20200358 Ver 1_PCN Form Submission_20200306

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
C Yes r No
Change only if needed.
BIMS # Assigned
20200358
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Reviewing Office *
Asheville Regional Office - [phone]
Information for Initial Review
1a. Name of project:
Western North Carolina Stream Initiative (WNCSI) - Hudson Camp Site
1a. Who is the Primary Contact?*
Ian Eckardt
1b. Primary Contact Email:*
[e-mail]
Date Submitted
3/6/2020
Nearest Body of Water
Cleghorn Creek
Basin
Broad
Water Classification
C
Site Coordinates
Latitude: Longitude:
35.320684-81.977394
A. Processing Information
County (or Counties) where the project is located:
Rutherford
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?
* Nationwide Permit (NWP)
* Regional General Permit (RGP)
7 Standard (IP)
Version#*
1
What amout is owed?*
r $240.00
r $570.00
Select Project Reviewer*
Amy Annino:eads\amannino
1c. Primary Contact Phone:*
[phone]

1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
27 - Restoration
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR401 Certification:
For the record only for Corps Permit:
F 401 Water Quality Certification - E)iress
F Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r Owner W Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
1) Daniel N. Camp 2) James W. & Melissa S. Hudson
2b. Deed book and page no.:
1) DB:648 / PNA13 2) DB:961 / PN:790 & DB:519 / PN: 217
2c. Responsible party:
Resource Institue LLC. (POC: Charles Anderson)
2d.Address
Street Address
2714 Henning Drive
Address tine 2
City
Winston-Salem
Postal / Zip Code
27106
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
State / Province / Region
NC
Country
us
2f. Fax Number:
r Yes r No
r Yes r No
3a. Name:
Charles Anderson

3b. Business Name:
Resource Institute, LLC.
3c.Address
Street Address
2714 Henning Drive
Address tine 2
CKY
Winston-Salem
Postal / Zip Code
27106
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Aaron Earley
4b. Business Name:
Will Engineering, Inc.
4c.Address
Street Address
1430 South Mint Street, Suite 104
Address tine 2
City
Charlotte
Postal / Zip Code
28203
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
RI_AGENT_AUfHORIZATION_FORM_Hudson-Camp (Signed).pdf
Daniel Camp Mutual Agreement Signed.pdf
James Hudson Mutual Agreement Signed.pdf
State / Province / lagion
INC
Oxntry
us
3e. Fax Number:
State / Rmince / legion
INC
Country
us
4e. Fax Number:
[phone]
73.77KB
712.21 KB
740.38KB
C. Project Information and Prior Project History C^U
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Rutherfordton
2. Project ctct Identification
2a. Property Identification Number:
PIN's 1) 1518-15-0816 2) 1518-25-7246 &
1518-24-3692
2c. Project Address
Street Address
1007 Coxe Road (Nearest street address to project area)
Address Line 2
city
Rutherfordton
Fbstal / Zip Code
28139
3. Surface Waters
2b. Property size:
Project Area on 3 parcels (7.7 acres)
State / Rmince / legion
INC
Country
us
3a. Name of the nearest body of water to proposed project:*

Cleghorn Creek
3b. Water Resources Classification of nearest receiving water:*
C
3c. What river basin(s) is your project located in?*
Broad
3d. Please provide the 12-digit HUC in which the project is located.
030501050309
4. Project Description and History
4a. 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 is located along a section of Cleghorn Creek experiencing lateral instability. Bank erosion and tight, unstable meander bends are present along the project reach. The
project stream has thin wooded areas running along the top of bank with agricultural fields immediately beyond. General land use in the vicinity of the project include agriculture, forest,
and single family residential.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Figure_2_USGS.pdf
2.44MB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Figure_5_Soils.pdf 3.45MB
4f. List the total estimated acreage of all existing wetlands on the property:
0.0 (No wetlands present)
4g. List the total estimated linear feet of all existing streams on the property:
1,914 linear feet
4h. Explain the purpose of the proposed project:*
The purpose of the project is to perform stream restoration using natural channel design techniques to reduce stream instability and erosion. The work is being performed and funded
through the Western North Carolina Stream Initiative (WNCSI) program which is a partnership between Resource Institute and the Natural Resource Conservation Service (NRCS). The
program seeks to complete stream restoration, enhancement, and stabilization projects on agricultural lands that have been identified by NRCS staff in western North Carolina.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project proposes stream restoration to approximately 1,825 linear feet of Cleghorn Creek. Stream restoration includes a Priority 2 approach that will involve the excavation of a new
channel alignment and a new bankfull bench. In -stream structures including constructed riffles, log vanes, rock j-hooks, and brush toe with geolifts will also be installed for channel
stability and habitat. Native riparian vegetation will be planted on the streambanks and immediately beyond top of bank of the newly constructed channel. Excavators will be used for
channel and floodplain excavation as well as for bank grading, Mile articulated and track trucks will be used for hauling soil. Small equipment such as mini excavators and skid steers
may also be used during grading activities.
4j. Please upload project drawings for the proposed project.
WNCSI - Hudson Camp Plan Set 2.25.2020.pdf 6.49MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No G Unknown
Comments:
Streams and wetlands were delineated by Wildlands Engineering personnel on 2/21/20 but have not
been verified by the USACE.
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Ian Eckardt
Agency/Consultant Company: Wildlands Engineering, Inc.
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?

D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r Wetlands W Streams -tributaries
r- Open Waters r" Pond Construction
3. Stream Impacts
❑ Buffers
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name * 3e. Stream Type * 3f. Type of 3g. S. width * 3h. Impact
(?) Jurisdiction* length*
S1
Restoration
Permanent
Relocation
Cle horn Creek
g
Perennial
Both
40
Average (feet)
1,825
(linearfeet)
g2
Floodplain bench grading
Temporary
Bank Stabilization J
Ur1
Perennial
Both
1Average (feet)
2( earfeet)
31. Total jurisdictional ditch impact in square feet:
31. Total permanent stream impacts:
1,825
31. Total stream and ditch impacts:
28
3i. Total temporary stream impacts:
27
3j. Comments:
Impacts on Ur1 are necessary for tying out the downstream end of the proposed floodplain bench in the left floodplain.
E. Impact Justification and Mitigation C")
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Stream restoration will impact the project channel during construction; however, these activities are designed to have an overall positive effect using
natural channel design techniques throughout to restore stream function and establish flood storage. Impacts vdll be avoided to the majority of Uf1
and are only proposed where it's necessary for tying out the proposed floodplain bench at the downstream end of the project.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
During construction, wurk will be limited to an area that can be stabilized vnth seed, straw, and biodegradable matting by the end of each work day.
Equipment and staging areas will be located to minimize site disturbance. Silt fence will be installed on the stream side of all soil stockpile or staging
areas. Construction practices will follow guidelines from the NC Erosion and Sediment Control Planning and Design Manual.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r Yes
r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Compensatory mitigation is not required for activities authorized under a NWP 27 since these activities must result in a new increase in aquatic resource functions and services.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) U
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes
r No
If no, explain why:
The project is located within the Broad River basin which is not part of the NC Riparian Buffer Protection Rules.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes IT No
2b. Does this project meet the requirements for low density projects as defined in 15ANCAC 02H .1003(2)?
r Yes r No
Comments:
The stream restoration project will not add impervious surface.

G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
1b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State (North Carolina)
Environmental Policy Act (NEPA/SEPA)? *
r Yes r No
Comments:
The work is a NRCS funded project that does not require NEPA or SEPA documentation.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
No development is included with this stream restoration work. The project seeks to only restore and stabilize natural stream features on existing
agricultural land. The project seeks to improve downstream water quality by stabilizing eroding banks and remove potential sediment sources.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r Yes C No
What Federal Agency is involved?
The US Department of Agriculture Natural Resource Conservation Service (NRCS) is the funding
agency that completed an Environmental Evaluation Worksheet reviewing the projects potential
environmental impacts.
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?'
r Yes r No
r Unknown
51. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
The NRCS completed an Environmental Evaluation Worksheet which included assessing the projects impact on Endangered and Threatened Species.
The NRCS made a "No Effect" determination regarding the proposed projects impacts on Endangered and Threatened Species. NRCS Environmental
Evaluation Worksheets for project properties are attached.
Consultation Documentation Upload
James W. Hudson - CPA-52.pdf 4.69MB
Daniel N. Camp - CPA-52.pdf 4.65MB

6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes f• No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
The National Oceanic and Atmospheric Administration (NOAA) Essential Fish Habitat Mapper Website
(https://vmw.habitat.noaa.gov/application/efhmapper/indexhtml) accessed on 2/7/2020.
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 status?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
The NRCS completed an Environmental Evaluation Worksheet which included assessing the projects impact on cultural resources and was given
authority to proceed. Environmental Evaluation Worksheets for project properties are attached with Endangered and Threatened Species
documentation. The NC State Historic Preservation Office (SHPO) GIS Service (HPOWEB) website
(https://nc.maps.arcgis.con-apps/v,ebappviev,er/indexhtml?id=79ea67lebdcc45639f0860257d5f5ed7) was also reviewed for historic resources on
2/7/2020. Based on the online review no potential historic resources are present wthin a half mile of the project area.
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
A No -Rise floodplain development permit will be obtained before work begins.
8c. What source(s) did you use to make the floodplain determination?*
FEMA Flood Insurance Rate Map (FIRM) Panel 1518, Map 3710151800, with a map revision date of 7/2/2008.
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Hudson Camp PCNAppendices.pdf
3.34MB
Signature u
W By checking the box and signing below, I certify that:
I have given true, accurate, and complete information on this form;
I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
I intend to electronically sign and submit the PCN form.
Full Name:
Aaron Earley
Signature
,4co,'Ddl Ea>rle�
Date
3/6/2020

AGENT AUTHORIZATION FORM
FOR WNCSI STREAM PROJECTS
PROPERTY LEGAL DESCRIPTION:
LOT NO.
Deed book 648 Page
413 PLAN NO. _
PARCEL PIN:
1518-15-0816
LOT NO.
Deed book 961 Page
790 PLAN NO. _
PARCEL PIN:
1518-25-7246
LOT NO.
Deed book 519 Page
217 PLAN NO.
PARCEL PIN:
1518-24-3692
STREET ADDRESS:
No physical address assigned to parcel. Associated mailing address provided below.
480 Tom Camp Road, Rutherfordton, NC 28139;
No physical address assigned to parcel. Associated mailing address provided below.
1007 Coxe Road, Rutherfordton, NC 28139;
1007 Coxe Road, Rutherfordton, NC 28139 (Physical & mailing address);
Please print:
Property Owner: Daniel Camp
Property Owner: James & Melissa Hudson
Property Owner: James & Melissa Hudson
The property owners above have entered into a Memorandum of Understanding with Resource
Institute, Inc. that authorizes the activities proposed on the subject property (see attached for
reference). As an authorized representative of Resource Institute, I do hereby authorize
Aaron Earley , of Wildlands Engineering
(Contractor / Agent) (Name of consulting firm)
to act on behalf of Resource Institute and take all actions necessary for the processing, issuance
and acceptance of this permit or certification and any and all standard and special conditions
attached.
Resource Institute's Address:
2631 Reynolda Road, Winston-Salem, NC 27106
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized Signature Authorized Signature
Date: 02/14/2020 Date:

Mutual Agreement
for
Stream Stabilization/Restoration Project
Resource Institute, Inc. (RI) is a non-profit organization that assists organizations and
individuals in carrying out projects to protect natural and human resources while promoting
economic development. RI can assist with projects in a variety of ways, including, but not limited
to, fund-raising, administering project funds, and contracting for services needed to complete a
project. RI has recently adopted projects associated with the USDA-NRCS EQIP program such
as the Western NC Stream Initiative and RCPP to help farmers and landowners address eroding
stream banks that are negatively affecting them through loss of property, hazards for livestock,
sediment transport into a stream and degraded aquatic habitat. The farmer/landowner has either
initiated an application for assistance through USDA/NRCS's EQIP program or has already signed
an agreement/contract for assistance with USDA/NRCS's EQIP program. RI's role is to help
attain the funding for the design, construction oversight and unmet construction needs of the work
for sites with current EQIP program agreements/contracts through USDA/NRCS.
RI will assist the farmer/landowner by helping to address issues related to managing and
contracting for the required design, planning, permitting and construction work for stream
enhancement practices on the site, as well as necessary structure work, and bank stabilization. RI's
objective is to help address current water quality degradation issues; however, work cannot be
guaranteed for acts of nature related to flood events or beyond the one year work warranty given
by the contractor. RI is working with NRCS, Conservation Districts and the farmers/landowners
to help reduce those impacts as much as possible.
In providing services to the farmer/landowner on this tract of land for stream
restoration/stabilization activities to be performed we thereby mutually agree to the following
items:
1. The fariner/landowner will allow ingress and egress for all activities related to the stream
restoration/stabilization such as: surveys, engineering, construction, monitoring, etc. for
RI and its agents.
2. Farmer/landowner will follow the contractual guidance in the EQIP program with USDA,
NRCS. This includes maintaining DUNS and/or SAM.gov registration for entities if
applicable.
3. Farmer/landowner will allow NRCS to provide RI with a copy of the associated NRCS
EQIP, application, contract and/or contract modifications, and appendix for the purpose
of allowing RI to share with RI's other fenders in an effort to help obtain matching
dollars. This is consistent with the 1619 policy and RI's role as a NRCS Conservation
Cooperator assisting USDA-NRCS with technical and/or financial assistance through a
cooperative agreement. (Initial/date) '% __

4. The farmer/landowner will assign payments for stream restoration/stabilization related
items/practices in the federal contract to Resource Institute using form MRCS-CPA-1236
within 15 days of the completion of construction for these items/practices.
5. Farmer/landowner will sign the NRCS-CPA-1245 within 15 days of notification to sign
this form to allow payment of the completed items/practices. (Initial/date)_
6. RI will serve as the financial manager for all funds related to the stream
restoration/stabilization activities received for the project. This includes providing the
farmer/landowner (federal contract participant) with a receipt corresponding to the
federal funds received related to the stream restoration/stabilization practices/items.
Note: The federal funds received are based upon a payment schedule rate for the average
cost.
7. RI will provide project management services such as, obtaining the technical resources,
bidding and contracting of project elements, and project construction oversight.
8. RI will work with farmers/landowners to resolve differences between construction costs
and payment schedule rates.
9. RI will also provide a local representative to assist with project management and to serve
as a liaison with NRCS/SWCD personnel, RI and the contract participant. Your RI
Representative contact ``info is listed below:
RI Representative Name: {�O �O�/ l-750h (Phone): 7O ' 9 D
County
a/c /) �«
Stream Name
/ 7- �
Stream Length
nl c- l M CA r-� �y W nl e. r
Participant/landowner P int Name & Title Participant/landowner Signature
S 0/i;"
Date
g).�/- _z)";�q - q, S- ..
Phone Number
Chairman, Resource Institute RC&D, Inc.
d 0 yj,:8—
Email Address
- 30
Date

Mutual. Agreement
for
Stream Stabitization/Restoration Project
Resource Institute, Inc. (RI) is a non-profit organization that assists organizations and
individuals in carrying out projects to protect natural and human resources while promoting
economic development. RI can assist with projects in a variety of ways, including, but not limited
to, fund-raising, administering project funds, and contracting for services needed to complete a
project. RI has recently adopted projects associated with the USDA-NRCS EQIP program such
as the Western NC Stream Initiative and RCPP to help farmers and landowners address eroding
stream banks that are negatively affecting them through loss of property, hazards for livestock,
sediment transport into a stream and degraded aquatic habitat. The farmer/landowner has either
initiated an application for assistance through USDA/NRCS's EQIP program or has already signed
an agreement/contract for assistance with USDA/NRCS's EQIP program. RI's role is to help
attain the funding for the design, construction oversight and unmet construction needs of the work
for sites with current EQIP program agreements/contracts through USDA/NRCS.
RI will assist the farmer/landowner by helping to address issues related to managing and
contracting for the required design, planning, permitting and construction work for stream
enhancement practices on the site, as well as necessary structure work, and bank, stabilization. RI's
objective is to help address current water quality degradation issues; however, work cannot be
guaranteed for acts of nature related to flood events or beyond the one year work, warranty given
by the contractor. RI is working with NRCS, Conservation Districts and the farmers/landowners
to help reduce those impacts as much as possible.
In providing services to the farmer/landowner on this tract of land for stream
restoration/stabilization activities to be performed we thereby mutually agree to the following
items:
1. The farmer/landowner will allow ingress and egress for all activities related to the stream
restoration/stabilization such as: surveys, engineering, construction, monitoring, etc. for
RI and its agents.
2. Farmer/landowner will follow the contractual guidance in the EQIP program with USDA,
NRCS. This includes maintaining DUNS and/or SAM.gov registration for entities if
applicable.
3. Farmer/landowner will allow NRCS to provide RI with a copy of the associated NRCS
EQIP, application, contract and/or contract modifications, and appendix for the purpose
of allowing RI to share with RI's other fenders in an effort to help obtain matching
dollars. This is consistent with the 1619 po 'cy and RI's role as a NRCS Conservation
Cooperator assisting USDA-NRCS with nd/ r financial assistance through a
cooperative agreement. (Initial/date)

4. The farmer/landowner will assign payments for stream restoration/stabilization related
items/practices in the federal contract to Resource Institute using form NRCS-CPA-1236
within 15 days of the completion of construction for these items/practices.
5. Farmer/landowner will sign the NRCS-CPA-1245 within 15 days of notificaf t s'
this form to allow payment of the completed items/practices. (Initial/date)
6. RI will serve as the financial manager for all funds related to the stream
restoration/stabilization activities received for the project. This includes J oviding the
farmer/landowner (federal contract participant) with a receipt corresponding to the
federal funds received related to the stream restoration/stabilization practices/items.
Note: The federal funds received are based upon a payment schedule rate for the average
cost.
7. RI will provide project management services such as, obtaining the technical resources,
bidding and contracting of project elements, and project construction oversight.
8. RI will work with farmers/landowners to resolve differences between construction costs
and payment schedule rates.
9. RI will also provide a local representative to assist with project management and to seine
as a liaison with NRCS/SWCD personnel, RI and the contract participant. Your RI
Representative contact info is listed below:
RI Representative Name: F » © hl;gs 'h (Phone): %gV-� y,,y q
Zd&J91,d d-/��
County Stream Name Stream Length
Participant/landowner rint Name & Title �ciPanfflandownerSignature
Date
,S;l ` -21do/-.2'
Phone Number
Chairman, Reso ce ns tute RC&D, Inc.
mail Address
L3
Date

a / r
Project Area 1 �'
WILDLANDS
ENGINEERING
hf�
l.VdOjOJ
Figure 2: USGS Topographic Map
WNCSI Hudson Camp Site
0 1,000 Feet Broad River Basin (03050105)
I i I
Rutherford County, NC

Soils
- ChA - Chewacla loam, 0 to 2% slopes, frequently flooded
- GrE - Grover loam, 25 to 45% slopes
- MaC2 - Madison clay loam, 8 to 15% slopes, moderately eroded
- MaD2 - Madison clay loam, 15 to 25% slopes, moderately eroded
PbC2 - Pacolet Bethlehem complex, 8 to 15% slopes, moderately eroded
it
WILDLANDS
ENGINEERING
M
Pr
a
dA
Project Parcels
Project Area
Existing Stream
O Upland Data Points (DP#)
2019 Aerial
Figure 5: Soils Map
WNCSI Hudson Camp Site
0 200 400 Feet Broad River Basin (03050105)
1 1 I
Rutherford County, NC

U.S. Department of Agriculture NRCS-CPA-52
A. Client Name: James W. Hudson
Natural Resources Conservation Service 4/2013
ENVIRONMENTAL EVALUATION WORKSHEET
B' Conservation Plan ID # (as applicable): 74453218019
Program Authority (optional): EQIP 8245321802Q
D. Client's Objective(s) (purpose):
C. Identification # (farm, tract, field #, etc. as required):
To improve water qualtiy and reduce erosion from damaged crop land.
Farm: 5965, Tract: 11351; Field 1
E. Need for Action:
H. Alternatives
Streambanks have
No Action q if RMS ❑
Alternative 1 if RMS ❑
Alternative 2 q if RMS
significant erosion problems
No Action
Streambank protection with Riparian
and landowner is losing
Forest Buffer will improve water quality.
farmable land. Water
Installing livestock exclusion practices will
qualtity needs to be
improve water qualtiy and animal health.
im roved for wildlife.
Resource Concerns
In Section "F" below, analyze, record, and address concerns identified through the Resources Inventory process.
(See FOTG Section III - Resource Planning Criteria for guidance).
F. Resource Concerns
I. Effects of Alternatives
and Existing/
No Action
Alternative 1
Alternative 2
Amount, Status, Description
Jif
Amount, Status, Description
','if
Amount, Status, Description
if
Benchmark
Conditions
does
does
does
(Analyze and record the
(Document both short and
NOT
(Document both short and
NOT
(Document both short and
NOT
existing/benchmark
long term impacts)
PC
long term impacts)
meet
PC
long term impacts)
PC
ions for each
conditions for each
SOIL: EROSION
Excessive bank erosion from
Streambank will continue to erode
I]
Streambank will be stabilized to be
❑
❑
streams, shorelines or water
into streams and will cause
sedimentation into water bodies.
NOT
able to encounter flooding and
larger storms. Property will not be
NOT
NOT
Streambank eroding at
excessive levels causing
Landowner will continue to lose
meet
eroding and soil loss will be
meet
meet
extreme sedimentation.
property due to erosion.
PC
reduced. Practices include
PC
PC
580,584,342,612 .
Sheet, Rill & Wind Erosion
Erosion in areas adjacent to the
0
Critical area planting and
❑
❑
stream will continue to occur.
NOT
tree/shrub establishment will all
stop erosion from occuring
NOT
NOT
Erosion occurring at
streambank and adjacent
meet
adjacent to the stream.
meet
meet
areas.
PC
PC
PC
SOIL: SOIL QUALITY DEGRADATION
No resource concern identified
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
Subsidence
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
WATER: WATER QUALITY
DEGRADATION
Pesticides & Nutrients in Surface
Pesticides & Nutrients will continue
R]
Critical area planting, streambank
El
El
to runoff from fields and enter
stream.
NOT
protection, & planting trees &
shrubs will act as a buffer to
NOT
NOT
Pesticides and nutrients are
entering stream from field
meet
reduce runoff
meet
meet
runoff.
PC
PC
PC
WATER: WATER QUALITY DEGRADATION
Elevated water temperature
Sediment will continue to enter the
stream and the banks will erode.
❑
NOT
Critical area planting and tree &
shrub planting will all stop erosion
and provide shade for the stream.
❑
NOT
❑
NOT
Sedimentation from
streambank and adjacent
meet
meet
meet
areas are causing elevated
PC
PC
PC
Excessive sediment in surface
High water levels and storms will
0
Critical area planting, channel bed
El
El
continue to erode the banks and
sediment will enter the stream.
NOT
stabilization, streambank &
shoreline protection, and tree and
NOT
NOT
Sedimentation from
streambank and adjacent
shrub establishment will all reduce
meet
meet
areas are causing excessive
meet
PC
sediment from the stream.
PC
PC
sedimentation and
NRCS-CPA-52, March 2015

F. Resource Concerns
I. (continued)
and Existingi
No Action
Alternative 1
Alternative 2
Benchmark
Amount, Status, Description
cif
Amount, Status, Description
�iif
Amount, Status, Description
Vit
Conditions
does
does
does
(Analyze and record the
(Document both short and
NOT
(Document both short and
NOT
( Document both short and
NOT
existing/benchmark
meet
meet
long term impacts)
Pc
long term impacts)
Pc
long term impacts)
Pc
conditions for each
AIR: AIR QUALITY IMPACTS
No resource concern identified
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
No resource concern identified
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
PLANTS: DEGRADED PLANT CONDITION
No resource concern identified
❑
LPT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
No resource concern identified
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
ANIMALS: INADEQUATE HABITAT FOR FISH AND
Habitat degradation
Sediment & nutrients will continue
to enter the stream degrading
aquatic wildlife
Ri
NOT
Tree & Shrub establishment will
improve wildlife adjacent to the
stream. Stream Habitat
NOT
NOT
Sediments, nutrients, and
pesticides are entering
meet
Improvement and Mgt. will improve
meet
meet
stream degrading aquatic
PC
the streams aquatic habitat.
PC
PC
ANIMALS: LIVESTOCK PRODUCTION LIMITATION
No resource concern identified
O
[�PT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
No resource concern identified
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
ENERGY: INEFFICIENT ENERGY USE
No resource concern identified
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
No resource concern identified
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
HUMAN: ECONOMIC AND
SOCIAL CONSIDERATIONS
Public Safety
Sediment & nutrients will continue to enter
the stream degrading water qualtiy.
Water quality improvements will benefit
everyone.
Sediments & nutrients are
NRCS-CPA-52, March 2015

Special Environmental Concerns: Environmental Laws, Executive Orders, policies, etc.
In Section "G" complete and attach Environmental Procedures Guide Sheets for documentation as applicable. [terns with a "0"
may require a federal permit or consultation/coordination between the lead agency and another government agency. In these
cases, effects may need to be determined in consultation with another agency. Planning and practice implementation may
G. Special
J. Impacts to Special Environmental
Concerns
No Action
Alternative 1
Alternative 2
Environmental
Concerns
( Document existing/
benchmark conditions)
Document all impacts
(Attach Guide Sheetsneeds
as
applicable)
q if
further
action
Document all impacts
( Attach Guide Sheets as
applicable)
if
needs
further
action
Document all impacts
(Attach Guide Sheets as
applicable)
if
needs
further
action
*Clean AirAct
No Effect
No Effect
Guide Sheet FSl FS-
Planned Action will not effect
Planned Action will not effect
PLU not in a non -attainment
Environmental Concern listed in
Environmental Concern listed in
area.
section G.
section G.
•Clean Water Act/ Waters
No Effect
Ma y effect
of the U.S.
Army COE permit not required if
Review Army Corps of Engineers
Guide Sheet Fact
project not implemented
Documentation
Planning unit just upstream
from impaired water body
*Coastal Zone Management
No Effect
No Effect
Guide Sheet Fact
None in Rutherford County
No coastal zones are located near
the planning unit.
I
Planned Action will not effect
Environmental Concern listed in
Coral Reefs
No Effect
No Effect
Guide Sheet Fact
None in Rutherford Country
No coral reefs are located near the
planning unit.
I ❑
Planned Action will not effect
Environmental Concern listed in
*Cultural Resources /
No Effect
May Effect
No further impact to cultural
CR request has been made and
Historic Properties
Guide Sheet Fact
resources as a result of maintaing
returned given authority to proceed
No cultural resources noted
n field visit. No listed
current practices.
with planned activities.
•Endangered and
No Effect
No Effect
Threatened Species
Current practices do not effect
Planned Action will not effect
Guide Sheet Fact
endangered or threatened species.
Environmental Concern listed in
No potential endangered or
hreatened species in
section G.
Environmental Justice
No Effect
No Effect
Guide Sheet Fact
there are low income and
Low income and minority
populations are not currently
Ei
Planned Action will not effect
Environmental Concern listed in
❑
nority producers in the
experiencing disproportionaly high
section G.
•Essential Fish Habitat
No Effect
No Effect
Guide Sheet Fact
PLU not in an EFH area, per
No essential fish habitat within the
planning unit.
Planned Action will not effect
Environmental Concern listed in
11
El
Floodplain Management
No Effect
No Effect
Guide Sheet Fact
Some areas of planning are
O
Current activities will not cause
further development in the
No buildings or structures are
included in the planned activity.
Invasive Species
No Effect
No Effect
Guide Sheet Fact
Not present in the planning
Continuance of current activities is
not likely to promote or cause the
Planned Action will not effect
Environmental Concern listed in
❑
*Migratory Birds/Bald and
No Effect
No Effect
Golden Eagle Protection Act
Continuation of current practices
Planned Action will not effect
Guide Sheet Fact
will have no effect on eagles,
Environmental Concern listed in
I
No eagles or nests are
known to exist on t a
nests, or migratory bird habitats.
section G.
Natural Areas
No Effect
No Effect
Guide Sheet Fact
No known natural areas are
Current activity does not impact
officially or unofficially designated
❑
Planned Action will not effect
Environmental Concern listed in
(]
El
Prime and Unique Farmland
No Effect
No Effect
Guide Sheet Fact
Some prime or unique
El
Maintaining current activities will
not result in conversion of farmland
Planned Action will not effect
Environmental Concern listed in
Riparian Area
No Effect
No Effect
Guide Sheet Fact
Riparian areas exist within
Maintaining current activities will
contnue to degrade the established
Conservation prcactices will
improve and increase depth and
Beauty
No Effect
No Effect
[Scenic
Guide Sheet Fact
he scenic beauty of the
Maintaining current activities will
not adversely effect the scenic
Planned Action will not effect
Environmental Concern listed in
MRCS-CPA-52, March 2015

*Wetlands
No Effect
No Effect
Guide Sheet Fact
Maintaining current activities will
❑
Planned Action will improve the
El
Weltands exist in the
not effect wetlands.
wetlands located within the
*Wild and Scenic Rivers
No Effect
No Effect
Guide Sheet Fact
No wild or scenic rivers located
❑
Planned Action will not effect
❑
❑
No designated wild and
withint the planning unit.
Environmental Concern listed in
K. Other Agencies
and Broad Public
No Action
Alternative 1
Alternative 2
Easements, Permissions,
Stream restoration/stabilization cannot be
Have to get permission to work in stream
Public Review, or Permits
completed without proper permits obtained.
for ACofE and all required permits.
Required and Agencies
Cumulative Effects Narrative
Upon review, cumulative and incremental
Upon review, cumulative and incremental
(Describe the cumulative
effects are not likely.
effects are not likely.
impacts considered,
including past, present and
known future actions
re ardless of who performed
L. Mitigation
No mitigation actions required for
No mitigation actions required for planned
(Record actions to avoid,
maintaining current practices.
action.
minimize, and compensate)
M. Preferred
vEl
O
El
referred
Supportin
This is the best alternative to improve
water quality & wildlife.
g reason
N. Context (Record context of alternatives analysis) I local local
The significance of an action must be analyzed in several contexts such as society as a whole (human, national), the affected region, the
affected interests and the localit .
O. Determination of Significance or Extraordinary Circumstances
Intensity: Refers to the severity of impact. Impacts may be both beneficial and adverse. A significant effect may exist even if the Federal
agency believes that on balance the effect will be beneficial. Significance cannot be avoided by terming an action temporary or by
breaking it down into small component parts.
If you answer ANY of the below questions "yes" then contact the State Environmental Liaison as there may be extraordinary
circumstances and sianificance issues to consider and a site specific NEPA analvsis may be reauired.
Yes No
❑ ❑� • Is the preferred alternative expected to cause significant effects on public health or safety?
❑ E • Is the preferred alternative expected to significantly affect unique characteristics of the geographic area such as
proximity to historic or cultural resources, park lands, prime farmlands, wetlands, wild and scenic rivers, or
Elecolooically critical areas?
El
• Are the effects of the preferred alternative on the quality of the human environment likely to be highly controversial?
❑ 0 • Does the preferred alternative have highly uncertain effects or involve unique or unknown risks on the human
environment?
❑ P1 • Does the preferred alternative establish a precedent for future actions with significant impacts or represent a decision
in principle about a future consideration?
❑ R • Is the preferred alternative known or reasonably expected to have potentially significant environment impacts to the
quality of the human environment either individually or cumulatively over time?
❑ 0 • Will the preferred alternative likely have a significant adverse effect on ANY of the special environmental concerns?
Use the Evaluation Procedure Guide Sheets to assist in this determination. This includes, but is not limited to,
concerns such as cultural or historical resources, endangered and threatened species, environmental justice,
wetlands, floodplains, coastal zones, coral reefs, essential fish habitat, wild and scenic rivers, clean air, riparian
-- —fiwnl nr— —4 i--i— —,iee
❑ ❑� • Will the preferred alternative threaten a violation of Federal, State, or local law or requirements for the protection of
the 0
P. To the best of my knowledge, the data shown on this form is accurate and complete:
In the case where a non-NRCS person (e.g. a TSP) assists with planning they are to sign the first signature block and then NRCS is to
sign the second block to verify the information's accuracy.
Signature (TSP if ap cable) Title Date
Soil Conservationist Q
nat to NRCS Title Dat
If preferred alternative is not a federal a Lion where NRCS has control or responsibility and this NRCS-CPA-52 is shared with
someone other than the client then indicate to whom this is being provided.
NRCS-CPA-52, March 2015

The following sections are to be completed by the Responsible Federal Official (RFO)
NRCS is the RFO if the action is subject to NRCS control and responsibility (e.g., actions financed, funded, assisted, conducted,
regulated, or approved by NRCS. These actions do not include situations in which NRCS is only providing technical assistance because
NRCS cannot control what the client ultimately does with that assistance and situations where NRCS is making a technical determination
Q. NEPA Compliance Finding (check one)
The preferred alternative:
Action required
El
1) is not a federal action where the agency has control or responsibility.
Document in "R.1" below.
No additional analysis is required
2) is a federal action ALL of which is categorically excluded from further
❑
environmental analysis AND there are no extraordinary circumstances as
Document in "R.2" below.
identified in Section "O".
No additional analysis is required
3) is a federal action that has been sufficiently analyzed in an existing Agency
state, regional, or national NEPA document and there are no predicted significant
Document in "R.1"below.
adverse environmental effects or extraordinary circumstances.
No additional analysis is required.
4) is a federal action that has been sufficiently analyzed in another Federal agency's
NEPA document (EA or EIS) that addresses the proposed NRCS action and its'
Contact the State Environmental
❑
effects and has been formally adopted by NRCS. NRCS is required to prepare
Liaison for list NEPA documents
and publish its own Finding of No Significant Impact for an EA or Record of Decision
formally adoptedd and available for
for an EIS when adopting another agency's EA or EIS document. (Note: This box
tiering. Document in " below.
Ps not applicable to FSA)
is r
No additional analysis s required
5) is a federal action that has NOT been sufficiently analyzed or may involve
Contact the State Environmental
❑
predicted significant adverse environmental effects or extraordinary circumstances
Liaison. Further NEPA analysis
and may require an EA or EIS.
required.
R. Rationale Supporting the Finding
RA
Local issue. NRCS EQIP December 2014
Findings Documentation
R.2
Applicable Categorical
Exclusion(s)
(more than one may apply)
7 CFR Part 650 Compliance
With NEPA, subpart 650.6
Categorical Exclusions
states prior to determining
that a proposed action is
categorically excluded under
paragraph (d) of this
section, the proposed action
must meet six sideboard
criteria. See NECH
I have considered the effects of the alternatives on the Resource Concerns, Economic and Social Considerations, Special
Environmental Concerns, and Extraordinary Circumstances as defined by Agency regulation and policy and based on that made
the finding indicated above.
S. Signature of Responsible Federal Official:
Supervisory Soil Conservationist
L� 1 0/Z01
�•
Signature Title
bate
Additional notes
NRCS-CPA-52, March 2015

U.S. Department of Agriculture NRCS-CPA-62
Natural Resources Conservation Service 412013 A. Client Name: Daniel N. Camp
ENVIRONMENTAL EVALUATION WORKSHEET B' Conservation Plan ID # (as applicable): 7445321801A
Program Authority (optional): EQIP 8245321802R
D. Client's Objective(s) (purpose): C. Identification # (farm, tract, field #, etc. as required):
To improve water qualtiy and reduce erosion from damaged Farm: 3739, Tract: 1028, Field 2 & 10
E. Need for Action:
H. Alternatives
Streambanks have
No Action q if RMS ❑
Alternative 1 q if RMS ❑
Alternative 2 if RMS
significant erosion problems
No Action
Streambank protection with Riparian
and landowner is losing
Forest Buffer will improve water quality.
farmable land. Water
Installing livestock exclusion practices will
qualtity needs to be
improve water qualtiy and animal health.
im roved for wildlife.
Resource Concerns
In Section "F" below, analyze, record, and address concerns identified through the Resources Inventory process.
(See FOTG Section III - Resource Planning Criteria for guidance).
and Existing/
Benchmark
alyze and record the
sting/benchmark
ditions for each
IL: EROSION
ssive bank erosion from
ims, shorelines or water
ambank eroding at
;ssive levels causing
=me sedimentation.
No Action
Amount, Status, Description v if
does
NOT
(Document both short and meet
long term impacts) PC
Streambank will continue to erode
[Ainto
streams and will cause
sedimentation into water bodies.
NOT
Landowner will continue to lose
property due to erosion.
meet
PC
11 & Wind Erosion
Erosion in areas adjacent to the
❑
stream will continue to occur.
NOT
occurring at
ank and adjacent
meet
PC
Alternative 1
nount, Status, Description Jif
does
NOT
(Document both short and meet
long term impacts) PC
Dambank will be stabilized to be
El
to encounter flooding and
ler storms. Property will not be
ding and soil loss will be
NOT
uced. Practices include
meet
, 584, 342, 612 .
PC
ical area planting and
❑
:!shrub establishment will all
D erosion from occuring
NOT
scent to the stream.
meet
PC
Alternative 2
nount, Status, Description Jif
does
NOT
(Document both short and meet
long term impacts) Pc
NOT
meet
PC
El I
NOT
meet
PC
SOIL: SOIL QUALITY DEGRADATION
No resource concern identified
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
Subsidence
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
WATER: WATER QUALITY
DEGRADATION
Pesticides & Nutrients in Surface
Pesticides & Nutrients will continue
❑
Critical area planting, streambank
El
El
to runoff from fields and enter
stream.
NOT
protection, & planting trees &
shrubs will act as a buffer to
NOT
NOT
Pesticides and nutrients are
entering stream from field
meet
reduce runoff
meet
meet
runoff.
PC
PC
PC
WATER: WATER QUALITY DEGRADATION
Elevated water temperature
Sediment will continue to enter the
stream and the banks will erode.
❑
NOT
Critical area planting and tree &
shrub planting will all stop erosion
and provide shade for the stream.
❑
NOT
❑
NOT
Sedimentation from
streambank and adjacent
meet
meet
meet
areas are causing elevated
PC
PC
PC
Excessive sediment in surface
High water levels and storms will
I]
Critical area planting, channel bed
❑
El
continue to erode the banks and.
sediment will enter the stream.
NOT
stabilization, streambank &
shoreline protection, and tree and
NOT
NOT
Sedimentation from
streambank and adjacent
meet
shrub establishment will all reduce
meet
meet
areas are causing elevated
PC
sediment from the stream.
PC
PC
ouster temperatures and
NRCS-CPA-52, March 2015

F. Resource Concerns
I. (continued)
and Existing/
No Action
Alternative 1
Alternative 2
Amount, Status, Description
Jif
Amount, Status, Description
Jif
Amount, Status, Description
Jtt
Benchmark
Conditions
does
does
does
(Analyze and record the
(Document both short and
NOT
( Document both short and
NOT
( Document both short and
NOT
existing/benchmark
meet
meet
meet
long term impacts)
Pc
long term impacts)
Pc
long term impacts)
Pc
conditions for each
AIR: AIR QUALITY IMPACTS
No resource concern identified
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
No resource concern identified
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
PLANTS: DEGRADED PLANT CONDITION
No resource concern identified
❑
M)T
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
No resource concern identified
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
ANIMALS: INADEQUATE HABITAT FOR FISH AND
Habitat degradation
Sediment & nutrients will continue
to enter the stream degrading
aquatic wildlife
❑�
NOT
Tree & Shrub establishment will
improve wildlife adjacent to the
stream. Stream Habitat
❑
NOT
El
NOT
Sedimentation from
streambank and adjacent
meet
Improvement and Mgt. will improve
meet
meet
areas are causing elevated
PC
the streams aquatic habitat.
PC
PC
ANIMALS: LIVESTOCK PRODUCTION LIMITATION
No resource concern identified
El
CPT
El
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
No resource concern identified
El
NOT
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
ENERGY: INEFFICIENT ENERGY USE
No resource concern identified
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
o resource concern identified
❑
NOT
❑
NOT
❑
NOT
meet
meet
meet
PC
PC
PC
HUMAN: ECONOMIC AND
SOCIAL CONSIDERATIONS
Public Health and Safety
Sediment & nutrients will continue to enter
the stream degrading water qualtiy.
Water quality improvements will benefit
everyone.
Sediments & nutrients are
NRCS-CPA-52, March 2015

Special Environmental Concerns: Environmental Laws, Executive Orders, policies, etc.
In Section "G" complete and attach Environmental Procedures Guide Sheets for documentation as applicable. Items with a "•"
may require a federal permit or consultation/coordination between the lead agency and another government agency. In these
cases, effects may need to be determined in consultation with another agency. Planning and practice implementation may
4 S-
G. Special
J. Impacts to Special Environmental
Concerns
No Action
Alternative 1
Alternative 2
Environmental
Concerns
(Document existing/
hmark conditions)
Document all impacts
(Attach Guide Sheetsneeds
as
applicable)
q if
further
action
Document all impacts
(Attach Guide Sheets as
applicable)
4 if
needs
further
action
Document all impacts
(Attach Guide Sheets as
applicable)
q if
needs
further
action
an:AirAct
No Effect
No Effect
Current practices do not effect
clean air act.
Planned Action will not effect
Environmental Concern listed in
idheet FS1 FS-
a non -attainment
rre
❑no
section G.
an Water Act / Waters
No Effect
May Effect
Army COE permit not required if
Review Army Corps of Engineers
of the U.S.
Guide Sheet Fact
project not implemented.
Documentation
Planning unit just upstream
from impaired water body
•Coastal Zone Management
No Effect
No Effect
Guide Sheet Fact
None in Rutherford County
No coastal zones are located near
the planning unit.
❑
Planned Action will not effect
Environmental Concern listed in
_
❑
Coral Reefs
No Effect
No Effect
Guide Sheet Fact
None in Rutherford County
❑
❑
No coral reefs are located near the
planning unit.
Planned Action will not effect
Environmental Concern listed in
•Cultural Resources /
No Effect
May Effect
No further impact to cultural
CR request has been made and
Historic Properties
ElGuide
Sheet Fact
resources as a result of maintaing
returned given authority to proceed
No cultural resources noted
. n field visit, No listed
current practices.
with planned activities.
.Endangered and
No Effect
No Effect
Threatened Species
Current practices do not effect
Planned Action will not effect
El
Guide Sheet Fact
endangered or threatened species.
Environmental Concern listed in
No potential endangered or
threatened species in
section G.
I
Environmental Justice
No Effect
No Effect
Low income and minority
populations are not currently
Planned Action will not effect
Environmental Concern listed in
Guide Sheet Fact
there are low income and
o
❑
minority producers in the
experiencing disproportionaly high
section G.
*Essential Fish Habitat
No Effect
No Effect
Guide Sheet Fact
PLU not in an EFH area, per
No essential fish habitat within the
planning unit.
El
Planned Action will not effect
Environmental Concern listed in
❑
Floodplain Management
No Effect
No Effect
Current activities will not cause
further development in the
No buildings or structures are
included in the planned activity.
Guide Sheet Fact
Some areas of planning are
O
❑
Invasive Species
No Effect
No Effect
Guide Sheet Fact
Not present in the planning
Continuance of current activities is
not likely to promote or cause the
o
Planned Action will not effect
Environmental Concern listed in
El
•Migratory Birds/Bald and
No Effect
No Effect
Golden Eagle Protection Act
Continuation of current practices
Planned Action will not effect
Guide Sheet Fact
will have no effect on eagles,
Environmental Concern listed in
No eagles or nests are
known to exist an the
nests, or migratory bird habitats.
section G.
Natural Areas
No Effect
No Effect
Guide Sheet Fact
o known natural areas are
Current activity does not impact
officially or unofficially designated
Ej
Planned Action will not effect
Environmental Concern listed in
❑
rime and Unique Farmland
No Effect
No Effect
Guide Sheet Fact
prime or unique
[Riparian
❑
Elome
El
Maintaining current activities will
not result in conversion of farmland
Planned Action will not effect
Environmental Concern listed in
Area
No Effect
No Effect
Guide Sheet Fact
Riparian areas exist within
❑
Maintaining current activities will
contnue to degrade the established
Conservation practices will
improve and increase depth and
Scenic Beauty
No Effect
No Effect
Guide Sheet Fact
The scenic beauty of the
❑
❑
Maintaining current activities will
not adversely effect the scenic
Planned Action will not effect
Environmental Concern listed in
NRCS-CPA-52, March 2015

*Wetlands
No Effect
No Effect
Guide Sheet Fact
Maintaining current activities will
❑
❑
❑
Planned Action will improve the
Weltands exist in the
not effect wetlands.
wetlands located within the
.Wild and Scenic Rivers
No Effect
No Effect
Guide Sheet Fact
No wild or scenic rivers located
❑
Planned Action will not effect
El
❑
No designated wild and
withint the planning unit.
Environmental Concern listed in
K. Other Agencies
and Broad Public
No Action
Alternative 1
Alternative 2
Easements, Permissions,
Stream restoration/stabilization cannot be
Have to get permission to work in stream
Public Review, or Permits
completed without proper permits obtained.
for ACofE and all required permits.
Required and Agencies
Cumulative Effects Narrative
Upon review, cumulative and incremental
Upon review, cumulative and incremental
(Describe the cumulative
effects are not likely.
effects are not likely.
impacts considered,
including past, present and
known future actions
reciardless of who erformed
L. Mitigation
No mitigation actions required for
No mitigation actions required for planned
(Record actions to avoid,
maintaining current practices.
action.
minimize, and compensate)
M. Preferred
11
ElAlternative
El
referred
This is the best alternative to improve
Supportin
water quality & wildlife.
g reason
N. Context (Record context of alternatives analysis) I local local
The significance of an action must be analyzed in several contexts such as society as a whole (human, national), the affected region, the
affected interests and the localit .
O. Determination of Significance or Extraordinary Circumstances
Intensity: Refers to the severity of impact. Impacts may be both beneficial and adverse. A significant effect may exist even if the Federal
agency believes that on balance the effect will be beneficial. Significance cannot be avoided by terming an action temporary or by
breaking it down into small component parts.
If you answer ANY of the below questions "yes" then contact the State Environmental Liaison as there may be extraordinary
circumstances and sianificance issues to consider and a site specific NEPA analvsis may be reauired.
Yes No
❑ P1 • Is the preferred alternative expected to cause significant effects on public health or safety?
❑ 0 • Is the preferred alternative expected to significantly affect unique characteristics of the geographic area such as
proximity to historic or cultural resources, park lands, prime farmlands, wetlands, wild and scenic rivers, or
ecoloaically critical areas?
El El
• Are the effects of the preferred alternative on the quality of the human environment likely to be highly controversial?
❑ ❑� • Does the preferred alternative have highly uncertain effects or involve unique or unknown risks on the human
environment?
❑ ❑� • Does the preferred alternative establish a precedent for future actions with significant impacts or represent a decision
in principle about a future consideration?
❑ R . Is the preferred alternative known or reasonably expected to have potentially significant environment impacts to the
quality of the human environment either individually or cumulatively over time?
❑ ❑� • Will the preferred alternative likely have a significant adverse effect on ANY of the special environmental concerns?
Use the Evaluation Procedure Guide Sheets to assist in this determination. This includes, but is not limited to,
concerns such as cultural or historical resources, endangered and threatened species, environmental justice,
wetlands, floodplains, coastal zones, coral reefs, essential fish habitat, wild and scenic rivers, clean air, riparian
.re.e nntnrnl mane —1 inv-ch— en—iec
❑ R1 • Will the preferred alternative threaten a violation of Federal, State, or local law or requirements for the protection of
P. To the best of my knowledge, the data shown on this form is accurate and complete:
In the case where a non-NRCS person (e.g. a TSP) assists with planning they are to sign the first signature block and then NRCS is to
sign the second block to verify the information's accuracy.
Signature (TSP if applicable) Title Date
mkz i "o Supervisory Soil Conservationist LT ca ) 2,2 o! -3
Signature NRCS Title [Date
IfIf preferred alternative is not a federal action where NRCS has control or responsibility and this NRCS-CPA-52 is shared with
someone other than the client then indicate to whom this is being provided.
NRCS-CPA-52, March 2015

The following sections are to be completed by the Responsible Federal Official (RFO)
NRCS is the RFO if the action is subject to NRCS control and responsibility (e.g., actions financed, funded, assisted, conducted,
regulated, or approved by NRCS). These actions do not include situations in which NRCS is only providing technical assistance because
NRCS cannot control what the client ultimately does with that assistance and situations where NRCS is making a technical determination
Q. NEPA Compliance Finding (check one)
The preferred alternative:
Action required
❑
1) is not a federal action where the agency has control or responsibility.
Document in "RY' below.No
additional analysis is required
2) is a federal action ALL of which is categorically excluded from further
❑
environmental analysis AND there are no extraordinary circumstances as
Document in "R.2" below.
identified in Section "O".
No additional analysis is required
3) is a federal action that has been sufficiently analyzed in an existing Agency
0
state, regional, or national NEPA document and there are no predicted significant
Document in "R.1" below.
adverse environmental effects or extraordinary circumstances.
No additional analysis is required.
4) is a federal action that has been sufficiently analyzed in another Federal agency's
NEPA document (EA or EIS) that addresses the proposed NRCS action and its'
Contact the State Environmental
❑
effects and has been formally adopted by NRCS. NRCS is required to prepare
Liaison for list NEPA documents
and publish its own Finding of No Significant Impact for an EA or Record of Decision
formally adoptedd and available for
for an EIS when adopting another agency's EA or EIS document. (Note: This box
tiering. Document in below.
is
is not applicable to FSA)
No additional analysis is required
r
5) is a federal action that has NOT been sufficiently analyzed or may involve
Contact the State Environmental
❑
predicted significant adverse environmental effects or extraordinary circumstances
Liaison. Further NEPA analysis
and may require an EA or EIS.
required.
R. Rationale Supporting the Finding
R.1
Local issue. NRCS EQIP December2014
Findings Documentation
R.2
Applicable Categorical
Exclusion(s)
(more than one may apply)
7 CFR Part 650 Compliance
With NEPA, subpart 650.6
Categorical Exclusions
states prior to determining
that a proposed action is
categorically excluded under
paragraph (d) of this
section, the proposed action
must meet six sideboard
criteria. See NECH
I have considered the effects of the alternatives on the Resource Concerns, Economic and Social Considerations, Special
Environmental Concerns, and Extraordinary Circumstances as defined by Agency regulation and
policy and based on that made
the finding indicated above.
S. Signature of Responsible Federal Official:
l4 • J/ Supervisory Soil Conservationist
Signature v Title
ate
Additional notes
NRCS-CPA-52, March 2015