2004
RETAIN A MIN. 25'
VEGETATIVE BUFFER TO
THE EXTENT POSSIBLE
ENERGY DISSIPATOR/
SCOUR PROTECTION
1.7\IT, I
FLOW
MAINTAIN A MINIMUM 25' I
VEGETATIVE BUFFER TO
THE EXTENT POSSIBLE
FOR STREAM EQUIPMENT
CROSSINGS, SEE NOTE 14
SEE SHEET 2 FOR NOTES
COLONIAL PIPELINE COMPANY
ATUWA, GEORGIA
TYPICAL DAM AND PUMP
MAINTENANCE DIG
AT WATERBODY LESS THAN 15'
TROW PROJ. NO.1 DRAWING SHEET
THESOO5O362 COL-0003 1 OF 2

DAM AND PUMP CROSSING
THE FOLLOWING IS A SEQUENCE OF CONSTRUCTION AND MITIGATION
MEASURES TO BE FOLLOWED AT ALL "DAM AND PUMP" TYPE CROSSINGS.
SEQUENCE OF ACTIVITIES
STEP 1. IMPLEMENT THE TEMPORARY EROSION AND SEDIMENT CONTROLS.
STEP 2. INSTALL DRY STREAM CROSSING MATERIALS.
STEP 3. EXCAVATE TRENCH AND INSPECT OR REPLACE PIPE.
STEP 4. BACKFILL AND RESTORE STREAM BANKS.
STEP 5. REMOVE DAMS.
STEP 6. IMPLEMENT PERMANENT EROSION AND SEDIMENTATION CONTROLS.
I:[ill)1:4
I • SCHEDULE INSTREAM ACTIVITY FOR LOW FLOW PERIODS AND
FOR THE APPROPRIATE TIMING WINDOW.
2. MARK OUT AND MAINTAIN LIMITS OF AUTHORIZED WORK
AREAS WITH FENCING OR FLAGGING TAPE TO AVOID
UNNECESSARY DISTURBANCE OF VEGETATION. ENSURE
EQUIPMENT OPERATORS WORKING ON THE CROSSING HAVE
BEEN BRIEFED ABOUT THIS PLAN AND THE MEASURES
NEEDED TO PROTECT WATER QUALITY. INSTALL PRE —WORK
SEDIMENT CONTROL MEASURES AS SPECIFIED IN THE PLAN.
ALL NECESSARY EQUIPMENT AND MATERIALS TO BUILD THE
DAMS AND TO PUMP WATER MUST BE ON SITE OR READILY
AVAILABLE PRIOR TO COMMENCING IN —WATER CONSTRUCTION.
3. CONTRACTOR SHALL SUPPLY, INSTALL AND MAINTAIN SEDIMENT
CONTROL STRUCTURES, AS DEPICTED AND ALONG DOWN GRADIENT
SIDES OF WORK AREAS AND STAGING AREAS SUCH THAT NO
HEAVILY SILT LADEN WATER ENTERS WATERBODY.
a. NO HEAVILY SILT LADEN WATER SHALL BE DISCHARGED DIRECTLY
OR INDIRECTLY INTO THE WATERBODY.
b. EROSION AND SEDIMENT CONTROL STRUCTURE LOCATIONS AS
DEPICTED ARE APPROXIMATE AND MAY BE ADJUSTED AS DIRECTED
BY THE COMPANY INSPECTOR TO ACTUAL SITE CONDITIONS.
c. SILT FENCE OR HAY BALE INSTALLATIONS SHALL INCLUDE
REMOVABLE SECTIONS TO FACILITATE ACCESS DURING
CONSTRUCTION. UTILIZE HAY BALE BARRIERS ONLY IN LIEU
OF A SILT FENCE WHERE FREQUENT ACCESS IS REQUIRED.
d. SEDIMENT LADEN WATER FROM TRENCH DEWATERING SHALL BE
DISCHARGED TO A WELL VEGETATED UPLAND AREA, INTO A HAY
BALE DEWATERING STRUCTURE OR GEOTEXTILE FILTER BAG.
e. SEDIMENT CONTROL STRUCTURES MUST BE IN PLACE AT ALL
TIMES ACROSS THE DISTURBED PORTIONS OF THE RIGHT—OF—WAY
EXCEPT DURING EXCAVATION/INSTALLATION OF THE CROSSING PIPE.
4, TO THE EXTENT POSSIBLE, MAINTAIN A MINIMUM 25 FEET
VEGETATIVE BUFFER STRIP BETWEEN DISTURBED AREAS AND THE
WATERBODY. INSTALL AND MAINTAIN A SILT FENCE UPSLOPE
OF THE BUFFER STRIP ON EACH SIDE OF THE WATERBODY.
THE SILT FENCE SHOULD INCORPORATE REMOVABLE "GATES" AS
REQUIRED TO ALLOW ACCESS WHILE MAINTAINING EASE OF
REPLACEMENT FOR OVERNIGHT OR DURING PERIODS OF RAINFALL.
5. CONSTRUCT A TEMPORARY SUMP UPSTREAM OF THE DAM AND
LINE WITH ROCKFILL IF A NATURAL POOL DOES NOT EXIST.
INSTALL THE PUMP OR PUMP INTAKE IN THE POOL OR SUMP.
DISCHARGE WATER ONTO AN ENERGY DISSIPATOR DOWNSTREAM
OF THE WORK AREA.
6• EXCAVATED MATERIAL MUST NOT BE STOCKPILED WITHIN 10 FT.
OF THE WATERBODY. THIS MATERIAL MUST BE CONTAINED
WITHIN BERM CONTAINMENT, WITH SECONDARY SILT FENCE
PROTECTION TO PREVENT SATURATED SOIL FROM FLOWING
BACK INTO THE WATERBODY.
7. CHEMICALS, FUELS, LUBRICATING OILS SHALL NOT BE STORED
AND NOR SHALL EQUIPMENT BE REFUELED WITHIN 100 FT. OF THE
WATERBODY. PUMPS ARE TO BE REFUELED AS PER THE SPCC PLANS.
MAINTENANCE OF STREAMFLOW
IF THERE IS ANY FLOW IN THE WATERBODY, INSTALL
PUMPS TO MAINTAIN STREAMFLOW AROUND THE ISOLATED
SECTIONS OF CHANNEL. THE PUMP IS TO HAVE 1.5
TO 2 TIMES THE PUMPING CAPACITY OF ANTICIPATED FLOW.
A SECOND STANDBY PUMP OF EQUAL CAPACITY IS TO BE
READILY AVAILABLE AT ALL TIMES. AN ENERGY DISSIPATOR
IS TO BE BUILT TO ACCEPT PUMP DISCHARGE WITHOUT
STREAMBED OR STREAMBANK EROSION. IF THE WORK
IS PROLONGED BEYOND ONE DAY THE AREA NEEDS
TO BE MONITORED OVERNIGHT.
8. IF A REPLACEMENT, PIPE MAKE—UP AREAS ARE TO BE
LOCATED AT LEAST 50 FT. FROM THE WATER'S EDGE
(WHERE TOPOGRAPHIC CONDITIONS PERMIT) AND SHALL
BE THE MINIMUM AREA NEEDED.
9. DAMS ARE TO BE MADE OF STEEL PLATE, INFLATABLE PLASTIC
DAM, SAND BAGS, COBBLES, WELL GRADED COARSE GRAVEL FILL,
OR ROCK FILL. DAMS MAY NEED KEYING INTO THE BANKS AND
STREAMBED. ENSURE THAT THE DAM AND VEHICLE CROSSING (IF
NEEDED ARE LOCATED FAR ENOUGH APART TO ALLOW FOR A WIDE
EXCAVATION. CAP FLUMES USED UNDER VEHICLE CROSSING
DURING DRY CROSSING.
10. DEWATER AREA BETWEEN DAMS IF POSSIBLE. DEWATERING
SHOULD OCCUR IN A STABLE VEGETATIVE AREA A MINIMUM OF
50 FT. FROM ANY WATERBODY. THE PUMP DISCHARGE SHOULD
BE DISCHARGED ONTO A STABLE SPILL PAD, FILTER BAG OR
HAY BALE STRUCTURE TO PREVENT LOCALIZED EROSION.
THE DISCHARGE WATER SHOULD ALSO BE FORCED INTO SHEET
FLOW IMMEDIATELY BEYOND THE SPILL PAD BY USING HAY BALES
AND THE NATURAL TOPOGRAPHY. DISCHARGED WATER SHALL NOT
BE ALLOWED TO FLOW INTO ANY WATERBODY OR WETLAND. IF IT
IS NOT POSSIBLE TO DEWATER THE EXCAVATION DUE TO SOILS
WITH A HIGH HYDRAULIC CONDUCTIVITY, THE EXCAVATION IS TO BE
CARRIED OUT IN THE STANDING WATER. PUMP ANY DISPLACED WATER
AS DESCRIBED ABOVE TO PREVENT OVERTOPPING OF DAMS.
11. INSPECT/REPAIR PIPELINE AS NEEDED.
12. CONTRACTOR SHALL RESTORE THE STREAM BED AND BANKS TO
APPROXIMATE PRE —CONSTRUCTION CONTOURS, BUT NOT TO
EXCEED 2:1 SLOPE.
a. CONTRACTOR SHALL INSTALL PERMANENT EROSION AND
SEDIMENT CONTROL STRUCTURES AS INDICATED ON A SITE
SPECIFIC BASIS. IN THE ABSENCE OF SITE SPECIFIC INFOR—
MATION, A FLEXIBLE CHANNEL LINER SUCH AS NAG C125 OR
C350 WHICH IS CAPABLE OF WITHSTANDING ANTICIPATED FLOW
SHALL BE INSTALLED. ALTERNATIVELY, ROCK RIP —RAP SHALL
BE INSTALLED.
b. ANY MATERIALS PLACED IN THE STREAM TO FACILITATE
CONSTRUCTION SHALL BE REMOVED DURING RESTORATION.
BANKS SHALL BE STABILIZED AND TEMPORARY SEDIMENT
BARRIERS INSTALLED AS SOON AS POSSIBLE AFTER IN —STREAM
WORK BUT WITHIN 24 HOURS OF COMPLETING IN —STREAM WORK.
c. MAINTAIN A SILT FENCE OR HAY BALE BARRIER ALONG
THE WATERBODY UNTIL VEGETATION IS ESTABLISHED IN
ADJACENT DISTURBED AREAS.
13. WHEN THE STREAMBED HAS BEEN RESTORED, THE CREEK BANKS
ARE TO BE CONTOURED TO A STABLE ANGLE AND PROTECTED
WITH EROSION RESISTANT MATERIAL COMPATIBLE WITH FLOW
VELOCITY BETWEEN DAMS (E.G., EROSION CONTROL BLANKETS,
CRIBBING, ROCK RIP —RAP, ETC.). THE DAMS ARE TO BE REMOVED
DOWNSTREAM FIRST. KEEP PUMP RUNNING UNTIL NORMAL FLOW
IS RESUMED. COMPLETE BANK TRIMMING AND EROSION PROTECTION.
IF SANDBAGS ARE USED FOR THE DAMS, PLACE AND REMOVE BY
HAND TO AVOID EQUIPMENT BREAKING BAGS.
14. TEMPORARY EQUIPMENT CROSSING CAN BE CONSTRUCTED USING EITHER
A FLUME CROSSING OR A TEMPORARY BRIDGE. FOR BRIDGE CROSSING
DETAILS, REFER TO THE TYPICAL RAILCAR BRIDGE CROSSING OR
TYPICAL MAT CROSSING DRAWINGS.
IMO ENGINEERING CONSULTANTS INC. COLONIAL PIPELINE COMPANY
1300 MEfROP011iPN BLYa.P ONE: (850) ]85-54gASSEE, R., OSP ]f308
M
ATLANTA, GEORGIA
TYPICAL DAM AND PUMP
MAINTENANCE DIG
REVISION °�'0°` ,� R. AT WATERBODY LESS THAN 15'
CALF I DATE DRAWN APPROVED TROW PROJ. NO.1 DRAWING SHEET
NTS 1 01-29-2004 ALS I — I I THES0050362 I COL-0003a 2 OF 2

/e1»;ILlIQp"i9
CPC SOIL EROSION AND SEDIMENT CONTROL PLAN

Colonial Pipeline Company
Soil Erosion and Sediment Control Plan
For
Pipeline Maintenance Activities
Objective
Disturbed areas are to be restored as close as practical to their original contours and
conditions so that once vegetation is reestablished, erosion will be reduced to the same
or lower level that existed prior to disturbance.
Description
This section defines the soil erosion and sediment control measures that Colonial
Pipeline Company will implement during and after inspection and repairs of the pipeline
are complete. The objectives of this plan are to establish general guidelines for
controlling erosion and sedimentation and to specify criteria for sensitive or particularly
susceptible soil areas. The plan incorporates measures to control erosion and
sedimentation, including minimizing cover removal, limiting the time of exposure,
limiting the flow of water onto the disturbed right-of-way, and filtering or settling out
sediment from water flowing from the right-of-way.
The primary objective of the soil erosion and sediment control plan is to reduce the area
and duration of soil disturbance and reestablish permanent vegetation as soon after
construction as possible, thereby minimizing long-term erosion and sedimentation.
Some erosion is inevitable during construction; however, the plan includes measures to
reduce erosion to the minimum practical.
Colonial Pipeline Company plans to reduce soil erosion and provide sediment control
during the repair of the pipeline at the project site by incorporating the following
measures:
• Water pumped from the construction area as part of the dewatering operation
from the excavation will be filtered through silt filtration bags and discharged to
a well -vegetated area.
• All work will be confined within the existing right-of-way. Staked hay bales and silt
fence will be installed around the worksite and maintained until vegetation is established.
Proper controls will be added ifnecessary during construction.
• All terms and conditions within Nationwide Permit 3 will be followed.
• Erosion control measures will be installed prior to conducting any soil disturbing
activities associated withthe pipeline maintenance activity.
• Clearing of vegetation will be kept to an absolute minimum and confined to the
existing pipeline easement area. The easement area is 50 feet in width and devoid

of large trees. The right of way is vegetated with undergrowth grasses and other
short vegetation.
• Vegetation will be reestablished within disturbed areas and along stream banks
as soon as possible upon completion of work. Disturbed areas will be seeded
with a wetland seed mixture
• All erosion and sediment control measures will be inspected every two weeks at a
minimum and after every significant rainfall event of 0.5 inch or more until
disturbed areas have been stabilized. Identified damages to control measures
must be repaired immediately.
Refuse and Waste Disposal
Colonial's representative will not allow the Contractor to discard any litter, including
paper, bottles, cans, rags, sacks, welding rod stubs, fuel, crankcase draining, coating
materials, equipment, and junk pipe in the ditch or along the right-of-way. All refuse
mustbe collected and disposed in accordance with company specifications. Personnel
will be instructed regarding the correct procedure for waste disposal.
Maintenance/Inspection Procedures
The following inspection and maintenance practices will be implemented to maintain
erosion andsediment controls:
i. All control measures will be inspected every two weeks at a minimum and following
any storm event of 0.5 inch or greater.
2. All control measures will be maintained in good working order. If a repair is
necessary, it will be initiated within 24 hours of the report.
3. Built-up sediment will be removed from silt fences when it has reached one-third the
height ofthe fence.
4. Silt fences will be inspected for depth of sediment, tears, secure attachment of the
fabric to the fence posts, and firm placement of the fence posts in the ground.
5. Temporary and permanent seeding and planting will be inspected for bare spots,
washouts, and healthy growth.
6. Colonial Pipeline Company will select individuals to be responsible for inspections,
maintenance and repair activities, and completion of the inspection and
maintenance report. Personnel selected for inspection and maintenance
responsibilities will receive training from Colonial Pipeline Company or its
representative. Personnel must be trained in all practices necessary for maintaining
the erosion and sediment controls used on -site.

ElHIF:11*flaaA:»AVLviIkaIILI[rll61Ll161M:3►viIkafi1SCINMIN4 1.111

Version 4.3
Updated December 6, 2023
401 & Buffer Permitting PCN Submittal Checklist
❑✓ The application fee (Checks may be made out to "N.C. Division of Water Resources"
- $323.00 for 401 Water Quality Certification with minor impacts
- $767.00 for 401 Water Quality Certification with major impacts
- Express Review Fee (Amount requested on Acceptance
Letter)
❑✓ One complete copy of the PCN Application and supporting documentation (no larger
than 11 X 17 plans if submitting paper copies)
Stormwater Management Plan (if applicable — see PCN Form Help File Section F)
❑ 1) Please provide the stormwater management plan along with all supporting information
pertaining to this project including the following:
a. Entire site development/layout plans delineating all drainage areas;
b. Design calculation sheets for all proposed SCM(s) sized for both on -site and
off -site drainage;
c. Application form SWU-101, the $505 application fee and last two signature
pages may be omitted;
d. Supplemental form for each proposed SCM and Required Items Check List
(https:Hdeg.nc.gov/about/divisions/energy-mineral-and-land-
resources/stormwater/stormwater-program/stormwater-design) along with all
required items;
e. A Notarized Operation & Maintenance Agreement for each proposed SCM ;
f. Detailed construction drawing sheets shall include
(i) Erosion and sediment control plans;
(ii) Installation and planting schedules for the proposed SCMs;
(iii) Appropriately scaled plan views and cross sectional details of all
SCMs and associated components — inlet and outlet structures,
forebay, respective zones and pertinent elevations;
(iv) Collection system routing stormwater to the proposed SCMs;
(v) Any energy dissipator and vegetated area (if provided);
(vi) Maintenance access/easement for the proposed SCMs.
❑ If your project is located within a State implemented Riparian Buffer Rule Area, submit the
following along with site plans and PCN form:
1) Details for on -site diffuse/dispersed flow provisions, (refer to
https:Hdeg. nc.gov/about/divisions/energy-mineral-and-land-
resources/stormwate r/stormwater-prop ram/stormwater-design) .
DWR Stream Determination Forms for streams on property and DWR determination
letter for wetlands or streams (if applicable).
The following is the most critical of all the information that you must provide. The quality and
detail of the information will often determine the expeditiousness of the review. The following is
a checklist of the types of pertinent information required at a minimum:

Version 4.3
Updated December 6, 2023
Maps and Plans:
❑✓ The most recent version of the 1:24,000 USGS Topographic Map - Please cleanly draw or
delineate the site boundaries on the topographic map.
❑✓ The most recent version of the bound and published County NRCS Soil Survey Map -
(required for projects within the Neuse River Basin, Tar -Pamlico River Basin, Randleman
Lake Watershed and the Catawba River Basin, also recommended for all projects) - Please
clearly delineate the site boundaries, etc. on the map. If the delineation obscures any of the
features, it is recommended that a clean copy be provided. Copies of the current soil survey
and/or soil survey map sheets can be obtained from the local NRCS County Office
(http://www.nc.nres.usda.gov/). GIS soil layers are not acceptable.
❑✓ Vicinity map - Please clearly mark the location and approximate boundaries of the property
and project on the map. Please indicate north arrow and scale. Please include applicable road
names or State Road numbers.
❑✓ The Site Plan - The most critical map to be provided is the site plan. The following is the
minimum list of plans that are typically needed.
❑✓ Pre-construction/Pre-existing conditions - This sheet (or sheets) must include:
• All jurisdictional and non -jurisdictional wetland, stream, water features, State regulated
buffers (delineated into Zones 1 and 2)
• Topographic contours with elevations
• Any existing structures and impervious areas
• Existing utility lines and easements
• Existing roads, culverts, and other pertinent features
• North arrow and the scale (1 ":50' scale is recommended).
❑✓ Proposed conditions - This sheet (or sheets) must include:
• All jurisdictional and non -jurisdictional wetland, stream, water features, State regulated
buffers (delineated into Zones 1 and 2)
• Lot layout (if a subdivision or commercial development is proposed) - lots must be
developable without further impacts to jurisdictional and non -jurisdictional wetlands,
streams, water features, and State regulated buffers. Building envelopes must be provided
when streams, wetlands, riparian buffers, or water features exist on a lot
• All built -out structures and impervious cover
• Final grading contours with elevations
• All utilities and easements (including septic fields
wetland, or water features - if applicable)
• Impacted areas — these should correspond with the
form.
on all lots within 100 feet of stream,
Impact numbers listed on your PCN
❑ Drainage Plans - Final drainage plans must include the following:
• Locations and pertinent elevations and sizes of the stormwater collection system and
drainage ways
• All inlets and outlets must also be shown with pertinent elevations (All outlets to wetlands
must be at a non -erosive velocity, generally less than 2 ft/sec during the peak flow from
the 10-yr storm)
• Scaled stormwater BMPs must also be indicated as required by DWR rules and policies

Version 4.3
Updated December 6, 2023
• In certain cases (see Section F of PCN form), final stormwater management plan must
also be provided (see Stormwater Management Plan Checklist)
Proposed Impacts - All impacts to jurisdictional and non -jurisdictional wetland, stream, water
features, and State regulated buffers must be shown and labeled on the site plans at a scale
no smaller than 1" = 50'. All excavation, fill, flooding, stabilization, and other impacts that will
be conducted in or near jurisdictional and non -jurisdictional wetland, stream, water features,
and State regulated buffers must be indicated. Please provide cross sectional details showing
the provisions for aquatic life passage (burial of culvert 20% for culverts <_ 48 inches, and 1-
foot for culverts > 48 inches).
Wetland Impacts:
❑✓ Precise grading and final elevation contours must be provided. Existing vegetation
and any clearing must be specified.
❑ All subsurface utility lines must indicate the location of anti -seep collars.
Construction detail for anti -seep collars must be provided.
❑ Roadway or other crossings of riparian wetlands may require floodway culverts to
maintain existing hydrological conditions.
❑✓ Plans should show that the hydrology of remaining wetlands on the site will be
maintained.
Stream Impacts:
Stream impacts must be clearly shown on the plans. The centerline as well as the
banks of the stream must be surveyed or located by GPS for the portion of the
stream to be impacted.
❑ The inlet and the outlet of all culverts should be aligned with the stream as much
as possible. Inlet and outlet elevations and streambed elevations should be
indicated. Any inlet or outlet protection must be shown and enumerated on the
impact map(s).
❑ For bottomless culverts or other spans, a vertical cross section should be
provided that shows the minimum distance from each span to each stream bank,
the stream cross section, the height of the span above the stream and the
minimum distance from the edge of each footer to each stream bank.
Additionally, please provide a signed and sealed geotechnical report of
subsurface soils at the proposed bottomless culvert location. The report must
comply with the Division of Highways — Guidelines for Drainage Studies and
Hydraulic Design, prepared by A.L. Hankins, Jr., State Hydraulics Engineer -
1999.

Version 4.3
Updated December 6, 2023
❑ Multiple culverts or sectioned box culverts typically require the use of sills, off-
setting or other means to match the cross section of the existing stream (in order
to maintain stream stability and provide aquatic life passage). A vertical cross
section of the culverts should be shown overlain with the up and downstream
stream cross section including the stream flood -prone area.
❑ Impacts associated with dam construction must indicate and enumerate all fill
associated with the dam footprint, spillway and any bank stream bank stabilization.
The length of stream impounded must also be indicated and enumerated.