20161153 Ver 1_IP Application_20161121

i
PILOT ENVIRONMENTAL INC
November 17, 2016
U.S. Army Corps of Engineers
Attn: Mr. John Thomas
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
North Carolina Division of Water Resources
Attn: Ms. Karen Higgins
401 Wetlands Unit
1650 Mail Service Center
Raleigh, North Carolina 27699-1650
Reference: Application for Section 404/401 Individual Permit
Proposed Clemmons Town Center
Approximate 16.3 Acre Tract
2394 Lewisville-Clemmons Road
Clemmons, Forsyth County, North Carolina
PEI Project 1298.1
Dear Mr. Thomas and Ms. Higgins:
Pilot Environmental Inc. (PEI) is pleased to provide this application for a Department of the Army
Section 404 Individual Permit and a corresponding North Carolina Individual Water Quality
Certification for proposed impacts to Waters of the U.S. in connection with the proposed project
referenced above. This application has been prepared on behalf of the site purchaser, Clemmons
TC, LLC. If there are questions regarding this application, or a need for further information, please
contact us at 336.310.4527.
Respectfully submitted,
Bradley S. Luckey, PWS
Project Manager
Michael T. Brame, PWS
Principal
Attachments: 401 Individual Water Quality Certification Fee ($570.00)
Section 404/401 Individual Permit Application
PO Box 128, Kernersville, NC 27285
www. , I Xom

U.S_ ARMY CORPS OF ENGINEERS ForynApproved -
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT OMB No. 07fO-Dp03
33 GFR 325, the proponent agency is CEC'N--CO-R. Expires: 3f -AUGUST --2413
Public reporting for this collection of intonation is estimated to average 11 hours per response, including the time for reviewing Instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding
this burden estimate or any other aspect of the colfectiurt of information, including suggestions for reducing this burden, to Department of Defense,
Washington Headquarters, Fxecutive -Services and Communications Directorate, Information Management Division and to the Offrce of Management and
Budget, Paperwork Reduction Project (0710-OD03). Respondents Should be aware that notwithstanding any other provision of law, no person shall be
subject tv any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Please DO NOT
RETURN your form to either of those addresses. Completed applications must be submitted to the District Engineer having jurisdiction over the location of
the proposed activity.
PRIVACY ACTS I ATEMENT
Arrthorities: Rivers and Harbors Act, Section 10, 33 IJSC 403; Clean Watar Act, Section 404, 33 USG 1344 Marine Protection, Research, and Sanctuaries
Act, Section 103, 33 USC 1413; Regulatory Programs of the Corps or Engineem: Final Rule 33 CFR 32¢332. Principal Purpose: Information provided on
this form will he used in evaluating the application for a permit. Routine Uses: This information may be shared with the Department of Justice and other
federal, state, and local government agendes, and the public and may be made available as part of a public notice as required by Federal law. Submission
of requested informatiDn is voluntary. howevur, it information is not provided the permit application cannot be evaluated nor can a permit be issued. One set
of original drawings or good reproducible copies which show the location and character of the proposed activity must be attached to this application (see
sample drawings andlor instructions) and he submitted to the District Engineer having jurisdiction over the location of the proposed activity. An applicatiun
that is not completed in full will be returned.
1. APPLICATION NO.
First- Steven Middie -
Company - Clefurnous TC, U.0
(ITEMS 1 THRU 4 TO BE FILLED BY THE CORPS)
2. FIELD OFFICE CODE 13. DATE RECEIVED
OTEUS BELOW TO BE FILLED BYAPPLlCANTl
8. ALITHOR17Fn Ar�FW
Last - Hankins I First - Bradley Middle -
E-mail Address-hankirlspropertiesUyahoo.cam
5. APPLICANTS An DRESS:
4. [TATE APPLICATION COMPLETE
AND TITLE (agent is not required)
Last - Luckey
Company - Pilc7t EnvimnmenWl, Inc.
E-mail Address - bluckry(_)pi lotenviro.corn
U. AGENT'S ADDRESS:
Address- 16501 Nortlicross Drive, :Suite D Address- P.U. Box 128
City- Hiurrcxsville State- NC Zip -2.9078 Country -U.S. City- Ketnersville Slate- NC Zip- 27285 Country -U.S.
7. APPLICANT'S PHONE NOts, w1AREA CODE 10_ AGENTS PHONE NO& w1AREA CODE
a. Residence b. Business c. Fax a. Residence b. Business c. Fax
[phone] 877-559-3960 [phone]
STATEMENT OF AUTHORIZATION
11. I hereby authorize, Pilot Environmental, Inc, to act in my behalf as my agcnt in the processing of this application and to fumish, upon request,
supplemental information in support of this permit appliuuhon.
2016-I1-17
SIGNATURE OF APPLICANT DATE
MAINE, LOCATION, AND DESCRIPTION OF PROJECT OR ACTIVITY
17. PROJEC 1 NAME OR TITLE (see instructions)
C'letnnxons Town Ccnter
13, NAME OF WATERBODY, IF KNOWN (if applicable)
I innumed Tributary to Wt!si. Fork Deep River
14. PROJECTS IREET ADDRESS Cif applicable)
4ddress 2394 Lewisvillc-Clemraons Road
15. LOCATION OF PROJECT
Latitude: aN 36.U3607 Longitude: =UV -80.38827 CitY- Clerrturuns
16. OTHER LOCATION DESCRIP i10NS, IF KNOWN (see instructirsns)
State. Tax Parcel Ill 5883944912 Municipality Clenrmuns
Section - Township -
Range-
State- NlC: Zip- 27612
ENG FORM 4346, JUL 2013 PREVIOUS CDfiIONS ARE 0135OLETE Page 1 of

T DIRECTIONS TO THE SiTF
Mill itatersectiori of Interstate 40 and Lewisville-C'lt7rmons Road: North cin Lewisville-Clemmons Road. Tum Left on clemmms p,iiat
)rive. Turn Left on .Tessio Lane. Site is located immediately south of end of Jessie Larle.
18. Nalure of Activity (Description of project; include all features)
The overall pn')ject consists of development of tkle silo with a lifestyle shopping center. The prolxised project includes the Construction of
four multi -story buildin&s, associated Marking areas, maintained landscaped areas, associated stormwater retcntsun devices and the
extension of.Pessie Lane.
19. Piuiecl Purpose (Describe the reason or purpose at the pmjpO, see instructions)
The purpose of the project is to develop a lifestyle shopping center that meets the siting requirements in an arca that has been determiner) to
have a demand in the murkci place for the development.
USE BLOCKS 20-23 IF DREDGED ANDIOR FILL MATERIAL IS TO 8E DISCHARGED
20. Reason(s) for Discharge
In order w develop die site, a culvert, rip -rap dissipater and fill will be placed into 636.7 linear feet of stream channel and 4,575 square feet
(0, t 0 5 acres) of wetlands_
21. Type(s) of Material Being Discharged and the Amount of Each -type in Cubir, Yards-
7we Type Type
Amount in Cubic Yards Amount in Cubic: Yards Amnurrt in Cubic Yards
Cleans Earthen Fill/Stone - 2100 cu yd
22. Sur,'acc Area in Aries of Wetlands or (Xher Wafers Filled (sw instructions)
Acres 0.105 ac wei.land
or
Linear Feet 636.7' stream channel
23. Description of Avoidance, Minimization, and Compensation (see instructions)
See Attached.
Face 2 of 3

24_ Is Any Portion of the work Already Complete? L]Yes DNo 1F YES, DESCRIBE THE COMPLETED WORK
25. Addresses of Adjoining Propeaty ;?wners. Lessees, Etc., VVhOW Property Adjoins the'Naterbody (tf mnre'han can be arAeraJ Irffq prp,;se attach a supplevie rfal lint;.
a. Address- See Attached
City -• State -
Zip -
b. Address -
City -
State - dip _
c, Address -
City -
5tate - dip _
d. Address -
City - State - Zip -
e. Address-
City- State- Ap ,
26. List of Other Certificates or ApprovalsiDenials received from other Federal, State. or Local Agencies for Work LX -scribed in This Application.
AGENCY TYPE Af'F'RO'JAI_" IDENTIFICATION
NUMBER DATE APPLIES] [TATE APPROVED DATE DENIED
Village of Cletnnzoaas S&.EC NA
Village of C:lemnions Zoning NA
NrC:DEQ-D'"7R 401 WQC - NA
" Would lnclude but is not restdcted to Toning, building, and flood plain permits
27. Application is hereby made for purinit or permits to authorize the work described in this application. I certify that this information in this application is
complete and accurate. I further certify that I possess the authority to undertake the work described herein or am acting as the duly authorized agent of the
applicant.
Digitallysigned by Bradley S. Luckey
DN: cn=Bradley S. Luckey, o=Pilot
Environmental, Inc., ou,
L016 -1I-17 email=[e-mail],c=US 2016-11-17
S1GNATLIRE 0FAPPLICANTDAA � iDate: 2ote.ii.no7:16:52-os-oo-
SIGNATURE OF AGENT DATE
The Application must be signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly
authorized agent if the statement in block 11 has been Flied out and signed.
18 U. S. C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States
knowingly and willfully falsifies, conrpals, or covers up any trick: scheme, or disguises a material fact or makes any false, fictitious or
frauduient statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or
fraudulent statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both.
JZRl!* CdYmils ,a we rr .r n
Page 3 of 3

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: 16 Acres in Clemmons, North Carolina -lust off Lewisville-
Clemmons Road.
Applicant Information:
Name: Clemmons TC, LLC
Address: 16501 Northcross Drive
Suite D
Huntersville, North Carolina 28078
Telephone Number: 704-650-3964
Fax Number: 877-559-6960
E-mail Address: hankinspropertiespayahoo.com
Signature: / _Date: 10-26-16
Steven Hankins Manager

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: ltvrr✓i �lr�Llw'iy�.rwf R�
Owner Information
Address:
o *x /7/1!
Kir NG s'Tos/
Telephone Number: 7fig 8/7 /79/
Fax Number: BJf f ri 3$f i
E-mail Address: /v.rr/rr ✓wD e, A#'
JURISDICTIONAL DETERMINATION RESIUEST
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.
i!/w.i F r A t L Fair/ice__
Propeejjrt Owner (please print) Date
�
Pro rty Owner SignAure r

STATE OF NORTH CAROLINA ) ACCESS AND INDEMNITY
AGREEMENT FOR
COUNTY OF FORSYTH ) CONSTRUCTING INTERSITE CONNECTION
THIS ACCESS AND INDEMNITY AGREEMENT FO_F, CONSTRUCTING S et,4.62r-
INTERSITE CONNECTION (this "Agreement") is made this &**'day of 016, by and
between Village Pointe, LLC, a North Carolina limited liability company ("Village Pointe"), on
the one hand, and Clemmons Town Center Apartments, LLC, a North Carolina limited
liability company ("CTCA"), on the other hand.
WITNESSETH:
WHEREAS, CTCA is the owner of the 19.63(+/ -)-acre parcel identified by the Forsyth
County Geographic Information System website with Parcel Identification Number 5883-94-
5175, which is located west of Lewisville-Clemmons Road in the Village of Clemmons, Forsyth
County, North Carolina (hereinafter referred to as the "Subject Property"); and
WHEREAS, Village Pointe is the owner of the. 16.3 1 (+/-)-acre parcel located in Forsyth
County, North Carolina that is adjacent to the Subject Property (hereinafter referred to as the
"Village Pointe Property"); and
WHEREAS, the Village Pointe Property is the site of a proposed mixed-use development
("the Development"), as depicted on a site plan revised as of January 11, 2016 and submitted to
the Village of Clemmons for approval under Zoning Docket No. C-209; and
WHEREAS, the Village Council for the Village of Clemmons approved the site plan for
the Development on February 8, 2016, and the site plan, as so approved, depicts a connection to
be constructed allowing for vehicular access between the Subject Property and the Village Pointe
Property ("the Connection"); and
WHEREAS, the Village of Clemmons is requiring that the Connection be constructed as
part of the Development; and
WHEREAS, the Connection will need to be constructed on both the Subject Property and
the Village Pointe Property; and
WHEREAS, the Connection's construction will involve erecting retaining walls and
filling a steep -walled low-lying area (containing potential jurisdictional wetlands) such that the
grade of the Connection will allow for it to be used by vehicles, including emergency vehicles;
and
WHEREAS, CTCA is willing to allow Village Pointe and Village Pointe's designees, as
well as their contractors, employees, subcontractors, vendors, and other representatives
(collectively, the "Accessing Parties") certain rights of access, ingress, egress, and regress over
and across the Subject Property to facilitate construction of the Connection, as well as certain

rights to construct a portion of the Connection upon the Subject Property, said rights being
subject to the terms and conditions of this Agreement; and
WHEREAS, CTCA is willing to allow the portion of the Connection located on the
Subject Property to be dedicated to public use as a public right-of-way, owned and maintained by
the Village of Clemmons, after construction of the Connection is complete.
NOW, THEREFORE, in consideration of One Dollar ($1.00) and other good and
valuable consideration provided by Village Pointe to CTCA as described herein, the receipt and
sufficiency of which are hereby acknowledged, and subject to the terms and covenants set forth
below, CTCA does hereby allow unto the Accessing Parties a right of access to and across the
Subject Property at all reasonable times for access, ingress, egress, and regress for the purposes
of constructing the Connection (including the design and/or permitting of the Connection, and/or
the staging of materials needed to construct the Connection) for such length of time as may be
required for the Accessing Parties to complete the Connection's construction. Upon completion
of said construction, the right of access provided herein shall terminate, and, except for claims
for indemnity, all other obligations herein shall terminate. Upon the request of either party
hereto made after construction of the Connection is complete, the parties shall execute an
instrument specifying the date on which the access granted herein shall terminate. Such
instrument shall satisfy all requirements for recording in the Forsyth County Registry.
The right of access granted herein is subject to the following terms and covenants:
1. Title. CTCA does hereby covenant to Village Pointe that it is lawfully seized and
possessed of the Subject Property, and that it has a good and lawful right to furnish the access
allowed hereby.
2. Access to Subject Property and Construction Thereon. The Accessing Parties
shall have reasonable access at all reasonable times (and at no charge) to and across the Subject
Property for purposes of constructing the Connection (and installing any utilities relating to the
Connection). CTCA shall allow the Accessing Parties to construct the Connection (and related
utilities), as depicted in the Plans attached hereto as Exhibit A upon, and working from, the
Subject Property. The areas to be accessed hereunder are limited to those necessary for the work
contemplated in this Agreement.
3. Wetlands Issues. CTCA acknowledges that construction of the Connection may
necessitate the filling of potential jurisdictional wetlands on the Subject Property (and on the
Village Pointe Property) pursuant to a permit to be obtained from the U.S. Army Corps of
Engineers (the "404 Permit"), and CTCA agrees to execute, contemporaneously with its
execution of this Agreement, the permission form attached hereto as Exhibit B ("the
Permission") confirming that Village Pointe and its designees are authorized to apply for the 404
Permit with respect to the Subject Property. CTCA shall furnish an original, executed copy of
the Permission to Village Pointe promptly upon its execution of the Permission, and CTCA shall
thereafter cooperate reasonably with Village Pointe and its designees with respect to obtaining
the 404 Permit, provided, however, that CTCA shall not be required to pay any portion of any
permitting, mitigation, or other fees relating to the 404 Permit.
-2-

4. Location and Installation. The Accessing Parties shall use all reasonable efforts
to construct the Connection and conduct all other activity on the Subject Property pursuant to
this Agreement in a manner that does not interfere with the business of CTCA or its tenants,
agents, successors, grantees, and assigns. Village Pointe agrees that it will not construct (nor
will it allow any of the Accessing Parties to construct) any improvements on the Subject
Property other than the Connection (and any utilities and/or retaining walls relating to the
Connection) without the written consent and agreement of CTCA with regard to any such
additional improvements. The Accessing Parties (and/or their successors, grantees, and assigns)
shall be solely responsible for all costs of installation (including all required permitting) and
maintenance the Connection and for any such additional improvements, but shall not be
responsible for any maintenance of the Connection after the Connection's constriction. CTCA
and Accessing Parties agree to cooperate promptly after construction of the Connection is
complete to obtain acceptance by the Village of Clemmons of the Connection as a public street
(with a total right-of-way of at least twenty feet and no more than thirty feet).
4. Indemnities by AccessingParties. Village Pointe hereby agrees to indemnify and
hold harmless CTCA and its employees, officers, members, agents, successors, grantees, and
assigns ("the Indemnitees") from and against any and all liabilities, claims, penalties, suits, and
the costs and expenses incident thereto (including costs of defense, settlement, and reasonable
attorneys' fees) that Indemnitees (or any of them) may hereafter incur, become responsible for,
or pay out as a result of violations of the law (including but not limited to all matters relating to
impacts to wetlands), breaches of this Agreement, death, or bodily injuries to any persons, or
destruction or damage to any property, caused in whole or in part by the acts or omissions of the
Accessing Party, its employees, agents, or contractors in their use of the Subject Property;
provided CTCA shall promptly notify Accessing Parties of any such claims and provide
Accessing Parties the opportunity to defend same. Accessing Parties shall not permit to attach to
the Subject Property, and shall promptly discharge, any liens arising from Accessing Parties'
activities pursuant to this Agreement. The provisions of this Paragraph survive the termination
or expiration of this Agreement.
5. Recitals and Headings. The recitals contained on the first page of this Agreement
are incorporated by reference into the body of this Agreement as if set forth in full herein and
shall have equal force and effect together with the contents of the body of this Agreement, and
the headings herein are for convenience and reference only and in no way define and limit the
scope and content of this Agreement or in any way affect its provisions.
6. No Waiver. The failure of any party to this Agreement in any one or more
instances to insist upon compliance with any provision or covenant herein or to exercise any
right, privilege or easement herein shall not constitute or be construed as a waiver of such or any
similar provision, covenant, right or privilege, including the right to cure a breach or default, but
the same shall continue and remain in full force and effect as if no such forbearance had
occurred.
7. Remedies. It is acknowledged that irreparable harm will result by reason of any
breach or default of the provisions or covenants herein and, therefore, each party shall be entitled
to relief by way of injunction or specific performance in addition to all other remedies available
to the parties.
-3-

8. Applicable Law. This Agreement shall be governed by and construed in
accordance with North Carolina law without regard to principles of conflict of laws.
9. Authority To Enter Into Agreement. Each party to this Agreement represents,
warrants, and agrees that it has the ability, and is authorized, to enter into this Agreement.
10. BindingEffect. ffect. The terms and provisions of this Agreement shall extend to and
be binding upon CTCA and Village Pointe, their respective heirs, executors, administrators,
successors, grantees, and assigns, and future owners of the Subject Property and the Village
Pointe Property.
11. Entire Agreement. Together with any other documents executed
contemporaneously with this Agreement, this Agreement constitutes the entire agreement and
understanding of the parties pertaining to the subject matter hereof, and all prior agreements,
discussions, negotiations, statements, and representations, whether oral or written, are merged
into and superseded by this Agreement and those other documents executed contemporaneously
with this Agreement. All changes to this Agreement shall be in writing and signed by the
parties.
IN WITNESS WHEREOF, the parties have duly executed this Agreement under the seal
and day and year first above written.
[Signature Pages Begin on Following Page]
!sE

• CLEMMONS TOWN CENTER APARTMENTS, LLC
By:
k✓✓
Name: CJ_I �rl S A111.1—
Title:
a✓rTitle: p
STATE OF NORTH CAROLINA )
SS:
COUNTY OF FORSYTH )
BEFORE ME, a Notary Public, in and for said County and State, personally appeared the
above-named Chris Parr, who acknowledged that he did sign the foregoing instrument on behalf of
Clemmons Town Center Apartments, LLC and that the same is his free act and deed.
Today's Date: 9 — 1 , 2016 �.
[ otary's signature as name appears on seal]
[Notary's printed name as it appears on seal]
[Affix Notary Seal in Space Above] My commission expires: g �D
Sana
�
m
-5-

• VILLAGE POINTE, LLC
STATE OF NORTH CAROLINA )
COUNTY OF FORSYTH )
By:
Name: R'e&,,,v tZ �' a +✓1`•�
Title:
SS:
BEFORE ME, a Notary Public, in and for said County and State, personally appeared the
above-named Marvin Gentry, who acknowledged that he did sign the foregoing instrument on
behalf of Village Pointe, LLC and that the same is his free act and deed.
Afo r4-,b� 01.
rr
Wu►r►, m
A�i 2z, �f .
Ndeals p
2016 �bQa� 13,
[Notary's signature as name appUrs on seal]
rn h [�nai
[Notary's printed name as ap ears on seal]
Above] My commission expires: O . bf—rail
-6-

Exhibit A to Access and indemnity Agreement
(Plans for Connection)
-7-

Exhibit B to Access and IndemnityAgreement
(Permission as to Wetlands Permitting)
-8-

July 21, 2016
Reference: Section 404/401 Landowner Permission
Village Point Square Project
Clemmons Town Center Apartments Property
Lewisville-Clemmons Road
Clemmons, North Carolina
PEI Project 1298.1
To Whom It May Concern:
On behalf of Clemmons Town Center Apartments, LLC, I do hereby grant permission to Village
Pointe, LLC to make impact to potential Section 404/401 Waters on the Clemmons Town Center
Apartments Property and will allow the U.S. Army Corps of Engineers and the North Carolina
Department of Environmental Quality -Division of Water Resources to issue Section 404/401
approvals for impacts to streams and wetlands on the Clemmons Town Center Apartments, LLC.
This authorization is made pursuant to an Access and Indemnity Agreement separately
executed by the parties. The scope of the authorization is reflected in such Agreement.
Pursuant to such Agreement, all work related to this project, including the acquisition of all
permits and the payment of all related fees and expenses, shall be borne by Village Point, LLC.
Sincerely,
Chris Parr
Clemmons Town Center Apartments, LLC
Attachments: Pilot Environmental Inc. Agent Authorization Form

AGENT AUTHORIZATION
This form authorizes PEI and/or its designees 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: PIN 5883-94-5175
Clemmons Town Center Apartments
Lewisville-Clemmons Road, Clemmons, NC
Owner Information:
Name: Mr. Chris Parr, Clemmons Town Center Apartments, LLC
Address:
Telephone Number: (4S_�3
Fax Number: 3� '7
E-mail Address: //11 S
p 4,i-,
Signature: �,� r�,v✓ Date:
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;�nf Advertisement N Clemmons Town Center
Approximate 16.3 Acre Site
2014 Aerial Photograph 2394 Lewisville-Clemmons Road
Forsyth County GIS Clemmons, Forsyth County, NC
' Not to Scale PEI Project 1298.1
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APPLICATION FOR SECTION 404/401 INDIVIDUAL PERMIT
PROPOSED CLEMMONS TOWN CENTER
2394 LEWISVILLE-CLEMMONS ROAD
CLEMMONS, FORSYTH COUNTY, NORTH CAROLINA
PREPARED FOR:
CLEMMONS TC, LLC
16501 NORTHCROSS DRIVE, SUITE D
HUNTERSVILLE, NORTH CAROLINA 28078
PILOT ENVIRONMENTAL, INC.
PO BOX 128
KERNERSVILLE, NC 27285
NOVEMBER 17, 2016
PEI PROJECT 1298.1
■

TABLE OF CONTENTS
SECTION PAGE
EXECUTIVESUMMARY.................................................................................................................................. 1
1.0
INTRODUCTION.................................................................................................................................
3
1.1
Project Description......................................................................................................................
3
1.2
Purpose and Need of Proiect.......................................................................................................3
2.0
BACKGROUND...................................................................................................................................4
3.0
EXISTING SITE CONDITIONS..............................................................................................................5
3.1
Literature Review........................................................................................................................
5
3.2
Site Reconnaissance....................................................................................................................6
3.3
Streams........................................................................................................................................7
3.4
Wetlands......................................................................................................................................8
3.6
Watershed Classification.............................................................................................................9
3.7
Vegetation...................................................................................................................................
9
3.8
Cultural Resources.....................................................................................................................10
3.9
Biological Resources/Endangered Species................................................................................10
4.0
PROJECT CONSTRUCTION...............................................................................................................14
5.0
ALTERNATIVES TO THE PROPOSED ACTION....................................................................................
15
6.0
PROPOSED IMPACTS.......................................................................................................................
18
7.0
AVOIDANCE AND MINIMIZATION...................................................................................................20
8.0
PROPOSED MITIGATION.................................................................................................................21
9.0
REFERENCES....................................................................................................................................22
10.0
ATTACHMENTS................................................................................................................................23

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
EXECUTIVE SUMMARY
This environmental report was prepared by Pilot Environmental Inc. (PEI) for use by Clemmons
TC, LLC, the "applicant" in obtaining an individual permit that will allow the construction of the
proposed Clemmons Town Center (CTC). Stream and wetland impacts are required for
completion of the proposed project. The purpose of this report is to provide sufficient
information that will enable the United States Army Corps of Engineers (USACE) and the North
Carolina Department of Environment Quality (NCDEQ), Division of Water Resources (DWR) to
evaluate the proposed project.
The CTC project is a proposed lifestyle shopping center located on an approximate 16.3 acre tract
at 2394 Lewisville-Clemmons Road in Clemmons, Forsyth County, North Carolina. The project
area is situated in proximity to a major interchange of Interstate 40 and existing commercial
development that will support the proposed commercial uses. The site is located in an area of
Clemmons that has experienced a marked increase in commercial development over the last ten
yea rs.
The purpose of the project is to develop a lifestyle shopping center that meets the siting
requirements in an area that has been determined to have a demand in the marketplace for the
development. The developer proposes to construct four buildings that will provide a total of
approximately 166,300 square feet of commercial space and approximately 9,600 square feet of
apartment space.
The project area was previously a portion a larger parcel for which a Section 404/401 Individual
Permit application was submitted to the USACE and NCDEQ-DWR (previously NCDENR-DWR) in
late 2006 or early 2007. The former Individual Permit application was publically advertised on
February 23, 2007. It is the applicant's understanding that this Individual Permit application was
withdrawn and that Section 404/401 impacts were not authorized by the USACE or the NCDEQ-
DWR.
In July of 2013, Nationwide Permit (NWP) 12 & 29 Verifications and a 401 Water Quality
Certification were issued to Clemmons Town Center Apartments, LLC for the approximate 19.65
acre parcel, currently adjoining the proposed Clemmons Town Center project area to the south.
The NWP 12 & 29 Verification contained remarks indicating that the USACE Jurisdictional
Determination (JD) issued with the NWP was only for the proposed impacts to Waters of the U.S.
(WoUS) described by the NWP 12 & 29 and did not include the remainder of the WoUS that might
be located within the larger property. It is the applicant's understanding that the previous
impacts to WoUS associated with Clemmons Town Center Apartments, LLC and those proposed
in this application are considered cumulative in accordance with a single and complete project as
defined in the federal Code of Regulations (CFR) at 33 CFR 330.2(i).

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
An extensive alternatives analysis has been conducted to determine the preferred alternative.
The alternatives evaluated include the following: a no build alternative, a no permit alternative,
six off-site alternative locations and two on-site design alternatives. The preferred alternative
was selected because it met the applicant's purpose and need while avoiding and minimizing
significant adverse effects to the environment.
The proposed construction of CTC will result in the unavoidable permanent impact to 636.7 linear
feet of stream channel and 5,475 square feet (0.105 acres) of wetlands. Additionally, the
proposed project will temporarily impact 12 linear feet of stream channel and 152.6 square feet
(0.003 acres) of wetlands. Areas of temporary impact will be restored to similar per -construction
conditions and stabilized with permanent vegetative measures.
The applicant has employed several design and construction techniques to avoid and minimize
impacts to streams and wetlands. Design specifications that avoid and minimize impacts to
streams and wetlands include: construction of multi -story buildings to limit their horizontal
footprint; siting stormwater retention devices in upland areas: the use of approximate 10 feet
tall retaining walls, head walls and end walls; utilizing mechanized land clearing to maintain
vegetation instead of permanent fill; installation of a rip -rap dissipater that avoids net loss of
stream channel/aquatic habitat; and, restoring temporary impacts to streams and wetlands. The
sequence of construction has been designed to minimize areas of exposed/bare soils. During
construction of the project, erosion control devices will be routinely inspected and maintained
to minimize the amount of sediment runoff into down -gradient streams and wetlands. Disturbed
areas will be reseeded promptly, where possible, to prevent future erosion and sediment runoff
into streams. Stockpiling excavated soil will be avoided where possible. If temporary stockpiling
is necessary, then the stockpiles will be bermed and surrounded with silt fencing.
The applicant has avoided and minimized impacts to jurisdictional areas to the extent possible
and proposes to mitigate unavoidable losses with compensatory mitigation from the NCDEQ
Division of Mitigation Services (DMS). The applicant will purchase 678 linear feet of stream
channel credits and 0.25 acres of wetland credits, which will exceed mitigation credit
requirements based on the applicant's proposal.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
1.0 INTRODUCTION
1.1 Prosect Description
The project is a proposed lifestyle shopping center, herein referred to as Clemmons Town Center
(CTC), located on an approximate 16.3 acre tract at 2394 Lewisville-Clemmons Road in
Clemmons, Forsyth County, North Carolina. CTC has been designed to provide a semi -urban
"Main Street" atmosphere for consumers in the vicinity of the proposed lifestyle shopping center.
A main focal point for the proposed lifestyle shopping center includes the extension of Jessie
Lane through the central portion of the site. This will afford pedestrian and vehicular access to
the four proposed commercial buildings. Additionally, the proposed extension of Jessie Lane
provides interconnection to properties to the north and south. The four proposed buildings are
designed to house a variety of retail and commercial occupants including a hotel, residential
units, office/retail (live/work), retail/restaurant and a food store. The remainder of the proposed
project includes the construction of parking lots and stormwater devices.
The attached Civil Exhibits, prepared by Stimmel Associates, PA, show the proposed site
development plan.
1.2 Purpose and Need of Project
The purpose of the proposed project is to develop a lifestyle shopping center that meets the
siting requirements in an area that has been determined to have a demand in the market place
for the development. Several properties in the vicinity of the chosen site were evaluated for the
proposed action during initial site selection of the project. The project area is situated in
proximity to a major interchange of Interstate 40 and existing commercial development that will
support the proposed commercial uses. The site is located in an area of Clemmons that has
experienced a marked increase in commercial development over the last ten years.
The developer proposes to construct four buildings that will provide a total of approximately
166,300 square feet of commercial space and approximately 9,600 square feet of residential
apartment space. The extension of Jessie Lane will funnel vehicular and pedestrian traffic to the
proposed lifestyle shopping center while also providing the "Main Street" atmosphere critical to
the success of the commercial occupants. Additionally, the developer is proposing 467 parking
spaces for the proposed CTC lifestyle shopping center.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
2.0 BACKGROUND
The project area was previously a portion a larger parcel for which a Section 404/401 Individual
Permit application was submitted to the U.S. Army Corps of Engineers (USACE) and North
Carolina Department of Environmental Quality (NCDEQ) Division of Water Resources (DWR) in
late 2006 or early 2007. The former Individual Permit application was publically advertised on
February 23, 2007. Based on the public notice, the purpose and need of the former permit
submittal was for proposed commercial development. It is the applicant's understanding that
the former Individual Permit application was withdrawn and that Section 404/401 impacts were
not authorized by the USACE or the NCDEQ-DWR.
In July of 2013, Nationwide Permit (NWP) 12 & 29 Verifications and a 401 Water Quality
Certification were issued to Clemmons Town Center Apartments, LLC for the approximate 19.65
acre parcel, currently adjoining the proposed Clemmons Town Center project area to the south.
According to the NWP 12 & 29 Verifications SAW -2013-01201 dated July 2, 2013 (attached) and
the NCDEQ-DWR 401 WQC approval dated July 23, 2016 (attached), the following impacts to
WoUS were authorized:
Table 1— Previous Impact to WoUS
Type of Impact
Wetlands
Stream
Permanent
1,183 SF/0.027 Ac
65 LF
Temporary
2,409 SF/0.055 Ac
26 LF
The NWP 12 & 29 Verification contained remarks indicating that the USACE Jurisdictional
Determination (JD) issued with the NWP was only for the proposed impacts to Waters of the U.S.
(WoUS) described by the NWP 12 & 29 and did not include the remainder of the WoUS that might
be located within the larger property. It is the applicant's understanding that the previous
impacts to WoUS associated with Clemmons Town Center Apartments, LLC and those proposed
in this application are considered cumulative in accordance with a single and complete project as
defined in the federal Code of Regulations (CFR) at 33 CFR 330.2(1).

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
3.0 EXISTING SITE CONDITIONS
3.1 Literature Review
PEI reviewed the U.S. Geological Survey (USGS) Topographic Map, the U.S. Department of
Agriculture (USDA) Soil Survey of Forsyth County, the U.S. Fish and Wildlife Service (USFWS)
National Wetland Inventory (NWI) Map, the Federal Emergency Management Agency (FEMA)
Flood Insurance Rate Map (FIRM) and the Geologic Map of North Carolina to determine
information about the project area.
• The USGS Topographic Map (Drawing 1) identifies ponds and unnamed tributaries to Johnson
Creek on the southeastern and western portions of the site. Additionally, drainage swales that
could contain surface waters or wetlands are shown on the site.
• The USDA Web Soil Survey of Forsyth County (Drawing 2) identifies the following soil mapping
units within the project area:
- Fairview fine sandy loam (FaD & FaQ - The Fairview series consists of well drained,
moderately permeable soils that occur on piedmont uplands.
- Oak Level loam (OkC) - The Oak Level series consists of well drained, moderately slowly
permeable soils that occur on piedmont uplands.
- Poplar Forest fine sandy loam (PaD) - The Poplar Forest series consists of well drained,
moderately permeable soils that occur on gently sloping to steep piedmont uplands.
- Siloam sandy loam (SmD) - The Siloam series consists of well drained, moderately slowly
permeable soils that occur on piedmont uplands.
The soil mapping units are not identified on the 2016 Forsyth County Hydric Soils List.
• The last published USDA Soil Survey of Forsyth County (Drawing 2A), depicts ponds and
streams on the western and southeastern portions of the site. This is consistent with the USGS
Topographic Map. Other surface waters or wetland are not shown on the site.
• The NWI Map (Drawing 3) depicts two freshwater ponds on the southeastern and western
portions of the site.
Other surface waters or wetlands are not shown on the site.
• The FEMA FIRM (Drawing 4) identifies the site within Zone X, areas outside the 100 year
floodplain.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
• The Geologic Map of North Carolina indicates that the site is located in the Milton Belt of the
Piedmont Physiographic Province. In general, the soils encountered in this area are the
residual product of in-place chemical weathering of rock underlying the site. Typically,
shallow unconfined groundwater movement within soils is controlled largely by topographic
gradients. Recharge occurs primarily by infiltration along higher elevations and typically
discharges into streams or other surface water bodies. The elevation of the shallow water
table is transient and can vary greatly with seasonal fluctuations in precipitation. Movement
in this water table is generally from higher to lower elevations.
3.2 Site Reconnaissance
PEI visited the site several times from 2014 to 2016. PEI conducted a field delineation on
September 16, 2015. The site contains wooded land. Structures are not located on the site. A
limited portion of the project area extends onto undeveloped areas of the adjoining property
south of the site, which is occupied and owned by Clemmons Town Center Apartments, LLC. A
gravel fire access road crosses the central portion of the site. Evidence of current, abandoned
and un -maintained stormwater retention devices are present on the northern and eastern
portions of the site. Evidence of a former access road and borrow area are present on the
southern -central portion of the site.
Open waters, including ponds or lakes, are not present on the site. Streams cross the northern,
southern and western portions of the site. The streams have defined beds and banks, evidence
of ordinary high water marks, meanders and substrate sorting. The streams, with the exception
of SA, contained flowing water at the time of our site visit. With the exception of stream SA,
aquatic species were observed in the streams at the time of our visit. Based on our observations,
stream SA is intermittent and the other streams are perennial. Wetlands are located on the
southern and western portions of the site. The wetlands are separated from surrounding uplands
by topographic, vegetation and/or soil breaks. The streams and wetlands were flagged in the
field.
The stream and wetland flags were verified in the field by Mr. John Thomas (USACE) and Ms. Sue
Homewood (NCDEQ-DWR) on October 28, 2015. Drawing 5 (attached) shows the approximate
locations of the streams, wetlands, data points and the flag numbers within the proposed area
of impact. To date, a USACE J D has not been issued for the project area.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
3.3 Streams
The project area contains three streams. The streams have been classified as perennial and
intermittent. Stream descriptions are included in Table 2 below.
Table 2: CTC Streams
Approximate
Approximate Length
Stream
Length of
Stream Identifier
of Perennial
Classification
Intermittent
Stream (LF)
Stream (LF)
SA
Intermittent
637
0
SB
Perennial
0
1,143
Sc
Perennial
0
208
Total:
637
1,351
Stream SA is an intermittent stream located on the northern portion of the site. The majority of
Stream SA will be impacted by the proposed project. Stream SA originates at a head cut on the
northeastern portion of the site. Stream SA has defined bed and banks and hydric soils. Stream
SA did not contain flowing water or evidence of aquatic life during several of our site visits. The
stream has weakly defined riffle -pool complexes and little substrate sorting. Steam SA discharges
into Stream SB. Wetland pockets (WA) are located along the confluence of Streams SA and SB.
Stream SB is a perennial stream located on the western portion of the site. Stream SB will not be
impacted by the proposed project. Stream SB originates off-site and discharges into a lake on
the adjacent property to the south. Stream SB contains well defined bed and banks, numerous
meanders, strong substrate sorting and numerous riffle -pool complexes. Flowing water and the
presence of aquatic macro -invertebrates, crayfish, salamanders and minnows were observed in
Stream SB during several site visits. Wetlands are located along the confluence of Streams SA
and SB and adjacent to Stream SB within a drained pond basin that has naturalized to a
bottomland hardwood wetland (Wetland WA).
Stream SC is a perennial stream that is located on the southern portion of the site. The majority
of Stream SC will not be impacted by the proposed project. Stream SC originates at a culvert
beneath the base of a drained pond basin that has naturalized to a wetland and dissipates into a
wetland (Wetland WC). Stream SC has moderately defined bed and banks, meanders and a little
substrate sorting. Stream SC has weak to moderate riffle -pool complexes. Stream SC has

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
contained flowing water and aquatic macro -invertebrates during our site visits. Wetlands are
located up -gradient, down -gradient and adjacent to Stream SC (Wetland WC).
Stream Determination Data and Rating Forms of the proposed stream impact areas are included
within the attachments.
3.4 Wetlands
Descriptions of jurisdictional wetlands located on the site are included in Table 3.
Table 3: CTC Wetlands
Wetland
ID
Approximate Acreage
WA
1.037
WB
0.034
WC
0.654
Total:
1.725
Limited portions of Wetlands WA and WC are located within the proposed project area. The
remainder of wetlands located on the site are not proposed to be impacted. The wetlands
located on the site are classified as broad-leaved deciduous forested palustrine using the
Cowardian wetland classification system. The wetlands are separated from uplands by distinct
breaks in topography, vegetation and/or soil. Upland areas surrounding wetland areas have
bright soils that are well drained to depths of twelve inches and more below the ground surface.
The portion of Wetland WA that will be impacted contains water stained leaves, hydric soils and
areas of saturation. Vegetation, including sweet gum, red maple, green ash, beech, elm, privett,
honeysuckle, common green briar and wetland ferns, is present. The upper reach of the portion
of Wetland WC that will be impacted is located within a former drained pond basin. This portion
of Wetland WC is dominated by black willow trees and saplings with sedges and rushes in the
understory. Saturation and standing water have been observed at the ground surface during
several site visits. PEI rated this portion of Wetland WC with the N.C. Wetland Assessment
Method (NCWAM). According to the NCWAM rating, the upper reach of Wetland WC is a low
quality wetland. The lower reach of the portion of Wetland WC that will to be impacted contains
water stained leaves and limited areas of saturation. Vegetation including red maple, sweet gum,
Chinese privett, Japanese honeysuckle and common green briar is present in the proposed area
of impact.
Wetland Determination Data Forms of the proposed wetland impact areas and the NCWAM
rating form for the upper reach of Wetland WC are included as attachments.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
3.6 Watershed Classification
Unnamed tributaries to Johnson Creek are located on the site. According to the NCDEQ-DWR,
the site is located in the Yadkin River Basin. The NCDEQ-DWR has classified Johnson Creek, the
receiving waters of the site, as WS -IV waters.
3.7 Vegetation
The project area that will be altered by the proposed development contains undeveloped,
wooded land and previously disturbed areas. The previously disturbed areas contain
current/former stormwater retention devices, access roads and borrow areas. These areas are
dominated by mixed grasses and weeds. The area of impact within the previously cleared/graded
area includes the following species: fescue -Kentucky 31 (Schedonorus arundinaceus), meadow
fescue (Schedonorus pratensis), bermudagrass (cynodon dactylon), Bahiagrass (Papsalum
notatum), Crabgrass (Digitaria sp.), Common Dandelion (Taraxacum officinale), broomsedge
(Andropogon virginicus), white clover (Trifolium repens), horsenettle (Solanum carolinense),
horseweed (Conyza canadensis), common ragweed (Ambrosia artemisiifolia), wild garlic (Allium
canadense) and common lespedeza (Lespedeza cuneata).
The wooded land, located within the upland areas of impact, contains mixed hardwood species
including various oak, hickory, beech, elm, cedar and gum and maple species within the
tree/sapling stratum. Understory vegetation includes Christmas fern (Polystichum
acrostichoides), Japanese honeysuckle (Lonicera japonica), green briar (Smilax rotundifolia),
muscadine grape (Vitis rotundifolia), Virginia creeper (Parthenocissus quinquefolia) and ebony
spleenwort (Asplenium platyneuron).

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
The wooded land located within the jurisdictional areas of impact are dominated by the following
species:
Table 4: Vegetation
Species
Stratum
Wetland Indicator
Acer rubrum
Canopy/Midstory
Red Maple
Tree/Sap
FAC
Fraxinus pennsylvanica
Canopy/Understory
Green ash
Tree/Sap
FACW
Carpinus caroliniana
Canopy/Understory
American Hornbeam
Tree/Sap
FAC
Salix nigra
Midstory/Understory
Black Willow
Tree/Sap
OBL
Lonicera japonica
Midstory/Understory
Japanese Honeysuckle
Vine/Herb
FAC
Vitus rotundifolia
Midstory/Understory
Muscadine grape
Vine/Herb
FAC
Toxicodendron radicans
Understory
Poison Ivy
Vine/Herb
FAC
Smilax rotundifolia
Understory
Green Briar
Vine/Herb
FAC
Woodwardia areolata
Understory
Netted Chain Fern
Herb
OBL
Boehmeria cylindrica
Understory
False Nettle
Herb
FACW
3.8 Cultural Resources
PEI reviewed the N.C. State Historic Preservation Office (SHPO) Web GIS Service map of
registered and eligible historic properties (Drawing 6) and the North Carolina Listings in the
National Register of Historic Places, dated October 22, 2016. Neither the SHPO map nor the
North Carolina list identify registered or eligible historic properties within the proposed project
area. Therefore, it is our opinion that the proposed project will not impact historic properties.
3.9 Biological Resources/Endangered Species
PEI reviewed the USFWS List of Federally Protected Threatened and Endangered Species for
Forsyth County, dated June 24, 2015, to obtain information regarding federally listed protected,
threatened, and endangered species that could be located within the proposed project area.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
The following species were identified on the USFWS List:
Table 5: USFWS Federally Protected Threatened and Endangered Species
Common Name Scientific name Federal Record Status
Status
Vertebrate:
Bog turtle Glyptemys muhlenbergii T (S/A) Current
Northern long-eared bat Myotis septentrionalis 0 Probable/Potential
Vascular Plant:
Small-anthered bitter cress Cardamine micranthera EE Historic
T (S/A) —Threatened Due to Similar Appearance T—Threatened E- Endangered
Bog turtle (Glyptemys muhlenbergii)
Description: The bog turtle is the smallest turtle in North America, rarely exceeding three or four
inches in length and weighing only about four ounces. Its orange to yellow patch on either side
of the neck easily distinguishes it from other turtles. Bog turtles emerge from their muddy
hibernation in early to mid-April and by early May are actively seeking a mate. Adults are sexually
mature at five to eight years of age. In June or July, the female lays a clutch of one to six small
white elliptical eggs in a shallow "nest" she digs in a clump of sphagnum moss or tuft of grass
above the water line. After seven or eight weeks of being incubated by the sun, the inch -long
hatchlings emerge. Because they are born so late in the year, the hatchlings often spend their
first winter near the nest.
Habitat: Bog turtles live in the mud, grass and sphagnum moss of bogs, swamps, and marshy
meadows. These wetlands are usually fed by cool springs flowing slowly over the land, creating
the wet, muddy soil needed by the turtles.
Conclusion: The proposed project will not impact wetland areas that are considered to be
suitable habitat for this species. Therefore, we have made a determination of "no effect" for this
species.
Northern long-eared bat (Myotis septentrionalis)
Description: The northern long-eared bat is a medium-sized bat about 3 to 3.7 inches in length
but with a wingspan of 9 to 10 inches. As its name suggests, this bat is distinguished by its long
ears, particularly as compared to other bats in its genus, Myotis, which are actually bats noted
for their small ears (Myotis means mouse -eared). The northern long-eared bat is found across
much of the eastern and north central United States and all Canadian provinces from the Atlantic
coast west to the southern Northwest Territories and eastern British Columbia. The species'

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
range includes 39 states. White -nose syndrome, a fungal disease known to affect bats, is
currently the predominant threat to this bat, especially throughout the Northeast where the
species has declined by up to 99 percent from pre -white -nose syndrome levels at many
hibernation sites. Although the disease has not yet spread throughout the northern long-eared
bat's entire range (white -nose syndrome is currently found in at least 22 of 39 states where the
northern long-eared bat occurs), it continues to spread. Experts expect that where it spreads, it
will have the same impact as seen in the Northeast.
Habitat: During summer, northern long-eared bats roost singly or in colonies underneath bark, in
cavities, or in crevices of both live and dead trees. Males and non -reproductive females may also
roost in cooler places, like caves and mines. This bat seems opportunistic in selecting roosts, using
tree species based on suitability to retain bark or provide cavities or crevices. It has also been
found, rarely, roosting in structures like barns and sheds. Northern long-eared bats spend winter
hibernating in caves and mines, called hibernacula. They typically use large caves or mines with
large passages and entrances; constant temperatures; and high humidity with no air currents.
Specific areas where they hibernate have very high humidity, so much so that droplets of water
are often seen on their fur. Within hibernacula, surveyors find them in small crevices or cracks,
often with only the nose and ears visible.
Conclusion: Hibernacula was not observed on the site. The site contains wooded areas that could
be suitable summer roosting habitat for this species. Similar habitat was observed on adjoining
property to the north and west of the project area. Based on a review of the June 1, 2016
Northern Long Eared Bat known populations and roost trees obtained from the Asheville
Ecological Services Field Office website, the 12 digit hydrologic unit code (HUC) with the nearest
confirmed hibernation and/or maternity sites is located approximately 90 miles or more from the
site.
The clearing of trees for construction of the project, staging areas, etc. could impact suitable
maternity roost trees for northern long-eared bats. However, no known maternity roosts or
hibernacula sites are within 90 miles of the project site. According to the final 4(d) rule
implemented for the listing of northern long-eared bat, a cutting moratorium of June 1 -July 31
should be observed within areas of habitat for this species. Because: 1) the project site is over
90 -miles away from the nearest known occurrence; and 2) there is a considerable amount of
suitable habitat adjacent to the site and in the surrounding area, it is our opinion that the
probability of "take" that could occur from this project is discountable. Therefore, we have made
a determination of "may affect, not likely to adversely affect determination" for northern long-
eared bat.
Small-anthered bittercress Wardamine micranthera
Description: Small-anthered bittercress is an erect, slender perennial herb with fibrous roots and
one (or rarely more) simple or branched stem growing 7.9 —15.8 inches tall. Basal leaves are 0.4

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
— 2 inches long, and 0.2 — 0.8 inches wide. The stem leaves are alternate and mostly unlobed, 0.4
—0.6 inches long. Flowering and fruiting occur in April and May. The flowers, surrounded by leafy
bracts, have four white petals, six stamens, and small, round anthers.
Habitat: Small-anthered bittercress is found in seepages, wet rock crevices, stream banks,
sandbars, and wet woods along small streams, in fully to partially -shaded areas.
Conclusion: Suitable habitat for this species is not present on the site. Therefore, we have made
a "no effect" determination for this species.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
4.0 PROJECT CONSTRUCTION
The installation of the proposed road within the impact area will be completed in the following
sequence:
• Installation of required erosion control and sedimentation control measures/devices;
• site clearing and preparation;
• excavation for placement of on-site native and imported fill;
• placement of fill and below ground site infrastructure;
• construction of buildings and above ground site improvements; and,
• seeding and mulching of disturbed areas.
Fill material will be from on-site and imported material. During construction of the project,
erosion control measures will be installed to minimize the amount of sediment runoff into down
gradient streams and wetlands. Silt fencing and sediment skimmer basins will be used to prevent
erosion and to capture sediment. Disturbed areas will be reseeded promptly, where possible, to
prevent erosion and sediment runoff into streams. Stockpiling excavated soil will be avoided
where possible. If temporary stockpiling is necessary, the stockpiles will be bermed and
surrounded with silt fencing. Erosion control inspections will be scheduled with the City of
Winston-Salem's Inspections Department, as necessary. All construction efforts will be
performed in accordance with design specifications prepared by the engineer and approved by
local and state regulating authorities.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
5.0 ALTERNATIVES TO THE PROPOSED ACTION
The applicant has completed an extensive alternatives analysis to determine the most plausible
preferred alternative with minimal impact to the environment. The following alternatives
identify the applicant's needs, how alternatives to the proposed action affect those needs, any
major direct environmental consequences and discussion of practicality, from an economically
viable stand -point for each alternative.
No Build Alternative
The no build alternative was evaluated as an alternative to the proposed action. If the no -build
alternative is selected, Clemmons will not receive the positive benefits of having a lifestyle center,
such as the one proposed, locate to Clemmons. Some of the benefits include the creation of
temporary and permanent jobs, along with other ancillary benefits including an increase in the
tax base.
It should be noted that if the project area will not be developed at this time, it will likely be
developed later as part of a separate project. It is likely that any future development on this
property will involve impacts to WoUS that exceed those proposed by the preferred alternative.
An example of how a different type of commercial development could potentially impact more
streams or wetlands located on the site is the Individual Permit that was withdrawn sometime in
or around 2006/2007. Based on the public notice, the application was for a similar commercial
use as the preferred alternative; however, in order to be economically viable that project
proposed to impact 773 linear feet of stream channel and 2.78 acres of wetlands, which is a
greater significant adverse impact to the environment compared to the preferred alternative.
No Permit Alternative
The no permit alternative was evaluated as an alternative to the proposed action. If the no
permit alternative is selected, then the proposed development of the site for commercial
development would be limited to avoid all impact to jurisdictional features. Based on the
location of jurisdictional features, specifically Stream SA, it is not economically viable to be
developed for commercial use. Additionally, for the project to obtain zoning approval from the
local municipality, extension of Jessie Lane to the property south of the project was a
requirement of zoning. This likely would be a requirement of the zoning authorities for any
proposed development to the site for single family residential, multi -family residential or
commercial uses. Therefore, this alternative is not a feasible option and was not considered
further.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
Off -Site Alternatives
The applicant performed an extensive alternatives analysis in an attempt to identify an off-site
location that would meet specific siting criteria for the proposed lifestyle center (attached). The
applicant evaluated six off-site locations for the proposed lifestyle shopping center. However,
the off-site locations were not available and did not meet the siting criteria for the proposed
project. Therefore, the off-site alternatives were not considered further.
On -Site Alternative A
The on-site Alternative A (attached), shows a building layout with more commercial occupant
appeal as buildings are one-story, same level access for pedestrian traffic, with the exception of
a five -story hotel. This is the ideal layout to attract commercial/retail occupants and restaurants
as the layout provides much better aesthetic qualities and commercial appeal compared to the
preferred alternative. The extension of Jessie Lane provides the "Main Street" atmosphere
necessary to make a lifestyle center successful. Additionally, parking areas and vehicular drives
afford a larger amount of the semi -urban mixed with traditional downtown qualities necessary
to create the "Main Street" atmosphere between buildings 1, 2 and 7. Compared to the preferred
alternative, alternative A is significantly more desirable to the developer because of these
qualities.
However, to meet project viability and commercial/residential space requirements, it is
necessary to have eight buildings that encompass a much larger development footprint than the
preferred alternative. Additionally, due to building and parking area footprints, this alternative
results in impacts to WoUS associated with stormwater retention devices. This alternative would
impact a cumulative total of an additional 880 linear feet of stream channel and 1.01 acres of
wetlands compared to the preferred alternative. Based on the initial evaluation of this on-site
alternative, the applicant determined that this alternative was not feasible due to the significant
adverse impact to WoUS within the project area.
On -Site Alternative B — Preferred Alternative
The on-site Alternative B (attached) shows a less appealing layout for commercial occupants with
four multi -story buildings. The buildings are orientated such that the extension of Jessie Lane
will provide a "Main Street" lifestyle center atmosphere. However, the multi -story building
layout combined with topographic constraints results in the need for consumers to use stairs to
access commercial occupants. The lower stories of building numbers 6 and 2 will be accessed at
ground level from the western side of the buildings and consumers will be afforded access to the
second story of these buildings from Jessie Lane. This is significantly less desirable for commercial
occupants of these buildings as there is far less pedestrian access and "Main Street" atmosphere
compared to on-site alternative A.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
However, the developer recognizes that the proposed lifestyle center should be designed in a
way to minimize adverse impact to the environment. As such, this alternative utilizes a multi-
level retaining wall system to avoid impacting the majority of the higher quality wetlands and
streams located on the western portion of the site. Additionally, this building and parking layout
allows for the placement of stormwater retention devices outside of WoUS. Therefore, the
applicant has selected this design as a preferred alternative to meet the project's purpose and
need while minimizing adverse impacts to WoUS located on the site.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
6.0 PROPOSED IMPACTS
Construction of the proposed project will require impacts to streams and wetlands. The
unavoidable impacts to streams are included in Table 5:
Table 5: Proposed Stream Impacts
Stream
Classification
Type of
Impact
Permanent Impact
(LF)
Temporary Impact
(LF)
SA
Intermittent
Fill
573.5
0
SC
Perennial
Culvert Fill
19.3
0
SC
Perennial
Rip -Rap Fill
43.9
12
Total Cumulative Impacts
636.7
12
The proposed project will permanently impact a cumulative total of 636.7 linear feet of stream
channel. Of the 636.7 linear feet, 43.9 linear feet of stream channel impact is a result of a rip -rap
dissipater. The rip -rap dissipater has been designed to be keyed into the existing bed and banks,
thus, not resulting in a permanent loss of aquatic habitat. Installation of the rip -rap dissipater
pad will temporarily impact 12 liner feet of stream channel. Following rip -rap installation, the
contractor will restore the stream bed and banks to similar pre -construction conditions. The
banks will be matted, seeded and stabilized with live stakes or other woody vegetation.
The unavoidable impacts to wetlands are included in Table 6:
Table 6: Proposed Wetland Impacts
Wetland
Cowardian
Classification
Type of
Impact
Permanent Impact
(SF/Ac)
Temporary Impact
(SF/Ac)
WA
PFO
Fill
2,343.7/0.054
0
WC
PFO
Fill
978/0.0225
0
WC
PFO
Conversion
727/0.0167
0
WC
PFO
Fill
526.3/0.012
152.6/0.003
Total Cumulative Impacts
4,575/0.105
152.6/0.003
The proposed project will permanently impact a cumulative total of 0.105 acres of wetlands. Of
the 0.105 acres, 0.0167 acres will be impacted associated with the conversion of forested
wetlands to emergent wetlands. This is associated with the construction of a retaining wall and

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
the long-term maintenance concerns of woody vegetation growing in proximity to the retaining
wall. Following construction of the retaining wall, grades in this area will be returned to similar
pre -construction conditions and stabilized with native herbaceous vegetation. Additionally,
0.003 acres of wetlands will be temporarily impacted associated with the installation of the rip -
rap dissipater. Following disturbance activities and installation of the rip -rap dissipater pad, the
contractor will restore grades to similar pre -construction slopes and plant woody vegetation/live
stakes within the area of temporary impact.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
7.0 AVOIDANCE AND MINIMIZATION
Based on the alternative's analysis completed by the applicant, the preferred alternative was
determined to be the least damaging to the environment while still meeting the applicant's
purpose and need. The preferred alternative has far less negative impact to streams and
wetlands than other considered alternatives. Additionally, the preferred alternative has
significantly less impact to WoUS than former permit applications submitted for the site for the
same proposed use. It is likely that other similar development of the site, if conducted at a later
time, would result in significantly greater impact to WoUS than those proposed by the preferred
alternative.
The applicant has incorporated the use of retaining walls at significantly increased construction
costs in efforts to further minimize the impact to the environment and jurisdictional features.
Two approximate 10 feet tall retaining walls are being proposed to avoid impact to the majority
of streams and wetlands located on the western portion of the site. Additionally, approximate
10 feet tall head and end walls have greatly reduced additional impact to streams and wetlands
located on the southern portion of the site associated with the culvert installation for the
proposed extension of Jessie Lane.
Through design techniques, the applicant has attempted to minimize the amount of net loss of
WoUS associated with project development. The applicant proposes to convert forested
wetlands to emergent wetlands in areas in proximity to retaining walls. Additionally, the
applicant is proposing to re -plant areas of temporary stream and wetland impact associated with
the installation of the culvert's rip -rap dissipater pad. Finally, the applicant is proposing to "key
in" the culvert's rip -rap dissipater pad to the existing stream bed and bank. This involves the
permanent placement of fill beneath the ordinary high water mark; however, there will be no
net loss of the stream's aquatic life or habitat.
The sequence of construction has been designed to minimize areas of exposed/bare soils. During
construction of the project, erosion control devices will be routinely inspected and maintained
to minimize the amount of sediment runoff into down -gradient streams and wetlands. Disturbed
areas will be reseeded promptly, where possible, to prevent future erosion and sediment runoff
into streams. Stockpiling excavated soil will be avoided where possible. If temporary stockpiling
is necessary, the stockpiles be bermed and surrounded with silt fencing. Erosion control
inspections will be scheduled with the City of Winston-Salem's Inspections Department as
required. All construction activities will be conducted in accordance with the design
specifications prepared by the engineer and approved by local and state regulating authorities.
There are approximately 1,351 linear feet of perennial stream channel, 637 linear feet of
intermittent steam channel and 1.725 acres of wetlands located in the site. Impacts to 1,287.8
linear feet of perennial stream channel, 63.5 linear feet of intermittent stream channel and 1.572
acres of wetlands have been avoided. Additional impacts to jurisdictional features beyond those
that are proposed in this project are not anticipated.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
8.0 PROPOSED MITIGATION
The applicant has attempted to avoid and minimize impacts where possible and will compensate
to the extent practicable, for the remaining unavoidable losses with mitigation. The applicant
proposes the following mitigation for the unavoidable impacts to mitigable features below:
Table 7 Stream Mitigation Proposal
Impact
Feature
Type of
Impact
Proposed
Mitigation Ratio
Impact Amount
Required Credits
SA
Fill
1:1
573.5 LF
573.5 LF
SC
Culvert/Fill
2:1
19.3 LF
38.6 LF
SC
Rip-Rap/Fill
0
43.9 LF
0 LF
SA*
65
1:1
65 LF
65 LF
Stream Total
701.7 LF
677.1 LF
*denotes mitigation from previous impact to WoUS under SAW -2013-01201
Table 8 Wetland Mitigation Proposal
Impact
Feature
Type of
Impact
Proposed
Mitigation Ratio
Impact Amount
Required Credits
WA
Fill
2:1
2,343.7 SF
4,687.4 SF
WC
Fill
2:1
978 SF
1,956 SF
WC
Conversion
1:1
727 SF
727 SF
WC
Fill
2:1
526.3 SF
1,052.6 SF
WC/SA*
Fill
2:1
1,183 SF
2,366 SF
Wetland Total
5,758 SF
0.1322 Ac
10,789 SF
0.2477 Ac
*denotes mitigation from previous impact to WoUS under SAW -2013-1201
The applicant proposes to compensate for impacts for the construction of the proposed project
by offering payment into the NCDEQ-Division of Mitigation Services (DMS) and/or private
mitigation banks. In addition to impacts proposed in this application, the applicant proposes to
provide mitigation for impacts associated with the development of the parcel south of the project
area, Clemmons Town Center Apartments, LLC (SAW -2013-01201). Private mitigation banks, in
the watershed of the proposed project, did not have credits available at the time of the
applicant's request. According to a November 14, 2016 letter issued by the NCDEQ-DMS, the
required mitigation credits are now available. A copy of the letter is included as an attachment.
At the ratios proposed, the applicant will receive 678 linear feet of stream channel credits and
0.25 acres of wetland credits, which will exceed mitigation credit requirements.

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
9.0 REFERENCES
USGS Topographic Map, Clemmons North Carolina Quadrangle dated 1968 revised 1994.
USGS Topographic Map, Winton Salem West North Carolina Quadrangle dated 2001.
North Carolina Geological Survey Geologic Map of North Carolina dated 1985.
Forsyth County Hydric Soils List, provided by the USDA Natural Resources Conservation Service
http://soils.usda.gov/use/hydric/
U.S. Department of Agriculture, Natural Resources Conservation Service Web Soil Survey of
Guilford County, http://websoiIsurvey.nres.usda.gov/app/HomePage.htm
U.S. Department of Agriculture, Natural Resources Conservation Service Soil Survey, Published
1976, Sheet 43
Federal Emergency Management Act Flood Insurance Rate Map Number 3710588300)
U.S. Fish and Wildlife Service National Wetland Inventory Maps
http://www.fws.gov/wetlands/Data/Mapper.html
North Carolina State Historic Preservation Office, Listings in the National Register of Historic
Places Dated October 22, 2016 http://www.hpo.ncdcr.gov/NR-PDFs.html
North Carolina State Historic Preservation Office, Web GIS Service
http://gis.ncdcr.gov/hpoweb/
U.S. Fish and Wildlife, List of Threatened and Endangered Species in Guilford County, Dated
June 24, 2015
http://www.fws.gov/raleigh/species/cntylist/guilford.html

Clemmons Town Center
November 17, 2016
PEI Project 1298.1
10.0 ATTACHMENTS
Civil Exhibits
NWP 12 & 29 Verification SAW -2013-01201 Dated July 2, 2013
NCDENR-DWR 401 WQC Dated July 23, 2013
Drawings:
Drawing 1— USGS Topographic Map
Drawing 2 — Soil Survey Map
Drawing 2A — Last Published Soil Survey Map
Drawing 3 — National Wetlands Inventory Map
Drawing 4 — FEMA FIRM Map
Drawing 5 — Project Area Delineation Map
Drawing 6 — SHPO Web GIS Service Map
Stream Data Forms
Wetland Data Forms
NCWAM Data Form
Off -Site Alternative's Analysis
On -Site Alternative A Exhibit
On -Site Alternative B Exhibit
NCDEQ-DWR DMS Letter Dated November 14, 2016

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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. 201301201 County: Forsyth USES Quad: Clemmons
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: Village Point, LLC / Clemmons Town Center Apartments, LLC, Mai -vin
Gentry
Address: P.O. Box 1719
)Kine, North Carolina 27021 .
Telephone No.: 704 998-1189
Size and location of property (water body, road name/number, town, etc.): Clemmons Town Center Apartments
Property located off of Lewisville-Clemmons Road, in Clemmons, Forsyth County, North.Carolina. Property is
adiacent to a tributary of Johnson Creek a tributary of the Yadkin River.
Description of projects area and activity: Mechanized landclearing, excavation and the discharge of fill material
assoc kited with c€ nstruetion I development of a multi-fani ly residential facility resultine in pirmaikent fell irnnatcts
to oplyoximately 65 uncal- feet of stream channel and 0.027 iwt-e of ive. lands Sasso-ciatm with a road access and
ten► 1)orRi-,y fill ina la,cls of 26 liuear feet of stren►n channel and 0.05S acre of wetlands associated with taility line
connectors to the .iurisdictional waters of an unnained tributary of Johnson Creek.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
[] Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Pen -nit Number:
Nationwide Permit Number: NW 12 & 29
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation fi-om your submitted plans may subject the
permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified,
suspended or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or
modified, this verification will remain valid until the expiration date identified below, provided it complies with all requirements of
the modified nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the
activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are
under construction) or are under contract to commence in reliance upon the nationwide pen -nit, will remain authorized provided the
activity is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case-by-case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management .
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvals/permits.
If there are any questions regarding thi erificarion, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact John Thomas �9 554-1884 ex�.-25. ,
Corps Regulatory Official W JZe__ Date: 07/02/2013
Expiration Date of Verifications 0311812017
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to do so,
please complete the attached customer Satisfaction Survey or visit htth;//www.saw.usace.army.mil/WETL,ANDS/index html to
complete the survey online.
Page 1 of 2

Determination of Jurisdiction:
Based on preliminary information, there appear to bo waters ol'the US including wetlands witltiin the above described protect ares;,.
This preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
( Reference 33 CFR Part 331).
] There are Navigable Waters of the United States within the above described project area subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
® There are waters of the US and/or wetlands within the above described project area subject to the permit requirements of Section
404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
The jurisdictional areas within the above described project area have been identified under a previous action. Please reference
jurisdictional determination issued . Action ID
Basis of Jurisdictional Determination: Property has tributary which flows to the Yadkin River and the Atlantic Ocean.
This iurisdictional determination is only for the waters/wetlands proposed for impacts associated with
this Nationwide Permit and does not include any other waters/wetlands that may be located on the
Properly.
Appeals Information (This information applies only to approved jurisdictional determinations.)
Attached to this verification is an approved jurisdictional determination. If you are not in agreement with that approved jurisdictional
determination, you can make an administrative appeal under 33 CFR 331. Enclosed you will find a Notification of Appeal Process
(NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this determination you must submit a completed RFA
form to the following address.
District Engineer, Wilmington Regulatory Division
Attn:Jean Gibby, Project Manager,
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has een received by the District Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must e �eceived at the above address by September 2, 2013.
**It is not necessary to subm/rm it an to the Diqtrict Office if ou do not object to the determination in this correspondence.**
Corps Regulatory Official:
Date 07/02/2013
SURVEY PLATS, FIELD SKETCH, WETLAND DELIN ATION FORMS, PROJECT PLANS, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
Copy Furnished:
Mr. Brad Luckey, ECS Carolina, LLP, 4811 Koger Boulevard, Greensboro, NC 27407
Page 2 of 2

I
A47LA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Acting Director Secretary
July 23, 2013
DWQ # 07-0346 v2
Forsyth County
Clemmons Town Center Apartments LLC
Attn: Chris Parr
PO Box 10888
Greensboro NC 27404
Subject: Approval of 401 Water Quality Certification with Additional Conditions
Clemmons Town Center Apartments
Dear Mr. Parr:
You have our approval for the impacts listed below for the purpose described in your
application dated June 26, 2013 and received by the Division of Water Quality (Division) on June
28, 2013 and subsequent information on July 22, 2013. These impacts are covered by the
attached Water Quality General Certification Number 3890 and the conditions listed below,
The General Certification allows you to use Nationwide Permit Number 29 once it is issued to
you by the U.S. Army Corps of. Engineers. Please note that you should get any other federal,
state or local permits before proceeding with your project, including those required by (but not.
limited to) Sediment and Erosion Control, Non -Discharge, and Water Supply Watershed
regulations.
This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the Certification. If you
change your project, you must notify the Division and you may be required to submit a new
application package with the appropriate fee. if the property is sold, the new owner must be
given a copy of this approval letter and General Certification(s)/Permit/Authorization and is
responsible for complying with all conditions.
This approval requires you to follow the conditions Listed in the enclosed certifications) or
general permit and the following additional conditions:
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 No thCarolina.
Internet:wwwocwaty Affirmative
a �iy uy��y//�
An Equal Opportunity 1 Affirmative Action Employer �/ y[L `al

Clemmons Town Center Apartments LLC
DWQ# 07-0346 Q
401 APPROVAL
Page 2 of 4
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification, General Permit and/or Buffer Rules are met. No
other impacts are approved, including incidental impacts.
Type of Impact
Amount Approved
(units)
Permanent
Amount Approved
(Units)
Temporary
Stream
Site S1
65 (linear feet)
Site S2
26 (linear feet)
404/401 Wetlands
Site W1
0.027 (acres)
Site W2
0.055 (acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the Certification.
If you change your project, you must notify the Division and you may required to
submit a new application package with the appropriate fee. If the property is sold, the
new owner must be given a copy of this approval letter and General
Certifications)/Permit/Authorization and is responsible for complying with all
conditions.
3. All wetlands, streams, surface waters, and riparian buffers located within 50 feet of the
construction area on the project site shall be clearly marked (example- orange fabric
fencing) prior to any land disturbing activities and must be maintained on the property
until the project phase is completed.
4. The Permittee shall install the orange fabric fencing (or similar) as noted above
throughout the limits of disturbance, as well as stake the limits of the approved stream
disturbance at Site S1, and conduct a preconstruction meeting with the construction
contractor and the Division of Water Quality prior to disturbance of the impact area.
5. Any additional impacts to streams and/or wetlands as a result of future roads, buildings,
driveways, utility lines or other development related activities within this subdivision
will require a modification of this 401 Water Quality Certification approval.

Clemmons Town Center Apartments LLC
DWQ# 07-0346 Q
401 APPROVAL
Page 3 of 4
6. You are required to provide one copy of the approved SMP, including plan details on
full-sized plan sheets, with.proof of the Village of Clemmon's approval. The approved
SMP shall be submitted to the DWQ Webscape Unit (1650 Mail Service Center, Raleigh,
NC 27699-1650) before any impacts authorized in this certification occur. After it is
approved and submitted to the Division, the SMP may not be modified without prior
written authorization from the Village of Clemmons. If the SMP is modified in the future,
then you shall provide one modified SMP with proof of approval to the DWQ Webscape
Unit prior to the Icommencement of the modifications.
This approval and its conditions are final and binding unless contested. This Certification can be
contested as provided in Articles 3 and 4 of General Statute 1506 by filing a written petition for
an administrative hearing to the Office Of Administrative Hearings. You may obtain a petition
form from the Office of Administrative Hearings at http://`www.ncoah.comor call the OAH
clerk's office at [phone] for information.
Within sixty (60) calendar days of receipt of this Certification, you must file the petition with the
Office of Administrative Hearings. A petition is considered filed when the original and one (1)
copy along with any applicable filing fee is received in the Office of Administrative Hearings
during normal office hours (Monday through Friday between 8:00am and 5:00pm, excluding
official state holidays).
The petition may faxed to the Office of Administrative Hearings at [phone], provided
the original and one copy of the petition along with any applicable filing fee is received by the
Office of Administrative Hearings within five (5) business,days following the faxed transmission.
Mailing address for the Office of Administrative Hearings:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
One (1) copy of the petition must -also be served to DENR:
Lacy Presnell, General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh, NC 27699-1601

Clemmons Town Center Apartments LLC
DWQ# 07-0346 v2
401 APPROVAL
Page 4 of 4
This letter completes the review of the Division of Water Quality under section 401 of the Clean
Water Act. Please contact Sue Homewood at 336-771-4964 or [e-mail] if
you have any questions or concerns.
Sincerely,
p
3
W. Corey Basinger
Regional Supervisor
DWQ Winston-Salem Regional Office
Enclosures: GC 3890
Certificate of Completion

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/ Drawing 1 USGS Topographic Mapes
N Clemmons Town Center'
Jr: USGS Topographic Map Approximate 16.3 Acre Site
Clemmons & Winston-Salem West, 2394 Lewisville-Clemmons Road
NC Quadrangles Clemmons, Forsyth County, NC
`►, ;PEI Project 1298.1
Scale: 1" = 2,000't� • _ i-` ,
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Drawing 3
USFWS NWI
Wetlands Mapper
Not to Scale
r
» LEGEND
L ' Site Boundary
NWI Designations
_ Freshwater Emergent
p Freshwater Foresledr'Sh,b
Estuarine and Marine Deepwater
_ Estuarine and Marine
j� Freshwater Pend
Lake
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_ ether
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LEGEND
Site Boundary
NWI Map
N Clemmons Town Center
Approximate 16.3 Acre Site
2394 Lewisville-Clemmons Road
Clemmons, Forsyth County, NC
PEI Project 1298.1

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LEGEND
Approximate Site Boundary
ON BY THE 1% ANNUAL CHANCE FLOOD EVENT
e 1% anhwl ch� flood (100-oar flood), a1w known as Ow bm Awd, Is the floo tl�g
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LEGEND
Site Boundary
■ ■ ■ ■ ■ ■ Intermittent Stream
Perennial Stream
Wetlands
sal -s Flag Number
- Culvert
FLAG NUMBERS/INFO
WETLAND FLAGS =
STREAM FLAGS =
Stream Flags = 78
Wetland Flags = 131
Total Flags = 201
SA 1-30
illy
WA 1-55
son
g' F
SB 1-36
WCA 1-51
SC 1-12
F. r.
WC 1-21
WB 1-4
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE APPROXIMATE. THEY HAVE BEEN VERIFIED BY MR. JOHN THOMAS WITH
THE USACE AND MS. SUE HOMEWOOD WITH THE NCDEQ-DWR ON OCTOBER 28, 2015. THEY HAVE NOT BEEN SURVEYED.
Drawing 5 Wetland Map
Clemmons Town Center
2015 Aerial Photograph from Approximate 16.3 Acre Site
Google Earth and PEI Field Notes 2394 Lewisville-Clemmons Road
Scale: 1" = 100' Clemmons, Forsyth County, NC
PEI Project 1298.1

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USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
WINE
Provide the following information for the stream reach under assessment:
1. Applicant's name: CTC 2. Evaluator's name: Luckey, PEI
3. Date of evaluation: 10/20/15 4. Time of evaluation: 11:15
5. Name of stream: UNT Johnson Creek -Stream SA 6. River basin: Yadkin
7. Approximate drainage area: 10 Acres 8. Stream order: 1St
9. Length of reach evaluated: 400' 10. County: Forsyth
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): Longitude (ex. —77.556611):
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): N/A
15. Recent weather conditions: Typical
16. Site conditions at time of visit: Typical
17. Identify any special waterway classifications known: Section 10 Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed IV (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? No If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? No 20. Does channel appear on USDA Soil Survey? No
21. Estimated watershed land use: _% Residential 40 % Commercial % Industrial % Agricultural
50 % Forested 10 % Cleared / Logged % Other ( )
22. Bankfull width: 2-3' 23. Bank height (from bed to top of bank): 1-2'
24. Channel slope down center of stream: _Flat (0 to 2%) X Gentle (2 to 4%) _Moderate (4 to 10%) Steep (>10%)
25. Channel sinuosity: Straight X Occasional bends Frequent meander _Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 39 Comments: Intermittent
Evaluator's Signature l 10/20/16 Date
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USAGE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREGION POINT RANGE
#
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain
Presence of flow / persistent pools in stream
1
0-5
0-4
0-5
0
no flow or saturation = 0• strong flow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
0-5
2
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
4
no buffer = 0• contiguous, wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
2
extensive discharges = 0• no discharges = max oints
a
5
Groundwater discharge
0-3
0-4
0-4
1
no discharge = 0• springs, sees wetlands etc. = maxpoints)
�
Presence of adjacent floodplain
6
no floodplain = 0• extensive floodplain = maxpoints)
0-4
0-4
0-2
1
x
Entrenchment / floodplain access
0— 5
0— 4
0— 2
2
p
(deeply entrenched = 0• frequent flooding= max points)
8
Presence of adjacent wetlands
0-6
0-4
0-2
1
no wetlands = 0; large adjacent wetlands = max points
9
Channel sinuosity
0-5
0-4
0-3
2
extensive channelization = 0; natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
1
extensive deposition-- 0• little or no sediment = maxpoints)
11
Size & diversity of channel bed substrate
NA*
0-4
0-5
1
fine homogenous = 0; large, diverse sizes = maxpoints)
Evidence of channel incision or widening
0-5
0-4
0-5
2
12
(deeply incised = 0; stable bed & banks = maxpoints)
F-
13
13
of major bank failures
0-5
0-5
0-5
3
a
severe erosion = 0• no erosion stable banks = max oints
Q
Root depth and density on banks
<
14
0-3
0 — 4
0-5
2
no visible roots = 0; dense roots throughout = max points)
Impact by agriculture livestock or timber production
0-5
0-4
0-5
2
15
substantial impact =0• no evidence = max points
Presence of riffle-pool/ripple-pool complexes
16
0-3
0-5
0-6
2
no riffles/ripples or pools = 0• well-developed = maxpoints)
<
Habitat complexity
F"
17
little or no habitat = 0• frequent, varied habitats = maxpoints)
0-6
0-6
0-6
2
Canopy coverage over streambed
4
18
0— 5
0— 5
0— 5
no shadingvegetation = 0• continuous canopy= max points)
x
19
Substrate embeddedness
NA*
0-4
0-4
2
(deeply embedded = 0• loose structure = max
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
0
20
no evidence = 0• common numerous types = maxpoints)
21
Presence of amphibians
0-4
0-4
0-4
0
O
no evidence = 0• common numerous types = maxpoints)
O
22
Presence of fish
0-4
0-4
0-4
0
no evidence = 0• common numerous types = max oints
23
Evidence of wildlife use
0-6
0-5
0-5
2
no evidence = 0; abundant evidence = max points)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
39
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
Date: 10/20/15
Projectlsite: CTC -Stream SA
Latitude:
Evaluator. Luckey, PEI
County: Forsyth
Longitude:
Total Points:
Stream is least intermittent 21
Stream Deter circle one)
Other
at
Ephemeral Qntermittent Perennial
e.g. Quad!Vame:
if - 19 a- perennial if _>30'
C2
I
R. Geomorphology (Subtotal =10.5 )
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
C2
3
3. In -channel structure. ex. riffle -pool, step -pool,
ripple -pool sequence
0O1
0.
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
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0 11
FACV1/= 0.75:
2
3
9. Grade control
0
O.a
1
1.5
Natural valley
0
0.5
1
1.5
E11Second or greater order channel
No
❑
Yes = 3
Sketch-
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 5.5 1
12. Presence of Baseflow
0)
1
2
3
13. Iran oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
❑
0.
1
1.5
13. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
0
No= 0
Yes 3
1.5
C. Biology (Subtotal _-
18-
18. Fibrous roots in stream bed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenth os (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
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
(0
0.5
1
1.5
26. Wetland plants in streambed
FACV1/= 0.75:
0 B = 1.5 Other 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch-

USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
M '. AQF
Provide the following information for the stream reach under assessment:
1. Applicant's name: CTC 2. Evaluator's name: Luckey, PEI
3. Date of evaluation: 10/20/15 4. Time of evaluation: 10:45
5. Name of stream: UNT Johnson Creek -Stream SC 6. River basin: Yadkin
7. Approximate drainage area: 18 Acres 8. Stream order: 1St
9. Length of reach evaluated: 300' 10. County: Forsyth
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): Longitude (ex. —77.556611):
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): N/A
15. Recent weather conditions: Typical
16. Site conditions at time of visit: Typical
17. Identify any special waterway classifications known: Section 10 Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters _Water Supply Watershed IV (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? No If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? Yes 20. Does channel appear on USDA Soil Survey? Yes
21. Estimated watershed land use: _% Residential 60 % Commercial % Industrial % Agricultural
35 % Forested 5 % Cleared / Logged % Other ( )
22. Bankfull width: 2' 23. Bank height (from bed to top of bank): 1-2'
24. Channel slope down center of stream: _Flat (0 to 2%) X Gentle (2 to 4%) _Moderate (4 to 10%) Steep (>10%)
25. Channel sinuosity: Straight —Occasional bends X Frequent meander _Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the comment
section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture into a
forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each reach.
The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the highest
quality.
Total Score (from reverse): 55 Comments: Perennial
Evaluator's Signature V 10/20/16 Date
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change – version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
i v i uiov w�i wi uI Yuki"l
* These characteristics are not assessed in coastal streams.
ECOREGION POINT RANGE
#
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain
i
Presence of flow / persistent pools n stream
1
0-5
0-4
0-5
3
no flow or saturation = 0• strong flow = maxpoints)
2
Evidence of past human alteration
0-6
0-5
0-5
3
extensive alteration = 0• no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
3
no buffer = 0• contiguous, wide buffer = maxpoints)
Evidence of nutrient or chemical discharges
0-4
0-4
2
4
extensive discharges = 0• no discharges = max oints
0-5
a
5
Groundwater discharge
0-3
0-4
0-4
3
Q
no discharge = 0• springs, sees wetlands etc. = maxpoints)
U
Presence of adjacent floodplain
2
6
no floodplain = 0• extensive floodplain = maxpoints)
0-4
0-4
0-2
Entrenchment / floodplain access
p-
7
(deeply entrenched = 0• frequent flooding = maxpoints)
0-5
0-4
0-2
1
8
Presence of adjacent wetlands
0-6
0-4
0-2
2
no wetlands = 0; large adjacent wetlands = max points
9
Channel sinuosity
0-5
0-4
0-3
3
extensive channelization = 0; natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
2
extensive deposition-- 0• little or no sediment = max oints
11
Size & diversity of channel bed substrate
NA*
0-4
0-5
2
fine homogenous = 0; large, diverse sizes = max points
Evidence of channel incision or widening
0-5
0-4
0-5
2
12
(deeply incised = 0; stable bed & banks = maxpoints)
F-
13
13
of major bank failures
0-5
0-5
0-5
3
a
severe erosion = 0• no erosion stable banks = max oints
Q
Root depth and density on banks
<
14
0-3
0 — 4
0-5
3
no visible roots = 0; dense roots throughout = max points)
Impact by agriculture livestock or timber production
0-5
0-4
0-5
2
15
substantial impact =0• no evidence = maxpoints)
Presence of riffle-pool/ripple-pool complexes
16
0-3
0-5
0-6
3
no riffl s/ripples or pools = 0• well-developed = maxpoints)
<
Habitat complexity
F"
17
little or no habitat = 0• frequent, varied habitats = maxpoints)
0-6
0-6
0-6
3
Canopy coverage over streambed
4
18
0— 5
0— 5
0— 5
no shadingvegetation = 0• continuous canopy= max oints
x
19
Substrate embeddedness
NA*
0-4
0-4
2
(deeply embedded = 0• loose structure = max
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
3
20
no evidence = 0• common numerous types = maxpoints)
21
Presence of amphibians
0-4
0-4
0-4
0
O
no evidence = 0• common numerous types = maxpoints)
O
22
Presence of fish
0-4
0-4
0-4
0
no evidence = 0• common numerous types = max points)
23
Evidence of wildlife use
0-6
0-5
0-5
4
no evidence = 0; abundant evidence = maxpoints)
Tutu! Points Possible i0e i0o
55
i v i uiov w�i wi uI Yuki"l
* These characteristics are not assessed in coastal streams.

NC DWQ Stream Identification Form Version 4.11
Date: 10/20/15
ProjectlSite: CTC -Stream SC
Latitude:
Evaluator. Luckey, PEI
County: Forsyth
Longitude:
Total Points:
Stream is least intermittent 31
Stream Determination {circ
Other
at
Ephemeral Intermittent Perennial
e.g. QuadName:
if:' 19 a- perennial if -> 30'
2
3
A. Geomorphology (subtotal =__L4 }
Absent
Weak
Moderate
Strong
1' 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
0
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
0
1
2
3
7. Recent alluvial deposits
0
CD
2
3
8. Headcuts
0 1
1
2
3
9. Grade control
0
0.5
1
1.5
Natural valley
0
0.5
1
1.5
E11Second or greater order channel
No
❑
Yes = 3
Sketch-
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 9 }
12. Presence of Baseflow
0 1 O
3
13. Iron oxidizing bacteria
0 1 2
3
14. Leaf litter
5 1 0.5
0
15. Sediment on plants or debris
❑ 0. 1
1.5
13. Organic debris lines or piles
❑ 0.5 1
1.5
17. Soil -based evidence of high water table?
No= 0 Yes 3
1
C. Biology (Subtotal _-
18
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenth os (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
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
(D
0.5
1
1.5
26. Wetland plants in streambed
FACV1/= 0.75:
C) BL = 1.5 Other 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
(Votes:
Sketch-

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site: CTC City/County: Clemmons/Forsyth Sampling Date: 09/16/15
Applicant/Owner: State: North Carolina Sampling Point: WA -Ir
Investigator(s): Brame, PEI Section, Township, Range: NA
Landform (hillslope, terrace, etc.) Sideslope Local relief (concave, convex, none):
Slope (%): 3 Lat: Long: Datum:
Soil Map Unit Name: Siloam sandy loam (SmD) NWI Classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
No
5UMMARY OF FINDINGS — Attacn site map snowing sampling point locations, transects, Important teatures, etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
Surface Soil Cracks (136)
Surface Water (Al)
_
True Aquatic Plants (B14)
Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl) _
Drainage Patterns (1310)
X Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3) _
Moss Trim Lines (616)
Water Marks (131)
Presence of Reduced Iron (C4)
Dry -Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6) _
Crayfish Burrows (C8)
Drift Deposits (133)
Thin Muck Surface (C7)
Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks) _
Stunted or Stressed Plants (D1)
Iron Deposits (135)
Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
Shallow Aquitard (D3)
_ Water -Stained Leaves (139)
_
Microtopographic Relief (D4)
Aquatic Fauna (B13)
FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No X
Depth (inches):
Water Table Present? Yes No X
Depth (inches):
Wetland Hydrology Present? Yes X No
Saturation Present? Yes X No
Depth (inches): 10"
_
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size: 30' )
1. Liquidambar straciflua
2. Fraxinus pennsylvanica
3. Acer rubrum
4.
5.
6.
7.
8.
Sapling/Shrub Stratum (Plot size: 30' )
1. Ligustrum sinsense
2.
3.
4.
5.
6.
7.
8.
9.
10.
Herb Stratum (Plot size: 30' )
1. Woodwardia areolata
2. Boehmeria cylindrica
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Woody Vine Stratum (Plot size: 30' )
1. Smilax rotundifolia
2.
3.
4.
5.
6.
Sampling Point WA -In
10 = Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
Vegetation
Present? Yes X No
Dominance Test worksheet:
Absolute Dominant Indicator
% Cover Species? Status
Number of Dominant Species
That Are OBL, FACW, or FAC: 7 (A)
Total Number of Dominant
20 Y FAC
20 Y FACW
20 Y FAC
Species Across All Strata: 7 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100 (A/B)
Prevalence Index worksheet:
60 = Total Cover
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species X2=
10 Y FAC
FAC species X3=
FACU species X4=
UPL species X5=
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is > 50%
10 = Total Cover
3 - Prevalence Test is <_ 3.0'
4 - Morphological Adaptations' (Provide supporting
10 Y OBL
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
Indicators of hydric soil and wetland hydrology must
5 Y FACW
be present, unless disturbed or problematic.
Definitions of Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm)
or more in diameter at breast height (DBH),
regardless of height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
15 = Total Cover
Herb -All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
10 Y FAC
Woody vine - All woody vines greater than 3.28 ft in
height.
10 = Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
Vegetation
Present? Yes X No

SOIL
Sampling Point: WA -In
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inches) Color (moist) %
Color (moist) % Type' LoP Texture Remarks
0-5 10YR 5/4 100
L
5-18 10YR 4/2 90
7.5YR 4.6 10 RM M CL
'Type: C=Concentration, D=De letion, RM=Reduced
Matrix, CS=Covered or Coated Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
Histosol (Al)
Dark Surface (S7)
2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
Polyvalue Below Surface (S8) (MLRA 147, 148)
Coast Prairie Redox (A16)
Black Histic (A3)
Thin Dark Suface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
Piedmont Floodplain Soils (F19)
Stratified Layers (A5)
X Depleted Matrix (F3)
(MLRA 136, 147)
2 cm Muck (A10) (LRR N)
Redox Dark Surface (F6)
Red Parent Material (TF2)
Depleted Below Dark Surface (All 1)
Depleted Dark Surface (F7)
Very Shallow Dark Surface (TF12)
Thick Dark Surface (Al2)
Redox Depressions (F8)
Other (Explain in Remarks)
Sandy Mucky Mineral (S1) (LRR N,
Iron Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
Sandy Gleyed Matrix (s4)
Sandy Redox (S5)
Umbric Surface (F13) (MLRA 136, 122)
Piedmont Floodplain Soils (F19) (MLRA 148)
3lndicators of Hydrophytic vegetation and
wetland hydrology must be present, unless
Stripped Matrix (S6)
disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present?
Yes X No
Remarks:

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site: CTC City/County: Clemmons/Forsyth Sampling Date: 09/16/15
Applicant/Owner: State: North Carolina Sampling Point: WA -Out
Investigator(s): Brame, PEI Section, Township, Range:
Landform (hillslope, terrace, etc.) Sideslope Local relief (concave, convex, none):
Slope (%): 3 Lat: Long: Datum:
Soil Map Unit Name: Siloam sandy loam (SmD) NWI Classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X Nc
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
5UMMARY OF FINDINGS — Attacn site map snowing sampling point locations, transects, Important teatures, etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
Surface Soil Cracks (136)
Surface Water (Al)
_
True Aquatic Plants (B14)
Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl) _
Drainage Patterns (1310)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3) _
Moss Trim Lines (616)
Water Marks (131)
Presence of Reduced Iron (C4)
Dry -Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6) _
Crayfish Burrows (C8)
Drift Deposits (133)
Thin Muck Surface (C7)
Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks) _
Stunted or Stressed Plants (D1)
Iron Deposits (135)
Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
Shallow Aquitard (D3)
_ Water -Stained Leaves (139)
_
Microtopographic Relief (D4)
Aquatic Fauna (B13)
FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No X
Depth (inches):
Water Table Present? Yes No X
Depth (inches):
Wetland Hydrology Present? Yes No X
Saturation Present? Yes No X
Depth (inches):
_
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size: 30' )
1. Liquidambar styraciflua
2. Liriodendron tulipifera
3.
4.
5.
6.
7.
8.
Sapling/Shrub Stratum (Plot size: 30'
Absolute
Dominant
Indicator
% Cover
Species?
Status
30
Y
FAC
20
Y
FAC
50 = Total Cover
1. Juniperus virginiana 5 Y FACU
2. Liquidambar styraciflua 5 Y FAC
3.
4.
5.
6.
7.
8.
9.
10.
10 = Total Cover
Herb Stratum (Plot size: 30' )
Prevalence Index worksheet:
1. Parthenocissus quinquefolia
5
Y
FAC
2. Smilax rotundifolia
5
Y
FAC
3.
X4=
UPL species
X5=
4.
(A) (B)
5.
6.
7.
8.
9.
10.
11.
12.
10
= Total Cover
Woody Vine Stratum (Plot size: 30' )
1. Lonicera japonica
5
Y
FAC
2. Toxicodendron radicans
5
Y
FAC
3.
4.
5.
6.
10
= Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
Sampling Point WA -Out
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 8 (A)
Total Number of Dominant
Species Across All Strata: 9 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 89 (A/B)
Prevalence Index = B/A =
ydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is > 50%
3 - Prevalence Test is <_ 3.0'
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm)
or more in diameter at breast height (DBH),
regardless of height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb -All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
Vegetation
Present? Yes X No
Prevalence Index worksheet:
Total % Cover of:
Multiply by:
OBL species
x 1 =
FACW species
X2=
FAC species
X3=
FACU species
X4=
UPL species
X5=
Column Totals:
(A) (B)
Prevalence Index = B/A =
ydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is > 50%
3 - Prevalence Test is <_ 3.0'
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm)
or more in diameter at breast height (DBH),
regardless of height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb -All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
Vegetation
Present? Yes X No

SOIL
Sampling Point: WA -Out
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inches) Color (moist) %
Color (moist) % Type' LoP Texture Remarks
0-18 10YR 4/6
L
'Type: C=Concentration, D=De letion, RM=Reduced
Matrix, CS=Covered or Coated Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
Histosol (Al)
Dark Surface (S7)
2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
Polyvalue Below Surface (S8) (MLRA 147, 148)
Coast Prairie Redox (A16)
Black Histic (A3)
Thin Dark Suface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
Piedmont Floodplain Soils (F19)
Stratified Layers (A5)
Depleted Matrix (F3)
(MLRA 136, 147)
2 cm Muck (A10) (LRR N)
Redox Dark Surface (F6)
Red Parent Material (TF2)
Depleted Below Dark Surface (All 1)
Depleted Dark Surface (F7)
Very Shallow Dark Surface (TF12)
Thick Dark Surface (Al2)
Redox Depressions (F8)
Other (Explain in Remarks)
Sandy Mucky Mineral (S1) (LRR N,
Iron Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
Sandy Gleyed Matrix (s4)
Sandy Redox (S5)
Umbric Surface (F13) (MLRA 136, 122)
Piedmont Floodplain Soils (F19) (MLRA 148)
3lndicators of Hydrophytic vegetation and
wetland hydrology must be present, unless
Stripped Matrix (S6)
disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present?
Yes No X
Remarks:

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site: CTC City/County: Clemmons/Forsyth Sampling Date: 09/16/15
Applicant/Owner: State: North Carolina Sampling Point: WC Lower -In
Investigator(s): Brame, PEI Section, Township, Range: NA
Landform (hillslope, terrace, etc.) Swale Local relief (concave, convex, none):
Slope (%): 1 Lat: Long: Datum:
Soil Map Unit Name: Siloam sandy loam (SmD)
Are climatic / hydrologic conditions on the site typical for this time of year?
Are Vegetation Soil or Hydrology significantly disturbed?
Are Vegetation Soil or Hydrology naturally problematic?
NWI Classification:
Yes X No (If no, explain in Remarks.)
Are "Normal Circumstances" present? Yes X
(If needed, explain any answers in Remarks.)
No
5UMMARY OF FINDINGS — Attacn site map snowing sampling point locations, transects, Important teatures, etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
Surface Soil Cracks (136)
Surface Water (Al)
_
True Aquatic Plants (B14)
Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl) _
Drainage Patterns (1310)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3) _
Moss Trim Lines (616)
Water Marks (131)
Presence of Reduced Iron (C4)
Dry -Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6) _
Crayfish Burrows (C8)
Drift Deposits (133)
Thin Muck Surface (C7)
Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks) _
Stunted or Stressed Plants (D1)
Iron Deposits (135)
Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
Shallow Aquitard (D3)
X Water -Stained Leaves (139)
Microtopographic Relief (D4)
Aquatic Fauna (B13)
_
FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No X
Depth (inches):
Water Table Present? Yes No X
Depth (inches):
Wetland Hydrology Present? Yes X No
Saturation Present? Yes No X
Depth (inches):
_
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size: 30' )
1. Liquidambar straciflua
2. Acer rubrum
3.
4.
5.
6.
7.
8.
Sapling/Shrub Stratum (Plot size: 30' )
1. Ligustrum sinsense
2. Acer rubrum
3.
4.
5.
6.
7.
8.
9.
10.
Herb Stratum (Plot size: 30' )
1. Smilax rotundifolia
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Woody Vine Stratum (Plot size: 30' )
1. Smilax rotundifolia
2. Lonicera japonica
3.
4.
5.
6.
Sampling Point WC Lower -In
15 = Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
Vegetation
Present? Yes X No
Dominance Test worksheet:
Absolute Dominant Indicator
% Cover Species? Status
Number of Dominant Species
That Are OBL, FACW, or FAC: 7 (A)
Total Number of Dominant
40 Y FAC
30 Y FAC
Species Across All Strata: 7 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100 (A/B)
Prevalence Index worksheet:
70 = Total Cover
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species X2=
10 Y FAC
FAC species X3=
FACU species X4=
UPL species X5=
Column Totals: (A) (B)
Prevalence Index = B/A =
10 Y FAC
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is > 50%
20 = Total Cover
3 - Prevalence Test is <_ 3.0'
4 - Morphological Adaptations' (Provide supporting
15 Y FAC
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm)
or more in diameter at breast height (DBH),
regardless of height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
15 = Total Cover
Herb -All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
10 Y FAC
Woody vine - All woody vines greater than 3.28 ft in
height.
5 Y FAC
15 = Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
Vegetation
Present? Yes X No

SOIL
Sampling Point: WC Lower -In
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inches) Color (moist) %
Color (moist) % Type' LoP Texture Remarks
0-5 10YR 5/6 100
L
5-18 10YR 4/2 90
7.5YR 4.6 10 RM M CL
'Type: C=Concentration, D=De letion, RM=Reduced
Matrix, CS=Covered or Coated Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
Histosol (Al)
Dark Surface (S7)
2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
Polyvalue Below Surface (S8) (MLRA 147, 148)
Coast Prairie Redox (A16)
Black Histic (A3)
Thin Dark Suface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
Piedmont Floodplain Soils (F19)
Stratified Layers (A5)
X Depleted Matrix (F3)
(MLRA 136, 147)
2 cm Muck (A10) (LRR N)
Redox Dark Surface (F6)
Red Parent Material (TF2)
Depleted Below Dark Surface (A11)
Depleted Dark Surface (F7)
Very Shallow Dark Surface (TF12)
Thick Dark Surface (Al2)
Redox Depressions (F8)
Other (Explain in Remarks)
Sandy Mucky Mineral (S1) (LRR N,
Iron Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
Sandy Gleyed Matrix (s4)
Sandy Redox (S5)
Umbric Surface (F13) (MLRA 136, 122)
Piedmont Floodplain Soils (F19) (MLRA 148)
3lndicators of Hydrophytic vegetation and
wetland hydrology must be present, unless
Stripped Matrix (S6)
disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present?
Yes X No
Remarks:

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site: CTC City/County: Clemmons/Forsyth Sampling Date: 09/16/15
Applicant/Owner: State: North Carolina Sampling Point: WC Lower -Out
Investigator(s): Brame, PEI Section, Township, Range:
Landform (hillslope, terrace, etc.) Sideslope Local relief (concave, convex, none):
Slope (%): 4 Lat: Long: Datum:
Soil Map Unit Name: Siloam sandy loam (SmD) NWI Classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
5UMMARY OF FINDINGS — Attacn site map snowing sampling point locations, transects, Important teatures, etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
Surface Soil Cracks (136)
Surface Water (Al)
_
True Aquatic Plants (B14)
Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl) _
Drainage Patterns (1310)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3) _
Moss Trim Lines (616)
Water Marks (131)
Presence of Reduced Iron (C4)
Dry -Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6) _
Crayfish Burrows (C8)
Drift Deposits (133)
Thin Muck Surface (C7)
Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks) _
Stunted or Stressed Plants (D1)
Iron Deposits (135)
Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
Shallow Aquitard (D3)
_ Water -Stained Leaves (139)
_
Microtopographic Relief (D4)
Aquatic Fauna (B13)
FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No X
Depth (inches):
Water Table Present? Yes No X
Depth (inches):
Wetland Hydrology Present? Yes No X
Saturation Present? Yes No X
Depth (inches):
_
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

VEGETATION (Four Strata) - Use scientific names of plants.
WC Lower -
Sampling Point out
Remarks: (Include photo numbers here or on a separate sheet.)
uommance i est worKsneet:
Absolute
Dominant Indicator
Tree Stratum
(Plot size: 30' )
% Cover
Species?
Status
Number of Dominant Species
1.
Liquidambar styraciflua
30
Y
FAC
That Are OBL, FACW, or FAC: 6 (A)
Total Number of Dominant
Species Across All Strata: 10 (B)
2. Fagus grandifolia 20 Y FACU
3. Acer rubrum 10 Y FAC
4
5.
6
Percent of Dominant Species
That Are OBL, FACW, or FAC: 89 (A/B)
7.
8.
Prevalence Index worksheet:
60
= Total Cover
Total % Cover of: Multiply by:
OBL species x 1 =
Sapling/Shrub Stratum
(Plot size: 30' )
FACW species X2=
1.
Juniperus virginiana
5
Y
FACU
FAC species X3=
2.
Ulmus alata
5
Y
FAC
FACU species X4=
3.
UPL species X 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
4
5.
6.
7.
8.
Hydrophytic Vegetation Indicators:
9.
1 - Rapid Test for Hydrophytic Vegetation
10.
X 2 - Dominance Test is > 50%
10
= Total Cover
3 - Prevalence Test is <_ 3.0'
Herb
Stratum
(Plot size: 30' )
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
1.
Smilax rotundifolia
10
Y
FAC
2.
Asplenium platyneuron
5
Y
FACU
Problematic Hydrophytic Vegetation' (Explain)
3.
'Indicators of hydric soil and wetland hydrology must
4
be present, unless disturbed or problematic.
5.
Definitions of Vegetation Strata:
6.
7.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm)
or more in diameter at breast height (DBH),
8.
9.
10.
regardless of height.
11.
Sapling/Shrub - Woody plants, excluding vines, less
12.
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
15
= Total Cover
Herb -All herbaceous (non -woody) plants, regardless
Woody Vine Stratum
(Plot size: 30' )
of size, and woody plants less than 3.28 ft tall.
1.
Lonicera japonica
5
Y
FAC
Woody vine - All woody vines greater than 3.28 ft in
2.
Vitus rotundifolia
5
Y
FAC
height.
3.
4.
Hydrophytic
5
Vegetation
Present? Yes X No
6.
10 = Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)

SOIL
Sampling Point: WC Lower -Out
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inches) Color (moist) %
Color (moist) % Type' LoP Texture Remarks
0-2 10YR 4/6 100
L
3-18 7.5YR 5/4 100
CL
'Type: C=Concentration, D=De letion, RM=Reduced
Matrix, CS=Covered or Coated Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
Histosol (Al)
Dark Surface (S7)
2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
Polyvalue Below Surface (S8) (MLRA 147, 148)
Coast Prairie Redox (A16)
Black Histic (A3)
Thin Dark Suface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
Piedmont Floodplain Soils (F19)
Stratified Layers (A5)
Depleted Matrix (F3)
(MLRA 136, 147)
2 cm Muck (A10) (LRR N)
Redox Dark Surface (F6)
Red Parent Material (TF2)
Depleted Below Dark Surface (All 1)
Depleted Dark Surface (F7)
Very Shallow Dark Surface (TF12)
Thick Dark Surface (Al2)
Redox Depressions (F8)
Other (Explain in Remarks)
Sandy Mucky Mineral (S1) (LRR N,
Iron Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
Sandy Gleyed Matrix (s4)
Sandy Redox (S5)
Umbric Surface (F13) (MLRA 136, 122)
Piedmont Floodplain Soils (F19) (MLRA 148)
3lndicators of Hydrophytic vegetation and
wetland hydrology must be present, unless
Stripped Matrix (S6)
disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present?
Yes No X
Remarks:

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site: CTC City/County: Clemmons/Forsyth Sampling Date: 09/16/15
Applicant/Owner: State: North Carolina Sampling Point: WC Upper -In
Investigator(s): Brame, PEI Section, Township, Range: NA
Landform (hillslope, terrace, etc.) Pond Basin Local relief (concave, convex, none): Concave
Slope (%): 1% Lat: Long: Datum:
Soil Map Unit Name: Siloam sandy loam (SmD)
Are climatic / hydrologic conditions on the site typical for this time of year?
Are Vegetation Soil or Hydrology significantly disturbed?
Are Vegetation Soil or Hydrology naturally problematic?
NWI Classification: Freshwater Pond
Yes X No (If no, explain in Remarks.)
Are "Normal Circumstances" present? Yes X
(If needed, explain any answers in Remarks.)
No
5UMMARY OF FINDINGS — Attacn site map snowing sampling point locations, transects, Important teatures, etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
Surface Soil Cracks (136)
Surface Water (Al)
_
True Aquatic Plants (B14)
Sparsely Vegetated Concave Surface (B8)
X High Water Table (A2)
Hydrogen Sulfide Odor (Cl)
Drainage Patterns (1310)
X Saturation (A3)
_ _
_ Oxidized Rhizospheres on Living Roots (C3) _
Moss Trim Lines (616)
Water Marks (131)
Presence of Reduced Iron (C4)
Dry -Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6) _
Crayfish Burrows (C8)
Drift Deposits (133)
Thin Muck Surface (C7)
Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks) _
Stunted or Stressed Plants (D1)
Iron Deposits (135)
Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
Shallow Aquitard (D3)
X Water -Stained Leaves (139)
Microtopographic Relief (D4)
Aquatic Fauna (B13)
_
FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No X
Depth (inches):
Water Table Present? Yes X No
Depth (inches): 2"
Wetland Hydrology Present? Yes X No
Saturation Present? Yes X No
Depth (inches): Surface
_
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size: 30' )
1. Salix nigra
2.
3.
4.
5.
6.
7.
8.
Sapling/Shrub Stratum (Plot size: 30' )
1. Salix nigra
2.
3.
4.
5.
6.
7.
8.
9.
10.
Herb Stratum (Plot size: 30' )
1. Juncus effusus
2. Carex intumescens
3. Carex glaucescens
4.
5.
6.
7.
8.
9.
10.
11.
12.
Woody Vine Stratum (Plot size: 30' )
1. None Observed
2.
3.
4.
5.
6.
Sampling Point WC Upper -In
0 = Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
Vegetation
Present? Yes X No
Dominance Test worksheet:
Absolute Dominant Indicator
% Cover Species? Status
Number of Dominant Species
That Are OBL, FACW, or FAC: 5 (A)
Total Number of Dominant
10 Y OBL
Species Across All Strata: 5 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100 (A/B)
Prevalence Index worksheet:
10 = Total Cover
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species X2=
5 Y OBL
FAC species X3=
FACU species X4=
UPL species X5=
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is > 50%
5 = Total Cover
3 - Prevalence Test is <_ 3.0'
4 - Morphological Adaptations' (Provide supporting
10 Y OBL
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
Indicators of hydric soil and wetland hydrology must
5 Y FACW
5 Y OBL
be present, unless disturbed or problematic.
Definitions of Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm)
or more in diameter at breast height (DBH),
regardless of height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
20 = Total Cover
Herb -All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
0 = Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
Vegetation
Present? Yes X No

SOIL
Sampling Point: WC Upper -In
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inches) Color (moist) %
Color (moist) % Type' LoP Texture Remarks
0-8 2.5Y 4/1 90
7.4 YR 4/6 10 RM M L
8-18 10YR 4/2 90
7.5 YR 4/6 10 RM M L
'Type: C=Concentration, D=De letion, RM=Reduced
Matrix, CS=Covered or Coated Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
Histosol (Al)
Dark Surface (S7)
2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
Polyvalue Below Surface (S8) (MLRA 147, 148)
Coast Prairie Redox (A16)
Black Histic (A3)
Thin Dark Suface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
Piedmont Floodplain Soils (F19)
Stratified Layers (A5)
X Depleted Matrix (F3)
(MLRA 136, 147)
2 cm Muck (A10) (LRR N)
Redox Dark Surface (F6)
Red Parent Material (TF2)
Depleted Below Dark Surface (A11)
Depleted Dark Surface (F7)
Very Shallow Dark Surface (TF12)
Thick Dark Surface (Al2)
Redox Depressions (F8)
Other (Explain in Remarks)
Sandy Mucky Mineral (S1) (LRR N,
Iron Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
Sandy Gleyed Matrix (s4)
Sandy Redox (S5)
Umbric Surface (F13) (MLRA 136, 122)
Piedmont Floodplain Soils (F19) (MLRA 148)
3lndicators of Hydrophytic vegetation and
wetland hydrology must be present, unless
Stripped Matrix (S6)
disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present?
Yes X No
Remarks:

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site: CTC City/County: Clemmons/Forsyth Sampling Date: 09/16/15
Applicant/Owner: State: North Carolina Sampling Point: WC Upper -Out
Investigator(s): Brame, PEI Section, Township, Range:
Landform (hillslope, terrace, etc.) Sideslope Local relief (concave, convex, none):
Slope (%): 4 Lat: Long: Datum:
Soil Map Unit Name: Siloam sandy loam (SmD) NWI Classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
5UMMARY OF FINDINGS — Attacn site map snowing sampling point locations, transects, Important teatures, etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
Surface Soil Cracks (136)
Surface Water (Al)
_
True Aquatic Plants (B14)
Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl) _
Drainage Patterns (1310)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3) _
Moss Trim Lines (616)
Water Marks (131)
Presence of Reduced Iron (C4)
Dry -Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6) _
Crayfish Burrows (C8)
Drift Deposits (133)
Thin Muck Surface (C7)
Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks) _
Stunted or Stressed Plants (D1)
Iron Deposits (135)
Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
Shallow Aquitard (D3)
_ Water -Stained Leaves (139)
_
Microtopographic Relief (D4)
Aquatic Fauna (B13)
FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No X
Depth (inches):
Water Table Present? Yes No X
Depth (inches):
Wetland Hydrology Present? Yes No X
Saturation Present? Yes No X
Depth (inches):
_
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

VEGETATION (Four Strata) - Use scientific names of plants.
WC Upper -
Sampling Point out
Remarks: (Include photo numbers here or on a separate sheet.)
uommance i est worKsneet:
Absolute
Dominant Indicator
Tree Stratum (Plot size:
30' )
% Cover
Species? Status
Number of Dominant Species
1.
Liquidambar styraciflua
20
Y FAC
That Are OBL, FACW, or FAC: 6 (A)
Total Number of Dominant
Species Across All Strata: 10 (B)
2. Fagus grandifolia 10 Y FACU
3. Ulmus alata 10 Y FACU
4. Acer rubrum 10 Y FAC
5.
6
Percent of Dominant Species
That Are OBL, FACW, or FAC: 89 (A/B)
7.
8.
Prevalence Index worksheet:
50
= Total Cover
Total % Cover of: Multiply by:
OBL species x 1 =
Sapling/Shrub Stratum (Plot size:
30' )
FACW species X2=
1.
Juniperus virginiana
5
Y FACU
FAC species X3=
2.
Liquidambar styraciflua
5
Y FAC
FACU species X4=
3.
UPL species X 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
4
5.
6.
7.
8.
Hydrophytic Vegetation Indicators:
9.
1 - Rapid Test for Hydrophytic Vegetation
10.
X 2 - Dominance Test is > 50%
10
= Total Cover
3 - Prevalence Test is <_ 3.0'
Herb
Stratum (Plot size:
30' )
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
1.
Smilax rotundifolia
10
Y FAC
2.
Asplenium platyneuron
5
Y FACU
Problematic Hydrophytic Vegetation' (Explain)
3.
'Indicators of hydric soil and wetland hydrology must
4
be present, unless disturbed or problematic.
5.
Definitions of Vegetation Strata:
6.
7.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm)
or more in diameter at breast height (DBH),
8.
9.
10.
regardless of height.
11.
Sapling/Shrub - Woody plants, excluding vines, less
12.
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
15
= Total Cover
Herb -All herbaceous (non -woody) plants, regardless
Woody Vine Stratum (Plot size:
30' )
of size, and woody plants less than 3.28 ft tall.
1.
Lonicera japonica
5
Y FAC
Woody vine - All woody vines greater than 3.28 ft in
2.
Smilax rotundifolia
5
Y FAC
height.
3.
4.
Hydrophytic
5
Vegetation
Present? Yes X No
6.
5 = Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)

SOIL
Sampling Point: WC Upper -Out
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inches) Color (moist) %
Color (moist) % Type' LoP Texture Remarks
0-3 10YR 4/6 100
L
3-18 7.5YR 5/4 100
CL
'Type: C=Concentration, D=De letion, RM=Reduced
Matrix, CS=Covered or Coated Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
Histosol (Al)
Dark Surface (S7)
2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
Polyvalue Below Surface (S8) (MLRA 147, 148)
Coast Prairie Redox (A16)
Black Histic (A3)
Thin Dark Suface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
Piedmont Floodplain Soils (F19)
Stratified Layers (A5)
Depleted Matrix (F3)
(MLRA 136, 147)
2 cm Muck (A10) (LRR N)
Redox Dark Surface (F6)
Red Parent Material (TF2)
Depleted Below Dark Surface (All 1)
Depleted Dark Surface (F7)
Very Shallow Dark Surface (TF12)
Thick Dark Surface (Al2)
Redox Depressions (F8)
Other (Explain in Remarks)
Sandy Mucky Mineral (S1) (LRR N,
Iron Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
Sandy Gleyed Matrix (s4)
Sandy Redox (S5)
Umbric Surface (F13) (MLRA 136, 122)
Piedmont Floodplain Soils (F19) (MLRA 148)
3lndicators of Hydrophytic vegetation and
wetland hydrology must be present, unless
Stripped Matrix (S6)
disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present?
Yes No X
Remarks:

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name WC_Upper Reach Date
11/14/16
Wetland Type Headwater Forest Assessor Name/Organization
Brame - PEI
Notes on Field Assessment Form (Y/N)
YES
Presence of regulatory considerations (Y/N)
NO
Wetland is intensively managed (Y/N)
NO
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
NO
Assessment area is substantially altered by beaver (Y/N)
NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
NO
Assessment area is on a coastal island (Y/N)
NO
Sub -function Rating Summary
Function
Sub -function
Metrics
Rating
Hydrology
Surface Storage and Retention
Condition
LOW
HIGH
Sub -Surface Storage and Retention
Condition
LOW
Water Quality
Pathogen Change
Condition
HIGH
Conditon
LOW
Condition/Opportunity
HIGH
Opportunity Presence? (Y/N)
YES
Particulate Change
Condition
MEDIUM
Condition/Opportunity
NA
Opportunity Presence? (Y/N)
NA
Soluble Change
Condition
HIGH
Condition/Opportunity
HIGH
Opportunity Presence? (Y/N)
YES
Physical Change
Condition
LOW
Condition/Opportunity
LOW
Opportunity Presence? (Y/N)
YES
Pollution Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence? (Y/N)
NA
Habitat
Physical Structure
Condition
LOW
Landscape Patch Structure
Condition
LOW
Vegetation Composition
Condition
LOW
Function Rating Summary
Function
Metrics/Notes
Rating
Hydrology
Condition
LOW
Water Quality
Condition
HIGH
Condition/Opportunity
HIGH
Opportunity Presence? (Y/N)
YES
Habitat
Conditon
LOW
Overall Wetland Rating LOW

Clemmons Town Center
Lifestyle Center
Clemmons, NC
Off -Site Alternatives Analysis
October 2016
Village Point Square

Executive Summary
This document presents an Alternatives Analysis for the new development of a
tract of land located at the northwest quadrant of the intersection of Interstate 40 (exit 184)
and Lewisville-Clemmons Road in Clemmons North Carolina (Exhibit B). There have been
a variety of issues with the site and market factors. Because of the previous economic
downturn, this property and adjacent properties were consistently passed over for
development until Clemmons TC, LLC (CTC) undertook the task of acquiring the land
and positioning the site for retail development beginning in August of 2015. CTC has
acquired the Village of Clemmons approval to develop a Lifestyle shopping center at this
location. Requirements for a site to be satisfactory for retail development are complex.
CTC and its consultants have reviewed several alternatives and potential offsite locations.
However, there are no other practical alternative locations for the Lifestyle Center that
meet the site selection criteria.
Background Information
Clemmons TC, LLC (CTC) is a commercial land development company based in
Huntersville, NC. CTC develops first class retail and office developments in multiple
states. Retailers look for expansion opportunities that are in an economic base that is
stable and in a growing phase. The specifics of both restaurant and retail criteria for a
market selection and location will somewhat vary although the general site criteria are
fairly consistent for most restaurants and retailers.
CTC understands the impact of a successful Lifestyle center and is familiar with
similar centers such as Baxter Village and Birkdale Village, both located in the Charlotte
region. With this knowledge and after numerous visits to the Winston Salem/ Clemmons
market, CTC chose the location of this project because of its strong trade area and its
proximity to the Interstate 40 corridor. The location is in the northwest quadrant of the
intersection of Interstate 40 (exit 184) and Lewisville Clemmons Road.
Although the site is at the back -side of an existing smaller development, it
represents the potential for Clemmons to have the identity of a traditional downtown
feature. This location already represents a great amount of synergy and it will complete
what was started nearly 10 years ago. This project participates in the valuable connection
Clemmons Town Center 2

to nearby properties, which will allow for more cross -through options for vehicular
traffic, thus, allowing for better accessibility during peak traffic times in Clemmons.
Retail Real Estate Selection Criteria
There are numerous parameters that impact the overall success of a Lifestyle center.
Motivating factors that impact the long-term success of a location will be analyzed and
considered by perspective retailers and restaurants that we will now refer to as the site
selection criteria. For consideration of this alternative analysis, CTC has put together the
list below, which is the site selection criteria and represents baseline considerations that
any retail, restaurant and hospitality group would consider for this market.
1. Local or Regional draw of customers: Clemmons provides a dual draw for
customers since it is part of an existing and established trade area in Forsyth
County and with its proximity to both 421 and I-40 it provides access to regional
customers from surrounding and outlining markets just outside of Winston Salem
and accessible to Lewisville and Mocksville.
2. Trade Area:
a. Most markets have several trade areas: South of I-40 Clemmons has the
Westwood Village anchored by Big Lots, Village Square anchored by K -
Mart, Lowes Foods shopping center anchored by Lowes Foods and
Staples. North of I-40 is Clemmons West, which is anchored by Panera.
The South side is more community, thrift and service oriented. The North
side, with the village point connection to the Novant Medical center to the
West, has the tremendous potential to serve the community with a main
street Lifestyle Center diversifying the shopping experience with the
main -street restaurant, retail shopping experience.
b. Classification of market quality: The placement of the proposed Lifestyle
center, will allow for the development of a quality center that will provide
points of destination for shopping, restaurant and hospitality
development. Within the Clemmons market, the demographics are
considered stronger than other comparable trade areas. The existing retail
developments stay at market capacity due to the commutable distance to
Winston Salem. In the alternatives analysis for this site, the trade area
Clemmons Town Center 3

functionally defines the physical boundaries of any alternate locations.
3. Demographic Analysis: The demographic data considerations are based on
underlying census information. The median income in Clemmons is $65,344
whereas to the East, Winston Salem's income is $40,869 and to the West,
Mocksville's median income is $41,810. Clemmons closest neighbor to the
North, Lewisville, has a median income of $69,833. See exhibit J for Population
data. This higher median income is fertile ground for a quality Lifestyle Center
that CTC will be developing.
a. Population
b. Households
c. Families
d. Average Household Size
e. Owner occupied housing units
f. Renter occupied housing units
g. Median Age
4. Market stability:
a. City in a growth phase or fully stabilized
b. Income growth
c. Household growth and residential housing growth
d. Population growth
5. Co -tenancy: Neighboring tenants within the trade area of the Lifestyle center are
one of the important considerations for retailers and restaurateurs. First, the
customer traffic generated by these neighboring retailers will help spawn traffic to
the center. Second, the Lifestyle center does not necessarily compete, but it
compliments the neighboring centers in the community because of the intrinsic
value of the "main street" quality of the Lifestyle center. Third, the proximity of the
neighboring retailers brings density and synergy to the specific trade area. Fourth,
given proximity to neighboring retailers and existing businesses, connectivity to
nearby properties and the number of nearby rooftops from the vicinity make it an
Clemmons Town Center 4

ideal location for this Lifestyle center. Due to this connectivity to nearby properties,
the proposed Lifestyle center of the Clemmons Town Center, will help offer points
of business and restaurant service to an area that currently does not exist. The local
businesses of the YMCA, Novant Medical Center, Morgan Elementary School and
other nearby commercial retailers, will generate vehicular traffic of retail shoppers
and restaurant users to the proposed Lifestyle center.
6. Physical Real Estate Characteristics:
a. Locations within the trade area: Clemmons Town Center will have close
access to I-40 and Hwy 421. Both are main corridors to / through
Winston Salem.
b. Location within the corridor: Clemmons Town Center is located behind
the retail that is adjacent to Lewisville / Clemmons Road and the bridge at
I-40.
c. Topography: This site topography lends itself to less building footprint
impact to the site because the site falls east to west 36 feet. This permits
stacking retail buildings into 2 stories, lessening the building footprint
impact of the site. All tenants can still be accessed at grade level parking
depending on whether you are at the main street level or the East parking
level.
d. Site lines from Street: The Clemmons Town Center site has
approximately 576 linear feet of visibility from Lewisville / Clemmons
Road. Traveling from Novant on the Village Point Road extension will be
another 400-500 feet of visibility.
e. Proximity to Intersection: There are three intersections. First, there
is the traffic light at the intersection of Lewisville Clemmons Road
and Town Center Drive. Second, there is Town Center Drive Lane
and Jessie Lane. Third, there is the right -in / right -out at Clemmons
Point Drive and Lewisville Clemmons Road.
7. Traffic Count: Lewisville Clemmons Road traffic has increased steadily over the
past 5 years.
8. Access to the site: The project site will have three points of access. Town
Clemmons Town Center 5

Center Drive, Jessie Lane and Clemmons Point Drive. Town Center Drive
will bring traffic from the East and West, Lewisville Clemmons Road and
Village Point, respectively. Jessie Lane will bring traffic from Peace Haven
Road to the North and Clemmons Point Drive will bring additional traffic
from Lewisville Clemmons Road to the East
10. Signage: With a Lifestyle center, the signage is also driven by internal and
external visibility. Effective signage is a critical success factor for retailers. The
visibility of the signage and the retailers trade branding and logos from the main
traffic corridor are a critical competitive advantage for any retailer. This is true
for drawing in both impulse shoppers as well as those planning to locate a
particular retailer as a predetermined destination. Effective signage allows the
retailer to benefit from its mass marketing efforts and expenditures.
a. Pylon signage
b. Monument signage
c. Tenant specific signage
11. Competition: Because of the semi urban "main street" design of the Lifestyle
center, there will be no other centers with this configuration. The shopping
centers in the trade area will compliment this center due to proximity and
accessibility. It provides the tenants and patrons with all of the benefits of
superior position within the trade area.
a. Unique main street design
b. Proximity with other retail
c. Superior location and access
12. Quality of Center: Clemmons Town Center is designed to represent the quality
of a Lifestyle center that will appeal to tenants within/ in the market.
a. Marketable appeal through contemporary design
b. Quality construction materials and execution
c. Regularly scheduled maintenance to maintain the quality of the center
13. Project Economics: Economic feasibility was weighed to determine if the
Clemmons Town Center 6

Lifestyle center would prove viable for the all stakeholders. This is vital for
project success and to insure there would be no project failure that will
negatively impact the local economy and community.
a. Rental rate, maintenance and tax expenses
b. Total occupancy cost
c. Co -tenancy strength and lease term optionality
Clemmons Town Center 7

Alternatives Analysis
CTC has made a concerted effort to locate and assess potential alternative sites
for a Lifestyle Center development within this trade area. While making this
assessment, it is important that consideration is made to the long-term success and
sustainability for the tenants of this Lifestyle Center.
The purpose of this analysis was to determine if there are any practical site
alternatives for the development of this Lifestyle center that meet the site selection
criteria of the Lifestyle Center. It is important to be aware that a practical alternative
site is not simply finding a parcel of land with the same acreage within the trade area.
Many more factors have to be seriously considered to insure the success to the tenants
doing business in this Lifestyle Center. The factors to consider are addressed in the
Retail Site Selection Criteria previously discussed and this multitude of criteria is within
the retail industry expectations that are driven by the retail market.
CTC must deliver a Lifestyle Center that accommodates all of the retail industry
site criteria. With national tenants, one criteria missing from a site would result in the
national tenant looking outside this trade area, in or out of state, to fulfill their
respective growth objectives. It is vital for CTC to fulfill the requirements of these
national tenants to maintain business relationships with these tenants. The operational
success of each specific tenant has evolved over decades with respective criteria
evolving with hundreds of retail stores. With this, tenants have become sophisticated
with each of their respective requirements, the foundation of which is the industry
criteria. This cannot be overstated enough; the operational success is dependent upon
the industry criteria. Without the proper site criteria, CTC would lose the confidence
with these tenants, adversely effecting future business development opportunities.
The following are site selection criteria made to find a viable offsite alternative.
The greatest challenge is finding a property that is available, much less, that meet the
required criteria:
• The primary trade area is Clemmons, NC.
• The minimum size requirement for the site is 16 to 24 acres.
• The site must be fairly rectangular in shape.
Clemmons Town Center 8

• The site must have manageable topography.
• Must have good site lines from major highways.
• The site has to be available.
Clemmons Town Center 9

Site 1— Exit 180 (Exhibit K)
• Location: Exit 180, Vicinity of I-40 and Hwy 801
• Size: 28.12 acres
• Not for sale
• Not in Trade area.
• Moderate synergy: moderate population, low traffic.
Site 2 — Exit 174 (Exhibit L)
• Location: Exit 174, Vicinity of I-40 and Farmington Rd.
• Size: 24.26 acres
• Not for sale
• Not in Trade area.
• No synergy: low population, low traffic, no significant trade area.
Site 3 — Exit 170 (Exhibit M)
• Location: Exit 170, Vicinity of I-40 and Hwy 601
• Size: 15.24 acres — Low on acreage
• Not for sale
• Not in Trade area.
. Challenging topography
• No synergy: low population, low traffic, no significant trade area.
Site 4 — Exit 170 (Exhibit N)
• Location: Exit 170, Vicinity of I-40 and Hwy 601
Clemmons Town Center 10

• Size: 19.69 acres
• Not for sale
• Not in Trade area.
• Challenging topography
• No synergy: low population, low traffic, no significant trade area.
Site 5 - Exit 170 (Exhibit O)
• Location: Exit 170, Vicinity of I-40 and Hwy 601
• Size: 48.02 acres - High acreage
• Not for sale
• Not in Trade area.
• Challenging topography
• No synergy: low population, low traffic, no significant trade area.
Site 6 - Exit 168 (Exhibit P)
• Location: Exit 168, Vicinity of I-40 and Godbey Rd.
• Size: 17.54 acres
• Not for sale
• Not in Trade area.
• No synergy: low population, low traffic, no significant trade area.
Clemmons Town Center 11

Conclusion
CTC has analyzed a variety of alternatives for the Lifestyle Center development
that would be a practical alternative to the site. Both off-site alternatives and
reconfiguration of onsite options were analyzed, however, given there are no other
sites available for development within this trade area would significantly diminish the
viability and success of the Lifestyle Center.
The alternatives examined above are either impractical from a use standpoint or
are economically not viable. In today's marketplace, to develop a Lifestyle Center at a
location that does not meet the required site selection criteria would burden tenants
with a high level of occupancy costs, placing the business operations at a disadvantage
from day one and will result in failure.
Based upon the analysis of offsite alternatives, the practical choice is the site
proposed due to the synergy and connectivity to the community. Both synergy and
connectivity to a viable trade area will ensure a greater opportunity for success of
tenant from day one. This site meets all of the criteria to make a successful Lifestyle
Center.
Clemmons Town Center 12

ATTACHMENTS
Exhibit A - Site Vicinity Map
Exhibit B -
Site Location Map
Exhibit C
- Clemmons Area Master Plan
Exhibit D
- Aerial Map
Exhibit E -
Surrounding Retail
Exhibit F -
Overall Site Plan
Exhibit G
- Site Plan
Exhibit H - Birds Eye View of Proposed Development
Exhibit I - Map of Off -Site Locations Analyzed as Alternative Parcels
Exhibit J - Census Demographic Data
Exhibit K - Alternative Site 1
Exhibit L -
Alternative Site 2
Exhibit M
- Alternative Site 3
Exhibit N
- Alternative Site 4
Exhibit O
- Alternative Site 5
Exhibit P -
Alternative Site 6
Clemmons Town Center 13

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Exhibit K
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
D700000223
Township:
Farmington
NCPIN Number:
5872139311
Municipality:
BERMUDA RUN
Account Number:
33248000
Census Tract:
37059-802
Listed Owner 1:
HARRISON WILLIAM P
Voting Precinct:
HILLSDALE
Mailing Address 1:
C/O JEFF HARRISON
Planning Jurisdiction:
BERMUDA RUN
City: CORNELIUS
Zoning Class:
BERMUDA RUN CM,GB
State:
Zip Code:
Legal Description:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
NC Zoning Overlay:
28031-8000 Voluntary Ag. District:
28.55 AC OFF HWY 158 Fire Response District: SMITH GROVE
28.12 Elementary School Zone: SHADY GROVE
5/1978 Middle School Zone: WILLIAM ELLIS
001040885 Soil Types: PcB2,PcC2,MsC,ChA
Flood Zone:
Watershed Overlay: BERMUDA RUN
0.00 Outbuilding & Extra
Freatures Value:
354950.00 Total Market Value: 354950.00
354950.00
No
0.00
y ++
Davie County,
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
NCor
arising out of the use or inability to use the GIS data provided by this website.

Exhibit L
WARNING: "PHIS IS NOTA SURVEY
Parcel Information
Parcel Number: F500000030 Township: Farmington
NCPIN Number: 5840656444 Municipality:
Account Number: 8301709
Census Tract:
37059-802
Listed Owner 1: BRIAN PROPERTIES LLC
Voting Precinct:
NORTH MOCKSVILLE COUNTY
Mailing Address 1: PO BOX 364
Planning Jurisdiction:
Davie County
City: WRIGHTSVILLE BEACH
Zoning Class:
DAVIE COUNTY R -20,H -B
State: NC
Zoning Overlay:
DAVIE COUNTY QD
Zip Code: 28480-0364 Voluntary Ag. District:
Legal Description: 24.94 AC FARMINGTON RD Fire Response District:
Assessed Acreage: 24.26 Elementary School Zone:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
12/2012 Middle School Zone:
009120253 Soil Types:
Flood Zone:
Watershed Overlay:
0.00 Outbuilding & Extra
Freatures Value:
No
SMITH GROVE
PINEBROOK
NORTH DAVIE
EnB,Ud
DAVIE COUNTY
0.00
Land Value: 292550.00 Total Market Value: 292550.00
Total Assessed Value: 292550.00
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
1 C "" °'"• Davie County, implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and all claims or causes of action due to
r,•S A 1� C or arising out of the —Cor inability to use the GIS data provided by this website.

Exhibit M
WARNING: THIS IS NOT A SURVEY
Parcel Information
1h
Parcel Number:
H400000015 Township:
Mocksville
NCPIN Number:
5739046820 Municipality:
Account Number:
27681000 Census Tract:
37059-806
Listed Owner 1:
FROST ANNE TRUSTEE Voting Precinct: NORTH
MOCKSVILLE COUNTY
Mailing Address 1:
8860 EAST ORCHID ISLAND CIRCLE Planning Jurisdiction:
MOCKSVILLE
City: VERO BEACH Zoning Class:
MOCKSVILLE HC
State:
FL Zoning Overlay:
Zip Code:
32963-0000 Voluntary Ag. District:
No
Legal Description:
15.20 AC HWY 601 OFF Fire Response District:
MOCKSVILLE
Assessed Acreage:
15.24 Elementary School Zone:
MOCKSVILLE
Deed Date:
9/1986 Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
001340862 Soil Types: EnB,MsC,CeB2,MsD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
MOCKSVILLE
Building Value:
0.00 Outbuilding & Extra
0-00
Freatures Value:
Land Value:
380000.00 Total Market Value:
380000.00
Total Assessed Value:
380000.00
C'A'•' f'4
�s d' �ff
Davie
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
11•
County of Davie, North Carolina, its agents, consultants, contractors or employees from
any and all claims or causes of action due to
NCor
arising out of the use or inability to use the GIS data provided by this website.

Exhibit N
WARNING: THIS IS NOT A SURVEY
Parcel Information
Parcel Number:
H400000013 Township:
Mocksville
NCPIN Number:
5739047217 Municipality:
MOCKSVILLE
Account Number:
82526525 Census Tract:
37059-806
Listed Owner 1: FROST BETTY G REVOCABLE TRUST Voting Precinct: NORTH
MOCKSVILLE COUNTY
Mailing Address 1: 1281
NORTH MAIN STREET Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class:
MOCKSVILLE HC
State:
NC Zoning Overlay:
Zip Code: 27028-0000 Voluntary Ag. District:
No
Legal Description:
19.712 AC HWY 601 Fire Response District:
MOCKSVILLE
Assessed Acreage:
19.69 Elementary School Zone:
MOCKSVILLE
Deed Date:
6/2006 Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
006640998 Soil Types: MrB2,PcC2,EnB,CeB2,MsD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
MOCKSVILLE
Building Value:
0.00 Outbuilding & Extra
15590.00
Freatures Value:
Land Value:
707750.00 Total Market Value:
723340.00
Total Assessed Value:
723340.00
C'A'•' f'4
�s d' �ff
Davie
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
11•
County of Davie, North Carolina, its agents, consultants, contractors or employees
from any and all claims or causes of action due to
NCor
arising out of the use or inability to use the GIS data provided by this website.

Exhibit O
Legal Description:
WARNING: THIS 1S NOTA SURVEY
Fire Response District:
MOCKSVILLE
Parcel Information
48.02
Parcel Number:
H400000093
Township:
Mocksville
NCPIN Number:
5739147484
Municipality:
MOCKSVILLE
Account Number:
43396000
Census Tract:
37059-806
Listed Owner 1:
KOONTZ LILLIAN
Voting Precinct:
NORTH MOCKSVILLE COUNTY
Mailing Address 1:
187 KOONTZ ROAD
Planning Jurisdiction:
MOCKSVILLE
City: MOCKSVILLE
Zoning Class:
MOCKSVILLE HC,OSR
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
51.50 AC KOONTZ RD
Fire Response District:
MOCKSVILLE
Assessed Acreage:
48.02
Elementary School Zone:
MOCKSVILLE
Deed Date:
6/1945
Middle School Zone:
SOUTH DAVIE
Deed Book / Page:
000440481
Soil Types: PcC2,EnB,MsC,CeB2,MsD
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
MOCKSVILLE
Outbuilding & Extra
Building Value:
2380-00
6160-00
Freatures Value:
Land Value:
808830.00
Total Market Value:
817370.00
Total Assessed Value:
529260.00
C'A'•' f'4
�s r"8,ii
Davie County
All data is provided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
11•
County of Davie, North Carolina,
its agents, consultants, contractors or employees
from any and all claims or causes of action due to
1� C
or arising out of the use
or inability to use the GIS data provided by this website.

Exhibit P
VVAKINUNU: l tYtJ In 1VV l A JUKV LY
Parcel Information
Parcel Number:
130000000901
Township:
Calahaln
NCPIN Number:
5718991538
Municipality:
Account Number:
8304359
Census Tract:
37059-801
Listed Owner 1:
LAKEY GRANT S
Voting Precinct:
NORTH CALAHALN
Mailing Address 1:
165 WALKER ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-A,R-20
State:
NC
Zoning Overlay:
Zip Code:
27028
Voluntary Ag. District:
No
Legal Description:
17.627 AC OFF GODBEY RD
Fire Response District:
CENTER
Assessed Acreage:
17.54
Elementary School Zone:
WILLIAM R DAVIE
Deed Date:
11/2014
Middle School Zone:
NORTH DAVIE
Deed Book / Page:
009730692
Soil Types:
RnC,RnD,CeB2
Plat Book:
Flood Zone:
Plat Page:
Watershed Overlay:
DAVIE COUNTY
Building Value:
710.00
Outbuilding & Extra
0.00
Freatures Value:
Land Value:
74390.00
Total Market Value:
75100.00
Total Assessed Value:
75100.00
'A'•' f'4
D•dVle ��tlltTy�
rovided as is without warranty or guarantee of any kind either expressed or implied including but not limited to the
ranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the
F.pfled
avie,North Carolina,
its agents, consultants, contractors or employees
from any and all claims or causes of action due to
1� C
ut of the use
or inability to use the GIS data provided by this website.

Intermittent Stream Impact:
673 LF +/--
Perennial Stream Impact:
782 LF +/-7
-
Wetland Impacts:
1.01 AC +/-
Building 2
Size: 81600 SF +/-
Stories: 1 Story
Story 1: Retail/Restaurant 8,600 SF
I
Building 1
Size: 193290 SF +/-
Stories: 1 Stories
Story 1: Retail/Restaurant 19,290 SF +/-
Building 7
Size: 8,600 SF +/-
Stories: 1 Story
Story 1: Retail/Restaurant 8,600 SF +/-
C
7
0
10 Spaces +/-
0
Building 3
Size:
77,000 SF +/-
Stories:
5 Stories
Story 1:
Hotel 17,000 SF +/-
Story 2:
Hotel 15,000 SF +/-
Story 3:
Hotel 15,000 SF +/-
Story 4:
Hotel 15,000 SF +/-
Story 5:
Hotel 15,000 SF +/-
Q�
457 Spaces
a
)❑2
28 Spaces +l-,.•�+
❑7
THIS IS A PRELIMINARY SITE PLAN AND THEREFORE PLAN
REVISIONS MAY OCCUR DURING FINAL ENGINEERING.
Building 6
Size: 18,950 SF
Stories: 3 Stories
Story 1: Retail/Restaurant 4,550 SF
Retail/Office 4,800 SF +/-
Story 2: Residential 4,800 SF +/-
Story 3: Residential 4,800 SF
OeW
A
25 Spaces +/-
0
Existing Intermittent Stream
27 Spaces., n
F6
Building 4
Size: 18,200 SF +/-
Stories: 1 Story
Story 1: Retail/Restaurant 18,200 SF +/-
Areas of Impact
Stream Impacts
Perennial Streams: 855.5 LF +/-
Intermittent Streams: 673.0 LF +/-
Total Stream Impact Area: 1528.5 LF +/-
Wetland Impacts
Total Wetland Impact Area 1.115 AC +/-
LEGEND
Existing Stream
Perennial Stream Impacts
■ ■ ■ ■ ■ ■ ■ Intermittent Stream Impacts
m
W
C Existing Wetlands
WL
Ofm
n Wetland Impacts
m
O I
v) --
O
170 Spaces
I
INV. 815.14
78.
RCp
f
Buildina Leaend
Use Size
Residential (7 Units) 9,600 SF +/-
Hotel (105 Rooms) 77,000 SF
Office/Retail (Live/Work) 4,800 SF +/-
Retail/Restaurant 62,500 SF +/-
Food Store 22,000 SF +/-
/ Rec. Facility (Indoors)
Parking Requirements
Parking Required: 667 Spaces
PB Parkina Reduction: -200 SDaces
Total Required: 467 Spaces
Parking Provided: 469 Spaces+/ -
SITE DATA
Jurisdiction
Clemmons, NC
Zoning
Existing Zoning: PB -S
Site Acreage
Site Boundary: 16.31 Acres
Area of Disturbance: 14.19 Acres +/-
Watershed Data
Site Is Located Within The Yadkin River WS IV Water
Supply Watershed District
Clemmons
Town Center
Clemmons,NC 11/11/16
Alternative A
Project #: 15-177
Prepared by:
A I 601 N.TRADEN -SA STREET, SUITE 200
OV -1 �l WINSTOC?N-SALEM, NC 27101
www.stimmelpa.com 336.723.1067
LANDSCAPE ARCHITECTURE CIVIL ENGINEERING LAND PLANNING
0 60 120 180
NORTH SCALE: 1" = 60'
&qj
Q�
THIS IS A PRELIMINARY SITE PLAN AND THEREFORE PLAN
REVISIONS MAY OCCUR DURING FINAL ENGINEERING.
Building 6
Size: 18,950 SF
Stories: 3 Stories
Story 1: Retail/Restaurant 4,550 SF
Retail/Office 4,800 SF +/-
Story 2: Residential 4,800 SF +/-
Story 3: Residential 4,800 SF
OeW
A
25 Spaces +/-
0
Existing Intermittent Stream
27 Spaces., n
F6
Building 4
Size: 18,200 SF +/-
Stories: 1 Story
Story 1: Retail/Restaurant 18,200 SF +/-
Areas of Impact
Stream Impacts
Perennial Streams: 855.5 LF +/-
Intermittent Streams: 673.0 LF +/-
Total Stream Impact Area: 1528.5 LF +/-
Wetland Impacts
Total Wetland Impact Area 1.115 AC +/-
LEGEND
Existing Stream
Perennial Stream Impacts
■ ■ ■ ■ ■ ■ ■ Intermittent Stream Impacts
m
W
C Existing Wetlands
WL
Ofm
n Wetland Impacts
m
O I
v) --
O
170 Spaces
I
INV. 815.14
78.
RCp
f
Buildina Leaend
Use Size
Residential (7 Units) 9,600 SF +/-
Hotel (105 Rooms) 77,000 SF
Office/Retail (Live/Work) 4,800 SF +/-
Retail/Restaurant 62,500 SF +/-
Food Store 22,000 SF +/-
/ Rec. Facility (Indoors)
Parking Requirements
Parking Required: 667 Spaces
PB Parkina Reduction: -200 SDaces
Total Required: 467 Spaces
Parking Provided: 469 Spaces+/ -
SITE DATA
Jurisdiction
Clemmons, NC
Zoning
Existing Zoning: PB -S
Site Acreage
Site Boundary: 16.31 Acres
Area of Disturbance: 14.19 Acres +/-
Watershed Data
Site Is Located Within The Yadkin River WS IV Water
Supply Watershed District
Clemmons
Town Center
Clemmons,NC 11/11/16
Alternative A
Project #: 15-177
Prepared by:
A I 601 N.TRADEN -SA STREET, SUITE 200
OV -1 �l WINSTOC?N-SALEM, NC 27101
www.stimmelpa.com 336.723.1067
LANDSCAPE ARCHITECTURE CIVIL ENGINEERING LAND PLANNING
0 60 120 180
NORTH SCALE: 1" = 60'

Areas of Impact Building Legend
I �
C- 0 � Stream Impacts Use Size
nPerennial Streams: 75.3 LF +/- Residential (7 Units) 9,600 SFCn
M i Intermittent Streams: 573.5 LF
Building 3Hotel (105 Rooms) 77,000 SF
DTotal Stream Impact Area: 648.8 LF +/-
Building 2 m Size: 36,400 SF
Size: 77,000 SF Stories: 2 Stories p
+/-
Wetland Impacts Office/Retail (Live/Work) 4,800 SF
+/- i i
Stories: 5 Stories Story 1: Retail/Restaurant 18,200 SIF +/- , Total Wetland Impact Area 0.109 AC +/- Retail/Restaurant 62,500 SF
nl_.-. n. r1 -L-A /Pl__a_...._.-L An nnn el r- � 1
I F�FNn
Existing Stream
Perennial Stream Impacts
■ ■ ■ ■ ■ ■ ■ Intermittent Stream Impacts
Existing Wetlands
� Wetland Impacts
rzz' zid, J �
j
a
m
WL
WL
0
Perennial S
.Q
0
Food Store 22,000 SF +/-
/ Rec. Facility (Indoors)
Parking Requirements
Parking Required: 667 Spaces
PB Parking Reduction: -200 Spaces
Total Required: 467 Spaces
Parking Provided: 469 Spaces+/ -
SITE DATA
Jurisdiction
Clemmons, NC
Zoning
Existing Zoning: PB -S
Site Acreage
Site Boundary: 16.31 Acres
Area of Disturbance: 11.27 Acres +/-
Watershed Data
Site Is Located Within The Yadkin River WS IV Water
Supply Watershed District
Clemmons
Town Center
gemmans,NC 11/11116
Alternative B
Project #: 15-177
Prepared by:
601 N. TRADE STREET, SUITE 200
I I WINSTON-SALEM, NC 27101
www.stimmelpa.com 336.723.1067
LANDSCAPE ARCHITECTURE CIVIL ENGINEERING LAND PLANNING
0 60 120 180
NORTH SCALE: 1" = 60'

Mitigation Services
EN VIRDNMENTAL QUALITY
Steven Hankins
Clemmons TC, LLC
16501 Northcross Drive, Suite D
Huntersville, NC 28078
Project: Clemmons Town Center
PAT MCCRORY
(,orrrllor
DONALD R. VAN DER VAART
November 14, 2016
Expiration of Acceptance: May 14, 2017
County: Forsyth
The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) is willing to accept
payment for compensatory mitigation for impacts associated with the above referenced project as indicated in the
table below. Please note that this decision does not assure that participation in the DMS in -lieu fee mitigation
program will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility
of the applicant to contact permitting agencies to determine if payment to the DMS will be approved. You must
also comply with all other state, federal or local government permits, regulations or authorizations associated with
the proposed activity including G.S. § 143-214.11.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not
received a copy of the issued 404 Permit/401 Certification/CAMA permit within this time frame, this
acceptance will expire. It is the applicant's responsibility to send copies of the permits to DMS. Once DMS
receives a copy of the permit(s) an invoice will be issued based on the required mitigation in that permit and
payment must be made prior to conducting the authorized work. The amount of the in -lieu fee to be paid by an
applicant is calculated based upon the Fee Schedule and policies listed at http://portal.nedenr.org/web/eep.
Based on the information supplied by you in your request to use the DMS, the impacts that may require
compensatory mitigation are summarized in the following table. The amount of mitigation required and assigned
to DMS for this impact is determined by permitting agencies and may exceed the impact amounts shown below.
Impact
River
Basin
CU Location
(8 -digit HUC)
Stream (feet)
r I Buffer II
Wetlands (acres) B;.Ft.)
(S(Sq. Ft.)
Cold Cool
Warm
Ri arian
Non-Ri arian Coastal MarshYadkin
03040101
0 0
800
0.75
0 0 0
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The mitigation
will be performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010 and 15A NCAC
02B .0295 as applicable. Thank you for your interest in the DMS in -lieu fee mitigation program. If you have any
questions or need additional information, please contact Kelly Williams at [phone].
cc: Bradley Luckey -agent
SincereV,
FORrsillment Supervisor
State of North Carolina Environmental Quality Mitigation Services
1652 Mail Service Center I Raleigh NC 27699-1652 I 217W. Jones Street, Suite 3000
919 707 8976 T