20200195 Ver 1_401 Application_20200204

Preliminary ORM Data Entry Fields for New Actions
SAW — 2019 - 628
BEGIN DATE [Received Date]: 2 O 2 9 5
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: 6918 Wilkinson Boulevard
2. Work Type: Private Fv-(] Institutional ❑ Government ❑ Commercial ❑
3. Project Description / Purpose [PCN Form 63d and 83e]: p
The purpose of this project is to develop the property into a multi -family di lop en .
4. Property Owner / Applicant [PCN Form A3 or A4]:
KFC Wayford Belmont, LLC; POC: Morris Kaplan
5. Agent / Consultant [PCN Form A5 —or ORM Consultant ID Number]: CWS; POC: Ms. Aliisa Harjuniemi, PWS
6. Related Action ID Number(s) [PCN Form B5b]: SAW-2019-00628 yy
t. L
7. Project location - Coordinates, Street Address, and/or Location Description [PCN Form Bib]: iJ
6918 Wilkinson Boulevard
35.248375,-81.025127
8. Project Location -Tax Parcel ID [PCN Form B1a]: 186553, 186555. 186556, 186557, 18655, 186561, 186562. 186563, and 186564
9. Project Location — County [PCN Form A21bj: Gaston
10. Project Location — Nearest Municipality or Town [PCN Farm A2c]: Belmont
11. Project Information —Nearest Waterbody [PCN Form B2a]: Catawba River
12. Watershed / B-Digit Hydrologic Unit Code [PCN Form B2cj: Catawba (HUC 03050103)
Authorization: Section 10 ❑ Section 404❑ Section 30 & 404 ❑
Regulatory Action Type:
❑Standard Permit
✓ Nationwide Permit # 14
❑ Regional General Permit #
❑ Jurisdictional Determination Request
❑Pre -Application Request
Unauthorized Activity
❑ Compliance
❑ No Permit Required
Revised 20150602

CAROLINA WETLAND SERVICES, INC.
550 E. Westinghouse Blvd.
Charlotte, NC 28273
704527-1177 (office)
704527-1133 (fax)
To: Ms. Catherine Janiczak Date: January 30, 2020
U.S. Army Corps of Engineers, Charlotte Satellite Office
151 Patton Avenue, Room 208
Asheville, NC 28801
Subject: Pre -Construction Notification Pursuant to Nationwide Permit No. 14
6918 Wilkinson Boulevard
Belmont, North Carolina
CWS Project No. 2019-0008
Dear Ms. Janiczak,
The 6918 Wilkinson Boulevard (also known as The Morris at Belmont) site is approximately 37 acres in
extent and is located southeast of the Wilkinson Boulevard and Park Street intersection in Gaston County,
North Carolina (Figure 1, attached). KFC Wayford Belmont, LLC has contracted Carolina Wetland Services,
Inc. (CWS) to provide Section 404/401 permitting services for this project. An executed Agent Authorization
Form is attached (Attachment B).
CWS is submitting a Pre -Construction Notification pursuant to Nationwide Permit No. 14 to the U.S. Army
Corps of Engineers for proposed permanent impacts to jurisdictional waters of the U.S. associated with
developing the property for a single-family residential subdivision. The proposed impact consists of one
stream crossing required for ingress and egress.
A copy of the PCN application is being provided to the North Carolina Department of Environmental Quality
(NCDEQ) with a check of $570 for the 401 Water Quality Certification approval fee.
ATTACHMENTS INCLUDED:
DESCRIPTION
Attachment A - Figures 1-7
Attachment B - Agent Authorization Form
Attachment C - Preliminary Jurisdictional Determination SAW-2019-00628
Attachment D - Permit Drawings
Attachment E - Protected Species Habitat Assessment Report
Attachment F - Property Owner Information
Attachment G - Photo a e (Photographs 1-4
Please do not hesitate to contact Aliisa Harjuniemi at 980-259-1222 or [e-mail] should you have
any questions or comments regarding this request.
Sincerely,
Aliisa Harjuniemi, PWS
Project Scientist
ma"
Christine Geist, PWS, CE
Principal Scientist

Office Use Only:
Corps action ID no.
DWQ project no. _
Form Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the Corps
F Section 404 Permit Section 10 Permit
1b.
Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number.
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
le.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
Yes ■ No
For the record only for Corps Permit:
N Yes N 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 kjl No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
. Yes ® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
! Yes j No
2.
Project Information
2a.
Name of project:
16918 Wilkinson Boulevard
2b.
County:
Gaston
2c.
Nearest municipality / town:
Belmont
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:
Multiple. See Attachment F
3b.
Deed Book and Page No.
See Attachment F
3c.
Responsible Party (for LLC W
applicable):
N/A
3d.
Street address:
See Attachment F
3e.
City, state, zip:
See Attachment F
3f.
Telephone no.:
POC: Mr. Morris Kaplan, 305-901-2200
3g.
Fax no.:
N/A
3h.
Email address:
POC: Mr. Morris Kaplan, [e-mail]
Page 1 of 14
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
,pl Agent '�Z] KFC Wayford Belmont, LLC
4b. Name:
Morris Kaplan
4c. Business name
(if applicable):
KFC Wayford Belmont, LLC
4d. Street address:
1111 Kane Concourse, Suite 302
4e. City, state, zip:
Bay Harbor Islands, FL 33154
4f. Telephone no.:
305-901-2200
4g. Fax no.:
N/A
4h. Email address:
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
Aliisa Harjuniemi, PWS
5b. Business name
(if applicable):
Carolina Wetland Services, Inc.
5c. Street address:
550 E. Westinghouse Blvd.
5d. City, state, zip:
Charlotte, NC 28273
5e. Telephone no.:
980-259-1222
5f. Fax no.:
N/A
5g. Email address:
[e-mail]
Page 2 of 14
PCN Form —Version 1.4 January 2009

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
186553, 186555, 186556, 186557, 18655, 186561, 186562,
186563, and 186564
1 b. Site coordinates (in decimal degrees):
Latitude: 35.2483750 Longitude:-81.025127 °
1 c. Property size:
37 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
UT to Catawba River
2b. Water Quality Classification of nearest receiving water:
WS-IV
2c. River basin:
Catawba (HUC 03050101)
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 project area consists of forested areas and maintained open areas. On -site elevations range from 600-650 feet above
mean sea level (Figure 2). Land cover within the project area consists of deciduous forest, herbaceous areas, and mixed forest
(Figure 3).
ccording to the United States Department of Agriculture - Natural Resources Conservation Service (USDA-NRCS) Web Soil
Survey of Gaston County (Figure 4) and the NRCS Published Soil Survey for Gaston County (Figure 5), on -site soils consist of
even different soil types. Of the on -site soils, Chewacla loam is listed on the Web Soil Survey as being hydric or containing
hydric inclusions.
There are two jurisdictional waters of the U.S. located within the property (Streams A and B). The on -site jurisdictional waters of
he U.S. are depicted in Figure 7.
The surrounding land use consists of commercial building, undeveloped forested areas, single family subdivisions, and
residential houses.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 2,728 linear feet of
perennial stream
3d. Explain the purpose of the proposed project:
The purpose of this project is to develop the property for multi -family development to meet the demand for housing in Belmont.
Page 3 of 14
PCN Form —Version 1.4 January 2009

3e. Describe the overall project in detail, including the type of equipment to be used:
The project proposes developing the site for a multi -family development. Under Nationwide Permit No. 14, the project
proposes unavoidable impacts to one jurisdictional stream channel for a road crossing, resulting in a total of 173 linear feet of
stream impacts. This road crossing is required to provide ingress and egress for traffic and emergency vehicles to the
development. The proposed site plan, proposed impacts, and details are depicted in Sheets 1-7, Attachment D.
Proposed Road Crossing (S1-S3)
Stream A runs along the eastern portion of the property, therefore crossing this jurisdictional stream channel cannot be
while meeting the zoning requirements. The proposed stream crossingwas required by zoning as part of the required
connections and approval process for the project through City Council.
To construct the proposed road crossing, a 110-foot long, 10x12 reinforced concrete box culvert (RCBC), will be installed,
resulting in 118 linear feet of permanent impacts to Stream A (S1). The proposed culvert will be buried one foot below the
channel bed to allow passage of aquatic life and maintain low flows. Headwalls at the inlet and outlet of the culvert will be
utilized in order to minimize channel impacts to the maximum extent practicable. A 35-foot rip rap apron at the culvert outlet
will be utilized to minimize erosional forces undermining the pipe. The rip rap will be keyed at the existing grade. This will
result in a total of 35 linear feet permanent impact to Stream A (32), but no loss of jurisdictional waters.
A pump around will be utilized for completing stream related work. This will result in approximately 20 linear feet of additional
temporary impacts (S3). All work will be constructed in the dry and all temporary fill will be removed following the work.
Disturbed stream bed banks will be returned to pre -construction grade.
Typical construction equipment such as a track hoe will be used.
Page 4 of 14
PCN Form — Version 1.4 January

4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by
the Corps or State been requested or obtained for this
roe / project(including all priorphases) in the
Yes No;
Comments:
Unknown
4b. If the Corps made the jurisdictional determination,
what type of determination was made?
�9] Preliminary
Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other: CWS
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
A Preliminary Jurisdictional Determination (SAW-2019-00628) is included as Attachment C.
5. Project History
5a. Have permits or certifications been requested orEll
obtained for this project (including all prior phases) in
Yes No
Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
7,0 Yes EM No
6b. If yes, explain.
The project is single and complete project.
Page 5 of 14
PCN Form —Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
Wetlands [0] Streams — tributaries O❑ Buffers G Open Waters F❑_,' Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Tempora T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f. Area
of
impact
(acres)
W1
W2
W3
W4
W5
W6
2g. Total Wetland Impacts:
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.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream
name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g•
Impact
length
(linear
feet)
S1
P
Culvert
Stream A
PER
Corps
12
118
S2
P
Armoring
Stream A
PER
Corps
12
35
S3
T
Pump around system
Stream A
PER
Corps
12
20
3h. Total stream and tributary impacts
173 If
Page 6 of 14
PCN Form — Version 1.4 January 2009

3i. Comments:
Permanent impacts to streams total 153 linear feet.
Permanent loss of waters totals 118 linear feet
Temporary impacts to streams total 20 linear feet.
Page 7 of 14
PCN Form — Version 1.4 January 2009

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 indivii ually list all open water impacts below.
4a.
Open water
impact number
Permanent(P)or
Temporary T
4b.
Name of waterbody
(if applicable
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01
Ch`°
Choose
02
Choose One
Choose
03
Choose One
Choose
04
Choose One
Choose
4f. Total open water impacts
4g. Comments: 1.1-acres of permanent open water impacts, with no permanent loss of waters associated with the impacts since
a stream restoration project will be completed within the pond footprint.
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose One
P2
Choose One
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. Project is in which protected basin?
N Neuse Tar -Pamlico Catawba 0 Randleman N Other:
6b.
Buffer Impact
number-
Permanent (P) or
Temporary T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
B1
Yes/No
g2
Yes/No
B3
Yes/No
B4
Yes/No
g5
Yes/No
B6
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 8 of 14
PCN Form - Version 1.4 January 2009

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.
o avoid and minimize impacts to jurisdictional waters of the U.S., the property was delineated prior to finalizing the site plan an
he proposed site plan was designed around the delineation results.
Impacts to jurisdictional waters have been limited to one stream crossing in order to provide ingress and egress for traffic and
emergency vehicles to the development. Stream A runs along the eastern portion of the property, therefore crossing this
•unsdictional stream channel cannot be avoided while meeting the zoning requirements. This crossing was required by zoning
s part of the required connections and approval process for the project through City Council. The road will cross the stream at a
perpendicular angle. Headwalls at the inlet and outlet of the culvert will be utilized in order to minimize channel impacts to the
maximum extent practicable.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Proper sediment and erosion control measures will be used to minimize disturbances to downstream waters. Silt fence will be
installed around the jurisdictional features, outside of the avoided streams. Construction activities and impacts to on -site
jurisdictional waters of the U.S. will comply with all conditions of Nationwide Permit No. 14 and Water Quality Certificate No.
4135. All work will be constructed in the dry and all temporary fill will be removed following the work.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
Yes O No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply):
E DWQ 0 Corps
Page 9 of 14
PCN Form — Version 1.4 January 2009

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: Choose One
Type: Choose One
Type: Choose One
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to Inaleu Fee Program
4a. Approval letter from in -lieu fee program is attached. Yes
4b. Stream mitigation requested:
4c. If using stream mitigation, stream temperature:
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: Mitigation is proposed at 1:1 ratio.
5. Complete if Using a Perrnittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
Yes . No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
Zone 2
6f. Total buffer mitigation required:
Page 10 of 14
PCN Form —Version 1.4 January 2009

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 11 of 14
PCN Form —Version 1.4 January 2009

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1a.
Does the project include or is it adjacent to protected riparian buffers identified
Yes No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
Yes No
The site is not adjacent to protected NC Riparian Buffers.
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
>24%
2b.
Does this project require a Stormwater Management Plan?
0 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 plan will be submitted to the City of Belmont and Gaston County for review. A copy of the approved plan will be provided
upon request once available.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
Belmont
3.
Certified Local Government Stormwater Review
3a.
In which local governmenfs jurisdiction is thisproject'?
M Phase ll
3b.
Which of the following locally -implemented stormwater management programs
❑ NSW
apply (check all that apply):
❑ USMP
® Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes No
attached?
4.
DWQ Stormwater Program Review
fr] Coastal counties
❑ HOW
4a.
Which of the following state -implemented stomtwater 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 12 of 14
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/state/local) funds or the
7-1 Yes
L� 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
0 No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
� Yes
ED.No
letter.)
Zi
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,
C Yes
No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fact permit application?
Q Yes
E 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
r-71 Yes
No
additional development, which could impact nearby downstream water quality?
u
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.
The project will not result in additional development.
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.
Sewerlines will be tied to the existing sewer easement located along the on -site perennial streams.
Page 13 of 14
PCN Form — Version 1.4 January 2009

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?
5c. If yes, indicate the USFWS Field Office you have contacted.
``II
c�
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
o determine which protected species are listed as occurring or potentially occurring within the project vicinity, and prior to
conducting the on -site field investigation, CWS consulted the United States Fish and Wildlife Service (USFWS) Endangered and
Threatened Species and Species of Concern by County for North Carolina online database for Gaston County. In addition,
CWS performed a data review and habitat assessment for this property. The results of the desktop review and habitat
assessment are included in the Protected Species Habitat Assessment Report (Attachment E).
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
Yes jj No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA Fisheries: http://www.habitat.noaa.gov/protection/efh/habitatmapper.html
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
r ,
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?
CWS consulted the SHPO online GIS service. The search indicated there are no known historical structures, buildings, sites,
or districts existing within the project limits.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
`p Yes; No
8b. If yes, explain how project meets FEMA requirements:
Conditional Letter of Map Revision based on Fill (CLOMR-F) is in progress. It is required by FEMA rules that the CLOMR-F
cannot be submitted until plans for review have been submitted to review agencies.
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM No. 3710359500M
�✓°r^.
ZA
1.30.20
Ms. Aliisa Harjuniemi
Applicant/Agent's Signature (Agent's
Applicant/Agent's Printed Name
signature is valid only if an authorization letter
Date
from the applicant is provided.)
Page 14 of 14
PCN Form — Version 1.4 January 2009

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0
' 2,000 1,000 0 2,000 Feel
REFERENCE: USGS 7.5 MINUTE TOPOGRAPHIC DUADRANGLE)S): BELMONTAND MOUNT HOLLY, NC (2017).
SCALE: DATE: FIGURE NO.
1 inch = 2,000 feet 3/22/2019 USGS Topographic Map
CWS PROJECT NO: DRAWN BY: 2
2019-0008 MLS Lc 6918 Wilkinson Boulevard of
COORDINATES: CHECKED BY: C A R O L I N A Gaston County
35.248375,-81.025127 CAG WETLAND SERVICES Belmont, North Carolina %
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RIVER
E
P
0
z
REFERENCE: NATIONAL WETLAND INVENTORY DATA PROVIDED BY UNITED STATES FISH AND
WILDLIFE SERVICE FOR NORTH CAROLINA, ACCESSED 2019.
L BACKGROUND YER(S) PROVIDED BY GASTON COUNTY GIS DEPARTMENT, DATED 2018.
SCALE: DATE:
WIIJVu
IVER Loop
Q'
4i CHANNEL
EDGEMONT
Legend
Project Limits (38 ac.)
Roads
National Wetland Inventory
Freshwater Forested/Shrub Wetland
Pa
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F
2,000 1,000 0 2,000 Feet
1 inch = 2,000 feet 3/22/2019 ® FIGURE No.
National Wetland Inventory CWS PROJECT NO. DRAWN BY: 6
2019-0008 HEM 6918 Wilkinson Boulevard
COORDINATES: CHECKED BY �f
C A R O L I N A Gaston County
35.248375,-81.025127 CAG WETLAND SERVICES Belmont, North Carolina 7
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REFERENCE: BACKGROUND GIS LAYER(S) PROVIDED BY GASTON
COUNTY GIS DEPARTMENT, DATED 2018.
0+ Photo Location and Direction
NOTE: JURISDICTIONAL WATERS OF THE U.S. WERE DELINEATED (FLAGGED
IN THE FIELD), CLASSIFIED, AND MAPPED USING A SUB -FOOT CAPABLE GPS
500
250 0 500 Feet
UNIT BY CWS, INC.. ON MARCH 19. 2019. JURISDICTIONAL FEATURES HAVE
BEEN VERIFIED BY THE USAGE ON APRIL 22, 2019 (SAW-2019-00628(.
SCALE: DATE. FIGURE NO.
1 inch = 500 feet 4/1/2019 ® Jurisdictional Boundaries
CWS PROJECT NO: DRAWN BY 7
2019-0008 HEM 6918 Wilkinson Boulevard of
COORDINATES'. CHECKED BY C A R 0 L I N A Gaston County
35.248375,-81.025127 CAG WETLAND SERVICES Belmont, North Carolina 7
GiTeam Drnes\ConsMW Team Drwe@01912019 Cons ffing Pmjeds12019-00086918 Wilkinson BNtl DW GISWigum7_JD.mxd

6918 Wilkinson Boulevard
Attachments
ATTACHMENT B:
Agent Authorization Form
January 30, 2020
CWS Project No. 2019-0008

AGENT CERTIFICATION OF AUTHORIZATION
I, Morris Kaplan, representing KFC Wayford Belmont, LLC, hereby certify that I have authorized
Allisa Haryuniemi of Carolina Wetland Services, Inc. to act on my behalf and take all actions
necessary to the processing, issuance, and acceptance of this request for wetlands
determination / permitting and any and all standard and special conditions attached.
Gaston County
Owner/Representative Name
Owner/Representative
Parcel ID
Address
186553,186555,186556,
186557, 186558, 186661,
KFC Wayford Belmont, LLC; POC:
1111 Kane Concourse, Suite 302
186562, 186563, and
Mr. Morris Kaplan
Bay Harbor Islands, FL 33154
186564
We hereby certify that the above information submitted in this application is true and accurate to
the best of our knowledge.
i
Authorized signature Agents signature
0
Date Date
1.28.20
Completion of this form will allow the agent to sign
all future application correspondence.

6918 Wilkinson Boulevard
Attachments
ATTACHMENT C:
January 30, 2020
CWS Project No. 2019-0008
Preliminary Jurisdictional Determination
(SAW-2019-00628)

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2019-00628 County: Gaston U.S.G.S. Quad: NC- Belmont & Mount Holly
NOTIFICATION OF JURISDICTIONAL DETERNIINATION
Requestor: Madge S. Garrison Revoc Trust
Morris Kaplan
Address: 608 Lankashire Road
Winston Salem, NC 27104
Telephone Number: 305-901-2200
E-mail: mkaplan(i0ivekaplan.com
Size (acres) 38 Nearest Town Mount Gilead
Nearest Waterway Clarks Creek River Basin Upper Pee Dee
USGS HUC 03040104 Coordinates Latitude: 35.248375
Longitude:-80.025127
Location description: The review area is located 0.277 miles Southeast of the intersection of Wilkinson Blvd and Park St in
Gaston County. PIN(s)186553, 186555, 186556, 186557, 18655, 186561, 186562, 186563, 186564.
Indicate Which of the Following Apply:
A. Preliminary Determination
® There appear to be waters on the above described project area/property, that may be subject to Section 404 of the Clean Water
Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). The waters have been
delineated, and the delineation has been verified by the Corps to be sufficiently accurate and reliable. The approximate boundaries
of these waters are shown on the enclosed delineation map dated 4/1/2019. Therefore this preliminary jurisdiction determination
may be used in the permit evaluation process, including determining compensatory mitigation. For purposes of computation of
impacts, compensatory mitigation requirements, and other resource protection measures, a permit decision made on the basis of a
preliminary JD will treat all waters and wetlands that would be affected in any way by the permitted activity on the site as if they
are jurisdictional waters of the U.S. This preliminary determination is not an appealable action under the Regulatory Program
Administrative Appeal Process (Reference 33 CFR Part 331). However, you may request an approved JD, which is an appealable
action, by contacting the Corps district for further instruction.
❑ There appear to be waters on the above described project area/property, that may be subject to Section 404 of the Clean Water
Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). However, since the waters
have not been properly delineated, this preliminary jurisdiction determination may not be used in the permit evaluation process.
Without a verified wetland delineation, this preliminary determination is merely an effective presumption of CWA/RHA
jurisdiction over all of the waters at the project area, which is not sufficiently accurate and reliable to support an enforceable
permit decision. We recommend that you have the waters on your project area/property delineated. As the Corps may not be able
to accomplish this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that can
be verified by the Corps.
B. Approved Determination
❑ There are Navigable Waters of the United States within the above described project area/property subject to the permit
requirements of Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act
(CWA)(33 USC § 1344). Unless there is a change in law or our published regulations, this determination may be relied upon for
a period not to exceed five years from the date of this notification.
❑ There are waters on the above described project area/property subject to the permit requirements of Section 404 of the Clean
Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations, this determination may be
relied upon for a period not to exceed five years from the date of this notification.
❑ We recommend you have the waters on your project area/property delineated. As the Corps may not be able to accomplish
this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that can be verified by
the Corps.

SAW-2019-00628
❑ The waters on your project area/property have been delineated and the delineation has been verified by the Corps. The
approximate boundaries of these waters are shown on the enclosed delineation map dated DATE. We strongly suggest you have
this delineation surveyed. Upon completion, this survey should be reviewed and verified by the Corps. Once verified, this survey
will provide an accurate depiction of all areas subject to CWA jurisdiction on your property which, provided there is no change in
the law or our published regulations, may be relied upon for a period not to exceed five years.
❑ The waters have been delineated and surveyed and are accurately depicted on the plat signed by the Corps Regulatory Official
identified below on DATE. Unless there is a change in the law or our published regulations,. this determination may be relied
upon for a period not to exceed five years from the date of this notification.
❑ There are no waters of the U.S., to include wetlands, present on the above described project area/property which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
❑ The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act (CAMA).
You should contact the Division of Coastal Management in Morehead City, NC, at [phone] to determine their
requirements.
Placement of dredged or fill material within waters of the US, including wetlands, without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). Placement of dredged or fill material, construction or
placement of structures, or work within navigable waters of the United States without a Department of the Army permit may
constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act (33 USC § 401 and/or 403). If you have any questions
regarding this determination and/or the Corps regulatory program, please contact Catherine M. Janiczak at 704-510-1438 or
Catherine.M.Janiczak(a,usace.army.mil.
C. Basis For Determination: Basis For Determination: See the preliminary iurisdictional determination
form dated 04/22/2019.
D. Remarks: None.
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination 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 request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.
F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in B.
above)
This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this determination you
must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Jason Steele, Review Officer
60 Forsyth Street SW, Room 1 OM15
Atlanta, Georgia 30303-8801
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by Not applicable.
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this correspondence.**
Corps Regulatory Official:
Catherine M. Janiczak
Date of JD: 04/22/2019 Expiration Date of JD: Not applicable

SAW-2019-00628
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete the Customer Satisfaction Survey located at
http://corpsmapu.usace.army.mil/cm_apex/f?p=136:4:0
Copy furnished:
Agent: CWS Inc
Aliisa Hariuniemi
Address: 550 E. Westinghouse Blvd
Charlotte, NC 28273
Telephone Number: 980-259-1222
E-mail: at isana,cws-inc.net

N&MCAMN OF Ab AND
REQUEST FOR APPEAL
Applicant: Madge S. Garrison Revoc Trust, Morris
File Number: SAW-2019-00628
Date: 04/22/2019
Kaplan
Attached is:
See Section below
INITIAL PROFFERED PERMIT Standard Permit or Letter ofpermission)
A
PROFFERED PERMIT Standard Permit or Letter ofpermission)
B
PERMIT DENIAL
C
APPROVED JURISDICTIONAL DETERMINATION
D
PRELIMINARY JURISDICTIONAL DETERMINATION
E
SECTION 1 - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at or hum-'www.usacc.arnrv.ntil Missions CivilWorks:Rcgulatorvl'rogramarulPcnnits.asnx
or the Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After
evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved 1D or provide new
information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section lI of this form and sending the form to the district engineer. This forth
must be received by the division engineer within 60 days of the date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed),
by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the M.
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However, you may provide additional information to clarify the location of information that is already in the administrative
If you have questions regarding this decision and/or the
appeal process you may contact:
District Engineer, Wilmington Regulatory Division
Attn: Catherine M. Janiczak
Charlotte Regulatory Office
U.S Army Corps of Engineers
8430 University Executive Park Drive, Suite 615
Charlotte, North Carolina 28262
If you only have questions regarding the appeal process you may
also contact:
Mr. Jason Steele, Administrative Appeal Review Officer
CESAD-PDO
U.S. Army Corps of Engineers, South Atlantic Division
60 Forsyth Street, Room I OM 15
Atlanta, Georgia 30303-8801
Phone: [phone]
IRIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government I
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day
notice of anv site investieation. and will have the onnortunity to narticinate in all site investi¢ations.
Date:
or
For appeals on Initial Proffered Permits send this form to:
Telephone number:
District Engineer, Wilmington Regulatory Division, Attn: Catherine M. Janiczak, 69 Darlington Avenue, Wilmington, North
Carolina 28403
For Permit denials, Proffered Permits and Approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Jason Steele, Administrative Appeal
Officer, CESAD-PDO, 60 Forsyth Street, Room 1OM15, Atlanta, Georgia 30303-8801
Phone: [phone]

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 04/22/2019
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Madge S. Garrison Revoc Trust, Morris Kaplan, 608
Lankashire Road,Winston Salem, NC 27104
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, PROJECT NAME, SAW-2019-
00628
D. PROJECT LOCATIONS) AND BACKGROUND INFORMATION: The review area is located 0.277 miles
Southeast of the intersection of Wilkinson Blvd and Park St in Gaston County. PIN(s)186553, 186555, 186556, 186557,
18655, 186561, 186562, 186563, 186564.
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County: Gaston City: Mount Gilead
Center coordinates of site (lat/long in degree decimal format): Latitude: 35.248375 Longitude:-80.025127
Universal Transverse Mercator:
Name of nearest waterbody: Clarks Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
® Office (Desk) Determination. Date: 04/22/2019
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES INREVIEWAREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site Number
Latitude (decimal
degrees)
Longitude (decimal
degrees)
Estimated amount of
aquatic resources in
review area (acreage
and linear feet, if
applicable
Type of aquatic
resources (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)
Stream A
35.248165
-81.024084
2087 linear feet
Non -wetland
Sec. 404
Stream B
35.245836
-81.022248
641 linear feet
Non -wetland
Sec. 404

1) 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.
2) 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 PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources below where
indicated for all checked items:
® Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: Figure 7 (Dated 04/01/2019)_
® Data sheets prepared/submitted by or on behalf of the PJD requestor.
® Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ 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: 7.5 Minute Topographic, Belmont and Mount Holly
® Natural Resources Conservation Service Soil Survey. Citation: Gaston County Sheets 4 and 8, 1989
® National wetlands inventory map(s). Cite name: USFWS, 2018
❑ State/local wetland inventory map(s):
❑ FEMA/FIR 4 maps:
❑ 100-year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
® Photographs: ®Aerial (Name & Date): ESRI (Dated 2018)
or ®Other (Name & Date): Photolog (Dated March 2019)
❑ 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 Corns and should not be relied upon for later jurisdictional determinations.
Catherine M. Janiczak
Signature and date of Regulatory
staff member completing PJD
04/22/2019
Signature and date of person requesting PJD
(REQUIRED, unless obtaining the signature is
impracticable) t
t Districts may establish timeframes for requester to return signed PJD forms. If the requester 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.

ST
DP1
Perennial Stream A
2,087 If
SCP2
U
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Perennial Stream B
641 If
Legend
O Project Limits (38 ac.)
Perennial Stream
Roads
Tax Parcels
F C
z W ATgLveq
*DP Data Point
MW
s
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ASCP Stream Classification Point
3P
< Indicates Flow
REFERENCE: BACKGROUND GIS LAYERS) PROVIDED BY GAS ION
*1* Photo Location and Direction
COUNTY GIS DEPARTMENT, DATED 2018.
NOTE JURISDICTIONAL WATERS OF THE U.S. WERE DELINEATED (FLAGGED
IN THE FIELD), CLASSIFIED, AND MAPPED USING A SUB -FOOT CAPABLE GPS
500 250 0
500 Feet
UNIT BY CWS, INC., ON MARCH 19, 2019. JURISDICTIONAL FEATURES HAVE
NOT BEEN VERIFIED BY THE USACE.
SCALE.
DATE:
FIGURE NO.
1 inch = 500 feet
4/1/2019
Jurisdictional Boundaries
7
CWS PROJECT NO:
DRAWN BY
®
2019-0008
HEM
6918 Wilkinson Boulevard
of
COORDINATES.
CHECKED BY'.
^
y A R Q L I N A
Gaston County
7
35.248375,-81.025127
CAG
WETLAND SERVICES
Belmont, North Carolina
G:\Team Drrves\Consuting Team Drive@01912019 Consulting Projed%Q01&00086918 Wilklnwn BNdUDWmGISTigure7_JD.mxd

6918 Wilkinson Boulevard
Attachments
ATTACHMENT D:
Permit Drawings
January 30, 2020
CWS Project No. 2019-0008

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NOTES:
1. WORK IN CREEK SHALL BE PLANNED TO MINIMIZE THE NUMBER OF DAYS OF
DISTURBANCE.
2. THE SUBCONTRACTOR IS TO OBSERVE THE LOCAL WEATHER FORECASTS AND NOT BEGIN
WORK IN THE CREEK UNLESS AT LEAST THREE DAYS WITHOUT RAIN IS ANTICIPATED.
3. ALL DISTURBED CREEK BED AND BANKS ARE TO BE STABILIZED PRIOR TO THE END
OF EACH WORK DAY.
4. FOR LARGER CREEKS, CONSTRUCTION SHOULD OCCUR ON ONE SIDE
OF THE CREEK AT A TIME. THE FIRST SIDE SHOULD BE STABILIZED
BEFORE BEGINNING CONSTRUCTION ON THE OPPOSITE SIDE.
5. A TEMPORARY PIPE OR PUMP MAY BE INSTALLED TO CONTROL
CREEK FLOW DURING CONSTRUCTION.
CONSTRUCT THREE ROCK CHECK DAMS (STD. 30.10) AT 100—FOOT
SPACING DOWN STREAM FROM THE CONSTRUCTION ZONE IF
CONDITIONS AND PROPERTY RIGHTS ALLOW. ---7t,
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TOP BANK
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INSTALL DIKE OR COFFERDAM IMMEDIATELY
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6918 Wilkinson Boulevard
Attachments
ATTACHMENT E:
January 30, 2020
CWS Project No. 2019-0008
Protected Species Habitat Assessment Report

CAROLINA WETLAND SERVICES, INC.
550 E. Westinghouse Blvd.
Charlotte, NC 28273
704-527.1177 (office)
704-527-1133(fax)
May 8, 2019
Mr. Morris Kaplan
Kaplan Residential
1111 Kane Concourse Ste 302
Bay Harbor Islands, FL 33154
Subject: Protected Species Habitat Assessment Report
6918 Wilkinson Blvd
Belmont, North Carolina
CWS Project No. 2019-0008
Dear Mr. Kaplan,
Kaplan Residential has contracted Carolina Wetland Services, Inc. (CWS) to provide a
protected species habitat assessment for the 6918 Wilkinson Blvd site. The project area
includes Gaston County Tax Parcel Nos. 186553, 186555, 186556, 186557, 186558, 186561,
186562, 186563, and 186564, totalling approximately 38 acres in extent. The project area is
located southeast of the Wilkinson Boulevard and Park Street intersection in Belmont, North
Carolina (Figure 1).
Methods
In -office Desktop Review
To determine which protected species are listed as occurring or potentially occurring within the
project vicinity and prior to conducting the on -site field investigation, CWS consulted the United
States Fish and Wildlife Service's (USFWS) Endangered and Threatened Species and Species
of Concern by County for North Carolina online database for Gaston County'. In addition, CWS
performed a data review using the North Carolina Natural Heritage Program (NCNHP) Data
Explorer2 on April 25, 2019 to determine if any record occurrences of federally -listed, candidate
endangered, threatened species, or critical habitat are located within the project limits.
Typical habitat requirements for listed species was discerned from multiple USFWS3 and
NCNHP° online resources including, but not limited to, specific USFWS species profiles,
recovery plans, NCNHP's Guide to Federally Listed Endangered and Threatened Species of
North Carolina, and List of the Rare Plant Species of North Carolina. United States Department
' United States Fish and Wildlife Service, Raleigh Field Office. Accessed April 25, 2019. Endangered and Threatened Species
and Species of Concern by County for North Carolina. https:/hw .fws.gov/raleigh/specieslentylisttgaston.html
3 North Carolina Natural Heritage Program. 2019. Biotics Database. Division of Land and Water Stewardship. Department of
Natural and Cultural Resources, Raleigh, North Carolina..
' U.S. Fish and Wildlife Service. 2006. Optimal Survey Windows for North Carolina's Federally Threatened and Endangered Plant
Species. http://www.fws.gov/nces/esiplant_survey.html. Accessed April 25, 2019.
Buchanan, M.F. and J.T. Finnegan. 2010. Natural Heritage Program List of the Rare Plant Species of North Carolina. NC Natural
Heritage Program, Raleigh, NC. Accessed from https://w .fws.gov/raleigh/species/cntylist/nc_Wunfes.html
NORTH CAROLINA - SOUTH CAROLINA
WWW.CWS-INC.NET
Page 1 of 6

6918 Wilkinson Blvd May 8, 2019
Protected Species Habitat Assessment Report CWS Project No. 2019-0008
of Agriculture - Natural Resources Conservation Service (USDA-NRCS) Web Soil Survey of
Gaston County5 and aerial imagery were also reviewed for potential habitat communities of
listed species within the project vicinity (Figures 2 and 3).
Field Survey
CWS scientists Megan Shelton, (WPIT)a, Staff Scientist II, and Hannah Meeler, Staff Scientist I,
conducted a pedestrian habitat assessment of the project area on April 25, 2019. Supporting
habitat areas for potentially occurring federally -protected species that were identified during the
desktop review were evaluated in the field. The evaluation included assessing the quality of
physical and/or biological features that would be supportive of protected species. Additionally,
during the pedestrian habitat assessment, habitat areas were qualitatively reviewed for the
occurrence of applicable federally protected species. However, formal surveys were not
conducted for the occurrence of protected species. Identification references for natural
communities include Nelson's'The Natural Communities of North Carolina.' (1986)' and
Weakley's 'Flora of the Southern and Mid -Atlantic States' (2015)8 for plant species identification.
Results
Based on the NCNHP data explorer review, there are no current records of federally -protected
species within the project limits or within a mile of the project limits (Attachment A). The
USFWS lists four federally protected species for Gaston County (Table 1). An official species
list has not been obtained from the USFWS Asheville Field Office.
Table 1. Unofficial List of Federally -Protected Species Potentially Occurring within the
6918 Wilkinson Blvd Site. Gaston County, NC.
Myotr Group
Scientific Name
Common Name
Federal Status•
Recoird Eblus
Plant
Helianthus
Schweinitz's
E
Current
schweinitzii
sunflower
Plant
HexasVis nanitlora
Dwarf -flowered
T
Current
heartleaf
Animal
Haliaeetus
Bald eagle
BGPA
Current
leucocephalus
Animal
Myotis
Northern long-eared
T
Current
septentrionalis
bat
E - Endangered, T - Threatened, BGPA - Bald and Golden Eagle Protection Act
Two terrestrial community types were identified within the project area during the field survey.
These community types consist of deciduous forest and herbaceous areas (Figure 3). Of the
identified on -site community types, the deciduous and the herbaceous areas along the forest
edge are considered potential habitat for federally threatened or endangered species that could
potentially occur within the project limits. A brief description of each species habitat
requirements and determination of effect findings are listed below by species.
' United States Department of Agriculture, 2017. Web Soil Survey of Gaston County, North Carolina. April 25, 2019.
Source: https:lhvebsoilsurvey.nres.urde.gov/app/HomePage.htm
F Wetland Professional in Training, The Society of Wetland Scientist Certification Training Program
7 Nelson, John B.. 1986. The Natural Communities of North Carolina, Initial Classification and Description.
hftpJ/m. namethatplant.net(PDFs/JBN Doc.pdf
' Weakley, A.S. 2015. Flora of the Southern and Mid -Atlantic States. http:lty .herbadum.unc.edu/fiora.htm.
Page 2 of 6

6918 Wilkinson Blvd May 8, 2019
Protected Species Habitat Assessment Report CWS Project No. 2019-0008
Schweinitz's sunflower (Helianthus schweinitzi►�
Habitat Description:
Schweinitz's sunflower is a perennial herb with yellow rays and yellow centers. They
can reach heights of five feet. Populations are limited to the piedmont of North and
South Carolina. It has been listed as an endangered species under the Endangered
Species Act (ESA) since 1991.1 The typical habitat for this plant includes roadsides, old
pastures, transmission line right-of-ways, open areas, either natural or
human -maintained habitats, or edges of upland woods. Major characteristics of soils
associated with suitable Schweinitz's sunflower habitat include thin soils, soils on upland
interstream flats or gentle slopes, soils that are clay like in both composition and texture
(and often with substantial rock fragments), soils that have a high shrinkage swell
capacity, and those which vary over the course of the year from very wet to very dry.
Biological Analysis:
A NCNHP data record review revealed that there are no current occurrences for this
species within the project limits, or within a one -mile radius of the project (Attachment A).
The desktop review determined that there is a small section along the eastern portion of
the project boundary that does contain the Cecil soils commonly associated with
Schweinitz's sunflower, however this area is completely forested, which is not conducive
to this species (Photograph 1). The field habitat assessment performed on April 25,
2019 revealed that the majority of the site is dominated by the invasive species kudzu
(Pueraria montana), which provides too much competition for Schweinitz's sunflower
(Photograph 2). There is a sewer line right-of-way that runs through the northern and
eastern portion of the project limits, however, the right-of-way is too compacted and too
heavily maintained through the practices of mowing to be supportive habitat for the
Schweinitz's sunflower (Photograph 3). No individuals of Schweinitz's sunflower or other
Helianthus species were observed during the field assessment on April 25, 2019, and
supportive habitat was not present, which leads CWS to conclude that this project will
have no effect on the Schweinitz's sunflower.
Dwarf -flowered heartleaf (Hexastylis naniflora)
Habitat Description:
Dwarf -flowered heartleaf is endemic to the western Piedmont and foothills of North and
South Carolina. This herbaceous evergreen is found in moist to rather dry forests along
bluffs; boggy areas next to streams and creek heads; and adjacent hillsides, slopes, and
ravines. Requiring acidic, sandy loam soils, the species is found in soil series such as
Pacolet, Madison, and Musella, among others. Occurrences are generally found on a
north facing slope. Undisturbed natural communities such as Piedmont/Coastal Plain
Heath Bluff, Dry-Mesic Oak Hickory Forest, and Mesic Mixed Hardwood Forest hold the
most viable occurrences. However, less viable remnant occurrences are found in
disturbed habitats, including logged, grazed, mown, and residential/commercial
developed lands; areas converted to pasture, orchards, and tree plantations; roadside
rights -of -way; and on upland slopes surrounding man-made ponds or lakes.10
9 United States Fish and Wildlife Services. 1991. Endangered and Threatened Wildlife and Plants; Helianthus schweinitzii
(Schweinitz's sunflower) Determined to be Endangered. http://ecos.fws.gov/docs/federal_ register/frl852.pdf.
10 North Carolina Department of Transportation NRTR Guidelines for Consultants. T&E Animal and Plant Habitat Descriptions.
https://connect. ncdot. gov/resou rces/environmental/pages/environmental-compliance-g uides.aspx
Page 3 of 6

6918 Wilkinson Blvd May 8, 2019
Protected Species Habitat Assessment Report CWS Project No. 2019-0008
Biological Analysis:
A NCNHP data record review revealed that there are no current occurrences for this
species within the project limits, or within a one -mile radius of the project. The desktop
review and field survey assessment determined that the soils commonly associated with
the Dwarf -flowered heartleaf are not found within the project limits. In addition, the area
in the eastern portion of the project limits that did contain the proper slopes was too
overgrown with kudzu in the understory to provide suitable habitat (Photograph 4). No
Hexastylis species were observed during the habitat assessment on April 25, 2019, and
suitable habitat was not present, which leads CWS to conclude that the project will
have no affect the Dwarf -flowered heartleaf.
Bald eagle (Haliaeetus leucocephalus)
The Bald and Golden Eagle Protection Act," enacted in 1940, prohibits anyone, without a
permit issued, from "taking" bald eagles, including their parts, nests, or eggs. Habitat for the
bald eagle includes cliffs and forested areas near estuaries, large lakes, reservoirs, rivers,
seacoast, and as they become more abundant, stands of undisturbed forest. The Catawba
River is large enough to be considered a potential feeding source and is located within a one
mile radius of the project area. The project limits also include patches of undisturbed deciduous
forest with large trees in the canopy. However, no bald eagles or bald eagle nests were
observed during the site visit on April 25, 2019. Additionally, a review of the NCNHP database
on April 25, 2019, revealed no known occurrences of this species within 1.0 mile of the project
study area. Due to the presence of suitable habitat, CWS concludes that this project may
affect, but is not likely to adversely affect the bald eagle. However, if an eagle nest is
observed within the property at any time during the project related activities,
consultation with the USFWS will be required.
Northern long-eared bat (Myotis se septentrionalis)
The northern long-eared bat (NLEB) is one of the species of bats most impacted by the
white -nose syndrome disease. Summer habitat (roosting habitat) of the NLEB includes forests
and woodlots containing live trees and/or dead snags greater than three inches diameter at
breast height with cavities or crevices. Winter habitat (hibernacula) of the NLEB includes caves,
mines, rocky areas, or structures that mimic similar conditions such as culverts greater than
48-inch in diameter.12 The NLEB was listed as Threatened (T) on April 2, 2015.
The forested areas within the property are potential habitats for the NLEB. A Standard Local
Operating Procedure for Endangered Species Act Compliance (SLOPES) was established for
NLEB between the USFWS Asheville and Raleigh Ecological Offices and the United States
Army Corps of Engineers (USACE), Wilmington District, on January 31, 2017.13 This SLOPES
defines how the USACE will make determinations of effect to the NLEB on projects in which the
USACE is the lead federal agency. Alternative Local Procedure 2 (ALP 2) applies for the 6918
Wilkinson Blvd site as the action area is within range of the NLEB,14 the action area is located
" https://www.fws.gov/midwest/MidwestBird/eaglepermits/bagepa.htmi
12 United States Fish and Wildlife Service. 2016.4(d) Rule for the Northern Long -Eared Bat; Final rule.
https://www.gpo.gov/fdsys/pkg/FR-2016-01-14/pdf/2016-00617.pdf
13 USACE http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdfw 14 The U.S. Fish and Wildlife Service (USFWS) 2016. https://ww.fws_gov/midwestlendangered/mammals/nleb/pdfMNSZone.pdf
Page 4 of 6

6918 Wilkinson Blvd May 8, 2019
Protected Species Habitat Assessment Report CWS Project No. 2019-0008
outside of a red 12-digit HUC as defined by the Asheville Ecological Services Field office,15 and
consultation by the USACE is not required on other listed species or critical habitat.
The final 4(d) rule exempts incidental take of NLEB associated with activities that occur greater
than 0.25 miles from a known hibernaculum site and greater than 150 feet from a known,
occupied maternity roost from June 1-July 31. In accordance with the ALP 2 and the final 4(d)
rule (effective as of February 16, 2016), any incidental take that may result from associated
activities is exempt under the 4(d) rule. Therefore, this project is exempt under the 4(d) rule.
Determinations
Based on the literature search and the results of the on -site assessment for suitable habitat of
federally -protected endangered, threatened, and candidate species, suitable habitat was not
observed within the project limits for Schweinitz's sunflower or the Dwarf flowered heartleaf and
therefore the proposed project will not affect these species. Suitable habitat was observed for
the Bald eagle. No Bald eagles or Bald eagle nests were observed during the site visit, but due
to the presence of suitable habitat, CWS concludes that this project may affect, but is not likely
to adversely affect the bald eagle. If an eagle nest is observed within the property at any time
during the project related activities, consultation with the USFWS will be required. Additionally,
based on the project area location, no tree removal activities will occur within a 150-foot radius
of a known, occupied NLEB maternity roost from June 1-July 31, and no trees will be removed
within 0.25 miles of a known hibemaculum at any time of year. Therefore, any incidental take
on NLEB that may result from associated activities is exempt under the 4(d) rule and
notifications will follow the SLOPES agreement16. Biological determinations requirements for
federally protected species are summarized in Table 2 (below).
Table 2. Biological Determination Requirements Summary Table for Federally Protected Species
Federal
Effect on Listed
Biological
Scientific Name
Common Name
Status*
Species
Determination
Required
Helianthus schweinitzii
Schweinitz's sunflower
E
No Effect
No
Hexastylis naniflora
Dwarf -flowered heartleaf
T
No Effect
No
Myotis septentrionalis
Northem-long-eared bat
T
Exempt/Excepted
Yes"
Haliaeetus
May affect, but not
leucocephalus
Bald eagle
BGEPA
likely to adversely
Maybe
affect
E - Endangered, T - Threatened, BGEPA - Bald and Golden Eagle Protection Act
' - Required in accordance with SLOPES, ALP 2 agreement.
A biological assessment was not conducted for this project. All biological determinations of
effect represent the best professional opinion of CWS and are not official determinations of
effect. It is the responsibility of the lead federal agency to render an official determination of
effect. Should the lead federal agency agree with CWS's initial findings of no effect, then no
USFWS consultation is required to comply with Section 7 of the Endangered Species Act.
Should the lead federal agency's determination of effect differ from the findings of CWS, formal
or informal consultation with USFWS may be required.
's The U.S. Fish and Wildlife Service (USFWS) 2016. Northern Long -Eared Bat.
16 http:/twww.fws.gov/asheville/htmislproject_review/NLEB_in_WNC.html
Page 5 of 6

6918 Wilkinson Blvd
Protected Species Habitat Assessment Report
May 8, 2019
CWS Project No. 2019-0008
Thank you for the opportunity to provide these services on this important project. Please do not
hesitate to contact Aliisa Harjuniemi at 980-259-1222 or [e-mail] should you have
any questions or comments regarding this report.
Sincerely,
/4i"� A�'-Cfi''�'
Aliisa Harjuniemi, PWS
Project Scientist
Christine A. Geist, PWS, CE
Consulting Group Manager
Attachments: Figure 1: USGS Topographic Map
Figure 2: Current USDA-NRCS Soil Map of Gaston County
Figure 3: Aerial Imagery
Attachment A: NCNHP Data Review Report
Attachment B: Representative Photographs (1-4)
Page 6 of 6

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N g EB� O Project Limits (38 ac.)
'P
2,000 1,000 0 2,000 Feet
REFERENCE: USGS 7.5 MINUTE TOPOGRAPHIC QUADRANGLES). BELMONT AND MOUNT HOLLY, NC (2011).
SCALE: DATE: FIGURE NO.
1 inch = 2,000 feet 5/2/2019 ® USGS Topographic Map
CM PROJECT NO: DRAWN BY: 1
2019-0008 MLS 6918 Wilkinson Boulevard of
COORDINATES: CHECKED BY: C A R O L I N A Gaston County
35.248375,-81.025127 CAG WETLAND SERVICES Belmont, North Carolina 3
GLTeam Dnves\Consdit Team Dr eX201WO19ConsuMP,ecl 019-00088918W,*,. nB CUBur Resources\Figures\F,g..2_USGS.m>m

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GSTeam Dnves Consulting Team Dwe1201912019 Consutling PmWs@019-00066918 Wilkinson 91WWP SWm I&Flgurs3_MrWLmxd

6918 Wilkinson Blvd
Attachments
May 8, 2019
CWS Project No. 2019-0008
ATTACHMENT A:
NCNHP Report

0 Roy Cooper. Governor
ON � NC DEPARTMENT OF Susi Hamilton. Secretary
Nunn NATURAL AND CULTURAL RESOURCES
• MEN Walter Clark, Director, Land and Water Stewardship
April 25, 2019
Megan Shelton
Carolina Wetland Services
550 East Westinghouse Blvd
Charlotte, NC 28273
RE: Wilkinson Blvd
Dear Megan Shelton
NCNHDE-8828
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 indicates that there are records for rare species, important natural
communities, natural areas, and/or conservation/managed areas within the proposed project
boundary. These results are presented in the attached 'Documented Occurrences' tables and map.
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 documented within the project area or 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:
hft /A.....v.r fiuc nnv /nffiroc /hircrhnrv/I mtnffiroa rfm?atatcrnrlc=77
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.
Also please note that 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 an occurrence of a Federally -listed species is 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.butler0)ncdcr.aov or 919-707-8603.
Sincerely,
NC Natural Heritage Program
DEPARTMENT OF NATURAL AND CULTURAL RESOURCES

Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Intersecting the Project Area
Wilkinson Blvd
April 25, 2019
NCNHDE-8828
No Element Occurrences are Documented within the Project Area
There are no documented element occurrences (of medium to very high accuracy) that intersect with the project area. Please note, however, that althougl
NCNHP database does not show records for rare species within the project area, it does not necessarily mean that they are not present; it may simply mear
the area has not been surveyed. The use of Natural Heritage Program data should not be substituted for actual field surveys if needed, particularly if the pr
area contains suitable habitat for rare species. If rare species are found, the NCNHP would appreciate receiving this information so that we may update oui
database.
No Natural Areas are Documented within the Project Area
Managed Areas Documented Within Project Area
Managed Area Name
NC Clean Water Management Trust Fund Easement NC DNCR, Clean Water Management Trust State
Fund
NOTE: If the proposed project intersects with a conservation/managed area, please contact the landowner directly for additional information. If the project intersects with a Dedicated Nature Pr
(DNP), Registered Natural Heritage Area (RHA), or Federally -listed species, NCNHP staff may provide additional correspondence regarding the project.
Definitions and an explanation of status designations and codes can be found at httns://ncnhde.natureserve oro/content/helo. Data query generated on April 25. 2019; source: NCNHP, O1 Jan 20
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 4

Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One -mile Radius of the Project Area
Wilkinson Blvd
April 25, 2019
NCNHDE-8828
Flement OCCUrrerces Documented Within a One -mile Radius of the Project Area
Taxonomic EO ID Scientific Name Common N Ele ` State Global S�
Group Observation Occurrence Status Status Rank
aiwilawmili Date Rank
Amphibian 38441 Eurycea quadridigitata Dwarf Salamander 1974-04-02 H? 4-Low --- Special GS S2
Concern
Animal 38212 Waterbird Colony ---
2017-02-15
E
2-High ---
---
GNR
S3
Assemblage
Natural 31615 Dry-Mesic Basic ---
2012-08-14
C
2-High ---
---
G3G4
S3
Community Oak --Hickory Forest
(Piedmont Subtype)
Natural 31616 Mesic Mixed Hardwood---
2012-08-14
C
2-High ---
---
G3G4
S4
Community Forest (Piedmont
Subtype)
Vascular Plant 28867 Carex bushii Bush's Sedge
1983-08-20
H?
3-Medium
Significantly
G4
S1
Rare
Peripheral
Natural Areas Documented Within a One -mile Radius of the Project Area
Slte Name` Representational Rating
Collective Rating
Gateway Nature Preserve R3 (High)
C4 (Moderate)
Managed Areas Documented Within a One -mile Radius of the Project Area
Managed Area Name Owner Owner Type
NC Clean Water Management Trust Fund Easement NC DNCR, Clean Water Management Trust State
Fund
Mecklenburg County Open Space Mecklenburg County Local Government
Gaston County Open Space Gaston County: multiple local government Local Government
Iswa Nature Preserve Mecklenburg County Local Government
Definitions and an explanation of status designations and codes can be found at https//ncnhde.natureserve.ora/content/help. Data query generated on April 25, 2019: source: NCNHP, Q1 Jan 20
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 3 of 4

NCNHDE-8828: Wilkinson Blvd
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April 25, 2019
❑ Project Boundary
❑ Buffered Project Boundary
NHP Natural Area (NHNA)
❑ Managed Area (MAREA)
Page 4 of 4
s—
1:23,778
0 0.2 0.4 0.a mi
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6918 Wilkinson Blvd
Attachments
May 8, 2019
CWS Project No. 2019-0008
ATTACHMENT B:
Photopage (Photographs 1-4)

6918 Wilkinson Blvd
Attachment B: Photopage
May 8, 2019
CWS Project No. 2019-0008
Photograph 1. View of unsuitable Schweinitz's sunflower habitat, facing north.
� S
G fit
N.
Photograph 2. View of unsuitable Schweinitz's sunflower habitat, facing northwest.
Photopage 1 of 2

6918 Wilkinson Blvd May 8, 2019
Attachment B: Photopage CWS Project No. 2019-0008
Photograph 3. View of unsuitable Schweinitz's sunflower habitat, facing nor[hcast.
Photograph 4. View of unsuitable Dwarf -flowered heartleaf habitat, facing east.
Photopage 2 of 2

6918 Wilkinson Boulevard
Attachments
ATTACHMENT F:
Property Owner Information
January 30, 2020
CWS Project No. 2019-0008

3/22/2019
Parcel Details for 186553
Property Information
Parcel Number 186553
Mapped Acres
0.5100
Tax Year 2019 .
Assessed Value
14.920
Class 1000-Vacant
Tax Rate
0.0000
Tax Code 310 - COMMUNITY FD
Total Tax
$0.00
Neighborhood BEOD6-Park Street
Physical Address MCLEAN AVE BELMONT INC 28012
O Property Sketches & Photos
Mobile Video File
Legal Descriptions
Legal Description Subdivision Name
Block Lot
Dead Book
Deed Page
MARY A GARRISON L 13-17 15 037A 005 00 000
No Exemptions
Related Names as of 1-1-2019
OWNER MADGE S GARRISON REVOC TRUST,
Mailing Address 608 LANKASHIRE RD
WINSTON SALEM, NC 271040000
Sales History
Year Dead Book & Page Selo Type Sale Date
Sold By
Sold To
Price
1998 099E 0667 8/27/1998
MADGE S GARRISON REVOC TRUST
$0
1899 07620269 1/1/1899
$0
Land Valuation
Property Class
Valued Acres
Appraised Value
RES UNDEVELOPED
0.5100
14,917
No Structure Information
Market Value
Year Market Land
Market Building
Market Total
2019 14,920
0
14,920
https:/Igastonnc.devnetwedge.mmtparcellview/l 9655312019?card=true 12

3/22/2019
Parcel Details for 186553
Contact Information
126 W. Main Ave.
PO Box 1578
Gastonia, NC 28053-1578
https://gastonnc.devnetwedge.com/parceUview/186553/2019?card=true 2/2

3/2212019
Parcel Details for 186555
Properly Information
Parcel Number 186556
Mapped Acres
0.2300
Tax Year 2019 .
Assessed Value
6,730
Class 1D00-Vacant
Tax Rate
0.0000
Tax Code 310 - COMMUNITY FD
Total Tax
$0.00
Neighborhood BE006-Park Street
Physical Address MCLEAN AVE BELMONT NC 28012
O Property Sketches & Photos
Mobile Video File
Legal Descriptions
Legal Description Subdivision Name
Block Lot
Dead Book
Deed Page
MARY A GARRISON L 2D-21 15 037A 007 00 000
No Exemptions
Related Names as of 1-1-2019
OWNER MADGE S GARRISON REVOC TRUST,
Mailing Address 608 LANKASHIRE RD
WINSTON SALEM, NC 271040000
Sales History
Year Deed Book 6 Page Sale Type Sale Date
Sold By
Sold To
Price
1998 099E 0667 8/27/1998
MADGE S GARRISON REVOC TRUST
$0
1988 1924 0862 711119M
$0
1899 07620269 1/1/1899
$0
Land Valuation
Property Class
Valued Acres
Appraised Value
RES LAND
0,2300
6,727
No Structure Information
Market Value
Year Market Land
Market Building
Market Total
2019 6,730
0
6.730
https://gastonnc.de"etwedge.mnVpar Vview/186556/2019?card=true 1/2

3/22/2019
Parcel Details for 186555
iContact Information _ T
128 W. Main Ave.
PO Box 1578
Gastonia, NC 28053-1578
hftps://gastonnc.devnetwedge.com/parcel/view/186555/2019?card=true 2/2

3/22/2019
Parcel Details for 186556
Property Information
Parcel Number 186556
Mapped Acres
1.9700
Tax Year 2019 .
Assessed Value
39,090
Class 1000-Vacant
Tax Rate
0.0000
Tax Code 310-COMMUNITY FD
Total Tax
$0,00
Neighborhood BE006-Park Street
Physical Address MCLEAN AVE BELMONT NC 28012
O Property Sketches & Photos
Mobile Video File
•
1
Legal Descriptions
Legal Description Subdivision Name
Block Lot
Deed Book
Deed Page
. 15 037A 008 00 000
No Exemptions
Related Names as of 1-1-2019
OWNER MADGE S GARRISON REVOC TRUST,
Mailing Address 608 LANKASHIRE RD
WINSTON SALEM, NC 271040000
Sales History
Year Dead Book & Page Sale Type Sale Date
Sold By
Sold To
Price
1998 099E 0667 8/27/1998
MADGE S GARRISON REVOC TRUST
$0
1899 07620269 1/1/1899
s0
Land Valuation
Property Class
Valued Acres
Appraised Value
RES LAND
1.9700
39.092
No Structure Information
Market Value
Year Market Land
Market Building
Market Total
2019 39,090
0
39,090
https://gastonnc.devnetwedge.com/parceWiew/186556/2019?card=true 1/2

3/22/2019
Parcel Details for 186556
Contact Information
--------------------- - - --
---- ---_ 128 W. Main Ave.--�—�-- _ — --
PO Box 1578
Gastonia, NC 28053-1578
hftps://gastonnc.devnetwedge.com/parcel/view/186556/2019?card=true 2/2

3/22/2019
Parcel Details for 186557
Property Information
Parcel Number 186557
Mapped Acres
1.2600
Tax Year 2019 .
Assessed Value
33,050
Class 1000-Vacant
Tax Rate
0.0000
Tax Code 310 - COMMUNITY FD
Total Tax
$0,00
Neighborhood BE006-Park Street
Physical Address MCLEAN AVE BELMONT NC 28012
O Property Sketches & Photos
Mobile Video File
is
!tio i
xt
w
i y
Legal Descriptions
Legal Description Subdivision Name
Blook Lot
Dead Book
Deed Page
MARY A GARRISON
L 22-32 15 037A 009 00 000
No Exemptions
Related Names as of 1-1-2019
OWNER MADGE S GARRISON REVOC TRUST,
Mailing Address 608 LANKASHIRE RD
WINSTON SALEM, NC 271040000
Sales History
Year Deed Book S Page Sale Type Sale Date
Sold By
Sold To
Price
1998 099E 0667 8/27/1998
MADGE S GARRISON REVOC TRUST
$0
1899 0762 0269 1/1/1899
$0
Land Valuation
Property Class
Valued Acres
Appraised Value
RES LAND
1 2600
33,052
No Structure Information
Market Value
Year Markel Land
Markel Building
Markel Total
2019 33.050
0
33,050
hftps://gastonnc.devnetwedge.mm/parcel/view/l 86557/2019?card=true 1/2

3/22/2019 Parcel Details for 186557
i Contact Information
128 W. Main Ave.
PO Box 1578
Gastonia, NC 28053-1578
hftps://gastonnc.devnetwedge.com/parcel/view/186557/2O19?card=true 2/2

3/22/2019
Parcel Details for 196558
Property Information
Parcel Number 186558
Mapped Acres
26.2300
Tax Year 2019 .
Assessed Value
341,370
Class 1001 - Vacant 10 Acres 8 Up
Tax Rate
0.0000
Tax Code 310 -COMMUNITY FD
Total Tax
$0.00
Neighborhood BE003 - Belmont Village/N Main/Wilkinson
Physical Address MCLEAN AVE BELMONT NC 28012
O Property Sketches & Photos
Mobile Video File
Legal Descriptions
Legal Description Subdivision Name
Block Lot
Deed Book
Deed Page
. 15 037A 010 00 000
No Exemptions
Related Names as of 1-1-2019
OWNER MADGE S GARRISON REVOC TRUST,
Mailing Address 608 LANKASHIRE RD
WINSTON SALEM, NC 271040000
Sales History
Year Deed Book & Page Sale Type Sale Date
Sold By
Sold To
Price
1998 099E 0667 8/27/1998
MADGE S GARRISON REVOC TRUST
$0
1899 0762 0269 1/1/1899
$0
Land Valuation
Property Class
Valued Acres
Appraised Value
RES LAND
24.3600
333.801
FLOOD PLAIN
1.8700
7.573
No Structure Information
Market Value
Year Market Land
Market Building
Market Total
2019 341,370
0
341,370
https://gastonnc.devnetwedge.coMpareeVview/l 96558/2019?card=true 1/2

3/22/2019
Parcel Details for 186558
Contact Information
128 W. Main Ave.
PO Box 1578
Gastonia, NC 28053-1578
https://gastonnc.devnetwedge.com/parcel/view/186558/2019?card=true 2/2

3f22/2019
Parcel Details for 186561
Property Information
Parcel Number 186561
Mapped Acres
0.8000
Tax YNr 2019 .
Assessed Value
5,640
Class 2000-Commercial Land
Tax Rate
0.0000
Tax Code 110 - BELMONT CITY
Total Tax
$0.00
Neighborhood BE004-Wilkinson
Physical Address ALICE AVE BELMONT NC 28012
O Property Sketches 8 Photos
Mobile Video File
M • •
Legal Descriptions
Legal Description Subdivision Name
Block Lot
Deed Book
Deed Page
MARY A GARRISON L 87-93 15 037A 013 00 000
No Exemptions
Related Names as of 1-1-2019
OWNER MADGE 8 GARRISON REVOC TRUST,
Mailing Address 608 LANKASHIRE RD
WINSTON SALEM, NC 271040000
Sales History
Year Dead Book a Page Sale Type sale Date
Sold By
Sold To
Price
1998 099E 0667 8/27/1998
MADGE S GARRISON REVOC TRUST
$0
1899 0762 0269 11111899
$0
Land Valuation .
Property Class
Valued Acres
Appraised Value
FLOOD PLAIN
0.3300
1,237
0.4700
4,406
No Structure Information
Market Value
Year Market Land
Market Building
Market Total
2019 5.640
0
5,640
hgps://gastonnc.devnetwedge.com/parcel/view/l86561/2019?card=true 1/2

3/22/2019
Parcel Details for 186561
i Contact Information
128 W. Main Ave.
PO Box 1578
Gastonia, NC 28053-1578
https://gastonnc.devnetwedge.com/parcel/view/l 86561 /2019?card=true 2/2

3/22/2019
Parcel Details for 186562
Property Information
Parcel Number 186562
Mapped Acres
0.8600
Tax Year 2019 .
Assessed Value
3,230
Class 2000 - Commercial Land
Tax Rate
0.0000
Tax Code 110 - BELMONT CITY
Total Tax
$0.00
Neighborhood BE004-Wilkinson
Physical Address ALICE AVE BELMONT NC 28012
O Property Sketches & Photos
Mobile Video File
Legal Descriptions
Legal Description Subdivision Name
Block Lot
Deed Book
Deed Page
MARY A GARRISON L 81-86 15 037A 014 00 000
No Exemptions
Related Names as of 1-1-2019
OWNER MADGE S GARRISON REVOC TRUST,
Mailing Address 608 LANKASHIRE RD
WINSTON SALEM. NC 271040000
Sales History
Year Deed Book & Page Sale Type sale Data
Sold By
Sold To
Price
1998 099E 0667 8/27/7998
MADGE S GARRISON REVOC TRUST
$0
1899 07620269 1/1/1899
$0
Land Valuation
Property Class
Valued Acres
Appraised Value
FLOOD PLAIN
0.8600
3,225
No Structure Information
Market Value
Year Market Land
Market Building
Market Total
2019 3,230
0
3,230
hftps://gastonnc.devnetwedge.wm/parcel/view/l 86562/2019?card=true 112

3/22/2019
Parcel Details for 186562
Contact Information
128 W. Main Ave.
PO Box 1578
Gastonia, NG 28053-1578
https:Hgastonnc.devnetwedge.com/parcel/view/186562/2019?card=true 2/2

3/22/2019
Parcel Details for 186563
Property Information
Parcel Number 186563
Mapped Acres
0.6800
Tax Year 2019 -
Assessed Value
35,060
Class 2000-Commercial Land
Tax Rate
0.0000
Tax Code 110 - BELMONT CITY
Total Tax
$0.00
Neighborhood BE004-Wilkinson
Physical Address WILKINSON BLVD BELMONT NC 28012
O Property Sketches 8 Photos
Mobile Video File
186563
Legal Descriptions
Legal Description Subdivision Name
Block Lot
Deed Book
Deed Page
MARY A GARRISON L
60-65 15 037A 015 00 000
No Exemptions
Related Names as of 1-1-2019
OWNER MADGE S GARRISON REVOC TRUST,
Mailing Address 608 LANKASHIRE RD
WINSTON SALEM, NC 271040000
Sales History
Year Deed Book & Page Sale Type Sale Date
Sold By
Sold To
Price
1998 099E 0667 8/27/1998
MADGE S GARRISON REVOC TRUST
s0
1899 0762 0269 1/l/1899
$0
Land Valuation
Property Class
Valued Acres
Appraised Value
COMM RESIDUAL
0.6800
35.062
No Structure Information
Market Value
Year Market Land
Market Building
Market Total
2019 35,060
0
35,060
https://gastonnc.devnetwedge.mm/parcei/view/l 86563/201 9?ca rd=true 1/2

3/22/2019
Parcel Details for 186563
I Contact Information
128 W. Main Ave.
PO Box 1578
Gastonia, NC 28053-1578
https://gastonnc.devnetwedge.com/parcel/view/l86563/#19?card=true 2/2

3/22/2019
Parcel Details for 186564
Property Information
Parcel Number 186564
Mapped Acres
0.8000
Tax Year 2019 .
Assessed Value
41,250
Class 2000-Commercial Land
Tax Rate
0.0000
Tax Code 110 - BELMONT CITY
Total Tax
$0.00
Neighborhood BE004 - Wilkinson
Physical Address WILKINSON BLVD BELMONT NC 28012
O Property Sketches & Photos
Mobile Video File
Legal Descriptions
Legal Description Subdivision Name
Block Lot
Deed Book
Deed Page
MARY A GARRISON
L 66-72 15 037A 016 00 000
No Exemptions
Related Names as of 1-1-2019
OYMER MADGE S GARRISON REVOC TRUST,
Mailing Address 608 LANKASHIRE RD
WINSTON SALEM, NC 271040000
Sales History
Year Dead Book & Page Sale Type Sale Dale
Sold By
Sold To
Prim
1998 099E 0667 8/27/1998
MADGE S GARRISON REVOC TRUST
$0
1899 0762 0269 1/1/1899
$0
Land Valuation
Property Class
Valued Acres
Appraised Value
COMM RESIDUAL
0.8000
41,250
No Structure Information
Market Value
Year Market Land
Market Building
Market Total
2019 41,250
0
41,250
https://gastonnc.devnetwedge.mm/parceWiew/l86564/2019?card=true 1/2

3/22/2019
FQo�nlac Information
https://gastonnc.devnetwedge.com/parcel/view/18 564/ 1 019?card=true
I
2/2

6918 Wilkinson Boulevard
Attachments
ATTACHMENT G:
Photopage (Photographs 1-4)
January 30, 2020
CWS Project No. 2019-0008

6918 Wilkinson Boulevard January 30, 2020
Attachment G: Photopage CWS Project No. 2019-0008
Photograph 1. View of Perennial Stream A, facing upstream.
y
fV
G �
I •ir'.7r ^. j
P4
Photograph 2 View of Perennial Stream B, facing upstream.
Photopage 1 of 2

6918 Wilkinson Boulevard January 30, 2020
Attachment G: Photopage CWS Project No. 2019-0008
Photograph 3. View of non jurisdictional upland area, facing southwest.
Photograph 4. View of non -jurisdictional upland area, facing southeast.
Photopage 2 of 2