20081037 Ver 1_Application_20080701

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Corps Submittal Cover Sheet
1. Project Name: The Crossings at Cambria (Capps Road Site)
2. Name, Mailing Address, Phone Number of Property Owner/Applicant
Company and/or Name: Charlotte Holdings V, LLC (Tyson Reilly)
Address: 11508 Providence Rd. Ste H-241 Charlotte NC 28226
Phone: [phone]
3. Name of Consultant/Agent: Pamela Bowman (WNR
4. Related/Previous Action ID number(s): SAW-2007-02390
5. Site Address: Capps Road, Charlotte, NC
6. Subdivision Name: The Crossings at Cambria
7. City: Charlotte
8. County: Mecklenburt
9. Lat: 35.0799 N Long: 81.0235 W
10. Quadrangle Name: Lake Wylie
11. Waterway: UT to Lake Wylie, UT to Studman Branch
12. Watershed: Upper Catawba (03050101 )
13. Jurisdictional Features on the Site: (Approximations Only.)
Stream Length: +/- 3500 linear fleet
Wetland Area: +l- 0.04 acres
Open Water Area: 0 acres
14. Requested Action:
® Nationwide Permit # 29
? General Permit #
? Jurisdictional Determination Request
? Pre-Application Request
The following information will be completed by Corps office:
AID:
Prepare File Folder Assign number in ORM
Authorization: Section 10
Project Description / Nature of Activity / Project Purpose:
Site/Waters Name:
08 1037

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JUN
WEI LANDS
AN tirDRMk1?r?f ?`tAl?e;w
Section 404
Begin Date
Keywords:
Wetland and Natural Resource
Consultants, Inc.
June 26, 2008
US Army Corps of Engineers
Attn: Mr. Steve Chapin
151 Patton Ave, Room 208
Asheville, North Carolina 28801-5006
Re: Charlotte Holdings V, LLC - The Crossings at Cambria
Mecklenburg County, North Carolina
NW Permit 29 Request - Revision
AID # SAW-2007-02390
Dear Mr. Chapin:
The purpose of this correspondence is to request that a revised NW Permit 29 be issued for the
above referenced project. A NW 29 (AID # SAW-2007-02390) was issued for the site on
9/20/07 that authorized <150 linear feet of stream impacts for two road crossings and one
driveway access. A JD was issued for the project at this time as well. A copy of the permit and JD
are attached for your review. A copy of a request for permit transfer is also attached. Please
issue the revised permit and water quality certification to Charlotte Holdings V, LLC.
An additional stream crossing was originally proposed to be bridged. However, due to the
topographic constraints in the area of the crossing, it is not economically feasible to bridge this
stream. For this reason, an additional 256 linear feet of intermittent unimportant stream impact is
necessary. The previous crossings will be lengthened too, in order to meet DOT requirements. The
total impacts proposed (previously authorized and additional) will be 365 linear feet of intermittent
unimportant stream and 234 linear feet of perennial stream. We are requesting that the 300 foot
limit for NW Permits be waived, since the impacts over 300 feet occur to intermittent unimportant
streams. No wetland impacts will occur.
The stream impacts are all necessary in order to access the entire site. Mitigation is proposed for
the 234 linear feet of perennial impacts through purchase into the NC EEP. A copy of the ILF
request form is attached, and a copy of the acceptance letter will be sent to your offices once
received.
The impervious area of the site is proposed to be less than 24% (see attached engineer
calculations). Existing sanitary sewer will be utilized for the majority of the site. Additional sewer
will be permitted under a separate NW 12 as it is located offsite and can service other areas.
Newton Office Canton Office
PO Box 224 wnrinc.com 68 Poplar Street
Newton, NC 28658 Canton, NC 28716
828-465-3035 828-648-8801
828-465-3050 Fax [phone] Fax
A revised impact map, cross-sections, plan views, profile views, agent authorization form, site
vicinity map, U565 map, soils map, aerial photograph, pictures, and stream forms (Corps and DWQ)
are attached for your review. Feel free to call with any questions that you have.
Best regards,
1' ?otv'w?a.V?
Pamela Bowman
828-310-6845
Cc: NCD WQ
Attn: Ms. Cyndi Karoly
2321 Crabtree Blvd., Suite 250
Raleigh, NC 27604-2260
Newton Office
PO Box 224
Newton, NC 28658
828-465-3035
828-465-3050 Fax
NCD WQ
Attn: Mr. Alan Johnson
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Clyde Office
wnrinc.com 217 Paragon Parkway, # 142
Clyde, NC 28721
828-627-0051
2 828-627-0052 Fax
T W-77 77;7

i
1Netland and Natural Resource
Consultants. Inc.
W
Deparunent of the Army
Wilmington Di<-crict, Corps of Ergineers
Attn: Ken Jolly, Chief Regulatory Division
PC Box 1890
Wilmington, North Carolina, 28402-1890
-dnd-
NC Division of Water Quality, Wetlands Unit
Actn: Cyndi Karoly
2321 Crabtree Blvd.
Raleigh. North Carolina, 27604-2260
I, the current landowner of the property identified below, hereby authorize Wetland and Nattral Resource
Consultants. Inc. to act on my behalf as my agent during the determination of regulated limits of waters and
wetlands and processing of permits to impact Wetlands and Waters of the US that are regulated by the Clean
Water Act and the Rivers and Harbors Act-
Federal and State agents are authorized to be on said property when accompanied by Wetland and Natural
Resource Consultants, Inc, staff.
Wetland and Natural Resource Consultants, Inc. is authorized co provide supolementzl information needed for
permit processing at the request of the Corps or DWQ.
}} ff r I /
Property Owner / Applicant: L- L L
Contact Name: 5>- Ac(' _rf?r
SF k ?yl
Street Address / PO Box; f (5O g ?Co?? d ?•, (c ?
City, State, Zip Code: C ???f r6 ??t v a a Ca
-`T
Phone / Fax Number: 7u Y- 8 7 -a 9f
Project Name: l ?1 t 6 tm S L 'a
Property Street Address: z a aa r- 4d c r C?14?/6 4?[ , NL P4f[{ (? /' ?7 U 9 ?o?O
( creet address, city, State, zip)
Owners / Applicant Signature: Date:
Newton Office Clyde Office
PO Box 2I4 wnrirc.com PO Box 882
Newton, NC 28658 Cancon, NC 28716
828-465.3035 828-648-8801
828-465.3050 Fax t 828-648-8802 Fax
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID. SAW-2007-02390 County: Mecklenburg USGS Quad: Lake Wylie
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: Martha Capps Dover
Address: 112 Ridge Road
Fort Mill, SC 29715
Telephone No.:
Size and location of property (water body, road name/number, town, etc.): Capps Road propertv located on a 35 acre
tract off of Capps Road; near Charlotte
Description of projects area and activity: Construct 3 culverted road crossings impacting a total of <150 LF of UT's -
Lake Wylie to serve the above referenced propertv.
Applicable Law: ® Section 404 (Clean Water Act, 33 USC 1344)
? Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number:
Nationwide Permit Number: 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 from 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 permit, 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 this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Steve Chapin.
Corps Regulatory Official Steve Chapin Date: 9/20/07
Expiration Date of Verification: 9/20/09
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 http://www.saw.usace.army.mil/WETLANDSiindex.htmI to
complete the survey online.
Page 1 of 2
Determination of Jurisdiction:
? Based on preliminary information, there appear to be waters of the US including wetlands within the above described project area.
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: UT's-Lake Wvlie>Lake Wvlie (Catawba River) which is navieable-in-fact
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:Steve Chapin, Project Manager,
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
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 been received by the District Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by 11/20/07.
**It is not necessary to submit an RFA form to the District Office if you do not object to the determination in this correspondence.**
Corps Regulatory Official: -Steve Chapin
Date 9/20/07
Expiration Date 9/20/2012
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT PLANS, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
Copy Furnished:
WNR (Pamela Bowman)
Page 2 of 2
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Office Use Only: Form Version March 05
USACE Action ID No. DWQ No. .08 1 0 3 7
([f any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
1. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ? Riparian or Watershed Buffer Rules
? Section 10 Permit ? Isolated Wetland Permit from DWQ
® 401 Water Quality Certification ? Express 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: 29
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ?
4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed
for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII,
and check here:
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ?
11. Applicant Information V> k,-
nn0o
1. Owner/Applicant Information
z
Name: Charlotte Holdings V. LLC (Tyson Reilly) ri
Mailing Address: 11508 Providence Road, St. H-241, Charlotte, NC 2822,k FRsNW,rl
Telephone Number: 704-837-2951 Fax Number: 310-626-9263
E-mail Address:
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: Pamela Bowman
Company Affiliation: Wetland and Natural Resource Consultants
Mailing Address: PO Box 224
11 South College Avenue
Newton, NC 28658
Telephone Number: 828-310-6845 Fax Number: 828-465-3050
E-mail Address: wnrinc a.aol.com
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
Page 1 of 8

boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: The Crossings at Cambri
2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A
3. Property Identification Number (Tax PIN): 21709106
4. Location
County: Mecklenburg Nearest Town: Charlotte
Subdivision name (include phase/lot number): N/A
Directions to site (include road numbers/names, landmarks, etc.): From Charlotte, head south
on Hwy 49. Turn left on Youngblood Road. Turn right on Capps Road. Main road ends
aproximatelat property line of site.
5. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that
separately lists the coordinates for each crossing of a distinct waterbody.)
Decimal Degrees (6 digits minimum): 35.0790°N 81.0242°W
6. Property size (acres): +1-35 acres
7. Name of nearest receiving body of water: UT to Lake Wylie
8. River Basin: Catawba
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)
Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: The site is almost entirely wooded. Some roadways have been
staked in the field and the brush partially removed. The majority of the surrounding parcels
are either already developed or are under construction to be developed.
Describe the overall project in detail, including the type of equipment to be used: The project
will involve the construction of roads and a driveway crossing for a single family residential
development. Typical grading/excavating equipment will be used.
Page 2 of 8
Explain the purpose of the proposed work: The project will provide the necessary road
infrastructure and driveway access for a residential development.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules. A Corps Permit and JD (AID # SAW-2007-02390) were issued for the
Droiect on 9/20/07. The Dermit authorized <150 feet of stream impact for three stream crossings.
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
N/A
Vl. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. Each impact must be
listed separately in the tables below (e.g., culvert installation should be listed separately from
riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts,
permanent and temporary, must be listed, and must be labeled and clearly identifiable on an
accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial)
should be shown on a delineation map, whether or not impacts are proposed to these systems.
Wetland and stream evaluation and delineation forms should be included as appropriate.
Photographs may be included at the applicant's discretion. If this proposed impact is strictly for
wetland or stream mitigation, list and describe the impact in Section VIII below. If additional
space is needed for listing or description, please attach a separate sheet.
Provide a written description of the proposed impacts: 599 linear feet of stream will be impacted
for three road crossings and one driveway access. 234 linear feet of impact will occur to
perennial, mitigable streams, while 365 linear feet of impacts will occur to intermittent,
unimportant streams. 149 linear feet out of the total stream impacts were authorized under the
previous permit for two road crossings and one driveway access.
1. Individually list wetland impacts. Types of impacts include, but are not limited to
mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams,
separately list impacts due to both structure and flooding. -t-- Wetland Impact Type of Wetland Located within Distance to Area of

Site Number Type of Impact (e.g., forested, marsh, 100-year Nearest Impact
(indicate on ma) herbaceous, bog, etc.) Flood lain Stream (acres)
Page 3 of 8
( es/no) (linear feet)
N/A
Total Wetland Impact (acres)
2. List the total acreage (estimated) of all existing wetlands on the property: <0.1 acres
3. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary
impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam
construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib
walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed,
plans and profiles showing the linear footprint for both the original and relocated streams
must be included. To calculate acreage. multinly lenuth X width. then divide by 43.560.
Stream Impact
Number
(indicate on ma)
Stream Name
Type of Impact Perennial or
Intermittent'? Average
Stream Width
Before Impact Impact
Length
(linear feet) Area of
Impact
(acmes)
Culvert I UT to Lake Wylie road crossing perennial 4 234 0.021
Culvert 2 UT to Lake Wylie road crossing int unimport 3 91 0.006
Culvert 3 UT to Lake Wylie road crossing int unimport 3 256 0.018
Driveway UT to Lake Wylie driveway crossing int unimport 3 18 0.001

Total Stream Impact (by length and acreage) 599 0.046
4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.). Open water impacts include, but are not limited to
fill. excavation- dredt?ing_ fleedinQ_ drninnoe_ hulkhends etc
Open Water Impact
Site Number
(indicate on ma) Name of Waterbody

(if applicable)
Type of Impact Type of Waterbody
(lake, pond, estuary, sound, bay,
ocean, etc.) Area of
Impact
(acres)
N/A

Total Open Water Impact (acres)
Page 4 of 8
5. List the cumulative impact to all Waters of the U.S. resulting from the project:
Stream Impact (acres): 0.046
Wetland Impact (acres): N/A
Open Water Impact (acres): N/A
Total Impact to Waters of the U.S. (acres) 0.046
Total Stream Impact (linear feet): 599
6. Isolated Waters
Do any isolated waters exist on the property? ? Yes ® No
Describe all impacts to isolated waters, and include the type of water (wetland or stream) and
the size of the proposed impact (acres or linear feet). Please note that this section only
applies to waters that have specifically been determined to be isolated by the USACE.
N/A
7. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): ? uplands ? stream ? wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): N/A
Current land use in the vicinity of the pond: N/A
Size of watershed draining to pond: N/A Expected pond surface area: N/A
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts. The additional impacts are
necessarv in order to access the remainder of the property. Due to the size and steepness of the
feature, it is not economically feasible to bridize this stream. In addition, the other stream
impacts were increased in order to comply with the NC DOT requirements. All of the impacts
are necessary to access the entire property and the lots. The majority of these impacts occur to
intermittent unimportant streams. Furthermore, no wetland impacts are proposed.
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
Page 5 of 8
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on January 15, 2002, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size" of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete.
An applicant may also choose to review the current guidelines for stream restoration in DWQ's
Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetiands/strmgide.htm1.
Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, ifoffsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
Mitigation is proposed for the 234 linear feet of perennial impacts through purchase into the
N(' PFP
2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement
Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at
[phone] to determine availability, and written approval from the NCEEP indicating
that they are will to accept payment for the mitigation must be attached to this form. For
additional information regarding the application process for the NCEEP, check the NCEEP
website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please
check the appropriate box on page five and provide the following information:
Amount of stream mitigation requested (linear feet): 234
Amount of buffer mitigation requested (square feet): N/A
Amount of Riparian wetland mitigation requested (acres): N/A
Amount of Non-riparian wetland mitigation requested (acres): N/A
Amount of Coastal wetland mitigation requested (acres): N/A
IX. Environmental Documentation (required by DWQ)
Page 6 of 8
1. Does the project involve an expenditure of public (federal/state/local) funds or the use of
public (federal/state) land? Yes ? No.
X.
2. If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ? No ? _
3. If yes, has the document review been finalized by the State Clearinghouse? If so, please
. attach a copy of the NEPA or SEPA final approval letter. Yes ? No ?
Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide.
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
1. Will the project impact protected riparian buffers identified within 15A NCAC 213 .0233
(Neuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC
2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please
identify N/A)? Yes ? No
2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers.
If buffer mitigation is required calculate the required amount of mitigation by applying the
buffer multipliers.
Zone* Impact Required
. (square feet) Multiplier
Mitigation
I N/A 3 (2 for Catawba) N/A
2 1.5
Total
* Zone I extends out 30 feet perpendicular from the top of the near bank of channel: Zone 2 extends an
additional 20 feet from the edge of Zone 1.
XI.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e.,
Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the
Riparian Buffer Restoration Fund). Please attach all appropriate information as identified
within 15A NCAC 2B .0242 or.0244, or.0260. N/A
Stormwater (required by DWQ)
Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss
stormwater controls proposed in order to protect surface waters and wetlands downstream from.
Page 7 of 8
the property. If ' percent impervious surface exceeds 20%, please provide calculations
demonstrating total proposed impervious level. The impervious area onsite will be less than 24%
(see attached engineer calculations).
XII. Sewage Disposal (required by DWQ)
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
Sanitary Sewer will be utilized.
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules?
Yes ? No
Is this an after-the-fact permit application? Yes ? No
XIV. Cumulative Impacts (required by DWQ)
Will this project (based on past and reasonably anticipated future impacts) result in additional
development, which could impact nearby downstream water quality? Yes ? No
If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with
the most recent North Carolina Division of Water Quality policy posted on our website at
http://h2o.enr.state. nc. us/ncwetlands. If no, please provide a short narrative description: The
roads will only service this site. In addition, the majority of the surrounding, properties are
already developed.
XV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
N/A
L2- 2 l
Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8
• i' 1 ? ? r"/ ? ? J"'.i ? s? ?ril, ?'.r'? ?L, 'W. i! ' t ?t I 1 - i i +,t I ; ? 1 i ? ..? / f
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(2) 60" RCP o ' ' f 11 ?_'+
- t
234' STREAM DISTURBANCE co 1 , .9
_ - { STANDARD NCDOT HEADWALL I r` i 1
? _ ?I '? r': t 1 t p ? ? 1
0 25 50
8041 Corporate Center Drive GRAPHIC SCALE
r \ SCALE: 1' = 50'
Suite 200
I SITE Charlotte, NC 28226 FIGURE
Engineering & Phone: [phone] CAM B R IA
Surveying, Fax: [phone] CULVERT 1 PLAN VIEW
1"=Rn' I-If1Rl7 1"=R' \/FRT
654
650
646
642
638
634
630
626
625
622
618 1?1& 6129'0
60.40
27x/Pxl&
CLASS /;&P-RAP APRw
-------------- -------------- -------------- ------------- ----------------------------
-------------- ----------- - -------------- ------------- -- ------------
-------------------- ------------- ------------ ---------------------------
------------;------ ------- -------------;----- ----- -------------;-------------
-------------- ---- --------- -------------- -------- ----- ------------- -------------
----- - ----- ----------- -------------,----------- -------------;------------

--------------
-----------
-
-------------------------

-------------
------------
---------- /
-------------
------------- ------------
-- ---------- -------------
6mm

234' ST MY/O •l2

AU DISTURBA CE
"ULVL
- ----------- Di

iW G ??P
o WED ?? - - _ - ' x -?
62382
- - - " ----- - -------------------------- - -------------
------------
SITE
Engineering &
Surveying
8041 Corporate Center Drive
Suite 200
Charlotte, NC 28226
Phone: [phone]
Fax: [phone]
CAM BRIA
CULVERT 1 PROFILE
, 1 r ? r
,
' S
y
36' RCP
91' ST REAM DISTURBANCE
{ STANDARD NCDOT HEADWALL
0 25 50
8041 Corporate Center Drive SCAL HICK SCALE
Suite 200
I SITE Charlotte, NC 28226 FIGURE
Engineering & phone: [phone] CAM B R IA
Surveying Fax: [phone] CULVERT 2 'PLAN- VIEW
664
660
656
652
648
644
640
1"=40' HORIZ. 1"=4' VERT.
------ -------------- -------------------
664 ---------

2
02 ----------- --------------------
----- ----------- -- ;------------------- - ------- -----------;--------------------

----- cV
-------- ----- '------------------- N
---- ----
-----------'--------------------
----- ---- -------- ------------------ -------- -------------------------------
CULVERT 2
HW/D • lJ
----- -----9/' STREAM --DISTURBAN €-------- -- --------------------------

W
R G
k16; 3 ra/. b,
0
- - ='---

R

----

--- 64699---------------
0 ,
13

642-95:
-----------------------
---------
----------- --------------------
l2'x/3'xl.5' :
CLASS / RIP-RAP APRON
----- -------------- ,------------------- --------- -----------;--------------------
I SITE
Engineering &
Surveying
8041 Corporate Center Drive
Suite 200
Charlotte, NC 28226
Phone: [phone]
Fax: [phone]
CAM BRIA
CULVERT 2 PROFILE
FIGURE
/-
\ ^ ~p, ; - I
X a)
Ca-
? , \ \ 1 1 J t \ \\? ? .Oil ? ?° 1 I,/
if I
?. \? ?+ __ • '? 1? u \ ? ? ? i 1 i ? ?' 1, %r
\ \' ,'! 48' RCP '
256' STREAM DISTURBANCE '
STANDARD NCDOT HEADWALL
"0 \Vx
1 ?
I0 0 25 50
8041 Corporate Center Drive \ \ '\ GRAPHIC SCALE
SCALE: I'= 50'
Suite 200
I SITE Charlotte, NC 28226 FIGURE
Engineering & phone: [phone] CAM B R IA
Surveying Fax: [phone] CULVERT 3 P LA N VIEW
1" = 60' HORIZ., 1" = 6' VERT.
64F
644
64(
63E
6X
62E
62?
62(
61E
6HJ
612
60
CLASS / RIP-RAP APROM
_---------- --------- ----_ ------------- -----------------------------
-------------- ---------- --- -------------- -- --------- ---- = ------
--------------- ---
---- --- ---------
------------ ------------- ------------
-
--------
--
------
---------
--------------
- - ----------
-------------- --------- --
-------------;-------------
-------------
------------ ----------- ---------- -
-- ------------- --------------
=
---------- ------------- ----------------------------- ------------ -------------
------ --- ------------- ------------- ------------ -- -------- -------------
CULVERT J
Mw/D • lD

--------------

RCP
1AX --------------

=
T-
----------
--'----------- -----------
8041 Corporate Center Drive
Suite 200
I SITE Charl NC 28226
Engineering & = AW*40- 4706
Surveying. Fax: [phone]
CAM BRIA
CULVERT 3 PROFILE
FIGURE
CULVERT 1
PRE-EXISTING
_ CHANNEL BANK
1
V2) 60' RCP /
I 1
\ I 1
I PIPE, BURIED l'J
CULVERT 2
36' RCP /
1 I
BURIED 0.6'
CULVERT 3
48' RCP /
1 1
\ I I
BURIED OB'
I SITE
Engineering &
Surveying
8041 Corporate Center Drive
Suite 200
Charlotte, NC 28226
Phone: [phone]
Fax: [phone]
CAMBRIA
CULVERT
CROSS-SECTIONS
N.T.S.
FIGURE
Typical Plan View
Rip Rap
Plane of Ordinary
High Water
Driveway Crossing
18' intermittent
unimportant impact
Not to Scale
Typical Profile View
Rip Rap Per En
Driveway Crossing
18' intermittent
unimportant impact
Counterset for Aquatic
Life Passage
Not to Scale
Plane of Ordinary
Wink VVntor ?---- Pipe Size Per Engineer
.o
0
N
Isi
VICINITY MAP - N.T.S.
AG I
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C"BRIA
MECKLENBURG COUNTY, NORTH CAROLINA
CITY OF CHARLOTTE, ETJ
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1
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• +:AH01 INA ECOSYSTEM ENHANCEMENT PROGRAM. NC-1 -1
IN-LIEU FEE REQUEST FORM
Revised 2/7/2007
Print this form, fill in requested information, sign and date, and either mail to NCEEP, 1652 Mail Service Center, Raleigh, NC
27699-1652, or fax to 919-715-2219. Attachments are acceptable for clarification purposes (location map is required).
_ PRI_ICANT'S AGENT (o?fionalL! ArPI i
1. Business or Individual Name l?N Chct?lo?k.v\oIi
2. Street Address or P O Box
3. City, State, Zip - :.._ v? ta?1, ??C._L4t?S __?_h r_L_Qf ,_N C___Zg'Z7_loy
4. Contact Person r 1 + A W YVI4 t1 __--
5. Telephone Number C gZg - 31 O-u8L1 S t7 y - g3-1 Z? S1
i
6. Fax Number i $Z? -cl ?5- ?jO50 31 0 - (pZ ..-
g Zlo3
__..___... ._......
7. E-Mail Address (optional) P `?? cvnsutEs.can?
8. Project Name
9. Project Location (nearest town, city)
. __ --- --- -- ___ ._ -.__ . --- _ ---
10. Lat-Long Coordinates (optional)
11. Project County
C 12. River Basin

C,I?ar \
3S.D?g1111M
....__ .............. ._-........ .......... ......... ..... __.__..__..._..... ...__
Ca rv\ b r C a-
..... ........ . _ .
g I .c?Z35° ?'v
__..___.... _..?
13. Cataloging Unit (8-digit) (See Note 1)
Riparian Wetland Impact (ac) (e g., 0.13)
A.
15. Non-Riparian Wetland Impact (ac.)
16. Coastal Marsh Impact (ac.)
ti r a?
17. Stream Impact (ft.) (e.g. 1,234) -_Warm Cool Cold- -- ,
j (See Note 2)
n?rT A/q
18. Buffer Impact-Zone (sq. ft.) (e.g. 12,345)
(See Note 3) Zone 1: Zone 2:
I- -- _
19. Regulatory Agency Staff Contacts 54eve r I\ (Indicate last names, if known) USACE: ?`a t°- DWQ: Q?? c? fd H,? s o v?
20. Other Regulatory ID Information
(e.g., USACE Action ID, if known) U A 6f AI( OF S'P?W - 20077- 023q O
Check (4) below if this request is a: Signature of Applicant nr„i, +
_ revision to a current acceptance, or""' -w
_ re-submission of an expired acceptance Date: (?)v; o's
Note 1: For help in determining the Cataloging Unit, go to EPA's "Surf Your Watershed" web page:
http://cfoub.ec)a.gov/surf/locate/index.cfm Note (9) above: requirement to attach location map.
Note 2: For guidance on stream temperatures, go to:
hfD://www.saw. usace.armv. m ilMETLANDS/Mitigation/Documents/Stream/Appendices/Appendixf.Ddf
NIeckleel 6Ar
CaA-c?w 4oa?
0 3 0 S o 1 0 1 Plx? C ac-,' x-j 6,,,-) --
Note 3: Buffer mitigation applicable only in the Neuse, Tar-Pamlico and Catawba river basins, and the Randleman Lake
Water Supply Watershed. Direct all questions to Kelly Williams at 919-716-1921 or [e-mail]
USACE AID#
Site 9C W (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: C?ta?Y I OkVZ \b6 \,',G,S J LLC. 1 Evaluator's name: TG.r--?o 90.nCA A, --' Par--Z?\ ge.?
r Q • W^-r
3. Date of evaluation: l9I of I 0 S? -t. Time of evaluation: Z 30 (r) .
5. Name of stream: ()T -ta L0.4e WI4A i e- 6. River basin: UPf?2 r (-&kJ-6Lw 6-O\
7. Approximate drainage area: /A (roe 8. Stream order:
9. Length of reach evaluated: SO 10. County: m e CK.? y1 hl,'? fu
r/??2nL ?:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): T{'LZ LCOSSI/lsi,s L;r lL1rrI-hrIGt
Latitude (ex. 34.372312): S O ` N Longitude (ex..-77.55661 l):
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo GIS Other G[S Othe ?sS OI- ?o+t'?l?lez( t'/'??,
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
Sfl?a'I?e_AS ?n SQL ib, r\ o fb n tN= Q r m D 1tv1 <.
1-t- Proposed channel work (if any): U?(11/Q.Y?lGI (1}/ [ YDS S l
15. Recent weather conditions: d r \A 16. Site conditions at time of visit: - 01

17. Identify any special waterway classiticaucim known: v Section W -Tidal Waters _Essenual Fisheries Habitat
-Trout Waters -Outstanding Resource Waters _ Nutrient Scnstuve Watcrs -Water Suppiv Watershed (I-[V)
18. Is there a pond or lake located upstream of the evaluation point" YES © [f ves, estimate the water Surface area:
19. Does channel appear on USGS quad map? YES 20. Does :hannei appear on f1SD/\ Sufi Survev" YES !(
21. Estimated watershed land use: 80 ",% Residential _?"o commercial Industnal '0 Agricultural
Forested _% Cleared/ Logged (Other (.
t ?
22. Banktirll width: 3 233 Bank height (from bed to top of bank): 1
24. Channel slope down center of stream: -Flat (0 to 2O%) V Gentle (2 to 491,6 -Moderate (4 to 10%) -Steep (> 10%)
25. Channel sinuosity: Straight 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, ten-a" vegetation, stream ciassificadon, etc. Every charactenstic 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 workzheet. 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 pasnrre
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 sirearn reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments- see? 4-t;,
l.?rli M?+
Evaluator's Signature Date 60 t0 " d?
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 thin 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.
DWQ#
yl0 -'-? 12 i a,rPo- (D( Vewak-,v)
STREAM QUALITY ASSESSMENT WORKSHEET
# CHARACTERISTICS ECOREGION POIN T RANGE

Coastal
Piedmont
Mountain SCORE
1 Presence of flow / persistent pools in stream

no flow or saturation = 0• strong flow = max points) 0

- 5

0 -4

0 - 5
O
2 Evidence of past human alteration

extensive alteration = 0• no alteration = max points) 0-6 0-5 0-5
/L
3 Riparian zone
no buffer = 0; contiguous, wide buffer = max points) 0-6 0 - 4 0-5
4 Evidence of nutrient or chemical discharges
(extensive discbar es = 0• no discharges = max points) 0-5 0-4 0-4
.7 5 Groundwater discharge
d
U (no disc e = 0; springs, seeps, wetlands, etc. = max oints) 0-3 0-4 0-4

6 Presence of adjacent floodplain
y, (no floodplain = 0• extensive floodplain 1 max points) 0-4 0-4 0-2 2
Z Entrenchment / floodplain access

p
(deeply entrenched = 0; frequent flooding max points)
0-5
0-4
0-2 n
!1
8 Presence of adjacent wetlands

no wetlands = 0; large adjacent wetlands = max points) 0
-6
0-4
0-2 0
9 Channel sinuosity
extensive channelization = 0; natural meander = max omts) 0-5 0-4 0 -' I
10 Sediment input
extensive deposition= 0; little or no sediment = max points) 0 - 0-4 0-4

11 Size & diversity of channel bed substrate
Fine, homogenous = 0; large, diverse sizes = max oints) NA' 0-4 0-5

12 Evidence of channel incision or widening

>- (deeply incised = 0; smble bed & bank; = max points) 0-5 0-4 0-)-
13 Prev!nce of ui :jor bank fanures
severe erosion = 0; no erosion, stable banks = max points) 0 - J _ 0 -
14 Root depth and density on banks

F
no visible roots = 0; dense roots throughout = max points)
A-3
_
0 - 4
0-5 I

15 Impact by agriculture, livestock, or timber production

substantial impact =0• no evidence = max points) 0-5 0-4 0-5
I
16 Presence of riffle-pooliripple-pool complexes

F
no riffles/riles or pools = 0• well-developed max points)
0-3
0-5
0-6 O

.
E 17 Habitat complexity
(little or no habitat = 0; varied habitats = max points) 0_6 0-6 0-6
18 Canopy coverage over streambed

no shading vegetation = o• continuous canopy =max points) 0-5 0-5 0-5
3

19 Substrate embeddedness
(deeply embedded = O; loose structure = max) NA' 0-4 0-4
20 Presence of stream invertebrates (see page 4)
no evidence = 0• common, numerous types = max points) 0-4 0-5 0-5
C7 21 Presence of amphibians

O
no evidence = 0• common, numerous types = max points) 0-4 0-4 0-4

22 Presence of fish
no evidence = 0; common, numerous types = max points) 0 - 4 0 - 4 0 - 4 O
23 Evidence of wildlife use
no evidence = 0; abundant evidence = max points 0 - 6 0-5 0-5
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page) ZS
• Tl1-
.. M........r..-....__ ___ _ _. _ _
North Carolina Division of Water Quality - Stream identification Farm; Version 3.1
Date: /„I 01 Project: Latitude:
Evaluator f?A yvw%4v\. Site: C :Cl i"L O(1 JQ ongitude: ca' . ()") 1 S ° `AJ
Total Points:
L „ w l
Stream is at least intermittent + County: A(1 , r d/ I e ?) _, ,. Other Imo"'-?-
f? 19 orperennial if >_ 30 / 1?V?` KNt e.g. Quad Name:
A. Geomornhoionv (Suhtntal = X .S , Al,--+ wo?4 I RA-.J
_
L 1a. Continuous bed and bank 0 3
2. Sinuosity 0 l 1 3 -
3. In-channel structure: nffle-pool sequence 1 2 3
4. Soil texture or stream substrate sorting, CO 1 2 3
5. Active/relic floodplain 0 1 2
6. Depositional bars or benches 0 1 2 3
7. Braided channel 0 1 2 3
8. Recent alluvial deposits 0 1 3
9 a Natural levees 1 2 3
10. Headcuts 0 1 2 3
11. Grade controls 0 1 15
12. Natural valley or drainageway 0 0.5 1 1,5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence. _
No
Yes = 3
Man-made ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = '7 1 -

15. Water in channel and > 48 hrs since rain- or
Water in channel - d or rowin season j 1 2 3
16. Leaflitter 1.5 0.5 0
17. Sediment on plants or debris j 0 . 0.5 0 1,5
18. Organic debris lines or piles (Wrack lines) 0 0.5 1 1 5
19. Hydhc soils (redoximorphic features), present? No = f Yes = 1 5
C. Bioloav (Subtotal = I . S 1
20°. Fibrous roots in channel I 3 2 j 1
(ZD
21°. Rooted plants in channel 3 2 j j 0
22. Crayfish j 0.5 1 j 1.5
23. Bivalves j 1 2 3
24. Fish j 0.5 j 1 1.5
?25. Amphibians 0 j 0.5 L 1 1.5
25. Macrobenthos (note diversity and abundance) I j -15 1 1.5 j
27. Filamentous algae; penphyton j 1 2 3
28. Iran-oxidizing bactena/fungus. j 0 0.5 1 1.5
29 .wetland plants in streambed j FAC 0.5; FACW = 0.75: OBI = 1.5 SAV = 2.0- Other = n
Items 20 and 21 focus an the presence of upland plants. Item 29 focuses on the presence of aquatic or wetland plants.
?? ..ems -- °-- - -- - Sketch:
TV-) s Sec?'ion o st-?'en .?:s LAn i rrm FOr}ur4-

USACE AID#
DWQ#
Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide" the following information for the stream reach under assessment:
1. Applicant's name: C\10\f I okVC L&qS 2. Evaluator's name: TGr-V Ban8 ?k °I Par--a?A ?w t h
3. Date of evaluation: Lu g 4. Time of evaluation: P
5. Name of stream: 0 T ? 0 Lome 6. River basin: V pet r C,C11,? aw
7. Approximate drainage area: t,C'.rNs 8. Stream order:
9. Length of reach evaluated: Zoo 10. County: A\ e d4\ e yx,\ C"d\. /
11. Site coordinates (if known): -t prefer in decimal degrees. 12. Subdivision name (if any):LOSS,/ \ ,(,?Sl 2J (2Yl'1
Latitudc (ex. 34.872312):5 l Q g N Longitude (ex..-77.556611): Z/ . (?? J v v
Method location determined (circle): GPS Topo Sheet _ Ortho (Aerial) PhotoiGIS Other GIS Othe rLQS 01' yD f t°r? h?h? l?(1?
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
(0
14. Proposed channel work (if any):
15. Recent weather conditions:
16. Site conditions at time of v
17. Identify any special waterway classifications known. -Section 10 -Tidal Waters -Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters _ Nutnent Sensitive Waters -Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point" YES NO If yes, estimate the water surface area.
19. Does channel appear on USG9 quad map7 YES ® 20. Does channel appear on USDA Soil Survey? G)
NO
21. Estimated watershed land use: 't' Q % Residential _% Commercial _% [ndustnal _°.'o Agricultural
:L41(V1 % Forested _% Cleared/ Logged -;00/,,Other( 0(1 f l) 0-r tN )
22. Bankfull width: 14 23. Bank height (from bed o top of bank):
24. Channel slope down center of stream: -Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) -Steep (>I 0%)
25. Channel. sinuosity: Straight -Occasional bends _Gentle
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): . 'a Comments: 5`aQSsyj A-o bP i (-A-2c f&I ?
Evaluator's Sitnature w"&6 Date (.V- `?D J bg
This channel evaluadd'n 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.

?ver? Z?
di. 5011
STREAM QUALITY ASSESSMENT WORKSHEET
# CHARACTERISTICS ECOREGION POINT RANGE

Coastal
Piedmont
Mountain SCORE
1 Presence of flow / persistent pools in stream

no flow or saturation = 0• strong flow = max points) 0-5 0-4 0-5
Q
2 Evidence of past human alteration
extensive alteration = 0• no alteration = max points) 0-6 0-5 0-5
7i
3 Riparian zone

no buffer = 0; contiguous, wide buffer = max points) 0-6 0-4 0-5
4 Evidence of nutrient or chemical discharges

extensive discharges = 0• no discharges = max points) 0-5 0-4 0-4
,.?
5
Groundwater discharge

U
(no discharge = 0; springs, seeps, wetlands, etc. = max points) 0-3 0-4 0-4
6 Presence of adjacent floodplain
(no floodplain = 0• extensive flood lain = max points) 0-4 0-4 0-2
Entrenchment / floodplain access
a (deeply entrenched = 0; frequent flooding = max omts) 0-5 0-4 0-2 10
8 Presence of adjacent wetlands

no wetlands = 0; large adjacent wetlands = max points) 0-6 0
-4 ., 2
0-
9 Channel sinuosity
extensive channelization = 0• natural meander = max points) 0-5 0-4 0-3
10 Sediment input
extensive deposition-- 0; little or no sediment = max points) 0-5 0-4 0-4
11 Size & diversity of channel bed substrate '

fine, homogenous = 0; large, diverse sizes = max oints) NA 0-4 0-5
f
12 Evidence of channel incision or widening

dee Iv incised = 0; stable bed & banks = max points) 0-5 0-4 0-5
O
13 Presence of major bank failures

severe erosion = 0; no erosion, stable banks = max alts) 0 _ 5 0-5
0 -
14 Root depth and density on banks

no visible roots = 0; dense roots throughout = max rots)
0 - 3
0 - 4
0 - 5 2
15 Impact by agriculture, livestock, or timber production
substantial impact ?• no evidence = max points) 0-5 0-4 0-5
'L
16 Presence of riffle-pool/ripple-pool complexes

no riffles/ri les or pooLs = 0• well-developed = max points) 0-3 0-5 0-6
Q'
E 17 Habitat complexity 0-6 0-6 0-6
?
. (little or no habitat = 0, firquent? varied habitats = max imts)
1 Canopy coverage over streambed
8
no shading vegetation = 0• continuous canopy = max omts) 0-5 0-5 0-5
19 Substrate embeddedness '

(deeply embedded = 0• loose saucture = max)
..
NA 0-4 0-4
20 Presence of stream invertebrates (see page 4)

>1
no evidence = 0• common, numerous types = max mts 0-4 0-5 0-5
0 21 Presence of amphibians
O no evidence = 0• common. numerous types = max points) 0-4 0-4 0-4

O
04

22

resence of fish
no evidence = 0; common
numerous types = max points) 0 - 4 0 - 4 0 - 4
,
23 Evidence of wildlife use

no evidence = 0• abundant evidence = max points) 0-6 0-5 0-5
Total Points. Possible. 100 1.00 100
TOTAL SCORE (also enter on first page)
.....,,,, vu..a ul•w. -a 0.111 11v1 aaJGJJGu U1 UU=Ldl 3U= M3.
2 _,
North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Date: I ©1 oz Project ChQr\t 1? ,? 5 - Latitude: 3S O--' 0? go
N
Evaluator. ??1 I BUWNUA Site: a-reA, Longitude: 1
?J vJ
Total Points:
Stream is at least intermittent 17? S county: ( ,ek\e nbu?_ t? Other
if ? 19 or Perennial if -a 3o / o e .g. Quad Name: I-WR ?I r
A. Geomof holo (Subtotal = 0 Absent Weak Moderate Strom

1a.
Continuous bed and bank
0-
1 9
3
2. Sinuosity 0 2 3
3. In-channel structure: riffle-pool sequence 0-- - 2 3
4. Soil texture or stream substrate sorting' 0 C j) 3
5. Active/relic floodplain 1 2 3
6. Depositional bars or benches 0 2 3
7. Braided channel 0 1 2 3
8. Recent alluvial deposits 0 1 2 3
9 d Natural levees 0 1 2 3
10. Headcuts 0 Z
11, Grade controls 0 _5 1 1.5
12. Natural valley or drainageway 0
13. Second or greater order channel on existing
USGS or NRCS map or other documented No =0 Yes = 3
evidence.
Man-made ditches are not rated; see discussions in manual
B. Hydroloov (Subtotal = .3-s
14. Groundwater flowiaiscndrge , 3
15. Water in channel and > 48 hrs since rain- or
Water in channel - d or rowin season
1
2 3
16. Leaflitter 1.5 1 0.5 0
17. Sediment an plants or debris 0 . 0.5 1 1,5
18. Organic debris lines or piles (Wrack lines) 0 0.5 1 1.5
19. Hydhc soils (redoximerphic features): present? No = 0 YPC =(1 s
C. Biology (Subtotal = 1
20°. Fibrous roots in channel 3 1 0
21". Rooted plants in channel i 3 2 1. ! 0
22. Crayfish ! 0.5 I 1 t5
23. Bivalves ! 0 1 2 3
24. Fish 0 0:5 1 1.5
25. Amphibians on 0.5
26. Macrobenthos note dive
(note diversity and abundance)
0
! 0.5
j 1 I
1.5 ?
27. Filamentous algae; penphyton ! j 1 2 3
28. Iron oxidizing bactenalfungus. ! 0 0.5 1 ! 1 5
29 °. Wetland plants in streambed FAC = 0.5: FACW = 0 75 ()RI = 5 4Av = n• ()char .h9(
Items 20 and 21 focus on the presence of upland plants. Item 29 focuses on the presence of aquatic or wetland plants.
Notes: (use back side of this form for additional notes.) Sketch:
?? S Q rP .c`1?. W? S S 52.SS20? -}o .
. ? ? in?f ? N?-? ? n ? _ t n? M o or ?-n ?-
nora.-
USACE AM#
Site # & (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET -?,
Provide the following information for the stream reach under assessment:
1. Applicant's name: C -View I O?Ve- k 4\,',G\-S J LLL
_. Evaluator's name: TGmo gGtnd A.
Q
3. Date of evaluation: ly 0 <,? J " 4. Time of evaluation: 2. 00 OM
5. Name of stream: 01- to S ?"AM(Ar) grOW 6. River basin: UDQt r• (^, kJ-TLw t,;-n
7. Approximate drainage area: 2--t0 GlC r'C S 8.. Stream order: + iO
9. Length of reach evaluated: 200 10. County: A? e Ck` e n yx,\ ?PrD
11. Site coordinates (if known): -7 prefer in decimal degrees. 12. Subdivision name (if any): 7'I w L?OCSS!/,laj,S1 ?M3+lGt ??yc.
Latitude (ex. 34.872312): T\J Longitude (ex..-77.556611):
L/ . (? ??J J J (v v /
Method location determined (circle): GPS Topo Sheet Onho (Aerial) Photo/GIS Other GIS Othc- (`Q?S 01' ? ?>?Cl l 1?/71
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
n CQcAfon rD r 1 s-?- d rat 2 nc)r-?An o
14. Proposed channel work (I d anv): r0WA crcGs1 no (YOPOAd
15. Recent weather conditions: Cdr (',A ,
\' 0
16. Site conditions at time of,nsit: Y 10?' rt.(_ . (?
S
17. Idenufy any special waterway classifications known: Section 10 -Tidal Waters -Essential Fisheries Habitat
-Trout Waters -Outstanding Resource Waters _ Nutnent Sensitive Writers -Water Supply Watershed ,I4V)
18. Is Mere a pond or lake located upstream of the evaluation point' YES Q If ves. estimate the water mr-tace area:
19. Does channel apnear on t. SGS ,Toad map'7 YES O 21). Does channel appear on I; SDA Soli Survey" YES o0
21. Estimated watershed land use: ;L.0 % Residenuai Commercial Industnal Agncultural
JID % Forested _% Cleared / Logged 10 'r% other(, 0gQ-0 A (`e ON )
t
22. Bankfull width: y 23. Bank height (from bed to top tit bank): 3
24. Channel slope down center of stream: -Flat (0 to 2??)) Gentle (2 to 4%) V `'v[oderate (u to 10%) _Steep (>10%)
25. Channel sinuosity: Straight -Occasional bends Frequent meander _Verv 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 evaluaton. If a
characteristic cannot be evaluated due to site or weather condiuons,. enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changers in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the strum 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 most range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse); M - Comments: ASS?SSed -ktD Ncw- an 4-e( f\kt O
v1 n M 0o T- ?Lt f G+M0\ `N`
Evaluator's Signature r OyW? Date 61 - 1(0 - 04Z
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 Vrmv 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 c 26.
DWQ4
plveA-S)
/Do
STREAM QUALITY ASSESSMENT WORKSHEET
# CHARACTERISTICS ECOREGION POINT RANGE

Coastal
Piedmont
Mountain SCORE
1 Presence of flow / persistent pools in stream
no flow or saturation = 0• strong flow = max points) 0-5 0-4 0-5
2 Evidence of past human alteration

extensive alteration = 0-, no alteration = max points) 0-6 0-5 0-5
3 Riparian zone
no buffer = 0; contiguous, wide buffer = max points) 0-6 0-4 0-5
4 Evidence of nutrient or chemical discharges
(extensive discharges = 0• no discharges = max points) 0-5 0-4 - 0-4
5 Groundwater discharge
d

U (no discharge = 0; springs, seeps, wetlands, etc. = max oints) 0-3 0-4 0-4
L
6 Presence of adjacent floodplain
y, (no floodplain = 0• extensive toodulain = max points)
0-4
0-4
0-2
:>~ Entrenchment / floodplain access
a' (deeply entrenched = 0; frequent flooding max points) 0 - 5 0 - 4 0 - 2
8 Presence of adjacent wetlands
no wetlands = 0; large adjacent wetlands = max points) 0-6 0-4 0-2
9 Channel sinuosity
extensive channelization = 0; natural meander = max points)
5
0 -

0 - 4

0 -'
17-
10 Sediment input
extensive deposition- 0; little or no sediment = max points) 0 - 0 - 4 0 - 4
I 1 Size & diversity of channel bed substrate
fine, homogenous = 0; large, diverse sizes = max points) NA' 0 - 4 U - 5
12 Evidence of channel incision or widening
(deeply incised = 0; stable bed &. banks = max points) 0-5 0-4 0-5
;.. 13 Presence of tr aior bank failures

severe erosion = 0; no erosion, stable banks = max points) 0 _ 0-5 0-5
p?
V

14 Root depth and density on banks

F no visible roots = O; dense roots throughout = max points) 0-3 0-4 0-5
'

15 Impact by agriculture, livestock, or timber production
substantial impact =0; no evidence = max points) 0 - 5 0 - 4 0 - 5
16 Presence of riffle-pooi/ripple-pool complexes

F no riffleshi les or pools = 0; well-developed = max points) 0-3 0-5 0-6
1
e' 17 Habitat complexity '
(little or no habitat = 0 t, varied habitats = max points) 0-6 0-6 0-6
18 Canopy coverage over streambed
no shading vegetation = 0• continuous canopy = max oints) 0 - 5 0-5 0-5
19 Substrate embeddedness "
(deeply embedded = 0• loose structure = max) *
NA 0 - 4 0-4
i
20 Presence of stream invertebrates (see page 4)
no evidence = 0• common, numerous types = max points) 0-4 0-5 0-5
C'1 21 . Presence of amphibians
O no evidence = 0• common, numerous types = max points) 0-4 0-4 0-4
Q

22 Presence of fish
no evidence = 0; common, numerous types = max points 0 - 41 0 -.4 0 - 4 0
23
Evidence of wildlife use
no evidence = 0• abundant evidence = max points 0 - 6 0 - 5
Total Points Possible: 100 100 100
TOTAL SCORE (also enter on first page) In

2.
North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Date: D Proje
ct: P-d %I`r'`JS - Latitude: ,35, o-IqoN® N
L-CAOP
Evaluator: hand b0 v` "A Site: Longitude: °
C? . ? b0 ;,.A 81.0235 W
Total Points: L? ut,rart 31
Stream is at least intermittent ZOO County: Other 1 t ^ lj.
if ? 19 or perennial if >_ 30 t ` l e c k\ e nloa?? e. g. Quad Name: L V v r?
7
A. Geomorphology (Subtotal = 1
1a. Continuous bed and bank Absent
0 Weak
1 Moderate Strong
3
2. Sinuosity 0 2 3
3. In-channel structure: riffle-pool sequence 0 2 3
4. Soil texture or stream substrate sorting 0 1 ® 3
5. Active/relic floodplain ® 1 2 3
6. Depositional bars or benches 0 ® 2 3
7. Braided channel 1 2 3
8. Recent alluvial deposits 0 1 3
9 a Natural levees 1 2 3
10. Headcuts 0 1 3
11. Grade controls 1 0 1 1.5
12. Natural valley or drainageway 0 0.5 1 1.
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
No
Yes = 3
,.- r,,,auc -tl. - -c Ilul 1atcu, z-t= unit;ubtsions in manual "
B. Hvdroloov fSuhtntal = \
14. Groundwotertlcw/di:;cr,-rgI r, 2
15. Water in channel and > 48 hrs since rain, or
Water in channel - d or growing season -___-_ _ `- -- - ---
2
16. Leaflitter 1.5 1 0.5 0
17. Sediment on plants or debris 0 1 1.5
18. Organic debris lines or piles (Wrack lines) 0 0.5 1.5
19. Hydric soils (redoximorphic features) present? No = 0 Yes = 05
C. Biology (Subtotal = )
20°. Fibrous roots in channel 3 1 0
21 . Rooted plants in channel 3 1 0
22. Crayfish 0 0.5 1 1.5
23. Bivalves 1 2 3
24. Fish 0.5 1 1.5-
25. Amphibians 0.5 1 1.5
26. Macrobenthos (note diversity and abundance) 0 0.5 1 1.5
27. Filamentous algae; periphyton 1 2 3
28. Iron oxidizing bacteria/fungus. (0) 0.5 1 1.5
29 . Wetland plants in streambed FAC = 0.5; FACW = 0.75; OBL = 1.5 SAV = 2.0; Other
rer.vJ
items zu ana 11 Locus on the presence of upland plants,. Item 29 focuses on the presence of aquatic or wetland plants.
Notes: (use back side of this form for additional notes.) Sketch:
__ nA t, S s e J,)n was o.SSeSSecj -b
on ? (l f 2? M n ;• yt n, nip O r+ZL 0st
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MAPpUEST
Charlotte Holdings V, LLC - Capps Road
Site Vicinity Map
A: Charlotte, NC 28278
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Date: 6/16/2008 Caption: Charlotte Holdings V, LLC - Capps Road
Scale: 1 inch equals 2000 feet
Copyright (C) 1997, Maptech, Inc

Soil Legend
Ce132 - Cecil sandy clay loam, 2 to 8 percent slopes, eroded
CeD2 - Cecil sandy clay loam, 8 to 15 percent slopes, eroded
MO - Monacan loam
PaE - Pacolet sandy loam, 15 to 25 percent slopes
Pal' - Pacolet sandy loam, 25 to 45 percent slopes
Charlotte Holdings, LLC: Capps Road - Soil Survey
Mecklenburg County, NC POLARIS
Page 1 of 1
http: //polaris. mecklenburgcountync. gov/servletlcom.esri. esrimap. Esrimap?ServiceName=... 6/16/2008
Channel 100
Non-regulated above Channel 500 Channel 100
Channel 400
4 ?
Channe1400
Channel 400, Flag 410 above

1?-
. y
L ?
L
Above 412
Between 410 and 412 (Impact Area for Driveway)