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Home My WebLink About20120694 Ver 1_401 Application_20120712J July 11 2012 U S Army Corps of Engineers Raleigh Regulatory Field Office 3331 Heritage Trade Drive Suite 105 Wake Forest North Carolina 27587 Attention Mr John Thomas 20120694 COURTESY CrID)PY Reference Pre Construction Notification (Nationwide Permit No 121 Archdale Regulator Access Drive r-_-r r �� Archdale North Carolina LL�� 11JJ R D S &ME Project No 1357 12 005 JUL 1 6 2012 Dear Mr Thomas eu GyA7 W Wetlands ITY On behalf of Piedmont Natural Gas (PNG) S &ME Inc (S &ME) is submitting this Branch application for impacts to waters of the U S in accordance with Department of the Army Nationwide Permit (NWP) No 12 (Utility Line Activities) This Pre Construction Notification (PCN) is being submitted for construction of an access road over a single stream located within an existing maintained natural gas pipeline right of way (ROW) in Archdale North Carolina In support of this application please find enclosed the following • Figures Site Vicinity Map (Figure 1) USGS Topographic Map (Figure 2) and 2010 Aerial Photograph (Figure 3) • Appendix I Completed PCN and Agent Authorization Form • Appendix II Site Photographs • Appendix III Preliminary Jurisdictional Determination Form Routine Wetland Determination Forms and N C Division of Water Quality ( NCDWQ) Stream Identification Forms (ver 4 11) • Appendix IV Construction Detail Exhibits The proposed project has also been designed and is proposed for construction in accordance with the applicable conditions of General Water Quality Certification No 3884 The project will result in impacts to 30 linear feet (If) of stream and is located in an area subject to Randleman Lake riparian buffer rules However road crossing projects that result in impacts are identified as exempt from the buffer rules Accordingly this PCN is being provided to NCDWQ as a courtesy SWE INC / 9751 Southern Pine Boulevard / Charlotte NC 28273 5560 / p 704 523 4726 f 704 525 3953 / www smeinc corn Pre Construction notification NWP 12 SWE Project No 1357 12 005 Archdale Regulator Access Drive, Archdale, N C July 11, 2012 The proposed project area is located north of U S Highway 311 (South Main Street) and south of Alison Lane in Archdale Randolph County North Carolina The project area encompasses the areas immediately adjacent to the access road and proposed stream crossing and consists primarily of portions of the road right of way (ROW) and the adjacent property (Parcel ID Nos 7728028851 and 7728039008) The location of the project area is depicted on the Site Vicinity Map (Figure 1) the applicable section of the High Point East, N C (1993) USGS Topographic Map (Figure 2) a 2010 Aerial Photograph (Figure 3) and to the Site Design (Figure 4) The project area is largely composed of maintained utility line ROW and is abutted to the west by an abandoned industrial development and to the east by vacant woodland The purpose of the proposed project is to provide access to a proposed regulator station that will be constructed within high ground on the north side of Stream 1 (Figures 3 and 4) Stream I currently bisects the existing ROW prohibiting access to the high ground area on the north side of the stream where the regulator station will be constructed The property south of Stream l contains wetlands and an insufficient area of high ground within which to construct the regulator station FIELD OBSERVATIONS On May 18 2012 Mr Joey Lawler an S &ME Natural Resources Professional visaed the project area to determine the jurisdictional status of streams and wetlands and document conditions within the project area The project area was limited to the existing ROW and wooded portions of the property east of the ROW where the regulator station would have to be constructed The determination was conducted utilizing currently accepted methods for wetland determination as set forth in the 1987 Corps of Engineers Wetlands Delineation Manual as amended by the Eastern Mountains and Piedmont Regional Supplement Stream assessments were conducted in accordance with NCDWQ and USACE guidelines Results of the determination are depicted on Figure 4 representative photographs of the project area are included in Appendix II and stream data sheets are included in Appendix III The field review identified two jurisdictional relatively permanent waters (Streams 1 and 2) within the project area Stream 1 is an intermittent (seasonal) channel that originates off site and flows southeast across the existing ROW into a wooded area where it drains into a second stream (Stream 2) Stream 2 is a perennial (year round) channel that flows beneath U S Highway 311 and onto the property through a concrete culvert Stream 2 eventually flows to Muddy Creek a USGS named tributary A majority of the wooded portion of the property south of Stream 1 and west of Stream 2 consists of wetlands The wetland area (Wetland A) abuts both streams and extends west within a portion of the ROW Typical overstory vegetation observed within Wetland A included red maple (Acer rubrum) American sycamore (Platanus occidentalis) black willow (Salix nigra) green ash (Fraxinus pennsylvania) and common persimmon (Diospyros virginiana) Understory vegetation included Japanese stilt grass VA Pre Construction notification NWP 12 S &ME Project No 1357 12 005 Archdale Regulator Access Drive, Archdale, N C July 11 2012 (Mrcrosteg ►um v ►m►neum) soft rush (Juncus effuses) and poison ivy (Toxtcodendron rod ►cans) Vegetation within the existing ROW included various grasses (Festuca spp ) white clover (Trifolrum repens) broomstraw (Andropogon virgimcus) switchgrass (Pamcum virgatum) sencea lespedeza (Lespedeza cuneata) dandelion (Taraxacum officinale) and goldenrod (Solydago sp ) Overstory vegetation within wooded upland portions of the project area included sweetgum (Lrquidamha► styraciflua) black cherry (Prunus serotma) eastern red cedar (Jun►perus v►rgtmana) and shortleaf pine (Prnus echinata) Understory vegetation was dominated by poison ivy Virginia creeper (Parthenoc►ssus qumquefoha) and trumpet creeper (Campsis radicans) A Preliminary Jurisdictional Determination Form Routine Wetland Determination Forms and NCDWQ Stream Identification Forms are included in Appendix III The proposed project involves construction of a 10 foot wide access drive over Stream 1 To accommodate the width of the road and shoulder a 24 foot long 36 inch diameter flared end culvert will be placed within the channel The work will be conducted in the dry by use of temporary coffer dams and a pump around system The bottom of the culvert will be buried beneath the existing streambed to maintain upstream and downstream channel stability and facilitate passage of aquatic organisms A plan view of the proposed project area cross section view of the proposed culvert and details of the proposed temporary pump around are included in Appendix IV Protected Species S &ME s consideration of potential protected species habitat began with a review of existing records obtained from federal and state sources The U S Fish & Wildlife Service (USFWS) list of federally protected species (updated September 22 2010) was consulted for a listing of protected species documented within Randolph County North Carolina This review identified two protected species one plant and one animal Listed flora and fauna and their federal rank and county status are identified in Table 1 Explanations of rankings are included at the end of the table Table 1 Federally Protected Flora and Fauna Summary Species Federal Rank County Status Habitat Present Hehanthus schwe►ndzu Schweinitz s sunflower E Current Yes Notrop►s mek►stocholas Cape Fear shiner E Current No C: - uivanyeieu As part of the protected species review S &ME also reviewed the North Carolina Natural Heritage Program (NCNHP) Geographic Information Systems (GIS) files of Element Occurrence (EO) and Natural Heritage Areas available from NC OneMap This review 3 Pre Construction notification NWP 12 SWE Project No 1357 12 005 Archdale Regulator Access Drive, Archdale, N C July 11, 2012 found no extant EOs of protected species on record within a two mile radius of the project area Brief descriptions of the species identified in Table 1 above are provided below Schwe►n►tz s Sunflower Status Federally Listed Endangered Biological Determination May Affect Not Likely to Adversely Affect Schwemitz s sunflower is a perennial that regularly grows approximately 6 5 feet tall (though it can be shorter if young or injured) and can occasionally reach heights of 16 feet It has thickened roots that are used to store starch The stem is purple and the upper third portion of the stem bears secondary branches at 45 degree angles The leaves are arranged in pairs on the lower part of the stem but usually occur singly on the upper part Leaves grow out from the stem at a right angle and the tips of the leaves tend to droop The leaves are thick and stiff with a rough upper surface They have broad spiny hairs that are directed toward the tip and soft white hairs cover the underside The plant produces small yellow flowers Schwemitz s sunflower blooms from late August until frost It occurs to full to partial sun and is found in areas with poor soils such as thin clays that vary from wet to dry This preference for poor soil helps minimize competition from other species Potential habitat for Schwemitz s sunflower exists in the project area as it consists of maintained ROW adjoined by industrial development to the west and woodland to the east However field review conducted on May 18 2012 did not identify potential populations of Schweinitz s sunflower Further there have been no documented occurrences in the area Accordingly it is unlikely that this species will be adversely affected by this project Cape Fear Shiner Status Federally Listed Endangered Biological Determination No Effect According to the USFWS species description the Cape Fear shiner is a small yellowish minnow with a black band along both sides of its body The shiner s fins are yellow and somewhat pointed It has a black upper lip and the lower lip bears a thin black bar along its margin The Cape Fear shiner is generally associated with gravel cobble and boulder substrates and has been observed in slow pools riffles and slow runs The Cape Fear shiner can be found swimming in schools of other minnow species but is never the most abundant species During the spawning season May through July the Cape Fear shiner adults move to slower flowing pools to lay eggs on the rocky substrate Juveniles are often found in slack water among large rock outcrops of the midstream and in flooded side channels and pools It is unlikely that Stream 1 provides suitable habitat for Cape Fear shiner Stream 1 is an intermittent channel that exhibited a largely sand and silt bed that was dry at the time of the assessment Although Stream 2 may provide marginally suitable habitat for Cape Fear shiner it will not be affected by the proposed project Further both Streams 1 and 2 exhibited evidence of the urbanized nature of the upstream watershed and likely support poor water quality as a result 4 Pre Construction notification NWP 12 SWE Project No 1357 12 005 Archdale Regulator Access Drive, Archdale, N C July 11, 2012 A copy of this NWP No 12 application will be provided to the USFWS Asheville Field Office Cultural Resources A copy of this NWP No 12 application will be provided to the North Carolina State Historic Preservation Office (SHPO) requesting that they review their records regarding cultural archaeological or historical resources to or near the project area and to provide written comments regarding the interests of their agency A review of the HPOWEB GIS Web Service indicated that there were no properties currently listed or determined eligible for listing in the National Register of Historic Places within a one mile radius of the project Impacts have been avoided and minimized to the extent practicable and have been limited to what is necessary to construct a crossing of the minimum width necessary to adequately accommodate vehicular access to the proposed regulator station Impacts to Wetland A and Stream 2 have been avoided entirely To prevent sedimentation of downstream portions of Stream 1 construction will be conducted in the dry Temporary erosion and sediment control measures placed in waters will be removed and the original grade restored upon completion of the project As indicated previously the proposed project will occur within an area subject to Randleman Lake riparian Buffer Rules permanently impacting 930 square feet (sf) of Zone 1 and 648 sf of Zone 2 However the proposed crossing is exempt from the rules as it will impact less than 401f of buffer Following construction disturbed areas within the work site will be restored to original grade and elevation Appropriate erosion and sediment control practices will be implemented to meet water quality turbidity standards Best Management Practices employed for the project will be in compliance with the most recent version of the North Carolina Sediment and Erosion Control Planning and Design Manual and the local governing authority 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 After construction disturbed areas will be appropriately seeded and restored The proposed revision will not result in project wide permanent impacts that exceed 150 If of stream channel and there will be no wetland impacts Accordingly mitigation for the project impacts should not be required Based on conversations with the USACE for similar projects we anticipate that appropriate mitigation for the proposed project can be satisfied by the avoidance and minimization procedures implemented during the design phase of the proposed project 5 Pre Construction notification NWP 12 SWE Project No 1357 12 005 Archdale Regulator Access Drive, Archdale, N C July 11 2012 CLOSING By copy of this correspondence and completed PCN we are requesting your written concurrence with this NWP No 12 permit application If you have questions or require additional information please feel free to contact us at 704 523 4726 Sincerely S &ME Jason Isbamoly Ooeywler P W S Project Scientist Senior Project Manager Senior Reviewed by Julie Bennett Hudel P G LEED AP Appendices cc Jim Adkins PNG Karen Higgins NCDWQ Central Office Sue Homewood NCDWQ Winston Salem Regional Office SHPO Raleigh U S Fish and Wildlife Service Asheville Field Office 0 Figures r - --� ;» �T , -y-- .--,, , -..�.� ��/�! - -.�.� `� � �`��•,� ,''y� -F {rte 1 t�-•x4+. �' '• r e" ,� r ,a ,��. - - -rtr F = _, Yom` �''- --- _ 1 �, � i • 1_w .� 00 ML 14 iii ..1` - � I ' �,� —. t- ♦ l' � } V -J- y1 ♦ �4.• -�- '��.- / � � of r • �.. w V 1,100 550 0 1,100 Feet .= Subject Property Location REFERENCE: , THE ABOVE CIS DATA WAS OBTAINED FROM THE 1993 HIGH FOUNT EAST, NC USGS TOPOGRAPHIC MAP. PLEASE NOTE THIS DATA IS FOR INFORMATIONAL PURPOSES ONLY. IT IS NOT MEANT FOR DESIGN, LEGAL, OR ANY OTHER USES. THERE ARE NO GUARANTEES ABOUT ITS ACCURACY. C- S &ME, INC. ASSUMES NO RESPONSIBILITY FOR ANY DECISION MADE OR ANY ACTIONS TAKEN BY THE USER BASED UPON INFORMATION OBTAINED FROM THE ABOVE DATA. SCALE: AS Shown FIGURE DATE. 05.24.12 _ S&ME USGS TOPOGRAPHIC MAP NO. DRAWN BY: Job 2 Archdale Regulator Access Drive PROJECT NO: WWW.SMEINC.COM Archdale, N.C. L 1357 -12 -005 Appendix i Completed PCN and Agent Authorization Form 2012p694 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 PC Form A Applicant Information 1 Processing !n Py- la Type(s) of approval sought from the Corps ®Section 404 Permit El Section 10 Permit lb Specify Nationwide Permit (NWP) number 12 or General Permit (GP) number 1c Has the NWP or GP number been verified by the Corps? ❑ Yes ® No ld Type(s) of approval sought from the DWQ (check all that apply) ❑ 401 Water Quality Certification — Regular ❑ Non 404 Jurisdictional General Permit ❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization le 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 ® 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 1g Is the project located in any of NC s twenty coastal counties If yes answer 1 h below ❑ Yes ® No 1h Is the project located within a NC DCM Area of Environmental Concern (AEC) ❑ Yes ® No 2 Project Information 2a Name of project Regulator Station Access Drive 2b County Randolph 2c Nearest municipality / town Archdale ` 2d Subdivision name N/A 2e NCDOT only T I P or state project no N/A JUL 2012 3 Owner Information WDENR Gyq H QUA 3a Name(s) on Recorded Deed Swaim Inc we��anch 3b Deed Book and Page No 001836/01554 and 001836/01554 3c Responsible Party (for LLC if applicable) N/A 3d Street address 1801 South College Drive 3e City state zip High Point N C 27260 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 James Adkins 4c Business name (if applicable) Piedmont Natural Gas 4d Street address 4720 Piedmont Row Drive 4e City state zip Charlotte NC 282210 4f Telephone no 704 731 4047 4g Fax no 704 731 4098 4h Email address dames adkms @piedmontng com 5 Agent/Consultant Information (if applicable) 5a Name Joey Lawler 5b Business name (if applicable) SWE Inc 5c Street address 9751 Southern Pine Blvd 5d City state zip Charlotte NC 28273 5e Telephone no 704 5234726 5f Fax no 704 525 3953 5g Email address jlawler @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 1a Property identification no (tax PIN or parcel ID) Parcel ID Nos 7728028851 and 7728039008 lb Site coordinates (in decimal degrees) Latitude 35 89787 Longitude 7994226 (DD DDDDDD) ( DD DDDDDD) 1c Property size Project Area — 0 25 acres 2 Surface Waters 2a Name of nearest body of water (stream river etc ) to UT to Muddy Creek proposed project 2b Water Quality Classification of nearest receiving water 17 9 1 WS IV 2c River basin Randleman Lake Basin Cape Fear 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 The area within which the access drive will be constructed consists of an existing maintained natural gas pipeline right of way (ROW) The regulator station will be located in an adjacent highground area vegetated with young pine and sucessional harwood species 3b List the total estimated acreage of all existing wetlands on the property No wetlands were identified within the project area Wetlands are located south of the proposed access drive but will not be affected by the proposed project 3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property The property conatins two stream channels Stream 1 is an intermittent channel that originates off site and flows southeast across the existing ROW into a wooded area where it drains into a second stream (Stream 2) Stream 2 is a perennial channel that flows beneath U S Highway 311 and onto the property through a concrete culvert Stream 2 eventually flows to Muddy Creek The combined length of Streams 1 and 2 on the property is approximately 600 linear feet 3d Explain the purpose of the proposed project The purpose of the proposed project is to provide access to a proposed regulator station that will be constructed within high ground on the north side of Stream 1 Stream 1 currently bisects the existing ROW prohibiting access to the high ground area on the north side of the stream The property south of Stream 1 contains wetlands and an insufficient area of high ground within which to construct the regulator station 3e Describe the overall project in detail including the type of equipment to be used The proposed project involves construction of a gravel access road and placement of a metal culvert within Stream 1 The work will be conducted by industry standard mechnaized equipment and in the dry through use of coffer dams and a pump around system A temporary construction mat will be utilized initadly in order to provide equipment with access to the north side of the stream 4 Jurisdictional Determinations 4a Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / ❑Yes ❑ No Unknown project (including all prior phases) in the pasty Comments 4b If the Corps made the jurisdictional determination what type ❑ 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? ❑ Yes ❑ No ® unknown 5b If yes explain in detail according to help file instructions 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 la 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 El Yes El Corps ❑ No ❑ DWQ W2 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W3 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W4 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W5 ❑ P ❑ T ❑ Yes ❑ Corps ❑ No ❑ DWQ W6 ❑ P FIT ❑ Yes ❑ Corps ❑ No ® DWQ 2g Total wetland impacts 2h Comments No wetlands will be impacted by the proposed project 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 Jurisdiction 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 Culvert S1 ❑ PER ® Corps 2 30 ® 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 30 31 Comments No other 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 Open water impact number — Permanent (P) or Temporary T 4b Name of waterbody (if applicable) 4c Type of impact 4d Waterbody type 4e Area of impact (acres) 01 ❑ PEI T 02 ❑ PE] T 03 ❑ PE] T 04 ❑P ❑T 4f Total open water impacts 4g Comments No open waters are located within the project area 5 Pond or Lake Construction If pond or lake construction proposed then com lete the chart below 5a Pond ID number 5b Proposed use or purpose of pond 5c Wetland Impacts (acres) 5d Stream Impacts (feet) 5e Upland (acres) Flooded Filled Excavated Flooded Filled Excavated Flooded P1 P2 517 Total 5g Comments 5h is a dam high hazard permit required ❑ Yes ❑ No If yes permit ID no 51 Expected pond surface area (acres) 5j Size of pond watershed (acres) 5k Method of construction Page 6 of 12 PCN Form — Version 1 3 December 10 2008 Version 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 for Buffer Zone 1 impact Zone 2 impact Permanent (P) impact Stream name mitigation (square feet) (square feet) or Temporary required? T construction 61 ®P ❑ T of an access S1 ® Yes s 930 648 drive B2 ❑P ❑T El Yes ❑ No B3 ❑P ❑T El Yes ❑ No 6h Total buffer impacts 930 648 61 Comments Impacts to Zone 1 and Zone 2 will occur entirely within an existing grassed utility corridor that is not forested Further construction of access roads that imapct less than 40 liner feet of buffer are exempt from the Randleman Lake Water Supply Watershed Protection rules D Impact Justification and Mitigation 1 Avoidance and Minimization 1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project Impacts have been avoided and minimized to the extent practicable and have been limited to what is necessary to provide access to the proposed regulator station The regulator station cannot be constructed on the south side of Stream 1 due to the amount of wetlands located there The proposed culvert and crossing have been designed to provide the minimum width necessary to accommodate vehciluar access for future maintenance of the regulator station No impacts to any wetlands or to Stream 2 are proposed lb Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques To prevent sedimentation of downstream portions of Stream 1 construction will be conducted in the dry utilizing a temporary coffer dam / pump around system Temporary erosion and sediment control measures placed in waters will be removed and the original grade restored upon completion of the project 2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State 2a Does the project require Compensatory Mitigation for ❑ Yes ® No impacts to Waters of the U S or Waters of the State? 2b If yes mitigation is required by (check all that apply) ❑ DWQ ❑ Corps ❑ Mitigation bank 2c If yes which mitigation option will be used for this project? ❑ Payment to in lieu fee program ❑ Permittee Responsible Mitigation 3 Complete if Using a Mitigation Bank 3a Name of Mitigation Bank 3b Credits Purchased (attach receipt and letter) Type Quantity Page 7 of 12 PCN Form — Version 1 3 December 10 2008 Version 3c Comments 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 linear feet 4c If using stream mitigation stream temperature ❑ warm ❑ cool ❑cold 4d Buffer mitigation requested (DWQ only) square feet 4e Riparian wetland mitigation requested acres 4f Non riparian wetland mitigation requested acres 4g Coastal (tidal) wetland mitigation requested 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 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 buffer mitigation? ❑ Yes ® No 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 Zone 6c Reason for impact 6d Total impact (square feet) Multiplier 6e Required mitigation (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) 6h Comments Project is exempt from the Randleman Lake Water Supply Watershed Protection rules 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? lb If yes then is a diffuse flow plan included? If no explain why Comments The proposed crossing is located entirely within an existing grassed ❑ Yes ® No utility ROW 2 Stormwater Management Plan 2a What is the overall percent imperviousness of this project? N/A % 2b Does this project require a Stormwater Management Plan? ❑ Yes ® No 2c If this protect DOES NOT require a Stormwater Management Plan explain why The proposed project involves construction of a gravel access drive and regulator station with minimal impervious surface 2d If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan ❑ 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 3b Which of the following locally implemented stormwater management programs ❑ NSW ❑ 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 4a Which of the following state implemented stormwater management programs apply ❑ HQW ❑ 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) la Does the project involve an expenditure of public (federal /state /local) funds or the ❑ Yes ® No use of public (federal /state) land? lb 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)? 1c 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 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) 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 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 proposed project will not generate wastewater 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? E:1 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? A copy of this application will be provided to the USFWS Asheville Field Office Field review of the project area did not indicate the presence of habitat or endangered species listed for Randolph County The project area and vicinity are not located in a Designated Critical Habitat Review of Element Occurrences on the North Carolina Natural Heritage Program Geographic Information Systems files found that there were no known extant occurences of threatened or endangered species within a 2 mile radius of the proposed project 6 Essential Fish Habitat (Corps Requirement) 6a Will this protect 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 flonclamanne 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? A copy of this application will be provided to the North Carolina State Historic Preservation Office (SHPO) A review of the HPOWEB GIS Service indicated that there were no properties currently listed or determined eligible for listing in the National Register of Historic Places within a one mile radius of the project 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 8c What source(s) did you use to make the floodplain determination? The proposed project will be constructed outside of the 100 year FEMA floodplain Source 37151C FEMA DFIRM Flood data Joey Lawler P W S July 10 2012 Applicant/Agent s Printed Name Date Applican ent o3aflfre (Agents signature is valid only i onzation letter from the applicant is provided Page 11 of 12 PCN Form — Version 1 3 December 10 2008 Version Project Information S &ME Project Name PNG Archdale Regulator Access Drive Type of Project Stream crossing to provide access to proposed regulator station Location Hwy 311 Archdale NC Work Authorizations) Proposal No 1357 25200 12REV2 and SA 57 1212 (01 18 12) Property OwnedRepresentative 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 4720 Piedmont Row Drive Charlotte N C 28210 704 -731 -4047 Mr Jim Adkins S &ME Inc 9751 Southern Pine Charlotte NC 28273 (704) 5234, Joey Lawler Authorization I � � on behalf of /(Contact Signature) ,l _J 1 ��11h.�/l/i *(+T_ R, � hereby authorize (Name of Landowner or Representative) S &ME Inc to perform work necessary for the processing issuance and acceptance of Section 404/401 permits pursuant to the project referenced above on my behalf WA M 9" mazas, l • Photo 1: View of ROW facing north towards Stream 1. Photo 3: Second view of Stream 1 where it flows off of the ROW into the wooded area to the east. Photo 5: View of Wetland A. Wetland A will not be affected by the proposed project. Photo 2: View of Stream 1 facing east within ROW. Photo 4: View of Stream 2 facing north. Stream 2 will not Photo 6: View of high ground location of proposed regulator station. SITE PHOTOGRAPHS Archdale Regulator Access Drive Archdale, North Carolina Photo Page 1 of 1 PRELIMINARY JURISDICTIONAL DETERMINATION FORM BACKGROUND INFORMATION A REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL DETERMINATION (JD) 07 09 12 B NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD JOEY LAWLER PWS S &ME INC 9751 SOUTHERN PINE BOULEVARD CHARLOTTE N C 28273 B DISTRICT OFFICE, FILE NAME, AND NUMBER RALEIGH C PROJECT LOCATION(S) AND BACKGROUND INFORMATION THE SUBJECT PROPERTY CONSISTS OF PORTIONS OF TWO ADJACENT TARCTS (PARCEL ID NOS 7728028851 AND 7728039008) LOCATED NORTH OF US HIGHWAY 311 IN ARCHDALE RANDOLPH COUNTY N C (USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT SITES) State NORTH CAROLINA County /parish /borough RANDOLPH City ARCHDALE Center coordinates of site (lat/long in degree decimal format) Lat 35 89787 ° N Long 79 94226 W Universal Transverse Mercator 17N NAD83 NC STATE PLANE Name of nearest waterbody UT TO MUDDY CREEK Identify (estimate) amount of waters in the review area Non - wetland waters SEE TABLE Cowardm Class SEE TABLE Stream Flow SEE TABLE Wetlands SEE TABLE Cowardin Class SEE TABLE Name of any water bodies on the site that have been identified as Section 10 waters NONE Tidal N/A Non Tidal N/A E REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY) ❑ Office (Desk) Determination Date ® Field Determination Date(s) MAY 18 2012 1 The Corps of Engineers believes that there may be jurisdictional waters of the United States on the subject site and the permit applicant or other affected party who requested this preliminary JD is hereby advised of his or her option to request and obtain an approved jurisdictional determination (JD) for that site Nevertheless the permit applicant or other person who requested this preliminary JD has declined to exercise the option to obtain an approved JD in this instance and at this time 2 In any circumstance where a permit applicant obtains an individual permit or a Nationwide General Permit (NWP) or other general permit verification requiring pre - construction notification (PCN) or requests verification for a non reporting NWP or other general permit and the permit applicant has not requested an approved JD for the activity the permit applicant is hereby made aware of the following (1) the permit applicant has elected to seek a permit authorization based on a preliminary JD which does not make an official determination of Jurisdictional waters (2) that the applicant has the option to request an approved JD before accepting the terms and conditions of the permit authorization and that basing a permit authorization on an approved JD could possibly result in less compensatory mitigation being required or different special conditions (3) that the applicant has the right to request an individual permit rather than accepting the terms and conditions of the NWP or other general permit authorization (4) that the applicant can accept a permit authorization and thereby agree to comply with all the terms and conditions of that permit including whatever mitigation requirements the Corps has determined to be necessary (5) that undertaking any activity in reliance upon the subject permit authorization without requesting an approved JD constitutes the applicants acceptance of the use of the preliminary JD but that either form of JD will be processed as soon as is practicable (6) accepting a permit authorization (e g signing a proffered individual permit) or undertaking any activity in reliance on any form of Corps permit authorization based on a preliminary JD constitutes agreement that all wetlands and other water bodies on the site affected in any way by that activity are jurisdictional waters of the United States and precludes any challenge to such jurisdiction in any administrative or judicial compliance or enforcement action or in any administrative appeal or in any Federal court and (7) whether the applicant elects to use either an approved JD or a preliminary JD that JD will be processed as soon as is practicable Further an approved JD a proffered individual permit (and all terms and conditions contained therein) or individual permit denial can be administratively appealed pursuant to 33 C F R Part 331 and that in any administrative appeal jurisdictional issues can be raised (see 33 C F R 331 5(a)(2)) If during that administrative appeal it becomes necessary to make an official determination whether CWA jurisdiction exists over a site or to provide an official delineation of jurisdictional waters on the site the Corps will provide an approved JD to accomplish that result as soon as is practicable 2 This preliminary JD finds that there may be waters of the United States on the subject project site and identifies all aquatic features on the site that could be affected by the proposed activity based on the following information SUPPORTING DATA Data reviewed for preliminary JD (check all that apply) - checked items should be included in case file and where checked and requested appropriately reference sources below) ® Maps plans plots or plat submitted by or on behalf of the applicant/consultant S &ME FIGURES 1 -4 ® Data sheets prepared /submitted by or on behalf of the applicant/consultant ❑ Office concurs with data sheets /delineation report ❑ Office does not concur with data sheets /delineation report ❑ Data sheets prepared by the Corps ❑ Corps navigable waters study ❑ U S Geological Survey Hydrologic Atlas ❑ USGS NHD data ❑ USGS 8 and 12 digit HUC maps ® U S Geological Survey map(s) Cite scale & quad name 1993 HIGH POINT EAST NC] ® USDA Natural Resources Conservation Service Soil Survey Citation RANDOLPH COUNTY ❑ National wetlands inventory map(s) Cite name ❑ State /Local wetland inventory map(s) ❑ FEMA/FIRM maps ❑ 100 year Floodplain Elevation is (National Geodectic Vertical Datum of 1929) ® Photographs ® Aerial (Name & Date) 2010 ARIAL PHOTOGRAPHS or ® Other (Name & Date) S &ME REPRESENTATIVE SITE PHOTOGRAPHS ❑ Previous determination(s) File no and date of response letter ® Other information (please specify) SEE ATTACHED WATERS UPLOAD SHEET AND USACE ROUTINE WETLAND DELINEATION FORMS IMPORTANT NOTE The information recorded on this form has not necessarily been verified by the Corps and should not be relied upon for later jurisdictional determinations Signature and date of Regulatory Project Manager (REQUIRED) See attached signature page Signature and date of person requesting preliminary JD (REQUIRED unless obtaining the signature is impracticable) 3 USACE Waters Upload Sheet Archdale Regulator Access Drive Project No 1357 12 005 Cowardin Area Linear Waters Latitude(dd Longitude Waters—Name HGM Code Local Waterway Code — acres ft Types nad83 dd nad83 S1 R4SB4 RIVERINE 200 RPW 358978 799422 UT to Stream 2 S2 R3UB1 RIVERINE 400 RPW 358972 799426 UT to Muddy Crrek WA PF01 RIVERINE 025 RPWWD 358975 799423 Abuts UT to Muddy Creek WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Project/Site Archdale Regulator City /County Randolph Sampling Date 05 18 12 Applicant/Owner Piedmont Natural Gas State NC Sampling Point WA 1 Investigator(s) Joey Lawler S &ME Section Township Range Landform (hdlslope terrace etc) Floodplam Local relief (concave convex none) Concave Slope (/) 2 Subregion (LRR or MLRA) P Lat 35 89745 Long 79 94229 Datum Soil Map Unit Name Vance Sandy Loam NWI classification Are climatic / hydrologic conditions on the site typical for this time of year? Yes ✓ No (If no explain in Remarks ) Are Vegetation Sod or Hydrology significantly disturbed? Are Normal Circumstances present? Yes No Are Vegetation Sod 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 r No Hydnc Sod Presents Is the Sampled Area r Yes No within a Wetland? Yes No Wetland Hydrology Present? Yes r No Remarks HYDROLOGY Wetland Hydrology Indicators Secondary Indicators (minimum of two required) Primary Indicators (minimum of one is required, check all that apply) _ Surface Sod Cracks (136) _ Surface Water (Al) _ True Aquatic Plants (1314) _ Sparsely Vegetated Concave Surface (68) High Water Table (A2) _ Hydrogen Sulfide Odor (Cl) — Drainage Patterns (1310) _ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (616) Water Marks (61) _ Presence of Reduced Iron (C4) _ Dry Season Water Table (C2) Sediment Deposits (132) _ Recent Iron Reduction in Tilled Soils (C6) Crayfish Burrows (C8) _ Drift Deposits (133) _ Thin Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9) Algal Mat or Crust (134) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1) Iron Deposits (135) _ Geomorphic Position (D2) _ Inundation Visible on Aerial Imagery (B7) _ Shallow Aguitard (D3) Water Stained Leaves (139) _ Microtopographic Relief (134) Aquatic Fauna (1313) _ FAC Neutral Test (D5) Field Observations Surface Water Present? Yes r No Depth (inches) 1 Water Table Present? Yes r No Depth (inches) 0 Saturation Present? Yes r No Depth (inches) 0 Wetland Hydrology Present? Yes No includes capillary fringe) Describe Recorded Data (stream gauge monitoring well aerial photos previous inspections) if available Remarks US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version VEGETATION (Four Strata) — Use scientific names of plants Sampling Point WA 1 Remarks (Include photo numbers here or on a separate sheet ) US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version Absolute Dominant Indicator Dominance Test worksheet Tree Stratum (Plot size 30 ) A Cover Species? Status Number of Dominant Species 1 Acer rubrum 75 Y FAC That Are OBL FACW or FAC 8 (A) 2 Platanus occidentalis 50 Y FACW 3 Fraxinus pennsylvarna 40 Y FACW Total Number of Dominant 8 Species Across All Strata (B) 4 Salix rngra 25 N FACW Percent of Dominant Species 5 That Are OBL FACW or FAC 100 (A/B) 6 Prevalence Index worksheet 7 8 Total / Cover of Multiply by 190 = Total Cover OBL species x 1 = Sapling /Shrub Stratum (Plot size ) FACW species x 2 = 1 Diospyros virgimana 20 Y FAC FAC species x3= 2 Fraxinus pennsylvania 25 Y FACW FACU species x4= 3 UPL species x 5 = 4 Column Totals (A) (B) 5 Prevalence Index = B/A = 6 Hydrophytic Vegetation Indicators 7 1 Rapid Test for Hydrophytic Vegetation 8 _ 2 Dominance Test is >50 / 9 45 _ 3 Prevalence Index is <3 0' 10 _ 4 Morphological Adaptations' (Provide supporting = Total Cover data in Remarks or on a separate sheet) Herb Stratum (Plot size ) Problematic Hydrophytic Vegetation' (Explain) 1 _ 2 Juncus effuses 10 Y FACW 3 'Indicator of hydnc sod and wetland hydrology must be present unless disturbed or problematic 4 Definitions of Four Vegetation Strata 5 6 Tree — Woody plants excluding vines 3 in (7 6 cm) or more in diameter at breast height (DBH) regardless of 7 height 8 Sapling /Shrub — Woody plants excluding vines less 9 than 3 in DBH and greater than 3 28 ft (1 m) tall 10 11 Herb — All herbaceous (non woody) plants regardless of size and woody plants less than 3 28 ft tall 12 10 = Total Cover Woody vine — All woody vines greater than 3 28 ft in Woody Vine Stratum (Plot size ) height 1 Toxicodendron radicans 10 Y FAC 2 3 4 5 Hydrophytic Vegetation 6 Present? Yes No 10 = Total Cover Remarks (Include photo numbers here or on a separate sheet ) US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version SOIL Sampling Point WA 1 Profile Description (Describe to the depth needed to document the indicator or confirm the absence of indicators) Depth Matrix Redox Features (inches) Color (moist) A Color (moist) _A Type Loc Texture Remarks 03 10YR 3/1 100 FS Loam 312 10YR 4/1 90 10YR 4/6 10 C M FS Loam 1216 10YR 6/1 95 10YR 4/6 5 D M C Loam Hydnc Sod Indicators _ Histosoi (Al) _ Histic Epipedon (A2) _ Black Histic (A3) _ Hydrogen Sulfide (A4) _ Stratified Layers (A5) _ 2 cm Muck (A10) (LRR N) _ Depleted Below Dark Surface (A11) _ Thick Dark Surface (Al2) _ Sandy Mucky Mineral (S1) (LRR N MLRA 147 148) _ Sandy Gleyed Matrix (S4) _ Sandy Redox (S5) _ Stripped Matrix (S6) Restrictive Layer (if observed) Type Depth (inches) Remarks ,duced Matrix MS= Masked Sand Grains ZLocation PL =Pore Linino M =Matrix _ Dark Surface (S7) Polyvalue Below Surface (S8) (MLRA 147 148) Thin Dark Surface (S9) (MLRA 147 148) _ Loamy Gleyed Matrix (F2) Depleted Matrix (173) _ Redox Dark Surface (F6) _ Depleted Dark Surface (F7) _ Redox Depressions (F8) Indicators for Problematic Hydnc Soils 2 cm Muck (A10) (MLRA 147) Coast Prairie Redox (A16) (MLRA 147 148) Piedmont Floodplain Sods (F19) (MLRA 136 147) _ Red Parent Material (TF2) Very Shallow Dark Surface (TF12) — Other (Explain in Remarks) — Iron Manganese Masses (F12) (LRR N MLRA 136) _ Umbric Surface (F13) (MLRA 136 122) 3Indicators of hydrophytic vegetation and Piedmont Floodplam Sods (F19) (MLRA 148) wetland hydrology must be present unless disturbed or problematic Hydnc Sod Present? Yes V No US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Project/Site Archdale Regulator City/County Randolph Sampling Date 05 18 12 Applicant/Owner Piedmont Natural Gas State NC Sampling Point WA 1 Up Investigators) ,Joey Lawler S &ME Section Township Range Landform (hillslope terrace etc) Hillslope Local relief (concave convex none) Convex Slope (/) 4 Subregion (LRR or MLRA) P Lat 35 897533 Long 79 941963 Datum Sod Map Unit Name Vance Sandy Loam NWI classification Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no explain in Remarks ) Are Vegetation Sod or Hydrology significantly disturbed? Are Normal Circumstances present? Yes No Are Vegetation Sod 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 Sod Present? Yes No within a Wetland? Yes No Wetland Hydrology Present? Yes No Remarks HYDROLOGY Wetland Hydrology Indicators Secondary Indicators (minimum of two required) Primary Indicators (minimum of one is required check all that apply) _ Surface Soil Cracks (B6) Surface Water (Al) _ True Aquatic Plants (1314) _ Sparsely Vegetated Concave Surface (68) _ High Water Table (A2) _ Hydrogen Sulfide Odor (Cl) _ Drainage Patterns (1310) Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (1316) _ Water Marks (131) _ Presence of Reduced Iron (C4) _ Dry Season Water Table (C2) _ Sediment Deposits (62) _ Recent Iron Reduction in Tilled Sods (C6) Crayfish Burrows (C8) Drift Deposits (63) _ Thin Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9) _ Algal Mat or Crust (134) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1) _ Iron Deposits (135) _ Geomorphic Position (D2) Inundation Visible on Aerial Imagery (137) _ Shallow Aquitard (D3) Water Stained Leaves (69) _ Microtopographic Relief (D4) _ Aquatic Fauna (613) _ FAC Neutral Test (D5) Field Observations Surface Water Present? Yes No r Depth (inches) 0 Water Table Present? Yes No ° Depth (inches) '12 Saturation Present? Yes No Depth (inches) '12 Wetland Hydrology Present? Yes No includes capillary fringe) Describe Recorded Data (stream gauge monitoring well aerial photos previous inspections) if available Remarks US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version VEGETATION (Four Strata) — Use scientific names of plants Sampling Point WA 1 Up Remarks (Include photo numbers here or on a separate sheet ) US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version Absolute Dominant Indicator Dominance Test worksheet Tree Stratum (Plot size 30 ) A Cover Species Status Number of Dominant Species 1 Liqwdambar styraaflua 70 Y FAC That Are OBL FACW or FAC 4 (A) 2 Prunus serotina 55 Y FACU Jun erus vir irnana 3 p 9 35 N FACU Total Number of Dominant Species Across All Strata 5 (B) 4 Pmus echinata 35 N UPL Percent of Dominant Species 5 That Are OBL FACW or FAC 80 (A/B) 6 Prevalence Index worksheet 7 8 Total / Cover of Multiply by 195 = Total Cover OBL species x 1 = Sapling /Shrub Stratum (Plot size ) FACW species x 2 = 1 Diospyros virgmiana 25 Y FAC FAC species x 3 = 2 FACU species x 4 = 3 UPL species x 5 = 4 Column Totals (A) (B) 5 Prevalence Index = B/A = 6 Hydrophytic Vegetation Indicators 7 1 Rapid Test for Hydrophytic Vegetation 8 _ 2 Dominance Test is >50 / 9 _ 25 _ 3 Prevalence Index is <_3 0' 10 4 Morphological Adaptations' (Provide supporting 5 =Total Cover _ data in Remarks or on a separate sheet) Herb Stratum (Plot size ) Problematic Hydrophytic Vegetation' (Explain) 1 _ 2 Microstegwm vimmeum 30 Y FAC 'Indicators of hydnc sod and wetland hydrology must 3 be present unless disturbed or problematic 4 Definitions of Four Vegetation Strata 5 6 Tree — Woody plants excluding vines 3 in (7 6 cm) or more in diameter at breast height (DBH) regardless of 7 height 8 Sapling /Shrub — Woody plants excluding vines less 9 than 3 in DBH and greater than 3 28 ft (1 m) tall 10 11 Herb — All herbaceous (non woody) plants regardless of size and woody plants less than 3 28 ft tall 12 30 = Total Cover Woody vine — All woody vines greater than 3 28 It in Woody Vine Stratum (Plot size ) height 1 Toxicodendron radicans 10 Y FAC 2 3 4 5 Hydrophytic Vegetation 6 Present? Yes No 10 = Total Cover Remarks (Include photo numbers here or on a separate sheet ) US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version SOIL Sampling Point WA 1 Up Profile Description (Describe to the depth needed to document the indicator or confirm the absence of indicators ) Depth Matrix Redox Features (inches) Color (moist) _ A Color (moist) —10 Type Loc Texture Remarks 04 10YR 4/2 100 L Sand 408 10YR 5/3 100 FS Loam 08 12+ 10YR 5/4 100 FS Loam RM= Reduced Matrix MS= Masked Sand Hydric Sod Indicators Histosol (Al) _ Histic Epipedon (A2) _ Black Histic (A3) Hydrogen Sulfide (A4) _ Stratified Layers (A5) 2 cm Muck (A10) (LRR N) Depleted Below Dark Surface (A11) _ Thick Dark Surface (Al2) _ Sandy Mucky Mineral (S1) (LRR N MLRA 147 148) _ Sandy Gleyed Matrix (S4) _ Sandy Redox (S5) _ Stripped Matrix (S6) Restrictive Layer (if observed) Tvoe Depth (inches) Dark Surface (S7) Polyvalue Below Surface (S8) (MLRA 147 148) Thin Dark Surface (S9) (MLRA 147 148) _ Loamy Gleyed Matrix (F2) _ Depleted Matrix (F3) _ Redox Dark Surface (F6) Depleted Dark Surface (F7) _ Redox Depressions (178) _ Iron Manganese Masses (1712) (LRR N MLRA 136) Umbric Surface (F13) (MLRA 136 122) Piedmont Floodplam Soils (F19) (MLRA 148) Indicators for Problematic Hydric Sods' _ 2 cm Muck (A10) (MLRA 147) _ Coast Prairie Redox (A16) (MLRA 147 148) _ Piedmont Floodplam Sods (F19) (MLRA 136 147) _ Red Parent Material (TF2) _ Very Shallow Dark Surface (TF12) _ Other (Explain in Remarks) 3Indicators of hydrophytic vegetation and wetland hydrology must be present unless disturbed or problematic Hydric Soil Present? Yes No V US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version STREAM 1 NC DWQ Stream Identification Form Version 4 11 Date 05 18 12 Project/Site Archdale Regulator Latitude 35 897785 Evaluator Joey Lawler, S &ME County Randolph Longitude 79 94221 Total Points Stream Determin ti in (circle one) Other Stream is at least intermittent 25 5 Ephemeral I termitte Perennial e g Quad Name if z 19 or peren mai if z 30 2 3 A Geomorphology (Subtotal= 12 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 05 2 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 05 1 15 10 Natural valley 0 05 1 1 5 11 Second or greater order channel C No= OD Yes = 3 artificial ditches are not rated see discussions in manual B Hydroloqy (Subtotal = 7 5 ) 12 Presence of Baseflow 0 O 2 3 13 Iron oxidizing bacteria Cp 1 2 3 14 Leaf litter 15 CD 05 0 15 Sediment on plants or debris 0 05 CTD 1 5 16 Organic debris lines or piles 0 05 1 1 5 17 Soil based evidence of high water table? No = 0 Yes = 3 C Biology (Subtotal = L--) 18 Fibrous roots in streambed 3 2 1 0 19 Rooted upland plants in streambed 3 2 1 0 20 Macrobenthos (note diversity and abundance) 0 1 2 3 21 Aquatic Mollusks Qg 1 2 3 22 Fish 0 05 1 15 23 Crayfish 0 05 15 24 Amphibians 0 U:5) 1 1 5 25 Algae 0 —C 05 C-10 15 26 Wetland plants in streambed FACW = 0 75 OBL 6,1 Other= 0 perennial streams may also be identified using other methods See p 35 of manual Notes Sketch NC DWQ Stream Identification Form Version 4 11 STREAM 2 Date 05 18 12 Project/Site Archdale Latitude 35 897207 Evaluator Crystal Fox, S &ME County Randolph Longitude 79 942628 Total Points Stream Determination (circ a Other Stream is at least intermittent 39 if a 19 or perennial if 2:30 Ephemeral Intermittent erenni e g Quad Name A Geomorphology (Subtotal = 19 ) Absent Weak Moderate Strong 1 Continuity of channel bed and bank 0 1 2 C3D 2 Sinuosity of channel along thalweg 0 1 2 3 3 In channel structure ex riffle pool step pool ripple sequence 0 1 O 3 4 Particle size of stream substrate 0 1 7=2 3 5 Active /relict floodplain 0 1 2 3 6 Depositional bars or benches 0 1 C 2 3 7 Recent alluvial deposits 0 1 2 3 8 Headcuts 0 1 2 3 9 Grade control 0 Op 1 1 5 10 Natural valley 0 05 1 5 11 Second or greater order channel No = 0 Yes = 3 artificial ditches are not rated see discussions in manual B Hydrology (Subtotal= 95 ) 12 Presence of Baseflow 0 1 2 V 13 Iron oxidizing bacteria 0 1 2 3 14 Leaf litter 15 1 05 0 15 Sediment on plants or debris 0 05 1 15 16 Organic debris lines or piles 0 05 1 1 5 17 Sod based evidence of high water table? No = 0 Yes = 3 C Biology Subtotal = 105 18 Fibrous roots in streambed 3 2 1 0 19 Rooted upland plants in streambed 3 2 1 0 20 Macrobenthos (note diversity and abundance) 0 1 2 3 21 Aquatic Mollusks 0 1 2 3 22 Fish 0 0 5 1 15 23 Crayfish 0 05 1 15 24 Amphibians 0 0 5 1 1 5 25 Algae 0 05 1 15 26 Wetland plants in streambed FACW = 0 75 OBL 1 Other = 0 perennial streams may also be identified using other methods See p 35 of manual Notes Sketch Appendix IV Construction Detail Exhibits g FZ o ff o -,,.goo < W Z O W m 2 W r N r 2 Z �.• r V O F W W Z y W W N N J N E W �, w 2 O <U' < W 4 D 30 W o a w > CL J V o n nxw v Vcnio �n Z w ¢ W O\ O O O w 7 Q < VP�r� °ag +�o°o "'m'agg Q Z s °z o °z a zo z o z w o < ¢< I< F a a< a a Hp �= m�m =mmnw =mmmm w w 0 r< ° 5z ° v' ° w o w a w a w a y ? _ `\ o` UO Z : 33 3 3 3 �w Nfl� �I tom o 0 o i I I N o V eon COMApOHE q�c � � � � I I � ao_�n�o 000a �ooa � s >' ,�,•> > 12.30- .,y ;ate , • '' • -o IF 01 00 { ^ LL F ; au o O a U \ . a tt�� Ld LLJ Z� V U Q O ffiffiffi Q W J a a Z ,`' N Q �, U N K } ~ Z !3 CL Q Q Z ZO � Q H N 0:: d p NWwa ? _• w . 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