20220229 Ver 1_More Info Received_20220512

Strickland, Bev
From: Brad Luckey <[e-mail]>
Sent: Thursday, May 12, 2022 10:41 AM
To: Homewood, Sue; [e-mail]
Cc: Scott Wallace
Subject: RE: [External] Request for Additional Information: SAW-2021-02294 (Hudson Way /
6341 Burlington Road / Whitsett NC / Guilford County)
Attachments: 6341.1_Burlington Rd_PCN_5.12.22.pdf
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Good Morning Sue and David,
Please find the attached updated PCN and below. Please let me know if you have any additional requests for
information. Thanks.
USACE/DWR Comment #1: Sheet 1 does not include the southern portion of the proposed development and its
potential connections to adjacent parcels. Please provide this plan view of the lot layout and infrastructure (roads,
utilities, stormwater, etc.) for the entire proposed development. This plan is necessary to evaluate avoidance and
minimization measures and potential secondary and cumulative impacts of the project
Agent Response: There are no proposed plans for future development that would require potential secondary or
cumulative impacts review of the project. This project is a stand-alone single and complete project. Adjacent properties
to the site are not available or being considered by the applicant. The purpose of the location of Commodore Drive as
designed is to provide access to Units 33 to 36, which without the proposed location of Commodore Drive would not be
possible.
USCAE/DWR Comment #2: Proposed bottomless arch culvert:
a. Please provide a cross section view of the proposed bottomless culvert structure clearly showing the
outer walls of the culvert structure and footers, disturbance limits needed to construct the structure,
and the stream profile. This information is needed to ensure that this structure would not result in direct
impacts to the stream;
b. The Corps Wilmington District Raleigh Regulatory Field Office has had long experience with bottomless
arch culverts. We generally agree with NCDOT that the long-term success of such structures is
significantly enhanced when they are tied into shallow bedrock. NCDOT Division 7 does not typically
pursue bottomless arch culverts unless there is non-scourable bedrock within 5 vertical feet of the soil
surface. In cases where the structures are not tied into bedrock we have seen numerous instances of
foundation undercutting, often leading to replacement with traditional culverts. Further, shading under
the arch culvert inevitably leads to die off of any remaining woody vegetation, even more so in this case
in the location of the proposed temporary stream crossing where woody vegetation would be removed
entirely prior to culvert construction. These factors predictably lead to loss of aquatic function through
stream bank erosion and winnowing out from foundation to foundation.
c. Given that the project proposes impacts requiring 404 approval, we are evaluating both direct and
reasonably foreseeable indirect impacts to 404 resources associated with the project to ensure that the
individual and cumulative adverse environmental effects are no more than minimal (NWP General
i

Condition 23 and District Engineer's Decision part 2). Based on the above, it is reasonable to conclude
that the proposed bottomless culvert would result in indirect impacts to the stream in the footprint of
the structure. The proposed direct and indirect impacts to streams do not appear to exceed 0.02 acre,
the typified stream mitigation threshold per Regional Condition B.7, in this case. However, please note
that these direct and indirect stream impacts would be considered cumulative with any future proposed
impacts to potential waters of the US related to this development when considering compensatory
mitigation requirements.
Agent Response: Based on comments received from the USACE, the applicant has updated the design of the site to
include installation of a bottom arch culvert with head/end walls and rip -rap energy dissipator pad above existing
grades. Please see attached updated PCN.
USACE Comment #3: It is your responsibility to contact the North Carolina Division of Water Resources (NCDWR)
Winston Salem Regional Office to determine the 401 requirements for this project. Please note that, if an Individual 401
WQC is required from NCDWR, the Corps cannot verify the use of any NWP without without a valid 401 Water Quality
Certification.
Agent Response: On behalf of the applicant, the agent requested Division 401 WQC in conjunction with the request to
the USACE to verify use of NWP 29. This is indicated on 1d of PCNs dated 2.8.22 and 5.12.22. The agent maintains both
requests on behalf of the applicant.
Sincerely,
Bradley S. Luckey, PWS
336.708.4997 (c)
336.310.4527 (o)
PO Box 128
Kernersville, NC 27285
www.pilotenviro.com
[e-mail]
From: Brad Luckey
Sent: Monday, May 9, 2022 8:33 AM
To: Homewood, Sue <[e-mail]>
Cc: Scott Wallace <[e-mail]>; [e-mail]
Subject: Re: [External] Request for Additional Information: SAW-2021-02294 (Hudson Way / 6341 Burlington Road /
Whitsett NC / Guilford County)
Good Morning Sue,
I received updated drawings from the civil Friday. I anticipate we will provide response before the end of the week.
Please let me know if that will be a problem. Thanks.
Sent from my iPhone
On May 9, 2022, at 8:30 AM, Homewood, Sue <[e-mail]> wrote:
All,
2

I do not believe that the Division has received a response to this request, can you please provide an
update on the status.
Sue Homewood
Division of Water Resources, Winston Salem Regional Office
Department of Environmental Quality
336 776 9693 office
336 813 1863 mobile
[e-mail]
450 W. Hanes Mill Rd, Suite 300
Winston Salem NC 27105
From: Homewood, Sue
Sent: Monday, March 14, 2022 10:00 AM
To: Bailey, David E CIV USARMY CESAW (USA) <[e-mail]>; Brad Luckey
<[e-mail]>; Scott Wallace <[e-mail]>
Cc: Munzer, Olivia <[e-mail]>
Subject: RE: [External] Request for Additional Information: SAW-2021-02294 (Hudson Way / 6341
Burlington Road / Whitsett NC / Guilford County)
All,
The Division has completed our review of the application and have the same comments/concerns as the
USACE. Please copy me on your response to the items below. Please respond within 30 days of this
email. Please note that the application will be considered "on hold" until receipt of a complete
response.
Thank you,
Sue Homewood
Division of Water Resources, Winston Salem Regional Office
Department of Environmental Quality
336 776 9693 office
336 813 1863 mobile
[e-mail]
450 W. Hanes Mill Rd, Suite 300
Winston Salem NC 27105
3

From: Bailey, David E CIV USARMY CESAW (USA) <[e-mail]>
Sent: Wednesday, March 9, 2022 8:35 AM
To: Brad Luckey <[e-mail]>; Scott Wallace <[e-mail]>
Cc: Homewood, Sue <[e-mail]>
Subject: [External] Request for Additional Information: SAW-2021-02294 (Hudson Way / 6341
Burlington Road / Whitsett NC / Guilford County)
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
All,
Thank you for your PCN, dated 2/8/2022, for the above referenced project. I have reviewed the
information and need clarification before proceeding with verifying the use of Nationwide Permit (NWP)
29 (https://saw-reg.usace.army.mil/NWP2021/NWP29.pdf). Please submit the requested information
below (via e-mail is fine) within 30 days of receipt of this Notification, otherwise we may deny
verification of the use of the Nationwide Permit or consider your application withdrawn and close the
file:
1) Sheet 1 does not include the southern portion of the proposed development and its potential
connections to adjacent parcels. Please provide this plan view of the lot layout and
infrastructure (roads, utilities, stormwater, etc.) for the entire proposed development. This plan
is necessary to evaluate avoidance and minimization measures and potential secondary and
cumulative impacts of the project;
2) Proposed bottomless arch culvert:
a. Please provide a cross section view of the proposed bottomless culvert structure clearly
showing the outer walls of the culvert structure and footers, disturbance limits needed
to construct the structure, and the stream profile. This information is needed to ensure
that this structure would not result in direct impacts to the stream;
b. The Corps Wilmington District Raleigh Regulatory Field Office has had long experience
with bottomless arch culverts. We generally agree with NCDOT that the long-term
success of such structures is significantly enhanced when they are tied into shallow
bedrock. NCDOT Division 7 does not typically pursue bottomless arch culverts unless
there is non-scourable bedrock within 5 vertical feet of the soil surface. In cases where
the structures are not tied into bedrock we have seen numerous instances of foundation
undercutting, often leading to replacement with traditional culverts. Further, shading
under the arch culvert inevitably leads to die off of any remaining woody vegetation,
even more so in this case in the location of the proposed temporary stream crossing
where woody vegetation would be removed entirely prior to culvert construction. These
factors predictably lead to loss of aquatic function through stream bank erosion and
winnowing out from foundation to foundation.
c. Given that the project proposes impacts requiring 404 approval, we are evaluating both
direct and reasonably foreseeable indirect impacts to 404 resources associated with the
project to ensure that the individual and cumulative adverse environmental effects are
no more than minimal (NWP General Condition 23 and District Engineer's Decision part
2). Based on the above, it is reasonable to conclude that the proposed bottomless
culvert would result in indirect impacts to the stream in the footprint of the structure.
The proposed direct and indirect impacts to streams do not appear to exceed 0.02 acre,
the typified stream mitigation threshold per Regional Condition B.7, in this case.
However, please note that these direct and indirect stream impacts would be
considered cumulative with any future proposed impacts to potential waters of the US
related to this development when considering compensatory mitigation requirements.
4

3) It is your responsibility to contact the North Carolina Division of Water Resources (NCDWR)
Winston Salem Regional Office to determine the 401 requirements for this project. Please note
that, if an Individual 401 WQC is required from NCDWR, the Corps cannot verify the use of any
NWP without without a valid 401 Water Quality Certification.
Please let me know if you have any questions.
Sincerely,
Dave Bailey
David E. Bailey, PWS
Regulatory Project Manager
US Army Corps of Engineers
CE-SAW-RG-R
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Office: [phone], Ext. 30.
Mobile: [phone]
Fax: [phone]
Email: [e-mail]
We would appreciate your feedback on how we are performing our duties. Our automated Customer
Service Survey is located at: https://regulatory.ops.usace.army.mil/customer-service-survey/
Thank you for taking the time to visit this site and complete the survey.
From: RaleighNCREG <[e-mail]>
Sent: Tuesday, February 8, 2022 10:55 AM
To: Brad Luckey <[e-mail]>
Cc: Bailey, David E CIV USARMY CESAW (USA) <[e-mail]>; Homewood, Sue
<[e-mail]>
Subject: SAW-2021-02294 (6341 Burlington Road / Whitsett NC / Guilford County)
Good Morning
We have received your Pre -Construction Notification (PCN) NWP request for the above project.
Dave- docs forwarded in your folder.
Thank you,
Josephine Schaffer
From: Brad Luckey <[e-mail]>
Sent: Tuesday, February 8, 2022 10:11 AM
To: RaleighNCREG <[e-mail]>
Cc: Bailey, David E CIV USARMY CESAW (USA) <[e-mail]>; Homewood, Sue
<[e-mail]>
Subject: [URL Verdict: Neutral][Non-DoD Source] SAW-2021-02294, Burlington Road PCN, Guilford
County
5

Happy Tuesday Morning Corps -Please find attached PCN for above referenced site. Please let me know
if you require additional information.
Sue —we will upload to DWR today.
Thanks.
Sincerely,
Bradley S. Luckey, PWS
336.708.4997 (c)
336.310.4527 (o)
PO Box 128
Kernersville, NC 27285
www.pilotenviro.com
bl [e-mail]
6

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Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- 2021-02294 Begin Date (Date Received): 2.8.22
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: Burlington Road/Hudson Way
2. Work Type: VPrivate ❑Institutional ❑Government ❑Commercial
3. Project Description / Purpose [PCN Form 133d and 133e]:
See Attached
4. Property Owner / Applicant [PCN Form A3 or A41: See Attached
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
Bradley Luckey, Pilot Environmental, Inc.
6. Related Action ID Number(s) [PCN Form 135b]:
7. Project Location — Coordinates, Street Address, and/or Location Description [PCN Form B lb]:
Burlington Road
36.07592/-79.55868
8. Project Location —Tax Parcel ID [PCN Form Bla]: See Attached
9. Project Location — County [PCN Form A2b]: Guilford
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Whitsett
11. Project Information — Nearest Waterbody [PCN Form 132a]: Back Creek
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form 132c]: 03030002
Authorization: Section 10 ❑ Section 404 ❑
Regulatory Action Type:
❑ Standard Permit
❑✓ Nationwide Permit #
Regional General Permit #
Jurisdictional Determination Request
Section 10 and 404 ❑
❑Pre -Application Request
❑ Unauthorized Activity
❑ Compliance
❑ No Permit Required
Revised 20150602

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre -Construction Notification PCN Form
A. Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: NWP 29 or General Permit (GP) number:
1c.
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):
N 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes N No
For the record only for Corps Permit:
❑ Yes N No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Burlington Rd
2b.
County:
Guilford
2c.
Nearest municipality / town:
Whitsett
2d.
Subdivision name:
Hudson Way
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Keystone Group Inc.
3b.
Deed Book and Page No.
8134/00066
3c.
Responsible Party (for LLC if
applicable):
Mr. Scott Wallace
3d.
Street address:
3708 Alliance Drive
3e.
City, state, zip:
Greensboro, NC 27407
3f.
Telephone no.:
336.856.0111
3g.
Fax no.:
3h.
Email address:
[e-mail]
Page 1 of 13
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ❑ Other, specify:
4b.
Name:
4c.
Business name
(if applicable):
4d.
Street address:
4e.
City, state, zip:
4f.
Telephone no.:
4g.
Fax no.:
4h.
Email address:
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Bradley Luckey
5b.
Business name
(if applicable):
Pilot Environmental, Inc.
5c.
Street address:
PO Box 128
5d.
City, state, zip:
Kernersville, NC 27285
5e.
Telephone no.:
336.708.4997
5f.
Fax no.:
5g.
Email address:
[e-mail]
Page 2 of 13
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
8834468997
1 b. Site coordinates (in decimal degrees):
Latitude: 36.07590 Longitude: --79.55860
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size:
25 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Back Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS-IV, NSW
2c. River basin:
Cape Fear
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 site contains undeveloped wooded land and fields. Structures are not located on the site. The site is located within a
rural and residential area of Whitsett, Guilford County, North Carolina.
3b. List the total estimated acreage of all existing wetlands on the property:
Wetland=0.21 acres 404 & 0.27 acres non-404 isolated
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Streams=610LF
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to development the site with Hudson Way, a 116 unit townhome neighborhood.
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project includes the construction of Hudson Way, a 116 unit townhome neighborhood. In order to facilitate
the proposed development, access and utilities to the site, it is necessary to impact streams and wetlands with road and
utility crossings. To facilitate the development of the site, clearing and grading the site is necessary. Graders, haulers,
excavators and other heavy equipment will be used during grading and construction of the site.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes ❑ No El Unknown
project (including all prior phases) in the past?
Comments: SAW-2021-02294
4b. If the Corps made the jurisdictional determination, what type
®Preliminary ®Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Pilot Enviromental, Inc.
Name (if known): David Brame
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
SAW-2021-02294 dated 12.17.21
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.
Page 3 of 13
PCN Form — Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a. Is this a phased project? ❑ Yes ® No
6b. If yes, explain.
Impacts to streams/wetlands, outside of those proposed in this application, are not anticipated as a result of the proposed
project.
Page 4 of 13
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
Page 5 of 13
PCN Form — Version 1.3 December 10, 2008 Version

2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non-404, other)
(acres)
Temporary T
W1 ® P ❑ T
Fill
® Yes
❑ Corps
0.27
❑ No
® DWQ
W2 ® P ❑ T
Fill
® Yes
❑ No
® Corps
❑ DWQ
0.016
W3 ®P ❑ T
Fill
® Yes
® Corps
0.001
❑ No
❑ DWQ
W4 ❑ P ®T
Sewer
® Yes
❑ No
® Corps
❑ DWQ
0.008
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.295
2h. Comments: Wetland Impact #1 will permanently impact 0.27 acres of non-404 jurisdictional/isolated wetlands with fill. The
applicant intends to rely on a non -reporting NCDEQ-DWR IWGP100000 for Wetland Impact #1 and does not request written
approval from NCDEQ-DWR for this impact.
Wetland Impact #2 will permanently impact 686SF/0.016 ac of wetlands associated with fill from the construction of a
head/end walls and rip -rap energy dissipation pad above existing grade for engineered stability and long term maintenance of
the road crossing.
Wetland Impact #3 will permanently impact 60SF/0.001 ac of wetlands associated from fill from upgrades from Burlington
Road.
Wetland Impact #4 will temporarily impact 354SF/0.008ac of wetlands associated with open-cut/back-fill sewer line installation.
Areas of temporary impact will be restored to similar pre -construction grade and stabilized with natural material/biodegradable
matting and native herbaceous seed mix/live stakes.
Mitigation is not proposed for wetland impacts.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non-404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ P ® T
Watar Line
Unnamed
® PER
❑ INT
® Corps
❑ DWQ
Variable
20
S2 ®P ®T
Road Crosing/De-
Unnamed
® PER
® Corps
Variable
105/13
watering
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
Page 6 of 13
PCN Form — Version 1.3 December 10, 2008 Version

❑ INT
❑ DWQ
3h. Total stream and tributary impacts
105/33
3i. Comments: Stream Impact 1 will temporarily impact 20LF/152SF of perennial stream channel for open -cut back fill
installation of proposed water line.
Stream Impact 2 will permanently impact 105 LF/711SF of perennial stream channel associated with road crossing fill and
temporarily impact 13LF/86SF of perennial stream channel associated with de -watering. The road crossing fill consists of
culvert, head/end walls and rip -rap energy dissipation pad above existing stream grade for engineered stability and long term
maintenance of the road crossing.
Areas of temporary impact will be restored to similar pre -construction grades and stabilized with matting and native
herbaceous seed mix. Mitigation is not proposed for proposed stream impacts.
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts
4g. Comments: Open water impacts are not proposed.
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
Page 7 of 13
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar -Pamlico ❑ Other: Jordan
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
re uired?
B1 ❑P❑T
El Yes
❑ No
B2 ❑P❑T
El Yes
❑ No
B3 ❑P❑T
El Yes
❑ No
6h. Total buffer impacts
6i. Comments: A buffer authorization from local delgated authority will be obtainined prior to impacts occuring.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The applicant has designed the proposed residential neighborhood to avoid other impact to streams, wetlands and open water
ponds. The applicant has selected the stream crossing in a location in an area the stream is narrow and straight with few
meanders. The applicant designed the road crossing to utilize approximate 7-foot head/end walls minimizing permanent
impact to the stream.
The remaining 0.20 acres of wetlands and 462 linear feet of stream channel are being avoided.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and sediment erosion control devices will be used. Temporary coffer dams will be installed
upgradient of the proposed road and sewer crossings. During construction, water will be pumped around the construction
footprints. Appropriate stream bank protection will be provided in the channel during road construction and all excess
excavated material will be immediately removed from the stream bank/road crossing area. Upon completion of the culvert
installation, the temporary sand bag coffer dam will be removed and flow will be diverted through the culvert. Following culvert
installation, disturbed banks will be restored to similar pre -construction conditions, matted and seeded/live staked.
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
ElPayment 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
Page 8 of 13
PCN Form — Version 1.3 December 10, 2008 Version

3c. Comments: The applicant does not propose mitigation for impacts to wetlands or streams.
4.
Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b.
Stream mitigation requested:
linear feet
4c.
If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d.
Buffer mitigation requested (DWQ only):
square feet
4e.
Riparian wetland mitigation requested:
acres
4f.
Non -riparian wetland mitigation requested:
acres
4g.
Coastal (tidal) wetland mitigation requested:
acres
4h.
Comments:
5.
Complete if Using a Permittee Responsible Mitigation Plan
5a.
If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6.
Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b.
If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g.
If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h.
Comments:
Page 9 of 13
PCN Form — Version 1.3 December 10, 2008 Version

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments: Local Delgated Authority -Part of SWMP
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
%
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why: The project is high density. A SWMP will
be be approved by Guilford County prior to impacts occuring.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
® Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
Guilord County
® Phase II
❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
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 10 of 13
PCN Form — Version 1.3 December 10, 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?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes
® No
letter.)
Comments: A NEPA or SEPA is not required as part of this project.
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.
We are not aware of additional development that will result which will impact nearby downstream water
quality.
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.
Impacts from wastewater generation outside of those in this application are not proposed.
Page 11 of 13
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The IPaC report for the site identifies the following federally protected species that could be proximate to project area:
Small whorled pogonia (Isotria medeoloides) (T).
The project area contains a field that portions are overgown with immature saplings and dense mid -story vegetion.
Suitable habitat for Small whorled pogonia is not located within the proposed project area. Therefore, we have made a
determinaton of no effect for this species.
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?
Based on our knowledge of the site, the site is not located in or near an area designated as essential fish habitat. Best
management practices and the construction of stormwater BMPs will prevent sediment from entering down -gradient
waterbodies which may contain fish.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
We reviewed the SHPO Map (http://gis.ncdcr.gov/hpoweb/) to identify cultural resources of the site. The map identifies
GF 8174-Ingle House as a surveyed only property north of the project area. According to SHPO HPO, GF 8174-Ingle
House was determined ineligible for listing in 2013/ER11-0578. The structure identified on the SHPO HPO map as GD-
8174-Ingle House was not present on or near the project area during our site assessments. Eligible for listing or listed
properties are not identified on or within 1,000 feet of the project area. A copy of the map is included as an attachment.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA NHFL (Drawing 4, attached)
Digitally signed by Bradley Luckey
DN: cn=Bradley Luckey, o=Pilot
Bradley
Enviromental, Inc., ou,
5.12.22
a
Bradley S. Luckey, PWS
email=[e-mail],
emai
Luckey Date: 2022.05.12 09:55:26-04'00'
Date
Page 12 of 13
PCN Form — Version 1.3 December 10, 2008 Version

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AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address: a3a ~��r11�00-i
Se
Owner Information: K6Ve�j,J6- 6�-oop,TMC,
Address: Aul Aiq cc I.
Telephone Number: " ®1 i I
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Fax Number:
on
E-mail Address:�'���`�
JURISDICTIONAL DETERMINATION REQUEST
D. PROPERTY ACCESS CERTIFICATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property. 1
Print Name
Capacity: Owner _Authorized Agent
Date — 10
i7? , y911r � -pws)d4i
Signatur

Guilford County, NC - Property Report Convert to PDF 11/29/2020
Parcel ID Property Address I Legal Description
103367 7232 Burlington Rd I GREENSBORO JOINT STOCK LAND BANK L015-19
OF ��
O
Mobile
Maps
RTH cw� ti
Owner Information
Owner Name
Mailing Address
City, State Zip
KEYSTONE GROUP INC
3708 ALLIANCE DR
I GREENSBORO, NC 27407
Parcel Information
PIN
Zoning
Use
Tax District
8834488997-000
AG -Agricultural
RESIDENTIAL
0
Parcel Size
Appraisal Nbrhood
Plat/Condo Bk & P
24.50
8834ROl
9-59
Recent Sales
Book & Page
Sale Date
Sale Price
Qualified?
Improved?
00813400088
3/12/2019
$515,000
Yes
Yes
Appraisal Values
Land
Buildings Extra Features
Total Value
$147,000
$109,600 $0
$256,600
Disclaimer. Map and parcel data are believed to be accurate, but accuracy is not guaranteed. This is not a legal document
and should not be substituted for a title search, appraisal, survey, or for zoning verification.
Appraisal Detail (Building 1 of 1)
Bldg#
Description
Bldg Use
Yr Built
Eff Yr Bit
Units
1
01-SFR
01-SFR-CONST
1932
1989
1

United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Phone: [phone] Fax: [phone]
In Reply Refer To:
Project Code: 2022-0004664
Project Name: Hudson Way
February 08, 2022
Subject: List of threatened and endangered species that may occur in your proposed project
location or may be affected by your proposed project
To Whom It May Concern:
Attachment(s):
• Official Species List

02/08/2022
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:
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
[phone]

02/08/2022
Project Summary
Project Code: 2022-0004664
Event Code: None
Project Name: Hudson Way
Project Type: Commercial Development
Project Description: Residential neighborhood
Project Location:
Approximate location of the project can be viewed in Google Maps: https:
www. google.com/maps/(a)36.07572295,-79.55867798550909,14z
n- ,
Counties: Guilford County, North Carolina

02/08/2022 3
Endangered Species Act Species
There is a total of 2 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.
1. 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.
Insects
NAME
Monarch Butterfly Danaus plexippus
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/9743
Flowering Plants
NAME
Small Whorled Pogonia Isotria medeoloides
Population:
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/1890
STATUS
Candidate
STATUS
Threatened
Critical habitats
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.

02/08/2022
IPaC User Contact Information
Name: Bradley Luckey
Address: 743 Park Lawn Court
City:
Kernersville
State:
NC
Zip:
27285
Email
[e-mail]
Phone:
3367084997

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Drawing 2 Web Soil Map
USDA Web Soil Survey V 7232 Burlington Road
f I Approximate 25-Acre Tract
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Pilot Project 6341

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A
Drawing 3
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Pamir Whitsett, Guilford County, NC
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f";J1%Annual Chance Flood Hazard
Regulatory Floodvay
�::i� *Speaal Flood,�ray
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0.2%Annual Chance Flood Hazard
•Fdure Conditions 1%Annual Chance Flood Hazard
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Drawing 4
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Scale: 1" = 400'
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7232 Burlington Road
Approximate 25-Acre Tract
Whitsett, Guilford County, NC
Pilot Project 6341

LEGEND
Site Boundary
Wetland
Perennial Stream
THE LOCATIONS OF'FEATURES
-SHOWN ON THIS MAP HAVE BEEN -,� WA 1-5 Flag Number
VERIFIED BY U3A[E ]D 3AVV 202l'02294 DATED 12.17.21.
� .2l. THIS MAP
INCLUDES GP3LOCATIONS OFDELINEATED FEATURE3� '� ���' op��� DataPoint
Drawing 5 Wetland Map
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and Pi|otGPS Data `` Approximate 25-AcreTract
Scale: 1"= 250' PILOT VVhitsett,Guilford County, NC

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23
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Perennial Stream
LOCATIONS OF FEATURES SHOWN ON THIS MAP HAVE BEEN WA 1-5 Flag Number
FIED BY USACE JD SAW-2021-02294 DATED 12.17.21. THIS MAP AM
DP-1 0 Data Point
UIDES GPS LOCATIONS OF DELINEATED FEATURES.
.
Drawing 5
Wetland Map
2018 Aerial Imagery from ESRI 7232 Burlington Road
and Pilot GPS Data Approximate 24.5-Acre Tract
Scale: 1" = 250'�DDWhitsett, Guilford County, NC
Date: 12.17.21 1 P I LOT E N V I R ON MENTAL,IMC Pilot Project 6341

9
DP-1 Q
USACE NON-404 Wetland
WA 1-8
0.24 Ac.
1113 GM117e�7
THE LOCATIONS OF FEATURES SHOWNM ON THIS MAP HAVE BEEN
VERIFIED BY USACE JD SAW-2021-02294 DATED 12.17.21. THIS MAP
INCLUDES GPS LOCATIONS OF DELINEATED FEATURES.
Drawing 5.1
2018 Aerial Imagery from ESRI
and Pilot GPS Data PLOT --
Scale: 1" = 50'
P I L O T E N V I R O N M E N T A L, I N C
Date: 12.17.21
USACE PJD Area
N
Site Boundary
Wetland
Perennial Stream
WA 1-5 Flag Number
DP-1 Q Data Point
Wetland Map
7232 Burlington Road
Approximate 0-5-Acre Tract
Whitsett, Guilford County, NC
Pilot Project 6341