20140993 Ver 1_401 Application_20140914

1.1
CWS1Carolina Wetland Services
Carolina Wetland Services, Inc.
550 East Westinghouse Boulevard
Charlotte, NC 28273
704 -527 -1177 - Phone
704 -527 -1133 - Fax
TO: Ms. Karen Higgins
NCDWR — NC DWR, 401 & Buffer Permitting Unit
512 N Salisbury St
9th Floor, Archdale Building
Raleigh NC 27604
Date: 9/18/2014
CWS Project #: 2014 -3441
LETTER OF TRANSMITTAL
WE ARE SENDING YOU: ®Attached ❑Under separate cover via the following items:
❑ Prints ❑ Plans ❑ JD Package ❑ Specifications
❑ Copy of letter ❑ Change order ❑ Wetland Survey ® Other
iP FNf i O.gITRFC ARP NIOT AC NnTFT1 KTNr)i V N('1TTPV 1T.0 AT 0NCF
THESE ARE TRANSMITTED as checked below:
®For approval ❑Approved as submitted ❑Resubmit copies for approval
®For your use ❑Approved as noted ❑Submit copies for distribution
❑As requested ❑Returned for corrections ❑Return corrected prints
❑For review and comment ❑For your verification and signature
REMARKS: Karen, Please find attached five copies of the Preconstruction Notification and application for
WQC 3883 for the 808 Crater Street Storm Drainage Project. A check for the application fee of $240 is also attached.
Copy to:
File
Thank you,
Thomas Blackwell, PWS
Senior Scientist
NORTH CAROLINA • SOUTH CAROLINA
RECEIVED
SEP 19 2014
DENR -LAND DUALITY
STORMWATER PERMITTING
1
9/18/14
5
Application for WQC 3883
2
9/18/14
1
Application Fee ($240)
THESE ARE TRANSMITTED as checked below:
®For approval ❑Approved as submitted ❑Resubmit copies for approval
®For your use ❑Approved as noted ❑Submit copies for distribution
❑As requested ❑Returned for corrections ❑Return corrected prints
❑For review and comment ❑For your verification and signature
REMARKS: Karen, Please find attached five copies of the Preconstruction Notification and application for
WQC 3883 for the 808 Crater Street Storm Drainage Project. A check for the application fee of $240 is also attached.
Copy to:
File
Thank you,
Thomas Blackwell, PWS
Senior Scientist
NORTH CAROLINA • SOUTH CAROLINA
RECEIVED
SEP 19 2014
DENR -LAND DUALITY
STORMWATER PERMITTING

•
Corps Submittal Cover Sheet
Please provide the following info: � �� D 2 4 0 9 9 3
1. Project Name 808 Crater Street Maintenance Proiect
2. Name of Property Owner /Applicant: Charlotte - Mecklenburg Storm Water Services (CMSWS)
3. Name of Consultant/Agent: CMSWS; Mr. Isaac Hinson, PWS
*Agent authorization needs to be attached.
4. Related/Previous Action ID number(s): N/A
5. Site Address: 808 Crater Street, Charlotte, NC
6. Subdivision Name: N/A
7. City: Charlotte
8. County: Mecklenburg
9. Lat: N35.1987880 Long: W80.7875590 (Decimal Degrees Please
10. Quadrangle Name: Charlotte East, NC, dated 1991
11. Waterway: UT to Edwards Branch
12. Watershed: Santee (HU# 03050103)
13. Requested Action: RECEIVED
X Nationwide Permit # 3
General Permit #
X Jurisdictional Determination Request
Pre - Application Request
The following information will be completed by Corps office:
Prepare File Folder
AID:
SEP 19 Zola
LAND QUALITY
STpRMW
ATER PERMITTING
Assign number in OR M
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site /Waters Name:
Keywords:
Begin Date

i
L icwls
Carohna Wetland Services
September 16, 2014
Ms Crystal Amschler
U S Army`Corps of Engineers
151 Patton Avenue, Room 208
Asheville, NC 288QI
550 E WESTINGHOUSE BLVD
CHARLOTTE, NC 28273
866 - 527- 1177(office)
704 - 527 -1133 (fax)
Ms Karen Higgins
NCDWR, 401 & Buffer Permitting Unit
51 2,N Salisbury Street, 9`I' Floor
Raleigh, NC 27604
Subject: Pre - Construction Notification Pursuant to Nationwide Permit No. 3
and Water Quality Certification No. 3883
808 Crater Street Maintenance Project
Charlotte, North Carolina
Carolina Wetland Services Project No. 2014 -3441
Dear Ms Amschler and Ms Higgins
The 808 Crater Street Maintenance Project is located at 808 Crater Street in Charlotte, North Carolina
(Figure 1 USGS Site Location Map, attached) The,purpose of this project is to replace the current
undersized pipe system to improve the storm drainagersystem carrying water under the road at 808
Crater Street Charlotte — Mecklenburg Storm Water Services (CMSWS) has contracted Carolina
Wetland Services, Inc (CWS) to provide Section 404/4011 permitting services for this project
Applicant Name: Charlotte - Mecklenburg Storm Water Services, Isaac J Hinson, PWS
Mailing Address: 600 East Fourth Street, Charlotte, NC 28202
Phone Number of Owner /Applicant: 704 - 336 -4495
Street Address of Project: 808 Crater Street, Charlotte, NC
Tax Parcel ID: 15906155, 15906172, 15906222, 15906223 and 15906103
Waterway: UT to Edwards Brach
Basin: Santee (HU# 03050103)
City: Charlotte
County: Mecklenburg
Decimal Degree Coordinate Location of Project Site: N35 198788 °, W80 787559 °
USGS Quadrangle Name: Charlotte East, NC, dated 1991
Current Land Use
The project area is approximately 1 24 acre in extent, and is comprised of single family residences With
maintained landscaping and adjacent undeveloped wooded areas Dominant vegetation within the
project area consists of tulip tree (Liriodendron tulipifera), red maple (Ater rubrum), Chinese privet
(Ligustrum sinense), Japanese stilt grass (Microstegium vimineum), smartweed (Polygonum sp ),
poison ivy (Toxicodendron radicans), and English ivy (Hedera helix)
NORTH CAROLINA • SOUTH CAROLINA
WWW CWS -INC NET

808 Crater Street Maintenance Project September 16, 2014
Nationwide Permit No. 3 and WOC No.3883 CWS Protect No 2014 -3441
According to the Soil Survey of Mecklenburg County' (Figures 3 and 4 NRCS Soil Survey Maps,
attached), on -site soils consist of Cecil -Urban land complex, 8 to 15,percent slopes (CuD) None of
the on -site soils are listed on the North Carolina Hydric Soils List for Mecklenburg Countyz or on the
National H,ydric Soils List 3
Jurisdictional Determination
On September 2, 2014, CWS scientists Tom Blackwell, Professional Wetland Scientist (PWS) and
Altisa Harjunierm delineated Jurisdictional waters of the U S within the project area Jurisdictional
areas were delineated using the U S Army Corps -of Engineers (USACE) Routine On -Site
Determination Method This method is defined in the 1987 Corps of Engineers Wetlands, Delineation
Manual4, with further technical guidance from the Eastern Mountains& Piedmont Regional
Supplements, dated April 2012 A Wetland Determination Data Form representative of non -
jurisdictional upland areas has been attached (DPI) No jurisdictional wetlands are located within the
project limits
Jurisdictional stream channels were classified according to recent USACE and North Carolina
Division of Water Resources (NCDWR) guidance These classifications included sampling with a D-
shaped dip net, taking photographs, and defining approximate data points (location at which a channel
changes classification) within each on -site stream channel A NCDWR Stream Classification Form
and USACE Stream Quality Assessment Worksheet representative of Stream A a "re attached (SCP 1)
The results of the on -site field investigation indicate that there is one jurisdictional stream channel (Stream
A) located within the project area (Figure 5, attached) Stream A is an.unnamed tributary to Edwards
Branch Edwards Branch is within the Santee River basin (HU# 03050103)6 and is classified as "Class C"
waters by the,NCDWR On -Site jurisdictional waters of the U S are.summarized in Table 1, below
Table 1. Summary of On -Site Jurisdictional Waters of the U.S.
Perennial Relatively Permanent Waters
Perennial Relatively Permanent Waters (RPWs) are those that typically have year -round flow These
streams typically have greater biological resources than Seasonal RPWs and Non -RPWs and are capable,of
supporting those resources that require perennial flow This section describes the on -site Perennial RPW
Stream and the field observations supporting these determinations
United States Department of Agriculture, 2013 Soil Survey of Mecklenburg County, North Carolina
Z Umted,States Department of Agriculture — Natural Resources,Conservation Service, 1999 North Carolina Hydnc °Soils List, USDA-
NRCS North Carolina State Office, Raleigh
3 United States Department of Agriculture —Natural Resources Conservation Service, 2012 2012 National Hydnc Soils List by State
4 Environmental, Laboratory 1987 "Corps of Engineers Wetlands Delineation Manual ", Technical Report Y -87 -1, US Army Engineer
Waterways Bperimene Station, Vicksburg, Mississippi
5 US Army Corps of Engineers, April 2012 Regional Supplement to the Corps�of Engineers Wetland Delineation Manual Eastern
Mountains and Piedmont Region US Army Engineer Research and Development Center, Vicksburg, Mississippi
6 "HU #" is the Hydrologic Unit Code U S Geological Survey, 1974 Hydrologic Unit Map „State of,North Carolina
2
Jurisdiction
a
Amok
NCDWR
USACE
USACE /EPA
,Jurisdictiona
SCP
Steam
-
Stream
Approx
1 Feature
Rapanos
Intermittent
No.
Classificatio
Assessmen
Length
Acreag
Classificaiio
/ ,Perennial'
fi,score
'VScore
Linear,
a (ac.)
n
Feet (If)
Stream A
Perennial
perennial
SCP
33 5
37
1923
0'013
On -Site Total:
191.3
0.013
Perennial Relatively Permanent Waters
Perennial Relatively Permanent Waters (RPWs) are those that typically have year -round flow These
streams typically have greater biological resources than Seasonal RPWs and Non -RPWs and are capable,of
supporting those resources that require perennial flow This section describes the on -site Perennial RPW
Stream and the field observations supporting these determinations
United States Department of Agriculture, 2013 Soil Survey of Mecklenburg County, North Carolina
Z Umted,States Department of Agriculture — Natural Resources,Conservation Service, 1999 North Carolina Hydnc °Soils List, USDA-
NRCS North Carolina State Office, Raleigh
3 United States Department of Agriculture —Natural Resources Conservation Service, 2012 2012 National Hydnc Soils List by State
4 Environmental, Laboratory 1987 "Corps of Engineers Wetlands Delineation Manual ", Technical Report Y -87 -1, US Army Engineer
Waterways Bperimene Station, Vicksburg, Mississippi
5 US Army Corps of Engineers, April 2012 Regional Supplement to the Corps�of Engineers Wetland Delineation Manual Eastern
Mountains and Piedmont Region US Army Engineer Research and Development Center, Vicksburg, Mississippi
6 "HU #" is the Hydrologic Unit Code U S Geological Survey, 1974 Hydrologic Unit Map „State of,North Carolina
2

808 Crater Street Maintenance Protect September 16, 2014
Nationwide Permit No. 3 and WOC No.3883 CWS Protect No. 2014 -3441
Stream A flows northwest across the project area for approximately 192 linear feet Stream A
exhibited a strong bed and bank, moderate flow, strong presence of iron oxidizing bacteria, weak
sinuosity', and an average ordinary high water width of three to four feet Stream A was classified as�a
Relatively Permanent Water with perennial flow (RPW) according to USACE/EPA guidance
Perennial RPW Stream A scored 37 out -of a possible 100 points on the USACE Stream Quality
Assessment Worksheet and 33 5 out of a possible 61 5 points on the NCDWR Stream Classification
Form, indicating perennial status (SCPI,�attached) Photographs A -D (attached) are representative of
Perennial RPW Stream A
Agency Correspondence
Cultural Resources
A letter was forwarded to the State Historic Preservation Office (SHPO) on'September 5, 2014 to
determine the presence of any areas of architectural, historic, or archaeological significance that would
be affected by the project As of the date of submittal no response has,been received, from the SHPO
CWS also consulted the SHPO online GIS service? and the Charlotte Mecklenburg Histona
Landmarks Commission database and found no sites of architectural, historical, or archaeological
significance within the project limits
Protected'Species
A letter was forwarded to the North Carolina - Natural Heritage Program (NCNHP) on September 5,
2014 to determine the presence of any federally - listed, candidate endangered, threatened species or
critical habitat located within the project area As of the date of submittal no response has been
received from the NCNHP CWS also reviewed the NCNHP elemental occurrence GIS layer Based
on this,review there are no current elemental occurrences within a mile�of the project site
Purpose and Need for the Project
The existing pipe system under Crater Street is undersized and is causing flooding of the house at 808
Crater Street The purpose of the project is to alleviate flooding by replacing the undersized pipe
system with a larger pipe that meets City storm,'water design standard's
Avoidance and Minimization
Impacts to on -site jurisdictional waters of the U S have been reduced to,the maximum extent possible,
Proper sediment and erosion control, measures will be used to,mimmize disturbances to downstream
waters
The proposed pipe replacement has been designed to replace the existing pipes without any additional
piping of stream channel The proposed new pipe will be approximately seven feet shorter than the old
system 'Furthermore, replacing the existing 20 -foot rip rap apron will be accomplished while
maintaining the channel cross,section (Figure 7, attached) The proposed rip rap apron will be keyed in
and - embedded at the existing channel bottom elevation These measures will ensure that aquatic life
movement is`mamtamed through the affected reach per USACE requirements The ,ongmal plan called
for permanent, full- channel erosion control matting (including the bottom) on the channel grading
upstream of the pipe However, CMSWS now proposes to use temporary, banks only, erosion control
matting with vegetation
7 http / /gis ncdcr gov/hpoweb/ Accessed June 17, 2014
8 http / /www cmhpf org/homehistoncpropernes him Accessed June 17, 2014
3

808 Crater Street Maintenance Protect September 16, 2014
Nationwide Permit No. 3 and WOC No 3883 CWS Proiect No 2014 -3441
Proposed Impacts to Jurisdictional Waters
Under Nationwide Permit (NWP) No 3, unavoidable permanent impact to jurisdictional waters of the
U S associated with this project are limited to a total of 60 linear feet (0 006 acre) of stream,channel
(Figure `6, attached)
The existing 271 -foot long pipe system will be replaced with a 264 -foot long pipe resulting on a gain
of seven foot,of channel However, to, tie the Stream A into the larger pipe system, CMSWS'proposes
grading the channel�upstream for 67 linear feet resulting-in a net,iinpact of 60 linear feet CMSWS also
proposes to replace a 20 -linear foot rip rap apron at the pipe (Figures 6 and 7, attached) Thus, the
proposed impacts for the project'total 60 linear feet of temporary impacts to Perennial RPW Stream A
Proposed impacts are the result of grading the channel upstream of the new pipe for 67 linear feet (Figure
6 and 7, attached) A plan view and a profile view of the proposed upstream grading are attached as
Figures 6 The banks of the.graded stream channel will be matted with biodegradable coir fibre matting
and seeded with a native riparian seed mix
Table 2, below, summarizes °the unavoidable impacts to on -site Jurisdictional waters of the U S
Table 2. Summary of Impacts to On -Site, Jurisdictional Waters of the U.S.
Jurisdictional '
' Intermittent'
Impact Type
NWP
Temporary / Permanent
Approximate
A
Approx.
Feature
/ Perennial
No.
Acreage
Length (If)
Perennial RPW
perennial
Grading
3
60 If '(Temporary)
0005
Stream A
Stream Impacts (Total),
60 if
0 005 acre
Stream Impacts ( Temposry)+
601f
0,005 acre'
On behalf of CMSWS, CWS is submitting a Pre - Construction Notification Application with attachments
in accordance with Nationwide Permit General Condition No 3 1, (attached) and pursuant to Nationwide
Permit No 3 and Water Quality Certification No 3883
Compensatory Mitigation
Temporary impacts to jurisdictional waters of the U S have been limited to 60 linear feet of impaired
stream channel Due to the limited impacts, no mitigation is proposed for these impacts
4

808 Crater Street Maintenance Project September 16, 2014
Nationwide Permit No Yand WOC No 3883 CWS Protect No 2014 -3441
Please do not hesitate to contact Isaac Hinson ,at 704 - 336 -4495 or ihrnson @ci charlotte nc us should
you have any questions or comments regarding these findings
Isaac Y►Ja+ n
Hiin , P' WS
Wetland Specialist
Th&4J Blackwell PWS
Semor ,Scientist
Attachments Figure 1 USGS Site Location Map
Figure 2 Aerial Imagery Map
Figure 3 Current USDA -NRCS Mecklenburg County Soil Survey
Figure 4 Historic USDA -NRCS Mecklenburg County Soil Survey
Figure 5 Approximate Jurisdictional Boundary Field Map
Figure 6 Plan View — Existing conditions
Figure 7 Proposed,Impacts — Plan View & Profile
Pre - Construction Notification Pursuant to Nationwide Permit No 3
NCDWR Stream Classification Forms (SCP 1)
USACE Stream Quality Assessment Worksheet (SCP1)
USACE Wetland Determination Data Form (DPI)
Preliminary JD Form
Photo page (A -D)
cc File

N Wendover Road
7
a
•
•'
r REFERENCE: 7.5 MINUTE TOPOGRAPHIC OUADRANGEL, CHARLOTTE EAST, DATED 1991.
SCALE. 1" : 2000'
CWS PROJECT NO:
2014 -3441
PLICANT NO:
DATE: 9 -2 -2014
DRAWN BY: A` /u
CHECKED BY: TJ
.
2,000 1,000
0
2,000 Feet
Lcws
WWW.CWS- INC.NET
FIGURE NO.
808 Crater Street Main c o'
Charlotte, NoIG,E Carolina
CWS Proje QUALI
1
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41 I
4
REFERENCE: AERIAL IMAGERY BY NC ONE MAP, DATED 2010.
SCALE: 1 �� . 100'
CWS PROJECT NO:
2014 -3441
APPLICANT NO:
DATE 9 -2 -2014
DRAWN BY AVH
CHECKED BY:
TJB
WWW.CWS - INC.NET
a 1•
Legend
Project limits
90
45
0
90 Feet
Aerial Map
808 Crater Street Maintenance Project
Charlotte, North Carolina
CWS Project No. 2014 -3441
FIGURE NO.
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Soils Description
CuD - Cecil -Urban land complex, 8 to 15 percent slo�es
S •./ lni i..!
,:, � 990 495 0 .990 Feet
' ..,,• RFF =RFNCF HISTORIC NRCS -USDA SOIL SURVEY OF MECKLENBURG COUNTY, SHEET 7, DATED 1970.
SCALE 1" 1000' DATE 9 -2 -2014 Historic NRCS -USDA Soil Survey of FIGURE No.
CWS PROJECT NO: DRAWN BY Jj CWS Mecklenburg Count
2014 -3441 AVH ` 808 Crater Street Maintenance Project 4
PPLICANTNO: CHECKED BY:T�� WWW CWS- INC.NET Charlotte, North Carolina
CWS Project No. 2014 -3441

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EXISTING DRAINAGE STRUCTURE TABLE
STRUCTURE
RIM
INVERT IN
INVERT OUT
HF MARKS
EX HW -1
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696:94
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EXISTING STORM 10 BE REMOVED
1%611140 CONCRETE TO BE REMOVED
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REMOVED OR RELOCATE0 ET DUKE POWER
PROPERTY UNE
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NOTES:
SS
x
X
V
71111)613.160 COORDINATION TO TAKE PLACE THROUGH CITY UTILITY
COORDINATOR.
CONTRACTOR TO SEED AND STRAW ALL DISTURBED AREAS WI THIN THE
PROJECT LIMITS (9 1.217 SY TOTAL)
FOUNDATION PROTECTION NOTE 1 /� f 1 /�
1 CONTRACTOR 10 TO PERFORM A PRE - CONSTRUCTION ASSESSMENT OF 1� C
PROJECT AREA AND PERFORM ANY FOUNDATION PROTECTION MEASURES
NECESSARY TO PROTECT AND ENSURE STRUCTURAL INTEGRITY OF EACH Ep 19 2014
BUILDING STRUCTURE THE CONTRACTOR IS TO USE AN APPROPRIATE
CERTIFIED PROFESSIONAL TO RECOMMEND PROTECTION MEASURES AND
SUBMIT DOCUMENTATION FOR THAT PROPOSAL TO THE CITY ENGINEER AM -. DE! I� LAND CITY INSPECTOR FOR REVIEW AT LEAST 5 DAYS AHEAD OF BEGINNING 541 1./
PERFORMED BY AIN CAREG REGIS RED APPLICABLE )IW 2 ORM W QUA
HVHV3AA
e /2e/f 4
SOLE RESPONSIBILITY OF THE CONTRACTOR TO ENSURE ALL STRUCTURES �NG R pERM�
WITHIN OR NEAR THE CONSTRUCTION WORK AREA ARE EVALUATED AND TO �
PROVIDE PROPER PROTECTION. PRE- CONSTRUCTION ASSESSMENTS MUST 0
BE PERFORMED IN THE PRESENCE OF THE CITY ENGINEER/INSPECTOR L
CL
TRAFFIC CONTROL NOTE
a)
1 CONTRACTOR IS TO UTILIZE COOT WATCH DIAGRAM 9 DURING 0
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ALL PIPE JOINTS TO BE WRAPPED.
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CITY PROJECT NUMBER: 671 -14 -286

UJ 01I
0
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version
Pre - Construction Notification (PCN) Form
A. Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit E] Section 10 Permit
1b.
Specify Nationwide Permit (NWP) number: 3 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
808 Crater Street Maintenance Project
2b.
County:
Mecklenburg
2c.
Nearest municipality / town:
Charlotte
2d.
Subdivision name:
N/A
Str 19 Z014
2e.
NCDOT only, T.I.P. or state
project no:
N/A
ST
DENR -LAND QUALITY
3.
Owner Information
3a.
Name(s) on Recorded Deed:
HENRY B AND MAUDE P CANTRELL LLC
3b.
Deed Book and Page No.
27080 -237
3c.
Responsible Party (for LLC if
applicable):
N/A
3d.
Street address:
2100 PROVIDENCE RD
3e.
City, state, zip:
CHARLOTTE NC 28211
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ® Other, specify Charlotte - Mecklenburg Storm Water Services
4b
Name
Mr Isaac Hinson, PWS
4c
Business name
(if applicable)
Charlotte - Mecklenburg Storm Water Services (CMSWS)
4d
Street address
600 E Fourth Street
4e
City, state, zip
Charlotte, NC 28202
4f
Telephone no
(704) 336 -4495
4g
Fax no
(704) 353 -0473
4h
Email address
ihinson @ci charlotte nc us
5
Agent/Consultant Information (if applicable)
5a
Name
Thomas Blackwell
5b
Business name
(if applicable)
Carolina Wetland Services, Inc
5c
Street address
550 E Westinghouse Blvd
5d
City, state, zip
Charlotte, NC 28273
5e
Telephone no
704- 336 -4495
5f
Fax no
704- 527 -1133
5g
Email address
tom @cws -inc net
Page 2 of 12
PCN Form,— Version 1 3 December 110, 2008 Version

B
Project Information and Prior Project History
1.
Property Identification
1a
Property identification no- (tax PIN or parcel ID)
1'5906222,15906223;15906155,15906172,159061'03
'Latitude 35198788 Longitude -
1 b
Site coordinates (in decimal degrees)
80 787559
(DD DDDDDD) ( -DD DDDDDD)
1c
Property size
124 acres
2
Surface Waters
2a
Name of nearest body of water (stream, river, etc ) to
UT to Edwards Branch
proposed project
2b
Water Quality Classification of nearest receiving water
Class C
2c
Rivet basin
Santee (HU# 03050103)
3.
Project Description
3a
Describe °the existing conditions on the site and the general land use in the vicinity of the project at the time of`this
application
The project area is approximately 1 24 acre in extent and is comprised of single,famdy residences with maintained
landscaping and adjacent undeveloped wooded areas Dominant, vegetation within the project area consists of tulip tree
(Linodendron tulipifera), red maple (Acer rubrum),, Chinese privet (Ligustrum sinense), Mary's grass (Microstegwm
vimineum), smartweed (Polygonum sp ), poison'ivy (Toxicodendron radicans), and English ivy (Hedera helix) ,According-
to the Soil Survey of Mecklenburg County (Figures 3 and,4 NRCS Soil Survey Maps„ attached), on -site sods,consist,of
Cecil -Urban Iand'complex, 8 to 15 percent slopes (CuD) None of the on -site sods are listed on the North Carolina Hydnc
Soils List for Mecklenburg, County or on the National Hydnc Sods List
3b
List the total estimated acreage of'all existing wetlands on the property
0
3c List the total estimated linear'feet of all existing streams (intermittent and perennial) on the property
192 3 linear feet,of perennial stream stream
3d
Explain the purpose of the proposed project
The existing pipe system under Crater Street is undersized and is causing flooding of the house at 808 Crater Street The
purpose of the project is to alleviate flooding by replacing the undersized pipe system with a larger pipe that meets City
storm water design standards
3e
Describe the overall project in detail, including the type of equipment to be used
Under Nationwide Permit (NWP) No 3, unavoidable permanent impact to jurisdictional waters of °the U S associated with this
project are limited to a total of 60 linear feet (0 006 acre) of stream channel (Figure 6, attached)
The existing 271 -foot long pipe system will be replaced with a 264 -foot long pipe resulting on a gain of seven foot of channel
However, to tie the Stream A into the larger pipe system, CMSWS proposes grading °the channel upstream for 67 linear
feet resulting in a net impact of 60 linear feet CMSWS also proposes to replace a 20- linear foot rip rap apron at,the pipe
(Figures 6 and 7, attached) Thus, the proposed impacts for the project total 60 linear feet of permanent impacts to
Perennial RPW Stream A
Proposed impacts are the result of grading the channel upstream oFthe new pipe for 67 linear feet (Figure 6 and 7,
attached) A plan view and a profile view,of the proposed upstream grading are attached as Figures 6 The banks of the
graded stream channel will be matted with biodegradable coir fibre matting and seeded with a native riparian seed mix A
trackhoe and other typical construction equipment will be used to construct this project
Page 3 of 12
PCN Form — Version 1 3 December 10, 2008 Version

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 pasty
Comments
Yes ®No El Unknown
4b
If the Corps made the jurisdictional determination, what,type
of determination was made?
El Preliminary ❑,Final
4c
If yes, who delineated the,junsdictional areas?
Name (if known)
Agency /Consultant Company
Other
4d
If yes, list the dates of °the Corps jurisdictional determinations or State determinations and attach documentation
5
Project History
5a
Have permits orrcertifications been requested or obtained for
this project (including all prior phases) in the pasty
❑Yes [D No El Unknown
5b
If yes, explain in detail according to "'help file" instructions
6
Future Project Plans
6a
Is this a phased project?
❑ Yes ® No
6b
If yes, explain
Page 4,of'12
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)
❑ Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2 Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted
2a
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent,(P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
2h Comments
3 Stream Impacts
If there are perennial or,intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DW,Q — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ P ®T
Grading
Perennial RPW
Stream A
® PER
❑ INT
® Corps
❑ DWQ
T -4
60'
S2 ❑ P ❑ T
❑ PER
'❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps ,
❑ INT
❑ DWQ
S4 ❑ P ❑ T,
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
'❑
❑ INT
DWQ
3h Total stream and tributary impacts
67'
31' Comments Temporary impact to Jurisdictional Streams total 60 If (0 005 acre),of stream channel
Page 5, of 12
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 watenof
the U S then individually list all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f. Total open water impacts
4g Comments
5 Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g Comments
5h Is a dam high hazard permit required
❑ Yes ❑ No If yes, permit ID no
51 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 ou_MUST_fill out Section D of this form
6a
❑ Neuse ❑ Tar - Pamlico ❑ Other
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact -
Permanent (P) or _
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
-required?
B1 ❑P ❑T
El Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑,No
B3 ❑ P ❑ T
7E]'No
❑ Yes
6h Total buffer impacts
61 Comments
Page 6 of 12
P,CN Form — Version 1 3 December 10, 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Impacts to on -site jurisdictional waters of the U S have been reduced to the maximum extent possible Proper sediment and
erosion control measures will be used to minimize disturbances to downstream waters
The proposed pipe replacement has been designed to replace the existing pipes without any additional piping of stream'
channel The proposed new pipe will be approximately seven feet shorter than the old system Furthermore, replacing the
existing 20 -foot rip rap apron will be accomplished while maintaining the channel cross section (Figure 7, attached) The
proposed rip rap apron will be keyed in and embedded at the existing channel bottom elevation These measures will ensure
that aquatic life movement is maintained through the affected reach per USACE requirements The original plan called for
permanent, full - channel erosion control matting (including the bottom) on the channel grading upstream of the pipe However,
,CMSWS now proposes to use temporary, banks only, erosion control matting with vegetation
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Impacts to on -site jurisdictional waters of the U S have been reduced to the maximum extent practicable Proper sediment
and erosion control measures will be used to minimize disturbances to downstream waters
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 ❑ Corps
1
2c If'yes, which mitigatiomoption will be used for this
projects
❑ Mitigation bank
E] Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
3c Comments
4 Complete if Making a Payment to In -lieu Fee Program
4a Approval letter from in -lieu fee program is attached
❑ Yes
4b Stream mitigation requested -
linear feet
4c If using stream mitigation, stream temperature
❑ warm ❑ cool ❑cold
4d Buffer mitigation requested (DWQ only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non - riparian wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h *Comments
5 Complete if Using a Permittee Responsible Mitigation Plan
Ea If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
Page 7 of 12
PCN Form — Version 1 3 December 10, 2008 Version

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ ,
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ❑ No
6b If yes, then identify'the•square feet,of impact to each�zone of the riparian buffer that requires mitigation Calculate'the
amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required-
6g If buffer mitigation is required, discuss what type of mitigation is proposed (e g , payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund)
6h Comments-
Page 8 of 1'2
PCN Form — Version 1 3 December 10, 2008,V,ersion

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1a
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
lb
If yes, then is a diffuse flow plan included? If no, explain why
❑ Yes ❑ No
Comments
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
%
2b
Does this project require a Stormwater"Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan, explain Why
2d
If this project DOES require a Stormwater Management Plan, then provide a brief, narrativeYdescnption of,the plan
® Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government's jurisdiction is this project?
Mecklenburg County
® Phase II
'3b
Which of the following locally - implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
'3c Has the approved Stormwater Management Plan with prootof approval been.
❑, Yes ❑ No
attached?
4
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a
Which of the following state - implemented stormwater management programs apply
❑ ORW
(check all that apply)
❑ Session Law 2006 -246
❑ Other
4b
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
5.
DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 12
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
® Yes ❑ No
use of public (federal /state) land?
lb
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c
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 SEP,A final approval
❑ Yes ❑ No
letter )
Comments
2.
Violations (DWQ Requirement)
2a
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland S_ tandards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after - the -fact permit application?
❑ Yes ® No
2c
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
3
Cumulative Impacts (DWQ Requirement)
3a
Will this project (based on past and reasonably anticipated future impacts) result in
E] Yes ® No
additional development, which could impact nearby downstream water quality?
3b
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered "no," provide a short narrative description
The project will not result in additional future development
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
N/A
Page 10 of'12
PCN Form —'Version 13 December 10, 2008 Version

5
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a
Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b
Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
El Raleigh,
5c
If yes, indicate the,USFWS Field Office you have contacted
❑ Asheville
5d
What,data sources did you use to determine whether °your site would impact Endangered Species or Designated Critical
Habitat?
A'letter was forwarded to the North Carolina Natural Heritage Program ( NCNHP), on September 5, 2014 to determine the
presence of any federally - listed, candidate endangered, threatened species or critical habitat located within the project
area As of the date of submittal no response has been received from the NCNHP CWS also reviewed the NCNHP
elemental occurrence GIS layer There are no current elemental occurrences within a mile of the project site
6
Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitats
❑ Yes ® No
6b
What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA Fisheries http / /sharpfin nmfs noaa gov /website /EFH_Mapper /map aspx
7
Historic or Prehistoric Cultural Resources (Corps Requirement)
7a
Will this project occur in or near an area thatfthe state, federal',or tribal
,governments have designated as having historic,or cultural preservation
❑ Yes ® No
status (e g , National Historic Trust designation or properties significant in,
North Carolina historykand archaeology)?
7b
What data sources did you use to determine whether your site would impact historic or archeological resources?
A letter was forwarded to the State Historic Preservation Office (SHPO) on September 5, 2014 to determine the presence
of any areas of architectural, historic, or archaeological significance that would be affected by the project As of the date
of submittal no response has been received from the SHPO CWS also consulted the SHPO online GIS service and the
Charlotte Mecklenburg Historic Landmarks Commission database and found no sites of architectural, historical, or
archaeological significance within the project limits
8
Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA - designated 100 -year floodplain?
❑ Yes ® No
8b
If yes, explain how projectrneets FEMA requirements
8c What source(s) did you use to make the,floodplain determination? FEMA FIRM No 3710456300K
Mr Isaac Hinson, PWS
9/16/14
Applicant/Agent's Printed Name
Date
Applicant/Agent's'Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided
Page 11 of 12
PCN Form — Version 1 3 December 10, 2008 Version

i.%- " Yp y otrewis xuenwicareon v orin version 4.19
Date. ' � �-
ProJecY/Site � �1c4-} Sire-
Latitude: t �8J
Evaluator: rl'la�-" r3 f3/e-L/-kV're11
Strong
County: f/'Ie c . ka'l
Longitude:PVA
Total Points: ? ) '?
Stream is at least intermittent ?
Stream Determination (circle e
Ephemeral intermittent ere
Other S`(
Quad Name'
if Z -16 or perennial if 30" f
05 0
e g
d /r
A Geomorphology Subtotal = !
Absent
Weak
Moderate
Strong
1a Continuity of channel bed and bank
0
1 _
2
0
2 Sinuosity of channel along thalweg
05 0
1
2
3
3 In- channel structure ex nffle -pool, step -pool,
n le- ool sequence
0
�-'�
2
3
4 Particle size of stream substrate
0
1
1
3
5 Active /relict floodplain
0
1
1
3
6 Deposib6nalbars or benches
0
1
3
7 Recent alluvial deposits
0
2
3
8 Headcuts
1
2
3
9 Grade control
0
05
1
10 Natural valley
0
05
1
11 Second,or greater order channel
No IOD
Yes = 3
artificial ditches are not rated, see dish`' sloes in manual
B Hydrology (Subtotal_ = / , J _ )
12 Presence ofBaseflow
0
1
Asa' 3
13 Iron oxidizing bacteria
0
1
'2_ _ 3
14 Leaf litter
0
1'
05 0
_ 15- Sedimenton plants or debris
0
&V
1 15
16 Organic,debns lines, or piles
0
2
1 15
17 Soil -based evidence,of high water table?
No = 0
Yes 3
C Biology Subtotal = 4i
18 Fibrous roots in streambed
2
1
0
19 Rooted upland plants In streambed
ca
2
1
0
20 Macrobenthos (note diversity and abundance)
0
1
2
3
21 Aquatic Mollusks
0
1
2
3
22 Fish
05
1
15
23 Crayfish
0
0
1
15
24 Amphibians
0
05
15
25 Algae,
0
1
15
26 Wetland plants in streambed
FACW = ,0`75, OBL = 15 Other = 0
'perennial streams may also be Identified using other methods See p 35 of manual
Notes
Sketch

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site 808 Crater Street`Maintenance City /County Mecklenburg Sampling Date 9/2/2014
Applicant/Owner CMSWS State NC Sampling Point DP1
Investigator(s) Thomas Blackwell Section, Township, Range ChEriotte
Landform (hillslope, terrace, etc ) terrace Local relief (concave, convex, none) none Slope ( %) 0 -2%
Subregion (LRR or MLRA) MLR` Lat N35 198044 Long W80 787114 Datum NAD83
Soil Map Unit Name CuD
Are climatic / hydrologic conddions on the site typical for this time of year? Yes X
Are,Vegetation Sod or Hydrology significantly disturbed?
Are Vegetation Soil or Hydrology naturally problematic?
NWI classification NSA
No (If no, explain in Remarks )
Are "Normal Circumstances" present? Yes= No
(If needed, explain any answers in Remarks )
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes= No Is the Sampled Area
Hydric Sod Present? Yes= No within a Wetland? Yes No
Wetland Hydrology Present? Yes= No 0
Data point Is representative for an upland area
HYDROLOGY
Wetland Hydrology Indicators I
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required, check all that apply)
=1surface Sod Cracks (136)
=Surface Water (Al) =True Aquatic Plants (B14)
=1sparsely Vegetated Concave Surface (88)
High Water Table (A2) =Hydrogen Sulfide Odor (Cl)
=Drainage Patterns (B10)
=Saturation (A3) =Oxidized Rhizospheres on Living Roots (C3) =Moss Trim Lines(B16)
=Water Marks (B1) =Presence of Reduced Iron (C4)
=Dry- Season Water Table (C2)
=Sediment Deposits (B2) =Recent Iron Reduction in Tilled Sods (C6)
=Crayfish Burrows (C8)
=Drift Deposits (B3) =Thin Muck Surface (C7)
[Saturation Visible on Aerial Imagery (C9)
=Algal Mat or Crust (64) Other (Explain in Remarks)
=Stunted or Stressed Plants,(D1)
=Iron Deposits (65)
=]Geomorphic Position (D2)
=Inundation Visible on Aerial Imagery (B7)
=Shallow Aqwtard (D3)
=Water - Stained Leaves (69)
=Microtopographic Relief (D4)
=Aquatic,Fauna (B13)
=FAC- Neutral Test (D5)
Field Observations
Surface Water Present? Yes= No= Depth (inches)
Water Table Present? Yes= No= Depth (inches)
Saturation Present? Yes= No= Depth (inches)
Wetland Hydrology Present? Yes= No ✓�
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available
Remarks
No Indicators for hydrology present
US Army Corps of Engineers ( Eastern Mountains and Piedmont — Version 2 0

VEGETATION (Five Strata)— Use scientific names of plants
Sampling Point, DP1
Remarks (Include photo numbers here�or on a separate sheet )
71 % of the dominant vegetation Is FAC orwettor
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2 0
Absolute
Dominant Indicator
Dominance Test worksheet
Tree Stratum (Plot size )
% Cover
Species? Status
Number of Dominant Species
1 Linodendron tulipifera
80
Yes FACU
That Are OBL, FACW, or FAC 5 (A)
2 Juglans anerea
10
No FACU
-
-
Total Number of Dominant
3
Species Across All Strata 7 (B)
4
Percent of Dominant Species
5
That Are OBL, FACW, or FAC 71 % (A/B)
6
Prevalence Index worksheet
7
90
= Total Cover
Total % Cover of Multiply by
Sapling Stratum (Plot size
)
OBL species x 1 =
1
FACW species x 2 =
'2
FAC species x 3 =
3
FACU species x 4 =
4
UPL species x 5 =
5
Column Totals (A) (B)
6
Prevalence Index, = B /A­
7
Hydrophytic Vegetation Indicators
= Total Cover
Q1 -Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size
)
1 Acer rubrum
10
Yes FAC
02 - Dominance Test is >50%
2 Ligustrum sinense
10
Yes FACU
03 - Prevalence Index is <_3 0'
3 Sambucus nigra
10
Yes FAC
=4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
4
❑Problematic Hydrophytic Vegetation' (Explain)
5
6
'Indicators of hydnc soil and wetland hydrology must
7
be present, unless disturbed or problematic
30
=
Total Cover
Definitions of Five Vegetation Strata
Herb Stratum (Plot size )
1 Microstegwm vimineum
85
Yes FAC
Tree — Woody plants, excluding woody vines,
2 Clitona,manana
40
Yes FAC
approximately 20 ft (6 m) or more in height and 3 in
(7 6 cm) or larger in diameter at breast height (DBH)
3 Hedera helix
20
No FACU
4 Boehmena cylindnca
10
'No FACW
Sapling — Woody plants, excluding woody vines,
approximately 20 ft�(6 m) or more in height and,less
5
than 3 in (7'6 cm) DBH
6
Shrub — Woody plants, excluding woody vines,
7
approximately 31to,20 ft (1 to 6,m) in height
8
9
Herb — All herbaceous (non- woody) plants, including
herbaceous vines, regardless of'size, and woody
10
plants, except woody vines, less than approximately 3
11
ft (1 m)'in height
12
Woody vine— All woody vines, regardless of height
= Total Cover
Woody Vine Stratum (Plot size
)
1 Toxicodendron radicans
10
Yes FAC
2
3
4
Hydrophytic
Vegetation ��j j
❑
5
Present? Yesi . i No
10
= Total Cover
Remarks (Include photo numbers here�or on a separate sheet )
71 % of the dominant vegetation Is FAC orwettor
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2 0

� , a
SOIL
Sampling Point DP1
Profile Description (Describe to the depth needed to document the,,indicator'or confirm the absence<oVindicators )
Depth 'Matrix Redox Features
(inches) Colon(moist) % Color (moist) % Type Loc Texture Remarks
0 -20 5YR 4'/6 100 Sandy Clay Loam
Sod Indicators
"Histosol "(A1)
❑Histic Epipedon (A2)
=Black Histic (A3)
❑HydrogemSulfide (A4)
=Stratified Layers (A5)
=2 cm Muck (A10) (LRR N)
=Depleted Below Dark Surface (A11)
=Thick Dark Surface (Al2)
❑Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
=Sandy Gleyed Matrix (S4)
=Sandy Redox (S5)
=Stripped Matrix (S6)
Type
Depth (inches)
1
teduced Matrix, MS= Masked Sand Grains 2Location PL =Pore Lining, M= Matrix
=Dark Surface (S7)
Indicators for Problematic Hydric So
❑2 cm Muck (A10) (MLRA 147)
❑Polyvalue Below,S6rface (S8) (MLRA 147, 148)
=Coast Prairie Redox (A16)
=Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
=Loamy Gleyed Matrix (F2)
=Piedmont Floodplain Soils (F19)
=Depleted Matrix (F3)
❑Redox Dark Surface (F6)
(MLRA 136,14T)
=Very Shallow Dark Surface (TF12)
=Depleted Dark Surface (F7)
=Other (Explain in Remarks)
❑ Redox Depressions (F8)
=Iron-Manganese Masses (F12) (LRR'N,
MLRA 136)
❑Umbric Surface (F13) (MLRA 136, 122) 31ndicators of hydrophytic'vegetation and
=Piedmont Floodplain-Soils,(F19) (MLRA 148) wetland,hydrology must be present,
r—IRed Parent Material (F21) (MLRA,127, 147) unless disturbed or'problematic
No hydric soil Indicators present
Hydric Soil Present? Yes= No =
US Army Corps of Engineers, Eastern,Mountains and Piedmont – Version 12 0

e I a
ATTACHMENT
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
I
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD): 09/08/2014
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Charlotte — Mecklenburg Storm Water Services
POC Mr Isaac Hinson
600 E Fourth Street
Charlotte, North Carolina 28202
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District —
Asheville Regulatory Field Office
D. PROJECT LOCATION(S)AND BACKGROUND INFORMATION: located
at 808 Crater Street in Charlotte, NC
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES
AT'DIFFERENT SITES)
State NC County /parish /borough Mecklenburg City Charlotte
35198788° N, Long 80 787559 0'W
Universal Transverse Mercator NAD 83
Name of nearest waterbody UT to Edwards Branch
Identify (estimate) amount of waters in the review area
Non - wetland waters 192 3 linear feet 3 -4' width (ft) and /,or 0 006 acre
Cowardin Class R5UB1
Stream Flow Perennial
Wetlands
Cowardin Class
Name of any water bodies on the site that have been identified as Section 10
waters
Tidal
Non -Tidal
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination Date
® Field Determination Date(s) September 2, 2014

. e •
1 The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time,
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
approved JD for the activity,, the permit applicant is hereby made aware of the
following, (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, Which does not make an official determination of
jurisdictional waters,, (2) that the,applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions, (3) that
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)
that 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) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable, (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 preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative, or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court, and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
Will be processed as soon as is practicable Further, an approved JD, 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,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C F R 331 5(a)(2)) If, during that administrative appeal, it becomes necessary
to make an official determination Whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish 'that °result, as soon as is, practicable
This preliminary JD finds that there "may be" waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information
F]

I
SUPPORTING DATA. Data reviewed for preliminary JD (check all that apply
- checked items should be included in case file and, where checked and
requested, appropriately reference sources below)
® Maps, plans, plots or plat submitted by or on behalf of the
applicant/consultant
®,Data sheets' prepared /submitted by or on behalf of the
applicant/consultant
❑ Office concurs with data sheets /delineation report
❑ Office does not concur with data sheets /delineation report
❑ Data sheets prepared by the Corps
❑ Corps navigable waters' study
❑ U S Geological Survey Hydrologic Atlas
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
® U S Geological 'Survey map(s) Cite scale & quad name 1 24;000,
Charlotte East, NC, Dated 11991
® USDA Natural Resources Conservation Service Soil Survey Citation
Mecklenburg County Soil Survey
❑ National wetlands inventory map(s) Cite name
❑ State /Local wetland inventory map(s)
❑ FEMA/FIRM maps
❑ 100 -year Floodplain Elevation is
of 1929)
(National Geodectic Vertical Datum
® Photographs ® Aerial (Name & Date) Mecklenburg County, 2007
or ®' Other (Name & Dafe)_Site photographs of stream channel
(July, 2014)
❑ Previous determination(s) File no and date of response letter
❑ Other information (please specify)
determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
3
rm has not necessari
i1 C
-�� 9/16/14
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining the
signature is impracticable)

j -
Site
Number
Latitude
Longitude
Cowardian
Class
Estimated
Amount of
Aquatic
Resource in
Review Area
Class of Aquatic
Resource
Stream A
N35 198788°
W80 787559°
R5UB1
192 3 linear feet
non - section 10 -- non -tidal

0
808 Crater Street Maintenance Project September 10, 2014
Nationwide Permit No. 3 and WOC No.3883 CWS Project No. 2014 -3441
Photograph A. View of Stream A, facing downstream.
Photograph B. View of Stream A, facing upstream

a 1
808 Crater Street Maintenance Project September 10, 2014
Nationwide Permit No. 3 and WQC No.3883 CWS Proiect No. 2014 -3441
Photograph C. View of Stream A, facing downstream.
tr �
Photograph D. View of Stream A, facing upstream.
K