20160255 Ver 1_401 Application_20160316

20160255
OF w a rgR
AWA
Office Use Only.
Corps action ID no.
o < DWQ project no
Form Version 1.3 Dec 10 2008
Pre -Construction Notification PCN Form
A. Applicant information
1. Processing
1a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: NWP 18 or General Permit (GP) number.
1 c. Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
Id. 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
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Shopton Road Dam
2b. County:
Mecklenburg
2c. Nearest municipality / town:
Charlotte
2d. Subdivision name -
2e. NCDOT only, T.I.P. or state
project no:
D
3. Owner Information
3a. Name(s) on Recorded Deed:
Shopton Ridge Owners Assoication
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
book 29479 pg 801 E EO
Mr. C. Walker Collier III
-WATER ReSMOVS
3d. Street address:
440 South Church Street, Suite 800
3e. City, state, zip:
Charlotte, NC 28202
3f. Telephone no.:
3g. Fax no..
3h. Email address:
Page l of 13
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ® Other, specify Applicant
4b. Name.
Mr. Ray Atwell
4c. Business name
(if applicable).
North American Lawn and Landscaping
4d. Street address:
4200 Performance Road
4e. City, state, zip.
Charlotte, NC 28214
4f Telephone no.:
704.231.2013
4g. Fax no..
4h. Email address.
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
Bradley S Luckey
5b. Business name
(if applicable):
Pilot Environmental Inc.
5c. Street address:
PO Box 128
5d. City, state, zip:
Kernersville, NC 27285
5e. Telephone no.:
336.708.4997
5f. Fax no
5g. Email address:
[e-mail]
Page 2 of 13
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a Property identification no. (tax PIN or parcel ID)
20146106
1b. Site coordinates (in decimal degrees):
Latitude: 35.16607 Longitude: - 80.94861
(DD DDDDDD) (-DD DDDDDD)
1c. Property size.
NA -Linear Project acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Coffey Creek
proposed project.
2b. Water Quality Classification of nearest receiving water:
Class C
2c. River basin:
Catawba
3. Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site contains undeveloped wooded land and maintained grass covered areas in the vicinity of a stormwater pond
Structures are not located on the site. An existing underground sewer line and assoicated easement are located on the
up -gradient portion of the proposed project area. A portion of the underground sewer line, within the vicinity of the stream,
is currently exposed as a result of scour and erosion. An in-line stormwater pond is located on the down -gradient portion
of the proposed project area.
The remainder of the project area consists of a severly degraded stream that is experiencing significant bank failures (up
to approximately 20 feet) on both sides of the stream prior to entry into the in-line storm water pond. The stream has an
approximate 7 foot headcut within proximity of the sewer line that if left unremedied will likely result in the
undermining/failure of the sewer line and a potential release of raw sewage to down -gradient water bodies. Evidence of
several faded attempts (including rip -rap stone and silt fencing) to prevent the stream from continuing to head cut and
undermining the existing sewer line is present within the proposed impact area
The effect of the degradation, erosion and bank failures of the stream immediately up -gradient of the in-line stormwater
pond is an excess and accumulation of sedimentation within the stormwater pond such that the treatment and storage
capacity of the stormwater device is being comprimised. The compromised stormwater device is likely contributing to an
adverse impact to water quality of down -gradient water bodies due to inadequate treatment and storage capacity of the
device. The site is located in an industrial/commerical area of Charlotte.
3b. List the total estimated acreage of all existing wetlands on the property:
0 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
streams=250'
3d. Explain the purpose of the proposed project-
rojectThe
Thepurpose of the proposed project is to control grade and flow velocity of the stream prior to its entry into an in-line
stormwater pond to prevent potential undermining and failure of an existing sewer line located up -gradient of an
approximate 7 foot headcut and to reduce sediment accumulation in the down-graident stormwater device.
3e. Describe the overall project in detail, including the type of equipment to be used -
The overall project consists of the installation of a culvert to prevent continued erosion and head -cutting of the stream.
Additionally, it is necessary to maintain the stormwater device by removing accumulated sediments. To facilitate
maintenance of the stormwater device, the water level of the device will be drawn down so that equipment can remove
sediment in the dry. To facilitate installation of the culvert and removal of accumulated sediments, graders, haulers,
excavators and other heavy equipment will be used. Clearing and/or vegetation removal will not be necesssary to
complete the proposed project. Final grading, matting, seeding and planting will be necessary to prevent erosion and
sedimentation following culvert installation and removal of accumulated sediment.
Page 3 of 13
PCN Form — Version 1.3 December 10, 2008 Version

4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
El Yes E] No ®Unknown
project (including all prior phases) in the past?
Comments:
4b
If the Corps made the jurisdictional determination, what type
El Preliminary [I Final
of determination was made?
4c.
If yes, who delineated the jurisdictional areas?
Agency/Consultant Company.
Name (if known):
Other.
4d.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ® No
6b.
If yes, explain.
The project is not part of a phased project. Impacts to streams/wetlands, outside of those proposed in this appilication,
are not anticipated as a result of the proposed project.
Page 4 of 13
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply)
❑ Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted
2a.
2b
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
2h Comments: Wetland impacts are not being proposed.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ®T
Culvert/Pump
Around
Unnamed
® PER
❑ INT
® Corps
❑ DWQ
4
102/15
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
3i. Comments: The proposed culvert will permanently impact 102 linear feet of stream channel (5.62 cubic yards of fill below
OHWM) and temporarily impact 15 linear feet of stream channel with the associated pump around. Areas of temporary impact
will be restored to similar pre -construction conditions
Page 5 of 13
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number —
Permanent (P) or
Temporary T
4b
Name of waterbody
(if applicable)
4c.
Type of impact
4d
Waterbody type
4e.
Area of impact (acres)
01 ❑P❑T
02 ❑ PEI T
03 ❑P❑T
04 ❑ PEI T
4f. Total open water impacts
4g. Comments: Open water impacts are not being proposed. Maintenance activities to the existing stormwater pond are not
regulated by Section 404/401 of CWA.
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
Pond ID
number
5b.
Proposed use or purpose
of pond
5c
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments: Construction of ponds/lakes are not being proposed
5h Is a dam high hazard permit required
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres) -
5j Size of pond watershed (acres):
5k. Method of construction,
Page 6 of 13
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar -Pamlico ❑ Other-
therProject
Projectis in which protected basin?
® Catawba ❑ Randleman
6b.
6c.
6d
6e
6f.
6g.
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
im act
required?
61 ❑P❑T
El Yes
❑ No
B2 ❑P❑T
El Yes
❑ No
B3 ❑P❑T
EI Yes
❑ No
6h. Total buffer impacts
6i Comments. Buffer impacts are not being proposed. The surface waters within the project area are not subject to the
Catawba River Basin: Protection and Maintenance of Existing Riparian Buffers (15A NCAC 02B .0243).
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The applicant has evaluated several alternatives to remedy the signficant stream erosion in attempts to prevent potential
failure of the up -gradient sewer line. Several previous attempts of rip -rap placement and other erosion control measures have
failed One option that was evaluted was an approximate 7 foot perched culvert to a new rock rip -rap plunge pool for energy
dissipation. However, this option would still require a 2.1 slope down -gradient of the plunge pool to the normal high water
mark of the stormwater pond. Therefore, similar bank failures as those that are currently occuring would likley continue to
occur and excessive sediment accumulation in the forebay to the stormwater device will continue; thus, adversely affecting
down -gradient water quality Additionally, this option would have severe limitations for aquatic species to migrate from the
pond to the stream Therefore, this option was not determined to be a viable option to prevent potential failure of the up -
gradient sewer line and reduce sediment accumulation in the stormwater device
Another option that was evaluated was a stream restoration and stream stablization of the degraded stream. However, given
the proximity to the existing sewer line, a stream restoration would require stablization of almost an apprixmate 10% slope
over an approximate 100 foot run. Based on the slope and anticipated stream velocities and the inability to decrease the
slope/flow velocity due to the existing sewer line, a stream restoration would result in significant grade control measures that
would require continued monitoring and maintenance for several years, thus resulting in far greater construction/maintenance
costs to the applicant than those proposed within this application. Additionally, given the confinements of not being able to
reduce slope and flow velocity of the stream due to the existing up -gradient sewer line, it is not likely that a stream restoration
would afford aquatic passage or be successful even at a significantly higher cost of construction/maintenance Therefore, this
option was not considered a vialble option to prevent the potential failure of the up -gradient sewer line and reduce sediment
accumulation within the stormwater device
Given the existing conditions and confinements to those existing conditions, the only practical alternative to prevent the
potential undermining/failure of the up -gradient sewer line and significantly reduce sediment accumulation in the down -
gradient stormwater device is to culvert the proposed stream from the existing headcut and provide appropriate energy
dissipation to the proposed stormwater device. The proposed culvert has been designed to be buried approximately 6 inches
or greater beneath the existing stream bed on the up -gradient side of the culvert and to be partially submerged beneath the
normal ordinary high water mark of the pond on the down -gradient end of the culvert to facilitate aquatic passage from the
stream to the stormwater device. Additionally, by culverting the existing stream, the proposed graded slopes above the culvert
will be stablized with matting and vegetation, thus significantly reducing the amount of sediment runoff and acummulation.
The reduction of sediment accumulation within the stormwater device has significant benefits to down -gradient water quality,
aquatic habitat and aquatic passage while also reducing the maintenance costs of the stormwater device over the long term
operation of the device. The proposed impact area has been significantly degraded by erosion to the point that any former
aquatic habitat has been destroyed.
Page 7 of 13
PCN Form — Version 1.3 December 10, 2008 Version

1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and silt fence will be used. A temporary coffer dam will be installed upgradient of the
proposed culvert. During construction, water will be pumped around the construction footprint. Appropriate stream bank
protection will be provided in the channel during construction and all excess excavated material will be immediately removed
from the impact area and stock piled in upland areas. Upon completion of the culvert installation, the temporary sand bag
coffer dams will be removed and flow will be diverted through the culvert Following construction, disturbed banks will be
restored to similair pre -construction conditions, matted and seeded/live staked
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State?
❑ Yes ® No
2b If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank.
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested-
acres
4g. Coastal (tidal) wetland mitigation requested
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
Page 8 of 13
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 9 of 13
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why
El Yes ®No
Comments: Not subject to Catawba Buffer Rules
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
NA %
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Impervious surfaces are not being
created by the project.
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?
❑ Phase II
3b. Which of the following locally -implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
4a. Which of the following state -implemented stormwater management programs apply
❑ HQW
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other
4b Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 10 of 13
PCN Form — Version 1 3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ® No
letter)
Comments: A NEPA or SEPA is not required as part of this project.
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b Is this an after -the -fact permit application?
❑ Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered "no," provide a short narrative description.
We are not aware of additional development that will impact nearby downstream water quality.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Wastewater will not be generated by the proposed project.
Page 1 1 of 13
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat'?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
El 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?
PEI consulted the NC Natural Heritage Program to determine if federally listed threatened or endangerd species have
been documented on the USGS quadrangle that contains the site The site quadrangle is the Charlotte West
Quadrangle. The Carolina Heelsplitter was identified on the quadrangle that contains the site as a historical occurrence
of the federally enangered species. Based on our observations of the existing conditions of the proposed stream to be
impacted and the historical nature of this species, it is not likely that the proposed project will effect the Carolina
heelsplitter.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Based on our knowledge of the site, the site is not located in or near an area designated as essential fish habitat. Best
management practices and the use of temporary sediment and erosion control devices will prevent sediment from entering
down -gradient waterbodies which may contain fish.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
PEI reviewed the NC SHPO Historic Properties GIS website. Historic/cultural resources were not identified in the project
area. A copy is included as an attachement.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c What source(s) did you use to make the floodplain determination? FEMA FIRM 3710451200k (attached)
�I Digitally signed by Bradley S Luckey
N//!/ ��DN cn=BradleyS Luckey,o=Pilot
'
Bradley S. Luckey
f r`F F� - — Environmental, Inc, ou,
1 ' t ..-email _bluckey@pilotenvuo com, c=US
Date 2016 03 09 13 34 02
3/9/16
-05'00'
Applicant/Agent's Signature
Applicant/Agenfs Printed Name
Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided
Page 12 of 13
PCN Form — Version 1.3 December 10, 2008 Version

m
X
C/)
m
(p
CP
1N
ICPP
cf) j) �
JGI
E
mm
m
(-, m
m
X
x
x
0x
x
cn
z (j)
co
z
Z
m
z
pz
Z
0
0
G)
CO
m
;CU
z
z
>
TI
z
m
m
—
70
E
x
;U
<
z
0
0
CO
z
77,
71
o
z
M
zz
Consulting Engineers and Scientists
7327-G WEST FRIENDLY AVENUE GREENSBORO NC 27410
I PH, [phone]
EXHIBIT
EXISTING SITE CONDITIONS =AHIBITI
DESIGNED 8Y. RA6
3625 SHOPTON RD. STORMWATER DAM DRAWN BY DAB
r- APPVD.BY
NORTH AMERICAN LAWN & LANDSCAPE �SCALF:
SHOPTON ROAD DAM I DATE
I CHARLOTTE
jos No. 7 " U
ACAD NO planset2
NC SHEE7 NO OF

n- rn-
NN
of f aln70
Consulting Engineers and Scientists
327 -EWES. FRIENDLY AVENUE GREENSBORO NC 27410
PH MM) 854-8135 PAX. [phone]
REPAIR CONCEPT - FILL AND PIPE EXHIBIT
3625 SHOPTON RD. STORMWATER DANS DESIGNED BY RAS
a DRAWN B": DAB
NORTH AMERICAN LAWN & LANDSCAPE � SCAIE: BY` ;
SHOPTON ROAD DANT ,1 ° °�—E 211R-16 JOB NQ 7515,5110 j
fa ACAD NO PlnnseQ
R CHARLOTTENC SHEET NO 2 OF 4
<—�_I
0x0
�z
O0
Iv
r —i n
m
m
O
77
D71
'
L'
z
�
uJ
F-7
C)
r- m
O
nl
rn
G)pCZ
�Z
00
Cf)
I ,;
m
1�
�
� y
-z
m
_
IO
nm0
T=
mJ
D
II > =
M11"""I
'
O 0
0
M1
i
I'
VI C:
it
N I O
�
ms
X
o 00
X
co
m
X
-u
pm
0
m
x
�zm
mo
�
nC -7
-zl
\\\\�j�klltl{ 4;i111.t%%///
//��ii
m -�j 7
_p
m
r
o
z
G7
m >
p
z
p
m
n
z
G7
O
m
O z
G 1
z
G)
���......0�/
, •' '...0 �G�
T1 O
m
� D
-n S
C
DI
>
m
o
z
z
��
n. Sip ;��
D D
—I —
(�[ E
m f—
_
r
m
G�
—I
m
_ +' �.� y FIs -r : �.
.-7i
7� O
g—
m _
m
m
O
�
x
1 _
[�
C
D
z
m
Op
Rib
m
m
m
m
COQ
U
1
of f aln70
Consulting Engineers and Scientists
327 -EWES. FRIENDLY AVENUE GREENSBORO NC 27410
PH MM) 854-8135 PAX. [phone]
REPAIR CONCEPT - FILL AND PIPE EXHIBIT
3625 SHOPTON RD. STORMWATER DANS DESIGNED BY RAS
a DRAWN B": DAB
NORTH AMERICAN LAWN & LANDSCAPE � SCAIE: BY` ;
SHOPTON ROAD DANT ,1 ° °�—E 211R-16 JOB NQ 7515,5110 j
fa ACAD NO PlnnseQ
R CHARLOTTENC SHEET NO 2 OF 4

N
�
Z
i
DESIGNED BY: RAS
DRAWN fiYDA5
Bf las
0
SCALE nolsA
E B"6
i
I
m
cn () 70
Oz�
—i C
m�
m
D Z7 X
O
�c<
z�
Z D
m D
�m
m00
X Z (J)
> Z
mem�o
0-o
z0
C
Z
fj
m
m
O
mco
7
7U
C) D
07
r-
Z r
D
70
n
m
m1
O m
to D
co71
O
C
WM
M�
2c��n
i =
m 01
F-
70
00
0�
r
�m Oo
i
c
mm
m
m�
m�
OO
�z
�U 50
CO
= 0
z
m
p
m
<
Z
0 Z
r —1
m
0
O U1 O
D
m
m
<
m
rn rn rn 0) (0) rn
N N C.,3 W -P ? cp
O O CT7 O Cn O Ui O Ut O
+
0
0
SS —
1 m
o ! r
+ � <
O ,#
x w m x
C!3 I Cn m �_
CD I C? i
+ CIO
o O
D I _z
0 >
m
4 ,
O
0
0
cn
0
0
60
0
0
0
0
mn
D �
n �
M to
0 m
m —I
r- :7
r
z
m
�1
EXHIBIT 3
i
DESIGNED BY: RAS
DRAWN fiYDA5
Bf las
m \
SCALE nolsA
E B"6
i
I
m
mn
D �
n �
M to
0 m
m —I
r- :7
r
z
m
�1
EXHIBIT 3
m
DESIGNED BY: RAS
DRAWN fiYDA5
Bf las
m \
SCALE nolsA
E B"6
<
o
n' I
I
D Z7 X
O
N
/
Om <
o
o zD
fj
mco
7
D 0
0')�
i
N
�
O
�
<
i
c
ji
, ,
0
i
o m
N N
rn rn rn o c,
W W P -P
O .T1
O U1 O
Consulting Engineers and Scientists
7327-G WEST FRIENDLY AVENUE GREENSBORO NC 27,410
PH. (336) 85Z-8135 FAX. [phone]
CROSS SECTION A
EXHIBIT 3
3625 SHOPTON RD. STORMWATER DAN
NORTH AMERICAN LAWN & LANDSCAPES
DESIGNED BY: RAS
DRAWN fiYDA5
Bf las
SHOPTON ROAD DANT
SCALE nolsA
E B"6
NO j 7515511ir
rACAD
I'NO. IplansetCHARLOTTE NC ", I ETNo. of 4 !°i

lz
0
I MM>w0--12 --o m mo>ZTC:
Or-M()-nT-U) Zc
XOMT-.�X-j m a: -u
m*>mmo>
>M4xU m C(z r-- Cpc: X> > -M-j
E
W->mcMv 00 mmcm;a coU)
.. ..cl)
-0 Q) C52 r- m
m 01- z --4
;Ucc-, M-0 Z r)
x omc) xi
mmo> nr-
z:
0 U cf) XXU> 00
(z) m;u z — m
0 --1 -� --i * 0 A 0 0 >
cf)o>=c — -im :-5; :r m z
mm -0
T>Z>— -- U) 0 -0
m
0 F -n r- �7) ;U
71 _I m 0 0 m
OMNU-n;U0 -0
M>T-- r- > --L
m m <
M Z r- m
X W Z >
mzz:�EUM
m
°f a10
> Z rr(D;�� <CO U) -V
Y!Dco- 0
oz cz
go >
2:7 m
M K
:E > z c/) m
z
41
z > co z
m n0 DO
� Z Z--4
m
> M
1)
0 1 ct)
Z 00 --1
ZX 0
M
> cl) 70 -0
A X U) >
> 0 -V z
Z f, Z m
O cl)
DW gr
m ��:
2 ,
-u M
Z r -
m
m Z
co 4
>
Oz
m
m -n r
M oc/) m
X -n c ---i
M ox 0
(D -n
m
0 z (-)
r cf) co m
>C, Z n
z m -q
n
o
0 < n
>
r- M F
0
>
0
z cf)
m
>
0m --i
>z
X mc)
womonm c
==m00* 0 --1
> Z z > W
z m --I --i —
m 0
0M
��-n - 0--�7: --1 0
In 71
I Xom
0= 00;00
() =Zct)o m
T.. r-
2: z 0
m > cn —
-1 - --4
0 o A > cf) C::
<
omC) --A --i >c/)>-(-)� Mco
iz-c)-<mG)5
- C)m
> --, � --, Z
CZ= -=N
comomo
�� 4* Z r- Z >
ZT(:) am 0
4
C) m
> z
0
m
cl)
ICD
M
0
m
m
X
0
z
0
n
cl)
z
O
rT
1 41,
PH [phone]
m
m
0
MZ
O Z
c/)
cl) mo
C/) Dmf
n zr->
On 1
>
MME
>
CD A Z c")
>
mmr-
bzr-C-) >
C) M rr Z
=m ZO
mo
X x
cl)c/)
:20
Z
m
z
C)
.z
0
40
> --j Lo
:Lo^
ma:xx
< o()m
Z>c-)rT,>
M 0
zmr-
om
Z 0 z
mmS0
C)> --j
>
-<
0
U)
0��
..............
z
<
1, m
z 0
>
m >
m
;Q T --i
M
mr-o
>
m z
OD
>
;;�
C)
0
71
-
CD
mM�u
z
CA
ED
m
m
;o
M
cf)
m
x
�
>
aWNI
c()
--I
PH [phone]
m
m
0
MZ
O Z
c/)
cl) mo
C/) Dmf
n zr->
On 1
>
MME
>
CD A Z c")
>
mmr-
bzr-C-) >
C) M rr Z
=m ZO
mo
X x
cl)c/)
:20
Z
m
z
C)
.z
0
40
> --j Lo
:Lo^
ma:xx
< o()m
Z>c-)rT,>
M 0
zmr-
om
Z 0 z
mmS0
C)> --j
>
-<
0
m
>
0��
..............
z
<
1, m
z 0
>
m >
m
;Q T --i
M
m
0 0
c/)
m
0
S—.m
m
U�y z
G)
W
m
c()
0
mm
cf) >
m
<
S
T
0
cj)
cl)
M
0
z
z
m;u
z cf)
--q0
m z
;u
M —
m -n
xr-
7)0
--q 0
z 0
0r
G)
;u Z
0—
c
z
0
m
z
0
mcn
--H
m
m
Z m
--A
co
co
m
z
CD
C) >
m z
zo
--I =
m0
mm
0
z
w
m Z
7z
M
12
M
DETAILS EXHIBIT 4
3625 SHOPTON RD. STORMWATER DAM DESIGNED BY PDPAWN BY: DA
APPVD
NORTH AMERICAN LAWN & LANDSCAPE I -
SCALE 3Y
v.o:e,,
SHOPTON ROAD DAM DATE: JOB No '75155110,
ACAD NO olwset2
CHARLOTTE NC [',.SHEETf,'0: 4 OF
o
0��
..............
m
z 0
m
DETAILS EXHIBIT 4
3625 SHOPTON RD. STORMWATER DAM DESIGNED BY PDPAWN BY: DA
APPVD
NORTH AMERICAN LAWN & LANDSCAPE I -
SCALE 3Y
v.o:e,,
SHOPTON ROAD DAM DATE: JOB No '75155110,
ACAD NO olwset2
CHARLOTTE NC [',.SHEETf,'0: 4 OF

\4

M,
- 5'W )1 i,
od
-00
'NIr Q O)lj W
K Rd- E'Cc ME 111K
ffE
fj
Min
1
4
fll
2 pt
F--7
v IJ
I i
a
ip;j
/
�P �a WRs ��8
, �gll
di
U YJ
Nil.
jjlj�jq , I
NMM, Pq
U Rift
if
hi 4Y10 BINH,
NA!",
HIP
plt
7
... . ..•.. . . ..
I j
2C3p
ap.
d
!
X1141
ba alwii�@ PhP
mi!

AGENT AUTHORIZATION
This form authorizes PEI 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: 3625 5hoP-tcw)?oAco SteRMWAMk uAm
3C•:t 5 S Aop-roiv RoAb
CHA/Z lo(r6 N.C.
Owner Information:
Address; Jko o'v ft;Dge. OWNCks Ars-OCIAZIoM
t/0 'A iN►7*y )�An7N(it t
C% rtic�c �z Base gFa�qo
/i A2 /o12C NC. a�Lq'v :z
Telephone Number:
Fax Number:
E-mail Address:
JURISDICTIONAL. DETERMINATION REQUEST
SECTION D -PROPERTY OWNER CERTIFICATION
I, the undersigned, a duly authorized owner of records of the property/properties identified
herein, do 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 and Issuing a determination associated with Waters of the U.S. subject to Federal
Jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and
Harbors Act of 1899.
C.l t�4/!1 t� Ca /fir fi
Property Owner (please print) Date
Property Owner Signature

OwNE2s Cb
A�
AGENT AUTHORIZATION
This form authorizes PEI 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: �44S S4c,l kv Rci/d 5tvkm WATCR 6,1
3625 S fjoP tau RvAC.�
Owner/Applicant Information:
Name: NoAt A AmCk/CAA/ J AwIV ANd ),44YCAP-
Address: PoFc,/LM.4NC(- &)Ad
Cd,a2/c,(tE �1,C, �t�szly
Telephone Number:
Fax Number: 00y) 3qy
E-mail Address: �AtwG-Lt,& MA�AAla-5CApiE, Cc91-11
Signature: ut Date: 5 �o64,L2 al, -- pl.�
Rey AT,-,�E L
eAlp