20220715 Ver 1_ePCN Application_20220523

Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
OO Yes
O No
Is this project a public transportation project?*
OYes 0No
Change only if needed.
Pre -Filing Meeting Date Request was submitted on:
4/21/2022
BIMS # Assigned* Version#*
20220715 1
Is a payment required for this project?*
® No payment required
0 Fee received
O Fee needed - send electronic notification
Select Project Reviewer*
Doug Perez:eads\djperez
Information for Initial Review
Reviewing Office*
Mooresville Regional Office - [phone]
la. Name of project:
Courtesy Copy Statesville Exit 54 Site
la. Who is the Primary Contact?*
Dominic Reinecker
lb. Primary Contact Email:*
lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
5/23/2022
Nearest Body of Water
Fifth Creek
Basin
Yadkin-PeeDee
Water Classification
C
Site Coordinates
Latitude:
35.849791
A. Processing Information
Longitude:
-80.864608
County (or Counties) where the project is located:
Iredell
Is this a NCDMS Project
0Yes ONo
Is this project a public transportation project?*
0 Yes ® No

la. Type(s) of approval sought from the Corps:
EI Section 404 Permit (wetlands, streams and waters, Clean Water Act)
❑ Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
O Yes
O No
Please provide the date of the previous submission.*
4/21/2022
1b. What type(s) of permit(s) do you wish to seek authorization?
Ill Nationwide Permit (NWP)
O Regional General Permit (RGP)
O Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
O Yes 0 No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
Id. Type(s) of approval sought from the DWR:
OO 401 Water Quality Certification - Regular
O Non-404 Jurisdictional General Permit
O Individual 401 Water Quality Certification
39 - Commercial/Institutional Developments
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
If. Is this an after -the -fact permit application?*
O Yes OO No
O 401 Water Quality Certification - Express
0 Riparian Buffer Authorization
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
O Yes O No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
OYes ONo
lh. Is the project located in any of NC's twenty coastal counties?
O Yes O No
1j. Is the project located in a designated trout watershed?
0 Yes :•: No
B. Applicant Information
OYes 0No
0 Yes ® No
ld. Who is applying for the permit?
Owner ✓ Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
OYes 0No
2. Owner Information
2a. Name(s) on recorded deed:
Viola G. Robertson
2b. Deed book and page no.:
2c. Contact Person:

2d. Address
Street Address
1759 Mocksville Hwy
Address Line 2
City
Cleveland
Postal / Zip Code
27013
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
2a. Name(s) on recorded deed:
Lowell E Harmon
2b. Deed book and page no.:
2c. Contact Person:
2d. Address
Street Address
747 Tumersburg Hwy
Address Line 2
City
Statesville
Postal / Zip Code
28625
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Dominic Reinecker
3b. Business Name:
NC Development Acquisition, LLC
3c. Address
Street Address
1776 Peachtree Street NW
Address Line 2
Suite 100
City
Atlanta
Postal / Zip Code
30004
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Chris Tinklenberg
4b. Business Name:
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
NC
Country
USA
2f. Fax Number:
State / Province / Region
GA
Country
USA
3e. Fax Number:

4c. Address
Street Address
Kimley-Horn and Associates
Address Line 2
200 South Tryon Street
City
Charlotte
Postal / Zip Code
28202
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
C. Project Information and Prior Project History
State / Province / Region
NC
Country
USA
4e. Fax Number:
1. Project Information
1b. Subdivision name:
(if appropriate)
lc. Nearest municipality / town:
Statesville
2. Project Identification
2a. Property Identification Number:
4747702049.000, 4746676347.000
2c. Project Address
Street Address
751 TURNERSBURG HWY
Address Line 2
City
STATESVILLE
Postal / Zip Code
28625
3. Surface Waters
3a. Name of the nearest body of water to proposed project: *
Fifth Creek
3b. Water Resources Classification of nearest receiving water: *
C
3c. What river basin(s) is your project located in?*
Yadkin-PeeDee
3d. Please provide the 12-digit HUC in which the project is located.
030401020108
4. Project Description and History
2b. Property size:
178.09
State / Province / Region
NC
Country
USA
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: *
The subject property evaluated for the proposed development is an approximately 178.09-acre parcel, comprised of undeveloped forestland and agricultural fields. The subject property is
bound by undeveloped forestland to the north, agricultural fields and undeveloped forestland to the west, single-family residences, commercial development, and Turnersburg Highway to
the south, and 1-77 to the east. Elevation trends from higher in the center of the property towards the edges of the project boundary and Fifth Creek.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
0 Yes O No 0 Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
20
4g. List the total estimated linear feet of all existing streams on the property:
8,325
4h. Explain the purpose of the proposed project: *
Statesville Exit-54 is a proposed 178-acre industrial park in Statesville, Iredell County, NC. The purpose of the project is to provide new warehouse distribution space to the surrounding
area.

4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
The project proposes the development of one (1) distribution building, on -site roadway, truck/trailer parking, employee parking, and stormwater facilities. Permanent impacts include 432
LF/0.049-acre to streams and 0.40-acre to wetlands. General construction equipment includes, but are not limited to, bulldozers, excavators, front-end loaders, etc. used for construction
purposes.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
®Yes ONo
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made? *
® Preliminary 0 Approved 0 Not Verified 0 Unknown 0 N/A
Corps AID Number:
SAW-2021-02509
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
Chris Tinklenberg, PWS
Kimley-Horn & Associates
0 Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
1/10/2022
6. Future Project Plans
6a. Is this a phased project?*
O Yes O No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
OO Wetlands O Streams -tributaries
O Open Waters 0 Pond Construction
2. Wetland Impacts
0 Buffers
2a. Site #* (?)
2a1 Reason (?)
2b. Impact type* (?)
2c. Type of W.*
2d. W. name
2e. Forested*
2f. Type of Jurisdicition*
(?)
2g. Impact
area*
Impact 3
Grading/Fill
P
Bottomland Hardwood Forest
W1
Yes
Both
0.400
(acres)
Impact 4
Construction Access
T
Bottomland Hardwood Forest
W1
Yes
Both
0.250
(acres)
2g. Total Temporary Wetland Impact
0.250
2g. Total Wetland Impact
0.650
2g. Total Permanent Wetland Impact
0.400
2i. Comments:
The proposed development seeks authorization under NWP 39 for wetland impacts associated with the grading activities necessary to construct the
distribution building. The proposed project will result in a total of 0.40-acre of permanent impacts and 0.25-acre of temporary impacts to Wetland 1. 0.25-
acre of temporary impacts to Wetland 1 are necessary to construct the retaining wall surrounding the wetland in the northeastern comer of the site.
Wetland rubber mats will be used to access the area. Contours will be returned to preconstruction grades and the area will be replanted with native
woody vegetation.
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width
3h. Impact
length*

S1
Impact 1
Permanent
Fill
S2
Perennial
Both
5
Average (feet)
287
(linear feet)
S2
Impact 2
Permanent
Fill
S5
Perennial
Both
5
Average (feet)
145
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
432
3i. Total stream and ditch impacts:
432
3i. Total temporary stream impacts:
0
3j. Comments:
The proposed development seeks authorization under NWP 39 for stream impacts associated with grading activities necessary to construct the
distribution building. The proposed project will result in 287 LF/0.031-acre of permanent impacts to Stream 2 and 145 LF/0.018-acre of permanent
impacts to Stream 5. The proposed project will result in a total of 432 LF/0.049-acre of permanent impacts to streams.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Avoidance and minimization efforts were implemented during development planning and design to the greatest extent practicable in order to reduce the
overall impacts on the aquatic environment while staying within nationwide permit thresholds. The final plan demonstrates maximum avoidance and
minimization efforts by reducing the proposed stream and wetland impacts. The rationale to support avoidance and minimization efforts include the
following:
• Avoidance of the remaining 7,893 LF of streams on -site
• Avoidance of the remaining 19.6-acres of wetlands on -site
o The final design plan placed the building outside of the existing FEMA 100-year floodplain
• Stream 2 — Impact 1
o Retaining walls have been strategically placed to reduce grading fill slopes and to avoid further impacts
o To prevent indirect impacts downstream, a French drain system is proposed at the impact of Stream 2 to promote subsurface drainage/ hydrology
• Stream 5 — Impact 2
o Retaining walls have been strategically placed to reduce grading fill slopes and to avoid further impacts
o To prevent indirect impacts downstream, a French drain system is proposed at the impact of Stream 5 to promote subsurface drainage/hydrology
• Wetland 1 — Impact 3
o Retaining walls have been strategically placed to reduce grading fill slopes and to avoid further impacts
o All temporary impacts and disturbed areas will be returned to pre -construction conditions upon completion of the activities
• Contech Con/Span bottomless arch culvert is proposed at the crossing of Stream 4 to avoid further stream impacts
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Stormwater facilities are sized and positioned to minimize impacts to the greatest extents practicable. Temporary erosion control measures, including but
not limited to skimmer basins and silt fence, will be implemented to minimize sediment laden runoff from exiting the site.
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?
O Yes J No
2c. If yes, mitigation is required by (check all that apply):
[T6 DWR ;� Corps
2d. If yes, which mitigation option(s) will be used for this project?
Li Mitigation bank LO Payment to in -lieu fee program Li Permittee Responsible Mitigation
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
• Yes No
4b. Stream mitigation requested:
(linear feet)
432
4d. Buffer mitigation requested (DWR only):
(square feet)
4c. If using stream mitigation, what is the stream temperature:
warm
4e. Riparian wetland mitigation requested:
(acres)
0.4
4f. Non -riparian wetland mitigation requested: 4g. Coastal (tidal) wetland mitigation requested:
(acres)
4h. Comments
(acres)
Compensatory mitigation will be met by the purchase of credits through the NC Division of Mitigation Services (NCDMS) in -lieu fee program. Based on
an NCSAM assessment of Medium for perennial Streams 2 and 5, mitigation is proposed at a 2:1 ratio for impacts to these features, or 864 stream
mitigation credits. Based on an NCWAM assessment of High for Wetland 1, mitigation is proposed at a 2:1 ratio for impacts to this features, or 0.8
wetland mitigation credits. In total, 864 stream mitigation credits and 0.8 wetland mitigation credits will be purchased to offset impacts associated with
this project.

6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more information.
O Yes O No
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
O Yes O No
If no, explain why:
The proposed project will not impact protected riparian buffers within one of the NC Riparian Buffer Protection Rules.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS0002507 *
0Yes ®No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
0 Yes ® No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local govemment stormwater program?
O Yes
0 N/A - project disturbs < 1 acre
3. Stormwater Requirements
O No
3a. Select whether a completed stormwater management plan (SMP) is included for review and approval or if calculations are provided to document the project will not cause degradation of
downstream surface waters. *
Stormwater Management Plan 0 Antidegradation Calculations
Comments:
The stormwater management plan will consist of two wet detention ponds sized in accordance with NCDEQ and City of
Statesville requirements for Phase 11 water quality and quantity. The SMP has not been reviewed yet, but will be provided.
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
0 Yes O No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)7 *
O Yes O No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
O Yes O No
3b. If you answered "no," provide a short narrative description.
The project is designed to construct one (1) distribution buildings, on -site roadway, truck/trailer parking, employee parking, and stormwater facilities. No
additional or cumulative impacts are anticipated due to the construction of the proposed project.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
OYesi No 0 N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated at a
treatment plant, list the capacity available at that plant.
The proposed distribution center is anticipated to generate a low water demand (approximately 6,000 GPD) based on NCDEQ design guidelines.
Sanitary sewer will discharge from the building via 6" laterals to a private 8" sewer main on -site. This private main will flow via gravity to a new City of
Statesville sewer main currently in design which will flow under 1-77 to an existing manhole on Jennings Road.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)

5a. Will this project occur in or near an area with federally protected species or habitat?*
O Yes O No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
O Yes O No
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d. Is another Federal agency involved?*
0 Yes
5e. Is this a DOT project located within Division's 1-8?
0Yes ®No
OO No 0 Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
OYes 0No
5g. Does this project involve bridge maintenance or removal?
OYes ONo
5h. Does this project involve the construction/installation of a wind turbine(s)?*
OYes 0No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
OYes 0No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
A review of the North Carolina Natural Heritage Program (NCNHP) database on August 30, 2021, did not indicate known occurrences of threatened or
endangered species within the project boundary. Potentially suitable habitat for threatened and endangered species on -site was surveyed. A
concurrence request letter was submitted to the USFWS on March 3, 2022. A concurrence response letter from USFWS was received on April 4, 2022,
indicating that the USFWS was in agreeance with the MANLAA biological conclusion. A copy of the USFWS correspondence is included.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
O Yes O No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
NCNHP element occurrence database did not indicate the presence of EFH within the project boundary.
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?*
O Yes ® No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
Kimley-Horn consulted the North Carolina State Historic Preservation Office (SHPO) HPOWEB GIS service on March 3, 2022. No historical,
archeological, or cultural resources were identified within the site boundary. A request letter was submitted to SHPO to determine the presence of
archeological, cultural, or historic resources on March 3, 2022. SHPO responded on April 21, 2022, and requested further information regarding all
structures 50 years or older within the project site. Kimley-Horn visited the site on May 3, 2022, to photograph and document the existing 50-year-old
structures. Following the site visit, Kimley-Horn prepared a photographic documentation package and submitted the information to SHPO. As of the date
of this permit application, a response has not been received. A copy of the SHPO correspondence is attached.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
0 Yes O No
8c. What source(s) did you use to make the floodplain determination?*
FIRM Panel 3710474700J
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
_20220523_Statesville Exit 54_SAW-2021-02509_NWP 39_Optimized.pdf 32.01MB
File must be PDF or KMZ
Comments
Signature
By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and

The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
I have given true, accurate, and complete information on this form;
I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
I intend to electronically sign and submit the PCN form.
Full Name:
Chris Tinklenberg
Signature
Date
5/23/2022

Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- 2021-02509
Prepare file folder ❑
Begin Date (Date Received):
Assign Action ID Number in ORM
1. Project Name [PCN Form A2a]: Statesville Exit 54 Site
2. Work Type: ❑Private ❑Institutional ❑Government ❑ Commercial
3. Project Description / Purpose [PCN Form B3d and B3e]:
NC Development Acquisition, LLC proposes to construct an industrial development on an approximately 178-acre site located off Exit
54 on I-77 along Turnersburg Highway in Statesville, Irede11 County, North Carolina.
4. Property Owner / Applicant [PCN Form A3 or A4]: NC Development Acquisition, LLC (POC: Dominic Reinecker)
1776 Peachtree Street NW, Suite 100, Atlanta, GA 30004 ; [phone] ; dreinecker©tpa-grp.com
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
Chris Tinklenberg, PWS (Kimley-Horn)
6. Related Action ID Number(s) [PCN Form B5b]:
7. Project Location — Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
The project is located off Turnersburg Highway in Statesville, Iredell County, NC. Project Coordinates
(decimal degrees): 35.849791, -80.864608
8. Project Location — Tax Parcel ID [PCN Form Bla]: 4747702049.000, 4746676347.000
9. Project Location — County [PCN Form A2b]: Iredell
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Statesville
11. Project Information — Nearest Waterbody [PCN Form B2a]: Fifth Creek
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form B2c]: Yadkin -Pee Dee 03040102
Authorization: Section 10 ❑ Section 404 ❑ Section 10 and 404 ❑
Regulatory Action Type:
❑ Standard Permit
Nationwide Permit #39
Regional General Permit #
Jurisdictional Determination Request
❑Pre -Application Request
IR
FlUnauthorized Activity
Compliance
No Permit Required
Revised 20150602

Kimley>»Horn
May 23, 2022
Krysta Stygar
Regulatory Specialist
US Army Corps of Engineers
Wilmington District
Charlotte Field Office
8430 University Executive Park Drive, Suite 611
Charlotte, NC 28262
Paul Wojoski
NC DWR, 401 & Buffer Permitting Unit
512 North Salisbury Street
Raleigh, NC 27604
Re: Pre -Construction Notification (NWP #39 and Individual 401 Water Quality Certification)
Statesville Exit 54 Site (SAW-2021-02509)
Statesville, Iredell County, NC
Dear Ms. Stygar and Mr. Wojoski:
On behalf of our client, NC Development Acquisition, LLC, Kimley-Horn (KH) is submitting the enclosed Section
404/401 Pre -construction Notification for the above -referenced project for your review pursuant to Nationwide
Permit #39 and Individual 401 Water Quality Certification (WQC). The proposed project seeks to construct one
warehouse building totaling ±1,101,600 square -feet (SF), including access roads, utilities, and stormwater
management facilities. Authorization is requested under NWP 39 to permanently impact 432 LF/0.049-acre of
streams and 0.4-acre of wetlands necessary for site development. The center of the project area is located at
35.849791°, -80.864608°.The following information is included as part of this application submittal:
• Project Summary Sheet
• Pre -Construction Notification Form
• Agent Authorization
• Project Site Figures
• Figure 1 — Vicinity Map
• Figure 2 — USGS 7.5' Topo (Statesville East Quadrangle) Map
• Figure 3 — Iredell Co. SSURGO Soils and NWI Map (2022 Nearmap Aerial)
• Figure 4 — Existing Conditions (2022 Nearmap Aerial)
• Permit Drawings
• Preliminary Jurisdictional Determination
• Agency Correspondence
• Compensitory Mitigation
PROJECT BACKGROUND
Statesville Exit 54 is a proposed 178-acre industrial park located in Statesville, Iredell County, NC. The project
proposes the development of one (1) distribution building, on -site roadway, truck/trailer parking, employee parking,
and stormwater facilities. The site will be brought into compliance with both state and local regulations for zoning,
landscaping, and stormwater.
kimley-horn.com
200 South Tryon Street, Suite 200, Charlotte, NC 28202
704-333-5131

Kimley>»Horn
Page 2
AGENCY CORRESPONDENCE
CULTURAL RESOURCES
Kimley-Horn consulted the North Carolina State Historic Preservation Office (SHPO) HPOWEB GIS service on
March 3, 2022. No historical, archeological, or cultural resources were identified within the site boundary. A request
letter was submitted to SHPO to determine the presence of archeological, cultural, or historic resources on March
3, 2022. SHPO responded on April 21, 2022, and requested further information regarding all structures 50 years or
older within the project site. Kimley-Horn visited the site on May 3, 2022, to photograph and document the existing
50-year-old structures. Following the site visit, Kimley-Horn prepared a photographic documentation package and
submitted the information to SHPO. As of the date of this permit application, a response has not been received. A
copy of the SHPO correspondence is attached.
PROTECTED SPECIES
A review of the North Carolina Natural Heritage Program (NCNHP) database on August 30, 2021, did not indicate
known occurrences of threatened or endangered species within the project boundary. Potentially suitable habitat
for threatened and endangered species on -site was surveyed. A concurrence response letter from USFWS was
received on January 20, 2022, indicating that the USFWS was in agreeance with the "May affect, not likely to
adversely affect" (MANLAA) biological conclusion.IA copy of the USFWS correspondence is attached.
PROPOSED IMPACTS TO JURISDICTIONAL WATERS
The proposed development seeks authorization under NWP 39 for wetland impacts associated with the grading
activities necessary to construct the distribution building.The proposed project will result in a total of 0.40-acre of
permanent impacts and 0.25-acre of temporary impacts to Wetland 1. 0.25-acre of temporary impacts to Wetland
1 are necessary to construct the retaining wall surrounding the wetland in the northeastern corner of the site.
Wetland rubber mats will be used to access the area. Contours will be returned to preconstruction grades and the
area will be replanted with native woody vegetation.
The proposed development seeks authorization under NWP 39 for stream impacts associated with grading activities
necessary to construct the distribution building. The proposed project will result in 287 LF/0.031-acre of permanent
impacts to Stream 2 and 145 LF/0.018-acre of permanent impacts to Stream 5. The proposed project will result in
a total of 432 LF/0.049-acre of permanent impacts to streams.
Overall, impacts associated with the proposed development will result in 0.40-acre of permanent impacts
to wetland waters of the US and 432 LF/0.049-acre of permanent impacts to non -wetland waters of the US.
AVOIDANCE AND MINIMIZATION
Avoidance and minimization efforts were implemented during development planning and design to the greatest
extent practicable in order to reduce the overall impacts on the aquatic environment while staying within nationwide
permit thresholds. The final plan demonstrates maximum avoidance and minimization efforts by reducing the
proposed stream and wetland impacts. The rationale to support avoidance and minimization efforts include the
following:
• Avoidance of the remaining 7,893 LF of streams on -site
• Avoidance of the remaining 19.56-acres of wetlands on -site
o The final design plan placed the building outside of the existing FEMA 100-year floodplain
• Stream 2 — Impact 1
o Retaining walls have been strategically placed to reduce grading fill slopes and to avoid further
impacts
o To prevent indirect impacts downstream, a French drain system is proposed at the impact of Stream
2 to promote subsurface drainage/ hydrology
• Stream 5 — Impact 2
kimley-horn.com
200 South Tryon Street, Suite 200, Charlotte, NC 28202
704-333-5131

Kimley>»Horn
o Retaining walls have been strategically placed to reduce grading fill slopes and to avoid further
impacts
o To prevent indirect impacts downstream, a French drain system is proposed at the impact of Stream
5 to promote subsurface drainage/hydrology
• Wetland 1 — Impact 3
o Retaining walls have been strategically placed to reduce grading fill slopes and to avoid further
impacts
o All temporary impacts and disturbed areas will be returned to pre -construction conditions upon
completion of the activities
• Contech Con/Span bottomless arch culvert is proposed at the crossing of Stream 4 to avoid further stream
impacts
COMPENSATORY MITIGATION
Compensatory mitigation will be met by the purchase of credits through the NC Division of Mitigation Services
(NCDMS) in -lieu fee program. Based on an NCSAM assessment of Medium for perennial Streams 2 and 5,
mitigation is proposed at a 2:1 ratio for impacts to these features, or 864 stream mitigation credits. Based on an
NCWAM assessment of High for Wetland 1, mitigation is proposed at a 2:1 ratio for impacts to this features, or 0.8
wetland mitigation credits. In total, 864 stream mitigation credits and 0.8 wetland mitigation credits will be purchased
to offset impacts associated with this project. Quality assessment results and Statement of Availability are included.
Please feel free to contact me at [phone] if you have any questions or if additional information is necessary.
Sincerely,
KIMLEY-HORN AND ASSOCIATES, INC.
Chris Tinklenberg, PWS
Environmental Scientist
kimley-horn.com
200 South Tryon Street, Suite 200, Charlotte, NC 28202
704-333-5131

Kimley>>>Horn
Project Name: Statesville Exit 54 Site
Project Summary Sheet
Applicant Name and Address: NC Development Acquisition, LLC (POC: Dominic Reinecker)
1776 Peachtree Street, NW, Suite 100
Atlanta, GA 30309
Telephone Number:[phone]
Type of Request:
Included Attachments:
Check if applicable:
® Nationwide PCN (NWP #39) ❑ Individual Permit Application
❑ Jurisdictional Determination ❑ Other:
® Project Plans
® Agent Authorization
❑ Data Forms (Up & Wet)
❑ NCDMS Confirmation
® Agency Correspondence
❑ CAMA County
❑ Section 7, ESA
❑ Mitigation Proposed (❑
County: Iredell
Waterway: Fifth Creek
H.U.C.: 03040102
Property Size (acres): 178 acres
Site Coordinates (in decimal degrees):
Project Location: The subject property is located off
County, NC.
® USGS Map
❑ Delineation Sketch
❑ NCDWR Stream Forms
® Aerial Photo
❑ Other:
® NRCS Soil Survey
® Delineation Survey
❑ USACE Stream Forms
❑ Site Photos
❑ Other:
❑ Trout County ❑ Isolated Waters
❑ Section 106, NHPA ❑ EFH
NC EEP ❑ On -Site ❑ Off -Site ❑ Other)
Nearest City/Town: Statesville
River Basin: Yadkin -Pee Dee
USGS Quad Name: Statesville East
Approx. Size of Jurisdiction on Site (acres): 8,325 LF & 20-ac
35.849791°N -80.864608°W
Exit 54 on I-77 along Turnersburg Highway in Statesville, Iredell
Site Description: The subject property is an approximately 178-acre parcel, which currently is comprised of undeveloped
forested land and agricultural fields. The site is bound by undeveloped forested land to the north, agricultural fields and
undeveloped forested land to the west, single-family residences, commercial development, and Turnersburg Highway to
the south, and I-77 to the east.
Impact Summary (if applicable): Impacts associated with the proposed development will result in 0.44-acre of permanent
impacts to wetland waters of the US and 432 LF/0.049-acre of permanent impacts to non -wetland waters of the US.
NWP
#
Open Water
(acres)
Wetland
(acres)
Stream Channel
Intermittent and/or Unimportant
Aquatic Function
Perennial and/or Important
Aquatic Function
Temp.
Perm.
Temp.
Perm.
Temp.
Perm.
Temp.
Perm.
if
ac
if
ac
if
ac
if
Ac
39
0.25
0.40
432
0.049
Total
0.25
0.40
432
0.049
Total Permanent (Loss) Impact to Wetland Waters of the U.S.
0.40
Total Permanent (Loss) Impact to Non -Wetland Waters of the U.S.
0.049
Kimley-Horn Contact: Chris Tinldenberg, PWS Direct Number: [phone]
Email: [e-mail]
kimley-hom.com
200 South Tryon Street, Suite 200, Charlotte, NC 28202
704-333-5131

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
la. Type(s) of approval sought from the
Corps:
10 Permit
0 Section 404 Permit ❑ Section
1 b. Specify Nationwide Permit (NWP) number: 39 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps?
0 Yes ❑ No
ld. Type(s) of approval sought from
the DWQ (check all that apply):
— Regular ❑ Non-404 Jurisdictional General Permit
— Express ❑ Riparian Buffer Authorization
0 401 Water Quality Certification
❑ 401 Water Quality Certification
le. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
For the record only for Corps Permit:
❑ Yes 0 No
❑ Yes 0 No
1f. Is payment into a mitigation bank or in -lieu fee
of impacts? If so, attach the acceptance letter
fee program.
program proposed for mitigation
from mitigation bank or in -lieu
0 Yes ❑ No
lg. Is the project located in any of NC's twenty coastal counties? If yes, answer
1 h below.
❑ Yes 0 No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes 0 No
2. Project Information
2a. Name of project:
Statesville Exit 54 Site
2b. County:
Iredell
2c. Nearest municipality / town:
Statesville
2d. Subdivision name:
N/A
2e. NCDOT only, T.I.P. or state
project no:
N/A
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

3. Owner Information
3a. Name(s) on Recorded Deed:
1)Viola G. Robertson 2) Lowell E. Harmon
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
1) 1759 Mocksville Hwy 2) 747 Turnersburg Hwy
3e. City, state, zip:
1) Cleveland, NC 27013 2) Statesville, NC 28625
3f. Telephone no.:
POC: Dominic Reinecker [phone]
3g. Fax no.:
3h. Email address:
[e-mail]
4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent
0
Other, specify: Land purchaser
4b. Name:
POC: Dominic Reinecker
4c. Business name
(if applicable):
NC Development Acquisition, LLC
4d. Street address:
1776 Peachtree Street NW, Suite 100
4e. City, state, zip:
Atlanta, GA 30004
4f. Telephone no.:
[phone]
4g. Fax no.:
[e-mail]
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
Chris Tinklenberg, PWS
5b. Business name
(if applicable):
Kimley-Horn and Associates
5c. Street address:
200 South Tryon Street, Suite 200
5d. City, state, zip:
Charlotte, NC 28202
5e. Telephone no.:
704-409-1802
5f. Fax no.:
5g. Email address:
[e-mail]
Page 2 of 11
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
la. Property identification no. (tax PIN or parcel ID):
4747702049.000, 4746676347.000
1 b. Site coordinates (in decimal degrees):
Latitude: 35.849791 Longitude: -80.864608
(DD.DDDDDD) (-DD.DDDDDD)
lc. Property size:
178.09 acres (Project Boundary)
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to proposed
project:
Fifth Creek
2b. Water Quality Classification of nearest receiving water:
C
2c. River basin:
Yadkin -Pee Dee (HUC 03040102)
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 subject property evaluated for the proposed development is an approximately 178.09-acre parcel, comprised of
undeveloped forestland and agricultural fields. The subject property is bound by undeveloped forestland to the north,
agricultural fields and undeveloped forestland to the west, single-family residences, commercial development, and
Turnersburg Highway to the south, and 1-77 to the east. Elevation trends from higher in the center of the property towards
the edges of the project boundary and Fifth Creek.
3b. List the total estimated acreage of all existing wetlands on the property:
20 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
8,325 linear feet.
3d. Explain the purpose of the proposed project:
Statesville Exit-54 is a proposed 178-acre industrial park in Statesville, Iredell County, NC. The purpose of the project is to
provide new warehouse distribution space to the surrounding area.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project proposes the development of one (1) distribution building, on -site roadway, truck/trailer parking, employee
parking, and stormwater facilities. Permanent impacts include 432 LF/0.049-acre to streams and 0.40-acre to wetlands.
General construction equipment includes, but are not limited to, bulldozers, excavators, front-end loaders, etc. used for
construction purposes.
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?
Comments: SAW-2021-02509
a Yes ❑ No Unknown
4b. If the Corps made the jurisdictional determination, what type of
determination was made?
a Preliminary Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Chris Tinklenberg, PWS
Agency/Consultant Company: Kimley-Horn
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
1/10/2022
Page 3 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5. Project History
5a. Have permits or certifications been requested or obtained for this
project (including all prior phases) in the past?
Yes
Unknown
// No
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes
0 No
6b. If yes, explain.
Page 4 of 11
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
la. Which sections were completed below for
your project (check all that apply):
❑ Buffers
a Wetlands a Streams - tributaries
❑ 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 (T)
2b.
Type of impact
2c.
Type of wetland
(if known)
2d.
Forested
2e.
Type of
jurisdiction
(Corps - 404, 10
DWQ - non-
404, other)
2f.
Area of impact (acres)
Impact 3 - W1
Grading/Fill
PFO
Y
a Corps
0.40
a P ❑ T
a DWQ
Impact 4 - W1
Construction access
PFO
Y
a Corps
0.25
❑ P a T
a DWQ
2g. Total wetland impacts
0.65
2h. Comments:
The proposed development seeks authorization under NWP 39 for wetland impacts associated with the grading activities
necessary to construct the distribution building.The proposed project will result in a total of 0.40-acre of permanent impacts and
0.25-acre of temporary impacts to Wetland 1. 0.25-acre of temporary impacts to Wetland 1 are necessary to construct the
retaining wall surrounding the wetland in the northeastern corner of the site. Wetland rubber mats will be used to access the
area. Contours will be returned to preconstruction grades and the area will be replanted with native woody vegetation.
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
(Corps - 404, 10
DWQ - non-
404, other)
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
Impact 1 - S2
Grading/Fill
S2
a PER
0 Corps
4.7
287
a P ❑ T
❑ INT
0 DWQ
Impact 2 - S5
Grading/Fill
S5
a PER
0 Corps
5.3
145
a P ❑ T
❑ INT
0 DWQ
3h. Total stream and tributary impacts
432 LF/0.049-acres
3i. Comments:
The proposed development seeks authorization under NWP 39 for stream impacts associated with grading activities necessary
to construct the distribution building. The proposed project will result in 287 LF/0.031-acre of permanent impacts to Stream 2
and 145 LF/0.018-acre of permanent impacts to Stream 5. The proposed project will result in a total of 432 LF/0.049-acre of
permanent impacts to streams.
Page 5 of 11
PCN Form - Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number
- Permanent (P)
or Temporary
(T)
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody type
4e.
Area of impact
(acres)
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
Pond ID
number
5b.
Proposed use or purpose of
p and
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Exeadvat
Flooded
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:
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 ❑ Other:
❑ Catawba ❑ Randleman
6b.
Buffer impact
number -
Permanent (P)
or Temporary
(T)
6c.
Reason
for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1 impact
(square feet)
6g.
Zone 2 impact
(square feet)
❑P❑T
Yes
❑ No
6h. Total buffer impacts
6i. Comments: The proposed project will not impact protected riparian buffers.
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Avoidance and minimization efforts were implemented during development planning and design to the greatest extent
practicable in order to reduce the overall impacts on the aquatic environment while staying within nationwide permit
thresholds. The final plan demonstrates maximum avoidance and minimization efforts by reducing the proposed stream
and wetland impacts. The rationale to support avoidance and minimization efforts include the following:
• Avoidance of the remaining 7,893 LF of streams on -site
• Avoidance of the remaining 19.6-acres of wetlands on -site
o The final design plan placed the building outside of the existing FEMA 100-year floodplain
• Stream 2 — Impact 1
o Retaining walls have been strategically placed to reduce grading fill slopes and to avoid further impacts
o To prevent indirect impacts downstream, a French drain system is proposed at the impact of Stream 2
to promote subsurface drainage/ hydrology
• Stream 5 — Impact 2
o Retaining walls have been strategically placed to reduce grading fill slopes and to avoid further impacts
o To prevent indirect impacts downstream, a French drain system is proposed at the impact of Stream 5
to promote subsurface drainage/hydrology
• Wetland 1 — Impact 3
o Retaining walls have been strategically placed to reduce grading fill slopes and to avoid further impacts
o All temporary impacts and disturbed areas will be returned to pre -construction conditions upon
completion of the activities
• Contech Con/Span bottomless arch culvert is proposed at the crossing of Stream 4 to avoid further stream
impacts
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Stormwater facilities are sized and positioned to minimize impacts to the greatest extents practicable. Temporary erosion control
measures, including but not limited to skimmer basins and silt fence, will be implemented to minimize sediment laden runoff
from exiting the site.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
// Yes ❑ No
2b. If yes, mitigation is required by (check all that apply):
// DWQ 0 Corps
2c. If yes, which mitigation option will be used for this project?
❑ Mitigation bank
fee program
Mitigation
// Payment to in -lieu
❑ Permittee Responsible
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Stream
Quantity:
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version

3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
a Yes
4b. Stream mitigation requested:
432 LF
4c. If using stream mitigation, stream temperature:
a warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
0.4 acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
Compensatory mitigation will be met by the purchase of credits through the NC Division of Mitigation Services (NCDMS)
in -lieu fee program. Based on an NCSAM assessment of Medium for perennial Streams 2 and 5, mitigation is proposed
at a 2:1 ratio for impacts to these features, or 864 stream mitigation credits. Based on an NCWAM assessment of High
for Wetland 1, mitigation is proposed at a 2:1 ratio for impacts to this features, or 0.8 wetland mitigation credits. In total,
864 stream mitigation credits and 0.8 wetland mitigation credits will be purchased to offset impacts associated with this
project.
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 a 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)
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules?
Yes // No
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
The proposed project will not impact protected riparian buffers within one of the NC
Riparian Buffer Protection Rules.
❑ Yes 0 No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
33%
2b. Does this project require a Stormwater Management Plan?
0 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:
The stormwater management plan will consist of two wet detention ponds sized in accordance with NCDEQ and City of
Statesville requirements for Phase II water quality and quantity.
2e. Who will be responsible for the review of the Stormwater Management Plan?
0 Certified Local Government
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
City of Statesville
3b. Which of the following locally -implemented stormwater management programs
apply (check all that apply):
0 Phase II
NSW
❑ USMP
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes 0 No
4. DWQ Stormwater Program Review
4a. Which of the following state -implemented stormwater management programs apply
(check all that apply):
❑ Coastal counties
❑ HQW
❑ ORW
❑ 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 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/state/local) funds or the
use of public (federal/state) land?
Yes // No
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
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
❑ Yes ❑ No
lc. 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.)
Comments:
❑ Yes ❑ No
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,
or Riparian Buffer Rules (15A NCAC 2B .0200)?
❑ Yes 0 No
2b. Is this an after -the -fact permit application?
❑ Yes 0 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
additional development, which could impact nearby downstream water quality?
Yes // No
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
The project is designed to construct one (1) distribution buildings, on -site roadway, truck/trailer parking, employee parking,
and stormwater facilities. No additional or cumulative impacts are anticipated due to the construction of the proposed
project.
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:
The proposed distribution center is anticipated to generate a low water demand (approximately 6,000 GPD) based on
NCDEQ design guidelines. Sanitary sewer will discharge from the building via 6" laterals to a private 8" sewer main on -
site. This private main will flow via gravity to a new City of Statesville sewer main currently in design which will flow under
1-77 to an existing manhole on Jennings Road.
Page 10 of 11
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
habitat?
❑ No
0 Yes
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts?
❑ No
0 Yes
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Raleigh
0 Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
A review of the North Carolina Natural Heritage Program (NCNHP) database on August 30, 2021, did not indicate known
occurrences of threatened or endangered species within the project boundary. Potentially suitable habitat for threatened
and endangered species on -site was surveyed. A concurrence request letter was submitted to the USFWS on March 3,
2022. A concurrence response letter from USFWS was received on April 4, 2022, indicating that the USFWS was in
agreeance with the MANLAA biological conclusion. A copy of the USFWS correspondence is included.
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?
NCNHP element occurrence database did not indicate the presence of EFH within the project boundary.
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 in
North Carolina history and archaeology)?
Yes //
No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Kimley-Horn consulted the North Carolina State Historic Preservation Office (SHPO) HPOWEB GIS service on March 3,
2022. No historical, archeological, or cultural resources were identified within the site boundary. A request letter was
submitted to SHPO to determine the presence of archeological, cultural, or historic resources on March 3, 2022. SHPO
responded on April 21, 2022 and requested further information regarding all structures 50 years or older within the project
site. Kimley-Horn visited the site on May 3, 2022, to photograph and document the existing 50-year-old structures. Following
the site visit, Kimley-Horn prepared a photographic documentation package and submitted the information to SHPO. As of
the date of this permit application, a response has not been received. A copy of the SHPO correspondence is attached.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
❑ Yes 0 No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FIRM Panel 3710474700J
Chris Tinklenberg, PWS
Applicant/Agent's Printed Name
--?
5/23/2022
_
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Date
Page llof11
PCN Form — Version 1.3 December 10, 2008 Version

AGENT AUTHORIZATION

AGENT AUTHORIZATION FORM
Name: NC Development Acquisition, LLC (Dominic Reinecker)
Address: 1776 Peachtree Street, NW, Suite 100, Atlanta, GA 30309
Phone: [phone]
Email: [e-mail]
Project Name/Description: Statesville Exit 54 Project
Date: 09/23/2021
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
Charlotte Regulatory Field Office
Attention: Krysta Stygar
Re: Wetland Related Consulting and Permitting
NC Development Acquisition, LLC . hereby designates and authorizes Kimley-Horn and Associates,
Inc. to act in my/our behalf as my/our agent solely for the purpose of processing Jurisdictional
Determinations, Section 404 permits/Section 401 Water Quality Certifications applications and
to furnish upon request supplemental information in support of applications, etc. from this day
forward until successful completion of the permitting process or revocation by the owner.
In addition, I, the undersigned, under contract to purchase the property/properties identified
herein, do 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 and issuing a determination associated with Waters of the U.S. subject to Federal
jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and
Harbors Act of 1899.
Authorized this the 24 day of September , 2021
Dominic Reinecker
Digitally signed by M. Dominic Reinecker
M. Dominic Reinecker DN: C=us, D=DReinecker@tpa-gg,.cem,
CN=M. Dominic Reinecker
Date: 2021-09 24 09.09.54-04'00'
Authorized Representative Authorized Representative
(Print Name) (Signature)

FIGURES

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Legend
Project Boundary
Figure 1
Vicinity Map
Statesville Exit 54 Site (SAW-2021-02509)
Statesville, Iredell County, NC
April 2022

Kimley>»Horn
Figure 2
USGS Topographic (Statesville East) Map
Statesville Exit 54 Site (SAW-2021-02509)
Statesville, Iredell County, NC
April 2022

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Kim ey>>) Horn Statesville Exit 54 Site (SAW-2021-02509)
Statesville, Iredell County, NC
April 2022

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Statesville Exit 54 Site (SAW-2021-02509)
Kim ey>>) Horn Statesville, Iredell County, NC
April 2022

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GRADING NOTES
1. REFER TO THE GENERAL NOTES SHEET FOR NOTES PERTAINING TO PAVING. GRADING.
ACCESSIBILITY. AND STORM DRAINAGE.
?. EXISTING AND PROPOSED GRADE CONTOURS INTERVALS SHOWN AT I FOOT.
3. ALL SPOT ELEVATIONS WITH TP: REPRESENTS THE TOP OF PAVEMENT SURFACE. (ADD 0.50' FOR
TOP OF CURB IF SPOT IS SHOWN IN GUTTER PAN OF CURB LINE.)
4. ALL SPOT ELEVATIONS WITH TC: REPRESENTS THE TOP OF CURB ELEVATION. /SUBTRACT 0.50'
FOR PAVEMENT OR ELEVATION OF GUTTER AT CURB LINE.J
5. RIM: ELEVATIONS OF CURB INLETS EQUALS THE TOP OF CURB ELEVATION ABOVE THE FLOW
LINE QF GUTTER PAN. RIM ELEVATIONS OF DROP INLETS, MANHOLES, AND CLEANOUTS EQUALS
THE CENTER OF GRATE OR LID ELEVATION.
E. ALL STRUCTURES SHALL BE ADJUSTED AS NECESSARY TO BE FLUSH WITH FINAL PAVEMENT.
7. MANHOLES WITHIN NON PAVED AREAS SHALL BE 3' ABOVE ADJACENT GRADES. UNLESS
OTHERWISE SHOWN.
8. CONTRACTOR SHALL PROVIDE SMOOTH TRANSITION BETWEEN PROPOSED PAVEMENT AND
EXISTING PAVEIAENT AND STORM STRUCTURES
9. DURING CONSTRUCTION AND AFTER FINAL GRADING. NO SURFACE WATER RUNOFF MAY BE
DIRECTED TO ADJACENT PROPERTIES, AND ALL SURFACE WATER RUNOFF MUST BE ROUTED
TO APPROVED DRAINAGE FACILITIES OR BE RETAINED ON SITE. ALL RUNOFF FROM THE SITE,
BOTH DURING AND AFTER CONSTRUCTION, MUST BE FREE OF POLLUTANTS, INCLUDING
SEDIMENT, PRIOR TO DISCHARGE.
ADA COMPLIANCE:
A. CURB RAMPS ALONG PUBLIC STREETS AND IN THE PUBLIC RIGHT-OF-WAY SHALL BE
CONSTRUCTED BASED ON THE CITY STANDARD CONSTRUCTION DETAILS AND SPECIFICATIONS.
B. PRIVATE CURB RAMPS ON THE SITE (I E. OUTSIDE PUBLIC STREET RIGHT-OF-WAYI SHALL
CONFORM TO THE ADA STANDARDS FOR ACCESSIBLE DESIGN AND SHALL HAVE A DETECTABLE
WARNING SURFACE THAT IS FULL NADTH OF THE CURB RAMP. NOT INCLUDING FLARES.
C. ALL ACCESSIBLE ROUTES. GENERAL SITE AND BUILDING ELEIAENTS. RAMPS. CURB RAMPS.
STRIPING, AND PAVEMENT MARKINGS SHALL CONFORM TO ADA STANDARDS FOR ACCESSIBLE
DESIGN LATEST EDITION.
D. ANY COMPONENTS OF THE PROJECT SERVING MULTIFAMILY DWELLINGS IN BUILDINGS THAT
HAVE 4 OR MORE UNITS PER DWELLING SHALL ALSO CONFORM TO THE FAIR HOUSING ACT
(FHA), AND COMPLY WITH THE FAIR HOUSING ACT DESIGN MANUAL BY THE US DEPARTMENT OF
HOUSING AND URBAN DEVELOPMENT.
E. BEFORE PLACING PAVEMENT. CONTRACTOR SHALL VERIFY THAT SUITABLE ACCESSIBLE
PEDESTRIAN ROUTES (PER ADA AND FHA) EXIST TO AND FROM EVERY DOOR AND ALONG
SIDEWALKS.ACCESSIBLE PARKING SPACES. ACCESS VERTEX, AND ACCESSIBLE ROUTES. IN NO
CASE SHALL AN ACCESSIBLE RAMP SLOPE EXCEED t VERTICAL TO t] HORIZONTAL.DI NO CASE
SHALL ALK SLOE EXCEESLOPE.0RXCEEDCENT. A0PERCENT. EPA PARKING
GASP SHALLLONGITUDINALAISLES
SLOPE EXCEED 5.0 PERCENT. ACCESSIBLE PARKING SPACES AND ACCESS AISLES
SHALL NOT EXCEED 2.0 PERCENT SLOPE IN ANY DIRECTION.
F. CONTRACTOR SHALL TAKE FIELD SLOPE MEASUREMENTS ON FINISHED SUBG RARE AND FORM
BOARDS PRIOR TO PLACING PAVEMENT TO VERIFY THAT ACCESSIBLE SLOPE REQUIREMENTS
ARE PROVIDED. CONTRACTOR SHALL CONTACT ENGINEER PRIOR TO PAVING IF ANY
IF ANY
EXCESSIVE SLOPES ARE ENCOUNTERED. NO CONTRACTOR CHANGE ORDERS WILL BE
ACCEPTED FOR ADA COMPLIANCE ISSUES.
ALERT TO CONTRACTOR: CONFIRM WITH GEOTECH REPORT
THE PRESENCE OF GROUNDWATER SHOULD BE ANTICIPATED ON THIS PROJECT. CONTRACTOR'S
BID SHALL INCLUDE CONSIDERATION FOR THIS ISSUE. Vu}1EN PERFORMING GRADING OPERATIONS
DURING PERIODS OF WET WEATHER, PROVIDE ADEQUATE DEWATERING, DRAINAGE AND GROUND
WATER MANAGEMENT TO CONTROL MOISTURE OF SOILS. REFER TO MASTER SITE SPECIFICATIONS.
ALERT TO CONTRACTOR: RETAINING WALLS
RETAINING WALLS SHOWN SHALL BE DESIGNED AND BUILT BY THE CONTRACTOR. WALL DESIGNERS
SHALL PROVIDE SIGNED AND SEALED SHOP DRAWING FOR ALL RETAINING WALLS. WALLS SHALL BE
DESIGNED BY A PROFESSIONAL ENGINEER. SIGNED AND SEALED CALCULATIONS FOR RETAINING
WALLS SHALL BE PROVIDED BY THE WALL DESIGNER. THE ANALYSIS SHALL INCLUDE INTERNAL,
EXTERNAL, GLOBAL STABILITY. AND BEARING CAPACITY CALCULATIONS. THE WALL DESIGNER
SHALL BE RESPONSIBLE FOR SELECTING AND SPECIFYING THE APPROPRIATE REINFORCING FILL
MATERIALS. GEOGRID, AND OTHER WALL APPURTENANCES. THE DESIGN SHALL ADDRESS
HYDROSTATIC LOADING, SEISMIC LOADING, VAPID DRAWDOWN, SURCHARGE, AND BACKSLOPE.S
WHERE APPROPRIATE.
SPOT GRADE SCHEMATIC
Sr.100-DI-VI Sr.100-WI;-AI Sr.1o0-MH
RIM:ELEV. RIM:ELEV. RIN:ELEV.
ST,100-FES
DROP/YARD INLET WINDOW, AREA INLET (INV:ELEV.
MANHOLE
ST.100-CB
W I ELEV. 1 n%EL v.
ST:1D0.H4V
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MEM
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I
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RETAINING
VEasauCT,EbArI3A,D DE - WALL EreDsac Orc
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PROPOSED TOPOGRAPHIC LEGEND
PROPOSED MAJOR
DR
41 PoPOSED MINOR
CONTOUR
Ga — GRADE BREAK (GB)
Hv — HP HIGH POINT (GB)
a-- to —LOW POINT(GBJ
---nnE---InE—MATCH EXISTING (ME)
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PROP. RUN:RISE
450 EXISIING MAJOR
TODR
--- 4S1 --- EXXIINTSIINGMINOR
OUR
LOD LIMITS OF DISTURBANCE
TP PAVEMENT
- CFCURE, I,: BOTTOM DF-LRB
Fe FII,I_ GRACE
ME MATCH EXISTING
HP HIGHT POINT
TWTCP SF `MI 1
PROPOSED SPOT GRADE
STORM WATER & DRAINAGE LEGEND
O
MH MANHOLE (SOLID LID)
CI liliOy CB CATCH BASINS
DI DROP INLETS
m STORM WATER PIPE
RC ROOF DRAIN
—5so-33—sso— SUB -SURFACE DRAIN
Y Y Y
TOP OF BANK
WATER SURFACE
PONDTTOE BOTTOM
SWALE, DITCH
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RIPRAP APRON
1 >( )C >( )CI
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JB JUNCTION BOX (SOLID LID)
CB-D CATCH BASIN DOUBLE
S ppi DI-D DROP INLETS DOUBLE
O CC CLEANDUT
hate FES FLARED END SECTION
HVV HEADWPII
WIV WING WALL
• VI YARD INLET
❑ AI AREA INLET
RD ROOF DRAIN
1 1 CS CONTROL STRUCTURE
C'. P PUMP STATION
RIM. CB. BOTTOM OF CURB AT GUTTER UNE
RIM: DI, IAH, CO, V1, Al: CENTER OF GRATE OR LID
IN, FES, HW, W1V PIPE INVERT ELEVATION
ST.C35-DI
RIM:737.79
ST'.A1aaFES
INV:750.50
STRUCTURE
LABEL
SPOT GRADE SCHEMATIC
ST'.100-DI',-VI ST'.100-WI'.-Al ST 00- -
RINI:El EV.RIME EV. RIM EI EV.
......—
—......—
DROP/YARD INLET WINDOW/AREA INLET ST:100-=ES
[IINV'.ELEV.
MANHOLE
ST 100.CB
RIM El EV. T✓1ELev. sT:10a11N
1
0"
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MIMEcir
L
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CATCH BASIN (CURE INLET)
ST OWN V
__
i CURB &GUTTER INV'.ELEV.
HOLD 1,, HOOD - - RETAINING ERovec-o Tc
felts Htuel Lls s MID,. _le a_ WALL
GRADING PLAN NOTES
OUTLINED AREA REPRESENTS THE OUTLINE OF ADA SPACES (PAVEMENT SLOPES WITHIN
THE LIMITS OF THIS AREA HAVE BEEN DESIGNED AT 1.8"ti MAXIMUM GRADE. CONTRACTOR
SHALL GRADE THESE AREAS NO STEEPER THAN 2.0,.)
�1 SIDEWALK AND CROSSWALK CROSSSLOPES SHALL NOT EXCEED 3/13' PER LINEAR FOOT
\ � / (NIAX 2K. SEE DETAIL). S"A MAX LONGITUDINAL SLOPE.
OADA ACCESSIBLE RAMP IN SIDEWALK TO CONFORM TO FEDERAL, STATE, AND LOCAL
ACCESSIBILITY GUIDELINES.
OSTANDARD SPILL CURB TO PRO/ADE NATURAL FLOW AWAY FROM CURB.
O VARIABLE HEIGHT SEGMENTED RETAINING WALL. (SEE WALL DETAILS)
OF ALL PAVEMENT SPCT GRADES ELEVATIONS ALONG CURB AND GUTTER REFER TO EDGE
OF PAVEMENT ELEVATIONS UNLESS OTHERVMSE NOTED.
© ALL SPOT GRADES DEPICT FINISH GRADE UNLESS OTHER VASE NOTED.
O NC EARTHEN SLOPE SHALL BE GREATER THAN 31. UNLESS OTHERW5E NOTED.
MATCH EXISTING ELEVATIONS AT THE PROPERTY LIMITS. GRADING ON ADJACENT
lO PROPERTY SHALL REQUIRE SLOPE PERMISSION. CONTRACTOR SHALL NOT COMMENCE
WORK ON ADJACENT PROPERTY UNTIL SUCH AGREEMENT IS IN PLACE.
30SIDEWALK RAMP WITH 5' LANDING AT TOP AND BOTTOM, 1:12 M AX. SLOPE, MAX RISE OF
CD 30-INCHES, AND SHALL MEET ALL REQUIREMENTS OF THE ADA STANDARDS FOR
ACCESSIBLE DESIGN FOR RAMPS.
DRAINAGE PLAN NOTES
5" (TYP.) ROOF DRAIN LATERAL (RD). CONNECTION TO ROOF DRAIN DOWNSPOUTS OP.
STAND PIPES. LATERALS SHALL BE CONSTRUCTED AT 1"5 MINIMUM SLOPE TO MAIN OR
COLLECTOR PIPE. COORDINATE LOCATION AND INVERT WITH ARCH/MEP PLANS.
1 CLEANOUT(S)-("H-2P' TRAFFIC RATED IN ALL PAVED AREAS), SPACING PER GOVERNING
AGENCY.
A MINIMUM VERTICAL SEPARATION OF IS -INCHES SHALL BE MAINTAINED AT CROSSINGS.
❑IN THE EVENT THAT MINIMUM SEPARATION REQUIREMENTS CANNOT BE MET THE
3 CONTRACTOR SHALL UTILIZE MINIMUTA PIPE SEPARATION REQUIREMENTS PER THE
GOVERNING AGENCY.
17 LOW POINT (LP) DRAINAGE BREAK FLOW LINE IN PAVEMENT SECTION. POSITIVE GRADE
DRAIN.
FIPERMANENT RIP RAP DISSIPATER PAD AT STORM OUTLET. SEE DETAIL FOR STONE SIZE
AND DIMENSION.
STORMWATER RETENTION FACILITY/STRUCTURE - WET POND. SIZED TO TREAT
ESTORM'HATER QUALITY AND QUANTITY PER THE NC DIVISION OF WATER QUALITY
STORMWATER BMP DESIGN MANUAL.. SEE DETAILS THIS PLAN SET.
STORM' HATER BMP FACILITY I STRUCTURE - BIOF WATERIDN. SIZED TO TREAT
QUALITY PER THE NC DIVISION OF WATER QUALITY STORMWATER BMP
�7 DESIGN
DESIGN MANUAL. SEE DETAILS THIS PLAN SET.
EOUTLET CONTROL STRUCTURE (CS). SEE DETAIL
E20' PUBLIC DRAINAGE EASEMENT (DE
10 CORE AND CONNECT TO EXISTING STORM SEWER MANHOLE.
OPEN CUT TRENCH. REMOVE EXISTING PAVEMENT, CURB, (SIDEWALK] TO FACILITATE
11 UTILITY INSTALLATION. SAWiCUT A CLEAN EDGE ON BOTH SIDES OF TRENCH. THE
LI CONTRACTOR WALL BE RESPCGIBLE FOR RESTORATION OF THE EXISTING STREET
PAVING AND ANY LAND COVER OR STRUCTURE TO ITS CRIGIANL DR BETTER CONDITION.
12 JACK& BORE -JACKING AND RECEIVING PITS AND PROCEDURE SHALL BE PER THE
LL GOVERNING AGENCY.
13 SERVICE STUB VMTH CAP& PLUG WTH SURFACE MARKER.
14 PERMANENT GRASS SWALE. SEE DETAIL FOR DIMENSION AND CAPACITY.
CRAP-IIC SCALE IN FEET
0 30 60 120
1 11
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30 OF TEMPORARY WETLAND
IMPACTS PAST BASE OF WALL,
CONTRACTOR SHALL USE WETLAND
MATS (RUBBER OR TIMBER) AND
RETURN AREA TO PRECONSTRUCTION
CONTOURS. IF TREE CLEARING IS
REQUIRED, REPLANT WITH NATIVE
WOODY VEGETATION AND TEMPORARY
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PROPOSED MAJOR EXISTING MAJOR
450 CONTOUR 450 CONTOUR
PROPOSED MINOR EXISTING MINOR
451 _ 451 _
CoNTo
U-e— —— GRADE BREAK(GB) —LOD— — — MATS OF DISTURBANCE
nP-- nP — HIGH POINT (Gel r'-{ L SED SPOT GRADE
LP---LP—LOW POINT (GB) 1 BETTED OFcuas
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WATER & DRAINAGE LEGEND
STORM
{CO I I MH MANHOLE (SOLID LID) inj JIB JUNCTION BOX, (SOLID LID)
11 tam il if.) CB CATCH BASINS 11.1111 CB-D CATCH BASIN DOUBLE
•i LAFi IX in DI DROP INLETS 1*1* DI DROP INLETS DOUBLE
m STORM WATER PIPE C CO CLEANOUT
RD ROOF DRAIN Jt, FES FLARED END SECTION
------ P.—No.—PPR—SUBSURFACE DRAIN HW HEADWAII
Y Y Y TOP OF BANK D VW HANG WALL
VVATER VI YARD
SURFACE • INLET
PONDOTO❑ AI AREA INLET
SWA EDITCH
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)C ,( )LI RIPRAP APRON © CS CONTROL STRUCTURE
— DE —DRAINAGE EASEMENT P PUMP STATION
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0
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NV 750.50
SPOT GRADE SCHEMATIC
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NORMAL DEPTH
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4.0 MIN.
1 4A TYPICAL DRAINAGE CHANNEL - SECTION
Not to Scale
Kimley>»Horn
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SC250 OR EQUIVALENT
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MANUFACTURERS
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TYPICAL DRAINAGE CHANNEL - SECTION
4 B Nat to Scale
GRAPHIC SCALE IN FEET
0 30 60 120
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19
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GRAPHIC SCALE IN FEET
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GRADING NOTES
1. REFER TO THE GENERAL NOTES SHEET FOR NOTES PERTAINING TO PAVING. GRADING.
ACCESSIBILITY. AND STORM DRAINAGE.
?. EXISTING AND PROPOSED GRADE CONTOURS INTERVALS SHOWN AT I FOOT.
3. ALL SPOT ELEVATIONS WITH TP: REPRESENTS THE TOP OF PAVEMENT SURFACE. (ADD 0.50' FOR
TOP OF CURB IF SPOT IS SHOWN IN GUTTER PAN OF CURB LINE.)
4. ALL SPOT ELEVATIONS WITH TC: REPRESENTS THE TOP OF CURB ELEVATION. /SUBTRACT 0.50'
FOR PAVEMENT OR ELEVATION OF GUTTER AT CURB LINE.J
5. RIM: ELEVATIONS OF CURB INLETS EQUALS THE TOP OF CURB ELEVATION ABOVE THE FLOW
LINE QF GUTTER PAN. RIM ELEVATIONS OF DROP INLETS, MANHOLES, AND CLEANOUTS EQUALS
THE CENTER OF GRATE OR LID ELEVATION.
E. ALL STRUCTURES SHALL BE ADJUSTED AS NECESSARY TO BE FLUSH WITH FINAL PAVEMENT.
7. MANHOLES WITHIN NON PAVED AREAS SHALL BE 3' ABOVE ADJACENT GRADES. UNLESS
OTHERWISE SHOWN.
8. CONTRACTOR SHALL PROVIDE SMOOTH TRANSITION BETWEEN PROPOSED PAVEMENT AND
EXISTING PAVEIAENT AND STORM STRUCTURES
9. DURING CONSTRUCTION AND AFTER FINAL GRADING. NO SURFACE WATER RUNOFF MAY BE
DIRECTED TO ADJACENT PROPERTIES, AND ALL SURFACE WATER RUNOFF MUST BE ROUTED
TO APPROVED DRAINAGE FACILITIES OR BE RETAINED ON SITE. ALL RUNOFF FROM THE SITE,
BOTH DURING AND AFTER CONSTRUCTION, MUST BE FREE OF POLLUTANTS, INCLUDING
SEDIMENT, PRIOR TO DISCHARGE.
ADA COMPLIANCE:
A. CURB RAMPS ALONG PUBLIC STREETS AND IN THE PUBLIC RIGHT-OF-WAY SHALL BE
CONSTRUCTED BASED ON THE CITY STANDARD CONSTRUCTION DETAILS AND SPECIFICATIONS.
B. PRIVATE CURB RAMPS ON THE SITE (I E. OUTSIDE PUBLIC STREET RIGHT-OF-WAYI SHALL
CONFORM TO THE ADA STANDARDS FOR ACCESSIBLE DESIGN AND SHALL HAVE A DETECTABLE
WARNING SURFACE THAT IS FULL NADTH OF THE CURB RAMP. NOT INCLUDING FLARES.
C. ALL ACCESSIBLE ROUTES. GENERAL SITE AND BUILDING ELEIAENTS. RAMPS. CURB RAMPS.
STRIPING, AND PAVEMENT MARKINGS SHALL CONFORM TO ADA STANDARDS FOR ACCESSIBLE
DESIGN LATEST EDITION.
D. ANY COMPONENTS OF THE PROJECT SERVING MULTIFAMILY DWELLINGS IN BUILDINGS THAT
HAVE 4 OR MORE UNITS PER DWELLING SHALL ALSO CONFORM TO THE FAIR HOUSING ACT
(FHA), AND COMPLY WITH THE FAIR HOUSING ACT DESIGN MANUAL BY THE US DEPARTMENT OF
HOUSING AND URBAN DEVELOPMENT.
E. BEFORE PLACING PAVEMENT. CONTRACTOR SHALL VERIFY THAT SUITABLE ACCESSIBLE
PEDESTRIAN ROUTES (PER ADA AND FHA) EXIST TO AND FROM EVERY DOOR AND ALONG
SIDEWALKS.ACCESSIBLE PARKING SPACES. ACCESS VERTEX, AND ACCESSIBLE ROUTES. IN NO
CASE SHALL AN ACCESSIBLE RAMP SLOPE EXCEED t VERTICAL TO t] HORIZONTAL.DI NO CASE
SHALL ALK SLOE EXCEESLOPE.0RXCEEDCENT. A0PERCENT. EPA PARKING
GASP SHALLLONGITUDINALAISLES
SLOPE EXCEED 5.0 PERCENT. ACCESSIBLE PARKING SPACES AND ACCESS AISLES
SHALL NOT EXCEED 2.0 PERCENT SLOPE IN ANY DIRECTION.
F. CONTRACTOR SHALL TAKE FIELD SLOPE MEASUREMENTS ON FINISHED SUBG RARE AND FORM
BOARDS PRIOR TO PLACING PAVEMENT TO VERIFY THAT ACCESSIBLE SLOPE REQUIREMENTS
ARE PROVIDED. CONTRACTOR SHALL CONTACT ENGINEER PRIOR TO PAVING IF ANY
IF ANY
EXCESSIVE SLOPES ARE ENCOUNTERED. NO CONTRACTOR CHANGE ORDERS WILL BE
ACCEPTED FOR ADA COMPLIANCE ISSUES.
ALERT TO CONTRACTOR: CONFIRM WITH GEOTECH REPORT
THE PRESENCE OF GROUNDWATER SHOULD BE ANTICIPATED ON THIS PROJECT. CONTRACTOR'S
BID SHALL INCLUDE CONSIDERATION FOR THIS ISSUE. Vu}1EN PERFORMING GRADING OPERATIONS
DURING PERIODS OF WET WEATHER, PROVIDE ADEQUATE DEWATERING, DRAINAGE AND GROUND
WATER MANAGEMENT TO CONTROL MOISTURE OF SOILS. REFER TO MASTER SITE SPECIFICATIONS.
ALERT TO CONTRACTOR: RETAINING WALLS
RETAINING WALLS SHOWN SHALL BE DESIGNED AND BUILT BY THE CONTRACTOR. WALL DESIGNERS
SHALL PROVIDE SIGNED AND SEALED SHOP DRAWING FOR ALL RETAINING WALLS. WALLS SHALL BE
DESIGNED BY A PROFESSIONAL ENGINEER. SIGNED AND SEALED CALCULATIONS FOR RETAINING
WALLS SHALL BE PROVIDED BY THE WALL DESIGNER. THE ANALYSIS SHALL INCLUDE INTERNAL,
EXTERNAL, GLOBAL STABILITY. AND BEARING CAPACITY CALCULATIONS. THE WALL DESIGNER
SHALL BE RESPONSIBLE FOR SELECTING AND SPECIFYING THE APPROPRIATE REINFORCING FILL
MATERIALS. GEOGRID, AND OTHER WALL APPURTENANCES. THE DESIGN SHALL ADDRESS
HYDROSTATIC LOADING, SEISMIC LOADING, VAPID DRAWDOWN, SURCHARGE, AND BACKSLOPE.S
WHERE APPROPRIATE.
SPOT GRADE SCHEMATIC
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GRADING PLAN NOTES
OUTLINED AREA REPRESENTS THE OUTLINE OF ADA SPACES (PAVEMENT SLOPES WITHIN
THE LIMITS OF THIS AREA HAVE BEEN DESIGNED AT 1.3. MAXIMUM GRADE. CONTRACTOR
SHALL GRADE THESE AREA'S NO STEEPER THAN 2.0%.)
OSIDEWALK AND CROSSWALK CROSSSLOPES SHALL NOT EXCEED 3/IU' PER LINEAR FOOT
B (MAX 2%. SEE DETAIL). 5%1(1AX LONGITUDINAL SLOPE.
ADA ACCESSIBLE RAIAP IN SIDEWALK TO CONFORM TO FEDERAL, STATE, AND LOCAL CO ACCESSIBILITY GUIDELINES.
ICD STANDARD SPILL CURB TO PRCSADE NATURAL FLOW AWAY FROM CURB.
O VARIABLE HEIGHT SEGMENTED RETAINING WALL. (SEE WALL DETAILS)
OALL PAVEMENT SPOT GRADES ELEVATIONS ALONG CURB AND GUTTER REFER TO EDGE
OF PAVEMENT ELEVATIONS UNLESS OTHERWSE NOTED.
© ALL SPOT GRADES DEPICT FINISH GRADE UNLESS OTHER VASE NOTED.
ONC EARTHEN SLOPE SHALL BE GREATER THAN 3:1, UNLESS OTHERW 5E NOTED.
IA ATCH EXISTING ELEVATIONS AT THE PROPERTY LIMITS. GRADING ON ADJACENT
lO PROPERTY SHALL REQUIRE SLOPE PERMISSION. CONTRACTOR SHALL NOT COMMENCE
WORK ON ADJACENT PROPERTY UNTIL SUCH AGREEMENT IS IN PLACE.
30SIDEWALK RAMP VATH 5' LANDING AT TOP AND BOTTOM, 1'.12 MAX SLOPE, MAX RISE OF
CD 30-INCHES, AND SHALL MEET ALL REQUIREMENTS OF THE ADA STANDARDS FOR
ACCESSIBLE DESIGN FOR RAMPS.
DRAINAGE PLAN NOTES
B. (TYP.) ROOF DRAIN LATERAL (RD). CONNECTION TO ROOF DRAIN DOWNSPOUTS OR
STANDPIPES. LATERALS SHALL 6E CONSTRUCTED ATI% MINIMUM SLOPE TO MAIN OR
COLLECTOR PIPE. COORDINATE LOCATION AND INVERT WITH ARCH/MEP PLANS.
CLEANOUT(S)-CH-20 TRAFFIC RATED IN ALL PAVED AREAS), SPACING PER GOVERNING
AGENCY.
A MINIMUM VERTICAL SEPARATION OF IS -INCHES SHALL BE MAINTAINED AT CROSSINGS.
6/ IN THE EVENT THAT MINIMUM SEPARATION REQUIREMENTS CANNOT 8E MET, THE
CONTRACTOR SHALL UTILIZE MINIMUTA PIPE SEPARATION REQUIREMENTS PER THE
GOVERNING AGENCY.
17 LOW POINT (LP) DRAINAGE BREAK FLOW LINE IN PAVEMENT SECTION. POSITIVE GRADE
DRAIN.
1-1 PERMANENT RIP RAP DISSIPATER PAD AT STORM OUTLET. SEE DETAIL FOR STONE SIZE
AND DIMENSION.
sTDRMWATER RETENTION FACILITY I STRUCTURE- WET POND. SLED TO TREAT
ESTORMt.VATER QUALITY AND QUANTITY PER THE NC DIVISION OF WATER QUALITY
sTDRMWATER BMP DESIGN MANUAL.. SEE DETAILS THIS PLAN SET.
STORM' WATER BMP FACILITY I STRUCTURE- B16RETENTION. SIZED TO TREAT
ESTORMVJATER QUALITY PER THE NC DIVISION OF WATER QUALITY sTDRMWATER BMP
DESIGN MANUAL. SEE DETAILS THIS PLAN SET.
EOUTLET CONTROL STRUCTURE (CS). SEE DETAIL
E20. PUBLIC DRAINAGE EASEMENT (DE)
10 CORE AND CONNECT TO EXISTING STORM SEWER MANHOLE.
OPEN CUT TRENCH. REMOVE EXISTING PAVEMENT, CURB, (SIDEWALK) TO FACILITATE
11 UTILITY INSTALLATION. SAWCUT A CLEAN EDGE ON BOTH SIDES OF TRENCH. THE
LI CONTRACTOR WALL BE RESPCSIBLE FOR RESTORATION OF THE EXISTING STREET
PAVING AND ANY LAND COVER OR STRUCTURE TO ITS ORIGIAN L OR BETTER CONDITION.
12 JACK 8, BORE
V-JACKING AND RECEIVING PITS AND PROCEDURE 5H ALL BE PER THE
LL GOVERNING AGENCY.
13 SERVICE STUBIMTH CAP& PLUG WTH SURFACE MARKER.
14 PERMANENT GRASS SWALE. SEE DETAIL FOR DIMENSION AND CAPACITY.
GRAPHIC SCALE IN FEET
C 30 60 120
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MATS ,RUBBER OR TIMBER) AND
RETURN AREA TO PRECONSTRUCTION
CONTOURS. IF TREE CLEARING IS
REQUIRED, REPLANT WITH NATIVE
WOODY VEGETATION AND TEMPORARY
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PROPOSED MAJOR
EXISTING MAJORoNTOUR
40 450
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PROPOSED MINOR EXISTING MINOR
451 _ — — 451 — — —
CONTOUR CONTOUR
oe— —— GRADE BREAK (GB) LeD UNITS OF DISNP.BANCE
— — — , — — — HP — HIGH POINT (GM 1
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— NORMAL DEPTH
s
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SC250 OR EQUIVALENT
(INSTALL PER
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14B
2.0MIN.
TYPICAL DRAINAGE CHANNEL - SECTION
Nat to Scale
GRAPHIC SCALE IN FEET
C 30 60 120
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EXISTING OR PROPOSED FINISH
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Kimleyo Horn
EXISTING OR PROPOSED FINISH
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MUNICIPALITY
SHEET NUMBER
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PRELIMINARY JURISDICTIONAL
DETERMINATION

U.S.ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id.SAW-2021-02509County:Iredell U.S.G.S.Quad:NC-Statesville East
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Requestor: NC Development Acquisition,LLC
Dominic Reinecker
Address: 1776 Peachtree Street.NW Suite 100
Atlanta,GA30309
Telephone Number: 770-4363-4714
E-mail: dreinecker a�7t,pa-grp.com
Size(acres) 178.09 Nearest Town Statesville
Nearest Waterway Fifth Creek River Ba sin Upper Pee Dee
USGS HUC 03040102 Coordinates Latitude:35.849791
Longitude:-80.864608
Location description:Project is located Northwest of the intersection of US Interstate Highway 77 N,and Turnersburg
Highway,near the town of Statesville,Iredell Co untv,North Carolina.PIN(s):4747702049.000,4746676347.000
Indicate Which of the Following Apply:
A. Preliminary Determination
0 There appear to be waters on the above described project area/property,thatmay be subjectto Section 404 ofthe Clean Water
Act(CWA)(33 USC§ 1344)and/or Section 10 ofthe Rivers and Harbors Act(RHA)(33 USC§403).The waters have been
delineated,and the delineation has beenverifiedby the Corps to be sufficiently accurate and reliable.The approximate boundaries
of these waters are shown on the enclosed delineation map dated 11/15/2021.Therefore this preliminary jurisdiction
determination may be used in the permit evaluationprocess,including determining compensatory mitigation.For purposes of
computation ofimpacts,compensatory mitigation requirements,and other resource protection measures,a permit decision made
on the basis of a preliminary JD will treat a ll waters and wetlands that would be affected in any way by the permitted a ctivity on
the site as if they are jurisdictional waters of the U.S.This preliminary determination is not an appealable action under the
Regulatory Program Administrative Appeal Process(Reference 33 CFR Part 331).However,you may request an approved JD,
which is an appealable action,by contactingthe Corps district for further instruction.
❑ There appear to be waters on the above described project area/property,thatmay be subjectto Section 404 of the Clean Water
Act(CWA)(33 USC§ 1344)and/or Section 10 ofthe Rivers and Harbors Act(RHA)(33 USC§403).However,since the waters
have not been properly delineated,this preliminary jurisdiction determination may not be used in the permit evaluation process.
Without a verified wetland delineation,this preliminary determination is merely an effective presumption of C WA/RHA
jurisdiction over all of the waters at the project area,which is not sufficiently accurate andreliable to support an enforceable
permit decision.We recommendthatyouhave the waters on your project area/property delineated.As the Corps may not be able
to accomplish this wetland delineation in a timely manner,you may wish to obtain a consultantto conduct a delineationthat can
be verified by the Corps.
B. Approved Determination
❑ There are Navigable Waters of the United States within the above de scribed project area/property subjectto the permit
requirements of Section 10 of the Rivers andHarbors Act(RHA)(33 USC§403)and Section 404 ofthe Clean Water Act
(CWA)(33 USC§ 1344). Unless there is a change in law or our published regulations,this determination may be relied upon for
a period not to exceed five years from the date of this notification.
❑ There are waterson the above de scribed project area/property subjectto the permit requirements of Section 404 ofthe Clean
Water Act(CWA)(33 USC§ 1344). Unless there is a change in the law or our published regulations,this determination may be
relied upon for a period notto exceed five years from the date of this notification.
❑We recommend you have the waters on your project area/property delineated. As the Corps may notbe able to accomplish
this wetland delineation in a timely manner,you may wish to obtain a consultant to conduct a delineation thatcan be verified by
the Corps.
❑The waters on y our project area/property have been delineated and the delineation has been verified by the Corps.The
approximate boundaries of these waters are shown on the enclosed delineationmap dated DATE.We strongly suggest youhave
this delineation surveyed. Upon completion,this survey should be reviewed and verified by the Corps. Once verified,this survey

SAW-2021-02509
will provide an accurate depiction of all areas subject to CWA jurisdiction on your property which,provided there is no change in
the law or our published regulations,may be relied upon for a periodnotto exceed five years.
❑The waters have been delineated and surveyed and are accurately depicted on the plat signed by the Corps Regulatory Official
identified below onDATE.Unless there is a change in the law or our published regulations,this determination may be relied
upon for a period not to exceed five y ears from the date of this notification.
❑ There are no waters of the U.S.,to include wetlands,presenton the above describedproject area/property which are subjectto the
permit requirements of Section404 of the Clean Water Act(33 USC 1344). Unless there is a change in the law or our published
regulations,this determination may be relied upon for a period notto exceed five years from the date of this notification.
❑ The property is located in one ofthe 20Coastal Counties subject to regulation under the CoastalArea Management Act(CAMA).
You should contactthe Division of CoastalManagementin Morehead City,NC,at(252)808-2808 to determine their
requirements.
Placement of dredged or fillmaterialwithin waters of the US,including wetlands,without a Department ofthe Army permit may
constitute a violation of Section 301 of the Clean Water Act(33 USC§ 1311). Placement of dredged or fill material,construction or
placement of structures,or work within navigable waters ofthe United States without a Department of the Army permit may
constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act(33 USC§401 and/or 403).If you have any questions
regardingthis determination and/or the Corps regulatory program,please contact Krystynka B Stygar at 252-545-0507 or
kry stynka.b.sty gar(Ousac e.a rmy.mil.
C. Basis For Determination:Based on information submitted by the applicant and available to the U.S.
Army Corps of Engineers,the project area exhibits criteria for waters of the U.S. as defined in 33
CFR 328,Regulatory Guidance Letter 05-05,and the 1987 Wetland Delineation Manual,and/or the
Regional Supplement to the 1987 Manual: Eastern Piedmont and Mountains v2.0.See the
preliminary jurisdictional determination form dated 1/10/2022.
D. Remarks:See approximate Jurisdictional features on map, "PJD Field Sketch-Statesville Exit 54"Date
11/15/2021
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps'Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination may notbe valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants,or anticipate participation in USDA programs,you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service,prior to starting work.
F. Appeals Information(This information applies only to approved jurisdictional determinations as indicated in B.
above)
If you object to this determination,you may request an administrative appealunder Corps regulations at 33 CFR Part 331. Enclosed
you will find a Notification ofAppealProcess(NAP)fact sheet and Request forAppeal(RFA)form. Ifyourequest to appealthis
determination you must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Mr.Philip A. Shannin
Administrative Appeal Review Officer
60 Forsyth Street SW,FloorM9
Atlanta,Georgia 30303-8803
AND
PH I L I [e-mail]
In order for an RFA to be accepted by the Corps,the Corps must determine that it is complete,that it meets the criteria for appeal
under 33 CFR part 331.5,andthat it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form,it must be received at the above address by Not applicable.
**It is not necessary to submit anRFAform to the Division Office if you do not object to the determination in this correspondence.**
Corps Regulatory Official: _AO_
Date of JD:1/10/2022 ExpirationDate ofJD:Not applicable

SAW-2021-02509
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so,please complete the Customer Satisfaction Survey located at
http://corpsmapu.usace.army.mil/cmapex/f?p=136:4:0
Landowner:
Viola G Roberston
1759 Turnersburg Highwa y
Cleveland,NC 27013
Lowell E Harmon
747 TumersburgHighway
Statesville,NC 28625
Copy furnished:
Agent: Kimely-Horn and Associates
Chris Tinklenburg
Address: 200 South Tryon Street,Suite 200
Charlotte.NC 28262
Telephone Number: 704-409-1802
E-mail: chris.tinklenburg(c'kimely-horn.co m

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant:NC Development Acquisition,LLC,Dominic File Number:SAW-2021-02509 Date: 1/10/2022
Reinecker
Attached is: See Section below
▪ INITIAL PROFFERED PERMIT(Standard Permit or Letter of permission) A
❑ PROFFERED PERMIT(Standard Permit or Letter of permission) B
▪ PERMIT DENIAL C
▪ APPROVED JURISDICTIONAL DETERMINATION D
▪ PRELIMINARY JURISDICTIONAL DETERMINATION E
SECTION I-The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at orhttp://www.usace.army.mil/Missions/CivilWorks/RegulatoryProgramandPermits.aspx
or the Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit,you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission(LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety,and waive all
rights to appealthe permit,including its terms and conditions,and approved jurisdictional determinations associated with the
permit.
• OBJECT: If you object to the permit(Standard or LOP)because of certain terms and conditions therein,you may request
that the permit be modified accordingly.You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice,or you will
forfeit your right to appealthe permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may:(a)modify the permit to address allof your concerns,(b)modify the permit to address some of your
objections,or(c)not modify the permit having determined that the permit should be issued a s previously written. After
evaluating your objections,the district engineer will send you a proffered permit for yourreconsideration,as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit,you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission(LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety,and waive all
rights to appealthe permit,including its terms and conditions,and approved jurisdictionaldeterminations associated with the
permit.
• APPEAL: If you choose to decline the proffered permit(Standard or LOP)because of certain terms and conditions therein,
you may appealthe declined permit under the Corps of Engineers Administrative AppealProcess by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appealthe denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may acceptor appeal the approved JD or provide new
information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice,means that you accept the approved JD in its entirety,and waive all rights to appealthe approved JD.
• APPEAL: If you disagree with the approved JD,you may appealthe approved JD under the Corps of Engineers
Administrative AppealProcess by completing Section II of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish,you may request an approved JD(which may be appealed),
by conta cting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the JD.
SECTION II-REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT SE
MM
REASONS FOR APPEAL OR OBJECTIONS: (Describe y our rea sons for appea ling the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where yourreasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record,the Corps memorandum for the
record of the appealconference ormeeting,and any supplemental information that the review officer ha s determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However,you may provide additional information to clarify the location of information that is already in the administrative
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the If you only have questions regarding the appealprocess you may
appealprocess you may contact: also contact:
District Engineer,Wilmington Regulatory Division MR.PHILIP A.SHANNIN
Attn: Krystynka B Stygar ADMINISTRATIVE APPEAL REVIEW OFFICER
Charlotte Regulatory Office CESAD-PDS-O
U.S Army Corps of Engineers 60 FORSYTH STREET SOUTHWEST,FLOOR M9
8430 University Executive Park Drive,Suite 615 ATLANTA,GEORGIA 3 03 03-88 03
Charlotte,North Carolina 28262
PHONE:[phone];FAX[phone]
EMAIL:[e-mail]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel,and any government
consultants,to conduct investigations of the project site during the course of the appealprocess. You will be provided a 15-day
notice of any site investigation,and will have the opportunity to participate in all site investigations.
Date: Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer,Wilmington Regulatory Division,Attn:Krystynka B Stygar,8430 University Executive Park Drive Suite
615,Charlotte,North Carolina 28262
For Permit denials,Proffered Permits and Approved Jurisdictional Determinations send this form to:
Division Engineer,Commander,U.S.Army Engineer Division,South Atla ntic,Attn:Mr.Philip Shannin,Administrative
Appeal Officer,CESAD-PDO,60 Forsyth Street,Room 10M15,Atlanta,Georgia 30303-8801
Phone:[phone]

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 11/24/2021
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: NC Development Acquisition,LLC,
Dominic Reinecker, 1776 Peachtree Street,NW Suite 100, Atlanta,GA 30309
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, Statesville Exit 54-Project,
SAW-2021-02509
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: PIN(s): 4747702049.000,
4746676347.000
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES
AND/OR AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County:Iredell City: Statesville
Center coordinates of site (lat/long in degree decimalformat):Latitude:35.849791 Longitude:-80.864608
Universal Transverse Mercator:
Name of nearestwaterbody:Fifth Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑Office (Desk) Determination. Date:
Z Field Determination. Date(s): January 4, 2021
TABLE OF AQUATIC RESOURCES INREVIEWAREA WHICH "MAY BE"SUBJECT TO
REGULATORY JURISDICTION
Site Number Latitude Longitude Estimated Type of aquatic resources Geographic
(decimal (decimal amount of (i.e.,wetland vs.non- authority to
degrees) degrees) aquatic wetland waters) which the
resources in aquatic
review area resource"may
(acreage and be"subject
linear feet,if (i.e.,Section
applicable 404 or Section
10/404)
Stream 1 35.854288 -80.863832 3154 LF Non-wetland waters Section 404
Stream 2 35.852803 -80.866068 875 LF Non-wetland waters Section 404
Stream 3 35.853609 -80.559648 401 LF Non-wetland waters Section 404
Stream 4 35.847955 -80.86378 2637 LF Non-wetland waters Section 404
Stream 5 35.848672 -80.863243 445 LF Non-wetland waters Section 404
Stream 6 35.845764 -80.865123 179 LF Non-wetland waters Section 404
Stream 7 35.845005 -80.867156 264 LF Non-wetland waters Section 404
Stream 8 35.843828 -80.868469 370 LF Non-wetland waters Section 404
Wetland 1 35.854064 -80.864683 19.82 acres Wetland Section 404
Wetland 2 35.846006 -80.865202 0.157 acres Wetland Section 404

1. The Corps of Engineers believes that there may bejurisdictional aquatic resources in the
review area, and the requestor of this PJD is hereby advised of his or her option to request
and obtain an approved JD(AJD) for that review area based on an informed decision after
having discussed the various types of JDs and their characteristics and circumstances when
they may be appropriate.
2. In any circumstance where a permit applicant obtains an individual permit, or a Nationwide
General Permit(NWP) or other general permit verification requiring "pre- construction
notification" (PCN), or requests verification for a non-reporting NWP or other general
permit, and the permit applicant has not requested an AJD for the activity, the permit
applicant is hereby made aware that: (1) the permit applicant has elected to seek a permit
authorization based on a PJD,which does not make an official determination of
jurisdictional aquatic resources; (2)the applicant has the option to request an AJD before
accepting the terms and conditions of the permit authorization, and that basing a permit
authorization on an AJD could possibly result in less compensatory mitigation being
required or different special conditions; (3)the applicant has the right to request an
individual permit rather than accepting the terms and conditions of the NWP or other
general permit authorization; (4) the applicant can accept a permit authorization and
thereby agree to comply with all the terms and conditions of that permit, including
whatever mitigation requirements the Corps has determined to be necessary; (5)
undertaking any activity in reliance upon the subjectpermit authorization without
requesting an AJD constitutes the applicant's acceptance of the use of the PJD; (6)
accepting a permit authorization (e.g.,signing a proffered individual permit)or undertaking
any activity in reliance on any form of Corps permit authorization based on a PJD
constitutes agreement that all aquatic resources in the review area affected in any way by
that activity will be treated as jurisdictional, and waives any challenge to such jurisdiction
in any administrative orjudicial compliance or enforcement action,or in any administrative
appeal or in any Federal court; and(7)whether the applicant elects to use either an AJD or
a PJD, the JD will be processed as soon as practicable. Further, an AJD, a proffered
individual permit(and all terms and conditions contained therein), or individual permit
denial can be administratively appealed pursuant to 33 C.F.R. Part 331. If,during an
administrative appeal, it becomes appropriate to make an official determination whether
geographic jurisdiction exists over aquatic resources in the review area, or to provide an
official delineation of jurisdictional aquatic resources in the review area,the Corps will
provide an AJD to accomplish that result, as soon as is practicable. This PJD finds that
there "may be"waters of the U.S. and/or that there "may be"navigable waters of the U.S.
on the subject review area, and identifies all aquatic features in the review area that could
be affected by the proposed activity, based on the following information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)Checked items are included in the administrative
record and are appropriately cited:
Z Maps,plans,plots or plat submitted by or on behalf of the PJD requestor:
Map:Kimely Horn forNC Development Acqusition
Z Data sheets prepared/submitted by or on behalf of the PJD requestor.Data sheets:
❑Office concurs with data sheets/delineation report.
El Office does not concur with data sheets/delineation report. Rationale:
❑Data sheets prepared by the Corps:
❑Corps navigable waters' study:
Z U.S. Geological Survey Hydrologic Atlas:
Z USGS NHD data:
❑USGS 8 and 12 digit HUC maps:
Z U.S. Geological Survey map(s).Cite scale&quad name: 1:24K Statesville East
Z Natural Resources Conservation Service Soil Survey. Citation:Iredell Co, SSURGO Soils
Z Nationalwetlands inventory map(s). Cite name:NWI Digital Mapper
❑State/local wetland inventory map(s):
❑FEMA/FIRM maps:
❑100-year Floodpla in Elevation is: (National Geodetic Vertical Datum of 1929)
®Photographs: Z Aerial (Name & Date): 2021NearmapAerial
or Z Other(Name& Date): Site Photographs, (06/18/2021)07/13/2021,and 08/19/2021
❑Previous determination(s). File no. and date of response letter:
❑Other information(please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily been verified by the Corps
and should not be relied upon for later jurisdictional determinations.
4/IIAP )61P15
Signature and date of Regulatory Signature and date of person requesting PJD
staff member completing PJD (REQUIRED, unless obtaining the signature is
1/10/2022 impracticable)1
1 Districts may establish timeframes for requester to return signed PJD forms.If the requester does not respond within the established
time frame,the district may presume concurrence and no additional follow up is necessary prior to finalizing an action.

Legend
Project Boundary
Photo Locations
Wetlands (Potential Wetland WoUS)
Streams (Potential Non -Wetland WoUS)
Perennial
./40.— Intermittent
Data Forms
Upland
Wetland
0
Feet
550 1,100
Kimley»)Horn
Figure 4
PJD Field Sketch
Statesville Exit 54 Project
Statesville, Iredell County, NC
15 November 2021

AGENCY CORRESPONDENCE

Q,:0.E. T oFTy4 United States Department of the Interior ! SERVICE
,4
�,
O f` H p
r.- )
imc
j FISH AND WILDLIFE SERVICE
Asheville Field Office
4'4AcH 3 '8°'9 160 Zillicoa Street
Asheville,North Carolina 28801
April 4, 2022
Taylor Kiker
Kimley-Horn
200 South Tryon Street, Suite 200
Charlotte,North Carolina 28202
[e-mail]
Subject: Statesville Exit 54 Industrial Development; Iredell County,North Carolina
Dear Taylor Kiker:
The U.S. Fish and Wildlife Service (Service)has reviewed the information provided in your
correspondence dated March 3, 2022,wherein you solicit our comments regarding project-
mediated impacts to federally protected species. We submit the following comments in
accordance with the provisions of the Fish and Wildlife Coordination Act, as amended
(16 U.S.C. 661-667e); the National Environmental Policy Act(42 U.S.C. §4321 et seq.); and
section 7 of the Endangered Species Act of 1973, as amended(16 U.S.C. 1531-1543) (Act).
Project Description
According to the information provided, the Applicant proposes to construct an industrial
development and appurtenances on approximately 185 partially forested acres in Statesville,
North Carolina. The information provided suggests that the proposed project will require
authorization from the U.S. Army Corps of Engineers to impact Waters of the United States. No
project design plans or a description of impacts to onsite habitats have been prepared or provided
to our office at this time.
Federally Listed Endangered and Threatened Species
According to Service records, suitable summer roosting habitat may be present in the action area
(50CFR 402.02) for the federally threatened northern long-eared bat(Myotis septentrionalis).
However,the final 4(d)rule, (effective as of February 16, 2016) exempts incidental take of
northern long-eared bat associated with activities that occur greater than 0.25 miles from a
known hibernation site, and greater than 150 feet from a known, occupied maternity roost during
the pup season (June 1 —July 31). Based on the information provided,the project would occur at
a location where any incidental take that may result from associated activities is exempt under
the 4(d)rule for this species. Although not required,we encourage the Applicant to avoid any
associated tree clearing activities during this animal's pup season,maternity roosting season
(May 15 —August 15) and/or active season (April 1 —October 15). If adhered to, a tree
clearing moratorium would support our concurrence with a "may affect, not likely to
adversely affect" determination from the action agency for this animal.

The information provided indicates that suitable habitat is present within the action area for the
federally threatened dwarf-flowered heartleaf(Hexastylis naniflora) and the federally
endangered Schweinitz's sunflower(Helianthus schweinitzii). However, surveys conducted
within the appropriate timeframes for these plants (respectively, May 18, 2021 and August 19,
2021), did not detect evidence for these species at that time. Therefore, we believe that the
probability for inadvertent loss of this plant species is insignificant and discountable and we
would concur with a"may affect,not likely to adversely affect"determination from the action
agency. Botanical survey results for the two species above are valid for two years for the
purposes of consultation under the Act:
https://www.fws.gov/asheville/pdfs/Optimal%20Survey%20Windows%20for%201isted%20plant
s%202020.pdf
In accordance with the Act, it is the responsibility of the appropriate federal action agency or its
designated representative to review its activities or programs and to identify any such activities
or programs that may affect endangered or threatened species or their habitats. If it is
determined that the proposed activity may adversely affect any species federally listed as
endangered or threatened, formal consultation with this office must be initiated. Our
concurrence with "no effect" determinations from action agencies is not required.
Erosion and Sediment Control
Measures to control sediment and erosion should be installed before any ground-disturbing
activities occur. Grading and backfilling should be minimized, and existing native vegetation
should be retained(if possible)to maintain riparian cover for fish and wildlife. Disturbed areas
should be revegetated with native vegetation as soon as the project is completed. Ground
disturbance should be limited to what will be stabilized quickly, preferably by the end of the
workday. Natural fiber matting (coir) should be used for erosion control as synthetic
netting can trap animals and persist in the environment beyond its intended purpose.
Impervious Surfaces and Low-Impact Development
Increased storm-water runoff also degrades aquatic and riparian habitat, causing stream-bank and
stream-channel scouring. Impervious surfaces reduce groundwater recharge,resulting in even
lower than expected stream flows during drought periods,which can induce potentially
catastrophic effects for fish,mussels, and other aquatic life. Accordingly,we recommend that all
new development,regardless of the percentage of impervious surface area they will create,
implement storm-water-retention and-treatment measures designed to replicate and maintain the
hydrograph at the preconstruction condition to avoid any additional impacts to habitat quality
within the watershed.
We recommend the use of low-impact-development techniques, such as reduced road widths,
grassed swales in place of curb and gutter,rain gardens, and wetland retention areas, for
retaining and treating storm-water runoff rather than the more traditional measures, such as large
retention ponds, etc. These designs often cost less to install and significantly reduce
environmental impacts from residential development.
Where detention ponds are used, storm-water outlets should drain through a vegetated area prior
to reaching any natural stream or wetland area. Detention structures should be designed to allow
2

for the slow discharge of storm water, attenuating the potential adverse effects of storm-water
surges; thermal spikes; and sediment,nutrient, and chemical discharges. Also,because the
purpose of storm-water-control measures is to protect streams and wetlands,no
storm-water-control measures or best management practices should be installed within any
stream (perennial or intermittent) or wetland.
The Service appreciates the opportunity to provide these comments. Please contact Mr. Byron
Hamstead of our staff at [e-mail] if you have any questions. In any future
correspondence concerning this project,please reference our Log Number 4-2-22-502.
Sincerely,
- -original signed- -
Janet Mizzi
Field Supervisor
3

KimIey>>)Horn
March 3,2022
Asheville Field Office
U.S. Fish and Wildlife Service
160 Zillicoa Street
Asheville,NC 28801-1082
Re: Statesville Exit 54 Project—Potential Industrial Development
Statesville, Iredell County, North Carolina
Project Review Certification Letter
Dear USFWS Asheville Field Office,
On behalf of our client, NC Development Acquisition, LLC, Kimley-Horn (KH) is submitting this letter requesting
concurrence regarding the results of the pedestrian survey performed for the above-referenced project in accordance
with the methodologies recommended by USFWS.The pedestrian survey was conducted by KH staff Chris Tinklenberg,
Taylor Kiker,and Gabby Barajas in May 2021 and August 2021.
Background Information
The subject site is located off of Exit 54 on Turnersburg Highway in Statesville, Iredell County, North Carolina.The
subject property is bound by undeveloped forestland to the north, agricultural fields and undeveloped forestland to
the west,single-family residences,commercial development,and Turnersburg Highway to the south,and 1-77 to the
east
The site is currently comprised of forested mixed hardwood and agricultural land.Vegetation found within the site is
comprised of red maple (Acer rubrum), tulip poplar (Liriodendron tulipifera), American beech (Fagus grandifolia),
American hornbeam (Carpinus caroliniana),spicebush (Lindera benzoin),and winged elm (Ulmus alata).
NC Development Acquisition intends to construct an industrial development on the subject property which may
require future authorization from the US Army Corps of Engineers(USACE);therefore, our client contracted with KH
to perform the pedestrian survey within areas of potentially suitable habitat on the subject property to identify and
document occurrences of federally listed threatened and/or endangered species.
Methodology and Findings
As of March 3rd, 2022,the United States Fish and Wildlife Service (USFWS) lists three (3)federally protected species
for Iredell County(Table 1).A brief description of each species'habitat requirements follows,along with the Biological
Conclusion rendered based on survey results in the study area.
Table 1: Federally protected listed species for Iredell County
Scientific Name Common Name Federal Habitat Biological
Status Present Conclusion
Myotisseptentrionalis Northern long T Potential MANLAA
eared bat
Hexastylis naniflora Dwarf flowered T Yes MANLAA
Heartleaf
Schweinitz's
Helianthusschweinitzii Sunflower E Yes MANLAA
*T=Threatened, E=Endangered, MANLAA=May affect, not likely to adversely affect
kimley-horn.com 200 South Tryon Street, Suite 200, Charlotte, NC 28202 704-333-5131

Kim ey>>>Horn Page 2
Northern Long-eared Bat
USFWS Recommended Survey Window:June 1—August 15
Habitat Description: In North Carolina, the Northern long-eared bat (NLEB) occurs in the mountains,with scattered
records in the Piedmont and coastal plain. In western North Carolina, NLEB spends winter hibernating in
caves and mines.Since this species is not known to be a long-distance migrant,and caves and subterranean
mines are extremely rare in eastern North Carolina, it is uncertain whether or where NLEB hibernate in
eastern North Carolina.During the summer,NLEB roost singly or in colonies underneath bark, in cavities, or
in crevices of both live and dead trees (typically>_3 inches dbh). Males and non-reproductive females may
also roost in cooler places, like caves and mines.This bat has also been found, rarely, roosting in structures
like barns and sheds, under eaves of buildings, behind window shutters, in bridges, and in bat houses.
Foraging occurs on forested hillsides and ridges,and occasionally over forest clearings,over water,and along
tree-lined corridors. Mature forests may be an important habitat type for foraging.
Biological Conclusion: May affect,not likely to adversely affect(MANLAA)
Potentially suitable summer roosting habitat for the NLEB may be present within forested areas in the
project area. The Final 4(d) rule (effective as of February 16, 2016), exempts incidental take of NLEB
associated with activities that occur greater than 0.25 miles from a known hibernation site,and greater than
150 feet from a known,occupied maternity roost tree during the pup season(June 1—July 31).Kimley-Horn
conducted a review of the most current maps of confirmed/known hibernacula and maternity sites for the
NLEB at http://www.fws.gov/asheville/htmis/project_review/NLEB_in_WNC.html.The action area for this
project is located outside of the highlighted areas/red 12-digit HUCs.There will be no blasting,pile driving,
or other percussive activities associated with the construction of the project;however,tree-cutting/removal
will occur. Based on the review, the proposed activities in the action area occur at a location where any
incidental take that may result from the associated activities is exempt under the Final 4(d) rule;therefore,
the biological conclusion of"may affect, not likely to adversely affect" has been rendered for NLEB for this
project.
Dwarf-flowered Heartleaf
USFWS optimal survey window: March—May
Habitat Description: The dwarf-flowered heartleaf is a low-growing evergreen perennial plant with beige to dark
brown or purple flowers.The flowers are small and often found beneath leaf litter.The species prefers acidic
soils along bluffs and north-facing slopes.The dwarf-flowered heartleaf grows in boggy areas next to stream
heads,and along the slopes of nearby hillsides.
Biological Conclusion: May affect,not likely to adversely affect(MANLAA)
Potentially suitable habitat for dwarf-flowered heartleaf is present on the subject property along the north-
facing slopes of hills and streams.A review of the NCNHP records, updated January 20th,2022, indicates no
known occurrences within 1.0 mile of the subject property. Pedestrian surveys were conducted by Kimley-
Horn biologists throughout areas of potentially suitable habitat on May 18th, 2021. No individuals of dwarf-
flowered heartleaf were observed. Although no individuals were observed, the presence of potentially
suitable habitat in the project corridor results in a "May affect,not likely to adversely affect(MANLAA)."
Schweinitz's Sunflower
USFWS Optimal Survey Window: late August-October
Habitat Description: Schweinitz's sunflower, endemic to the Piedmont of North and South Carolina. The few sites
where this rhizomatous perennial herb occurs in relatively natural vegetation are found in Xeric Hardpan
Forests. The species is also found along roadside rights-of-way, maintained power lines and other utility
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Kim ey>>>Horn Page 3
right-of-ways,edges of thickets and old pastures,clearings and edges of upland oak-pine-hickory woods and
Piedmont longleaf pine forests, and other sunny or semi-sunny habitats where disturbances (e.g., mowing,
clearing,grazing, blow downs,storms,frequent fire)help create open or partially open areas for sunlight. It
is intolerant of full shade and excessive competition from other vegetation.Schweinitz's sunflower occurs in
a variety of soil series, including Badin, Cecil, Cid, Enon, Gaston, Georgeville, Iredell, Mecklenburg,
Misenheimer, Secrest,Tatum, Uwharrie, and Zion, among others. It is generally found growing on shallow
sandy soils with high gravel content;shallow, poor,clayey hardpans;or shallow rocky soils,especially those
derived from mafic rocks.
Biological Conclusion: May affect,not likely to adversely affect(MANLAA)
Potentially suitable habitat for Schweinitz's sunflower is present on the subject property along the street
right-of-ways, cleared pathways, and easements. A review of the NCNHP records, updated January 20th
2022, indicates no known occurrences within 1.0 mile of the subject property. Pedestrian surveys were
conducted by Kimley-Horn biologist throughout areas of potentially suitable habitat on August 19th, 2021.
No individuals of Schweinitz's sunflower were observed. Although no individuals were observed, the
presence of potentially suitable habitat in the project area results in a "May affect, not likely to adversely
affect(MANLAA)."
Bald Eagle and Golden Eagle Protection Act
USFWS optimal survey window:November through March
Habitat Description: Habitat for the bald eagle primarily consists of mature forest in proximity to large bodies of open
water for foraging.Large dominant trees are utilized for nesting sites,typically within 1.0 mile of open water.
A desktop-GIS assessment of the project study area, as well as the area within a 1.13-mile radius (1.0 mile
plus 660 feet)of the project limits,was performed on March 3rd,2022 using 2022 Nearmap aerials.Multiple
bodies of open water were also identified in the 1.13-mile radius.Although open bodies of water are present,
they are not larger enough to support foraging. In addition, a review of the NCNHP database, updated on
January 20th, 2022, revealed no known occurrences within 1.0 mile of the study area. Pedestrian surveys
were conducted on November 23rd, 2021 and no individuals or nests were observed. Due to the lack of
known occurrences,and the lack of observed individuals or nests,it has been determined that the proposed
project will not affect this species.
Biological Conclusion: No Effect
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Kim ey>>>Horn Page 4
Statement of Qualifications:
Investigator:Chris Tinklenberg,PWS
Education: B.A.Geography,2007;Certificate in Geographic Information Systems,2007
Experience: Environmental Scientist, Kimley-Horn and Associates, Inc.,2007-Present; Identified and confirmed
Schweinitz's sunflower community,York County,SC,October 2016; Performed numerous(40+) protected species
habitat assessments and/or surveys for protected species on various public and private projects.
Responsibilities:Natural communities assessments,threatened and endangered species habitat assessments and
surveys,wetland and stream delineations,GPS,GIS,stream and wetland functional assessments,tree surveys
Investigator:Taylor Kiker
Education: B.S.Environmental Technology and Management,2015; M.S. Earth Sciences—Hydrology,2018
Experience: Environmental Analyst, Kimley-Horn and Associates, Inc.2018-Present
Responsibilities:Natural communities assessments,threatened and endangered species habitat assessments and
surveys,wetland and stream delineations,GPS,GIS,document preparation,tree surveys
Investigator:Gabby Barajas
Education: B.S.Environmental Sciences,2021
Experience: Environmental Scientist, Kimley-Horn and Associates, Inc.2021-Present
Responsibilities:Natural communities assessments,threatened and endangered species habitat assessments and
surveys,wetland and stream delineations,GPS,GIS,document preparation,tree surveys
Please provide concurrence regarding the survey results and biological conclusions as well as any other possible issues
that might emerge with respect to protected species as a result of the proposed project.Thank you in advance for
your timely response and cooperation. Please email ([e-mail]) a copy of your reply to my
attention and/or send an original copy by mail. Please feel free to contact me at (980)-296-0810 if you have any
questions or if additional information is necessary.
Sincerely,
KIMLEY-HORN AND ASSOCIATES, INC.
Taylor Kiker
Environmental Scientist
kimley-horn.com 200 South Tryon Street,Suite 200, Charlotte, NC 28202 704-333-5131

3/3/22,2:58 PM IPaC: Explore Location resources
IPaC U.S. Fish &Wildlife Service
IPaC resource list
This report is an automatically generated list of species and other resources such as critical habitat
(collectively referred to as trust resources) under the U.S. Fish and Wildlife Service's (USFWS)
jurisdiction that are known or expected to be on or near the project area referenced below. The list
may also include trust resources that occur outside of the project area, but that could potentially be
directly or indirectly affected by activities in the project area. However, determining the likelihood
and extent of effects a project may have on trust resources typically requires gathering additional
site-specific (e.g., vegetation/species surveys) and project-specific (e.g., magnitude and timing of
proposed activities) information.
Below is a summary of the project information you provided and contact information for the USFWS
office(s) with jurisdiction in the defined project area. Please read the introduction to each section
that follows (Endangered Species, Migratory Birds, USFWS Facilities, and NWI Wetlands)for
additional information applicable to the trust resources addressed in that section.
Location
Iredell County, North Carolina
•
9Y_ Qrk
S
4.
;F
Local office
Asheville Ecological Services Field Office
t. [phone]
fi [phone]
160 Zillicoa Street
Asheville, NC 28801-1082
http://www.fws.gov/nc-es/es/countyfr.html
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3/3/22,2:58 PM IPaC: Explore Location resources
Endangered species
This resource list is for informational purposes only and does not constitute an analysis of
project level impacts.
The primary information used to generate this list is the known or expected range of each species.
Additional areas of influence (AOI)for species are also considered. An AOI includes areas outside of
the species range if the species could be indirectly affected by activities in that area (e.g., placing a
dam upstream of a fish population even if that fish does not occur at the dam site, may indirectly
impact the species by reducing or eliminating water flow downstream). Because species can move,
and site conditions can change, the species on this list are not guaranteed to be found on or near
the project area. To fully determine any potential effects to species, additional site-specific and
project-specific information is often required.
Section 7 of the Endangered Species Act requires Federal agencies to "request of the Secretary
information whether any species which is listed or proposed to be listed may be present in the area
of such proposed action" for any project that is conducted, permitted, funded, or licensed by any
Federal agency. A letter from the local office and a species list which fulfills this requirement can
only be obtained by requesting an official species list from either the Regulatory Review section in
IPaC (see directions below) or from the local field office directly.
For project evaluations that require USFWS concurrence/review, please return to the IPaC website
and request an official species list by doing the following:
1. Draw the project location and click CONTINUE.
2. Click DEFINE PROJECT.
3. Log in (if directed to do so).
4. Provide a name and description for your project.
5. Click REQUEST SPECIES LIST.
Listed species and their critical habitats are managed by the Ecological Services Program of the U.S.
Fish and Wildlife Service (USFWS) and the fisheries division of the National Oceanic and Atmospheric
Administration (NOAA Fisheries ).
Species and critical habitats under the sole responsibility of NOAA Fisheries are not shown on this
list. Please contact NOAA Fisheries for species under their jurisdiction.
1. Species listed under the Endangered Species Act are threatened or endangered; IPaC also shows
species that are candidates, or proposed, for listing. See the listing status page for more
information. IPaC only shows species that are regulated by USFWS (see FAQ).
2. 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.
The following species are potentially affected by activities in this location:
Mammals
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3/3/22,2:58 PM IPaC: Explore Location resources
NAME STATUS
Northern Long-eared Bat Myotis septentrionalis Threatened
Wherever found
No critical habitat has been designated for this species.
https://ecos.fws.gov/ecp/species/9045
Reptiles
NAME STATUS
Bog Turtle Glyptemys muhlenbergii SAT
No critical habitat has been designated for this species.
https://ecos.fws.gov/ecp/species/6962
1110111'
Insects
NAME STATUS 401c1/40
Monarch Butterfly Danaus plexippus Candidate
Wherever found
1\)\••• %
No critical habitat has been designated for this species.
https://ecos.fws.gov/ecp/species/9743
Flowering Plants 1101611111
NAME STATUS
Dwarf-flowered Heartleaf Hexastylis nanif o a Threatened
Wherever found q•
No critical habitat has beenignated for this species.
https://ecos.fws.gov/ecp/species/2458
ehith
Schweinitz's Sunflower Helianthus schweinitzii Endangered
Wherever found
No critical habitat has been designated for this species.
https://ecos.fws.gov/ecp/species/3849
Critical habitats
Potential effects to critical habitat(s) in this location must be analyzed along with the endangered
species themselves.
THERE ARE NO CRITICAL HABITATS AT THIS LOCATION.
V' igratory birds
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3/3/22,2:58 PM IPaC: Explore Location resources
Certain birds are protected under the Migratory Bird Treaty Act1 and the Bald and Golden Eagle
Protection Act2.
Any person or organization who plans or conducts activities that may result in impacts to migratory
birds, eagles, and their habitats should follow appropriate regulations and consider implementing
appropriate conservation measures, as described below.
1.The Migratory Birds Treaty Act of 1918.
2.The Bald and Golden Eagle Protection Act of 1940.
Additional information can be found using the following links:
• Birds of Conservation Concern http://www.fws.gov/birds/management/managed-species/
birds-of-conservation-concern.php
• Measures for avoiding and minimizing impacts to birds
http://www.fws.gov/birds/management/project-assessment-tools-and-guidance/
conservation-measures.php
4‹.
• Nationwide conservation measures for birds
http://www.fws.gov/migratorybirds/pdf/management/nationwidestandardconser'ationmeasures.pdf
THERE ARE NO MIGRATORY BIRDS OF CONSERVATION CONCERN EXPECTED TO OCCUR AT THIS LOCATION.
Tell me more about conservation measures I can implement to avoid or minimize impacts to migratory birds.
Nationwide Conservation Measures describes measures that can help avoid and minimize impacts to all birds at
any location year round. Implementation of these measures is particularly important when birds are most likely to
occur in the project area. When birds may be breeding in the area, identifying the locations of any active nests and
avoiding their destruction is a very helpful impact minimization measure.To see when birds are most likely to
occur and be breeding in your project area,view the Probability of Presence Summary. Additional measures or
permits may be advisable depending on the type of activity you are conducting and the type of infrastructure or
bird species present on your project site.
What does IPaC use to generate the migratory birds potentially occurring in my specified location?
The Migratory Bird Resource List is comprised of USFWS Birds of Conservation Concern (BCC)and other species
that may warrant special attention in your project location.
The migratory bird list generated for your project is derived from data provided by the Avian Knowledge Network
(AKN).The AKN data is based on a growing collection of survey, banding, and citizen science datasets and is
queried and filtered to return a list of those birds reported as occurring in the 10km grid cell(s)which your project
intersects, and that have been identified as warranting special attention because they are a BCC species in that
area, an eagle(Eagle Act requirements may apply), or a species that has a particular vulnerability to offshore
activities or development.
Again,the Migratory Bird Resource list includes only a subset of birds that may occur in your project area. It is not
representative of all birds that may occur in your project area.To get a list of all birds potentially present in your
project area, please visit the AKN Phenology Tool.
What does IPaC use to generate the probability of presence graphs for the migratory birds potentially
occurring in my specified location?
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3/3/22,2:58 PM IPaC: Explore Location resources
The probability of presence graphs associated with your migratory bird list are based on data provided by the
Avian Knowledge Network(AKN).This data is derived from a growing collection of survey, banding, and citizen
science datasets .
Probability of presence data is continuously being updated as new and better information becomes available.To
learn more about how the probability of presence graphs are produced and how to interpret them,go the
Probability of Presence Summary and then click on the "Tell me about these graphs" link.
How do I know if a bird is breeding,wintering, migrating or present year-round in my project area?
To see what part of a particular bird's range your project area falls within (i.e. breeding,wintering, migrating or
year-round),you may refer to the following resources:The Cornell Lab of Ornithology All About Birds Bird Guide, or
(if you are unsuccessful in locating the bird of interest there),the Cornell Lab of Ornithology Neotropical Birds
guide. If a bird on your migratory bird species list has a breeding season associated with it, if that bird does occur
in your project area,there may be nests present at some point within the timeframe specified. If"Breeds
elsewhere" is indicated,then the bird likely does not breed in your project area.
What are the levels of concern for migratory birds? 0\4
Migratory birds delivered through IPaC fall into the following distinct categories of conceri
ic
1. "BCC Rangewide" birds are Birds of Conservation Concern (BCC)that are of concern throughout their range
anywhere within the USA(including Hawaii,the Pacific Islands, Puerto Rico, and the Virgin Islands);
2. "BCC-BCR" birds are BCCs that are of concern only in particular Bird Conservation Regions(BCRs) in the
continental USA; and , %r
3. "Non-BCC-Vulnerable" birds are not BCC species in your project area, but appear on your list either because
of the Eagle Act requirements(for eagles) or(for non-eagles) potential susceptibilities in offshore areas from
certain types of development or activities(e.g. offshore energy development or longline fishing).
Although it is important to try to avoid and minimize impacts to all birds, efforts should be made, in particular,to
avoid and minimize impacts to the birds on this list, especially eagles and BCC species of rangewide concern. For
more information on conservation measures you can implement to help avoid and minimize migratory bird
impacts and requirements for eagles, please see the FAQs for these topics.
Details about birds that are potentially affected by offshore projects
For additional details about the relative occurrence and abundance of both individual bird species and groups of
bird species within your project area off the Atlantic Coast, please visit the Northeast Ocean Data Portal.The Portal
also offers data and information about other taxa besides birds that may be helpful to you in your project review.
Alternately,you may download the bird model results files underlying the portal maps through the NOAA NCCOS
Integrative Statistical Modeling and Predictive Mapping of Marine Bird Distributions and Abundance on the Atlantic
Outer Continental Shelf project webpage.
Bird tracking data can also provide additional details about occurrence and habitat use throughout the year,
including migration. Models relying on survey data may not include this information. For additional information on
marine bird tracking data, see the Diving Bird Study and the nanotag studies or contact Caleb Spiegel or Pam
Loring.
What if I have eagles on my list?
If your project has the potential to disturb or kill eagles,you may need to obtain a permit to avoid violating the
Eagle Act should such impacts occur.
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3/3/22,2:58 PM IPaC: Explore Location resources
Proper Interpretation and Use of Your Migratory Bird Report
The migratory bird list generated is not a list of all birds in your project area, only a subset of birds of priority
concern.To learn more about how your list is generated, and see options for identifying what other birds may be
in your project area, please see the FAQ "What does IPaC use to generate the migratory birds potentially occurring
in my specified location". Please be aware this report provides the "probability of presence" of birds within the 10
km grid cell(s)that overlap your project; not your exact project footprint. On the graphs provided, please also look
carefully at the survey effort(indicated by the black vertical bar)and for the existence of the "no data" indicator(a
red horizontal bar).A high survey effort is the key component. If the survey effort is high, then the probability of
presence score can be viewed as more dependable. In contrast, a low survey effort bar or no data bar means a lack
of data and,therefore, a lack of certainty about presence of the species.This list is not perfect; it is simply a
starting point for identifying what birds of concern have the potential to be in your project area, when they might
be there, and if they might be breeding(which means nests might be present).The list helps you know what to
look for to confirm presence, and helps guide you in knowing when to implement conservation measures to avoid
or minimize potential impacts from your project activities, should presence be confirmed.To learn more about
conservation measures,visit the FAQ "Tell me about conservation measures I can implement to avoid or minimize
impacts to migratory birds" at the bottom of your migratory bird trust resources page.
Facilities \)\"11P111
National Wildlife Refuge lands
Any activity proposed on lands managed by the National ildlife Refuge system must undergo a
'Compatibility Determination' conducted by the Refuge. Please contact the individual Refuges to
discuss any questions or concerns.
THERE ARE NO REFUGE LANDS AT THIS LOCATION.
411/1
Fish hatcheries
THERE ARE NO FISH HATCHERIES AT THIS LOCATION.
Wetlands in the National Wetlands Inventory
Impacts to NWI wetlands and other aquatic habitats may be subject to regulation under Section 404
of the Clean Water Act, or other State/Federal statutes.
For more information please contact the Regulatory Program of the local U.S. Army Corps of
Engineers District.
WETLAND INFORMATION IS NOT AVAILABLE AT THIS TIME
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3/3/22,2:58 PM IPaC: Explore Location resources
This can happen when the National Wetlands Inventory(NWI) map service is unavailable, or for very
large projects that intersect many wetland areas. Try again, or visit the NWI map to view wetlands at
this location.
Data limitations
The Service's objective of mapping wetlands and deepwater habitats is to produce reconnaissance level
information on the location,type and size of these resources.The maps are prepared from the analysis of high
altitude imagery.Wetlands are identified based on vegetation,visible hydrology and geography.A margin of error
is inherent in the use of imagery;thus, detailed on-the-ground inspection of any particular site may result in
revision of the wetland boundaries or classification established through image analysis.
The accuracy of image interpretation depends on the quality of the imagery,the experience of the image analysts,
the amount and quality of the collateral data and the amount of ground truth verification work conducted.
Metadata should be consulted to determine the date of the source imagery used and any mapping problems.
Wetlands or other mapped features may have changed since the date of the imagery or field work.There may be
occasional differences in polygon boundaries or classifications between the information depict ohmap and
the actual conditions on site.
Data exclusions
Certain wetland habitats are excluded from the National mapping program because of the limitations of aerial
imagery as the primary data source used to detect wetlands.These habitats include seagrasses or submerged
aquatic vegetation that are found in the intertidal and subtidal zones of estuaries and nearshore coastal waters.
Some deepwater reef communities(coral or tuberficid worm reefs) have also been excluded from the inventory.
These habitats, because of their depth, go undetected by aerial imagery.
Data precautions
Federal, state, and local regulatory agencies with jurisdiction over wetlands may define and describe wetlands in a
different manner than that used in this inventory.There is no attempt, in either the design or products of this
inventory,to define the limits of proprietary jurisdiction of any Federal, state, or local government or to establish
the geographical scope of the regulatory programs of government agencies. Persons intending to engage in
activities involving modifications within or adjacent to wetland areas should seek the advice of appropriate federal,
state, or local agencies concerning specified agency regulatory programs and proprietary jurisdictions that may
affect such activities.
https://ipac.ecosphere.fws.gov/location/X2D5IDT5UBBQJAMJ3T5JBKE6QM/resources 7/7

Roy Cooper,Governor
■U .
NH. NC DEPARTMENT OF D Reid Wilson,Secretary
AN—EN NATURAL AND CULTURAL RESOURCES
■AM■■ Misty Buchanan
Deputy Director,Natural Heritage Program
NCNHDE-17326
March 3, 2022
Taylor Kiker
Kimley-Horn
200 S Tryon St
Charlotte, NC 28202
RE: Statesville Exit 54
Dear Taylor Kiker:
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide
information about natural heritage resources for the project referenced above.
Based on the project area mapped with your request, a query of the NCNHP database indicates that
there are no records for rare species, important natural communities, natural areas, and/or
conservation/managed areas within the proposed project boundary. Please note that although there
may be no documentation of natural heritage elements within the project boundary, it does not
imply or confirm their absence; the area may not have been surveyed. The results of this query
should not be substituted for field surveys where suitable habitat exists. In the event that rare
species are found within the project area, please contact the NCNHP so that we may update our
records.
The attached `Potential Occurrences' table summarizes rare species and natural communities that
have been documented within a one-mile radius of the property boundary. The proximity of these
records suggests that these natural heritage elements may potentially be present in the project area
if suitable habitat exists. Tables of natural areas and conservation/managed areas within a one-mile
radius of the project area, if any, are also included in this report.
If a Federally-listed species is found within the project area or is indicated within a one-mile radius of
the project area, the NCNHP recommends contacting the US Fish and Wildlife Service (USFWS) for
guidance. Contact information for USFWS offices in North Carolina is found here:
https://www.fws.gov/offices/Di rectory/ListOffices.cfm?statecode=37.
Please note that natural heritage element data are maintained for the purposes of conservation
planning, project review, and scientific research, and are not intended for use as the primary criteria
for regulatory decisions. Information provided by the NCNHP database may not be published
without prior written notification to the NCNHP, and the NCNHP must be credited as an information
source in these publications. Maps of NCNHP data may not be redistributed without permission.
The NC Natural Heritage Program may follow this letter with additional correspondence if a
Dedicated Nature Preserve, Registered Heritage Area, Land and Water Fund easement, or Federally-
listed species are documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance,
please contact Rodney A. Butler at [e-mail] or 919-707-8603.
Sincerely,
NC Natural Heritage Program
DEPARTMENT OF NATURAL AND CULTURAL RESOURCES
0 121 W.JONES STREET.RALEIGH_NC 27603 - 1651 MAIL SERVICE CENTER,R.LEiGH,NC 27699
OFC 919.707.9120 + FAX [phone]

Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One -mile Radius of the Project Area
Statesville Exit 54
March 3, 2022
NCNHDE-17326
No Element Occurrences are Documented Within a One -mile Radius of the Project Area
No Natural Areas are Documented Within a One -mile Radius of the Project Area
Managed Areas Documented Within a One -mile Radius of the Project Area
Managed Area Name rilDwner Owner Type
Iredell County - Jennings Park Iredell County Local Government
Three Rivers Land Trust Easement Three Rivers Land Trust Private
Three Rivers Land Trust Easement Three Rivers Land Trust Private
Definitions and an explanation of status designations and codes can be found at https://ncnhde.natureserve.ora/help. Data query generated on March 3, 2022; source: NCNHP, Q4, January 2022. Please
resubmit your information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database.
Page 2 of 3

March 3, 2022
Project Boundary
Buffered Project Boundary
Managed Area (MAREA)
NCNHDE-17326: Statesville Exit 54
1:29,556
0.25 0.5 1 mi
0 0.4 0.8 1.6 km
Sources: Earl. HERE. Garrrm, Intermap, increment P Corp.. GEBCO, USGS,
FAO. NPS, NRCAN, Geo6ase. IGN. Kadaster NI_ Ordnance Survey, Esri Japan,
MET!, Esri China (Hong Kong). (ci OpenStree1Map coneieutors, and the GIS
User Community
Page 3 of 3

Photo Page 1
r
Photo 1 —Potential Helianthus schweinitzii habitat in an open field
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Photo 2—Potential Helianthus schweinitzii habitat in an open field
Title Photo Pages
Statesville Exit 54 Project Prepared By
Project Statesville,Iredell County,North Carolina
Date Project Number KIITIl('y o Horn
05/18/2021&08/19/2021 015002011

Photo Page 2
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______
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Photo 3 —Potential Helianthus schweinitzii habitat in an open field
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Photo 4—Potential Helianthus schweinitzii habitat in an open field
Title Photo Pages
Statesville Exit 54 Project Prepared By
Project Statesville,Iredell County,North Carolina
Date Project Number Kimley 0 Horn
05/18/2021&08/19/2021 015002011

Photo Page 3
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Photo 5-Potential Hexastylis nanfora habitat on northern facing slopes of streams
Title Photo Pages
Statesville Exit 54 Project Prepared By
Project Statesville,Iredell County,North Carolina
Date Project Number Kim ley
05/18/2021&08/19/2021 015002011

Photo Page 4
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Title Photo Pages
Statesville Exit 54 Project Prepared By
Project
Statesville,Iredell County,North Carolina
Date Project Number Kim ieyo Horn
05/18/2021&08/19/2021 015002011

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Kimley»>)Horn
Legend
nProject Boundary
Figure 1
Vicinity Map
Statesville Exit 54 Project
Statesville, Iredell County, NC
March 2022

Kimley>»Horn
Figure 2
USGS Topographic (Statesville East) Map
Statesville Exit 54 Project
Statesville, Iredell County, NC
March 2022

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NCDA Exit 54 Project
Kim ey>>) Horn Statesville, Iredell County, NC
March 2022

ifa
North Carolina Department of Natural and Cultural Resources
State Historic Preservation Office
Ramona M.Bartos,Administrator
Governor Roy Cooper Office of Archives and History
Secretary D.Reid Wilson Deputy Secretary,Darin J.Waters,Ph.D.
April 21, 2022
Taylor Kiker [e-mail]
Kimley-Horn
200 South Tryon Street, Suite 200
Charlotte,NC 28202
Re: Construct industrial development, Turnersburg Highway, Statesville, Iredell County, ER 22-0851
Dear Ms. Kiker:
Thank you for your email of March 3, 2022,regarding the above-referenced undertaking. We have
reviewed your submission and offer the following comments.
We are unable to accurately assess impacts to historic properties within the Area of Potential Effect. Please
provide photographs and descriptions of all structures 50 years or older within the APE. A statement of
intent should also be included and clarify if the structures will be unchanged,relocated, or demolished. A
final determination or request for evaluation of eligibility will be made once we have received the
requested documentation. Visit our Project Review Checklist Page for an example of Preliminary
Reconnaissance photographs at https://www.ncdcr.gov/state-historic-preservation-office/environmental-
review/prof ect-review-checklist.
The above comments are made pursuant to Section 106 of the National Historic Preservation Act and the
Advisory Council on Historic Preservation's Regulations for Compliance with Section 106 codified at 36
CFR Part 800.
Thank you for your cooperation and consideration. If you have questions concerning the above comment,
contact Renee Gledhill-Earley, environmental review coordinator, at 919-814-6579
or [e-mail]. In all future communication concerning this project, please cite the
above referenced tracking number.
Sincerely,
(2,,o, I
kpr Ramona Bartos, Deputy
1) State Historic Preservation Officer
Location:109 East Jones Street,Raleigh NC 27601 Mailing Address:4617 Mail Service Center,Raleigh NC 27699-4617 Telephone/Fax:[phone]-6898

KimIey>>)Horn
March 3, 2022
Ms. Renee Gledhill-Earley
Environmental Review Coordinator
North Carolina State Historic Preservation Office
4617 Mail Service Center
Raleigh, North Carolina 27699-4617
Re: Statesville Exit 54 Project
Statesville, Iredell County, NC
Dear Ms. Gledhill-Earley,
Kimley-Horn is writing this letter on behalf of our client, NC Development Acquistion, LLC,to request a review and
comment on any possible issues that might emerge with respect to cultural resource issues associated with the
proposed project in Statesville, NC.
The proposed project site is located off of Exit 54 on Turnersburg Highway in Statesville, Iredell County, North
Carolina (Figures 1-3). The proposed project seeks to construct industrial development.
We request that you review the site based on the attached information to determine the presence of any
archeological, cultural, or historic resources. If a response has not been received within 30 days, we will assume
that you have reviewed the project area and that there are no issues to address at the present time.
Thank you in advance for your timely response and cooperation. Please email ([e-mail])
a copy of your reply and/or send an original copy by mail. If you have any questions regarding this request, please
feel free to contact me at(980)296-0810.
Sincerely,
KIMLEY-HORN AND ASSOCIATES, INC.
ciArti
Taylor Kiker
Environmental Scientist
kimley-horn.com 200 South Tryon Street,Suite 200, Charlotte, NC 28203 704 333 5131

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Legend Vicinity Map
Ki m ley>>>H orn Statesville Exit 54 Project
nProject Boundary Statesville, Iredell County, NC
March 2022

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Kim i 11ey >>) Horn Statesville Exit 54 Project
Statesville, Iredell County, NC
March 2022

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Aerial Map
Statesville Exit 54 Project
Kim ey>>) Horn Statesville, Iredell County, NC
March 2022

COMPENSATORY
MITIGATION

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MARC RECKTENWALD
Director
Dominic Reinecker
NC Development Acquistion, LLC
1776 Peachtree Street, NW, Suite 100
Atlanta, GA 30309
NORTH CAROLINA
Environmental Quality
April 14, 2022
Expiration of Acceptance: 10/14/2022
Project: Statesville Exit 54 County: Iredell
The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) is willing to
accept payment for compensatory mitigation for impacts associated with the above referenced project as
indicated in the table below. Please note that this decision does not assure that participation in the DMS in -
lieu fee mitigation program will be approved by the permit issuing agencies as mitigation for project impacts.
It is the responsibility of the applicant to contact permitting agencies to determine if payment to the DMS 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 G.S. § 143-214.11.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not
received a copy of the issued 404 Permit/401 Certification within this time frame, this acceptance will
expire. It is the applicant's responsibility to send copies of the permits to DMS. Once DMS 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 by an applicant is
calculated based upon the Fee Schedule and policies listed on the DMS website.
Based on the information supplied by you in your request to use the DMS, the impacts for which you are
requesting compensatory mitigation credit are summarized in the following table. The amount of mitigation
required and assigned to DMS for this impact is determined by permitting agencies and may exceed the
impact amounts shown below.
River Basin
Impact Location
(8-digit HUC)
Impact Type
Impact Quantity
Yadkin
03040102
Riparian Wetland
0.40
Yadkin
03040102
Warm Stream
432
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The
mitigation will be performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010.
Thank you for your interest in the DMS in -lieu fee mitigation program. If you have any questions or need
additional information, please contact [e-mail].
cc: Chris Tinklenberg, agent
LE
.. iu,u��CmYameelltll 0.ullry \�
Sincerely,
Atar/J11/44/)104
FOR James. B Stanfill
Asset Management Supervisor
North Carolina Department of Environmental Quality I Division of Mitigation Services
217 West Jones Street 11652 Mall Service Center I Raleigh, North Carolina 27699-I652
919.707.8976

NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2.1
USACE AID #:
SAW-2021-02509 NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic
quadrangle, and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same
property, identify and number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User
Manual for detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if any supplementary
measurements were performed. See the NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT / SITE INFORMATION:
1. Project name (if any): Statesville Exit 54 2. Date of evaluation: 7/13/2021
3. Applicant/owner name: NC Development Acquisition, LLC 4. Assessor name/organization: Kimley-Horn
5. County: Iredell
7. River Basin: Yadkin-PeeDee
6. Nearest named water body
on USGS 7.5-minute quad: Fifth Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.849791, -80.864608
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): S2 10. Length of assessment reach evaluated (feet): 100
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 2 r Unable to assess channel depth.
12. Channel width at top of bank (feet): 5 13. Is assessment reach a swamp stream? r Yes r No
14. Feature type: (Z Perennial flow C Intermittent flow C Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone: r Mountains (M) (: Piedmont (P) C Inner Coastal Plain (I)
16. Estimated geomorphic J
valley shape (skip for C` a
Tidal Marsh Stream): (more sinuous stream, flatter valley slope)
17. Watershed size: (skip C." Size 1 (< 0.1 min) C` Size 2 (0.1 to < 0.5 min)
for Tidal Marsh Stream)
C.`b
(less sinuous stream, steeper valley slope)
C"Size 3(0.5to<5mi2) C`Size 4(>_5mi2)
r Outer Coastal Plain (0)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? (Z Yes C No If Yes, check all that appy to the assessment area.
✓ Section 10 water r Classified Trout Waters r Water Supply Watershed ( C" 1 C" II C III C IV C V)
I- Essential Fish Habitat r Primary Nursery Area r High Quality Waters/Outstanding Resource Waters
I- Publicly owned property r NCDWR riparian buffer rule in effect r Nutrient Sensitive Waters
✓ Anadromous fish r 303(d) List r CAMA Area of Environmental Concern (AEC)
I- Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
I- Designated Critical Habitat (list species):
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? r Yes C` No
1.
Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
r A Water throughout assessment reach.
r B No flow, water in pools only.
C` C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
C` A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
C*` B Not A
3. Feature Pattern - assessment reach metric
r A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
C*` B Not A.
4. Feature Longitudinal Profile - assessment reach metric
r A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
C*` B Not A
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
Q A < 10% of channel unstable
C B 10 to 25% of channel unstable
C C > 25% of channel unstable
6. Streamside Area Interaction - streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
C•` A f* A Little or no evidence of conditions that adversely affect reference interaction
C B C" B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area,
leaky or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
❑ C C" C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision,
disruption of flood flows through streamside area] or too much floodplain/intertidal zone access [examples:
impoundments, intensive mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a
man-made feature on an interstream divide
7. Water Quality Stressors - assessment reach/intertidal zone metric

Check all that apply.
I— A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
✓ B Excessive sedimentation (burying of stream features or intertidal zone)
✓ C
✓ D
✓ E
✓ F
✓ G
rHt
rI
r J
Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
Odor (not including natural sulfide odors)
Current published or collected data indicating degraded water quality in the assessment reach
section.
Livestock with access to stream or intertidal zone
Excessive algae in stream or intertidal zone
Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc.)
❑they. (explain in "Notes/Sketch" section)
Little to no stressors
Cite source in the "Notes/Sketch"
8. Recent Weather — watershed metric
For Size 1 or2 Streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
✓ A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
• B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
f: C No drought conditions
9 Large or Dangerous Stream— assessment reach metric
✓ Yes {" No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In stream Habitat Types — assessment reach metric
10a. Yes C No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
f— A Multiple aquatic macrophytes and aquatic mosses
(include liverworts, lichens, and algal mats)
i✓ B Multiple sticks and/or leaf packs and/or emergent
vegetation
r C Multiple snags and logs (including lap trees)
D 5% undercut banks and/or root mats and/or roots
in banks extend to the normal wetted perimeter
r E Little or no habitat
w
0 E
Y L
L (6
U
c
0
r F 5% oysters or other natural hard bottoms
r G Submerged aquatic vegetation
✓ H Low -tide refugia (pools)
r I Sand bottom
✓ J 5% vertical bank along the marsh
r K Little or no habitat
*"*"*"*"******'"****************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. (- Yes (Z No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11b. Bedform evaluated. Check the appropriate box(es).
r A Riffle -run section (evaluate 11c)
r B Pool -glide section (evaluate 11d)
r C Natural bedform absent (skip to Metric 12, Aquatic Life)
11 c. In riffles sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain Streams and Tidal Marsh Streams). Not Present (NP) =
absent, Rare (R) = present but < 10%, Common (C) _ > 10-40%, Abundant (A) = > 40-70%, Predominant (P) = > 70%. Cumulative
percentages should not exceed 100% for each assessment reach.
NP R C A P
✓ C C C C Bedrock/saprolite
✓ r r r r Boulder (256 — 4096 mm)
✓ r r r r Cobble (64 — 256 mm)
C C C C C Gravel(2-64mm)
✓ r r r r Sand(.062-2mm)
✓ r r r r Silt/clay (< 0.062 mm)
✓ r r r r Detritus
✓ ( ( ( ( Artificial (rip -rap, concrete, etc.)
11d.CYes CNo
Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12. Aquatic Life — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a. (: Yes r No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. C No Water C Other:
12b. C` Yes {: No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check
all that apply. If No, skip to Metric 13.
-111-1111i-i1-111-l{
>1 Numbers over columns refer to "individuals" for size 1 and 2 streams and "taxa" for size 3 and 4 streams.
r Adult frogs
✓ Aquatic reptiles
✓ Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
✓ Beetles (including water pennies)
✓ Caddisfly larvae (Trichoptera [T])
✓ Asian clam (Corbicula)
r Crustacean (isopod/amphipod/crayfish/shrimp)
✓ Damselfly and dragonfly larvae
r Dipterans (true flies)
✓ Mayfly larvae (Ephemeroptera [E])
✓ Megaloptera (alderfly, fishfly, dobsonfly larvae)
r Midges/mosquito larvae
✓ Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
✓ Mussels/Clams (not Corbicula)

✓ r Other fish
✓ r Salamanders/tadpoles
r r Snails
✓ r Stonefly larvae (Plecoptera [P])
✓ r Tipulid larvae
✓ r Worms/leeches
13. Streamside Area Ground Surface Condition - streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and
upland runoff.
LB RB
CA C A Little or no alteration to water storage capacity over a majority of the streamside area
CB (-B Moderate alteration to water storage capacity over a majority of the streamside area
cc C C Severe alteration to water storage capacity over a majority of the streamside area (examples include: ditches, fill,
soil, compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage - streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
C A C A Majority of streamside area with depressions able to pond water 6 inches deep
CB (-B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
cc cc Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence - streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the
normal wetted perimeter of assessment reach.
LB RB
C Y C Y Are wetlands present in the streamside area?
(• N (• N
16. Baseflow Contributors - assessment reach metric (skip for size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
rA
✓ B
rc
r D
r E
rF
Streams and/or springs (jurisdictional discharges)
Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
Obstruction that passes some flow during low -flow periods within assessment area (beaver dam, bottom -release dam)
Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
Stream bed or bank soil reduced (dig through deposited sediment if present)
None of the above
17. Baseflow Detractors - assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
r A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
r B Obstruction not passing flow during low flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
✓ C Urban stream (>_ 24% impervious surface for watershed)
r D Evidence that the stream -side area has been modified resulting in accelerated drainage into the assessment reach
r E Assessment reach relocated to valley edge
r F None of the above
18. Shading - assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
(Z A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
( B Degraded (example: scattered trees)
C C Stream shading is gone or largely absent
19. Buffer Width - streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top
of bank out to the first break.
Vegetated Wooded
LB RB LB RB
O A (TA (r A (TA >- 100-feet wide or extends to the edge of the watershed
CB (` B (" B (' B From 50 to < 100-feet wide
cc cc cc cc From 30 to < 50-feet wide
CD C D C D C D From 10 to < 30-feet wide
(` E C E C E C E < 10-feet wide or no trees
20. Buffer Structure - streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
(r A (r A Mature forest
( B ('' B Non -mature woody vegetation or modified vegetation structure
( C (` C Herbaceous vegetation with or without a strip of trees < 10 feet wide
C D r D Maintained shrubs
( E ('' E Little or no vegetation
21. Buffer Stressors - streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but
is within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22: F
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
CA CA CA CA CA CA Row crops
C B C B C B C B C B C B Maintained turf
C C C C C C C C C C C C Pasture (no livestock)/commercial horticulture
cc C D C D C D C D C D Pasture (active livestock use)

22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
• A (' A Medium to high stem density
B C B Low stem density
c- C c- C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10-feet wide.
LB RB
(" A (' A The total length of buffer breaks is < 25 percent.
( B ('' B The total length of buffer breaks is between 25 and 50 percent.
cc cc The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — First 100 feet of streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes
to assessment reach habitat.
LB RB
✓ A r A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native
species, with non-native invasive species absent or sparse.
(. B (. B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
cc cc Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity — assessment reach metric (skip for all Coastal Plain streams)
25a. r Yes (' No Was a conductivity measurement recorded?
If No, select one of the following reasons. ('' No Water (` Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
0 A <46 ('' B 46 to < 67 0 C 67 to < 79 ('' D 79 to < 230 C E >_ 230
Notes/Sketch:

NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name Exit 54- Statesville
Stream Category Pb1
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Function Class Rating Summary
Date of Evaluation 7/13/2021
Assessor Name/Organization Kimley-Horn
USACE/
All Streams
NO
NO
NO
Perennial
NCDWR
Intermittent
(1) Hydrology
(2) Baseflow
(2) Flood Flow
(3) Streamside Area Attenuation
(4) Floodplain Access
(4) Wooded Riparian Buffer
(4) Microtopography
(3) Stream Stability
(4) Channel Stability
(4) Sediment Transport
(4) Stream Geomorphology
(2) Stream/Intertidal Zone Interaction
(2) Longitudinal Tidal Flow
(2) Tidal Marsh Stream Stability
(3) Tidal Marsh Channel Stability
(3) Tidal Marsh Stream Geomorphology
HIGH
HIGH
HIGH
HIGH
HIGH
HIGH
NA
HIGH
HIGH
LOW
HIGH
NA
NA
NA
NA
NA
(1) Water Quality
(2) Baseflow
(2) Streamside Area Vegetation
(3) Upland Pollutant Filtration
(3) Thermoregulation
(2) Indicators of Stressors
(2) Aquatic Life Tolerance
(2) Intertidal Zone Filtration
MEDIUM
HIGH
HIGH
HIGH
HIGH
NO
LOW
NA
(1) Habitat
(2) In -stream Habitat
(3) Baseflow
(3) Substrate
(3) Stream Stability
(3) In -stream Habitat
(2) Stream -side Habitat
(3) Stream -side Habitat
(3) Thermoregulation
(2) Tidal Marsh In -stream Habitat
(3) Flow Restriction
(3) Tidal Marsh Stream Stability
(4) Tidal Marsh Channel Stability
(4) Tidal Marsh Stream Geomorphology
(3) Tidal Marsh In -stream Habitat
(2) Intertidal Zone Habitat
MEDIUM
LOW
HIGH
LOW
HIGH
MEDIUM
HIGH
HIGH
HIGH
NA
NA
NA
NA
NA
NA
NA
Overall
MEDIUM

NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2.1
USACE AID #:
SAW-2021-02509 NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic
quadrangle, and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same
property, identify and number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User
Manual for detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if any supplementary
measurements were performed. See the NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT / SITE INFORMATION:
1. Project name (if any): Statesville Exit 54 2. Date of evaluation: 7/13/2021
3. Applicant/owner name: NC Development Acquisition, LLC 4. Assessor name/organization: Kimley-Horn
5. County: Iredell 6. Nearest named water body
7. River Basin: Yadkin-PeeDee on USGS 7.5-minute quad: Fifth Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.849791, -80.864608
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): S5 10. Length of assessment reach evaluated (feet): 100
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 1 j- Unable to assess channel depth.
12. Channel width at top of bank (feet): 5 13. Is assessment reach a swamp stream? C- Yes r No
14. Feature type: C: Perennial flow C` Intermittent flow C Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone: r Mountains (M)
C;- Piedmont (P) r Inner Coastal Plain (I)
16. Estimated geomorphic
valley shape (skip for ( a
Tidal Marsh Stream): (more sinuous stream, flatter valley slope)
17. Watershed size: (skip Ct Size 1 (< 0.1 mi`) k` Size 2 (0.1 to < 0.5 mi`)
for Tidal Marsh Stream)
C;- b
(less sinuous stream, steeper valley slope)
( Size 3(0.5to<5mi`) C`Size 4(>-5mi2)
C` Outer Coastal Plain (0)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? Yes C` No If Yes, check all that appy to the assessment area.
I- Section 10 water
I- Essential Fish Habitat
I- Publicly owned property
Anadromous fish
I- Classified Trout Waters I- Water Supply Watershed ( C` I C` II C` III C` IV V)
I- Primary Nursery Area I- High Quality Waters/Outstanding Resource Waters
NCDWR riparian buffer rule in effect I- Nutrient Sensitive Waters
I- 303(d) List E CAMA Area of Environmental Concern (AEC)
I- Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
I- Designated Critical Habitat (list species):
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? C` Yes C: No
1.
Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
C` A Water throughout assessment reach.
C` B No flow, water in pools only.
C` C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
C` A
C;- B
At least 10% of assessment reach in -stream habitat or riffle -pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
Not A
3. Feature Pattern - assessment reach metric
C` A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
C: B Not A.
4. Feature Longitudinal Profile - assessment reach metric
C` A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
C;- B Not A
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
CAA
C` B
C` C
< 10% of channel unstable
10 to 25% of channel unstable
> 25% of channel unstable
6. Streamside Area Interaction - streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
C;- A C;- A Little or no evidence of conditions that adversely affect reference interaction
C` B C` B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area,
leaky or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
C` C C` C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision,
disruption of flood flows through streamside area] or too much floodplain/intertidal zone access [examples:
impoundments, intensive mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a
man-made feature on an interstream divide
7. Water Quality Stressors - assessment reach/intertidal zone metric
Check all that apply.

▪ A
▪ B
▪ C
▪ D
▪ E
▪ F
▪ G
▪ H
I— I
• J
Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
Excessive sedimentation (burying of stream features or intertidal zone)
Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
Odor (not including natural sulfide odors)
Current published or collected data indicating degraded water quality in the assessment reach. Cite source in the "Notes/Sketch"
section.
Livestock with access to stream or intertidal zone
Excessive algae in stream or intertidal zone
Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc.)
Other: (explain in "Notes/Sketch" section)
Little to no stressors
8. Recent Weather — watershed metric
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
C` A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
• B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
t+ C No drought conditions
9 Large or Dangerous Stream — assessment reach metric
C` Yes F: No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. Yes No
Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
I— A
17, B
I— C
17, D
E
Multiple aquatic macrophytes and aquatic mosses
(include liverworts, lichens, and algal mats)
Multiple sticks and/or leaf packs and/or emergent
vegetation
Multiple snags and logs (including lap trees)
5% undercut banks and/or root mats and/or roots
in banks extend to the normal wetted perimeter
Little or no habitat
E
a�
in
N
0 0
▪ F
▪ G
▪ H
I— I
▪ J
▪ K
5% oysters or other natural hard bottoms
Submerged aquatic vegetation
Low -tide refugia (pools)
Sand bottom
5% vertical bank along the marsh
Little or no habitat
""`****************************"""REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11 a. C` Yes C: No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
F A
rB
C Natural bedform absent (skip to Metric 12, Aquatic Life)
11 c. In riffles sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain Streams and Tidal Marsh Streams). Not Present (NP) =
absent, Rare (R) = present but < 10%, Common (C) = > 10-40%, Abundant (A) = > 40-70%, Predominant (P) = > 70%. Cumulative
percentages should not exceed 100% for each assessment reach.
11d.(" Yes
A
("
P
(-
Bedrock/saprolite
Boulder (256 — 4096 mm)
Cobble (64 — 256 mm)
Gravel (2 — 64 mm)
Sand (.062 — 2 mm)
Silt/clay (< 0.062 mm)
Detritus
Artificial (rip -rap, concrete, etc.)
C No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12. Aquatic Life — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a. t+ Yes C` No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. C` No Water C` Other:
12b. C` Yes
111111111111117
C;- No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check
all that apply. If No, skip to Metric 13.
>1 Numbers over columns refer to "individuals" for size 1 and 2 streams and "taxa" for size 3 and 4 streams.
F ,vauir rrogs
✓ Aquatic reptiles
r Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
✓ Beetles (including water pennies)
r Caddisfly larvae (Trichoptera [T])
r Asian clam (Corbicula)
r Crustacean (isopod/amphipod/crayfish/shrimp)
r Damselfly and dragonfly larvae
r Dipterans (true flies)
r Mayfly larvae (Ephemeroptera [E])
r Megaloptera (alderfly, fishfly, dobsonfly larvae)
r Midges/mosquito larvae
r Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
r Mussels/Clams (not Corbicula)
r Other fish

• r Salamanders/tadpoles
• r Snails
• r Stonefly larvae (Plecoptera [P])
• r Tipulid larvae
▪ r Worms/leeches
13. Streamside Area Ground Surface Condition - streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and
upland
LB
(` A
(` B
C` C
Little or no alteration to water storage capacity over a majority of the streamside area
Moderate alteration to water storage capacity over a majority of the streamside area
Severe alteration to water storage capacity over a majority of the streamside area (examples include: ditches, fill,
soil, compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage - streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
f` A A Majority of streamside area with depressions able to pond water >_ 6 inches deep
(` B B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
f` C C Majority of streamside area with depressions able to pond water < 3 inches deep
runoff.
RB
( A
C` B
C` C
15. Wetland Presence - streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the
normal wetted perimeter of assessment reach.
LB RB
C` Y C` Y Are wetlands present in the streamside area?
CAN CAN
16. Baseflow Contributors - assessment reach metric (skip for size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
f- A
rB
rc
rD
E
r F
Streams and/or springs (jurisdictional discharges)
Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
Obstruction that passes some flow during low -flow periods within assessment area (beaver dam, bottom -release dam)
Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
Stream bed or bank soil reduced (dig through deposited sediment if present)
None of the above
17. Baseflow Detractors - assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
I— A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
B Obstruction not passing flow during low flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
r C Urban stream (>- 24% impervious surface for watershed)
r D Evidence that the stream -side area has been modified resulting in accelerated drainage into the assessment reach
r E Assessment reach relocated to valley edge
F None of the above
18. Shading - assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
C: A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
C` B Degraded (example: scattered trees)
C` C Stream shading is gone or largely absent
19. Buffer Width - streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top
of bank out to the first break.
Vegetated Wooded
LB RB
CAA C:A
(` B C` B
cc C` C
(` D rD
E [ E
LB RB
CAA CAA
CB CB
f D CAD
f E E
20. Buffer Structure
Consider for left
LB
C+`A
B
(` C
(` D
(` E
RB
CAA
C` B
C` C
C` D
C` E
>_ 100-feet wide or extends to the edge of the watershed
From 50 to < 100-feet wide
From 30 to < 50-feet wide
From 10 to < 30-feet wide
< 10-feet wide or no trees
- streamside area metric (skip for Tidal Marsh Streams)
bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
Mature forest
Non -mature woody vegetation or modified vegetation structure
Herbaceous vegetation with or without a strip of trees < 10 feet wide
Maintained shrubs
Little or no vegetation
21. Buffer Stressors - streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but
is within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22: 17,
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
C A rA C A C A C" A CA
CB CB CB CB CB CB
("C (`C (`C rc rc rc
C`D CD rD C`D rD r--
Row crops
Maintained turf
Pasture (no livestock)/commercial horticulture
Pasture (active livestock use)
22. Stem Density - streamside area metric (skip for Tidal Marsh Streams)

Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
A A Medium to high stem density
f` B f` B Low stem density
f` C f` C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer - streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10-feet wide.
LB RB
A A The total length of buffer breaks is < 25 percent.
f` B f` B The total length of buffer breaks is between 25 and 50 percent.
f` C f` C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition - First 100 feet of streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes
to assessment reach habitat.
LB RB
k` A k` A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native
species, with non-native invasive species absent or sparse.
f: B f: B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
• C (` C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity - assessment reach metric (skip for all Coastal Plain streams)
25a. f` Yes C;- No Was a conductivity measurement recorded?
If No, select one of the following reasons. f` No Water f` Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
C` A <46 ( B 46 to < 67 r• C 67 to < 79 (` D 79 to < 230 (` E >- 230
Notes/Sketch:

NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name Statesville Exit 54
Stream Category Pb1
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Date of Evaluation 7/13/2021
Assessor Name/Organization Kimley-Horn
NO
NO
NO
Perennial
USACE/ NCDWR
Function Class Rating Summary All Streams Intermittent
(1) Hydrology HIGH
(2) Baseflow HIGH
(2) Flood Flow HIGH
(3) Streamside Area Attenuation HIGH
(4) Floodplain Access HIGH
(4) Wooded Riparian Buffer HIGH
(4) Microtopography NA
(3) Stream Stability HIGH
(4) Channel Stability HIGH
(4) Sediment Transport LOW
(4) Stream Geomorphology HIGH
(2) Stream/Intertidal Zone Interaction NA
(2) Longitudinal Tidal Flow NA
(2) Tidal Marsh Stream Stability NA
(3) Tidal Marsh Channel Stability NA
(3) Tidal Marsh Stream Geomorphology NA
(1) Water Quality
(2) Baseflow
(2) Streamside Area Vegetation
(3) Upland Pollutant Filtration
(3) Thermoregulation
(2) Indicators of Stressors
(2) Aquatic Life Tolerance
(2) Intertidal Zone Filtration
MEDIUM
HIGH
HIGH
HIGH
HIGH
NO
LOW
NA
(1) Habitat
(2) In -stream Habitat
(3) Baseflow
(3) Substrate
(3) Stream Stability
(3) In -stream Habitat
(2) Stream -side Habitat
(3) Stream -side Habitat
(3) Thermoregulation
(2) Tidal Marsh In -stream Habitat
(3) Flow Restriction
(3) Tidal Marsh Stream Stability
(4) Tidal Marsh Channel Stability
(4) Tidal Marsh Stream Geomorphology
(3) Tidal Marsh In -stream Habitat
(2) Intertidal Zone Habitat
MEDIUM
LOW
HIGH
LOW
HIGH
MEDIUM
HIGH
HIGH
HIGH
NA
NA
NA
NA
NA
NA
NA
Overall MEDIUM

NC WAM WETLAND ASSESSMENT FORM
Accompanies User Manual Version 5
USACE AID#: SAW-2021-02509 NCDWR #:
Project Name Statesville Exit 54 Date of Evaluation 07/13/2021
Applicant/Owner Name NC Development Acquisitions, LLC Wetland Site Name W1
Wetland Type Bottomland Hardwood Forest Assessor Name/Organization Kimley-Horn
Level III Ecoregion Piedmont Nearest Named Water Body Fifth Creek
River Basin Yadkin-PeeDee USGS 8-Digit Catalogue Unit 03040102
County Iredell NCDWR Region Mooresville
C Yes (• No Precipitation within 48 hrs? Latitude/Longitude (deci-degrees) 35.849791, -80.864608
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on last page if evidence of stressors is apparent. Consider departure from reference, if
appropriate, in recent past (for instance, approximately within 10 years). Noteworthy stressors include, but are not limited
to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub -surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby
septic tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• Habitat/plant community alteration (examples: mowing, clear -cutting, exotics, etc.)
Is the assessment area intensively managed? r Yes [. No
Regulatory Considerations - Were regulatory considerations evaluated? f+• Yes r No If Yes, check all that apply to the assessment area.
r Anadromous fish
r Federally protected species or State endangered or threatened species
r NCDWR riparian buffer rule in effect
r Abuts a Primary Nursery Area (PNA)
r Publicly owned property
r N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
r Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
r Designated NCNHP reference community
r Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
(` Blackwater
(+ Brownwater
r Tidal (if tidal, check one of the following boxes) r Lunar C Wind r Both
Is the assessment area on a coastal island? r Yes a No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? C Yes a No
Does the assessment area experience overbank flooding during normal rainfall conditions? a Yes C No
1. Ground Surface ConditionNegetation Condition - assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure
(VS) in the assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable,
then rate the assessment area based on evidence of an effect.
GS VS
A (+ A Not severely altered
r B ( B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire -plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing,
less diversity [if appropriate], hydrologic alteration)
2. Surface and Sub -Surface Storage Capacity and Duration - assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub -surface storage capacity and
duration (Sub). Consider both increase and decrease in hydrology. A ditch <- 1 foot deep is considered to affect surface water only,
while a ditch > 1 foot deep is expected to affect both surface and sub -surface water. Consider tidal flooding regime, if applicable.
Surf Sub
(+ A (+' A Water storage capacity and duration are not altered.
B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
r C r C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation
change) (examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief - assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column for each group below. Select the appropriate storage for the assessment area (AA) and the wetland
type (WT).
AA WT
3a. A () A Majority of wetland with depressions able to pond water > 1 foot deep
{ B () B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
(: C () C Majority of wetland with depressions able to pond water 3 to 6 inches deep
C D r D Depressions able to pond water < 3 inches deep
3b. r A Evidence that maximum depth of inundation is greater than 2 feet
r B Evidence that maximum depth of inundation is between 1 and 2 feet
r C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture/Structure - assessment area condition metric (skip for all marshes)
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape
feature. Make soil observations within the 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for
regional indicators.
4a. C A Sandy soil
f B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
C Loamy or clayey soils not exhibiting redoximorphic features
C D Loamy or clayey gleyed soil
C E Histosol or histic epipedon
4b. CT A Soil ribbon < 1 inch
(' B Soil ribbon >_ 1 inch
4c. (r A No peat or muck presence
C B A peat or muck presence
5. Discharge into Wetland - opportunity metric
Check a box in each column. Consider surface pollutants or discharges (Surf) and sub -surface pollutants or discharges (Sub).
Examples of sub -surface discharges include presence of nearby septic tank, underground storage tank (UST), etc.
Surf Sub
(+ A 07 A Little or no evidence of pollutants or discharges entering the assessment area
[ B r B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
CC (' C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use - opportunity metric (skip for non -riparian wetlands)
Check all that apply (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the
assessment area (5M), and within 2 miles and within the watershed draining to the assessment area (2M). Effective riparian buffers
are considered to be 50 feet wide in the Coastal Plain and Piedmont ecoregions and 30 feet wide in the Blue Ridge Mountains ecoregion.
WS 5M 2M
IA TA r A >_ 10% impervious surfaces
F B r B r B Confined animal operations (or other local, concentrated source of pollutants)
r C C F C >_ 20% coverage of pasture
D F D 17D >_ 20% coverage of agricultural land (regularly plowed land)
✓ E r E LE >_ 20% coverage of maintained grass/herb
F F r F r F >_ 20% coverage of clear-cut land
F G r G r G Little or no opportunity to improve water quality. Lack of opportunity may result from little or no disturbance in
the watershed or hydrologic alterations that prevent dainage and/or overbank flow from affectio the
assessment area.
7. Wetland Acting as Vegetated Buffer - assessment area/wetland complex condition metric (skip for non -riparian wetlands)
7a. Is assessment area within 50 feet of a tributary or other open water?
(Z Yes (' No If Yes, continue to 7b. If No, skip to Metric 8.
7b. How much of the first 50 feet from the bank is weltand? (Wetland buffer need only be present on one side of the water body. Make
buffer judgment based on the average width of wetland. Record a note if a portion of the buffer has been removed or disturbed.)
(: A >_ 50 feet
( B From 30 to < 50 feet
C C From 15 to < 30 feet
( D From 5 to < 15 feet
( E < 5 feet or buffer bypassed by ditches
7c. Tributary width. If the tributary is anastomosed, combine widths of channels/braids for a total width.
(+` <- 15-feet wide (" > 15-feet wide r Other open water (no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
(:Yes (-'No
7e. Is tributary or other open water sheltered or exposed?
(: Sheltered - adjacent open water with width < 2500 feet and no regular boat traffic.
r Exposed - adjacent open water with width >_ 2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area - wetland type/wetland complex condition metric (evaluate WT for all marshes
and Estuarine Woody Wetland only; evaluate WC for Bottomland Hardwood Forest, Headwater Forest, and Riverine Swamp
Forest only)
Check a box in each column. Select the average width for the wetland type at the assessment area (WT) and the wetland complex at the
assessment area (WC). See User Manual for WT and WC boundaries.
WT WC
( A (+A >_100feet
(` B C B From 80 to < 100 feet
• C From 50 to < 80 feet
( D C D From 40 to < 50 feet
C E rE From 30 to < 40 feet
C F" F From 15 to < 30 feet
C G C G From 5 to < 15 feet
C H C H < 5 feet
9. Inundation Duration - assessment area condition metric (skip for non -riparian wetlands)
Answer for assessment area dominant landform.
CT A Evidence of short -duration inundation (< 7 consecutive days)
r B Evidence of saturation, without evidence of inundation
C C Evidence of long -duration inundation or very long -duration inundation (7 to 30 consecutive days or more)
10. Indicators of Deposition - assessment area condition metric (skip for non -riparian wetlands and all marshes)
Consider recent deposition only (no plant growth since deposition).
(.7 A Sediment deposition is not excessive, but at approximately natural levels.
r B Sediment deposition is excessive, but not overwhelming the wetland.
C C Sediment deposition is excessive and is overwhelming the wetland.

11. Wetland Size — wetland type/wetland complex condition metric
Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut, select "K" for the FW column.
WT WC FW (if applicable)
C A (` A CA >- 500 acres
{ B i B (` B From 100 to < 500 acres
(` C i C ( C From 50 to < 100 acres
CD C D (.` D From 25 to < 50 acres
rE From 10 to < 25 acres
y F rF (`F From 5 to < 10 acres
({-- G CG (`G From 1 to < 5 acres
y H (H (` H From 0.5 to < 1 acre
( I C I (` I From 0.1 to < 0.5 acre
( J ( J (" J From 0.01 to < 0.1 acre
( K (" K r K < 0.01 acre or assessment area is clear-cut
12. Wetland Intactness — wetland type condition metric (evaluate for Pocosins only)
A Pocosin is the full extent (>_ 90%) of its natural landscape size.
B Pocosin is < 90% of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas — landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
metric naturally vegetated area and open water (if appropriate). Boundaries are formed by four -lane roads, regularly maintained utility
line corridors the width of a four -lane road or wider, urban landscapes, fields (pasture open and agriculture), or water > 300 feet wide.
Well Loosely
CA ()A >_500acres
C B c) B From 100 to < 500 acres
( C (. C From 50 to < 100 acres
(: D (-' D From 10 to < 50 acres
rE rE <10acres
C F (• F Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
C Yes (-' No Wetland type has a surface hydrology connection to open waters/stream or tidal wetlands.
14. Edge Effect — wetland type condition metric (skip for all marshes and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non -forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors and clear -cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directiions? If the assessment area is clear-cut,
select option "C."
CA 0
(*`B 1to4
("C 5to8
15. Vegetative Composition — assessment area condition metric (skip for all marshes and Pine Flat)
C A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotic plants absent or sparse within the assessment area.
(: B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or
clearing. It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
C C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non -
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in
at least one stratum.
16. Vegetative Diversity — assessment area condition metric (evaluate for Non -tidal Freshwater Marsh only)
A Vegetation diversity is high and is composed primarily of native species (<10% cover of exotics).
( B Vegetation diversity is low or has > 10% to 50% cover of exotics.
( C Vegetation is dominated by exotic species (>50% cover of exotics).
17. Vegetative Structure — assessment area/wetland type condition metric
17a. Is vegetation present?
CZ Yes (-' No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non -marsh wetlands.
C A >_ 25% coverage of vegetation
( B < 25% coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non -marsh wetlands. Consider structure
in airspace above the assessment area (AA) and the wetland type (WT) separately.
AA WT
(` A . A Canopy closed, or nearly closed, with natural gaps associated with natural processes
B B Canopy present, but opened more than natural gaps
C C ( C Canopy sparse or absent
C- A A Dense mid-story/sapling layer
B B Moderate density mid-story/sapling layer
.(` C C Mid-story/sapling layer sparse or absent
e A • A Dense shrub layer
B B Moderate density shrub layer
( C C Shrub layer sparse or absent
d: A A Dense herb layer
d r B . B Moderate density herb layer
C ( C Herb layer sparse or absent
18. Snags — wetland type condition metric (skip for all marshes)
C A Large snags (more than one) are visible (> 12-inches DBH, or large relative to species present and landscape stability).
Shrub Mid -Story Canopy

( B NotA
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
C A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
(. B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12-inch DBH.
( C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric (skip for all marshes)
Include both natural debris and man -placed natural debris.
C A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
C B NotA
21. Vegetation/Open Water Dispersion — wetland type/open water condition metric (evaluate for Non -Tidal Freshwater
Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
(` B
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands and Salt/Brackish Marsh only)
Examples of activities that may severely alter hydrologic connectivity include intensive ditching, fill, sedimentation, channelization,
diversion, man-made berms, beaver dams, and stream incision. Documentation required if evaluated as B, C, or D.
ft A Overbank and overland flow are not severely altered in the assessment area.
C B Overbank flow is severely altered in the assessment area.
C C Overland flow is severely altered in the assessment area.
( D Both overbank and overland flow are severely altered in the assessment area.
Notes

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name W1 Date
07/13/2021
Wetland Type Bottomland Hardwood Forest
Assessor Name/Organization
Kimley-Horn
Notes on Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Wetland is intensively managed (Y/N)
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
Assessment area is substantially altered by beaver (Y/N)
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
Assessment area is on a coastal island (Y/N)
Sub -function Rating Summary
NO
NO
NO
YES
NO
YES
NO
Function Sub -function
Metrics
Rating
Hydrology Surface Storage and Retention
Sub -Surface Storage and Retention
Condition
Condition
HIGH
MEDIUM
Water Quality Pathogen Change
Particulate Change
Soluble Change
Physical Change
Pollution Change
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
HIGH
HIGH
YES
MEDIUM
MEDIUM
YES
HIGH
HIGH
YES
HIGH
HIGH
YES
NA
NA
NA
Habitat Physical Structure
Landscape Patch Structure
Vegetation Composition
Condition
Condition
Condition
HIGH
HIGH
MEDIUM
Function Rating Summary
Function Metrics/Notes
Rating
Hydrology Condition
Water Quality Condition
Condition/Opportunity
Opportunity Presence? (Y/N)
Habitat Condition
HIGH
HIGH
HIGH
YES
HIGH
Overall Wetland Rating HIGH