20240587 Ver 1_7176.3_Old Lexington Rd_PCN_4.17.24_20240417

Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- 2024- Begin Date (Date Received): 4.17.24
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: Old Lexington Road (Harvest Creek)
2. Work Type: ❑✓ Private ❑Institutional ❑Government ❑Commercial
3. Project Description / Purpose [PCN Form 133d and 133e]:
Attached
4. Property Owner / Applicant [PCN Form A3 or A4]: 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 B lb]:
Old Lexington Road
36.03489,-80.21921
8. Project Location —Tax Parcel ID [PCN Form Bla]: Attached
9. Project Location — County [PCN Form A2b]: Forsyth
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Winston Salem
11. Project Information — Nearest Waterbody [PCN Form 132a]: South Fork Muddy Crek
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
0
C
n
Revised 20150602

n�
'tee auvnv��t"k
NORTH CAROLINA
Environmental Quality
Water Resources
Office Use Only
Corps Action I D no. [Click to enter.] Date received: 3/18/2024
DWR project no. Mick enter.] Date received: 3/18/2024
Site Coordinates:
Latitude (DD.DDDDDD): 36.03489
Longitude (DD.DDDDDD): 80.21921
Form Version 4.3, 1210412023
Pre -Construction Notification (PCN) Form
(Ver. 4.2, 1210412023)
For Nationwide Permits and Regional General Permits and corresponding Water Quality Certifications
Please note: fields marked with a red asterisk are required. The form is not considered complete until all
mandatory questions are answered.
The PCN help document may be found at this link:
https://edocs.deg.nc.gov/WaterResources/DocView.aspx?dbid=0&id=2196924&cr=1
Page 1 of 22 PCN Form Version 4.3- December 4, 2023

A. Processing Information
County (counties) where project is located: *
Guilford Additional (if needed).
Is this an ARPA project? *
❑ Yes ❑x No
If yes, ARPA project number:
* The project number can be found on the "Letter of Intent to Fund"
(LOIF) or "Offer and Acceptance Letter". If you are unable to locate
Click or tap here to enter text.
your DWI ARPA Funding Project Number, please contact Corey
Basinger at [e-mail] for further assistance.
Is this a NCDMS project? *
(Click yes only if NCDMS is the applicant or co-
❑ Yes ❑x No
applicant)
Is this a public transportation project?
(Publicly funded municipal, state, or federal road, rail,
❑ Yes ❑x No
or airport project)
Is this a NCDOT project? *
❑ Yes ❑x No
If yes, NCDOT TIP or state project number:
Click to enter.
If yes, NCDOT WBS number: *
Click to enter.
❑x Section 404 Permit (wetlands, streams, waters,
Clean Water Act)
1 a. 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? *
❑ Yes ❑x No
Please provide the date of the previous submission. *
Click to enter a date.
❑x 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? *
❑ Yes ❑x No
NWP number(s) (list all numbers ):
14/29
RGP number(s) (list all numbers ):
Click to enter.
Are you a federal applicant?
❑ Yes ❑x No
If yes, please provide a statement concerning compliance with the Coastal Zone Management Act
Click to enter text.
1 d. Type(s) of approval sought from DWR (check all that apply):
❑ 401 Water Quality Certification — Regular
❑ 401 Water Quality Certification— Express
❑ Non-404 Jurisdictional General Permit
❑ Riparian Buffer Authorization
❑x Individual 401 Water Quality Certification
Is this a courtesy copy notification
❑ Yes ❑x No
Page 2 of 22 PCN Form Version 4.3- December 4, 2023

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
❑x 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.miI/Missions/Regulatory-Permit-
Program/Agency-Coordination/Trout.aspx
Page 3 of 22 PCN Form Version 4.3- December 4, 2023

B. Applicant Information
1 a.
Who is the primary contact?
David Coe
1 b.
Primary Contact Email:
[e-mail]
1c.
Primary Contact Phone: (###)###-####
I.IIGK LU CI II_
1 d.
Who is applying for the permit/certification? (check
all that apply)
❑ Owner ❑x 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:
KO AM SISTERS LLC
2b.
Deed Book and Page No.:
3099/2356
2c.
Contact Person (for corporations):
David Coe
2d.
Address
Street Address:
3662 Winding Creek Way
Address line 2:
Click to entE
City:
Winston Salem
State/ Province/ Region:
North Carolina
Postal/ Zip Code:
27106
Country:
us
2e.
Telephone Number: (###)###-####
Click to enter.
2f.
Fax Number: (###)###-####
Click to enter
2g.
Email Address:
[e-mail]
3.
Applicant Information (if different from owner)
3a.
Name:
David Coe
3b.
Business Name (if applicable):
Harvest Creek Development, LLC
3c.
Address:
Street Address:
3662 Winding Creek Way
Address line 2:
Click to entE
City:
Winston Salem
State/ Province/ Region:
North Carolina
Postal/ Zip Code:
27106
Country
us
3d.
Telephone Number: (###)###-####
Click to enter.
3e
Fax Number: (###)###-####
Click to entr
3f.
Email Address:
[e-mail]
Page 4 of 22 PCN Form Version 4.3- December 4, 2023

4.
Agent/ Consultant (if applicable)
4a.
Name:
Bradley Luckey
4b.
Business Name:
Pilot Environmental, Inc
4c.
Address:
Street Address:
743 Park Lawn Court
Address line 2:
Click to entr
City:
Kernersville
State/ Province/ Region:
NC
Postal/ Zip Code:
27284
Country:
us
4d.
Telephone Number: (###)###-####
(336) 31-4527
4e
Fax Number: (###)###-####
Click to entr
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/Reg ulatory-Permit-Program/Permits/2017-Nationwide-Permits/Pre-
construction-Notification/
Page 5 of 22 PCN Form Version 4.3- December 4, 2023

C. Project Information and Prior Project History
1. Project Information
1 a. Name of project: *
Old Lexington Road
1 b. Subdivision name (if appropriate):
Harvest Creek
1c. Nearest municipality/town: *
Winston Salem
2.
Project Identification
2a.
Property identification number (tax PIN or parcel ID):
6833935541
2b.
Property size (in acres):
49.9
2c.
Project Address:
Street Address:
Old Lexington Road
Address line 2:
Click to enter.
City:
Winston Salem
State/ Province/ Region:
NC
Postal/ Zip Code:
27401
Country:
US
2d.
Site coordinates in decimal degrees (using 4-6 digits
after the decimal point): *
Latitude (DD.DDDDDD): * 36.03489
Longitude (-DD.DDDDDD): *-80.21921
3. Surface Waters
3a. Name of nearest body of water to proposed project: *
Southfork Muddy Creek
3b. Water Resources Classification of nearest receiving
Class C
water: *
The Surface Water Classification map may be found at this link:
httr)s:Hncdenr.maps.arcqis.com/apes/webappviewer/index.html?id=6el 25ad7628f494694e259c80dd64265
Yadkin-PeeDee
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
03040101
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 22 PCN Form Version 4.3- December 4, 2023

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:
A commercial and agricultural structures are located on the northern and northeastern portions of the site. A
sewer line and associated easement cross the southern portion of the site. The remainder of the site contains
undeveloped wooded land. The site is located in a residential and commercial area of Winston Salem, North
Carolina.
4b. Have Corps permits or DWR certifications been obtained for this
❑ Yes ❑ No ❑x Unknown
project (including all prior phases) in the past?
If yes, please give the DWR Certification number and/or Corps
[Click to enter.]
Action ID (ex. SAW-0000-00000):
IClick to enter.]
Attach any pertinent project history documentation
4b2. Is any portion of the work already complete?
❑ Yes ❑x No
If yes, describe the completed work.
Click to enter te>
4c. List of other certifications or approvals/denials received from other federal, state or local agencies for work
described in this application not related to the 404 or 401.
Click to enter te,
4d. Attach an 8'/2 x 11" excerpt from the most recent version of the USGS topographic map indicating the location of
the project site.
4e. Attach an 8'/2 x 11" excerpt from the most recent version of the published County NRCS Soil Survey map
depicting the project site.
4f. List the total estimated acreage of all existing wetlands on the
0.353 acres
property:
4g. List the total estimated linear feet of all existing streams (intermittent
3,680 linear feet
and perennial) on the property:
4g1. List the total estimated acreage of all existing open waters on the
property:
acres
4h. Explain the purpose of the proposed project:
The purpose of the proposed project is to provide access to the site for residential development.
4i. Describe the overall project in detail, including the type of equipment to be used:
The overall project includes the construction of a residential subdivision. In order to access, construct and
provide sewer infrastructure to the subdivision, it is necessary to impact a perennial stream and wetlands. To
facilitate the development of the site, clearing and grading is necessary. Graders, haulers, excavators and other
heavy equipment will be used during grading and construction of the site.
4j. Attach project drawings/site diagrams/depictions of impact areas for the proposed project.
4k. Will this activity involve dredging in wetlands or waters?
❑ Yes ❑x No
If yes, describe the type of dredging, the composition of the dredged material, and the locations of disposal area.
Click to enter text
Page 7 of 22 PCN Form Version 4.3- December 4, 2023

5.
Jurisdictional Determinations
5a.
Have the wetlands or streams been delineated on
the property or in
® Yes ❑ No ❑ Unknown
proposed impact areas?
Comments:
dick to enter text.
5b.
If the Corps made a jurisdictional determination,
❑ Preliminary ❑ Approved ❑ Emailed concurrence
what type of determination was made?
❑ Not Verified ❑ Unknown ❑x n/a
Corps AID number (ex. SAW-0000-00000):
^lick to nnta-
Name (if known): Bradley Luckey
5c.
If 5a is yes, who delineated the jurisdictional
Agency/Consultant Company: Pilot Environmental, Inc
areas?
Other: Click to enter.
5d.
List the dates of the Corps jurisdictional determination or State determination if a determination was made by
either agency.
'link to PntPr
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.
Click to enter.
7. Addresses of adjoining property owners, lessees, etc. whose property adjoins the waterbody (if more than can be
entered here, please attach a supplemental list)
Click to enter.
8. Scheduling of activity:
Prior to the expiration of the NWP Verification and associated 401 WQC.
Page 8 of 22 PCN Form Version 4.3- December 4, 2023

D. Proposed Impacts Inventory
Impacts Summary
❑x Wetlands ❑x Streams - tributaries
1 a. Where are the impacts associated with your project ❑ Buffers ❑ Open Waters
(check all that apply):
❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, complete this table for each wetland area impacted.
2a.
2a1.
2b.
2c.
2d.
2e.
2f.
2g.
Site #*
Impact
Impact
Wetland Type*
Wetland Name*
Forested
Jurisdiction
Impact Area
Reason/Type*
Duration*
?*
Type*
(ac)*
W1
Road/
Permanent
Bottomland
Unnamed
Yes
Corps
0.08
Driveway
Hardwood
Crossing
Forest
W2
Road/
Temporary
Bottomland
Unnamed
Yes
Corps
0.01
Driveway
Hardwood
Crossing
Forest
W3
Fill (Incl.
Permanent
Bottomland
Unnamed
Yes
Corps
0.06
Riprap)
Hardwood
Forest
W4
Fill (Incl.
Permanent
Bottomland
Unnamed
Yes
Corps
0.04
Riprap)
Hardwood
Forest
W5
Fill (Incl.
Permanent
Bottomland
Unnamed
Yes
Corps
0.01
Riprap)
Hardwood
Forest
Fill (Incl.
Permanent
Bottomland
Unnamed
Yes
Corps
0.001
W6
Riprap)
Hardwood
Forest
Other
Temporary
Bottomland
Unnamed
Yes
Corps
0.01
W7
Hardwood
Forest
Other
Temporary
Bottomland
Unnamed
Yes
Corps
0.01
W8
Hardwood
Forest
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
Mick to enter
Y/N
Choose one
Click to enter
W14
Choose one
Temp/ Perm
Choose one
Mick to enter
Y/N
Choose one
Click to enter
Page 9 of 22 PCN Form Version 4.3- December 4, 2023

W15
I Choose one
I Temp/ Perm
FChoose one
Click to
Y/N
Choose one
I Click to enter
2g1.
Total temporary wetland impacts
0.03 ac
2g2.
Total permanent wetland impacts
0.191 ac
2g3.
Total wetland impacts
0.221 ac
2h.
Type(s) of material being discharged and the amount of each type in cubic yards:
Clink tn enter text
2i.
Comments:
Areas of temporary impact will be restored to similar preconstruction grades, stabilized with biodegradable
matting and native herbaceous seed mix. Mitigation is proposed for net loss of wetlands.
Page 10 of 22 PCN Form Version 4.3- December 4, 2023

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 Reason*
Impact
Impact
Stream
Stream
Jurisdiction
Stream
Impact
#*
Duration*
Type*
Name*
Type*
Type*
Width (avg
length
ft) *
(linear ft)
S1
Road Crossing
Permanent
Crossing/
Unnamed
Perennial
Corps
4.2
149
Culvert
S2
Dewatering/Construction
Temporary
Dewatering
Unnamed
Perennial
Corps
5.3
39
Access
S3
Temp/
Choose
Click to enter
Choose
Click to
Perm
one
one
enter
S4
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to
Perm
one
one
enter
S5
Click to enter
Temp/
Choose
Click to enter
"er/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
S6
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
S7
Click to enter
Temp/
Choose
Click to ente
Per/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
S8
Click to enter
Temp/
Choose
Click to entt
-er/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
S9
Click to enter
Temp/
Choose
Click to c1 Alt
'er/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
S10
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
S11
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
S12
Click to enter
Temp/
Choose
Click to enter
per/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
S13
Click to enter
Temp/
Choose
Click to ente
e'er/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
S14
Click to enter
Temp/
Choose
Click to ente
rJer/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
S15
Click to enter
Temp/
Choose
Click to eniE
.-er/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
S16
Click to enter
Temp/
Choose
Click to enLL
Choose
Click to
Click to
Perm
one
one
enter
enter
S17
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
S18
Click to enter
Temp/
Choose
Click to enter
"er/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
S19
Click to enter
Temp/
Choose
Click to enter
Per/Int
Choose
Click to
Click to
Perm
one
one
enter
enter
Page 11 of 22 PCN Form Version 4.3- December 4, 2023

S20
Click to enter
t
Parrr
„Oose
one
Click to enter
Per/Int
Choose
one
Click to
enter
Click tc
enter
3i1. Total jurisdictional ditch impact:
Click to enter. linear ft
3i2. Total permanent stream impacts:
149 linear ft
M. Total temporary stream impacts:
34 linear ft
34. Total stream and ditch impacts:
183 linear ft
3j.
Comments:
Areas of temporary impact will be restored to similar preconstruction grades, stabilized with biodegradable
matting and native herbaceous seed mix or woody live stakes. Mitigation is not proposed for net loss of streams.
Page 12 of 22 PCN Form Version 4.3- December 4, 2023

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
:hoose one
Click to enter.
02
Click to enter.
Temp/ Perm
Click to enter
Choose one
-hoose one
Click to enter.
03
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
04
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
05
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
4g.
Total temporary open water impacts
Click to enter. ac
4g.
Total permanent open water impacts
Click to enter. ac
4g.
Total open water impacts
Click to enter. ac
4h.
Comments:
Open water impacts are not proposed.
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 to
Click to
Click to
Click to
Click tc
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
entF
P2
Choose one
Click to
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
entF
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
enter.
enter.
enter.
enter.
enter.
enter.
ente
5g.
Comments:
Ponds are not being constructed.
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 13 of 22 PCN Form Version 4.3- December 4, 2023

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 ente
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
B2
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter
B3
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter
B4
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter
B5
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B6
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B7
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B8
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B9
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B10
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
1311
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B12
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B13
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B14
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B15
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B16
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B17
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
B18
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B19
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B20
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
6h. Total temporary impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
6h. Total permanent impacts:
Zone 1: Click to enter sq ft
Zone 2: Click to enter. sq ft
6h. Total combined buffer impacts:
Zone 1: Click to enter. sq ft
Zone 2: Click to enter. sq ft
6i. Comments:
Buffer impacts are not proposed.
Please attach supporting documentation (impact maps, plan sheets, etc.) for the proposed project.
Page 14 of 22 PCN Form Version 4.3- December 4, 2023

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:
The applicant has designed the remainder of the proposed development to avoid impacts to additional wetlands and
streams. The crossing locations were selected in areas to avoid additional wetland impacts. The remaining roads,
lots and utilities have been designed to avoid additional impacts to jurisdictional areas.
1 b. Specifically describe measures taken to avoid or minimize proposed impacts through construction techniques:
The clearing limits will be surveyed, staked and silt fencing and clearing limit fencing will be used. Disturbed areas will
be seeded and mulched to limit sediment from entering downgradient waters. Slope matting will be used as necessary
to stabilize graded slopes.
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) ❑x In Lieu Fee Program
❑ Permittee Responsible Mitigation
3. Complete if using a Mitigation Bank
(Must satisfy NC General Statute143-214.11 (d1).)
3a. Name of mitigation bank:
Click to enter.
3b. Credits purchased/requested:
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Attach receipt and/or approval letter.
3c. Comments:
Mitigation is not proposed.
4.
Complete if Using an In Lieu Fee Program
4a.
Attach approval letter from in lieu fee program.
4b.
Stream mitigation requested:
Click to enter. linear feet
4c.
If using stream mitigation, what is the stream temperature:
Choose one
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington
District's RIBITS website: (Please use the filter and select Wilmington district)
httr)s://ribits.usace.army.mil/ribits apex/f?r)=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:
0.41 acres
4f.
Non -riparian wetland mitigation requested:
Click to enter. acres
4g.
Coastal (tidal) wetland mitigation requested:
Click to enter. acres
Page 15 of 22 PCN Form Version 4.3- December 4, 2023

4h. Comments:
Mitigation is proposed at a 2:1 ratio for the net loss of 0.191 acres of wetlands. The applicant intends to satisfy
the mitigation proposal from NCDMS. Currently, NCDMS has the necessary credits to satisfy the mitigation
proposal. See attached NCDMS letter.
5. Complete if Providing a Permittee Responsible Mitigation Plan
5a. If proposing a permittee responsible mitigation plan, provide a description of the proposed mitigation plan,
including mitigation credits generated.
Click to enter.
5b. Attach mitigation plan/documentation.
6.
Buffer Mitigation (State Regulated Riparian Buffer Rules) — DWR requirement
6a.
Will the project result in an impact within a protected riparian buffer
❑ Yes ❑x No
that requires buffer mitigation?
If yes, please complete this entire section — please contact DWR for more information.
6b.
If yes, identify the square feet of impact to each zone of the riparian buffer that requires
mitigation. Calculate the
amount of mitigation required in the table below.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
Click to enter.
Click to enter.
Choose one
Click to enter.
Zone 2
Click to enter.
Click to enter.
Choose one
Click to enter.
6f. Total buffer mitigation required
Click to enter.
6g.
If buffer mitigation is required, is payment to a mitigation bank or
❑ Yes ❑ No
NC Division of Mitigation Services proposed?
6h.
If yes, attach the acceptance letter from the mitigation bank or NC Division of Mitigation Services.
6i.
Comments:
Click to enter.
Page 16 of 22 PCN Form Version 4.3- December 4, 2023

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://deg.nc..qov/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? *
El Yes 0 No
2b.
Does this project meet the requirements for low density projects as
defined in 15A NCAC 02H .1003(2)? *
❑ Yes 0 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)
ElYes 0 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?
0 Local Government
(Check all that apply.)*
❑ State
If you have local government approval, please include the SMP on their overall impact map.
Local Government Stormwater Programs *
❑ Phase II ❑ USMP
❑ NSW ❑ Water Supply
Page 17 of 22 PCN Form Version 4.3- December 4, 2023

Please identify which local government stormwater program you are using.
Winston Salem/Forsyth County
State Stormwater Programs I ❑ Phase 11 ❑ HQW or ORW
❑ Coastal Counties ❑ Other
Comments:
The applicant will obtain SWMP approval from Winston Salem prior to the impacts occurring.
Page 18 of 22 PCN Form Version 4.3- December 4, 2023

G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local)
❑ Yes ❑x 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
El Yes El No
Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been
finalized by the State Clearing House? (If so, attach a copy of the
❑ Yes ❑ No
NEPA or SEPA final approval letter.)
Comments:
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):
ACK 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:
Additional development as a result of the proposed development is not anticipated.
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? 1 ® Yes ❑ 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.
Additional impacts to streams or wetlands from sewer lines beyond those disclosed in Section D are not proposed.
Page 19 of 22 PCN Form Version 4.3- December 4, 2023

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.
Choose one
5d. Is another federal agency involved? *
❑ Yes ❑x No ❑ Unknown
If yes, which federal agency?
Click 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 ❑ 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 ❑ 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 .pdf)
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 .pdf)
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated
Critical Habitat? *
US Department of the Interior — Fish and Wildlife Service Official Species List from IPaC (Report attached)
4 listed species are identified on the IPaC report (attached). Tricolored bat (Proposed Endangered), Monarch butterfly
(Candidate), Schweinitz's sunflower (Endangered) and bog turtle (Threatened due to similair appearance).
Tricolored bat, bog turttle and Monarch butterfly are not currently afforded protection under the ESA.
The project areas (including areas within 100 feet of the areas of impact) are wooded and do not contain habitat for
Schweinitz's sunflower. Therefore, we have made a determination of no effect to Schweinitz's sunflower as a result of
the proposed project.
Attach consultation documentation.
Page 20 of 22 PCN Form Version 4.3- December 4, 2023

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 entr
6b. What data source(s) did you use to determine whether your site would impact Essential Fish Habitat?
Essential Fish Habitat Mapper — NOAA Fisheries
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data):
http://gis.ncdcr.gov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural
preservation status (e.g., National Historic Trust designation or
❑ Yes ❑x No
properties significant in North Carolina history and archaeology)?
7b. What data source(s) did you use to determine whether your site would impact historic or archeological
resources?
NC Historic Preservation Office's HPOWEB 2.0 (attached)
7c. Attach historic or prehistoric documentation.
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.,qov/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.
The proposed project has been designed to meet FEMA requirements and obtain FEMA authorization prior to
impacts occuring
8c. What source(s) did you use to make the floodplain determination?
National Flood Hazard Layer from FEMA Web Map Service — Drawing 4 (Attached)
H. Miscellaneous
Comments:
Thank -you for your assistance.
Attach pertinent documentation or attachments not previously requested
Page 21 of 22 PCN Form Version 4.3- December 4, 2023

I. Signature *
0 By checking the box and signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete, to
the best of my knowledge and belief;
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time;
• The project proponent hereby agrees that submission of this PCN form is a "transaction" subject to Chapter
66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• The project proponent hereby agrees to conduct this transaction by electronic means pursuant to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• The project proponent hereby understands that an electronic signature has the same legal effect and can be
enforced in the same way as a written signature; AND
• As the project proponent, I intend to electronically sign and submit the PCN/online form.
Full Name: Bradley S. Luckey
Dlglt,l IS signed by Bradley Luckey
DI : m-Bradley Luckey, o-Pilot
Signature: BradreyL(Tctc�YD,,iOMetel,l—,0.,
mail-blockey@pilote i,o.c ,c US
Date: 2024.04.1 ] 09:37 12-04'00'
Date: 4/17/2024
Page 22 of 22 PCN Form Version 4.3- December 4, 2023

Proposal for Environmental Services
Pilot Proposal 7176.3
March 15, 2024
AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address:
Applicant Information:
Name:
Address:
Telephone Number:
Fax Number:
E-mail Address:
Signature: �-w ✓�' Date: j

Proposal for Environmental Services
Pilot Proposal7176.3
March 15, 2024
AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address:
Owner Information:
Address:
Telephone Number:
Fax Number:
E-mail Address:
JURISDICTIONAL DETERMINATION REQUEST
. PROPERTY ACCESS CERTIFICATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
Print Name
Capacity: Owner _Authorized Agent
Date
Signature

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Drawing 1 "` , ; r USGS Topographic Map
USGS Topographic Map % r > Old Lexington Road
Winston Salem East Approximate 49.9-Acre Tract
NC Quadrangle PILOT � Winston Salem, Forsyth County, NC
Scale: 1"=2,000' PILOT ENVIR0NMENTAL.INC Pilot Project7176

7
Drawing 2
USDA Web Soil Survey
of Forsyth County, NC
Scale: 1" = 400'
VEV
Nim
I s 1
�# J
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LEGEND
Site Boundary
Web Soil Map
Old Lexington Road
Approximate 49.9-Acre Tract
P11o131" '"' Winston Salem, Forsyth County, NC
PILOT ENVIR0NMENTAL.INC Pilot Project7176
KMIIIIIIIIII

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Drawing 2A
USDA Soil Survey - a.
of Forsyth County, NC
Published 1976, Sheet 46 PILOT �
Not to Scale P I L O T E N V I R 0 N M E N 7 A L. I N C
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-i" i
LEGEND
Site Boundary
Published Soil Map
Old Lexington Road
Approximate 49.9-Acre Tract
Winston Salem, Forsyth County, NC
Pilot Project 7176

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Drawing 3
USFWS NWI
Wetlands Mapper pII ®1• OR
Scale: 1" =400' P I L O® E N V I R 0 N M E N T A L. I N C
NWI Map
Old Lexington Road
Approximate 49.9-Acre Tract
Winston Salem, Forsyth County, NC
Pilot Project 7176

1
71.
LEGEND
Site Boundary
1 %Annual Chance Flood Hazard
ORegulatory Floodvay
Sped al Floodvay
Area of Undetermined Flood Hazard
0.2%Annual Chance Flood Hazard
' F uture Conditions 1 %Annual Chance Fl ood Hazard
► Area with R educed Risk Due to Levee
FEMA FIRM
Drawing 4
,
National Flood Hazard Layers ._ ; Old Lexington Road
- From FEMA Web Map Service Approximate 49.9-Acre Tract
P11 O7. Winston Salem, Forsyth County, NC
Scale: 1" = 400' KILO 7 ENVIR0NMEN7AL.INL Pilot Project7176

14
1
o DP-1
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SA
(2,066 LF)
I
Muddy Creek
(1,164 LF)
Site Boundary
Perennial Stream
Wetland
sA1-s
Flag Number
DP-1 O
Data Point
Culvert
1
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE PRELIMINARY AND APPROXIMATE. THEY HAVE NOT BEEN VERIFIED BY
I
THE USACE AND/OR THE NCDEQ-DWR. THEY HAVE NOT BEEN SURVEYED.
Drawing 5 Wetland Map
Satellite Imagery from ESRI f, l ` sv` Old Lexington Road
and Pilot GPS Data ` Approximate 49.9-Acre Tract
Scale: 1" = 400'�����® `* Winston Salem, Forsyth County, NC
Date:9.29.21 PILOT ENVIR0NMENTAL.INC Pilot Project7176

U.S. Army Corps of Engineers Requirement Con&W Symbol
WETLAND DETERMINATION DATA SHEET - Eastern Mountains and Piedmont Region EXEMPT
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority AR 335- f5,paragraph 5-2a)
Project/Site: Old Lexington Road City/County: Winston Salem/Forsyth Sampling Date: 9.9.21
Applicant/Owner: State: NC Sampling Point: DP-1
Investigator(s): Luckey/Webster, Pilot Environmental, Inc. Section, Township, Range:
Landform (hillside, terrace, etc.): Local relief (concave, convex, none): Slope (%): 1
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.03539\ Long:-80.219116 Datum: WGS 84
Soil Map Unit Name: Hatboro Loam NWI classification: n/a
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances' present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
—Surface Soil Cracks (136)
_ Surface Water (Al) —True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
—Drainage Patterns (1310)
X Saturation (A3) X
Oxidized Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (131) X
Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
—Sediment Deposits (132) _
Recent Iron Reduction in Tilled Soils (C6)
—Crayfish Burrows (C8)
_ Drift Deposits (133) —Thin
Muck Surface (C7)
—Saturation Visible on Aerial Imagery (C9)
—Algal Mat or Crust (134) _
Other (Explain in Remarks)
—Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water-Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes X No
Depth (inches): 0
Wetland
Hydrology Present? Yes X No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116A-SG, JUL 2018 Eastern Mountains and Piedmont —Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-1
Absolute
Uominant
Indicator
Tree Stratum (Plot size: 30 )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Acerrubrum
40
Yes
FAC
Number of Dominant Species
2.
Uimus aiafa
10
No
FACU
That Are OBL, FACW, or FAC: 5 (A)
3.
Liriodendron fuiipifera
10
No
FACU
Total Number of Dominant
4.
Species Across All Strata: 5 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 100.0% (A/B)
7.
Prevalence Index worksheet:
60
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
30
20% of total cover:
12
OBL species 0 x 1 = 0
Sapling/Shrub Stratum (Plot size: 15
)
FACW species 0 x 2 = 0
1.
Acerrubrum
10
Yes
FAC
FAC species 110 x 3 = 330
2.
Carpinus caroiiniana
5
Yes
FAC
FACU species 20 x 4 = 80
3.
UPL species 0 x 5 = 0
4.
Column Totals: 130 (A) 410 (B)
5.
Prevalence Index = B/A = 3.15
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
3 - Prevalence Index is 53.01
15
=Total Cover
_
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
8
20% of total cover:
3
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5 )
_ Problematic Hydrophytic Vegetation' (Explain)
1.
Microsfegium uimineum
50
Yes
FAC
Indicators of hydric soil and wetland hydrology must
2.
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3.
4.
Tree- Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
more in diameter at breast height (DBH), regardless of
6
height.
7.
Sapling/Shrub - Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb -All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
50
=Total Cover
Woody Vine -All woody vines greater than 3.28 ft in
50% of total cover:
25
20% of total cover:
10
height.
Woody Vine Stratum (Plot size: 30 )
1.
Uifis rofundifo/ia
5
Yes
FAC
2.
3.
4.
5.
Hydrophytic
5
=Total Cover
Vegetation
50% of total cover:
3
20% of total cover:
1
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP-1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type LOC2 Texture Remarks
0-18 10YR 4/2 75 7.5YR 5/8 15 RM M Loamy/Clayey
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric 801ls3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
—Thin Dark Surface (S9) (MLRA 147, 148)
—Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
—Thick Dark Surface (Al 2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
_ Other (Explain in Remarks)
Sandy Gleyed Matrix (S4)
MLRA 136)
_
_ Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
_ Stripped Matrix (S6)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes X No
Remarks
ENG FORM 61164-SG, JUL 2018 Eastern Mountains and Piedmont —Version 2.0

U.S. Army Corps of Engineers Requirement Con&W Symbol
WETLAND DETERMINATION DATA SHEET - Eastern Mountains and Piedmont Region EXEMPT
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority AR 335- f5,paragraph 5-2a)
Project/Site: Old Lexingtion Road City/County: Winston Salem/ Forysth Sampling Date: 9.9.21
Applicant/Owner: State: Sampling Point: DP-2
Investigator(s): Luckey/Webster, Pilot Environmental Section, Township, Range:
Landform (hillside, terrace, etc.): Local relief (concave, convex, none): Slope (%): 1
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.03534 Long:-80.21892 Datum: WGS 84
Soil Map Unit Name: Fairview Clay Loam NWI classification: n/a
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances' present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
—Surface Soil Cracks (136)
_ Surface Water (Al) —True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
—Drainage Patterns (1310)
_ Saturation (A3) —Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (131) _
Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
—Sediment Deposits (132) _
Recent Iron Reduction in Tilled Soils (C6)
—Crayfish Burrows (C8)
_ Drift Deposits (133) —Thin
Muck Surface (C7)
—Saturation Visible on Aerial Imagery (C9)
—Algal Mat or Crust (134) _
Other (Explain in Remarks)
—Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water-Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland
Hydrology Present? Yes No X
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116A-SG, JUL 2018 Eastern Mountains and Piedmont —Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-2
Absolute
Uominant
Tree Stratum (Plot size: 30 )
% Cover
Species?
1. Liriodendron fu/ipifera
15
Yes
2. Quercus pheiios
10
Yes
3. Pinus faeda
5
No
4.
5.
6.
7.
30
=Total Cover
50% of total cover:
15 20% of total cover:
Sapling/Shrub Stratum (Plot size: 15
)
1. Liriodendron fu/ipifera
10
Yes
2. Liquidambarsfyraciflua
10
Yes
3. Uimus aiafa
5
Yes
4.
5.
6.
7.
8.
9.
25
=Total Cover
50% of total cover:
13 20% of total cover:
Herb Stratum (Plot size: 5
1. Microsfegium uimineum
2.
3.
4.
5.
6.
7.
8.
9.
10.
is
50% of total cover: 10
Woody Vine Stratum (Plot size: 30 )
1. Uifis rofundifo/ia
2. Smilax rofun&,foiia
3.
4.
5.
idicator
Status
Dominance Test worksheet:
FACU
Number of Dominant Species
FAC
That Are OBL, FACW, or FAC:
5 (A)
FAC
Total Number of Dominant
Species Across All Strata:
8 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC:
62.5% (A/B)
Prevalence Index worksheet:
0
FACU
FAC
FACU
5
20 Yes FAC
20 =Total Cover
20% of total cover: 4
5 Yes FAC
5 Yes FAC
10 =Total Cover
50% of total cover: 5 20% of total cover: 2
Remarks: (Include photo numbers here or on a separate sheet.)
Total % Cover of:
Multiply by:
OBL species 0
x 1
= 0
FACW species 0
x 2
= 0
FAC species 55
x 3
= 165
FACU species 30
x 4
= 120
UPL species 0
x 5
= 0
Column Totals: 85
(A)
285 (B)
Prevalence Index
= B/A =
3.35
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
_ 3 - Prevalence Index is 53.01
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree- Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
(1 m) tall.
Herb -All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Vine -All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No
ENG FORM 61164-SG, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP-2
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type LOC2 Texture Remarks
0-18 10YR 6/4 100 Loamy/Clayey
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric 801ls3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
—Thin Dark Surface (S9) (MLRA 147, 148)
—Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
—Thick Dark Surface (Al 2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
_ Other (Explain in Remarks)
Sandy Gleyed Matrix (S4)
MLRA 136)
_
_ Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
_ Stripped Matrix (S6)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No X
Remarks:
ENG FORM 61164-SG, JUL 2018 Eastern Mountains and Piedmont —Version 2.0

United States Department of the Interior
FISH AND WILDLIFE SERVICE
Asheville Ecological Services Field Office
160 Zillicoa Street, Suite B
Asheville, NC 28801-1082
Phone: [phone] Fax: [phone]
In Reply Refer To: 04/17/2024 13:07:39 UTC
Project Code: 2024-0078184
Project Name: Old Lexington Rd (Harvest Creek)
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: 2024-0078184 04/17/2024 13:07:39 UTC
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 (MBTA)
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-birds.
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
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Project code: 2024-0078184
04/17/2024 13:07:39 UTC
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]
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PROJECT SUMMARY
Project Code: 2024-0078184
Project Name: Old Lexington Rd (Harvest Creek)
Project Type: Residential Construction
Project Description: SFR
Project Location:
The approximate location of the project can be viewed in Google Maps: https:
www. google.com/maps/Q36.03367849999999,-80.21961236518713,14z
.41IM I
G
x -
G
4
,dm [�!K.
Counties: Forsyth County, North Carolina
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ENDANGERED SPECIES ACT SPECIES
There is a total of 4 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. Note that 1 of these species should be
considered only under certain conditions.
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.
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.
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MAMMALS
NAME
STATUS
Tricolored Bat Perimyotis subflavus Proposed
No critical habitat has been designated for this species. Endangered
This species only needs to be considered under the following conditions:
• This species only needs to be considered if the project includes wind turbine operations.
Species profile: https:Hecos.fws.gov/ecp/species/10515
REPTILES
NAME
STATUS
Bog Turtle Glyptemys muhlenbergii
Similarity of
Population: U.S.A. (GA, NC, SC, TN, VA)
Appearance
No critical habitat has been designated for this species.
(Threatened)
Species profile: https:Hecos.fws.gov/ecp/species/6962
INSECTS
NAME
STATUS
Monarch Butterfly Danaus plexippus
Candidate
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/9743
FLOWERING PLANTS
NAME
STATUS
Schweinitz's Sunflower Helianthus schweinitzii
Endangered
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/3849
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.
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BALD & GOLDEN EAGLES
Bald and golden eagles are protected under the Bald and Golden Eagle Protection Actl and the
Migratory Bird Treaty Act2.
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 Treaty 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 Acti and the Bald and Golden Eagle
Protection Act2.
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 Treat. 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)
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 BREEDING SEASON
Chimney Swift Chaetura pelagica Breeds Mar 15 to Aug 25
This is a Bird of Conservation Concern (BCC) throughout its range in the
continental USA and Alaska.
https:Hecos.fws.gov/ecp/species/9406
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NAME
BREEDING SEASON
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.
https:Hecos.fws.gov/ecp/species/9431
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 "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)
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
Chimney Swift �— +"' Jill Jill Jill
BCC Rangewide -- — +� — -- ----
(CON) bL---
Wood Thrush
BCC Rangewide III Jill Jill Jill'—'— --+� ----
(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-birds
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Project code: 2024-0078184
04/17/2024 13:07:39 UTC
• 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/supplemental-information-migratory-birds-and-bald-and-golden-eagles-may-occur-
project-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. 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.
FRESHWATER FORESTED/SHRUB WETLAND
• PF01Ax
RIVERINE
• R5UBH
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Project code: 2024-0078184
04/17/2024 13:07:39 UTC
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
LEAD AGENCY CONTACT INFORMATION
Lead Agency: Army Corps of Engineers
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