20230811 Ver 1_401 Application_20230609

Staff Review
Does this application have all the attachments needed to accept it into the review process?*
Yes No
ID#* Version* 1
20230811
Is this project a public transportation project?* Yes
No
Reviewer List: * Seren Homer:[e-mail]
Select Reviewing Office: * Winston-Salem Regional Office - [phone]
Submittal Type: * 401 Application
Does this project require a request for payment to be sent?
Yes
No
How much is owed?* $240.00
$570.00

Project Submittal Form
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: * For the Record Only (Courtesy Copy)
New Project
Modification/New Project with Existing ID
More Information Response
Other Agency Comments
Pre -Application Submittal
Re-Issuance\Renewal Request
Stream or Buffer Appeal
Pre -Filing Meeting Date Request was submitted on:
5/25/2023
Project Contact Information
Name: Heather LaGamba
Who is submitting the information?
Email Address: [e-mail]
Project Information
Project Name: Highway 801
Is this a public transportation project?
Yes
No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
Is this project connected with ARPA funding?
Yes No
County (ies)
Yadkin
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
7937.1_NC Highway 801_PCN App_6.5.23.pdf 8.32MB
Only pdf or kmz files are accepted.
Describe the attachments or
comments:
PCN for 401 WQC
Sign and Submit
By checking the box and signing box below, I certify that:

• I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief.
• I, the project proponent, hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time.
• I agree that submission of this online form is a "transaction" subject to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act');
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General
Statutes (the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a
written signature; AND
• I intend to electronically sign and submit the online form.
Signature:
��nrii�t ,✓�..���iairrAii
Submittal Date: 6/6/2023
Is filled in automatically.

Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- 2022- Begin Date (Date Received):
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: NC Highway 801
2. Work Type: ❑✓ Private ❑Institutional ❑Government ❑Commercial
3. Project Description/Purpose [PCN Form B3d and B3e]:
The site contains a single-family residence and wooded land. The site is proposed for residential development Two stream crossings
are required to construct the development.
4. Property Owner/Applicant [PCN Form A3 or A41: PMA I Holdings, LLC
5. Agent/Consultant [PNC Form A5 —or ORM Consultant ID Number]:
David Brame/Pilot Environmental, Inc.
6. Related Action ID Number(s) [PCN Form B5b]:
7. Project Location—Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
NC Highway 801
35.9207370/-80.4107850
8. Project Location—Tax Parcel ID [PCN Form Bla]: 5789223917
9. Project Location—County [PCN Form A2b]: Davie
10. Project Location—Nearest Municipality or Town [PCN Form A2c]: Advance
11. Project Information—Nearest Waterbody [PCN Form 132a]: Fulton Creek (Carter Creek)
12. Watershed/ 8-Digit Hydrologic Unit Code [PCN Form 132c]:Yadkin/03040101
Authorization: Section 10 ❑ Section 404 ❑✓ Section 10 and 404 ❑
Regulatory Action Type:
❑ Standard Permit Pre-Application Request
Nationwide Permit# Unauthorized Activity
Regional General Permit# ❑Compliance
Jurisdictional Determination Request ❑No Permit Required
Revised 20150602

' Office Use Only
7JW-Av, Corps Action ID no. [Click to enter.] Date received: [Click to enter.]
i i1, ��°'{`. DWR project no. [Click enter.] Date received: [Click to enter.]
' ' r. Site Coordinates:
Latitude (DD.DDDDDD): 35.920567'
n.)4IHCr.R_UNA Longitude (DD.DDDDDD): 80.410158'
EwwronwimrQuaray
WaItY•'t'"VV«r' Form Version 4.3,April 20, 2022
Pre-Construction Notification (PCN) Form
(Ver. 4.2, January 31, 2022))
For Nationwide Permits and Regional General Permits and corresponding Water Quality Certifications
Please note: fields marked with a red asterisk * are required. The form is not considered complete until all
mandatory questions are answered.
The PCN help document may be found at this link:
https://edocs.deg.nc.gov/WaterResou rces/DocView.aspx?d bid=0&id=2196924&cr=1
Please ensure you have submitted a pre-filing meeting request at least 30 days prior to submitting this
form, as DWR will not be able to accept your application without documentation of this important first step.
The Division has developed a Pre-filing Meeting Request email address 401 PreFile(a)ncdenr.gov to accept
the federally required pre-filing meeting request and provide confirmation receipt of submittal . This receipt
or similar documentation will satisfy 40 C.F.R. Section 121.4(a)which states "At least 30 days prior to
submitting a certification request, the project proponent shall request a pre-filing meeting with the certifying
agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all certification requests must
include documentation that a pre-filing meeting request was submitted to the certifying authority at least 30
days prior to submitting the certification request.
Attach documentation of Pre-Filing Meeting Request to this Application.
Date of Pre-filing Meeting Request (MM/DD/YYYY) *: 5/25/2022
Page 1 of 22 PCN Form Version 4.3-April 20,2022

A. Processing Information
County(counties)where project is located: * Davie Additional (if needed).
Is this a NCDMS project? *
(Click yes only if NCDMS is the applicant or co- ❑ Yes M No
applicant)
Is this a public transportation project?
(Publicly funded municipal, state, or federal road, rail, ❑ Yes ® No
or airport project)
Is this a NCDOT project? * ❑ Yes © No
If yes, NCDOT TIP or state project number: Click to enter.
If yes, NCDOT WBS number: * Click to enter.
® Section 404 Permit(wetlands, streams, waters,
la. Type(s) of approval sought from the Corps: Clean Water Act)
❑ Section 10 Permit (navigable waters, tidal
waters, Rivers and Harbors Act)
Has this PCN previously been submitted?* ❑ Yes M No
Please provide the date of the previous submission. * Click to enter a date.
M Nationwide Permit(NWP)
1 b. What type(s) of permit(s) do you wish to seek
El Regional General Permit (RGP)
authorization?
❑ Standard (IP)
This form may be used to initiate the standard/ individual permit process with the USACE. Please contact your Corps
representative concerning submittals for standard permits. All required items can be included as attachments and
submitted with this form.
1c. Has the NWP or GP number been verified by the Corps? ❑ Yes M No
NWP number(s) (list all numbers ): NWP 29
RGP number(s) (list all numbers ): Click to enter.
Are you a federal applicant? ❑ Yes M No
If yes, please provide a statement concerning compliance with the Coastal Zone Management Act
Click to enter text.
1d. Type(s)of approval sought from DWR (check all that apply):
❑x 401 Water Quality Certification — Regular ❑ 401 Water Quality Certification— Express
❑ Non-404 Jurisdictional General Permit ❑ Riparian Buffer Authorization
❑ Individual 401 Water Quality Certification
Is this a courtesy copy notification ❑ Yes ❑x No
1 e. Is this notification solely for the record because written approval is not required? *
For the record only for DWR 401 Certification: * ❑ Yes ® No
For the record only for Corps Permit: * ❑ Yes ® No
1f. Is this an after-the-fact permit/certification application? ❑ Yes ® No
Page 2 of 22 PCN Form Version 4.3-April 20,2022

1 g. Is payment into a mitigation bank or in-lieu fee program proposed for ❑ Yes M No
mitigation of impacts?
If yes, attach the acceptance letter from mitigation bank or in-lieu fee program.
1 h. Is the project located in any of NC's twenty coastal counties? * ❑ Yes M No
1 i. Is the project located within an NC DCM Area of Environmental ❑ Yes M No ❑ Unknown
Concern (AEC)? *
1j. Is the project located in a designated trout watershed? * ❑ Yes M No
If yes, you must attach a copy of the approval letter from the appropriate Wildlife Resource Commission Office.
Trout information may be found at this link: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-
Program/Agency-Coordination/Trout.aspx
Page 3 of 22 PCN Form Version 4.3-April 20,2022

B. Applicant Information
1a. Who is the primary contact? * Justin Mendenhall
1 b. Primary Contact Email: * [e-mail]
1 c. Primary Contact Phone: * (###)###-#### 336.659.9503
1d. Who is applying for the permit/certification? * (check ® Owner ❑ Applicant (other than owner)
all that apply)
1e. Is there an agent/consultant for this project? M Yes ❑ No
2. Landowner Information
2a. Name(s)on Recorded Deed: * PMA I Holdings, LLC
2b. Deed Book and Page No.: 12300356
2c. Contact Person (for corporations): Justin Mendenhall
2d. Address '
Street Address: P.O Box 5323
Address line 2: Click to enter.
City: Winston-Salem
State/Province/ Region: North Carolina
Postal/Zip Code: 27113
Country: United States
2e. Telephone Number: * (###)###-#### 336.659.9503
2f. Fax Number: (###)###-#### Click to enter.
2g. Email Address: * [e-mail]
3. Applicant Information (if different from owner)
3a. Name: * Click to enter.
3b. Business Name (if applicable): Click to enter.
3c. Address: *
Street Address: Click to enter.
Address line 2: Click to enter.
City: Click to enter.
State/Province/ Region: Click to enter.
Postal/Zip Code: Click to enter.
Country Click to enter.
3d. Telephone Number: * (###)###-#### Click to enter.
3e Fax Number: (###)###-#### Click to enter.
3f. Email Address: * Click to enter.
Page 4 of 22 PCN Form Version 4.3-April 20,2022

4. Agent/Consultant(if applicable)
4a. Name: * David Brame
4b. Business Name: Pilot Environmental, Inc.
4c. Address: *
Street Address: 743 Park Lawn Court
Address line 2: Click to enter.
City: Kernersville
State/ Province/ Region: North Carolina
Postal/Zip Code: 27284
Country: United States
4d. Telephone Number: * (###)###-#### 336/708-4617
4e Fax Number: (###)###-#### Click to enter.
4f. Email Address: * [e-mail]
Agent Authorization Letter:*
Attach a completed/signed agent authorization form or letter. A sample form may be found at this link:
https://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Permits/2017-Nationwide-Permits/Pre-
construction-Notification/
Page 5 of 22 PCN Form Version 4.3-April 20,2022

C. Project Information and Prior Project History
1. Project Information
1 a. Name of project: * 801 Property
1 b. Subdivision name (if appropriate): Click to enter.
1c. Nearest municipality/town: * Advance
2. Project Identification
2a. Property identification number(tax PIN or parcel ID): 5789223917
2b. Property size (in acres): 100
2c. Project Address:
Street Address: 2712 S NC HWY 801
Address line 2: Click to enter.
City: Advance
State/ Province/ Region: North Carolina
Postal/Zip Code: 27006
Country: United States
2d. Site coordinates in decimal degrees (using 4-6 digits Latitude (DD.DDDDDD): * 35.920567'
after the decimal point): * Longitude (-DD.DDDDDD): *-80.410158°
3. Surface Waters
3a. Name of nearest body of water to proposed project: * Fulton Creek
3b. Water Resources Classification of nearest receiving WS-IV
water: *
The Surface Water Classification map may be found at this link:
https://ncdenr.maps.arcgis.com/apps/webappviewer/index.html?id=6e125ad7628f494694e259c8Odd64265
3c. In what river basin(s) is your project located? Yadkin-PeeDee
Choose additional (if needed)
3d. Please provide the 12-digit HUC in which the project is 0304010115
located: *
The Find Your HUC map may be found at this link:
https://ncdenr.maps.arcgis.com/apps/Publiclnformation/index.htmI?appid=ad3a85aOc6d644aOb97cdO69db238ac3
Page 6 of 22 PCN Form Version 4.3-April 20,2022

4. Project Description and History
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of
this application: *
The site consists of two dilapidated residences and wooded land. Three ponds are located on the northeastern
portion of the site. Ponds PB and PC are hydrologically connected to downgradient waters. Pond PA is not
hydrologically connected to downgradient waters. Several streams are located on the site. The streams range
up to 12 feet in width and contain well defined channels, ordinary high water marks, meanders, iron oxidizing
bacteria, and flowing water at the time of our field delineation. Streams SB, SB2, SC, SD, a portion of SA, and a
portion of SF, as depicted on Drawing 5, are perennial. Stream SE, a portion of SA, and a portion of SF range up
to three feet in width and contain a poorly defined channel with evidence of an ordinary high water mark and
weak stream flow, hydrology and geomorphology. Stream SE, a portion of SA, and a portion of SF are
intermittent. Wetlands are located adjacent to and upgradient of the streams and ponds. The wetlands are
separated from surrounding uplands by topographic, vegetation and/or soil breaks. The surrounding properties
contain residential and wooded land, and a church.
4b. Have Corps permits or DWR certifications been obtained for this ❑ Yes ❑x No ❑ Unknown
project(including all prior phases) in the past? *
If yes, please give the DWR Certification number and/or Corps [Click to enter.]
Action ID (ex. SAW-0000-00000): jClick to enter.]
Attach any pertinent project history documentation
4b2. Is any portion of the work already complete? * ❑ Yes ® No
If yes, describe the completed work.
Click to enter text.
4c. List of other certifications or approvals/denials received from other federal, state or local agencies for work
described in this application not related to the 404 or 401.
NA
4d. Attach an 8'/x 11"excerpt from the most recent version of the USGS topographic map indicating the location of
the project site.
4e. Attach an 8'/x 11"excerpt from the most recent version of the published County NRCS Soil Survey map
depicting the project site.
4f. List the total estimated acreage of all existing wetlands on the 1.457 acres
property:
4g. List the total estimated linear feet of all existing streams (intermittent 5,940 linear feet
and perennial)on the property:
4g1. List the total estimated acreage of all existing open waters on the 0.586 acres
property:
4h. Explain the purpose of the proposed project: *
The purpose of the proposed project is to construct a residential subdivision.
4i. Describe the overall project in detail, including the type of equipment to be used:
The overall project includes the proposed 85 lot single family residential subdivsion, associated roadways, open
landscaped areas. The site will contain 3.31% built-upon area. The site will utilize individual septic systems with
the exception of 10 lots that will utilize a community system. The community system will utilize traditional septic
system and drainfield located across the stream on the northwestern portion of the site. The site will be
accessed from Highway 801 and Bailey's Chapel Road. Two stream crossings and associated culvert
installations are required to facilitate the proposed roadway and permanent maintenance crossing for the
community septic system. To facilitate the development of the site, clearing and grading the site is necessary.
Graders, haulers, excavators and other heavy equipment will be used during grading and construction of the site.
4j. Attach project drawings/site diagrams/depictions of impact areas for the proposed project.
Page 7 of 22 PCN Form Version 4.3-April 20,2022

4k. Will this activity involve dredging in wetlands or waters? * ❑ Yes ❑x No
If yes, describe the type of dredging, the composition of the dredged material, and the locations of disposal area.
Click to enter text.
Page 8 of 22 PCN Form Version 4.3-April 20,2022

5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or in ® Yes ❑ No ❑ Unknown
proposed impact areas?
Comments:
Click to enter text.
5b. If the Corps made a jurisdictional determination, ❑ Preliminary ❑ Approved ❑x Emailed concurrence
what type of determination was made? * ❑ Not Verified ❑ Unknown ❑ n/a
Corps AID number(ex. SAW-0000-00000): SAW-2022-01217
Name (if known): David Brame
5c. If 5a is yes, who delineated the jurisdictional Agency/Consultant Company: Pilot Environmental
areas?
Other: Click to enter.
5d. List the dates of the Corps jurisdictional determination or State determination if a determination was made by
either agency.
E-mail concurrence dated July 21, 2022 provided by Ms. Samantha Dailey with the USACE
5d1. Attach jurisdictional determinations.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes ❑x No
6b. If yes, explain.
Click to enter.
Are any other NWP(s), regional general permit(s), or individual permit(s) used, or intended to be used, to
authorize any part of the proposed project or related activity? This includes other separate and distant crossings
for linear projects that require Department of the Army authorization but don't require pre-construction
notification.
No additional permits are intended to be used for this project.
7. Addresses of adjoining property owners, lessees, etc. whose property adjoins the waterbody(if more than can be
entered here, please attach a supplemental list)
BAILEY& BAILEY PROPERTIES LLC
5779942269
135 OLD COURSE DR
ADVANCE, NC 27006-7603
8. Scheduling of activity:
To begin upon all necessary authorizations in the next 2 to 3 months and to be completed within the next 1 to 2
years.
Page 9 of 22 PCN Form Version 4.3-April 20,2022

D. Proposed Impacts Inventory
1. Impacts Summary
❑ Wetlands ❑x Streams-tributaries
1a. Where are the impacts associated with your project ❑ Buffers ❑ Open Waters
(check all that apply):
❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, complete this table for each wetland area impacted.
2a. 2a1. 2b. 2c. 2d. 2e. 2f. 2g.
Site#* Impact Impact Wetland Type* Wetland Name* Forested Jurisdiction Impact Area
Reason/Type* Duration* ?* Type (ac)*
W1 Choose one Temp/ Perm Choose one Click to enter Y/N Choose one Click to enter
W2 Choose one Temp/Perm Choose one Click to enter Y/N Choose one Click to enter
W3 Choose one Temp/Perm Choose one Click to enter Y/N Choose one Click to enter
W4 Choose one Temp/Perm Choose one Click to enter Y/N Choose one Click to enter
W5 Choose one Temp/Perm Choose one Click to enter Y/N Choose one Click to enter
W6 Choose one Temp/ Perm Choose one Click to enter Y/N Choose one Click to enter
W7 Choose one Temp/ Perm Choose one Click to enter Y/N Choose one Click to enter
W8 Choose one Temp/Perm Choose one Click to enter Y/N Choose one Click to enter
W9 Choose one Temp/Perm Choose one Click to enter Y/N Choose one Click to enter
W10 Choose one Temp/Perm Choose one Click to enter Y/N Choose one Click to enter
W11 Choose one Temp/Perm Choose one Click to enter Y/N Choose one Click to enter
W12 Choose one Temp/ Perm Choose one Click to enter Y/N Choose one Click to enter
W13 Choose one Temp/ Perm Choose one Click to enter Y/N Choose one Click to enter
W14 Choose one Temp/Perm Choose one Click to enter Y/N Choose one Click to enter
W15 Choose one Temp/Perm Choose one Click to enter Y/N Choose one Click to enter
2g1. Total temporary wetland impacts 0 ac
2g2. Total permanent wetland impacts 0 ac
2g3. Total wetland impacts 0 ac
2h. Type(s)of material being discharged and the amount of each type in cubic yards:
Click to enter text.
2i. Comments:
Wetland impacts have been avoided by the proposed project.
Page 10 of 22 PCN Form Version 4.3-April 20,2022

3. Stream Impacts
If there are perennial or intermittent stream/tributary impacts (including temporary impacts) proposed on the site,
complete this table for all stream/tributary sites impacted.
**All Perennial or Intermittent streams must be verified by DWR or delegated local government
3a 3b. 3c. 3d. 3e. 3f. 3g. 3h.
Site Impact Reason* Impact Impact Stream Stream Jurisdiction Stream Impact
#* Duration` Type* Name Type* Type* Width (avg length
ft)* (linear ft)"
S1 Culvert/headwall/endwall Permanent Crossing/ SB Perennial Both 10.4 60
Culvert
S2 Riprap Dissipater Permanent Fill (Incl. SB Perennial Both 11 28
Riprap)
S3 Pump and Sandbags Temporary Dewatering SB Perennial Both 5.5 10
S4 Culvert Permanent Crossing/ SD Perennial Both 9.4 26
Culvert
S5 Riprap Dissipater Permanent Fill (Incl. SD Perennial Both 12 32
Riprap)
S6 Pump and Sandbags Temporary Dewatering SD Perennial Both 5.5 10
S7 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
S8 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
S9 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
S10 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
S11 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
S12 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
S13 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
S14 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
S15 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
S16 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
S17 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
S18 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
S19 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
S20 Click to enter Temp/ Choose Click to Per/Int Choose Click to Click to
Perm one enter one enter enter
Page 11 of 22 PCN Form Version 4.3-April 20,2022

3i1. Total jurisdictional ditch impact: 0 linear ft
3i2. Total permanent stream impacts: 154 linear ft
M. Total temporary stream impacts: 20 linear ft
34. Total stream and ditch impacts: 174 linear ft
3j. Comments:
Stream impacts 1-3 are for crossing 1 (Roadway Crossing).
S1 —Stream impact 1 includes 60 LF (623 SF)of permanent impact for installation of the culvert/headwalls and
endwalls.
S2—Stream impact 2 includes 28 LF (308 SF)of permanent fill associated with a riprap dissipater downstream
of the culvert. Riprap will be installed flush with the existing stream bed.
S3—Stream impact 3 includes 10 LF (55 SF)of temporary fill for coffer dam and pump located upstream of the
culvert.
Stream impacts 4-6 are for crossing 2 (Permanent maintenance crossing for the community septic system).
S4—Stream impact 4 includes 26 LF (244 SF)of permanent impact for installation of the culvert.
S5—Stream impact 2 includes 32 LF (384 SF)of permanent fill associated with a riprap dissipater downstream
of the culvert. Riprap will be installed flush with the existing stream bed.
S6—Stream impact 3 includes 10 LF (55 SF) of temporary fill for coffer dam and pump located upstream of the
culvert.
Page 12 of 22 PCN Form Version 4.3-April 20,2022

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other
open water of the U.S., individually list all open water impacts in the table below.
4a. 4a1. 4b. 4c. 4d. 4e. 4f.
Site#* Impact Reason Impact Waterbody Name* Activity Type* Waterbody Impact area
Duration* Type* (ac)*
01 Click to enter. Temp/Perm Click to enter. Choose one Choose one Click to enter.
02 Click to enter. Temp/Perm Click to enter. Choose one Choose one Click to enter.
03 Click to enter. Temp/Perm Click to enter. Choose one Choose one Click to enter.
04 Click to enter. Temp/Perm Click to enter. Choose one Choose one Click to enter.
05 Click to enter. Temp/Perm Click to enter. Choose one Choose one Click to enter.
4g. Total temporary open water impacts Click to enter. ac
4g. Total permanent open water impacts Click to enter. ac
4g. Total open water impacts Click to enter. ac
4h. Comments:
Open water impacts are not proposed.
5. Pond or Lake Construction
If pond or lake construction is proposed, complete the table below. (*This does NOT include offline stormwater
management ponds.)
5a. 5b. 5c. 5d. 5e.
Pond ID Proposed use or Wetland Impacts (ac) Stream Impacts (ft) Upland
# purpose of pond Flooded Filled Excavated Flooded Filled Excavated Impacts (ac)
P1 Choose one Click to Click to Click to Click to Click to Click to Click to
enter. enter. enter. enter. enter. enter. enter.
P2 Choose one Click to Click to Click to Click to Click to Click to Click to
enter. enter. enter. enter. enter. enter. enter.
P3 Choose one Click to Click to Click to Click to Click to Click to Click to
enter. enter. enter. enter. enter. enter. enter.
5f. Total Click to Click to Click to Click to Click to Click to Click to
enter. enter. enter. enter. enter. enter. enter.
5g. Comments:
Click to enter.
5h. Is a dam high hazard permit required? ❑ Yes ❑ No
If yes, permit ID no.: Click to enter.
5i. Expected pond surface area (acres): Click to enter.
5j. Size of pond watershed (acres): Click to enter.
5k. Method of construction:
Pond or lake construction is not proposed.
Page 13 of 22 PCN Form Version 4.3-April 20,2022

6. Buffer Impacts (DWR requirement)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts.
❑ Neuse ❑ Tar-Pamlico ❑ Catawba
6a. Project is in which protected basin(s)? ❑ Jordan ❑ Goose Creek ❑ Randleman
" (Check all that apply.)
❑ Other: Click to enter.
6b. 6c. 6d. 6e. 6f. 6g.
Site#* Impact Type* Impact Duration* Stream Name* Buffer Zone 1 Impact* Zone 2 Impact*
Mitigation (sq ft) (sq ft)
Required?*
131 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
132 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
133 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
134 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
135 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
136 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
137 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
138 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
139 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B10 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
1311 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B12 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B13 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B14 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B15 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B16 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B17 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B18 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B19 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B20 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
6h. Total temporary impacts: Zone 1: Click to enter. sq ft Zone 2: Click to enter. sq ft
6h. Total permanent impacts: Zone 1: Click to enter. sq ft Zone 2: Click to enter. sq ft
6h. Total combined buffer impacts: Zone 1: Click to enter. sq ft Zone 2: Click to enter. sq ft
6i. Comments:
The project is not located within a protected river basin.
Please attach supporting documentation (impact maps, plan sheets, etc.)for the proposed project.
Page 14 of 22 PCN Form Version 4.3-April 20,2022

E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts through project design:
The applicant has designed the proposed development to avoid impacts to the remaining stream and wetlands
located on the site. In order to develop the site and provide access across the stream and permanent
maintenance of the community septic system, the proposed impacts could not be avoided. Civil design, such as
reducing the length of pipe by use of headwalls and endwalls were used to further reduce impacts to streams
and wetlands.
1 b. Specifically describe measures taken to avoid or minimize proposed impacts through construction techniques:
The clearing limits will be surveyed, staked and silt fencing and clearing limit fencing will be used. Disturbed
areas will be promptly seeded and mulched to limit sediment from entering downgradient waters. Slope matting
will be used on steep slopes.
2. Compensatory Mitigation for Impacts to Waters of the U.S.,Waters of the State, or Riparian Buffers
2a. If compensatory mitigation is required, by whom is it required? * ❑ DWR ❑ Corps
(check all that apply)
2b. If yes, which mitigation option(s)will be used for this ❑ Mitigation Bank
project? * (check all that apply) ❑ In Lieu Fee Program
❑ Permittee Responsible Mitigation
3. Complete if using a Mitigation Bank (Must satisfy NC General Statute143-214.11 (d1).)
3a. Name of mitigation bank: Click to enter.
3b. Credits purchased/requested: Type: Choose one Quantity Click to enter.
Type: Choose one Quantity Click to enter.
Type: Choose one Quantity Click to enter.
Attach receipt and/or approval letter.
3c. Comments:
Click to enter.
4. Complete if Using an In Lieu Fee Program
4a. Attach approval letter from in lieu fee program.
4b. Stream mitigation requested: Click to enter. linear feet
4c. If using stream mitigation, what is the stream temperature: Choose one
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington
District's RIBITS website: (Please use the filter and select Wilmington district)
https://ribits.usace.army.mil/ribits apex/f?p=107:27:2734709611497::NO:RP:P27 BUTTON KEY:O
4d. Buffer mitigation requested (DWR only): Click to enter. square feet
4e. Riparian wetland mitigation requested: Click to enter. acres
4f. Non-riparian wetland mitigation requested: Click to enter. acres
Page 15 of 22 PCN Form Version 4.3-April 20,2022

4g. Coastal (tidal)wetland mitigation requested: Click to enter. acres
4h. Comments:
Click to enter.
5. Complete if Providing a Permittee Responsible Mitigation Plan
5a. If proposing a permittee responsible mitigation plan, provide a description of the proposed mitigation plan,
including mitigation credits generated.
Click to enter.
5b. Attach mitigation plan/documentation.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — DWR requirement
6a. Will the project result in an impact within a protected riparian buffer ❑ Yes ❑x No
that requires buffer mitigation?
If yes, please complete this entire section—please contact DWR for more information.
6b. If yes, identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required in the table below.
6c. 6d. 6e.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 Click to enter. Click to enter. Choose one Click to enter.
Zone 2 Click to enter. Click to enter. Choose one Click to enter.
6f. Total buffer mitigation required Click to enter.
6g. If buffer mitigation is required, is payment to a mitigation bank or ❑ Yes ❑ No
NC Division of Mitigation Services proposed?
6h. If yes, attach the acceptance letter from the mitigation bank or NC Division of Mitigation Services.
6i. Comments:
Buffer mitigation is not proposed.
Page 16 of 22 PCN Form Version 4.3-April 20,2022

F. Stormwater Management and Diffuse Flow Plan (DWR requirement)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers ❑ Yes ❑x No
identified within one of the NC Riparian Buffer Protection Rules?
1 b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the
project is subject to a state implemented riparian buffer protection program, include a plan that fully documents
how diffuse/dispersed flow will be maintained.
All Stormwater Control Measures (SCM) must be designed in accordance with the NC Stormwater Design
Manual (https://deg.nc.gov/about/divisions/energy-mineral-land-resources/energy-mineral-land-permit-
guidance/stormwater-bmp-manual).
Associated supplement forms and other documentation must be provided.
❑ Level Spreader
What Type of SCM are you ❑ Vegetated Conveyance (lower seasonal high water table- SHWT)
providing? ❑ Wetland Swale (higher SHWT)
(Check all that apply) ❑ Other SCM that removes minimum 30% nitrogen
❑ Proposed project will not create concentrated stormwater flow through the
buffer
For a list of options to meet the diffuse flow requirements, click here.
Attach diffuse flow documentation.
2. Stormwater Management Plan
2a. Is this an NCDOT project subject to compliance with NCDOT's
Individual NPDES permit NCS000250? * El Yes No
2b. Does this project meet the requirements for low density projects as ❑x Yes ❑ No
defined in 15A NCAC 02H .1003(2)? *
To look up low density requirements, click here:
http://reports.oah.state.nc.us/ncac/title%2015a%20-%2Oenvironmental%20guality/chapter%2002%20-
%20environmental%20management/subchapter%20h/15a%20ncac%2002h%20.1003.pdf
2c. Does this project have a stormwater management plan (SMP) ❑ Yes ❑x No
reviewed and approved under a state stormwater program or state-
approved local government stormwater program? * ❑ n/a—project disturbs < 1 acre
Note: Projects that have vested rights, exemptions, or grandfathering from state or locally implemented
stormwater programs or projects that satisfy state or locally-implemented stormwater programs through use of
community in-lieu programs should answer"no"to this question.
2d. Which of the following stormwater management program(s) apply? ❑ Local Government
(Check all that apply.)* ❑x State
If you have local government approval, please include the SMP on their overall impact map.
Local Government Stormwater Programs * ❑ Phase II ❑ USMP
❑ NSW ❑x Water Supply
Page 17 of 22 PCN Form Version 4.3-April 20,2022

Please identify which local government stormwater program you are using.
Click to enter.
State Stormwater Programs * ❑ Phase II ❑ HQW or ORW
❑ Coastal Counties ❑ Other
Comments:
Post construction stormwater management is not required. A sediment and erosion control plan will be prepared
for review and approval by the state.
Page 18 of 22 PCN Form Version 4.3-April 20,2022

G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public(federal/state/local) ❑ Yes ❑x No
funds or the use of public(federal/state) land? *
1 b. If you answered "yes"to the above, does the project require
preparation of an environmental document pursuant to the
requirements of the National or State (North Carolina) Environmental El Yes No
Policy Act(NEPA/SEPA)? *
1c. If you answered "yes"to the above, has the document review been
finalized by the State Clearing House? (If so, attach a copy of the ❑ Yes ❑x No
NEPA or SEPA final approval letter.)
Comments:
The project does not require a NEPA or SEPA.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A
NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300),
Federally Non-Jurisdictional Wetlands/Classified Surface Waters ❑ Yes ❑x No
(15A NCAC 2H. 1400) DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
2b. If you answered "yes"to the above question, provide an explanation of the violation(s):
Click to enter.
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future
impacts) result in additional development, which could impact nearby ❑ Yes ❑x No
downstream water quality? *
3b. If you answered "no", provide a short narrative description:
Click to enter.
3c. If yes, provide a qualitative or quantitative cumulative impact analysis in accordance with the most recent DWR
policy. (Attach .pdf)
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project? * ® Yes ❑ No ❑ N/A
4b. If yes, describe in detail the treatment methods and dispositions (non-discharge or discharge)of wastewater
generated from the proposed project. If the wastewater will be treated at a treatment plant, list the capacity
available at that plant.
Wastewater will be discharged into a combination of on-site individual and community systems.
Page 19 of 22 PCN Form Version 4.3-April 20,2022

5. Endangered Species and Designated Critical Habitat(Corps Requirement)
5a. Will this project occur in or near an area with federally protected ❑ Yes ❑x No
species or habitat? (IPAC weblink: https://www.fws.gov/ipac/[fws.gov))
5b. Have you checked with the USFWS concerning Endangered Species ❑ Yes ❑x No
Act impacts? *
5c. If yes, indicate the USFWS Field Office you have contacted. Choose one
5d. Is another federal agency involved? * ❑ Yes ❑x No ❑ Unknown
If yes, which federal agency? Click to enter.
5e. Is this a DOT project located within Divisions 1-8? * ❑ Yes ❑x No
5f. Will you cut any trees in order to conduct the work in waters of the ® Yes ❑ No
U.S.? *
5g. Does this project involve bridge maintenance or removal? * ❑ Yes ❑x No
5g1. If yes, have you inspected the bridge for signs of bat use such as
staining, guano, bats, etc.? Representative photos of signs of bat use ❑ Yes ❑ No
can be found in the NLEB SLOPES, Appendix F, pages 3-7.
Representative photos of signs of bat use can be found in the NLEB SLOPES, Appendix F, pages 3-7. Link to
NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed NLEB-SLOPES&apps.pdf
If you answered yes to 5g1, did you discover any signs of bat use? * ❑ Yes ❑ No ❑ Unknown
If yes, please show the location of the bridge on the permit drawings/ project plans
5h. Does this project involve the construction/ installation of a wind
turbine(s)? * El Yes ❑x No
If yes, please show the location of the wind turbine(s)on the permit drawings/ project plans (attach .pdf)
5i. Does this project involve blasting and /or other percussive activities
that will be conducted by machines, such as jackhammers, ❑ Yes ❑x No
mechanized pile drivers, etc.? *
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this
activity on the property (attach .pdf)
Page 20 of 22 PCN Form Version 4.3-April 20,2022

5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated
Critical Habitat? *
US Department of the Interior—Fish and Wildlife Service Official Species List from IPaC
The tri-colored bat (Proposed Endangered), Michaux's Sumac Rhus michauxii (Endangered), Schweinitz's
sunflower(Endangered), and monarch butterfly(Candidate) are included by the IPaC as federally listed species
that have been identified within the vicinity of the site.
Bat hibernacula is not located on the site. Trees that could afford suitable summer roosting habitat are present
within wooded stream buffers and will remain in the buffer areas on the site. Limited clearing will be required to
install the culverts. Known occurrences are not identified within 2 miles of the site. Additionally, the Tri-colored
bat is currently listed as proposed endangered. Based on the small amount of clearing and the low potential of
impact, the project is unlikely to impact TCB should it become uplisted.
The areas of proposed impacts and areas immediately adjacent to the proposed impacts contain dense wooded
land. Suitable habitat for the sunflower or sumac are not located on the site. The proposed project is not likely to
adversely impact these species.
The Monarch butterfly is a candidate species that is not subject to provisions of the ESA or consultation with the
service. The proposed project is not likely to adversely impact this species.
Attach consultation documentation.
6. Essential Fish Habitat(Corps Requirement)
6a. Will this project occur in or near an area designated as ❑ Yes ❑x No
an Essential Fish Habitat? *
Is there submerged aquatic vegetation (SAV) around
the project vicinity? * El Yes No El Unknown
Will this project affect submerged aquatic vegetation? * ❑ Yes ❑x No ❑ Unknown
Explain: Click to enter.
6b. What data source(s) did you use to determine whether your site would impact Essential Fish Habitat?
Essential Fish Habitat Mapper— NOAA Fisheries
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data):
http://gis.ncdcr.gov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural ❑ Yes ❑x No
preservation status (e.g., National Historic Trust designation or
properties significant in North Carolina history and archaeology)?
7b. What data source(s) did you use to determine whether your site would impact historic or archeological
resources? *
NC Historic Preservation Office's HPOWEB 2.0. Historic properties that are listed or are eligible for listing on the
National Register for Historic Places were not identified on the site or proximate to stream and wetland impacts.
A copy of the SHPO Map is included as an attachment.
7c. Attach historic or prehistoric documentation.
Page 21 of 22 PCN Form Version 4.3-April 20,2022

8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain? * ❑ Yes ❑x No
8b. If yes, explain how the project meets FEMA requirements.
Click to enter.
8c. What source(s)did you use to make the floodplain determination?
FEMA Firm Map (Drawing 4)
H. Miscellaneous
Comments:
Click to enter.
Attach pertinent documentation or attachments not previously requested
I. Signature *
❑x By checking the box and signing below, I, as the project proponent, certify to the following:
The project proponent hereby certifies that all information contained herein is true, accurate, and complete, to
the best of my knowledge and belief;
The project proponent hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time;
The project proponent hereby agrees that submission of this PCN form is a "transaction" subject to Chapter
66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
The project proponent hereby agrees to conduct this transaction by electronic means pursuant to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
The project proponent hereby understands that an electronic signature has the same legal effect and can be
enforced in the same way as a written signature; AND
As the project proponent, I intend to electronically sign and submit the PCN/online form.
Full Name: * David S. Brame
Signature: * �2-0/J�
6/5/2023
Page 22 of 22 PCN Form Version 4.3-April 20,2022

Proposal for Environmental Services
Pilot Proposal 7937.1
May 26,2022
AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address: gD/ 400 4CA9, VY97)
Applicant Information:
Name: �f M R 1
Address: To TO)( 632 3
W.r, -s7v v sltlf-eoM ,IV C- 2 7113
Telephone Number: _3 3,g 2 /Z 25
Fax Number:
E-mail Address: / (! f Try 4i'�Gj""e->- c."'\
Signature: L Date: 3 L"2 Z
4

David Brame
From: Dailey, Samantha J CIV USARMY CESAW (USA) <[e-mail]>
Sent: Thursday,July 21, 2022 7:39 AM
To: David Brame
Subject: JD CONCURRENCE: SAW-2022-01217/ NC Hwy 801 /Advance, Davie County
Good morning David,
"Please note that an Approved JD will be issued for Pond PA. This JD concurrence email is pertaining to the remainder of
the site.
Reference is made to Corps Action ID: SAW-2022-01217 for the above referenced project. Please reference this number
on any correspondence regarding this action.
We have reviewed the information provided by you concerning the aquatic resources, and by copy of this e-mail, are
confirming that the aquatic resources delineation has been verified by the Corps to be a sufficiently accurate and
reliable representation of the location and extent of aquatic resources within the identified review area. The location
and extent of these aquatic resources are shown on the delineation map entitled, "Drawing 5. Wetland Map—NC
Highway 801" and dated 05/03/2022.
Regulatory Guidance Letter(RGL) 16-01 https://usace.contentdm.ocic.org/utils/getfile/collection/pl602lco119/id/1256
provides guidance for Jurisdictional Determinations (JD) and states, "The Corps generally does not issue a JD of any type
where no JD has been requested." Currently,we are only verifying the delineation. This delineation may be relied upon
for use in the permit evaluation process, including determining compensatory mitigation. This verification does not
address nor include any consideration for geographic jurisdiction on aquatic resources and shall not be interpreted as
such.This delineation verification is not an Approved Jurisdictional Determination (AJD) and is not an appealable action
under the Regulatory Program Administrative Appeal Process (33 CFR Part 331). However, you may request an AJD,
which is an appealable action.
If you wish to receive a Preliminary Jurisdictional Determination (PJD), or an Approved Jurisdictional Determination (AJD)
please respond accordingly, otherwise nothing further is required and we will not provide any additional
documentation.
Best Regards,
Sam
Samantha Dailey
U.S.Army Corps of Engineers
Wilmington District, Regulatory Division, Raleigh Field Office
Email: [e-mail]
Phone: [phone]
1

v
Y ;
O DP-2 PC
O DP-1 t (0.27 ac)
WH 1-18 d
/(0.20 ac) ' S132
WE 1-45 WB 1-4 (138 LF) \WC 1-6
(0.433 ac) (0.006 ac) \ (0.05 ac)
/ 561 \
SD/ WG 1-8 WD 1-6 (158 LF)
(1,054 LF) (0.07 ac) (0.02 ac) \ \ PB
(0.26 ac)
WF 1-8 SC
WI 1-6 (0.09 ac) (162 LF) \ \WA 1-7 \
(0.02 ac) / SA2 (0.01 ac) SA1
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/ (85 LF) Constructed in Uplands
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(0K 1-19
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LEGEND
Site Boundary
Perennial Stream
■■■■■■ Intermittent Stream
Wetland
l7i$ Pond P
- r
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP WERE VERIFIED BY MS. SAMANTHA DAILEY WITH SA 1-5 Flag Number/Feature ID:J
THE USACE ON JULY 21, 2022 (SAW-2022-01217). THIS EXHIBIT INCLUDES GPS LOCATIONS OF DPA Data Point
DELINEATED FEATURES.DELINEATION CONDUCTED BY PILOT PERSONNEL ON 04.28.22.
Drawing 5 Wetland Map
2019 Satellite Imagery from ESRI NC Highway 801
and Pilot GPS Data ; Approximate 100-Acre Tract
Scale: 1" = 350' '� r
� P11o�1 r Advance, Davie County, NC
Date: 05.03.22 P i.O T ENVIRONMENTAL I N C
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USGS Topographic Map Approximate 100-Acre Tract
Advance, NC Quadrangle
Advance, Davie County, NC
Scale: 1 — 2,000 Fluff Pilot Project 7937
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USDA Web Soil Survey tPOLOI
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I . Estuarine and Marine
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Pilot Project 7937
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3 C S
VI 501 �' TRACT2: 101158ACRES
\ _ COMMON AREA_ 15.98 ACRES
_ �` \ / J 8 ACRES
AREA IN PROP R/W.AREA IN LOTS 8858ACRES -
5500 DE �\ NUMBER FEET
86
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LINEAR FEET OF STREET: 6,928 LF(78 LF/LOT)NUMBER OF Q
FE \ I _ - LINEAR FEET SEPTIIC SERTE VICE LINE:7 OOOIC DRAIN FI DLF 10 )U
r� Yl soz o
/ / n O>3ERTsoN ZONING: o
33'DE 3�2 l EXISTING ZONING RA(RESIDENTIAL AGRICULTURE) w�w
GN NM R.p2 \ &R-20(RESIDENTIAL) O
_ G_g
DEVELOPMENT STIANDARDS:(R
-� I MINIMUM LOT SIZE 30,000 SF A
YI 603 / - MINIMUM LOT WIDTH.100'
a
A \ r\ \' =30'DE� _ / FRONTSETBACK:4
SIDE SETBACK:15'0
REARSETBACK 30
6
\\ _ FE9 800 / ! 0 9 Q RESIDENTIAL(R-20)
O \\ �\ =:MUDEVELOM LOT SIZPMENT STANDARDS:
90,00 SF
6 r
FRONT SETBACK 30'
/ - MINIMUM LOT WIDTH:
0
VI603 10
\ �i_, / YI 601 _ _DA..5.52 AC / i j / I/r �Il \ L�/�� SIDE SETBACK:15'
J \ / / REAR SETBACK:30'
71� / L
/1 / / J J
/ \iWATERSHED J \ r / / / r� J// (y / / WATER SUPPLY WATERSHED VADKIN RIVERUS 0
i / / `, WATERSHED CLASSIFICATION(WSIV(PROTECTED)DAVIE ) Z €
/ g
✓ / \ _ / J /� rrl /��� � / \ RIVER BASIN YADKINPEEDEE Z
(r�/��11 �� ) ` I \ SOIL TYPES PcB2 PaD WGC,PcC2 CKA WeB
YI 602 J r // / / ' (�(\(" \\�� J� / ( ` 1 AVG.SLOPE 13 28% N
PROPOSED BUATOTAL:161,463 SF,3.71 AC(3.31%) W
YI]02
1 � �V � � �� � ,� ��' � � �'Zw � ) � I-- � � w�� ���(Iv� ����- %��7��1v �f���II o l( �: J ) l �• DER,/ / ���,��� � a �
NB,121e pew
UNNAMED TRIBUTARY RIVER \� \1 ^'Y' { / (
\ I `✓' r DA:2.34 AC' \ (A VADKINRIVER �� r / -- _/ / DRAWNBY:YSBCS
^ w
�.v .. 1-1 ioi (APPRox 10 TGB) G ��1 DATE:CHECKOSD/242023�
/ 1
V aa'sTRE PROJECT NO.:01420.020
REF.NO.:
L \� ]9 �' �j `I I ( // / ' AM BUFFER SCALE:1'=100'
\� � FE�700- -\ .J \t1 / \
30;DE_ _ —�� PRELIMINARY
_ _ � 4 S v ( U \ I
C _ _� �, _ A� 1 l� / i FOR REVIEW
85�� �� O IE
ONLY
A ti AaGc — rye✓Y E5
PIN = — _ i R� JRDaaNa
—1 ( /\\)) _ DB.1996 PG�11°5 "5 _ "�ryGRAt ✓ NR-9t I y'
Y
;�- 1 "�_� PG 9 R J 1 0M/ 777
, �� i - SHEET
/ �A ) zD I b
_ // j—� � /S �\ /D� N sc �e,c 3 PN�J J 100 0 50 100 200 400
62
A
— / i / / i ~ v no 1 1 r NGRA
i — — _�, _ / �/- 1 V /� ✓ i" ,= - - 1 SCALE:1"=100'

25 YEAR STORM PIPE CHART a^
O^'1
MgRKt
T
N
r I Diameter Pi Length Average II Flow I Flow Maximum m Downstream ^ruo Ro �Upstream Downstream Upstream Rim Downstream Rim Upstream Pipe Downstream Pipe DrainageA ea Total Area Runoff Rainfall Intensity Flow to Inlet Total Flow Damete Pipe Le gt erege Full ow Full ow Max um Upstream Do strea v
Node Node Elev(ft) Elev(ft) Invert(ft) Invert(ft) (Acres) (Acres) Coef. Tc(min) (in/hr) (ds) (crs) (in) Slope(%) (ft) Velocity(fps) Velocity(fps) (ds) Flow Ids) HGL(ft) HGL(ft) TEMPORARY IMPACT SUMMARY: SIOAL MUST
A �q, ?lNJ
HW 101 HW 102 767.03 766.55 761.44 761.13 30.82 30.82 0.65 25.00 4.14 82.94 82.94 42.00 0.52 59.92 9.49 7.52 72.36 77.94 764.61 763.97 TEMPORARY STREAM IMPACT 5� Rork,+y z
TS 2: 10 LF/55 SF o s oR x
FE5103 FES 104 728.69 728.59 724.69 724.59 65.05 65.05 0.65 33.00 3.60 152.15 152.15 48.00 0.39 25.48 12.43 7.76 97.49 104.58 728.66 728.20 o J Eo
PERMANENT IMPACT SUMMARY: ''w �i d opEU MrERs
TEMPORARY IMPACT SUMMARY: -O U p,
1 7 - - ZONE 1: a N UiaC-, �
/ \ TEMPORARY STREAM IMPACT \l -<2 -742- _ `x9 > I�U
PERMANENT BUFFER IMPACT: D
97 d TS 2: 10 LF/55 SF / � �Eo>tEs W '^�\ \ `\ _ PZ 1A: 8908SF(0.030 AC) p r U
\ \ / 740 PZ 1B: 890 SF(0.020 AC) BSI+OBHYOUDI(}I C-O O O
PERMANENT IMPACT SUMMARY: J / 7q ZONE1 TOTAL: 2,1965F(0.050AC) CONTACTCIN ALL CENTER SITE Rogp -mow y z
-ZONE 1: / / -738- - iy H w c0 W
PERMANENTSTREAMIMPACT:
PERMANENT BUFFER IMPACT: / -736- ) > M C
\ PZ 1A: 2,066 BE(0.047 AC) / / Si:S7: 28 LF1384 E OOOB AC V
\ \ PZ1B: 2,044 SF(0.047 AC) G��O 1\ / 82: 32 BE(0,SF(AC) AC)
\ ZONE 1 TOTAL: 4,110 SF(0.094 AC) NfO9''�` / / / -734 _ TOTAL: 685 SFMPAC:
PROP. PERMANENT WETLAND IMPACT:
ACCESS W1: OSF(0.000 AC)
\\ \ \� \ \ \ ` \ PERMANENT STREAM IMPACT: -)I e
\ 30'STREiAM S1: 60 LF/6238F(0.017 AC) !/�✓"
\ `•� BUFFER S2: 28 LF/308 SF(0.007 AC) PERMANENT BUFFER 736 Uj
TOTAL: 820 SF(0.019 AC) ti DISTURBANCE_
\ \PERMANENT BUFFER 772 /1`6 PZ 1A=1,3085E 1. EXISTING GRADES ARE PROVIDED BY TOPOGRAPHIC SURVEY BY FEI AND NCDOT
DISTURBANCE \ PERMANENT WETLAND IMPACT: `-�= LID AR.EXISTING SITE CONDITIONS ARE TO BE VERIFIED BY CONTRACTOR PRIOR
\ PZ 1A=2,066 SF W1: 0SF(0.000 AC) / 1"' TO CONSTRUCTION.
_ x� 734 PERMANENT STREAM VICINITY MAP
\ \ BYPASS PIPE ; 7�\ ` / 1`F� �� IMPACT S4 2. UTILITY INSTALLATION AND IMPACTS SHALL FOLLOW ALL APPROVED PERMITS.
S1=244 SF(26 LF)
S2 28k11'xT CLASS 1 ` \ 3. TEMPORARY STREAM CROSSING MATERIAL TO BE REMOVED FOLLOWING THE
RIP RAP PAD TEMPORARY TEMPORARY CREEK CROSSING COMPLETION OF THE CULVERT CROSSING INSTALLATION.
PERMANET STREAM \ HEADWALL 10,� BYPASS PIPE 732 PUMP(SEE DETAILS), DISTURBANCE NCDOT STD.838.. --• 4. CONTRACTOR TO VERIFY ELEVATIONS IN STREAM BED PRIOR TO INSTALLATION.
1 S2=308 SF(28 LF) \ INV.761.03' �� \
\ i 6 E ANY DISCREPANCIES
THE ENGINEER EMMEDIA IMMEDIATELY.
ANDFIELD CONDITIONS SHOULD BE
STREAM TOB NOTIFIED TO
T82:558E(10 LF)PUMP pp
- > AROUND TEMP.IMPACTS��"T I 1`Ie \ --726-
\?26
---- $5 32'xi2'x2'CLASS 1
11'APPROXIMATE --- -� RIP RAP PAD
EXISTING POND HEADWALL 102 - �^' .!;�� _ \ STREAM TOB ` \ PER MET STREAM O L RCP T52:SS SF 10 LF PUMP LLJgor H�r
' -764-NCDOT STD.838.80 ----- -_ 60 LF q2"RCA U.Bh _ DISTURBANCE Q / AROUND TEMP.IMPACTS o i
/ S2=384 SF I.LF) c+r+ar+ax excr+a ue. w�sLLou
' INV:760.55' \ I TEMPORARY
786- SANDBAGS
/ PERMANENT FE5,04
/ SI 1 - INV:724.59' o
STREAM IMPACT TEMPORARY \ / / �\ 2 INV 724 Jp�/ x.�xowca nm
51=823 SF(60 LF) SANDBAGS �_ \ � f 13 INV:724.69' I ..n cxra�xwoi�"r.ox s+n n
/ TEMPORARYCREEK
PERMANENT BUFFER / \`a CROSSING PUMP(SEE PERMANENT BUFFER \ O
DISTURBANCE DETAILS) \ ,�+ WELANDS DISTURBANCE a uwrax...mxxrxa ca xrE.x.owa ar - N
77 �\� \ SF rvn aw azza rvn aw azza mr 0
PZ 16=2,044 SF PZ 1B=890= >7 \ \ /
cra�r
-774 ELEVATION SIDE io i.unaiaa o i a w
-776- ) 3�:- �`��\\\ \ / / / \ \ �734 i ENDNALL OINENSIDNS x O z X O
r 1 +w. x+w owd D�
�.
-736 xzlrr.l D Irt.l W >s m0 Z ro
n. nx,u
- \ >IVE oIA.BIA z x�lrr 1
+.zsn.00 s
/ PRO.ROAD
/ 780J I 20'EP-EP 738- xs a e^ a F^ 2
+.zvz.ox a.aa+x.xs
32
X
740 \ ` C 4 w
-TB2Y /I I-784 \ \ \\ _ 1n PLAN T fr !!I�•'tt
20 0 10 20 40 80 20 0 10 20 40 60 V
CROSSING #1 CROSSING #2 838.80
SCALE:1"=20' SCALE:t"=20'
-1+00 0+00 1+00 a
780
-1+00 O+DD
STREAM 6 MIL.PLASTIC PUMP EXCESS WATERTO 0 Y
740 APPROVED DEWATERING DEVICE W
SANDBAG DRV WORK AREA =
0
O a
wU
S
Off¢
U z
SAND OR GRAVEL BAG COFFERDAM w�
775 NOT TO SCALE 0 f
a1N
735
PROPOSED GRADE TEMPORARY CREEK CROSSING PUMP
AROUND DETAIL
(NITS)
PROPOSED FES103
GRADE STA.0+25.48
FES 104 RIM 728.69 T w
770 STA.0+00.00 IN 724.69 I cxRnoE G z
UT 72.59 OUT 7 4.69 Z p
O
730 >
V _ w
• EX"'I GRADE
GEOMEMBRANE v
H/2+lit
C-900 PVC 2ft m1 °
EXISTING
WATERMAIN
/ 48"HDPE GRADE ` SANDBAGS Z a®®a®®
�3 'D EA ISTURBED AR
765 RIP RAP APRON @ 0.39/o DRAWN BY:TS/ADY
I I CHECKED(EMBEDDED IN STREAM BED 1'FOOT) 4/2 23 PLAN VIEW SECTION A-A DATE:05/24/2023
I 725 PROJECT NO.:01420.020
I. DESCRIPTION REF.NO.:-
60 LF 4 " R P THE WORK SHALL CONSIST OF INSTALLING A PUMP AROUND WHEN SCALE: 1"=20'
WO
o CONSTRUCTION ACTIVITIES TAKE PLACE WITHIN THE STREAM CHANNEL
RIP RAP APRON O C O J II. MATERIAL SPECIFICATIONS
(EMBEDDED IN STREAM BED T FOOT) SANDBAGS:SANDBAGS SHALL CONSIST OF MATERIALS WHICH ARE
0 0 o RESISTANT TO ULTRAVIOLET RADIATION,TEARING AND PUNCTURE,AND
WOVEN TIGHTLY ENOUGH TO PREVENT LEAKAGE OF FILL MATERIAL PRELIMINARY
(i.e.SAND, FINE GRAVEL, ETC.)
FOR REVIEW
III.CONSTRUCTION REQUIREMENTS
o O 1.ALL EROSION AND SEDIMENT CONTROL DEVICES SHALL BE INSTALLED AS ONLY
THE FIRST ORDER OF WORK.
760 1 1 1 1 2.THE HEIGHT OF THE SANDBAGS SHALL BE AS INDICATED IN SECTION A-A.
THE SANDBAGS SHALL BE PLACED ON A SMOOTH PREPARED SURFACE.
0 0 0 3.ALL EXCAVATED MATERIALS SHALL BE DISPOSED OF OUTSIDE THE 100
YEAR FLOOD PLAIN UNLESS APPROVED ON THE PLANS.
720 4.ALL DEWATERING OF THE CONSTRUCTION AREA SHALL BE PUMPED TO A SHEET
DEWATERING PUMP DISCHARGE FILTER BAG OR SILT BASIN.
5.THE PUMP SHALL BE OF SUFFICIENT SIZE TO CONVEY NORMAL STREAM
FLOW.
6.SEDIMENT CONTROL DEVICES ARE TO REMAIN IN PLACE UNTIL ALL
DISTURBED AREAS ARE STABILIZED AND THE CITY ENGINEERING DEPT APPROVES 1 OF 1 THEIR REMOVAL.

om
MgRHIgND RD T N
N
�z
25 YEAR STORM PIPE CHART R-6 " w E
Upstream Downstream Upstream Rim Downstream Rim Upstream Pipe Downstream Pipe Drainage Area Total Area Runoff Rainfall Intensity Flow to Inlet Total Flow Diameter Pipe Length Average Full Flow Full Flow Maximum Upstream Downstream R DR YERs O O
Tc(min) Slope(%) i. a o UT o
Node Node Elev(ft) Elev(ft) invert(ft) invert(ft) (Acres) (Acres) Coef. (in/hr) (cfs) (cfs) (i n) (ft) Velocity(fps) Velocity(fps) (cfs) Flow(cfs) HGL(ft) HGL(ft) on
® ai Y
on
HW 101 HW 102 767.03 766.55 761.44 761.13 30.82 30.82 0.65 25.00 4.14 82.94 82.94 42.00 0.52 59.92 9.49 7.52 72.- 77.84 764.61 763.97 ") o
�rn
FES 103 FES 104 728.69 728.59 724.69 724.59 65.05 65.05 0.65 33.00 3.60 152.15 152.15 1 48.00 0.39 1 25.48 12.43 1 7.76 97.49 1 104.88 1 728.66 728.20 ITE ao OPIEB c'moo c Vci
m C) Z
w H Do v
-Do
lJ D.
GO
ELN
W
STREAM 6 MIL.PLASTIC PUMP EXCE$$WATER TO
APPROVED DE WATERING DEVICE
VICINITY MAP
SANDBAG DRY WORK AREA 1"=2000'
SAND OR GRAVEL BAG COFFERDAM
NOT TO SCALE
TEMPORARY CREEK CROSSING PUMP z
AROUND DETAIL °
(NTS) z
0
i w I.
T Ox O x 0
EXISTING >> O y
GRADE W rc O ^
oaa3^
q
GEOMEMBRANE W v
H/2+1" W ^W
4 (2 min) `III
a
O O
SANDBAGS DISNRBED AREA V`^
PLAN VIEW SECTION A-A CDNO,
00
LL
I. DESCRIPTION U
THE WORK SHALL CONSIST OF INSTALLING A PUMP AROUND WHEN
CONSTRUCTION ACTIVITIES TAKE PLACE WITHIN THE STREAM CHANNEL
II. MATERIAL SPECIFICATIONS i
SANDBAGS:SANDBAGS SHALL CONSIST OF MATERIALS WHICH ARE -
RESISTANT TO ULTRAVIOLET RADIATION,TEARING AND PUNCTURE,AND Z O
WOVEN TIGHTLY ENOUGH TO PREVENT LEAKAGE OF FILL MATERIAL w
(i.e.SAND, FINE GRAVEL, ETC.)
O¢6
III,CONSTRUCTION REQUIREMENTS o O
1.ALL EROSION AND SEDIMENT CONTROL DEVICES SHALL BE INSTALLED AS u w
THE FIRST ORDER OF WORK. LU z LU
2.THE HEIGHT OF THE SANDBAGS SHALL BE AS INDICATED IN SECTION A-A. p F
THE SANDBAGS SHALL BE PLACED ON A SMOOTH PREPARED SURFACE.
3.ALL EXCAVATED MATERIALS SHALL BE DISPOSED OF OUTSIDE THE 100
YEAR FLOOD PLAIN UNLESS APPROVED ON THE PLANS.
4.ALL DEWATERING OF THE CONSTRUCTION AREA SHALL BE PUMPED TO A
DEWATERING PUMP DISCHARGE FILTER BAG OR SILT BASIN.
5.THE PUMP SHALL BE OF SUFFICIENT SIZE TO CONVEY NORMAL STREAM
FLOW.
6.SEDIMENT CONTROL DEVICES ARE TO REMAIN IN PLACE UNTIL ALL
DISTURBED AREAS ARE STABILIZED AND THE CITY ENGINEERING DEPT APPROVES
THEIR REMOVAL.
p W ¢1n ~ &
NOTES: Q Z
wl l D W11 THIS PRDS Exam..M , .2 FOR THE FOLLOWING 81ary= z
I- STANDARDS:830.01,I;..­1,830.21,OB30.2],038.33,
83B.3B,838.61,B3B.6T,838.63 AND 838.6Y. C)OQQ 4ZQZl x D a
N.1 0" 1',0" • FORTINLACCORDANCENWITHLBPECIFILATIONASECTION S30. G 4 6ND PAY DU0 H K• USE 0000 P3]CONCR ITS
. N f H J
PROVIDE ALL REINFORCIx.STEEL WNICH MEETS ASTM A816 LL
FOR GRADE 80 AND WELDED WIRE FABRIC CONFORMING 2 Oq 2
O TO AS TM A185 WITH 2"MIN.CLEARPNCE.
HE X2 PLACE LIFT HOLES OR PINS IN ACCORDANCE WITH airy
CBIRCI O X1 • 08HA STANDARD 1926.704. G W
- ` PIPE TO BE GROUTED INTO HEADWALL AT JOB SITE BY I. Q
ALLLTELEYEN gi
T8 PRECAST TO MEET ASTM C819.
1'0" ---- ` WELDED WIRE FABRIC MAY BE SUBSTITUTED FOR REBAR p
A9 LONG AS THE SAYE I"O OF STEEL AD PROVIDE". Z a® H1.41
®®
• CNAYFER ALL CORNERS 1"OR HAVE A RADIUS OF 1". V
0"O.C.ITYP.) m 0"D.C.ITYP.1
FEFER TO CHART REFER TO CHART w
OR BAR SIZE FOR BAR SIZE NOTE:THE MINIMUY BAA SIZE SHALL BE I6 BARS J N DRAWN BY:TS/ADY
AT 8"CTS.THE CO
NTFACT."WILL XAVE THE OPTION
ELEVATION SIDE TO INCREASE THIS MR SIZE AB NEEDED. LL R" CHECKED BY:BCS
3 m DATE:05/24/2023
i PROJECT NO.:01420.020
ENDWALL DIMENSIONS a W d REF.NO.:-
W2 �' IT, MINIMUM MIN./MAX. MIN./MAx. MIN./MAX. 1I11.112AX. MIN./MAX. 0 H I SCALE: 1"=30'
PIPE DIA. BAR SIZE WIRT.) H2(FT.) D(FT.) W1 W2 In W
CC
1.0 W5 @ 8" 1.25/2.00 2.00/3.75 1.25/1.75 3.00/3.75 5.50/6.00 C V¢
'°I 1.25 AS @ S" 1.2.11.10 3.00/3.]5 1.1.11.11 3.50/3.]5 0.50/B.]5 Z 2 x
JJJ... 1.50 MS @ B" 1,1111,00 3,1011,21 1,1011,11 3.50/3.75 8.50/B.]5 F V~
2.0 W5 @ 8" 1.50/2.50 4.00/4.75 1.75/2.50 4,00/4.25 7.50/8.25 PRELIMINARY
D 2.5 W5 @ 8" 2.50/3.50 4.00/6.00 2.00/3.00 4.50/5.60 10.00/11.60 3 Q J FOR REVIEW
3.0 MS @ 8" 3.00/3.50 5.00/8.00 2.75/3.50 5.25/6.75 11.50/11.75 O
109
e�p A 3.5 M5 @ 8" 3.25/4.50 8.00/8.75 3.25/3.50 8.00/6.75 12.00/13.25 ¢W y ONLY
y o Tc�O H� PLAN ` 4.0 p5 @ 8" 9.50/4.50 5.50/].00 3.22 1322 8.50/8.T5 13.00/13.26 d LL
O 4.5 ME @ 8" 4.00/5.00 8.50/G.SO 3.26/4.00 7.00/9.25 13.50/15.75
8.0 W5 @ 8" 4.50/5.00 1 7.00/8.50 3.26/4.00 1 7.26/9.25 13.75/15.75
w 5.5 W5 @ 8" 4.50/5.00 7.50/8.50 3.25/4.00 1 7.25/9.25 14.00/15.75
6.0 W5 @ 8" 4.50/5.00 7.50/8.50 3.25/4.00 1 7.7810.25 14.75118.75 SHEET
BXEET 1 OF 1
BEFORE YOU DIOI 838.80
CONTACT ONE-CALL CENTER
1 OF 1

taEH�CF Ty 17
Q riwiv-m ru'i r•
a United States Department of the Interior
!, FISH AND WILDLIFE SERVICE ,,, '
=RCH 3 �s Asheville Ecological Services Field Office
160 Zillicoa Street
Asheville,NC 28801-1082
Phone: [phone] Fax: [phone]
In Reply Refer To: June 05, 2023
Project Code: 2023-0089786
Project Name: 801 Property
Subject: List of threatened and endangered species that may occur in your proposed project
location or may be affected by your proposed project
To Whom It May Concern:
The enclosed species list identifies threatened, endangered, proposed and candidate species, as
well as proposed and designated critical habitat, that may occur within the boundary of your
proposed project and/or may be affected by your proposed project. The enclosed species list
fulfills the requirements of the U.S. Fish and Wildlife Service (Service)under section 7(c) of the
Endangered Species Act (Act) of 1973, as amended(16 U.S.C. 1531 et seq.).
Please note that new species information can change your official species list. Under 50 CFR
402.12(e) of the regulations implementing section 7 of the Act, the accuracy of this species list
should be verified after 90 days. The Service recommends you visit the ECOS-IPaC website at
regular intervals during project planning and implementation to ensure your species list is
accurate or obtain an updated species list.
The purpose of the Act is to provide a means whereby threatened and endangered species and the
ecosystems upon which they depend may be conserved. Under sections 7(a)(1) and 7(a)(2) of the
Act and its implementing regulations (50 CFR 402 et seq.), Federal agencies are required to
utilize their authorities to carry out programs for the conservation of threatened and endangered
species and to determine whether projects may affect threatened and endangered species and/or
designated critical habitat.
A biological assessment(BA) or biological evaluation (BE) should be completed for your
project.A BA is required for major construction activities (or other undertakings having similar
physical impacts) considered to be Federal actions significantly affecting the quality of the
human environment as defined in the National Environmental Policy Act(42 U.S.C. 4332(2) (c))
(NEPA). For projects other than major construction activities, the Service suggests that a BE be
prepared to determine effects of the action and whether those effects may affect listed species
and/or designated critical habitat. E?ects of the action are all consequences to listed species or
critical habitat that are caused by the proposed action, including the consequences of other

06/05/2023 2
activities that are caused by the proposed action.A consequence is caused by the proposed action
if it is reasonably certain to occur and would not occur "but for" the proposed action..
Recommended contents of a BABE are described at 50 CFR 402.12. More information and
resources about project review and preparing a BA/BE can be found at the following web link:
https://www.fws.gov/office/asheville-ecological-services/asheville-field-office-online-review-
process-overview.
If a Federal agency determines listed species and/or designated critical habitat maybe affected
by the proposed project, the agency is required to consult with the Service pursuant to 50 CFR
402. The Service is not required to concur with "no effect" determinations from Federal action
agencies. If consultation is required, the Service recommends that candidate species, proposed
species, proposed critical habitat, and at-risk species be addressed within the consultation. More
information on the regulations and procedures for section 7 consultation, including the role of
permit or licensed applicants, can be found in the "Endangered Species Consultation Handbook"
at the following web link: https://www.fws.gov/media/endangered-species-consultation-
handbook.
Migratory Birds: In addition to responsibilities to protect threatened and endangered species
under the Act, there are additional responsibilities under the Migratory Bird Treaty Act (MBTA)
and the Bald and Golden Eagle Protection Act (BGEPA) to protect native birds from project-
related impacts.Any activity, intentional or unintentional, resulting in take of migratory birds,
including eagles, is prohibited unless otherwise permitted by the Service (50 C.F.R. Sec. 10.12
and 16 U.S.C. Sec. 668(a)). More information about MBTA and BGEPA can be found at the
following web link: https://www.fws.gov/program/migratory-birds.
We appreciate your consideration of Federally listed species. The Service encourages Federal
agencies to include conservation of threatened and endangered species in their project planning
to further the purposes of the Act. Please contact our staff at 828-258-3939, if you have any
questions. In any future correspondence concerning this project, please reference the
Consultation Code which can be found in the header of this letter.
Attachment(s):
• Official Species List
■ USFWS National Wildlife Refuges and Fish Hatcheries
■ Migratory Birds
■ Wetlands

06/05/2023 1
OFFICIAL SPECIES LIST
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Asheville Ecological Services Field Office
160 Zillicoa Street
Asheville, NC 28801-1082
[phone]

06/05/2023 2
PROJECT SUMMARY
Project Code: 2023-0089786
Project Name: 801 Property
Project Type: Residential Construction
Project Description: The site is an approximate 100 acre tract that is planned for residential
development. Two stream crossings and a the USACE permit are
required.
Project Location:
The approximate location of the project can be viewed in Google Maps: https://
www.google.com/maps/035.920323100000005,-80.41084739077905,14z
�T
• Ivin
`pJ
fr —
Counties: Davie County, North Carolina

06/05/2023 3
ENDANGERED SPECIES ACT SPECIES
There is a total of 4 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheries1, as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
1. NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
MAMMALS
NAME STATUS
Tricolored Bat Perimyotis sub flavus Proposed
No critical habitat has been designated for this species. Endangered
Species profile:httpss://ecos.fws.gov/ecp/species/10515
INSECTS
NAME STATUS
Monarch Butterfly Danaus plexippus Candidate
No critical habitat has been designated for this species.
Species profile:https:Hecos.fws.gov/ecp/species/9743
FLOWERING PLANTS
NAME STATUS
Michaux's Sumac Rhus michauxii Endangered
No critical habitat has been designated for this species.
Species profile:https:Hecos.fws.gov/ecp/species/5217
Schweinitz's Sunflower Helianthus schweinitzii Endangered
No critical habitat has been designated for this species.
Species profile:https:Hecos.fws.gov/ecp/species/3849
CRITICAL HABITATS
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.

06/05/2023
YOU ARE STILL REQUIRED TO DETERMINE IF YOUR PROJECT(S)MAY HAVE EFFECTS ON ALL
ABOVE LISTED SPECIES.

06/05/2023 1
USFWS NATIONAL WILDLIFE REFUGE LANDS
AND FISH HATCHERIES
Any activity proposed on lands managed by the National Wildlife Refuge system must undergo a
'Compatibility Determination' conducted by the Refuge. Please contact the individual Refuges to
discuss any questions or concerns.
THERE ARE NO REFUGE LANDS OR FISH HATCHERIES WITHIN YOUR PROJECT AREA.

06/05/2023
MIGRATORY BIRDS
Certain birds are protected under the Migratory Bird Treaty Act!and the Bald and Golden Eagle
Protection Act2.
Any person or organization who plans or conducts activities that may result in impacts to
migratory birds, eagles, and their habitats should follow appropriate regulations and consider
implementing appropriate conservation measures, as described below.
1. The Migratory Birds Treaty Act of 1918.
2. The Bald and Golden Eagle Protection Act of 1940.
3. 50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)
The birds listed below are birds of particular concern either because they occur on the
USFWS Birds of Conservation Concern (BCC) list or warrant special attention in your
project location.To learn more about the levels of concern for birds on your list and how this
list is generated, see the FAQ below. This is not a list of every bird you may find in this location,
nor a guarantee that every bird on this list will be found in your project area. To see exact
locations of where birders and the general public have sighted birds in and around your project
area, visit the E-bird data mapping tool (Tip: enter your location, desired date range and a species
on your list). For projects that occur off the Atlantic Coast, additional maps and models detailing
the relative occurrence and abundance of bird species on your list are available. Links to
additional information about Atlantic Coast birds, and other important information about your
migratory bird list, including how to properly interpret and use your migratory bird report, can be
found below.
For guidance on when to schedule activities or implement avoidance and minimization measures
to reduce impacts to migratory birds on your list, click on the PROBABILITY OF PRESENCE
SUMMARY at the top of your list to see when these birds are most likely to be present and
breeding in your project area.
NAME BREEDING SEASON
Chimney Swift Chaetura pelagica Breeds Mar 15 to Aug 25
This is a Bird of Conservation Concern(BCC)throughout its range in the
continental USA and Alaska.
PROBABILITY OF PRESENCE SUMMARY
The graphs below provide our best understanding of when birds of concern are most likely to be
present in your project area. This information can be used to tailor and schedule your project
activities to avoid or minimize impacts to birds. Please make sure you read and understand the
FAQ "Proper Interpretation and Use of Your Migratory Bird Report" before using or attempting
to interpret this report.
Probability of Presence (■)

06/05/2023 2
Each green bar represents the bird's relative probability of presence in the 10km grid cell(s) your
project overlaps during a particular week of the year. (A year is represented as 12 4-week
months.)A taller bar indicates a higher probability of species presence. The survey effort(see
below) can be used to establish a level of confidence in the presence score. One can have higher
confidence in the presence score if the corresponding survey effort is also high.
How is the probability of presence score calculated?The calculation is done in three steps:
1. The probability of presence for each week is calculated as the number of survey events in
the week where the species was detected divided by the total number of survey events for
that week. For example, if in week 12 there were 20 survey events and the Spotted Towhee
was found in 5 of them, the probability of presence of the Spotted Towhee in week 12 is
0.25.
2. To properly present the pattern of presence across the year, the relative probability of
presence is calculated. This is the probability of presence divided by the maximum
probability of presence across all weeks. For example, imagine the probability of presence
in week 20 for the Spotted Towhee is 0.05, and that the probability of presence at week 12
(0.25) is the maximum of any week of the year. The relative probability of presence on
week 12 is 0.25/0.25 = 1; at week 20 it is 0.05/0.25 = 0.2.
3. The relative probability of presence calculated in the previous step undergoes a statistical
conversion so that all possible values fall between 0 and 10, inclusive. This is the
probability of presence score.
Breeding Season ( )
Yellow bars denote a very liberal estimate of the time-frame inside which the bird breeds across
its entire range. If there are no yellow bars shown for a bird, it does not breed in your project
area.
Survey Effort (1)
Vertical black lines superimposed on probability of presence bars indicate the number of surveys
performed for that species in the 10km grid cell(s) your project area overlaps. The number of
surveys is expressed as a range, for example, 33 to 64 surveys.
No Data (—)
A week is marked as having no data if there were no survey events for that week.
Survey Timeframe
Surveys from only the last 10 years are used in order to ensure delivery of currently relevant
information. The exception to this is areas off the Atlantic coast, where bird returns are based on
all years of available data, since data in these areas is currently much more sparse.
■probability of presence breeding season I survey effort —no data
SPECIES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

06/05/2023 3
Chimney Swift
BCC Rangewide ---� ———-
-——-
-——-
----
(CON)
Additional information can be found using the following links:
■ Birds of Conservation Concern https://www.fws.gov/program/migratory-birds/species
■ Measures for avoiding and minimizing impacts to birds https://www.fws.gov/librar�/
collections/avoiding-and-minimizing-incidental-take-migratory
• Nationwide conservation measures for birds https://www.fws.gov/sites/default/files/
documents/nationwide-standard-conservation-measures.pdf
MIGRATORY BIRDS FAQ
Tell me more about conservation measures I can implement to avoid or minimize impacts
to migratory birds.
Nationwide Conservation Measures describes measures that can help avoid and minimize
impacts to all birds at any location year round. Implementation of these measures is particularly
important when birds are most likely to occur in the project area. When birds may be breeding in
the area, identifying the locations of any active nests and avoiding their destruction is a very
helpful impact minimization measure. To see when birds are most likely to occur and be breeding
in your project area, view the Probability of Presence Summary. Additional measures or permits
may be advisable depending on the type of activity you are conducting and the type of
infrastructure or bird species present on your project site.
What does IPaC use to generate the list of migratory birds that potentially occur in my
specified location?
The Migratory Bird Resource List is comprised of USFWS Birds of Conservation Concern
BCC and other species that may warrant special attention in your project location.
The migratory bird list generated for your project is derived from data provided by the Avian
Knowledge Network (AKN). The AKN data is based on a growing collection of survey, banding.
and citizen science datasets and is queried and filtered to return a list of those birds reported as
occurring in the 10km grid cell(s)which your project intersects, and that have been identified as
warranting special attention because they are a BCC species in that area, an eagle (Eagle Act
requirements may apply), or a species that has a particular vulnerability to offshore activities or
development.
Again, the Migratory Bird Resource list includes only a subset of birds that may occur in your
project area. It is not representative of all birds that may occur in your project area. To get a list
of all birds potentially present in your project area, please visit the Rapid Avian Information
Locator ,RAIL, Tool.
What does IPaC use to generate the probability of presence graphs for the migratory birds
potentially occurring in my specified location?

06/05/2023 4
The probability of presence graphs associated with your migratory bird list are based on data
provided by the Avian Knowledge Network (AKN). This data is derived from a growing
collection of survey, banding, and citizen science datasets.
Probability of presence data is continuously being updated as new and better information
becomes available. To learn more about how the probability of presence graphs are produced and
how to interpret them, go the Probability of Presence Summary and then click on the "Tell me
about these graphs" link.
How do I know if a bird is breeding,wintering or migrating in my area?
To see what part of a particular bird's range your project area falls within (i.e. breeding,
wintering, migrating or year-round), you may query your location using the RAIL Tool and look
at the range maps provided for birds in your area at the bottom of the profiles provided for each
bird in your results. If a bird on your migratory bird species list has a breeding season associated
with it, if that bird does occur in your project area, there may be nests present at some point
within the timeframe specified. If "Breeds elsewhere" is indicated, then the bird likely does not
breed in your project area.
What are the levels of concern for migratory birds?
Migratory birds delivered through IPaC fall into the following distinct categories of concern:
1. "BCC Rangewide" birds are Birds of Conservation Concern (BCC)that are of concern
throughout their range anywhere within the USA(including Hawaii, the Pacific Islands,
Puerto Rico, and the Virgin Islands);
2. "BCC - BCR" birds are BCCs that are of concern only in particular Bird Conservation
Regions (BCRs) in the continental USA; and
3. "Non-BCC -Vulnerable" birds are not BCC species in your project area, but appear on
your list either because of the Eagle Act requirements (for eagles) or(for non-eagles)
potential susceptibilities in offshore areas from certain types of development or activities
(e.g. offshore energy development or longline fishing).
Although it is important to try to avoid and minimize impacts to all birds, efforts should be made,
in particular, to avoid and minimize impacts to the birds on this list, especially eagles and BCC
species of rangewide concern. For more information on conservation measures you can
implement to help avoid and minimize migratory bird impacts and requirements for eagles,
please see the FAQs for these topics.
Details about birds that are potentially affected by offshore projects
For additional details about the relative occurrence and abundance of both individual bird species
and groups of bird species within your project area off the Atlantic Coast, please visit the
Northeast Ocean Data Portal. The Portal also offers data and information about other taxa besides
birds that may be helpful to you in your project review.Alternately, you may download the bird
model results files underlying the portal maps through the NOAA NCCOS Integrative Statistical
Modeling and Predictive Mapping of Marine Bird Distributions and Abundance on the Atlantic
Outer Continental Shelf project webpage.

06/05/2023 5
Bird tracking data can also provide additional details about occurrence and habitat use
throughout the year, including migration. Models relying on survey data may not include this
information. For additional information on marine bird tracking data, see the Diving Bird Study
and the nanotag studies or contact Caleb Spiegel or Pam Lorin.
What if I have eagles on my list?
If your project has the potential to disturb or kill eagles, you may need to obtain a permit to avoid
violating the Eagle Act should such impacts occur.
Proper Interpretation and Use of Your Migratory Bird Report
The migratory bird list generated is not a list of all birds in your project area, only a subset of
birds of priority concern. To learn more about how your list is generated, and see options for
identifying what other birds may be in your project area, please see the FAQ "What does IPaC
use to generate the migratory birds potentially occurring in my specified location". Please be
aware this report provides the "probability of presence" of birds within the 10 km grid cell(s)that
overlap your project; not your exact project footprint. On the graphs provided, please also look
carefully at the survey effort (indicated by the black vertical bar) and for the existence of the "no
data" indicator (a red horizontal bar).A high survey effort is the key component. If the survey
effort is high, then the probability of presence score can be viewed as more dependable. In
contrast, a low survey effort bar or no data bar means a lack of data and, therefore, a lack of
certainty about presence of the species. This list is not perfect; it is simply a starting point for
identifying what birds of concern have the potential to be in your project area, when they might
be there, and if they might be breeding (which means nests might be present). The list helps you
know what to look for to confirm presence, and helps guide you in knowing when to implement
conservation measures to avoid or minimize potential impacts from your project activities,
should presence be confirmed. To learn more about conservation measures, visit the FAQ "Tell
me about conservation measures I can implement to avoid or minimize impacts to migratory
birds" at the bottom of your migratory bird trust resources page.

06/05/2023
WETLANDS
Impacts to NWI wetlands and other aquatic habitats may be subject to regulation under Section
404 of the Clean Water Act, or other State/Federal statutes.
For more information please contact the Regulatory Program of the local U.S.Army Corps of
Engineers District.
Please note that the NWI data being shown may be out of date.We are currently working to
update our NWI data set. We recommend you verify these results with a site visit to determine
the actual extent of wetlands on site.
RIVERINE
■ RSUBH
■ R4SBC
FRESHWATER POND
■ PUBHh

06/05/2023 2
IPAC USER CONTACT INFORMATION
Agency: Private Entity
Name: David Brame
Address: 743 Park Lawn Court
City: Kernersville
State: NC
Zip: 27284
Email [e-mail]
Phone: [phone]
LEAD AGENCY CONTACT INFORMATION
Lead Agency: Army Corps of Engineers

Julius O.
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David Brame
From: Heather LaGamba
Sent: Wednesday, May 25, 2022 4:09 PM
To: 401 [e-mail]
Subject: Pre-File Notice - NC Highway 801 (7937.1)
We would like to submit a Pre-filing Notice for the following project:
Project Name: NC Highway 801 (7937.1)
Project Owner: PMA I Holdings, LLC
Project Owner's Address: PO Box 5323,Winston-Salem, NC 27113
Project County: Davie
Type of project/Approval Sought: 401 WQC, Pre-Application Request Meeting Declined
Thank you and have a wonderful day!
Sincerely,
Heather LaGamba
336.345.9536(c)
336.310.4527(o)
P.O. Box 128
Kernersville, NC 27285
www.pilotenviro.com
[e-mail]
1