20130573 Ver 1_401 Application_20130513

of WA 4!4 �r
P
o c
2C1U0573
Office use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre - Construction Notification (PCN) Form
A. Applicant Information
4
zmua
1. Processing
IMMMUM
1 a. Type(s) of approval sought from the
Corps:
Section 404 Permit ❑ Section 10 Permit
.� -�-
1b. Specify Nationwide Permit (NWP) number: 39 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps?
FEI Yes
® No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
X 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes N No
For the record only for Corps Permit:
❑ Yes ® No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
No
2. Project Information
2a. Name of project:
Quality Oil Development — Quality Mart Gas Station
2b. County:
Ashe
2c. Nearest municipality / town:
West Jefferson
2d. Subdivision name:
NA
2e. NCDOT only, T.I.P. or state
project no:
N/A
3. Owner Information
3a. Name(s) on Recorded Deed:
Quality Oil Company, LLC
,
3b. Deed Book and Page No.
429/44
3c. Responsible Party (for LLC if
applicable):
L4
N/A 21
k
3d. Street address:
1540 Silas Creek Parkway
3e. City, state, zip:
Winston — Salem, NC 27127
3f. Telephone no.:
336- 722 -3411 +'. D
WA
3g. Fax no.:
336 - 721 -9520 s
LAl►n.
3h. Email address:
[e-mail]
Page 1 of 10
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is:
® Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (If applicable)
5a. Name:
Derek Goddard
5b. Business name
(if applicable):
Blue Ridge Environmental Consultants, P.A.
5c. Street address:
1305 S. Collegiate Drive
5d. City, state, zip:
Wilkesboro, NC 28697
5e. Telephone no.:
336- 844 -4088
5f. Fax no.:
N/A
5g. Email address:
derek @brec.biz
ee.
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
19227 -135
1b. Site coordinates (in decimal degrees):
Latitude: 36.382459 Longitude: - 81.486906
(DD.DDDDDD) (- DD.DDDDDD)
1 c. Property size:
0.9 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
UT to Beaver Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
C, TR
2c. River basin:
New
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Vacant Commercial Lot, Urban setting
3b. List the total estimated acreage of all existing wetlands on the property:
0 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
225 Perennial
3d. Explain the purpose of the proposed project:
To establish a Gas Station- C store, required parking, and turning Radi.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project will install 143' of 48' CMP. The Pipe will be installed in the dry and buried 12° The project will utilize a track
loader.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
X Yes No ❑ Unknown
project (including all prior phases) in the past?
Comments: USACE Action ID 2010 -1809
4b. If the Corps made the jurisdictional determination, what type
❑ preliminary X Final
of determination was made.
4c. If yes, who delineated the jurisdictional areas?
Agency /Consultant Company: USACE
Name (if known): Unknown
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ® No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
la. Which sections were completed below for your project (check all that apply):
Wetlands X Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary
W1 P T
❑Yes
Corps
No
❑ DWQ
W2 ❑ P [IT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P [IT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
I ❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland Impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 X P ❑ T
Culvert
UT to Beaver
Creek
X PER
❑ INT
X Corps
DWQ
3
143
S2 P ❑ T
PER
Corps
❑ INT
DWQ
S3 ❑ P [IT
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P [IT
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary Impacts
143
3i. Comments:
Page 4 of 10
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Tem ora
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
0. Total open water impacts
4g. Comments:
S. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWO)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar - Pamlico ❑ Other:
Project is in which protected basin? NA
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary
impact
required?
B1 ❑P ❑T
❑Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑ No
B3 ❑ P ❑ T
❑ Yes
❑ No
6h. Total buffer Impacts
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Parking requirements and turn radi for tanker trucks require that the impacts occur for the site to be used. Erosion control
will be adhered to for sensitive watersheds. The pipe will be buried 120 to allow for aquatic passage. A pump around will
take place in order to install the pipe in the dry. Alternate site plans were reviewed without impacts or reducing impacts to
the stream, but tanker truck deliveries could not be made safely with that turning radius.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Stringent erosion control standards for sensitive water sheds will be adhered too. Erosion control will be adhered to for
sensitive watersheds. The pipe will be buried 12" to allow for aquatic passage. A pump around will take place in order to
install the pipe in the dry. The owner will plant a riparian buffer of 25' on both sites of the channel at a density of 300
stems per acre.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes ® No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet !�
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold •'
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non - riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
r
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWO)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes El No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
76 %
2b. Does this project require a Stormwater Management Plan?
X Yes No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
See Attached Plans- Underground Stormwater System
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
X DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
❑ Phase II
3b. Which of the following locally - implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a. Which of the following state- implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006 -246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
S. DWO 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
X Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
X Yes ❑ No
Page 8 of 10
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWO Requirement)
la. Does the project involve an expenditure of public (federal /state/local) funds or the
❑ Yes ® No
use of public (federal /state) land?
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
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ® No
letter.)
Comments:
2. Violations (DWO Requirement)
2a. Is the site in violation of DWQ Welland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fact permit application?
❑ Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non- discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
N/A
Page 9 of 10
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
Yes ❑ No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
® Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
http: //www.ncnhp.org - http:// www .saw.usace.army.mil/WETLAND /esa - http : //www.fws.gov /nc- es /es /es.htmi
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http: // ocean. floridamarine .org /efh_coralAms/viewer.htm
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
http://www.hpo.ncdcr.gov
S. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements: No rise to the flood way will occur.
8c. What source(s) did you use to make the floodplain determination? http: / /www.ncfloodmaps.com
Derek Goddard
3/26/13
Applicant/Agent's Printed Name
Applicant/Agent's Signa ure
Date
(Agent's signature is valid only If an authorization letter from the applicant
Is provided.)
Page 10 of 10

AGENT AUTHORIZATION FORM
Property legal Description
PIN: 19227 -135
Street Address: Comer of South Jefferson Avenue & Crescent Drive — West Jefferson, NC
Property Owner: Quality Oil Company, LLC
The undersigned, registered property owners of the above noted property, do hereby authorize
Derek Goddard , of BREC, PA
(Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance
of this permit or certification and all standard and special conditions attached.
Property Owner's Address (if different than property above):
1540 Silas Creek Parkway Winston - Salem, NC 27102 -3736
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.
Authorized Signature
Date: 211 �l3

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 2013 -00620 County: Ashe USGS Quad: NC- Jefferson
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: Quality Oil Company} LLC / Ernie Rhymer
Address: 1540 Silas Creek Parkway
Winston - Salem, North Carolina 27127
Telephone No.: 336 -722 -3411
Size and location of property (water body, road name/number, town, etc.): The proiect is located at the
corner of South Jefferson Avenue and Cresent Drive, PIN 19227-135, West Jefferson, Ashe County,
North Carolina. (36.382459 N. ,81.486906 W)
Description of projects area and activity: The permittee is authorized to impact 143 linear feet of an
unnamed tributary to Beaver Creek. Impacts are associated with the installation of a culvert for
commercial development. The site is being developed for Quality Mart gas station. This supersedes
the original verification issued on December 3, 2010, action W 2010 -1809. If plans change and/or
the type of commercial development for this parcel changes, this permit may no longer be valid.
Any proposed changes should be coordinated with our office.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number:
Nationwide Permit Number. 39
Summary of Authorized Impacts and Required Mitigation
Impact ID #
NWP /
GP #
Water ac
Wetland ac
Scream
Temporary
Permanent
Temporary
Permanent
Temporary
Permanent
Culvert
39
143
fin pact Totals
Total Loss of Waters of the U.S. ac
Total Loss of Waters of the U.S.
143
Required Wetland
Mitigation ac
Required Stream Mitigation (1t)
Additional Remarks and/or Special Permit Conditions: All comments/conditions of the attached North
Carolina Wildlife Resources Commission letter dated April 10, 2013 are hereby incorporated as
special conditions of this permit.
Culverts greater than 48 inches in diameter will be buried at least one foot below the bed of the
stream. Culverts 48 inches or less shall be buried at an appropriate depth to maintain aquatic
passage as defined in Final Regional Condition 3.6 attached to this NWP.
The permittee will plant a riparian buffer 25 -feet in width on each side of the remaining channel.
All plantings should be completed within 30 days of the permitted impacts occurring unless
otherwise coordinated with our office.
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the
attached conditions and your plans submitted on March 29, 2013. Any violation of the attached conditions or
deviation from your submitted plans may subject the permittee to a stop work order, a restoration order and/or
appropriate legal action.

This verification will remain valid until the expiration date identified below unless the nationwide authorization
is modified, suspended or revoked. If, prior to the expiration date identified below, the nationwide permit
authorization is reissued and/or modified, this verification will remain valid until the expiration date identified
below, provided it complies with all requirements of the modified nationwide permit. If the nationwide permit
authorization expires or is suspended, revoked, or is modified, such that the activity would no longer comply with
the terms and conditions of the nationwide permit, activities which have commenced (i.e., are under construction) or
are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the activity
is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation,
unless discretionary authority has been exercised on a case -by -case basis to modify, suspend or revoke the
authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality
Certification. You should contact the NC Division of Water Quality (telephone [phone]) to determine
Section 401 requirements. You may also visit their website at: bttg:// portal. ncdenr .org /web/wq /so /ws/websoRee
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area
Management Act (CAMA), prior to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve tiie permittee of the responsibility to obtain any other
required Federal, State or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of
Engineers regulatory program, please contact Tasha McCormick at 828 -271 -7980.
Corps Regulatory Official Tasha McCormick V Date: May 14,201
Expiration Date of Verification: March 18, 2017
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete the Customer Satisfaction Survey located at our website at
http: //pert.nwp.usace.armv.miUsu�vey hbnl to complete the survey online.

Determination of Jurisdiction:
A. ❑ Based on preliminary information, there appear to be waters of the US including wetlands within the above
described project area. This preliminary determination is not an appealable action under the Regulatory
Program Administrative Appeal Process( Reference 33 CFR Part 331).
B. ❑ There are Navigable Waters of the United States within the above described project area subject to the
permit requirements of Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act.
Unless there is a change in the law or our published regulations, this determination may be relied upon for a
period not to exceed five years from the date of this notification.
C. ® There are waters of the US and/or wetlands within the above described project area subject to the permit
requirements of Section 404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the
law or our published regulations, this determination may be relied upon for a period not to exceed five years
from the date of this notification.
D. ❑ The jurisdictional areas within the above described project area have been identified under a previous action.
Please reference jurisdictional determination issued . Action ID
Basis of Jurisdictional Determination:
There are stream channels located on the property that exhibit indicators of ordinary high water marks. The stream
channel on the property is an unnamed tributary to Beaver Greek into the New River. The New River is located in
the Kanawha Watershed and ultimately drains to the Gulf of Mexico. Specifically, the New River is formed by the
joining of the North Fork and South Fork of the New River. The New River drains to the Gauley River and then to
the Kanawha River. The Kanawha River drains to the Ohio River then to Mississippi River before entering the Gulf
of Mexico. This jurisdictional determination is valid for the impact areas only.
Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for
the particular site identified in this request. The delineation/determination may not be valid for the wetland
conservation provisions of the Food Security Act of 1985. If you or your tenant are USDA Program participants, or
anticipate participation in USDA programs, you should request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Appeals Information: (This information applies only to approved jurisdictional determinations as indicated in
B and C above).
This correspondence constitutes an approved jurisdictional determination for the above described site. If you object
to this determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331.
Enclosed you will find a request for appeal (RFA) form. If you request to appeal this determination you must
submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Jason Steele, Review Officer
60 Forsyth Street SW, Room 10M1S
Atlanta, Georgia 30303 -8801
Phone: [phone]
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the
criteria for appeal under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of
the date of the NAP. Should you decide to submit an RFA form, it must be received at the above address within 60
days from the Issue Date below.
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this
correspondence. **

Corps Regulatory Official: Tasha McCormick dm
Issue Date: May 14, 2013 Expiration Date: Five years from Issue Date
Copy Furnished: Derek Goddard, Blue Ridge Environmental Consultants, P.A. 1305 S. Collegiate Drive,
Wilkesboro, NC 28697

Permit Number: 2013 -00620
Permit Type: NW39
Name of County: Ashe
Name of Permittee: Quality Oil Company, LLC / Ernie Rhymer
Date of Issuance: May 14, 2013
Project Manager: Tasha McCormick
Upon completion of the activity authorized by this permit and any mitigation required by the
Permit, sign this certification and return it to the following address:
U.S. Army Corps of Engineers
Attention: CESAW -RG -A
151 Patton Avenue, Room 208
Asheville, North Carolina 28801 -5006
Please note that your permitted activity is subject to a compliance inspection by an U.S. Army
Corps of Engineers representative. If you fail to comply with this permit you are subject to
permit suspension, modification, or revocation.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and conditions of the said permit, and required mitigation was
completed in accordance with the permit conditions.
Signature of Permittee
Date

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Applicant: Quality Oil Company, LLC / Ernie File Number. 2013 -00620 Date: May 14, 2013
Rhymer
Attached is:
See Section below
INITL4L PROFFERED PERMIT Standard Permit or Letter of permission
A
PROFFERED PERMIT (Standard Permit or Letter of permission)
B
PERMIT DENIAL
C
X
APPROVED JURISDICTIONAL DETERMINATION
D
PRELIMINARY JURISDICTIONAL DETERMINATION
E
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.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights
to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
+ OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that
the permit be modified accordingly. You must complete Section IT of this form and return the form to the district engineer.'
Your objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right
to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a)
modify the permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify
the permit having determined that the permit should be issued as previously written. After evaluating your objections, the
district engineer will send you a proffered permit for your reconsideration, as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights
to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
+ APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section H of this
form and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the
date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process
by completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
+ APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section H of this form and sending the form to the division engineer. This form must be received
by the division engineer within 60 days of the date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps
regarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an
approved JD (which may be appealed), by contacting the Corps district for further instruction. Also you may
provide new information for further consideration by the Corps to reevaluate the JD.
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an
initial proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons
or objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is -needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record. However,
Zou = Lrovide additional information to clEia the location of information that is ahead in the administrative record.
Pb -77777-77 -7
7' t?l•i
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If you have questions regarding this decision and/or the appeal
If you only have questions regarding the appeal proms you may
process you may contact:
also contact
Tasha McCormick, Project Manager
Mr. Jason Steele, Administrative Appeal Review Officer
USACE, Asheville Regulatory Field Office
CESAD-PDO
151 Patton Ave
U.S. Army Corps of Engineers, South Atlantic Division
RM 208
60 Forsyth Street, Room IOMIS
Asheville, NC 28801
Atlanta, Georgia 30303-8801
828-271-7980
Phone: [phone]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day
notice of any site investigation, and will have the opportimity to participate in all site investigations.
I
Date:
Telephone number:
Signature of appellant or agent.
I
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: Tasha McCormick, 69 Darlington Avenue,
Wilmington, North Carolina 28403
For Permit denials, Proffered Permits and approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Jason Steele,
Administrative Appeal Officer, CRSAD-PDO, 60 Forsyth Street, Room 10M15, Atlanta, Georgia 30303-
8801. Phone: [phone]

® North Carolina Wildlife Resources Commission
Gordon Myers, Executive Director
April 10, 2013
Mrs. Tasha McCormick
U.S. Army Corps of Engineers, Regulatory Branch
151 Patton Avenue, Room 208
Asheville, North Carolina 28801 -5006
SUBJECT: Nationwide Permit for Quality Oil Company, LLC
Culvert, UT Beaver Creek, Ashe County
Dear Mrs. McCormick:
Mr. E. Rymer with Quality Oil Company, LLC requested a permit to put 143 feet of culvert in a tributary
to Beaver Creek in Ashe County. Comments from the WRC on this application are offered for your
consideration under provisions of the Clean Water Act of 1977 (33 U.S.C. 466 et seq.) and the Fish and
Wildlife Coordination Act (48 Stat. 401, as amended; 16 U.S.C. 661- 667d).
The stream at the site is probably poor quality due to the extensive development and uncontrolled
stormwater in the watershed. For this reason, we suspect that it does not support trout as do some better
quality tributaries to Beaver Creek to the west. Although the stream itself does not support trout, Beaver
Creek supports wild brown trout. This project will require a considerable amount of stream disturbance
and lilmly cause downstream siltation. Therefore, the culvert work should not occur from October 15 to
April 15 to avoid impacts on brown trout spawning.
We have no other major concerns with this project provided it complies with the Regional Conditions and
effective sediment and erosion controls are used during construction to minimize downstream siltation.
Thank you for the opportunity to review and comment on this regulatory action. Please contact me at
[phone] extension 24 if you have any questions about these comments.
Mailing Address: Division of Inland Fisheries - 1721 Mail Service Center • Raleigh, NC 27699 -1721
Telephone: [phone] • Fax: [phone]

Quality Oil Company, LLC Page 2 April 10, 2013
Ashe
Sincerely,
Dave McHenry, Mountain Region Coordinator, Habitat Conservation Program
ec: Mr. Derek Goddard, Blue Ridge Environmental Consultants
Mr. Kevin Hining and Mr. Kin Hodges, NCWRC

Soil Map —Ashe County, North Carolina
36° 22' 52"
N Map Scale: 1:1,900 if printed on A size (8.5" x 11 ") sheet
rn
N N Meters
n 0 25 50 100 150
Feet
0 100 200 400 600
USDA Natural Resources Web Soil Survey
Conservation Service National Cooperative Soil Survey
N
■ 36° 23' 1"
0
N
m
N
3/7/2013
Page 1 of 3
36'22'52"
f

MAP LEGEND
Area of Interest (AOI)
F7
Area of Interest (AOI)
Soils
Soil Map Units
Special
Point Features
Blowout
®
Borrow Pit
X
Clay Spot
Closed Depression
X
Gravel Pit
Gravelly Spot
t�
Landfill
f+
Lava Flow
Marsh or swamp
St
Mine or Quarry
Q
Miscellaneous Water
p+
Perennial Water
V
Rock Outcrop
+
Saline Spot
Sandy Spot
Severely Eroded Spot
Q
Sinkhole
y>
Slide or Slip
�!
Sodic Spot
Spoil Area
Stony Spot
Soil Map —Ashe County, North Carolina
Very Stony Spot
Wet Spot
A. Other
Special Line Features
_ Gully
Short Steep Slope
r . Other
Political Features
® Cities
Water Features
Streams and Canals
Transportation
Rails
,+ Interstate Highways
US Routes
Major Roads
N Local Roads
MAP INFORMATION
Map Scale: 1:1,900 if printed on A size (8.5" X 11 ") sheet.
The soil surveys that comprise your AOI were mapped at 1:24,000
Warning: Soil Map may not be valid at this scale.
Enlargement of maps beyond the scale of mapping can cause
misunderstanding of the detail of mapping and accuracy of soil line
placement. The maps do not show the small areas of contrasting
soils that could have been shown at a more detailed scale.
Please rely on the bar scale on each map sheet for accurate map
measurements.
Source of Map: Natural Resources Conservation Service
Web Soil Survey URL: http : / /websoilsurvey.nres.usda.gov
Coordinate System: UTM Zone 17N NAD83
This product is generated from the USDA -NRCS certified data as of
the version date(s) listed below.
Soil Survey Area: Ashe County, North Carolina
Survey Area Data: Version 10, Jun 15, 2012
Date(s) aerial images were photographed: 7/18/2006
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor shifting
of map unit boundaries may be evident.
USDA Natural Resources Web Soil Survey 3/7/2013
'iiiiiiiiiiiiiiiii Conservation Service National Cooperative Soil Survey Page 2 of 3

Soil Map —Ache County, North Carolina
Map Unit Legend
Ashe County, North Carolina (NC008)
Map Unit Symbol
Map Unit Name
Acres In AOI
Percent of AOI
BuC
Braddock -Urban land complex, 2 to 15
percent slopes
11.8
74.8%
CfD
Clifton loam, 8 to 15 percent slopes
0.1
0.7%
CfE
Clifton loam, 15 to 25 percent slopes
3.3
21.1%
EvF
Evard loam, 25 to 45 percent slopes
0.51
3.4%
Totals for Area of Interest
15.7
100.00/0
USDA :� Natural Resources Web Soil Survey 3!1/2013
Conservation Service National Cooperative Soil Survey Page 3 of 3

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