20130857 Ver 1_401 Application_20130813

�'cws
Carolina Wetland Services, Inc.
550 East Westinghouse Boulevard
Charlotte, NC 28273
704 -527 -1177 - Phone
704 -527 -1133 - Fax
20130857
Date: 08 -12 -13
CWS Project #: 2013 -3110
TO: Ms. Karen Higgins � � �,'j �'j' j�
NCDWQ — Wetlands and Storm Water Branch
512 N Salisbury St ---- �--�.�
9th Floor Archdale Building
Raleigh NC 27603
FAG 13 2013 _w!� uu►TY
LETTER OF TRANSMITTAL
WE ARE SENDING YOU: ®Attached []Under separate cover via the following items:
❑ Prints ® Plans ® JD Package ❑ Specifications
❑ Copy of letter ❑ Change order ❑ Wetland Survey ® Other
IF ENCLOSURES ARE NOT AS NOTED. KINDLY NOTIFY US AT ONCE
THESE ARE TRANSMITTED as checked below:
®For approval ❑Approved as submitted ❑Resubmit copies for approval
®For your use ❑Approved as noted ❑Submit copies for distribution
❑As requested ❑Returned for corrections ❑Return corrected prints
❑For review and comment ❑For your verification and signature
REMARKS: Karen, Please find attached five copies of the Preconstruction Notification and application for Water
Ouality Certification for the Indian Trail Highway 74 Connector project in Indian Trail, NC. A check for the application fee
is also attached.
Copy to: File
Thank you,
omas Blackwell, PWS
Senior Scientist
NORTH CAROLINA - SOUTH CAROLINA
1
8/12/13
5
Application for WQC No. 3886
2
8/12/13
1
Application Fee Check ($570)
THESE ARE TRANSMITTED as checked below:
®For approval ❑Approved as submitted ❑Resubmit copies for approval
®For your use ❑Approved as noted ❑Submit copies for distribution
❑As requested ❑Returned for corrections ❑Return corrected prints
❑For review and comment ❑For your verification and signature
REMARKS: Karen, Please find attached five copies of the Preconstruction Notification and application for Water
Ouality Certification for the Indian Trail Highway 74 Connector project in Indian Trail, NC. A check for the application fee
is also attached.
Copy to: File
Thank you,
omas Blackwell, PWS
Senior Scientist
NORTH CAROLINA - SOUTH CAROLINA

Corps Submittal Cover Sheet
20 1308, 7
Please provide the following info:
1. Project Name Indian Trail Highway 74 Connector Project
2. Name of Property Owner /Applicant: Town of Indian Trail: POC. Mr. Scott Kaufold
3. Name of Consultant/Agent: Carolina Wetland Services, Inc. POC Mr. Thomas Blackwell
*Agent authorization needs to be attached.
4. Related/Previous Action ID number(s): N/A
5. Site Address: Matthews -Indian Trail Road, Indian Trail, NC
6. Subdivision Name: N/A
7. City: Indian Trail! _.
8. County: Union
9. Lat: N35.0866190 Long: W80.6646920 (Decimal Degrees Please
10. Quadrangle Name: Matthews, NC, dated 1988
11. Waterway: South Fork Crooked Creek
12. Watershed: Yadkin (HU# 03040105)
13. Requested Action:
X Nationwide Permit # 14 p Mfg
General Permit # Uj 11JJ
Jurisdictional Determination Request AUG 1 3 2013 j
Pre - Application Request ►MR - A
The following information will be completed by Corps office:
AID:
Prepare File Folder Assign number in ORM Begin Date
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site/Waters Name:
Keywords:

' 550 E WESTINGHOUSE BLVD.
I I �
CWS CHARLOTTE, NC 28273
704527-1177 (v)
Carottna Wetland Services 7045274133 (fax)
August 8, 2013
Mr. Steve Kichefski
U.S. Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, NC 28801
Ms. Karen Higgins
NCDWQ — Wetlands and Storm Water Branch
512 N Salisbury St
9th Floor Archdale Building
Raleigh NC 27603
Subject: Pre - Construction Notification Pursuant to Nationwide Permit No. 14
and Water Quality Certification No. 3886
Indian Trail Highway 74 Connector Project
Union County, North Carolina
Carolina Wetland Services Project No. 2013 -3110
Dear Mr. Kichefski:
The Indian Trail Highway 74 Connector Project site is approximately 12.6 acres in extent The project is located between
Matthews- Indian Trail Road and Highway 74 in Indian Trail, North Carolina (Figure 1. USGS Site Location Map). The
purpose of this project is to provide a connector road from Highway 74 to Matthews - Indian Trail Road to the north of the
Town of Indian Trail. The project will reduce traffic congestion and improve public safety along Indian Trail Road through the
center of the Town of Indian Trail. On behalf of The Town of Indian Trail, Barnard Engineering has sub-contracted Carolina
Wetland Services, Inc. (CWS) to provide to provide Section 4041401 permitting services for this project.
Applicant Name: Town of Indian Trail, POC: Mr. Scott Kaufold
Mailing Address: Box 2430, Indian Trail, NC 28079
Phone Number of Owner /Applicant: 704 -821 -5401
Street Address of Project: Matthews - Indian Trail Road, Indian Trail, NC
Waterway: South Fork Crooked Creek
Basin: Yadkin River Basin (HU# 03040105)
City: Indian Trail
County: Union
Tax Parcel ID numbers: 07105010, 07105005, and 07105011
Decimal Degree Coordinate Location of Project Site: N35.0866190, W80.664692e
USGS Quadrangle Name: Matthews quadrangle, North Carolina, dated 1988
Current Land Use
The site consists of a ma of former agricultural land and wooded areas. Typical on -site vegetation includes loblolly pine
(Pins taeda), sweetgum (Liquidambarstyraciflua), green ash (Fraxinus pennsyivanica), willow oak (Quercus pheiios),
NORTH CAROLINA • SOUTH CAROLINA
WWW.CWSaNC.NET

Indian Trail Highway 74 Connector Project August 8, 2013
Nationwide Permit No. 14 Application CWS Project No. 2013.3110
common green briar (Smilaxrotunddolia), poison ivy( Toxicodendron radkans , Virginia creeper (Paithenodssus
quinquefolia) and smallspike false nettle (Boehmeria cylindric.
According to the Soil Survey of Union Countyt (Figure 2. NRCS Soil Survey Map, attached), on -site soils consist of Badin
channery silly day loam, 2 to 8 percent slopes, eroded (BdB2), Cid channery silt loam,1 to 5 percent slopes (CmB), and
Secrest Cid complex, 0 to 3 percent slopes (ScA).
Badin channery silly clay loam are well-drained and exhibit moderate permeability. Cid channery silt loam is moderately well -
drained to poorly drained and exhibits slow permeability. The Secrest-cid complex is moderately welklrained to somewhat
poorly drained and exhibits slow permeability. No on -site soil units are listed in the North Carolina Hydric Soils List for Union
County2 or the National Hydric Soils LISP.
Jurisdictional Determination
The project area was delineated by CWS Scientists on two separate occasions. On August 22, 2012, CWS scientists
Thomas Blackwell, PWS and Olivia Pearman delineated the portion of the project area located along Matthews - Indian Trail
Road as part of a separate project for the Town of Indian Trail. (Indian Trail Chestnut Park Project, CWS Project No. 2012-
2944). A request for verification was submitted to the USACE on October 4, 2012. The remainder of the project corridor was
delineated by CWS scientists Thomas Blackwell, PWS and Kelly Thames on May 24, 2013. A request for verification has
been submitted to the USACE. Jurisdictional areas were delineated using the U.S. Army Corps of Engineers (USACE)
Routine On -Site Determination Method. This method is defined in the 1987 Corps of Engineers Wetlands Delineation
Manual, the 2007 USACE Jurisdictional Determination Form Instructional Guidebooks, with further technical guidance from
the Easter Mountains & Piedmont Regional Supplements, dated April 2012.
Jurisdictional stream channels were classified according to recent USACE and North Carolina Division of Water Quality
(NCDWQ) guidance. These classifications included sampling with a D- shaped dip net, taking photographs, and defining
approximate breakpoints (location at which a channel changes classification) within each on -site stream channel.
The results of the on -site field investigation conducted by CWS indicate that there are two jurisdictional wetland areas
(Wetlands AA and BB) and two jurisdictional stream channels (Streams A and B) located within the project area (Figure 3,
attached). On -Site jurisdictional waters of the U.S. total approximately 0.38 acre. On -Site jurisdictional waters of the U.S.
are summarized in Table 1 below.
' United States Department of Agriculture (USDA) Natural Resources Conservation Service, 1995. Soil Survey of Union County, North Carolina, Sheets 8 & 12
T United States Department of Agriculture — Natural Resources Conservation Service, 1999. North Carolina Hydria Soils List, USDA -NRCS North Carolina State
Office, Raleigh
3 United States Department of Agriculture —Natural Resources Conservation Service, 2010 2010 National Hydric Soils List by State
C Environmental Laboratory. 1987. 'Corps of Engineers Wetlands Delineation Manual', Technical Report Y -87 -1, US Army Engineer Waterways Experiment
Station, Vicksburg, Mississippi.
S USACE Jurisdictional Determination Form Instructional Guidebook. 2007. USACE Regulatory National Standard Operating Procedures for conducting an
approved jurisdictional determination (JD) and documenting practices to support an approved JD. USACE Headquarters, Washington, DC.
8 US Army Corps of Engineers, July 2010. Interim Regional Supplement to the Corps of Engineers Wetland Delineation Manual: Easter Mountains and
Piedmont Region. US Army Engineer Research and Development Center, Vicksburg, Mississippi.

Indian Trail Highway 74 Connector Project August 8, 2013
Nationwide Permit No. 14 Application CWS Project No. 2013 -3110
Table 1. Summary of On -Site Jurisdictional Waters
Jurisdictional
Feature
USACEIEPA Rapanos Classification
Wetland Type
Approx.
Length
(linear feet
Approx
Acreage
ac.
Wetland AA
Directly Abutting Perennial RPW
Forested (PF01A)
N/A
0.0Jac.
Wetland BB
Directly Abutting Perennial RPW
Forested (PF01A)
N/A
0.Wetland
Total:
N/A
0.3
Stream A
Perennial RPW
N/A
260 If
0.02 ac.
Stream B
Seasonal RPW
N/A
170 If
0.01 ac.
Stream Total:
430 If.
0.03 ac.
Total On -Site Waters of the U.S.:
430 If.
0.38 ac.
Agency Correspondence
Cultural Resources
A letter was forwarded to the State Historic Preservation Office (SHPO) on August 7, 2013 to determine the presence of any
areas of architectural, historic, or archaeological significance that would be affected by the project As of the date of
submittal, no response has been received from the SHPO. CWS also consulted the SHPO online GIS service and
found no sites of architectural, historic, or archaeological significance within the project corridor.
A letter was forwarded to the North Carolina Natural Heritage Program ( NCNHP) on August 7, 2013 to determine the
presence of any federally- listed, candidate endangered, threatened species or critical habitat located within the
project area. Ina response letter dated August 8, 2013 (attached), the NCNHP stated that "There are no records
Within the project boundaries and no historical or current records within one mile of the project boundaries of this
project in Indian Trail, NC."
Purpose and Need for the Project
The purpose of this project is to provide a connector road from Highway 74 to Matthews- Indian Trail Road to the
north of the Town of Indian Trail. The project is necessary to reduce traffic congestion and improve public safety
along Indian Trail Road through the center of the Town of Indian Trail. The project is part of the Town of Indian
Trail's Chestnut Parkway project. The Chestnut Parkway will be designed and constructed in several phases. When
completed the Chestnut Parkway will be a four -lane median - divided road approximately 1.75 miles long connecting
Old Monroe Road, US -74 and Chestnut Lane. When fully completed this tree lined boulevard will parallel the 51 -acre
Town owned park property and will ease traffic congestion along Old Monroe Road and Indian Trail Road. The
Chestnut Parkway is the first phase of the Indian Trail Pathway Loop, which when fully approved by Council, will
allow for a multi-modal parkway around and through Indian Trail to ease traffic congestion and traffic safety. These
projects will be partially paid for by the resident approved 2011 Transportation Bond. Future phases of the project
have yet to be designed.
In addition to constructing the new connector road, Matthews - Indian Trail Road will be upgraded between Indian Trail
Road and the proposed new connector. As a part of the upgrade of Matthews - Indian Trail Road, two existing
undersized stream culverts will be replaced to facilitate the widening of the road.
3

Indian Trail Highway 74 Connector Project August 8, 2013
Nationwide Permit No. 14 Application CWS Project No. 2013 -3110
Avoidance and Minimization
Impacts to on -site jurisdictional waters of the U.S. have been reduced to the maximum extent possible. Proper
sediment and erosion control measures will be used to minimize disturbances to downstream waters. All work will be
constructed in the dry in accordance with Water Quality Certification No. 3886.
Culvert impacts to jurisdictional stream channels have been limited to the minimum necessary to facilitate the road
shoulder and embankment. Headwalls will be used to limit culvert lengths to the maximum extent practicable. Rip rap
apron lengths have also been minimized to the greatest extent practicable while still providing the necessary erosion
control and energy dissipation services.
Proposed Impacts to Jurisdictional Waters
Unavoidable impacts to Jurisdictional Waters of the U.S. under Nationwide Permit Number 14 total 121 linear feet of
impacts to Perennial Streams and 117 linear feet of impacts to Intermittent Streams. Proposed impacts to jurisdictional
wetlands total 0.34 acre.
Wetland Impacts
Impacts to Wetlands AA and BB total 0.02 acre and 0.32 acre respectively (Figure 5, attached). These impacts are the
result of the placement of fill within the wetlands to construct the proposed roadway.
Stream Impacts
Impacts to Perennial Stream A include 101 linear feet of permanent impacts and approximately 20 linear feet of
temporary impacts. Impacts to Intermittent RPW Stream B include approximately 97 linear feet of permanent impacts
and 20 linear feet of temporary impacts. No single crossing exceeds 150 linear feet of impact to a jurisdictional
water of the U.S.
Permanent impacts to Perennial RPW Stream A total 101 linear feet, and are the result of 56 linear feet of pipe extension
and 45 linear feet of rip rap apron to be installed upstream and downstream of the new pipe for energy dissipation
purposes (Figures 6 and 7, attached). The existing 24 -inch and 36 -inch culverts under Matthews - Indian Trial Road will be
replaced with two 104 linear foot long 42 -inch reinforced concrete pipes (RCPs). This will result in a net permanent impact
length of 56 linear feet (Figures 6 and 7, attached). Additionally, a 10 linear foot rip rap apron will be installed at the upstream
end of the pipe system, and a 35 linear foot riprap apron will be installed at the downstream end. These rip rap aprons are
necessary to dissipate the energy of the water entering and exiting the culvert and to protect the stream bed from erosion.
One barrel of the proposed new culvert will be buried per NCDWQ requirements (Figure 7, attached).
Permanent impacts to Intermittent Seasonal RPW Stream B total approximately 97 linear feet and consist of 56 linear
feet of pipe extension and 45 linear feet of rip rap apron to be installed upstream and downstream of the new pipe for
energy dissipation purposes. The existing 36 -inch RCP will be replaced with 82 feet of 42 -inch RCP, resulting in a net
permanent impact length of 54 linear feet (Figures 6 and 7, attached). Additionally, a 10 linear foot rip rap apron will be
installed at the upstream end of the pipe system, and a 33 linear foot riprap apron will be installed at the downstream end.
These rip rap aprons are necessary to dissipate the energy of the water entering and exiting the culvert and to protect the
stream bed from erosion. The bottom of the proposed new culvert will be buried per NCDWQ requirements.

Indian Trail Highway 74 Connector Project August 8, 2013
Nationwide Permit No. 14 Application CWS Project No. 2013 -3110
Temporary impacts to Perennial RPW Stream A total 20 linear feet and are the result of the installation of a temporary
coffer dam (8 linear feet) upstream of the proposed work area and two temporary rock check dams (6 linear feet each)
to be installed downstream the work area. Temporary impacts to Seasonal RPW Stream B total 20 linear feet and are
the result of the installation of a temporary coffer dam (8 linear feet) upstream of the proposed work area and two
temporary rock check dams (6 linear feet each) to be installed downstream the work area.. The temporary cofferdams
are necessary in order to allow the culvert replacements and installations to be conducted in the dry. The check dams
are a temporary erosion and sediment control measure. The cofferdams, rock check dams, and pump around systems
will be removed once work has been completed. Impacts to jurisdictional waters of the U.S. resulting from this project
are summarized in Table 2, below.
Table 2. Summary of Impacts to On -Site Jurisdictional Waters
On behalf of the Town of Indian Trail, CWS is submitting a Pre- Construction Notification Application with attachments in
accordance with Nationwide Permit General Condition No. 31, (enclosed) and pursuant to Nationwide Permit No. 14.
5
Temporary / Permanent
Jurisdictional
Intermittent 1
Impact
pact Type
NWP No.
Approximate
pprox.
Feature
Perennial
Acreage
Length(If)
Culvert
14
56 If (Permanent)
N/A
Rip Rap Apron
14
45 If (Permanent)
N/A
RPW Stream A
Perennial
Upstream
14
8 If (Temporary)
N/A
Coffer Dam
Downstream
14
12 If (Temporary)
N/A
Check Dams
Culvert
14
54 If (Permanent)
N/A
Rip Rap Apron
14
43 If (Permanent)
N/A
Seasonal RPW
Stream B
Intermittent
Upstream
14
8 If (Temporary)
NIA
Coffer Dam
Downstream
14
12 If (Temporary)
po ry)
/A
Check Dams
Stream Impacts (Total)
238 If
N/A
Stream Impacts (Temporary)
40 If
N/A
Stream Impacts (Permanent)
198 If
N/A
Wetland AA
Abutting RPW
Fill
14
N/A
0.02 acre
Wetland BB
Abutting RPW
Fill
14
N/A
0.32 acre
Wetland Impacts (Total)
N/A
0.34 acre
On behalf of the Town of Indian Trail, CWS is submitting a Pre- Construction Notification Application with attachments in
accordance with Nationwide Permit General Condition No. 31, (enclosed) and pursuant to Nationwide Permit No. 14.
5

Indian Trail Highway 74 Connector Project August 8, 2013
Nationwide Permit No. 14 Application CWS Project No. 2013.3110
Compensatory Mitigation
Permanent impacts to jurisdictional waters of the U.S. have been limited to less than 150 linear fleet per stream crossing.
Therefore, no mitigation is proposed for these impacts. The proposed project will result in permanent impacts to
approximately 0.33 acre of forested wetland. As there are no private mitigation banks within the same 8 -digit
hydrologic unit code, our client has applied for mitigation credits from the North Carolina Ecosystem Enhancement
Program ( NCEEP). A copy of the mitigation request form is attached.
Please do not hesitate to contact me on by telephone at 704 -527 -1177, or by email at tom @cws- inc.net should you have any
questions or comments regarding this request.
Sincerely,
Thomas J. Blackwell, PWS
Senior Scientist
Enclosures: Figure 1.
Figure 2.
Figure 3.
Figure 4.
Figure 5.
Figure 6.
USGS Site Location Map
USDA -NRCS Union County Soil Survey
Approximate Jurisdictional Boundary Field Map
Project Overview
Proposed Wetland Impacts
Proposed Stream Impacts — Plan View
Figure 7. Proposed Stream Impacts - Profile
Agent Authorization Form
Preconstruction Notification Form
Agency Correspondence
NCEEP Mitigation Request Form
cc: Mr. Scott Kaufold, PE, Town of Indian Trail
Mr. John Barnard, PE, Barnard Engineering
nD�y'T mes
Staff Scientist II

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CmB
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BdB2
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CmB
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ScA
Secrest-Cid complex, 0-3% slopes
-
Tag
1,500 750 0 1,500 Feet
REFERENCE USDA-NRCS SOIL SURVEY OF UNION COUNTY, NORTH C4ROLINA D ED 1996
CWS PROJECT NO DRAWN BY KMT
Indian Trail Highway 74 Connector Project CWS1 2013-3110
Indian Trail, North Carolina APPLICANT NO CHECKED BY:

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OVERALL PROJECT PLAN
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CHESTNUT PARKWAY NO DATE BY REFS'°"
EXTENSION
Indian Trail, NC
Town Of Indian Trail
130 Blythe Drive
Indian Trail NC 28079
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Town Of Indian Trail
130 Blythe Drive
Indian Trail NC 28079
BARNARD ENGINEERING, P.C.
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CHESTNUT PARKWAY NO DATE BY REFS'°"
EXTENSION
Indian Trail, NC
Town Of Indian Trail
130 Blythe Drive
Indian Trail NC 28079
BARNARD ENGINEERING, P.C.
1534 Saratoga Blvd., Indian Trail, NC 28079
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ASSHOWN re 6-1-13 — ECTNO2013 -4 Indian Trail NC 28079
REVISION
BARNAW ENGINEERING, P.C.
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Stream Impacts
( IN .tla1' )
I I-h - 40 ,t. (Plan View)

In
0
670
0 +00 1 +00
2 +00
670
SINGLE 42 CULVERT PROFILE
685
A
INV 00:5 .10 / \ HW YY1
// ` RIM: 678.88 p
680 - . -. - t _ r -- INV IN:674.50. 680
Of
FIELD LOCATED STREAM INVERT 675 - - -- - - - -- - - 675
ELEV. 677.10 \
FIELD LOCATED $TREAM VERT
ELEV- 675.50
670 670
DOUBLE
42 CULVERT PROFILE
ca
N
103' of 42' RCP o 0.97x
685
685
0 +00 1 +DO 2 +00
HW XX -1B
HW XX 8
879.68
RM680.88
INN
INV IN:675.50
INV OUT: . 676.50
680
RIM 678. A
680
INV IN: 674.50
HW XX A
RIM: 679.88
INV OUT 575.50
1
675
- -- -- -`
675
FIELD LOCATED STREAM INVERT
ELEV- 676.50
FIELD LbGATED
TREAM
ELEV: 6 5.50
iiLt
104' of 42- RCP O 0.9dx
670
0 +00 1 +00
2 +00
670
SINGLE 42 CULVERT PROFILE
685
A
INV 00:5 .10 / \ HW YY1
// ` RIM: 678.88 p
680 - . -. - t _ r -- INV IN:674.50. 680
Of
FIELD LOCATED STREAM INVERT 675 - - -- - - - -- - - 675
ELEV. 677.10 \
FIELD LOCATED $TREAM VERT
ELEV- 675.50
670 670
a
K
Ci m °p E
a
s; a
ae
14 2 c
h C
a
VERTICAL =
SCALE
( IN PEST) Q �
I IMb a 4' fL ¢ C, (L 0
p E- - N
aa j c Z p U
Uj
- i 1 Y 1
/ RBL67"9.68 ` i '0 ,\ .._ 1 ' .M :671
INV OUT: 675.50 li , \ '.I 1 � � ! � 1 1 cL
� O J
cB ,e , j D, `a Q Z m Z
\ : 8..68216 , b' Of 15' R(p �O.509 1 ` M
MW 10(8 p1T:6]745 \
f' RIM: 680.66 1 I r\ 1 -
INV OUT:676.50 / EX YH 105 Z
1 1 1' LI I • I\ 1 v' 1 -.. sTA:63+38.66 Z O
6 Hw YV 1' 1 RM:660.73 Z I-
f 90�
RIM: 680.48 , INV IN:672.95
INV OUT: 676.10' INV OUT: 672.03
1 43. Of 36- CMP a -1.039 c yl - \ 30' Sanitary Sewe/ fA
NV YP:a76.3, 1 ' + / .
RIM- 68261 I 1 p' PC C, file 001, Ob. 428, Pg. U
WV NV. 676.75 , .. K co D+69.56
' 1 - MV IN 677.26 '1' HW YY1
\ J3' Of 24 RCP O a.55x I 'I I \ W XX -1 A I - 1
INV. UP.677.05 RM.676.88 \ tR1v WT:877.181- 1 \ -'7 1 O _ RM:87B68
1 1 11 �'
` ; .MV IN 67150
\ INV DOWN: 676.S3 1 01V IN 67150 �jt - -1 -1 _44_: UP.J6'. .A -D SIx 5
' t�l _ 6 _ -_ --
1 1- ! Jz1f6aic orfal Streco
Hwu:e 9.1116 --- (0a(
.50 Q 1 o q
\ N
INV IN:675 ', 22' Of IS' RCP o XM&77x Ra-
bW:87906q[ \\ 20'OF 15 RCP O- 7.96x.\... \ .._!.' -` - - -- Yt .� .` -- (\ J -j 1. 1 - N W:673.88 \ I
��// \
1 STA.-4.60.59 57 - - . _. .CB-59 is
1$ 1 --
L .� �_ - - - -_ . i STA1 7018 :tJpil ©l S
RM:6BD N ` X 6 4.. RM:661 89 p Q) � � v
1 - INV IN.675.68 ` \� ...INV OUT 675,65 -i r r R'I'�
I - I►U' Z�
INV OUT: 675.78
RIM: 3+78.13 - - - - - -
\ RIM: 680.61 ^ J
, ± 1 INV OUT, � _ ` `\ � Q Z p p, LL
foo)Ift Z o N
V 3
- a
1 �
w
Q U
GRAPHIC SCALE
w. Figure 7.
IN „�) Proposed Stream
I i-h - 40 IL Impacts (Profile)
ca
N
0 +00 1 +DO 2 +00
a
K
Ci m °p E
a
s; a
ae
14 2 c
h C
a
VERTICAL =
SCALE
( IN PEST) Q �
I IMb a 4' fL ¢ C, (L 0
p E- - N
aa j c Z p U
Uj
- i 1 Y 1
/ RBL67"9.68 ` i '0 ,\ .._ 1 ' .M :671
INV OUT: 675.50 li , \ '.I 1 � � ! � 1 1 cL
� O J
cB ,e , j D, `a Q Z m Z
\ : 8..68216 , b' Of 15' R(p �O.509 1 ` M
MW 10(8 p1T:6]745 \
f' RIM: 680.66 1 I r\ 1 -
INV OUT:676.50 / EX YH 105 Z
1 1 1' LI I • I\ 1 v' 1 -.. sTA:63+38.66 Z O
6 Hw YV 1' 1 RM:660.73 Z I-
f 90�
RIM: 680.48 , INV IN:672.95
INV OUT: 676.10' INV OUT: 672.03
1 43. Of 36- CMP a -1.039 c yl - \ 30' Sanitary Sewe/ fA
NV YP:a76.3, 1 ' + / .
RIM- 68261 I 1 p' PC C, file 001, Ob. 428, Pg. U
WV NV. 676.75 , .. K co D+69.56
' 1 - MV IN 677.26 '1' HW YY1
\ J3' Of 24 RCP O a.55x I 'I I \ W XX -1 A I - 1
INV. UP.677.05 RM.676.88 \ tR1v WT:877.181- 1 \ -'7 1 O _ RM:87B68
1 1 11 �'
` ; .MV IN 67150
\ INV DOWN: 676.S3 1 01V IN 67150 �jt - -1 -1 _44_: UP.J6'. .A -D SIx 5
' t�l _ 6 _ -_ --
1 1- ! Jz1f6aic orfal Streco
Hwu:e 9.1116 --- (0a(
.50 Q 1 o q
\ N
INV IN:675 ', 22' Of IS' RCP o XM&77x Ra-
bW:87906q[ \\ 20'OF 15 RCP O- 7.96x.\... \ .._!.' -` - - -- Yt .� .` -- (\ J -j 1. 1 - N W:673.88 \ I
��// \
1 STA.-4.60.59 57 - - . _. .CB-59 is
1$ 1 --
L .� �_ - - - -_ . i STA1 7018 :tJpil ©l S
RM:6BD N ` X 6 4.. RM:661 89 p Q) � � v
1 - INV IN.675.68 ` \� ...INV OUT 675,65 -i r r R'I'�
I - I►U' Z�
INV OUT: 675.78
RIM: 3+78.13 - - - - - -
\ RIM: 680.61 ^ J
, ± 1 INV OUT, � _ ` `\ � Q Z p p, LL
foo)Ift Z o N
V 3
- a
1 �
w
Q U
GRAPHIC SCALE
w. Figure 7.
IN „�) Proposed Stream
I i-h - 40 IL Impacts (Profile)

AGENT CERTIFICATION OF AUTHORIZATION
I, Scott Kaiifold, representing the Town of Indian Trail, hereby certify that 1 have
authorized Gregg C. Antemann of Carolina Wetland Services, Inc. to act on my behalf
and take all actions necessary to the processing, issuance, and acceptance of this request
for wetlands determination / permitting and any and all standard and special conditions
attached.
We hereby certify that the above information submitted in this application is true and
accurate to the best of our knowledge.
icant s sign re
Date
Al� C. AMZ,
Agents signature
10/03/12
Date
Completion of this form will allow the agent to sign all future application correspondence.

ot WATF9OG
o <
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
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit E] Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
❑ 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® 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 1h
below.
❑ Yes
® No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Indian Trail Connector Project
2b. County:
Union
2c. Nearest municipality / town:
Indian Trail
2d. Subdivision name:
N/A
2e. NCDOT only, T.I.P. or state
project no:
N/A
3. Owner Information
3a. Name(s) on Recorded Deed:
Town of Indian Trail
3b. Deed Book and Page No.
N/A
3c. Responsible Party (for LLC if
applicable):
Mr. Scott Kauffold
3d. Street address:
P.O. Box 2430
3e. City, state, zip:
Indian Trail, NC 28079
3f. Telephone no.:
704 - 821 -3689
3g. Fax no.:
3h. Email address:
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is:
® Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
S. Agent/Consultant Information (if applicable)
5a. Name:
Gregg Antemann, PWS
5b. Business name
(if applicable):
Carolina Wetland Services, Inc.
5c. Street address:
550 E. Westinghouse Blvd.
5d. City, state, zip:
Charlotte, NC 28273
5e. Telephone no.:
704- 527 -1177
5f. Fax no.:
704 - 527 -1133
5g. Email address:
gregg @cws- inc.net
Page 2 of 12
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
Portions of 07105010, 07105005, and 07105011
Latitude: 35.0866190 Longitude: -
1b. Site coordinates (in decimal degrees):
80.6646920
(DD.DDDDDD) (- DD.DDDDDD)
1c. Property size:
12.6 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
South Fork Crooked Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
Class C
2c. River basin:
Yadkin (HU# 03040105)
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The Indian Trail Highway 74 Connector Project site is approximately 12.6 acres in extent. The project is located between
Matthews- Indian Trail Road and Highway 74 in Indian Trail, North Carolina (Figure 1. USGS Site Location Map). The site
consists of a mix of former agricultural land and wooded areas. Typical on -site vegetation includes loblolly pine (Pinus
taeda), sweetgum (Liquidambar styraciflua), green ash (Fraxinus pennsylvanica), willow oak (Quercus phellos), common
greenbriar (Smilax rotundifolia), poison ivy (Toxicodendrorrradicans), Virginia creeper (Parthenocissus quinquefolia) and
smallspike false nettle (Boehmeria cylindrica).
3b. List the total estimated acreage of all existing wetlands on the property:
0.35 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
430 linear feet of perennial and intermittent stream channel
3d. Explain the purpose of the proposed project:
The purpose of this project is to provide a connector road from Highway 74 to Matthews - Indian Trail Road to the north of the
Town of Indian Trail. The project is necessary to reduce traffic congestion and improve public safety along Indian Trail
Road through the center of the Town of Indian Trail. The project is part of the Town of Indian Trail's Chestnut Parkway
project. The Chestnut Parkway will be designed and constructed in several phases. When completed the Chestnut
Parkway will be a four -lane median - divided road approximately 1.75 miles long connecting Old Monroe Road, US -74 and
Chestnut Lane. When fully completed this tree lined boulevard will parallel the 51 -acre Town owned park property and
will ease traffic congestion along Old Monroe Road and Indian Trail Road. The Chestnut Parkway is the first phase of the
Indian Trail Pathway Loop, which when fully approved by Council, will allow for a multi -modal parkway around and
through Indian Trail to ease traffic congestion and traffic safety. These projects will be partially paid for by the resident
approved 2011 Transportation Bond. Future phases of the project have yet to be designed.
In addition to constructing the new connector road, Matthews - Indian Trail Road will be upgraded between Indian Trail Road
and the proposed new connector. As a part of the upgrade of Matthews- Indian Trail Road, two existing undersized
stream culverts will be replaced to facilitate the widening of the road..
3e. Describe the overall project in detail, including the type of equipment to be used:
Impacts to on -site jurisdictional waters of the U.S. have been reduced to the maximum extent possible. Proper sediment
and erosion control measures will be used to minimize disturbances to downstream waters. All work will be constructed
in the dry in accordance with Water Quality Certification No. 3886. The project will involve impacts to two jurisdictional
stream channels and two jurisdictional wetland areas.
A track hoe and other typical construction equipment will be used to construct this project
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes [:1 No E] Unknown
project (including all prior phases) in the past?
Comments: Verification has not been received
4b. If the Corps made the jurisdictional determination, what type
[]Preliminary ❑ Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency /Consultant Company: Carolina Wetland Services
Name (if known): Thomas Blackwell, PWS
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.
There will likely be future phases to this project as part of the Indian Trail Loop. However, plans for these future phases
have yet to be developed and the project has separate and complete utility in that it has logical terminii and provides
conjestion relief for the Town of Indian Trial.
Page 4 of 12
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ®P ❑ T
Fill
Wetland AA-
® Yes
® Corps
0.02
Forested
❑ No
❑ DWQ
W2 ® P ❑ T
Fill
Wetland BB -
® Yes
® Corps
0.32
Forested
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 []PEI T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.34
2h. Comments: Permanent Wetland Impacts total 0.34 acres of fill.
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 SPOT
Culvert
Perennial RPW
® PER
® Corps
4
56
Stream A
❑ INT
❑ DWQ
S2 ®P ❑ T
Rip Rap
Perennial RPW
® PER
® Corps
4
45
Stream A
❑ INT
❑ DWQ
S3 ❑ P ®T
Erosion Control
Perennial RPW
Stream A
® PER
❑ INT
® Corps
❑ DWQ
4
20
S4 ®P ❑ T
Culvert
Seasonal RPW
❑ PER
® Corps
3
54
Stream B
® INT
❑ DWQ
S5 ®P ❑ T
Rip Rap
Seasonal RPW
❑ PER
® Corps
3
43
Stream B
® INT
❑ DWQ
S6 ❑ P ®T
erosion Control
Seasonal RPW
❑ PER
® Corps
3
20
Stream B
® INT
❑ DWQ
3h. Total stream and tributary impacts
238
3i. Comments: Permanent stream impacts total 198 If (101 If and 97 If per crossing)
Page 5 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Tem ora T
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4E Total open water impacts
4g. Comments:
5. 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
St Total
5g. Comments:
Sh. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar - Pamlico ❑ Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required
B1 ❑P ❑T
❑Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑ No
133 ❑P
El Yes
❑ No
6h. Total buffer impacts
6i. Comments:
Page 6 of 12
PCN Form — Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Impacts to on -site jurisdictional waters of the U.S. have been reduced to the maximum extent possible. Proper sediment and
erosion control measures will be used to minimize disturbances to downstream waters. All work will be constructed in the dry
in accordance with Water Quality Certification No. 3886.
Culvert impacts to jurisdictional stream channels have been limited to the minimum necessary to facilitate the road shoulder
and embankment. Headwalls will be used to limit culvert lengths to the maximum extent practicable. Rip rap apron lengths
have also been minimized to the greatest extent practicable while still providing the necessary erosion control and energy
dissipation services.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Impacts to on -site jurisdictional waters of the U.S. have been reduced to the maximum extent practicable. Proper sediment
and erosion control measures will be used to minimize disturbances to downstream waters. All work will be constructed in the
dry in accordance with Water Quality Certification No. 3886.
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:
0.34 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
Ea. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 12
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ❑ No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 8 of 12
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes No
❑
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
N/A Linear Transportation %
2b. Does this project require a Stormwater Management Plan?
❑ 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:
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
Town of Indian Trail
® 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. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 12
PCN Form — Version 1.3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal /state /local) funds or the
® Yes
❑ No
use of public (federal /state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes
❑ No
Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after- the -fact permit application?
❑ Yes
® No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
® No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
The project is designed to relief congestion rather than stimulate further development.
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 10 of 12
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
A letter was forwarded to the North Carolina Natural Heritage Program ( NCNHP) on August 7, 2013 to determine the
presence of any federally - listed, candidate endangered, threatened species or critical habitat located within the project
area. In a response letter dated August 8, 2013 (attached), the NCNHP stated that "There are no records within the
project boundaries and no historical or current records within one mile of the project boundaries of this project in Indian
Trail, NC." The database revealed no current occurences of federally- threatened or endangered species within the same
7.5 Minure USGS Quad as the project corridor.
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?
NOAA Fisheries: http: / /sharpfin.nmfs. noaa. gov /website /EFH_Mapper /map.aspx
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
A letter was forwarded to the State Historic Preservation Office (SHPO) on August 7, 2013 to determine the presence of
any areas of architectural, historic, or archaeological significance that would be affected by the project. As of the date of
submittal, no response has been received from the SHPO. CWS also consulted the SHPO online GIS service and found
no sites of architectural, historic, or archaeological significance within the project corridor.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements: .
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM
Mr. Gregg Antemann, PWS
C - 7J'v```�'� +' —
08 -08 -13
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 12
PCN Form – Version 1.3 December 10, 2008 Version

Page 12 of 12
PCN Form — Version 1.3 December 10, 2008 Version

•
ICDENR
North Carolina Department of Environment and Natural Resources
Office of Conservation, Planning, and Community Affairs
Pat McCrory Linda Pearsall John E. Skvada, III
Governor Director Secretary
August 8, 2013
Ms. Kelly Thames and Mr. Thomas Blackwell
Carolina Wetland Services
550 E. Westinghouse Blvd.
Charlotte, NC 28723
RE: NC Natural Heritage Program records at the Indian Trail Highway 74 Connector Project, Union
County, NC.
CWS Project #3013 -3110
Dear Ms. Thames and Mr. Blackwell,
Thank you for contacting the NC Natural Heritage Program (NHP) for records of rare species, Significant
Natural Heritage Areas (SNHAs) or conservation lands within the boundaries of the proposed project in
Union County. There are no records within the project boundaries and no historical or current records
within one mile of the project boundaries of this project in Indian Trail, NC.
For more information or for future projects, you may wish to visit the Natural Heritage Program's
database search page to generate a list of species in a county or USGS 7.5- minute topo map at
http: / /portal.ncdenr.ore/web /nhr)/database- search, or download GIS data from the Geospatial
data download page http: / /Portal.ncdenr.ore /web /nhP /Ris- download.
Please feel free to contact me with questions at 919 - 707 -8647.
Sincerely,
Laura Gadd Robinson, Botanist
NC Natural Heritage Program
1601 Mail Service Center, Raleigh, North Carolina 27699 -1601
Phone: 919 - 707 -86001 Internet: www.ncdenr.gov
An Equal Opportunity 1 Afirmative Action Employer — 50% Recycled 1 10 °h Post Consumer Paper

W
Statement of Compliance with Session Law 2009337 An Act to Promote
the Use of Compensatory Mitigation Banks and SL 2011 -343.
(link to SL 2009-3371 (link to SL 2011 -343)
Prior to accessing the Ecosystem Enhancement Program (EEP) In -Lieu Fee Mitigation
Program, all applicants requesting wetlands. stream and /or riparian buffer mitigation are now
required by law to comply with Session Law 2009 -337 An Act to Promote the Use of
Compensatory Mitigation Banks as well as Session Law 2011 -343, which made changes'to
the definition of "government entities." All requests submitted on or after June 27, 2011
MUST include this form signed and dated by the permit applicant or an authorized agent.
Please refer to DENITs implementation Policy for more detailed guidance.
Compliance Statement:
I have read and understand SL -2009 -337 and SL -2011 -343 and have, to the best of my
knowledge, complied with their requirements. I understand that participation In the
NCEEP is voluntary and subject to approval by permitting agencies.
Please check all that apply:
Applicant is a Federal or State Government Entity or a unit of local government
meeting the requirements set forth in G.S. 143-214.11 (as amended by SL 2011-
343) and is not required to purchase credits from a mitigation bank.
There are no listed mitigation banks with the requested credit type located in the
hydrologic unit where this Impact will take place (link to DM list), (see "approved
mitigation bank" link under "Options for compensatory mitigation" heading)
Mitigation bank(s) in the hydrologic unit where the Impacts will occur have been
contacted and credits are not available.
The DWQ or the Corps of Engineers did not approve of the use of a mitigation
bank for the required compensatory mitigation for this project.
This is a renewal request and the permit application Is under review. Bank
credits were not available at the time the application was submitted.
Enter date permit application was submitted for review:
Note: It is the applicant's responsibility to document any Inquiries made to private mitigation
,,banks regarding credit availability,
4'C P I have read and understand ESP's refund policies (attached)
initial here
Z"J'A-1 c. 7
rl
Signature of Applicant or Agent Printe ame
Date
Nw Go Jov� TnXi'm n, Trc^*t _ �-
Project Name Location

v
NORTH CAROLINA ECOSYSTEM ENHANCEMENT PROGRAM, NCEEP
IN -LIEU FEE REQUEST FORM
Revised 1/17/2013
Complete requested information, sign and date email to or fax to kellv.williams0mcdenr.aov (fax) 919- 707 -8976. Attachments
are acceptable for clarification purposes (location map or lat long is required). Information submitted is subject to NC Public
Records Law and may be requested by third parties. Review meetings are held on Tuesday afternoons. Information submitted is
subiect to NC Public Records Law and may be requested by third parties.
CONTACT INFORMATION
APPLICANT'S AGENT (optional)
APPLICANT
1. Business or Individual Name
N/A
6 r InAk T '
2. Street Address or P O Box
gq5b c. WeS NBC
. &x
3. City, State, Zip �~
d�
�•�` �� O�
4. Contact Person
r ,G
�
S. Telephone Number
'�p SZ (('�
•O - -�'!E O
6. Fax Number i
' o s-Zi 11 33
7. E-Mail Address (optional)
r LQ Cw5- *Vnc. Al6
Name
t
9. Project Location (nearest town,
• T
10. Lat -Long Coordinates or attach a map N ; S • 061q'" w g0 , b6 46 °
showing the location
11. Project County l+
12. River Basin S Cataloging Unit (8- digit) I 1
(see Note 1) (PZ0qo
13. Project Type "specify owner type and
write in project type (e.g. school, church, retail, Owner Type: fit;' Government Private
residential SD, apartments, road, utilities, .
militarv. etc.)`* Proiect Tvue: �1v1 add' 1n 4 cer�ra,.. t Qoo�t� 1
14. Riparian Wetland Impact (ac.) (e.g.,' 0.13) O t "
1S. Non - Riparian Wetland Impact (ac) N/A
16. Coastal Marsh Impact (ac.)---- _ N / A
17. Stream Impact (ft.) (e.g. 1,234)
Warm
Cool
Cold
N/A
I Nip
N /1q
16. Riparian Buffer Impact (sq. ft.)
(where applicable)
Zone 1:
Zone 2: 1075
19. Regulatory Agency Staff Contacts
(indicate names, if known)
USACE:
Ki tlAA SVI;
A�r
DWQ: 706"9 owl
IMPORTANT
Check (2b below if this request Is for a:
— revision to a current acceptance
_ renewal of an expired acceptance
—extension of unexpired acceptance
By signing below, the applicant Is confirming they have
read and understand EEP's refund policy posted at
nceep.net and attached to this form.
Signature of Applicant or Authorized Agent:
r- —
Date: 8/8/2013
Note 1: For help in determining the Cataloging Unit, visit:www.nceep.net or contact EEP
Direct questions to Kelly Williams at 919 - 707 -8915 or kellv.wllliams ftcdenr.gov or to EEP's front desk at 919 -707 -8976