20130878 Ver 1_401 Application_20130813

E M
August 16, 2013
U.S. Army Corps of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, North Carolina 28801 -5006
Attention: Mr. Stephen Kichefski
N.C. Division of Water Resources
Webscape Unit
512 North Salisbury Street
Raleigh, North Carolina 27604
Attention: Ms. Karen Higgins
Reference: Pre - Construction Notification and
Request for State General Isolated Wetland
Proposed Octapharma Blood Plasma Facility
Mecklenburg County, North Carolina
S &ME Project No. 1357 -13 -019
Dear Mr. Kichefski and Ms. Higgins:
20130878
@6 @OMC�
AUG I ")2013
S &ME, Inc. (S &ME) is submitting this application for authorization of impacts to waters
of the U.S. in accordance with Department of the Army Nationwide Permit (NWP) No.
39 — Commercial and Institutional Development. Supporting documentation for
verification of the jurisdictional boundaries located within the project area was provided
to the U.S. Army Corps of Engineers (USACE) under separate cover. S &ME has been
retained by Octapharma Plasma, Inc. (the applicant) to provide services related to project
authorization under the NWP and corresponding North Carolina Water Quality
Certification (WQC) 3890 and a State General Isolated Wetland Permit pursuant to the
Division of Water Resources (DWR). The project will involve construction of a new
centralized Lab and Plasma Storage Center (LPSC) building and associated parking
areas, which will result in the permanent fill of approximately 0.09 acres of jurisdictional
wetlands and 0.22 acres of non -404 jurisdictional wetlands. In support of this Pre -
Construction Notification (PCN) we have prepared the following appendices:
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For,
SWE, INC / 9751 Southern Pine Boulevard / Charlotte, NC 28273 -5560 / p 704 523.4726 f 704 525.3953 / www smeinc corn

Pre- Construction Notification/State General Isolated Wetland Permit SWE Project No. 1357 -13-019
Proposed Octapharma Blood Plasma Facility August 16, 2013
• Appendix I: PCN Form, Agent Authorization Form and Corporate Letter of
Authorization;
• Appendix II: Figures — Site Vicinity Map (Figure 1), USGS Topographic Map
(Figure 2), 2010 Aerial Photograph (Figure 3), USDA Soil Survey Map (Figure
4), Approximate Waters of the U.S. Map (Figure 5);
• Appendix III: Proposed Grading Plans (Exhibits C -2.0, C -3.0 and C -300);
• Appendix IV: Site Photographs;
• Appendix V: North Carolina Ecosystem Enhancement Program In Lieu Fee
Program Letter of Acceptance
Five copies of this PCN, along with one electronic copy and a check for the processing
fee, are being provided to DWR for written concurrence.
The location of the project area is depicted on the Site Vicinity Map (Figure 1), the
Charlotte West. N.0 (2013) USGS Topographic Map (Figure 2), a 2010 Aerial
Photograph (Figure 3), and the USDA Soil Survey Map (Figure 4), included in Appendix
II.
BACKGROUND INFORMATION
The purpose of the proposed project is to construct a new facility within Lot No. 25 (the
project area) of Westlake Business Park in Charlotte, North Carolina. The project area is
an approximately 8.26 -acre portion of a larger 14.5 -acre tract (Mecklenburg County
Parcel ID No. 201 - 142 -01), and is located west of and adjacent to Westlake Drive
Westlake Business Park. The new facility will be used for: a) administrative offices, and
b) testing and storage of the blood plasma collected at the company's 45 nationwide
donation centers. The proposed project entails construction of an approximately 76,000
square foot (foot print) building, along with associated parking and stormwater
management facilities. The site is undeveloped and wooded with mature trees, and the
site is bordered by several other lots that have already been commercially developed.
The property is currently owned by TCA Westlake, LLC, however, the applicant is in
process of purchasing the 8.26 -acre portion of the property from the owner. Therefore,
the applicant is not an agent of the owner, but rather acting solely on their own behalf as
the contract purchaser of the property. As a condition of closing, the 8.26 -acre portion of
the property that is the subject of this application will be recorded as a single and separate
lot of record. The remaining 6.24 -acre portion of the 14.5 -acre tract is not part of this
application.
FIELD OBSERVATIONS
S &ME was originally contracted to perform a jurisdictional delineation of Lot No. 25.
The purpose of the delineation was to identify and demarcate the presence of
jurisdictional wetlands or waters of the U.S. within the tract.
On July 5 and 16, 2013 Mr. Heath Caldwell with S &ME visited the project area and
conducted a jurisdictional delineation to determine the location of waters of the U.S.,
including wetlands. The delineation was conducted utilizing currently accepted methods
2

Pre - Construction Notification/State General Isolated Wetland Permit S&ME Project No. 1357 -13-019
Pr000sed Octaoharma Blood Plasma Facility August 16, 2013
for wetland determination, as set forth in the 1987 Corps of Engineers Wetlands
Delineation Manual as amended by the Eastern Mountains and Piedmont Regional
Supplement Guide which states that under normal circumstances, an area must
demonstrate the presence of three components to be considered jurisdictional: 1)
hydrophytic vegetation, 2) hydric soils, and 3) wetland hydrology. Furthermore, stream
assessments were conducted in accordance with DWR and USACE guidelines.
Field review identified one relatively permanent water (Stream 1), one jurisdictional
wetland (Wetlands B, (W2) and two non -404 jurisdictional wetlands within the project
area (Wetlands A, (W1) and Wetland C, (W3). Descriptions of these features are as
follows.
Stream 1 is identified on the USGS topographic map as an unnamed tributary of Steele
Creek and is characterized as a perennial channel. Field observations confirming
perennial status include a substrate consisting of cobble, gravel, sands, aquatic algae, and
strong base flow.
Wetland B (W2) abuts Stream 1 and contained large areas of ponded water and evidence
of beaver activity. Soils within Wetland B exhibited hydric soil indicator Al2 (Thick
Dark Surface) as evidenced by thick, low - chroma soil near the surface. Overstory
vegetation included American elm (Ulmus Americana) and black walnut (Juglans nigra).
Mid -story vegetation included green ash (Fraxinus pennsylvanica), while herbaceous
vegetation included Japanese stilt grass (Microstegium vimineum), false nettle
(Boehmeria cylindrical), and roundleaf greenbrier (Smilax rotundifolia). Wetland B is
approximately 0.55 acre in size and is classified as a riverine unconsolidated bottom
system. I
Wetland A (W 1) and Wetland C (W3) are located in the southwestern portion of the
project area across from an existing commercial parking lot. Both wetlands exhibited
hydric soil indicator F6 (Redox Dark Surface) as evidenced by low chroma soils and
redox concentrations present within the upper 12 inches of the surface. Overstory
vegetation included American elm and willow oak (Quercus phellos). Mid -story
vegetation included American elm, green ash, sweetgum (Liquidambar styracijlua), and
Japanese honeysuckle (Lonicera japonica). Wetland A is approximately 0. 18 acres and
Wetland C is 0.04 acres in size and is classified as palustrine forested system. Wetlands
A and C are considered isolated wetlands because no nexus is present to another surface
water or wetland area (jurisdictional feature).
The remaining upland within the project area is vegetated with mature trees. Tree species
identified during the reconnaissance include loblolly pine (Pinus taeda), sweetgum ,
white oak (Q. alba), willow oak, northern red oak (Q. rubra), American elm, eastern red
cedar (Juniperus virginiana), pignut hickory (Carya glabra), shagbark hickory (C.
ovata), flowering dogwood (Cornus florida), sourwood (Oxydendron arboretum), and
American holly (Ilex opaca). Understory vegetation includes poison ivy (Toxicodendron
radicans), Japanese honeysuckle, grape (Vitis sp.), ebony spleenwort (Asplenium
platyneuron) and Christmas fern (Polystichum acrostichoides).
' Fish and Wildlife Service, 1979. Classification of Wetlands and Deepwater Habitats of the United States.
Biological Services Program. FWS /OBS -79/31
3

Pre - Construction Notification/State General Isolated Wetland Permit S &ME Project No. 1357 -13-019
Proaosed Octaaharma Blood Plasma Facility August 16, 2013
Figure 5, Appendix II, depicts the delineated area within the project area. Representative
photographs of the project area and jurisdictional features identified are included in
Appendix IV. A Preliminary Jurisdictional Determination form, which included
completed USACE Routine Wetland Determination Forms, was prepared and previously
submitted to the USACE on July 23, 2013. Mr. Steve Kichefski conducted a site visit on
August 8, 2013 and agreed with S &ME's jurisdictional determination.
PROPOSED PROJECT IMPACTS
Construction of the facility parking -lot areas will result in approximately 0.22 acre of
permanent impact to non404 jurisdictional Wetlands A and C (W1 and W3,
respectively) due to proposed grading and placement of fill. The facility dockyard will
result in approximately 0.03 ac of permanent impact to jurisdictional Wetland B (W2)
due to proposed grading and placement of fill. In addition, in order to comply with
Stormwater Management requirements, approximately 0.06 acres of jurisdictional
Wetland B will be affected for the installation and maintenance access of a sand filter
stormwater management facility.
It should additionally be noted that a temporary 15 -inch flexible pipe will be placed
across the non -404 jurisdictional Wetland A during initial grading activities (i.e., prior to
authorization). The purpose of this activity is to control stormwater through the initial
construction phase of the project. S &ME contacted Alan Johnson of the DWR on August
9, 2013 to confirm that temporary placement of the pipe on the surface of the wetland
would not be considered a violation. Mr. Johnson indicated the temporary pipe would be
acceptable (personal communication).
The locations of Waters of the U.S. and the proposed project impacts are depicted on the
attached Figure 5 (Appendix II). Plan view drawings of the project are included in
Appendix III.
PROTECTED SPECIES AND CULTURAL RESOURCES
Protected Species
S &ME's review of potential protected species habitat entailed a literature review of
existing records obtained from federal and state sources to identify documented records
of protected species. The USFWS list of federally protected species (updated December
26, 2012) was consulted for a listing of protected species documented within
Mecklenburg County, North Carolina. This review identified three plant species and two
animal species. Listed fauna and flora and their federal status are identified in Table 1.
Explanations of rankings are included at the end of the table.
4

Pre - Construction Notification/State General Isolated Wetland Permit S &ME Project No. 1357 - 13-019
Proposed Octapharma Blood Plasma Facility August 16, 2013
Table 1: Federally Protected Flora and Fauna Summary
Species
Federal Rank*
County Status _
Habitat Present
Helianthus schweinitzii
Schweinitz's sunflower
E
Current
No
(vascular plant)
Rhus michauxii
Michaux's sumac (vascular
E
Current
No
plant)
Echinacea laevigata
Smooth Coneflower (vascular
E
Current
No
plant)
Lasmigona decorate
Carolina heelsplitter
E
Current
No
(invertebrate animal)
Haliaeetus leucocephalus
BGPA
Current
No
Bald eagle (vertebrate animal)
* E = Endangered, BGPA = Bald and Golden Eagle Protection Act
S &ME completed a field reconnaissance of the project area on July 5 and 16, 2013. The
project area was identified as consisting of a relatively permanent water body (unnamed
perennial tributary of Steele Creek), adjacent riparian forested wetland and mixed
hardwood upland. Upland areas within the project site are vegetated with mature tree
species. Based on the current site conditions and vegetation within the project area, the
proposed project is not likely to affect these species.
A copy of this NWP 39 application is being provided to the USFWS — Asheville Field
Office.
Cultural Resources
A copy of this NWP No. 3 application will be provided to the North Carolina State
Historic Preservation Office (SHPO), requesting that they review their records regarding
cultural, archaeological, or historical resources in or near the project area and to provide
written comments regarding the interests of their agency. A review of the SHPO GIS
Web Service indicated that there were no properties currently listed or determined
eligible for listing in the National Register of Historic Places within a one mile radius of
the project.
In the event archaeological or paleontological remains are found during the course of
project construction, and in accordance with NWP regional conditions, construction will
be halted and USACE, SHPO, and the Office of State Archaeology will be notified.
5

Pre - Construction Notification/State General Isolated Wetland Permit SWE Project No. 1357 -13-019
Proposed Octaoharma Blood Plasma Facility August 16. 2013
AVOIDANCE AND MINIMIZATION
Multiple revisions of the project design have been made in order to minimize impacts to
jurisdictional features to the extent practicable. Earlier designs involving site layout were
rotated approximately 90 degrees relative to the current site layout. However, these
options were abandoned in favor of the current design due to the extent of jurisdictional
impacts associated with the previous design iterations. Additionally, placement of the
facility parking and the use of below -grade stormwater management facilities were
decided upon specifically as measures to minimize impacts to Wetland B and Stream 1.
The project's stormwater management will be designed in accordance with the City of
Charlotte's Stormwater Ordinance and Post Construction Stormwater Ordinance. These
ordinances have been crafted so that developments of sites have a minimal impact on the
adjacent environment. A brief summary of the design criteria are as follows:
• The site must reserve a minimum of 10% of the site as Natural Areas;
• Best Management Practices (BMPs) are required so that the first 1" of rainfall is
treated and 85% (min) of total suspended solids are removed; and
• The rate of stormwater runoff from the site in the post developed condition is
required to be equal to or less than or equal to the rate of the existing site
conditions for the 1, 10 and 25 year design storms.
The stormwater will be treated by the use of a `sand filter' and will be detained in an
underground pipe system. The final discharge of the sites stormwater will be to the
unnamed tributary of Steele Creek (Stream 1) via a storm drainage pipe that will be
routed from the underground pipe system to the existing Westlake Drive culvert with
existing stream bed & bank stabilized rip -rap.
The proposed building and associated dock yard (used for delivery truck access) were
located so as to minimize impacts to jurisdictional Wetland B on the property within the
constraints imposed by property configuration and existing utilities and easements.
Additionally, a below - ground stormwater management facility is also proposed for the
site. This further minimizes the space required for stormwater treatment that would
otherwise be associated with above - ground stormwater facilities.
REGULATORY CONSIDERATIONS
Sediment and erosion control Best Management Practices (BMPs) will be employed in
order to comply with the appropriate turbidity water quality standards. These BMPs shall
be consistent with specifications governing their proper design, installation, operation and
maintenance, as outlined in the most recent version of the "North Carolina Sediment and
Erosion Control Planning and Design Manual" and approved by the local governing
authority.
Sediment and erosion control measures are not anticipated to be placed below the
ordinary high water mark. Impacts have been avoided and minimized, and appropriate
measures will be taken during construction to allow flow and circulation patterns of
waters of the U.S. to remain unaffected.
A

Pre - Construction Notificaton/State General Isolated Wetland Permit SWE Project No. 1357 - 13-019
Proposed Octapharma Blood Plasma Facility August 16, 2013
The proposed project will result in impervious surface which exceeds 24% within the
project area. Accordingly, a stormwater management plan is in the process of being
prepared and submitted to the City of Charlotte. Upon request, a copy of the stormwater
management plan can be provided once final approval has been obtained.
Following construction, temporarily disturbed areas will be restored to original grade and
elevation. The proposed project should not result in permanent changes in pre-
construction elevation contours or stream dimension, pattern or profile beyond those
described in this application. Excess material will be removed to a high ground disposal
area. The project is located outside of and will therefore not disturb the Federal
Emergency Management Agency (FEMA) designated 100 -year floodplain, and complies
with state and local floodplain management requirements.
MITIGATION
Based on past conversations with the USACE and DWR and our understanding of agency
guidance, we anticipate that the proposed project will not require compensatory
mitigation for the proposed 0.09 acres of permanent impact to jurisdictional wetlands and
0.22 acres of non -404 jurisdictional wetlands, due to minimal area affected and as
appropriate avoidance and minimization procedures have been implemented during the
design phase of the project.
Should these plans for on -site mitigation not ultimately be endorsed by the USACE and
DWR, the proposed alternative approach for mitigation would be through payment into
the North Carolina Ecosystem Enhancement Program ( NCEEP) In -lieu Fee Program. In
advance consideration of this prospect, a request for payment into the In -lieu Fee
Program for the jurisdictional wetland impact has been sent to the NCEEP (see Appendix
V)•
7

Pre- Construction Notification/State General Isolated Wetland Permit SWE Project No. 1357 -13-019
Proposed Octaoharma Blood Plasma Facility August 16. 2013
CLOSING
By copy of this correspondence and completed PCN, we are requesting your written
concurrence with this application for project authorization under NWP No.39, WQC
3890 and a State General Isolated Wetland Permit. If you have questions or need
additional information, please feel free to contact us at 704.523.4726.
Sincerely,
S &ME
[)a. Yk. Pt.;,
Darrin M. Peine, QEP
Natural Resources Department Manager
Joey Lawler, P.W.S.
Natural Resources Senior Project Manager
Senior Reviewed by Julie Bennett- Hudel, P.G. LEED AP
Attachments
Cc: USFWS — Asheville Field Office
NC SHPO
Barry Pomeroy - Octapharma Plasma, Inc.
Chris Reutershan - DTZ

APPENDIX 1:
COMPLETED PCN
AGENT AUTHORIZATION FORM AND
CORPORATE LETTER OF AUTHORIZATION

OF
wArfi9Qc
O `c
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the Corps:
Q Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 39 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps?
Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
Q 401 Water Quality Certification — Regular FE] Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes 0 No
For the record only for Corps Permit:
❑ Yes El 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 ❑x No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes Q No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes Q No
2. Project Information
2a. Name of project:
Octapharma Blood Plasma Facility
2b. County:
Mecklenburg
2c. Nearest municipality / town:
Charlotte
2d. Subdivision name:
N/A
2e. NCDOT only, T.I.P. or state project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
TCA Westlake, LLC
3b. Deed Book and Page No.
16756, Page 575
3c. Responsible Parry (for LLC if
applicable):
Mr. Barry Pomeroy & Ms. Judy Smith
3d. Street address:
440 South Church Street, Suite 800
3e. City, state, zip:
Charlotte, NC, 28202
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent F!] Other, specify: Contract Purchaser
4b. Name:
Barry Pomeroy & Judy Smith
4c. Business name
(if applicable):
Octapharma Plasma, Inc.
4d. Street address:
3525 Whitehall Park Drive, Suite 500
4e. City, state, zip:
Charlotte, NC, 28273
4f. Telephone no.:
704- 654 -4641
4g. Fax no.:
4h. Email address:
Barry.Pomeroy @octapharmaplasma.com; Judy.Smith @octapharmaplasma.com
5. AgentlConsultant Information (if applicable)
5a. Name:
Damn Peine
5b. Business name
(if applicable):
S &ME, Inc.
5c. Street address:
9751 Southern Pine Blvd.
5d. City, state, zip:
Charlotte, NC, 28273 -5560
5e. Telephone no.:
704 -523 -4726
5f. Fax no.:
704 -565 -4929
5g. Email address:
dpeine @smeinc.com
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
201 - 142 -01
1 b. Site coordinates (in decimal degrees):
Latitude: 35.13794 Longitude: - 80.968265
1c. Property size:
8.26 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Steele Creek
2b. Water Quality Classification of nearest receiving water:
C
2c. River basin:
Catawba
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 project area is approximately 8.26 acres, which is undeveloped and wooded with mature tree species. The project site is located wdhin an
existing business park with several adjacent commercial facilities. The Standard Classification System of the property is most appropriately
categorized as Broadleaf Deciduous Forest Land.
3b. List the total estimated acreage of all existing wetlands on the property: 0.95
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 683
3d. Explain the purpose of the proposed project:
Construct a new facility that will be the testing and storage of the blood plasma collected at the company's 45 nationwide donation centers.
3e. Describe the overall project in detail, including the type of equipment to be used:
See attached cover letter.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
❑ Yes ❑ No ❑X Unknown
Comments: Corps Site visit on 8/8/ 13
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
Preliminary El Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency /Consultant Company:
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
this project (including all prior phases) in the past?
❑Yes ❑ No Q Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ❑x No
6b. If yes, explain.
Page 3 of 10
PCN Form —Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
x❑ 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.
Wetland impact
number
Permanent (P) or
Temporary
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 P
Fill
Small -Basin Wetland
Yes
DWQ
0.18
W2 P
Fill
Riverine Swamp Forest
Yes
Corps
0.09
W3 P
Fill
Small -Basin Wetland
Yes
DWQ
0.04
W4 -
Choose one
Choose one
Yes/No
-
W5 -
Choose one
Choose one
Yes/No
-
W6 -
Choose one
Choose one
Yes/No
-
2g. Total Wetland Impacts:
0.31
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 -
Choose one
-
-
S2 -
Choose one
-
-
S3 -
Choose one
S4 -
Choose one
-
-
S5 -
Choose one
-
-
S6 -
Choose one
-
-
3h. Total stream and tributary impacts
3i. Comments:
No Stream impacts proposed
Page 4 of 10
PCN Form — Version 1.4 January 2009

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 im ads below.
4a.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts
4g. Comments: No Open Water impacts proposed
5. Pond or Lake Construction
If Pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments: No Pond or Lake Construction proposed
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for 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. Project is in which protected basin?
❑ Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet )
6g.
Zone 2
impact
(square
feet
B1 -
Yes/No
B2 -
Yes /No
B3 -
Yes/No
B4 -
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
6i. Comments: No Buffer impacts proposed
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
See attached cover letter.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
See attached cover letter.
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 ❑x 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: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
Q Yes
4b. Stream mitigation requested:
200 linear feet
4c. If using stream mitigation, stream temperature:
warm
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
0.25 acres
4f. Non - riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form —Version 1.4 January 2009

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 [j] 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 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. 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
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
24
2b. Does this project require a Stormwater Management Plan?
❑x Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
See attached cover letter.
2e. Who will be responsible for the review of the Stormwater Management Plan?
City of Charlotte
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
City of Charlotte
❑ Phase II
3b. Which of the following locally- implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑x Other: Chi Stormwater Ordina
3c. Has the approved Stormwater Management Plan with proof of approval been
[]Yes 0 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
❑ Yes Q No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form —Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal /state/local) funds or the
❑ Yes
Q No
use of public (federal/state) land?
1b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
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
❑x No
or Riparian Buffer Rules (15A NCAC 2B.0200)?
2b. Is this an after - the -fact permit application?
❑ Yes
Q No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑Yes
No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non- discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Facility generated wastewater will be connected into an existing municipal sewage collection and treatment system.
Page 9 of 10
PCN Form — Version 1.4 January 2009

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 Q No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
USFWS County list of North Carolina. A copy of this application is being provided to the USFWS Asheville Field Office.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes 0 No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
The project is not located near any of the coastal areas where North Carolina's areas of Essential Fish Habitat have been designated.
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 Q 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 review of the SHPO GIS Web Service. A copy of this application is being provided to the SHPO
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes Q No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
FEMA floodplain maps availible from www.nefloodmaps.com
Di� &Ptz,
?116I20PI3
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization
letter from the applicant is provided.)
Page 10 of 10

... ... ... .. ... . .. . . . .. .
AGENT AUTHORIZATION FORM
Date: June 21, 2013
S &ME Project Name:
Westlake Business Pai
Type of Project
Jurisdictional Delineati
Location:
Charlotte, NC
3roperty Owner /Representative Information
Business Name:
Octepharma Plasma, I
Mailing Address:
3525 Whitehall Park D
City, State, Zip Code:
Charlotte, NC 28273
Telephone No.
Contact
Barry Pomeroy
information
Street Address: 975i aoui
City, State, Zip Code: Charlotte, NC 28273
Telephone No. (704) 523 -4726
�__..,... Inev Lawler. P.W.S.
Lot No. 25
Suite
S &ME is hereby authorized to submit Information and conduct site visits with the
U.S. Army Corps of Engineers and /or N.C. Division of Water Quality, as
necessary to secure confirmation of a jurisdictional determination within the
subject property identified above.
of roperty O er or Appointed Representative
Printed
SWE, INC. / 9751 Southem Pine Blvd / Charlotte, NC 28273 / p 704.523.4728 f 704.525.3953 I www.emelnc com

®cta pharma
plasma
August 14, 2013
Re: Proposed Octapharma Blood Plasma Facility located within the Westlake Business Park
on Westlake Drive in Mecklenburg County, NC. (the "Project ")
To whom it may concern:
S &ME, Inc., on behalf of Octapharma Plasma, Inc., will be submitting an application for
authorization of impacts to waters of the U.S. in accordance with Department of the Army
Nationwide Permit No. 39 and corresponding North Carolina Water Quality Certification 3890
and a State General Isolated Wetland Permit pursuant to the Division of Water Resources (the `
"Applications ").
Barry Pomeroy, Vice President - Finance, and I will be the responsible parties for all matters
associated with the Applications, including the signature of all documents associated therewith.
Sincerely,
I 'th Smith
recutive Vice President and COO
3525 Whitehatt Park Drive - Suite 500 • Charlotte, NC 28273 • USA • Phone: [phone] • Fax: [phone]
www. octapharmaplasma. com

APPENDIX I1:
FIGURES

h
4 �
F �
j Wp,t gtvd
�f
EAGLE LAKE
a
a
HEATHER GLEN Y
p F'�tfr
G
e
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e Song
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-BERRYH {LL
9
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a4
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'6
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YORKSHERE ArOv nds p
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✓
.`, CAROUNAS =POINT
PP Project Area
Approximate Pro rea
1
CoEC C: =fEK
REFERENCE:
BEACON KNoLi
GIs DATA LAYERS WERE OBTAINED FROM BING STREETMAP. PLEASE NOTE THIS
MAP IS FOR
' 1 2
INFORMATIONAL PURPOSES ONLY. IT IS NOT MEANT FOR DESIGN, LEGAL, OR ANY
OTHER USES.
,/0
!;'' Miles
/,
THERE ARE NO GUARANTEES ABOUT ITS ACCURACY S &ME, INC. ASSUMES NO RESPONSIBILITY FOR
r C+RD GREY
ANY DECISION MADE OR ANY ACTIONS TAKEN BY THE USER BASED UPON THIS INFORMATION.
(91 )10 NAVTEQ Z ANDV10$3I[gtidosmeft Corporation
SCALE: AS NOTED
FIGURE NO.
SITE VICINITY MAP
DATE:
08 -06 -13
*S&ME
PROPOSED
DRAWN BY
HAC
WWW.SMEINC.COM
OCTAPHARMA BLOOD PLASMA FACILITY
PROJECT NO
MECKLENBURG COUNTY, NORTH CAROLINA
L 1357 -13 -019
ENGINEERING LICENSE NO F -0176

•
\ ls-k)j
$0
V
V- Hj Ze
Approximate Project Area N
REFERENCE: USGS 2013 CHARLOTTE WEST (NC) QUAD SHEET
GIS DATA LAYERS WERE OBTAINED FROM ESRL PLEASE NOTE THIS MAP IS FOR INFORMATIONAL 0 1,000
PURPOSES ONLY IT IS NOT MEANT FOR DESIGN, LEGAL, ORANY OTHER USES. THERE ARE NO
GUARANTEES ABOUT ITS ACCURACY. S&ME, INC. ASSUMES NO RESPONSIBILITY FOR ANY DECISION
MADE OR ANY ACTIONS TAKEN BY THE USER BASED UPON THIS INFORMATION
SCALE 1 1,000 USGS TOPOGRAPHIC MAP
DATE: 08-06-13 *S&ME
DRAWN BY. HAC WWW.SMEINC.COM PROPOSED OCTAPHARMA BLOOD PLASMA FACILITY
PROJECT NO MECKLENBURG COUNTY, NORTH CAROLINA
I
1357- 13 -(l1 q ENGINEERING LICENSE NO. F-0176
NN
C
FIGURE NO
2
0

REFERENCE: SOIL SURVEY GEOGRAPHIC (SSURGO) DATASET FOR MECKLENBURG COUNTY
GIS DATA LAYERS WERE OBTAINED FROM THE USDA GEOSPATIAL DATA GATEWAY. PLEASE NOTE THIS MAP IS
FOR INFORMATIONAL PURPOSES ONLY. IT IS NOT MEANT FOR DESIGN, LEGAL, OR ANY OTHER USES. THERE
ARE NO GUARANTEES ABOUT ITS ACCURACY. S&ME, INC. ASSUMES NO RESPONSIBILITY FOR ANY DECISION `
MADE OR ANY ACTIONS TAKEN BY THE USER BASED UPON THIS INFORMATION.
c
m
C1
m
m
F
r
IrB
O�
�a
�a
" /11A
B
Approximate Project Area
IrA: Iredell fine sandy loam, 0 to 1 percent slopes
IrB: Iredell fine sandy loam, 1 to 8 percent slopes 0 200
SCALE: 1 „ = 200 ,
r �
r
;a
400
Feet
FIGURE NO
DATE: -.: S &ME USDA SOIL SURVEY MAP
08 -06 -13
DRAWN BY HAC PROPOSED OCTAPHARMA BLOOD PLASMA FACILITY
WWW.SMEINC.COM
PROJECT NO: MECKLENBURG COUNTY, NORTH CAROLINA
1357 -13 -019 ENGINEERING LICENSE NO: F -0176
0
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pxw SiOVdWl OZHXOMddH SOWed sseuisng a�epsaM 6LO \£LOZ\LS£L \ :D

APPENDIX III:
PROPOSED GRADING PLANS

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GATT, WA20,3 ISSUE.
EARLY OOADSD
MIR ME
° ✓ /// 4 / _ - �sNaNa OYTH er TLR CHX_ wG
L Blood Pbarra Facft of
105M Woodake Dr CTIa110a9 NC 28271
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b 0 t3 10 80 OFIEAAL REFERENCE OILY YNmOKT
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TRIAD "OK TNIAN DAL ARE rMauT w APPR0IFD FFORW Oalma PlM1 q A NWILATIW 0 M ■ MMM DAMAGE SmVL M MINE aD101 WAN.a PI[
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GATT, WA20,3 ISSUE.
EARLY OOADSD
MIR ME
° ✓ /// 4 / _ - �sNaNa OYTH er TLR CHX_ wG
L Blood Pbarra Facft of
105M Woodake Dr CTIa110a9 NC 28271
as
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lI sI `/
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C M1mG 2N0
NORTH
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CONSTRU gIRPOSEB. M
eDALEwIEN NOIGTm gFal
b 0 t3 10 80 OFIEAAL REFERENCE OILY YNmOKT
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1 R 7
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GATT, WA20,3 ISSUE.
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L Blood Pbarra Facft of
105M Woodake Dr CTIa110a9 NC 28271
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APPENDIX IV:
SITE PHOTOGRAPHS

Photo 1: View of Stream 1 entering property (facing upstream).
Photo 3: View of Stream 1 facing upstream.
Photo 2: View downstream toward beaver impoundment.
Photo 4: View north of beaver impoundment of Stream 1.
Taken by: HAC
Checked by: WC ME
Date: 07.16.13
SITE PHOTOGRAPHS (07.16.13)
Proposed Octapharma Blood Plasma Facility
Charlotte, North Carolina

Photo 9: View of representative upland area (UP 21.1 data point).
Photo 10: Representative view of vegetation adjacent Stream 1.
Taken by: HAC SITE PHOTOGRAPHS (07.16.13)
Checked by: WC ME Proposed Octapharma Blood Plasma Facility
Charlotte, North Carolina
Date: 07.16.13
No.: 1357 -13 -019
Photo Page 3 of 3

APPENDIX V:
COPY OF EEP ACCEPTANCE LETTER

t/
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f=. `rem+
PRGGRAM
August 15, 2013
Barry Pomeroy
,Octapharma Plasma
3525 Whitehall Park Drive, Suite 500
Charlotte, NC 28273
Project: Octapharma Blood Plasma Facility
Expiration of Acceptance: February 15, 2014
County: Mecklenburg
This is a conditional acceptance. The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program
(NCEEP) is willing to accept payment for compensatory mitigation for impacts associated with the above referenced project as
indicated in the table below, Please note thatthis decision does not assure that participation in the NCEEP will be approved by the
permit issuing agencies as mitigation for project impacts. It is the responsibility of the applicant to contact these agencies to determine
if payment to the NCEEP will be approved. You must also comply with all other state, federal or local government permits,
regulations or authorizations associated with the proposed activity including SL'2009 -337: An Act to Promote the Use of
Compensatory Mitigation Banks as amended by
S.L. 2011 -343_
This acceptance is valid for six months from the date of this letter and is riot transferable. If we have not received a copy of the
issued 404 Permit/401 Certification/CAMA permit within this time frame; this acceptance will expire, It is the applicant's
responsibility to send copies of the permits to NCEEP. Once NCEEP receives a copy of the permit(s) an invoice will be issued based
on the required mitigation in that permit and payment must be made prior to conducting the authorized work. The amount of the In-
Lieu Fee to be paid to NCEEP by an applicant is calculated based upon the Fee Schedule and policies listed at www.nceep.net.
Based on the information supplied by you in your request to use the NCEEP, the impacts that may require compensatory mitigation
are summarized in the following. table. The amount of mitigation required and assigned to NCEEP for this impact is determined by
permittm agencies and may exceed the impact amounts shown below.
River CU Stream (feet) Wetlands (acres) Buffer '1 Buffer lI
Basin Location. I (Sq. Ft.) (Sq. Ft.)
Cold Cool I Warm ju arian Non -Ri arian Coastal Marsh
Impact Catawba 03050103* 0 1 0 1 200 0.25 1 0 0 0 0
*EEP will accept Payment for the required mitigation pending aiobroval of use of the Catawba. 3050103 Expanded Service Area 1)pop,
receipt of payment, EEP will take responsibility for providing the compensatory mitigation. The mitigation will be performed in
accordance with the N.C. Department of Environment and Natural Resources' Ecosystem Enhancement Program In -Lieu Fee
Instrument dated July 28, 2010.
Thank you for your interest in the NCEEP. If you have any questions or need additional information, please contact Kelly Williams at
(919) 707 -8915.
Sincerely,
James. B Stanfill
Asset Management Supervisor
cc: Karen Higgins, NCDWR Wetlands /401 Unit
Steve Kichefski, USACE- Asheville
Alan Johnson, NCDWR - Mooresville
Darrin Peine, agent
File �,�
Re�stor�...�r -t�... pro Or�.i� Stu
North Carolina Ecosystem Enhancement Program, 1662 Mail Service Center, Raleigh, NC 27699 - 16521919- 707 -8976 /www.nceep.net