20110022 Ver 5_2023.08.09_LouiseAveCIP_PCN_without Appendix E_20230810

F)2
hdrinc.com
August 9, 2023
Sam Dailey
U.S. Army Corps of Engineers
Charlotte Regulatory Field Office
8430 University Executive Park Drive, Suite 611
Charlotte, North Carolina 28262
Amie Hoy
NC Division of Water Resources
Mooresville Regional Office
610 East Center Avenue, Suite 301
Mooresville, North Carolina 28115
Subject: Pre -Construction Notification Pursuant to Regional General Permit 163
and General Water Quality Certification 4508
(SAW-2011-00366 and DWR# 11-0022)
To Ms. Dailey and Ms. Hoy:
The purpose of the Louise Avenue Capital Improvement Project (CIP) is to alleviate
flooding and enhance degraded stream segments within the Study Area. The existing
storm drainage infrastructure is aging, in disrepair and insufficient for conveying design
storm flows. As a result, structure and road flooding are frequent occurrences. The Project
proposes to improve the existing storm drainage infrastructure (i.e., pipe systems and
culverts) and to enhance degraded stream reaches located between pipe system
segments. Infrastructure upgrades consist of replacing undersized or failing pipes with
larger pipes that are sufficient to convey design storm flows. Additional impacts will result
from the installation of rip rap aprons and plunge pools to dissipate erosive forces exiting
the newly upgraded infrastructure. The Project is located in Charlotte, North Carolina
(Appendix A, Figure 1).
Applicant Name: Charlotte -Mecklenburg Storm Water Services, POC: Kristen O'Reilly
Mailing Address: 600 East Fourth Street, Charlotte, NC 28202
Phone Number of Owner/Applicant: [phone]
440 S Church Street, Suite 1200, Charlotte, NC 28202-2075
[phone]

Project Location: Plaza Midwood neighborhood
Waterway: Little Sugar Creek
Basin: Catawba (Hydrologic Unit Code [HUC] 03050103)
City/County: Charlotte, Mecklenburg County
Center Decimal Degree Coordinates of Project Area: 35.2250940,-80.815771 °
USGS Quadrangle Name: Charlotte East, NC (1981)
Project History
An Approved Jurisdictional Determination (AJD) and Nationwide Permits (NWP) 3 and 27
(Appendix B, SAW-2011-00366) were issued for this project on March 2, 2011, followed by
NC Division of Water Quality (DWQ) Water Quality General Certifications (WQGC) 3687
and 3689 (Appendix B, DWQ# 11-0022) on January 13, 2011. The Project was delayed to
allow time to update the plans to meet new design standards from various agencies and
City of Charlotte Departments. The approved AJD, NWPs, and WQGCs expired during this
process.
In May 2016, a request for re -authorization was submitted and on October 17, 2016, the
Division of Water Resources (DWR) issued approval for WQGCs 3883 and 3885
(Appendix C, DWR# 11-0022V3). On November 17, 2016, the United States Army Corps
of Engineers (USACE) issued approval for NWP 3 and 27 (Appendix C, SAW-2011-
00366). These approvals expired, but were renewed in April 2018 under NWPs 3 and 27,
and WQGCs 4132 and 4134 with no modifications to the Pre -Construction Notification
(PCN) submitted in 2016 (Appendix D, DWR# 11-0022V4 and USACE email dated
February 2, 2018).
The 2018 approvals have expired, therefore, HDR is submitting this PCN requesting
authorization under RGP 163 and WQGC 4508 for activities associated with maintenance,
aquatic habitat restoration, enhancement, and establishment activities.
A Pre -Filing Meeting Request Pursuant to 40 CFR § 121.4 was submitted to NCDEQ-DWR
on April 26, 2023 (Appendix L), in advance of this PCN request.
Impacts
Table 1 summarizes impacts that are submitted in this PCN.
Table 1. Summary of Total Project Impacts
Plunge pool Yes 48 / 0.011
Pipe extension Yes 42 / 0.010

13
Rip rap aprons
Yes
16 / 0.004 ..
'
6
Step -pool sequence
Yes
.I
56
6/7
Stream enhancement
Yes
177
7
Rip rap apron
Yes
12 / 0.003
7
Plunge pool
Yes
39 / 0.009
9
Step -pool sequence
No
44
10
Stream enhancement
No
254
11
Stream enhancement
No
160
11
Rip rap apron
No
18 / 0.002
11
Pipe extension
No
200 / 0.018
P1
Stream enhancement
Yes
299
EC6
Impervious Dikes
No
20
EC6
Impervious Dikes
No
20
EC6
Impervious Dikes
No
20
W
375 LF (0.056 ac.) 1,056
LF
Compensatory Mitigation
On December 6, 2016, Charlotte Storm Water Services (CSWS) purchased 156 stream
mitigation credits from the CSWS Umbrella Bank Dairy and Sedgefield Park Branch
mitigation sites for Impacts S1, S2, S3, S6, and S7; these impacts have not yet occurred.
The Compensatory Mitigation Responsibility Transfer Form is attached as Appendix H and
is still valid to mitigate for these impacts. The proposed Project includes 375 linear feet of
permanent loss impacts consisting of the previously mitigated 156 linear feet and 219
linear feet that will require mitigation. Therefore, mitigation credits are proposed at a 1:1
ratio for 219 linear feet of stream impacts and the credit reservation letter for the 219 linear
feet is included as Appendix I. Note, one linear foot of stream impact from the previous
submittals was not included (an error) and will now be captured within the 219 linear feet of
stream impacts that require mitigation.
HDR Engineering, Inc. of the Carolinas (HDR), on behalf of our client Charlotte -
Mecklenburg Storm Water Services (CSWS) is requesting authorization under RGP 163

and WQGC 4508 for activities associated with maintenance, aquatic habitat restoration,
enhancement, and establishment activities.
Should you have any questions or require additional information following your review of
the enclosed materials, please contact me at [phone] or paul.bright(a)-hdrinc.com.
Sincerely,
Paul Bright
Environmental Scientist
Appendix:
6Y�10��
Kelly Thames
Sr. Environmental Project Manager
Appendix A — Figures
Appendix B — SAW-2011-00366 General and Regional Permit Verification and
JD (2011) and DWQ# 11-0022 (2011)
Appendix C — DWR# 11-0022V3 401 Water Quality Certification (2016) and
SAW-2011-00366 General and Regional Permit Verification
(2016)
Appendix D — DWR# 11-0022V4 401 Water Quality Certification (2018) and
USACE Email dated February 2, 2018
Appendix E — Impact Plans (NOTE: See Appendix M for updated Construction
Details to be followed)
Appendix F — NCSAM and NCDWQ Stream Identification Forms
Appendix G — Site Photographs
Appendix H — Compensatory Mitigation Responsibility Transfer Form
Appendix I — Credit Reservation Letter
Appendix J — Meeting Minutes dated October 31, 2008, June 15, 2010, and
February 15, 2023
Appendix K— NCDENR Natural Heritage Program Correspondence, NCDCR
State Historic Preservation Office Correspondence, USFWS
IPaC Resources List, and NCNHP Data Explorer Project Reports
Appendix L — Pre -Filing and PCN
Appendix M— Agent Authorization Form
Appendix N — Construction Details (Updated)

Appendix A
Figures

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LEGEND
Study Area
DATA SOURCE: Esri, OpenStreetMap
contributors, and the GIs User Community
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FNFASTORI LOUISE AVENUE CIP
"kesWATER PROJECT VICINITY
aftsm FIGURE 1

a` LEGEND `Ito
i.•
Study Area F
A
Topographic Quadrangles ti
s\
DATA SOURCE: USGS Topo Quadrangles: Charlotte
East, NC (1967)
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WATER USGS TOPOGRAPHIC QUADRANGLES
FIGURE 2
PATH: IICLTSMAINIGIS DATAIGISIPROJECTS13389 CITVOFCHARLOTTE110337083 SWAF EIR SERVICES\- WORK IN PROGRESSIMAP DOCSIMXDILOUISE AVENUE CIP102 LOUISEAVE USGS.MXD - USER: GMARCHICA - DATE: W212023

1� F "rriingress .
LEGEND
Study Area
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leSC e r VILLA HEIGHTS .'
LEGEND
i— I '� 77
Study Mecklenburg CountyA Stream
tm Ca+aivGa q r
• • Location
•4w �� n - ' } National-
USFWS Ire Stormwater Pipe
Wetlands Inventory
3 q �..
x
Grace.St ° To
DATA SOURCE:
Creeks- Data, JSFWS National- Wetlands Inventory (NW), Bing Hybrid Aerial
Imagery
*No FEMAfloodplains are located within the Study Area Feet A"
Ile
41
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F b v n .
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WATER

"This certifies that this copy of this plat accurately depicts the
p arkw°
boundary of the jurisdiction of Section 4014 of the Clean Water Act as
°d Av
determined by the undersigned on this date. Unless there is a change
in the law or our published regulations, this determination of Section
404 jurisdiction may be relied upon for a period not to exceed fn e
years from this date. This determination was made utilizing the 1987
Corps of Engineers Wetlands Delineation Mam4al-"
�
■
Regulatory Official
Title
Date
r r
USACE Action ID
o
Os l AV
1
Under the previous Approved
Kennon
Jurisdictional Determination (AJD)
S �BelVedere
t
Lm)
(SAW-2011-00366), portions of
Ma ns ern (Above Hawthorne
f
the Mainstem located above
,f Ephemeral
Length: 45.0 LF
-
/
Hawthorn Lane were approved as
ephemeral. On 4/19/23, HDR
biologists determined these
" Mainstem (Above °
portions to be intermittent.
Hawthorne Ln.)
Intermittent
Length: 714.6 LF
"Mainstem (Above B
Hawthorne Ln.) NCSAM - Site 4
Intermittent
Bede
Length:217.7LF
site6-SmaBTrihutary
Terre,AV
j ..
Ephemeral
Y
/ ° Length: 79.04
Haywood Ct
_
Northing: 542094.031 Q
_
Easting: 1457917.686
Mainstem (Below Hawthorne Ln.)
_ C17esitlirt
Perennial
V
Length: 239.7 LF
_
NCSAM -Site 3
s
r
Trib 1 Downstream
N
Mainstem (Below Hawthorne Ln.) Perennial
_
1
den
ti .
Perennial Len the
Ungth: LF g
117.1 LF S7r7 gt°n}Dr
25.5
-
O�
_
11
Txib 1 Downstream
NCSAM - Site 2
Perennial
Length: 504.8 LF
Northing: 581189.87
-
ff+fi Northing: 541056.27
/
Eastin
g: 1458121.612 t•
- - -
Easting: 145811.115
NCSAM-Slte1 Jm�
v-
Txib1UpsucamEnd
Intermittent Headcut)
hrague
• *
�; rr
(Below
:h001 St
Length: 135.4 LF
Av
✓
U
A
Trib lUpsteeam End (Above Headcut)'
r
/
Ephemeral
Length: 69.1 LF
. a
ers darn rotErrea "�:ne a Tamnte ceoxr with ­n.aerer as".an.I a� Ham
Existing Conditions Map Vicini LEGEND
Louise Avenue CIP Pipe — Existing Creeks
Stream Break & Pipe Project Limits
Charlotte, NC
y u Revised Jl 26, 2010 Project Site9 Stream Break — Streets
Reference: — Ephemeral
Charlof[aAlockfeoAurg Date of Aerial Photo : 2009
TO��{ Date of Jurisdictional Delineation:2/19/2010 t CHARL 6 Intermittent N
i�� City of Charlotte GIS Creek Centerline Data: 2009
�t{ I E R MecCity le Charlotte GIS StorData: 2009 Data: 2009 Perennial
H Mecklenbur Co. GIS Data: 2009
5ervrces:w- 0 125 250 500 pFigure
Feet
Mecklenburg Coun , C

Appendix B
SAW-2011-00366 General
and Regional Permit
Verification and JD (2011)
and DWQ# 11-0022 (2011)

U.S. ARMY CORPS OF ENGINEERS
WII MINGTON DISTRICT
Action ID, 2011-00366 County: Mecklenburg USCS Quad: Charlotte East
GENERAL PERMIT (REGIONAL ARID NATIONWIDE) VERIFICATION
Property Owner/ Authorized Agent. Charlotte-MecklenburgStorm Water Services
Alin. Isaac Hinson
Address: 600 E. Fourth Street, loth FiDor
Charlotte, KC 28202
Telephone No.: 704-336-4495
Size and location ofproper1y (water body, road namelrtumber, town, etc_)- The site is located at 1101
Hawthorne Lane. in Charlotte, Mecklenburg Couaty, NC.
Description of projects area and activity: This permit authorizes work associated with the Louise
Avenue CIF to include pipe extensions lacemem of ri ra and stream iLnhancernetrt actiivites.
Tim acts authorized by this permit total 156 linear feet of streain channel for pipe extensions and
ri 0 ra0 aEtrons. Additional impacts totaling 866 linear feet of stream channels are authorized by this
ermdt and are associated with stream c'Ihartnel enlrancentent activities to include bank
nadill E/s(ahiIization and in -stream structures. Re] ated AIDS include 20H-41402, 2008-15852 2009-
00680 in which this stream channel enha:ncentent work sevves as co pensatn ry miti gal ion for
previous impacts associated with those permits and irrruacts as4or~iatPd with this authorization.
Applicable Law: Z Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Hai -bars Acl, 33 U5C 403)
Authorization: Regionai Geperel Permit Number:
Nationwide Permit Number: 43 and 27
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the
attached conditions and your submitted plans. Any violation of the attached conditions or deviation from your
submitted plans may subject the perruittee to a stop work order, a restoration order andlar appropriate legal action.
This verification is valid until the NWP is modified, reissued, or revoked. All of the existurg NW12s are
schedule i to toe modified, reissued, or revoked prior to March 18, 2012. It is incumbent upon you tv remain
informed of changes to the NVrPs. We will issue a public notice when the NWPs are reissued. Furthermore, if you
commence or are under cantract to cflrnmence this activity before the date that the relevant nationwide permit is
modified or revoked, you will have twelve (12) months from the date or the modification or revocatiart of the N P
to complete the activity under the present terms and cohdiIiotis of this nationwide permit,
Activities subject to Section 404 (as indicated above) may also regairn an individual Se&ion 401 Water Quality
Certifcatior1. You should contact the NC Division of Water Quality (telephone [phone]) to determine
Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area
Management Act (CAMA), prior to beginning work you must contact the N.C. Division of Coastal Management_
This Department of tite Army verification does root relieve the permittee of the responsibility to obtain any other
required federal, State or local approvalslpenrtits.
if there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of
Etiginaers regulatory program, please contact Amanda Jones at 828-271-79K
Carps Regulatory Official _AtnandaJones Date: March _i.201
Exphation Date of'Verifrcatien: A'larch IS, 2012

Determination of Jurisdiction.
A. ❑ Based on preliminary information, there appear to be waters of the US including wetlands within the above
described project area- This preliminary determination is not an appealable action under the Regulatory
PraLrarn Administrative Appeal PTUGeS5 ( Reference 33 CFR Part 331).
B- ❑ There air NDvigable Waters of the United States within the above de=ihed project area subject to the
permit requirements of Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act.
Unicss 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 ofthis nntif cation.
C. (E 'There are waters oPtlse US andlor wetlands within the above described project area 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 deter-ntinalion may be relied upon far a period not to exceed five years
from the date of this tivti6caliou.
M ❑ The jurisdictional areas within the above described project area have been identified under a previous action.
Please reference jurisdictional determination issued . Action ID
Basis of Jurisdictional Determination:
There are stream channels located m the property that exhibit indicators of ordinary high water marks, The stream
channel on the property is an unnamed tributary to McAlpine Creek which flows into the Catawba River which joins
the Santee -Cooper River in Smith Carolina before entering the Atlantic Ocean.
Appeals Information. ('his information does not apply to preliminary determinations as indicated by paragraph A.
above).
Attached to this verification is an approved jurisdiubunal deterrninaiion. If you are nut is agreement with that
approved jurisdictional determination, you can make an administrative appeal under33 CFR 331. Enclosed you will
find aNntifcatian of Appea} Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal
this determination you must submit a completed RFA farm to the following address;
District Engi n eer, Wilmington Regulatory Program
Am- Amanda Jones, Projecr Manager
151 Patton Avenue, boom 208
Asheville, North Caralina 28801
In order for an RFA to he accepted by the Corps, the Carps roust determine, that it is complete, that it meets (he
criteria for appeal Linder 33 CFR pail 311.5. and that it has hees> received by the Division 0f ire within 64 days of
the dale of the NAP. Should you decide to submit an RSA form, it must be received at the above address within 60
days from the issue Ogle below.
**lt is not necessary to submit an RFA farm to the Division Office ifyou do not object to the determination in this
correspondence.*;
Corps Regulatory Official. _Amanda .lanes
Issue Date: March 2, 2011 Expiration Date: Five years from Issue Dora
The Wilmington District is committed to providing the highest level of support to the public, To help us ensure we
continue tc► do $o, pi ease complete the Customer Satisfaction Survey located at our webs ito at
htt :I1 er2.nw .usace.arm y.rnilLgve .htrnI to complete the survey online.
SURVEY PLATS, liIELD SKETCH, WETLAND DELMEATION FORMS, PROTECT PLANS, ETC'.,
MUST BB ATTACffED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.

Permit Number: 2011-00366
Permit Type- NW03 and 27
Larne of County: Mecklenburg
Larne of Per iittee- Charlotte -Mecklenburg Storm Water Services I Attn: Isaac Hinson
Date of Issuance: March 2, 2011
Rroject Manager. Amanda Jones
Upon completion of the activity authorized by this permit and any mitigation required by the
permit, sign this certification and return it to the following address:
U.S. Army Corps of Engineers
Attention. CESAW-RG-A
151 Patton Avenue; Room 209
Asheville, North Carolina 28801-5006
Pl ease note that your permitted activity is subject to a compIiance inspection by an U. S. Army
Carps of Engineers representative. If you fail to comply with this permit you are subject to
permit susgansion, modification, or revocation.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and conditions of the sa!d perniit; and required mitigation was
completed in accordance with the permit conditions.
Signature of Perrnittee
Date

NOTIFICATION OF ADMFNISTI-ATIVE APPEAL OPTIONS A.NI) PROCESS AND
RE:QU>;ST FOR APPEAL
Applicant: Charlotte -Mecklenburg Storm later
File Number: 2011-00366
Date. March 2, 201 1
Services 1 Afkn: Isaac Hinson
Attached is:
See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter ofpermission)
A
PROFFERED PERMIT Standard Permit or Letter ofpermission)
B
PERMIT DENIAL
C
APPROVED JURISDICTIONAL DETERMINATION
D
PRELIMINARY IU I DICTIONAL DETERMINATION
E
SECTION I - The following identifies your rights and options regarding an administrative appeal of the above
decision. Additional information may be fotwd at
htt ://www,usme.an .rnit/CECW/Pa es{re mat:eiials.as x or Corps regulations at 33 CFR Pat 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
■ ACCEPT-, Nyou received n 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 authori=d. Your
signature on the Standard Permit or acceptance of the LOP meats that you accept the permit in Its entirety, and waive all rights
to appeal the perrnit, including its leans and iwnditions, and approved jurisdictional determinations associated with the permit,
■ OBJECT, If you object to the permit (standard or LOP) because orcemin terms and conditions thcreva. you may request that
the permit be modified accordingly. You rnust complete Section II of this form and return the forth io the district ongineer.
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 cvaivate your objections and may; (a)
modify the permit to address all oFyour concerns, (b) modify the permit to address Some cif 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 yoo 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 of Standard Permit, you may sign the permit document and return it to the district engineer For final
authorization. IFyou 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 penr it 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 Engines Administrative Appeal Process by completing Section I of this
fDrm and scud ng 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 Il of this form and sending the form to the divisian engineer, This form must be received by the division
engineer within 60 days ❑f the date of this notice.
D: APPROVED JUI SDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
• ACCEPT: You do not need to notify the Corps tc accept an approved ]D. Failure to notify the Carps within 60 days c�f the
date ofthis notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved I17.
+ APPEAL: If you disagree with then approved JD, you may appeal the approved Ili under the CmTr oFEngineers Administrative
Appeal Process by completing Section II of this form and sending t4� form to the division en_gineer. This form must be received
by the divisian engineer within 60 days of the date ofthis notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not rieed to respond to the Corps
regarding the preliminary JD. The Preliminary JD is not appealable. if you wish, you may request an
approved JD (wlhich may be appealed), by contacting the Corps district for FiTther instruction_ Also you may
provide new information for further consideration by the Corps to recvaivate the JD.
SECTION II - RE UFST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Descrlbe 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
or objections axe addressed in the administrative record_)
ADDiT1ONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum far the
record of the appeal conference er meeting, and any stupplcmental information that the review officer has determined is needed to
elariry the administrative record. Neither the appellant nor the Corps may add new infurniatian or analyses to the record. However,
you way eravido additional information to clan fy the location cf information that is already in the administrative record,
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
if you have questions regarding this decision andlor the appeal
lryou only have questions regarding the appeal pmcess you may
process you may contact:
also contact:
Amanda. Jones, Project Manager
Jason Steele
USACE, Asheville Regulatory Eeld Office
Administrative Appeals Rcvicw Officer
151 Pattcn Ave
60 Forsyth Street, SW (Rohm 9M10)
RM 208
Atlanta, GA 30303-8801
Asheville, NC 28906
404-562-5137
828-273-798U
RIGHT OF PNTRY: 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 ofany site investigation, and will have the o ortunity ro par[icipate in all site investigations.
Date:
Telephone number:
Si gnature o f appelIant or agent.

cf
CDEN
North Carolina Department of Environment and Natural Ressources
Beverly Eaves Perdue
Governor
Mr. Isaac Hinson
City of Charlotte, Stnrmwater Services
600 East Fourth St.
Charlotte. NC 28202
Division of Water Quality
Coleen H. Sullins
Director
Lee Freeman
Secretary
January 13, 2011
DWQ# 11-0022
Mecklenburg County
Subject: Louise Ave. Capital Improvement and Stream Enhancement (mitigation)
APPROVAL of 401 Water Quality Cer-tification with Additional Conditions
Dear Mr. Hinson:
You have our approval, in accordance with the general certification and those conditions listed
below, to impact 1098 linear feet (If} ( 156 It pipe/plunge pool, 942 If enhancement) of unnamed
stream in order to complete the project in Mecklenburg County, as described in your application
received by the Division of Water Quality (DVVQ) on January 10, 2011. After reviewing your
application, we have determined that this project is covered by Water Quality General Certification
Number 3587 and 3689, which can be viewed on our web site at
http:/Iportal.ncdenr.orqfweb/wq�swp/ws/401. The General Certification allows you to use Nationwide
Permit Number 3 and 27 once it is issued to you by the U.S. Army Corps of Engineers_ Please note
that you should get any other federal, state or local permits before proceeding with your project,
including those required by (but not limited to) Sediment and Erosion Control, Non -Discharge, and
Water Supply Watershed regulations.
The above noted Certification will expire when the associated 404 permit expires unless
otherwise specified in the General Certification. This approval is only vaiid for the purpose and
design that you described in your application. If YOU change you- project, you must notify us in
writing, and you may be required to send us a new application for 2 new certification. If the property
is said, the new owner must be given a copy of the Certification and approval letter; and is thereby
responsible for complying with all conditions.
In addition to the requirements of the certification, you must also comply with the following
conditions,
The Mooresville Regional Office shall be notified in writing once construction at the approved
impact areas has commenced,
Mooresville Regional Offrce One
Location; 610 i=�st Center Avenue. S3wte �01, Maaresville, NC 28115 Nai- hCarollna
Phone: {704) 683-16991Fsw (704) 683-60401 Cuslcmer Serview 1-877-623-67e8 � ,
Internet: nttp:frportal.noderr. orglweblwq
An Equal OppartunilylAffinnative Action Employer — 50% Recycled110% Past Consumer Paper

2. All wetlands, streams, surface waters, and riparian buffers located an the project site where impacts
are not allowed shall be clearly marked (example- orange fabric fencing) prior to any land disturbing
activities_
3, Culverts placed in streamslwetlands shall be installed "in the dry". Immediately upon completion
of the installation, water flow shall he returned to its natural course. Existing stream dimensions
(including the cross section dimensions, pastern, and longitudinal profile) must be maintained (or
restored via constructed benches) above and below locations of each culvert. If any of the
existing pipes are or became perched, the appropriate stream grade shall be re-astablishad or, if
the pipes installed in a perched manner, the pipes shall be removed and re -installed correctly_
4. Per the Charlotte lnteragency Review Team, onsite mitigation, as included in the application, is
acceptable.
5. Storm water discharge structures at this site shall be constructed in a manner such that the potential
receiving streams (of the discharge) will not be impacted clue to sediment accumulations, scouring
or erosion of the stream banks.
6. No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond
the footprint of the impacts depicted in the Reconstruction Notification application. All construction
activities associated with this project shall meat, and/or exceed, those requirements specified in the
most recent version of the North Carolina Sediment and Erasion Control Manual and shall be
conducted so that no violations of state water quality standards, statutes. or rules occur.
7_ Sediment and erosion control measures shall not be placed in wetlands ar waters to the maximum
extent practicable. If placement of sedimert and erosion control devices in wetlands and waters is
unavoidable, they shall be removed and the natural grade restored within two months of the date the
Division of Land Resources has released the project_
8, Upan cumpletion of the project, the applicant shall complete and return the enclosed "Certificate of
Completion" fora to the 401ANetlands Unit of the NC DWQ.
9. Continuing Compliance. The applicant (City of Charlotte) shall conduct all activities -in a manner so
as not to contravene any state water quality standard (including any requirements far cornpliance
with section 303(d) of the Clean Water Act) and any other appropriate requirements of state and
federal laths. If DVVQ determines that such standards or laws are not being met (including the failure
to sustain a designated or achieved use) or that state or federal law is being violated. or that further
conditiors are necessary to assure compliance, D Q may reevaluate and modify this certification to
include conditions appropriate to assure compliance with such standards and requirements in
accordance with 15 A NCAC 21-1.0507(d), Before codifying the certification, DWO shall notify the
applicant and the US Arrr7y Carps of Engineers, provide public notice in accordance with 15A NCAC
2H.0503, and provide opportunity for public hearirg in accordance with 15A NCAC 2H.0504. Any
new or revised conditions shall be provided to the applicant in writing, shall be provided to the
United States Army Corps of Engineers for reference in any permit issued pursuant to Section 404
of the Clean Water Act, and shall also become conditions of the 404 Permit for the project.

If you do not accept any of the conditions of this certification, you may ask for an adjudicatory
hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing,
send a written petition that conforms to Chapter 1 b0B of the North Carolina General Statutes to the
Office of Administrative Hearings, 6714 Mail Service Center. Raleigh, N,C. 27699-6714_ This
certification and its conditions are final and binding unless you ask for a hearing.
This letter completes the review of DVVQ under Section 401 of the Clean Water Act_ If you have
any questions. please telephone Mr. Alan Johrson in the Mooresville Regional Office at 704-663-1699
or fps. Cyndi Karoiy in the Central Office in Raleigh 919-733-9721.
incerely,
€orColeen H. Sullins
Attachments
cc. Army Carps of Engineers, Asheville
Ian McMillan, Wetlands Unit
MRO, Land Quality

Appendix C
DWR# 11-0022V3 401 Water
Quality Certification (2016) and
SAW-2011-00366 General and
Regional Permit Verification (2016)

Ms. Erin Turner
Charlotte/Mecklenburg Storm Water
600 E. Fourth Street
Charlotte, NC 28202
Subject: APPROVAL of 401 Water Quality Certification with Additional Conditions
Louise Avenue Capital Project
Dear Ms. Turner:
You have our approval, in accordance with the General Certifications and those
conditions listed below, for the purpose proposed in your application dated March 3, 2016 and
received by the Division of Water Resources (the Division) on September 28, 2016. After
reviewing your application, we have determined that this project is covered by Water Quality
General Certification Numbers 3883 and 3885 which can be viewed on our web site at
https://deg nc gov/about/divisions/water-resources/water-resources-permits/wastewater-
branch/401-wetlands-buffer-permits/401-general-certifications. The General Certification allows
you to use Nationwide Permit Numbers 3 and 27 once it is issued to you by the U.S. Army
Corps of Engineers (COE). Please note that you should get any other federal, state or local
permits before proceeding with your project, including those required by (but not limited to)
Sediment and Erosion Control, Non -Discharge, and Water Supply Watershed regulations.
The above noted Certifications will expire when the associated 404 permits expire
unless otherwise specified in the General Certifications. It is advised that all conditions of the
Certifications are reviewed prior to initiation of the project. In addition to the requirements of the
Certifications, you must also comply with the following conditions:
This approval is only valid for the purpose and design that you described in your
application. If you change your project, you must notify us in writing, and you may be
required to send us a new application for a new Certification. If total wetland fills for this
project (now or in the future) exceed one acre, or of total impacts to streams (now or in
the future) exceed 150 linear feet, compensatory mitigation may be required. If the
property is sold, the new owner must be given a copy of the Certification and approval
letter; and is thereby responsible for complying with all conditions. 15A NCAC 02H
.0506 and 15A NCAC 02H .0507
2. The Mooresville Regional Office shall be notified in writing once construction at the
approved impact areas has commenced. 15A NCAC 02H .0502 (e)]
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office) 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704 663 1699

3. Approved Impacts:
Type of ImpactjjtLAApprovedmount Approved
rmanent Impact
Stream156 linear ft.
Wetland0.0 acre
4. Stream reshaping, if conducted, should be performed above the ordinary highwater mark.
5. Stormwater discharge structures at this charshall
be constructed in a manner such l not be impacted due to sediment at
the potential receiving streams (of the dis ge) w
accumulations, scouring or erosion of the stream banks. 15A NCAC 02H .0506(b)(5)
6. During the construction of the project, no staging
1 f NCAC equipment
of.any
kind
i perm itted in
waters of the U.S., or protected riparian buffers
7. Per the Charlotte Interagency Review Team, mitigation will be purchased through the
City of Charlottes Mitigation bank.
stric
8
. Immediately upon completion of the installation of a culvert X st nm of strelam a flow dimens ting
ons
device, water flow shall be returned to its natural course. g
(including the cross section dimensions, pattern, and longitudinal profile) must be
ns of each
maintained (or restored via constructed benches) above and below ocastream grade
culvert. If any of the existing pipes are or become perched, the appropriatethe pipes shall be
shall be re-established nstaed correcor, if the ty. 15A NCAC 02H 0506(b)(2) ipes installed in a perched manner,
removed and
This Certification can be contested as provided earing to the office of the Adm nistrain Articles 3 and 4 of the General tivete
150B by filing a written petition for an administrative
Hearings (hereby known as OAH). A petition form may be obtained from the OAH at
http://www.ncoah-comlor by calling the OAH Clerk's Office at [phone].
Within sixty (60) calendar days of receipta petition must be filed with the
of this notice, copy OAH. A petition is considered filed when the original and one (1) co along with any applicable
OAH filing fee is received in the OAH during normal office hours (Monday through Friday, 8:00
am to 5:00 pm, excluding state holidays).
The petitions may be faxed to the OAH tOAH fi4ng fee is re �eived by thevided the 10AH wi hinginal and ne
(1) copy of the petition along with any applicable
five (5) business days following the faxed transmission. Mailing address for the OAH.
E tc )
If sending via US Postal Service:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
If sending via delivery service (UPS, Fed x, e .
Office of Administrative Hearings
1711 New Hope Church Rd.
Raleigh, NC 27609-6285
One (1) copy of the petition must also be served on DEQ as follows:
Mr. Sam M. Hayes, General Counsel
Department of Environmental Quality
1601 Mail Service Center

Raleigh, NC 27699-1601
This letter completes the review by the Division under Section 401 of the Clean Water
Act. If you have any questions, please teleplan Johnson ln the Mooresville 60'onal
Office at 704-663-1699 or Ms. Karen Higgins n the Centraloffice nRaleigh 919 807-63
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office, DEQ
Attachments
cc: Crystal Amschler, Army Corps of Engineers, Asheville (email)
David Homans, SME, (email)
Karen Higgins, Wetlands Unit (email)
MRO, Land Quality

CERTIFICATE OF COMPLETION
NCDWR Project No.:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
County:
Certificate of Completion
Upon completion of all work approved within the
40
Rules, and any subsequent modifications, the applicant sareqter �red�to return ty �this certificatecation or tthe 40,
er
Service
Transportation Permitting Unit, North Carolina Division o NCDaWR by thecappl cant�thelapplicant s liter,
Raleigh, NC, 27699-1650. This form may be
authorized agent, or the project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
1 , hereby state that, to the best of my abilities, due care
struction such that the construction was observed to
and diligence was used in the observation of the con
of the 401 Water Quality Certification and Buffer Rules,
be built within substantial compliance and intent
the approved plans and specifications, and other supporting materials.
Date:
Signature:
Agent's Certification
, hereby state that, to the best of my abilities, due care
1
to
and diligence was used in the observation of the construction such that the construction
Buffer Rules,
be built within substantial compliance and intent of the 401 Water Quality Certification and
the approved plans and specifications, and other supporting materials.
Date:
Signature:
Engineer's Certification
Partial Final
as a duly registered Professional Engineer in the State
I, y y full time) the construction of
of North Carolina, having been authorized to observe (periodical) , weekly,
the project for the Permiee hereby state that, to the best f MY abiliwastie served to be bdue care andu t w thin
used
in the observation of the construction such that the con
substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved
plans and specifications, and other supporting materials.
Registration No.
Signature
Date

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2011-00366 County: Mecklenburg U.S.G.S. Quad: NC -CHARLOTTE EAST
GENERAL PERNUT (REGIONAL AND NATIONWIDE) VERIFICATION
Permittee: Charlotte -Mecklenburg Storm Water Services
Ms. Erin Turner
Address: 600 East Fourth St.
Charlotte, NC, 28202
Telephone Number: 704-336-4495
Size (acres) Approximately 1 mile corridor Nearest Town Charlotte
Nearest Waterway Little Sugar Creek River Basin Lower Catawba
USGS HUC 03050103 Coordinates Latitude: 35.2253280053689
Longitude:-80.8179663352448
Location description: The Louise Avenue CIP begins at Mimosa Avenue and extends approximately 1 mile south, southwest to
terminate along an unnamed tributary to Little Sugar Creek, iust west of the intersection of the tributary with Louise Avenue
in Charlotte, Mecklenburg County, North Carolina.
Description of projects area and activity: This permit verification authorizes impacts resulting from stormwater drainage
improvement and stream enhancement activities. Specifically, authorized impacts include the impact to 1,098 linear feet of
stream channel, of which 9421f result from stream enhancement/stabilization and 1561f results from pipe extension and
installation of plunge pools and a rip rap apron.
In order to compensate for impacts associated with this permit, mitigation shall be provided in accordance with the provisions
outlined on the most recent version of the attached Compensatory Mitigation Responsibility Transfer Form. The requirements
of this form, including any special conditions listed on this form, are hereby incorporated as special conditions of this permit
authorization.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number or Nationwide Permit Number: NWP 27 Aquatic Habitat Restoration,
Establishment, and Enhancement Activities and NWP 3 Maintenance.
SEE ATTACHED RGP or NWP GENERAL, REGIONAL AND SPECIAL CONDITIONS
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted application and attached information dated 08/18/2016. Any violation of the attached
conditions or deviation from your submitted plans may subject the permittee to a stop work order, a restoration order, a Class
I administrative penalty, and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified,
suspended or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or
modified, this verification will remain valid until the expiration date identified below, provided it complies with all requirements of
the modified nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the
activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are
under construction) or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the
activity is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case -by -case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management in Morehead City, NC, at [phone].
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/permits.

If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Crystal Amschler at 828-271-7980 x231 or Crystal.C.Amschler(&usace.army.mil.
AMSCHLER.CRYSTAL.CAMILLE.1238 p;9', US,9.-U.S. eSCmeERo D.Do PK,,o USA,
Corps Regulatory Official: F,141718 <R4M SCMLER.0 RYSTAL.0 AM �LLE. 1238614178 Date: 11/17/2016
D.te. 016.11.1 ] 0841:31 -0500'
Expiration Date of Verification: 03/18/2017

Determination of Jurisdiction:
A. ® Based on preliminary information, there appear to be waters of the US including wetlands within the above described project
area. This preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
( Reference 33 CFR Part 331).
B. ❑ There are Navigable Waters of the United States within the above described project area 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.
C. ❑ There are waters of the US and/or wetlands within the above described project area 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.
D. ❑ The jurisdictional areas within the above described project area have been identified under a previous action. Please reference
jurisdictional determination issued . Action ID: SAW -
Basis For Determination: Determination was based on review of aerial photography, USGS, previous
determinations and information provided by the agent. Streams were identified using OHWM and are tributaries to Little
Sugar Creek, which flows into Sugar Creek, which flows into the Catawba River, a Section 10 Water.
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
and C above).
This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and 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 1OM15
Atlanta, Georgia 30303-8801
Phone: [phone]
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 by
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this correspondence.**
Digitally signed by AMSCHLER.CRYSTAL.CAMILLE.1238614178
Corps Regulatory Official:cn AMSCHLER.CRYSTAL.CAMILLE.1238614178 MCH—U.0YSTAn,CAMILoE.—z3 6„ 8KI"°n—sA"
Crystal Amschler
Date of JD: 11/17/2016
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 our customer Satisfaction Survey online at hltp://regulatory.usacesurvey.com .

Action ID Number:SAW-2011-00366 County: Mecklenburg
Permittee: Charlotte -Mecklenburg Storm Water Services
Ms. Erin Turner
Project Name: Louise Avenue CIP
Date Verification Issued: 11/17/2016
Project Manager: Crystal Amschler
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn: Crystal Amschler, Project Manager
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, North Carolina 28801
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending, modifying or revoking the authorization and/or issuing a Class I
administrative penalty, or initiating other appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
Signature of Permittee Date

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: Charlotte -Mecklenburg Storm Water
Services, Ms. Erin Turner
File Number: SAW-2011-00366
Date: 11/17/2016
Attached is:
See Section below
F-11
INITIAL PROFFERED PERMIT Standard Permit or Letter of ermission
A
❑
PROFFERED PERMIT (Standard Permit or Letter of permission)
B
❑
PERMIT DENIAL
C
❑
APPROVED JURISDICTIONAL DETERMINATION
D
®
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 or http://www.usace.army.miUMissions/CivilWorks/RegulatoiyProgramandPermits.aspx
or the 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) 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 Adnimlstrative 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 Adnimlstrative 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 district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.
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 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 information 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
If you only have questions regarding the appeal process you may
appeal process you may contact:
also contact:
District Engineer, Wilmington Regulatory Division,
Mr. Jason Steele, Administrative Appeal Review Officer
Attn: Crystal Amschler, Project Manager
CESAD-PDO
Asheville Regulatory Field Office
U.S. Army Corps of Engineers, South Atlantic Division
151 Patton Avenue, Room 208
60 Forsyth Street, Room 1OM15
Asheville, North Carolina 28801
Atlanta, Georgia 30303-8801
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 opportum to participate in all site investi ations.
Date:
Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: Crystal Amschler, 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 1OM15, Atlanta, Georgia 30303-8801
Phone: [phone]

U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Compensatory Mitigation Responsibility Transfer Form
Permittee: CMSWS
Project Name: Louise Ave CI
Action ID: SAW-2011-00366
County: Mecklenburg
Instructions to Permittee: The Permittee must provide a copy of this form to the Mitigation Sponsor, either an approved
Mitigation Bank or the North Carolina Division of Mitigation Services (NCDMS), who will then sign the form to verify the
transfer of the mitigation responsibility. Once the Sponsor has signed this form, it is the Permittee's responsibility to ensure
that to the U.S. Army Corps of Engineers (USACE) Project Manager identified on page two is in receipt of a signed copy of this
form before conducting authorized impacts, unless otherwise specified below. If more than one mitigation Sponsor will be
used to provide the mitigation associated with the permit, or if the impacts and/or the mitigation will occur in more than one
8-digit Hydrologic Unit Code (HUC), multiple forms will be attached to the permit, and the separate forms for each Sponsor
and/or HUC must be provided to the appropriate mitigation Sponsors.
Instructions to Sponsor: The Sponsor must verify that the mitigation requirements (credits) shown below are available at the
identified site. By signing below, the Sponsor is accepting full responsibility for the identified mitigation, regardless of
whether or not they have received payment from the Permittee. Once the form is signed, the Sponsor must update the bank
ledger and provide a copy of the signed form and the updated bank ledger to the Permittee, the USACE Project Manager, and
the Wilmington District Mitigation Office (see contact information on page 2). The Sponsor must also comply with all
reporting requirements established in their authorizing instrument.
Permitted Impacts and Compensatory Mitigation Requirements:
Permitted Impacts Requiring Mitigation* 8-digit HUC and Basin: 03050103, Catawba River Basin
Stream Impacts (linear feet)
Wetland Impacts (acres)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
156
*If more than one mitigation sponsor will be used for the permit, only include impacts to be mitigated by this sponsor.
Compensatory Mitigation Requirements: 8-digit HUC and Basin: Choose the 8-digit HUC
Stream Mitigation (credits)
Wetland Mitigation (credits)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
156
Mitigation Site Debited: CMSWS Umbrella Bank Dairy and Sedgefield Park Branch
(List the name of the bank to be debited. For umbrella banks, also list the specific site. For NCDMS, list NCDMS. If the NCDMS
acceptance letter identifies a specific site, also list the specific site to be debited).
Section to be completed by the Mitigation Sponsor
Statement of Mitigation Liability Acceptance: I, the undersigned, verify that I am authorized to approve mitigation
transactions for the Mitigation Sponsor shown below, and I certify that the Sponsor agrees to accept full responsibility for
providing the mitigation identified in this document (see the table above), associated with the USACE Permittee and Action
ID number shown. I also verify that released credits (and/or advance credits for NCDMS), as approved by the USACE, are
currently available at the mitigation site identified above. Further, I understand that if the Sponsor fails to provide the
required compensatory mitigation, the USACE Wilmington District Engineer may pursue measures against the Sponsor to
ensure compliance associated with the mitigation requirements.
Mitigation Sponsor Name:
Name of Sponsor's Authorized Representative:
Signature of Sponsor's Authorized Representative Date of Signature
Page 1 of 2 Form Updated 23 November, 2015

USACE Wilmington District
Compensatory Mitigation Responsibility Transfer Form, Page 2
Conditions for Transfer of Compensatory Mitigation Credit:
• Once this document has been signed by the Mitigation Sponsor and the USACE is in receipt of the signed form, the
Permittee is no longer responsible for providing the mitigation identified in this form, though the Permittee remains
responsible for any other mitigation requirements stated in the permit conditions.
• Construction within jurisdictional areas authorized by the permit identified on page one of this form can begin only after
the USACE is in receipt of a copy of this document signed by the Sponsor, confirming that the Sponsor has accepted
responsibility for providing the mitigation requirements listed herein. For authorized impacts conducted by the North
Carolina Department of Transportation (NCDOT), construction within jurisdictional areas may proceed upon permit
issuance; however, a copy of this form signed by the Sponsor must be provided to the USACE within 30 days of permit
issuance. NCDOT remains fully responsible for the mitigation until the USACE has received this form, confirming that the
Sponsor has accepted responsibility for providing the mitigation requirements listed herein.
• Signed copies of this document must be retained by the Permittee, Mitigation Sponsor, and in the USACE administrative
records for both the permit and the Bank/ILF Instrument. It is the Permittee's responsibility to ensure that the USACE
Project Manager (address below) is provided with a signed copy of this form.
• If changes are proposed to the type, amount, or location of mitigation after this form has been signed and returned to
the USACE, the Sponsor must obtain case -by -case approval from the USACE Project Manager and/or North Carolina
Interagency Review Team (NCIRT). If approved, higher mitigation ratios may be applied, as per current District guidance
and a new version of this form must be completed and included in the USACE administrative records for both the permit
and the Bank/ILF Instrument.
Comments/Additional Conditions:
This form is not valid unless signed below by the USACE Project Manager and by the Mitigation Sponsor on Page 1. Once
signed, the Sponsor should provide copies of this form along with an updated bank ledger to:1) the Permittee, 2) the USACE
Project Manager at the address below, and 3) the Wilmington District Mitigation Office, Attn: Todd Tugwell, 11405 Falls
of Neuse Road, Wake Forest, NC27587 (email: todd. tugwell@usace. army. mil). Questions regarding this form or any of the
permit conditions may be directed to the USACE Project Manager below.
USACE Project Manager: Crystal Amschler
USACE Field Office: Asheville Regulatory Field Office
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
Email:
AMSCH LER.CRYSTAL.CAM I LLE.12
38614178
Digitally signed by AMSCHLER.CRYSTAL.CAMILLE.1238614178
DN: c=US, o=U.S. Government, ou=DoD, ou=PKI, ou=USA,
cn=AMSCH LER.CRYSTAL.CAM II LnnLE.1238614178
Date: 2016.11.17 08:46:55 �icK-Ilere to enter a date.
USACE Project Manager Signature Date of Signature
Current Wilmington District mitigation guidance, including information on mitigation ratios, functional assessments, and
mitigation bank location and availability, and credit classifications (including stream temperature and wetland groupings) is
available at http://ribits.usace.army.mil.
Page 2 of 2
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 http://regulatory.usacesurvey.com/ to complete the survey online.

Appendix D
DWR# 11-0022V4 401 Water
Quality Certification (2018)
and USACE Email dated
February 2, 2018

ROY COOPER
MICHAEL S. REGAN
t
Secretary
Water Resources LINDA CULPEPPER
Environmental Quality Interim Director
13 April 2018
DWR# 11-0022V4
Mecklenburg County
Ms. Erin Shanaberger
Charlotte/Mecklenburg Storm Water
600 E. Fourth Street
Charlotte, NC 28202
Subject: APPROVAL_ of 401 Water Quality Certification with Additional Conditions
Louise Avenue Capital Project
Dear Ms, Shanaberger:
You have our approval, in accordance with the General Certifications and those conditions listed
below, for the purpose proposed in your application received by the Division of Water Resources (the
Division) on April 9, 2018. After reviewing your application, we have determined that this project is
covered by Water Quality General Certification Numbers 4132 and 4134 which can be viewed on our
web site at https: //de.ne. g ov/about/divisions/water-resources/water-resources- ermits/wastewater-
branch/401-wetlands-buffer-permits/401-general-certifications. The General Certification allows you to
use Nationwide Permit Numbers 3 and 27 once it is issued to you by the U.S. Army Corps of Engineers
(COE). Please note that you should get any other federal, state or local permits before proceeding with
your project, including those required by (but not limited to) Sediment and Erosion Control, Non -
Discharge, and Water Supply Watershed regulations.
The above noted Certifications will expire when the associated 404 permits expire unless
otherwise specified in the General Certifications. It is advised that all conditions of the Certifications are
reviewed prior to initiation of the project. In addition to the requirements of the Certifications, you must
also comply with the following conditions:
This approval is only valid for the purpose and design that you described in your application. If
you change your project, you must notify us in writing, and you may be required to send us a
new application for a new Certification. If total wetland fills for this project (now or in the future)
exceed one acre, or of total impacts to streams (now or in the future) exceed 300 linear feet,
compensatory mitigation may be required. If the property is sold, the new owner must be given
a copy of the Certification and approval letter; and is thereby responsible for complying with all
conditions. 15A NCAC 021-11.0506 and 15A NCAC 02H .0507
2. The Mooresville Regional Office shall be notified in writing once construction at the approved
impact areas has commenced. 15A NCAC 02H .0502 (e)
"'Nothing Colnpares".y
State of Worth Carolina i Environmental Quality
1611 Mail Service Center i Raleigh, North Carolina 27699-1611
919-707-9000

3. Approved Impacts:
Type of Impact
Amount Approved
Temporary Impact
Amount Approved
Permanent Impact
Stream
942 linear ft.
156 linear ft.
Wetland
0.0 acre
0.0 acre
4. Stream reshaping, if conducted, should be performed above the ordinary highwater mark.
5. Stormwater discharge structures at this site shall be constructed in a manner such that the
potential receiving streams (of the discharge) will not be impacted due to sediment accumulations,
scouring or erosion of the stream banks. 15A NCAC 02H .0506(b)(5)
6. During the construction of the project, no staging of equipment of any kind is permitted in waters
of the U.S., or protected riparian buffers. 15A NCAC 02H .0506(b)(3)
7. Per the Charlotte Interagency Review Team, mitigation will be purchased through the City of
Charlottes Mitigation bank.
8. Immediately upon completion of the installation of a culvert or removal of a flow restricting device,
water flow shall be returned to its natural course. Existing stream dimensions (including the cross
section dimensions, pattern, and longitudinal profile) must be maintained (or restored via
constructed benches) above and belew locations of each culvert. If any of the existing pipes are
or become perched, the appropriate stream grade shall be re-established or, if the pipes installed
in a perched manner, the pipes shall be removed and re -installed correctly. 15A NCAC
02H.0506(b)(2)
This Certification can be contested as provided in Articles 3 and 4 of the General Statute 150B
by filing a written petition for an administrative hearing to the Office of the Administrative Hearings
(hereby known as OAH). A petition form may be obtained from the OAH at http://www.ncoah.com/or by
calling the OAH Clerk's Office at [phone].
Within sixty (60) calendar days of receipt of this notice, a petition must be filed with the OAH. A
petition is considered filed when the original and one (1) copy along with any applicable OAH filing fee
is received in the OAH during normal office hours (Monday through Friday, 8:00 am to 5:00 pm,
excluding state holidays).
The petitions may be faxed to the OAH at [phone], provided the original and one (1)
copy of the petition along with any applicable OAH filing fee is received by the OAH within five (5)
business days following the faxed transmission. Mailing address for the OAH:
If sending via US Postal Service: if sending via delivery service (UPS, FedEx, etc.)
Office of Administrative Hearings Office of Administrative Hearings
6714 Mail Service Center 1711 New Hope Church Rd,
Raleigh, NC 27699-6714 Raleigh, NC 27609-6285

One (1) copy of the petition must also be served on DEQ as follows:
Mr. William Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, NC 27699-1601
This letter completes the review by the Division under Section 401 of the Clean Water Act. If
you have any questions, please telephone Mr. Alan Johnson in the Mooresville Regional Office at 704-
663-1699 or Ms. Karen Higgins in the Central Office in Raleigh 919-807-6360.
Sincerely, ,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office, DEQ
Attachments
cc: Crystal Amschler, Army Corps of Engineers, Asheville (email)
David Homans, SME, (email)
Karen Higgins, Wetlands Unit (email)
MRO, Land Quality

From: Amschler, Crystal C CIV USARMY CESAW (US)
To: Simonson. Helen; Johnson. Alan
Subject: RE: Permit Renewal -Louise Ave CIP
Date: Friday, February 02, 2018 4:10:08 PM
Helen,
I will put the new permit verification request in the file. Since I'm getting quite a few of these in these
days due to the up -coming expiration of the one year extension, I've been letting these go statutory
when there are no changes to the impacts. So as such, I don't plan on issuing a formal verification for
this project but I can send you an email once the permit hits the 45 days to let you know that it has
been authorized via statutory authority.
Crystal C. Amschler
Project Manager
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, NC 28403
(828)-271-7980 Ext 4231
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:
Blockedhttp://corpsmapu. usace.army. mil/cm_apex/f? p=136:4:0
-----Original Message -----
From: Simonson, Helen [maiIto: Helen. Simonson(a)ci.charlotte.nc.us]
Sent: Monday, January 29, 2018 11:52 AM
To: Amschler, Crystal C CIV USARMY CESAW (US)<[e-mail]>; Johnson,
Alan <[e-mail]>
Subject: [Non-DoD Source] Permit Renewal -Louise Ave CIP
Crystal and Alan,
Louise CIP project requires (another) permit renewal. Nothing has changed since the last renewal from
August 18, 2016. The City will bid this project this year. USACE# 2011-00366/ DWQ# 11-0022.
I am attaching Cover Letters, PCN and plan sheets.
Please let me know if you would like me to formally submit or if this submittal is sufficient.
Thank you,
Helen Simonson.
Storm Water Services Wetland Specialist
City of Charlotte, NC USA
mailto: helen.simonson(a)charlottenc.gov

Office: [phone]
Cellular: [phone]

Appendix F
NCSAM and NCDWQ
Stream Identification Forms

NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2.1
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): Louise Avenue CIP
3. Applicant/owner name: CSWS
5. County: Mecklenburg
7. River basin: Catawba
Date of evaluation: 4/19/23
Assessor name/organization: Paul Bright / HDR, Inc.
Nearest named water body
on USGS 7.5-minute quad: Little Sugar Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.223626,-80.818988
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): Site 1 10. Length of assessment reach evaluated (feet): 250
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 2-4 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 15-20 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ®Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains (M) ® Piedmont (P) ❑ Inner Coastal Plain (1) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ❑A1 1 ®B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip ❑Size 1 (< 0.1 mi2) ❑Size 2 (0.1 to < 0.5 mil) ®Size 3 (0.5 to < 5 mil) ❑Size 4 (>_ 5 mil)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ❑Yes ®No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑l ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? ®Yes ❑No
1. Channel Water — assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
®A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction — assessment reach metric
❑A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
®B Not A
3. Feature Pattern —assessment reach metric
®A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
❑B Not A
4. Feature Longitudinal Profile — assessment reach metric
®A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
❑B Not A
5. Signs of Active Instability — assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
❑A < 10% of channel unstable
®B 10 to 25% of channel unstable
❑C > 25% of channel unstable

Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
❑B ®B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
®C ❑C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
❑A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
®I Other: (explain in "Notes/Sketch" section)
❑J Little to no stressors
8. Recent Weather— watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes ®No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. ❑Yes ❑No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach)
(skip for Size 4 Coastal Plain streams)
❑A
Multiple aquatic macrophytes and aquatic mosses
F, V)
❑F
5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats)
L E
❑G
Submerged aquatic vegetation
❑B
Multiple sticks and/or leaf packs and/or emergent
o
❑H
Low -tide refugia (pools)
vegetation
❑1
Sand bottom
®C
Multiple snags and logs (including lap trees)
�
❑J
5% vertical bank along the marsh
®D
5% undercut banks and/or root mats and/or roots
❑K
Little or no habitat
in banks extend to the normal wetted perimeter
®E
Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS**—************************
11. Bedform and Substrate — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11 a. ❑Yes ®No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11b. Bedform evaluated. Check the appropriate box(es).
®A Riffle -run section (evaluate 11c)
®B Pool -glide section (evaluate 11d)
❑C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c. In riffle sections, check all that occur below the normal wetted perimeter of the assessment reach —whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _ > 10-40%, Abundant (A) _ > 40-70%, Predominant (P) _ > 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
® ❑ ❑ ❑ ❑ Bedrock/saprolite
❑ ® ❑ ❑ ❑ Boulder (256 — 4096 mm)
❑ ❑ ❑ ® ❑ Cobble (64 — 256 mm)
❑ ❑ ® ❑ ❑ Gravel (2 — 64 mm)
❑ ❑ ® ❑ ❑ Sand (.062 — 2 mm)
❑ ® ❑ ❑ ❑ Silt/clay (< 0.062 mm)
® ❑ ❑ ❑ ❑ Detritus
❑ ❑ ® ❑ ❑ Artificial (rip -rap, concrete, etc.)
11d. ❑Yes ®No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12
Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ®Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ®Other fish
❑ ❑Salamanders/tadpoles
❑ ❑Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water >_ 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
®N ®N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
❑A Streams and/or springs (jurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low -flow periods within the assessment area (beaver dam, leaky dam, bottom -release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
❑E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
®A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low -flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
❑C Urban stream (>_ 24% impervious surface for watershed)
❑D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
HE Assessment reach relocated to valley edge
❑F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
❑A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
®C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
❑A ❑A ❑A ❑A >_ 100 feet wide or extends to the edge of the watershed
❑B ®B ❑B ❑B From 50 to < 100 feet wide
®C ❑C ❑C ❑C From 30 to < 50 feet wide
❑D ❑D ❑D ❑D From 10 to < 30 feet wide
❑E ❑E ®E ®E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
❑A ❑A Mature forest
®B ®B Non -mature woody vegetation or modified vegetation structure
❑C ❑C Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D Maintained shrubs
❑E ❑E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22:
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B ❑B ❑B ❑B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
❑A ❑A Medium to high stem density
❑B ❑B Low stem density
®C ®C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
❑A ❑A The total length of buffer breaks is < 25 percent.
®B ®B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
❑B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
®C ®C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity —assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes ®No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑B 46 to < 67 ❑C 67 to < 79 ❑D 79 to < 230 ❑E >_ 230
Notes/Sketch:
Assessment reach between a gravel parking lot and a parking lot for the City of Charlotte's garbage trucks. Bricks, concrete, plastic pieces, and
other urban debris found in channel.

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name Louise Avenue CIP Date of Assessment
4/19/23
Stream Category Pb3 Assessor Name/Organization
Paul Bright / HDR, Inc.
Notes of Field Assessment Form (Y/N)
YES
Presence of regulatory considerations (Y/N)
NO
Additional stream information/supplementary measurements included (Y/N)
YES
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Perennial
USACE/ NCDWR
Function Class Rating Summary All
Streams Intermittent
(1) Hydrology
LOW
(2) Baseflow
HIGH
(2) Flood Flow
LOW
(3) Streamside Area Attenuation
LOW
(4) Floodplain Access
LOW
(4) Wooded Riparian Buffer
LOW
(4) Microtopography
NA
(3) Stream Stability
MEDIUM
(4) Channel Stability
MEDIUM
(4) Sediment Transport
HIGH
(4) Stream Geomorphology
LOW
(2) Stream/Intertidal Zone Interaction
NA
(2) Longitudinal Tidal Flow
NA
(2) Tidal Marsh Stream Stability
NA
(3) Tidal Marsh Channel Stability
NA
(3) Tidal Marsh Stream Geomorphology
NA
(1) Water Quality
LOW
(2) Baseflow
HIGH
(2) Streamside Area Vegetation
LOW
(3) Upland Pollutant Filtration
MEDIUM
(3) Thermoregulation
LOW
(2) Indicators of Stressors
NO
(2) Aquatic Life Tolerance
LOW
(2) Intertidal Zone Filtration
NA
(1) Habitat
LOW
(2) In -stream Habitat
MEDIUM
(3) Baseflow
HIGH
(3) Substrate
HIGH
(3) Stream Stability
MEDIUM
(3) In -stream Habitat
LOW
(2) Stream -side Habitat
LOW
(3) Stream -side Habitat
LOW
(3) Thermoregulation
LOW
(2) Tidal Marsh In -stream Habitat
NA
(3) Flow Restriction
NA
(3) Tidal Marsh Stream Stability
NA
(4) Tidal Marsh Channel Stability
NA
(4) Tidal Marsh Stream Geomorphology
NA
(3) Tidal Marsh In -stream Habitat
NA
(2) Intertidal Zone
NA
Overall
LOW

NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2.1
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): Louise Avenue CIP
3. Applicant/owner name: CSWS
5. County: Mecklenburg
7. River basin: Catawba
Date of evaluation: 4/19/23
Assessor name/organization: Paul Bright / HDR, Inc.
Nearest named water body
on USGS 7.5-minute quad: Little Sugar Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.224627,-80.815994
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): Site 2 10. Length of assessment reach evaluated (feet): 100
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 1-2 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 8-10 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ®Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains (M) ® Piedmont (P) ❑ Inner Coastal Plain (1) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ❑A1 1 ®B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip ❑Size 1 (< 0.1 mi2) ®Size 2 (0.1 to < 0.5 mil) ❑Size 3 (0.5 to < 5 mil) ❑Size 4 (>_ 5 mil)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ❑Yes ®No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑l ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? ❑Yes ❑No
1. Channel Water — assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
®A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction — assessment reach metric
®A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
❑B Not A
3. Feature Pattern —assessment reach metric
®A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
❑B Not A
4. Feature Longitudinal Profile — assessment reach metric
®A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
❑B Not A
5. Signs of Active Instability — assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
❑A < 10% of channel unstable
❑B 10 to 25% of channel unstable
®C > 25% of channel unstable

Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
❑B ❑B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
®C ®C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
®A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
®I Other: (explain in "Notes/Sketch" section)
❑J Little to no stressors
8. Recent Weather— watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes ®No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. ❑Yes ❑No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach)
(skip for Size 4 Coastal Plain streams)
❑A
Multiple aquatic macrophytes and aquatic mosses
F, V)
❑F
5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats)
L E
❑G
Submerged aquatic vegetation
❑B
Multiple sticks and/or leaf packs and/or emergent
o
❑H
Low -tide refugia (pools)
vegetation
❑1
Sand bottom
❑C
Multiple snags and logs (including lap trees)
❑J
5% vertical bank along the marsh
❑D
5% undercut banks and/or root mats and/or roots
❑K
Little or no habitat
in banks extend to the normal wetted perimeter
®E
Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS**—************************
11. Bedform and Substrate — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11 a. ®Yes ❑No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11b. Bedform evaluated. Check the appropriate box(es).
®A Riffle -run section (evaluate 11c)
®B Pool -glide section (evaluate 11d)
❑C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c. In riffle sections, check all that occur below the normal wetted perimeter of the assessment reach —whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _ > 10-40%, Abundant (A) _ > 40-70%, Predominant (P) _ > 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
® ❑ ❑ ❑ ❑ Bedrock/saprolite
® ❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
❑ ❑ ® ❑ ❑ Cobble (64 — 256 mm)
❑ ❑ ❑ ® ❑ Gravel (2 — 64 mm)
❑ ❑ ® ❑ ❑ Sand (.062 — 2 mm)
❑ ❑ ® ❑ ❑ Silt/clay (< 0.062 mm)
® ❑ ❑ ❑ ❑ Detritus
❑ ® ❑ ❑ ❑ Artificial (rip -rap, concrete, etc.)
11d. ❑Yes ®No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12
Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ❑Yes ®No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ❑Other fish
❑ ❑Salamanders/tadpoles
❑ ❑Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water >_ 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
®N ®N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
❑A Streams and/or springs (jurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low -flow periods within the assessment area (beaver dam, leaky dam, bottom -release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
HE Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low -flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
®C Urban stream (>_ 24% impervious surface for watershed)
❑D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
❑A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
®B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
❑A ❑A ❑A ❑A >_ 100 feet wide or extends to the edge of the watershed
❑B ❑B ❑B ❑B From 50 to < 100 feet wide
❑C ❑C ❑C ❑C From 30 to < 50 feet wide
®D ®D ®D ®D From 10 to < 30 feet wide
❑E ❑E ❑E ❑E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
❑A ®A Mature forest
®B ❑B Non -mature woody vegetation or modified vegetation structure
❑C ❑C Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D Maintained shrubs
❑E ❑E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22: ❑
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ®B ❑B ❑B ®B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
❑A ❑A Medium to high stem density
®B ®B Low stem density
❑C ❑C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
®A ®A The total length of buffer breaks is < 25 percent.
❑B ❑B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
❑B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
®C ®C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity —assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes ®No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑B 46 to < 67 ❑C 67 to < 79 ❑D 79 to < 230 ❑E >_ 230
Notes/Sketch:
Assessment reach has paved parking lots < 100 feet on both sides. Appears channel was altered/straightened in the past. Concrete, bricks, tires,
rubber, and plastic pieces were found in the channel.

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name Louise Avenue CIP Date of Assessment
4/19/23
Stream Category Pb2 Assessor Name/Organization
Paul Bright / HDR, Inc.
Notes of Field Assessment Form (Y/N)
YES
Presence of regulatory considerations (Y/N)
NO
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Perennial
USACE/ NCDWR
Function Class Rating Summary All
Streams Intermittent
(1) Hydrology
LOW
(2) Baseflow
MEDIUM
(2) Flood Flow
LOW
(3) Streamside Area Attenuation
LOW
(4) Floodplain Access
LOW
(4) Wooded Riparian Buffer
LOW
(4) Microtopography
NA
(3) Stream Stability
LOW
(4) Channel Stability
LOW
(4) Sediment Transport
HIGH
(4) Stream Geomorphology
LOW
(2) Stream/Intertidal Zone Interaction
NA
(2) Longitudinal Tidal Flow
NA
(2) Tidal Marsh Stream Stability
NA
(3) Tidal Marsh Channel Stability
NA
(3) Tidal Marsh Stream Geomorphology
NA
(1) Water Quality
LOW
(2) Baseflow
MEDIUM
(2) Streamside Area Vegetation
MEDIUM
(3) Upland Pollutant Filtration
MEDIUM
(3) Thermoregulation
MEDIUM
(2) Indicators of Stressors
YES
(2) Aquatic Life Tolerance
LOW
(2) Intertidal Zone Filtration
NA
(1) Habitat
LOW
(2) In -stream Habitat
LOW
(3) Baseflow
MEDIUM
(3) Substrate
HIGH
(3) Stream Stability
LOW
(3) In -stream Habitat
LOW
(2) Stream -side Habitat
MEDIUM
(3) Stream -side Habitat
LOW
(3) Thermoregulation
HIGH
(2) Tidal Marsh In -stream Habitat
NA
(3) Flow Restriction
NA
(3) Tidal Marsh Stream Stability
NA
(4) Tidal Marsh Channel Stability
NA
(4) Tidal Marsh Stream Geomorphology
NA
(3) Tidal Marsh In -stream Habitat
NA
(2) Intertidal Zone
NA
Overall
LOW

NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2.1
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): Louise Avenue CIP
3. Applicant/owner name: CSWS
5. County: Mecklenburg
7. River basin: Catawba
Date of evaluation: 4/19/23
Assessor name/organization: Paul Bright, HDR, Inc.
Nearest named water body
on USGS 7.5-minute quad: Little Sugar Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.225535,-80.815467
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): Site 3 10. Length of assessment reach evaluated (feet): 200
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 2-5 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 15-20 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ®Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains (M) ® Piedmont (P) ❑ Inner Coastal Plain (1) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ❑A1 1 ®B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip ❑Size 1 (< 0.1 mi2) ®Size 2 (0.1 to < 0.5 mil) ❑Size 3 (0.5 to < 5 mil) ❑Size 4 (>_ 5 mil)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ❑Yes ®No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑l ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? ®Yes ❑No
1. Channel Water — assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
®A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction — assessment reach metric
®A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
❑B Not A
3. Feature Pattern —assessment reach metric
®A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
❑B Not A
4. Feature Longitudinal Profile — assessment reach metric
®A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
❑B Not A
5. Signs of Active Instability — assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
❑A < 10% of channel unstable
❑B 10 to 25% of channel unstable
®C > 25% of channel unstable

Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
❑B ❑B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
®C ®C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
®A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
®I Other: (explain in "Notes/Sketch" section)
❑J Little to no stressors
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes ®No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. ❑Yes ❑No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach)
(skip for Size 4 Coastal Plain streams)
❑A
Multiple aquatic macrophytes and aquatic mosses
F, V)
❑F
5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats)
L E
❑G
Submerged aquatic vegetation
❑B
Multiple sticks and/or leaf packs and/or emergent
o
❑H
Low -tide refugia (pools)
vegetation
❑1
Sand bottom
❑C
Multiple snags and logs (including lap trees)
❑J
5% vertical bank along the marsh
®D
5% undercut banks and/or root mats and/or roots
❑K
Little or no habitat
in banks extend to the normal wetted perimeter
®E
Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS**—************************
11. Bedform and Substrate — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
1la. ❑Yes ®No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11b. Bedform evaluated. Check the appropriate box(es).
®A Riffle -run section (evaluate 11c)
®B Pool -glide section (evaluate 11d)
❑C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c. In riffle sections, check all that occur below the normal wetted perimeter of the assessment reach —whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _ > 10-40%, Abundant (A) _ > 40-70%, Predominant (P) _ > 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
® ❑ ❑ ❑ ❑ Bedrock/saprolite
❑ ® ❑ ❑ ❑ Boulder (256 — 4096 mm)
❑ ❑ ❑ ® ❑ Cobble (64 — 256 mm)
❑ ❑ ® ❑ ❑ Gravel (2 — 64 mm)
❑ ® ❑ ❑ ❑ Sand (.062 — 2 mm)
❑ ® ❑ ❑ ❑ Silt/clay (< 0.062 mm)
® ❑ ❑ ❑ ❑ Detritus
❑ ❑ ® ❑ ❑ Artificial (rip -rap, concrete, etc.)
11d. ❑Yes ®No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12
Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ❑Yes ®No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ❑Other fish
❑ ❑Salamanders/tadpoles
❑ ❑Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water >_ 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
®N ®N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
❑A Streams and/or springs (jurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low -flow periods within the assessment area (beaver dam, leaky dam, bottom -release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
❑E Stream bed or bank soil reduced (dig through deposited sediment if present)
®F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low -flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
®C Urban stream (>_ 24% impervious surface for watershed)
®D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
❑A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
®B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
❑A ❑A ❑A ❑A >_ 100 feet wide or extends to the edge of the watershed
❑B ❑B ❑B ❑B From 50 to < 100 feet wide
❑C ®C ❑C ®C From 30 to < 50 feet wide
❑D ❑D ❑D ❑D From 10 to < 30 feet wide
HE ❑E ®E ❑E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
❑A ®A Mature forest
®B ❑B Non -mature woody vegetation or modified vegetation structure
❑C ❑C Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D Maintained shrubs
❑E ❑E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22: ❑
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B ❑B ❑B ®B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
❑A ®A Medium to high stem density
®B ❑B Low stem density
❑C ❑C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
®A ®A The total length of buffer breaks is < 25 percent.
❑B ❑B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
❑B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
®C ®C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity —assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes ®No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑B 46 to < 67 ❑C 67 to < 79 ❑D 79 to < 230 ❑E >_ 230
Notes/Sketch:
Rip rap is along the majority of the left bank. A shopping cart, plastics, and other urban debris were found in channel.

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name Louise Avenue CIP Date of Assessment
4/19/23
Stream Category Pb2 Assessor Name/Organization
Paul Bright, HDR, Inc.
Notes of Field Assessment Form (Y/N)
YES
Presence of regulatory considerations (Y/N)
NO
Additional stream information/supplementary measurements included (Y/N)
YES
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Perennial
USACE/ NCDWR
Function Class Rating Summary All
Streams Intermittent
(1) Hydrology
LOW
(2) Baseflow
MEDIUM
(2) Flood Flow
LOW
(3) Streamside Area Attenuation
LOW
(4) Floodplain Access
LOW
(4) Wooded Riparian Buffer
MEDIUM
(4) Microtopography
NA
(3) Stream Stability
LOW
(4) Channel Stability
LOW
(4) Sediment Transport
HIGH
(4) Stream Geomorphology
LOW
(2) Stream/Intertidal Zone Interaction
NA
(2) Longitudinal Tidal Flow
NA
(2) Tidal Marsh Stream Stability
NA
(3) Tidal Marsh Channel Stability
NA
(3) Tidal Marsh Stream Geomorphology
NA
(1) Water Quality
LOW
(2) Baseflow
MEDIUM
(2) Streamside Area Vegetation
LOW
(3) Upland Pollutant Filtration
LOW
(3) Thermoregulation
MEDIUM
(2) Indicators of Stressors
YES
(2) Aquatic Life Tolerance
LOW
(2) Intertidal Zone Filtration
NA
(1) Habitat
LOW
(2) In -stream Habitat
LOW
(3) Baseflow
MEDIUM
(3) Substrate
HIGH
(3) Stream Stability
LOW
(3) In -stream Habitat
LOW
(2) Stream -side Habitat
MEDIUM
(3) Stream -side Habitat
LOW
(3) Thermoregulation
HIGH
(2) Tidal Marsh In -stream Habitat
NA
(3) Flow Restriction
NA
(3) Tidal Marsh Stream Stability
NA
(4) Tidal Marsh Channel Stability
NA
(4) Tidal Marsh Stream Geomorphology
NA
(3) Tidal Marsh In -stream Habitat
NA
(2) Intertidal Zone
NA
Overall
LOW

NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2.1
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): Louise Avenue CIP
3. Applicant/owner name: CSWS
5. County: Mecklenburg
7. River basin: Catawba
Date of evaluation: 4/19/23
Assessor name/organization: Paul Bright, HDR, Inc.
Nearest named water body
on USGS 7.5-minute quad: Little Sugar Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.228348,-80.812159
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): Site 4 10. Length of assessment reach evaluated (feet): 150
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 1 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 5-6 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ❑Perennial flow ®Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains (M) ® Piedmont (P) ❑ Inner Coastal Plain (1) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ❑A1 1 ®B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip ®Size 1 (< 0.1 mi2) ❑Size 2 (0.1 to < 0.5 mil) ❑Size 3 (0.5 to < 5 mil) ❑Size 4 (>_ 5 mil)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ❑Yes ®No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑l ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? ❑Yes ❑No
1. Channel Water — assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
®A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction — assessment reach metric
❑A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
®B Not A
3. Feature Pattern —assessment reach metric
®A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
❑B Not A
4. Feature Longitudinal Profile — assessment reach metric
®A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
❑B Not A
5. Signs of Active Instability — assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
❑A < 10% of channel unstable
®B 10 to 25% of channel unstable
❑C > 25% of channel unstable

Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
®B ®B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
❑C ❑C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
❑A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
®I Other: (explain in "Notes/Sketch" section)
❑J Little to no stressors
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes ®No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. ❑Yes ❑No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach)
(skip for Size 4 Coastal Plain streams)
❑A
Multiple aquatic macrophytes and aquatic mosses
F, V)
❑F
5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats)
L E
❑G
Submerged aquatic vegetation
❑B
Multiple sticks and/or leaf packs and/or emergent
o
❑H
Low -tide refugia (pools)
vegetation
❑1
Sand bottom
❑C
Multiple snags and logs (including lap trees)
❑J
5% vertical bank along the marsh
❑D
5% undercut banks and/or root mats and/or roots
❑K
Little or no habitat
in banks extend to the normal wetted perimeter
®E
Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS**—************************
11. Bedform and Substrate — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
1la. ❑Yes ®No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11b. Bedform evaluated. Check the appropriate box(es).
®A Riffle -run section (evaluate 11c)
❑B Pool -glide section (evaluate 11d)
❑C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c. In riffle sections, check all that occur below the normal wetted perimeter of the assessment reach —whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _ > 10-40%, Abundant (A) _ > 40-70%, Predominant (P) _ > 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
® ❑ ❑ ❑ ❑ Bedrock/saprolite
® ❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
❑ ® ❑ ❑ ❑ Cobble (64 — 256 mm)
❑ ® ❑ ❑ ❑ Gravel (2 — 64 mm)
❑ ® ❑ ❑ ❑ Sand (.062 — 2 mm)
❑ ❑ ❑ ® ❑ Silt/clay (< 0.062 mm)
® ❑ ❑ ❑ ❑ Detritus
❑ ❑ ® ❑ ❑ Artificial (rip -rap, concrete, etc.)
11d. ❑Yes ❑No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12
Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ❑Yes ®No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ❑Other fish
❑ ❑Salamanders/tadpoles
❑ ❑Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water >_ 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
®N ®N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
❑A Streams and/or springs (jurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low -flow periods within the assessment area (beaver dam, leaky dam, bottom -release dam, weir)
®D Evidence of bank seepage or sweating (iron in water indicates seepage)
❑E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low -flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
®C Urban stream (>_ 24% impervious surface for watershed)
®D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
❑A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
®B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
❑A ❑A ❑A ❑A >_ 100 feet wide or extends to the edge of the watershed
❑B ❑B ❑B ❑B From 50 to < 100 feet wide
®C ®C ®C ®C From 30 to < 50 feet wide
❑D ❑D ❑D ❑D From 10 to < 30 feet wide
❑E ❑E ❑E ❑E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
❑A ❑A Mature forest
®B ®B Non -mature woody vegetation or modified vegetation structure
❑C ❑C Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D Maintained shrubs
❑E ❑E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22: ❑
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B ❑B ®B ®B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
®A ❑A Medium to high stem density
❑B ®B Low stem density
❑C ❑C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
❑A ❑A The total length of buffer breaks is < 25 percent.
®B ®B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
❑B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
®C ®C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity —assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes ®No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑B 46 to < 67 ❑C 67 to < 79 ❑D 79 to < 230 ❑E >_ 230
Notes/Sketch:
Rip rap and grade control structures are located in and on the stream banks approaching the existing headwall.

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name Louise Avenue CIP Date of Assessment
4/19/23
Stream Category Pb1 Assessor Name/Organization
Paul Bright, HDR, Inc.
Notes of Field Assessment Form (Y/N)
YES
Presence of regulatory considerations (Y/N)
NO
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Intermittent
USACE/
NCDWR
Function Class Rating Summary All
Streams
Intermittent
(1) Hydrology
LOW
LOW
(2) Baseflow
MEDIUM
MEDIUM
(2) Flood Flow
LOW
LOW
(3) Streamside Area Attenuation
MEDIUM
MEDIUM
(4) Floodplain Access
MEDIUM
MEDIUM
(4) Wooded Riparian Buffer
MEDIUM
MEDIUM
(4) Microtopography
NA
NA
(3) Stream Stability
LOW
LOW
(4) Channel Stability
MEDIUM
MEDIUM
(4) Sediment Transport
LOW
LOW
(4) Stream Geomorphology
LOW
LOW
(2) Stream/Intertidal Zone Interaction
NA
NA
(2) Longitudinal Tidal Flow
NA
NA
(2) Tidal Marsh Stream Stability
NA
NA
(3) Tidal Marsh Channel Stability
NA
NA
(3) Tidal Marsh Stream Geomorphology
NA
NA
(1) Water Quality
MEDIUM
MEDIUM
(2) Baseflow
MEDIUM
MEDIUM
(2) Streamside Area Vegetation
LOW
LOW
(3) Upland Pollutant Filtration
LOW
LOW
(3) Thermoregulation
MEDIUM
MEDIUM
(2) Indicators of Stressors
NO
NO
(2) Aquatic Life Tolerance
HIGH
NA
(2) Intertidal Zone Filtration
NA
NA
(1) Habitat
LOW
LOW
(2) In -stream Habitat
LOW
LOW
(3) Baseflow
MEDIUM
MEDIUM
(3) Substrate
LOW
LOW
(3) Stream Stability
MEDIUM
MEDIUM
(3) In -stream Habitat
LOW
LOW
(2) Stream -side Habitat
MEDIUM
MEDIUM
(3) Stream -side Habitat
MEDIUM
MEDIUM
(3) Thermoregulation
MEDIUM
MEDIUM
(2) Tidal Marsh In -stream Habitat
NA
NA
(3) Flow Restriction
NA
NA
(3) Tidal Marsh Stream Stability
NA
NA
(4) Tidal Marsh Channel Stability
NA
NA
(4) Tidal Marsh Stream Geomorphology
NA
NA
(3) Tidal Marsh In -stream Habitat
NA
NA
(2) Intertidal Zone
NA
NA
Overall
LOW
LOW

NC DWQ Stream Identification Form Version 4.11
Mainstem
(below Hawthorn Lane)
Date: 4/19/23
Project/Site: Louise Avenue CIP
Latitude: 35.225481
Evaluator: Paul Bright
county: Mecklenburg
Longitude:-80.815558
Total Points:
Stream Determination (
Other Charlotte
Stream is at least intermittent 33
Ephemeral Intermitten Perennial
e.g. Quad Name: East
if>_ 19 orperennial if>_ 30
A. Geomorphology (Subtotal = 19 )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
LJ
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
O2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
1-01
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
1.5
10. Natural valley
0
0.5
1 J
11. Second or greater order channel
No = 0
Yes
3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 8 )
12. Presence of Baseflow
0
1
0
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
L 1
1.5
16. Organic debris lines or piles
0
0.5
Fil
1.5
17. Soil -based evidence of high water table?
No = 0
Yes
L2J
C. Biology (Subtotal = 6 )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
1 0.5
1
1.5
24. Amphibians
_01
0
1 0.5
1
1.5
25. Algae
0
1 0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 Other Loi
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

NC DWQ Stream Identification Form Version 4.11
Tributary 1
Date: 4/19/23
Project/Site: Louise Avenue CIP
Latitude: 35.224621
Evaluator: Paul Bright
county: Mecklenburg
Longitude:-80.815950
Total Points:
Stream Determination (
Other Charlotte
Stream isatleast intermittent 30
Ephemeral Intermitten ttnt
e.g. Quad Name: East
if>_ 99 or perennial if>_ 30*
A. Geomorphology (Subtotal = 15 )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
LJ
2. Sinuosity of channel along thalweg
0
1 1 1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
10
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
1.5
10. Natural valley
0
0.5
1 J
11. Second or greater order channel
No f-01
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 9 )
12. Presence of Baseflow
0
1
O2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5-1
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
1 0.5
F1711.5
17. Soil -based evidence of high water table?
No = 0
Yes
L2J
C. Biology (Subtotal = 6 )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
01
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 Other Loi
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: BW = 4-6'
BH=1-2'

NC DWQ Stream Identification Form Version 4.11
Mainstem
(above Hawthorne Lane)
Date: 4/19/23
Project/Site: Louise Avenue CIP
Latitude: 35.227602
Evaluator: Paul Bright
county: Mecklenburg
Longitude:-80.812680
Total Points:
Stream Det rcle one)
Other Charlotte
Stream is at least intermittent
Ephemeral IIntermittent Perennial
e.g. quad Name: East
if >_ 99 or perennial if >_ 30
A. Geomorphology (Subtotal = y )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1 1 1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
10
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
11 1
2
3
6. Depositional bars or benches
1 0 J
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 7.5 )
12. Presence of Baseflow
0
0
2
3
13. Iron oxidizing bacteria
0
1
21
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
1
(0.51
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes
L2J
C. Biology (Subtotal = 6 )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
01
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 Other Loi
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: BW = 4-5'
BH = 1'

Appendix G
Site Photographs

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Appendix H
Compensatory Mitigation
Responsibility Transfer Form

U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Compensatory Mitigation Responsibility Transfer Form
Permittee: CMSWS Action ID: SAW-2011-00366
Project Name: Louise Ave CIP County: Mecklenburg
Instructions to Permittee: The Permittee must provide a copy of this form to the Mitigation Sponsor, either an approved
Mitigation Bank or the North Carolina Division of Mitigation Services (NCDMS), who will then sign the form to verify the
transfer of the mitigation responsibility. Once the Sponsor has signed this form, it is the Permittee's responsibility to ensure
that to the U.S. Army Corps of Engineers (USACE) Project Manager identified on page two is in receipt of a signed copy of this
form before conducting authorized impacts, unless otherwise specified below. If more than one mitigation Sponsor will be
used to provide the mitigation associated with the permit, or if the impacts and/or the mitigation will occur in more than one
8-digit Hydrologic Unit Code (HUC), multiple forms will be attached to the permit, and the separate forms for each Sponsor
and/or HUC must be provided to the appropriate mitigation Sponsors.
Instructions to Sponsor: The Sponsor must verify that the mitigation requirements (credits) shown below are available at the
identified site. By signing below, the Sponsor is accepting full responsibility for the identified mitigation, regardless of
whether or not they have received payment from the Permittee. Once the form is signed, the Sponsor must update the bank
ledger and provide a copy of the signed form and the updated bank ledger to the Permittee, the USACE Project Manager, and
the Wilmington District Mitigation Office (see contact information on page 2). The Sponsor must also comply with all
reporting requirements established in their authorizing instrument.
Permitted Impacts and Compensatory Mitigation Requirements:
Permitted Impacts Requiring Mitigation* 8-digit HUC and Basin: 03050103, Catawba River Basin
Stream Impacts (linear feet)
Wetland Impacts (acres)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
156
*If more than one mitigation sponsor will be used for the permit, only include impacts to be mitigated by this sponsor.
Compensatory Mitigation Requirements: 8-digit HUC and Basin: Choose the 8-digit HUC
Stream Mitigation (credits)
Wetland Mitigation (credits)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
156
Mitigation Site Debited: CMSWS Umbrella Bank Dairy and Sedgefield Park Branch
(List the name of the bank to be debited. For umbrella banks, also list the specific site. For NCDMS, list NCDMS. If the NCDMS
acceptance letter identifies a specific site, also list the specific site to be debited).
Section to be completed by the Mitigation Sponsor
Statement of Mitigation Liability Acceptance: I, the undersigned, verify that I am authorized to approve mitigation
transactions for the Mitigation Sponsor shown below, and I certify that the Sponsor agrees to accept full responsibility for
providing the mitigation identified in this document (see the table above), associated with the USACE Permittee and Action
ID number shown. I also verify that released credits (and/or advance credits for NCDMS), as approved by the USACE, are
currently available at the mitigation site identified above. Further, I understand that if the Sponsor fails to provide the
required compensatory mitigation, the USACE Wilmington District Engineer may pursue measures against the Sponsor to
ensure compliance associated with the mitigation requirements.
Mitigation Sponsor Name:
Name of Sponsor's Authorized Representative: ` sac,c_ kl�wSo^
N�1.%��y�_��y l�jc=^� *�c"``�^•SwC
Signature of Sponsor's Authorized Representative Date of Signature
Page 1 of 2 Form Updated 23 November, 2015

Appendix I
Credit Reservation letter

Charlotte -Mecklenburg
STORM
WATER
Services U
David Estochen
Storm Water Services
600 E. 4t' Street
Charlotte, NC 28202
Transmitted via email to Noah Meador Noah.Meador(a)charlottenc.gov and Kristen O'Reilly
Kristen.OReilly_&charlottenc. gov
Subject Project: Louise Avenue SDIP
HUC#: 03050103 (Lower Catawba)
SAW-2011-00366
600 E. Fourth Street
Charlotte, NC 28202
Fax [phone]
July 6, 2023
The purpose of this letter is to notify you that the City of Charlotte Umbrella Stream and Wetland Mitigation Bank
("Umbrella Bank") is willing to accept payment for stream impacts associated with the subject project. Please note that the
decision by the Umbrella Bank to accept the mitigation requirements of this project does not assure that this payment will be
approved by the U.S. Army Corps of Engineers or the North Carolina Division of Water Quality 401/Wetlands Unit. It is the
responsibility of the applicant to contact these agencies to determine if payment to the Umbrella Bank for impacts associated
with this project is appropriate.
This acceptance is valid for six months from the date of this letter and will expire January 6, 2024. The following
documents must be submitted to the Umbrella Bank within this time frame for this acceptance to remain valid:
1. 404 Permit Verification
2. 401 Water Quality Certification
3. Executed Departmental Transfer Invoice (DTI) between Engineering Services and Storm Water Services
detailing the use of and payment for the credits described in the table below.
Based on the information supplied by your office, the stream credits that are necessary to satisfy the compensatory mitigation
requirements for this project are detailed in the table below. The total mitigation credits available for this project are also
indicated in this table.
Stream
linear feet
Wetlands
acres
Credits Requested for This Project
219.00
0.0
Credits Available for This Project
219.00
0.0
N iti ation Project Name(s)
City View
The stream and wetland mitigation will be provided as specified in the Section 404 Permit or corresponding 401 Water
Quality Certification for impacts associated with the subject project in Hydrologic Unit 03050103 of the Lower Catawba
Basin. The mitigation will be performed in accordance with the Agreement to Establish the City of Charlotte Umbrella
Stream and Wetland Mitigation Bank in Mecklenburg County, North Carolina, dated June, 16, 2004.
If you have any questions or need additional information, please contact me at [phone] or
enn. shanaberger&charlottenc. gov.
Sincerely,
Charlotte Storm Water Services
Erin Shanaberger, PWS
Mitigation Bank Administrator
cc: File
�s
ll To report pollution or drainage problems, call: 311
;;M1111YI-IT,;. http://stormwater.charmeek.org it.

Appendix J
Meeting Minutes
October 31, 2008
June 15, 2010
February 15, 2023

Charlotte-Meckle riburg
STORM
WATER
Services --
Mitigation Bank Review Team Field Meeting
On -site Mitigation for the Louise Avenue Storm Drainage Improvement Project
October 31, 2008; 11:30am—1:15pm
Attendees
Dance McGee, Charlotte -Mecklenburg Storm Water Services (CMSWS)
Jarrod Karl, CMSWS
Alan Johnson, NC Division of Water Quality (DWQ)
Amanda Jones, US Army Corps of Engineers (USACE)
Andrew Martin, US Infrastructure (USI)
Ashlie Wood, USI
Chris Yow, Baker Engineering (Baker, consultant of CMSWS)
Minutes
➢ The meeting began with introductions and an explanation of each individual's role in the project.
➢ Dance McGee of CMSWS and Andrew Martin of USI then gave a project summary of the planned and completed
storm water improvements and their associated stream impacts.
➢ Chris Yow of Baker then gave a summary of the Louise Avenue Geomorphic Assessment Report (November 2006)
conducted for the three project reaches and the recommended stream restoration or enhancement improvements to
mitigate the stream impacts.
➢ The group then examined Reach 3, the most downstream reach which flows into Little Sugar Creek. Chris Yow
explained the proposed restoration or enhancement improvements as the group walked from Siegle Ave. to the
confluence with Little Sugar Creek. The original Baker assessment report recommended approximately 420 LF of
priority II restoration and 200 LF of enhancement. The general consensus from Alan Johnson of DWQ and
Amanda Jones of USACE (collectively known as the MBRT) was that the reach was fairly stable, although with
invasive vegetation and gabion baskets, and that less priority II restoration should be constructed and more
enhancement. The MBRT agreed that invasive vegetation removal, native vegetation planting, and selective bank
stabilization/profile enhancement would be appropriate stream improvements for this reach.
➢ Reach 2 was examined next at the upstream end from Louise Avenue. Baker proposed 275 LF of priority II stream
restoration and selective bank stabilization, invasive vegetation removal, and planting for approximately 900 LF.
The MBRT agreed that this reach looked more impaired and the stream improvements proposed by Baker would
provide adequate "functional uplift".
➢ Reach 1 was then examined and the MBRT agreed with Baker's restoration approach, which includes 396 LF of
priority II stream restoration. Similar to Reach 2 the MBRT concluded that the stream improvements were justified
by the potential "functional uplift" of this reach.
➢ It is Baker's conclusion following the meeting that less stream mitigation credit will be approved by the MBRT than
was approximated in the Louise Avenue Geomorphic Report (November 2006). However, the MBRT stated that
since the project is not for mitigation banking and for on -site mitigation, they would be less critical with the
mitigation (on -site) credit proposal.

Charlotte -Mecklenburg
STORM
WATER
Services -
Louise Avenue CIP Mitigation/JD Field Review
June 15, 2010; 12pm-2pm
Attendees
Isaac Hinson, Charlotte -Mecklenburg Storm Water Services (CMSWS)
Amanda Jones, U.S. Army Corps of Engineers (USACE)
Tyler Crumbley, U.S. Army Corps of Engineers
Alan Johnson, N.C. Division of Water Quality (NCDWQ)
Chris Yow, Baker Engineering
600 E. Fourth Street
Charlotte, NC 28202
Fax [phone]
Minutes
• Discussed and re -verified suitability of Mitigation Reaches for providing on -site
mitigation
• Reviewed proposed impacts from Louise Avenue CIP that will require mitigation with
the following changes from the mitigation proposal:
o Sheet 3, Stilling basin installation at pipe outlet: WILL REQUIRE MITIGATION
o Sheets 6 and 7, Channel re -alignment with rock toe: WILL NOT REQUIRE
MITIGATION
o All step -pool sequences WILL REQUIRE MITIGATION unless we can eliminate rip
rap fill in between steps
• Both agencies determined that they were fine with the 1:1 mitigation ratio given the
poor quality of the on -site streams and the fact that this is not a mitigation bank project.
• Reviewed jurisdictional determination and determined that all features above
Hawthorne Lane (mainstem and small tributary) identified as intermittent are non -
jurisdictional. This means that impacts within these areas do not count towards the
permitting and mitigation thresholds and applies to the open channel segments on
Sheets 9, 10, 11, and 12.
• CMSWS needs to re -submit an updated package, including updated JD map, for
verification from the USACE
• Potential implications are that permanent impacts from the proposed Louise Avenue CIP
may be able to be reduced to less than 300 linear feet, thereby allowing the project to
be approved under a series of NWPs instead of an IP. In addition, cumulative impacts
may be offset by constructing only a portion of the currently proposed Mitigation
Reaches 1 and 2.
• CMSWS will need to re -quantify jurisdictional impacts and cumulative impacts requiring
mitigation to determine a path forward for permitting.
•
w�T1�a To report pollution or drainage problems, call: 311
http://stormwater.charmeek.org �`
CHAMMW s .

Compensatory Mitigation Reaches
The current mitigation strategy consists of enhancing two reaches, Mitigation Reaches 1 and 2,
of the main on -site perennial tributary. Mitigation Reach 1 is approximately 298 linear feet and
begins at the CSX railroad crossing before terminating at the Louise Avenue road crossing.
Mitigation Reach 2 begins downstream of the Louise Avenue road crossing and extends
downstream for approximately 411 linear feet. Please see the attached Louise Avenue CIP
Project Area and Mitigation Map for mitigation reach locations.
As documented in the detailed stability and geomorphic analyses, and as agreed upon by the IRT
during the October 31, 2008 field review, these mitigation reaches are degraded and if enhanced,
have the potential to provide functional uplift. In general, indicators of stream impairment
consist of vertical and moderately eroding banks, over -widened channel dimensions, lack of
floodplain access, and prevalence of invasive species (mostly kudzu) along the channel. A
detailed report documenting stability and geomorphic assessments along with design rationale
for the proposed mitigation reaches is available upon request.
Goals and Obiectives
Due to lateral site constraints and the inability to restore pattern to these reaches, CMSWS
proposes to use a priority III restoration approach to construct a Rosgen 134c stream type
mitigation reaches. These improvements are consistent with Enhancement I as defined in the
North Carolina Stream Mitigation Guidelines (2003 interagency guidance document). The
objective is to compensate for 420 linear feet of permanent stream impacts by enhancing 709
linear feet of stream located along the same contiguous reach of stream channel. It was agreed
upon during a June 15, 2010 field meeting with the U.S. Army Corps of Engineers and N.C.
Division of Water Quality that the on -site mitigation measures would be sufficient to provide 1:1
mitigation for the cumulative permanent impacts.
Site Selection
Mitigation Reaches 1 and 2 are located within the same contiguous 5,000 linear foot stream
reach as the previous projects and the proposed Louise Avenue CIP. This on -site mitigation
strategy should help to ensure the direct offset of the cumulative impacts, as well as allow for the
construction of the mitigation reaches as part of the Louise Avenue CIP.
Mitigation Work Plan
The current construction plans of the proposed Louise Avenue CIP are enclosed with this
submittal. Sheets P1 and P2 illustrate the plan and profile views for proposed Mitigation
Reaches 1 and 2. These sheets are supplemented by details (Sheets 131-135), typical cross-section
drawings (Sheet XS1), and landscape plans (Sheets LP3 and LP4). In general, enhancement
measures will include dimension and profile improvements; installation of various in -stream
habitat structures and riffle -pool sequences; bank stabilization using biodegradable mesh and
native riparian vegetation; and riparian buffer restoration, including invasive plant eradication
and native plant establishment. Native plant establishment areas and the associated planting

USACE, NC DWR, Charlotte Storm Water Services 401/404 Permitting Meeting
Wednesday, February 15, 2023, 930am—1230pm
In attendance: Samantha Daily (USACE), Megan Jolly (USACE), Doug Perez (USACE), Sue Homewood (NC
DWR), Kristen O'Reilly (CSWS), Noah Meador (CSWS) and Donna Hood (CSWS)
I. LOUISE AVE SDIP
Kristen provided a handout of information about Louise Ave and Lyon Court, two large SDIPs requiring
notification. Louise is in design and Lyon Court just finished construction. Louise Ave SDIP has previously
been authorized three times. CSWS plans to request authorization for the project again but with some
changes.
929 Louise Avenue
Instream work proposed on sheet P1
The group observed conditions in the open channel just past the pipe system proposed for
upgrade/replacement. The stream is incised with substantial rip rap, banks are covered in kudzu, and
the lower banks are sheer and collapsing in areas. It is proposed to install a large stilling basin, grade a
flood plain bench predominately on the left bank, and install several constructed riffles, log vanes and
brushed mattresses. CSWS plans to keep this proposed work (sheet P1) as previously authorized.
Discussions continued about conditions downstream of the Louise culvert where additional instream
structures and channel work was proposed (sheets P2 and P3). CSWS plans to pull this work out of the
project because the parts of this channel where work is proposed are bedrock and/or relatively stable
from concrete rubble and invasives. They believe the benefit of installing instream structures in these
relatively stable areas is minimal and may create more instability. The agencies agreed with this
approach.
One -foot drops made of Redi Rock
The group also discussed the "6-inch rule" and the proposed 1' drops leading into the Hawthorne Lane
pipe system well upstream. Kristen asked if drops over 6" right before an extensive pipe system
(>1100LF) is acceptable and if so, could they be constructed of Redi Rock. She fears 1' vanes out of
natural rock will not be stable. The agencies said this was acceptable and emphasized that drops >6" and
use of Redi Rock on the bed and banks should be avoided, but there are circumstances when it is
acceptable. Sam suggested documenting the lack of biological health as further support for exceeding
the 6" ALP height.
Use of NWP 3/ WQGC 4239 for point repair projects
CSWS asked about using NWP 3 for projects that meet the conditions of non- notification under
NWP 3 instead of the RGP. These projects would still be tracked, and info would be provided as
part of the RGP Annual Report. The main difference for CSWS would be the process used for
permitting these projects. Permitting staff would still attend PCC and final walks to ensure the
project is compliant with NWP 3, but they would maintain much less documentation than
projects permitted under the RGP. Sam and Sue thought this was an acceptable process.
929 Seigle Ave
The group observed conditions at the Seigle Ave culvert. Photos upstream showed the bed and banks
covered in rip rap. Downstream appeared stable. Plans (Sheet P3) previously proposed rock vanes

USACE, NC DWR, Charlotte Storm Water Services 401/404 Permitting Meeting
Wednesday, February 15, 2023, 930am—1230pm
upstream and downstream of the culvert. There were also past discussions about installation of baffles
in the culvert. The group agreed there would be little benefit to installing any of these instream
structures or baffles.
The agencies also agreed that if the enhancement work on sheets P2 and P3 were intended to be "self -
mitigation" for the Seigle, Otts and Louise culverts, that requirement was not documented in permits
and should not be required retroactively. Removing this work will have no impact on permitting or
mitigation.
II. Lyon Court SDIP
1520 Iris Drive
Permitting Lyon Court Repairs
The group discussed how repairs will be permitted for Lyon Court. Sam and Sue did not think the entire
project needed to be reauthorized for repairs. Sam suggested permitting repairs through NWP 3 and/or
the RGP if the same design already authorized would be used. She also said that if repair requires new
design, it should be submitted through PCN process.
Rock Sills upstream of Iris Drive Culvert
The group thought the erosion on the left bank alongside the rock sills is likely from a combination of
parking lot sheet runoff and stormwater pressures on that bend. DWR and USACE thought the stream
bank needed repair, predominately above the OHWM, and that the sills looked relatively stable.
Kristen asked for guidance related to the length of time CSWS is responsible for in -stream structures to
measure <_ 6". For example, when structures are compliant as built, but shift or become non -compliant
during the warranty period. The agencies generally said that if structures were built per plan, then
repairs should be generally based on the goal for long term stability. Sue mentioned that monitoring for
stability should be spelled out in the permits, usually 2 years and/or 2 bankful events is listed as a special
condition in the 401. No special condition exists for the Lyon Court Project.
The agencies did not have a problem with 5 sills (versus 7 planned) because they were relatively stable
and within the linear feet of impacts authorized. They said deviations like this can be ok, but it should be
properly authorized by permitting staff, (CSWS, USACE or DWR) before construction occurs.
Culvert baffles are buried
The group discussed baffles which were built to a height of 12", instead of > 12" which would encourage
meandering above the burial level. CSWS said they have observed the baffles to be either completely
buried or with little to no sediment at all. The agencies did not think over widening of the stream was a
big concern here because there were floodplain culverts, and the baffles were very short (1').
1230 Morningside Drive
The group discussed the downstream stilling basin (plunge pool) that had filled in. The group felt if
structures are buried but stable, documentation of the structures and impacts as built serves as
compliant. Kristen asked if instream structures designed for 6" but constructed slightly higher or that
become slightly higher from storms, are problematic for compliance. Sue said there is a certain amount

USACE, NC DWR, Charlotte Storm Water Services 401/404 Permitting Meeting
Wednesday, February 15, 2023, 930am—1230pm
of shifting inevitable for instream structures. It's important to document as built conditions. In stream
structures should be rebuilt if they are unstable.
Separate and Complete
The group discussed how to determine separate and complete and that the term primarily came from
preventing new development from separating new culverts to avoid thresholds. The agencies agreed
that most culverts CSWS is replacing can be considered separate and complete.
Redi Rock and Gabion Walls
CSWS said that previous USACE and NCDWR staff requested gabion baskets not be used anymore and
asked for clarification. Sam and Sue said they could not prohibit the use of specific materials beyond
those specifically called out in the RGP or GC. They said that gabion walls are not preferred, because of
their short life span, but could still be used if justified.
Notification Project Closeout — Certificate of Completion
Kristen requested guidance related to signing certificates of completion and documentation for any
deviations from authorized plans. Le., 5 rock sills versus 7 or the stilling basin has filled in, etc. The
agencies again stressed the need for documenting as -built conditions and approval of any deviations. A
summary of any diversions from the authorized plans could be attached to the certificate of completion
for their files.
The following are the PMs handling the HUC basins in Charlotte:
• Meagan: Lower Catawba (03050103)
• Doug: Upper Catawba and Yadkin Pee Dee (03050101 & 03040105)

Appendix K
NCDENR Natural Heritage Program
Correspondence, NCDCR State Historic
Preservation Office Correspondence,
USFWS IPaC Resources List, and
NCNHP Data Explorer Project Reports

7 *_A
WDENR
North Carolina Dspartment of Environment and Natural Resources
Office of Conservation, Planning, & Community Affairs
Beverly Eaves Pardue, Governor Linda Pearsall, Director bee freeman, Secretary
December 3, 20 10
Mr. Isaac Hinson
Charlotte Storm Water Services
600 E. fourth St. 14" Floor
Charlotte, NC 28202-2844
Suhjedt. Louise Avenue Capital Improvement Project; Charlotte, Mecklenburg County
Dear Mr. Hinson:
The Natural 11rritagc Program has no record of rare species, significant natural communities, significant
natural Heritage areas, or conservation/managed areas at the site nor within 0.2-mile of the project area.
Orr records show a colonial wading; bird colony (heronry) located about 0.2-miie to the east of the
eastern and of the project, but it; would not be impacted by the project,
You may wish to check the Natural Heritage Program database weWte at vwww.ncnbp.org fur a listing of
rare plants and animals and significant natural communities in the county and on. the quad reap. Our
Program also has a new wehsite that allows users to obtain information on clement occurremces and
signif cant natural heritage areas within two miles of a given location;
<littp:Ilnhpweb.eiir.state,nc.uslnhislpublie/gmap75- rnain.pbtml>. The user name is "public" and the
password is "heritage". You may want to click "Help" for more information.
NC Oaelvlap now provides digital Natural Heritage data online for free. This service provides site
specific information on CIS layers with Natural Heritage Program rare species occurrences and
Significant Natural Heritage Areas.The NC OneMap web sit a provides Element Occurrence (ED) ID
numbers (instead of species name), and the data user is then encouraged to contact the Natural Heritage
Program for detailed information. This service allows the user to quickly and efficiently grt site specific
NHP data without visiting the NHP workroom er wailing for the Information Roquest tv be answered by
NHP staff. For more information about data formats and access, visit <www.nconernanxom>, then click
on "FTP Data Download", and then "nheo.aip" [to the right of "Natural Heritage Element Occurrences"].
You may also e-mail NC One] lap at <datag Qnernail.net> for more information.
Please do not hesitate to contact me at 919-715-8697 if you have questions or nccd further information.
Sincerely,
Harry E. LeGrand, Jr., Zoologist
Natural Heritage Program
1601 Mail Service Center, Raleigh, North Carolina 27699-1601
Phone: [phone] FAX: [phone] Internet: wvvw.onoNCNaturally.org
An Equal Opportunity 1 Atlirmanvo Action Employer - 50% Recycled 110% Past Consum e+ Pape,
One
NofffiCarohna
Natuxelvily
tanruul Rmurus Piunning and Can4erueliz

awr
North Carolina Department of Cultutal Resources
State Historic Preservation Office
Peter K- "YAT- w". Adminis=rr,r
Linda A. Carlisle, Sumf Lary
lefurcy.l. Craw, .spiny barely
January 21, 2f)l l
Isaac Hinson
City of Charlotte Storm Water Services Division
600 Cast Fuurd-1 Street, 14"' Floor
Charlotte, NC; 28202-2844
Ocrirx off VclureF alai I Iiswry
IJwiglvia •CFI115Wncal Pw4-vurcc5
i),Lvid Brook, lliructor
RC: Louise Avenue Capital Improvement Project, Charlotte, Mecklenburg County, l?R 10-2181
Dear Mr. Hinson:
`l'hRnk you for your letter of December 3C1, 2010, forwarding additional infoixnadon concerning the above
project
e have conducted a review of the project and find that the project will not adversely affect any histoxic
resources. As shown on the plats set included in your letter, all work on the Louise Cotton Mill property will be
lux4ited to the paced rear loading area, the mill }wilding itself will not be -affected by the construction. All work
within the I'laza-Midwood Historir, District will lac located in existing rights -of -way, and therefore will not
adversely affect the histot-ic district
Thexe are nn known archaeological sires within the proposed project area. 132sed an our knowledge of the
area, it is,unlikely that any archaeolo ical resources that may be eligible for inclusion in the National Register of
Historic Places will be affected by the project, We, therefore, recommend that no archaeological invesdgation
be conducted in connection with this project.
The above comments are made pursuant to Section 106 of dle National Histmic Preservation Act and the
above comments are tnade pursuant to Section 106 of the }.National Historic Preservation Act and the Advisory
Council on Historic Presen ation's Regulations for Compliance with Section 106 codified at 36 CFR Part 800.
Thank you for your cooperation and consideration. if you have questions concerning the above comment,
please contact Renee Gledhill -Parley, environmental review cootdinatot, at 919-807-6579- In all future
communication concerning this project, please cite the above -referenced t cki ng n mbet.
Sincerely,
Claudia Brown
cc: John Rogers, Charlotte Historic District Ccnunissi011
Lean Morrill, Charlotte-h-lecklenburg Historic Landmarks Cormnission
La4wrlOn: iN 1,astJnacs Orrrct, lialeoi NC27601 Al Ailing Address:.1617 %Jail tirrviceC,cvtcr, R21cigh NC27(&F)-4617 TelephoocfFax: (90) 647-ii570/W7-i579

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., vegetationlspecies
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. J ✓
Location
Mecklenburg County, North Carolina _0�
�• ,:rfi r,
awn.
�9
i
A
Local office
Asheville Ecological Services Field Office
k. [phone]
Q [phone]
160 Zillicoa Street

Asheville, NC 28801-1082
�o�
Foy
o�
0011\
co

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.
!0V %
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 speciesl 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 theirjurisdiction.
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).

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/ecplspecies/1 0515
Insects
NAME STATUS
Monarch Butterfly Danaus plexippus Candidate
Wherever found
No critical habitat has been designated for this species.
https:/Yecos.fws.goy/ecptspecies/9743 i
Flowering Plants .0
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

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.
Migratory birds
Certain birds are protected under the Migratory Bird Treaty Act! and the Bald and Golden
Eagle Protection Act'.
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.
M
Additional information can be found using the following links:
• Birds of Conservation Concern https://www.fws.gov/programlmigratory-birds/species
• Measures for avoiding and minimizing impacts to birds
https://www.fws.gov/I i b rary/collections/avoiding-and-minimizing-incidental-ta ke-
migratory-birds
■ Nationwide conservation measures for birds
https://www.fws.gov/sites/default/files/documents/nationwide-standard-conservation-
measu res. pelf
The birds listed below are birds of particular concern either because they occur on the
USFWS Birds of Conservation Concern (BCC} list or warrant special attention in your
project location. To learn more about the levels of concern for birds on your list and how
this list is generated, see the FAQ below. This is not a list of every bird you may find in this
location, nor a guarantee that every bird on this list will be found in your project area. To see
exact locations of where birders and the general public have sighted birds in and around
your project area, visit the E-bird data mapping tool (Tip: enter your location, desired date
range and a species on your list). For projects that occur off the Atlantic Coast, additional
maps and models detailing the relative occurrence and abundance of bird species on your
list are available. Links to additional information about Atlantic Coast birds, and other
important information about your migratory bird list, including how to properly interpret and
use your migratory bird report, can be found below.

For guidance on when to schedule activities or implement avoidance and minimization
measures to reduce impacts to migratory birds on your list, click on the PROBABILITY OF
PRESENCE SUMMARY at the top of your list to see when these birds are most likely to be
present and breeding in your project area.
NAME
Bald Eagle Haliaeetus leucocephalus
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.
Black -billed Cuckoo Coccyzus erythropthalmus
This is a Bird of Conservation Concern (BCC) throughout its
range in the continental USA and Alaska.
https://ecos.fvvs.gov/ecplspeci es/9399
BREEDING SEASON
Breeds Sep 1 to Jul 31
Breeds May 15 to Oct 10
\0
Cerulean Warbler ❑endroica cerulea Breeds Apr 28 to Jul 20
This is a Bird of Conservation Concern (BCC) throughout its
range in the continental USA and Alaska.
https://ecos.fvvs.gov/ecp species12974
Chimney Swift Chaetura pelagica 14% Breeds Mar 15 to Aug 25
This is a Bird of Conservation Concern (BCC) throughout its
range in the continental USA and Alaska.
Kentucky Warbler Oparornis formosus Breeds Apr 20 to Aug 20
This is a Bird of Conservation Concern (BCC) throughout its
range in the continental USA and Alaska.
Prairie Warbler Dendroica discolor Breeds May 1 to Jul 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 t❑ interpret this report.
Probability of Presence( )
Each green bar represents the bird's relative provability 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:
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 weep 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 ( )
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 ❑rder to ensure delivery of currently relevant
information. The exception to this is areas off the Atlantic coast, where bird returns are
based on all years of available data, since data in these areas is currently much more sparse.
probability of presence breeding season I survey effort -- no data
SPECIES JAN FEB j MAR APR MAY ! JUN JUL AUG SEP qCi NOV DEC
Bald Eagle IIII1113IIIlIII#IIIiI'���'I��i�I�{�IIIIIII���I
Non -BCC
Vulnerable
Black -billed
Cuckoo
BCC Rangewide
(CON)
Cerulean Warbler I+II {III IIII IIII IIII 1111 Ill[ IIII III} IIII IIII III{
BCC Rangewide
(CON)
Chimney swift IIII Ills IIII IIII �111 III ���{ �I�� IIII IIII III sill
BCC Rangewide
(CON)
Kentucky IIII IIII IIII IIII � I I I IIII IIII IIII IIII IIII IIII III
Warbler
BCC Rangewide
(CON)
Prairie Warbler I
BCC Rangewide T I I I I I I I I I I I I I I I I I I I I I I I I.+++ ++++ 1* I* i l l+ +++ I ++ I+
(CON)
Prothonotary IIII IIII IIII IIII ��i l l IIII IIII IIII IIII IIII IIII III
Warbler
BCC Rangewide
(CON)

Red-headed
Woodpecker �TT� 11111T I 0 111111111100 �TI 1 +■++ 0*0 OU *I* II0
BCC Rangewide
(CON)
Rusty Blackbird +�+ tt 1-0 0t+0 I tt I t4+ +11 I i ++ ++++ ++++ ++++ +111 miss
BCC -BCR
Wood Thrush I
BCC Rangewide T TTTT TTTT I I I 44 ++++ 1 I 1 1 + ++++ ++++
TT
(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 ❑r bird species present on your project site.
What does IPaC use to generate the list of migratory birds that potentially occur in my specified
iocation?
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 survev, banding, and citizen science
datasets and is queried and filtered to return a list of those birds reported as occurring in the 14km grid
ceII(s) which your project intersects, and that have been identified as warranting special attention because
they are a ECC 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 fist includes only a subset of girds 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)aol.
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.
Probability of presence data is continuously being updated as new and better information becomes
available. To learn more about how the probability of presence graphs are produced and how to interpret
them, go the Probability of Presence Summary and then click on the "Tell me about these graphs" link.
How do I know if a bird is breeding, wintering or migrating in my area?

To see what part of a particular bird's range your project area falls within (i.e. breeding, wintering,
migrating or year-round), you may query your location using the RAIL Tool and look at the range maps
provided for birds in your area at the bottom of the profiles provided for each bird in your results. If a bird
on your migratory bird species list has a breeding season associated with it, if that bird does occur in your
project area, there may be nests present at some point within the timeframe specified. If "Breeds
elsewhere" is indicated, then the bird likely does not breed in your project area.
What are the levels of concern for migratory birds?
Migratory birds delivered through IPaC fall into the following distinct categories of concern:
1. "BCC Rangewide" birds are Birds of Conservation Concern (BCC) that are of concern throughout their
range anywhere within the USA (including Hawaii, the Pacific Islands, Puerto Rico, and the Virgin
Islands);
2. "BCC - BCR" birds are BCCs that are of concern only in particular Bird Conservation Regions (SCRs) 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 Eagie Act requirements (for eagles) or (for non -eagles) potential susceptibilities in
offshore areas from certain types of development or activities (e.g. offshore energy development or
longline fishing).
Although it is important to try to avoid and minimize impacts to all birds, efforts should be made, in
particular, to avoid and minimize impacts to the birds on this list, especially eagles and BCC species of
rangewide concern. For more information on conservation measures you can implement to help avoid and
minimize migratory bird impacts and requirements for eagles, please see the FAQs for these topics.
Details about Birds that are potentially affected by offshore projects
For additional details about the relative occurrence and abundance of both individual bird species and
groups of bird species within your project area off the Atlantic Coast, please visit the Northeast Ocean data
Portal. The Portal also offers data and information about other taxa besides birds that may be helpful to
you in your project review. Alternately, you may download the bird model results files underlying the portal
maps through the NOAA NCCOS Integrative Statistical Modeling and Predictive Mapping of Marine Bird
Distributions and Abundance on the Atlantic Outer Continental Shelf project webpage.
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
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
pave.
Facilities
National Wildlife Refuge lands
Any activity proposed an lands managed by the National Wildlife Refuge system must
undergo a 'Compatibility Determination' conducted by the Refuge. Please contact the
individual Refuges to discuss any questions or concerns.
There are no refuge lands 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.

Please note that the NWI data being shown may be out of date. We are currently working to
update our NWI data set. We recommend you verify these results with a site visit to
determine the actual extent of wetlands on site.
This location overlaps the following wetlands:
RIVERINE
R2UBHx
R5UBH
R2UBH
A full description for each wetland code can be found at the National Wetlands Inventory_
website
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 ❑n 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
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.
�o�
Foy
o�
0011\
CO

Roy Cooper, Governor
9" 0 INC DEPARTMENT OF
""i ■
WMk.M 1 NATURAL AND CULTURAL RESOURCES
■-000
April 21, 2023
Johanna Velasquez
HDR Inc
440 S. Church Street
Charlotte, NC 28202
RE: Louise Avenue CIP
Dear Johanna Velasquez:
13. Reid Wilson, Secretary
Misty Buchanan
Deputy Director, Natural Heritage Program
NCNHDE-21675
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide
information about natural heritage resources for the project referenced above.
Based on the project area mapped with your request, a query of the NCNHP database indicates that
there are no records for rare species, important natural communities, natural areas, and/or
conservation/managed areas within the proposed project boundary. Please note that although there
may be no documentation of natural heritage elements within the project boundary, it does not
imply or confirm their absence; the area may not have been surveyed. The results of this query
should not be substituted for field surveys where suitable habitat exists. In the event that rare
species are found within the project area, please contact the NCNHP so that we may update our
records.
The attached `Potential Occurrences' table summarizes rare species and natural communities that
have been documented within a one -mile radius of the property boundary. The proximity of these
records suggests that these natural heritage elements may potentially be present in the project area
if suitable habitat exists. Tables of natural areas and conservation/managed areas within a one -mile
radius of the project area, if any, are also included in this report.
If a Federally -listed species is found within the project area or is indicated within a one -mile radius of
the project area, the NCNHP recommends contacting the US Fish and Wildlife Service (USFWS) for
guidance. Contact information for USFWS offices in North Carolina is found here:
httr)s://www.fws.gov/offices/Directory/ListOffices.cfm?statecode=37.
Please note that natural heritage element data are maintained for the purposes of conservation
planning, project review, and scientific research, and are not intended for use as the primary criteria
for regulatory decisions. Information provided by the NCNHP database may not be published
without prior written notification to the NCNHP, and the NCNHP must be credited as an information
source in these publications. Maps of NCNHP data may not be redistributed without permission.
The NC Natural Heritage Program may follow this letter with additional correspondence if a
Dedicated Nature Preserve, Registered Heritage Area, Land and Water Fund easement, or Federally -
listed species are documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance,
please contact Rodney A. Butler at rod ney.butler�ncdcr.gov or 919-707-8603.
Sincerely,
NC Natural Heritage Program
DEPARTMENT OF NATURAL AND CULTURAL RESOURCES
121 1N. JON S STREET, RALEIGI I_ NC 27603 - 16Sl MAOL SERVICE CENTER. PAL EIGH. rkc 276�0
OFC 919.707.9120 • FAK 919.707.9421

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Appendix L
Pre -Filing and PCN

From:
401PreFile
To:
Thames, Kelly
Subject:
Automatic reply: [External] 401/Buffer Pre -filing Meeting Request
Date:
Wednesday, April 26, 2023 9:47:15 AM
CAUTION: [EXTERNAL] This email originated from outside of the organization. Do not click links or open
attachments unless you recognize the sender and know the content is safe.
This email confirms receipt of your pre -filing meeting request. Please retain this email for your
records and submit this documentation as part of your 401 application (PCN Application) as
required by federal law. DWR will not be able to accept your application without this federally
required documentation. 401 applications received without documentation that a pre -filing
meeting request was submitted at least 30 days prior will be returned as incomplete.
Responses to this email are not monitored.
If you need to contact 401/Buffer Permitting Staff, please use the following link(s) to access of
staff contact list(s).
For Non -Transportation Central Staff:
https://deq.nc..ov/about/divisions/water-resources/water-quality_permittin./401-buffer-
permitting/401-buffer-permitting-contacts
For Non -Transportation Regional Staff:
https:,//edocs.deg.nc.gov/WaterResources/DocView.aspx?dbid=0&id=2162034&cr=1
For all Transportation Projects Including NCDOT Projects:
https:,//deg.nc.gov/about/divisions/water-resources/water-resources-permits/transportation-
oermitting/staff-contacts

n
NORTH CAROLINA
Eiivironmenral Quality
Water Resources
Office Use Only
Corps Action ID no. SAW-2011-00366 DWR# 11-0022V3
Date received: [Click to enter.]
DWR project no. [Click enter.] Date received: [Click to enter.]
Site Coordinates:
Latitude (DD.DDDDDD): 35.225094
Longitude (DD.DDDDDD): 80.815771
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:Hedocs.deg. nc.govMaterResources/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) : 4/26/2023
Pagel of 25 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 Z No
If yes, ARPA project number:
" The project number can be found on the "Letter of Intent to Fund"
(LOIF) or "Offer and Acceptance Lette✓'. 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.basingeramcdenr.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,
❑ Yes Z No
or airport project)
Is this a NCDOT project?
❑ Yes Z No
If yes, NCDOT TIP or state project number:
Click to enter.
If yes, NCDOT WBS number:
Click to enter.
Z Section 404 Permit (wetlands, streams, waters,
Clean Water Act)
la. Type(s) of approval sought from the Corps:
❑ Section 10 Permit (navigable waters, tidal
waters, Rivers and Harbors Act)
Has this PCN previously been submitted?
Z Yes ❑ No
Please provide the date of the previous submission.
5/26/2016
Z Nationwide Permit (NWP)
1 b. What type(s) of permit(s) do you wish to seek
❑ Regional General Permit (RGP)
authorization?
❑ Standard (IP)
This form may be used to initiate the standard/ individual permit
process with the USACE. Please contact your Corps
representative concerning submittals for standard permits. All required items can be included as attachments and
submitted with this form.
1 c. Has the NWP or GP number been verified by the Corps?
Z Yes ❑ No
NWP number(s) (list all numbers):
Click to enter.
RGP number(s) (list all numbers ):
163
Are you a federal applicant?
❑ Yes Z 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):
Z 401 Water Quality Certification — Regular
❑ 401 Water Quality Certification— Express
❑ Non-404 Jurisdictional General Permit
❑ Riparian Buffer Authorization
❑ Individual 401 Water Quality Certification
Is this a courtesy copy notification
❑ Yes Z No
Page 2 of 25 PCN Form Version 4.3- April 20, 2022

1 e.
Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
❑ Yes
❑x No
For the record only for Corps Permit:
❑ Yes
❑x No
1f.
Is this an after -the -fact permit/certification application?
❑ Yes
❑x No
1g.
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts?
® Yes
❑ No
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
❑x No
1 i.
Is the project located within an NC DCM Area of Environmental
Concern (AEC)? *
❑ Yes
❑x No ❑ Unknown
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.mil/Missions/Regulatory-Permit-
Program/Agency-Coordination/Trout.aspx
Page 3 of 25 PCN Form Version 4.3- April 20, 2022

B. Applicant Information
1 a.
Who is the primary contact?
Kristen O'Reilly
1 b.
Primary Contact Email:
[e-mail]
1 c.
Primary Contact Phone: (###)###-####
[phone]
1 d.
Who is applying for the permit/certification? (check
all that apply)
❑ Owner 0 Applicant (other than owner)
1 e.
Is there an agent/consultant for this project?
® Yes ❑ No
2.
Landowner Information
2a.
Name(s) on Recorded Deed:
N/A
2b.
Deed Book and Page No.:
UlICK to enter.
2c.
Contact Person (for corporations):
Click to enter.
2d.
Address
Street Address:
Click to enter.
Address line 2:
Click to enter.
City:
Click to enter.
State/ Province/ Region:
Click to enter.
Postal/ Zip Code:
Click to enter.
Country:
Click to enter.
2e.
Telephone Number: (###)###-####
Click to enter.
2f.
Fax Number: (###)###-####
Click to enter.
2g.
Email Address:
Click to enter.
3.
Applicant Information (if different from owner)
3a.
Name:
Kristen O'Reilly
3b.
Business Name (if applicable):
Charlotte Storm Water Services
3c.
Address:
Street Address:
600 East 4th Street
Address line 2:
Click to enter.
City:
Charlotte
State/ Province/ Region:
NC
Postal/ Zip Code:
28202
Country
United States
3d.
Telephone Number: (###)###-####
[phone]
3e
Fax Number: (###)###-####
Click to enter.
3f.
Email Address:
[e-mail]
Page 4 of 25 PCN Form Version 4.3- April 20, 2022

4. Agent/ Consultant (if applicable)
4a. Name: *
Paul Bright
4b. Business Name:
HDR Engineering, Inc.
4c. Address: *
Street Address:
440 South Church Street
Address line 2:
Click to enter.
City:
Charlotte
State/ Province/ Region:
NC
Postal/ Zip Code:
28202
Country:
United States
4d. Telephone Number: * (###)###-####
[phone]
4e Fax Number: (###)###-####
Click to enter.
4f. Email Address:
[e-mail]
Agent Authorization Letter:
Attach a completed/signed agent authorization form or letter. A sample form may be found at this link:
https://www.saw. usace.army. mil/Missions/Regulatory-Permit-Prop ram/Permits/201 7-N ationwide-Permits/Pre-
construction-Notification/
Page 5 of 25 PCN Form Version 4.3- April 20, 2022

C. Project Information and Prior Project History
1. Project Information
la. Name of project:
Louise Avenue Capital Improvement Project (CIP)
1 b. Subdivision name (if appropriate):
Click to enter
1 c. Nearest municipality/town: *
Charlotte
2.
Project Identification
2a.
Property identification number (tax PIN or parcel ID):
Multiple parcels
2b.
Property size (in acres):
16
2c.
Project Address:
Street Address:
Click to enter.
Address line 2:
Click to enter.
City:
Click to enter.
State/ Province/ Region:
Click to enter.
Postal/ Zip Code:
Click to enter.
Country:
Click to enter.
2d.
Site coordinates in decimal degrees (using 4-6 digits
after the decimal point): *
Latitude (DD.DDDDDD): 35.225094
Longitude (-DD.DDDDDD):-80.815771
3. Surface Waters
3a. Name of nearest body of water to proposed project:
Little Sugar Creek
3b. Water Resources Classification of nearest receiving
Class C
water:
The Surface Water Classification map may be found at this link:
https:Hncden r. maps.arcg is.com/apps/webappviewer/index. html?id=6e125ad7628f494694e259c8Odd64265
Catawba
3c. In what river basin(s) is your project located? *
Choose additional (if needed)
3d. Please provide the 12-digit HUC in which the project is
030501030102
located:
The Find Your HUC map may be found at this link:
https:Hncdenr.maps.arcgis.com/apps/Publiclnformation/index.html?appid=ad3a85aOc6d644aOb97cdO69db238ac3
Page 6 of 25 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 16-acre Study Area is generally located along Hawthorne Lane and consists of a piped and open channel
stormwater system. The current land use for the northern and middle portions of the Project corridor consists of
residential areas with maintained lawns, small adjacent wooded areas, and a school with surrounding athletic
fields. The southern half of the Study Area consists of industrial and commercial land uses and includes a rail line
(Appendix A, Figures 1 — 4).
4b. Have Corps permits or DWR certifications been obtained for this
® Yes ❑ No ❑ Unknown
project (including all prior phases) in the past?
SAW-2011-00366
If yes, please give the DWR Certification number and/or Corps
DWR# 11-0022V3
Action ID (ex. SAW-0000-00000):
[Author]
Attach any pertinent project history documentation
02. 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.
Correspondence letters from the North Carolina Natural Heritage Program (NCNHP) and North Carolina
Department of Cultural Resources (NCDCR) State Historic Preservation Office (SHPO) have been attached as
Appendix K.
4d. Attach an 8'h x 11" excerpt from the most recent version of the USGS topographic map indicating the location of
the project site.
4e. Attach an 8'h 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 acres
property:
4g. List the total estimated linear feet of all existing streams (intermittent
1,954.8 linear feet
and perennial) on the property:
4g1. List the total estimated acreage of all existing open waters on the
0 acres
property:
Page 7 of 25 PCN Form Version 4.3- April 20, 2022

4h. Explain the purpose of the proposed project:
The purpose of the Louise Avenue Capital Improvement Project (CIP) is to alleviate flooding and enhance degraded
stream segments within the Study Area. The existing storm drainage infrastructure is aging and in disrepair and
therefore is insufficient for conveying design storm flows. As a result, structure and road flooding are frequent
occurrences. The Project proposes to improve the existing storm drainage infrastructure (i.e., pipe systems and
culverts) and to enhance degraded stream reaches located between pipe system segments. Infrastructure upgrades
consist of replacing undersized or failing pipes with larger pipes that are sufficient to convey design storm flows.
Additional impacts will result from the installation of rip rap aprons and plunge pools to dissipate erosive forces exiting
the newly upgraded infrastructure.
An Approved Jurisdictional Determination (AJD) and Nationwide Permits (NWP) 3 and 27 (Appendix B, SAW-2011-
00366) were issued for this project on March 2, 2011, followed by NC Division of Water Quality (DWQ) Water Quality
General Certifications (WQGC) 3687 and 3689 (Appendix B, DWQ# 11-0022) on January 13, 2011. The Project was
delayed to allow time to update the plans to meet new design standards from various agencies and City of Charlotte
Departments. The approved AJD, NWPs, and WQGCs expired during this process.
In May 2016, a request for re -authorization was submitted and on October 17, 2016, the Division of Water Resources
(DWR) issued approval for WQGCs 3883 and 3885 (Appendix C, DWR# 11-0022V3). On November 17, 2016, the
United States Army Corps of Engineers (USACE) issued approval for NWP 3 and 27 (Appendix C, SAW-2011-00366).
These approvals expired, but were renewed in April 2018 under NWPs 3 and 27, and WQGCs 4132 and 4134 with no
modifications to the PCN submitted in 2016 (Appendix D, DWR# 11-0022V4 and USACE email dated February 2,
2018).
The 2018 approvals have expired, therefore, HDR is submitting this PCN requesting authorization under Regional
General Permit 163 and WQGC 4508 for activities associated with maintenance, aquatic habitat restoration,
enhancement, and establishment activities.
Construction activities are scheduled to begin in April 2024.
4i. Describe the overall project in detail, including the type of equipment to be used:
The Project proposes to improve the existing storm drainage infrastructure (i.e., pipe systems and culverts) and
to enhance degraded stream reaches located between pipe system segments. Infrastructure upgrades consist of
replacing undersized or failing pipes with larger pipes that are sufficient to convey design storm flows. Additional
impacts will result from the installation of rip rap aprons and plunge pools to dissipate erosive forces exiting the
newly upgraded infrastructure. Activities and associated impacts to jurisdictional waters are depicted in the
enclosed Louise Avenue CIP Construction Plans (Appendix E) and updated Construction Details (Appendix N).
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 8 of 25 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:
GIICK to enter text.
5b.
If the Corps made a jurisdictional determination,
❑ Preliminary ❑x Approved ❑ Emailed concurrence
what type of determination was made?
❑ Not Verified ❑ Unknown ❑ n/a
Corps AID number (ex. SAW-0000-00000):
SAW-2011-00366
Name (if known): Isaac Hinson
5c.
If 5a is yes, who delineated the jurisdictional
Agency/Consultant Company: Charlotte Mecklenburg
areas?
Stormwater
Other: HDR re-reviwed in April 2023
5d.
List the dates of the Corps jurisdictional determination or State determination if a determination was made by
either agency.
Isaac Hinson of Charlotte Mecklenburg Stormwater Services (CSWS) submitted the initial request for an
Approved Jurisdictional Determination (AJD) in June 2010. Amanda Jones of the USACE field -verified the
jurisdictional determination on June 15, 2010. Per the field investigation, several stream jurisdictional
determinations were changed, and a revised Existing Conditions/Jurisdictional Determination map was submitted
to the USACE for verification on July 27, 2010. A jurisdictional determination was issued on March 2, 2011,
concurrent with the issuance of project permits USACE Action ID 2011-00366. In August 2016, Erin Shanaberger
(nee Turner) of CSWS submitted a PJD request for continued JD verification coverage of the project.
On April 19, 2023, an on -site field investigation found portions of the Mainstem stream to be intermittent. North
Carolina Stream Assessment Method (NC SAM) forms, NCDWQ Stream Identification Forms, and photographs
of the Study Area have been attached as Appendix F and G, respectively. A figure showing the delineated
features within the Study Area has been attached as Appendix A, Figure 6.
5d1.
Attach jurisdictional determinations.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ❑x No
6b. If yes, explain.
Click to enter.
Are any other NWP(s), regional general permit(s), or individual permit(s) used, or intended to be used, to
authorize any part of the proposed project or related activity? This includes other separate and distant crossings
for linear projects that require Department of the Army authorization but don't require pre -construction
notification.
No.
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)
GIICKto enter.
8. Scheduling of activity:
Construction activities are scheduled to begin in April 2024.
Page 9 of 25 PCN Form Version 4.3- April 20, 2022

Page 10 of 25 PCN Form Version 4.3- April 20, 2022

D. Proposed Impacts Inventory
Impacts Summary
la. Where are the impacts associated with your project
(check all that apply):
❑ Wetlands
❑ Buffers
❑ Pond Construction
❑x Streams - tributaries
❑ Open Waters
2. Wetland Impacts
If there are wetland impacts proposed on the site, complete this table for each wetland area impacted.
2a.
Site #
2a1.
Impact
Reason/Type
2b.
Impact
Duration*
2c.
Wetland Type
2d.
Wetland Name
2e.
Forested
?*
2f.
Jurisdiction
Type*
2g.
Impact Area
(ac)*
W1
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W2
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W3
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W4
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W5
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W6
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W7
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W8
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W9
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W10
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W11
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W12
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W13
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W14
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W15
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
2g1. Total temporary wetland impacts
Click to enter. ac
2g2. Total permanent wetland impacts
Click to enter. ac
2g3. Total wetland impacts
0 ac
2h. Type(s) of material being discharged and the amount of each type in cubic yards:
Click to enter text.
2i. Comments:
Click to enter text.
Page 11 of 25 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
Plunge pool
Permanent
Fill (Incl.
Mainstem
Perennial
Both
10
48
Riprap)
S2
Pipe extension
Permanent
Other
Mainstem
Perennial
Both
10
42
S3
Rip rap apron
Permanent
Fill (Incl.
Mainstem
Perennial
Both
10
16
Riprap)
S4
Step -pool
Temporary
Other
Tributary 1
Perennial
Both
4
56
sequence
S5
Stream
Temporary
Restoration/
Mainstem
Perennial
Both
10
177
enhancement
Enhancement
S6
Rip rap apron
Permanent
Fill (Incl.
Mainstem
Perennial
Both
10
12
Riprap)
S7
Plunge pool
Permanent
Fill (Incl.
Mainstem
Perennial
Both
10
39
Riprap)
S8
Step -pool
Temporary
Other
Mainstem
Intermittent
Both
5
44
sequence
S9
Stream
Temporary
Restoration/
Mainstem
Intermittent
Both
5
254
enhancement
Enhancement
S10
Stream
Temporary
Restoration/
Mainstem
Intermittent
Both
4
160
enhancement
Enhancement
S11
Plunge pool
Permanent
Fill (Incl.
Mainstem
Intermittent
Both
4
18
Riprap)
S12
Pipe extension
Permanent
Other
Mainstem
Intermittent
Both
4
200
S13
Stream
Temporary
Restoration/
Mainstem
Perennial
Both
5
299
enhancement
Enhancement
S14
Impervious
Temporary
Dewatering
Tributary 1
Intermittent
Both
4
20
dikes
S15
Impervious
Temporary
Dewatering
Mainstem
Perennial
Both
10
20
dikes
S16
Impervious
Temporary
Dewatering
Mainstem
Intermittent
Both
5
20
dikes
S17
Click to enter
Temp/
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
S18
Click to enter
Temp/
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
S19
Click to enter
Temp/
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
S20
Click to enter
Temp/
Choose one
Click to enter
Per/Int
Choose
Click to enter
Click to enter
Perm
one
3i1. Total jurisdictional ditch
Click to enter. linear ft
impact:
Page 12 of 25 PCN Form Version 4.3- April 20, 2022

3i2. Total permanent stream
375 linear ft
impacts:
36. Total temporary stream
1,050 linear ft
impacts:
3i4. Total stream and ditch
1,425 linear ft
impacts:
Page 13 of 25 PCN Form Version 4.3- April 20, 2022

3j. Comments:
Impacts S1, S2, and S3 - The proposed pipe extension (Appendix E, Plan Sheet 3) is required to meet CSX's rail
line loading requirements. The proposed extension (42 linear feet), plunge pool (48 linear feet) energy dissipater
at the outfall, and rip rap apron (16 linear feet) will result in 106 linear feet of permanent stream impacts.
Impact S4 - The step -pool sequence within Tributary 1 (Plant Sheet 6) is necessary to provide a stable and
relatively natural transition into the upgraded downstream pipe system. Temporary impacts from the proposed
step -pool sequence total 56 linear feet.
Impact S5 - The perennial mainstem channel segment located along Hawthorne Lane will be enhanced (Plan
Sheets 6 and 7) to remove blockages, eliminate erosion, provide a heterogeneous channel bottom, and alleviate
flooding. In order to provide a stable left bank slope and avoid conflicts with Hawthorne Lane, the enhanced
channel will be shifted slightly to the west. Impacts from stream enhancement activities along this reach will total
177 linear feet.
Impacts S6 and S7 - This perennial mainstem channel will be permanently impacted by the installation of the
proposed rip rap apron (12 linear feet) and plunge pool (39 linear feet) (Plan Sheets 6 and 7), both of which are
associated with storm drain infrastructure maintenance along this same channel reach.
Impact S8 — The step -pool sequence within the intermittent portion of the Mainstem (Plant Sheet 9) is necessary
to provide a stable and relatively natural transition into the upgraded downstream pipe system. Temporary
impacts from the proposed step -pool sequence total 44 linear feet.
Impacts S9 and S10 — The intermittent Mainstem channel segment located above Hawthorne Lane will be
enhanced (Plan Sheets 10 and 11) to remove blockages, eliminate erosion, provide a heterogeneous channel
bottom, and alleviate flooding. Impacts from stream enhancement activities along this reach will total 414 linear
feet.
Impact S11 - The proposed rip rap apron will dissipate energy at the outfall and result in 18 linear feet of
permanent stream impacts.
Impact S12 — The proposed pipe extension along the intermittent mainstem channel south of Kennon Street will
result in 200 linear feet of permanent stream impacts.
Impact S13 - The 299 linear feet of impacts, as illustrated on Sheets P1, will result from the enhancement of
degraded reaches of the mainstem channel located downstream of the CSX railroad crossing. All enhanced
stream segments will be stabilized with biodegradable coir matting and bioengineering measures. Due to the
enhancement activities proposed, these 299 linear feet of impacts are not considered a loss of Waters of the
United States.
Impacts S14, S15, and S16 — Pump arounds are necessary in order to conduct work in the dry. As illustrated on
Plan Sheets EC6 and EC7, temporary impacts are the result of temporary impervious dikes (6 impervious dikes
at 10 linear feet each) placed at the upstream and downstream ends of a work area. These impacts will results in
60 linear feet of temporary stream impacts.
Construction Plans are included as Appendix E and associated updated Construction Details are included as
Appendix N.
Due to poor biological health within the stream system, installation of rip rap aprons with greater than 6-inch
drops constructed of Redi Rock are proposed upstream of the Hawthorn Lane pipe system (Appendix E, Plan
Sheet 6 and 9). This approach is anticipated to be more stable than 1-foot vanes made of natural rock. In a
meeting on February 15, 2023, the USACE agreed this approach (Appendix J).
Page 14 of 25 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.
Site #
4a1.
Impact Reason
4b.
Impact
Duration
4c.
Waterbody Name
4d.
Activity Type*
4e.
Waterbody
Type
4f.
Impact area
(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
0 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
Impacts (ac)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
Click tc
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 15 of 25 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.
6a. Project is in which protected basin(s)?
(Check all that apply.)
❑ Neuse ❑ Tar -Pamlico ❑ Catawba
❑ Jordan ❑ Goose Creek ❑ Randleman
❑ Other: Click to enter.
Site #*
6b.
Impact Type*
6c.
Impact Duration*
6d.
Stream Name*
6e.
Buffer
Mitigation
Required?*
6f.
Zone 1 Impact*
(sq ft)
6g.
Zone 2 Impact*
(sq ft)
131
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
132
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
133
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
134
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
135
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
136
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
137
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
138
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
139
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B10
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
1311
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B12
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B13
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B14
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B15
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B16
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B17
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B18
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B19
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B20
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
6h. Total temporary impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
6h. Total permanent impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
6h. Total combined buffer impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
6i. Comments:
Click to enter.
Please attach supporting documentation (impact maps, plan sheets, etc.) for the proposed project.
Page 16 of 25 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:
Impacts to on -site jurisdictional waters of the U.S. have been reduced to the maximum extent practicable. The
plunge pool at the outlet of the extended pipe (Sheet 3) is necessary to dissipate energy from flows exiting the
pipe and to protect the proposed downstream enhancement reaches. This plunge pool and the one at the pipe
outlet on Sheet 7 are proposed in lieu of rip rap aprons to minimize the linear feet of permanent stream impacts
at these locations. In addition, natural channel design principles are incorporated into the proposed
enhancement activities on Sheets 6, 7, 10, 11, and P1. This should result in the functional lift of these currently
degraded channel segments. Work proposed in previous applications (sheets P2 and P3) were eliminated to
reduce impacts. In a meeting on February 15, 2023, the USACE agreed this approach (Appendix J).
1 b. Specifically describe measures taken to avoid or minimize proposed impacts through construction techniques:
To prevent sedimentation of downstream waters, construction will be conducted in the dry. Proper sediment and
erosion control measures will be implemented as outlined in Sheets ECl-EC12 (Appendix E). Best Management
Practices employed for this project will be in compliance with the most recent version of the "North Carolina
Sediment and Erosion Control Planning and Design Manual' and the local governing authority. Sediment and
erosion control measures placed in waters will be removed and the original grade restored within two months
after the Division of Land Resources has released the Project. After construction, disturbed areas will be
restored and stabilized as early as possible.
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? ❑x DWR ❑x 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 Statutel43-214.11 (dl).)
3a. Name of mitigation bank:
CSWS Stream and Wetland Umbrella Mitigation Bank
3b. Credits purchased/requested:
Type: Stream
Quantity 219
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Attach receipt and/or approval letter.
3c. Comments:
A 1:1 mitigation ratio for 219 linear feet of stream impacts is proposed. Note, one linear foot of stream impact
from the previous submittals was not included (an error) and will now be captured within the 219 linear feet of
stream impacts that require mitigation. Mitigation for 156 linear feet of stream impacts has already been
purchased (Appendix H). A credit reservation letter for the 219 liner feet of impact requiring mitigation is included
in Appendix I.
4. Complete if Using an In Lieu Fee Program
4a. Attach approval letter from in lieu fee program.
Page 17 of 25 PCN Form Version 4.3- April 20, 2022

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
that requires buffer mitigation?
❑ Yes ❑x No
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.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(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
NC Division of Mitigation Services proposed?
❑ Yes ❑ No
6h.
If yes, attach the acceptance letter from the mitigation bank or NC Division of Mitigation Services.
6i.
Comments:
Click to enter.
Page 18 of 25 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/energv-mineral-land-resources/energv-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?
❑ Yes ❑x No
2b.
Does this project meet the requirements for low density projects as
defined in 15A NCAC 02H .1003(2)?
❑x Yes ❑ No
To look up low density requirements, click here:
http://reports.oah.state.nc. us/ncac/title%2015a%20-%20environmental%20guality/chapter%2002%20-
%20environmental%20management/subchapter%20h/15a%20ncac%2002h%20.1003.pdf
2c.
Does this project have a stormwater management plan (SMP)
❑ Yes ❑x No
reviewed and approved under a state stormwater program or state -
approved local government stormwater program?
❑ n/a — project disturbs < 1 acre
Note: Projects that have vested rights, exemptions, or grandfathering from state or locally implemented
stormwater programs or projects that satisfy state or locally -implemented stormwater programs through use of
community in -lieu programs should answer "no" to this question.
2d.
Which of the following stormwater management program(s) apply?
❑ Local Government
(Check all that apply.)
❑ State
If you have local government approval, please include the SMP on their overall impact map.
❑ Phase II ❑ USMP
Local Government Stormwater Programs
❑ NSW ❑ Water Supply
Page 19 of 25 PCN Form Version 4.3- April 20, 2022

Please identify which local government stormwater program you are using.
Click to enter.
State Stormwater Programs ❑ Phase II ❑ HQW or ORW
❑ Coastal Counties ❑ Other
Comments:
Click to enter.
Page 20 of 25 PCN Form Version 4.3- April 20, 2022

G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local)
® Yes ❑ 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 ❑x 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:
Click to enter.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A
NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300),
Federally Non -Jurisdictional Wetlands /Classified Surface Waters
❑ Yes ❑x No
(15A NCAC 2H. 1400) DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. If you answered "yes" to the above question, provide an explanation of the violation(s):
DICK 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:
The Project will not result in additional development as the proposed work is a stormwater improvement project.
3c. If yes, provide a qualitative or quantitative cumulative impact analysis in accordance with the most recent DWR
policy. (Attach .pdo
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project? I ❑ 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 21 of 25 PCN Form Version 4.3- April 20, 2022

5.
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a.
Will this project occur in or near an area with federally protected
❑ Yes ❑x No
species or habitat? (IPAC weblink: https://www.fws.gov/ipac/ ffws.govl)
5b.
Have you checked with the USFWS concerning Endangered Species
❑ Yes ❑x No
Act impacts?
5c.
If yes, indicate the USFWS Field Office you have contacted.
'hoose one
5d.
Is another federal agency involved?
❑ Yes ❑x No ❑ Unknown
If yes, which federal agency?
'-.'lick to enter.
5e.
Is this a DOT project located within Divisions 1-8?
❑ Yes ❑x No
5f.
Will you cut any trees in order to conduct the work in waters of the
U.S.?
®Yes El No
5g.
Does this project involve bridge maintenance or removal?
❑ Yes ❑x No
5g1.
If yes, have you inspected the bridge for signs of bat use such as
staining, guano, bats, etc.? Representative photos of signs of bat use
❑ Yes ❑x No
can be found in the NLEB SLOPES, Appendix F, pages 3-7.
Representative photos of signs of bat use can be found in the NLEB SLOPES, Appendix F, pages 3-7. Link to
NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed
NLEB-SLOPES&apps.pdf
If you answered yes to 5g1, did you discover any signs of bat use?
❑ Yes ❑ No ❑ Unknown
If yes, please show the location of the bridge on the permit drawings/ project plans
5h.
Does this project involve the construction/ installation of a wind
turbine(s)?
❑ Yes ❑x No
If yes, please show the location of the wind turbine(s) on the permit drawings/ project plans (attach .pdo
5i.
Does this project involve blasting and /or other percussive activities
that will be conducted by machines, such as jackhammers,
❑ Yes ❑x No
mechanized pile drivers, etc.?
If yes, please provide details to include type of percussive activity, purpose,
duration, and specific location of this
activity on the property (attach .pdo
Page 22 of 25 PCN Form Version 4.3- April 20, 2022

5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated
Critical Habitat?
A letter was forwarded to the North Carolina Natural Heritage Program (NCNHP) on November 19, 2010 to
determine the presence of any federally -listed, candidate endangered, threatened species or critical habitat
within the Study Area. In a reply letter dated December 3, 2010 (Appendix K), NCNHP indicated that it has no
record of rare species, significant natural communities, significant natural heritage areas, or
conservation/managed areas at the site nor within 0.2 mile of the Study Area. NCNHP's records show a colonial
wading bird colony (heronry) located about 0.2 mile to the east of the eastern end of the project, but it would not
be impacted by the project.
In 2023, HDR utilized the U.S. Fish and Wildlife Service (USFWS) Information for Planning and Consultation
(IPaC) database and the North Carolina Natural Heritage Program (NCNHP) Element Occurrence database
(Appendix K) to evaluate the potential occurrence of federally protected species that may occur within the Study
Area. The NCNHP Element Occurrence database indicated no occurrences of federally protected species within
the Study Area.
The USFWS IPaC database indicated the following federally protected species that have the potential to occur
within the Study Area: tricolored bat (Perimyotis subflavus), monarch butterfly (Danaus plexippus), Michaux's
sumac (Rhus michauxii), Schweinitz's sunflower (Helianthus schweinitzii), and smooth coneflower (Echinacea
laevigata).
The Study Area is comprised of residential, institutional, and industrial development with small, forested areas.
The undeveloped wooded areas and stream -side zones are dominated by invasive plant species. The
surrounding areas of the Project have experienced a significant increase in development since the original
concurrence letter from the NCNHP in 2010 (Appendix K); therefore, the occurrence of any federally -listed,
candidate endangered, or threatened species of critical habitat is unlikely.
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?
❑ Yes ❑x No
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?
https://www.habitat.noaa.gov/apps/efhmapper/?page=page_8
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data):
hftp://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 ❑ Yes ❑x No
preservation status (e.g., National Historic Trust designation or
properties significant in North Carolina history and archaeology)?
Page 23 of 25 PCN Form Version 4.3- April 20, 2022

7b. What data source(s) did you use to determine whether your site would impact historic or archeological
resources?
NC Department of Cultural Resources (NCDCR) State Historic Preservation Office
A letter was forwarded to the North Carolina State Historic Preservation Office (SHPO) on November 19, 2010 to
determine the presence of any areas of architectural, historic, or archaeological significance that would be
affected by the project. In a reply letter dated January 21, 2011 (Appendix K) the SHPO indicates the project will
not adversely affect any historic resources. A search of the Charlotte -Mecklenburg Historic Landmarks
Commission list of designated historic landmarks revealed no historic properties that would be affected by the
Project. Due to the nature of the Project, land disturbing activities will predominantly occur within railroad and
road right-of-ways and within existing drainage features. As such, potential impacts to any areas of architectural,
historic, or archaeological significance are unlikely.
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?
Flood Insurance Rate Map (FIRM) Map Panels 3710455400K and 3710456400K (Appendix A, Figure 5).
H. Miscellaneous
Comments:
See Appendix M for the Agent Authorization Form.
Attach pertinent documentation or attachments not previously requested
Signature *
❑x By checking the box and signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete, to
the best of my knowledge and belief;
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time;
• The project proponent hereby agrees that submission of this PCN form is a "transaction" subject to Chapter
66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• The project proponent hereby agrees to conduct this transaction by electronic means pursuant to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• The project proponent hereby understands that an electronic signature has the same legal effect and can be
enforced in the same way as a written signature; AND
• As the project proponent, I intend to electronically sign and submit the PCN/online form.
I Full Name: Paul Bright I
Page 24 of 25 PCN Form Version 4.3- April 20, 2022

Signature: * 111211f
Date: * 8/9/2023
Page 25 of 25 PCN Form Version 4.3- April 20, 2022

Appendix M
Agent Authorization Form

AGENT AUTHORIZATION FORM
I, Kristen O'Reilly, hereby certify that I have authorized Paul Bright, representing HDR
Engineering, Inc., to act on my behalf and take all actions necessary for processing,
issuance, and acceptance of this Pre -Construction Notification authorization associated
with the Louise Avenue Capital Improvement Project in Mecklenburg County, North
Carolina.
Parcel ID: Multiple
We hereby certify that the information submitted in this application is true and accurate to
the best of our knowledge.
Kristen O'Reilly, Charlotte Storm Water Services Paul Bright, HDR, Inc.
Applicant's Name Agent's Name
Applicant's Signature
Z0 Z
Date
hdrinc.com
440 South Church Street Suite 1200, Charlotte, NC 28202-2075
T 704.338.6700
Agent's Signature
6/23/2023
Date

Appendix N
Construction Details (Updated)

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