20201102 Ver 1_401 Application_20200827

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
April 11, 2020 Ver 3.1
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned * Version#*
20201102 1
Is a payment required for this project?*
r No payment required What amout is owed?*
r Fee received IT $240.00
r Fee needed - send electronic notification r $570.00
Reviewing Office *
Winston-Salem Regional Office - (336) 776- Select Project Reviewer*
9800 Sue Homewood:eads\slhomewood
Information for Initial Review
1a. Name of project:
May Site
1a. Who is the Primary Contact?*
Nick Creidler
1b. Primary Contact Email:*
[e-mail]
Date Submitted
8/27/2020
Nearest Body of Water
North Buffalo Creek
Basin
Cape Fear
Water Classification
WS-V, NSW
Site Coordinates
1c. Primary Contact Phone:*
[phone]
Latitude:
Longitude:
36.114934
-79.708377
A. Processing Information
County (or Counties) where the project is located:
Guilford
Is this a NCDMS Project
r Yes IT No
Is this project a public transportation project?*
r Yes IT No
1a. Type(s) of approval sought from the Corps:
W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What type(s) of permit(s) do you wish to seek authorization?

W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
39 - Commercial/Institutional Developments
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
F- 401 Water Quality Certification - E)press
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r Owner W Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
Jesse May, LLC
2b. Deed book and page no.:
2602/384
2c. Responsible party:
2d.Address
Street Address
4272 Camp Burton Road
Address Line 2
City
McLeansville
Postal / Zip Code
27303
2e. Telephone Number:
[phone]
2g. Email Address:*
paul@headv,raterenvironrriental.com
State / Province / legion
North Carolina
Country
United States
2f. Fax Number:
r- Yes r No
r Yes r No
3. Applicant Information (if different from owner)

3a. Name:
Jason Groseclose
3b. Business Name:
City Switch II -A, LLC
3c.Address
Street Address
1900 Century Place
Address Line 2
Suite 320
city
Atlanta
Postal / Zip Cote
30345
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Nick Creidler
4b. Business Name:
Headwater Environmental, Inc.
4c.Address
Street Address
1121 Military Cutoff Road, Suite C #306
Address Line 2
city
Wilmington
Postal / Zip Code
28405
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Owner Authorization.pdf
Slate / Province / legion
Georgia
Country
United States
3e. Fax Number:
State / Province / legion
North Carolina
Country
United States
4e. Fax Number:
215.77KB
C. Project Information and Prior Project History C^U
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
McLeansville
2. P2. j Project Identification
2a. Property Identification Number:
115372
2c. Project Address
Street Address
4226 Camp Burton Road
Address tine 2
city
McLeansville
Postal / Zip OxIe
27301
3. Surface Waters
2b. Property size:
7.46
Slate / Province / legion
North Carolina
Country
United States
3a. Name of the nearest body of water to proposed project:*

North Buffalo Creek
3b. Water Resources Classification of nearest receiving water:*
WS-V. NSW
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
030300020105
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
The majority of the site consists of a maintained meadow. An unnamed stream with perennial flowtransects the central portion of the site from west to east. A wooded corridor is located
along the stream. Palustrine forested (PFO) wetlands are located along the stream corridor, and palustrine emergent (PEM) wetlands extend south into the meadow. An existing access
road extends south from Camp Burton Road along the western boundary. An existing culverted stream crossing is located on the western portion of the site.
A dwelling is located on the northeastern portion of the site. The site in a rural peripheral of Greensboro. The surrounding properties are occupied by dwellings and wooded land.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
4c. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000).
SAW-2019-01884. Verbal approval obtained from Mr. Dave Bailey with the USACE. The final signed JD is pending. Sue Homewood of DWR issued a buffer determination for the site on
December 9, 2019. The perennial stream is subject to Jordan Lake Buffer rules.
Project History Upload
DWR—Stream Determination Letter_12-09-19.pdf
3.49MB
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
C4d.Topo Map.pdf
498.1 KB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
C4e.Printed Soil Map.pdf 831.41 KB
4f. List the total estimated acreage of all existing wetlands on the property:
1.9 acres
4g. List the total estimated linear feet of all existing streams on the property:
390 linear feet
4h. Explain the purpose of the proposed project:*
The proposed project includes development of a cell tower on the southwestern portion of the site. The cell tower Will aid in providing reliable cellular coverage to the rural areas
surrounding Greensboro.
There is an existing gravel access road and culverted stream crossing at the site. The cell tower pad is situated south of the stream. In order to access the cell tower for construction
and maintenance a culverted stream crossing is needed. The existing access road and stream crossing will be improved. Currently, the culvert is perched (1-2") above the ordinary
highwater mark. As such, water is seeping under the pipe. There is flow in the stream above the pipe and flow in the stream below the pipe, but no flow in the pipe.
The existing culvert is to be removed and replaced with an 18" reinforced concrete pipe (RCP) pipe. Installation of the RCP shall insure adequate flowand circulation patterns of the
stream are restored. Additional impacts to the buffer that are not already impacted by the existing gravel road shall not occur. There are no wetland impacts proposed with this project.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
A proposed cell tower will be built on the southern portion of the site in an existing upland meadow. An existing access road extends south from Camp Burton Road along the western
boundary. The proposed project will improve the access road and replace the stream crossing to allowfor improved flow of the perennial stream. The road and culvert improvements
are necessary to accommodate for the construction and maintenance of the cell tower.
The access easement will be 20' wide to accommodate for underground wiring and a 12' gravel access road. The existing 12" concrete culvert will be replaced with 40'x1.5' RCP. A
temporary inlet protection Will be installed to prevent downstream sedimentation during construction.
The proposed cell tower will be a 220' self-support tower located within a 50'x50' fenced compound. Gravel will be placed Within the fenced compound. A double rowof silt fencing will be
placed along the stream and Wetlands to protect against sedimentation during construction.
Various equipment will be used during construction and may include bulldozers, backhoes, trenching equipment, dump trucks, a crane, pile drivers, and pickup trucks. Noise impacts are
to be expected during construction and will be limited to daylight hours. Existing tree lines will provide a noise and visual buffer to surrounding areas. After construction, typical day-to-
day operation of the cell tower will not generate excess noise. Pickup trucks are expected to be used to access the site for general maintenance of the facility.
4j. Please upload project drawings for the proposed project.
C4j.Project Drawings.pdf 302.33KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes
Comments:
r No
O Unknown
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A

Corps AID Number:
SAW-2019-01884
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Nick Creidler
Agency/Consultant Company: Headwater Environmental, Inc
Other:
5d1. Jurisdictional determination upload
C5d1.JD Verification. pdf 106.35KB
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
FD. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
r Wetlands W Streams -tributaries W Buffers
r Open Waters r Pond Construction
3. Stream Impacts
F
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name * 3e. Stream Type* 3f. Type of 3g. S. width * 3h. Impact
(?) Jurisdiction* length*
Access to ro ect area Permanent Culvert Jream A ::]ff:::]oth 1;;;t;;:1
S1 P 1
31. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts: 3i. Total temporary stream impacts:
40 0
3i. Total stream and ditch impacts:
40
3j. Comments:
An existing culverted stream crossing is not functioning properly. The eAsting 12" culvert will be replaced and regraded with an 18" culvert to improve
flowof the stream. The stream crossing is necessary for construction/maintenance activities associated with cell tower development and to improve
the stream dynamics.
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
r Meuse r Tar -Pamlico
r Catawba r Randleman
r- Goose Creek P Jordan Lake
r Other
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Access Road
P
Stream A
No
0
0
6h. Total buffer impacts:
Zone 1 Zone 2
Total Temporary impacts: 0.00 0.00
Zone 1 Zone 2

Total Permanent impacts: 0.00 0.00
Zone 1 Zone 2
Total combined buffer impacts: 0.00 0.00
61. Comments:
The proposed project is utilizing an existing access road that is cleared and routinely mowed by the property owner. Additional encroachment into the
buffer is not anticipated with the proposed project. See project drawings from section C4j.
Supporting Documentation
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The proposed project is utilizing an existing access road, and stream crossing, that extends south from Camp Burton Road. The access road is
routinely mowed and maintained by the property owner. The cell tower placement was strategically placed outside of the wetlands on the southern
portion of the site. Wetland impacts have been avoided by utilizing the existing access road. The need for tree clearing has also been minimized by
utilizing the existing access road. Utilizing the existing stream crossing location, additional impacts to the stream are avoided.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The proposed access road and area beneath the cell tower will consist of gravel. Gravel was chosen because it doesn't add any impervious surface to
the site. A double row of silt fencing will be placed on the upland side of the perennial stream to reduce sedimentation during development. A
temporary inlet protection device will be installed into the stream to reduce sedimentation during the culvert replacement and improvement of the
existing stream crossing. Additional potential impacts to aquatic resources or respected buffers on site from construction activities are not anticipated.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r Yes
r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
The proposed project is utilizing an existing access road that is routinely mowed. The existing stream crossing and culvert was put in place by the property owner. At the direction of the
USACE, Ramaker (consultant to cell tower developer) is replacing the poorly functioning culvert to improve stream flow. Gravel will be used for the proposed access road which will
maintain permeability.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) u
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes
r No
What type of SCM are you providing?
r Level Spreader
r Vegetated Conveyance (lower SHWT)
r Wetland Swale (higher SMNT)
r Other SCM that removes minimum 30 % nitrogen
W Proposed project will not create concentrated stommeter flow through the buffer
Diffuse Flow Documentation
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15ANCAC 02H .1003(2)?
r Yes r No
Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?"
u
r Yes r No

2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15ANCAC 21-1.0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
Future development is not e)pected as a result of this project. Rural residential land surrounds the site.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r No r N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes r No
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
r Unknown
Si. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPaC, and 9-step self certification process.
Consultation Documentation Upload
G5j.USFWS 9-Step.May.pdf 1.59MB
G5j.IPaC Species List.pdf 182.96KB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Essential Fish Habitat Mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NC SHPO Map
7c. Historic or Prehistoric Information Upload
SHPO Map.pdf 2.42MB
8. Flood Zone Designation (Corps Requirement)

8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r' Yes f• No
8c. What source(s) did you use to make the floodplain determination?*
FEMA Online Flood Service Center: Map Panel # 3710789600J, Dated June 18, 2007
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Signature
® By checking the box and signing below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Nick Creidler
Signature
4r.� at�V-el
Date
8/27/2020

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION','
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. 1, 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.
LkwkFijer S. MA -
Print Name Additionally, by signing this document, I
Capacity: ❑✓ Owner El Authorized Agents authorize Headwater Environmental, Inc. to
?- 4, . 19 serve as my agent regarding the wetland
Date Jess May, LLC assessment.
By:
Signature Lawence B. May, Manager
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 projector perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
9 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:
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
a 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

This is not a survey All locations depicted on this figure are approximate. This Wetland Delineation was completed by Headwater
Environmental, Inc- (Headwater) on August 1, 2019. The wetland, stream, and ditch locations were recorded with the Trimble
Geo7x GPS device. Headwater recommends coordinating with the U.S. Army Corps of Engineers and North Carolina Division of
Water Resources prior to development of the site.
Wetland �.
Site 42-acres Camp e4rton
Stream A 3' x 390'
Rcy
L
ential wetland extends into
. Data was collected and
wetland was GPS'd, the
ntained pasture was not
ged.
n
Feet
0 75 150 300
1-Jeadwater
A N\.%I RN viL N fA�_ NC®
W-A25 ,' • W-A20
DP�,: W-A21
■ W-A23
r
r �
DP-2
Legend
,
F. Site boundary
I Wetland
- Perennial stream
' • Data point
■ Culvert
r=
------ Existing access road
SOURCE
ESRI
World Basemap Imagery (2018)
Date: 8/5/2019 Site Reconaissance
August 1, 2019
Prepared by: NJC I1 1 inch = 150 feet
FIGURE 7
WETLAND DELINEATION MAP
May Site
4226 Camp Burton Road
McLeansville, North Carolina
Headwater Project # 201921

y
o• ,1 - � Q
4 $�
i 1 u' 1 g��•� C
ar��
0 �
w 1
1
Q i4� v � • � n
v r
1
�/\ •••V111^JJJ
o -
°
'A .l • y N
�.l � • 1 7 14• n•
■ 11
Legend ,� S
- Site boundary Feet
0 1,000 2,000 4,000
40, SOURCE FIGURE 1
Headwater USGS LOCATION MAP
AO ENVIRONMENTAL INC. May Site
7.5-minute Topographic Quadrangle
McLeansville, North Carolina (1970) 4226 Camp Burton Road
Date: 7/17/2019 Contour Interval = 10 Feet McLeansville, North Carolina
Headwater Project # 201921
Prepared by: NJC " 1 inch = 2,000 feet

a.
k
Hh.
•� t
He '.
0
F L
6�nc
CC8
0000F
EB
ft r
# 0,
f
Legend
Site boundary
EnC
E n
40
SOURCE
Headwater IJSGS
A ENVIRONMENTAL INCH
Guilford County Printed Soil Map
Dated 1977
Date: 7/17/2019
Figure not to scale.
Prepared by: NJC a
`r
■
rt
FIGURE 2
PRINTED SOIL MAP
May Site
4226 Camp Burton Road
McLeansville, North Carolina
Headwater Project # 201921

DRAINAGE NARRATIVE:
THE PROPOSED SITE DISTURBANCE FOR THIS CELL TOWER SITE
INCLUDES A 808' ONSITE ACCESS ROAD AND TURNAROUND, A
80'X80' NON -VEHICULAR GRAVEL COMPOUND, AND THE LANDSCAPE
AREA SURROUNDING THE 80' X 80' GRAVEL COMPOUND. THE TOTAL
PROPOSED DISTURBED AREA IS 40,487.52 SF (0.929 AC). THE
TOTAL PROPOSED DISTURBANCE AREA IS LESS THAN 1 ACRE. A
GRADING PERMIT IS NOT REQUIRED.
THIS AREA IS CURRENTLY UNDEVELOPED.
THE PRE -DEVELOPMENT FLOW RATE IS BASED ON THE RATIONAL
METHOD (Q=CiA), C=0.35, i=0.304 IN/HR, A=7.47 AC FOR A
100-YR 24-HR DESIGN STORM PER NOAA ATLAS 14 POINT
PRECIPITATION DATA.
THE POST -DEVELOPMENT FLOW RATE IS CALCULATED USING THE
RATIONAL METHOD WITH A WEIGHTED 'C' VALUE OF 0.38.
THE PRE -DEVELOPMENT IMPERVIOUS COVER HAS BEEN TREATED AS
0 SF AND THE POST DEVELOPMENT IMPERVIOUS COVER IS 16,455.34
SF. THE PARENT PARCEL IS 325,257.31 SF. THE PROPOSED POST
DEVELOPMENT IMPERVIOUS COVER IS 5.1 %
Qpre = 0.795 CFS
Qpost = 0.863 CFS
THE PROPOSED DEVELOPMENT WILL RESULT IN AN INCREASE IN
STORMWATER RUNOFF OF 0.068 CFS.
WATERSHED INFORMATION:
NORTH BUFFALO CREEK
THE NORTH BUFFALO CREEK SUBWATERSHED (HUC12:
030300020105) IS IN THE REEDY FORK WATERSHED
(HUC10:0303000201) WITHIN THE HAW RIVER SUBBASIN
(HUC8: 030300002) WHICH IS A PART OF THE CAPE FEAR
RIVER BASIN (HUC6: 030300).
NOTE:
ACCESS DRIVE SHALL CONSIST OF AN
"ALL- WEATHER" GRAVEL SURFACE.
N/F
CHARLOTTE FOGLEMAN
PARCEL ID: 115371 ZONED:
AG -AGRICULTURAL
DB R 6723 PG 30
WETLAND LIMITS
EXISTING 12" RCP
EXISTING TREE
LINE /Zj
PROPOSED 80' x 80'
FENCED GRAVEL COMPOUND
PROPOSED 100' x 100'
LEASE PARCEL
PROPOSED PARKING AND
TURNAROUND AREA
PARENT TRACT
cA Alp (4 p BURT
Nq 0
60, ROgD
pqc\
/ RFIVT TR9C
T
EXISTING RCP
EXISTING OVERHEAD
POWER
F/l/
N/F
DAVID W. & SHIRLEY TATUM
PARCEL ID: 115373
ZONED: AG -AGRICULTURAL
0 N/A
PROPOSED 12' WIDE
GRAVEL ACCESS ROAD
NOTES:
1. SEE LEGEND, SITE DATA, AND GENERAL NOTES ON SHEETS
GN-1.
2. TOWER LATITUDE, LONGITUDE & ELEVATION MEET FAA"1-A"
ACCURACY REQUIREMENTS.
3. PROPOSED SELF-SUPPORT TOWER.
CENTER OF TOWER:
LATITUDE: NORTH 36°06'50.39" (36.113997) NAD 83
LONGITUDE: WEST-79°42'32.86" (-79.709128) NAD 83
GROUND ELEVATION @ 747.1' A.M.S.L.
4. THE PERPENDICULAR DISTANCES FROM THE CENTER OF
PROPOSED TOWER TO PARENT TRACT BOUNDARY LINE WERE
ESTABLISHED FROM ACTUAL FIELD MEASUREMENTS AND
OBSERVATIONS PERFORMED BY POINT TO POINT LAND
SURVEYORS 2/18/2019. AND ARE AS FOLLOWS:
NORTH: 804.3't
SOUTH: 228.6't
EAST: 197.4't
WEST: 111.8't
5. EXISTING FEATURES SHOWN ARE BASED ON FIELD SURVEY
BY POINT TO POINT LAND SURVEYORS PERFORMED ON
2/18/2019.
/ ,
PROPOSED 20' WIDE
6. THIS PLAN IS NOT A BOUNDARY SURVEY. PROPERTY
c
ACCESS & UTILITY
N/F
BOUNDARY INFORMATION SHOWN IS FOR REFERENCE ONLY.
co
EASEMENT
THE CITY OF GREENSBORO
POINT TO POINT LAND SURVEYORS DID NOT VERIFY
r
PARCEL ID: 217968
ZONED: PI -UNKNOWN
BOUNDARY AS PART OF THIS SURVEY. DEED BEARING AND
DB R 8059 PG 2437
DISTANCE IN PARENTHESIS.
7. NO WETLANDS INVESTIGATION WAS PERFORMED AS PART
PARENT PARCEL
OF THIS SURVEY.
N/F
LAWRENCE B. MAY
PARCEL ID: 115372 ZONED:
8. NO INVESTIGATION OF THE PRESENCE OF HAZARDOUS
AG -AGRICULTURAL
MATERIALS WAS PERFORMED AS A PART OF THIS SURVEY.
DB 2602 PG 384
9. UTILITIES SHOWN PER FIELD LOCATIONS FROM ABOVE
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TLAND LIMITS \ EXIST. STREAM
THE FIELD. UTILITIES THAT EXIST MAY NOT BE SHOWN.
SQ FT LEASE AREA
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PARCEL ID: 115356
ZONED: RS-30
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10. CONTRACTOR TO VERIFY POWER & TELCO DEMARCS WITH
UTILITY PROVIDERS PRIOR TO BIDDING PROJECT.
11. NO WATER, WASTEWATER, OR SEPTIC UTILITIES ARE
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FLOOD ZONE NOTE:
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AND SEALED
DOCUMENT
IT IS A VIOLATION OF LAW FOR ANY PERSON. UNLESS
THEY ARE ACTING UNDER THE DIRECTION OF A LICENSED
PROFESSIONAL ENGINEER. TO ALTER THIS DOCUMENT.
ENGINEERING
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II

United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Phone: [phone] Fax: [phone]
In Reply Refer To:
Consultation Code: 04EN2000-2020-SLI-0425
Event Code: 04EN2000-2020-E-00962
Project Name: May Site
January 02, 2020
Subject: List of threatened and endangered species that may occur in your proposed project
location, and/or may be affected by your proposed project
To Whom It May Concern:
The species list generated pursuant to the information you provided identifies threatened,
endangered, proposed and candidate species, as well as proposed and final designated critical
habitat, that may occur within the boundary of your proposed project and/or may be affected by
your proposed project. The species list fulfills the requirements of the U.S. Fish and Wildlife
Service (Service) under section 7(c) of the Endangered Species Act (Act) of 1973, as amended
(16 U.S.C. 1531 et seq.).
New information based on updated surveys, changes in the abundance and distribution of
species, changed habitat conditions, or other factors could change this list. Please feel free to
contact us if you need more current information or assistance regarding the potential impacts to
federally proposed, listed, and candidate species and federally designated and proposed critical
habitat. Please note that under 50 CFR 402.12(e) of the regulations implementing section 7 of the
Act, the accuracy of this species list should be verified after 90 days. This verification can be
completed formally or informally as desired. The Service recommends that verification be
completed by visiting the ECOS-IPaC website at regular intervals during project planning and
implementation for updates to species lists and information. An updated list may be requested
through the ECOS-IPaC system by completing the same process used to receive the enclosed list.
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

01/02/2020 Event Code: 04EN2000-2020-E-00962
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
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.
Please be aware that bald and golden eagles are protected under the Bald and Golden Eagle
Protection Act (16 U.S.C. 668 et seq.), and projects affecting these species may require
development of an eagle conservation plan (http://www.fws.gov/windenergy/
eagle_guidance.html). Additionally, wind energy projects should follow the wind energy
guidelines (http://www.fws.gov/windenergy/) for minimizing impacts to migratory birds and
bats.
Guidance for minimizing impacts to migratory birds for projects including communications
towers (e.g., cellular, digital television, radio, and emergency broadcast) can be found at: http://
www.fws.gov/migratorybirds/CurrentBirdlssues/Hazards/towers/towers.htm; http://
www.towerkill.com; and http://www.fws.gov/migratory birds/CurrentBirdlssues/Hazards/towers/
comtow.html.
Not all Threatened and Endangered Species that occur in North Carolina are subject to section 7
consultation with the U.S Fish and Wildlife Service. Atlantic and shortnose sturgeon, sea
turtles,when in the water, and certain marine mammals are under purview of the National Marine
Fisheries Service. If your project occurs in marine, estuarine, or coastal river systems you should
also contact the National Marine Fisheries Service, http://www.nmfs.noaa.gov/
We appreciate your concern for threatened and endangered species. The Service encourages
Federal agencies to include conservation of threatened and endangered species into their project
planning to further the purposes of the Act. Please include the Consultation Tracking Number in
the header of this letter with any request for consultation or correspondence about your project
that you submit to our office. If you have any questions or comments, please contact John Ellis
of this office at [e-mail].

01/02/2020 Event Code: 04EN2000-2020-E-00962
Attachment(s):
• Official Species List

01/02/2020 Event Code: 04EN2000-2020-E-00962
Official Species List
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
[phone]

01/02/2020 Event Code: 04EN2000-2020-E-00962
2
Project Summary
Consultation Code: 04EN2000-2020-SLI-0425
Event Code: 04EN2000-2020-E-00962
Project Name: May Site
Project Type: COMMUNICATIONS TOWER
Project Description: A proposed cell tower is to be constructed in the field on the southern
portion of the site. An existing stream crossing on the central portion of
the site will be improved to allow for construction and maintenance of the
cell tower facility.
Project Location:
Approximate location of the project can be viewed in Google Maps: https:
www.google.com/maps/place/36.1147281195935lN79.70845808293197W
Q4n,"
Counties: Guilford, NC

01/02/2020 Event Code: 04EN2000-2020-E-00962 3
Endangered Species Act Species
There is a total of 2 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheriesi, as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
Flowering Plants
NAM L STATUS
Schweinitz's Sunflower Helianthus schweinitzii Endangered
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/3849
Small Whorled Pogonia Isotria medeoloides Threatened
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/1890
Critical habitats
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECTAREA UNDER THIS OFF ICE'S
JURISDICTION.

May Site
9-Step Process
McLeansville, Guilford County, North Carolina
Headwater Project #201921 B
Step 1: Action Area
To determine the action area, mark the project footprint on a topographic map. Identify the range
of impacts such as; ground disturbance, changes in water quality and quantity, air quality, lighting
effects, and noise disturbance.
The proposed cell tower will be located on the southern portion of the site. An existing stream
crossing will be improved as part of the project. A stream is located within a wooded area on the
central portion of the site. A wetland surrounds the stream and extends south into the grassy field.
Silt fencing shall be used to minimize sediment laden stormwater runoff during construction.
Therefore, adverse impacts to the streams or ditches are not anticipated.
Step 2: Species List
Use the USFWS Information, Planning, and Consultation (IPaC) system to determine if any listed,
proposed, or candidate species may be present in the action area.
Headwater utilized the IPaC system to obtain a copy of the federally listed threatened and
endangered species for Guilford County. A copy of the official species list is enclosed with this
report. Additionally, a query of the USFWS threatened and endangered species by county was
completed. Based on our assessment of the on -site conditions, Headwater did not identify areas
of potential habitat for the federally listed threatened and endangered species.
Step 3. State Coordination
Determine whether a documented occurrence of any listed, proposed, or candidate species is
within the action area by contacting the NHP.
On January 2, 2020, Headwater performed a query of the NHP database. Headwater's query of
the NHP database indicated there are no records for rare species, important natural communities,
natural areas, or conservation/managed areas within the project boundary.
Step 4: Suitable Habitat
Determine whether listed/proposed/candidate species may occur based on the habitat present
within the action area for each species on the species conclusion table. Review the species
information provided in IPaC, and the information provided by NHP, to determine whether the
action area contains suitable habitat for each species.
A review of the federally listed threatened and endangered species is detailed on pages 3 and 4
of this report. Based on our assessment of the on -site conditions, Headwater did not identify areas
of potential habitat for the federally listed threatened and endangered species.
According to NHP, there are no biological occurrences mapped within the site boundary.
Step 5: Critical Habitat
There is no critical habitat present within the action area.
Step 6: Eagle Protection
The bald eagle (Haliaeetus leucocephalus) is protected by the Bald and Golden Eagles Protection
Act (the Eagle Act). The Eagle Act protects the bald from take and disturbance.

An adult bald eagle (Haliaeetus leucocephalu) has a white head, white tail, and large yellow bill;
the remaining plumage is dark brown. Immature individuals are generally dark brown with light
splotching. Bald eagles are a large bird of prey with a five to seven -foot wingspan. Breeding and
roosting habitat is generally located near large bodies of water; such as, coastal areas, bays,
rivers, lakes, etc. The bald eagle constructs large nests in tall mature trees or cliffs. Tree species
vary greatly and include pines and hardwoods. The same nest may be used year after year.
Winter roost sites vary in their proximity to food sources. Bald eagles are an adaptable species,
and their habitat can be found throughout the United States.
Headwater did not observe bald eagle roosts, nor is there sufficient feeding grounds for the bald
eagle within the proposed action area.
Step 7: Northern long-eared bat (NLEB)
The USFWS: Raleigh Field Office requires this species be taken into consideration due to
relatively recent rise of "white nose syndrome" in this bat population.
The northern long-eared bat (Myotis septentrionalis) is 3 to 3.7 inches long with a wingspan of
nine to 10 inches. They are dark brown, with a pale underside. As its name suggests, this bat
distinguishes itself by its long ears. In winter, the northern long-eared bats spend winter in caves
and mines. In summer, the northern long-eared bat roosts underneath bark and cavities of trees.
This bat has also been found roosting in barns and sheds. Northern long-eared bats emerge at
dusk to feed. They primarily fly through the understory of forested areas feeding on moths, flies,
leafhoppers, caddisflies, and beetles, which they catch while in flight using echolocation or by
gleaning motionless insects from vegetation.
According to USFWS records, the NLEB is not known to be present in Guilford County. Wooded
land is located on the central portion of the site. Potential roost trees are present within the
wooded area.
Step 8: Determinations
Refer to Species Conclusion table on the following page.
Step 9: Project Review Package
A courtesy copy of our Biological Assessment has been provided to the USFWS. Additional
correspondence with the USFWS is not warranted at this time.
K

United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Phone: [phone] Fax: [phone]
In Reply Refer To:
Consultation Code: 04EN2000-2020-SLI-0425
Event Code: 04EN2000-2020-E-00962
Project Name: May Site
January 02, 2020
Subject: List of threatened and endangered species that may occur in your proposed project
location, and/or may be affected by your proposed project
To Whom It May Concern:
The species list generated pursuant to the information you provided identifies threatened,
endangered, proposed and candidate species, as well as proposed and final designated critical
habitat, that may occur within the boundary of your proposed project and/or may be affected by
your proposed project. The species list fulfills the requirements of the U.S. Fish and Wildlife
Service (Service) under section 7(c) of the Endangered Species Act (Act) of 1973, as amended
(16 U.S.C. 1531 et seq.).
New information based on updated surveys, changes in the abundance and distribution of
species, changed habitat conditions, or other factors could change this list. Please feel free to
contact us if you need more current information or assistance regarding the potential impacts to
federally proposed, listed, and candidate species and federally designated and proposed critical
habitat. Please note that under 50 CFR 402.12(e) of the regulations implementing section 7 of the
Act, the accuracy of this species list should be verified after 90 days. This verification can be
completed formally or informally as desired. The Service recommends that verification be
completed by visiting the ECOS-IPaC website at regular intervals during project planning and
implementation for updates to species lists and information. An updated list may be requested
through the ECOS-IPaC system by completing the same process used to receive the enclosed list.
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

01/02/2020 Event Code: 04EN2000-2020-E-00962
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
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.
Please be aware that bald and golden eagles are protected under the Bald and Golden Eagle
Protection Act (16 U.S.C. 668 et seq.), and projects affecting these species may require
development of an eagle conservation plan (http://www.fws.gov/windenergy/
eagle_guidance.html). Additionally, wind energy projects should follow the wind energy
guidelines (http://www.fws.gov/windenergy/) for minimizing impacts to migratory birds and
bats.
Guidance for minimizing impacts to migratory birds for projects including communications
towers (e.g., cellular, digital television, radio, and emergency broadcast) can be found at: http://
www.fws.gov/migratorybirds/CurrentBirdlssues/Hazards/towers/towers.htm; http://
www.towerkill.com; and http://www.fws.gov/migratory birds/CurrentBirdlssues/Hazards/towers/
comtow.html.
Not all Threatened and Endangered Species that occur in North Carolina are subject to section 7
consultation with the U.S Fish and Wildlife Service. Atlantic and shortnose sturgeon, sea
turtles,when in the water, and certain marine mammals are under purview of the National Marine
Fisheries Service. If your project occurs in marine, estuarine, or coastal river systems you should
also contact the National Marine Fisheries Service, http://www.nmfs.noaa.gov/
We appreciate your concern for threatened and endangered species. The Service encourages
Federal agencies to include conservation of threatened and endangered species into their project
planning to further the purposes of the Act. Please include the Consultation Tracking Number in
the header of this letter with any request for consultation or correspondence about your project
that you submit to our office. If you have any questions or comments, please contact John Ellis
of this office at [e-mail].

01/02/2020 Event Code: 04EN2000-2020-E-00962
Official Species List
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
[phone]

01/02/2020 Event Code: 04EN2000-2020-E-00962
2
Project Summary
Consultation Code: 04EN2000-2020-SLI-0425
Event Code: 04EN2000-2020-E-00962
Project Name: May Site
Project Type: COMMUNICATIONS TOWER
Project Description: A proposed cell tower is to be constructed in the field on the southern
portion of the site. An existing stream crossing on the central portion of
the site will be improved to allow for construction and maintenance of the
cell tower facility.
Project Location:
Approximate location of the project can be viewed in Google Maps: https:
www.google.com/maps/place/36.1147281195935lN79.70845808293197W
Q4n,"
Counties: Guilford, NC

01/02/2020 Event Code: 04EN2000-2020-E-00962 3
Endangered Species Act Species
There is a total of 2 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheriesi, as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
Flowering Plants
NAM L STATUS
Schweinitz's Sunflower Helianthus schweinitzii Endangered
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/3849
Small Whorled Pogonia Isotria medeoloides Threatened
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/1890
Critical habitats
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECTAREA UNDER THIS OFF ICE'S
JURISDICTION.

U.S. Fish & Wildlife Service
ECOS
ECOS / Species Reports / Species By County Report
Species By County Report
The following report contains Species that are known to or are believed to occur in this county. Species with
range unrefined past the state level are now excluded from this report. If you are looking for the Section 7
range (for Section 7 Consultations), please visit the IPaC application.
County: Guilford, North Carolina A CSV
Need to contact a FWS field office about a species? Follow this link to find your local FWS Office.
Recovery Recovery
Lead Recovery Plan Action Plan
Group Name Population Status Office Plan Status Stage
Clams Atlantic pigtoe Wherever Proposed Assistant
(Fusconaia found Threatened Regional
mason►) Director -
Ecological
Services
Fishes Roanoke Wherever Endangered Virginia Roanoke Implementation Final
logperch found Ecological Logperch Progress
(Percina rex) Services
Field
Office
Fishes Cape Fear Wherever Endangered Raleigh Cape Fear Implementation Final
shiner found Ecological Shiner Progress
(Notropis Services
mekistocholas) Field
Office
Flowering Small whorled Wherever
Plants pogonia found
(Isotria
medeoloides)
Threatened New Small
England Whorled
Ecological Po
gonia
Services
Field
Office
Implementation Final
Progress Revision
1
Flowering Schweinitz's Wherever Endangered Asheville Schweinitz's Implementation Final
Plants sunflower found Ecological Sunflower Progress
(Helianthus Services
schweinitzh) Field
Office

■ ■■■ Roy Cooper. Governor
00 0 NC DEPARTMENT OF Susi Hamilton, Secretary
■■L■■ NATURAL AND CULTURAL RESOURCES
IN won Walter Clark, Director, Land and Water Stewardship
NCNHDE-11024
January 2, 2020
Nick Creidler
Headwater Environmental, Inc
1844 Sir Tyler Drive
Wilmington, NC 28405
RE. May Site, 201921B
Dear Nick Creidler:
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide
information about natural heritage resources for the project referenced above.
Based on the project area mapped with your request, a query of the NCNHP database indicates that
there are no records for rare species, important natural communities, natural areas, and/or
conservation/managed areas within the proposed project boundary. Please note that although there
may be no documentation of natural heritage elements within the project boundary, it does not
imply or confirm their absence, the area may not have been surveyed. The results of this query
should not be substituted for field surveys where suitable habitat exists. In the event that rare
species are found within the project area, please contact the NCNHP so that we may update our
records.
The attached `Potential Occurrences' table summarizes rare species and natural communities that
have been documented within a one -mile radius of the property boundary. The proximity of these
records suggests that these natural heritage elements may potentially be present in the project area
if suitable habitat exists. Tables of natural areas and conservation/managed areas within a one -mile
radius of the project area, if any, are also included in this report.
If a Federally -listed species is found within the project area or is indicated within a one -mile radius of
the project area, the NCNHP recommends contacting the US Fish and Wildlife Service (USFWS) for
guidance. Contact information for USFWS offices in North Carolina is found here:
https://www.fws.gov/offices/Directory/ListOffices.cfm?statecode=37.
Please note that natural heritage element data are maintained for the purposes of conservation
planning, project review, and scientific research, and are not intended for use as the primary criteria
for regulatory decisions. Information provided by the NCNHP database may not be published
without prior written notification to the NCNHP, and the NCNHP must be credited as an information
source in these publications. Maps of NCNHP data may not be redistributed without permission.
The NC Natural Heritage Program may follow this letter with additional correspondence if a
Dedicated Nature Preserve, Registered Heritage Area, Clean Water Management Trust Fund
easement, or Federally -listed species are documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance,
please contact Rodney A. Butler at rodnev.butlerWncdcr.aov or 919-707-8603.
Sincerely,
NC Natural Heritage Program
DEPARTMENT OF NATURAL AND CULTURAL RESOVRCES
121 W. JONES STREET. RALEIGH. NC 27603 • 16S1 MAIL SERVICE CENTER, RALEIGH. NC 27699
& OFC g19.707.9120 • FAX [phone]

Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One -mile Radius of the Project Area
May Site
Project No. 20192113
January 2, 2020
NCNHDE-11024
No Element Occurrences are Documented Within a One -mile Radius of the Project Area
No Natural Areas are Documented Within a One -mile Radius of the Project Area
Managed Areas Documented Within a One -mile Radius of the Project Area
Managed Area Name Owner Owner Type
National Guard Armory Readiness Center NC Department of Public Safety State
Guilford County Open Space Guilford County. multiple local government Local Government
Guilford County Open Space Guilford County. multiple local government Local Government
Guilford County Open Space Guilford County. multiple local government Local Government
Guilford County Open Space Guilford County. multiple local government Local Government
NC Department of Transportation Mitigation Site NC Department of Transportation State
Definitions and an explanation of status designations and codes can be found at httr)s://ncnhde.natureserve.org/content/helr). Data query generated on January 2, 2020; source: NCNHP, Q4 Oct 2019.
Please resubmit your information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database.
Page 2 of 3

NCNHDE-11024: May Site
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January 2, 2020
Project Boundary
Buffered Project Boundary
E] Managed Area (MAREA)
1:22,187
0 0.175 0.35 0.7 mi
0 0.3 0.6 12 km
Sources: Esri, HERE, Garmin, Intermap, increment P Corp., GEBCO, USGS,
FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey, Esri Japan,
METI, Esri China (Hong Kong), (c) OpenStreetMap contributors, and the GIS
User Community
Page 3 of 3

Species Conclusions Table
Project Name: May Site
Date: January 3, 2020
Species / Resource Name
Conclusion
ESA Section 7 / Eagle Act Determination
Notes / Documentation
The on -site stream has fair water quality and likely
Atlantic pigtoe
experiences siltation during rain events. Fish, which
(Fusconaia masoni)
Species not present
No effect
assist in reproduction of the Atlantic pigtoe, were not
observed within the stream.
Roanoke logperch
A medium to large stream is not present on site.
(Percina rex)
Species not present
No effect
Habitat for the Roanoke logperch is not present.
The on -site stream lacks a gravel or coble substrate.
Cape Fear shiner
Species not present
No effect
Therefore, potential habitat for the Cape Fear shiner
(Notropis mekistocholas)
is not present.
The wooded area on -site has a dense canopy and
Small whorled pagonia
understory dominated by shrubs and saplings. A
(Isotria medeoloides)
Species not present
No effect
relatively open understory required by the small
whorled pagonia is not present.
Open fields that are routinely mowed are located on
the northern and southern portions of the site.
Schweinitz's sunflower
The southern portion of the site consisted of dense
(Helianthus schweinitzii)
Species not present
No effect
woods before it was timbered in 2014/2015.
The Schweinitz's sunflower was not observed
during the reconnaissance.
Headwater did not observe bald eagle roosts
Bald Eagle
Not likely to disturb bald
No effect. No Eagle Act permit required.
bounding the proposed action area nor is there
(Haliaeetus leucocephalus)
eagle nesting
sufficient feeding area in the surrounding areas.
Mature trees are present on the central portion of the
Northern Long Eared Bat (Myotis
Species not present
No effect
site. According to the USFWS, the NLEB is not known
septentrionalis)
to be present in Guilford County.
Federally designated critical habitat is not known to
Critical habitat
No critical habitat present
No effect
exist within the vicinity of the site.
Acknowledgement: I agree that the above information about my proposed project is true. I used all of the provided resources to make an informed
decision about impacts in the immediate and surrounding areas.
Signature: President, Headwater Environmental, Inc. Date: January 9, 2020

CiT OF' lye' E' AN A ELMCI w
ys WE
United States Department of the Interior
FISH AND WILDLIFE SERVICE
ARCH 3 adg rr .
Raleigh Field Office
P.O. Box 33726
Raleigh, NC 27636-3726
Date:
January 9, 2020
Self -Certification Letter
Project Name
May Site
Dear Applicant:
Thank you for using the U.S. Fish and Wildlife Service (Service) Raleigh Ecological
Services online project review process. By printing this letter in conjunction with your
project review package, you are certifying that you have completed the online project
review process for the project named above in accordance with all instructions
provided, using the best available information to reach your conclusions. This letter,
and the enclosed project review package, completes the review of your project in
accordance with the Endangered Species Act of 1973 (16 U.S.C. 1531-1544, 87 Stat.
884), as amended (ESA), and the Bald and Golden Eagle Protection Act (16 U.S.C.
668-668c, 54 Stat. 250), as amended (Eagle Act). This letter also provides
information for your project review under the National Environmental Policy Act of
1969 (P.L. 91-190, 42 U.S.C. 4321-4347, 83 Stat. 852), as amended. A copy of this
letter and the project review package must be submitted to this office for this
certification to be valid. This letter and the project review package will be maintained
in our records.
The species conclusions table in the enclosed project review package summarizes
your ESA and Eagle Act conclusions. Based on your analysis, mark all the
determinations that apply:
,.no effect" determinations for proposed/listed species and/or
❑✓ proposed/designated critical habitat; and/or
❑ "may affect, not likely to adversely affect" determinations for proposed/listed
species and/or proposed/designated critical habitat; and/or
❑ "may affect, likely to adversely affect" determination for the Northern long-
eared bat (Myotis septentrionalis) and relying on the findings of the January 5,
2016, Programmatic Biological Opinion for the Final 4(d) Rule on the
Northern long-eared bat;
❑ "no Eagle Act permit required" determinations for eagles.

Applicant Page 2
We certify that use of the online project review process in strict accordance with the
instructions provided as documented in the enclosed project review package results in
reaching the appropriate determinations. Therefore, we concur with the "no effect" or
,.not likely to adversely affect" determinations for proposed and listed species and
proposed and designated critical habitat; the "may affect" determination for Northern
long-eared bat; and/or the "no Eagle Act permit required" determinations for eagles.
Additional coordination with this office is not needed. Candidate species are not
legally protected pursuant to the ESA. However, the Service encourages consideration
of these species by avoiding adverse impacts to them. Please contact this office for
additional coordination if your project action area contains candidate species.
Should project plans change or if additional information on the distribution of
proposed or listed species, proposed or designated critical habitat, or bald eagles
becomes available, this determination may be reconsidered. This certification letter is
valid for 1 year. Information about the online project review process including
instructions, species information, and other information regarding project reviews
within North Carolina is available at our website http://www.fws.gov/raleigh/pp.html.
If you have any questions, you can write to us at Raleighgfws.gov or please contact
Leigh Mann of this office at 919-856-4520, ext. 10.
Sincerely,
/s/Pete Benjamin
Pete Benjamin
Field Supervisor
Raleigh Ecological Services
Enclosures - project review package

GF1827 I W!I lams House
Site ID
GF1827
Status
SO
Site Name
Williams House
Description
Notes
Possibly mislacated?
Local Status
None
Year Survey
Year Survey Updated
HD status
None
DOE report or Local Link
County
Gu i (ford
Quad Name
McLeansville
Township
Jefferson
Density
L
Location
1256 Rankin Mill Rd McLea
Photo Link
Spatial Accuracy
Latitude
36.114354
Longitude
-74.71364D
Internal