20210161 Ver 1_ePCN Application_20210124

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
October 26, 2020 Ver 3.3
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?*
C Yes r No
Change only if needed.
BIMS # Assigned
20210161
Is a payment required for this project?*
r No payment required
r Fee received
r Fee needed - send electronic notification
Select Project Reviewer*
Sue Homewood:eads\slhomewood
Information for Initial Review
la. Name of project:
COURTESY COPY- Avalee, Martin Mill, and Lowery LS Upgrades
1a. Who is the Primary Contact?*
Courtney Driver
1b. Primary Contact Email:*
courtneyd@cityofv,s.org
Date Submitted
1 /24/2021
Nearest Body of Water
West Belews Creek
Basin
Roanoke; Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude: Longitude:
36.173431-80.147798
A. Processing Information
County (or Counties) where the project is located:
Forsyth
Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?*
r Yes r No
la. 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)
Version#*
1
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
1c. Primary Contact Phone:*
[phone]
U
Has this PCN previously been submitted?*

r Yes
r No
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: 12 - Utility Lines
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
r 401 Water Quality Certification - Regular
W Non-404 Jurisdictional General Permit
r Individual Permit
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR401 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?
O Yes r No
B. Applicant Information
1d. Who is applying for the permit?
W Owner r 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:
Various (see plans) - Easements to be acquired by City -County Utilities Dept
2b. Deed book and page no.:
2c. Responsible party:
Courtney Driver
2d.Address
Street Address
101 North Main Street
Address Line 2
City
Winston Salem
Postal / Zip Code
27101
2e. Telephone Number:
[phone]
2g. Email Address:*
State / Province / Region
NC
Country
USA
2f. Fax Number:
r Yes r No
r Yes r No

[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Philip May
4b. Business Name:
Carolina Ecosystems, Inc.
4c.Address
Street Address
PO Box 41
Address Line 2
city
Lewisville
Fbstal / Zip Code
27023
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Agent Authorization_Environmental_2020-07-10.pdf
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Walkertown
2. Project Identification
2a. Property Identification Number:
Various - see plans
2c. Project Address
Street Address
Avalee Street
Address tine 2
City
Walkertown
Prxtal / Zip Code
27051
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
West Belews Creek
3b. Water Resources Classification of nearest receiving water:*
C
3c. What river basin(s) is your project located in?*
Roanoke
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030101030304,030401011304
4. Project Description and History
State / Rovince / Fbgion
NC
Country
USA
4e. Fax Number:
2b. Property size:
11.1
State / Province / Fbgion
NC
Country
USA
705.43KB
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 primarily along existing sewer corridor in a suburban area. It contains some forested areas and roadsides. The land use in the vicinity of the project is primary suburban
development vtth farm fields and some commercial areas.
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
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)
Avalee_Fig2_USGS. pdf
2.16MB
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)
Avalee_Fig4_NRCS.pdf 253.5KB
4f. List the total estimated acreage of all existing wetlands on the property:
0.39 acre
4g. List the total estimated linear feet of all existing streams on the property:
115 linear feet of intermittent stream and 1,143 linear feet of perennial stream
4h. Explain the purpose of the proposed project:*
The purpose of the project is to improve existing sewer infrastructure serving Walkerton, reducing likelihood of failures or overlfows, and accommodate the growing population of the
Triad region.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project runs along Main Street and New Street in Walkertown, NC. It then runs adjacent to West Belews Creek and connects to an existing pump station at the end of Avalee Street.
The proposed project consists of approximately 4,750 linear feet of sewer line replacement. The project will replace an existing 6-inch pipe with 8-inch pipe.
The proposed project would have 9 stream crossings and 5 wetland crossings. Impact details can be seen on Figure 5 (attached). The proposed temporary stream impacts would
constitute a total of 316 linear feet. The project would also have a total of 0.042 acre of temporary wetland impact and 0.013 acre of permanent wetland impact, with no loss of Waters of
the US. All permanent wetland impacts are associated with the clearing and conversion of forested wetlands into herbaceous wetlands within the proposed maintenance/access corridor.
Forested wetlands within the limits of disturbance but outside of the proposed access corridor would be cleared for construction and then allowed to regenerate forest vegetation. All
impact areas will be returned to existing grade after installation of the waterline with the exception of manholes per the plans attached.
Sediment and erosion control measures would be implemented according to NC requirements, and approved by NCDEMLR prior to implementation. Jurisdictional areas adjacent to
construction areas would be clearly marked with protection fencing or other similar methods to avoid inadvertent encroachment. Copies of permits and impact areas would be provided
to the prime contractor and all subcontractors working in or near jurisdictional areas. Land clearing would take place along with installation of erosion control devices. Construction
would be accomplished using typical equipment including excavators and backhoes for trench construction. Additional standard equipment may be used as required.
4j. Please upload project drawings for the proposed project.
Pages for PCN DWG_AVALEE, MARTIN MILL, AND LOWERY LS UPGRADES.pdf 1.38MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
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-2020-01221
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Preston Butler and Matt Harrell
Agency/Consultant Company: Carolina Ecosystems, Inc.
Other:
O Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
Preliminary jurisdiction determination is dated 09/10/2020.
5d1. Jurisdictional determination upload
SAW-2020-01221 (signed PJD).pdf 3.9MB
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?
� D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries r Buffers
r Open Waters r Pond Construction

2. Wetland Impacts
2at Reason (?)
2b. Impact type * (?)
2c. Type of W.
2d. W. name *
2e. Forested*
2C Type of
Jurisdicition*(?)
2g. Impact
area*
W1
Wetland Conversion
P
Headwater Forest
WB
Yes
Corps
0.011
(acres)
W2
Pipeline Installation
T
Headwater Forest
WB
Yes
Corps
0.02t
(acres)
W3
Wetland Converstion
P
Headwater Forest
WC
Yes
Corps
0.002
(acres)
W4
Pipeline Installation
T
Headwater Forest
WC
Yes
Corps
0.012
(acres)
ff
Pipeline Installation
T
Headwater Forest —A
WG
ff
Corps
0.004
---]
(acres)-
2g. Total Temporary Wetland Impact
0.042
2g. Total Wetland Impact
0.055
2g. Total Permanent Wetland Impact
0.013
2h. Comments:
Wetland WG is herbaceous and therefore, all impacts associated with it are considered temporary.
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type *
3c. Type of impact*
3d. S. name*
Type*
3f. Typeof3h.
Impact
❑
�e;Stream
Jurisdiction*
length*
81
Pipeline Installation
Temporary
Stabilization JSA
Intermittent
Corps
2
52
Aver�e(feet)
(lin�rfeet)
$2
Pipeline Installation
Temporary
Stabilization
West Belem Creek
Perennial
Corps
6
34
Average (feet)
(lir�rfeet)
S3
Pipeline Installation
Temporary
Stabilization
SC
Perennial
Corps
3
31
Average (feet)
(lir�rfeet)
�
Pipeline Installation
p
Tem orar
p y
Stabilization
SD
Intermittent
Corps
2
29
Average (feet)
(linearfeet)
S5
Pipeline Installation
Temporary
Stabilization
SE
Perennial
Corps
3
31
Average (feet)
(linearfeet)
S6
Pipeline Installation
Temporary
Stabilization
SF
Perennial
Corps
3
33
Average (feet)
(lir�rfeel)
37
Pipeline Installation
Temporary
Stabilization
SG
Perennial
Corps
3
44
Average (feet)
(lir�rfeet)
gg
Pipeline Installation
Temporary
Stabilization :Test
Belews Creek
Perennial
Corps
6
31
Average (feet)
(lir�rfeel)
S9
Pipeline Installation
Temporary
Stabilization
SH
Perennial
Corps
4
31
Average (feet)
(linearfeet)
3i. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts: 31. Total temporary stream impacts:
0 316
31. Total stream and ditch impacts:
316
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The proposed sewer is designed to cross jurisdictional areas at a perpendicular angle while also paralleling roadsides and ebsting corridors to limit
impacts to already disturbed areas as much as possible. Limits of disturbance of the project are being minimized through jurisdictional areas, including
temporary construction access areas, and the maintained corridor is limited to 10 feet Wide.

1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
A temporary pump -around would be utilized to dewater streams within proposed impact areas during construction (see attached engineering details).
Best management practices and sedimentation and erosion control methods will be used throughout construction. No equipment or maintenance
activities wall occur adjacent to jurisdictional areas, with the exception of addressing emergency equipment failure. All temporary impacts to
jurisdictional wetlands and streams during construction will be returned to their original configuration and seeded in a timely manner for stabilization.
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:
Total permanent impact to wetlands is less than 0.10 acre and does not typically require mitigation under a NWP 12. The permanent impact will result in conversion rather than loss of
aquatic resources.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) 61
1. Diffuse Flow Plan
la. 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
If no, explain why:
The project is located in the Roanoke River Basin and Yadkin -Pee Dee River Basin. Both basins are not identified as having buffers under the 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?*
r 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
Comments:
The project is a sewer infrastructure project with impervious areas limited to manholes. No significant generation of stormwater is anticipated.
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?*
r Yes r No
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 (North Carolina)
Environmental Policy Act (NEPA/SEPA)?*
r Yes f• No
Comments:
Local government funds will be used to construct the project, which does not meet the criteria required for the preparation of an environmental
document under SEPA.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15ANCAC 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 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.
No additional development is anticipated to result from the project as there is no anticipated change in service area.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor WA
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated
at a treatment plant, list the capacity available at that plant.
This project is part of the epsting City -County sewer infrastructure, with sufficient treatment capacity available.

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
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 r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS Information for Planning and Conservation online mapper. Accessed 1/4/2021.
NCNHP Data Explorer online mapper. Accessed 1/4/2021.
See attached NCNHP Site Report.
Consultation Documentation Upload
project_report _avalee_ sewer _ improvements_28113_28113.pdf 1 MB
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?*
hftps://vmw.fisheries. noaa. gov/resou rce/ma p/esse ntia I -fish -habitat -ma ppe r
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?*
HPOWEB Map Service hftp://gis.ncdcr.gov/hpoAeb/
There are not historic properties on the site, however there are two properties adjacent to the site on westernmost end of the site. These properties,
FY0448 House and FY 0449 House, are both survey only and not listed in the National Register. The closest property listed in the National Register
(FY 0455) is approximately 630 feet north of the site.
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8c. What source(s) did you use to make the floodplain determination?*
Forsyth County FEMA GIS floodplain mapping, North Carolina Floodplain Mapping Program
hftp://v wv.nefloodrmps.cony
Miscellaneous
Comments
Please note that in the first section under 1 d, the Non-404 Jurisdictional General Permit box is checked. This is NOT valid as all resources are 404 Jurisdictional. This box was checked
as the project does not require notification to DWR, but the appropriate box generated the 30-day pre -filing meeting request requirement, that should not be necessary for a courtesy
notification. Please let me know if you have any questions regarding this.
Miscellaneous attachments not previously requested.
Avalee_Fig1_Vicinity.pdf 471.65KB
Avalee_Fig3_Features.pdf 3.91 MB

Signature u
R By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• 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:
Philip May
Signature
Date
1 /24/2021

�p1 CAROLINA
ECOSYSTEMS
3040 NC Hwy 42 West; Clayton, NC 27520
P:919-359-1102 — F:919-585-5570
PROPERTY ACCESS AND AGENT AUTHORIZATION FORM
Property Information
Property Address
and/or Description Avalee St
Parcel Identification
Number(s) (PIN) Various. Existing City of Winston Salem/Forsyth County Utility Easement.
City: Walkertown State: NC County: Forsyth Property Size (Acres): 11.05
Property Owner Information
Owner: ® Authorized Agent*: ❑
Name: Winston-Salem / Forsyth County Utilities Commission
Title: Courtney Driver, P.E., Utilities Director
Street Address: 101 North Main Street
City: Winston-Salem State: NC Zip Code: 27101
*Written proof of authorization from owner required.
Authorization
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do authorize
representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon the property herein
described for the purpose of conducting on -site investigations and issuing a determination associated with Waters of the
U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors
Act of 1899.
Additionally, I hereby grant Carolina Ecosystems, Inc. (CEI) staff, their designated contractors and representatives, as
well as other Federal, State or local authorities access to the above referenced property when necessary for the purposes of
conducting on -site environmental consulting services. I also grant CEI the authority to act as authorized agent on behalf of
the owner of the above listed property for the communication, submission, and/or application to relevant government
entities, including local, state, and federal authorities, for the review, acceptance, concurrence, and/or approval of
environmental information, documents, and/or permit requests concerning the above listed property. These services may
include regulatory determinations of environmental features on my property such as issuing a determination associated
with streams and wetlands. I certify that I am the legal owner or authorized agent of the legal owner of the above property
and have authority to grant such access. I have made CEI aware of, and supplied all available records related to, previous
environmental investigations on the subject property of which I have knowledge.
Owner/Agent (signature) Date 7/10/2020

r�
Latitude: 36.173431 / Longitude:-80.147798
Forsyth County, NC
s
N Study Corridor Avalee Force Main
ECAROL,INA RiverBasin Boundary Forsyth County, NC
ECOSYSTEMS ouny Miles
0 0.5 1 Sheet Limits
Figure 1: Vicinity Map
February 2020
�.i USGS Named Stream

NOW OR FORMERLY
PIN 6858-94-5155
HENRY M. READ,
JR.
DEED BOOK 2077,
PAGE 231@
POSSIBLE EX. SSMH
NOT ACCESSIBLE
UNDER PAVEMENT
EX. CURB INLET
TOP OF CURB 996.00'
GRATE 995.39'
INV. IN (W) 992.7'
INV. IN (S) 991.9'
INV. OUT 991.8'
ABANDON EX. FM AND
�
CASING IN PLACE. FILL FM
J
AND CASING UNDER ROAD
WITH FLOWABLE FILL.
w
EX. 34 LF OF 12'
,n
CASING PIPE
0-)
?
EX. DROP INLET
I
GRATE 995.89:
INV. OUT 994.28
NI
NOW OR FORMERLY EXISTI
❑ 5"
NOW OR FORMERLY
PIN 6858-94-8133
NANCY CREWS MORETZ AND SALLIE C.
JOHNSON
DEED BOOK 2488, PAGE 4046
THE T. A. CREWS HEIRS
PLAT BOOK 16, PAGE 90
r RECEMNG PIT
(SEE DETAIL 33-23/MD-1.0)
45' RJ BEND
r 8' DIP FM
T­6
I sS 0 ss ) SS-12ss 0 ss
FM -
FO�`
PIN 6858-93-5964 1-STOR
EX. 121 RCP
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SANDRA E. BRAHAM FRAME
tj o'
Z
I I
X
w
DEED BOOK 2261, PAGE 2419 HOUSE
N
PROPOSED
o
PERMANENT
w
45' RJ BEND
EASEMENT
_ _
1O'X30' BORE PIT
(SEE 33-23/MD-1.0)
I
85 LF BORE
/1
J 1
PROPOSED TEMPORARY
_v
A EL
I
�
�I
UNDER ROAD
J
EASEMENT
z
I
(SEE DETAIL
=
PROPOSED PERMANENT 1
33-22/MD-1.0)
Q
EASEMENT
z
_
45' RJ BEND
Q
LA. UUR6 INLET
w
TOP OF CURB 996.22'
EX. SSMH
I I
GRATE 995.51'
RIM. 996.75
INV. OUT 992.5'
SHELF 991.07
C/L INV. 990.37
I
11�
NOW OR FORMERLY
PIN 6858-93-8837
\
CLYDE P. WEBSTER
NOW OR FORMERLY
\
EED BOOK 824,
PAGE 105
PIN 6858-93-5865
JERRY G. WHITE AND CAROLYN
\
�
MCGEE MILLER
1 \\
\y PLUG EX.
6" FM
DEED BOOK 3156, PAGE 1935
I�
i
\\ \ W/CONCRETE PLUG
NOTE:
1. RESTORE ALL DRMINAYS TO
EXISTING CONDITIONS OR
BETTER. REFER TO DETAIL C-3/SD-1.0 FOR ASPHALT
DRVEWAY REPAIR.
2. ANY WATER METERS IN CONFLICT
WITH FM SHALL BE
RELOCATED TO ROW.
3. FM SHALL MAINTAIN UPHILL
SLOPE THROUGH CASING
PIPE TO DISCHARGE
19.1.1.1
45' RJ BEND
1;.45' RJ BEND
6 "CEDAR
NOW OR FORMERLY NOW OR FORMERLY
PIN 6868-04-2157 PIN 6868-04-4167
CODY R. ATKINS AND WIFE NOW OR FORMERLY WILLIAM T. TEDDER
NOW OR FORMERLY HALEY R. ATKINS I PIN 6868-04-3147 I DEED BOOK 834, PAGE 320
NOW OR FORMERLY 1 PIN 6868-04-0186 I I DEED BOOK 3483, PAGE 3971 HAROLD G. SHULL AND WIFE THE T. A. CREWS HEIRS EX. SLAB -TOP YARD
PIN 6858-94-9187 OBERT LEE PRESNELL AND WIFE THE T. A. CREWS HEIRS ANN I. SHULL PLAT BOOK 16, PAGE 90 INLET
AVERY GALE PRESNELL TOP OF SLAB 963.2'f
NANCY CREWS MORETZ AND w PLAT BOOK 16, PAGE 90 DEED BOOK 2438, PAGE 2676 EX. DROP INLET '
DEEDrB00K 2445, PAGE 2680 ' ' INLET WEIR 962.64
SALLIE C. JOHNSON c� THE T. A. CREWS HEIRS
T. A. CREWS HEIRS GRATE 980.07' INV. IN 961.22'
T
DEED BOOK 2964, PAGE 2849 P �T BOOK 16, PAGE 90 M INV. 971.45 PLAT BOOK 16, PAGE 90 INV. IN 978.79'
THE T. A. CREWS HEIRS IINV. OUT 961.2'f
PLAT BOOK 16, PAGE 90 0 Ctf BENCH MARK I INV. OUT 978.75'
INV. 958.59'
c(o EX. HYDRANT EX. CONCRETE J
Q INV. 977.99
EX. 6" DIP FM & J , , ; TOP OPERATING HEADWALL w NV. 964.10 , �<v"
>
8" VCP GRAVITY BOLT 975.46' ] I
c�
NOW OR FORMERLY
PIN 6868-04-6127
RHOEDONA G. HESTER
DEED BOOK 1153, PAGE 1534
BENCH MARK
EX. HYDRANT
TOP OPERATING
BOLT 955.51'
INV. 950.49'
EX. 24" OAK
TREE
SEWER V) INV. 977.42 c�
EX. 12" Q , INV. 964.58 INV. 964.24 INV. 957.16'
INV. 973.16 INV. 971.32 x x ❑w -
INV. 974.63 x w <v -
DECIDUOUS TREE X w - �- - �o
/
-�- - � _ _ _ - oPITCH,-'
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G
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\ w NEWS ET (TOWN) � \ ) _ �- EX. BRICK ) J �h
/ F /
s
-;z-- ss -
1 RCP
`NOW OR FORMERLY
PIN 6858-93-8936 \
CLYDE P. WEBSTER
DEED BOOK 824, PAGE 105
EX. DROP INLET
GRATE 986.60'
INV. IN 985.22'
INV. OUT 985.16'
EX. ASPHALT/CONCRETE
DRIVEWAY
EX. PLANTER WALL
EX. SLAB -TOP
YARD INLET
TOP OF SLAB 990.00'f
INLET WEIR 989.51'
UNABLE TO INSPECT INVERT,
PIPE CONNECTION ASSUMED
7 2 000 60' PUBIC R/W / 6' / MAIL
- FM FM - FM -Q,� - 0) FM FM - FM - FM - FM FM FM FM 'FM
FM"ss s s s ss ss ss ss ss_ s S S ss ss/-
SS -
SS S Ss - SSi�lss
-
s - SS SS- s
5+0
-ss- ss- S - Ss ss SS SS
SS -
+50 l / RIP
_ -„+50
�5+
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1 RC
12' P
�-0rr�
H -
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L
0 r
$H
a
EX. DROP INLET
Q
Q
INV. 966.48'
GRATE 982.09'
>
EX. DROP INLET
j
w
INV. IN (W) 980.48'
I
o
GRATE 980.07
I o
EX. SMALL SLAB -TOP
EX.
SLAB -TOP
INV. IN S 980.38'
( )
J
INV. IN 978.79'
J
t
YARD INLET
YARD
TOP OF SLAB 978.7 f
INLET
Q
=
INV. OUT 980.43'
Q
_
INV. OUT 978.75
Q
=
Q
=
TOP
NO INVERT INFORMATION
OF SLAB 976.4'f
»
EX. 12 CMP
INLET WEIR 975.78'
Q
Q
INV. 980.53'
EX. SEWER SERVICE
Q
Q
NO
INVERT INFORMATION
X
X
X
CLEANOUT (TYP.)
X
w
w
w
EX. SSMH
w
w
I
I
NOW OR FORMERLY I
NOW OR FORMERLY
RIM. 982.87
I
NOW OR FORMERLY
PIN 6868-03-2961
PIN 6868-03-3961
SHELF 978.25
NOW OR FORMERLY
PIN 6868-03-1970
KAY B. GOODE AND
WILLIAM CURTIS BOVNDER
C/L INV. 977.95
PIN 6868-03-1970
KAY B. GOODE AND
JERRY P. GOODE
DEED BOOK 3369, PAGE 247
EX. LANDSCAPING
KAY B. GOODE AND
JERRY P. GOODE DEED
BOOK 3044, PAGE 1032
JERRY P. GOODE
DEED
BOOK 2934, PAGE 3206
EX. SSMH
NOW OR FORMERLY
DEED
BOOK 2934, PAGE
3206
PIN 6868-93-9980
46
RIM. 961.60
LESTER JAMES CASE
SHELF 961.60
DEED
BOOK 2934, PAGE 3206
C/L INV. 961.10
PLAN - STA. 00+00 TO 11 +50
I[.1.1.> 0=11
SCALE: 1 " = 40'
965
-
Q
Q
�
�
O
EX. SMALL SLAB -TOP
w
w
EX. SMALL SLAB-TOf
YARD INLET
>
>
Of
YARD INLET
TOP OF SLAB 955.35'f1
o
o I
TOP OF SLAB 959.4'$
INLET WEIR 954.49'
INLET WEIR 958.55'
NO INVERT INFORMATIO
J EX. SLAB -TOP YARD
II ET
NO INVERT INFORMATI
NQ
a_ TOP OF SLAB 965.0'fa-
can
EX. SMALL SLAB -TOP
U)
Q INLET WEIR 964.25'
Q
Q
YARD INLET
Q
EX. SMALL SLAB -TOP
X INV. IN 962.90'
X
w
TOP OF SLAB 961.9'f
X
YARD INLET
w INV. OUT 962.89'
�`' I
INLET WEIR 961.29'
TOP OF SLAB 956.5 f
NO INVERT INFORMATION I
NO INVERT INFORMATION
NOW OR FORMERLY
NOW OR FORMERLY
PIN 6868-03-5961
PIN 6868-03-6961
OSVALDO PADILLA AND WIFE
DOROTHY C. KNIGHT HEIRS
NOW OR FORMERLY
DIANE PADILLA DEED
BOOK 2930, PAGE 725
PIN 6868-03-4951
DEED
BOOK 3307, PAGE 1152
ANGELA M. CROTTS AND
EX. SAN. SEWER MANHOLE-)
ROBERT CROTTS
RIM. 952.65
DEED BOOK 3488, PAGE 1089
SHELF 947.20
C/L INV. 946.64
GRAPHIC SCALE
N 40 0 20 40 80
( IN FEET )
1 inch = 40 ft.
.e
02=11
995
n
co
975
C4
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EX. 2" WL
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N W
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995
975
990
970
990
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EX. GRADE
EX. GRADE
985
985
965
965
EX.
6" DIP FM
(AB
NDON IN PLACE)
RECE
VING PIT
EX. 12" RCP
PIPE
980
_-
980
960
960
85 LF
0 STEEL
975
10'X30' BORE
PIT CASING
THICKN
(MIN VATFAILL-
S 0.25 AND
EX.
955
8" RJ
CARRIER PIPE
12" RC11
PIPE
975
955
8" DI
FM (TYP.)
EX. 6"
DIP FMI
8'
DIP FM (TYP.)
970
RJ PIPE
24' RJ
950
970
950
965
945
945 T
965
0+00 1 +00
2+00
3+00
4+00
5+00 5+50 6+00
7+00
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9+00
10+00
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INFRASTRUCTURE
ENGINEERING, P.C.
380 Knollwood St., Suite 734
Winston-Salem, NC 27301
Tel [phone]
www.hiepc.com
Firm License No. C-2586
Engineering is our profession.
Service is our passion.
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SCALE: 1 " = 40'
VERTICAL SCALE: 1 " = 4'
PROJECT NO.
WIN 1803
FM-1 .0

JI I
L.1
INV. 947.93'
\ I ��
rcP
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FM
S-S/
TEMPORARY CONSTRUCTION
ENTRANCE (TYP.)
(SEE 31-03/ED-1.0)TEMPORARY SILT FENCE SILT FENCE STONE FILTER OUTLET
(TYP.) (SEE 31-01 /ED-1.0) �) SS ME 31-02/ED-1.0)
HIM. 945.05
SHELF 932.69
\ 9 C/L INV. 932.13
110
F
SS
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wCnl
WW
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EX. STREAM - SA
TEMP. IMPACT: 52 LF
(SEE 3/ED-2.0)
SCHOOL ACCESS NOTES:
1. EXISTING ASPHALT ROAD BETWEEN STATION 15+50 AND 16+00 IS
THE WALKERTOWN MIDDLE AND HIGH SCHOOL ACCESS ROAD. THIS
ROAD SHALL REMAIN OPEN AT ALL TIME MONDAY THROUGH FRIDAY.
2. OPEN CUT INSTALLATION ACROSS THIS ROAD SHALL OCCUR
BETWEEN 5:00 PM FRIDAY AND 5:00 AM MONDAY.
3. PRIOR TO CLOSING ACCESS ROAD, VERIFY THERE ARE NO SPECIAL
OR SCHOOL EVENTS OCCURRING.
4. REPAIR PAVEMENT A MINIMUM OF 4' BEYOND TRENCH WIDTH ON
EACH SIDE.
•••
OpO \
NOW OR FORMERLY
PIN 6868-14-2691
WINSTON-SALEM/FORSYTH COUNTY
BOARD OF EDUCATION
DFFD ROOK 2247 PAGF 1998
EX. POND
EX. STREAM - SD
NU l t: iTEMP. IMPACT: 29 LF
1. PROVIDE PERMANENT STABILIZATION (SEE 3/ED-2.0)
BETWEEN STA. 17+00 AND 18+00
LO
\ j� ` \9,� � � j j � � INV. 919.46'® IBACKFlILL�. LY UPON COMPLETION OF \\\� rn
FM
ss—
SS—
EX. WETLANDS - WA
NO IMPACT
22.5' RJ BEND
INV. 917.24
PS �\
PROPOSED PERMANENT -
EASEMENT
EX. GUARDRAIL
WALKERTOWN MIDDLE AND
HIGH SCHOOL ACCESS ROAD
ifl/ P
8" DIP FM
RJ BEND X �i� �iiiFj i
—X-930
45' RJ BEND
920 FM
— 935- \\ �X
\
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4 * RJ BEND GATE
REPAIR ASPHALT PAVEMENT
(SEE C-2/SD-1.0) REPAIR ASPHALT PATH
5' RJ BEND
CROSSING VIA OPEN CUT.\\ \
SEE SCHOOL ACCESS ROAD NOTES \\�
EX. POND \ \\ \
EX. 36" CMP 0
INV. 921.52'
F FIELD LOCATE ARV AT HIGH
/ POINT. INSTALL 8X8 MJ X FL
TEE IN VERTICAL ORIENTATION
FOR ARV CONNECTION (SEE
\� 3/M[2.0)
EX. STREAM -WEST
BELLOWS CREEK � NOW OR FORMERLY
22.5' RJ BEND TEMP IMPACT: 34 LF PIN 6868-13-5883
(SEE 3/ED-2.0) WINSTON-SALEM/FORSYTH COUNTY
BOARD OF EDUCATION
— SSMH DEED BOOK 2997, PAGE 993
RIM. 922.69
\ \ SHELF 910.99
\ INV. IN 910.49
\ INV. OUT 910.29
\ \ C/L INV. 910.39
N
PLAN - STA. 11 +50 TO 23+50
SCALE: 1 " = 40'
960 935
40
GRAPHIC SCALE
20 40 80
( IN FEET )
1 inch = 40 ft.
.s
EX. 6" FM
ABANDON IN PLACE
935
955
930
n
OR
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955
930
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915
940
915
L FIELD LOCATE
ARV AT HIGH
935
TEE IN
ORIENTA
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--
910
FOR ARV CON
935
910
930
ING
ESS
AND 8" RJ
11' RJ
905
RJ PIPE
1
RJ
8" DIP
(TYP.)
60 LF 20
(MI
0.25
930
905Le
6' RJ
e-
SLOPE TO ARV
CARRIER PIE
INSTALLED
925
900
25
900
920
895
895
6" DIP FM
EX.
BANDO
12 RJ
RJ PIPE
11+50 12+00 13+00 14+00 15+00 16+00 17+00 17+50 18+00 19+00
r2'*** PROFILE - STA. 1 1 +50 TO 23+50
SCALE: 1 " = 40'
VERTICAL SCALE: 1 " = 4'
20+00
21 +00
22+00
23+00 23+50
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HIGHFILL
INFRASTRUCTURE
ENGINEERING, P.C.
380 Knollwood St., Suite 734
Winston-Salem, NC 27103
Tel: [phone]
www.hiepc.com
Firm License No. C-2586
Engineering is our profession.
Service is our passion.
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EX. STREAM - SE WINSTON-SALEM/FORSYTH COUNTY
TEMP. IMPACT: 31 LF BOARD OF EDUCATION
(SEE 3/ED-2.0) DEED BOOK 2247 PAGE 1998
PROPOSED PERMANENT
EASEMENT
EX. SEDIMENTATION
BASIN RISER
TOP ELEV. 907.70'
SS
ss \ 11.25' RJ BEND
� \� �
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EX. STREAM — SF
TEMP. IMPACT: 33 LF
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11.25' RJ BEND -- ,
1
INV. 901.94'
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PERM. IMPACT: 81 SIF — — — -
TEMP IMPACT: 540 SF
SILT FENCE STONE FILTER OUTLET
(TYP.) (SEE 31-02/ED-1.0)
...r FM ---FM_ 3F44� ` ss / ^+C•(� _/ ��
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—� \ SF Ca
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PORARY SILT FENCE 1�1. 5RJ BEND EX. 20' PERMANENT SAN. SEWER
(TYP.) (SEE 31-01/0-1.0) EASEMENT WEST BELEWS CREEK OUTFALL
" (DEED BOOK 2412, PAGE 2469)
LA. 6
ABANDON IN PLACE
PLAN - STA. 23+50 TO 34+50
SCALE: 1 " = 40'
NOW OR FORMERLY
PIN 6868-13-5883
WINSTON-SALEM/FORSYTH COUNTY
BOARD OF EDUCATION
DEED BOOK 2997, PAGE 993
GRAPHIC SCALE
N 40 0 20 40 80
( IN FEET )
1 inch = 40 ft.
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925
920
920
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915
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900
6' RJ
6' RJ
900
895
8"
DIP FM (TYP)
895
SLOPE TO ARV
890
69
6 RJ
890
U
885
885
6
23+50 24+00
25+00
26+00
27+00
28+00
29+00
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INFRASTRUCTURE
ENGINEERING, P.C.
380 Knollwood St., Suite 734
Winston-Salem, NC 27103
Tel: [phone]
www.hiepc.com
Firm License No. C-2586
Engineering is our profession.
Service is our passion.
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SCALE: 1 " = 40'
VERTICAL SCALE: 1 " = 4'
PROJECT NO.
WIN 1803
FM-1 .2

NOW OR FORMERLY NOW OR FORMERLY
PIN 6868-25-2516
PIN 6868-54-0903
NOW OR FORMERLY M W HOLDINGS LLC
ALMA D. AMOS
PIN 6868-24-8534 DEED BOOK 2644, PAGE 2472
DEED BOOK 2990, PAGE 343
KEYSTONE GROUP, INC. EX WETLANDS - WD
DEED BOOK 2997 ''AGE 9- PROPOSED PERMANENT
NO IMPACT EASEMENT
`895 = __� I- '- 45'RJBEND
_ 37+0� '\_
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FM FM— $��F $F� SF � SF��'= �—/ / / / / 885 � / � � � S80 \ mil 8" DIP FM
/ I`I
1 A DOUBLE ROW OF SILT FENCE SHALL BE MAINTAINED
AT TOP OF CREEK BANK FOLLOWING LAND DISTURBING
ACTIVITIES
EX. STREAM - WEST
— SILT FENCE STONE FILTER OUTLET TEMPORARY SILT FENCE BELLOWS CREEK
EX. STREAM - SG EX. WETLANDS - WE ( •) (SEE 31-02/0-1.0)' (TYP.) (SEE 31-01/ED-1.0) EX. 6" FM \ — ' ;N TEMP. IMPACT: 31 LF
TEMP. IMPACT: 44 LF NOW OR FORMERLY NO IMPACT / / ABANDON _ (SEE 3/ED-2.0)
(SEE 3/ED-2.0) PIN 6868-24-8534 NOW OR FORMERLY IN PLACE _ —
KEYSTONE GROUP, INC. I
DEED BOOK 2997, PAGE 990 / PIN 6868-54-0903 '
ALMA D. AMOS N
WHITEHALL VILLAGE PHASE 1 DEED BOOK 2990, PAGE 343 I TEMPORARY CONSTRUCTION
PLAT BOOK 52, PAGE 184 a• STREAM - SH N o ENTRANCE (SEE 31-03/ED-1.0)
TEMP. IMPACT: 31 LF
(SEE 3/ED-2.0)
EX. WETLANDS - WG — 22.5' RJ BEND
PERM. IMPACT: 66 SF 80
/ TEMP IMPACT: 124 SF -
/ / \ EX. WETLANDS - WF
a NO IMPACT
\ 45' RJ BEND /
SE � �PSpNP�
/ \ SEE DETAIL 3/C-1.0 " EX•
_ FOR SITE PIPING
44+32
EX. AVALEE ST. Pd
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NOW OR FORMERLY
PIN 6868-34-6561 ss 9
C�
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�6EED BOOK 2323, PAGE 117
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PLAN - STA. 34+50 TO 44+30
SCALE: 1 " = 40'
905
GRAPHIC SCALE
40 0 20 40 80
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( IN FEET )
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900
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38+00
39+00
40+00
41 +00
42+00
43+00
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ENGINEERING, P.C.
380 Knollwood St., Suite 734
Winston-Salem, NC 27103
Tel: [phone]
www.hiepc.com
Firm License No. C-2586
Engineering is our profession.
Service is our passion.
L1J
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SCALE: 1 " = 40'
VERTICAL SCALE: 1 " = 4'
PROJECT NO.
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FM-1 .3

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Wid k i 0 Pee Dee.River Basin
03040101
Roanoke River Basin
03010103
West Beiews Creek
SA
N Map Date: February 2020 Avalee Force Main
Study Corridor *—o Intermittent Stream
,eNFeet Revised: Forsyth County, NC
I�LiCAROLINA T� River Basin Boundary �� Perennial Stream
ECOSYSTEMS 0 100 200 Revised:
f wetland Figure 2: USGS Map
Walkertown, NC (2016) USGS 1:24000 Quadrangle Map Revised: (Sheet I of 3)

SA
CAROLINA
I�LiECOSYSTEMS
West V 7e 177 777Yreek
SC
N
Study Corridor ON—o Intermittent Strean
Feet - River Basin Boundary 0`%i Perennial Stream
0 100 200
S Wetland
Walkertown, NC (2016) USGS 1:24000 Quadrangle Map
Map Date: February 2020 Avalee Force Main
Revised: Forsyth County, NC
Revised: Figure 2: USGS Map
Revised: (Sheet 2 of 3)

i
N Map Date: February 2020 Avalee Force Main
Study Corridor 0%o Intermittent Stream Forsyth Count NC
Feet Revised: Y Y�
CAROLINA T� River Basin Boundary �i Perennial Stream
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■ ■■■ 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-13630
January 4, 2021
Brian Smith
Carolina Ecosystems
3040 NC 42 W
Clayton, NC 27520
RE. Avalee Sewer Improvements
Dear Brian Smith:
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
Avalee Sewer Improvements
January 4, 2021
NCNHDE-13630
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
Town of Walkertown Open Space - Walkertown Town of Walkertown Local Government
Forsyth County Open Space - Walkertown Forsyth County Local Government
Community
Town of Walkertown Open Space - Town Center Town of Walkertown Local Government
Definitions and an explanation of status designations and codes can be found at httr)s://ncnhde.natureserve.ora/heir). Data query generated on January 4, 2021; source: NCNHP, Q3 October 2020. 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-13630: Avalee Sewer Improvements
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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