19920465 Ver 2_9204.1_Windcrest_5.11.23_20230511

May 11, 2023
Mr. Lyle Phillips
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
Wilmington District U.S. Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Ms. Seren Homer
Division of Water Resources
Winston Salem Regional Office
450 West Hames Mill Road, Suite 300
Winston Salem, North Carolina27105
Reference:Windcrest Acres
NCDWR Notice of Violation2023-OP-0001
Water QualityViolation
Asheboro, RandolphCounty,North Carolina
PilotProject
Dear Mr. Phillips and Ms. Homer:
Pilot Environmental Inc. (Pilot) has prepared this letter on behalf of Davidson Land Development,
LLC (Applicant)to address the Notice of Violation(NOV)2023-OP-0001datedFebruary 10, 2023.
The applicant responded to NOV 2023-OP-0001 in a letter e-mailed on February 11, 2023 and by
e-maildated March 17, 2023. The North Carolina Department of Environmental Quality (NCDEQ)
Division of Water Resources (DWR)acknowledgereceipt of thesecommunications in an e-mail
dated April 19, 2023.
According to NCDEQ-DWR NOV dated February 10, 2023, the NCDEQ-DWR conducted a field
inspection on January 5, 2023 at the request of another State agency. The on-site inspection
revealed the potential for unauthorized fill/grading and sediment lostto streams and wetlands
associated with on-going construction activities of the Windcrest Acres subdivision.
PO Box 128, Kernersville, NC 27285

Windcrest Acres
May 11, 2023
NOV 2023-OP-0001 dated February 10, 2023 identified the following water quality violations:
Violation of Title 15A North Carolina AdministrativeCode 02B .0211(2)
Violation of Title 15A NorthCarolina Administrative Code 02B .0211 (12)
Violation of Title 15A North Carolina Administrative Code 02B .0231 (c)
Violation of Title 15A North Carolina Administrative Code02H .0502

Pilot has visited the site on several occasionssince February11, 2023. Pilot has utilized
information from the field visits including NCDEQ-DWR Stream Identification Forms and USACE
Wetland Determination Data Forms at undisturbed locations of the site and nearby to obtain
representative baseline conditions prior to disturbance occurring at the site. Pilot utilized
information from the field visits, digital elevation modeling (DEM), historical aerial photographs,
pre-construction drainage areas analysis and other data sources to determine the following
unauthorized impact to Waters of the US (WoUS):

Approximately 180 Linear Feet of intermittent Stream Channel from loss of sediments
Approximately 164 Linear Feet of Intermittent Stream Channel from Culvert Fill
Approximately 744 Linear Feet of Intermittent Stream Channel from Grading

Based on our findings, it is our opinion that impact or disturbance has not occurred to 721 linear
feet of perennial stream channel or to wetlands on the site. Supportive documentation of our
findings is included as attachments and summarized on Drawing 5 – Wetland Map.

Following receipt of NOV 2023-OP-0001 dated February 10, 2023, the applicant immediately
began corrective actions to address the NOV. These corrective actions included the repair,
maintenance and installation of additional sediment and erosion control devices and vegetative
stabilization including installation of sod, herbaceous seeding and straw/matting in areas of high
erosion potential from the site to down-gradient waters. Additionally, the applicant
subcontracted personnel to hand remove accumulated sediments from approximately 180 linear
feet of intermittent stream channel located immediately down-gradient of the site prior to
February 11, 2023. Areas of established woody vegetation and areas with herbaceous vegetation
with less than 2 inches of accumulated sediments were not disturbed. Accumulated sediments
were removed from the stream and adjacent stream banks to native soil conditions. The
sediments were manually removed by hand utilizing shovel/bucket technique. Only recent
sediment accumulation was removed. The sediments that were removed were transported,
broadcast spread and seeded/strawed on uplands on the site. Sediments were wasted no closer
than 100 feet from any surface water on or near the site. Following sediment removals, the
stream banks and adjacent aeras were stabilized with native herbaceous seed mix and natural
coir matting. The attached NCDEQ-Department of Energy, Mineral and Land Resources (DEMLR)
inspection report dated March 28, 2023 further documents the immediate corrective actions the
applicant has completed since receipt of NOV dated February 10, 2023 to return the site to
compliance with applicable federal and state regulations.

2

Windcrest Acres
May 11, 2023
Pilot has prepared a Pre-Construction Notification (PCN) form to request Nationwide Permit 29
Verification and associated NCDEQ-DWR 401 Water Quality Certification (WQC) for the
unauthorized fill to approximately 169 linear feet of intermittent stream channel. Additionally,
Pilot has prepared a RestorationPlanthat would restore approximately 741 linear feet of stream
channel. The PCN and Restoration Plan are proposed to return the site to compliance with
applicable federal and state regulations. Copies of the PCN and Restoration Plan are included as
attachments.

We appreciate your time and consideration of this matter. Please contact us at 336.310.4527 if
you have any questions concerning the proposed plan.
Sincerely,

Bradley S. Luckey, PWS David S. Brame, PWS
Senior Project Manager Senior Project Manager
Attachments: Supportive Documentation of WoUS Findings
NCDEQ-DEMLR Site Inspection Report Dated March 28, 2023
PCN
Restoration Plan

3

SF-1
4.10.23
Luckey, Pilot
Randolph
15
4.5
6
4.5
Channel is ~ 1.5’ wide & 1.5’ deep
Wild violet, fescue grass, black needle rush, Chinese privet and chickweed sporadically located in channel bed.

SF-2
4.10.23
Luckey, Pilot
Randolph
23.5
10.5
7
6
Channel is ~2.5’ wide & 2’ deep.

Requirement Control Symbol
U.S. Army Corps of Engineers
EXEMPT
WETLAND DETERMINATION DATA SHEET – Eastern Mountains and Piedmont Region
(Authority: AR 335-15,
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
paragraph 5-2a)
Project/Site:WindcrestCity/County:Asheboro/RandolphSampling Date:4.10.23
Applicant/Owner:State:NCSampling Point:DP-1
Investigator(s):Luckey, PilotSection, Township, Range:
Landform (hillside, terrace, etc.):SwaleLocal relief (concave, convex, none):Slope (%):4
Subregion (LRR or MLRA):LRR P, MLRA 136Lat:35.74424Long:-79.79744Datum:WGS84
Soil Map Unit Name:GaC-Georgeville silt loamNWI classification:None
Are climatic / hydrologic conditions on the site typical for this time of year?YesXNo(If no, explain in Remarks.)
Are Vegetation, Soil, or Hydrologysignificantly disturbed?Are “Normal Circumstances” present?YesXNo
Are Vegetation, Soil, or Hydrologynaturally problematic?(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?YesNoXIs the Sampled Area
Hydric Soil Present? YesNoXwithin a Wetland?YesNoX
Wetland Hydrology Present?YesNoX
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Surface Water (A1)True Aquatic Plants (B14)Sparsely Vegetated Concave Surface (B8)
High Water Table (A2)Hydrogen Sulfide Odor (C1)XDrainage Patterns (B10)
Saturation (A3)Oxidized Rhizospheres on Living Roots (C3)Moss Trim Lines (B16)
Water Marks (B1)Presence of Reduced Iron (C4)Dry-Season Water Table (C2)
Sediment Deposits (B2)Recent Iron Reduction in Tilled Soils (C6)Crayfish Burrows (C8)
Drift Deposits (B3)Thin Muck Surface (C7)Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4)Other (Explain in Remarks)Stunted or Stressed Plants (D1)
Iron Deposits (B5)Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7)Shallow Aquitard (D3)
Water-Stained Leaves (B9)Microtopographic Relief (D4)
Aquatic Fauna (B13)FAC-Neutral Test (D5)
Field Observations:
Surface Water Present?YesNoXDepth (inches):
Water Table Present?YesNoXDepth (inches):
Saturation Present?YesNoXDepth (inches):Wetland Hydrology Present?YesNoX
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Ephemeral Drainage (SF-1) located within evaulation area, other drainage patterns not present.
ENG FORM 6116-4-SG, JUL 2018Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Four Strata)– Use scientific names of plants.Sampling Point:DP-1
Absolute Dominant Indicator
Tree Stratum(Plot size:30')% CoverSpecies?StatusDominance Test worksheet:
1.Quercus falcata20YesFACU
Number of Dominant Species
2.Liriodendron tulipifera20YesFACUThat Are OBL, FACW, or FAC:2(A)
3.Fagus grandifolia15YesFACU
Total Number of Dominant
4.Species Across All Strata:7(B)
5.
Percent of Dominant Species
6.That Are OBL, FACW, or FAC:28.6%(A/B)
7.Prevalence Index worksheet:
55=Total CoverTotal % Cover of:Multiply by:
50% of total cover:2820% of total cover:11OBL species0x 1 =0
Sapling/Shrub Stratum(Plot size:30')FACW species0x 2 =0
1.Juniperus virginiana5YesFACUFAC species10x 3 =30
2.FACU species65x 4 =260
3.UPL species0x 5 =0
4.Column Totals:75(A)290(B)
5.Prevalence Index = B/A =3.87
6.Hydrophytic Vegetation Indicators:
7.1 - Rapid Test for Hydrophytic Vegetation
8.2 - Dominance Test is >50%
1
9.
1
4 - Morphological Adaptations(Provide supporting
5=Total Cover
data in Remarks or on a separate sheet)
50% of total cover:320% of total cover:1
1
Herb Stratum(Plot size:30')Problematic Hydrophytic Vegetation (Explain)
1
1.Ligustrum sinense5YesFACU
Indicators of hydric soil and wetland hydrology must
2.Smilax rotundifolia5YesFACbe present, unless disturbed or problematic.
3.Definitions of Four Vegetation Strata:
4.
Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
5.
height.
6.
7.
Sapling/Shrub – Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
8.
(1 m) tall.
9.
10.
Herb – All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
11.
10=Total Cover
Woody Vine – All woody vines greater than 3.28 ft in
height.
50% of total cover:520% of total cover:2
Woody Vine Stratum(Plot size:30')
1.Toxicodendron radicans5YesFAC
2.
3.
4.
5.
Hydrophytic
5=Total Cover
Vegetation
50% of total cover:320% of total cover:1Present?YesNoX
Remarks: (Include photo numbers here or on a separate sheet.)
ENG FORM 6116-4-SG, JUL 2018Eastern Mountains and Piedmont – Version 2.0

SOIL Sampling Point:DP-1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
DepthMatrixRedox Features
12
(inches)Color (moist)%Color (moist)%TypeLocTextureRemarks
0-1810YR 5/8100Loamy/Clayey
12
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.Location: PL=Pore Lining, M=Matrix.
3
Hydric Soil Indicators:Indicators for Problematic Hydric Soils:
Histosol (A1)Polyvalue Below Surface (S8) (MLRA 147, 148)2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)Thin Dark Surface (S9) (MLRA 147, 148)Coast Prairie Redox (A16)
Black Histic (A3)Loamy Mucky Mineral (F1) (MLRA 136)(MLRA 147, 148)
Hydrogen Sulfide (A4)Loamy Gleyed Matrix (F2)Piedmont Floodplain Soils (F19)
Stratified Layers (A5)Depleted Matrix (F3)(MLRA 136, 147)
2 cm Muck (A10) (LRR N)Redox Dark Surface (F6)Red Parent Material (F21)
Depleted Below Dark Surface (A11)Depleted Dark Surface (F7)(outside MLRA 127, 147, 148)
Thick Dark Surface (A12)Redox Depressions (F8)Very Shallow Dark Surface (F22)
Sandy Mucky Mineral (S1)Iron-Manganese Masses (F12) (LRR N,Other (Explain in Remarks)
Sandy Gleyed Matrix (S4)MLRA 136)
3
Sandy Redox (S5)Umbric Surface (F13) (MLRA 122, 136)Indicators of hydrophytic vegetation and
Stripped Matrix (S6)Piedmont Floodplain Soils (F19) (MLRA 148)wetland hydrology must be present,
Dark Surface (S7)Red Parent Material (F21) (MLRA 127, 147, 148)unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):Hydric Soil Present?YesNoX
Remarks:
ENG FORM 6116-4-SG, JUL 2018Eastern Mountains and Piedmont – Version 2.0

Requirement Control Symbol
U.S. Army Corps of Engineers
EXEMPT
WETLAND DETERMINATION DATA SHEET – Eastern Mountains and Piedmont Region
(Authority: AR 335-15,
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
paragraph 5-2a)
Project/Site:WindcrestCity/County:Asheboro/RandolphSampling Date:4.10.23
Applicant/Owner:State:NCSampling Point:DP-2
Investigator(s):Luckey, PilotSection, Township, Range:
Landform (hillside, terrace, etc.):SwaleLocal relief (concave, convex, none):Slope (%):4
Subregion (LRR or MLRA):LRR P, MLRA 136Lat:35.74424Long:-79.79744Datum:WGS84
Soil Map Unit Name:GaC-Georgeville silt loamNWI classification:None
Are climatic / hydrologic conditions on the site typical for this time of year?YesXNo(If no, explain in Remarks.)
Are Vegetation, Soil, or Hydrologysignificantly disturbed?Are “Normal Circumstances” present?YesXNo
Are Vegetation, Soil, or Hydrologynaturally problematic?(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?YesNoXIs the Sampled Area
Hydric Soil Present? YesNoXwithin a Wetland?YesNoX
Wetland Hydrology Present?YesNoX
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Surface Water (A1)True Aquatic Plants (B14)Sparsely Vegetated Concave Surface (B8)
High Water Table (A2)Hydrogen Sulfide Odor (C1)Drainage Patterns (B10)
Saturation (A3)Oxidized Rhizospheres on Living Roots (C3)Moss Trim Lines (B16)
Water Marks (B1)Presence of Reduced Iron (C4)Dry-Season Water Table (C2)
Sediment Deposits (B2)Recent Iron Reduction in Tilled Soils (C6)Crayfish Burrows (C8)
Drift Deposits (B3)Thin Muck Surface (C7)Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4)Other (Explain in Remarks)Stunted or Stressed Plants (D1)
Iron Deposits (B5)Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7)Shallow Aquitard (D3)
Water-Stained Leaves (B9)Microtopographic Relief (D4)
Aquatic Fauna (B13)FAC-Neutral Test (D5)
Field Observations:
Surface Water Present?YesNoXDepth (inches):
Water Table Present?YesNoXDepth (inches):
Saturation Present?YesNoXDepth (inches):Wetland Hydrology Present?YesNoX
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116-4-SG, JUL 2018Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Four Strata)– Use scientific names of plants.Sampling Point:DP-2
Absolute Dominant Indicator
Tree Stratum(Plot size:30')% CoverSpecies?StatusDominance Test worksheet:
1.Quercus falcata30YesFACU
Number of Dominant Species
2.Liquidambar styraciflua30YesFACThat Are OBL, FACW, or FAC:2(A)
3.Liriodendron tulipifera20YesFACU
Total Number of Dominant
4.Species Across All Strata:7(B)
5.
Percent of Dominant Species
6.That Are OBL, FACW, or FAC:28.6%(A/B)
7.Prevalence Index worksheet:
80=Total CoverTotal % Cover of:Multiply by:
50% of total cover:4020% of total cover:16OBL species0x 1 =0
Sapling/Shrub Stratum(Plot size:30')FACW species0x 2 =0
1.Carpinus caroliniana10YesFACFAC species42x 3 =126
2.Liquidambar styraciflua2NoFACFACU species77x 4 =308
3.Ligustrum sinense2NoFACUUPL species0x 5 =0
4.Column Totals:119(A)434(B)
5.Prevalence Index = B/A =3.65
6.Hydrophytic Vegetation Indicators:
7.1 - Rapid Test for Hydrophytic Vegetation
8.2 - Dominance Test is >50%
1
9.
1
4 - Morphological Adaptations(Provide supporting
14=Total Cover
data in Remarks or on a separate sheet)
50% of total cover:720% of total cover:3
1
Herb Stratum(Plot size:30')Problematic Hydrophytic Vegetation (Explain)
1
1.Ligustrum sinense10YesFACU
Indicators of hydric soil and wetland hydrology must
2.Allium canadense5YesFACUbe present, unless disturbed or problematic.
3.Definitions of Four Vegetation Strata:
4.
Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
5.
height.
6.
7.
Sapling/Shrub – Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
8.
(1 m) tall.
9.
10.
Herb – All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
11.
15=Total Cover
Woody Vine – All woody vines greater than 3.28 ft in
height.
50% of total cover:820% of total cover:3
Woody Vine Stratum(Plot size:30')
1.Hedera helix10YesFACU
2.
3.
4.
5.
Hydrophytic
10=Total Cover
Vegetation
50% of total cover:520% of total cover:2Present?YesNoX
Remarks: (Include photo numbers here or on a separate sheet.)
ENG FORM 6116-4-SG, JUL 2018Eastern Mountains and Piedmont – Version 2.0

SOIL Sampling Point:DP-2
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
DepthMatrixRedox Features
12
(inches)Color (moist)%Color (moist)%TypeLocTextureRemarks
0-1810YR 5/8100Loamy/Clayey
12
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.Location: PL=Pore Lining, M=Matrix.
3
Hydric Soil Indicators:Indicators for Problematic Hydric Soils:
Histosol (A1)Polyvalue Below Surface (S8) (MLRA 147, 148)2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)Thin Dark Surface (S9) (MLRA 147, 148)Coast Prairie Redox (A16)
Black Histic (A3)Loamy Mucky Mineral (F1) (MLRA 136)(MLRA 147, 148)
Hydrogen Sulfide (A4)Loamy Gleyed Matrix (F2)Piedmont Floodplain Soils (F19)
Stratified Layers (A5)Depleted Matrix (F3)(MLRA 136, 147)
2 cm Muck (A10) (LRR N)Redox Dark Surface (F6)Red Parent Material (F21)
Depleted Below Dark Surface (A11)Depleted Dark Surface (F7)(outside MLRA 127, 147, 148)
Thick Dark Surface (A12)Redox Depressions (F8)Very Shallow Dark Surface (F22)
Sandy Mucky Mineral (S1)Iron-Manganese Masses (F12) (LRR N,Other (Explain in Remarks)
Sandy Gleyed Matrix (S4)MLRA 136)
3
Sandy Redox (S5)Umbric Surface (F13) (MLRA 122, 136)Indicators of hydrophytic vegetation and
Stripped Matrix (S6)Piedmont Floodplain Soils (F19) (MLRA 148)wetland hydrology must be present,
Dark Surface (S7)Red Parent Material (F21) (MLRA 127, 147, 148)unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):Hydric Soil Present?YesNoX
Remarks:
ENG FORM 6116-4-SG, JUL 2018Eastern Mountains and Piedmont – Version 2.0

Requirement Control Symbol
U.S. Army Corps of Engineers
EXEMPT
WETLAND DETERMINATION DATA SHEET – Eastern Mountains and Piedmont Region
(Authority: AR 335-15,
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
paragraph 5-2a)
Project/Site:WindcrestCity/County:Asheboro/RandolphSampling Date:4.10.23
Applicant/Owner:State:NCSampling Point:DP-3
Investigator(s):Luckey, PilotSection, Township, Range:
Landform (hillside, terrace, etc.):SwaleLocal relief (concave, convex, none):Slope (%):4
Subregion (LRR or MLRA):LRR P, MLRA 136Lat:35.74393Long:-79.79458Datum:WGS84
Soil Map Unit Name:GaC-Georgeville silt loamNWI classification:None
Are climatic / hydrologic conditions on the site typical for this time of year?YesXNo(If no, explain in Remarks.)
Are Vegetation, Soil, or Hydrologysignificantly disturbed?Are “Normal Circumstances” present?YesXNo
Are Vegetation, Soil, or Hydrologynaturally problematic?(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?YesNoXIs the Sampled Area
Hydric Soil Present? YesNoXwithin a Wetland?YesNoX
Wetland Hydrology Present?YesNoX
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Surface Water (A1)True Aquatic Plants (B14)Sparsely Vegetated Concave Surface (B8)
High Water Table (A2)Hydrogen Sulfide Odor (C1)Drainage Patterns (B10)
Saturation (A3)Oxidized Rhizospheres on Living Roots (C3)Moss Trim Lines (B16)
Water Marks (B1)Presence of Reduced Iron (C4)Dry-Season Water Table (C2)
Sediment Deposits (B2)Recent Iron Reduction in Tilled Soils (C6)Crayfish Burrows (C8)
Drift Deposits (B3)Thin Muck Surface (C7)Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4)Other (Explain in Remarks)Stunted or Stressed Plants (D1)
Iron Deposits (B5)Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7)Shallow Aquitard (D3)
Water-Stained Leaves (B9)Microtopographic Relief (D4)
Aquatic Fauna (B13)FAC-Neutral Test (D5)
Field Observations:
Surface Water Present?YesNoXDepth (inches):
Water Table Present?YesNoXDepth (inches):
Saturation Present?YesNoXDepth (inches):Wetland Hydrology Present?YesNoX
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116-4-SG, JUL 2018Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Four Strata)– Use scientific names of plants.Sampling Point:DP-3
Absolute Dominant Indicator
Tree Stratum(Plot size:30')% CoverSpecies?StatusDominance Test worksheet:
1.Liriodendron tulipifera50YesFACU
Number of Dominant Species
2.Quercus falcata10NoFACUThat Are OBL, FACW, or FAC:3(A)
3.Betula nigra10NoFACW
Total Number of Dominant
4.Species Across All Strata:7(B)
5.
Percent of Dominant Species
6.That Are OBL, FACW, or FAC:42.9%(A/B)
7.Prevalence Index worksheet:
70=Total CoverTotal % Cover of:Multiply by:
50% of total cover:3520% of total cover:14OBL species0x 1 =0
Sapling/Shrub Stratum(Plot size:30')FACW species10x 2 =20
1.Carpinus caroliniana5YesFACFAC species15x 3 =45
2.Liquidambar styraciflua5YesFACFACU species85x 4 =340
3.UPL species0x 5 =0
4.Column Totals:110(A)405(B)
5.Prevalence Index = B/A =3.68
6.Hydrophytic Vegetation Indicators:
7.1 - Rapid Test for Hydrophytic Vegetation
8.2 - Dominance Test is >50%
1
9.
1
4 - Morphological Adaptations(Provide supporting
10=Total Cover
data in Remarks or on a separate sheet)
50% of total cover:520% of total cover:2
1
Herb Stratum(Plot size:30')Problematic Hydrophytic Vegetation (Explain)
1
1.Ligustrum sinense10YesFACU
Indicators of hydric soil and wetland hydrology must
2.Rosa multiflora5YesFACUbe present, unless disturbed or problematic.
3.Viola papilionacea5YesFACDefinitions of Four Vegetation Strata:
4.
Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
5.
height.
6.
7.
Sapling/Shrub – Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
8.
(1 m) tall.
9.
10.
Herb – All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
11.
20=Total Cover
Woody Vine – All woody vines greater than 3.28 ft in
height.
50% of total cover:1020% of total cover:4
Woody Vine Stratum(Plot size:30')
1.Lonicera japonica10YesFACU
2.
3.
4.
5.
Hydrophytic
10=Total Cover
Vegetation
50% of total cover:520% of total cover:2Present?YesNoX
Remarks: (Include photo numbers here or on a separate sheet.)
ENG FORM 6116-4-SG, JUL 2018Eastern Mountains and Piedmont – Version 2.0

SOIL Sampling Point:DP-3
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
DepthMatrixRedox Features
12
(inches)Color (moist)%Color (moist)%TypeLocTextureRemarks
0-1810YR 5/6100Loamy/Clayey
12
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.Location: PL=Pore Lining, M=Matrix.
3
Hydric Soil Indicators:Indicators for Problematic Hydric Soils:
Histosol (A1)Polyvalue Below Surface (S8) (MLRA 147, 148)2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)Thin Dark Surface (S9) (MLRA 147, 148)Coast Prairie Redox (A16)
Black Histic (A3)Loamy Mucky Mineral (F1) (MLRA 136)(MLRA 147, 148)
Hydrogen Sulfide (A4)Loamy Gleyed Matrix (F2)Piedmont Floodplain Soils (F19)
Stratified Layers (A5)Depleted Matrix (F3)(MLRA 136, 147)
2 cm Muck (A10) (LRR N)Redox Dark Surface (F6)Red Parent Material (F21)
Depleted Below Dark Surface (A11)Depleted Dark Surface (F7)(outside MLRA 127, 147, 148)
Thick Dark Surface (A12)Redox Depressions (F8)Very Shallow Dark Surface (F22)
Sandy Mucky Mineral (S1)Iron-Manganese Masses (F12) (LRR N,Other (Explain in Remarks)
Sandy Gleyed Matrix (S4)MLRA 136)
3
Sandy Redox (S5)Umbric Surface (F13) (MLRA 122, 136)Indicators of hydrophytic vegetation and
Stripped Matrix (S6)Piedmont Floodplain Soils (F19) (MLRA 148)wetland hydrology must be present,
Dark Surface (S7)Red Parent Material (F21) (MLRA 127, 147, 148)unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):Hydric Soil Present?YesNoX
Remarks:
ENG FORM 6116-4-SG, JUL 2018Eastern Mountains and Piedmont – Version 2.0

Requirement Control Symbol
U.S. Army Corps of Engineers
EXEMPT
WETLAND DETERMINATION DATA SHEET – Eastern Mountains and Piedmont Region
(Authority: AR 335-15,
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
paragraph 5-2a)
Project/Site:WindcrestCity/County:Asheboro/RandolphSampling Date:4.10.23
Applicant/Owner:State:NCSampling Point:DP-4
Investigator(s):Luckey, PilotSection, Township, Range:
Landform (hillside, terrace, etc.):SwaleLocal relief (concave, convex, none):Slope (%):4
Subregion (LRR or MLRA):LRR P, MLRA 136Lat:35.74424Long:-79.79744Datum:WGS84
Soil Map Unit Name:GaC-Georgeville silt loamNWI classification:None
Are climatic / hydrologic conditions on the site typical for this time of year?YesXNo(If no, explain in Remarks.)
Are Vegetation, Soil, or Hydrologysignificantly disturbed?Are “Normal Circumstances” present?YesXNo
Are Vegetation, Soil, or Hydrologynaturally problematic?(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?YesNoXIs the Sampled Area
Hydric Soil Present? YesNoXwithin a Wetland?YesNoX
Wetland Hydrology Present?YesNoX
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Surface Water (A1)True Aquatic Plants (B14)Sparsely Vegetated Concave Surface (B8)
High Water Table (A2)Hydrogen Sulfide Odor (C1)Drainage Patterns (B10)
Saturation (A3)Oxidized Rhizospheres on Living Roots (C3)Moss Trim Lines (B16)
Water Marks (B1)Presence of Reduced Iron (C4)Dry-Season Water Table (C2)
Sediment Deposits (B2)Recent Iron Reduction in Tilled Soils (C6)Crayfish Burrows (C8)
Drift Deposits (B3)Thin Muck Surface (C7)Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4)Other (Explain in Remarks)Stunted or Stressed Plants (D1)
Iron Deposits (B5)Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7)Shallow Aquitard (D3)
Water-Stained Leaves (B9)Microtopographic Relief (D4)
Aquatic Fauna (B13)FAC-Neutral Test (D5)
Field Observations:
Surface Water Present?YesNoXDepth (inches):
Water Table Present?YesNoXDepth (inches):
Saturation Present?YesNoXDepth (inches):Wetland Hydrology Present?YesNoX
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116-4-SG, JUL 2018Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Four Strata)– Use scientific names of plants.Sampling Point:DP-4
Absolute Dominant Indicator
Tree Stratum(Plot size:30')% CoverSpecies?StatusDominance Test worksheet:
1.Quercus falcata30YesFACU
Number of Dominant Species
2.Acer rubrum10YesFACThat Are OBL, FACW, or FAC:2(A)
3.
Total Number of Dominant
4.Species Across All Strata:9(B)
5.
Percent of Dominant Species
6.That Are OBL, FACW, or FAC:22.2%(A/B)
7.Prevalence Index worksheet:
40=Total CoverTotal % Cover of:Multiply by:
50% of total cover:2020% of total cover:8OBL species0x 1 =0
Sapling/Shrub Stratum(Plot size:30')FACW species0x 2 =0
1.Liriodendron tulipifera5YesFACUFAC species15x 3 =45
2.Liquidambar styraciflua5YesFACFACU species60x 4 =240
3.Ligustrum sinense5YesFACUUPL species0x 5 =0
4.Column Totals:75(A)285(B)
5.Prevalence Index = B/A =3.80
6.Hydrophytic Vegetation Indicators:
7.1 - Rapid Test for Hydrophytic Vegetation
8.2 - Dominance Test is >50%
1
9.
1
4 - Morphological Adaptations(Provide supporting
15=Total Cover
data in Remarks or on a separate sheet)
50% of total cover:820% of total cover:3
1
Herb Stratum(Plot size:30')Problematic Hydrophytic Vegetation (Explain)
1
1.Ligustrum sinense5YesFACU
Indicators of hydric soil and wetland hydrology must
2.Allium canadense5YesFACUbe present, unless disturbed or problematic.
3.Polystichum acrostichoides5YesFACUDefinitions of Four Vegetation Strata:
4.Rubus argutus5YesFACU
Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
5.
height.
6.
7.
Sapling/Shrub – Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
8.
(1 m) tall.
9.
10.
Herb – All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
11.
20=Total Cover
Woody Vine – All woody vines greater than 3.28 ft in
height.
50% of total cover:1020% of total cover:4
Woody Vine Stratum(Plot size:30')
1.None Observed
2.
3.
4.
5.
Hydrophytic
=Total Cover
Vegetation
50% of total cover:20% of total cover:Present?YesNoX
Remarks: (Include photo numbers here or on a separate sheet.)
ENG FORM 6116-4-SG, JUL 2018Eastern Mountains and Piedmont – Version 2.0

SOIL Sampling Point:DP-4
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
DepthMatrixRedox Features
12
(inches)Color (moist)%Color (moist)%TypeLocTextureRemarks
0-1810YR 5/6100Loamy/Clayey
12
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.Location: PL=Pore Lining, M=Matrix.
3
Hydric Soil Indicators:Indicators for Problematic Hydric Soils:
Histosol (A1)Polyvalue Below Surface (S8) (MLRA 147, 148)2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)Thin Dark Surface (S9) (MLRA 147, 148)Coast Prairie Redox (A16)
Black Histic (A3)Loamy Mucky Mineral (F1) (MLRA 136)(MLRA 147, 148)
Hydrogen Sulfide (A4)Loamy Gleyed Matrix (F2)Piedmont Floodplain Soils (F19)
Stratified Layers (A5)Depleted Matrix (F3)(MLRA 136, 147)
2 cm Muck (A10) (LRR N)Redox Dark Surface (F6)Red Parent Material (F21)
Depleted Below Dark Surface (A11)Depleted Dark Surface (F7)(outside MLRA 127, 147, 148)
Thick Dark Surface (A12)Redox Depressions (F8)Very Shallow Dark Surface (F22)
Sandy Mucky Mineral (S1)Iron-Manganese Masses (F12) (LRR N,Other (Explain in Remarks)
Sandy Gleyed Matrix (S4)MLRA 136)
3
Sandy Redox (S5)Umbric Surface (F13) (MLRA 122, 136)Indicators of hydrophytic vegetation and
Stripped Matrix (S6)Piedmont Floodplain Soils (F19) (MLRA 148)wetland hydrology must be present,
Dark Surface (S7)Red Parent Material (F21) (MLRA 127, 147, 148)unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):Hydric Soil Present?YesNoX
Remarks:
ENG FORM 6116-4-SG, JUL 2018Eastern Mountains and Piedmont – Version 2.0

-

Sedimentation/Construction Stormwater Inspection Report
North Carolina Department of Environmental Quality
Land Resources: 450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
[phone]
RandolphCape Fear
County:Project: Windcrest Acres Subdivision Section 3River basin:
Person financially responsible: Davidson Land Development, LLC -Christopher
Project #: RANDO-2022-001
Reid, Registered Agent
Address:300 East Center Street (old?), 5930 E. Old Hwy 64, Lexington, NC 27292
1.Project Location:Windcrest Road, Asheboro
Pictures:Yes -Digital
Cloudy, 60s, workable soilInitial inspection:No
2.Weather and soil conditions:
3.Is site currently under notice of violation?No
4. Is the site in compliance with S.P.C.A. and rules?YesIf no, check violations below:
5.Violations:
Yes
6.Is the site in compliance with NPDES Permit NCG010000 Construction Stormwater requirements?
Describe:
7.Has sedimentation damage occurred since last inspection? No If Yes, where? (check all that apply)
Degree of damage:
Chris Reid, et al.
8.Contact made with (name):
Title:
Inspection report: Sent Report
Date given/sent: March 28, 2023
9.Corrective action needed:
10.Comments:At the time of inspection, home building was underway in all areas of the site. In general, a
good grass cover was found throughout the tract in areas where homebuilding were nearing
completion. According to Chris Reid, Davidson Land Development is working to address the
stream grading that occurred on the west and southwest portions of the site--that stream area
was still similar to previous inspections. All problem areas in the south portion of the site
had been addressed. Both streams and buffer areas had been cleaned of sediment, and all
disturbed areas in the buffer were strawed or matted and seeded with riparian seed mix, which
was starting to sprout. On the tract, considerable effort was made to stabilize the site, with
new matting, seeding/sprouting, riprap, and sod throughout the site. The drainage swales in
particular were well managedwith either sod or thick matting and visible grass growth. With
these efforts to stabilize the site and clean up all off-site areas, the Notice of Violation of the
Sediment Pollution Control Act is released. If you have questions or to request a close out
inspection once vegetation is fully established in all areas of the project not covered by the lot
plans, contact me at [e-mail] or by phone at [phone].
Robby Deans
Reported by:Others present:
Date of inspection:March 28, 2023Time arriving on site:Time leaving site:11:30 AM
10:25 AM
cc:

-

Office Use Only:
Corps action ID no. _____________
DWQ project no. _______________
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1.Processing
1a.Type(s) of approval sought from the
Section 404 Permit Section 10 Permit
Corps:
1b. Specify Nationwide Permit (NWP) number: NWP 29 or General Permit (GP) number:
1c.Has the NWP or GP number been verified by the Corps?YesNo
1d.Type(s) of approval sought from the DWQ (check all that apply):
401 Water Quality Certification –RegularNon-404 Jurisdictional General Permit
401 Water Quality Certification –Express Riparian Buffer Authorization
For the record only for Corps Permit:
1e.Is this notification solely for the record For the record only for DWQ 401
because written approval is not required?Certification:
Yes No
Yes No
1f.Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
YesNo
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
YesNo
1g.Is the project located in any of NC’s twenty coastal counties. If yes, answer 1h
below.
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?YesNo
2.Project Information
2a.Name of project:Windcrest Acres
2b.County:Randolph
2c.Nearest municipality / town:Asheboro
2d.Subdivision name:Windcrest Acres
2e.NCDOT only, T.I.P. or state
project no:
3.Owner Information
3a.Name(s) on Recorded Deed:WJH,LLC
3b. Deed Book and Page No.Multiple
3c.Responsible Party (for LLC if
applicable):
3d.Street address:3091 Governors Lake Drive
3e.City, state, zip:Norcross, GA 30071
3f.Telephoneno.:
3g.Fax no.:
3h.Email address:
Page 1 of 12
PCN Form –Version 1.3 December 10, 2008 Version

4.Applicant Information (if different from owner)
4a.Applicant is:AgentOther, specify: Developer
4b.Name:Mr. Chris Reid
4c.Business name
Davidson Land Development, LLC
(if applicable):
4d.Street address:PO Box 1706
4e.City, state, zip:Lexington, NC 27293
4f.Telephone no.:(336)-250-0483
4g.Fax no.:
4h.Email address:[e-mail]
5.Agent/Consultant Information (if applicable)
5a.Name:Bradley Luckey
5b.Business name
Pilot Environmental,Inc.
(if applicable):
5c.Street address:PO Box 128
5d.City, state, zip:Kernersville, NC 27285
5e.Telephone no.:336.708.4997
5f.Fax no.:
5g.Email address:[e-mail]
Page 2 of 12
PCN Form –Version 1.3December 10, 2008 Version

B. Project Information and Prior Project History
1.Property Identification
1a.Property identification no. (tax PIN or parcel ID): Several
Latitude: 35.74436
Longitude: -79.79701
1b.Site coordinates (in decimal degrees):
(DD.DDDDDD) (-DD.DDDDDD)
1c.Property size:18acres
2.Surface Waters
2a.Name of nearest body of water (stream, river, etc.) to
Penrod Branch
proposed project:
2b.Water Quality Classification of nearest receiving water:Class C
2c.River basin:Cape Fear
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 contains graded land associated with Windcrest Acres, a single family residential subdivision. A stream on the
site has been impacted by grading and installation of three culverts. The site islocated within a rural and residential area
of Asheboro, Randolph County, North Carolina
3b.List the total estimated acreage of all existing wetlands on the property:
Wetland=0Ac
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Streams=1,672LF total streams
3d.Explain the purpose of the proposed project:
The purpose of the proposed project is to provide access to Windcrest Acres, a single family residential subdivision and
associated lots and to correct a violation of unauthorized fill.
3e.Describe the overall project in detail, including the type of equipment to be used:
The overall project includes the construction of Windcrest Acres, a single family residential subdivision. In order to
facilitate the proposed development and access lots, it is necessary to have three stream crossings. Additionally, to
correct a violation of unauthorized fill, a restoration plan has been prepared. Graders, haulers, excavators and other
heavy equipment will be used during grading and construction of the site.
4.Jurisdictional Determinations
4a.Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
Yes NoUnknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
PreliminaryFinal
of determination was made?
4c. If yes, who delineated the jurisdictional areas?Agency/Consultant Company: Pilot Enviromental, Inc.
Name (if known): Bradley LuckeyOther:
4d.If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5.Project History
5a.Have permits orcertifications been requested or obtained for
Yes NoUnknown
this project (including all prior phases) in the past?
5b.If yes, explain in detail according to “help file” instructions.
Page 3 of 12
PCN Form –Version 1.3December 10, 2008 Version

6.Future Project Plans
6a.Is this a phased project?Yes No
6b.If yes, explain.
Impacts to streams/wetlands, outside of those proposed in this application, are not anticipated as a result of the proposed
project.
Page 4 of 12
PCN Form –Version 1.3December 10, 2008 Version

C. Proposed Impacts Inventory
1.Impacts Summary
1a.Which sections were completed below for your project (check all that apply):
Wetlands Streams -tributariesBuffers
Open Waters Pond Construction
2.Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impactType of jurisdiction
number –Type of impactType of wetlandForested(Corps -404, 10Area of impact
Permanent (P) or (if known)DWQ –non-404, other)(acres)
Temporary (T)
Yes Corps
W1 PT
NoDWQ
Yes Corps
W2 PT
NoDWQ
Yes Corps
W3 PT
NoDWQ
Yes Corps
W4 PT
NoDWQ
Yes Corps
W5 PT
NoDWQ
Yes Corps
W6 PT
NoDWQ
2g. Total wetland impacts
2h. Comments: Wetland impacts are not proposed.
3.Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3g.
3a.3b.3c.3d.3e.3f.
Impact
Stream impact Type of impactStream namePerennial Type of jurisdictionAverage
length
number -(PER) orstream
(Corps -404, 10
(linear
Permanent (P) or intermittent width
DWQ –non-404,
feet)
Temporary (T)(INT)?
(feet)
other)
PER Corps
S1 PTRoad CrossingFillUnnamed365
INTDWQ
PER Corps
S2 PTRoad Crossing FillUnnamed369
INTDWQ
PER Corps
S3 PTRoad Crossing FillUnnamed 330
INTDWQ
PER Corps
S4 PTGradingUnnamed3744
INTDWQ
PER Corps
S5 PTUnnamed
INTDWQ
PER Corps
S6 PT
INTDWQ
167/741
3h.Total stream and tributary impacts
3i. Comments: Stream Impact 1 will permanently impact 65 linear feet (195 square feet) of intermittent stream channel with
culvertfill.
Stream Impact 2 will permanently impact 69 linear feet (205 square feet) of intermittent stream channel with culvert fill.
Page 5 of 12
PCN Form –Version 1.3December 10, 2008 Version

Stream Impact 3 will permanently impact 30 linear feet (89 square feet) of intermittent stream channel with culvert fill.
Stream Impact 4 will permanently impact 741linear feet (2,223square feet) of intermittent streamchannel with stream
restoration activities. See attached stream restoration plan. Therefore, following stream restoration activites, there will be a
net loss of 3 linear feet (9 square feet) of intermittent stream channel.
Temporaryimpacts are not proposed. Mitigation is not proposed for the unavoidable netloss of intermittent streams.
4.Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.4b.4c.4d.4e.
Open water Name of waterbody
impact number –(if applicable)Type of impactWaterbody typeArea of impact (acres)
Permanent (P) or
Temporary (T)
O1 PT
O2 PT
O3 PT
O4 PT
4f. Total open water impacts
4g. Comments: Open water impacts are not proposed.
5.Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
5b.
5c.5d.5e.
Wetland Impacts (acres)Stream Impacts (feet)Upland
PondID
Proposed use or purpose
(acres)
number
of pond
FloodedFilled ExcavatedFloodedFilledExcavatedFlooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
Yes No If yes, permit ID no:
5i.Expected pond surface area (acres):
5j.Size of pond watershed (acres):
5k.Method of construction:
Page 6 of 12
PCN Form –Version 1.3December 10, 2008 Version

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below.If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUSTfill out Section D of this form.
6a.
NeuseTar-Pamlico Other:
CatawbaRandleman
Project is inwhich protected basin?
6b.6c.6d.6e.6f.6g.
Buffer impact
Reason Buffer
number –Zone 1 impact Zone 2 impact
Permanent (P) or for Stream namemitigation (square feet)(square feet)
Temporary (T)impactrequired?
Yes
B1 PT
No
Yes
B2 PT
No
Yes
B3 PT
No
6h.Total buffer impacts
6i. Comments: The site is not located within a protected river basin or watershed.
D. Impact Justification and Mitigation
1.Avoidance and Minimization
1a.Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The applicant has designed the proposed residential sub-division to avoid other impact to streams located on the site. In
order to provide accessto Windcrest Acres and associated residential lots, net loss to streams could not be avoided. The
developer unknowingly impacted streams and has prepared a plan to restore the remaining disturbed stream.
1b.Specifically describe measures taken to avoidor minimize the proposed impacts through construction techniques.
The restoration limits will be staked and surveyed in the field. Sediment and erosion control devices and other best
management practices will be utilized during site development activities to prevent down-gradient sedimentation into waters.
The restoration plan includes a detailed construction sequence that has been developed to minimize impacts to downgradient
waters during streamrestoration activities.
2.Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a.Does the project require Compensatory Mitigation for Yes No
impacts to Waters of the U.S. or Waters of the State?
2b.If yes, mitigation isrequired by (check allthat apply): DWQCorps
Mitigation bank
2c.If yes,which mitigation option will be used for this
Payment to in-lieu fee program
project?
Permittee ResponsibleMitigation
3.Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)Type Quantity
Page 7 of 12
PCN Form –Version 1.3December 10, 2008 Version

3c. Comments: The applicant does not propose mitigation for net lossto streams.
4.Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached. Yes
4b.Stream mitigation requested:linear feet
4c.If using stream mitigation, stream temperature:warm cool cold
4d.Buffer mitigation requested (DWQ only):square feet
4e.Riparian wetland mitigation requested:acres
4f.Non-riparian wetland mitigation requested:acres
4g.Coastal (tidal) wetland mitigation requested:acres
4h. Comments:
5.Complete if Using a Permittee Responsible Mitigation Plan
5a.If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6.Buffer Mitigation (State Regulated Riparian BufferRules) –required by DWQ
6a. Will theproject result in an impact within a protected riparian buffer that requires Yes No
buffer mitigation?
6b.If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c.6d.6e.
Reason for impactTotal impact MultiplierRequired mitigation
Zone
(square feet)(square feet)
Zone 13 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g.If buffer mitigation is required, discuss what type ofmitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund).
6h. Comments:
Page 8 of 12
PCN Form –Version 1.3December 10, 2008 Version

E. Stormwater Management and DiffuseFlow Plan (required by DWQ)
1.Diffuse Flow Plan
1a.Does the projectinclude or is it adjacent to protected riparian buffers identified
Yes No
within one of the NC Riparian Buffer Protection Rules?
1b.If yes, then is a diffuse flow plan included? If no, explain why.
Yes No
Comments:
2.Stormwater Management Plan
2a.What is the overall percent imperviousness of this project?20%
2b. Does this project require a Stormwater Management Plan? Yes No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: The overall project is low density, does
not include curb and gutter or concentrated stormwater discharges. Vegetative swales have been constructed adjacent
to roads.
2d. If this project DOES require a StormwaterManagement Plan, then provide a brief, narrative description of the plan:

Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?DWQ Stormwater Program
DWQ 401 Unit
3.Certified Local Government Stormwater Review
3a. In which local government’s jurisdiction is this project?
Phase II
NSW
3b.Which of the following locally-implemented stormwater management programs
USMP
apply (check all that apply):
Water Supply Watershed
Other:
3c. Has the approved Stormwater Management Plan with proof of approvalbeenYes No
attached?
4. DWQ Stormwater Program Review
Coastal counties
HQW
4a. Which of the following state-implemented stormwater management programs apply
ORW
(check all that apply):
Session Law 2006-246
Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
Yes No
attached?
5. DWQ 401 Unit Stormwater Review
5a.Does the Stormwater Management Plan meet the appropriaterequirements?
Yes No
5b. Have all of the 401 Unit submittal requirements been met?
Yes No
Page 9 of 12
PCN Form –Version 1.3December 10, 2008 Version

F. Supplementary Information
1.Environmental Documentation (DWQ Requirement)
1a.Does the project involve an expenditure of public (federal/state/local) funds or the
Yes No
use of public (federal/state) land?
1b.If you answered “yes” to the above, does the project require preparation of an
environmental document pursuantto the requirements of the National or StateYes No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c.If you answered “yes” to the above, has the document review been finalized by the
State ClearingHouse? (If so, attach a copy of the NEPA orSEPA final approval
Yes No
letter.)
Comments: A NEPA or SEPA isnot requiredforthis project.
2.Violations (DWQ Requirement)
2a.Is the site in violation of DWQ Wetland Rules (15A NCAC 2H.0500), Isolated
Yes No
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.Is this an after-the-fact permit application?Yes No
2c. If you answered “yes” to one or both of the above questions, provide an explanation of the violation(s): The developer
unknowingly graded streams and has prepared this PCN andrestoration plan proposal to return the site tocompliance.
3.Cumulative Impacts (DWQ Requirement)
3a.Will this project (based on past and reasonably anticipated future impacts) result in
Yes No
additional development, which could impact nearby downstream water quality?
3b.If you answered “yes” to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If youanswered “no,” provide a short narrative description.
We are not aware of additional development that will result which will impact nearby downstream water quality.
4.Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Impacts from wastewatergeneration are not proposed.
Page 10 of 12
PCN Form –Version 1.3December 10, 2008 Version

5.Endangered Species and Designated Critical Habitat (Corps Requirement)
5a.Will this project occur in or near an area with federally protected species or
Yes No
habitat?
5b.Have you checked with the USFWS concerning Endangered Species Act
Yes No
impacts?
Raleigh
5c.If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d.What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The IPaC report for the site identifies Schweinitz's sunflower (E) asa protected species that could be proximate to the
site.
The project area contained recently cleared and timbered land at the time of purchase of the site by the applicant.
Suitable habitat for Schweinitz's sunflower was not located within the proposed project area at the time stream
disturbance. Therefore, we have made a determination of no effect for this species.
6.Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?Yes No
6b.What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Based on our knowledge of the site, thesite is not located in or near an area designated as essential fish habitat. Best
management practices and the construction of stormwaterponds will prevent sediment from entering down-gradient
waterbodieswhich may contain fish.
7.Historic or PrehistoricCultural Resources (Corps Requirement)
7a.Will this project occur in or near an area that the state, federal or tribal
governments havedesignated as having historic or cultural preservation
Yes No
status(e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b.Whatdata sources did you use to determine whether your site wouldimpact historic or archeological resources?
We reviewed the SHPO Map (http://gis.ncdcr.gov/hpoweb/)to identify culturalresources of the site. Themap does not
identifylisted oreligible for listing properties on or nearby the project area.A copy of the map is included as an
attachment.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? Yes No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplaindetermination? FEMA NHFL (Drawing 4, attached)
Ejhjubmmz!tjhofe!cz!Csbemfz!Mvdlfz!
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fnbjm>cmvdlfzAqjmpufowjsp/dpn-!
5.11.23
Bradley S. Luckey, PWS
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_______________________________
Date
Applicant/Agent's Signature
Applicant/Agent's Printed Name
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 12
PCN Form –Version 1.3December 10, 2008 Version

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