20160669 Ver 1_Application_20160705

1WCharfotte•Mecklenburg
STORM
WATER
Services
11
1
June 27, 2016
Charlotte Storm Water Services
600 E Fourth St., 141, Floor
N.0 Division of Water Resources
Attention: Karen Higgins
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh, N.C. 27699-1650
201 60 668
Subject: Submittal of Pre -Construction Notification Package for 7007 Ridge Lane
Road Maintenance Project J
Dear Ms. Higgins:
Charlotte -Mecklenburg Storm Water Services (CMSWS)'is hereby submitting a Pre -Construction
Notification package pursuant to Nationwide Permit No. 27/ WQC 3885 for approval to the
NCDWR for the 7007 Ridge Lane Road Maintenance Project.
The project primarily consists of adding in -stream structures for grade control and stabilizing
eroding banks in an effort to improve stability and decrease sediment loads from the eroding
channel. An existing headcut will be repaired and stabilized by adding a series of rock sills and
constructed riffles and the eroded banks will be sloped back and planted with native vegetation.
The project area encompasses a transition point where the stream goes from ephemeral, with
rooted plants and matting in the stream bed to an intermittent stream with baseflow and a defined
bed and bank. CMSWS feels as though stabilizing this section of channel in the proposed manner
will provide stream stability and functional uplift by creating habitat and adding streamside
vegetation. Additionally, buffer seeding and planting will also take place along the ephemeral
reach.
I have enclosed the following for your review: PCN form, Project Area Maps and Photos, Project
Plans, and Preliminary Jurisdictional Determination Form. If you need any additional information
or have any questions concerning this project and its associated impacts, feel free to contact me
by phone or via email.
Sincerely,
Erin Turner
Wetland Specialist
City of Charlotte Storm Water Services Division
Desk phone [phone]
[e-mail]
cc: Crystal Amschler, USACE
enclosed: 4 copies of PCN package, 4 half size plan sets, Permit Application Fee of $240
To report drainage problems: 704 -336 -RAIN hfp://stormwater.charmeck.org

4 1i
'Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name 7007 Ridge Lane Rd Maintenance Project
2. Name of Property Owner/Applicant: Charlotte -Mecklenburg Storm Water Services / Erin Turner
3. Name of Consultant/Agent: N/A
*Agent authorization needs to be attached
4. Related/Previous Action ID number(s): N/A
5. Site Address: 7007 Ridge Lane Rd
7. City: Charlotte
8. County:_ Mecklenburg
9. Lat: 35.301683 Long: -80.784438 (Decimal Degrees Please
10. Quadrangle Name: Derita 1993
11. Waterway: Unnamed upper tributary to Doby Creek
12. Watershed: HUC 03040105- PeeDee
13. Requested Action:
X Nationwide Permit # 27 '
General Permit #
X Jurisdictional Determination Request
Pre -Application Request
The following information will be completed by the Corps office:
AID:
Prepare File Folder Assign number in ORM Begin Date
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site/Waters Nam
Keywords: '

Office Use Only.
Corps action ID no
DWQ project no.
Form Version 14 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a. Type(s) of approval sought from the Corps:
Q Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 27 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) -
NX 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 Q 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
N Yes Q No
1g
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below
N Yes 0 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
7007 Ridge Lane Road Maintenance Project
2b. County:
Mecklenburg
2c.
Nearest municipality / town:
Charlotte
2d
Subdivision name:
N/A
2e
NCDOT only, T.l P. or state project no:
ZQjs Jul
3.
3a
3b
Owner Information DE -
Name(s) on Recorded Deed: Wahid & Pauachung Samad F ES
Deed Book and Page No
3c
Responsible Party (for LLC if
applicable).
City of Charlotte- Storm Water Services (Storm Drainage Easement)
3d
Street address,
7007 Ridge Lane Rd
3e. City, state, zip:
Charlotte, NC 28262
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 ❑X Other, specify: CMSWS; Ms. Erin Turner
4b Name
Erin Turner
4c. Business name
(if applicable).
City of Charlotte; Charlotte-Mecklenburg Storm Water Services
4d. Street address:
600 E. 4th Street
4e City, state, zip:
Charlotte, NC 28202
4f. Telephone no.:
704-336-3927
4g Fax no
4h. Email address,
erin.turner@ci charlotte.nc.us
5. Agent/Consultant Information (if applicable)
5a. Name:
5b. Business name
(if applicable):
5c. Street address:
5d. City, state, zip.
5e Telephone no.:
5f. Fax no .
5g. Email address:
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
04706502
1b. Site coordinates (in decimal degrees)
Latitude: 35.301966 Longitude: -80 784397
1c. Property size
1.05 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Doby Creek
2b. Water Quality Classification of nearest receiving water,
Class C
2c. River basin:
Rocky/Yadkin-Southeast (HUC:03040105)
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 -
An outfall at the southwest corner of the property leads to an ephemeral channel flowing northeast under 2 foot bridges before it becomes jurisdictional
(intermittent) At this transition point, a headcut has developed and erosion is occurring General land use in the vicinity is large and small residential
lots with maintained lawns and wooded areas There is a pond nearby that drains to a different system
3b. List the total estimated acreage of all existing wetlands on the property: 0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 275
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to stabilize an existing headcut and eroding stream banks to provide water quality benefit and functional uplift ti
0
3e Describe the overall project in detail, including the type of equipment to be used:
The project consists of adding grade control structures and constructed riffles to the intermittent portion of the stream to repair an existing headcut and
D
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (includingall prior phases)in the past?
❑ Yes ❑X No ❑ Unknown
Comments:
4b If the Corps made the jurisdictional determination, what type
of determination was made?
El Preliminary El Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
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
this project (including all prior phases) in the past?
❑ Yes ❑X No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ❑X No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1a Which sections were completed below for your project,(check all that apply),
❑ 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 I
Type of wetland
2d
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1
Choose one
Choose one
Yes/No
-
W2
Choose one
Choose one
Yes/No
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:
2h. Comments:
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
In -Stream Structures
Stream 1
INT
Corps
4
40
S2
Choose one
S3
Choose one
S4 -
Choose one
S5 -
Choose one
S6
Choose one
3h. Total stream and tributary impacts
40
3i. Comments:
40 linear feet of impacts for grading and installation of rock sills and constructed riffles
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 indivi ually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
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.
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
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 vou MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other -
6b.
Buffer Impact
number —
Permanent (P) or
Temporary
6c.
Reason for impact
6d.
Stream name
6e
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
131 -
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.
Impacts were avoided and minimized to the maximum extent practicable by only proposing work in areas where erosion is active and ongoing in the
jurisdictional stream Impacts were minimized by using a more natural approach with in -stream structures instead of traditional np rap stabilization
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Appropriate erosion and sedimentation controls will be in place during the construction of this protect and all work will be conducted in -the -dry using
coffer dams and the pump around technique.
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:
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.
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 ❑ 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
15
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
2b.
Does this project require a Stormwater Management Plan?
❑ Yes 0 No
2c
If this project DOES NOT require a Stormwater Management Plan, explain why:
Storm
water project does not increase impervious surface coverage J
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?
❑ 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
❑HQW❑ORW
4a.
Which of the following state -implemented stormwater management programs apply
(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
0 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
❑ Yes
❑ No
letter.)
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,
El 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
El 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.
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.
No wastewater will be generated during the construction of this project
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 ❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ❑X 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?
A field visit indicated that no suitable or designated critical habitat exists for listed or endangered species Additionally, the Northern Long -Eared Bat
Final 4d Rule Key was used to determine no USFWS consultation was needed for this protect
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
No essential fish habitat in this region
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 ❑X 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?
NCSHPO HPOWEB GIS Web Service
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ❑X No
8b. If yes, explain how project meets FEMA requirements.
8c. What source(s) did you use to make the floodplain determination?
Mecklenburg County GIS
Erin Digitally signed by Erin Turner
DN cn=Enn Turner, o=Cary of
Charlotte, ou=Storm Water
Services,
Erin Turner
Turner ecusennturner�achelotlencus
06-27-2016
Date 2018 08 27 15 14 31 -04100'
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant is provided
Page 10 of 10

ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FO
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD): 6/24116
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
City of Charlotte Storm Water Services, Erin Turner
600 E. 4th Street, Charlotte, NC 28202
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
Asheville Regulatory Field Office
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
7007 Ridge Lane Rd , Charlotte, NC 28216
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: Mecklenburg City: charlotte
Center coordinates of site (lat/long in degree decimal format):
Lat. 35 301683 ON; Long. 80 784438 °W.
Universal Transverse Mercator:
Name of nearest waterbody: Doby creek
Identify (estimate) amount of waters in the review area:
Non -wetland waters:
242 linear feet: width (ft) and/or acres.
Cowardin Class:
Stream Flow: ephemeral & intermittent
Wetlands: o acres.
Cowardin Class:
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: N/A
Non -Tidal: N/A
11

E
REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination. Date:
❑✓ Field Determination. Date(s): 6/24/16
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
❑✓ Maps, plans, plots or plat submitted by or on behalf of the
applicant/consultant:
❑✓ Data sheets prepared/submitted by or on behalf of the
app ' nt/consultant.
Office concurs with data sheets/delineation report.
Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
❑✓ U.S. Geological Survey map(s). Cite scale & quad name: Denta 1993
❑ USDA Natural Resources Conservation Service Soil Survey.
Citation:
❑ National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100 -year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
❑✓ Photographs: 0✓ Aerial (Name & Date): see attached Figures
ZOther (Name & Date): see attached Figures
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
or

1. The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
"pre -construction notification" (PCN), or requests verification for a non -reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court; and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.

This preliminary JD finds that there "maybe" waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
IMPORTANT NOTE: The information recorded on this form has not
necessarily been verified by the Corps and should not be relied upon for
later jurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
4
Digitally signed by Erin Turner
Erin DN cn=Enn Turner, odity of
Charlotte, ou=Storm Water
Services,
Turner emad=enn turner@ci charlottenc
as,c=us
Date 2016 06 27 15 20 21-04'00'
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

Dom FDY M V)
NC'' DWO Stream Tdentificatinn Form Version 4.11'
Date: � l I 60
Project/SiteIGI I ' 6f�tG
Latitude:
Evaluator:
�r
1a Continuity of channel bed and bank
County; �/
Longitude:
Total Points:�(
3
Stre etermination (circ one)
Other
Stream Is at least Intermittent 1
if? 19 or perennial If Z 30
6
phemera Intermittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal=
Absent
W k
Moderate
Strong
1a Continuity of channel bed and bank
0
1'
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
16. Organic debris lines or piles
1
2
3
4. Particle size of stream substrate
0
1
2
3
5 Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5?'75_.1.5
y
11. Second or greater order channel
CNo
=_g_)
Yes = 3
- artitictai ancnes are not rates; see qiscusspDs in manual
B. Hvdrologv (Subtotal = 2 - •- ) -
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1 1
0.5
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
0 0.5
1
1.5
17. Soil -based evidence of high water table?
o = 0
Yes = 3
1
L;. t3loloav (subtotal = I 1
18 Fibrous roots In streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
aj
1
2
3
21. Aquatic Mollusks
CUD
1
2
3
22. Fish
CO -)0.5
1
1.5
23. Crayfish
0
-0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5(:ter = 0
`perennial streams may also be identified using other methods. See p 35 of manual.
Notes:
y
Sketch:
V�

�at� 1/n 14z (bnr�rr� �t 2 � wn69 0(.s
1VP i1Wt1 C+ream TrlPntiflrafinn Fnrm Vercinn 4.11
Date: (Z �" 1 (0
Project/Site: Ulm
lArtt-
Latitude:
Evaluator: I
County: ►V bwKI A_ rq
Longitude:
Total Points:
Stream Is at leastlntennittent
Stream Deter na on circle one)
Ephemeral Perennial
Other
3
ntermit
e.g. Quad Name:
If t 19 or Perennial /f z 30"
0.5
3
1
A. Geomorphology (Subtotal =
Absent
Weak
Moderate
St
1a Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
0.5
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
1
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1.5
11. Second or greater order channel
No_!!_D
Yes = 3
Sketch:
artificial ditches are not rated; see discussions in manual
R_ Hvrimioav (Subtotal = -7 1
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0-
0.5
1
1.5
16. Organic debris lines or piles
0
0
1
1.5
17. Soil -based evidence of highpater table?
No = 0
es =
1.5
G. Bioloav (Subtotal = 1--V 1
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3
2
1 -
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23, Crayfish
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. AlgaeCO)0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5
her =
'perennial streams may also be Identified using other methods. See p 35 of manual.
Notes: O 1
Sketch:

ff Uavt [isan �
r
71
zra -
Q
ij�i G'nar}oatc•
Figure 1. Site Vicinity Map
7007 Ridge Lane Rd Maintenance Project
Cheloht Mecklenburg
STORM
-WATER
Services- =:=

Legend
Intermittent
Ephemeral
Pipe
Project Area
Figure 2. Project Area and Waters of the U.S. Map Charlotte, Mechlenbarg
STORM
7007 Ridge Lane Rd Maintenance Project WATER
Services

Legend
HeB: Helena Sandy Loam
VaB: Vance Sandy Loam
CeD2: Cecil Sandy Clay Loam
PaE: Pacolet Sandy Loam
CeB2: Cecil Sandy Clay Loam
Figure 3. Soils Map
7007 Ridge Lane Rd Maintenance Project
CAarlotte�Uecklenburg
0— STORM
`WATER
Services

WT.
Figure 4. USGS Map
7007 Ridge Lane Rd Maintenance Project
LISGS Derita 1993, 1:24,000
* Project Location
Chvlo*,A#ftHmburq
STORM
WATER
Services

Figure 5. Site Photographs
7007 Ridge Lane Rd Maintenance Project
JUL 0 5 2016
STORM
WATER
Services�::

Immediately downstream of project area; No work here.
Figure S. Site Photographs
7007 Ridge Lane Rd Maintenance Project
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Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name 7007 Ridge Lane Rd Maintenance Project
2. Name of Property Owner/Applicant: Charlotte -Mecklenburg Storm Water Services / Erin Turner
3. Name of Consultant/Agent: N/A
*Agent authorization needs to be attached
4. Related/Previous Action ID number(s): N/A
5. Site Address: 7007 Ridge Lane Rd
7. City: Charlotte
8. County: Mecklenburg
9. Lat: 35.301683 Long: -80.784438 (Decimal Degrees Please
10. Quadrangle Name: Derita 1993
11. Waterway: Unnamed upper tributary to Doby Creek
12. Watershed: HUC 03040105- PeeDee
13. Requested Action:
X Nationwide Permit # 27
General Permit #
X Jurisdictional Determination Request
Pre -Application Request
The following information will be completed by the Corps office:
AID:
Prepare File Folder Assign number in ORM Begin Date
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site/Waters Name:
Keywords: