20171155 Ver 1_2017_0358 91117 NWP29_20170912

Preliminary ORM Data Entry Fields for New Actions
SAW — 2017 -
BEGIN DATE [Received Date]:
Prepare file folder F-1 Assign Action ID Number in ORM FI
1. Project Name [PCN Form A2a]: Metro South
2. Work Type: Private � Institutional F-1 Government F-1 Commercial
3. Project Description / Purpose [PCN Form 133d and 133e]:
The purpose of the project is a redevelop the site for multi -family residential housing
4. Property Owner/ Applicant [PCN Form A3 or A4]: Pulte Home Company, LLC
5. Agent / Consultant [PCN Form A5 — or ORM Consultant ID Number]: Gregg Antemann, PWS
6. Related Action ID Number(s) [PCN Form 135b]: None
7. Project Location - Coordinates, Street Address, and/or Location Description [PCN Form 131b]:
Southeast of the South Boulevard and Hartford Avenue intersection in Charlotte, NC
35.192205N, -80.870861 W
8. Project Location - Tax Parcel ID [PCN Form 131a]: Multiple (See the PCN)
9. Project Location — County [PCN Form A2b]: Mecklenburg
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Charlotte
11. Project Information — Nearest Waterbody [PCN Form 132a]: Catawba
12. Watershed / 8 -Digit Hydrologic Unit Code [PCN Form 132d: 03050103
Authorization: Section 10 F-1 Section 404 FE -1 Section 10 & 404
Regulatory Action Type:
F1 Standard Permit
0 Nationwide Permit # 29
Regional General Permit #
0 Jurisdictional Determination Request
F
]Unauthorized
Pre -Application Request
Activity
0 Compliance
No Permit Required
Revised 20150602

CAROLINA WETLAND .SERVICES, INC.
550 E. Westinghouse Blvd.
Charlotte, NC 28273
704-527-1177 (office)
704-527-1133 (fax)
September 11, 2017
Mr. David Shaeffer
Project Manager
U.S. Army Corps of Engineers
Charlotte Satellite Office
151 Patton Avenue, Room 208
Asheville, NC 28801
Subject: Request for Preliminary Jurisdictional Determination and
Pre -Construction Notification Pursuant to Nationwide Permit No. 29
Metro South
Charlotte, North Carolina
CWS Project No. 2017-0358
Dear Mr. Shaeffer,
On behalf of our client, Pulte Home Company, LLC, please find enclosed a Pre -Construction
Notification (PCN) application for the Metro South project. The Metro South project is
approximately 13.6 acres in extent and is located southeast of the South Boulevard and Hartford
Avenue intersection in Charlotte, North Carolina (Figures 1 and 2, attached). The purpose of
the project is to redevelop the site for multi -family residential housing. CWS is submitting a PCN
pursuant to Nationwide Permit No. 29 for proposed impacts to approximately 99 linear feet of
stream impacts due to a road crossing and a Request for Preliminary Jurisdictional
Determination.
Four copies of the PNC application are being provided to the North Carolina Division of
Environmental Quality (NCDEQ) with a check of $240 for the 401 Water Quality Certification
approval fee. Carolina Wetland Services, Inc. (CWS) is the Authorized Agent and should be
copied on all project correspondence.
NORTH CAROLINA • SOUTH CAROLINA
WWW.CWS-INC.NET
Page 1 of 2

Metro South
Nationwide Permit No. 29
September 11, 2017
CWS Project No. 2017-0358
Please do not hesitate to contact Gregg Antemann at 704-408-1683 or [e-mail]
should you have any questions or comments regarding this project.
Sincerely,
)�� ( � - AU � _- -, ,
Gregg Antemann, PWS
Principal Scientist
WE
�•_ N� �I
+rah' `rn w
2 u r kQ. A�Oi a S
a7� ":
� V r
Aliisa Harjuniemi, WPIT
Project Scientist
Attachments: Figure 1: Vicinity Map
Figure 2: USGS Site Location
Figure 3: Aerial Imagery
Figure 4: USDA-NRCS Current Soil Survey of Mecklenburg County
Figure 5: USDA-NRCS Historic Soil Survey of Mecklenburg County
Figure 6: National Wetlands Inventory
Figure 7: Jurisdictional Boundaries
Figure 8: Overall Site Plan
Figure 9: Culvert Plan and Profile
Attachment A - Agent Authorization Form
Attachment B - Pre -Construction Notification Pursuant to Nationwide
Permit No. 29
Attachment C - Jurisdictional Determination Request
Attachment D - Preliminary Jurisdictional Determination Request
Attachment E - NCDEQ Stream Classification Forms (SCP1-SCP3)
Attachment F - USACE Wetland Determination Data Form (DP1)
Attachment G - Photopage (Photographs 1-4)
Attachment H - SHPO Response Letter
Attachment I - NCNHP Data Review Report
Attachment J - USFWS Response Letter
Attachment K - NC SAM Form
Attachment L - Deed
Cc: Alan Johnson, NCDEQ
Cisco Garcia, Pulte Home Company, LLC
Robert Keidel, PE, LandDesign
Page 2 of 2

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REFERENCE: BACKGROUND
VICINITY LAYER PROVIDED BY ESRI, DATED 2017,
A
SCALE:
1 inch = 5,000 feet
DATE:
8/1/2017FIGURENO.
Vicinity Map
CWS PROJECT NO:
2017-0358
DRAWN BY:
AVH
_
Metro South
APPLICANT NO:
CHECKED BY:
CAROLINA
Charlotte, North Carolina
GCA
WETLAND SERVICES
CWS Project No. 2017-0358
C:\Users\AliisaHarjimiemi\Desktop\Current Projects\Metro South\AmGIS\Figurel_Vicinity.mxd

C:\Useo\AliisaHarjuniemi\Desktop\Current Projects\Metro South\ArcGIS\Figure2_USGS.mxd

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0 0 0 C3 Project Limits (13.6 ac.)
0 Q — Potential Non -Wetland Waters
o �l
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� Pipes
O — Roads
Potential Non -Wetland Parcels
Waters of the U.S N Photo Location and Direction
0 Stream B - 163 if ♦SCP Stream Classification Point
ODP Data Point
REFERENCE: BACKGROUND GIS LAYER(S) PROVIDED BY MECKLENBURG COUNTY O11<
Flow Direction Indicator
GIS DEPARTMENT, DATED 2016.
NOTE: JURISDICTIONAL WATERS OF THE U.S. WERE DELINEATED (FLAGGED IN THE
FIELD), CLASSIFIED, AND MAPPED USING A SUB -FOOT GPS UNIT BY CWS, INC., ON 200 100 0 200 Feet
JANUARY 26, 2015 AND JULY 10, 2017. JURISDICTIONAL FEATURES HAVE NOT BEEN
VERIFIED BY THE USACE.
SCALE: DATE: 8� 1 H2O 17 FIGURE NO.
1 inch = 200 feet Jurisdictional Boundaries
CWS PROJECT NO: DRAWN BY:
2017-0358 AVH Metro South 7
APPLICANT NO: CHECKED BY:GCA CAR 0 L�I�N A Charlotte, North Carolina
CWS Project No. 2017-0358 /
C:\Users\AliisaHarjuniemi\Desktop\Current Projects\Metro South\AxGIS\Figure7_JDmap.mxd

LAYOUT NOTES:
SII I 1. AT TIME OF STAKING, CONTRACTOR TO CONTACT LAND DEVELOPMENT ENGINEER FOR
DIGITALSITE PLAN FILE FOR COORDINATION OF STAKING.
2. SHOULD ANY DISCREPANCIES OR ERRORS BETWEEN COORDINATE POINTS AND DIMENSIONS
OR OMISSIONS OF CRITICAL STAKING INFORMATION BE DISCOVERED, CONTACT THE LAND
DEVELOPMENT ENGINEER IMMEDIATELY FOR A COORDINATED SOLUTION. • U v
3. ALL DIMENSIONS AND RADII ARE TO THE BACK OF CURB UNLESS OTHERWISE NOTED.
4. ALL SIDEWALKS SHALL BE FIELD STAKED FOR APPROVAL BY THE LAND DEVELOPMENT SO m
ENGINEER. `n n
LAND DEVELOPMENT ENGINEER TO BE GIVEN 24 HOURS NOTICE PRIOR TO START OF U
CONSTRUCTION. v LL o
6. ALL CONSTRUCTION SHALL COMPLY WITH CHARLOTTE/MECKLENBURG LAND DEVELOPMENT
J. - .L `--- _\ / Iwd ill STANDARDS AND SPECIFICATIONS E '^'^ `
} • _ \ / I ° oi/ / 7. ALL PATCH WORK WITHIN LIMIT OF CONSTRUCTION SHALL BE CONSISTENT WITH ;, A o 6
ASSOCIATED ASPHALT PAVEMENT DETAIL. C n
8. ELECTRICAL, TELEPHONE, AND CABLE LINES AND POLES TO BE ELIMINATED OR RELOCATED,
__ o� a SHALL BE COORDINATED WITH DUKE POWER, AT&T, AND TIME WARNER. z n
°ER MBDBLtC R/yyOE l 9. ALL TRAFFIC SIGNS AND MARKINGS TO BE INSTALLED AND COMPLY CURRENT CLDSM AND
DctF
5p�zst r/ II MUTCD STANDARDS AND SPECIFICATIONS.
r x DiiHCir Z� 3z. s.IR • � 3 � \ � ` `=,, �-=>-- tl 10. PER SECTION 18-175(e) OF THE CITY CODE AND SECTION 10.0 OF THE CITY'S POST
_ • w o ; __ \� CONSTRUCTION CONTROLS EASEMENTS (PCCEB) MUST BE RECORDED PRIOR TO THE
EX USf 3/ F4 IBJ NAARRY n/F ` ``
ISSUANCE OF THE CERTIFICATE OF OCCUPANCY.
Mtr z n DBv/LIkEwH�sSw 11. ALL SIDEWALKS SERVING INDIVIDUAL UNITS SHALL BE 4' MIN. WIDTH. SIDEWALKS SERVING 4
ARO± n/F `\� \`.\ •: .........:••���
' myD. Pc • _` -- FOR MORE UNITS SHALL BE 6'MIN. WIDTH.
OB R Mi v
3a EX USE.�yHC q4/tV EX �EZON NC: R�, 2A DA ODOYR+bKtIN / �\ =- Project Limits (13.6 ac.) SEAL
sNBtr FA"ur 'Ax ,D:'°,�eFCBz oLoxU �F `" PARKING REQUIREMENTS: =
[X U E�ONIN0. °31 13 OB +CRNbANEttr ` `� �`2` •. Q�
N/SINK SINcIE F+bt /UIs oB o Iq IA°BER) EnL.� I ` '�O, tJ•'• ' •,1'`
fPoas Fc°s+e y Ex us �OryIHc, R-1 z DB�outA Ks " 1. VEHICULAR PARKING REQUIRED: ',ATX ••••••'G.'p�'
TPX
Z.G. ti9-053-r3 E SING 7+X IO:P• PD ON°"DS / \
E% ZONING: B -5/R-17 uF F+MILy EX 1 lea -051 e ` - „11111
TOD, RESIDENTIAL USE
Ex USE: coxMENaaL Ex usE: s"��c R -+Ii Ruo B - MIN OFF-STREET PARKING (1 SPACE PER UNIT X 146 UNITS) = 146 SPACES
�' F+MIty o RS`rp' seAR� K N/ - MAX OFF-STREET PARKING (1.6 SPACES PER UNIT X 146 UNITS) = 234 SPACES
r rx as -o < MBERLY \ 2. VEHICULAR PARKING PROVIDED:
/ EX USf Sn,Nc: p1 -Ip Etrx - 146 OFF-STREET SPACES
5 STANDARD INOLE F A M" ID�SBS pC Bw, g ONF \\\ _
vAND PEN arzoxwo Tw. II 145 144 `` awtr Ex ug�OwxB�OR': as +r+xa�o°sED °�MIo aF Knox HF R,A K �F \Ij %'� -4ADA ACCESS BILE ON -STREET SPACEg (PARALLEL PARKING)
O 143 ra ne o Us ° Bas° c "I 4os P
142 I I"B� F+Mrty Ex zoH,H��R3 G, o IUM +sTAN< AGE-" Eze TOTAL PROVIDED - 200 PARKING SPACES
'Pro °318 E r� s3B 'DIA'Nos U4 N II I/
VARIES 35.50' 14t 146 ` EX USE LYINctE Ek Z� 031. X ZONING ARB I N :p Z., P° ASs 11 W 11
u/: sPaRNow -I� _ O 139 138 137 Ex FsritrNCtE Bx Fsr:ItvrNcie E# USEZol, `RZxrs 11 C II
PODS p7603aPG E FAMur / II m 4 4BRop Pa/F DEVELOPMENT SUMMARY:
��
E'A`EAoUSE vncANT m Dc E I t t4 I I �/ o a j l I D FovsA NrKI
a I S+R�r°�yF°I _ 115 n II = $ II I Io�ia9 PcssN 1. TAX PARCEL NUMBERS:
PROP_M owv 1� 128 O \ / '13n 11 a� Il ;44,o Ex usE�s"INc °BB4ao - 149-05-304, 149-05-444, 149-05-043, 149-05-442, 149-05A41, 149-05A40, 149-05-439,
r
xctr M¢
sA RIE � /I II 149-0538, 149-0537, 149-0536, 149-05-435, 149-05-111, 149-05-112, 149-05-113,
RooEm cu/v sPnaRow o o 130 131 132 ` 116 w y r0i iia °C wi 1 /I Il 149-05-114, 149-05-211, 149-05-201, 149-05-202, 149-05-203, 149-05-204, 149-05205,
GRG vi d w I 133 117 ¢ �' 112 / 98 97 96 Ex usE�wNI�iE R,A'a / I �� / 149-05-206, 149-05-207, 149-05-208, 149-05-209, 149-05210, 149-08-602
e-os;-oF 134 135 136 / O S ry m 111 95 O I a�tr /I I l� l wR�cxi pq 2. SITE JURISDICTION:
EX IS' vAcnNTM 3 o m l $ >` ' w °, 94 93 _-- /I 11 D rxrcUFD'BkU - CITY OF CHARLOTTE
°� m ^ I 118 w a' $ ^ O 92 91 O _ III II rE Io1s3a Pc 33z 3. AREA PLAN:
PP°P. oNmEwnv I ` g c. s,oEwAtx . o o g $ 110 90 I rx ux IoxliBc. oe
g n , g I s<: srbci R s or - SCALEYBARK TRANSIT STATION AREA PLAN
�I 119 O APROF s�` -ADOPTED BY CHARLOTTE CITY COUNCIL OCTOBER 27, 2008
71.00
109 tEr-w,�°E �� PAD ITTP.1 89 �! 4. EXISTING ZONING &USES:
TOD-M, TOD-R
127 126 125 124 123 122 121 120 / O 107 PnoP 88 II os 4ND t C 5. PROPOSED USES:
urF 51 I O O O O O O O O I / 108 O 108 0 ,\ \_ i II 1 x o?Im F t - RESIDENTIAL
Ex usE. vacaNT 50 \ - 105 104 103 PaoP.z PANx PAD!ivP.l 87 ■ I II 1 Esx sF!+IM iN0B1Mr / 6. TOTAL SITE SF (ACREAGE):
/y 102 ° m<M¢Y -+/- 595030 SF (+/- 13.66 AC)
PaoF,rwlo 49 - - - - APROP 101 100 wONG & ° I I / 7. DIMENSIONAL REQUIREMENTS: Z
wNN, coxc. sTNIP ttE 18"wIDEo 99 6'
\ E`XNsD o ` PE SRDAD \vaov. DiNEc�l A_aK-IN_°slut 1- ,O52 O53 O54 O55 O56 O57 O58 O59 O60 O61 / II O65 O86 67 Ygg O /'I- I 84 pa ff$ II II II / SETBACK
CK FROM SIDEWALK, ALL PUB
LIC STREETS PER REZONING CROSS SECTION 6
vaoFAccEssv■48 20'SETBACK FROM NORTHERN SITE BOUNDARYI85 /8. TOTAL STORIES:
uEmP
O
-RESIDENTIAL- 2 STORY TOWNHOMES62 ExEDceor PA-E.T 9. REQUIRED URBAN OPEN SPACE: IJ✓✓.L__
-" PER MB jpLIC R4p 69 \ ! - PRIVATE OPEN SPACE FOR TOD, RESIDENTIAL USE -1 SF / 100 SF GROSS FLOOR AREA �!
83 ■ I I� 1 BACKorcuae / / OR1 SF/200 SF LOTAREA, WHICHEVER IS GREATER (�l�
70 \ ■ 11 E4 TOTAL PRIVATE OPEN SPACE PROVIDED: 15,237 SQ. FT. U
82 TOTAL GROSS FLOOR AREA: ±134,850 SQ FT.
- - PaoP. sETeAcx awssraoNT - O 72 w /
-vArz° Pea sezorvlNe, rvP. _ _ _ _ _ _ _ _ PROP. �11PUBLIICC R!W _ YANG lENN ws srxor,r 73 SOLID WASTE AND RECYCLING SERVICES TO BE PROVIDED BY A PRIVATE COMPANY. U
Foo- PLANTING.- 71 L.L
PNOP.sEr3ACKP F
EzoNINc, rvP
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IFNOF.MD111=TwEII caEr sl°ewu-ic� sTNly
oanE
O womFiEDrvFEn
PaoP.s PAnaNG PAD mF\ O O / ... a
78 N/v
­-PAN-m-, 48 43 42 / 41 40 39 38 37 36 35 ® 33 32 31 30 29 28 27 26 25 24 79 80 I II 1 ExXiO?�n eo / O
\ •e&B O 81 '-I
I EX USE"swctEF+wir / U
PNoeEcr eouxoANrmP! T
-' I MBB�Tr � jl � Ea�EzorvlNc,
alviTva.� - - - - / I / \ \ 'Rn,"4 li ,Po /KR � z
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AUL.- oNoe / I / `\. oP.D�NECTIONALALUGE NAMP-) O Z
PLAYER
FAMILY TO 37 1 2 3 4 5 „� moo" © 07 ® Q9 10 11 12 13 14 15 i6 17 18 19 20 21 22 23 I 1 aP A IEorvPE i KlNc sr B�°wS,NEEr I� / /
POZC� wO opal Ew II� aBPil / \x. sloEwAtK Q Q J
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N/N "xF EX USE. MULTIFAMILY I 111j1
DBlLPANPL.- ID.- - TAX ID: EX Zo- 1.- 1 11\1\\\ 1\\ 1 \ ��
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g E% 03E. MULTIFAMILY Ex USE; MMLTN Mwr \ ` E
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Figure 9 - Proposed / /
�/
Impacts (S1 -S3) /
/ >"
Figure
2 Jd F 'o.' es �ft/ER BEFORE YOU DIG! IJtJ
/ Q 0 / / "Tf..`'0Hp `Og epB CALL t-800-632-4949
30' 0' 30' 60' 120' N.C. ONE -CALL CENTER
IT'S THE LAW!

725
720
715
CONC
710
PROP. GUARDRAIL TO EXTEND 20' BEYOND
EX. PIPE END WALL HEADWALL IN EACH DIRECTION, TYP.
EX. 24" RCP
Sl Permanent Impact
I --
- 12 If (grading and concrete
turndown) 2ADWALL, BY OTHERS / a
NOTE u
THIS SHEET FOR INFORMATIONAL PROP. CURB, TYP. \ 7
PURPOSES ONLY. ACTUAL CULVERT STREAM BUFFER,TYP.
AND HEADWALL DESIGN TO BE BY / °z °Q•
OTHERS. o
40
I
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EX.
GRADE
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1
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BY OTHERS
11
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PROP. GRADE
\
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I
\
I
I
I
I
I
I
l
HEADWALL,
OTHERS
\
1
1
7771
�
1
1
PROP. GRADE1
36 LF 8'x4
EI FO CE
1
B X
CULVERT
1
CHANNEL
DOWNSTREAM
INV:
715.00
UPSTREAM CHANNEL
\
INV: 715.50
ZETETURNDOWN TO BE
DESIGNED BY OTHERS
PIPE
INV: 714.50
PROP RIP
RAP
CONCRETE TURNDOWN
TO
STREAM CHANNEL
TO BE
BE DESIGNED BY OTHERS
GRADED AT
1% AND TIE
TO EXISTING
STREAM BED
PIPE INV: 714.00
8'x4' REINFOR ED BOX
CULVERT PROFILE
725
720
715
710
0+50 1+00
S1: Permanent Impact
55 If (culvert)
� Ry
S2: Permanent Impact
PROP. GUARDRAIL TO
HEADWALL IN EACH DIREJ- 32 If (rip rap)
38 LF 8'x4' REINFORCED
BOX CULVERT
FES -64 U ��
_7
O--
e PROP. RIP RAP
PROP. HEADWALL, BY OTHERS
PROP. GUARDRAIL NOTE: PROP. OWNER IS
�?NOT DEVELOPER
QY PROP. SIDEWALK STREAM BUFFER, TYP.
DCIS6 EX. LOT LINE
BEFORE YOU DIG!
CALL 1-800-632-4949
5' 0' 1. 10' 20' N.C. ONE -CALL CENTER
IT'S THE LAWI
9pESIG.y I�
CORPORATE
SEAL Q`_
........... ....AROyti?:
Z
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Figure
9

Metro South
Attachments
ATTACHMENT A:
Agent Authorization Form
September 11, 2017
CWS Project No. 2017-0358

AGENT CERTIFICATION OF AUTHORIZATION
I, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do authorize representative 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 jurisdictional
under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899.
I, Mr. Cisco Garcia, representing Pulte Home Company, LLC, hereby certify that I have
authorized Gregg Antemann of Carolina Wetland Services, Inc. to act on my behalf and take all
actions necessary to the processing, issuance, and acceptance of this request for wetlands
determination / permitting and any and all standard and special conditions attached.
We hereby certify that the above information submitted in this application is true and accurate to
the best of our knowledge.
Applicant's signature
Date
Agent's signature
7-28-2017
Date
Completion of this form will allow the agent to sign
all future application correspondence.

Metro South
Attachments
ATTACHMENT B:
September 11, 2017
CWS Project No. 2017-0358
Pre -Construction Notification Pursuant to Nationwide
Permit No. 29

d�pF W A rE�%
flvfil::�,C
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 16
PCN 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:
© Section 404 Permit ❑ Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 29 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
❑ Yes M No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
❑x 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑x No
For the record only for Corps Permit:
❑ 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 or in -lieu
fee program.
❑ Yes N No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ® No
2.
Project Information
2a.
Name of project:
Metro South
2b.
County:
Mecklenburg
2c.
Nearest municipality / town:
Charlotte
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Crosland Greens LLC
3b.
Deed Book and Page No.
23287-544
3c.
Responsible Party (for LLC if
applicable):
Sandra Binder
3d.
Street address:
PO Box 3151
3e.
City, state, zip:
Milwaukee WI 53201
3f.
Telephone no.:
770-225-3441
3g.
Fax no.:
N/A
3h.
Email address:
[e-mail]
Page 1 of 16
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent Other, specify: Client
4b.
Name:
Mr. Cisco Garcia
4c.
Business name
(if applicable):
Pulte Home Company, LLC
4d.
Street address:
11121 Carmel Commons Blvd. Suite 450
4e.
City, state, zip:
Charlotte, NC 28226
4f.
Telephone no.:
[phone]
4g.
Fax no.:
N/A
4h.
Email address:
[e-mail]
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Gregg Antemann, PWS
5b.
Business name
(if applicable):
Carolina Wetland Services, Inc.
5c.
Street address:
550 E. Westinghouse Blvd.
5d. City, state, zip:
Charlotte, NC 28273
5e.
Telephone no.:
704-408-1683
5f.
Fax no.:
N/A
5g.
Email address:
[e-mail]
Page 2 of 16
PCN Form — Version 1.4 January 2009

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
149-05-304, 149-05-444, 149-05-443, 149-05-442, 149-05-
41, 149-05-440, 149-05-439, 149-05-438, 149-05-437,
149-05-436, 149-05-435, 149-05-111, 149-05-112, 149-05-
113, 149-05-114, 149-05-211, 149-05-201, 149-05-202,
149-05-203, 149-05-204, 149-05-205, 149-05-206, 149-05-
207, 149-05-208, 149-05-209, 149-05-210, 149-08-602
1 b. Site coordinates (in decimal degrees):
Latitude: 35.192205° Longitude: -80.870861'
1 c. Property size:
13.6 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Little Hope Creek
2b. Water Quality Classification of nearest receiving water:
Class C
2c. River basin:
Catawba (HUC 03050103)
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The project area consists of single and multi -family residences with maintained lawns and a powerline right-of-way (Figure 3,
attached). The surrounded areas consist of single family residential areas and commercial properties. Typical on-site
vegetation within the project area include willow oak (Quercus phellos), sweetgum (Liquidambar styraciflua), Virginia pine (Pinus
virginiana), northern red oak (Quercus rubra), Chinese privet (Ligustrum sinense), winged elm (Ulmus alata), eastern redcedar
(Juniperus virginiana), muscadine (Vitis rotundifolia), greenbrier (Smilax rotundifolia), and English ivy (Hedera helix). The
powerline right-of-way is dominated with species such as tall goldenrod (Solidago altissima), blackberry (Rubus argutus), and
porcelain berry (Ampelopsis brevipedunculata).
3b. List the total estimated acreage of all existing wetlands on the property: 0 acre of jurisdictional wetland area
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 313 linear feet of
perennial stream, 231 linear feet of intermittent stream.
3d. Explain the purpose of the proposed project:
The purpose of the project is to redevelop the property into a multi -family apartment complex. This project will help meet the
increasing demand for housing in an area of Charlotte which is expanding due to the proximity to the light trail and uptown.
Impacts to on-site jurisdictional waters are proposed in order to provide access to the proposed development.
3e. Describe the overall project in detail, including the type of equipment to be used: (see next page)
Page 3 of 16
PCN Form — Version 1.4 January 2009

3e
Redeveloping the property into a multi -family apartment complex will result in unavoidable impacts to jurisdictional stream
channel (Stream A). Impacts to Stream A are the result of the construction of one road crossing in order to provide sufficient
ingress and egress for traffic and emergency vehicles throughout the development. The proposed culvert installation will result
in 55 -linear feet loss of jurisdictional waters. The proposed rip rap apron downstream of the culvert will result in an additional
32 -linear feet of permanent impact but no loss of jurisdictional waters. Grading upstream of the proposed culvert and concrete
turndown for the inlet protection will result in an additional 12 linear feet of permanent stream impacts. The culvert design will
maintain the upstream/downstream hydrologic connection and the aquatic life passage of Stream A with the culvert bottom
being buried below streambed elevation. Figure 9 depicts the proposed plan and profile view of the proposed road crossing.
Stream Impacts (S1 -S3) — Stream A
The proposed road crossing is located in the southeastern portion of the property. Culvert installation and riprap apron
placement associated with the road crossing construction will result in 87 linear feet of permanent impacts to Stream A (Figures
8 and 9, attached). To construct the proposed road crossing, a 38 -linear foot, 8 -foot by 4 -foot reinforced box culvert will be
installed, resulting in 55 linear feet of permanent impacts to Stream A (S1). The proposed culvert will be buried a minimum of
one foot below the channel bed to allow passage of aquatic life and maintain low flows. Headwalls at the inlet and outlet of the
culvert will be utilized in order to minimize channel impacts to the maximum extent practicable.
Placement of a riprap apron at the culvert outlet will result in an additional 32 linear feet of permanent impact (S2). Grading
upstream of the proposed culvert and concrete turndown for the inlet protection will have 12 linear feet of additional impacts to
Stream A (S3). The placement of riprap is necessary to prevent erosional forces from undermining the culvert inlets and
outlets, as well as maintain the integrity of the road crossing. A plan view and profile view of the proposed culvert are attached
as Figure 9.
Typical construction equipment such as tract hoe will be used.
Page 4 of 16
PCN Form — Version 1.4 January 2009

4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project(including all prior phases in the past?
❑ Yes 0 No ❑ Unknown
Comments:
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
❑ PreliminaryEl Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
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
this project (including all prior phases) in the past?
❑ Yes 0 No ❑ Unknown
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes 0 No
6b.
If yes, explain.
Page 5 of 16
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands © Streams — tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary (T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f. Area
of
impact
(acres)
W1
_
W2
_
W3
W4
W5
W6
2g. Total Wetland Impacts:
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1
P
Culver
Stream A
INT
Corps
4
55
S2
P
Riprap
Stream A
INT
Corps
4
32
S3
T
Grading and concrete
turndown
Stream A
INT
Corps
4
12
S4
3h. Total stream and tributary impacts
99 If
Page 6 of 16
PCN Form — Version 1.4 January 2009

3i. Comments: Impacts to streams total 99 linear feet. Total loss of jurisdictional waters of the U.S. is 55 linear feet.
Page 7 of 16
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.
Open water
impact number
Permanent (P) or
Temporary (T)
4b.
Name of waterbody
(if applicable
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01
_
Choose One
Choose
02
_
Choose One
Choose
03
-
Choose One
Choose
04
-
Choose One
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose One
P2
Choose One
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number-
Permanent (P) or
Temporary T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet)
B1
_
Yes/No
B2
_
Yes/No
133
_
Yes/No
134
-
Yes/No
135
_
Yes/No
136
_
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 8 of 16
PCN Form - Version 1.4 January 2009

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
In order to avoid and minimize the impacts to the jurisdictional waters of the U.S., the Metro South site was delineated prior to
developing the site plan and the proposed site plan was designed around the delineation results. Proper sediment and erosion
control measures will be used to minimize disturbances to downstream waters. Construction activities and impacts to on-site
jurisdictional waters of the U.S. will comply with all conditions of Nationwide Permit 29 and Water Quality Certificate No. 4092.
In an attempt to minimize impacts to jurisdictional waters while meeting the goals of the project, a "No Build" alternative was
considered. The property is being purchased for the purpose of providing more residential housing to meet the growth and
demand of an area in Charlotte experiencing significant population growth. A "No Build" option would not meet the project goals
of providing necessary housing to meet the current demand. Therefore, the No Build Alternative was eliminated from further
consideration.
e connection from Weona Avenue to Hollis Road is being required through the City of Charlotte's rezoning conditions. In
ler to make this connection, the stream must be crossed. The proposed roadway corridor is restricted by the property line a
existing end of Weona Avenue where the connection must occur to meet the rezoning conditions. With the existing end of
)ona Avenue's close proximity to the stream, it is not possible to divert the proposed roadway around the stream and still mE
idway design criteria.
Iwalls 7' in height on upstream and downstream side will be utilized to minimize impacts. Additionally, the elevation of the
was lowered to further reduce the footprint of the crossing.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
roper sediment and erosion control measures will be used to minimize disturbances to downstream waters. Construction
ctivities and impacts to on-site jurisdictional waters of the U.S. will comply with all conditions of Nationwide Permits 29 and
✓ater Quality Certificate No. 4092.
Page 9 of 16
PCN Form — Version 1.4 January 2009

2.
Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a.
Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes N No
2b.
If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c.
If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3.
Complete if Using a Mitigation Bank
3a.
Name of Mitigation Bank:
3b.
Credits Purchased (attach receipt and letter)
Type: Choose One
Type: Choose One
Type: Choose One
Quantity:
Quantity:
Quantity:
3c.
Comments:
4.
Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b.
Stream mitigation requested:
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.
6.
Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a.
Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes N No
6b.
If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Page 10 of 16
PCN Form — Version 1.4 January 2009

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 11 of 16
PCN Form — Version 1.4 January 2009

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
This project is associated with a stormwater infrastructure maintenance project and
❑ Yes ❑ No
does not require a SMP.
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
,24 %
2b.
Does this project require a Stormwater Management Plan?
© Yes ❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative
description of the plan:
The plan is currently being reviewed by the City of Charlotte.
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?
® Phase II
3b.
Which of the following locally -implemented stormwater management programs
❑ NSW
apply (check all that apply):
❑ USMP
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes M No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 12 of 16
PCN Form — Version 1.4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
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,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
❑ Yes ® No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact
analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
The project will not result in additional future development.
4.
Sewage Disposal (DWQ Requirement)
Page 13 of 16
PCN Form — Version 1.4 January 2009

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.
The proposed sewers will tie into the exiting sewer infrastructure off site at the northeast corner of the property.
Page 14 of 16
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
0 Yes ❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
Nx Yes ❑ No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
CWS scientists performed a data review using North Carolina Natural Heritage Program (NCNHP) Data Explorer on July
12, 2017 to determine the presence of any federally -listed, endangered species, threatened species, or critical habitat
located within the project area. Based on the NCNHP review, there are no records of federally -protected species within the
project limits or within a mile of the project area. A copy of the NCNHP report is attached (Attachment 1).
The United States Fish and Wildlife Service's (USFWS) Records of Endangered, Threatened, and Species of Concern list
for Mecklenburg County was reviewed. The USFWS database lists the Schweinitz's sunflower (Helianthus schweinitzii),
Michaux's sumac (Rhus michauxii), smooth purple coneflower (Echinacea laevigata), Carolina heelsplitter (Lasmigona
decorata), rusty -patched bumble bee (Bombus affinis), and bald eagle (Haliaeetus leucocephalus) as potentially occurring
in Mecklenburg County (Table 1, next page). Additionally, the project area is within northern long-eared bat (Myotis
septentrionalis) range.
Prior to the field work, CWS scientists visited a known population of Helianthus schweinitzii on July 10, 2017 to determine
the condition of its stem, leaves, and flowers. Based on the site visit, the aboveground plant parts are identifiable but
flowers were present. On July 10, 2017, CWS scientists conducted a pedestrian survey of the project area for federally -
protected species. Transects were completed within identified areas of supportive habitat, as applicable, for potentially
occurring federally -protected species.
Potential habitat was observed for the rusty -patched bumble bee but no individuals were identified within the project limits.
Therefore, the proposed project May Affect, is Not Likely to Adversely Affect the rusty patched bumble bee. However, the
USFWS is currently considering all occurrences of rusty -patched bumble bee to be historic and are not requiring surveys at
this time. Based on the literature search and the results of the on-site assessment for Schweinitz's sunflower, Michaux's
sumac, Smooth purple coneflower, Carolina heelsplitter, Bald Eagle, it has been determined that no habitat was observed
for the aforementioned federally protected species. Therefore, this project will have no effect on these species.
Additionally, any incidental take on NLEB that may result from associated activities is exempt under the 4(d) rule.
A letter requesting concurrence was sent to the USFWS on July 17, 2017. In their response letter, the USFWS concurred
with CWS findings (Attachment J).
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes 0 No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA Fisheries: http://www.habitat.noaa.gov/protection/efh/habitatmapper.html
7. Historic or Prehistoric Cultural Resources (Corns 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
N Yes 0 No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
Page 15 of 16
PCN Form — Version 1.4 January 2009

7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
A letter was forwarded to the North Carolina State Historic Preservation Office (SHPO) on June, 2015 to determine the
presence of any areas of architectural, historic, or archaeological significance that would be affected by the project. CWS
also consulted the SHPO online GIS service and found no historical structures, buildings, sites, or districts within the project
limits. In a response letter, dated June 29, 2015, SHPO stated that they are "aware of no historic resources which would b
affected by the project" (Attachment H).
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
There will be no fill in the FEMA floodplain. Additionally, the extents of grading will be outside of the FEMA floodplain.
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM No. 3710454300L
Z-n- L-
9.11.17
Mr. Gregg Antemann
Applicant/Agent's Signature (Agent's
Applicant/Agent's Printed Name
signature is valid only if an authorization letter
Date
from the applicant is provided.)
Page 16 of 16
PCN Form — Version 1.4 January 2009

Metro South
Attachments
September 11, 2017
CWS Project No. 2017-0358
ATTACHMENT C:
Jurisdictional Determination Request

urisdictional Determination Reauest
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
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www. saw.usace.army.mil/Missions/RegulatoryPermitProgram/Contact/CountyLocator. aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
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]
INSTRUCTIONS:
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]
All requestors must complete Parts A, B, C, D, E, F and G.
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 H.
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(s) or the owner(s)
authorized agent 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: May 2017 Page 1

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: 136 Hollis Rd.
City, State:
Charlotte, North Carolina
County: Mecklenburg
Parcel Index Number(s) (PIN): multiple (please see the PCN)
B. REQUESTOR INFORMATION
Name: CWS Inc., POC: Mr. Gregq Antemann
Mailing Address:
550 E. Westinghouse Blvd,
Charlotte, NC 28273
Telephone Number:
704-408-1683
Electronic Mail Address:
[e-mail]
Select one:
EI am the current property owner.
aI am an Authorized Agent or Environmental Consultant'
Interested Buyer or Under Contract to Purchase
1-1 Other, please explain.
C. PROPERTY OWNER INFORMATION'
Name:
CROSLAND GREENS LLC
Mailing Address:
PO BOX 3151
MILWAUKEE WI 53201
Telephone Number:
770-225-3441
Electronic Mail Address:
[e-mail]
' Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION',¢
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing ajurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1599. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
Print Name
Capacity: ❑✓ Owner ❑Authorized Agents
lavV-ovizeat Refire So-..ta-F•ve of
Date
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority,
I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
Zintend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
❑ I intend to construct/develop a projector perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
❑ A Corps JD is required in order obtain my local/state authorization.
❑ I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
FI believe that the site may be comprised entirely of dry land.
Other:
' For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E,
4 If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
s Must provide agent authorization form/letter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
❑✓ I am requesting that the Corps provide a preliminarX JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓❑ Size of Property or Review Area 13.6 acres.
❑ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude:
Longitude
35.192205
-80.870861
0 A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
■ Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.army.mil/Missions/Regulatory-Permit-
Pro gram/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
✓❑ Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Form'
✓❑ Vicinity Map
Aerial Photograph
lv USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Forms and Rating Sheets
❑✓ NC Division of Water Resources Stream Identification Forms
❑ Other Assessment Forms
' www.saw.usace.army.mil/Portals/59/docs/re ug latorregdocs/JD/RGL_08-02_App A Prelim_ JD_ Form_fillable.pdf
' Please see http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

Metro South
Attachments
ATTACHMENT D:
September 11, 2017
CWS Project No. 2017-0358
Preliminary Jurisdictional Determination Request

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 9.11.17
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Carolina Wetland Services, Inc.; POC: Gregg Antemann,
PWS. 550 E Westinghouse Blvd., Charlotte, NC 28293
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington, Asheville Office - Charlotte Satellite Office
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: southeast of the South Boulevard and Hartford
Avenue intersection in Charlotte, North Carolina
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Mecklenburg City: Charlotte
Center coordinates of site (lat/long in degree decimal format): Lat.35.192205 ° Long.: -80.870861 °
Universal Transverse Mercator: NAD 83
Name of nearest waterbody: Little Hope Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES INREVIEWAREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Estimated amount of
Type of aquatic
Geographic authority to
Site Number
Latitude
Longitude
aquatic resources in
resources (i.e.,
which the aquatic resource
(decimal
(decimal
review area (acreage
wetland vs. non-
"may be" subject (i.e.,
degrees)
degrees)
and linear feet, if
wetland waters)
Section 404 or Section
applicable
10/404
Stream A
35.191786
-80.872269
478 if
Non -wetland
Section 404 -Non-Section
waters
10
Stream B
35.190365
-80.870449
163 if
Non -wetland
Section 404 -Non-Section
waters
10

1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in the
review area, and the requestor of this PJD is hereby advised of his or her option to request
and obtain an approved JD (AJD) for that review area based on an informed decision after
having discussed the various types of JDs and their characteristics and circumstances when
they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a Nationwide
General Permit (NWP) or other general permit verification requiring "pre- construction
notification" (PCN), or requests verification for a non -reporting NWP or other general permit,
and the permit applicant has not requested an AJD for the activity, the permit applicant is
hereby made aware that: (1) the permit applicant has elected to seek a permit authorization
based on a PJD, which does not make an official determination of jurisdictional aquatic
resources; (2) the applicant has the option to request an AJD before accepting the terms and
conditions of the permit authorization, and that basing a permit authorization on an AJD could
possibly result in less compensatory mitigation being required or different special conditions;
(3) the applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant can accept
a permit authorization and thereby agree to comply with all the terms and conditions of that
permit, including whatever mitigation requirements the Corps has determined to be necessary;
(5) undertaking any activity in reliance upon the subject permit authorization without
requesting an AJD constitutes the applicant's acceptance of the use of the PJD; (6) accepting a
permit authorization (e.g., signing a proffered individual permit) or undertaking any activity in
reliance on any form of Corps permit authorization based on a PJD constitutes agreement that
all aquatic resources in the review area affected in any way by that activity will be treated as
jurisdictional, and waives any challenge to such jurisdiction in any administrative or judicial
compliance or enforcement action, or in any administrative appeal or in any Federal court;
and (7) whether the applicant elects to use either an AJD or a PJD, the JD will be processed
as soon as practicable. Further, an AJD, a proffered individual permit (and all terms and
conditions contained therein), or individual permit denial can be administratively appealed
pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it becomes appropriate to
make an official determination whether geographic jurisdiction exists over aquatic resources
in the review area, or to provide an official delineation of jurisdictional aquatic resources in
the review area, the Corps will provide an AJD to accomplish that result, as soon as is
practicable. This PJD finds that there "may be" waters of the U.S. and/or that there "may be
navigable waters of the U.S. on the subject review area, and identifies all aquatic features in
the review area that could be affected by the proposed activity, based on the following
information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources below where
indicated for all checked items:
® Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:
® Data sheets prepared/submitted by or on behalf of the PJD requestor.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
® U. S. Geological Survey map(s). Cite scale & quad name: 1:24,000, Charlotte East, NC G 991
® Natural Resources Conservation Service Soil Survey. Citation: Mecklenburt�County Soil Survey, dated 1976
and 2016
® National wetlands inventory map(s). Cite name: USFWS for North Carolina, dated 2016
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100 -year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
® Photographs: ®Aerial (Name & Date): ESRI, accessed 2017
or ®Other (Name & Date): Site photographs of the streams and
wetlands, dated July 10, 2017
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily been
verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Signature and date of Regulatory
staff member completing PJD
Z -J1 --W C 7/17/2017
Signature and date of person
requesting PJD (REQUIRED,
unless obtaining the signature
is impracticable)1
1 Districts may establish timeframes for requester to return signed PJD forms. If the requester does not respond within the
established time frame, the district may presume concurrence and no additional follow up is necessary prior to finalizing
an action.

Metro South
Attachments
ATTACHMENT E:
September 11, 2017
CWS Project No. 2017-0358
NCDEQ Stream Classification Forms (SCP1-SCP3)

NC DWQ Stream Identification Form Version 4.11
Date:
Project/Site:
Latitude:
Evaluator:
County:
Longitude:
Total Points:
Stream Determination (circle one)
Other
Stream is at least intermittent
Ephemeral Intermittent Perennial
e.g. Quad Name:
if >_ 19 or perennial if >_ 30*
2
3
A. Geomorphology (Subtotal=_)
Absent
Weak
Moderate
Strong
1"Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No
= 0
Yes = 3
Sketch:
Q artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
1 0.5
1 1
1.5
17. Soil -based evidence of high water table?
0
No = 0
Yes = 3
1.5
C. Biology (Subtotal =
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

NC DWQ Stream Identification Form Version 4.11
Date:
Project/Site:
Latitude:
Evaluator:
County:
Longitude:
Total Points:
Stream Determination (circle one)
Other
Stream is at least intermittent
Ephemeral Intermittent Perennial
e.g. Quad Name:
if >_ 19 or perennial if >_ 30*
2
3
A. Geomorphology (Subtotal=_)
Absent
Weak
Moderate
Strong
1"Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No
= 0
Yes = 3
Sketch:
Q artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
1 0.5
1 1
1.5
17. Soil -based evidence of high water table?
0
No = 0
Yes = 3
1.5
C. Biology (Subtotal =
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

NC DWQ Stream Identification Form Version 4.11
Date:
Project/Site:
Latitude:
Evaluator:
County:
Longitude:
Total Points:
Stream Determination (circle one)
Other
Stream is at least intermittent
Ephemeral Intermittent Perennial
e.g. Quad Name:
if >_ 19 or perennial if >_ 30*
2
3
A. Geomorphology (Subtotal=_)
Absent
Weak
Moderate
Strong
1"Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No
= 0
Yes = 3
Sketch:
Q artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
1 0.5
1 1
1.5
17. Soil -based evidence of high water table?
0
No = 0
Yes = 3
1.5
C. Biology (Subtotal =
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

Metro South
Attachments
ATTACHMENT F:
September 11, 2017
CWS Project No. 2017-0358
USACE Wetland Determination Data Form (DP1)

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Metro South City/County: Mecklneburg Sampling Date: 7/10/17
Applicant/Owner: Pulte Group State: NC Sampling Point: DP1
Investigator(s): AVH & SAM Section, Township, Range: Charlotte
Landform (hillside, terrace, etc.): terrace Local relief (concave, convex, none): : none Slope (%): 0
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.191893 Long: -80.872196 Datum: NAD83
Soil Map Unit Name: MkB— Mecklenburg -Urban land complex, 2 to 8 perce t slopes NWI classification: N/A
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
Data point is representative of non -jurisdictional upland areas
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
—Surface Soil Cracks (66)
—Surface Water (Al) —True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) —Hydrogen
Sulfide Odor (C1)
—Drainage Patterns (1310)
_Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (61) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132) _Recent
Iron Reduction in Tilled Soils (C6)
_Crayfish Burrows (C8)
_Drift Deposits (B3) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (B4) _Other
(Explain in Remarks)
_Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water -Stained Leaves (139)
—Microtopographic Relief (D4)
Aquatic Fauna (B13)
FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland Hydrology Present? Yes No X
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Indicators of wetland hydrology are not present.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size: 30
1. Liquidambar styraciflua
2. Prunus serotina
3. Juniperus virginiana
4. Quercus nigra
5.
6.
7.
50% of total cover: 35
Sapling/Shrub Stratum (Plot size: 15 )
1. Ligustrum sinense
2. Liquidambar styraciflua
3.
4.
5.
6.
7.
8.
9.
50% of total cover: _
Herb Stratum (Plot size: 10 )
1. Euonymus fortunei
2. Hedera helix
3. Lonicera japonica
4. Parthenocissus quinquefolia
5. Parthenocissus quinquefolia
6. Vitis rotundifolia
7. Ligustrum sinense
8.
9.
10.
11.
50% of total cover: _
Woody Vine Stratum (Plot size: 15 )
1. Toxicodendron radicans
2.
3.
4.
5.
% Cover Species?
40
Yes
10
No
10
No
10
No
Sampling Point: DP1
Status
Dominance Test worksheet:
FACW
FAC
Number of Dominant Species
FACU
FACU
That Are OBL, FACW, or FAC:
4 (A)
FACU
Total Number of Dominant
FACU
FAC
Species Across All Strata:
6 (B)
5
Percent of Dominant Species
FAC
5
That Are OBL, FACW, or FAC:
66.7% (A/B)
Prevalence Index worksheet:
70 =Total Cover
20% of total cover: 14
30 Yes FACU
10 Yes FAC
40 =Total Cover
20 20% of total cover: 8
40
Yes
FACW
20
Yes
FACU
15
No
FACU
5
No
FACU
5
No
FACU
5
No
FAC
5
No
FACU
95 =Total Cover
48 20% of total cover: 19
10 Yes FAC
10 =Total Cover
50% of total cover: 5 20% of total cover: 2
Remarks: (Include photo numbers here or on a separate sheet.)
66.7 % of dominant vegetation is FAC or wetter.
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
_ 3 - Prevalence Index is :53.01
4 - 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.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
(1 m) tall.
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: DP1
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) % Types Loc2 Texture Remarks
0-4 10YR 4/3 100 Loamy/Clayey
4-20 10YR 5/3 90 7.5YR 5/6 10 C M Loamy/Clayey
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Coast Prairie Redox (A16)
—Black Histic (A3)
—Loamy Mucky Mineral (F1) (MLRA 136)
(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)
—Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
_Thick Dark Surface (Al2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
—Other (Explain in Remarks)
_Sandy Gleyed Matrix (S4)
MLRA 136)
—Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
—Stripped Matrix (S6)
—Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No X
Remarks:
This data form is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
Indicators for hydric soils are not present.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

Metro South
Attachments
ATTACHMENT G:
Photopage (Photographs 1-4)
September 11, 2017
CWS Project No. 2017-0358

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Metro South September 11, 2017
Attachment G - Photopage CWS Project No. 2017-0358
Photograph 3. View of Stream A, facing upstream.
r.y �
ink
Photograph 4. View of Stream B, facing downstream.
Photopage 2 of 2

Metro South
Attachments
ATTACHMENT H:
SCHTP Response
September 11, 2017
CWS Project No. 2017-0358

North Carolina Department of Cultural Resources
State Historic Preservation Office
Ramona M. Bartos, Administrator
Governor Pat McCrory
Secretary Susan Kluttz
June 29, 2015
Aliisa Harjuniemi
Carolina Wetland Services
550 East Westinghouse Boulevard
Charlotte, NC 28273
Office of Archives and History
Deputy Secretary Kevin Cherry
Re: Redevelop Scaleybark Station into Multi Family Residential Subdivision, Intersection of South
Boulevard & Hartford Avenue, Charlotte, Mecklenburg County, ER 15-1358
Dear Ms. Harjuniemi:
Thank you for your letter of June 9, 2015, concerning the above project.
We have conducted a review of the project and are aware of no historic resources which would be affected by
the project. Therefore, we have no comment on the project as proposed.
The above comments are made pursuant to Section 106 of the National Historic Preservation Act and the
Advisory Council on Historic Preservation's Regulations for Compliance with Section 106 codified at 36 CFR
Part 800.
Thank you for 606ill-Earley, environmental review coordinator, at 919-807-6579 or
environmental.reviewgncdcr.gov. In all future communication concerning this project, please cite the above
referenced tracking number.
Sincerely,
Location: 109 East Jones Street, Raleigh NC 27601 Mailing Address: 4617 Mail Service Center, Raleigh NC 27699-4617 Telephone/Fax: [phone]-6599

Metro South
Attachments
ATTACHMENT I:
NCNHP Data Review Report
September 11, 2017
CWS Project No. 2017-0358

North Carolina Department of Natural and Cultural Resources
Natural Heritage Program
Governor Roy Cooper Secretary Susi H. Hamilton
July 12, 2017
Aliisa Harjuniemi
Carolina Wetland Services
550 E Westinghouse Blvd
Charlotte, NC 28273
RE: Metro South; 2017-0358
Dear Aliisa Harjuniemi:
NCNHDE-3880
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide information
about natural heritage resources for the project referenced above.
A query of the NCNHP database, based on the project area mapped with your request, indicates that there are
no records for rare species, important natural communities, natural areas, or conservation/managed areas
within the proposed project boundary. Please note that although there may be no documentation of natural
heritage elements within the project boundary, it does not imply or confirm their absence; the area may not have
been surveyed. The results of this query should not be substituted for field surveys where suitable habitat exists.
In the event that rare species are found within the project area, please contact the NCNHP so that we may
update our records.
The attached `Potential Occurrences' table summarizes rare species and natural communities that have been
documented within a one -mile radius of the property boundary. The proximity of these records suggests that
these natural heritage elements may potentially be present in the project area if suitable habitat exists and is
included for reference. Tables of natural areas and conservation/managed area within a one -mile radius of the
project area, if any, are also included in this report.
Please note that natural heritage element data are maintained for the purposes of conservation planning, project
review, and scientific research, and are not intended for use as the primary criteria for regulatory decisions.
Information provided by the NCNHP database may not be published without prior written notification to the
NCNHP, and the NCNHP must be credited as an information source in these publications. Maps of NCNHP
data may not be redistributed without permission.
The NC Natural Heritage Program may follow this letter with additional correspondence if a Dedicated Nature
Preserve (DNP), Registered Heritage Area (RHA), Clean Water Management Trust Fund (CWMTF) easement,
or Federally -listed species are documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance, please
contact Rodney A. Butler at rod ney.butler o_ncdcr.gov or 919.707.8603.
Sincerely,
NC Natural Heritage Program
MAILING ADDRESS: Tele hone: [919', 7D7-8107 LOCA.TICN
16`1 MaiI Ser,rice Center �n�rr&ncnh2.org 121 VVest hones S-reat
Ralaigh, NC 27899-1881 Ralaigh, NC 27603

Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One -mile Radius of the Project Area
Metro South
Project No. 2017-0358
July 12, 2017
NCNHDE-3880
Element Occurrences Documented Within a One -mile Radius of the Pro'ect Area
Taxonomic EO ID Scientific Name ommon Name Element Accuracy Federal State Global State
Group Observation Occurrence Status Status Rank Rank
Date Rank
Vascular Plant 13743 Delphinium exaltatum Tall Larkspur 1800s Hi? 5 -Very --- Endangered G3 S2
Low
No Natural Areas are Documented Within a One -mile Radius of the Project Area
Managed Areas Documented Within a One -mile Radius of the Project Area
Managed Area Name Owner Owner Type
Mecklenburg County Open Space Mecklenburg County Local Government
Definitions and an explanation of status designations and codes can be found at https:Hncnhde.natureserve.org/content/help. Data query generated on July 12, 2017; source: NCNHP, Q2 April 2017. Please resubmit your
information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database.
Page 2 of 3

NCNHDE-3880: Metro South
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Page 3 of 3
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Metro South
Attachments
ATTACHMENT J:
USFWS Response Letter
September 11, 2017
CWS Project No. 2017-0358

United States Department of the Interior
FISH AND WILDLIFE SERVICE
Asheville Field Office
160 Zillicoa Street
Asheville, North Carolina 28801
August 8, 2017
Aliisa Harjuniemi
Carolina Wetland Services, Inc.
550 East Westinghouse Boulevard
Charlotte, North Carolina 28273
Dear Ms. Harjuniemi:
Subject: Metro South Residential Development Project; Mecklenburg County, North Carolina
Log No. 4-2-17-484
The U.S. Fish and Wildlife Service (Service) has reviewed your correspondence received via
email on July 17, 2017 wherein you request our concurrence with your determination of project
effects on federally protected species. The Service submits the following comments in
accordance with the provisions of the Fish and Wildlife Coordination Act, as amended
(16 U.S.C. 661-667e); the National Environmental Policy Act (42 U.S.C. §4321 et seq.); and
section 7 of the Endangered Species Act of 1973, as amended (16 U.S.C. 1531-1543) (Act).
Project Description
According to the information provided you, on behalf of your client, are seeking necessary
permits for impacts to jurisdictional waters of the U.S. associated with the construction of a
residential development on approximately 14 acres of land in Charlotte, North Carolina. The
current project landcover is composed of existing residences and developed open spaces. The
proposed project would replace the existing residences with multifamily homes and appurtenant
road access ways, increasing impervious surface and development intensity. Your
correspondence did not include a description of impacts to waters of the U.S., or description of
proposed impact avoidance, minimization, or mitigation measures.
Federally Listed Endangered and Threatened Species
Suitable roosting habitat (although minimal) may be present within the action area for the
federally threatened northern long-eared bat (Myotis septentrionalis). However, the final 4(d)
rule (effective as of February 16, 2016), exempts incidental take of northern long-eared bat
associated with activities that occur greater than 0.25 miles from a known hibernation site, and
greater than 150 feet from a known, occupied maternity roost during the pup season (June 1 —
July 31). Based on the information provided, the project (which may or may not require tree
clearing) would occur at a location where any incidental take that may result from associated
activities is exempt under the 4(d) rule.

Service records do not indicate the presence of any other federally protected species in the
immediate project vicinity. Based on Service species records and results from your July 10,
2017 pedestrian survey, we believe the project would have no effect on any other federally
protected species. Therefore, we believe the requirements under section 7 of the Endangered
Species Act are fulfilled. However, obligations under section 7 of the Endangered Species Act
must be reconsidered if. (1) new information reveals impacts of this identified action that may
affect listed species or critical habitat in a manner not previously considered, (2) this action is
subsequently modified in a manner that was not considered in this review, or (3) a new species is
listed or critical habitat is determined that may be affected by the identified action.
Impervious Surfaces and Low -Impact Development
The Service is concerned about the proposed increase in impervious surface and stormwater-
mediated impacts to streams. Studies' show that areas of 10- to 20 -percent impervious surface
(such as roofs, roads, and parking lots) double the amount of storm -water runoff compared to
natural cover and decrease deep infiltration (groundwater recharge) by 16 percent. At 35- to
50 -percent impervious surface, runoff triples, and deep infiltration is decreased by 40 percent.
Above 75 -percent impervious surface, runoff is 5.5 times higher than natural cover, and deep
infiltration is decreased by 80 percent. Additionally, the adequate treatment of storm water in
development areas is essential for the protection of water quality and aquatic habitat in
developing landscapes. Additionally, these impervious surfaces collect pathogens, metals,
sediment, and chemical pollutants and quickly transmit them (via storm -water runoff) to
receiving waters. According to the Environmental Protection Agency, this nonpoint-source
pollution is one of the major threats to water quality in the United States, posing one of the
greatest threats to aquatic life, and is also linked to chronic and acute illnesses in human
populations from exposure through drinking water and contact recreation.
Increased storm -water runoff also directly damages aquatic and riparian habitat, causing
stream -bank and stream -channel scouring. In addition, impervious surfaces reduce groundwater
recharge, resulting in even lower than expected stream flows during drought periods, which can
induce potentially catastrophic effects for fish, mussels, and other aquatic life. Accordingly, we
recommend that all new developments, regardless of the percentage of impervious surface area
they will create, implement storm -water -retention and -treatment measures designed to replicate
and maintain the hydrograph at the preconstruction condition in order to avoid any additional
impacts to habitat quality within the watershed.
We recommend the use of low -impact -development techniques,2 such as reduced road widths,
grassed swales in place of curb and gutter, rain gardens, and wetland retention areas, for
retaining and treating storm -water runoff rather than the more traditional measures, such as large
retention ponds, etc. These designs often cost less to install and significantly reduce
environmental impacts from residential development.
'Federal Interagency Stream Restoration Working Group (15 federal agencies of the United States Government).
Published October 1998, Revised August 2001. Stream Corridor Restoration: Principles, Processes, and Practices.
GPO Item No. 0120-A; SuDocs No. A 57.6/2:EN 3/PT.653. ISBN -0-934213-59-3.
2 W recommend visiting the Environmental Protection Agency's Web site (http://www.epa. o�v/polluted-runoff-
nonpoint-source pollution/urban-runoff --low-impact-development) for additional information and fact sheets
regarding the implementation of low -impact -development techniques.
2

Where detention ponds are used, storm -water outlets should drain through a vegetated
area prior to reaching any natural stream or wetland area. Detention structures should be
designed to allow for the slow discharge of storm water, attenuating the potential adverse effects
of storm -water surges; thermal spikes; and sediment, nutrient, and chemical discharges. Also,
because the purpose of storm -water -control measures is to protect streams and wetlands, no
storm -water -control measures or best management practices should be installed within any
stream (perennial or intermittent) or wetland.
We also recommend that consideration be given to the use of pervious materials (i.e., pervious
concrete, interlocking/open paving blocks, etc.) for the construction of roads, driveways,
sidewalks, etc. Pervious surfaces minimize changes to the hydrology of the watershed and can
be used to facilitate groundwater recharge. Pervious materials are also less likely to absorb and
store heat and allow the cooler soil below to cool the pavement. Additionally, pervious concrete
requires less maintenance and is less susceptible to freeze/thaw cracking due to large voids
within the concrete.
The Service appreciates your consideration for our interest to protect fish and wildlife resources.
Please contact Mr. Byron Hamstead of our staff at 828/258-3939, Ext. 225, if you have any
questions. In any future correspondence concerning this project, please reference our Log
Number 4-2-17-484.
e.c. Jason Randoph; USACE
Olivia Munzer; NCWRC
Sincerely,
- - original signed - -
Janet A. Mizzi
Field Supervisor
3

Metro South
Attachments
ATTACHMENT K:
NC SAM Form
September 11, 2017
CWS Project No. 2017-0358

NC SAM FIELD ASSESSMENT FORM
user rvianuai version c. -i
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5 -minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): Metro South
3. Applicant/owner name: Pulte Group
5. County: Mecklenburg
7. River basin: Catawba
2. Date of evaluation: 7.10.17
Assessor name/organization: CWS
Nearest named water body
on USGS 7.5 -minute quad: Little Hope Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.191841, -80.872336
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): Stream A 10. Length of assessment reach evaluated (feet): 168
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 1-2 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 4 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ❑Perennial flow ®Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains (M) ® Piedmont (P) ❑ Inner Coastal Plain (1) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ❑A,' l ®B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip ®Size 1 (< 0.1 mil) ❑Size 2 (0.1 to < 0.5 mit) ❑Size 3 (0.5 to < 5 mit) ❑Size 4 (>_ 5 mit)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? ®Yes ❑No
1. Channel Water — assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
❑A Water throughout assessment reach.
®B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction — assessment reach metric
❑A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
®B Not
3. Feature Pattern — assessment reach metric
❑A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
®B Not
4. Feature Longitudinal Profile — assessment reach metric
❑A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
®B Not
5. Signs of Active Instability — assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
❑A < 10% of channel unstable
❑B 10 to 25% of channel unstable
®C > 25% of channel unstable

6. Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
®A ®A
Little or no evidence of conditions that adversely affect reference interaction
❑B ❑B
Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
❑C ❑C
Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
❑A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
01 Other: (explain in "Notes/Sketch" section)
❑J Little to no stressors
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes ®No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. ❑Yes ❑No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
❑A Multiple aquatic macrophytes and aquatic mosses 0 ❑F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) M ❑G Submerged aquatic vegetation
❑B Multiple sticks and/or leaf packs and/or emergent o Y ❑H Low -tide refugia (pools)
vegetation Y L ❑l Sand bottom
EIC Multiple snags and logs (including lap trees) t o ❑J 5% vertical bank along the marsh
❑D 5% undercut banks and/or root mats and/or roots ❑K Little or no habitat
in banks extend to the normal wetted perimeter
®E Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate —assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
1la. ❑Yes ®No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
®A Riffle -run section (evaluate 11c)
❑B Pool -glide section (evaluate 11d)
❑C Natural bedform absent (skip to Metric 12, Aquatic Life)
11 c. In riffle sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _ > 10-40%, Abundant (A) _ > 40-70%, Predominant (P) _ > 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
® ❑ ❑ ❑ ❑ Bedrock/saprolite
® ❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
® ❑ ❑ ❑ ❑ Cobble (64 — 256 mm)
❑ ❑ ® ❑ ❑ Gravel (2 — 64 mm)
❑ ❑ ® ❑ ❑ Sand (.062 — 2 mm)
❑ ❑ ® ❑ ❑ Silt/clay (< 0.062 mm)
® ❑ ❑ ❑ ❑ Detritus
❑ ® ❑ ❑ ❑ Artificial (rip -rap, concrete, etc.)
11d. ❑Yes ❑No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life - assessment reach metric (skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ❑Yes ®No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean (isopod/amph i pod/crayfish/sh rim p)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ❑Other fish
❑ ❑Salamanders/tad poles
❑ ❑Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition - streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
®B ®B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage - streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water >- 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
®C ®C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence - streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
®N ®N
16. Baseflow Contributors - assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
❑A Streams and/or springs (jurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low -flow periods within the assessment area (beaver dam, leaky dam, bottom -release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
®E Stream bed or bank soil reduced (dig through deposited sediment if present)
F-1 IF None of the above
17. Baseflow Detractors - assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
®B Obstruction not passing flow during low -flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
®C Urban stream (>_ 24% impervious surface for watershed)
❑D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading - assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
®A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
®A ®A ®A ❑A >_ 100 feet wide or extends to the edge of the watershed
❑B ❑B ❑B ❑B From 50 to < 100 feet wide
❑C ❑C ❑C ❑C From 30 to < 50 feet wide
❑D ❑D ❑D ®D From 10 to < 30 feet wide
❑E ❑E ❑E ❑E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
❑A ❑A Mature forest
®B ❑B Non -mature woody vegetation or modified vegetation structure
❑C ®C Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D Maintained shrubs
❑E ❑E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22: ❑
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B ®B ❑B ❑B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
®A ❑A Medium to high stem density
❑B ❑B Low stem density
❑C ®C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
®A ®A The total length of buffer breaks is < 25 percent.
❑B ❑B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
❑B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
®C ®C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity — assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes ®No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ®Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑B 46 to < 67 ❑C 67 to < 79 ❑D 79 to < 230 ❑E >_ 230
Notes/Sketch:
Urban Stream. Invasive species abundant

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name Metro South Date of Assessment 7.10.17
Stream Category Pb1 Assessor Name/Organization
CWS
Notes of Field Assessment Form (Y/N)
YES
Presence of regulatory considerations (Y/N)
NO
Additional stream information/supplementary measurements included (Y/N)
YES
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Intermittent
USACE/
NCDWR
Function Class Rating Summary
All Streams
Intermittent
(1) Hydrology
HIGH
HIGH
(2) Baseflow
MEDIUM
MEDIUM
(2) Flood Flow
HIGH
HIGH
(3) Streamside Area Attenuation
HIGH
HIGH
(4) Floodplain Access
HIGH
HIGH
(4) Wooded Riparian Buffer
MEDIUM
MEDIUM
(4) Microtopography
NA
NA
(3) Stream Stability
MEDIUM
MEDIUM
(4) Channel Stability
LOW
LOW
(4) Sediment Transport
MEDIUM
MEDIUM
(4) Stream Geomorphology
HIGH
HIGH
(2) Stream/Intertidal Zone Interaction
NA
NA
(2) Longitudinal Tidal Flow
NA
NA
(2) Tidal Marsh Stream Stability
NA
NA
(3) Tidal Marsh Channel Stability
NA
NA
(3) Tidal Marsh Stream Geomorphology
NA
NA
(1) Water Quality
MEDIUM
MEDIUM
(2) Baseflow
MEDIUM
MEDIUM
(2) Streamside Area Vegetation
MEDIUM
MEDIUM
(3) Upland Pollutant Filtration
MEDIUM
MEDIUM
(3) Thermoregulation
HIGH
HIGH
(2) Indicators of Stressors
YES
YES
(2) Aquatic Life Tolerance
HIGH
NA
(2) Intertidal Zone Filtration
NA
NA
(1) Habitat
LOW
LOW
(2) In -stream Habitat
LOW
LOW
(3) Baseflow
MEDIUM
MEDIUM
(3) Substrate
MEDIUM
MEDIUM
(3) Stream Stability
LOW
LOW
(3) In -stream Habitat
LOW
LOW
(2) Stream -side Habitat
MEDIUM
MEDIUM
(3) Stream -side Habitat
LOW
LOW
(3) Thermoregulation
HIGH
HIGH
(2) Tidal Marsh In -stream Habitat
NA
NA
(3) Flow Restriction
NA
NA
(3) Tidal Marsh Stream Stability
NA
NA
(4) Tidal Marsh Channel Stability
NA
NA
(4) Tidal Marsh Stream Geomorphology
NA
NA
(3) Tidal Marsh In -stream Habitat
NA
NA
(2) Intertidal Zone
NA
NA
Overall
MEDIUM
MEDIUM

Metro South
Attachments
ATTACHMENT L:
September 11, 2017
CWS Project No. 2017-0358

FOR REGISTRATION JUDITH R. GIBSON
REGISTER OF DEEDS
MECKLENBURG COUNTY. NC
2006 JAN 18 OB,42 AM
BK:23287 PG:544-550 FEE -$29.00
EXCISE TAX:$26,670.00
INSTRUMENT # 2008009743
111111111111111111111111111111111111111111111111111111111111
2008009743
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Tax $26,670.00 Recording Time, Book and Page
Tax Lot No.:
Parcel Identifier No.: 14905427 14905432 14905431 14905428 14905430 14905429 14905435 14905112
14905434, 14905113, 14905433, 14905114, 14905115, 14905426, 14905101, 14905425, 14905424, 14905420,
14905413, 14905414, 14905419, 14905415, 14905418, 14905416, 14905417, 14905444, 14905304, 14905443,
14905442 14905441 14905201 14905440 14905202 14905439 14905203 14905204 14905438 14905437
14905205, 14905436, 14905206, 14905207, 14905111, 14905208, 14905209, 14905210, 14905423, 14905421,
14905422, 14905211, 14908602, 14905463 & 14905462
Verified by
by
County on the
day of ,2008
Mail after recording to: Grantee
This instrument was prepared by: Kennedy Covington Lobdell & Hickman, L.L.P. (RCS)
Brief description for the Index:
Ormand Court, Sloan Street, Hollis Road, Stamey Circle, Anson Street, Weston
Street & Weona Avenue Properties, Charlotte, North Carolina
THIS DEED made as of this _th da
GRANTOR
of January, 2008, by and between
CROSLAND, LLC, a North Carolina limited liability
company
227 West Trade Street, Suite 800
Charlotte, North Carolina 28202
GRANTEE
CROSLAND GREENS, LLC, a North Carolina
limited liability company
C/o Crosland, LLC
227 West Trade Street, Suite 800
Charlotte, North Carolina 28202
Enter in appropriate block for each party: name, address, and, if appropriate, character of entity, e.g. corporation or
partnership.
The designation Grantor and Grantee, as used herein, shall include said parties, their heirs, successors, and assigns,
and shall include singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that
0023000.00194 4839-0361•9842.01

WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged, has and by these presents does grant, bargain, sell and convey unto the Grantee in fee simple, all that
certain lot or parcel of land situated in the City of Charlotte, Mecklenburg County, North Carolina, and more
particularly described as follows:
See Exhibit A attached hereto and incorporated herein by reference.
TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto
belonging to the Grantee in fee simple.
And Grantor covenants with Grantee, that Grantor has done nothing to impair such title as Grantor received, and
Grantor will warrant and defend the title against the lawful claims of all persons claiming by, under or through
Grantor, except for the exceptions hereinafter stated.
This conveyance of the property herein described is made subject to any and all casements, conditions, restrictions
and other matters of record as they may lawfully affect title to the property described herein, and real estate taxes
and assessments not yet due and payable.
[SIGNATURES BEGIN ON FOLLOWING PAGE
0023400.00194 4839.0361-9842.01

IN WITNESS WHEREOF, Grantor has caused this instrument to be signed and delivered as of the day and year
first above written.
CROSLAND, LLC
a North Carolina limited liability company
By:
Name: fe�Edward F. Lon
Title: Senior Vice President & Chief F ancial Officer
STATE OF NORTH CAROLINA
COUNTY OF '
I certify that the following person(s) personally appeared before me this day, each acknowledging to me
that r she v nt .ly signed the foregoing document for the purpose stated therein and in the capacity indicated:
r
Date: January, 2008
Official Signature of Notary Public
Notary printed or typed name
[OFFICIAL SEAL] My commission expires:
My Commission Expires April 13, 2008
00 _0 go_ -
�
0023000.00194 4839-0361-9842.01

Hollis House
BEGINNING at an iron located in the southeasterly margin of the right-of-way of
Weston Street, said :iron being the northwesterly comer of Lot D in Block 21 of Colonial
Village Subdivision, as same is shown on map thereof recorded in Map Book 7 at page
135 in Mecklenburg County Public Registryand running thence with said margin of
Weston Street, North 21 degrees, 14 minutes, 30 seconds East 235.0 feet to an iron in the
northwesterly comer of Lot A in Block 21 of Colonial Village Subdivision as shown on
said map; thence with the gear property lines of Blocks 2 and 3 in Cedar Park
Subdivision, as same are shown on reap thereof recorded in Map Book 5 at page 251 in
the Mecklenburg County Public Registry, South 51 degrees, 52 minutes, 50 seconds East
874.46 feet to an iron in the westerly margin of the right-of-way of Anson Street,
marking the northeasterly corner of Lot P in Block 21 of Colonial Village Subdivision as
shown on map thereof recorded in Map Book 7 at page 435, Mecklenburg County Public
Registry, thence with said margin of Anson Street, South 30 degrees, 38 minutes West
34 1. 10 feet to an iron, the point of intersection of the westerly margin of the right-of-way
of Anson Street with the northerly margin of the right-of-way of Hollis Road; thence with
said margin of Hollis Road, North 37 degrees, 14 minutes West 85.0 feet to an iron;
thence North 52 degrees, 46 minutes East 130.0 feet to an iron; thence North 37 degrees
14 minutes West 89.0 feet to an iron; thence North 52 degrees 46 minutes East 25.0 feet
to an iron; thence 37 degrees, 14 minutes West 75 feet to an iron; thence 43 degrees, 15
mhutes, 25 seconds West 88.74 feet to an iron; thence North 51 degrees 28 minutes, 05
seconds West 91.04 feet to an iron; thence North 37 degrees, 34 minutes, 13 seconds
West 94.34 fact to an iron; thence North 63 degrees, 56 minutes, 30 seconds West 150
feet to an iron; thence North 60 degrees, 51 minutes, 30 seconds West 75.11 feet to an
iron; thence North 70 degrees, 00 minutes West 75.42 feet to an iron; thence North 76
degrees, 19 minutes West 90.85 feet to the point and place of BEGINNING.
Being and consisting of that same property conveyed to Hollis House Associates, a North
Carolina limited partnership, by deed recorded at Book 4019, page 776, in the
Mecklenburg County Public Registry.

Duplexes in Colonial Village
BEING all of Lots 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16 and 17 in Block 23, of
COLONIAL VILLAGE as the same is shown on plat thereof recorded in Map Book 8, at
Page 451, in the Office of the Register of Deeds for Mecklenburg County, North
Carolina.
BEING all of Lots 1, 2, 3, 4 and 5 in Block 14 of COLONIAL VILLAGE as the same is
shown on plat thereof recorded in Map Book 8, at Page 451, in the Office of the Register
of Deeds for Mecklenburg County, North Carolina.
BEING all of Lots B, C, D, E, F, G, H, I, J AND K, in Block 23 of COLONIAL
VILLAGE as the same is shown on plat thereof recorded in Map Book 7, at Page 135 in
the Office of the Register of Deeds for Mecklenburg County, North Carolina.
BEING all of Lot B in Block 14 Lot B in Block 22 of COLONIAL VILLAGE as the
same is shown on plat thereof recorded in Map Book 7, at Page 135, in the Office of the
Register of Deeds for Mecklenburg County, North Carolina.
BEING all of Lots D, E, F, G, H,1, J, K, and L in Block 21 of COLONIAL VILLAGE as
the same is shown on plat thereof recorded in Map Book 7, at Page 135, in the Office of
the Register of Deeds for Mecklenburg County, North Carolina, LESS AND
EXCEPTING therefrom those portions of said lots conveyed to Hollis House Associates
by Deed recorded in Book 4019, at Page 776, in said Registry.
BEING all of a Lot designated as "A" and located on the southeast side of Anson St. on a
plat of COLONIAL VILLAGE recorded in Map Book 7, at Page 135 in the Office of the
Register of Deeds for Mecklenburg County, North Carolina.

3824 Weona Avenue
BEING all of Lots 13 and 14 in Block 3 of WEONA Subdivision as the same is shown on
a plat thereof recorded in Map Book 3, at Page 182, in the Office of the Register of Deeds
for Mecklenburg County, North Carolina.
3828 Weona Avenue
BEING Lots 15 and 16 in Block 3 of Weona Subdivision as shown on map recorded in
Map Book 3, page 182, in the Office of the Register of Deeds for Mecklenburg
County, North Carolina.
C�
BEING a portion of that certain subdivision known as Weona, according to map
thereof recorded in the Mecklenburg County Registry in Map Book 3 at Page 162
and described by metes and bounds as follows:
BEGINNING at an iron stake on the Southerly boundary line of said subdivision at
a point marking a corner of Lot 34 of Block 3 thereof and runs with the rear
lines of Lots 34 and 33 of Block 3 N. 26-24 W. 37.9 feet to an iron stake;
marking one of the rear corners of Lot 16 of said Block 3; thence with one of
the side lines of said Block 3 S. 63-36 E., 160 feet to an iron stake; thence N.
76 W. 163 feet to the point or place of beginning, and being a triangular lot
which is unnumbered on the map referred to above and which adjoins Lots Nos. 16,
33 and 34 of Block 3 of said subdivision.

JUDITH A. GIBSON
REGISTER OF DEEDS, MECKLENBURG
COUNTY & COURTS OFFICE BUILDING
720 EAST FOURTH STREET
CHARLOTTE, NC 28202
PLEASE RETAIN YELLOW TRAILER PAGE
It is part of the recorded document, and must be submitted with original for re-recording
and/or cancellation.
Filed For Registration:
Book:
Document No.:
NC REAL ESTATE EXCISE TAX:
Recorder:
01/18/2008 08:42 AM
RE 23287 Page: 544-550
2008009743
DEED 7 PGS $29.00
$26,670.00
SONIA DAVIS
2008009743