20171448 Ver 1_401 Application_20171117

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre -Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit 2
0 1 7 1 4 4 $
1b. Specify Nationwide Permit (NWP) number: NWP 29 or General Permit (GP) number:
1 c. 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
1 e. 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
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Stoneridge Subdivision
2b. County:
Alamance
2c. Nearest municipality / town:
Gibsonville
2d. Subdivision name:
Stoneridge
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
Shugart Management, Inc.
3b. Deed Book and Page No.
2677/0036
3c. Responsible Party (for LLC if
applicable):
Mr. Greg Garrett
3d. Street address:
221 Jonestown Road
3e. City, state, zip:
Winston-Salem, NC 27104
3f. Telephone no.:
336.231.6764
3g. Fax no.:
3h. Email address:
[e-mail]
D OR 516 9
NOV 0 9 2017
Page 1 of 11
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:
S. Agent/Consultant Information (if applicable)
5a. Name:
Michael T. Brame
5b. Business name
(if applicable):
Pilot Environmental Inc.
5c. Street address:
PO Box 128
5d. City, state, zip:
Kemersville, NC 27285
5e. Telephone no.:
336.708.4620
5f. Fax no.:
5g. Email address:
[e-mail]
Page 2 of 11
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID):
8846336637 and 8846337311
Latitude: 36.120883 Longitude: -
1 b. Site coordinates (in decimal degrees):
79.529417
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
37 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Travis Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS V;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 and cleared land. Structures are not located on the site. The site is located
within a residential and mixed use area of Gibsonville.
3b. List the total estimated acreage of all existing wetlands on the property:
—1.32 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
—3,870 LF
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to provide access to an area of the proposed subdivision that contains 44
residential lots.
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project consists of development of the site with a 70 lot single family residential sub -division. In order to
provide access to 44 lots of the residential sub -division, the applicant proposes to construct an access road (Dolomite
Drive) from Moonstone Court, which will require a stream/wetland crossing. To facilitate development of the site and
construction of the proposed stream crossing, clearing and grading the site is necessary. Graders, haulers, excavators
and other heavy equipment will be used during site construction.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
EI Yes ®No El Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
E] Preliminary ®Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Pilot Enviromental, Inc.
Name (if known): Bradley Luckey/Michael Brame
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
The USACE and NCDEQ visited the site on November 30, 2016. NCDEQ Letter Dated December 5, 2016. JD not
received.
5. Project History
5a. Have permits or certifications been requested or obtained for
❑ Yes ® 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 11
PCN Form — Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a. Is this a phased project? ❑ Yes ® No
6b. If yes, explain.
The project is not part of a phased project. Impacts to streamstwetlands, outside of those proposed in this application,
are not anticipated as a result of the proposed project.
Page 4 of 11
PCN Form —Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. 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
W1 ®P ❑ T
Fill
Bottomland
® Yes
® Corps
0.01
Hardwoods
❑ 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
0.01
2h. Comments: The proposed road crossing will permanently impact less than 0.01 acres (191 SF) of wetlands associated
with fill for the road crossing. Temporary impacts to wetlands are not 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.
39•
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/Rip
Rap/Pump Around
Unnamed
® PER
❑ INT
® Corps
❑ DWQ
5
90/18/29
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
90/18/29
3i. Comments: The proposed stream crossing will permanently impact a cumulative total of 108 linear feet of perennial stream
channel associated with road crossing fill, including the culvert and rip rap. Of the 108 linear feet of permanent impact, rip rap
will impact 18 linear feet of stream channel. The rip rap is proposed to be keyed in to the stream bed and banks. The coffer
dam will temporarily impact 29 linear feet of stream channel. Following installation of the culvert and rip rap, the coffer dam
Page 5 of 11
PCN Form — Version 1.3 December 10, 2008 Version

will be removed and flow will be diverted into the culvert. Areas of temporary impact will be restored to similar pre -
construction conditions.
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.
Open water
impact number —
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody type
4e.
Area of impact (acres)
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts
4g. Comments: Open water impacts are not proposed.
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
Pond ID
number
5b.
Proposed use or purpose
of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments: Construction of pondsAakes are not proposed.
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:
Page 6 of 11
PCN Form — Version 1.3 December 10, 2008 Version

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 El Tar -Pamlico ®Other: Jordan
Project is in which protected basin?
❑ 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
impact
required?
B1 ❑P❑T
El Yes
❑ No
B2 ❑P❑T
El Yes
❑ No
B3 ❑P❑T
El Yes
❑ No
6h. Total buffer impacts
6i. Comments: Pilot was informed that this development is in general compliance with a plan approved prior to implementation
of Phase 2 NPDES and prior to implementation of Jordan Lake buffer rules. Therefore it is our understanding that the stream
buffer and stormwater regulations in place at the time of the original plan approval apply.
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 designed the proposed residential sub -division to avoid other impact to streams and wetlands, specifically
associated with lot/pad fill. The applicant has further demonstrated avoidance and minimization of stream and wetland
impacts by proposing to construct head/end walls.
The residences will utilize municipal sanitary sewer services and has been designed to avoid impact to jurisdictional features
associated with sewer line connection. The sanitary sewer services will connect to existing sewer lines that cross the site.
The applicant has designed the stream crossing to be buried 6 inches below the existing stream bed elevation to adequately
allow aquatic passage. The remaining approximate 1.31 acres of wetlands and 3,762 linear feet of stream channel are being
avoided.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and best management practices will be used. A temporary coffer dam will be installed
upgradient of the proposed culvert. During construction, water will be pumped around the construction footprint. Appropriate
stream bank protection will be provided in the channel during construction and all excess excavated material will be
immediately removed from the stream bank crossing area. Upon completion of the culvert installation, the temporary sand bag
coffer dam will be removed and flow will be diverted through the culvert. Following construction, disturbed banks will be
restored to similar pre -construction conditions, matted and seeded/live staked.
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
El Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version

3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
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 11
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. 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.
Comments: Pilot was informed that this development is in general compliance with a
❑ Yes ® No
plan approved prior to implementation of Phase 2 NPDES and prior to imposition of
Jordan Lake Buffer Rules. Therefore it is our understanding that the stream buffer
and stormwater regulations in place at the time of orignal plan approval apply.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
23.9%
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: The proposed project is low density and
does not require a stormwater mangement plan. Additionally, Pilot was informed that this development is in general
compliance with a plan approved prior to implementation of Phase 2 NPDES and prior to imposition of Jordan Lake Buffer
Rules. Therefore it is our understanding that the stream buffer and stormwater regulations in place at the time of orignal
plan approval apply.
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 governments jurisdiction is this project?
Gibsonville
❑ 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
attached?
5. DWQ 401 Unit Stormwater Review
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PCN Form — Version 1.3 December 10, 2008 Version

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
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
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
❑ Yes ® No
(North Carolina) Environmental 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 NEPA or SEPA final approval
❑ Yes ® No
letter.)
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 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.
The proposed project will connect to an existing sanitary sewer line and will not require impacts to jurisdictional features
associated with wastewater generation.
Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® 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?
PEI consulted the USFWS List of Protected Species for Alamance County, the county that contains the project. The
USFWS does not identify federally protected species in Alamance County.
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 use of temporary sediment and erosion control devices 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?
According to the NC SHPO Historic Properties website (attached), eligible or listed resources are not located within the
proposed project area.
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 Map Panel 3710884600K (Drawing 4)
Michael T. Brame
Ai""✓ hi�.�-
11.3.2017
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization letter from the applicant
isprovided.)
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version

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:
Groner Information:
Address:
Telephone Number:
Fax Number:
E-mail Address:
Piedmont Avenue
Gibsonville, NC
221 Jonestown Road
Winston-Salem, NC 27104
[phone]
[e-mail]
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
Harbors Act of 1899.
i- Kwvmv4 irv- 1110.11(0_
caner (pleas print) Date
Signature

NOTE
1. WETLANDS AND STREAM VERIFIED BY PILOT ENVIRONMENTAL
INC. WITH USACE AND NCDEQ—DWR ON NOVEMBER 20, 2016.
GREEN MOUNTIAN ENGINEERING, PLLC. FIELD LOCATED THE
VERIFIED WETLAND AND STREAM FLAGS PLACED BY PILOT
ENVIRONMENTAL INC.
2. THIS DEVELOPMENT IS IN GENERAL COMPLIANCE WITH A PLAN
APPROVED PRIOR TO IMPLEMENTATION OF PHASE 2 NPDES
AND PRIOR TO IMPOSITION OF JORDAN LAKE BUFFER RULES.
THEREFORE THE STREAM BUFFER AND STORM—WATER
REGULATIONS IN PLACE AT THE TIME OF ORIGINAL PLAN
APPROVAL APPLY.
OTT -
77 vAr
Tt --
i!t ,
l
r
745
17
J
1 Edwin E and Shirley P. Pearson
Parcel # 88464223521
D.B. 730, Pg. 115
Town of Gibaonvllle
o_--,
i g �u ; ,
90 LF CULVERT IMPACT
18 LF RIP RAP IMPACT, TO BE
KEYED INTO BED AND BANK.
29 LF COFFER DAM IMPACT
1 -
SCALE: 1'-200'
DEVELOPER:
SHUGART MANAGEMENT, INC.
221 JONESTOWN RD.
WNSTON—SALEM, NC 27104
CONTACT: GREG GARRETT
PH: 336.765.6661
::u _1 I -
I' K.C. Properties
i Parcel 8846433053
? D.B. 1092, Pg. 174
Alamance County
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PERENNIAL STREAM/ WETLAND
IMPACT MAP
STONERIDGE SUBDIVISION
PHASE 6B
GREEN MOUNTAIN
ENGINEERING, PLLC
7A WENDY CT
GREENSBORO, NC 27409
Tel: [phone]
CERTIFICATE NO. P-0826
www. greenmountai nengi neers. com
ITImothy E. Campbell
David Todd Hum
Dher
P y
Parcel ti 8846431971
D.B. 933, Pg. 971
Parcel / 8846432385
D.B. 1044, Pg. 311
D.B. 2420, Pg. 342
Alamonce County
P.B. 47, Pg. 175
P.B. 72, Pg. 24 -
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PERENNIAL STREAM/ WETLAND
IMPACT MAP
STONERIDGE SUBDIVISION
PHASE 6B
GREEN MOUNTAIN
ENGINEERING, PLLC
7A WENDY CT
GREENSBORO, NC 27409
Tel: [phone]
CERTIFICATE NO. P-0826
www. greenmountai nengi neers. com

NOTE PERENNIAL STREAM/ WETLAND IMPACT MAP
1. WETLANDS AND STREAM VERIFIED BY PILOT STO N E R I DG E SUBDIVISION
ENVIRONMENTAL INC. WITH USACE AND NCDEQ—DWR
ON NOVEMBER 20. 2018. GREEN MOUNTIAN P HAS E a0
ENGINEERING, PLLC. FIELD LOCATED THE VERIFIED
WETLAND AND STREAM FLAGS PLACED BY PILOT
ENVIRONMENTAL INC.
2. THIS DEVELOPMENT IS IN GENERAL COMPLIANCE WITH
A PLAN APPROVED PRIOR TO IMPLEMENTATION OF
PHASE 2 NPOES AND PRIOR TO IMPOSITION OF '
JORDAN LAKE BUFFER RULES. THEREFORE THE 0001111% PERONAL
STREAM BUFFER AND STORM—WATER REGULATIONS IN
PLACE AT THE TIME OF ORIGINAL PLAN APPROVAL STREAM .'
APPLY. PPE OEM li20.3ITr
HW 1
\ \ CI -15 \ . 90 LF CULVERT IMPACT
18 LF RIP RAP IMPACT, TO BE
KEYED INTO BED AND BANK.
' 29 LF COFFER DAM IMPACT
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/ DEVELOPER: =�:� GREENSBORO, NC 27409
/ SHUGART MANAGEMENT, INC.
i 221 JONESTOWN RD. y N � rTel: 336.294.9394
WINSTON—SALEM. NC 27104 /yC� "���i,�„Nna��"`���
' t CERTIFICATE NO. P 0826
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CONTACT : GREG GARRETT ��,, � C. � ,.
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EXISTM PERENNAL
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V PERENNIAL STREAM/ WETLAND
DEVUDPER: IMPACT MAP
9WGART RD. MANAc.NT, NC. STONERIDGE SUBDIVISION
221 JONEST�OVIN
MANSTON—SALEM. NC 27104
CONTACT. GREG GARREff PHASE 6 B
C. I
GREEN MOUNTAIN
ENGINEERING, PLLC
7A WENDY CT
GREENSBORO, NC 27409
Tet: 336.294.9394
CERTIFICATE NO. P-0826
www.greenrnountainengineers.com
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M "#M..
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V PERENNIAL STREAM/ WETLAND
DEVUDPER: IMPACT MAP
9WGART RD. MANAc.NT, NC. STONERIDGE SUBDIVISION
221 JONEST�OVIN
MANSTON—SALEM. NC 27104
CONTACT. GREG GARREff PHASE 6 B
C. I
GREEN MOUNTAIN
ENGINEERING, PLLC
7A WENDY CT
GREENSBORO, NC 27409
Tet: 336.294.9394
CERTIFICATE NO. P-0826
www.greenrnountainengineers.com

TOP OF BANK
IMPOUNDED WATER STREAM BOTTOM
TO BE PUMPED
SANDBAG ANDBAGS
COFFERDAM
-TOP OF BANK
FLOW
DIRECTION
BUTTOW —OF BANK
TOP OF BANK
38' RCP STORM SERER
GENERAL NOTES
1. PUCE SANDBAGS ON ALTERNATING HEADER COURSES
AND STRZTCHER COURSES
2. SIZE PUMP ACCORDING TO FLOW
3. SPIE FILTER SOCK ACCORDING TO PWS CAPACITY
4. AVOID WORE WITHIN S R=AM ARIA DURING TDQB OF
ANTICIPATED RAI"AIL
/ ROADWAY
UMP INTAKE FILTER SOCK
ANDBAGS
CAR
---- �� -- ,\�\�`' AR
.
\\\\ �S S/
SANDBAG �,—
COFFERDAM
36" RCP = = 2 9 1 :1 4g)
STORM SEWER PLAN VIEW`'_
SCALE NTS
DEVELOPER:
SHUGART MANAGEMENT. INC.
221 JONESTOWd RD.
WINSTON—SALEM. NC 27104
CONTACT: GREG GARRETT
PH: 338.785.6881
TEMPORARY SANDBAG STREAM
DIVERSION DETAIL
STONERIDGE SUBDIVISION
PHASE 6B
"''"',1111111 1111 11,11111\���.
GREEN MOUNTAIN
ENGINEERING, RLLC
7A WENDY CT
GREENSBORO, NC 27409
Tet: 336.294.9394
CERTIFICATE NO. P-0826
www. greenmoun tai nengi veers. com

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Drawing 1 V USGS Topographic Map
USGS Topographic Map Approximate 37 Acre Tract
Ossipee and Gibsonville, NC Piedmont Avenue Extension
=;t Quadrangles Gibsonville, Alamance County, NC
Scale: 1" = 2,000' PEI Project 2326
I.ti `R'',. .s`n.s, t�• J!+l c i, �.li '! ror'

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USDA Web Soil Map
Approximate 37 Acre Tract
Piedmont Avenue Extension
Gibsonville, Alamance County, NC
PEI Project 2326

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LEGEND
=� Site Boundary
M l %Annual Chance Flood Hazard
Regulatory Floodway.�
Special Floodway W� .
Area of Undetermined Flood Hazard`
0.2%Annual Chance Flood Hazard
H Future Conditions 1 %Annual Chance Flood Hazard
Area with Reduced Risk Queto Levee =
Drawing 4 FEMA FIRM
FEMA FIRM Panel No. Approximate 37 Acre Tract
3710884600K Piedmont Avenue Extension
Effective 06.18.2007 Gibsonville, Alamance County, NC
Scale: 1" = 400' PEI Project 2326
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Imam ^
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LEGEND
Site Boundary
Perennial Stream
.. ® . • Intermittent Stream
Non -jurisdictional Feature
Wetland
DP -1 O Data Point
THE LOCATIONS OF FEATURES SHOWN ON
THIS MAP ARE PRELIMINARY AND
APPROXIMATE. THEY WERE VERIFIED BY MR.
DAVID BAILEY WITH THE USACE AND MS. SUE
HOMEWOOD WITH THE NCDEQ-DWR ON
NOVEMBER 30, 2016. THEY HAVE NOT BEEN
SURVEYED OR GEOLOCATED. THEY WERE
DELINEATED BY MICHAEL BRAME AND DAVID
BRAME ON OCTOBER 4, 2016.
a 56 i-18 I
ISD 25-33
FLAG NUMBERS/INFO
WETLAND FLAGS =
STREAM FLAGS =
Stream/Pond Flags = 91
Wetland Flags = 175
Total Flags = 266
Drawing 5
Imagery from ESRI
and PEI Field Notes
Scale: 1" = 400'
Date: 11.30.2016
WA 1-14
%sma
WAA 1-13
DP -1 O
SA
WB 1-25
DP -2 O
DP -3 O
PD 1 8
WC 1-35
WCA 1-23
ISC 1-45
WD 1-39
WDA 1-26
Wetland Map
1 Approximate 37 Acre Tract
/l Piedmont Avenue Extension
Gibsonville, Alamance County, NC
PEI Project 2326
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Wuter Resources
ENVIRONMENTAL QUALITY
December 5, 2016
Mr. Mike Brame
Pilot Environmental Inc.
P.O. Box 128
Kernersville, NC 27285
PAT MCCRORY
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
Subject Property: Stoneridge SD, Piedmont Ave Extension, Gibsonville NC, Alamance County
On -Site Determination for Applicability to the Mitigation Rules (15A NCAC 2H .0500)
Dear Mr. Brame:
On November 30 2016, at your request and in your attendance, Sue Homewood conducted an on-site
determination to review features located on the subject project for stream determinations with regards
to the above noted state regulations. David Bailey with the US Army Corps of Engineers was also present
during the site visit.
The Division acknowledges the areas and boundaries identified as jurisdictional wetlands by the USACE.
The attached map accurately depicts all stream determinations conducted during the site visit.
Please note that at the time of this letter, all perennial stream channels and jurisdictional wetlands found
on the property are subject to the mitigation rules cited above. These regulations are subject to change
in the future. In addition, the Jordan Lake Buffer Rules may apply to some streams at this
location, please be sure to contact the local government for further information regarding the
Jordan Lake Buffer Rules.
The owner (or future owners) should notify the Division (and other relevant agencies) of this decision in
any future correspondences concerning this property. This on-site determination shall expire five (5)
years from the date of this letter.
450 W. Hanes Mill Road, Suite 300, Winston-Salem, North Carolina 27105
Phone: [phone] \ FAX: [phone] \ Customer Service 1-877-623-6748
Internet: www.ncdenr.gov - www.ncwater.org

Landowners or affected parties that dispute a determination made by the Division or Delegated Local
Authority that a surface water exists and that it is subject to the buffer rule may request a determination
by the Director. A request for a determination by the Director shall be referred to the Director in writing
c/o 401 & Buffer Permitting Branch, 1650 Mail Service Center, Raleigh, NC 27699-1650. Individuals that
dispute a determination by the Division or Delegated Local Authority that "exempts" surface water from
the buffer rule may ask for an adjudicatory hearing. You must act within 60 days of the date that you
receive this letter. Applicants are hereby notified that the 60 -day statutory appeal time does not start
until the affected party (including downstream and adjacent landowners) is notified of this decision. The
Division recommends that the applicant conduct this notification in order to be certain that third party
appeals are made in a timely manner. To ask for a hearing, send a written petition, which conforms to
Chapter 1508 of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail
Service Center, Raleigh, N.C. 27699-6714. This determination is final and binding unless you ask for a
hearing within 60 days.
This letter only addresses the applicability to the mitigation rules and the buffer rules and does not
approve any activity within Waters of the United States or Waters of the State or their associated buffers.
If you have any additional questions or require additional information, please contact me at 336-776-
9693 or [e-mail].
Sincerely,
�=+cvSZ
Sue Homewood
Winston-Salem Regional Office
Enclosures: USGS Topo Map
Pilot Environmental Map
cc: Shugart Management Inc, ([e-mail])
David Bailey, USACE Raleigh Regulatory Field Office (via email)
Josh Johnson, AWCK (via email)
DWR, Winston-Salem Regional Office

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Drawing 1 USGS Topographic Map 777
USGS Topographic Map Approximate 37 Acre Tract
Ossipee and Gibsonville, NC Piedmont Avenue Extension
Quadrangles Gibsonville, Alamance County, NC
Scale: 1" = 2,000' PEI Project 2326
�.1.. •�7�•Sf *irkI.d

LEGEND
Site Boundary
Perennial Stream
..... Intermittent Stream
Non -jurisdictional Feature
Wetland
DP -1 O Data Point
THE LOCATIONS OF FEATURES SHOWN ON
THIS MAP ARE PRELIMINARY AND
APPROXIMATE. THEY WERE VERIFIED BY MR.
DAVID BAILEY WITH THE USACE AND MS. SUE
HOMEWOOD WITH THE NCDEQ-DWR ON
NOVEMBER 30, 2016. THEY HAVE NOT BEEN
SURVEYED OR GEOLOCATED. THEY WERE
DELINEATED BY MICHAEL BRAME AND DAVID
BRAME ON OCTOBER 4, 2016.
FLAG NUMBERS/INFO
WETLAND FLAGS =U
STREAM FLAGS =Q
Stream/Pond Flags = 91
Wetland Flags = 175
Total Flags = 266
Drawing S
Imagery from ESRI
and PEI Field Notes
Scale: 1" = 400'
Date: 11.30.2016
WB 1-25
t
DP -1 O
N '<
IP
.,
A, .
WB 1-25
t
DP -2 O.
DP -3 O
PD 1 8
Wetland Map
Approximate 37 Acre Tract
Piedmont Avenue Extension
Gibsonville, Alamance County, NC
PEI Project 2326
'�­auoe. Esry L;ig,rtsK:Ic:,E '. C+ ,'•' arXX'Star �:ncraraph�rrl�. C:Nt_bv lrbUS US, 1- SZ
—S' A.E- _. i_ qri~ GN, ISS . «ist cc, and the G15..
DP -1 O
N '<
DP -2 O.
DP -3 O
PD 1 8
Wetland Map
Approximate 37 Acre Tract
Piedmont Avenue Extension
Gibsonville, Alamance County, NC
PEI Project 2326
'�­auoe. Esry L;ig,rtsK:Ic:,E '. C+ ,'•' arXX'Star �:ncraraph�rrl�. C:Nt_bv lrbUS US, 1- SZ
—S' A.E- _. i_ qri~ GN, ISS . «ist cc, and the G15..