20210373 Ver 1_401 Application_20210322

Staff Review
Does this application have all the attachments needed to accept it into the review process?*
r Yes r No
ID#*
20210373
Version* 1
Is this project a public transportation project?* r Yes
r No
Reviewer List:* Sue Homewood:eads\slhomewood
Select Reviewing Office:* Winston-Salem Regional Office - [phone]
Submittal Type:* 401 Application
Does this project require a request for payment to be sent?*
r
Yes
r
No
How much is r $240.00
owed?* r $570.00

Project Submittal Form
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: * r
For the Record Only (Courtesy Copy)
r
New Project
r
Modification/New Project with Existing ID
r
More Information Response
r
Other Agency Comments
r
Pre -Application Submittal
r
Re-Issuance\Renewal Request
r
Stream or Buffer Appeal
Pre -Filing Meeting Information
Before submitting this form please ensure you have submitted the Pre -Filing Meeting Request Form as we will not
be able to accept your application without this important first step. The Pre -Filing Meeting Request Form is used in
accordance with 40 C.F.R. Section 121.4(a) "At least 30 days prior to submitting a certification request, the project
proponent shall request a pre -filing meeting with the certifying agency" and in accordance with 40 C.F.R. Section
121.5(b)(7), and (c)(5) all certification requests shall include documentation that a pre -filing meeting request was
submitted to the certifying authority at least 30 days prior to submitting the certification request. Click here to read
more information on when this form is needed prior to application submission or here to view the form.
Attach documentation of Pre -Filing Meeting Request here:
DWR Pre -Filing Meeting Request Form.pdf 52.67KB
Date for Meeting Request 2/16/2021
ID# 20210373 Version 1
Project Contact Information
Name: Michael Barfield
who is subrritting the inforrration?
Email Address: [e-mail]
Project Information
Project Name: Colonial Pipeline Company Lines 1 and 2 Exposure Evans Mill Rd
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
County (ies)
Davidson
Please upload all files that need to be submited.

click the upload button or drag and drop files here to attach document
Final NCDEQ 401 WQC Lines 1 and 2 Exposure
24.98MB
Evans Mill Road Davidson Co. NC.pdf
Only pdf or krre files are accepted.
Describe the attachments
or comments:
401 Water Quality Certification Submittal
Sign and Submit
V By checking the box and signing box below, I certify that:
■ I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to
the best of my knowledge and belief.
■ I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
■ I agree that submission of this online form is a "transaction" subject to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act');
■ I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act');
■ I understand that an electronic signature has the same legal effect and can be enforced in the same way as a
written signature; AND
■ I intend to electronically sign and submit the online form.
Signature:
Submittal Date: Is filled in autonatically.

March 22, 2021

NC DWR, 401 & Buffer Permitting Branch
512 North Salisbury Street
Raleigh, NC 27604

Subject: Section 401 Water Quality Pre-Construction Notification
Colonial Pipeline Company Maintenance
Davidson County, North Carolina
Corblu Project No. 02-041901- Lines 1 and 2 Exposure Evans Mill Road

To whom it may concern:

On behalf of our client, Colonial Pipeline Company (CPC), Corblu Ecology Group, LLC (Corblu) is pleased
to submit this Section 401 water quality Pre-Construction Notification (PCN) for maintenance on two
exposed petroleum pipelines to restore the required pipeline protective cover for Lines 1 and 2 within an
unnamed perennial stream in CPC’s existing and maintained right-of-way (ROW). The pipeline exposure
is located north of the Evans Mill Road and Old Plank Road intersection in Davidson County, North
Carolina [Line 1 (35.998948, -80.050824) and Line 2 (35.999522, -80.050071); Figure 1]. Based on our
evaluation of the subject site, we believe that disturbances to waters of the U.S. associated with this
maintenance activity are authorized by the U.S. Army Corps of Engineers (USACE) under Nationwide
Permit (NWP) No. 3 (a) and (c) – Maintenance. This NWP does not require notification of the USACE
prior to initiation of the work; however, it has been determined that total disturbance to the streambed
exceeds 40 linear feet which requires 401 Water Quality Certification from the North Carolina Department
of Environmental Quality (DEQ) prior to the initiation of work.
Background
Corblu inspected the above referenced exposure maintenance location for the presence of jurisdictional
waters of the U.S. on September 1, 2020. Jurisdictional features (one unnamed perennial stream and an
abutting emergent wetland) were observed within the project area (Photograph Nos. 1-3; Figure 2).

Due to the surrounding residential developments (i.e., impervious surfaces), rain events have created
additional stormwater runoff resulting in increased bed and bank erosion within the unnamed perennial
Section 401 Water Quality Pre-Construction Notification March 22, 2021
Colonial Pipeline Company – Lines 1 and 2 Exposure Corblu Project No. 02-041901 – Davidson Co. NC
2
stream. The erosion at this location resulted in conditions that have left the pipeline (Lines 1 and 2)
vulnerable to damage. Further, these conditions are not consistent with CPC’s or U.S. Department of
Transportation regulatory requirements for pipeline protection.

Proposed Activities in Jurisdictional Waters

The maintenance location will be accessed through CPC’s existing, mowed, and maintained ROW from
Evans Mill Road (Figure 3). CPC intends to inspect Lines 1 and 2 and replace the required minimal
protective cover over the pipelines using Submar pre-cast revetment mats to remediate the
streambed/bank erosion and associated pipeline exposures. To re-establish the minimal pipeline
protective cover, CPC intends to conduct the following: 1) excavate the eroded area on Lines 1 and 2; 2)
inspect and make repairs to Lines 1 and 2, as necessary; 3) backfill the excavation area; and 4) restore
the streambed to approximate pre-erosion contours and elevations over Lines 1 and 2 using Submar
mats. These pre-cast mats will be keyed/imbedded into the stream bed and banks in a manner that
maintains grade and stream flow conditions (Appendix A).

To minimize sedimentation to the unnamed perennial stream during the above-mentioned maintenance
activity, dams constructed of sandbags, steel plates, or water-inflatable plastic dams will be temporarily
placed upstream of the maintenance area to conduct maintenance activities “in-the-dry”. The stream flow
will be pumped around the maintenance area, discharging immediately downstream via an energy
dissipater to prevent stream scour. The pump used will be sufficiently sized to accommodate the
anticipated stream flow (Appendix B). The excavated soils will be ordered (ordered; top 12 inches and
subsoil) temporarily stored separately in the adjacent upland area on geotextile fabric or similar material
within the CPC ROW.

Rip rap will be used to stabilize the “keyed in” Submar mats in the stream bed on the up and downstream
ends and will be placed on an erosion control blanket (geotextile fabric) in a manner where the finished
top elevation of the rip rap does not exceed that of the original stream bed elevation. Once the required
minimal protective pipeline cover (pre-cast revetment mats) is keyed into the streambed in a manner that
maintains existing grade and flow conditions of the stream, the temporary dams will be removed, and
normal streamflow will be restored.

The proposed maintenance activity includes work within the unnamed perennial stream and an emergent
wetland abutting the right stream bank. Specifically, CPC proposes to place 35 linear feet (LF) of Submar
mats and 33 LF of rip rap within the stream (total 68 LF of permanent impact). Additionally, to conduct
work “in-the-dry” CPC proposes approximately 24 LF of temporary grading/workspace within the
perennial stream (total 92 LF of disturbance). Further, wetland impacts include: 0.0024-acre (103 square
Section 401 Water Quality Pre-Construction Notification March 22, 2021
Colonial Pipeline Company – Lines 1 and 2 Exposure Corblu Project No. 02-041901 – Davidson Co. NC
3
feet) of Submar mats which will be keyed into the emergent wetland area, and 0.0039-acre (171 square
feet) of rip rap used to anchor the mat system. Also, temporary excavation/grading workspace will require
an additional 0.071-acre (3,100 square feet temporary wetland impacts).

CPC’s standard erosion control practices will be employed (Appendix C). Specifically, the disturbed areas
along the stream bank will be revegetated with a grass seed mix and stabilized with straw and silt fence,
while disturbances within the adjacent emergent wetland area will be reseeded with a native wetland
seed mix and strawed.

Corblu respectfully requests 401 Water Quality Certification for the required maintenance work and the
unavoidable minimal impacts to approximately 92 linear feet of unnamed perennial and 0.0773-acre of
emergent wetland within CPC’s existing, mowed, and maintained ROW (Appendix A). The appropriate
photographs figures and are enclosed for your review.
401 & Buffer Permitting PCN Submittal Checklist
We have provided the following information to document compliance with the requirements outlined in
the PCN Submittal Checklist (Appendix D). Each item is discussed below.

Application Fee

A $240.00 check made out to “N.C. Division of Water Resources” for 401 Water Quality Certification with
minor impacts has been included with this submittal.

PCN Application

A complete copy of the USACE Wilmington District PCN Form and supporting documentation have been
included with this submittal (Appendix E).

Stormwater Management Plan

Not Applicable - This is a maintenance activity for an existing petroleum pipeline and does not involve the
construction of any roads or structures.

If your project is located within a State implemented Riparian Buffer Rule Area, submit the following along
with site plans and PCN form: Three (3) copies of the details for on-site diffuse flow provisions

Not applicable. The proposed required maintenance activity is located within the Yadkin-PeeDee River
Basin, which does not have riparian buffer rules.

DWR Stream Determination Forms for streams on property and DWR determination letter for wetlands
or streams (if applicable)

Not Applicable – The referenced forms are for buffer determinations. The proposed required maintenance
activity is not located within a riparian buffer rule area.

Section 401 Water Quality Pre-Construction Notification March 22, 2021
Colonial Pipeline Company – Lines 1 and 2 Exposure Corblu Project No. 02-041901 – Davidson Co. NC
4
Maps and Plans

• The most recent version of the 1:24,000 USGS Topographic Map:

See Figure 1.

• The most recent version of the bound and published County NRCS Soil Survey Map - (required
for projects within the Neuse River Basin, Tar-Pamlico River Basin, Randleman Lake Watershed
and the Catawba River Basin, also recommended for all projects):

See Figures 4A and 4B.

• Vicinity map:

See Figure 3.

• The Site Plan:

See Appendix A.

• Pre-construction/Pre-existing conditions:

See Appendix A.

• Proposed conditions:

See Appendix A.

• Drainage Plans:

Not Applicable.

• Proposed Impacts:

See Appendix A.

• Wetland Impacts:

See Appendix A.

• Stream Impacts:

See Appendix A.

Summary and Conclusion
In summary, the pipeline maintenance activity will result in unavoidable permanent impacts to 68 LF of
perennial stream and 0.0063-acre of emergent wetland; and temporary impacts to approximately 24 LF
of stream and 0.071-acre of wetland as authorized under the USACE NWP No. 3(a)(c). The project was
designed to avoid and minimize stream and wetland impacts to the maximum extent practicable and
Section 401 Water Quality Pre-Construction Notification March 22, 2021
Colonial Pipeline Company – Lines 1 and 2 Exposure Corblu Project No. 02-041901 – Davidson Co. NC
5
represents the least environmentally damaging, practicable alternative that satisfies the project purpose
for preventative pipeline maintenance and protection.

Based on this submittal, we respectfully request written authorization of Section 401 Water Quality
Certification. If you have any questions or comments regarding this PCN submittal, please contact the
undersigned at [phone].

Sincerely,

CORBLU ECOLOGY GROUP, LLC

Michael A. Barfield, CWB, CE Richard W. Whiteside, PhD, CWB, CSE
Project Ecologist President

Enclosures: Figure 1 – Site Location Map
Figure 2 – Jurisdictional Features
Figure 3 – Vicinity Map
Figure 4A – USDA NRCS Soils Map
Figure 4B – USDA Soils Map
Photograph Nos. 1-3
Appendix A: Submar Design Plans
Appendix B: Typical Dam and Pump Maintenance Dig
Appendix C: CPC Soil Erosion and Sediment Control Plan
Appendix D: 401 & Buffer Permitting PCN Submittal Checklist
Appendix E: USACE Wilmington District PCN Form

c: Ms. Jennifer Price, CPC Project Manager, via email
Mr. John Wyatt, CPC Environmental Lead-SED, via email
Mr. Faron Leigh, CPC Environmental Specialist, via email
GFGF
Line 1 Exposure Location35.998948, -80.050824
Old Plank Road
Line 2 Exposure Location35.999522, -80.050071
Evans Mill Road
Figure 1
Site Location Map
Project No. 02-041901
Base Map Source: USA Topo Maps
±
0 1,200 2,400600 Feet1:12,000
Colonial Pipeline Company, SE
Lines 1 and 2 Exposure
Evans Mill Road
Davidson County, North Carolina
Legend
GF Exposure Location
CPC Pipeline
Line 1 Exposure Location35.998948, -80.050824
Line 2 Exposure Location35.999522, -80.050071
Emergent Wetland
approximately 0.08-acre
within CPC ROW
Unnamed Perennial Stream
approximately 85 linear feet
within CPC ROW
Photograph No. 1
Photograph No. 2
Photograph No. 3
Figure 2
Jurisdictional Features
and Photograph Locations
Project No. 02-041901
Base Map Source: ESRI Aerial Imgery GPS Data Collected: 9/1/2020
±
0 150 30075 Feet1:1,500
Colonial Pipeline Company, SE
Lines 1 and 2 Exposure
Evans Mill Road
Davidson County, North Carolina
Legend
GF Exposure Location
CPC Pipeline
CPC Approximate ROW
Project Area
!?Photograph Locations
Stream
WetlandLine 2Line 1
Line 1 Exposure Location35.998948, -80.050824
Line 2 Exposure Location35.999522, -80.050071
Pre-fabricated mats to
operate equipment from and
access within the emergent
wetland area
Access via Evans Mill Rd
Figure 3
Vicinity Map
Project No. 02-041901
Base Map Source: ESRI Aerial Imgery GPS Data Collected: 9/1/2020
±
0 150 30075 Feet1:1,500
Colonial Pipeline Company, SE
Lines 1 and 2 Exposure
Evans Mill Road
Davidson County, North Carolina
Legend
GF Exposure Location
CPC Pipeline
CPC Approximate ROW
Site Access
Project Area
Stream
Wetland
Project Areaapproximately 1.43-aceswithin CPC ROW
Line 1Line 2
Figure 4A
USDA NRCS Soils Map
Project No. 02-041901
±
Colonial Pipeline Company, SE
Lines 1 and 2 Exposure
Evans Mill Road
Davidson County, North Carolina
Legend
CPC Pipeline
Project Area
Line 1 Exposure Location35.998948, -80.050824
Line 2 Exposure Location35.999522, -80.050071
PnD
PnB
ChAPnE
PnE
Figure 4B
Site Soils
Project No. 02-041901
Base Map Source: ESRI Aerial Imgery Soils Data: USDS NRCS Web Soil Survey Download 2/12/2021
±
0 250 500125 Feet1:2,500
Colonial Pipeline Company, SE
Lines 1 and 2 Exposure
Evans Mill Road
Davidson County, North Carolina
Legend
GF Exposure Location
CPC Pipeline
CPC Approximate ROW
Project AreaSoils
ChA - Chewacla loam, 0 to 2 percent slopes, frequently flooded
PnB - Poindexter-Wynott complex, 2 to 8 percent slopes
PnD - Poindexter-Wynott complex, 8 to 15 percent slopes
PnE - Poindexter-Wynott complex, 15 to 25 percent slopes
Section 401 Water Quality Pre-Construction Notification Photos taken on 9/1/2020
Colonial Pipeline Company – Lines 1 and 2 Exposure Corblu Project No. 02-041901- Davidson Co. NC

Photograph No. 1: Southeast facing downstream view of the unnamed perennial
stream at the Lines 1 and 2 exposure within CPC’s ROW.

Photograph No. 2: Northwest facing upstream view of the unnamed perennial stream at
the Lines 1 and 2 exposure within CPC’s ROW.

APPENDIX A

SUBMAR DESIGN PLANS

1711 Dunn Street
Houma, LA 70360
Ph. 985-868-0001
Fax [phone]
Email: [e-mail]
Website: www.submar.com
COLONIAL PIPELINE
UNNAMED WATERWAY PIPE EXPOSURE
LINE 1 DOWNSTREAM OF EVANS MILL RD.
DAVIDSON COUNTY
NORTH CAROLINA
VICINITY MAP
SCALE: 1"=2,000'
C-001
GENERAL
NOTES
©UNNAMED WATERWAYPIPE EXPOSURE LINE 1DOWNSTREAM OF EVANSMILL RD.
0+000+92C-101
EXISTING
CONDITIONS
©
0'20'40'60'UNNAMED WATERWAYPIPE EXPOSURE LINE 1DOWNSTREAM OF EVANSMILL RD.
0+000+92C-301
PROPOSED
SITE GRADING
PLAN
©
0'20'40'60'UNNAMED WATERWAYPIPE EXPOSURE LINE 1DOWNSTREAM OF EVANSMILL RD.
0+000+92C-401
PROPOSED
PLAN
©
²
0'20'40'60'UNNAMED WATERWAYPIPE EXPOSURE LINE 1DOWNSTREAM OF EVANSMILL RD.
780
790
800
810
820
780
790
800
810
820
0+00 0+90
C-501
PROFILE
©
0'10'20'30'UNNAMED WATERWAYPIPE EXPOSURE LINE 1DOWNSTREAM OF EVANSMILL RD.
790
800
810
790
800
810
0 10 20 30 40 500-10-20-30
790
800
810
790
800
810
0 10 20 30 40 500-10-20-30
©C-601
CROSS
SECTION
0'10'20'30'UNNAMED WATERWAYPIPE EXPOSURE LINE 1DOWNSTREAM OF EVANSMILL RD.
C-701
ACCESS/WORK
AREA PLAN
©
ACCESS PLAN
SCALE: 1"=250'
WORK AREA PLAN
SCALE: 1"=40'UNNAMED WATERWAYPIPE EXPOSURE LINE 1DOWNSTREAM OF EVANSMILL RD.
M
A
R
SU
B
MAR
SUB
SCALE:
SUBMAR MAT SYSTEM
N.T.S.
INDIVIDUAL ELEMENT
SCALE:
UPSTREAM ANCHOR TRENCH DETAIL
N.T.S.SCALE:
FLANK TRENCH DETAIL
N.T.S.
SCALE:
GEOTEXTILE PLAN LAYOUT
N.T.S.
SCALE:
PERIMETER MAT CONNECTION DETAIL
N.T.S.
PLAN VIEW SIDE VIEW
NOTE:
316 STAINLESS STEEL 2,200 LB. BREAKING STRENGTH IN THE LINE
CONFIGURATION ABOVE. 5/16" NUT DRIVER NEEDED
©C-801
TYPICAL
DETAILS
·
·
·
·
·
·
SCALE:
RIPRAP SUBGRADE RIPRAP GRADE CONTROL DETAIL
N.T.S.UNNAMED WATERWAYPIPE EXPOSURE LINE 1DOWNSTREAM OF EVANSMILL RD.
B A
AA
BB
B
A
6' MAX
CENTER TO CENTER
ELEVATION
CROSS SECTION
SCALE:
SILT FENCE DETAIL
N.T.S.
JOINING TWO ADJACENT SILT
FENCE SECTIONS (TOP VIEW)
SCALE:
FILTER BAG DETAIL
N.T.S.
ELEVATION
PLAN VIEW
8" MIN.
12" MIN.
12" MIN.
SCALE:
DEWATERING DETAIL
N.T.S.
SANDBAG DAM
CROSS SECTION
¯¹¯¹
©C-802
TYPICAL
DETAILSUNNAMED WATERWAYPIPE EXPOSURE LINE 1DOWNSTREAM OF EVANSMILL RD.
SCALE:
EROSION CONTROL BLANKET DETAIL
N.T.S.
SCALE:
RIPRAP DETAIL
N.T.S.
©C-803
TYPICAL
DETAILSUNNAMED WATERWAYPIPE EXPOSURE LINE 1DOWNSTREAM OF EVANSMILL RD.

APPENDIX B

TYPICAL DAM AND PUMP MAINTENANCE DIG

PUMP
SUMP W/INTAKE HOSE
FILTER/SCREEN OR
SUBMERSIBLE PUMP
WATERBODY
SPOIL CONTAINMENT BERM
(SILT FENCE, HAY BALES
OR OTHER APPLICABLE
MATERIALS)
SPOIL
II
I II
--,III III
II II
� II II
FILTER BAG
I I I I I
TROW ENGINEERING CONSULTANTS INC.
T 1300 METROPOLITAN BLVD., SUITE 2. TAL-SEE, FL., USA 32308
Trove PHONE[phone]
REVISION , ATE
CALE DATE DRAWN APPROVED
NTS 01---2004
RETAIN A MIN. 25'
VEGETATIVE BUFFER TO
THE EXTENT POSSIBLE
ENERGY DISSIPATOR/
SCOUR PROTECTION
I17_1IT, l
FLOW
MAINTAIN A MINIMUM 2TO5' I
VEGETATIVE BUFFER
THE EXTENT POSSIBLE
FOR STREAM EQUIPMENT
CROSSINGS, SEE NOTE 14
SEE SHEET 2 FOR NOTES
COLONIAL PIPELINE COMPANY
ATLANTA, GEORGIA
TYPICAL DAM AND PUMP
MAINTENANCE DIG
AT WATERBODY LESS THAN 15'
TROW PROJ. NO.1 DRAWING I SHEET
THES0050362 I COL-0003 1 1 01 2

DAM AND PUMP CROSSING
THE FOLLOWING IS A SEQUENCE OF CONSTRUCTION AND MITIGATION
MEASURES TO BE FOLLOWED AT ALL "DAM AND PUMP" TYPE CROSSINGS.
SEQUENCE OF ACTIVITIES
STEP 1. IMPLEMENT THE TEMPORARY EROSION AND SEDIMENT CONTROLS.
STEP 2. INSTALL DRY STREAM CROSSING MATERIALS.
STEP 3. EXCAVATE TRENCH AND INSPECT OR REPLACE PIPE.
STEP 4. BACKFILL AND RESTORE STREAM BANKS.
STEP 5. REMOVE DAMS.
STEP 6. IMPLEMENT PERMANENT EROSION AND SEDIMENTATION CONTROLS.
NOTES:
SCHEDULE INSTREAM ACTIVITY FOR LOW FLOW PERIODS AND
FOR THE APPROPRIATE TIMING WINDOW.
2. MARK OUT AND MAINTAIN LIMITS OF AUTHORIZED WORK
AREAS WITH FENCING OR FLAGGING TAPE TO AVOID
UNNECESSARY DISTURBANCE OF VEGETATION. ENSURE
EQUIPMENT OPERATORS WORKING ON THE CROSSING HAVE
BEEN BRIEFED ABOUT THIS PLAN AND THE MEASURES
NEEDED TO PROTECT WATER QUALITY. INSTALL PRE —WORK
SEDIMENT CONTROL MEASURES AS SPECIFIED IN THE PLAN.
ALL NECESSARY EQUIPMENT AND MATERIALS TO BUILD THE
DAMS AND TO PUMP WATER MUST BE ON SITE OR READILY
AVAILABLE PRIOR TO COMMENCING IN —WATER CONSTRUCTION.
3. CONTRACTOR SHALL SUPPLY, INSTALL AND MAINTAIN SEDIMENT
CONTROL STRUCTURES, AS DEPICTED AND ALONG DOWN GRADIENT
SIDES OF WORK AREAS AND STAGING AREAS SUCH THAT NO
HEAVILY SILT LADEN WATER ENTERS WATERBODY.
a. NO HEAVILY SILT LADEN WATER SHALL BE DISCHARGED DIRECTLY
OR INDIRECTLY INTO THE WATERBODY.
b. EROSION AND SEDIMENT CONTROL STRUCTURE LOCATIONS AS
DEPICTED ARE APPROXIMATE AND MAY BE ADJUSTED AS DIRECTED
BY THE COMPANY INSPECTOR TO ACTUAL SITE CONDITIONS.
c. SILT FENCE OR HAY BALE INSTALLATIONS SHALL INCLUDE
REMOVABLE SECTIONS TO FACILITATE ACCESS DURING
CONSTRUCTION. UTILIZE HAY BALE BARRIERS ONLY IN LIEU
OF A SILT FENCE WHERE FREQUENT ACCESS IS REQUIRED.
d. SEDIMENT LADEN WATER FROM TRENCH DEWATERING SHALL BE
DISCHARGED TO A WELL VEGETATED UPLAND AREA, INTO A HAY
BALE DEWATERING STRUCTURE OR GEOTEXTILE FILTER BAG.
e. SEDIMENT CONTROL STRUCTURES MUST BE IN PLACE AT ALL
TIMES ACROSS THE DISTURBED PORTIONS OF THE RIGHT—OF—WAY
EXCEPT DURING EXCAVATION/INSTALLATION OF THE CROSSING PIPE.
4. TO THE EXTENT POSSIBLE, MAINTAIN A MINIMUM 25 FEET
VEGETATIVE BUFFER STRIP BETWEEN DISTURBED AREAS AND THE
WATERBODY. INSTALL AND MAINTAIN A SILT FENCE UPSLOPE
OF THE BUFFER STRIP ON EACH SIDE OF THE WATERBODY.
THE SILT FENCE SHOULD INCORPORATE REMOVABLE "GATES" AS
REQUIRED TO ALLOW ACCESS WHILE MAINTAINING EASE OF
REPLACEMENT FOR OVERNIGHT OR DURING PERIODS OF RAINFALL.
5. CONSTRUCT A TEMPORARY SUMP UPSTREAM OF THE DAM AND
LINE WITH ROCKFILL IF A NATURAL POOL DOES NOT EXIST.
INSTALL THE PUMP OR PUMP INTAKE IN THE POOL OR SUMP.
DISCHARGE WATER ONTO AN ENERGY DISSIPATOR DOWNSTREAM
OF THE WORK AREA.
6, EXCAVATED MATERIAL MUST NOT BE STOCKPILED WITHIN 10 FT.
OF THE WATERBODY. THIS MATERIAL MUST BE CONTAINED
WITHIN BERM CONTAINMENT, WITH SECONDARY SILT FENCE
PROTECTION TO PREVENT SATURATED SOIL FROM FLOWING
BACK INTO THE WATERBODY.
7. CHEMICALS, FUELS, LUBRICATING OILS SHALL NOT BE STORED
AND NOR SHALL EQUIPMENT BE REFUELED WITHIN 100 FT. OF THE
WATERBODY. PUMPS ARE TO BE REFUELED AS PER THE SPCC PLANS.
MAINTENANCE OF STREAMFLOW
IF THERE IS ANY FLOW IN THE WATERBODY, INSTALL
PUMPS TO MAINTAIN STREAMFLOW AROUND THE ISOLATED
SECTIONS OF CHANNEL. THE PUMP IS TO HAVE 1.5
TO 2 TIMES THE PUMPING CAPACITY OF ANTICIPATED FLOW.
A SECOND STANDBY PUMP OF EQUAL CAPACITY IS TO BE
READILY AVAILABLE AT ALL TIMES. AN ENERGY DISSIPATOR
IS TO BE BUILT TO ACCEPT PUMP DISCHARGE WITHOUT
STREAMBED OR STREAMBANK EROSION. IF THE WORK
IS PROLONGED BEYOND ONE DAY THE AREA NEEDS
TO BE MONITORED OVERNIGHT.
8. IF A REPLACEMENT, PIPE MAKE—UP AREAS ARE TO BE
LOCATED AT LEAST 50 FT. FROM THE WATER'S EDGE
(WHERE TOPOGRAPHIC CONDITIONS PERMIT) AND SHALL
BE THE MINIMUM AREA NEEDED.
9. DAMS ARE TO BE MADE OF STEEL PLATE, INFLATABLE PLASTIC
DAM, SAND BAGS, COBBLES, WELL GRADED COARSE GRAVEL FILL,
OR ROCK FILL. DAMS MAY NEED KEYING INTO THE BANKS AND
STREAMBED. ENSURE THAT THE DAM AND VEHICLE CROSSING (IF
NEEDED) ARE LOCATED FAR ENOUGH APART TO ALLOW FOR A WIDE
EXCAVATION. CAP FLUMES USED UNDER VEHICLE CROSSING
DURING DRY CROSSING.
10. DEWATER AREA BETWEEN DAMS IF POSSIBLE. DEWATERING
SHOULD OCCUR IN A STABLE VEGETATIVE AREA A MINIMUM OF
50 FT. FROM ANY WATERBODY. THE PUMP DISCHARGE SHOULD
BE DISCHARGED ONTO A STABLE SPILL PAD, FILTER BAG OR
HAY BALE STRUCTURE TO PREVENT LOCALIZED EROSION.
THE DISCHARGE WATER SHOULD ALSO BE FORCED INTO SHEET
FLOW IMMEDIATELY BEYOND THE SPILL PAD BY USING HAY BALES
AND THE NATURAL TOPOGRAPHY. DISCHARGED WATER SHALL NOT
BE ALLOWED TO FLOW INTO ANY WATERBODY OR WETLAND. IF IT
IS NOT POSSIBLE TO DEWATER THE EXCAVATION DUE TO SOILS
WITH A HIGH HYDRAULIC CONDUCTIVITY, THE EXCAVATION IS TO BE
CARRIED OUT IN THE STANDING WATER. PUMP ANY DISPLACED WATER
AS DESCRIBED ABOVE TO PREVENT OVERTOPPING OF DAMS.
11. INSPECT/REPAIR PIPELINE AS NEEDED.
12. CONTRACTOR SHALL RESTORE THE STREAM BED AND BANKS TO
APPROXIMATE PRE —CONSTRUCTION CONTOURS, BUT NOT TO
EXCEED 2:1 SLOPE.
a. CONTRACTOR SHALL INSTALL PERMANENT EROSION AND
SEDIMENT CONTROL STRUCTURES AS INDICATED ON A SITE
SPECIFIC BASIS. IN THE ABSENCE OF SITE SPECIFIC INFOR—
MATION, A FLEXIBLE CHANNEL LINER SUCH AS NAG C125 OR
C350 WHICH IS CAPABLE OF WITHSTANDING ANTICIPATED FLOW
SHALL BE INSTALLED. ALTERNATIVELY, ROCK RIP —RAP SHALL
BE INSTALLED.
b. ANY MATERIALS PLACED IN THE STREAM TO FACILITATE
CONSTRUCTION SHALL BE REMOVED DURING RESTORATION.
BANKS SHALL BE STABILIZED AND TEMPORARY SEDIMENT
BARRIERS INSTALLED AS SOON AS POSSIBLE AFTER IN —STREAM
WORK BUT WITHIN 24 HOURS OF COMPLETING IN —STREAM WORK.
c. MAINTAIN A SILT FENCE OR HAY BALE BARRIER ALONG
THE WATERBODY UNTIL VEGETATION IS ESTABLISHED IN
ADJACENT DISTURBED AREAS.
13. WHEN THE STREAMBED HAS BEEN RESTORED, THE CREEK BANKS
ARE TO BE CONTOURED TO A STABLE ANGLE AND PROTECTED
WITH EROSION RESISTANT MATERIAL COMPATIBLE WITH FLOW
VELOCITY BETWEEN DAMS (E.G., EROSION CONTROL BLANKETS,
CRIBBING, ROCK RIP —RAP, ETC.). THE DAMS ARE TO BE REMOVED
DOWNSTREAM FIRST. KEEP PUMP RUNNING UNTIL NORMAL FLOW
IS RESUMED. COMPLETE BANK TRIMMING AND EROSION PROTECTION.
IF SANDBAGS ARE USED FOR THE DAMS, PLACE AND REMOVE BY
HAND TO AVOID EQUIPMENT BREAKING BAGS.
14. TEMPORARY EQUIPMENT CROSSING CAN BE CONSTRUCTED USING EITHER
A FLUME CROSSING OR A TEMPORARY BRIDGE. FOR BRIDGE CROSSING
DETAILS, REFER TO THE TYPICAL RAILCAR BRIDGE CROSSING OR
TYPICAL MAT CROSSING DRAWINGS.
TROW ENGINEERING CONSULTANTS INC. 32308 1300 METROPOLITAN BCOLONIAL PIPELINE COMPANY
BUD,, ONE' (850) 385-56 'lAHA55EE. FL., USA
N
ATLANTA, GEORGIA
TYPICAL DAM AND PUMP
MAINTENANCE DIG
— as-DRG
REVISION DATEATE APPR. AT WATERBODY LESS THAN 15'
CALF I DATE DRAWN APPROVED TROW PROJ. NO.1 DRAWING I SHEET
NTS 1 01-29-2004 ALS I THES0050362 I COL-0003a 1 2 OF 2

APPENDIX C

CPC SOIL EROSION AND SEDIMENT CONTROL PLAN

Colonial Pipeline Company
Soil Erosion and Sediment Control Plan
For
Pipeline Maintenance Activities

Objective

Disturbed areas are to be restored as close as practical to their original contours and
conditions so that once vegetation is reestablished, erosion will be reduced to the same
or lower level that existed prior to disturbance.

Description

This section defines the soil erosion and sediment control measures that Colonial
Pipeline Company will implement during and after inspection and repairs of the pipeline
are complete. The objectives of this plan are to establish general guidelines for
controlling erosion and sedimentation and to specify criteria for sensitive or particularly
susceptible soil areas. The plan incorporates measures to control erosion and
sedimentation, including minimizing cover removal, limiting the time of exposure,
limiting the flow of water onto the disturbed right-of-way, and filtering or settling out
sediment from water flowing from the right-of-way.

The primary objective of the soil erosion and sediment control plan is to reduce the area
and duration of soil disturbance and reestablish permanent vegetation as soon after
construction as possible, thereby minimizing long-term erosion and sedimentation.
Some erosion is inevitable during construction; however, the plan includes measures to
reduce erosion to the minimum practical.

Colonial Pipeline Company plans to reduce soil erosion and provide sediment control
during the repair of the pipeline at the project site by incorporating the following
measures:

• Water pumped from the construction area as part of the dewatering operation
from the excavation will be filtered through silt filtration bags and discharged to
a well-vegetated area.

• All work will be confined within the existing right-of-way. Staked hay bales and silt
fence will be installed around the worksite and maintained until vegetation is established.
Proper controls will be added if necessary during construction.

• All terms and conditions within Nationwide Permit 3 will be followed.

• Erosion control measures will be installed prior to conducting any soil disturbing
activities associated with the pipeline maintenance activity.

• Clearing of vegetation will be kept to an absolute minimum and confined to the
existing pipeline easement area. The easement area is 50 feet in width and devoid
of large trees. The right of way is vegetated with undergrowth grasses and other
short vegetation.

• Vegetation will be reestablished within disturbed areas and along stream banks
as soon as possible upon completion of work. Disturbed areas will be seeded
with a wetland seed mixture

• All erosion and sediment control measures will be inspected every two weeks at a
minimum and after every significant rainfall event of 0.5 inch or more until
disturbed areas have been stabilized. Identified damages to control measures
must be repaired immediately.

Refuse and Waste Disposal

Colonial's representative will not allow the Contractor to discard any litter, including
paper, bottles, cans, rags, sacks, welding rod stubs, fuel, crankcase draining, coating
materials, equipment, and junk pipe in the ditch or along the right-of-way. All refuse
must be collected and disposed in accordance with company specifications. Personnel
will be instructed regarding the correct procedure for waste disposal.

Maintenance/Inspection Procedures
The following inspection and maintenance practices will be implemented to maintain
erosion and sediment controls:

1. All control measures will be inspected every two weeks at a minimum and following
any storm event of 0.5 inch or greater.

2. All control measures will be maintained in good working order. If a repair is
necessary, it will be initiated within 24 hours of the report.

3. Built-up sediment will be removed from silt fences when it has reached one-third the
height of the fence.

4. Silt fences will be inspected for depth of sediment, tears, secure attachment of the
fabric to the fence posts, and firm placement of the fence posts in the ground.

5. Temporary and permanent seeding and planting will be inspected for bare spots,
washouts, and healthy growth.

6. Colonial Pipeline Company will select individuals to be responsible for inspections,
maintenance and repair activities, and completion of the inspection and
maintenance report. Personnel selected for inspection and maintenance
responsibilities will receive training from Colonial Pipeline Company or its
representative. Personnel must be trained in all practices necessary for maintaining
the erosion and sediment controls used on-site.

2

APPENDIX D

401 & BUFFER PERMITTING PCN SUBMITTAL CHECKLIST

Version 1.4
January 9, 2009
401 & Buffer Permitting PCN Submittal Checklist

The application fee (Checks may be made out to “N.C. Division of Water Resources”
- $240.00 for 401 Water Quality Certification with minor impacts
- $570.00 for 401 Water Quality Certification with major impacts
- Express Review Fee (Amount requested on Acceptance Letter)

Four (4) complete and collated copies of the PCN Application and supporting
documentation (instead of providing 4 copies of the full size plans you may provide two
copies of full size plans along with two copies of 11 X 17 plans)

N/A Stormwater Management Plan (if applicable – see PCN Form Help File Section E)
1) Please provide three (3) copies of the stormwater management plans along with all
supporting information pertaining to this project including the following:
a. Entire site development/layout plans delineating all drainage areas;
b. Design calculation sheets for all proposed BMP(s) sized for both on-site and
off-site drainage;
c. BMP supplements for each proposed BMP and Required Items Check List
(http://portal.ncdenr.org/web/lr/bmp-manual) along with all required items;
d. A Notarized Operation & Maintenance Agreement for each stormwater
management facility;
e. Detailed construction drawing sheets shall include
(i) Erosion and sediment control plans;
(ii) Installation and planting schedules for the proposed BMPs;
(iii) Appropriately scaled plan views and cross sectional details of all
BMPs and associated components – inlet and outlet structures,
forebay, respective zones and pertinent elevations.

N/A If your project is located within a State implemented Riparian Buffer Rule Area, submit the
following along with site plans and PCN form:
1) Three (3) copies of the details for on-site diffuse flow provisions, (refer to
http://portal.ncdenr.org/web/lr/bmp-manual).

N/A DWR Stream Determination Forms for streams on property and DWR determination
letter for wetlands or streams (if applicable).

The following is the most critical of all the information that you must provide. The quality and
detail of the information will often determine the expeditiousness of the review. The following is
a checklist of the types of pertinent information required at a minimum:

Maps and Plans:

The most recent version of the 1:24,000 USGS Topographic Map - Please cleanly draw or
delineate the site boundaries on the topographic map.

The most recent version of the bound and published County NRCS Soil Survey Map -
(required for projects within the Neuse River Basin, Tar-Pamlico River Basin, Randleman
Lake Watershed and the Catawba River Basin, also recommended for all projects) -
Please clearly delineate the site boundaries, etc. on the map. If the delineation obscures
any of the features, it is recommended that a clean copy be provided. Copies of the
Version 1.4
January 9, 2009
current soil survey and/or soil survey map sheets can be obtained from the local NRCS
County Office (http://www.nc.nrcs.usda.gov/). GIS soil layers are not acceptable.

Vicinity map - Please clearly mark the location and approximate boundaries of the property
and project on the map. Please indicate north arrow and scale. Please include applicable
road names or State Road numbers.

The Site Plan - The most critical map to be provided is the site plan. You must provide full
sized plans. The following is the minimum list of plans that are typically needed.

Pre-construction/Pre-existing conditions - This sheet (or sheets) must include:
• All jurisdictional and non-jurisdictional wetland, stream, water features, State regulated
buffers (delineated into Zones 1 and 2)
• Topographic contours with elevations
• Any existing structures and impervious areas
• Existing utility lines and easements
• Existing roads, culverts, and other pertinent features
• North arrow and the scale (1”:50’ scale is recommended).

Proposed conditions - This sheet (or sheets) must include:
• All jurisdictional and non-jurisdictional wetland, stream, water features, State regulated
buffers (delineated into Zones 1 and 2)
• Lot layout (if a subdivision or commercial development is proposed) - lots must be
developable without further impacts to jurisdictional and non-jurisdictional wetlands,
streams, water features, and State regulated buffers. Building envelopes must be
provided when streams, wetlands, riparian buffers, or water features exist on a lot
• All built-out structures and impervious cover
• Final grading contours with elevations
• All utilities and easements (including septic fields on all lots within 100 feet of stream,
wetland, or water features - if applicable)
• Impacted areas – these should correspond with the Impact numbers listed on your PCN
form.

N/A Drainage Plans - Final drainage plans must include the following:
• Locations and pertinent elevations and sizes of the stormwater collection system and
drainage ways
• All inlets and outlets must also be shown with pertinent elevations (All outlets to
wetlands must be at a non-erosive velocity, generally less than 2 ft/sec during the peak
flow from the 10-yr storm)
• Scaled stormwater BMPs must also be indicated as required by DWR rules and policies
• In certain cases (see Section E of PCN form), final stormwater management plans must
also be provided (see Stormwater Management Plan Checklist)

Proposed Impacts - All impacts to jurisdictional and non-jurisdictional wetland, stream,
water features, and State regulated buffers must be shown and labeled on the site plans at
a scale no smaller than 1” = 50’. All excavation, fill, flooding, stabilization, and other impacts
that will be conducted in or near jurisdictional and non-jurisdictional wetland, stream, water
features, and State regulated buffers must be indicated. Please provide cross sectional
details showing the provisions for aquatic life passage (burial of culvert 20% for culverts ≤ 48
inches, and 1-foot for culverts > 48 inches).
Version 1.4
January 9, 2009
Wetland Impacts:

Precise grading and final elevation contours must be provided. Existing
vegetation and any clearing must be specified.

N/A All subsurface utility lines must indicate the location of anti-seep collars.
Construction detail for anti-seep collars must be provided.

N/A Roadway or other crossings of riparian wetlands may require floodway culverts to
maintain existing hydrological conditions.

Plans should show that the hydrology of remaining wetlands on the site will be
maintained.

Stream Impacts:

Stream impacts must be clearly shown on the plans. The centerline as well as
the banks of the stream must be surveyed or located by GPS for the portion of
the stream to be impacted.

N/A The inlet and the outlet of all culverts should be aligned with the stream as
much as possible. Inlet and outlet elevations and streambed elevations should
be indicated. Any inlet or outlet protection must be shown and enumerated on
the impact map(s).

N/A For bottomless culverts or other spans, a vertical cross section should be
provided that shows the minimum distance from each span to each stream bank,
the stream cross section, the height of the span above the stream and the
minimum distance from the edge of each footer to each stream bank.
Additionally, please provide a signed and sealed geotechnical report of
subsurface soils at the proposed bottomless culvert location. The report must
comply with the Division of Highways – Guidelines for Drainage Studies and
Hydraulic Design, prepared by A.L. Hankins, Jr., State Hydraulics Engineer -
1999.

N/A Multiple culverts or sectioned box culverts typically require the use of sills, off-
setting or other means to match the cross section of the existing stream (in order
to maintain stream stability and provide aquatic life passage). A vertical cross
section of the culverts should be shown overlain with the up and downstream
stream cross section including the stream flood-prone area.

N/A Impacts associated with dam construction must indicate and enumerate all fill
associated with the dam footprint, spillway and any bank stream bank
stabilization. The length of stream impounded must also be indicated and
enumerated.

APPENDIX E

USACE WILMINGTON DISTRICT PCN FORM

Page 1 of 20 PCN Form - Version 1.5, September 2020
Office Use Only
Corps Action ID no. [Click to enter.] Date received: [Click to enter.]
DWR project no. [Click enter.] Date received: [Click to enter.]
Site Coordinates:
Latitude (DD.DDDDDD): 35.998948
Longitude (DD.DDDDDD): 80.050824

Form Version 1.5, September 2020

Pre-Construction Notification (PCN) Form
(Ver. 1.5, September 2020)
For Nationwide Permits and Regional General Permits and corresponding Water Quality Certifications
Please note: fields marked with a red asterisk * are required. The form is not considered complete until all mandatory
questions are answered.
The online help file may be found at this link:
https://edocs.deq.nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30.pdf
The help document may be found at this link:
http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Permits/2017-Nationwide-Permits/Pre-
construction-Notification/
Before submitting this form, please ensure you have submitted the Pre-Filing Meeting Request Form as DWR will not be
able to accept your application without this important first step. The Pre-Filing Meeting Request Form is used to satisfy 40
C.F.R. Section 121.4(a) which states “At least 30 days prior to submitting a certification request, the project proponent shall
request a pre-filing meeting with the certifying agency.” In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all
certification requests must include documentation that a pre-filing meeting request was submitted to the certifying authority
at least 30 days prior to submitting the certification request.   

Attach documentation of Pre-Filing Meeting Request to this Application.
Date of Pre-filing Meeting Request (MM/DD/YYYY) *: 2/16/2021
DWR ID # 20210373 Version 1 (If applicable)

A. Processing Information
County (counties) where project is located: * Davidson Additional (if needed).
Is this a public transportation project? *
(Publicly funded municipal, state, or federal road, rail,
or airport project)
☐ Yes ☒ No
Is this a NCDOT project? * ☐ Yes ☒ No
If yes, NCDOT TIP or state project number: Click to enter.
If yes, NCDOT WBS number: * Click to enter.
1a. Type(s) of approval sought from the Corps: *
☒ Section 404 Permit (wetlands, streams, waters,
Clean Water Act)
☐ Section 10 Permit (navigable waters, tidal
waters, Rivers and Harbors Act)

Page 2 of 20 PCN Form - Version 1.5, September 2020
1b. Permit type(s)? *
☒ Nationwide Permit (NWP)
☐ Regional General Permit (RGP)
☐ Standard (IP)
This form may be used to initiate the standard/ individual permit process with the USACE. Please contact your Corps
representative concerning submittals for standard permits. All required items can be included as separate attachments
and submitted with this form.

1c. Has the NWP or GP number been verified by the Corps? * ☐ Yes ☒ No
NWP number(s): 3
RGP number(s): Click to enter.
1d. Type(s) of approval sought from the DWR (check all that apply): *
☒ 401 Water Quality Certification – Regular ☐ 401 Water Quality Certification– Express
☐ Non-404 Jurisdictional General Permit ☐ Riparian Buffer Authorization
☐ Individual 401 Water Quality Certification
1e. Is this notification solely for the record because written approval is not required? *
For the record only for DWR 401 Certification: * ☐ Yes ☒ No
For the record only for Corps Permit: * ☒ Yes ☐ No
1f. Is this an after-the-fact permit/certification application? * ☐ Yes ☒ No
1g. Is payment into a mitigation bank or in-lieu fee program proposed for
mitigation of impacts? ☐ Yes ☒ No
If yes, attach the acceptance letter from mitigation bank or in-lieu fee program.
1h. Is the project located in any of NC’s twenty coastal counties? * ☐ Yes ☒ No
1i. Is the project located within an NC DCM Area of Environmental
Concern (AEC)? * ☐ Yes ☒ No ☐ Unknown
1j. Is the project located in a designated trout watershed? * ☐ Yes ☒ No
If yes, you must attach a copy of the approval letter from the appropriate Wildlife Resource Commission Office.
Trout information may be found at this link: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-
Program/Agency-Coordination/Trout.aspx

Page 3 of 20 PCN Form - Version 1.5, September 2020

B. Applicant Information
1a. Who is the primary contact? * Jeff Titus
1b. Primary Contact Email: * [e-mail]
1c. Primary Contact Phone: * (###)###-#### 678-762-2231
1d. Who is applying for the permit/certification? * (check
all that apply) ☐ Owner ☒ Applicant (other than owner)
1e. Is there an agent/consultant for this project?* ☒ Yes ☐ No

2. Landowner Information
2a. Name(s) on Recorded Deed: * See attached easements
2b. Deed Book and Page No.: Click to enter.
2c. Responsible Party (for corporations): Click to enter.
2d. Address *
Street Address: Click to enter.
Address line 2: Click to enter.
City: Click to enter.
State/ Province/ Region: Click to enter.
Postal/ Zip Code: Click to enter.
Country: Click to enter.
2e. Telephone Number: * (###)###-#### Click to enter.
2f. Fax Number: (###)###-#### Click to enter.
2g. Email Address: * Click to enter.

3. Applicant Information (if different from owner)
3a. Name: * Jeff Titus
3b. Business Name (if applicable): Colonial Pipeline Company
3c. Address: *
Street Address: 7524 Kenstead Circle
Address line 2: Click to enter.
City: Charlotte
State/ Province/ Region: North Carolina
Postal/ Zip Code: 28214
Country USA
3d. Telephone Number: * (###)###-#### 678-762-2231
3e Fax Number: (###)###-#### Click to enter.

Page 4 of 20 PCN Form - Version 1.5, September 2020
3f. Email Address: * [e-mail]

4. Agent/ Consultant (if applicable)
4a. Name: * Michael Barfield
4b. Business Name: Corblu Ecology Group, LLC
4c. Address: *
Street Address: 3225 South Cherokee Lane
Address line 2: Click to enter.
City: Woodstock
State/ Province/ Region: Georgia
Postal/ Zip Code: 30188
Country: USA
4d. Telephone Number: * (###)###-#### 678-215-2742
4e Fax Number: (###)###-#### Click to enter.
4f. Email Address: * [e-mail]
Agent Authorization Letter:*
Attach a completed/signed agent authorization form or letter. A sample form may be found at this link:
https://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Permits/2017-Nationwide-Permits/Pre-
construction-Notification/

Page 5 of 20 PCN Form - Version 1.5, September 2020
C. Project Information and Prior Project History
1. Project Information
1a. Name of project: * Lines 1 and 2 Exposure Evans Mill Road
1b. Subdivision name (if appropriate): Click to enter.
1c. Nearest municipality/town: * High Point

2. Project Identification
2a. Property identification number (tax PIN or parcel ID):
6882-04-90-3321; 6881-02-78-4439; 6882-04-80-
9043; 6881-02-89-9971; 6882-04-90-0167; 6882-
04-90-1238
2b. Property size (in acres): 1.43
2c. Project Address:
Street Address: Click to enter.
Address line 2: Click to enter.
City: High Point
State/ Province/ Region: North Carolina
Postal/ Zip Code: 27265
Country: USA
2d. Site coordinates in decimal degrees (using 4-6 digits
after the decimal point): *
Latitude (DD.DDDDDD): * 35.998948
Longitude (-DD.DDDDDD): * -80.050824

3. Surface Waters
3a. Name of nearest body of water to proposed project: * Rich Fork
3b. Water Resources Classification of nearest receiving
water: *
C
The Surface Water Classification map may be found at this link:
https://ncdenr.maps.arcgis.com/apps/webappviewer/index.html?id=6e125ad7628f494694e259c80dd64265
3c. In what river basin(s) is your project located? * Yadkin-PeeDee
Choose additional (if needed)
3d. Please provide the 12-digit HUC in which the project is
located: *
030401030203
The Find Your HUC map may be found at this link:
https://ncdenr.maps.arcgis.com/apps/PublicInformation/index.html?appid=ad3a85a0c6d644a0b97cd069db238ac3

Page 6 of 20 PCN Form - Version 1.5, September 2020
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of
this application: *
Mowed and maintained petroleum pipeline right-of-way (ROW). Area surrounding the ROW is residential. The
unnamed perennial stream appears to receive additional stormwater flows resulting from the surrounding
development, which has led to streambed and bank erosion exposing CPC’s Lines 1 and 2.
4b. Have Corps permits or DWR certifications been obtained for this
project (including all prior phases) in the past? * ☐ Yes ☒ No ☐ Unknown
4c. If yes, please give the DWR Certification number and/or Corps
Action ID (ex. SAW-0000-00000):
[Click to enter.]
[Click to enter.]
Attach any pertinent project history documentation
4d. Attach an 8½ x 11” excerpt from the most recent version of the USGS topographic map indicating the location of
the project site.
4e. Attach an 8½ x 11” excerpt from the most recent version of the published County NRCS Soil Survey map
depicting the project site.
4f. List the total estimated acreage of all existing wetlands on the
property: 0.08 acres
4g. List the total estimated linear feet of all existing streams (intermittent
and perennial) on the property: 85 linear feet
4g1. List the total estimated acreage of all existing open waters on the
property: 0 acres
4h. Explain the purpose of the proposed project: *
Due to the surrounding developments, rain events and additional stormwater runoff from increased impervious
surfaces have caused severe bed and bank erosion within the unnamed perennial stream. The erosion at this
location resulted in conditions that left the pipeline (Lines 1 and 2) vulnerable to damage. Further, these
conditions are not consistent with CPC’s or U.S. Department of Transportation requlatory requirements for
pipeline protection. CPC proposes to replaced the protective cover over the lines using Submar articulating
revetment mats and rip rap. These actions serve to protect the exiting pipeline and prevent a future exposure
from occurring within the unnamed perennial stream.

Page 7 of 20 PCN Form - Version 1.5, September 2020
4i. Describe the overall project in detail, including the type of equipment to be used: *
The maintenance location will be accessed through CPC’s existing, mowed, and maintained ROW from Evans
Mill Road (Figure 3). CPC intends to inspect Lines 1 and 2 and replace the required minimal protective cover
over the pipeline using Submar pre-cast revetment mats to remediate the streambed erosion and associated
pipeline exposure. To re-establish the minimal pipeline protective cover, CPC intends to conduct the following: 1)
excavate the eroded area on Lines 1 and 2; 2) inspect and make repairs to Lines 1 and 2 as necessary; 3)
backfill the excavation area; and 4) restore the streambed to approximate pre-erosion contours and elevations
over Lines 1 and 2 using Submar mats. These pre-cast mats will be keyed/imbedded into the stream bed and
banks in a manner that maintains grade and stream flow conditions (Appendix A).

To minimize sedimentation to the unnamed perennial stream during the above-mentioned maintenance activity,
dams constructed of sandbags, steel plates, or water-inflatable plastic dams will be temporarily placed upstream
of the maintenance area to conduct maintenance activities “in-the-dry”. The stream flow will be pumped around
the maintenance area, discharging immediately downstream via an energy dissipater to prevent stream scour.
The pump used will be sufficiently sized to accommodate the anticipated stream flow (Appendix B). The
excavated soils will be ordered (ordered; top 12 inches and subsoil) temporarily stored separately in the adjacent
upland area on geotextile fabric or similar material within the CPC ROW.

Rip-rap will be used to stabilize the Submar mats in the stream bed on the downstream side and will be placed
on an erosion control blanket (geotextile fabric) in a manner where the finished top elevation of the rip-rap does
not exceed that of the original stream bed elevation. Once the required minimal protective pipeline cover (pre-
cast revetment mats) are keyed into the streambed in a manner that maintains existing grade and flow conditions
of the stream, the temporary dams will be removed, and normal streamflow will be restored.

CPC’s standard erosion control practices will be employed (Appendix C). Specifically, the disturbed areas along
the stream bank will be revegetated with a grass seed mix and stabilized with straw and silt fence, while any
disturbance within the adjacent emergent wetland area will be reseeded with a native wetland seed mix and
strawed.

Equipment will include: an excavator, rock truck (for material transport), properly sized pumps, and a welding
truck (to conduct pipe repairs as necessary).
4j. Attach project drawings/site diagrams/depictions of impact areas for the proposed project.

5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or in
proposed impact areas? * ☒ Yes ☐ No ☐ Unknown
Comments:
See Figure 2
5b. If 5a is yes, who delineated the jurisdictional
areas?
Name (if known): Michael Barfield
Agency/Consultant Company: Corblu Ecology Group, LLC.
Other: Click to enter.
5c. If the Corps made a jurisdictional determination,
what type of determination was made? *
☐ Preliminary ☐ Approved ☐ Emailed Concurrence
☒ Not Verified ☐ Unknown
Corps AID number (ex. SAW-0000-00000): Click to enter.
5d. List the dates of the Corps jurisdictional determination or State determination if a determination was made by
either agency.
Click to enter.
5d1. Attach jurisdictional determinations.

Page 8 of 20 PCN Form - Version 1.5, September 2020

6. Future Project Plans
6a. Is this a phased project? ☐ Yes ☒ No
6b. If yes, explain.
Click to enter.
Are any other NWP(s), regional general permit(s), or individual permit(s) used, or intended to be used, to authorize
any part of the proposed project or related activity? This includes other separate and distant crossings for linear
projects that require Department of the Army authorization but don’t require pre-construction notification.
Click to enter text.

Page 9 of 20 PCN Form - Version 1.5, September 2020

D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with 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, complete this table for each wetland area impacted.
2a.
Site #*
2a1.
Impact
Reason/Type*
2b.
Impact
Duration*
2c.
Wetland Name*
2d.
Wetland Type*
2e.
Forested
?*
2f.
Jurisdiction
Type*
2g.
Impact Area
(ac)*
W1 Fill (Incl.
Riprap)
Permanent W1 Unknown No Corps 0.0063
W2 Grading Temporary W1 Unknown No Corps 0.071
W3 Choose one Temp/
Perm
Click to enter Choose one Y/N Choose one Click to
enter
W4 Choose one Temp/
Perm
Click to enter Choose one Y/N Choose one Click to
enter
W5 Choose one Temp/
Perm
Click to enter Choose one Y/N Choose one Click to
enter
W6 Choose one Temp/
Perm
Click to enter Choose one Y/N Choose one Click to
enter
2g1. Total temporary wetland impacts 0.071 ac
2g2. Total permanent wetland impacts 0.0063 ac
2g3. Total wetland impacts 0.0773 ac
2h. Comments:

Page 10 of 20 PCN Form - Version 1.5, September 2020

3. Stream Impacts
If there are perennial or intermittent stream/ tributary impacts (including temporary impacts) proposed on the site,
complete this table for all stream/ tributary sites impacted.
** All Perennial or Intermittent streams must be verified by DWR or delegated local government

Site #*
3a.
Impact Reason/
Type*
3b.
Impact
Duration*
3d.
Stream Name*
3e.
Stream
Type*
3f.
Jurisdiction
Type*
3g.
Stream Width
(avg ft) *
3h.
Impact length
(linear ft) *
S1 Fill (Incl. Riprap) Permanent P1 Perennial Both 8 68
S2 Other Temporary P1 Perennial Both 8 24
S3 Choose one Temp/ Perm Click to enter Per/Int Choose one Click to enter Click to enter
S4 Choose one Temp/ Perm Click to enter Per/Int Choose one Click to enter Click to enter
S5 Choose one Temp/ Perm Click to enter Per/Int Choose one Click to enter Click to enter
S6 Choose one Temp/ Perm Click to enter Per/Int Choose one Click to enter Click to enter
S7 Choose one Temp/ Perm Click to enter Per/Int Choose one Click to enter Click to enter
S8 Choose one Temp/ Perm Click to enter Per/Int Choose one Click to enter Click to enter
S9 Choose one Temp/ Perm Click to enter Per/Int Choose one Click to enter Click to enter
S10 Choose one Temp/ Perm Click to enter Per/Int Choose one Click to enter Click to enter
S11 Choose one Temp/ Perm Click to enter Per/Int Choose one Click to enter Click to enter
S12 Choose one Temp/ Perm Click to enter Per/Int Choose one Click to enter Click to enter
S13 Choose one Temp/ Perm Click to enter Per/Int Choose one Click to enter Click to enter
S14 Choose one Temp/ Perm Click to enter Per/Int Choose one Click to enter Click to enter
S15 Choose one Temp/ Perm Click to enter Per/Int Choose one Click to enter Click to enter
3i1. Total jurisdictional ditch impact: Click to enter. linear ft
3i2. Total permanent stream impacts: 68 linear ft
3i3. Total temporary stream impacts: 24 linear ft
3i4. Total stream and ditch impacts: 92 linear ft
3j. Comments:
See Appendix A

Page 11 of 20 PCN Form - Version 1.5, September 2020
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., individually list all open water impacts in the table below.
4a.
Site #*
4b.
Impact Reason/
Type*
4c.
Impact
Duration*
4d.
Waterbody Name*
4e.
Waterbody
Type*
4e1.
Jurisdiction
Type*
4f.
Impact area (ac)*
O1 Choose one Temp/
Perm
Click to enter. Choose one Choose one Click to enter.
O2 Choose one Temp/
Perm
Click to enter. Choose one Choose one Click to enter.
O3 Choose one Temp/
Perm
Click to enter. Choose one Choose one Click to enter.
O4 Choose one Temp/
Perm
Click to enter. Choose one Choose one Click to enter.
4g. Total temporary open water impacts Click to enter. ac
4g. Total permanent open water impacts Click to enter. ac
4g. Total open water impacts Click to enter. ac
4h. Comments:
Click to enter.

5. Pond or Lake Construction
If pond or lake construction is proposed, complete the table below. (*This does NOT include offline stormwater
management ponds.)
5a.
Pond ID
#
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (ac)
5d.
Stream Impacts (ft)
5e.
Upland
Impacts (ac) Flooded Filled Excavated Flooded Filled Excavated
P1 Choose one Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
P2 Choose one Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
5f. Total Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
Click to
enter.
5g. Comments:
Click to enter.
5h. Is a dam high hazard permit required? ☐ Yes ☐ No
If yes, permit ID no.: Click to enter.
5i. Expected pond surface area (acres): Click to enter.
5j. Size of pond watershed (acres): Click to enter.
5k. Method of construction:
Click to enter.

Page 12 of 20 PCN Form - Version 1.5, September 2020

6. Buffer Impacts (DWR requirement)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts.
6a. Project is in which protected basin(s)?
* (Check all that apply.)
☐ Neuse ☐ Tar-Pamlico ☐ Catawba
☐ Jordan ☐ Goose Creek ☐ Randleman
☐ Other: Click to enter.

Site #*
6b.
Impact Type*
6c.
Impact Duration*
6d.
Stream Name*
6e.
Buffer
Mitigation
Required?*
6f.
Zone 1 Impact*
(sq ft)
6g.
Zone 2 Impact*
(sq ft)
B1 Choose one Temp/ Perm Click to enter. Y/N Click to enter. Click to enter.
B2 Choose one Temp/ Perm Click to enter. Y/N Click to enter. Click to enter.
B3 Choose one Temp/ Perm Click to enter. Y/N Click to enter. Click to enter.
B4 Choose one Temp/ Perm Click to enter. Y/N Click to enter. Click to enter.
B5 Choose one Temp/ Perm Click to enter. Y/N Click to enter. Click to enter.
B6 Choose one Temp/ Perm Click to enter. Y/N Click to enter. Click to enter.
B7 Choose one Temp/ Perm Click to enter. Y/N Click to enter. Click to enter.
B8 Choose one Temp/ Perm Click to enter. Y/N Click to enter. Click to enter.
B9 Choose one Temp/ Perm Click to enter. Y/N Click to enter. Click to enter.
B10 Choose one Temp/ Perm Click to enter. Y/N Click to enter. Click to enter.
6h. Total temporary impacts: Zone 1: Click to enter. sq ft Zone 2: Click to enter. sq ft
6h. Total permanent impacts: Zone 1: Click to enter. sq ft Zone 2: Click to enter. sq ft
6h. Total combined buffer impacts: Zone 1: Click to enter. sq ft Zone 2: Click to enter. sq ft
6i. Comments:
Click to enter.
Please attach supporting documentation (impact maps, plan sheets, etc.) for the proposed project.

Page 13 of 20 PCN Form - Version 1.5, September 2020
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts through project design: *
The project was designed to provide the least linear feet of stream impact, while still guaranteeing the stability of
the Submar mat protective cover system.
1b. Specifically describe measures taken to avoid or minimize proposed impacts through construction techniques: *
The installation of the Submar mat system will be completed in the minimal time necessary so that normal
stream flow may resume.

2. Compensatory Mitigation for Impacts to Waters of the U.S., Waters of the State, or Riparian Buffers
2a. If compensatory mitigation is required, by whom is it required? *
(check all that apply)
☐ DWR ☐ Corps
2b. If yes, which mitigation option(s) will be used for this
project? * (check all that apply)
☐ Mitigation Bank
☐ In Lieu Fee Program
☐ Permittee Responsible Mitigation

3. Complete if using a Mitigation Bank (Must satisfy NC General Statute143-214.11 (d1).)
3a. Name of mitigation bank: Click to enter.
3b. Credits purchased/requested: Type: Choose one Quantity Click to enter.
Type: Choose one Quantity Click to enter.
Type: Choose one Quantity Click to enter.
Attach receipt and/or approval letter.
3c. Comments:
Click to enter.

4. Complete if Using an In Lieu Fee Program
4a. Attach approval letter from in lieu fee program.
4b. Stream mitigation requested: Click to enter. linear feet
4c. If using stream mitigation, what is the stream temperature: Choose one
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington
District’s RIBITS website: (Please use the filter and select Wilmington district)
https://ribits.usace.army.mil/ribits_apex/f?p=107:27:2734709611497::NO:RP:P27_BUTTON_KEY:0
4d. Buffer mitigation requested (DWR only): Click to enter. square feet
4e. Riparian wetland mitigation requested: Click to enter. acres
4f. Non-riparian wetland mitigation requested: Click to enter. acres
4g. Coastal (tidal) wetland mitigation requested: Click to enter. acres
4h. Comments:
Click to enter.

Page 14 of 20 PCN Form - Version 1.5, September 2020

5. Complete if Providing a Permittee Responsible Mitigation Plan
5a. If proposing a permittee responsible mitigation plan, provide a description of the proposed mitigation plan,
including the amount of mitigation proposed.
Click to enter.
5b. Attach mitigation plan/documentation.

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) – DWR requirement
6a. Will the project result in an impact within a protected riparian buffer
that requires buffer mitigation? ☐ Yes ☒ No
If yes, please complete this entire section – please contact DWR for more information.
6b. If yes, identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required in the table below.
Zone
6c.
Reason for impact
6d.
Total impact (square
feet)

Multiplier
6e.
Required mitigation
(square feet)
Zone 1 Click to enter. Click to enter. Choose one Click to enter.
Zone 2 Click to enter. Click to enter. Choose one Click to enter.
6f. Total buffer mitigation required Click to enter.
6g. If buffer mitigation is required, is payment to a mitigation bank or
NC Division of Mitigation Services proposed? ☐ Yes ☐ No
6h. If yes, attach the acceptance letter from the mitigation bank or NC Division of Mitigation Services.
6i. Comments:
Click to enter.

Page 15 of 20 PCN Form - Version 1.5, September 2020
F. Stormwater Management and Diffuse Flow Plan (DWR requirement)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers
identified within one of the NC Riparian Buffer Protection Rules? ☐ Yes ☒ No
1b. All buffer impacts and high ground impacts require diffuse flow or other forms of stormwater treatment. If the
project is subject to a state implemented riparian buffer protection program, include a plan that fully documents
how diffuse flow will be maintained.
All Stormwater Control Measures (SCM) must be designed in accordance with the NC Stormwater Design
Manual (https://deq.nc.gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-permit-
guidance/stormwater-bmp-manual).
Associated supplement forms and other documentation must be provided.
What Type of SCM are you
providing?
(Check all that apply)
☐ Level Spreader
☐ Vegetated Conveyance (lower seasonal high water table- SHWT)
☐ Wetland Swale (higher SHWT)
☐ Other SCM that removes minimum 30% nitrogen
☐ Proposed project will not create concentrated stormwater flow through the
buffer
For a list of options to meet the diffuse flow requirements, click here:
Attach diffuse flow documentation.

2. Stormwater Management Plan
2a. Is this an NCDOT project subject to compliance with NCDOT’s
Individual NPDES permit NCS000250? * ☐ Yes ☒ No
2b. Does this project meet the requirements for low density projects as
defined in 15A NCAC 02H .1003(2)? * ☐ Yes ☒ No
To look up low density requirements, click here:
http://reports.oah.state.nc.us/ncac/title%2015a%20-%20environmental%20quality/chapter%2002%20-
%20environmental%20management/subchapter%20h/15a%20ncac%2002h%20.1003.pdf
2c. IS the project over an acre? ☐ Yes ☒ No
2d. Does this project have a stormwater management plan (SMP)
reviewed and approved under a state stormwater program or state-
approved local government stormwater program? * ☐ Yes ☒ No
Note: Projects that have vested rights, exemptions, or grandfathering from state or locally implemented
stormwater programs or projects that satisfy state or locally-implemented stormwater programs through use of
community in-lieu programs should answer “no” to this question.
2e. Which of the following stormwater management program(s) apply?
(Check all that apply) *
☐ Local Government
☐ State
If you have local government approval, please include the SMP on their overall impact map.

Page 16 of 20 PCN Form - Version 1.5, September 2020
Local Government Stormwater Programs * ☐ Phase II ☐ USMP
☐ NSW ☐ Water Supply
Please identify which local government stormwater program you are using.*
Click to enter.
State Stormwater Programs * ☐ Phase II ☐ HQW or ORW
☐ Coastal Counties ☐ Other
Comments:
Click to enter.

Page 17 of 20 PCN Form - Version 1.5, September 2020

G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local)
funds or the use of public (federal/state) land? * ☐ Yes ☐ No
1b. If you answered “yes” to the above, does the project require
preparation of an environmental document pursuant to the
requirements of the National or State (North Carolina) Environmental
Policy Act (NEPA/SEPA)? *
☐ Yes ☐ No
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:
Click to enter.

2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A
NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300),
DWR Surface Water or Wetland Standards or Riparian Buffer Rules
(15A NCAC 2B .0200)? *
☐ Yes ☒ No
2b. If you answered “yes” to the above question, provide an explanation of the violation(s):
Click to enter.

3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future
impacts) result in additional development, which could impact nearby
downstream water quality? * ☐ Yes ☒ No
3b. If you answered “no”, provide a short narrative description:
Click to enter.
3c. If yes, attach a qualitative or quantitative cumulative impact analysis (.pdf) in accordance with the most recent
DWR policy.

4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project? * ☐ Yes ☐ No ☒ N/A
4b. If yes, describe in detail the treatment methods and dispositions (non-discharge or discharge) of wastewater
generated from the proposed project. If the wastewater will be treated at a treatment plant, list the capacity
available at that plant.
Click to enter.

Page 18 of 20 PCN Form - Version 1.5, September 2020

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected
species or habitat? (IPAC weblink: https://www.fws.gov/ipac/ [fws.gov]) * ☐ Yes ☒ No
5b. Have you checked with the USFWS concerning Endangered Species
Act impacts? * ☒ Yes ☐ No
5c. If yes, indicate the USFWS Field Office you have contacted. Asheville
5d. Is another federal agency involved? * ☐ Yes ☒ No ☐ Unknown
If yes, which federal agency? Click to enter.
5e. Is this a DOT project located within Divisions 1-8? * ☐ Yes ☒ No
5f. Will you cut any trees in order to conduct the work in waters of the
U.S.? * ☐ Yes ☒ No
5g. Does this project involve bridge maintenance or removal? * ☐ Yes ☒ No
Link to NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-
SLOPES&apps.pdf
5h. Does this project involve the construction/ installation of a wind
turbine(s)? * ☐ Yes ☒ No
If yes, please show the location of the wind turbine(s) on the permit drawings/ project plans (attach .pdf)
5i. Does this project involve blasting and /or other percussive activities
that will be conducted by machines, such as jackhammers,
mechanized pile drivers, etc.? * ☐ Yes ☒ No
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this
activity on the property (attach .pdf)
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated
Critical Habitat? *
IPaC official species list and habiat descriptions for the species listed on the IPaC report.
Attach consultation documentation.

6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as
an Essential Fish Habitat? * ☐ Yes ☒ No
Are there submerged aquatic vegetation (SAV) around
the project vicinity? * ☐ Yes ☒ No ☐ Unknown
Will this project affect submerged aquatic vegetation?
*
☐ Yes ☒ No ☐ Unknown
Explain: Click to enter.
6b. What data source(s) did you use to determine whether your site would impact Essential Fish Habitat? *
NOAA

Page 19 of 20 PCN Form - Version 1.5, September 2020
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data):
http://gis.ncdcr.gov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural
preservation status (e.g., National Historic Trust designation or
properties significant in North Carolina history and archaeology)? *
☐ Yes ☒ No
7b. What data source(s) did you use to determine whether your site would impact historic or archeological
resources? *
NCHPO and NRHP
7c. Attach historic or prehistoric documentation.

8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain? * ☐ Yes ☒ No
8b. If yes, explain how the project meets FEMA requirements.
Click to enter.
8c. What source(s) did you use to make the floodplain determination?
FEMA ArcGIS floodplain mapper

H. Miscellaneous
Comments:
Click to enter
Attach pertinent documentation or attachments not previously requested
I. 805gnature
❑x By
checking
the
box and signing below, I, as the project proponent, certify to the following.
•
The
project
proponent hereby certifies that all information contained herein is true, accurate, and complete, to
the best of my knowledge and belief;
•
The
project
proponent hereby requests that the certifying authority review and take action
on this CWA 401
certification
request within the applicable reasonable period of time,
•
The
project
proponent hereby agrees that submission of this PCN form is a "transaction" subject
to Chapter
66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
The
project
proponent hereby agrees to conduct this transaction by electronic means pursuant
to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
®
The
project
proponent hereby understands that an electronic signature has the same legal
effect and can be
enforced
in
the same way as a written signature; AND
As
the project proponent, I intend to electronically sign and submit the PCN/online form.
Full Name:
Michael Barfield
Date.
3/22/2 021
Page 20 of 20 PCN Form -Version 1.5, September 2020

DWR Pre-Fil ing Meeting Req u est Form
ID#*Ve rsion *
Re gional Office *
Re v ie we r List *
Contact Name *
Contact Email Addre ss *
Proje ct Name *
Proje ct Owne r *
Proje ct County *
Owne r Addre ss:
Is this a transportation proje ct?*
Type (s) of approv al sought from the DWR:
Doe s this proje ct hav e an e xisting proje ct ID#?*
Do you know the name of the staff me mbe r you would like to re que st a me e ting with?
Ple ase giv e a brie f proje ct de scription be low.*
20210373 1
Winston-Salem Regional Office - [phone]
Sue Homewood
Pre-Filing Me eting Reque st submitte d 2/16/2021
Michael Barfield
[e-mail]
Lines 1 and 2 Exposure Evans Mill Road Davidson County, North Carolina
Jeff Titus
Davidson
City
Charlotte
State / Province / Region
North Carolina
Postal / Zip Code
28214
Country
United States
Street Address
7524 Kenstead Circle
Address Line 2
Yes No
401 Water Quality Certification -
Regular
401 Water Quality Certification -
Express
Individual Permit Modification
Shoreline Stabilization
Yes No
No
Recent high flow events from significant precipitation have resulted in
streambed erosion in the unnamed perennial/ stream within Colonial
Pipeline Company’s (CPC’s) right-of-way exposing CPC’s Lines 1 and
2. The lack of surface pipeline protection at the maintenance location
has resulted in exposure of Lines 1 and 2. CPC proposes to replace
the required protective cover with pre-cast revetment mats to
remediate the streambed erosion and associated pipeline exposures.
Please give a couple of dates you are available for a meeting.
Ple ase attach the docume ntation you would like to hav e the me e ting about.
Signature
Submittal Date
3/2/2021
3/7/2021
Figure 2 Jurisdictional Features.pdf 2.81MB
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:

· This form completes the requirement of the Pre-Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
· I understand by signing this form that I cannot submit my application until 30 calendar days after this pre-filing
meeting request.
· I also understand that DWR is not required to respond or grant the meeting request.

Your project’s thirty-day clock started upon receipt of this application.  You will receive notification regarding meeting location
and time if a meeting is necessary.  You will receive notification when the thirty-day clock has expired, and you can submit an
application.
2/16/2021
John M . Wyatt
Southeast District
Environmental Program Manager
March 20, 2020
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
NC DWR, 401 & Buffer Permitting Branch
1617 Mail Service Center,
Raleigh, NC 27699-1617
Subject: Authorization Letter
To Whom It May Concern:
Colonial Pipeline Company
Tel: [phone]
Colonial Pipeline Company (CPC) gives authorization to Corblu Ecology Group to serve as our agent
regarding North Carolina Division of Water Quality (DWQ)/U.S. Army Corps of Engineers (USAGE) Pre -
Construction Notification (PCN) Application Forms. Should you have any questions or concerns please
contact me at the letterhead address or telephone number.
Sincerely,
John M. Wyatt
Southeast District
Environmental Program Manager
Colonial Pipeline Company 5251 Hwy 153 Suite C #365 Hixson, TN 37343

PCN FORM ATTACHMENT A – Easement Agreement

•RIGHT OF WAY EASEMENT
FORANDINCONSIDERATIONOF Ten Dollars and other valuable consideration DOccARE
Ig 10.00 I. wereaipdma.aaymgnfwbichkhereM mhaawledgd, Mary Lee Hedgecock, widow,
Mreindur relemd m m Grmsaa Iwbethar me a meal. do hereby grant baryaly, seq avvq, and warrant rem COIANIAL PIPELWE COMPANY, a Delewae cogxwatino,
its warm".od assign, hereioa/er refenM m as Grantors, m indJe.eibk emerges, fee a powlim right of way with the right to mnruuce. maintain, inspect. idevtRy, operate.
frtact, centaur. emm. change the me d, and remora, a pipeline sad appnrsomess. f el f tymar(S•U , the t"n.Paemn d U'uhh. gasse. mgda.enty-f iv=my ( 2 5 )
.11 thereof. ninon and along emuemMxkcted by Granter. said right of wry Ming feelinwidthadmendim
fees form the northerly leased twenty—f d ya ! beet form sM anntharl y .sure d the center lire or
the Pipeline immlhd hereunder. tageshar with tM right muse roofed lend thirty (30) feel in width a diaant to the said right of wq l ninon the
ride thereof elected by Grenteel and coming tM length thereof, as ;empanry wok apace during mmeucdm of mid lipelim, on. over, end through the fdlawi;y derrihed lands.
d which Grmm"warreatWeyare deowreninfaaimPk. sitmudm Abbn creek mnw ship,nAVi(i`nasvq,S WdNwWC 1W.towit:
See attached Exhibit H for metes and bounds description of the property.
Further reference is made to the attached map showing the land over which
this easement is granted and the limits of said right-of-way.
II�gLL,,E O
',OOY.:��t7'AC E�Q9
4 it PN'18
:N^LCI 'H. CAL!.IGuT i
3^i3T:: 2 01' G'E0S
"',C3JN COUNTY, N.C.
toWdsr with the right of unlmpmed a"em mmd picehme ad the rightof horses and signer m, user, and through Grmusra abusedeeeriMd Wd for any and all Purposes oeaam,y
ad incidant m de eaemne by and Granee of the rights granted baemder, with de further right to namo ; s mid right of w.y Mrein graved clear of urea, undergrowth. and brush.
Grmtm ensmant and agree that they will not impaund water or rwetruct buildings. structures. engineering wales or tuber obstructions of my qpe whateneeer on the above
dassu bed right of way strip cola" mtnmize i in writing by Greats. The Grantor agree m Wane such pipelines undisturbed m to Incaution and depth. Thex thag be comvants turning
wirb the WJ and shell he binding an G..., their bein and assigns.
In edditioo -the above consideration. Grentee agrees m repair ampy fur any actual damage which my be time togeowine cmpa ,dasher, foxes, buildings, at under a"emres
dirady cauaed by Grantes exercising any rights herein granted; Provided. however, after the Pipeline has been ineWld. Gr omen shall not be liable far damaera ceusd an the
right of way by keeping said right of way chase d taw, mdetgtwtb, brush, budding", enuctwee, eagiveering works and oMvvctione in the exercise of its eights gremd herein.
The Pipelh;es emswced hereuder by Granve a. ray portion of the above-0—rihed land which is under cuhiratian shall.., the time d the romtructinn tharenL M buried
to such depth at will not interfere with Grmtaa' use deaid lard fm vorvul cultivation required for the plantwg.M tending ofcrope: except that Grmta, at its oplm, may --trues
its Pilbor above the chmsulof an., cetonl a men -made stream. "vice. ditch or waterewtne.
It is agreed dust my poycmat hereunder may be code direct to raid Gemtae, a any meof dorm, m by d.,ossm g such peymev, to de veil[ of said Grmara or my one of them.
intle Lexington State Beaked! Lexington, N. C. end psymevtmmdeelullMdared end emJdered .. paymevtm
emhds.id Gemtae.
DekY d Gnome in the use a eamiee d anY right a asemevt hereby Rmted, a in kYinS a imulliog iM Pipelim in a alone avid right al wry. shell vas mWt in the Id.
limiedon mahandmmevt of agof the right, title, iomrett. ea.ementamee hereby gourd.
The rights hereie ennsM erediiaibk and mdgrrabk in while a in put.
The enm, eouenaoe, and pmvWiova d skintight of way, ememevt thall extend m sod be binding upon the Miss, emmsaa, dminutreuxn, pe"mJ repreregmtiven, succesm—
sad eamm d she Partite hereto.
TO HAVE AND TO HOLD said 'rights and right of way. easement. estate and privikga user. in, tlaaueh, snd to the ebosxdeambed lad men W said Cants, its mawms
and euigoe, forever; and Greotwa do hereby bind shemselvss sued their noperti¢e heirs, aucremm, axecusars, edminktremra, and emigns m wstrent ad forever defend d and
.Wguhm tad rights and ... rem aid Greater. its .—I end ueigna, end egeim[ every pemv whornwevm hurl", Jaidog or to ukho the come or my Pan thousand,
except as an restrictions sod ea .. amad, Jsoy.
IN WITNESS WHEREOF, theGrantors herein have Mremm .es their, or hands, and aW sthis y 'g L dry d April I9Z8,
Sued,....sand /
dellvmedinrMmemdmd: Y ISmJI
ISeahl
(Real)
GRANTORS ACCEPTED FOR COLONIAL PIPELINE 00,
Ncd-lA(r-T11
tea. qN3

s t.
STATE OF NORTH CAROLINA
COUNTYOF DAVIDSON
t Christine D. Dibble
. ACKNOWLEDGEMENT e, is
BY INDIVIDUAL GRANTOR(S)
a Now, Public fmxid County and State, do hereby testily that
Mary Lee Hedgecock, widow, penmendly appeared befine me thisday and ackocwledged thedneaseeutian of the fereeoine instrument.
wITNEss mr hahw.na nam;.h..ttw 18th daypr April .w/778j
My Commission Expires July 15, 1981
_uRC>•,eaminmian PxOnn
„IAffitt. uyl Sglaa b
i
la, all 1a
ACKNOWLEDGEMENT
STATE OF NORTH CAROLINA
COUNTYOF
.,1
WITNESS my hand and hmatial seal, this
My commission
IAlfu Nmano l5eall
STATE OF NORTH CAROLINA
BY INDIVIDUAL GRANTORIS)
state. do hereby certify that
appeared before me this der and acknowledged the due execution of the foregoing instrument.
Neese Public
ACKNOWLEDGEMENT
BY SUBSCRIBING WITNESS (ONLY ONE REQUIRED)
1.
a Notary Public Its, said County coed Stars, do hereby certify that
Personally appeared before me this day, aM being sworn, stated that in h presenete
sinned' lacknowlesi the exeution ofla the hamming imuvment.
WITNESS my hand and notarial seal the
days .19.
Nodh Ca -- vldson County
The regoi (or annexed) cent p POI,5
•t_...,........>=......
Mvmmmiaian exnkaa
..:.............
'Aix Notarial Smi)
is certified to he corRct
D...1..%%8----
This.....c....{.....-.daY aF......lGIJI"k'.a..............0.
NOTE •: Soouwad ler t the s not applicable.
t of Deeds
R W. Callie Resistt, f . _
// ...... _._.. ....................-1'
..............
ACKNOWLEDGEMENT
BY CORPORATE
PRESIDENT OR VICE PRESIDENT
STATE OF NORTH CAROLINA
COUNTY OF
This day of
,19 , personally came before me Preeidem.
who. being by me duly awom. sa»that 6w the
President of
and the, the seal affixed to the foreman, in omeresat in writing a the customs. seal oI mid eapaatioo, arid writing wore signed and sealed by him a whaff d said mrpormion by is
authority duly gwen. And the said
acknowledged the mid wining to Its, the act and deed of mid corporation.
Now Public
Mycommiusioneapires
our Nmariil seau

EXHIBIT B
PART I - DESCRIPTION OF LAND OVER WHICH IT IS NECESSARY TO HAVE A RIGHT OF WAY
That certain tract of land in Davidson County, North Carolina, shown on Exhibit C, and
more particularly described as follows:
Tract 1: Beginning at an iron stake in the west line of a farm road leading into U.S.
Highway #311, commonly known as the High Point -Winston-Salem Highway, a short distance
south of said High Point -Winston-Salem highway, and the common corner of the grantors
and Fred Hedgecock, and running thence along the line of said Fred Hedgecock S 850 E
842 feet to an iron stake and stone in the line of J.E. Welborn; thence along the lines
of J. E. Welborn, Harmon and Staley, Eagle, City of High Point, and Ingle S 4° W 5,383
feet to a hickory; thence along the line of Joe Joyce N 83' 15' W 1665 feet to an iron
stake; thence S 5° W 1070 feet to a stone in Michael's line; thence along Michael's line
N 85' W 2137 feet to an iron stake; thence South 856 feet to an iron stake; thence N 86"
W 621 feet to a white oak in the J. S. Bodenhamer Estate line; thence N 4° 30' W 834 feet
to a stone; thence N 85' W 554.5 feet to an iron stake; thence N 52' 30' W-108 feet to an
iron stake in a road; thence along said road N 5° E 328 feet to an iron stake in said
road, Hayworth's corner; thence S 84' 40' E 330 feet to an iron stake in Hayworth's line;
thence along Hayworth's line N 5° 45' E 986.5 feet to an iron stake; thence along the line
of C. L. Davis S 850 E 2427 feet to an iron stake in Stokes Williard's line; thence N 5°
E 608 feet to an iron stake; thence S 85° E-303.6 feet to an iron stake near a farm road;
thence N 5° E 328.5 feet to a stone near a farm road, and a little west of said road;
thence N 85° 30' W 423.5 feet to a stone in Stokes Williard's line; thence along said
Stokes Williard's line N 4° 10' E 1216 feet to a stone; thence N 63° 50' W 459 feet to an
iron stake; thence N 85° W 1837.9 feet along J. R. Davis' line to post oak near the
Ridge Road and a little east thereof; thence N 50 E 1806 feet to an iron stake in the
east line of said Ridge Road; thence along Moorefield's line S 85° E 1621 feet to an iron
stake; thence S 5° W 65 feet to a stone; thence along the line of Martha Welborn S 85° E
1788 feet to an iron stake; thence N 5° 30' E 150 feet more or less to a stone in Martha
Welborn's line; thence S 85' E 1112 feet to an iron stake; thence N 10° 30' W 600 feet
to an iron stake in the west line of the farm road leading to the High Point -Winston-
Salem Highway, the point of beginning, containing 550 acres, more or less.
Tract 2: Beginning at a hickory, Hedgecock's corner; thence W 17 chains to a stone on
bank of creek; thence S 4° E 94 links to a stone on bank of creek; thence E 5 chains 50
links to a stone; thence S 12 chains 90 links to a stone in Hedgecock's line; thence E
6 chains 80 links to a sassafras; thence N 9 chains 25 links to a stone in Hedgecock's
corner; thence E 4 chains 80 links to a stone in Hedgecock's corner; thence N 4 chains
85 links to the beginning, containing 13 acres, more or less.
Tract 3: Beginning at a stone in Hedgecock's line; thence W 11 chains 55 links to a
stone on bank of creek, J. J. Davis' corner; thence S 5° W 1 chain to a stone on bank of
creek; thence S 4° E 9 chains 30 links to a stone on bank of creek; thence E 10 chains
50 links to a stone in Hedgecock's line; thence N 10 chains 35 links to the beginning,
containing 13 acres, more or less.
Tract 4: Beginning at a stone in Hedgecock's line; thence S 500 E li chains 50 links to
a stone on bank of creek; thence W 11 chains 55 links to a stone in Hedgecock's line;
thence N 8 chains 25 links to a stone Hedgecock's corner; thence N 87' W 7 chains to an
ash; thence W 4.70 chains to the beginning, containing 13 acres more or less.
Tract 5: Beginning at a stone in Albertson's corner; thence N 'Q E 12.75 chains to a
stone; thence N 4.4 chains to a stone on ditch bank; thence S with the meanderings of the
creek 12.5 chains to a stake on creek bank; thence S 87° E 3.45 chains to a stone, the
beginning, containing 6.2 acres, more or less.
PART II - DESCRIPTION -OF RIGHT OF WAY STRIP TO BE ACQUIRED
6.73 acres, more or less, located within the right of way limits shown on Exhibit C and
more particularly described as follows:
Being 50 feet in width, the center line of which runs as follows: Beginning in the line
of Johnny F. Wheeler, the southernmost line of Mary Lee Hedgecock and south of State
Highway 1738, at a point N 82' 59' 36" W 348.70 feet from a 1" iron pipe; thence
N 46° 19' 12" E 118.87 feet, crossing State Highway 1738; thence N 51' 43' 43" E 458.84
feet; thence N 47° 31' 46" E 5172.59 feet; thence N 47' 41' 44" E 114.48 feet to the
Davidson -Guilford County line at a point S 03° 40' 01" W 1744.95 feet from an iron
T-bar, the northeast corner of the tract.
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• • • LL # n.-166
Mv;# 1s4
RIGRT OF WAY BASB4AM
FOR ABD .0 CORSIDBRATIOR OF TgM'M lB1BDRBD SIATf km B0100 DOLLARS,
the receipt of which ds herey acknovladged, D. S. Red%eeock and Vitt,
Mars Lea Redgecock, hereinafter relerred to as grantors, do hereby grant
srA tonvel unto Z01M AL Tlyz LMM CON M, s Delavere oorporstiou, its
successors and assigns, hereinafter referrod to as Grantee, an easement
for a pipeline right of Val Vitt the right to construct, maintain, inspect,
operate, protect, repair, replace, change the size of, and remove a pipeline
for the transportation of liquids andjor %case, on, over, sn1 through the
following described lands, of Vhieh Grantors Varraot they are the oanera
in fee wimple, situated in Davidson Coontl, State of Aorta Carolina, and
more partieularll described as follows:
Beginning at a point in the South propertl line of grantors' propertl
in Davidson County, R. C., said point being 261.51 feet Bost from the
Rorthvest corner of the 3ohanie F. Whaeler land and a corner of the
said, grantors' land, and being further 3,43I.5o feet in a Vattern
direction from the Vast line of Fiolel 3oleo, and herein known as the
point of eotrl, and running thence Rorth Iq deg. 43 min. Bast 114.E
Yee% to a stake; thence Rorth 53 deg. 43 min. Bast 455.09 feet to a
stake; thence Rorth 4b deg. 51 min. 15 ate. Bast 4,214.20 test to a
stake; thence ROrth 4q deg. 06 min. Bast 1104.16 feet to a stake in
the bounden 11ne of Dsvidaon County and Guilford County, and in thelineS of
D. S. Redgeeock and R. B. Gantt Subdivision, said point being the
point of exit from the property of the grantors, said exit being
northern 3,03q.30 foot from the Finlol 3oito corner in said DaviAsou-
Gniltord Couctl line. Said right of vsl easement Shall he 50 teat vide,
moasurad25 feet on each side of the touter of the pipelina, oxeapt that
during construction of the pipeline the following SAditional right of
vay easement is hereby granted: kl) An sdditlonsl 25 feet on the south
side of the above described propart's for the entire length of the right
Of Val; 1?.) On the north side of said right of Val an SAditional 25
teat for a distance of 100 feet in a soethern direettion from the Redge-
cook Road; and k3) on the south end of acid line an additional 25 feet
on the north side for a distance of 100 fleet north of Westover Drive.
The location of said pipeline is Shown on the attached map. Said pipe
line crosses tvo tracts of isnd, one e. ')D acre tract described in a
dead from Bdns Catherine Ransucker, Single, to D. S. Redgeeotk snd Vila,
raeorded in Book 152 at page 3514, and the other a 45 acre tract des-
tribed in a deed from 1. `I. Williard Ssd Vito %o D. S. Radgetoek and
Vile, retordoa in Book ),13 at Page 516, in the Ofties of the Register
Of Deeds of Davidson Couutl, R. C.
Together with the right of unimpaired access to Said pipeline and the
right of ingress anA egress on, over, and through the above described lard
for soy and all purposes necessary and incident to the exercise bl said grantee
of the rights granted harecnder.
goa.g43

• • • • LL # 11:166
yap # 154
The said grantors shall have the right to use and enjoy the above -
described land except as the same may be naeessary tar the purposes herein
granted to the said grantee. Grantors agree not to build, create, or con-
struct any obstructions, engineering works, or other structures over said
pipe line nor permit the same to be done by others.
In addition to the above consideration, grantee agrees to repair or to
pay tar any actual damage which may ba done to growing crops, timber, £antes,
buildings, or other structures directly caused by grantee exercising any
rights herein granted.
Any pipe line constructed by Grantee across any portion of the above -
described land which is under cultivation shall, at the time o£ the con-
struction thereof, be buried to such depth as will not interfere with
grantors' use of said land £or normal cultivation required tar the plant-
ing and tending o£ crops, and a minimum depth at thirty inches, except that
grantee, at its option, may construct its pipe line above the channel o£ any
natural or man-made stream, ravine, ditch, or other water course.
The rights herein granted may be assigned in whole or in part.
The terms, conditions, and provisions at this right of vay easement shall
extend to and be binding upon the heirs, executors, administrators, personal
representatives, successors, and assigns o£ the parties hereto.
IN 14ITNESS 141MRVOF, the grantors have hereunto set their hands and seals
this �/ day of September, 1962.
$�U(. ��4, 1 �SBALO
edRecocic p
771 ivr_ s 9 ��-� • rr.!'I l ISEALI
eriecigocock
STkTF OF NORTM CAROIiINA
COUNTY OF G15ILFORD
do hereby earti£y that
D• S• Re ge cock a w a, Mary 'ee gacock, personaSly appeared before me
this day and acknowledged the ane execution at the foregoing instrument.
Witness my hand and offitial seal this the // 2Z day of September, 19(,2.
Mildred A. Coppedg*o ry Robiie
My comission expires:
n .1 ,n/O I'
STATE OF NORTH CAROLINA—Davidson County
The foregoingcertificateof
a Notary Public ol? +E't�LCowty, is adjudged to be correct. Let the said instrument and the certificate be registered.
^' � 0 Witness my hand and_`this 9 day of
Filed for registration on the —�dey of
duly recorded in the office of the Register of Deeds of Davidson County, N. C., in
3)a- vL/a

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PCN FORM ATTACHMENT B – IPaC Official Species List
and Verification Letter under the Programmatic Biological Opinion on the Final 4(d) Rule for
the Northern Long-eared Bat

February 15, 2021
United States Department of the Interior
FISH AND WILDLIFE SERVICE
Asheville Ecological Services Field Office
160 Zillicoa Street
Asheville, NC 28801-1082
Phone: [phone] Fax: [phone]
http://www.fws.gov/nc-es/es/countyfr.html
In Reply Refer To:
Consultation Code: 04EN1000-2021-SLI-0335
Event Code: 04EN1000-2021-E-00757
Project Name: Lines 1 and 2 Exposure Evans Mill Road

Subject:List of threatened and endangered species that may occur in your proposed project
location or may be affected by your proposed project
To Whom It May Concern:
The attached species list identifies threatened, endangered, proposed and candidate species, as
well as proposed and final designated critical habitat, that may occur within the boundary of your
proposed project and/or may be affected by your proposed project. Although not required by
section 7, many agencies request species lists to start the informal consultation process and begin
their fulfillment of the requirements under section 7(c) of the Endangered Species Act (Act) of
1973, as amended (16 U.S.C. 1531 et seq.).
This list, along with other helpful resources, is also available on the U.S. Fish and Wildlife
Service (Service) – Asheville Field Office’s (AFO) website: https://www.fws.gov/raleigh/species/
cntylist/nc_counties.html. The AFO website list includes “species of concern” – species that
could potentially be placed on the federal list of threatened and endangered species in the future.
Also available are:
· Design and Construction Recommendations
https://www.fws.gov/asheville/htmls/project_review/Recommendations.html
· Optimal Survey Times for Federally Listed Plants
https://www.fws.gov/nc-es/plant/plant_survey.html
· Northern long-eared bat Guidance
https://www.fws.gov/asheville/htmls/project_review/NLEB_in_WNC.html
· Predictive Habitat Model for Aquatic Species
https://www.fws.gov/asheville/htmls/Maxent/Maxent.html
New information based on updated surveys, changes in the abundance and distribution of
species, changed habitat conditions, or other factors could require modifications of these lists.
02/15/2021 Event Code: 04EN1000-2021-E-00757   2

Please note that under 50 CFR 402.12(e) of the regulations implementing section 7 of the Act,
the accuracy of the species lists should be verified after 90 days. This verification can be
completed formally or informally as desired. The Service recommends that verification be
completed by visiting the ECOS-IPaC website or the AFO website (the AFO website dates each
county list with the day of the most recent update/change) at regular intervals during project
planning and implementation for updates to species lists and information. An updated list may
be requested through the ECOS-IPaC system by completing the same process used to receive the
enclosed list or by going to the AFO website.
The purpose of the Act is to provide a means whereby threatened and endangered species and the
ecosystems upon which they depend may be conserved. Under sections 7(a)(1) and 7(a)(2) of
the Act and its implementing regulations (50 CFR 402 et seq.), Federal agencies are required to
utilize their authorities to carry out programs for the conservation of threatened and endangered
species and to determine whether projects may affect threatened and endangered species and/or
designated critical habitat.
A Biological Assessment is required for construction projects (or other undertakings having
similar physical impacts) that are major Federal actions significantly affecting the quality of the
human environment as defined in the National Environmental Policy Act (42 U.S.C. 4332(2)
(c)). For projects other than major construction activities, the Service suggests that a Biological
Evaluation similar to a Biological Assessment be prepared to determine whether the project may
affect listed or proposed species and/or designated or proposed critical habitat. Recommended
contents of a Biological Assessment are described at 50 CFR 402.12 and on our office’s website
at https://www.fws.gov/asheville/htmls/project_review/assessment_guidance.html.
If a Federal agency (or their non-federal representative) determines, based on the Biological
Assessment or Biological Evaluation, that listed species and/or designated critical habitat may be
affected by the proposed project, the agency is required to consult with the Service pursuant to
50 CFR 402. In addition, the Service recommends that candidate species, proposed species, and
proposed critical habitat be addressed within the consultation. More information on the
regulations and procedures for section 7 consultation, including the role of permit or license
applicants, can be found in the "Endangered Species Consultation Handbook" at: http://
www.fws.gov/endangered/esa-library/pdf/TOC-GLOS.PDF.
Though the bald eagle is no longer protected under the Endangered Species Act, please be aware
that bald and golden eagles are protected under the Bald and Golden Eagle Protection Act (16
U.S.C. 668 et seq.), and projects affecting these species may require additional consultation (see
https://www.fws.gov/southeast/our-services/permits/eagles/). Wind energy projects should
follow the wind energy guidelines (http://www.fws.gov/windenergy/) for minimizing impacts to
migratory birds (including bald and golden eagles) and bats.
Guidance for minimizing impacts to migratory birds for projects including communications
towers (e.g., cellular, digital television, radio, and emergency broadcast) can be found at: http://
www.fws.gov/migratorybirds/CurrentBirdIssues/Hazards/towers/towers.htm;
http://www.towerkill.com; and http://www.fws.gov/migratorybirds/CurrentBirdIssues/Hazards/
towers/comtow.html.
02/15/2021 Event Code: 04EN1000-2021-E-00757   3

▪
▪
▪
We appreciate your concern for threatened and endangered species. The Service encourages
Federal agencies to include conservation of threatened and endangered species into their project
planning to further the purposes of the Act. Please include the Consultation Tracking Number in
the header of this letter with any request for consultation or correspondence about your project
that you submit to our office.

Attachment(s):
Official Species List
Migratory Birds
Wetlands
02/15/2021 Event Code: 04EN1000-2021-E-00757   1

Official Species List
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Asheville Ecological Services Field Office
160 Zillicoa Street
Asheville, NC 28801-1082
[phone]
02/15/2021 Event Code: 04EN1000-2021-E-00757   2

Project Summary
Consultation Code:04EN1000-2021-SLI-0335
Event Code:04EN1000-2021-E-00757
Project Name:Lines 1 and 2 Exposure Evans Mill Road
Project Type:OIL OR GAS
Project Description:Pipeline exposure maintenance
Project Location:
Approximate location of the project can be viewed in Google Maps: https://
www.google.com/maps/@35.99898614999999,-80.05079130232419,14z
Counties:Davidson County, North Carolina
02/15/2021 Event Code: 04EN1000-2021-E-00757   3

1.
Endangered Species Act Species
There is a total of 2 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheries , as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
Mammals
NAME STATUS
Northern Long-eared Bat Myotis septentrionalis
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/9045
Threatened
Flowering Plants
NAME STATUS
Schweinitz's Sunflower Helianthus schweinitzii
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/3849
Endangered
Critical habitats
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.
1
02/15/2021 Event Code: 04EN1000-2021-E-00757   1

1.
2.
3.
Migratory Birds
Certain birds are protected under the Migratory Bird Treaty Act and the Bald and Golden Eagle
Protection Act .
Any person or organization who plans or conducts activities that may result in impacts to
migratory birds, eagles, and their habitats should follow appropriate regulations and consider
implementing appropriate conservation measures, as described below.
The Migratory Birds Treaty Act of 1918.
The Bald and Golden Eagle Protection Act of 1940.
50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)
The birds listed below are birds of particular concern either because they occur on the USFWS
Birds of Conservation Concern (BCC) list or warrant special attention in your project location.
To learn more about the levels of concern for birds on your list and how this list is generated, see
the FAQ below. This is not a list of every bird you may find in this location, nor a guarantee that
every bird on this list will be found in your project area. To see exact locations of where birders
and the general public have sighted birds in and around your project area, visit the E-bird data
mapping tool (Tip: enter your location, desired date range and a species on your list). For
projects that occur off the Atlantic Coast, additional maps and models detailing the relative
occurrence and abundance of bird species on your list are available. Links to additional
information about Atlantic Coast birds, and other important information about your migratory
bird list, including how to properly interpret and use your migratory bird report, can be found
below.
For guidance on when to schedule activities or implement avoidance and minimization measures
to reduce impacts to migratory birds on your list, click on the PROBABILITY OF PRESENCE
SUMMARY at the top of your list to see when these birds are most likely to be present and
breeding in your project area.
NAME BREEDING SEASON
Red-headed Woodpecker Melanerpes erythrocephalus
This is a Bird of Conservation Concern (BCC) throughout its range in the
continental USA and Alaska.
Breeds May 10 to Sep 10
Probability Of Presence Summary
The graphs below provide our best understanding of when birds of concern are most likely to be
present in your project area. This information can be used to tailor and schedule your project
activities to avoid or minimize impacts to birds. Please make sure you read and understand the
FAQ "Proper Interpretation and Use of Your Migratory Bird Report" before using or attempting
to interpret this report.
Probability of Presence ()
1
2
02/15/2021 Event Code: 04EN1000-2021-E-00757   2

1.
2.
3.
no data survey effort breeding season probability of presence
Each green bar represents the bird's relative probability of presence in the 10km grid cell(s) your
project overlaps during a particular week of the year. (A year is represented as 12 4-week
months.) A taller bar indicates a higher probability of species presence. The survey effort (see
below) can be used to establish a level of confidence in the presence score. One can have higher
confidence in the presence score if the corresponding survey effort is also high.
How is the probability of presence score calculated? The calculation is done in three steps:
The probability of presence for each week is calculated as the number of survey events in
the week where the species was detected divided by the total number of survey events for
that week. For example, if in week 12 there were 20 survey events and the Spotted Towhee
was found in 5 of them, the probability of presence of the Spotted Towhee in week 12 is
0.25.
To properly present the pattern of presence across the year, the relative probability of
presence is calculated. This is the probability of presence divided by the maximum
probability of presence across all weeks. For example, imagine the probability of presence
in week 20 for the Spotted Towhee is 0.05, and that the probability of presence at week 12
(0.25) is the maximum of any week of the year. The relative probability of presence on
week 12 is 0.25/0.25 = 1; at week 20 it is 0.05/0.25 = 0.2.
The relative probability of presence calculated in the previous step undergoes a statistical
conversion so that all possible values fall between 0 and 10, inclusive. This is the
probability of presence score.
Breeding Season ()
Yellow bars denote a very liberal estimate of the time-frame inside which the bird breeds across
its entire range. If there are no yellow bars shown for a bird, it does not breed in your project
area.
Survey Effort ()
Vertical black lines superimposed on probability of presence bars indicate the number of surveys
performed for that species in the 10km grid cell(s) your project area overlaps. The number of
surveys is expressed as a range, for example, 33 to 64 surveys.
No Data ()
A week is marked as having no data if there were no survey events for that week.
Survey Timeframe
Surveys from only the last 10 years are used in order to ensure delivery of currently relevant
information. The exception to this is areas off the Atlantic coast, where bird returns are based on
all years of available data, since data in these areas is currently much more sparse.
SPECIES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
02/15/2021 Event Code: 04EN1000-2021-E-00757   3

▪
▪
▪
Red-headed
Woodpecker
BCC Rangewide
(CON)
Additional information can be found using the following links:
Birds of Conservation Concern http://www.fws.gov/birds/management/managed-species/
birds-of-conservation-concern.php
Measures for avoiding and minimizing impacts to birds http://www.fws.gov/birds/
management/project-assessment-tools-and-guidance/
conservation-measures.php
Nationwide conservation measures for birds http://www.fws.gov/migratorybirds/pdf/
management/nationwidestandardconservationmeasures.pdf
Migratory Birds FAQ
Tell me more about conservation measures I can implement to avoid or minimize impacts
to migratory birds.
Nationwide Conservation Measures describes measures that can help avoid and minimize
impacts to all birds at any location year round. Implementation of these measures is particularly
important when birds are most likely to occur in the project area. When birds may be breeding in
the area, identifying the locations of any active nests and avoiding their destruction is a very
helpful impact minimization measure. To see when birds are most likely to occur and be breeding
in your project area, view the Probability of Presence Summary. Additional measures or permits
may be advisable depending on the type of activity you are conducting and the type of
infrastructure or bird species present on your project site.
What does IPaC use to generate the migratory birds potentially occurring in my specified
location?
The Migratory Bird Resource List is comprised of USFWS Birds of Conservation Concern
(BCC) and other species that may warrant special attention in your project location.
The migratory bird list generated for your project is derived from data provided by the Avian
Knowledge Network (AKN). The AKN data is based on a growing collection of survey, banding,
and citizen science datasets and is queried and filtered to return a list of those birds reported as
occurring in the 10km grid cell(s) which your project intersects, and that have been identified as
warranting special attention because they are a BCC species in that area, an eagle (Eagle Act
requirements may apply), or a species that has a particular vulnerability to offshore activities or
development.
Again, the Migratory Bird Resource list includes only a subset of birds that may occur in your
project area. It is not representative of all birds that may occur in your project area. To get a list
of all birds potentially present in your project area, please visit the AKN Phenology Tool.
What does IPaC use to generate the probability of presence graphs for the migratory birds
potentially occurring in my specified location?
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1.
2.
3.
The probability of presence graphs associated with your migratory bird list are based on data
provided by the Avian Knowledge Network (AKN). This data is derived from a growing
collection of survey, banding, and citizen science datasets .
Probability of presence data is continuously being updated as new and better information
becomes available. To learn more about how the probability of presence graphs are produced and
how to interpret them, go the Probability of Presence Summary and then click on the "Tell me
about these graphs" link.
How do I know if a bird is breeding, wintering, migrating or present year-round in my
project area?
To see what part of a particular bird's range your project area falls within (i.e. breeding,
wintering, migrating or year-round), you may refer to the following resources: The Cornell Lab
of Ornithology All About Birds Bird Guide, or (if you are unsuccessful in locating the bird of
interest there), the Cornell Lab of Ornithology Neotropical Birds guide. If a bird on your
migratory bird species list has a breeding season associated with it, if that bird does occur in your
project area, there may be nests present at some point within the timeframe specified. If "Breeds
elsewhere" is indicated, then the bird likely does not breed in your project area.
What are the levels of concern for migratory birds?
Migratory birds delivered through IPaC fall into the following distinct categories of concern:
"BCC Rangewide" birds are Birds of Conservation Concern (BCC) that are of concern
throughout their range anywhere within the USA (including Hawaii, the Pacific Islands,
Puerto Rico, and the Virgin Islands);
"BCC - BCR" birds are BCCs that are of concern only in particular Bird Conservation
Regions (BCRs) in the continental USA; and
"Non-BCC - Vulnerable" birds are not BCC species in your project area, but appear on
your list either because of the Eagle Act requirements (for eagles) or (for non-eagles)
potential susceptibilities in offshore areas from certain types of development or activities
(e.g. offshore energy development or longline fishing).
Although it is important to try to avoid and minimize impacts to all birds, efforts should be made,
in particular, to avoid and minimize impacts to the birds on this list, especially eagles and BCC
species of rangewide concern. For more information on conservation measures you can
implement to help avoid and minimize migratory bird impacts and requirements for eagles,
please see the FAQs for these topics.
Details about birds that are potentially affected by offshore projects
For additional details about the relative occurrence and abundance of both individual bird species
and groups of bird species within your project area off the Atlantic Coast, please visit the
Northeast Ocean Data Portal. The Portal also offers data and information about other taxa besides
birds that may be helpful to you in your project review. Alternately, you may download the bird
model results files underlying the portal maps through the NOAA NCCOS Integrative Statistical
Modeling and Predictive Mapping of Marine Bird Distributions and Abundance on the Atlantic
Outer Continental Shelf project webpage.
02/15/2021 Event Code: 04EN1000-2021-E-00757   5

Bird tracking data can also provide additional details about occurrence and habitat use
throughout the year, including migration. Models relying on survey data may not include this
information. For additional information on marine bird tracking data, see the Diving Bird Study
and the nanotag studies or contact Caleb Spiegel or Pam Loring.
What if I have eagles on my list?
If your project has the potential to disturb or kill eagles, you may need to obtain a permit to avoid
violating the Eagle Act should such impacts occur.
Proper Interpretation and Use of Your Migratory Bird Report
The migratory bird list generated is not a list of all birds in your project area, only a subset of
birds of priority concern. To learn more about how your list is generated, and see options for
identifying what other birds may be in your project area, please see the FAQ "What does IPaC
use to generate the migratory birds potentially occurring in my specified location". Please be
aware this report provides the "probability of presence" of birds within the 10 km grid cell(s) that
overlap your project; not your exact project footprint. On the graphs provided, please also look
carefully at the survey effort (indicated by the black vertical bar) and for the existence of the "no
data" indicator (a red horizontal bar). A high survey effort is the key component. If the survey
effort is high, then the probability of presence score can be viewed as more dependable. In
contrast, a low survey effort bar or no data bar means a lack of data and, therefore, a lack of
certainty about presence of the species. This list is not perfect; it is simply a starting point for
identifying what birds of concern have the potential to be in your project area, when they might
be there, and if they might be breeding (which means nests might be present). The list helps you
know what to look for to confirm presence, and helps guide you in knowing when to implement
conservation measures to avoid or minimize potential impacts from your project activities,
should presence be confirmed. To learn more about conservation measures, visit the FAQ "Tell
me about conservation measures I can implement to avoid or minimize impacts to migratory
birds" at the bottom of your migratory bird trust resources page.
02/15/2021 Event Code: 04EN1000-2021-E-00757   1

▪
Wetlands
Impacts to NWI wetlands and other aquatic habitats may be subject to regulation under Section
404 of the Clean Water Act, or other State/Federal statutes.
For more information please contact the Regulatory Program of the local U.S. Army Corps of
Engineers District.
Please note that the NWI data being shown may be out of date. We are currently working to
update our NWI data set. We recommend you verify these results with a site visit to determine
the actual extent of wetlands on site.
RIVERINE
R4SBC
February 15, 2021
United States Department of the Interior
FISH AND WILDLIFE SERVICE
Asheville Ecological Services Field Office
160 Zillicoa Street
Asheville, NC 28801-1082
Phone: [phone] Fax: [phone]
http://www.fws.gov/nc-es/es/countyfr.html
In Reply Refer To:
Consultation code: 04EN1000-2021-TA-0335
Event Code: 04EN1000-2021-E-00760
Project Name: Lines 1 and 2 Exposure Evans Mill Road

Subject:Verification letter for the 'Lines 1 and 2 Exposure Evans Mill Road' project under the
January 5, 2016, Programmatic Biological Opinion on Final 4(d) Rule for the
Northern Long-eared Bat and Activities Excepted from Take Prohibitions.

Dear Michael Barfield:
The U.S. Fish and Wildlife Service (Service) received on February 15, 2021 your effects
determination for the 'Lines 1 and 2 Exposure Evans Mill Road' (the Action) using the northern
long-eared bat (Myotis septentrionalis) key within the Information for Planning and Consultation
(IPaC) system. This IPaC key assists users in determining whether a Federal action is consistent
with the activities analyzed in the Service’s January 5, 2016, Programmatic Biological Opinion
(PBO). The PBO addresses activities excepted from "take"[1] prohibitions applicable to the
northern long-eared bat under the Endangered Species Act of 1973 (ESA) (87 Stat.884, as
amended; 16 U.S.C. 1531 et seq.).
Based upon your IPaC submission, the Action is consistent with activities analyzed in the PBO.
The Action may affect the northern long-eared bat; however, any take that may occur as a result
of the Action is not prohibited under the ESA Section 4(d) rule adopted for this species at 50
CFR §17.40(o). Unless the Service advises you within 30 days of the date of this letter that your
IPaC-assisted determination was incorrect, this letter verifies that the PBO satisfies and
concludes your responsibilities for this Action under ESA Section 7(a)(2) with respect to the
northern long-eared bat.
Please report to our office any changes to the information about the Action that you submitted in
IPaC, the results of any bat surveys conducted in the Action area, and any dead, injured, or sick
northern long-eared bats that are found during Action implementation. If the Action is not
completed within one year of the date of this letter, you must update and resubmit the
information required in the IPaC key.
02/15/2021 Event Code: 04EN1000-2021-E-00760   2

▪
This IPaC-assisted determination allows you to rely on the PBO for compliance with ESA
Section 7(a)(2) only for the northern long-eared bat. It does not apply to the following ESA-
protected species that also may occur in the Action area:
Schweinitz's Sunflower Helianthus schweinitzii Endangered
If the Action may affect other federally listed species besides the northern long-eared bat, a
proposed species, and/or designated critical habitat, additional consultation between you and this
Service office is required. If the Action may disturb bald or golden eagles, additional
coordination with the Service under the Bald and Golden Eagle Protection Act is recommended.
________________________________________________

[1]Take means to harass, harm, pursue, hunt, shoot, wound, kill, trap, capture, or collect, or to
attempt to engage in any such conduct [ESA Section 3(19)].
02/15/2021 Event Code: 04EN1000-2021-E-00760   3

Action Description
You provided to IPaC the following name and description for the subject Action.
1. Name
Lines 1 and 2 Exposure Evans Mill Road
2. Description
The following description was provided for the project 'Lines 1 and 2 Exposure Evans Mill
Road':
Pipeline exposure maintenance
Approximate location of the project can be viewed in Google Maps: https://www.google.com/
maps/@35.99898614999999,-80.05079130232419,14z
Determination Key Result
This Federal Action may affect the northern long-eared bat in a manner consistent with the
description of activities addressed by the Service’s PBO dated January 5, 2016. Any taking that
may occur incidental to this Action is not prohibited under the final 4(d) rule at 50 CFR
§17.40(o). Therefore, the PBO satisfies your responsibilities for this Action under ESA Section
7(a)(2) relative to the northern long-eared bat.
Determination Key Description: Northern Long-eared Bat 4(d) Rule
This key was last updated in IPaC on May 15, 2017. Keys are subject to periodic revision.
This key is intended for actions that may affect the threatened northern long-eared bat.
The purpose of the key for Federal actions is to assist determinations as to whether proposed
actions are consistent with those analyzed in the Service’s PBO dated January 5, 2016.
Federal actions that may cause prohibited take of northern long-eared bats, affect ESA-listed
species other than the northern long-eared bat, or affect any designated critical habitat, require
ESA Section 7(a)(2) consultation in addition to the use of this key. Federal actions that may
02/15/2021 Event Code: 04EN1000-2021-E-00760   4

affect species proposed for listing or critical habitat proposed for designation may require a
conference under ESA Section 7(a)(4).
02/15/2021 Event Code: 04EN1000-2021-E-00760   5

1.
2.
3.
4.
5.
6.
7.
Determination Key Result
This project may affect the threatened Northern long-eared bat; therefore, consultation with the
Service pursuant to Section 7(a)(2) of the Endangered Species Act of 1973 (87 Stat.884, as
amended; 16 U.S.C. 1531 et seq.) is required. However, based on the information you provided,
this project may rely on the Service’s January 5, 2016, Programmatic Biological Opinion on
Final 4(d) Rule for the Northern Long-Eared Bat and Activities Excepted from Take Prohibitions
to fulfill its Section 7(a)(2) consultation obligation.
Qualification Interview
Is the action authorized, funded, or being carried out by a Federal agency?
Yes
Have you determined that the proposed action will have “no effect” on the northern long-
eared bat? (If you are unsure select "No")
No
Will your activity purposefully Take northern long-eared bats?
No
[Semantic] Is the project action area located wholly outside the White-nose Syndrome
Zone?
Automatically answered
No
Have you contacted the appropriate agency to determine if your project is near a known
hibernaculum or maternity roost tree?

Location information for northern long-eared bat hibernacula is generally kept in state
Natural Heritage Inventory databases – the availability of this data varies state-by-state.
Many states provide online access to their data, either directly by providing maps or by
providing the opportunity to make a data request. In some cases, to protect those resources,
access to the information may be limited. A web page with links to state Natural Heritage
Inventory databases and other sources of information on the locations of northern long-
eared bat roost trees and hibernacula is available at www.fws.gov/midwest/endangered/
mammals/nleb/nhisites.html.
Yes
Will the action affect a cave or mine where northern long-eared bats are known to
hibernate (i.e., hibernaculum) or could it alter the entrance or the environment (physical or
other alteration) of a hibernaculum?
No
Will the action involve Tree Removal?
No
02/15/2021 Event Code: 04EN1000-2021-E-00760   6

Project Questionnaire
If the project includes forest conversion, report the appropriate acreages below.
Otherwise, type ‘0’ in questions 1-3.
1. Estimated total acres of forest conversion:
0
2. If known, estimated acres of forest conversion from April 1 to October 31
0
3. If known, estimated acres of forest conversion from June 1 to July 31
0
If the project includes timber harvest, report the appropriate acreages below.
Otherwise, type ‘0’ in questions 4-6.
4. Estimated total acres of timber harvest
0
5. If known, estimated acres of timber harvest from April 1 to October 31
0
6. If known, estimated acres of timber harvest from June 1 to July 31
0
If the project includes prescribed fire, report the appropriate acreages below.
Otherwise, type ‘0’ in questions 7-9.
7. Estimated total acres of prescribed fire
0
8. If known, estimated acres of prescribed fire from April 1 to October 31
0
9. If known, estimated acres of prescribed fire from June 1 to July 31
0
If the project includes new wind turbines, report the megawatts of wind capacity
below. Otherwise, type ‘0’ in question 10.
10. What is the estimated wind capacity (in megawatts) of the new turbine(s)?
0

PCN FORM ATTACHMENT C – NRHP Map

GFGF
Line 1 Exposure Location35.998948, -80.050824
Line 2 Exposure Location35.999522, -80.050071
NC HPO and NRHP Map
Project No. 02-041901
Base Map Source: ESRI Aerial Imgery
±
0 1,200 2,400600 Feet1:12,000
Colonial Pipeline Company, SE
Lines 1 and 2 Exposure
Evans Mill Road
Davidson County, North Carolina
Legend
GF Exposure Location
CPC Pipeline
NCHPOpoints
Site ID: DV0074
Status: SO
Site Name: Bodenheimer-Wheeler House
Distance to project: ~3,800 LF
Site ID: DV0075
Status: SD
Site Name: John Bodenheimer House (gone)
Distance to project: ~4,100 LF

PCN FORM ATTACHMENT D – FEMA/FIRM Map

GFGF
Line 1 Exposure Location35.998948, -80.050824
Line 2 Exposure Location35.999522, -80.050071
FEMA/FIRM Map
Project No. 02-041901
Base Map Source: ESRI Aerial Imgery GPS Data Collected: 9/1/2020
±
0 500 1,000250 Feet1:5,000
Colonial Pipeline Company, SE
Lines 1 and 2 Exposure
Evans Mill Road
Davidson County, North Carolina
Legend
GF Exposure Location
CPC Pipeline
Flood Hazard ZonesZone Type
1% Annual Chance Flood Hazard
Regulatory Floodway
Special Floodway
Area of Undetermined Flood Hazard
0.2% Annual Chance Flood Hazard
Future Conditions 1% Annual Chance Flood Hazard
Area with Reduced Risk Due to Levee
DWR Pre-Fil ing Meeting Req u est Form
ID#*Ve rsion *
Re gional Office *
Re v ie we r List *
Contact Name *
Contact Email Addre ss *
Proje ct Name *
Proje ct Owne r *
Proje ct County *
Owne r Addre ss:
Is this a transportation proje ct?*
Type (s) of approv al sought from the DWR:
Doe s this proje ct hav e an e xisting proje ct ID#?*
Do you know the name of the staff me mbe r you would like to re que st a me e ting with?
Ple ase giv e a brie f proje ct de scription be low.*
20210373 1
Winston-Salem Regional Office - [phone]
Sue Homewood
Pre-Filing Me eting Reque st submitte d 2/16/2021
Michael Barfield
[e-mail]
Lines 1 and 2 Exposure Evans Mill Road Davidson County, North Carolina
Jeff Titus
Davidson
City
Charlotte
State / Province / Region
North Carolina
Postal / Zip Code
28214
Country
United States
Street Address
7524 Kenstead Circle
Address Line 2
Yes No
401 Water Quality Certification -
Regular
401 Water Quality Certification -
Express
Individual Permit Modification
Shoreline Stabilization
Yes No
No
Recent high flow events from significant precipitation have resulted in
streambed erosion in the unnamed perennial/ stream within Colonial
Pipeline Company’s (CPC’s) right-of-way exposing CPC’s Lines 1 and
2. The lack of surface pipeline protection at the maintenance location
has resulted in exposure of Lines 1 and 2. CPC proposes to replace
the required protective cover with pre-cast revetment mats to
remediate the streambed erosion and associated pipeline exposures.
Please give a couple of dates you are available for a meeting.
Ple ase attach the docume ntation you would like to hav e the me e ting about.
Signature
Submittal Date
3/2/2021
3/7/2021
Figure 2 Jurisdictional Features.pdf 2.81MB
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:

· This form completes the requirement of the Pre-Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
· I understand by signing this form that I cannot submit my application until 30 calendar days after this pre-filing
meeting request.
· I also understand that DWR is not required to respond or grant the meeting request.

Your project’s thirty-day clock started upon receipt of this application.  You will receive notification regarding meeting location
and time if a meeting is necessary.  You will receive notification when the thirty-day clock has expired, and you can submit an
application.
2/16/2021