20120124 Ver 1_Waste Pit Information_20140721

P I L O T E N V I R ON MENTAL I N C •
May 1, 2014
Mr.Jim Lambert
W.C. English Incorporated
615 Church St
P.O. Box P-7000
Lynchburg, VA 24504
Reference: Environmental Evaluation and Reclamation Plans
Proposed N.C. DOT Waste Site
Crestview Road
Richmond County, North Carolina
PEI Project No. 1000
Dear Mr. Lambert:
Pilot Environmental, Inc. (PEI) is pleased to submit this report of the Environmental Evaluation
and Reclamation Plans for two proposed N.C. Department of Transportation (DOT) waste pits
located north of Crestview Road in Richmond County, North Carolina. This report summarizes our
findings.
Background
PEI was contracted to perform an Environmental Evaluation and to design Reclamation Plans for
two proposed N.C. DOT waste pits located north of Crestview Road in Richmond County, North
Carolina. The proposed waste pits are located on a portion of the parcel identified by the
Richmond County Geographical Information Systems (GIS) website as Parcel Identification
Number(PIN) 746503420623 (Drawing 1). For purposes of this report and as shown on Drawing
1 (attached), the proposed waste pit located on the northern portion of the parcel is referred to
as "Pit 1" and, the proposed waste pit located on the southern portion of the parcel is referred
to as "Pit 2". The scope of services included a stream/wetland determination, federally listed
threatened/endangered species evaluation, State Historic Preservation Office (SHPO) inquiry and
design of reclamation plans forthe proposed waste pits. According to Mr.Jim Lambert with English
Construction, the proposed pits will be used for wasting activities associated with a nearby N.C.
DOT project identified as Contract ID: C202962, WBS 34542.3.FS5,T.I.P. No. R-3421C.
Wetlands are defined by the U.S. Army Corps of Engineers (USACE) and the United States
Environmental Protection Agency (EPA) as "those areas that are inundated or saturated by
surface or groundwater at a frequency and duration sufficient to support, and under normal
circumstances, do support a prevalence of vegetation typically adapted for life in saturated soil
PO BOX 128, Kernersville,NC

Environmental Evaluation—N.C,DOT Waste Pit
PEI Project No.1002
May 1,2014
conditions." In order for an area to be classified as wetland, hydrophytic vegetation, hydric soils,
and wetland hydrology indicators must be present.
Congress passed the Endangered Species Act(ESA) in 1973. The purpose of the ESA is to protect
and recover imperiled species and the ecosystems upon which they depend. It is administered
by the U.S. Fish and Wildlife Service (FWS) and the Commerce Department's National Marine
Fisheries Service (NMFS). The U.S. FWS has primary responsibility for terrestrial and freshwater
organisms, while the responsibilities of NMFS are mainly marine wildlife. Under the ESA,
federally protected species may be listed as either endangered or threatened. "Endangered"
means a species is in danger of extinction throughout all or a significant portion of its range.
"Threatened" means a species is likely to become endangered within the foreseeable future.All
species of plants and animals, except pest insects, are eligible for listing as endangered or
threatened. For the purposes of the ESA, Congress defined species to include subspecies,
varieties, and,for vertebrates, distinct population segments.
The SHPO was created by the United States government in 1966 under Section 101 of the
National Historic Preservation Act (NHPA). The purposes of the SHPO include surveying and
recognizing historic properties, reviewing nominations for properties to be included in the
National Register of Historic Places, reviewing undertakings for the impact on the properties as
well as supporting federal organizations, state and local governments, and the private sector.
Literature Review
We reviewed the U.S. Geologic Services(USGS)Topographic Map, the United States Department
of Agriculture(USDA)Soil Survey of Orange County and the Federal Emergency Management Act
(FEMA) Flood Insurance Rate Map (FIRM) for the site.
* The USGS Topographic Map (Drawing 2) does not identify surface waters or wetlands on the
proposed pit boundaries. The map depicts an unnamed tributary to Cartledge Creek
approximately 2,000 feet north of the site. Additionally, the map shows a drainage swale that
could contain surface waters or wetlands,within the boundaries of Pit 1.
• The Soil Survey of Rockingham County(Drawing 3)shows soils on the site have been mapped as
Alley loamy sand (AcB), Candor and Wakulla Soils (CaC) and Wakulla and Candor Soils (WcB).
The Alley series consists of well drained to somewhat excessively drained,slowly permeable soils
that occur on marine terraces, low hills of the Middle/Upper Coastal Plain and Sandhills. The
Candor series consists of somewhat excessively drained, rapidly permeable soils that occur on
uplands, sand sheets of the Upper Coastal Plain and Sandhills. The Wakulla series consists of
somewhat excessively drained, rapidly permeable soils that occur on broad landscapes of
Coastal Plain uplands and stream terraces. The soil mapping units located on the site are not
identified on the Rockingham County Hydric Soils List.
2

Environmental Evaluation—N.C.DOT Waste Pit
PEI Project No.1002
May 1,2014
The FEMA FIRM Map Panel 3710746500J,that contains the site, has not been printed by FEMA
and thus is not available for review.
Site Reconnaissance
PEI personnel conducted the site visit on April 9, 2014. Pit 1 consists of recently timbered land.
Structures are not located within the proposed boundaries. Vegetation including sweet gum
(Liquidambar styraciflua), american holly (flex opaca), turkey oak (Quercus loevis) and common
blackberry(rubus betulifolius) are located within Pit 1. PEI personnel utilized a handheld Trimble
Global Positioning System (GPS) to locate the proposed waste pit corners and marked the pit
corners/GPS locations with orange surveying tape (Drawing 4A). Based on GPS measurements,
the proposed waste pit 1 is approximately 7.42 acres in size.
Pit 2 consists of a field. Vegetation including fescue (Festuca sp.) chickweed (Stellaria media),
purple cleadnettle (Lamium purpureum)and other mixed grasses/weeds are located within Pit 2.
PEI personnel utilized a handheld Trimble Global Positioning System(GPS)to locate the proposed
waste pit corners and marked the pit corners/GPS locations with orange surveying tape(Drawing
413). Based on GPS measurements, the proposed waste pit 2 is approximately 0.77 acres in size.
During our reconnaissance, we observed the proposed waste pits for evidence of stream
channels, wetlands and ponds. We did not observe streams, ponds or wetlands in the proposed
pits. The soils are bright and well drained. There is no evidence of groundwater discharge in the
proposed waste sites. A Wetland Determination Data Form containing field observations at the
lowest lying area of the proposed waste pit 1, that supports our opinion, is included as an
attachment.
PEI personnel observed adjoining properties during our reconnaissance. Adjoining properties
contain a recently timbered/cleared DOT Right-Of-Way(ROW), single family residences, a water
tower,wooded land and fields. Vegetation within the fields consists of mixed grasses and weeds.
Vegetation within the wooded land includes pine species (Pines sp.), red maple (Ater rubrum),
sweet gum(Liquidambarstyrociflua),eastern red cedar(Juniperus virginiana)and common green
briar (Smilax rotundifolio). Wetlands are located on adjacent properties of Pit 1. PEI personnel
identified the nearest points of the wetlands with the handheld Trimble GPS unit and marked the
points with red and white striped surveyor tape. Based on the GPS measurements and our field
observations, the nearest points of the wetlands are located approximately 57 feet north, 144
feet east and 27 feet west of Pit 1. Other streams, surface waters and wetlands were not
observed within 400 feet of Pit 1 and 2.
Erosion control fencing and/or sediment basins will be used to prevent impacts to off-site surface
waters and wetlands. Reclamation Plans for Pits 1 and 2 are attached and described below.
Based on our observations, the proposed project will not "oirnpact off-site streams, ponds or
wetlands.
3

Environmental Evaluation—N.C.DOT Waste Pit
PEI Project No,1002
May 1,2014
Threatened/Endangered Species Survey
We have reviewed the North Carolina Natural Heritage Program list for federally listed
threatened and endangered species that have been identified on the Rockingham, North Carolina
Quadrangle (the quadrangle that contains the site) and the Ellerbe, North Carolina Quadrangle
(the quadrangle that borders the site quadrangle to the north).
• Shortnose sturgeon (Acipenser brevirostrium) is identified on the site quadrangle
(Rockingham, N.C. Quadrangle)as a federally listed endangered species. Shortnose sturgeon
inhabit rivers and estuaries. They are "anadromous" fish; they spawn in the coastal rivers
along the east coast of North America from the St.John River in Canada to the St.Johns River
in Florida. They prefer the near shore marine, estuarine, and riverine habitat of large river
systems. We did not observe this species or suitable habitat for this species on the site.
Streams and wetlands will not be impacted by the proposed project.
• Schweinitz's sunflower (Helianthus schweinitzii) is identified on the quadrangle north of the
site quadrangle (Ellerbe, N.C. Quadrangle) as a federally listed endangered species.
Schweinitz's sunflower occurs in full to partial sun and is found in areas with poor soils, such
as thin clays that vary from wet to dry. It is believed that this species once occurred in natural
forest openings or grasslands. Many of the remaining populations occur along roadsides. We
did not observe this species or suitable habitat for this species on the site.
Other federally listed threatened and endangered species have not been identified on the site
quadrangle and/or the quadrangles that border the site quadrangle to the north. Based on our
observations and to the best of our knowledge, the proposed project will not impact federally
protected species or areas that may be considered potential habitat for federally protected
species.
State Historic Preservation Office(SHPO)
PEI recently submitted a request to the SHPO to determine if they are aware of historic resources
that could be affected by the project. Based on the April 23, 2014 letter issued by the SHPO, the
SHPO has no comment regarding the proposed project. A copy of the letter is included as an
attachment.
Watershed Classification/Buffer Requirements
The USGS Topographic map identifies an unnamed tributary to Cartledge Creek approximately 2,000
feet north of the site. According to the North Carolina Division of Water Resources, the site is
located in the Yadkin Pee-Dee River Basin in a watershed area that has been designated as Class
C waters,
4

Environmental Evaluation—N.C.DOT Waste Pit
PEI Project No.1002
May 1,2014
The N.C. DOT requires that borrow/waste pits be located a minimum of 25 feet from wetlands.
Based on our field observations and GPS measurements,the proposed waste pits are located at
least 27 feet and more from wetlands located on adjacent properties.
Water Table
The project will consist of wasting material. There will be no borrowing, dewatering, mining or
excavating below the seasonal high water table or nearby streams or wetlands. Therefore, the
existing water table will not be impacted by the proposed project.
Reclamation Plan—Pit 1
The proposed project will consist of wasting material to a Iheight ranging from 40 — 60' above
native elevation for a nearby N.C. DOT project. The proposed pit will be accessed from the DOT
ROW, immediately south of the proposed pit. A haul road will not be needed.The site has been
recently timbered so trees and/or saplings are not located within the proposed site. Therefore,
removal of vegetation will not be required for use of the site as a proposed waste pit.Temporary
diversions/rock silt checks, silt fencing and the erosion control basins (100' x 50' skimmer basin
and 50'x 25' skimmer basin) will be installed prior to wasting activities. The silt fencing will be
used to prevent impacts to off-site streams/wetlands. Additional temporary diversions, rock silt
checks and/or silt fencing may be installed as needed by the grading contractor, prior and/or
during wasting activities, to ensure that surface run-off is being diverted to the erosion control
basins. The erosion control measures will be regularly inspected and maintained by the grading
contractor as needed during wasting activities. The attached erosion control plan shows the
locations of the pit boundaries, sediment basins, silt fencing, temporary diversions, rock silt
checks, construction entrances and appropriate setbacks from ROWs/property
boundaries/wetlands. The proposed pit is located 15' and more from existing property
boundaries and ROWS and 27'and more from wetlands located on adjacent properties. Following
wasting activities, erosion control measures will be abandoned in accordance with NCDOT
standards and slopes will be stabilized with N. C. DOT approved seeding and mulching on 2:1 or
flatter slopes. The attached cross section shows the slopes of native elevation and the proposed
slopes following the completion of wasting activities. A copy of the reclamation plan including
the reclamation plan drawing, N. C. DOT final basin designer sheet, cross section, N. C. DOT
seeding/mulching approved materials and N. C. DOT standard drawings of a skimmer basin, coir
fiber baffles, construction entrance, temporary diversion, rock silt checks—type B and silt fence
is included as an attachment to this report. The reclamation plan has been designed in
accordance with N. C. DOT requirements.
5

Environmental Evaluation-N.0 DOT Waste Pit
PEI Project No.1002
May 1,2014
Reclamation Plan—Pit 2
The proposed project will consist of wasting material to a height of approximately 25' above
native elevation for a nearby N. C. DOT project. The proposed pit will be accessed from the DOT
ROW, immediately north of the proposed pit.A haul road will not be needed. The site is a grass
covered field, so trees and/or saplings are not located within the proposed site. Therefore,
removal of vegetation will not be required for use of the site as a proposed waste pit.Temporary
diversions, silt fencing and the erosion control basin 444' x 20' skimmer basin) will be installed
prior to wasting activities. The silt fencing will be used to prevent impacts to off-site
streams/wetlands. Additional temporary diversions, rock silt checks and/or silt fencing may be
installed as needed by the grading contractor, prior and/or during wasting activities, to ensure
that surface run-off is being diverted to the erosion control basins. The erosion control measures
will be regularly inspected and maintained by the grading contractor as needed during wasting
activities. The attached erosion control plan shows the locations of the pit boundaries,sediment
basin, silt fencing, temporary diversions, construction entrance and appropriate setbacks from
ROWS/property boundaries. The proposed pit is located 18' and more from existing property
boundaries and ROWS. Following wasting activities,erosion control measures will be abandoned
in accordance with N. C. DOT standards and slopes will be stabilized with N. C. DOT approved
seeding and mulching on 2:1 or flatter slopes. The attached cross section shows the slopes of
native elevation and the proposed slopes following the completion of wasting activities. A copy
of the reclamation plan including the reclamation plan drawing, N. C. DOT final basin designer
sheet, cross section, N. C. DOT seeding/mulching approved materials and N. C. DOT standard
drawings of a skimmer basin, coir fiber baffles, construction entrance, temporary diversion and
silt fence is included as an attachment to this report. The reclamation plan has been designed in
accordance with N. C. DOT requirements.
Recommendations
The site is being evaluated for use with two N.C. DOT waste pit. Based on the findings of this
study, it is our opinion that the proposed project will not impact streams, wetlands or federally
listed endangered or threatened species/associated habitat. Site controls, as outlined in the
reclamation plan, including but not limited to the construction of a catch basin and the use of
erosion control fencing,will be used to prevent sediment from leaving the site and impacting off-
site streams, ponds and wetlands.
6

Environmental Evaluation—N.C.DOT Waste Pit
PEI Project No.1002
May 1,2014
Closing
We appreciate the opportunity to provide our services to you. Please contact us at (336) 708-
4997 if you have questions or require additional information.
Sincerely,
Bradley S. Luckey Michael T. Brame, PWS
Project Manager Principal
Level III Certification Number 3044
Attachments: Drawing 1—Site Location Map
Drawing 2—USGS Topographic Map
Drawing 3—USDA Soils Map
Drawing 4A—Pit 12010 Aerial Photograph and GPS Map
Drawing 4A—Pit 2 2010 Aerial Photograph and GPS Map
SHPO Letter, Dated April 23, 2014
Wetland Determination Data Form
Reclamation Plan—Pit 1
Reclamation Plan—Pit 2
Resumes
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Proposed Pit Boundary
Coordinate System;WGS 1984,EGM96 Geoid GPS Point
Shown in Degrees,Minutes,Seconds
Wetlands
Drawing 4A
2010 Aerial Photograph N Approximate 7.42 Acre Waste Pit
Richmond County GIS and Crestview Road
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Other Attributes PEI No. 1000
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Shown in Degrees,Minutes,Seconds GPS Point
Drawing 4B
N Approximate 0.77 Acre Waste Pit
2010 Aerial Photograph Crestview Road
Richmond County GIS and Richmond County, NC
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WETLAND DETERMINATION DATA FORM—Eastern Mountains and Piedmont
Project/Site: Waste Pits/Crestview Road City/County: Richmond — Sampling Date: 419114
Applicant/Owner: English —State:North Carolina Sampling Point:_,
Investigator(s): Luckey,PEI Section,Township,Range:
Landform(hillslope,terrace,etc.) Sideslope Local relief(concave,convex,none):
Slope(%): 8 Lat: Long: Datum;
Soil Map Unit Name: NW1 Classification: none
Are climatic/hydrologic conditions on the site typical for this time of year? Yes X No_(if no,explain in Remarks.)
Are Vegetation X Soil or Hydrology significantly disturbed? Are"Normal Circumstances"present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (if needed,explain any answers in Remarks.)
SUMMARY OF FINDINGS—Attach site map showing sa pling point locations,transacts, important features,etc.
Hydrophytic Vegetation Present? Yes X Na — Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
Wetland hydrology and hydric soil indicators are not present. The sampling point is not located within a wegand. Vegetation has been disturbed due
to timbering activities.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two reggiredl
Primary Indicators(minimum of one is required:check all that apply) Surface Soil Cracks(B6)
Surface Water(Al) True Aquatic Plants(1314) Sparsely Vegetated Concave Surface(B8)
High Water Table(A2) Hydrogen Sulfide Odor(Cl) Drainage Patterns(13110)
Saturation(A3) Oxidized Rhizospheres on Living Roots(C3) Moss Trim Lines(1316)
Water Marks(131) Presence of Reduced Iron(C4) Dry-Season Water Table(C2)
Sediment Deposits(132) ............ Recent Iron Reduction in Tilled Soils(06) Crayfish Burrows(C8)
Drift Deposits(B3) Thin Muck Surface(C7) Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(B4) Other(Explain in Remarks) Stunted or Stressed Plants(131)
Iron Deposits(135) Geomorphic Position(D2)
Inundation Visible on Aerial Imagery(B7) Shallow Aq ultard(D3)
Water-Stained Leaves(139) Microtopographic Relief(D4)
Aquatic Fauna(1313) FAC-Neutral Test(D5)
Field Observations:
Surface Water Present? Yes No X Depth(inches):
Water Table Present? Yes No X Depth(inches): >12"
Wetland Hydrology Present? Yes Na X
Saturation Present? Yes No X Depth(inches): >12'
(includes capillary fringe)
Describe Recorded Data(stream gauge,monitoring well,aerial photos,previous inspections),if available:
Remarks:
Weiland hydrology indicators are not present.

VEGETATION (Four Strata)- Use scientific names of plants. Sampling Point
Dominance Test worksheet:
Absolute Dominant Indicator
Tree Stratum (Plot size: 30' %Cover Species? Status Number of Dominant Species
1. None Observed That Are OBL,FACW,or FAC: 2 (A)
2.
. .................
3. Total Number of Dominant
4, ........ Species Across All Strata: 3 (B)
. ................ .
........®
5.
. ...........
6. _® Percent of Dominant Species
7. ...................................... That Are OBL,FACW,or FAC: 66 (AIB)
8. Prevalence Index workshest:
Total Cover Total%Cover of: Multiply by:
OBL species x 1 =
Sapling/Shrub Stratum (Plot size: 30' FACW species X2=
1, None Observed ............................... FAC species X 3
2.
3. .................................. ................. FACU species X4=
4. UPIL species X5=
............
........ ................
5. Column Totals:
(A)
6.
7. . ..... Prevalence Index=B/A
8. ............... .... ........ ................. Hydrophytic Vegetation Indicators:
9. 1-Rapid Test for Hydrophytic Vegetation
10. ......... ........ X 2-Dominance Test is>50%
...................................... Total Cover 3-Prevalence Test is:5 3.01
Herb Stratum (Plot size: 30' -4-Morphological Adaptations'(Provide suppoining
I. Liquidambar strayciflua 10 Y FAC data in Remarks or on a separate sheet)
2. Ilex opaca 10 Y FACU _Problematic Hydrophytic Vegetation'(Explain)
3. Acer rubrum 10 Y FAC 'Indicators of hydric soil and wetland hydrology must
4. be present,unless disturbed or problematic.
5.
6,
7. Definitions of Vegetation Strata:
8• Tree-Woody plants,excluding vines,3 in.(7.6 GM)
9. or more in diameter at breast height(DBH),
10. regardless of height.
it. ...... ................ Sapling/Shrub-Woody plants,excluding vines, less
12• than 3 in.DBH and greater than 3.28 ft(1 m)tall,
30 =Total Cover
Herb-All herbaceous(non-woody)plants,regardless
Woody Vine Stratum (Plot size: 30' of size,and woody plants less than 3.28 ft tall.
1. . ...................... Woody vine-All woody vines greater than 3.28 ft in
2. .................................... height.
3. . ................................
4. . . ..........
5. Hydrophytic
6.
................. .............. Vegetation
Present? Yes X No
Total Cover
Remarks:(include photo numbers here or on a separate sheet.)
Hydrophytic vegetation is present.Vegetation has been disturbed due to recent timbering.

SOIL Sampling Point:
Prof lie Description.(Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) 8/6 Color(moist) % Type' Loc2 Texture Remarks
0-12 7.5YR 4/4 100 LS
............... ........ . ......... .....................
................
..........
..........
................................
........................... . .......... .. ......................
.....................
— — — —- -----------------
.....................
. ............. . . . ........
— — -------------
...............
'T e; C=Concentration,D=Depletion,RM=Reduced Matrix,CS=Covered or Coated Sand Grains, 2 Location: PL=Pore Lining,M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
Histosol(Al) Dark Surface(S7) 2 cm Muck(A10)(MLRA 147)
Histic Epipedon(A2) Polyvalue Below Surface(88)(MLRA 147,148) Coast Prairie Redox(A16)
Black Histic(A3) Thin Dark Suface(S9)(MLRA 147,148) (MLRA 147,148)
Hydrogen Sulfide(A4) Loamy Gleyed Matrix(F2) Piedmont Floodplain Soils(F19)
Stratified Layers(A5) Depleted Matrix(173) (MLRA 136,147)
2 cm Muck(A10)(LRR N) Redox Dark Surface(F6) Red Parent Material(TF2)
Depleted Below Dark Surface(A11) Depleted Dark Surface(F7) Very Shallow Dark Surface(TF12)
Thick Dark Surface(Al2) Redox Depressions(F8) Other(Explain in Remarks)
......... Sandy Mucky Mineral(Sl)(LRR N, Iron Manganese Masses(F12)(LRR N,
MLRA 147,148) MLRA 136)
Sandy Gleyed Matrix(s4) Umbric Surface(F13)(MLRA 136,122) 'Indicators of Hydrophytic vegetation and
Sandy Redox(S5) Piedmont Floodplain Soils(F19)(MLRA 148) wetland hydrology must be present,unless
Stripped Matrix(S6) disturbed or problematic.
Restrictive Layer(if observed): ...
Type: Hydric Soil Present? Yes No X
Depth(inches): ...........
Remarks: ...
Hydric soil indicators are not present.

3/2013
Reclamation Plan for Contracted Projects
Waste Site
Date: May 1,2014
Contract Number: 0202962 TIP No: R-3421-C
Project No/WBS Element: 34542.3.FS5 County: Richmond
Contractor: W.C.English Inc. Responsible Person: Mr.Jim Lambert
Contractor Address: 615 Church St P.O.Box P-7000
Lynchburg,VA 24504
Property Owner: Debra Wallace,Fredrick Brown and Terri Brown Phone Number: 910-997-3757
Property Owner Address: 391 Crestview Drive
Rockingham, NC 28379-6957
Property Address: Crestview Road
Richmond County, North Carolina
Total acreage of proposed site: 7.42
Expected depth of waste: 40-60'
Present use of land: Recently Timbered Land
Proposed use after reclamation: Grass Covered Field
Expected type of waste that will be placed in the site(examples: asphalt, concrete, soil, stone):
Soil and stone
Proposed sequence of placing waste(include proposed slope rates):
Wasting activities will begin on the southern portion of the pit and continue north,following the installation of basins/BMPS.
The pit has recently been timbered so,removal of vegetation will not be required. Proposed final slopes rates will be 2:1 or flatter,
Did the Environmental Evaluation indicate the presence of any wetlands or endangered species?(if
yes, briefly list findings and physical means by which area will be delineated):
No,see attached.
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 15

3/2013
Is any portion of the pit within a watershed with riparian buffer zone regulations? (if yes indicate
physical means by which buffer will be delineated and how diffuse flow will be maintained):
No,see attached.
............. .... ......
Is the site adjacent to High Quality Waters as defined by the Department of Environment and Natural
Resources? (if yes, note how the devices have been designed to meet DENR requirements):
No,see attached.
Are there any conditions identified on the State Historic Preservation Office Review Form for waste
activities? Explain:
Describe the intended plan for the reclamation and subsequent use of all affected lands, and indicate
the general methods to be used in reclaiming this land, including any stockpile areas, haul roads and
ditches. Describe the sequence for reclaiming the site. Attach a map illustrating this plan, showing
the location and design of all temporary and permanent erosion control devices. All features must
comply with the appropriate specifications, standards and reflect Best Management Practices (BMP).
The plan must indicate setbacks to adjacent properties, buffer zones and wetlands.
Wasting is anticipated up to 60'. The pit will be accessed from the DOT ROW immediately south of the pit. Removal of vegetation is
not necessary as the pit has been recently timbered. The basin and other BMPs will be installed prior to wasting activities.
Additional BMPs(Rock Checks/Temporary Diversions,etc)maybe installed by the contractor prior to and/or during wasting
activities to ensure that surface run-off is being diverted to basins. The erosion control measures will be regularly inspected and
maintained by the contractor during wasting activities. The attached reclamation plan shows locations of the pit,property boundaries
and ROWS,pit entrance,skimmer basins(basin designer sheets attached),silt fencing,temporary diversions and rock silt checks.
Describe the proposed schedule of permanent seeding and mulching. Detail the frequency of
permanent seeding and mulching. Note that a permanent stand of vegetation is required prior to a
final inspection:
Following wasting activities,erosion control measures will be abandoned in accordance with NCDOT standards and slopes
will be stabilized with NCDOT approved seeding and mulching on 2:1 or flatter slopes.The attached cross section shows
the slopes of native elevation and the proposed slope following the completion of wasting activities.
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 16

3/2013
Property Owner's Statement:
I hereby certify that I am in agreement with this development, use, and
reclamation plan, and any exceptions noted when approved by the Engineer,
and that I understand that I will be responsible for the site upon completion of
its use in the construction of the project noted in the map legend. I understand
that this plan, when approved, will serve as a guide in controlling erosion and
sediment in accordance with the Mining Act and the Sediment and Pollution
Control Act and as enforced by the North Carolina Department of Environment
and Natural Resources (DENR). I understand that any work exceeding the
minimum necessary for compliance with DENR requirements, should be
negotiated between the Contractor and the Property Owner. My signature
below authorizes The Department of Transportation(DOT), the Department of
Environment and Natural Resources (DENR)or its agents,to enter upon my
property for a period of one year from the date of final acceptance of the
project for which this site plan is executed. If necessary, the DOT will be
allowed to have the Contractor repair any areas that are not in compliance with
DENR requirements. After a one year inspection is held, I will be solely
responsible for assuring that the site is in compliance with DENR regulations. I
have the right to change the condition of the site after the final inspection and
prior to the one year follow-up inspection. However, if I make such changes, I
acknowledge that DOT is released from all obligations and conditions of this
agreement and I will become solely responsible for the condition of the site
beginning on the date that I change the final inspection condition.
Signatures:
Contractor's Representative:
(authorized to sign supplemental agreements I date)
Owners of record:
Witness Owner
(signature/date) (signature/date)
(signature/date) (signature/date)
(signature/date) (signature/date)
Resident Engineer:
(signature/date)
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 17

3/2013
Exceptions:
Concurrence with exceptions:
Property Owner: Contractor:
(signature/date) (signature/date)
Attachments: Site map with details
Environmental Evaluation
Cc:
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 18

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3/2013
Reclamation Plan for Contracted Projects
Waste Site
Date: May 1,2014
Contract Number: 0202962 TIP No: R-3421-C
Project No/WBS Element: 34542.3.FS5 County: Richmond
Contractor: W.C.English Inc. Responsible Person: Mr.Jim Lambert
Contractor Address: 615 Church St P.O.Box P-7000
Lynchburg,VA 24504
Property Owner: Debra Wallace,Fredrick Brown and Terri Brown Phone Number: 910-997-3757
Property Owner Address: 391 Crestview Drive
Rockingham,NC 28379-6957
Property Address: Crestview Road
Richmond County,North Carolina
Total acreage of proposed site: 0.77 Acres
Expected depth of waste: 25'
Present use of land: Grass Covered Field
Proposed use after reclamation: Grass Covered Field
Expected type of waste that will be placed in the site(examples: asphalt, concrete, soil, stone):
Soil and stone
......................................................-.11--
................................................................
Proposed sequence of placing waste(include proposed slope rates):
Wasting activities will begin on the southern portion of the pit and continue north,following the installation of basin/BMPs
Removal of vegetation will not be required. Proposed final slopes rates will be 2:1 or flatter.
Did the Environmental Evaluation indicate the presence of any wetlands or endangered species?(if
yes, briefly list findings and physical means by which area will be delineated):
No,see attached.
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 15

3/2013
Is any portion of the pit within a watershed with riparian buffer zone regulations?(if yes indicate
physical means by which buffer will be delineated and how diffuse flow will be maintained):
No,see attached.
Is the site adjacent to High Quality Waters as defined by the Department of Environment and Natural
Resources? (if yes, note how the devices have been designed to meet DENR requirements):
No,see attached.
Are there any conditions identified on the State Historic Preservation Office Review Form for waste
activities? Explain:
Describe the intended plan for the reclamation and subsequent use of all affected lands, and indicate
the general methods to be used in reclaiming this land, including any stockpile areas,haul roads and
ditches. Describe the sequence for reclaiming the site. Attach a map illustrating this plan, showing
the location and design of all temporary and permanent erosion control devices. All features must
comply with the appropriate specifications, standards and reflect Best Management Practices (BMP).
The plan must indicate setbacks to adjacent properties,buffer zones and wetlands.
Wasting is anticipated to a 25'height. The pit will be accessed from the DOT ROW immeditely north of the pit.Removal of vegetation
is not necessary as tree/saplings are not located in the pit. The basin and other 131VlPs will be installed prior to wasting activities.
Additional BMPs(Rock Checks/Temporary Diversions,etc)maybe installed by the contractor prior to and/or during wasting
activities to ensure that surface run-off is being diverted to basins. The erosion control measures will be regularly inspected and
maintained by the contractor during wasting activities. The attached reclamation plan shows locations of the pit,property boundaries
and ROWs,pit entrance,skimmer basin(basin designer sheet attached),silt fencing and other BMPs.
Describe the proposed schedule of permanent seeding and mulching. Detail the frequency of
permanent seeding and mulching. Note that a permanent stand of vegetation is required prior to a
final inspection:
Following wasting activities,erosion control measures will be abandoned in accordance with-NODOT standards and slopes
will be stabilized with NCDOT approved seeding and mulching on 2:1 or flatter slopes.The attached cross section shows
the slopes of native elevation and the proposed slope following the completion of wasting activities.
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 16

3/2013
Property Owner's Statement:
I hereby certify that I am in agreement with this development, use, and
reclamation plan, and any exceptions noted when approved by the Engineer,
and that I understand that I will be responsible for the site upon completion of
its use in the construction of the project noted in the map legend. I understand
that this plan, when approved, will serve as a guide in controlling erosion and
sediment in accordance with the Mining Act and the Sediment and Pollution
Control Act and as enforced by the North Carolina Department of Environment
and Natural Resources(DENR). I understand that any work exceeding the
minimum necessary for compliance with DENR requirements, should be
negotiated between the Contractor and the Property Owner. My signature
below authorizes The Department of Transportation (DOT),the Department of
Environment and Natural Resources (DENR)or its agents,to enter upon my
property for a period of one year from the date of final acceptance of the
project for which this site plan is executed. If necessary, the DOT will be
allowed to have the Contractor repair any areas that are not in compliance with
DENR requirements. After a one year inspection is held, I will be solely
responsible for assuring that the site is in compliance with DENR regulations. I
have the right to change the condition of the site after the final inspection and
prior to the one year follow-up inspection. However, if I make such changes, I
acknowledge that DOT is released from all obligations and conditions of this
agreement and I will become solely responsible for the condition of the site
beginning on the date that I change the final inspection condition.
S ignatures:
Contractor's Representative:
(authorized to sign supplemental agreements date)
Owners of record:
Witness Owner
(signature/date) (signature/date)
(signature/date) (signature/date)
(signature/date) (signature/date)
Resident Engineer:
(signature/date)
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 17

3/2013
Exceptions:
Concurrence with exceptions:
Property Owner: Contractor:
(signature/date) (signature/date)
Attachments: Site map with details
Environmental Evaluation
Cc:
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 18

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Prepared By!Bradley Luckey-Level 1113044
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Project Number/WBS Element:34542.3.FS5 ♦ TD -*
TIP Number:R-3421C Temporary Diversion
Contract Number:C202962
Date Prepared:4/23/14 Silt Fence
rK77=11 Skimmer Basin (40'X 20')
Construction Entrance
A
Al
Reclamation Plan Drawing Approximate 0.77 Acre Waste Pit
Pit 2 Crestview Road
Prepared by Bradley Luckey, PEI Richmond County, NC
1"=4S' PEI No. 1000
SCALE:

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STABILIZATION REQUIREMENTS:
Stabilization for this project shall comply with the time frame guidelines as specified by the
NCG-O 10000 general construction permit effective August 3, 2011 issued by the North Carolina
Department of Environment and Natural Resources Division of Water Quality. Temporary or
permanent ground cover stabilization shall occur within 7 calendar days from the last land-
disturbing activity, with the following exceptions in which temporary or permanent ground cover
shall be provided in 14 calendar days from the last land-disturbing activity-
* Slopes between 2:1 and 3:1, with a slope length of 10 ft. or less
* Slopes 3:1 or flatter, with a slope of length of 50 R. or less
* Slopes 4:1 or flatter
The stabilization timeframe for High Quality Water(HQW) Zones shall be 7 calendar days with
no exceptions for slope grades or lengths. High Quality Water Zones (HQW) Zones are defined
by North Carolina Administrative Code 15A NCAC 04A.0105 (25). Temporary and permanent
ground cover stabilization shall be achieved in accordance with the provisions in this contract
and as directed.
SEEDING AND MULCHING: (East)
The kinds of seed and fertilizer, and the rates of application of seed, fertilizer, and limestone,
shall be as stated below. During periods of overlapping dates, the kind of seed to be used shall
be determined. All rates are in pounds per acre.
All Roadway Areas
March 1 -August 31 September I -February 28
50# Tall Fescue 50# Tall Fescue
10# Centipede 10# Centipede
25# Bermudagrass (hulled) 35# Bermudagrass(unhulled)
500# Fertilizer 500# Fertilizer
4000# Limestone 4000# Limestone
Waste and Borrow Locations
March 1 —August 31 September I -February 28
75# Tall Fescue 75# Tall Fescue
25# Bermudagrass (hulled) 35# Bermudagrass (unhulled)
500# Fertilizer 500# Fertilizer
4000# Limestone 4000# Limestone
Note: 50#of Bahiagrass may be substituted for either Centipede or Bermudagrass only upon
Engineer's request.
Approved Tall Fescue Cultivars

2nd Millennium Duster Magellan Rendition
Avenger Endeavor Masterpiece Scorpion
Barlexas Escalade Matador Shelby
Barlexas.11 Falcon 11, 111,IV &V Matador GT Signia
Barrera Fidelity Millennium Silverstar
Barrington Finesse 11 Montauk Southern Choice 11
Biltmore Firebird Mustang 3 Stetson
Bingo Focus Olympic Gold Tarheel
Bravo Grande III Padre Titan Ltd
Cayenne Greenkeeper Paraiso Titanium
Chapel Hill Greystone Picasso Tomahawk
Chesapeake Inferno Piedmont Tacer
Constitution Justice Pure Gold Trooper
Chipper Jaguar 3 Prospect Turbo
Coronado Kalahari Quest Ultimate
Coyote Kentucky 31 Rebel Exeda Watchdog
Davinci Kitty Hawk Rebel Sentry Wolfpack
Dynasty Kitty Hawk 2000 Regiment 11
Dominion Lexington Rembrandt
On cut and fill slopes 2:1 or steeper Centipede shall be applied at the rate of 5 pounds per acre
and add 20# of Sericea Lespedeza from January I - December 31.
Fertilizer shall be 10-20-20 analysis. A different analysis of fertilizer may be used provided the
1-2-2 ratio is maintained and the rate of application adjusted to provide the same amount of plant
food as a 10-20-20 analysis and as directed.
TEMPORARY SEEDING:
Fertilizer shall be the same analysis as specified for Seeding and Mulching and applied at the rate
of 400 pounds and seeded at the rate of 50 pounds per acre. Sweet Sudan Grass, German Millet
or BTOWntOp Millet shall be used in summer months and Rye Grain during the remainder of the
year. The Engineer will determine the exact dates for using each kind of seed.
FERTILIZER TOPDRESSING:
Fertilizer used for topdressing on all roadway areas except slopes 2:1 and steeper shall be 10-20-
20 grade and shall be applied at the rate of 500 pounds per acre. A different analysis of fertilizer
may be used provided the 1-2-2 ratio is maintained and the rate of application adjusted to provide
the same amount of plant food as 10-20-20 analysis and as directed.
Fertilizer used for topdressing on slopes 2:1 and steeper and waste and borrow areas shall be 16-
8-8 grade and shall be applied at the rate of 500 pounds per acre. A different analysis of
fertilizer may be used provided the 2-1-1 ratio is maintained and the rate of application adjusted
to provide the same amount of plant food as 16-8-8 analysis and as directed.

SUPPLEMENTAL SEEDING:
The kinds of seed and proportions shall be the same as specified for Seeding and Mulching, with
the exception that no centipede seed will be used in the seed mix for supplemental seeding. The
rate of application for supplemental seeding may vary from 25# to 75#per acre. The actual rate
per acre will be determined prior to the time of topdressing and the Contractor will be notified in
writing of the rate per acre, total quantity needed, and areas on which to apply the supplemental
seed. Minimum tillage equipment, consisting of a sod seeder shall be used for incorporating
seed into the soil as to prevent disturbance of existing vegetation. A clodbuster (ball and chain)
may be used where degree of slope prevents the use of a sod seeder.
MOWING:
The minimum mowing height on this project shall be 4 inches.

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a
wr, PO Box 128,Kernersville,27285 bluckey @pilotenviro.com 336.708.4620
i 1 rl k+'A1 11 I`4 11 BS,Agronomy-Soil Science,North Carolina State University,Raleigh NC,2008
GI1,,; IS.SS"T P,,K, North Carolina DOT Level III:Designer of Sediment and Erosion Control Plans
�' III 1IIS"P ICI II"7� Soil Science Society of North Carolina
North Carolina Licensed Soil Scientist In-Training
�'° Y1iil w�'PIIII'!I�'bdIl.. Mr.Luckey has overthree years of experience in the environmental consulting industry. Mr.Luckey is an
4 i' 1"i"el 1'11I11413 ownerand Project Managerwith Pilot Environmental,Inc,(PEI). Mr.Luckey s project experience includes
I SII %SI,Iii natural resource related projects,environmental assessments for N.C.DOT Borrow/Waste sites including
sediment and erosion control plan design, NPDES stormwater compliance services and Phase I
environmental site assessments. Mr. Luckey has conducted environmental consulting services on
residential,commercial,municipal and industrial properties.
r�C�dJl4'�W,I VIII S,i"LU� 1,'r E!,' Mr.Luckey has experience in consulting with cflents and performing wetland and stream identification
and delineation, stream and wetland impact permitting, mitigation monitoring, jurisdictional
determinations and United States Army Corps of Engineers and State of North Carolina verifications.He
has experience in delineating different varieties of wetland ecosystems in numerous states and obtaining
Federal and State permits, including nationwide and individual permits. Mr. Luckey has conducted
numerous NEPA assessments, including Categorical Exclusions and Environmental Assessments. Mr.
Luckey has experience performing Threatened and Endangered Species studies and Cultural Resources
Evaluations.
i"Pr ASST I Mr.Luckey has experience performing Phase I environmental assessments to determine environmental
k "I'VI I Z'%I � liabilities for Real Property Transfers ranging from greenfield sites to historical industrial facilities.
A,5 S I ssrofjI II I's
i:Y�u I Ia Dfr'II"11"r�Sor Mr.Luckey has performed numerous N.C.Dot Borrow/Waste Site evaluations.Such evaluations include
A'4,1i')"J+IA5fE S 11TESi, wetland and stream determinations, endangered species surveys, cultural resources inquiries, and
IIVA,Jllha'%TIUi 1116 �� reclamation plans. He is certified by the N.C. DOT to design erosion and sediment control plans
(reclamation plans)associated with borrow/waste sites.
o II 11N,r; In addition to the coursework that was completed by Mr.Luckey as part of his curriculum,Mr.Luckey has
b I^I U PS"'h f uIS completed courses in NC Stream Identification,Advanced Hydric Soils Indicators,Advanced Hydrology
Indicators,Hydrophytic Vegetation and other relative courses.

I
PO Box 128,Kernersville,27285 I mbrame @pilotenviro.com 336.708.4620
0l„kt'A,T 10',4 BS,Natural Resources,North Carolina State University,Raleigh NC,1997
IMi",rl 5 1 IU!ti°G°IICHI,Iwa„ Professional Wetland Scientist
ruuRuiiFio.rrw�l�i°
North Carolina Association of Environmental Professionals
Environmental Professional as defined in§312.10 of 40 CFR 312
Society of Wetland Scientist(SWS)
R11101111W,E,V rrp'oi, Mr.Brame has over 16 years of experience in the environmental consulting i�n�du.u^�". C�91ir. Brame is an
fi v14,SLYV, iii"'�i owner and Principal with Pilot Environmental,Inc.(PEI). Mr.Brame's project experience includes natural
resource related projects and Phase I environmental site assessments. Mr. Brame has conducted
environmental consulting services on residential,commercial, municipal and industrial properties. Mr.
Brame has been an Environmental Project Manager, an Environmental Department Manager and a
Regional Natural Resources Coordinator(NC,SC and TN). As a Regional Natural Resources Coordinator,
Mr. Brame managed and trained staff from more than 10 offices. Mr. Brame's responsibilities include
reviewing technical documents priorto submittal,conducting presentations and mentoring staff.
Y P JRAL l,1 S(,')U1i (i Mr. Brame has experience in consulting with clients and performing wetland and stream identification
and delineation, stream and wetland impact permitting, mitigation monitoring, jurisdictional
determinations and United States Army Corps of Engineers and State of North Carolina verifications.He
has experience in delineating different varieties of wetland ecosystems in numerous states and obtaining
Federal and State permits, including nationwide and individual permits. Mr. Brame has conducted
numerous NEPA assessments and Threatened and Endangered Species studies.
",Ai'aSE I Mr.Brame has experience performing Phase I environmental assessments to determine environmental
1 ,,b'f,Fl(0N1,I ftEN I AL liabilities for Real Property Transfers ranging from greenffeld sites to historical industrial facilities.
A'S,I SRI"Aq `4'Y°b 1
Q )tV11I1d",4UI !(;

3/2013
Reclamation Plan for Contracted Projects
Waste Site
Date: May 1,2014
Contract Number: C202962 TIP No: R-3421-C
Project No/WBS Element: 34542.3.FS5 County: Richmond
Contractor: W.C.English Inc. Responsible Person: Mr,Jim Lambert
Contractor Address: 615 Church St P.O.Box P-7000
Lynchburg,VA 24504
Property Owner: Debra Wallace,Fredrick Brown and Terri Brown Phone Number: 910-997-3757
Property Owner Address: 391 Crestview Drive
Rockingham,NC 28379-6957
Property Address: Crestview Road
Richmond County, North Carolina
..........
Total acreage of proposed site: 0.77 Acres
Expected depth of waste: 25'
Present use of land: Grass Covered Field
Proposed use after reclamation: Grass Covered Field
Expected type of waste that will be placed in the site(examples: asphalt, concrete, soil, stone):
Soil and stone
...........
Proposed sequence of placing waste (include proposed slope rates):
Wasting activities will begin on the southern portion of the pit and continue north,following the installation of basin/BMPs
Removal of vegetation will not be required. Proposed final slopes rates will be 2:1 or flatter.
..........
Did the Environmental Evaluation indicate the presence of any wetlands or endangered species?(if
yes, briefly list findings and physical means by which area will be delineated):
No,see attached.
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 15

3/2013
Is any portion of the pit within a watershed with riparian buffer zone regulations? (if yes indicate
physical means by which buffer will be delineated and how diffuse flow will be maintained):
No,see attached.
Is the site adjacent to High Quality Waters as defined by the Department of Environment and Natural
Resources? (if yes, note how the devices have been designed to meet DENR requirements):
No,see attached.
Are there any conditions identified on the State Historic Preservation Office Review Form for waste
activities? Explain:
Describe the intended plan for the reclamation and subsequent use of all affected lands, and indicate
the general methods to be used in reclaiming this land, including any stockpile areas, haul roads and
ditches. Describe the sequence for reclaiming the site. Attach a map illustrating this plan, showing
the location and design of all temporary and permanent erosion control devices. All features must
comply with the appropriate specifications, standards and reflect Best Management Practices (BMP).
The plan must indicate setbacks to adjacent properties, buffer zones and wetlands.
Wasting is anticipated to a 25'height. The pit will be accessed from the DOT ROW immeditely north of the pit.Removal of vegetation
is not necessary as tree/saplings are not located in the pit. The basin and other BMPs will be installed prior to wasting activities.
Additional BMPs(Rock Checks/Temporary Diversions,etc)maybe installed by the contractor prior to and/or during wasting
activities to ensure that surface run-off is being diverted to basins. The erosion control measures will be regularly inspected and
maintained by the contractor during wasting activities. The attached reclamation plan shows locations of the pit,property boundaries
and ROWs,pit entrance,skimmer basin(basin designer sheet attached),silt fencing and other BMPs.
Describe the proposed schedule of permanent seeding and mulching. Detail the frequency of
permanent seeding and mulching. Note that a permanent stand of vegetation is required prior to a
final inspection:
Fallowing wasting activities,erosion control measures will be abandoned in accordance with NCDOT standards and slopes
will be stabilized with NCDOT approved seeding and mulching on 2:1 or flatter slopes.The attached cross section shows
the slopes of native elevation and the proposed slope following the completion of wasting activities.
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 16

3/2013
Property Owner's Statement:
I hereby certify that I am in agreement with this development, use, and
reclamation plan, and any exceptions noted when approved by the Engineer,
and that I understand that I will be responsible for the site upon completion of
its use in the construction of the project noted in the map legend. I understand
that this plan, when approved, will serve as a guide in controlling erosion and
sediment in accordance with the Mining Act and the Sediment and Pollution
Control Act and as enforced by the North Carolina Department of Environment
and Natural Resources (DENR). I understand that any work exceeding the
minimum necessary for compliance with DENR requirements, should be
negotiated between the Contractor and the Property Owner. My signature
below authorizes The Department of Transportation (DOT), the Department of
Environment and Natural Resources (DENR) or its agents, to enter upon my
property for a period of one year from the date of final acceptance of the
project for which this site plan is executed. If necessary, the DOT will be
allowed to have the Contractor repair any areas that are not in compliance with
DENR requirements. After a one year inspection is held, I will be solely
responsible for assuring that the site is in compliance with DENR regulations. I
have the right to change the condition of the site after the final inspection and
prior to the one year follow-up inspection. However, if I make such changes, I
acknowledge that DOT is released from all obligations and conditions of this
agreement and I will become solely responsible for the condition of the site
beginning on the date that I change the final inspection condition.
Signatures:
Contractor's Representative: Q:U 14
(aut I raze-J to sit; up-pfemental_f eements I dak)
Owners of record:
Witne*s
�5 <
PSAIX"I., .JPI
(signature/cbte) g T tr e date()
b2%
(signature/(signature/date).
(signature/date) (signaKre/date)
Resident Engineer:
(signature/date)
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 17

3/2013
Exceptions:
.......................
Concurrence with exceptions:
Property Owner: Contractor:
(signature/date) (signature/date)
Attachments: Site snap with details
Environmental Evaluation
Cc:
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 18

For Home Office Use Only: 2355-PO-7
Date Contract Received: Vendor No.
Date Bonds Received:
Date Insurance Certificate Received:
PURCHASEORDER
W.C.English,Incorporated Date: April 21,2014
615 Church Street (24504) Project:Contract ID:C202962 WES 34542.3.FS5
P.0. Box P-7000 FHWA No.:HPPNHS-0220(65)T.I.P. No. R-3421C
Lynchburg,Virginia 24505 1-73/74 from SW of SR-1304(Harrington Rd)to
Telephone: [phone] Fax: [phone] 1-73/74 Interchange South of Ellerbe
Richmond Co.,NC
TO: Debra B.Wallace,4815 Providence Rd,Charlotte,NC 28226-5117 704-364-5787
Frederick T. Brown,6401 Ciscayne P1,Charlotte, NC 28211-6011 704-442-8267
Terri L. Brown,391 Crestview Dr, Rockingham, NC 28379-6957 910-997-3757(Contact)
Email:[e-mail]
1. If specific instructions are not given under"shipment'below,shipment on this order to be made when notified by this office or job superintendent.N/A
2. Show Purchase Order No. 2355-PO-7,Job Name and Job.No. 2355 and Cost Code_WA on all shipping papers,invoices and correspondence.
❑ 3. Submit shop drawings in—copies for approval within—days.N/A
❑ 4. Material or work required under this P.0.will meet job requirements.N/A
❑ 1 Subcontractor/supplier will be responsible for cleanup of debris and correction of damage to adjacent work caused by his activities. N/A
❑ 6. Submit insurance certificate as required. N/A
❑ 7. Submit bond as required. N/A
❑ 8. Conform to all requirements of Equal Employment Opportunity Executive Order 11246,occupational Safety and Health Act 2970 and all other federal,
state and local regulations.N/A
❑ 9. Please furnish your Company's Fedei al ID Number in this space pion ded—N/A
...........0aaa a
Minority/SWAM Certifications—
hi ggkbe completed by A1,L subcontractors and vendors:
Air you a certified subcontractor or vendor:(must check onc) —Yes X No
............ ............
If yes,please check all that apply: DDE J N/A— MBE N/A— WRE N/A— SWAM N/A
Name of organ ization/agency that approved your certification
(i.e,VDOT,NCDOT,City of Charlotte,etc,) N/A ................ ........
Certification Number:— ---N/A Expiration Date. N/A
Contact Person: NIA Telephone No.: N/A

Page FHVVANn.: HPPNHS-OZZO(65)O.P. No. R-342lC
April 21,2O14 1-73/7 from SW of SR-1304(Harrington Rd)to
1-73/74 Interchange South ofEUudoe
Richmond Cm,NC
TO: Debra 8.Wallace,4815 Providence Rd, Charlotte, NC 28226-5I17 704-364-5787
Frederick[ Brown, 64DICiscayneP|, Charlotte, INC 282ll-6O11 704'442-8267
Terri L. Brown, 39I Crestview Dr, Rockingham, NC 28379-6957 91O-997-3757 (Contact)
Emnai|:[e-mail]
This|s our acceptance of your offer toaccept Surplus Earth Material for the subject project|n strict accordance with NCQOTPlans,
Specifications and Special Provisions,osƒh8ows:
Two Surplus Material Fill Sites Approx.8.19 Acres total 4p $23,000/1-S = $25,000.08
Notes:
1, This Agreement|s contingent upon NCD0T approval nf the 2Surplus Sites(7.4ZAc+/-&O.77Au+/-)for use on the above
referenced project.
l Owners covenants that they are seized ufthe described property in fee simple that they have the right and authority to execute
this Agreement,and that they will defend title to the same and this Agreement will be binding on Owner,its successors or
assigns.
3. It is understood and ag[�ed that the Owners or their assigns will make no future claim against NCDOT or English for damages in
connection with the above.
4. English|s responsible for loading, hauling,and placing all materials.
5. Surplus Material placed will consist solely of earth material generated from the Project,and will contain no stumps,debris,or
toxic/hazardoussubstanres.
6' Areas will be seeded by English per NCDOT Requirements once all material is placed and finish graded to drain.
7' Payment will bm made according to the following schedule:
One Half divided in3 equal payments($12,5U0.00/3=$4,%66.67tw each wf the 3 owners)upon the signing of this Surplus
Material Purchase Order and related documents by all parties and the subsequent approval of the Surplus Site by NCDOT,and
the Second Half($12,5OD.DO/8=$4,166.67tq each mythe 3 owners) upon the owners'acceptance of the completed work.
8. Please furnish emergency contact number
ACCEPTANCE ACKNOWLEDGMENT
We acknowledge receipt of this purchase order and agree to all stipulations contained therein.
Debra B.Wallace Signed Date
Frederick T. Brown Si8ne
<Y
A�r
ate~� -� v
ilo
Terri L. Brown Slgn ate
(Ack^om-ledgeawpyof this n"rchm wrder/mwst be returned)
Terms; W. C. English, Incorporated
= m°Jo"*"
Vviu=vmkers"
lob 2355
**,x°
e//Xo ry M. Bond, Project Manager

WC ENGLISH INCORPORATED
ENGLISH P. O. BOX P-7000/615 CHURCH STREET
LYNCHBURG,VIRGINIA 24505
Telephone: [phone]
.^daG9r✓ Fax: [phone]
Please Transmit All Project Project Address:
Submittal Information to the
Project Address:
Ph /Fax: /
Letter Of Transmittal
Transmittal#: 7
To: James Dietrich(NCDOT) Date: 6/5/2014
Ph:[phone] Fax:[phone]
Job: 2355 Richmond Cty, NCDOT
Subject: Wallace/Brown Waste Stite Submittal
WE ARE SENDING YOU Attached Under separate cover
Shop drawings Prints Plans Samples
Copy of letter Change order Specifications ry Submittal
Document Type Copies Date No. Description
Submittal 1 6/5/14 2355-6 Rev 0 Wallace/Brown Waste Site Submittal
Attachment 1 Re:Submittal 2355-6 Rev 0-Wallace—Brown PO.pdf
Attachment 1 Re:Submittal 2355-6 Rev 0-Wallace—Brown Report.pdf
Attachment 1 Re:Submittal 2355-6 Rev 0-Wallace—Brown Signed
Reclamation.pdf
THESE ARE TRANSMITTED as checked below:
For approval r Approved as submitted r Resubmit_copies for approval
For your use r Approved as noted r Submit_copies for distribution
As requested r Returned for corrections r Return_corrected prints
For review and comment rOther
FOR BIDS DUE r PRINTS RETURNED AFTER LOAN TO US
Remarks:
Copy To: JOHN JORDAN(W.C. ENGLISH, INC.),WILSON L.DICKERSON,JR.(W.C. English,Incorporated), EDDIE JONES
(W C ENGLISH ,INCORPORATED),SHERRY LLOYD(W C ENGLISH, INCORPORATED),WCE File,Travis Morgan
(NCDOT)
From: CORY M.BOND(W.C.English, Incorporated) Signature:
If enclosures are not as noted,kindly notify us at once. Page 1 of 1