20160018 Ver 1_401 Application_20151215

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Bright People. Right Solutions.
December 23, 2015
Mr. Brennan Dooley
USACE Wilmington Regulatory Field Office
69 Darlington Avenue
Wilmington, North Carolina 28403
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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 124 Relocation Project, Richmond 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 4" line currently in conflict with the NC
Department of Transportation's proposed US 220 Bypass project (R-3421 A). While no permanent stream
impacts are anticipated, there will be 0.09 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 pl 919.755.5011 fl 919.755.1414

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A. Applicant Information
2 0 1 60 0.1 8
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
1. Processing
1a. 'Type(s) of approval sought from the
Corps: ®Section 404 Permit El Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps? ❑ Yes ® No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certification:
❑ Yes ® No Fl Yes iRl 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
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes ®No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? I
❑ Yes ® No
2. Project Information
2a. Name of project:
Piedmont Natural Gas (PNG) Line 124 Pipeline Replacement
2b. County:
Richmond
2c. Nearest municipality / town:
Rockingham
2d. Subdivision name:
not applicable
2e. NCDOT only, T.I.P. or state
project no:
Associated with R-3421
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:
1

B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID): See attached table
1 b. Site coordinates (in decimal degrees): Latitude: 34.952314 Longitude: - 79.848411
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 7.0 acres (approximate easement total)
2. Surface Waters
2a. Name of nearest body of water. (stream, river, etc.) to
Pee Dee River
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:
The site is a 35 -foot wide utility easement flanking the proposed NCDOT R-3421 project (US 220 Bypass; Section A).
Much of the site is in a recent cut -over and is mostly in herbaceous vegetation; the remaining portion is in young to
medium -aged pine -hardwood forest. Wood- and timberland dominate land use in the vicinity, with some areas of low-
density residential development as well as commercial and light industrial uses.
3b. List the total estimated acreage of all existing wetlands on the property:
0.2
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
200
3d. Explain the purpose of the proposed project:
To relocate a Piedmont Natural Gas 4 -inch pipeline currently in conflict with NCDOT project R-3421 (US 220 Bypass).
3e. Describe the overall project, in detail, including the type of equipment to be used:
The. existing 4 -inch line will remain in service until the relocated pipe comes on-line. The new line will be 4 inches in
diameter, and follow the alignment provided in the attached figures. PNG will control a 35 -foot wide easement in the
permanent utility easement acquired through NCDOT. 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 was obtained by NCDOT
4b. If the Corps made the jurisdictional determination, what type
❑ Preliminary ® Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: ESI
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 R-3421 study area was- completed in early 2015, through NCDOT. All stream and wetland
features on this project were included in the reverification.
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.

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
Z 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 ElYes El pWQ 0.09
RJ
Site 2 ❑ P ® T
Land Clearing
Headwater Wetland
® Yes
® Corps
0.03
❑ No
❑ DWQ
Site 3 ❑ P ❑ T
Choose One
❑ Yes
❑ Corps
❑ No
❑ DWQ
Site 4 ❑ P ❑ T
Choose One
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.09 Permanent
0.03 Temporary
2h. Comments: Both impacts are associated with the same wetland. The permanent impacts result from the permanent
conversion of a forested wetland to a herbaceous state in a 30' maintenance corridor. This wetland is referred to as 'WC3' in
the NCDOT R -3421A project area (new wetland forms completed in November 2014).
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 Pee Dee River
® PER
❑ INT
® Corps
❑ DWQ
g
30
Site 2 ❑ P ® T
Open Cut
UT to Pee Dee River
® PER
❑ INT
® Corps
❑ DWQ
5
36
Site 3 ❑ P ® T
Open Cut
UT to Pee Dee River
❑ PER
® INT
® Corps
❑ DWQ
3
37
Site 4 ❑ P ® T
Open Cut
UT to Pee Dee River
❑ PER
® INT
® Corps
❑ DWQ
3
36
Site 5 ❑ P ® T
Open Cut
UT to Pee Dee River
[:1 PER
® INT
® Corps
❑ DWQ
4
30
Site 6 ElP [:1T
❑PER
E]Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
0 Perm
169 Temp
3i. Comments: In the NCDOT R -3421A project area, S1 is SH, S2 is SM, S3 and S4 are SI, and S5 is SO. Flow type
(perennial or intermittent) are taken from NCDWR stream forms filled out for R-3421 in November 2014.
RJ

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
❑Yes
❑ No
B3 ❑P❑T
El Yes
❑ No
6h..ToW buffer impacts
6i. Comments:

6. 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:

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 EJ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval.
❑Yes F-1No
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

PCN ATTACHMENT
Property Owner Information (Section A-3 and Section B-1 a):
The proposed Line 124 right-of-way crosses 5 properties. In addition, some of the line will be
within the NCDOT right-of-way for the US 220 Bypass (R-3421). Each of the private
landowners have been contacted by PNG and is aware of this effort and necessity to move the
line before NCDOT starts work. NCDOT will transfer the permanent utility easement associated
with their project to PNG for maintenance purposes. PNG authorization is all we anticipate
being needed to authorize work within jurisdictional areas along the proposed easement.
Richmond
Owner
4 Deed
Mailing Address
.County PIN
Bhook/Page _
,
744400545097*
Blackmon Family Limited
1559/113
2445 Selwyn Ave, Unit 403,
Partnership -
Charlotte, NC 28209
744400506555*
Charles D. Sellars
1168/533
469 Old Charlotte Hwy,Rockingham,
NC 28379
744300697120
James & Lena Sellars
1204/156
469 Old Charlotte Hwy,
Rockingham, NC 28379
744400617013*
Paul & Margaret Scholl
459/332
423 Old Charlotte Hwy,
Rockingham, NC 28379
744300894421 1
Marian &Mark Savage
694/398
117 Grey Fox Run,Rockingham,
NC 28379
*indicates jurisdictional impact on property

Piedmont Natural Gas Line 124 Relocation Project
Richmond. County, North Carolina
AGENT AUTHORIZATION FORM
L
PROPERTY LEGAL DESCRIPTION
Lot No: Multiple (see impact drawings) Parcel ID: Multiple (see impact drawings)
Street Address: Multiple properties comprising the Piedmont Natural Gas (PNG) proposed Line 124
relocation project in west -central Richmond County. The project area includes portions of 3 properties
with a total area of 7.0 acres. Line 124 is being relocated due to a conflict with the planned US 220
Bypass (R-3421) and as such, PNG's future easement currently lies within that area designated as a
permanent utility easement by the NC Department of Transportation (NCDOT). This easement has
been, or is in the process of being, acquired by NCDOT and will be transferred to PNG for maintenance
purposes once work is completed. As PNG must apply for a 404/401 permit before work begins on the
NCDOT project, PNG will be treated as the defacto 'owner' for this application.
Owner name (printed): Piedmont Natural Gas
Email: [e-mail]
The undersigned, as future easement holder of the above -referenced properties, do hereby authorize
Amy James, of Kleinfelder, Inc. to act on PNG's behalf and take all actions necessary for the processing,
issuance, and acceptance of the Section 404/401 Permits for jurisdictional resources along the entire
7.0 acre project easement in west -central Richmond 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 Signature
Date: 12/22/15
Agent Authorized Signature
Date: r

Hwy 74
DISK FOUND LEGEND
® COMPUTED` POINT (NOT_SET)
—G —G PROPOSED GAS LINE
- — — — — - EASEMENT
TREELINE
PROPERTY LINE
RIGHT OF ' WAY LINE
U.S. HMFY 74
1. MAINTENANCE CORRIDOR IS NOT TO EXCEED .30' IN
PERMANENT IMPACT WIDTH NLESSOTHI ERTHE MSE NOITED nONAL BOUNDARIES,
2. PIPE INSTALLATION THROUGH JURISDICTION
BOUNDARY BY OPEN CUT.
TEMPORARY IMPACT
w w w EXISTING WETLANDS
`
I HEREBY. CERTIFY .THAT A SURVEY WAS, MADE. UNDER MY
SUPERVISION, AND THAT INE WETLANDS SHOWN HEREON
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REFLECTS THE DELINEATION EVIDENCE .PROVIDED BY
KLEINFELDER 014. 07-20-2015
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GREENSBORO, NORTH CAROLINA 27409
NC FIRM LICENSE NO, C -0U
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Natural Gas
lAwN LIT.3HL HtYIs�Uns JURISDICTIONAL BOUNDARYS :OF
ATE: 12 /0615 —1271 0 715
)B NO. 1480.00 1 LINE 124 RELOCATION
FOR NCDOT R --3421A.
SCALE: 1' -- 800' RICHMOND COUNTY, NORTH CAROLINA
00 400 0 BOOR# SHEET 1 OF 5

a
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PERM.
TEMP. IMPACT 0 S.F. 819 S.F.
LINEAR IMPACT 30'
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PIN: 744400617013
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— — — — — EASEMENT n 4 :fir aq' B No. •1480.Co LINE• 124 RELOCATION
TREELINE - AlR NCDOT R-34'�lA.
PROPERTY UNE +� .r i .r EXISTING WETLANDS �
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. RICHMOND COUNTY, NORTH CAROLINA
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TEMPORARY :STREAM
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0 S. F.
107 S.F.
LINEAR IMPACT
40 20 0 '01
36'
124 -RICH -002000
P1N:744400506555
CHARLES D. SELLARS
DB 1168 PG 533
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".3" IMPACTS
..
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® COMPUTED POINT (NOTET) LEGEND / PERMANENT IMPACT
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— — — — -- — EASEMENT
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JURISDICTIONAL BOUNDARYS OF
LINE 124 RELOCATION
VOR NCDOT . R -342-1A
RICHMOND COUNTY, NORTH CAROLINA
A7E• -12/01115
B NO. 14BD.CO
SCALE: 1' 40'
IRS . SHEET 3 OF15
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STREAM "4"
& WETLANDS "A"
IMPACTS.
LENGTH
WETLAND
STREAM
PERM. IMPACT
.3,852 S.F.
0 S.F.
TEMP. IMPACT
1,148 S.F.
139 S.F.
LINEAR IMPACT
L4
36'
® DISK FOUND LEGEND
o COMPUTED POINT (NOT SET)
.—o --G PROPOSED GAS UNE
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IMPACT
PERMANENT WETLANDS
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124 -RICH -002_000
PIN: 744400506555
CHARLES D.SELLARS
DB 1168 PG 533
/ 1. MAINTENANCE CORRIDOR IS NOT TO EXCEED 30' IN
PERMANENT IMPACT WIDTH WITHIN THE JURISDICTIONAL BOUNDARIES,
UNLESS OTHERWISE NOTED.
2. -PIPE INSTALLATION THROUGH JURISDICTION
BOUNDARY BY ;OPEN CUT.
4., TEMPORARY IMPACT
w EXISTING WETLANDS
220 BYPASS
I—
a�
o.
g
Mp
TfMp RA`s
—1A` M fN� Y COW
E?MANS
U
�� G��..�� ry
,�,G. ���PROPODNT nU L"ASEr�E
�f Zi��' /�• — ---- --- _ `G-�"G;�:� GAS tINF r M
§00'28740"E 99.81'
oz0 i - - - - - - ...
M ;" 0—f1
ZQ
Q V i
IN: 440,215.7730
E: 1,745,705.9072-
NAD83 (NSR§ 2011)
\\0C11111111!/�I HEREBY CERTIFY THAT A SURVEY WAS MADE UNDER MY
C WEIIANDS SHOWN HEREON
1se RUEFLE;CTS THE DELINEATION PERVISION AND THAT EEVIDENCE PROVIDED BY'
NRS �/, KLEINFELDER ON 07-20/2015.
SEAL
L=4649 !;;DAVID A. CLARK, PLS L-4649
s off'
SUR��:
IAniC`
LINE TABLE
UNE
BEARING
LENGTH
L7
507'29'51".W
11.31'
L2
S03'1959"W
:40.71'
L3
S7717'S7"P!
12.24'
L4
N3475'19"W
18.69-
L5
N4W47'43"W
4.4
L6
N00'28'404W
98.31'
L7
1431'53'36"E
29,91-
L-8
N48'15'33'E
1.9.189',
L9
N48'47'43"W
13.02'
L10
N22'12'38"W
144.24'
L11
N00'28'40V
48.98-
L12
N27'57'21"E
25.38'
L13
N31'53'36 "E
31.40'
-vim,
c_
u�ruv
GRAVEL
C rrrrrn
-ry
71
,regional Band SIIPVeym, Inc. Piedmont
8642 WEST MARKET STREET, SUITE 100 fol N a t u ra I G a s
GREENSBORO, NORTH CAROLINA .27409
NC.'FIRM LICENSE 00. 0-1362
n¢: ,c ui is G �.
IB. NO.1480.GO LINE 124 RELOCATION.
FOR NCDOT R -3421A
SCALE: 1` = 40' RICHMOND COUNTY, NORTH CAROLINA
D 20 0 40 IR# SHEET 4 OF .5

74
VICINITY MAP (NOT TO SCAL]
STREAM "5" IMPACTS
\11111
CARRISDICTIONAL
. I WETLAND.
STREAM
PERM. IMPACT 0 S.P.
0 S.F.
TEMP. IMPACT 0 S. F.
228 S.F.
LINEAR IMPACT
30,
DISK FOUND LEGEND
COMPUTED POINT (NOT SET)
PROPOSED GAS LINE
EASEMENT
TREELINE
PROPERTY LINE
RIGHT OF WAY LINE
A
X
124 -;RICH -;00I 000
PIN: 7.44400545097
JOHN G. AND, IRENE H.
BLACKMON
FAMILY LIMITED PARTNERSHIP
NUMBER ONE
DB 1559 PG 113
PERMANENT IMPACT
2.
1177 7.
TEMPORARY IMPACT
EXISTING WETLANDS
MAINTANCE
CORRIDOR
NO
II
III.
i I CROSSING V OPEN CUT
N: 438,515.3286
E: 1,745,379.5972
NAC063 (NSRS 2011)
TEMPORARY STREAM 5
IMPACT MPAbT
m
iAL Nultb
,OR IS . To EXCEED 30' IN
\11111
CARRISDICTIONAL
1 HEREBY CERTIFY THAT A SURVEY WAS -MADE UNDER.MY
-SUPERVISION AND THAT THE
BOUNDARIES,
�OVD.
iROUGH JURISDICTION
........
WETLANDS SHOWN HEREON
REFLECTS THE DELINEATION EVIDENCE PROVIDED BY
ON 07-20-2015.
CUT.
SEAL
SEAL
L-4649
-DAVID
A. CLARK, PIS L-4649
7D
Rogtopai Land Sweyors, Inc.,
0642 WEST MARKET STREET. SUITE 100
GREENSBORO, NORTH CAROLINA 27409
NC FIRM LICENSE NO. C-1362
SCALE.: 4e
r6, Piedmont
Natural Nofural Gas.
LINE 124 RELOCATION
MR NCDOT R -3421A
RICHMOND COUNTY, NORTH CAROLINA
SHEET 5 OF 5