20221434 Ver 1_ePCN Application_20221013

DWR
Division of Water Resources
Initial Review
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
Pre -Filing Meeting Date Request was submitted on:
8/25/2022
BIMS # Assigned* Version#*
20221434 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
Information for Initial Review
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
Sue Homewood:eads\slhomewood
la. Name of project:
NC-EXP-0002 Country Line Creek Tributary Pipeline Protection
la. Who is the Primary Contact?*
Betsy Jorgensen
1b. Primary Contact Email:* lc. Primary Contact Phone:*
[e-mail] [phone]
Date Submitted
10/13/2022
Nearest Body of Water
Unnamed tributary to Country Line Creek
Basin
Roanoke
Water Classification
Water Supply II; High Quality Waters
Site Coordinates
Latitude:
36.471869
A. Processing Information
Longitude:
-79.197029
County (or Counties) where the project is located:
Caswell
Is this a NCDMS Project
Yes No
Is this project a public transportation project? *
Yes No

la. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
Yes
No
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 03 - Maintenance
NWP Numbers (for multiple NWPS):
ld. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
1f. Is this an after -the -fact permit application?*
Yes No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1 h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
ld. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
Redco Limited Partnership
2b. Deed book and page no.:
13 page 342
2c. Contact Person:
2d. Address
Street Address
901 Sunset Drive
Address Line 2
City
Greensboro
Postal /Zip Code
27408
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
North Carolina
Country
USA
Yes No
Yes No

2e. Telephone Number:
[phone]
2f. Fax Number:
2g. Email Address: *
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Gina Dorsey
3b. Business Name:
Kinder Morgan
3c. Address
Street Address
1001 Louisiana Street
Address Line 2
City
Houston
Postal / Zip Code
77002
3d. Telephone Number:
[phone]
3f. Email Address: *
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Betsy Jorgensen
4b. Business Name:
Jacobs
4c. Address
Street Address
10 10th Street Suite 1400
Address Line 2
City
Atlanta
Postal / Zip Code
30309
4d. Telephone Number:
[phone]
4f. Email Address: *
[e-mail]
C. Project Information and Prior Project History
State / Province / Region
Texas
Country
USA
3e. Fax Number:
State / Province / Region
Georgia
Country
USA
4e. Fax Number:
1. Project Information
1b. Subdivision name:
(if appropriate)
lc. Nearest municipality / town:
Milton
2. Project Identification
2a. Property Identification Number:
Parcel 01224 035
2c. Project Address
Street Address
Address Line 2
City
Postal / Zip Code
2b. Property size:
NA
State / Province / Region
Country
3. Surface Waters

3a. Name of the nearest body of water to proposed project:*
Unnamed tributary to Country Line Creek
3b. Water Resources Classification of nearest receiving water:*
Water Supply II, High Quality Waters
3c. What river basin(s) is your project located in?*
Roanoke
3d. Please provide the 12-digit HUC in which the project is located.
030101040203
4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
Refer to Attachment B — Supplemental Information
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past? *
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0.0
4g. List the total estimated linear feet of all existing streams on the property:
4500
4h. Explain the purpose of the proposed project: *
Refer to Attachment B — Supplemental Information
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
Refer to Attachment B — Supplemental Information
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
Comments:
Refer to Attachment B — Supplemental Information
No Unknown
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Catherine Donisi
Agency/Consultant Company: Jacobs
Other: PWS 3453
6. Future Project Plans
6a. Is this a phased project?*
Yes No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
No
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
Wetlands
Open Waters
3. Stream Impacts
Streams -tributaries
Pond Construction
Buffers
3a. Reason for impact (?)
3b.Impact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width
3h. Impact
length*

S1
Pipeline Protection
Temporary
Dewatering
CW_S102
Perennial
Both
15
Average (feet)
30
(linear feet)
S2
Pipeline Protection
Permanent
Rip Rap Fill
CW_S102
Perennial
Both
15
Average (feet)
57
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
57
3i. Total stream and ditch impacts:
87
3j. Comments:
E. Impact Justification and Mitigation
1. Avoidance and Minimization
3i. Total temporary stream impacts:
30
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Refer to Attachment B — Supplemental Information
lb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Refer to Attachment B — Supplemental Information
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 this project DOES NOT require Compensatory Mitigation, explain why:
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
If no, explain why:
No riparian buffers identified
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater program?
Yes No
N/A - project disturbs < 1 acre
Comments:
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land? *
Yes No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
Yes No

3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
Yes No
3b. If you answered "no," provide a short narrative description.
An exposed pipeline in the creek is at risk of impact damage. The protection measures selected will protect the
14-inch pipeline.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5d. Is another Federal agency involved?*
Yes
5e. Is this a DOT project located within Division's 1-8?
Yes No
No Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
Yes No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS Information for Planning and Consultation (IPaC) and North Carolina Heritage Program
Species/Community Search
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat? *
NOAA Essential Fish Habitat Mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
North Carolina State Preservation Office GIS Web Service HPOWEB 2.0. Project is within a previously disturbed
righ-of-way.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8c. What source(s) did you use to make the floodplain determination?*
FEMA Floodplain Map 3710994900J
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
PCN_NCDWR_Application_NC-EXP-0002_signed.pdf 6.38MB
File must be PDF or KMZ

Comments
Project applicant signature (Gina Dorsey) is in the permit package attached. I am the agent filling out this form and signed it electronically here for the applicant.
Signature
• By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
I intend to electronically sign and submit the PCN form.
Full Name:
Catherine Donisi
Signature
Cc9, er 8 ba1413)
Date
10/13/2022

Jacobs
10 101h Street Suite 1400
Atlanta, GA 30309
United States
T +1.404 978 7600
www.jacobs.com
Paul Wojoski
North Carolina Department of Environmental Quality
North Carolina Division of Water Resources, 401 and Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
[e-mail]
919.707.9015
Subject: Use of an Individual 401 Water Quality Certification by Kinder Morgan for Pipeline
Protection at a Tributary to Country Line Creek in Caswell County, North Carolina.
Kinder Morgan Site Number NC-EXP-0002 Country Line Creek Tributary
Dear Paul Wojoski:
This application is submitted on behalf of Kinder Morgan, Inc. (Kinder Morgan) to request
authorization under the North Carolina Department of Environmental Quality (NC DEQ)
Individual 401 Water Quality Certification to implement pipeline protection at their Plantation
Pipe Line right-of-way (ROW) crossing of a tributary to Country Line Creek in Caswell County,
North Carolina (36.471869,-79.197029 WGS84) (see Attachment 3, Figure 1). Bank erosion
and downcutting have caused an active 14-inch pipeline to become exposed and suspended.
Kinder Morgan has evaluated options for permanently addressing pipeline protection issues at
this site and selected what they consider the most viable option. The approach selected will
protect the pipelines and minimize future erosion. Because the pipeline crosses a tributary of
Country Line Creek, a jurisdictional water of the U.S., Kinder Morgan is seeking authorization
under a North Carolina Department of Water Resources Individual 401 Water Quality
Certification and a CWA Section 404 Nationwide Permit 12 with Pre -construction Notification
(seeking authorization concurrently).
The proposed repair would include restoring the pipeline coating along the length of the
exposure; installing graded aggregate base below the pipeline; installing protective structures
above the pipeline including a neoprene mat and articulating concrete mat; and restoring the
stream bed and bank (see Attachment 2). Silt fencing and other appropriate best management
practices would be utilized to protect the tributary to Country Line Creek.
The bank stabilization and pipeline protection activities would result in up to 90 linear feet of
permanent and temporary impacts to an unnamed tributary to Country Line Creek (see Design
Drawings in Attachment 3).
Jacobs Engineering Group Inc.

Paul Wojoski
Page 2 of 2
.jacobs
No direct impacts to protected species and their habitat are anticipated from the proposed
activities (see Attachment 2). Impacts at the exposure repair site would include vegetation and
soil disturbance within the previously disturbed ROW and approximately 10 to 30 feet outside
the ROW.
We appreciate your review of the enclosed information and processing of the permit application.
If you have any questions regarding this request or require any additional information, please
contact me at [phone] or email at Betsy.Joraensenna jacobs.com, or Catie Donisi at
[phone].
Regards,
CH2M HILL Engineers, Inc.
Elizabeth Jorgensen
Project Manager/Environmental Scientist
CC: Gina Dorsey/Kinder Morgan Director, EHS Project Permitting
Will Roddy/Kinder Morgan Environmental Project Permitting
Dan Jacobsen/Kinder Morgan Project Manager
Attachments:
1. Pre -Construction Notification (PCN) Form
2. Supplemental Information
3. Project Figures and Design Drawings
1. Figure 1 — Project Location USGS Topographic Map
2. Figure 2 — Aerial Site Map with Access Route
3. Figure 3 — Soils Map
4. Figure 4 — Project Site Soils Map
S. Figure 5 — Site Parcel Map
6. North Carolina Historic Preservation Office HPOWEB Search
7. NC-EXP-0002 County Line Creek Tributary Design Drawings
4. Photo Log
S. USFWS Information for Planning and Consultation (IPaC) Report
6. NC DWQ Stream Identification Form
7. Agent Authorization Form
8. Pre -filing Meeting Request

Caswell County, NC 7
Kinder Morgan NC-EXP-0002 Country Line Creek Tributary jaco s
Attachment 1 - Pre -Construction Notification Form
PPS1206211716ATL

STATF
*fie auwvnn�
NORTH CAROLINA
Environmental Quality
Water Resources
Office Use Only
Corps Action ID no. [Click to enter.] Date received: [Click to enter.]
DWR project no. [Click enter.] Date received: [Click to enter.]
Site Coordinates:
Latitude (DD.DDDDDD): 36.471869
Longitude (DD.DDDDDD): 79.197029
Form Version 4.3, April 20, 2022
Pre -Construction Notification (PCN) Form
(Ver. 4.2, January 31, 2022))
For Nationwide Permits and Regional General Permits and corresponding Water Quality Certifications
Please note: fields marked with a red asterisk * are required. The form is not considered complete until all
mandatory questions are answered.
The PCN help document may be found at this link:
https://edocs. deg. nc.govNVaterResources/DocView.aspx?dbid=0&id=2196924&cr=1
Please ensure you have submitted a pre -filing meeting request at least 30 days prior to submitting this
form, as DWR will not be able to accept your application without documentation of this important first step.
The Division has developed a Pre -filing Meeting Request email address 401 [e-mail] to accept
the federally required pre -filing meeting request and provide confirmation receipt of submittal . This receipt
or similar documentation will satisfy 40 C.F.R. Section 121.4(a) which states "At least 30 days prior to
submitting a certification request, the project proponent shall request a pre -filing meeting with the certifying
agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all certification requests must
include documentation that a pre -filing meeting request was submitted to the certifying authority at least 30
days prior to submitting the certification request.
Attach documentation of Pre -Filing Meeting Request to this Application.
Date of Pre -filing Meeting Request (MM/DD/YYYY) *: 8/25/2022
Page 1 of 21 PCN Form Version 4.3- April 20, 2022

A. Processing Information
County (counties) where project is located: *
Caswell
Is this a NCDMS project? *
(Click yes only if NCDMS is the applicant or co-
❑ Yes ❑x No
applicant)
Is this a public transportation project?
(Publicly funded municipal, state, or federal road, rail,
❑ Yes ❑x No
or airport project)
Is this a NCDOT project? *
❑ Yes ❑x No
If yes, NCDOT TIP or state project number:
Click to enter.
If yes, NCDOT WBS number: *
Click to enter.
❑x Section 404 Permit (wetlands, streams, waters,
Clean Water Act)
1 a. Type(s) of approval sought from the Corps: *
❑ Section 10 Permit (navigable waters, tidal
waters, Rivers and Harbors Act)
Has this PCN previously been submitted? *
❑ Yes ❑x No
Please provide the date of the previous submission. *
Click to enter a date.
❑x Nationwide Permit (NWP)
1 b. What type(s) of permit(s) do you wish to seek
*
El Regional General Permit (RGP)
authorization?
❑ Standard (IP)
This form may be used to initiate the standard/ individual permit process with the USACE. Please contact your Corps
representative concerning submittals for standard permits. All required
items can be included as attachments and
submitted with this form.
1c. Has the NWP or GP number been verified by the Corps? *
❑ Yes ❑x No
NWP number(s) (list all numbers ):
Click to enter.
RGP number(s) (list all numbers ):
Click to enter
Are you a federal applicant?
❑ Yes ❑x No
If yes, please provide a statement concerning compliance with
the Coastal Zone Management Act
Click to enter text.
1 d. Type(s) of approval sought from DWR (check all that apply):
❑ 401 Water Quality Certification — Regular
❑ 401 Water Quality Certification— Express
❑ Non-404 Jurisdictional General Permit
❑ Riparian Buffer Authorization
❑x Individual 401 Water Quality Certification
Is this a courtesy copy notification
❑ Yes ❑x No
1 e. Is this notification solely for the record because written approval is not required? *
For the record only for DWR 401 Certification: *
❑ Yes ❑x No
For the record only for Corps Permit: *
❑ Yes ❑x No
1f. Is this an after -the -fact permit/certification application? *
❑ Yes ❑x No
Page 2 of 21 PCN Form Version 4.3- April 20, 2022

1g.
Is payment into a mitigation bank or in -lieu fee program proposed for
❑ Yes
❑x No
mitigation of impacts?
If yes, attach the acceptance letter from mitigation bank or in -lieu fee program.
1 h.
Is the project located in any of NC's twenty coastal counties? x
❑ Yes
❑x No
1 i.
Is the project located within an NC DCM Area of Environmental
❑ Yes
❑x No ❑ Unknown
Concern (AEC)? *
1 j.
Is the project located in a designated trout watershed? *
❑ Yes
❑x No
If yes, you must attach a copy of the approval letter from the appropriate Wildlife Resource Commission Office.
Trout information may be found at this link: http://www.saw.usace.army.miI/Missions/Regulatory-Permit-
Program/Agency-Coordination/Trout.aspx
Page 3 of 21 PCN Form Version 4.3- April 20, 2022

B. Applicant Information
1 a. Who is the primary contact? %
Betsy Jorgensen
1 b. Primary Contact Email: *
[e-mail]
1 c. Primary Contact Phone: * (###)###-####
[phone]
1 d. Who is applying for the permit/certification? r (check
all that apply)
❑ Owner ❑x Applicant (other than owner)
1 e. Is there an agent/consultant for this project?*
® Yes ❑ No
2.
Landowner Information
2a.
Name(s) on Recorded Deed: *
Redco Limited Partnership
2b.
Deed Book and Page No.:
13 Page 342
2c.
Contact Person (for corporations):
Click to enter.
2d.
Address x
Street Address:
901 Sunset Drive
Address line 2:
Click to enter.
City:
Greensboro
State/ Province/ Region:
North Carolina
Postal/ Zip Code:
27408
Country:
USA
2e.
Telephone Number: x (###)###-####
Click to enter.
2f.
Fax Number: (###)###-####
Click to enter.
2g.
Email Address: x
Click to enter.
3.
Applicant Information (if different from owner)
3a.
Name: x
Gina Dorsey
3b.
Business Name (if applicable):
Kinder Morgan
3c.
Address:
Street Address:
1001 Louisiana Street
Address line 2:
Click to enter.
City:
Houston
State/ Province/ Region:
Texas
Postal/ Zip Code:
77002
Country
USA
3d.
Telephone Number: x (###)###-####
716-369-8975
3e
Fax Number: (###)###-####
Click to enter.
3f.
Email Address: x
[e-mail]
Page 4 of 21 PCN Form Version 4.3- April 20, 2022

4.
Agent/ Consultant (if applicable)
4a.
Name: x
Betsy Jorgensen
4b.
Business Name:
Jacobs
4c.
Address: *
Street Address:
10 10th Street
Address line 2:
Suite 1400
City:
Atlanta
State/ Province/ Region:
Georgia
Postal/ Zip Code:
30309
Country:
USA
4d.
Telephone Number: x (###)###-####
404-435-0830
4e
Fax Number: (###)###-####
Click to enter.
4f.
Email Address: x
betsy [e-mail]
Agent Authorization Letter:*
Attach a completed/signed agent authorization form or letter. A sample form may be found at this link:
https://www.saw. usace. army. m il/Missions/Regulatory- Perm it- Program/Perm its/201 7 - Nationwide- Perm its/Pre-
construction- Notification/
Page 5 of 21 PCN Form Version 4.3- April 20, 2022

C. Project Information and Prior Project History
1. Project Information
1 a. Name of project: *
NC-EXP-0002 Country Line Creek Tributary
Pipeline Protection
1 b. Subdivision name (if appropriate):
1c. Nearest municipality/town: *
Milton, NC
2.
Project Identification
2a.
Property identification number (tax PIN or parcel ID):
Parcel 01224 035
2b.
Property size (in acres):
2c.
Project Address:
Street Address:
Address line 2:
City:
State/ Province/ Region:
Click to enter.
Postal/ Zip Code:
Click to enter.
Country:
Click to enter.
2d.
Site coordinates in decimal degrees (using 4-6 digits
after the decimal point): *
Latitude (DD.DDDDDD): % 36.471869
Longitude (-DD.DDDDDD): %-79.197029
3. Surface Waters
3a. Name of nearest body of water to proposed project: %
Unnamed tributary to Country Line Creek
3b. Water Resources Classification of nearest receiving
Water Supply II; High Quality Waters
water: *
The Surface Water Classification map may be found at this link:
https://ncdenr.maps.arcgis.com/apps/webappviewer/index.htmI?id=6el 25ad7628f494694e259c80dd64265
Roanokeadditional
3c. In what river basin(s) is your project located? *
(if needed)
3d. Please provide the 12-digit HUC in which the project is
030101040203
located: *
The Find Your HUC map may be found at this link:
https://ncdenr.maps.arcgis.com/apps/PublicInformation/index.html?appid=ad3a85aOc6d644aOb97cdO69db238ac3
Page 6 of 21 PCN Form Version 4.3- April 20, 2022

4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of
this application: *
Refer to Attachment B — Supplemental Information
4b. Have Corps permits or DWR certifications been obtained for this
❑ Yes ❑x No ❑ Unknown
project (including all prior phases) in the past? *
If yes, please give the DWR Certification number and/or Corps
[Click to enter.]
Action ID (ex. SAW-0000-00000):
[Author]
Attach any pertinent project history documentation
4b2. Is any portion of the work already complete? %
❑ Yes ❑x No
If yes, describe the completed work.
Click to enter text.
4c. List of other certifications or approvals/denials received from other federal, state or local agencies for work
described in this application not related to the 404 or 401.
N/A
4d. Attach an 8'/2 x 11" excerpt from the most recent version of the USGS topographic map indicating the location of
the project site.
4e. Attach an 8'/2 x 11" excerpt from the most recent version of the published County NRCS Soil Survey map
depicting the project site.
4f. List the total estimated acreage of all existing wetlands on the
0.0 acres
property:
4g. List the total estimated linear feet of all existing streams (intermittent
4500 linear feet
and perennial) on the property:
4g1. List the total estimated acreage of all existing open waters on the
3.75 acres
property:
4h. Explain the purpose of the proposed project:
Refer to Attachment B — Supplemental Information
4i. Describe the overall project in detail, including the type of equipment to be used:
Refer to Attachment B — Supplemental Information
4j. Attach project drawings/site diagrams/depictions of impact areas for the proposed project.
4k. Will this activity involve dredging in wetlands or waters? %
❑ Yes ❑x No
If yes, describe the type of dredging, the composition of the dredged material, and the locations of disposal area.
Page 7 of 21 PCN Form Version 4.3- April 20, 2022

5.
Jurisdictional Determinations
5a.
Have the wetlands or streams been delineated on
the property or in
® Yes ❑ No ❑ Unknown
proposed impact areas?
Comments:
Refer to Attachment B — Supplemental Information
5b.
If the Corps made a jurisdictional determination,
❑ Preliminary ❑ Approved ❑ Emailed concurrence
what type of determination was made? *
❑x Not Verified ❑ Unknown ❑ n/a
Corps AID number (ex. SAW-0000-00000):
Click to enter.
Name (if known): Catie Donisi
5c.
If 5a is yes, who delineated the jurisdictional
A enc /Consultant Company: Jacobs
g y p y'
areas?
Other: Click to enter. PWS 3453
5d.
List the dates of the Corps jurisdictional determination or State determination if a determination was made by
either agency.
Click to enter.
5d1. Attach jurisdictional determinations.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ❑x No
6b. If yes, explain.
Are any other NWP(s), regional general permit(s), or individual permit(s) used, or intended to be used, to
authorize any part of the proposed project or related activity? This includes other separate and distant crossings
for linear projects that require Department of the Army authorization but don't require pre -construction
notification.
No
7. Addresses of adjoining property owners, lessees, etc. whose property adjoins the waterbody (if more than can be
entered here, please attach a supplemental list)
Refer to Attachment B — Supplemental Information
8. Scheduling of activity:
Proposed to be completed in 2022
Page 8 of 21 PCN Form Version 4.3- April 20, 2022

D. Proposed Impacts Inventory
Impacts Summary
la. Where are the impacts associated with your project
(check all that apply):
❑ Wetlands
❑ Buffers
❑ Pond Construction
❑x Streams - tributaries
❑ Open Waters
2. Wetland Impacts
If there are wetland impacts proposed on the site, complete this table for each wetland area impacted.
2a.
Site #
2a1.
Impact
Reason/Type%
2b.
Impact
Duration*
2c.
Wetland Type*
2d.
Wetland Name*
2e.
Forested
?*
2f.
Jurisdiction
Type*
2g.
Impact Area
(ac)*
W1
Choose one
Temp/ Perm
Choose one
Click to enter
Y/l,
Choose one
Click to enter
W2
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W3
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W4
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W5
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W6
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W7
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W8
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W9
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W10
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W11
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W12
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W13
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W14
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W15
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
2g1. Total temporary wetland impacts
Click to enter. ac
2g2. Total permanent wetland impacts
Click to enter. ac
2g3. Total wetland impacts
Click to enter. ac
2h. Type(s) of material being discharged and the amount of each type in cubic yards:
Click to enter text.
2i. Comments:
Click to enter text.
Page 9 of 21 PCN Form Version 4.3- April 20, 2022

3. Stream Impacts
If there are perennial or intermittent stream/ tributary impacts (including temporary impacts) proposed on the site,
complete this table for all stream/ tributary sites impacted.
** All Perennial or Intermittent streams must be verified by DWR or delegated local government
Site #*
3a
Impact
Reason*
3b.
Impact
Duration*
3c.
Impact Type*
3d.
Stream Name*
3e.
Stream
Type*
3f.
Jurisdiction
Type*
3g.
Stream Width
(avg ft) *
3h.
Impact length
(linear ft)
S1
Pipeline
protection
Temporary
Dewatering
CW_S102
Perennial
Both
15
30
S2
Pipeline
protection
Temporary
Excavation
CW_S102
Perennial
Both
15
30
S3
Pipeline
protection
Permanent
Fill (Incl.
Riprap)
CW_S102
Perennial
Both
15
57
S4
Pipeline
protection
Permanent
Bank
Stabilization
CW_S102
Perennial
Both
15
57
S5
Pipeline
protection
Permanent
Restoration/
Enhancement
CW_S102
Perennial
Both
15
57
S6
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S7
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S8
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S9
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S10
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S11
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S12
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S13
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S14
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S15
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S16
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S17
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S18
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S19
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S20
Click to enter
Temp/ Perm
Choose one
lick to enter
Per/Int
Choose one
Click to enter
Click to enter
3i1. Total jurisdictional ditch
impact:
Click to enter. linear ft
3i2. Total permanent stream
impacts:
57 linear ft
M. Total temporary stream
impacts:
30 linear ft
3i4. Total stream and ditch
impacts:
87 linear ft
3j. Comments:
Click to enter.
Page 10 of 21 PCN Form Version 4.3- April 20, 2022

Page 11 of 21 PCN Form Version 4.3- April 20, 2022

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., individually list all open water impacts in the table below.
4a.
Site #*
4a1.
Impact Reason
4b.
Impact
Duration*
4c.
Waterbody Name*
4d.
Activity Type*
4e.
Waterbody
Type*
4f.
Impact area
(ac)*
01
dick to ent(_
Temp/ Per
Click to enter.
Choose one
;hoose one
Click to enter.
02
Click to enter.
Temp/ Perm
Click to enter.
Choose one
;hoose one
Click to enter.
03
dick to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
04
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
05
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
4g.
Total temporary open water impacts
Click to enter. ac
4g.
Total permanent open water impacts
Click to enter. ac
4g.
Total open water impacts
Click to enter. ac
4h.
Comments:
Click to enter.
5.
Pond or Lake Construction
If pond or lake construction is proposed, complete
the table
below. (*This
does NOT include offline stormwater
management ponds.)
5a.
5b.
5c.
5d.
5e.
Pond ID
Proposed use or
Wetland Impacts (ac)
Stream
Impacts (ft)
Upland
#
purpose of pond
Impacts (ac)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
Click to
Click to
Click to
Click to
Click to
Click to
Click
enter.
enter.
enter.
enter.
enter.
enter.
entc
P2
Choose one
Click to
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
enter
P3
Choose one
Click to
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
enter.
5f.
Total
Click to
Click to
Click to
Click to
Click to
Click to
Click
enter.
enter.
enter.
enter.
enter.
enter.
ent-
5g.
Comments:
Click to enter.
5h.
Is a dam high hazard permit required?
❑ Yes ❑ No
If yes, permit ID no.:
Click to enter.
5i.
Expected pond surface area (acres):
Click to enter.
5j.
Size of pond watershed (acres):
Click to enter.
5k.
Method of construction:
Click to enter.
Page 12 of 21 PCN Form Version 4.3- April 20, 2022

6. Buffer Impacts (DWR requirement)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts.
6a. Project is in which protected basin(s)?
* (Check all that apply.)
❑ Neuse ❑ Tar -Pamlico ❑ Catawba
❑ Jordan ❑ Goose Creek ❑ Randleman
❑ Other: Click to enter.
Site #*
6b.
Impact Type*
6c.
Impact Duration*
6d.
Stream Name*
6e.
Buffer
Mitigation
Required?*
6f.
Zone 1 Impact*
(sq ft)
5g.
Zone 2 Impact*
(sq ft)
131
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter
132
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter
133
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter
134
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter
135
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
136
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
137
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
138
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
139
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B10
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
1311
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B12
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B13
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B14
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B15
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B16
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B17
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B18
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B19
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B20
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
5h. Total temporary impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
5h. Total permanent impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
5h. Total combined buffer impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
6i. Comments:
Click to enter.
Please attach supporting documentation (impact maps, plan sheets, etc.) for the proposed project.
Page 13 of 21 PCN Form Version 4.3- April 20, 2022

E. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts through project design:
Refer to Attachment B — Supplemental Information
1 b. Specifically describe measures taken to avoid or minimize proposed impacts through construction techniques:
Refer to Attachment B — Supplemental Information
2. Compensatory Mitigation for Impacts to Waters of the U.S., Waters of the State, or Riparian Buffers
2a. If compensatory mitigation is required, by whom is it required? % ❑ DWR ❑ Corps
(check all that apply)
2b. If yes, which mitigation option(s) will be used for this ❑ Mitigation Bank
project? * (check all that apply) ❑ In Lieu Fee Program
❑ Permittee Responsible Mitigation
3. Complete if using a Mitigation Bank
(Must satisfy NC General Statute143-214.11 (d1).)
3a. Name of mitigation bank:
Click to enter.
3b. Credits purchased/requested:
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Attach receipt and/or approval letter.
3c. Comments:
Click to enter.
4.
Complete if Using an In Lieu Fee Program
4a.
Attach approval letter from in lieu fee program.
4b.
Stream mitigation requested:
Click to enter. linear feet
4c.
If using stream mitigation, what is the stream temperature:
Choose one
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington
District's RIBITS website: (Please use the filter and select Wilmington district)
https://ribits.usace.army.mil/ribits apex/f?p=107:27:2734709611497::NO: RP: P27 BUTTON KEY:O
4d.
Buffer mitigation requested (DWR only):
Click to enter. square feet
4e.
Riparian wetland mitigation requested:
Click to enter acres
4f.
Non -riparian wetland mitigation requested:
Click to enter acres
4g.
Coastal (tidal) wetland mitigation requested:
Click to enter acres
4h.
Comments:
Click to enter.
Page 14 of 21 PCN Form Version 4.3- April 20, 2022

5. Complete if Providing a Permittee Responsible Mitigation Plan
5a. If proposing a permittee responsible mitigation plan, provide a description of the proposed mitigation plan,
including mitigation credits generated.
Click to enter.
5b. Attach mitigation plan/documentation.
6.
Buffer Mitigation (State Regulated Riparian Buffer Rules) - DWR requirement
6a.
Will the project result in an impact within a protected riparian buffer
that requires buffer mitigation?
❑ Yes ❑x No
If yes, please complete this entire section - please contact DWR for more information.
6b.
If yes, identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required in the table below.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
Click to enter.
Click to enter.
Choose one
Click to enter.
Zone 2
Click to enter.
Click to enter.
Choose one
Click to enter.
6f. Total buffer mitigation required
Click to enter.
6g.
If buffer mitigation is required, is payment to a mitigation bank or
NC Division of Mitigation Services proposed?
Fpyes El No
6h.
If yes, attach the acceptance letter from the mitigation bank or NC Division of Mitigation Services.
6i.
Comments:
Click to enter.
Page 15 of 21 PCN Form Version 4.3- April 20, 2022

F. Stormwater Management and Diffuse Flow Plan (DWR requirement)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers
❑ Yes 0 No
identified within one of the NC Riparian Buffer Protection Rules?
1 b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the
project is subject to a state implemented riparian buffer protection program, include a plan that fully documents
how diffuse/dispersed flow will be maintained.
All Stormwater Control Measures (SCM) must be designed in accordance with the NC Stormwater Design
Manual (https://deg.nc.gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-permit-
guidance/stormwater-bmp-manual).
Associated supplement forms and other documentation must be provided.
❑ Level Spreader
What Type of SCM are you
❑ Vegetated Conveyance (lower seasonal high water table- SHWT)
providing?
❑ Wetland Swale (higher SHWT)
(Check all that apply)
❑ Other SCM that removes minimum 30% nitrogen
❑ Proposed project will not create concentrated stormwater flow through the
buffer
For a list of options to meet the diffuse flow requirements, click here.
Attach diffuse flow documentation.
2.
Stormwater Management Plan
2a.
Is this an NCDOT project subject to compliance with NCDOT's
Individual NPDES permit NCS000250? x
El Yes 0 No
2b.
Does this project meet the requirements for low density projects as
defined in 15A NCAC 02H .1003(2)? x
❑ Yes 0 No
To look up low density requirements, click here:
http://reports.oah.state. nc. us/ncac/title%2015a%20-%20environmental%20quality/chapter%2002%20-
%20environ mental% 20management/subchapter%20h/15a%20ncac%2002h%20.1003.pdf
2c.
Does this project have a stormwater management plan (SMP)
ElYes 0 No
reviewed and approved under a state stormwater program or state -
approved local government stormwater program? *
0 n/a — project disturbs < 1 acre
Note: Projects that have vested rights, exemptions, or grandfathering from state or locally implemented
stormwater programs or projects that satisfy state or locally -implemented stormwater programs through use of
community in -lieu programs should answer "no" to this question.
2d.
Which of the following stormwater management program(s) apply?
❑ Local Government
(Check all that apply.)*
0 State
If you have local government approval, please include the SMP on their overall impact map.
Local Government Stormwater Programs *
❑ Phase II ❑ USMP
❑ NSW ❑ Water Supply
Page 16 of 21 PCN Form Version 4.3- April 20, 2022

Please identify which local government stormwater program you are using.
Click to enter.
State Stormwater Programs * ❑ Phase II ❑ HQW or ORW
❑ Coastal Counties 0 Other
Comments:
BMPs will be implemented per provided documentation.
Page 17 of 21 PCN Form Version 4.3- April 20, 2022

G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local)
❑ Yes ❑x No
funds or the use of public (federal/state) land? *
1 b. If you answered "yes" to the above, does the project require
preparation of an environmental document pursuant to the
requirements of the National or State (North Carolina) Environmental
El Yes El No
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
❑ Yes ❑ No
NEPA or SEPA final approval letter.)
Comments:
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A
NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300),
Federally Non -Jurisdictional Wetlands /Classified Surface Waters
❑ Yes ❑x No
(15A NCAC 2H. 1400) DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
2b. If you answered "yes" to the above question, provide an explanation of the violation(s):
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future
impacts) result in additional development, which could impact nearby
❑ Yes ❑x No
downstream water quality? *
3b. If you answered "no", provide a short narrative description:
An exposed pipeline in the creek is at risk of impact damage. The protection measures selected will protect the
14-inch pipeline.
3c. If yes, provide a qualitative or quantitative cumulative impact analysis in accordance with the most recent DWR
policy. (Attach .pdf)
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project? x I ❑ Yes ❑ No ❑x N/A
4b. If yes, describe in detail the treatment methods and dispositions (non -discharge or discharge) of wastewater
generated from the proposed project. If the wastewater will be treated at a treatment plant, list the capacity
available at that plant.
Click to enter.
Page 18 of 21 PCN Form Version 4.3- April 20, 2022

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected
® Yes ❑ No
species or habitat? (IPAC weblink: https://www.fws.gov/ipac/ Ifws.govl)
5b. Have you checked with the USFWS concerning Endangered Species
❑ Yes ❑x No
Act impacts? *
5c. If yes, indicate the USFWS Field Office you have contacted.
Choose one
5d. Is another federal agency involved? *
❑ Yes ❑x No ❑ Unknown
If yes, which federal agency?
Click to enter.
5e. Is this a DOT project located within Divisions 1-8? %
❑ Yes ❑x No
5f. Will you cut any trees in order to conduct the work in waters of the
U.S.? *
®Yes El No
5g. Does this project involve bridge maintenance or removal? %
❑ Yes ❑x No
5g1. If yes, have you inspected the bridge for signs of bat use such as
staining, guano, bats, etc.? Representative photos of signs of bat use
❑ Yes ❑ No
can be found in the NLEB SLOPES, Appendix F, pages 3-7.
Representative photos of signs of bat use can be found in the NLEB SLOPES, Appendix F, pages 3-7. Link to
NLEB SLOPES document: http://saw-reg.usace.army.miI/NLEB/1-30-17-signed NLEB-SLOPES&apps.pdf
If you answered yes to 5g1, did you discover any signs of bat use? *
❑ Yes ❑ No ❑ Unknown
If yes, please show the location of the bridge on the permit drawings/ project plans
5h. Does this project involve the construction/ installation of a wind
turbine(s)? *
❑ Yes 0 No
If yes, please show the location of the wind turbine(s) on the permit drawings/ project plans (attach .pdo
5i. Does this project involve blasting and /or other percussive activities
that will be conducted by machines, such as jackhammers,
® Yes ElNo
mechanized pile drivers, etc.?
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this
activity on the property (attach .pdf)
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated
Critical Habitat? *
USFWS Information for Planning and Consultation (IPaQ and North Carolina Heritage Program
Species/Community Search
Attach consultation documentation.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as
an Essential Fish Habitat? *
El Yes ❑x No
Is there submerged aquatic vegetation (SAV) around
the project vicinity? *
El Yes ❑x No El Unknown
Page 19 of 21 PCN Form Version 4.3- April 20, 2022

Will this project affect submerged aquatic vegetation? %
❑Yes ❑x No ❑ Unknown
Explain: Click to enter.
6b. What data source(s) did you use to determine whether your site would impact Essential Fish Habitat?
NOAA Essential Fish Habitat Mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data):
http://gis.ncdcr.gov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural
❑Yes ❑x No
preservation status (e.g., National Historic Trust designation or
properties significant in North Carolina history and archaeology)?
7b. What data source(s) did you use to determine whether your site would impact historic or archeological
resources? *
North Carolina State Preservation Office GIS Web Service HPOWEB 2.0. Project is within a previously disturbed
righ-of-way.
7c. Attach historic or prehistoric documentation.
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain? *
❑ Yes ❑x No
8b. If yes, explain how the project meets FEMA requirements.
Click to enter.
8c. What source(s) did you use to make the floodplain determination?
FEMA Floodplain Map 3710994900J
H. Miscellaneous
Comments:
Click to eni
Attach pertinent documentation or attachments not previously requested
Page 20 of 21 PCN Form Version 4.3- April 20, 2022

I. Signature *
❑x By checking the box and signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete, to
the best of my knowledge and belief;
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time;
• The project proponent hereby agrees that submission of this PCN form is a "transaction" subject to Chapter
66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• The project proponent hereby agrees to conduct this transaction by electronic means pursuant to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• The project proponent hereby understands that an electronic signature has the same legal effect and can be
enforced in the same way as a written signature; AND
• As the project proponent, I intend to electronically sign and submit the PCN/online form.
Full Name: * Gina Dorsey Q
Signature: * Click to enter. _Awl �.
Date: * Click to enter. 9/27/2022
Page 21 of 21 PCN Form Version 4.3- April 20, 2022

Caswell County, NC %
Kinder Morgan NC-EXP-0002 Country Line Creek Tributary Pace s
Attachment 2 - Supplemental Information
PPS1206211716ATL

Caswell County, NC 7
NC-EXP-0002 ,taco S
Kinder Morgan - NC-EXP-0002 Country Line Creek Tributary -
Supplemental Permit Information
Section C; Part 4; Question 4a: Existing site conditions and general land use
The project area is centered within Kinder Morgan's maintained right-of-way (ROW) but would
extend upstream and downstream along the unnamed tributary to Country Line Creek. The area
outside the maintained ROW is forested and the property is used as hunting grounds seasonally.
Section C; Part 4; Question 41h: Project purpose
The project will re-establish pipeline protection within a tributary to Country Line Creek
(designated as CW_S102) and minimize future risk to the pipeline.
Section C; Part 4; Question 4i: Project Description
The project will consist of pipeline protection activities at a location designated as NC-EXP-
0002, which is where Kinder Morgan's Products SE Pipe Line crosses a tributary to Country Line
Creek in Caswell County, North Carolina (36.471869,-79.197029 WGS84). There is 1 pipeline,
the 14-inch active pipeline (14" W14), within the 30-foot-wide Kinder Morgan ROW at the
project location.
The unnamed tributary to Country Line Creek (CW_S102) is a perennial stream that flows south
to north and crosses the Kinder Morgan ROW perpendicularly. There are approximately 32 linear
feet of stream within the ROW. CW S102 stream characteristics are described below under
Jurisdictional Determinations (Section C; Part 5). There are no abutting wetlands.
CW_S102 banks are incised with a 90 percent slope within the Kinder Morgan ROW. The stream
has headcut up to a boulder or rock outcrop located about 5 feet outside the ROW. The boulder
serves as a natural grade control structure. This downcutting has caused the 14" W 14 active
pipeline to become exposed for 12 feet and suspended 2.7 feet above the stream bed. The
exposed pipeline is at risk of impact damage and corrosion.
Kinder Morgan has evaluated options for permanently addressing pipeline protection issues at
this site and selected what they consider the most viable option. The approach selected will
protect the pipeline and minimize future erosion by reestablishing the stream bed from
upstream on the boulder to downstream past the pipeline and creating an energy dissipation
area on the downstream end. Additional permanent ROW on the upstream side (15 feet) and
downstream side (10 feet) has been requested from the landowners. Because the pipelines cross
a tributary of Country Line Creek, a jurisdictional water of the U.S., Kinder Morgan is seeking
authorization under the CWA Section 404 NWP 12 with Pre -construction Notification and a
North Carolina Department of Water Resources Individual 401 Water Quality Certification
(seeking authorization concurrently).
An existing gravel access road and the Kinder Morgan ROW would be used for the access route
and staging area.
PPS1206211616ATL

Caswell County, NC 7
NC-EXP-0002 ,taco S
A summary of the proposed pipeline protection project is provided below but the design
drawings in Attachment 3 should be referenced. The length of stream permanently impacted
would be up to 60 linear feet and the length of stream temporarily impacted would be up to an
additional 30 linear feet.
• Site Preparation — The minimum area necessary would be cleared and graded outside the
ROW to implement project, such as the areas where mats would be installed.
• Implement erosion control measures — Erosion control measures would be installed to
protect the stream area.
• Excavate and evaluate identified pipe locations — Exposed pipelines would be fully
inspected and evaluated to determine the condition of the pipeline.
• Remove existing coating, repair pipeline anomalies, restore coating - As needed, the
coating material across the entire length of the exposure would be removed by performing
an abrasive blast. Any defects would be repaired, and the pipe would be recoated.
• Install pipeline protection — A geotextile fabric would be wrapped around the extent of the
exposed pipeline. To support the pipe, the base must be replaced with a more stable
material. The pipeline area would be excavated approximately 4 feet below the existing
invert of the pipe. Graded Aggregate Base (GAB) would be installed below the exposed
pipeline and, if necessary, neoprene padding would be added to the crown of the pipe. Rip
rap would be hand placed around the diameter of the pipe for additional protection. An
articulating concrete block mat would be installed above the geotextile fabric/neoprene
mat. The articulating block mat would be anchored into the ground approximately 4 feet
below the invert of the pipeline.
Restore stream bed and bank —To raise the upstream creek bed, the creek bottom would be
filled from the upstream outcropping to north of the pipeline location with a mix of GAB or
similar alternative, R4 Rip Rap, and fill depending on position relative to pipeline. Banks
would be stabilized to protect backfill. Slopes on both sides of the water crossing would be
graded and restored. R4 Rip Rap would be installed downstream of the articulating mat to
protect the creek bottom and bank. A plunge pool would be created downstream of the
articulating mat and rip rap installed to dissipate energy.
All work would be done under dry conditions. To create a dry work site, a coffer or sandbag dam
would be used to access the stream where the project would be implemented. The dam would be
installed across CW_5102 upstream of the exposed pipeline; water above the dam would be
pumped or flumed around the dam to the stream below the work area. The stream would be
allowed to dewater naturally, if possible.
Best Management Practices
Best management practices (BMPs) implemented would include, but not be limited to, the
following:
BMPs include silt fencing around the workspace and around stockpile area to prevent
runoff into CW 5102.
PPS1206211616ATL

Caswell County, NC
NC-EXP-0002
.;acobs
• Equipment operated within the CW_S102 stream channel will be operated from mats.
Implementation of the dam -and -pump crossing method will meet the following
performance criteria:
use sufficient pumps, including on -site backup pumps, to maintain
downstream flows;
construct dams with materials that prevent sediment and other pollutants
from entering the waterbody (e.g., sandbags or clean gravel with plastic
liner);
iii. screen pump intakes to minimize entrainment of fish;
iv. prevent streambed scour at pump discharge; and
V. continuously monitor the dam and pumps to ensure proper operation
throughout the duration of the waterbody crossing.
• The flume crossing method will include implementation of the following steps:
install flume pipe after blasting (if necessary), but before any trenching;
use sand bag or sand bag and plastic sheeting diversion structure or
equivalent to develop an effective seal
iii. divert stream flow through the flume pipe (some modifications to the
stream bottom may be required to achieve an effective seal);
iv. properly align flume pipe(s) to prevent bank erosion and streambed scour;
V. do not remove flume pipe during trenching, inspection/maintenance, or
backfilling activities, or initial streambed restoration efforts; and
vi. remove all flume pipes and dams as soon as final cleanup of the stream bed
and bank is complete.
If dewatering of work area is necessary then a flotation device will be installed on the
intake valve, and removed water discharged to uplands through a filtering device to
minimize the potential for sediments and turbidity reaching the downstream portions of
CW_S102. Any pumps used for the dam and pump or trench dewatering will be in
secondary containment. The volume capacity of the secondary containment system will
be at least 2 times the fuel and oil capacity of the pump.
Section C; Part 5 — Jurisdictional Determinations
A wetland delineation of the project area, which includes the proposed project area and access
route, was conducted on March 29, 2022. Delineated features in the vicinity of the work areas
and access route are shown on Figure 2 and Figure 3 in Attachment 3 and are described below.
See Attachment 6 for NC DWQ Stream Identification Form. No wetlands were delineated in the
area of the proposed project.
PPS1206211616ATL

Caswell County, NC 7
NC-EXP-0002 ,taco S
CW_S102, a perennial stream, is an unnamed tributary to Country Line Creek where the pipe is
exposed and requires maintenance. The TOB width is 20 feet, TOB height is 10 feet, OHWM
width is 15 feet, wetted width is 15 feet, and maximum pool depth is 24 inches. It flows south to
north and has a primarily bedrock and cobble substrate. The pipeline maintenance work would
result in permanent and temporary stream impacts from the proposed pipeline protection
activities.
Section C; Part 6; Question 7 —Adjoining property owners whose property adjoins the
waterbody
Redco Limited Partnership
1495 Jack Pointer Rd
Semora, NC 27343
Margaret D & Bobby F Barker
1367 Jack Pointer Rd
Semora, NC 27343
Redco Limited Partnership — Mailing Address
901 Sunset Dr
Greensboro, NC 27408
Margaret D & Bobby F Barker — Mailing Address
1147 Jack Pointer Rd
Semora, NC 27343
W Osmond & Yancey Smith III — Physical and Mailing Address
10790 NC Highway 119 N
Semora, NC 27343
Jane Marie Pointer Jane Marie Pointer — Mailing Address
0 NC Highway 119 289 Jack Pointer Rd
Semora, NC 27343 Semora, NC 27343
Section E; Part 1; Question 1 a — Measures to avoid/minimize impacts through project
design
Kinder Morgan's existing petroleum pipeline must be protected. Permanent stream impacts are
limited to the necessary amount to reestablish the streambed over the petroleum pipeline using
the existing instream features.
Section E; Part 1; Question 1 b — Measures to avoid/minimize impacts through
construction techniques
The proposed pipeline protection would stabilize the stream bed and banks (which are currently
actively eroding up to the boulder than has been acting as a grade control structure) and limit
sediment transfer downstream once installed.
Section G; Part 5; Question 5a — Threatened and endangered species and critical
habitat
One federally endangered species, Roanoke logperch (Percina rex); one federally threatened
species, Atlantic pigtoe (Fusconaia masoni); and one federal candidate species, monarch
butterfly (Danaus plexippus), were identified in the U.S. Fish and Wildlife Service Information for
PPS1206211616ATL

Caswell County, NC
NC-EXP-0002
.;acobs
Planning and Consultation (IPaC) report for the project area and access route (see Attachment
5). There is no suitable habitat to support these species within the project area or along the
access route (see Threatened and Endangered Species Evaluation Table below) and there is no
designated critical habitat within the project area/access route. Therefore, no impacts to
threatened and endangered species from implementation of the proposed project are
anticipated.
Threatened and Endangered Species Evaluation Table — NC-EXP-0002
Scientific
Common
Federal
Habitat
Potential Occurrence
Name
Name
Listing
ercina rex
Roanoke
Endangered
Warm, usually clear, small to medium
None — Stream in the
logperch
rivers of moderate or somewhat low
project area is too small
gradient; in riffles, runs, and pools with
to support this species.
sandy to boulder -strewn bottoms.
There is no habitat
within the workspace or
along the access route
or this species.
usconaia
Atlantic
Threatened
Typically found in headwaters or rural
None — The substrate
asoni
pigtoe
watersheds. Preferred habitat is coarse
and flow of the stream
sand and gravel at the downstream
are not adequate to
edge of riffles. Requires fast flowing,
support this species.
well oxygenated streams and is
There is no habitat
restricted to fairly pristine habitats.
within the workspace or
along the access route
or this species.
Donaus
Monarch
Candidate
In general, breeding areas are virtually
Species has a moderate
(exippus
butterfly
all patches of milkweed in North
to high potential to
America and some other regions. The
occur between April and
critical conservation feature for North
September if there are
merican populations is the
milkweed plants in the
overwintering habitats, which are
ROW. Not within an
certain high altitude Mexican conifer
overwintering habitat.
forests or coastal California conifer or
Low potential for
eucalyptus groves. Coastal regions are
species to occur: No
important flyways and so nectar (wild or
milkweed plants were
in gardens) is an important resource in
observed in the project
such places.
area during the site visit
in March.
Section G; Part 5; Question 5f — Will you cut any trees in order to conduct the work in
waters of the U.S.?
To install the articulating mats, work would extend outside of the maintained ROW (15-30 feet
upstream and 10-20 feet downstream). Some tree clearing would be required outside of the
PPS1206211616ATL

Caswell County, NC 7
NC-EXP-0002 ,taco S.
existing ROW; however, none of these trees are within waters of the U.S. The minimum area
necessary would be cleared outside the ROW to implement the project.
Section G; Part 5; Question 5i — Percussive Activity
The proposed articulating concrete block mats are proposed to be keyed in upstream of the
instream bedrock/boulder. Upstream of this area, the substrate appeared to also be bedrock.
Percussive activities to create a small trench to key into the existing rock would be required. Use
of jackhammers would be limited to the amount necessary to secure the mat to the rock.
Section G; Part 7 — Cultural Resources
The bulk of the project area was highly disturbed for installation of Kinder Morgan's pipeline. As
a result, there is a low likelihood of impacting intact or contextually significant cultural resources
within the project area. If cultural resources are discovered during construction, work in the
immediate area will stop and a qualified archaeologist will be consulted. In the event human
remains or funerary objects are discovered, work will immediately stop and the North Carolina
Department of Natural and Cultural Resources will be contacted. No historic properties are
located within the proposed project area (see North Carolina Historic Preservation Office
HPOWEB Search Figure in Attachment 3).
Section H; Miscellaneous — Directions to Project Site
From Interstate 40 East, take Exit 150 toward Haw River and travel 0.2 mile. Turn left onto
Jimmie Kerr Road and travel for 2.3 miles. Turn right onto State Highway 49 North/Roxboro
Road and travel for 7.7 miles. Take a slight right onto Pleasant Grove Union School Road and
continue for 1.8 miles. Pleasant Grove Union School Road turns slightly left and becomes NC-
119 North. Follow NC-119 for 21.6 miles. Turn left onto Jack Pointer Road and continue for 1.5
miles before turning left down the driveway for 1495 Jack Pointer Road. Follow the driveway for
0.6 mile until you reach the intersection with the Kinder Morgan right-of-way (ROW). Head
southwest (right) down the right-of-way (ROW) for approximately 300 feet to reach the project
site.
PPS1206211616ATL

Caswell County, NC 7
Kinder Morgan NC-EXP-0002 Country Line Creek Tributary jaco s
Attachment 3 - Project Figures and Design Drawings
PPS1206211716ATL

i
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Service Layer Credits: USA _Topo_Maps: Copyright:© N
Feet
2013 National Geographic Society, i-cubed
World Street Map: State of North Carolina DOT, Esri,
0 250 500 1,000
HERE, Garmin, SafeGraph, GeoTechnologies, Inc,
METI/NASA, USGS, EPA, NIPS, USDA
1 inch = 1,000 feet
Notes:
1. Pipeline location is approximate as provided by client.
2. Project is located within the USGS 7.5-Minute Quadrangle: Leasburg
LEGEND
;...: Water Crossings
■■■� Access Roads
Pipeline
\\DC1 VS01\G ISPROJ K\KINDERMORGAN\WATER_CROSSINGS_2022\MAPFILES\KM_WC_AERIALS APRXAGAWINAM 7/27/2022 7/27/2022 9 45 AM
9
Red Hol
NC-EXP-0002 Country Line Creek Tributary
Figure 1 - Project Location USGS Topographic Map
Caswell County, North Carolina
Jacobs

Service Layer Credits: World Navigation Map: State of
North Carolina DOT, Esri, HERE, Garmin, SafeGraph,
GeoTechnologies, Inc, METI/NASA, USGS, EPA, NPS,
USDA
Bing Maps Hybrid: © 2022 Microsoft Corporation © 2022
Maxar ©CNES (2022) Distribution Airbus IDS © 2022
TomTom
Notes:
1. Pipeline location is approximate as provided by client.
Feet
0 220 440 880
Water Crossings 'NC-EXP-0002 Country Line Creek Tributary
Access Roads Figure 2 - Aerial Site Map with Access Route
Caswell County, North Carolina
Pipeline
Stream Polygon
Jacobs

Service Layer Credits: Bing Maps Hybrid: © 2022 N
Microsoft Corporation © 2022 Maxar ©CNES (2022)
Distribution Airbus IDS © 2022 TomTom
World Street Map: Esri Community Maps Contributors,
State of North Carolina DOT, © OpenStreetMap,
Microsoft, Esri, HERE, Garmin, SafeGraph,
GeoTechnologies, Inc, METI/NASA, USGS, EPA, NPS,
US Census Bureau, USDA
Notes:
1. Pipeline location is approximate as provided by client.
LEGEND
Water Crossings
Stream Line
.... Access Roads
Pipeline
or Stream Polygon
Feet
0 25 50
1 inch = 50 feet
NC-EXP-0002 Country Line Creek Tributary
Figure 3 - Aerial Site Map
Caswell County, North Carolina
Jacobs

Service Layer Credits: Bing Maps Hybrid: © 2022 N
Microsoft Corporation © 2022 Maxar ©CNES (2022) Feet
Distribution Airbus IDS © 2022 TomTom
World Street Map: State of North Carolina DOT, Esri, 0 125 250
HERE, Garmin, SafeGraph, GeoTechnologies, Inc,
METI/NASA, USGS, EPA, NPS, US Census Bureau, USDA 1 inch — 250 feet
Notes:
1. Pipeline location is approximate as provided by client.
LEGEND
Soil Type
Water Crossings
CsA: Codorus loam, 0 to 2 percent slopes, frequently flooded
Stream Line
HaB: Halifax sandy loam, 2 to 8 percent slopes
Access Roads
ReC: Rasalo-Enott complex, 8 to 15 percent slopes
Pipeline
ReD: Rasalo-Enott complex, 15 to 25 percent slopes
Stream Polygon
RhD: Rhodhiss sandy loam, 15 to 25 percent slopes
RhE: Rhodhiss sandy loam, 25 to 45 percent slopes
W: Water
NC-EXP-0002 Country Line Creek Tributary
Figure 4 - Soils Map
Caswell County, North Carolina
Jacobs

Service Layer Credits: Bing Maps Hybrid: © 2022 N
Microsoft Corporation © 2022 Maxar ©CNES (2022)
Distribution Airbus IDS © 2022 TomTom
World Street Map: State of North Carolina DOT, Esri,
HERE, Garmin, SafeGraph, GeoTechnologies, Inc,
METI/NASA, USGS, EPA, NPS, USDA
Notes:
1. Pipeline location is approximate as provided by client.
LEGEND
Water Crossings Pipeline
Stream Line Stream Polygon
.... Access Roads Parcels
Feet
0 375 750
1 inch = 750 feet
Gaddy µd
A�
X
x P
o
Osmond
NC-EXP-0002 Country Line Creek Tributary
Figure 5 - Site Parcel Map
Caswell County, North Carolina
r Ry
Jacobs

NCHPO HPOWEB - NC-EXP-0002
9/20/2022, 12:35:35 PM 1:18,056
0 0.13 0.25 0.5 mi
World Transportation
Surveyed Only individual resources & centerpoints
* Surveyed Only
Surveyed Only, Gone
DOE individual resources & centerpoints
Determined Eligible
' DOE, Gone
SL and DOE
SL and DOE. Gone
DOEHD Center Point
* SLDOEHD Center Point
SL districts & boundaries
0 Study List Boundary
0 0.2 0.4 0.8 km
Esri, HERE, Garmin, (c) OpenStreetMap contributors, State of North Carolina
DOT, Esri, HERE, Garmin, GeoTechnologies, Inc., NGA, USGS, NC
OneMap, NC Center for Geographic Information and Analysis, NC 911 Board
North Carolina State Historic Preservation Office
NC OneMap, NC Center for Geographic Information and Analysis, NC 911 Board I NC Center for Geographic Information and Analysis (NCCGIA), NC County Governments, US EPA I State of North

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SLOPE 0 TO 10%
CLAMP
DISCHARGE
LINE
2 IN. x 2 IN. STAKES
OR REBAR (TYR)
/--STAKES (TYR)
SEDIMENT AND WATER
CONSTRUCTION FENCE
SECTION
FILTER BAG
CONSTRUCTION FENCE
FILTER BAG
ZSHEET FLOW SHEET FLOW
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Filter Bag Dewatering Figure
O NOT TO SCALE Kinder Morgan
CONCEPTUAL DRAWING. NOT TO BE
USED FOR CONSTRUCTION.
,jacobs
PPS1130211416JAX • KM WETLAND DEWATERING PERMIT V2

Caswell County, NC 7
Kinder Morgan NC-EXP-0002 Country Line Creek Tributary jaco s
Attachment 4 - Photo Log
PPS1206211716ATL

.Jacobs. Photo Log
Project Title 2022 Water Crossing — North Carolina — NC-EXP-0002 Country Line Creek Tributary
Location Caswell County, NC
Date March 2022
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Photograph 1: Facing northeast showing exposed/suspended 14" W14 pipeline in perennial stream
CW 5102.
Taken by: Jen Wessel
Date taken: 0312912022
PPS1203210717ATL 1

2022 Water Crossing — North Carolina — NC-EXP-0002 Country Line Creek Tributary
March 2022
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Photograph 2: Facing upstream, southeast across work area. Boulder/rock outcrop visible in
background of picture
Taken by: Jen Wessel Date taken: 03/29/2022
Aa
Photograph 3: Facing downstream, northwest, across work area.
Taken by: Jen Wessel Date taken: 03/29/2022
PPS1203210717ATL

2022 Water Crossing — North Carolina — NC-EXP-0002 Country Line Creek Tributary
March 2022
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Photograph 4: Downstream view of where repair wouLd extend to.
Token by Jen Wessel Dote token: 0312912022
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Photograph 5: Upstream view of where repair wouLd extend to.
Token by Jen Wessel Dote token: 0312912022
PPS1203210717ATL

2022 Water Crossing — North Carolina — NC-EXP-0002 Country Line Creek Tributary
March 2022
.y
li
Photograph 6: Point along the access route (outside of the ROW) that abuts a pond and may
sometimes flood.
Taken by: Jen Wessel Date taken: 0312912022
4 PPs1203210717ATL

Caswell County, NC %
Kinder Morgan NC-EXP-0002 Country Line Creek Tributary pace s
Attachment 5 - USFWS Information for Planning and Consultation (IPaC)
Report
PPS1206211716ATL

United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Phone: [phone] Fax: [phone]
In Reply Refer To:
Project Code: 2022-0074756
e x
hSai k 4YYFJiYJft
+cfln7i�
i�
August 15, 2022
Project Name: Kinder Morgan 2022 Water Crossings - NC-EXP-0002 Country Line Creek
Tributary
Subject: List of threatened and endangered species that may occur in your proposed project
location or may be affected by your proposed project
To Whom It May Concern:
The enclosed species list identifies threatened, endangered, proposed and candidate species, as
well as proposed and final designated critical habitat, that may occur within the boundary of your
proposed project and/or may be affected by your proposed project. The species list fulfills the
requirements of the U.S. Fish and Wildlife Service (Service) under section 7(c) of the
Endangered Species Act (Act) of 1973, as amended (16 U.S.C. 1531 et seq.). If your project area
contains suitable habitat for any of the federally -listed species on this species list, the proposed
action has the potential to adversely affect those species. If suitable habitat is present, surveys
should be conducted to determine the species' presence or absence within the project area. The
use of this species list and/or North Carolina Natural Heritage program data should not be
substituted for actual field surveys.
New information based on updated surveys, changes in the abundance and distribution of
species, changed habitat conditions, or other factors could change this list. Please feel free to
contact us if you need more current information or assistance regarding the potential impacts to
federally proposed, listed, and candidate species and federally designated and proposed critical
habitat. Please note that under 50 CFR 402.12(e) of the regulations implementing section 7 of the
Act, the accuracy of this species list should be verified after 90 days. This verification can be
completed formally or informally as desired. The Service recommends that verification be
completed by visiting the ECOS-IPaC website at regular intervals during project planning and
implementation for updates to species lists and information. An updated list may be requested
through the ECOS-IPaC system by completing the same process used to receive the enclosed list.
The purpose of the Act is to provide a means whereby threatened and endangered species and the
ecosystems upon which they depend may be conserved. Under sections 7(a)(1) and 7(a)(2) of the
Act and its implementing regulations (50 CFR 402 et seq.), Federal agencies are required to
utilize their authorities to carry out programs for the conservation of threatened and endangered

08/15/2022
species and to determine whether projects may affect threatened and endangered species and/or
designated critical habitat.
A Biological Assessment is required for construction projects (or other undertakings having
similar physical impacts) that are major Federal actions significantly affecting the quality of the
human environment as defined in the National Environmental Policy Act (42 U.S.C. 4332(2)
(c)). For projects other than major construction activities, the Service suggests that a biological
evaluation similar to a Biological Assessment be prepared to determine whether the project may
affect listed or proposed species and/or designated or proposed critical habitat. Recommended
contents of a Biological Assessment are described at 50 CFR 402.12.
If a Federal agency determines, based on the Biological Assessment or biological evaluation, that
listed species and/or designated critical habitat may be affected by the proposed project, the
agency is required to consult with the Service pursuant to 50 CFR 402. In addition, the Service
recommends that candidate species, proposed species and proposed critical habitat be addressed
within the consultation. More information on the regulations and procedures for section 7
consultation, including the role of permit or license applicants, can be found in the "Endangered
Species Consultation Handbook" at:
http://www.fws.gov/endangered/esa-library/pdf/TOC-GLOS.PDF
Migratory Birds: In addition to responsibilities to protect threatened and endangered species
under the Endangered Species Act (ESA), there are additional responsibilities under the
Migratory Bird Treaty Act (MBTA) and the Bald and Golden Eagle Protection Act (BGEPA) to
protect native birds from project -related impacts. Any activity, intentional or unintentional,
resulting in take of migratory birds, including eagles, is prohibited unless otherwise permitted by
the U.S. Fish and Wildlife Service (50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)). For more
information regarding these Acts see https://www.fws.gov/birds/policies-and-regulations.php.
The MBTA has no provision for allowing take of migratory birds that may be unintentionally
killed or injured by otherwise lawful activities. It is the responsibility of the project proponent to
comply with these Acts by identifying potential impacts to migratory birds and eagles within
applicable NEPA documents (when there is a federal nexus) or a Bird/Eagle Conservation Plan
(when there is no federal nexus). Proponents should implement conservation measures to avoid
or minimize the production of project -related stressors or minimize the exposure of birds and
their resources to the project -related stressors. For more information on avian stressors and
recommended conservation measures see https://www.fws.gov/birds/bird-enthusiasts/threats-to-
birds.php.
In addition to MBTA and BGEPA, Executive Order 13186: Responsibilities of Federal Agencies
to Protect Migratory Birds, obligates all Federal agencies that engage in or authorize activities
that might affect migratory birds, to minimize those effects and encourage conservation measures
that will improve bird populations. Executive Order 13186 provides for the protection of both
migratory birds and migratory bird habitat. For information regarding the implementation of
Executive Order 13186, please visit https://www.fws.gov/birds/policies-and-regulations/
executive-orders/e0-13186. php.

08/15/2022
3
We appreciate your concern for threatened and endangered species. The Service encourages
Federal agencies to include conservation of threatened and endangered species into their project
planning to further the purposes of the Act. Please include the Consultation Code in the header of
this letter with any request for consultation or correspondence about your project that you submit
to our office.
Attachment(s):
• Official Species List
• Migratory Birds

08/15/2022
Official Species List
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
[phone]

08/15/2022
Project Summary
Project Code: 2022-0074756
Project Name: Kinder Morgan 2022 Water Crossings - NC-EXP-0002 Country Line
Creek Tributary
Project Type: Pipeline - Onshore - Maintenance / Modification - Below Ground
Project Description: Pipeline maintenance
Project Location:
Approximate location of the project can be viewed in Google Maps: https:
www. google.com/maps/(a)36.4753246,-79.19545453678607,14z
Counties: Caswell County, North Carolina

08/15/2022 3
Endangered Species Act Species
There is a total of 3 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheriesi, as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
1. NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
Fishes
NAME STATUS
Roanoke Logperch Percina rex Endangered
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/1134
Clams
NAME STATUS
Atlantic Pigtoe Fusconaia masoni Threatened
There is final critical habitat for this species. The location of the critical habitat is not available.
Species profile: https:Hecos.fws.gov/ecp/species/5164
Insects
NAME
Monarch Butterfly Danaus plexippus
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/9743
STATUS
Candidate
Critical habitats
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.

08/15/2022
Migratory Birds
Certain birds are protected under the Migratory Bird Treaty Act! and the Bald and Golden Eagle
Protection Actz.
Any person or organization who plans or conducts activities that may result in impacts to
migratory birds, eagles, and their habitats should follow appropriate regulations and consider
implementing appropriate conservation measures, as described below.
1. The Migratory Birds Treat. Act of 1918.
2. The Bald and Golden Eagle Protection Act of 1940.
3. 50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)
The birds listed below are birds of particular concern either because they occur on the
USFWS Birds of Conservation Concern (BCC) list or warrant special attention in your
project location. To learn more about the levels of concern for birds on your list and how this
list is generated, see the FAQ below. This is not a list of every bird you may find in this location,
nor a guarantee that every bird on this list will be found in your project area. To see exact
locations of where birders and the general public have sighted birds in and around your project
area, visit the E-bird data mapping tool (Tip: enter your location, desired date range and a species
on your list). For projects that occur off the Atlantic Coast, additional maps and models detailing
the relative occurrence and abundance of bird species on your list are available. Links to
additional information about Atlantic Coast birds, and other important information about your
migratory bird list, including how to properly interpret and use your migratory bird report, can be
found below.
For guidance on when to schedule activities or implement avoidance and minimization measures
to reduce impacts to migratory birds on your list, click on the PROBABILITY OF PRESENCE
SUMMARY at the top of your list to see when these birds are most likely to be present and
breeding in your project area.
BREEDING
NAME SEASON
Bald Eagle Haliaeetus leucocephalus Breeds Sep 1 to
This is not a Bird of Conservation Concern (BCC) in this area, but warrants attention Jul 31
because of the Eagle Act or for potential susceptibilities in offshore areas from certain types
of development or activities.
https:Hecos.fws.gov/ecp/species/1626
Chimney Swift Chaetura pelagica Breeds Mar 15
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA t0 Aug 25
and Alaska.

08/15/2022
BREEDING
NAME SEASON
Eastern Whip -poor -will Antrostomus voci ferns Breeds May 1
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Aug 20
and Alaska.
Kentucky Warbler Oporornis formosus
Breeds Apr 20
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA
to Aug 20
and Alaska.
Prairie Warbler Dendroica discolor
Breeds May 1
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA
to Jul 31
and Alaska.
Prothonotary Warbler Protonotaria citrea
Breeds Apr 1 to
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA
Jul 31
and Alaska.
Red-headed Woodpecker Melanerpes erythrocephalus
Breeds May 10
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA
to Sep 10
and Alaska.
Rusty Blackbird Euphagus carolinus Breeds
This is a Bird of Conservation Concern (BCC) only in particular Bird Conservation Regions elsewhere
(BCRs) in the continental USA
Wood Thrush Hylocichla mustelina Breeds May 10
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Aug 31
and Alaska.
Probability Of Presence Summary
The graphs below provide our best understanding of when birds of concern are most likely to be
present in your project area. This information can be used to tailor and schedule your project
activities to avoid or minimize impacts to birds. Please make sure you read and understand the
FAQ "Proper Interpretation and Use of Your Migratory Bird Report" before using or attempting
to interpret this report.
Probability of Presence (■)
Each green bar represents the bird's relative probability of presence in the 10km grid cell(s) your
project overlaps during a particular week of the year. (A year is represented as 12 4-week
months.) A taller bar indicates a higher probability of species presence. The survey effort (see
below) can be used to establish a level of confidence in the presence score. One can have higher
confidence in the presence score if the corresponding survey effort is also high.
How is the probability of presence score calculated? The calculation is done in three steps:
The probability of presence for each week is calculated as the number of survey events in
the week where the species was detected divided by the total number of survey events for
that week. For example, if in week 12 there were 20 survey events and the Spotted Towhee

08/15/2022
was found in 5 of them, the probability of presence of the Spotted Towhee in week 12 is
0.25.
2. To properly present the pattern of presence across the year, the relative probability of
presence is calculated. This is the probability of presence divided by the maximum
probability of presence across all weeks. For example, imagine the probability of presence
in week 20 for the Spotted Towhee is 0.05, and that the probability of presence at week 12
(0.25) is the maximum of any week of the year. The relative probability of presence on
week 12 is 0.25/0.25 = 1; at week 20 it is 0.05/0.25 = 0.2.
3. The relative probability of presence calculated in the previous step undergoes a statistical
conversion so that all possible values fall between 0 and 10, inclusive. This is the
probability of presence score.
Breeding Season( )
Yellow bars denote a very liberal estimate of the time -frame inside which the bird breeds across
its entire range. If there are no yellow bars shown for a bird, it does not breed in your project
area.
Survey Effort (1)
Vertical black lines superimposed on probability of presence bars indicate the number of surveys
performed for that species in the 10km grid cell(s) your project area overlaps. The number of
surveys is expressed as a range, for example, 33 to 64 surveys.
No Data (—)
A week is marked as having no data if there were no survey events for that week.
Survey Timeframe
Surveys from only the last 10 years are used in order to ensure delivery of currently relevant
information. The exception to this is areas off the Atlantic coast, where bird returns are based on
all years of available data, since data in these areas is currently much more sparse.
— probability of presence breeding season I survey effort — no data
SPECIES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Bald Eagle �+J Jkli +11+ Jill Jill ��A-j Jill
Non -BCC Jill Jill 1111 Jill Jill �00 No
Vulnerable
III Jill Ji
Chimney Swift
BCC Rangewide +++— +--- — " s''— +�„+" "" —F—--+—
(CON)
Eastern Whip -poor- "'' —+" "'—'"""1 11-1 V—
Whip -poor -
Will
BCC Rangewide ��-- ---- ---- --'
(CON)

08/15/2022
4
Kentucky Warbler +++- +--- —+- 4-4-+ ' - +++' "" 111+ —+—+ —��— —+++ --+—
BCC Rangewide
(CON) — ---- ---
Prairie Warbler BCC Rangewide ""' �� 11'M UP + „
+++— +--- —+-- + + —+—+ —+++ --+—
(CON)
Prothonotary 7�;-74-i!
Warbler +++— +--- —+-- ++——'�+ ++++ —+—+ —��— —+++ --+—
BCC Rangewide IEW7
(CON)
Red-headed
Woodpecker '++— +---—+--'+—+ — +++— F-1 ou —+" —+++ --+—
BCC Rangewide
(CON)
Rusty Blackbird +++— +--- —+-- ++—+ —+-- +++— ++—+--+—
BCC -BCR
Wood Thrush 111111+++
BCC Rangewide +++- +--- —+-- ++—' —"' J' +" ---- —+++ --+—
(CON)
Additional information can be found using the following links:
• Birds of Conservation Concern https://www.fws.gov/program/migratory-birds/species
• Measures for avoiding and minimizing impacts to birds https://www.fws.gov/library
collections/avoidinp--and-minimizinp--incidental-take-mip-ratorv-birds
• Nationwide conservation measures for birds https://www.fws.gov/sites/default/files/
documents/nationwide-standard-conservation-measures.pdf
Migratory Birds FAQ
Tell me more about conservation measures I can implement to avoid or minimize impacts
to migratory birds.
Nationwide Conservation Measures describes measures that can help avoid and minimize
impacts to all birds at any location year round. Implementation of these measures is particularly
important when birds are most likely to occur in the project area. When birds may be breeding in
the area, identifying the locations of any active nests and avoiding their destruction is a very
helpful impact minimization measure. To see when birds are most likely to occur and be breeding
in your project area, view the Probability of Presence Summary. Additional measures or permits
may be advisable depending on the type of activity you are conducting and the type of
infrastructure or bird species present on your project site.
What does IPaC use to generate the list of migratory birds that potentially occur in my
specified location?
The Migratory Bird Resource List is comprised of USFWS Birds of Conservation Concern
(BCQ and other species that may warrant special attention in your project location.

08/15/2022 5
The migratory bird list generated for your project is derived from data provided by the Avian
Knowledge Network (AKN). The AKN data is based on a growing collection of survey, banding,
and citizen science datasets and is queried and filtered to return a list of those birds reported as
occurring in the 10km grid cell(s) which your project intersects, and that have been identified as
warranting special attention because they are a BCC species in that area, an eagle (Eagle Act
requirements may apply), or a species that has a particular vulnerability to offshore activities or
development.
Again, the Migratory Bird Resource list includes only a subset of birds that may occur in your
project area. It is not representative of all birds that may occur in your project area. To get a list
of all birds potentially present in your project area, please visit the Rapid Avian Information
Locator (RAIL,) Tool.
What does IPaC use to generate the probability of presence graphs for the migratory birds
potentially occurring in my specified location?
The probability of presence graphs associated with your migratory bird list are based on data
provided by the Avian Knowledge Network (AKN). This data is derived from a growing
collection of survey, banding, and citizen science datasets.
Probability of presence data is continuously being updated as new and better information
becomes available. To learn more about how the probability of presence graphs are produced and
how to interpret them, go the Probability of Presence Summary and then click on the "Tell me
about these graphs" link.
How do I know if a bird is breeding, wintering or migrating in my area?
To see what part of a particular bird's range your project area falls within (i.e. breeding,
wintering, migrating or year-round), you may query your location using the RAIL Tool and look
at the range maps provided for birds in your area at the bottom of the profiles provided for each
bird in your results. If a bird on your migratory bird species list has a breeding season associated
with it, if that bird does occur in your project area, there may be nests present at some point
within the timeframe specified. If "Breeds elsewhere" is indicated, then the bird likely does not
breed in your project area.
What are the levels of concern for migratory birds?
Migratory birds delivered through IPaC fall into the following distinct categories of concern:
1. "BCC Rangewide" birds are Birds of Conservation Concern (BCC) that are of concern
throughout their range anywhere within the USA (including Hawaii, the Pacific Islands,
Puerto Rico, and the Virgin Islands);
2. "BCC - BCR" birds are BCCs that are of concern only in particular Bird Conservation
Regions (BCRs) in the continental USA; and
3. "Non -BCC - Vulnerable" birds are not BCC species in your project area, but appear on
your list either because of the Eagle Act requirements (for eagles) or (for non -eagles)
potential susceptibilities in offshore areas from certain types of development or activities
(e.g. offshore energy development or longline fishing).

08/15/2022 6
Although it is important to try to avoid and minimize impacts to all birds, efforts should be made,
in particular, to avoid and minimize impacts to the birds on this list, especially eagles and BCC
species of rangewide concern. For more information on conservation measures you can
implement to help avoid and minimize migratory bird impacts and requirements for eagles,
please see the FAQs for these topics.
Details about birds that are potentially affected by offshore projects
For additional details about the relative occurrence and abundance of both individual bird species
and groups of bird species within your project area off the Atlantic Coast, please visit the
Northeast Ocean Data Portal. The Portal also offers data and information about other taxa besides
birds that may be helpful to you in your project review. Alternately, you may download the bird
model results files underlying the portal maps through the NOAA NCCOS Integrative Statistical
Modeling and Predictive Mapping of Marine Bird Distributions and Abundance on the Atlantic
Outer Continental Shelf project webpage.
Bird tracking data can also provide additional details about occurrence and habitat use
throughout the year, including migration. Models relying on survey data may not include this
information. For additional information on marine bird tracking data, see the Diving Bird Study
and the nanotag studies or contact Caleb Spiegel or Pam Lorin.
What if I have eagles on my list?
If your project has the potential to disturb or kill eagles, you may need to obtain a permit to avoid
violating the Eagle Act should such impacts occur.
Proper Interpretation and Use of Your Migratory Bird Report
The migratory bird list generated is not a list of all birds in your project area, only a subset of
birds of priority concern. To learn more about how your list is generated, and see options for
identifying what other birds may be in your project area, please see the FAQ "What does IPaC
use to generate the migratory birds potentially occurring in my specified location". Please be
aware this report provides the "probability of presence" of birds within the 10 km grid cell(s) that
overlap your project; not your exact project footprint. On the graphs provided, please also look
carefully at the survey effort (indicated by the black vertical bar) and for the existence of the "no
data" indicator (a red horizontal bar). A high survey effort is the key component. If the survey
effort is high, then the probability of presence score can be viewed as more dependable. In
contrast, a low survey effort bar or no data bar means a lack of data and, therefore, a lack of
certainty about presence of the species. This list is not perfect; it is simply a starting point for
identifying what birds of concern have the potential to be in your project area, when they might
be there, and if they might be breeding (which means nests might be present). The list helps you
know what to look for to confirm presence, and helps guide you in knowing when to implement
conservation measures to avoid or minimize potential impacts from your project activities,
should presence be confirmed. To learn more about conservation measures, visit the FAQ "Tell
me about conservation measures I can implement to avoid or minimize impacts to migratory
birds" at the bottom of your migratory bird trust resources page.

08/15/2022
IPaC User Contact Information
Agency: Jacobs
Name: Ursula Rogers
Address: 18 Tremont St
Address Line 2: Suite 700
City:
Boston
State:
MA
Zip:
02108
Email
[e-mail]
Phone:
9492263738

Caswell County, NC %
Kinder Morgan NC-EXP-0002 Country Line Creek Tributary pace s
Attachment 6 - NC DWQ Stream Identification Form
PPS1206211716ATL

NC DWQ Stream Identification Form Version 4.11
Date: Q3/29/2Q22
Project/Site: Kinder Morgan Water Crossing
Latitude: 36.471821
Evaluator: CD
County:
Longitude: _79.197128
Total Points:
32
Stream Determination (circle one)
Other
Stream is at least intermittent
if >_ 19 or perennial if >_ 30`
Ephemeral Intermittent perennial
I e.g. Quad Name:
A. Geomorphology (Subtotal = 21 )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
x 3
2. Sinuosity of channel along thalweg
0
1
x 2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
x 3
4. Particle size of stream substrate
0
1
2
x 3
5. Active/relict floodplain
0
X 1
2
3
6. Depositional bars or benches
X 0
1
2
3
7. Recent alluvial deposits
X 0
1
2
3
8. Headcuts
0
1
2
x 3
9. Grade control
0
0.5
1
x 1.5
10. Natural valley
0
0.5
1
x 1.5
11. Second or greater order channel
No = 0
x Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 5 )
12. Presence of Baseflow
0
1
2
x 3
13. Iron oxidizing bacteria
X 0
1
2
3
14. Leaf litter
1.5
X 1
0.5
0
15. Sediment on plants or debris
X 0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
X 1
1.5
17. Soil -based evidence of high water table?
x No = 0
Yes = 3
C. Biology (Subtotal = 6
18. Fibrous roots in streambed
3
x 2
1
0
19. Rooted upland plants in streambed
x 3
2
1
0
20. Macrobenthos (note diversity and abundance)
X 0
1
2
3
21. Aquatic Mollusks
x 0
1
2
3
22. Fish
0
x 0.5
1
1.5
23. Crayfish
x 0
0.5
1
1.5
24. Amphibians
0
x 0.5
1
1.5
25. Algae
X 0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

Caswell County, NC %
Kinder Morgan NC-EXP-0002 Country Line Creek Tributary pace s
Attachment 7 - Agent Authorization Form
PPS1206211716ATL

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. 1 PLAN NO. PARCEL ID: 0124035
STREET ADDRESS: 1495 Jack Pointer Rd, Semora NC
Please print: Gina Dorsev/Kinder Morgan
Project Applicant:
Project Applicant:
The undersigned, project applicant/easement holder of the above noted property, do hereby
authorize
Betsy Jorgensen Jacobs on behalf of Kinder Morgan
of
(Contractor / Agent)
(Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance
of this permit or certification and any and all standard and special conditions attached.
Prcject Applicant's Address:
1001 Louisiana Street, Houston, Texas 77002
Telephone:
713-369-8975
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Digitally signed by Gina
Gina Dorse Dateey
y Date 2o2z1 a12
11 41 31-05'00'
Authorized Signature
Authorized Signature
Date: Date:

.--w.+a.• K 1 0 +.dn..,•[w [G L .C. k I 0 CEW ws IG - --, x r [.— c..."..e , f + v — a X

Caswell County, NC 7
Kinder Morgan NC-EXP-0002 Country Line Creek Tributary jaco s
Attachment 8 - Pre -filing Meeting Request
PPS1206211716ATL

Donisi, Catie/JAX
From: 401 Pre File <401 Pre [e-mail]>
Sent: Thursday, August 25, 2022 3:15 PM
To: Donisi, Catie
Subject: Automatic reply: [External] Pre -Filling Meeting Request for Kinder Morgan's NC-
EXP-0002 Country Line Creek Tributary
This email confirms receipt of your pre -filing meeting request. Please retain this email for your records and
submit this documentation as part of your 401 application (PCN Application) as required by federal law. DWR
will not be able to accept your application without this federally required documentation. 401 applications
received without documentation that a pre -filing meeting request was submitted at least 30 days prior will be
returned as incomplete.
Responses to this email are not monitored.
Background
On April 6, 2022, the United States Supreme Court issued an order staying a lower court's vacatur of the
Trump Administration's 2020 "Clean Water Act Section 401 Certification Rule" ("Federal Rule"). As a result of
the United States Supreme Court order, the Trump Administration's Federal Rule has sprung back into effect.
The Trump Administration's Federal Rule imposes additional procedural requirements on applicants for 401
Certifications and on DWR's processing of those applications. One requirement is that 401 applicants must
request a pre -filing meeting request at least 30 days prior to submitting their 401 application. [40 C.F.R.
§121.4] In turn, the Federal Rule requires that applicants include documentation of their pre -filing meeting
request in their 401 Certification application. [40 C.F.R §121.1; 40 C.F.R. §121.5]. Please refer to the Federal
Rule for more information.
Per 40 CFR §121 and §121.5, a 401 Certification application that does not include the required pre -filing
meeting request documentation does not constitute a "certification request." As a result of the reinstatement
of the Trump Administration's Federal Rule, all 401 applications received after April 6, 2022 that do not have
documentation that a pre -filing meeting request was submitted at least 30 days prior to submittal of a 401
Certification application will be returned as incomplete.
If you need to contact 401/Buffer Permitting Staff, please use the following link(s) to access of staff contact
Iist(s).
For Non -Transportation Central Staff:
https://deg.nc.gov/about/divisions/water-resources/water-quality-permitting/401-buffer-permitting/401-
buffer-permitting-contacts
For Non -Transportation Regional
Staff: https://edocs.deg.nc.gov/WaterResources/DocView.aspx?dbid=0&id=2162034&cr=1
For all Transportation Projects Including NCDOT Projects:
https://deg.nc.gov/a bout/d ivisions/water-resources/water-resources-permits/tra nsportation-
pe rmitting/staff-contacts

From: Donisi, Catie
To: 401PreFile( ncdenr.aov
Cc: Jorgensen. Betsy; Roddy. Will; Rogers. Ursula
Subject: Pre -Filling Meeting Request for Kinder Morgan"s NC-EXP-0002 Country Line Creek Tributary
Date: Thursday, August 25, 2022 3:19:06 PM
Attachments: C1. Fiaurel Two NC-EXP-0002 Country Line Creek Tributarv.odf
C2. Fioure2 SiteAccess NC-EXP-0002 Country Line Creek Tributarv.odf
Good afternoon,
We are requesting on the behalf of Kinder Morgan a Pre -Filling Meeting for Kinder Morgan's NC-
EXP-0002 Country Line Creek Tributary project. The project will consist of pipeline protection
activities at a location designated as NC-EXP-0002, which is where Kinder Morgan's Products SE Pipe
Line crosses an unnamed tributary (designated as CW_5102) to Country Line Creek in Caswell
County, North Carolina (36.471856,-79.197103 WGS84). Downcutting and erosion has exposed one
pipeline. There are no wetlands within the project area or access routes. Preliminary designs are
anticipating maximum 30 linear feet of stream impacts and 45 cubic yards of excavation to
CW_5102. There are no environmental concerns along the access route. There is no T&E habitat in
the access or workspace. No direct impacts to protected species and their habitat are anticipated
from the proposed. For your reference a topographic and an aerial figure for the project location
have been attached. If you have any questions regarding this request or require any additional
information, please contact me by email at Catie.donisiCor iacobs.com or [phone] or Betsy
Jorgensen at [phone] or email Betsy.JorgensenPiacobs.com.
Thank you,
Catie
Catie Donisi, GTA, PWS I Jacobs I Environmental Scientist, GIS
M:+1.727.348.0528 I [e-mail]
5401 W Kennedy Blvd, Suite 300 1 Tampa, Florida 336091 USA
Upcoming Field Work: Sept 19 — 23, Oct 28th Upcoming PTO: Aug 26 — 29, Sep 5-8, Oct 13 - 25

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Service Layer Credits: USA _Topo_Maps: Copyright:© N
Feet
2013 National Geographic Society, i-cubed
World Street Map: State of North Carolina DOT, Esri,
0 250 500 1,000
HERE, Garmin, SafeGraph, GeoTechnologies, Inc,
METI/NASA, USGS, EPA, NIPS, USDA
1 inch = 1,000 feet
Notes:
1. Pipeline location is approximate as provided by client.
2. Project is located within the USGS 7.5-Minute Quadrangle: Leasburg
LEGEND
;...: Water Crossings
■■■� Access Roads
Pipeline
\\DC1 VS01\G ISPROJ K\KINDERMORGAN\WATER_CROSSINGS_2022\MAPFILES\KM_WC_AERIALS APRXAGAWINAM 7/27/2022 7/27/2022 9 45 AM
9
Red Hol
NC-EXP-0002 Country Line Creek Tributary
Figure 1 - Project Location USGS Topographic Map
Caswell County, North Carolina
Jacobs

Service Layer Credits: World Navigation Map: State of
North Carolina DOT, Esri, HERE, Garmin, SafeGraph,
GeoTechnologies, Inc, METI/NASA, USGS, EPA, NPS,
USDA
Bing Maps Hybrid: © 2022 Microsoft Corporation © 2022
Maxar ©CNES (2022) Distribution Airbus IDS © 2022
TomTom
Notes:
1. Pipeline location is approximate as provided by client.
Feet
0 220 440 880
Water Crossings 'NC-EXP-0002 Country Line Creek Tributary
Access Roads Figure 2 - Aerial Site Map with Access Route
Caswell County, North Carolina
Pipeline
Stream Polygon
Jacobs