20141075 Ver 2_401 Application_20150115

I N T E R N AT 1 0 N A L
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Innovation Done Right We Make o Difference
January 21, 2015
United States Army Corps of Engineers North Carolina Division of Water Resources
Washington Regulatory Office 401 & Buffer Permitting Unit
2407 West 5ih Street 512 North Salisbury Street
Washington, NC 27889 Raleigh, NC 27604
Attention: Mr. Josh Pelletier Attention 1Ts Karen Higgins
SUBJECT: Wayne Executive Jetport — Vegetation Removal
Preliminary Jurisdictional Determination and Riparian Buffer Authorization
Wayne County, NC (DWR Project # 14 -1075)
%i,, lli-_gine and Mr Pelletier
On behalf of the Wayne Executive Jetport, Michael Baker International is requesting a Preliminary
Jurisdictional Determination and a Riparian Buffer Authorization under the Neuse Buffer Rules These requests are
associated with removal of vegetation within a Riparian Buffer Zone along an unnamed tributary to Stoney Creek
A field visit occurred with staff from Michael Baker International, NCDWR, and the USACE on November
4, 2014 Approximately 485 feet of Section 404/401 Jurisdictional Stream (RPW) was identified within the project
area A subsequent stream determination was issued by DWR for streams within the project limits on November
t" 19, 2014 (refer to Attachment A)
in order to increase safe airfield operations, the Wayne Executive Jetport is proposing the removal of
31,075 square feet of vegetation in Zone 1 of the riparian buffer and 23,349 square feet of vegetation in Zone 2 of
the riparian buffer This purpose of this request according to the Table of Uses (15A NCAC 02B 0233) is for the
Protection of existing structures and facilities, which is listed as Allowable under the Neuse Buffer Rules
Therefore, Riparian Buffer Mitigation is not proposed No Section 404/401 defined impacts would occur to the
Jurisdictional channel, so authorization under Section 404/401 is not anticipated to be required
Please find attached a Riparian Buffer Authorization Form. Jurisdictional Determination Request Form,
Preliminary Jurisdictional Determination Form, Project Mapping /Project Design, DWR Stream Determination. Site
Photographs, and additional supporting documentation
If you have any questions, or require additional information, please contact me at (843) 745 -8808 or by
email at esmailambakenntl com
Sincerely,
Michael Baker Late rn al
Edward J. S
Environmental Technical Manager
Attachments
Cc Ms Jennifer Fuller, NCDOA (w /attaclunents)
Mr Jim Farthing, Baker (w /attachments)
Project File (w /attachments)
ET lfp8 P-ft KZIM4N ®SALLVPORT MBAKERINTL COM
4401 Belle Oaks Drive Ste 105 ( North Charleston SC 29405
Office 843 329 00501 Fax [phone]

D,W-R
DI" vision of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
15A NCAC 02B.0233 (8)(b),.0243 (8)(b),.0250 (11)(b),.0259 (8)(b),.0267 (11)(c),.0607 (e)(2) — Buffer Authorization
FORM: BA 10 -2013
Riparian Buffer Authorization Form
A. Applicant Information
1. Project Information
la Name of project Wayne Executive Jetport — Vegetation Removal /Ditch Cleanout
1 b County Wayne
1c Nearest municipality Pikeville
1d Subdivision name N/A
le Is the project located in any of North Carolina's
twenty coastal counties If yes, answer if below El Yes ®No
1f Is the project located within a NC Division of Coastal ❑ Yes ® No
Management Area of Environmental Concern (AEC)?
2. Owner Information
2a Name on Recorded Deed County of Wayne
2b Deed Book and Page No 2862 -309
2c Map Book and Page No This is a municipal project (Wayne County)
(include a copy of the recorded
map that indicates when the lot
was created)
2d Responsible Party Mr, David Fields — Airport Manager
2e
Street address
240 Aviation Road
2f
City, state, zip
Pikeville, NC, 27863
2g
Telephone no
919 -734 -7630
2h
Fax no
843- 329 -0055
21
Email address
esmall @mbakenntl com
3.
Applicant Information (if different from owner)
3a
Applicant is
® Agent ❑ Other, specify
3b
Name
Edward J Smail
3c
Business name
Michael Baker Jr , Inc
3d
Street address
4401 Belle Oaks Drive, Suite 105
3e
City, state, zip
North Charleston, SC 29405
3f
Telephone no
843 - 745 -8808
3g
Fax no
843- 329 -0055
3h
Email address
esmall @mbakenntl com
4.
Agent/Consultant Information (if applicable)
4a
Name
4b Business name
4c
Street address
4d
City, state, zip
4e
Telephone no
4f
Fax no
4g
Email address
FORM: BA 10 -2013 Page 1 of 6
JAN 2 3 2015
DENR -WATER RESOURCES
401 8 BUFFER PERMITTING
FORM: BA 10 -2013 Page 1 of 6

B.
Project Information and Prior Project History
1.
Property Identification
1a
Property identification no (tax PIN or parcel ID)
3602845748
lb
Site coordinates (in decimal degrees)
Latitude 35 454897°
Longitude -77 971763°
1c
Property size
335 720 acres
2.
Surface Waters
2a
Name of nearest body of water to proposed project
Stoney Creek
2b
Water Quality Classification of nearest receiving water
C, NSW
2c
River basin
Neuse
3.
Project Description
3a
Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
The site consists of the mowed /maintained airfield, agricultural areas, impervious surfaces (Runway, Taxiway,
etc ), airfield drainage ditches, and overgrown areas along drainage way south of the existing runway Adjacent
areas are mostly residential, agricultural, and undeveloped woodlands
3b
Attach an 8'/2 x 11 excerpt from the most recent version of the USGS topographic map indicating the location of
the site — Refer to Attachment A
3c
Attach an 8 '/2 x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map
depicting the project site — Refer to Attachment A
3d
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
485 linear feet in project area
3e
Explain the purpose of the proposed project
The proposed project would consist of the removal of obstructions (vegetation, debris, and sediment) from the
existing airfield drainage ditches (refer to Figures 2 through 9) Removal of woody vegetation would also be
required along the channel south of the existing Runway (refer to Figures 6 through 9) Obstructions within the
existing drainage system is currently causing flooding within the Airport Operations Area (AOA) and is also
backing up water into the municipal sewer system Flooding within the AOA creates a potential safety hazard in
aircraft movement areas and municipal sewer system was not designed /intended for this additional volume of
runoff Creating a more efficient dramageway for Airport stormwater would help to correct the safety issue and
relieve the overburden of the sewer system In water work would only occur in ditches determined to not be
jurisdictional by the United States Army Corps of Engineers (USACE) and the North Carolina Division of Water
Resources (DWR) Site photographs are included in Attachment B
In addition, the removal of the woody vegetation south of the existing Runway would address the potential for this
vegetation to become an obstruction in the runway approach surface Penetrations of a runway approach surface
create a hazard to safe airfield operations Such penetrations can be addressed by removal or lowering of the
obstruction As discussed in CFR Part 77, the slope of the approach surface applied to each runway end is based
on the most precise approach procedure existing or planned for that runway end The overgrown channel south
of RW 5 also has potential to provide habitat for nesting birds and refuge for mammals, including whitetaded deer
Due to the proximity of this area to the Runway, removal of this vegetation would reduce a potential wildlife
hazard as defined in AC 150/5200 -33B
3f
Describe the overall project in detail, including the type of equipment to be used
The proposed project would consist of the removal of the woody vegetation along channel south of existing
Runway Vegetation would be cleared using a long arm bush hog /hydro axe type device to keep equipment out
of the buffer as much as possible, supplemented by hand clearing with a chainsaw Downed vegetation would be
removed from buffer area by a winch /chain and by hand as needed
FORM BA 10 -2013 Page 2 of 6

4.
Jurisdictional Determinations
4a
Have jurisdictional wetland or stream determinations by the
® Yes ❑ No ❑ Unknown
Corps or State been requested or obtained for this property/
Comments Refer to Attachment A
project (including all prior phases) in the past?
® Neuse ❑ Tar - Pamlico ❑ Catawba
❑ Randleman El Jordan Goose Creek
4b
If yes, who delineated the jurisdictional areas?
Agency/ Consultant Company
Type of Impact
(exempt, allowable,
allowable w/ mitigation)
Name (if known)
DWR/USACE /Agent
Zone 1
impact
(sq ft)
Zone 2
Impact
(sq ft)
Other
4c
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
UT Stoney
Creek
DWR Buffer Determination — November 19, 2014
31,075
24,349
USACE Jurisdictional Determination included with this application
5.
Project History
❑ Yes ❑ No
5a
Have permits or certifications been requested or obtained for this
❑ Yes ® No ❑ Unknown
project (including all prior phases) in the past?
5b
If yes, explain and detail according to "help file" instructions
6.
Future Project Plans
6a
Is this a phased project?
❑ Yes ® No
6b
If yes, explain
C. Proposed Impacts Inventory
1. Buffer Impacts
1a Project is in which protected basin?
® Neuse ❑ Tar - Pamlico ❑ Catawba
❑ Randleman El Jordan Goose Creek
lb Individually list all buffer Impacts below If any Impacts require mitigation, then you MUST fill out Section D of this
form
Buffer Impact
number —
Permanent (P)
or Temporary T
Reason for
Impact
Type of Impact
(exempt, allowable,
allowable w/ mitigation)
Stream name
Buffer
mitigation
required?
Zone 1
impact
(sq ft)
Zone 2
Impact
(sq ft)
B1 ®P [IT
Protection of
existing
structures and
facilities
Allowable
UT Stoney
Creek
❑ Yes ® No
31,075
24,349
B2 ❑ P ❑ T
❑ Yes ❑ No
B3 ❑ P ❑ T
❑ Yes [:]No
B4 ❑ P ❑ T
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes [--]No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
31,075
23,349
1c Comments
FORM SSGP3080 8 -13 Page 3 of 6

D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
1a
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Due to the linear nature of the Airport and the location of the channel /buffer, avoidance of buffer impacts was not
feasible during the design phase To help minimize impacts to the buffer and downstream water quality, the
project was designed to keep the existing root mats and herbaceous vegetation intact In addition, the project
was designed to exclude any in -water work (in jurisdictional areas)
lb
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
During construction impacts would be minimized by keeping heavy equipment out of the buffer as much as
possible Crossing of the channel or any other in water work (in jurisdictional areas) would be prohibited
2.
Buffer Mitigation
2a
Will the project result in an impact within a protected riparian buffer that requires buffer
❑ Yes ® No
as it occurs in its existing condition
mitigation?
2b
If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation and
calculate the amount of mitigation required in the table below
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet
s are feet
Zone 1
3 (2 for Catawba)
Zone 2
15
Total buffer mitigation required:
2c
If buffer mitigation is required, is payment to a
❑ Yes ❑ No
mitigation bank or NC EEP proposed?
2d
If yes, attach the acceptance letter from the mitigation bank or NC EEP
2e
If no, then discuss what type of mitigation is proposed
2f
Comments
E. Diffuse Flow Plan
All buffer impacts and high ground impacts require diffuse flow or other form of
® Diffuse flow
stormwater treatment Include a plan that fully documents how diffuse flow will be
BMP
maintained
maintained If a Level Spreader is proposed, attach a Level Spreader Supplement Form
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
Manual and attach a BMP Supplement Form
No ground disturbance, fill, or excavation would occur within the buffer Vegetation would
not be grubbed, and existing root mats and herbaceous vegetation would remain intact
(no impervious surface would be added) Stormwater drainage into the buffer would also
not be modified from its existing condition, in which stormwater has a natural diffuse flow
through the existing buffer Therefore, after the clearing occurs, the stormwater would
continue to flow through buffer area diffused by the root mats and herbaceous vegetation,
as it occurs in its existing condition
FORM SSGP3080 8 -13 Page 4 of 6

F.
Supplementary Information
1.
Environmental Documentation
1a
Does the project involve an expenditure of public (federal /state/local) funds or the use of
® Yes ❑ No
public (federal /state) land?
lb
If you answered "yes" to the above, does the project require preparation of an
® Yes ❑ No
environmental document pursuant to the requirements of the National or State (North
Carolina) Environmental Policy Act (NEPA/SEPA)?
1c
If you answered "yes" to the above, has the document been finalized by the State
❑ Yes ® No
Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter )
Comments A Categorical Exclusion was approved by the North Carolina Division of
Aviation (refer to Attachment C) Typically, Categorical Exclusions are not circulated
through the State Clearing House
2.
Violations
2a
Is the site in violation of DWR Wetland Rules (15A NCAC 02H 0500), Isolated Wetland
❑ Yes ® No
Rules (15A NCAC 02H 1300), DWR Surface Water or Wetland Standards, or Riparian
Buffer Rules (15A NCAC 02B 0200)?
2b
Is this an after - the -fact permit application?
❑ Yes ® No
2c
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
FORM SSGP3080 8 -13 Page 5 of 6

Gil �yG i d J—_ Si=' c, , —
Applicant/Agent's Printed Name App t/Agent's Signature Date
(Agent's signature is valid on if an authorization letter from the applicant is provided)
Send 3 complete sets of this form and accompanying documents to the following
For government transportation projects cent Foi government transportation projects sent
by First Class Marl via the US Postal Service by delrveiy service (UPS, FedEx, etc)
NC DWR, Transportation Permitting Unit OR NC DWR, Transportation Permitting Unit
1650 Mad Service Center 512 N Salisbury Street
Raleigh, NC 27699 - 1650 Raleigh, NC 27604
For all other projects sent by Fri st Class Mail For all other projects sent bt delivery service
via the US Postal Service (UPS, FedEx, etc)
Karen Higgins OR Karen Higgins
NCDWR — 401 & Buffer Permitting Unit NCDWR — 401 & Buffer Permitting Unit
1650 Mail Service Center 512 N Salisbury Street
Raleigh, NC 27699 - 1650 Raleigh, NC 27604
FORM SSGP3080 8 -13 Page 6 of 6

Jurisdictional Determination Request
US Army Corps
of Engineers
wdmmglon O,slm i
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
Information, as described within each category, with your request. You may submit your request
to the appropriate Corps Field Office (or project manager, if known) via mail, electronic mail, or
facsimile. A current list of county assignments by Field Office and project manager can be
found on-line at. Imp t\ wace -mi I\ Pei maPio inin sp '\ ,by
telephoning: 910 -251 -4633, or by contacting any of the field offices listed below:
ASHEVILLE REGULATOR) FIELD OFFICE
US Ann), Corps of Engineers
151 Patton Avenue Room 208
Asheville North Carolina 28801.5000
General Number. (828) 271 -7980
ray Number (828) 281 -8120
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drne Suite 105
Wale Forest. North Carolina 27587
General Number (919) 554 -4884
Fax Number (919) 562 -0421
WASHINGTON REGULATOR) FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington. North Carolina 27889
General Number (910) 251 -4610
1 ax Number- (252) 975 -1399
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington North Carolina 28403
General Number 910 -251 -4633
Fax Number (910) 251 -4025
Version: December 2013 Page 1

Jurisdictional Determination Request
INSTRUCTIONS:
All requestors must complete Parts A, B, C, D, E and F
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part G.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that all JD
requests must include the current property owner authorization for the Corps to proceed with the
determination, which may include inspection of the property when necessary. This form must he
signed by the current property owner to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization /notification for JD
requests associated with North Carolina Department of Transportation ( NCDOT) projects will be
conducted according to the current NCDOT /USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD may not
be valid for the wetland conservation provisions of the Food Security Act of 1985. If you or
your tenant are USDA Program participants. or anticipate participation in USDA programs, you
should also request a certified wetland determination from the local office of the Natural
Resources Conservation Service, prior to starting work.
Version December 2013 Page 2

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: 240 Aviation Road
City, State- Pikeville, NC 27963
County- Wayne
Directions. Wayne Executive Jetport - 1 -795 to NC 44 (east) to US 117 (north) to Airport
Road to Aviation Drive
Parcel Index Number(s) (PIN): 3602845746
B. REQUESTOR INFORMATION
Name- Edward J Smad
Mailing Address: 4401 Belle Oaks Drive, Suite 105, North Charleston, SC 29405
Telephone Number: 843- 745 -8808
Electronic Mail Address' - esmailambakenntl com
Select one:
❑ 1 am the current property owner.
ZI am an Authorized Agent or Environmental Consultant2
❑ Interested Buyer or Under Contract to Purchase
❑ Other. please explain.
C. PROPERTY OWNER INFORMATION
Naive: Mr David Fields - Airport Manager
Mailing Address: 240 Aviation Road
Pikeville, NC 27863
Telephone Number: 919- 734 -7630
Electronic Mail Address 3:
❑✓ Proof of Ownership Attached (e.g. a copy of Deed, County GIS /Parcel/Tax Record data)
' If available
Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION'
I, the undersigned, a duly authorized owner of record of the property /properties identified herein,
do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on -site investigations
and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction
under Section 404 of the Clean Water Act and /or Section 10 of the Rivers and Harbors Act of
1899.
Propert Owner (please print) Date
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
✓7 1 am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does include a delineation.
I am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does NOT include a delineation.
I am requesting that the Corps investigate the property /project area for the presence or
absence of WoUSs and provide an approved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
1 am requesting that the Corps delineate the boundaries of all WoUS on a property /project
area and provide an approved JD (this may or may not include a survey plat).
I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property /project area and provide an aonroved JD (may or may not
include a survey plat).
4 For NCDOT requests following the current NCDOT /USACE protocols, skip to Part E.
s Waters of the United States
Version: December 2013 Page 4

Jurisdictional Determination Request
F. ALL REQUESTS
Map of Property or Project Area (attached) This Map must clearly depict the boundaries
of the area of evaluation.
aSize of Property or Project Area Approx. 96.0 acres
F71I verify that the property (or project) boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marked or distinguishable.
G. JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
✓� Completed and signed Preliminary Jurisdictional Determination Form6
aProject Coordinates: 35.454897 Latitude -77 971763 Longitude
Maps (no larger than 11 x 17) with Project Boundary Overlay:
W1Large and small scale maps that depict, at minimum. streets, intersections, towns
F7 Aerial Photography of the project area
USGS Topographic Map
✓® Soil Survey Map
7 Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps. FEMA floodplain maps)
e See Appendix A of this Form From Regulatory Guidance Letter No 08 -02, dated June 26, 2008
Version- December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable)'
Wetlands:
Wetland Data Sheetss
Tributaries:
ULISACE Assessment Forms
❑ Upland Data Sheets ❑ Other Assessment Forms
(when appropriate)
DLandscape Photos, if taken
7 Field Sketch overlain on legible Map that includes:
All aquatic resources (for sites with multiple resources, label and identify)
Locations of wetland data points and /or tributary assessment reaches
• Locations of photo stations
® Approximate acreage /linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
❑ Project Coordinates-
Latitude Longitude
Maps (no larger than 1 1 x 17) with Project Boundary Overlay\
❑ Large and small scale maps that depict, at minimum: streets, intersections, towns
❑ Aerial Photography of the project area
USGS Topographic Map
❑ Soil Survey Map
❑ Other Maps, as appropriate (e.g National Wetland Inventory Map. Proposed Site Plan,
previous delineation maps)
1987 Manual Regional Supplements and Data forms can be found at
httt_;/v;w_v. i sate ��n_ is. \_mi!JNi,_iUr „/t ilttiork� /h te-_sLWaLpx
summa
Wetland and Stream Assessment Methodologies can be found at.
hT ac ttal ncdent otp;t document W. arrylget fdr nutd= 7Gf3c5db del.S\496f1�ba43 45b %fafOhf4cEtttvuutd= 3fi3Gri and,
hup 'WWw sa,. usace art nLna! /Ibitak /59 /dots Itegulal ro; ift Uset RSanual 13_03181df
8 Delineation information must include, at minimum, one wetland data sheet for each wetland /community type
Version: December 2013 Page 6

Jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands:
MWetland Data Sheets9
Tributaries•
MUSAGE Assessment Forms
Upland Data Sheets F-1 Other Assessment Forms
(when appropriate)
Landscape Photos, if taken
FField Sketch overlain on legible Map that includes:
a All aquatic resources (for sites with multiple resources, label and identify)
m Locations of wetland data points and /or tributary assessment reaches
m Locations of photo stations
o Approximate acreage /linear footage of aquatic resources
Supporting Jurisdictional Information (for Approved JDs only)
Approved Jurisdictional Determination Form(s) (also known as "Rapanos
Forms) ")
Map(s) depicting the potential (or lack of potential) hydrologic connection(s),
adjacency. etc. to navigable waters.
9 Delineation information must include, at minimum, one wetland data sheet for each wetland /community type
Version: December 2013 Page 7

Jurisdictional Determination Request
1. REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT
Pi for to final production of a Plat, the Wilmington District recommends that the Land
Surveyor electronically submit a draft of a Survey Plat to the Corps project manager for
review
Due to storage limitations of our administrative records, the Corps requires that all hard -
copy submittals include at least one original Plat (to scale) that is no larger than I I "x 17"
(the use of match lines for larger tracts acceptable). Additional copies of a plat. including
those larger than I 1 "x 17 ", may also be submitted for Corps signature as needed The
Corps also accepts electronic submittals of plats, such as those transmitted as a Portable
Document Format (PDF) file. Upon verification, the Corps can electronically sign these
plats and return them via e-mail to the requestor.
(1) PLATS SUBMITTED FOR APPROVAL
® Must be sealed and signed by a licensed professional land surveyor
❑ Must be to scale (all maps must include both a graphic scale and a verbal scale)
❑ Must be legible
Must include a North Arrow, Scale(s), Title, Property Information
Must include a legible WoUS Delineation Table of distances and bearings /metes
and bounds /GPS coordinates of all surveyed delineation points
nMust clearly depict surveyed property or pr lect boundaries
17 Must clearly identify the known surveyed point(s) used as reference (e.g. property
corner, USGS monument)
When wetlands are depicted:
• Must include acreage (or square footage) of wetland polygons
• Must identify each wetland polygon using an alphanumeric system
Version. December 2013 Page 8

Jurisdictional Determination Request
F1When tributaries arc depicted
• Must include either a surveyed, approximate centerline of tributary with
approximate width of tributary OR surveyed Ordinary High Water Marls
(OH WM) of tributary
• Must identify each tributary using an alphanumeric system
• Must include linear footage of tributaries and calculated area (using approximate
widths or surveyed OHWM)
• Must include name of tributary (based on the most recent USGS topographic
map) or, when no USGS name exists, identify as "unnamed tributary"
all depicted WoUS (wetland polygons and tributary lines) must intersect or tie-to
surveyed project /property boundaries
Must include the location of wetland data points and /or tributary assessment
reaches
Must include, label accordingly. and depict acreage of all waters not currently
subject to the requirements of the CWA (e.g '`isolated wetlands ", "non -
jurisdictional waters "). NOTE. An approved JD must be conducted in order to
make an official Corps determination that a particular waterbody or wetland is not
jurisdictional
Must include and survey all existing conveyances (pipes, culverts, etc.) that
transport WoUS
Version: December 2013 Page 9

Jurisdictional Determination Request
(2) CERTIFICATION LANGUAGE
When the entire actual Jurisdictional Boundary is depicted.
include the following Corps Certification language:
"This certifies that this copy of this plat accurately depicts the boundary of the jurisdiction
of Section 404 of the Clean Water Act as determined by the undersigned on this date
Unless there is a change in the low or our published regulations, the determination of
Section 404 jurisdiction may be relied upon for a period not to exceed five (5) years from
this date. The undersigned completed this determination utilizing the appropriate Regional
Supplement to the 1987 U S Army Corps of Engineers Wetlands Delineation Manual."
Regulatory Official-
Title:
Dote
USACE Action ID No.
F] When uplands may he present within a depicted Jurisdictional Boundary:
include the following Corps Certification language:
"This certifies that this copy of this plot identifies ail areas of waters of the United States
regulated pursuant to Section 404 of the Clean Water Act as determined by the
undersigned on this date. Unless there is change in the law or our published regulations,
this determination of Section 404 jurisdiction may be relied upon for a period not to exceed
five years from this date. The undersigned completed this determination utilizing the
appropriate Regional Supplement to the 1987 U S. Army Corps of Engineers Wetlands
Delineation Manual "
Regulatory Official
Title
Date.
USACE Action 10 No
Version December 2013 Page 10

Jurisdictional Determination Request
(3) GPS SURVEYS
For Surveys prepared using a Global Positioning System (GPS), the Survey must include
all of the above, as well as-
1-1
be at sub -meter accuracy at each survey point.
❑ include an accuracy verification.
One or more known points (property corner, monument) shall be located with the
GPS and cross- refcrenced with the existing traditional property survey (metes and
bounds).
® include a brief description of the GPS equipment utilized.
Version December 2013 Page 11

ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD): 01/08/15
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Edward J Smad, Michael Baker International
4401 Belle Oaks Dave, Suite 105, North Charleston, SC 29405
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
Wayne Executive Jetport (Airfield Drainage)
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State NC County /parish /borough Wayne City. Pikeville
Center coordinates of site (lat/long in degree decimal format)
Lat 35 454897 °N, Long - 77.971763 °W.
Universal Transverse Mercator' 230291 15 Easting - 3927550 69 Northing - 18S
Name of nearest waterbody UT Stoney Creek
Identify (estimate) amount of waters in the review area.
Non - wetland waters
485 linear feet 4 -5 width (ft) and/or o o4 acres
Cowardin Class Rivenne Unconsolidated Bottom (Upper Perennial)
Stream Flow. Perennial
Wetlands o acres.
Cowardin Class N/A
Name of any water bodies on the site that have been identified as Section 10
waters
Tidal None
Non -Tidal None

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑✓ Office (Desk) Determination Date 01/08/15
WIField Determination. Date(s) 11/04/14
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
G4Maps, plans, plots or plat submitted by or on behalf of the
plicanVconsultant' See Attached
❑ Data sheets prepared /submitted by or on behalf of the
app ' nt/consultant
Office concurs with data sheets /delineation report
Office does not concur with data sheets /delineation report
❑ Data sheets prepared by the Corps.
❑ Corps navigable waters' study.
❑ U.S Geological Survey Hydrologic Atlas.
❑ USGS NHD data
U
❑e�
USGS 8 and 12 digit HUC maps
U.S Geological Survey map(s) Cite scale & quad name 124000 -NE Goldsboro
USDA Natural Resources Conservation Service Soil Survey
Citation Soil Data Mart GIS Data
❑✓ National wetlands inventory map(s)
❑ State /Local wetland inventory map(s)
❑ FEMA/FIRM maps
0
Cite name. USFWS Wetland Mapper
100 -year Floodplain Elevation is.
(National Geodectic Vertical Datum of 1929)
VPhotographs YJ Aerial (Name & Date) NC one Map (2014) or
❑ Other (Name & Date)
Previous determination(s) File no and date of response letter
7 Other information (please specify) NCDWR Stream Call ( #15 -1075) 11/19/14 - Attached
2

1 The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time
2 In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
"pre- construction notification" (PCN), or requests verification for a non - reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions, (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization, (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary, (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable, (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court, and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C F R Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C F R 331 5(a)(2)) If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable

This preliminary JD finds that there "may be" waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information.
IMPORTANT NOTE: The information recorded on this form has not
necessarily been verified by the Corps and should not be relied upon for
later jurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

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Agent Authorization

P.O. Box 227
134 N. John Street
January 9, 2015
Mr. Jim Farthing
Michael Baker Engineering, Inc.
8000 Regency Parkway, Suite 600
Cary, NC 27513
WAYNECOUNTY
NAR111 CAPOiltIA
Re: Wayne Executive Jetport — Agent Authorization
Airfield Ditch Cleanout and Vegetation Removal
Dear Jim,
Phone: [phone]
Fax- (919) 731 -1420
This letter is provided to acknowledge that Michael Baker Engineering, Inc. is hereby allowed to
be the duly authorized representative for the Wayne Executive Jetport in regards to submitting
documents and applicable fees for permits, certifications, and /or approvals as applicable for the
obtaining of the required federal and /or state permits for the above referenced project.
If you have any questions or comments, please feel free to contact me at 919- 731 -1426.
Sincerely,
Tommy R. Burns
Assistant County Manager

Parcel Data

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Wayne Executive Jetport ,
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Printed:Jan 07, 2015

Figures

0 1 2 4 Wayne Executive Jetport
Miles Proposed Vegetation Removal Michael Baker
1 in = 2 miles Wayne County, NC I N T E R N A T 1 0 N A L
Location Map
Sheet 1 of 9
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True Color Aerial Map
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I N T E R N AT 1 0 N A L

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Sheet 3 of 9
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Legend
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Non - Jurisdictional Ditch
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Non- Jurisdictional Ditch
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See Sheet 7 Inset
Source: NC One Map (2013)
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Subject to Neuse Buffer Rules
1,400 Wayne Executive Jetport
w Feet Proposed Vegetation Removal
Wayne County, NC
Feature Map
Sheet 6 of 9
I N T E R N AT 1 0 N A L

0 50 100 200 Wayne Executive Jetport
Feet Proposed Vegetation Removal Michael Baker;
1 in= 100 ft Wayne County, NC
Feature Map I N T E R N AT 10 N A L
Sheet 7 of 9
Source: NC One Map (2013)

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— —. r.,.,— . .... -,- /— ....,..
INTERNATIONAL
MICHAEL BAKER ENGINEERING, INC
NOTES:
VEGETATION WILL BE CUT TO GROUND LEVEL
NO GRUBBING OR GROUND DISTURBANCE
ALLOWED
NO WORK WILL OCCUR WITHIN STREAM
CHANNEL
TYPICAL RIPARIAN, BUFFER CLEARING
NOT TO SCALE
WAYNE EXECUTIVE JETPORT
TYPICAL BUFFER CLEARING
12 -09.14
Figure No
9

Attachment A
DWR Stream Determination

North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
November 19, 2014
County of Wayne
Attn. Mr. David Fields
240 Aviation Road
Pikeville, NC 27863
Subject Property. Wayne Executive Jetport — Ditch Cleanout
UTs to Stoney Creek, Neuse River Basin
John E. Skvarla, III
Secretary
DWQ # 14 -1075
Wayne County
On -Site Determination for Applicability to the Neuse River Riparian Area Protection Rules (15A NCAC 26
0233)
Dear Mr. Fields.
On November 4, 2014, at the request of your consultant Mr. Ed Small of Michael Baker Jr. International,
Inc, Anthony Scarbraugh conducted an on -site determinations to review unnamed tributaries (UTs) to
Stoney Creek located on the subject property for applicability to the Neuse Buffer Rules (15A NCAC 2B
.0233. The features are labeled as "14 -1075 A and 14 -1075 B" on the attached maps initialed by Mr.
Scarbraugh on November 19, 2014. The project is located at the end of Aviation Drive near the Town of
Pikeville, Wayne County.
At your request, Mr. Scarbraugh conducted on -site determinations as stated above. During his review, he
evaluated the streams using the DWR Stream Classification Form. He evaluated the stream reach 14 -1075
A at 35 45517 N, 77.97186 W and calculated the score to be 19.25 points He evaluated the stream reach
14 -1075 B at 35.45487 N, 77.97186 W and found evidence that these are a man -made feature not
constructed for the purposes of navigational access North Carolina Administrative Code 15A NCAC 02B
.0233(3)(a)(ii) states "Ditches and manmade conveyances other than modified natural streams unless
constructed for navigation or boat access" are exempt from the riparian are requirements." The form
states that if the score is "greater than or equal to 19 points the stream is at least intermittent "
The Division of Water Resources (DWR) has determined that a portion of feature labeled as "14 -1075 A"
on the attached map, and highlighted in blue is subject to the Neuse Buffer Rules. The portion of the
feature labeled as "14 -1075 A" and highlighted in red and circled on the attached maps, is not subject to
the Neuse Buffer Rules. The portion of the feature labeled as "14 -1075 B" on the attached maps, and
highlighted in red is not subject to the Neuse Buffer Rules. The features and its associated buffers should
be identified on any future plans for this property. The owner (or future owners) should notify the DWR
(and other relevant agencies) of this decision in any future correspondences concerning this property. This
on -site determination shall expire five (5) years from the date of this letter.
Division of Water Resources - Water Quality Regional Operations Section - Washington Regional Office
943 Washington Square Mail, Washington, NC 27889
Phone 252 - 946 -64811 Fax 252 - 975 -37161 Internet- www ncdenr gov
An Equal opportunity 1 Affirmative Action Employer — Made in part by recycled paper

County of Wayne
Mr. David Fields
Stream Determination
Page 2 of 2
The owner (or future owners) should notify the DWR (and other relevant agencies) of this decision in any
future correspondences concerning this property. This on -site determination shall expire five (5) years
from the date of this letter. Landowners or affected parties that dispute a determination made by the DWR
or Delegated Local Authority that a surface water exists and that it is subject to the buffer rule may request
a determination by the Director A request for a determination by the Director shall be referred to the
Director in writing c/o Karen Higgins, DWR 401 & Buffer Permitting Unit, 1617 Mail Service Center, Raleigh,
NC 27699 -1650. Individuals that dispute a determination by the DWR or Delegated Local Authority that
"exempts" a surface water from the buffer rule may ask for an adjudicatory hearing. You must act within
60 days of the date that you receive this letter. Applicants are hereby notified that the 60 -day statutory
appeal time does not start until the affected party (including downstream and adjacent landowners) is
notified of this decision. DWR recommends that the applicant conduct this notification in order to be
certain that third party appeals are made in a timely manner. To ask for a hearing, send a written petition,
which conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative
Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699 -6714. This determination is final and binding
unless you ask for a hearing within 60 days
This letter only addresses the applicability to the buffer rules and does not approve any activity within the
buffers. Nor does this letter approve any activity within Waters of the United States or Waters of the State
If you have any additional questions or require additional information please call Anthony Scarbraugh in the
Washington Regional Office at (252) 948 -3924.
Sincerely, —7
r;��f 6,Xq
Robert Tankard, Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
Attachments: USGS Topographic 124,000 Quadrangle Map "NE Goldsboro"
copy of sheets 10 and 11, 1974 version of Wayne County Soil Survey
cc, DWR 401 & Buffer Permitting Unit
File Copy
Ed Smail, Michael Baker, Jr. International, Inc.
4401 Belle Oaks Drive, Suite 105, North Charleston, NC 29405
Filename 14 -1075

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Attachment B
Site Photographs

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Photograph 2: Looking downstream at portion of channel just south of Runway 5 determined to be jurisdictional (November 11, 2014)

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Photograph 4: Looking at portion obstructed non - jurisdictional infield drainage ditch (November 11, 2014)

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Attachment C
Categorical Exclusion Signature Page

Effective Date October 1, 2014
FAA Decision
ARP SOP No 5 00
Having reviewed the above information, certified by the responsible airport official. it is the IAA's
decision that the proposed project (s) or develops ent warrants environmental processing as
indicated below. uc' m— cxezwA�- J,�fal-t— ✓ <i�,�t,'�,, ,�,�,<�r;�,�, �i¢a,.� �-
/No ftu•ther NEPA review required Project is categorically excluded per (cite applicable
1001.E CATER that applies)
An Environmental Assessment (EA) is required
As E-"nvironmental Impact Statement (I IS) Is required.
The following additional dOCUIllelltation Is necessary for PAA to perform a complete
environmental evaluation of the proposed project.
C h(k rule io enter te,,t li ncLc�,aly
Name: V �Wu �WtMF I
Responsible FAA Official
Signature
A -14
Title i4C-V6—% Iilw . a� �1Jt�►w
Date

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_L BAKER ENGINEERING, INC.
y Parkway, Suite 600 - Cary, North Carolina 27518
-9 -% ► 1 r' A
CLEARING LIMIT /OHWM
- 9
WATER LINE
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r,
-
- EXISTING GRADE
Da
Figure No.
9