20201449 Ver 1_ePCN Application_20210920

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
October 26, 2020 Ver 3.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned * Version#*
20201449 1
Is a payment required for this project?*
r No payment required
What amout is owed?*
r Fee received
r $240.00
r Fee needed - send electronic notification
IT $570.00
Reviewing Office *
Winston-Salem Regional Office - (336) 776-
Select Project Reviewer*
9800
Sue Homevmod:eads\slhomewood
Information for Initial Review
1a. Name of project:
Ararat River Restoration Project Phase VII
1a. Who is the Primary Contact?*
Jake Byers
1b. Primary Contact Email:*
1c. Primary Contact Phone:*
[e-mail]
[phone]
Date Submitted
9/20/2021
Nearest Body of Water
Ararat River
Basin
Yadkin -Pee Dee
Water Classification
C
Site Coordinates
Latitude: Longitude:
36.514229-80.590283
Pre -Filing Meeting Information
ID# Version
Pre -fling Meeting or Request Date*
10112/2020
Attach documentation of Pre -Filing Meeting Request here:*
DWR Pre -Filing Meeting Request Form_Ararat.pdf 50.32KB
A. Processing Information u
County (or Counties) where the project is located:

Surry
Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?*
r Yes r No
1a. Type(s) of approval sought from the Corps:
P Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
r Yes
r No
1b. What type(s) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number: 27 - Restoration
NWP Numbers (for multiple NWPS):
Ild. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
Ile. Is this notification solelyfor the record because written approval is not required?
For the record onlyfor DWR 401 Certification:
For the record onlyfor Corps Permit:
r 401 Water Quality Certification - E)press
r Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
r Owner W Applicant (other than owner)
1e. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
City of Mt. Airy (conservation easement holder)
2b. Deed book and page no.:
2c. Responsible party:
2d.Address
r Yes r No
r Yes r No

Street Address
440 E. Pine St.
Address Line 2
aty
Mt. Airy
Postal / Zip Code
27030
2e. Telephone Number:
[phone]
2g. Email Address:*
mwil I is ms@mou nta iry. org
3. Applicant Information (if different from owner)
3a. Name:
Charles Anderson
3b. Business Name:
Pilot View Inc.
3c.Address
Street Address
2631 Reynolda Rd.
Address Line 2
atY
Winston-Salem
Fbstal / Zip Code
27106
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Jake Byers
4b. Business Name:
Ecosystem Planning and Restoration
4c.Address
Street Address
204 Stone Ridge Blvd
Address Line 2
City
Asheville
Postal / Zip Code
28804
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Landowner Authorization Forms City Signed.pdf
State / Rmime / Region
NC
Country
USA
2f. Fax Number:
State / Province / legion
NC
Country
United States
3e. Fax Number:
State / Province / legion
NC
Country
United States
4e. Fax Number:
175.53KB
C. Project Information and Prior Project History C^U
1. Project Information
1b. Subdivision name:
0 appropriate)
1c. Nearest municipality/town:
Mt. Airy
2. Project Identification

2a. Property Identification Number:
Multiple (see attached property map)
2b. Property size:
25.12 (easement area)
2c. Project Address
Street Address
Address Line 2
Linville Rd.
CKY
Mt. Airy
Postal / Zip Code
27030
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Ararat River
3b. Water Resources Classification of nearest receiving water:*
C
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401010807
4. Project Description and History
State / Province / legion
NC
Country
United States
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
This section of the Ararat River is degraded with vertical eroding stream banks and large amounts of sedimentation. General land use in the project vicinity ranges from light
industrial/commercial to undeveloped, forested tracts.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
Fig_2_Ararat _River _USGS.pdf 1.64MB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
Fig _4_Ararat_River _Soils.pdf 1.51 MB
4f. List the total estimated acreage of all existing wetlands on the property:
0.0
4g. List the total estimated linear feet of all existing streams on the property:
2,950
4h. Explain the purpose of the proposed project:*
The purpose of this project is to enhance approArnately 2,889 linear feet of the Ararat River that has been degraded
by bank and streambed erosion, improve and protect aquatic habitat, and to improve water quality within the Ararat River and Yadkin River watershed. The project will stabilizing eroding
stream banks using bank grading, bio-engineering and vegetation planting. In -stream structures will be utilized to protect streambanks, control bed elevations and to improve pool
habitat and bedform diversity. A native riparian buffer will be planted consisting of native tree, shrub, and herbaceous species in all disturbed areas and areas that currently lack woody
buffers.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
Tracked excavators will be used to shape stream banks, install in -stream structures, and perform general grading. Skid steers and dump trucks will also be used to move earth and
materials.
4j. Please upload project drawings for the proposed project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):

Agency/Consultant Company: Ecosystem Planning and Restoration
Other:
5d1. Jurisdictional determination upload
Fig_3_Ararat_ River_Aquatic_Resources.pdf 2.26MB
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
r- Wetlands W Streams -tributaries r- Buffers
F Open Waters r" Pond Construction
3. Stream Impacts
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name* 3e. Stream Type * 3f. Type of 3g. S. width * 31h. Impact
(?) Jurisdiction* length*
Restoration Permanent Bank Stabilization Ararat River Perennial Both ]�;;]E889 rfeet)
3i. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
2,889
31. Total stream and ditch impacts:
2
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
0
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Stream restoration and bank stabilization techniques Will follow natural channel design
principles. Native material and vegetation will be used for construction. Special care vdll be given to avoiding erosion and sedimentation during
construction.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Placement of in -channel structures will be done from the bank to the extent possible.
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?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
Compensatory mitigation is not required for stream restoration projects.
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes r No
If no, explain why:
Surry County is not located in an area with Riparian Buffer Rules.
u
2. Stormwater Management Plan

2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes r No
Comments:
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
U
1b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State (North Carolina)
Environmental Policy Act (NEPA/SEPA)? *
r Yes
r No
Comments:
Applicable databases were searched and any results have been included.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
r Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
As this is a stream restoration project that does not include new built infrastructure, the project will not result in additional development after
construction is completed.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor NIA
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d. Is another Federal agency involved?*
r Yes r No
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?'
r Yes r No
r Unknown
51. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
NC NHP project report (accessed October 13, 2020)
USFWS IPaC (accessed October 13, 2020)

Consultation Documentation Upload
Ararat Phase VII Species List_ IPAC.pdf 287.06KB
Ararat Phase VII NCNHP report.pdf 1.09MB
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NOAA Essential Fish Habitat Mapper
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 status?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
INC State Historic Preservation Office HPOWEB
7c. Historic or Prehistoric Information Upload
Ararat River_HPOweb map.pdf 379.05KB
SHPO features_buffer.pdf 75.49KB
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMArequirements:
HEC-RAS modeling indicates that stabilization work along the Ararat River will not result in rises in the base flood elevations. A sealed no -rise
certification has been submitted to the Surry County and City of Mount Airy Floodplain administrators for approval.
8c. What source(s) did you use to make the floodplain determination?*
A review of the Federal Emergency Management Agency (FEMA) Flood Insurance Rate Map
(FIRM) for the extra -territorial jurisdiction of Mt. Airy (FIRM Panels 3711503100K and
3711503000K) indicates the project site is located within a FEMA-identified flood zone.
Miscellaneous
Comments
The goal of this project is to improve river stability, aquatic habitat, and water quality with the Ararat River and Yadkin River watershed. This restoration project has been designed to
target unstable areas of stream while not disturbing other areas. Special care will be given to avoiding unnecessary disturbances.
Miscellaneous attachments not previously requested.
Fig_1_Ararat_River_Vicinity.pdf 1.26MB
Fig_5_Ararat _River _FEMA.pdf 2.83MB
Ararat —Property Map.pdf 2.63MB
Ararat —ALL _20210921. pdf 15.11 MB
Signature
*
W By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Jacob Byers
Signature
Date
9/20/2021
u

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
Deed Book: 01692 Page: 099I
Parcel ID Number: 5031-18-21-9137
Street Address: 555 E. Jackson Rd. Ext.
Mt. Airy, NC 27030
Property Owner (please print:
Property Owner (please print):
Aaron T. Collins
County: Surry
The undersigned, registered property owner(s) of the above property, do hereby authorize
Jake Byers, PE of Ecosystem Planning and Restoration
(Contractor/Agent/Project Manager) (Name of Contractor/Agent Firm Agency)
to take all actions necessary for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s). I
agree to allow regulatory agencies, including the US Army Corps of Engineers, to visit the property
as part of these environmental reviews.
Property Owners(s) Address:
(if different from above)
Property Owner Telephone Number:
Property Owner Telephone Number:
We hereby certify the above information to be true and accurate to the best of our knowledge.
0 A� •�kMitch Williams, P.E.
( Authorized Signature) City Engineer
(Date)
(Property Owner Authorized Signature) (Date)

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
Deed Book: 01183 Page: 0672 County:
Parcel ID Number: 5031-17-20-3717
Street Address: 401 Technology Lane
Mt. Airy, NC 27030
Property Owner (please print:
MNG Properties
Property Owner (please print):
Surry
The undersigned, registered property owner(s) of the above property, do hereby authorize
Jake Byers, PE
of
(Contractor/Agent/Project Manager)
Ecosystem Planning and Restoration
(Name of Contractor/Agent Firm/Agency)
to take all actions necessary for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s). I
agree to allow regulatory agencies, including the US Army Corps of Engineers, to visit the property
as part of these environmental reviews.
Property Owners(s) Address:
(if different from above)
Property Owner Telephone Number:
Property Owner Telephone Number:
We hereby certify the above information to be true and accurate to the best of our knowledge.
Mitch Williams, P.E.
(Rr$popty-Aw r Authorized Signature)City Engineer (Date)
(Property Owner Authorized Signature) (Date)

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
Deed Book: NA
Page: NA
Parcel ID Number: 5031-03-20-1014
Street Address: Riverside Dr.
Mt. Airy, NC 27030
Property Owner (please print): S°m' County
Property Owner (please print):
County: Sum'
The undersigned, registered property owner(s) of the above property, do hereby authorize
Jake Byers, PE
(Contractor/Agent/Project Manager)
of Ecosystem Planning and Restoration
(Name of Contractor/Agent Firm/Agency)
to take all actions necessary for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s). I
agree to allow regulatory agencies, including the US Army Corps of Engineers, to visit the property
as part of these environmental reviews.
Property Owners(s) Address:
(if different from above)
Property Owner Telephone Number:
Property Owner Telephone Number:
We hereby certify the above information to be true and accurate to the best of our knowledge.
Mitch Williams, P.E.
(Prelm-by 9nntor Authorized Signatu
E4se 06% dam.
lt►%VV24=h
(Date)
(Property Owner Authorized Signature) (Date)

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
Deed Book: 00771
Parcel ID Number:
5030-05-19-5783
Street Address: 640 Riverside Dr.
Mt. Airy, NC 27030
Property Owner (please print):
Property Owner (please print):
Page: 0191 County:
E.D. Bray III
Surry
The undersigned, registered property owner(s) of the above property, do hereby authorize
Jake Byers, PE of Ecosystem Planning and Restoration
(Contractor/Agent/Project Manager) (Name of Contractor/Agent Firm/Agency)
to take all actions necessary for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s). I
agree to allow regulatory agencies, including the US Army Corps of Engineers, to visit the property
as part of these environmental reviews.
Property Owners(s) Address:
(if different from above)
Property Owner Telephone Number:
Property Owner Telephone Number:
We hereby certify the above information to be true and accurate to the best of our knowledge.
Mitch Williams, P.E.
(Pelxrtr-8waen Authorized Si
N•'Z..e
(Date)
(Property Owner Authorized Signature) (Date)

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
Deed Book: 00689 Page: 0130 County: Surry
Parcel ID Number: 5030-06-39-1689
Street Address: Slate Rd.
Mt. Airy, NC 27030
Property Owner (please print):
James Slate
Property Owner (please print):
The undersigned, registered property owner(s) of the above property, do hereby authorize
Jake Byers, PE
of Ecosystem Planning and Restoration
(Contractor/AgentlProject Manager) (Name of Contractor/Agent Firm/Agency)
to take all actions necessary for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s). I
agree to allow regulatory agencies, including the US Army Corps of Engineers, to visit the property
as part of these environmental reviews.
Property Owners(s) Address:
(if different from above)
Property Owner Telephone Number:
Property Owner Telephone Number:
We hereby certify the above information to be true and accurate to the best of our knowledge.
�'A I =�;-io
Mitch Williams, P.E.
(ftepeply Owner Authorized Signatu
(Date)
(Property Owner Authorized Signature) (Date)

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
Deed Book: 00408
Parcel ID Number: 5030-05-29-4064
Street Address: Linville Rd.
Mt. Airy, NC 27030
Property Owner (please print):
Property Owner (please print):
Page:0543
Surry County
County:
Surry
The undersigned, registered property owner(s) of the above property, do hereby authorize
Jake Byers, PE of Ecosystem PIanning and Restoration
(Contractor/Agent/Project Manager) (Name of Contractor/Agent Firm/Agency)
to take all actions necessary for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s). I
agree to allow regulatory agencies, including the US Army Corps of Engineers, to visit the property
as part of these environmental reviews.
Property Owners(s) Address:
(if different from above)
Property Owner Telephone Number:
Property Owner Telephone Number:
We hereby certify the above information to be true and accurate to the best of our knowledge.
Mitch Williams, P.E.
(Fferyerar Authorized
CSA&ftLQ4x- Ow%L
k o. %4t•
(Date)
(Property Owner Authorized Signature) (Date)

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
Deed Book: 00279 page. 0099
Parcel ID Number: 5030-05-I9-5169
Street Address:
661 Linville Rd.
Mt. Airy, NC 27030
Property Owner (please print): Renfro Corporation
Property Owner (please print):
County: Surry
The undersigned, registered property owner(s) of the above property, do hereby authorize
Jake Byers, PE of Ecosystem Planning and Restoration
(Contractor/Agent/Project Manager) (Name of Contractor/Agent Firm/Agency)
to take all actions necessary for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s). I
agree to allow regulatory agencies, including the US Army Corps of Engineers, to visit the property
as part of these environmental reviews.
Property Owners(s) Address:
(if different from above)
Property Owner Telephone Number:
Property Owner Telephone Number:
We hereby certify the above information to be true and accurate to the best of our knowledge.
Mitch Williams, P.E.
(Rpe�r Authorized Signatur4ity Engineer
(Date)
(Property Owner Authorized Signature) (Date)

LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITION:
Deed Book: NA Page: NA County: Surry
Parcel ID Number: 5030-05-28-I697
Street Address: Linville Rd.
Mt. Airy, NC 27030
Property Owner (please print: Surry County
Property Owner (please print):
The undersigned, registered property owner(s) of the above property, do hereby authorize
Jake Byers, PE
(Contractor/Agent/Project Manager)
of Ecosystem Planning and Restoration
(Name of Contractor/Agent Firm/Agency)
to take all actions necessary for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s). I
agree to allow regulatory agencies, including the US Army Corps of Engineers, to visit the property
as part of these environmental reviews.
Property Owners(s) Address:
(if different from above)
Property Owner Telephone Number:
Property Owner Telephone Number:
We hereby certify the above information to be true and accurate to the best of our knowledge.
k .. %, C
(F-Feperty-Ownff Authorized Signature) City Engineer
(Date)
(Property Owner Authorized Signature) (Date)

Contact Name*
Contact Email Address*
Project Owner*
Project Name*
Project County*
Owner Address:*
Is this a transportation project?*
Jake Byers
[e-mail]
Pilot View Inc.
Ararat River Phase VII Restoration Project
Surry
Street Address
2631 Reynolda Road
Address Line 2
aty
Winston-Salem
Postal / Zip axle
27106
C Yes c: No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - F- 401 Water Quality Certification -
Regular Express
F Individual Permit F Modification
F- Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes (: No
State / Province / Pegion
NC
Country
Forsyth
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below.*
Stream restoration project along Ararat River in Surry county. This section
of the Ararat River is degraded with vertical eroding stream banks and
large amounts of sedimentation. Restoration activities will occur from
Linville Road upstream appro)amately 2700 feet and will follow NCD
methodologies. This work is a continuation of multiple phases of restoration
work along the Ararat River.
Please give a couple of dates you are available for a meeting.
10/21 /2020
10/28/2020
Please attach the documentation you would like to have the meeting about.

Ararat PhVll 2020_Update.pdf 413.06KB
pdf only
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.
1 understand by signing this form that I cannot submit my application until 30 calendar days after this pre -filing
meeting request.
1 also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature *
Submittal Date 10/12/2020

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EPR OCT 2020

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Llinch = 500 feet FIGURE 4 SURRY COUNTY, NC PREPARED BY: DATE:
EPR OCT 2020

MEN Roy Cooper. Governor
•s ; NC DEPARTMENT OF Susi Hamilton, Secretary
■■ ■■ NATURAL AND CULTURAL RESOURCES
013
0 Walter Clark, director, Land and Water Stewardship
NCNHDE-13051
October 13. 2020
Amy James
Ecosystem Planning and Restoration
1150 SE Maynard Rd. Suite 140
Cary, NC 27511
RE: Ararat River restoration/greenway project
Dear Amy James:
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide
information about natural heritage resources for the project referenced above.
Based on the project area mapped with your request, a query of the NCNHP database indicates that
there are no records for rare species, important natural communities, natural areas, and/or
conservation/managed areas within the proposed project boundary. Please note that although there
may be no documentation of natural heritage elements within the project boundary, it does not
imply or confirm their absence; the area may not have been surveyed. The results of this query
should not be substituted for field surveys where suitable habitat exists. In the event that rare
species are found within the project area, please contact the NCNHP so that we may update our
records.
The attached `Potential Occurrences' table summarizes rare species and natural communities that
have been documented within a one -mile radius of the property boundary. The proximity of these
records suggests that these natural heritage elements may potentially be present in the project area
if suitable habitat exists. Tables of natural areas and conservation/managed areas within a one -mile
radius of the project area, if any, are also included in this report.
If a Federally -listed species is found within the project area or is indicated within a one -mile radius of
the project area, the NCNHP recommends contacting the US Fish and Wildlife Service (USFWS) for
guidance. Contact information for USFWS offices in North Carolina is found here:
httr)s://www.fws.gov/offices/Directory/ListOffices.cfm?statecode=37.
Please note that natural heritage element data are maintained for the purposes of conservation
planning, project review, and scientific research, and are not intended for use as the primary criteria
for regulatory decisions. Information provided by the NCNHP database may not be published
without prior written notification to the NCNHP, and the NCNHP must be credited as an information
source in these publications. Maps of NCNHP data may not be redistributed without permission.
The NC Natural Heritage Program may follow this letter with additional correspondence if a
Dedicated Nature Preserve, Registered Heritage Area, Clean Water Management Trust Fund
easement, or Federally -listed species are documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance,
please contact Rodney A. Butler at rod ney.butlerCo�ncdcr.aov or 919-707-8603.
Sincerely,
NC Natural Heritage Program
DEPAR7HEN7 OF NATURAL AND CULTURAL RESOURCES
121 W. JONES STREET. RALEIGH. NC 27603 • 1691 MAIL SERVICE CENTER. RALEIGH. NC 27609
OFC 919.707.9120 • FAX [phone]

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■..: Local districts & boundaries
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State of North Carolina DOT, Esri, HERE, Garmin, INCREMENT P, Intermap, NGA USGS I Esri, HERE

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Legend
Conservation Easement
Parcels
Ararat River
County or City -Owned Parcel
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A
NOTE: Only numbered properties
included in this permit application _ �►
Schedule of Properties for Legal Protection of Riparian Buffers
Stream Right Stream Left
Property Value
Approx. Approx. Approx. Approx. Approx. Total from Property
Approx. Protected Protected Protected Protected Value of v
Stream Easement Record Card -
No. Owner PIN Stream Buffer Buffer Buffer Buffer Area Under
Frontage Area Adjusted Unit
Frontage (LF) Width Area Width Area Easement
(feet) (acres) (LF) (feet) (acres) (acres) Price
($/acre)
1 CO LLI NS AARO N T 503118219137 221 5 0.03 0 0 0 0.03 $27,500.00 $825.00
2 MNG PROPERTIES LLC 503117203717 1012 50 2.74 0 0 0 2.74 $12,000.00 $32,880.00
3 SLATE JAMES 503006391689 0 0 0 1 1659 25 0.93 0.93 $2,460.00 $2,287.80
4 SURRY COUNTY 503103201014 428 - 8.59 0 0 0 8.59 $3,000.00 $25,770.00
5 BRAY E D III 503005195783 138.00 50 0.16 0 0 0 0.16 $15,000.00 $2,400.00
6 RENFRO CORPORATION 503005195169 1055.00 <50 1.07 1106 1 <50 1.06 2.13 $15,000.00 $31,950.00
7 SURRY COUNTY 503005294064 0.00 0 0 0 1 - 10.42 1 10.42 1 $4,800.00 $50,016.00
8 SURRY COUNTY 503005281697 0.00 0 0 68 0.12 0.12 $10,000.00 $1,200.00
Total 1 25.12 $147,328.80
Service Layer eeKdits:.NC,OrieMap;'fVC Center,for Geographic Information anm d'Arialysis? NO 411 Boa4t-
ECOSYSTEM Ararat River Restoration 0 500 1,000
PLANNING &� ='�• ° Property Map Feet
RESTORATION November 2020
1 inch = 500 feet

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United States Department of the Interior
FISH AND WILDLIFE SERVICE
Asheville Ecological Services Field Office
160 Zillicoa Street
Asheville, NC 28801-1082
Phone: [phone] Fax: [phone]
http://www.fws.gov/nc-es/es/couMfr.html
In Reply Refer To:
Consultation Code: 04EN1000-2021-SLI-0031
Event Code: 04EN1000-2021-E-00071
Project Name: Ararat River restoration
October 13, 2020
Subject: List of threatened and endangered species that may occur in your proposed project
location, and/or may be affected by your proposed project
To Whom It May Concern:
The attached species list identifies threatened, endangered, proposed and candidate species, as
well as proposed and final designated critical habitat, that may occur within the boundary of your
proposed project and/or may be affected by your proposed project. Although not required by
section 7, many agencies request species lists to start the informal consultation process and begin
their fulfillment of the requirements under section 7(c) of the Endangered Species Act (Act) of
1973, as amended (16 U.S.C. 1531 et seq.).
This list, along with other helpful resources, is also available on the U.S. Fish and Wildlife
Service (Service) Asheville Field Office's (AFO) website: https://www.fws.gov/raleigh/species/
cntylist/nc counties.html. The AFO website list includes "species of concern" species that could
potentially be placed on the federal list of threatened and endangered species in the future. Also
available are:
Design and Construction Recommendations
https://www.fws.gov/asheville/htmis/project review/Recommendations.html
Optimal Survey Times for Federally Listed Plants
https://www.fws.gov/nc-es/plant/plant survey.html
Northern long-eared bat Guidance
https://www.fws.gov/asheville/htmis/project review/NLEB in WNC.html
Predictive Habitat Model for Aquatic Species
https://www.fws.gov/asheville/htmls/Maxent/Maxent.html

10/13/2020 Event Code: 04EN1000-2021-E-00071
New information based on updated surveys, changes in the abundance and distribution of
species, changed habitat conditions, or other factors could require modifications of these lists.
Please note that under 50 CFR 402.12(e) of the regulations implementing section 7 of the Act,
the accuracy of the species lists should be verified after 90 days. This verification can be
completed formally or informally as desired. The Service recommends that verification be
completed by visiting the ECOS-IPaC website or the AFO website (the AFO website dates each
county list with the day of the most recent update/change) at regular intervals during project
planning and implementation for updates to species lists and information. An updated list may be
requested through the ECOS-IPaC system by completing the same process used to receive the
enclosed list or by going to the AFO website.
The purpose of the Act is to provide a means whereby threatened and endangered species and the
ecosystems upon which they depend may be conserved. Under sections 7(a)(1) and 7(a)(2) of the
Act and its implementing regulations (50 CFR 402 et seq.), Federal agencies are required to
utilize their authorities to carry out programs for the conservation of threatened and endangered
species and to determine whether projects may affect threatened and endangered species and/or
designated critical habitat.
A Biological Assessment is required for construction projects (or other undertakings having
similar physical impacts) that are major Federal actions significantly affecting the quality of the
human environment as defined in the National Environmental Policy Act (42 U.S.C. 4332(2)
(c)). For projects other than major construction activities, the Service suggests that a Biological
Evaluation similar to a Biological Assessment be prepared to determine whether the project may
affect listed or proposed species and/or designated or proposed critical habitat. Recommended
contents of a Biological Assessment are described at 50 CFR 402.12 and on our office's website
at https://www.fws.gov/asheville/htmis/project review/assessment guidance.html.
If a Federal agency (or their non-federal representative) determines, based on the Biological
Assessment or Biological Evaluation, that listed species and/or designated critical habitat may be
affected by the proposed project, the agency is required to consult with the Service pursuant to
50 CFR 402. In addition, the Service recommends that candidate species, proposed species, and
proposed critical habitat be addressed within the consultation. More information on the
regulations and procedures for section 7 consultation, including the role of permit or license
applicants, can be found in the "Endangered Species Consultation Handbook" at: http://
www.fws.gov/endangered/esa-library/pdf/TOC-GLOS.PDF.
Though the bald eagle is no longer protected under the Endangered Species Act, please be aware
that bald and golden eagles are protected under the Bald and Golden Eagle Protection Act (16
U.S.C. 668 et seq.), and projects affecting these species may require additional consultation (see
https://www.fws.gov/southeast/our-services/permits/eagles/). Wind energy projects should follow
the wind energy guidelines (http://www.fws.gov/windenergy/) for minimizing impacts to
migratory birds (including bald and golden eagles) and bats.
Guidance for minimizing impacts to migratory birds for projects including communications
towers (e.g., cellular, digital television, radio, and emergency broadcast) can be found at: http://
www. fws. gov/migratorybirds/CurrentBirdlssues/Hazards/towers/towers.htm;

10/13/2020 Event Code: 04EN1000-2021-E-00071
http://www.towerkill.com; and http://www.fws.gov/migrato!ybirds/CurrentBirdlssues/Hazards/
towers/comtow.html.
We appreciate your concern for threatened and endangered species. The Service encourages
Federal agencies to include conservation of threatened and endangered species into their project
planning to further the purposes of the Act. Please include the Consultation Tracking Number in
the header of this letter with any request for consultation or correspondence about your project
that you submit to our office.
Attachment(s):
• Official Species List
• Migratory Birds
• Wetlands

10/13/2020 Event Code: 04EN1000-2021-E-00071
Official Species List
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Asheville Ecological Services Field Office
160 Zillicoa Street
Asheville, NC 28801-1082
[phone]

10/13/2020 Event Code: 04EN1000-2021-E-00071 2
Project Summary
Consultation Code: 04EN1000-2021-SLI-0031
Event Code: 04EN1000-2021-E-00071
Project Name: Ararat River restoration
Project Type: LAND - RESTORATION / ENHANCEMENT
Project Description: Restoration of Ararat River in conjunction with Mt. Airy greenway project
Project Location:
Approximate location of the project can be viewed in Google Maps: https://
www.google.com/maps/place/36.51417447821341N80.59029786666153W
Counties: Surry, NC

10/13/2020 Event Code: 04EN1000-2021-E-00071 3
Endangered Species Act Species
There is a total of 4 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheriesi, as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
Mammals
NAME
Gray Bat Myotis grisescens
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/6329
Northern Long-eared Bat Myotis septentrionalis
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/9045
Reptiles
I►/_1LI�
Bog Turtle Clemmys muhlenbergii
Population: U.S.A. (GA, NC, SC, TN, VA)
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/6962
STATUS
Endangered
Threatened
STATUS
Similarity of
Appearance
(Threatened)

10/13/2020 Event Code: 04EN1000-2021-E-00071 4
Flowering Plants
NAM L- STATUS
Schweinitz's Sunflower Helianthus schweinitzii Endangered
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/3849
Critical habitats
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECTAREA UNDER THIS OFF ICE'S
JURISDICTION.

10/13/2020 Event Code: 04EN1000-2021-E-00071
Migratory Birds
Certain birds are protected under the Migratory Bird Treaty Act! and the Bald and Golden Eagle
Protection Actz.
Any person or organization who plans or conducts activities that may result in impacts to
migratory birds, eagles, and their habitats should follow appropriate regulations and consider
implementing appropriate conservation measures, as described below.
1. The Migratory Birds Treaty Act of 1918.
2. The Bald and Golden Eagle Protection Act of 1940.
3. 50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)
THERE ARE NO FWS MIGRATORY BIRDS OF CONCERN WITHIN THE VICINITY OF YOUR PROJECT
AREA.
Migratory Birds FAQ
Tell me more about conservation measures I can implement to avoid or minimize impacts
to migratory birds.
Nationwide Conservation Measures describes measures that can help avoid and minimize
impacts to all birds at any location year round. Implementation of these measures is particularly
important when birds are most likely to occur in the project area. When birds may be breeding in
the area, identifying the locations of any active nests and avoiding their destruction is a very
helpful impact minimization measure. To see when birds are most likely to occur and be breeding
in your project area, view the Probability of Presence Summary. Additional measures and/or
permits may be advisable depending on the type of activity you are conducting and the type of
infrastructure or bird species present on your project site.
What does IPaC use to generate the migratory birds potentially occurring in my specified
location?
The Migratory Bird Resource List is comprised of USFWS Birds of Conservation Concern
(BCQ and other species that may warrant special attention in your project location.
The migratory bird list generated for your project is derived from data provided by the Avian
Knowledge Network (AKN). The AKN data is based on a growing collection of survey, banding,
and citizen science datasets and is queried and filtered to return a list of those birds reported as
occurring in the 10km grid cell(s) which your project intersects, and that have been identified as
warranting special attention because they are a BCC species in that area, an eagle (Eagle Act
requirements may apply), or a species that has a particular vulnerability to offshore activities or
development.

10/13/2020 Event Code: 04EN1000-2021-E-00071
Again, the Migratory Bird Resource list includes only a subset of birds that may occur in your
project area. It is not representative of all birds that may occur in your project area. To get a list
of all birds potentially present in your project area, please visit the AKN Phenology Tool.
What does IPaC use to generate the probability of presence graphs for the migratory birds
potentially occurring in my specified location?
The probability of presence graphs associated with your migratory bird list are based on data
provided by the Avian Knowledge Network (AKN). This data is derived from a growing
collection of survey, banding, and citizen science datasets .
Probability of presence data is continuously being updated as new and better information
becomes available. To learn more about how the probability of presence graphs are produced and
how to interpret them, go the Probability of Presence Summary and then click on the "Tell me
about these graphs" link.
How do I know if a bird is breeding, wintering, migrating or present year-round in my
project area?
To see what part of a particular bird's range your project area falls within (i.e. breeding,
wintering, migrating or year-round), you may refer to the following resources: The Cornell Lab
of Ornithology All About Birds Bird Guide, or (if you are unsuccessful in locating the bird of
interest there), the Cornell Lab of Ornithology Neotropical Birds guide. If a bird on your
migratory bird species list has a breeding season associated with it, if that bird does occur in your
project area, there may be nests present at some point within the timeframe specified. If "Breeds
elsewhere" is indicated, then the bird likely does not breed in your project area.
What are the levels of concern for migratory birds?
Migratory birds delivered through IPaC fall into the following distinct categories of concern:
1. "BCC Rangewide" birds are Birds of Conservation Concern (BCC) that are of concern
throughout their range anywhere within the USA (including Hawaii, the Pacific Islands,
Puerto Rico, and the Virgin Islands);
2. "BCC - BCR" birds are BCCs that are of concern only in particular Bird Conservation
Regions (BCRs) in the continental USA; and
3. "Non -BCC - Vulnerable" birds are not BCC species in your project area, but appear on
your list either because of the Eagle Act requirements (for eagles) or (for non -eagles)
potential susceptibilities in offshore areas from certain types of development or activities
(e.g. offshore energy development or longline fishing).
Although it is important to try to avoid and minimize impacts to all birds, efforts should be made,
in particular, to avoid and minimize impacts to the birds on this list, especially eagles and BCC
species of rangewide concern. For more information on conservation measures you can
implement to help avoid and minimize migratory bird impacts and requirements for eagles,
please see the FAQs for these topics.
Details about birds that are potentially affected by offshore projects

10/13/2020 Event Code: 04EN1000-2021-E-00071 3
For additional details about the relative occurrence and abundance of both individual bird species
and groups of bird species within your project area off the Atlantic Coast, please visit the
Northeast Ocean Data Portal. The Portal also offers data and information about other taxa besides
birds that may be helpful to you in your project review. Alternately, you may download the bird
model results files underlying the portal maps through the NOAA NCCOS Integrative Statistical
Modeling and Predictive Mapping of Marine Bird Distributions and Abundance on the Atlantic
Outer Continental Shelf project webpage.
Bird tracking data can also provide additional details about occurrence and habitat use
throughout the year, including migration. Models relying on survey data may not include this
information. For additional information on marine bird tracking data, see the Diving Bird Study
and the nanotag studies or contact Caleb Spiegel or Pam Lorin.
What if I have eagles on my list?
If your project has the potential to disturb or kill eagles, you may need to obtain a permit to avoid
violating the Eagle Act should such impacts occur.
Proper Interpretation and Use of Your Migratory Bird Report
The migratory bird list generated is not a list of all birds in your project area, only a subset of
birds of priority concern. To learn more about how your list is generated, and see options for
identifying what other birds may be in your project area, please see the FAQ "What does IPaC
use to generate the migratory birds potentially occurring in my specified location". Please be
aware this report provides the "probability of presence" of birds within the 10 km grid cell(s) that
overlap your project; not your exact project footprint. On the graphs provided, please also look
carefully at the survey effort (indicated by the black vertical bar) and for the existence of the "no
data" indicator (a red horizontal bar). A high survey effort is the key component. If the survey
effort is high, then the probability of presence score can be viewed as more dependable. In
contrast, a low survey effort bar or no data bar means a lack of data and, therefore, a lack of
certainty about presence of the species. This list is not perfect; it is simply a starting point for
identifying what birds of concern have the potential to be in your project area, when they might
be there, and if they might be breeding (which means nests might be present). The list helps you
know what to look for to confirm presence, and helps guide you in knowing when to implement
conservation measures to avoid or minimize potential impacts from your project activities,
should presence be confirmed. To learn more about conservation measures, visit the FAQ "Tell
me about conservation measures I can implement to avoid or minimize impacts to migratory
birds" at the bottom of your migratory bird trust resources page.

10/13/2020 Event Code: 04EN1000-2021-E-00071
Wetlands
Impacts to NWI wetlands and other aquatic habitats may be subject to regulation under Section
404 of the Clean Water Act, or other State/Federal statutes.
For more information please contact the Regulatory Program of the local U.S. Army Corps of
Engineers District.
Please note that the NWI data being shown may be out of date. We are currently working to
update our NWI data set. We recommend you verify these results with a site visit to determine
the actual extent of wetlands on site.
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