20151242 Ver 1_401 Application_20151215

Letter of Transmittal
S&ME, Inc.
' 9751 Southern Pine Blvd.
Charlotte, NC 28273
[phone]
[phone] fax
N.C. Division of Water Resources
401 and Buffer Permittinq Unit
1617 Mail Service Center
Raleiqh, North Carolina 27699-1617
DATE: November 25, 2015 1 JOB NO: 4335-15-068
ATTENTION: Ms. Karen Higgins
RE: Williams Gas Pipeline MP1350 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 11.22.2015 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 ❑
❑ FOR BIDS DUE: _/_/_ ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS: Attached Dlease find the above. Please let me know if you have auestions, Thank vou.
- Darrin Peine
SIGN
COPY TO: File, USACE, NC SHPO (digital►, USFWS (digital)
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)

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Pre -Construction Notification and Request
for Preliminary Jurisdictional Determination
Williams 2016 DOT Replacement Project
MP1350
Guilford County, North Carolina
S&ME Project No. 4335-15-068
20 151242
B WilinainS OV -41
pi.
B WilinainS OV -41

•
November 25, 2015
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Attention: Mr. David Bailey
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 — Milepost 1350
Guilford County, North Carolina
Williams Gas Pipeline Project No. 1176193
S&ME Project No. 4335-15-068
Dear Mr. Bailey 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 2,059 linear feet (If) of 30 -inch
diameter natural gas pipeline in Guilford 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 Agent Authorization Form
• 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 28273 1 p 704.523.4726 1 f 704.525.3953 I www.smeinc.com

Pre -Construction Notification: NWP No. 12 / WQC No. 3884
Williams 2016 DOT Replacement Projects — Milepost 1350
S&MEGuilford County, North Carolina
Williams Gas Pipeline Project No. 1176193
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 forty (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.
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 Belews Creek, N.C. 2002 U.S. Geological Survey Topographic Quad Sheet (Figure 2); an Approximate
Waters of the U.S. Map (Figures 3A and 3B); and a Proposed Project Impacts (Figure 4). A majority of the
project corridor extends through residential 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: Reedy Fork
River Basins: Cape Fear (HUC 03030002)
County: Guilford
Coordinate Locations: 36.125594°N, -80.028707°W (MP 1350 Project Start)
36.134397°N, -80.019952°W (MP 1350 Project Stop)
USGS Quadrangle: Belews Creek, N.C.
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 a
section of pipeline in Guilford County, North Carolina at Williams approximate milepost locations MP
1350 (Figures 1-3).
November 25, 2015

-
MP 1350
Pre -Construction Notification: NWP No. 12 / WQC No. 3884
Williams 2016 DOT Replacement Projects — Milepost 1350
Guilford County, North Carolina
Williams Gas Pipeline Project No. 1176193
S&ME Project No. 4335-15-068
Williams will be replacing approximately 2,059 feet (0.39 mile) of the existing Mainline "A" 30 -inch pipe
between Cross Creek Road and approximately 550feet past Ridgeline Drive, Kernersville North Carolina,
with a new Class III -compliant 30 -inch pipe line. Total land disturbance area of the pipe replacement is
approximately 9.0 acres. In addition to the pipe replacement, a new valve setting will be installed to meet
valve spacing requirements. The new valve setting will be installed at approximately MP 1347.55, located
approximately 2.7 miles southwest of the pipe replacement and 0.25 -mile east of N.C. Highway 66 South,
(36.093844°, -80.057120°). Total land disturbance area of the valve setting is less than one acre.
e°® Field Conditions
S&ME personnel visited the project area on April 22, 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, are
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 (photo 2, Appendix II) is located within the construction limits of MP 1350. 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 Reedy Fork located
approximately 530 feet east of the pipeline right-of-way (ROW) that is depicted on the USGS topographic
map. Stream S1 scored 33.5 total points on the NCDWR Stream Identification Form (Appendix II) and is a
perennial stream.
Wetland W1 (photo 3, Appendix II) abuts Stream S1. 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
' 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 25, 2015

Pre -Construction Notification: NWP No. 12 / WQC No. 3884
- Williams 2016 DOT Replacement Projects —Milepost 1350
S&ME
Guilford County, North Carolina
Williams Gas Pipeline Project No. 1176193
S&ME Project No. 4335-15-068
of the soil surface. The wetland is emergent and was dominated by straw -color flat sedge (Cyperus
strigosus). Wetland W1 is also located within the proposed work space of MP 1350.
Stream S2 (photo 6) is not located within the construction limits of MP 1350, but is adjacent to the end of
the replacement. The channel is approximately two to three feet wide with rip -rap, gravel, and sand
substrate with shallow vegetated banks. Stream S2 is an unnamed tributary of Reedy Fork located
approximately 1,500 feet south of the pipeline ROW that is depicted on the USGS topographic map.
Stream S2 scored 34.0 total points on the NCDWR Stream Identification Form (Appendix II) and is a
perennial stream.
The proposed pipeline is located in the Piedmont physiographic province in the Cape Fear 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. phoenicolosius),
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 (Andropogon 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 styrociflua), 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.
Description of Construction Activity and Proposed Impacts
Williams proposes to conduct the construction activities entirely within a portion of their existing 100 -foot
wide ROW easement. The project area limits of disturbance will be limited to the existing maintained
easement and is the minimum width necessary in order to conduct the pipeline replacement activity. Due
to the large diameter of the pipeline segments being replaced (30 inches) and safety considerations,
construction area limits of disturbance were evaluated and determined to be no more than 100 feet wide,
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 crossing detail drawings of the project corridors
are included in Figures 5A -E.
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. 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.
November 25, 2015 4

Pre -Construction Notification: NWP No. 12 / WQC No. 3884
' Williams 2016 DOT Replacement Projects —Milepost 1350
S&ME
Guilford County, North Carolina
`{ Williams Gas Pipeline Project No. 1176193
S&ME Project No. 4335-15-068
Excavation should only occur within the trench line. A trench detail is included as Figure 6A. 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 84 If of S1 stream channel and 0.015 acre of wetland
impact 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.
00o 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 March 25, 2015) was consulted for a listing of protected species documented within Guilford
County, North Carolina. This review identified two protected species, and one species of concern; one
plant and two 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
argiMrw
Halioeetus leucocepholus BGPA Current No
Bald eagle
Etheostoma collis lepidinion FSC Current No
Carolina darter
Isotria medeoloides T Current No
Small whorled pogonia
BGPA = Bald and Golden Eagle Protection Act; FSC = Federal Species of Concern; T = Threatened
S&ME completed a field reconnaissance of the project areas on April 22, 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 terrestrial species with a likelihood of occurring in Guilford County.
Though the Carolina darter is not federally listed (federal species of concern) for Guilford County, the
proposed project involves impacts to unnamed tributaries to Haw River and will not impact streams that
November 25, 2015

Pre -Construction Notification: NWP No. 12 / WQC No. 3884
Williams 2016 DOT Replacement Projects — Milepost 1350
S&MEGuilford
County, North Carolina
Williams Gas Pipeline Project No. 1176193
S&ME Project No. 4335-15-068
drain to those supporting known populations of Carolina darter. Accordingly, the proposed project is not
anticipated to impact this species.
A copy of this PCN and attachments will also be provided to the USFWS for that agency's comment on
the proposed project.
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.
0
Avoidance and Minimization
Williams has designed the proposed project at MP 1350 to avoid and minimize impacts to Waters of the
U.S. to the extent practical. Construction activities will be limited on MP 1350 to avoid impacts to the
identified stream S2 feature.
Construction activities will be limited to 80 -feet through the MP 1350 stream and wetland area (which is
currently maintained), within the 100 -foot existing ROW, and is the minimum amount necessary to
facilitate access for pipeline replacement construction in this area.
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.
0
Mitigation
The project is proposed to result in temporarily impacting approximately 84 If of S1 stream channel and
temporary wetland impacts estimated to be 0.015 acre. The proposed project has been designed for the
November 25, 2015

Pre -Construction Notification: NWP No. 12 / WQC No. 3884
Williams2016 DOT Replacement Projects —Milepost 1350
S&ME
Guilford County, North Carolina
Williams Gas Pipeline Project No. 1176193
S&ME Project No. 4335-15-068
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
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.
Dc" A P��
Darrin M. Peine, QEP
Project Manager
Reviewed and Authorized by:
Michael Naeger
Environmental — Williams
COL")
Chris Daves, PWS
Senior Natural Resources Professional
Attachments:
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
November 25, 2015

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REFERENCE: ` r''a• :A •� ` Lt!R o, 'S �" FIGURE NO. a
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GIS DATA LAYERS WERE OBTAINED FROM NC ONEMAP. PROJECT DATA WAS PROVIDED BY WILLIAMS TRANSCO. THIS MAP IS FOR , • Jurisdictional Streams
A' INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CNIL �. -\• 11 t ' i t t
SURVEY INFORMATION, UNLESS STATED OTHERWISE.`' // ,,. 1 t '\ �Y. t Y • ` d 4
® Jurisdictional Wetlands
• v. , . ,fir. j. • :,� - r' - .;1 .' . , . r �"'a �,

+ ' ! ' ti,
t. I1 '
't . i a
�� .'�
r
Wetland 1
0.015 Acres of Proposed Temporary Wetland Impacts
Due to Equipment Crossing /Access
i r
d
`A'
1
a
STREAM 1
84 LF of Proposed Temporary Stream Impacts
Due to Pipe Excavation and Replacement/
Equipment Crossing
� I j
i -
t � I
•' p I I lT
T
o y - ao Ij60
4- (IN,FEET)
REFERENCE:
GIS DATA LAYERS WERE OBTAINED FROM NC ONEMAP. PROJECT DATA WAS PROVIDED BY WILLIAMS
TRANSCO. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS DISPLAYED
ARE APPROXIMATED. THEYARE NOT BASED ON CIVIL SURVEY INFORMATION, UNLESS STATED
SCALE: 1 " = 30'
s .
Project Limits of Disturbance
Stream Centerline
Jurisdictional Streams
® Jurisdictional Wetlands
Proposed Temporary Stream Impacts
Proposed Temporary Wetland Impacts
------ Existing Pipelines
- Proposed Replacement Segments
FIGURE NO.
DATE: 11-19-15 *S&ME
PROPOSED PROJECT IMPACTS
DRAWN BY: DDH Williams 2016 DOT Replacement Projects 4
PROJECT NO: Mileposts 1350
4335-15-068 Guilford County, North Carolina Of

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2

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

OF W A TF9
pG Office Use Only:
o- Corps action ID no.
b < 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: ( ❑Q Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? I 0 Yes ❑ No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
0 401 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 For the record only for Corps Permit:
because written approval is not required? 401 Certification:
❑ Yes 0 No ❑ Yes ❑x 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 ❑ Yes ❑Q No
or in -lieu fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ❑ Yes 0 No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes ❑Q No
2. Project Information
2a. Name of project: Williams Gas Pipeline 2016 DOT Replacements
2b. County: Guilford
2c. Nearest municipality / town: Colfax
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:
Transcontinental Gas Pipeline Company, LLC
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
2800 Post Oak Blvd
3e. City, state, zip:
Houston TX 77056
3f. Telephone no.:
713-215-4627
3g. Fax no.:
3h. Email address:
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

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):
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
1 b. Site coordinates (in decimal degrees): I Latitude: 36.125594 Longitude: -80.028707
1 c. Property size: acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Reedy Fork
2b. Water Quality Classification of nearest receiving water:
2c. River basin:
Haw River
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: 0.015
13c. 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 sections of natural gas transmission line with Class III compliant pipe.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the ❑ Yes X❑ 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 El Yes 0 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? I ❑ Yes ❑x No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
If there are perennial or intermittent stream
impacts (including temporary impacts) proposed on the site, then complete this
1. Impacts Summary
3a. 3b.
3c. 3d. 3e. 3f.
1 a. Which sections were completed below for your
project (check all that apply):
Stream name Perennial (PER) or Type of Average
Impact
0 Wetlands ❑x Streams —tributaries
❑ Buffers
❑ Open Waters
❑ Pond Construction
width
2. Wetland Impacts
Temporary (T)
(feet)
feet)
S1 - Excavation
If there are wetland impacts proposed on the site, then complete this question for each wetland
area impacted.
S2 - Excavation
2a. 2b. 2c.
2d.
2e.
2f.
Wetland impact Type of impact
Type of wetland
Forested
Type of jurisdiction
Area of
number
S6 - Choose one
- -
Corps (404,10) or
impact
Permanent (P) or
84
3i. Comments:
DWQ (401, other)
(acres)
Temporary (T)
W1 - Excavation
Small -Basin Wetland
No
Corps
0.015
W2 - Choose one
Choose one
Yes/No
-
1
W3 - Choose one
Choose one
Yes/No
-
1
W4 - Choose one
Choose one
Yes/No
-
1
W5 - Choose one
Choose one
Yes/No
-
1
W6 - Choose one
Choose one
Yes/No
-
1
2g. Total
Wetland Impacts:
0.015
2h. Comments:
Wetland W1 is located within maintained utility right-of-way.
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 - Excavation
S1 PER Corps 3
84
S2 - Excavation
- -
S3 - Choose one
- -
S4 - Choose one
- -
S5 - Choose one
- -
S6 - Choose one
- -
3h. Total stream and tributary impacts
84
3i. Comments:
Stream S2 is avoided (MP 1350)
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
6a. Project is in which protected basin? ❑ Neuse ❑ Tar -Pamlico ❑ Catawba
type
Temporary (T)
6b. 6c. 6d.
01 -
Choose one
Choose
O2 -
Choose one
Choose
O3 -
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: Ij
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
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.
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 are proposed to be restored in accordance with the attached Restoration Plan (Appendix IV) following completion of the work
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Construction activities will be limited to 80 -feet through the wetland and stream areas (which are currently maintained), within the 100 -foot existing
ROW, and is the minimum amount necessary to facilitate access for pipeline replacement construction in these areas.
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 ❑z Nc
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
project? 1:1 Payment to in -lieu fee program
❑ 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 ❑x Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
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 ❑x 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)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the ❑ Yes 0 No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
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, El Yes ❑x No
or Riparian Buffer Rules (15A NCAC 2B.0200)?
2b. Is this an after -the -fact permit application? ❑ Yes No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in I ❑ Yes 0 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 ❑x 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 Q 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
Applicant/Agent's Printed Name
❑ Yes
DC,., - ) 4, f' pe, �
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
11-23-2015
Date

*S&ME
AGENT AUTHORIZATION FORM
Date: November 13, 2015
Project Information
S&ME Project Name: 2016 DOT Replacement Milepost 1350
Type of Project: Construction
Location: Guilford 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:
I 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: httt)://www.saw.usace.armv.mil/Missions/RevulatorvPermitProaram.asox , 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
it�", reldrO M
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 REQUESTS: 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: Multiple parcels (MP 1350)
City, State: Kemersville, NC 27284
County: Davidson
Directions: US Hwy 8 Exit 97
Parcel Index Number(s) (PIN): see attached PCN
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 Consultant2
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: Williams Gas Pipeline
Mailing Address: 2800 Post oak Blvd
Houston TX 77056
Telephone Number: 713-215-4627
Electronic Mail AddreSS3: [e-mail]
Ft—/]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 DETERNIINATION TYPE
Select One:
I am requesting that the Corps provide a oreliminary JD for the property identified herein.
This request does include a delineation.
I am requesting that the Corps provide a oreliminary 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 approved 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 annroved 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 annroved JD (may or may not
include a survey plat).
4 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
5 Waters of the United States
Version: December 2013 Page 4

Jurisdictional Determination Request
F. ALL REQUESTS
❑v 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 9.0 acres
n✓ I 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: 36.125594 Latitude 80.028707 Longitude
Maps (no larger than 11x17) with Project Boundary Overlay:
WlLarge and small scale maps that depict, at minimum: streets, intersections, towns
❑✓ Aerial Photography of the project area
❑✓ USGS Topographic Map
❑ Soil Survey Map
WlOther 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:
❑V Wetland Data SheetS8
Tributaries:
❑ USACE Assessment Forms
FVUplandData 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:
htto://www.usace.armv.mil/Missions/CivilWorks/ReeulatorvProRramandPermits/reg supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
htto://Dortal.ncdenr.oro/c/document library/get file?uuid=76f3c58b-dab8-4960-ba43-45b7faf06f4c&groupld=38364 and,
htto://www.saw.usace.armv.mil/Portals/59/docs/regulatory/Dublicnotices/2013/NCSAM Draft User Manual 130318.pdf
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 orip-inal Plat (to scale) that is no larver 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)
❑ When 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
(OHWM) of tributary
• Must identify each tributary using an alphanumeric system
• Must include linear footage of tributaries and calculated area (using approximate
widths or surveyed OH WM)
• 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:
USA CEAction 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:
W1be 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).
Qinclude a brief description of the GPS equipment utilized.
Version: December 2013 Page 11

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: Guilford City: Cofax
Center coordinates of site (lat/long in degree decimal format):
Lat. 36.125594° °N; Long. -80.028707° 0W.
Universal Transverse Mercator:
Name of nearest waterbody: Reedy Fork
Identify (estimate) amount of waters in the review area:
Non -wetland waters:
linear feet: width (ft) and/or acres.
Cowardin Class: R3UB1
Stream Flow: Perennial
Wetlands: 0.015 acres.
Cowardin Class: PEM; L2EM
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): 4/22/2015
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.
Office 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 "maybe" 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 jurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
lu
Darrin Digitally signed by Damn Peine
M DN CN = Damn M Peine C = AD
/'Date 2015 11 20 13 50 02 -04'00'
Peine
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

Table II -1— Summary of Parcel and Ownership Information
0168510
Kirkman
881 Cross Creek Rd
6896650805
0168617
Scope
882 Cross Creek Rd
6896664392
0168616
Hill
2404 Morning Glory Dr
6896661278
0168615
McMahon
2406 Morning Glory Dr I
6896665511
0168614
McMahon
2408 Morning Glory Dr
6896664762
0168621
Gray
878 R1 Cross Creek Rd
6896667693
0168611
Hodgin
8903 Sunflower Ct
6896666933
0168610
Hodgin
8901 Sunflower Ct
6896669853
0168609
Zawatski
8900 Sunflower Ct
6896679176
0168419
Baker
9134 County Line Rd
6896674720
0168439
County Line Partners
9134 Near County Line Rd
6896770811
0168440
County Line Partners
9108 R2 County Line Rd I
6896775887
0168436
Ridgecrest Owners
4040 R1 Ridgeline Dr
6896886139
0168410
Ridgecrest Owners
4068 Near Ridgeline Dr
6896898442

Guilford County, NC - Property Report Convert to PDF 11/11/2015
Parcel ID Property Address Legal Description
0168510 881 Crosscreek Rd 7 AC 1 PB 61-6
- Mobile
j Maps
Owner Information
Owner Name Mailing Address City, State Zip
KIRKMAN, WILLIAM L ; KIRKMAN, MARGARET G 881 CROSSCREEK RD KERNERSVILLE, NC 27284
Parcel Information
PIN Zoning Use Tax District
6896650805-000 AG RESIDENTIAL 200
Parcel Size Appraisal Nbrhood Plat/Condo Bk & Pg
7 6896R0l 61 -
Recent Sales
Book & Page Sale Date Sale Price Qualified? Improved?
00289100668 6/15/1977 $13,000 Yes Yes
Appraisal Values
Land Buildings Extra Features Total Value
$98,900 $128,200 $13,600 $240,700
Extra Feature Summary
Feature Description Size/Count Measure Year Value
SHED LOW VALUE FOR FARM EQUIPMENT STORAGE 16x30 DIMENSIONS $600
GARAGE 30x40 DIMENSIONS $13,000
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Appraisal Detail (Building 1 of 1)
Bldg# Description Bldg Use Yr Built Eff Yr Bit Units
1 SFR SFR CONST 1978 1985 1
Improvement Details
Style Foundation Exterior Wall Air Cond. Type Comm. Roof Struct. Heating Type
Ranch w/basement CONTFOOT FRAME CENTRAL Heat pump
■•iaihi•i.i�na.nu

Guilford County, NC - Property Report Convert to PDF 11/11/2015
Parcel ID Property Address Legal Description
0168617 882 Crosscreek Rd 20 SEC 2 PB 69-29 GRAY ACRES
�y
P
Owner Information
Owner Name Mailing Address City, State Zip
SCOPE LIVING TRUST; SCOPE, ROBERT E TRUSTEE; SCOPE, 878 CROSREEK KERNERSVILLE,
SC
DIANNE DENSMORE TRUSTEE SC NC 27284
RD
Parcel Information
PIN Zoning Use Tax District
6896664392-000 RS -40 RESIDENTIAL 200
Parcel Size Appraisal Nbrhood PlatlCondo Bk & Pg
2.68 6896604 69-29
Appraisal Values
Land Buildings Extra Features Total Value
$45,600 $0 $0 $45,600
Disclaimer. Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
■.i�Yla�.�.uuK�n�r

Guilford County, NC - Property Report Convert to PDF 11/11/2015
Parcel ID Property Address Legal Description
0168616 2404 Morning Glory Dr 19 S2 PB69-29 GRAY ACRES
Owner Name
HILL, MICHAEL J
PIN
6896661278-000
Parcel Size
2.53
Book & Page
00641601135
00525802063
00485700963
00415400808
00349500888
00330101054
Land
$45,600
Lj
Mobile
Maps
T DJ y
!/ (AR��
Owner Information
Mailing Address
City, State Zip
259 LAKE WENDELL RD
WENDELL, NC 27591
Parcel Information
Zoning Use
Tax District
RS -40 RESIDENTIAL
200
Appraisal Nbrhood
Plat/Condo Bk & Pg
68961304
69-29
Recent Sales
Sale Date Sale Price Qualified? Improved?
10/15/2005 $175,000 Yes
Yes
6/15/2001 $165,000 Yes
Yes
5/15/1999 $139,900 Yes
Yes
12/15/1993 $108,000 Yes
Yes
4/15/1986 $88,000 Yes
Yes
7/15/1983 $5,000 Yes
Yes
Appraisal Values
Buildings Extra Features
Total Value
$134,700 $2,900
$183,200
Extra Feature Summary
Feature Description Size/Count Measure Year Value
STORAGE BUILDING 1418 DIMENSIONS $2,900
Disclaimer: Map and parcel data are believed to be accurate. but accuracy is not guaranteed. This is not a legal document
and should not be substituted fora title search, appraisal, survey, or for zoning verification.
Appraisal Detail (Building 1 of 1)
Bldg# Description Bldg Use Yr Built Eff Yr Blt Units
1 SFR SFR CONST 1983 1998 1
■�UIIN ULItlMNIII■

Guilford County, NC - Property Report Convert to PDF 11/11/2015
Parcel ID Property Address Legal Description
0168615 2406 Morning Glory Dr 18 SEC 2 PB 69-29 GRAY ACRES
Owner Name
MCMAHON, ATWOOD P
PIN
6896665511-000
Parcel Size
2.39
Owner Information
Mailing Address City, State Zip
2406 MORNING GLORY DR KERNERSVILLE, NC 27284
Parcel Information
Zoning Use Tax District
RS -40 RESIDENTIAL 200
Appraisal Nbrhood Plat/Condo Bk & Pg
68961304 69-29
Appraisal Values
Land Buildings Extra Features Total Value
$45.600 $123,900 $0 $169.500
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Appraisal Detail (Building 1 of 1)
Bldg# Description Bldg Use Yr Built Eff Yr Bit Units
1 SFR SFR CONST 1982 1982 1
Improvement Details
Style Foundation
Exterior Wall
Air Cond. Type Comm. Roof Struct.
Heating Type
Ranch w/basement CONTFOOT
FACE BRK
CENTRAL
Heat pump
Heated SgFt Bedrooms
Bathrooms
Fireplace Building Grade
Bldg Value
2.120 3
FULL:2 HALF: 1
Yes B-10 116%
$100,008
■a��iaiaua��mur

Guilford County, NC - Property Report Convert to PDF 11/11/2015
Parcel ID Property Address Legal Description
0168614 2408 Morning Glory Dr 17 SEC 2 PB 69-29 GRAY ACRES
J
F
Mobile
�t
Maps
CAKO
Owner Information
Owner Name Mailing Address City, State Zip
MCMAHON, WILLIAM JR 2406 MORNING GLORY DR KERNERSVILLE, NC 27284
Parcel Information
PIN Zoning Use Tax District
6896664762-000 RS -40 RESIDENTIAL 200
Parcel Size Appraisal Nbrhood Plat/Condo Bk & Pg
1.7 6896604 69-29
Recent Sales
Book & Page Sale Date Sale Price Qualified? Improved?
00371501352 1/15/1989 $6,000 Yes Yes
Appraisal Values
Land Buildings Extra Features Total Value
$38,000 $134,700 $0 $172,700
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted fora title search, appraisal, survey, or for zoning verification.
Appraisal Detail (Building 1 of 1)
Bldg#
Description
Bldg Use Yr Built Eff Yr Bit Units
1
SFR
SFR CONST 1988 1988
1
Improvement Details
Style
Foundation
Exterior Wall Air Cond. Type Comm. Roof Struct.
Heating Type
1.0 Story
CONTFOOT
FRAME CENTRAL
Heat pump
Heated SgFt
Bedrooms
Bathrooms Fireplace Building Grade
Bldg Value
2,193
3
FULL:3 HALF: 0 Yes B-10 116%
$111,213
�a•ii«iaaau«•nu

Guilford County, NC - Property Report Convert to PDF 11/11/2015
Parcel ID Property Address Legal Description
0168621 878 R1 Crosscreek Rd 1.01AC GRAY WILL 72E-48
�"Kd�rA
•
Owner Information
Owner Name Mailing Address
GRAY, HUGH F; PLOTT, RACHEL GRAY 414 HILLSIDE DR
Parcel Information
PIN Zoning Use
6896667693-000 RS -40 RESIDENTIAL
Parcel Size Appraisal Nbrhood
1.01 6896604
Appraisal Values
Land Buildings Extra Features
$3,800 $0 $0
City, State Zip
GREENSBORO, NC 27401
Tax District
200
Plat/Condo Bk & Pg
0
Total Value
$3,800
Disclaimer. Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Disclaimer. Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
■wduhameA ■

Guilford County, NC - Property Report Convert to PDF 11/11/2015
Parcel ID Property Address Legal Description
0168611 8903 Sunflower Ct 14 S2 PB69-29 GRAY AC
Owner Name
HODGIN, TYLER N
PIN
6896666933-000
Parcel Size
1.26
Book & Page
00755200826
00479501851
00348001219
00344300337
00338100502
f:
- Mobile
Maps
CA
or
,o
Owner Information
Mailing Address City, State Zip
8903 SUNFLOWER CT KERNERSVILLE. NC 27284
Parcel Information
Zoning Use
RS -40 RESIDENTIAL
Appraisal Nbrhood
68961304
Tax District
200
Plat/Condo Bk & Pg
69-29
Land Buildings Extra Features Total Value
$38,000 $134,600 $172,600
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Appraisal Detail (Building 1 of 1)
Bldg# Description Bldg Use Yr Built Eff Yr Bit Units
1 SFR SFR CONST 1985 1985 1
Improvement Details
Style Foundation Exterior Wall Air Cond. Type Comm. Roof Struct. Heating Type
1.0 Story CONTFOOT FRAME CENTRAL Heat pump
■/1111/1 Ul�BIl�S411■
Recent Sales
Sale Date
Sale Price
Qualified?
Improved?
11/21/2013
$151,000
Yes
Yes
12/15/1998
$141,500
Yes
Yes
1/15/1986
$82,000
Yes
Yes
5/15/1985
$12,000
Yes
Yes
6/15/1984
$11,000
Yes
Yes
Appraisal Values
Land Buildings Extra Features Total Value
$38,000 $134,600 $172,600
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Appraisal Detail (Building 1 of 1)
Bldg# Description Bldg Use Yr Built Eff Yr Bit Units
1 SFR SFR CONST 1985 1985 1
Improvement Details
Style Foundation Exterior Wall Air Cond. Type Comm. Roof Struct. Heating Type
1.0 Story CONTFOOT FRAME CENTRAL Heat pump
■/1111/1 Ul�BIl�S411■

Guilford County, NC - Property Report Convert to PDF 11/11/2015
Parcel ID Property Address Legal Description
0168610 8901 Sunflower Ct 13 SEC 2 PB 69-29 GRAY ACRES
a .
Mobile
Maps
CA
Owner Information
Owner Name Mailing Address City, State Zip
HODGIN, JAMES N ; HODGIN, MARGARET C 8901 SUNFLOWER CT KERNERSVILLE, NC 27284
Parcel Information
PIN Zoning Use Tax District
6896669853-000 RS -40 RESIDENTIAL 200
Parcel Size Appraisal Nbrhood Plat/Condo Bk & Pg
5.2 6896604 69-29
Recent Sales
Book & Page Sale Date Sale Price Qualified? Improved?
00318200578 10/15/1981 $12,500 Yes Yes
Appraisal Values
Land Buildings Extra Features Total Value
$76,000 $150,500 $0 $226.500
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Appraisal Detail (Building 1 of 1)
Bldg# Description Bldg Use Yr Built Eff Yr Bit Units
1 SFR SFR CONST 1985 1985 1
Improvement Details
Style Foundation
Exterior Wall
Air Cond. Type Comm. Roof Struct.
Heating Type
Ranch w/basement CONTFOOT
FACE BRK
CENTRAL
Heat pump
Heated SgFt Bedrooms
Bathrooms
Fireplace Building Grade
Bldg Value
1.840 3
FULL:2 HALF: 0
Yes B-10 116%
$114,439
lnnit�n,nn'i=

Guilford County, NC - Property Report Convert to PDF 11/11/2015
Parcel ID Property Address Legal Description
0168609 8900 Sunflower Ct 12 S2 PB69-29 GRAY ACRES
Mobile
-a
Maps
(AM0
Owner Information
Owner Name Mailing Address City, State Zip
ZAWATSKI, MARK J , ZAWATSKI, TISHA K 8900 SUNFLOWER CT KERNERSVILLE, NC 27284
Parcel Information
PIN Zoning Use Tax District
6896679176-000 RS -40 RESIDENTIAL 200
Parcel Size Appraisal Nbrhood Plat/Condo Bk & Pg
2.47 6896604 69-29
Recent Sales
Book & Page Sale Date Sale Price Qualified? Improved?
00389500269 8/15/1991 $18,500 Yes Yes
Appraisal Values
Land Buildings Extra Features Total Value
$45.600 $140.000 $0 $185,600
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Appraisal Detail (Building 1 of 1)
Bldg# Description Bldg Use Yr Built Eff Yr Blt Units
1 SFR SFR CONST 1992 1992 1
Improvement Details
Style Foundation Exterior Wall Air Cond. Type Comm. Roof Struct. Heating Type
1.0 Story CONTFOOT FACE BRK CENTRAL Forced air -ducted
Heated SgFt Bedrooms Bathrooms Fireplace Building Grade Bldg Value
1.653 3 FULL:2 HALF: 0 Yes B-10 116% $116,057
Ianlhn'kasnannu

Guilford County, NC - Property Report Convert to PDF 11/11/2015
Parcel ID Property Address Legal Description
0168419 9134 County Line Rd 16.36AC GRAY/PB168-37UNIF 3861-1746
Owner Name
BAKER, JOHN M
PIN
6896674720-000
Parcel Size
16.36
x
- Mobile��
Maps
T I1
Owner Information
Mailing Address City, State Zip
2333 BETHEL CHURCH RD KERNERSVILLE, NC 27284
Parcel Information
Zoning Use Tax District
CU -PDR RESIDENTIAL 200
Appraisal Nbrhood Plat/Condo Bk & Pg
6896R0l 0
Appraisal Values
Land Buildings Extra Features Total Value
$115,800 $0 $0 $115.800
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search. appraisal, survey, or for zoning verification.
■Q/INfI�I�NII�l�lll■

Guilford County, NC - Property Report
Parcel ID Property Address
0168439 9134 Near County Line Rd
Convert to =:L) F 11/11/2015
Legal Description
16.86AC GRAY
13
,�r ° �+
Owner Information
Owner Name Mailing Address City, State Zip
COUNTY LINE PARTNERS LLC PO BOX 99 KERNERSVILLE, NC 27285
Parcel Information
PIN Zoning Use Tax District
6896770811-000 CU -PDR RES IDE NTIA L 200
Parcel Size Appraisal Nbrhood Plat/Condo Bk & Pg
16.86 6896R01 0
Appraisal Values
Land Buildings Extra Features Total Value
$116,300 $0 $0 $116,300
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
16i01 iaiaauRn nu

Guilford County, NC - Property Report
Parcel ID Property Address
0168440 9108 R2 County Line Rd
Convert to PDF 11/11/2015
Legal Description
13.08 AC GRAY
Mobile` r
Maps
J'i+o
CA
Owner Information
Owner Name Mailing Address City, State Zip
COUNTY LINE PARTNERS LLC PO BOX 99 KERNERSVILLE, NC 27285
Parcel Information
PIN Zoning Use Tax District
6896775887-000 PD -R RESIDENTIAL 200
Parcel Size Appraisal Nbrhood Plat/Condo Bk S Pg
13.08 6896R0l 0
Appraisal Values
Land Buildings Extra Features Total Value
$83,100 $0 $0 $83,100
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, surrey, or for zoning verification.
■•i�iiyiau�uaaur

Guilford County, NC - Property Report Convert to PDF 11/11/2015
Parcel ID Property Address Legal Description
0168436 4040 R1 Ridgeline Dr 18.27 AC ATKINS PROPERTY
�t Mobile
I Maps
r DJ y
(.A ll
Owner Information
Owner Name Mailing Address City, State Zip
RIDGECREST OWNERS ASSOCIATION INC 700 CARNEGIE PLACE GREENSBORO, NC 27409
PIN
6896886139-000
Parcel Size
18.27
Parcel Information
Zoning
AG
Appraisal Nbrhood
6896A01
Appraisal Values
Use Tax District
200
Plat/Condo Bk & Pg
0
Land Buildings Extra Features Total Value
$0 $0 $0 $0
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
0 06

Guilford County, NC - Property Report Convert to PDF 11/11/2015
Parcel ID Property Address Legal Description
0168410 4068 Near Ridgeline Dr COMMON AREA PB160-142,143 1442145&PB161
Mobile
Maps
*CA
Owner Information
Owner Name Mailing Address City, State Zip
RIDGECREST OWNERS ASSOCIATION INC 700 CARNEGIE PLACE GREENSBORO, NC 27409
Parcel Information
PIN Zoning Use Tax District
6896898442-000 PD -R COMMON AREA 200
Parcel Size Appraisal Nbrhood Plat/Condo Bk & Pg
17.38 6896A01 160-142,143
Appraisal Values
Land Buildings Extra Features Total Value
$0 $0 $0 $0
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Disclaimer: Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
■QNUf Pl�l41h411■

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: MP 1350 City/County: Guilford Sampling Date: 04-22-2015
Applicant/Owner- Williams Transco (Easement only) State: NC Sampling Point: W-1
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. 36.129018° Long: -80.025395° Datum:
Soil Map Unit Name: Hatboro loam, 0 to 2 percent slopes NWI classification:
Are climatic / hydrolo is conditions on the site typi I his time of year? Yesl✓I No"(If no, explain in Remarks.)
Are Vegetation Soil �, 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?
Hydric Soil Present?
Wetland Hydrology Present?
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Yes= No =
Yes= No=
Yes 0 No =
Primary Indicators (minimum of one is required
=Surface Water (Al)
=High Water Table (A2)
=Saturation (A3)
=Water Marks (131)
=Sediment Deposits (132)
=Drift Deposits (63)
=Algal Mat or Crust (134)
=Iron Deposits (135)
=Inundation Visible on Aerial Imagery (137)
=Water -Stained Leaves (139)
=Aquatic Fauna (1313)
Field Observations:
Is the Sampled Area
within a Wetland? Yes No
Surface Water Present? Yes= No= Depth (inches): 2"
Water Table Present? Yes= No= Depth (inches):
Saturation Present? Yes= No= Depth (inches): Wetland Hydrology Present? Yes = No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available-
Remarks -
Standing surface water approx. 2" deep
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0
S�eco_ndary Indicators (minimum of two reauired)
check all that aooly)
v surface Soil Cracks (66)
=True Aquatic Plants (614)
EKIsparsely Vegetated Concave Surface (138)
=Hydrogen Sulfide Odor (Cl)
[�Drainage Patterns (610)
=Oxidized Rhizospheres on Living Roots (C3) =Moss Trim Lines (616)
=Presence of Reduced Iron (C4)
=Dry -Season Water Table (C2)
=Recent Iron Reduction in Tilled Soils (C6)
=Crayfish Burrows (C8)
=Thin Muck Surface (C7)
=Saturation Visible on Aerial Imagery (C9)
=Other (Explain in Remarks)
Stunted or Stressed Plants (D1)
=(3eomorphic Position (D2)
=Shallow Aquitard (D3)
=Microtopographic Relief (D4)
=FAC -Neutral Test (D5)
Surface Water Present? Yes= No= Depth (inches): 2"
Water Table Present? Yes= No= Depth (inches):
Saturation Present? Yes= No= Depth (inches): Wetland Hydrology Present? Yes = No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available-
Remarks -
Standing surface water approx. 2" deep
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

VEGETATION (Five Strata) — Use scientific names of plants. Sampling Point: W-1
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2 0
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size:
) % Cover Species? Status
Number of Dominant Species
1.
That Are OBL, FACW, or FAC: 1 (A)
2.
Total Number of Dominant
3.
Species Across All Strata: 1 (B)
4.
Percent of Dominant Species
5
That Are OBL, FACW, or FAC: 100 (A/B)
6
Prevalence Index worksheet:
7
= Total Cover
Total % Cover of: Multiply bv:
SaDlino Stratum (Plot size:
1
OBL species x 1 =
1.
FACW species x 2 =
2.
FAC species x 3 =
3.
FACU species x 4 =
4.
UPL species x 5 =
5.
Column Totals: (A) (B)
6.
Prevalence Index = B/A =
7.
Hydrophytic Vegetation Indicators:
Shrub Stratum (Plot size.
= Total Cover
)
01 - Rapid Test for Hydrophytic Vegetation
1
=2 - Dominance Test is >50%
03 - Prevalence Index is 53.0'
2
Q4 - Morphological Adaptations' (Provide supporting
3
4.
data in Remarks or on a separate sheet)
_Problematic Hydrophytic Vegetation' (Explain)
5.
6
'Indicators of hydric soil and wetland hydrology must
7
be present, unless disturbed or problematic.
= Total Cover
Definitions of Five Vegetation Strata:
Herb Stratum (Plot size.
)
1. Cyperus strigosus
60 Yes FACW
Tree — Woody plants, excluding woody vines,
2. Juncus effusus
10 No OBL
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
3.
4
Sapling — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
5.
than 3 in (7.6 cm) DBH.
6.
Shrub — Woody plants, excluding woody vines,
7
approximately 3 to 20 ft (1 to 6 m) in height.
8.
9
Herb — All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
10.
plants, except woody vines, less than approximately 3
11.
ft (1 m) in height
12•
Woody vine — All woody vines, regardless of height
70 = Total Cover
Woodv Vine Stratum (Plot size:
)
1.
2.
3.
4
Hydrophytic
Vegetation
5.
Present? Yes= No
= Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
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: W-1
Profile Description: (Describe
to the depth
needed to document the indicator or confirm the absence of indicators.)
Depth
Matrix
=Loamy Gleyed Matrix (F2)
Redox Features
=Stratified Layers (A5)
=2 cm Muck (A10) (LRR N)
(inches)
Color (moist)
%
Color (moist) % Type' Loc`
Texture Remarks
0-1
10YR 4/3
100
SiCL
1-5
10YR 4/2
80
7.5YR 4/6 20 C M
SiCL
5-13+
10YR 4/1
80
7.5YR 4/6 20 C M
SiCL
'Type- C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: 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? YesF7-/ No
Remarks -
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecVSite: MP 1350 City/County. Guilford Sampling Date: 04-22-2015
Applicant/Owner: Williams Transco (Easement only) State: NC Sampling Point: Upland
Investigator(s): D. Peine, A. Steele Section, Township, Range:
Landform (hillslope, terrace, etc ): Local relief (concave, convex, none): concave Slope (%): 0-5%
Subregion (LRR or MLRA)- Lat: 36.1290280 Long: -$0.025278° Datum:
Soil Map Unit Name: Hatboro loam, 0 to 2 percent slopes NWI classification:
Are climatic / hydrolo is conditions on the site typihis time of year? Yesly I No l (If no, explain in Remarks.)
Are Vegetation Soil �, 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?
Hydric Soil Present?
Wetland Hydrology Present?
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Yes= No ✓�
Yes= No �✓
Yes= No 0✓
Primary Indicators (minimum of one is required
=Surface Water (Al)
=High Water Table (A2)
=Saturation (A3)
=Water Marks (131)
=Sediment Deposits (62)
=Drift Deposits (133)
=Algal Mat or Crust (134)
=Iron Deposits (135)
=Inundation Visible on Aerial Imagery (67)
=Water -Stained Leaves (139)
=Aquatic Fauna (1313)
Field Observations:
Is the Sampled Area
within a Wetland? Yes No
that
Secondary Indicators (minimum of two reauiredl.
E=kurface Soil Cracks (136)
check all aoolv)
=True Aquatic Plants (1314)
E—LIsparsely Vegetated Concave Surface (68)
=Hydrogen Sulfide Odor (Cl)
E:]Drainage Patterns (B10)
=Oxidized Rhizospheres on Living Roots (C3) =Moss Trim Lines (B16)
=Presence of Reduced Iron (C4)
=Dry -Season Water Table (C2)
=Recent Iron Reduction in Tilled Soils (C6)
=Crayfish Burrows (C8)
=Thin Muck Surface (C7)
=Saturation Visible on Aerial Imagery (C9)
Other (Explain in Remarks)
=Stunted or Stressed Plants (D1)
=Geomorphic Position (D2)
=Shallow Aquitard (D3)
=Microtopographic Relief (D4)
=FAC -Neutral Test (D5)
Surface Water Present? Yes= No= Depth (inches)
Water Table Present? Yes= No= Depth (inches):
Saturation Present? Yes= No= Depth (inches): Wetland Hydrology Present? Yes= No ✓�
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
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:
1. Lonicera japonica
2. Eupatorium capillifolium
3. Rubus argutus
4. Toxicodendron radicans
5.
6.
7.
8.
9.
10.
11.
12.
Woodv Vine Stratum (Plot size:
1.
2.
3.
4
5
40
1f)
J
5
Remarks. (Include photo numbers here or on a separate sheet.)
= Total Cover
Sampling Point: Upland
Prevalence Index = B/A = 3.44
Dominance Test worksheet:
Hydrophytic Vegetation Indicators:
= Total Cover
Number of Dominant Species
02 - Dominance Test is >50%
That Are OBL, FACW, or FAC-
1
(A)
Total Number of Dominant
data in Remarks or on a separate sheet)
Species Across All Strata:
2
(B)
Percent of Dominant Species
be present, unless disturbed or problematic.
That Are OBL, FACW, or FAC.
50
(A/B)
Prevalence Index worksheet:
yes FACU
Total % Cover of.
MultiDIv bv:
(7.6 cm) or larger in diameter at breast height (DBH).
OBL species
x 1 =
FACW species
x 2 =
than 3 in. (7.6 cm) DBH.
FAC species 45
x 3 = 135
FACU species 35
x 4 = 140
Herb - All herbaceous (non -woody) plants, including
UPL species
x 5 =
Column Totals: 80
(A) 275
(B)
= Total Cover
Hydrophytic
Vegetation
Present? Yes= No=
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0
Prevalence Index = B/A = 3.44
Hydrophytic Vegetation Indicators:
= Total Cover
Q 1 -Rapid Test for Hydrophytic Vegetation
02 - Dominance Test is >50%
Q3 - Prevalence Index is 53.0'
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:
yes FAC
Tree - Woody plants, excluding woody vines,
yes FACU
approximately 20 ft (6 m) or more in height and 3 in.
FACU
(7.6 cm) or larger in diameter at breast height (DBH).
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.
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.
= Total Cover
= Total Cover
Hydrophytic
Vegetation
Present? Yes= No=
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: Upland
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Loc` Texture Remarks
0-6 10YR 3/4 100 SiCL
6-14+ 7.5YR 4/6 100 SiCL
'Type: C=Concentration, D=Deplefion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
QHistosol (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)
=Depleted Matrix (F3)
(MLRA 136, 147)
=2 cm Muck (A10) (LRR N)
=Redox Dark Surface (F6)
=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)
'Indicators 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:
No �✓
Depth (inches):
Hydric Soil Present? Yes=
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 22, 2015
Project/Site: MP1350 / S1
Latitude:
36.1290030
Evaluator: D. Peine (S&ME, Inc.)
county: Guilford
Longitude: -$0.0255460
Total Points:
Stream is at least intermittent 33.5
Stream Determination (circle one)
Perennial
Other
e.g. Quad Name. Belews Creek
if 2: 19 or perennial if 2: 30'
A. Geomorphology (Subtotal = 15 1
Absent
Weak
Moderate Strong
1 a Continuity of channel bed and bank
0 0
1®
2 0
3 0
2. Sinuosity of channel along thalweg
0
2
3 0_
3 In -channel structure. ex. riffle -pool, step -pool,
0©
1®
2
3 0
ripple -pool sequence
4. Particle size of stream substrate
0
1®
2 Q
30
5. Active/relict floodplain
0
2 0
30
6. Depositional bars or benches
0 0
1 (.)
2 0
30
7. Recent alluvial deposits
00
1 0.
20
30
1 8. Headcuts
00
1 0
20
3 0
9. Grade control
00
0.5()
1 0
1 50
10 Natural valley
0 Q
0.50
1
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 )
12. Presence of Baseflow
00
1 0
2 0
3 Q
13. Iron oxidizing bacteria
00
1 0
2 0
30 1
14. Leaf litter
1.5.0
10
0.50
0 Q
15. Sediment on plants or debris
0 0
0 50
1
1.5
al
1 16. Organic debris lines or piles
0 Q
0.50
1
1.5
17. Soil -based evidence of high water table?
No = 0 ©
Yes = 3 O
C. Biology (Subtotal = 9 )
18. Fibrous roots in streambed
30.
2 0
10
00
19. Rooted upland plants in streambed
302
O
10
00
20. Macrobenthos (note diversity and abundance)
08
1 .
2
3
21. Aquatic Mollusks
0
1
2�
3�
1 22. Fish
00
0.50
10
1.50
23. Crayfish
0
0.5 •
10
0
1.5C)
1.5
24. Amphibians
0
•
0.5
1
25. Algae
0
0.5 Q
1 Q
1.5�
26. Wetland plants in streambed
0
FACW = 0.75()OBL
= 1.500ther
= 0E)
'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 22, 2015 Project/site: MP1350 / S2
evaluator: D. Peine (S&ME, Inc.)
Total Points:
Stream is at least intermittent 34
if >_ 19 or perennial if >_ 30`
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
11. Second or greater order channel
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 10.5 )
12. Presence of Baseflow
County: Guilford
Latitude: 36.1345270
Longitude: -$0.0198040
Stream Determination (circle one) Other
Perennial e.g. Quad Name: Belews Creek
Absent
00
00
00
0
00
0 Q
00
00
00
0 0
00
Weak
10
1®
1
10
1 �•
1 Q
0.5©
0.5()
No 00
10
13. Iron oxidizing bacteria 0 Q 1 W
14. Leaf litter 1.5Q 1
15. Sediment on plants or debris 0 © 0.5
16. Organic debris lines or piles 00 05C)
17. Soil -based evidence of high water table? No = 0
C. Biology (Subtotal = 75 1
18. Fibrous roots in streambed
3('
19. Rooted upland plants in streambed
30
20. Macrobenthos (note diversity and abundance)
0
8-
21. Aquatic Mollusks
0
22. Fish
00
23. Crayfish
0
8.
24. Amphibians
0
25. Algae
00
26. Wetland plants in streambed
Q
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
1.5
Sketch:
41
Moderate
2©
2Q
2 1�
2
20
2 (.-)
20
20
1 Q
10
Strong
3
3
30
3(
3©
3
3
31)
1.50
1.5
Yes =3Q
2() 30
20 30 1
050 0
1 1.5
Yes =30
2
1('
0Q
20
10
00
1
28
3V
1 •
2
3
050
1 0
1.50
050
1 8
1.5C)
0.5 Q
1
1.5
0.5 0
1 0
15 �
FACW = 0.7500131-
= 1.500ther = 0

r
Williams MP 1350 Pipeline Replacements S&ME Project No. 4335-15-068
�'S&ME I Guilford County, North Carolina Taken by DMP I Date Taken 4/22/2015

5 iew of maintained easement and residential near end of
replacement, looking northeast.
? iew of end of replacement and Stream channel S2. The stream
hannel is not located within the construction limits of
isturbance.
Williams MP 1360 Pipeline Replacements S&ME Project No. 4335-15-068
S&ME I Guilford County, North Carolina Taken by DMP I Date Taken: 4/22/2015

Appendix III - Typical Stream and Wetland Crossing Details

TEMPORARY MATTING
(TO PREVENT WETLAND RUTTING)
_ 100'i 100'+
(/J EASEMENT EASEMENTpl'�L
yf4BOUNDARY HAY BALES AND/OR SILT FENCE AS HAY BALES AND/OR SILT FENCE AS BOUNDARYREQUIRED TO CONTROL RUNOFF REQUIREDTO CONTROLRUNOFF
FROM SPOIL STORAGE AREA FROM SPOIL STORAGE AREA v '
TOP SOIL EQUIPMENT
TOP SOIL MAT
EQUIPMENT
.SUBS�OIL
'�' X SUBSOIL �
PROPOSEDTRENCH
FOR GAS PIPELINE REPLACEMENT
SCALE
NTS
PROJECT NO
4335-15-068
CHECKED BY-
DMP
DATE' 3/13/2015
DRAWN BY
ELH
CONSTRUCTION AREA
EXISTING EASEMENT
*S&ME
WWW.SMEINC.COM
ENGINEERING LICENSE NO: F-0176
WILLIAMS TRANSCO PIPELINE REPLACEMENT
TRENCH DETAIL
WILLIAMS GAS PIPELINE 2016 DOT REPLACEMENT
MILEPOST 1350°
GUILFORD COUNTY, NORTH CAROLINA
2
H
�
FIGURE NO a0
Z
5A

e
SCALE
NTS
PROJECT NO
4335-15-068
CHECKED BY:
DMP
I I
I ql qq ql iq�l !ql Ijq'�ll 11 118111181 l lq I lq lqq qi \� �\
HAY BALES OR SILT FENCE J \ \
\
I
I
I
l
/
HAY BALES OR SILT FENCE /
/
1 1
I I
STREAM
FLOW
III I NISI h � ial
75' MAX CONSTRUCTION AREA
EXISTING 100" EASEMENT
(0
CROSS-SECTION
r
a
DATE' FIGURE NO a
3/13/2015 *S&ME WILLIAMS TRANSCO PIPELINE REPLACEMENT z
DRAWN BY PRE -CONSTRUCTION CROSSING DETAIL
ELH WILLIAMS GAS PIPELINE 2016 DOT REPLACEMENT 5B °
WWW.SMEINC.COM MILEPOST 1350
ENGINEERING LICENSE NO F-0176 GUILFORD COUNTY, NORTH CAROLINA

*10
INNN�NNNNIiNNfINNNNNiNI����iuiNNl!ININ NfN NNNNiNIN NNNINNNNN
HAY BALES OR
SILT FENCE
HAY BALES OR
SILT FENCE
SILT BAG
— TOE -OF -BANK
DOWNSTREAM SANDBAG
COFFER DAM
WIN
EXISTING 100'+ EASEMENT
UPSTREAM
DIVERSION HOSE
N�NNNINN ��I�NINr ��I NNNIIN �N N NIS �N��IINrII
UPSTREAM DIVERSION PUMP
FLOW
DURING CONSTRUCTION
CASE A TYPICAL PUMP AROUND FEATURE CROSSING
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
2 THE HEIGHT OF THE COFFERDAM SHALL BE CALCULATED BY USING H/4 + 1' WHERE H =
HEIGHT OF STREAM BANK IN FEET 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 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
e STREAM CROSSING SHOULD BE MADE PERPENDICULAR TO THE STREAM TO THE EXTENT
PRACTICAL
8 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
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 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
60
Z
r
a
SCALE DATE: FIGURE NO
NTS 3/13/2015
$S&ME WILLIAMSwILLIAMS TRANSCO PIPELINE REPLACEMENT
PUMP AROUND FEATURE CROSSING DETAIL
PROJECT NO DRAWN BY 5c ❑
4335-15-068 ELH WWW.SMEINC.COM WILLIAMS GAS PIPELINE 2016 DOT REPLACEMENT
CHECKED BY. MILEPOST 1350
DMP ENGINEERING LICENSE NO F-0176 GUILFORD COUNTY, NORTH CAROLINA

*40
TOE -OF -BANK
������NNNNN NNNININN� N�IN�I NINI
\ I I TOP -OF -BANK
HAY BALES OR ISIDE BOARDS TEMPORARY BRIDGING CONSTRUCTION AREA
SILT FENCE (IF NEEDED)
` STEEL PIPE FLUME SPOIL PILE
SILT BAG
7 � Ana rirtunt
TRENCH DEWATERING HOSE J
TRENCH DEWATERING PUMP
UPSTREAM SANDBAG EXISTING 100'+ EASEMENT
COFFER DAM
NINNNIN�NNI ��°!NNINN� NNNN II NI NI NINN IB •�N 1N�NNI NNI�NN�NNNlNNN�NNINI NNN IN��NaN���N�N�ININ��NNN� NININ�NNNN
HAY BALES OR
/ /LJ
/ 1
SILT FENCE
STREAM
FLOW
DLIR It4G CONSTfjUgTlOV
CASE B TYPICAL FLUME FEATURE CROSSING
SCALE. NTS
DATE 3/13/2015
PROJECT NO
DRAWN BY
S&ME
-
433515-068
ELH
VWVW.SMEINC.COM
CHECKED BY'
DMP
LICENSE NO F-0176
ENGINEERING
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 TO INSURE IMPERMEABILITY
2 THE HEIGHT OF THE COFFER DAM SHALL BE CALCULATED BY USING H/4 - V 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 X DIAMETER FOR
FLUMES > 36' 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 (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
9 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 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
WILLIAMS TRANSCO PIPELINE REPLACEMENT
FLUME FEATURE CROSSING DETAIL
WILLIAMS GAS PIPELINE 2016 DOT REPLACEMENT
MILEPOST 1350
GUILFORD COUNTY, NORTH CAROLINA
2
H
Q
FIGURE NO a
Z
5D o

M
HAY BALES OR J
SILT FENCE
SEE DETAIL
TEMPORARY MATTING
INSTALL NORTH AMERICAN GREEN
TYPE C-125 MATTING OR ENGINEER
APPROVED EQUIVALENT
HAV BALES OR J
SILT FENCE
INSTALGREEN NORTYPE C- AMERICAN
GREEN TYPE C-125 MATTING
OR ENGINEER APPROVED
EQUIVALENT
SCALE
NTS
PROJECT NO.
4335-15-068
CHECKED BY:
St
DMP
TOE -OF -BANK
TOP -OF -BANK
CONSTRUCTIOt AREA
GAS PIPELINE
5
DO NOT INSTALL MATTING
WITHIN STREAMBED
STREAM
FLOW
i
CROSS-SECTION
POST -CONSTRUCTION
EXISTING 100'- EASEMENT
EXTEND TEMPORARY MATTING 5'
LANDWARD FROM TOP OF BANK
GENERAL NOTES
1 FOLLOWING CONSTRUCTION, ALL STREAM CROSSINGS SHALL BE RESTORED TO ORIGINAL
CONTOURS, TO THE FULLEST EXTENT PRACTICAL, ONCE CONSTRUCTION IS COMPLETED
2 ONCE ORIGINAL STREAM BANK CONTOURS HAVE BEEN RE-ESTABLISHED, INSTALL
TEMPORARY MATTING (NORTH AMERICAN GREEN TYPE C-125 OR ENGINEER -APPROVED
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)
MAINTENANCE NOTES
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 HAV BALES OR SILT FENCE
DURING CLEANOUT
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
BEEN PROPERLY STABILIZED
DATE 3/13/2015 WILLIAMS TRANSCO PIPELINE REPLACEMENT FIGURE NO
DRAWN BY* *S&ME POST -CONSTRUCTION STREAM CROSSING DETAIL
ELH WILLIAMS GAS PIPELINE 2016 DOT REPLACEMENT 5E
WWW.SMEINC.COM MILEPOST 1350
ENGINEERING LICENSE NO: F-0176 GUILFORD COUNTY, NORTH CAROLINA
N
J

Appendix IV - Restoration Plan

RESTORATION PLAN
Williams 2016 DOT Replacement Project
Guilford 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
0 0 0
Elymus riparius Riverbank wild rye
Agrostis stolonifera Creeping bentgrass
Carex vulpinoidea Fox sedge
Panicum virgatum
Poa palustris
Dichanthelium clandestinum
eidens aristosa
Juncus effusus, NC Ecotype
Aster lateriflorus
Sagittaria latifolia
Saururus cernuus
Switchgrass
Fowl bluegrass
Deer tongue
Bidens
Soft rush
Calico aster
Duck potato
Lizards tail
20
15
12
15
15
08
04
04
03
02
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.

�j
At temporarily -affected streambanks, the native riparian seed mix specified in Table IV -2 below shall be
utilized.
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]
Table IV -2 — Riparian Seed Mix
Elymus virginicus
Virginia wild rye
15
Panicum virgatum
Switchgrass
15
Agrostis stolinifera
Creeping bentgrass
10
Rudbeckia hirta, NC ecotype
Black-eyed Susan
10
Coreopsis lanceolate
Lance leaf tickseed
10
Panicum clandestinum
Deer tongue
10
Andropogon gerardii
Big bluestem
05
Juncus effusus
Soft rush
05
Echinochloo muricata
Awned barnyard grass
05
Schizachyrium scoparium
Little bluestem
05
Sorghastrum nutans
Indian grass
05
Tripsocum 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]