20140091 Ver 1_401 Application_20140114

20140091
EW
EnvironnumAW Consulting Services Im
January 24, 2014
Ms Tasha McCormick
USACE
Asheville Regulatory Field Office
151 Paton Ave, Rm 208
Asheville, NC 28801 -5006
RE Jeld -Wen Sewer Line Project
Town of North Wilkesboro, NC
n
Dear Ms McCormick
3764 Rommger Rd
Banner Elk, NC 28604
Ph 828 - 297 -6946
Fax 828 - 297 -1982
e-mail WCCJV@Skybest com
Enclosed is an application for NWP 12 and WQC #3884 for the referenced project The property owner
is the Town of North Wilkesboro, represented by Robert L Johnson, Mayor John Vilas with ENV Inc
is the agent, (authorization letter included with PCN) and has prepared this application Copies of this
PCN have been mailed to both DWR (5 with a check for $240 to cover 401 fee) and NCWRC
If you need to schedule a site visit please contact me Please include ENV Inc on the copy list of all
correspondence for this project If you have any questions regarding this information please call me at
828 - 297 -6946, thank you
Sincerely,
Jo n C Vilas
President, ENV Environmental Consulting Services Inc
Cc Mr Dave McHenry, NCWRC
Mr Robert L Johnson, Mayor Town of North Wilkesboro
Mr Mike Acquesta, PE - Municipal Engineering, PA
NCDWR Central Office

__0 r
> i
O Y
Office use Only
Corps action ID no
DWQ project no
Form Version 10 November 2008
Page 1 of 14
PCN Form — Version 1 0 November 2008 Version
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9
7
Pre - Construction Notification (PCN) Form
,� 1 j
A
Applicant Information
1
Processing
_
la
Type(s) of approval sought from the
Corps
[D Section 404 Permit [I Section 10 Permit
lb Specify Nationwide Permit (NWP) number 12 or General Permit (GP) number
1c
Has the NWP or GP number been venfied by the Corps?
® Yes
❑ No
1 d
Type(s) of approval sought from the DWQ (check all that apply)
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ® No
1f
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program
❑ Yes
® No
1g
Is the project located in any of NC's twenty coastal counties If yes, answer 1h
below
❑ Yes
® No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2
Project Information
2a
Name of protect
Jeld -Wen Sewerline Protect
2b
County
Wilkes
2c
Nearest municipality / town
North Wilkesboro
2d
Subdivision name
2e
NCDOT only, T I P or state
protect no
3
Owner Information
3a
Name on Recorded Deed
Town of North Wilkesboro
3b
Deed Book and Page No
799/363, 91416
3c
Responsible Party (for LLC if
applicable)
Robert L Johnson
3d
Street address
PO Box 218 832 Main Street
3e
City, state, zip
North Wilkesboro, NC 28659
3f
Telephone no
(336) 667 -7129
3g
Fax no
3h
Email address
townmanager @north- Hlkesboro com
Page 1 of 14
PCN Form — Version 1 0 November 2008 Version
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Section A Applicant Information, continued
4
Applicant Information (if different from owner)
4a
Applicant is
® Agent ❑ Other, specify
4b
Name
4c
Business name
(if applicable)
4d
Street address
4e
City, state, zip
41'
Telephone no
4g
Fax no
4h
Email address
5
Agent/Consultant Information (if applicable)
5a
Name
John C Was
5b
Business name
(if applicable)
ENV -ECS, Inc
5c
Street address
3764 Rommger Road
5d
City, state, zip
Banner Elk, NC 28604
5e
Telephone no
828 297 6946
51'
Fax no
5g
Email address
john @env -ecs com
Page 2 of 14
PCN Form — November 2008 Version

B. Project Information and Prior Project History
1.
Property Identification
1a
Property identification no (tax PIN or parcel ID)
3889 -13 -0527, 3889 -33 -1485
1b
Site coordinates (in decimal degrees)
36 18796'N - 81 08675'W
1c
Property size
489 9 acres
2
Surface Waters
2a
Name of nearest body of water (stream, river, etc) to
proposed project
Yadkin River
2b Water Quality Classification of nearest receiving water
C
2c
River basin
Yadkin Pee -Dee
Page 3 of 14
PCN Form — Version 1 0 November 2008 Version

Project Information and Prior Project History
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
Project watershed is mostly wooded Historic land activity of timbering has led to some degraded stream channel
conditions However, majority of stream buffers are intact with forest plant communities
Upper section of the sewerline project, below the Jeid -Wen Millwork facility, consists of a 40 feet wide project corridor
The linear comdor drops from a forested ridge following an old woods road down a stream valley to River Liberty Grove
Church Road The woods road is approximately 8' wide and is rough graded in sections, but is overgrown in most places
and currently impassable to vehicles The project corridor runs parallel to UT -Yadkin River for approximately 900 feet
The project comdor makes two stream crossings and one wetland crossing
Crossing #1 (Sta 24 +10) crosses NS -1- UT -Yadkin River, a 4' vnde 1st order intermittent stream with a 13 8 -acre
drainage area The stream has well defined morphological characteristics, good sorting of bed load, and continuous bed
and bank features The lower portion of NS-1, before the confluence with NS-2, is having problems with channel incision
and bank erosion NS-1 has strong bedrock grade control features along most of its channel and within the proposed
crossing area
Crossing #2 (Sta 22 +10) crosses NS- 2- UT- Yadkin River, a 14' wide 1st order perennial stream with year round flow and
a 67 5 -acre drainage area NS -2 has hydrological, biological, and morphological characteristics consistent with perennial
streams These characteristics include depositional bars, good sorting of materials, riffle run complexes, good baseflow
conditions, continuous bed and bank features, presence of OHWM and wrack lines NS -2 has strong bedrock grade
control features along most of its channel and within the proposed crossing area
Crossing #3 (Sta 19 +30) crosses wetland unit NW -1, rated as moderate quality (NCWAM) NW -1 is a small wetland seep
emerging from a historic cut slope, dominated by herbaceous plant material NW -1 is located on the woods road above
NS- 2- UT- Yadkin River and in the 60' wide powerline easement Soils are very shallow, less than 6" deep, and bedrock is
encountered below the soil horizon causing perched conditions
Lower section of the sewerline project runs parallel to River Liberty Grove Church Road in an area off rural residential
properties with large sections of farmland and undeveloped land Project corridor is narrow, 5-10 feet wide, confined to
the shoulder of River Liberty Grove Church Road The lower section project comdor will make three piped stream
crossings, all unnamed tributaries to Yadkin River that flow under River Liberty Grove Church Road
Crossing #4 (Sta 45 +59) crosses NS- 3- UT- Yadkin River, a 4' wide 1 st order intermittent stream with year round flow and
a drainage area of 23 4 -acres NS-3 has discrete and confined surface flow, as well as a continuous bed and bank
features, OHWM, strong baseflow, and good sorting of materials
Crossing #5 (Sta 28 +27) crosses NS -4 -UT- Yadkin River, a 6' vnde 2nd order perennial stream with year round flow and
a drainage area of 173 7 -acres NS-4 flows through an old pond footprint upstream of the project corridor, a broad area of
loose sediments, sediment bar features, and eroded banks Generally the channel of NS-4 has depositional bars, good
sorting of materials, riffle -pool complexes, strong baseflow conditions and presence of OHWM
Crossing #6 (Sta 17 +18) crosses NS -5-UT- Yadkin River, a 4' wide 1st order intermittent stream with year round flow and
a drainage area of 55 7 -acres NS-5 has discrete and confined surface flow, as well as continuous bed and bank features
OHWM, strong baseflow, and good sorting of materials
3b List the total estimated acreage of all existing wetlands on the property
This is a linear utility line project with one wetland plot in the project corridor Total wetland acreage in the project corridor
is approximately 0 01 -ac
Page 4 of 14
PCN Form — November 2008 Version

Project Information and Prior Project History
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
This is a linear utility line protect with five streams in the project comdor Approximately 1,000 If of stream channel was
assessed within the project corridor
3d Explain the purpose of the proposed project
The purpose of the project is to connect the Jeld -Wen Millwork manufacturing facility to the Town of North Wilkesboro
mwcipal sanitary sewerlme
3e Describe the overall project in detail, including the type of equipment to be used
The Jeld -Wen project involves the installation of a new sewerlme connecting the Jeld -Wen Millwork manufacturing facility
to an existing sewerlme owned by the Town of North Wilkesboro The project is broken into two sections, an upper and
lower The upper section will consist of a gravity fed seweriine and the lower section will be pumped
Upper section will consist of 2,105 If of 8" PVC gravity fed sewer line Gravity line slopes will range between 0 4% - 15 %,
and trenches will be dug 3' wide and 4' deep to ensure a minimum of 3' of cover over the sewer line When bedrock is
encountered during trenching, blasting will be employed to get the necessary cover and slope requirements The upper
gravity fed section of the proposed sewer line will make two stream crossings (1&2) and one wetland crossing (3)
Sewerlme protect corridor parallels UT -Yadkin River A 25' buffer offset is being used where practicable but never less
than 10' from the jurisdictional top of bank Silt fence will line the project corridor Water checks /stops will be installed
every 50' along the bedding of the sewerlme trench to keep ground water from running down the trench
Sta 24 +10, Crossing #1 will trench across NS-1 6 If of temporary fill impacts (S-1) are being applied for at this crossing
A pump around operation will be used to ensure work is performed in the dry while trenching This operation is detailed in
the site plans, Sheet 11, D -2 10 If of permanent impacts (S-4) are being applied for at this crossing Crossing #1 will
serve as a permanent maintenance access road crossing with a constructed ford The contractor will construct the ford as
follows non -woven fabric will be laid along the stream banks and nprap will be placed over top, keyed -in such that the
original streambank contours and elevation are maintained This armoring will allow vehicles to drive across the stream
channel without creating ruts and causing erosion to the stream banks The permanent ford crossing will be 10' vide
Following work, all temporary measures will be removed from the channel and an erosion control seed mixture will be
applied to disturbed areas
Sta 22 +10, Crossing #2 will consist of a 60' aerial sewer crossing using 8" DIP encased in a steel 16" pipe Piers will be
built on either side of the aerial crossing outside of the jurisdictional streambank width The grading contractor will
construct a ford at this crossing using non -woven fabric and nprap to armor the stream banks without altering channel
elevation and streambank contours 10 If of permanent impacts (S -5) are being applied for at his crossing for the
constructed ford This section of stream is bedrock dominated with no problems being anticipated with equipment driving
across the channel The ford will be used as a permanent maintenance access road for the sewer line All disturbed areas
will be seeded with an erosion control seed mixture following work
Sta 19 +30, Crossing #3 at wetland unit NW -1 This wetland will be permanently impacted (W -1) by blasting, trenching in
the sewer line, and grading and building a 10' wide permanent maintenance access road
Lower section will be 3,617 47 If long, running from the pump station to the existing North Wilkesboro sanitary sewer tie-in
manhole Trenching will occur along the shoulder of River Liberty Grove Church Road Trench dimensions 3' wide and 4'
deep to get 3' of cover on the sewerlme There are three stream crossings (4, 5, 6) on the lower section
Sta 45 +59, Crossing #4 will incur 6 If of temporary fill impacts (S -2) Appears likely trenching under the culvert will be
necessary due to minimal surface cover Pump around operation will be used ito ensure work is performed in the dry
while trenching
Sta 28 +27, Crossing #5 will incur 6 If temporary fill impacts (S-3) for a pump around operation Appears likely trenching
under the culvert will be necessary due to minimal surface cover
Sta 17 +18, Crossing #6 will incur no temporary or permanent impacts due to 8 9' of vertical separation between existing
culvert and proposed sewerlme
Page 5 of 14
PCN Form — November 2008 Version

Project Information and Prior Project History
4.
Jurisdictional Determinations
4a
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
❑ Yes ® No ❑ Unknown
project (including all prior phases) in the past?
4b
If the Corps made the jurisdictional determination, what type
Preliminary E] Final
of determination was made
Agency /Consultant Company ENV -ECS, Inc
4c
if yes, who delineated the jurisdictional areas?
Other Four streams were delineated along the project
Name (if known)
comdor NS -1, NS-2, NS-3, NS-4 Top of streambanks
were flagged for jurisdictional limits One wetland plot
was delineated along the project corridor, NW -1
4d
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5
Project History
5a
Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b
If yes, explain in detail according to "help file" instructions
6
Future Project Plans
6a
Is this a phased project?
❑ Yes ® No
6b
If yes, explain
Page 6 of 14
PCN Form — November 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your project (check all that apply)
® Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2 Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted
2a
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number —
Type of
Type of wetland
Forested
(Corps - 404, 10
Area of impact (acres)
Permanent (P) or
impact
(if known)
DWQ — non -404, other)
Temporary
W1 ®P ❑ T
Fill,
excava6o
Seep
❑ Yes ® No
® Corps
® DWQ
0 01
n
W2 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
W3 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
W4 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
W5 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
W6 ❑ P ❑ T
❑ Yes ❑ No
❑ Corps
❑ DWQ
2g Total wetland impacts
0 01
2h Comments Wetland to be excavated and filled for trenching gravity sewer line and constructing a permanent
maintenance access road
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
Stream impact
Type of
Stream name
Perennial (PER) or
Average stream width (feet)
Impact
number -
impact
intermittent (INT)?
length
Permanent (P) or
(linear feet)
Temporary (T)
S1 ❑ P ®T
Fill
NS1- UT- Yadkin
❑ PER ® INT
4
6
River
S2 ❑ P ®T
Fill
NS3-UT -Yadkin
® PER ❑ INT
4
6
River
S3 ❑ P ®T
Fill
NS4 -UT -Yadkin
® PER ❑ INT
6
6
River
S4 ®P ❑ T
Fill
NS1 -UT- Yadkin
❑ PER ® INT
4
10
River
S5 ®P ❑ T
Fill
NS2 -UT -Yadkin
® PER ❑ INT
14
10
River
S6 ❑P ❑T
❑PER [:1 INT
3g Total stream and tributary impacts
38
3h Comments S1, S2, S3 all three are temporary impacts associated with pump around operations involving sandbags or
similar non - erodible material to temporarily block flow for performing work in the dry S4 and S5 are permanent impacts from
constructing a permanent stream ford for a 10' wide maintenance access road
Page 7 of 14
PCN Form — Version 1 0 November 2008 Version

C Proposed Impacts Inventory, continued
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 in vidually list all o en water impacts below
4a
4b
4c
4d
4e
Open water
Name of
impact number
waterbody
Type of impact
Waterbody type
Area of impact (acres)
— Permanent
(if
(P) or
applicable)
Temporary
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f Total open water impacts
4g Comments
Page 8 of 14
PCN Form — November 2008 Version

C Proposed Impacts Inventory, continued
5 Pond or Lake Construction
If pond or lake construction pr osed then complete the chart below
5a
5b
5C
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or
(acres)
number
purpose of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
ffif -Total
5g Comments
5h Is a dam high hazard permit required
❑ Yes ❑ No if yes, permit ID no
51 Expected pond surface area (acres)
5t 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 y ou MUST fill out Section D of this form
6a
❑ Neuse El Tar-Pamlico El Other
Project is in which protected basin
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number —
Reason
Buffer
Zone 1 impact (square
Zone 2 impact
Permanent (P)
for impact
Stream name
mitigation
feet)
(square feet)
or Temporary
required?
B1 ❑P ❑T
El Yes E3 No
B2 ❑P ❑T
❑Yes ❑No
B3 ❑P ❑T
❑Yes [I No
6h Total buffer impacts
61 Comments
Page 9 of 14
PCN Form — November 2008 Version
Formatted

D. Impact Justification and Mitigation
1.
Avoidance and Minimization
1a
Specifically describe measures taken to avoid or minimize the proposed impacts in designing protect
Using the existing woods road and stream ford locations on Crossings #1 and #2, in the upper section of the project, will
reduce the amount of grading work that needs to be performed and eliminate the need for having to install permanent
piped crossings for the maintenance access road Installation of an aerial sewer line crossing at Crossing #2 will reduce
stream impacts In the upper section, the jurisdictional top of bank was offset 25' in designing the project to ensure the
sewer fine is installed a maximum distance from stream banks and to maximize undisturbed stream buffers to an extent
which is practicable Installation of the sewerline along the lower section of the project following the shoulder of River
Liberty Grove Church Road and going over /under existing culverts well result in no permanent impacts to jurisdictional
waters
lb
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Erosion control measures well be placed as far from stream banks as practicable to preserve undisturbed buffer areas in
the upper section of the project Ford stream crossing locations have been chosen to cross at bedrock dominated stream
reaches At both stream ford locations, stream banks will be armored with non -woven matting and nprap to reduce
erosion from vehicles using the maintenance access road Stormwater runoff will be directed away from the ford locations
to ensure diffuse flow through the stream buffer Pump around operations, or other suitable method, will be utilized while
trenching utility lines at Crossings #1, #4, and #5 This will ensure work is performed in the dry Al jurisdictional features
along the entire project corridor have been clearly marked so the contractor can establish offset boundaries and limits of
construction
2
Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a
Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U S or Waters of the State?
2b
If yes, mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
❑ Mitigation bank
2c
If yes, which mitigation option will be used for this
❑Payment to in-lieu fee program
project?
❑ Permittee Responsible Mitigation
3
Complete If Using a Mitigation Bank
3a
Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
3c
Comments
4
Complete if Making a Payment to In -lieu Fee Program
4a
Approval letter from in -lieu fee program is attached
❑ Yes
4b
Stream mitigation requested
linear feet
4c
If using stream mitigation, stream temperature
warm, cool, cold
4d
Buffer mitigation requested (DWQ only)
square feet
4e
Riparian wetland mitigation requested
acres
4f
Non - riparian wetland mitigation requested
acres
4g
Coastal (tidal) wetland mitigation requested
acres
4h
Comments
Page 10 of 14
PCN Form — Version 1 0 November 2008 Version

D Impact Justification and Mitigation, continued
5, Complete if Using a Penmttee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
Reason for impact
Total impact
(square feet)
Multiplier
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
15
Total buffer mitigation required
6c 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)
6d Comments
Page 11 of 14
PCN Form — November 2008 Vernon

E Stormwater Management and Diffuse Flow Plan (required by DWQ)
11, Diffuse Flow Plan
la Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1b If yes, then is a diffuse flow plan included?
❑ Yes ❑ No
2 Determination if the Project Requires a Stormwater Management Plan
2a Does the project require a Non -404 Jurisdictional General Permit?
❑ Yes ® No
2b is the project subject to General Certification 3704 or 3705?
❑ Yes ® No
3 Determination of Stormwater Review Jurisdiction
3a Is this project subject to any of the following state - implemented stormwater
❑ Coastal counties
management programs (check all that apply)?
❑ HQW
❑ ORW
If so, attach one copy of the approval letter from the DWQ and one copy of the
❑ Session Law 2006 -246
approved stormwater management plan
❑ Other
3b In which local government's jurisdiction is this project?
Town of North Wilkesboro
3c Is this local government certified to implement a state stormwater program?
❑ Yes ® No
If so, attach one copy of the approval letter from the local government and one copy
of the approved stormwater management plan (or one copy of the approved
Stormwater management plan stamped as approved)
4 Information Required for DWQ 401 Unit Stormwater Review
4a What is the overall percent imperviousness according to the most current site plan?
No change to site imperviousness
4b Does this project contain any areas that meet the criteria for "high density' per
❑ Yes ® No
General Certifications 3704 and 3705?
4c If the site is over 24% impervious and /or contains high density areas, then provide a brief narrative description of the
stormwater management plan
4d Has a completed BMP Supplement Form with all required items been submitted
[:1 Yes ED No
for each stormwater BMP?
Page 12 of 14
PCN Form — Version 1 0 November 2008 Version

F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
1a
Does the project involve an expenditure of public (federal/state /local) funds or the
® Yes
❑ No
use of public (federal/state) land?
1b
If you answered 'yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes
❑ No
letter)
Comments
2
Violations (DWQ Requirement)
2a
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after - the -fact permit application?
❑ Yes
® No
2c
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
3
Cumulative Impacts (DWQ Requirement)
3a
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
® No
additional development, which could impact nearby downstream water quality?
3b
if you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered "no," provide a short narrative description
The proposed sewer line will connect the Jeld -Wen facility to the Town of North Wilkesboro's municipal
sewer system
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
Not applicable
Page 13 of 14
PCN Form — Version 1 0 November 2008 Version

F Supplementary Information, continued
5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Wdi this project occur in or near an area with federally protected species or
habitat?
❑ Yes
® No
Sb Have you checked with the USFWS concerning Endangered Species Act
impacts?
❑ Yes
® No
5c If yes, indicate the USFW S Field Office you have contacted
❑ Raleigh
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
http Hwww fws gov /raleigh/species/cntylisttvnikes him]
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes
® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http / /ccma nos noaa gov /products/btogeography/sa -efh/
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 (e g , National Historic Trust designation or properties significant
❑ Yes ® No
in
North Carolina history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
http //gis ncdcr gov /hpoweb/
8 Flood Zone Designation (Corps Requirement)
8a Wig this project occur in a FEMA- designated 100 -year floodplain? ❑ Yes ® No
8b If yes, explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination? http / /www ncfloodmaps com/
KOAal L, J6�/LS&l
Applicant/Agenfs Printed Name
Applicant/ A ent's Signature
(Agent s signature is valid only if an aGthonzahon letter from the applicant
Date
is provided )
Page 14 of 14
PCN Form — November 2008 Version

AGENT AUTHORIZATION FORM
PROJECT NAME. Jeld -Wen Sewerlme
PROPERTY LEGAL DESCRIPTION Town of North Wilkesboro
PARCEL ID: 1405676, 1405414
STREET ADDRESS 3237 River Liberty Grove Church Road
North Wilkesboro, NC 28659
Please print:
Property Owner /Representative �,Ax< -A- L Jo n So;
(If Representative) Title-
The undersigned, registered property owners of the above noted property, do hereby authorize
John Vilas , of ENV -ECS, Inc
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's /Representative's Address (if different than property above).
1 awn Ncti w
\0"- C'
g3 2 t�/lai� S} �i�1rt L�i��b� �L 2s�bSq
Telephone: (3 3 0 ((o -7 - 1 1 2 1'
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge
Authorized Siignature�-
Date Date-

Jeld -Wen Sewerline Project
Wilkes County, NC
NWP #12 PCN Application
Location Map
November 2013
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Jeld-Wen Sewerline Project
Wilkes County, NC
NWP #12 PCN Application
Topographic Map
November 2013
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SCALE 1:24000
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ROARING RIVER, N.C.
N L000 0 1000 2000 4000 50co EOCO 7000 FEET N3607.5-W8100/7.5
w E 1 5 0 1 KILOMETER I r 1966
CONTOUR INTERVAL 20 FEET > AMS 4756 11 NE—SERIES V842
8 DATUM IS MEAN SEA LEVEL

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ICEL_ID: 1405414
OUNT: 28733
NERl: TOWN OF NORTH WILK.ESBORO
HELM
:L_ADDRI: P O BOX 218
L ADDR2:
h NORTH W'ILKESBORO
TE: NC
_CODE: 28659
SS: EX
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E_NAME:
UNSHIP:
IP_ADDR: RIVER RD LIBERTY GROVE R
NO-NUM: 3889 A3
: 3889 -13 -0527
AL ACRE: 379.30
D_VAL• 922190.00
G_VAL: 0.00
AL_VAL: 922190.00
TTOT VA: 922190.00
799, %363
GH: 806
FIRM 403.00
ICE: 1823000.00
RII
Jeld -Wen Sewerline Project
NWP #12 PCN Application
Tax Map
January 2014
f•� �/f \ \ \�;Y' 10: 1405413
ACCOUNT: '�5 f `(r�� ��„�yV,.'• {•,• � f� ACCOUNT: 143737
OWNER1, JELD -WEN, INC
OWNER2:
_ MAIL_ADDR1: 3250 LAKEPORT BLVD
'r MAIL ADDR2:
CITY: KLA.MATH FALLS
STATE: OR
ZIP_CODE: 97601
CLASS: CO
FIRE_DIST: C01
FIRE NAME:
S i TOWNSHIP:
PROP_ADDR: 205 LANES DR
ORTHO_NUM: 3889.03
PIN: 3889.44 -1346
TOTAL -
ACRE: 12.90
1
_ LAND_VAL: 205300.00
v/ BLDG_VAL: 4076430.00
I =
-
TOTAL AL: 4281730.00
COSITOT_VA: 4281730.00
Project Line
E ISource: Wilkes County Register of Deeds, WebGIS mapping server.
http: / /maps2. roktech .net /wilkes_Gomaps /index.html#
!023;145
SH: 806
RHO: 403.00
ICE: 0.00
PARCEL-ID: 1403676
ACCOUNT: 28733
IOWNER11 TOWN OF NORTH WILKESBORO
OWNER2:
MAIL_ADDRI: P 0 BOX 218
NAIL_ADDR2:
CITY: NORTH WILK.ESBORO
STATE: NC
7, P_CODE: 28639
CLASS: EX
FIRE-DM, C01
it FIRE_NAME.
�S TOWNSHIP:
PROP ADDR: 3237 RIVER RD LIBERTY GROVE R
ORTHO NUM: 3889.03
.PIN: 3889.33.1483
TOTAL-ACRE, 110.40
LAND-VAL. 691740.00
BLD6_VAL. 14310.00
TOTAL_VAL: 706250.00
COSTTOT_VA1 706250.00
BOOK:
PAGE.
BK_PG: 9./416
OLD-WEIGH. 806
NEIGHBORHD: 400.00
SALE-PRICE: C OC
DEED DATE:

Jeld -Wen
Project
Wilke5 County, NC
NWP# 12 PCN
Application
Sewer Crossing
January
Overview Map
2014
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edrock
Rip -rap approach Water Bar Diversion
de control stream channel OHWM 6 -8" Non -woven Filter Fabric
Construction of stream fords should be constructed with Class -A structural stone over a Type II filter fabric.
The crossing must be installed so that erosion during construction and use is minimized.
Step 1 — Locate crossing where approaches and crossing will disturb the least amount of the channel's bank
and bottom.
Step 2 — Divert storm water runoff from the top of the approaches to prevent runoff flowing down the
approach and into the stream.
Step 3 — If needed, construct approaches by pulling soil back away from the stream channel. Do not contour
the bank by pushing the soil down into the stream.
Step 4 — Center filter fabric on crossing and temporarily anchor ends.
Step 5 — Place stone over fabric on approaches.
Maintenance • Inspect the ford to ensure that storm water runoff is diverted away from approach ramps.
• Inspect crossing for erosion and /or damage by construction traffic.
- Inspect temporary rock filter. Remove accumulated sediment and repair any damage.
Source: Best Management Practices for Construction and Maintenance Activities. NCDOT August 2003.
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Photo Two: View of existing woods road above
Crossing # 1. Woods road proposed to be upgraded
and used as a permanent maintenance access road.
Photo Four: View of wetland plot NW-1. Wetland
located on existing woods road and under powerline
easement. Proposed location of Crossing #3. Location
of wetland permanent impact site W 1.
Jeld -Wen
NWP #12 PCN Application
Photo Sheet One
January 2014
Photo One: View of Crossing #1 on NS -1 UT-
Yadkin River. Sewerline proposed to be
trenched under stream channel. Location of
temporary stream impact S -1 and permanent impact
S -4. See Detail Sheet D -2, 11 out of 14.
Proposed stream ford location for
maintenance road, see Stream Ford Detail.
Photo Three: View of NS -2 UT-Yadkin River and
location of Crossing #2. Aerial sewerline crossing is
proposed, as well as a permanent stream ford for
maintenance access road. Impact site S -5.
Photo Five: View of existing woods road below
wetland unit NW -1. NS -2 is not visible in photo,
however its top of bank is below the road on the right
side of photograph.

Photo Six: View of shoulder on River Liberty Grove
Church Road where sewerline will be trenched. Center
of photo is location of Crossing #4 on NS -3 UT-
Yadkin River, impact site S -2. Background is location
of proposed pump house for force main lower section.
Photo Eight: View of road shoulder where sewerline
will be trenched. Location of Crossing #5 on NS-4 UT-
Yadkin River, impact site S -3.
Jeld -Wen
NWP # 12 PCN Application
Photo Sheet Two
January 2014
Photo Seven: View of NS -3 UT-Yadkin River stream
channel from road shoulder. Stream goes into an
existing 24" CMP and flows under River Liberty
Grove Church Road. Proposed location of stream
temporary impact S -2; 6 If of fill from pump around
operation.
Photo Nine: View of NS-4 UT-Yadkin River stream
channel from road shoulder. Stream goes into an
existing 18" CMP and flows under River Liberty
Grove Church Road. Proposed location of stream
temporary impact S -3; 61f of fill from pump around
operation.