20220790 Ver 1_More Info Received_20221019

Staff Review Form
NORTH CAROLINA
Envlronm¢ntcl Qvofiry
Updated September 4, 2020
Staff Review
Does this application have all the attachments needed to accept it into the review process?*
Yes No
ID#*
20220790
Version* 1
Is this project a public transportation project?*
Yes
• No
Reviewer List: * Paul Wojoski:EADS\pawojoski
Select Reviewing Office: * Central Office - [phone]
Does this project require a request for payment to be sent?*
Yes
No

Project Submittal Form
*
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: *
For the Record Only (Courtesy Copy)
New Project
Modification/New Project with Existing ID
More Information Response
Other Agency Comments
Pre -Application Submittal
Re-Issuance\Renewal Request
Stream or Buffer Appeal
Pre -Filing Meeting Date Request was submitted on:
Is this supplemental information that needs to be sent to the Corps?*
Yes No
Project Contact Information
Name:
Hank Seltzer
Who is submitting the information?
Email Address: [e-mail]
Project Information
Existing ID #:
20220790
20170001 (no dashes)
Existing Version:
1
Project Name: Timbermill Wind Facility (SAW-2021-00056)
Is this a public transportation project?
Yes
No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
County (ies)
Chowan
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
SQ Form - Sl.pdf
SQ Form - SD.pdf
Only pdf or kmz files are accepted.
1.82MB
1.89MB

Describe the attachments or
comments:
as requested by Mr. Anthony Scarbraugh and Mr. Paul Wojoski, attached are signed and dated NCSAM forms
in support of the proposed Timbermill Wind project's CWA S.404 Individual Permit application.
Sign and Submit
By checking the box and signing box below, I certify that:
• I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief.
• I, 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 agree that submission of this online 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 online form.
Signature:
Submittal Date: Is filled in automatically.

USACE AID#
DWQ # Site # (indicate on attached map)
M
STREAM QUALITY ASSESSMENT WORKSHEET AdW
Provide the following information for the stream reach under assessment:
1. Applicant's name: Lf-Y- C RAV1 2. Evaluator's name: S W Ck
3. Date of evaluation: � 1 3 0 f Z- 0 2-Z 4. Time of evaluation: L 0= 3 Q A M
5. Name of stream: l AT t0 i Q i ! 0 o1 ,� yy_1nk 6. River basin: A1b01100,I C.
7. Approximate drainage area: 22 (Oci Gt G Y S 8. Stream order: 21
9. Length of reach evaluated: GJ , 10. County:_
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): - - I- �' Longitude (ex.-77.556611): - -) (P - C i
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other_ _
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
11A - I -k ( Vl u r ti1 Cf t k 1� 1 rn � l nuy w&bf• t r f ._.. � . _. %r._ �� `6
14. Proposed channel work (if any): _.
15. Recent weather conditions: (It Y
16. Site conditions at time of visit: K
17. Identify any special waterway classifications known: Section 10 _Tidal Waters ^ Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters —Water Supply Watershed 0 V)
18. Is there a pond or lake located upstream of the evaluation point? YES @9 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map?5 NO 20. Does channel appear on USDA Soil Survey? YES 19
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial LL% Agricultural
--L.�% Forested _% Cleared / Logged _% Other ( )
22. Bankfull width: 23. Bank height (from bed to top of bank): G
24. Channel slope down center of stream: _Flat (0 to 2%) X Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): + Comments:
Evaluator's Signature �2 �Q.Q; Hate 08/30/2022
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
`
#;
'' C 7 � S+I`YCS
� Coastal
, Pretinont
(Vla�u�tari
3
,�
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
no flow or saturation = 0• strong flow = maxpoints)Z
2
Evidence of past human alteration
0-6
0-5
0-5
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
no buffer = 0• contiguous, wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
0 — 5
0-4
0-4
extensive discharges = 0• no discharges = max points
5
Groundwater discharge
0-3
0-4
0-4
no discharge = 0• springs, sees wetlands etc. = max ints
U
6
Presence of adjacent floodplain
0-4
0-4
0-2
`J>
no flood lain = 0• extensive flood lain = max ints
Entrenchment / floodplain
a
access
0_ 5
0-4
0-2
(deeply entrenched = 0• frequent flooding = maxpoints)
it
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0• large adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0-3
extensive channelization = 0• natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
2
extensive deposition= 0• little or no sediment = max ints
11
Size & diversity of channel bed substrate
fine homogenous = 0• large, diverse sizes = maxpoints),
�r -
0-4
0-5
12
Evidence of channel incision or widening
(deeply incised = 0• stable bed & banks = max ints
0-5
0-4
0-5
3
13
Presence of major bank failures
0-5
0-5
.a
severe erosion = 0• no erosion stable banks = maxpoints)0-5
14
Root depth and density on banks
0-3
0-4
0-5
Z
E,
no visible roots = 0• dense roots throughout = max points)
15
Impact by agriculture, livestock, or timber production
0-4
0-5
Z
substantial impact =0• no evidence = maxpoints)0-5
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0' well -developed = maxpoints)
E
17
Habitat complexity
0-6
0-6
0-6
little or no habitat = 0• frequent, varied habitats = maxpoints)
lg
Canopy coverage over stream bed
0-5
0-5
0-5
no shading vegetation = 0 continuous canopy = max oints
19
Substrate embeddedness
NA"
0-4
0-4
(deeply embedded = 0• loose structure = max
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
'
no evidence = 0- common numerous types = max oints
21
Presence of amphibians
0-4
0-4
0-4
O
O
no evidence = 0• common numerous types = max ints
22
Presence of fish
0-4
0-4
O
no evidence = 0• common numerous es = maxpoints)0-4
23
Evidence of wildlife use
0-6
0-5
0-5
no evidence = 0• abundant evidence = max points
- �z
Total Points Possible
100
100
100
-
TQTAL SCORE (also enter of first page
* These characteristics are not assessed in coastal streams.

USAGE AID# DWQ # Site #1� (indicate on attached map)
Im
STREAM QUALITY ASSESSMENT WORKSHEET jdW
Provide the following information for the stream reach under assessment:
1. Applicant's name: 4 � [ �' (I f1Al l e V1(X 2. Evaluator's name: �,VII CA
3. Date of evaluation: 0 1; 130/ 1 o1-2 ! 4. Time of evaluation: I Z 10 U P - M -
5. Name of strewn- VT to V 0 J Ih 1 h (-. i C (k 6. River basin:.A- M a -t'ly" &O -V
7. Approximate drainage area: 2 li (X & Stream order: ja F 10 % n 1
9. Length of reach evaluated: _I_, (1 � 1 • W 10. County: G h 0 VV a "
11. Site coordinates (if known): h `prefer in decimal degrees. 12. Subdivision name (if any):
it � c1
Latitude (ex. 34.87z312): (D - � 1 - 3 Longitude (ex.-77.556611): — 7 �0 -
Method location determined (circle): GPS Topo Sheet Ortho (Aj,?q07)Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
1p .�) vi11t� lnhy+0 OF NwY11
14. Proposed channel work (if any):
15. Recent weather conditions: N 1 A I Y1 LA psi' �n' S 1 U W I V1 b WQ i� 11l' S
16. Site conditions at time of visit: I U t A ► flaw L tk no fluyy V !7 iriYt&m of- ve- A G
17. Identify any special waterway classifications known: _ _. Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I -IV)
M Is there a pond or lake located upstream of the evaluation point? YES 10 If yes, estimate the water surface area: ee
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? 10 NO
21. Estimated watershed land use: _% Residential _% Commercial _% Industrial Q% Agricultural
Q% Forested �% Cleared / Logged 10 % Other ( W 0 Uhl
1
22. Bankfull width: (.P 23. Bank height (from bed to top of bank): 9
24. Channel slope down center of stream: _Flat (0 to 2%) _Gentle (2 to 4%) Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there arc obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the strum may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a scorn of 100 representing a stream of the
highest quality.
Total Score (from reverse): _AG Comments:
Evaluator's Signature /�E'C�,� Z�)2Q Q Date 08/30/2022
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form Is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
VT
CHARACTERISTICS
ECOREGION POINT
RANGE
SCORE
Coastal
Piedmont
Mountain
I
Presence of flow / persistent pools in stream
no flow or saturation = 0; strong flow =max oints
0-5
0-4
0-5
Evidence of past human alteration
extensive alteration = 0; no alteration = max points
0-6
0-5
0-5
Riparian zone
no buffer = 0: eonti uous, wide buffer = max ints)
0— 6
0— 4
0— 5
Z
4
Evidence of nutrient or chemical discharges
extensive discharges = 0: no discharges = maxpoints)
0-5
0-4
0-4
Z
,q
5
Groundwater discharge
'Q
no discharge = 0: springs. seeps, wetlands, etc. = maxpoints)G
0-3
0-4
0-4
r
6
Presence of adjacent floodplain
(no flood lain = 0; extensive flood lain = maxpoints)
0-4
0-4
0-2
7
Entrenchment / floodplain access
(deeply entrenched = 0. frequent flooding = maxpoints)
0-5
0-4
0-2
8
Presence of adjacent wetlands
no wetlands = 0; large adjacent wetlands = maxpoints)
0-6
0-4
0-2
9
Channel sinuosity
(extensive channelization = 0; natural meander = maxpoints)
0-5
0-4
0-3
10
Sediment input
0-5
0-4
0-4
Z
(extensive deposition= 0. little or no sediment = maxpoints)
Size & diversity of channel bed substrate
11
fine, homogenous = 0: large, diverse sizes = maxpoints)
NA*
0-4
0-5
12
Evidence of channel incision or widening
0-5
0-4
0-5
A-
�•
(deg 1 , incised = 0• stable bed & banks = maxpoints)
j
13
Presence of major bank failures
0-5
0-5
0-5
(severe erosion = 0; no erosion. stable banks =max points)
14
Root depth and density on banks
0-3
0-4
0-5
(no visible roots = 0; dense roots throughout = max points)1
un
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
(substantial impact =0: no evidence = maxpoints)
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
16
(no riffles/ripples or pools = 0; well -developed = maxpoints)
Q
17
Habitat complexity
0-6
0-6
0-6
�
(little or no habitat = 0: frequent, varied habitats = maxpoints)
CC
Canopy coverage over streambed
0-5
0-5
0-5
Q
18
(no shadingvegetation = 0: continuous cano =max points)
�
19
Substrate embeddedness
NA*
0-4
0-4
(deeply embedded = 0; loose structure = max
Presence of stream invertebrates (see page 4)
0-5
20
0-5
(no evidence = 0: common. numerous types = maxpoints)0-4
C'
21
Presence of amphibians
0-4
0-4
0-4
(no evidence = 0: common. numerous types = maxpoints)
O
22
Presence of fish
0-4
0-4
0-4
(no evidence = 0; common. numerous types = maxpoints)
Evidence of wildlife use
0-6
0-5
0-5
23
(no evidence = 0: abundant evidence = maxpoints)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
• `These characteristics are not assessed in coastal streams.