20180079 Ver 1_401 Application_20180118

LETTER OF TRANSMITTAL
S&ME, Inc.
9751 Southern Pine Blvd
Charlotte NC 28273
2 g0 07 9
Date: January 11, 2018
TO: NC Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Enclosed:
0 _5 0
J4 1 6 2018 #
Attn: Ms. Jennifer Burdette
Reference: Pre -Construction Notification
Job # 7435-17-063
COURTESY,
COPY
Copies
Date
Descri tion
1
01-11-2018
Pre -Construction Notification: NWP No.12/WQC No. 4133
Thank you,
Joey Lawler
Senior Scientist, Project Manager
If enclosures are not as noted, please notify us at once.
This letter of transmittal and documents accompanying this Letter of Transmittal contain information from S&ME, Inc., which
is confidential and legally privileged. The information is intended only for the use of the individual or entity named on this
Letter of Transmittal. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or
the taking of any action in reliance on these documents is strictly prohibited.

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January 10, 2018 tiN 1 0 201
U.S. Army Corps of Engineers
Washington Regulatory Field Office
2407 West Fifth Street Washington, NC 27889
Attention: Ms. Krysta Stygar
NC Division of Water Resources
401 & Buffer Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Attention: Ms. Jennifer Burdette
Reference: Pre -Construction Notification: NWP No. 12/WQC No. 4133
Natural Gas Pipeline Relocation at Bridge 20
Chowan County, North Carolina
S&ME Project No. 7435-17-063
Dear Ms. Stygar and Ms. Burdette:
On behalf of Piedmont Natural Gas (PNG), S&ME, Inc. (S&ME) hereby submits this Pre -construction
Notification (PCN) for temporary and permanent conversion impacts to waters of the U.S. in accordance
with Nationwide Permit (NWP) No. 12 and the corresponding North Carolina Water Quality Certification
(WQC) No. 4133. PNG, the project sponsor, will be considered the applicant. The project entails
relocation activities associated with a segment of natural gas pipeline in Chowan County, North Carolina,
and will involve no loss of waters of the U.S. In support of this application, please find enclosed the
following:
• Figures: Site Vicinity Exhibit (Figure 1), USGS Topographic Exhibit (Figure 2), an NRCS Soil Survey
Exhibit (Figure 3) and an Aerial Ortho Imagery Exhibit (Figure 4)
• Appendix I: Jurisdictional Delineation Information
Appendix H: Site Photographs
Appendix III: Completed Pre -Construction Notification (PCN) and Agent Authorization Form
• Appendix IV: Impact Drawing
Appendix V: NCNHP Report and Agency Scoping
• Appendix VI: Mitigation Credit Availability Letter
• Appendix VII: Restoration and Inadvertent Return Contingency Plans
A copy of this PCN is being provided to the N.C. Division of Water Resources as a courtesy. The project as
proposed should comply with the relevant conditions of General Water Quality Certification No. 4133,
and as such, does not require pre -construction written approval.
S&ME, INC. / 9751 Southern Pine Blvd / Charlotte, NC 28273 / p 704.523.4726 f 704.525.3953 / www.smeinc.com

Pre -Construction Notification S&ME Project No. 7435-17-063
Natural Gas Pipeline Relocation at Bridge 20 January 10 2018
Although the activities described in this submittal will not result in any permanent loss of waters of the
U.S., 0.328 acre of forested wetlands will be converted to herbaceous wetlands to accommodate a new
portion of permanently maintained easement.
General Project Information
PNG is planning to relocate an approximately 1,750 -linear foot segment of 10 -inch diameter natural gas
pipeline (Line 208) by horizontal directional drill (HDD). The segment of gasline that will be relocated is
located on the west side of NC Highway 32 (Virginia Road) in Chowan County, North Carolina
(36.243680°N, -76.655331°W). The location of the project area is depicted on the attached figures.
The NC Department of Transportation (NCDOT) is planning to replace the existing bridge (Bridge 20) over
Indian Creek (also known as Dillards Creek) on Virginia Road. PNG's Line 208 natural gas transmission
pipeline is currently located within the NCDOT right-of-way adjacent to the bridge. In order to relocate
the portion of the pipe that will be in conflict with NCDOT's project, PNG plans to relocate the
aforementioned segment to a new easement located west of NCDOT's work area. The new pipe will be
installed by horizontal directional drill (HDD) which will allow for avoidance of direct impacts to Indian
Creek and the adjacent wetlands. However, the project will result in placement of temporary fill material
(timber mats) in order to provide access for timbering equipment through ponded or inundated areas,
and permanent conversion of the forested wetlands within the new easement. While not considered a
loss of waters, permanent conversion of forested wetlands is considered a permanent impact by the
USACE.
Existing Environment
The new pipe will be installed within a new 50 -foot wide permanent easement located west of Virginia
Road. To minimize impacts, only 30 feet of the new easement will be cleared and permanently
maintained. An inundated, riverine swamp forest occupies portions of the project area adjacent to Indian
Creek. Additional temporary workspace to accommodate the drilling equipment will be located in high
ground areas on both sides of the wetlands.
The site is located within the Coastal Plain Physiographic Province of North Carolina. The Coastal Plain
Province is typically characterized by marine, alluvial, and eolian sediments that were deposited during
periods of fluctuating sea levels and moving shorelines. The soils in this province are typical of those laid
down in a shallow sloping near -shore marine environment. Alluvial sands, silts, and clays are typically
present near creeks.
Topography in the area is generally flat, but slopes more steeply closer towards the floodplain of Indian
Creek. Within and near wetter portions of the site, overstory vegetation included bald cypress (Taxodium
distichum), swamp blackgum (Nyssa sylvatica v. biflora) and red maple (Acer rubrum). Species observed in
portions of the proposed easement where standing water was not present included sweetgum
(Liquidamborstyrocifluo), tulip tree (Liriodendron tulipifera) and loblolly pine (Pinus toeda). Midstory
vegetation included Chinese privet (Ligustrum sinense), red bay (Persea borbonio) and sweet bay (Magnolia
virginica). Understory vegetation was sparse in forested areas, but in portions of the existing easement
included giant cane (Arundinaria gigantea), soft rush (Juncus effusus), cinnamon fern (Osmundastrum
cinnamomeum), and shallow sedge (Carex lurida). Vines included laurel -leaved catbriar (Smilax lourifolia)
and poison ivy (Toxicodendron radicans).

Pre -Construction Notification S&ME Project No. 7435-17-063
Natural Gas Pipeline Relocation at Bridge 20 January 10 2018
Adjacent upland vegetation included loblolly pine, American holly (flex opoca) and sweetgum. Mid -story
vegetation included Chinese privet and sweetgum. Vines included muscadine grape (Vitis rotundifolia),
catbriar (S. rotundifolia) and yellow jasmine (Gelsemium sempervirens).
According to the Chowan County Soil Survey, soils mapped in the project area primarily include
Dorovan muck (Typic Haplosaprists), Dogue silt loam (Typic Hapludults), State silt loam (Typic Hapludults)
and Altavista fine sandy loam (Aquic Hapludults).
The run of Indian Creek flows through the project area. Indian Creek is a perennial tributary that drains
west to the Chowan River, and consists of a typical meandering, sandbed coastal plain swamp stream with
a braided pattern and no clearly-defined bed and bank.
On November 8, 2017, S&ME personnel visited the proposed project site to delineate jurisdictional
surface waters located therein. We followed the procedures set forth in the 1987 USACE Wetlands
Delineation Manual. The project is located Coastal Plain physiographic province. Conditions were
documented using USACE Routine Wetland Determination Data Forms, as appropriate. One wetland area
(WE) was delineated (Figure 4). WE was characterized as a Coastal Plain riverine swamp forest, and abuts
the north and south sides of Indian Creek. The wetland ranges from areas of permanent inundation to
less -regularly flooded areas where standing water was not present and facultative vegetation has become
dominant. Soils within the wetland areas were hydric and exhibited the presence of muck and a depleted
surface. In addition to wetland hydrologic indicators such as water -stained leaves and crayfish burrows,
saturation was observed at or within 12 inches of the surface. Information relative to the delineation is
included in Appendix I, and photographs of typical conditions observed within the project area are
included in Appendix n.
Description of the Proposed Work and Impacts
To install the new pipe, the HDD rig will be staged on the east side of the swamp. Temporary workspace
will be established in high ground to accommodate the rig and stage the pipe. Ground disturbance from
minor grading, leveling of workspace, placement of construction mats and establishment of staging and
stockpile areas should be limited to high ground in this area.
The HDD rig will begin drilling a pilot hole east to the TWS area established on the opposite side of the
swamp. Different drill heads will then be used to widen the pilot hole to a diameter sufficient to
accommodate the new pipe. Specialized mud will be pumped into and circulated through the hole in
order to prevent its collapse prior to pipe insertion. The pipe that will be used for the new line will be
staged and strung in the existing farm field in the southern portion of the project area. The pipe segments
will be welded together and inspected for structural integrity, then pulled through the hole drilled by the
HDD rig. Once the pipe is pulled through, both ends will be welded to the existing pipe, and the old
segment of pipe retired. Cleared portions of temporary workspace will be allowed to naturally re -
vegetate following completion of the project.
Vegetation removal within the new easement will require that mechanized timbering equipment work in
the wetland area. Equipment will work on timber mats, multiple layers of which may be required in
certain areas. Timber will be hauled from the wetland and properly disposed of at a permitted landfill.
Where ground disturbance occurs, affected wetlands will be seeded with a specialized native wetland seed
mix. Areas within the proposed permanently maintained corridor that will be cleared of woody vegetation
will be maintained in an herbaceous state. Additional temporary workspaces to be cleared will be seeded
3

Pre -Construction Notification S&ME Project No. 7435-17-063
Natural Gas Pipeline Relocation at Bridge 20 January 10 2018
and allowed to naturally re -vegetate. Appropriate sediment and erosion control practices outlined in the
most recent version of the "North Carolina Sediment and Erosion Control Planning and Design Manual"
and approved by the local governing authority will be installed to prevent sedimentation of jurisdictional
features as a result of the work. Placement of some sediment and erosion control measures may be
required in the wetland area during logging operations, but will not exceed the footprint of the permitted
disturbance limits.
Project -wide, 0.328 acre of forested wetlands will be permanently converted to herbaceous wetlands
during construction. No impacts to Indian Creek will occur.
The completed PCN is included in Appendix III, and drawings that detail the proposed jurisdictional
impacts are included in Appendix IV.
The wetland impacts associated with the proposed project will result first from clearing and temporary
placement of timber equipment mats and targeted stump removal, if necessary, to provide a level work
surface and prevent extensive rutting. Following clearing, the new easement will be permanently
maintained. Impacts to Indian Creek are not anticipated, as logging equipment will either avoid the
stream by working within the adjacent area from the east and west, or constructing an equipment bridge
that will span the active channel.
Following construction, disturbed wetlands within the easement will be restored to their original grade
and contour and seeded with a native wetland seed mix. The work will not result a loss of waters of the
U.S. There should be no loss of waters, as only temporary ground disturbance from equipment access
and logging operations will be required.
d Protected Species
To comply with applicable sections of the Endangered Species Act (ESA) of 1973 (16 USC 1531-1543),
S&ME conducted a search of the North Carolina Natural Heritage Program (NCNHP) database to identify
element occurrences (EOs) of such species listed as potentially occurring near the project corridor. A
November 6, 2017 report generated from the findings of the NCNHP database review (Appendix V)
indicated that there are no documented occurrences of federally -protected species within one mile of the
project area. S&ME also reviewed the relevant U.S. Fish and Wildlife Service (USFWS) species descriptions
pursuant to identification of potentially suitable habitat within the project corridor. Review of the FWS list
database identified the following documented occurrences of federally -protected species in Chowan
County:
Table 1: Federally -Protected Species Summary
A copy of the NCNHP database report is included in Appendix V.
4
Bald Eagle
Holiaeetus leucocephalus
Bald/Golden Eagle Protection Act
Current
Red Knot
Calidris canutus rufa
Threatened
Current
West Indian Manatee
Trichechus manatus
Endangered
Current
A copy of the NCNHP database report is included in Appendix V.
4

Pre -Construction Notification S&ME Project No. 7435-17-063
Natural Gas Pipeline Relocation at Bridae 20 January 10 2018
Following project scoping and literature review, S&ME conducted a field assessment for the presence of
federally -protected terrestrial species listed in Table 1. Descriptions of the species obtained from USFWS
species descriptions, or as noted otherwise, are provided below.
Bald Eagle
Biological Determination: No Effect
Bald eagles were removed from the endangered species list in August 2007 because their populations
recovered sufficiently. However, bald and golden eagles are still protected under the Migratory Bird Treaty
Act (MBTA) and the Bald and Golden Eagle Act (Eagle Act). The bald eagle is a large raptor with a
wingspan of approximately seven feet. Adult individuals of this species have a mainly dark brown
plumage with a solid white head and tail. Bald eagles develop adult plumage in the fifth or sixth year.
Juveniles of the species exhibit a chocolate brown to blackish plumage with occasional occurrences of
white mottling on the tail, belly, and under -wings. Bald eagle's primary diet consists of fish. However, it
will feed on birds, mammals, and turtles when fish are not available.
The bald eagle is associated with coasts, rivers, and lakes, usually nesting near large bodies of water where
it feeds. Nesting habitat in the Carolinas usually occurs in large pine trees along the edge of large bodies
of water. The bald eagle is listed as a current record for Chowan County. The assessment area is not
located next to a large body of water, and accordingly, does not contain suitable habitat for bald eagle.
Red Knot
Biological Determination: No Effect
The red knot is a medium-sized shorebird with a small head and eyes, a short neck and a slightly tapering
bill that is no longer than its head. It has short dark legs and a medium thin dark bill. The winter, or basic,
plumage becomes uniformly pale grey, and is similar between the sexes. The alternate, or breeding,
plumage is mottled grey on top with a cinnamon face, throat and breast and light-colored rear belly. The
alternate plumage of females is similar to that of the male except it is slightly lighter and the eye -line is
less distinct.
It makes one of the longest yearly migrations of any bird, traveling 15,000 km (9,300 mi) from its Arctic
breeding grounds to Tierra del Fuego in southern South America. Red know breeds in drier tundra areas,
such as sparsely vegetated hillsides. Outside of breeding season, it is found primarily in intertidal, marine
habitats, especially near coastal inlets, estuaries, and bays. Because the project area does not consist of
an estuary or bay, the proposed project is not likely to affect this spceies.
Source: Baker, Allan; Gonzalez, Patricia; Morrison, R.I.G.; Harrington, Brian A. (2013). Poole, A., ed. "Red
Knot (Calidris canutus)". The Birds of North America Online. Ithaca: Cornell Lab of Ornithology.
West Indian Manatee
Biological Determination: No Effect
The West Indian manatee is a large marine mammal reaching approximately 10 feet in length. The front
limbs are flipper -like, there are no rear limbs, and the tail is rounded, flat, and paddle-like. Manatees are
gray or brown in color with a rounded head and whiskers around the mouth.
Manatees are generally seen in North Carolina passing through only during the summer months for
feeding. They are most common on the Florida Gulf Coast, where year-round warm water temperatures
provide more suitable habitat.
5

Pre -Construction Notification S&ME Project No. 7435-17-063
Natural Gas Pipeline Relocation at Bridge 20 January 10 20 .8
The pipeline will be installed beneath Indian Creek by HDD methods to avoid impacts. Therefore, the
proposed project is not anticipated to affect this species.
Scoping letters detailing the proposed project were also provided to the FWS and the NC Wildlife
Resources Commission (NCWRC) on November 10, 2017. To date, no response from NCWRC has been
received. The FWS (John Ellis) responded with a November 13, 2017 email communication stating that in -
water activities should be avoided during the anadromous fish spawning moratorium (February 15 — June
30). FWS follow-up with a November 22, 2017 letter stating that the project was unlikely to adversely
affect protected species or their critical habitat, and that the requirements of Section 7(a)(2) had been
satisfied. It should be noted that the NCWRC identifies Indian Creek as an Anadromous Fish Spawning
Area (AFSA) from the Chowan River upstream to Dillards' Mill Road (approximately 1.4 miles southwest of
the project area). Although the project area is located upstream of the AFSA boundary, no impacts to
Indian Creek will occur, as the proposed pipeline will be installed beneath the creek by HDD.
Historic Resources
Projects requiring a federal permit must also comply with Section 106 of the National Historic
Preservation Act (NHPA) of 1966. S&ME reviewed an August 3, 2015 Historic and Architectural Evaluation
Report prepared by Coastal Carolina Research for NCDOT in connection with the Bridge 20 Replacement
Project. The report identified one resource — Ballard's Bridge Baptist Church, within the Bridge 20 Area of
Potential Affects (APE). The report recommended that the church is not eligible for listing in the National
Register of Historic Places. The SHPO responded with a September 10, 2015 letter concurring with the
findings of the report. As an update, S&ME provided a scoping letter detailing the currently proposed
project to the SHPO on November 10, 2017. SHPO responded with a November 30, 2017 letter
recommending that portions of the project area not covered by the report prepared for NCDOT,
specifically the area south of the creek, be subject to a comprehensive archaeological investigation.
Accordingly, S&ME conducted an archaeological survey of project area during the week of December 18,
2017. One archaeological site (31CO191**, a 19th/20th century house site) was identified. This site was
recommended not eligible for inclusion in the National Register, and no additional work is recommended
for this area. Results of the assessment will be provided to SHPO with the understanding that the USACE
will complete consultation with that agency. A copy of the report can also be provided to you upon your
request.
Avoidance And Minimization
Impacts will be minimized by PNG's use of HDD to install the new pipe, and reduction of the width of the
permanently -maintained easement to 30 feet through the wetland. Impacts will be further minimized by
use of appropriate sediment and erosion control measures during construction, and restoration of
affected areas following completion of the work. Additionally, construction equipment operating within
wetlands will be limited to that necessary for clearing and restoration activities. PNG considered utilizing
"drop and chop" methods whereby mechanized equipment would not be utilized to clear the new
easement, and the felled timber would be allowed to remain in the easement. However, experience with
this method in the past indicated that the remaining felled timber inhibited aerial leak detection and
access. Accordingly, removal of the timber by mechanical means is the most viable option available.
R

Pre -Construction Notification S&ME Project No. 7435-17-063
Natural Gas Pipeline Relocation at Bridge 20 January 10 2018
Mitigation
The project will not result in a loss of waters of the U.S., but will result in conversion of 0.328 acre of
forested wetlands to herbaceous wetlands. Mitigation has been provided by avoidance and minimization
procedures implemented during the design phase of the proposed project. Because the project will not
result in placement of permanent fill material in wetlands or streams, NCDWR does not require mitigation.
However, based on our experience with similar projects, we anticipate that the USACE will require 1:1
mitigation for the wetland conversion. PNG proposes to satisfy compensatory mitigation through
purchase of 0.328 acre of credit in the appropriate HUC (Chowan 03010203) from the NC Division of
Mitigation Services (DMS). DCM was contacted and sufficient riparian credits are available. A copy of the
mitigation availability letter is included in Appendix VI.
The project will comply with applicable conditions of NWP No.12 and WQC No. 4133, and will not result in
changes in pre -construction elevation contours or affect dimension, pattern or profile of the wetland area
or associated creek. Affected portions of the wetland area will be restored in accordance with the
attached Restoration Plan (Appendix VII) following completion of the work.
Closing
Thank you for your review of this PCN. If you have questions or need additional information, please feel
free to contact us at 704.523.4726.
Sincerely,
S&ME
Joey awler, P.W.S.
Project Manager
Senior Review by Jason S. Reeves, P.E.
Cc:
• Jeff Smith - RLS
7

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Preliminary ORM Data Entry Fields for New Actions
SAW — 201 - BEGIN DATE [Received Date]:
Prepare file folder ❑ Assign Action ID Number in ORMFI
1. Project Name [PCN Form A2a]: PNG Line 207 Receiver Site
2. Work Type: Private X❑ Institutional ❑ Government ❑
3. Project Description / Purpose [PCN Form 133d and I33e]:
Preliminary JD Request for proposed natural gas transmission line relocation to
accommodate bridge replacement
4. Property Owner / Applicant [PCN Form A3 or A4]: Piedmont Natural Gas
5. Agent / Consultant [PCN Form A5 — or ORM Consultant ID Number]: S&ME, Inc.
6. Related Action ID Number(s) [PCN Form 65b]:
Commercial ❑
7. Project Location -Coordinates, Street Address, and/or Location Description [PCN Form 61b]:
North side of NC Highway 32/Virginia Road (36.243715°N, -76.655290*W).
8. Project Location - Tax Parcel ID [PCN Form 131a]: (Easement only on 699100141889, 699100072418 and
699100069203)
9. Project Location — County [PCN Form A2b]: Chowan County
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: North of Edenton
11. Project Information — Nearest Waterbody [PCN Form 62a]: Indian (Dillard) Creek
12. Watershed / 8 -Digit Hydrologic Unit Code [PCN Form 62c]: 03010203 - Chowan
Authorization: Section 10 ❑ Section 404 ❑ Section 10 & 404 ❑
Regulatory Action Type:
❑Standard Permit
X Nationwide Permit # 12
❑ Regional General Permit #
X❑ Jurisdictional Determination Request
Pre -Application Request
Unauthorized Activity
❑ Compliance
❑ No Permit Required
Revised 20150602

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: North side of NC Highway 32Nirginia Road
City, State: North of Edenton, NC
County: Chowan
Parcel Index Number(s) (PIN): Easement only on 699100141889,
699100072418 and 699100069203
B. REQUESTOR INFORMATION
Name: S&ME, Inc.
Mailing Address: 9751 Southern Pine Blvd
Charlotte, NC 28273
Telephone Number: 704.604.6474
Electronic Mail Address: [e-mail]
Select one:
❑ I am the current property owner.
✓❑ I am an Authorized Agent or Environmental Consultant'
F1Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: Piedmont Natural Gas -Easement Only
Mailing Address: 4720 Piedmont Row Drive
Charlotte NC 28210
Telephone Number: 704.731.4245
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' 4
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
See attached Agent Authorization Form - easement access
Print Name
Capacity: ❑ Owner [:]Authorized Agents
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.
✓ I intend to construct/develop a project or 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 project or 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.
HA 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.
❑ I believe that the site may be comprised entirely of dry land.
❑✓ Other: PNG is relocating a natural gas pipeline within an easement acquired
on the subject properties. NWP-12 is required for stream/wetland impacts.
s 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.
5 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 preliminary 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.
F] 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 3.05 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: 36.243715°N
Longitude: -76.655290°W
aA 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.
WlCompleted 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. ht_tp://www.saw.usace.army.mil/Missions/Re ug latory-Permit-
Program/J uri sdiction/
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
USGS Topographic Map
a Soil Survey Map
F] 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)
F] 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 ulatory/regdocs/JD/RGL 08-02 App A Prelim JD Form fillable.pdf
8 Please see http://www.saw.usace.army.mil/Missions/Re ulatory-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 isto 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

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 12.28.2017
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Joey Lawler of S&ME, Inc.
9751 Southern Pine Blvd., Charlotte, NC 28273
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES
AND/OR AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Chowan Co. City: Tyner
Center coordinates of site (lat/long in degree decimal format):
Lat.: 36.243680°N Long.: -76.655331 °W
Universal Transverse Mercator: NAD83
Name of nearest waterbody: Indian Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALTHAT APPLY): Office
(Desk) ❑ Determination. Date:
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Waters
Cowardin
HGM
Area Linear
Waters
Lat
Lon
Local
Name
Code
Code
(acres) (ft)
Types
I (nad83)
(nad83)
Waterway
Wetland E
PF01
Riverine
RPWWD
36.243159
-76.655231
Indian Creek
Indian
R3UB2
Riverine
RPW
36.24371
-76.655373
Indian Creek
Creek
1) 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 preliminary JD (check all that apply - checked items
should be included in case file and, where checked and requested, appropriately reference
sources below):
® Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant:
® Data sheets prepared/submitted by or on behalf of the applicant/consultant.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
® U.S. Geological Survey map(s). Cite scale & quad name: 1982 Valhalla, NC USGS
topographic quadrangle, 1:24,000 scale.
® USDA Natural Resources Conservation Service Soil Survey. Citation: 1986 USDA -SCS
published Soil Survey of Chowan & Perquimans County, North Carolina.
❑ National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100 -year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
® Photographs: ® Aerial (Name & Date): 2016 NCOneMap aerial ortho-imagery layer.
or ® Other (Name & Date): Site photos taken November 8, 2017.
® Previous determination(s). File no. and date of response letter: E] 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 Signature and date of person requesting
Regulatory Project Manager preliminary JD (REQUIRED, unless obtaining
(REQUIRED) the signature is impracticable)'
I Districts may establish timehemes for requestor to realm signed PJD forms. If the requestor does not respond within the established time frame, the district may presume Wrimmence and no additional
follow up is necessary prior to finalizing an action.

WETLAND DETERMINATION DATA FORM - Atlantic and Gulf Coastal Plain Region
Project/Site: PNG Line 208 HDD Crossings City/County: Mintonsville/Chowan Sampling Date: 08 -Nov -17
Applicant/Owner: Piedmont Natural Gas State: NC Sampling Point: WE -UP
InvesUgator(s): Joey Lawler Section, Township, Range: S T R
Landform (hillslope, terrace, eta): Floodplain Local relief (concave, convex, none): flat Slope: 0.0% / 0.0
Subregion (LRR or MLRA): LRR T Lat.: 36.243159 Long.: -76.655231 Datum: NAD83
Soil Map Unit Name: Dorovan muck, 0-2 percent slopes, frequently flooded NWI classification: PF06Fh
Are climatic/ hydrologic conditions on the site typical for this time of year? Yes O No O (If no, explain in Remarks.)
Are Vegetation ❑ , Soil ❑ , or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes (* No O
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 O No O
Is the Sampled Area
Hydric Soil Present? Yes O No O
•
Yes O No O
Wetland Hydrology Present? Yes O No O
within a Wetland?
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of 2 required)
Primary Indicators (minimum of one required; check all that apply)
❑ Surface Soil Cracks (B6)
❑ Surface Water (A3)
❑ Aquatic Fauna (B13)
❑ Sparsely Vegetated Concave Surface (BB)
❑ High Water Table (A2)
❑ Marl Deposits (B15) (LRR U)
❑ Drainage Patterns (BSO)
❑ Saturation (A3)
❑ Hydrogen Sulfide Odor (Cl)
❑ Moss Trim Lines (B16)
❑ Water Marks (Bl)
❑ Oxidized Rhizospheres along Living Roots (0)
❑ Dry Season Water Table (C2)
❑ Sediment Deposits (B2)
❑ Presence of Reduced Iron (C4)
❑ Crayfish Burrows (C8)
❑ Drift Deposits (0)
❑ Recent Iron Reduction in Tilled Soils (C6)
❑ Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (B4)
❑ Thin Muck Surface (0)
❑ Geomorphic Position (D2)
❑ Iron Deposits (B5)
❑ Other (Explain in Remarks)
❑ Shallow Aquitard (D3)
❑ Inundation Visible on Aerial Imagery (B7)
❑ FAC -Neutral Test (DS)
❑ Water -Stained Leaves (B9)
❑ Sphagnum moss (D8) (LRR T, U)
Field Observations:
O
Surface Water Present? Yes No
Depth (inches):
Water Table Present? Yes O No O
Depth (inches):
Yes O NO
Saturation Present?
O NO
Depth (inches):
Wetland Hydrology
Present?
includes capillary fringe)Yes
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

VEGETATION (Five/Four Strata) - Use scientific names of plants.
Dominant
1 , Uquidambar styradflua
Absolute
Rel.Strat.
Indic;
Tree Stratum (Plot size:___.__.__
...___) % Cover
0131- species 0
Cover
_ Stat
1 . Acer rubrum
20
W-50.0%
0
FAC
2. Uquldambar styradflua
10
0
25.0%
FAC
3. Urlodendron tulipifera
10
W-
25.0%
FACU
4. --- ---------- -----
---
--- - o
❑0.0%
0
-
5. -----
o
El_
0.0%
❑ o.o%
6.
0
❑
.
o.o%
❑ 0.0%
7
0
❑
o.o%
= Total Cover
$,
0
❑
0.0%
50% of Total Cover: 20
20% of Total Cover: 8 40 = Total Cover
Sapling or Sapling/Shrub Stratum (Plot size: 50 ft. x 50 ft. )
66.7%
FAC
2. Ilex opaca
1 , Uquidambar styradflua
10
R 100.0%
FAC
2.
0131- species 0
0
El o.o%
FACw species 10
3.
20 _
0
❑ o.o%
165
-
4.
x 4 -
0
❑ 0.0%
x 5 -
5.
column Totals: 80
0
❑ 0.0%
Prevalence Index = B/A
6.
3.063
0
❑ o.o%
7,
0
❑ o.o%
8,
0
❑ 0.0%
50% of Total Cover: 5 20% of Total Cover:
2
10
= Total Cover
Shrub Stratum (Plot size: 50 ft. x 50 ft. )
1 . Llgustrum sinense
10
66.7%
FAC
2. Ilex opaca
5
❑d 33.3%
FAC
3.
o
❑ 0.0%
4.
0
❑ o.o%
5.
o
❑ o.o%
6.
o
❑ 0.0%
50% of Total Cover: 7.5 20% of Total Cover:
3
15
= Total Cover
Herb Stratum (Plot size: 50 ft x 50 ft. )
1 , Arundinaria gigantea
10
❑d 100.0%
FACW
2,
o
❑ o.o%
3,
o
❑ o.o%
4.
o
❑ o.o%
5.
o
❑ o.o%
6,
o
❑ 0.0%
7.
0
❑ 0.0%
8,
o
❑ 0.0%
g,
o
❑ 0.0%
10.
0
❑ 0.0%
11.
o
❑ 0.0%
12.
0
❑ 0.0%
50% of Total Cover: 5 20% of Total Cover:
2
10
= Total Cover
woody Vine Stratum (Plot size: 50 ft. x 50 ft. )
1. Lonicera japonka
5
300.0%
FACU
2.
0
❑ 0.0%
3.
o
❑ o.o%
4.
o
❑ o.o%
5.
o
❑ o.o%
50% of Total Cover: 2.5 20% of Total Cover:
1
5
= Total Cover
Remarks: (If observed, list morphological adaptations below).
*Indicator suffix = National status or professional decision assigned because Regional status not defined by FWS.
Sampling Point: WE - UP
Dominance Test worksheet:
Number of Dominant Species
That are OBL, FACW, or FAC:
Total Number of Dominant
Species Across All Strata:
Percent of dominant Species
That Are OBL, FACW, or FAC:
---6--- (A)
8 (B)
75.0% (A/B)
Prevalence Index worksheet:
Total % Cover of:
Multiply
by:
0131- species 0
x 1 -
0
FACw species 10
x 2 -
20 _
FAC species _ 55
x 3 -
165
FACu species 15
x 4 -
` 60
UPL species 0
x 5 -
0
column Totals: 80
(A)
245 (13)
Prevalence Index = B/A
=
3.063
Hydrophytic Vegetation Indicators:
❑ 1 - Rapid Test for Hydrophytic Vegetation
❑d 2 - Dominance Test is > 5o%
❑ 3 - Prevalence Index is 53.0 1
❑ Problematic Hydrophytic Vegetation 1 (Explain)
1 Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definition of Vegetation Strata:
Tree - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately
3 ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
Vegetation
Present? Yes ( No 0
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL
Sampling Point: WE - UP
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
DepthRedox Features -.
(inches) Color (moist) %_ Color (moist) _ % l Loc' Texture �_ Remarks
0-6 10YR 4/1 100 Loamy Sand
6-14 10YR 5/1 100 — _ r Loamy Sand
1 Type: C=Concentration. D=Depletion. RM=Reduced Matrix, CS=Covered or Coated Sand Grains zLocation: PL=Pore Lining. M=Matrix
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
❑ Histosol (Al)
❑ Polyvalue Below Surface (S8) (LRR S, T, U)
❑ 1 cm Muck (A9) (LRR 0)
❑ Histic Epipedon (A2)
❑ Thin Dark Surface (S9) (LRR S, T, U)
❑ 2 cm Muck (A10) (LRR S)
❑ Black Histic (A3)
❑ Loamy Mucky Mineral (Fl) (LRR O)
❑ Reduced Vertic (1`18) (outside MLRA 150A,B)
❑ Hydrogen Sulfide (A4)
❑ Loamy Gleyed Matrix (F2)
❑ Piedmont Floodplain Soils (1`19) (LRR P, S, T)
❑ Stratified Layers (A5)
❑ Depleted Matrix (F3)
❑ Anomalous Bright Loamy Soils (F20) (MLRA 153B)
❑ Organic Bodies (A6) (LRR P, T, U)
❑ Redox Dark Surface (F6)
❑ Red Parent Material (TF2)
❑ 5 cm Mucky Mineral (A7) (LRR P, T, U)
❑ Depleted Dark Surface (F7)
❑ Very Shallow Dark Surface (TF12)
❑ Muck Presence (A8) (LRR U)
❑ Redox Depressions (F8)
❑ Other (Explain in Remarks)
❑ 1 cm Muck (A9) (LRR P, T)
❑ Marl (1`10) (LRR U)
❑ Depleted Below Dark Surface (All)
❑ Depleted Ochric (Fl l) (MLRA 15 1)
❑ Thick Dark Surface (Al2)
❑ Iron -Manganese Masses (1`12) (LRR O, P, T)
❑ Coast Prairie Redox (A16) (MLRA 150A)
❑ Umbric Surface (1`13) (LRR P, T, U)
❑ Sandy Muck Mineral (Sl) (LRR O, S)
❑ Delta Ochric (F17) (MLRA 151)
❑ Sandy Gleyed Matrix (S4)
❑ Reduced Vertic (F18) (MLRA 150A, 150B)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
❑ Sandy Redox (S5)
❑ Piedmont Floodplain Soils (1`19) (MLRA 149A)
unless disturbed or problematic.
❑ Stripped Matrix (S6)
❑ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
❑ Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Hydric Soil Present? Yes 0 NO
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

WETLAND DETERMINATION DATA FORM - Atlantic and Gulf Coastal Plain Region
Project/Site: PNG Line 208 HDD Crossings City/County: Mintonsville/Chowan Sampling Date: 08 -Nov -17
Applicant/Owner: Piedmont Natural Gas ...._ _. _.� State: NC.___ Sampling Point: WE - Wet
Investigator(s): ]cey Lawler Section, Township, Range: S T R
Landform (hillslope, terrace, eta): Floodplain Local relief (concave, convex, none): flat Slope: 0.0% / 0.0 "
Subregion (LRR or MLRA): LRR T Lat.: 36.243252 _ Long.: -76.655233 _ _ Datum: NAD83
Soil Map Unit Name: Dorovan muck, 0-2 percent slopes, frequently flooded NWI classification: PF06Fh
Are climatic/hydrologic conditions on the site typical for this time of year? Yes O No O (If no, explain in Remarks.)
Are Vegetation ❑ , Soil ❑ , or Hydrology ❑ significantly disturbed? Are "Normal circumstances" present? Yes O No O
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 0 No O
Is the Sampled Area
Hydric Soil Present? Yes No O
Yes * No O
Wetland Hydrology Present? Yes O No O
within a Wetland?
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of 2 required)
Primary Indicators (minimum of one required; check all that apply)
❑ Surface Soil Cracks (B6)
❑ Surface Water (Al)
❑ Aquatic Fauna (B13)
❑ Sparsely Vegetated Concave Surface (B8)
❑ High Water Table (A2)
❑ Marl Deposits (B15) (LRR U)
d❑ Drainage Patterns (B10)
❑ Saturation (A3)
❑ Hydrogen Sulfide Odor (Cl)
❑ Moss Trim Lines (B16)
❑ Water Marks (B3)
d❑ Oxidized Rhizospheres along Living Roots (0)
❑ Dry Season Water Table (C2)
❑ Sediment Deposits (B2)
❑ Presence of Reduced Iron (C4)
R] Crayfish Burrows (C8)
❑ Drift Deposits (B3)
❑ Recent Iron Reduction in Tilled Soils (C6)
❑ Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (B4)
R] Thin Muck Surface (0)
❑ Geomorphic Position (D2)
❑ Iron Deposits (B5)
❑ Other (Explain in Remarks)
❑ Shallow Aquitard (D3)
❑ Inundation Visible on Aerial Imagery (B7)
❑d FAC -Neutral Test (135)
d❑ Water -Stained Leaves (B9)
❑ Sphagnum moss (D8) (LRR T, U)
Field Observations:
O O
Surface Water Present? Yes No
Depth (inches):
Water Table Present? Yes O No O
Depth (inches): 4
Yes * No O
Saturation Present?Wetland
Yes O No
Depth (inches):
Hydrology Present?
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

VEGETATION (Five/Four Strata) - Use scientific names of plants.
Dominant
C-4-1
Sapling or Sapling/Shrub Stratum (Plot size: 50 ft•. x 50 ft. )
Absolute
Rel.Strat.
Indicatc
Tree Stratum (Plot size: _50 ft. x 50 ft.-.
%Cover
Cover
Status
1. Taxodium disUchum
20
❑d 40.0%
OBL
2. Nyssa aguatka___-__.__.-..-___.
--15-
❑d 30.0%
OBL - -
3. Acer rubrum
10
❑d 20.0%
FAC
-_
4. Magnolia virginiana
-
5
❑ 10.0%
FACW
g,
0
❑ o.o%
10.
o
0
❑ o.o%
-
7.
- o-
❑ 0.0%
--
0
❑ 0.0%
Woody Vine Stratum (Plot size: )
50% of Total Cover: 25 20% of Total Cover: 10
50 = Total Cover
1. Smllax rotundifolla
Sapling or Sapling/Shrub Stratum (Plot size: 50 ft•. x 50 ft. )
0
1 . Ilex opap _
5 RI 100.0% FAC
10
0 ❑ 0.00/.
--
3. ----- -- -- _
0 ❑ o.o%
4.
0 ❑ o.o%
5.
0 ❑ 0.0%
6.
o ❑ 0.0%
- --
o ❑ o.o%
0
❑ 0.0%
50% of Total Cover: 2.5 20% of Total Cover: 1
5 = Total Cover
Shrub Stratum (Plot size: 50 ft. x 50 ft. )
0
❑ o.o%
1. Ilex opaca
10
W-50.0% FAC
2. Ugustfum slnense
10
❑d 50.0% FAC
3.
0
❑ o.o%
4.
o
❑ o.o%
5.
0
❑ 0.0%
6.
o
❑ o.o%
50% of Total Cover: 10 20% of Total Cover: 4
20
= Total Cover
Herb Stratum (Plot size:
1.
0
❑ o.o%
2.
0
_
❑ 0.0%
3.
0
_
❑ o.o%
35
FACW species
__5
5.
0
❑ o.o%
6.
0
❑ o.o%
7,
0
❑ 0.0%
$,
0
❑ 0.0%
g,
0
_
❑ 0.0% _
10.
o
❑ o.o%
50% of Total Cover: 0 20% of Total Cover: 0
0
= Total Cover
Woody Vine Stratum (Plot size: )
1. Smllax rotundifolla
10❑
50.0% FAC
2, Smilax glauca
5
❑d 25.0% FAC
3. Toxicodendron radk:ans
5
25.0% FAC
4. _-
o
EI -0.0%
5. ------------ --- -- ----
- o
❑ o.o% --
50% of Total Cover: 10 20% of Total Cover: 4
20
= Total Cover
Remarks: (If observed, list morphological adaptations below).
*Indicator suffix = National status or professional decision assigned because Regional status not defined by FWS.
Sampling Point: WE -
Dominance Test worksheet:
Number of Dominant Species
That are OBL, FACW, or FAC:
Total Number of Dominant
Species Across All Strata:
Percent of dominant Species
That Are OBL, FACW, or FAC:
9 (A)
9 (B)
100.0% (A/B)
Prevalence Index worksheet:
Total % Cover of:
MUItiDly
by:__
OBL species
35
x 1 -
35
FACW species
__5
x 2 -
- 10 ,.
FAC species
- 55
x 3 -
165
FACU species
_ U .__
x 4 =
UPL species
- 0
x 5 -
0
Column Totals:
95
(A)
210 (e)
Prevalence Index = B/A = 2.211
Hydrophytic Vegetation Indicators:
❑ 1 - Rapid Test for Hydrophytic Vegetation
❑ 2 - Dominance Test is > s0%
❑ 3 -Prevalence Index is 53.0 1
❑ Problematic Hydrophytic Vegetation 1 (Explain)
1 Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definition of Vegetation Strata:
Tree - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately
3 ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
Vegetation
Present? Yes * No O
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

r
SOIL
Sampling Point: WE - Wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth
—finches ___Qdwj ojs0--°1a._f"_1moi6t1_a ^.!W__ _. Texture
0-6 10YR 2/1 100 Muck
6-14 10YR 6/1 85 7.5YR 6/6 15 C PL Sandy Loam
I Type: C=Concentration. D=Depletion. RM=Reduced Matrix, CS=Covered or Coated Sand Grains zLocation: PL=Pore Lining. M=Matrix
Hydric Soil Indicators:
Indicators for Problematic Hydric Solls3:
❑ Histosol (A3)
❑ Polyvalue Below Surface (S8) (LRR S, T, U)
❑ 1 cm Muck (A9) (LRR 0)
❑ Histic Epipedon (A2)
❑ Thin Dark Surface (S9) (LRR S, T, U)
❑ 2 cm Muck (A10) (LRR S)
❑ Black Histic (A3)
❑ Loamy Mucky Mineral (FS) (LRR O)
❑ Reduced Vertic (1`38) (outside MLRA 150A,B)
❑ Hydrogen Sulfide (A4)
❑ Loamy Gleyed Matrix (F2)
❑ Piedmont Floodplain Soils (F19) (LRR P, S, T)
❑ Stratified Layers (AS)
❑d Depleted Matrix (9)
❑ Anomalous Bright Loamy Soils (F20) (MLRA 153B)
❑ Organic Bodies (A6) (LRR P, T, U)
❑ Redox Dark Surface (F6)
❑ Red Parent Material (TF2)
❑ 5 cm Mucky Mineral (A7) (LRR P, T, U)
❑ Depleted Dark Surface (F7)
❑ Very Shallow Dark Surface (TF12)
❑ Muck Presence (A8) (LRR U)
❑ Redox Depressions (F8)
❑ Other (Explain in Remarks)
J❑ 1 cm Muck (A9) (LRR P, T)
❑ Marl (1`10) (LRR U)
❑ Depleted Below Dark Surface (All)
❑ Depleted Ochric (Fll) (MLRA 151)
❑ Thick Dark Surface (Al2)
❑ Iron -Manganese Masses (F12) (LRR 0, P, T)
❑ Coast Prairie Redox (A16) (MLRA 150A)
❑ Umbric Surface (F13) (LRR P, T, U)
❑ Sandy Muck Mineral (S3) (LRR O, S)
❑ Delta Ochric (1`17) (MLRA 151)
❑ Sandy Gleyed Matrix (S4)
❑ Reduced Vertic (1`18) (MLRA 150A, 150B)
3Indiwtors of hydrophytic vegetation and
wetland hydrology must be present,
❑ Sandy Redox (SS)
❑ Piedmont Floodplain Soils (F19) (MLRA 149A)
unless disturbed or problematic.
❑ Stripped Matrix (S6)
❑ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
❑ Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
US Army Corps of Engineers
Hydric Soil Present? Yes (* No 0
Atlantic and Gulf Coastal Plain Region - Version 2.0

aft;,� �. i�, . ., aim-��a,'�.a� ��- t"�
—
MWN
1,41

.W ATf9O
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre -Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps?
® Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
® Yes ❑ No
For the record only for Corps Permit:
❑ Yes ® No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
®Yes ElNo
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
® Yes ❑ No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
® Yes ❑ No
2. Project Information
2a. Name of project:
PNG Line 208 Relocation at Bridge 20
2b. County:
Chowan
2c. Nearest municipality / town:
Tyner
2d. Subdivision name:
N/A
2e. NCDOT only, T.I.P. or state
project no:
N/A
3. Owner Information
3a. Name(s) on Recorded Deed:
1: Ballards Baptist Chruch; 2: Thomas Kirkpatrick; 3: David Bateman
3b. Deed Book and Page No.
1: 352/810; 2:00483/0001 ; 3:441/284
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
1: 3024 Virginia Road ; 2: 3043 Virginia Road; 3: 2935 Virginia Road
3e. City, state, zip:
Tyner, NC29780
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ® Other, specify: Utility Company
4b. Name:
Sanu Odugbesan
4c. Business name
(if applicable):
Piedmont Natural Gas
4d. Street address:
4720 Piedmont Row Drive
4e. City, state, zip:
Charlotte N.C. 28210
4f. Telephone no.:
704.731.4246
4g. Fax no.:
4h. Email address:
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
Joey Lawler, P.W.S.
5b. Business name
(if applicable):
S&ME, Inc.
5c. Street address:
9751 Southern Pine Boulevard
5d. City, state, zip:
Charlotte, N.C. 28723
5e. Telephone no.:
704.523.4726
5f. Fax no.:
704.525.3853
5g. Email address:
[e-mail]
Page 2 of 11
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
Project is a linear utility replacement project and will
occur on three separate parcels
Latitude: 36.243680 Longitude: -
1 b. Site coordinates (in decimal degrees):
76.655331
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
-- 3.01 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Indian Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
B;NSW; DWR Index No. 25-20
2c. River basin:
Chowan - 03010203
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 is located on the west side of NC Highway 32 (Virginia Road) in Tyner, Chowan County, North Carolina.
3b. List the total estimated acreage of all existing wetlands on the property:
— 0.328 acre in the project area.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Approximately 50 liner feet of Indian Creek is located the project area.
3d. Explain the purpose of the proposed project:
The NC Department of Transportation (NCDOT) is planning to replace the existing bridge (Bridge 20) over Indian Creek
(also known as Dillards Creek) on Virginia Road. PNG's Line 208 natural gas transmission pipeline is currently located
within the NCDOT right-of-way adjacent to the bridge. In order to relocate the portion of the pipe that will be in conflict
with NCDOT's project, PNG plans to relocate the aforementioned segment to a new easement located west of NCDOT's
work area. The new pipe will be installed by horizontal directional drill (HDD) which will allow for avoidance of direct
impacts to Indian Creek and the adjacent wetlands
3e. Describe the overall project in detail, including the type of equipment to be used:
The new pipe will be installed within a new 50 -foot wide permanent easement located west of Virginia Road. To minimize
impacts, only 30 feet of the new easement will be cleared and permanently maintained. The HDD rig will begin drilling a
pilot hole east to the TWS area established on the opposite side of the swamp. Different drill heads will then be used to
widen the pilot hole to a diameter sufficient to accommodate the new pipe. Specialized mud will be pumped into and
circulated through the hole in order to prevent its collapse prior to pipe insertion. The pipe that will be used for the new
line will be staged and strung in the existing farm field in the southern portion of the project area. The pipe segments will
be welded together and inspected for structural integrity, then pulled through the hole drilled by the HDD rig. Once the
pipe is pulled through, both ends will be welded to the existing pipe, and the old segment of pipe retired. Cleared portions
of temporary workspace will be allowed to naturally re -vegetate following completion of the project.
Vegetation removal within the new easement will require that mechanized timbering equipment work in the wetland area.
Equipment will work on timber mats, multiple layers of which may be required in certain areas. Timber will be hauled from
the wetland and properly disposed of at a permitted landfill. Where ground disturbance occurs, affected wetlands will be
seeded with a specialized native wetland seed mix. Areas within the proposed permanently maintained corridor that will
be cleared of woody vegetation will be maintained in an herbaceous state. Additional temporary workspaces to be
cleared will be seeded and allowed to naturally re -vegetate.
Page 3 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
❑Yes ❑ No ® Unknown
project (including all prior phases) in the past?
Comments: I
4b.
If the Corps made the jurisdictional determination, what type
El Preliminary E] Final
of determination was made?
4c.
If yes, who delineated the jurisdictional areas?
TAgency/Consultant Company:
Name (if known):
Other:
4d.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Note: Jurisdictional waters were delineated by SWE on November 8, 2017. Information related to the delineation is
included in Appendxi I.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
El Yes El No ®Unknown
this project (including all prior phases) in the past?
5b.
If yes, explain in detail according to "help file" instructions.
N/A
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ® No
6b.
If yes, explain.
N/A
Page 4 of 11
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
® Wetlands ❑ Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ®P ❑ T
WE - Perm.
Riverine Swamp
® Yes
® Corps
0.328
conversion
Forest
❑ No
® DWQ
W2 ❑ P ❑ T
® Yes
® Corps
❑ No
® DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.328
2h. Comments: Temporary disturbance will also occur in this area during clearing of the new easement, followed by
permanent maintenance, resulting in conversion of forested wetlands to herbaceous wetlands.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -(PER)
) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
3i. Comments: No stream impacts will occur.
Page 5 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number -
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts
4g. Comments: No open -water impacts will occur.
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
5b.
5c.
5d.
5e.
Pond ID
Proposed use or purpose
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
number
of pond
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
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.
❑ Neuse ❑ Tar -Pamlico ❑ Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number -
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required?
61 ❑P❑T
El Yes
❑ No
62 ❑P❑T
El Yes
❑ No
B3 ❑P❑T
El Yes
❑ No
6h. Total buffer impacts
6i. Comments: N/A
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
To minimize impacts to wetlands and avoid impacts to the creek, PNG will install the pipe via HDD methods.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Equipment operating within wetlands will be limited to that necessary for timbering and restoration activities. Equipment will
work from timber mats in areas where rutting or extensive soil disturbance is expected to occur. Appropriate sediment and
erosion control measures will be employed.
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 ❑ 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
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:
0 linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
0 square feet
4e. Riparian wetland mitigation requested:
0.328 acres
4f. Non -riparian wetland mitigation requested:
0 acres
4g. Coastal (tidal) wetland mitigation requested:
0 acres
4h. Comments: See attached letter from NC DMS (Appenbdix VI)
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.
N/A
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
❑ Yes ® No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
N/A
6h. Comments:
Page 8 of 11
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ®No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Project is a linear utility project. Easement will not result in additonal
❑ Yes ® No
imperveous surface.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
0%
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Installation of the pipe will not result in
additional impervious surface.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
N/A
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
❑ 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 ❑ No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
4a. Which of the following state -implemented stormwater management programs apply
❑ HQW
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
El Yes No
use of public (federal/state) land?
1b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ 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: N/A
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): N/A
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 is not considered "growth -inducing" in that its purpose to replace a segment of an existing utility line with a
new line of the same diameter.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Aside from hydrostatic test water, which will be discharged through a dewatering device located in high ground, the
project will not generate waste water.
Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
ElYes No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
®Yes F-1Noimpacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
® Raleigh
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
See cover letter and Appendix V.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http://ocean.floridamarine.org/efh—coral/ims/viewer.htm
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
See cover letter. A scoping letter was provided to SHPO an an archaeological assessment of the project area conducted.
No sites eligible for listing on the National Register of Historic Places were identified.
8. Flood Zone Designation (Corps Requirement)
--r8a. Will this project occur in a FEMA -designated 100 -year floodplain?
® Yes ❑ No
8b. If yes, explain how project meets FEMA requirements: The project will comply with FEMA regulations.
8c. What source(s) did you use to make the floodplain determination? Available FEMA mapping
Joey Lawler, P.W.S.L-�;?
01.10.18
Applicant/Agent's Printed Name
Date
Applican gent' Signature
' o
(Agent's signature is valid only rization letter from the applicant
isprovided.)
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version

41 r
AGENT AUTHORIZATION FORM
Date: 11.28.17
Project Information
S&ME Project Name: PNG Line 208 Replacement Projects — Bridges 20, 21 and 24
Type of Project: Natural Gas Pipeline Relocation Project
Location: NC Highway 32 (Virginia Road), Chowan / Gates Counties, NC
Property Owner/Rep Information
Business Name: Piedmont Natural Gas (PNG)
Mailing Address: 4720 Piedmont Row Drive
City, State, Zip Code: Charlotte, NC 28210
Telephone No. --701.x- "T31 42zi
Contact
San�A 0dv P1a urn PN
Agent Information
Business Name:
S&ME, Inc.
Street Address:
9751 Southern Pine Blvd
City, State, Zip:
Charlotte, NC 28273
Telephone No.
704.523.4726
Contact:
Joey Lawler, PWS
Saha �r�,ep r�In on behalf of PNG, hereby
Authorization: authorize S&ME, Inc to submit information to the US Army Corps of Engineers
(USACE), the NC Division of Water Resources (DWR) and the NC Division of
Coastal Management (DCM) pursuant to obtaining necessary environmental
permits for the project referenced above. If applicable, this also authorizes the
USACE/DWR/DCM to access the project area (PNG easement) with prior
notification for the purposes of conducting site assessment/confirming the
accuracy of the delineated boundaries.
Signature:
S&ME, INC / 9751 Southern Pine Blvd / p 704.523A726 f 704.525.3953 / wwwsmeinc.com

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Y��YMM �•
North Carolina Department of Natural and Cultural Resources
Natural Heritage Program
Governor Roy Cooper Secretary Susi H. Hamilton
NCNHDE-4645
November 6, 2017
Joey Lawler
S&ME
9751 Southern Pine Blvd
Charlotte, NC 29273
RE: Line 208 HDD - Crossing 1; Gasline relocation near Bridge 20
Dear Joey Lawler:
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, or within a one -mile radius of the project boundary.
Please note that although there may be no documentation of natural heritage elements within or near 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.
Please also 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 also not be redistributed without permission.
If you have questions regarding the information provided in this letter or need additional assistance, please
contact Rodney A. Butler at rodney.butler ncdcr.aov or 919.707.8603.
Sincerely,
NC Natural Heritage Program
MAILING ADDRESS: Telephone: [phone] LOCATION:
1651 Mail Service Center www.ncnhp.org 121 west Jones Street
Raleigh, NC 27699-1651 Raleigh, NC 27603

NCNHDE-4645: Line 208 HDD - Crossing 1
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❑ Project Boundary
❑ Buffered Project Boundary
Page 2 of 2
1:24,000
0 0.2 0.4 0.8 mi
0 0.325 0.65 1.3 km
Sources: Esn, HERE, DeLorme, Ince neap, --t P Corp., GEBCO, USGS.
FAO. NPS, NRCAN, GeoBase. IGN, Kadaster NL. Ordnance Survey. Esn Japan.
MEn. Esn China (Hong Kong), swisstopo. Mapmylnds. ® OpenStr"Wap
mnaibubrs, and the GIS User City

ar F tiF United States Department of the Interior
s FISH ANI) WILDLIFE SERVICE
Raleigh ES Field Office
,A Post Office Box 33726
4'?CM 3 �S Raleigh, North Carolina 27636-3726
November 22, 2017
Joey Lawler
S&ME Inc.
9751 Southern Pine Blvd.
Charlotte, NC 28273
Re: PNG Line 208 Replacement Projects — Chowan/Gates Counties, NC
Dear Mr. Lawler:
This letter is to inform you that the Service has established an on-line project planning and
consultation process which assists developers and consultants in determining whether a
federally -listed species or designated critical habitat may be affected by a proposed project. For
future projects, please visit the Raleigh Field Office's project planning website at
httt)s://www.M.gQv/mleigh/o. If you are only searching for a list of species that maybe
present in the project's Action Area, then you may use the Service's Information, Planning, and
Consultation System (IPaC) website to determine if any listed, proposed, or candidate species
may be present in the Action Area and generate a species list. The IPaC website may be viewed
at hUs:Hecos.fws.gov/ipac/. The IPaC web site contains a complete and frequently updated list
of all endangered and threatened species protected by the provisions of the Endangered Species
Act of 1973, as amended (16 U.S.C. 1531 et seq.)(Act), a list of federal species of concern' that
are known to occur in each county in North Carolina, and other resources.
Section 7 of the Act requires that all federal agencies (or their designated non-federal
representative), in consultation with the Service, insure that any action federally authorized,
funded, or carried out by such agencies is not likely to jeopardize the continued existence of any
federally -listed endangered or threatened species. A biological assessment or evaluation may be
prepared to fulfill that requirement and in determining whether additional consultation with the
Service is necessary. In addition to the federally -protected species list, information on the
species' life histories and habitats and information on completing a biological assessment or
evaluation and can be found on our web page at http://www.fws.gov/raleigh. Please check the
web site often for updated information or changes.
t The term "federal species of concern" refers to those species which the Service believes might be in need of
concentrated conservation actions. Federal species of concern receive n6 legal protection and their designation does
not necessarily imply that the species will eventually be proposed for listing as a federally endangered or threatened
species. However, we recommend that all practicable measures be taken to avoid or minimize adverse impacts to
federal species of concern.

If your project contains suitable habitat for any of the federally-listed species known to be
present within the county where your project occurs, the proposed action has the potential to
adversely affect those species. As such, we recommend that surveys be conducted to determine
the species' presence or absence within the project area. The use of North Carolina Natural
Heritage program data should not be substituted for actual field surveys.
If you determine that the proposed action may affect (i.e., likely to adversely affect or not likely
to adversely affect) a federally-protected species, you should notify this office with your
determination, the results of your surveys, survey methodologies, and an analysis of the effects
of the action on listed species, including. consideration of direct, indirect, and cumulative effects,
before conducting any activities that might affect the species. If you determine that the proposed
action will have no effect (i.e., no beneficial or adverse, direct or indirect effect) on federally
listed species, then you are not required to contact our office for concurrence (unless an
Environmental Impact Statement is prepared). However, you should maintain a complete record
of the assessment, including steps leading to your determination of effect, the qualified personnel
conducting the assessment, habitat conditions, site photographs, and any other related articles.
With regard to the above-referenced project, we offer the following remarks. Our comments are
submitted pursuant to, and in accordance with, provisions of the Endangered Species Act.
Based on the information provided and other information available, it appears that the proposed
action is not likely to adversely affect any federally-listed endangered or threatened species, their
formally designated critical habitat; or species currently proposed for listing under the Act at
these sites. We believe that the requirements of section 7(a)(2) of the Act have been satisfied for
your project. Please remember that obligations under section 7 consultation 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 determined that may be affected by the identified action.
However, the Service is concerned about the potential impacts the proposed action might have
on aquatic species. Aquatic resources are highly susceptible to sedimentation. Therefore, we
recommend that all practicable measures be taken to avoid adverse impacts to aquatic species,
including implementing directional boring methods and stringent sediment and erosion control
measures. An erosion and sedimentation control plan should be submitted to and approved by
the North Carolina Division of Land Resources, Land Quality Section prior to construction.
Erosion and sedimentation controls should be installed and maintained between the construction
site and any nearby down-gradient surface waters. In addition, we recommend maintaining
natural, vegetated buffers on all streams and creeks adjacent to the project site.
The North Carolina Wildlife Resources Commission has developed a Guidance Memorandum (a
copy can be found on our website at (http://www.fws.gov/raleigh) to address and mitigate
secondary and cumulative impacts to aquatic and terrestrial wildlife resources and water quality.
We recommend that you consider this document in the development of your projects and in
completing an initiation package for consultation (if necessary).
4

We hope you find our web page useful and informative and that following the process described
above will reduce the time required, and eliminate the need, for general correspondence for
species' lists. If you have any questions or comments, please contact John Ellis of this office at
[phone] ext. 26.
Sincerely,
Pet Benjamin
Field Supervisor

North Carolina Department of Natural and Cultural Resources
State Historic Preservation Office
Ramona M. Bartos, Administrator
Governor Roy Cooper
Secretary Susi H. Hamilton
November 30, 2017
Joey Lawler
S&ME, Inc.
9751 Southern Pine Boulevard
Charlotte, NC 28273
Office of Archives and History
Deputy Secretary Kevin Cherry
jlawlernsmeinc.com
Re: Piedmont Natural Gas Line 208 Relocations for 3 Bridge Replacements,
Chowan and Gates Counties, ER 17-2512
Dear Mr. Lawler:
Thank you for your submission concerning the above referenced project. We have reviewed the information
provided and offer the following comments.
Portions of the three proposed pipeline relocation project areas were surveyed for archaeological resources in
anticipation of relocating Bridges 20, 21, and 24 (NC Department of Transportation Project No. B-5507). As
a result of this work, one archaeological site (31CO189) and one historic cemetery (31CO187) were identified
within and adjacent to the subject project areas. While neither site is considered eligible for listing in the
National Register of Historic Places, the Winslow Family Cemetery (31C0187), located adjacent to Crossing
3 (Bridge 24), should be avoided by ground disturbing activities. Recorded cemeteries are treated under
Chapter 65 of the NC General Statutes.
The portions of the proposed relocation routes that have not been surveyed have a high probability for
containing unrecorded archaeological sites given their proximity to Dillard Creek, Warwick Creek, and their
tributaries. These unsurveyed areas include, specifically, the southern portion of Crossing 1, the western
portion of Crossing 2, and the southern portion of Crossing 3.
Prior to the initiation of any ground disturbing activities within the proposed project areas, we recommend a
comprehensive archaeological survey of the above specified project areas be conducted by an experienced
archaeologist. The purpose of this survey will be to identify and evaluate the significance of archaeological
remains that may be damaged or destroyed by the proposed project. Potential effects on unknown resources
must be assessed prior to the initiation of construction activities. Please note that our office now requests
consultation with the Office of State Archaeology Review Archaeologist to discuss appropriate field
methodologies prior to the archaeological field investigation. In addition, we request project plans that
indicate how cemetery 31 CO 187 will be avoided.
Location: 109 East Jones Street, Raleigh NC 27601 Mailing Address: 4617 Mail Service Center, Raleigh NC 27699-4617 Telephone/Fax: [phone]-6599

One paper copy and a digital copy of all resulting archaeological reports, as well as one paper copy and a
digital copy of the North Carolina site form for each site recorded, should be forwarded to the Office of
State Archaeology through this office for review and comment as soon as they are available and in advance
of any construction or ground disturbance activities. A list of archaeological consultants who have conducted
or expressed an interest in contract work in North Carolina is available at www.archaeology.ncdcr.gov/
ncarch/resource/consultants.htm. The archaeologists listed, or any other experienced archaeologist, may be
contacted to conduct the recommended survey.
We have determined that the project as proposed will not have an effect on any historic structures.
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 your cooperation and consideration. If you have questions concerning the above comment,
contact Renee Gledhill -Earley, environmental review coordinator, at 919-807-6579 or
environmental.review&ncdcr.gov. In all future communication concerning this project, please cite the above
referenced tracking number.
Sincerely,
Ramona M. Bartos

y
Mulgatim services
EW VIROMMENTAL QUALITY
December 12, 2017
Sanu Odugbesan
Piedmont Natural Gas
4720 Piedmont Row Drive
Charlotte, NC 28210
Project: PNG Line 208 HDD at Bridge 20
ROY COOPER
MICHAEL S. REGAN
Expiration of Acceptance: 6/12/2018
County: Chowan
The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) is willing to
accept payment for compensatory mitigation for impacts associated with the above referenced project as
indicated in the table below. Please note that this decision does not assure that participation in the DMS in -
lieu fee mitigation program will be approved by the permit issuing agencies as mitigation for project impacts.
It is the responsibility of the applicant to contact permitting agencies to determine if payment to the DMS will
be approved. You must also comply with all other state, federal or local government permits, regulations or
authorizations associated with the proposed activity including G.S. § 143-214.11.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not
received a copy of the issued 404 Permit1401 Certification/CAMA permit within this time frame, this
acceptance will expire. It is the applicant's responsibility to send copies of the permits to DMS. Once DMS
receives a copy of the permit(s) an invoice will be issued based on the required mitigation in that permit and
payment must be made prior to conducting the authorized work. The amount of the in -lieu fee to be paid by
an applicant is calculated based upon the Fee Schedule and policies listed on the DMS website.
Based on the information supplied by you in your request to use the DMS, the impacts for which you are
requesting compensatory mitigation credit are summarized in the following table. The amount of mitigation
required and assigned to DMS for this impact is determined by permitting agencies and may exceed the
impact amounts shown below.
River Basin Impact Location Impact Type Impact Quantity 1
i8-diait HUCI
Pasquotank 03010205- Riparian Wetland �^ 0.328
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The
mitigation will be performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010 and
15A NCAC 02B .0295 as applicable. Thank you for your interest in the DMS in -lieu fee mitigation program.
If you have any questions or need additional information, please contact Kelly Williams at [phone].
cc: Joey Lawler, agent
Sincerely,
J me . B Stanfill
A sef Management Supervisor
State of North Carolina I Environmental Quality 1 Mitigation Services
1652 Mail Service Center 1 Raleigb, NC 27699.1652 1 217 W. ]ones Street, Suite 3000
919 707 8976 T

Inadvertent Return Contingency Plan
Natural Gas Pipeline Relocation at Bridge 20
Chowan County, North Carolina
Introduction
Prior to initiating construction activities, PNG will confirm that the construction contractor and involved
personnel are made aware of and understand the permit and its requirements, including relevant special
conditions of the permit, monitoring of the project required by the permit, implementation of the
Contingency Plan and implementation of Best Management Practices (BMP) during phases of construction
that are designed to prevent release of sediment or deleterious substances into the creek. Additionally,
jurisdictional boundaries of the wetlands within the project area will be demarcated in the field. As
excavation of the drill pits will not occur in the wetlands, silt fencing will be established around the work
areas by the contractor prior to any other land disturbing activities on site.
Monitoring
Monitoring the project site during all phases of construction will be conducted by the contractor and PNG.
The contractor will visually inspect the project site twice daily (AM & PM) for compliance with BMPs, monitor
that work is proceeding as permitted, conditions are such that problems are not anticipated, and an
inadvertent return of drilling mud has not occurred. The contractor will also monitor the project site during
drilling operations. Inspection logs will be maintained on-site, and will contain the date and time of
inspections and will note problems, potential problems or other items of interest. Actions occurring on-site
that cause problems with the work, or a temporary stop in work, will be noted in the log. Daily photographs
will also document the progress of work, the integrity of sediment control measures and compliance with
permit conditions.
Stop Work
Upon discovery of an inadvertent return by the contractor, or notification to PNG that the release of material
or deleterious matter with potential for impacts to the creek or wetlands has occurred, the contractor will
immediately stop work. An exception to an immediate cessation of construction activities may be warranted
if such stoppage could result in unsafe conditions for workers on-site, or if stopping work would risk loss of
the drill hole, or potentially result in more harm to the environment than continuing work. However,
containment of such a release will immediately occur.
Containment
The contractor will immediately implement measures to contain the release of sediment or other deleterious
substance into the creek or wetlands. Containment measures may include silt fencing and sediment tube
installation.
Contact
Once an inadvertent return is discovered by the contractor, PNG shall notify the United States Army Corps of
Engineers (USACE) and the NC Division of Water Resources (DWR) within 48 hours.
Clean Up and Restoration
The contractor and PNG will coordinate with the USACE and DWR to determine the most effective method of
cleaning up the affected area(s) and appropriate methods for disposing of sediment or deleterious substance.
The contractor and PNG will consult and coordinate with USACE and DWR to determine the most effective
and efficient means of restoring the site, including stabilizing and re -vegetating as appropriate.

Restoration Plan
Natural Gas Pipeline Relocation at Bridge 20
Chowan County, North Carolina
The proposed project has been planned to avoid and minimize jurisdictional impacts where practicable. As
part of mitigation for unavoidable impacts, the following plan is proposed for implementation to restore
temporarily -affected wetland areas and streams. This plan entails restoration of temporarily -disturbed
wetland areas to their original contours and conditions to the degree practicable upon project completion.
Further, it specifies that these areas will be permanently stabilized with a native vegetated cover. The
measures outlined below will be reviewed with the project contractor prior to the plan's implementation.
Proposed restoration activities include removal of any temporarily -placed fill material/equipment mats and
restoration of wetland areas to their original, pre -disturbance contours. The native seed mix below will be
used in combination with a relatively rapid -germinating cover species.
Table 1: Wetland Seed Mix Species
Combination seed mix to be applied to all disturbed streambanks, extending five feet landward following construction.
Recommended application rate: 10-12 lbs. riparian seed mix plus 10-12 pounds of companion species/acre.
To provide relatively rapid establishment of cover, 50 percent of the total seed mix shall consist of perennial
rye (Lolium perenne) and/or German (foxtail) millet (Setaria italica) as companion species. Either of these
species will germinate and grow quickly, but will not interfere with development of the riparian seed mix
species.
Seed and planting materials must be from local region suppliers. Listed below are local suppliers of native
seed and plant material. S&ME does not endorse these specific suppliers; they are listed only for
informational purposes. Other local suppliers may be available and suitable.
Mellow Wetlands Farm
1312 Woody Store Road
Siler City, N.C. 27344
919.742.1200 / 919.742.1280 fax
www.mellowwetlandsfarm.com
Elymus riparius
Riverbank wild rye
20
Panicum rigidulum
Redtop Panicgrass
8
Panicum dichotomiflorum
Smooth Panicgrass
14
Carex vulpinoidea
Fox sedge
12
Panicum virgatum
Switchgrass
23
Dichanthelium clandestinum
Deer tongue
8
Bidens aristosa
Showy Tickseed Sunflower
7
Juncus effusus, NC Ecotype
Soft rush
4
Polygonum pensylvanicum
PA Smartweed
2
Sparganium amricanum
Eastern bur reed
2
100
Combination seed mix to be applied to all disturbed streambanks, extending five feet landward following construction.
Recommended application rate: 10-12 lbs. riparian seed mix plus 10-12 pounds of companion species/acre.
To provide relatively rapid establishment of cover, 50 percent of the total seed mix shall consist of perennial
rye (Lolium perenne) and/or German (foxtail) millet (Setaria italica) as companion species. Either of these
species will germinate and grow quickly, but will not interfere with development of the riparian seed mix
species.
Seed and planting materials must be from local region suppliers. Listed below are local suppliers of native
seed and plant material. S&ME does not endorse these specific suppliers; they are listed only for
informational purposes. Other local suppliers may be available and suitable.
Mellow Wetlands Farm
1312 Woody Store Road
Siler City, N.C. 27344
919.742.1200 / 919.742.1280 fax
www.mellowwetlandsfarm.com

Inadvertent Return Contingency Plan
Natural Gas Pipeline Relocation at Bridge 20
Chowan County, North Carolina
Introduction
Prior to initiating construction activities, PNG will confirm that the construction contractor and involved
personnel are made aware of and understand the permit and its requirements, including relevant special
conditions of the permit, monitoring of the project required by the permit, implementation of the
Contingency Plan and implementation of Best Management Practices (BMP) during phases of construction
that are designed to prevent release of sediment or deleterious substances into the creek. Additionally,
jurisdictional boundaries of the wetlands within the project area will be demarcated in the field. As
excavation of the drill pits will not occur in the wetlands, silt fencing will be established around the work
areas by the contractor prior to any other land disturbing activities on site.
Monitoring
Monitoring the project site during all phases of construction will be conducted by the contractor and PNG.
The contractor will visually inspect the project site twice daily (AM & PM) for compliance with BMPs, monitor
that work is proceeding as permitted, conditions are such that problems are not anticipated, and an
inadvertent return of drilling mud has not occurred. The contractor will also monitor the project site during
drilling operations. Inspection logs will be maintained on-site, and will contain the date and time of
inspections and will note problems, potential problems or other items of interest. Actions occurring on-site
that cause problems with the work, or a temporary stop in work, will be noted in the log. Daily photographs
will also document the progress of work, the integrity of sediment control measures and compliance with
permit conditions.
Stop Work
Upon discovery of an inadvertent return by the contractor, or notification to PNG that the release of material
or deleterious matter with potential for impacts to the creek or wetlands has occurred, the contractor will
immediately stop work. An exception to an immediate cessation of construction activities may be warranted
if such stoppage could result in unsafe conditions for workers on-site, or if stopping work would risk loss of
the drill hole, or potentially result in more harm to the environment than continuing work. However,
containment of such a release will immediately occur.
Containment
The contractor will immediately implement measures to contain the release of sediment or other deleterious
substance into the creek or wetlands. Containment measures may include silt fencing and sediment tube
installation.
Contact
Once an inadvertent return is discovered by the contractor, PNG shall notify the United States Army Corps of
Engineers (USACE) and the NC Division of Water Resources (DWR) within 48 hours.
Clean Up and Restoration
The contractor and PNG will coordinate with the USACE and DWR to determine the most effective method of
cleaning up the affected area(s) and appropriate methods for disposing of sediment or deleterious substance.
The contractor and PNG will consult and coordinate with USACE and DWR to determine the most effective
and efficient means of restoring the site, including stabilizing and re -vegetating as appropriate.