20150628 Ver 1_401 Application_20150615

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June 19, 2015
North Carolina
DWQ, WBSCP Unit
512 North Salisbury Street
Raleigh, NC 27604
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JUN 2 3 2015 +
DENR -WATER RESOURCES
401 &BUFFER PERMITTING
Subject: Pre - Construction Notification to
North Carolina Department of Water Quality
Colonial Pipeline Company Maintenance Project — Line 24F
Harnett County, North Carolina
Corblu Project No. 02- 041901 -01- Recoat No. 0808 -018
To whom it may concern:
On behalf of our client, Colonial Pipeline Company (CPC), Corblu Ecology Group (Corblu)
wishes to inform you of our proposed use of North Carolina Department of Water Quality
(NCDWQ) Section 401 Water Quality Certification No. 3883 Pre - construction Notification (PCN).
The proposed pipeline maintenance of CPC's petroleum pipeline (Line 24F) is located within
CPC's existing mowed and maintained right -of -way (ROW). The pipeline maintenance activity
will require temporary disturbance to an emergent wetland located in Harnett County, North
Carolina. For the purposes of this letter, the maintenance location is referred to as: Recoat No.
0808 -018, located south of Bethel Baptist Road in Harnett County, North Carolina
(35.24812660, - 78.88276203; Figure 1). Corblu spoke to Ms. Emily Greer with the U.S. Army
Corps of Engineers ( USACE), Wilmington District on June 12, 2015 and confirmed the above
referenced maintenance activity can be completed under Nationwide Permit (NWP) 3(a) and (c),
which does not require formal submittal of a USACE PCN.
Background
CPC is committed to operating their pipelines and support facilities in a manner that protects the
safety of the public, environment, and its workforce. CPC routinely conducts pedestrian surveys
within the existing mowed and maintained ROW inspecting the pipeline protective coating.
Using inspection tools CPC has determined that the integrity of a pipeline segment (Line 24F)
T 770 - 591 -9990
I �� 322.5 South Cherokee La e, Bldg. 800, Woodstock, GA 30188
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corblu.com

Awareness Letter— NC DWQ June 19, 2015
Colonial Pipeline Company — Pipeline Maintenance Line 24F (Recoat No. 0808 -018) Corblu Project No 02- 041901
has been jeopardized by corrosion of the existing pipeline coating. To remediate this problem,
CPC will expose (i.e., unearth) the corroded pipeline segment, remove the existing coating, and
replace it with a new coating. The proposed pipeline maintenance activity will restore the
protective pipeline coating, which is an integral component of CPC's pipeline integrity
management program.
Proposed Activities in Jurisdictional Waters
In accordance with the 1987 Corps of Engineers Wetlands Delineation Manual', "Rapanos"
guidance and the regional supplement for the Eastern Mountains and Piedmont Regionz, Corblu
conducted a field delineation of jurisdictional waters on May 11, 2015. Jurisdictional waters (one
emergent wetland) were observed at the maintenance location Recoat No. 0808 -018 (Figure 2;
Appendix A), in CPC's existing and maintained ROW.
To prevent groundwater from collecting in the excavation area during the maintenance activity
CPC proposes to place a trench box, as needed, around the pipeline, and pumps will be used to
dewater the excavated pipeline segment (Appendices B and C). The pumped water will be
discharged into a vegetated upland area using a silt filter bag and staked hay bales to minimize
sedimentation to the wetland (Figure 3).
The excavated wetland soils will be temporarily stored in the wetland area and placed on
geotextile fabric and ordered separately [topsoil (top 12 inches) and subsoil]. These soils will be
returned to the excavated trench and existing contours restored following the completion of the
proposed maintenance activity.
CPC's standard erosion control practices will be employed during the maintenance activity
(Appendix D). Upon completion of the above referenced maintenance activity, the disturbed
wetland area will be revegetated using a wetland seed mix and straw to stabilize the recently
disturbed soils at the maintenance location.
The Line 24F, Recoat No. 0808 -018 pipeline segment extends approximately 200 linear feet
(excavation area 0.14 -acre) in an upland and wetland area within CPC's existing and
1 Environmental Laboratory. 1987. Corps of Engineers Wetlands Delineation Manual. U.S. Army Corps of Engineers, Washington,
D.0 100 pp. plus appendices.
2 U.S. Army Corps of Engineers. 2012. Regional Supplement to the Corps of Engineers Wetland Delineation Manual., Eastern
Mountains and Piedmont Region Version 2.0, ed. J. F. Berkowitz, J. S. Wakeley, R. W. Lichvar, C. V. Noble. ERDC /EL TR -12 -9.
Vicksburg, MS: U.S. Army Engineer Research and Development Center.
I!

Awareness Letter— NC DWQ June 19, 2015
Colonial Pipeline Company — Pipeline Maintenance Line 24F (Recoat No. 0808 -018) Corblu Project No. 02- 041901
maintained ROW. The proposed excavation area within the emergent wetland area is
approximately 0.11 -acre. The jurisdictional water disturbance is temporary, minimal, and limited
to CPC's existing mowed and maintained ROW.
Protected Species
The U.S. Fish and Wildlife Service (USFWS) have identified three species as potentially
occurring in Harnett County, North Carolina. These species include the rough -leaf loosestrife
(Lysimachia asperulaefolia), Cape Fear shiner (Notropis mekistocholas), and red - cockaded
woodpecker (Picoides borealis). No suitable habitat for the above listed species were observed
within the proposed maintenance location (Recoat No. 0808 -018) in CPC's mowed and
maintained ROW. Further, no individuals were observed during the site visit; therefore, no
impacts to the protected species are anticipated.
Federal and State Permit Compliance
Based on our recent discussion with Ms. Greer and past precedent with the U.S. Army Corps of
Engineers, Wilmington District ( USACE) regarding CPC routine maintenance activities, we
believe that the proposed temporary disturbance to waters of the U.S. associated with the
described activity are authorized by rule under NWP 3(a) and (c). The proposed CPC
maintenance activity will be complicit with all NWP General Conditions as specified in the
Federal Register (Vol. 77, No. 34, dated February 21, 2012), as well as USACE Wilmington
District NWP Regional Conditions. Specifically: 1) appropriate sediment and erosion control
measures will be employed; 2) pre- existing contours will be restored following the completion of
the maintenance activity; and 3) the project will be carried to completion as expeditiously as
possible to minimize the period of disturbance.
With regards to the State of North Carolina DWQ, the above referenced maintenance project
requires written approval for use of Water Quality Certification No. 3883 (Maintenance). The
proposed maintenance activity in CPC's ROW within an emergent wetland exceeds the
temporary wetland impact threshold of 0.10 -acre. Please refer to DWQ PCN form in Appendix
E.
3

Awareness Letter — NC DWQ June 19, 2015
Colonial Pipeline Company — Pipeline Maintenance Line 24F (Recoat No. 0808 -018) Corblu Project No. 02- 041901
Conclusion
The proposed maintenance activity will result in temporary and minimal disturbance to
jurisdictional waters (one emergent wetland) as authorized under the USACE NWP 3(a) and (c).
There will be no disturbances to adjacent jurisdictional waters located outside of CPC's existing
ROW. Based on this submittal, we respectfully request authorization for the aforementioned
temporary disturbances to the emergent wetland pursuant to NC DWQ Water Quality
Certification No. 3883 for required pipeline integrity maintenance. If you have any questions or
comments regarding this PCN submittal, please contact the undersigned at (770) 591 -9990.
Sincerely,
CORBLU ECOLOGY GROUP, LLC 14 u/
4
Shanna E. Cahill, CE Richard W. Whiteside, PhD, CWB, CSE
Senior Ecologist President
Attachments: Figure 1 — Site Location Map Recoat No. 0808 -018
Figure 2 — Jurisdictional Waters
Figure 3 — Site Plan
Site Photograph (1)
Appendix A: Wetland Determination Data Forms
Appendix B: Typical Saturated Wetland Maintenance Dig
Appendix C: Typical Permanent Trench Breakers
Appendix D: CPC's Soil Erosion and Sediment Control Plan
Appendix E: Division of Water Quality Pre - Construction Notification (PCN) Form
c: Ms. Emily Greer, U.S. Army Corps of Engineers, Wilmington District
Mr. Jeff Richards, CPC Environmental Project Manager -SED, via email
Mr. John Wyatt, CPC Environmental Project Manager -SED, via email
Mr. Jay Amerson, CPC Project Manager, via email
4

- - �`� •° Bethel Baptist Road 1 1
N.
. , Recoat
No. 0808 -018
4 N 11 •
�% __. a �" / 250 • � '�1� J
• Legend
Recoat Begin /Endpoint
Recoat Segment
CPC Pipeline
a � �
1 1
Base Map Source: USGS 7.5- Minute Topographic Quadrangle 2,750 1,375 0 2,750 Feet
Anderson Creek, Bunnlevel, Manchester. & Slocomb. North Carolina
CPC SE Line 24F1 Figure 1 ,
Recoat No. 0808 -018 c o r b l u Site Location Map
Harnett County, North Carolina ECOLOGY GROUP Project No. 02- 041901

UVL; 5t Line 141- Figure 2
Recoat No. 0808 -018 1 b I u Jurisdictional Waters
Harnett County, North Carolina ECOLOGY GROUP Project No. 02- 041901

A I
LL
V
N
G
CPC's ROW _J
Begin Recoat
No. 0808 -018
30 x 200 ft
Excavation Area
„I Wetland:
° Approximately 0.11 -acre
of temporary impact
a1A14 . aid
iilrr ••nlr
Temporary Ordered
Soil Storage
al. -
(Top 12 inches) ,,� '' •,,11,, ,w
Geotextile Fabric
Temporary
Soil Storage
GPS Data collected on 05/11/2015
,•�"'wZU
t ■��,.7ts
➢-
10
■ P
IC
MI nl
90
End Recoat
No. 0808 -018
JUN 2 3 2015
DENR - WATER RESOURCES
401 8 BUFFER PERMITTING
45 0 90 Feet
CPC SE Line 24F Figure 3
Recoat No. 0808 -018 c o r b l u Site Plan
Harnett County, North Carolina ECOLOGY GROUP Project No. 02- 041901

Awareness Letter— NC DWQ Photo taken on May 11, 2015
Colonial Pipeline Company — Pipeline Maintenance Line 24F (Recoat No. 0808 -018) Corblu Project No. 02- 041901
Photograph No. 1: View facing south towards an emergent wetland within CPC's ROW at
Recoat No. 0808 -018.

APPENDIX A
WETLAND DETERMINATION DATA FORMS

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site: CPC ROW Line 24F Recoat No. 0808 -018 City /County. Harnett County Sampling Date- 5/11/15
Applicant/Owner: CPC State: NC Sampling Point: DP1
Investigator(s). MAB Section, Township, Range: N/A
Landform (hdlslope, terrace, etc.): Low area in maintained ROW Local relief (concave, convex, none): Concave Slope ( %): N/A
Subregion (LRR or MLRA): LRR P Lat. 35.2481266 Long - 78.88276203 Datum. NAD 83
Sod Map Unit Name NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes ✓ No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes No !�
Are Vegetation Soil or Hydrology naturally 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? Yes ✓ No
Is the Sampled Area
Hydric Soil Present? Yes ✓ No within a Wetland? Yes • No
Wetland Hydrology Present? Yes ✓ No
Remarks
Wetland located within CPC's mowed and maintained ROW.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reauired)
Primary Indicators (minimum of one is reaured: check all that aooly)
_ Surface Soil Cracks (86)
✓ Surface Water (Al)
_ True Aquatic Plants (614)
✓ Sparsely Vegetated Concave Surface (68)
✓ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
— Drainage Patterns (610)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (816)
_ Water Marks (61)
_ Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
_ Sediment Deposits (62)
_ Recent Iron Reduction in Tilled Sods (C6)
_ Crayfish Burrows (C8)
_ Drift Deposits (63)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (64)
Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
Iron Deposits (65)
_ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (D3)
_ Water - Stained Leaves (69)
_ Microtopographic Relief (D4)
Aquatic Fauna (613)
_ FAC- Neutral Test (D5)
Field Observations:
Surface Water Present? Yes ✓ No
Depth (inches): 1
Water Table Present? Yes ✓ No
Depth (inches): 0
Saturation Present? Yes ✓ No
Depth (inches): 11+ Wetland Hydrology Present? Yes No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available.
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants. Sampling Point DP1
1 fescue sp
2 Smilax glauca
3 Polystichum acrostichoides
4.
5.
6.
7.
8.
9.
10.
11.
12.
Woodv Vine Stratum (Plot size: 30 feet
1 Vitis rotundifolia
2.
3.
4.
5.
6.
2 NO -
1 NO FAC
3 NO FAC
6 = Total Cover
1 = Total Cover
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling /Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb -All herbaceous (non- woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No
Remarks- (Include photo numbers here or on a separate sheet.)
Wetland is located within a mowed and maintained ROW and appears to have been recently
mulched.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size. 30 feet )
% Cover
Species? Status
Number of Dominant Species
1 Pinus taeda
5
YES FAC
That Are OBL, FACW, or FAC: 1 (A)
2 Liqwdambar
3
NO FAC
3 Quercus nigra
3
NO FAC
Total Number of Dominant 1
Species Across All Strata: (B)
4 Quercus laevis
1
NO
Percent of Dominant Species
5•
That Are OBL, FACW, or FAC. 100% (A/B)
6.
7
Prevalence Index worksheet:
8.
- -
Total % Cover of Multiolv bv:
12
= Total Cover
OBL species x 1 =
Sapling /Shrub Stratum (Plot size: 15 feet
)
FACW species x 2 =
1.
FAC species x 3 =
2.
FACU species x4=
3.
UPL species x5= 0
4.
Column Totals: 0 (A) 0 (B)
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7
1 - Rapid Test for Hydrophytic Vegetation
8.
-
✓ 2 - Dominance Test is >50%
9.
3 - Prevalence Index is 53.0'
10.
-
4 - Morphological Adaptations' (Provide supporting
5 feet
0
= Total Cover
_
data in Remarks or on a separate sheet)
Herb Stratum (Plot size )
Problematic Hvdroohvtic Vegetation' (EXDlaln)
1 fescue sp
2 Smilax glauca
3 Polystichum acrostichoides
4.
5.
6.
7.
8.
9.
10.
11.
12.
Woodv Vine Stratum (Plot size: 30 feet
1 Vitis rotundifolia
2.
3.
4.
5.
6.
2 NO -
1 NO FAC
3 NO FAC
6 = Total Cover
1 = Total Cover
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling /Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb -All herbaceous (non- woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No
Remarks- (Include photo numbers here or on a separate sheet.)
Wetland is located within a mowed and maintained ROW and appears to have been recently
mulched.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Indicators for Problematic Hydric Soils':
Sampling Point: DP1
Profile Description: (Describe
to the depth
needed to document the indicator or confine the absence of indicators.)
Depth
Matrix
_ Black Histic (A3)
Redox Features
(inches)
Color (moist)
%
Color (moist) % Type' Loc2 Texture Remarks
0 -1
10 YR 3/1
100
sandy loam
1 -6
10 YR 4/1
100
sand
6 -19
10 YR 5/3
98
10YR 5/6 2 C M sand
'Type: C= Concentration, D= Depletion, RM= Reduced Matrix, MS= Masked Sand Grains. 2Location• PL =Pore Lining, M= Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils':
Histosol (Al)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
(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 (Al 0) (LRR N)
_ Redox Dark Surface (F6)
Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
_ Very Shallow Dark Surface (TF12)
Thick Dark Surface (Al2)
_ Redox Depressions (F8)
_ Other (Explain in Remarks)
Sandy Mucky Mineral (S1) (LRR N,
_ Iron - Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136, 122)
3Indicators of hydrophytic vegetation and
Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
✓ Stripped Matrix (S6)
Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic.
Restrictive Layer (if observed):
T
ype.
Depth (inches) Hydric Soil Present? Yes No
Remarks.
Evidence of stripping
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site- CPC ROW Line 24F Recoat No. 0808 -018 City/County Harnett County Sampling Date: 5/11/15
Applicant/Owner: CPC State: NC Sampling Point: DP2
Investigator(s)- MAB Section, Township, Range: N/A
Landform (hillslope, terrace, etc.). Low area in maintained ROW Local relief (concave, convex, none): none Slope ( %). N/A
Subregion (LRR or MLRA): LRR P Lat. 35.248175 Long. - 78.882749 Datum: NAD 83
Sod Map Unit Name- NWI classification
Are climatic / hydrologic conditions on the site typical for this time of year? Yes ✓ No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes No
Are Vegetation Soil or Hydrology naturally 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? Yes ✓ No
Is the Sampled Area
Hydric Soil Present? Yes No ✓
within a Wetland. Yes No
Wetland Hydrology Present? Yes No ✓
Remarks
Upland located within CPC's mowed and maintained ROW.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reauired)
Primary Indicators (minimum of one is reauired: check all that aooly)
_ Surface Soil Cracks (136)
_ Surface Water (Al) _
True Aquatic Plants (B14)
_ Sparsely Vegetated Concave Surface (68)
_ High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (610)
_ Saturation (A3) _
Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (1316)
Water Marks (61) _
Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
_ Sediment Deposits (132) _
Recent Iron Reduction in Tilled Soils (C6)
_ Crayfish Burrows (C8)
_ Drift Deposits (133) _
Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (134)
Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
Iron Deposits (65)
_ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (D3)
Water- Stained Leaves (139)
_ Microtopographic Relief (134)
_ Aquatic Fauna (813)
_ FAC- Neutral Test (135)
Field Observations:
Surface Water Present? Yes No `�
Depth (inches):
Water Table Present? Yes No
Depth (inches):
Saturation Present? Yes No ✓
Depth (inches)- Wetland Hydrology Present? Yes No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring
well, aerial photos, previous inspections), if available:
Remarks:
Area recently mulched
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants. Sampling Point. DP2
Remarks: (Include photo numbers here or on a separate sheet.)
Mowed and maintained ROW and appears to have been recently mulched.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30 feet )
% Cover Species? Status
Number of Dominant Species
1 Pinus taeda
5
YES FAC
That Are OBL, FACW, or FAC: 1 (A)
2 Quercus nigra
3
NO FAC
Total Number of Dominant
3.
Species Across All Strata: 1 (B)
4.
-
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: 100% (A/B)
6.
7
Prevalence Index worksheet:
8
Total % Cover of- Multiply bv-
8
= Total Cover
OBL species x 1 =
SaDlina /Shrub Stratum (Plot size- 15 feet
)
FACW species x 2 =
1,
FAC species x 3 =
2,
FACU species x 4 =
3.
UPL species X5= 0
4,
Column Totals: 0 (A) 0 (B)
5.
-
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
7
1 - Rapid Test for Hydrophytic Vegetation
8
_
✓ 2 - Dominance Test is >50%
9.
3 - Prevalence Index is 53.0'
10.
4 - Morphological Adaptations' (Provide supporting
5 feet
0
= Total Cover
—
data in Remarks or on a separate sheet)
Herb Stratum (Plot size )
Problematic Hydrophytic Vegetation' (Explain)
1 fescue sp
1
NO
_
2 Smilax glauca
1
NO FAC
3 Smilax rotundifolia
1
NO FAC
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
4.
Definitions of Four Vegetation Strata:
5.
6
Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
7.
height.
8.
- -
Sapling /Shrub – Woody plants, excluding vines, less
9.
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
10.
-
Herb –All herbaceous (non- woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
12.
3
= Total Cover
Woody vine – All woody vines greater than 3.28 ft in
Woodv Vine Stratum (Plot size: 30 feet
)
height.
1.
2.
3.
Hydrophytic
5
Vegetation
6.
Present? Yes • No
0
= Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
Mowed and maintained ROW and appears to have been recently mulched.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

SOIL Sampling Point: DP2
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Locz Texture Remarks
0 -2 10 YR 3/2 100 sandy
2 -5 10 YR 4/2 100 sand
5 -14 10 YR 5/3 100
sand
'Type C= Concentration, D= Depletion, RM= Reduced Matrix, MS= Masked Sand Grains. 2Location. PL =Pore Lininq, M= Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
Histosol (A1) _ Dark Surface (S7) _ 2 crn Muck (Al 0) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surface (S8) (MLRA 147, 148) _ Coast Prairie Redox (Al 6)
Black Histic (A3) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148)
Hydrogen Sulfide (A4) _ Loamy Gleyed Matnx (F2) _ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5) _ Depleted Matrix (F3) (MLRA 136, 147)
2 cm Muck (Al 0) (LRR N)
_ Redox Dark Surface (F6)
Depleted Below Dark Surface (At 1)
_ Depleted Dark Surface (F7)
Thick Dark Surface (Al2)
_ Redox Depressions (F8)
Sandy Mucky Mineral (S1) (LRR N,
_ Iron - Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136, 122)
Sandy Redox (S5)
_ Piedmont Floodplam Soils (F19) (MLRA 148)
Stripped Matrix (S6)
Red Parent Material (F21) (MLRA 127, 147)
Restrictive Layer (if observed):
Type:
Very Shallow Dark Surface (TF12)
_ Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Depth (inches): Hydric Soil Present? Yes
Remarks:
No redox concentrations, no stripping event
No V(
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

APPENDIX B
TYPICAL SATURATED WETLAND MAINTENANCE DIG

III Ili
ii
II t► ILII
�lI I►I
k
�.
I' lk 1 �` _lL
SPOIL I
I I 1
I r I
BACKA(OE
(I SILT FENCE
EQUIPMENT MATS
ZL
II 1AL lk
ak
u �I
II i
I ( I ► I ' WETLAND BOUNDARY
EXISTING PIPELINES I
I ill III I
PERMANENT ROW
77 SEE SHEET 2 FOR NOTES
TRGW ENGINEERING CONSULTANTS INC.
* , .. �..... «...mti ... COLONIAL PIPEUNE COMPANY
ATIMITA, acdaw
TYPICAL SATURATED WETLAND
MAINTENANCE DIG
I" ROL TMso�°'n I wn

ro illuCT N PR T"At NOI[Se
I. FLAC WETLAND DOWDARIES PRIOR TO WORK.
2. NO REFUEUNO OF MOBILE EQUIPMENT IS ALLOWED WITHIN 100 FEET OF
WETLAND. REFUEL STATIONMY EQUIPMENT AS PER SPCC PLAN,
7. UTILIZE AMPHIBIOUS EXCAVATORS (PONTOON MOUNTED "HOES) OR
TRACNEO BACKHOES SUPPORTED BY FABRICATED TIMBER MATS OR FLOATS.
TO ENCAVATE TRENCH. W FAWCAIEO AMBER MATS ARE USED FOR
STABILIZATION, THE 9ACKNOE SHALL GRADUALLY MOVE ACROSS THE WETLAND
BY MOVING THE MAT FROM IMMEDIATELY BEANO TO IMMEDUITELY IN FRONT
OF THE BACNHOE'S PATH.
F. AVOID ADJACENT WETLANDS INSTALL SEDIMENT BARRIERS (HAY BN.ES
MO OR SILT FENCE) AT EDGE OF RIGHT -OF -WAY ANO ALONG WETLAND
EDGE AS REQUIRED.
S. REMOVE ANY ANTS OR FILL CONSKANG OF NON -NATIVE MATERML FROM
WETLANDS UPON COMPLETION.
B. RESFORE GM" TD NEAR PRE- CONSTRUCIIUN TOPOCRAPW AND INSTALL
PERMANENT EROSION CONTROL.
7. FOLLOW SPECIAL RMGETATON 9PECTFIED FOR OIC LOCATION.
* raow ENaNEERINC CONSULTANTS INC. /��' ■\ COLONIAL PIPELINE COMPANY
r.rrwir � rrAwi A n. w ua. ((�i/ /)
MIiNLAL CEOROU
TYPICAL SATURATED WETLAND
MAINTENANCE 0113
� -'" •. I.rt nor NrI We��
Nn I At- iF700A AtT - rrroNSe os -awRT ! a 7

APPENDIX C
TYPICAL PERMANENT TRENCH BREAKERS

SECTION 'B -B' SECTIOR 'A -A'
NOTES: SCAM N.T.S. SCAM N.T.S.
1. laML TRDIM aFVX l7 wKRE P,PINME TPi CH- -WY ORAN A WEXMD OR MVM A SIlWAN
a Omwmd BY THE CO~. SUAKIM SWLL ALSO OE INSTALLED WHIM Nt"AL ORAINACE
FMnM1. PMF" MO' TVE OF &%CKM 141TOU L MAY RESULT N I= OF BACK:YL MATUmw
OR ALTERATION OF NATURAL OR"WE PATTIM
2 Mr LL MUNCH BREWMW IMMELIATELY UnLDPE OF ALL OnOMON BERUS UNLESS O"ien"m
AUMORUM BY TW COMPANY FIEF SENTATNE.
Z TRENOYI OW MM t"TMM AND SPACOM SHALL BE OVEPU INFO IN ACCORDANCE WnH 'TM
ENNRONMMENM CONSTWCIIGN PUNT".
4. jWr EACH TRENCH SREANER A MINWLNA OF ONE (t) Ft. WW BOTTOMS AND 370ES OF 71FIXINIM,
S. USE SANDBAGS, FARM. CEMENT FILLED SACKS OR SYNTI OC FOAM. TOPS IS NOT TO BE USED IN SACKS.
°READ TOPWIL
! t2'
,2' KEY
TROM ENGINEERING CONSULTANTS ma
TV pp ~�r O COLD141AL PIPELINE COMPANY
FIGURE .6
j N1b PERMANENT TRENCH
R1 ,IAa A� BREAKERS

APPENDIX D
CPC'S SOIL EROSION AND SEDIMENT CONTROL PLAN

Colonial Pipeline Company
Soil Erosion and Sediment Control Plan
For
Pipeline Maintenance Activities
objective
e
Disturbed areas are to be restored as close as practical to their original contours and
conditions so that once vegetation is reestablished, erosion will be reduced to the same
or lower level that existed prior to disturbance.
Description
This section defines the sod erosion and sediment control measures that Colonial
Pipeline Company will implement during and after inspection and repairs of the pipeline
are complete. The objectives of this plan are to establish general guidelines for
controlling erosion and sedimentation and to specify criteria for sensitive or particularly
susceptible soil areas. The plan incorporates measures to control erosion and
sedimentation:, including m►nimi2 g cover removal, Iiiniting the.time of exposure,
limiting the flow of water onto the disturbed right -of =way, and filtering or settling out
sediment from water flowing from the right -of -way.
The primary objective of the soil erosion and sediment control plan is to reduce the area
and duration of soil disturbance and reestablish permanent vegetation as soon after
construction as possible, thereby minimizing long -term erosion and sedimentation.
Some erosion is inevitable during construction, however, the plan includes measures to
reduce erosion to the minimum practical.
Colonial Pipeline Company plans to reduce soil erosion and provide sediment control
during the repair of the pipeline at the project site by incorporating the following
measures:
• Water pumped from the construction area as part of the dewateriug operation
from the excavation will be filtered through silt filtration bags and discharged to
a well vegetated area.
• All work wM be confined - within the existing right -of -way. Staked hay bales and silt
fence will be inshglled.around the worksite'and. maintained until vegetation is established.
Proper contmb war be added if necessary during construction.
• All terms and conditions within Nationwide Permit g will be followed.
• Erosion control measures will be installed prior to conducting any soil disturbing
activities associated with the pipeline maintenance activity.
• Clearing of vegetation will be kept to an absolute minimum and confined to the
existing pipeline easement area. The easement area is So feet in width and devoid

of large trees. The right of way is vegetated with undergrowth grasses and other
short vegetation.
• Vegetation will be reestablished within disturbed areas and along stream banks
as soon as possible upon completion of work. Disturbed areas will be seeded
with a wetland seed mixture
• All erosion and sediment control measures will be inspected every two weeks at a
minimum and after every significant rainfall event of 0.5 inch or more until
disturbed areas have been stabilized. Identified damages to control measures
must be repaired immediately.
Refuse and Waste Disposal
Colonial's representative will not allow the Contractor to discard any litter, including
paper, bottles, cans, mss, sacks, welding rod stubs, fuel, crankcase draining, coating.
materials, equipment, and junk pipe in the ditch or along the right -of -way. All refuse
must be collected and disposed in accordance with company specifications. Personnel
will be instructed regarding the correct procedure for waste disposal.
Maintenance /inspection Procedures
The following inspection and maintenance practices will be implemented to maintain
erosion and sediment controls.
1. All control measures will be inspected every two weeks at a minimum and following
any storm event of 0.5 inch or greater.
2. All control measures will be maintained in good working order. If a repair is
necessary, it wM be initiated within 24 hours of the report.
s. Built -up sediment will be removed from silt fences when it has reached one -third the
height of the fence.
4. Silt fences will be inspected for depth of sediment, tears, secure attachment of the
fabric to the fence posts, and firm placement of the fence posts in the ground.
5. Temporary and permanent seeding and planting win be inspected for bare spots,
washouts, and healthy growth.
6. Colonial Pipeline Company will select individuals to be responsible for inspections,
maintenance and repair activities, and completion of the inspection and
maintenance report Personnel selected for inspection and maintenance
responsibilities will receive training from Colonial Pipeline Company or its
representative. Personnel must be trained in all practices necessary for maintaining
the erosion and sediment controls used on -site.

APPENDIX E
DIVISION OF WATER QUALITY PRE - CONSTRUCTION NOTIFICATION (PCN) FORM

�oF wnrE90 Office Use Only:
<
o� Corps action ID no.
D ~ DWQ project no.
Form Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a Type(s) of approval sought from the Corps: ❑X Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 3(a)(c) or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? I ❑ Yes ❑X No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record For the record only for DWQ For the record only for Corps Permit:
because written approval is not required? 401 Certification:
❑ Yes ❑X No ❑X Yes ❑ No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank ❑ Yes ❑X No
or in -lieu fee program.
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h ❑ Yes ❑X No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑ Yes ❑X No
2. Project Information
2a. Name of project: Colonial Pipeline Company (CPC) - Recoat No. 0808 -018
2b. County: Harnett
2c. Nearest municipality/ town: Spring Lake
2d. Subdivision name: No subdivision in the area
2e. NCDOT only, T.I.P. or state project no: Not applicable; not a NCDOT or T.I.P. project
3. Owner Information
3a. Name(s) on Recorded Deed:
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
CPC, an existing and functioning petroleum pipeline constructed in 1963 -1964
N/A
CPC
CPC, right -of -way (ROW)
Climax, NC 27233
423 - 305 -1187
N/A
jwyatt @colpipe.com
i nD . m �', � i E
JUN 2 3' 2015
uciVrc - WATER RESOURCES
401 & BUFFER PERMITTWr;
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is: ❑ Agent
4b. Name: John Wyatt
❑X Other, specify: CPC Southeastern District Project Manager
4c.
Business name
Colonial Pipeline Company
(if applicable):
(if applicable):
Street address:
4d.
Street address:
3925 Anderson Farm Road
4e.
City, state, zip:
Austell, GA 30106
4f.
Telephone no.:
770- 819 -3557
4g.
Fax no.:
N/A
4h.
Email address:
[e-mail]
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Shanna Cahill
5b.
Business name
(if applicable):
5c.
Street address:
5d.
City, state, zip:
5e.
Telephone no.:
5f.
Fax no.:
5g.
Email address:
Corblu Ecology Group
3225 S. Cherokee Lane, Bldg. 800
Woodstock, GA 30188
770 - 591 -9990
770 - 591 -9993
scahill @corblu.com
Page 2 of 10

B. Project Information and Prior Project History
11. Property Identification
1 a. Property identification no. (tax PIN or parcel ID): I N /A; an existing and functioning pipeline constructed
1 b. Site coordinates (in decimal degrees): I Latitude: 35.248126 Longitude: - 78.882762
1c. Property size: 0.14 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project: Little River
2b. Water Quality Classification of nearest receiving water: 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:
A cleared, maintained, and mowed ROW along CPC's pipeline corridor.
3b. List the total estimated acreage of all existing wetlands on the property: 0.11
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d. Explain the purpose of the proposed project:
CPC intends to excavate, expose, and inspect Line 24F at the referenced maintenance location and repair the pipeline as necessary. Specifically,
replace the potective pipeline coating for a pipeline segment fo CPC's Line 24.
3e. Describe the overall project in detail, including the type of equipment to be used:
Please refer to the attached cover letter.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the ❑ Yes ❑ No X❑ Unknown
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? Comments:
4b. If the Corps made the jurisdictional determination, what type ❑ Preliminary ❑ Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency /Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for I ❑ Yes ❑ No x❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project? I ❑ Yes ❑X No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply)
X❑ Wetlands
❑ Streams — tributaries
❑ Buffers
❑ Open Waters
❑ Pond Construction
2. Wetland Impacts
this
question for all stream sites impacted.
3a. 3b.
If there are wetland impacts proposed on the site, then
complete this question for each wetland
area impacted.
Stream impact
2a. 2b.
2c.
Impact
2d.
2e.
2f.
Wetland impact
Type of impact
Type of wetland
Forested
Type of jurisdiction
Area of
number
(feet)
feet)
S1
Corps (404,10) or
impact
Permanent (P) or
S2
Choose one
- -
DWQ (401, other)
(acres)
Temporary (T)
- -
S4 -
Choose one
- -
W1 T
Excavation
Unknown
No
Corps 404/DWQ401
0.11
W2
Choose one
Choose one
Yes /No
-
W3 -
Choose one
Choose one
Yes /No
-
W4 -
Choose one
Choose one
Yes /No
-
W5 -
Choose one
Choose one
Yes /No
-
W6 -
Choose one
Choose one
Yes /No
-
2g. Total
Wetland Impacts:
0.11
2h. Comments:
The petroleum pipeline (including its mowed and maintained ROW) were installed in the early 1960s; therefore, the wetland feature is an emergent
wetland.
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.
3a. 3b.
3c. 3d. 3e. 3f.
3g.
Stream impact
Type of impact
Stream name Perennial (PER) or Type of Average
Impact
number
intermittent (INT)? jurisdiction stream
length
Permanent (P) or
width
(linear
Temporary (T)
(feet)
feet)
S1
Choose one
-
S2
Choose one
- -
S3
Choose one
- -
S4 -
Choose one
- -
S5
Choose one
- -
S6 -
Choose one
- -
3i. Comments:
None
3h. Total stream and tributary impacts 0
Page 4 of 10
PCN Form — Version 1.4 January 2009

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.
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
4a. 4b. 4c.
4d. 4e.
Open water Name of waterbody
impact number (if applicable)
Type of impact Waterbody Area of impact (acres)
Permanent (P) or
type
Temporary (T)
6e. 6f.
01 -
Choose one Choose
02 -
Choose one Choose
03 -
Choose one Choose
O4 -
Choose one Choose
impact
4f. Total open water impacts I o
4g. Comments: None
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Pond ID number Proposed use or Wetland Impacts (acres) Stream Impacts (feet) Upland
purpose of pond (acres)
Flooded Filled Excavated Flooded Filled Excavated
P1 Choose one
P2 Choose one
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:
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, tt-en you MUST fill out Section D of this form.
6a. Project is in which protected basin? ❑ Neuse ❑ Tar - Pamlico ❑ Catawba
❑ Randleman
❑ Other:
6b. 6c. 6d.
6e. 6f.
6g.
Buffer Impact Reason for impact Stream name
Buffer
Zone 1
Zone 2
number—
mitigation
impact
impact
Permanent (P) or
required?
(square
(square
Temporary (T)
feet)
feet)
B1 -
Yes /No
B2 -
Yes /No
B3 -
Yes /No
B4 -
Yes /No
B5 -
Yes /No
B6 -
Yes /No
6i. Comments: None
Page 5 of 10
6h. Total Buffer Impacts:
0

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Please refer to the attached cover letter
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Please refer to the attached cover letter.
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 ❑X No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply): ❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
project? ❑Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Type: Choose one Quantity:
3b. Credits Purchased (attach receipt and letter) Type: Choose one Quantity:
Type: Choose one Quantity:
3c. Comments:
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: Choose one
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.
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires Yes X 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.
Zone Reason for impact Total impact Multiplier Required mitigation
(square feet) (square feet)
Zone 1 3 (2 for Catawba)
Zone 2 1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation 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 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified ❑ Yes ❑X No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 0
2b. Does this project require a Stormwater Management Plan? ❑ Yes X❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
This disturbance to a wetland in an existing maintained ROW for required maintenance with limited soil distance; therefore, does not require a
stormwater management plan. The maintenance project will result in 0% impervious surface.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
N/A
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
3b. Which of the following locally- implemented stormwater management programs
apply (check all that apply):
3c. Has the approved Stormwater Management Plan with proof of approval been
attached?
4. DWQ Stormwater Program Review
4a. Which of the following state - implemented stormwater management programs apply
(check all that apply):
4b. Has the approved Stormwater Management Plan with proof of approval been
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
5b. Have all of the 401 Unit submittal requirements been met?
N/A
❑ Phase II
❑ NSW
❑ USMP
❑ Water Supply Watershed
❑ Other:
❑ Yes ❑ No
❑Coastal counties
❑HQW
❑ORW
❑Session Law 2006 -246
❑Other:
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal /state /local) funds or the ❑ Yes X❑ No
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 ❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 C. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter) ❑ Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ❑ Yes Q No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after - the -fact permit application? ❑ Yes 0 No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in I ❑ Yes 0 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 you answered "no," provide a short narrative description.
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.
No wastewater will be generated, only required maintenance to an existing and operating pipeline.
Page 9 of 10
PCN Form — Version 1.4 January 2009

S. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ❑ Yes ❑X No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ❑ Yes Q No
impacts?
5c. If yes, Indicate the USFWS Field Office you have contacted.
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
A total of three federally protected species are listed as potentially occurring in Harnett County, North Carolina by the U.S Fish and Wildlife Service
The mowed and maintained ROW does not support preferred habitat for any of the three listed species
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? I ❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
U.S Fish and Wildlife Service Database
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation ❑ Yes ❑X No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
North Carolina State Historic Preservation Office HPOWEB GIS Service
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
North Carolina Floodmappmg program and FEMA
Applicant/Agent's Printed Name
❑ Yes
pplicant/Age t ignature
(Agent's signature is valid only if an authorization
letter from the applicant is provided )
Page 10 of 10
❑X No
Date