20141016 Ver 1_More Info Received_20141001

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
September 22, 2014
Carolina Wetland, Inc
Attn: Thomas Blackwell, PWS
550 E. Westinghouse Blvd
Charlotte, NC 28273
Subject: REQUEST FOR ADDITIONAL INFORMATION
North Prong Clarke Creek Sanitary Sewer
Dear Mr. Blackwell:
John E. Skvarla, III
Secretary
DWR # 14 -1016
Mecklenburg County
L M4
L- ,i ;; . r ,- -, .Es
On September 22, 2014, the Division of Water Resources (Division) received your application
requesting a 401 Water Quality Certification from the Division for the subject project. The Division
has determined that your application is incomplete and cannot be processed. The application is
on -hold until all of the following information is received:
Need Agent Authorization Form (401 and Isolated Only)
Page 13 of 13 of the Pre - Construction Notification (PCN) Form carries the signature of
Thomas Blackwell. Pursuant to 15A NCAC 02H .0502(f) in order for Thomas Blackwell to
sign, the application package requires an agent authorization form from the applicant. An
example can be found online:
httP: / /www.saw.usace._ army. mil / Portals /59 /docs /reguIatory /regdocs /Permits /SAMPLE AG
ENT AUTHORIZATION FORM.pdf. Please submit four (4) copies of this documentation
Application Form was not Signed
Page 13 of 13 of the Pre- Construction Notification (PCN) Form was not signed. Pursuant to
15A NCAC 02H .0502(f) the application form must be signed by the owner or the owner's
agent. If an agent of the owner signs the application form, an agent authorization form
must also be included. An example agent authorization form can be found online:
http: / /www.saw.usace. army. mil / Portals /59 /docs /reguIatory /regdocs /Permits /SAMPLE AG
ENT AUTHORIZATION FORM.pdf. Please submit four (4) copies of this documentation
Pursuant to Title 15A NCAC 02H .0502(e) the applicant shall furnish all of the above requested
information for the proper consideration of the application. If all of the requested information is
Division of Water Resources — 401 & Buffer Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699 -1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 919 - 807 -63001 FAX: 919 - 807 -6494
Internet: www.ncwaterquality.org

O�OF W A TF9OG
9
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 13
PCN Form —Version 1.3 December 10, 2008 Version
Pre - Construction Notification PCN Form
A. Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit E] Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 12 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
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes
® No
1h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
North Prong Clarke Creek Sanitary Sewer
2b.
County:
Mecklenburg
2c.
Nearest municipality / town:
Huntersville
2d.
Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state
project no:
N/A
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Multiple - Linear Project
3b.
Deed Book and Page No.
N/A
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
3e.
City, state, zip:
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
Page 1 of 13
PCN Form —Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent []Other, specify Charlotte Mecklenburg Utilities Department
4b
Name
Mr George Brantl
4c
Business name
(if applicable)
'Charlotte Mecklenburg Utilities Department
4d
Street address
5100 Brookshire Boulevard
4e
City, state, zip
Charlotte, NC 28216
4f
Telephone no
704 - 391 -5170
4g
Fax °no
4h
Email address
gbrant @a' charlotte nc us
5.
Agent/Consultant Information (if applicable)
,5a
Name
Thomas Blackwell, PWS
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- 527 -1177
5f
Fax no
704- 527 -1133
,5g
Emad;address
tom @cws -inc net
Page 2 of 13
PCN Form — Version 1 3 December 10, 2008 Version

B.
Project Information and Prior Project History
1.
Property Identification
1a
Property identification no (tax PIN or parcel ID)
lb
Site; coordinates, (in decimal degrees)
Latitude 35 418772° Longitude
80 803198°
(MDDDDDD) ( -DD DDDDDD)
1 c
Property size
13 acres
2.
Surface Waters
2a
Name of nearest body of water (stream, river, etc) to
proposed project
North Prong Clarke Creek
,2b
Water Quality Classification of "nea'rest receiving Water,
Class C
2c
River basin
Yadkin (HU# 030401,05)
Page 3 of 13
PCN Torm — Version 1 3 December 10, 2008 Version

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�North Prong ,Clarke Creek,Sanitary Sewer project,corridor is approximately 13 acres in extent The protect corridor
runs, southeast -from the Ramah Church Road to Huntersvdle- Concord Road,and south to the confluence of South Prong
Clarke Creek in Huntersvdle, North Carolina (Figure 1 USGS Site Location Map, attached) The project area consists of
forested and agricultural floodplain adjacent to North Prong Clarke Creek Typical on -site vegetation mclude,greeri ash
(Fraxinus pennsylvanica), box elder (Acer negundo), sycamore (Platanus occidentalis), red maple (Acer rubrum), willow
oak (Quercus phellos), and cottonwood (Populus deltoides) An aerial photograph of the project is attached (Figure 2)
3b List the total estimated acreage of. all existing wetlands on the property
0 36 acre
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
353 linear feet
3d Explain the purpose of the proposed project
The purpose of;the project is to construct approximately 12,470 linear feet (LF) of 18 -inch through 24 -inch trunk sewer along
North Prong Clarke Creek and,to eliminate an existing sewage lift station (Ramah Church Road Lift Station) This project
is required to provide sewer service for future,development to take place south of Ramah Church Road The entire basin
to be ser Rc(is approximately 2,500 acres Of,the 2,500 °acres, approximately 1,000 acres is currently being served by
the existing, lift station, whi&Will be abandoned The proposed, sanitary sewer wil Hie into the existing sewer located at
the Ramah Church Road Lift Station and will extend,downstream, paralleling North Prong Clarke Creek until tying into the
existing Clarke Creek Sewer, Phase IV outfall near the confluence of North Prong Clarke Creek and Clarke Creek, from
there wastewater will be carried to the Rocky River trunk sewer system for treatment at WSACC's Rocky River Regional
WWTP located in Cabarrus County The proposed sewer has been designed to handle flows for the build -out of the
service area based on'existing zoning The proposed project will consist of gravity sewer only No new pump-stations
are,proposed
3e Describe the overall project in detail, including the type of equipment to be used
Approximately 12,470 linear feet (LF) of 18 -inch through 24 -inch trunk sewer along North Prong Clarke Creek and to
eliminate an existing sewage lift station (Ramah Church Road Lift Station) This project is required to provide sewer
service for future development to take place south of Ramah Church Road The entire basin to be served is
approximately 2,500 acres Of the 2,500 acres, approximately 1,000 acres is currently being served by the existing lift
station, which will be abandoned The proposed sanitary sewer'wdI tie, into the existing sewer located at the Ramah
Church Road Lift;Station,and will extend downstream,, paralleling North Prong Clarke Creek�untd tying into the existing
Clarke Creek Sewer, Phase IV outfall near the confluence of North Prong Clarke CreeK;and Clarke Creek, from there
wastewaterwdl be carried to the Rocky River trunk sewer system for treatment at'WSACC's Rocky River Regional
WWTP located in Cabarrus County
The construction corridor will not exceed the-40-foot maximum corridor width through wetlands as a condition of the
Section 401 Water Quality Certification The construction corridor has also been limited to a 40 -foot width at all stream
crossings The permanent maintained portion of the,right -of -way (RAN) corridor will not exceed 15 feet in width °through
wetlands and at stream crossings Proper sediment and erosion control measures will be used to minimize disturbances
to downstream ,waters Anti-seep collars will be installed at the,downstream wetland boundary and every 150 feet up the
,gradient until the sewer trunk exits the wetland Sewer trunks will be sited greater than 10 feet from parallel `stream
channels All unavoidable stream crossings will be at a near perpendicular angle All channel work °will be constructed in
the dry in accordance with Water Quality Certification No 3884 In addition, all permanent maintained right -of -way
through wetlands will be permanently marked in the field to avoid mowing and maintenance of additional wetland areas
A track hoe and other typical construction equipment will be used to construct this project
Page 4 of 13
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 (includmg,all prior phases) in the past?
Comments
El Yes ®No El Unknown
4b
If thehCorps,rnade the jurisdictional determination, what type
of determmation,was, made?
❑ Preliminary ❑'Final
4c
If yes, who delineated the jurisdictional 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 or certifications been requested or obtained for
this project (including all pnorphases)imAheapast?
❑ Yes ® No ❑ ,Unknown
5b
If yes, explain in detad,accordmg to "help file" instructions
6.
Future Project Plans
6a
Is this,a phased project?
❑ Yes ® No
6b
If yes, explain
Page 5 of 13
PCN Form — Version 1 3 December 10, 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your protect (check all thatsapply)
®'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
Crossing
Wetland AA-
PEM1 E
❑ Yes
® No,
® Corps
❑ DWQ
0 014
W2 ❑ P ®T
Clearing
Wetland AA-
❑ Yes
®, Corps
0 026
PEM1 E
® No
DWQ
W3 ®P F1 T
Conversion
Wetlands BB, CC,
® Yes
® Corps
Oil
EE- PFO1 E
❑ No
❑DWQ
W4 ❑ P ®T
Clearing
Wetlands BB, CC,
® Yes
® Corps
0 20
EE- PFO1 E
❑ No
DWQ'
W5 ❑ P ®T
Clearing
Wetland DD-
El Yes
® Corps
0 009
PEM1 E
® No
El DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No,
❑ DWQ
2g. Total wetland impacts
0 36 acre
2h Comments Permanent Wetland Impacts total 0 12 acre
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps- 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear ,
Temporary (T)
(INT)
other)
(feet)
feet)
Si ❑ P ®T
Utility Line
Perennial RPW
® PER
® Corps
10 -15'
80
Crossing
Stream A
El INT
El DWQ
S2 El P ®`T
Utility Line
Perennial RPW
® PER
® Corps '
83
Crossing
Stream B and C
❑ INT
[-I DWQ
S3 ® P ❑'T
Ford Crossing
Perennial RPW
® PER
® Corps
15
Stream B
❑ INT
❑ DWQ
S4 ❑ P ®`T
Utility Line,
Seasonal RPW
;❑ PER
® Corps
145
Crossing
Streams D and E
® INT
❑ DWQ
S5 ® P ❑`T
Ford Crossing
g
easonal RPW
❑ PER
® Corps
30
Streams D and E
® INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ JINT
❑ DWQ
3h Total stream and tributary impacts
353'
31 Comments Permanent'impacts to jurisdictional streams are limited to 45 If as a result of ford crossings
Page 6 of 13
PCN Form — Version 1 3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U S then individually list -all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of waterbody
impact number =
(if applicable)
Type ohmpact
Waterbody type
Area of impact�(acres)
Permanent (P)'or
Temporary T
01 [-]POT
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T i
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 you MUST fill out Section D of this form
6a.
❑ Neuse ❑ Tar-Pamlico El Other
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c-
6d
6e
6f
6g
Buffer impact
number —
Reason
'Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(squareJeet)
(square,feet)
Tem ora
impact
re uired*7
B1 ❑P ❑T
❑Yes
❑ No
B2 ❑P
❑Yes
❑ No
B3 ❑P ❑T,
❑Yes
❑ No
6h Total'buffer impacts
61, Comments
Page 7 of 13 1
PCN 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
Jurisdictional Waters of the U S have been avoided wherever possible Other constraints on the sewer route -were also taken
into account These constraints include,sigrnficant trees, site, topography, and geology, In areas where impacts,to
Jurisdictional "Waters of the US are unavoidable, steps have been taken to minimize both the - extent and severity of the
impacts
The construction corridor will not exceed the 40 -foot maximum corridor width through wetlands,as a condition of the Section
401 Water Quality Certification The construction corridor has also been limited to a 40- foot,width at all stream crossings The
permanent maintained portion of the right -of -way (R/W) corridor will not exceed 15 feet in width through wetlands and at
stream crossings Proper sediment and erosion control measures will be used to minimize disturbances to downstream
waters Anti -seep collars will be installed at,the downstream wetland boundary,and every 150 feet up the gradient until the
sewer trunk exits thevetland Sewer'trunks will be sited greater than 10 feet from stream channels All unavoidable stream
crossings will be at a near perpendicular angle All channel work will be constructed in the dryain accordance with Water
Quality Certification No 3884 In addition, all permanent maintained right -of -way through wetlands will be permanently
marked in the field to avoid mowing and maintenance of additional wetland areas
1b 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 The North Prong
Clarke 'Creek Sanitary Sewerproject has been designed to avoid `impacts to jurisdictional waters of the U S wherever possible
and minimize the extent of necessary impacts to jurisdictional waters All work will be constructed in the dry in,accordance
with Water Quality Certification No 3884
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a Does the project require Compensatory Mitigation for
® Yes ❑ No
impacts to Waters,of the U S or "Waters of the State!
2b. If yes, mitigation is required'by (check`all that apply)-
❑ DWQ ® Corps
❑ Mitigation bank
2c If yes, which mitigation option will be used for this
®Payment to in -lieu fee program
projects
i
❑ 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
0 12 acres
4f Non - riparian wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments A request'for credits has been made,for 0'25 acre (0 12 acre rounded to nearest 0 25 acre) A response is
awaited
5. Complete ifUsing a Permittee Responsible Mitigation Plan
Page 8 of 13
PCN Form — Version 1 3 December 10, 2008 Version

5a If using'a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b If yes, then, identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone,
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required:
6g If buffer mitigation is required, discuss what type of mitigation is proposed (e g , payment to private mitigation bank,
permittee responsible riparian buffer - restoration, payment into an approved in -lieu fee fund)
6h Comments
Page'9 of 13
PCN Form — Versio,n 1 3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
la
Does the project include or is it adjacent to protected riparian buffers identified
❑ 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 There is no change in impervious area
associated with this project
2d
If this project DOES °require a Stormwater 'Management Plan, then provide a brief; narrative description of the plan
❑ Certified Local Government
2e
Who will be responsible for'the review of the Stormwater,Management,PlaO
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a
In which local government's jurisdiction is this project?
Huntersvdle
❑ 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 proof of approval been
❑ Yes ❑ No
attached ?,
4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a
Which of the following state - implemented stormwater management programs,apply
❑ ORW
(check all that apply)
❑ Session Law 2006 -246
❑ Other
4b Has the, approved Stormwater Management'Plan with proof of approval been
❑ Yes ❑ No
attached
5.
DWQ 401 Unit Stormwater Review
5a
Does the,Stormwater Management Plan meet,the appropriate requirements?
❑ Yes ❑ No
5b Mave'all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 10 of 13
PCN Form — Version 1 3 December 10, 2008 Version

F. Supplementary Information
1.
Environmental Documentation (DWQ,Requirement)
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 SEPA final approval
letter )
❑ Yes
❑, No
Comments
2.
Violations (DWQ. Requirement)
2a
Is the site in violation,of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
❑'Yes
® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an,after- the -fact permit application?
❑ Yes
® No
2c
If you answered "yes" to one or both of the; above questions, provide an explanation of,the violation(s)
3.
Cumulative Impacts (DWQ Requirement)
3a
Will this project- (based on past and reasonably anticipated future impacts) result in
❑ Yes
® No
additional development, which could impact nearby downstream water quality?
3b
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis, in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative-description
Development in the watershed is controlled by the Town of Hunterswlle Zoning
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
Sewerage will be directed to the Rocky River Regional WWTP located in Cabarrus County
Page 11 of 13
PCN Form — Version 1 3, December 10, 2008 Version

5. Endangered Species•and Designated Critical' Habitat (Corps, Requirement)
°5a Will this project occur in or near amarea with federally;protected;species or
❑Yes' ®' No
'habitat,*?
5b Have ou checked with'the USFWS concerning Endangered Species Act
you _ _ _ .- _ 9 9 P
El Yes ®'No
impacts?
❑ Raleigh
5c If yes, indicate the USFWS, Field Office you havecontacted
❑ ,Asheville
5d What data,sources did you use to determine,,whethei your site would impact Endang6red,Spe-6bs =or Designated,critical
Habitat?
A letterwas forwarded to the North Carolina Natural, Heritage Program (NCNHP) on July 9, 2014 to determine the presence of
anysfederally- listed, candidate, endangered, threatened species or critical habitat located'within the protect-area As ofthe
date of this submittal,,,a response,from the NCNHP has not yet been received Additionally, �CWS consulted, Element
'Occurrence sites provided by NCNHP anflound no,occurrences °of protected "species, within the project limits
'6. Essential`Fish, Habitat (Corps Requirement),
6a Will this prolectoccur'in or near an area designated as essential fish habitat?
❑ Yes, ®'No
6b What data sources did you use to determine,whether,your, site would impact Essential Fish Habitat?
'NOAA Fisheries hW,#sha_rpfin nmfs -noaa gov/website /EFH= Mapper /map aspx
7. Historic or- Prehistorictultural Resources (Corps Requirement)
76, Will this protect <occur,in or near an area that,, the, state, federal ,or tribal
governments have designated as having historic,or cultural preservation
❑ Yes ® No
status (e g -, National Histonc,Trustxdesignation or properties significant in
North Carolina historyand archaeology)?
7b What data sources did you use to determne,whether,your site would impact historic,or archeological resources?
'A letter was forwarde0o the State Historic Preservation iOffice (SHPO) on July'g ;,2014 to determine the presence of any
areas,,of architectural, historic, or archaeological significancesthat would be affected by the protect CWS also consulted'
the SHOO online GIS;service and the Charlotte Mecklenburg Historic Landmarks Commission database and found one
site of historical significanceswithm the project,limits
The, Charlotte- Mecklenburg Histo6c,Landmarks, Commission (CM HLC) includes,the Oehler Nature Preserve on, its, list of
historic properties in Mecklenburg County '(CMHLC, 2012) , The,property known as the Oehler Nature Preserve is located
at -14401 Huntersville- Concord Road along Huniersville- Concord Roa&in Mecklenburg County, North Carolina, 'The
project corridor crosses the northerwportion,ofrthis, propert
The�proposed project will temporarily impact the northern portion of ,the Oehler Nature,Preserve`which is designated as a
historic;laridmark by the,'CMHLC `Impacts to this property Will be,temporary, All,,grades will be _returned to their pre -
construction condition Therefore, there will be no significant impacts -to the Oehler,Nature Preserve
8'. Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA - designated 100 -year floodplam?
® Yes [--]'No,
8b If yes, explain how,project meets FEMA,requirements The4malonty�of °the project.corridor wdl,,be located within the FEMA
100 yearfloodplain, The,site will be returned`to pre- construction;grades and there;wdl be no above Oradefll,placed
within the,floodplain
8c,What source(s),did you useto make the,floodplain determination ?'Mecklenburg County GIS and FEMA FIRMS
Page 12 of 13
PCN Form — Version 1 3 December 1'0 „2008 Version,

r
Mr. Thomas Blackwell, PWS
r.
09 -18 -2014
Applicant/Agent's Printed Name I Applicant/Agent's Signature I Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided )
Page 13 of 13
PCN Form— Version 1 -3 December 10, 2008 Version

AGENT CERTIFICATION OF AUTIIORIZATION
1, George Brant, representing Charlotte- Mecklenburg Utilities Department, hereby certify
that I have authorized Thomas Blackwell of Carolina Wetland Services, Inc. to act on my
behalf and take all actions necessary to the processing, issuance, and acceptance of this
request for wetlands determination / permitting and any and all standard and special
conditions attached.
We hereby certify that the above information submitted in this application is true and
accurate to the best of our knowledge.
Applic 's ignature
Date
L�kg P4'j
Agent's signature
Date
7/10/14
Completion of this form will allow the agent to sign all future application correspondence.
1
OCT 1 2
014
4 DENR - WATER REcOUr2CE$
401 R Ri icc�_ I

AGENT CERTIFICATION OF AUTHORIZATION
I, George Brant, representing Charlotte - Mecklenburg Utilities Department, hereby certify
that I have authorized Thomas Blackwell of Carolina Wetland Services, Inc. to act on my
behalf and take all actions necessary to the processing, issuance, and acceptance of this
request for wetlands determination / permitting and any and all standard and special
conditions attached.
We hereby certify that the above information submitted in this application is true and
accurate to the best of our knowledge.
Applic 's ignature
4
l
Date
,' 4 4Uj
Agent's signature
07/10/14
Date
Completion of this form will allow the agent to sign all future application correspondence.
o•'

Mr. Thomas Blackwell, PWS
09 -18 -2014
Applicant/Agent's Printed Name I Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
N,
Page 13 of 13
PCN Form — Version 1.3 December 10, 2008 Version