20181273 Ver 1_Pre-Filing Meeting Request_20200923

ID#* 20181273
Version* 1
Regional Office* Central Office - [phone]
Reviewer List* Erin Davis
Pre -Filing Meeting Request submitted 9/23/2020
Contact Name *
Contact Email Address*
Project Name*
Project Owner*
Project County*
Owner Address:
Bug Headwaters Mitigation Site
[e-mail]
Bug Headwaters Mitigation Site
Lin Xu, NC Division of Mitigation Services
Wilkes
Street Address
217 West Jones Street
Address Line 2
Suite 3000A
aty
Raleigh
Rbstal / Zip Code
27603
Is this a transportation project? * r Yes r No
State / Frovince / Region
NC
Country
United States
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - F 401 Water Quality Certification -
Regular Express
r- Individual Permit F Modification
r- Shoreline Stabilization
Does this project have an existing project ID#?*
r Yes r No
Please list all existing project ID's associated with this projects.*
2018-1273
Do you know the name of the staff member you would like to request a meeting with?
Erin Davis
Please give a brief project description below.*
The project proposes to restore and enhance on -site streams to generate
stream mitigation units for the North Carolina Department of Environmental
Quality Division of Mitigation Services.

Please give a couple of dates you are available for a meeting.
10/5/2020
Please attach the documentation you would like to have the meeting about.
Pre -Construction Notification (PCN) Form.pdf 158.39KB
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
• This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
• I understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
• I also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature
) � 4,
Submittal Date 9/23/2020
Reviewer Meeting Request Decision
Is a meeting Required?* r Yes r No

DWR
Division of Water Resources
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
September 1, 2020 Ver 3.2
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all mandatory questions are answered.
Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right -click on the document and you can print a copy of the form.
Below is a link to the online help file.
https://edoes. deq. n e.gov/WaterResou rces/0/ed oc/624704/PCN % 20 Help / 20F i le / 202018-1-30. pdf
A. Processing Information (:)
County (or Counties) where the project is located:*
Wilkes
Is this a NCDMS Project*
F Yes r No
Click Yes, only if NCDlvS is the applicant a co -applicant.
Is this project a public transportation project?
O Yes F No
This is arry publicly funded by m ricipal,state a federal funds road, rail, airport transportatim project.
1a. Type(s) of approval sought from the Corps:*
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
❑ Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1 b. What type(s) of permit(s) do you wish to seek authorization?
P Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
This form may be used to initiate the standard/individual permit process with the Corps. Please contact your Corps representative concerning submittals for standard permits. All required items that
are not provided in the E-PCN can be added to the miscellaneous upload area located at the bottom of this form.
1c. Has the NWP or GP number been verified by the Corps?*
Yes r No
Nationwide Permit (NWP) Number: 27 - Restoration
NWP Numbers (for multiple NWPS):
List all NJVnurbers ycw are applying fa not cn the drop dawn list.
1d. Type(s) of approval sought from the DWR:*
check all that apply
W 401 Water Quality Certification - Regular ❑ 401 Water Quality Certification - Express
r Non-404 Jurisdictional General Permit ❑ Riparian Buffer Authorization
r Individual Permit
le. Is this notification solelyfor the record because written approval is not required?
.............................................. .................... ....................
*
For the record onlyfor DWR 401 Certification: 6 Yes 6 No
For the record onlyfor Corps Permit:
1f. Is this an after -the -fact permit application?*
r Yes F No
6 Yes 6 No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
If so, attach the acceptance letter from ratigadon bank a in -lieu fee program
r Yes E No
Acceptance Letter Attachment

Click the upload button a drag and drop files here to attach docunent
RLEiYFEMUSTBEFDF
1 h. Is the project located in any of NC's twenty coastal counties?*
F Yes r• No
1j. Is the project located in a designated trout watershed?*
C Yes (-- No
Link to trout information: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx
B. Applicant Information
la. Who is the Primary Contact?*
Jeff Keaton
1c. Primary Contact Phone:*
1b. Pri mary Contact Email:*
(xxx)xxx-xxxx
[e-mail]
[phone]
1d. Who is applying for the permit?
r Owner
PF Applicant (other than owner)
(Check all that apply)
le. Is there an Agent/Consultant for this project?*
r- Yes r No
2. Owner Information
2a. Name(s) on recorded deed:*
Horace Randle Wood
2b. Deed book and page no.:
Book 1156 Pg 106
2c. Responsible party:
(for Corporations)
2d. Address*
Street Address
PO Box 9
Address Line 2
Qty
State / Aovince / Pegicn
Thurmond
North Carolina
Fbstal / Zp Code
Country
28683
Unites States
2e. Telephone Number:*
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:*
Gaye Swaim
2b. Deed book and page no.:
Book 687 Pg 367
2c. Responsible party:
(for Corporations)
2d. Address*
Street Address
2330 King Billings Road
Address Line 2
Qty
State / Aovince / Pegicn
Traphill
North Carolina
Postal / Zp Code
Country
28685
United States
2e. Telephone Number:*
(xxx)xxx-xxxx
[phone]

2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
.... ........................ ..................
2a. Name(s) on recorded deed:*
Clyde Cothren
2b. Deed book and page no.:
Not Available
2c. Responsible party:
(fa Corporations)
David Cothren (Brother, Clyde is deceased)
2d. Address*
Street Address
2195 King Billings Road
Address Line 2
Oty
State / Aovince / P gicn
Traphill
North Carolina
Postal / Zp Code
Country
28685
United States
2e. Telephone Number:*
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:*
Larry D. Gambill
2b. Deed book and page no.:
Book 1078 Pg 389
2c. Responsible party:
(fa Corporations)
2d. Address*
Street Address
5233 Traphill Road
Address Line 2
Oty
State / Aovince / P gicn
Traphill, NC
North Carolina
Postal / Zp Code
Country
28568
United States
2e. Telephone Number:*
(xxx)xxx-xxxx
[phone]
2f. Fax Number:
(xxx)xxx-xxxx
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:*
Lin Xu
3b. Business Name:
(d applicable)
NCDEQ -DMS
3c. Address*

Street Address
217 W. Jones St, Suite 3000A
Address Line 2
Oty
State / Aovince / Regim
Raleigh
North Carolina
Postal / Zp Code
Country
27603
United States
3d. Telephone Number:*
[phone]
3e. Fax Number:
(xxx)xxx-xxxx
(xxx)xxx-xxxx
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:*
Charlie Neaves
4b. Business Name:
(d applicable)
Wildlands Engineering, Inc.
4c. Address*
Street Address
312 W Millbrook Rd
Address Line 2
Suite 225
Oty
State / Aovince / Regim
Raleigh
North Carolina
Postal / Zp Code
Country
27709
United States
4d. Telephone Number:*
[phone]
4e. Fax Number:
(xxx)xxx-xxxx
(xxx)xxx-xxxx
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Rease provide the Agent Aulhorizabw Letter if you are subrrittng the dmurrent.
combined LOAs.pdf
RLEiYFEMUSTBEFDF
C. Project Information and Prior Project History
1. Project Information
1a. Name of project:*
Bug Headwaters Mitigation Site
1b. Subdivision name:
(d appropriate)
631.16KB
1c. Nearest municipality / town:
*
Traphill, NC
2. Project Identification l^J
2a. Property Identification Number:
(tax RN a parcel ID)
2b. Property size:
1902517, 1902520, 4914-31-4177, 1900344,
(in acres)
1903195
22.77
2c. Project Address
Street Address
8600 Austin Traphill Rd
Address Line 2
Oty
State / Aovince / Regim
Traphill
NC
Postal / Zp Code
Country
28685
United States

2d. Site coordinates in decimal degrees
Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey -grade GPS device) after the decimal place as appropriate, based on howthe location was
determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.)
Latitude:* Longitude:*
36.320698-80.984329
ex: 34.208504-77.796371
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Big Bugaboo Creek
3b. Water Resources Classification of nearest receiving water:*
C
Surface Water Lookup
3c. What river basin(s) is your project located in?*
Yad kin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.*
030401010601
River Basin Lookup
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 site is located in a rural watershed and land surrounding the project is used for grazing cattle and rowcrop production. Cattle access to surface waters has led to stream incision,
erosion, and reduced habitat quality. Riparian buffers are sparse or absent.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?
r Yes F No r Unknown
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)
Oickthe upload button a drag and drop files here to attach dccurrent
USGS_Topo.pdf 1.3MB
File type crust be pdr
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)
Oickthe upload button a drag and drop files here to attach dccurrent
Soils Map.pdf 652.01 KB
File type crust be pdr
4f. List the total estimated acreage of all existing wetlands on the property:
6.61
4g. List the total estimated linear feet of all existing streams on the property:
(intermittent and pffenrral)
7953.23
4h. Explain the purpose of the proposed project:*
The purpose of the proposed project is to provide stream mitigation credits in the Yadkin River 03040101 service area. Mitigation practices will include stream restoration, stream
enhancement I, stream enhancement 11, and riparian buffer planting.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:
Stream restoration will involve excavation of a new channel that is designed to be functional and stable. Stream dimension, pattern, and profile have been designed to allowfrequent
overbank flows, a stable bed with variable bed forms using in -stream structures, well vegetated bank slopes, a well connected floodplain, and improvements to aquatic habitat.
Enhancement I treatment entails adding structure to the channel bed, localized reshaping of channel dimensions, and cutting floodplain benches to provide energy relief. Enhancement
11 reaches are generally stable and activities will consist of riparian planting, livestock exclusion, and localized bank repairs. The project area will be placed in a conservation easement
to protect to project in perpetuity. Native trees and herbaceous plants will be planted on the stream banks and floodplain. Excavators and bulldozers will be used for channel
excavation/filling and floodplain grading. Off road dump trucks will be used for hauling soil.
4j. Please upload project drawings for the proposed project.
Oickthe upload button a drag and drop files here to attach dccurrent
ImpactFigures.pdf 1.88MB
File type crust be pdr
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the propertyor proposed impact areas?*
6 Yes C No O Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*

O Preliminary O Approved O Not Verified O Unknown f N/A
Corps AID Number:
Ecarme: SAW-2017-99999
SAW-2018-01788
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Charlie Neaves
Agency/Consultant Company: Wildlands Engineering, Inc.
Other:
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR.
USACE PJD 6/21 /2020
5d1. Jurisdictional determination upload
Oickthe upload button a drag and drop files here to attach docurrent
SAW-2018-01788_NCDMS-Bug HeadwatersMitSite_PJD.pdf 2.64MB
File type crust be FLF
6. Future Project Plans
6a. Is this a phased project?*
r Yes E 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? This
includes other separate and distant crossing for linear projects that require Department of the Army authorization but don't require pre -construction notification.
D. Proposed Impacts Inventory V
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
Q Wetlands ❑i 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.
"W." will be used in the table below tore present the word "wetland".
2a1 Reason*(?)
2b. Impact type*(?)
2c. Type of W.*
2d. W. name*
2e. Forested*
2f. Type of
Jurisdicition*(?)
2g. Impact
area*
W1
Channel Relocation
P
Headwater Forest
Wetland A
Yes
Both
0.060
(acres)
W2
Haul Road, Floodplain
T
Headwater Forest
Wetland A
Yes
Both
0.251
Grading
(acres)
W3
Channel Relocation
P
Headwater Forest
Wetland B
No
Both
0.022
(acres)
W4
Haul Road, Floodplain
T
Headwater Forest
Wetland B
No
Both
0.011
Grading
(acres)
W5
Channel Relocation,
P
Headwater Forest
Wetland C
No
Both
0.099
Pond Removal
(acres)
W6
Haul Road, Floodplain
T
Headwater Forest
Wetland C
No
Both
0.114
Grading
(acres)
Channel Relocation
P
Headwater Forest
Wetland D
No
Both
0.002
(acres)
W8
Floodplain Grading
T
Headwater Forest
Wetland D
No
Both
0.007
(acres)
W9
Channel Relocation
P
Headwater Forest
Wetland E
No
Both
0.005
(acres)
W10
Haul Road, Floodplain
T
Headwater Forest
Wetland E
No
Both
0.018
Grading
(acres)
W11
Channel Relocation
P
Headwater Forest
Wetland F
No
Both
0.360
(acres)
W12
Haul Road, Floodplain
T
Headwater Forest
Wetland F
No
Both
0.130
Grading
(acres)

W13
Bank Grading
T
Headwater Forest
Wetland G
No
Both
0.002
(acres)
W14
Channel Relocation I
Headwater Forest
Wetland H
Yes
Both
0.143
(acres)
W15
Floodplain Grading
T
Headwater Forest
Wetland H
Yes
Both
0.467
(acres)
W16
Channel Relocation I
Headwater Forest
Wetland I
No
Both
0.029
(acres)
W17
Haul Road, Floodplain
T
Headwater Forest
Wetland I
No
Both
0.074
Grading
(acres)
W18
Floodplain Grading
T
Headwater Forest
Wetland J
No
Both
0.016
(acres)
W19
Channel Relocation
P
Headwater Forest
Wetland K
No
Both
0.008
(acres)
W20
Haul Road, Floodplain
T
Headwater Forest
Wetland K
No
Both
0.033
Grading
(acres)
W21
Channel Reloacation
P
Headwater Forest
Wetland L
Yes
Both
0.004
(acres)
W22
Floodplain Grading
T
Headwater Forest
Wetland L
Yes
Both
0.004
(acres)
W23
Chanel Relocation
P
Headwater Forest
Wetland M
Yes
Both
0.001
(acres)
W24
Floodplain Grading
T
Headwater Forest
Wetland M
Yes
Both
0.004
(acres)
W25
Pond Removal
P
Headwater Forest
Wetland N
Yes
Both
0.307
(acres)
W26
Channel Relocation
P
Bottomland Hardwood Forest
Wetland O
Yes
Both
0.004
(acres)
W27
Haul Road, Floodplain
T
Bottomland Hardwood Forest
Wetland O
Yes
Both
0.085
Grading
(acres)
W28
Channel Relocation
P
Headwater Forest
Wetland Q
No
Both
0.006
(acres)
W29
Floodplain Grading
T
Headwater Forest
Wetland Q
No
Both
0.022
(acres)
2g. Total Temporary Wetland Impact
1.238
2g. Total Permanent Wetland Impact
1.050
2g. Total Wetland Impact
2.288
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites impacted.
"S." will be used in the table below to represent the word "stream".
3a. Reason for impact*(')
3b.lmpact type *
3c. Type of impact*
3d. S. name *
3e. Stream Type*
Type of
3g.S. width*3h.Impact
M
L3f.
risdiction*
length*
S1
Restoration/Enhancement
Permanent
Other
BigBugaboo Creek
9
Perennial
Both
11
2,846
Average (feet)
(linear feet)
S2
Restoration
Permanent
Relocation
UT1
Intermittent
Both
12
380
Average (feet)
(linear feet)
S3
Restoration/Enhancement
Permanent
Other
UT2
Perennial
Both
9
1,326
Average (feet)
(linear feet)
S4
Temporary Crossing
Temporary
Other
UT2
Perennial
Both
5
17
Average (feet)
(linear feet)
S5
Restoration
Permanent
Relocation
UT2A
Intermittent
Both
5
466
Average (feet)
(linear feet)
S6
Enhancement
Permanent
Bank Stabilization
UT2B
Perennial
Both
4
41
Average (feet)
(linear feet)

S7
Restoration
Permanent
Relocation
UT3
Perennial
Both
7
843
Average (feet)
(linear feet)
SS
Enhancement 7
Permanent
Other
UT4
Perennial
Both
2
8
Average (feet)
(linear feet)
S9
Restoration 7
Permanent
Other
UT5
Intermittent
Both
5
15
Average (feet)
(linear feet)
S10
Restoration 7
Permanent
Other
UT67
Intermittent
Both
2
79
Average (feet)
(linear feet)
** All Perennial or Intermittent streams must be verified by DWR or delegated local government.
3i. Total jurisdictional ditch impact in square feet:
3i. Total permanent stream impacts:
6,004
3i. Total temporary stream impacts:
17
3i. Total stream and ditch impacts:
1852
3j. Comments:
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. Site#*(?) 4a1.ImpactReason 4b.Impact type*(?) r-Name of wate rbody d.Activitytype* 4e.Waterbodytype* 4f.Impact
area*
01
Stream Restoration
P
Pond A
Dewatering
Pond
2.97
(aces)
02
Stream Restoration
P
Pond B
Dewatering
Pond
2.16
(aces)
4g. Total temporary open water Impacts:
0.00
4g. Total permanent open water impacts:
5.13
4g. Total open water impacts:
5.13
4h. Comments:
E. Impact Justification and Mitigation CA)
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:*
Stream restoration activities will introduce fill to existing stream channels but are designed to have an overall positive impact. Stream impacts will be
avoided and minimized to protect reaches that exhibit less instability and incision. These reaches are generally proposed for enhancement II. Stream
alignments for restoration and enhancement I reaches were designed to avoid existing wetlands as much as possible. Unavoidable impacts to
wetlands are due to floodplain grading or conversion of wetland to stream channel.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:*
Restoration will involve construction of offline channel sections which will minimize sedimentation to aquatic systems during construction. Newly
constructed channel banks will be stabilized using biodegradable coir fiber matting and seeded and planted with native riparian vegetation. Temporary
construction crossings will be minimized. Construction practices will follow guidelines from the NC Erosion and Sediment Control Planning and Design
Manual.
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 F No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Projects authorized under NWP 27 are exempt from compensatory mitigation.
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington District's RIBITS website.

F. Stormwater Management and Diffuse Flow Plan (required by DWR)
*** Recent changes to the stormwater rules have required updates to this section .***
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
For a list of options to meet the diffuse flow requirements, click here.
If no, explain why:
The Yadkin 03040101 basin is not regulated by NC Riparian Buffer Protection Rules.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
O Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)? *
r Yes r No
To look up lowdensity requirement click here 15A NCAC 02H .1003(2).
Comments:
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
1 b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
r Yes r No
1c. If you answered "yes" to the above, has the document review been finalized bythe State Clearing House? (If so, attach a copyof the NEPAor SEPAfinal approval letter.)*
r Yes r No
NEPAor SEPAFinal Approval Letter
Oickthe upload button a drag and drop files here to attach docurrent
RLEiYFE MUST BE FDF
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .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 c No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) 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.
Development is explicitly prohibited in within the conservation easement, and the project is not expected to encourage nor facilitate future
development.
4. Sewage Disposal (DWR Requirement)
4a.Issewage disposal required by DWR for this project?*
0Yes 0No0N/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.
Asheville
5d. Is another Federal agency involved?*
r Yes F No
5e. Is this a DOT project located within Division's 1-8?*
r Yes G No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?*
G Yes r No
5g. Does this project involve bridge maintenance or removal?*
r Yes E No
Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-1,0-17-signed_NLEB-SLOPESRapps.pdf
5h. Does this project involve the construction/installation of a wind turbine(s)?'*
f Yes F No
f Unknown
5i. 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 F No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?*
USFWS and NC Natural Heritage Program databases were utilized. Correspondence is included in the Categorical Exclusion. Approximately 1.1 acres
of grading will occur in currently forested areas. Some tree removal will be required for grading but impacts to trees will be minimized.
Consultation Documentation Upload
Oickthe upload button a drag and drop files here to attach docurrent
File type crust be FLF
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes (-- No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Essential Fish Habitat Mapper was utilized. USFWS and NCWRC were contacted regarding fish and wildlife issues associated with the proposed
project. No concerns were identified regarding essential fish habitat. Correspondence is included in the Categorical Exclusion.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.neder.gov/hpoweb/
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 (e.g., National Historic
Trust designation or properties significant in North Carolina historyand archaeology)?*
c- Yes
(-- No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NCSHOP was contacted regarding presence of historical properties or cultural resources within the project area. SHPO commented that they were
aware of no historic or cultural resources that would be affected by the project. Correspondence is included in the Categorical Exclusion.
7c. Historic or Prehistoric Information Upload
Click the upload button a drag and drop files here to attach docurrent
File must be FLF
8. Flood Zone Designation (Corps Requirement)
Link to the FEMAFloodplain Maps: https://rrse.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain? *
c- Yes
( No
8c. What source(s) did you use to make the floodplain determination?*
FIRM panel 3710490400J and 3710490200J
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
Oickthe upload button a drag and drop files here to attach docurrent
File must be FLF a IQvI7
Signature
V

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:*
Jeff Keaton
Signature *
070e
Date
9/22/2020