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HomeMy WebLinkAbout20180078 Ver 1_401 Application_20180118JAN 1 6 2018 Corps Submittal Cover Sheet TERWE0 dEO-W FF R P RMITTING R ES Please provide the following info: 1. Project Name: PNG Line 204 Gum Branch Road Site 2. Name of Property owner/Applicant: Piedmont Natural Gas 3. Name of Consultant/Agent: S&ME, Inc., Attn: Joey Lawler *Agent Authorization needs to be attached 4. Related/Previous Action ID Number(s): r®(j Y`Ce►Y 5. Site Address: South of Gum Branch Road f%^Tr Subdivision 6. Name: N/A 7. 8. 9. 10. 11. 12. 13. City: Jacksonville County: Onslow Lat: 34.804430° Long: -77.4431810 Quadrangle Name: Jacksonville North, NC Waterway: UT to New River Watershed: 03020302 — New River Requested Action: X Nationwide Permit # NWP 18 General Permit # Jurisdictional Determination Request Pre -Application Request The following information will be completed by Corps office: Prepare File Folder we (Decimal Degrees Please) Assign number in ORM Authorization: Section 10 Project Description/Nature of Activity/Project Purpose: Site/Waters Name: Keywords: Section 404 Begin Date Awmaw December 21, 2017 U.S. Army Corps of Engineers Washington Regulatory Field Office 2407 West Fifth Street Washington, NC 27889 Attention: Ms. Rachel Capito NC Division of Water Resources 401 & Buffer Permitting Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Attention: Ms. Jennifer Burdette @20dR D ,AN 16 2018 Reference: Pre -Construction Notification: NWP No. 18/WQC No. 4139 PNG Line 204 — Gum Branch Road Project Jacksonville, North Carolina S&ME Project No. 7435-17-012 Dear Ms. Capito: On behalf of Piedmont Natural Gas (PNG), S&ME, Inc. (S&ME) hereby submits this Pre -Construction Notification (PCN) for temporary and permanent impacts to waters of the U.S. in accordance with Nationwide Permit (NWP) No. 18 and the corresponding North Carolina Water Quality Certification (WQC) No. 4139. PNG, the project sponsor, will be considered the applicant. The project entails construction of a launcher/receiver station associated with one of their existing natural gas pipelines in Onslow County, N.C. In support of this application, please find enclosed the following: Figures: Site Vicinity Exhibit (Figure 1), USGS Topographic Exhibit (Figure 2), Onslow County Soils Exhibit (Figures 3) and an Approximate Waters of the US Exhibit (Figure 4) Appendix I: Preliminary Jurisdictional Delineation Information Appendix II: Site Photographs Appendix III: Completed Pre -Construction Notification (PCN) and Agent Authorization Form Appendix IV: Impact Drawing Appendix V: Agency Scoping Information Appendix VI: Restoration Plan A copy of this PCN is being provided to the N.C. Division of Water Resources as a courtesy. The project as proposed should comply with the relevant conditions of General Water Quality Certification No. 4139, and as such, does not require pre -construction written approval. S&ME, INC. / 9751 Southern Pine Blvd / Charlotte, NC 28273 / p 704.523.4726 f 704.525.3953 / www.smeinc.com Pre -Construction Notification S&ME Project No. 7435-17-012 PNG Line 204 Gum Branch Road Project December 21, 2017 The activities described in this submittal will result in both temporary and permanent wetland impacts. The temporary impacts (0.044 acre) are limited to herbaceous wetlands located within PNG's existing, maintained easement. The permanent impacts (0.053 acre) will occur from clearing and placement of fill material within a forested wetland. Cumulatively, both the temporary and permanent impacts do not exceed 0.10 acre. General Project Information PNG is planning to construct a "Launcher/Receiver" facility adjacent to the Line 204 natural gas transmission pipeline and mainline valve station on the south side of Gum Branch Road in Jacksonville, Onslow County, North Carolina (34.804616°N, -77.442841°W). The location of the project area is depicted on the attached Site Vicinity Exhibit (Figure 1), the appropriate portion of the 1978 Jacksonville North, NC USGS Topographic Map (Figure 2), and an Onslow County Soils Exhibit (Figure 3). The purpose of the new facility is to accommodate the insertion and retrieval of an in-line inspection device (ILID). Operation and maintenance of PNG's pipeline system is subject to extensive state and federal regulations and requirements. At the Federal level, these regulations fall under the Department of Transportation (DOT). As a result of current Federal DOT requirements, all pipeline owners, including PNG, are required to inspect and assess the safety and integrity of transmission pipelines on an ongoing basis through the use of specific pipeline assessment tools. One of the assessment tools required by DOT is the use of an ILID. Such devices physically travel through the pipeline, continuously taking measurements and recording data that allow the pipeline to be assessed in terms of its structural integrity and to identify any areas that require further inspection, assessment, and potential repair or remediation. To make Line 204 compatible with the use of an ILID and meet DOT inspection and assessment requirements, PNG plans to construct the new aboveground facility that will accommodate the ILID's insertion into and removal from the pipeline. The station will consist of a gravel pad and some aboveground piping. The gravel pad is necessary to accommodate the vehicular access and equipment staging that is necessary during ILI operations, and will be surrounded by a new chainlink fence. Existing Environment The project area is located within the Coastal Plain Physiographic Province of North Carolina. Topography in the area is generally flat, but slopes very gradually to the east and an off-site stream. The northern portion of the project area contains the existing Line 204 natural gas transmission easement and an aboveground mainline valve. The remainder of the project area is vegetated with approximately 8-10 year-old trees — primarily loblolly pine (Pinus toedo) and sweetgum (Liquidambor styrocifluo). On April 12, 2017, S&ME personnel visited the proposed project site to delineate jurisdictional surface waters located therein. We followed the procedures set forth in the 1987 USACE Wetlands Delineation Manual. Conditions were documented using USACE Routine Wetland Determination Data Forms, as appropriate. Two similar wetland areas (WA and WB), both classified as headwater wetlands based on NC Wetland Assessment Methodology, were identified within the project area (Figure 4). Portions of WA and WB that are located within the regularly -maintained gasline easement are vegetated with herbaceous species such as soft rush (Juncus effuses) and shallow sedge (Carex lurida). Overstory species observed within the forested areas included sweetgum, loblolly pine and red maple (Acer rubrum). Herbaceous species included shallow sedge, soft rush, netted chain fern (Woodwardia areolate) and cinnamon fern (Osmunda cinnomoea). 2 Pre -Construction Notification S&ME Project No. 7435-17-012 PNG Line 204 Gum Branch Road Project December 21, 2017 Soils within the wetland area were hydric and exhibited a depleted matrix. Hydrologic indicators included areas of shallow standing water, water -stained leaves and drainage patterns. A Request for Preliminary Jurisdictional Determination is included in Appendix I, and photographs of conditions at the site are included in Appendix II. Description of the Proposed Work and Impacts A gravel access road will be constructed over a portion of Wetland A located within PNG's existing Line 204 easement. The road will be 20 feet wide and appropriately culverted such that the normal flow and circulation patterns of the wetland are not otherwise inhibited. The station site will consist of a gravel pad and some above ground piping that will serve to insert and retrieve the ILID device. The gravel pad was sized to safely accommodate the vehicular access and equipment staging that is necessary during ILID operations, and to avoid a 50 -foot stream buffer associated with an off-site tributary. A chain link fence will be constructed around the pad. Table 1: Summary of Stream and Wetland Impacts As indicated, the project will result in permanent impacts to 2,311 square feet (0.053 acre) of wetlands through placement of clean earthen fill material and gravel. Approximately 1,912 square feet (0.044 acre) of wetland located within PNG's existing Line 204 easement may be temporarily impacted during construction operations. The permanent wetland impacts associated with the proposed project will result from grading and placement of fill material sufficient to provide a level surface and accommodate construction of the new facility and access road. Following construction, temporarily disturbed wetlands within the existing easement will be restored to their original grade and contour and seeded with a native wetland seed mix. The completed PCN Form and Agent Authorization Form are included in Appendix III. A drawing that depicts the proposed disturbance limits and impacts to the wetlands is included on Sheet 01 by RLS Land Surveying, Inc., and the locations of the piping and launcher/receiver are shown on Drawing No. PNG-M- 204-0001045, both in Appendix IV. Protected Species To comply with applicable sections of the Endangered Species Act (ESA) of 1973 (16 USC 1531-1543), S&ME conducted a search of the North Carolina Natural Heritage Program (NCNHP) database to identify element occurrences (EOs) of such species listed as potentially occurring near the project site. A report generated from the findings of the NCNHP database review (Appendix V) indicated that there are no documented occurrences of federally -protected species within one mile of the project area. S&ME also 3 WA 740 0.017 292 0.007 WB 1,172 0.027 2,019 0.046 TOTAL: 1,912 0.044 2,311 0.053 As indicated, the project will result in permanent impacts to 2,311 square feet (0.053 acre) of wetlands through placement of clean earthen fill material and gravel. Approximately 1,912 square feet (0.044 acre) of wetland located within PNG's existing Line 204 easement may be temporarily impacted during construction operations. The permanent wetland impacts associated with the proposed project will result from grading and placement of fill material sufficient to provide a level surface and accommodate construction of the new facility and access road. Following construction, temporarily disturbed wetlands within the existing easement will be restored to their original grade and contour and seeded with a native wetland seed mix. The completed PCN Form and Agent Authorization Form are included in Appendix III. A drawing that depicts the proposed disturbance limits and impacts to the wetlands is included on Sheet 01 by RLS Land Surveying, Inc., and the locations of the piping and launcher/receiver are shown on Drawing No. PNG-M- 204-0001045, both in Appendix IV. Protected Species To comply with applicable sections of the Endangered Species Act (ESA) of 1973 (16 USC 1531-1543), S&ME conducted a search of the North Carolina Natural Heritage Program (NCNHP) database to identify element occurrences (EOs) of such species listed as potentially occurring near the project site. A report generated from the findings of the NCNHP database review (Appendix V) indicated that there are no documented occurrences of federally -protected species within one mile of the project area. S&ME also 3 Pre -Construction Notification S&ME Project No. 7435-17-012 PNG Line 204 Gum Branch Road Project December 21, 2017 reviewed the relevant U.S. Fish and Wildlife Service (USFWS) species descriptions pursuant to identification of potentially suitable habitat within the project area. Review of the NCNHP database identified the following documented occurrences of federally -protected species in Onslow County: Table 2: Federally -Protected Species Summary T (S/A) = Threatened due to Similarity of Appearance, BGPA = Bald and Golden Eagle Protection Act, E = Endangered, T= Threatened Scoping letters detailing the proposed project were also provided to the FWS and the NC Wildlife Resources Commission (WRC) on November 1, 2017. The FWS responded with a November 30, 2017 letter stating that, based on their review of the proposed project, it appears that federally -protected species or their critical habitat will not be affected, and that requirements of Section 7(a)(2) of the ESA have been satisfied. No response from WRC was received. Field assessments for the presence of federally -protected terrestrial species listed in Table 2 were also conducted by S&ME in April and August 2017. Given that the site does not contain waterbodies, assessment for the aquatic species listed above was not conducted. Suitable habitat for the terrestrial species identified in Table 2 was not observed on-site. Copies of the FWS letter and NCNHP database report is included in Appendix V. Historic Resources Projects requiring a federal permit must also comply with Section 106 of the National Historic Preservation Act (NHPA) of 1966. Review of the NC State Historic Preservation Office (SHPO) GIS database indicated that the nearest site listed or eligible for listing on the National Register of Historic Places is located over three miles from the project site. It is our understanding that the USACE will complete coordination with SHPO prior to issuance of the requested permit. 4 Alligator mississippiensis American Alligator T (S/A) Current Haliaeetus leucocephalus Bald Eagle BGPA Current Chelonia mydas Green Sea Turtle T Current Eretmochelys imbricata Hawksbill Sea Turtle E Historic Lepidochelys kempii Kemp's Ridley Sea Turtle E Current Dermochelys coriacea Leatherback Sea Turtle E Current Caretta caretta Loggerhead Sea Turtle T Current Charadrius melodus Piping Plover T Current Picoides borealis Red -cockaded Woodpecker E Current Calidris canutus rufa Red Knot T Current Trichechus manatus West Indian Manatee E Current Thalictrum cooleyi Colley's meadowrue E Current Carex lutea Golden sedge E Current Lindera melissifolia Pondberry E Current Lysimachia asperulaefolia Rough -leaved loosestrife E Current Amaranthus pumilis Seabeach amaranth T Current T (S/A) = Threatened due to Similarity of Appearance, BGPA = Bald and Golden Eagle Protection Act, E = Endangered, T= Threatened Scoping letters detailing the proposed project were also provided to the FWS and the NC Wildlife Resources Commission (WRC) on November 1, 2017. The FWS responded with a November 30, 2017 letter stating that, based on their review of the proposed project, it appears that federally -protected species or their critical habitat will not be affected, and that requirements of Section 7(a)(2) of the ESA have been satisfied. No response from WRC was received. Field assessments for the presence of federally -protected terrestrial species listed in Table 2 were also conducted by S&ME in April and August 2017. Given that the site does not contain waterbodies, assessment for the aquatic species listed above was not conducted. Suitable habitat for the terrestrial species identified in Table 2 was not observed on-site. Copies of the FWS letter and NCNHP database report is included in Appendix V. Historic Resources Projects requiring a federal permit must also comply with Section 106 of the National Historic Preservation Act (NHPA) of 1966. Review of the NC State Historic Preservation Office (SHPO) GIS database indicated that the nearest site listed or eligible for listing on the National Register of Historic Places is located over three miles from the project site. It is our understanding that the USACE will complete coordination with SHPO prior to issuance of the requested permit. 4 Pre -Construction Notification S&ME Project No. 7435-17-012 PNG Line 204 Gum Branch Road Project December 21, 2017 Avoidance and Minimization The project area has been limited to the minimum amount considered necessary to safely accommodate the new station and all of the support equipment that will be required during the ILID events. A proposed flaring site (a gas -venting operation required prior to the ILID event) was originally planned for a 100 -foot x 100 -foot area adjacent to the current project area. The proposed flare site would have resulted in additional wetland impacts, but was eliminated. Impacts have been minimized by PNG's use of an existing easement and a formerly disturbed area, limiting impacts to forested wetlands, and by use of appropriate sediment and erosion control measures during construction. Following construction, temporarily disturbed wetlands within the existing easement will be restored to their original grade and contour and seeded with a native wetland seed mix (Appendix VI). The project will result in a loss of 0.053 acre wetlands. The remaining 0.044 acre of wetland impacts are temporary. Mitigation has been provided by avoidance and minimization procedures implemented during the design phase of the proposed project. Because the project will not result in impacts to greater than 0.10 acre of wetlands, we do not anticipate that compensatory mitigation will be required. Closing Thank you for your review of this PCN. If you have questions or need additional information, please feel free to contact us at 704.523.4726. Sincerely, S&ME Joey awler, P.W.S. Project Manager Senior Review by Christopher J.L. Stahl, P.E. Cc: • Jeff Smith - RLS 5 urisdictional Determination Request US Army Corps of Engineers - Wilmington District This form is intended for use by anyone requesting a jurisdictional determination (JD) from the U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting information, as described within each category, with your request. You may submit your request via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project manager of the county in which the property is located. A current list of project managers by assigned counties can be found on-line at: http•//www saw.usace.anny.mil/Missions/RegulatoryPertnitProgram/Contact/CouniyLocator.aspx, by calling 910-251-4633, or by contacting any of the field offices listed below. Once your request is received you will be contacted by a Corps project manager. ASHEVILLE & CHARLOTTE REGULATORY FIELD OFFICES US Army Corps of Engineers 151 Patton Avenue, Room 208 Asheville, North Carolina 28801-5006 General Number: (828) 271-7980 Fax Number: (828) 281-8120 WASHINGTON REGULATORY FIELD OFFICE US Army Corps of Engineers 2407 West Fifth Street Washington, North Carolina 27889 General Number: (910) 251-4610 Fax Number: (252) 975-1399 WILMINGTON REGULATORY FIELD OFFICE RALEIGH REGULATORY FIELD OFFICE US Army Corps of Engineers US Army Corps of Engineers 69 Darlington Avenue 3331 Heritage Trade Drive, Suite 105 Wilmington, North Carolina 28403 Wake Forest, North Carolina 27587 General Number: 910-251-4633 General Number: (919) 554-4884 Fax Number: (910) 251-4025 Fax Number: (919) 562-0421 INSTRUCTIONS: All requestors must complete Parts A, B, C, D, E, F and G. NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a paying client or your agency, please note the specific submittal requirements in Part H. NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that all JD requests must include the current property owner authorization for the Corps to proceed with the determination, which may include inspection of the property when necessary. This form must be signed by the current property owner(s) or the owner(s) authorized agent to be considered a complete request. NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for JD requests associated with North Carolina Department of Transportation (NCDOT) projects will be conducted according to the current NCDOT/USACE protocols. NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD may not be valid for the wetland conservation provisions of the Food Security Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should also request a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work. Version: May 2017 Page 1 A. Jurisdictional Determination Request PARCEL INFORMATION Street Address: Gum Branch Road City, State: County: Jacksonville, NC Onslow Parcel Index Number(s) (PIN): 436811672221 B. REQUESTOR INFORMATION Name: Joey Lawler Mailing Address: 9751 Southern Pine Blvd Charlotte, NC 28273 Telephone Number: 704-523-4726 Electronic Mail Address: jlawler@smeinc.com Select one: FI am the current property owner. ✓❑ I am an Authorized Agent or Environmental Consultant' Interested Buyer or Under Contract to Purchase Other, please explain. C. PROPERTY OWNER INFORMATION' Piedmont Natural Gas (easement only) Name: Mailing Address: 4720 Piedmont Row Drive Charlotte, NC 28210 Telephone Number: 704-731-4245, Attn: Sanu Odugbesan Electronic Mail Address: sanu.odugbesan@piedmontng.com Must provide completed Agent Authorization Form/Letter. 2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record). Version: May 2017 Page 2 Jurisdictional Determination Request D. PROPERTY ACCESS CERTIFICATION',4 By signing below, I 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, if necessary, and issuing a jurisdictional determination pursuant to Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the undersigned, am either a duly authorized owner of record of the property identified herein, or acting as the duly authorized agent of the owner of record of the property. See attached Print Name Capacity: ❑ Owner Date Signature ent authorization ❑ Authorized Agents E. REASON FOR JD REQUEST: (Check as many as applicable) ❑ I intend to construct/develop a project or perform activities on this parcel which would be designed to avoid all aquatic resources. ❑ I intend to construct/develop a project or perform activities on this parcel which would be designed to avoid all jurisdictional aquatic resources under Corps authority. ❑ I intend to construct/develop a projector perform activities on this parcel which may require authorization from the Corps, and the JD would be used to avoid and minimize impacts to jurisdictional aquatic resources and as an initial step in a future permitting rocess. V I intend to construct/develop a projector perform activities on this parcel which may require authorization from the Corps; this request is accompanied by my permit application and the JD is to be used in the permitting process. ❑ I intend to construct/develop a project or perform activities in a navigable water of the U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of the tide. 8 A Corps JD is required in order obtain my local/state authorization. I intend to contest jurisdiction over a particular aquatic resource and request the Corps confirm that jurisdiction does/does not exist over the aquatic resource on the parcel. ❑ I believe that the site may be comprised entirely of dry land. ❑ Other: s For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E. a If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a continuation sheet. 5 Must provide agent authorization form/letter signed by owner(s). Version: May 2017 Page 3 Jurisdictional Determination Request F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One) I am requesting that the Corps provide a preliminary JD for the property identified herein. A Preliminary Jurisdictional Determination (PJD) provides an indication that there may be "waters of the United States" or "navigable waters of the United States"on a property. PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all waters and wetlands on the property will be treated as if they are jurisdictional "waters of the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is "preliminary" in the sense that an approved JD can be requested at any time. PJDs do not expire. I am requesting that the Corps provide an approved JD for the property identified herein. An Approved Jurisdictional Determination (AJD) is a determination that jurisdictional "waters of the United States" or "navigable waters of the United States" are either present or absent on a site. An approved JD identifies the limits of waters on a site determined to be jurisdictional under the Clean Water Act and/or Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be posted on the Corps website. A landowner, permit applicant, or other "affected party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years (subject to certain limited exceptions explained in Regulatory Guidance Letter 05- 02). F] I am unclear as to which JD I would like to request and require additional information to inform my decision. G. ALL REQUESTS 7 Map of Property or Project Area. This Map must clearly depict the boundaries of the review area. ✓V Size of Property or Review Area 0.8 acres. ❑✓ The property boundary (or review area boundary) is clearly physically marked on the site. Version: May 2017 Page 4 Jurisdictional Determination Request H. REQUESTS FROM CONSULTANTS a Project Coordinates (Decimal Degrees): Latitude: Longitude: -77.4431810 34.804430° FV A legible delineation map depicting the aquatic resources and the property/review area. Delineation maps must be no larger than 11x17 and should contain the following: (Corps signature of submitted survey plats will occur after the submitted delineation map has been reviewed and approved).6 ■ North Arrow ■ Graphical Scale ■ Boundary of Review Area ■ Date ■ Location of data points for each Wetland Determination Data Form or tributary assessment reach. For Approved Jurisdictional Determinations: ■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404 wetlands, etc. Please include the acreage of these features. ■ Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries, impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary, open water, relatively permanent water, pond, etc. Please include the acreage or linear length of each of these features as appropriate. ■ Isolated waters, waters that lack a significant nexus to navigable waters, or non - jurisdictional upland features should be identified as Non -Jurisdictional. Please include a justification in the label regarding why the feature is non jurisdictional (i.e. "Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage or linear length of these features as appropriate. For Preliminary Jurisdictional Determinations: ■ Wetland and non -wetland features should not be identified as Jurisdictional, 404, Waters of the United States, or anything that implies jurisdiction. These features can be identified as Potential Waters of the United States, Potential Non -wetland Waters of the United States, wetland, stream, open water, etc. Please include the acreage and linear length of these features as appropriate. ❑ Completed Wetland Determination Data Forms for appropriate region (at least one wetland and one upland form needs to be completed for each wetland type) Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the supplied map meets the necessary mapping standards. http://www.saw.usace.army.mil/Missions/Re ug latory-Permit- Pro Bram/J uri sd i cti on/ Version: May 2017 Page 5 jurisdictional Determination Request Completed appropriate Jurisdictional Determination form • PJDs. please complete a Preliminary Jurisdictional Determination Form' and include the Aquatic Resource Table • AJDs, please complete an Approved Jurisdictional Determination Forms Vicinity Map Aerial Photograph ❑ USGS Topographic Map Soil Survey Map F] Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps) ❑� Landscape Photos (if taken) ❑ NCSAM and/or NCWAM Assessment Forms and Rating Sheets ❑ NC Division of Water Resources Stream Identification Forms FOther Assessment Forms ' www saw usace army mil/Portals/59/docs/re2ulatory/regdocs/JD/RGL 08-02 App A Prelim JD Form fillable.ndf 8 Please see httR//www saw usace.army.mil/Missions/Re ug latory-Permit-Program/Jurisdiction/ Principal Purpose: The information that you provide will be used in evaluating your request to determine whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory authorities referenced above. Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local government agencies, and the public, and may be made available as part of a public notice as required by federal law. Your name and property location where federal jurisdiction isto be determined will be included in the approved jurisdictional determination (AJD), which will be made available to the public on the District's website and on the Headquarters USAGE website. Disclosure: Submission of requested information is voluntary; however, if information is not provided, the request for an AJD cannot be evaluated nor can an AJD be issued. Version: May 2017 Page 6 Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM BACKGROUND INFORMATION A. REPORT COMPLETION DATE FOR PJD:12/21/2017 B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Joey Lawler of S&ME, Inc. 9751 Southern Pine Blvd., Charlotte, NC 28273 C. DISTRICT OFFICE, FILE NAME, AND NUMBER: D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: (USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR AQUATIC RESOURCES AT DIFFERENT SITES) State: NC County/parish/borough: Onslow Co. City: Jacksonville Center coordinates of site (lat/long in degree decimal format): Lat.: 34.804430° Long.: -77.443181' Universal Transverse Mercator: NAD83 Name of nearest waterbody: UT to New River E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALTHAT APPLY): Office (Desk) ❑ Determination. Date: ❑ Field Determination. Date(s): TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY JURISDICTION. Site number Latitude (decimal degrees) Longitude (decimal degrees) Estimated amount of aquatic resource in review area (acreage and linear feet, if applicable) Type of aquatic resource (i.e., wetland vs. non- wetland waters) Geographic authority to which the aquatic resource "may be" subject (i.e., Section 404 or Section 10/404) WA 34.8047930 -77.4432760 0.02 ac Wetland Section 404 WB 34.8045190 -77.4430510 0.07 ac Wetland Section 404 1) 2) The Corps of Engineers believes that there may be jurisdictional aquatic resources in the review area, and the requestor of this PJD is hereby advised of his or her option to request and obtain an approved JD (AJD) for that review area based on an informed decision after having discussed the various types of JDs and their characteristics and circumstances when they may be appropriate. In any circumstance where a permit applicant obtains an individual permit, or a Nationwide General Permit (NWP) or other general permit verification requiring "pre - construction notification" (PCN), or requests verification for a non -reporting NWP or other general permit, and the permit applicant has not requested an AJD for the activity, the permit applicant is hereby made aware that: (1) the permit applicant has elected to seek a permit authorization based on a PJD, which does not make an official determination of jurisdictional aquatic resources; (2) the applicant has the option to request an AJD before accepting the terms and conditions of the permit authorization, and that basing a permit authorization on an AJD could possibly result in less compensatory mitigation being required or different special conditions; (3) the applicant has the right to request an individual permit rather than accepting the terms and conditions of the NWP or other general permit authorization; (4) the applicant can accept a permit authorization and thereby agree to comply with all the terms and conditions of that permit, including whatever mitigation requirements the Corps has determined to be necessary; (5) undertaking any activity in reliance upon the subject permit authorization without requesting an AJD constitutes the applicant's acceptance of the use of the PJD; (6) accepting a permit authorization (e.g., signing a proffered individual permit) or undertaking any activity in reliance on any form of Corps permit authorization based on a PJD constitutes agreement that all aquatic resources in the review area affected in any way by that activity will be treated as jurisdictional, and waives any challenge to such jurisdiction in any administrative or judicial compliance or enforcement action, or in any administrative appeal or in any Federal court; and (7) whether the applicant elects to use either an AJD or a PJD, the JD will be processed as soon as practicable. Further, an AJD, a proffered individual permit (and all terms and conditions contained therein), or individual permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it becomes appropriate to make an official determination whether geographic jurisdiction exists over aquatic resources in the review area, or to provide an official delineation of jurisdictional aquatic resources in the review area, the Corps will provide an AJD to accomplish that result, as soon as is practicable. This PJD finds that there "may be"waters of the U.S. and/or that there "may be" navigable waters of the U.S. on the subject review area, and identifies all aquatic features in the review area that could be affected by the proposed activity, based on the following information: SUPPORTING DATA. Data reviewed for preliminary JD (check all that apply - checked items should be included in case file and, where checked and requested, appropriately reference sources below): ® Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant: ® Data sheets prepared/submitted by or on behalf of the applicant/consultant. ❑ Office concurs with data sheets/delineation report. ❑ Office does not concur with data sheets/delineation report. ❑ Data sheets prepared by the Corps: ❑ Corps navigable waters' study: ® U.S. Geological Survey Hydrologic Atlas: ❑ USGS NHD data. ❑ USGS 8 and 12 digit HUC maps. ® U.S. Geological Survey map(s). Cite scale & quad name: 1978 Jacksonville North, NC USGS topographic quadrangle, 1:24,000 scale. ® USDA Natural Resources Conservation Service Soil Survey. Citation: 1992 USDA -SCS published Soil Survey of Onslow County, North Carolina. ❑ National wetlands inventory map(s). Cite name: ❑ State/Local wetland inventory map(s): ® FEMA/FIRM maps: ❑ 100 -year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929) ® Photographs: ® Aerial (Name & Date): 2016 NCOneMap aerial orthoimagery layer. or ® Other (Name & Date): Site photos taken April 2017. ® Previous determination (s). File no. and date of response letter: ❑Other information (please specify): IMPORTANT NOTE: The information recorded on this form has not necessarily been verified by the Corps and should not be relied upon for later jurisdictional determinations. Signature and date of Regulatory Project Manager (REQUIRED) Signature and date of person requesting preliminary JD (REQUIRED, unless obtaining the signature is impracticable)' Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond within the established time frame, the district may presume concurrence and no additional follow up is necessary prior to finalizing an action. WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region Project/Site: Gum Branch Road - Line 204 City/County: Jacksonville, Onslow Sampling Date: 4/12/2017 Applicant/Owner: PNG (easement only) State: NC Sampling Point: DP1 Investigator(s): W COTe Section, Township, Range: Landform (hillslope, terrace, etc.): terrace Local relief (concave, convex, none): concave Slope (%): 0-5% Subregion (LRR or MLRA): T, 153A Let: 34.80457 Long: -77.44303 Datum: NAD83 Soil Map Unit Name: Lynchburg fine sandy loam NWI classification: N/A 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 reguired) Indicators (minimum of one is reguired• check all that apply) ❑ Surface Soil Cracks (136) IPrrilmary L1 Surface Water (A1) Aquatic Fauna (613) Sparsely Vegetated Concave Surface (68) ✓❑ High Water Table (A2) 1❑ -f -J -f Marl Deposits (1315) (LRR U) Drainage Patterns (1310) Q Saturation (A3) 1l ---If Hydrogen Sulfide Odor (Cl) Moss Trim Lines (616) Water Marks (131) 1I Oxidized Rhizospheres along Living Roots (C3) ❑ Dry -Season Water Table (C2) Sediment Deposits (62) �I--Ir LJ Presence of Reduced Iron (C4) ❑ Crayfish Burrows (C8) Drift Deposits (133) Recent Iron Reduction in Tilled Soils (C6) ❑ Saturation Visible on Aerial Imagery (C9) _ ❑I Algal Mat or Crust (64) ❑ Thin Muck Surface (C7) Geomorphic Position (D2) 1.1 Iron Deposits (65) Other (Explain in Remarks) ❑ Shallow Aquitard (D3) ❑Inundation Visible on Aerial Imagery (137) ✓ FAC -Neutral Test D5 ❑ ( ) ✓❑ Water -Stained Leaves (69) ❑ Sphagnum moss (D8) (LRR T, U) Field Observations: Surface Water Present? Yes X No Depth (inches): Water Table Present? Yes X No Depth (inches): Saturation Present? Yes X No Depth (inches): Wetland Hydrology Present? Yes X No includes capillary fringe) Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available: Remarks: US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0 VEGETATION (Four Strata) - Use scientific names of plants. Sampling Point: DF1 3. 4. 5. 6. 7. 8. 50% of total cover: 32.5 Herb Stratum (Plot size: ) 1 Carex lurida Absolute Dominant Indicator Dominance Test worksheet: Juncus effusus 10 Tree Stratum (Plot size: 30x30 ) % Cover Species? Status Number of Dominant Species N 0131- BL4 1 Liquidambar styraciflua 20 Y FAC That Are OBL, FACW, or FAC: 7 (A) 2 Acer rubrum 15 Y FAC Pinus taeda 10 N FAC Total Number of Dominant 7 3. Species Across All Strata: 8. (B) 4. 9. Percent of Dominant Species 5• 10. That Are OBL, FACW, or FAC: 100 (A/B) 6. 12. Prevalence Index worksheet: 7. Total % Cover of: Multiply by: 8. 45 = Total Cover OBL species x 1 = 50% of total cover: 22.5 20% of total cover: 9 FACW species x 2 = FAC species x 3 = Saplina/Shrub Stratum (Plot size: ) 1 Salix nigra 30 Y OBL FACU species UPL species Column Totals: x4= x5= (A) (B) 2 Morella carolinensis 30 Y FACW Viburnum nudum 5 N FACW 3. 4. 5. 6. 7. 8. 50% of total cover: 32.5 Herb Stratum (Plot size: ) 1 Carex lurida 65 25 = Total Cover 20% of total cover: 13 Y OBL 2 Juncus effusus 10 Y OBL 3 Woodwardia areolata 5 N 0131- BL4 4 Osmundastrum cinnamomeum 5 N FACW 5. 6. 7. 8. 9. 10. 11. 12. 50% of total cover: 22.5 Woody Vine Stratum (Plot size: ) 1 Lonicera japonica 2. 3. 4. 5. 45 = Total Cover 20% of total cover: 9 5 Y FAC 41 50% of total cover: 2.5 list morphological adaptations below). = Total Cover 20% of total cover: 10 Prevalence Index = B/A = Hydrophytic Vegetation Indicators: II 1 - Rapid Test for Hydrophytic Vegetation 2 - Dominance Test is >50% II3 - Prevalence Index is 53.0' El Problematic Hydrophytic Vegetation' (Explain) 'Indicators of hydric soil and wetland hydrology must be present, unless disturbed or problematic. Definitions of Four 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 It in height. Hydrophytic Vegetation Present? Yes X No US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - 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) % Tvoe' Loci Texture Remarks 0-6 10YR 4/1 100 SL sandy loam 6-16+ 10YR 5/1 90 10YR 5/6 10 C PL SL sandy loam 'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix. Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.) Indicators for Problematic Hydric Soils': ❑ Histosol (Al) ❑ Polyvalue Below Surface (S8) (LRR S, T, U) -I 1 cm Muck (A9) (LRR O) eHistic Epipedon (A2) T❑ Thin Dark Surface (S9) (LRR S, T, U) TL�J 2 cm Muck (A10) (LRR S) Black Histic (A3) Loamy Mucky Mineral (F1) (LRR O)Tu-I Reduced Vertic (F18) (outside MLRA 150A,B) _E1 ❑ Hydrogen Sulfide (A4) ❑ Loamy Gleyed Matrix (F2) Piedmont Floodplain Soils (F19) (LRR P, S, T) 8 Stratified Layers (A5) ✓ Depleted Matrix (F3) u Anomalous Bright Loamy Soils (F20) Organic Bodies (A6) (LRR P, T, U) Redox Dark Surface (F6) (MLRA 153B) 5 cm Mucky Mineral (A7) (LRR P, T, U) Muck Presence (LRR U) Depleted Dark Surface (F7) T❑ -I Red Parent Material (TF2) Redox Depressions (178) u Very Shallow Dark Surface (TF1 2) ❑ (A8) 1 cm Muck (A9) (LRR P, T) ❑ Marl (F10) (LRR U) D Other (Explain in Remarks) ❑ Depleted Below Dark Surface (A11) ❑ Depleted Ochric (F11) (MLRA 151) ❑ Thick Dark Surface (Al2) ❑ Iron -Manganese Masses (F12) (LRR O, P, T) 31ndicators of hydrophytic vegetation and eCoast Prairie Redox (A16) (MLRA 150A) Umbric Surface (F13) (LRR P, T, U) wetland hydrology must be present, Sandy Mucky Mineral (S1) (LRR O, S) n Delta Ochric (F17) (MLRA 151) unless disturbed or problematic. ❑ Sandy Gleyed Matrix (S4) ❑ Reduced Vertic (F18) (MLRA 150A, 150B) HSandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 149A) Stripped Matrix (S6) Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D) ❑ Dark Surface (S7) (LRR P, S, T, U) Type: Depth (inches): Hydric Soil Present? Yes X No US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0 of M WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region Project/Site: Gum Branch Road - Line 204 City/County: Sampling Date: 4/12/17 Applicant/Owner: PNG (easement only) State: NC Sampling Point: DP2 Investigator(s): W Cole Section, Township, Range: Landform (hillslope, terrace, etc.): hillslope Local relief (concave, convex, none): none Slope (%): 02-5% Subregion (LRR or MLRA): T, 153A Lat: Long: Datum: NAD83 Soil Map Unit Name: Lynchburg fine sandy loam NWI classification: N/A 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 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 No X within a Wetland? Yes No X Wetland Hydrology Present? Yes No X Remarks: HYDROLOGY Wetland Hydrology Indicators: Secondary Indicators (minimum of two reauired) Surface Soil Cracks (136) Sparsely Vegetated Concave Surface (138) Indicators (minimum of one is reauired: check all that apply) IPrimary Surface Water (Al) El Aquatic Fauna (613) ❑ High Water Table (A2) L----Irr Marl Deposits (615) (LRR U) II Drainage Patterns (610) Q Saturation (A3) Hydrogen Sulfide Odor (Cl) II Moss Trim Lines (616) Q Water Marks (61) 1I__I 1'Z Oxidized Rhizospheres along Living Roots (C3) Dry -Season Water Table (C2) Sediment Deposits (132) 1'Z Presence of Reduced Iron (C4) Crayfish Burrows (C8) Drift Deposits (133) I�-1r Recent Iron Reduction in Tilled Soils (C6) Saturation Visible on Aerial Imagery (C9) Q Algal Mat or Crust (64) LJ Thin Muck Surface (C7) Geomorphic Position (D2) Q Iron Deposits (135) Other (Explain in Remarks) Shallow Aquitard (D3) a Inundation Visible on Aerial Imagery (67) ❑ FAC -Neutral Test (D5) a Water -Stained Leaves (69) Sphagnum moss (D8) (LRR T, U) 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: US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0 VEGETATION (Four Strata) — Use scientific names of plants. Sampling Point: DP2 = Total Cover 50% of total cover: 20% of total cover: Woody Vine Stratum (Plot size: ) 1. 2. 3. 4. 5 Hydrophytic = Total Cover Vegetation 50% of total cover: 20% of total cover: Present? Yes No Remarks: (If observed, list morphological adaptations below) US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0 Absolute Dominant Indicator Dominance Test worksheet: Tree Stratum (Plot size: ) 1 Pinus taeda ° Cover Species? Status 40 Number of Dominant Species That Are OBL, FACW, or FAC: (A) 2 Liquidambar styraciflua 20 Total Number of Dominant 3. Species Across All Strata: (B) 4. Percent of Dominant Species 5. That Are OBL, FACW, or FAC: (A/B) 6. 7. Prevalence Index worksheet: 8. = Total Cover Total % Cover of: Multiply by: OBL species x 1 = 50% of total cover: 20% of total cover: FACW species x 2 = Saplina/Shrub Stratum (Plot size: ) 1 FAC species x 3 = FACU species x4= UPL species x 5 = Column Totals: (A) (B) 2 3. 4• Prevalence Index = B/A = 5. Hydrophytic Vegetation Indicators: 6. ❑ 1 - Rapid Test for Hydrophytic Vegetation 7. II 2 - Dominance Test is >50% 8. 3 -Prevalence Index is 53.0' = Total Cover Problematic Hydrophytic Vegetation' (Explain) 50% of total cover: 20% of total cover: Herb Stratum (Plot size: ) 'Indicators of hydric soil and wetland hydrology must 1. be present, unless disturbed or problematic. 2. Definitions of Four Vegetation Strata: 3. Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or 4. more in diameter at breast height (DBH), regardless of 5 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 6. 7 8• g, of size, and woody plants less than 3.28 ft tall. 10. Woody vine — All woody vines greater than 3.28 ft in 11. height. 12. = Total Cover 50% of total cover: 20% of total cover: Woody Vine Stratum (Plot size: ) 1. 2. 3. 4. 5 Hydrophytic = Total Cover Vegetation 50% of total cover: 20% of total cover: Present? Yes No Remarks: (If observed, list morphological adaptations below) US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0 SOIL Sampling Point: Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.) Depth Matrix (inches) Color (moist) % Redox Features Color (moist) % Tvoe Loc Texture Remarks 'Type: C=Concentration, D=De letion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix. Indicators for Problematic Hydric Soils': Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.) ❑ 1 Muck (A9) (LRR O) 0 Histosol (Al) Polyvalue Below Surface (S8) (LRR S, T, U) cm HHistic Epipedon (A2) Thin Dark Surface (S9) (LRR S, T, U) Loamy Mucky Mineral (F1) (LRR O) 2 cm Muck (A10) (LRR S) -I Reduced Vertic (F18) (outside MCRA 150A,B) Black Histic (A3) Loamy Gleyed Matrix (F2) T -I Piedmont Floodplain Soils (F19) (LRR P, S, T) ❑ Hydrogen Sulfide (A4) f Stratified Layers (A5) Depleted Matrix (F3) Tu LJ Anomalous Bright Loamy Soils (F20) 153B) nu Organic Bodies (A6) (LRR P, T, U) Redox Dark Surface (F6) (MLRA Red Parent Material (TF2) H5 cm Mucky Mineral (A7) (LRR P, T, U) Depleted Dark Surface (F7) Depressions (F8) T❑ -I u Very Shallow Dark Surface (TF1 2) Muck Presence (A8) (LRR U) Redox F1 Marl (F10) (LRR U) D Other (Explain in Remarks) D 1 cm Muck (A9) (LRR P, T) ❑ Depleted Below Dark Surface (All 1) ❑ Depleted Ochric (F11) (MLRA 151) D Iron -Manganese Masses (F12) (LRR O, P, T) 'Indicators of hydrophytic vegetation and Thick Dark Surface (Al2) Coast Prairie Redox (A16) (MCRA 150A) ❑ Umbric Surface (F13) (CRR P, T, U) Y 9Y must be Present, wetland hydrology Sandy Mucky Mineral (S1) (LRR O, S) ❑ Delta Ochric (1717) (MLRA 151) unless disturbed or problematic. D Sandy Gleyed Matrix (S4) ❑ Reduced Vertic (F18) (MLRA 150A, 1506) Sandy Redox (S5) Stripped Matrix (S6) Piedmont Floodplain Soils (F19) (MLRA 149A) Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D) 0 Dark Surface (S7) (LRR P, S, T, U) Restrictive Layer (if observed): Type: Depth (inches): Hydric Soil Present? Yes No Remarks: Atlantic and Gulf Coastal Plain Region — Version 2.0 US Army Corps of Engineers SITE PHOTOGRAPHS S&ME Project No. 7435-17-012 Line 204 - Gum Branch Road Project Taken by: W. Cole Date Taken: 4/10/2017 T Jacksonville, Onslow County, North Carolina 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 1 b. Specify Nationwide Permit (NWP) number: 18 or General Permit (GP) number: 4092 1c. Has the NWP or GP number been verified by the Corps? ❑ Yes ® No 1 d. 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: Line 204 — Gum Branch Road Project 2b. County: Onslow 2c. Nearest municipality / town: Jacksonville 2d. Subdivision name: 2e. NCDOT only, T.I.P. or state project no: 3. Owner Information 3a. Name(s) on Recorded Deed: Easement: Piedmont Natural Gas / Parcel: Carolina Power & Light (Duke Energy) 3b. Deed Book and Page No. 408,575 3c. Responsible Party (for LLC if applicable): 3d. Street address: PO Box 1551 3e. City, state, zip: Raleigh, NC 27602 3f. Telephone no.: 3g. Fax no.: 3h. Email address: 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: utility Company 4b. Name: Sanu Odugbesan 4c. Business name Piedmont Natural Gas (Duke Energy) 5c. Street address: 5d. City, state, zip: 5e. Telephone no.: 5f. Fax no.: 5g. Email address: 9751 Southern Pine Blvd. Charlotte, NC 28273 704-523-4726 jlawler@smeinc.com Page 2 of 12 eet address: 4720 Piedmont Row Drive y, state, zip: Charlotte, NC 28210lephone E no.: 704.731.4246x no.: 4h. Email address: Sanu.Odugbesan@piedmontng.com 5. Agent/Consultant Information (if applicable) 5a. Name: Joseph Lawler 5b. Business name S&ME, Inc. 5c. Street address: 5d. City, state, zip: 5e. Telephone no.: 5f. Fax no.: 5g. Email address: 9751 Southern Pine Blvd. Charlotte, NC 28273 704-523-4726 jlawler@smeinc.com Page 2 of 12 B. Project Information and Prior Project History 1. Property Identification 1a. Property identification no. (tax PIN or parcel ID): 436811672221 Latitude: Longitude 1b. Site coordinates (in decimal degrees): 34.804430 (DD.DDDDDD) -77.443181 (-DD.DDDDDD) 1 c. Property size: 0.83 acres 2. Surface Waters 2a. Name of nearest body of water (stream, river, etc.) to UT to New River proposed project: 2b. Water Quality Classification of nearest receiving water: C; NSW 2c. River basin: map is available at 03020302 — New River hftp://h2o.enr.state.nc.us/admin/maps/ 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: Topography in the area is generally flat, but slopes very gradually to the east and an off-site stream. The northern portion transmission easement and an aboveground mainline valve. of the project area contains the existing Line 204 natural gas The remainder of the project area is vegetated with approximately 8-10 year-old trees — primarily loblolly pine (Pinus taeda) and sweetgum (Liquidambarstyraciflua). Utility substations and overhead powerlines are located near the site. The larger vicinity consists of a mixture of open land, forested areas, residential and commercial development. 3b. List the total estimated acreage of all existing wetlands on the property: 0.097 3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: No streams are located on-site 3d. Explain the purpose of the proposed project: To construct a launcher and receiver station and access road. See cover letter for additional details. 3e. Describe the overall project in detail, including the type of equipment to be used: A gravel access road will be constructed over a portion of Wetland A located within PNG's existing Line 204 easement. culverted such that the normal flow and circulation patterns of the wetland The road will be 20 feet wide and appropriately are not otherwise inhibited. The station site will consist of a gravel pad and some above ground piping that will serve to insert and retrieve the ILID device. The gravel pad was sized to safely accommodate the vehicular access and during ILID operations, and to avoid a 50 -foot stream buffer associated with an off- equipment staging that is necessary site tributary. A chain link fence will be constructed around the pad. Industry -standard construction equipment will be used. Page 3 of 12 PCN Form —Version 1.3 December 10, 2008 Version 4. Jurisdictional Determinations 4a. Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property ❑ Yes ❑ No ® Unknown / project (including all prior phases) in the past? Comments: 4b. If the Corps made the jurisdictional determination, what type ❑ Preliminary ❑ Final of determination was made? 4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: Name (if known): Other: 4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. Request for Pre -JD is submitted as part of this application. 5. Project History 5a. Have permits or certifications been requested or obtained ❑Yes ❑ No ® Unknown for this project (including all prior phases) in the past? 5b. If yes, explain in detail according to "help file" instructions. N/A 6. Future Project Plans 6a. Is this a phased project? El Yes ®No 6b. If yes, explain. N/A Page 4 of 12 C. Proposed Impacts Inventory 1. Impacts Summary la. 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 Type of jurisdiction impact number Type of impact Type of wetland Forested (Corps - 404, 10 Area of — Permanent (if known) DWQ — non -404, other) impact (P) or (acres) Temporary T W1 ®P ❑ T Fill in WA PEM ®Nos ® pWQ 0.007 W2 ®P ❑ T Temporary Disturbance in WA PEM ® Yes ❑ No ® Corps ® DWQ 0.017 W3 ®P [--] T Fill in forested portion of WB PFO ® Yes ❑ No ® Corps ® DWQ 0.046 Temporary Disturbance W4 ® P [:IT in emergent portion of PEM ® Nos ® pWQ 0.027 WB El Yes EJ Corps W5 ❑ P ❑ T ❑ No ❑ DWQ ElYes ❑ Corps W6 ❑ P ❑T ❑ No ❑ DWQ 2g. Total wetland impacts 0.097 2h. Comments: 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) intermittent DWQ — non -404, width (linear or Temporary (INT)? other) (feet) feet) M S1 ElP [-IT ❑ PER ❑Corps ❑ INT ❑ DWQ ❑ PER ❑ Corps S2 ❑ P ❑ T ❑ INT ❑ DWQ S3 ❑ P ❑ T ❑ PER ❑ INT ❑ Corps ❑ DWQ ❑ PER ❑ Corps S4 ❑ P ❑ T ❑ INT ❑ DWQ ❑ PER ❑ Corps S5 ❑ P ❑ T ❑ INT ❑ DWQ ❑ PER ❑ Corps S6 ❑ P ❑ T ❑ INT ❑ DWQ 3h. Total stream and tributary impacts 3i. Comments: No stream impacts will occur as a result of this project. Page 5 of 12 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 (if applicable) Type of impact Waterbody type Area of impact (acres) number — Permanent (P) or Temporary 01 ❑P❑ T 02 ❑P❑ T 03 ❑P❑ T 04 E ❑ T 0. Total open water impacts 4g. Comments: To impacts to open waters will not occur as a result of this project. 5. Pond or Lake Construction If Pond or lake construction proposed, then complete the chart below. 5a. 5b. 5c. 5d. 5e. Wetland Impacts (acres) Stream Impacts (feet) Upland Pond ID Proposed use or purpose of (acres) Flooded Filled Excavated Flooded Filled Excavated Flooded number pond P1 P2 5f. Total 5g. Comments: No impacts to ponds or lakes are anticipated as a result of this project. 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 12 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 El Other: 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 for Stream name mitigation (square feet) (square feet) (P) or impact required? Temporary B1 ❑ P ❑ ❑ Yes T ❑ No B2 ❑ P ❑ ❑ Yes T ❑ No B3 ❑ P ❑ ❑ Yes T ❑ No 6h. Total buffer impacts 6i. Comments: Riparian buffers will not be impacted. Page 7 of 12 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 new station site was designed to disturb the minimum amount of area considered necessary to safely accommodate the new station and all of the support equipment that will be required during the ILID events. A proposed flaring site (a gas -venting operation required prior to the ILID event) was originally planned for a 100 -foot x 100 -foot area adjacent to the current project area. The proposed flare site would have resulted in additional wetland impacts, but was eliminated. Impacts have been minimized by PNG's use of an existing easement and a formerly disturbed area, limiting impacts to forested wetlands, and by use of appropriate sediment and erosion control measures during construction. b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. Impacts will be minimized by clear demarcation of construction limits, a pre -construction meeting, and use of appropriate sediment and erosion control measures during construction. Following construction, temporarily disturbed wetlands within the existing easement will be restored to their original grade and contour and seeded with a native wetland seed mix. 2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State 2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State? ❑ Yes ® No 2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps 2c. If yes, which mitigation option will be used for this project? ❑ Mitigation bank El Payment to in -lieu fee program ❑ Permittee Responsible Mitigation 3. Complete if Using a Mitigation Bank 3a. Name of Mitigation Bank: N/A 3b. Credits Purchased (attach receipt and letter) Type Quantity 3c. Comments: N/A 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: N/A Page 8 of 12 PCN Form — Version 1.3 December 10, 2008 Version 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. N/A 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? If yes, you will have to fill out this entire form — please contact the State for more information. ❑ 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: N/A Page 9of12 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. ❑ Yes ® No Comments: Project does not encroach upon protected riparian buffers 2. Stormwater Management Plan o 2a. What is the overall percent imperviousness of this project? N/A % 2b. Does this project require a Stormwater Management Plan? ❑ Yes ❑ No 2c. If this project DOES NOT require a Stormwater Management Plan, explain why: N/A 2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan: N/A ❑ Certified Local Government 2e. Who will be responsible for the review of the Stormwater Management Plan? 0 DWQ 401DWQ Stormwater Program 3. Certified Local Government Stormwater Review 3a. In which local government's jurisdiction is this project? ❑ Phase II E] NSW 3b. Which of the following locally -implemented stormwater management programs USMP apply (check all that apply): ❑ VVater 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 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 10 of 12 PCN Form —Version 1.3 December 10, 2008 Version 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)? 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 ❑Yes [-INo letter.) Comments: 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): N/A 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. N/A 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. N/A Page 11 of 12 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? See attached letter from the USFWS 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? http://www. habitat. noaa.gov/protection/efh/efhmapper/ 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? hftp://www.hpo.ncdcr.gov/ 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: N/A 8c. What source(s) did you use to make the floodplain determination? Nap No. 3720436800J, Panel 4368 Joey Lawler ` 12.21.2017 Applicant/Agent's Printed Name Date Applican gent Signature ' (Agent's signature is valid only orization letter from the applicant isprovided.) Page 12 of 12 AGENT AUTHORIZATION FORM Date: Pro ect Information S&ME Project Name: Line 204 / 243 Sites Type of Project: Natural Gas Pipeline ILI Project Location: Multiple Eastern NC Counties Property owner/Rep Information Business Name: Piedmont Natural Gas (PNG) Mailing Address: 4720 Piedmont Row Drive City, State, Zip Code. Charlotte, NC 28210 Telephone No. "7D4 —73 i BZW o Contact: Sanu Odugbesan, Project4Pgiw w-ftAr Aaent Information Business Name: S&ME, Inc. Street Address: 9751 Southern Pine Blvd City, State, Zip: Charlotte, NC 28273 Telephone No. 704.523.4726 Contact: Joey Lawler, PWS Authorization:��~mon behalf of PNG, hereby authorize S&ME, Inc. to submit information to the US Army Corps of Engineers (USACE) and/or the NC Division of Water Resources (DWR), pursuant to obtaining necessary environmental permits for the project referenced above. If applicable, this also authorizes the USACE/DWR to access the project area (PNG easement) with prior notification for the purposes of conducting site assessment/confirming the accuracy of the define paries. Signature: 5&ME, INC / 9752 Southern Pine Blvd / p 704.523.4726 /704 525.3953 / wwwsmeinc.com r WETLAND PERMANENT IMPACT AREA - 2,311 SF/0.053 AC WETLAND TEMPORARY IMPACT AREA - 1,912 SF/0.044 AC EYP OHA OHP � OHP `0HP_�C PROPOSED CULVERT O rt • y 46, h / O / 4' CHAINLINK FENCE / / / NO / �I WETLAND "A" (89' p0g041c 130 8) / PROPOSED UTILITY STATION SITE % EASEMENT AREA PIN:436811672221 CAROLINA POWER & LIGHT CO D.B. 2768 PG. 814 D.B. 408 PG. 575 P.B. 61 PG. 2 ----------- EASEMENT LEGEND a COMPUTED POINT A REBAR FOUND SUBJECT BOUNDARY LINE (SURVEYED) LENGTH SUBJECT BOUNDARY LINE (NOT SURVEYED) N37'1 8'56"E ADJOINER BOUNDARY LINE (SURVEYED) L2 - ADJOINER BOUNDARY LINE (NOT SURVEYED) DB DEED BOOK -G-G- GAS LINE PB PLAT BOOK -OHU-OHU- OVERHEAD UTILITIES PG PAGE -SD-SD- STORM DRAIN LINE R/WRIGHT-OF-WAY TREE LINE E/P EDGE OF PAVEMEN -O-O CHAIN LINK C&GCURB AND GUTTER OHP v OHP.. �ONP W N WETLAND "B" LINE TABLE LINE BEARING LENGTH L1 N37'1 8'56"E 5.97' L2 N46°38'33"E 7.08' L3 N64°55'18"W 20.26- L4 S58°52'52"W 10.50- L5 S46'1 1'45"W 4.01' L6 N64°46'01"W 16.84' L7 N46°38'33"E 19.35' L8 N64°30'46"W 25.08' L9 S58°52'52"W 21.45' L10 N46°38'33"E 13.48' L11 S82°20'22"E 27.30' L12 S09°54'13"E 5.46' L13 S52°01'30"W 13.46' WETLAND "B" �OHA� OHA` \OF/A\ �\ A `\clyp O/YP 2 ONP'A \� OHp 0 Ix a \ 9y y4m ryA \ �A \\ yQAA\ G q A \ A \ \< \� /7,9 \\\B PROPOSED UTILITY �^� 0 0x0 STATION SITE `J _\EASEMENT AREA E 10T 02 �Z�EI 3/4" REBAR FOUND r N�6^18'43, N: 387,426.97 E: 2,467,469.38 NAD83 (NSRS2011) X28 ERAL TES FY THAT A SURVEY WAS MADE UNDER MY 1. PIPE BY OPEN CUTS. TION T,HROUGHOJUR JURISDICTION BOUNDARY \`\\\\`-\`, 1 CARO /'/// SUPERVISION AI HEREBY IND THAT THE WETLANDS SHOWN HEREON �\ O� ......... ,�/ REFLECTS THE DELINEATION EVIDENCE PROVIDED BY S&ME ` • •�OFES/ON. •!%/� i ENVIRONMENTAL RVICES ON "11017. Q SEAL` L-4464 - JE ERY S. TH LA464 t��• ! SFr LINE TABLE LINE BEARING LENGTH L14 S58°52'52"W 5.31' L15 N31°01'43"E 21.92' L16 N29°23'24"W 18.05' L17 N56°25'43"W 27.63' L18 N31°09'11"E 13.57' L19 S67°13'11"E 21.13' L20 S60°41'00"E 26.66' L21 S20°43'14"W 48.92' L22 N64°46'01"W 13.11' L23 S20°43'14"W 4.48' L24 S02°09'17"W 43.92' L25 S10°48'17"E 6.35' L26 S10°48'17"E 18.09' �OHA� OHA` \OF/A\ �\ A `\clyp O/YP 2 ONP'A \� OHp 0 Ix a \ 9y y4m ryA \ �A \\ yQAA\ G q A \ A \ \< \� /7,9 \\\B PROPOSED UTILITY �^� 0 0x0 STATION SITE `J _\EASEMENT AREA E 10T 02 �Z�EI 3/4" REBAR FOUND r N�6^18'43, N: 387,426.97 E: 2,467,469.38 NAD83 (NSRS2011) X28 ERAL TES FY THAT A SURVEY WAS MADE UNDER MY 1. PIPE BY OPEN CUTS. TION T,HROUGHOJUR JURISDICTION BOUNDARY \`\\\\`-\`, 1 CARO /'/// SUPERVISION AI HEREBY IND THAT THE WETLANDS SHOWN HEREON �\ O� ......... ,�/ REFLECTS THE DELINEATION EVIDENCE PROVIDED BY S&ME ` • •�OFES/ON. •!%/� i ENVIRONMENTAL RVICES ON "11017. Q SEAL` L-4464 - JE ERY S. TH LA464 t��• ! SFr y�P SITE VICINITY MAP (NOT TO \ \ NC GRID NAD 83(2011) �A RBF " RBF \\0 SU42\/EEEYING :3. CONSULTIMS REGIONAL LAND SURVEYORS, INC. 8642 WEST MARKET STREET, SUITE 100 GREENSBORO, NORTH CAROLINA 27409 NC FIRM LICENSE NO. C-1362 PIN: 436802775432 EX. PNG EASEMENT D.B. 2614 PG. 758 DRAWN BY: JSS REVISIONS DATE: 10111 /17 12/14/17 JOB N5101613.06 PERMANENT IMPACT TEMPORARY IMPACT W J y WETLAND AREA [6111 Piedmont Natural Gas JURISDICTIONAL BOUNDARIES OF LINE 204 GUM BRANCH RD L/R JACKSONVILLE, NORTH CAROLINA IR# 2651465 SHEET 01 OF 2651465 SHEET 01 OF 01 LINE TABLE LINE BEARING LENGTH L27 S10°34'47"E 6.35' L28 376°18'43"W 8.21' L29 S25`13'59"W 17.27' L31 N12°59'13"W 23.41' L32 NO3°20'31"W 22.18' L33 N46°47'39"W 12.65' L34 N46°47'39"W 12.48' L35 N44"22'48"E 22.58' L36 N25°04'16"E 21.35' L37 N31 °01'43"E 3.48' y�P SITE VICINITY MAP (NOT TO \ \ NC GRID NAD 83(2011) �A RBF " RBF \\0 SU42\/EEEYING :3. CONSULTIMS REGIONAL LAND SURVEYORS, INC. 8642 WEST MARKET STREET, SUITE 100 GREENSBORO, NORTH CAROLINA 27409 NC FIRM LICENSE NO. C-1362 PIN: 436802775432 EX. PNG EASEMENT D.B. 2614 PG. 758 DRAWN BY: JSS REVISIONS DATE: 10111 /17 12/14/17 JOB N5101613.06 PERMANENT IMPACT TEMPORARY IMPACT W J y WETLAND AREA [6111 Piedmont Natural Gas JURISDICTIONAL BOUNDARIES OF LINE 204 GUM BRANCH RD L/R JACKSONVILLE, NORTH CAROLINA IR# 2651465 SHEET 01 OF 2651465 SHEET 01 OF 01 olyp olyp OHP \OHP A \\ \ \ P oyp 44. i /4 45.0 T, / S %, \ ` / I� / , r 1 ► \\�`\ \, S / / \�°\, \o\off\ wAab�, LEGEND PROPOSED PIPE ABOVE GROUND _ PROPOSED PIPE BELOW GROUND PROPOSED EQUIPMENT PROPOSED TEMPORARY PIPE EXISTING PIPE PROPOSED PIPE TO BE ABANDONED \° — _ 10 2m — \ a ) k \ � NOTES: I i \ •ry / / �� 1. ANY CHANGES REQUIRED DUE TO FIELD CONDITIONS MUST BE ED BY THE ENGINEERING DEPARTMENT. 2. �� RELEVANT DIMENSIONS ARE TO BE FIELD 3. MATERIAL QUANTITIES ARE FINISHED QUANTITIES, MATERIAL FOR TESTING NOT INCLUDED. 4. TRANS[T10N FITTING SHALL BE MACHINED TO MATCH DOSTTNG PIPE PER PNG SPECIFICATION +'9.4 i / % \ 5. NIGHT CMS TO BE USED ON ALL SECTIONS THAT ARE NOT TOED M. 8. IN AREAS OF SOLID ROCK, PAD DIRT SHALL BE USED FOR BACK FILL TO 1C ABOVE PIPE. 7. PIPE TO BE WRAPPED WITH FRP WHERE IN CONTACT WITH CONCRETE. 8. PIPE AND ASSEMBLY NOT TO BE COME IN DIRECT CONTACT WITH CONCRETE 9. ALL UNDERGROUND PIPING SHALL BE COATED NCMSfr 5wpy Sen4as, Inc NC EnpYwYq Lions F-0828 NA INDICATES ELECTRICAL INSULATOR 11712 SWbWk RQ Kffftwk NC 28078 PROPRIETARY 8 CONFIDWK ALL RIGHTS RESERVED • DO NOT SCALE THIS DRAWINGUSE DIMENSIONS ONLY PIEDMONT 5 NATURAL GAS FACILITY DRAWINGS ARE CONSIDERED CONFIDENTIAL (OM -10q • DRAWING IS CURRENT ONLY THROUGH THE LATEST REVISED DATE' TO INSURE THERE IS NO RISK OF KVPROPRUITE DISCLOSER ALL PREVIOUS PAPER COPIES OF THIS DRAWING MUST BE DESTROYED IN ACCORDANCE WITH RECORDS 8 INFO. MANAGBOU (RIM) POLICY 1001 REF. DWG(S) s N0. DATE en CIK AMOLAON owewrtgM APMWALS SHEET(S) B OF 10 DING SCALE 11-17 °^' --'-^� LINE 204 MLV 19 Y A 61!1017 ISSUE FOR REVIEW MH JM RIP ODE 1863 WA WA DWG DATE 8112/[017 SUPERSEDED A B 1V10mv ISSUE FOR 90% REVIEW MH JM RP N`TNUMBER, - , Piedmont PROPOSED OVERVIEW T NUMBER 2e6u66 Moa TECH ' Natural Gas DRAwNq M ABEII 10M OBr MH "* WA"E`AS1D ,,,,, NEW BERN, NORTH CAROLINA PNG -M-204-0001045B oo�. awD�ass saaR Aow qIM ONILBABWd1STMP I XXX XXIXXr2= )00c MCMme Roam CwW Now Bonk NoT CemBns DNCKMIESOURCE CENTER/ UNIE 61 Al Pt�ENT OF r"F United States Department of the Interior FISH AND WILDLIFE SERVICE Raleigh ES Field Office Post Office Box 33726 A`Pc" 3 ,s Raleigh, North Carolina 27636-3726 November 30, 2017 Joey Lawler S&ME, Inc. 9751 Southern Pine Blvd Charlotte, NC 28273 Re: PNG Gum Branch Road Launcher -Receiver Site -- Onslow County, NC Dear Mr. Lawler: This letter is to inform you that the Service has established an on-line project planning and consultation process which assists developers and consultants in determining whether a federally -listed species or designated critical habitat may be affected by a proposed project. For future projects, please visit the Raleigh Field Office's project planning website at httt)s://www.fws.jzovfraleijzh/pp.html. If you are only searching for a list of species that may be present in the project's Action Area, then you may use the Service's information, Planning, and Consultation System (IPaC) website to determine if any listed, proposed, or candidate species may be present in the Action Area and generate a species list. The IPaC website may be viewed at https://ecos.fws.g_ov/ipac/. The IPaC web site contains a complete and frequently updated list of all endangered and threatened species protected by the provisions of the Endangered Species Act of 1973, as amended (16 U.S.C. 1531 et seq.)(Act), a list of federal species of concern' that are known to occur in each county in North Carolina, and other resources. Section 7 of the Act requires that all federal agencies (or their designated non-federal representative), in consultation with the Service, insure that any action federally authorized, funded, or carried out by such agencies is not likely to jeopardize the continued existence of any federally -listed endangered or threatened species. A biological assessment or evaluation may be prepared to fulfill that requirement and in determining whether additional consultation with the Service is necessary. In addition to the federally -protected species list, information on the species' life histories and habitats and information on completing a biological assessment or evaluation and can be found on our web page at http://www.fws.gov/raleigh. Please check the web site often for updated information or changes. I The term "federal species of concern" refers to those species which the Service believes might be in need of concentrated conservation actions. Federal species of concern receive no legal protection and their designation does not necessarily imply that the species will eventually be proposed for listing as a federally endangered or threatened species. However, we recommend that all practicable measures be taken to avoid or minimize adverse impacts to federal species of concern. „• If your project contains suitable habitat for any of the federally -listed species known to be present within the county where your project occurs, the proposed action has the potential to adversely affect those species. As such, we recommend that surveys be conducted to determine the species' presence or absence within the project area. The use of North Carolina Natural Heritage program data should not be substituted for actual field surveys. If you determine that the proposed action may affect (i.e., likely to adversely affect or not likely to adversely affect) a federally -protected species, you should notify this office with your determination, the results of your surveys, survey methodologies, and an analysis of the effects of the action on listed species, including consideration of direct, indirect, and cumulative effects, before conducting any activities that might affect the species. If you determine that the proposed action will have no effect (i.e., no beneficial or adverse, direct or indirect effect) on federally listed species, then you are not required to contact our office for concurrence (unless an Environmental Impact Statement is prepared). However, you should maintain a complete record of the assessment, including steps leading to your determination of effect, the qualified personnel conducting the assessment, habitat conditions, site photographs, and any other related articles. With regard to the above -referenced project, we offer the following remarks. Our comments are submitted pursuant to, and in accordance with, provisions of the Endangered Species Act. Based on the information provided and other information available, it appears that the proposed action is not likely to adversely affect any federally -listed endangered or threatened species, their formally designated critical habitat, or species currently proposed for listing under the Act at these sites. We believe that the requirements of section 7(a)(2) of the Act have been satisfied for your project. Please remember that obligations under section 7 consultation must be reconsidered if: (1) new information reveals impacts of this identified action that may affect listed species or critical habitat in a manner not previously considered; (2) this action is subsequently modified in a manner that was not considered in this review; or, (3) a new species is listed or critical habitat determined that may be affected by the identified action. However, the Service is concerned about the potential impacts.the proposed action might have on aquatic species. Aquatic resources are highly susceptible to sedimentation. Therefore, we recommend that all practicable measures be taken to avoid adverse impacts to aquatic species, including implementing directional boring methods and stringent sediment and erosion control measures. An erosion and sedimentation control plan should be submitted to and approved by the North Carolina Division of Land Resources, Land Quality Section prior to construction. Erosion and sedimentation controls should be installed and maintained between the construction site and any nearby down -gradient surface waters. In addition, we recommend maintaining natural, vegetated buffers on all streams and creeks adjacent to the project site. The North Carolina Wildlife Resources Commission has developed a Guidance Memorandum (a copy can be found on our website at (http://www.fws.gov/raleigh) to address and mitigate secondary and cumulative impacts to aquatic and terrestrial wildlife resources and water quality. We recommend that you consider this document in the development of your projects and in completing an initiation package for consultation (if necessary). 2 a We hope you find our web page useful and informative and that following the process described above will reduce the time required, and eliminate the need, for general correspondence for species' lists. If you have any questions or comments, please contact John Ellis of this office at (919) 856-4520 ext. 26. Sincerely, Peteenjamin Field Supervisor 3 ti North Carolina Department of Natural and Cultural Resources Natural Heritage Program Governor Roy Cooper October 17, 2017 Ashley Bentz S&ME, Inc. 3201 Spring Forest Road Raleigh, NC 27616 RE: Gum Branch Dear Ashley Bentz: Secretary Susi H. Hamilton NCNHDE-4493 The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide information about natural heritage resources for the project referenced above. A query of the NCNHP database, based on the project area mapped with your request, indicates that there are no records for rare species, important natural communities, natural areas, or conservation/managed areas within the proposed project boundary. Please note that although there may be no documentation of natural heritage elements within the project boundary, it does not imply or confirm their absence; the area may not have been surveyed. The results of this query should not be substituted for field surveys where suitable habitat exists. In the event that rare species are found within the project area, please contact the NCNHP so that we may update our records. The attached 'Potential Occurrences' table summarizes rare species and natural communities that have been documented within a one -mile radius of the property boundary. The proximity of these records suggests that these natural heritage elements may potentially be present in the project area if suitable habitat exists and is included for reference. Tables of natural areas and conservation/managed area within a one -mile radius of the project area, if any, are also included in this report. Please note that natural heritage element data are maintained for the purposes of conservation planning, project review, and scientific research, and are not intended for use as the primary criteria for regulatory decisions. Information provided by the NCNHP database may not be published without prior written notification to the NCNHP, and the NCNHP must be credited as an information source in these publications. Maps of NCNHP data may not be redistributed without permission. The NC Natural Heritage Program may follow this letter with additional correspondence if a Dedicated Nature Preserve (DNP), Registered Heritage Area (RHA), Clean Water Management Trust Fund (CWMTF) easement, or Federally -listed species are documented near the project area. If you have questions regarding the information provided in this letter or need additional assistance, please contact Rodney A. Butler at rodney.butler ncdcr.gov or 919.707.8603. Sincerely, NC Natural Heritage Program MAILING ADDRESS: Telephone: (919) 707-8107 LOCATION: 1651 Mail Service Center www.ncnhp.org 121 West Jones Street Raleigh, NC 27699-1651 Raleigh, NC 276D3 I Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One -mile Radius of the Project Area Gum Branch October 17, 2017 NCNHDE-4493 No Element Occurrences are Documented Within a One -mile Radius of the Project Area Natural Areas Documented Within a One -mile Radius of the Project Area Site Name Representational Rating Collective Rating New River Swamps and Marshes R2 (Very High) C5 (General) No Managed Areas are Documented Within a One -mile Radius of the Project Area Definitions and an explanation of status designations and codes can be found at https://ncnhde,natureserve.ora/content/helo. Data query generated on October 17, 2017; source: NCNHP, Q3 July 2017. Please resubmit your information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database. Page 2 of 3 NCNHDE-4493: Gum Branch NV' W+E s October 17, 2017 Project Boundary Buffered Project Boundary EJ NHP Natural Area (NHNA) 13ft Wna p A Sae Q` s - r Okandar p, s �^ e em c o ��F 4Gn o�L ArAt'•Y f). Page 3 of 3 1:20,787 0 0.175 0.35 0.7 mi 0 0.275 0.55 1.1 km Sources. Esn. HERE, DeLwme, Intermap. m ment P Corp., GEBCO, USGS, FAO. NPS. NRCAN. GeoBase. IGN. Kadester NL. Ordnance Survey. Een Japan, METI. Esri China (Hong Kong). svesstopa. Mapmytndia. 9 OpenStreetMap contributors. and the GIS User Community . .bw RESTORATION PLAN PNG Line 204 Gum Branch Road Site Jacksonville, North Carolina The proposed project has been planned to avoid and minimize jurisdictional impacts where practicable. As part of mitigation for unavoidable impacts, the following plan is proposed for implementation to restore temporarily -affected wetland areas. This plan entails restoration of temporarily -disturbed wetland areas to their original contours and conditions to the degree practicable upon project completion. Further, it specifies that these areas will be permanently stabilized with a native vegetated cover. The measures outlined below will be reviewed with the project contractor prior to the plan's implementation. Proposed restoration activities include removal of any temporarily -placed fill material/equipment mats and restoration of wetland areas to their original, pre -disturbance contours. The native seed mix below will be used in combination with a relatively rapid -germinating cover species. Table 1: Wetland Seed Mix Species • Combination seed mix to be applied to all disturbed streambanks, extending five feet landward following construction. • Recommended application rate: 10-12 lbs. riparian seed mix plus 10-12 pounds of companion species/acre. To provide relatively rapid establishment of cover, 50 percent of the total seed mix shall consist of perennial rye (Lolium perenne) and/or German (foxtail) millet (Setaria italica) as companion species. Either of these species will germinate and grow quickly, but will not interfere with development of the riparian seed mix species. Seed and planting materials must be from local region suppliers. Listed below are local supplier of native seed and plant material. S&ME does not endorse this specific supplier; they are listed only for informational purposes. Other local suppliers may be available and suitable. Mellow Wetlands Farm 1312 Woody Store Road Siler City, N.C. 27344 919.742.1200 919.742.1280 fax www.mellowwetlandsfarm.com eidens aristosa Showy tickseed sunflower 7 Carex vulpinoidea Fox sedge 12 Dichanthelium clandestinum Deer tongue 8 Elymus riparius Riverbank wildrye 20 Jun us effusus, NC Ecotype Soft rush 4 Panicum dichotomiflorum Smooth panicgrass 14 Panicum rigidulum Redtop panicgrass 8 Panicum virgatum Switchgrass 23 Polygonum pensylvanicum Pennsylvania smartweed 2 Sparganium americanum Eastern bur reed 2 • Combination seed mix to be applied to all disturbed streambanks, extending five feet landward following construction. • Recommended application rate: 10-12 lbs. riparian seed mix plus 10-12 pounds of companion species/acre. To provide relatively rapid establishment of cover, 50 percent of the total seed mix shall consist of perennial rye (Lolium perenne) and/or German (foxtail) millet (Setaria italica) as companion species. Either of these species will germinate and grow quickly, but will not interfere with development of the riparian seed mix species. Seed and planting materials must be from local region suppliers. Listed below are local supplier of native seed and plant material. S&ME does not endorse this specific supplier; they are listed only for informational purposes. Other local suppliers may be available and suitable. Mellow Wetlands Farm 1312 Woody Store Road Siler City, N.C. 27344 919.742.1200 919.742.1280 fax www.mellowwetlandsfarm.com