20170132 Ver 1_170413_PCN_Update_20170413

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
X❑ Wetlands ❑X Streams —tributaries ❑X Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of impact
Type of wetland
Forested
Type of jurisdiction
Area of
number
Corps (404,10) or
impact
Permanent (P) or
DWQ (401, other)
(acres)
Temporary T
W1 -
Choose one
Choose one
Yes/No
-
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
-
W4 -
Choose one
Choose one
Yes/No
-
W5 -
Choose one
Choose one
Yes/No
-
W6 -
Choose one
Choose one
Yes/No
-
2g. Total Wetland Impacts:
2h. Comments:
See attached chart. The permanent wetland impacts account for a 10 foot maintenance corridor to be permanently maintained upon completion of the
project. The remaining 10-20 feet of permanent/temporary easement will be allowed to re-establish upon completion of construction.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial (PER) or
Type of
Average
Impact
number
intermittent (INT)?
jurisdiction
stream
length
Permanent (P) or
width
(linear
Temporary (T)
(feet)
feet)
S1 -
Choose one
-
-
S2 -
Choose one
-
-
S3 -
Choose one
-
-
S4 -
Choose one
-
-
S5 -
Choose one
-
-
S6 -
Choose one
-
3h. Total stream and tributary impacts
3i. Comments:
See attached chart
Total stream impacts is 0 (zero) due to each impact being a temporary impact for construction. Upon completion of construction, all stream crossings
will be returned to pre-existing grade and conditions, with no permanent stream crossings.
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts N/A
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indivi ually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Tempora T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction N/A
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
Yes No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑X Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number—
Permanent (P) or
Temporary T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
B1 P
Gravity Sewer
UT to Poplar Creek
No
10,766
11,532
B2 T
Gravity Sewer
UT to Poplar Creek
No
1,848
3,778
B3 P
Gravity Sewer
UT to Poplar Creek
Yes
8,327
B4 -
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
16,673
15,224
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Where it is feasible, the new installations are designed to keep the stream, buffer, and wetlands crossings as close to 90 degrees as possible. The
sewer on the Bartlett Mills property is designed and to be installed in an existing access driveway for residents on the north side of the railroad tracks.
This area is already cleared and maintained.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Proper erosion control techniques will be used throughout the construction process, including the use of silt fence, silt fence outlets, properly designed
and installed construction entrances, tree protection fencing, and rock check dams.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
X❑ Yes ❑ No
2b. If yes, mitigation is required by (check all that apply):
❑X DWQX❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑Q Mitigation bank
❑X Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: Resource Environmental Solutions, LLC
3b. Credits Purchased (attach receipt and letter)
Type: Riparian buffer
Type: Choose one
Type: Choose one
Quantity: 24,981
Quantity:
Quantity:
3c. Comments:
We will not authorize purchase of credits until DWQ and USACE has approved this application.
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.X❑
Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
.205 acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments: We will not authorize purchase of credits until DWQ and USACE has approved this application.
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
Yes ❑ No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Gravity Sewer
Zone 1
8,327
3 (2 for Catawba)
24,981
Zone 2
Gravity Sewer
1.5
6f. Total buffer mitigation required:
24,981
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
Buffer mitigation payment through Resource Environmental Solutions, LLC
6h. Comments:
Page 7 of 10

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BJ PO
DRAWN BY:
EBM
CHECKED BY:
DLC
PROJECT NO.:
2875-P
DATE:
JULY 2016
SCALE:
AS NOTED
SHEET 7 OF 47
C-1.04
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DESIGNED BY:
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CHECKED BY:
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PROJECT NO.:
2875-P
DATE:
JULY 2016
SCALE:
AS NOTED
SHEET 7 OF 47
C-1.04

Town of Wilson's Mills
USDA Sewer Improvements Project
Updated: 4/13/17
Wetland Impact Table
Wetland
Perennial
Type of Jurisdiction
Area of
Permanent/
Flow Regime or
Impact
Type of Impact
Type of Wetland
Forested
Corps (404, 10) or DWQ
Impact
Temporary
Fill Area of
Impact
Type of Impact
Stream Name
Cowardin Class
Number
Stream
(401, other)
(acres)
Al
(Linear Feet)
Stream
Number
--
Open Trench for
Width (feet)
(INT)
See Wetland
A2
Permanent
Gravity Sewer
Yes
Corps
0.205
Sl
Temporary
Data Form
INT
Corps
18
30
0.012
Installation
Sewer
Creek
A3
Open Trench of Gravity
UT to Poplar
Open Trench for
S2
Temporary
INT
Corps
13
30
See Wetland
Sewer
Creek
A4
Temporary
Gravity Sewer
Yes
Corps
0.532
Open Tr nch f Gravity
UT to Poplar
Data Form
S3
Temporary
Installation
Corps
8
30
0.006
Sewer
Open Trench for
Open Tr nch f Gravity
See Wetland
C1
Permanent
Gravity Sewer
Yes
Corps
0.033
2
30
0.001
Data Form
Sewer
Creek
Installation
Open Trench f Gravity
UT to Poplar
C2
S5
Temporary
INT
Corps
Open Trench for
30
0.006
Sewer
Creek
See Wetland
C3
Temporary
Gravity Sewer
Yes
Corps
0.067
S6
Temporary
Data Form
Corps
10
30
0.007
Installation
Creek
Open Tr nch f Gravity
UT to Poplar
Totals 1 0.837
Stream Impact Table
Perennial
Stream
Average
Permanent/
(PER) or
Impact Length
Fill Area of
Impact
Type of Impact
Stream Name
Type of Jurisdiction
Stream
Temporary
Intermittent
(Linear Feet)
Stream
Number
Width (feet)
(INT)
Open Trench f Gravity
UT to Poplar
Sl
Temporary
INT
Corps
18
30
0.012
Sewer
Creek
Open Trench of Gravity
UT to Poplar
S2
Temporary
INT
Corps
13
30
0.009
Sewer
Creek
Open Tr nch f Gravity
UT to Poplar
S3
Temporary
INT
Corps
8
30
0.006
Sewer
Creek
Open Tr nch f Gravity
UT to Poplar
S4
Temporary
INT
Corps
2
30
0.001
Sewer
Creek
Open Trench f Gravity
UT to Poplar
S5
Temporary
INT
Corps
8
30
0.006
Sewer
Creek
Open Tr nch f Gravity
UT to lPoplar
S6
Temporary
INT
Corps
10
30
0.007
Sewer
Creek
Open Tr nch f Gravity
UT to Poplar
S7
Temporary
INT
Corps
8
20
0.004
Sewer
Creek
Open Trench of Gravity
UT to Poplar
S8
Temporary
INT
Corps
12
30
0.008
Sewer
Creek