20160561 Ver 1_401 Application_20160616

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Ao
Office Use Only. i
Corps action ID no.
DWQ project no.
Form Version 1 3 Dec 10 2008
Pre -Construction Notification (PCN) Form
A. Applicant Information
Q
1. Processing
1 a. Type(s) of approval sought from the
Corps.
®Section 404 Permit El Section 10 Permit
1 b Specify Nationwide Permit (NWP) number: NWP 29 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ® Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program
❑ Yes
® No
1g Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below
❑ Yes
® No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Gumwood Estates
2b. County:
Guilford
2c. Nearest municipality / town:
Oak Ridge
2d. Subdivision name.
Gumwood Estates
2e. NCDOT only, T.I P or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
LD Gumwood, LLC
3b. Deed Book and Page No.
00708/00738
3c. Responsible Party (for LLC if
applicable):
Mr. Christopher Lyons
3d. Street address:
3625 Elm Street, Suite 110-13
DE -WAT R R SOURCES
3e. City, state, zip:
Greensboro, NC 27455 401 &
ESU"EIR PERMITTING
3f Telephone no
3g Fax no..
3h. Email address-
[e-mail]
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑ Other, specify.
4b Name.
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip
4f Telephone no..
4g. Fax no..
4h. Email address-
5. Agent/Consultant Information (if applicable)
5a. Name.
Bradley S. Luckey
5b Business name
(if applicable):
Pilot Environmental Inc.
5c. Street address:
PO Box 128
5d. City, state, zip
Kernersville, NC 27285
5e Telephone no.
336.708.4997
5f. Fax no.-
5g. Email address.
[e-mail]
Page 2 of 12
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no (tax PIN or parcel ID):
7818516224
1b. Site coordinates (in decimal degrees).
Latitude. 36.17360 Longitude - 79.96092
(DD DDDDDD) (-DD DDDDDD)
1c Property size.
37 68 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Beaver Creek
proposed project.
2b Water Quality Classification of nearest receiving water:
WS -III, NSW
2c. River basin:
Cape Fear
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site contains undeveloped wooded land. Residential development is located within the vicinity of the site
3b. List the total estimated acreage of all existing wetlands on the property:
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Stream Length=512 LF
3d Explain the purpose of the proposed project-
rojectThe
Thepurpose of the proposed project is to provide access/utility infrastructure and to facilitate development of the site as a
residential sub-divison.
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project consists of developing the site with a 18 lot residential sub -division. In order to provide access to the
residential sub -division, an access road from the existing portion of Gumwood Road is necessary The existing portion of
Gumwood Road crosses a natural gas line/ROW and heavy load equipment will be minimized to the maximum extent
possible. Additionally, water utilities will be provided within the foot print of the proposed access road To facilitate the
construction of the access road and development of the site, clearing and grading the site is necessary Graders,
haulers, excavators and other heavy equipment will be used during grading and construction of the site.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
El Yes ®No El Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
El Preliminary El Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company. Pilot Enviromental, Inc.
Name (if known)- Michael Brame
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
S. Project History
5a. Have permits or certifications been requested or obtained for
El Yes El No ®Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a Is this a phased prolect9 ❑ Yes ® No
6b. If yes, explain.
The project is not part of a phased project. Impacts to streams/wetlands, outside of those proposed in this appilication,
are not anticipated as a result of the proposed project
Page 4 of 12
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1a Which sections were completed below for your project (check all that apply):
❑ Wetlands ® Streams - tributaries ® Buffers
❑ Open Waters ❑ Pond Construction
2 Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b
2c.
2d.
2e
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
2h. Comments. Wetland impacts are not being proposed
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ❑ T
Culvert/Fill/Rip-
Unnamed
® PER
❑ Corps
4
58
Rap
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
58
31. Comments: The proposed stream crossing will permanently impact 58 linear feet of stream assoicated with installation of
culvert/rip-rap.
Page 5 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b
4c
4d
4e.
Open water
Name of waterbody
impact number—
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts
4g. Comments: Open water impacts are not being proposed
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no -
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction -
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar -Pamlico ® Other. Jordan Lake
Project is in which protected basing
❑ Catawba ❑ Randleman
6b.
6c
6d.
6e
6f.
6g.
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
im act
required?
B1 ®P ®T
Road Crossing
Unnamed
® Nos 3,400/1,244
4,485/658
B2 ❑P❑T
El Yes
❑ No
B3 ❑P❑T
[I Yes
❑ No
6h. Total buffer impacts
3,400/1,244
4,485/658
6i. Comments: The proposed road crossing will permanently impact 3,400 SF of Zone 1 and 4,458 SF of Zone 2 (total of 7,885
Page 6 of 12
PCN Form — Version 1.3 December 10, 2008 Version

SF) and temporarily impact 1,244 SF of Zone 1 and 658 SF of Zone 2 The proposed road crossing has been designed to be
an allowable without mitigation activity.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The applicant has evaluated several design options to access the site. The initial design included an intersection to avoid
impacts to streams, however, the intersection would have been located within a natural gas ROW. The natural gas company
has indicated that they would not allow an intersection within the ROW, therefore this design was not further evaluated The
applicant also evaluated obtaining a ROW easement from an adjacent property north of the site However, a ROW easement
from the adjacent property north of the site parcel is not possible due to constraints with width, existing topography, availability
and alignment of crossing the natural gas line/easement. Therefore, this was not considered a viable option to access the
site
The applicant has worked with the natural gas company to accommodate a near to perpendicular crossing of the gas line as
possible, while also attempting to adhere to DOT specifications and address safety concerns associated with residential travel,
including school buses and pedestrian safety However, due to the existing site constraints including the gas easement
alignment and Gumwood Road alignment, it is not possible to design an access road that accommodates DOT/gas company
specifications without the proposed impact to the stream Additionally, based on the existing grades and line depth
requirements of the gas company, fill cannot be placed within the gas line easement over the line to minimize safety concerns
associated with vehicular/pedestrian line of sight concerns. Therefore, the proposed road alignment has been designed with
gentle curves compared to more abrupt curves that could potentially afford greater stream impact minimization
The proposed stream impact area is located within an area that is relatively straight and is the head of the stream system.
The proposed culverUrip-rap will reduce the amount of aquatic habitat on site; however will not have an adverse impact for
aquatic passage. The applicant proposes to install water utilities beneath the proposed right of way, thus avoiding other
potential impacts to jurisdictional features located on the site Additionally, the proposed site plan and road alignment allows
development activities to occur without impact to jurisdictional features/buffers associated with lot fill and grading.
The remaining 454 linear feet of stream channel and associated riparian buffer are being avoided.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and silt fence will be used. Disturbance limits will be surveyed, staked and marked with high
visibility fencing. Following construction, disturbed slopes will be stabilized with permanent seeding, matting and temporary
slope linings Best management practices will be implemented during construction activities to avoid sediment discharge into
downgradient water bodies
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U S. or Waters of the State?
2b if yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this project?
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank.
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
Page 7 of 12
PCN Form — Version 1.3 December 10, 2008 Version

3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached
❑ Yes
4b Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f Non -riparian wetland mitigation requested
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑Yes ® No
6b If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g , payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h Comments:
Page 8 of 12
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
- -
El Yes ❑ No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
6.16%
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c If this project DOES NOT require a Stormwater Management Plan, explain why: Based on impervious and lot density, a
stormwater management plan is not requried.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan.
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
❑ Phase II
3b Which of the following locally -implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a. Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been_
❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 12 -
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
1b. 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
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. 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 NEPA or SEPA final approval
letter.)
❑ Yes ® No
Comments: A NEPA or SEPA is not required as part of this project.
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b Is this an after -the -fact permit application?
❑ Yes ® No
2c If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
We are not aware of additional development that will result which will impact nearby downstream water quality
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility
Wastewater from the residences will be disposed of via individual on-site residential septic systems.
Page 10 of 12
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. WIII this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
Impacts?
❑ Raleigh
5c. If yes, Indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would Impact Endangered Species or Designated Critical
Habitat?
We consulted the Natural Heritage Program Website to determine if federally protected endangered or threatened
species inhabit the Summerfield, NC Quadrangle (the quadrangle that contains the site). The Bald Eagle is listed on the
Summerfield, NC Quadrangle as being protected under the BGPA. Based on the lack of water bodies on the site, it is our
opinon that the proposed project will not disturb the bald eagle. Additionally, based on the lack of listed
threatened/endandered species on the Summerfield NC Quadrangle, it is our opinon that the proposed project will not
adversely affect listed threatened/endangered species.
6. Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Based on our knowledge of the site, the site Is not located in or near an area designated as essential fish habitat. Best
management practices and the construction of stormwater ponds will prevent sediment from entering down -gradient
waterbodies which may contain fish.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
Yes No
status (e.g., National Historic Trust designation or properties significant In
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
We reviewed the SHPO Map (http-Hgis.ncdcr gov/hpoweb/) to identify historic and/or archaeological resources of the site.
The map does not identify eligible for listing properties at the site A copy of the map Is included as an attachment.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM 37107800J
Digitally signed by Bradley S. Luckey
DN cn=Bradley S Luckey, o=Pilot
Environmental, Inc, ou,
Bradley S. Luckey
/ .-email=biuckey@pilotenvirocom,c=US
5/26/16
Date 2016 05 26 16 45 25 -04'00'
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided
Page 11 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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Proposal for Environmental Services
PEI Proposal 1905
March 22, 2016
AGENT AUTHORIZATION
This form authorizes PEI to act as our agent in stream/wetland matters including U.S. Army Corps
of Engineers and North Carolina Division of Water Resources field verification and permitting.
Property Address: i�� ���� A",► -
Owner Information:
Address: !! 73
f2 ---
Telephone Number:6
Fax Number:
Email Address:
JURISDICTIONAL DETERMINATION REQUEST
SECTION D -PROPERTY OWNER CERTIFICATION
I, the undersigned, a duly authorized owner of records of the property/properties identified
herein, do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers
(Corps) to enter upon the property herein described for the purpose of conducting on-site
investigations and issuing a determination associated with Waters of the U.S. subject to Federal
jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and
Act of 1899.
11 '5 ' / l
ypwpe (please pri
Property Owner
&/ / Z�� .
ZZ
Date

Property Report
Parcel ID
0102048
Guilford Cnun�.NC�ropehyRopo�
�
Property Address
5M0/2OiG
Legal Description
37.08ACF|TZGERALD
Owner Information
Owner Name Mailing Address City, State Zip
LD8UK8VVDOOLLC 3G25ELK��TSU|TE11U'B GREENSBORO, NC
Parcel Information
PIN Zoning Use, Tax District
7818516224'000 AG RESIDENTIAL 300
Parcel Size Appraisal Nbrhood Plat/Condo Bh&Pg
37.68 7818AI3 O
Appraisal Values
Land Buildings Extra Features Total Value
$254.300 $0 $O $254.300
Disclaimer. Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This isnot mlegal document
and should not be Substituted for a title search, appraisal, survey, or for zoning verification.
Mobile
Mops
Owner Information
Owner Name Mailing Address City, State Zip
LD8UK8VVDOOLLC 3G25ELK��TSU|TE11U'B GREENSBORO, NC
Parcel Information
PIN Zoning Use, Tax District
7818516224'000 AG RESIDENTIAL 300
Parcel Size Appraisal Nbrhood Plat/Condo Bh&Pg
37.68 7818AI3 O
Appraisal Values
Land Buildings Extra Features Total Value
$254.300 $0 $O $254.300
Disclaimer. Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This isnot mlegal document
and should not be Substituted for a title search, appraisal, survey, or for zoning verification.

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LEGEND
Site Boundary
Drawing 2 USDA Web Soil Map
N
USDA Web Soil Survey of Drainage Swale
Guilford County, NC 6401 & 6403 Gumwood Road
Oak Ridge, Guilford County, NC
Not to Scale PEI Project 1905

Drawing 4
FEMA FIRM Panel No.
3710781800)
Effective 6.18.2007
Not to Scale
N FEMA Firm
Drainage Swale
6401 & 6403 Gumwood Road
Oak Ridge, Guilford County, NC
PEI Project 1905
LEGEND
.'-^-^-,---
Approximate Site Boundary
S'E'.IAL FLOOD HALARD AREAS (SF'FSAS) SUBJECT TO
irA
�
INMDAMN ", THE 1%ANNUAL. CHANCE F-1.C;C)D EV[NT
Ina 1% znnaal
chance F" (lWyear ft d), ata krmwn as Me ¢ase Claw, is Me Eox9 dut
°-- S93 -•—.^•^
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+�.
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1a Ek+'a. n ati rf wit m xrn w+m,n tsxre. xnN -�
kxd'
t4—di Innkde Trines A. AE, AN, AO, Aft, A", N, and 4E Tne Base F" Ekrahtr: u Me
"kalert^'xad SO iM t�,tfr Amc;y',eri'.yy,yra,
--f—
�'Abon a d. M annua'f-cn NW,
ZONE A
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ZONE AF
%asu Feud Vevadwri dit"Woed.
ZONE AN
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'
;mo rears imrzrsaVa _ int}g aznm am fz•< -,
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s
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8M5540©
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ZONE AR
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BM551'0,
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kMkattts that "t fnn— MW ad,trN'o'"V is t2-rc -Wed to rw—k,.
pnxa`iboa f-" 1% an"" CtigMB O �Jr@OM [N%d.
ZONE A"
k", W. rR V`QWW I'm E",P. ann" C1r ' lla o 4 A KE Wal Mond
".W. E7cdnm deter—1 d,
LONF VE
C0.X'tW A&A n'w wrth vvkYWy M-1 f—aa); Baa Mod E,k'"tklt3s
Ge@tsenn:+Sd.
:.
FLOODWAY AREAS IN ZONE AE
The (-Weary
a the chAnXi a a sttcxzn pl"s arty W)—. t f4mdEAan areas d,'t..A be. ka
frcr Of me Xhn t sa MM the M 4"W1 6MMe Elf — Lx ca nd MJ-t W L%ta±Rfaal
ItvC92%•..e5 att now h"w.
OTHER FLOOD AREAS
ZONE x
yews of ¢,2% annual it— fbW: areas a 1% "W1 ct a !beat —1
'y
a-a9a. )ryN965 or $ftfl 0111 1 W V Wo draauogk. fiE1#5 iY...S than f. 5gt,.?rs?
nate ate! Neat wa t', l Gy Mwrsn. fans. 1: 4 inmral Sha— IkW.
OTHER AREAS
2614E x
Awnd-- - s ne vUgae au z - errnaaf 1 +cz Poy,Yttxsz,-
,'*',a
L014E0
abay a,u':Xp^.Avst:.uerd; arr. an�tcrrsla: 6. ttn;rmut&.
CCASTAt. BARRIER RFSOURCF.S S", ..M (CARS) AREAS
OTHERWISE PRMECHM AREAS (OPAL)
[BAS arcAs and COeA.1ale —IV Waled tha, nr .davent W W—W Fl-t+-6 A+¢ax..
Drawing 4
FEMA FIRM Panel No.
3710781800)
Effective 6.18.2007
Not to Scale
N FEMA Firm
Drainage Swale
6401 & 6403 Gumwood Road
Oak Ridge, Guilford County, NC
PEI Project 1905
.'-^-^-,---
7 a, m wx:.kP xa faM,allJn 4CwrY1ANr
irA
�
cf��.ab ava xa„�nr
asw,sda' d"IdN $M # Hint Namd Ata 'aa drat --'d.,
51.sxw K.an a— a aa•n— Iuaa
faMrtYa,4.akYMl ase. r ue axcarts.
°-- S93 -•—.^•^
sew at7w €b.M+� n r arA va6r ea.�or, v, rxr
IEL IV)
1a Ek+'a. n ati rf wit m xrn w+m,n tsxre. xnN -�
kxd'
"kalert^'xad SO iM t�,tfr Amc;y',eri'.yy,yra,
ga•.',im k ;9Wa
9At;:M.S�N.9;1
aY.+S•'v'.a
;mo rears imrzrsaVa _ int}g aznm am fz•< -,
W 5314 FES'
'aYJOi < 9,s5 mast._ Mite fa d 5GY F^' O <er°. d :a fi5s:r?n
¢If ai,SNE 3.''p[, SIa}r a Nim 8i lett;
8M5540©
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111Z.56 Com'
BM551'0,
ixW &— swiss It *:,na an«rz�ttw
`�'
tuFA >Nnw,f•=9hatw.e.%e..@a)
Drawing 4
FEMA FIRM Panel No.
3710781800)
Effective 6.18.2007
Not to Scale
N FEMA Firm
Drainage Swale
6401 & 6403 Gumwood Road
Oak Ridge, Guilford County, NC
PEI Project 1905

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site Drainage Swale — 6401 & 6403 Gumwood Road City/County Oak Ridge/Guilford Sampling Date 5/9/2016
Applicant/Owner Evans Engineering State North Carolina Sampling Point DP -1
Investigator(s) Brame, PEI Section, Township, Range NA
Landform (hillslope, terrace, etc ) Head of Swale Local relief (concave, convex, none) Concave
Slope (%) 2 Lat 36 174186 Long -79960890 Datum WGS 84
Soil Map Unit Name Poplar Forest clay loam (PpD2) NWI Classification none
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks )
Are Vegetation _, Sod or Hydrology _significantly disturbed? Are "Normal Circumstances" present? Yes X
Are Vegetation Sod , or Hydrology naturally problematic? (If needed, explain any answers in Remarks )
1►1^.
SUPAnnAKT Ur I-INUINUb — Attacn site map snowing sa piing point locations, transects, important Teatures, etc.
Hydrophytic Vegetation Present? Yes X No
Hydric Soil Presents Yes No X Is the Sampled Area
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 Sod Cracks (136)
Surface Water (Al)
True Aquatic Plants (814) _
Sparsely Vegetated Concave Surface (138)
High Water Table (A2)
_ Hydrogen Sulfide Odor (C1) _
Drainage Patterns (1310)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3) _
Moss Trim Lines (1316)
e 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 (65)
_
Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
_
Shallow Aqutard (D3)
i 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) >12"
Wetland Hydrology Present? Yes No X
Saturation Present? Yes No X
Depth (inches)- >12"
_
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks

VEGETATION (Four Strata) - Use scientific names of plants
Sampling Point DP -1
6
7
8 _
9
10
20 = Total Cover
Herb Stratum (Plot size 30' )
1 Parthenocissus_ qumquefolia
2
3
4
5
6
7
8
9
10
11
12
Woody Vine Stratum (Plot size. 30' )
1 Rhus copallmum
2
3
4
5
6
5 Y FAC
5 = Total Cover
70 y NI
70
Remarks (Include photo numbers here or on a separate sheet )
= Total Cover
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is > 50%
_ 3 - Prevalence Test is <_ 3 0'
_4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric sod and wetland hydrology must
be present, unless disturbed or problematic
Definitions of Vegetation Strata:
Tree — Woody plants, excluding vines, 3 in (7.6 cm)
or more in diameter at breast height (DBH),
regardless of height
Sapling/Shrub — Woody plants, excluding vines, less
than 3 in DBH and greater than 3 28 ft (1 m) tall
Herb — All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3 28 ft tall
Woody vine — All woody vines greater than 3 28 ft in
height
Vegetation
Present? Yes X No
That Are OBL, FACW, or FAC
80 (A/B)
Dominance Test worksheet:
Absolute
Dominant
Indicator
Tree Stratum (Plot size 30' )
% Cover
Species?
Status
Number of Dominant Species
1 Lmodendron tulipifera
20
Y
FAC
That Are OBL, FACW, or FAC 4 (A)
2 Liqudambar styraciflu_a_
20
Y
FAC
1 Ligustrum smense
3
FAC species
X 3 =
2
Total Number of Dominant
Species Across All Strata 5 (B)
4
5
6
FACU species
X4=
Percent of Dominant Species
6
7
8 _
9
10
20 = Total Cover
Herb Stratum (Plot size 30' )
1 Parthenocissus_ qumquefolia
2
3
4
5
6
7
8
9
10
11
12
Woody Vine Stratum (Plot size. 30' )
1 Rhus copallmum
2
3
4
5
6
5 Y FAC
5 = Total Cover
70 y NI
70
Remarks (Include photo numbers here or on a separate sheet )
= Total Cover
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is > 50%
_ 3 - Prevalence Test is <_ 3 0'
_4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric sod and wetland hydrology must
be present, unless disturbed or problematic
Definitions of Vegetation Strata:
Tree — Woody plants, excluding vines, 3 in (7.6 cm)
or more in diameter at breast height (DBH),
regardless of height
Sapling/Shrub — Woody plants, excluding vines, less
than 3 in DBH and greater than 3 28 ft (1 m) tall
Herb — All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3 28 ft tall
Woody vine — All woody vines greater than 3 28 ft in
height
Vegetation
Present? Yes X No
That Are OBL, FACW, or FAC
80 (A/B)
7
8
Prevalence Index worksheet:
40 = Total Cover
Total % Cover of
Multiply by_
OBL species
x 1 =
Sapling/Shrub Stratum (Plot size. 30' )
�� -
FACW species
X2=
1 Ligustrum smense
20 Y FAC
FAC species
X 3 =
2
3
FACU species
X4=
4
UPL species
X 5 =
5
Column Totals
(A) (B)
6
7
8 _
9
10
20 = Total Cover
Herb Stratum (Plot size 30' )
1 Parthenocissus_ qumquefolia
2
3
4
5
6
7
8
9
10
11
12
Woody Vine Stratum (Plot size. 30' )
1 Rhus copallmum
2
3
4
5
6
5 Y FAC
5 = Total Cover
70 y NI
70
Remarks (Include photo numbers here or on a separate sheet )
= Total Cover
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is > 50%
_ 3 - Prevalence Test is <_ 3 0'
_4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric sod and wetland hydrology must
be present, unless disturbed or problematic
Definitions of Vegetation Strata:
Tree — Woody plants, excluding vines, 3 in (7.6 cm)
or more in diameter at breast height (DBH),
regardless of height
Sapling/Shrub — Woody plants, excluding vines, less
than 3 in DBH and greater than 3 28 ft (1 m) tall
Herb — All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3 28 ft tall
Woody vine — All woody vines greater than 3 28 ft in
height
Vegetation
Present? Yes X No

SOIL
Sampling Point DP -1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
inches Color (moist) 0% Color (moist) % Type, Loc' Texture
0-12 7 5YR 4/6 100 CL
RM=Reduced Matrix. CS=Covered or
Remarks
M
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils':
Histosol (Al)
Dark Surface (S7)
2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
Polyvalue Below Surface (S8) (MLRA 147, 148)
Coast Prairie Redox (A16)
Black Histic (A3)
Thin Dark Suface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
Piedmont Floodplain Sods (F19)
Stratified Layers (A5)
Depleted Matrix (F3)
(MLRA 136, 147)
2 cm Muck (A10) (LRR N)
Redox Dark Surface (F6)
Red Parent Material (TF2)
Depleted Below Dark Surface (A11)
Depleted Dark Surface (F7)
Very Shallow Dark Surface (TF12)
Thick Dark Surface (Al2)
Redox Depressions (178)
Other (Explain in Remarks)
Sandy Mucky Mineral (S1) (LRR N,
Iron Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
Sandy Gleyed Matrix (s4)
Umbnc Surface (F13) (MLRA 136, 122)
3lndicators of Hydrophytic vegetation and
Sandy Redox (S5)
Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present unless
Stripped Matrix (S6)
Restrictive Layer (if observed):
Type
Depth (inches)
Remarks
disturbed or problematic
Hydric Soil Present? Yes No X

NC DWO Stream Identification Forin Version 4.11
Date: 5/9/16
Project/site Gumwood Road
latitude: 36.173559
Evaluator, Brame, PEI
County: Guilford
longitude: _79.960741
Total Points:
Stream is least,ntermttent 32
Stream Determination (circ a
Other Summerfield
at
if � 19 or perennial if z 30'
Ephemeral Intermitten Perennial
e.g Quad Name:
A. Geomorphology (Subtotal =_j_5__)
Absent
Weak
Moderate
Strong
16 Continuity of channel bed and bank
0
1
2
3
2 Sinuosity of channel along thalweg
0
1
2
3
3 In -channel structure. ex, riffle -pool, step -pool,
—ripple -pool sequence
0
1O2
1
3
4 Particle size of stream substrate
0
1
2
3
5. Activetrelict floodplain
0
1
2
3
6 Depositional bars or benches
0
1
2
3
7 Recent alluvial deposits
0
OD
2
3
8 Headcuts
0
1
2
3
9 Grade control
0
0.5
1
15
10 Natural valley
0
0.5
1
1 5
11 Second or greater order channel
No
0
Yes = 3
Sketch,
-artificial ditches are not rated; see discussions in manual
B. Hvdroloav (Subtotal = 9 1
12. Presence of Saseflow
0
1
G2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
C1
0.5
0
15 Sediment on plants or debris
0
05
1
15
16 Organic debris lines or piles
0
0.5
1
15
17. Sod -based evidence of high water table?
0
No = 0
Yes 3
15
C. Bioloav (Subtotal =
18. Fibrous roots in streambed
3
2
w
0
19 Rooted upland plants in streambed
3)
2
1
0
20 Macrobenthos (note diversity and abundance)
0
CD
2
3
21. Aquatic Mollusks
0
1
2
3
22 Fish
0
0.5
1
15
23 Crayfish
0
0.5 CD
15
24. Amphibians
0
0.5
1
1.5
25 Algae
0
05
1
15
26. Wetland plants in streambed
FACW = 0.75, OBL = 1 5
Other 0
*perennial streams may also be identified using other methods. See p. 35 of manual
Notes.
Sketch,