20231611 Ver 1_Resp to RFAI_20240202

Homer, Seren M
From: Brad Luckey <[e-mail]>
Sent: Friday, February 2, 2024 4:50 PM
To: Homer, Seren M
Cc: Hopper, Christopher D CIV USARMY CESAW (USA); Meyer, Laura J CIV USARMY CESAW
(USA); Stock, N Carmela CIV USARMY CESAS (USA)
Subject: RE: [External] RE: SAW-2023-02251 (DWR#20231611) - Knox Road - Request for
Additional Information
Attachments: 7709.2_Knox Rd_PCN_2.2.24.pdf
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
button located on your Outlook menu bar on the Home tab.
Good Afternoon Seren and Carmela,
Please find the below responses to RFI and attachments, let me know if you need anything additional to continue to
process. Thanks.
USACE 1) Project coordinates in the application are inconsistent with the project description. Please clarify, and/or
provide updated coordinates for the proposed project.
Applicant Response: See attached.
USACE 2) Would any of the construction access corridors be maintained as maintenance corridors or roadside
shoulders? If so, have those permanent impacts been accounted for?
Applicant Response: Impacts associated with long term roadside shoulder maintenance was included with the
previously provided permanent and temporary impacts of the project.
USACE 3) Temporary wetland impacts for 'erosion control devices' are listed in the provided drawings. What are the
erosion control devices, and would these areas be revegetated and restored to pre -construction contours, where
applicable?
Applicant Response: Silt fence and outlets. Areas of temporary wetland impacts would be restored to similar pre -
construction grades and stabilized with native herbaceous seed mix and as needed, natural fiber containing matting.
USACE 4) Please provide the width of the stream at the impact location.
Applicant Response: The stream's average width is 2.52 feet wide at the proposed impact location.
USACE 5) Have you been in contact with NCDWR regarding an Individual Water Quality Certification for this project?
Applicant Response: Yes, a 401 WQC was requested concurrently with the NWP Verification request.
NCDWR 1) Has the delineation of the project area or a portion thereof ever been submitted to the USACE for
verification?
Applicant Response: Yes, a delineation of the project area was submitted to the USACE with the NWP Verification
Request.

NCDWR 2) Section E.1a (or Section F.1 of PCN Form Version 4.3), you indicated that the project does not include nor is
adjacent to protected riparian buffers. However, the project is located within the Jordan Lake Buffer Area and requires
diffuse flow and/or other forms of stormwater treatment for the proposed buffer impacts. Please clarify this discrepancy
and provide information verifying that you are seeking or have already received written approval from the local
authority for buffer impacts and will be able to comply with any applicable diffuse flow/SWM requirements.
Applicant Response: See attached. The applicant will obtain riparian buffer authorization and approval of a stormwater
management plan from the local delegated authority prior to the proposed impacts occurring.
NCDWR 3) In the "Impact Justification and Mitigation" section of the PCN, you stated that "the site has been designed to
provide off -site drainage area from adjacent properties to the north and west of the site to continue hydration of
streams and wetlands on the site." A review of the USGS Stream Stats indicates that majority of the drainage area to
these features is within the project limits. Please provide a visual representation or other documentation to support the
previous statement and substantive justification that hydrologic input will be maintained to the wetlands and streams
on the site. Please also update applicable plan sheets to clearly show such measures/details. If maintenance of wetland
hydrology is unable to be justified as appropriate, please update the PCN and plan sheets to include the indirect impacts
resulting from the loss of hydrology and therefore aquatic function.
Applicant Response: See attached. The applicant has designed the proposed project to maintain 72% of the pre -
construction drainage area to wetlands and streams located on the site following construction. Based on the amount of
pre -construction drainage area that will be maintained to unimpacted streams and wetlands located on the site, it is our
opinion that there will not be an adverse affect to aquatic function or quality of remaining unimpacted streams and
wetlands located on the site.
Sincerely,
Bradley S. Luckey, PWS
336.708.4997 (c)
336.310.4527 (o)
PO Box 128
Kernersville, NC 27285
www.pilotenviro.com
[e-mail]
From: Homer, Seren M <[e-mail]>
Sent: Tuesday, January 30, 2024 5:12 PM
To: Brad Luckey <[e-mail]>
Cc: Hopper, Christopher D CIV USARMY CESAW (USA) <[e-mail]>; Meyer, Laura J CIV
USARMY CESAW (USA) <[e-mail]>; Stock, N Carmela CIV USARMY CESAS (USA)
<[e-mail]>
Subject: RE: [External] RE: SAW-2023-02251 (DWR#20231611) - Knox Road - Request for Additional Information
Good afternoon Brad,
DWR has the same concerns as the Corps. If you would like DWR to continue the review of your application, please copy
me on your response to the requested information. In addition to the Corps' request, please provide a complete
response to the items below. Please note that your application will be considered "on hold" with DWR until a complete
response is received.
Has the delineation of the project area or a portion thereof ever been submitted to the USACE for verification?
Section E.1a (or Section F.1 of PCN Form Version 4.3), you indicated that the project does not include nor is
adjacent to protected riparian buffers. However, the project is located within the Jordan Lake Buffer Area and

requires diffuse flow and/or other forms of stormwater treatment forth e proposed buffer impacts. Please
clarify this discrepancy and provide information verifying that you are seeking or have already received written
approval from the local authority for buffer impacts and will be able to comply with any applicable diffuse
flow/SWM requirements.
In the "Impact Justification and Mitigation" section of the PCN, you stated that "the site has been designed to
provide off -site drainage area from adjacent properties to the north and west of the site to continue hydration
of streams and wetlands on the site." A review of the USGS Stream Stats indicates that majority of the drainage
area to these features is within the project limits. Please provide a visual representation or other
documentation to support the previous statement and substantive justification that hydrologic input will be
maintained to the wetlands and streams on the site. Please also update applicable plan sheets to clearly show
such measures/details. If maintenance of wetland hydrology is unable to be justified as appropriate, please
update the PCN and plan sheets to include the indirect impacts resulting from the loss of hydrology and
therefore aquatic function.

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Thanks,
Seren Homer (she/her)
Environmental Specialist, Division of Water Resources
North Carolina Department of Environmental Quality
Office: [phone] 1 Cell: [phone]
[e-mail]
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M8rley Dr
77

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Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
From: Stock, N Carmela CIV USARMY CESAS (USA) <[e-mail]>
Sent: Monday, January 29, 2024 11:00 AM
To: [e-mail]
Cc: Homer, Seren M <[e-mail]>; Hopper, Christopher D CIV USARMY CESAW (USA)
<[e-mail]>; Meyer, Laura J CIV USARMY CESAW (USA) <[e-mail]>;
Hammond, Swade D CIV USARMY CESAS (USA)<Swade.D.Hammond @usace.army.mil>
Subject: [External] RE: SAW-2023-02251- Knox Road - Request for Additional Information
CAUTION: External email. Do not click links or open attachments unless verified. Report suspicious emails with the Report Message
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Good morning, Bradley:
This email is to notify you that your application for the proposed Knox Road Project (SAW-2023-02251) has
been administratively withdrawn due to lack of response to the Request for Additional Information sent on
December 27, 2023 (below). The administrative withdrawal will not change the permitting process. You will not
be required to re -submit an entirely new PCN (unless otherwise specified). When we have received the
requested information, we will continue to review and/or process your permit application.
Please contact me with questions or concerns.
Respectfully,
N. Carmela Stock
Biologist
Regulatory Project Manager
U.S. Army Corps of Engineers
SAD Technical Regional Execution Center
100 W. Oglethorpe Ave.
Savannah, GA 31401
Email: Nichelle.C.Stock(a)usace.army.mil
Telephone: [phone]
To assist us in improving our service to you, please complete the survey found at
https://regulatory.ops.usace.army.mil/customer-service-survey/
From: Stock, N Carmela CIV USARMY CESAS (USA)
Sent: Wednesday, December 27, 2023 16:30
To: [e-mail]
Cc: Homer, Seren M <[e-mail]>
Subject: SAW-2023-02251 - Knox Road - Request for Additional Information
Good afternoon, Bradley,
This email is in reference to the Pre -construction notification (PCN) for the proposed Knox Road Project (SAW-
2023-02251), received on November 21, 2023.

The following information is required to complete our evaluation, confirm compliance with one or more General
or Regional Conditions, and/or complete consultation with another federal/state agency to verify the use of the
Nationwide Permit (NWP):
1. Project coordinates in the application are inconsistent with the project description. Please clarify, and/or
provide updated coordinates for the proposed project.
2. Would any of the construction access corridors be maintained as maintenance corridors or roadside
shoulders? If so, have those permanent impacts been accounted for?
3. Temporary wetland impacts for `erosion control devices' are listed in the provided drawings. What are
the erosion control devices, and would these areas be revegetated and restored to pre -construction
contours, where applicable?
4. Please provide the width of the stream at the impact location.
5. Have you been in contact with NCDWR regarding an Individual Water Quality Certification for this
project?
Please also note, culvert burial is not required with slopes greater than 2.5%.
Please provide the requested information within 30 days, or your application will be administratively withdrawn.
To clarify, if the requested information is submitted after the 30-day timeframe, you will not be required to re-
submit an entirely new PCN (unless otherwise specified). We will continue to review and/or process your
permit application upon receipt of the requested information.
Please contact me with any questions or concerns.
Best Regards,
N. Carmela Stock
Biologist
Regulatory Project Manager
U.S. Army Corps of Engineers
SAD Technical Regional Execution Center
100 W. Oglethorpe Ave.
Savannah, GA 31401
Email: Nichelle.C.Stock(D_usace.army.mil
Telephone: [phone]
To assist us in improving our service to you, please complete the survey found at
https://regulatory.oi)s.usace.army.mil/customer-service-survev/
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.

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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
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: NWP 39 or General Permit (GP) number:
1 c.
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):
® 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 ® 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:
Knox Road
2b.
County:
Guilford
2c.
Nearest municipality / town:
McCleansville
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Land Port Investments, LLC
3b.
Deed Book and Page No.
006431/008494
3c.
Responsible Party (for LLC if
applicable):
Mr. Phillip Williams
3d.
Street address:
201 N Elm Street
3e.
City, state, zip:
Greensboro, NC 27401
3f.
Telephone no.:
336-840-6481
3g.
Fax no.:
3h.
Email address:
[e-mail]
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:
4b.
Name:
4c.
Business name
(if applicable):
4d.
Street address:
4e.
City, state, zip:
4f.
Telephone no.:
4g.
Fax no.:
4h.
Email address:
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):
8804921526, 8804920404, 8804921160, 8804917461
&8804915566
1 b. Site coordinates (in decimal degrees):
Latitude: 36.061195 Longitude: - 79.6446
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
52 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Little Alamance Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS-IV, NSW
2c. River basin:
Cape Fear
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Single family residences and outbuildings are located on the northern and central portions of the site. The remainder of
the site contains undeveloped wooded land and agricultural fields. The site is located within a mixed use area of
McCleansville, Guilford County, North Carolina.
3b. List the total estimated acreage of all existing wetlands on the property:
Wetland=1.78 Ac
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Stream=1,659 LF
3d. Explain the purpose of the proposed project:
The purpose of the project is to develop the site with approximate 289,800 square foot and 100,000 square foot
warehouses.
3e. Describe the overall project in detail, including the type of equipment to be used:
The purpose of the project is to develop the site with an approximate 289,800 square foot warehouse, approximate
100,000 square foot warehouse, trailer/vehicular parking, landscaped areas and stormwater treatment pond. In order to
develop the site, it is necessary to impact streams and wetlands. Clearing and grading the site is necessary. Graders,
haulers, excavators and other heavy equipment will be used during site construction.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
Yes ❑ No ®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): David Brame/Jeff Harbour
Other: Terracon Consultants, Inc.
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
Page 5 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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
Fill/Construction
® Yes
® Corps
0.017/0.042
Access
El No
El DWQ
W2 ®P ®T
Fill/Construction
El Yes
[:1 Corps
0.002/0.010
Access
El No
❑ DWQ
W3 ❑ P ®T
Construction
El Yes
[:1 Corps
0.0003
Access
El No
❑ DWQ
W4 ❑ P ®T
Construction
El Yes
❑ Corps
0.029
Access
El No
[:1 DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.019/0.0813
2h. Comments: Wetland impact 1 will permanently impact 0.017 acres (734 square feet) with fill for construction of access
road and temporarily impact 0.042 acres (1,836 square feet) for construction access.
Wetland impact 2 will permanently impact 0.002 acres (78 square feet) with fill for construction of building pad and temporarily
impact 0.010 acres (450 square feet) for construction access.
Wetland impact 3 will temporarily impact 0.0003 acres (14 square feet) for construction access.
Wetland impact 4 will temporarily impact 0.029 acres (1,271 square feet) for construction access.
Mitigation is not proposed. Areas of temporary impact will be restored to similar pre -construction elevations and stabilized
with native herbaceous seed mix.
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
Fill/Rip-
Rap/Dewatering
Unnamed
® PER
❑INT
® Corps
❑ DWQ
2.52
155/35/11
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
155/35/11
3i. Comments: Stream impact 1 will permanently impact 155 linear feet (428 square feet) with access road fill, permanently
Page 6 of 12
PCN Form — Version 1.3 December 10, 2008 Version

impact 35 linear feet (60 square feet) with keyed in rip -rap and temporarily impact 11 linear feet (20 square feet) with
construction de -watering activities.
Mitigation is not proposed. Area of temporary impact will be restored to similar pre -construction grades and stabilized with
natural fiber matting, native herbaceous seed mix and live stakes.
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
5L 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 7 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 ®Other: Jordan
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)
for
Stream name
mitigation
(square feet)
(square feet)
or Temporary T
impact
required?
131 ❑P❑T
❑Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑ No
B3 ❑P❑T
❑Yes
❑ No
6h. Total buffer impacts
6i. Comments: Buffer impacts will be authorized by local municipality prior to impacts occuring.
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 larger warehouse building has been designed for a specific user based upon their requirements. The site has been
designed to separate tractor trailer traffic from general vehicular traffic. A circular flow around trailer docks and the
warehouses are necessary for operational efficiencies of the occupant, for safety purposes of emergency personnel services
and for the user to segregate tractor trailer from vehicular traffic. Necessary size of the larger building, trailer docks, trailer
storage, distance between docks and trailer storage (i.e. cross dock configuration), vehicular parking areas and general
vehicular and tractor trailer flow pattern has been designed based upon the user's anticipated requirements and general
safety.
The site has been designed to provide off -site drainage area from adjacent properties to the north and west of the site to
continue hydration of streams and wetlands on the site.
The remaining 1.68 acres of wetlands and 1,458 linear feet of stream channel have been 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 crossing. During construction, water will be pumped around the construction footprint.
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 the 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
❑Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
Page 8 of 12
PCN Form — Version 1.3 December 10, 2008 Version

3.
Complete if Using a Mitigation Bank
3a.
Name of Mitigation Bank:
3b.
Credits Purchased (attach receipt and letter)
Type
Quantity
3c.
Comments:
4.
Complete if Making a Payment to In -lieu Fee Program
4a.
Approval letter from in -lieu fee program is attached.
❑ Yes
4b.
Stream mitigation requested:
linear feet
4c.
If using stream mitigation, stream temperature:
❑ 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 9 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: SWMP approval from local municipality
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
46 %
2b.
Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative
description of the plan:
The applicant will obtain a SWMP authorization from the local delgated municipality prior
to impacts occuring.
® 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?
Guilford County
❑ Phase II
3b.
Which of the following locally -implemented stormwater management programs
® NSW
❑ 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 10 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
❑ Yes ® No
letter.)
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.
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 are not proposed.
Page 1 1 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?
❑ 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 small whorled pogonia as a federally protected species that could be proximate to
the project area. The project area contains a former drained pond and stream in an overgrown patsture. Suitable habitat,
specificially, mature wooded land with open mid and understories, is not located within the project area. Therefore, we
hvade made a determination of no effect for small worled pogonia.
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 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 historic and/or archaeological resources of the site.
The map does not identify eligible for listing or listed properties on or near the project area. 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)
Bradley S. Luckey, PWS
2.2.24
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
isprovided.)
Page 12 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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1. TEMPORARY IMPACTS ARE ITEMS THAT ARE REQUIRED DURING / \� \ — — — \ \ \ \` - / / / / I - - //'/ / // l _� /' '/ \/ / ///' / p \ \\ \ \ \ \ ` ` \ \ \ \ - - \ \ \ / '
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CONSTRUCTION TO MAKE POSSIBLE THE PERMANENT STREAM �\ \ - _ - _ / \ r ///i/ // / / //i- /' - // / I q \\ \ \ \ \ \ \ \ \ \ \ \ \ _ `
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CROSSING WITHOUT IMPACTING THE NATURAL FUNCTION OF THE \ - - - - - - - _ _ I I \ \ \ \ \ ✓ - -// - /d/ / / /��' 1i / / / 1 r /l ( \\ \ \\ \ \ \\ \ \ \ \ \ \ 1 \ - \ -
STREAM. THIS INCLUDES: DEWATERING ACTIVITIES. \ \\ \ - \� _ o ` ° /// /� % i //II ��� r I 1 \ \ \ \ \ \ \ \ I \ \ \ \\
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2. PERMANENT IMPACTS ARE ITEMS THAT CAUSE DISTURBANCE TO THE ( / \ 11 \ 11\\ \ \ \\ \ \ _ \ \ _ _ - ' , / / -/ ,, / �s� / r l _/-/ Oo0 / / IQ� \ \ 0.\ \ \ \\ \ \ \ \ 1 I I l
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STREAM AND WILL REMAIN IN PLACE UPON THE COMPLETION OF \ � \ J \ - I I \\ \ \ \ \� ��\/ \ / - - - — �r////// // /� _ — , Jim / oo / / oo / 9 - / \ \ \ \ \ \ I 1 \
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CONSTRUCTION. THIS INCLUDES: ROADWAY PAVEMENT INSTALLATION, \I \\ I I \ \ \ \ \� \ r \ / �\ �_ --� / / � �_ -� / - - - J / I III /' // / / o° _ - / 1 Od / ^ 9 / / / - 1 l I
CULVERT INSTALLATION, AND RIPRAP PLACEMENT. \ \ / ' \\ 1 \ - - - - - _ _ _ I \ \ \ \ \ \ \\ - 4 ' / - _ _ I \ _ - _ _ - // __=-I/9 I, �i, - O O 0 \ I / (/ / / / - / / / I / / r I I 1 I
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EXISTING CONDITIONS NOTES: \ / \\ — — — \ \ \ \ �y, ` - -/' r - 1 / / _� - ! _ - - - - - _ _ (' / / / �' ✓ ° /c ° < / / ` '
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1. ORIGINAL WETLAND AND STREAM DELINEATIONS PERFORMED AND \\\\� \��\ / \i \ \ - \\\ \ I \ \ \\ �� \ �\�\ \\ \\ \\ `- ---- �- ' I ` \ - J /_- - /��-"/ _ I l \ \� / i l )�J,��r/ , - / 1(o \ % - - � - / // / I I I 1 ` \ \ -� _
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PROVIDED BY TERRACON DATED OCTOBER 2021. \\ \ % I ( /\\ \ I \ _ - I 1 \ \\ \ \ \\ \ \ l� \ \ \\ / \ - - -/ �`c^ - \ I \ /,, �L \ - - _ _ - - - /i�(/ -/ /J/ /' // - / / - - - / / / / /J �1 / / / / \ - -
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2. IMPACTED STREAM AND KNOX ROAD TOPOGRAPHY PERFORMED AND !N& \l ` / _ \ \\ \ \ _ _ _ u'-�-`j'x - _ - J \ \ \\\\ \ \ \ \ \ \ \ \\ \ \� -�\ \ \\\ \ - \ _\ \ \ `may \ �\- +z ; \ \ I I (/ p, \ _ \ - _ J I / r/, ° / \ I I I / JI O / / r -/ / / \ _ - - - \ O$
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DRAWN BY
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