20191521 Ver 1_PCN_COMPLETE_20191101

Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- 2019-01259 Begin Date (Date Received):
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: Atrium Health -Union West Campus
2. Work Type: ❑✓ Private ❑Institutional ❑Government ❑ Commercial
3. Project Description / Purpose [PCN Form 133d and 133e]:
Atrium Health seeks to construct a new mixed -use development consisting of a 160,000 square -foot (sf) Hospital and 60,000-sf Medical
Office Building (MOB) anchors, as well as, additional medical office buildings, retail shops, restaurants, a hotel, and multi -family
apartment homes.
4. Property Owner / Applicant [PCN Form A3 or A41: Atrium Health
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
Chris Tinklenberg, PWS (Kimley-Horn)
6. Related Action ID Number(s) [PCN Form 135b]:
7. Project Location —Coordinates, Street Address, and/or Location Description [PCN Form B lb]:
The project is located on the north side of Matthews -Indian Trail Road; approximately 0.3 miles south of the interesection of
Matthews -Indian Trail Road and Stallings Road in Union County, NC. Project Coordinates (decimal degrees): 35.0921 N,-80.6742 W
8. Project Location — Tax Parcel ID [PCN Form BIa]:0.,020,9.0),02015,0],02012D.0]102021,0]102022,0]102015,0],02013,0]102013A.0]102012.0]1020,2B4O],020,2C,0),02023A,0],02011,0]102012A
0
9. Project Location — County [PCN Form A2b]: Union
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Stallings
11. Project Information — Nearest Waterbody [PCN Form 132a]: North Fork Crooked Creek
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form 132c]: Rocky River (03040105)
Authorization: Section 10 ❑ Section 404 ❑✓
Regulatory Action Type:
❑ Standard Permit
✓ Nationwide Permit # 39
Regional General Permit #
❑ Jurisdictional Determination Request
Section 10 and 404 ❑
❑ Pre -Application Request
❑ Unauthorized Activity
❑ Compliance
❑No Permit Required
Revised 20150602

Kimley ))) Hvrn
November 1, 2019
Mr. Bryan Roden -Reynolds
Asheville Regulatory Field Office
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
Ms. Karen Higgins
NC DWR, 401 & Buffer Permitting Unit
512 North Salisbury Street
Raleigh, NC 27604
Re: Pre -Construction Notification (NWP 39)
Atrium Health - Union West Campus (SAW-2019-01259)
Matthews, Union County, NC
Dear Mr. Roden -Reynolds and Ms. Higgins:
On behalf of our client, Atrium Health, Kimley-Horn (KH) is submitting the enclosed joint Section
404/401 Pre -Construction Notification for the above -referenced project for your review pursuant to
Nationwide Permit 39 and General 401 Water Quality Certification numbers 4139. The subject
property is located on the north side of Matthews -Indian Trail Road; approximately 0.3 miles south
of the intersection of Matthew -Indian Trail Road and Stallings Road in Matthews, Union County. The
center of the project area is located at 35.094180°N,-80.675572°W. The following information is
included as part of this application submittal:
• Project Summary Sheet
• Agent Authorization
• Pre -Construction Notification Form
• Project Site Figures
■ Figure 1— Vicinity
■ Figure 2 — USGS 7.5' Topo (Charlotte West Quadrangle)
■ Figure 3 — Meck. Co. SSURGO Soils (2019 Meck. Co. Aerial)
■ Figure 4 — Proposed Conditions (2019 Meck. Co. Aerial)
• Permit Drawings — Atrium Union West
• Agency Correspondence
0 Habitat Assessment Forms

Kimley ))) Hvrn
PROJECT BACKGROUND
EM
Atrium Health seeks to construct a new mixed -use development consisting of a 160,000 square -foot
(sf) Hospital and 60,000-sf Medical Office Building (MOB) anchors, as well as, additional medical
office buildings, retail shops, restaurants, a hotel, and multi -family apartment homes. The
approximately 53-acre property is located in the northeast quadrant of the Stallings Road and
Matthews -Indian Trail Road intersection in Stallings, Union County, North Carolina. The project will
consist of mass -grading approximately 45-acres to accommodate the development, construction of
a private street, public utility extensions, and two stormwater detention facilities.
The subject property is primarily undeveloped, consisting of open fields and forested areas, as well
as one commercial property, nine residential properties, and five parcels of vacant, undeveloped
land. The current topography ranges from approximately 752 feet above mean sea level at the
northwest portion of the site to 691 feet above mean sea level at the southeast portion of the site.
Existing land use in the vicinity of the project includes commercial development and
residential/maintained properties.
A delineation of potential waters of the U.S. was conducted for the approximately 53-acre property
on November 19, 2018, by Wetlands and Environmental Planning Group (WEPG). A Preliminary
Jurisdictional Determination (PJD) request package was submitted and verified by the USACE on
August 28, 2019. The PJD was approved by Mr. Bryan Roden -Reynolds on September 11, 2019.
AGENCY CORRESPONDENCE
Cultural Resources
Kimley-Horn consulted the North Carolina State Historic Preservation Office (SHPO) HPOWEB GIS
service on October 21, 2019, and found no sites of architectural, historic, or archaeological
significance within or near the project boundary.
Protected Species
A review of the North Carolina Natural Heritage Program (NCNHP) database on October 17, 2019,
did not indicate known occurrences of threatened or endangered species within the project
boundary. Additionally, pedestrian surveys conducted by WEPG on November 19, 2018, and KH on
October 28, 2019 did not identify any occurrences of protected species within the property
boundary. (See attached Gateway Commons — T&E Evaluations). A concurrence request letter was
submitted to the USFWS on October 31, 2019. A response is pending from the date of this PCN
submittal but will be provided once it is received.
PROPOSED IMPACTS TO JURISDICTIONAL WATERS
The multi -use development will be constructed in three (3) phases; however, mass -grading for the
entirety of the site will be conducted in Phase 1. Mass -grading of the approximately 45-acre project
area will result in permanent impacts to 0.12 acres of potential wetland -waters of the U.S. (WoUS)
and 200 If of non -wetland WoUS. Existing baseflow from the impacted features will be conveyed

Kimley ))) Horn Page 3
through an underground drainage system, i.e. French -drain, in order to maintain downstream
hydrology. No additional impacts to potential WoUS are anticipated in Phases 2 and 3.
AVOIDANCE AND MINIMIZATION
The proposed project will avoid impacts to 1700-If of intermittent and perennial streams along the
eastern portion of the property. The proposed impacts are necessary and unavoidable to meet the
goals of the proposed development. Two access points are required from Matthews -Indian Trail to
service the proposed development's projected traffic needs while maintaining proper levels of
service along Matthews -Indian Trail. The location of both access points will provide essential spacing
and circulation for roughly 160,000 SF of Hospital along with the future hospital, commercial, mixed -
use, and retail development. The existing grade of Matthews -Indian Trail Road presented elevation
constraints for the proposed Matthews -Indian Trail Road access points. In order to provide a
connection to Matthews -Indian Trail Road without steep access road grades, soil must be added to
the proposed access roads and parcels south of Street A. Proposed commercial/residential
development for these parcels will require up to 20-ft of fill in some locations to achieve
development goals. Stream impacts were unavoidable for these parcels. Locations along Matthews -
Indian Trail Road, where grading demands for development would be highly impactful, were
designated as tree conservation areas to provide avoidance of additional stream impacts.
COMPENSATORY MITIGATION
Compensatory mitigation will be met by the purchase of credits through the NC Division of
Mitigation Services (NCDMS) in -lieu fee program. The proposed 200 If of stream impacts will be
mitigated through the purchase of stream mitigation credits. Based on the results of the NCSAM
assessment, the qualitative functional value of intermittent Stream B is low; therefore, mitigation is
proposed at a 1.5:1 ratio. 300 SMUs will be purchased from NCDMS for stream impacts associated
with the proposed development. 0.12-ac of wetland impacts will be mitigated through the purchase
of wetland mitigation credits. Based on the results of the NCWAM assessments, the qualitative sub -
functional values of Wetlands C, H, and F ranged from low to medium (overall Low); therefore,
mitigation is proposed at 2:1 ratios. 0.24 wetland credits will be purchased from NCDMS for
wetland impacts associated with the proposed development.
In total, 300 stream credits and 0.24 wetland credits will be purchased from NCDMS to provide
the appropriate compensatory mitigation for this project.

Kimley»>Horn
Please feel free to contact me at [phone] if you have any questions or if additional
information is necessary.
Sincerely,
KIMLEY-HORN AND ASSOCIATES, INC.
Chris Tinklenberg, PWS
Environmental Scientist
Page 4

Kimley>>> Horn
Project Summary Sheet
Project Name: Atrium Health Union West Campus
Applicant Name and Address: Atrium Health
POC: Tom Washington
9401 Arrowpoint Blvd., Office 306
Charlotte, NC 28273
Telephone Number: [phone]
Type of Request: ® Nationwide PCN (NWP # 39) ❑ Individual Permit Application
❑ Jurisdictional Determination ❑ Other:
Included Attachments: ® Project Plans ® USGS Map ® NRCS Soil Survey
® Agent Authorization ® Delineation Sketch ❑ Delineation Survey
❑ Data Forms (Up & Wet) ❑ NCDWR Stream Forms ❑ USACE Stream Forms
® NCEEP Confirmation ® Aerial Photo ® Site Photos
® Agency Correspondence ❑ Other: ❑ Other:
Check if applicable: ❑ CAMA County ❑ Trout County ❑ Isolated Waters
❑ Section 7, ESA ❑ Section 106, NHPA ❑ EFH
❑ Mitigation Proposed (❑ NC EEP ❑ On -Site ❑ Off -Site ❑ Other)
County: Union Nearest City/Town: Matthews
Waterway: North Fork Crooked Creek
H.U.C.: 03040105
Property Size (acres): 53 acres
Site Coordinates (in decimal degrees): 35.094180 °N
River Basin: Rocky
USGS Quad Name: Matthews, NC
Approx. Size of Jurisdiction on Site (acres): 0.5 ac
-80.675572 °W
Project Location: The approximately 53-acre property is located in the northeast quadrant of the Stallings Road and Matthews -
Indian Trail Road intersection in Stallings, Union County, North Carolina.
Site Description: The subject property is primarily undeveloped, consisting of open fields and forested areas, as well
as one commercial property, nine residential properties, and five parcels of vacant, undeveloped land. The current topogranhv
ranges from approximately 752 feet above mean sea level at the northwest portion of the site to 691 feet above mean sea level
at the southeast portion of the site.
Impact Summary (if applicable): 200 If of permanent stream impacts and .12-acres of permanent wetland impacts are necessary
to meet the project objectives.
NWP
#
Open Water
(acres)
Wetland
(acres)
Stream Channel
Intermittent and/or Unimportant
Aquatic Function
Perennial and/or Important
Aquatic Function
Temp.
Perm.
Temp.
Perm.If
Tem
Perm.
Tem
Perm.
ac
If
ac
if
ac
if
Ac
39
j
.12 ac
200
Total
.12 ac
200
Total Permanent (Loss) Impact to Waters of the U.S.
2001f and .12 ac
Kimley-Horn Contact: Chris Tinklenberg, PWS Direct Number. [phone]
Email: chris.tinklenberg_k imley-horn.com

AGENT AUTHORIZATION FORM
Dame: Tort? Washington, The Charlotte MecklenburK Hospital Authority
Address: 9401 Arrowpoint Blvd., Office 306, Charlotte, NC 29273
Phone: [phone]H
Project Narne/Descripunn: Atrium Union West Hospital
Date: 1€123/2019
The Department of the Army
U.S. Army Cusps of Engineers, W-1hr ingfon District
Attention: Mr. David Shaeffer
Re; Wetland Related Consulting and Permitting
Atrium Union West Hospital
To whom it may concern:
The Charlotte Mec_klenbure Hospital Authority hereby designates and authorizes Kinney -Horn
and. Associates, lnc.to act in their behalf as their agent solely for the purpose processing
Jurisdictional Determinations. Section 404 permiWSection 401 Water Quality Certifications
applicatinns, and to furnish upon request supplemental iinformation in support of applications, etc.,
from this day forward until sumessful completion of the permitting process or revocation by The
Charlotte Mecklenburg Hospital Authority. In acting as agent, K naley-Horn and Associates, Lac.
does not: assume ftnanciai responsibilitylownership for the referenced project,
Authorized this the day of 2019
The Charlotte Mecklenburg Hospital Authority
r
1 Jtih tit ni
(Print Name)-y j ip C Tg�_t W,1 (Sic)
Authorized Representative tf,

M
0
\N n
cm
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
1a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 39 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Atrium Health - Union West Campus
2b.
County:
Union
2c.
Nearest municipality / town:
Matthews
2d.
Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state
project no:
N/A
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Tom Washington, The Charlotte Mecklenburg Hospital Authority
3b.
Deed Book and Page No.
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
9401 Arrowpoint Blvd., Office 306
3e.
City, state, zip:
Charlotte, North Carolina 28233
3f.
Telephone no.:
704-667-9428
3g.
Fax no.:
3h.
Email address:
[e-mail]
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ❑ Other, specify:
4b.
Name:
4c.
Business name
(if applicable):
4d.
Street address:
4e.
City, state, zip:
4f.
Telephone no.:
4g.
Fax no.:
4h.
Email address:
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Chris Tinklenberg, PWS
5b.
Business name
(if applicable):
Kimley-Horn and Associates
5c.
Street address:
200 South Tryon Street, Suite 200
5d.
City, state, zip:
Charlotte, NC 28202
5e.
Telephone no.:
704-409-1802
5f.
Fax no.:
5g.
Email address:
[e-mail]
Page 2 of 12
PCN Form — Version 1.3 December 10, 2008 Version

B.
Project Information and Prior Project History
1.
Property Identification
07102019, 07102016, 07102012D, 07102021, 07102022,
la.
Property identification no. (tax PIN or parcel ID):
07102015, 07102018, 07102013A, 07102012,
07102012B, 07102012C, 07102023A, 07102011,
07102012A, 07102017, 07102020
1b.
Site coordinates (in decimal degrees):
Latitude: 35.094180 Longitude:-80.675572
(DD.DDDDDD) (-DD.DDDDDD)
1c.
Property size:
56.1 acres
2.
Surface Waters
2a.
Name of nearest body of water (stream, river, etc.) to
UT to North Fork Crooked Creek
proposed project:
2b.
Water Quality Classification of nearest receiving water:
North Fork Crooked Creek - Class "C"
2c.
River basin:
Lower Rocky River; HUC 03040105
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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 subject property is primarily undeveloped, consisting of open fields and forested areas, as well as one commercial
property, nine residential properties, and five parcels of vacant, undeveloped land. The current topography ranges from
approximately 752 feet above mean sea level at the northwest portion of the site to 691 feet above mean sea level at the
southeast portion of the site. Existing land use in the vicinity of the project includes commercial development and
residential/maintained properties. The approximately 53-acre property is located in the northeast quadrant of the Stallings
Road and Matthews -Indian Trail Road intersection in Stallings, Union County, North Carolina. The project will consist of
mass -grading approximately 45-acres to accommodate the development, construction of a private street, public utility
extensions, and two stormwater detention facilities.
3b. List the total estimated acreage of all existing wetlands on the property:
.16 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
The total length of all on -site streams is approximately 2,052 linear feet.
3d. Explain the purpose of the proposed project:
Atrium Health seeks to construct a new mixed -use development consisting of a 160,000 square -foot (sf) Hospital and 60,000-
sf Medical Office Building (MOB) anchors, as well as, additional medical office buildings, retail shops, restaurants, a hotel, and
multi -family apartment homes.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project will consist of mass -grading approximately 45-acres to accommodate the development, construction of a private
street, public utility extensions, and two stormwater detention facilities.
Two access points are required from Matthews -Indian Trail to service the proposed development's projected traffic needs
while maintaining proper levels of service along Matthews -Indian Trail. The location of both access points will provide
essential spacing and circulation for roughly 160,000 SF of Hospital along with the future hospital, commercial, mixed -use,
and retail development. The existing grade of Matthews -Indian Trail Road presented elevation constraints for the proposed
Matthews -Indian Trail Road access points. In order to provide connection to Matthews -Indian Trail Road without steep access
road grades, soil must be added to the proposed access roads and parcels south of Street A. Proposed
commercial/residential development for these parcels will require up to 20-ft of fill in some locations to achieve development
goals. The multi -use development will be constructed in three (3) phases; however, mass -grading for the entirety of the site
will be conducted in Phase 1. Mass -grading of the approximately 45-acre project area will result in permanent impacts to 0.12
acres of potential wetland -waters of the U.S. (WoUS) and 200 If of non -wetland WoUS. Existing baseflow from the impacted
features will be conveyed through an underground drainage system, i.e. French -drain, in order to maintain downstream
hydrology. No additional impacts to potential WoUS are anticipated in Phases 2 and 3.
In total, the proposed development project seeks to impact 200 linear feet and 0.12-ac of waters of the U.S.
Typical construction equipment including bulldozers, back hoes, front end loaders, etc. will be utilized during construction.
Page 4 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 /
project (including all prior phases) in the past?
® Yes ❑ No ❑ Unknown
Comments: A Preliminary Jurisdictional Determination was
issued on September 11, 2019. (SAW-2019-01259)
4b.
If the Corps made the jurisdictional determination, what type
®Preliminary El Final
of determination was made?
4c.
If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Wetlands and
Environmental Planning Group (WEPG)
Name (if known): Daniel Kuefler
Other:
4d.
If yes, list the dates of the Corps jurisdictional determinations or
State determinations and attach documentation.
September 11, 2019
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.
6.
Future Project Plans
6a.
Is this a phased project?
® Yes ❑ No
6b.
If yes, explain.
The overall development will be constructed in three (3) phases;
however, mass grading for the entirety of the multi -use
development will be conducted in Phase 1. No impacts to WoUIS
are proposed in Phases 2 & 3.
Page 5of12
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)
(if known)
DWQ - non-404, other)
(acres)
or Temporary
T
WC - Impact 1
® Yes
® Corps
®P❑T
Grading fill
❑No
❑DWQ
.10
WH - Impact 2
Grading fill
® Yes
® Corps
®P❑T
❑No
❑DWQ
.015
WF - Impact 3
Grading fill
® Yes
® Corps
®P❑T
❑No
❑DWQ
.007
2g. Total wetland impacts:
0.12
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)
(T)
SB - Impact 4
Grading fill
Unnamed
❑ PER
® Corps
4
200
® P El
Tributary
® INT
® DWQ
3h. Total stream and tributary impacts
200
3i. Comments: Mass -grading of the approximately 45-acre project area will result in permanent impacts to 0.12 acres of
potential wetland -waters of the U.S. (WoUS) and 200 If of non -wetland WoUS.
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
- Permanent
(P) or
Temporary T
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4L Total open water impacts
4g. Comments:
Page 6of12
PCN Form - Version 1.3 December 10, 2008 Version

5. Pond or Lake Construction
If pond or lake construction proposed, then com fete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose of
(acres)
number
pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar -Pamlico ❑ Other:
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)
for impact
Stream name
mitigation
(square feet)
(square feet)
or Temporary
required?
T
131 ❑P❑T
El Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑ No
B3 ❑ P ❑ T
❑ Yes
❑ No
6h. Total buffer impacts
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The proposed project will avoid impacts to 1700-If of intermittent and perennial streams along the eastern portion of the
property. The proposed impacts are necessary and unavoidable to meet the goals of the proposed development. Two access
points are required from Matthews -Indian Trail to service the proposed development's projected traffic needs while
maintaining proper levels of service along Matthews -Indian Trail. The location of both access points will provide essential
spacing and circulation for roughly 160,000 SF of Hospital along with the future hospital, commercial, mixed -use, and retail
development. The existing grade of Matthews -Indian Trail Road presented elevation constraints for the proposed Matthews -
Indian Trail Road access points. In order to provide a connection to Matthews -Indian Trail Road without steep access road
grades, soil must be added to the proposed access roads and parcels south of Street A. Proposed commercial/residential
development for these parcels will require up to 20-ft of fill in some locations to achieve development goals. Stream impacts
were unavoidable for these parcels. Locations along Matthews -Indian Trail Road, where grading demands for development
would be highly impactful, were designated as tree conservation areas to provide avoidance of additional stream impacts.
Page 7of12
PCN Form — Version 1.3 December 10, 2008 Version

1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Avoidance and minimization though construction techniques is not feasible since mass -grading will permanently impact the
features outlined above. Existing baseflow from the impacted features will be conveyed through an underground drainage
system, i.e. French -drain, in order to maintain downstream hydrology which eliminates the potential for indirect impacts.
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
® Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
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:
200 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:
0.12 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.
Page 8of12
PCN Form — Version 1.3 December 10, 2008 Version

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 9of12
PCN Form — Version 1.3 December 10, 2008 Version

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
la.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments:
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
85%
2b.
Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
The Stormwater Management Plan is designed to meet the Town of Stallings requirements
which adopted the City of
Charlotte Stormwater Design Manual, BMP Design Standards Manual, and the Sediment & Erosion Control Ordinance.
The post -development flow rates have been reduced to the pre -development flow rates for both the 10-year, 6-hour storm
event and the 25-year, 6-hour storm event. The stormwater network has been designed to convey the 10-year storm
event.
® Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
Town of Stallings
® Phase II
❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ 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? Following approval, the SMP will be provided to DWR.
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
attached?
❑ Yes ® No
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 10 of 12
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
1b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes ❑ No
Comments:
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.
Additional development that could impact nearby downstream water quality is not anticipated as a result of this project.
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.
Existing sanitary sewer mains running through the project site and along Stallings Road will capture all wastewater
generated from the proposed project.
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?
A review of the North Carolina Natural Heritage Program (NCNHP) database on October 17, 2019, did not indicate known
occurrences of threatened or endangered species within the project boundary. Additionally, pedestrian surveys
conducted by WEPG on November 19, 2018, and KH on October 28, 2019 did not identify any occurrences of protected
species within the property boundary. (See attached Gateway Commons — T&E Evaluations). A concurrence request
letter was submitted to the USFWS on October 31, 2019. A response is pending from the date of this PCN submittal but
will be provided once it is received.
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?
NCNHP element occurrence database did not indicate the presence of EFH within the project boundary.
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?
Kimley-Horn consulted the North Carolina State Historic Preservation Office (SHPO) HPOWEB GIS service on October
21, 2019, and found no sites of architectural, historic, or archaeological significance within or near the project boundary.
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? Based on the effective FEMA Flood Insurance Rate
Map Number 3710449900K, dated February 19th, 2014 the site is within unshaded Zone X (areas determined to be
outside the 0.2% annual chance floodplain).
-
Chris Tinklenberg, PWS
���
10/31/2019
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
isprovided.)
Page 12 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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Figure 1: Vicinity
Atrium Health
Kim1ey>')Horn
Union West Campus
Union County, NC
October 2019

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Figure 2: USGS Topo (Catawba NE)
v
Atrium Health
}�imley>))Horn Union West Campus
Union County, NC
October 2019

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' f
i
Legend
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Figure 3: SSURGO Soils and NWI
Atrium Health
Union West Campus
Union County, NC
October 2019

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. Sn�._
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Matthe sllndian Trail�Rd
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4
Proposed Site Plan
Proposed Grading
-^o~ Streams (Potential Non -Wetland WoUs) A
Wetland (Potential Wetland-WoUS) ' •Y
Kimley >>> Horn
Intermittent Stream B - Impact 4
200 If Permanent
Grading Limits (Fill)
Wetland F - Impact 3
.007 ac Permanent
Grading Limits (Fill)
S
!ter �,� .. -
0 100 200
Feet
Figure 4a: Proposed Conditions
Atrium Health
Union West Campus
Stallings, Union County, NC
October 2019

ROY COOPER NORTH CAR%
Governor '.nvironmental C
MICHAEL S. REGAN secretary October 24, 2019
TIM BAUMGARTNER
Director
Tom Washington
Atrium Health
9401 Arrowpoint Blvd., Office 306
Charlotte, NC 28273
Project: Atrium Health - Union West Campus
Expiration of Acceptance: 4/24/2020
County: Union
The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) is willing to
accept payment for compensatory mitigation for impacts associated with the above referenced project as
indicated in the table below. Please note that this decision does not assure that participation in the DMS in -
lieu fee mitigation program will be approved by the permit issuing agencies as mitigation for project impacts.
It is the responsibility of the applicant to contact permitting agencies to determine if payment to the DMS will
be approved. You must also comply with all other state, federal or local government permits, regulations or
authorizations associated with the proposed activity including G.S. § 143-214.11.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not
received a copy of the issued 404 Permit/401 Certification within this time frame, this acceptance will
expire. It is the applicant's responsibility to send copies of the permits to DMS. Once DMS receives a copy
of the permit(s) an invoice will be issued based on the required mitigation in that permit and payment must
be made prior to conducting the authorized work. The amount of the in -lieu fee to be paid by an applicant is
calculated based upon the Fee Schedule and policies listed on the DMS website.
Based on the information supplied by you in your request to use the DMS, the impacts for which you are
requesting compensatory mitigation credit are summarized in the following table. The amount of mitigation
required and assigned to DMS for this impact is determined by permitting agencies and may exceed the
impact amounts shown below.
Basin
Yadkin
Yadkin
Impact Location
_18-digit HU_ C)
03040105
03040105
Impact Type
Riparian Wetland
Warm Stream
Impact Quantity
0.12
200
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The
mitigation will be performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010 and
15A NCAC 02B .0295 as applicable. Thank you for your interest in the DMS in -lieu fee mitigation program.
If you have any questions or need additional information, please contact Kelly Williams at [phone].
Sincerely,
Ja es. B Stanfill
Ass anagement Supervisor
cc: Chris Tinklenberg, agent
Nwh Carolina Department of Environmental Quality I Division of Mitigation Services
7.17 W. Jones Street 11652 Mail Service Center I RalelgN North Carolina 27699-1652
919,707.8976

a ■■y Roy Cooper. Governor
E� III i NC DEPARTMENT OF Susi Harndton, Secretary
■■tom NATURAL AND CULTURAL RESOURCES
0 'on Walter Clark, director. land and Water Stewardship
NCNHDE-10505
October 17, 2019
Addie Lasitter
Kimley-Horn
200 South Tryon Street
Charlotte, NC 28202
RE. Union West LOD
Dear Addie Lasitter:
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide
information about natural heritage resources for the project referenced above.
Based on the project area mapped with your request, a query of the NCNHP database indicates that
there are no records for rare species, important natural communities, natural areas, and/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. Tables of natural areas and conservation/managed areas within a one -mile
radius of the project area, if any, are also included in this report.
If a Federally -listed species is found within the project area or is indicated within a one -mile radius of
the project area, the NCNHP recommends contacting the US Fish and Wildlife Service (USFWS) for
guidance. Contact information for USFWS offices in North Carolina is found here:
httr)s://www.fws.gov/offices/Directory/ListOffices.cfm?statecode=37.
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, Registered Heritage Area, Clean Water Management Trust Fund
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 rod nev.butlerWncdcr.gov or 919-707-8603.
Sincerely,
NC Natural Heritage Program
DEPARTMENT OF NATURAL AND CULTURAL RESOURCES
121 1N. JONES STREET, RALEI01_ NC 27603 - 1651 MAIL SERVICE CFNTER. RALEIGH. NC 2761*
OFC !Dig 707.9120 • FAX 919.707.412,

Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One -mile Radius of the Project Area
Union West LOD
October 17, 2019
NCNHDE-10505
Element Occurrences Documented Within a One -mile Radius of the Project Area
Taxonomic EO ID Scientific Name Common Name Last � Element Accuracy Federal State Global State
Group 2servation Occurrence Status Status Rank Rank
= Date Rank =
Freshwater Fish9672 Etheostoma collis Carolina Darter 1977-04 H? 3-Medium --- Special G3 S3
Concern
No Natural Areas are Documented Within a One -mile Radius of the Project Area
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 httr)s:Z/ncnhde.natureserve.org/content/helr). Data query generated on October 17, 2019; source: NCNHP, Q3 Jul 2019.
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-10505: Union West LOD
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October 17, 2019
❑ Project Boundary
❑ Buffered Project Boundary
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0 0.2 0.4 0.8 mi
0 0.3 0.6 12 km
Sources: Esn. HERE, Garmn. Imemiap, in men[ P Corp., GERCO, uSGS,
FAO, NPS, NRCAN, GeoEl—. IG N. Had,s[er NL, Ordnance Survey. Esri Japan.
MCTI. Esn China [Hung Hgrgj_ IQ) Open.r,..ap cantr8ulor5, and the GIS
user Community
Page 3 of 3

NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 5
USACE AID#: SAW-2019-01848 NCDWR #:
Project Name Atrium Health - Union West Campus Date of Evaluation 10/20/2019
Applicant/Owner Name Atrium Health Wetland Site Name Wetlands C, F & H
Wetland Type Headwater Forest Assessor Name/Organization Chris Tinklenberg, PWS (Kimley-Horn)
Level III Ecoregion Piedmont Nearest Named Water Body North Fork Crooked Creek
River Basin Yadkin-PeeDee USGS 8-Digit Catalogue Unit 03040105
County Union NCDWR Region Asheville
i Yes G No Precipitation within 48 hrs? Latitude/Longitude (deci-degrees) 35.094180,-80.675572
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference, if
appropriate, in recent past (for instance, approximately within 10 years). Noteworthy stressors include, but are not limited
to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub -surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby
septic tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• Habitat/plant community alteration (examples: mowing, clear -cutting, exotics, etc.)
Is the assessment area intensively managed? t" Yes t: No
Regulatory Considerations - Were regulatory considerations evaluated? t: Yes t" No If Yes, check all that apply to the assessment area.
F Anadromous fish
F Federally protected species or State endangered or threatened species
F NCDWR riparian buffer rule in effect
F Abuts a Primary Nursery Area (PNA)
F Publicly owned property
F N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
F Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HOW, ORW, or Trout
F Designated NCNHP reference community
F Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
C' Blackwater
60 Brownwater
F Tidal (if tidal, check one of the following boxes) C' Lunar f Wind C' Both
Is the assessment area on a coastal island? (' Yes (: No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? t Yes t: No
Does the assessment area experience overbank flooding during normal rainfall conditions? t: Yes t No
Ground Surface Condition/Vegetation Condition - assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure
(VS) in the assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable,
then rate the assessment area based on evidence of an effect.
GS VS
C' A C' A Not severely altered
G B G B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire -plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing,
less diversity [if appropriate], hydrologic alteration)
2. Surface and Sub -Surface Storage Capacity and Duration - assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub -surface storage capacity and
duration (Sub). Consider both increase and decrease in hydrology. A ditch <- 1 foot deep is considered to affect surface water only,
while a ditch > 1 foot deep is expected to affect both surface and sub -surface water. Consider tidal flooding regime, if applicable.
Surf Sub
t A t A Water storage capacity and duration are not altered.
C� B B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
C' C C' C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation
change) (examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief - assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column for each group below. Select the appropriate storage for the assessment area (AA) and the wetland
type (WT).
AA WT
3a. t A t A Majority of wetland with depressions able to pond water > 1 foot deep
C' B C' B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
C� C C Majority of wetland with depressions able to pond water 3 to 6 inches deep
i D i D Depressions able to pond water < 3 inches deep
3b. t A Evidence that maximum depth of inundation is greater than 2 feet
t B Evidence that maximum depth of inundation is between 1 and 2 feet
G C Evidence that maximum depth of inundation is less than 1 foot
4. Soil Texture/Structure - assessment area condition metric (skip for all marshes)

Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape
feature. Make soil observations within the 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for
regional indicators.
4a. C' A Sandy soil
t: B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
t C Loamy or clayey soils not exhibiting redoximorphic features
C' D Loamy or clayey gleyed soil
E Histosol or histic epipedon
4b. C' A Soil ribbon < 1 inch
60 B Soil ribbon >_ 1 inch
4c. C: A No peat or muck presence
C' B A peat or muck presence
5. Discharge into Wetland — opportunity metric
Check a box in each column. Consider surface pollutants or discharges (Surf) and sub -surface pollutants or discharges (Sub).
Examples of sub -surface discharges include presence of nearby septic tank, underground storage tank (UST), etc.
Surf Sub
C' A C' A Little or no evidence of pollutants or discharges entering the assessment area
G B G B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
t C C' C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use — opportunity metric (skip for non -riparian wetlands)
Check all that apply (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the
assessment area (5M), and within 2 miles and within the watershed draining to the assessment area (2M). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
WIA FIA FIA >_ 10% impervious surfaces
F B F B F B Confined animal operations (or other local, concentrated source of pollutants)
F C F C F C >_ 20% coverage of pasture
F D F D F D >_ 20% coverage of agricultural land (regularly plowed land)
F E F E F E >_ 20% coverage of maintained grass/herb
F F F F F F >_ 20% coverage of clear-cut land
F G F G F G Little or no opportunity to improve water quality. Lack of opportunity may result from little or no disturbance in
the watershed or hydrologic alterations that prevent dainage and/or overbank flow from affectio the
assessment area.
7. Wetland Acting as Vegetated Buffer— assessment area/wetland complex condition metric (skip for non -riparian wetlands)
7a. Is assessment area within 50 feet of a tributary or other open water?
C' Yes G No If Yes, continue to 7b. If No, skip to Metric 8.
7b. How much of the first 50 feet from the bank is weltand? (Wetland buffer need only be present on one side of the water body. Make
buffer judgment based on the average width of wetland. Record a note if a portion of the buffer has been removed or disturbed.)
i A >_ 50 feet
i B From 30 to < 50 feet
C' C From 15 to < 30 feet
C' D From 5 to < 15 feet
i E < 5 feet or buffer bypassed by ditches
7c. Tributary width. If the tributary is anastomosed, combine widths of channels/braids for a total width.
C' <— 15-feet wide !' > 15-feet wide C' Other open water (no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
C' Yes C' No
7e. Is tributary or other open water sheltered or exposed?
C' Sheltered — adjacent open water with width < 2500 feet and no regular boat traffic.
C' Exposed — adjacent open water with width >_ 2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area — wetland type/wetland complex condition metric (evaluate WT for all marshes
and Estuarine Woody Wetland only; evaluate WC for Bottomland Hardwood Forest, Headwater Forest, and Riverine Swamp
Forest only)
Check a box in each column. Select the average width for the wetland type at the assessment area (WT) and the wetland complex at the
assessment area (WC). See User Manual for WT and WC boundaries.
WT WC
i A i A >_ 100 feet
C' B C' B From 80 to < 100 feet
t C t C From 50 to < 80 feet
i D i D From 40 to < 50 feet
i E i E From 30 to < 40 feet
t F t F From 15 to < 30 feet
C� G G From 5 to < 15 feet
i H i H < 5 feet
9. Inundation Duration — assessment area condition metric (skip for non -riparian wetlands)
Answer for assessment area dominant landform.
C: A Evidence of short -duration inundation (< 7 consecutive days)
i B Evidence of saturation, without evidence of inundation
i C Evidence of long -duration inundation or very long -duration inundation (7 to 30 consecutive days or more)

10. Indicators of Deposition — assessment area condition metric (skip for non -riparian wetlands and all marshes)
Consider recent deposition only (no plant growth since deposition).
(' A Sediment deposition is not excessive, but at approximately natural levels.
G B Sediment deposition is excessive, but not overwhelming the wetland.
(' C Sediment deposition is excessive and is overwhelming the wetland.
11. Wetland Size — wetland type/wetland complex condition metric
Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut, select "K" for the FW column.
WT WC FW (if applicable)
i A i A i A >_ 500 acres
(' B (' B (' B From 100 to < 500 acres
(' C (' C (' C From 50 to < 100 acres
(' D (' D (' D From 25 to < 50 acres
(' E (' E (' E From 10 to < 25 acres
(' F (' F (' F From 5 to < 10 acres
(' G (' G (' G From 1 to < 5 acres
(' H (' H (' H From 0.5 to < 1 acre
t: I t: I t: I From 0.1 to < 0.5 acre
('J ('J ('J From 0.01 to < 0.1 acre
(' K (' K (' K < 0.01 acre or assessment area is clear-cut
12. Wetland Intactness — wetland type condition metric (evaluate for Pocosins only)
(' A Pocosin is the full extent (>_ 90%) of its natural landscape size.
(' B Pocosin is < 90% of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas — landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
metric naturally vegetated area and open water (if appropriate). Boundaries are formed by four -lane roads, regularly maintained utility
line corridors the width of a four -lane road or wider, urban landscapes, fields (pasture open and agriculture), or water > 300 feet wide.
Well Loosely
(' A (' A >_ 500 acres
(' B (' B From 100 to < 500 acres
(' C (' C From 50 to < 100 acres
(' D (' D From 10 to < 50 acres
(' E (' E < 10 acres
(: F (: F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
(' Yes (' No Wetland type has a surface hydrology connection to open waters/stream or tidal wetlands.
14. Edge Effect — wetland type condition metric (skip for all marshes and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non -forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors and clear -cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directiions? If the assessment area is clear-cut,
select option "C."
(' A 0
C'B 1to4
(: C 5to8
15. Vegetative Composition — assessment area condition metric (skip for all marshes and Pine Flat)
(' A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotic plants absent or sparse within the assessment area.
(: B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or
clearing. It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
(' C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non -
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in
at least one stratum.
16. Vegetative Diversity — assessment area condition metric (evaluate for Non -tidal Freshwater Marsh only)
(' A Vegetation diversity is high and is composed primarily of native species (<10% cover of exotics).
(: B Vegetation diversity is low or has > 10% to 50% cover of exotics.
(' C Vegetation is dominated by exotic species (>50% cover of exotics).
17. Vegetative Structure — assessment area/wetland type condition metric
17a. Is vegetation present?
(: Yes (' No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non -marsh wetlands.
(' A >_ 25% coverage of vegetation
(' B < 25% coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non -marsh wetlands. Consider structure
in airspace above the assessment area (AA) and the wetland type (WT) separately.
AA WT
n i A i A Canopy closed, or nearly closed, with natural gaps associated with natural processes
C (: B (: B Canopy present, but opened more than natural gaps
U (' C (' C Canopy sparse or absent

o r A r A Dense mid-story/sapling layer
c9 (' B
(' B
Moderate density mid-story/sapling layer
(: C
(: C
Mid-story/sapling layer sparse or absent
s (' A
(' A
Dense shrub layer
(: B
(: B
Moderate density shrub layer
c C' C C' C Shrub layer sparse or absent
s i A i A Dense herb layer
(' B (' B Moderate density herb layer
= C� C C Herb layer sparse or absent
18. Snags — wetland type condition metric (skip for all marshes)
t A Large snags (more than one) are visible (> 12-inches DBH, or large relative to species present and landscape stability).
(: B Not A
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
(' A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
C0— B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12-inch DBH.
C' C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric (skip for all marshes)
Include both natural debris and man -placed natural debris.
C' A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
(: B Not A
21. Vegetation/Open Water Dispersion — wetland type/open water condition metric (evaluate for Non -Tidal Freshwater
Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
t o t B t C t D
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands and Salt/Brackish Marsh only)
Examples of activities that may severely alter hydrologic connectivity include intensive ditching, fill, sedimentation, channelization,
diversion, man-made berms, beaver dams, and stream incision. Documentation required if evaluated as B, C, or D.
i A Overbank and overland flow are not severely altered in the assessment area.
i B Overbank flow is severely altered in the assessment area.
C0— C Overland flow is severely altered in the assessment area.
Ci D Both overbank and overland flow are severely altered in the assessment area.
Notes

NC WAM Wetland Rating Sheet
Accompanies User Manual
Version 5.0
Wetland Site Name Wetlands C, F & H
Date
10/20/2019
Wetland Type Headwater Forest
Assessor Name/Organization
-inklenberg, PWS (Kimley
Notes on Field Assessment Form (Y/N)
NO
Presence of regulatory considerations (Y/N)
NO
Wetland is intensively managed (Y/N)
NO
Assessment area is located within 50 feet of a natural tributary or other open
water (Y/N)
NO
Assessment area is substantially altered by beaver (Y/N)
NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
YES
Assessment area is on a coastal island (Y/N)
NO
Sub -function Rating Summary
Function Sub -function
Metrics
Rating
Hydrology Surface Storage and Retention
Condition
MEDIUM
Sub -Surface Storage and Retention
Condition
MEDIUM
Water Quality Pathogen Change
Condition
MEDIUM
Condition/Opportunity
MEDIUM
Opportunity Presence? (Y/N)
NO
Particulate Change
Condition
LOW
Condition/Opportunity
NA
Opportunity Presence? (Y/N)
NA
Soluble Change
Condition
MEDIUM
Condition/Opportunity
MEDIUM
Opportunity Presence? (Y/N)
NO
Physical Change
Condition
LOW
Condition/Opportunity
LOW
Opportunity Presence? (Y/N)
NO
Pollution Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence? (Y/N)
NA
Habitat Physical Structure
Condition
LOW
Landscape Patch Structure
Condition
LOW
Vegetation Composition
Condition
MEDIUM
Function Rating Summary
Function Metrics/Notes
Rating
Hydrology Condition
MEDIUM
Water Quality Condition
LOW
Condition/Opportunity
LOW
Opportunity Presence? (Y/N)
NO
Habitat Condition
LOW
Overall Wetland Rating LOW