20160017 Ver 1_401 Application_20151215

"KL E/NFELOER
Bright People. Right Solutions
December 23, 2015
Mr. John Thomas
USACE Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
2 60017
DEC 2 9 2015
Ms. Jennifer Burdette
NC DWR WBSCP Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
RE: Piedmont Natural Gas Line 328 Relocation Project, Forsyth County, North Carolina.
Dear Sir and Madam:
On behalf of Piedmont Natural Gas, Kleinfelder is submitting this Pre -Construction Notification and
associated impact drawings for your consideration in issuing Section 404/401 permits for the proposed gas
line relocation project. The project will relocate an existing 10" line currently in conflict with the NC
Department of Transportation's proposed Winston-Salem Northern Beltway (U-2579, Section C). While no
permanent stream impacts are anticipated, there will be 0.03 acre of permanent wetland impacts due to the
conversion of a forested wetland in the 30 foot maintenance corridor.
We respectfully request your review and correspondence relating to this application at your earliest
opportunities. Thank you both in advance for your time and consideration of this request. We remain
available to provide additional information or clarifications as needed.
Regards,
Amy James, PWS
Staff Professional
Attachments:
1 — Pre -construction Notification
2 — Property Owner Table
3 — Signed Agent Authorization Form
4 — Impact Drawings
KLEINFELDER 3500 Gateway Centre Blvd., Suite 200, Morrisville, NC 27560 pi 919.755.5011 q 919.755.1414

MAO
OO WATf;, G
Office Use Only:
2 Q j 6 7 Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the
Corps: ® Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le. 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 1h
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:
Piedmont Natural Gas (PNG) Line 328 Pipeline Relocation
2b. County:
Forsyth
2c. Nearest municipality / town:
Winston-Salem
2d. Subdivision name:
not applicable
2e. NCDOT only, T.I.P. or state
project no:
associated with U -2579C
3. Owner Information
3a. Name(s) on Recorded Deed:
Multiple; see attached table
3b. Deed Book and Page No.
Multiple; see attached table
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:

4. Applicant Information (if different from owner)
4a. Applicant is:
4b. Name:
❑ Agent ® Other, specify: Utility easement holder
Jason Brown, Project Manager
4c. Business name
(if applicable):
Piedmont Natural Gas
4d. Street address:
4720 Piedmont Row Dr.
4e. City, state, zip:
Charlotte, NC 28210
4f. Telephone no.:
4g. Fax no.:
704-731-4681
4h. Email address:
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
5b.. Business name
(if applicable):
Amy James
Kleinfelder, Inc.
5c. Street address:
3500 Gateway Centre Blvd., Suite 200
5d. City, state, zip:
Morrisville, NC 27560
5e. Telephone no.:
919-653-7043
5f. Fax no.:
5g. Email address:
919-755-1414
[e-mail]
2

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
Multiple; see attached table
1 b. Site coordinates (in decimal degrees):
Latitude: 36.154707 Longitude: - 80.175678
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size:
4.2 acres (approximate easement total)
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Frazier Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
C
2c. River basin:
Yadkin -Pee Dee
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: k
The site is a 50 -foot wide utility easement on new location and is currently a mix of mature hardwood forest, young- to
mid -aged pine stands, residential yards, and agricultural fields. The project vicinity is dominated by low- to medium -
density residential development, undeveloped woodlots, and agriculture.
3b. List the total estimated acreage of all existing wetlands on the property:
0.06
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
320
3d. Explain the purpose of the proposed project:
To relocate a Piedmont Natural Gas 10 -inch pipeline currently in. conflict with NCDOT project U-2579 (Winston-Salem
Northern Beltway; Section C).
3e. Describe the overall project in detail, including the type of equipment to be used:
The existing line 10 -inch line will remain in service until the relocated pipe comes on-line. The new line will also be 10
inches in diameter, and follow the alignment provided in the attached figures. While PNG will control a 50 -foot wide
easement, it is expected that not all of this width will be disturbed. Line placement is expected to average about 500 to
1,000 feet of line per day. The trench will average between three and four feet_ in depth, so large construction equipment
will not be required. Typical construction vehicles will include trench excavators and back -hoes.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested. or obtained for this property /
project (including all prior phases) in the past?
® Yes ❑ No ❑ Unknown
Comments: The JD is in the process of being obtained by
NCDOT
4b. If the Corps made the jurisdictional determination, what type
0 Preliminary ® Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Carolina Ecosystems
Name (if known):
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
A JD reverification of the U-2579 study area is currently in process through NCDOT. Stream 2 and Wetland 2 were
included in the NCDOT study area.
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.

6. Future Project Plans
6a. Is this a phased project? ❑Yes ® No
6b. If yes, explain.

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact
number — Type of impact Type of wetland Forested Type of jurisdiction . Area of impact
Permanent (P) or (if known) (acres)
Site 1 ®P ❑ T Land Clearing Headwater Wetland [JYes El pWQ 0.03
Site 2 ❑ P ❑ T Choose One ❑ Yes ❑ Corps
Fl No rl DWQ
5
Site 3 ❑ P ❑ T
Choose One
❑ Yes
❑ Corps
❑ No
❑ DWQ
Site 4 ❑ P ❑ T
Choose One
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.03 Permanent
0.0 Temporary
2h. Comments: The permanent impacts result from the permanent conversion of a forested wetland to a herbaceous state in a
30' maintenance corridor: This wetland is included in the U -2579C study area and is part of the JD reverification.
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
Average
Impact length
number -
(PER) or
jurisdiction
stream
(linear feet)
Permanent (P) or
intermittent
(Corps -
width
Temporary (T)
(INT)?
404,10
(feet)
DWQ —
non -404,
other)
Site 1 ❑ P ® T
Open Cut
UT to Frazier Creek
® PER
❑ INT
® Corps
❑ DWQ
5
37
Site 2 ❑ POT
Open Cut
UT to Frazier Creek
® PER
❑ INT
® Corps
❑ DWQ
4
30
Site 3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
Site 4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
.Site 5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
Site 6J:1 P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
0 Perm '
67 Temp
3i. Comments: Stream 1 (site 1) was identified during fieldwork for this project. It is a perennial stream shown on both the
USGS quad map (Walkertown) and Forsyth County soil survey. Stream 2 (site 2) is within the U -2579C study area.
5

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 im acts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of
impact number —
waterbody
Type of impact
Waterbody
Area of impact (acres)
Permanent (P) or
(if applicable)
type
Temporary T
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑ PEI T
4f. Total open water impacts
X Permanent
X Temporary
4g. Comments:
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
(acres)
number
purpose of pond
Flo
Flooded
Filled
Excavated
ode
Filled
Excavated
Flooded
d
P1
P2
5f. 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:

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
❑ Tar -Pamlico
❑ Other:
Project is in which protected basin?
❑ Catawba
❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number—
Reason for impact
Buffer
Zone 1 impact
Zone 2 impact.
Permanent (P) or
Stream name
mitigation
(square feet)
(square feet)
Temporary T
required?
B1 ❑P❑T
El Yes
❑ No
B2 ❑P❑T
El Yes
❑ No
B3 ❑P❑T
El Yes
❑ No
.6h. Total buffer impacts
6i. Comments:

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
1) Perpendicular crossings of streams; 2) no permanent stream impacts; and 3) only 30 foot wide permanent
maintenance corridor in jurisdictional areas.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
1) At wetland crossings, timber mats will be utilized to minimize soil disturbance. No wetlands are being crossed parallel
to drainages.
2) Stream crossings will be accomplished to the extent feasible during dry weather with no immediate precipitation
predicted. All stream and wetland crossings will be completed in a single day and stabilized promptly upon completion.
Coffer dams will be installed in the stream at up- and down-slope extents of construction with water pumped from
upstream around construction into the downstream reach. Water pumped from construction areas, between coffer dams,
will be routed into a pumped water filter bag or sediment trap located outside streams, before discharging though gravel
outlets back into the stream.
3) Streams banks will be stabilized using native bed material wherever possible.
4) Pre -construction contours will be reestablished and annual seed mixes appropriate to the area will be used for
stabilization. Sediment controls will be retained in-place until vegetation is established and disturbed soils are stabilized.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
El Yes ®No
impacts to Waters of the U.S. or Waters of the State?
If no, explain: Due to minimal impacts, no mitigation is
proposed for this project
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option.will be used for this
El Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: not applicable
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:

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 not, explain why.
Yes ❑ No
El'
Comments:
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
0%
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why: The project involves the relocation of an
underground pipeline and will not involve new access roads; therefore, it will not result
in additional impervious surface.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative
description of the plan:
❑ Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
not applicable
❑ Phase II
❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):.
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
4a.
Which of the following state -implemented stormwater management programs apply
❑ HQW
(check all that apply):
❑ ORW
❑ Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
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
10

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the
El Yes No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes ❑ No
Comments:
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
additional development, which could impact nearby downstream water quality?
® No
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.
This project is a pipe relocation and will not result in an increase in gas capacity that might invite more development to the
vicinity.
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.
11

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?
USFWS list for Forsyth County, NC Natural Heritage Program Data Explorer, site reconnaissance
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?
NMFS County Index
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?
NC State Historic Preservation Office HPOweb GIS Service
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? NC Floodplain Mapping _program
Applicant/Agent's Printed Name
12/23/2015
Amy James
A
Date
A�plicdntlAgenfs Signature,
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
12

PCN ATTACHMENT
Property Owner Information (Section A-3 and Section B-1 a):
The proposed Line 328 right-of-way crosses 9 properties. Each of the landowners have been
contacted by PNG and is aware of this effort and necessity to move the line before NCDOT
starts work on U -2579C. Once permits are received, PNG authorization is all we anticipate
being needed to authorize work within jurisdictional areas along the proposed easement.
;-F
Owner
Mailing Address
County PIN :_
Book/Page_
_
6857-17-6572*
Robert B. Stimpson
1785/458
4320 New Walkertown Rd.,
Winston-Salem NC 27105
6857-27-5349*
Ferrell Construction Co.
1987/3120
854 W 5th St., Winston-
Salem NC .27101
6857-27-7270*
Ferrell Construction Co.
1987/3122
854 W 5th St., Winston-
Salem NC ,27101
6857-36-0911
Ruby Dillon.Seivers
None Listed
3410 Dillon Farm Rd.,
Winston-Salem NC 27105
6857-26-9614
Sandy Yokeley Dillon
2944/3296
1111 Harvey Teague Rd.,
Winston-Salem, NC 27107
6857-36-0309
Charles Dillon Heirs/Judy
None Listed
3380 Dillon Farm Rd.,
Dillon
Winston-Salem NC 27105
6857-36-1159
Kimberly Poindexter
2910/922
4301 New Walkertown Rd.,
Winston-Salem NC 27105
6857-36-3162
Harold McGee & Judy
1392-1486
PO Box 742, Walkertown
Lankford
NC 27051
6857-35-4500
NC Department of
2691-4240
1605 Westbrook Plaza,
Transportation
Winston-Salem NC 27103
*indicates jurisdictional impact on property

'Piedmont Natural Gas Line 328 Relocation Project
Forsyth County, North Carolina
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION
Lot No: Multiple (see attached table) Parcel ID: Multiple (see attached table)
Street Address: Multiple properties comprising the Piedmont Natural Gas (PNG) proposed Line 328
relocation project northeast of Winston-Salem in Forsyth County. The project area includes portions of
9 properties with a total easement area, of 4.2 acres, Line 328 is being relocated due to' a conflict with
the plannedWinston-Salem Northern Beltway (U-2579 Section Q. The landowners crossed by the new
utility alignment have been contacted by PNG, which is currently working to acquire the land for its
easement. As such, PNG authorization is allwe anticipate needing to complete the permit process.
Owner name (printed): . ASoO A .-xt.owN
Email:yasan brown Q PieAmonlwi Gorr,
The undersigned, as future easement holder on the above -referenced properties, do hereby authorize
Amy James, of Kleinfelder, Inc. to act on PNG's>behalf and take all actions necessary forthe processing,
issuance, and acceptance of the Section 404/401 Permits for jurisdictional resources along the entire
4.2 acre project easement northeast of Winston-Salem in _Forsyth County, North Carolina.
We hereby certify the above information.submitted `in this request is true and accurate to the best of
our knowledge.
Owner Authorized Signatur
Date: I Z. 12z12a) 5
Agent Authorized Signature: '
Date: [21 f 1i3 1 ` 15

OAK PAL
ME
aI
VICINITY MAP (NOT TO SCALE)
END
REPLACEMENT
'TREAM #1 e/
j/
loe
,G
WETLAND #1
r_
I
I �O
STREAM 62 �S
STREAM #3
SHEET 3 OF 3 WETLAND #2 \c `
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PIEDMONT NATURAL V; Al
GAS EASEMENT
(TO BE ABANDONED)
`per-G--_'G'""_p.��G �G� G �.. �G � � � G��' •�
� 1 �
TEMPORARY IMPACT
GENERAL NOTES -
MAINTENANCE .CORRIDOR .IS NOT 70 EXCEED 30' IN
WIDTH WITHIN THI: JURISDICTIONAL BOUNDARIES,
UNLESS. OTHERWISE NOTtrO.
PIPE INSTALLATION THROUGH JURISDICTION
BOUNDARY BY OPEN CUT.
NEW 50' GAS
EASEMENT
LEGE14D
0
IFF - IRON.PIPE FOUND
O
COMPUTED POINT (NOT SET)
G —G
PROPOSED GAS LINE
—" —
PROPOSED PNG EASEMENT
_ —
EXISTING PNG EASEMENT
SUBJECT BOUNDARY LINE
�1�/1111111j11�\
TREELINE
®--SO -®SD
STORM PIPE
r-
EXISTING:WETLANDS
PERMANENT IMPACT
TEMPORARY IMPACT
GENERAL NOTES -
MAINTENANCE .CORRIDOR .IS NOT 70 EXCEED 30' IN
WIDTH WITHIN THI: JURISDICTIONAL BOUNDARIES,
UNLESS. OTHERWISE NOTtrO.
PIPE INSTALLATION THROUGH JURISDICTION
BOUNDARY BY OPEN CUT.
NEW 50' GAS
EASEMENT
BEGIN
REPLACEMENT
G
J/!
ryo��l
Regional .Land Surveyors, Inc,P e. d. m o n t
8642. %VEST MARKET STREET, SUITE 100
GREENSBORO, NORTH CAROLINA 27409 Ell' Natural G a s
:NC FIRM LICENSE NO. C=1362
IRAWN BY;-JHB REVISIONS JURISDICTIONAL 13OUNDARYS OF
TATE: 10/28/2015 12/04/20
2 04 2015
OB NO. 1467.00 12 10 200155 LINE 328 RELOCATION
;REW CHIEF .MDC I FOR NCDOT U -2579C
SCALE. 1• 300' WINSTON—SALEM, NORTH CAROLINA
i00 150 0 30.0 IR# .0326717 SHEET 1 OF 3
I HEREBY. CERTIFY THAT A SUR VEY.WAS MADE UNDER MY
SUPERVISION -AND THAT THE WETLANDS SHOWN HEREON
�i"�
Nq-.y
REFLECTS THE DELINEATION EVIDENCE PROVIDED BY
KLEINFELDERR-ON 08/11/2015.
= SEAL
= L--4649 J
AVID A. CLARK, PLS 1-464
�1�/1111111j11�\
BEGIN
REPLACEMENT
G
J/!
ryo��l
Regional .Land Surveyors, Inc,P e. d. m o n t
8642. %VEST MARKET STREET, SUITE 100
GREENSBORO, NORTH CAROLINA 27409 Ell' Natural G a s
:NC FIRM LICENSE NO. C=1362
IRAWN BY;-JHB REVISIONS JURISDICTIONAL 13OUNDARYS OF
TATE: 10/28/2015 12/04/20
2 04 2015
OB NO. 1467.00 12 10 200155 LINE 328 RELOCATION
;REW CHIEF .MDC I FOR NCDOT U -2579C
SCALE. 1• 300' WINSTON—SALEM, NORTH CAROLINA
i00 150 0 30.0 IR# .0326717 SHEET 1 OF 3

VICINITY MAP (NOT TO
NO UND HAD 83(2011)
—0-0
¢r
z z
r
Z W
O
86
�.Q
FL (n
o �
z
N
W
STREAM
"1" IMPACTS
WETLAND
STREAM
PERM. IMPACT
0 S,F.
0 S. F.
TEMP.. IMPACT
b S. F.
481 S.F.
LINEAR IMPACT
37'
• r
PIN: 6857-17-6982.00
TEMPORARY WORK JOHN H. YANHOY /
SPACE DB 2204 PG 4472/ 3/4" IRON PIPE FOUND
I / / N: 877,729.04
/ E. 1,651,948.98
I NAIL & / N88'34'56"E 424.13'
3z 'IPF S88*35'45"W 114,80' At -Y4"IPF
I
{8'36'40"W STREAM 114.60' } Fx STREAM 1
13.69'
x� TEMPORARY
0> IMPACT AREA
OZ
h�
PROPOSED 10" STEEL GAS LINE maw c—c c c c—G--c-6—G—G. 6—G m-c--G—
G_..—G.�—G--C.�—G^G--aO— a� 'S 0
�. z 0
0Z
I m % CROSSING BY OPEN CUT
N:877,703.97 o a z
E: 1,651,538.43 �-zc�
,
rq ;o
m D
I / � z N
I---- ---- . . ------ .{••—f- + .G w .�-------- —� ---
TEMPORARY WORK
' SPACE
PIN: 6857-17-6572.00
ROBERT B. STIMPSON / wwwww°wdwwwdw vw4�
DB 1785 PG 442
.1 w.
•�w W w w w
54ET1AND #1
NO IMPACT
w w s w
d
/•d d d w dc'"
LEGEND GtNtRAL NUIE5 ``\%Illllllll//111
QQ IFF — IRON PIPE FOUND 1, MAINTENANCE CORRIDOR, IS NOT TO EXCEED 30' I,N ��� /�� I HEREBY CERTIFY THAT A -SURVEY WAS MADE UNDER MY �v
WIDTH WITHIN THE JURISDICTIONAL BOUNDARIES, �� N CANO/ �i SUPERVISION AND THAT THE WETLANDS SHOWN HEREON Re ional Land Swe ors Inc.
Q COMPUTED POINT. (NOT SET) UNLESS OTHERWISE NOTED. .�� �� S!� `� /��' REFLECTS THE DELINEATION` EVIDENCE PROVIDED BY 8642 WEST MARKET STREET, SUITE 100 P i e d m o n t
G—G PROPOSED :GAS LINE 2. PIPE 'INSTALLATION THROUGH JURISDICTION ��.Q� Hq�.•!� KLEINFELDER ON 06/11/2015. GREENSBORO, NORTH CAROLINA 27409 ® Natural G a S
PROPOSED PNG.EASEMENT BOUNDARY 9Y OPEN CUT.
EXISTING PNG EASEMENT SEAL NC FIRM LICENSE NO C-1362
SUBJECT;BOUNDARY UNE _ `_yi' � / �iS RAWN BY JHB REVISIONS DARYS
TREEUNE - L-4649 Z DAVID A. CLARK. PLS L-4649 TE. 10/28/2015 12/0412015 JURISDICTIONAL BOUNOF
SD—• --•SO® STORM PIPE :�9 Q�,• � 09 NO. 1487.0012/10/2015 LINE 32.8 RELOCATION
w w.:. w :•� f�;�• REW'CHIEF. MDC
SUR.FOR NCDOT U�257.9C
.e• w w w i�Q9 .• �� -
SCALE: 1' = 30o' WIN$TON-SALEM; NORTH CAROLINA
EXISTING WETLANDS PERMANENT IMPACT TEMPORARY IMPACT 17011AIIIIG�P\``
300 150 0 300IR# 0326717 SHEET 2 OF 3

VICINITY MAP (NOT TO SCALE)
NC GRID NAD 83(2011)
STREAM "2"
& WETLAND "2"
IMPACTS
IPF - IRON PIPE FOUND
WETLAND
STREAM
PERM. IMPACT
1.;285 SF.
0 S. F.
TEMP. IMPACT
0 S.F.
171 S.F.
LINEAR IMPACT
SUBJECT BOUNDARY LINE
30'
i e
A \
41
4 �
Gp� N: 877,402,91
= E: 1,652,627.54
�• ' STREAM #2
'�\ • D IMPACT
\ \ �• / �J`/ WETLANE
\ PERMANI
IMPACT
i b I
+ i
i i i �as
STREAM #2
• i� i i i i i
TEMPORARY
IMPACT + + + + +
AREA
i b i i i b i
i i i +. i .1• � ;
b i i i
i
b b
328 -FORS -006-006
PIN: 6857-27-8427,00
N/F LINDA FAYE OVERBY CHURCH
DB 1732 PG 151
y" IPF
ry N: 877472,39
h E: 1652753.05
1
2
�� �O• (!
REA STREAM #3 4vQ 1
NO IMPACT^h
IPF r
—
\. N: 877,376.58 U, .o y M _
E: 1,652,683.38 �r1 5 V____G ---c—,
G_ 0-�G- O --G_"0 g!K 0
En i!Z..70
D Z
WETLAND #2 0
PERMANENT v r
IMPACT AREA z o
ze
_ •0Ld \
CROSSING. BY OPEN CUT
N: 877,464.03
+ E: 1,652,648.59
328 -FORS -007_000
+ PIN: 6857-27-7270.00 \
i N/F FERRELL CONSTRUCTION CO
+ bB 1987 PG 3122
•b .i
V i 1
i i !
VVETLAND #2
/i i i it
+ i/
i
LEGEND
Q
IPF - IRON PIPE FOUND
WIDTH WITHIN THE JURISDIC110NAL BOUNDARIES,
UNLESS OTHERWISE NOTED. "'
COMPUTED POINT (NOT SET)
G-0
PROPOSED GAS LINE
— '- — -
PROPOSED.PNG EASEMENT
- -
EXISTING PNG EASEMENT
15.09'
SUBJECT BOUNDARY LINE
jr-vhf
TREELINE
---s0 —so _
STORM PIPE
i b i i
E-7
OSTING WETLANDS
PERMANENT IMPACT
i e
A \
41
4 �
Gp� N: 877,402,91
= E: 1,652,627.54
�• ' STREAM #2
'�\ • D IMPACT
\ \ �• / �J`/ WETLANE
\ PERMANI
IMPACT
i b I
+ i
i i i �as
STREAM #2
• i� i i i i i
TEMPORARY
IMPACT + + + + +
AREA
i b i i i b i
i i i +. i .1• � ;
b i i i
i
b b
328 -FORS -006-006
PIN: 6857-27-8427,00
N/F LINDA FAYE OVERBY CHURCH
DB 1732 PG 151
y" IPF
ry N: 877472,39
h E: 1652753.05
1
2
�� �O• (!
REA STREAM #3 4vQ 1
NO IMPACT^h
IPF r
—
\. N: 877,376.58 U, .o y M _
E: 1,652,683.38 �r1 5 V____G ---c—,
G_ 0-�G- O --G_"0 g!K 0
En i!Z..70
D Z
WETLAND #2 0
PERMANENT v r
IMPACT AREA z o
ze
_ •0Ld \
CROSSING. BY OPEN CUT
N: 877,464.03
+ E: 1,652,648.59
328 -FORS -007_000
+ PIN: 6857-27-7270.00 \
i N/F FERRELL CONSTRUCTION CO
+ bB 1987 PG 3122
•b .i
V i 1
i i !
VVETLAND #2
/i i i it
+ i/
i
LINE TABLE
GtNtKAL NUILS
1' MAINTENANCE RIDQIR IS NOT TO EXCEED 30- IN
\\0%J11111111 If,,
I HEREBY. CERTIFY THAT A SURVEY WAS MADE UNDER MY.
C ARQ SUPERVISION AND THAT THE SHOWN HEREON
LENGTH
WIDTH WITHIN THE JURISDIC110NAL BOUNDARIES,
UNLESS OTHERWISE NOTED. "'
`����\`� �����// .WETLANDS
�� � SI ''' �� REFLECTS, THE DELINEATION EVIDENCE PROVIDED BY
0A;4� -S
22.78'
2. PIPE INSTALLATION THROUGH JURISDICTION
BOUNDARY BY OPEN CUT.
;� - �.Ap `� • y KLEINFELDER ON 08/11/2015.
._ SEAL -
-
18.74'
L3
L-4649 DAVID A. CLARK, PLS L-4649
15.09'
L4
jr-vhf
4.74'
L5
SUR��yo
42.69'
L6
N481553"E
TEMPORARY IMPACT
L7 I
*,0111111111G1�`\`\
LINE TABLE
LINE
BEARING
LENGTH
L1
S31'26'03"E
22.78'
.L2
S53'06'31 "E
18.74'
L3
S31'35'59"W
15.09'
L4
S8T21'.31"W
4.74'
L5
N47'37'34"W
42.69'
L6
N481553"E
21.05'
L7 I
N5B'39'57"E
1.91'
LINE TABLE
LINE
BEARING
LENGTH
L8
N47'37'34"W
10.74'
L9
N24'53'40"E
26.50'
L10
S78'551 2"E
9.09'
L71
S4737'34"E
11.21'
L12
S3051'03"W
9.38'
L13._
S48'15'53"W
20.92'
Regional demand Surveyors, Inc:
8642 WEST MARKET STREET, SUITE 100
GREENSBORO, NORTH. CAROLINA .27409
NO FIRM LICENSE NO. C-1362
SCALE'. 1' = 300'
Piedmont
Natural Gas
JUKI5UICTIONAL BOUNDARYS'OF
LINE 328 RELOCATION
FOR. NCDOT U. —'.257.9C
WINSTO-SALEM, NORTH CAROLINA
0326717 SHEET,3 OF 3