20151224 Ver 1_401 Application_20151115

Letter of Transmittal
S&ME, Inc.
9751 Southern Pine Blvd. -
& M E
Charlotte, NC 28273
[phone]
[phone] fax
N.C. Division of Water Resources
401 and Buffer Permittinq Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
DATE: November 20, 2015 JOB NO: 4335-15-068
ATTENTION: Ms. Karen Higgins
RE: Williams Gas Pipeline MP1333 & MP1334 Pipeline
Replacement PCN
WE ARE SENDING YOU: ® Attached ❑ Under separate cover via the following items:
❑ Shop drawings ❑ Prints ® Plans ❑ Draft ❑ Specifications
❑ Copy of letter ® Report
COPIES DATE NO DESCRIPTION
5 11.20.2015 1 Nationwide Permit 12 Pre -Construction Notification
1 11.13.2015 2 Permitting Fee Check in the amount of $240.00 (Processing fee)
THESE ARE TRANSMITTED AS CHECKED BELOW:
® For approval ❑ For your record
❑ As requested ❑ For review and comment ❑
❑
FORBIDS DUE: _/_I_ ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS: Attached please find the above. Please let me know if you have questions, Thank you.
- Darrin Peine
SIGN: �) 1^5 w M
COPY TO: File, USACE, NC SHPO, USFWS
IF ENCLOSURES ARE NOT AS NOTED, PLEASE NOTIFY US AT ONCE.
This Letter of Transmittal and the documents accompanying this Letter of Transmittal contain information from S&ME, Inc., which is confidential and legally
privileged. The information is intended only for use of the individual or entity named on this Letter of Transmittal If you are not the intended recipient, you
are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on these documents is strictly prohibited.
S&ME SFG-001
(Rev 04/04)
I

Pre -Construction Notification and Request
for Preliminary Jurisdictional Determination
Williams 2016 DOT Replacement Projects —
MP 1333 & MP 1334 2 p 1 5 2 2 4
Davidson County, North Carolina
S&ME Project No. 4335-15-068
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November 20, 2015
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Attention: Mr. John Thomas
N.C. Division of Water Resources
401 & Buffer Permitting Unit
512 North Salisbury Street
Raleigh, North Carolina 27604
Attention: Ms. Karen Higgins
Reference: Pre -Construction Notification: NWP No. 12 / WQC No. 3884
Williams 2016 DOT Replacement Projects — Mileposts 1333 & 1334
Davidson County, North Carolina
Williams Gas Pipeline Project No. 1176222 & 1175659
S&ME Project No. 4335-15-068
Dear Mr. Thomas and Ms. Higgins:
On behalf of Williams Gas Pipeline—Transcontinental Gas Pipe Line Company, LLC. (Williams), S&ME, Inc.
(S&ME) hereby submits this application for impacts to waters of the U.S. in accordance with Nationwide
Permit (NWP) No. 12 and the corresponding North Carolina Water Quality Certification (WQC) No. 3884.
Williams is planning for replacement construction of approximately 1,705 linear feet (If) of 30 -inch
diameter natural gas pipeline and 2,215 If of 36 -inch pipeline, located in Davidson County, North Carolina,
and will involve no loss of waters of the U.S. In support of this application, please find enclosed the
following:
Please find enclosed the following:
• Figures
• Appendix I: Completed Pre -Construction Notification (PCN) and Authorization to Act as Agent
• Appendix II: Preliminary Jurisdictional Determination
• Appendix III: Typical Stream and Wetland Crossing Details
• Appendix IV: Restoration Plan
S&ME, Inc. 19751 Southern Pine Boulevard I Charlotte, NC 282731 p 704 5234726 If 704.52539S3 I www smeinc.com

Pre -Construction Notification: NWP No. 12 / WQC No. 3884
- Williams 2016 DOT Replacement Projects —Mileposts 1333 & 1334
S&ME
Davidson County, North Carolina
Williams Gas Pipeline Project No. 1176222 & 1175659
S&ME Project No. 4335-15-068
This PCN is being provided to the U.S. Army Corps of Engineers (USACE) and to the North Carolina
Division of Water Resources (NCDWR) for approval because the proposed project will require
authorization of a work area (i.e., construction corridor) exceeding 40 feet in width within wetlands and
across stream channels. A copy of the completed PCN and Agent Authorization Form is included in
Appendix I. This PCN is for authorization of temporary impacts to Waters of the U.S., including wetlands.
No other NWP(s), regional general permit(s), or individual permit(s) are currently used or anticipated to be
used to authorize any part of the proposed project or any related activity.
°o° General Project Information and Purpose
The approximate location of the project corridor is depicted on the Site Vicinity Map (Figure 1); a portion
of the Midway, N.C. 2000 U.S. Geological Survey Topographic Quad Sheet (Figure 2); an Approximate
Waters of the U.S. Map (Figures 3A and 3B); and Proposed Project Impacts (Figure 4). A majority of the
project corridor extends through residential areas and adjacent woodland. The purpose of the proposed
project is to replace the existing natural gas transmission line with new pipeline that is compatible with
current federal safety and inspection requirements. Provided below is a list of pertinent information
relating to the site and the permit applicant:
Applicant: Williams Gas Pipeline - Transco
Mailing Address: 2800 Post Oak Blvd.
Houston, TX 77251-1396
Attention: Michael Naeger
Email: [e-mail]
Telephone Number: 713-215-4627
Closest Waterway: Fryes Creek
River Basin: Yadkin River (HUC 03040101)
County: Davidson
Coordinate Locations: 35.942219°N, -80.245053°W (MP 1333 Project Start)
35.944120°N, -80.242848°W (MP 1333 Project Stop)
35.950079°N, -80.234449°W (MP 1334 Project Start)
35.954039°N, -80.228602°W (MP 1334 Project Stop)
USGS Quadrangle: Midway, N.C. 2000
Williams is planning to conduct various maintenance and regulatory compliance efforts in year 2016 for
sections of pipeline within the purview of the Williams' Charlottesville Division, including United States
Department of Transportation required pipeline replacement projects. Among those projects include two
sections of pipeline in Davidson County, North Carolina at Williams approximate milepost (MP) locations
MP 1333 and MP 1334 (Figures 1-4).
November 20, 2015

Pre -Construction Notification: NWP No. 12 / WQC No. 3884
- Williams 2016 DOT Replacement Projects —Mileposts 1333 & 1334
S&ME
Davidson County, North Carolina
"'- Williams Gas Pipeline Project No. 1176222 & 1175659
S&ME Project No. 4335-15-068
MP 1333
Williams is planning to replace a 161 -foot (0.03 mile) section of 36 -inch diameter Mainline "B" natural gas
transmission line located between Enterprise Road and NC Highway 8, Midway, North Carolina, with a
new Class III -compliant 36 -inch pipeline. The project corridor at MP 1333 originates north of Enterprise
Road (35.942219°N, -80.245053°W), extends northeast for approximately 970 If ending at approximately
35.944120°N, -80.242848°W. Total land disturbance area is approximately 2.24 acres.
MP 1334
Williams will be replacing approximately 1,705 feet (0.323 miles) of the existing Mainline "A" 30 -inch pipe
with new 30 -inch pipe, and will also be replacing approximately 2,054 feet (0.389 miles) of the existing
Mainline "B" 36 -inch pipe with new 36 -inch pipe, in order to make the area Class III compliant. The
project corridor at MP 1334 originates east of NC Highway 8 (35.950079°N, -80.234449°W), extends
northeast for approximately 2,250 If ending at approximately 35.954039°N, -80.228602°W. Total land
disturbance area is approximately 10.58 acres.
0
Field Conditions
S&ME personnel visited the project area on April 21, 2015 to delineate the jurisdictional boundaries in
accordance with the USACE 1987 Wetland Delineation Manual Guidelines and corresponding Eastern
Mountains and Piedmont Supplemental Guidance'. Field conditions were documented using USACE
Routine Wetland Determination Data Forms, as appropriate. The field review also included identification
of surface waters (streams or ponds) within the project corridors. Drainage features identified during the
field review were assessed to determine the jurisdictional status of the tributary. Drainage features were
classified as either non -jurisdictional orjurisdictional.
Field review identified two natural stream channels and one wetland area. Limits of the jurisdictional
features were delineated by S&ME and subsequently identified with a Trimble global -positioning system
(GPS) unit capable of sub -meter accuracy. A Request for a Preliminary Jurisdictional Determination, along
with representative Routine Upland/Wetland Data Forms and a NCDWR Stream Classification Form, is
being submitted to the USACE along with this permit package (Appendix II).
A brief summary of the streams and wetlands identified during S&ME's delineation are described as
follows:
Stream S1 (photos 2, 3, & 4, Appendix II) is located near the construction limits of MP 1333. The
perennial channel is approximately three to five feet wide with gravel, sand and existing rip -rap
comprising the substrate with shallow vegetated banks. Stream S1 is an unnamed tributary of Fryes Creek
located approximately 3,900 feet (0.74 mile) north of the pipeline right-of-way (ROW) that is depicted on
' U.S. Army Corps of Engineers. 1987. Corps of Engineers wetlands delineation manual, Technical Report Y-87-1,
U.S. Army Engineer Waterways Experiment Station, Vicksburg, MS. NTIS No. AD A176 912.
U.S. Army Corps of Engineers. 2012. Regional Supplement to the Corps of Engineers Wetland Delineation
Manual: Eastern Mountains and Piedmont Region (version 2.0). U.S. Army Engineer Waterways Experiment
Station, Vicksburg, MS. ERDC/EL TR -12-9
November 20, 2015

Pre -Construction Notification: NWP No. 12 / WQC No. 3884
_.= Williams 2016 DOT Replacement Projects —Mileposts 1333 & 1334
S&ME
Davidson County, North Carolina
Williams Gas Pipeline Project No. 1176222 & 1175659
S&ME Project No. 4335-15-068
the USGS topographic map (35.944106°, -80.242720°). Stream S1 scored 33.5 total points on the NCDWR
Stream Identification Form (Appendix II) and is a perennial stream. Stream S1 is not located within the
proposed work space of MP 1333.
Wetland W1 (photos 3 & 4, Appendix II) abuts Stream Sl. Soils within Wetland 1 exhibited hydric soil
indicator F3 (Depleted Matrix) as evidenced by a higher value, low chroma soil within the upper six inches
of the soil surface. The wetland is emergent and was dominated by spotted touch-me-not (Impatiens
Capensis) and straw -color flat sedge (Cyperus strigosus). Wetland W1 is also not located within the
proposed work space of MP 1333.
Stream S2 (photos 6 & 7) is located within the construction limits of MP 1334. The channel is
approximately two to three feet wide with gravel, sand and silt substrate with shallow vegetated banks.
Stream S2 is an unnamed tributary of Fryes Creek located approximately 870 feet (0.16 miles) north of the
pipeline ROW that is depicted on the USGS topographic map (35.953282°, -80.229746°). Stream S2
scored 34.0 total points on the NCDWR Stream Identification Form (Appendix II) and is a perennial stream.
Non -Jurisdictional Drainage (photo 8), Data Point DP1, is located within the construction limits of MP
1334 (Figure 3B). The observed feature is linear and approximately one foot wide, but is lacking a defined
channel with ordinary high water marks and/or hydric soils. The feature scored 8.25 total points on the
NCDWR Stream Identification Form (Appendix II).
The proposed pipeline is located in the Piedmont physiographic province in the Yadkin River Basin. Land
use in the vicinity of the project corridor consists primarily of scattered residential areas which include
landscaped or maintained lawns, roadway ROWS or lightly -developed areas.
A portion of the land use within the existing corridor is dominated by maintained utility corridors.
Although vegetation within such areas is varied, general species observed included winged sumac (Rhus
copallina), poison ivy (Toxicodendron radicans), blackberry (Rubus sp.), wineberry (R. phoenicolasius),
sericea lespedeza (Lespedeza cuneata), dandelion (Taraxacum officinale), Queen Anne's lace (Daucus
carota), ebony spleenwort (Asplenium platyneuron), big bluestem (Andropogon gerardii), dogfennel
(Eupatorium capillifolium), broomsedge (A. virginicus), goldenrod (Solidago sp.), muscadine grape (Vitis
rotundifolia), Deptford pink (Dianthus armeria ssp. armeria) and various grasses (Festuca spp.). Woody
species observed along the periphery of the maintained utility easements included black cherry (Prunus
serotina), sweetgum (Liquidambar styraciflua), tulip tree (Liriodendron tulipifera), red maple (Acer rubrum),
red oak (Quercus rubra), wax myrtle (Morella cerifera) and sugar maple (A. saccharum).
Photos of the project corridor are included in Appendix II.
00o Description of Construction Activity and Proposed Impacts
Williams proposes to conduct the construction activities within a portion of their existing 100 -foot wide
ROW easement. The project area limits of disturbance will include the existing maintained easement and
additional temporary workspace for pipe laydown area and an area off Drew Lane cul-de-sac. These areas
are the minimum width necessary in order to conduct the pipeline replacement activity. Due to the large
diameter of the pipeline segments being replaced (30 & 36 inches) and safety considerations,
construction area limits of disturbance were evaluated and determined to be no more than 100 feet wide,
November 20, 2015 4

Pre -Construction Notification: NWP No. 12 / WQC No. 3884
-_- Williams2016 DOT Replacement Projects —Mileposts 1333 & 1334
S&ME
Davidson County, North Carolina
Williams Gas Pipeline Project No. 1176222 & 1175659
S&ME Project No. 4335-15-068
required for equipment access, and 80 feet wide used for construction associated with replacement of the
pipe segments. Typically, routine maintenance activities involving pipeline recoat or anomaly digs would
require a construction width less than 80 feet wide. The preliminary land exhibit drawings are included in
the Figures. The crossing detail drawings of the project corridors are included in Appendix III.
Equipment (track -hoe, side -boom, bulldozer, dump truck, pick-up trucks) will access the construction
areas using the existing easement where it crosses public roadways through an installed construction
entrance and an existing temporary access road off of Ralph Miller Road (Figure 36). Construction will
first involve removal of surface vegetation in a manner that minimizes soil disturbance. Appropriate
sediment and erosion control measures will be installed to prevent sedimentation of jurisdictional features
as a result of the construction.
Excavation should only occur within the trench line. A trench detail is included as Figure 5A, Appendix III.
Following replacement of the new pipe segments, affected areas will be returned to its original grade and
contour, seeding and mulching to restore the easement as closely as possible to pre -disturbance
conditions.
The project will temporarily impact approximately 90 If of S2 stream channel as a result of the pipe
replacement. The stream work will occur "in -the -dry" by isolating the affected area via dam -and -pump or
flume techniques. The affected banks will then be restored to their original grade and contour, stabilized
with juke or similar matting and seeded. Replacement of rip -rap rock to insure proper stabilization will
occur in areas where the rip -rap rock was temporarily removed in order to perform the construction. A
pre -construction stream crossing detail is included as Figure 5B. A pump around and flume crossing
detail is also included as Figures 5C and 5D, respectively. A post -construction stream crossing detail is
provided as Figure 5E.
Project impacts are depicted on the Figure 4.
Protected Species and Cultural Resources
Protected Species
S&ME's consideration of potential protected species habitat began with review of existing records
obtained from federal sources. The U.S. Fish & Wildlife Service (USFWS) list of federally protected species
(updated July 24, 2015) was consulted for a listing of protected species documented within Davidson
County, North Carolina. This review identified three protected species, one candidate species, and three
species of concern; three plants and four animals. Listed flora and fauna and their federal status are
identified in Table 1. Explanations of rankings are included at the end of the table.
Table 1— Federally Listed Species Summary
Ha(iaeetus (eucocepha(us BGPA Current No
Bald eagle
November 20, 2015 5

Pre -Construction Notification: NWP No. 12 / WQC No. 3884
- = Williams 2016 DOT Replacement Projects —Mileposts 1333 & 1334
S&ME
Davidson County, North Carolina
Williams Gas Pipeline Project No. 1176222 & 1175659
S&ME Project No. 4335-15-068
Myotis leibii FSC Current Yes
Eastern small -footed bat
Myotis septentriololis
T
Current
Yes
Northern long-eared bat
Symphyotrichum georgionum
C
Current
No
Georgia aster
Lotus unifoliolatus var. helleri
FSC
Current
No
Prairie birdsfoot-trefoil
Helionthus schweinitzii
E
Current
No
Schweinitz's sunflower
BGPA = Bald and Golden Eagle Protection Act; FSC = Federal Species of Concern; T = Threatened; C = Candidate; E _
Endangered
S&ME completed a field reconnaissance of the project areas on April 21, 2015. This effort revealed the
site consisted of maintained utility ROWS and adjacent residential lawns. None of the listed species were
observed. Based on the level of recent and continued disturbance, the project site is not considered to
provide potential habitat for protected plant species with a likelihood of occurring in Davidson County.
Though the Carolina darter is not federally listed (federal species of concern) for Davidson County, the
proposed project involves impacts to unnamed tributaries to Yadkin River (Upper Yadkin subbasin
03040101) and will not impact streams that drain to those supporting known populations of Carolina
darter. Accordingly, the proposed project is not anticipated to impact this species.
The northern long-eared bat uses caves and abandoned mines as winter hibernacula. In summer, this bat
will roost in small colonies or alone underneath bark or in cavities or crevices of both live trees and dead
trees.
The northern long-eared bat was recently listed as federally -threatened. Based on S&ME's understanding,
the USFWS considers any live or dead tree with loose or exfoliating bark with a diameter at breast height
(DBH) greater than 3 inches to be potential roosting habitat. Based on our observations, potential habitat
for the northern long-eared bat does occur within the proposed project Site.
Based on our understanding of the interim rule (Federal Register 50 CFR Part 17, dated April 2, 2015),
(Projects Resulting in Minimal Tree Removal, 18026-18027), the proposed project is anticipated to result
in "minimal" tree removal (i.e., activities that remove an acre or less of forested habitat). Based on our
understanding of the interim rule, the Site is not located within 0.25 -mile of known hibernacula and the
activity will not significantly change the overall nature and function of the local forested habitat, therefore
the project may affect, but is not likely to adversely affect the northern long-eared bat.
A copy of this PCN and attachments will also be provided to the USFWS for that agency's comment on
the proposed project.
November 20, 2015

Pre -Construction Notification: NWP No. 12 / WQC No. 3884
- Williams 2016 DOT Replacement Projects —Mileposts 1333 & 1334
S&ME
Davidson County, North Carolina
"'- Williams Gas Pipeline Project No. 1176222 & 1175659
S&ME Project No. 4335-15-068
Cultural Resources
S&ME reviewed the North Carolina Historical Preservation Office Online GIS Web Service (HPOWEB) for
properties listed or potentially eligible for listing in the National Register of Historic Places. No such
properties were located within the vicinity of the project areas.
A copy of this PCN and attachments will be forwarded to the State Historic Preservation Office (SHPO) to
provide an opportunity for comment on the proposed project.
°°°° Avoidance and Minimization
Williams has designed the proposed project at MP 1333 and MP 1334 to avoid and minimize impacts to
waters of the U.S. to the extent practical. Construction activities will be limited on MP 1333 to avoid
impacts to the identified stream (Sl) and wetland (Wl) features.
Additional Regulatory Considerations
Work will be conducted within the existing maintained easement. Material resulting from trench
excavation are not anticipated to be temporarily sidecast into waters of the U.S, but in no case would
sidecasting occur for more than three months. Excess material will be removed to a high ground disposal
area. Temporarily -cleared areas will be restored with native vegetation in accordance with the attached
Restoration Plan (Appendix IV) upon completion of the work.
Sediment and erosion control measures shall be consistent with the practices outlined in the most recent
version of the "North Carolina Sediment and Erosion Control Planning and Design Manual" and approved
by the local governing authority. The specifications for the design, installation, operation and
maintenance of Best Management Practices will comply with the appropriate turbidity water quality
standard. Sediment and erosion control measures placed in waters will be removed and the original
grade restored within two months after the Division of Land Resources has released the project. Impacts
have been avoided and minimized, and appropriate measures will be taken during construction to allow
flow and circulation patterns of waters of the U.S. to remain unaffected.
Mitigation
°
The project is proposed to result in temporarily impacting approximately 90 If of S2 stream channel. The
proposed project has been designed for the purpose of meeting current federal natural gas pipeline
safety and inspection requirements. Based on our experience with similar projects, we do not anticipate
that compensatory mitigation for the proposed project is required.
As proposed, the project will comply with applicable conditions of NWP No. 12 and WQC No. 3884.
However, the width of the construction area within the permanently -maintained ROW will exceed 40 feet
at crossings. This is necessary due to the size of the equipment required for the construction activity as
well as safety considerations. Following construction, affected jurisdictional areas will be restored to its
original grade and contour. As proposed, the project will not result in permanent changes in pre -
construction elevation contours or affect dimension, pattern or profile of affected streams. Cleared areas
November 20, 2015

Pre -Construction Notification: NWP No. 12 / WQC No. 3884
- Williams 2016 DOT Replacement Projects —Mileposts 1333 & 1334
S&ME
Davidson County, North Carolina
"`- Williams Gas Pipeline Project No. 1176222 & 1175659
S&ME Project No. 4335-15-068
are proposed to be restored in accordance with the attached Restoration Plan (Appendix IV) following
completion of the work.
Closing
By copy of this correspondence and completed PCN, we are requesting your written concurrence with this
NWP No. 12 permit application. If you have questions or need additional information, please feel free to
contact Darrin Peine at 704-523-4726, or [e-mail].
Sincerely,
5&ME, Inc. n
Do,,
Darrin M. Peine, QEP
Project Manager
Reviewed and Authorized by:
Michael Naeger
Environmental — Williams
�W_Pmca-')
Chris Daves, PWS
Senior Natural Resources Professional
Attachments:
Figures
Appendix I: Completed PCN and Authorization to Act as Agent
Appendix II: Preliminary Jurisdictional Determination
Appendix III: Typical Stream and Wetland Crossing Details
Appendix IV: Restoration Plan
November 20, 2015 8

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REFERENCE: 2000 MIDWAY [NC] 1:24,000 USGS TOPOGRAPHIC QUAD SHEET
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PROJECT NO: DRAWN BY:
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- - Access Road
FIGURE NO.
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S&ME
Williams 2016 DOT Replacement Projects 2
Mileposts 1333 & 1334
Davidson County, North Carolina

fNO.TE.:,JURISDICTIC�NAL BOUNDARIES WERE DELINEATED IN THE FIELD
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REFERENCE:
GIS DATA LAYERS WERE OBTAINED FROM NC ONEMAP. PROJECT DATA WAS PROVIDED BY WILLIAMS TRANSCO. THIS MAP IS FOR Jurisdictional Streams'
INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL -
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rn >
E ❑
a
a
r
k
FIGURE
NO.
3A
�a

NOTE: JURISDICTIONAL BOUNDARIES WERE DELINEATED IN THE FIELD r'.� .! ,a?'�_, ~�� �� "Yy"*-�'?.y,'�``'�"p!"C`'�'3• may,- \
1 BYSBMESCIENTISTS AND THEIR BOUNDARIES WERE LOCATED ,� _
GPS UNITS CAPABLE OF SUB -METER ACCURACY. JURISDICTIONAL t • rr +ve'f� • r• N
FEATURES HAVE NOT BE VERIFIED BY THE USACE OR NCDWR, NOR • ' �� •� ♦� _ �• - `' O } _
HAVE THEY BEEN SURVEYED BY A REGISTERED LAND SURVEYOR. s - - 'v, i +� � �� - 11 t `+ CV m Q
i `F• ..Y' �t''�l�' + . J \ h wStream Z♦ • '-l` ~w-� `_";f x ,,•, 1 f„e,_ -` Q O
:.yry 1�; . \ - �' Perennial RPW _ . ,.
131 LF delineated t / i00
SEE FIG. 4 FOR IMPACTS ♦ a- r:.,• + o
q:.
6 LO
04
0 co
Y. a �• W W
ry
IN
'Ilk -
v, „ Non -Jurisdictional Drainage
No OHWM / No Hydric Soils �► a `
•
•r , I WILD°B -
ERRY=COURT
kill
LL
O m cin (J
U Cd
C C
i . f6
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oai C') Z
Existing Access Q- O o
1, ,�pylw` -• •'- a� o Road CrossingW Q o U
ti (V 'O
cn
IDREWzIZANE
Project Limits of Disturbance a
o ►' _4. goofaoa +�" � Access Road ,.� 1. � t,•
' r ` Existing Pipelines �I rAN,%:M� ` -
+�l:F FR:
(IN F#EET)�
Proposed Replacement Segments" f ..t y { ti' e y� FIGURE NO.
REFERENCE:
qS DATA LAVERS WERE OBTAINED FROM NC ONEMAP. PROJECT DATA WAS PROVIDED 8Y WILLIAMS TRANSCO. THIS MAP IS FOR �4t Jurisdictional Streams '� !. Q
INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED, THEY ARE NOT BASED ON CIVIL _ r B
i
SURVEY INFORMATION, UNLESS STATED OTHERWISE. .. ► I ; _ '��
-- Non -Jurisdictional Drainage

6 err
STREAM 2
/.• 90 LF of Proposed Temporary Stream Impacts
Due to Pipe Excavation and Replacement/
Equipment Crossing •
villa
8)s
3 l .
!
J. 1
T
Project Limits of Disturbance
Proposed Temporary Stream Impacts
t. Existing Culvert
p i. X30 60f +���:� { >---> Stream Centerline
Jurisdictional Streams
(IN FEET)
REFERENCE:------ Existing Pipelines
GIS DATA LAYERS WERE OBTAINED FROM NC ONEMAP PROJECT DATA WAS PROVIDED BY
WILLIAMS TRANSCO. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURE Proposed Replacement Segments
LOCATIONS DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEY p p g
1
SCALE: 1 „ _ 30'
FIGURE NO.
DATE 11-13-15S&ME PROPOSED PROJECT IMPACTS
DRAWN BY: DDH Williams 2016 DOT Replacement Projects 4
PROJECT NO. Mileposts 1333 & 1334
N* 4335-15-068 Davidson County, North Carolina

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DALE M. GRIM A DANA R. GIRIGGS
L. 1175 E. 1005
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LOT 10
LOT II IJJC. INC.
IJJC. NC. L. I12S E.1310
L.11zf F.1340 LL M71
LL NO. IRA 0. 301 ACRES
0.155 ACRES REUNIENT RA RERMAIENT Rn
0.437 ACRES RIPORARV "WSRACE 0.339 ACRES
TE7PORART VWWACE
DALE Y. GRIM 6 'ANA R. GRIM
L.1315 E.IOD9
1.153 LZLESND1 . R/1
0.141 ACRES 1EWDIAMT MNESRACE
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LIMITS 6 DISTIIII f /13.131. S0. E'. • 9.197 IBES
pRE�\M��P�y
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----- MR,lAM
RUEFOICE oaAvnNGs TRANSCONTINENTAL GAS PIPE LINE COMPANY. LLC
aRVNo rn Tm2 ND DRE In u�as1RR+ wn.ru oAc "'. LAND EXHIBIT
2015 DOT REPLACEMNET SII__ /IIRi
MAIN LINES 'A' d 'B' �J
M.P. 1333.41 TO M.P. 1334.73
DAVIDSON COUNTY, NORTH CAROLINA
01NR1 R W ORE OFiS-2075 EY1£ 510/1
om® IR arE
=26-0100-55-27— —1152332-1
4 �y

Appendices

Appendix I - Completed Pre -Construction Notification (PCN)
and Authorization to Act as Agent

of wnrFq
o`' pG Office Use Only:
oi�� Vit. /�y Corps action ID no.
:�.. r. N DWQ project no.
Form Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the Corps:
1 b. Specify Nationwide Permit (NWP) number: 12
1c. Has the NWP or GP number been verified by the Corps?
❑z Section 404 Permit ❑ Section 10 Permit
or General Permit (GP) number:
❑x Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
❑x 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 For the record only for DWQ
because written approval is not required? 401 Certification:
❑ 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.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
For the record only for Corps Permit:
❑ Yes ❑z No
❑ Yes ❑x No
❑ Yes Q No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes
2. Project Information
2a. Name of project: Williams Gas Pipeline 2016 DOT Replacements
2b. County: Davidson
2c. Nearest municipality / town: Midway
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state project no: I N/A
3. Owner Information
3a. Name(s) on Recorded Deed:
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Transcontinental Gas Pipeline Company, LLC
2800 Post Oak Blvd
Houston TX 77056
713-215-4627
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009
❑x No

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑x Other, specify: Utility Company
4b. Name:
Michael Naeger
4c. Business name
Williams Gas Pipeline
(if applicable):
9751 Southern Pine Blvd
4d. Street address:
2800 Post Oak Blvd
4e. City, state, zip:
Houston TX 77056
4f. Telephone no.:
713-215-4627
4g. Fax no.:
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
Darrin Peine
5b. Business name
S&ME, Inc.
(if applicable):
5c. Street address:
9751 Southern Pine Blvd
5d. City, state, zip:
Charlotte NC 28273
5e. Telephone no.:
704-523-4726
5f. Fax no.:
5g. Email address: [e-mail]
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): I Project is a linear utility line
1b. Site coordinates (in decimal degrees): I Latitude: 35.942219 Longitude: -80.245053
1c. Propertysize:
2. Surface Waters
2a. Name of nearest body of water to proposed project:
2b. Water Quality Classification of nearest receiving water:
2c. River basin:
acres
Fryes Creek
Upper Pee Dee
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:
Land use in the vicinity of the project corridors consists primarily of scattered residential areas which include landscaped or maintained lawns, roadway
ROWs or lightly -developed areas
3b. List the total estimated acreage of all existing wetlands on the property: 0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 200
3d. Explain the purpose of the proposed project:
The purpose of the project is to replace existing transmission line with new pipeline that is compliant with federal safety and inspection requirements.
3e. Describe the overall project in detail, including the type of equipment to be used:
Williams is planning to replace two sections of natural gas transmission line with Class III compliant pipe
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the ❑ Yesx❑ No ❑ Unknown
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? Comments:
4b. If the Corps made the jurisdictional determination, what type ❑ Preliminary ❑ Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for I ❑ Yes ❑ No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
6b. If yes, explain.
❑ Yes ❑z No
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑x Wetlands
❑x Streams —tributaries
❑ Buffers
❑ Open Waters
❑ Pond Construction
2. Wetland Impacts
Stream name Perennial (PER) or Type of Average
Impact
number
intermittent (INT)? jurisdiction stream
If there are wetland impacts
proposed on the site, then
complete this question for each wetland
area impacted.
(linear
2a. 2b.
2c.
(feet)
2d.
2e.
2f.
Wetland impact
Type of impact
Type of wetland
Forested
Type of jurisdiction
Area of
number
S3 -
Choose one
- -
Corps (404,10) or
impact
Permanent (P) or
Choose one
- -
DWQ (401, other)
(acres)
Temporary (T)
S6 -
Choose one
- -
W1 -
Choose one
Choose one
Yes/No
-
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
-
W4 -
Choose one
Choose one
Yes/No
-
W5 -
Choose one
Choose one
Yes/No
-
W6 -
Choose one
Choose one
Yes/No
-
2g. Total
Wetland Impacts:
0
2h. Comments:
Wetland W1 is avoided (MP 1333) No wetland impacts are proposed.
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 (PER) or Type of Average
Impact
number
intermittent (INT)? jurisdiction stream
length
Permanent (P) or
width
(linear
Temporary (T)
(feet)
feet)
S1 -
Choose one
- -
S2 T
Excavation
S2 INT Corps
2
90
S3 -
Choose one
- -
S4 -
Choose one
- -
S5 -
Choose one
- -
S6 -
Choose one
- -
3i. Comments:
Stream S1 is avoided (MP 1333)
3h. Total stream and tributary impacts 90
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b.
4c.
4d. 4e.
Open water Name of waterbody
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list
all buffer impacts
impact number (if applicable)
Type of impact
Waterbody Area of impact (acres)
Permanent (P) or
❑ Catawba ❑ Randleman
type
Temporary (T)
6b. 6c. 6d.
6e. 6f.
01 -
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
(square
4f. Total open
water impacts o
4g. Comments: No open water impacts are proposed
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Pond ID number Proposed use or Wetland Impacts (acres) Stream Impacts (feet) Upland
purpose of pond (acres)
Flooded Filled Excavated Flooded Filled Excavated
P1 Choose one
P2 Choose one
5f. Total:
5g. Comments: No lake or pond construction is proposed
5h. Is a dam high hazard permit required? ❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list
all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin? ❑ Neuse ❑ Tar -Pamlico
❑ Catawba ❑ Randleman
❑ Other:
6b. 6c. 6d.
6e. 6f.
6g.
Buffer Impact Reason for impact Stream name
Buffer
Zone 1
Zone 2
number —
mitigation
impact
impact
Permanent (P) or
required?
(square
(square
Temporary (T)
feet)
feet)
B1 -
Yes/No
Ij B2
Yes/No
B3 _
Yes/No
B4 -
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
6i. Comments: the project will not impact protected riparian buffers
Page 5 of 10

D. Impact Justification and Mitigation -
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Construction activities will be limited on MP 1333 to avoid impacts to the identified stream (S1) and wetland (W1) features
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The project will not result in permanent changes in pre -construction elevation contours or affect dimension, pattern or profile of affected stream.
Cleared areas are proposed to be restored in accordance with the attached Restoration Plan (Appendix IV) following completion of the work.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for ❑ Yes ❑x 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 ❑ Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Type: Choose one Quantity:
3b. Credits Purchased (attach receipt and letter) Type: Choose one Quantity:
Type: Choose one 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: Choose one
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 6 of 10
PCN Form — Version 1.4 January 2009

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 I Yes ❑x No
buffer mitigation?
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.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (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 7 of 10

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 ❑x 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.
Project is a linear utility constructed belowground. The ROW will remain grassed with no impervious ❑ Yes ❑x No
surfaces
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 1
2b. Does this project require a Stormwater Management Plan? ❑ Yes ❑z No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
Project will not result in additional imperveous surface
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
3b. Which of the following locally -implemented stormwater management programs
apply (check all that apply):
3c. Has the approved Stormwater Management Plan with proof of approval been
attached?
4. DWQ Stormwater Program Review
4a. Which of the following state -implemented stormwater management programs apply
(check all that apply):
4b. Has the approved Stormwater Management Plan with proof of approval been
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
5b. Have all of the 401 Unit submittal requirements been met?
❑ Phase II
❑ NSW
❑ USMP
❑ Water Supply Watershed
❑ Other:
❑ Yes ❑ No
❑Coastal counties
❑HQW
❑ORW
❑Session Law 2006-246
❑Other:
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the ❑ Yes No
use of public (federal/state) land?
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 El 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
letter.) ❑ Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, E] Yes ❑z No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fact permit application? El Yes ❑x 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 El Yes ❑x 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.
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.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ❑ Yes ❑Q No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ❑ Yes No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted. -
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
S&ME completed a field reconnaissance of the project area on Apri 21, 2015. This effort revealed the site consisted of maintained utility rights -of -ways
and adjacent residential lawns. None of the listed species were observed.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? I ❑ Yes ❑x No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http.//ocean.floridamarine.org/efh_coral/ims/viewer. htm
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 ❑x 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?
S&ME reviewed the North Carolina Historical Preservation Office Online GIS Web Service (HPOWEB) for properties listed or potentially eligible for
listing in the National Register of Historic Places. No such properties were located within the vicinity of the project area.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
Available FEMA mapping
Darrin M. Peine
Do,, Af -Ptl-�
❑ Yes
Applicant/Agent's Printed Name Applicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant is provided )
Page 10 of 10
❑x No
11-13-2015
Date

fS&ME
AGENT AUTHORIZATION FORM
Date: November 13, 2015
Project Information
S&ME Project Name: 2016 DOT Replacement Milepost 1333 & MP 1334
Type of Project: Construction
Location: Davidson County, N.C.
Property Owner/Representative Information
Business Name: Williams Gas Pipeline — Transcontinental Gas Pipe Line
Company, LLC
Mailing Address: 2800 Post Oak Blvd.
City, State, Zip Code: Houston, TX 77056
Telephone No. 713-215-4627
Contact: Michael Naeger
Agent Information
Business Name: S&ME, Inc.
Street Address: 9751 Southern Pine Boulevard
City, State, Zip Code: Charlotte, NC 28273
Telephone No. [phone]
Contact: Darrin Peine
Authorization:
on behalf of
(Contact Signature)
Williams Gas Pipeline hereby authorize
(Name of Landowner or Representative)
S&ME, Inc. to act as agent for the above-mentioned project.

Appendix II - Preliminary Jurisdictional Determination

Jurisdictional Determination Request
im
US Army Corps
of Engineers.
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
to the appropriate Corps Field Office (or project manager, if known) via mail, electronic mail, or
facsimile. A current list of county assignments by Field Office and project manager can be
found on-line at: httD://www.saw.usace.armv.mil/Missions/RevulatorvPermitProRram.asvx , by
telephoning: 910-251-4633, or by contacting any of the field offices listed below:
ASHEVILLE REGULATORY FIELD OFFICE
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: [phone]
Fax Number: [phone]
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]
Version: December 2013 Page 1

Jurisdictional Determination Request
INSTRUCTIONS:
All requestors must complete Parts A, B, C, D, E and F.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part G.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that all JD
requests must include the current property owner authorization for the Corps to proceed with the
determination, which may include inspection of the property when necessary. This form must be
signed by the current property owner to be considered a complete request.
NOTE ON PART D - NCDOT REOUESTS: Property owner authorization/notification for JD
requests associated with North Carolina Department of Transportation (NCDOT) projects will be
conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD may not
be valid for the wetland conservation provisions of the Food Security Act of 1985. If you or
your tenant are USDA Program participants, or anticipate participation in USDA programs, you
should also request a certified wetland determination from the local office of the Natural
Resources Conservation Service, prior to starting work.
Version: December 2013 Page 2

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: 718 Enterprise Road (MP 1333)
City, State: Lexington, NC 27295
County: Davidson
Directions: US Hwy 52 Exit 97
Parcel Index Number(s) (PIN): 6830-03-10-8859 (Warner)
6830-03-30-0439 (Wallace)
B. REQUESTOR INFORMATION
Name: Darrin M. Peine (S&ME)
Mailing Address: 9751 Southern Pine Blvd. Charlotte, NC 28273
Telephone Number: 704.523.4726
Electronic Mail Address': [e-mail]
Select one:
❑ I am the current property owner.
❑✓ I am an Authorized Agent or Environmental Consultant
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address3
Williams Gas Pipeline
2800 Post Oak Blvd
Houston TX 77056
713-215-4627
[e-mail]
❑✓ Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel/Tax Record data)
' If available
z Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: Old Oak court (MP 1334)
City, State: Lexington, NC 27295
County: Davidson
Directions: US Hwy 8 Exit 97
Parcel Index Number(s) (PIN): 6830-04-54-7420 (Griggs);
6830-04-53-7813, 6830-04-53-9934 (IJJC)
B. REQUESTOR INFORMATION
Name: Darrin M. Peine (S&ME)
Mailing Address: 9751 Southern Pine Blvd. Charlotte, NC 28273
Telephone Number: 704.523.4726
Electronic Mail Address': [e-mail]
Select one:
❑ I am the current property owner.
❑✓ I am an Authorized Agent or Environmental Consultant
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address3:
Williams Gas Pipeline
2800 Post Oak Blvd
Houston TX 77056
713-215-4627
[e-mail]
❑✓ Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel/Tax Record data)
1 If available
Z Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION
I, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do 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
and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction
under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899.
Property Owner (please print) Date
Property Owner Signature
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
I am requesting that the Corps provide a Dreliminary JD for the property identified herein.
This request does include a delineation.
I am requesting that the Corps provide a Dreliminary JD for the property identified herein.
This request does NOT include a delineation.
I am requesting that the Corps investigate the property/project area for the presence or
absence of WoUS5 and provide an aDDroved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
❑ I am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an aDDroved JD (this may or may not include a survey plat).
❑ I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property/project area and provide an aDDroved JD (may or may not
include a survey plat).
4 for NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
S Waters of the United States
Version: December 2013 Page 4

Jurisdictional Determination Request
F. ALL REQUESTS
❑/ Map of Property or Project Area (attached). This Map must clearly depict the boundaries
of the area of evaluation.
❑✓ Size of Property or Project Area 12.82 acres
nI verify that the property (or project) boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marked or distinguishable.
G. JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
❑✓ Completed and signed Preliminary Jurisdictional Determination Form6.
❑✓ Project Coordinates:
Latitude
Longitude
Maps (no larger than 11x17) with Project Boundary Overlay:
❑l Large and small scale maps that depict, at minimum: streets, intersections, towns
❑✓ Aerial Photography of the project area
❑✓ USGS Topographic Map
❑ Soil Survey Map
❑l Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
6 See Appendix A of this Form. From Regulatory Guidance Letter No. 08-02, dated June 26, 2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands:
❑— Wetland Data SheetS8
Tributaries:
❑ USACE Assessment Forms
❑ Upland Data Sheets ❑✓ Other Assessment Forms
(when appropriate)
❑✓ Landscape Photos, if taken
❑ Field Sketch overlain on legible Map that includes:
■ All aquatic resources (for sites with multiple resources, label and identify)
■ Locations of wetland data points and/or tributary assessment reaches
■ Locations of photo stations
■ Approximate acreage/linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
❑ Project Coordinates:
Latitude
Longitude
Maps (no larger than 11x17) with Project Boundary Overlay:
❑ Large and small scale maps that depict, at minimum: streets, intersections, towns
❑ Aerial Photography of the project area
❑ USGS Topographic Map
❑ Soil Survey Map
❑ Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site Plan,
previous delineation maps)
1987 Manual Regional Supplements and Data forms can be found at:
http://www.usace.armv.mil/Missions/CivilWorks/ReaulatorvProeramandPermits/rep, supp.asox
Wetland and Stream Assessment Methodologies can be found at:
httD://Dortal.ncdenr.orp,/c/document library/get file?uuid=76f3c58b-dab8-4960-ba43-45b7faf06f4c&Rroupld=38364 and,
httD://www.saw.usace.armv.mil/Portals/59/docs/regulatory/publicnotices/2013/NCSAM Draft User Manual 130318.0f
8 Delineation information must include, at minimum, one wetland data sheet for each wetland/community type.
Version: December 2013 Page 6

Jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands:
❑ Wetland Data Sheets9
Tributaries:
❑ USACE Assessment Forms
❑ Upland Data Sheets ❑ Other Assessment Forms
(when appropriate)
❑ Landscape Photos, if taken
❑ Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
• Locations of wetland data points and/or tributary assessment reaches
• Locations of photo stations
• Approximate acreage/linear footage of aquatic resources
Supporting Jurisdictional Information (for Approved JDs only)
❑ Approved Jurisdictional Determination Form(s) (also known as "Rapanos
Form(s)")
❑ Map(s) depicting the potential (or lack of potential) hydrologic connection(s),
adjacency, etc. to navigable waters.
9 Delineation information must include, at minimum, one wetland data sheet for each wetland/community type.
Version: December 2013 Page 7

I.
jurisdictional Determination Request
REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT
Prior to final production of a Plat, the Wilmington District recommends that the Land
Surveyor electronically submit a draft of a Survey Plat to the Corps project manager for
review.
Due to storage limitations of our administrative records, the Corps requires that all hard-
copy submittals include at least one orieinal Plat (to scale) that is no larger than 11"x17"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than 11"x17", may also be submitted for Corps signature as needed. The
Corps also accepts electronic submittals of plats, such as those transmitted as a Portable
Document Format (PDF) file. Upon verification, the Corps can electronically sign these
plats and return them via e-mail to the requestor.
(1) PLATS SUBMITTED FOR APPROVAL
❑ Must be sealed and signed by a licensed professional land surveyor
❑ Must be to scale (all maps must include both a graphic scale and a verbal scale)
❑ Must be legible
❑ Must include a North Arrow, Scale(s), Title, Property Information
❑ Must include a legible WoUS Delineation Table of distances and bearings/metes
and bounds/GPS coordinates of all surveyed delineation points
❑ Must clearly depict surveyed property or project boundaries
Must clearly identify the known surveyed point(s) used as reference (e.g. property
corner, USGS monument)
F1When wetlands are depicted:
• Must include acreage (or square footage) of wetland polygons
• Must identify each wetland polygon using an alphanumeric system
Version: December 2013 Page 8

Jurisdictional Determination Request
❑ When tributaries are depicted:
• Must include either a surveyed, approximate centerline of tributary with
approximate width of tributary OR surveyed Ordinary High Water Marks
(OH W M) of tributary
• Must identify each tributary using an alphanumeric system
• Must include linear footage of tributaries and calculated area (using approximate
widths or surveyed OHWM)
• Must include name of tributary (based on the most recent USGS topographic
map) or, when no USGS name exists, identify as "unnamed tributary"
all depicted WoUS (wetland polygons and tributary lines) must intersect or tie -to
surveyed project/property boundaries
❑ Must include the location of wetland data points and/or tributary assessment
reaches
❑ Must include, label accordingly, and depict acreage of all waters not currently
subject to the requirements of the CWA (e.g. "isolated wetlands", "non -
jurisdictional waters"). NOTE: An approved JD must be conducted in order to
make an official Corps determination that a particular waterbody or wetland is not
jurisdictional.
❑ Must include and survey all existing conveyances (pipes, culverts, etc.) that
transport WoUS
Version: December 2013 Page 9

Jurisdictional Determination Request
(2) CERTIFICATION LANGUAGE
❑ When the entire actual Jurisdictional Boundary is depicted:
include the following Corps Certification language:
"This certifies that this copy of this plat accurately depicts the boundary of the jurisdiction
of Section 404 of the Clean Water Act as determined by the undersigned on this date.
Unless there is a change in the law or our published regulations, the determination of
Section 404 jurisdiction maybe relied upon for a period not to exceed five (5) years from
this date. The undersigned completed this determination utilizing the appropriate Regional
Supplement to the 1987 U.S. Army Corps of Engineers Wetlands Delineation Manual."
Regulatory Official:
Title:
Date:
USACE Action ID No.:
❑ When uplands may be present within a depicted Jurisdictional Boundarv:
include the following Corps Certification language:
"This certifies that this copy of this plat identifies all areas of waters of the United States
regulated pursuant to Section 404 of the Clean Water Act as determined by the
undersigned on this date. Unless there is change in the law or our published regulations,
this determination of Section 404 jurisdiction may be relied upon for a period not to exceed
five years from this date. The undersigned completed this determination utilizing the
appropriate Regional Supplement to the 1987 U.S. Army Corps of Engineers Wetlands
Delineation Manual."
Regulatory Official:
Title:
Date:
USACE Action ID No.:
Version: December 2013
Page 10

Jurisdictional Determination Request
(3) GPS SURVEYS
For Surveys prepared using a Global Positioning System (GPS), the Survey must include
all of the above, as well as:
❑/ be at sub -meter accuracy at each survey point.
❑ include an accuracy verification:
One or more known points (property corner, monument) shall be located with the
GPS and cross-referenced with the existing traditional property survey (metes and
bounds).
❑l include a brief description of the GPS equipment utilized.
Version: December 2013 Page 11

Davidson County Map Output Page
Davidson County GIS
y�
Page 1 of 2
#ct t r
00 • !T�,�
10
V.
.t
f -•
f"J`j
A � a
MP1333
Parcel Number: 1302200000011 Land Units: 19.3 AC
I'in Id : 6830-03-10-8859 Deed Book: 2105 Pg: 1895
WARNER JAMES W TRUSTEE
0h%ner : MEYER JULIE S TRUSTEE Deed Date: 06/11/2013
718 ENTERPRISE RD
LEXINGTON NC 27295
Property Address: 718 ENTERPRISE RD Account Number: 9207164
http://webgis.co.davidson.nc.us/website/davidsongis/printpage.aspx 9/3/2015

Davidson County Map Output Page
Township: 13 Exempt Code:
Building Value: $58,060 Other Building Value: $6,880
Land Value: $139,830 Market Value: $204,770
Assessed Value: $204,770 Deferred Value: $0
Legal Description : LI I BK2105-1895 ENTERPRISE RD
Additional Attributes
Fire Service Districts
Page 2 of 2
Sq.Miles
28.42
Name
MIDWAY FD
Townships
Sq. Miles
33.95
Name
MIDWAY
^.ounty Zoning Districts
Zone
Soil Types
DSL Name
PaE
Soil Name
PACOLET
Type
SANDY -LOAM
Percent Sl
15-25
Hydric
Municipal Boundary
No Features Found
N
I inch = 263 feet
The information contained
on this map does not replace information that may be obtained by
consulting the official source
of the information. In no event shall Davidson County, NC or the
consultants of Davidson County,
NC be liable for any damages, direct or consequential, from the use
of the information contained on this map.
http://webgis.co.davidson.nc.us/website/davidsongis/printpage.aspx 9/3/2015

Appraisal Card
GVIDEON COIMTTyIIC
ARMlR 7AN6 WTRIlETn N[Y!R ]Illil3TR18TlE
It ENTERPR6E RD
20]IW
CWBQ WIDE ADV& TAX (100). MIDWAY FlRE ADV&TAX (100)
9v91 Yar: 2015 T9X Yur: 20161 0XLLER R!95 ENTERPRISE RD
nbW br 09 a 01/01/2015 0130E ELLER RD
0/3/2010-2p AN
Rtlurn/APMMI NMu: P , &3-02280000011
NAT: / UNIQ ID 2739e5
ID NO: H30 -O3 -10-H59 Ow—: WARNER 3AMES W TRUSTEE
ELD CMD NO. 1 of 1
19.300 AC SRC -
M -13 CI- Rt- EX- AT- LAST ACTION 20150102
lIL'TIDN DEEAIL
.4D
I
I"�
OlMI0ArY0039i5f� OVIDIEUTION OF VALUE
ana-3
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G
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ID
t
FonNnaa F9o0n9
u_J29}I
S
S
Mu
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RATE
RCN En AY0
JtEDENCE TO MARKET
ISub Fbx SY-. - S
ood
9.^
5p 01
1,531
EO
SIN
D1111
206 199 197
% GOO(1 ]0.6 2!M IYLIDIND V411[ -GRD SF 064
=jp1
r4rlgr W9h - a
tI 1.6/1
ltl1EEDIS
c: RURAL HOME SRE
SINGLE FAMILY RESIDENTIAL 7HR. OE/" VALUE - GRD 6,6
M SNM NO SbulRin)
19.
=L IMG DIM UE9J^W3{BAS/// W2E539E1{BOP^S3E22M]W22549N{E16MI6Wl{M)t5]EIIN)f.
MARKET LAND VALUE -GRD 7..:`
aMq Strvo:un - 07
STYLE: 1 - 1.0 Story
=AL NARRR VALUE - GILD 201,]]f
bM
7.
�looflnp Corr - 03
I
LOCAL 'NUMBED VALUE -CMD 20{.77(
h9M r Cen9nlMn SRI a
3.
pVALLUEG �!l
TOTAL MFRAI!!D YALLI[ - PARIfI 2w,77f
5
ri�ffl
7I LME TU! '/ALALUE
R ML RA3�Jr
�rrrr l/SMeroh
b� nnr Poor Cov9r - oe
20.
I
TOTAL VRI/ENT LIN VALUE - PARCEL f
h9tl Nnvl
].
TOTAL VALUE DEFERRED - PARCEL
Ennrler Noer Cewr - 11
MAL P NT IMC DATA
TOTAL TAEAEIE V. -PARCEL 209.77
tF'`�'Lip Futl-02
10Ai
TUE► I FNDA
tliL-W-Cat
O+w
I
1
1 I IUILDING VALVE 55.93
7 T JOXF VALUE 19
�—ETTw-03
1
I 1 AND VALUE 127,67
..m/Ak-Not D..H
2.
1
a_____1{ -____'RESEW ME VALUE
tl Cen6NlonMq Ty" - 01
1
1 )EFERRED VALUE
jL
0.0c
I
1
1
I TOTAL VALUE lu.6e
��..aammAUB9t0rogm{/H9R-09Mmrru
bnro
e.oa i
i
pp..ee
1
I
bJL9aFus-ou-o
1
1
I
I FERN
-,Q
3
1 1 CODE 1 DATE I NOTE I NUMBER I AMOUNT
OT
NAL FOUNT YAWS
bo.00[
I mLO1ND AWUiT91ENn
1
1 OUT W]ILJLD:
3 SUN, 1n9HNr
AY9na
.000 I
I
1 EAIg DATA +
1
sL»sl» 5N.
.000
n
INDIGT[
IlLxo EALu
TOTAL ADJUSTMENT FACTOR
1. I
1
TYPE
TOTAL QIIALRY INDEX
of 1
I 2305 HS 6 01
WD X 1
1
I 169D 031 f0�00
WD % 1
1
I
1 UFO•
I
I {
♦_..._1{----_i
1
]
HEATED AREA I,ae
3
1
--------- 22
----------
NOTES
02N
I OIIWEA
.4D
IINfT
MIf2
ORIO 96
OOMD
MN DEP % F DRPR
Gn COND Y
T. %
G
]
ID
1 139
H
9]D
EP
RT
2
FIREPLACE 1 - Na9
q1' 2
I 9 H
S
tI 1.6/1
ltl1EEDIS
I62.D�J V•AL W/EF YALIR
6.6
=L IMG DIM UE9J^W3{BAS/// W2E539E1{BOP^S3E22M]W22549N{E16MI6Wl{M)t5]EIIN)f.
iNroRNAnDN
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ID�E�2
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R ML RA3�Jr
lIN� OESD/IN{D�o.6900 04+08+00-20-15,
PN
]o,mum
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I
39
ITOTAL NAMET LAND DATA
19.30
139.6
MAL P NT IMC DATA
Page 1 of 1
http://www.co.davidson.nc.us/taxnet/AppraisalCard.aspx?idP=5520961 &Action=Auto 9/3/2015

Davidson County Map Output Page
Davidson County GIS
Page 1 of 2
MP1333
Parcel Number:
1302200000033
Land Units:
57.71 AC
Pin Id:
6830-03-30-0439
Deed Book:
0555 Pg: 0862
BUTLER WALLACE B DR
Owner:
PO BOX 338
Deed Date:
01/01/1978
WELCOME NC 27374-0338
Property Address:
ENTERPRISE RD
Account Number:
8995565
Township:
13
Exempt Code:
f 7
http://webgis.co.davidson.nc.us/website/davidsongis/printpage.aspx 9/3/2015

Davidson County Map Output Page
Building Value: $0 Other Building Value: $0
Land Value: $706,950 Market Value: $706,950
Assessed Value: $706,950 Deferred Value: $0
Legal Description : L33 BK555-862 US 52
Additional Attributes
Fire Service Districts
Sq.Miles
28.42
Name
MIDWAY FD
Townships
Sq. Miles
33.95
Name
MIDWAY
county Zoning Districts
Zone
Soil Types
DSL Name
VaD
Soil Name
VANCE
Type
SANDY -LOAM
Percent SI
8-15
Hydric
Municipal Boundary
Name
MIDWAY
SQ Miles
7.67
Page 2 of 2
1 inch = 263 feet N
The information contained on this map does not replace information that may be obtained by
consulting the official source of the information. In no event shall Davidson County, NC or the
consultants of Davidson County, NC be liable for any damages, direct or consequential, from the use
of the information contained on this map.
http://webgis.co.davidson.nc.us/website/davidsongis/printpage.aspx 9/3/2015

Appraisal Card
DAVIOBDII CDIIEITV. MC
9/3/1015
9."21 AN
w WALLAC[ [ DR
R91urn/AppNl N91w: P..wr 13 00-0033
NTERFRLSE RD
FLAT:/ UNIQ UNIQID 273509
995565
ID N0: 6E30-03-30-0919
COUNTY WADE ADVL TAX (100), MIDWAY RNE ADPL TAX (100)
CMO No. 101
w91 Y— 2015 T.X Y— 2016 L33 BX555-662 US 52
5].]10 AC SRC•
nNN 6L090001/01/, 01501306 ELLER RD
TW -13 Cl- FA - EX- AT- LASTACTION 2DIS0202
YI AAKET V [
CORROR VALIN
RdT4 PRINT VAW[ I ER. BASE
II
I
BLRLDINO USE MOD Mu QUAL RATE RCN
I I I
EY9IAYD
REDENCE TO
ADIUBM[MT9 9) OO IM
1
%o0oEC1ATI0N
M. BVILDIMO V[uCMO
IDTAL AD3USTMENT TYPE. VACANT
'N
M. DO/" VALUE • CMD
ARRET LAND V4LIE-CARD
706.95
EDTAL QUALRY INDEX SME:
4 MARKR V4U[ •CMD
]06.9 _
)fOTLL NPRAIBm VALUE - GRD
706.9
'PR4BED VALUe - PARD[L
)06.95
�T0f4 -- — VALUE - PAIICEL
��TppTT4 VALUE DEFERR - PANCEL
4 TAXABLE VALUE-FAR=L
1 mm
DDINO VALUE
XF VAE
ASW
D VALUE
706.95
SEAT USE VALUE
EFERRED VALVE
OTAL VAWE
706.95
PERMIT
I CODE j DATE I NOTE I NUMBER I
A NT
Pour: WTRSIID:
"LEOI�PAATIAA
DOW
J
IMDI� iAIESIX
F[LF
..SSS
J{I]I
TIYWD
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0727
NFATED AREA
I I I I I
RPL M,ITMIH T� num I
i MOVES
kORR zoxMG IFR •I1D I II
� LLI B91 FACET IAT�T91 MR F 6711 OOMD I
VAALLII�
I W K aY3 F V4UERIPTID
ftRenAri
L JI I
KIILDIND D[NEINIOIM
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LAND
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A0OM0GE
I]
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"DO
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WAL MARKET
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51.]1
706,9
MAL PRRT LAM! DATA
[B[
IIy
Owner: BUTLER WALLACE B DR
Page 1 of 1
http://www.co.davidson.nc.usltaxnetlAppraisalCard.aspx?idP=5503916&Action=Auto 9/3/2015

Davidson County Map Output Page
Page 1 of 2
Parcel Number: 1302100000010A
Pinld: 6830-04-54-7420
GRIGGS DANA R
O�sner : 270 RALPH MILLER ROAD
LEXINGTON NC 27295
Property Address: OLD OAK CT
Township: 13
MP1334
Land Units:
36.96 AC
Deed Book:
B143 Pg: B143
Deed Date:
12/31/2013
Account Number:
9210115
Exempt Code:
http://webgis.co.davidson.nc.us/website/davidsongis/printpage.aspx
9/3/2015

Davidson County Map Output Page
Building Value: $0 Other Building Value: $0
Land Value: $166,870 Market Value: $166,870
Assessed Value: $18,900 Deferred Value: $147,970
Legal Description : L10A BK 1375-1009&1920-1242 RALPH MILL
Additional Attributes
Fire Service Districts
Page 2 of 2
Sq.Miles
28.42
Name
MIDWAY FD
Townships
Sq. Miles
33.95
Name
MIDWAY
County Zoning Districts
Zone
Soil Types
DSL Name
ApB
Soil Name
APPLING
Type
SANDY -LOAM
Percent SI
2-8
Hydric
Municipal Boundary
No Features Found
Q1
inch— — 525 feet
The information contained
on this map does not replace information that may be obtained by
consulting the official source of the information. In no event shall Davidson County, NC or the
consultants of Davidson County,
NC be liable for any damages, direct or consequential, from the use
of the information contained on this map.
http://webgis.co.davidson.nc.us/website/davidsongis/printpage.aspx 9/3/2015

Appraisal Card
DAVIDOON ODUxTT, NC 0/3/1016 10:26:16AV
2RI0O6 DANA 11./ANwI POF991: 13-021-0-000-0010-A
)ID OAK CT FARM 2014 AGNAT: /UNI? ID
/20"3'? ID
OWNRr: GRIGGS DANA R
1210115 ID NO: 6130-09-53-7/20
COUNTY WIDE ADW TAX (100), MIDWAY FIRE ANA TAX (100) CARD MO 101
iEval Yxr. 2015 TaK Yur: LIOA 6K1375-100%1920-1212 RAIFH MILLSRC-
016
W,P 9Y N 9 01N1/2015 01306 ELLER RD TW -I3
CI- FR- EX- AT- LAST
3015%255
1comwRUCIIDN DETUE VALUE
EPReaAnox
WAREIATIOM a VALUE
Irma I �E
1IMARIET
RIIILD]ND USE MOD M OUAI RATE RCN
MEM I
EY6 AM
I
REDENCE TO
ADIU 971 00 I
%GOOD 1
_ML WIIDINOVALUE-GRD
C
TOTAL—STMENT TYPE: VACANT
VICTOR
MO0/%F VALUE -GRD
ARKET LAND VALUE -CMD
0
165,170
POTAI QUALITY INDEX STYLE:
OPAL MARKET VALUE -CMD
1% 270
IfOfu AMRAIRO VALUE -CMD
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317,97a
u TA]UUME VALUE - PARCEL
11.900
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IIDIMG VALUE
0
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0
0 VAWE
166,1)0
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21,060
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145,110
OTAL VAWE
166,170
I PERNIT
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Page 1 of 1
Pa
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Davidson County Map Output Page
Page I of 2
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Davidson County Map Output Page
Building Value: $0 Other Building Value:
Land Value: $29,900 Market Value:
Assessed Value: $29,900 Deferred Value:
Legal Description : L11 PB29-88 BK1126-1340MILLEROAK
Additional Attributes
Fire Service Districts
Sq.Miles
28.42
Name
MIDWAY FD
Townships
Sq. Miles
33.95
Name
MIDWAY
County Zoning Districts
Zone
Soil Types
DSL Name
VaD
Soil Name
VANCE
Type
SANDY -LOAM
Percent SI
8-15
Hydric
Municipal Boundary
Name
MIDWAY
SQ Miles
7.67
$0
$29,900
$0
Page 2 of 2
1 inch — 263 feet ()
The information contained on this map does not replace information that may be obtained by
consulting the official source of the information. In no event shall Davidson County, NC or the
consultants of Davidson County, NC be liable for any damages, direct or consequential, from the use
of the information contained on this map.
http://webgis.co.davidson.nc.us/website/davidsongis/printpage.aspx 9/3/2015

Appraisal Card
DAyIO,ON COIMTY. Nc
,Ia/mIf tOr1,:]]AN
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NNa 0011
1190. . LN
NAT: / UNIQ ID 273 3
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10 NO: 6a30A6-53-7a13
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CMD NO. l of
ADVL TAX (100)
1
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CR/1► VALUE - CARD
DOTAL MERENf USE DATA
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' QDAY INDEX
NARRi VALUE - CARD
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9 990
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%F VALUE
NO VALUE
31.2
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TLL VALVE
31.20
I ►lRMR
I CODE t DATE I NOTE I NUMBER I
AMOUNT
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1 GL96 DATA
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Owner: IJIC INC
Page I of I
Parcel: 13.0
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Davidson County Map Output Page Page 1 42
http://webgis.co.davidson.nc.us/website/davidsongis/printpage.aspx 9/3/2015

Davidson County Map Output Page
Building Value: $0 Other Building Value
Land Value: $29,900 Market Value:
Assessed Value: $29,900 Deferred Value:
Legal Description : L10 PB29-88 BK1126-1340MILLER OAK
Additional Attributes
Fire Service Districts
Sq.Miles
28.42
Name
MIDWAY FD
Townships
Sq. Miles
33.95
Name
MIDWAY
County Zoning Districts
Zone
Soil Types
DSL Name
VaD
Soil Name
VANCE
Type
SANDY -LOAM
Percent SI
8-15
Hydric
Municipal Boundary
Name
MIDWAY
SQ Miles
7.67
$0
$29,900
$0
Page 2 of 2
1 inch = 263 feet N
The information contained on this map does not replace information that may be obtained by
consulting the official source of the information. In no event shall Davidson County, NC or the
consultants of Davidson County, NC be liable for any damages, direct or consequential, from the use
,of the information contame on t is„m
ap
http://webgis.co.davidson.nc.us/website/davidsongis/printpage.aspx 9/3/2015

Appraisal Card
DAVIDSON COUNTY, NC 9/3/2015 10:27:45 AM
L—MC Return/APM41 Parch 13-021-H_
Note 0010
322 DREW LN PLAT / UNIQ ID 273447
9034542 ID NO 6830-04-53-9931
COUNTY WIDE ADVL TAX (100), MIDWAY FIRE ADA TAX(100), TOWN OF MIDWAY CARD NO 10f
ADA TAX (100) 1
R.,I Y,,, 2015T,. "" LIo 1829 -BB —26-1—MILLER OAK 2 010 AC SRC -
2016
9 11r,.e y E b 08 on 01/01/2015 01306 ELLER RD
TV -13 CI- FR- EX- AT- LAST ACTION
20150102
,CONSTRUCTION DETAIL MARKET VALUE
DEPRECDITION
CORRELATION OF VALUE
�M 1 EN �E I II+I
BUILDING USE MOD Area QUAL RATE RCN EYB AYB
I I I
I I I
I+
REDENCE TO
ADUST ENTS 011 oD
1 DOD I
EPR. BUILDING VALUE - CARD
TOTAL AI)3u i ENT WPE SINGLE FAMILY RESIDENTIAL
EPR. OB/XF VALUE - CARD
-ACTOR
ARKET LAND VALUE - CARD 29,90
TOTAL QUALITY INDEX STYLE
MAL MARKET VALUE -CARD 29.90
OTALAPPRAISEDVALUE-CARD 29,91
AL APPRAISED VALUE- PARCEL 29.900
AL PRESENT USE VALUE -PARCEL
MAL VALUE DEFERRED - PARCEL (dy(I
OTAL —BLE VALUE - PARCEL 29,90
I PRIOR I
"'NGVALUE
a" VALUE
NO VALUE 32,50
RESENT USE VALUE
EFERRED VALUE
TAL VALUE 32,50
PERMIT
I CODE ) DATE I NOTE I NUMBER I AMOUNT I
.OUT WTRSHD I
I SALES DATA I
FF.
tEMRD TE DEED INDICATE SAL ES
_
R=KAGE CIMR TYPE / PRICE
{1 _
101126 340 31199A WD % V I ol
I HEATED AREA I
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COND
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WU IDING DIMENSIONS
I
INFORMATION
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NOTES
ISFR
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50
0
1 0000
0
1 15001 NICE LOT
26,000 Od
1 0001
IT
1 ISd 29,900 0I 299001
012 01 AC
I MAL MARKET LAND DATA
NOTAL PRESENT USE DATA
Owner IJJC INC
Page 1 of 1
Parcel 13-0
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ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Darrin M. Peine
S&ME, Inc. 9751 Southern Pine Blvd. 28273
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: Davidson City: Midway
Center coordinates of site (lat/long in degree decimal format):
Lat. 35 943275° ON; Long. -$0.243962° °W/
Universal Transverse Mercator:
Name of nearest waterbody: Fryes creek
Identify (estimate) amount of waters in the review area:
Non -wetland waters:
200 linear feet: 2 width (ft) and/or acres.
Cowardin Class: R31,161
Stream Flow: Perennial
Wetlands: 0.05 acres.
Cowardin Class: PEM
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal:
Non -Tidal:
1

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination. Date:
❑✓ Field Determination. Date(s): 4/21/2015
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
Maps, plans, plots or plat submitted by or on behalf of the
applicant/consultant:
❑✓ Data sheets prepared/submitted by or on behalf of the
app ' nt/consultant.
Office concurs with data sheets/delineation report.
FOffice does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
❑ U.S. Geological Survey map(s). Cite scale & quad name:
❑ USDA Natural Resources Conservation Service Soil Survey.
Citation:
❑ National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100 -year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
❑✓ Photographs: ❑ Aerial (Name & Date): or
❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
2

1. The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
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
approved JD for the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
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)
that 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) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (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 preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes 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 approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, 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,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.

This preliminary JD finds that there "may be" waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
IMPORTANT NOTE: The information recorded on this form has not
necessarilv been verified by the Corps and should not be relied upon for
later iurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
4
Darrin Digitally signed by Damn M Peine
M DN CN = Damn M Peine C = AD
Date 2015 11 13 13 13 12-04'00'
Peine
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: MP 1333 City/County: Lexington, Sampling Date: 4/21/15
Applicant/Owner. Williams Transco (Easement only) State: NC Sampling Point: W1
Investigator(s): D. Peine, A. Steele Section, Township, Range:
Landform (hillslope, terrace, etc.): toeslope Local relief (concave, convex, none): concave Slope (%): 0-5%
Subregion (LRR or MLRA): Lat: 35.944256° Long: -80.242749° Datum. NAD83
Snit Man i Init Nam,- Pacolet sandy loam, 15 to 25 percent slopes
NWI classification.
Are climatic / hydrolo is conditions on the site typi I his time of year? Yesi✓I No r__1 (If no, explain in Remarks.)
Are Vegetation Soil �, or Hydrology significantly disturbed= Are "Normal Circumstances" present? Yes= No 5
71
Are Vegetation = Soil or Hydrology= naturally problematic? =(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?
Hydric Soil Present?
Wetland Hydrology Present?
Yes= No =
Yes= No=
Yes= No =
Remarks
review area is located within maintained utility right-of-way
HYDROLOGY
Is the Sampled Area
within a Wetland? Yes No
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reouired)
Primary Indicators (minimum of one is reauired:
check all that aoDly)
[�Surface Soil Cracks (B6)
=Surface Water (A1)
=True Aquatic Plants (614)
=]Sparsely Vegetated Concave Surface (B8)
=High Water Table (A2)
=Hydrogen Sulfide Odor (C1)
=Drainage Patterns (B10)
=Saturation (A3)
=Oxidized Rhizospheres on Living Roots (C3) =Moss Trim Lines (B16)
=Water Marks (B1)
=Presence of Reduced Iron (C4)
=Dry -Season Water Table (C2)
=Sediment Deposits (62)
=Recent Iron Reduction in Tilled Soils (C6)
=Crayfish Burrows (C8)
=Drift Deposits (133)
=Thin Muck Surface (C7)
Saturation Visible on Aerial Imagery (C9)
=Algal Mat or Crust (B4)
=Other (Explain in Remarks)
Stunted or Stressed Plants (D1)
=Iron Deposits (B5)
=Geomorphic Position (D2)
=Inundation Visible on Aerial Imagery (137)
=Shallow Aquitard (D3)
=Water -Stained Leaves (B9)
=Microtopographic Relief (D4)
=Aquatic Fauna (B13)
=FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes=
No= Depth (inches): 1
Water Table Present? Yes=
Saturation Present? Yes=
No= Depth (inches): 5
No= Depth (inches): Wetland Hydrology Present? Yes F7_1 No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring
well, aerial photos, previous inspections), if available:
Remarks:
Delineation completed after significant rain event.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Five Strata) — Use scientific names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size: ) % Cover Species? Status
1.
2.
3
4.
5.
6.
7
SaDlino Stratum (Plot size:
1.
2.
3.
4
5.
6.
7
Shrub Stratum (Plot size:
1.
2.
3
4.
5.
6.
7.
Herb Stratum (Plot size: 5 -ft
1. Impatiens capensis
2 Cyperus strigosus
3. Juncus effusus
4. Lonicera japonica
5
6
7.
8
9
10.
11.
12.
Woodv Vine Stratum (Plot size:
1.
2
3
4
5
= Total Cover
Sampling Point: W1
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
2
(A)
Total Number of Dominant
Species Across All Strata:
2
(B)
Percent of Dominant Species
That Are OBL, FACW, or FAC:
100
(A/B)
Prevalence Index worksheet:
Total % Cover of:
MultiDIv bv:
OBL species
x 1 =
FACW species
x 2 =
FAC species
x 3 =
FACU species
x 4 =
UPL species
x 5 =
Column Totals:
(A)
(B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
= Total Cover
01 -Rapid Test for Hydrophytic Vegetation
02 - Dominance Test is >50%
03 - Prevalence Index is <-3.0'
Q4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
=Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic
= Total Cover Definitions of Five Vegetation Strata:
40 Y FACW Tree - Woody plants, excluding woody vines,
35 Y FACW approximately 20 ft (6 m) or more in height and 3 in
10 N FACW (7.6 cm) or larger in diameter at breast height (DBH).
5 N FAC Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
90 = Total Cover
= Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
Data point location within drainageway of maintained ROW.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb -All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
Vegetation
Present? Yes= No=
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
=Dark Surface (S7)
Indicators for Problematic Hydric Soils':
=2 cm Muck (A10) (MLRA 147)
=Histic Epipedon (A2)
Sampling Point: W1
Profile Description:
(Describe
to the depth
needed to document the indicator or confirm the absence of indicators.)
Depth
Matrix
=Piedmont Floodplain Soils (F19)
Redox Features
=Depleted Matrix (F3)
=Redox Dark Surface (F6)
(inches)
Color (moist)
%
Color (moist) % Type' Loc`
Texture Remarks
0-2
10YR 3/1
100
=Iron -Manganese Masses (F12) (LRR N,
SL
2-4
10YR 4/2
80
10YR 5/2 20 C PL
SL
4-13+
10YR 5/2
90
10YR 4/6 10 C PL
SL
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location• PL=Pore Lining, M=Matrix
Hydric Soil Indicators:
=Histosol (A1)
=Dark Surface (S7)
Indicators for Problematic Hydric Soils':
=2 cm Muck (A10) (MLRA 147)
=Histic Epipedon (A2)
=Polyvalue Below Surface (S8) (MLRA 147, 148)
=Coast Prairie Redox (A16)
=Black Histic (A3)
=Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
=Hydrogen Sulfide (A4)
=Loamy Gleyed Matrix (F2)
=Piedmont Floodplain Soils (F19)
=Stratified Layers (A5)
=2 cm Muck (A10) (LRR N)
=Depleted Matrix (F3)
=Redox Dark Surface (F6)
(MLRA 136, 147)
=Very Shallow Dark Surface (TF12)
=Depleted Below Dark Surface (A11)
=Depleted Dark Surface (F7)
=Other (Explain in Remarks)
=Thick Dark Surface (Al2)
= Redox Depressions (F8)
=Sandy Mucky Mineral (S1) (LRR N,
=Iron -Manganese Masses (F12) (LRR N,
MLRA 147, 148)
=Sandy Gleyed Matrix (S4)
MLRA 136)
=Umbric Surface (F13) (MLRA 136, 122)
31ndicators of hydrophytic vegetation and
=Sandy Redox (S5)
=Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
=Stripped Matrix (S6)
=Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches).
Remarks -
Hydric Soil Present? Yes ✓= No =
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2 0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: MP 1334 City/County: Lexington, Sampling Date: 4/21/15
Applicant/Owner. Williams Transco (Easement only) State: NC Sampling Point: DP1
Investigator(s). D. Peine, A. Steele Section, Township, Range:
Landform (hillslope, terrace, etc.): toeslope Local relief (concave, convex, none). concave Slope (%): 0-5%
Subregion (LRR or MLRA): Lat: 35.952266 Long: -80.23115 Datum: NAD83
Snit Man l snit Name- Pacolet sandy loam, 15 to 25 percent slopes
NWI classification
Are climatic / hydrolo is conditions on the site typi his time of year? Yes" No"(if no, explain in Remarks.)
Are Vegetation = Soil 0, or Hydrology significantly disturbed?=Are "Normal Circumstances" present? Yes= No =
Are Vegetation = Soil or Hydrology= naturally problematic? =(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes= No Is the Sampled Area
Hydric Soil Present? Yes= No 0✓ within a Wetland? Yes No
Wetland Hydrology Present? Yes= No =
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reauired)
Primary Indicators (minimum of one is reauired: check all that aooly)
[�Surface Soil Cracks (136)
=Surface Water (Al) =True Aquatic Plants (614)
=1sparsely Vegetated Concave Surface (138)
=High Water Table (A2) =Hydrogen Sulfide Odor (C1)
�Drainage Patterns (B10)
=Saturation (A3) =Oxidized Rhizospheres on Living Roots (C3) =Moss Trim Lines (616)
=Water Marks (131) =Presence of Reduced Iron (C4)
=Dry -Season Water Table (C2)
=Sediment Deposits (132) =Recent Iron Reduction in Tilled Soils (C6)
=Crayfish Burrows (C8)
=Drift Deposits (B3) =Thin Muck Surface (C7)
=Saturation Visible on Aerial Imagery (C9)
=Algal Mat or Crust (64) Other (Explain in Remarks)
=Stunted or Stressed Plants (D1)
=Iron Deposits (135)
=Geomorphic Position (D2)
=Inundation Visible on Aerial Imagery (67)
=Shallow Aquitard (D3)
=Water -Stained Leaves (139)
=Microtopographic Relief (D4)
=Aquatic Fauna (1313)
=FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes= No= Depth (inches): 1
Water Table Present? Yes= No= Depth (inches) -
Saturation Present? Yes= No= Depth Wetland Hydrology Present? Yes= No
(inches)-
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Delineation completed after significant rain event.
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size: ) % Cover Species? Status
1.
2.
3.
4.
5.
6.
7.
SaDlina Stratum (Plot size:
1.
2.
3.
4.
5.
6.
7.
Shrub Stratum (Plot size -
1
2
3
4.
5.
6.
7.
Herb Stratum (Plot size:
1. Solidago arguta
2. Panicum capillare
3. Cyperus strigosus
4. Carex vesicaria
5.
6
7
8
9.
10.
11.
12.
Woodv Vine Stratum (Plot size
1.
2.
3
4.
5.
= Total Cover
Sampling Point: DP -1
Prevalence Index = B/A = 3.55
Dominance Test worksheet:
Hydrophytic Vegetation Indicators:
Number of Dominant Species
Q 1 - Rapid Test for Hydrophytic Vegetation
That Are OBL, FACW, or FAC: 1
(A)
Total Number of Dominant
03 - Prevalence Index is 153.0'
Species Across All Strata: 2
(B)
Percent of Dominant Species
data in Remarks or on a separate sheet)
That Are OBL, FACW, or FAC: 0.5
(A/B)
Prevalence Index worksheet:
'Indicators of hydric soil and wetland hydrology must
Total % Cover of Multiplv bv.
be present, unless disturbed or problematic
OBL species 10 x 1 = 10
Definitions of Five Vegetation Strata:
FACW species 15 x 2 = 30
Tree - Woody plants, excluding woody vines,
FAC species 30 x 3 = 90
approximately 20 ft (6 m) or more in height and 3 in.
FACU species 0 x 4 = 0
(7 6 cm) or larger in diameter at breast height (DBH).
UPL species 45 x 5 = 225
Sapling - Woody plants, excluding woody vines,
Column Totals: 100 (A) 355
(B)
= Total Cover
Hydrophytic
Vegetation
Present? Yes= No F71
Remarks (Include photo numbers here or on a separate sheet.)
Data point location within drainageway of maintained ROW, common herbaceous weeds present.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0
Prevalence Index = B/A = 3.55
Hydrophytic Vegetation Indicators:
= Total Cover
Q 1 - Rapid Test for Hydrophytic Vegetation
02 - Dominance Test is >50%
03 - Prevalence Index is 153.0'
Q4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic
= Total Cover
Definitions of Five Vegetation Strata:
45 Y UPL
Tree - Woody plants, excluding woody vines,
30 Y FAC
approximately 20 ft (6 m) or more in height and 3 in.
15 N FACW
(7 6 cm) or larger in diameter at breast height (DBH).
10 N OB[_
Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
100 = Total Cover
= Total Cover
Hydrophytic
Vegetation
Present? Yes= No F71
Remarks (Include photo numbers here or on a separate sheet.)
Data point location within drainageway of maintained ROW, common herbaceous weeds present.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
=Dark Surface (S7)
Indicators for Problematic Hydric Soils':
=2 cm Muck (A10) (MLRA 147)
=Histic Epipedon (A2)
Sampling Point: DP -1
Profile Description:
(Describe
to the depth
needed to document the indicator or confirm the absence of indicators.)
Depth
Matrix
=Piedmont Floodplain Soils (F19)
Redox Features
=Depleted Matrix (F3)
=Redox Dark Surface (F6)
(inches)
Color (moist)
%
Color (moist) % Type, Loc`
Texture Remarks
0-5
10YR 4/4
100
SL
5-10
10YR 4/3
90
7.5YR 4/6 10 C PL
SCL
10-13+
10YR 5/4
90
7.5YR 5/6 10 C PL
SCL
'Type C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 'Location. PL=Pore Lining, M=Matrix
Hydric Soil Indicators:
=Histosol (Al)
=Dark Surface (S7)
Indicators for Problematic Hydric Soils':
=2 cm Muck (A10) (MLRA 147)
=Histic Epipedon (A2)
=Polyvalue Below Surface (S8) (MLRA 147, 148)
=Coast Prairie Redox (A16)
=Black Histic (A3)
=Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
=Hydrogen Sulfide (A4)
=Loamy Gleyed Matrix (F2)
=Piedmont Floodplain Soils (F19)
=Stratified Layers (A5)
=2 cm Muck (A10) (LRR N)
=Depleted Matrix (F3)
=Redox Dark Surface (F6)
(MLRA 136, 147)
=Very Shallow Dark Surface (TF12)
=Depleted Below Dark Surface (A11)
=Depleted Dark Surface (F7)
=Other (Explain in Remarks)
=Thick Dark Surface (Al2) =Redox Depressions (F8)
=Sandy Mucky Mineral (S1) (LRR N, =Iron -Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
=Sandy Gleyed Matrix (S4) =Umbric Surface (F13) (MLRA 136, 122) 3Indicators of hydrophytic vegetation and
=Sandy Redox (S5) =Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
=Stripped Matrix (S6) =Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer (if observed):
Type.
Depth (inches): Hydric Soil Present? Yes= No �✓
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date: April 21, 2015 Projectisite: M P 1333 / S 1
evaluator: D. Peine (S&ME, Inc.)
Total Points:
Stream is at least intermittent 33.5
if >_ 19 or perennial if >- 30"
County: Davidson
Latitude: 35.944106
Longitude: -80.242720
Stream Determination (circle one) Other
Perennial e.g. Quad Name:
A. Geomorphology (Subtotal = 15 )
Absent
Weak
Moderate Strong
1a Continuity of channel bed and bank
00
1 0
2 0
3 0
2. Sinuosity of channel along thalweg
0 0
1®
2 0
3
3 In -channel structure: ex. riffle -pool, step -pool,
0
110
2 0
3 0
ripple -pool sequence
4. Particle size of stream substrate
0
1 0
2 0
3 0 1
5 Active/relict floodplain
0
1 0•
2 0
30
6 Depositional bars or benches
00
1 0
20
3
7. Recent alluvial deposits
00
1 0.
2 0
3 0
18. Headcuts
00
1 0
20
3 0
1 9. Grade control
00
0.5©
1 (F)
150 1
10. Natural valley
0 0
0.50
1 0
1.50
11. Second or greater order channel
No = 00
Yes = 3 0
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 95 1
12 Presence of Baseflow
00
10
20
3 0
13 Iron oxidizing bacteria
0 0
1 0
20
30
14 Leaf litter
1.500,
0.50
0 Q_
15. Sediment on plants or debris
0
0.50
1 O
1.50
1 16 Organic debris lines or piles
0 S
0.50
1 0
1.50 1
17. Soil -based evidence of high water table?
No = 0 0
Yes = 3 0
C. Biology (Subtotal = 9 )
18. Fibrous roots in streambed
3(.)
2 0
1
0 0
19. Rooted upland plants in streambed
302
0
1 Q
00
20. Macrobenthos (note diversity and abundance)
0
1 •
2
3
21. Aquatic Mollusks
0�
1
2�
3�
22. Fish
00
0.50
11.50
23. Crayfish
00
0.52
18
1.50
24. Amphibians
0
0.5 •
1
1.5
25. Algae
0$
0.50
10
1.5�
26. Wetland plants in streambed
0
FACW = 0 7500BL = 1.500ther = 00
*perennial streams may also be identified using other methods. See p 35 of manual
Notes:
Sketch:
41

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date:April 21, 2015 Project/Site: MP1334 / S2 Latitude: 35.953282
Evaluator: D. Peine (S&ME, Inc.) County: Davidson Longitude: -80.229746
Total Points: Stream Determination (circle one) Other
Stream is at least intermittent 34
if 2: 19 or perennial if >_ 30' Perennial e.g. Quad Name:
A. Geomorphology (Subtotal = 16 )
1a Continuity of channel bed and bank
2. Sinuosity of channel along thalweg
3 In -channel structure: ex riffle -pool, step -pool,
ripple -pool sequence
4. Particle size of stream substrate
5. Active/relict floodplain
6. Depositional bars or benches
7 Recent alluvial deposits
8. Headcuts
9. Grade control
10 Natural valley
Ij 11. Second or greater order channel
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 105 )
12. Presence of Baseflow
Absent
00
00
0
0
00
00
00
00
00
0
im
Weak
1®
1
1®
1©
1 �•
1 C)
1 Q•
0.51®
0.5©
No 00
10
13 Iron oxidizing bacteria 1 W
14 Leaf litter 1 5C-) 10
15. Sediment on plants or debris 0 80.5©
16 Organic debris lines or piles 0 0.5
17 Soil -based evidence of high water table? No = 0
C. Biology (Subtotal = 75
18. Fibrous roots in streambed
3()
19. Rooted upland plants in streambed
3C)
20 Macrobenthos (note diversity and abundance)
0
8-
21. Aquatic Mollusks
0
22 Fish
OQ
23 Crayfish
08
24 Amphibians
0
25 Algae
0 Q
26. Wetland plants in streambed
1.50
*perennial streams may also be identified using other methods. See p 35 of manual
Notes:
1.50 1
Sketch:
41
Moderate
20
2
2
2O
20
2 (F)
20
20
1 (�
1
Strong
3E)
3®
3®
3©
3®
3 Q_
31p
3®
1.5
1.5
Yes =30
2© 3Q 1
2O 3© 1
0.5C) 00
10? 1.5
al
1 (D 1.5
Yes =3Oi
20
in
00
2
1Q
04 1
1 •-
28
3P
0.50
1 C)
1.5O
0.50
1 •
1.50
0.5E)
1
1.50 1
0.5 Q
1 Q
1 5 Q 1
FACW = 0.75()OBL
= 1.500ther = 00
1

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date: April 21, 2015 ProjecVSite: M P 1334 / D P 1
Evaluator: D. Peine (S&ME, Inc.)
Total Points:
Stream is at least intermittent 8.25
if >_ 19 or perennial if >_ 30'
A. Geomorphology (Subtotal = 4 1
1a Continuity of channel bed and bank
2. Sinuosity of channel along thalweg
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
4. Particle size of stream substrate
5. Active/relict floodplain
6. Depositional bars or benches
7. Recent alluvial deposits
8. Headcuts
9 Grade control
10. Natural valley
11. Second or greater order channel
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal=. 2.5 )
12. Presence of Baseflow
County: Davidson
Stream Determination (circle one)
Ephemeral
Latitude: 35.952266
Longitude: -$0.231150
Other
e.g. Quad Name:
Absent
Weak
Moderate
Strong
0C)
10
20
3® 1
00
10
2
3®
OQ
1®
2®
3®
00
1
2
3©
00
14
2©
30 1
00
1(
2
3
00
1(
20
30
00
10
2
31®
0
0.5()
1
1.50
0 ('
0.5()
1 0
1.5 ® 1
No 00
Yes=30
I
00 1(D
1 13. Iron oxidizing bacteria 0 Q 1
14. Leaf litter 1.5C) 11@
15. Sediment on plants or debris 0 () 0.50
16. Organic debris lines or piles 0 O 0.50
17. Soil -based evidence of high water table? No = 0 6)
C. Biology (Subtotal = 1 75 )
1('
18. Fibrous roots in streambed
30
19. Rooted upland plants in streambed
30
20. Macrobenthos (note diversity and abundance)
0
21. Aquatic Mollusks
0 •
22. Fish
0q)
23. Crayfish
0(.�
24. Amphibians
0 •
25. Algae
0 Q
26. Wetland plants in streambed
1 Q
-perennial streams may also be identified using other methods See p. 35 of manual
I Notes:
1.500ther = 00
Sketch:
41
2© 3®
20 3© 1
0.5R 0
1 1.50
10 15
Yes=3O 1
20
1('
00
20
1
00
10
28
3�
0.5Q
1 C)1.50
0.5
1
1.5c
05
18
1.5®
050
1 Q
1.50
FACW = 0.7500131- =
1.500ther = 00
1

apical view of maintained easement at MP 1333 in Davidson
ounty, NC.
•• r��� 'tit Sr � '�, � �• :
r • 'RH ._ f r
iew of abutting wetland to stream Channel S1 near MP 1333.
ew of wetland and stream complex near MP 1333.
*S&ME Williams MP 1333/1334 Pipeline Replacements S&ME Project No. 4335-15-068
Davidson County, North Carolina Taken by: DMP Date Taken. 4/21/2015

H 6
L• K
i• d
iew of perennial stream channel S2 near MP 1334.
of non -jurisdictional feature (DP -1) near MP 1334.
atS&ME Williams MP 1333/1334 Pipeline Replacements SME Project No. 4335-15-068
Davidson County, North Carolina Taken by: DMP I Date Taken: 4/21/2015

Appendix III - Typical Stream and Wetland Crossing Details

400
TEMPORARY MATTING
(TO PREVENT WETLAND RUTTING)
EAS 100'+ 7 C
EASEMENT EASEMENT 1
BOUNDARY BOUNDARY SS
HAV BALES AND/OR SILT FENCE AS HAV BALES AND/OR SILT FENCE AS
REQUIRED TO CONTROL RUNOFF REQUIRED TO CONTROL RUNOFF
FROM SPOIL STORAGE AREA FROM SPOIL STORAGE AREA V '
��//''''�� TOP SOIL EQUIPMENT {•.M1�
\ ) (� TOP SOIL MAT
`\C - EQUIPMENT
PROPOSED TRENCH
FOR GAS PIPELINE REPLACEMENT
CONSTRUCTION AREA
EXISTING EASEMENT
2
r
a
SCALE DATE FIGURE NO a
NTS 3/13/2015 S&ME WILLIAMS TRANSCO PIPELINE REPLACEMENT
PROJECT NO DRAWN BY TRENCH DETAIL 3
4335-15-068 ELH WWW.SMEINC.COM WILLIAMS GAS PIPELINE 2016 DOT REPLACEMENT
5A �
CHECKED BY* MILEPOST 1333 & 1334
DMP ENGINEERING LICENSE NO F-0176 DAVIDSON COUNTY, NORTH CAROLINA

*10
SCALE
NTS
PROJECT NO
4335-15-068
CHECKED BY
DMP
I ININ IIN IN I 1 NI IIIIII Il I I� III
HAY BALES OR SILT FENCE
HAY BALES OR SILT FENCE
/ I
STREAM
FLOW
75' MAX CONST -RUCTION AREA
EXISTING 100'+ EASEMENT
IAY BALtJ UK JIL 1 rtNUt
CROSS-SECTION =
r
DATE 3/13/2015 WILLIAMS TRANSCO PIPELINE REPLACEMENT FIGURE NO.
DRAWN BY' *S&ME 3
PRE -CONSTRUCTION CROSSING DETAIL 5B �
ELH WILLIAMS GAS PIPELINE 2016 DOT REPLACEMENT
WWW.SMEINC.COM MILEPOST 1333 & 1334
ENGINEERING LICENSE NO F-0176 DAVIDSON COUNTY, NORTH CAROLINA /

le
TOE -OF -BANK
DOWNSTREAM SANDBAG
COFFER DAM
I
INNi� NIINNINNININNNNINNI��:�INNIININININ�NNNNNINN NNNINN�� IiNi���i���„„!' ��IIN ININNNNN��NI�I�NNNI�N �NIN N NNN
TOP -OF -BANK
HAY BALES OR J ti�ti�NtiN
SILT FENCE SIDE BOARDS TEMPORARY BRIDGING CONSTRUCTION AREA
SPOIL PILE
SILT BAG
�J ' IiHJ YIYtLINt
TRENCH DEWATERING HOSE 7
TRENCH DEWATERING PUMP UPSTREAM
DIVERSION HOSE
HAY BALES OR
SILT FENCE
SCALE
PROJECT NO
CHECKED BY
+
I I
\ \ UPSTREAM DIVERSION PUMP
FLOW \
DURING CONSTRUCTION
CASE A TYPICAL PUMP AROUND FEATURE CROSSING
m
EXISTING 100'- EASEMENT
GENERAL NOTES
1 CONSTRUCT TEMPORARY COFFER DAMS WITHIN 5' OF UPSTREAM AND DOWNSTREAM EDGES
OF CONSTRUCTION EASEMENT/TEMPORARY WORKSPACE CONSTRUCT DAMS USING
SANDBAGS COVERED WITH 20 MIL HDPE LINER
2 THE HEIGHT OF THE COFFER DAM SHALL BE CALCULATED BY USING HA - V WHERE H =
HEIGHT OF STREAM BANK IN FEET WITH A 2'M NIMUM DAM HEIGHT ADDITIONAL HEIGHT MAY
BE REQUIRED BASED ON FLOW CONDITIONS AT THE TIME OF CONSTRUCTION
3 CONTRACTOR SHALL DEWATER AREA BETWEEN DAMS AND ENSURE TIGHT SEAL OF DAMS
PRIOR TO TRENCHING CONTRACTOR SHALL BE RESPONSIBLE FOR PASSING ALL WATER
WHICH IS TO BE FILTERED THROUGH A SILT BAG PLACED ON A WELL VEGETATED UPLAND
AREA INSTALL HAY BALES OR SILT FENCE ON THREE DOWNGRADIENT SIDES OF SILT BAG
4 PLACE PUMP INTAKE UPSTREAM OF UPSTREAM COFFER DAM PLACE BYPASS HOSE
OUTSIDE OF STREAM BANKS WITH DISCHARGE DOWNSTREAM OF DOWNSTREAM COFFER
DAM BEFORE COMMENCING BYPASS
5 THE PUMP SHALL BE OF SUFFICIENT SIZE TO CONVEY NORMAL STREAM FLOW HAVE
STANDBY PUMPS AND GENERATORS CAPABLE OF HANDLING 100% OF ANTICIPATED FLOW
ON-SITE IN CASE OF PUMP FAILURE OR A RAIN EVENT
8 STREAM CROSSING SHOULD BE MADE PERPENDICULAR TO THE STREAM TO THE EXTENT
PRACTICAL
e LIMIT THE REMOVAL OF VEGETATION TO THE CONSTRUCTION WORK AREA AT THE STREAM
CROSSING
7 STREAM CROSSING SHOULD BE CONDUCTED -IN THE DRY' TO THE FULLEST EXTENT
PRACTICAL BEGIN INSTREAM WORK IN THE MORNING TO ALLOW FOR 24 TO48 HOUR
INSTALLATION (OR AS SOON AS PRACTICAL) INITIATE CONSTRUCTION ONLY AFTER
CONFIRMING THAT INCLEMENT WEATHER IS NOT ANTICIPATED
8 NO WASTES, SPOILS, SOLIDS OR FILLS WILL BE PLACED WITHIN WETLANDS, WATERS OR
RIPARIAN AREAS BEYOND THE LIMITS OF THOSE DEPICTED ON THE DRAWINGS
B ALL STREAM CROSSINGS SHALL BE RESTORED TO ORIGINAL CONTOURS, TO THE FULLEST
EXTENT PRACTICAL, ONCE CONSTRUCTION IS COMPLETED
10 IF CONSTRUCTIONACTIVITIES REQUIRE EQUIPMENT TO CROSS THE STREAM, TEMPORARY
BRIDGING WILL BE USED
11 ADDITIONAL MEASURES MAY BE NECESSARY IN ORDER TO PROTECT IMPACTED STREAM
MAINTENANCE NOTES
1 INSPECT HAY BALES OR SILT FENCE AT LEAST ONCE EVERY SEVEN (7) CALENDAR DAYS
INSPECT SILT BAG, SANDBAGS, PUMP AND HOSING DURING STREAM CROSSING MAKE ANY
NECESSARY REPAIRS IMMEDIATELY
NTS DATE 3/13/2015
*S&ME WILLIAMS TRANSCO PIPELINE REPLACEMENT
DRAWN BY PUMP AROUND FEATURE CROSSING DETAIL
4335-15-068 ELH WWW.SMEINC.COM WILLIAMS GAS PIPELINE 2016 DOT REPLACEMENT
DMP MILEPOST 1333 & 1334
ENGINEERING LICENSE NO F-0176 DAVIDSON COUNTY, NORTH CAROLINA
2
r
�a
FIGURE NO D-
Z
5C o

*10
TOE -OF -BANK
HAY BALES OR
SILT FENCE
SILT BAG
L
TRENCH DEWATERING HOSE J
TRENCH DEWATERING PUMP
UPSTREAM SANDBAG
COFFERDAM
!I�NNINIIININ NI.INNN�IN NI ��"IN�INN�I�NNNINNf�1NNINNN�NNN� NN NI
I I
HAY BALES OR
SILT FENCE
STREAM
FLOW
DURING CONSTRUCTIOIJ
CASE B TYPICAL FLUME FEATURE CROSSING
STEEL PIPE FLUME SPOIL PILE
of'
11111111111
EXISTING 100'+ EASEMENT
!IN�N���,I�IN��NNINI� NNINNNINNN
GENERAL NOTES
1 CONSTRUCT TEMPORARY COFFER DAMS WITHIN 5' OF UPSTREAM AND DOWNSTREAM EDGES
OF CONSTRUCTION EASEMENTITEMPORARY WORKSPACE CONSTRUCT DAMS USING
SANDBAGS COVERED WITH 20 MIL HDPE LINER TO INSURE IMPERMEABILITY
2 THE HEIGHT OF THE COFFERDAM SHALL BE CALCULATED BY USING H/4 1' WHERE H =HEIGHT
OF STREAM BANK WITH A 2' MINIMUM DAM HEIGHT ADDITIONAL HEIGHT MAY BE REQUIRED
BASED ON FLOW CONDITIONS AT THE TIME OF CONSTRUCTION
3 CONTRACTOR SHALL DEWATER AREA BETWEEN DAMS AND ENSURE TIGHT SEAL OF DAMS
PRIOR TO TRENCHING CONTRACTOR SHALL BE RESPONSIBLE FOR PASSING ALL WATER WHICH
IS TO BE FILTERED THROUGH A SILT BAG PLACED ON A WELL VEGETATED UPLAND AREA
INSTALL HAY BALES ON THREE DOWNGRADIENT SIDES OF SILT BAG
4 INSTALL A STEEL FLUME PIPE AND PROVIDE A MINIMUM OF 12' OF COVER OR 9 DIAMETER FOR
FLUMES> 38' IN DIAMETER FLUME PIPE SHOULD BE SIZED TO ADEQUATELY ACCOMMODATE
BANK FULL FLOWS
5 ALL STREAM CROSSINGS SHOULD BE MADE PERPENDICULAR TO THE STREAM TO THE EXTENT
PRACTICAL
6 LIMIT THE REMOVAL OF VEGETATION TO THE CONSTRUCTION WORK AREA AT THE STREAM
CROSSING
7 STREAM CROSSINGS SHOULD BE CONDUCTED'IN THE DRY' TO THE FULLEST EXTENT
PRACTICAL BEGIN INSTREAM WORK IN THE MORNING TO ALLOW FOR 24 TO 48 HOUR
INSTALLATION (ORAS SOON AS PRACTICAL) INITIATE CONSTRUCTION ONLY AFTER
CONFIRMING THAT INCLEMENT WEATHER IS NOT ANTICIPATED
8 NO WASTES, SPOILS, SOLIDS OR FILLS WILL BE PLACED WITHIN WETLANDS, WATERS OR
RIPARIAN AREAS BEYOND THE LIMITS OF THOSE DEPICTED ON THE DRAWINGS
9 ALL STREAM CROSSINGS SHALL BE RESTORED TO ORIGINAL CONTOURS, TO THE FULLEST
EXTENT PRACTICAL, ONCE CONSTRUCTION IS COMPLETED
10 IF CONSTRUCTION ACTIVITIES REQUIRE EQUIPMENT TO CROSS THE STREAM, TEMPORARY
BRIDGING WILL BE USED
11 ADDITIONAL MEASURES MAY BE NECESSARY IN ORDER TO PROTECT IMPACTED STREAMS
MAINTENANCE NOTES
1 INSPECT HAY BALES OR SILT FENCE AT LEAST ONCE EVERY SEVEN (7) CALENDAR DAYS
INSPECT SILT BAG, SANDBAGS, PUMP AND HOSING DURING STREAM CROSSING MAKE ANY
NECESSARY REPAIRS IMMEDIATELY
SCALE NTS DATE 3/13/2015 WILLIAMS TRANSCO PIPELINE REPLACEMENT
PROJECT NO DRAWN BY *S&ME FLUME FEATURE CROSSING DETAIL
4335-15-068 ELH WILLIAMS GAS PIPELINE 2016 DOT REPLACEMENT
CHECKED BY WWW.SMEINC.COM MILEPOST 1333 & 1334
DMP ENGINEERING LICENSE NO. F-0176 DAVIDSON COUNTY, NORTH CAROLINA
2
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FIGURE NO. r1
z
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N NNNI INNNINNN NN INI NNIN�IIIIINN�IN�NNNN' I I N I I I N N N N I, GENERAL NOTESL
1 FOLLOWING CONSTRUCTION, ALL STREAM CROSSINGS SHALL BE RESTORED TO ORIGINAL
CONTOURS, TO THE FULLEST EXTENT PRACTICAL, ONCE CONSTRUCTION IS COMPLETED
TOE -OF -BANK 2 ONCE ORIGINAL STREAM BANK CONTOURS HAVE BEEN RE-ESTABLISHED, INSTALL
HAY BALES OR TOP -OF -BANK TEMPORARY MATTING (NORTH AMERICAN GREEN TYPE C-125 OR ENGINEER -APPROVED
SILT FENCE EQUIVALENT) ON DISTURBED STREAM BANKS TEMPORARY MATTING SHALL EXTEND FROM
FIVE FEET LANDWARD OF THE TOP OF BANK DOWNSLOPE TO THE TOE OF BANK DO NOT
INSTALL MATTING IN STREAM BED
3 FOLLOWING CONSTRUCTION, STREAM BANKS WILL BE STABILIZED WITH RIPARIAN SEED MIX
(SEE RESTORATION PLAN TABLE 2)
SEE DETAIL CONSTRUCTION AREA MAINTENANCE NOTES
TEMPORARY MATTING 1 INSPECT MATTING AT LEAST ONCE EVERY SEVEN (7) CALENDAR DAYS MAKE ANY
NECESSARY REPAIRS IMMEDIATELY
2 REMOVE SEDIMENT DEPOSITS AS NECESSARY TO PROVIDE ADEQUATE STORAGE VOLUME
FOR THE NEXT RAIN TAKE CARE TO AVOID UNDERMINING THE HAY BALES OR SILT FENCE
PIP" INF
DURING CLEANOUT
CAS
3 REMOVE ALL HAY BALES OR SILT FENCE AND UNSTABLE SEDIMENT DEPOSITS AND BRING
THE AREA TO GRADE AND STABILIZE IT AFTER THE CONTRIBUTING DRAINAGE AREA HAS
1 BEEN PROPERLY STABILIZED
INSTALL NORTH AMERICAN GREEN
TYPE C-125 MATTING OR ENGINEER
APPROVED EQUIVALENT
EXISTING 100'• EASEMENT
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HAY BALES OR J / 12
SILT FENCE I I DO NOT INSTALL MATTING
1 WITHIN STREAMBED 2•-5'
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STREAM 2 9'
FLOW
INSTALL NORTH AMERICAN •.
GREEN TYPE C-125 MATTING EXTEND TEMPORARY MATTING 5'
OR ENGINEER APPROVED LANDWARD FROM TOP OF BANK
EQUIVALENT
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...................................:.. ................. ..... ...
................... .......................................... .
CROSS-SECTION
POST -CONSTRUCTION
SCALE NTS DATE 3/13/2015 WILLIAMS TRANSCO PIPELINE REPLACEMENT FIGURE NO z
PROJECT NO. DRAWN BY: *S&ME POST -CONSTRUCTION STREAM CROSSING DETAIL
4335-15-068 ELH WILLIAMS GAS PIPELINE 2016 DOT REPLACEMENT 5E o
CHECKED BY WWW.SMEINC.COM MILEPOST 1333 & 1334
DMP ENGINEERING LICENSE NO: F-0176 DAVIDSON COUNTY, NORTH CAROLINA /

Appendix IV - Restoration Plan

RESTORATION PLAN
Williams 2016 DOT Replacement Project
Davidson County, North Carolina
The proposed project has been designed to avoid and minimize jurisdictional impacts where practicable.
As part of mitigation for unavoidable impacts, the following plan is proposed for implementation to
restore temporarily -affected wetlands and streams. This plan entails restoration of temporarily -disturbed
areas to their original contours and conditions to the degree practicable upon project completion.
Further, it specifies that disturbed wetland areas and streambanks will be permanently stabilized with a
native vegetative cover. The measures outlined below will be specified in the contract documents
prepared for construction of the proposed project.
Proposed restoration activities include removal of temporarily -placed fill material and restoration of
original pre -disturbance contours. Excavated material shall be returned to the trench to the extent
possible, and remaining material relocated and retained on an upland site. Excavated topsoil shall be
stockpiled separately and then replaced uniformly over the area of excavation from which it was removed.
The native seed mix identified in Table IV -1 below shall be utilized within temporarily -disturbed portions
of the corridor comprised of wetlands, as applicable.
Table IV -1- Wetland Seed Mix
ZPAM
calmmmm@m TW@W0W
(W%ft
Elymus riparius
Riverbank wild rye
20
Agrostis stolonifera
Creeping bentgrass
15
Carex vulpinoidea
Fox sedge
12
Panicum virgatum
Switchgrass
15
Poa palustris
Fowl bluegrass
15
Dichanthelium clandestinum
Deer tongue
08
Bidens aristosa
Bidens
04
Juncus effusus, NC Ecotype
Soft rush
04
Aster lateriflorus
Calico aster
03
Sagittoria latifolia
Duck potato
02
Saururus cernuus
Lizards tail
02
100
Wetland Seed Mix to be applied to all wetland areas extending five feet landward following construction
Recommended application rate: 20-25 lbs. per acre.

At temporarily -affected streambanks, the native riparian seed mix specified in Table IV -2 below shall be
utilized.
Elymus virginicus
Panicum virgatum
Agrostis stolinifera
Rudbeckia hirta, NC ecotype
Coreopsis lanceolate
Panicum clandestinum
Andropogon gerardii
Table IV -2 — Riparian Seed Mix
Virginia wild rye
Switchgrass
Creeping bentgrass
Black-eyed Susan
Lance leaf tickseed
Deer tongue
Big bluestem
15
15
10
10
10
10
05
Juncus effusus
Soft rush
05
Echinochloo muricata
Awned barnyard grass
05
Schizachyrium scoparium
Little bluestem
05
Sorghastrum nutans
Indian grass
05
Tripsacum dactyloides
Gamma grass
05
100
• Riparian Seed Mix to be applied to all disturbed
streambanks, extending five feet landward following construction.
• Recommended application rate: 20-25 lbs per acre
North Carolina Suppliers of native seed and plant material:
Coastal Plain Conservation Nursery
812 Drummonds Point Road
Edenton, N.C. 27932
p. 252.482.5707
httD://www.coastalDlainnurserv.com
Mellow Marsh Farm
1312 Woody Store Road
Siler City, N.C. 27344
919.742.1200
919.742.1280 fax
www.mellowmarshfarm.com
Natives
550 East Westinghouse Boulevard
Charlotte, N.C. 28273
688.527.1177
[e-mail]