20200207 Ver 2__20230710_U-5907 Potts Sloan Extension_PCN_20230710

Preliminary ORM Data Entry Fields for New Actions
ACTION ID#: SAW- 2015-01444 Begin Date (Date Received):
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: U-5907
2. Work Type: ❑Private ❑Institutional ❑✓ Government ❑Commercial
3. Project Description/Purpose [PCN Form B3d and B3e]:
The North Carolina Department of Transportation(NCDOT)proposes to extend Potts Street to Sloan Street in the Town of Davidson,
Mecklenburg County(TIP U-5907). The purpose of this project is to provide an alternative route between N.C. 115 and Griffith Street
for multiple modes of transportation.
4. Property Owner/Applicant [PCN Form A3 or A41: NCDOT
5. Agent/Consultant [PNC Form A5 —or ORM Consultant ID Number]:
Chris Tinklenberg, PWS (Kimley-Horn)
6. Related Action ID Number(s) [PCN Form B5b]:
7. Project Location—Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
Project area is located from Potts Street to Beaty Street. Project coordinates (Decimal Degrees):
35.499880, -80.851898
8. Project Location—Tax Parcel ID [PCN Form Bla]: Multiple - Linear Transportation project
9. Project Location—County [PCN Form A2b]: Mecklenburg
10. Project Location—Nearest Municipality or Town [PCN Form A2c]: Davidson
11. Project Information—Nearest Waterbody [PCN Form 132a]: Lake Norman
12. Watershed/ 8-Digit Hydrologic Unit Code [PCN Form 132c]: Upper Catawba (HUC 03050101)
Authorization: Section 10 ❑ Section 404 ✓❑ Section 10 and 404 ❑
Regulatory Action Type:
❑ Standard Permit ❑Pre-Application Request
0 Nationwide Permit#14 ❑Unauthorized Activity
Regional General Permit# ❑Compliance
Jurisdictional Determination Request ❑No Permit Required
Revised 20150602

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER JAMES H.TROGDON,III
GOVERNOR SECRETARY
July 7, 2023
Mr. Steve Brumagin
Charlotte Regulatory Field Office
US Army Corps of Engineers
8430 University Executive Park Drive, Suite 615
Charlotte,North Carolina 28262
Re: Nationwide Permit#14—NC DOT TIP#U-5907
Extension of Potts Street to Sloan Street
(SAW-2015-01444 and NC DWR BIMS No. 20200207)
Davidson,Mecklenburg County,NC
Dear Mr. Brumagin:
NCDOT is submitting the enclosed Section 404/401 Pre-construction Notification (PCN)
modification request for the above-referenced project for your review pursuant to Nationwide
Permit #14 (NWP 14) and Individual 401 Water Quality Certification (IWQC). Authorization is
requested for the proposed extension of Potts Street to connect to Sloan Street in the Town of
Davidson, Mecklenburg County, NC (NCDOT TIP#U-5907). The proposed extension will also
include a roundabout at the intersection of Sloan Street and Griffith Street. The following
information is enclosed:
• Pre-Construction Notification(PCN)Form
• Project Site Figures
• Permit Drawings
• Approved PJD
• Minimum Criteria Determination Checklist
• Signed MOA
• USFWS IPaC Resource List
Project Background
The proposed extension seeks to construct approximately 0.07-miles of new location roadway to
connect Potts Street to Sloan Street as well as a roundabout at the intersection of Sloan Street and
Griffith Street. The purpose of the project is to provide a contiguous north/south connector to
improve roadway network connectivity, create a safer route for local commuters, relieve traffic
congestion on N.C. 115 through the Town of Davidson, and provide for the continuous flow of
traffic along Sloan and Griffith Streets.
Modifications to the permit are a result of comments from the NC Division of Water Resources
(NCDWR) during the original permitting process.
Mailing Address: Telephone:[phone] Location:
NC DEPARTMENT OF TRANSPORTATION Fax:[phone] 716 WEST MAIN STREET
HIGHWAY DIVISION 10 Customer Service: 1-877-368-4968 ALBEMARLE,NC 28001
716 WEST MAIN STREET
ALBEMARLE,NC 28001 Website:www.ncdot.gov

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER JAMES H.TROGDON,III
GOVERNOR SECRETARY
Agency Correspondence
Cultural Resources
The extension of Potts Street was determined to have a "Conditional No Adverse Effect" on the
Davidson Historic District (NRHP). Additionally, the proposed roundabout at the intersection of
Griffith Street and Sloan Street would have an "Adverse Effect" on a structure in the Davidson
Historic District. See the attached signed Memorandum of Agreement(MOA).
Protected Species
A review of the North Carolina Natural Heritage Program (NCNHP) database on June 28, 2023,
did not indicate known occurrences of threatened or endangered species within the project
boundary. Additionally, there is no potentially suitable habitat for threatened and endangered
species on-site. A Natural Resources Technical Report (NRTR) was prepared and submitted for
this project. Biological conclusions of"No Effect' were rendered for all listed botanical species
potentially occurring within the project watershed.
Proposed Impacts to Jurisdictional Waters
The proposed extension and roundabout will result in unavoidable impacts at four impact sites:
• Impact Site 1
o Stream SA— 11 linear feet (LF) of permanent impacts to SA results from rip-rap
embankment protection. 7 LF of temporary impacts are necessary to install an
impervious dike and pumped diversion to perform the construction activity in dry
conditions.
o Stream SA— 192 LF of permanent impacts to SA results from the installation of a
48"reinforced concrete pipe(RCP).
o Wetland WA — 0.03 acre of permanent impacts to WA results from grading
activities.
• Impact Site 2
o Stream SA — 15 LF of permanent impacts to SA results from rip-rap outlet
protection. 10 LF of temporary impacts are necessary to install an impervious dike
and pumped diversion to perform the construction activity in dry conditions.
• Impact Site 3
Stream SB — 10 LF of permanent impacts to SA results from rip-rap outlet
protection. 5 LF of temporary impacts are necessary to install an impervious dike
and pumped diversion to perform the construction activity in dry conditions.
• Impact Site 4
o Stream SB — 3 LF of permanent impacts to SB results from the extension of an
existing 36" RCP. 10 LF of temporary impacts are necessary to install an
impervious dike and pumped diversion to perform the construction activity in dry
conditions.
Overall, impacts associated with the proposed road extension will result in 231 LF/0.016-acre of
permanent impacts to non-wetland waters of the U.S. and 0.03-acre of permanent impacts to
wetland waters of the U.S.
Mailing Address: Telephone:[phone] Location:
NC DEPARTMENT OF TRANSPORTATION Fax:[phone] 716 WEST MAIN STREET
HIGHWAY DIVISION 10 Customer Service: 1-877-368-4968 ALBEMARLE,NC 28001
716 WEST MAIN STREET
ALBEMARLE,NC 28001 Website:www.ncdot.gov

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER TAMES H.TROGDON,III
GOVERNOR SECRETARY
Avoidance and Minimization
Avoidance and minimization efforts were implemented during development planning and design
to the greatest extent practicable in order to reduce the overall impacts on the aquatic environment
while staying within nationwide permit thresholds. The final plan demonstrates maximum
avoidance and minimization efforts by reducing the proposed stream and wetland impacts. The
rationale to support avoidance and minimization efforts includes the following:
• Impact Site 1
o The proposed storm network cannot be realigned at SA and WA for multiple
reasons.
■ An option was explored to realign Stream SA along the right side of the
roadway to bring SA closer to the intersection of Potts Street and Sloan
Street to reduce the amount of pipe length.However,the topography along
SA is steep and realigning SA would have resulted in large amounts of cut
and fill impacts to surrounding properties. Additionally,there is a historic
structure at the intersection that requires avoidance.
■ Another option explored potentially daylighting the existing piped stream
on the left of Potts Street. However,the steep topography(over 10')along
SA to the left side of the roadway would result in large amounts of cut-
and-fill impacts to surrounding properties. This would have required an
approximately 175' cross pipe under the roadway. Because of the extreme
offset of the tie-in of the cross pipe,the outlet side would require a greater
than 90-degree turn of the stream from the pipe outlet to align with the
outlet across from Sloan Street which is not a desirable option.
• Impact Site 4
o The proposed limits of disturbance (LOD) encroach into the 50' Catawba River
Basin Riparian Buffer. However,per the Catawba River Basin Rule,sidewalks are
"deemed allowable in Zone 2 provided no built-upon area is added."The existing
sidewalk is at a higher elevation near the proposed roundabout and as the proposed
alignment ties out, the proposed sidewalk ties into the existing sidewalk at the
buffer location; therefore, no new built-upon area will be added.
• Temporary impacts have been minimized to the greatest extent practicable to meet the
needs of the project and do not pose adverse alterations to the existing streams and
wetlands. Erosion control measures implemented during construction will be removed
immediately following the activities and any disturbance will be returned to pre-
construction conditions.
Mailing Address: Telephone:[phone] Location:
NC DEPARTMENT OF TRANSPORTATION Fax:[phone] 716 WEST MAIN STREET
HIGHWAY DIVISION 10 Customer Service: 1-877-368-4968 ALBEMARLE,NC 28001
716 WEST MAIN STREET
ALBEMARLE,NC 28001 Website:www.ncdot.gov

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER JAMES H.TROGDON,III
GOVERNOR SECRETARY
Compensatory Mitigation
Project impacts do not exceed mitigation thresholds;therefore,mitigation is not proposed.
Kristi Lynn Carpenter, NC Division of Water Resources, Transportation Permitting Unit will
review the project through the electronic form (https:Hedocs.deq.nc.gov/Forms/Pre-
Construction_Notification—Form). Please charge the application fee of$570.00 to WBS element
#46452.1.1. Please forward comments directly to the Corps with a copy to Division 10 PDEA
Engineer.
Please feel free to contact me at [phone] if you have any questions or if additional
information is necessary.
Sincerely,
Joel Howard
Project Development&Environmental Analysis (PDEA)Engineer
Mailing Address: Telephone:[phone] Location:
NC DEPARTMENT OF TRANSPORTATION Fax:[phone] 716 WEST MAIN STREET
HIGHWAY DIVISION 10 Customer Service: 1-877-368-4968 ALBEMARLE,NC 28001
716 WEST MAIN STREET
ALBEMARLE,NC 28001 Website:www.ncdot.gov

Office Use Only
STATE
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°�� Corps Action ID no. SAW-2015-01444 Date received: [Click to enter.]
DWR project no. [Click enter.] Date received: [Click to enter.]
Site Coordinates:
`g°a gyp' Latitude (DD.DDDDDD): 35.499880
NORTH CAROLINA Longitude (DD.DDDDDD): -80.851898
Environmental Quality
Water Resources 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/WaterResources/DocView.aspx?dbid=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) *: 4/29/2022
Page 1 of 22 PCN Form Version 4.3-April 20,2022

A. Processing Information
County (counties)where project is located: * Mecklenburg Additional (if needed).
Is this an ARPA project? * ❑ Yes 0 No
If yes, ARPA project number:
*The project number can be found on the"Letter of Intent to Fund"
(LOIF)or"Offer and Acceptance Letter". If you are unable to locate Click or tap here to enter text.
your DWI ARPA Funding Project Number,please contact Corey
Basinger at core y.basinger(@.ncdenr.gov for further assistance.
Is this a NCDMS project? *
(Click yes only if NCDMS is the applicant or co- ❑ Yes Z No
applicant)
Is this a public transportation project?
(Publicly funded municipal, state, or federal road, rail, Z Yes ❑ No
or airport project)
Is this a NCDOT project? * Z Yes ❑ No
If yes, NCDOT TIP or state project number: U-5907
If yes, NCDOT WBS number: * 46452.1.1
Z Section 404 Permit (wetlands, streams, waters,
1 a. 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? * 0 Yes ❑ No
Please provide the date of the previous submission. * 2/6/2020
0 Nationwide Permit (NWP)
1 b. What type(s) of permit(s) do you wish to seek
authorization? * El Regional General Permit (RGP)
❑ 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? * Z Yes ❑ No
NWP number(s) (list all numbers ): 14
RGP number(s) (list all numbers ): Click to enter.
Are you a federal applicant? ❑ Yes N 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):
❑ 401 Water Quality Certification — Regular ❑ 401 Water Quality Certification— Express
❑ Non-404 Jurisdictional General Permit ❑ Riparian Buffer Authorization
0 Individual 401 Water Quality Certification
Is this a courtesy copy notification ❑ Yes N No
Page 2 of 22 PCN Form Version 4.3-April 20,2022

1e. 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
1g. Is payment into a mitigation bank or in-lieu fee program proposed for ❑ Yes ® 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 ® No
1i. Is the project located within an NC DCM Area of Environmental ❑ Yes ® No ❑ Unknown
Concern (AEC)? *
1j. Is the project located in a designated trout watershed? ❑ Yes ❑x 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.miI/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? * Joel Howard
1 b. Primary Contact Email: * [e-mail]
1c. Primary Contact Phone: *(###)###-###1# [phone]
1 d. Who is applying for the permit/certification? * (check ❑ Owner ® Applicant (other than owner)
all that apply)
1 e. Is there an agent/consultant for this project? ® Yes ❑ No
2. Landowner Information
2a. Name(s) on Recorded Deed: * NCDOT (Linear Transportation)
2b. Deed Book and Page No.: N/A
2c. Contact Person (for corporations): N/A
2d. Address *
Street Address: N/A
Address line 2: N/A
City: N/A
State/ Province/ Region: N/A
Postal/Zip Code: N/A
Country: N/A
2e. Telephone Number: * (###)###-#### N/A
2f. Fax Number: (###)###-###1# N/A
2g. Email Address: * N/A
3. Applicant Information (if different from owner)
3a. Name: * Joel Howard
3b. Business Name (if applicable): NCDOT—Division 10
3c. Address: *
Street Address: 716 West Main Street
Address line 2: Click to ente
City: Albemarle
State/ Province/ Region: NC
Postal/Zip Code: 28001
Country Click to enter.
3d. Telephone Number: ` (###)###-#### [phone]
3e Fax Number: (###)###-#### Click to enter.
3f. Email Address: [e-mail]
Page 4 of 22 PCN Form Version 4.3-April 20,2022

4. Agent/Consultant(if applicable)
4a. Name: Chris Tinklenberg
4b. Business Name: Kimley-Horn and Associates
4c. Address: *
Street Address: 580 Kingsley Park Dr.
Address line 2: Suite 125
City: Fort Mill
State/Province/ Region: SC
Postal/Zip Code: 29715
Country: Click to enter.
4d. Telephone Number: * (###)###-#### [phone]
4e Fax Number: (###)###-#### Click to ente
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
1a. Name of project: * TIP U-5907 Potts-Sloan Extension
1 b. Subdivision name (if appropriate): Click to enter.
1 c. Nearest municipality/town: * Davidson
2. Project Identification
2a. Property identification number(tax PIN or parcel ID): N/A
2b. Property size (in acres): 17.8 acres
2c. Project Address:
Street Address: Click to enter.
Address line 2: Click to enter.
City: Davidson
State/ Province/ Region: NC
Postal/Zip Code: Click to enter.
Country: Click to enter.
2d. Site coordinates in decimal degrees (using 4-6 digits Latitude (DD.DDDDDD): * 35.499880
after the decimal point): * Longitude (-DD.DDDDDD): *--80.851898
3. Surface Waters
3a. Name of nearest body of water to proposed project: * Lake Norman
3b. Water Resources Classification of nearest receiving WS-IV,B;CA
water: *
The Surface Water Classification map may be found at this link:
https://ncdenr.maps.arcgis.com/apps/webappviewer/index.htmI?id=6e125ad7628f494694e259c80dd64265
3c. In what river basin(s) is your project located?
Catawba
Choose additional (if needed)
3d. Please provide the 12-digit HUC in which the project is 030501011203
located: *
The Find Your HUC map may be found at this link:
https://ncdenr.maps.arcgis.com/apps/PublicI nformation/index.htmI?appid=ad3a85aOc6d644aOb97cdO69d b238ac3
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 project is located from Potts Street to Beaty Street in the Town of Davidson in Mecklenburg County. Land
use within the project area consists of single-family residences and commercial/retail properties. The property is
bound to the west by Lake Norman and Main Street to the east. The project vicinity is comprised of high-density
residential areas and commercial/retail land.
4b. Have Corps permits or DWR certifications been obtained for this ® Yes ❑ No ❑ Unknown
project(including all prior phases) in the past? *
If yes, please give the DWR Certification number and/or Corps SAW-2015-01444
Action ID (ex. SAW-0000-00000): NC DWR BIMS No. 20200207
Attach any pertinent project history documentation
4b2. Is any portion of the work already complete? * ❑ Yes ❑x 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.
Click to enter text.
4d. Attach an 8'/2 x 11" excerpt from the most recent version of the USGS topographic map indicating the location of
the project site.
4e. Attach an 8'/2 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 0.03 acres
property:
4g. List the total estimated linear feet of all existing streams (intermittent 675 linear feet
and perennial) on the property:
4g1. List the total estimated acreage of all existing open waters on the 0 acres
property:
4h. Explain the purpose of the proposed project:
The purpose of this project is to add an alternative route between N.C. 115 and Griffith Street for multiple modes
of transportation.
4i. Describe the overall project in detail, including the type of equipment to be used:
The project proposes to extend Potts Street north to connect with Sloan Street and construct a roundabout at the
intersection of Sloan Street and Griffith Street. Equipment typical of roadway construction would be used,
including cranes, track hoes, back hoes, graders, dump trucks, bulldozers, and pavers.
4j. Attach project drawings/site diagrams/depictions of impact areas for the proposed project.
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 7 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, ❑x Preliminary ❑ Approved ❑ Emailed concurrence
what type of determination was made? * ❑ Not Verified ❑ Unknown ❑ n/a
Corps AID number(ex. SAW-0000-00000): SAW-2015-01444
Name (if known): Chris Tinklenberg
5c. If 5a is yes, who delineated the jurisdictional Agency/Consultant Company: Kimley-Horn
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.
8/11/2015
5d1. Attach jurisdictional determinations.
6. Future Project Plans
6a. Is this a phased project? ❑ Yes © 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
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)
Click to enter.
8. Scheduling of activity:
Click to enter.
Page 8 of 22 PCN Form Version 4.3-April 20,2022

D. Proposed Impacts Inventory
1. Impacts Summary
❑x Wetlands ❑x Streams -tributaries
1 a. 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 Fill (Incl. Permanent Headwater WA Yes Both 0.03
Riprap) Forest
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 Click to enter. ac
2g2. Total permanent wetland impacts 0.03 ac
2g3. Total wetland impacts 0.03 ac
2h. Type(s) of material being discharged and the amount of each type in cubic yards:
Click to enter text.
2i. Comments:
-Impact Site 1
oWetland WA—0.03 acre of permanent impacts to WA results from grading activities.
Page 9 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 Impact Impact Type* Stream Name* Stream Jurisdiction Stream Width Impact length
Reason* Duration* Type* Type* (avg ft)* (linear ft)
S1 Site 1 -SA Permanent Fill (Ind. UT to Lake Intermittent Both 3 11
Riprap) Norman
S2 Site 1 -SA Temporary Dewatering UT to Lake Intermittent Both 3 7
Norman
S3 Site 1 -SA Permanent Crossing/ UT to Lake Intermittent Both 3 192
Culvert Norman
S4 Site 2-SA Permanent Fill (Ind. UT to Lake Intermittent Both 3 15
Riprap) Norman
S5 Site 2-SA Temporary Dewatering UT to Lake Intermittent Both 3 10
Norman
S6 Site 3-SB Permanent Fill (Incl. UT to Lake Perennial Both 6 10
Riprap) Norman
S7 Site 3-SB Temporary Dewatering UT to Lake Perennial Both 6 5
Norman
S8 Site 4-SB Permanent Crossing/ UT to Lake Perennial Both 6 3
Culvert Norman
S9 Site 4-SB Temporary Dewatering UT to Lake Perennial Both 6 10
Norman
S10 Click to enter Temp/Perm Choose one Click to enter Per/Int Choose one Click to enter Click to enter
S11 Click to enter Temp/Perm Choose one Click to enter Per/Int Choose one Click to enter Click to enter
S12 Click to enter Temp/Perm Choose one Click to enter Per/Int Choose one Click to enter Click to enter
S13 Click to enter Temp/Perm Choose one Click to enter Per/Int Choose one Click to enter Click to enter
S14 Click to enter Temp/Perm Choose one Click to enter Per/Int Choose one Click to enter Click to enter
S15 Click to enter Temp/Perm Choose one Click to enter Per/Int Choose one Click to enter Click to enter
S16 Click to enter Temp/Perm Choose one Click to enter Per/Int Choose one Click to enter Click to enter
S17 Click to enter Temp/Perm Choose one Click to enter Per/Int Choose one Click to enter Click to enter
S18 Click to enter Temp/Perm Choose one Click to enter Per/Int Choose one Click to enter Click to enter
S19 Click to enter Temp/Perm Choose one Click to enter Per/Int Choose one Click to enter Click to enter
S20 Click to enter Temp/Perm Choose one Click to enter Per/Int Choose one Click to enter Click to enter
3i1. Total jurisdictional ditch Click to enter. linear ft
impact:
3i2. Total permanent stream 231 linear ft
impacts:
M. Total temporary stream 32 linear ft
impacts:
3i4. Total stream and ditch 263 linear ft
impacts:
Page 10 of 22 PCN Form Version 4.3-April 20,2022

3j. Comments:
-impact Site 1
oStream SA— 11 linear feet(LF)of permanent impacts to SA results from rip-rap embankment protection. 7 LF
of temporary impacts are necessary to install an impervious dike and pumped diversion to perform the
construction activity in dry conditions.
oStream SA— 192 LF of permanent impacts to SA results from the installation of a 48" reinforced concrete pipe
(RCP).
-impact Site 2
oStream SA— 15 LF of permanent impacts to SA results from rip-rap outlet protection. 10 LF of temporary
impacts are necessary to install an impervious dike and pumped diversion to perform the construction activity in
dry conditions.
-impact Site 3
Stream SB — 10 LF of permanent impacts to SA results from rip-rap outlet protection. 5 LF of temporary impacts
are necessary to install an impervious dike and pumped diversion to perform the construction activity in dry
conditions.
-impact Site 4
oStream SB—3 LF of permanent impacts to SB results from the extension of an existing 36" RCP. 10 LF of
temporary impacts are necessary to install an impervious dike and pumped diversion to perform the construction
activity in dry conditions.
Page 11 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:
Click to enter.
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:
Click to enter.
Page 12 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.
B5 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B6 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B7 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B8 Choose one Temp/Perm Click to enter. Y/N Click to enter. Click to enter.
B9 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:
Click to enter.
Please attach supporting documentation (impact maps, plan sheets, etc.)for the proposed project.
Page 13 of 22 PCN Form Version 4.3-April 20,2022

E. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts through project design:
Avoidance and minimization efforts were implemented during development planning and design to the greatest
extent practicable in order to reduce the overall impacts on the aquatic environment while staying within
nationwide permit thresholds. The final plan demonstrates maximum avoidance and minimization efforts by
reducing the proposed stream and wetland impacts. The rationale to support avoidance and minimization efforts
includes the following:
•Impact Site 1
oThe proposed storm network cannot be realigned at SA and WA for multiple reasons.
❑An option was explored to realign Stream SA along the right side of the roadway to bring SA closer to the
intersection of Potts Street and Sloan Street to reduce the amount of pipe length. However, the topography
along SA is steep and realigning SA would have resulted in large amounts of cut and fill impacts to surrounding
properties. Additionally, there is a historic structure at the intersection that requires avoidance.
❑Another option explored potentially daylighting the existing piped stream on the left of Potts Street. However,
the steep topography (over 10') along SA to the left side of the roadway would result in large amounts of cut-
and-fill impacts to surrounding properties. This would have required an approximately 175' cross pipe under the
roadway. Because of the extreme offset of the tie-in of the cross pipe, the outlet side would require a greater
than 90-degree turn of the stream from the pipe outlet to align with the outlet across from Sloan Street which is
not a desirable option.
•Impact Site 4
oThe proposed limits of disturbance (LOD) encroach into the 50' Catawba River Basin Riparian Buffer. However,
per the Catawba River Basin Rule, sidewalks are "deemed allowable in Zone 2 provided no built-upon area is
added." The existing sidewalk is at a higher elevation near the proposed roundabout and as the proposed
alignment ties out, the proposed sidewalk ties into the existing sidewalk at the buffer location; therefore, no new
built-upon area will be added.
1 b. Specifically describe measures taken to avoid or minimize proposed impacts through construction techniques:
Temporary impacts have been minimized to the greatest extent practicable to meet the needs of the project and
do not pose adverse alterations to the existing streams and wetlands. Erosion control measures implemented
during construction will be removed immediately following the activities and any disturbance will be returned to
pre-construction conditions.
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.
Page 14 of 22 PCN Form Version 4.3-April 20,2022

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
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 ❑ 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 =E] es ❑ 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:
Click to enter.
Page 15 of 22 PCN Form Version 4.3-April 20,2022

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
1 a. 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:Hdeg.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? * 0 Yes El No
2b. Does this project meet the requirements for low density projects as
defined in 15A NCAC 02H .1003(2)? * ❑x Yes El No
To look up low density requirements, click here:
http://reports.oah.state.nc.us/ncac/title°/o2015a°/o20-%20environmental%20guaIity/chapter%2002%20-
%20environmental%20management/subchapter%20h/15a%20ncac%2002h%20.1003.pdf
2c. Does this project have a stormwater management plan (SMP) ❑x Yes ❑ 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? ❑x Local Government
(Check all that apply.)* ❑ 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.
Mecklenburg County
State Stormwater Programs ❑ Phase II ❑ HQW or ORW
❑ Coastal Counties ❑ Other
Comments:
Click to enter.
Page 18 of 22 PCN Form Version 4.3-April 20,2022

G. Supplementary Information
1. Environmental Documentation
1 a. Does the project involve an expenditure of public (federal/state/local) ® Yes ❑ 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 ® Yes El No
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 ® Yes ❑ No
NEPA or SEPA final approval letter.)
Comments:
A Minimum Criteria Determination Checklist has been prepared for the proposed project and is attached.
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 213 .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:
No additional or cumulative impacts are anticipated due to the construction of the proposed project.
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 ❑x 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.
Click to enter.
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 0 No
species or habitat? (IPAC weblink: httr)s://www.fws.gov/ir)ac/ffws.govl)*
5b. Have you checked with the USFWS concerning Endangered Species ® Yes ❑ No
Act impacts? *
5c. If yes, indicate the USFWS Field Office you have contacted. Asheville
5d. Is another federal agency involved? * ❑ Yes 0 No ❑ Unknown
If yes, which federal agency? Click to enter.
5e. Is this a DOT project located within Divisions 1-8? * ❑ Yes 0 No
5f. Will you cut any trees in order to conduct the work in waters of the
U.S.? * ® Yes El No
5g. Does this project involve bridge maintenance or removal? * ❑ Yes 0 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.miI/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 0 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 0 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)
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated
Critical Habitat? *
A review of the North Carolina Natural Heritage Program (NCNHP) database on June 28, 2023, did not indicate
known occurrences of threatened or endangered species within the project boundary. Additionally, there is no
potentially suitable habitat for threatened and endangered species on-site. A Natural Resources Technical
Report (NRTR)was prepared and submitted for this project. Biological conclusions of"No Effect'were rendered
for all listed botanical species potentially occurring within the project watershed.
Attach consultation documentation.
6. Essential Fish Habitat(Corps Requirement)
6a. Will this project occur in or near an area designated as
an Essential Fish Habitat? El Yes 0 No
Page 20 of 22 PCN Form Version 4.3-April 20,2022

Is there submerged aquatic vegetation (SAV) around
the project vicinity? * El Yes ❑x 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?
NCNHP element occurrence database did not indicate the presence of EFH within the project boundary.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data):
http://qis.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
preservation status (e.g., National Historic Trust designation or ® Yes El No
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? *
The extension of Potts Street was determined to have a "Conditional No Adverse Effect" on the Davidson Historic
District (NRHP). Additionally, the proposed roundabout at the intersection of Griffith Street and Sloan Street
would have an "Adverse Effect'on a structure to the Davidson Historic District. See the attached signed
Memorandum of Agreement(MOA).
7c. Attach historic or prehistoric documentation.
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?
The FEMA Digital Flood Insurance Rate Map (DFIRM) Panel 3710464400K (effective March 2, 2009).
H. Miscellaneous
Comments:
Click to enter.
Attach pertinent documentation or attachments not previously requested
Page 21 of 22 PCN Form Version 4.3-April 20,2022

I. Signature *
❑ 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: * Joel M. Howard
Signature: * Click to enter.
Date: * Click to enter.
Page 22 of 22 PCN Form Version 4.3-April 20,2022

PROJECT SITE FIGURES

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Notes
Figure 1: Vicinity Map Basemap source:
TIP U-5907 ESRI World Street Map
Kimley Davidson, Mecklenburg County, North Carolina
June 2023

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` 1 IN = 1,000 FT
Figure 2: USGS Topographic (Mooresville and Cornelius) Map ssem Bpsource:
Kime >) HornTIP U-5907 USGS USA Topographic Map
Davidson, Mecklenburg County, North Carolina
June 2023

St.,
t esville N
U r HeB eD 2
VVkD
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_ � i Proposed Limits of Disturbance
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U-5907 Hydric Soil Table
Map Unit Map Unit Name Hydric
CeB2 Cecil sandy clay loam, 2 to 8 percent slopes, moderately eroded No
CuB Cecil-Urban land complex, 2 to 8 percent slopes No
EnB Enon sandy loam, 2 to 8 percent slopes No
WkB Wilkes loam, 4to 8 percent slopes No 0 250 500 1,000
WkD Wilkes loam, 8to 15 percent slopes No Feet
e B r WkE Wilkes loam, 15 to 25 percent slopes No 1 IN = 500 FT
Figure 3: NRCS Soil Survey (1980) Map Baoetme p source:TIP U-5907 Natural Resources Conservation Service(NRCS)Soil
Kimley Davidson, Mecklenburg County, North Carolina Survey
June 2023

T .-dr .`'`d yr. _ ..1 / 7' •:t ^•'•a St esville N
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Figure 4: Jurisdictional Features Map Bassempsource:
e >) HornTIP U-5907 Mecklenburg County 2023 Aerials
Kim Davidson, Mecklenburg County, North Carolina
June 2023

PERMIT DRAWINGS

Highway North Carolina Department of Transportation
Stormwater
„r....,, Highway Stormwater Program
y`
STORMWATER MANAGEMENT PLAN
(Version 2.07;Released October 2016) FOR NCDOT PROJECTS
WBS Element: 46452.1.1 TIP No.: U-5907 County(ies): Mecklenburg Page 1 of 1
General Project Information
WBS Element: 46452.1.1 ITIP Number: U-5907 Project Type: New Location Date: 12/18/2019
NCDOT Contact: Donald Griffith Contractor/Designer: Kimley-Horn&Associates
Address: 716 W.Main Street Address:200 South Tryon St,Suite 200
Albemarle,NC 28001 Charlotte,NC 28202
Phone: [phone] Phone: [phone]
Email:[e-mail] Email: 'ason.lawin kimle -horn.com
City/Town: Davidson County(ies): Mecklenburg
River Basin(s): Catawba Yadkin-Pee Dee ICAMA County? No
Wetlands within Project Limits? Yes
Project Description
Project Length(lin.miles or feet): 0.71 Surrounding Land Use: Urban and undeveloped woods
Proposed Project Existing Site
Project Built-Upon Area(ac.) 4.2 ac. 3.4 ac.
Typical Cross Section Description: -L1-Ste 10+00 to 27+62-Sidewalk and planting strip on LT.-1-1-Ste 27+62 to 33+33-2 Lane,C&G, Existing Sloan,Potts,and Beaty streets-2 Lane,C&G,sidewalk LT.Exisitng Griffith Street,2 Lane,C&
sidewalk and planting strip on LT.-L1-Ste 33+33 to 39+55-Sidewalk on LT.-L1-Ste 41+61 to 42+44,-L2- G with 2 gored lanes alternating as turn lanes.
Ste 10+11 to 10+97-2 Lane,C&G,sidewalk RT.-L3-Sta 11+54 to 13+31-2 Lane,C&G,sidewalk on LT,
grass shoulder on RT.-Y3-Sta.12+09 to 21+60-3 Lane,bike lane,C&G,sidewalk on LT and RT.
Annual Avg Daily Traffic(veh/hr/day): Design/Future: 11100 Year:2040 Existing: 6,900 Year: 2016
General Project Narrative: •New roundabout at the intersection of Griffith Street and Beaty Street.New extension of Sloan Street to Potts Street and sidewalk replacement along Potts Street.
(Description of Minimization of Water •Minimized directly connected impervious surfaces where possible.
Quality Impacts) •Maintaining existing drainage patterns to best extent practical
•Avoiding direct discharges where practical
•Use of headwalls on pipes 36"and above to limit stream impacts
Surface Water Body(1): UT to Catawba River Lake Norman NCDWR Stream Index No.: 11-75
NCDWR Surface Water Classification for Water Body P imary Classification: Water Supply IV WS-IV Class B CA
Supplemental Classification:
Other Stream Classification: None
Impairments: None
Aquatic T&E Species? No Comments:
NRTR Stream ID: ISA and SB Buffer Rules in Effect: N/A
Project Includes Bridge Spanning Water Body? No Deck Drains Discharge Over Buffer? N/A Dissipator Pads Provided in Buffer? N/A
Deck Drains Discharge Over Water Body? I N/A (If yes,provide justification in the General Project Narrative) (If yes,describe in the General Project Narrative;if no,justify in the
(If yes,provide justification in the General Project Narrative) General Project Narrative)

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STATE OF NORTH CAROLINA NC.�
2881 9
PRO]E - ' Q I DIVISION OF HIGHWAYS 46452.1.1 p.WA o�PE ox
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NCDOT CONTACT: ti
DONALD C.GRIFFITH
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PLANS PREPARED FOR Kimley>>>Horn xYDRAr lres ENGINEER
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20 10 0 20 40 ADT 2040 = 11,100 VPD bumps
K = 10% LENGTH ROADWAY TIP PROJECT U-5907(Ll) = 0.642 MILES 2018 STANDARD SPECIFICATIONS
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SA URE
20 10 0 20 40 V 30 MPH TOTAL LENGTH TIP PROJECT U-5907 = 0.705 MILES RIGHT OF WAY DATE: ROADWAY DESIGN ENGINEER
*SUB REGIONAL TIER 52019 ANDREW WEEKS.E.J.T.
PROFILE (HORIZONTAL) 5/ TTST 10% DUAL PROJECT DESIGN ENGINEER
O 10 5 0 10 20 LETTING DATE: `A 3792
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\ FUNCTIONAL URBAN 62020 DONALD C.GRIFFITH yF�p01pE�:o�
N NCDOT CONTACT
DM�PROFILE (VERTICAL) CLASSIFICATION: COLLECTOR
TD'PROJECT MANAGER P.S.
SIGNATURE:

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® DENOTES TEMPORARY O
� IMPACTS IN SURFACE WATER 24
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PERMIT DRAWING
N SHEET 4 OF 10

PROJECT REFERENCE NO. SHEET NO.
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B= 2 Ft. Min.D= 1.0 Ft. DOCUMENT NOT CONSIDERED FINAL
Type of Uner= Class IRip-Rap UNLESS ALL SIGNATURES COMPLETED
Type of Liner= Clow W Rip-Rap b= 5 Ft. FROM STA.30+20 TO STA.31+50 -Ll-(RT)
FROM STA.31+50 TO STA.32+00 -Ll-(RT) STA.30+16 -Ll- R
FROM STA.30+00 TO STA.32+20 -Ll-(LT) FROM STA.10+48 TO STA.11+08 -L3-(RT) (T) PERMIT DRAWING
FROM STA.11+08 TO STA.13+26 -1-3-(RT) SHEET 9 OF 10
DETAIL 5
STANDARD BASE DITCH
(Not m Smle)
Natural Natural
Ground ?•� 1.� Ground
d D
Geoteatile B Min.D= 2.0 Ft.
Oa Banks M—d= 2.0 Ft.
Only
B= 3.5 Ft.
Type of Liner= Class I Rip-Rap
FROM STA.11+02 TO STA.11+11 43-(RT)
z
0
I I
I I
I I
I I
I I I
m
'o
N
N

WETLAND AND SURACE WATER IMPACTS SUMMARY
WETLAND IMPACTS SURFACE WATER IMPACTS
Hand Existing Existing
Permanent Temp. Excavation Mechanized Clearing Permanent Temp. Channel Channel Natural
Site Station Structure Fill In Fill In in Clearing in SW SW Impacts Impacts Stream
No. (From/To) Size /Type Wetlands Wetlands Wetlands in Wetlands Wetlands impacts impacts Permanent Temp. Design
(ac) (ac) (ac) (ac) (ac) (ac) (ac) (ft) (ft) (ft)
1 30+06/30+20 -L1- (RT) Embankment Protection < 0.01 < 0.01 11 7
1 30+20 -L1- (RT)/ 32+28 -L1- (LT) Fill /48" RCP 0.03 0.01 192
2 32+92/33+15 -1-1- (LT) Outlet Protection < 0.01 < 0.01 15 10
3 11+15/11+17 -1-3- (LT) Outlet Protection < 0.01 < 0.01 10 5
4 15+23/15+35 -Y3- (LT) Fill / 36" RCP < 0.01 < 0.01 3 10
TOTALS*: 0.03 0.02 < 0.01 231 32 0
*Rounded totals are sum of actual impacts
NOTES:
NC DEPARTMENT OF TRANSPORTATION
DIVISION OF HIGHWAYS
12-09-2019
MECKLENBURG COUNTY
U-5907
46452.1.1
Revised 2018 02 26 ISHEET 10 OF 10

APPROVED PJD

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action I.D.: SAW-2015-01444 County: Mecklenburg, U.S.G.S. Quad: Mooresville
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Agent: Doug Wright,Town Of Davidson
Address: 216 South Main Street Davidson,North Carolina 28036
Telephone No.: 704 940 9625
Property description:
I
Size(acres):44.4 acres
Nearest Town:Davidson
Nearest Waterway: South Prong West Branch Rocky River River Basin:Upper Catawba
Coordinates: 35.502426,-80.850772 Hydrologic Unit Code: 03050101
Location Description: The proposed project consists of roadway corridor improvements along a combination of Beaty St.,
Sloan St.,and Potts St.,in the town of Davidson,Mecklenburg County,NC
Indicate Which of the Following Apply:
A. Preliminary Determination
X Based on preliminary information,there may be waters and wetlands on the above described property. We strongly
suggest you have this property inspected to determine the extent of Department of the Army(DA)jurisdiction. To be
considered final,a jurisdictional determination must be verified by the Corps. This preliminary determination is not an
appealable action under the Regulatory Program Administrative Appeal Process(Reference 33 CFR Part 331). ). If you
wish,you may request an approved JD(which may be appealed),by contacting the Corps district for further instruction.
Also,you may provide new information for further consideration by the Corps to reevaluate the JD.
B. Approved Determination
There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or
our published regulations,this determination may be relied upon for a period not to exceed five years from the date of this
notification.
There are waters and wetlands on the above described property subject to the permit requirements of Section 404 of the
Clean Water Act(CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations,this
determination may be relied upon for a period not to exceed five years from the date of this notification.
We strongly suggest you have the waters and wetlands on your property delineated. Due to the size of your property
and/or our present workload,the Corps may not be able to accomplish this wetland delineation in a timely manner. For a
more timely delineation,you may wish to obtain a consultant. To be considered final,any delineation must be verified by
the Corps.
The waters and wetlands on your property have been delineated and the delineation has been verified by the Corps. We
strongly suggest you have this delineation surveyed. Upon completion,this survey should be reviewed and verified by the
Corps. Once verified,this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your
property which,provided there is no change in the law or our published regulations,may be relied upon for a period not to
exceed five years.
_ The waters and wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the Corps
Regulatory Official identified below on . Unless there is a change in the law or our published regulations,this
determination may be relied upon for a period not to exceed five years from the date of this notification.
There are no waters of the U.S.,to include wetlands,present on the above described property which are subject to the
permit requirements of Section 404 of the Clean Water Act(33 USC 1344). Unless there is a change in the law or our
published regulations,this determination may be relied upon for a period not to exceed five years from the date of this
notification.
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Action Id.: SAW-2015-01444
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may f
constitute a violation of Section 301 of the Clean Water Act(33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program,please contact William Elliott at 828-271-7980.
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C. Basis For Determination
The site contains wetlands as determined by the 1987 Corps of Engineers Wetland Delineation Manual and the Interim
Regional Supplement to the Corps of Engineers Wetlands Delineation Manual:Eastern Mountain and Piedmont Region.These
wetlands are adjacent to stream channels located on the property that exhibit indicators of ordinary high water marks. The
stream channel on the property is an unnamed tributary to South Prong West Branch Rocky River which flows into the Upper
Catawba River.
D. Remarks: Jurisdictional "Waters of the US" have been identified on this property as depicted
by submitted Jurisdictional Request Package on file.
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the
particular site identified in this request. The delineation/determination may not be valid for the wetland conservation
provisions of the Food Security Act of 1985. If you or your tenant are USDA Program participants,or anticipate participation
in USDA programs,you should request a certified wetland determination from the local office of the Natural Resources
Conservation Service,prior to starting work.
F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in
B.above)
Attached to this verification is an approved jurisdictional determination. If you are not in agreement with that approved
jurisdictional determination,you can make an administrative appeal under 33 CFR 331. Enclosed you will find a request for
appeal(RFA)form. If you request to appeal this determination you must submit a completed RFA form to the following
address:
US Army Corps of Engineers
South Atlantic Division
Attn: Jason Steele,Review Officer
60 Forsyth Street SW,Room 10M15
Atlanta,Georgia 30303-8801
In order for an RFA to be accepted by the Corps,the Corps must determine that it is complete,that it meets the criteria for
appeal under 33 CFR part 331.5,and that it has been received by the Division Office within 60 days of the date of the NAP.
Should you decide to submit an RFA form, it must be received at the above address within 60 days of the issue date below.
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this
correspondence.**
Corps Regulatory Official: William Elliott
Issue Date: August 11,2015 Expiration Date: August 10,2020
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to
do so,please complete the Customer Satisfaction Survey located at our website at h :// erg.nwp.usace.anmy.mil/survebttin
to complete the survey online.
2

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CF: Chris Tinklenberg,2000 South Boulevard Suite 440,Charlotte,NC 28203-5047
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Applicant: Doug Wright, Town Of Davidson File Number: SAW-2015- Date. August 11,
101444 2015
Attached is: See Section below
INITIAL PROFFERED PERMIT(Standard Permit or Letter of permission) A
PROFFERED PERMIT(Standard Permit or Letter of permission) B
PERMIT DENIAL C
APPROVED JURISDICTIONAL DETERMINATION D
X PRELIMINARY JURISDICTIONAL DETERMINATION E
SECTION I -The following identifies your rights and;,options regarding an administrative appeal of the above
decision. Additional information may be found at
http,://www.usace.army.iniUCECW/Pages/reg_materials.as x or Corps regulations at 33 CFR Part 331:
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit,you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission(LOP),you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety,and waive all rights
to appeal the permit, including its terms and conditions,and approved jurisdictional determinations associated with the permit.
• OBJECT: If you object to the permit(Standard or LOP)because of certain terms and conditions therein,you may request that
the permit be modified accordingly.You must complete Section II of this form and return the form to the district engineer.
Your objections must be received by the district engineer within 60 days of the date of this notice,or you will forfeit your right
to appeal the permit in the future. Upon receipt of your letter,the district engineer will evaluate your objections and may: (a) i
modify the permit to address all of your concerns,(b)modify the permit to address some of your objections, or(c)not modify
the permit having determined that the permit should be issued as previously written. After evaluating your objections,the
district engineer will send you a proffered permit for your reconsideration,as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit,you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission(LOP),you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety,and waive all rights
to appeal the permit, including its terms and conditions,and approved jurisdictional determinations associated with the permit.
• APPEAL: If you choose to decline the proffered permit(Standard or LOP)because of certain terms and conditions therein,you
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this
form and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the
date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process
by completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety,and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD,you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received
by the division engineer within 60 days of the date of this notice.
4

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E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps
regarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an
approved JD (which may be appealed), by contacting the Corps district for further instruction. Also you may
provide new information for further consideration by the Corps to reevaluate the JD.
SECTION II -REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL.PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an
initial proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons l
or objections are addressed in the administrative record
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record,the Corps memorandum for the
record of the appeal conference or meeting,and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record. However,
you may provide additional infonnation to clarify the location of information that is already in the administrative record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION
If you have questions regarding this decision and/or the appeal If you only have questions regarding the appeal process you may
process you may contact: also contact:
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William Elliott,Project Manager Mr.Jason Steele,Administrative Appeal Review Officer
USACE,Asheville Regulatory Field Office CESAD-PDO
151 Patton Ave U.S.Army Corps of Engineers, South Atlantic Division
RM 208 60 Forsyth Street,Room 10M15
Asheville,NC 28801 Atlanta,Georgia 30303-8801
828-271-7980 Phone: [phone]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel,and any government
consultants,to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day
notice of any site investigation,and will have the opportunity to participate in all site investigations.
Date: Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer,Wilmington Regulatory Division,Attn: William Elliott,69 Darlington Avenue,Wilmington,
North Carolina 28403
For Permit denials,Proffered Permits and approved Jurisdictional Determinations send this form to:
Division Engineer,Commander,U.S.Army Engineer Division, South Atlantic,Attn: Mr.Jason Steele,
Administrative Appeal Officer,CESAD-PDO,60 Forsyth Street,Room 10M15,Atlanta, Georgia 30303-8801
Phone: [phone]
5

ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD): A t4 // , 013
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Kimley-Hom ATTN:Chris Tinklenberg on behalf of the Town of Davidson
2000 South Boulevard Suite 440;Charlotte,NC 28203-5047
C. DISTRICT OFFICE, FIL NAVE, AND NUMBER: _
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: Mecklenburg County City; Davidson
Center coordinates of site (lat/long in degree decimal format):
Lat. 35.502426 °N; Long, -80.850772 ow.
Universal Transverse Mercator: 17
Name of nearest waterbody: Lake Norman
Identify (estimate) amount of waters in the review area:
Non-wetland waters:
1,165' linear feet: 2-6' width (ft) and/or N/A acres.
Cowardin Class: Riverine
Stream Flow: Intermittent(S2),Perennial(S1,S3)
Wetlands: 0.03 acres.
Cowardin Class: Palustrine
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: NSA
Non-Tidal: NIA
1

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
❑✓ Maps, plans, plots or plat submitted by or on behalf of the
applicant/consultant: Kimley-Horn
❑✓ Data sheets prepared/submitted by or on behalf of the
applicant/consultant.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
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❑ Corps navigable waters' study:
U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
0✓ U.S. Geological Survey map(s). Cite scale & quad name:Moo—Aile and Cornelius Quads(1:2^k)
❑✓ USDA Natural Resources Conservation Service Soil Survey.
Citation:Mecklenburg County(1980)
❑ National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
Photographs: F-/1 Aerial (Name & Date): Mecklenburg Aerial(5/23/2014) or
❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
2

1. The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
"pre-construction notification" (PCN), or requests verification for a non-reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply j
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court; and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any administrative appeal,jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.
3

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This preliminary J D finds that there "may be"waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
IMPORTANT NOTE: The information recorded on this form has not
necessarily been verified by the Corps and should not be relied upon for
later jurisdictional determinations.
R Digilslly signed by
dms.6nk1anberg@kin1ey-hom n
D14:—[e-mail]
Date:201&03,1213:48:30-04'00'
Signature and date of Signature and date of
Regulatory Project Manager person requesting preliminary JD
(REQUIRED) (REQUIRED, unless obtaining
the signature is impracticable)
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Estimated
Site amount of Class of aquatic
number Latitude Longitude Cowardin Class aquatic
resource
resource in
review area
S1 35.508285 -80.847237 Riverine 234 linear feet non-section 10—
non-tidal
S2 35.503069 -80,853212 Riverine 145 linear feet non-section 10—
non-tidal
S3 35.499662 -80.851772 Riverine 786 linear feet non-section 10—
non-tidal
Wi 35.499664 -80.851756 Palustrine 0.03 acres non-section 10—
wetland
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MINIMUM CRITERIA DETERMINATION
CHECKLIST

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
MINIMUM CRITERIA DETERMINATION CHECKLIST
TIP Project No.: U-5907
State Project No.: 46452.1.1
Project Location: Extension of Potts Street north to connect with Sloan Street and
construction of a roundabout at the intersection of Sloan Street and Griffith Street in the
Town of Davidson, Mecklenburg County.
Project Description: The purpose of this project is to add an alternative route between
N.C. 115 and Griffith Street for multiple modes of transportation. The project includes
three elements (Figures 2A—2E):
• Extension of Potts Street to Sloan Street, including an 8-foot sidewalk.
• Replace and fill in missing segments of 5-foot sidewalk along existing Potts
Street.
• Construction of a roundabout at the intersection of Sloan Street and Griffith
Street.
Anticipated Permit or Consultation Requirements: A Section 404,Nationwide Permit
(NWP) 23, will likely be required to authorize project construction of the proposed
project and crossing of streams SA and SB and wetland WA (Figure 2C and 2F). As
such, a Section 401 Water Quality Certification from the North Carolina Department of
Water Resources would also be required for this portion of the project.
NCDOT will continue to coordinate with the State Historic Preservation Officer(SHPO)
and consulting parties to complete a Memorandum of Agreement(MOA) for adverse
effects on the National Register-listed Davidson Historic District.
Special Project Information:
Water Resources
Water resources in the project study area are part of the Catawba River Basin. One
perennial stream(SA), one intermittent stream(SB), and one wetland (WA)were
identified in the study area, and referenced in the Natural Resources Technical Report
(NRTR) dated March 2017. Approximately 235 linear feet of impacts to stream SA and
10 linear feet of impacts to stream SB (for a total of 245 feet) are anticipated. Less than
0.1 acres of impacts to wetland WA are anticipated.
Threatened and Endangered Species
There are six threatened and endangered, federally protected species listed for
Mecklenburg County by the U.S. Fish and Wildlife (USFWS) (updated June 27, 2018):
northern long-eared bat(NLEB), Carolina heelsplitter, Michaux's sumac, Schweinitz's
sunflower, smooth coneflower, and rusty-patched bumble bee. The project has been
determined to have "No Effect" on the Michaux's sumac, Schweinitz's sunflower, and
the smooth coneflower as listed in the NRTR. In a memo dated July 2018, the project was
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DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
determined to have "No Effect" on the Carolina heelsplitter and included a conclusion of
"May Affect,Not Likely to Adversely Affect" on the NLEB. A biological conclusion is
not required for the rusty patched bumble bee (RPBB); the USFWS does not, and will
not, require surveys for RPBB in North Carolina because USFWS assumes the state is
unoccupied by RPBB.
According to the NRTR, one body of water(Lake Norman)was identified within a 1.13-
mile radius of the project limits as being large enough and sufficiently open to be
considered a potential feeding source and foraging habitat for the bald eagle. Based on
the NCNHP database, updated October 2016, and a field investigation conducted on
October 25, 2016, the project will have "No Effect" on the bald eagle due to no known
occurrences and the lack of observed individuals or nests.
The USFWS lists one federal Endangered Species Act candidate species, the Georgia
aster, for Mecklenburg County(updated June 27, 2018). A review of the NCNHP
records,updated October 2016, indicates no known occurrence of the Georgia aster
within 1.0 mile of the study area.
Cultural Resources
A "No Archaeological Survey Required Form" was completed by NCDOT on April 20,
2017. A "Historic Architecture and Landscapes Effects Assessment Required Form"was
completed by NCDOT on April 4, 2017. The U-5907 Area of Potential Effect intersects
with the Davidson Historic District, which is listed in the National Register of Historic
Places (NRHP).
On July 2, 2018,NCDOT and the State Historic Preservation Officer(SHPO) determined
that the proposed extension of Potts Street and the improvement of sidewalk along the
existing Potts Street through the Davidson Historic District would have a"Conditional
No Adverse Effect."The project team committed to use:
• Board protection for trees
• Orange fencing for vegetation during construction
• Asphalt pavement over tree roots instead of concrete
• 5-foot sidewalk from the beginning of the project past the north side of the
existing cul-de-sac
NCDOT and SHPO determined that the proposed roundabout at the Sloan Street, Griffith
Street, and Beaty Street intersection would have an"Adverse Effect" due to temporary
and permanent easements that are anticipated to impact the property at 335 Sloan Street,
which contains a contributing structure to the Davidson Historic District. NCDOT will
continue to coordinate with the State Historic Preservation Office (SHPO) and consulting
parties to complete a Memorandum of Agreement (MOA).
Public Parks
Roosevelt Wilson Park, a Section 4(f)resource owned by the Town of Davidson, is
located in the southwest quadrant of the Sloan Street and Griffith Street intersection,just
behind the row of residences along Sloan Street. Based on current designs, additional
10/04/18 2 of 7

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
right-of-way and/or easements will be required from this resource to extend the proposed
8-foot multi-use trail to meet the existing trail. A letter from the Town of Davidson
Project&Public Works Director, dated July 13, 2018, stated that the proposed
transportation use of the resource will not adversely affect the activities, features, or
attributes of the resource. This determination will be used as basis for a de minimis
impact conclusion.
The Davidson Community Garden is located within the project study area but will not be
impacted by the project.
Multimodal Facilities
The Lake Norman Bike Route runs along Potts Street and currently uses Jetton Street and
Gamble Street to reach Sloan Street. The proposed project is anticipated to provide an
easier continuation of the bike route to Sloan Street by removing two turns.
Potential Hazardous Materials
According to a letter from the NCDOT Geotechnical Engineering Unit dated April 6,
2017, two hazardous materials sites were identified within the project study area:
• Bellsouth-Davidson property located at 302 Potts Street, containing an
underground storage tank
• Town of Davidson property located along the northeastern side of W. Walnut
Street between Potts Street and Gamble Street (no address is assigned to these two
parcels), containing an aboveground storage tank
A detailed Phase I study of the preferred alternative was recommended to field verify the
hazardous waste sites and identify unknown sites. The Phase I study will be completed
prior to right-of-way acquisition.
At a public meeting held in September 2016 to discuss plans for the development the
Davidson Depot, located at 301 Depot Street within the Town of Davidson, citizens
raised concerns about asbestos contamination on their properties. As a result, the
Environmental Protection Agency(EPA) conducted a site visit in November 2016 within
the neighborhoods along Sloan Street, Depot Street, Eden Street, and the northern end of
Potts Street. Material contaminated with asbestos migrating from a former mill property
located near Eden Street and Sloan Street was observed during the site visit. The EPA
tested approximately 130 locations in proximity to the old mill site, within the Town of
Davidson. Of the locations sampled, 25 samples were above detection limits, 30 samples
had trace findings of asbestos, and asbestos was not found in the remaining 80 samples.
Properties where asbestos is present will be excavated and new soil placed on top with a
membrane separating the two layers of soil. Public meetings were also held on December
15, 2016, April 4, 2017, and October 3, 2017 to present the mitigation plan to concerned
citizens. NCDOT will have asbestos monitors present during construction.
Public Outreach
A joint public meeting was held on October 5, 2017 for Project U-5907 and nearby
Project U-5873 (intersection improvements at Potts Street and N.C. 115). The public was
10/04/18 3 of 7

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
presented three alternatives for the Potts Street extension. Questions and comments on
the alternatives were gathered. A total of 24 comments were received within the two-
week comment period following the public meeting in reference to U-5907, and 23
comments and two petitions were received during that same period in reference to both
U-5907 and U-5873. The currently recommended alternative was selected based on
anticipated impacts, input from the Town and public, and costs.
Concerns presented by the public regarding impacts to historic resources and existing
trees along Potts Street were addressed by reducing the previously proposed 10-foot-wide
multi-use trail along the entire project to the currently proposed 8-foot wide multi-use
trail along the extension of Potts Street and Sloan Street, and a 5-foot wide sidewalk
along the existing Potts Street.
10/04/18 4 of 7

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
PART A: MINIMUM CRITERIA
Vtem I to be completed by the YES NO
1. Is the proposed project listed as a type and class of activity allowed under ® ❑
the Minimum Criteria Rule in which environmental documentation is not
required?
If the answer to number I is"no",then the project does not qualify as a
minimum criteria project. A state environmental assessment is required.
If yes,under which category? #15
If either category#8,#12(i)or#15 is used complete Part D of this checklist.
PART B: MINIMUM CRITERIA EXCEPTIONS
Items 2—4 to be completed by the EngineeeA YES NO
2. Could the proposed activity cause significant changes in land use
concentrations that would be expected to create adverse air quality
impacts?
3. Will the proposed activity have secondary impacts or cumulative
impacts that may result in a significant adverse impact-to human health
or the environment?
4. Is the proposed activity of such an unusual nature or does the proposed
activity have such widespread implications,that an uncommon concern
for its environmental effects has been expressed to the Department?
Item 5-8 to be completed by Division Environmental Officer
5. Does the proposed activity have a significant adverse effect on wetlands;
surface waters such as rivers, streams, and estuaries;parklands;prime or
unique agricultural lands; or areas of recognized scenic,recreational,
archaeological, or historical value?
6. Will the proposed activity endanger the existence of a species on the
Department of Interior's threatened and endangered species list?
7. Could the proposed activity cause significant changes in land use
concentrations that would be expected to create adverse water quality or
ground water impacts?
10/04/18 5 of 7

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
YES NO
8. Is the proposed activity expected to have a significant adverse effect on ❑
long-term recreational benefits or shellfish,finfish,wildlife,or their
natural habitats
PART C: COMPLIANCE WITH STATE AND FEDERAL REGULATIONS
Items 9-12 to be completed by Division Environmental Officer. YES NO
9. Is a federally protected threatened or endangered species, or its ❑
habitat, likely to be impacted by the proposed action?
10. Does the action require the placement of temporary or permanent ® ❑
fill in waters of the United States?
11. Does the project require the placement of a significant amount of ❑ ❑
fill in high quality or relatively rare wetland ecosystems, such as
mountain bogs or pine savannahs?
12. Is the proposed action located in an Area of Environmental ❑
Concern, as defined in the coastal Area Management Act?
Items 13—15 to be completed by the EngineerM
13. Does the project require stream relocation or channel changes? ® ❑
Cultural Resources
14. Will the project have an "effect" on a property or site listed on the ® ❑
National Register of Historic Places?
15. Will the proposed action require acquisition of additional right of ® ❑
way from publicly owned parkland or recreational areas?
10/04/18 6 of 7

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
PART D:( To be completed when either category #8, 120) or #15 of the rules are
used.
Items 16-22 to be completed by Division Environmental Officer.
16. Project length: Approx. 4,000 if
17. Right of Way width: Varies
18. Project completion date: FY 2020
19. Total acres of newly disturbed ground 1.9 acres
surface:
20. Total acres of wetland impacts: Less than 0.1 acres
21. Total linear feet of stream impacts: 2451f
22. Project purpose: To add an alternative
route between N.C. 115
and Griffith Street for
multiple transportation
modes.
DocuSigned by:
10/11/2018
Prepared by: E67Q.91MF5AA4DC Date:
Teresa Gresham, PE, Consultant Project Manager
Kimley-Horn and Associates, Inc.
DocuSigned by: 10/11/2018
Reviewed by: Date:
dQ7F7ri(:f:nFFRdAR
Sean Epperson, PE, Division Project Team Lead
Highway Division 10
North Carolina Department of Transportation
`-
Date: 10-11-18
Larry Tho pson, WS, LSS, Division Environmental Officer
H—lrvwyy Division 10
Nbrt11 Carolina Department of Transportation
10/04/18 7 of 7

Dow& n Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
Project Commitments
Mecklenburg County
Extension of Potts Street north to connect with Sloan Street and construction of a
roundabout at the intersection of Sloan Street and Griffith Street
WBS No. 46452.1.1
TIP No. U-5907
NCDOT Historic Architecture
A Memorandum of Agreement(MOA) will be approved prior to right-of-way purchase of the
properties adjacent to the proposed roundabout. If an MOA is not approved by the time right-of-
way would need to be purchased, the roundabout will be removed from Project U-5907.
The project team committed to use the following along the proposed extension of Potts Street
and the improvement of sidewalk along the existing Potts Street through the Davidson Historic
District:
• Board protection for trees
• Orange fencing for vegetation during construction
• Asphalt pavement over tree roots instead of concrete
• 5-foot sidewalk from the beginning of the project past the north side of the existing cul-
de-sac
NCDOT GeoEnvironmental
A Phase I GeoEnvironmental study will be completed by NCDOT prior to right-of-way
acquisition.
NCDOT Division Construction
NCDOT will have asbestos monitors present during construction of the project.

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
77
IREDELL C_---TY
Lake No man MECKLENBURG COUNTY ----
Griffith St '
Y
✓e o Grey Rd
h St
� yw
OEM-
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e
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0 0.5 1
Mecklen u
COO y
of NORTH Figure 1: Vicinity Map
U-5907 Study Area Town of Davidson NCDOT Project No. U-5907
Lakes and Ponds Town of Cornelius Extend Potts Street to Sloan Street
Streams Mecklenburg County and Construct Roundabout
y9Ts'FNr Ngc�Q~e Iredell County at Sloan Street and Griffith Street
OF TPP Davidson, Mecklenburg County

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
a a WOO S T A E _ N r c L v g Sf
a
`tx•
a DAVIDSON O •Fs,.i
WI❑ � LINDEN � � ���'- t
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REEKSIDE `` /1 _
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See Figure 2C
N�
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5� U-5907 Study Are
Text Key: c° „ & Park Property
a sour `f
Neighborhood.. MAIN S Figures 2A-2E Extents
��z` i QUARE
Recreational E Sf + Railroad
ugenia rum
G
of NowTy Figure 2: Design Map
NCDOT Project No. U-5907
Feet Extend Potts Street to Sloan Street
0 400 800 and Construct Roundabout
at Sloan Street and Griffith Street
e�"r of Tn�NBe� Davidson, Mecklenburg County

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
- SPP
C S`•'9
atawbaA y P�� 4rP2
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c +� R s Lake Norman Bike Route
+ Railroad
--- Proposed Slope Stakes
Proposed Sidewalk Val
�F NORiy Figure 2A: Design Map
'9°l�yy NCDOT Project No. U-5907
Feet Extend Potts Street to Sloan Street
s 0 100 200 and Construct Roundabout
at Sloan Street and Griffith Street
¢�"> OF TVI Davidson, Mecklenburg County

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
i
See Figure 2C
�a� See Figure 2B
•
✓ _
- etton St
QO
t �
l
Davidson Davidson
community Historic
Garden District
�y
P�9 ba 9 Q U 5907 Study Area
Q National Register District
+ ■ Lake Norman Bike Route
Railroad
G°, ^ ---- Proposed Slope Stakes
Proposed Sidewalk
^ _' 0 Underground Storage Tanks (UST)
OF %ORiy Figure 2113: Design Map
'9°l�yy NCDOT Project No. U-5907
Feet Extend Potts Street to Sloan Street
s 0 100 200 and Construct Roundabout
at Sloan Street and Griffith Street
¢�"> OF TVI Davidson, Mecklenburg County

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
SA
See Figure 2D
See Figure 2C
Davidson
Historic
District
Sli an St �'.;•.
WA'.
I
\SA
V4�.
s,.
Q U-5907 Study Area
Delineated Wetland
Local Historic District
' National Register District
Park Property
s.
Lake Norman Bike Route
+ Railroad
a Stakes
Proposed Slope- See Figure 2G --- p p
Proposed Sidewalk
See Figure 2B
Proposed Edge of Travel
— Delineated Stream
Underground Storage Tanks (UST)
OF %ORiy Figure 2C: Design Map
'9°l�yy NCDOT Project No. U-5907
Feet Extend Potts Street to Sloan Street
s 0 100 200 and Construct Roundabout
at Sloan Street and Griffith Street
¢�"> OF TVI Davidson, Mecklenburg County

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
ISee Figure 2E
See Figure
t
\ Lingle Hut
(Unity Church
Cabin)
Houston St `
Lingle Hut(Unity
Church Cabin)
i
r ,
Roosevelt N
Wilson Park 1 0 yw
� Depot St wo
Davidson
Historic
District
. J
r
'dio Q U-5907 Study Area
National Register District
SA Determined Eligible District
'd Park Property
Lake Norman Bike Route
See Figure2D
•-• Proposed Slope Stakes
See Figure 2C \ Proposed Sidewalk
Eden t Proposed Edge of Travel
REEKS116e ` Delineated Stream
RNERS
►1 DOE and Landmark
OF NORiy Figure 211): Design Map
'9°l�yy NCDOT Project No. U-5907
Feet Extend Potts Street to Sloan Street
s 0 100 200 and Construct Roundabout
at Sloan Street and Griffith Street
¢�"> OF VI Davidson, Mecklenburg County

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
✓ �•.�( fir,', d it }
I
•£I
Davidson
Historic
District V
N N
r ■
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f-�. • / J `
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I
` R velt
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F 0 U-5907 Study Area
t National Register District
+� Park Property
-
' Lake Norman Bike Route
Ot --- Proposed Slope Stakes
Proposed Sidewalk
> _ Proposed Edge of Travel
- — Delineated Stream
OF NORTH Figure 2E: Design Map
'9°l�yy NCDOT Project No. U-5907
Feet Extend Potts Street to Sloan Street
s 0 100 200 and Construct Roundabout
at Sloan Street and Griffith Street
¢�"> OF TVI Davidson, Mecklenburg County

DoeuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A Project Tracking No.(Internal Use)
17-04-0005
,r
1 HISTORIC ARCHICTECTURE AND LANDSCAPES
"EFFECTS ASSESSMENT REQUIRED FORM"
' This form only pertains to Historic Architecture and Landscapes for this project. It
is not valid for Archaeological Resources. You must consult separately with the
Archaeology Group.
PROJECT INFORMATION
Project No: U-5907 County: Mecklenburg
WBS No.: 46452.1.1 Document Type: MCC
Fed.Aid No: Funding: ® State ❑ Federal
Federal ❑ Yes ®No Permit Type(s): USACE
Permits :
Proiect Description:
Construct a roadway on new location to connect Potts Street with Sloan Street in Davidson.
SUMMARY OF HISTORIC ARCHICTECTURE AND LANDSCAPES REVIEW
Description of review activities, results, and conclusions:
On April 4, 2017 a search of NC HPOWEB GIS Service map reveal that the Area of Potential
Effects intersects with the Davidson Historic District (MK2442). This is a state-funded project
with federal permits. An Effects Meeting will need to be conducted for this project.
SUPPORT DOCUMENTATION
®Map(s) ❑Previous Survey Info. ❑Photos ❑Correspondence ❑Design Plans
FINDING BY NCDOT ARCHITECTURAL HISTORIAN
Historic Architecture and Landscapes -- "EFFECTS ASSESSMENT REQUIRED"
Ag�_J� 4 , ac2l :l
NCDOT Architect ral Historian Date
Historic Architecture and Landscapes SURVEY REQUIRIiD jornn for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
Page 1 of 2

DocuSi n Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
115
—___
IREDELL COUNTY
_
MECKLf Nf3U
Lake Norman coUNT
1 J Griffith St
J
/ ✓�ttO 1 / r Grey Rd
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17
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d.
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- 0 0.5 1
Mecklenburg
,} Cpunty�;
of NOB7H Figure 1
U-5907 Study Area Town of Davidson Vicinity Map
- Streams Town of Cornelius NCDOT Project No. U-5907
o Extend Potts Road
Lakes and Ponds Mecklenburg County to Sloan Street
"' of rn�Naa Mecklenburg County

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DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
�p PLC' s l fie`
a
SPINNAKER � WOODS ATj_LAKE Qo
COVE PATIO iNirld DAVIDSON N q
HOMES
Jib Ct - N
Griffith St
� ., yw r I
Roosevelt + PALOMINO pC
AriIson'Park'
rf A ILx VILLAGE I ti ui
St
1i ' �e
9ma �•. .. p po .
` CIt
CREEKSIDE n�$t `�'•, C
1 t` GOR'NERS
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ra/ � . a' S � �•
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0
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PARKAT C� �p Ada c^o''@ College
DAVIDSON �►� Jenkins st j
Je�Ory 4m THE Center yw �
St BUNGALOWS .0�� y r
lC OC Q:
Catawb c
Davidson ' - •' �hi�� t"{'►� .
Community
' yw Garden £.
� �* '�'• Qow�a ti�P� Lake Norman
�• Co ty Christian
,hoc .' did School
Cathey St
0
SOUTH N
MAIN
SauARE 0 U-5907 Study Area Park Property
Eug — Streams Railroad
Text Key: -.; Lakes and Ponds Fire Stations
0 Wetlands
Neighborhood 100 Year Floodplain Schools
Recreational 4 Davidson Historic District Post Office
` Educational c�,�ri,�� - - Lake Norman Bike Route [ Library
of 110niN Figure 2
Environmental Features Map
Feet NCDOT Project No. U-5907
0 450 900 Extend Potts Road
to Sloan Street
"r OF �,�"s Mecklenburg County

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
Project Tracking No.(Internal Use)
17-04-0005b
HISTORIC ARCHICTECTURE AND LANDSCAPES
ASSESSMENT OF EFFECTS FORM
This form only pertains to Historic Architecture and Landscapes for this project. It
is not valid for Archaeological Resources. You must consult separately with the
Archaeology Group.
PROJECT INFORMATION
Project No: U-5907 County: Mecklenburg
WBS No.: 46452.1.1 Document MCC
Type:
Fed.Aid No: Funding: ® State ❑ Federal
Federal ® Yes ❑No Permit USACE
Permits : T e v
Proiect Description:
Construct a roundabout at the intersection of Sloan St/Beaty St and Griffith St in Davidson.
SUMMARY OF HISTORIC ARCHICTECTURE AND LANDSCAPES REVIEW
Description of review activities, results, and conclusions:
On April 4, 2017 a review of NC HPOWEB GIS online map revealed that this project is within
the National Register listed Davidson Historic District (MK2442). An effect meeting was
scheduled to determine the project's impacts to the historic district.
ASSESSMENT OF EFFECTS
Property Name: Davidson Historic District Status: NR
Survey Site No.: MK2442 PIN. multiple
E ects Determination
Roundabout Construct a roundabout at Griffith Adverse Effect
St/Beaty St/Sloan St
Temporary and permanent easements will impact 335 Sloan St,a contributing structure to the
historic district. The roundabout brings the road closer to the house and impacts access to the
property.
Historic Architecture and Landscapes EFFECTS ASSESSMENT form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
Page 1 of 2

DocuSign Envelope ID:06lA45C9-F4D7-43EB-B2C6-FAOFC80AB02A
List of Environmental Commitments:
SUPPORT DOCUMENTATION
®Map(s) ❑Previous Survey Info. ®Photos ❑Correspondence ®Design Plans
FINDING BY NCDOT AND STATE HISTORIC PRESERVATION OFFICE
Historic Architecture and Landscapes—ASSESSMENT OF EFFECTS
�' July 2,2018
NCDOT Architectural Historian Date
L'., )b'�- - '? a . 17
State Historic Preservation Office Repr tative Date
Representative,Federal Agency Date
Historic Architecture and Landscapes EFFECTS ASSESSMENT form for Minor Transportation Projects as Qualified in the 2007 Programmatic Agreement.
Page 2 of 2

SIGNED MOA

`s
F
MEMORANDUM OF AGREEMENT a
AMONG THE WILMINGTON DISTRICT,U.S.ARMY CORPS OF ENGINEERS,
THE NORTH CAROLINA DEPARTMENT OF TRANSPORTATION, ;
AND
THE NORTH CAROLINA STATE HISTORIC PRESERVATION OFFICER f
FOR
IMPROVEMENTS AND EXTENTION OF POTTS STREET INCLUDING i
CONSTRUCTION OF A ROUNDABOUT AT THE INTERSECTION OF GRIFFITH
ST/BEATY ST/SLOAN ST IN DAVIDSON,
MECKLENBURG COUNTY,NORTH CAROLINA 1
TIP PROJECT No.U-5907
Ij
WHEREAS,.the Wilmington District,U.S.Army Corps of Engineers (USACE)is considering
issuance of a permit under Section 404 of the Clean Water Act to the North Carolina Department of
Transportation(NCDOT) for improvements to and extension of Potts Street including the 1
construction of a roundabout at the intersection of Griffith Street,Beaty Street,and Sloan Street in 1
Davidson,Mecklenburg County,North Carolina(the Undertaking);and
WHEREAS,the USACE has determined that the Undertaking will have an adverse effect upon the '
Davidson Historic District which is listed in the National Register of Historic Places(NRHP) I`
(historic property);and
WHEREAS,the USACE has consulted with the North Carolina State Historic Preservation Officer
(SHPO) pursuant to 36 CFR Part 800,regulations implementing Section 106 of the.National
Historic Preservation Act(16 U.S.C. 470f);and F;
WHEREAS,USACE has notified the Advisory Council on Historic Preservation(Council) of theF!
adverse effects and the Council has declined to comment or participate in the consultation;and
h
WHEREAS,NCDOT has participated in the consultation and has been invited by the USACE and
SHPO to be a signatory to this Memorandum of Agreement(MOA);and
WHEREAS,the Town of Davidson(Town)has participated in the consultation and agreed to be
concurring parties to this MOA; I'
NOW,THEREFORE,USACE,NCDOT,and the SHPO,agree that any authorization issued for It
the Undertaking shall include the following stipulations to take into account the effect of the €
Undertaking on the historic property. ;
11
I
MOA for TIP NO.U-5907
Mecklenburg County i
Pg. it
L �I!
,1 !I
i !I
I

t
k
• f
5
STIPULATIONS
4
The Y3SACE will require compliance with the following measures by including a gpecial condition in
any authorization that is issued to NCDOT for the Undertaking.
I. Photographic Recordation
A. Prior to the initiation of construction,NCDOT will record the existing conditions of
the properties and landscapes in the Davidson Historic District that axe located 1
adjacent to or•affected by the project,including 335 Sloan Street,in accordance with
the attached Historic Structures and Landscape Recordation Plan (Appendix A). �
i°
B. The results of the photographic recordation will be submitted to the SHPO in
advance of any work taking place.The SFIPO shalt have fifteen(15) days from receipt
of the materials to review and comment. If SHPO does not comment or object within
that timeftame,then NCDOT may consider the photographic recordation sufficient. ;
C. Copies of the documentation will be deposited in the files of the SHPO,NCDOT '[
Historic Architecture Group,and the Town.
II.Relocation and Rehabilitation of House at 335 Sloan Street
A. The Town,which owns 335 Sloan.Street will move the house to the vacant patcel located
at 215 Crane Street,which is located within the historic district.
B. To facilitate the move,the Town may remove the front porch and the rear addition to
. � t
the house.
C. The house shall be placed on the new lot according to local setback regulations.
D. The exterior of the house shall be rehabilitated to reflect its appearance in its original
location.
1. A porch that stretches across the front of the house shall be added at the new location.
It will be supported either reusing the metal posts currently on the house or with
VxV wooden posts.
2. The house may be covered with wooden siding, cement/fiber siding,or an artificial
siding that reflects the width and profile of the current siding on the house. I`
3. A'newreat addition is allowed,provided it does not extend beyond the side elevations �.
of the house. '
4. On the interior, the only elements that shall be retained in-place art the wooden
mantels in the front two rooms of the house.The fireplace openings may be enclosed
with brick set slightly back for the original fireplace opening to reflect the prior use.
jl
IIT.Landscape Plan c
NCDOT and the Town of Davidson will work together to devise a landscape plan for
landscaping around the house at its new location.
IV.Unanticipated Discovery
In accordance with 36 CFR 800.11(a),if NCDOT identifies additional cultural resources)
during construction,all work will be halted within the limits of the resoutce(s) and the USACE
•
MOA for TIP NO.U-5907
Mecklenburg County
pg.2.
h
t li
}
J

. 9
3
E
. I
will be contacted. The USAGE will initiate the appropriate agency and/or Tribal coordination
requited for a determination of eligibility or tecovety effort. If after consultation between the
Signatories and concurring parties,additiona mitigation is determined aecess ,the NCDOT,
� gp � l g �
in consultation with the Signatories and concurring patties,will develop and implement
appropriate protection/mitigation measures for the resource(s). Inadvertent or accidental
discovery of human remains will be handled in accordance with North Carolina General.
4
Statutes 65 and 70.
z
. F
V.Amendments
Should any of the Signatory Party(ies) to this MOA believe that its terms cannot be carried out
or that an amendment to the terms must be made,that party(ies)shall immediately consult
with the other patty(ies)to develop amendments in accordance with 36 CFR 800.6(c)(7). This
MOA may be amended when such an amendment is agreed to in writing by all.signatories.The
amendment will be effective on the date a copy,signed by all of the signatories,is filed with
the ACHP.If an amendment cannot be agreed upon,the dispute resolution process set forth
in Stipulation VII will be followed.
VI.Dispute Resolution j
Should any of the Patties to this MOA object within (30)days to any plans or documentation
provided fox review pursuant to this MOA,the USAGE shall consult with the objecting
party(ies)to resolve the objection. If the USACE or the objecting party(ies) determines that
the objection cannot.be resolved,the USACE will forward all documentation relevant to the
dispute to the Council. Within thirty(30) days after receipt of all pertinent documentation,the
Council will either:
1. Provide the USAGE with recommendations,which the USAGE will,take into account in
reaching a final decision regarding the dispute,or
2: Notify the USAGE that it will comment pursuant to 36 CFR.Section 800.7(c) and proceed to
comment. Any Council comment provided in response to such a request will be taken into
account by the USAGE in accordance with 36 CFR Section 800.7(c)(4)with reference to the
subject of the dispute.
Any recommendations or comments provided by the Council will be understood to pertain €
only to subject ect of the dispute;the signatories'responsibilities that are not the subject of the
bj l
dispute will remain unchanged.
V1I.Termination
Any of the Signatory Party(ies)to this MOA may terminate the agreement by providiiag.notice
to the other parties,provided that the signatories and concurring parties will consult during the
period prior to termination to seek agreement on amendments or other actions that would
avoid termination.. Termination of this MOA will require compliance with 36 CFR 800, This
MOA may be terminated by the execution of a subsequent MOA that explicitly terminates or
supersedes its terms.
• A
MOA for TIP NO.U-5907
Mecklenburg County
pg.3
s

VIR.Duration
Unless terminated pursuant to Stipulation VIH above,this MOA will be in effect until the 4.
-USACE,in consultation with'the other Signatory Parties,determines that all of its terms have
been fulfilled or if NCDOT is unable or decides not to construct the Undertaking.
is
• r
Execution of this MOA by USACE,NCDOT,and the North Carolina SHPO,its subsequent filing r
,.iith the Council,and implementation,of its terms evidence that the USACE has afforded the
t
Council an opportunity to comment on the Undertaking,and that USACE has taken into account
the effect of the Undertaking on the historic property.
• � F
• } ii
t 5
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s
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. ie
1
MOA for SAP NO.U-5907
Mecklenburg County
Pg.4 f
E

K
i
AGREE:
United States Atmy Corps of Englueers:
FOR THE COMMAZNDE
' jj(Jj ff� f
Date: _ _'Q
Scott McLendon
Chief,Regulatory Division
Wilmingtgn District
State Historic Preservation Officer:
Date: '
Kevi Cherry,Ph,D. 1
Deputy Secretary North Carolina Department of Natural and Cultural Resources
North Carolina Department of Transportation:
ii
i;
4`^ Date: �r p5 ZOO s
Philip S.H s III,P.E.,CPM j
Environmental Analysis Unit Head
i
l`
i
1
MOA for TIP NO.U-5907
MccMcnburg County j)
pg.5 i
3
i
�I
i;

s
i
MEMORANDUM OF AGREEMENT
AMONG THE WILMINGTON DISTRICT,U.S.ARMY CORPS OF ENGINEERS,
THE NORTH CAROLINA DEPARTMENT OF TRANSPORTATION, 5
AND
THE NORTH CAROLINA STATE HISTORIC PRESERVATION OFFICER I'
FOR 7
IMPROVEMENTS AND EXTENI`ION OF POTTS STREET,INCLUDING
CONSTRUCTION OF A ROUNDABOUT AT THE-INTERSECTION OF GRIFFITH
ST%BEATY ST/SLOAN ST IN DAVIDSON,
MECKLENBURG COUNTY,NORTH CAROLINA
TIP PROJECT No.U-•5907 � r
Execution of this MOA by-USACE,'NCDOT,and the North Carolina SHPO,its subsequent Min •
with the Council,and implementatigin o£its terms evidence that the USACE has afforded the Town
an opportunity to comment on the Undertaking,and that USACE has taken Into account the effect
of the Undertaking on the historic property.
CONCUR:
Date;
e�itsti E
Town Manages,Town,of Davidson
I
4t
o
MOA fox TIP NO.U-5907
Mecklenburg County 1 is
li
li
Pg•
ll

i
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k
r
is
F
I}[ A
MEMORANDUM OF AGREEMENT
AMONG THE WILMINGTON DISTRICT,U.S.ARMY CORPS OF ENGINEERS,
THE NORTH CAROLINA DEPARTMENT OF TRANSPORTATION,
AND
THE NORTH CAROLINA STATE HISTORIC PRESERVATION OFFICER
FOR
IMPROVEMENTS AND EXTENTION OF POTTS STREET INCLUDING
CONSTRUCTION OF A ROUNDABOUT AT THE INTERSECTION OF GRIFFITH
ST/BEATY ST/SLOAN ST IN DAVIDSON,
MECKLENBURG COUNTY,NORTH CAROLINA
TIP PROJECT No.U-5907
Execution of this MOA by USACE,NCDOT,and the North Carolina SHPO,its subsequent filing
with the Council,and implementation of its terms evidence that the USACE has afforded the
Council an opportunity to comment on the Undertaking,and that USACE has taken into account:
the effect of the Undertaking on the historic property. I
FILED:
Date, `
i
Advisory Council on Historic Preservation
i.
3
Il
grg
• P
p2p
4
MOA for TIP NO.U-5907
Mecklenburg.County
pg.7
' f�

i
APPENDIX A
Historic Structures and Landscape Recordation Plan For
Improvements and Extension Of Potts Street Including Construction Of A Roundabout At
The Intersection Of Griffith St/Beaty St/Sloan St In Davidson,Mecklenburg County,North
Carolina
Tip.No.U-5907
Photographic Requirements
■ Elevations,bblique views,and interior photographs of 335 Sloan Street,the affected prop erty
within the Davidson Historic District.
■ Representative street/landscapes within the affected areas of historic'district to illustrate the c
relationship between the house as well as between the houses and the street..
Photographic Format
f
■ Color digital images(all views).Images are to be shot on a SLR.digital camera with a minixnuth
resolution of 6 me ab te pixels,at a high quality(preferably RA se � to be saved in TIF
a:
format as the archival masters and-labeled according to the State Historic Preservation Office
standards. '
■ Images provided to the Town will be in JPEG format. t
■ All processing to be done to archival standards.
■ Labeled map,site and floorplan of 335 Sloan Street,with a key to the shots and photographs
■ The accomlianying panted inventory of the images —including subject, location, date, and
photographer information for each image—is to be completed according to the State Historic
Preservation Office standards.
Copies and Curation '
■ One(1) set of aft above mentioned photographic documentation,including a compact disc of j
labeled images, vrill be deposited with the North Carolina Office of Archives and
History/Historic Preservation Office to be made a permanent part of the statewide survey and
iconographic collection. !
■ One (1) contact sheet shall be deposited in the files of the Historic Architecture Group of
NCDOT and with the Town,if requested.
j
MOA for TIP NO.U-5907
Mecklenburg County a
• i
pg.8

USFWS IPaC RESOURCE LIST

6/28/23,8:24AM IPaC: Explore Location resources
IPaC U.S. Fish &Wildlife Service
IPaC resource list
This report is an automatically generated list of species and other resources such as critical
habitat (collectively referred to as trust resources) under the U.S. Fish and Wildlife Service's
(USFWS)jurisdiction that are known or expected to be on or near the project area referenced
below. The list may also include trust resources that occur outside of the project area, but
that could potentially be directly or indirectly affected by activities in the project area.
However, determining the likelihood and extent of effects a project may have on trust
resources typically requires gathering additional site-specific (e.g., vegetation/species
surveys) and project-specific (e.g., magnitude and timing of proposed activities) information.
Below is a summary of the project information you provided and contact information for the
USFWS office(s) with jurisdiction in the defined project area. Please read the introduction to
each section that follows (Endangered Species, Migratory Birds, USFWS Facilities, and NWI
Wetlands) for additional information applicable to the trust resources addressed in that
section. � v
41
Location
Mecklenburg County, North Carolina
G
it38 ft
Davidson
Lake
No ma
7
Local office
Asheville Ecological Services Field Office
t. [phone]
Ja [phone]
1(;n 7illirna (;traPt
https://ipac.ecosphere.fws.gov/location/ILD4LOT63VFDVDJSS27HWX13GA/resources 1/15

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Asheville, NC 28801-1082
\0
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Endangered species
This resource list is for informational purposes only and does not constitute an analysis
of project level impacts.
The primary information used to generate this list is the known or expected range of each
species. Additional areas of influence (AOI) for species are also considered. An AOI includes
areas outside of the species range if the species could be indirectly affected by activities in
that area (e.g., placing a dam upstream of a fish population even if that fish does not occur at
the dam site, may indirectly impact the species by reducing or eliminating water flow
downstream). Because species can move, and site conditions can change, the species on this
list are not guaranteed to be found on or near the project area. To fully determine any
potential effects to species, additional site-specific and project-specific information is often
required.
Section 7 of the Endangered Species Act requires Federal agencies to "request of the
Secretary information whether any species which is listed or proposed to be listed may be
present in the area of such proposed action" for any project that is conducted, permitted,
funded, or licensed by any Federal agency. A letter from the local office and a species list
which fulfills this requirement can only be obtained by requesting an official species list from
either the Regulatory Review section in IPaC (see directions below) or from the local field
office directly.
For project evaluations that require USFWS concurrence/review, please return to the IPaC
website and request an official species list by doing the following:
1 . Draw the project location and click CONTINUE.
2. Click DEFINE PROJECT.
3. Log in (if directed to do so).
4. Provide a name and description for your project.
5. Click REQUEST SPECIES LIST.
Listed speciesi and their critical habitats are managed by the Ecological Services Program of
the U.S. Fish and Wildlife Service (USFWS) and the fisheries division of the National Oceanic
and Atmospheric Administration (NOAA Fisheries).
Species and critical habitats under the sole responsibility of NOAA Fisheries are not shown
on this list. Please contact NOAA Fisheries for species under their jurisdiction.
1 . Species listed under the Endangered Species Act are threatened or endangered; IPaC also
shows species that are candidates, or proposed, for listing. See the listing status page for
more information. IPaC only shows species that are regulated by USFWS (see FAQ).
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2. 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.
The following species are potentially affected by activities in this location:
Mammals
NAME STATUS
Tricolored Bat Perimyotis subflavus Proposed Endangered
Wherever found
No critical habitat has been designated for this species.
https://ecos.fws.gov/ecp/species/10515
Insects
NAM E STATUS
Monarch Butterfly Danaus plexippus Candidate `
Wherever found
No critical habitat has been designated for this species.
https://ecos.fws.gov/ecp/species/9743
Flowering Plants
NAME STATUS
Michaux's Sumac Rhus michauxii Endangered
Wherever found
No critical habitat has been designated for this species.
https://ecos.fws.gov/ecp/species/5217
Schweinitz's Sunflower Helianthus schweinitzii Endangered
Wherever found
No critical habitat has been designated for this species.
https://ecos.fws.gov/ecp/species/3849
Smooth Coneflower Echinacea laevigata Threatened
Wherever found
No critical habitat has been designated for this species.
https://ecos.fws.gov/ecp/species/3473
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Critical habitats
Potential effects to critical habitat(s) in this location must be analyzed along with the
endangered species themselves.
There are no critical habitats at this location.
You are still required to determine if your project(s) may have effects on
all above listed species.
Bald & Golden Eagles 1\0\
Bald and golden eagles are protected under the Bald and Golden Eagle Protection Act and
the Migratory Bird Treaty Act.
Any person or organization who plans or conducts activities that may result in impacts to
bald or golden eagles, or their habitats, should follow appropriate regulations and consider
implementing appropriate conservation measures, as described below.
Additional information can be found using the following links:
• Eagle Managment https://www.fws.gQv//program/eagle-management
• Measures for avoiding and minimizing impacts to birds
https://www.fws.gov/library/collections/avoiding-and-minimizing-incidental-take-
migratory-birds
• Nationwide conservation measures for birds
https://www.fws.gov/sites/default/files/documents/nationwide-standard-conservation-
measures.pdf
There are bald and/or golden eagles in your project area.
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
https://ipac.ecosphere.fws.gov/location/ILD4LOT63VFDVDJSS27HWX13GA/resources 5/15

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Bald Eagle Haliaeetus leucocephalus Breeds Sep 1 to Jul 31
This is not a Bird of Conservation Concern (BCC) in this area,
but warrants attention because of the Eagle Act or for potential
susceptibilities in offshore areas from certain types of
development or activities.
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 ( ) ! n\A
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.
To see a bar's probability of presence score, simply hover your mouse cursor over the bar.
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.
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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.
To see a bar's survey effort range, simply hover your mouse cursor over the bar.
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 — to
SPECIES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Nona-BCC I l i iii i iii i till iiii 1111 1111 H 111 l 11111�11
Vulnerable A %
What does IPaC use to generate the potential presence of bald and golden eagles in my specified
location?
The potential for eagle presence 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).To see 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 of bald and golden eagles 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 if I have eagles on my list?
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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. Please contact your local Fish and Wildlife Service Field Office if
you have questions.
Migratory birds
Certain birds are protected under the Migratory Bird Treaty Act! and the Bald and Golden
Eagle Protection Acts.
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.
Additional information can be found using the following links:
• Birds of Conservation Concern https://www.fws.gQv//program/migratory-birds/species
• Measures for avoiding and minimizing impacts to birds
https://www.fws.gov/library/collections/avoiding-and-minimizing-incidental-take-
migratory-birds
• Nationwide conservation measures for birds
https://www.fws.gov/sites/default/files/documents/nationwide-standard-conservation-
measures.pdf
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.
https://ipac.ecosphere.fws.gov/location/ILD4LOT63VFDVDJSS27HWX13GA/resources 8/15

6/28/23,8:24 AM IPaC:Explore Location resources
NAME BREEDING SEASON
Bald Eagle Haliaeetus leucocephalus Breeds Sep 1 to Jul 31
This is not a Bird of Conservation Concern (BCC) in this area,
but warrants attention because of the Eagle Act or for potential
susceptibilities in offshore areas from certain types of
development or activities.
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.
Eastern Whip-poor-will Antrostomus vociferus Breeds May 1 to Aug 20
This is a Bird of Conservation Concern (BCC)throughout its ON
'�
range in the continental USA and Alaska.
Prairie Warbler Dendroica discolor Breeds May 1 to Jlul 31
This is a Bird of Conservation Concern (BCC)throughout its
range in the continental USA and Alaska.
Prothonotary Warbler Protonotaria citrea Breeds Apr 1 to Jul 31
This is a Bird of Conservation Concern (BCC)throughout its
range in the continental USA and Alaska. %�
Red-headed Woodpecker Melanerpes erythrocephalus Breeds May 10 to Sep 10
This is a Bird of Conservation Concern (BCC)throughout its
range in the continental USA and Alaska.
Rusty Blackbird Euphagus carolinus Breeds elsewhere
This is a Bird of Conservation Concern (BCC) only in particular
Bird Conservation Regions (BCRs) in the continental USA
Wood Thrush Hylocichla mustelina Breeds May 10 to Aug 31
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.
https://ipac.ecosphere.fws.gov/location/ILD4LOT63VFDVDJSS27HWX13GA/resources 9/15

6/28/23,8:24 AM IPaC:Explore Location resources
Probability of Presence ( )
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.
To see a bar's probability of presence score, simply hover your mouse cursor over the bar.
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.
To see a bar's survey effort range, simply hover your mouse cursor over the bar.
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.
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probability of presence breeding season I survey effort — no data
SPECIES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Nord-g gle Jill [it+ 1+14 jill Jill ++++
Vulnerable ■■Chimney Swift
BCC Rangewide I +++ ++++ ++TTyyyy till " "1PIIIIIIIIIIIIII 1111111112 1+11 1111 IN++ ++++ ++++
(CON)Eastern Whip- ++++ ++++ ++++ +++Tyy _I I I I I I�T T1 ggqq qJ J+ ++++ ++++ ++++ ++++
poor-will
BCC Rangewide
(CON)Prairie Warbler ++++ ++++ ++++ ++Tyy* ++TTyyyy Jill 1111 ++++ ++Tyy
+ ++++ ++++ ++
BCC Rangewide
(CON)
Prothonotary Warbler ++++ ++++ ++++ Jill Jill Jill Jill ++++ ++++ + +++
BCC Rangewide
(CON)
Red-headed ++� ++++ ++** +*+Woodpecker 1111111 -11 i , 1 F i v��� *+*+ ++++ ++++
BCC Rangewide `
(CON) II II 4 4
Rusty Blackbird ++++ ++++ +Tyy++ ++++ 4 r � 1 + � I ++++ ++++ ++++ ++T+ ++++
BCC- BCR
Wood Thrush �I yy y yi
BCC Rangewide ++++ ++++ I I i� I +T� +t+ ++++ +�T+ ++++ ++++
(CON)
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.
https://ipac.ecosphere.fws.gov/location/ILD4LOT63VFDVDJSS27HWX13GA/resources 11/15

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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?
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.
Probabilityof presence data is continuous) being updated as new and better information becomes
p Y g p
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
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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.
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 Loring.
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 �
0\
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.
Facilities
National Wildlife Refuge lands
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.
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There are no refuge lands at this location.
Fish hatcheries
There are no fish hatcheries at this location.
Wetlands in the National Wetlands Inventory
( NWI)
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.
This location did not intersect any wetlands mapped by NWI.
NOTE: This initial screening does not replace an on-site delineation to determine whether
wetlands occur. Additional information on the NWI data is provided below.
Data limitations
The Service's objective of mapping wetlands and deepwater habitats is to produce reconnaissance level
information on the location, type and size of these resources. The maps are prepared from the analysis of
high altitude imagery. Wetlands are identified based on vegetation, visible hydrology and geography. A
margin of error is inherent in the use of imagery; thus, detailed on-the-ground inspection of any particular
site may result in revision of the wetland boundaries or classification established through image analysis.
The accuracy of image interpretation depends on the quality of the imagery, the experience of the image
analysts, the amount and quality of the collateral data and the amount of ground truth verification work
conducted. Metadata should be consulted to determine the date of the source imagery used and any
mapping problems.
Wetlands or other mapped features may have changed since the date of the imagery or field work. There
may be occasional differences in polygon boundaries or classifications between the information depicted
on the map and the actual conditions on site.
Data exclusions
Certain wetland habitats are excluded from the National mapping program because of the limitations of
aerial imagery as the primary data source used to detect wetlands. These habitats include seagrasses or
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submerged aquatic vegetation that are found in the intertidal and subtidal zones of estuaries and
nearshore coastal waters. Some deepwater reef communities(coral or tuberficid worm reefs) have also
been excluded from the inventory. These habitats, because of their depth, go undetected by aerial
imagery.
Data precautions
Federal, state, and local regulatory agencies with jurisdiction over wetlands may define and describe
wetlands in a different manner than that used in this inventory. There is no attempt, in either the design or
products of this inventory, to define the limits of proprietary jurisdiction of any Federal, state, or local
government or to establish the geographical scope of the regulatory programs of government agencies.
Persons intending to engage in activities involving modifications within or adjacent to wetland areas should
seek the advice of appropriate Federal, state, or local agencies concerning specified agency regulatory
programs and proprietary jurisdictions that may affect such activities.
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(TIP U-5907) Questionnaire: PM Donald Griffith LET 12/23
Existing Structure:
Can the existing bridge/culvert be removed during the winter months November 16 - March 14 ?
No structure removal on this project
Trees:
Can the trees in the project footprint be cut during the winter months November 16 - March 14 ?
Yes. Can use separate contract if necessary
Blasting:
Will blasting be used for this project? If so, will it occur between March 15 and November 15?
No blasting expected
Percussive Activities:
What type of percussive activities will occur? (e.g., pile driving, guardrail installation
Guardrail only
Lighting:
Will temporary lighting for nighttime construction be necessary between March 15 and November 15?
Does permanent lighting exist in the project area and if so, will it be removed, or will new lighting be
added as a result of the project?
Night work is possible and so temporary lighting will also be possible. To be determined during
construction.