20070853 Ver 1_401 Application_20070507

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City of Greensboro
Engineering 8t Inspections Department
P.O. Box 3136
Greensboro, NC 27402-3136
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TO: Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
WE ARE SENDING YOU:
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Date: May 15, 2007
Project: 2007-010

® ATTACHED ^ UNDER SEPARATE COVER VIA:
THE FOLLOWING ITEMS:
^ SHOP DRAWINGS ^ PRINTS ^ SPECIFICATIONS
^ CHANGE ORDER ^ LETTER ® OTHER
COPIES DATE REVISION DESCRIPTION
5 PRE-CONSTRUCTION NOTIFICATION APPLICATION FORM
1 4/17/07 CHECK #170770
Sedgefield Area Water
Line Projects
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^ PLANS
THESE ARE TRANSMITTED AS CHECKED BELOW:
® FOR APPROVAL ^ APPROVED AS SUBMITTED ^ APPROVED AS NOTED
^ FOR YOUR USE ^ AS REQUESTED ^ RETURNED FOR CORRECTIONS
® FOR REVIEW ^ RESUBMITTED ^ RETURNED AFTER LOAN
^ FOR DISTRIBUTION ^ OTHER
COMMENTS'
Please direct any questions to:
Guy Ingle
Phone: [phone]
Guy.1 ngle@greensboro-nc. gov
COPY TO File, USACE SIGNED Guy B. Ingle

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City of Greensboro
Engineering & Inspections Department
P.O. Box 3136
Greensboro, NC 27402-3136
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TO: Raleigh Regulatory Field Office
US Army Corps Of Engineers
6508 Falls of the Neuse Road
Suite 120
Raleigh, NC 27615
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Date: May 15, 2007
Project:
Re:
WE ARE SENDING YOU'
® ATTACHED ^ UNDER SEPARATE COVER VIA:
THE FOLLOWING ITEMS:
^ SHOP DRAWINGS ^ PRINTS ^ SPECIFICATIONS
^ CHANGE ORDER ^ LETTER ® OTHER
COPIES DATE REVISION DESCRIPTION
I PRE-CONSTRUCTION NOTIFICATION APPLICATION FORM
2007-010
Sedgefield Area Water
Line Projects
^ PLANS
THESE ARE TRANSMITTED AS CHECKED BELOW:
® FOR APPROVAL ^ APPROVED AS SUBMRTED ^ APPROVED AS NOTED
^ FOR YOUR USE ^ AS REQUESTED ^ RETURNED FOR CORRECTIONS
® FoR REVIEW ^ RESUBMITTED ^ RETURNED AFTER LOAN
^ FOR DISTRIBUTION ^ OTHER
COMMENTS'
Please direct any questions to:
Guy Ingle
Phone: [phone]
Guy. l ngle~g reensboro-nc. gov
COPY TO File, NCDENR-DWQ SIGNED Guy B. Ingle

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P.O. Box 3136 • Greensboro, NC 27402-3136 • www.greensboro-nc.gov • (336) 373-CITY (2489) • TTY # 333-6930
City of Greensboro
North Carolina
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PAYMENT
RECEIVED
PRE-CONSTRUCTION NOTIFICATION APPLICATION FORM
FOR SECTION 4O4 AND/OR SECTION IO NATIONWIDE, REGIONAL AND GENERAL
PERMITS, SECTION 4O1 GENERAL WATER QUALITY CERTIFICATIONS, AND RIPARIAN
BUFFER AND WATERSHED BUFFER RULES
FoR
CONTRACT NUMBER ZOO7-OlO, GENERAL WATER
& SEWER CONSTRUCTION
SEDGEFIELD WATER LINE EXTENSION PROJECTS

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Office Use Only: Form Version March OS
0 7 0 85 3
USAGE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
PAYMENT
Check all of the approval(s) requested for this project: RECE~VE~
® Section 404 Permit ® Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ^ Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP No. 12
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ^
' 4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here: ^
' S. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
' Environmental Concern (see the top of page 2 for further details), check here: ^
II. Applicant Information
' 1. Owner/Applicant Information
Name: Donald Arant, P.E. -Gifu EnEineer -City of Greensboro
Mailing Address: City of Greensboro, Engineering Division
' Post Office Box 3136
Greensboro. NC 27402-3136
' Telephone Number: [phone] Fax Number: [phone]
E-mail Address: donald.arant(a,~reensboro-nc.gov

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2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name:
Company Affiliation:
Mailing Address:
Telephone Number: Fax Number:
E-mail Address:
Page 5 of 12

' III. Project Information
' Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans m relation to surrounding properties. Both the vicinity map
' and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
' boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
' however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
' the project has been placed on hold until decipherable maps are provided.
1. Name of project: Sedgefield Water Line Improvements
' 2. T.LP. Project Number or State Project Number (NCDOT Only): N/A
' 3. Property Identification Number (Tax PIN):State owned right-of--way and utility easements.
4. Location
' County: Guilford Nearest Town: Greensboro
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers, landmarks, etc.): From Raleigh, take I-40 West
' to Greensboro. Merge onto High Point Road heading south via Exit 217. Take High
Point Road for approximately 3 miles and turn left onto Alamance Road.
5. Site coordinates (Lat/Long or decimal degrees): Linear Proiects -See attached map.
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
'
6. Property size (acres): Linear Utility Line Project
' 7. Name of nearest receiving body of water: Deep River -Stream I.D. 17-(4)
8. River Basin: Cape Fear
' (Note -this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
' 9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Existing streams consist of maintained grass banks and
' natural sediment/rock beds. All proposed stream crossings lie within the Sedgefield
Country Club, Inc. golf course. The impacted streams also lie within the Randleman
Lake Water Supply Watershed.

' Page 6 of 12

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10. Describe the overall project in detail, including the type of equipment to be used: These
projects consist of the installation of approximately 4,030 feet of 6" water main and
1,540 feet of 12" water main. The 6" mains will extend eastward from the terminus of
existing water mains while the 12" main will extend southward to connect two (2)
existing 12" water mains and the two (2) new 6" mains. The proposed installations will
take place using backhoes, excavators and other typical heave construction equiument.
11. Explain the purpose of the proposed work: To provide public drinking water supply and
fire protection to existing residential dwellings.
Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. No prior jurisdictional determinations or permits have been issued
for these projects.
Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
No future projects are anticipated for this area. Any future projects would result in the
appropriate notification at that time.
Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: The proposed projects require the
installation of 6" and 12" ductile iron water piping beneath the stream beds. With the
presence of shallow rock in and along the stream channels, it is anticipated that open-
cutting of the stream channels will be necessary at (4) locations in order to facilitate the
installation of the water lines. All stream impacts would be temporary and any
disturbed areas returned to their pre-construction condition.
Page 7 of 12

2. Individually list wetland impacts. Types of impacts include, but are not limited to
' mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to h~th structure and flooding.

Wetland Impact Type of Wetland Located within Distance to Area of
Site Number Type of Impact (e.g., forested, marsh, 100-year
Floodplain Nearest
Stream Impact
(acres)
(indicate on map) herbaceous, bog, etc.) ( es/no) (linear feet)

Total Wetland Impact (acres) 0.0
3. List the total acreage (estimated) of all existing wetlands on the property: 0.0 acres
4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
' impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
' plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreatte. multiply length X width. then divide by 43,560.

Stream Impact
perennial or Average Impact Area of
Number Stream Name Type of Impact
Intermittent? Stream Width Length Impact
(indicate on map) Before Impact (linear feet) (acres)
1 Reddicks Creek Temp. Excavation perennial 17 feet 30 0.01
& backfill
2 Reddicks Creek Temp. Excavation perennial 9 feet 30 0.01
& backfill
3 U.T. of Reddicks Temp. Excavation perennial 21 feet 40 0.02
Creek &backfill
4 U.T. of Reddicks Temp. Excavation perennial 16 feet 40 0.01
Creek &backfill
Total Stream Impact (by length and acreage) 140 LF 0.05 Ac
' S. Individually list all open water impacts. (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill_ excavation. dred~ma. flooding. dramaae. bulkheads. etc.

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Open Water Impact

Site Number
(indicate on ma)
Name of Waterbody
(if applicable)

Type of Impact Type of Waterbody

(lake, pond, estuary, sound, bay,
ocean, etc.) Area of

Impact
(acres)

Total Open Water Impact (acres) 0.0
6. List the cumulative impact to all Waters of the U.S. resulting from the proiect:
Stream Impact (acres): 0.05
Wetland Impact (acres): 0.00
Open Water Impact (acres): 0.00
Total Impact to Waters of the U.S. (acres) 0.05
Total Stream Impact (linear feet): 140
Page 8 of 12

7. Isolated Waters
' Do any isolated waters exist on the property? ^ Yes ®No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
' applies to waters that have specifically been determined to be isolated by the USACE.
8. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
' be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
' draw-down valve or spillway, etc.): Construction of a pond is not proposed.
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
' local stormwater requirement, etc.):
Current land use in the vicinity of the pond:
Size of watershed draining to pond: Expected pond surface area:
' VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
' information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. These proiects are linear in
nature and avoidance of stream impacts is not practical. The impacts associated with these
' proiects' NWP No. 12 activities would be temporary in nature and would also be
minimized as much as practical. Temporary construction easements will be limited to 40'
maximum. Any disturbed portion of the stream channel will be restored to its pre-
' construction elevation and shape. Disturbed areas of the streambed and banks will be
reinforced with "Class A" rip-rap stone up to the normal high water mark, and Long Term
Rolled Erosion Control Products are to be utilized above the normal high water mark on
' all stream banks. All disturbed areas will then be re-seeded to their current condition.
All stream crossings will be made at or near 90 degrees to the direction of stream flow. All
' activities on the project site involving impacts to waters of the U.S. will be required to
adhere to the General Conditions of the Nationwide Permits (Federal Register Vol. 72, No.
47; Monday, March 12, 2007), applicable Wilmington District Regional Conditions, and
' applicable State consistency conditions.
Possible sedimentation of the stream during and immediately following the construction
phase of this proiect will be minimized by strict implementation of, and compliance with,
' State-approved sediment and erosion control plans and devices.
CI'
t Page 9 of 12

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VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strm~ide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
Due to the linear nature of these projects, avoidance of impacts to waters of the U.S.,
including the watershed buffers, is not possible. Due to the channelized nature,
"urbanized" condition of the existing stream banks (maintained grass), and the aspect
of this being a temporary impact, the City of Greensboro is not proposing mitigation
for these projects.
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page three and provide the following information:
Page 10 of 12

Amount of stream mitigation requested (linear feet): None
Amount of buffer mitigation requested (square feet): None
' .Amount of Riparian wetland mitigation requested (acres): N/A
Amount ofNon-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
' IX. Environmental Documentation (required by DWQ)
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ® No ^
2. If yes, does the project require preparation of an environmental document pursuant to the
' requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ^ No
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
attach a copy of the NEPA or SEPA final approval letter. Yes ^ No ^
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts axe proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
' 1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify _)? Yes ® No ^
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multi tiers.
Zone* Impact Multiplier Required
' (s uare feet) Miti ation
1 11,142 3 (2 for Catawba)
2 5, 844 1.5
' Total 16,986
* Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an additional
20 feet from the edge of Zone 1.
' 3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration /Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
Page 11 of 12

' within 15A NCAC 2B .0242 or .0244, or .0260. Due to the "urbanized" condition of the
existing stream banks (thoroughly maintained grass), the proiect location being within
' the maintained area of the Sedgefield Country Club golf course, and there being no
practical alternative per 15A NCAC 02B 0250, the City of Greensboro is not seelung
mitigation for these temporary impacts.
' XI. Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
' stormwater controls proposed in order to protect surface waters and wetlands downstream from
the property. If percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. No significant additional impervious area is
' to be added as a result of these proiects _
XII. Sewage Disposal (required by DWQ)
' Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
' No wastewater generation is proposed.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Is this anafter-the-fact permit application? Yes ^ No
' XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
' development which could impact nearby downstream water quality? Yes ^ No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
' http•//h2o enr.state.nc.us/ncwetlands. If no, please provide a short .narrative description: The
proposed proiects are to provide a potable water supply to existing residences onl~._ No
' additional development is anticipated.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
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' Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
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' Page 12 of 12

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ATTACHMENT A
VICINITY MAP
AND
SITE MAP WITH GEOGRAPHIC CROSSING LOCATIONS

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SITE #A ~'~
LAT:36 00 45.74025 ~ '~
LONG:79 53 02.99473 ?. ,
I SITE #B
LAT:36 00 34.75969
LONG:79 52 59.28352 _
SITE #C
lAT:36 00 32.20998
LONG:79 52 49.43261
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SITE #D
LAT:36 00 33.56364
- LONG:79 52 49.60562
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CITY
STATE
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PLATTED
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Red: Band 1
Green: Band 2
LOCATION MAP
~ i SEDGEFIELD AREA
DATE: OS-08-07
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' ATTACHMENT B
PLAN AND PROFILE SHEETS
AND
' CROSSING LOCATION DETAILS

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ATTACHMENT C
PHOTOGRAPHS

Dorchester Road Water Line
Greensboro, North Carolina
City of Greensboro Contract Number 2007-010
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Photo Number 2: Stream Crossing `A', Dorchester Road
(Photo Looking North)
Photo Number 1: Stream Crossing `A', Dorchester Road
(Photo Looking Southeast)

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Photo Number 4:
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Stream Crossing `B', Mecklenburg Road
(Photo Looking Northwest)
Mecklenburg Road Water Line
Greensboro, North Carolina ~
City of Greensboro Contract Number 2007-010

Alamance Road Water Line -Phase II
Greensboro, North Carolina
City of Greensboro Contract Number 2007-010
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Photo Number 5: Stream Crossing `C', Alamance Road
(Photo Looking South)
Photo Number 6: Stream Crossing `C', Alamance Road
(Photo Looking Northeast)

Alamance Road Water Line -Phase II
Greensboro, North Carolina
City of Greensboro Contract Number 2007-010
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Photo Number 7: Stream Crossing `D', Alamance Road
(Photo Looking North)
Photo Number 8: Stream Crossing `D', Alamance Road
(Photo Looking East)

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' ATTACHMENT D
'~ SOIL SURVEY

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ATTACHEMENT E
USGS TOPOGRAPffiC MAP
1

' USGS Topoeranhic Quadrangle "Guilford"
(1:24000)