20200331 Ver 1_401 Application_20200302

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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
la.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: NWP 29 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
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)?
TO Yes
® No
2.
Project Information
2a.
Name of project:
Summit Springs Subdivision
2b.
County:
Rowan
2c.
Nearest municipality / town:
Kannapolis
2d. Subdivision name:
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
PP&I LLC
3b.
Deed Book and Page No.
1319/435
3c.
Responsible Party (for LLC if
applicable):
3d. Street address:
77 McCachern Blvd. SE. STE.2
3e.
City, state, zip:
Concord, NC 28025-3532
3f.
Telephone no.:
704 - 792 - 1900
3g.
Fax no.:
3h.
Email address:
Steve Ross <[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:
David S. Brame
5b. Business name
(if applicable):
Pilot Environmental, Inc.
5c. Street address:
PO Box 128
5d. City, state, zip:
Kemersville, NC 27285
5e. Telephone no.:
336.708.4617
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
la. Property identification no. (tax PIN or parcel ID):
145 228
Latitude:36.091114' Longitude: -
1 b. Site coordinates (in decimal degrees):
79.278768°
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
10 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Cold Water Creek (Lake Fisher)
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS-IV - Critical Area
2c. River basin:
Yadkin
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site contains pasture land and wooded land. Residential development, a church and wooded land are located on
adjacent properties and within the vicinity of the site.
3b. List the total estimated acreage of all existing wetlands on the property:
Wetland=0.186 Ac
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Streams=394 LF
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct a single-family residential subdivision on the property.
3e. Describe the overall project in detail, including the type of equipment to be used:
The proposed project includes the construction of 14 single-family residences, associated access roads, parking spaces,
landscaped areas, and stormwater devices. A stream and wetland crossing are necessary to provide access to the
southern portion of the subdivision. To facilitate the construction of the access road and development of the site, clearing
and grading the site is necessary. Graders, haulers, excavators, and other heavy equipment will be used during grading
and construction of the site.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes [I No El Unknown
project (including all prior phases) in the past?
Comments: SAW-2020-00205
4b. If the Corps made the jurisdictional determination, what type
® Preliminary ❑ Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Pilot Enviromental, Inc.
Name (if known): Michael Brame/David Brame
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Catherine M. Janiczak, Field Visit conducted on February 12, 2020
5. Project History
5a. Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a. Is this a phased project? ❑ Yes ® No
6b. If yes, explain.
Page 4 of 12
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
la. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non-404, other)
(acres)
Temporary
W1 ® P ❑ T
Fill
emergent
❑ Yes
® No
® Corps
® DWQ
0.032
W2 ®P ❑ T
Fill
emergent
❑ Yes
® No
® Corps
® DWQ
0.043
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.075
2h. Comments: In order to construct the crossing and subdivision lots, it is necessary to permanently impact 0.075 acres of
emergent wetland.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non-404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ®T
Culvert/Rip-
Rap/Pump Around
UT to Moadams
Creek
❑ PER
® INT
® Corps
® DWQ
2
105/20/16
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
105/20/16
3i. Comments: The proposed stream crossing will permanently impact 105 linear feet of stream from culvert fill. Rip rap will be
keyed into 20 linear feet of stream. The dike and pump around will temporarily impact 16 linear feet of stream channel. Areas
of temporary impact will be restored to pre -construction conditions.
Page 5 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary
01 ❑P❑T
02 ❑P❑T
03 [-]PDT
C4 ❑P❑T
4L Total open water impacts
4g. Comments: Open water impacts are not proposed.
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
K 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 El Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary
impact
required?
131 ❑P❑T
El Yes
❑ No
B2 ❑P❑T
El Yes
❑ No
B3 ❑P❑T
❑Yes
❑ No
6h. Total buffer impacts
6i. Comments: The project is located within the Yadkin River basin.
Page 6 of 12
PCN Form — Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The applicant has designed the proposed residential subdivision to avoid additional impacts to streams and wetlands other
than those essential for the project viability. In order for the applicant to develop the southern portion of the site, it is necessary
to cross a stream and associated wetlands. The applicant intended to construct additional lots that have been removed from
the plan to avoid additional impacts. Impacts to the remaining 253 linear feet of stream and 0.111 acres of wetlands are
being avoided.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and silt fence will be used. Temporary coffer dams will be installed upgradient of the
proposed culverts. During construction, water will be pumped around the construction footprint. Appropriate stream bank
protection will be provided in the channel during construction and all excess excavated material will be immediately removed
from the stream bank crossing areas. The rip rap is being keyed in to further minimize the impacts to the stream. Upon
completion of the culvert installation, the temporary sand bag coffer dam will be removed and flow will be diverted through the
culvert. Following construction, disturbed banks will be restored to similar pre -construction conditions, matted and seeded/live
staked.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
El Payment to in -lieu fee program
project?
❑ Penmittee 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:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 12
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 8 of 12
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ®No
Comments: Yadkin River Basin
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
19 %
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Due to the percentage impervious
surface area, this project is under the 24% impervious area threshold for requiring a stormwater management plan.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
® Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
City of Kannapolis
® Phase II
3b. Which of the following locally -implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
® Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a. Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
® Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
® Yes ❑ No
Page 9 of 12
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
El Yes No
letter.)
Comments: A NEPA or SEPA is not required as part of this project.
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fact permit application?
❑ Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered 'yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
We are not aware of additional development that will result which will impact nearby downstream water quality.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Wastewater generated will be gravity fed to the existing sewer infrastructure that is located on the site. Proposed sewer
infrastrutucture will be positioned within the roadway footprint. Therefore, additional impacts for sewer infrastruture will not be
required.
Page 10 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?
We consulted the USFWS Website to determine if federally protected endangered or threatened species inhabit Rowan
County, NC. The Bald Eagle, Northern Long Eared Bat and Schweinitz's sunflower are listed as federally protected
species. Based on our observations, the proposed development will not disturb the bald eagle.
NLEB hibemacula was not observed on the site. Based on a review of shapefiles from the Asheville Ecological Services
Field Office website, the proposed project is not located within one -quarter mile of known hibemacula and/or within 150
feet of known summer roost trees. Therefore, the proposed project is not likely to adveresly affect the NLEB.
Suitable habitat for Schweinitz's sunflower is not located on the site. The proposed project will have no effect on
Schweinitz's sunflower.
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?
According to the NOAA - Essential Fish Habitat Mapper the project will not impact Essential Fish Habitat.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
We reviewed the SHPO Map (http://gis.ncdcr.gov/hpoweb/) to identify historic and/or archaeological resources of the site.
The map does not identify properties that are listed or are eligible for listing on the National Register at the site or on
nearby properties. A copy of the map is included as an attachment.
8. Flood Zone Designation (Corps Requirement)
_T_
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? National Flood Hazard Layer from FEMA 3710563400L
David S. Brame, PWS
,f
2.25.20
'!
Date
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Page 11 of 12
PCN Form — Version 1.3 December 10, 2008 Version

(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

Proposal for Environmental Services
Pilot Proposal5515
January 7, 2020
AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address: 9s- 3 4
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Owner Information: u-C
Address: 1 WI C_ ct4_r-tX
Co-Jco�CA N C.
Telephone Number: 3 0 3 -? 9c(
Fax Number: "1 k— T 8 N` 2 i
E-mail Address: 51- - C o
JURISDICTIONAL DETERMINATION REQUEST
D. PROPERTY ACCESS CERTIFICATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
5_(_ZaA_ V. S 5
Print Name
Capacity: Owner Authorized Agent
Date
Signature
5

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OBJECTID
Parcel ID
Owner Name (Last Firs ),
22564
145 228
PP&I LLC
Second Owner Name
Tax Address
Tax Address 2
77 MCCACHERN BLVD STE 2
City
State
Zip Code
CONCORD
NC
28025-0000
Dist Code
Neig Clas
Neig Code
121
01345
01345
Ex Code
Land FMV
Assessed Land Value
0
0
Building Value
Assessed Value
Deed Book
0
0
1319
Deed Page Book Prev Page Prev
435
Deed Year Plat Page Date Sold
2019 1/1/2019 12:00:00 AM
Sale Inst Sale Amount Qual Code
SNP 0 6
Legal Description Calculated Acre Pr perty Address
L5 9.70AC 9.39 0 MOOSE RD
This information was prepared from the Rowan County, NC Geographic Information System. Rowan County has made substantial efforts to ensure the accuracy
location and labeling information contained on this site. The information provided is a representation of various City and County data sources and does not serve as
official map. Rowan County promotes and recommends the independent verification of any information contained on this site by the user. Rowan County makes
warranty or other assertion as to the fitness of the maps for any particular purpose and neither Rowan County nor it's agents or employees shall be liable for any cla
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120 SOUTH MAIN STREET P.O. BOX 1248 om STREAM & WETLAND IMPACT AREAS
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INSTALLATION OF THE PROPOSED CULVERT AND RIP -RAP STREAM BANK STABILIZATION. IF GROUNDWATER IS AN
ISSUE, INSTALL A PORTABLE DEWATERING PUMP THAT DISCHARGES INTO THE SILT BAG SPECIAL STILLING
BASIN. AFTER THE ENTIRE CULVERT AND WINGWALLS HAVE BEEN ASSEMBLED, BEGIN PLACING FILL OVER THE
CULVERT. AFTER FILL HAS REACHED AN ELEVATION SUFFICIENT TO INSTALL SILT FENCE OVER THE CULVERT,
INSTALL SILT FENCE AT THE TOE OF FILL SLOPE ALONG THE HEADWALLS AND TIE INTO THE EXISTING SILT FENCE.
2. IN AREAS WHERE IT IS NOT FEASIBLE TO INSTALL EROSION CONTROL DEVICES, ALL DISTURBED AREAS
MUST BE SEEDED AND MULCHED BY THE CONTRACTOR WITHIN THREE DAYS OF INITIAL
DISTURBANCE. TEMPORARY SEEDING SHALL BE REQUIRED ON ALL OTHER AREAS TO BE DISTURBED FOR A PERIOD
OF 15 DAYS OR LONGER.
3. CONTRACTOR SHALL STABILIZE ALL DISTURBED AREAS PER THE GROUND STABILIZATION TIMEFRAMES.
4. UPON COMPLETION OF THE INSTALLATION AND WITH APPROVAL OF NCDEQ, ALL EROSION CONTROL
DEVICES EXCEPT FOR PERMANENT CREEK/STREAM BANK STABILIZATION SHALL BE REMOVED AND DISPOSED OF IN
AN ACCEPTABLE MANNER. EACH SECTION SHALL BE SEEDED AT EARLIEST POSSIBLE DATE AFTER INSTALLATION OF
PIPE, STRUCTURE, OR ACCESS. ONCE GROUND COVER IS FIRMLY ESTABLISHED, ALL TEMPORARY EROSION
CONTROL MEASURES SHALL BE REMOVED WITH THE APPROVAL OF NCDEQ.
5. THE CONTRACTOR SHALL INSTALL ALL EROSION CONTROL MEASURES PER THE EROSION CONTROL PLANS
AND PERFORM ALL REQUIRED MAINTENANCE TO THESE DEVICES AFTER EACH RAINFALL EVENT. REMOVE
ACCUMULATED SEDIMENT PER THE DETAILS AND REPAIR ANY DAMAGE TO THE EROSION CONTROL DEVICES.
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alley, williams, carmen, & king, inc. SCAE w N' OCKFAMc►i °A1 wnk SUMMIT SPRINGS SUBDIVISION 40"99507
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FIRM LICENSE No. F-0203 PROFILE ° F400 KANNAPOLIS, NC 2
120SOUTH OLIS,MAIN 28082TREET P.O. 38-1515OX 1248 STREAM & WETLAND IMPACTAREAS!m 2
KANNAPOLIS, NC 28082 704/938-'15'15

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2020-00205 County: Rowan U.S.G.S. Quad: NC- China Grove
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Requestor:
PP&I LLC
Steve Ross
Address:
77 Mccachern Blvd. SE, Ste 2
Concord, NC 28025
Telephone Number:
704-792-1900
E-mail:
premiersr77aa amail.com
Size (acres)
10
Nearest Town Kannapolls
Nearest Waterway
Cold Water Creek
River Basin Upper Pee Dee
USGS HUC
03040105
Coordinates Latitude: 35.508471
Longitude:-80.573367
Location description: The review area is located 1000 feet Southeast of the intersection of Moose Road and China Grove Road
in Rowan Countv. PIN(s): 145AO6014 & 145228.
Indicate Which of the Following Apply:
A. Preliminary Determination
® There appear to be waters, including wetlands 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, including wetlands 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 2/13/2020. 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, including wetlands 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, including wetlands 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, including wetlands at the project area, which
is not sufficiently accurate and reliable to support an enforceable permit decision. We recommend that you have the waters,
including wetlands 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, including wetlands 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, including wetlands 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-2020-00205
❑ The waters, including wetlands 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, including wetlands 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.MJaniczak(&usace.armv.mil.
C. Basis For Determination: Basis For Determination: See the preliminary jurisdictional determination
form dated 2/24/2020.
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: Phillip Shannin, Review Officer
60 Forsyth Street SW, Room I OMl5
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:
Date of JD: 2/24/2020 Expiration Date of JD: Not applicable

SAW-2020-00205
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:
Pilot Environmental, Inc
David Brame
Address:
PO Box 128
Kernersville, NC 27285
Telephone Number:
336-3104527
E-mail:
dbrame(a Pilotenviro.com

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: PP&I LLC Steve Ross File Number: SAW-2020-00205 Date: 02/24/2020
Attached is:
See Section below
R1
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 I - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at or htto://www.usace.army.mil/Missions/Civi]WoTks/Re ug latoryProaramandPerrnits.aspx
or the Co s re lations 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 JD 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 II of this form and sending the form to the district engineer. This form
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 JD.

SECTION H - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
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
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the
If you only have questions regarding the appeal process you may
appeal process you may contact:
also contact:
District Engineer, Wilmington Regulatory Division
Mr. Phillip Shannin, Administrative Appeal Review Officer
Attn: Catherine M. Janiczak
CESAD-PDO
Charlotte Regulatory Office
U.S. Army Corps of Engineers, South Atlantic Division
U.S Army Corps of Engineers
60 Forsyth Street, Room 1OM15
8430 University Executive Park Drive, Suite 615
Atlanta, Georgia 30303-8801
Charlotte, North Carolina 28262
Phone: [phone]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day
notice of any site investigation, and will have the opportuni to artici ate in all site investi ations.
Date:
Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
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. Phillip Shannin, Administrative
Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 10M15, Atlanta, Georgia 30303-8801
Phone: [phone]

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 02/24/2020
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: PP&I LLC, Steve Ross, 77 Mccachem Blvd. SE, Ste
2,Concord, NC 28025
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, PP & I LLC PJD, SAW-2020-
00205
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: The review area is located 1000 feet
Southeast of the intersection of Moose Road and China Grove Road in Rowan County. PIN(s): 145AO6014 & 145228.
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County: Rowan City: Kannapolis
Center coordinates of site (lat/long in degree decimal format): Latitude: 35.508471 Longitude:-80.573367
Universal Transverse Mercator:
Name of nearest waterbody: Cold Water Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
® Field Determination. Datc(s): 02/12/2020
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Estimated amount of
Geographic authority to
aquatic resources in
Type of aquaticwhich
the aquatic resource
Site Number
Latitude (decimal
Longitude (decimal
review area (acreage
resources (i.e.,
may be" subject (i.e.,
degrees)
degrees)
. wetland vsnon-
.
.and linear feet, if
wetland waters)
Section 404 or Section
applicable
10/404)
SA
35.508730
-80.572368
394 linear feet
Non -wetland
Sec. 404
WA
35.508831
-80.573884
0.186 acres
Wetland
Sec. 404
PA
35.508853
-80.573354
0.07 acres
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: Drawing 5 (Dated 02/13/2020)_
® 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: Drawing 1
® Natural Resources Conservation Service Soil Survey. Citation: Drawing 2 & 2A
® National wetlands inventory map(s). Cite name: Drawing 3
❑ State/local wetland inventory map(s):
® FEMA/FIRM maps: Drawing 4
❑ 100-year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
® Photographs: ®Aerial (Name & Date): Drawing 5 (Dated 02/13/2020)
or ❑Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily been
verified by the Corps and should not be relied upon for later iurisdictional determinations.
W. --__ 02.24.20
Signature and date of RoflatoryCJ
staff member completing PJD Signature and date of person requesting PJD
2/24/2020 (REQUIRED, unless obtaining the signature is
impracticable) 1
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.

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LEGEND
a _ Site Boundary
FLAG NUMBERS/INFO
Wetland
' WETLAND FLAGS = Pond
STREAM FLAGS =
_.._,. ...... Intermittent Stream
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP WERE FIELD VERIFIED BY MS. CATHERINE SA 1-5 Feature ID/Flag Number
JANICZAK WITH THE USACE ON FEBRUARY 12, 2020. THIS MAP INCLUDES GPS LOCATIONS OF DP-1 0 Data Point
DELINEATED FEATURES.
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Drawing 5
Aerial Imagery from ESRI
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Scale: 1" = 200'
Date: 2.13.20
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Moose Road
Approximate 10-Acre Tract
Kannapolis, Rowan County, NC
Pilot Project 5515

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Drawing 1 USGS Topographic Map
USGS Topographic Map Moose Road
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Scale: 1"=2,000' PILOT ENVIRONMENTAL, INC Pilot Project5515

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Drawing 2
USDA Web Soil Survey
of Rowan County, NC
Scale: 1" = 200'
LEGEND
�- Site Boundary
Web Soil Map
Moose Road
' Approximate 10-Acre Tract
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Kannapolis, Rowan County, NC
PILOT ENVIgONMENTALINC ,u�... Pilot Project5515

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LEGEND
Site Boundary
Published Soil Map
Moose Road
Approximate 10-Acre Tract
Kannapolis, Rowan County, NC
Pilot Project 5515

Drawing 3
USFWS NWI
Wetlands Mapper
Scale: 1" = 200'
►I LOT 1N V I NO NY l N TA L.I NC
NWI Map
Moose Road
Approximate 10-Acre Tract
Kannapolis, Rowan County, NC
Pilot Project 5515

FRI
LEGEND
M Site Boundary
1%Annual Chance Flood Hazard
Regulatory Floodvay
Sped al Fl oodway
Area of Undetermined Flood Hazard
0.2%Annual Chance Flood Hazard
FLture Conditions 1 %Annual Chance Flood Hazard
I,,Areawith Reduced Risk Dueto Levee
Drawing 4
National Flood Hazard Layer
from FEMA Web Map Service
Scale: 1" = 200'
P I L O T ENVIRONMENTAL. I N,
FEMA FIRM
Moose Road
Approximate 10-Acre Tract
Kannapolis, Rowan County, NC
Pilot Project 5515

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PA 1-8
SA
0.07 Ac.
394 LF
/
DP-2
DP-1 0
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FLAG NUMBERS/INFO
ikk-
WETLAND FLAGS =
STREAM FLAGS =
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP WERE FIELD VERIFIED BY MS. CATHERINE
1ANICZAK WITH THE USACE ON FEBRUARY 12, 2020. THIS MAP INCLUDES GPS LOCATIONS OF
DELINEATED FEATURES.
Drawing 5
Aerial Imagery from ESRI
and Pilot GPS Data
Scale: 1" = 200'
Date: 2.13.20
P I L O T E N V I R 0 N M E N T A L. I N
LEGEND
Site Boundary
Wetland
Pond
■ ■ ■ ■ ■ ■
Intermittent Stream
SA 1-5
Feature ID/Flag Number
DP-10
Data Point
Wetland Map
Moose Road
Approximate 10-Acre Tract
Kannapolis, Rowan County, NC
Pilot Project 5515