20120586 Ver 1_401 Application_20120612

LETTER OF TRANSMITTAL
S&ME Inc
9751 Southern Pine Blvd
Charlotte NC 28273
(704) 523 -4726
[phone] fax
North Carolina Division of Water Quality
Central Office
1650 Mall Service Center
Raleigh North Carolina 27699 1650
Attention Ms Karen Higgins
2®120566
WE ARE SENDING YOU ® Attached ❑ Under separate cover via
❑ Shop drawings ❑ Prints ❑ Plans ❑ Draft
❑ Copy of letter ❑ Report
the following items
❑ Specifications t
I
t
COPIES
JOB NO 1357 12 002
DATE 06 12 2012
DESCRIPTION
5
Phase 01
ATTENTION Ms Karen Higgins
RE PNG Carlson Dairy Road Maintenance
Work conducted in accordance with S &ME Proposal No 1357
25000 12
WE ARE SENDING YOU ® Attached ❑ Under separate cover via
❑ Shop drawings ❑ Prints ❑ Plans ❑ Draft
❑ Copy of letter ❑ Report
the following items
❑ Specifications t
I
t
COPIES
DATE
NO
DESCRIPTION
5
06 12 2012
1
Copy of Application for NWP 12 and WQC 3884
1
6 12 2012
2
CD of Application for NWP 12 and WQC 3884
1
6812
3
Check for $240 00 ( #019253)
THESE ARE TRANSMITTED AS CHECKED BELOW
❑ For approval ® For your record
❑ As requested ❑ For review and comment ❑
❑ FORBIDS DUE _/ / ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS Karen Please find attached a copy of the Application for NWP 12 and WQC 3884 authorization Please
note a copy has been provided to Ms Sue Homewood of the Winston Salem Regional Office Please do not hesitate to
call us at 704 523 4726 with questions Thank you — Crystal
J(J,vL�
z
SIGN

6r:;6T1.'1k
June 12, 2012
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
Attention: Mr. Thomas Brown
N.C. Division of Water Quality
401 Wetlands Unit
512 North Salisbury Street
Raleigh, North Carolina 27604
Attention: Ms. Karen Higgins, Water Quality Supervisor
Reference: Application for Nationwide Permit No. 12 and Water Quality
Certification 3884
PNG Carlson Dairy Road Maintenance
Greensboro, North Carolina
S &ME Project No. 1357 -12 -002, Phase 01
Dear Mr. Brown and Ms. Higgins:
On behalf of Piedmont Natural Gas (PNG), S &ME, Inc. (S &ME) is submitting this
application for impacts to waters of the U.S. in accordance with Department of the Army
Nationwide Permit (NWP) No. 12 (Utility Line Activities) and corresponding North
Carolina Division of Water Quality (DWQ) Water Quality Certification (WQC) 3884.
This permit application is being submitted for utility line activities associated with the
maintenance of an existing natural gas pipeline. In support of this application, please find
enclosed the following:
• Figures: Site Vicinity Map (Figure 1), USGS Topographic Maps (Figure 2), and
2009 Aerial Photographs (Figure 3)
• Appendix I: Pre - Construction Notification (PCN) and Signed Agent
Authorization Form
• Appendix II: Site Photographs
• Appendix III: Jurisdictional Boundary Maps (Sheet 1)
• Appendix IV: U.S. Army Corps of Engineers (USACE) Routine Wetland
Determination Form and DWQ Stream Identification Form
• Appendix V: Agency Scoping Responses
• Appendix VI: Restoration Plan
• North Carolina Division of Water Quality (NCDWQ) Processing Fee check
S &ME, INC. / 9751 Southern Pine Boulevard / Charlotte, NC 28273 -5560 / p 704.523.4726 f 704.525.3953 / www.smeinc.com

Application for NWP 12 and WQC 3884
Carlson Dairy Road. Greensboro. N.C.
S &ME Project No. 1357 -12 -002, Phase 01
June 12. 2012
In addition, please consider this application package a Request for Jurisdictional
Determination.
GENERAL PROJECT INFORMATION AND PURPOSE
PNG plans to perform maintenance activities within an approximately 4,341 square foot
portion of an existing natural gas line right -of -way (ROW) adjacent to Carlson Dairy
Road in Greensboro, North Carolina. The purpose of the maintenance activities is to
facilitate access to the ROW and alleviate ponding, about which the adjacent property
owners have expressed concern, and is inhibiting PNG's access to and maintenance of the
existing gas line. Activities will include fill placement in an on -site wetland to elevate
the area such that maintenance equipment can access the ROW. Accordingly, PNG
requests to place approximately 0.099 -acre of fill in the wetland to facilitate access in this
area. The project area is located approximately 1,500 linear feet north of the Francisco
Drive and Carlson Dairy Road intersection on the west side of Carlson Dairy Road
(36.1541 °N, - 79.8910 °W).
The location of the project area is depicted on the Vicinity Map (Figure 1), portions of
the 1991 Summerfield, N.C. USGS Topographic Quad Sheet (Figure 2), and an Aerial
Photograph dated 2010 (Figure 3). Field review of the project area revealed it consists of
maintained easement.
FIELD CONDITIONS
S &ME personnel visited the project area on April 16, 2012 to delineate the jurisdictional
boundaries in accordance with the USACE 1987 Manual Wetland Delineation Manual
Guidelines and corresponding Eastern Mountains and Piedmont Supplemental Guidance'
Jurisdictional boundaries were surveyed by a Registered Land Surveyor (Regional Land
Surveyors, Inc.). Survey plats depicting the on -site jurisdictional features and project
impacts were then produced and are included with this submittal (Sheet 1, Appendix III).
A Request for a Jurisdictional Determination, along with a representative Routine
Upland/Wetland Data Forms, NCDWQ Stream Classification Form and USACE Stream
Quality Assessment Worksheet are being submitted to the USACE along with this permit
package.
A brief summary of the streams and wetlands identified during S &ME's delineation are
described as follows:
• Stream 1: Stream 1 is a medium sized, perennial channel that is not depicted on
the USGS topographic map. Gravel, sand and silt comprised the substrate.
Approximately 200 linear feet (If) was identified within and adjacent to the ROW.
• Streams 2: Stream 2 is a perennial channel depicted on USGS topographic maps.
Stream 2 was identified for approximately 501f on either side of the ROW;
' Environmental Laboratory. 1987. Corps of Engineers wetlands delineation manual, Technical Report Y-
87-1, U.S. Army Engineer Waterways Experiment Station, Vicksburg, MS. NTIS No. AD A176 912 (Note:
Appendix C information is outdated and must be obtained from regional Wetlands offices).
Environmental Laboratory. 2010. Interim Regional Supplement to the Corps of Engineers Wetland
Delineation Manual: Eastern Mountains and Piedmont Region. U. S. Army Engineer Waterways
Experiment Station, Vicksburg, MS. ERDC/EL TR -10 -9

Application for NWP 12 and WQC 3884
Carlson Dairy Road. Greensboro. N.C.
SWE Project No. 1357 -12 -002, Phase 01
June 12. 2012
however, within the ROW geomorphology of this channel is not present and, as
such, was included within the abutting wetland, Wetland B.
• Wetlands A and B: Wetlands A and B (0.019 -acre and 0.146 -acre, respectively)
are riparian wetlands abutting Streams 1 and 2. During field review, water was
observed in the emergent portions of Wetlands A and B within the ROW. Species
observed within the ROW included various Sedges (Carex spp.), Soft rush
(Juncus effusus), Woodwardia ( Woodwardia aerolata), cattails (Typha latifolia)
and multiflora rose (Rosa multiflora) along the periphery of the ROW. Adjacent
wooded areas included Sweet gum (Liquidambar styraciflua) and red maple (Acer
rubrum) as dominant species in the canopy, tag alder (Alnus serrulata) and
saplings of the afore - mentioned canopy species in the sub - canopy, and Japanese
honeysuckle (Lonicera japonica) and green brier (Smilax glauca) in the vine
layer.
A representative data form was collected at Wetland A to provide information typical of
wetlands within the project area. A Representative DWQ stream assessment form was
collected at Stream 1. A Stream assessment form was not prepared for Stream 2 as it is
not a stream within the project area. The forms are included with the request for JD,
provided in Appendix IV.
DESCRIPTION OF WORK AND PROPOSED IMPACTS
The proposed project will entail placement of fill within Wetland B to raise the
groundsurface elevation approximately +/- 3 feet. Workspace will be limited to 40 -feet
encompassed within the existing ROW. Please note, Streams 1, 2 and Wetland A will not
be impacted as a result of construction. Forested areas outside of the existing ROW will
not be disturbed during maintenance activities.
Impacts to jurisdictional areas are summarized in Table 1 below, and are depicted on the
Jurisdictional Boundary Map (Sheet 1) in Appendix III.
Table 1: Summary of Wetland Impacts
ID
Sheet No.
(Appendix III)
Type
Type of Impact
Impact (Acre)
A
1
Herbaceous
None
0.00
B
1
Herbaceous
Permanent Fill
0.099
Total
Disturbance:
0.099
Total Fill:
0.099
Temporary and permanent impacts to Wetland B will involve placement of 0.099 -acre of
fill within a 40 -foot footprint of a 50 -foot existing ROW. Fill placement will be limited
to the portion of the ROW which has been historically maintained and no clearing will
result of the remaining 10 if of ROW which is currently not maintained. A tapered
wedge of clean fill will be placed beginning near Carson Dairy Road and tapering out to
existing grade along the direction of the existing gas pipeline. The fill will be trucked to
the project area and placed within the existing maintained ROW to elevate the area and
provide access for future maintenance. The proposed fill placement would elevate the
ground surface by approximately three feet. Please note, no impacts to forested portions
of the ROW or areas outside of the ROW will occur as a result of fill placement and

Application for NWP 12 and WQC 3884
Carlson Dairy Road. Greensboro. N.C.
S &ME Project No. 1357 -12 -002, Phase 01
June 12. 2012
Wetland A, Stream 1 and Stream 2 will not be impacted. Impacts to Wetland B are
depicted on Sheet 1 (Appendix III).
PROTECTED SPECIES
To comply with applicable sections of the Endangered Species Act (ESA) of 1973 (16
USC 1531- 1543), S &ME consulted with the U.S. Fish & Wildlife Service (USFWS) and
the North Carolina Natural Heritage Program ( NCNHP). Scoping letters with project
information and maps of project area were provided to both agencies on April 11, 2012.
The NCNHP responded with an April 23, 2012 letter stating that they were aware of no
known records of protected species within one mile of the project. NCNHP did indicate
that there is a significant natural heritage area, Lake Higgins Forest, within 0.2 -mile of
the project area; however it is not likely to be impacted by the project as proposed. A
copy of the NCNHP response letter is included in Appendix V.
To date, the USFWS service has not responded. Therefore, S &ME conducted a
pedestrian review of the project area to determine the presence of protected species, or
their habitat, within the project area. Prior to field review, S &ME scientists consulted the
USFWS 2007 Threatened and Endangered Species List for North Carolina which
revealed two federally protected species in Guilford County, see Table 2 below.
Table 2: Summary of Federally Protected Species for Guilford County, North
Carolina 2
S &ME conducted a pedestrian assessment of the project area concurrent with the
jurisdictional delineation on April 16, 2012. S &ME's assessment revealed potential
habitat for both Bald Eagle (Haliaeetus leucocephalus) and Small whorled pogonia
(Isotria medeoloides) within forested portions reviewed outside of the project area;
however no individuals of these species were observed. Because construction will be
limited to the maintained existing easement and no disturbance will occur in forested
areas, it is anticipated that no effects to either Bald eagle or small whorled pogonia, or
their habitat, will occur as a result of this project.
CULTURAL RESOURCES
S &ME provided a scoping letter to the North Carolina State Historic Preservation Office
(SHPO) on April 11, 2012. SHPO responded with an April 27, 2012 letter stating that
they reviewed the project and were aware of no historic resources which would be
affected. A copy of the SHPO letter is included in Appendix V.
Scientific
Federal
4
Common Name
Type
Record Status
Name
Status3
Haliaeetus
Vertebrate
Bald Eagle
BGPA
Current
leucocephalus
Animal
Small- whorled
Isotria
Plant
T
Current
Pogonia
medeoloides
= reatenea and Endangere pecies Dist tor North uarolina. n me : w. s. ov nc -es es coun r. m
3 = BGPA — Bald and Golden Eagle Protection Act, T = Listed as Threatened.
4 = Current — Occurrence has been documented within the county in the past 50 years.
S &ME conducted a pedestrian assessment of the project area concurrent with the
jurisdictional delineation on April 16, 2012. S &ME's assessment revealed potential
habitat for both Bald Eagle (Haliaeetus leucocephalus) and Small whorled pogonia
(Isotria medeoloides) within forested portions reviewed outside of the project area;
however no individuals of these species were observed. Because construction will be
limited to the maintained existing easement and no disturbance will occur in forested
areas, it is anticipated that no effects to either Bald eagle or small whorled pogonia, or
their habitat, will occur as a result of this project.
CULTURAL RESOURCES
S &ME provided a scoping letter to the North Carolina State Historic Preservation Office
(SHPO) on April 11, 2012. SHPO responded with an April 27, 2012 letter stating that
they reviewed the project and were aware of no historic resources which would be
affected. A copy of the SHPO letter is included in Appendix V.

Application for NWP 12 and WQC 3884
Carlson Dairy Road. Greensboro. N.C.
Randleman Lake Buffer Rules
SWE Project No. 1357 -12 -002, Phase 01
June 12. 2012
It is our understanding, based on review of the Randleman Lake Watershed buffer rules,
that the project as proposed is exempt under existing uses. Because Randleman Lake
Buffer Rules are delegated to local authorities (Guilford County), S &ME contacted Mr.
Matthew Williams with Guilford County to confirm buffer requirements for the proposed
maintenance. Mr. Williams confirmed that provided no forested buffers were impacted as
a result of construction, the project was exempt from the riparian buffers. A copy of this
correspondence is included in Appendix V.
AVOIDANCE AND MINIMIZATION
PNG has designed the proposed project to avoid and minimize impacts to waters of the
U.S. to the extent practical. Fill placement and construction activities will be limited to
40 -feet through Wetland B (which is currently maintained), within the 50 -foot existing
ROW, and is the minimum amount necessary to facilitate access for maintenance,
inspection, and emergency response in this area. Another option that was initially
considered would involve grading, re- constructing the channel of Stream 2 through the
ROW, and installing a culvert has been eliminated following an on -site visit with Mr.
Thomas Brown of the USACE and Ms. Sue Homewood of the DWQ on May 30, 2012.
Results of this field meeting indicated agency concern that re- establishing the stream
through the corridor may result in greater impact to Wetland B.
REGULATORY CONSIDERATIONS
Work will be conducted within the existing maintained easement. Excess material will
be removed to a high ground disposal area. Temporari ly- cleared areas will be restored
with native vegetation in accordance with the attached Restoration Plan (Appendix VI)
upon completion of the work.
Sediment and erosion control measures shall be consistent with the practices outlined in
the most recent version of the "North Carolina Sediment and Erosion Control Planning
and Design Manual" and approved by the local governing authority. The specifications
for the design, installation, operation and maintenance of Best Management Practices will
comply with the appropriate turbidity water quality standard. Sediment and erosion
control measures placed in waters will be removed and the original grade restored within
two months after the Division of Land Resources has released the project. Impacts have
been avoided and minimized, and appropriate measures will be taken during construction
to allow flow and circulation patterns of waters of the U.S. to remain unaffected.
MITIGATION
Streams 1 and 2 will not be impacted as a result of this project. Permanent impacts to
Wetland B will occur through placement of fill; however, the impacts are below the
threshold for mitigation (0.099 -acre) and, as such, no mitigation will be required.
Additionally, Mr. Thomas Brown of the USACE confirmed in an April 6, 2012 telephone
call with our Ms. Crystal Fox that no mitigation for wetland impacts would be required
provided that impacts were below the threshold of 0.10 -acre.

Application for NWP 12 and WQC 3884 SWE Project No. 1357 -12 -002, Phase 01
Carlson Dairy Road, Greensboro, N.C. June 12 2012
Eel 1►` [ 3
By copy of this correspondence and completed PCN, we are requesting your written
concurrence with this NWP permit application. If you have questions or require
additional information, please feel free to contact us.
Sincerely,
S&ME
Crysta J. Fox Sd2-)
Natural Resources Staff Professional
Senior Review by Julie Bennett- Hudel, P.G.
Darrin Peine, QEP
Natural Resources Department Manager
CC:
Andy Clark, P.L.S.; Regional Land Surveyors
Neil Moser, P.E.; PNG
Sue Homewood; NC DWQ Winston Salem Field Office

Figures

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Approximate Location of Carlson Dairy Road Maintenance Li
REFERENCE:
GIS DATA LAYERS WERE OBTAINED FROM ESRI STREEfMAP DATASET 2010. PLEASE NOTE THIS MAP
IS FOR INFORMATIONAL PURPOSES ONLY. IT IS NOT MEANT FOR DESIGN, LEGAL, OR ANY OTHER ,
USES. THERE ARE NO GUARANTEES ABOUT ITS ACCURACY. S &ME, INC. ASSUMES NO 0 0.5 1
RESPONSIBILITY FOR ANY DECISION MADE OR ANY ACTIONS TAKEN BY THE USER BASED UPON THIS Miles , I
SCALE: 1 " = 4,000'
NO.
DATE
ts&ME FIGURE : 04 -10 -12 VICINITY MAP
DRAWN BY: C JF 1
INWW.SMEINC.COM PNG - Carlson Dairy Road Maintenance
PROJECT NO
1357 -12 -002. Phase 01 1 ENGINEERING LICENSE NO: F -0176 I Greensboro, North Carolina
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Guilford College, ��-- -�
Approximate Location of Carlson Dairy Road Maintenance Li
REFERENCE:
GIS DATA LAYERS WERE OBTAINED FROM ESRI STREEfMAP DATASET 2010. PLEASE NOTE THIS MAP
IS FOR INFORMATIONAL PURPOSES ONLY. IT IS NOT MEANT FOR DESIGN, LEGAL, OR ANY OTHER ,
USES. THERE ARE NO GUARANTEES ABOUT ITS ACCURACY. S &ME, INC. ASSUMES NO 0 0.5 1
RESPONSIBILITY FOR ANY DECISION MADE OR ANY ACTIONS TAKEN BY THE USER BASED UPON THIS Miles , I
SCALE: 1 " = 4,000'
NO.
DATE
ts&ME FIGURE : 04 -10 -12 VICINITY MAP
DRAWN BY: C JF 1
INWW.SMEINC.COM PNG - Carlson Dairy Road Maintenance
PROJECT NO
1357 -12 -002. Phase 01 1 ENGINEERING LICENSE NO: F -0176 I Greensboro, North Carolina

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Approximate Location of Carlson Dairy Road Maintenance a
REFERENCE:
GIS DATA LAYERS WERE OBTAINED FROM NATIONAL GEOGRAPHIC 2010 IMAGERY, 1,24,000 SCANNED C
USGS TOPOGRAPHIC MAPS AND ESRI STREETMAP DATASET 2010. PLEASE NOTE THIS MAP IS FOR 0 500 000 Ic
INFORMATIONAL PURPOSES ONLY. IT IS NOT MEANT FOR DESIGN, LEGAL, OR ANY OTHER USES.
THERE ARE NO GUARANTEES ABOUT ITS ACCURACY. S &ME, INC. ASSUMES NO RESPONSIBILITY FOR Feet F
C
SCALE: 1 " = 650 '
FIGURE NO.
DATE: 04 -11 -12 tS&ME USGS TOPOGRAPHIC MAP
DRAWN BY: C JF
WWW.SMEINC.COM PNG - Carlson Dairy Road Maintenance
'ROJECT NO:
1357 -12 -002. Phase 01 Greensboro, North Carolina

Appendix I

d�o� W A 7�R4G
� r
o �
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version
Pre - Construction Notification PCN Form
A. Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
N 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes N No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
PNG Greensboro - Carlson Dairy Road Maintenance
2b.
County:
Guilford
2c.
Nearest municipality /town:
Greensboro
2d.
Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state
project no:
N/A
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Piedmont Natural Gas
3b.
Deed Book and Page No.
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
4720 Piedmont Row Drive
3e.
City, state, zip:
Charlotte N.C. 28210
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ® Other, specify: Utility Company
4b.
Name:
Neil Moser, P.E.
4c.
Business name
(if applicable):
Piedmont Natural Gas
4d.
Street address:
4720 Piedmont Row Drive
4e.
City, state, zip:
Charlotte N.C. 28210
4f.
Telephone no.:
704.731.4351
4g.
Fax no.:
704.731.4098
4h.
Email address:
neil.moser @piedmontng.com
5.
Agent /Consultant Information (if applicable)
5a.
Name:
Crystal Fox
5b.
Business name
(if applicable):
S &ME, Inc.
5c.
Street address:
9751 Southern Pine Boulevard
5d.
City, state, zip:
Charlotte, N.C. 28723
5e.
Telephone no.:
704.523.4726
5f.
Fax no.:
704.525.3853
5g.
Email address:
cfox @smeinc.com
Page 2 of 12
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID):
Project is a portion of an exiting linear utility line, PIN
7837893592
Latitude: 35.1541 °N
1 b. Site coordinates (in decimal degrees):
Longitude: - 79.8910 °W:
(DD.DDDDDD) (- DD.DDDDDD)
1 c. Property size:
Approximately 0. 17 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Lake Higgins an Impoundment of Brush Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
Class C; WS-Ill-,NSW
2c. River basin:
Cape Fear (03030002)
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Land use in the vicinity of the project area is primarily residential with some commercial development. The project area
consists of a portion of an existing natural gas pipeline right -of -way that is frequently maintained.
3b. List the total estimated acreage of all existing wetlands on the property:
0.165
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Approximately 58 linear feet
3d. Explain the purpose of the proposed project:
The purpose of the project is to elevate the exisisting maintained ROW to facilitate access for maintenance.
3e. Describe the overall project in detail, including the type of equipment to be used:
PNG plans to place approximately 0.099 -acre of fill placement in an on -site wetland to elevate the area such that
maintenance equipment can access the ROW for maintenance, repairs, and inspection of the existing gas line.
Limits of disturbance and fill will be clearly demarcated with highly visible materials, prior to ground disturbance. Fill
placement will be limited to the portion of the ROW which has been historically maintained and no clearing will result of
the remaining 10 If of ROW which is currently not maintained. A tapered wedge of clean fill will be placed approximately
three feet deep beginning near Carson Dairy Road and tapering out to existing grade along the direction of the existing
gas pipeline. The fill will be trucked to the project area and placed within the existing maintained ROW to elevate the
area and provide access for future maintenance. .
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes E] No ®Unknown
project (including all prior phases) in the past?
Comments: Attached
4b. If the Corps made the jurisdictional determination, what type
El Preliminary ❑ Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency /Consultant Company:
Name (if known):.
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
FE]Yes ❑ No ® Unknown
5b. If yes, explain in detail according to "help file" instructions.
N/A
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ® No
6b. If yes, explain.
Page 4 of 12
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ® Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number—
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ® P ❑ T
Permanent Fill
Riparian
❑ Yes
® No
® Corps
® DWQ
0.099
W2 ❑P ❑T
El Yes
El Corps
❑ No
❑ DWQ
W3 ❑P ❑T
El Yes
El Corps
❑ No
❑ DWQ
W4 ❑P ❑T
El Yes
El Corps
❑ No
❑ DWQ
W5 ❑P ❑T
El Yes
El Corps
❑ No
❑ DWQ
W6 ❑P ❑T
El Yes
El Corps
❑ No
❑ DWQ
2g. Total wetland impacts
2h. Comments: W1 = WB, see attached Sheet 1 for Impact location
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of ju risd iction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
3i. Comments: No stream impacts will occur.
Page 5 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number -
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary (T)
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f. Total open water impacts
4g. Comments: No open -water impacts will occur.
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar - Pamlico ❑ Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number-
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required?
131 ❑P ❑T
F-1 Yes
❑ No
B2 ❑P ❑T
F-1 Yes
❑ No
B3 ❑P ❑T
F-1 Yes
❑ No
6h. Total buffer impacts
6i. Comments: Impacts occur within existing ROW, exempt under existing uses. No buffer impacts will occur.
Page 6 of 12
PCN Form - Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Fill placement and construction activities will be limited to 40 -feet through Wetland B (which is currently maintained), within the
50 -foot existing ROW, and is the minimum amount necessary to facilitate access for maintenance and emergencies in this
area. Another option that was initially considered would involve grading, re- constructing the channel of Stream 2 through the
ROW, and installing a culvert has been eliminated following an on -site visit with Mr. Thomas Brown of the USACE and Ms.
Sue Homewood of the DWQ on May 30, 2012. Results of this field meeting indicated agency concern that re- establishing the
stream through the corridor may result in greater impact to Wetland B.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Appropriate Sediment and Erosion Control devices will be employed during construction to prevent inadverdent off -site
sedimentation to adjacent sensitive resources.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes ® No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
El Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: N/A
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments: N/A
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
® Yes
4b. Stream mitigation requested:
0 linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
0 square feet
4e. Riparian wetland mitigation requested:
0 acres
4f. Non - riparian wetland mitigation requested:
0 acres
4g. Coastal (tidal) wetland mitigation requested:
0 acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
N/A
Page 7 of 12
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
❑ Yes ® No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
N/A
6h. Comments: Buffer mitigation is not required as the buffers are located within existing ROW, therefore activities are exempt
from Buffer Rule requirements.
Page 8 of 12
PCN Form — Version 1.3 December 10, 2008 Version

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
® Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Project is a linear utility. The ROW will remain grassed with no
❑ Yes ®No
impervious surfaces.
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
0%
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ®No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why: Project will not result in additional
impervious surface
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative
description of the plan:
N/A
❑ Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
❑ Phase II
❑ NSW
3b.
Which of the following locally - implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a.
Which of the following state - implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006 -246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 12
PCN Form — Version 1.3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes
® No
use of public (federal /state) land?
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
❑ Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA /SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes
❑ No
Comments: N/A
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after - the -fact permit application?
❑ Yes
® No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
N/A
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
® No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance
with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
The project is not considered "growth- inducing" in that its purpose to facilitate access to an existing maintained ROW.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non- discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
The project is a natural gas pipeline and will not generate waste water.
Page 10 of 12
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
® Yes ❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
® Yes ❑ No
impacts?
® Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
To comply with applicable sections of the Endangered Species Act (ESA) of 1973 (16 USC 1531 - 1543), S &ME consulted
with the U.S. Fish & Wildlife Service ( USFWS) and the North Carolina Natural Heritage Program ( NCNHP). Scoping
letters with project information and maps of project area were provided to both agencies on April 11, 2012. The NCNHP
responded with an April 23, 2012 letter stating that they were aware of no known records of protected species within one
mile of the project. NCNHP did indicate that was a significant natural heritage area, Lake Higgins Forest, within 0.2 -mile
of the project area; however it is not likely to be impacted by the project as proposed. A copy of the NCNHP response
letter is included in Appendix V.
To date, the USFWS service has not responded. Therefore, S &ME conducted a pedestrian review of the project area to
determine the presence of protected species, or their habitat, within the project area. S &ME conducted a pedestrian
assessment of the project area concurrent with the jurisdictional delineation on April 16, 2012. S &ME's assessment
revealed potential habitat for both Bald Eagle (Haliaeetus Ieucocephalus) and Small whorled pogonia (Isotria
medeoloides) within forested portions reviewed outside of the project area; however no individuals of these species were
observed. Because construction will be limited to the maintained existing easement and no disturbance will occur in
forested areas, it is anticipated that no effects to either Bald eagle or small whorled pogonia, or their habitat, will occur as
a result of this project.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ®No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http: // ocean. floridamarine .org /efh— coral /ims /viewer.htm
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ®No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
S &ME provided a scoping letter to the North Carolina State Historic Preservation Office (SHPO) on April 11, 2012. SHPO
responded with an April 27, 2012 letter stating that they reviewed the project and were aware of no historic resources
which would be affected. Accordingly, the SHPO had no further comment on this project.
Page 11 of 12
PCN Form — Version 1.3 December 10, 2008 Version

8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
® Yes ❑ No
8b. If yes, explain how project meets FEMA requirements: The project will comply with FEMA regulations.
8c. What source(s) did you use to make the floodplain determination? Available FEMA mapping
Crystal Fox
Applicant/Agent's Printed Name
06.12.2012
Date
plicant/Agent's ignature
(Agent's signature is valid only if an authorization letter fr the applicant
is provided.
Page 12 of 12
PCN Form —Version 1.3 December 10, 2008 Version

q*&Mr
AGENT AUTHORIZATION FORM
Date: 06.06.2012
'ro'ect Information
S &ME Project Name: PNG Carlson Dairy Road Maintenance
Type of Project: Jurisdictional Delineation /Section 4041401 Permitting
Location: Greensboro, NC
Property Owner /Representative Information
Business Name:
Mailing Address:
City, State, Zip Code:
Telephone No.
Contact:
Agent Information
Business Name:
Street Address:
City, State, Zip Code:
Telephone No.
Contact:
Piedmont Natural Gas (PNG)
4720 Piedmont Row Drive
Charlotte, N.C. 28205 1
7vq-- --?3� -ef,31
S &ME, Inc.
9751 Southern Pine Boulevard
Charlotte, NC 28273
(704) 523 -4726
Crystal Fox
Authorization: � �14 -
I � on behalf of
(Contact Signature)
CiC,Q Motel '7____ xc- C J As hereby authorize
(Name of Landowner or Representative)
S &ME, Inc. to act as agent for the above- mentioned project.

Appendix II

Photo 1: View of Wetland A and Stream 1, off Right -
of -Way (ROW).
Photo 3: View of Wetland A off ROW.
Photo 2: View of Wetlands A and B and Stream 1 within
the ROW.
Photo 4: View facing Wetland B and area of fill
placement.
REPRESENTATIVE SITE PHOTOGRAPHS
Taken by: CJF
Checked by: DMP PNG Carlson Dairy Road Maintenance
&ME
Greensboro, North Carolina
Date: 04.16.2012
Project No.: 1357 -12 -002, Photo Page 1 of 1

Appendix III

LINE TABLE
WETLAND A (NO IMPACTS)
622 SQ. FT. 0.019 AC.
LINE
LENGTH
BEARING
L20
14.67'
N4826'12 'W
L21
26.29'
N23'56'44 "W
L22
15.32'
N15'55'28 "E
L23
1.84'
N84'16'13 "E
L24
14.07'
S841 6'13 "W
L25
12.41'
N49.24'34 "W
L26
24.82'
N36'24'58 "W
L27
14.20'
N07'18'43 'E
L28
6.47'
N31'11'14 "W
L29
22.37'
N84'16'13 'E
LINE TABLE
WETLAND B
IMPACTS: 4,341 SQ. FT. /0.099 AC.
LINE
LENGTH
BEARING
L2
12.48'
532'46'00 "E
L3
26.69'
S17'59'04 "E
L13
103.75'
S83'02'1 2'W
L14
16.42'
N51'52'05 "W
L15
15.52'
N2711'26 'W
L16
15.45'
N17- 37'50 'E
L17
97.18'
N8416'13 "E
L18
6.62'
N89-11'36'E
LINE TABLE
WETLAND 8 (NO IMPACTS)
2,065 SQ. FT. 0.047 AC.
LINE
LENGTH
BEARING
L4
7.78'
S17'59'04'E
L5
11.74'
S57'19'06'E
L6
2.89'
S89'11'36'W
L7
28.15
S89'11'36'W
L8
94.88'
S84 W13 -W
L9
18.52'
N51'52'05 "W
L10
24.99'
N27'11'25 "W
L11
15.15'
N1737'50 "E
L12
16.34'
N84'16'13 "E
L13
103.75'
S83'02'1 2"W
L14
16.42'
N51'52'05'W
L15
15.52'
N27'11'26 "W
L1fi
15.45'
N1737'50 "E
LINE TABLE
STREAM 1 (NO IMPACTS)
58 LF
LINE
LENGTH
BEARING
L9
18.52'
N51'52'05 "W
L70
24.99'
N27'11'26 "W
L11
15.15'
N1737'50 "E
L20
14.67'
N48'25'12 "W
L21
26.29'
N23'55'44 "W
L22
15.32'
N13- 55 -28 "E
L23
1 1.84'
N84'16'13 "E
**NOTE- FOREST RIPARIAN BUFFERS WILL
NOT BE IMPACTED.
1 �
1
40' MAXIMUM
DISTURBANCE LIMIT 40'
THROUGH WETLANDS '
-I
I c�
CARLSON DAIRY ROAD
60' R/W '
1
775- _74_
10HU Oki/ r \ \ '•
OHU
�HC`�oHU�
\ OHU
rU `0H
1� WETLAND B /
776 . - - -- f PROFILE #1
774'Hh� +n
772
DATUM L'LEV N
770.00 0 +00 - 0 +40 0 +99
768
766
764
DATUM FI.EV
762.00 0 +00
LEGEND
PROFILE #2
L
+n
n
D
0 +40 0 +90
•
COMPUTED POINT
©
IRON PIPE FOUND
I
A
REBAR FOUND
v ®
DISK FOUND
[�
CONCRETE MONUMENT FOUND
0 1
- D.S. 1655 PG. 430
$
UTILITY POLE
�_
GUY WIRE
i Gu-
GAS MARKER
`I
� 767.5 l M
d FEE Z�•; � r �
AREA IMPACTED
BY FILL ^
STREAM 2
1
1
1
1
-' -
INV RCP
-
I N V= 766.93
1
' U
36" RCP
m �INV= 765.83
I HEREBY CERTIFY THAT A SURVEY WAS MADE UNDER MY
SUPERVISION AND THAT THE WETLANDS SHOWN HEREON REFLECTS
THE DELINEATION EVIDENCE PROVIDED BY S&ME ENVIRONMENTAL
SERVICES ON 04Y16/2012.
DAVID A. CLARK, PLS L -4649
`���*<�1u1 uurr��i
�N`�` (ta CAROB el
�pi
ice+
= SEAL :*
-- -- -o *,�L -4649
a
Q
� 1rAi11ii1i 0���
N: 875,978.07
9� 1 E: 1,737.090.07
L1 S17
-L4
f
N
U� oNU�
�r Z
1 �
1
1 �
t r u
1
x773.3
771.5 r
o "t. TIN: 7837893592
CITY OF GREENSBORO
YEAR -ROUND RPW D.B. 1855 PG. 430 L
NOT IMPACTED
1 r\
PROFILE #2
c �
765.6 STREAM 1
YEAR -ROUND RPW
- NOT IMPACTED �?
-- 1�-
/ WETLAND B 1 PROFILE #1
U x768.5/ x'9.7 - - - - - f C
WETLAND A J
J
-t-21
� 6�/ • �
t28 i
-$�
X66/
, �
/ � �•
404 OF THE CLEAN WATER ACT AS DETERMINED BY THE
/ �16g�
- PIN: 7637893592 �j/ +�� J 1
-CITY OF GREENSBORO, r�� j
0 1
- D.S. 1655 PG. 430
cn
-770 / /
�_
RELIED UPON FOR A PERIOD NOT TO EXCEED FIVE YEARS
Co.
-773- - �/
41(tj
THE APPROPRIATE REGIONAL SUPPLEMENT TO THE 1987 CORP
15'`"TTcT+r�
50' PNG EASEMENT
35 '
D.B. 1409 PG. 474
50' _
SUBJECT BOUNDARY
RIGHT -OF -WAY
_G -G - GAS LINE
EASEMENT
- oHU --0HU- OVERHEAD UTILITIES
TREE LINE
- - STREAM BUFFERS
PROPOSED STORM PIPE
IMPACTED_ WETLAND STREAM
WETLAND A 30' -772 -
BUFFER
(ZONE 1) r
20' RIPARIAN
BUFFER -775 -
(ZONE 2) � .
�.
-785--
780-1
9g573 __
PJ PIN: 7837665113
C. RICHARD EPES &WIFE GRAPHIC SCALE
BESSIE K. EPES
D.B. 4666 PG. 1853
40 0 20 40
1
' ( IN FEET )
1 inch = 40 ft.
80.
,wu r0"u
01D
%0:
•
SITE
VICINITY MAP
All
TOPOGRAPHIC & WETLAND SURVEY
PIEDMONT NA T URA.L GAS
IR ##0230183
CARLSON DAIRY ROAD
BRUCE TO WNSHIP
GUILFORD COUNTY
GREENSBORO, NORTH CAROLINA
N.C. License No. C -1362
CORPS ACTION I.D.
8642 WEST MARKET STREET, SUITE 100
THIS CERTIFIES THAT THIS COPY OF THIS PLAT ACCURATELY
TELEPHONE [phone]
DEPICTS THE BOUNDARY OF THE JURISDICTION OF SECTION
REV. 11
404 OF THE CLEAN WATER ACT AS DETERMINED BY THE
2
UNDERSIGNED ON THIS DATE. UNLESS THERE IS A CHANGE
1 o
IN THE LAW OR OUR PUBLISHED REGULATIONS, THIS
cn
DETERMINATION OF SECTION 404 JURISDICTION MAY BE
RELIED UPON FOR A PERIOD NOT TO EXCEED FIVE YEARS
Co.
FROM THIS DATE. THIS DETERMINATION WAS MADE UTILIZING
r^
THE APPROPRIATE REGIONAL SUPPLEMENT TO THE 1987 CORP
OF ENGINEERS WETLANDS DELINEATION MANUAL
NAME
TITLE
DATE
TOPOGRAPHIC & WETLAND SURVEY
PIEDMONT NA T URA.L GAS
IR ##0230183
CARLSON DAIRY ROAD
BRUCE TO WNSHIP
GUILFORD COUNTY
GREENSBORO, NORTH CAROLINA
N.C. License No. C -1362
Reionai urve Y ors, Inc.
�' Land
8642 WEST MARKET STREET, SUITE 100
GREENSBORO, NORTH CAROLINA 27409
TELEPHONE [phone]
JOB :1227.14 1 DRAWN BY: DAC I DATE: 04/23/2012 1 CREW CHIEF: MDP
REV. 11
DAC
106/01/2012
1 CORP & NCDENR FIELD COMMENTS
REV. 21
DAC
I 06 D8 2012
I S&ME COMMENTS

Appendix IV

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: jt( _s �SbYi 901VIAQ 6W City /County: G6rO:, G« Sampling Date: 14. 1 t0` t -
Applicant/Owner: OK� 'dJ +�tM Fri S (p () State: MC, Sampling Point: _ A
Investigator(s):' I TAC n'."-
. %� l�� ` FOK Section, Township, Range:
Landform (hillslope, terrace, etc,): S Local relief (concave, convex, none):
Subregion (LRR or MLRA): 'L ® Lat: .� ' a IV / Long:
Soil Map Unit Name: T'09 S�f .'>OJMXA 1.. - �F1 0 St l FV , NWI classification:
r
Slope ( %); ( u
Datum: '93
Are climatic ! hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (if needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators (minimum of one is required: check all that apply)
Surface water (A1) _
Aquatic Fauna (B13)
High Water Table (A2) _
Marl Deposits (B15) (LRR U)
Saturation (A3) _
Hydrogen Sulfide Odor (Cl)
_ Water Marks (B1) _
Oxidized Rhizospheres along Living Roots (C3)
Sediment Deposits (152) _
Presence of Reduced Iron (C4)
Drift Deposits (B3) _
Recent Iron Reduction in Tilled Soils (C6)
_ Algal Mat or Crust (B4) _
Thin Muck Surface (C7)
_ Iron Deposits (135) _
Other (Explain in Remarks)
Inundation Visible on Aerial Imagery (157)
Water- Stained Leaves (159)
Field Observations:
Surface Water Present? Yes X, No
Depth (inches): ca
Water Table Present? Yes N/, No
Depth (inches): _
_ Surface Soil Cracks (156)
_ Sparsely Vegetated Concave Surface (158)
_ Drainage Patterns (1310)
_ Moss Trim Lines (1516)
_ Dry- Season Water Table (C2)
Crayfish Burrows (C8)
Saturation Visible on Aerial Imagery (C9)
_ Geomorphic Position (D2)
_ Shallow Aquitard (D3)
_ FAC- Neutral Test (D5)
Sphagnum moss (D8) (LRR T, U)
Saturation Present? Yes -,< No Depth (inches): r) Wetland Hydrology Present? Yes X— No
(includes caoillary frinoe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if avai
Remarks:
- - --- - - - - - --..... ..... -. -. - - -
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
t
Absolute Dominant Indicator
Tree Stratum (Plot size: )
% Cover Species? Status
2. 1 A'AL Xr n
3.
4.
5.
6.
7.
8.
0 = Total Cover
50% of total cover: 20% of total cover: 12-
Sapling /Shrub Stratum (Plot size: )
1. AInVA
Y, 1 C
2. jfj' �JVM
X_ FAW
3.
Sampling Point:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: e (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
4.
Prevalence Index = B/A =
5.
6.
7.
a.
4._
5.
6.
7.
8.
9._
10.
11.
12.
_ 1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index is <3.0'
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling /Shrub —Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb —All herbaceous (non - woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine —AII woody vines greater than 3.28 ft in
height.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

SOIL
Sampling Point:
e to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type Loc` Texture Remarks
Y �0 _oo
?10 L0 ® 3 �� -
'Type: C= Concentration, D= Depletion, RM= Reduced Matrix, MS= Masked Sand Grains. `Location: PL =Pore Lining, M= Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.) Indicators for Problematic Hydric S(
_ Histosol (Al)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
Organic Bodies (A6) (LRR P, T, U)
_ 5 cm Mucky Mineral (A7) (LRR P, T, U)
_ Muck Presence (A8) (LRR U)
_ 1 cm Muck (A9) (LRR P, T)
Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al2)
_ Coast Prairie Redox (A16) (MLRA 150A)
_ Sandy Mucky Mineral (S1) (LRR O, S)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
_ Dark Surface (S7) (LRR P, S, T, U)
Type:
Depth (inches):
Polyvalue Below Surface (S8) (LRR S, T, U) _ 1 cm Muck (A9) (LRR O)
_ Thin Dark Surface (S9) (LRR S, T, U) _
2 cm Muck (A10) (LRR S)
_ Loamy Mucky Mineral (F1) (LRR O) _
Reduced Vertic (F18) (outside MLRA 150A,B)
_ Loamy Gleyed Matrix (F2) _
Piedmont Floodplain Soils (F19) (LRR P, S, T)
Depleted Matrix (F3) _
Anomalous Bright Loamy Soils (F20)
_ Redox Dark Surface (F6)
(MLRA 153B)
_ Depleted Dark Surface (F7) _
Red Parent Material (TF2)
_ Redox Depressions (F8) _
Very Shallow Dark Surface (TF12)
_ Marl (1710) (LRR U) _
Other (Explain in Remarks)
_ Depleted Ochric (F11) (MLRA 151)
_ Iron - Manganese Masses (1712) (LRR O, P, T)
'Indicators of hydrophytic vegetation and
_ Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
_ Delta Ochric (F17) (MLRA 151)
unless disturbed or problematic.
_ Reduced Vertic (1718) (MLRA 150A, 150B)
_ Piedmont Floodplain Soils (F19) (MLRA 149A)
Anomalous Bright Loamy Soils (1720) (MLRA 149A, 153C, 153D)
i

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Landform (hillslope, terrace, etc.): $J{,.1'Y! °1'e_ _ _ _%e, Local relief (concave, convex, none): Slope ( %):
Subregion (LRR or MLRA): _�� Lat: . t s,4 1 ® t� Long: , 2,910, L") Datum: KA $
Soil Map Unit Name:
NWI classification:
Are climatic! hydrologic conditions on the site typical for this time of year? Yes _,X_ No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology 'significantly disturbed? Are "Normal Circumstances" present? Yes/ No
Are Vegetation Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks: ,q ; q �g ouA
HYDROLOGY
Indicators:
Primary Indicators (minimum of one is required: check all that apply)
_ Surface Soil Cracks (B6)
_ Surface Water (A1) _
Aquatic Fauna (1313)
_ Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) _
Marl Deposits (1315) (LRR U)
_ Drainage Patterns (1310)
_ Saturation (A3) _
Hydrogen Sulfide Odor (Cl)
_ Moss Trim Lines (1316)
_ Water Marks (131) _
Oxidized Rhizospheres along Living Roots (C3)
_ Dry- Season Water Table (C2)
_ Sediment Deposits (132) _
Presence of Reduced Iron (C4)
_ Crayfish Burrows (C8)
_ Drift Deposits (83) _
Recent Iron Reduction in Trlled Soils (C6)
_ Saturation Visible on Aerial Imagery (CO)
_ Algal Mat or Crust (134) _
'Thin Muck Surface (C7)
_ Geomorphic Position (D2)
— Iron Deposits (135) _
Other (Explain in Remarks)
_ Shallow Aquitard (D3)
_ Inundation Visible on Aerial Imagery (137)
_ FAC- Neutral Test (D5)
_ Water- Stained Leaves (B9)
_ Sphagnum moss (D8) (LRR T, U)
Surface Water Present? Yes No Depth (inches): ID
Water Table Present? Yes No Depth (inches):
Saturation Present? Yes No Depth (inches): 16a°t. Wetland Hydrology Present? Yes idol
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available
Remarks: ., c ,
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region – Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
7
8.
= Total Cover
50% of total cover: 20% of total cover:
Sapling /Shrub Stratum (Plot size: )
1. Car pi n u rzuazi iam 1-0
2.
3.
4.
5.
6.
7.
8.
= Total Cover
50% of total cover: 20% of total cover:
Herb Stratum (Plot size
10.
11.
12.
= Total Cover
50% of total cover: 20% of total cover:
Sampling Point:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: i DO (A/B)
Prevalence Index worksheet:
Total % Cover of:
Absolute Dominant Indicator
Tree Stratum (Plot size:
%Cover Species? Status
i. . I l r q A [I 1 iCWeA
A
2. V cey RA 1l
Fpd-
3. ?_nA 4 ws - -i _ b-A sa a
»
UPL species
x 5 =
5.
(A) (B)
6.
7
8.
= Total Cover
50% of total cover: 20% of total cover:
Sapling /Shrub Stratum (Plot size: )
1. Car pi n u rzuazi iam 1-0
2.
3.
4.
5.
6.
7.
8.
= Total Cover
50% of total cover: 20% of total cover:
Herb Stratum (Plot size
10.
11.
12.
= Total Cover
50% of total cover: 20% of total cover:
Sampling Point:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: i DO (A/B)
Prevalence Index worksheet:
Total % Cover of:
Multiply by:
OBL species
x 1 =
FACW species
x 2 =
FAC species
x 3 =
FACU species
x 4 =
UPL species
x 5 =
Column Totals:
(A) (B)
Prevalence Index = B/A =
nyoropnyuc vegetation indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index is 553.0'
_ Problematic Hydrophytic Vegetation' (Explain)
Indicators of hydric soil and wetland hydrology must I be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling /Shrub — Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb —All herbaceous (non- woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine —All woody vines greater than 3.28 ft in
height.
Remarks: (If observed, list morphological adaptations below).
°c (40V1 is d®
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region —Version 2.0

Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(i��nch��es) Color (moist) %
Color (moist) % Type Loc` Texture Remarks
-y
�!%Ll- t-b AV
aKS? Sat"dl
'Type: C= Concentration, D= Depletion, RM= Reduced Matrix, MS= Masked Sand Grains. 'Location: PL =Pore Lining, M= Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.) Indicators for Problematic Hydric Soils3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (LRR S, T, U) _ 1 cm Muck (A9) (LRR O)
_ Histic Epipedon (A2)
_ Thin Dark Surface (S9) (LRR S, T, U) _ 2 cm Muck (A10) (LRR S)
_ Black Histic (A3)
_ Loamy Mucky Mineral (F1) (LRR O) _ Reduced Vertic (F18) (outside MLRA 150A,B)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19) (LRR P, S, T)
_ Stratified Layers (A5)
_ Depleted Matrix (F3) _ Anomalous Bright Loamy Soils (F20)
_ Organic Bodies (A6) (LRR P, T, U)
_ Redox Dark Surface (F6) (MLRA 15313)
_ 5 cm Mucky Mineral (A7) (LRR P, T, U)
_ Depleted Dark Surface (F7) _ Red Parent Material (TF2)
_ Muck Presence (A8) (LRR U)
_ Redox Depressions (F8) _ Very Shallow Dark Surface (TF12)
_ 1 cm Muck (A9) (LRR P, T)
_ Marl (F10) (LRR U) _ Other (Explain in Remarks)
_ Depleted Below Dark Surface (A11)
_ Depleted Ochric (F11) (MLRA 151)
_ Thick Dark Surface (Al2)
_ Iron - Manganese Masses (F12) (LRR O, P, T) 'Indicators of hydrophytic vegetation and
_ Coast Prairie Redox (A16) (MLRA 150A)
_ Umbric Surface (1713) (LRR P, T, U) wetland hydrology must be present,
_ Sandy Mucky Mineral (S1) (LRR O, S)
_ Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
_ Sandy Gleyed Matrix (S4)
_ Reduced Vertic (1718) (MLRA 150A, 15013)
_ Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 149A)
_ Stripped Matrix (S6)
_ Anomalous Bright Loamy Soils (1720) (MLRA 149A, 153C, 153 D)
_ Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No
Remarks:
)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region —Version 2.0

NC DWQ Stream Identification Form Version 4.11
Date: 04.16.2012
Project /Site: Carlson Dairy Rd
Latitude: 36.1541'N
Evaluator: S &ME, Crystal Fox
County: Guilford
Longitude: -79.8910'W
Total Points:
Stream Determination (circ
Other
Stream is at least intermittent 34
Ephemeral Intermittent Perennial
e.g. Quad Name:
if? 19 or perennial if? 30"
2
3
A. Geomorphology (Subtotal = 17 )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In- channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2O
3
4. Particle size of stream substrate
0
1
2
3
5. Active /relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No E-0-)
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal=
12. Presence of Baseflow
0
1
2
O3
13. Iron oxidizing bacteria
0 )
1
2
3
14. Leaf litter
1.5
CD
0.5
0
15. Sediment on plants or debris
0
0.5
(aD
1.5
16. Organic debris lines or piles
0
1 0.5
1
1 1.5
17. Soil -based evidence of high water table?
No = 0
Yes Q 3
C. Biology (Subtotal= 7.5 )
18. Fibrous roots in streambed
3
CD
1
0
19. Rooted upland plants in streambed
(9p
2
1
0
20. Macrobenthos (note diversity and abundance)
0
Cp
2
3
21. Aquatic Mollusks
Q2D
1
2
3
22. Fish
CD
0.5
1
1.5
23. Crayfish
CD
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
CD
0.5
1
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL
1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

Appendix V

North Carolina Department of Cultural Resources
State Historic Preservation Office
Ramona M. Bartos, Administrator
Beverly Laves Perdue, Governor
Linda A. Carlisle, Secretary
Jeffrey J. Crow, Deputy Secretary
April 27, 2012
Crystal Fox
S &ME, Inc.
9751 Southern Pine Boulevard
Charlotte, NC 28273 -5560
Office of Archives and History
Division of Historical Resources
David Brook, Director
Re: PNG Carlson Dairy Road Maintenance project, Greensboro, S &ME 1357 -12 -002, Phase 01,
Guilford County, ER 12 -0586
Dear Ms. Fox:
Thank you for your letter of April 11, 2012, concerning the above project.
We have conducted a review of the project and are aware of no historic resources which would be affected by
the project. Therefore, we have no comment on the project as proposed.
The above comments are made pursuant to Section 106 of the National Historic Preservation Act and the
Advisory Council on Historic Preservation's Regulations for Compliance with Section 106 codified at 36 CFR
Part 800.
Thank you for your cooperation and consideration. If you have questions concerning the above comment,
please contact Renee Gledhill- Earley, environmental review coordinator, at 919 -807 -6579. In all future
communication concerning this project, please cite the above - referenced tracking number.
Sincerely,
�Ramona M. Bartos
Location: 109 Fast]ooes Street, Raleigh NC 27601 Mailing Address: 4617 Mail Service Center, Raleigh NC 27699 -4617 Telephone /Fax: (9'19) 807 - 6570/807 -6599

w� !
North Carolina Department of Environment and Natural Resources
Office of Conservation, Planning, and Community Affairs
Beverly Eaves Perdue Linda Pearsall
Governor Director
April 23, 2012
Ms. Crystal Fox
S &ME, Inc.
9751 Southern Pine Boulevard
Charlotte, NC 28273 -5560
Subject: PNG Carlson Dairy Road Maintenance Project; Greensboro, Guilford County
S &ME Project No. 1357 -12 -002 Ph 01
Dear Ms. Fox:
Dee Freeman
Secretary
The Natural Heritage Program has no record of rare species, significant natural communities, significant natural heritage
areas, or conservation/managed areas at the project site nor within a mile of the project area, except for the location of the
Lake Higgins Forest significant natural heritage area, located about 0.2 -mile to the southwest. This site is considered to
be of County significance. However, the proposed project is not likely to impact the site.
You may wish to check the Natural Heritage Program database website at www.ncnhp.org for a listing of rare plants and
animals and significant natural communities in the county and on the quad map. Our Program also has a new website that
allows users to obtain information on element occurrences and significant natural heritage areas within two miles of a
given location: <http: / /nhpweb.enr.state.nc.us /public /virh.ral_workroom.phtml >. The user name is "guest" and the
password is your e -mail address (see instructions on log -in screen). You may want to click "Help" for more information.
Please do not hesitate to contact me at 919 - 707 -8603 if you have questions or need firrther information.
Sincerely,
Harry E. LeGrand, Jr., Zoologist
Natural Heritage Program
Mailing address: 1601 Mail Service Center, Raleigh, North Carolina 27699 -1601
Location: 217 W. Jones Street, Raleigh NC 27604
Phone: 919 - 707 -8600 Webpage: www.oneNCNaturally.org
An Equal Opportunity 1 Affirmative Action Employer
O t ar®lina
Naturallff
Natural Resources Planning and Conservation

RE Carlson Dairy Road Maintenance.txt
From: Crystal Fox
sent: Thursday, March 29, 2012 3:27 PM
To: 'Matthew Williams'
Cc: Joey Lawler
subject: RE: Carlson Dairy Road Maintenance
10 -4 - I will let the client know.
Thanks,
Crystal
From: Matthew Williams [mailto:mwillia5 @co.guilford.nc.us]
sent: Thursday, March 29, 2012 3:25 PM
To: Crystal Fox
subject: RE: Carlson Dairy Road Maintenance
Crystal,
so long as stream disturbance is entirely located with the existing gas easement
then the county will not enforce buffer regulations. I do not see a recorded
easement located on the property. Please make sure to obtain any required
401/404 permits for any regulated streams. This office would like to be copied
on any proposed plan.
Matt Williams, PE
county of Guilford
Planning & Development Department
400 W. Market street
P.O. Box 3427
Greensboro,NC 27402
Direct:336- 641 -5565
Fax:[phone]
From: Crystal Fox [mailto:CFox @smeinc.com]
sent: Wednesday, March 28, 2012 10:17 AM
To: Matthew Williams
Cc: Joey Lawler
subject: Carlson Dairy Road Maintenance
Hey Matt,
Per our conversation on Monday - please find attached an aerial demarcating the
approximate location of the stream culvert area I discussed with you. At this
point, I am not sure exactly how the client plans to proceed (with attempting to
correct the ponded area) however, I believe the tentative plan is to pipe the
Page 1

RE Carlson Dairy Road Maintenance.txt
stream through the existing Row and fill the wetland that has resulted from
regular maintenance of the Right of way (Row). Based on our conversation, the
client is exempt from the buffer requirements because all work will be conducted
within the current Row and will not constitute a change in use.
Also, per our conversation, you asked that I determine if a drainage easement is
present on the property. I am unsure what this is and who would hold the
easement, but to that end I have researched on the Guilford County GIs to see if
I could find it there. I was only able to find the attached property information
and it does not reference drainage easements. Can you please provide
clarification on where to find this information and what the significance will be
if one is present?
I appreciate your help with this and if there is additional information I can
provide - please let me know.
Thanks,
Crystal
Crystal Fox
Natural Resources staff Professional
ENGINEERING INTEGRITY.
S &ME, Inc.
9711 southern Pine Boulevard
Charlotte NC 28273 Map
Ph: 704 - 523 -4726
Fax: 704 - 525 -3953
Mobile: [phone]
cfox @smeinc.com
www.smeinc.com
This electronic message is subject to the terms of use set forth at
www.smeinc.com /email. If you received this message in error please advise the
sender by reply and delete this electronic message and any attachments. Please
consider the environment before printing this email.
E -mail correspondence to and from this address may be subject to the
Page 2

RE Carlson Dairy Road Maintenance.txt
North Carolina Public Records Law and may be disclosed to third parties by an
authorized county official. If you have received this communication in
error , please do not distribute it. Please notify the sender by E -mail
at the address shown and delete the original message.
Page 3

Appendix VI

RESTORATION PLAN
PNG Carlson Dairy Road Maintenance Project
Greensboro, North Carolina
S &ME Project No. 1357 -12 -002, Phase 01
The proposed project has been designed to avoid and minimize jurisdictional impacts
where practicable. As part of mitigation for unavoidable impacts, the following plan
shall be implemented to restore temporarily- affected wetlands. This plan entails
restoration of temporarily- disturbed areas to their original contours and conditions to the
degree practicable upon project completion. Further, permanently disturbed wetland
areas will be stabilized with a native vegetative cover. The measures outlined below will
be specified in the contract documents prepared for construction of the proposed project.
Proposed restoration activities will include the re- vegetation of all disturbed areas with
the native seed mix identified in Table 1 below.
Table 1: Riparian Seed Mix*
Species
Common Name
Percentage of Mix
Elymus virginicus
Virginia wild rye
15
Panicum virgatum
Switchgrass
15
Agrostis stolinifera
Creeping bentgrass
10
Rudbeckia hirta, NC ecotype
Black -eyed Susan
10
Coreopsis lanceolate
Lance leaf tickseed
10
Panicum clandestinum
Deer tongue
10
Andropogon gerardii
Big bluestem
05
Juncus effusus
Soft rush
05
Echinochloa muricata
Awned barnyard grass
05
Schizachyrium scoparium
Little bluestem
05
Sorghastrum nutans
Indian grass
05
Tripsacum dactyloides
Gamma
05
100
Riparian Seed Mix to be applied to all disturbed areas, extending five feet landward following construction.
Recommended application rate: 20 -25 lbs. per acre
Restoration Plan Prepared By:
S &ME, Inc.
9711 Southern Pine Blvd.
Charlotte, N.C. 28273
704.523.4726
Contact: Crystal Fox
cfox o smeinc. com

Restoration Plan
PNG Carlson Dairy Road Maintenance Proiect
Local Suppliers of native seed and plant material:
Mellow Marsh Farm
1312 Woody Store Road
Siler City, N.C. 27344
919.742.1200
919.742.1280 fax
www.mellowmarshfarm.com
Natives
550 East Westinghouse Boulevard
Charlotte, N.C. 28273
688.527.1177
688.527.1133
plants(cr�,plantnative. net
S &ME project No. 1357 -12 -002, Phase 01
June 12. 2012