20160432 Ver 1_401 Application_20160516

Dewberry
TRANSMITTAL
DATE: 4/28/2016 PROJECT #: 50065639
2 O
PROJECT NAME: Samarcand Training Academy — Firing Range 6 4 3 2
REFERENCE: 401 & Buffer Permitting PCN Submittal
TO: NC DWQ, WBSCP
512 North Salisbury Street
Raleigh, NC 27604 ✓�/� /�� i
PHONE:
CC: Jim Gates, Bryan Payne, Greg Mills, Gary Spires, File
LJ As per your request
❑ under separate cover
❑ By mail
❑ By messenger
❑ By pick up
® By overnight carrier
❑ Email
As requested by:
LJ Prints
® Copies
❑ Reports
❑ Studies
❑ Reproducible
❑ Product literature
❑ Shop Drawings
Q9 Your approval
® Your review and comment
❑ Your file/use
❑ Revision and submission
❑ Distribution
Copies: Date:
1 4/28/16 , 401 & Buffer Permitting PCN Submittal Checklist
4 4/28/16 PCN Form
4 4/28/16 USGS map and Soils Map
4 4/28/16 Existing conditions & site plan with grading sketches, wetland
and stream impact sketches and details
4 4/28/16 Vicinity map and overall site plan
1 4/28/16 73087 Check for $240
Please feel free to contact me with any questions or concerns about the permit application and package.
F Pamela Kistner, PE
Dewberry Engineers Inc.
2610 Wycliff Road, Suite 410
Raleigh, NC 27607-3073
919.424.3726
If enclosures are not as noted, please notify us at once

Dewberry
DATE: 4/29/2016 PROJECT #: 50065639
PROJECT NAME: Samarcand Training Academy — Firing Range
REFERENCE: 401 & Buffer Permitting PCN Submittal
TO: Brennan J Dooley
Wilmington Regulatory Field Office
US Army Corps of Engineers
69 Darlington Aveue
Wilmington, NC 28403
PHONE: [phone]
CC: Jim Gates, Bryan Payne, Greg Mills, Gary Spires, 4111111111119AWFile
U As per your request
❑ Under separate cover
❑ By mail
❑ By messenger
❑ By pick up
® By overnight carrier
❑ Email
Lj Prints
® Copies
❑ Reports
❑ Studies
❑ Reproducible
❑ Product literature
❑ Shop Drawings
TRANSMITTAL
Qg Your approval
® Your review and comment
❑ Your file/use
❑ Revision and submission
❑ Distribution
Copies: !.Number:
1 4/28/16 401 & Buffer Permitting PCN Submittal Checklist
1 4/28/16 PCN Form
1 4/28/16 USGS map and Soils Map
1 4/28/16 Existing conditions & site plan with grading sketches, wetland
and stream impact sketches and details
1.= 4/28/16 Vicinity map and overall site plan j
Brennan: I have emailed one copy of all the items in pdf format as well. Please feel free to contact me
with any questions or concerns about the permit application and package.
_ - • Pamela Kistner, PE
Dewberry Engineers Inc.
2610 Wycliff Road, Suite 410
Raleigh, NC 27607-3073
919.424.3726
If enclosures are not as noted, please notify us at once

Dewberry
401 & Buffer Permitting
(PCN) Submittal
Samarcand Training Academy - Firing Range
Job Order Number: 3561
Dewberry Project Number: 50065639
April 28, 2016
,�DUBMCFTED BY: i i ED TO.
Dewberry Engineers Inc.
2610 Wycliff Road
Suite 410
Raleigh NC 27607
919.881.9939
NC License No.: F-0929
NC Division of Water
Resources- W B S C P
Unit
512 North Salisbury
Street
Raleigh, NC

TABLE OF CONTENTS
Section A 401 & Buffer Permitting PCN Submittal Checklist
Section B Pre -Construction Notification (PCN) Form
Section C USGS and Soils Maps
Section D Existing conditions & site plan with grading — sketches
Section E Wetland impacts & stream impacts — sketches
Section F Details
Section G Overall site plan & Vicinity Map .

SECTION A - 401 & BUFFER PERMITTING PCN SUBMITTAL
CHECKLIST

Version 1.4
January 9, 2009
401 & Buffer Permitting PCN Submittal Checklist
X The application fee (Checks may be made out to "N.C. Division of Water Resources"
- $240.00 for 401 Water Quality Certification with minor impacts
- $570.00 for 401 Water Quality Certification with major impacts
- Express Review Fee (Amount requested on Acceptance Letter)
X Four (4) complete and collated copies of the PCN Application and supporting
documentation (instead of providing 4 copies of the full size plans you may provide two
copies of full size plans along with two copies of 11 X 17 plans)
N/A Stormwater Management Plan (if applicable — see PCN Form Help File Section E)
1) Please provide three (3) copies of the stormwater management plans along with all
supporting information pertaining to this project including the following:
a. Entire site development/layout plans delineating all drainage areas;
b. Design calculation sheets for all proposed BMPs) sized for both on-site and
off-site drainage;
c. BMP supplements for each proposed BMP and Required Items Check List
(http://porta1.ncdenr.org/web/Ir/bmp-manua1) along with all required items;
d. A Notarized Operation & Maintenance Agreement for each stormwater
management facility;
e. Detailed construction drawing sheets shall include
(i) Erosion and sediment control plans;
(ii) Installation and planting schedules for the proposed BMPs;
(iii) Appropriately scaled plan views and cross sectional details of all
BMPs and associated components — inlet and outlet structures,
forebay, respective zones and pertinent elevations.
N/A If your project is located within a State implemented Riparian Buffer Rule Area, submit the
following along with site plans and PCN form:
1) Three (3) copies of the details for on-site diffuse flow provisions, (refer to
http://portal.ncdenr.org/web/Ir/bmp-manual).
X DWR Stream Determination Forms for streams on property and DWR determination
letter for wetlands or streams (if applicable). USACOE went to site on 4.26.2016 —
paperwork in process
The following is the most critical of all the information that you must provide. The quality and
detail of the information will often determine the expeditiousness of the review. The following is
a checklist of the types of pertinent information required at a minimum:
Maps and Plans:
X The most recent version of the 1:24,000 USGS Topographic Map - Please cleanly draw or
delineate the site boundaries on the topographic map.
X The most recent version of the bound and published County NRCS Soil Survey Map -
(required for projects within the Neuse River Basin, Tar -Pamlico River Basin, Randleman
Lake Watershed and the Catawba River Basin, also recommended for all projects) -
Please clearly delineate the site boundaries, etc. on the map. If the delineation obscures
any of the features, it is recommended that a clean copy be provided. Copies of the

Version 1.4
January 9, 2009
current soil survey and/or soil survey map sheets can be obtained from the local NRCS
County Office (http://www.nc.nres.usda.gov/). GIS soil layers are not acceptable.
X Vicinity map - Please clearly mark the location and approximate boundaries of the property
and project on the map. Please indicate north arrow and scale. Please include applicable
road names or State Road numbers.
X The Site Plan - The most critical map to be provided is the site plan. You must provide full
sized plans. The following is the minimum list of plans that are typically needed.
X Pre-construction/Pre-existing conditions - This sheet (or sheets) must include:
• All jurisdictional and non -jurisdictional wetland, stream, water features, State regulated
buffers (delineated into Zones 1 and 2)
• Topographic contours with elevations
• Any existing structures and impervious areas
• Existing utility lines and easements
• Existing roads, culverts, and other pertinent features
• North arrow and the scale (1":50' scale is recommended).
X Proposed conditions - This sheet (or sheets) must include:
• All jurisdictional and non -jurisdictional wetland, stream, water features, State regulated
buffers (delineated into Zones 1 and 2)
• Lot layout (if a subdivision or commercial development is proposed) - lots must be
developable without further impacts to jurisdictional and non -jurisdictional wetlands
streams, water features, and State regulated buffers. Building envelopes must be
provided when streams, wetlands, riparian buffers, or water features exist on a lot
• All built -out structures and impervious cover
• Final grading contours with elevations
• All utilities and easements (including septic fields on all lots within 100 feet of stream,
wetland, or water features - if applicable)
• Impacted areas — these should correspond with the Impact numbers listed on your PCN
form.
N/A Drainage Plans - Final drainage plans must include the following:
• Locations and pertinent elevations and sizes of the stormwater collection system and
drainage ways
• All inlets and outlets must also be shown with pertinent elevations (All outlets to
wetlands must be at a non-erosive velocity, generally less than 2 ft/sec during the peak
flow from the 10 -yr storm)
• Scaled stormwater BMPs must also be indicated as required by DWR rules and policies
• In certain cases (see Section E of PCN form), final stormwater management plans must
also be provided (see Stormwater Management Plan Checklist)
X Proposed Impacts - All impacts to jurisdictional and non -jurisdictional wetland, stream,
water features, and State regulated buffers must be shown and labeled on the site plans at
a scale no smaller than 1" = 50'. All excavation, fill, flooding, stabilization, and other impacts
that will be conducted in or near jurisdictional and non -jurisdictional wetland, stream, water
features, and State regulated buffers must be indicated. Please provide cross sectional
details showing the provisions for aquatic life passage (burial of culvert 20% for culverts <_ 48
inches, and 1 -foot for culverts > 48 inches).

Version 1.4
January 9, 2009
Wetland Impacts:
X Precise grading and final elevation contours must be provided. Existing
vegetation and any clearing must be specified.
N/A All subsurface utility lines must indicate the location of anti -seep collars.
Construction detail for anti -seep collars must be provided.
X Roadway or other crossings of riparian wetlands may require floodway culverts to
maintain existing hydrological conditions.
X Plans should show that the hydrology of remaining wetlands on the site.will be
maintained.
Stream Impacts:
X Stream impacts must be clearly shown on the plans. The centerline as well as
the banks of the stream must be surveyed or located by GPS for the portion of
the stream to be impacted.
X The inlet and the outlet of all culverts should be aligned with the stream as uch
as possible. Inlet and outlet elevations and streambed elevations should be
indicated. Any inlet or outlet protection must be shown and enumerated on the
impact map(s).
N/A For bottomless culverts or other spans, a vertical cross section should be
provided that shows the minimum distance.from each span to each stream bank,
the stream cross section, the height of the span above the stream and the
minimum distance from the edge of each footer to each stream bank.
Additionally, please provide a signed and sealed geotechnical report of
subsurface soils at the proposed bottomless culvert location. The report must
comply with the Division of Highways — Guidelines for Drainage Studies and
Hydraulic Design, prepared by A.L. Hankins, Jr., State Hydraulics Engineer -
1999.
N/A Multiple culverts or sectioned box culverts typically require the use of sills, off-
setting or other means to match the cross section of the existing stream (in order
to maintain stream stability and provide aquatic life passage). A vertical cross
section of the culverts should be shown overlain with the up. and downstream
stream cross section including the stream flood -prone area.
N/A Impacts associated with dam construction must indicate and enumerate all fill
associated with the dam footprint, spillway and any bank stream bank
stabilization. The length of stream impounded must also be indicated and
enumerated.

SECTION B - PRE -CONSTRUCTION NOTIFICATION (PCN) FORM

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN 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:1:::
�Section4 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑ Yes ❑X No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes X❑ No
For the record only for Corps Permit:
❑ Yes ❑X 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 ❑X No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
E3 Yes ❑X No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑X No
2.
Project Information
2a.
Name of project:
Samarcand Training Facility
2b.
County:
Moore
2c.
Nearest municipality / town:
Eagle Springs
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
State of North Carolina
3b.
Deed Book and Page No.
DB 128 Page 571
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
3600 Samarcand Road
3e.
City, state, zip:
Jackson Springs, NC 27281
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑ Other, specify:
4b. Name:
William Stovall
4c. Business name
(if applicable):
NC Department of Public Safety
4d. Street address:
2020 Yonkers Road
4e. City, state, zip:
Raleigh NC 27699-4216
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
Pamela Kistner
5b. Business name
(if applicable):
Dewberry Engineers Inc
5c. Street address:
2610 Wycliff Road, Suite 410
5d. City, state, zip:
Raleigh NC 27607
5e. Telephone no.:
919-424-3726
5f. Fax no.:
919-881-9923
5g. Email address:
pkistnerQa gmail.com
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
12503
1 b. Site coordinates (in decimal degrees):
Latitude: 35.2599 Longitude: -79.6946
1 c. Property size:
439 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Drowning Creek
2b. Water Quality Classification of nearest receiving water:
WS-II;Sw;HQW
2c. River basin:
Lumber
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 existing training facility has buildings, roads, parking areas and utilities. A new rifle range is under construction
3b. List the total estimated acreage of all existing wetlands on the property:
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d. Explain the purpose of the proposed project:
A 16' wide gravel access drive is proposed to connect the main campus of the training facility to the rifle range.
3e. Describe the overall project in detail, including the type of equipment to be used:
The proposed access drive was located to provide the least impact to wetlands. Silt fence shall be installed with temp & perm seeding with coir matting
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 priorphases) in thepast?
0 Yes El No El Unknown
Comments: Site visit with USACE on April 26, 2016
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
El Preliminary ❑X Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Anna Reusche, PWS
Agency/Consultant Company: Angler Environmental
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Site visit was held on April 26, 2016. Jurisdictional determination not issued at time of application.
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
El Yes El No ❑X Unknown
5b. If yes, explain in detail according to "help file" instructions.
The only known permits issued have been NCDENR Erosion Control Permit & NCDOT driveway permit for other parts of this phased project.
6. Future Project Plans
6a. Is this a phased project?
❑X Yes ❑ No
6b. If yes, explain.
Part 1 of phase 1 was permitted in 2014 for upgrade of the existing main campus for ADA compliance and new water main. Part 2 is the rifle range
and range house with utility extensions. The gravel access road to connect the main campus and rifle range is part 3 of phase 1.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑X Wetlands ❑X 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.
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 P
Culvert
Bottomland Hardwood Forest
Yes
Corps
0.069
W2 T
Culvert
Bottomland Hardwood Forest
Yes
Corps
0.003
W3
Choose one
Choose one
Yes/No
W4
Choose one
Choose one
Yes/No
-
W5
Choose one
Choose one
Yes/No
-
W6
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
0.072
2h. Comments:
Shrubs will be removed from wetlands and culvert will be placed in the stream and wetland to allow for 16' gravel access road. See attached sketchs
and plans for impacts.
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.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Culvert
Unnamed tributary
PER
DWQ
10
94
S2 T
Culvert
Unnamed tributary
PER
DWQ
10
20
S3
Choose one
S4
Choose one
S5
Choose one
S6
Choose one
3h. Total stream and tributary impacts
114
3i. Comments:
Permanent impact is for the culvert. Temporary impact will be for the erosion control and construction devices.
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number (if applicable) Type of impact Waterbody Area of impact (acres)
Permanent (P) or type
Tem ora T
01
Choose one
Choose
02
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5.. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
5b.
5c.
5d.
5e.
Pond ID number
Proposed use or
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
purpose of pond
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required? ❑ Yes ❑ No If yes, permit ID no:
51. 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. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
6c.
6d.
6e.
6f.
6g.
Buffer Impact
Reason for impact
Stream name
Buffer
Zone 1
Zone 2
number —
mitigation
impact
impact
Permanent (P) or
required?
(square
(square
Temporary T
feet)
feet
BI
Yes/No
B2
Yes/No
B3
Yes/No
B4
Yes/No
B5
Yes/No
B6
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The gravel access drive was located in order to minimize impact to the wetland area.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The gravel access drive and culvert shall be installed in such a manner as to minimize impact with temporary and permanent stabilization.
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 ❑X 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: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
A 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:
Choose one
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 6 of 10
PCN Form — Version 1.4 January 2009

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 ❑X 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 7 of 10

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 ❑X No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
0.55
2b. Does this project require a Stormwater Management Plan?
❑ Yes Q No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
The entire site has less than 12% impervious surface, including the proposed gravel access drive. The project is Low Density Development.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which localgovernment's jurisdiction is thisproject?
Moore County
❑ Phase II
3b. Which of the following locally -implemented stormwater management programs
❑ NSW
apply (check all that apply):
❑ USMP
❑X Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑Yes 0 No
attached?
4. DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a. Which of the following state -implemented stormwater management programs apply
❑ORW
(check all that apply):
❑Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
❑ 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
Page 8 of 10
PCN Form — Version 1.4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑X 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
❑X 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
❑X No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
❑Yes
❑X 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
❑X No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Page 9 of 10
PCN Form — Version 1.4 January 2009

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 ❑X No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
USFWS
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes MX No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA Habitat Conservation
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
E] Yes Z 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?
North Carolina State Natural and Cultural Resources Historic Preservation Office
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?
The project is located in Zone X of the FIRM Map Number 37101758400K revised January 2, 2008, from FEMA Flood Map Services Center
Applicant/Agent's Signature
Applicant/Agent's Printed Name
Date
(Agent's signature is valid only if an authorization
letter from the applicant isprovided.)
William N. Stovall, PE
Director of Engineering
North Carolina Department of Public Safety
4216 MSC
Raleigh, NC 27699-4216
Phone [phone]
Page 10 of 10

SECTION C - USGS AND SOILS MAPS

r
{`
to
3F
p 2 f t
F
PROJECT SITE
,
t,
j.
N
0 950 1,900 3,800 5,700 7,600
1 inch = 2,000 feet Feet

35° 15 48' N
35° 15'2N
617800 618000 618200 618400
3
Map Sole: 1:6,950 if printed on B landscape (17'x 11") lent
%
N McOas
N 0 100 200 400 600
A0 300 600 1200 1800
Feet
Map proal: Web Mermhor Comer coordinates: WGS84 Edge tics: UTM Zone 17N WGS84
USDA Natural Resources
M& Conservation Service
3 Soil Map—Montgomery County, North Carolina, and Moore County, North Carolina a
a(Samarcand Training Academy)
618600 618800 619000 619200 619400 619600 619800 620000 620200
3
Web Soil Survey
National Cooperative Soil Survey
35' 19 48' N
Xi
8/18/2014
Page 1 of 3
35° 152'N

Soil Map—Montgomery County, North Carolina, and Moore County, North Carolina
(Samarcand Training Academy )
MAP LEGEND
Area of Interest (AOI)
Area of Interest (AOI)
Soils
Soil Map Unit Polygons
Soil Map Unit Lines
®
Soil Map Unit Points
Special
Point Features
I
Blowout
0
Borrow Pit
Very Stony Spot
Clay Spot
Enlargement of maps beyond the scale of ma
9 P Y Aping can cause
Closed Depression
"q
Gravel Pit
misunderstanding of the detail of mapping and accuracy of soil line
Gravelly Spot
Other
Landfill
placement. The maps do not show the small areas of contrasting
Lava Flow
Marsh or swamp
soils that could have been shown at a more detailed scale.
Mine or Quarry
Special Line Features
Miscellaneous Water
Perennial Water
Rock Outcrop
+
Saline Spot
measurements.
Sandy Spot
Streams and Canals
Severely Eroded Spot
Sinkhole
Source of Map: Natural Resources Conservation Service
Slide or Slip
v,
Sodic Spot
MAP INFORMATION
Your area of interest (A01) includes more than one soil survey area.
These survey areas may have been mapped at different scales, with
a different land use in mind, at different times, or at different levels
of detail. This may result in map unit symbols, soil properties, and
interpretations that do not completely agree across soil survey area
boundaries.
Soil map units are labeled (as space allows) for map scales 1:50,000
or larger.
Date(s) aerial images were photographed: Feb 11, 2011—Apr 2,
2011
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor shifting
of map unit boundaries may be evident.
USDA Natural Resources Web Soil Survey 8/18/2014
"� Conservation Service National Cooperative Soil Survey Page 2 of 3
Spoil Area
The soil surveys that comprise your AOI were mapped at 1:24,000.
Stony Spot
Warning: Soil Map may not be valid at this scale.
Very Stony Spot
Enlargement of maps beyond the scale of ma
9 P Y Aping can cause
Wet Spot
misunderstanding of the detail of mapping and accuracy of soil line
Other
placement. The maps do not show the small areas of contrasting
soils that could have been shown at a more detailed scale.
+�
Special Line Features
Water Features
Please rely on the bar scale on each map sheet for map
measurements.
Streams and Canals
Source of Map: Natural Resources Conservation Service
Transportation
Web Soil Survey URL: http://websoilsurvey.nres.usda.gov
++-+
Rails
Coordinate System: Web Mercator (EPSG:3857)
Interstate Highways
Maps from the Web Soil Survey are based on the Web Mercator
US Routes
projection, which preserves direction and shape but distorts
distance and area. A projection that preserves area, such as the
Major Roads
Albers equal-area conic projection, should be used if more accurate
Local Roads
calculations of distance or area are required.
Background
This product is generated from the USDA-NRCS certified data as of
®
Aerial Photography
the version date(s) listed below.
Soil Survey Area: Montgomery County, North Carolina
Survey Area Data: Version 13, Dec 16, 2013
Soil Survey Area: Moore County, North Carolina
Survey Area Data: Version 15, Dec 16, 2013
Your area of interest (A01) includes more than one soil survey area.
These survey areas may have been mapped at different scales, with
a different land use in mind, at different times, or at different levels
of detail. This may result in map unit symbols, soil properties, and
interpretations that do not completely agree across soil survey area
boundaries.
Soil map units are labeled (as space allows) for map scales 1:50,000
or larger.
Date(s) aerial images were photographed: Feb 11, 2011—Apr 2,
2011
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor shifting
of map unit boundaries may be evident.
USDA Natural Resources Web Soil Survey 8/18/2014
"� Conservation Service National Cooperative Soil Survey Page 2 of 3

Soil Map -Montgomery County, North Carolina, and Moore County, North Carolina
Map Unit Legend
Samarcand Training Academy
Montgomery County, North Carolina (NC123)
Map Unit Symbol
Map Unit Name
Acres in AOI
Percent of AOI
BvE2
Brickhaven-Carbonton
1.1
0.3%
complex, 15 to 40 percent
AeD
slopes, moderately eroded
30.2
7.2%
CnA
Chenneby silt loam, 0 to 2
4.6
1.1%
CaB
percent slopes, frequently
51.6
12.3%
flooded
Subtotals for Soil Survey Area
5.7
1.4%
Totals for Area of Interest
419.9
100.0%
Moore County, North Carolina (NC125)
Map Unit Symbol
Map Unit Name
Acres in AOI
Percent of AOI
AeB
Ailey loamy sand, 2 to 8 percent
119.6
28.5%
slopes
AeD
Ailey loamy sand, 8 to 15
30.2
7.2%
percent slopes
CaB
Candor sand, 0 to 4 percent
51.6
12.3%
slopes.
CaC
Candor sand, 4 to 12 percent
11.4
2.7%
slopes
Ch
Chewacla silt loam, 0 to 2
17.0
4.1%
percent slopes, frequently
flooded
MdB
Mayodan fine sandy loam, 2 to
42.6
10.2%
8 percent slopes
MdD
Mayodan fine sandy loam, 8 to
54.0
12.9%
15 percent slopes
PkD
Pinkston silt loam, 8 to 15
0.9
0.2%
percent slopes
ToA
Tillery silt loam, 0 to 3 percent
21.4
5.1%
slopes, rarely flooded
VaB
Vaucluse loamy sand, 2 to 8
21.0
5.0%
percent slopes
VaD
Vaucluse loamy sand, 8 to 15
35.7
8.5%
percent slopes
W
Water
8.9
2.1%
Subtotals for Soil Survey Area
414.2
98.6%
Totals for Area of Interest
419.9
100.0%
USDA Natural Resources Web Soil Survey 8/18/2014
Conservation Service National Cooperative Soil Survey Page 3 of 3

SECTION D - EXISTING CONDITIONS & SITE PLAN WITH
GRADING - SKETCHES

Y_ _ , _ l
'
7� J�
t ' r � ,� 1 � J^� \ '.l i . F" I � 1 1 i,� �:' Zlce� Ce f •��
41
61
«�F / •' r l- � � �i,;,? } ✓�z' "Z � 4�.r'� _".,/.. 11�...e I i (.rj i T(- C:.1
Leit
_fi ..._ = �.
GRAPHIC SCALE
20 0 10 20
( IN FEET )
1 inch = 20 ft.
Dewberry
Dewberry Engineers Inc.
2610 WVCLIFF ROAD
SUITE 410
RALEIGH, NO 27607
PHONE: [phone]
FAX: 919 sal 9923
NCBELS # F-0929
DATE I TITLE
LEGEND
— — — — — — LIMITS OF DISTURBANCE
EXISTING TREE LINE
EXISTING OVERHEAD
POWER LINE
EXISTING CONTOUR
- — — - — • - EXISTING WETLANDS BOUNDARY
- -
------ - EXISTING STREAM BOUNDARY
EXISTING STREAM CENTERLINE
PAMARCAND TRAINING ACADE
6 PHASE 1 - PART 2
PROJ. NO. PROJECT
FIRING RANGE COMPLEX ACCESS RD
50065639 EXISTING CONDITIONS
osssuoess•••• •
CAR
� ........ 0�
xp i S S 0y s
023121-
q�•.FNCI NE��.���. ••
••�••••iuss�s••s�'
SHEET NO.
1

CLASS 1
RIP -RAP
La=24FT
THICK=2�
In
5;
GRAPHIC SCALE
20 0 10 20
( IN FEET )
1 inch = 20 ft.
M09
1.
1
INV. IN: i
532.28
``-
2) 56LF OF 30"
,CP @ 0.5%
LOLLED EROSION
:ONTROL PRODUCT
JUTE OR COIR MATTING)
TYP)
2262t
Dewberry'a
�P
ROCK PIPE INLET PROTECTION
® OP
Dewberry Engineers Inc.
2610 WYCLIFF ROAD
SUITE 410
PA -D PA
RALEIGH, NC 27607
PHONE. 919.881,9939
FAX [phone]
NCBELS # F-0929
LEGEND
SF SILT FENCE
— — — — — — LIMITS OF DISTURBANCE
PROPOSED TREE LINE
PROPOSED GRAVEL
EXISTING TREE LINE
EXISTING OVERHEAD
POWER LINE
580 PROPOSED MAJOR
CONTOUR
581 PROPOSED MINOR
CONTOUR
EXISTING CONTOUR
EXISTING WETLANDS BOUNDARY
— — — — — EXISTING STREAM BOUNDARY
—
EXISTING STREAM CENTERLINE
�P
ROCK PIPE INLET PROTECTION
® OP
OUTLET PROTECTION
PUMP AROUND — PUMP
PA -D PA
AROUND DISCHARGE
ROLLED EROSION CONTROL
PRODUCT (JUTE OR COIR
MATTING)
DATE I TITLE
AMARCAND TRAINING ACADEMY
04/28/16 PHASE 1 - PART 2
PROJ. NO. PROJECT
FIRING RANGE COMPLEX ACCESS RD
50065639 SITE PLAN - W/ GRADING
.0�,• C A
S S / 0%.�7i
2
�'•�q�•.FNGI NEE;.•���7p�
SHEET NO
K

SECTION E - WETLAND IMPACTS & STREAM IMPACTS -
SKETCHES

�e__ __ __ __ __ 4k___
CLASS 1
RIP -RAP
La=24FT
THICK=2'
IN
5<
GRAPHIC SCALE
20 0 10 20
( IN FEET )
1 inch = 20 ft
1
INV. IN:
532.28
(2) 56LF OF 30"
RCP @ 0.5%
ROLLED EROSION
CONTROLPRODUCT
(JUTE OR COIR MATTING)
(TYP)
"d'j,
Dewberry
Dewberry Engineers Inc.
2610 WVCLIFF ROAD
�P
SUITE 410
® OP
RALEIGH, NC 27607
PHONE: [phone]
PA—D PA
FAX [phone]
NCBELS N F-0929
LEGEND
SF SILT FENCE
— — — — — LIMITS OF DISTURBANCE
PROPOSED TREE LINE
PROPOSED GRAVEL
EXISTING TREE LINE
EXISTING OVERHEAD
POWER LINE
—580 PROPOSED MAJOR
CONTOUR
581 PROPOSED MINOR
CONTOUR
EXISTING CONTOUR
EXISTING WETLANDS BOUNDARY
— — — — — EXISTING STREAM BOUNDARY
—
EXISTING STREAM CENTERLINE
PERMANENT WETLAND IMPACTS
TEMPORARY WETLAND IMPACTS
�P
ROCK PIPE INLET PROTECTION
® OP
OUTLET PROTECTION
PUMP AROUND — PUMP
PA—D PA
AROUND DISCHARGE
ROLLED EROSION CONTROL
PRODUCT (JUTE OR COIR
MATTING)
.••• CAR ''••.
so
023121 ;
.''••:.�q A KSS•••••.
,
DATE I TITLE
AMARCAND TRAINING ACADEMI
04/28/16 PHASE 1 - PART 2
PROJ. NO. PROJECT
FIRING RANGE COMPLEX ACCESS RD
50065639 SITE PLAN - W/ WETLAND IMPACTS
SHEET NO.
3
-d&I

�e_' ___ __ __ __ 4k___
lIllso
4rma
CLASS 1
RIP -RAP
La=24FT
THICK=24
IN
5;
GRAPHIC SCALE
20 a 10 20
( IN FEET )
1 inch = 20 ft.
1
INV. IN:
532.28
(2) 56LF OF 30"
RCP @ 0.5%
ROLLED EROSION
CONTROLPRODUCT
(JUTE OR COIR MATTING)
(TYP)
_.�
0
Dewberry
PERMANENT STREAM IMPACTS
Dewberry Engineers Inc.
C�P
2610 WVCLIFF ROAD
® OP
SUITE 410
RALEIGH, NC 27607
PA—D PA
PHONE' 919.881.9939
FAX' 919 881.9923
NCBELS # F-0.929
LEGEND
SF SILT FENCE
— — — — LIMITS OF DISTURBANCE
PROPOSED TREE LINE
PROPOSED GRAVEL
EXISTING TREE LINE
EXISTING OVERHEAD
POWER LINE
—580 PROPOSED MAJOR
CONTOUR
581 PROPOSED MINOR
CONTOUR
EXISTING CONTOUR
EXISTING WETLANDS BOUNDARY
— — — — — EXISTING STREAM BOUNDARY
—
EXISTING STREAM CENTERLINE
PERMANENT STREAM IMPACTS
TEMPORARY STREAM IMPACTS
C�P
ROCK PIPE INLET PROTECTION
® OP
OUTLET PROTECTION
PUMP AROUND — PUMP
PA—D PA
AROUND DISCHARGE
ROLLED EROSION CONTROL
PRODUCT (JUTE OR COIR
MATTING)
••••o` .of E S S
9�•.• MCI NEE •.•,`��.•••
4rollmollossol e?".,
DATE TITLE SHEET NO.
AMARCAND TRAINING ACADEMY
04/28/16 PHASE 1 - PART 2
PROJ. NO. PROJECT 4
FIRING RANGE COMPLEX ACCESS RD
50065639 SITE PLAN - W/ STREAM IMPACTS

SECTION F - DETAILS

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SECTION G - OVERALL SITE PLAN & VICINITY MAP

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