20240229 Ver 1_6385.4_Everleigh_PCN_2.5.24_20240205

Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- Begin Date (Date Received):
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: Everleigh (Southern Rd.)
2. Work Type: ❑✓ Private ❑Institutional ❑Government ❑ Commercial
3. Project Description / Purpose [PCN Form Bad and 133e]:
Attached.
4. Property Owner / Applicant [PCN Form A3 or A41: Attached
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
Brad Luckey, Pilot Environmental, Inc
6. Related Action ID Number(s) [PCN Form 135b]:
7. Project Location— Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
Southern Road (Everleigh)
36.2937620/-80.3473100
8. Project Location— Tax Parcel ID [PCN Form Bla]: Attached
9. Project Location— County [PCN Form A2b]: Stokes
10. Project Location —Nearest Municipality or Town [PCN Form A2c]: King
11. Project Information — Nearest Waterbody [PCN Form 132a]: Danbury Creek
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form 132c]: 03040101
Authorization: Section 10 ❑ Section 404 ❑✓
Regulatory Action Type:
❑ Standard Permit
✓ Nationwide Permit #
Regional General Permit #
❑ Jurisdictional Determination Request
Section 10 and 404 ❑
❑ Pre -Application Request
❑ Unauthorized Activity
❑ Compliance
❑No Permit Required
Revised 20150602

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre -Construction Notification PCN Form
A. Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: NWP 58 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑ Yes
®No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
N 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes N No
For the record only for Corps Permit:
❑ Yes ®No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
®No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
®No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
®No
2.
Project Information
2a.
Name of project:
Everleigh (Southern Rd.)
2b.
County:
Stokes
2c.
Nearest municipality / town:
King
2d.
Subdivision name:
Everleigh
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Multiple, see attached parcel cards
3b.
Deed Book and Page No.
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
3e.
City, state, zip:
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ® Other, specify: Developer
4b.
Name:
Alex Runyan
4c.
Business name
(if applicable):
Everly Development, LLC
4d.
Street address:
1340 Creekshire Way Suite 210
4e.
City, state, zip:
Winston-Salem, North Carolina 27103
4f.
Telephone no.:
336.337.9826
4g.
Fax no.:
4h.
Email address:
[e-mail]
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Bradley Luckey
5b.
Business name
(if applicable):
Pilot Environmental, Inc.
5c.
Street address:
PO Box 128
5d.
City, state, zip:
Kernersville, NC 27285
5e.
Telephone no.:
336.708.4997
5f.
Fax no.:
5g.
Email address:
[e-mail]
Page 2 of 12
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
Multiple, attached parcel cards
1 b. Site coordinates (in decimal degrees):
Latitude: 36.29376 Longitude: - 80.34731
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
63.4 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Danbury Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS-IV
2c. River basin:
Yadkin
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site contains undeveloped wooded land and fields. The site is located within a rural and residential area of King,
Stokes County, North Carolina.
3b. List the total estimated acreage of all existing wetlands on the property:
Wetland=0.65 Ac
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Streams=3,439 LF. Open Water Ponds=0.954 Ac
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to provide sanitary sewer services to Everleigh, a single family residenital
neighborhood.
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project includes the construction of Everleigh, a single family residential subdivision. In order to facilitate the
proposed development and provide sewer utilities to lots, it is necessary to have sewer line and maintenance crossings.
To facilitate the development of the site, clearing and grading the site is necessary. Graders, haulers, excavators and
other heavy equipment will be used during grading and construction of the site.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes El No El Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
El Preliminary El Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Pilot Enviromental, Inc.
Name (if known): Michael Brame
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
❑ Yes ®No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non-404, other)
(acres)
Temporary T
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
2h. Comments: Wetland impacts are not proposed.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non-404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ®T
Sewer
Maintenance
Unnamed
® PER
❑INT
® Corps
❑DWQ
7.45
108/15
Crossing
S2 ❑ P ® T
Sewer Line
Unnamed
® PER
❑ INT
® Corps
❑ DWQ
5.46
30
S3 ❑ P ® T
Sewer Line
Unnamed
® PER
❑ INT
® Corps
❑ DWQ
8.13
31
S4 ❑ P ® T
Sewer Line
Unnamed
® PER
❑ INT
® Corps
❑ DWQ
6.46
30
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
108/106
3i. Comments: Stream Impact 1 will permanently impact 108 linear feet (805 square feet) of stream with culvert/side slope fill
and temporarily impact 15 linear feet (297 square feet) of stream channel with associated de -watering.
Stream Impact 2 will temporarily impact 30 linear feet (164 square feet) of stream channel with sewer line open cut/back-fill
Page 5 of 12
PCN Form — Version 1.3 December 10, 2008 Version

installation and associated de -watering.
Stream Impact 3 will temporarily impact 30 linear feet (252 square feet) of stream channel with sewer line open cut/back-fill
installation and associated de -watering.
Stream Impact 4 will temporarily impact 30 linear feet (194 square feet) of stream channel with sewer line open cut/back-fill
installation and associated de -watering.
Areas of temporary impact will be restored to similar pre -construction grades, stabilized with biodegradable matting and native
herbaceous seed mix or woody live stakes. Mitigation is not proposed for proposed stream impacts.
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4L Total open water impacts
4g. Comments: Open water impacts are not proposed.
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
K Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
Page 6 of 12
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse El Tar -Pamlico El Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number—
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
re uired?
131 ❑P❑T
❑Yes
❑ No
B2 ❑P❑T
❑Yes
❑ No
B3 ❑P❑T
El Yes
❑ No
6h. Total buffer impacts
6i. Comments: Buffer impacts are not proposed.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The applicant has designed the proposed residential sub -division to avoid other impact to streams, wetlands and open water
ponds. The applicant has selected the sewer line crossing locations in areas that the stream is narrow, straight with few
meanders with no adjacent wetlands. The applicant designed the road crossing the utilize a 3:1 side slope and an
approximate 9 foot tall retaining wall, thus reducing the permanent net loss impact to the stream.
The remaining 0.65 acres of wetlands, 3,215 linear feet of stream channel and 0.954 acres of open water ponds are being
avoided.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and sediment erosion control devices will be used. Temporary coffer dams will be installed
upgradient of the proposed road and sewer crossings. During construction, water will be pumped around the construction
footprints. Appropriate stream bank protection will be provided in the channel during road construction and all excess
excavated material will be immediately removed from the stream bank/road crossing area. Upon completion of the culvert
installation, the temporary sand bag coffer dam will be removed and flow will be diverted through the culvert. Following culvert
installation, disturbed banks will be restored to similar pre -construction conditions, matted and seeded/live staked.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
El Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
Page 7 of 12
PCN Form — Version 1.3 December 10, 2008 Version

3c. Comments: The applicant does not propose mitigation for impacts to streams.
4.
Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b.
Stream mitigation requested:
linear feet
4c.
If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d.
Buffer mitigation requested (DWQ only):
square feet
4e.
Riparian wetland mitigation requested:
acres
4f.
Non -riparian wetland mitigation requested:
acres
4g.
Coastal (tidal) wetland mitigation requested:
acres
4h.
Comments:
5.
Complete if Using a Permittee Responsible Mitigation Plan
5a.
If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6.
Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ®No
6b.
If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g.
If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h.
Comments:
Page 8 of 12
PCN Form — Version 1.3 December 10, 2008 Version

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ®No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments:
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
<24 %
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why: The project is low density. This estimate
accounts for anticipated impervious from lot development and will be confirmed by site plan approvals from local
delegated municipality.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
® Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
King
❑ Phase II
❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
® Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ®No
impacts?
E] Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The IPaC report for the site identifies the following federally protected endangered or threatened species: gray bat (E)
Northern -long eared Bat (NLEB) (T) and Schweinitz's sunflower (E) as protected species that could proximate to the site.
The project area contains an approximate 40 year old hardwood forest. Suitable habitat for Schweinitz's sunflower is not
located within the proposed project area. Therefore, we have made a determinaton of no effect for this species.
Hibernacula or caves are not located within the proejct area. Therefore, we have made a determination the proposed
project will have no effect to gray bat.
Percussionary, vibratory or blasting activties are not proposed. The project area is located greater than 80 miles from
known NLEB hibernacula or summer r000sting trees. Therefore, we have made a determination the proposed project is
not likely to adversely affect NLEB.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ®No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Based on our knowledge of the site, the site is not located in or near an area designated as essential fish habitat. Best
management practices and the construction of stormwater ponds will prevent sediment from entering down -gradient
waterbodies which may contain fish.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ®No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
We reviewed the SHPO Map (http://gis.ncdcr.gov/hpoweb/) to identify cultural resources of the site. The map does not
identify listed or eligible for listing properties on the site. A copy of the map is included as an attachment.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
❑ Yes ®No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA NHFL (Drawing 4, attached)
Digitally signed 6y Bradley Luckey
DN: cn=Bradley Luckey, o=Pilot
Bradley Lucke y E—iromental, Inc., ou,
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Date: 2024.02.05 16:47:09-OS'DD'
Page 11 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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Pilot Project 6385.2
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PILOT ENYi0.ONMENTAL,INC Pilot Project6385.2

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THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE PRELIMINA
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Date:10.17.22 PILOT ENVIRCNMENTAI..iNC Pilot Project6385.2

United States Department of the Interior,
FISH AND WILDLIFE SERVICE
Asheville Ecological Services Field Office v
160 Zillicoa Street, Suite B
Asheville, NC 28801-1082
Phone: [phone] Fax: [phone]
In Reply Refer To:
Project Code: 2024-0045298
Project Name: Everyleigh
February 05, 2024
Subject: List of threatened and endangered species that may occur in your proposed project
location or may be affected by your proposed project
To Whom It May Concern:
The enclosed species list identifies threatened, endangered, proposed and candidate species, as
well as proposed and designated critical habitat, that may occur within the boundary of your
proposed project and/or may be affected by your proposed project. The enclosed species list
fulfills the requirements of the U.S. Fish and Wildlife Service (Service) under section 7(c) of the
Endangered Species Act (Act) of 1973, as amended (16 U.S.C. 1531 et seq.).
Please note that new species information can change your official species list. Under 50 CFR
402.12(e) of the regulations implementing section 7 of the Act, the accuracy of this species list
should be verified after 90 days. The Service recommends you visit the ECOS-IPaC website at
regular intervals during project planning and implementation to ensure your species list is
accurate or obtain an updated species list.
The purpose of the Act is to provide a means whereby threatened and endangered species and the
ecosystems upon which they depend may be conserved. Under sections 7(a)(1) and 7(a)(2) of the
Act and its implementing regulations (50 CFR 402 et seq.), Federal agencies are required to
utilize their authorities to carry out programs for the conservation of threatened and endangered
species and to determine whether projects may affect threatened and endangered species and/or
designated critical habitat.
A biological assessment (BA) or biological evaluation (BE) should be completed for your
project. A BA is required for major construction activities (or other undertakings having similar
physical impacts) considered to be Federal actions significantly affecting the quality of the
human environment as defined in the National Environmental Policy Act (42 U.S.C. 4332(2) (c))
(NEPA). For projects other than major construction activities, the Service suggests that a BE be
prepared to determine effects of the action and whether those effects may affect listed species
and/or designated critical habitat. Effects of the action are all consequences to listed species or
critical habitat that are caused by the proposed action, including the consequences of other

Project code: 2024-0045298 02/05/2024
activities that are caused by the proposed action. A consequence is caused by the proposed action
if it is reasonably certain to occur and would not occur "but for" the proposed action..
Recommended contents of a BA/BE are described at 50 CFR 402.12. More information and
resources about project review and preparing a BA/BE can be found at the following web link:
https://www.fws. gov/office/asheville-ecological-services/asheville-field-office-online-review-
process-overview.
If a Federal agency determines listed species and/or designated critical habitat may be affected
by the proposed project, the agency is required to consult with the Service pursuant to 50 CFR
402. The Service is not required to concur with "no effect" determinations from Federal action
agencies. If consultation is required, the Service recommends that candidate species, proposed
species, proposed critical habitat, and at -risk species be addressed within the consultation. More
information on the regulations and procedures for section 7 consultation, including the role of
permit or licensed applicants, can be found in the "Endangered Species Consultation Handbook"
at the following web link: https://www.fws.gov/media/endangered-species-consultation-
handbook.
Migratory Birds: In addition to responsibilities to protect threatened and endangered species
under the Act, there are additional responsibilities under the Migratory Bird Treaty Act (META)
and the Bald and Golden Eagle Protection Act (BGEPA) to protect native birds from project -
related impacts. Any activity, intentional or unintentional, resulting in take of migratory birds,
including eagles, is prohibited unless otherwise permitted by the Service (50 C.F.R. Sec. 10.12
and 16 U.S.C. Sec. 668(a)). More information about MBTA and BGEPA can be found at the
following web link: https://www.fws.gov/program/migratory.
We appreciate your consideration of Federally listed species. The Service encourages Federal
agencies to include conservation of threatened and endangered species in their project planning
to further the purposes of the Act. Please contact our staff at 828-258-3939, if you have any
questions. In any future correspondence concerning this project, please reference the
Consultation Code which can be found in the header of this letter.
Attachment(s):
■ Official Species List
■ USFWS National Wildlife Refuges and Fish Hatcheries
■ Bald & Golden Eagles
■ Migratory Birds
■ Wetlands
OFFICIAL SPECIES LIST
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
2of10

Project code: 2024-0045298
02/05/2024
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Asheville Ecological Services Field Office
160 Zillicoa Street, Suite B
Asheville, NC 28801-1082
[phone]
3of10

Project code: 2024-0045298
02/05/2024
PROJECT SUMMARY
Project Code: 2024-0045298
Project Name: Everyleigh
Project Type: Wastewater Pipeline - New Constr - Below Ground
Project Description: SFR
Project Location:
The approximate location of the project can be viewed in Google Maps: https://
www.google.com/maps/(a)36.29321125,-80.34740072356047,14z
�r
1"'A 0'0.1'1 r
}
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Counties: Stokes County, North Carolina
4of10

Project code: 2024-0045298 02/05/2024
ENDANGERED SPECIES ACT SPECIES
There is a total of 5 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheriesi, as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
1. NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
MAMMALS
NAME
STATUS
Gray Bat Myotis grisescens
Endangered
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/6329
Northern Long-eared Bat Myotis septentrionalis
Endangered
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/9045
Tricolored Bat Perimyotis sub flavus
Proposed
No critical habitat has been designated for this species.
Endangered
Species profile: https://ecos.fws.gov/ecp/species/10515
INSECTS
NAME STATUS
Monarch Butterfly Danaus plexippus Candidate
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/9743
9IOWA=1:71L1CH:JIW_1►kP,
NAME STATUS
Schweinitz's Sunflower Helianthus schweinitzii Endangered
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/3849
5of10

Project code: 2024-0045298 02/05/2024
CRITICAL HABITATS
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.
YOU ARE STILL REQUIRED TO DETERMINE IF YOUR PROJECT(S) MAY HAVE EFFECTS ON ALL
ABOVE LISTED SPECIES.
USFWS NATIONAL WILDLIFE REFUGE LANDS
AND FISH HATCHERIES
Any activity proposed on lands managed by the National Wildlife Refuge system must undergo a
'Compatibility Determination' conducted by the Refuge. Please contact the individual Refuges to
discuss any questions or concerns.
THERE ARE NO REFUGE LANDS OR FISH HATCHERIES WITHIN YOUR PROJECT AREA.
BALD & GOLDEN EAGLES
Bald and golden eagles are protected under the Bald and Golden Eagle Protection Act] and the
Migratory Bird Treaty ActZ.
Any person or organization who plans or conducts activities that may result in impacts to bald or
golden eagles, or their habitats3, should follow appropriate regulations and consider
implementing appropriate conservation measures, as described in the links below. Specifically,
please review the "Supplemental Information on Migratory Birds and Eagles".
1. The Bald and Golden Eagle Protection Act of 1940.
2. The Migratory Birds Treated Act of 1918.
3. 50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)
THERE ARE NO BALD AND GOLDEN EAGLES WITHIN THE VICINITY OF YOUR PROJECT AREA.
MIGRATORY BIRDS
Certain birds are protected under the Migratory Bird Treaty Actl and the Bald and Golden Eagle
Protection Actz.
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 in the links below. Specifically,
please review the "Supplemental Information on Migratory Birds and Eagles".
1. The Migratory Birds Treated Act of 1918.
2. The Bald and Golden Eagle Protection Act of 1940.
3. 50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)
6of10

Project code: 2024-0045298
02/05/2024
For guidance on when to schedule activities or implement avoidance and minimization measures
to reduce impacts to migratory birds on your list, see the PROBABILITY OF PRESENCE
SUMMARY below to see when these birds are most likely to be present and breeding in your
project area.
NAME
Cerulean Warbler Dendroica cerulea
This is a Bird of Conservation Concern (BCC) throughout its range in the
continental USA and Alaska.
https://ecos.fws.gov/ecp/species/2974
Chimney Swift Choeturo pelogico
This is a Bird of Conservation Concern (BCC) throughout its range in the
continental USA and Alaska.
https://ecos.fws.gov/ecp/species/9406
Prairie Warbler Dendroica discolor
This is a Bird of Conservation Concern (BCC) throughout its range in the
continental USA and Alaska.
https://ecos.fws.gov/ecp/species/9513
Red-headed Woodpecker Melanerpes erythrocepholus
This is a Bird of Conservation Concern (BCC) throughout its range in the
continental USA and Alaska.
https://ecos.fws.gov/ecp/species/9398
Wood Thrush Hylocichlo mustelino
This is a Bird of Conservation Concern (BCC) throughout its range in the
continental USA and Alaska.
https://ecos.fws.gov/ecp/species/9431
PROBABILITY OF PRESENCE SUMMARY
BREEDING SEASON
Breeds Apr 28 to Jul
20
Breeds Mar 15 to Aug
25
Breeds May 1 to Jul 31
Breeds May 10 to Sep
10
Breeds May 10 to Aug
31
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 "Supplemental
Information on Migratory Birds and Eagles", specifically the FAQ section titled "Proper
Interpretation and Use of Your Migratory Bird Report" before using or attempting to interpret
this report.
Probability of Presence ( )
Green bars; the bird's relative probability of presence in the 10km grid cell(s) your project
overlaps during that week of the year.
Breeding Season( )
Yellow bars; liberal estimate of the timeframe inside which the bird breeds across its entire
range.
Survey Effort (1)
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Project code: 2024-0045298
02/05/2024
Vertical black lines; the number of surveys performed for that species in the 10km grid cell(s)
your project area overlaps.
No Data (—)
A week is marked as having no data if there were no survey events for that week.
probability of presence breeding season I survey effort — no data
SPECIES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Cerulean Warbler
BCC Rangewide +—++ ++++ { — +—++ I I I .F-- + + + — - -- ���� —�+� -4 +-+—
(CON)
Chimney Swift +— ++ { I 1 1 1
BCC Rangewide ++ ++ I i Jill 1.1 .--�--N--il-- — + +++—
(CON)
Prairie Warbler
BCC Rangewide +—++ ++++ ++-- +—++ I I I I I I I I +++— —�-- + --++ +++
(CON)
Red-headed
++
Woodpecker +—++ ++ ++-- +—++ I I I I I I I - I I I —�++ +++
BCC Rangewide
(CON)
Wood Thrush d
BCC Rangewide +—++ ++++ { I �— { - I N i +..._ — — — — — — — — --++ +++
(CON)
Additional information can be found using the following links:
■ Eagle Management https://www.fws.gov/program/eagle-management
■ Measures for avoiding and minimizing impacts to birds https://www.fws.gov/library
collections/avoiding-and-minimizing-incidental-take-migratory.
■ Nationwide conservation measures for birds https://www.fws.gov/sites/default/files/
documents/nationwide-standard-conservation-measures.pdf
■ Supplemental Information for Migratory Birds and Eagles in IPaC https://www.fws.gov/
media/sunnlemental-information-miE!ratorv-birds-and-bald-and-golden-eagles-mav-occur-
rol ect-action
WETLANDS
Impacts to NWI wetlands and other aquatic habitats may be subject to regulation under Section
404 of the Clean Water Act, or other State/Federal statutes.
For more information please contact the Regulatory Program of the local U.S. ArmeT�ps of
Engineers District.
8of10

Project code: 2024-0045298
02/05/2024
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.
FRESHWATER POND
■ PUBHh
RIVERINE
■ R4SBC
■ R5UBH
FRESHWATER FORESTED/SHRUB WETLAND
■ PFOIA
9of10

Project code: 2024-0045298
02/05/2024
IPAC USER CONTACT INFORMATION
Agency: Private Entity
Name: Bradley Luckey
Address: 743 Park Lawn Court
City:
Kernersville
State:
NC
Zip:
27285
Email
[e-mail]
Phone:
3367084997
10 of 10

A r l
FS
I
U
M,
Do
00
ME

Parcel_PK:
Parcel Number:
PIN:
Market Area:
Township:
Land Class:
Deed Acreage:
Planning Juris.:
Physical Address:
Situs City:
PARCEL_PK
17835
690 21743 99
9345
YADKIN
VACANT
2.71
KING
0 WINFIELD DR
Zoning:
ZONING
Deed Ref:
381 /445
Deed Date:
05/01 /1995
1:1,308
0 0.01 0.02 0.04 mi
0 0.0175 0.035 0.07 km
November 3, 2021
Stokes County

Parcel_PK:
PARCEL PK
Parcel Number:
18013
PI N :
690 21745 84
Market Area:
9345
Township:
YADKIN
Land Class:
SINGLE FAMILY RES
Deed Acreage:
3.89
Planning Juris.:
KING
Physical Address:
504 N MAIN ST
Situs City:
King
Zoning:
ZONING
Deed Ref:
498/149
Deed Date:
09/03/2003
1:1,608
0 0.0125 0.025 0.05 mi
0 0.02 0.04 0.08 km
November 3, 2021
Stokes County

Parcel_PK:
PARCEL PK
Parcel Number:
18012
PI N :
690 2175717
Market Area:
9345
Township:
YADKIN
Land Class:
SINGLE FAMILY RES
Deed Acreage:
3.14
Planning Juris.:
KING
Physical Address:
508 N MAIN ST
Situs City:
King
Zoning:
ZONING
Deed Ref:
162/283
Deed Date:
12/31 /1963
1:1,440
0 0.01 0.02 0.04 mi
0 0.0175 0.035 0.07 km
November 3, 2021
Stokes County

Parcel_PK:
PARCEL PK
Parcel Number:
18011
PI N :
6902176915
Market Area:
9345
Township:
YADKIN
Land Class:
SINGLE FAMILY RES
Deed Acreage:
2.54
Planning Juris.:
KING
Physical Address:
512 N MAIN ST
Situs City:
King
Zoning:
ZONING
Deed Ref:
340/1803
Deed Date:
09/27/1989
1:1,284
0 0.01 0.02 0.04 mi
0 0.015 0.03 0.06 km
November 3, 2021
Stokes County

Parcel_PK:
PARCEL PK
Zoning: ZONING
Parcel Number:
17995
Deed Ref: 629/516
PIN:
6902186288
Deed Date: 9/10/2019 10:00:00 AM 1:3,108
Market Area:
9345
0 0.025 o.0.1 mi
�1 I ITI 1 1 1
Township:
YADKIN
0 0.04 0.08 0.16 km
Land Class:
VACANT
December 14, 2020
Deed Acreage:
0.25
PlanningJuris.:
KING
Stokes
County
Physical Address:
0 N MAIN ST
Situs City:

Parcel_PK:
PARCEL PK Zoning: ZONING
Parcel Number:
17994 Deed Ref: 340/1803
PIN:
6902186290 Deed Date: 9/28/1987
1:1,548
Market Area:
9345
0 0.0125 0.025 0.05 mi
Township:
YADKIN
0 0.02 0.04 0.08 km
Land Class:
VACANT
December 14, 2020
Deed Acreage:
0.84
PlanningJuris.:
KING
Stokes
County
Physical Address:
0 N MAIN ST
Situs City:

Parcel_PK:
PARCEL PK
Zoning: ZONING
Parcel Number:
17968
Deed Ref: 629/516
PIN:
6902281265
Deed Date: 9/10/2019 10:00:00 AM 1:3,108
Market Area:
9345
0 0.025 o.0.1 mi
�1 I ITI 1 1 1
Township:
YADKIN
0 0.04 0.08 0.16 km
Land Class:
VACANT
December 14, 2020
Deed Acreage:
5.11
PlanningJuris.:
KING
Stokes
County
Physical Address:
0 N MAIN ST
Situs City:

Parcel_PK: PARCEL PK Zoning: ZONING
Parcel Number: 17960 Deed Ref: 629/513
PI N:
MarketArea:
Township:
Land Class:
Deed Acreage:
Planning Juris.:
Physical Address:
Situs City:
6902285593 Deed Date: 9/10/2019 10:00:00 AM 1:3,108
9345 0 0.025 0.05 0.1 mi
�1 1 ITI 1 11
YADKIN 0 0.04 0.08 0.16 km
VACANT December 14, 2020
8.42
KING Stokes County
0 OFF N MAIN ST

Parcel_PK: PARCEL PK Zoning: ZONING
Parcel Number: 17959 Deed Ref: 340/1803
PI N:
MarketArea:
Township:
Land Class:
Deed Acreage:
Planning Juris.:
Physical Address:
Situs City:
6902288911 Deed Date: 9/28/1989
9345
YADKIN
VACANT
4.56
KING
0 OFF SOUTHERN RD
1:3,108
0 0.025 0.05 0.1 mi
0 0.04 0.08 0.16 km
December 14, 2020
Stokes County

Parcel_PK: PARCEL PK Zoning: ZONING
Parcel Number: 17946 Deed Ref: 340/1803
PI N:
MarketArea:
Township:
Land Class:
Deed Acreage:
Planning Juris.:
Physical Address:
Situs City:
6902383463 Deed Date: 9/28/1989
9345
YADKIN
VACANT
33.57
KING
0 OFF SOUTHERN RD
1:6, 216
0 0.05 0.1 0.2 mi
0 0.075 0.15 0.3 km
December 14, 2020
Stokes County

Parcel_PK: PARCEL PK Zoning: ZONING
Parcel Number: 17937 Deed Ref: 340/1803
PI N:
MarketArea:
Township:
Land Class:
Deed Acreage:
Planning Juris.:
Physical Address:
Situs City:
6902391224 Deed Date: 9/28/1989
9345
YADKIN
VACANT
8.77
KING
0 OFF SOUTHERN RD
1:3,108
0 0.025 0.05 0.1 mi
0 0.04 0.08 0.16 km
December 14, 2020
Stokes County